﻿FN Clarivate Analytics Web of Science
VR 1.0
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
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ZA 0
ZB 1
TC 21
Z9 23
U1 0
U2 7
SN 1546-1440
UT WOS:000305361100013
PM 21211766
ER

PT J
AU Gibson, Kerri
   O'Donnell, Susan
   Coulson, Heather
   Kakepetum-Schultz, Tina
TI Mental health professionals' perspectives of telemental health with
   remote and rural First Nations communities
SO JOURNAL OF TELEMEDICINE AND TELECARE
VL 17
IS 5
BP 263
EP 267
DI 10.1258/jtt.2011.101011
PD 2011
PY 2011
AB We conducted an online survey and interviews amongst mental health
   workers in Canada who reported experience in working with rural and
   remote First Nations (although not necessarily telemental health).
   Sixty-three respondents (of the 164) to the online survey reported
   experience in working with clients in remote and rural First Nations.
   Only 16 of the online survey respondents with remote and rural First
   Nations experience reported having received training in
   videoconferencing use. When asked how frequently they used
   videoconferencing with clients, 51% reported never using it, 19% used it
   once every few months and 10% reported using it a few times a month.
   Approximately 50% of participants reported finding it useful.
   Approximately 38% found the technology easy or very easy to use, and 15%
   found it very difficult. Individual in-depth interviews were also
   conducted with professionals who had First Nations telemental health
   experience specifically (n = 5). A quantitative data analysis was used
   to explore their perceptions of usefulness and ease of use of telemental
   health, as well as the relationships among these constructs. Advantages,
   disadvantages and challenges in using the technology were identified
   from the qualitative data. Promising ways forward include incorporating
   traditional practices and the Seven Teachings into telemental health
   services.
RI Livingstone, Norma/A-6389-2012
TC 38
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ZB 1
ZA 0
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Z9 38
U1 0
U2 12
SN 1357-633X
EI 1758-1109
UT WOS:000294312600010
PM 21824967
ER

PT J
AU Kaufman, David
   Sauve, Louise
   Renaud, Lise
TI ENHANCING LEARNING THROUGH AN ONLINE SECONDARY SCHOOL EDUCATIONAL GAME
SO JOURNAL OF EDUCATIONAL COMPUTING RESEARCH
VL 44
IS 4
BP 409
EP 428
DI 10.2190/EC.44.4.c
PD 2011
PY 2011
AB This article consists of four sections: (1) the problems associated with
   asthma in the province of Quebec and across Canada; (2) the theoretical
   framework for the learning enhanced by our online educational game
   entitled Asthme: 1,2,3 ... Respirez! (Asthma: 1,2,3 ... Breath!),
   created by adapting the popular board game Parcheesi, and intended for
   students in a senior secondary school health education program (14 to 18
   years old); (3) the methods employed, including a description of the
   educational game, the quasi-experimental research protocol, the sample,
   the variables being studied, the measurement instruments, the pilot
   study, the procedures, and the data analysis; and (4) the results of the
   study and discussion of the results. The results of the paired t-tests
   showed significant improvements in a variety of cognitive skills after
   students played the game on laptops in their classrooms for 40-60
   minutes. No differences were found between males and females. These
   results are encouraging for teachers who wish to use educational digital
   games in their classrooms.
RI Liang, Ting-chih/A-8858-2010
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ZA 0
TC 5
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Z9 5
U1 0
U2 14
SN 0735-6331
EI 1541-4140
UT WOS:000294793700003
ER

PT C
AU Xu Hui Yu
   Chen Zhi Wei
   Wu Yan Min
BE William, Z
   Xiong, F
TI Clinical immunology and inspection information network construction and
   application
SO COMPUTATIONAL MATERIALS SCIENCE, PTS 1-3
SE Advanced Materials Research
VL 268-270
BP 1476
EP 1479
DI 10.4028/www.scientific.net/AMR.268-270.1476
PN 1-3
PD 2011
PY 2011
AB The aim would clinical immunology and inspection content and network. Is
   connected, enable medical students more convenient and more vividly
   understanding, then learning this course, motivate the study interest.
   Methods: Using webpage making software FrontPage 2003 and animation
   software (flash and photo editing software (Photoshop) vivid teaching
   content on the website will be displayed, and the form of peer
   appraisal, students through questionnaire survey of software evaluating.
   Results: Using FrontPage software will book knowledge into a web page
   making mode of learning in the student to study independently receive a
   good result, also added "online self-test" edition piece, more effective
   inspection study effect, student feedback is good. Conclusion: This
   study pattern application of student learning, for students to deepen
   the understanding of this course and improve the learning efficiency,
   arouse the interest in learning has very good effect.
CT International Conference on Computational Materials Science (CMS 2011)
CY APR 17-18, 2011
CL Guangzhou, PEOPLES R CHINA
TC 0
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U1 0
U2 0
SN 1022-6680
BN 978-3-03785-155-5
UT WOS:000303850201021
ER

PT J
AU Anderson-Bill, Eileen Smith
   Winett, Richard A.
   Wojcik, Janet R.
   Winett, Sheila G.
TI Web-Based Guide to Health: Relationship of Theoretical Variables to
   Change in Physical Activity, Nutrition and Weight at 16-Months
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 13
IS 1
AR e27
DI 10.2196/jmir.1614
PD JAN-MAR 2011
PY 2011
AB Background: Evaluation of online health interventions should investigate
   the function of theoretical mechanisms of behavior change in this new
   milieu.
   Objectives: To expand our understanding of how Web-based interventions
   influence behavior, we examined how changes at 6 months in participants'
   psychosocial characteristics contributed to improvements at 16 months in
   nutrition, physical activity (PA), and weight management as a result of
   the online, social cognitive theory (SCT)-based Guide to Health
   intervention (WB-GTH).
   Methods: We conducted recruitment, enrollment, and assessments online
   with 272 of 655 (41.5%) participants enrolling in WB-GTH who also
   completed 6- and 16-month follow-up assessments. Participants' mean age
   was 43.68 years, 86% were female, 92% were white, mean education was
   17.45 years, median income was US $85,000, 84% were overweight or obese,
   and 73% were inactive. Participants received one of two equally
   effective versions of WB-GTH. Structural equation analysis of
   theoretical models evaluated whether psychosocial constructs targeted by
   WB-GTH contributed to observed health behavior changes.
   Results: The longitudinal model provided good fit to the data (root mean
   square error of approximation < .05). Participants' weight loss at 16
   months was predicted by improvements in their PA (beta(total) = -.34, P
   = .01), consumption of fruits and vegetables (F&V) (beta(total) = -.20,
   P = .03) and calorie intake (beta(total) = .15, P = .04). Improvements
   at 6 months in PA self-efficacy (beta(total) = -.10, P = .03), PA
   self-regulation (beta(total) = -.15, P = .01), nutrition social support
   (beta(total) = -.08, P = .03), and nutrition outcome expectations
   (beta(total) = .08, P =.03) also contributed to weight loss. WB-GTH
   users with increased social support (beta(total) =.26, P =.04),
   self-efficacy (beta(total) = .30, P = .01), and self-regulation
   (beta(total) = .45, P = .004) also exhibited improved PA levels.
   Decreased fat and sugar consumption followed improved social support
   (beta(total) = -.10, P = .02), outcome expectations (beta(total) = .15,
   P = .007), and self-regulation (beta(total) = -.14, P = .008). Decreased
   calorie intake followed increased social support (beta(total) = -.30, P
   < .001). Increased F& V intake followed improved self-efficacy
   (beta(total) = .20, P = .01), outcome expectations (beta(total) = -.29,
   P = .002), and self-regulation (beta(total) = .27, P = .009). Theorized
   indirect effects within SCT variables were also supported.
   Conclusions: The WB-GTH influenced behavior and weight loss in a manner
   largely consistent with SCT. Improving social support, self-efficacy,
   outcome expectations, and self-regulation, in varying combinations, led
   to healthier diet and exercise habits and concomitant weight loss. High
   initial levels of self-efficacy may be characteristic of Web-health
   users interested in online interventions and may alter the function of
   SCT in these programs. Researchers may find that, although increased
   self-efficacy enhances program outcomes, participants whose
   self-efficacy is tempered by online interventions may still benefit.
   Trial Registration: Clinicaltrials.gov NCT00128570;
   http://clinicaltrials.gov/ct2/show/NCT00128570 (Archived by WebCite at
   http://www.webcitation.org/5vgcygBII)
RI Wojcik, Janet R./J-5140-2016
OI Wojcik, Janet R./0000-0002-5039-0882
ZS 1
ZR 0
TC 46
ZB 7
ZA 0
Z8 0
Z9 46
U1 3
U2 41
SN 1438-8871
UT WOS:000303670800006
PM 21447470
ER

PT J
AU Hansen, Margaret
   Oosthuizen, George
   Windsor, John
   Doherty, Iain
   Greig, Samuel
   McHardy, Karina
   McCann, Lloyd
TI Enhancement of Medical Interns' Levels of Clinical Skills Competence and
   Self-Confidence Levels via Video iPods: Pilot Randomized Controlled
   Trial
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 13
IS 1
AR e29
DI 10.2196/jmir.1596
PD JAN-MAR 2011
PY 2011
AB Background: Designing and delivering evidence-based medical practice for
   students requires careful consideration from medical science educators.
   Social Web (Web 2.0) applications are a part of today's educational
   technology milieu; however, empirical research is lacking to support the
   impact of interactive Web 2.0 mobile applications on medical educational
   outcomes.
   Objectives: The aim of our study was to determine whether instructional
   videos provided by iPod regarding female and male urinary catheter
   insertion would increase students' confidence levels and enhance skill
   competencies.
   Methods: We conducted a prospective study with medical trainee intern
   (TI) participants: 10 control participants (no technological
   intervention) and 11 intervention participants (video iPods). Before
   taking part in a skills course, they completed a questionnaire regarding
   previous exposure to male and female urinary catheterization and their
   level of confidence in performing the skills. Directly following the
   questionnaire, medical faculty provided a 40-minute skills demonstration
   in the Advanced Clinical Skills Centre (ACSC) laboratory at the
   University of Auckland, New Zealand. All participants practiced the
   skills following the demonstrations and were immediately evaluated by
   the same faculty using an assessment rubric. Following the clinical
   skill evaluation, participants completed a postcourse questionnaire
   regarding skill confidence levels. At the end of the skills course, the
   intervention group were provided video iPods and viewed a male and a
   female urinary catheterization video during the next 3 consecutive
   months. The control group did not receive educational technology
   interventions during the 3-month period. At the end of 3 months,
   participants completed a follow-up questionnaire and a clinical
   assessment of urinary catheterization skills at the ACSC lab.
   Results: The results indicate a decline in skill competency over time
   among the control group for both male and female catheterizations,
   whereas the competency level was stable among the experimental group for
   both procedures. Interaction results for competency scores indicate a
   significant level by group and time (P = .03) and procedure and group (P
   = .02). The experimental group's confidence level for performing the
   female catheterization procedure differed significantly over time (P <
   .001). Furthermore, confidence scores in performing female
   catheterizations increased for both groups over time. However, the
   confidence levels for both groups in performing the male catheterization
   decreased over time.
   Conclusions: Video iPods offer a novel pedagogical approach to enhance
   medical students' medical skill competencies and self-confidence levels.
   The outcomes illustrate a need for further investigation in order to
   generalize to the medical school population.
RI Oosthuizen, George/AAC-5856-2022
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ZA 0
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TC 35
ZS 2
Z9 39
U1 0
U2 11
SN 1438-8871
UT WOS:000303670800008
PM 21447471
ER

PT J
AU Blackburn, Steven
   Brownsell, Simon
   Hawley, Mark S.
TI A systematic review of digital interactive television systems and their
   applications in the health and social care fields
SO JOURNAL OF TELEMEDICINE AND TELECARE
VL 17
IS 4
BP 168
EP 176
DI 10.1258/jtt.2010.100610
PD 2011
PY 2011
AB We conducted a systematic review of the applications and technical
   features of digital interactive television (DITV) in the health and
   social care fields. The Web of Knowledge and IEEE Xplore databases were
   searched for articles published between January 2000 and March 2010
   which related to DITV systems facilitating the communication of
   information to/from an individual's home with either a health or social
   care application. Out of 1679 articles retrieved, 42 met the inclusion
   criteria and were selected for review. An additional 20 articles were
   obtained from online grey literature sources. Twenty-five DITV systems
   operating in health and social care were identified, including seven
   commercial systems. The most common applications were related to health
   care, such as vital signs monitoring (68% of systems) and health
   information or advice (56% of systems). The most common technical
   features of DITV systems were two-way communication (88%), medical
   peripherals (68%), on-screen messaging (48%) and video communication
   (36%). Digital interactive television has the potential to deliver
   health and social care to people in their own homes. However, the
   requirement for a high-bandwidth communications infrastructure, the
   usability of the systems, their level of personalisation and the lack of
   evidence regarding clinical and cost-effectiveness will all need to be
   addressed if this approach is to flourish.
RI Blackburn, Steven/AAP-7422-2021; Akalugwu, Kenneth/F-4815-2014; Hawley, Mark/; BROWNSELL, SIMON,JAMES/
OI Blackburn, Steven/0000-0002-2629-3126; Hawley, Mark/0000-0002-2349-4491;
   BROWNSELL, SIMON,JAMES/0000-0002-5127-7128
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TC 20
ZA 0
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Z9 20
U1 0
U2 10
SN 1357-633X
EI 1758-1109
UT WOS:000292121400002
PM 21398387
ER

PT C
AU Kyriazos, George K.
   Gerostathopoulos, Ilias Th.
   Kolias, Vassileios D.
   Stoitsis, John S.
   Nikita, Konstantina S.
GP IEEE
TI A semantically-aided approach for online annotation and retrieval of
   medical images
SO 2011 ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE
   AND BIOLOGY SOCIETY (EMBC)
SE IEEE Engineering in Medicine and Biology Society Conference Proceedings
BP 2372
EP 2375
PD 2011
PY 2011
AB The need for annotating the continuously increasing volume of medical
   image data is recognized from medical experts for a variety of purposes,
   regardless if this is medical practice, research or education. The rich
   information content latent in medical images can be made explicit and
   formal with the use of well-defined ontologies. Evolution of the
   Semantic Web now offers a unique opportunity of a web-based,
   service-oriented approach. Remote access to FMA and ICD-10 reference
   ontologies provides the ontological annotation framework. The proposed
   system utilizes this infrastructure to provide a customizable and robust
   annotation procedure. It also provides an intelligent search mechanism
   indicating the advantages of semantic over keyword search. The common
   representation layer discussed facilitates interoperability between
   institutions and systems, while semantic content enables inference and
   knowledge integration.
CT 33rd Annual International Conference of the IEEE
   Engineering-in-Medicine-and-Biology-Society (EMBS)
CY AUG 30-SEP 03, 2011
CL Boston, MA
SP IEEE; Engn Med & Biol Soc (EMBS)
OI Gerostathopoulos, Ilias/0000-0001-9333-7101; Nikita,
   Konstantina/0000-0001-8255-4354
TC 7
ZA 0
ZR 0
ZS 0
Z8 0
ZB 2
Z9 7
U1 0
U2 3
SN 1557-170X
EI 1558-4615
BN 978-1-4244-4122-8
UT WOS:000298810002029
PM 22254818
ER

PT J
AU Braverman, Julia
   Samsonov, Dmitry V.
TI A study of online consultations for paediatric renal patients in Russia
SO JOURNAL OF TELEMEDICINE AND TELECARE
VL 17
IS 2
BP 99
EP 104
DI 10.1258/jtt.2010.100410
PD 2011
PY 2011
AB We developed an educational website for parents of paediatric patients
   with kidney diseases in Russia. Parents could ask questions regarding
   their child's illness and submit information, including medical
   summaries and scanned or electronic images. A US-trained specialist in
   paediatric nephrology reviewed the information provided and advised
   about further evaluation or referral, as well as discussing possible
   treatment plans. In the first nine months, 141 distinct users
   communicated through the website. Fifty-eight percent of patients were
   female. An analysis of 70 cases suggested that in 45% there had been
   overdiagnosis of common paediatric problems, such as urinary tract
   infection and pyelonephritis. Users completed an anonymous satisfaction
   survey. The response rate was 84% (n = 59/70). The majority of
   respondents found the consultation useful (mean = 4.6 on a 5-point
   scale). The online consultation answered the questions of most
   respondents, provided useful information and relieved uncertainty
   regarding a follow-up. The majority of the respondents (>90%) confirmed
   that they trusted the online consultation and would recommend the
   technique to other parents. Online consultation for parents can provide
   reliable information that results in improved parental satisfaction and
   education. This approach may be useful in improving care and providing
   patient education in underserved areas in the USA and elsewhere.
TC 9
ZB 2
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ZA 0
ZR 0
Z9 9
U1 0
U2 2
SN 1357-633X
EI 1758-1109
UT WOS:000290119500008
PM 21163814
ER

PT J
AU Vrontos, Emily B.
   Kuhn, Catherine H.
   Brittain, Kristy L.
TI Impact of Interprofessional Activities on Health Professions Students'
   Knowledge of Community Pharmacists' Role and Services
SO AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION
VL 75
IS 8
AR 152
DI 10.5688/ajpe758152
PD 2011
PY 2011
AB Objectives. To determine the impact of health professions students'
   participation in interprofessional activities on their knowledge of the
   roles of community pharmacists and community pharmacist-provided
   services.
   Methods. Students at the Medical University of South Carolina were
   surveyed via a self-administered online survey tool to determine their
   participation in interprofessional activities as well as their knowledge
   of the role of community pharmacists and community pharmacist-provided
   services.
   Results. Over 600 students completed the survey instrument. Nonpharmacy
   students who attended the university-sponsored Interprofessional Day
   were more knowledgeable of pharmacist-provided services. Previous
   interaction with a pharmacist increased nonpharmacy students' awareness
   of the services that pharmacists provide.
   Conclusion. Participation in interprofessional activities increased
   health professions students' awareness of the role of pharmacists.
   Continued education among healthcare professions about the role of and
   services provided by pharmacists is needed to ensure that pharmacists
   have the greatest possible impact on patient care.
ZB 1
ZA 0
Z8 0
TC 13
ZS 0
ZR 0
Z9 13
U1 0
U2 2
SN 0002-9459
EI 1553-6467
UT WOS:000296159300005
PM 22102742
ER

PT J
AU Dean, E.H.
TI An Analysis of Online Resources for Women with Polycystic Ovary Syndrome
SO Journal of Consumer Health on the Internet
VL 15
IS 4
BP 361
EP 9
DI 10.1080/15398285.2011.623580
PD Oct.-Dec. 2011
PY 2011
AB Polycystic ovary syndrome (PCOS) is a chronic endocrine disorder
   affecting women and girls of reproductive age. Management of the
   condition requires information, which women often seek on the Internet.
   Sites providing information to individuals diagnosed with PCOS, their
   families, friends, caregivers, and health professionals are prevalent on
   the Internet, often including relevant information about the syndrome as
   well as resources for support. The author conducted a survey of online
   informational and support resources on the topic of PCOS with the goal
   of identifying the range of resources available and evaluating the
   content and quality of these sites.
ZS 0
ZB 1
TC 3
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ZA 0
Z8 0
Z9 3
U1 0
U2 0
SN 1539-8285
UT INSPEC:13052167
ER

PT J
AU Burtis, A.
TI New Zealand Ministry of Health
SO Journal of Consumer Health on the Internet
VL 15
IS 4
BP 379
EP 88
DI 10.1080/15398285.2011.623588
PD Oct.-Dec. 2011
PY 2011
AB The New Zealand Ministry of Health coordinates New Zealand's health and
   disability system. In addition, the Ministry of Health seeks to he a
   "trusted and respected source of reliable and useful information about
   health and disability matters for all New Zealanders and the wider
   international community. " To meet that goal, the Ministry of Health's
   website provides a number of useful consumer health resources.
   Highlights include the following sections: Health Topics A-Z, Data and
   Statistics, Consumer Health Information, and a Health Education Resource
   Catalog. Better promotion on the home page of the Ministry of Health's
   newly redesigned website and on social media platforms could help
   increase the public's awareness of these useful resources.
TC 1
ZA 0
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ZB 0
ZR 0
Z9 1
U1 0
U2 0
SN 1539-8285
UT INSPEC:13069420
ER

PT J
AU Manahan, Melissa N.
   Soyer, H. Peter
   Nissen, Lisa M.
TI Teledermatology in pharmacies: a pilot study
SO JOURNAL OF TELEMEDICINE AND TELECARE
VL 17
IS 7
BP 392
EP 396
DI 10.1258/jtt.2011.110315
PD 2011
PY 2011
AB We investigated community pharmacists' management of skin conditions in
   order to identify a need for further educational support. Twenty
   community pharmacists in Queensland completed a questionnaire regarding
   their management of skin conditions and their opinions regarding the
   usefulness of a potential teledermatology service. The pharmacists'
   accuracy in managing skin conditions was tested by a dermatologist who
   reviewed the pharmacists' advice in 33 cases obtained by 14 pharmacists.
   Overall agreement between the pharmacists and the dermatologist was
   moderate, with a kappa statistic of 0.58 (P < 0.05) The uptake of a
   potential teledermatology service was investigated in one pharmacy over
   one month. Five patients were offered the teledermatology service. Of
   these, two patients consented and three refused. All pharmacists (n =
   20) indicated a desire for further education and supported the idea of a
   teledermatology service.
RI Nissen, Lisa M/C-3403-2008; Soyer, H. Peter/W-3791-2017; Nissen, Lisa/N-9476-2019; Soyer, H. Peter/E-6000-2010
OI Nissen, Lisa M/0000-0001-5826-4605; Soyer, H. Peter/0000-0002-4770-561X;
   Nissen, Lisa/0000-0001-5826-4605; Soyer, H. Peter/0000-0002-4770-561X
ZS 0
TC 4
ZR 0
Z8 0
ZB 0
ZA 0
Z9 4
U1 0
U2 4
SN 1357-633X
EI 1758-1109
UT WOS:000296483200010
PM 21968001
ER

PT J
AU Snodgrass, Suzanne
TI Wiki activities in blended learning for health professional students:
   Enhancing critical thinking and clinical reasoning skills
SO AUSTRALASIAN JOURNAL OF EDUCATIONAL TECHNOLOGY
VL 27
IS 4
BP 563
EP 580
PD 2011
PY 2011
AB Health professionals use critical thinking, a key problem solving skill,
   for clinical reasoning which is defined as the use of knowledge and
   reflective inquiry to diagnose a clinical problem. Teaching these skills
   in traditional settings with growing class sizes is challenging, and
   students increasingly expect learning that is flexible and interactive.
   This paper describes the implementation and evaluation of a blended
   method for teaching clinical reasoning using a wiki. Groups of
   undergraduate physiotherapy students presented a patient case to their
   peers in class and on a wiki. Evaluation included student surveys, focus
   groups, and online participation. Students were actively involved in the
   wiki (mean contribution of 21.0 web pages (IQR 7.5-34.5). Most students
   (74%) agreed the in-class sessions were valuable, compared to 48% for
   the wiki. From the educator's perspective, the wiki facilitated
   collaboration, ensuring demonstrated reasoning skills in class.
   Combining wiki with in-class activities enhances student collaboration
   and learning of critical thinking skills.
RI , Suzanne/AAP-9050-2020
OI , Suzanne/0000-0003-3515-4758
ZB 1
ZA 0
TC 19
Z8 0
ZR 0
ZS 0
Z9 19
U1 0
U2 28
SN 1449-3098
EI 1449-5554
UT WOS:000294662400002
ER

PT J
AU Johnston, Jennifer Laura
   Cupples, Margaret Elizabeth
   McGlade, Kieran John
   Steele, Keith
TI Medical students' attitudes to professionalism: an opportunity for the
   GP tutor?
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 22
IS 5
BP 321
EP 7
PD 2011-Sep
PY 2011
AB OBJECTIVES: Using a novel tool based on General Medical Council (GMC)
   standards, this cross-sectional survey aimed to assess UK medical
   students' professional attitudes at different stages of the curriculum,
   and to investigate the influence of the hidden curriculum on these
   attitudes through exposure to unprofessional behaviour during the
   medical course.
   METHODS: An anonymous online questionnaire was developed, reflecting
   core professional competences outlined in Good Medical Practice. First,
   third and fifth year students received Section 1: 'Attitudes to
   professionalism'; third and fifth year students also received Section 2:
   'Exposure to unprofessional behaviour'. 'Professionalism score' (Section
   1) and 'Exposure score' (Section 2) were analysed using ANOVA. Thematic
   analysis was used to analyse free text.
   RESULTS: Response rate was 50.8% (363/714). Female (F=18.24, p < 0.001)
   and first year students (F=12.22, p < 0.001) had significantly higher
   Professionalism scores. Professionalism scores for male students showed
   a significant stepwise decline from first year to fifth year. Fifth year
   students had significantly higher Exposure scores (F=23.4, p < 0.001).
   Qualitative themes included bullying, lack of accountability and sexism.
   CONCLUSION: Sensitivity to professionalism, as defined by the GMC, was
   higher and exposure to unprofessional behaviour lower in first year
   compared to fifth year. Addressing the hidden curriculum is crucial to
   protect professional development; GP teachers should be aware of these
   findings and are ideally placed to provide mentorship and support to
   medical students.
OI Cupples, Margaret/0000-0002-4248-9700
ZA 0
ZS 0
ZB 0
Z8 0
TC 14
ZR 0
Z9 14
U1 0
U2 1
SN 1473-9879
UT MEDLINE:22005490
PM 22005490
ER

PT J
AU Peddie, Valerie L.
   Denton, Jane
   Barnett, Victoria
TI Toward developing a training pathway for fertility nurses: report of the
   2010 training and educational survey
SO HUMAN FERTILITY
VL 14
IS 3
BP 167
EP 178
DI 10.3109/14647273.2011.596893
PD 2011
PY 2011
AB Fertility nursing and its role extension has increasingly been referred
   to as 'specialist' or 'advanced nursing practice'. Nevertheless,
   Government initiatives have prompted a review of 'Advanced Nursing
   Practice' and the Nursing & Midwifery Council (NMC) has taken steps to
   address the disparity of roles, job titles, training and competence of
   nurse practitioners, concluding that advanced nursing practice should be
   subject to revalidation in the same way as professional registration.
   Fertility nurses form an integral part of the multidisciplinary team.
   Yet no formal or nationally recognised framework or training pathway
   exists. In this paper, we present the findings of a recent online survey
   of training and educational needs of fertility nurses; its aim being to
   work toward developing a national training pathway. Our findings
   identify the relationship between fertility nurse competencies, advanced
   nursing practice and medical sub-specialist training, at the same time,
   highlighting the difference in accessibility, funding and levels of
   training, as well as assessment and expertise within clinical practice.
   We conclude that it is essential to protect role extension through
   regonised Higher Educational Institution (HEI) accreditation, by
   appropriate, role-focussed training. Notwithstanding a national review,
   the diverse list of job titles also needs to be addressed adequately to
   encompass and respect role extension.
ZR 0
ZB 1
ZA 0
Z8 0
TC 3
ZS 0
Z9 3
U1 0
U2 5
SN 1464-7273
UT WOS:000294491700005
PM 21870990
ER

PT J
AU Deldar, Kolsum
   Marouzi, Parviz
   Assadi, Reza
TI Teleconsultation via the web: an analysis of the type of questions that
   Iranian patients ask
SO JOURNAL OF TELEMEDICINE AND TELECARE
VL 17
IS 6
BP 324
EP 327
DI 10.1258/jtt.2011.101206
PD 2011
PY 2011
AB We evaluated an ask-the-doctor service which was set up as one of the
   accessory services of a health education website in Iran. The study
   lasted for five months. A total of 500 enquiries were submitted to the
   question and answer system. Eighty enquiries were excluded because they
   were duplicated submissions, not replied to by doctors or gave
   insufficient information for a reply. Most enquirers (33%) were female
   and aged 21-35 years. The most frequently asked questions were about
   embarrassing and sensitive topics, particularly on women's health and
   mental health. The majority of the questions were submitted on behalf of
   the enquirers themselves, with only 13% asking for others (children,
   parents, friends). Although there are various problems associated with
   online consultation, it does at least overcome one of the great
   drawbacks of some cultures, where people are reluctant to talk openly
   about certain matters, even with their doctors.
RI deldar, kolsoum/H-3338-2016; assadi, reza/AAT-6629-2020; marouzi, parviz/O-9449-2018; assadi, reza/AAI-1124-2021; Assadi, Reza/
OI deldar, kolsoum/0000-0002-5615-491X; marouzi,
   parviz/0000-0002-4639-8072; Assadi, Reza/0000-0002-5016-2994
ZB 3
ZA 0
ZR 0
Z8 0
TC 6
ZS 0
Z9 6
U1 0
U2 4
SN 1357-633X
EI 1758-1109
UT WOS:000295196900010
PM 21844170
ER

PT J
AU Wilson, Wayne A.
   Henry, Matthew K.
   Ewing, Glenna
   Rehmann, Jamie
   Canby, Craig A.
   Gray, Jeffrey T.
   Finnerty, Edward P.
TI A Prematriculation Intervention to Improve the Adjustment of Students to
   Medical School
SO TEACHING AND LEARNING IN MEDICINE
VL 23
IS 3
BP 256
EP 262
DI 10.1080/10401334.2011.586923
PD 2011
PY 2011
AB Background and purpose: The transition from a baccalaureate program to a
   medical curriculum can be a difficult period for some students. Our
   study asked whether providing students with review materials and a means
   of assessing their degree of preparedness prior to matriculation
   influenced actual and perceived performance in 1st-year basic science
   courses. Methods: Didactic review materials in basic science subjects
   encountered in the 1st year were made available to prematriculants
   online. Access to materials for each subject was contingent upon
   completion of a pretest. Prematriculants were free to use the materials
   as they saw fit. Once students matriculated, performance in basic
   science subjects was compared between those who had accessed the
   materials and those who had not. Students who accessed the materials
   were also surveyed to determine if they perceived any benefit from their
   use. Results: More than half of matriculants chose to access the
   intervention materials. There was no significant difference in MCAT,
   prerequisite grade point average, or total grade point average between
   those students who chose to access the intervention materials and those
   who did not. Students who accessed the intervention materials reported
   gains in confidence in their ability to perform well in medical school.
   Those students who accessed the intervention materials had significantly
   higher examination scores in an early basic science course than those
   who did not. Conclusions: An online prematriculation intervention can
   provide useful background material to interested students. Access to
   this material increased performance in a 1st-year basic science course
   and was perceived as valuable by students.
OI Wilson, Wayne/0000-0003-2417-5756
ZB 1
ZR 0
ZA 0
TC 12
ZS 0
Z8 0
Z9 12
U1 0
U2 8
SN 1040-1334
UT WOS:000299781900008
PM 21745061
ER

PT J
AU Puljak, Livia
   Sapunar, Damir
TI Web-Based Elective Courses for Medical Students: An Example in Pain
SO PAIN MEDICINE
VL 12
IS 6
BP 854
EP 863
DI 10.1111/j.1526-4637.2011.01104.x
PD 2011
PY 2011
AB Objective. Online learning is an efficient new educational method that
   is able to link teachers with geographically dispersed students and
   capture the interest of students with interactive materials. Our
   objective was to describe curricula of new Web-based electives about
   pain for undergraduate medical education.
   Design. We created three interactive Web-based elective courses about
   pain targeted to medical and dental students. "The Puzzle of Pain"
   course introduced basic concepts of pain and neurobiology of pain. The
   humanities-based curriculum of "Empathy and Pain" taught students about
   emotional aspects of pain and empathetic responses. "The Cochrane
   Library and Pain" course introduced students to the concept of
   evidence-based medicine, critical appraisal of the literature, and the
   hierarchy of evidence in medicine.
   Outcome Measures. We measured program effectiveness with a
   pretest/posttest instrument and student satisfaction survey.
   Results. Mean knowledge scores increased significantly after the program
   and overall evaluations were positive.
   Conclusions. Delivering the pain electives for medical students in an
   online format was an efficient educational method, with high student
   satisfaction scores. Medical educators should consider online electives
   for medical students in pain studies as well as in other content areas.
RI Sapunar, Damir/E-7247-2010; Puljak, Livia/D-5080-2017
OI Sapunar, Damir/0000-0002-8352-4402; Puljak, Livia/0000-0002-8467-6061
ZB 3
Z8 0
ZS 0
ZR 0
ZA 0
TC 16
Z9 16
U1 1
U2 11
SN 1526-2375
EI 1526-4637
UT WOS:000292653300003
PM 21481172
ER

PT J
AU Gamage, Deepa G.
   Sidat, Mohsin
   Read, Tim
   Cummings, Rosey
   Bradshaw, Catriona S.
   Howley, Kerri
   Fehler, Glenda
   Sze, Jun Kit
   Chen, Marcus
   Fairley, Christopher K.
TI Evaluation of Health Map: a patient-centred web-based service for
   supporting HIV-infected patients
SO SEXUAL HEALTH
VL 8
IS 2
BP 194
EP 198
DI 10.1071/SH10072
PD 2011
PY 2011
AB Background: Our aim was to describe the use of and responses to a
   self-management website, 'Health Map', established to address the key
   chronic health issues of HIV-positive people. Methods: Health Map
   assessed health issues against current recommendations for: treatment
   adherence, monitoring CD4 counts and viral load, psychological health
   and physical activity, vaccination, cholesterol, fasting blood sugar,
   blood pressure, alcohol consumption, smoking, body mass index, and
   cervical screening for women and sexually transmissible infection (STI)
   screening for men who have sex with men (MSM). Results: A total of 552
   people, with a mean age of 37 years, completed the full 'Health Map'
   program, of whom 536 (97%) were Australian, 425 (77%) were male,
   including 268 (63%) MSM. Online responses to several health indices were
   of concern: 49% missed at least one dose of antiretroviral therapy per
   month and only 41% had had an HIV viral load test in the 4 months prior.
   Only 43% reported regular physical activity, and 49% and 61% reported
   vaccination for hepatitis A and B. The proportion tested within the
   recommended periods for fasting cholesterol (40%), fasting blood sugar
   (35%) and cervical screening (43%) in women or STI screening for MSM
   (53%) were low. Conclusions: A substantial proportion of individuals
   completing the online survey reported information that would suggest
   their HIV and more general health care is suboptimal. These data are
   consistent with community surveys and indicate the need for improvement
   in the chronic management of HIV.
RI Gamage, Deepa/AAF-7543-2020; Christopher, Fairley/; Sidat, Mohsin/; bradshaw, catriona/
OI Gamage, Deepa/0000-0002-7131-7932; Christopher,
   Fairley/0000-0001-9081-1664; Sidat, Mohsin/0000-0002-8378-2014;
   bradshaw, catriona/0000-0002-6643-5678
ZA 0
ZR 0
ZB 1
TC 3
Z8 0
ZS 0
Z9 3
U1 0
U2 5
SN 1448-5028
UT WOS:000290771500009
PM 21592433
ER

PT J
AU Dawson, Shane
   Macfadyen, Leah
   Lockyer, Lori
   Mazzochi-Jones, David
TI Using social network metrics to assess the effectiveness of broad based
   admission practices
SO AUSTRALASIAN JOURNAL OF EDUCATIONAL TECHNOLOGY
VL 27
IS 1
BP 16
EP 27
PD 2011
PY 2011
AB Notions of what it is to be knowledgeable and skilled in one's
   profession have evolved in recent decades. For instance, medical
   practitioners are expected to think critically and creatively,
   communicate effectively, and to be a professional and community leader.
   While these attributes have always been well regarded, it is only
   relatively recently that higher education institutions are actively
   incorporating these skills and attributes into student admissions
   criteria. In parallel, methods of instruction and course delivery have
   also changed over time with respect to these driving social paradigms.
   Today's medical schools are expected to both select and develop students
   in terms of these qualities through socially based pedagogical
   practices. This paper investigates the admissions criteria that best
   predict student engagement in a social learning environment and thus the
   related attributes such as communication, creativity, and leadership.
   The paper frames this investigation in the scholarship related to 21st
   century skills and achievement orientations.
RI Dawson, Shane/F-3946-2013; Lockyer, Lori/C-7180-2018; Macfadyen, Leah/
OI Dawson, Shane/0000-0003-2435-2193; Lockyer, Lori/0000-0003-1517-2342;
   Macfadyen, Leah/0000-0001-9019-7756
ZB 0
ZS 0
ZR 0
TC 21
Z8 0
ZA 0
Z9 21
U1 0
U2 11
SN 1449-3098
EI 1449-5554
UT WOS:000288761900003
ER

PT J
AU Zuberi, Faisal Faiyaz
   Zuberi, Bader Faiyaz
   Salahuddin, Moiz
TI Asthma and Myths: An online survey
SO PAKISTAN JOURNAL OF MEDICAL SCIENCES
VL 27
IS 1
BP 157
EP 161
PD JAN-MAR 2011
PY 2011
AB Objective: To determine the information about myths regarding asthma
   among Internet users.
   Methodology: An open access internet based close ended survey was hosted
   on a website which included questions related to common myths regarding
   asthma. Data was entered automatically into a database at the hosting
   servers. The survey invitations were sent by email by the authors with
   request to forward to the contact lists of recipients. After closure of
   survey, data from responses were recoded into new variables as correct
   and incorrect using the key made by the authors. Frequencies of correct
   responses were reported and analyzed on the basis of gender, educational
   status and profession.
   Results: A total of 782 complete responses were submitted out of which
   498 (63.7%) were submitted by males and 284 (36.3%) by females. Majority
   of the participants were graduate (36.1%) and postgraduates (44.8%),
   while the most common profession of the participants was doctor (49.9%)
   followed by non-medical students (17.1%). Frequency of correct responses
   was better in males. Lowest correct responses were given by unemployed
   and best responses were given by doctors. Self-employed persons fared
   better than bankers and people associated with education. Surprisingly
   non-medical students fared better than medical students.
   Conclusion: There is a need to increase public awareness regarding
   asthma, as the status of relatively educated Internet users is also
   inadequate.
RI Roncada, Cristian/O-2772-2013; Zuberi, Bader Faiyaz/B-7380-2009; Zuberi, Faisal Faiyaz/
OI Zuberi, Bader Faiyaz/0000-0001-7695-3922; Zuberi, Faisal
   Faiyaz/0000-0001-9067-0021
ZA 0
TC 1
ZS 0
ZR 0
ZB 1
Z8 0
Z9 1
U1 0
U2 1
SN 1682-024X
EI 1681-715X
UT WOS:000287892300037
ER

PT J
AU Van Dusen, Virgil
TI Liability and Litigation Risks for Colleges and Schools of Pharmacy
SO AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION
VL 75
IS 3
AR 52
DI 10.5688/ajpe75352
PD 2011
PY 2011
AB The potential for legal liability involving faculty members and students
   in higher education settings is a topic that warrants serious attention
   by administrators. Specific areas identified as high risk include
   dismissal of a faculty member, denial of tenure, misappropriation of
   grant-funding, intellectual property conflicts, Family and Medical Leave
   Act (FMLA) issues, sexual harassment, student suspension, disabilities,
   and student privacy issues. Examples of litigation in the
   higher-education setting are presented, along with a list of online
   resources for additional information. It is important for higher
   education administrators, faculty members, staff members, and students
   to recognize the currently accepted legal rights and responsibilities
   associated with these high-risk areas.
ZR 0
ZA 0
ZB 1
ZS 0
Z8 0
TC 1
Z9 1
U1 1
U2 4
SN 0002-9459
UT WOS:000290750300012
PM 21655406
ER

PT J
AU Thompson, Britta M.
   Searle, Nancy S.
   Gruppen, Larry D.
   Hatem, Charles J.
   Nelson, Elizabeth A.
TI A national survey of medical education fellowships
SO MEDICAL EDUCATION ONLINE
VL 16
AR 5642
DI 10.3402/meo.v16i0.5642
PD 2011
PY 2011
AB Purpose: The purpose of our study was to determine the prevalence,
   focus, time commitment, graduation requirements and programme evaluation
   methods of medical education fellowships throughout the United States.
   Medical education fellowships are defined as a single cohort of medical
   teaching faculty who participate in an extended faculty development
   programme.
   Methods: A 26-item online questionnaire was distributed to all US
   medical schools (n = 127) in 2005 and 2006. The questionnaire asked each
   school if it had a medical education fellowship and the characteristics
   of the fellowship programme.
   Results: Almost half (n = 55) of the participating schools (n = 120,
   response rate 94.5 %) reported having fellowships. Duration (10-584
   hours) and length (<1 month-48 months) varied; most focused on teaching
   skills, scholarly dissemination and curriculum design, and required the
   completion of a scholarly project. A majority collected participant
   satisfaction; few used other programme evaluation strategies.
   Conclusions: The number of medical education fellowships increased
   rapidly during the 1990s and 2000s. Across the US, programmes are
   similar in participant characteristics and curricular focus but unique
   in completion requirements. Fellowships collect limited programme
   evaluation data, indicating a need for better outcome data. These
   results provide benchmark data for those implementing or revising
   existing medical education fellowships.
OI Gruppen, Larry/0000-0002-2107-0126
ZA 0
ZR 0
ZB 1
ZS 0
TC 25
Z8 0
Z9 25
U1 0
U2 5
SN 1087-2981
UT WOS:000208700000003
PM 21475643
ER

PT J
AU Kibble, Jonathan D.
   Johnson, Teresa R.
   Khalil, Mohammed K.
   Nelson, Loren D.
   Riggs, Garrett H.
   Borrero, Jose L.
   Payer, Andrew F.
TI Insights Gained from the Analysis of Performance and Participation in
   Online Formative Assessment
SO TEACHING AND LEARNING IN MEDICINE
VL 23
IS 2
BP 125
EP 129
AR PII 936796868
DI 10.1080/10401334.2011.561687
PD 2011
PY 2011
AB Background: Online quizzes are simple, cost-effective methods to provide
   formative assessment, but their effectiveness in enhancing learning and
   performance in medical education is unclear. Purpose: The purpose of
   this article is to determine the extent to which online quiz performance
   and participation enhances students' performance on summative
   examinations. Methods: A retrospective case study investigating
   relationships between formative and summative assessment in terms of use
   and outcomes. Results: Online quiz scores and the rates of quiz
   participation were significantly correlated with corresponding
   performance on summative examinations. However, correlations were not
   dependent on the specific quiz content, and changes in patterns of quiz
   use were not reflected in corresponding changes in summative examination
   performance. Conclusions: The voluntary use of online quizzes, as well
   as the score attained, provides a useful general indicator of student
   performance but is unlikely to be sensitive enough to direct an
   individual student's learning plan.
RI Khalil, Mohammed K./AAE-3336-2020; Kibble, Jonathan/; Johnson, Teresa/
OI Khalil, Mohammed K./0000-0001-6474-0460; Kibble,
   Jonathan/0000-0001-7634-8044; Johnson, Teresa/0000-0001-7468-6947
ZR 0
Z8 0
ZS 0
TC 24
ZB 2
ZA 0
Z9 24
U1 1
U2 18
SN 1040-1334
UT WOS:000289795800004
PM 21516598
ER

PT J
AU Kumar, Shweta
   Dee, Fred
   Kumar, Rakesh
   Velan, Gary
TI Benefits of Testable Concept Maps for Learning About Pathogenesis of
   Disease
SO TEACHING AND LEARNING IN MEDICINE
VL 23
IS 2
BP 137
EP 143
AR PII 936796361
DI 10.1080/10401334.2011.561700
PD 2011
PY 2011
AB Background: Concept maps can assist learning by integrating new
   information with existing cognitive structure to facilitate meaningful
   understanding. The benefits of testable concept maps to illustrate
   cause-and-effect sequences in the pathogenesis of disease have not yet
   been determined. Purpose: A controlled trial was employed to evaluate
   the learning benefits of testable pathogenesis maps. Methods:
   Consecutive cohorts of junior medical students allocated to control and
   study groups participated in case-based pathology practical classes.
   Online testable pathogenesis maps were integrated into classes for the
   study group. An online quiz and questionnaire were used to evaluate
   outcomes. Results: The study group scored significantly higher on the
   quiz (p= .014), including significantly better performance in topics
   covered by pathogenesis maps (p= .049). The study group's questionnaire
   responses regarding pathogenesis maps were overwhelmingly positive.
   Conclusions: Testable pathogenesis maps significantly improved medical
   students' understanding of the pathogenesis of disease. Wider use of
   such maps should be explored.
RI Kumar, Rakesh K/J-6124-2012; Velan, Gary/
OI Kumar, Rakesh K/0000-0002-9531-8411; Velan, Gary/0000-0002-4535-6663
ZR 0
ZB 2
ZS 0
TC 21
ZA 0
Z8 0
Z9 21
U1 0
U2 5
SN 1040-1334
UT WOS:000289795800006
PM 21516600
ER

PT J
AU Bo, Kari
   Bratland-Sanda, Solfrid
   Sundgot-Borgen, Jorunn
TI Urinary Incontinence Among Group Fitness Instructors Including Yoga and
   Pilates Teachers
SO NEUROUROLOGY AND URODYNAMICS
VL 30
IS 3
BP 370
EP 373
DI 10.1002/nau.21006
PD 2011
PY 2011
AB Aims: Controversies exist on the role of physical activity on urinary
   incontinence (UI), and search on PubMed revealed no studies on UI in
   fitness instructors. The aim of this study was to investigate the
   prevalence of UI among female group fitness instructors, including
   Pilates and yoga teachers. Methods: This was a cross-sectional study of
   1,473 instructors representing three of the largest fitness companies
   recruited from 59 fitness centers in Norway. They filled in an online
   survey (Questback) about general health, educational background, and
   number of hours teaching per week. Prevalence of UI was evaluated by the
   International Consensus on Incontinence Questionnaire, short form
   (ICIQ-UI SF). Results: Three out of 152 men (2%) reported UI. Six
   hundred eighty-five women, mean age 32.7 years (range 18-68) answered
   the questionnaire. 26.3% of all the female instructors reported to have
   UI, with 21.4% reporting leakage >= once a week, 3.2% 2-3 times/week and
   1.7% >= once per day. 24.4% reported the leakage to be small to moderate
   and the bother score was 4.6 (SD 2.4) out of 21. 15.3% reported leakage
   during physical activity and 10.9% when coughing/sneezing. 25.9% of yoga
   and Pilates instructors reported UI. Conclusions: This is the first
   report on UI among fitness instructors and the results indicate that UI
   is prevalent among female fitness instructors, including yoga and
   Pilates teachers. More information about this topic seems to be
   important in the basic education of fitness instructors. Neurourol.
   Urodynam. 30:370-373, 2011. (C) 2011 Wiley-Liss, Inc.
RI Bratland-Sanda, Solfrid/H-4580-2019
OI Bratland-Sanda, Solfrid/0000-0002-4202-5439
Z8 0
ZB 8
TC 37
ZR 0
ZS 2
ZA 0
Z9 37
U1 0
U2 33
SN 0733-2467
EI 1520-6777
UT WOS:000288398400020
PM 21305592
ER

PT J
AU Compton-Griffith, Kelsi N.
   Cicirello, Nancy A.
   Turner, Anne
TI Physical Therapists' Perceptions of Providing Services to Adults With
   Childhood-Onset Neuromotor Disabilities
SO PHYSICAL & OCCUPATIONAL THERAPY IN PEDIATRICS
VL 31
IS 1
BP 19
EP 30
DI 10.3109/01942638.2010.529006
PD 2011
PY 2011
AB Adults with childhood-onset neuromotor disabilities face problems
   accessing health care services. There are often challenges finding
   primary care providers or specialized providers, such as physical
   therapists, who are knowledgeable about neuromotor disabilities. The
   purpose of this study was to determine the perceptions of physical
   therapists regarding (a) barriers to providing therapy to adults with
   childhood-onset neuromotor disabilities and (b) resources that would be
   beneficial for improving and/or providing these services. An online
   questionnaire was sent to 1,250 therapists licensed in Oregon and
   Southwest Washington. One hundred fifty-two physical therapists
   responded resulting in a 12% response rate. The top three barriers to
   providing therapy were extra time for complex patients, lack of
   insurance coverage, and lack of experience. The three most frequently
   cited resource needs included information on equipment, continuing
   education, and written educational materials. These findings suggest
   that physical therapists may benefit from further education in working
   with adults with childhood-onset neuromotor disabilities.
ZS 0
ZB 0
ZR 0
TC 5
ZA 0
Z8 0
Z9 5
U1 1
U2 2
SN 0194-2638
EI 1541-3144
UT WOS:000294498500004
PM 21174564
ER

PT J
AU Tanna, Gemini V.
   Sood, Manish M.
   Schiff, Jeffrey
   Schwartz, Daniel
   Naimark, David M.
TI Do E-mail Alerts of New Research Increase Knowledge Translation? A
   "Nephrology Now" Randomized Control Trial
SO ACADEMIC MEDICINE
VL 86
IS 1
BP 132
EP 138
DI 10.1097/ACM.0b013e3181ffe89e
PD JAN 2011
PY 2011
AB Purpose
   As the volume of medical literature increases exponentially, maintaining
   current clinical practice is becoming more difficult. Multiple,
   Internet-based journal clubs and alert services have recently emerged.
   The purpose of this study is to determine whether the use of the e-mail
   alert service, Nephrology Now, increases knowledge translation regarding
   current nephrology literature.
   Method
   Nephrology Now is a nonprofit, monthly e-mail alert service that
   highlights clinically relevant articles in nephrology. In 2007-2008, the
   authors randomized 1,683 subscribers into two different groups receiving
   select intervention articles, and then they used an online survey to
   assess both groups on their familiarity with the articles and their
   acquisition of knowledge.
   Results
   Of the randomized subscribers, 803 (47.7%) completed surveys, and the
   two groups had a similar number of responses (401 and 402,
   respectively). The authors noted no differences in baseline
   characteristics between the two groups. Familiarity increased as a
   result of the Nephrology Now alerts (0.23 +/- 0.087 units on a
   familiarity scale; 95% confidence interval [CI]: 0.06-0.41; P = .007)
   especially in physicians (multivariate odds ratio 1.83; P = .0002). No
   detectable improvement in knowledge occurred (0.03 +/- 0.083 units on a
   knowledge scale; 95% CI: -0.13 to 0.20; P = .687).
   Conclusions
   An e-mail alert service of new literature improved a component of
   knowledge translation-familiarity-but not knowledge acquisition in a
   large, randomized, international population.
RI Sood, Manish M/H-3134-2019; Naimark, David Malcolm Joseph/
OI Sood, Manish M/0000-0002-9146-2344; Naimark, David Malcolm
   Joseph/0000-0002-0621-0637
TC 8
ZB 0
ZR 0
Z8 0
ZA 0
ZS 0
Z9 8
U1 0
U2 10
SN 1040-2446
EI 1938-808X
UT WOS:000285725900034
PM 21099399
ER

PT J
AU Atri, Ashutosh
   Matorin, Anu
   Ruiz, Pedro
TI Integration of International Medical Graduates in U.S. Psychiatry: The
   Role of Acculturation and Social Support
SO ACADEMIC PSYCHIATRY
VL 35
IS 1
BP 21
EP 26
DI 10.1176/appi.ap.35.1.21
PD JAN-FEB 2011
PY 2011
AB Objective: The authors investigated whether social support and
   acculturation could predict the mental health of international medical
   graduates pursuing psychiatric residencies in the United States.
   Methods: A 55-item online survey was assembled by combining three
   validated instruments for mental health, social support, and
   acculturation. A link to the survey was e-mailed to training directors
   of all psychiatric residency and fellowship programs. Directors were
   requested to forward the survey to their international medical graduate
   residents for completion between December 2008 and February 2009.
   Results: One hundred eight international medical graduates from 70
   different psychiatric residencies and fellowships completed the entire
   survey. Respondents' mental health scores were normally distributed. The
   vast majority scored very high on survey items related to mental health.
   Acculturation, social support, and postgraduate training year were
   significant predictors of mental health.
   Conclusion: Residency training programs should attempt to incorporate
   measures that would help boost the social support and acculturation of
   international medical graduates (especially junior-level trainees).
   Acculturation could be improved by language training and courses in
   American history, culture, and customs, and social support could be
   expanded by mentoring relationships.
Z8 0
ZR 0
ZA 0
TC 20
ZS 0
ZB 1
Z9 20
U1 0
U2 17
SN 1042-9670
UT WOS:000285918600006
PM 21209403
ER

PT J
AU Schmitz, Connie C.
   Risucci, Donald
   Plass, Jan
   Jones, Andrew
   DaRosa, Debra A.
TI Preimplementation predictors of website use: preliminary findings from
   the SCORE Portal Pilot Study
SO AMERICAN JOURNAL OF SURGERY
VL 201
IS 1
BP 7
EP 15
DI 10.1016/j.amjsurg.2010.05.011
PD JAN 2011
PY 2011
AB BACKGROUND: In 2008, the Surgical Council on Resident Education selected
   33 residency programs to pilot its General Surgery Resident Curriculum
   Website Portal. The portal aims to reduce program variability in
   curricula, align teaching and learning with essential content, and
   improve resident study and performance.
   METHODS: Two online surveys were sent to all program directors and their
   residents before releasing the portal. Data from 32 programs and 899
   residents (84%) were analyzed to determine the extent to which
   preimplementation characteristics supported the portal's rationale and
   illuminated barriers to its use and impact on learning.
   RESULTS: The need for curriculum content and access to online texts
   varied markedly across programs. Residents had easy onsite access to the
   Internet and used it heavily for immediate purposes. Fewer residents
   used the Web for planned activities and proactive study. On average,
   residents reported studying an hour or less a day.
   CONCLUSIONS: The portal appears to serve curricular resource needs and
   may better direct resident study. Programs are advised to consciously
   integrate the SCORE curriculum and portal into residency training and
   faculty development. (C) 2011 Elsevier Inc. All rights reserved.
RI Plass, Jan L./H-8435-2019; Jones, Andrew/
OI Plass, Jan L./0000-0001-5161-6989; Jones, Andrew/0000-0001-7369-4937
Z8 0
ZB 0
ZR 0
ZA 0
ZS 0
TC 7
Z9 7
U1 0
U2 8
SN 0002-9610
UT WOS:000286088200005
PM 21167360
ER

PT J
AU Bussieres, J. -F.
   Lebel, D.
   Voytenko, S.
   Marquis, C.
   Bailey, B.
TI A pilot study to assess an online training module to quickly identify
   drugs on resuscitation trays
SO ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION
VL 30
IS 1
BP 31
EP 36
DI 10.1016/j.annfar.2010.11.002
PD JAN 2011
PY 2011
AB Objective. - To measure the median time required for healthcare
   professionals to identify drugs on resuscitation trays and to assess the
   usefulness of an online training module used to identify drugs on
   resuscitation trays.
   Study design. - This is a descriptive pilot study conducted in a
   mother-child university hospital center with a convenience sample of
   physicians, residents, nurses, pharmacists, pharmacy students or
   pharmacy technicians (10/group).
   Method. - Participants were given a questionnaire before and after using
   a simulation module to identify drugs on resuscitation drug trays (30
   questions on the full trays with 43 drugs and 15 questions on the
   partial trays with 21 drugs). The identification times were measured for
   each drug and for each tray.
   Results. - The median time to identify the drugs varied from 4 s (range
   2-46) for dextrose to 18 s (range 4-78) for epinephrine. The median
   times to locate a drug on full and partial trays were, respectively:
   pharmacists 7 (2-103) and 6 (1-31), physicians 10 (3-78) and 7 (2-61)
   and nurses 10 (3-83) and 7 (2-53). All 60 participants strongly agreed
   that the online simulation module was a good tool for healthcare staff
   and that it would allow them to locate drugs more quickly in emergency
   situations.
   Conclusion. - The online simulation module can be used by various groups
   of professionals and it can allow them to locate drugs on resuscitation
   tray more rapidly during an emergency. (C) 2010 Elsevier Masson SAS. All
   rights reserved.
RI Lebel, Denis/AAA-1626-2020
OI Lebel, Denis/0000-0001-8431-1700
ZR 0
Z8 0
ZS 0
TC 0
ZA 0
ZB 0
Z9 0
U1 0
U2 2
SN 0750-7658
UT WOS:000287620200008
PM 21146350
ER

PT B
AU Doyle, D. John
BA Shukla, A
   Tiwari, R
TI E-Medical Education: An Overview
SO BIOMEDICAL ENGINEERING AND INFORMATION SYSTEMS: TECHNOLOGIES, TOOLS AND
   APPLICATIONS
BP 219
EP 238
DI 10.4018/978-1-61692-004-3.ch012
PD 2011
PY 2011
AB The World Wide Web has made available a large variety of medical
   information and education resources only dreamed of two decades ago.
   This review discusses a number of Web-based e-Medical education concepts
   and resources likely to be of interest to the medical education
   community as well as a number of other groups. The resources described
   focus especially on those that are free and those that have an
   interactive component. The importance of interactivity and its role in
   the "constructivist" approach to education is emphasized. Problem-based
   learning in medical education is also discussed. In addition, the
   importance of "Web 2.0" and related developments is discussed, along
   with an overview of Web-based medical simulation software that can
   complement medical education programs. The importance of podcasts and
   videocasts as an educational resource are also emphasized. Other
   concepts such as mashups and the semantic Web are briefly described.
   Intellectual property issues are also discussed, such as Creative
   Commons license arrangements, as well as the concept of "information
   philanthropy". Finally, the importance of peer-review and technology
   evaluation for online educational materials is discussed.
ZS 0
Z8 0
ZB 0
TC 1
ZA 0
ZR 0
Z9 1
U1 0
U2 0
BN 978-1-61692-005-0; 978-1-61692-004-3
UT WOS:000364152200013
D2 10.4018/978-1-61692-004-3
ER

PT J
AU Holmes, Lewis B.
TI Human Teratogens: Update 2010
SO BIRTH DEFECTS RESEARCH PART A-CLINICAL AND MOLECULAR TERATOLOGY
VL 91
IS 1
BP 1
EP 7
DI 10.1002/bdra.20748
PD JAN 2011
PY 2011
AB A wide variety of human teratogens have been identified. The
   characteristics of human teratogens can be used in the assessment of
   apparent "new" teratogens, when postulated. Information is available
   through online databases, such as TERIS and Reprotox, telephone-based
   counseling resources (e. g., Organization of Teratogen Information
   Systems [OTIS] and European Network Teratology Information Services
   [ENTIS]), reference books, annual meetings of the Teratology Society,
   and published articles. There are significant deficiencies in the
   information available: (1) lack of knowledge about the molecular and
   cellular basis for most teratogenic effects; (2) the inability to
   genetically identify more susceptible women before pregnancy; (3) little
   information is available on dermal and airborne exposures during
   pregnancy; and (4) most clinicians receive little, if any, training in
   the identification of or counseling for exposure to potential
   teratogens. There are many current dilemmas in counseling about
   exposures in pregnancy, including: (1) Is exposure to specific drugs,
   such as selected serotonin re-uptake inhibitors (SSRIs) and the
   inhibitors of tumor necrosis factor-alpha, teratogenic in the first
   trimester of pregnancy? (2) Are the increased risks of birth defects
   associated with assisted reproductive technology due, in part, to
   epigenetic effects? (3) What are the "safe" levels of exposure to the
   plasticizers phthalates during pregnancy? (4) How do we convince busy
   physicians, nurses, and pharmacists not to use the drug categories A, B,
   C, D, and X in counseling and to use more accurate sources? There is a
   need for a national advisory center for pregnancy registries to provide
   guidance when new registries are being developed. Birth Defects Research
   (Part A) 91:1-7, 2011. (C) 2011 Wiley-Liss, Inc.
Z8 0
ZR 2
ZB 12
ZA 0
ZS 2
TC 29
Z9 31
U1 1
U2 19
SN 1542-0752
EI 1542-0760
UT WOS:000286401700001
PM 21254353
ER

PT J
AU Weber, Martin
   Schmiedel, Sven
   Nauck, Friedemann
   Alt-Epping, Bernd
TI Knowledge and attitude of final-year medical students in Germany towards
   palliative care - an interinstitutional questionnaire-based study
SO BMC PALLIATIVE CARE
VL 10
AR 19
DI 10.1186/1472-684X-10-19
PD 2011
PY 2011
AB Background: To care for terminally ill and dying patients requires a
   thorough medical education, encompassing skills, knowledge, and
   attitudes in the field of palliative care. Undergraduate medical
   students in Germany will receive mandatory teaching in palliative care
   in the near future driven by recent changes in the Medical Licensure
   Act. Before new curricula can be implemented, the knowledge of medical
   students with respect to palliative care, their confidence to handle
   palliative care situations correctly, their therapeutic attitude, and
   their subjective assessment about previous teaching practices have to be
   better understood.
   Method: We designed a composite, three-step questionnaire (self
   estimation of confidence, knowledge questions, and opinion on the actual
   and future medical curriculum) conducted online of final - year medical
   students at two universities in Germany.
   Results: From a total of 318 enrolled students, 101 responded and
   described limited confidence in dealing with specific palliative care
   issues, except for pain therapy. With regard to questions examining
   their knowledge base in palliative care, only one third of the students
   (33%) answered more than half of the questions correctly. Only a small
   percentage of students stated they had gained sufficient knowledge and
   experience in palliative care during their studies, and the vast
   majority supported the introduction of palliative care as a mandatory
   part of the undergraduate curriculum.
   Conclusion: This study identifies medical students' limited confidence
   and knowledge base in palliative care in 2 German universities, and
   underlines the importance of providing a mandatory palliative care
   curriculum.
RI Alt-Epping, Bernd/AAX-4113-2020; Weber, Martin/GPW-6095-2022
ZS 0
ZR 0
TC 46
Z8 0
ZB 4
ZA 0
Z9 46
U1 0
U2 13
SN 1472-684X
UT WOS:000208619300019
ER

PT J
AU Dhanda, Jagtar
   Opie, Niel
   Webster, Keith
   Tanday, Ajit
   Mumtaz, Shadaab
   Visram, Semina
TI Impact of Modernising Medical Careers on basic surgical training and
   experience of oral and maxillofacial higher surgical trainees
SO BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY
VL 49
IS 1
BP 62
EP 64
DI 10.1016/j.bjoms.2010.02.007
PD JAN 2011
PY 2011
AB Modernising Medical Careers (MMC) is a programme for change that aims to
   improve the quality of patients' care through improvement in
   postgraduate medical education and training. Its introduction had far
   reaching affects and many shortcoming due to its failure to take into
   account the craft specialties. The aim of this paper is to illustrate
   the impact of MMC on oral and maxillofacial surgical (OMFS) training. An
   online questionnaire was distributed to OMFS trainees, and data were
   gathered about current position, year of training, duration and
   specialties worked during basic surgical training, stage of completion
   of examinations and courses, and overall satisfaction with training.
   Comparisons were made between those who had been trained before and
   after MMC was introduced. Ninety-five trainees (68%) responded. Of these
   66 (69%) had basic surgical training before the introduction of MMC and
   29 (31%) afterwards. MMC shortened overall time spent on basic surgical
   training of OMFS trainees by half, to only I year. There were
   similarities between the two groups in terms of the range of specialties
   experienced. MMC also resulted in more trainees starting higher surgical
   training without their Membership of the Royal College of Surgeons.
   There was greater satisfaction with BST for the pre-MMC group than the
   post-MMC group. It is hoped that the recent changes to training that
   were implemented after this study will address some of the shortcomings
   that we have identified. (C) 2010 Published by Elsevier Ltd on behalf of
   The British Association of Oral and Maxillofacial Surgeons.
RI Mumtaz, Shadaab/T-5880-2019; Tanday, Ajit/
OI Mumtaz, Shadaab/0000-0003-1916-5924; Tanday, Ajit/0000-0002-6624-1435
ZB 0
ZS 0
TC 8
ZA 0
ZR 0
Z8 0
Z9 8
U1 0
U2 1
SN 0266-4356
UT WOS:000287071800013
PM 20303201
ER

PT J
AU Denault, Andre Y.
   Rochon, Antoine G.
TI Transesophageal echocardiography training: looking forward to the next
   step
SO CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
VL 58
IS 1
BP 1
EP 7
DI 10.1007/s12630-010-9411-4
PD JAN 2011
PY 2011
ZR 0
ZB 1
ZA 0
TC 3
ZS 0
Z8 0
Z9 3
U1 0
U2 1
SN 0832-610X
UT WOS:000286102300001
PM 21076951
ER

PT J
AU Jerath, Angela
   Vegas, Annette
   Meineri, Massimiliano
   Silversides, Candice
   Feindel, Christopher
   Beattie, Scott
   Corrin, Michael
   Tait, Gordon
TI An interactive online 3D model of the heart assists in learning standard
   transesophageal echocardiography views
SO CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
VL 58
IS 1
BP 14
EP 21
DI 10.1007/s12630-010-9410-5
PD JAN 2011
PY 2011
AB Transesophageal echocardiography (TEE) is becoming a standard imaging
   tool during cardiac surgery as well as an important diagnostic tool in
   cardiology and in intensive care, resulting in an increasing demand for
   TEE training. To address the problem of limited time for learning during
   TEE studies, we have developed a novel online application that allows
   users to visualize each of the 20 standard diagnostic TEE views in
   conjunction with a three-dimensional (3D) heart model that can be
   rotated and "cut away" above the echo plane to reveal the internal
   cardiac structures. This study is an evaluation of the educational
   benefit of this application.
   The application was evaluated using a pre-test/post-test design
   assessing the improvement of subjects' test scores following three days
   of access to the application. The subjects were postgraduate fellows in
   anesthesia, cardiology, and cardiac surgery.
   Ten subjects showed a significant increase (31%) in their test scores
   after an average of 130 min of access to the application over a
   three-day period (P < 0.001, effect size = 1.9). Using five-point Likert
   scales, the users indicated that the application was a useful addition
   to their training (4.7), they would recommend the application to their
   colleagues (4.9), and they found the application easy to use (4.4).
   The large improvement in test scores during a short period of study and
   the high level of satisfaction across all of the disciplines indicates
   that the application is a useful adjunctive tool for learning TEE. It is
   now being used in TEE training worldwide.
RI Silversides, Candice K/D-8967-2017; Beattie, William Scott/A-4352-2008; Feindel, Chris/AAF-2410-2021
TC 23
ZB 7
ZS 0
Z8 0
ZR 0
ZA 0
Z9 23
U1 1
U2 5
SN 0832-610X
EI 1496-8975
UT WOS:000286102300003
PM 21069586
ER

PT J
AU Murray, Suzanne
   Lazure, Patrice
   Pullen, Carolyn
   Maltais, Paule
   Dorian, Paul
TI Atrial Fibrillation Care: Challenges in Clinical Practice and
   Educational Needs Assessment
SO CANADIAN JOURNAL OF CARDIOLOGY
VL 27
IS 1
SI SI
BP 98
EP 104
DI 10.1016/j.cjca.2010.12.006
PD JAN-FEB 2011
PY 2011
AB Background: Current debates around the choice of management strategy for
   patients with atrial fibrillation (AF) combined with limited efficacy
   and frequent adverse effects of current pharmacotherapies cause
   uncertainty and confusion, challenging optimal care delivery to AF
   patients.
   Objectives: To determine gaps in knowledge, skill, and competencies of
   Canadian physicians caring for patients with AF as well as underlying
   causes of these gaps.
   Methods: A mixed-method approach consisting of qualitative
   (semi-structured Interviews) and quantitative data collection techniques
   (on-line survey) was conducted. Findings were triangulated to ensure the
   reliability and trustworthiness of findings. The combined sample (n =
   161) included 43 family physicians/general practitioners, 23 internal
   medicine specialists, 48 cardiologists, 28 emergency physicians, 14
   neurologists, and 5 patients.
   Results: Gaps and barriers Impeding optimal care were related to an
   unclear definition of AF, uncertainty of its pathophysiology, and
   knowledge gaps across the care continuum, including screening,
   diagnosis, and treatment. Clinical decision-making, individualized
   patient therapy, communication with patients and between professionals,
   and application of guidelines were found to be particularly challenging.
   These issues are discussed in the context of the newly revised Canadian
   Cardiovascular Society (CCS) AF Guidelines.
   Conclusions: Educational gaps exist across the entire continuum of care.
   Results from this study, along with the 2011 CCS guidelines for AF
   management, provide direction for solutions through physician education
   and professional development.
OI Lazure, Patrice/0000-0002-9278-1718
ZA 0
ZS 0
ZB 6
Z8 1
ZR 0
TC 22
Z9 22
U1 0
U2 6
SN 0828-282X
EI 1916-7075
UT WOS:000288583800014
PM 21329867
ER

PT J
AU Swadron, Stuart P.
   Herbert, Mel
TI How do I effectively use electronic continuing medical education?
SO CANADIAN JOURNAL OF EMERGENCY MEDICINE
VL 13
IS 1
BP 40
EP 43
DI 10.2310/8000.2011.100377
PD JAN 2011
PY 2011
ZR 0
TC 0
Z8 0
ZB 0
ZA 0
ZS 0
Z9 0
U1 0
U2 2
SN 1481-8035
UT WOS:000289442800007
PM 21324296
ER

PT B
AU Yu, Chong Ho
   DiGangi, Samuel
   Jannasch-Pennell, Angel
BA Tripathi, P
   Mukerji, S
TI Using Text Mining for Improving Student Experience Management in Higher
   Education
SO CASES ON INNOVATIONS IN EDUCATIONAL MARKETING: TRANSNATIONAL AND
   TECHNOLOGICAL STRATEGIES
BP 196
EP 213
DI 10.4018/978-1-60960-599-5.ch012
PD 2011
PY 2011
AB The objective of this case study is to illustrate how text mining of
   open-ended responses from a student survey could yield valuable
   information for improving student experience management (SEM). The
   concept of student SEM was borrowed from the notion of customer
   experience management (CEM), which aims for ongoing improvement of
   customer relations through understanding of the customer's point of view
   (Pine & Gilmore 1998). With the advance of text mining technology,
   textual data that were previously underutilized are found to be valuable
   in CEM. To illustrate how text mining can be applied to SEM, we discuss
   an example from a campus-wide survey conducted at Arizona State
   University. The purpose of this survey was to better understand student
   experiences with instructional technology in order for administrators to
   make data-driven decisions on its implementation. Rather than imposing
   the researchers' preconceived suppositions on the students by using
   force-option survey items, researchers on this project chose to use
   open-ended questions in order to elicit a free emergence of themes from
   the students. The most valuable lesson learned from this study is that
   students perceive an ideal environment as a web of mutually supporting
   systems. Specifically, online access should be augmented by use of
   laptops and availability of course materials, whereas virtual classes
   should be balanced by human interactions.
ZS 0
Z8 0
ZR 0
TC 2
ZB 0
ZA 0
Z9 2
U1 1
U2 2
BN 978-1-60960-600-8; 978-1-60960-599-5
UT WOS:000363580000014
D2 10.4018/978-1-60960-599-5
ER

PT J
AU Yang, Xi
   Gao, Xiaoling
TI Role of dendritic cells: a step forward for the hygiene hypothesis
SO CELLULAR & MOLECULAR IMMUNOLOGY
VL 8
IS 1
BP 12
EP 18
DI 10.1038/cmi.2010.51
PD JAN 2011
PY 2011
AB The hygiene hypothesis was proposed more than two decades ago, but its
   mechanism remains unclear. This review focuses on recent advances in the
   field, especially on the role played by dendritic cells (DCs) and their
   modulating effects on various infections and allergic diseases,
   including allergic asthma. DCs isolated from mice long after the
   resolution of an infection were reported to have a significant
   modulating effect on allergen-specific Th2 responses in both in vitro
   and in vivo systems. These DCs showed DC1-like and/or tolerogenic DC
   capacity, which allowed for the inhibition of allergic responses by
   immune deviation (enhancing Th1 response) and immune regulation (through
   regulatory T-cell and Th2 hyporesponsiveness) mechanisms. These findings
   represented a significant advance in the elucidation of the mechanisms
   underlying the hygiene hypothesis. Further investigation on the
   mechanisms by which DCs are 'educated' by infectious agents and the
   influence of the type, time, and extent of infections on this
   'education' process will help us understand immune regulation in disease
   settings and in the rational design of preventive/therapeutic approaches
   to allergy/asthma and infections. Cellular & Molecular Immunology (2011)
   8, 12-18; doi:10.1038/cmi.2010.51; published online 8 November 2010
RI Gao, xiao ling/GQI-2790-2022; Yang, Xi/
OI Yang, Xi/0000-0002-8831-7488
ZS 0
ZA 0
TC 23
ZB 16
ZR 0
Z8 1
Z9 23
U1 0
U2 7
SN 1672-7681
EI 2042-0226
UT WOS:000285871400002
PM 21200379
ER

PT J
AU Silva, Cristiana Silveira
   Souza, Murilo Barreto
   Silva Filho, Roberto Silveira
   de Medeiros, Luciana Molina
   Criado, Paulo Ricardo
TI E-learning program for medical students in dermatology
SO CLINICS
VL 66
IS 4
BP 619
EP 622
DI 10.1590/S1807-59322011000400016
PD 2011
PY 2011
AB INTRODUCTION: Dermatological disorders are common in medical practice.
   In medical school, however, the time devoted to teaching dermatology is
   usually very limited. Therefore, online educational systems have
   increasingly been used in medical education settings to enhance exposure
   to dermatology.
   OBJECTIVE: The present study was designed to develop a e-learning
   program for medical students in dermatology and evaluate the impact of
   this program on learning.
   METHODS: This prospective study included second year medical students at
   the University of Technology and Science, Salvador, Brazil. All students
   attended discussion seminars and practical activities, and half of the
   students had adjunct online seminars (blended learning). Tests were
   given to all students before and after the courses, and test scores were
   evaluated.
   RESULTS: Students who participated in online discussions associated with
   face-to-face activities (blended learning) had significantly higher
   posttest scores (9.0 +/- 0.8) than those who only participated in
   classes (7.75 +/- 1.8, p < 0.01).
   CONCLUSIONS: The results indicate that an associated online course might
   improve the learning of medical students in dermatology.
RI Criado, Paulo/D-5369-2009
OI Criado, Paulo/0000-0001-9785-6099
ZR 0
ZA 0
ZB 2
Z8 0
ZS 6
TC 25
Z9 31
U1 1
U2 11
SN 1807-5932
EI 1980-5322
UT WOS:000291312100016
PM 21655756
ER

PT C
AU Kregar, Mirjana
   Marcun, Tomaz
   Dovzan, Irma
   Cehovin, Lojzka
BE StoicuTivader, L
   Blobel, B
   Marcun, T
   Orel, A
TI The Role of Basic Data Registers in Cross-Border Interconnection of
   eHealth Solutions
SO E-HEALTH ACROSS BORDERS WITHOUT BOUNDARIES: E-SALUS TRANS CONFINIA SINE
   FINIBUS
SE Studies in Health Technology and Informatics
VL 165
BP 155
EP 160
DI 10.3233/978-1-60750-735-2-155
PD 2011
PY 2011
AB The increasingly closer international business cooperation in the areas
   of production, trade, transport and activities such as tourism and
   education is promoting the mobility of people. This increases the need
   for the provision of health care services across borders. In order to
   provide increasingly safer and effective treatment that is of ever
   higher quality in these cases as well, it is necessary to ensure that
   data accompanies patients even when they travel to other regions,
   countries or continents. eHealth solutions are one of the key tools for
   achieving such objectives. When building these solutions, it is
   necessary to take into account the different aspects and limitations
   brought about by the differences in the environments where such a
   treatment of a patient takes place. In the debates on the various types
   of cross-border interoperability of eHealth solutions, it is necessary
   to bring to attention the necessity of suitable management and
   interconnection of data registers that form the basis of every
   information system: data on patients, health care service providers and
   basic code tables. It is necessary to promote well-arranged and quality
   data in the patient's domestic environment and the best possible options
   for transferring and using those data in the foreign environment where
   the patient is receiving medical care at a particular moment. Many of
   the discussions dealing with conditions for the interoperability of
   health care information systems actually start with questions of how to
   ensure the interconnectivity of basic data registers.
CT 11th European-Federation-of-Medical-Informatics (EFMI) Special Topic
   Conference (STC)
CY APR 14-15, 2011
CL Lasko, SLOVENIA
SP European Federat Med Informat; Slovenian Med Informat Soc
ZB 0
Z8 0
ZR 0
ZA 0
TC 0
ZS 0
Z9 0
U1 0
U2 2
SN 0926-9630
BN 978-1-60750-735-2
UT WOS:000392233300024
PM 21685602
ER

PT J
AU Koetsier, Eva
   Boer, Christa
   Loer, Stephan A.
TI Complaints and incident reports related to anaesthesia service are
   foremost attributed to nontechnical skills
SO EUROPEAN JOURNAL OF ANAESTHESIOLOGY
VL 28
IS 1
BP 29
EP 33
DI 10.1097/EJA.0b013e32833e364c
PD JAN 2011
PY 2011
AB Background and objectives While anaesthesiology is still perceived as a
   rather technical specialty, nontechnical skills of anaesthesiologists
   become increasingly important. In this context, we hypothesised that
   complaints and incident reports about anaesthesia service are often
   related to nontechnical skills. To test this hypothesis, we attributed
   complaints and incident reports to the seven roles of CanMEDS (Canadian
   Medical Educational Directives for Specialists), which are the role of
   'medical expert', 'communicator', 'collaborator', 'health advocate',
   'manager', 'scholar' and the role of 'professional'.
   Methods All complaints and incidents reported to the Anaesthesiology
   Department of the VU University Medical Centre Amsterdam (2001-2007)
   were analysed and attributed to the seven CanMEDS roles.
   Results In total, 169 reports could be identified, of which the majority
   were related to changes in operating room schedules (24%), teeth damage
   during laryngoscopy (9%), insufficient information about anaesthetic
   procedures (9%) or insufficient communication with other professionals
   (9%). Most reports were attributed to the roles of medical expert (39%)
   or manager (38%), followed by reports about the roles as professional
   (9%) and communicator (8%).
   Conclusion Our data suggest an increased importance of nontechnical
   skills in addition to medical expertise in anaesthesia service. We
   propose to take this aspect into consideration in postgraduate training
   programmes of anaesthesiologists to improve satisfaction of patients as
   well as colleagues. Eur J Anaesthesiol 2011;28:29-33 Published online 24
   August 2010
RI Koetsier MD PhD, Eva/ABG-1802-2020; Boer, Christa/
OI Koetsier MD PhD, Eva/0000-0002-8786-0665; Boer,
   Christa/0000-0002-7781-6951
ZR 0
Z8 0
ZS 0
ZA 0
TC 11
ZB 3
Z9 11
U1 0
U2 4
SN 0265-0215
EI 1365-2346
UT WOS:000284869800007
PM 20733498
ER

PT J
AU Struhal, Walter
   Falup-Pecurariu, Cristian
   Sztriha, Laszlo K.
   Grisold, Wolfgang
   Sellner, Johann
TI European Association of Young Neurologists and Trainees: Position Paper
   on Teaching Courses for Generation Y
SO EUROPEAN NEUROLOGY
VL 65
IS 6
BP 352
EP 354
DI 10.1159/000327696
PD 2011
PY 2011
AB The European Association of Young Neurologists and Trainees (EAYNT) is a
   non-profit organization which acts on behalf of young neurologists in
   Europe and concertedly exerts influence on the formation of a new
   generation of neurologists [Struhal et al.: Eur J Neurol
   2009;16:e146-e148]. This concerns particularly the Generation Y (Gen Y),
   also known as Millennial Generation, Digital Natives or Generation Next,
   a demographic cohort defined by birth between 1981 and 1999 [Elkind:
   Neurology 2009;72:657-663]. A unifying feature is the increased use and
   familiarity with online media and digital technologies. Online social
   networks and interactive communication have not only shaped this cohort
   but necessitate a different approach towards educational matters. This
   position paper aims to address the changing needs for Gen Yers in the
   context of education. Copyright (C) 2011 S. Karger AG, Basel
RI Selllner, Johann/AAB-1263-2019; Falup-Pecurariu, Cristian/AAP-9286-2020; Sztriha, Laszlo/
OI Sztriha, Laszlo/0000-0003-4639-3180
ZB 1
ZR 0
Z8 0
TC 3
ZS 0
ZA 0
Z9 3
U1 0
U2 3
SN 0014-3022
EI 1421-9913
UT WOS:000292424800008
PM 21625140
ER

PT J
AU Horn, F. K.
   Mardin, C. Y.
   Bendschneider, D.
   Juenemann, A. G.
   Adler, W.
   Tornow, R. P.
TI Continuing Medical Education: Frequency doubling technique perimetry and
   spectral domain optical coherence tomography in patients with early
   glaucoma
SO EYE
VL 25
IS 1
BP 17
EP 29
DI 10.1038/eye.2010.155
PD JAN 2011
PY 2011
AB Purpose To assess the combined diagnostic power of frequency-doubling
   technique (FDT)-perimetry and retinal nerve fibre layer (RNFL) thickness
   measurements with spectral domain optical coherence tomography (SDOCT).
   Methods The study included 330 experienced participants in five
   age-related groups: 77 'preperimetric' open-angle glaucoma (OAG)
   patients, 52 'early' OAG, 50 'moderate' OAG, 54 ocular
   hypertensivepatients, and 97 healthy subjects. For glaucoma assessment
   in all subjects conventional perimetry, evaluation of fundus
   photographs, FDT-perimetry and RNFL thickness measurement with SDOCT was
   done. Glaucomatous visual field defects were classified using the
   Glaucoma Staging System. FDT evaluation used a published method with
   casewise calculation of an 'FDT-score', including all missed localized
   probability levels. SDOCT evaluation used mean RNFL thickness and a new
   individual SDOCT-score considering normal confidence limits in 32
   sectors of a peripapillary circular scan. To examine the joined value of
   both methods a combined score was introduced. Significance of the
   difference between Receiver-operating-characteristic (ROC) curves was
   calculated for a specificity of 96%.
   Results Sensitivity in the preperimetric glaucoma group was 44% for
   SDOCT-score, 25% for FDT-score, and 44% for combined score, in the early
   glaucoma group 83, 81, and 89%, respectively, and in the moderate
   glaucoma group 94, 94, and 98%, respectively, all at a specificity of
   96%. ROC performance of the newly developed combined score is
   significantly above single ROC curves of FDT-score in preperimetric and
   early OAG and above RNFL thickness in moderate OAG.
   Conclusion Combination of function and morphology by using the FDT-score
   and the SDOCT-score performs equal or even better than each single
   method alone. Eye (2011) 25, 17-29; doi: 10.1038/eye.2010.155; published
   online 19 November 2010
RI Jünemann, Anselm Gerhard Maria/GPK-8482-2022; Adler, Werner/
OI Adler, Werner/0000-0001-9791-5407
ZB 9
ZS 0
ZA 0
TC 16
ZR 1
Z8 0
Z9 19
U1 0
U2 1
SN 0950-222X
EI 1476-5454
UT WOS:000286178400002
PM 21102494
ER

PT C
AU Elliott, Kristine
   Judd, Terry
   McColl, Geoff
BE Hansen, DP
   Maeder, AJ
   Schaper, LK
TI A Student-Centred Electronic Health Record System for Clinical Education
SO HEALTH INFORMATICS: THE TRANSFORMATIVE POWER OF INNOVATION
SE Studies in Health Technology and Informatics
VL 168
BP 57
EP 64
DI 10.3233/978-1-60750-791-8-57
PD 2011
PY 2011
AB Introduction. Electronic Health Record (EHR) systems are an increasingly
   important feature of the national healthcare system [1]. However, little
   research has investigated the impact this will have on medical students'
   learning. As part of an innovative technology platform for a new masters
   level program in medicine, we are developing a student-centred EHR
   system for clinical education. A prototype was trialed with medical
   students over several weeks during 2010. This paper reports on the
   findings of the trial, which had the overall aim of assisting our
   understanding of how trainee doctors might use an EHR system for
   learning and communication in a clinical setting. Background. In primary
   care and hospital settings, EHR systems offer potential benefits to
   medical students' learning: Longitudinal tracking of clinical progress
   towards established learning objectives [2]; Capacity to search across a
   substantial body of records [3]; Integration with online medical
   databases [3]; Development of expertise in creating, accessing and
   managing high quality EHRs [4]. While concerns have been raised that EHR
   systems may alter the interaction between teachers and students [3], and
   may negatively influence physician-patient communication [6], there is
   general consensus that the EHR is changing the current practice
   environment and teaching practice needs to respond. Methods. Final year
   medical students on clinical placement at a large university teaching
   hospital were recruited for the trial. Following a four-week period of
   use, semi-structured interviews were conducted with 10 participants.
   Audio-recorded interviews were transcribed and data analysed for
   emerging themes. Study participants were also surveyed about the
   importance of EHR systems in general, their familiarity with them, and
   general perceptions of sharing patient records. Conclusions. Medical
   students in this pilot study identified a number of educational,
   practical and administrative advantages that the student-centred EHR
   system offered over their existing ad-hoc procedures for recording
   patient encounters. Findings from this preliminary study point to the
   need to introduce and instruct students' on the use of EHR systems from
   their earliest clinical encounters, and to closely integrate learning
   activities based on the EHR system with established learning objectives.
   Further research is required to evaluate the impact of student-centred
   EHR systems on learning outcomes.
CT 19th Australian National Health Informatics Conference (HIC)
CY AUG 01-04, 2011
CL Hlth Informat Soc Australia (HISA), Brisbane, AUSTRALIA
HO Hlth Informat Soc Australia (HISA)
RI McColl, Geoffrey J/C-5358-2015; Judd, Terry/; Elliott, Kristine/
OI McColl, Geoffrey J/0000-0003-2741-5233; Judd, Terry/0000-0002-4692-6701;
   Elliott, Kristine/0000-0002-7599-0358
ZA 0
ZB 1
ZR 0
TC 12
Z8 0
ZS 0
Z9 12
U1 0
U2 7
SN 0926-9630
BN 978-1-60750-791-8
UT WOS:000320867000008
PM 21893912
ER

PT J
AU Kaldoudi, Eleni
   Dovrolis, Nikolas
   Konstantinidis, Stathis Th.
   Bamidis, Panagiotis D.
TI Depicting Educational Content Repurposing Context and Inheritance
SO IEEE TRANSACTIONS ON INFORMATION TECHNOLOGY IN BIOMEDICINE
VL 15
IS 1
BP 164
EP 170
DI 10.1109/TITB.2010.2092442
PD JAN 2011
PY 2011
AB Educational content is often shared among different educators and is
   enriched, adapted, and, in general, repurposed so that it can be reused
   in different contexts. This paper discusses educational content and
   content repurposing in medical education, presenting different
   repurposing contexts. Finally, it proposes a novel approach to content
   repurposing via Web 2.0 social networking of learning resources. The
   proposed social network is augmented by a graphical representation
   module in order to capture and depict the relationships among different
   repurposed medical educational resources, based on educational resource
   "families" and inheritance. The ultimate goal is to provide a
   conceptually different approach to educational resource organization and
   retrieval via "social" associations among learning resources.
RI Bamidis, Panagiotis/AAK-3556-2020; Kaldoudi, Eleni/AAH-6807-2021; Konstantinidis, Stathis/; Dovrolis, Nikolas/
OI Bamidis, Panagiotis/0000-0002-9936-5805; Kaldoudi,
   Eleni/0000-0002-6054-4961; Konstantinidis, Stathis/0000-0002-3680-4559;
   Dovrolis, Nikolas/0000-0003-3832-9939
ZB 0
Z8 0
ZS 0
ZA 0
TC 6
ZR 0
Z9 6
U1 0
U2 2
SN 1089-7771
EI 1558-0032
UT WOS:000286009500021
PM 21134819
ER

PT J
AU Hutchinson, Dana
   Freeman, Lisa M.
   Schreiner, Karen E.
   Terkla, Dawn Geronimo
TI Survey of Opinions About Nutritional Requirements of Senior Dogs and
   Analysis of Nutrient Profiles of Commercially Available Diets for Senior
   Dogs
SO INTERNATIONAL JOURNAL OF APPLIED RESEARCH IN VETERINARY MEDICINE
VL 9
IS 1
BP 68
EP 79
PD 2011
PY 2011
AB A survey containing questions regarding respondents' background, dog
   ownership, and opinions regarding senior dogs' nutritional requirements
   was completed online by 1309 adults. Average nutrient analysis for
   calories, protein, fat, fiber, sodium, and phosphorus for senior canine
   diets also was obtained to determine whether respondent perceptions were
   consistent with actual profiles. Of respondents who owned a senior dog,
   42.8% fed a senior diet. However, only 33.1% of these fed a senior diet
   based on a veterinarian's recommendation. From the options provided, 63%
   of respondents reported that ingredients were the most important factor
   in choosing a senior dog food. Most respondents answered that senior
   dogs have different nutritional needs than adults and that senior diets
   were lower in calories, fat, sodium, protein, and carbohydrates.
   Comparison of 37 commercial senior diets revealed wide variation in
   nutrient profiles which were not consistent with respondents' opinions
   for all nutrients evaluated. These results highlight discrepancies
   between perceived needs of senior dogs and actual diet composition.
TC 7
ZR 0
ZS 0
ZA 0
ZB 7
Z8 0
Z9 7
U1 1
U2 47
SN 1542-2666
EI 1559-470X
UT WOS:000288582900008
ER

PT J
AU Svensson, V.
   Jacobsson, J. A.
   Fredriksson, R.
   Danielsson, P.
   Sobko, T.
   Schioth, H. B.
   Marcus, C.
TI Associations between severity of obesity in childhood and adolescence,
   obesity onset and parental BMI: a longitudinal cohort study
SO INTERNATIONAL JOURNAL OF OBESITY
VL 35
IS 1
BP 46
EP 52
DI 10.1038/ijo.2010.189
PD JAN 2011
PY 2011
AB Objective: To explore the relationship between severity of obesity at
   age 7 and age 15, age at onset of obesity, and parental body mass index
   (BMI) in obese children and adolescents.
   Design: Longitudinal cohort study.
   Subjects: Obese children (n = 231) and their parents (n = 462) from the
   Swedish National Childhood Obesity Centre.
   Methods: Multivariate regression analyses were applied with severity of
   obesity (BMI standard deviation score (BMI SDS)) and onset of obesity as
   dependent variables. The effect of parental BMI was evaluated and in the
   final models adjusted for gender, parental education, age at onset of
   obesity, severity of obesity at age 7 and obesity treatment.
   Results: For severity of obesity at age 7, a positive correlation with
   maternal BMI was indicated (P = 0.05). Severity of obesity at this age
   also showed a strong negative correlation with the age at onset of
   obesity. Severity of obesity at age 15 was significantly correlated with
   both maternal and paternal BMI (P<0.01). In addition, BMI SDS at age 15
   differed by gender (higher for boys) and was positively correlated with
   severity of obesity at age 7 and negatively correlated with treatment.
   Also, a negative correlation was indicated at this age for parental
   education. No correlation with age at onset was found at age 15. For age
   at onset of obesity there was no relevant correlation with parental BMI.
   Children within the highest tertile of the BMI SDS range were more
   likely to have two obese parents.
   Conclusion: The impact of parental BMI on the severity of obesity in
   children is strengthened as the child grows into adolescence, whereas
   the age at onset is probably of less importance than previously thought.
   The influence of parental relative weight primarily affects the severity
   of childhood obesity and not the timing. International Journal of
   Obesity (2011) 35, 46-52; doi:10.1038/ijo.2010.189; published online 21
   September 2010
RI Marcus, Claude/ABE-1177-2020; Schioth, Helgi/AAQ-7239-2020; Fredriksson, Robert/AAH-3921-2019; Danielsson, Pernilla/ABD-9660-2020; Sobko, Tanja/J-1865-2015
OI Marcus, Claude/0000-0003-0890-2650; Fredriksson,
   Robert/0000-0002-2810-3226; Danielsson, Pernilla/0000-0002-4674-2638;
   Sobko, Tanja/0000-0003-1133-3655
ZB 20
ZA 0
Z8 1
ZS 3
ZR 0
TC 48
Z9 50
U1 6
U2 53
SN 0307-0565
UT WOS:000286094900006
PM 20856258
ER

PT J
AU Hahn, Elizabeth A.
   Choi, Seung W.
   Griffith, James W.
   Yost, Kathleen J.
   Baker, David W.
TI Health Literacy Assessment Using Talking Touchscreen Technology (Health
   LiTT): A New Item Response Theory-Based Measure of Health Literacy
SO JOURNAL OF HEALTH COMMUNICATION
VL 16
SI SI
BP 150
EP 162
DI 10.1080/10810730.2011.605434
SU 3
PD 2011
PY 2011
AB The importance of health literacy has grown considerably among
   researchers, clinicians, patients, and policymakers. Better instruments
   and measurement strategies are needed. Our objective was to develop a
   new health literacy instrument using novel health information technology
   and modern psychometrics. We designed Health LiTT as a self-administered
   multimedia touchscreen test based on item response theory (IRT)
   principles. We enrolled a diverse group of 619 English-speaking, primary
   care patients in clinics for underserved patients. We tested three item
   types (prose, document, quantitative) that worked well together to
   reliably measure a single dimension of health literacy. The Health LiTT
   score meets psychometric standards (reliability of 0.90 or higher) for
   measurement of individual respondents in the low to middle range. Mean
   Health LiTT scores were associated with age, race/ethnicity, education,
   income, and prior computer use (p<.05). We created an IRT-calibrated
   item bank of 82 items. Standard setting needs to be performed to
   classify and map items onto the construct and to identify measurement
   gaps. We are incorporating Health LiTT into an existing online research
   management tool. This will enable administration of Health LiTT on the
   same touchscreen used for other patient-reported outcomes, as well as
   real-time scoring and reporting of health literacy scores.
ZA 0
ZR 1
Z8 0
ZS 1
TC 44
ZB 8
Z9 46
U1 0
U2 15
SN 1081-0730
EI 1087-0415
UT WOS:000299952500014
PM 21951249
ER

PT J
AU Eliason, Michele J.
   Dibble, Suzanne L.
   Robertson, Patricia A.
TI Lesbian, Gay, Bisexual, and Transgender (LGBT) Physicians' Experiences
   in the Workplace
SO JOURNAL OF HOMOSEXUALITY
VL 58
IS 10
BP 1355
EP 1371
DI 10.1080/00918369.2011.614902
PD 2011
PY 2011
AB Little is known about the experiences of lesbian, gay, bisexual, and
   transgender (LGBT) physicians in the workplace. There is little formal
   education in medical school about LGBT issues, and some heterosexual
   physicians have negative attitudes about caring for LGBT patients or
   working with LGBT coworkers, setting the stage for an exclusive and
   unwelcoming workplace. The current study used an online survey to assess
   a convenience sample of 427 LGBT physicians from a database of a
   national LGBT healthcare organization, as well as a snowball sample
   generated from the members of the database. Although rates of
   discriminatory behaviors had decreased since earlier reports, 10%
   reported that they were denied referrals from heterosexual colleagues,
   15% had been harassed by a colleague, 22% had been socially ostracized,
   65% had heard derogatory comments about LGBT individuals, 34% had
   witnessed discriminatory care of an LGBT patient, 36% had witnessed
   disrespect toward an LGBT patient's partner, and 27% had witnessed
   discriminatory treatment of an LGBT coworker. Few had received any
   formal education on LGBT issues in medical school or residency. It
   appears that medical schools and health care workplaces continue to
   ignore LGBT issues and operate in discriminatory fashion far too often.
RI Eliason, Michele/W-9229-2019
ZA 0
ZR 0
TC 136
ZB 13
ZS 4
Z8 0
Z9 139
U1 4
U2 63
SN 0091-8369
EI 1540-3602
UT WOS:000297499300001
PM 22029561
ER

PT J
AU Jackson, L. E.
   Lim, M. W.
TI Knowledge and practice of confidential data handling in the Welsh
   Deanery: a brief report
SO JOURNAL OF MEDICAL ETHICS
VL 37
IS 1
BP 58
EP 60
DI 10.1136/jme.2010.036533
PD JAN 2011
PY 2011
AB Recent large-scale personal data loss incidents highlighted the need for
   public bodies to more securely handle confidential data. We surveyed
   trainees from all specialties in the Welsh Deanery for their knowledge
   and practice. All registered trainees were invited to participate in an
   online anonymised survey. There were 880 completed and non-duplicated
   responses (52.9% response rate). Responses were analysed using Microsoft
   Access. Over 40% (388/880 (44.1%)) did not use formal guidelines on
   storage or disposal of confidential data. The majority appeared to
   dispose of confidential paper documents securely, that is, using
   shredders and white shredder bags. However, there were significant
   numbers of unmarked responses. Clinical documents, such as theatre
   lists, were taken home by 281/880 (31.9%) of trainees. The majority
   secured their computers (569/871 (65.3%)) by either not keeping patient
   identifiable data on them or using encryption. However, 302/871 (34.7%)
   did not adequately secure their computers. The surgical and anaesthetic
   specialties were least aware of formal confidentiality guidelines
   (95/178 (53.4%)) and 52/102 (51.0%) respectively) and least secured
   their computers (106/178 (59.6%) and 63/102 (61.8%) respectively).
   Education is needed to improve knowledge and practice of confidential
   data handling. This may be delivered through workshops during induction
   programmes or as part of European Computer Driving Licence (ECDL)
   modules. Training is especially indicated for the surgical and
   anaesthetic specialties.
ZB 0
ZS 0
ZA 0
ZR 0
TC 1
Z8 0
Z9 1
U1 0
U2 2
SN 0306-6800
EI 1473-4257
UT WOS:000285190600012
PM 21149322
ER

PT J
AU Fernandez-Luque, Luis
   Karlsen, Randi
   Bonander, Jason
TI Review of Extracting Information From the Social Web for Health
   Personalization
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 13
IS 1
BP 138
EP 152
AR e15
DI 10.2196/jmir.1432
PD JAN-MAR 2011
PY 2011
AB In recent years the Web has come into its own as a social platform where
   health consumers are actively creating and consuming Web content.
   Moreover, as the Web matures, consumers are gaining access to
   personalized applications adapted to their health needs and interests.
   The creation of personalized Web applications relies on extracted
   information about the users and the content to personalize. The Social
   Web itself provides many sources of information that can be used to
   extract information for personalization apart from traditional Web forms
   and questionnaires. This paper provides a review of different approaches
   for extracting information from the Social Web for health
   personalization. We reviewed research literature across different fields
   addressing the disclosure of health information in the Social Web,
   techniques to extract that information, and examples of personalized
   health applications. In addition, the paper includes a discussion of
   technical and socioethical challenges related to the extraction of
   information for health personalization.
RI Fernandez-Luque, Luis/C-6723-2011
OI Fernandez-Luque, Luis/0000-0001-8165-9904
TC 37
ZB 2
Z8 0
ZR 0
ZS 1
ZA 0
Z9 37
U1 3
U2 29
SN 1438-8871
UT WOS:000287447100011
PM 21278049
ER

PT J
AU Heilman, James M.
   Kemmann, Eckhard
   Bonert, Michael
   Chatterjee, Anwesh
   Ragar, Brent
   Beards, Graham M.
   Iberri, David J.
   Harvey, Matthew
   Thomas, Brendan
   Stomp, Wouter
   Martone, Michael F.
   Lodge, Daniel J.
   Vondracek, Andrea
   de Wolff, Jacob F.
   Liber, Casimir
   Grover, Samir C.
   Vickers, Tim J.
   Mesko, Bertalan
   Laurent, Michael R.
TI Wikipedia: A Key Tool for Global Public Health Promotion
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 13
IS 1
BP 153
EP 164
AR e14
DI 10.2196/jmir.1589
PD JAN-MAR 2011
PY 2011
AB The Internet has become an important health information resource for
   patients and the general public. Wikipedia, a collaboratively written
   Web-based encyclopedia, has become the dominant online reference work.
   It is usually among the top results of search engine queries, including
   when medical information is sought. Since April 2004, editors have
   formed a group called WikiProject Medicine to coordinate and discuss the
   English-language Wikipedia's medical content. This paper, written by
   members of the WikiProject Medicine, discusses the intricacies,
   strengths, and weaknesses of Wikipedia as a source of health information
   and compares it with other medical wikis. Medical professionals, their
   societies, patient groups, and institutions can help improve Wikipedia's
   health-related entries. Several examples of partnerships already show
   that there is enthusiasm to strengthen Wikipedia's biomedical content.
   Given its unique global reach, we believe its possibilities for use as a
   tool for worldwide health promotion are underestimated. We invite the
   medical community to join in editing Wikipedia, with the goal of
   providing people with free access to reliable, understandable, and
   up-to-date health information.
RI Laurent, Michaël R./D-5748-2011; Beards, Graham/CAG-7864-2022; Beards, Graham/; Heilman, James/; Mesko, Bertalan/
OI Laurent, Michaël R./0000-0001-9681-8330; Beards,
   Graham/0000-0002-9928-1302; Heilman, James/0000-0002-1347-7700; Mesko,
   Bertalan/0000-0002-7005-7083
ZA 0
ZS 3
ZB 24
ZR 1
TC 142
Z8 0
Z9 144
U1 1
U2 34
SN 1438-8871
UT WOS:000287447100012
PM 21282098
ER

PT J
AU Brehaut, Jamie C.
   Santesso, Nancy
   O'Connor, Annette M.
   Lott, Alison
   Lindgaard, Gitte
   Syrowatka, Ania
   Graham, Ian D.
   Tugwell, Peter S.
TI Presenting Evidence to Patients Online: What Do Web Users Think of
   Consumer Summaries of Cochrane Musculoskeletal Reviews?
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 13
IS 1
BP 227
EP 241
AR e5
DI 10.2196/jmir.1532
PD JAN-MAR 2011
PY 2011
AB Background: The Internet has the potential to be an effective medium for
   delivering health care knowledge to consumers. While computer usability
   research makes recommendations about how to present Web-based
   information generally, there remains no clear guidance on how to present
   specific forms of health care research evidence online in a way that
   facilitates understanding and good health care decision making.
   Objective: The two goals of this study were to describe the Cochrane
   Musculoskeletal Group's (CMSG's) process for developing online
   patient-focused summaries of systematic reviews and to evaluate the
   impressions of these summaries formed by users.
   Methods: A process for summarizing the results of systematic reviews via
   consumer summaries has evolved over 15 years. An evaluation of this
   approach took the form of Internet surveys on the Arthritis Society of
   Canada website and surveys of members of the Canadian Arthritis Patient
   Alliance (CAPA). Respondents provided information on background,
   relationship to the decision, their satisfaction with and preparation
   for decision making, and suggestions for improvements to the summaries.
   Survey data were collected between August 1, 2005, and February 28,
   2006.
   Results: A total of 261 respondents completed the survey. The majority
   (226/261 or 87%) of respondents reported having an arthritis-related
   condition. The consumer summary approach was generally reviewed
   favorably by respondents, with most agreeing that the summary provided
   appropriate information (177/261 or 68%), would be useful to others
   (160/261 or 61%), was well laid out (159/261 or 61%), was easy to learn
   from (157/261 or 60%), and was useful to the reader (153/261 or 59%).
   Areas of potential improvement were indicated by relatively fewer
   respondents agreeing that they could easily find all the information
   they wanted (118/261 or 45%), by a substantial proportion being unable
   to judge whether the providers of the information are reliable (80/261
   or 31%), and by a similar proportion being unable to determine whether
   the information presented was the best available (68/261 or 26%).
   Conclusions: The CMSG has developed an approach to summarizing the
   results of often-technical systematic reviews into public-friendly
   consumer summaries. Our online survey showed that this approach was
   generally well liked but identified specific areas for improvement.
   Feedback from this survey will help to reshape and improve the current
   template for consumer summaries used by the CMSG.
RI Tugwell, Peter/AFD-8076-2022; Graham, Ian D./ABD-5259-2021; Lindgaard, Gitte/
OI Tugwell, Peter/0000-0001-5062-0556; Graham, Ian D./0000-0002-3669-1216;
   Lindgaard, Gitte/0000-0001-5890-2419
Z8 0
ZA 0
ZR 0
ZS 0
TC 8
ZB 2
Z9 8
U1 0
U2 7
SN 1438-8871
UT WOS:000287447100018
PM 21247863
ER

PT J
AU Taggarshe, Deepa
   Mittal, Vijay
TI Improving Surgical Resident's Performance In the American Board of
   Surgery in Training Examination (ABSITE) - Do Review Courses Help? The
   Program Directors' Perspective
SO JOURNAL OF SURGICAL EDUCATION
VL 68
IS 1
BP 24
EP 28
DI 10.1016/j.jsurg.2010.09.002
PD JAN-FEB 2011
PY 2011
AB BACKGROUND: The implementation of the 80-hour week compounded by the
   need for the current trainee to be well versed technically with the
   newer developments in surgery has resulted in limited time for didactic
   education. Commercial American Board of Surgery in Training examination
   (ABSITE) review courses are flourishing and may seem to be filling the
   gap in didactic education.
   OBJECTIVE: This study ascertained the opinion of the general surgery
   program directors across the country on the role of the review courses
   in the ABSITE performance of a surgical resident.
   METHODS: A questionnaire was designed and sent out to all program
   directors using online survey.
   RESULTS: Sixty-five of 242 program directors completed the
   questionnaire. Fifty-seven percent belonged to university-based surgical
   residency programs. Seventy-two percent used ABSITE performance as a
   measure while evaluating the resident for promotion. Although 60% agreed
   that review courses help the performance of the residents, 80% did not
   have any institutional or regional review courses. Ninety percent
   allowed their residents to attend commercial review courses but 60% did
   not reimburse them.
   CONCLUSIONS: Program directors do feel that ABSITE by itself is
   important in evaluating the progression of surgical residents and has a
   correlation with the boards' pass percentile. Due to the limited hours
   available for didactics in current surgical residency, intensive review
   course over a 2- to 3-day period may help the surgical residents to
   perform better. In the current economy, review courses offered by a
   consortium of programs geared toward improving ABSITE performance and
   conducted by the surgical faculty may be of essence. (J Surg 68:24-28.
   (C) 2011 Association of Program Directors in Surgery. Published by
   Elsevier Inc. All rights reserved.)
ZR 0
ZS 0
Z8 0
TC 8
ZB 1
ZA 0
Z9 8
U1 0
U2 0
SN 1931-7204
EI 1878-7452
UT WOS:000287424900006
PM 21292211
ER

PT J
AU Boyd, C. Trenton
TI The lost history of American veterinary medicine: the need for
   preservation
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 99
IS 1
BP 8
EP 14
DI 10.3163/1536-5050.99.1.004
PD JAN 2011
PY 2011
AB Objective: The objective of this study was to survey holdings of
   ephemeral veterinary literature.
   Methods: WorldCat OCLC catalog, the Library of Congress online catalog,
   the US National Agricultural Library online catalog, and the Dictionary
   Catalog of the National Agricultural Library, 1862-1965, were used to
   determine current library holdings of materials published by veterinary
   schools that are no longer in existence and veterinary associations that
   are defunct, veterinary supply catalogs, veterinary house organs, patent
   medicine publications, and veterinary advertisements. Individual library
   catalogs were also consulted. In addition, the practice of removing
   advertisements from bound volumes was examined.
   Results: There are many gaps in the cataloged library holdings of
   primary source materials relating to the history of the education of
   veterinarians in the United States.
   Conclusions: A proactive action plan needs to be designed and activated
   to locate, catalog, and preserve this primary source material of
   veterinary medicine for posterity.
ZA 0
ZB 0
ZS 0
Z8 0
TC 2
ZR 0
Z9 2
U1 0
U2 7
SN 1536-5050
UT WOS:000288700700004
PM 21243050
ER

PT J
AU Beaudoin, Denise E.
   Longo, Nicola
   Logan, Robert A.
   Jones, Jason P.
   Mitchell, Joyce A.
TI Using information prescriptions to refer patients with metabolic
   conditions to the Genetics Home Reference website
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 99
IS 1
BP 70
EP 76
DI 10.3163/1536-5050.99.1.012
PD JAN 2011
PY 2011
AB Objectives: The objectives of this study were to assess the reactions of
   adult patients and parents of children with metabolic conditions to
   receipt of an "information prescription" (IP) to visit Genetics Home
   Reference (GHR), a National Institutes of Health/National Library of
   Medicine online resource, and evaluate the perceived utility of
   information found on the site.
   Methods: Patients seen at the University of Utah Metabolic Service
   Clinic were invited to participate in the study and asked to complete an
   initial survey to gather demographic data and an online survey six weeks
   later to obtain information about user experience.
   Results: Fifty-three of 82 individuals completed both surveys, for an
   overall response rate of 64.6%. Most respondents (88.7%) agreed that
   receiving the IP was a "good idea," and nearly all used the IP to visit
   GHR. More than three-quarters (79.6%) agreed that information on GHR
   supplemented a physician's advice; 60.4% reported an improved
   understanding of a health condition; and 41.5% either looked for or
   would consider looking for additional information. Eighty-six percent of
   respondents were satisfied with the information found on GHR, and 80%
   would recommend the site.
   Conclusions: Use of an IP to direct patients to GHR was well received,
   and retrieved information was perceived as useful in key areas. The high
   level of satisfaction with GHR argues for expanded use of the IP
   approach in this patient population.
ZR 0
ZB 1
TC 10
ZS 0
ZA 0
Z8 0
Z9 10
U1 0
U2 11
SN 1536-5050
UT WOS:000288700700012
PM 21243058
ER

PT J
AU Backes, Carl H.
   Reber, Kris M.
   Trittmann, Jennifer K. B.
   Huang, Hong
   Tomblin, Jordanna
   Moorehead, Pamela A.
   Bauer, John A.
   Smith, Charles V.
   Mahan, John D.
TI Fellows as teachers: a model to enhance pediatric resident education
SO MEDICAL EDUCATION ONLINE
VL 16
AR 7205
DI 10.3402/meo.v16i0.7205
PD 2011
PY 2011
AB Objective: Pressures on academic faculty to perform beyond their role as
   educators has stimulated interest in complementary approaches in
   resident medical education. While fellows are often believed to detract
   from resident learning and experience, we describe our preliminary
   investigations utilizing clinical fellows as a positive force in
   pediatric resident education. Our objectives were to implement a
   practical approach to engage fellows in resident education, evaluate the
   impact of a fellow-led education program on pediatric resident and
   fellow experience, and investigate if growth of a fellowship program
   detracts from resident procedural experience.
   Methods: This study was conducted in a neonatal intensive care unit
   (NICU) where fellows designed and implemented an education program
   consisting of daily didactic teaching sessions before morning clinical
   rounds. The impact of a fellow-led education program on resident
   satisfaction with their NICU experience was assessed via anonymous
   student evaluations. The potential value of the program for
   participating fellows was also evaluated using an anonymous survey.
   Results: The online evaluation was completed by 105 residents. Scores
   were markedly higher after the program was implemented in areas of
   teaching excellence (4.44 out of 5 versus 4.67, p<0.05) and overall
   resident learning (3.60 out of 5 versus 4.61, p<0.001). Fellows rated
   the acquisition of teaching skills and enhanced knowledge of neonatal
   pathophysiology as the most valuable aspects of their participation in
   the education program. The anonymous survey revealed that 87.5% of
   participating residents believed that NICU fellows were very important
   to their overall training and education.
   Conclusions: While fellows are often believed to be a detracting factor
   to residency training, we found that pediatric resident attitudes toward
   the fellows were generally positive. In our experience, in the specialty
   of neonatology a fellow-led education program can positively contribute
   to both resident and fellow learning and satisfaction. Further
   investigation into the value of utilizing fellows as a positive force in
   resident education in other medical specialties appears warranted.
RI Reber, Kristina/E-3933-2011; Mahan, John/E-3574-2011
ZB 3
Z8 0
ZA 0
ZS 0
ZR 0
TC 16
Z9 16
U1 0
U2 1
SN 1087-2981
UT WOS:000208700000015
PM 21912479
ER

PT J
AU Masunaga, Hiromi
   Hitchcock, Maurice A.
TI Aligning teaching practices with an understanding of quality teaching: A
   faculty development agenda
SO MEDICAL TEACHER
VL 33
IS 2
BP 124
EP 130
DI 10.3109/0142159X.2010.498489
PD 2011
PY 2011
AB Background: To guide the future faculty development practices in a
   better manner, it is important to determine how clinical teachers
   perceive their own skill development.
   Aim: The objective of this study was to examine the extent to which
   clinical teachers aligned their teaching practices, as measured with a
   self-rating instrument, with their understanding of what constitutes
   good clinical teaching.
   Method: A sample of 1523 residents and 737 faculty members completed the
   clinical teaching perception inventory (CTPI) online and ranked 28
   single-word descriptors that characterized clinical teachers along a
   seven-point scale in two measures, ""My Ideal Teacher"" and ""Myself as
   a Teacher.""
   Results: Faculty and residents showed strikingly similar discrepancies,
   in both their magnitudes and directions, between their ratings of ""My
   Ideal Teacher"" and those of ""Myself as a Teacher."" Both residents and
   faculty found it most difficult to develop the stimulating, well-read,
   and innovative nature to meet their own standards.
   Conclusions: Data did not support our hypothesis that faculty would
   demonstrate stronger congruence between ""My Ideal Teacher"" and
   ""Myself as a Teacher"" than residents. Medical faculty would benefit
   from future faculty development practices that are designed to assist
   them in becoming stimulating, well-read, and innovative teachers, while
   using less control and caution in their teaching.
ZR 0
ZB 0
ZA 0
ZS 0
TC 5
Z8 0
Z9 5
U1 0
U2 3
SN 0142-159X
EI 1466-187X
UT WOS:000286928300014
PM 21070116
ER

PT J
AU Khogali, S. E. O.
   Davies, D. A.
   Donnan, P. T.
   Gray, A.
   Harden, R. M.
   Mcdonald, J.
   Pippard, M. J.
   Pringle, S. D.
   Yu, N.
TI Integration of e-learning resources into a medical school curriculum
SO MEDICAL TEACHER
VL 33
IS 4
SI SI
BP 311
EP 318
DI 10.3109/0142159X.2011.540270
PD 2011
PY 2011
AB Background: E-learning has the potential to make important contributions
   to medical education, but there has been limited study of a blended
   approach in which the digital resources are introduced alongside
   traditional teaching methods such as lectures.
   Methods: We describe the successful embedding of an e-learning resource
   into 3 of the 5 weeks of cardiovascular system teaching for 164
   first-year medical students by providing scheduled slots in the
   timetables. A questionnaire completed by the students at the end of the
   5 weeks had a response rate of 66%. Students varied in how they made use
   of the resource, some systematically working through it and others
   browsing and studying sections felt to be personally most relevant.
   Results: Almost all (96%) rated the e-learning resources as probably or
   definitely of value: they particularly valued interactive activities,
   animations, video demonstrations, video clips of experts and
   self-assessment exercises. Graduate students had a significantly more
   favourable assessment of the e-learning resources than their
   undergraduate colleagues, while female students felt the value in
   supporting existing learning opportunities more strongly than male
   students.
   Conclusions: It should not be assumed that all students will choose to
   use an e-learning resource in the same way and instructional design
   should enable alternative approaches. The sequence in which the
   e-learning resource is used in relation to the other learning
   opportunities, such as lectures and PBL group discussions, may be
   important and merits further consideration. The experiences reported in
   this study provide encouragement and pointers for others engaged in the
   integration of e-learning in their curriculum.
RI Davies, David/A-1534-2014
OI Davies, David/0000-0002-7573-2762
Z8 1
ZA 0
ZR 0
TC 61
ZS 4
ZB 3
Z9 66
U1 0
U2 31
SN 0142-159X
EI 1466-187X
UT WOS:000289164100017
PM 21456989
ER

PT J
AU Baldwin, Andrew
   Webb, Richard
   Gainsborough, Nicola
   Howlett, David
   Inglis, Celine
TI Provision of electronic learning resources by UK medical schools for
   final year students
SO MEDICAL TEACHER
VL 33
IS 4
SI SI
BP 325
EP 327
DI 10.3109/0142159X.2010.513718
PD 2011
PY 2011
AB The widespread availability of the internet and development of online
   learning technology has seen electronic learning become a key part of
   medical education. This study examines the current situation in the
   delivery of e-learning solely to final year medical students by UK
   medical schools. A total of 25 UK medical schools were surveyed with
   responses received from 21. Seventy-one percent of respondents provided
   e-learning to final year students (15/21). Requirements for this form of
   educational delivery are likely to increase but further analysis of
   their use is required.
ZA 1
Z8 0
ZR 0
ZB 0
TC 3
ZS 0
Z9 4
U1 0
U2 3
SN 0142-159X
EI 1466-187X
UT WOS:000289164100019
PM 21456991
ER

PT J
AU Grant, Janet
   Owen, Heather
   Sandars, John
   Walsh, Kieran
   Richardson, Judith
   Rutherford, Alaster
   Siddiqi, Kamran
   Ibison, Judith
   Maxted, Mairead
TI The challenge of integrating new online education packages into existing
   curricula: A new model
SO MEDICAL TEACHER
VL 33
IS 4
SI SI
BP 328
EP 330
DI 10.3109/0142159X.2011.540266
PD 2011
PY 2011
AB Background: In 2009, The National Institute for Health and Clinical
   Excellence (NICE) developed an undergraduate online learning package on
   the practical application of evidence-based medicine with the intention
   that it would be integrated into existing medical curricula.
   Methods: Complementary methodologies were used to yield a diversity of
   quantitative and qualitative data on how the online learning package was
   integrated.
   Results: The modules of the online learning package received an overall
   positive reaction from the users but uptake of the modules was lower
   than expected. Even though some curriculum integration occurred, several
   students were unaware that the package existed, some lacked the time to
   use the package and others would have preferred to have had the package
   earlier in their course.
   Conclusions: A new model for the effective integration of online
   education packages into existing undergraduate medical curricula is
   proposed, especially when developed by external organisations. This new
   model should enable educationalists to better reveal and overcome the
   contextual and process challenges, barriers and solutions to
   implementing effective flexible learning approaches. When introducing
   new learning resources into a curriculum, many factors are important,
   especially the learners' perceived needs and how these vary at different
   stages of their course.
RI Siddiqi, Kamran/AAD-8801-2021
OI Siddiqi, Kamran/0000-0003-1529-7778
ZR 0
Z8 0
ZB 0
TC 10
ZA 0
ZS 0
Z9 10
U1 1
U2 5
SN 0142-159X
UT WOS:000289164100020
PM 21456992
ER

PT J
AU Halbert, Caitlin
   Kriebel, Richard
   Cuzzolino, Robert
   Coughlin, Patrick
   Fresa-Dillon, Kerin
TI Self-assessed learning style correlates to use of supplemental learning
   materials in an online course management system
SO MEDICAL TEACHER
VL 33
IS 4
SI SI
BP 331
EP 333
DI 10.3109/0142159X.2011.542209
PD 2011
PY 2011
AB Background: The benefit of online learning materials in medical
   education is not well defined.
   Aim: The study correlated certain self-identified learning styles with
   the use of self-selected online learning materials.
   Methods: First-year osteopathic medical students were given access to
   review and/or summary materials via an online course management system
   (CMS) while enrolled in a pre-clinical course. At the end of the course,
   students completed a self-assessment of learning style based on the
   Index of Learning Styles and a brief survey regarding their usage and
   perceived advantage of the online learning materials.
   Results: Students who accessed the online materials earned equivalent
   grades to those who did not. However, the study found that students who
   described their learning styles as active, intuitive, global, and/or
   visual were more likely to use online educational resources than those
   who identified their learning style as reflective, sensing, sequential,
   and/or verbal.
   Conclusions: Identification of a student's learning style can help
   medical educators direct students to learning resources that best suit
   their individual needs.
RI Halbert, Caitlin/AAD-6957-2020; Halbert, Caitlin/
OI Halbert, Caitlin/0000-0003-1427-5390
ZR 1
ZS 0
ZA 0
Z8 0
ZB 2
TC 11
Z9 12
U1 0
U2 13
SN 0142-159X
UT WOS:000289164100021
PM 21456993
ER

PT J
AU Rudland, Joy R.
   Schwartz, Peter
   Ali, Anthony
TI Moving a formative test from a paper-based to a computer-based format. A
   student viewpoint
SO MEDICAL TEACHER
VL 33
IS 9
BP 738
EP 743
DI 10.3109/0142159X.2011.577119
PD 2011
PY 2011
AB Background: A paper-based test was changed to a computer-based format.
   Students completed the test over a 2-week period on any computer with
   internet access.
   Aim: To determine the acceptability to students of the computer-based
   format, whether resources were used by students during the test, the
   value of receiving an immediate score, positive aspects of the computer
   format and areas for improvement.
   Methods: Students completed an online survey containing closed questions
   (Likert scale) and free text questions.
   Results: A large majority of respondents had easy access to a computer,
   found it easy to complete the test in the time given and did not use
   resources to answer the test questions. The most cited benefits were
   flexibility and convenience in being able to choose both the location
   and time for taking the test. A smaller majority found it useful to get
   immediate feedback. The possibility of students 'cheating' because of
   the ability to use resources during the test was seen as problematic.
   Some students felt that the test appeared to lack importance because of
   the flexibility permitted.
   Conclusions: From a student perspective, the computer was an acceptable
   platform for delivering a formative assessment comprising multiple
   choice questions (MCQs).
RI Rudland, Joy/AHB-1517-2022
OI Rudland, Joy/0000-0002-7516-1728
ZB 0
TC 6
ZS 0
Z8 0
ZA 0
ZR 0
Z9 6
U1 0
U2 11
SN 0142-159X
UT WOS:000294065800015
PM 21592016
ER

PT J
AU Davidson, Lindsay K.
TI A 3-year experience implementing blended TBL: Active instructional
   methods can shift student attitudes to learning
SO MEDICAL TEACHER
VL 33
IS 9
BP 750
EP 753
DI 10.3109/0142159X.2011.558948
PD 2011
PY 2011
AB Medical educators have been encouraged to adopt active instructional
   strategies that require learners to engage in and direct their own
   learning. These innovations may be seen as disruptive and face early
   challenges due to student resistance. We report 3 years of experience
   implementing a blend of team-based learning (TBL) and online learning
   modules in an undergraduate medical course. Three sequential cohorts of
   first year medical students were surveyed exploring how they valued
   different instructional methods during a period of evolving curricular
   design. In addition to a demonstrated increase in acceptance of new
   teaching methods, there was a shift in student perceptions of the
   relative merits of didactic, online and TBL teaching. Medical students'
   appreciations of different instructional methods are influenced by the
   maturity of instructional design. Educational change is best viewed
   through a longer term lens, acknowledging the necessity for teachers to
   develop experience in implementing new methods in the context of their
   institution.
RI Herring, Anna L/L-7859-2014
ZS 0
TC 38
ZA 1
Z8 0
ZR 0
ZB 1
Z9 39
U1 0
U2 19
SN 0142-159X
UT WOS:000294065800017
PM 21592018
ER

PT J
AU White, J. S.
   Sharma, N.
   Boora, P.
TI Surgery 101: Evaluating the use of podcasting in a general surgery
   clerkship
SO MEDICAL TEACHER
VL 33
IS 11
BP 941
EP 943
DI 10.3109/0142159X.2011.588975
PD 2011
PY 2011
AB Background: Provision of learning resources online is rapidly becoming a
   feature of medical education.
   Aims: This study set out to determine how medical students engaged in a
   6-week clerkship in General Surgery would make use of a series of audio
   podcasts designed to meet their educational objectives.
   Methods: Patterns of use and student learning styles were determined
   using an anonymous survey.
   Results: Of the 112 students, 93 responded to the survey (83%); 68% of
   students reported listening to at least one podcast (average number:
   six). While students reported listening in a variety of time and places,
   the majority of students reported listening on a computer in dedicated
   study time. Of the listeners, 84% agreed the podcasts helped them learn
   core topics, and over 80% found the recordings interesting and engaging.
   Conclusions: This study demonstrates that podcasts are an acceptable
   learning resource for medical students engaged in a surgery clerkship,
   and can be integrated into existing study habits. We believe that
   podcasting can help us cater to busy students with a range of learning
   styles. We have also shown that a free online resource developed by one
   school can reach a global audience many times larger than its intended
   target: to date, the 'Surgery 101' podcast series has been downloaded
   more than 160,000 times worldwide.
Z8 0
TC 29
ZA 0
ZS 1
ZB 2
ZR 0
Z9 30
U1 0
U2 11
SN 0142-159X
UT WOS:000296154600019
PM 22022905
ER

PT J
AU Ellaway, Rachel
TI eMedical Teacher
SO MEDICAL TEACHER
VL 33
IS 12
BP 1038
EP 1040
DI 10.3109/0142159X.2011.653230
PD 2011
PY 2011
RI Ellaway, Rachel/L-6746-2013
OI Ellaway, Rachel/0000-0002-3759-6624
ZB 0
ZA 0
TC 2
ZR 0
Z8 0
ZS 0
Z9 2
U1 0
U2 0
SN 0142-159X
EI 1466-187X
UT WOS:000298882900021
PM 22225443
ER

PT J
AU Gormley, Gerard J. c
   Mcglade, Kieran
   Thomson, Clare
   Mcgill, Maria
   Sun, Julia
TI A virtual surgery in general practice: Evaluation of a novel
   undergraduate virtual patient learning package
SO MEDICAL TEACHER
VL 33
IS 10
BP E522
EP E527
DI 10.3109/0142159X.2011.599889
PD 2011
PY 2011
AB Background: A suite of 10 online virtual patients developed using the
   IVIMEDS 'Riverside' authoring tool has been introduced into our
   undergraduate general practice clerkship. These cases provide a
   multimedia-rich experience to students. Their interactive nature
   promotes the development of clinical reasoning skills such as
   discriminating key clinical features, integrating information from a
   variety of sources and forming diagnoses and management plans.
   Aims: To evaluate the usefulness and usability of a set of online
   virtual patients in an undergraduate general practice clerkship.
   Method: Online questionnaire completed by students after their general
   practice placement incorporating the System Usability Scale
   questionnaire.
   Results: There was a 57% response rate. Ninety-five per cent of students
   agreed that the online package was a useful learning tool and ranked
   virtual patients third out of six learning modalities. Questions and
   answers and the use of images and videos were all rated highly by
   students as useful learning methods. The package was perceived to have a
   high level of usability among respondents.
   Conclusion: Feedback from students suggest that this implementation of
   virtual patients, set in primary care, is user friendly and rated as a
   valuable adjunct to their learning. The cost of production of such
   learning resources demands close attention to design.
OI Thomson, Clare/0000-0002-8608-4801
TC 11
ZB 1
ZR 1
ZS 0
ZA 0
Z8 0
Z9 12
U1 0
U2 7
SN 0142-159X
UT WOS:000295218300002
PM 21942488
ER

PT J
AU Lazarou, Jason
   Hopyan, Julia
   Panisko, Danny
   Tai, Peter
TI Neurology for internal medicine residents: Working towards a national
   Canadian curriculum consensus
SO MEDICAL TEACHER
VL 33
IS 2
BP e65
EP e68
DI 10.3109/0142159X.2010.535868
PD 2011
PY 2011
AB Background: Partly due to the absence of a standardized neurology
   curriculum, internal medicine residents often perceive neurology lowest
   in terms of the level of knowledge and clinical confidence.
   Aims: To compare the learning needs of internal medicine residents with
   the perceived learning needs of neurology and internal medicine program
   directors and to integrate these needs by developing a focused
   nationwide neurology curriculum for internal medicine residents rotating
   through neurology.
   Methods: Medical residents and neurology and internal medicine program
   directors from programs across the Canada were asked to complete an
   online survey and to rank an exhaustive list of neurology topics. A
   modified Delphi approach was used to obtain consensus on the top 20
   topics to include in the curriculum.
   Results: Over 80%% of residents felt their competency in neurology was
   average or below after completing their neurology rotation. There was
   very high correlation between the topics ranked by residents and staff.
   We were able to achieve consensus on 20 topics to be included in a
   neurology curriculum for internal medicine residents.
   Conclusion: Through a modified Delphi approach we were able to produce a
   neurology curriculum for internal medicine residents rotating through
   neurology based on the input of program directors across the country.
OI Tai, Peter/0000-0001-9261-4832
ZB 1
ZR 0
TC 9
ZS 0
Z8 0
ZA 0
Z9 9
U1 0
U2 9
SN 0142-159X
UT WOS:000286928300002
PM 21275535
ER

PT J
AU Potts, Henry W. W.
TI Student experiences of creating and sharing material in online learning
SO MEDICAL TEACHER
VL 33
IS 11
BP E607
EP E614
DI 10.3109/0142159X.2011.610839
PD 2011
PY 2011
AB Background: User-generated content in an online environment has
   significant implications in both education and health. Instead of a
   model of knowledge being something transferred from the expert to the
   student or to the patient, Web 2.0 technologies offer the hope of making
   learning, and healthcare delivery, a more collaborative and
   participative process. However, some evidence suggests that this
   supposed democratisation of production is not entirely democratic and,
   in an educational context, many students are uncomfortable about sharing
   material they create with their peers.
   Aim: To understand students' affective and other experiences of
   generating content to be shared online with peers (e.g. in online
   discussions).
   Methods: Online interviews, face-to-face focus groups and further
   methods with two student groups in medical education, one undergraduate
   and one postgraduate.
   Results: Students were broadly positive about creating and sharing
   material online, but were also quite anxious about doing so. Many
   practical issues, including around course design, student workload and
   assessment pressures, were barriers to students creating and sharing
   material. Group size is also important, with self-sustaining activity
   less likely in small groups.
   Conclusion: Successfully introducing user-generated content into medical
   education requires attention to practical details and an awareness of
   the student anxiety that can arise.
RI Potts, Henry WW/B-9597-2008
OI Potts, Henry WW/0000-0002-6200-8804
ZB 2
ZR 0
TC 11
ZS 0
Z8 0
ZA 0
Z9 12
U1 0
U2 11
SN 0142-159X
EI 1466-187X
UT WOS:000296154600005
PM 22022914
ER

PT J
AU Rudland, Joy
   Tordoff, Rebecca
   Reid, Jim
   Farry, Pat
TI The clinical skills experience of rural immersion medical students and
   traditional hospital placement students: A student perspective
SO MEDICAL TEACHER
VL 33
IS 8
BP E435
EP E439
DI 10.3109/0142159X.2011.586745
PD 2011
PY 2011
AB Background: Recent decades have seen an international trend for the
   development of undergraduate medical programmes in rural locations.
   These have been considered educationally equivalent alternatives to
   traditional hospital-based programmes. A pilot Rural Medical Immersion
   Programme (RMIP) was launched at the University of Otago.
   Aims: To examine the clinical skills experience of RMIP students and to
   compare it to that of fifth-year students based in the traditional,
   often urban and hospital-based, rotations.
   Methods: An online questionnaire was completed by 23 medical students:
   six RMIP students and 17 hospital-based students. Students rated their
   level of experience in a variety of skills and their self-perceived
   competence for performing these skills after their fifth year. Total
   experience and confidence was compared using Mann-Whitney U test, as
   were subsets of skills.
   Results: There was no difference found in the total clinical skills
   experience and confidence between RMIP and traditional students. RMIP
   students reported greater experience of patient examination and patient
   education skills; traditional students reported greater experience and
   confidence in investigation and interpretative skills.
   Conclusion: Clinical skills experience of the RMIP students is at least
   equivalent to that of their peers in the tertiary hospital setting.
   However, attention may be needed in the development of 'investigative
   and interpretative skills' for rural immersion students.
RI Rudland, Joy/AHB-1517-2022
OI Rudland, Joy/0000-0002-7516-1728
Z8 0
TC 6
ZB 1
ZR 0
ZA 0
ZS 0
Z9 6
U1 0
U2 3
SN 0142-159X
UT WOS:000292928600005
PM 21774640
ER

PT J
AU Sastre, Elizabeth Ann
   Denny, Joshua C.
   McCoy, Jacob A.
   McCoy, Allison B.
   Spickard, Anderson, III
TI Teaching evidence-based medicine: Impact on students' literature use and
   inpatient clinical documentation
SO MEDICAL TEACHER
VL 33
IS 6
BP E306
EP E312
DI 10.3109/0142159X.2011.565827
PD 2011
PY 2011
AB Background: Effective teaching of evidence-based medicine (EBM) to
   medical students is important for lifelong self-directed learning.
   Aims: We implemented a brief workshop designed to teach literature
   searching skills to third-year medical students. We assessed its impact
   on students' utilization of EBM resources during their clinical rotation
   and the quality of EBM integration in inpatient notes.
   Methods: We developed a physician-led, hands-on workshop to introduce
   EBM resources to all internal medicine clerks. Pre- and post-workshop
   measures included student's attitudes to EBM, citations of EBM resources
   in their clinical notes, and quality of the EBM component of the
   discussion in the note. Computer log analysis recorded students' online
   search attempts.
   Results: After the workshop, students reported improved comfort using
   EBM and increased utilization of EBM resources. EBM integration into the
   discussion component of the notes also showed significant improvement.
   Computer log analysis of students' searches demonstrated increased
   utilization of EBM resources following the workshop.
   Conclusions: We describe the successful implementation of a workshop
   designed to teach third-year medical students how to perform an
   efficient EBM literature search. We demonstrated improvements in
   students' confidence regarding EBM, increased utilization of EBM
   resources, and improved integration of EBM into inpatient notes.
RI McCoy, Allison B/B-6143-2011; Denny, Josh/AAL-3359-2021; McCoy, Allison/I-1951-2013
OI McCoy, Allison B/0000-0003-2292-9147; Denny, Josh/0000-0002-3049-7332;
   McCoy, Allison/0000-0003-2292-9147
ZA 0
TC 27
ZB 5
Z8 0
ZS 1
ZR 0
Z9 28
U1 0
U2 13
SN 0142-159X
UT WOS:000290955300003
PM 21609166
ER

PT C
AU Bergeron, Bryan
   Cline, Andrew
BE Westwood, JD
   Westwood, SW
   FellanderTsai, L
   Haluck, RS
   Hoffman, HM
   Robb, RA
   Senger, S
   Vosburgh, KG
TI An Adaptive Signal-Processing Approach to Online Adaptive Tutoring
SO MEDICINE MEETS VIRTUAL REALITY 18
SE Studies in Health Technology and Informatics
VL 163
BP 60
EP 64
DI 10.3233/978-1-60750-706-2-60
PD 2011
PY 2011
AB Conventional intelligent or adaptive tutoring online systems rely on
   domain-specific models of learner behavior based on rules, deep domain
   knowledge, and other resource-intensive methods. We have developed and
   studied a domain-independent methodology of adaptive tutoring based on
   domain-independent signal-processing approaches that obviate the need
   for the construction of explicit expert and student models. A key
   advantage of our method over conventional approaches is a lower barrier
   to entry for educators who want to develop adaptive online learning
   materials.
CT 18th Medicine Meets Virtual Reality Conference / NextMed Conference
CY FEB, 2011
CL Newport Beach, CA
ZS 0
Z8 0
TC 0
ZB 0
ZR 0
ZA 0
Z9 0
U1 0
U2 1
SN 0926-9630
EI 1879-8365
BN 978-1-60750-706-2
UT WOS:000392219500012
PM 21335759
ER

PT C
AU Dev, Parvati
   Heinrichs, W. LeRoy
   Youngblood, Patricia
BE Westwood, JD
   Westwood, SW
   FellanderTsai, L
   Haluck, RS
   Hoffman, HM
   Robb, RA
   Senger, S
   Vosburgh, KG
TI CliniSpace TM: A Multiperson 3D Online Immersive Training Environment
   Accessible through a Browser
SO MEDICINE MEETS VIRTUAL REALITY 18
SE Studies in Health Technology and Informatics
VL 163
BP 173
EP 179
DI 10.3233/978-1-60750-706-2-173
PD 2011
PY 2011
AB Immersive online medical environments, with dynamic virtual patients,
   have been shown to be effective for scenario-based learning (1).
   However, ease of use and ease of access have been barriers to their use.
   We used feedback from prior evaluation of these projects to design and
   develop CliniSpace. To improve usability, we retained the richness of
   prior virtual environments but modified the user interface. To improve
   access, we used a Software-as-a-Service (SaaS) approach to present a
   richly immersive 3D environment within a web browser.
CT 18th Medicine Meets Virtual Reality Conference / NextMed Conference
CY FEB, 2011
CL Newport Beach, CA
TC 30
ZB 0
ZA 0
ZS 0
ZR 0
Z8 0
Z9 30
U1 0
U2 2
SN 0926-9630
EI 1879-8365
BN 978-1-60750-706-2
UT WOS:000392219500037
PM 21335784
ER

PT C
AU Rizzoa, Albert A.
   Lange, Belinda
   Buckwalter, John G.
   Forbell, Eric
   Kim, Julia
   Sagae, Kenji
   Williams, Josh
   Rothbaum, Barbara O.
   Difede, JoAnn
   Reger, Greg
   Parsons, Thomas
   Kenny, Patrick
BE Westwood, JD
   Westwood, SW
   FellanderTsai, L
   Haluck, RS
   Hoffman, HM
   Robb, RA
   Senger, S
   Vosburgh, KG
TI An Intelligent Virtual Human System for Providing Healthcare Information
   and Support
SO MEDICINE MEETS VIRTUAL REALITY 18
SE Studies in Health Technology and Informatics
VL 163
BP 503
EP 509
DI 10.3233/978-1-60750-706-2-503
PD 2011
PY 2011
AB Over the last 15 years, a virtual revolution has taken place in the use
   of Virtual Reality simulation technology for clinical purposes. Shifts
   in the social and scientific landscape have now set the stage for the
   next major movement in Clinical Virtual Reality with the "birth" of
   intelligent virtual humans. Seminal research and development has
   appeared in the creation of highly interactive, artificially intelligent
   and natural language capable virtual human agents that can engage real
   human users in a credible fashion. No longer at the level of a prop to
   add context or minimal faux interaction in a virtual world, virtual
   humans can be designed to perceive and act in a 3D virtual world, engage
   in spoken dialogues with real users and can be capable of exhibiting
   human-like emotional reactions. This paper will present an overview of
   the SimCoach project that aims to develop virtual human support agents
   to serve as online guides for promoting access to psychological
   healthcare information and for assisting military personnel and family
   members in breaking down barriers to initiating care. The SimCoach
   experience is being designed to attract and engage military Service
   Members, Veterans and their significant others who might not otherwise
   seek help with a live healthcare provider. It is expected that this
   experience will motivate users to take the first step - to empower
   themselves to seek advice and information regarding their healthcare and
   general personal welfare and encourage them to take the next step
   towards seeking more formal resources if needed.
CT 18th Medicine Meets Virtual Reality Conference / NextMed Conference
CY FEB, 2011
CL Newport Beach, CA
RI Lange, Belinda/GPW-9678-2022; Lange, Belinda/; Parsons, Thomas/
OI Lange, Belinda/0000-0002-2330-2699; Parsons, Thomas/0000-0003-0331-5019
ZA 0
ZS 0
TC 29
Z8 0
ZR 0
ZB 1
Z9 29
U1 1
U2 4
SN 0926-9630
BN 978-1-60750-706-2
UT WOS:000392219500100
PM 21335847
ER

PT J
AU Haux, R.
   Aronsky, D.
   Leong, T. Y.
   McCray, A. T.
TI Methods in Year 50: Preserving the Past and Preparing for the Future
SO METHODS OF INFORMATION IN MEDICINE
VL 50
IS 1
BP 1
EP 6
DI 10.3414/ME10-05-0005
PD 2011
PY 2011
AB Background: Founded in 1962 and, therefore, the oldest international
   journal in medical informatics, Methods of Information in Medicine will
   publish its 50th volume in 2011. At the start of the journal's sixth
   decade, a discussion on the journal's profile seems appropriate.
   Objectives: To report on the new opportunities for online access to
   Methods publications as well as on the recent strategic decisions
   regarding the journal's aims and editorial policies.
   Methods: Describing and analyzing the journal's aims and scope.
   Reflecting on recent publications and on the journal's development
   during the last decade.
   Results: From 2011 forward all articles of Methods from 1962 until the
   present can be accessed online. Methods of Information in Medicine
   stresses the basic methodology and scientific fundamentals of processing
   data, information and knowledge in medicine and health care. Although
   the journal's major focus is on publications in medical informatics, it
   has never been restricted to publications only in this discipline. For
   example, articles in medical biometry, in or close to biomedical
   engineering, and, later, articles in bioinformatics continue to be a
   part of this journal.
   Conclusions: There is a continuous and, as it seems, ever growing
   overlap in the research methodology and application areas of the
   mentioned disciplines. As there is a continuing and even growing need
   for such a publication forum, Methods of Information in Medicine will
   keep its broad scope. As an organizational consequence, the journal's
   number of associate editors has increased accordingly.
RI LEONG, Tze Yun/H-1142-2015; Leong, Tze Yun/
OI Leong, Tze Yun/0000-0002-1139-803X
ZA 0
ZB 0
ZR 0
ZS 0
Z8 0
TC 12
Z9 12
U1 0
U2 6
SN 0026-1270
UT WOS:000286799500001
PM 21229185
ER

PT J
AU Filipiak, Krystyna
   Malinska, Agnieszka
   Nowicki, Michal
   Krupa, Dariusz
   Zabel, Maciej
TI INNOVATIVE METHODS OF ARCHIVING, PRESENTATION AND PROVIDING ACCESS TO
   HISTOLOGICAL SECTIONS AT THE EXAMPLE OF THE CENTER OF MORPHOLOGIC IMAGES
   ARCHIVIZATION AND DIGITAL DATABASE OF MICROSCOPIC PICTURES OPERATING IN
   POZNAN UNIVERSITY OF MEDICAL SCIENCES
SO POSTEPY BIOLOGII KOMORKI
VL 38
IS 3
BP 475
EP 489
PD 2011
PY 2011
AB The dynamic development of technical sciences and information technology
   allows now for acquisition of microscopic images of histological
   sections, not only using digital cameras, but also through specialized
   devices called scanners. The images obtained using scanners and stored
   in a computer storage device are called virtual slides and, together
   with special software, are known as virtual microscopy. The virtual
   slides can be analyzed on a computer monitor by panoramic viewing or
   using a detailed image examination at higher magnification. In many
   research and education institutions in both the US and Europe, the
   virtual microscopy is used for teaching and training purposes. In the
   academic year of 2009/2010, Department of Histology and Embryology,
   University of Medical Sciences in Poznan, as one of the first in Poland,
   has created a virtual database for educational purposes. This database
   has resulted from archiving the traditional images of histological
   slides in the form of digital images. So far, more than 130 virtual
   slides have been acquired and catalogued in 24 thematic folders,
   available for medical students participating in histology, embryology
   and cell biology courses. Telepathology is the second branch which use
   virtual microscopy. Virtual microscope allows to discuss and resolve
   medical/diagnostic problems with the use of telecommunication systems
   and information technology. The existing interne platforms offer access
   to virtual microscopes and virtual slides. In June, 2011 the Center of
   Morphologic Images Archivization and Digital Database of Microscopic
   Pictures in the Department of Histology and Embryology, Poznan
   University of Medical Sciences launch an online platform (www.caom.pl),
   aimed at providing a central database of scanned histological sections
   with images of physiological tissues, and pathological, rare and unusual
   lesions, including tumors.
ZB 0
ZR 0
Z8 0
TC 0
ZS 0
ZA 0
Z9 0
U1 0
U2 11
SN 0324-833X
UT WOS:000296109600009
ER

PT J
AU Perry, Erica E.
   Zheng, Kai
   Ferris, Maria E.
   Torres, Leticia
   Bickford, Kristi
   Segal, Jonathan H.
TI Invited Manuscript Poster on Renal-Related Education American Society of
   Nephrology, Nov. 16-21, 2010 Adolescents with Chronic Kidney Disease and
   Their Need for Online Peer Mentoring: A Qualitative Investigation of
   Social Support and Healthcare Transition
SO RENAL FAILURE
VL 33
IS 7
BP 663
EP 668
DI 10.3109/0886022X.2011.589949
PD 2011
PY 2011
AB Adolescents with chronic kidney disease (CKD) tend to be isolated from
   peers who also have CKD, develop non-adherent behavior with treatment
   recommendations, and consequently are at higher risk for poor health
   outcomes such as transplant rejection. At the same time, patients in
   this age group tend to be technologically savvy and well-versed in using
   Internet-based communication tools to connect with other people. In this
   study, we conducted semi-structured interviews among adolescents with
   CKD to assess their information needs and their interest in using a
   CKD-oriented peer-mentoring website that we are developing, kTalk.org.
   We interviewed 17 adolescents with CKD, ages 14--18 years old, to learn
   about (1) any concerns regarding transition from pediatric to adult care
   teams; and (2) their interest in using the Internet as a source for
   disease-related information and as a social networking tool for finding
   and interacting with their peers. The interviews were digitally
   recorded, transcribed, and qualitatively analyzed. Results showed that
   (1) the adolescent participants are commonly concerned about
   transitioning to an adult clinic; (2) they are isolated from peers with
   the same medical condition who are of similar age; (3) they are frequent
   Facebook users and are highly interested in exploring the possibility of
   using an online community website, such as kTalk.org, to discover and
   communicate with peers and peer mentors; and (4) there exist divergent
   opinions regarding if an online community of adolescent CKD patients
   should be open to the public.
RI Maria, Ferris E/A-5143-2012; Segal, Jonathan/
OI Maria, Ferris E/0000-0003-1694-886X; Segal, Jonathan/0000-0002-8509-4784
TC 7
ZR 0
ZS 1
ZA 0
ZB 3
Z8 0
Z9 8
U1 1
U2 16
SN 0886-022X
UT WOS:000293096800003
PM 21787155
ER

PT J
AU Desai, Tejas
   Talento, Romualdo, II
   Christiano, Cynthia
   Ferris, Maria
   Hewan-Lowe, Karlene
TI Web-Based Nephropathology Teaching Modules and User Satisfaction: The
   Nephrology On-Demand Experience
SO RENAL FAILURE
VL 33
IS 10
BP 1046
EP 1048
DI 10.3109/0886022X.2011.618968
PD 2011
PY 2011
AB Nephropathology is an integral component of nephrology education. Online
   teaching sites provide valuable educational materials to learners, but
   learner satisfaction has not been measured. We developed a
   nephropathology website and measured learners' satisfaction. The
   Nephrology On-Demand Histopathology website
   (http://blog.ecu.edu/sites/nephrologyondemand/?page_id=4502) provided
   nephropathologic specimens with explanations. Users were asked to
   complete a Likert-based survey (1-strongly agree ... 5-strongly
   disagree) regarding four key areas of content quality: accuracy,
   currency, objectivity, and usefulness. Learners of all training levels
   perceived the content quality favorably. The mean (+/-SD) for accuracy
   was 1.70 (0.89), currency 1.62 (0.90), objectivity 1.80 (1.01), and
   usefulness 1.72 (0.95). Nephrology On-Demand Histopathology is a
   well-received teaching tool to learners of all training levels.
   Educators may consider using it, as well as other online nephropathology
   sites, as adjunctive 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
ZR 0
ZA 0
ZS 0
TC 5
ZB 0
Z8 0
Z9 5
U1 0
U2 3
SN 0886-022X
UT WOS:000296091000021
PM 22013941
ER

PT J
AU Moore, Crystal Dea
   Cook, Kevin M.
TI Promoting and Measuring Family Caregiver Self-Efficacy in
   Caregiver-Physician Interactions
SO SOCIAL WORK IN HEALTH CARE
VL 50
IS 10
BP 801
EP 814
DI 10.1080/00981389.2011.580835
PD 2011
PY 2011
AB This article describes the development of a 5-item scale that assesses
   family caregivers' self-efficacy in communicating with physicians about
   ill family members (Perceived Efficacy in Caregiver-Physician
   Interactions-PECPI) in the context of an evaluation study of an online
   training in health care communication skills for caregivers. A national
   sample of 197 self-identified family caregivers participated in an
   online webinar and completed a brief evaluation instrument before and
   immediately after the training. Results indicated that the webinar was
   effective in increasing perceived self-efficacy and self-reported
   knowledge about and level of preparation for medical visits. Principal
   component analysis indicates that the PECPI is unidimensional with a
   Cronbach's alpha of .91.
RI Cook, Kevin M/A-3891-2019
OI Cook, Kevin M/0000-0003-0843-8165
TC 5
ZS 0
ZA 0
Z8 0
ZR 0
ZB 0
Z9 5
U1 0
U2 9
SN 0098-1389
EI 1541-034X
UT WOS:000300017400004
PM 22136346
ER

PT J
AU Thietje, R.
   Giese, R.
   Pouw, M.
   Kaphengst, C.
   Hosman, A.
   Kienast, B.
   van de Meent, H.
   Hirschfeld, S.
TI How does knowledge about spinal cord injury-related complications
   develop in subjects with spinal cord injury? A descriptive analysis in
   214 patients
SO SPINAL CORD
VL 49
IS 1
BP 43
EP 48
DI 10.1038/sc.2010.96
PD JAN 2011
PY 2011
AB Study design: Monocentric cohort study.
   Objective: To investigate the acquisition of knowledge about spinal cord
   injury (SCI)-related complications in SCI patients.
   Setting: Level 1 trauma center.
   Methods: All patients with a traumatic or non-traumatic SCI were
   included in the study. Data were collected at admission, post-admission
   at 1 and 3 months and post-discharge at 6, 18 and 30 months. The
   discharge of all patients was between 3 and 6 months post-admission.
   Knowledge about pressure ulcers and bladder management was tested using
   the 'Knowledge' score. This score has a minimum and maximum of 0 and 20
   points. To detect differences across the multiple time intervals, the
   Friedman test was used. Differences in the number of patients with poor
   (0-8), average (9-12) and good knowledge (13-20) between the different
   age classifications (age at injury) were calculated using a chi(2)-test.
   Results: A total of 214 patients were included. At discharge subjects
   had increased their knowledge score to 11.2 compared with 5.4 on
   admission (P<0.001). After 30 months, however, the mean score decreased
   to 10.8 points. At the time of discharge, the number of patients who
   achieved poor, average or good knowledge were 48 (22.4%), 65 (30.4%) and
   101 (47.2%), respectively. Subjects of similar to 50 years old and
   tetraplegics had better (P<0.001) knowledge compared with subjects of
   similar to 50 years old and paraplegics, respectively.
   Conclusion: In this study, less than 50% of SCI patients had good
   knowledge about bladder management and pressure ulcers after being
   discharged. Spinal Cord (2011) 49, 43-48; doi: 10.1038/sc.2010.96;
   published online 7 September 2010
RI Schulz, Arndt P./AAV-7099-2020; Schulz, Arndt P/E-2907-2010; Hosman, A.J.F./L-4393-2015; Meent, H./L-4509-2015
OI Schulz, Arndt P./0000-0002-4927-549X; Schulz, Arndt
   P/0000-0002-4927-549X; 
ZR 0
ZA 0
ZB 0
TC 13
ZS 0
Z8 0
Z9 13
U1 0
U2 1
SN 1362-4393
EI 1476-5624
UT WOS:000285996800007
PM 20820180
ER

PT J
AU Karana-Zebari, D.
   de Leon, M. B.
   Kalpakjian, C. Z.
TI Predictors of marital longevity after new spinal cord injury
SO SPINAL CORD
VL 49
IS 1
BP 120
EP 124
DI 10.1038/sc.2010.63
PD JAN 2011
PY 2011
AB Study design: Prospective cohort design of married persons with new
   spinal cord injury (SCI).
   Objectives: To examine the relationship of demographic and injury
   characteristics, self-rated health, physical functioning, and life
   satisfaction to the duration of marriage 1 to 15 years after SCI among
   individuals who were married at the time of injury.
   Setting: United States.
   Methods: Survival analysis was chosen to determine the predictors
   related to marital longevity, which is defined as non-occurrence of
   divorce after injury. In all, 2327 subjects were included in the
   analyses. Predictors were demographics and injury characteristics, level
   of handicap, self-perceived health, and functional independence.
   Results: Age at injury, being Caucasian vs African American, having a
   college education vs high school, having 'other' employment status vs
   being unemployed, having higher social integration and improved or
   stable self-rated health vs poor health were all significant factors
   that delayed the time of divorce after injury. Contrary to expectations,
   level of injury, function, mobility and independence were not
   significant predictors of marriage longevity.
   Conclusion: Social integration and health perception, the most powerful
   indicators of marriage longevity, can be addressed and facilitated by
   health care providers and rehabilitation programs. Spinal Cord (2011)
   49, 120-124; doi: 10.1038/sc.2010.63; published online 1 June 2010
OI Kalpakjian, Claire/0000-0001-6652-1245
ZA 0
ZR 0
TC 11
Z8 0
ZS 0
ZB 1
Z9 11
U1 0
U2 8
SN 1362-4393
UT WOS:000285996800020
PM 20514055
ER

PT J
AU Luxton, David D.
   June, Jennifer D.
   Kinn, Julie T.
TI Technology-Based Suicide Prevention: Current Applications and Future
   Directions
SO TELEMEDICINE AND E-HEALTH
VL 17
IS 1
BP 50
EP 54
DI 10.1089/tmj.2010.0091
PD JAN-FEB 2011
PY 2011
AB This review reports on current and emerging technologies for suicide
   prevention. Technology-based programs discussed include interactive
   educational and social networking Web sites, e-mail outreach, and
   programs that use mobile devices and texting. We describe innovative
   applications such as virtual worlds, gaming, and text analysis that are
   currently being developed and applied to suicide prevention and outreach
   programs. We also discuss the benefits and limitations of
   technology-based applications and discuss future directions for their
   use.
OI Luxton, David/0000-0002-8234-0011
ZB 9
Z8 0
TC 68
ZS 2
ZR 0
ZA 0
Z9 72
U1 3
U2 27
SN 1530-5627
UT WOS:000292194800011
PM 21214382
ER

PT C
AU Pletneva, Natalia
   Cruchet, Sarah
   Simonet, Maria-Ana
   Kajiwara, Maki
   Boyer, Celia
BE Moen, A
   Andersen, SK
   Aarts, J
   Hurlen, P
TI Results of the 10th HON Survey on Health and Medical Internet Use
SO USER CENTRED NETWORKED HEALTH CARE
SE Studies in Health Technology and Informatics
VL 169
BP 73
EP 77
DI 10.3233/978-1-60750-806-9-73
PD 2011
PY 2011
AB The Internet is increasingly being used as a means to search and
   communicate health information. As the mission of Health on the Net
   Foundation (HON) is to guide healthcare consumers and professionals to
   trustworthy online information, we have been interested in seeing the
   trend of the attitudes towards Internet use for health purposes since
   1996. This article presents the results of the 10th HON survey conducted
   in July-August 2010 (in English and French). It was hosted on the HON
   site with links from Facebook and Twitter and from HONcode certified web
   sites. There were 524 participants coming mainly from France (28%), the
   UK (18%) and the USA (18%). 65% of participants represented the "general
   public", while the remaining 35% were professionals. Information quality
   remains the main barrier users encounter while looking for health
   information online; at the same time, 79% believe they critically assess
   online content. Both patients and physicians consider the Internet to be
   helpful in facilitating their communication during consultations,
   although professionals are more sceptic than the general public. These
   results justify the continuing efforts of HON to raise public awareness
   regarding online health information and the ethical, quality and
   transparency issues, and to educate and guide users towards trustworthy
   health information.
CT 23 rd Conference of the European Federation of Medical Informatics (MIE)
CY AUG 28-31, 2011
CL Forum Databehandling Helsesektoren, Oslo, NORWAY
HO Forum Databehandling Helsesektoren
SP European Federat Med Informat
RI Boyer, Celia/AAT-9282-2020
ZR 0
ZS 2
Z8 1
ZA 0
ZB 1
TC 15
Z9 18
U1 0
U2 4
SN 0926-9630
BN 978-1-60750-806-9
UT WOS:000335401700015
PM 21893717
ER

PT C
AU Papakonstantinou, D.
   Poulymenopoulou, M.
   Malamateniou, F.
   Vassilacopoulos, G.
BE Moen, A
   Andersen, SK
   Aarts, J
   Hurlen, P
TI A Cloud-Based Semantic Wiki for User Training in Healthcare Process
   Management
SO USER CENTRED NETWORKED HEALTH CARE
SE Studies in Health Technology and Informatics
VL 169
BP 93
EP 97
DI 10.3233/978-1-60750-806-9-93
PD 2011
PY 2011
AB Successful healthcare process design requires active participation of
   users who are familiar with the cooperative and collaborative nature of
   healthcare delivery, expressed in terms of healthcare processes. Hence,
   a reusable, flexible, agile and adaptable training material is needed
   with the objective to enable users instill their knowledge and expertise
   in healthcare process management and ( re) configuration activities. To
   this end, social software, such as a wiki, could be used as it supports
   cooperation and collaboration anytime, anywhere and combined with
   semantic web technology that enables structuring pieces of information
   for easy retrieval, reuse and exchange between different systems and
   tools. In this paper a semantic wiki is presented as a means for
   developing training material for healthcare providers regarding
   healthcare process management. The semantic wiki should act as a
   collective online memory containing training material that is accessible
   to authorized users, thus enhancing the training process with
   collaboration and cooperation capabilities. It is proposed that the wiki
   is stored in a secure virtual private cloud that is accessible from
   anywhere, be it an excessively open environment, while meeting the
   requirements of redundancy, high performance and autoscaling.
CT 23 rd Conference of the European Federation of Medical Informatics (MIE)
CY AUG 28-31, 2011
CL Forum Databehandling Helsesektoren, Oslo, NORWAY
HO Forum Databehandling Helsesektoren
SP European Federat Med Informat
TC 5
ZS 0
ZB 0
ZA 0
Z8 0
ZR 0
Z9 5
U1 1
U2 5
SN 0926-9630
EI 1879-8365
BN 978-1-60750-806-9
UT WOS:000335401700019
PM 21893721
ER

PT C
AU Mazzoleni, M. Cristina
   Rognoni, Carla
   Finozzi, Enrico
   Giorgi, Ines
   Pagani, Marco
   Imbriani, Marcello
BE Moen, A
   Andersen, SK
   Aarts, J
   Hurlen, P
TI Online CME Usage Patterns
SO USER CENTRED NETWORKED HEALTH CARE
SE Studies in Health Technology and Informatics
VL 169
BP 238
EP 242
DI 10.3233/978-1-60750-806-9-238
PD 2011
PY 2011
AB The paper reports the findings of the analysis of a sample of 829 online
   Continuous Medical Education (CME) enrolments aimed at inspecting users'
   preferences and behaviours. The contents of the analyzed course are
   provided as online SCORM (Sharable Content Object Reference Model)
   resources together with the corresponding Pdf downloadable versions
   allowing different usage patterns (online only, Pdf only, online AND
   Pdf, mixed online OR Pdf). The results point out that there is not a
   specific preference for one of the four patterns and that most of the
   users access both navigable modules and Pdf documents. Demographic
   characteristics and initial knowledge level do not influence the choice
   of a specific usage pattern that probably depends on internal or context
   factors. From the point of view of knowledge acquisition, the four
   patterns are equivalent. As regards users' behaviour, the analysis has
   pointed out two issues: 1) the attitude to conclude the course in a
   short time and to reach good test scores, but not the excellence; 2)
   learning activity tracing data were not available for all the
   enrolments. Cues for discussion are proposed.
CT 23 rd Conference of the European Federation of Medical Informatics (MIE)
CY AUG 28-31, 2011
CL Forum Databehandling Helsesektoren, Oslo, NORWAY
HO Forum Databehandling Helsesektoren
SP European Federat Med Informat
RI Imbriani, Marcello/AAB-1171-2021; Giorgi, Ines/; ROGNONI, CARLA/
OI Imbriani, Marcello/0000-0002-2752-1565; Giorgi,
   Ines/0000-0001-9076-3607; ROGNONI, CARLA/0000-0002-6330-0591
ZR 0
ZS 0
Z8 0
TC 2
ZB 0
ZA 0
Z9 2
U1 0
U2 2
SN 0926-9630
BN 978-1-60750-806-9
UT WOS:000335401700047
PM 21893749
ER

PT C
AU Luukkonen, Irmeli
   Saranto, Kaija
   Korpela, Mikko
BE Moen, A
   Andersen, SK
   Aarts, J
   Hurlen, P
TI Assessing the Role of a Site Visit in Adopting Activity Driven Methods
SO USER CENTRED NETWORKED HEALTH CARE
SE Studies in Health Technology and Informatics
VL 169
BP 422
EP 426
DI 10.3233/978-1-60750-806-9-422
PD 2011
PY 2011
AB Healthcare activities rely heavily on socio-technical information
   systems. Such systems should be developed according to a socio-technical
   approach. The Activity Driven (AD) approach has been developed to
   contribute to the early phases of information system development in
   healthcare. Multi-professional and multi-disciplinary education in teams
   has been used to introduce the approach to prospective analysts,
   including "lay" healthcare professionals. 'Almost real life cases' have
   been emphasized as promoters of learning. This paper reports on a study
   on site visits as a crucial element for adopting socio-technical methods
   of analysis in healthcare. The paper presents feedback collected from an
   intensive course on health information systems development held in
   Mozambique. The results indicate the high importance of site visits -
   not only as a starting point of system analysis but also as a crucial
   promoter to learning socio-technical methods. Based on the results,
   needs for improvements are identified to the usability of AD tools and
   to the practical arrangements of site visits.
CT 23 rd Conference of the European Federation of Medical Informatics (MIE)
CY AUG 28-31, 2011
CL Forum Databehandling Helsesektoren, Oslo, NORWAY
HO Forum Databehandling Helsesektoren
SP European Federat Med Informat
OI Korpela, Mikko/0000-0001-7863-3471
TC 0
ZB 0
Z8 0
ZR 0
ZA 0
ZS 0
Z9 0
U1 0
U2 0
SN 0926-9630
BN 978-1-60750-806-9
UT WOS:000335401700083
PM 21893785
ER

PT J
AU Baker, William True
   Slone, Donnie E.
   Lynch, Timothy M.
   Johnson, Christopher R.
   Baker, William A.
TI Racing and Sales Performance after Unilateral or Bilateral Single
   Transphyseal Screw Insertion for Varus Angular Limb Deformities of the
   Carpus in 53 Thoroughbreds
SO VETERINARY SURGERY
VL 40
IS 1
BP 124
EP 128
DI 10.1111/j.1532-950X.2010.00769.x
PD JAN 2011
PY 2011
AB Objective
   To evaluate the racing and sales performance of Thoroughbred horses with
   varus angular limb deformities of the carpus treated by unilateral or
   bilateral single transphyseal screw (STS) placement.
   Study Design
   Case series.
   Animals
   Thoroughbred horses (n=53).
   Methods
   Medical records (January 1, 2005-December 31, 2006) of yearling
   Thoroughbreds treated for carpal angular limb deformity by transphyseal
   screw insertion in the distal aspect of the radius were reviewed.
   Retrieved data were sex, surgery, and screw removal dates, surgical
   site, appearance, limb(s) affected, type of angular limb deformity, and
   degree of angular deviation measured by a goniometer. Racing and sales
   data were collected for analysis from an online racing site for all
   treated horses and their maternal siblings.
   Results
   No significant differences were identified between treated horses and
   their maternal siblings in yearling sale price, 2-year-olds in training
   sale price, percent starters, percent winners, and starts, earnings, and
   earnings/start made during the 2- and 3-year old years.
   Conclusions
   No deleterious effects on sales or racing performance were identified
   after use of STS in the distal aspect of the radius of Thoroughbreds for
   the treatment of varus angular limb deformities of the carpus.
ZA 0
ZR 0
ZS 0
ZB 5
TC 11
Z8 0
Z9 11
U1 0
U2 20
SN 0161-3499
UT WOS:000285833600021
PM 21175691
ER

PT J
AU Bosse, Hans Martin
   Dambe, Renato
   Juenger, Jana
   Kadmon, Martina
TI An interdisciplinary and interactive online tool to manage the
   continuous development of learning objectives in a curriculum.
SO Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen
VL 105
IS 2
BP 116
EP 23
DI 10.1016/j.zefq.2010.11.001
PD 2011
PY 2011
AB BACKGROUND: The last decades have brought about an unprecedented
   proliferation of scientific knowledge necessitating a structuring and
   standardization of content for the training of novices and junior staff
   in all academic disciplines. In medicine, great effort has been expended
   by individual faculties to compile learning objectives, yet one
   disadvantage is common to almost all of these catalogues: their static
   structure limits search options and impedes an ongoing development.
   METHODS: The learning objectives of all individual disciplines of the
   Heidelberg Curriculum Medicinale (HeiCuMed) were merged and assigned to
   levels and attributes of competency. In order to achieve easy access and
   to offer optimal search options to students, teaching staff and
   curriculum coordinators, the generated Heidelberg Catalogue of Learning
   Objectives (HCLO) was established as an online portal.
   RESULTS: The easy to handle online interface of the learning objectives
   catalogue allows for an individualized search for items with an
   unlimited combination of text and/or attributes. Thus, students and
   teaching staff may use the tool as a discipline-based guide for learning
   and teaching as well as an outcome oriented tool defining the intended
   competence of a graduate. Curriculum designers can continuously update
   the catalogue to map the currently intended course contents, thus
   ensuring fast adaptation to changing needs and rendering a dynamic
   feature to the HCLO.
   CONCLUSIONS: All members of the academic community may benefit from the
   presented model. Students are offered the opportunity to prepare for
   upcoming courses and examinations and to monitor their progress of
   competencies over the entire curriculum. Teaching staff and curriculum
   designers are supported in developing intended learning spirals and
   aligning learning objectives, course content and examination modalities.
   In its immediacy the HCLO provides the base for an advanced and fast
   adaptation in curriculum design as opposed to the static catalogues of
   objectives collecting dust. With this tool we would like to contribute
   to ongoing activities of curriculum designers in creating
   well-engineered and efficient tools to manage learning objectives.
RI Bosse, Hans Martin/AAS-5652-2021
OI Bosse, Hans Martin/0000-0001-7888-9434
ZS 0
ZB 0
ZA 0
TC 4
ZR 0
Z8 0
Z9 4
U1 0
U2 0
SN 1865-9217
UT MEDLINE:21496780
PM 21496780
ER

PT J
AU Chiasson, Mary Ann
   Hirshfield, Sabina
   Rietmeijer, Cornelis
TI HIV Prevention and Care in the Digital Age
SO JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
VL 55
BP S94
EP S97
DI 10.1097/QAI.0b013e3181fcb878
SU 2
PD DEC 15 2010
PY 2010
AB Objectives: To describe the technologic advances in the digital media,
   including computers, mobile phones, and the Internet, that have greatly
   expanded opportunities to deliver evidence-based HIV education,
   prevention, and treatment programs.
   Methods: This article examines the use of digital media in the United
   States and its potential role in HIV prevention and care.
   Results: Although the "digital divide" is shrinking, access varies by
   age, race/ethnicity, and education. The Internet is an important medium
   for delivering universal and targeted HIV education and prevention,
   especially for men who have sex with men, who report going online to
   seek health information online and for social and sexual networking.
   Online and off-line behavioral interventions using digital media range
   from computerized multimedia interventions that take into account
   individual behaviors to brief untailored video interventions. Numerous
   Web sites facilitate access to care by providing a variety of services,
   including location of and linkage to HIV testing and treatment sites.
   HIV treatment and adherence programs that use online medical records
   text messaging, paging, and tablet computer based counseling tools are
   also being developed.
   Conclusions: HIV prevention and care programs using digital media have
   great potential to cost-effectively meet the complex needs of diverse
   and often underserved populations living with or at high risk of HIV.
RI Hirshfield, Sabina/AAE-4412-2021
OI Hirshfield, Sabina/0000-0002-2649-469X
TC 54
Z8 0
ZR 0
ZA 0
ZS 1
ZB 10
Z9 54
U1 1
U2 16
SN 1525-4135
EI 1077-9450
UT WOS:000284966100009
PM 21406996
ER

PT J
AU Ajjawi, Rola
   Thistlethwaite, Jill E.
   Aslani, Parisa
   Cooling, Nick B.
TI What are the perceived learning needs of Australian general practice
   registrars for quality prescribing?
SO BMC MEDICAL EDUCATION
VL 10
AR 92
DI 10.1186/1472-6920-10-92
PD DEC 9 2010
PY 2010
AB Background: Little is known about the perceived learning needs of
   Australian general practice (GP) registrars in relation to the quality
   use of medicines (QUM) or the difficulties experienced when learning to
   prescribe. This study aimed to address this gap.
   Methods: GP registrars' perceived learning needs were investigated
   through an online national survey, interviews and focus groups. Medical
   educators' perceptions were canvassed in semi-structured interviews in
   order to gain a broader perspective of the registrars' needs.
   Qualitative data analysis was informed by a systematic framework method
   involving a number of stages. Survey data were analysed descriptively.
   Results: The two most commonly attended QUM educational activities took
   place in the workplace and through regional training providers. Outside
   of these structured educational activities, registrars learned to
   prescribe mainly through social and situated means. Difficulties
   encountered by GP registrars included the transition from hospital
   prescribing to prescribing in the GP context, judging how well they were
   prescribing and identifying appropriate and efficient sources of
   information at the point of care.
   Conclusions: GP registrars learn to prescribe primarily and
   opportunistically in the workplace. Despite many resources being
   expended on the provision of guidelines, decision-support systems and
   training, GP registrars expressed difficulties related to QUM. Ways of
   easing the transition into GP and of managing the information 'overload'
   related to medicines (and prescribing) in an evidence-guided, efficient
   and timely manner are needed. GP registrars should be provided with
   explicit feedback about the process and outcomes of prescribing
   decisions, including the use of audits, in order to improve their
   ability to judge their own prescribing.
RI Thistlethwaite, Jill/D-7966-2011; Ajjawi, Rola/; Thistlethwaite, Jill/
OI Ajjawi, Rola/0000-0003-0651-3870; Thistlethwaite,
   Jill/0000-0001-8122-4679
ZS 0
ZB 0
Z8 0
TC 11
ZA 0
ZR 0
Z9 11
U1 1
U2 5
EI 1472-6920
UT WOS:000286001600001
PM 21143939
ER

PT J
AU Bovey, Mark
   Lorenc, Ava
   Robinson, Nicola
TI Extent of acupuncture practice for infertility in the United Kingdom:
   experiences and perceptions of the practitioners
SO FERTILITY AND STERILITY
VL 94
IS 7
BP 2569
EP 2573
DI 10.1016/j.fertnstert.2010.03.072
PD DEC 2010
PY 2010
AB Objective: To investigate acupuncture practitioners' experience and
   perceptions of supporting patients presenting with fertility issues.
   Design: Questionnaire survey.
   Setting: British Acupuncture Council.
   Patient(s): British Acupuncture Council acupuncture practitioners.
   Intervention(s): Questionnaire designed for the study, by post and
   online.
   Main Outcome Measure(s): Questions on education and training, size and
   nature of practice, liaison with conventional care, and perceptions
   about use of acupuncture for fertility issues.
   Result(s): Questionnaires were sent to 2,580 practitioners. Of 861
   responses, 15% of practitioners supporting fertility issues said this
   constituted a large proportion of their case load. Eighty percent of
   practitioners reported most fertility work was related to assisted
   conception. More than 60% had specialist training. Practitioners'
   perceived benefits included stress reduction, relaxation, regulation of
   menstrual cycle, and emotional support. Emotional burden on both
   patients and practitioners was recognized and the limits of therapy.
   Point-specific acupuncture protocols were common (70%). Thirteen percent
   reported problems working with physicians. Use of acupuncture for male
   fertility issues was uncommon.
   Conclusion(s): A minority of acupuncturists have become specialists in
   supporting fertility issues. The use of an acupuncture protocol is
   common but does not conform to traditional acupuncture as it is taught
   and practiced for other conditions. (Fertil Steril (R) 2010;94:2569-73.
   (C) 2010 by American Society for Reproductive Medicine.)
OI Lorenc, Ava/0000-0002-3254-004X; Robinson, Nicola/0000-0001-5256-4527
TC 29
ZR 0
ZB 6
ZA 0
Z8 4
ZS 0
Z9 30
U1 0
U2 26
SN 0015-0282
EI 1556-5653
UT WOS:000284573700018
PM 20452588
ER

PT J
AU Yasmeen, R.
   Rathore, F. A.
   Ashraf, K.
   Butt, A. W.
TI How do patients with chronic spinal injury in Pakistan manage their
   bowels? A cross-sectional survey of 50 patients
SO SPINAL CORD
VL 48
IS 12
BP 872
EP 875
DI 10.1038/sc.2010.46
PD DEC 2010
PY 2010
AB Study design: A cross-sectional survey.
   Objectives: To document bowel care practices of chronic spinal cord
   injury (SCI) patients in Pakistan.
   Settings: Outpatient Department, Armed Forces Institute of
   Rehabilitation Medicine, Rawalpindi, Pakistan.
   Methods: A total of 50 adult patients (18-65 years) with SCI of duration
   > 12 months were sampled by convenience sampling. Medical record was
   reviewed, detailed neurological examination was performed and
   face-to-face semistructured interviews were conducted. Data were
   collected and analysed using SPSS v10. Frequencies and descriptive
   statistics were calculated for the various variables.
   Results: Most of the patients (29) were males. The mean age was 33 +/-
   11 years. Majority of the patients (76%) had thoracic-level injury. In
   all, 43 patients gave a history of occasional or regular faecal
   incontinence. In addition, 17 patients reported the regular use of
   laxatives whereas 22 used bulk-forming agents on a regular basis.
   Majority of the patients (56%) had at least one bowel evacuation daily.
   In addition, 31 patients required 16-30 min to complete the bowel
   evacuation. Approximately half (54%) required assistance in bowel
   evacuation.
   Conclusion: A large number of patients with chronic SCI in Pakistan had
   faecal incontinence. A majority of patients used methods such as
   suppositories, laxatives and bulk-forming agents to control the
   frequency and duration of the bowel programme. Adherence to standard
   bowel care programme and practices are influenced by sociocultural
   factors and lack of education on the part of the patients. Spinal Cord
   (2010) 48, 872-875; doi:10.1038/sc.2010.46; published online 4 May 2010
RI Rathore, Farooq Azam/B-8232-2008
OI Rathore, Farooq Azam/0000-0002-4759-0453
Z8 1
ZS 0
TC 10
ZB 5
ZA 0
ZR 0
Z9 11
U1 0
U2 2
SN 1362-4393
EI 1476-5624
UT WOS:000284875100007
PM 20440300
ER

PT J
AU Jorm, Anthony F.
   Kitchener, Betty A.
   Fischer, Julie-Anne
   Cvetkovski, Stefan
TI Mental health first aid training by e-learning: a randomized controlled
   trial
SO AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY
VL 44
IS 12
BP 1072
EP 1081
DI 10.3109/00048674.2010.516426
PD DEC 2010
PY 2010
AB Objective: Mental Health First Aid training is a course for the public
   that teaches how to give initial help to a person developing a mental
   health problem or in a mental health crisis. The present study evaluated
   the effects of Mental Health First Aid training delivered by e-learning
   on knowledge about mental disorders, stigmatizing attitudes and helping
   behaviour.
   Method: A randomized controlled trial was carried out with 262 members
   of the Australian public. Participants were randomly assigned to
   complete an e-learning CD, read a Mental Health First Aid manual or be
   in a waiting list control group. The effects of the interventions were
   evaluated using online questionnaires pre- and post-training and at
   6-months follow up. The questionnaires covered mental health knowledge,
   stigmatizing attitudes, confidence in providing help to others, actions
   taken to implement mental health first aid and participant mental
   health.
   Results: Both e-learning and the printed manual increased aspects of
   knowledge, reduced stigma and increased confidence compared to waiting
   list. E-learning also improved first aid actions taken more than waiting
   list, and was superior to the printed manual in reducing stigma and
   disability due to mental ill health.
   Conclusions: Mental Health First Aid information received by either
   e-learning or printed manual had positive effects, but e-learning was
   better at reducing stigma.
RI Jorm, Anthony F/B-5555-2009; Fischer, Julie/
OI Jorm, Anthony F/0000-0002-1424-4116; Fischer, Julie/0000-0002-3443-1058
ZA 0
TC 67
Z8 0
ZR 0
ZS 0
ZB 11
Z9 67
U1 0
U2 34
SN 0004-8674
UT WOS:000284114100003
PM 21070103
ER

PT J
AU Eskildsen, Manuel A.
TI Review of Web-Based Module to Train and Assess Competency in
   Systems-Based Practice
SO JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
VL 58
IS 12
BP 2412
EP 2413
DI 10.1111/j.1532-5415.2010.03167.x
PD DEC 2010
PY 2010
AB This module has a goal of increasing learners' understanding of the care
   transitions process through an online, interactive interface that can be
   completed in approximately 30 minutes. The teaching is case-based, using
   a hypothetical patient to walk learners through the main elements that
   the author is emphasizing: highlighting the importance of communication
   during the discharge process, including the preparation of complete
   discharge summaries; explaining the sources of payment for elderly
   patients moving through the healthcare system; and discharge sites
   according to type and amount of therapy that patients can expect to
   receive.
ZB 2
Z8 0
ZA 0
ZS 0
TC 11
ZR 0
Z9 11
U1 0
U2 4
SN 0002-8614
UT WOS:000285156500022
PM 21070196
ER

PT J
AU Vereecken, Carine Anna
   Vandervorst, Stephanie
   Nicklas, Theresa
   Covents, Marc
   Maes, Lea
TI Test-retest reliability and comparison of children's reports with
   parents' reports of young children's fruit and vegetable preferences
SO APPETITE
VL 55
IS 3
BP 574
EP 581
DI 10.1016/j.appet.2010.09.006
PD DEC 2010
PY 2010
AB The aim of this study is to investigate the test-retest reliability of a
   short computerized assessment of young children's fruit (F) and
   vegetable (V) preferences, and to compare children's responses with
   their parents' responses. A paper-and-pencil F and V preference and F
   and V food frequency questionnaire was completed by 194 parents. Data on
   139 preschoolers was available for test and retest of F preferences and
   data on 135 children for V. F and V preference scales were computed,
   including the ten most commonly consumed F and the ten most commonly
   consumed V. Alpha reliabilities were good (F = 0.78; V = 0.76) and
   test-retest intraclass correlations were high (ICC for F = 0.74; V =
   0.75). Agreement between parents' and children's reports was moderate
   (F: ICC = 0.48, V: ICC = 0.41). Children reported more often to have
   never consumed an item, and less often the midcategory "not yummy, not
   yucky but ok". Covariance analysis indicated differences in agreement by
   school and mothers' education level with a lower agreement for those of
   lower social status. A weak, but significant association was found
   between children's reported preferences and children's consumption (F: r
   = 0.19, V: r = 0.25). The results are promising, but additional
   validation is needed in a representative sample and should further
   explore the sources of disagreements. (C) 2010 Elsevier Ltd. All rights
   reserved.
RI Maes, Lea/D-6014-2013
ZS 0
Z8 0
ZB 4
TC 17
ZA 0
ZR 0
Z9 17
U1 0
U2 12
SN 0195-6663
UT WOS:000285988900029
PM 20851728
ER

PT J
AU Liu, Catherine
   Schwartz, Brian S.
   Vallabhaneni, Snigdha
   Nixon, Michael
   Chin-Hong, Peter V.
   Miller, Steven A.
   Chiu, Charles
   Damon, Lloyd
   Drew, W. Lawrence
TI Pandemic (H1N1) 2009 Infection in Patients with Hematologic Malignancy
SO EMERGING INFECTIOUS DISEASES
VL 16
IS 12
BP 1910
EP 1917
DI 10.3201/eid1612.100772
PD DEC 2010
PY 2010
AB Medscape LLC is pleased to provide online continuing medical education
   (CME) for this journal article allowing clinicians the opportunity to
   earn CME credit This activity has been planned and implemented in
   accordance with the Essential Areas and policies of the Accreditation
   Council for Continuing Medical Education through the joint sponsorship
   of Medscape LLC and Emerging Infectious Diseases Medscape LLC is
   accredited by the ACCME to provide continuing medical education for
   physicians Medscape LLC designates this educational activity for a
   maximum of 0 5 AMA PRA Category 1 Credits (TM) Physicians should only
   claim credit commensurate with the extent of their participation in the
   activity All other clinicians completing this activity will be issued a
   certificate of participation To participate in this journal CME activity
   (1) review the learning objectives and author disclosures, (2) study the
   education content (3) take the post test and/or complete the evaluation
   at www medscapecme com/journal/eid (4) view/print certificate
OI Chiu, Charles/0000-0003-2915-2094
ZB 9
ZA 0
ZR 0
TC 14
Z8 0
ZS 0
Z9 14
U1 0
U2 1
SN 1080-6040
EI 1080-6059
UT WOS:000285031100012
PM 21122221
ER

PT J
AU McNulty, John A.
   Gruener, Gregory
   Chandrasekhar, Arcot
   Espiritu, Baltazar
   Hoyt, Amy
   Ensminger, David
TI Are online student evaluations of faculty influenced by the timing of
   evaluations?
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 34
IS 4
BP 213
EP 216
DI 10.1152/advan.00079.2010
PD DEC 2010
PY 2010
AB McNulty JA, Gruener G, Chandrasekhar A, Espiritu B, Hoyt A, Ensminger D.
   Are online student evaluations of faculty influenced by the timing of
   evaluations?. Adv Physiol Educ 34: 213-216, 2010;
   doi:10.1152/advan.00079.2010.-Student evaluations of faculty are
   important components of the medical curriculum and faculty development.
   To improve the effectiveness and timeliness of student evaluations of
   faculty in the physiology course, we investigated whether evaluations
   submitted during the course differed from those submitted after
   completion of the course. A secure web-based system was developed to
   collect student evaluations that included numerical rankings (1-5) of
   faculty performance and a section for comments. The grades that students
   received in the course were added to the data, which were sorted
   according to the time of submission of the evaluations and analyzed by
   Pearson's correlation and Student's t-test. Only 26% of students elected
   to submit evaluations before completion of the course, and the average
   faculty ratings of these evaluations were highly correlated [r(14) =
   0.91] with the evaluations submitted after completion of the course.
   Faculty evaluations were also significantly correlated with the previous
   year [r(14) = 0.88]. Concurrent evaluators provided more comments that
   were statistically longer and subjectively scored as more "substantive."
   Students who submitted their evaluations during the course and who
   included comments had significantly higher final grades in the course.
   In conclusion, the numeric ratings that faculty received were not
   influenced by the timing of student evaluations. However, students who
   submitted early evaluations tended to be more engaged as evidenced by
   their more substantive comments and their better performance on exams.
   The consistency of faculty evaluations from year to year and concurrent
   versus at the end of the course suggest that faculty tend not to make
   significant adjustments to student evaluations.
ZB 0
ZS 0
TC 8
Z8 0
ZA 1
ZR 0
Z9 9
U1 1
U2 19
SN 1043-4046
EI 1522-1229
UT WOS:000284533400009
PM 21098389
ER

PT J
AU Peery, A. F.
   Shaheen, N. J.
   Dellon, E. S.
TI Practice patterns for the evaluation and treatment of eosinophilic
   oesophagitis
SO ALIMENTARY PHARMACOLOGY & THERAPEUTICS
VL 32
IS 11-12
BP 1373
EP 1382
DI 10.1111/j.1365-2036.2010.04476.x
PD DEC 1 2010
PY 2010
AB Background
   Although consensus guidelines for eosinophilic oesophagitis have been
   published, it remains unclear whether gastroenterologists follow these
   recommendations.
   Aim
   To assess academic and community practice patterns for the evaluation
   and treatment of eosinophilic oesophagitis and to compare these
   practices with current guidelines.
   Methods
   This was a prospective study of academic and community
   gastroenterologists using a self-administered online survey.
   Results
   A total of 60% (34 of 57) of academic and 29% (38 of 133) of community
   gastroenterologists completed the survey. Only 24% of academic and 3% of
   community gastroenterologists follow consensus guidelines to diagnose
   eosinophilic oesophagitis (P = 0.007). A proton pump inhibitor trial or
   negative pH study prior to diagnosis was required by just 25% of all
   gastroenterologists. A majority (60%) do not use the recommended
   threshold of 15 eosinophils per high powered field to diagnosis
   eosinophilic oesophagitis. Half (51%) mistakenly require a positive
   endoscopic finding. For first-line treatment, about half of the
   gastroenterologists surveyed treat with a swallowed topical steroid (53%
   academic, 56% community; P = N.S.), consistent with the guidelines.
   Conclusions
   There is variability in practice patterns for both diagnosis and
   treatment of eosinophilic oesophagitis. Ongoing education and research
   concerning diagnosis and treatment are needed.
RI Shaheen, Nicholas J/A-1898-2013
TC 46
ZR 1
ZS 0
ZA 0
ZB 21
Z8 0
Z9 48
U1 0
U2 1
SN 0269-2813
EI 1365-2036
UT WOS:000283948000010
PM 21050240
ER

PT J
AU Ladd, Elissa C.
   Mahoney, Diane Feeney
   Emani, Srinivas
TI "Under the Radar": Nurse Practitioner Prescribers and Pharmaceutical
   Industry Promotions
SO AMERICAN JOURNAL OF MANAGED CARE
VL 16
IS 12
BP E358
EP E362
PD DEC 2010
PY 2010
AB Objectives: To assess nurse practitioners' interactions with
   pharmaceutical industry promotional activities and their perception of
   information reliability and self-reported prescribing behaviors.
   Study Design: Self-administered online survey.
   Methods: A nationally randomized sample of nurse practitioner
   prescribers was surveyed. Eligibility criteria included current clinical
   practice and licensure to prescribe medications in their state of
   practice.
   Results: A total of 263 responses were analyzed. Almost all respondents
   (96%) reported regular contact with pharmaceutical sales
   representatives, and most (71%) reported receiving information on new
   drugs directly from pharmaceutical sales representatives some or most of
   the time. A large portion (66%) dispensed drug samples regularly to
   their patients, and 73% believed that samples were somewhat or very
   helpful in learning about new drugs. Eighty-one percent of respondents
   thought that it was ethically acceptable to give out samples to anyone,
   and 90% believed that it was acceptable to attend lunch and dinner
   events sponsored by the pharmaceutical industry. Almost half (48%)
   stated that they were more likely to prescribe a drug that was
   highlighted during a lunch or dinner event. Most respondents stated that
   it was ethically acceptable for speakers to be paid by industry.
   Conclusions: Nurse practitioner prescribers had extensive contact with
   pharmaceutical industry promotional activities such as pharmaceutical
   representative contact, receipt of drug samples, and regular attendance
   at industry-sponsored meal events and continuing education programs.
   They reported that industry interface with nurse practitioner
   prescribers in the form of sponsored meals, education events, and paid
   speakers was ethically acceptable. (Am J Manag Care. 2010; 16(12):
   e358-e362)
OI Mahoney, Diane/0000-0002-6415-475X
TC 12
ZB 4
ZR 0
ZA 0
Z8 0
ZS 0
Z9 12
U1 0
U2 6
SN 1088-0224
UT WOS:000285683000004
PM 21291293
ER

PT J
AU Wing, Rena R.
   Crane, Melissa M.
   Thomas, J. Graham
   Kumar, Rajiv
   Weinberg, Brad
TI Improving Weight Loss Outcomes of Community Interventions by
   Incorporating Behavioral Strategies
SO AMERICAN JOURNAL OF PUBLIC HEALTH
VL 100
IS 12
BP 2513
EP 2519
DI 10.2105/AJPH.2009.183616
PD DEC 2010
PY 2010
AB Objectives We examined whether adding behavioral weight loss strategies
   could improve the outcomes of a community weight loss campaign
   Methods Shape Up RI is a 12 week online team based program for health
   improvement in Rhode Island In study 1 we randomly assigned participants
   to the standard Shape Up RI program or to the program plus video lessons
   on weight loss In study 2 we randomly assigned participants to the
   standard program or to the program plus video lessons daily self
   monitoring of weight eating and exercise and computer generated feedback
   Results Adding video lessons alone (study 1) did not result in
   significantly improved weight loss (2 0 +/- 2 8 kg vs 1 4 +/- 2 9 kg P=
   15) However when the video lessons were supplemented with self
   monitoring and feedback (study 2) the average weight loss more than
   doubled (3 5 +/- 3 8 kg vs 1 4 +/- 2 7 kg P< 01) and the proportion of
   individuals achieving a weight loss of 5% or more tripled (40 5% vs 13
   2% P< 01) Participants in study 2 submitted self monitoring records on
   78% of days and adherence was significantly related to outcome
   Conclusions Adding behavioral strategies to community campaigns may
   improve weight loss outcomes with minimal additional cost (Am J Public
   Health 2010 100 2513-2519 doi 10 2105/AJPH 2009 183616)
OI Crane, Melissa/0000-0002-1458-2692
ZB 5
ZA 0
TC 46
ZS 0
Z8 0
ZR 0
Z9 46
U1 0
U2 5
SN 0090-0036
EI 1541-0048
UT WOS:000284563300037
PM 20966375
ER

PT J
AU Copertino, Nicolas
   Blackham, Ruth
   Hamdorf, Jeffrey M.
TI A short course for surgical supervisors and trainers: effecting
   behavioural change
SO ANZ JOURNAL OF SURGERY
VL 80
IS 12
BP 896
EP 901
DI 10.1111/j.1445-2197.2010.05523.x
PD DEC 2010
PY 2010
AB Background:
   The Supervisors and Trainers for the Surgical Education and Training
   (SAT SET) course was developed to assist surgical trainers in Australia
   and New Zealand with the transition to the new Surgical Education and
   Training framework. The aim of this study was to assess whether
   attendance at the course translated into behavioural change in surgical
   trainers and supervisors.
   Methods:
   An online survey tool was distributed to registered participants in the
   SAT SET Course. Demographic data, attitudes towards the course and
   perceived behavioural change since attendance was measured. Data was
   collected using a 5-point Likert Scale with room for occasional free
   text comments.
   Results:
   A 35% response rate was achieved for the study. Most thought the course
   was well designed, easy to follow and met its key aims. The majority
   felt more comfortable with the use of the new in-training assessment
   tools and had gained a more structured approach to analyse their
   trainees' performance. Most felt their roles as supervisors had been
   improved by attending the SAT SET course. Informal feedback to trainees
   had increased; however, structured feedback rates remained low. Fears
   that the new system would increase the workload on supervisors did not
   seem to have materialized. Of the respondents, 43% considered that
   objective assessment of trainees had improved without fear of legal
   implications.
   Conclusions:
   The SAT SET course appears to have been well received and has helped
   better inform participants of their roles and has resulted in an
   appreciable positive behavioural change in their practice as surgical
   supervisors.
Z8 0
ZA 0
TC 2
ZB 0
ZR 0
ZS 0
Z9 2
U1 0
U2 4
SN 1445-1433
UT WOS:000284767700012
PM 21114729
ER

PT J
AU Jones, Oliver
   Saunders, Helen
   Mires, Gary
TI The E-learning revolution in obstetrics and gynaecology
SO BEST PRACTICE & RESEARCH CLINICAL OBSTETRICS & GYNAECOLOGY
VL 24
IS 6
BP 731
EP 746
DI 10.1016/j.bpobgyn.2010.04.009
PD DEC 2010
PY 2010
AB The explosion of information technology has created new opportunities
   and tools to assist the trainee in the process of learning. This chapter
   describes how the Royal College of Obstetricians and Gynaecologists
   (RCOG) is embracing the opportunities provided by this technology to
   create interactive and engaging learning programmes designed to support
   trainees in achieving the knowledge, skills and attitudes required to
   practise. It considers how the RCOG has developed a number of online
   initiatives to support training, the drivers for doing so and presents
   some ideas for future developments. (C) 2010 Elsevier Ltd. All rights
   reserved.
ZR 1
ZA 0
ZS 0
TC 8
Z8 0
ZB 2
Z9 9
U1 0
U2 3
SN 1521-6934
UT WOS:000283914900005
PM 20655808
ER

PT J
AU Ng, Kai-Ling
   Yazer, Jo
   Abdolell, Mohammed
   Brown, Peter
TI National Survey to Identify Subspecialties at Risk for Physician
   Shortages in Canadian Academic Radiology Departments
SO CANADIAN ASSOCIATION OF RADIOLOGISTS JOURNAL-JOURNAL DE L ASSOCIATION
   CANADIENNE DES RADIOLOGISTES
VL 61
IS 5
BP 252
EP 257
DI 10.1016/j.carj.2010.02.007
PD DEC 2010
PY 2010
AB Purpose: To identify subspecialty fields in Canadian academic radiology
   departments that are at risk for future manpower shortages. To determine
   reasons for the potential shortages and suggest potential solutions.
   Methods: An anonymous online survey was sent by e-mail to radiology
   residents and academic radiology department heads in Canada. The survey
   was open from April 1 to August 1, 2006. Statistical analysis by using
   the SAS Frequency Procedure was performed on the results.
   Results: Interventional radiology, neuroradiology, mammography, cardiac
   imaging, and pediatric radiology were identified as areas in which there
   will be increasing workforce demands. Mammography, pediatric radiology,
   and cardiac imaging were identified as areas in which there will be a
   potential decrease in supply. Of the residents, 65.83% intended on
   pursuing subspecialty training. Priorities were interesting work, job
   availability, and work schedule. Nuclear medicine, mammography,
   pediatric radiology, and interventional radiology were identified as the
   top 4 areas in which residents specifically did not want to pursue
   further subspecialty training. Only 15% of resident respondents received
   career counseling during residency, and only 50% of those residents
   thought it was adequate.
   Conclusions: Our survey results indicate that mammography, cardiac
   imaging, and pediatric radiology are at risk for manpower shortages, and
   interventional radiology may be at risk. Increased efforts to recruit
   trainees may be necessary to ensure that these subspecialties maintain
   their presence in the future. Only 15% of the surveyed residents
   received career counseling during residency. This is a relatively
   untapped forum that academic staff could use to help recruit new
   trainees into these underserved subspecialties.
TC 11
Z8 0
ZS 0
ZA 0
ZR 0
ZB 0
Z9 11
U1 0
U2 1
SN 0846-5371
EI 1488-2361
UT WOS:000284675300002
PM 20382499
ER

PT J
AU Gadsby, R.
   Hall, H. E.
   Court, R. A.
TI Medical information about diabetes-how to keep up to date
SO DIABETIC MEDICINE
VL 27
IS 12
BP 1335
EP 1340
DI 10.1111/j.1464-5491.2010.03129.x
PD DEC 2010
PY 2010
AB P>There is a vast amount of new medical information published on
   diabetes each year; the number of systematic reviews on diabetes is also
   increasing rapidly. It is therefore difficult for clinicians keep up to
   date with the new evidence. It is suggested that reading the full
   National Institute for Clinical Excellence (NICE) guidelines on diabetes
   will bring you up to date with information as at the date of the
   evidence cut-off, which is usually approximately 1 year before
   publication. Also regularly visiting 'NHS Evidence-diabetes', an online
   resource that offers a foraging service, surveying the literature and
   alerting clinicians to all the new important and useful information,
   enables the busy clinician to manage information overload and help keep
   up to date.
RI Hall, Beth/L-7834-2015; Court, Rachel/
OI Hall, Beth/0000-0003-4980-3720; Court, Rachel/0000-0002-4567-2586
ZS 1
ZR 0
Z8 0
TC 3
ZA 0
ZB 0
Z9 4
U1 0
U2 3
SN 0742-3071
EI 1464-5491
UT WOS:000284070400001
PM 21059084
ER

PT J
AU Gray, T. A.
   Fenerty, C.
   Harper, R.
   Lee, A.
   Spencer, A. F.
   Campbell, M.
   Henson, D. B.
   Waterman, H.
TI Preliminary survey of educational support for patients prescribed ocular
   hypotensive therapy
SO EYE
VL 24
IS 12
BP 1777
EP 1786
DI 10.1038/eye.2010.121
PD DEC 2010
PY 2010
AB Purpose To establish the impact of educational support on patients'
   knowledge of glaucoma and adherence, in preparation for an intervention
   study.
   Methods Structured observation encapsulated the educational support
   provided during clinical consultations and patient interviews captured
   the depth of glaucoma knowledge, problems associated with glaucoma
   therapy, and adherence issues.
   Results One hundred and thirty-eight patients completed the study.
   Education was didactic in nature, limited for many patients and
   inconsistent across clinics. Patients showed generally poor knowledge of
   glaucoma with a median score of 6 (range 0-16). A significant
   association was found between educational support and knowledge for
   newly prescribed patients (Kendall's tau =0.30, P = 0.003), but no
   association was found for follow-up patients (Kendall's tau = 0.11, P =
   0.174). Only five (6%) patients admitted to a doctor that they did not
   adhere to their drop regimen, yet 75 (94%) reported at interview that
   they missed drops.
   Conclusions Although important, knowledge alone may not sufficiently
   improve adherence: a patient-centred approach based on ongoing support
   according to need may provide a more effective solution for this patient
   group. Eye (2010) 24, 1777-1786; doi:10.1038/eye.2010.121; published
   online 10 September 2010
RI Waterman, Heather/I-6049-2014; Gray, Trish/O-8790-2014; Campbell, Malcolm/D-3925-2011; Harper, Robert/; Henson, David/
OI Waterman, Heather/0000-0001-7052-2734; Gray, Trish/0000-0002-8088-0698;
   Campbell, Malcolm/0000-0002-6125-5731; Harper,
   Robert/0000-0001-5437-2553; Henson, David/0000-0002-9272-7295
ZB 1
Z8 0
TC 16
ZA 0
ZS 0
ZR 0
Z9 16
U1 0
U2 4
SN 0950-222X
EI 1476-5454
UT WOS:000285138500005
PM 20829888
ER

PT J
AU Robinson, Christie
   Graham, Joy
TI Perceived Internet health literacy of HIV-positive people through the
   provision of a computer and Internet health education intervention
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 27
IS 4
BP 295
EP 303
DI 10.1111/j.1471-1842.2010.00898.x
PD DEC 2010
PY 2010
AB Objective: The objective of this study was to assess perceived Internet
   health literacy of HIV-positive people before and after an Internet
   health information educational intervention.
   Methods: We developed a 50-min educational intervention on basic
   computer skills and online health information evaluation. We
   administered a demographic survey and a validated health literacy survey
   (eHEALS) at baseline, immediately after, and 3 months the class. Changes
   in scores between the surveys were analysed.
   Results: Eighteen HIV-positive participants were included in the final
   analysis. Before the intervention, most respondents' assessment of their
   ability to access Internet health information was unfavourable.
   Post-intervention, the majority of respondents agreed or strongly agreed
   they were able to access and identify Internet health information
   resources. The increase in self-assessed skill level was statistically
   significant for all eight items eHEALS (P < 0.05). Scores for the
   3-month follow-up survey remained higher than pre-intervention scores
   for most items.
   Conclusions: Providing an interdisciplinary brief introductory Internet
   health information educational intervention HIV-positive people with
   baseline low perceived Internet health literacy significantly improves
   confidence in finding and using Internet health information resources.
   Studies with larger numbers of participants should be undertaken to
   determine if brief interventions improve self-care, patient outcomes and
   use of emergency services.
Z8 0
ZR 0
ZB 5
ZS 3
ZA 0
TC 49
Z9 52
U1 0
U2 19
SN 1471-1834
UT WOS:000283981500006
PM 21050372
ER

PT J
AU Warren-Findlow, Jan
   Price, Anna E.
   Hochhalter, Angela K.
   Laditka, James N.
TI Primary care providers' sources and preferences for cognitive health
   information in the United States
SO HEALTH PROMOTION INTERNATIONAL
VL 25
IS 4
BP 464
EP 473
DI 10.1093/heapro/daq043
PD DEC 2010
PY 2010
AB In most countries, physicians and other health-care providers play key
   roles in promoting health. Accumulating scientific evidence suggests
   that providers may soon want to include cognitive health among the areas
   they promote. Cognitive health is the maintenance of cognitive abilities
   that enable social connectedness, foster a sense of purpose, promote
   independent living, allow recovery from illness or injury and promote
   effective coping with functional deficits. The US Centers for Disease
   Control and Prevention has established health promotion about cognitive
   health as a policy priority, with health providers included as one key
   group to participate in this effort. This study presents results from
   focus groups and interviews with primary care physicians (n = 28) and
   midlevel health-care providers (physician assistants and nurse
   practitioners, n = 21) in three states of the US. Providers were asked
   about their sources of information on cognitive health and for their
   ideas on how best to communicate with primary care providers about
   research on cognitive health. In results, providers cited online
   sources, popular media and continuing medical education as their most
   common sources of information about cognitive health. Popular media
   sources were used both proactively and reactively to respond to patient
   inquiries. Differences in sources of information were noted for
   physicians as compared with midlevel providers, and for rural and urban
   providers. Several potential ways to disseminate information about
   cognitive health were identified. Effective messaging is likely to
   require multiple strategies to reach diverse groups of primary care
   providers, and to include continuing medical education.
OI Warren-Findlow, Jan/0000-0002-4855-8260
TC 13
ZR 0
Z8 0
ZA 0
ZS 0
ZB 1
Z9 13
U1 1
U2 15
SN 0957-4824
EI 1460-2245
UT WOS:000284164900010
PM 20624751
ER

PT J
AU Plotnikoff, R. C.
   Eves, N.
   Jung, M.
   Sigal, R. J.
   Padwal, R.
   Karunamuni, N.
TI Multicomponent, home-based resistance training for obese adults with
   type 2 diabetes: a randomized controlled trial
SO INTERNATIONAL JOURNAL OF OBESITY
VL 34
IS 12
BP 1733
EP 1741
DI 10.1038/ijo.2010.109
PD DEC 2010
PY 2010
AB Purpose: To investigate whether a home-based resistance training (RT)
   program that supplied high-quality equipment and qualified exercise
   specialists could provide benefits to obese patients with type 2
   diabetes.
   Methods: A total of 48 obese individuals with type 2 diabetes were
   randomly assigned to either an RT (n=27) or a control group (n=21).
   Those in the RT group received a multigym and dumbbells and performed RT
   3 days per week for 16 weeks at home. A qualified exercise specialist
   supervised training, with supervision being gradually decreased
   throughout the study. Primary outcome measures included strength and
   hemoglobin-A1C, whereas secondary outcome measures included other
   cardiovascular risk markers, key social-cognitive constructs and
   health-related quality of life.
   Results: Intention-to-treat analyses indicated a significant increase in
   upper and lower body strength for the RT group compared with controls
   (20-37% mean increases in the RT group). No significant reduction in A1C
   levels was observed. The RT group had unchanged high-density lipoprotein
   cholesterol levels in comparison to declines in the control group.
   Significant reductions in fasting insulin, and increases in RT-related
   self-efficacy and intentions, were also observed in the RT group.
   Conclusions: Supervised home-based RT with high-quality equipment was
   effective for improving strength, along with other secondary outcomes in
   obese patients with type 2 diabetes. International Journal of Obesity
   (2010) 34, 1733-1741; doi:10.1038/ijo.2010.109; published online 8 June
   2010
RI Sigal, Ron/AAK-7627-2020; Sigal, Ronald/AAU-6081-2020; Padwal, Raj/G-6903-2016
OI Padwal, Raj/0000-0003-3541-2817
ZS 1
Z8 0
ZB 6
ZR 0
TC 40
ZA 0
Z9 40
U1 0
U2 16
SN 0307-0565
EI 1476-5497
UT WOS:000285242900007
PM 20531348
ER

PT J
AU Parker, Patricia A.
   Ross, Alicia C.
   Polansky, Maura N.
   Palmer, J. Lynn
   Rodriguez, M. Alma
   Baile, Walter F.
TI Communicating with Cancer Patients: What Areas do Physician Assistants
   Find Most Challenging?
SO JOURNAL OF CANCER EDUCATION
VL 25
IS 4
BP 524
EP 529
DI 10.1007/s13187-010-0110-1
PD DEC 2010
PY 2010
AB Physician assistants (PAs) and other midlevel practitioners have been
   taking on increasing clinical roles in oncology settings. Little is
   known about the communication needs and skills of oncology PAs. PAs
   working in oncology (n = 301) completed an online survey that included
   questions about their perceived skill and difficulty on several key
   communication tasks. Overall, PAs rated these communication tasks as
   "somewhat" to "moderately" difficult and their skill level in these
   areas as "average" to "good." Areas of most perceived difficulty were
   intervening with angry patients or those in denial and breaking bad
   news. Highest perceived skills were in communicating with patients from
   cultures and religions different than your own and telling patient
   he/she has cancer or disease has progressed, and the lowest perceived
   skills were in discussing do not resuscitate orders. There are areas in
   which enhancement of communication skills may be needed, and educational
   opportunities should be developed for PAs working in oncology.
RI Polansky, Maura/GWC-7267-2022
ZA 0
ZS 0
TC 4
ZR 0
Z8 0
ZB 0
Z9 4
U1 1
U2 7
SN 0885-8195
EI 1543-0154
UT WOS:000284652800012
PM 20383673
ER

PT J
AU Yuen, Hon K.
   Fallis, Michelle
   Martin-Harris, Bonnie
TI A Survey of Head and Neck Cancer Curriculum in United States Speech
   Language Pathology Masters Programs
SO JOURNAL OF CANCER EDUCATION
VL 25
IS 4
BP 556
EP 559
DI 10.1007/s13187-010-0106-x
PD DEC 2010
PY 2010
AB We surveyed speech language pathology (SLP) programs for head and neck
   cancer (HNC) training. Program directors of 242 American
   Speech-Language-Hearing Association accredited masters programs for SLP
   were contacted regarding curricular HNC material. Directors (n = 120)
   responded online: six included a required course in HNC, and all but two
   programs with no required HNC course included HNC topics in other
   required courses. Thirty-two programs were affiliated with a medical
   center and/or a teaching hospital. Programs that offered either a
   required course in HNC or elective courses on HNC were more likely to be
   affiliated with a medical center and/or a teaching hospital than
   programs that did not offer a required course in HNC (P=0.043) or
   elective courses on HNC (P=0.007), respectively. Few programs offer a
   required HNC course but most programs integrate HNC content into the
   required coursework. Potential strategies to incorporate HNC exposure
   into formal SLP programs are identified.
RI yuen/AAB-6219-2021
OI yuen/0000-0001-5696-1845
ZB 0
TC 5
Z8 0
ZA 0
ZR 0
ZS 0
Z9 5
U1 0
U2 3
SN 0885-8195
UT WOS:000284652800017
PM 20354835
ER

PT J
AU Harris, John M., Jr.
   Sklar, Bernard M.
   Amend, Robert W.
   Novalis-Marine, Cheryl
TI The Growth, Characteristics, and Future of Online CME
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 30
IS 1
BP 3
EP 10
DI 10.1002/chp.20050
PD WIN 2010
PY 2010
AB Introduction: Physician use of online continuing medical education (CME)
   is growing, but there are conflicting data on the uptake of online CME
   and few details on this market.
   Methods: Analyses of 11 years of data from the Accreditation Council for
   Continuing Medical Education (ACCME) and a survey of 272 publicly
   available CME Web sites.
   Results: The data suggest that online CME was 6.9%-8.8% of CME consumed
   in 2008. If previous exponential growth continues, online CME is likely
   to be 50% of all CME consumed within 7-10 years. Most (60%) online CME
   is produced by medical publishing and education companies. The online
   CME marketplace is consolidating, with 16% of surveyed sites providing
   76% of available credits. Currently, 70% of online CME is offered at $10
   or less per credit. Most online CME uses low-technology educational
   approaches, such as pure text and repurposed live lectures.
   Discussion: Online CME use is growing rapidly and is likely to be half
   of all CME consumed by practicing physicians within a few years. The
   pattern is consistent with Christensen's model of "disruptive
   innovation," whereby an innovative technology eventually displaces an
   incumbent technology by first providing a relatively low-quality,
   low-cost product that meets the needs of unserved customers. The
   technologies being developed for online CME may facilitate broader
   changes in medical education as well.
ZB 4
ZA 0
Z8 0
TC 59
ZR 0
ZS 2
Z9 60
U1 0
U2 8
SN 0894-1912
EI 1554-558X
UT WOS:000283239800002
PM 20222035
ER

PT J
AU Langille, Angela D.
   Catano, Victor M.
   Boran, Thomas L.
   Cunningham, Donald P.
TI The Dental Values Scale: Development and Validation
SO JOURNAL OF DENTAL EDUCATION
VL 74
IS 12
BP 1282
EP 1293
PD DEC 2010
PY 2010
AB The purpose of this study was to produce a valid scale for use in
   measuring the values of dental students and practitioners the lack of
   which has impeded research on professionalism in dentistry Following
   standard scale development procedures, we had focus groups of dental
   practitioners (N=23) develop a ninety-nine-item pool of value terms
   related to dentistry Next, Canadian dentists (N=449) rated the relevance
   of each item through an online survey They also rated the values in a
   generic values measure, Schwartz's Values Scale Exploratory and
   confirmatory factor analyses identified twenty-five items representing
   five values Altruism, Personal Satisfaction, Conscientiousness, Quality
   of Life, and Professional Status These values correlate with related
   dimensions from Schwartz's measure, they also correspond to the values
   in the American Dental Education Association's statement on
   professionalism We then administered the new Dental Values Scale to
   dental students (N=96) to determine the relationship between
   practitioner and student values First-year students were higher in
   Conscientiousness, Altruism. and Personal Satisfaction than
   practitioners. but these values decreased over time to those held by the
   dentists We discuss the implication of these results and the potential
   value of the new scale for dental education
ZR 0
TC 7
Z8 0
ZS 0
ZB 1
ZA 0
Z9 7
U1 0
U2 6
SN 0022-0337
EI 1930-7837
UT WOS:000285080800003
PM 21123496
ER

PT J
AU Rosenquist, Ashley
   Best, Brookie M.
   Miller, Teresa A.
   Gilmer, Todd P.
   Hirsch, Jan D.
TI Medication therapy management services in community pharmacy: a pilot
   programme in HIV specialty pharmacies
SO JOURNAL OF EVALUATION IN CLINICAL PRACTICE
VL 16
IS 6
BP 1142
EP 1146
DI 10.1111/j.1365-2753.2009.01283.x
PD DEC 2010
PY 2010
AB Rationale, aims and objectives
   Pharmacist-provided medication therapy management services (MTMS) have
   been shown to increase patient's adherence to medications, improve
   health outcomes and reduce overall medical costs. The purpose of this
   study was to describe a pilot programme that provided pharmacy-based
   MTMS for patients with HIV/AIDS in the state of California, USA.
   Method
   Pharmacists from the 10 pilot pharmacies were surveyed using an online
   data collection tool. Information was collected to describe the types of
   MTMS offered, proportion of patients actively using specific MTMS,
   pharmacist beliefs regarding effect on patient outcomes and barriers to
   providing MTMS, ability to offer MTMS without pilot programme funding
   and specialized pharmacist or staff training.
   Results
   Each responding pharmacy (7 of 10) varied in the number of HIV/AIDS
   patients served and prescription volume. All pharmacists had completed
   HIV/AIDS-related continuing education programmes, and some had other
   advanced training. The type of MTMS being offered varied at each
   pharmacy with 'individualized counselling by a pharmacist when overuse
   or underuse was detected' and 'refill reminders by telephone' being
   actively used by the largest proportion of patients. Most, but not all,
   pharmacists cited reimbursement as a barrier to MTMS provision.
   Pharmacists believed the MTMS they provide resulted in improved
   satisfaction (patient and provider), medication usage, therapeutics
   response and patient quality of life.
   Conclusion
   The type of MTMS offered, and proportion of patients actively using,
   varied among participating pilot pharmacies.
   Pharmacists believed MTMS improved medication usage and patient
   outcomes, although availability of reimbursement to sustain MTMS was a
   concern. Further study of objective outcomes data is ongoing.
ZB 4
ZR 0
TC 18
ZA 0
ZS 0
Z8 0
Z9 18
U1 0
U2 3
SN 1356-1294
EI 1365-2753
UT WOS:000285763900020
PM 21143346
ER

PT J
AU Jain, A.
   Agarwal, R.
   Chawla, D.
   Paul, V.
   Deorari, A.
TI Tele-education vs classroom training of neonatal resuscitation: a
   randomized trial
SO JOURNAL OF PERINATOLOGY
VL 30
IS 12
BP 773
EP 779
DI 10.1038/jp.2010.42
PD DEC 2010
PY 2010
AB Objective: To compare gain in knowledge and skills of neonatal
   resuscitation using tele-education instruction vs conventional classroom
   teaching.
   Study Design: This randomized controlled trial was conducted in the
   tele-education facility of a tertiary care center. In-service staff
   nurses were randomized to receive training by tele-education instruction
   (TI, n = 26) or classroom teaching (CT, n = 22) method from two
   neonatology instructors using a standardized teaching module on neonatal
   resuscitation. Gain in knowledge and skill scores of neonatal
   resuscitation were measured using objective assessment methods.
   Result: Age, educational qualification and professional experience of
   the participants in two groups were comparable. Pre-training mean
   knowledge scores were higher in TI group (8.3 +/- 1.7 vs 6.6 +/- 1.4, P
   = 0.004). However, skill scores were comparable in the two groups (11.7
   +/- 3 vs 10.3 +/- 2.9, P = 0.13). Training resulted in a significant and
   comparable gain in knowledge scores (4.2 +/- 2.2 vs 5.3 +/- 1.7; P =
   0.06) and skills scores (4.5 +/- 3.3 vs 5.0 +/- 3.1, P = 0.62) in both
   the groups. The post-training knowledge scores (TI: 12.5 +/- 1.7 vs CT:
   12.0 +/- 1.7, P = 0.37) and the post-training skill scores (TI: 16.0 +/-
   0.5 vs CT: 15.6 +/- 2.5, P = 0.55) were comparable in the two groups.
   However, the post-training scores, adjusted for baseline knowledge
   scores, were statistically higher in the in-person group compared with
   the telemedicine group (knowledge: 12.46 +/- 0.03 vs 12.16 +/- 0.01, P =
   0.00; skills: 15.6 +/- 2.5 vs 16.0 +/- 2.8, P = 0.00). The quantum of
   lower scores in the telemedicine group was only 2% for knowledge and 6%
   for skills. This difference was felt to be of only marginal importance.
   Satisfaction scores among trainees and instructors were comparable in
   the two groups.
   Conclusion: Tele-education offers a feasible and effective alternative
   to conventional training in neonatal resuscitation among health-care
   providers. Journal of Perinatology (2010) 30, 773-779; doi:
   10.1038/jp.2010.42; published online 1 April 2010
RI JAIN, ASHISH/AAE-9315-2020; Agarwal, Ramesh/; Chawla, Deepak/
OI JAIN, ASHISH/0000-0002-8413-5687; Agarwal, Ramesh/0000-0001-6208-3057;
   Chawla, Deepak/0000-0001-8458-037X
ZS 1
TC 42
ZR 0
Z8 2
ZB 12
ZA 0
Z9 44
U1 0
U2 7
SN 0743-8346
EI 1476-5543
UT WOS:000284693200003
PM 20357810
ER

PT J
AU Johansen, Kirsten L.
   Chertow, Glenn M.
   Kutner, Nancy G.
   Dalrymple, Lorien S.
   Grimes, Barbara A.
   Kaysen, George A.
TI Low level of self-reported physical activity in ambulatory patients new
   to dialysis
SO KIDNEY INTERNATIONAL
VL 78
IS 11
BP 1164
EP 1170
DI 10.1038/ki.2010.312
PD DEC 2010
PY 2010
AB Physical inactivity contributes to the frailty and the decline in
   function that develops over time among patients with end-stage renal
   disease. We assessed physical activity among 1547 ambulatory patients
   new to dialysis in the United States Renal Data System Comprehensive
   Dialysis Study. We used a self-reporting Human Activity Profile that
   included Maximal and Adjusted Activity Scores and compared results to
   established norms by age and gender. Physical activity was found to be
   extremely low with scores for all age and gender categories below the
   5th percentile of healthy individuals and 95% of patients had scores
   consonant with low fitness. Older age, female gender, diabetes,
   atherosclerotic disease, and a low level of education were associated
   with lower activity scores assessed by univariate and multivariable
   linear regression analysis. Higher serum albumin, creatinine, and lower
   body mass index, but not hemoglobin levels, were associated with greater
   physical activity. By multivariable analysis, patients on hemodialysis
   using a catheter reported lower levels of physical activity compared to
   those on peritoneal dialysis, hemodialysis using an arteriovenous
   fistula, or with a graft. Lower Maximal and Adjusted Activity Scores
   were associated with poor physical function and mental health. Hence,
   physical activity is distressingly low among patients new to dialysis.
   Thus, strategies to enhance activity in these patients should be
   explored. Kidney International (2010) 78, 1164-1170; doi:
   10.1038/ki.2010.312; published online 1 September 2010
OI Chertow, Glenn/0000-0002-7599-0534
TC 116
ZB 41
Z8 2
ZS 3
ZR 0
ZA 0
Z9 121
U1 1
U2 24
SN 0085-2538
UT WOS:000284173300015
PM 20811334
ER

PT J
AU Sethi, Sidharth Kumar
   Desai, Tejas P.
   Jhaveri, Kenar D.
TI Online blogging during conferences: an innovative way of e-learning
SO KIDNEY INTERNATIONAL
VL 78
IS 12
BP 1199
EP 1201
DI 10.1038/ki.2010.395
PD DEC 2010
PY 2010
RI Jhaveri, Kenar D./X-4851-2019
Z8 0
ZS 0
ZA 0
TC 11
ZB 1
ZR 0
Z9 11
U1 1
U2 1
SN 0085-2538
EI 1523-1755
UT WOS:000284752900001
PM 21116268
ER

PT J
AU Howarth, Helena
   Sommer, Volker
   Jordan, Fiona M.
TI Visual depictions of female genitalia differ depending on source
SO MEDICAL HUMANITIES
VL 36
IS 2
BP 75
EP 79
DI 10.1136/jmh.2009.003707
PD DEC 2010
PY 2010
AB Very little research has attempted to describe normal human variation in
   female genitalia, and no studies have compared the visual images that
   women might use in constructing their ideas of average and acceptable
   genital morphology to see if there are any systematic differences. The
   objective of the present work was to determine if visual depictions of
   the vulva differed according to their source so as to alert medical
   professionals and their patients to how these depictions might capture
   variation and thus influence perceptions of 'normality'. A comparative
   analysis was conducted by measuring (a) published visual materials from
   human anatomy textbooks in a university library, (b) feminist
   publications (print and online) depicting vulval morphology and (c)
   online pornography, focusing on the most visited and freely accessible
   sites in the UK. Post hoc tests showed that labial protuberance was
   significantly less (p<0.001, equivalent to approximately 7 mm) in images
   from online pornography compared to feminist publications. All five
   measures taken of vulval features were significantly correlated
   (p<0.001) in the online pornography sample, indicating a less varied
   range of differences in organ proportions than the other sources where
   not all measures were correlated. Women and health professionals should
   be aware that specific sources of imagery may depict different types of
   genital morphology and may not accurately reflect true variation in the
   population, and consultations for genital surgeries should include
   discussion about the actual and perceived range of variation in female
   genital morphology.
ZB 2
ZS 0
ZR 0
TC 23
ZA 0
Z8 1
Z9 25
U1 0
U2 10
SN 1468-215X
EI 1473-4265
UT WOS:000285827500005
PM 21393286
ER

PT J
AU Minen, Mia T.
   Duquaine, Damon
   Marx, Melissa A.
   Weiss, Don
TI A Survey of Knowledge, Attitudes, and Beliefs of Medical Students
   Concerning Antimicrobial Use and Resistance
SO MICROBIAL DRUG RESISTANCE
VL 16
IS 4
BP 285
EP 289
DI 10.1089/mdr.2010.0009
PD DEC 2010
PY 2010
AB Physicians who are insufficiently prepared to make choices on antibiotic
   selection may use antibiotics inappropriately. We surveyed medical
   students' perceptions and attitudes about their training on
   antimicrobial use to identify gaps in medical education. Medical
   students at an urban medical school in the northeast were e-mailed a
   link to an online survey. The survey was online for 1 week, after which
   time the survey responses were downloaded and analyzed. Thirty percent
   of medical students responded to the survey (n = 304). The majority of
   third-and fourth-year medical students believe that antibiotics are
   overused in the hospital and in outpatient areas. Over three quarters of
   the students would like more education on antibiotic selection, and 83%
   wanted this education to be during the third year of medical school. The
   resources they used the most for antibiotic selection included other
   physicians and handheld programs such as Epocrates, but no clear
   resource emerged as the dominant preference. Medical students recognized
   the importance of judicious antibiotic use and would like greater
   instruction on how to choose antibiotics appropriately. Medical school
   curricula should be expanded in the third year of medical school to
   provide students with additional training timed with their clinical
   rotations.
OI Marx, Melissa/0000-0001-9735-6342
TC 78
ZB 39
ZR 0
ZS 3
ZA 0
Z8 0
Z9 80
U1 1
U2 10
SN 1076-6294
EI 1931-8448
UT WOS:000284867300007
PM 20624097
ER

PT J
AU Devaskar, Sherin U.
   Hueppi, Petra S.
TI The State of the Journal-Pediatric Research: The Last Seven Years-Where
   We Were and How Far We Have Come
SO PEDIATRIC RESEARCH
VL 68
IS 6
BP 461
EP 461
DI 10.1203/PDR.0b013e318201a73f
PD DEC 2010
PY 2010
RI Huppi, Petra S/A-4079-2009; Huppi, Petra/A-4079-2009
OI Huppi, Petra S/0000-0002-7383-6648; Huppi, Petra/0000-0002-7063-4215
ZB 1
TC 1
Z8 0
ZA 0
ZR 0
ZS 0
Z9 1
U1 0
U2 0
SN 0031-3998
UT WOS:000284515400001
PM 21799323
ER

PT J
AU Kobelt, A.
   Karpinski, N.
   Petermann, F.
TI Internet-based Assessment in Medical Rehabilitation: Patient's
   Acceptance
SO PHYSIKALISCHE MEDIZIN REHABILITATIONSMEDIZIN KURORTMEDIZIN
VL 20
IS 6
BP 316
EP 321
DI 10.1055/s-0030-1267243
PD DEC 2010
PY 2010
AB Background: Internet as an instrument for diagnostic and follow-ups in
   rehabilitation measures offers a large potential for development.
   Therefore, it is important to examine whether patients in rehabilitation
   programs have technical knowledge to use the internet or computers and
   are willing to participate in computer- or internet-based processes.
   Methods: In a pilot-study 189 rehabilitation-patients (75 female) aged
   between 18-64 years from 6 outpatient rehabilitation clinics were
   questioned regarding their knowledge of computers and their acceptance
   of an internet-based assessment was examined.
   Results: The majority of patients have experience in using computers.
   84.1% patients have their own computer, 72.5% patients were able to use
   a computer before the study. No significant differences were found
   concerning education (chi(2) = 0.79, p = 0.85) or private use of the
   internet (chi(2) = 0.48, p = 0.92). No gender-related (computer owners:
   chi(2) = 0.20, p = 0.85; Internet users: chi(2) = 0.08, p = 0.77) or
   age-specific differences (chi(2) = 0.77, p = 0.86; Internet users:
   chi(2) = 0.39, p = 0.94) were found. Multivariate analyses regarding
   understanding and acceptance of an internet-based assessment demonstrate
   large contentment with this method. Also, no differences regarding
   education, gender or age of the patients could be found.
   Conclusion: The results show that an internet-based patient
   questionnaire can be carried out successfully and is accepted by the
   rehabilitation-patients.
TC 3
ZR 0
ZA 0
ZS 0
ZB 0
Z8 0
Z9 3
U1 0
U2 0
SN 0940-6689
EI 1439-085X
UT WOS:000284934600002
ER

PT J
AU Jouriles, Ernest N.
   Brown, Alan S.
   Rosenfield, David
   McDonald, Renee
   Croft, Kathryn
   Leahy, Matthew M.
   Walters, Scott T.
TI Improving the Effectiveness of Computer-Delivered Personalized Drinking
   Feedback Interventions for College Students
SO PSYCHOLOGY OF ADDICTIVE BEHAVIORS
VL 24
IS 4
BP 592
EP 599
DI 10.1037/a0020830
PD DEC 2010
PY 2010
AB This study evaluated methods of enhancing college students retention of
   information provided to them in a computer-delivered personalized
   drinking feedback intervention and whether enhanced retention reduced
   alcohol consumption during the two-week period following the
   intervention. Participants were 98 college students who reported at
   least one heavy drinking episode in the past two weeks. After
   participating in an online, personalized drinking feedback intervention,
   students were randomly assigned to one of three experimental conditions:
   1) typical, in which they were simply sent home, 2) reading, in which
   they were asked to spend the next 20 minutes re-reading the feedback.
   and 3) recall, in which they were asked to spend the next 20 minutes
   writing down as much of the information from the feedback as they could
   remember. Two weeks following the intervention, participants completed a
   recall test and provided information on their alcohol use during the
   previous two weeks. Results indicated that participants in the reading
   and recall conditions retained more of the feedback information than did
   participants in the typical condition. In addition. participants in the
   reading and recall conditions reported reduced alcohol consumption in
   the two-week period following the intervention, compared to those in the
   typical condition. Information retention partially mediated the effects
   of the reading and recall conditions on drinking outcomes.
RI McDonald, Renee/G-3120-2011; Duran, Bonnie m/A-3029-2009; Walters, Scott/
OI Walters, Scott/0000-0003-4074-6141
ZR 0
ZA 0
ZS 0
ZB 6
TC 20
Z8 0
Z9 20
U1 0
U2 5
SN 0893-164X
EI 1939-1501
UT WOS:000286171100005
PM 21198222
ER

PT J
AU Frederiksen, B. L.
   Jorgensen, T.
   Brasso, K.
   Holten, I.
   Osler, M.
TI Socioeconomic position and participation in colorectal cancer screening
SO BRITISH JOURNAL OF CANCER
VL 103
IS 10
BP 1496
EP 1501
DI 10.1038/sj.bjc.6605962
PD NOV 9 2010
PY 2010
AB BACKGROUND: Colorectal cancer (CRC) screening with faecal occult blood
   test (FOBT) has the potential to reduce the incidence and mortality of
   CRC. Screening uptake is known to be inferior in people with low
   socioeconomic position (SEP) when compared with those with high
   position; however, the results of most previous studies have limited
   value because they are based on recall or area-based measures of
   socioeconomic position, and might thus be subject to selective
   participation and misclassification. In this study we investigated
   differences in CRC screening participation using register-based
   individual information on education, employment, and income to encompass
   different but related aspects of socioeconomic stratification. Also, the
   impact of ethnicity and cohabiting status was analysed.
   METHODS: A feasibility study on CRC screening was conducted in two
   Danish counties in 2005 and 2006. Screening consisted of a
   self-administered FOBT kit mailed to 177 114 inhabitants aged 50-74
   years. Information on individual socioeconomic status was obtained from
   Statistics Denmark.
   RESULTS: A total of 85 374 (48%) of the invited returned the FOBT kits.
   Participation was significantly higher in women than in men (OR=1.58
   (1.55-1.61)), when all socioeconomic and demographic variables were
   included in the statistical model. Participation also increased with
   increasing level of education, with OR=1.38 (1.33-1.43) in those with a
   higher education compared with short education. Also, participation
   increased with increasing income levels, with OR=1.94 (1.87-2.01) in the
   highest vs lowest quintile. Individuals with a disability pension, the
   unemployed and self-employed people were significantly less likely to
   participate (OR=0.77 (0.74-0.80), OR=0.83 (0.80-0.87), and OR=0.85
   (0.81-0.89), respectively). Non-western immigrants were less likely to
   participate (OR=0.62 (0.59-0.66)) in a model controlling for age, sex,
   and county; however, this difference might be attributed to low SEP in
   these ethnic groups ((OR=0.93 (0.87-0.99), when adjusting for SEP
   indicators).
   CONCLUSION: This study based on individual information on several
   socioeconomic dimensions in a large, unselected population allowed for
   identification of several specific subgroups within the population with
   low CRC screening participation. Improved understanding is needed on the
   effect of targeted information and other strategies in order to reduce
   socioeconomic inequalities in screening. British Journal of Cancer
   (2010) 103, 1496-1501. doi:10.1038/sj.bjc.6605962 www.bjcancer.com
   Published online 19 October 2010 (C) 2010 Cancer Research UK
RI Jørgensen, Torben/Z-1335-2018; Osler, Merete/AAF-7885-2019; Osler, Merete/; Jorgensen, Torben/
OI Osler, Merete/0000-0002-6921-220X; Jorgensen, Torben/0000-0001-9453-2830
ZS 0
TC 100
ZA 0
ZB 45
ZR 0
Z8 0
Z9 100
U1 0
U2 8
SN 0007-0920
EI 1532-1827
UT WOS:000286119700005
PM 20959827
ER

PT J
AU Kasparian, N. A.
   McLoone, J. K.
   Meiser, B.
   Butow, P. N.
   Simpson, J. M.
   Mann, G. J.
TI Skin cancer screening behaviours among individuals with a strong family
   history of malignant melanoma
SO BRITISH JOURNAL OF CANCER
VL 103
IS 10
BP 1502
EP 1509
DI 10.1038/sj.bjc.6605942
PD NOV 9 2010
PY 2010
AB BACKGROUND: This study examined the prevalence and correlates of skin
   cancer screening behaviours among individuals at high risk of developing
   melanoma due to strong family history.
   METHODS: A total of 120 individuals with a known family-specific CDKN2A
   mutation (72% response rate) completed a self-report questionnaire
   assessing annual frequency of skin self-examination (SSE), clinical skin
   examination (CSE) and a variety of potential demographic, clinical and
   psychosocial correlates.
   RESULTS: In the past 12 months, 50% of participants reported engaging in
   SSE at least four times, and 43% of participants had undergone at least
   one CSE. Engagement in SSE was associated with doctor recommendation
   (beta=1.77, P=0.001), confidence in one's ability to perform SSE
   (beta=1.44, P<0.0001), positive beliefs about melanoma treatment
   (beta=0.77, P=0.002) and intention to perform SSE in the future
   (beta=1.69, P<0.0001). These variables accounted for 59% of the variance
   in SSE behaviour. Further, information-seeking style moderated the
   relationship between anxiety and SSE (beta=1.02, P=0.004). Annual uptake
   of CSE was associated with doctor recommendation (beta=2.21, P<0.0001)
   and intention to undergo CSE in the future (beta=1.19, P=0.001).
   CONCLUSION: In comparison with clinical guidelines, it appears that
   individuals at high risk of developing melanoma engage in suboptimal
   levels of skin surveillance. Improved doctor-patient communication, as
   well as psycho-education and behavioural support, may be viable means of
   improving early skin cancer detection behaviours in this high-risk
   population. British Journal of Cancer (2010) 103, 1502-1509.
   doi:10.1038/sj.bjc.6605942 www.bjcancer.com Published online 26 October
   2010 (C) 2010 Cancer Research UK
RI Kasparian, Nadine A/N-8939-2017; McLoone, Jordana/U-8742-2019; Kasparian, Nadine/Q-9470-2019; Mann, Graham J/G-4758-2014; Meiser, Bettina/AAG-5480-2021
OI Kasparian, Nadine A/0000-0001-8075-6817; McLoone,
   Jordana/0000-0002-2604-9975; Kasparian, Nadine/0000-0001-8075-6817;
   Mann, Graham J/0000-0003-1301-405X; 
Z8 0
ZS 0
ZR 0
ZB 4
ZA 0
TC 19
Z9 19
U1 0
U2 1
SN 0007-0920
UT WOS:000286119700006
PM 20978504
ER

PT J
AU Torke, Alexia M.
   Holtz, Laura R.
   Hui, Siu
   Castelluccio, Peter
   Connor, Stephen
   Eaton, Matthew A.
   Sachs, Greg A.
TI Palliative Care for Patients with Dementia: A National Survey
SO JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
VL 58
IS 11
BP 2114
EP 2121
DI 10.1111/j.1532-5415.2010.03141.x
PD NOV 2010
PY 2010
AB OBJECTIVES: To determine the extent to which hospice and nonhospice
   palliative care (PC) programs provide services to patients with dementia
   and to describe barriers and facilitators to providing nonhospice PC.
   DESIGN: Telephone and Web-based surveys.
   SETTING: U. S. hospice and PC programs from the National Hospice and
   Palliative Care Organization's program list.
   PARTICIPANTS: Executive directors of 240 hospice programs, 173 programs
   providing hospice and nonhospice PC, and 13 programs providing
   nonhospice PC.
   MEASUREMENTS: A telephone survey of hospice and PC providers followed by
   an online survey of programs providing nonhospice PC.
   RESULTS: Ninety-four percent of hospices and 72% of PC programs had
   served at least one patient with a primary diagnosis of dementia within
   the past year. Based on 80 responses to the online survey, the most
   highly rated barriers to providing PC were lack of awareness of PC by
   families and referring providers, need for respite services, and
   reimbursement policies. Highly rated needs were family information,
   assistance with caregiver burden, and behavioral symptoms. Strategies
   critical for success were an interdisciplinary team, collaboration with
   community organizations, and alternatives to aggressive end-of-life
   care.
   CONCLUSION: Almost all hospices and a majority of nonhospice PC programs
   serve patients with dementia. Education and policy efforts should focus
   on education for families and providers, support for caregivers, and
   reforming reimbursement structures to provide coverage for
   interdisciplinary PC earlier in the disease, when patients have high
   needs but are not hospice eligible. J Am Geriatr Soc 58:2114-2121, 2010.
RI Connor, Stephen R/B-3353-2009; Torke, Alexia/
OI Connor, Stephen R/0000-0003-0332-2067; Torke, Alexia/0000-0001-9609-714X
ZA 0
ZR 0
Z8 0
ZS 0
ZB 6
TC 37
Z9 37
U1 0
U2 15
SN 0002-8614
EI 1532-5415
UT WOS:000283950100009
PM 21054292
ER

PT J
AU Ruiz, Jorge G.
   Tunuguntla, Renuka
   Charlin, Bernard
   Ouslander, Joseph G.
   Symes, Stephen N.
   Gagnon, Robert
   Phancao, Francois
   Roos, Bernard A.
TI The Script Concordance Test as a Measure of Clinical Reasoning Skills in
   Geriatric Urinary Incontinence
SO JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
VL 58
IS 11
BP 2178
EP 2184
DI 10.1111/j.1532-5415.2010.03136.x
PD NOV 2010
PY 2010
AB OBJECTIVES: To validate the use of a script concordance test (SCT), a
   tool to assess clinical reasoning in contexts of uncertainty, which are
   common in clinical geriatrics practice, on geriatric urinary
   incontinence (UI) to discriminate levels of expertise in this content
   area.
   DESIGN: A reference panel (15 geriatricians) and 12 respondents (10
   senior geriatrics fellows and 2 interns) completed an online 100-item
   SCT test covering major topics in UI. The test was then optimized by
   discarding items with negative item-total correlation; the remaining 70
   questions covered all major topics in UI. The test was then administered
   to a second group of participants with different levels of experience,
   mostly from the University of Miami: eight geriatricians, nine junior
   geriatrics fellows, 53 internal medicine residents, and 26 medical
   students. Investigators assessed test reliability and construct validity
   (to discriminate between levels of expertise).
   SETTING: Tertiary academic medical center and affiliated medical school.
   PARTICIPANTS: Medical students, internal medicine residents, geriatric
   medicine fellows, and practicing geriatricians.
   MEASUREMENTS: Seventy-item SCT.
   RESULTS: The Cronbach alpha for the 70-item test was 0.72. Mean scores
   were 75.3 +/- 7.9 for geriatricians (n = 23), 69.0 +/- 9.3 for senior
   geriatrics fellows (n = 10), 66.4 +/- 6.8 for junior geriatrics fellows
   n = (9), 66.1 +/- 5.7 for residents (n = 53), and 65.6 +/- 8.5 for
   students (n = 26). Using analysis of variance, significant differences
   were found between the mean scores of the geriatricians and all other
   participants except senior fellows.
   CONCLUSION: The geriatric UI SCT demonstrated moderate reliability and
   evidence of construct validity, discriminating between experienced and
   nonexperienced physicians. J Am Geriatr Soc 58:2178-2184, 2010.
RI Tunuguntla, Renuka/AAN-9019-2021; RUIZ, JORGE/
OI Tunuguntla, Renuka/0000-0003-2582-0331; RUIZ, JORGE/0000-0003-3069-8502
TC 12
ZB 1
Z8 0
ZR 0
ZS 1
ZA 0
Z9 12
U1 0
U2 4
SN 0002-8614
UT WOS:000283950100019
PM 21054299
ER

PT J
AU Kerfoot, B. Price
   Lawler, Elizabeth V.
   Sokolovskaya, Galina
   Gagnon, David
   Conlin, Paul R.
TI Durable Improvements in Prostate Cancer Screening from Online Spaced
   Education A Randomized Controlled Trial
SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE
VL 39
IS 5
BP 472
EP 478
DI 10.1016/j.amepre.2010.07.016
PD NOV 2010
PY 2010
AB Context: Prostate cancer screening with prostate-specific antigen (PSA)
   is frequently performed, counter to clinical practice guidelines.
   Background: It was hypothesized that an e-mail-based intervention termed
   "spaced education" could reduce clinicians' inappropriate screening for
   prostate cancer.
   Design: The study was conducted as an RCT.
   Setting/participants: The study involved 95 primary care clinicians in
   eight Veterans Affairs medical centers from January 2007 to February
   2009.
   Intervention: Participants were randomized into two cohorts: spaced
   education clinicians received four isomorphic cycles of nine e-mails
   over 36 weeks (zero to two e-mails per week), whereas control clinicians
   received no intervention. Each e-mail presented a clinical scenario and
   asked whether it was appropriate to obtain a PSA test. Participants
   received immediate feedback after submitting their answers.
   Main outcome measures: The primary outcome was the number and percentage
   of inappropriate PSA screening tests ordered. Inappropriate testing was
   defined as use of PSA for prostate cancer screening in patients aged >76
   or <40 years. Appropriateness of screening was dichotomized based on
   patient age at time of screening. Patients with PSA testing for
   non-screening reasons were excluded using a validated protocol. Logistic
   regression with adjustment for patient clustering by clinician was
   performed. Analyses were conducted in 2009.
   Results: During the intervention period (Weeks 1-36), clinicians
   receiving spaced education e-mails ordered significantly fewer
   inappropriate PSA screening tests than control clinicians (10.5% vs
   14.2%, p=0.041). Over the 72-week period following the intervention
   (Weeks 37-108), spaced education clinicians continued to order fewer
   inappropriate tests compared to controls (7.8% vs 13.1%, respectively,
   p=0.011), representing a 40% relative reduction in inappropriate
   screening.
   Conclusions: Spaced education durably improves the prostate cancer
   screening behaviors of clinicians and represents a promising new
   methodology to improve patient care across healthcare systems. (Am J
   Prev Med 2010;39(5):472-478) Published by Elsevier Inc. on behalf of
   American Journal of Preventive Medicine
OI Gagnon, David/0000-0002-6367-3179
TC 49
ZA 0
ZS 0
ZR 0
Z8 0
ZB 10
Z9 50
U1 0
U2 10
SN 0749-3797
EI 1873-2607
UT WOS:000283058800013
PM 20965387
ER

PT J
AU Ghirardelli, Alyssa
   Quinn, Valerie
   Foerster, Susan B.
TI Using Geographic Information Systems and Local Food Store Data in
   California's Low-Income Neighborhoods to Inform Community Initiatives
   and Resources
SO AMERICAN JOURNAL OF PUBLIC HEALTH
VL 100
IS 11
BP 2156
EP 2162
DI 10.2105/AJPH.2010.192757
PD NOV 2010
PY 2010
AB Objectives. We examined conditions in California low-income
   neighborhoods that affect obesity to inform program planning, nutrition
   education, community participation, investment of resources, and
   involvement of stakeholders.
   Methods. Staff members in 18 local health departments were trained to
   use an online geographic information system (GIS) and conduct field
   surveys. GIS data were aggregated from 68 low-income neighborhoods of 1
   or more census tracts. Data were collected in 2007 to 2009 from 473
   grocery stores in 62 neighborhoods.
   Results. Thirty-one percent of neighborhoods mapped had no supermarket
   within any of their census tract boundaries, but health department staff
   members estimated that 74.2% of residents had access to a large grocery
   store within 1 mile. Eighty-one percent of small markets sold produce,
   and 67.6% offered 4 or more types of fresh vegetables.
   Conclusions. Small markets and corner stores in California's low-income
   neighborhoods often have fresh produce available for sale. Stores
   providing healthy options in typically underserved areas can be part of
   community efforts to promote healthy eating behaviors. (Am J Public
   Health. 2010;100:2156-2162. doi:10.2105/AJPH.2010.192757)
TC 31
ZR 0
ZB 3
Z8 0
ZS 0
ZA 0
Z9 31
U1 0
U2 18
SN 0090-0036
EI 1541-0048
UT WOS:000283807600034
PM 20864701
ER

PT J
AU Rudolf, M. C. J.
   Hunt, C.
   George, J.
   Hajibagheri, K.
   Blair, M.
TI HENRY: development, pilot and long-term evaluation of a programme to
   help practitioners work more effectively with parents of babies and
   pre-school children to prevent childhood obesity
SO CHILD CARE HEALTH AND DEVELOPMENT
VL 36
IS 6
BP 850
EP 857
DI 10.1111/j.1365-2214.2010.01116.x
PD NOV 2010
PY 2010
AB Background
   Despite epidemic numbers of obese and overweight pre-school children,
   professionals report a lack of confidence and self-efficacy in working
   with parents around lifestyle change. HENRY - Health Exercise Nutrition
   for the Really Young - trains health and community practitioners to work
   more sensitively and effectively with parents of babies and pre-school
   children around obesity and lifestyle concerns. Underpinned by the
   Family Partnership Model, reflective practice and solution-focused
   techniques, it offers face-to-face training and e-learning. This paper
   describes the development, pilot and evaluation of HENRY Sure Start
   Children's Centres.
   Methods
   Twelve Children's Centres in Oxfordshire took part in the pilot
   involving 137 staff. Questionnaires were administered at the end of
   training courses. Self-reported confidence ratings were obtained before
   and after training. Postal questionnaires were sent to Centre managers
   2-6 months later to ascertain long-term effects. Nine managers
   participated in in-depth interviews. A further 535 learners completed
   the e-learning course and online feedback.
   Results
   One hundred and thirty-one staff (96%) completed the training course and
   valued it as a way of enhancing skills and knowledge. Mean (+/- SD)
   self-reported confidence ratings increased (4.1 +/- 0.7 to 7.2 +/- 0.7;
   P < 0.00001). An influence on personal as well as professional lives was
   apparent. Long-term follow-up indicated ongoing impact attributed to
   HENRY on both Centres and staff. All 535 e-learners successfully
   completed: 98% would recommend HENRY; 94% thought it enhanced their
   skills as well as knowledge.
   Conclusions
   HENRY is an innovative approach that offers some promise in tackling
   obesity through training community and health practitioners to work more
   effectively with parents of very young children. It appears to have an
   effect on participants' personal lives as well as professional work. A
   large-scale long-term study would be required to ascertain if there is
   the desired impact on young children's lifestyles and risk of obesity.
RI Blair, Mitch/D-5612-2013; Blair, Mitch/
OI Blair, Mitch/0000-0001-7442-0188
TC 24
ZR 0
ZS 1
ZB 1
Z8 0
ZA 0
Z9 25
U1 0
U2 27
SN 0305-1862
EI 1365-2214
UT WOS:000282816600012
PM 20637028
ER

PT J
AU White, Jeremy
   Toy, Patrick
   Gibbs, Parker
   Enneking, William
   Scarborough, Mark
TI The Current Practice of Orthopaedic Oncology in North America
SO CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
VL 468
IS 11
BP 2840
EP 2853
DI 10.1007/s11999-010-1413-6
PD NOV 2010
PY 2010
AB Background The field of orthopaedic oncology in North America has been
   formalized over the past 30 years with the development of the
   Musculoskeletal Tumor Society (MSTS) and fellowship education
   opportunities.
   Questions/purposes To characterize current practices we assessed the
   fellowship education, practice setting, constitution of clinical
   practice, bone and soft tissue sarcoma treatment volume, perceived
   challenges and rewards of the career, and the nonclinical activities of
   orthopaedic oncologists.
   Methods Members of the MSTS and attendees of the 2009 AAOS-MSTS
   Specialty Day meeting were invited to participate in a twenty-three
   question online survey. One hundred and four surgeons including 99 of
   the 192 (52%) MSTS members completed the online survey.
   Results Sixty-nine of the 104 (66%) responding surgeons completed a
   1-year musculoskeletal oncology fellowship. Thirty-eight (37%) completed
   an additional orthopaedic subspecialty fellowship. Seventy-four (79%)
   work in an academic practice and 70 (+/- 16) % of clinical time is spent
   practicing musculoskeletal oncology. An average of 20 (+/- 16) bone and
   40 (+/- 36) soft tissue sarcomas were treated annually. Insufficient
   institutional support, reimbursement, and emotional stresses were
   perceived as the most important challenges in a musculoskeletal oncology
   practice. Sixty-seven (64%) of the surgeons reported serving in a
   leadership position at the departmental or national level.
   Conclusions Professional time distribution is similar to other academic
   orthopaedists. The members of the MSTS are responsible for the treatment
   of more than two-thirds of bone and soft tissue sarcomas in the United
   States.
CT Combined Meeting of the International-Society-of-Limb-Salvage
   (ISOLS)/Musculoskeletal-Tumor-Society (MSTS)
CY SEP, 2009
CL Boston, MA
SP Int Soc Limb Salvage (ISOLS); Musculoskeletal Tumor Soc (MSTS)
RI Enneking, William/GQZ-4625-2022
ZS 0
ZR 0
ZA 0
ZB 1
TC 18
Z8 0
Z9 18
U1 0
U2 1
SN 0009-921X
UT WOS:000288439900004
PM 20532714
ER

PT J
AU van Uden-Kraan, Cornelia F.
   Drossaert, Constance H. C.
   Taal, Erik
   Smit, Wim M.
   Seydel, Erwin R.
   van de Laar, Mart A. F. J.
TI Experiences and attitudes of Dutch rheumatologists and oncologists with
   regard to their patients' health-related Internet use
SO CLINICAL RHEUMATOLOGY
VL 29
IS 11
BP 1229
EP 1236
DI 10.1007/s10067-010-1435-1
PD NOV 2010
PY 2010
AB The objective of this study is to explore the experiences and attitudes
   of rheumatologists and oncologists with regard to their patients'
   health-related Internet use. In addition, we explored how often
   physicians referred their patients to health-related Internet sites. We
   sent a questionnaire to all the rheumatologists and oncologists in the
   Netherlands. The questionnaire included questions concerning
   demographics, experiences with patients' health-related Internet use,
   referral behavior, and attitudes to the consequences of patients'
   health-related Internet use (for patients themselves, the
   physician-patient relationship and the health care). The response rate
   was 46% (N = 238). Of these respondents, 134 practiced as a
   rheumatologist and 104 as an oncologist. Almost all physicians
   encountered their patients raising information from the Internet during
   a consultation. They were not, however, confronted with their patients'
   health-related Internet use on a daily basis. Physicians had a
   moderately positive attitude towards the consequences of patients'
   health-related Internet use, the physician-patient relationship and the
   health care. Oncologists were significantly less positive than
   rheumatologists about the consequences of health-related Internet use.
   Most of the physicians had never (32%) or only sometimes (42%) referred
   a patient to a health-related Internet site. Most physicians (53%) found
   it difficult to stay up-to-date with reliable Internet sites for
   patients. Physicians are moderately positive about their patients'
   health-related Internet use but only seldom refer them to relevant
   sites. Offering an up-to-date site with accredited websites for patients
   might help physicians refer their patients.
RI Taal, Erik/F-2827-2010; van Uden-Kraan, Cornelia/AAH-4093-2021; Drossaert, Constance/
OI Taal, Erik/0000-0002-9822-4488; Drossaert, Constance/0000-0002-7083-3169
ZB 2
ZR 0
Z8 0
ZS 2
TC 23
ZA 0
Z9 23
U1 0
U2 2
SN 0770-3198
UT WOS:000282046000004
PM 20383731
ER

PT J
AU Baars, Judith E.
   Siegel, Corey A.
   van't Spijker, Adriaan
   Markus, Tineke
   Kuipers, Ernst J.
   van der Woude, C. Janneke
TI Inflammatory bowel disease-patients are insufficiently educated about
   the basic characteristics of their disease and the associated risk of
   colorectal cancer
SO DIGESTIVE AND LIVER DISEASE
VL 42
IS 11
BP 777
EP 784
DI 10.1016/j.dld.2010.03.023
PD NOV 2010
PY 2010
AB Background/aim: Limited data are available about inflammatory bowel
   disease-patients' knowledge of disease and associated risks. We assessed
   patients' knowledge of disease and its associated risks/complications,
   and their perspectives on current recommendations for colectomy when
   low-grade dysplasia is found.
   Methods: Inflammatory bowel disease-patients at a regional
   patient-information-day were asked to anonymously complete a survey
   (group-A). A 2nd group was recruited online through the Dutch
   inflammatory bowel disease-patients' association (group-B).
   Results: In group-A, 109 inflammatory bowel disease-patients completed
   the survey (76% Crohn's disease, 24% ulcerative colitis, 78% female).
   Thirty-three patients (30%) were unaware of their disease-localization;
   30% thought inflammatory bowel disease shortened their life-expectancy;
   26% thought it was likely for a severe complication to occur during
   colonoscopy. Patients estimated their 10-year colorectal carcinoma-risk
   at 25%. Mean perceived colorectal carcinoma-associated mortality-risk
   was 13%. Patients would agree to colectomy if their current colorectal
   carcinoma-risk was at least 53% and 70% would refuse physicians'
   recommendation for colectomy if dysplasia were detected with a 20% risk
   of concomitant colorectal carcinoma. Group-B (n = 393 inflammatory bowel
   disease-patients) verified the results above. However, fewer patients
   (52%) would refuse physicians' recommendation for colectomy, p=0.01.
   Conclusion: Inflammatory bowel disease-patients are ill-informed about
   their disease and its associated risks. Improvement of patient-education
   is necessary to appropriately involve patients in the decision-making
   process. (C) 2010 Editrice Gastroenterologica Italiana S.r.l. Published
   by Elsevier Ltd. All rights reserved.
RI Kuipers, Ernst J/H-3293-2019; van der Woude, Christien Janneke/H-6384-2011; van der Woude, C.Janneke/
OI Kuipers, Ernst J/0000-0002-0633-3098; van der Woude,
   C.Janneke/0000-0003-3875-6957
ZB 6
TC 29
ZS 0
Z8 2
ZR 0
ZA 0
Z9 31
U1 0
U2 2
SN 1590-8658
UT WOS:000284516200006
PM 20472518
ER

PT J
AU Deloron, Philippe
   Bertin, Gwladys
   Briand, Valerie
   Massougbodji, Achille
   Cot, Michel
TI Sulfadoxine/Pyrimethamine Intermittent Preventive Treatment for Malaria
   during Pregnancy
SO EMERGING INFECTIOUS DISEASES
VL 16
IS 11
BP 1666
EP 1670
DI 10.3201/eid1611.101064
PD NOV 2010
PY 2010
AB Medscape, LLC is pleased to provide online continuing medical education
   (CME) for this journal article, allowing clinicians the opportunity to
   earn CME credit. This activity has been planned and implemented in
   accordance with the Essential Areas and policies of the Accreditation
   Council for Continuing Medical Education through the joint sponsorship
   of Medscape, LLC and Emerging Infectious Diseases. Medscape, LLC is
   accredited by the ACCME to provide continuing medical education for
   physicians. Medscape, LLC designates this educational activity for a
   maximum of 0.5 AMA PRA Category 1 Credits (TM). Physicians should only
   claim credit commensurate with the extent of their participation in the
   activity. All other clinicians completing this activity will be issued a
   certificate of participation. To participate in this journal CME
   activity: (1) review the learning objectives and author disclosures; (2)
   study the education content; (3) take the post-test and/or complete the
   evaluation at www.medscapecme.com/journal/eid; (4) view/print
   certificate.
RI Deloron, Philippe/G-6305-2010; Cot, Michel/E-7633-2011; Bertin, Gwladys/; Briand, Valerie/S-9398-2019
OI Deloron, Philippe/0000-0003-4705-2484; Cot, Michel/0000-0003-3014-4294;
   Bertin, Gwladys/0000-0002-2218-9591; Briand, Valerie/0000-0001-7927-1855
TC 13
ZA 0
ZR 0
Z8 0
ZB 5
ZS 0
Z9 13
U1 0
U2 3
SN 1080-6040
EI 1080-6059
UT WOS:000283699700002
PM 21029522
ER

PT J
AU Tsang, Clarisse A.
   Anderson, Shoana M.
   Imholte, Sara B.
   Erhart, Laura M.
   Chen, Sanny
   Park, Benjamin J.
   Christ, Cara
   Komatsu, Kenneth K.
   Chiller, Tom
   Sunenshine, Rebecca H.
TI Enhanced Surveillance of Coccidioidomycosis, Arizona, USA, 2007-2008
SO EMERGING INFECTIOUS DISEASES
VL 16
IS 11
BP 1738
EP 1744
DI 10.3201/eid1611.100475
PD NOV 2010
PY 2010
AB Medscape, LLC is pleased to provide online continuing medical education
   (CME) for this journal article, allowing clinicians the opportunity to
   earn CME credit. This activity has been planned and implemented in
   accordance with the Essential Areas and policies of the Accreditation
   Council for Continuing Medical Education through the joint sponsorship
   of Medscape, LLC and Emerging Infectious Diseases. Medscape, LLC is
   accredited by the ACCME to provide continuing medical education for
   physicians. Medscape, LLC designates this educational activity for a
   maximum of 0.5 AMA PRA Category 1 Credits (TM). Physicians should only
   claim credit commensurate with the extent of their participation in the
   activity. All other clinicians completing this activity will be issued a
   certificate of participation. To participate in this journal CME
   activity: (1) review the learning objectives and author disclosures; (2)
   study the education content; (3) take the post-test and/or complete the
   evaluation at www.medscapecme.com/journal/eid; (4) view/print
   certificate.
RI Johnston, Sara/AAU-6742-2020
ZA 0
ZR 0
Z8 0
ZB 52
ZS 1
TC 86
Z9 87
U1 0
U2 3
SN 1080-6040
EI 1080-6059
UT WOS:000283699700012
PM 21029532
ER

PT J
AU Welch, J.
   Vani, A.
   Cackett, P.
   Vallance, J.
   Cobb, C.
   Devlin, H.
   Sanders, R.
TI Glaucoma surgery: trainee outcomes and implications for future training:
   southeast Scotland
SO EYE
VL 24
IS 11
BP 1700
EP 1707
DI 10.1038/eye.2010.135
PD NOV 2010
PY 2010
AB Aim Postoperative outcome of trainee glaucoma surgery compared with
   glaucoma specialist consultant surgery. Survey of Scottish consultant
   ophthalmologists' views on trainee surgery.
   Method Retrospective analysis of 128 trainee and 176 consultant
   trabeculectomies, with minimum postoperative follow-up of 2 years.
   Prospective postal survey of 80 Scottish consultant ophthalmologists.
   Results Trainees operated mainly on cases of chronic open angle
   glaucoma, while consultants operated on significantly more complicated
   glaucomas (P = 0.0004). Trainee cases had more bleb leaks (P = 0.01),
   hypotony (P = 0.05), early (P = 0.01) and late (P = 0.03) return to
   theatre, and bleb interventions (P = 0.01). Trainee mitomycin
   trabeculectomies were associated with higher rates of return to theatre
   (P = 0.002), and cataract extraction within the first postoperative year
   (P = 0.002). Trainee cases of pseudoexfoliation had more early
   complications (P = 0.024), and trainee cases of low tension required
   more bleb interventions (P = 0.05). There was no significant difference
   (P > 0.05) between average intra-ocular pressure control (IOP) at
   postoperative visit year 1 between consultant (14.3 mm Hg) and trainee
   (13.9 mm Hg) cases. More than 50% of the 80 Scottish ophthalmology
   consultants surveyed, indicated that glaucoma surgery training
   requirements should be retained.
   Conclusions Trainee trabeculectomy cases showed significantly higher
   rates of early complications, return to theatres, and bleb interventions
   compared with consultant cases. Satisfactory IOP control was achieved in
   both groups at postoperative year 1. Trainee cases require careful
   preoperative selection, avoiding complicated glaucomas including
   pseudoexfoliation and low tension, and those that require mitomycin. The
   majority of Scottish consultants wish to retain glaucoma surgery within
   the remit of generic training. Eye (2010) 24, 1700-1707; doi:
   10.1038/eye.2010.135; published online 8 October 2010
ZB 4
TC 11
ZS 0
Z8 0
ZR 0
ZA 0
Z9 11
U1 0
U2 0
SN 0950-222X
EI 1476-5454
UT WOS:000284112900010
PM 20930853
ER

PT J
AU Mostaghimi, Arash
   Crotty, Bradley H.
   Landon, Bruce E.
TI The Availability and Nature of Physician Information on the Internet
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 25
IS 11
BP 1152
EP 1156
DI 10.1007/s11606-010-1425-7
PD NOV 2010
PY 2010
AB BACKGROUND: Although patients are commonly using the Internet to find
   healthcare information, the amount of personal and professional
   physician information and patient-generated ratings freely accessible
   online is unknown.
   OBJECTIVE: To characterize the nature of online professional and
   personal information available to the average patient searching for
   physician information through a standardized web search.
   DESIGN, SETTING, AND PARTICIPANTS: We studied 250 randomly selected
   internal medicine physicians registered with the Massachusetts Board of
   Registration in Medicine in 2008. For each physician, standardized
   searches via the Google search engine were performed using a sequential
   search strategy. The top 20 search results were analyzed, and websites
   that referred to the study subject were recorded and categorized.
   Physician rating sites were further investigated to determine the number
   of patient-entered reviews.
   MAIN MEASURES: Number and content of websites attributable to specific
   physicians.
   KEY RESULTS: Websites containing personal or professional information
   were identified for 93.6% of physicians. Among those with any web sites
   identified, 92.8% had professional information and 32.4% had personal
   information available online. Female physicians were more likely to have
   professional information available on the Internet than male physicians
   (97.5% vs. 91.7%, p = 0.03), but had similar rates of available personal
   information (32.5% vs. 32.5%, p = ns). Among personal sites, the most
   common categories included social networking sites such as Facebook
   (10.8% of physicians), hobbies (10.0%), charitable or political
   donations (9.6%), and family information (8.8%). Physician rating sites
   were identified for 86.4% of providers, but only three physicians had
   more than five reviews on any given rating site.
   CONCLUSIONS: Personal and professional physician information is widely
   available on the Internet, and often not under direct control of the
   individual physician. The availability of such information has
   implications for physician-patient relationships and suggests that
   physicians should monitor their online information.
RI Roundtree, Aimee/B-8838-2012; Crotty, Bradley/E-6332-2015; Mostaghimi, Arash/
OI Crotty, Bradley/0000-0001-6271-4816; Mostaghimi,
   Arash/0000-0002-6084-5617
ZA 0
TC 54
ZR 0
ZS 0
ZB 9
Z8 0
Z9 56
U1 0
U2 13
SN 0884-8734
EI 1525-1497
UT WOS:000283624000006
PM 20544300
ER

PT J
AU Greysen, S. Ryan
   Kind, Terry
   Chretien, Katherine C.
TI Online Professionalism and the Mirror of Social Media
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 25
IS 11
BP 1227
EP 1229
DI 10.1007/s11606-010-1447-1
PD NOV 2010
PY 2010
AB The rise of social media content created by Internet users and hosted by
   popular sites such as Facebook, Twitter, You Tube, and Wikipedia, and
   blogs-has brought several new hazards for medical professionalism.
   First, many physicians may find applying principles for medical
   professionalism to the online environment challenging in certain
   contexts. Second, physicians may not consider the potential impact of
   their online content on their patients and the public. Third, a
   momentary lapse in judgment by an individual physician to create
   unprofessional content online can reflect poorly on the entire
   profession. To overcome these challenges, we encourage individual
   physicians to realize that as they "tread" through the World Wide Web,
   they leave behind a "footprint" that may have unintended negative
   consequences for them and for the profession at large. We also recommend
   that institutions take a proactive approach to engage users of social
   media in setting consensus-based standards for "online professionalism."
   Finally, given that professionalism encompasses more than the avoidance
   of negative behaviors, we conclude with examples of more positive
   applications for this technology. Much like a mirror, social media can
   reflect the best and worst aspects of the content placed before it for
   all to see.
RI Roundtree, Aimee/B-8838-2012; Kind, Terry/
OI Kind, Terry/0000-0002-3017-5683
ZA 1
Z8 0
ZB 20
ZR 0
TC 164
ZS 4
Z9 169
U1 2
U2 70
SN 0884-8734
EI 1525-1497
UT WOS:000283624000017
PM 20632121
ER

PT J
AU DeLegge, Mark H.
   Alger-Mayer, Sharon
   Van Way, Charles W., III
   Gramlich, Leah
TI Specialty Residency Training in Medical Nutrition Education: History and
   Proposal for Improvement
SO JOURNAL OF PARENTERAL AND ENTERAL NUTRITION
VL 34
BP 47S
EP 56S
DI 10.1177/0148607110378017
SU 6
PD NOV 2010
PY 2010
AB Nutrition education among residents in training is at a critical
   juncture. There is a general lack of a unified curriculum, a lack of
   nutrition physician mentors, and a failure to properly train physicians
   about nutrition. In surveys, residents in training have acknowledged
   their minimal nutrition education. Published data and training
   experiences suggest the importance of creating physician mentors in
   nutrition who are embedded in residency training programs. The
   development of recurrent short-term nutrition credentialing courses and
   online nutrition tool kits is also thought to be important in future
   residency training.
ZB 4
ZS 0
ZR 0
ZA 0
TC 11
Z8 0
Z9 11
U1 1
U2 6
SN 0148-6071
EI 1941-2444
UT WOS:000209823600005
PM 21149835
ER

PT J
AU Cantrell, Kathryn
   Fischer, Amy
   Bouzaher, Alisha
   Bers, Marina
TI The Role of E-Mentorship in a Virtual World for Youth Transplant
   Recipients
SO JOURNAL OF PEDIATRIC ONCOLOGY NURSING
VL 27
IS 6
BP 344
EP 355
DI 10.1177/1043454210372617
PD NOV-DEC 2010
PY 2010
AB Because of geographic distances, many youth transplant recipients do not
   have the opportunity to meet and form relationships with peers who have
   undergone similar experiences. This article explores the role of
   E-mentorship in virtual environments. Most specifically, by analyzing
   data from a study conducted with the Zora virtual world with pediatric
   transplant recipients, suggestions and recommendations are given for
   conceiving the role of virtual mentors and allocating the needed
   resources. Zora is a graphical virtual world designed to create a
   community that offers psychoeducational support and the possibility of
   participating in virtual activities following a curriculum explicitly
   designed to address issues of school transition and medical adherence.
   Activities are designed to foster relationships, teach technological
   skills, and facilitate the formation of a support network of peers and
   mentors. This article addresses the research question, "What makes a
   successful E-mentorship model in virtual worlds for children with
   serious illnesses?" by looking at E-mentoring patterns such as time
   spent online, chat analysis, initiation of conversation, initiation of
   activities, and out-of-world contact.
ZS 0
Z8 0
ZR 0
ZB 1
ZA 0
TC 18
Z9 18
U1 0
U2 8
SN 1043-4542
EI 1532-8457
UT WOS:000283296300006
PM 20966162
ER

PT J
AU Foster, Kevin N.
   Neidert, Gregory P. M.
   Brubaker-Rimmer, Ruth
   Artalejo, Diana
   Caruso, Daniel M.
TI A Psychological Profile of Surgeons and Surgical Residents
SO JOURNAL OF SURGICAL EDUCATION
VL 67
IS 6
BP 359
EP 370
DI 10.1016/j.jsurg.2010.07.007
PD NOV-DEC 2010
PY 2010
AB BACKGROUND: Approximately 20 percent of general surgery residents never
   complete their original residency programs. The psychological,
   programmatic, and financial costs for this attrition are substantial for
   both the residents, who spend valuable time and money pursuing
   incompatible career paths, and the residency programs, which also lose
   valuable time and money invested in these residents. There is a large
   amount of information in the field about the performance dimensions and
   skill sets of surgeons and surgical residents. To dare, however, no
   research has been conducted on important process and content dimensions,
   which are critical in determining good person-job fit.
   METHODS: A research ream from the Department of Psychology at Arizona
   State University and Maricopa Medical Center conducted descriptive
   research to determine the work-related personality and interest
   variables of attending surgeons and surgical residents. Sixty-three
   surgical residents and 27 attending/teaching surgeons completed 2
   sections (interests and personality scales) of the World of Work
   Inventory Online (WOWI Online). This multidimensional assessment was
   offered to all attending/teaching surgeons and surgical residents at
   Maricopa Medical Center.
   RESULTS: All members of the Department of Surgery participated in the
   trial. Based on the attending/teaching and high-performing resident
   profiles, a stable interest and personality profile emerged, which
   highlights the unique characteristics necessary to identify those who
   would be most satisfied with and suitable for work as surgeons. The
   profiles of the attending/teaching surgeons and the high-performing
   residents were similar. This contrasted with the interest and
   personality profiles of low-performing residents. The differences in the
   2 groups' profiles provide insight into low performance and possible
   incompatibility with surgical residency, and possibly with general
   surgery as a profession choice.
   CONCLUSIONS: The WOWI Online assessment tool provides a stable profile
   of successful surgeons. This tool also demonstrates differences in the
   interest and personality profiles between high and low performing
   surgical residents. It may be useful as an indicator of success in
   surgical residency and in surgery as a profession. (J Surg 67:359-370.
   (C) 2010 Association of Program Directors in Surgery. Published by
   Elsevier Inc. All rights reserved.)
ZB 4
ZA 0
ZR 0
TC 15
ZS 0
Z8 0
Z9 15
U1 0
U2 8
SN 1931-7204
EI 1878-7452
UT WOS:000286350700003
PM 21156292
ER

PT J
AU Kim, Michael J.
   Fleming, Fergal J.
   Peters, Jeffrey H.
   Salloum, Rabih M.
   Monson, John R.
   Eghbali, Manizheh E.
TI Improvement in Educational Effectiveness of Morbidity and Mortality
   Conferences with Structured Presentation and Analysis of Complications
SO JOURNAL OF SURGICAL EDUCATION
VL 67
IS 6
BP 400
EP 405
DI 10.1016/j.jsurg.2010.04.005
PD NOV-DEC 2010
PY 2010
AB PURPOSE: Although morbidity and mortality (M & M) conferences are
   cornerstones of surgical teaching, they are not consistent in their
   educational quality. The current study examines the content and process
   of M & M presentations by surgical residents and hypothesizes that a
   structured format for these presentations can improve teaching and
   learning.
   METHODS: The educational effectiveness of M & M conferences was assessed
   through the observation of case presentations, questionnaires to
   residents measuring learning from presentations, and an anonymous survey
   of residents regarding perceptions of the effectiveness of conferences.
   A structured presentation format was devised to address the deficits
   noted from these assessments and subsequently introduced to all
   residents and faculty. M & M conferences were then reassessed using the
   3 methods.
   RESULTS: Forty M & M presentations by surgical residents were observed
   before the implementation of the standardized format, and 35
   presentations were observed after the changes. Observation of
   presentations noted significant changes in residents clearly presenting
   causes of complications and proposing strategies for practice change.
   Questionnaires of residents demonstrated improved ability to specify the
   causes of complications after implementation of-the new format (mean
   rating, 4.56 vs 3.11, p < 0.05) as well as to identify specific ways to
   avoid the complication in the future (mean, 4.31 vs 3.42, p < 0.05).
   Online survey results also demonstrated improved resident perception of
   the specificity of content covered during M & M conferences as well as
   in their opinions regarding the discussion process.
   CONCLUSIONS: A structured format for M & M presentations is a practical
   tool to help residents analyze complications systematically and identify
   steps for potential changes consistently in clinical practice. Such a
   format also leads to improved learning for other residents participating
   in these conferences. Without structured presentations, M & M
   conferences fail to deliver clear educational messages regarding
   surgical complications. (J Surg 67: 400-405. (C) 2010 Association of
   Program Directors in Surgery. Published by Elsevier Inc. All rights
   reserved.)
RI Fleming, Fergal/C-3735-2013; Kim, Michael Joon/ABB-2067-2020; Fleming, Fergal/
OI Kim, Michael Joon/0000-0001-6969-1370; Fleming,
   Fergal/0000-0003-0553-1591
TC 33
ZR 0
ZB 4
Z8 0
ZA 0
ZS 0
Z9 33
U1 0
U2 3
SN 1931-7204
EI 1878-7452
UT WOS:000286350700009
PM 21156298
ER

PT J
AU Sticca, Robert P.
   MacGregor, Jay M.
   Szlabick, Randolph E.
TI Is The Accreditation Council for Graduate Medical Education (ACGME)
   Resident/Fellow Survey A Valid Tool to Assess General Surgery Residency
   Programs Compliance With Work Hours Regulations?
SO JOURNAL OF SURGICAL EDUCATION
VL 67
IS 6
BP 406
EP 411
DI 10.1016/j.jsurg.2010.09.007
PD NOV-DEC 2010
PY 2010
AB The Accreditation Council for Graduate Medical Education (ACGME) uses
   the resident/fellow survey to assess residency programs compliance with
   ACGME work hours regulations. Survey results can have significant
   consequences for residency programs including ACGME letters of warning,
   shortened program accreditation cycle,, immediate full program and
   institutional site visits, or administrative withdrawal of a program's
   accreditation. Survey validity was assessed by direct query of general
   surgery residents who answer the survey each year.
   A multiple-choice survey was created to assess all US general surgery
   residents' interpretation and understanding of the ACGME survey. The
   survey was distributed to all surgery residency program directors in the
   US in 2009. Responses were compiled via an online survey program.
   Statistical analysis was performed in aggregate and between junior and
   senior residents.
   Nine hundred sixty-five (13.2%) general surgical residents responded
   with 961 (99.6%) completing all questions. All responding residents had
   taken the ACGME survey at least once with 634 (66%) having taken it more
   than once. Nineteen percent of residents had difficulty understanding
   the questions with senior residents (23%) reporting difficulty more than
   junior residents (14%), p < 0.001. Thirty-five percent of residents had
   discussed the survey with their faculty or program director prior to
   taking it, while 17% were instructed on how to answer the survey. One
   hundred thirty-three residents (14%) admitted to not answering the
   questions truthfully while 352 (37%) of residents felt that the survey
   did not provide an accurate evaluation of their work hours in residency
   training.
   An evaluation tool in which 1 in 7 residents admit to answering the
   questions falsely and 1 in 5 residents had difficulty interpreting the
   questions may not be a valid method to evaluate compliance with work
   hours regulations. Evaluation of work hours regulations compliance
   should be based on actual work hours data rather than an anonymous
   survey. (J Surg 67: 406-411. (C) 2010 Association of Program Directors
   in Surgery. Published by Elsevier Inc. All rights reserved.)
TC 12
ZR 0
ZB 1
Z8 0
ZS 0
ZA 0
Z9 12
U1 0
U2 1
SN 1931-7204
UT WOS:000286350700010
PM 21156299
ER

PT J
AU Swanson, Jennifer A.
   Antonoff, Mara B.
   D'Cunha, Jonathan
   Maddaus, Michael A.
TI Personality Profiling of the Modern Surgical Trainee: Insights into
   Generation X
SO JOURNAL OF SURGICAL EDUCATION
VL 67
IS 6
BP 417
EP 420
DI 10.1016/j.jsurg.2010.07.017
PD NOV-DEC 2010
PY 2010
AB PURPOSE: Surgical education is undergoing a revolution in its approach
   to training. Duty-hour limitations, the need for strong teamwork, and
   increased cross-coverage have all impacted the culture of a surgical
   residency. This, combined with the profound shift in our culture at
   large has led to the suggestion that our specialty is attracting a
   different or more "modern" trainee (Generation X) with personality
   attributes that differ considerably from previous surgical residents.
   Historically, personality profiling of surgeons (Myers-Briggs Type
   Indicator (MBTI)) has favored the ESTJ personality type [extroversion
   (E), sensing (S), thinking (T), and judging (J)]. We hypothesized that
   the changing surgical training paradigms are attracting a different
   personality profile. To test this, we administered the MBTI examination
   to a large cohort of surgical trainees in one academic surgical training
   program.
   METHODS: In 2009, with Institutional Review Board (IRB) approval, we
   administered online MBTI Step I form M tests to all 41 categorical
   surgery residents from our Accreditation Council for Graduate Medical
   Education (ACGME)-accredited general surgery program. The test results
   were distributed by a certified MBTI consultant and compared with
   previously published data of staff surgeons. The data were analyzed
   using a chi(2) analysis to determine differences between groups (alpha =
   0.05).
   RESULTS: Of the 41 categorical surgery residents, 39 (95%) residents
   completed the MBTI assessment, (54% male). The most frequent
   preferential personality type of the resident surgeon was ISTJ
   [introversion (I)], 30.8%, n = 12. When the results were compared with
   previously published personality profiles of practicing surgeons, there
   was a significant difference (p = 0.009) between E and I, contrasting
   the 2 groups (Table 1). However, the preferences of sensing, thinking,
   and judging (STJ) over all others was not significantly different (p =
   0.203).
   CONCLUSION: Most current surgical trainees demonstrate the I personality
   type. This finding contrasts with established literature, which showed a
   preference for the E personality type among surgeons trained under the
   apprenticeship model of residency. As surgical training continues to
   evolve, it is imperative that we consider the personality traits of the
   modern trainee and how they might impact the development and
   implementation of our educational objectives and affect relationships
   among staff and resident trainees. (J Surg 67:417-420. (C) 2010
   Association of Program Directors in Surgery. Published by Elsevier Inc.
   All rights reserved.)
ZR 0
Z8 0
TC 32
ZS 0
ZA 0
ZB 6
Z9 32
U1 0
U2 14
SN 1931-7204
UT WOS:000286350700012
PM 21156301
ER

PT J
AU Tanner, Christine A
TI Transforming prelicensure nursing education: preparing the new nurse to
   meet emerging health care needs.
SO Nursing education perspectives
VL 31
IS 6
BP 347
EP 53
PD 2010 Nov-Dec
PY 2010
AB The Carnegie Foundation for the Advancement of Teaching joins a chorus
   of calls for transformation of prelicensure nursing education (Benner,
   Sutphen, Leonard, & Day, 2009). Citing the shift of significant
   responsibility to nurses for managing complex medical regimens, as well
   as the increasing complexity of community-based practices, Benner and
   colleagues concluded that nurses entering the field are not equipped
   with the essential knowledge and skills for today's practice nor
   prepared to continue learning for tomorrow's nursing (p. 31). They
   found: a) weak curricula in natural sciences, technology, social
   sciences, and humanities, and in developing cultural competency; b) weak
   classroom instruction and limited integration between classroom and
   clinical experiences; c) limited strategies in helping students develop
   habits of inquiry, raising clinical questions, seeking evidence for
   practices; d) faculty and student perception that students are ill
   prepared for their first job and dissatisfaction with the teaching
   preparation of current nursing faculty; and e) multiple pathways to
   eligibility for the licensure examination, with tremendous variability
   in prerequisites, curricular requirements, and the quality of offerings.
ZA 0
TC 40
ZS 3
Z8 0
ZB 2
ZR 0
Z9 42
U1 0
U2 1
SN 1536-5026
UT MEDLINE:21280438
PM 21280438
ER

PT J
AU Huber, J.
   Peters, T.
   Kessler, A.
   Ihrig, A.
   Huber, C. G.
   Hadaschik, B.
   Pahernik, S.
   Hohenfellner, M.
TI Online support groups for localized prostate cancer. Qualitative
   analysis of decision making
SO UROLOGE
VL 49
IS 11
BP 1377
EP 1384
DI 10.1007/s00120-010-2363-z
PD NOV 2010
PY 2010
AB Background. In localized prostate cancer individual treatment decisions
   cannot be reached relying exclusively on medical data. Therefore, social
   interaction is of considerable importance and online support groups
   allow us to get to know a facet of this communication.
   Material and methods. We investigated 82 thematically relevant threads
   representing 5% of the largest German online support group on prostate
   cancer (http://forum.prostatakrebs-bps.de). Two independent
   investigators used methods derived from grounded theory and linguistic
   conversation analysis to characterize the sample.
   Results. Users report on personal experience and provide subjective
   recommendations. At the same time those seeking advice are encouraged to
   weigh the information and to decide for themselves. Some urologists
   contribute to the discussion and seem to have a corrective influence,
   but their involvement is judged diversely. As mainly lay people with
   different levels of knowledge are involved in the discussion, a
   tentative language style is frequently used. The disease itself appears
   to be a linguistic taboo. Besides treatment recommendations, emotional
   support is of major concern. Being personally affected establishes a
   sense of unity, which adds to the subjective value of the communication.
   Conclusions. Patients readily receive information, advice and emotional
   support in online support groups. Knowledge of such online services is
   useful in ensuring good counselling for our patients.
RI Huber, Christian/A-4413-2009; Huber, Johannes/AAF-5514-2020; Hadaschik, Boris/
OI Huber, Christian/0000-0002-2246-9008; Huber,
   Johannes/0000-0001-7243-8958; Hadaschik, Boris/0000-0002-1052-2692
ZR 0
ZB 3
ZA 0
Z8 0
ZS 0
TC 5
Z9 5
U1 1
U2 11
SN 0340-2592
EI 1433-0563
UT WOS:000284241500006
PM 20824267
ER

PT J
AU Al-Jasmi, Fatma
   Moldovan, Laura
   Clarke, Joe T. R.
TI Hunter disease eClinic: interactive, computer-assisted, problem-based
   approach to independent learning about a rare genetic disease
SO BMC MEDICAL EDUCATION
VL 10
AR 72
DI 10.1186/1472-6920-10-72
PD OCT 25 2010
PY 2010
AB Background: Computer-based teaching (CBT) is a well-known educational
   device, but it has never been applied systematically to the teaching of
   a complex, rare, genetic disease, such as Hunter disease (MPS II).
   Aim: To develop interactive teaching software functioning as a virtual
   clinic for the management of MPS II.
   Implementation and Results: The Hunter disease eClinic, a self-training,
   user-friendly educational software program, available at the Lysosomal
   Storage Research Group (http://www.lysosomalstorageresearch.ca), was
   developed using the Adobe Flash multimedia platform. It was designed to
   function both to provide a realistic, interactive virtual clinic and
   instantaneous access to supporting literature on Hunter disease. The
   Hunter disease eClinic consists of an eBook and an eClinic. The eClinic
   is the interactive virtual clinic component of the software. Within an
   environment resembling a real clinic, the trainee is instructed to
   perform a medical history, to examine the patient, and to order
   appropriate investigation. The program provides clinical data derived
   from the management of actual patients with Hunter disease. The eBook
   provides instantaneous, electronic access to a vast collection of
   reference information to provide detailed background clinical and basic
   science, including relevant biochemistry, physiology, and genetics. In
   the eClinic, the trainee is presented with quizzes designed to provide
   immediate feedback on both trainee effectiveness and efficiency. User
   feedback on the merits of the program was collected at several seminars
   and formal clinical rounds at several medical centres, primarily in
   Canada. In addition, online usage statistics were documented for a
   2-year period. Feedback was consistently positive and confirmed the
   practical benefit of the program. The online English-language version is
   accessed daily by users from all over the world; a Japanese translation
   of the program is also available.
   Conclusions: The Hunter disease eClinic employs a CBT model providing
   the trainee with realistic clinical problems, coupled with comprehensive
   basic and clinical reference information by instantaneous access to an
   electronic textbook, the eBook. The program was rated highly by
   attendees at national and international presentations. It provides a
   potential model for use as an educational approach to other rare genetic
   diseases.
ZR 0
TC 6
Z8 0
ZA 0
ZS 1
ZB 1
Z9 7
U1 0
U2 20
EI 1472-6920
UT WOS:000284850000001
PM 20973983
ER

PT J
AU Bozorgmehr, Kayvan
   Schubert, Kirsten
   Menzel-Severing, Johannes
   Tinnemann, Peter
TI Global Health Education: a cross-sectional study among German medical
   students to identify needs, deficits and potential benefits (Part 1 of
   2: Mobility patterns & educational needs and demands)
SO BMC MEDICAL EDUCATION
VL 10
AR 66
DI 10.1186/1472-6920-10-66
PD OCT 8 2010
PY 2010
AB Background: In recent years, education and training in global health has
   been the subject of recurring debate in many countries. However, in
   Germany, there has been no analysis of the educational needs or demands
   of medical students, or the educational deficits or potential benefits
   involved in global health education. Our purpose is to analyse
   international health elective patterns of medical students enrolled at
   German universities and assess whether or how they prepare for their
   electives abroad. We examine the exposure of medical students enrolled
   at German universities to training courses in tropical medicine or
   global health and assess students' perceived needs and demands for
   education in global health.
   Methods: Cross-sectional study among medical students in Germany
   including all 36 medical schools during the second half of the year
   2007. All registered medical students were eligible to participate in
   the study. Recruitment occurred via electronic mailing-lists of
   students' unions. We developed a web-based, semi-structured
   questionnaire to capture students' international mobility patterns,
   preparation before electives, destination countries, exposure to and
   demand for global health learning opportunities.
   Results: 1126 online-replies were received and analysed from all
   registered medical students in Germany (N = 78.067). 33.0% of all
   respondents (370/1126) declared at least one international health
   elective and of these, 36.0% (133/370) completed their electives in
   developing countries. 36.0% (131/363) did not prepare specifically at
   all, 59.0% (214/363) prepared either by self-study or declared a
   participation in specific preparation programmes. 87.8% of 5(th) and
   6(th) year students had never participated in a global health course and
   72.6% (209/288) had not completed a course in tropical medicine. 94.0%
   (861/916) endorsed the idea of introducing global health into medical
   education.
   Conclusion: Students in our sample are highly mobile during their
   studies. International health electives are common, also in developing
   countries. Formal preparation beyond self-study is virtually
   non-existent amongst our sample and the participation rate in courses of
   tropical medicine or global health is appallingly low. We have
   identified unmet perceived needs and the demand for more learning
   opportunities in global health in our sample, urging for reforms to
   adjust curricula to a globalising world.
OI Tinnemann, Peter/0000-0003-3071-9772; Bozorgmehr,
   Kayvan/0000-0002-1411-1209
TC 27
ZA 0
Z8 0
ZR 0
ZB 1
ZS 0
Z9 27
U1 0
U2 11
EI 1472-6920
UT WOS:000284849200001
PM 20932277
ER

PT J
AU Bozorgmehr, Kayvan
   Menzel-Severing, Johannes
   Schubert, Kirsten
   Tinnemann, Peter
TI Global Health Education: a cross-sectional study among German medical
   students to identify needs, deficits and potential benefits (Part 2 of
   2: Knowledge gaps and potential benefits)
SO BMC MEDICAL EDUCATION
VL 10
AR 67
DI 10.1186/1472-6920-10-67
PD OCT 8 2010
PY 2010
AB Background: In Germany, educational deficits or potential benefits
   involved in global health education have not been analysed till now.
   Objective: We assess the importance medical students place on learning
   about social determinants of health (SDH) and assess their knowledge of
   global health topics in relation to (i) mobility patterns, their
   education in (ii) tropical medicine or (iii) global health.
   Methods: Cross-sectional study among medical students from all 36
   medical schools in Germany using a web-based, semi-structured
   questionnaire. Participants were recruited via mailing-lists of
   students' unions, all medical students registered in 2007 were eligible
   to participate in the study. We captured international mobility
   patterns, exposure to global health learning opportunities and attitudes
   to learning about SDH. Both an objective and subjective knowledge
   assessment were performed.
   Results: 1126 online-replies were received and analysed. International
   health electives in developing countries correlated significantly with a
   higher importance placed on all provided SDH (p <= 0.006). Participation
   in tropical medicine (p < 0.03) and global health courses (p < 0.02)
   were significantly associated with a higher rating of 'culture, language
   and religion' and the 'economic system'. Global health trainings
   correlated with significantly higher ratings of the 'educational system'
   (p = 0.007) and the 'health system structure' (p = 0.007), while the
   item 'politics' was marginally significant (p = 0.053). In the knowledge
   assessment students achieved an average score of 3.6 (SD 1.5; Mdn 4.0),
   75% achieved a score of 4.0 or less (Q(25) = 3.0; Q(75) = 4.0) from a
   maximum achievable score of 8.0. A better performance was associated
   with international health electives (p = 0.032), participation in
   tropical medicine (p = 0.038) and global health (p = 0.258) courses.
   Conclusion: The importance medical students in our sample placed on
   learning about SDH strongly interacts with students' mobility, and
   participation in tropical medicine and global health courses. The
   knowledge assessment revealed deficits and outlined needs to further
   analyse education gaps in global health. Developing concerted
   educational interventions aimed at fostering students' engagement with
   SDH could make full use of synergy effects inherent in student mobility,
   tropical medicine and global health education.
OI Tinnemann, Peter/0000-0003-3071-9772; Bozorgmehr,
   Kayvan/0000-0002-1411-1209
Z8 1
ZR 0
ZS 0
TC 16
ZB 0
ZA 0
Z9 17
U1 1
U2 9
EI 1472-6920
UT WOS:000284849200002
PM 20932278
ER

PT J
AU Ryan, James G.
   Barlas, David
   Sharma, Manish
TI Direct Observation Evaluations by Emergency Medicine Faculty Do Not
   Provide Data That Enhance Resident Assessment When Compared to Summative
   Quarterly Evaluations
SO ACADEMIC EMERGENCY MEDICINE
VL 17
IS 10
BP S72
EP S77
DI 10.1111/j.1553-2712.2010.00878.x
SU 2
PD OCT 2010
PY 2010
AB Objectives:
   The purpose of this study was to compare quarterly global evaluations
   with direct observation evaluations to determine if direct observation
   evaluations provide unique data compared to those obtained from
   quarterly global evaluations.
   Methods:
   This observational, cohort study was performed at a 3-year emergency
   medicine (EM) residency program with 10 residents per year. Faculty used
   an online Web-based evaluation system to complete quarterly global
   evaluations and patient-specific direct observation evaluations. Two
   scores were collected for each resident within each quarterly evaluation
   period: 1) the quarterly evaluation score was the mean score across all
   faculty who performed a quarterly evaluation and, 2) the direct
   observation score was the mean score across all faculty who performed a
   direct observation evaluation. Pearson correlation coefficients were
   performed across these two groups of evaluations.
   Results:
   Over the 4-year period of the study 296 complete data sets were
   available for the analysis. When the quarterly evaluation score was
   correlated with the direct observation score for each resident at the
   same evaluation period, we found a very high correlation for each of the
   eight evaluation questions (r = 0.95-0.96, p < 0.0001). When these
   evaluations were stratified based on the number of direct observation
   evaluations that were performed during the evaluation period of
   interest, the correlation between the quarterly evaluation and the
   direct observation scores increased as the number of direct observations
   in the evaluation period increased. The evaluation scores from the
   faculty who had performed both direct observation and quarterly
   evaluation methods during the same resident evaluation period were
   highly correlated even with small numbers of evaluators.
   Conclusions:
   Direct observations are highly correlated with quarterly evaluations
   when there are greater than three direct observation evaluations
   completed; however, this correlation drops significantly when the number
   of direct observations is lower. Direct observation evaluations provide
   similar data when compared with data obtained from quarterly global
   evaluations.
   ACADEMIC EMERGENCY MEDICINE 2010; 17:S72-S77 (C) 2010 by the Society for
   Academic Emergency Medicine.
CT Annual Meeting of the Society-for-Academic-Emergency-Medicine
CY MAY 13-17, 2009
CL New Orleans, LA
SP Soc Acad Emergency Med
ZA 0
ZB 0
ZS 0
ZR 0
Z8 0
TC 0
Z9 0
U1 0
U2 4
SN 1069-6563
UT WOS:000282877900014
PM 21199088
ER

PT J
AU McNeill, Helen
   Brown, Jeremy M.
   Shaw, Nigel J.
TI First year specialist trainees' engagement with reflective practice in
   the e-portfolio
SO ADVANCES IN HEALTH SCIENCES EDUCATION
VL 15
IS 4
BP 547
EP 558
DI 10.1007/s10459-009-9217-8
PD OCT 2010
PY 2010
AB Doctors in specialist training posts in the Mersey Deanery are expected
   to reflect on their clinical practice and to document their learning
   experiences in an e-portfolio. This study aims specifically to explore
   how they have engaged in reflection on their practice and how they
   utilise their learning portfolio to document evidence of this. A
   modified Delphi technique was used to develop a grading system to
   indentify the level of reflection recorded by participants in the
   e-portfolio. Transcripts of the reflective accounts were then analysed
   using a qualitative approach which involved coding and categorising the
   data. This study demonstrated a wide variation in both the quantity and
   quality of reflection. Of particular note in the qualitative data
   analysis were themes relating to clinical knowledge and skills, learning
   in practice, communication, feelings, types of learning experience
   reflected on and wider aspects of medical practice. Findings indicate
   there is variation is the extent to which doctors both engage in and
   document evidence of reflection. Further research is needed to explore
   factors that enable or inhibit the use of the e-portfolio for reflection
   and whether recorded reflection is a true picture of the cognitive
   process involved.
OI McNeill, Helen/0000-0002-8874-5685; Brown, Jeremy/0000-0002-0653-4615
Z8 0
TC 29
ZS 0
ZA 0
ZR 0
ZB 1
Z9 29
U1 0
U2 13
SN 1382-4996
EI 1573-1677
UT WOS:000283556200007
PM 20058073
ER

PT J
AU Linnan, Laura A.
   Steckler, Allan
   Maman, Suzanne
   Ellenson, Meg
   French, Elizabeth
   Blanchard, Lynn
   Bowling, Mike
   Yamanis, Nina
   Succop, Stacey
   Davenport, Amy
   Moracco, Beth
TI Engaging Key Stakeholders to Assess and Improve the Professional
   Preparation of MPH Health Educators
SO AMERICAN JOURNAL OF PUBLIC HEALTH
VL 100
IS 10
BP 1993
EP 1999
DI 10.2105/AJPH.2009.177709
PD OCT 2010
PY 2010
AB Objectives. We described the process of engaging key stakeholders in a
   systematic review of requirements for a master of public health (MPH)
   degree within the Department of Health Behavior and Health Education,
   University of North Carolina Gillings School of Global Public Health,
   and summarized resulting changes.
   Methods. A benchmarking study of 11 peer institutions was completed. Key
   stakeholders (i.e., current students, alumni, faculty, staff, employers,
   and practicum preceptors) received online or print surveys. A faculty
   retreat was convened to process results and reach consensus on program
   revisions.
   Results. MPH program changes included (1) improved advising and
   mentoring program, (2) elimination of research and practice track
   options, (3) increased elective and decreased required credit hours, (4)
   replacement of master's paper requirement with "deliverables" (written
   products such as reports, documents, and forms) produced as part of the
   required "Capstone" course, (5) extended community field experience to 2
   semesters and moved it to year 2 of the program, and (6) allowed
   practica of either 200, 300, or 400 hours.
   Conclusions. Engaging key stakeholders in the program review process
   yielded important changes to the MPH degree program requirements. Others
   may consider this approach when undertaking curriculum reviews. (Am J
   Public Health. 2010;100:1993-1999. doi:10.2105/AJPH.2009.177709)
RI Maman, Suzanne/A-3802-2016; Yamanis, Thespina/
OI Yamanis, Thespina/0000-0001-9611-1714
Z8 0
ZR 0
ZA 0
TC 3
ZB 0
ZS 0
Z9 3
U1 0
U2 5
SN 0090-0036
UT WOS:000282355900034
PM 20395575
ER

PT J
AU McQueen, Daniel S.
   Begg, Michael J.
   Maxwell, Simon R. J.
TI eDrugCalc: an online self-assessment package to enhance medical
   students' drug dose calculation skills
SO BRITISH JOURNAL OF CLINICAL PHARMACOLOGY
VL 70
IS 4
BP 492
EP 499
DI 10.1111/j.1365-2125.2010.03609.x
PD OCT 2010
PY 2010
AB center dot Dose calculation errors are an important cause of some of the
   most serious medication incidents in advanced healthcare systems.
   center dot A number of small studies have shown that dose calculations
   are poorly performed by hospital doctors, nurses and medical students.
   WHAT THIS PAPER ADDS
   center dot The performance of dose calculations was highly variable
   amongst a large cohort of medical students from a leading UK medical
   school.
   center dot Calculations that involved converting concentrations
   expressed as percentage or calculating infusion rates were identified as
   major weaknesses.
   center dot The availability of an online self-assessment and education
   package, coupled with encouragement and twice-yearly formative
   assessment, led to a significant improvement in performance.
   AIMS
   Dose calculation errors can cause serious life-threatening clinical
   incidents. We designed eDrugCalc as an online self-assessment tool to
   develop and evaluate calculation skills among medical students.
   METHODS
   We undertook a prospective uncontrolled study involving 1727 medical
   students in years 1-5 at the University of Edinburgh. Students had
   continuous access to eDrugCalc and were encouraged to practise.
   Voluntary self-assessment was undertaken by answering the 20 questions
   on six occasions over 30 months. Questions remained fixed but numerical
   variables changed so each visit required a fresh calculation. Feedback
   was provided following each answer.
   RESULTS
   Final-year students had a significantly higher mean score in test 6
   compared with test 1 [16.6, 95% confidence interval (CI) 16.2, 17.0 vs.
   12.6, 95% CI 11.9, 13.4; n = 173, P < 0.0001 Wilcoxon matched pairs
   test] and made a median of three vs. seven errors. Performance was
   highly variable in all tests with 2.7% of final-year students scoring <
   10/20 in test 6. Graduating students in 2009 (30 months' exposure)
   achieved significantly better scores than those in 2007 (only 6 months):
   mean 16.5, 95% CI 16.0, 17.0, n = 184 vs. 15.1, 95% CI 14.5, 15.6, n =
   187; P < 0.0001, Mann-Whitney test. Calculations based on percentage
   concentrations and infusion rates were poorly performed. Feedback showed
   that eDrugCalc increased confidence in calculating doses and was highly
   rated as a learning tool.
   CONCLUSIONS
   Medical student performance of dose calculations improved significantly
   after repeated exposure to an online formative dose-calculation package
   and encouragement to develop their numeracy. Further research is
   required to establish whether eDrugCalc reduces calculation errors made
   in clinical practice.
Z8 0
ZS 0
ZB 7
ZR 0
TC 13
ZA 0
Z9 13
U1 1
U2 8
SN 0306-5251
EI 1365-2125
UT WOS:000281855100004
PM 20840441
ER

PT J
AU Krakower, Douglas
   Kwan, Candice K.
   Yassa, David S.
   Colvin, Richard A.
TI iAIDS: HIV-Related Internet Resources for the Practicing Clinician
SO CLINICAL INFECTIOUS DISEASES
VL 51
IS 7
BP 813
EP 822
DI 10.1086/656237
PD OCT 1 2010
PY 2010
AB In this review, we collate 25 clinically useful human immunodeficiency
   virus (HIV)-related Web sites to facilitate efficient access to online
   resources according to themes of clinical inquiry: (1) comprehensive
   clinical information, (2) opportunistic infections, (3) antiretroviral
   drug interactions, (4) care of HIV-infected women and children, and (5)
   continuing medical education. We evaluated these Web sites for clinical
   content and quality using criteria including the currency of
   information, inclusion of references, sponsors, whether the site is
   useful in resource-limited settings, ease of navigation, and content
   specific for each theme. Using the specified criteria, we provided
   overall ratings for each Web site. We conclude that the Web sites listed
   in this review can help extend knowledge about best practices and
   provide real-time patient care support to clinicians.
OI Yassa, David/0000-0001-5348-2777
ZR 0
ZB 5
TC 10
Z8 0
ZS 0
ZA 0
Z9 10
U1 0
U2 1
SN 1058-4838
UT WOS:000281583000010
PM 20738185
ER

PT J
AU Brownstein, Catherine A.
   Wicks, Paul
TI The Potential Research Impact of Patient Reported Outcomes on
   Osteogenesis Imperfecta
SO CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
VL 468
IS 10
BP 2581
EP 2585
DI 10.1007/s11999-010-1373-x
PD OCT 2010
PY 2010
AB Osteogenesis imperfecta (OI) is an inherited connective tissue disorder
   with many phenotypic presentations ranging from mild to severe. It is
   often called "brittle bone disease." Treatment consists of physical
   therapy, surgical interventions, medications and, in some cases,
   experimental therapies. Because treatment is not standardized and is
   often experimental, information on the success of different methods is
   usually not available or well documented.
   We therefore asked if social networking can make OI patients' lives
   better. How would a bone disorder community work? Is it possible for
   patients to know how well they are doing in comparison to others like
   them, and if they are getting the most successful treatment for their
   disease?
   An evaluation of how PatientsLikeMeA (R), a personal research and social
   networking website and database for patients with life changing
   illnesses, can aid in improving patient outcomes through the anonymous
   sharing of medical information.
   PatientsLikeMeA (R) could help patients answer the question, "Given my
   condition, what is the best outcome I could hope to achieve, and how do
   I get there?" Participants could record their real-time day-to-day
   progress in achieving their treatment goals, such as preventing
   fractures, and share that with the community to help patients,
   caregivers, researchers and industry learn more about OI.
   Social networking can change the lives of Osteogenesis Imperfecta
   patients for the better, and make them a part of the treatment discovery
   process. Here we present a possible OI online community and demonstrate
   its potential utility for patients and medical professionals alike.
RI Wicks, Paul/C-6128-2011; Brownstein, Catherine/
OI Wicks, Paul/0000-0002-2293-9284; Brownstein,
   Catherine/0000-0002-7371-0340
ZB 1
TC 5
ZR 0
ZA 0
ZS 0
Z8 0
Z9 5
U1 0
U2 5
SN 0009-921X
EI 1528-1132
UT WOS:000281843200004
PM 20458644
ER

PT J
AU Eisen, Lewis A.
   Leung, Sharon
   Gallagher, Annemarie E.
   Kvetan, Vladimir
TI Barriers to ultrasound training in critical care medicine fellowships: A
   survey of program directors
SO CRITICAL CARE MEDICINE
VL 38
IS 10
BP 1978
EP 1983
DI 10.1097/CCM.0b013e3181eeda53
PD OCT 2010
PY 2010
AB Objective: Ultrasonography is an effective tool for making quick
   diagnoses and guiding therapeutic procedures. National organizations
   have advocated increasing the use of critical care ultrasonography. The
   purpose of this study was to investigate the prevalence of teaching of
   critical care ultrasonography in fellowship programs. In addition, we
   hoped to identify barriers to establishment of ultrasound training
   programs.
   Design: All pulmonary/critical care and critical care medicine (CCM)
   program directors in the United States were invited to participate in an
   online survey. We asked respondents for demographic information about
   their programs and perceived barriers to training, as well as current
   training opportunities for their fellows in five aspects of critical
   care ultrasonography. A five-point Likert scale was used for survey
   answers.
   Setting: Web-based survey.
   Subjects: Pulmonary/critical care and CCM program directors in the
   United States.
   Interventions: Web-based survey.
   Measurements and Main Results: Ninety (66%) of 136 program directors
   responded. Ultrasonography training was offered by fellowship programs
   in the following areas: vascular access (98%), lung and pleural (74%),
   cardiac (55%), vascular diagnostic (33%), and abdominal (37%).
   Ninety-two percent of respondents agreed or strongly agreed that
   ultrasound training is useful, and 80% were interested in getting their
   fellows trained. Forty-one percent indicated that they lacked sufficient
   faculty trained in ultrasound use. Eighty-four percent agreed or
   strongly agreed that fellow turnover was an impediment to training.
   Forty-eight percent believed that cardiac echocardiography required a
   long training time.
   Conclusions: Although ultrasound training in vascular access was nearly
   universal, training in other aspects of ultrasound was less prevalent.
   We identified several barriers, including fellow turnover, insufficient
   faculty training, and perceived length of time required for
   echocardiography training. (Crit Care Med 2010; 38: 1978-1983)
TC 62
ZR 0
ZB 9
ZA 0
ZS 2
Z8 1
Z9 63
U1 0
U2 3
SN 0090-3493
UT WOS:000282043800008
PM 20657275
ER

PT J
AU Pelucchi, C.
   Galeone, C.
   Negri, E.
   La Vecchia, C.
TI Trends in adherence to the Mediterranean diet in an Italian population
   between 1991 and 2006
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 64
IS 10
BP 1052
EP 1056
DI 10.1038/ejcn.2010.158
PD OCT 2010
PY 2010
AB Background/Objectives: The aim of this study is to investigate whether
   adherence to the Mediterranean diet changed during the period 1991-2006
   in an Italian population.
   Subjects/Methods: We derived data from the comparison groups of a
   network of case-control studies on cancer and acute myocardial
   infarction conducted in the greater Milan area between 1991 and 2006.
   Subjects were 3247 adults (1969 women, 1278 men; median age 59 years)
   admitted to major teaching and general hospitals for a wide spectrum of
   acute conditions unrelated to long-term modifications of diet. Trained
   interviewers collected data on selected socioeconomic and demographic
   characteristics, lifestyle habits and other personal and familial
   factors. Information on diet was collected through an
   interviewer-administered, reproducible and validated food-frequency
   questionnaire. We computed a Mediterranean diet score (MDS) on the basis
   of nine a priori defined peculiar characteristics of the Mediterranean
   dietary pattern.
   Results: In multiple linear regression models, adjusted for age,
   education, place of birth and residence, and total energy intake, there
   was no significant association between the period of interview and MDS
   in both sexes. Subjects aged 55-64 years, those with high education, and
   those born in central and southern Italy showed the highest adherence to
   the Mediterranean diet in both sexes.
   Conclusions: In this population, adherence to the Mediterranean diet
   showed no significant change over the last 15 years. European Journal of
   Clinical Nutrition (2010) 64, 1052-1056; doi:10.1038/ejcn.2010.158;
   published online 18 August 2010
RI Negri, Eva Vanna Lorenza/AAC-5698-2019; Negri, Eva/B-7244-2013; Galeone, Carlotta/; La Vecchia, Carlo/; Pelucchi, Claudio/
OI Negri, Eva Vanna Lorenza/0000-0001-9712-8526; Negri,
   Eva/0000-0001-9712-8526; Galeone, Carlotta/0000-0003-1934-5167; La
   Vecchia, Carlo/0000-0003-1441-897X; Pelucchi,
   Claudio/0000-0003-1425-8945
Z8 0
TC 42
ZS 1
ZR 0
ZA 0
ZB 22
Z9 42
U1 0
U2 8
SN 0954-3007
EI 1476-5640
UT WOS:000282573700003
PM 20717133
ER

PT J
AU Arnaud, J.
   Touvier, M.
   Galan, P.
   Andriollo-Sanchez, M.
   Ruffieux, D.
   Roussel, A-M
   Hercberg, S.
   Favier, A.
TI Determinants of serum zinc concentrations in a population of French
   middle-age subjects (SU.VI.MAX cohort)
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 64
IS 10
BP 1057
EP 1064
DI 10.1038/ejcn.2010.118
PD OCT 2010
PY 2010
AB Background/Objectives: Few studies have been conducted on determinants
   of serum zinc concentration, especially in France. The aim of this study
   was to investigate the relationships between serum zinc concentrations,
   and age, education, living area and life style in a large sample cohort
   of French adults.
   Subjects/Methods: Blood samples were collected after 12-h fasting in
   French adults (7448 women, 35-65 years old and 4926 men, 45-65 years
   old) participating to the SUpplementation in AntioXidant VItamins and
   Minerals cohort at enrolment. Serum zinc was determined by flame atomic
   absorption.
   Results: Serum zinc concentration was lower in women (mean: 12.9 mu
   mol/l, 95% confidence interval: 9.2-16.6 mu mol/l) compared with men
   (mean: 13.4 mu mol/l, 95% confidence interval: 9.7-17.1 mu mol/l,
   P<0.0001). In total, 10% of the women showed serum zinc values <10.7 mu
   mol/l and 10% of the men showed serum zinc values <11.3 mu mol/l. Age
   was negatively associated with serum zinc only in men (P=0.001). In
   women, a positive association between smoking and serum zinc
   concentration (P=0.0003), and a negative relationship between highest
   education level and serum zinc concentration (P=0.01) were observed.
   With regard to geographical areas, the highest serum zinc concentrations
   were found in the Center, and the lowest in the Southwest of France for
   both men and women. The association between serum zinc concentrations
   and food categories or macronutrient intake disappeared after
   stratifying by gender.
   Conclusions: Age, gender and geographic area seem the main determinants
   of serum zinc concentrations in this study. European Journal of Clinical
   Nutrition (2010) 64, 1057-1064; doi:10.1038/ejcn.2010.118; published
   online 28 July 2010
RI HERCBERG, Serge/B-4429-2008; Touvier, Mathilde/E-8817-2017; Pilar, Galan/F-2908-2017; Serge, Hercberg/F-3038-2017
OI HERCBERG, Serge/0000-0002-3168-1350; Touvier,
   Mathilde/0000-0002-8322-8857; Pilar, Galan/0000-0003-1706-3107; Serge,
   Hercberg/0000-0002-3168-1350
TC 25
ZB 13
Z8 2
ZR 0
ZS 0
ZA 0
Z9 27
U1 0
U2 7
SN 0954-3007
EI 1476-5640
UT WOS:000282573700004
PM 20664619
ER

PT J
AU Fekadu, S.
   Yigzaw, M.
   Alemu, S.
   Dessie, A.
   Fieldhouse, H.
   Girma, T.
   Trimble, E. R.
   Phillips, D. I. W.
   Parry, E. H. O.
TI Insulin-requiring diabetes in Ethiopia: associations with poverty, early
   undernutrition and anthropometric disproportion
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 64
IS 10
BP 1192
EP 1198
DI 10.1038/ejcn.2010.143
PD OCT 2010
PY 2010
AB Background/Objectives: Most insulin-requiring diabetes patients in
   Ethiopia have an atypical form of the disease, which resembles previous
   descriptions of malnutrition-related diabetes. As so little is known
   about its aetiology, we have carried out a case-control study to
   evaluate its social and nutritional determinants.
   Subjects/Methods: Men and women with insulin-requiring diabetes (n =
   107), aged 18-40 years, were recruited in two centres, Gondar and Jimma,
   750 km northwest and 330 km southwest of the capital, Addis Ababa,
   respectively. Controls of similar age and sex (n = 110) were recruited
   from patients attending other hospital clinics.
   Results: Diabetes was strongly associated with subsistence farming, odds
   ratio = 3.5 (95% confidence interval: 1.5-7.8) and illiteracy/low levels
   of education, odds ratio = 4.0 (2.0-8.0). Diabetes was also linked with
   a history of childhood malnutrition, odds ratio -5.5 (1.0-29.0) the
   mother's death during childhood, odds ratio -3.9 (1.0-14.8), and markers
   of poverty including poorer access to sanitation (P = 0.004), clean
   water (P = 0.009), greater overcrowding (P = 0.04), increased distance
   from the clinic (P = 0.01) and having fewer possessions (P = 0.01).
   Compared with controls, people with diabetes had low mid upper arm
   circumference, body mass index (BMI) and fat/lean body mass (P<0.01). In
   addition, men with the disease tended to be shorter, were lighter (P =
   0.001), with reduced sitting height (P = 0.015) and reduced biacromial
   (P = 0.003) and bitrochanteric (P = 0.008) diameters.
   Conclusions: Insulin-requiring diabetes in Ethiopia is strongly linked
   with poor education and markers of poverty. Men with the disease have
   associated disproportionate skeletal growth. These findings point
   towards a nutritional aetiology for this condition although the nature
   of the nutritional deficiency and its timing during growth and
   development remains obscure. European Journal of Clinical Nutrition
   (2010) 64, 1192-1198; doi:10.1038/ejcn.2010.143; published online 28
   July 2010
TC 35
Z8 0
ZR 0
ZS 1
ZB 12
ZA 0
Z9 35
U1 0
U2 8
SN 0954-3007
EI 1476-5640
UT WOS:000282573700022
PM 20664624
ER

PT J
AU Cousens, Nicole E.
   Gaff, Clara L.
   Metcalfe, Sylvia A.
   Delatycki, Martin B.
TI Carrier screening for Beta-thalassaemia: a review of international
   practice
SO EUROPEAN JOURNAL OF HUMAN GENETICS
VL 18
IS 10
BP 1077
EP 1083
DI 10.1038/ejhg.2010.90
PD OCT 2010
PY 2010
AB beta-thalassaemia is one of the most common single-gene inherited
   conditions in the world, and thalassaemia carrier screening is the most
   widely performed genetic screening test, occurring in many different
   countries. beta-thalassaemia carrier screening programmes provide a
   unique opportunity to compare the delivery of carrier screening
   programmes carried out in different cultural, religious and social
   contexts. This review compares the key characteristics of
   beta-thalassaemia carrier screening programmes implemented in countries
   across the world so that the differences and similarities between the
   programmes can be assessed. The manner in which thalassaemia carrier
   screening programmes are structured among different populations varies
   greatly in several aspects, including whether the programmes are
   mandatory or voluntary, the education and counselling provided and
   whether screening is offered pre-pregnancy or antenatally. National and
   international guidelines make recommendations on the most appropriate
   ways in which genetic carrier screening programmes should be conducted;
   however, these recommendations are not followed in many programmes. We
   discuss the implications for the ethical and acceptable implementation
   of population carrier screening and identify a paucity of research into
   the outcomes of thalassaemia screening programmes, despite the fact that
   thalassaemia screening is so commonly conducted. European Journal of
   Human Genetics (2010) 18, 1077-1083; doi: 10.1038/ejhg.2010.90;
   published online 23 June 2010
RI Delatycki, Martin B/A-5409-2013; Metcalfe, Sylvia A/B-5303-2014; Gaff, Clara/ABD-5691-2021; Gaff, Clara/
OI Gaff, Clara/0000-0003-0160-4159
ZS 2
TC 135
ZR 4
ZA 0
ZB 50
Z8 2
Z9 142
U1 0
U2 24
SN 1018-4813
EI 1476-5438
UT WOS:000282089600002
PM 20571509
ER

PT J
AU McClaren, Belinda J.
   Metcalfe, Sylvia A.
   Aitken, MaryAnne
   Massie, R. John
   Ukoumunne, Obioha C.
   Amor, David J.
TI Uptake of carrier testing in families after cystic fibrosis diagnosis
   through newborn screening
SO EUROPEAN JOURNAL OF HUMAN GENETICS
VL 18
IS 10
BP 1084
EP 1089
DI 10.1038/ejhg.2010.78
PD OCT 2010
PY 2010
AB Newborn screening (NBS) for cystic fibrosis (CF) provides the
   opportunity for cascade carrier testing of relatives. Uptake of testing
   by adult non-parent relatives of children diagnosed with CF through NBS
   has not been previously described, and this study describes uptake by
   both parents and adult non-parent relatives in Victoria, Australia.
   Pedigrees were taken from parents of children who were born in 2000-2004
   and diagnosed with CF. A total of 40 families were eligible for the
   study and 30 (75%) were recruited. In all, 716 non-parent relatives were
   identified from the pedigrees as eligible for carrier testing, and 82
   (adjusted uptake percentage: 11.8%; 95% confidence interval 8.0-15.7)
   have had carrier testing by March 2009. On average, 2.7 non-parent
   relatives per family had CF carrier testing after diagnosis through NBS.
   The odds of being tested were greater for females than males (adjusted
   odds ratio 1.61; 95% confidence interval 1.11-2.33; P=0.01) and greater
   for those more closely related to the child with CF (adjusted odds ratio
   5.17; 95% confidence interval 2.38-11.24; P<0.001). Most relatives who
   undergo testing are tested immediately after the baby's diagnosis;
   however, some testing is undertaken up to 8 years later. These results
   indicate that in a clinical setting, the diagnosis of a baby with CF by
   NBS does not lead to carrier testing for the majority of the baby's
   non-parent relatives. We suggest re-contact with parents to offer
   cascade carrier testing. European Journal of Human Genetics (2010) 18,
   1084-1089; doi: 10.1038/ejhg.2010.78; published online 26 May 2010
RI Amor, David J/A-6478-2018; Metcalfe, Sylvia A/B-5303-2014; McClaren, Belinda/
OI Amor, David J/0000-0001-7191-8511; McClaren, Belinda/0000-0002-1372-8258
ZR 0
ZS 0
ZB 10
TC 28
Z8 0
ZA 0
Z9 28
U1 0
U2 7
SN 1018-4813
UT WOS:000282089600003
PM 20512163
ER

PT J
AU Ulph, Fiona
   Leong, James
   Glazebrook, Cris
   Townsend, Ellen
TI A qualitative study exploring genetic counsellors' experiences of
   counselling children
SO EUROPEAN JOURNAL OF HUMAN GENETICS
VL 18
IS 10
BP 1090
EP 1094
DI 10.1038/ejhg.2010.86
PD OCT 2010
PY 2010
AB The identification of healthy carriers by newborn screening programmes
   raises questions about how and when the carrier results will be conveyed
   to child. There is currently a lack of information concerning how best
   to convey carrier information to children. This is a serious gap in the
   literature and practice. This study examined genetic counsellors'
   experiences of counselling children to explore how to support and inform
   children about their carrier result. Practising members of the United
   Kingdom (UK) Association of Genetic Nurses and Counsellors took part in
   semi-structured telephone interviews. Respondents described the
   communication process and identified barriers and facilitators of
   communication. Age, illness experience and maturity were variously
   discussed as facilitators; all of which are integral to psychological
   theories of children's understanding of illness. Adaptive family
   communication, school tuition and educational materials were also seen
   as influencing counselling efficacy. Relevant materials that children
   could keep were also seen as important to enhance children's autonomy.
   Yet, such resources were rare, constituting a barrier to communication.
   Counsellors reported communication was further impeded by maladaptive
   family communication and resistance from children to engaging in
   counselling. By exploring the facilitators and barriers inherent in
   communicating genetic information to children, guidance can be offered
   to counsellors, researchers and parents. This study indicates that some
   factors (eg illness experiences) previously identified by psychological
   theories may act in complex ways within this setting. Importantly, the
   factors identified as being most influential when communicating with
   children about genetics are amenable to change through interventions,
   support and training. European Journal of Human Genetics (2010) 18,
   1090-1094; doi: 10.1038/ejhg.2010.86; published online 9 June 2010
RI Ulph, Fiona/AAD-5905-2022; Townsend, Ellen/M-6266-2015; Glazebrook, Cristine/; Ulph, Fiona/
OI Glazebrook, Cristine/0000-0002-7459-9445; Ulph,
   Fiona/0000-0003-3590-6542
ZB 4
Z8 0
ZA 0
ZS 0
TC 12
ZR 0
Z9 12
U1 0
U2 16
SN 1018-4813
EI 1476-5438
UT WOS:000282089600004
PM 20531440
ER

PT J
AU Martins, Henrique M. G.
TI Why management and leadership education for internists?
SO EUROPEAN JOURNAL OF INTERNAL MEDICINE
VL 21
IS 5
BP 374
EP 376
DI 10.1016/j.ejim.2010.04.014
PD OCT 2010
PY 2010
AB Around the world, there is an increasing need for more efficiency in
   healthcare alongside cost containment. Internal medicine physicians are
   in a pivotal position in this regard. In many countries, they act as
   bridges between ambulatory/continuity of care systems and hospital-based
   intensive care and sophisticated therapies. Within the medical field,
   they often bridge gaps between many specialities increasingly required
   to provide modern medical care. These skills of managing complex
   environments, being sensitive to health economics and using large
   amounts of information, are not normally taught or developed in
   programmes of internal medicine. While some skills are natural and
   acquired through practice, other skills would benefit from insights from
   the fields of management. On the other hand, it seems critical to have
   internists playing a leading role in the future care of aging
   populations, and they are the most likely to understand the needs of
   these multi-pathology cases. On a practical level, internists face the
   daily challenges of engaging and leading as many people as possible to
   provide the best care; this requires very good leadership, negotiation,
   team-working and change-management skills, all of which can be vastly
   enhanced with specific education initiatives that are targeted and
   customised to physicians' needs. Management education for internists
   should be "spiral", starting from medical school and expanding to
   incorporate issues as the physician maturates into new activities and
   responsibilities. In practical terms, current internists and residents
   of internal medicine can be brought into contact with such education by
   a combination of workshops as well as residential and online courses.
   (C) 2010 European Federation of Internal Medicine. Published by Elsevier
   B.V. All rights reserved.
RI martins, henrique/AAF-3993-2021
OI martins, henrique/0000-0001-7535-5103
TC 0
ZR 0
ZS 0
Z8 0
ZB 0
ZA 0
Z9 0
U1 0
U2 7
SN 0953-6205
UT WOS:000281603900005
PM 20816587
ER

PT J
AU Iaria, Giuseppe
   Barton, Jason J. S.
TI Developmental topographical disorientation: a newly discovered cognitive
   disorder
SO EXPERIMENTAL BRAIN RESEARCH
VL 206
IS 2
SI SI
BP 189
EP 196
DI 10.1007/s00221-010-2256-9
PD OCT 2010
PY 2010
AB A variety of lesions in different cerebral regions may affect the human
   ability to orient in the environment, resulting in 'topographical
   disorientation'. In a recent study, we documented the first case of
   Developmental Topographical Disorientation (DTD), in a person with a
   life-long inability to orient despite otherwise well-preserved cognitive
   functions, and in the absence of a cerebral injury/malformation or other
   neurological condition. This selective topographical disorientation was
   due to her inability to form a 'cognitive map', a mental representation
   of the environment, which in turn impaired her ability to orient in both
   familiar and unfamiliar surroundings. Here, we describe 120 new cases of
   DTD recruited via the internet and assessed with an online battery
   testing their cognitive and orientation skills. We found that people
   with DTD differ from matched (age, gender and education) healthy
   controls only in those skills confined to the orientation/navigation
   domain, among which the ability to form a cognitive map was the most
   significant factor that distinguished a person affected by DTD from
   control subjects.
RI Barton, Jason JS/A-6362-2012; Iaria, Giuseppe/
OI Iaria, Giuseppe/0000-0002-5987-6491
ZR 0
TC 67
ZB 30
ZA 0
ZS 0
Z8 0
Z9 67
U1 0
U2 15
SN 0014-4819
UT WOS:000281948300010
PM 20431873
ER

PT J
AU Pilling, R. F.
   Lloyd, I. C.
   Huson, S.
TI Utility of optic pathway glioma screening in young children with
   neurofibromatosis type I: questions generated by a clinical audit
SO EYE
VL 24
IS 10
BP 1603
EP 1605
DI 10.1038/eye.2010.99
PD OCT 2010
PY 2010
AB Aim Neurofibromatosis type I (NFI) is a phakomatosis that affects
   approximately 1 per 3000 live births. About 15% children with NFI
   develop optic pathway glioma (OPG). The Neurofibromatosis UK society
   recommend annual ophthalmic screening to identify those children who may
   have OPG affecting vision and refer for investigation and treatment as
   necessary.
   Methods We undertook a retrospective audit with three aims: (1) to
   elicit if departmental screening practice of children with NFI for OPG
   meets current guidelines, (2) to document the age at which tests of
   visual function are useful in the diagnosis and screening of OPG, and
   (3) to document the contribution eye screening has made to the diagnosis
   of OPG.
   Results A total of 37 children were identified from the clinic register.
   Overall 43% children met the criterion for an appropriate number of
   screening episodes. All the children met the visual acuity and optic
   disc assessment criteria; 84% met the pupil-testing criterion. No child
   was mature enough to perform visual fields or colour vision testing.
   Conclusion Further education is required to encourage patients to attend
   eye clinic for screening as the majority of patients failing to reach
   the standard were due to non-attendances. No OPGs were detected during
   128 screening episodes over approximately 7 years of screening. The
   authors question the usefulness of including visual field and colour
   vision assessment in the protocol for this age group. Eye (2010) 24,
   1603-1605; doi:10.1038/eye.2010.99; published online 6 August 2010
TC 9
ZS 0
ZB 4
Z8 0
ZA 0
ZR 0
Z9 9
U1 0
U2 1
SN 0950-222X
UT WOS:000282956200010
PM 20689568
ER

PT J
AU Jo, Heui Sug
   Hwang, Moon-Sun
   Lee, HeyJean
TI Market segmentation of health information use on the Internet in Korea
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 79
IS 10
BP 707
EP 715
DI 10.1016/j.ijmedinf.2010.07.006
PD OCT 2010
PY 2010
AB Background: Internet is the common way to access all kind of
   information, thus it becomes to have highly influential place on the
   range of health care as well. More and more people have been using
   Internet to get the latest information on the health-related matters.
   However, it is very important but not easy to find the correct data and
   select it efficiently among the enormous amount of information. To
   identify the information seekers and understand their needs or purposes,
   they would be very effective for the providers to give high-quality
   health information for the Internet users.
   Objectives: The purpose of this study is to reveal the patterns of
   utilization of health information on the Internet. The subjects of the
   survey were randomly selected among the local residents by their age and
   gender. It was conducted in Gangwon, the province and Incheon, the
   metropolitan city at the same time. To investigate the similar amount of
   population, 0.5% of Gangwon and 0.3% of Incheon dwellers were chosen.
   Methods: 10,325 people were responded to the telephone poll and the
   investigation had been conducted from July to October 2006. 8656 from
   10,325 completed the survey and 1665 (19.2%) of them had used Internet
   to get health information in last 1-year. The use of health information
   on the Internet was classified into four categories as follows: general
   health tips, disease specific information, shopping for health
   commodities, and selection of hospitals. The questionnaire included
   articles regarding socio-demographic characteristics such as age,
   gender, income, education, dwelling area, health status and behaviors
   such as cigarette smoking and alcohol consumption.
   Results: Of all 1665 respondents, 726 (17.2%) men (total 4210) and 939
   (21.1%) women (total 4446) had used Internet for health information in
   last 1-year. The health information that people wanted from Internet was
   as follows: general health tips (64.2%), disease specific information
   (32.0%), shopping for health commodities (23.7%), and selection of
   hospitals (19.3%). The people of higher education and higher income
   level tended to use Internet more often for health information.
   Metropolitan city dwellers used health information on the Internet more
   than people from province did. Personal health status appeared to be the
   most important factor to search the information about general health
   tips from the Internet. Healthy people (68.3%) used the Internet more
   than people with diseases (44.4%) who used Internet most frequently for
   disease specific information (62.6%). Residence area was the most
   important factor of online shopping for health commodities. While 31.8%
   of city dwellers used the Internet, only 19.0% of metropolitan or county
   dwellers used it for the same purpose. Determinant factors for the
   utilization of the Internet for hospital selection were residence area,
   age, and health examination.
ZR 0
ZB 3
Z8 0
TC 9
ZS 0
ZA 0
Z9 9
U1 1
U2 14
SN 1386-5056
EI 1872-8243
UT WOS:000282100900005
PM 20810307
ER

PT J
AU Gubbels, J. S.
   Kremers, S. P. J.
   Stafleu, A.
   Dagnelie, P. C.
   de Vries, N. K.
   van Buuren, S.
   Thijs, C.
TI Child-care use and the association with body mass index and overweight
   in children from 7 months to 2 years of age
SO INTERNATIONAL JOURNAL OF OBESITY
VL 34
IS 10
BP 1480
EP 1486
DI 10.1038/ijo.2010.100
PD OCT 2010
PY 2010
AB Objectives: Studies regarding the association of child-care use with
   body mass index (BMI), overweight or obesity development show
   contradictory results. This study examined the relationship between
   child-care use and BMI z-scores and overweight, as well as associates of
   child-care use in children up to 2 years old.
   Methods: Longitudinal data originated from the Dutch KOALA Birth Cohort
   Study. Questionnaires assessed child-care use at ages 7 months and 1 and
   2 years (N=2396). Height and weight assessed at 1 and 2 years were used
   to calculate BMI z-scores. Overweight was defined as a BMI z-score of >=
   85th percentile. The influence of child-care use on weight development
   was tested using backward linear and logistic regression analyses.
   Outcomes were: (1) BMI z-score at 1 and 2 years; (2) change in BMI
   z-score between 1 and 2 years; (3) overweight vs non-overweight at 1 and
   2 years; and (4) change from normal weight to overweight vs remaining
   normal weight between 1 and 2 years. The association between child-care
   use and parental background characteristics was tested using backward
   logistic regression analyses.
   Results: Child-care use (no/yes) at 1 and 2 years positively predicted
   BMI z-scores at age 2 years, as well as change in BMI z-score between 1
   and 2 years. These associations were adjusted for various covariates
   (for example, parental working hours). Furthermore, child-care use
   significantly increased the odds of being overweight at age 1year. There
   were few differences in BMI or overweight between intensive (>16 h per
   week) and limited child-care use (<= 16 h). Child-care use was
   positively associated with various parental characteristics, including
   parental working hours and maternal educational level.
   Conclusion: The findings suggest a small influence of child-care use on
   weight development in very young children. The child-care setting could
   have an important role in preventive interventions against overweight
   and obesity development in young children. International Journal of
   Obesity (2010) 34, 1480-1486; doi:10.1038/ijo.2010.100; published online
   25 May 2010
RI Thijs, Carel/H-8340-2019; van Buuren, Stef/; Gubbels, Jessica Sophia/
OI Thijs, Carel/0000-0001-6646-5458; van Buuren, Stef/0000-0003-1098-2119;
   Gubbels, Jessica Sophia/0000-0002-9284-1725
ZA 0
ZS 1
ZR 0
Z8 0
ZB 15
TC 52
Z9 53
U1 0
U2 11
SN 0307-0565
UT WOS:000282727000004
PM 20498654
ER

PT J
AU Martins, D.
   Maia, J.
   Seabra, A.
   Garganta, R.
   Lopes, V.
   Katzmarzyk, P.
   Beunen, G.
TI Correlates of changes in BMI of children from the Azores islands
SO INTERNATIONAL JOURNAL OF OBESITY
VL 34
IS 10
BP 1487
EP 1493
DI 10.1038/ijo.2010.56
PD OCT 2010
PY 2010
AB Objective: To model changes in body mass index (BMI), including its
   stability, and to investigate the association between physical activity,
   1-mile run/walk and levels of gross motor coordination and BMI during 5
   consecutive years.
   Design: A longitudinal study of children 6 years of age at baseline
   followed at annual intervals over 5 years.
   Subjects: A total of 285 children (143 boys and 142 girls) were enrolled
   in grade 1 (age 6 years) and followed through grade 5 (age 10 years).
   Measurements: BMI was recorded and physical activity was assessed by
   questionnaire, aerobic fitness was evaluated with the 1-mile run/walk
   and gross motor coordination was measured with the KTK test battery
   (Korperkoordination test fur Kinder). Multilevel modelling techniques
   were for the primary analysis.
   Results: Changes in BMI showed similar curvilinear trends in boys and
   girls, with ample inter-individual crossing trajectories that is, low
   tracking. Longitudinal changes in physical activity (PA) and aerobic
   fitness were not significantly associated with BMI-changes during the 5
   years. Children who were more proficient in their motor coordination
   showed lower values of BMI during the 5 years.
   Conclusions: BMI trajectories of both boys and girls show low tracking
   of BMI-values. Considerable inter-individual variation exists both in
   baseline BMI-values and changes (velocity and acceleration) over time.
   PA and fitness were not associated with BMI-changes, but gross motor
   function was negatively associated with BMI-changes. No gender-specific
   associations were found. If confirmed in other populations these
   observations could be translated in the promotion of physical activities
   that improve gross motor function in children aged 6-10 years. This
   seems to be of major importance for the physical education curriculum of
   primary school children. International Journal of Obesity (2010) 34,
   1487-1493; doi:10.1038/ijo.2010.56; published online 13 April 2010
RI Lopes, Vitor P./D-1774-2011; seabra, andre/L-8770-2013; Katzmarzyk, Peter/N-1974-2017; Maia, Jose/
OI Lopes, Vitor P./0000-0003-1599-2180; seabra, andre/0000-0002-6788-4555;
   Katzmarzyk, Peter/0000-0002-9280-6022; Maia, Jose/0000-0002-3273-0046
Z8 0
ZS 3
TC 34
ZR 0
ZB 12
ZA 0
Z9 35
U1 0
U2 12
SN 0307-0565
EI 1476-5497
UT WOS:000282727000005
PM 20386549
ER

PT J
AU Bruce, A. S.
   Holsen, L. M.
   Chambers, R. J.
   Martin, L. E.
   Brooks, W. M.
   Zarcone, J. R.
   Butler, M. G.
   Savage, C. R.
TI Obese children show hyperactivation to food pictures in brain networks
   linked to motivation, reward and cognitive control
SO INTERNATIONAL JOURNAL OF OBESITY
VL 34
IS 10
BP 1494
EP 1500
DI 10.1038/ijo.2010.84
PD OCT 2010
PY 2010
AB Objective: To investigate the neural mechanisms of food motivation in
   children and adolescents, and examine brain activation differences
   between healthy weight (HW) and obese participants.
   Subjects: Ten HW children (ages 11-16; BMI < 85% ile) and 10 obese
   children (ages 10-17; BMI > 95% ile) matched for age, gender and years
   of education.
   Measurements: Functional magnetic resonance imaging (fMRI) scans were
   conducted twice: when participants were hungry (pre-meal) and
   immediately after a standardized meal (post-meal). During the fMRI
   scans, the participants passively viewed blocked images of food,
   non-food (animals) and blurred baseline control.
   Results: Both groups of children showed brain activation to food images
   in the limbic and paralimbic regions (PFC/OFC). The obese group showed
   significantly greater activation to food pictures in the PFC (pre-meal)
   and OFC (post-meal) than the HW group. In addition, the obese group
   showed less post-meal reduction of activation (vs pre-meal) in the PFC,
   limbic and the reward-processing regions, including the nucleus
   accumbens.
   Conclusion: Limbic and paralimbic activation in high food motivation
   states was noted in both groups of participants. However, obese children
   were hyper-responsive to food stimuli as compared with HW children. In
   addition, unlike HW children, brain activations in response to food
   stimuli in obese children failed to diminish significantly after eating.
   This study provides initial evidence that obesity, even among children,
   is associated with abnormalities in neural networks involved in food
   motivation, and that the origins of neural circuitry dysfunction
   associated with obesity may begin early in life. International Journal
   of Obesity (2010) 34, 1494-1500; doi:10.1038/ijo.2010.84; published
   online 4 May 2010
RI Holsen, Laura M/I-9186-2014; brooks, william/
OI Holsen, Laura M/0000-0003-1292-7789; brooks, william/0000-0001-6227-7636
ZA 0
ZB 95
Z8 4
ZS 1
ZR 0
TC 176
Z9 181
U1 0
U2 41
SN 0307-0565
EI 1476-5497
UT WOS:000282727000006
PM 20440296
ER

PT J
AU Kessler, Chad
   Bhandarkar, Stephen
TI Ultrasound Training for Medical Students and Internal Medicine
   Residents-A Needs Assessment
SO JOURNAL OF CLINICAL ULTRASOUND
VL 38
IS 8
BP 401
EP 408
DI 10.1002/jcu.20719
PD OCT 2010
PY 2010
AB Purpose. While sonography has been a mainstay of certain medical
   specialties, such as obstetrics and gynecology, internal medicine has
   been slower to integrate this technology into practice. No standardized
   training in sonography exists for either medical students or internal
   medicine residents, and little is known about the current competency and
   utilization of ultrasound among these groups. The goal of this article
   is to examine the present state of ultrasound education among internal
   medicine residents and medical students at a major university hospital.
   Methods. Third-year medical students from the University of Illinois at
   Chicago and senior medicine residents from University of Illinois at
   Chicago and Northwestern University were invited to complete a
   Likert-type survey regarding their attitudes, competence, and interest
   in ultrasound, the nature of previous training, and areas where
   incorporation of ultrasound would be useful.
   Results. One hundred sixty-three students and 40 residents participated
   (81.8% response rate). Students and residents generally felt incompetent
   in the use of ultrasound; objective competency in the resident group, as
   evaluated by an emergency physician certified by the American College of
   Emergency Physicians, was equally low. However, interest in additional
   training was high. Nearly 50% of the respondents had no prior sonography
   training; however, those with previous training rated it highly. Areas
   in which sonography was most sought-after include central line
   placement, paracentesis, and thoracentesis.
   Conclusions. There is a clear desire for training in sonography among
   the medical students and internal medicine residents surveyed. As
   ultrasound is further integrated into clinical practice, students and
   residents would strongly benefit from formal didactic and hands-on
   training in the modality. (C) 2010 Wiley Periodicals, Inc. J Clin
   Ultrasound 38:401-408, 2010; Published online in Wiley Online Library
   (wileyonlinelibrary.com). DOI: 10.1002/jcu.20719
TC 58
ZS 2
Z8 1
ZA 0
ZR 0
ZB 5
Z9 60
U1 0
U2 5
SN 0091-2751
EI 1097-0096
UT WOS:000282110700001
PM 20572065
ER

PT J
AU Mitov, Gergo
   Dillschneider, Timo
   Abed, Mohammad Rabbo
   Hohenberg, Gregor
   Pospiech, Peter
TI Introducing and Evaluating MorphDent, a Web-Based Learning Program in
   Dental Morphology
SO JOURNAL OF DENTAL EDUCATION
VL 74
IS 10
BP 1133
EP 1139
PD OCT 2010
PY 2010
AB MorphoDent, a computer-assisted learning program designed to teach the
   anatomy of the adult dentition, was introduced into the curriculum of
   dentistry at the University of Saarland in Homburg, Germany. Thirty-six
   second-year students of the School of Dentistry were introduced to
   morphoDent alongside the traditional lectures of dental anatomy.
   Questionnaires that evaluated the students' perceptions of virtual
   learning as well as aspects of the functionality of the program
   educational objectives were developed and distributed to the students.
   Online tests were performed and compared with a traditional examination.
   All questionnaires were returned. A wide variety of aspects dealing the
   pedagogic implications of e-learning were evaluated by the students,
   with the overall result being that students are aware of the needed
   hardware and technical skills and expect the quality of their studies to
   improve by implementation of e-learning. All sophomores except one felt
   that morphoDent had helped them in learning dental morphology and
   reported enjoying the virtual anatomical examination. One-third reported
   technical difficulties in operating the program. The average exam score
   was 2.53 (SD: 0.66) for the traditional and 2.23 (SD: 0.59) for the
   online dental anatomy test. Students expressed their positive attitude
   towards e-learning in general and indicated that the use of
   photorealistic 3D models of human teeth supported the process of
   individual learning of dental anatomy. The online test could be rated as
   a good option for students' self-performance rating.
ZB 1
ZR 0
ZA 0
TC 24
ZS 2
Z8 0
Z9 25
U1 0
U2 9
SN 0022-0337
EI 1930-7837
UT WOS:000283028300009
PM 20930244
ER

PT J
AU Mookherjee, Somnath
   Vidyarthi, Arpana R.
   Ranji, Sumant R.
   Maselli, Judy
   Wachter, Robert M.
   Baron, Robert B.
TI Potential Unintended Consequences Due to Medicare's "No Pay for Errors
   Rule"? A Randomized Controlled Trial of an Educational Intervention with
   Internal Medicine Residents
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 25
IS 10
BP 1097
EP 1101
DI 10.1007/s11606-010-1395-9
PD OCT 2010
PY 2010
AB Medicare has selected 10 hospital-acquired conditions for which it will
   not reimburse hospitals unless the condition was documented as "present
   on admission." This "no pay for errors" rule may have a profound effect
   on the clinical practice of physicians.
   To determine how physicians might change their behavior after learning
   about the Medicare rule.
   We conducted a randomized trial of a brief educational intervention
   embedded in an online survey, using clinical vignettes to estimate
   behavioral changes.
   At a university-based internal medicine residency program, 168 internal
   medicine residents were eligible to participate.
   Residents were randomized to receive a one-page description of
   Medicare's "no pay for errors" rule with pre-vignette reminders
   (intervention group) or no information (control group). Residents
   responded to five clinical vignettes in which "no pay for errors"
   conditions might be present on admission.
   Primary outcome was selection of the single most clinically appropriate
   option from three clinical practice choices presented for each clinical
   vignette.
   Survey administered from December 2008 to March 2009. There were 119
   responses (71%). In four of five vignettes, the intervention group was
   less likely to select the most clinically appropriate response. This was
   statistically significant in two of the cases. Most residents were aware
   of the rule but not its impact and specifics. Residents acknowledged
   responsibility to know Medicare documentation rules but felt poorly
   trained to do so. Residents educated about the Medicare's "no pay for
   errors" were less likely to select the most clinically appropriate
   responses to clinical vignettes. Such choices, if implemented in
   practice, have the potential for causing patient harm through
   unnecessary tests, procedures, and other interventions.
ZR 0
ZS 0
TC 7
Z8 0
ZB 1
ZA 0
Z9 7
U1 0
U2 2
SN 0884-8734
UT WOS:000282051400018
PM 20532660
ER

PT J
AU Postel, Marloes G.
   de Haan, Hein A.
   ter Huurne, Elke D.
   Becker, Eni S.
   de Jong, Cor A. J.
TI Effectiveness of a Web-based Intervention for Problem Drinkers and
   Reasons for Dropout: Randomized Controlled Trial
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 12
IS 4
BP 11
EP 22
AR e68
DI 10.2196/jmir.1642
PD OCT-DEC 2010
PY 2010
AB Background: Online self-help interventions for problem drinkers show
   promising results, but the effectiveness of online therapy with active
   involvement of a therapist via the Internet only has not been examined.
   Objective: The objective of our study was to evaluate an e-therapy
   program with active therapeutic involvement for problem drinkers, with
   the hypotheses that e-therapy would (1) reduce weekly alcohol
   consumption, and (2) improve health status. Reasons for dropout were
   also systematically investigated.
   Method: In an open randomized controlled trial, Dutch-speaking problem
   drinkers in the general population were randomly assigned (in blocks of
   8, according to a computer-generated random list) to the 3-month
   e-therapy program (n = 78) or the waiting list control group (n = 78).
   The e-therapy program consisted of a structured 2-part online treatment
   program in which the participant and the therapist communicated
   asynchronously, via the Internet only. Participants in the waiting list
   control group received "no-reply" email messages once every 2 weeks. The
   primary outcome measures were (1) the difference in the score on weekly
   alcohol consumption, and (2) the proportion of participants drinking
   under the problem drinking limit. Intention-to-treat analyses were
   performed using multiple imputations to deal with loss to follow-up. A
   dropout questionnaire was sent to anyone who did not complete the
   3-month assessment. Reasons for dropout were independently assessed by
   the first and third author.
   Results: Of the 156 individuals who were randomly assigned, 102 (65%)
   completed assessment at 3 months. In the intention-to-treat analyses,
   the e-therapy group (n = 78) showed a significantly greater decrease in
   alcohol consumption than those in the control group (n = 78) at 3
   months. The e-therapy group decreased their mean weekly alcohol
   consumption by 28.8 units compared with 3.1 units in the control group,
   a difference in means of 25.6 units on a weekly basis (95% confidence
   interval 15.69-35.80, P < .001). The between-group effect size (pooled
   SD) was large (d = 1.21). The results also showed that 68% (53/78) of
   the e-therapy group was drinking less than 15 (females) or 22 (males)
   units a week, compared with 15% (12/78) in the control group (OR 12.0,
   number needed to treat 1.9, P < .001). Dropout analysis showed that the
   main reasons for dropouts (n = 54) were personal reasons unrelated to
   the e-therapy program, discomfort with the treatment protocol, and
   satisfaction with the positive results achieved.
   Conclusions: E-therapy for problem drinking is an effective intervention
   that can be delivered to a large population who otherwise do not seek
   help for their drinking problem. Insight into reasons for dropout can
   help improve e-therapy programs to decrease the number of dropouts.
   Additional research is needed to directly compare the effectiveness of
   the e-therapy program with a face-to-face treatment program.
RI Becker, Eni S/A-2668-2010; DeJong, Cornelis A.J./G-3957-2012; Postel, Marloes/; ter Huurne, Elke/
OI Becker, Eni S/0000-0003-3524-426X; Postel, Marloes/0000-0002-4027-6867;
   ter Huurne, Elke/0000-0002-9489-6770
ZA 0
TC 74
ZB 16
Z8 0
ZS 0
ZR 0
Z9 76
U1 0
U2 29
SN 1438-8871
UT WOS:000285637900002
PM 21163776
ER

PT J
AU Neve, Melinda J.
   Collins, Clare E.
   Morgan, Philip J.
TI Dropout, Nonusage Attrition, and Pretreatment Predictors of Nonusage
   Attrition in a Commercial Web-Based Weight Loss Program
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 12
IS 4
BP 81
EP 96
AR e69
DI 10.2196/jmir.1640
PD OCT-DEC 2010
PY 2010
AB Background: An understanding of the factors that predict retention and
   website use are critical to the development of effective Web-based
   weight loss interventions. However, poor retention (dropout attrition)
   and website utilization (nonusage attrition) are major inhibitors to the
   effectiveness of Web-based programs.
   Objective: The study aimed to (1) describe the prevalence of dropout and
   nonusage attrition and (2) examine pretreatment predictors of nonusage
   attrition in a cohort of commercial Web-based weight loss program
   participants.
   Methods: Participants enrolled in the online program, The Biggest Loser
   Club, Australia, from August 15, 2007, to May 31, 2008. Only those who
   subscribed for 12 or 52 weeks were included in this study. All data were
   collected by the program proprietors, SP Health Co Pty Ltd (Sydney,
   Australia), and provided in "deidentified" form. Data collected included
   responses to a pretreatment survey (sociodemographic and behavioral
   characteristics), subscription history (date of enrollment and
   subscription end), and website use (log-ins, food and exercise diary
   entries, weigh-ins, and forum posts). Participants were classified as a
   member of the program at 12 or 52 weeks if they held an active
   subscription plan at that point in time. Participants were classified as
   nonusers at 12 or 52 weeks if they had stopped using all of the website
   features and had not returned. Predictors of nonusage attrition were
   explored using Cox proportional hazards regression analysis.
   Results: Of the 9599 eligible participants, 6943 (72%) subscribed to the
   program for 12 weeks, and 2656 (28%) subscribed for 52 weeks. Of all
   participants, 31% (2975/9599) were classified as overweight, 61%
   (5866/9599) were classified as obese, 86% (8279/9599) were female, and
   participants' mean (SD) age was 35.7 (9.5) years. The 12 week and 52
   week subscribers' retention rates were 97% and 77% respectively. Of 12
   week subscribers, 35% were classified as program "users" after 12 weeks,
   and 30% of 52 week subscribers were classified as "users" after 52
   weeks. Significant predictors of nonusage attrition among 12 week
   subscribers included age (hazard ratio for 45 to 55 years of age = 0.83,
   95% confidence interval [CI] 0.73-0.93, P = .001; hazard ratio for 55 to
   65 years of age = 0.80, 95% CI 0.66-0.99, P = .04), exercise level
   (hazard ratio = 0.76, 95% CI 0.72-0.81, P < .001), emotional eating
   (hazard ratio = 1.11, 95% CI 1.04-1.18, P = .001), eating breakfast
   (hazard ratio = 0.88, 95% CI 0.82-0.95, P = .001), and skipping meals
   (hazard ratio = 1.12, 95% CI 1.04-1.19, P = .001). For 52 week
   subscribers, eating breakfast (hazard ratio = 0.88, 95% CI 0.79-0.99, P
   = .04) and not drinking tea or coffee with sugar (hazard ratio = 1.23,
   95% CI 1.11-1.37, P < .001) were the pretreatment characteristics that
   significantly decreased risk of nonusage attrition.
   Conclusions: The findings demonstrate a high prevalence of nonusage
   attrition among a cohort of commercial Web-based weight loss program
   participants. Several sociodemographic and behavioral factors were shown
   to independently predict nonusage attrition.
RI Hutchesson, Melinda J/G-7737-2013; COLLINS, CLARE/AAO-9933-2020; Morgan, Philip J/G-7072-2013
OI Hutchesson, Melinda J/0000-0002-1851-0661; COLLINS,
   CLARE/0000-0003-3298-756X; Morgan, Philip J/0000-0002-5632-8529
ZS 1
Z8 0
ZA 0
ZB 11
TC 91
ZR 0
Z9 91
U1 0
U2 16
SN 1438-8871
UT WOS:000285637900008
PM 21156470
ER

PT J
AU Yardley, Lucy
   Joseph, Judith
   Michie, Susan
   Weal, Mark
   Wills, Gary
   Little, Paul
TI Evaluation of a Web-based Intervention Providing Tailored Advice for
   Self-management of Minor Respiratory Symptoms: Exploratory Randomized
   Controlled Trial
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 12
IS 4
BP 97
EP 108
AR e66
DI 10.2196/jmir.1599
PD OCT-DEC 2010
PY 2010
AB Background: There has been relatively little research on the role of
   web-based support for self-care in the management of minor, acute
   symptoms, in contrast to the wealth of recent research into Internet
   interventions to support self-management of long-term conditions.
   Objective: This study was designed as an evaluation of the usage and
   effects of the "Internet Doctor" website providing tailored advice on
   self-management of minor respiratory symptoms (eg, cough, sore throat,
   fever, runny nose), in preparation for a definitive trial of clinical
   effectiveness. The first aim was to evaluate the effects of using the
   Internet Doctor webpages on patient enablement and use of health
   services, to test whether the tailored, theory-based advice provided by
   the Internet Doctor was superior to providing a static webpage providing
   the best existing patient information (the control condition). The
   second aim was to gain an understanding of the processes that might
   mediate any change in intentions to consult the doctor, by comparing
   changes in relevant beliefs and illness perceptions in the intervention
   and control groups, and by analyzing usage of the Internet Doctor
   webpages and predictors of intention change.
   Methods: Participants (N = 714) completed baseline measures of beliefs
   about their symptoms and self-care online, and were then automatically
   randomized to the Internet Doctor or control group. These measures were
   completed again by 332 participants after 48 hours. Four weeks later,
   214 participants completed measures of enablement and health service
   use.
   Results: The Internet Doctor resulted in higher levels of satisfaction
   than the control information (mean 6.58 and 5.86, respectively; P =
   .002) and resulted in higher levels of enablement a month later (median
   3 and 2, respectively; P = .03). Understanding of illness improved in
   the 48 hours following use of the Internet Doctor webpages, whereas it
   did not improve in the control group (mean change from baseline 0.21 and
   -0.06, respectively, P = .05). Decline in intentions to consult the
   doctor between baseline and follow-up was predicted by age (beta = .10,
   P = .003), believing before accessing the website that consultation was
   necessary for recovery (beta = .19, P < .001), poor understanding of
   illness (beta = .11, P = .004), emotional reactions to illness (beta =
   .15, P <. 001), and use of the Diagnostic section of the Internet Doctor
   website (beta = .09, P = .007).
   Conclusions: Our findings provide initial evidence that tailored
   web-based advice could help patients self-manage minor symptoms to a
   greater extent. These findings constitute a sound foundation and
   rationale for future research. In particular, our study provides the
   evidence required to justify carrying out much larger trials in
   representative population samples comparing tailored web-based advice
   with routine care, to obtain a definitive evaluation of the impact on
   self-management and health service use.
RI Wills, Gary/; Yardley, Lucy/; Michie, Susan/A-1745-2010; Joseph, Judith/; Little, Paul/
OI Wills, Gary/0000-0001-5771-4088; Yardley, Lucy/0000-0002-3853-883X;
   Michie, Susan/0000-0003-0063-6378; Joseph, Judith/0000-0002-0835-882X;
   Little, Paul/0000-0003-3664-1873
TC 23
ZB 3
ZR 0
ZS 0
Z8 0
ZA 0
Z9 23
U1 1
U2 26
SN 1438-8871
UT WOS:000285637900009
PM 21159599
ER

PT J
AU Richardson, Caroline R.
   Buis, Lorraine R.
   Janney, Adrienne W.
   Goodrich, David E.
   Sen, Ananda
   Hess, Michael L.
   Mehari, Kathleen S.
   Fortlage, Laurie A.
   Resnick, Paul J.
   Zikmund-Fisher, Brian J.
   Strecher, Victor J.
   Piette, John D.
TI An Online Community Improves Adherence in an Internet-Mediated Walking
   Program. Part 1: Results of a Randomized Controlled Trial
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 12
IS 4
BP 138
EP 153
AR e71
DI 10.2196/jmir.1338
PD OCT-DEC 2010
PY 2010
AB Background: Approximately half of American adults do not meet
   recommended physical activity guidelines. Face-to-face lifestyle
   interventions improve health outcomes but are unlikely to yield
   population-level improvements because they can be difficult to
   disseminate, expensive to maintain, and inconvenient for the recipient.
   In contrast, Internet-based behavior change interventions can be
   disseminated widely at a lower cost. However, the impact of some
   Internet-mediated programs is limited by high attrition rates. Online
   communities that allow participants to communicate with each other by
   posting and reading messages may decrease participant attrition.
   Objective: Our objective was to measure the impact of adding online
   community features to an Internet-mediated walking program on
   participant attrition and average daily step counts.
   Methods: This randomized controlled trial included sedentary, ambulatory
   adults who used email regularly and had at least 1 of the following:
   overweight (body mass index [BMI] >= 25), type 2 diabetes, or coronary
   artery disease. All participants (n = 324) wore enhanced pedometers
   throughout the 16-week intervention and uploaded step-count data to the
   study server. Participants could log in to the study website to view
   graphs of their walking progress, individually-tailored motivational
   messages, and weekly calculated goals. Participants were randomized to 1
   of 2 versions of a Web-based walking program. Those randomized to the
   "online community" arm could post and read messages with other
   participants while those randomized to the "no online community" arm
   could not read or post messages. The main outcome measures were
   participant attrition and average daily step counts over 16 weeks.
   Multiple regression analyses assessed the effect of the online community
   access controlling for age, sex, disease status, BMI, and baseline step
   counts.
   Results: Both arms significantly increased their average daily steps
   between baseline and the end of the intervention period, but there were
   no significant differences in increase in step counts between arms using
   either intention-to-treat or completers analysis. In the
   intention-to-treat analysis, the average step count increase across both
   arms was 1888 +/- 2400 steps. The percentage of completers was 13%
   higher in the online community arm than the no online community arm
   (online community arm, 79%, no online community arm, 66%, P = .02). In
   addition, online community arm participants remained engaged in the
   program longer than no online community arm participants (hazard ratio =
   0.47, 95% CI = 0.25-0.90, P = .02). Participants with lower baseline
   social support posted more messages to the online community (P < .001)
   and viewed more posts (P < .001) than participants with higher baseline
   social support.
   Conclusion: Adding online community features to an Internet-mediated
   walking program did not increase average daily step counts but did
   reduce participant attrition. Participants with low baseline social
   support used the online community features more than those with high
   baseline social support. Thus, online communities may be a promising
   approach to reducing attrition from online health behavior change
   interventions, particularly in populations with low social support.
RI Richardson, Caroline R/A-9237-2009; Zikmund-Fisher, Brian J./A-7677-2009; Richardson, Caroline/; Buis, Lorraine/; Resnick, Paul J./; Goodrich, David/; Zikmund-Fisher, Brian/
OI Richardson, Caroline/0000-0002-1945-6046; Buis,
   Lorraine/0000-0001-5855-9972; Resnick, Paul J./0000-0001-8368-0600;
   Goodrich, David/0000-0003-3232-2189; Zikmund-Fisher,
   Brian/0000-0002-1637-4176
ZA 0
ZS 1
ZR 0
TC 148
ZB 13
Z8 1
Z9 149
U1 0
U2 66
SN 1438-8871
UT WOS:000285637900012
PM 21169160
ER

PT J
AU Resnick, Paul J.
   Janney, Adrienne W.
   Buis, Lorraine R.
   Richardson, Caroline R.
TI Adding an Online Community to an Internet-Mediated Walking Program. Part
   2: Strategies for Encouraging Community Participation
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 12
IS 4
BP 154
EP 164
AR e72
DI 10.2196/jmir.1339
PD OCT-DEC 2010
PY 2010
AB Starting a new online community with a limited number of members who
   have not self-selected for participation in the community is
   challenging. The space must appear active to lure visitors to return;
   when the pool of participants is small, a large fraction must be
   converted from lurkers to contributors, and contributors must receive
   responses quickly to encourage continued participation. We report on
   strategies for overcoming these challenges and our experience
   implementing them within an online community add-on to an existing
   Internet-mediated walking program. Concentrated study recruitment
   increased the effective membership size. Having few conversation spaces
   rather than many specialized ones, staff seeding of the forums before
   members were invited to visit, and staff posting of new topics when
   there were conversation lulls, all helped to make the forums appear
   active. In retrospect, using even fewer separate spaces and displaying a
   flat rather than nested reply structure would have made the forums
   appear even more active. Contests with small prizes around participation
   in the forums and around meeting walking goals generated a lot of
   discussion; a contest for first-time posters was especially effective at
   moving lurkers to post. Staff efforts to elicit participation by asking
   questions had mixed success. Staff replies to posts that had not
   received member replies created a feeling of responsiveness despite
   limited membership.
RI Richardson, Caroline R/A-9237-2009; Buis, Lorraine/; Resnick, Paul J./; Richardson, Caroline/
OI Buis, Lorraine/0000-0001-5855-9972; Resnick, Paul
   J./0000-0001-8368-0600; Richardson, Caroline/0000-0002-1945-6046
ZB 9
ZR 0
ZA 0
ZS 0
Z8 0
TC 39
Z9 39
U1 1
U2 12
SN 1438-8871
UT WOS:000285637900013
PM 21169161
ER

PT J
AU Sbicca, Jennifer A.
   Gorell, Emily S.
   Kanzler, Matthew H.
   Lane, Alfred T.
TI The integrity of the dermatology National Resident Matching Program:
   Results of a national study
SO JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY
VL 63
IS 4
BP 594
EP 601
DI 10.1016/j.jaad.2009.11.009
PD OCT 2010
PY 2010
AB Background: National Resident Matching Program (NRMP) policy outlines
   the conduct expected by both program directors and residency applicants.
   However, recent studies and personal experiences have introduced the
   possibility that NRMP policy is violated during the residency
   application process.
   Objective: To investigate the communications that occur between
   dermatology applicants and dermatology programs during the residency
   application process.
   Methods: From April to July 2009, we surveyed 2009 Stanford dermatology
   applicants, current US dermatology residents, and US dermatology program
   directors. The survey was anonymous and available online. The main
   outcome measures were the frequency and incidence of dermatology NRMP
   policy violations.
   Results: Thirty-one percent of Stanford applicants and 19% of US
   dermatology residents felt pressured to reveal to programs how they
   ranked them before match day. Seventeen percent of Stanford applicants
   and 14% of US dermatology residents witnessed behavior that made them
   feel uncomfortable or that they thought was a possible ethical
   infraction of NRMP policy.
   Limitations: Response rates were as follows: 43% of Stanford applicants,
   46% of residents, and 61% of program directors.
   Conclusions: Our data suggest that some dermatology program directors
   violate NRMP policy during their communications with applicants. The
   most widespread violation is pressuring applicants into revealing how
   they intend to rank programs. Other violations include apparent sexual
   discrimination and reserving NRMP positions for preselected applicants.
   Additional studies should be clone in order to determine the incidence
   of dermatology applicants violating NRMP policy. (J Am Acad Dermatol
   2010;63:594-601.)
RI Gorell, Emily/AAF-4966-2021
OI Gorell, Emily/0000-0002-2813-3089
ZS 0
ZB 6
ZA 0
Z8 0
TC 15
ZR 0
Z9 15
U1 0
U2 4
SN 0190-9622
UT WOS:000282069400006
PM 20599295
ER

PT J
AU Le, Brian
   Mickelson, Jennie
   Gossett, Dana
   Kim, Dae
   Stoltz, Rachel Stork
   York, Sloane
   Sharma, Vidit
   Maizels, Max
TI Residency Training in Neonatal Circumcision: A Pilot Study and Needs
   Assessment
SO JOURNAL OF UROLOGY
VL 184
IS 4
BP 1754
EP 1757
DI 10.1016/j.juro.2010.03.077
SU 1
PD OCT 2010
PY 2010
AB Purpose: Routine neonatal circumcision is one of the most commonly
   performed procedures in a neonate. Residents are expected to acquire the
   skills to properly evaluate the neonate and gain proficiency in
   performing circumcision despite significant variability in training. We
   performed a needs assessment to evaluate obstetric-gynecology residency
   training in neonatal circumcision.
   Materials and Methods: We performed an online self-assessment survey of
   obstetric-gynecology residents at Prentice Hospital, Chicago, from
   November 2008 to February 2009. Using images of uncircumcised penises
   residents were asked to identify which patients were candidates for
   routine neonatal circumcision.
   Results: Of 36 obstetric-gynecology residents 27 responded to the
   survey. Most respondents planned to perform neonatal circumcision when
   in practice, 44% had no formal training in circumcision and most were
   comfortable performing routine neonatal circumcision. Overall
   respondents were less comfortable evaluating whether the a newborn penis
   could undergo circumcision safely. When presented with 10 pictures of
   penises and asked to determine whether the neonate should undergo
   circumcision, 0% of respondents correctly identified all
   contraindications to neonatal circumcision with an average of 42% of
   contraindications identified correctly. Of the respondents 77% listed
   practical experience as the first choice to learn a procedure with an
   online module preferred by 55% as the second choice.
   Conclusions: Although most residents feel competent to technically
   perform the procedure, they are not confident in their ability to judge
   the appropriate contraindications to neonatal circumcision. This needs
   assessment highlights the necessity for further curriculum development
   and formalized training in this domain.
RI Gossett, Dana/AAI-2929-2021; Gossett, Dana/
OI Gossett, Dana/0000-0002-7306-3606
Z8 0
TC 8
ZB 0
ZA 0
ZR 0
ZS 0
Z9 8
U1 0
U2 0
SN 0022-5347
EI 1527-3792
UT WOS:000282618600059
PM 20728165
ER

PT J
AU Zafar, Iram
   Ravichandran, Kameswaran
   Belibi, Franck A.
   Doctor, R. Brian
   Edelstein, Charles L.
TI Sirolimus attenuates disease progression in an orthologous mouse model
   of human autosomal dominant polycystic kidney disease
SO KIDNEY INTERNATIONAL
VL 78
IS 8
BP 754
EP 761
DI 10.1038/ki.2010.250
PD OCT 2010
PY 2010
AB In autosomal dominant polycystic kidney disease (ADPKD), abnormal
   proliferation of tubular cells drives cyst development and growth.
   Sirolimus, an inhibitor of the protein kinase mammalian target of
   rapamycin (mTOR) and a potent anti-proliferative agent, decreases cyst
   growth in several genetically distinct rodent models of polycystic
   kidney disease (PKD). We determined here the effect of sirolimus on
   renal cyst growth in Pkd2WS25/- mice; an ortholog of human ADPKD
   involving mutation of the Pkd2 gene. In Pkd2WS25/- mice treated with
   sirolimus, both the two kidney/total body weight (2K/TBW) ratio and the
   cyst volume density (CVD) were significantly decreased by over half
   compared with untreated mice suffering with PKD. However, there was no
   effect on the increased blood urea nitrogen (BUN) levels as an index of
   kidney function. There are two distinct complexes containing mTOR
   depending on its binding partners: mTORC1 and mTORC2. Western blot
   analysis of whole kidney lysates and immunohistochemistry of the cysts
   found that phospho-S6 ribosomal protein, a marker of mTORC1 activity,
   was increased in Pkd2WS25/- mice and its phosphorylation was decreased
   by sirolimus treatment. Phospho-Akt at serine 473, a marker associated
   with mTORC2 activity, was not different between Pkd2WS25/- mice and
   normal littermate controls. Hence, our study found that inhibition of
   mTORC1 by sirolimus correlated with decreased renal cyst growth in this
   model of human ADPKD but had no effect on the decline in renal function.
   Kidney International (2010) 78, 754-761; doi: 10.1038/ki.2010.250;
   published online 4 August 2010
RI RAVICHANDRAN, KAMESWARAN/Y-6920-2019
OI RAVICHANDRAN, KAMESWARAN/0000-0002-0596-2044
Z8 2
ZR 0
ZS 0
ZA 0
TC 67
ZB 49
Z9 69
U1 1
U2 4
SN 0085-2538
EI 1523-1755
UT WOS:000282276200006
PM 20686448
ER

PT J
AU Lyons, Oliver T. A.
   Smith, Colette
   Winston, Joel S.
   Geranmayeh, Fatemeh
   Behjati, Sam
   Kingston, Olivia
   Pollara, Gabriele
TI Impact of UK academic foundation programmes on aspirations to pursue a
   career in academia
SO MEDICAL EDUCATION
VL 44
IS 10
BP 996
EP 1005
DI 10.1111/j.1365-2923.2010.03787.x
PD OCT 2010
PY 2010
AB OBJECTIVES This study aimed to determine the role played by academic
   foundation programmes in influencing junior doctors' desire to pursue a
   career in academic medicine.
   METHODS We conducted an online questionnaire-based study of doctors who
   were enrolled on or had completed academic foundation programmes in the
   UK. There were 92 respondents (44 men, 48 women). Of these, 32 (35%)
   possessed a higher degree and 73 (79%) had undertaken a 4-month academic
   placement during Foundation Year 2. Outcomes were measured using Likert
   scale-based ordinal response data.
   RESULTS From a cohort of 115 academic foundation trainees directly
   contacted, 46 replies were obtained (40% response rate). A further 46
   responses were obtained via indirect notification through local
   programme directors. From the combined responses, the majority (77%)
   wished to pursue a career in academia at the end of the academic
   Foundation Year (acFY) programme. Feeling well informed about academic
   careers (odds ratio [OR] 16.9, p = 0.005) and possessing a higher degree
   (OR 31.1, p = 0.013) were independently associated with an increased
   desire to continue in academia. Concern about reduced clinical
   experience whilst in academic training dissuaded from continuing in
   academia (OR 0.15, p = 0.026). Many respondents expressed concerns about
   autonomy, the organisation of the programme and the quantity and quality
   of academic teaching received. However, choice of work carried out
   during the academic block was the only variable independently associated
   with increasing the desire of respondents to pursue a career in academia
   following their experiences in the acFY programme (OR 6.3, p = 0.007).
   CONCLUSIONS The results support the provision of well-organised academic
   training programmes that assist junior clinical academics in achieving
   clinical competencies whilst providing protected academic time,
   information about further academic training pathways and autonomy in
   their choice of academic work.
RI Winston, Joel S/F-6180-2010; Geranmayeh, Fatemeh/; Smith, Colette/; Lyons, Oliver/
OI Winston, Joel S/0000-0002-3957-0612; Geranmayeh,
   Fatemeh/0000-0003-1112-786X; Smith, Colette/0000-0003-2847-3355; Lyons,
   Oliver/0000-0002-7731-7343
ZS 0
Z8 0
ZA 0
TC 19
ZR 0
ZB 0
Z9 19
U1 0
U2 6
SN 0308-0110
EI 1365-2923
UT WOS:000282541000009
PM 20880369
ER

PT J
AU Adams, Kelly M.
   Kohlmeier, Martin
   Powell, Margo
   Zeisel, Steven H.
TI Nutrition in Medicine: Nutrition Education for Medical Students and
   Residents
SO NUTRITION IN CLINICAL PRACTICE
VL 25
IS 5
BP 471
EP 480
DI 10.1177/0884533610379606
PD OCT 2010
PY 2010
AB Proper nutrition plays a key role in disease prevention and treatment.
   Many patients understand this link and look to physicians for guidance
   diet and physical activity. Actual physician practice, however, is often
   inadequate in addressing the nutrition aspects of diseases such as
   cancer, obesity, and diabetes. Physicians do not feel comfortable,
   confident, or adequately prepared to provide nutrition counseling, which
   may be related to suboptimal knowledge of basic nutrition science facts
   and understanding of potential nutrition interventions. Historically,
   nutrition education has been underrepresented at many medical schools
   and residency programs. Our surveys over a decade show that most medical
   schools in the United States are still not ensuring adequate nutrition
   education, and they are not producing graduates with the nutrition
   competencies required in medical practice. Physicians, residents, and
   medical students clearly need more training in nutrition assessment and
   intervention. The Nutrition in Medicine (NIM) project, established to
   develop and distribute a core nutrition curriculum for medical students,
   offers a comprehensive online set of courses free of charge to medical
   schools. The NIM medical school curriculum is widely used in the United
   States and abroad. A new initiative, Nutrition Education for Practicing
   Physicians, offers an innovative online medical nutrition education
   program for residents and other physicians-in-training, but with
   targeted, practice-based educational units designed to be completed in
   15 minutes or less. The NIM project is strengthening medical nutrition
   practice by providing a free, comprehensive, online nutrition curriculum
   with clinically relevant, evidence-based medical education for
   undergraduate and postgraduate learners. (Nutr Clin Pract. 2010;
   25:471-480)
ZS 0
TC 98
Z8 1
ZB 23
ZR 0
ZA 0
Z9 99
U1 2
U2 35
SN 0884-5336
UT WOS:000284844500005
PM 20962306
ER

PT J
AU Racaniello, Vincent R.
TI Social Media and Microbiology Education
SO PLOS PATHOGENS
VL 6
IS 10
AR e1001095
DI 10.1371/journal.ppat.1001095
PD OCT 2010
PY 2010
ZR 0
TC 10
ZS 0
ZB 3
ZA 0
Z8 0
Z9 10
U1 0
U2 7
SN 1553-7366
UT WOS:000283652200004
PM 20975949
ER

PT J
AU Heinrichs, Wm LeRoy
   Youngblood, Patricia
   Harter, Phillip
   Kusumoto, Laura
   Dev, Parvati
TI Training Healthcare Personnel for Mass-Casualty Incidents in a Virtual
   Emergency Department: VED II
SO PREHOSPITAL AND DISASTER MEDICINE
VL 25
IS 5
BP 424
EP 432
DI 10.1017/S1049023X00008517
PD OCT 2010
PY 2010
AB Introduction: Training emergency personnel on the clinical management of
   a mass-casualty incident (MCI) with prior chemical, biological,
   radioactive, nuclear, or explosives (CBRNE)-exposed patients is a
   component of hospital preparedness procedures.
   Objective: The objective of this research was to determine whether a
   Virtual Emergency Department (VED), designed after the Stanford
   University Medical Center's Emergency Department (ED) and populated with
   10 virtual patient victims who suffered from a dirty bomb blast
   (radiological) and 10 who suffered from exposure to a nerve toxin
   (chemical), is an effective clinical environment for training ED
   physicians and nurses for such MCIs.
   Methods: Ten physicians with an average of four years of post-training
   experience, and 12 nurses with an average of 9.5 years of post-graduate
   experience at Stanford University Medical Center and San Mateo County
   Medical Center participated in this IRB-approved study. All individuals
   were provided electronic information about the clinical features of
   patients exposed to a nerve toxin or radioactive blast before the study
   date and an orientation to the "game" interface, including an
   opportunity to practice using it immediately prior to the study. An exit
   questionnaire was conducted using a Likert Scale test instrument.
   Results: Among these 22 trainees, two-thirds of whom had prior Code
   Triage (multiple casualty incident) training, and one-half had prior
   CBRNE training, about two-thirds felt immersed in the virtual world much
   or all of the time. Prior to the training, only four trainees (18%) were
   confident about managing CBRNE MCIs. After the training, 19 (86%) felt
   either "confident" or "very confident", with 13 (59%) attributing this
   change to practicing in the virtual ED. Twenty-one (95%) of the trainees
   reported that the scenarios were useful for improving healthcare team
   skills training, the primary objective for creating them. Eighteen
   trainees (82%) believed that the cases also were instructive in learning
   about clinical skills management of such incidents.
   Conclusions: These data suggest that training healthcare teams in
   online, virtual environments with dynamic virtual patients is an
   effective method of training for management of MCIs, particularly for
   uncommonly occurring incidents.
ZA 0
ZR 0
Z8 1
ZB 3
TC 42
ZS 0
Z9 43
U1 0
U2 4
SN 1049-023X
EI 1945-1938
UT WOS:000445101300009
PM 21053190
ER

PT J
AU Neimeyer, Greg J.
   Taylor, Jennifer Marie
   Philip, Daniel
TI Continuing Education in Psychology: Patterns of Participation and
   Perceived Outcomes Among Mandated and Nonmandated Psychologists
SO PROFESSIONAL PSYCHOLOGY-RESEARCH AND PRACTICE
VL 41
IS 5
BP 435
EP 441
DI 10.1037/a0021120
PD OCT 2010
PY 2010
AB How much continuing education (CE) do professional psychologists
   complete each year, and how do they perceive it as affecting their
   competencies and practices? In a national survey, 1,146 licensed
   psychologists reported on their patterns of CE participation and their
   perceived outcomes in relation to those experiences. Overall,
   psychologists reported highly favorable perceptions of their CE
   experiences and outcomes, both in relation to the amount that they
   learned and the translation of that learning into more effective
   practice. Significant differences were found between psychologists from
   CE-mandating and nonmandating states, however, in relation to the format
   of the CE they participated in (e.g., on-site, online) and, especially,
   in relation to their levels of CE participation. Overall, nonmandated
   psychologists reported completing one-third fewer CE credits per year
   and were less supportive of CE mandates, as well. These and other
   results are discussed in relation to the developing empirical
   literatures on CE and professional competencies in psychology.
OI Neimeyer, Greg/0000-0001-5314-9827
Z8 0
ZB 1
ZS 0
ZR 0
ZA 0
TC 27
Z9 27
U1 0
U2 5
SN 0735-7028
UT WOS:000283473900011
ER

PT J
AU Pokhrel, A.
   Martikainen, P.
   Pukkala, E.
   Rautalahti, M.
   Seppa, K.
   Hakulinen, T.
TI Education, survival and avoidable deaths in cancer patients in Finland
SO BRITISH JOURNAL OF CANCER
VL 103
IS 7
BP 1109
EP 1114
DI 10.1038/sj.bjc.6605861
PD SEP 28 2010
PY 2010
AB BACKGROUND: Relative survival after cancer in Finland is at the highest
   level observed in Europe and has, in general, been on a steady increase.
   The aim of this study is to assess whether the high survival is equally
   shared by different population subgroups and to estimate the possible
   gains that might be achieved if equity prevailed.
   MATERIALS AND METHODS: The educational level and occupation before the
   cancer diagnosis of patients diagnosed in Finland in 1971-2005 was
   derived from an antecedent population census. The cancers were divided
   into 27 site categories. Cancer (cause)-specific 5-year survival
   proportions were calculated for three patient categories based on the
   educational level and for an occupational group of potentially
   health-conscious patients (physicians, nurses, teachers etc.).
   Proportions of avoidable deaths were derived by assuming that the
   patients from the two lower education categories would have the same
   mortality owing to cancer, as those from the highest educational
   category. Estimates were also made by additionally assuming that even
   the mortalities owing to other causes of death were all equal to those
   in the highest category.
   RESULTS: For almost all the sites considered, survival was consistently
   highest for patients with the highest education and lowest for those
   with only basic education. The potentially health-conscious patients had
   an even higher survival. The differences were, in part, attributable to
   less favourable distributions of tumour stages in the lower education
   categories. In 1996-2005, 4-7% of the deaths in Finnish cancer patients
   could have potentially been avoided during the first 5-year period after
   diagnosis, if all the patients had the same cancer mortality as the
   patients with the highest educational background. The proportion would
   have also been much higher, 8-11%, if, in addition, the mortality from
   other causes had been the same as that in the highest educational
   category.
   INTERPRETATION: Even in a potentially equitable society with high health
   care standards, marked inequalities persist in cancer survival. Earlier
   cancer diagnosis and the ability to cope within the health care system
   may be a partly relevant explanation, but personal habits and lifestyles
   also have a role, particularly for the cancer patients' mortality from
   other causes of death than cancer. British Journal of Cancer (2010) 103,
   1109-1114. doi: 10.1038/sj.bjc.6605861 www.bjcancer.com Published online
   17 August 2010 (c) 2010 Cancer Research UK
OI Martikainen, Pekka/0000-0001-9374-1438
ZR 0
TC 51
ZB 32
ZA 0
Z8 0
ZS 0
Z9 52
U1 1
U2 8
SN 0007-0920
EI 1532-1827
UT WOS:000282222000026
PM 20717112
ER

PT J
AU de Vathaire, F.
   Drozdovitch, V.
   Brindel, P.
   Rachedi, F.
   Boissin, J-L
   Sebbag, J.
   Shan, L.
   Bost-Bezeaud, F.
   Petitdidier, P.
   Paoaafaite, J.
   Teuri, J.
   Iltis, J.
   Bouville, A.
   Cardis, E.
   Hill, C.
   Doyon, F.
TI Thyroid cancer following nuclear tests in French Polynesia
SO BRITISH JOURNAL OF CANCER
VL 103
IS 7
BP 1115
EP 1121
DI 10.1038/sj.bjc.6605862
PD SEP 28 2010
PY 2010
AB BACKGROUND: Between 1966 and 1974, France conducted 41 atmospheric
   nuclear tests in Polynesia, but their potential health effects have not
   previously been investigated.
   METHODS: In a case-control study, we compared the radiation exposure of
   almost all the French Polynesians diagnosed with differentiated thyroid
   carcinoma between 1981 and 2003 (n = 229) to the exposure of 373 French
   Polynesian control individuals without cancer from the general
   population. Radiation exposures were estimated using measurements after
   the nuclear tests, age at time of each test, residential and dietary
   information.
   RESULTS: The average thyroid dose before 15 years of age was about 1.8
   mGy, and 5% of the cases and 3% of the controls received a dose above 10
   mGy. Despite this low level of dose, and after adjusting for ethnic
   group, level of education, body surface area, family history of thyroid
   cancer and number of pregnancies for women, we observed an increasing
   risk (P = 0.04) of thyroid cancer with increasing thyroid dose received
   before age of 15 years, which remained after excluding non-aggressive
   differentiated thyroid micro-carcinomas. This increase of risk per unit
   of thyroid radiation dose was higher (P = 0.03) in women who later
   experienced four or more pregnancies than among other women.
   CONCLUSION: The risk estimate is low, but is based on limited exposure
   data. The release of information on exposure, currently classified,
   would greatly improve the reliability of the risk estimation. British
   Journal of Cancer (2010) 103, 1115-1121. doi: 10.1038/sj.bjc.6605862
   www.bjcancer.com Published online 31 August 2010 (c) 2010 Cancer
   Research UK
RI Cardis, Elisabeth/C-3904-2017; de Vathaire, Florent/L-2983-2016; Drozdovitch, Vladimir/
OI Cardis, Elisabeth/0000-0003-0999-6839; Drozdovitch,
   Vladimir/0000-0002-7952-379X
ZB 10
TC 26
ZA 0
ZR 1
ZS 0
Z8 0
Z9 27
U1 0
U2 5
SN 0007-0920
EI 1532-1827
UT WOS:000282222000027
PM 20808313
ER

PT J
AU Spanou, Clio
   Simpson, Sharon A.
   Hood, Kerry
   Edwards, Adrian
   Cohen, David
   Rollnick, Stephen
   Carter, Ben
   McCambridge, Jim
   Moore, Laurence
   Randell, Elizabeth
   Pickles, Timothy
   Smith, Christine
   Lane, Claire
   Wood, Fiona
   Thornton, Hazel
   Butler, Chris C.
TI Preventing disease through opportunistic, rapid engagement by primary
   care teams using behaviour change counselling (PRE-EMPT): protocol for a
   general practice-based cluster randomised trial
SO BMC FAMILY PRACTICE
VL 11
AR 11
DI 10.1186/1471-2296-11-69
PD SEP 21 2010
PY 2010
AB Background: Smoking, excessive alcohol consumption, lack of exercise and
   an unhealthy diet are the key modifiable factors contributing to
   premature morbidity and mortality in the developed world. Brief
   interventions in health care consultations can be effective in changing
   single health behaviours. General Practice holds considerable potential
   for primary prevention through modifying patients' multiple risk
   behaviours, but feasible, acceptable and effective interventions are
   poorly developed, and uptake by practitioners is low. Through a process
   of theoretical development, modeling and exploratory trials, we have
   developed an intervention called Behaviour Change Counselling (BCC)
   derived from Motivational Interviewing (MI). This paper describes the
   protocol for an evaluation of a training intervention (the Talking
   Lifestyles Programme) which will enable practitioners to routinely use
   BCC during consultations for the above four risk behaviours.
   Methods/Design: This cluster randomised controlled efficacy trial (RCT)
   will evaluate the outcomes and costs of this training intervention for
   General Practitioners (GPs) and nurses. Training methods will include: a
   practice-based seminar, online self-directed learning, and reflecting on
   video recorded and simulated consultations. The intervention will be
   evaluated in 29 practices in Wales, UK; two clinicians will take part
   (one GP and one nurse) from each practice. In intervention practices
   both clinicians will receive training. The aim is to recruit 2000
   patients into the study with an expected 30% drop out. The primary
   outcome will be the proportion of patients making changes in one or more
   of the four behaviours at three months. Results will be compared for
   patients seeing clinicians trained in BCC with patients seeing non-BCC
   trained clinicians. Economic and process evaluations will also be
   conducted.
   Discussion: Opportunistic engagement by health professionals potentially
   represents a cost effective medical intervention. This study integrates
   an existing, innovative intervention method with an innovative training
   model to enable clinicians to routinely use BCC, providing them with new
   tools to encourage and support people to make healthier choices. This
   trial will evaluate effectiveness in primary care and determine costs of
   the intervention.
   Trial Registration: ISRCTN22495456
RI Hood, Kerenza/C-2528-2008; McCambridge, Jim/; Pickles, Timothy/; Carter, Ben/; Moore, Laurence/; Randell, Elizabeth/; Simpson, Sharon Anne/; Butler, Christopher/
OI Hood, Kerenza/0000-0002-5268-8631; McCambridge, Jim/0000-0002-5461-7001;
   Pickles, Timothy/0000-0001-7743-0234; Carter, Ben/0000-0003-0318-8865;
   Moore, Laurence/0000-0003-2182-823X; Randell,
   Elizabeth/0000-0002-1606-3175; Simpson, Sharon Anne/0000-0002-6219-1768;
   Butler, Christopher/0000-0002-0102-3453
ZA 0
TC 17
ZR 0
ZS 4
ZB 2
Z8 0
Z9 21
U1 2
U2 24
EI 1471-2296
UT WOS:000283116300001
PM 20858273
ER

PT J
AU Yardley, Lucy
   Morrison, Leanne G.
   Andreou, Panayiota
   Joseph, Judith
   Little, Paul
TI Understanding reactions to an internet-delivered health-care
   intervention: accommodating user preferences for information provision
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 10
AR 52
DI 10.1186/1472-6947-10-52
PD SEP 17 2010
PY 2010
AB Background: It is recognised as good practice to use qualitative methods
   to elicit users' views of internet-delivered health-care interventions
   during their development. This paper seeks to illustrate the advantages
   of combining usability testing with 'theoretical modelling', i.e.
   analyses that relate the findings of qualitative studies during
   intervention development to social science theory, in order to gain
   deeper insights into the reasons and context for how people respond to
   the intervention. This paper illustrates how usability testing may be
   enriched by theoretical modelling by means of two qualitative studies of
   users' views of the delivery of information in an internet-delivered
   intervention to help users decide whether they needed to seek medical
   care for their cold or flu symptoms.
   Methods: In Study 1, 21 participants recruited from a city in southern
   England were asked to 'think aloud' while viewing draft web-pages
   presented in paper format. In Study 2, views of our prototype website
   were elicited, again using think aloud methods, in a sample of 26
   participants purposively sampled for diversity in education levels. Both
   data-sets were analysed by thematic analysis.
   Results: Study 1 revealed that although the information provided by the
   draft web-pages had many of the intended empowering benefits, users
   often felt overwhelmed by the quantity of information. Relating these
   findings to theory and research on factors influencing preferences for
   information-seeking we hypothesised that to meet the needs of different
   users (especially those with lower literacy levels) our website should
   be designed to provide only essential personalised advice, but with
   options to access further information. Study 2 showed that our website
   design did prove accessible to users with different literacy levels.
   However, some users seemed to want still greater control over how
   information was accessed.
   Conclusions: Educational level need not be an insuperable barrier to
   appreciating web-based access to detailed health-related information,
   provided that users feel they can quickly gain access to the specific
   information they seek.
OI Joseph, Judith/0000-0002-0835-882X; Yardley, Lucy/0000-0002-3853-883X;
   Andreou, Panayiota/0000-0003-2090-5555; Little, Paul/0000-0003-3664-1873
ZB 5
Z8 0
ZS 0
ZR 0
ZA 0
TC 63
Z9 63
U1 0
U2 25
EI 1472-6947
UT WOS:000283214400001
PM 20849599
ER

PT J
AU Sah, Sunita
   Loewenstein, George
TI Effect of Reminders of Personal Sacrifice and Suggested Rationalizations
   on Residents' Self-Reported Willingness to Accept Gifts A Randomized
   Trial
SO JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
VL 304
IS 11
BP 1204
EP 1211
DI 10.1001/jama.2010.1310
PD SEP 15 2010
PY 2010
AB Context Despite expanding research on the prevalence and consequences of
   conflicts of interest in medicine, little attention has been given to
   the psychological processes that enable physicians to rationalize the
   acceptance of gifts.
   Objective To determine whether reminding resident physicians of the
   sacrifices made to obtain training, as well as suggesting this as a
   potential rationalization, increases self-stated willingness to accept
   gifts from industry.
   Design, Setting, and Participants Three hundred one US resident
   physicians from 2 sample populations (pediatrics and family medicine)
   who were recruited during March-July 2009 participated in a survey
   presented as evaluating quality of life and values.
   Intervention Physicians were randomly assigned to receive 1 of 3
   different online surveys. The sacrifice reminders survey (n=120) asked
   questions about sacrifices made in medical training, followed by
   questions regarding the acceptability of receiving gifts from industry.
   The suggested rationalization survey (n=121) presented the same
   sacrifice questions, followed by a suggested possible rationalization
   (based on sacrifices made in medical training) for acceptance of gifts,
   before the questions regarding the acceptability of gifts. The control
   survey (n=60) asked about the acceptability of gifts before asking
   questions about sacrifices or suggesting a rationalization.
   Main Outcome Measures Physician self-stated acceptability of receiving
   gifts from industry.
   Results Reminding physicians of sacrifices made in obtaining their
   education resulted in gifts being evaluated as more acceptable: 21.7%
   (13/60) in the control group vs 47.5% (57/120) in the sacrifice
   reminders group (odds ratio, 1.81; 95% confidence interval, 1.27-2.58;
   P=.001). Although most residents disagreed with the suggested
   rationalization, exposure to it further increased the perceived
   acceptability of gifts to 60.3% (73/121) in that group (odds ratio
   relative to sacrifice reminders group, 1.45; 95% confidence interval,
   1.22-1.72; P<.001).
   Conclusions Providing resident physicians with reminders of sacrifices
   increased the perceived acceptability of industry-sponsored gifts.
   Including a rationalization statement further increased gift
   acceptability. JAMA. 2010;304(11):1204-1211 www.jama.com
RI Loewenstein, George/G-7616-2014; Sah, Sunita/J-4613-2014
OI Loewenstein, George/0000-0003-2790-0474; Sah, Sunita/0000-0003-1671-4414
ZS 0
ZA 0
ZR 0
Z8 0
ZB 1
TC 22
Z9 22
U1 0
U2 11
SN 0098-7484
UT WOS:000281770600013
PM 20841534
ER

PT J
AU Hege, Inga
   Nowak, Dennis
   Kolb, Stefanie
   Fischer, Martin R.
   Radon, Katja
TI Developing and analysing a curriculum map in Occupational- and
   Environmental Medicine
SO BMC MEDICAL EDUCATION
VL 10
AR 60
DI 10.1186/1472-6920-10-60
PD SEP 14 2010
PY 2010
AB Background: During the last 5 years a fundamental curriculum reform was
   realized at the medical school of the Ludwig Maximilians University. In
   contrast to those efforts, the learning objectives were not defined
   consistently for the curriculum and important questions concerning the
   curriculum could not be answered. This also applied to Occupational and
   Environmental Medicine where teachers of both courses were faced with
   additional problems such as the low number of students attending the
   lectures. The aims of the study were to develop and analyse a curriculum
   map for Occupational and Environmental Medicine based on learning
   objectives using a web-based database. Furthermore we aimed to evaluate
   student perception about the curricular structure.
   Methods: Using a web-based learning objectives database, a curriculum
   map for Occupational and Environmental Medicine was developed and
   analysed. Additionally online evaluations of students for each course
   were conducted.
   Results: The results show a discrepancy between the taught and the
   assessed curriculum. For both curricula, we identified that several
   learning objectives were not covered in the curriculum. There were
   overlaps with other content domains and redundancies within both
   curricula. 53% of the students in Occupational Medicine and 43% in
   Environmental Medicine stated that there is a lack of information
   regarding the learning objectives of the curriculum.
   Conclusions: The results of the curriculum mapping and the poor
   evaluation results for the courses suggest a need for re-structuring
   both curricula.
RI Heinze, Stefanie/AAF-4154-2022; Heinze, Stefanie/AFI-8543-2022; Hege, Inga/
OI Hege, Inga/0000-0003-4335-5162
Z8 0
ZS 0
ZA 0
ZB 3
TC 15
ZR 0
Z9 15
U1 2
U2 13
SN 1472-6920
UT WOS:000284848000001
PM 20840737
ER

PT J
AU Skirton, Heather
   Lewis, Celine
   Kent, Alastair
   Coviello, Domenico A.
CA Eurogentest Unit 6
   ESHG Educ Comm
TI Genetic education and the challenge of genomic medicine: development of
   core competences to support preparation of health professionals in
   Europe
SO EUROPEAN JOURNAL OF HUMAN GENETICS
VL 18
IS 9
BP 972
EP 977
DI 10.1038/ejhg.2010.64
PD SEP 10 2010
PY 2010
AB The use of genetics and genomics within a wide range of health-care
   settings requires health professionals to develop expertise to practise
   appropriately. There is a need for a common minimum standard of
   competence in genetics for health professionals in Europe but because of
   differences in professional education and regulation between European
   countries, setting curricula may not be practical. Core competences are
   used as a basis for health professional education in many fields and
   settings. An Expert Group working under the auspices of the EuroGentest
   project and European Society of Human Genetics Education Committee
   agreed that a pragmatic solution to the need to establish common
   standards for education and practice in genetic health care was to agree
   to a set of core competences that could apply across Europe. These were
   agreed through an exhaustive process of consultation with relevant
   health professionals and patient groups. Sets of competences for
   practitioners working in primary, secondary and tertiary care have been
   agreed and were approved by the European Society of Human Genetics. The
   competences provide an appropriate framework for genetics education of
   health professionals across national boundaries, and the suggested
   learning outcomes are available to guide development of curricula that
   are appropriate to the national context, educational system and
   health-care setting of the professional involved. Collaboration between
   individuals from many European countries and professions has resulted in
   an adaptable framework for both pre-registration and continuing
   professional education. This competence framework has the potential to
   improve the quality of genetic health care for patients globally.
   European Journal of Human Genetics (2010) 18, 972-977;
   doi:10.1038/ejhg.2010.64; published online 5 May 2010
RI Bloch-Zupan, Agnes/N-7822-2016; Coviello, Domenico/J-9477-2016; Clerget-Darpoux, Francoise/I-4825-2017; Sequeiros, Jorge/; Skirton, Heather/
OI Bloch-Zupan, Agnes/0000-0002-6511-2615; Coviello,
   Domenico/0000-0001-8440-865X; Clerget-Darpoux,
   Francoise/0000-0003-4816-6619; Sequeiros, Jorge/0000-0002-9846-1037;
   Skirton, Heather/0000-0002-3639-5265
ZA 0
ZR 1
TC 104
Z8 1
ZS 2
ZB 33
Z9 108
U1 2
U2 20
SN 1018-4813
UT WOS:000281117400003
PM 20442748
ER

PT J
AU Al-Sughayr, Abdulrhman M.
   Al-Abdulwahhab, Bander M.
   Al-Yemeni, Mohammed R.
TI Primary health care physicians' knowledge, use, and attitude towards
   online continuous medical education in Saudi Arabia
SO SAUDI MEDICAL JOURNAL
VL 31
IS 9
BP 1049
EP 1053
PD SEP 2010
PY 2010
AB Objectives: To determine the knowledge, attitude, and use of primary
   health care (PHC) physicians of online continuous medical education
   (OCME) in the regions of Riyadh, Kingdom of Saudi Arabia.
   Method: This is a cross-sectional analysis using a self administered
   questionnaire. The physician sample was selected to cover all Riyadh
   regions (city of Riyadh, and all accessible clinics in the villages, and
   cities outside of Riyadh). The study was conducted from April until May
   2007. The data were analyzed using the Statistical Package for Social
   Sciences software version 12.
   Results: Out of the 613 questionnaires distributed, 483 was completed
   and returned. Approximately two-thirds of the participants are aware of
   OCME. Almost all were interested to learn more regarding OCME. Although
   80% of the participants are currently using the internet to obtain
   medical knowledge, only one-third are using OCME. Ninety percent of
   those who are using OCME think that it will improve their patient's
   care. The use of OCME is significantly related to the level of computer
   skills the physicians have. There was no statistical significant
   difference on the use of OCME on one hand, and age, gender, level of
   education, years of experience, and location on the other hand.
   Conclusion: The PHC physicians have favorable attitude towards OCME,
   however, their use is quite minimal. More effort is needed to encourage
   our physicians to utilize this promising method of continuous education,
   and to understand the challenges and obstacles against using it.
Z8 0
ZS 0
TC 3
ZB 1
ZR 0
ZA 0
Z9 3
U1 0
U2 1
SN 0379-5284
UT WOS:000286785100015
PM 20844820
ER

PT J
AU Crenshaw, Katie
   Curry, William
   Salanitro, Amanda H.
   Safford, Monika M.
   Houston, Thomas K.
   Allison, Jeroan J.
   Estrada, Carlos A.
TI Is Physician Engagement With Web-Based CME Associated With Patients'
   Baseline Hemoglobin A1c Levels? The Rural Diabetes Online Care Study
SO ACADEMIC MEDICINE
VL 85
IS 9
BP 1511
EP 1517
DI 10.1097/ACM.0b013e3181eac036
PD SEP 2010
PY 2010
AB Purpose
   To investigate the association between physician participants' levels of
   engagement in a Web-based educational intervention and their patients'
   baseline diabetes measures.
   Method
   The authors conducted a randomized trial of online CME activities
   designed to improve diabetes care provided by family, general, and
   internal medicine physicians in rural areas of 11 southeastern states
   between September 2006 and July 2008. Using incidence rate ratios
   derived from negative binomial models, the relationship between
   physicians' engagement with the study Web site and baseline proportion
   of their patients having controlled diabetes (hemoglobin A1c <= 7%) was
   explored.
   Results
   One hundred thirty-three participants (intervention = 64; control = 69)
   provided information for 1,637 patients with diabetes. In the
   intervention group, physicians in practices in the worst quartiles of
   A1c control were least engaged with the study Web site in nearly all
   dimensions. Total number of pages viewed decreased as quartile of A1c
   control worsened (137, 73, 68, 57; P = .007); similarly, for a given 10%
   increase in proportion of patients with controlled A1c, participants
   viewed 1.13 times more pages (95% CI: 1.02-1.26, P = .02). In the
   control group, engagement was neither correlated with A1c control nor
   different across quartiles of A1c control.
   Conclusions
   Engagement in Web-based interventions is measurable and has important
   implications for research and education. Because physicians of patients
   with the greatest need for improvement in A1c control may not use online
   educational resources as intensely as others, other strategies may be
   necessary to engage these physicians in professional development
   activities.
RI Houston, Thomas/F-2469-2013; Allison, Jeroan/
OI Allison, Jeroan/0000-0003-4472-2112
ZR 0
Z8 0
ZB 1
TC 22
ZA 0
ZS 0
Z9 22
U1 0
U2 3
SN 1040-2446
EI 1938-808X
UT WOS:000281611300025
PM 20736679
ER

PT J
AU Adams, Kelly M.
   Kohlmeier, Martin
   Zeisel, Steven H.
TI Nutrition Education in US Medical Schools: Latest Update of a National
   Survey
SO ACADEMIC MEDICINE
VL 85
IS 9
BP 1537
EP 1542
DI 10.1097/ACM.0b013e3181eab71b
PD SEP 2010
PY 2010
AB Purpose
   To quantify the number of required hours of nutrition education at U. S.
   medical schools and the types of courses in which the instruction was
   offered, and to compare these results with results from previous
   surveys.
   Method
   The authors distributed to all 127 accredited U.S. medical schools (that
   were matriculating students at the time of this study) a two-page online
   survey devised by the Nutrition in Medicine Project at the University of
   North Carolina at Chapel Hill. From August 2008 through July 2009, the
   authors asked their contacts, most of whom were nutrition educators, to
   report the nutrition contact hours that were required for their medical
   students and whether those actual hours of nutrition education occurred
   in a designated nutrition course, within another course, or during
   clinical rotations.
   Results
   Respondents from 109 (86%) of the targeted medical schools completed
   some part of the survey. Most schools (103/109) required some form of
   nutrition education. Of the 105 schools answering questions about
   courses and contact hours, only 26 (25%) required a dedicated nutrition
   course; in 2004, 32 (30%) of 106 schools did. Overall, medical students
   received 19.6 contact hours of nutrition instruction during their
   medical school careers (range: 0-70 hours); the average in 2004 was 22.3
   hours. Only 28 (27%) of the 105 schools met the minimum 25 required
   hours set by the National Academy of Sciences; in 2004, 40 (38%) of 104
   schools did so.
   Conclusions
   The amount of nutrition education that medical students receive
   continues to be inadequate.
ZS 4
ZR 0
ZA 0
TC 157
Z8 0
ZB 39
Z9 162
U1 0
U2 21
SN 1040-2446
UT WOS:000281611300029
PM 20736683
ER

PT J
AU Sciolla, Andres
   Ziajko, Lauretta A.
   Salguero, Mario L.
TI Sexual Health Competence of International Medical Graduate Psychiatric
   Residents in the United States
SO ACADEMIC PSYCHIATRY
VL 34
IS 5
BP 361
EP 368
DI 10.1176/appi.ap.34.5.361
PD SEP-OCT 2010
PY 2010
AB Objective: Currently in the United States, more than one in three
   psychiatric residents are international medical graduates (IMGs). In
   light of forecasts of physician shortages, this proportion is likely to
   continue growing. Although central to psychiatric care, sexual health
   competence levels of IMGs may be lower than those of U. S. graduates.
   Methods: The authors conducted a nonsystematic review of the literature
   and online data to establish the learning needs of IMGs in this area.
   Results: Data on five areas are summarized: demographic and
   sociocultural data of IMGs in the United States; the need for sexual
   medicine competence for practicing psychiatrists; how sexual health is
   currently taught in foreign medical schools; attitudes toward sexuality
   and sexual problems among physicians and patients of different cultures;
   and the management of sexual issues, including sexual boundaries, by
   IMGs.
   Conclusion: The authors found evidence suggesting that IMGs from areas
   most culturally dissimilar to the United States are likely to benefit
   from sexual medicine curricula in the context of cultural competence
   training. The diversity and resilience of IMGs are emphasized.
   Implications for immediate training and future research are outlined.
ZA 0
ZB 0
ZR 0
ZS 0
Z8 0
TC 10
Z9 10
U1 1
U2 9
SN 1042-9670
EI 1545-7230
UT WOS:000281675700011
PM 20833907
ER

PT J
AU Tam, Matthew D. B. S.
TI Building Virtual Models by Postprocessing Radiology Images: A Guide for
   Anatomy Faculty
SO ANATOMICAL SCIENCES EDUCATION
VL 3
IS 5
BP 261
EP 266
DI 10.1002/ase.175
PD SEP-OCT 2010
PY 2010
AB Radiology and radiologists are recognized as increasingly valuable
   resources for the teaching and learning of anatomy. State-of-the-art
   radiology department workstations with industry-standard software
   applications can provide exquisite demonstrations of anatomy, pathology,
   and more recently, physiology. Similar advances in personal computers
   and increasingly available software can allow anatomy departments and
   their students to build their own three-dimensional virtual models.
   Appropriate selection of a data-set, followed by processing and
   presentation are the key steps in creating virtual models. The
   construction, presentation, clinical application, and educational
   potential of postprocessed imaging techniques including multiplanar
   reformats, minimum intensity projections, segmentation,
   volume-rendering, surface-rendering, fly-throughs, virtual endoscopy,
   angiography, and cine-loops are reviewed using examples created with
   only a personal computer and free-ware software. Although only static
   images are presented in this article, further material is available
   online within the electronic version of this article. Through the use of
   basic and advanced image reconstruction and also paying attention to
   optimized presentation and integration, anatomy courses can be
   strengthened with appropriate radiological material. There are several
   key advantages for the anatomy department, which is equipped with the
   ability to produce virtual models using radiology images: (1)
   Opportunities to present anatomy using state-of-the-art technology as an
   adjunct to current practices, (2) a means to forge an improved
   relationship with the local radiology department, and (3) the ability to
   create material locally, which is integrated with the local curriculum
   avoiding the problem of information overload when using the internet or
   other commercially available resources. Anat Sci Educ 3:261-266. (C)
   2010 American Association of Anatomists.
RI Tam, Matthew/T-9812-2019
TC 47
ZA 0
ZR 0
Z8 3
ZS 0
ZB 8
Z9 48
U1 0
U2 19
SN 1935-9772
UT WOS:000282609800007
PM 20827725
ER

PT J
AU Wolitzky-Taylor, Kate B.
   Telch, Michael J.
TI Efficacy of self-administered treatments for pathological academic
   worry: A randomized controlled trial
SO BEHAVIOUR RESEARCH AND THERAPY
VL 48
IS 9
BP 840
EP 850
DI 10.1016/j.brat.2010.03.019
PD SEP 2010
PY 2010
AB Research on treatments for reducing pathological worry is limited. In
   particular, academic worry is a common theme in generalized anxiety
   disorder (GAD) samples as well as non-clinical student samples. Given
   the high cost of anxiety disorders to society, research is needed to
   examine the efficacy of self-administered treatments designed to reduce
   pathological worry. The primary goal of this study was to investigate
   the benefits of three self-administered interventions for reducing
   academic worry. College students (N = 113) experiencing clinically
   significant academic worry were randomized to either: (a) worry exposure
   (WE); (b) expressive writing (EW); (c) relaxation consisting of pulsed
   audio-photic stimulation (APS); or (d) waitlist control (WLC).
   Participants were instructed to practice their interventions three times
   per week for one month and completed home practice logs online to track
   treatment adherence. Academic worry, general anxiety, and perceived
   stress were assessed at baseline and post-treatment. Academic worry and
   general anxiety were also assessed at a three-month follow-up. Those
   assigned to the WE and APS conditions showed significant improvement
   relative to EW and WLC at post-treatment. All treatment conditions
   showed continued improvement by follow-up, with no between-group
   differences. Treatment and public health implications are discussed. (C)
   2010 Elsevier Ltd. All rights reserved.
RI Telch, Michael J/E-7027-2010; Telch, Michael/
OI Telch, Michael/0000-0003-3444-8500
Z8 0
TC 22
ZA 0
ZR 0
ZS 0
ZB 5
Z9 22
U1 0
U2 23
SN 0005-7967
EI 1873-622X
UT WOS:000281303600003
PM 20663491
ER

PT J
AU Wiljer, David
   Leonard, Kevin J.
   Urowitz, Sara
   Apatu, Emma
   Massey, Christine
   Quartey, Naa Kwarley
   Catton, Pamela
TI The anxious wait: assessing the impact of patient accessible EHRs for
   breast cancer patients
SO BMC MEDICAL INFORMATICS AND DECISION MAKING
VL 10
AR 46
DI 10.1186/1472-6947-10-46
PD SEP 1 2010
PY 2010
AB Background: Personal health records (PHRs) provide patients with access
   to personal health information (PHI) and targeted education. The use of
   PHRs has the potential to improve a wide range of outcomes, including
   empowering patients to be more active participants in their care. There
   are a number of widespread barriers to adoption, including privacy and
   security considerations. In addition, there are clinical concerns that
   patients could become anxious or distressed when accessing complex
   medical information. This study assesses the implementation of a PHR,
   and its impact on anxiety levels and perceptions of self-efficacy in a
   sample of breast cancer patients.
   Methods: A quasi-experimental pre-test/post-test design was used to
   collect data from participants to evaluate the use of the PHR. Study
   participants completed background and pre-assessment questionnaires and
   were then registered into the portal. By entering an activation key,
   participants were then able to review their lab results and diagnostic
   imaging reports. After six weeks, participants completed post-assessment
   questionnaires and usability heuristics. All data were collected using
   an online survey tool. Data were cleaned and analyzed using SAS v9.1.
   Results: A total of 311 breast cancer patients completed demographic and
   pre-assessment questionnaires, 250 registered to use the online
   intervention, and 125 participants completed all required study
   elements. Matching the pre- and post-anxiety scores demonstrated a
   decrease in mean anxiety scores (-2.2, p = 0.03); the chemotherapy
   sub-group had a statistically insignificant mean increase (1.8, p =
   .14). There was no mean change in self-efficacy scores.
   Conclusions: Participants generally found the portal easy to use;
   however, the perceived value of improved participation was not detected
   in the self-efficacy scores. Having access to personal health
   information did not increase anxiety levels. While these results suggest
   that the use of this PHR may be of benefit for informing patients,
   further research is required to investigate the impact on the patients
   experiences, their participation in their care, their relationships with
   the health care team, and their health outcomes.
OI Wiljer, David/0000-0002-2748-2658
ZR 0
TC 49
Z8 0
ZA 0
ZB 7
ZS 0
Z9 49
U1 0
U2 18
EI 1472-6947
UT WOS:000283213600001
PM 20809950
ER

PT J
AU Ezra, D. G.
   Chandra, A.
   Okhravi, N.
   Sullivan, P.
   McDonnell, P.
   Lee, J.
TI Higher surgical training in ophthalmology: trends in cumulative surgical
   experience 1993-2008
SO EYE
VL 24
IS 9
BP 1466
EP 1473
DI 10.1038/eye.2010.54
PD SEP 2010
PY 2010
AB Introduction Recent years have seen significant changes in the provision
   surgical training for ophthalmology. The aim of this study is to
   establish the patterns in long-term trends of cumulative surgical
   experience of ophthalmology trainees in the United Kingdom.
   Materials and methods Data were obtained from the department of training
   and education at the Royal College of Ophthalmologists (RCOphth). The
   cumulative surgical experience of all ophthalmology higher surgical
   trainees attaining accreditation, CCST, or CCT between 1993-2001 and
   2005-2008 was included for descriptive analysis.
   Results Cumulative cataract surgical experience per trainee has been
   relatively stable at levels between 500 and 600 for most years. The
   cumulative experience vitreoretinal and corneal graft surgery have
   historically been low with a large outlier effect, although trends
   demonstrate a decrease in the median numbers of procedures. Squint
   surgery has seen a downward trend with a decrease in the median numbers
   from 121 in 1993 to 43 in 2008. Oculoplastics procedures demonstrate a
   decrease in overall numbers from 46 in 1993 to 15 in 2001. A jump from
   2005 coincides with changes in the definition of what is counted as an
   oculoplastics procedure. The role of the RCOphth in legislating minimum
   levels of experience has had an impact on the data distribution manifest
   by the truncation of the inferior quartile of many of the dataspreads.
   Discussion These data demonstrate that although the cumulative
   experience of cataract surgery for trainees has remained stable, there
   has been a reduction in the median numbers of subspecialty procedures
   performed over the past 15 years. Eye (2010) 24, 1466-1473;
   doi:10.1038/eye.2010.54; published online 30 April 2010
RI Okhravi, Narciss/AAD-8135-2019; Lee, Jiahn-Shing/
OI Lee, Jiahn-Shing/0000-0001-7007-939X
Z8 0
ZS 0
ZR 0
ZA 0
ZB 2
TC 7
Z9 7
U1 0
U2 0
SN 0950-222X
UT WOS:000281704600006
PM 20431607
ER

PT J
AU Myint, J.
   Edgar, D. F.
   Kotecha, A.
   Crabb, D. P.
   Lawrenson, J. G.
TI Development of a competency framework for optometrists with a specialist
   interest in glaucoma
SO EYE
VL 24
IS 9
BP 1509
EP 1514
DI 10.1038/eye.2010.62
PD SEP 2010
PY 2010
AB Purpose To develop a competency framework, using a modified Delphi
   methodology, for optometrists with a specialist interest in glaucoma,
   which would provide a basis for training and accreditation.
   Methods A modified iterative Delphi technique was used using a 16-member
   panel consisting almost exclusively of sub-specialist optometrists and
   ophthalmologists. The first round involved scoring the relevance of a
   draft series of competencies using a 9-point Likert scale with a
   free-text option to modify any competency or suggest additional
   competencies. The revised framework was subjected to a second round of
   scoring and free-text comment. The Delphi process was followed by a
   face-to-face structured workshop to debate and agree the final
   framework. The version of the framework agreed at the workshop was sent
   out for a 4-month period of external stakeholder validation.
   Results There was a 100% response to round 1 and an 94% response to
   round 2. All panel members attended the workshop. The final version of
   the competency framework was validated by a subsequent stakeholder
   consultation and contained 19 competencies for the diagnosis of glaucoma
   and 7 further competencies for monitoring and treatment.
   Conclusions Application of a consensus methodology consisting of a
   modified Delphi technique allowed the development of a competency
   framework for glaucoma specialisation by optometrists. This will help to
   shape the development of a speciality curriculum and potentially could
   be adapted for other healthcare professionals. Eye (2010) 24, 1509-1514;
   doi:10.1038/eye.2010.62; published online 14 May 2010
OI Crabb, David/0000-0001-8754-3902; Lawrenson, John/0000-0002-2031-6390
ZA 0
ZS 0
Z8 0
TC 11
ZB 4
ZR 0
Z9 11
U1 0
U2 7
SN 0950-222X
UT WOS:000281704600013
PM 20467448
ER

PT J
AU Peterson-Clark, Geraldine
   Aslani, Parisa
   Williams, Kylie Anne
TI Pharmacists' online information literacy: an assessment of their use of
   Internet-based medicines information
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 27
IS 3
BP 208
EP 216
DI 10.1111/j.1471-1842.2010.00891.x
PD SEP 2010
PY 2010
AB Introduction:
   Pharmacists need effective skills in accessing and using Internet-based
   medicines information (IBMI) for themselves and their consumers.
   However, there is limited information regarding how pharmacists use the
   Internet.
   Objectives:
   To develop and use a research instrument to measure pharmacists'
   Internet knowledge, search skills, evaluation of and opinions about
   using IBMI.
   Methods:
   A structured questionnaire examining general Internet knowledge, ability
   to search for and select pertinent IBMI, evaluation of IBMI, opinions
   about using IBMI and current Internet use was developed. Exploratory
   factor analysis was performed to analyse IBMI evaluation.
   Results:
   208 pharmacists responded (response rate 20.6%). There was a large
   variation in pharmacists' scores. Mean scores were low for General
   Internet Knowledge (mean 7.91 +/- 3.62; scale 0-16), Search and
   Selection of IBMI (4.98 +/- 2.91; 0-10) and Opinions on IBMI (44.51 +/-
   9.61; 0-80). Four factors [Professionalism of website (4 items; factor
   loading 0.62-0.87; Cronbach's alpha 0.84), Disclosure (5; 0.37-0.79;
   0.73), Appropriateness of content (5; 0.32-0.50; 0.65), Standard of
   information (6; 0.31-0.48; 0.58)] were extracted from the evaluation
   scale, explaining 36.89% of the total variance.
   Conclusions:
   A tool was developed to evaluate pharmacists' skills and opinions in
   using IBMI. A wide range of skills and opinions highlighted the need for
   training in online information literacy.
TC 19
Z8 0
ZA 0
ZR 0
ZB 4
ZS 2
Z9 21
U1 0
U2 9
SN 1471-1834
UT WOS:000280997900005
PM 20712715
ER

PT J
AU Fernandes, Romulo A.
   Zanesco, Angelina
TI Early physical activity promotes lower prevalence of chronic diseases in
   adulthood
SO HYPERTENSION RESEARCH
VL 33
IS 9
BP 926
EP 931
DI 10.1038/hr.2010.106
PD SEP 2010
PY 2010
AB Epidemiological studies have shown high rates of occurrence of arterial
   hypertension and type 2 diabetes mellitus among adults, and early
   preventive actions are extremely relevant for public policy strategies.
   The purpose of this study was to analyze the relationship between the
   prevalence of arterial hypertension and type 2 diabetes in adulthood and
   physical activity (currently and in childhood/adolescence). A
   retrospective study was carried out from March to November of 2009. Data
   were collected through interviews, and both diseases were assessed
   through self-report and confirmed by previous medical diagnosis. Current
   physical activity and that performed in childhood (7-10 years old) and
   adolescence (11-17 years old) were analyzed. Of the 1436 adults analyzed
   in this survey, similar to 61% were women (n=881). Respondents' ages
   ranged from 18 to 94.8 years, and 20.2% of the total participants were
   >= 65 years old. Our results show that men (18%) were more physically
   active than women (9.4%), whereas younger respondents and those with
   more formal education exhibited greater physical activity levels
   (P<0.001). Obese subjects presented lower physical activity levels
   (P=0.027). Physical activity in youth was associated with lower rates of
   occurrence of arterial hypertension (odds ratio (OR) 0.42 (95%
   confidence interval (CI) 0.29-0.62)) and type 2 diabetes mellitus
   (OR=0.29 (95% CI=0.15-0.56)) in adulthood, but current physical activity
   was not related to these outcomes. Our study reveals a positive
   relationship between early physical activity in both childhood and
   adolescence and lower rates of occurrence of endocrine and
   cardiovascular diseases in adulthood. Hypertension Research (2010) 33,
   926-931; doi: 10.1038/hr.2010.106; published online 24 June 2010
RI Zanesco, Angelina/V-6154-2019; Fernandes, Rômulo A/G-3114-2012; Zanesco, Angelina/N-3632-2013; Zanesco, Angelina/AAF-6370-2019
OI Zanesco, Angelina/0000-0002-2515-1871; Fernandes, Rômulo
   A/0000-0003-1576-8090; 
ZA 0
ZB 24
ZR 1
ZS 36
Z8 2
TC 94
Z9 115
U1 0
U2 10
SN 0916-9636
EI 1348-4214
UT WOS:000281594900014
PM 20574424
ER

PT J
AU Wade, Alan G.
   Haring, Julia
TI A review of the costs associated with depression and treatment
   noncompliance: the potential benefits of online support
SO INTERNATIONAL CLINICAL PSYCHOPHARMACOLOGY
VL 25
IS 5
BP 288
EP 296
DI 10.1097/YIC.0b013e328339fbcf
PD SEP 2010
PY 2010
AB This systematic review examines the economic and human costs of
   depression and the potential savings associated with improvement in
   patient adherence to treatment with antidepressants through the use of
   enhanced-care programs. A MEDLINE search was conducted for papers
   published on the health economics and costs of depression and
   compliance, adherence, and persistence. Compliance data collected
   through the online antidepressant compliance support website iCAN
   (www.ican.co.uk) were compared with data for patients with depression
   from the IMS Disease Analyzer UK database. Depression frequently causes
   unemployment, absenteeism, and presenteeism, which results in
   significantly reduced productivity. Indirect costs of depression
   accounted for more than $50 billion, whereas direct costs resulted in
   expenditure of $26 billion, in the US in 2000. Improving patients'
   compliance with their antidepressant medication results in improved
   outcomes and prolongs remission from depression, increasing work
   productivity, and thus reducing overall costs. The implementation of
   remote enhanced-care programs may improve compliance and reduce overall
   costs. Novel methods for delivering enhanced-care programs to assist in
   maintaining compliance have the potential to further reduce costs and
   should be a focus of future research. In conclusion, depression is a
   common disorder with a high economic impact. Enhanced-care programs may
   lower costs associated with depression and improve patients' lives. Int
   Clin Psychopharmacol 25: 288-296 (C) 2010 Wolters Kluwer Health vertical
   bar Lippincott Williams & Wilkins.
ZS 0
ZB 12
ZA 0
ZR 0
TC 33
Z8 0
Z9 33
U1 0
U2 19
SN 0268-1315
EI 1473-5857
UT WOS:000280598200006
PM 20715299
ER

PT J
AU Kahanov, Leamor
   Loebsack, Alice R.
   Masucci, Matthew A.
   Roberts, Jeff
TI Perspectives on Parenthood and Working of Female Athletic Trainers in
   the Secondary School and Collegiate Settings
SO JOURNAL OF ATHLETIC TRAINING
VL 45
IS 5
BP 459
EP 466
DI 10.4085/1062-6050-45.5.459
PD SEP-OCT 2010
PY 2010
AB Context: Female athletic trainers (ATs) are currently underrepresented
   in the collegiate setting. Parenting and family obligations may play a
   role in this underrepresentation.
   Objective: To examine female ATs' perspectives on parenting and working
   in the secondary school and collegiate employment settings.
   Design: Cross-sectional study.
   Setting: Online survey.
   Patients or Other Participants: A total of 1000 nonstudent, female
   certified ATs who were currently members of the National Athletic
   Trainers' Association.
   Main Outcome Measure(s): An original survey was developed to assess
   perceptions related to motherhood and work responsibilities. Descriptive
   statistics were used to assess age, years of experience as a certified
   AT, employment position, and parent or nonparent status. A correlation
   matrix was conducted to determine factors among parent and nonparent
   status, perceptions of motherhood, and employment-setting decisions.
   Results: Of the 1000 surveys sent via e-mail, 411 (41.1%) female ATs
   responded. Responses indicated that a majority of the female ATs worked
   in the secondary school setting. Sixty-one percent of the respondents
   did not have children. Past female ATs' experiences indicated a
   perception that motherhood created more challenges or struggles (or
   both) in the work and family settings. Whether parents considered
   children a factor in employment-setting changes produced conflicting
   results: no significant correlations or differences were found among
   responses.
   Conclusions: Parenting considerations had influences on both the home
   and employment settings. Although parents and nonparents had different
   views on the implications of parenting in the workplace, both groups
   agreed that parenting could affect the work environment and the choice
   to change employment settings and careers. Administrative decisions need
   to be considered in relation to parenting concerns. Mentoring that
   includes employment-setting choices relative to life goals should be
   provided to ATs, regardless of sex.
OI Masucci, Matthew/0000-0002-5790-7688
Z8 0
ZB 22
ZA 0
TC 33
ZS 0
ZR 0
Z9 33
U1 0
U2 7
SN 1062-6050
UT WOS:000282157800004
PM 20831390
ER

PT J
AU Koczwara, Bogda
   Francis, Kay
   Marine, Franca
   Goldstein, David
   Underhill, Craig
   Olver, Ian
TI Reaching Further with Online Education? The Development of an Effective
   Online Program in Palliative Oncology
SO JOURNAL OF CANCER EDUCATION
VL 25
IS 3
BP 317
EP 323
DI 10.1007/s13187-009-0037-6
PD SEP 2010
PY 2010
AB Patients in rural and remote Australia have less access to specialist
   oncology services and rely more on local health professionals for
   provision of cancer care. We have developed a 7.5-h online educational
   program on palliative oncology for health professionals focused on the
   needs of rural providers. There were 501 active (enrolled) users and 268
   ad hoc (non-enrolled) users, with 90 completing evaluation. Eighty-two
   (91%) indicated that their learning needs were partially or entirely
   met. Sixty-five (75%) respondents planned to review or change their
   practice as a result. The online program is effective in meeting
   learning needs of Australian health providers, reaching high numbers
   with high acceptability.
CT Annual Scientific Meeting of the Clinical-Oncology-Society-of-Australia
CY 2008
CL Sydney, AUSTRALIA
SP Fed Dept Hlth; Hospira Ltd
RI Koczwara, Bogda/AFK-3205-2022; goldstein, david/J-6711-2012; Olver, Ian/I-1518-2015; Koczwara, Bogda/AAG-1846-2022; Underhill, Craig/ABB-8092-2020; Koczwara, Bogda/
OI Olver, Ian/0000-0001-5478-1576; Underhill, Craig/0000-0001-9335-2678;
   Koczwara, Bogda/0000-0002-1201-1642
ZB 0
ZS 0
ZA 0
Z8 0
TC 18
ZR 0
Z9 18
U1 0
U2 2
SN 0885-8195
UT WOS:000283105800011
PM 20119693
ER

PT J
AU Arenella, Cheryl
   Yox, Susan
   Eckstein, Daniel S.
   Ousley, Anita
TI Expanding the Reach of a Cancer Palliative Care Curriculum Through
   Web-Based Dissemination: A Public-Private Collaboration
SO JOURNAL OF CANCER EDUCATION
VL 25
IS 3
BP 418
EP 421
DI 10.1007/s13187-010-0066-1
PD SEP 2010
PY 2010
AB Deficiencies in palliative and end-of-life care have been well
   documented by the Institute of Medicine. The National Cancer Institute
   (NCI), in partnership with Northwestern University, developed an
   educational curriculum for clinicians who deal with end-of-life issues,
   the Education in Palliative and End-of-Life Care for Oncology. A live
   meeting was held to distribute the curriculum to institutional leaders
   who could take it back to their organizations for broader distribution.
   To further distribute the materials and ensure they were available
   whenever a clinician wanted to view them, NCI collaborated with a
   leading online medical education provider whose websites are visited by
   over 1,500,000 physicians per month (http://cme.medscape.com) to post
   one module of the curriculum as an online activity certified for
   physician and nurse continuing education credit. The module is entitled
   "Last Hours of Living: Practical Advice for Clinicians." A descriptive
   analysis of the first 7 months of publication was performed. Twenty
   thousand sixty-one health professionals completed the activity during
   this time period and earned continuing education credit. Eighty-four
   percent completed the post-activity evaluation survey. Satisfaction was
   very high among participants, and many indicated their intention to
   incorporate new knowledge into practice. Collaboration with a commonly
   used online medical education provider such as Medscape is effective at
   broadly disseminating palliative care education to health professionals.
ZS 0
TC 14
ZA 0
ZB 1
Z8 0
ZR 0
Z9 14
U1 0
U2 3
SN 0885-8195
EI 1543-0154
UT WOS:000283105800027
PM 20237885
ER

PT J
AU Yozwiak, John A.
   Robiner, William N.
   Victor, Andrea M.
   Durmusoglu, Gokce
TI Videoconferencing at Psychology Internships: Interns' Perceptions of
   Interactive Television Experiences and Prospects
SO JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS
VL 17
IS 3
BP 238
EP 248
DI 10.1007/s10880-010-9206-3
PD SEP 2010
PY 2010
AB This article reviews the use and perceptions of videoconferencing in
   psychology internship training from the perspective of interns.
   Videoconferencing offers a means of expanding training beyond
   conventional on-site models. Psychology interns completed an online
   survey about their experiences with videoconferencing and perspectives
   of its impact on training. Most participants encountered it in their
   didactics. Some used it for supervision or other purposes. Interns'
   perspectives were complex, with videoconferencing seen as supporting
   learning similar to conventional training in some ways, yet as less
   desirable overall. Direct comparisons between videoconferencing and
   on-site training revealed interns perceived videoconferencing as
   somewhat less effective, and as deleteriously affecting learning
   dynamics. Challenges and potential benefits of incorporating
   videoconferencing into psychology internship training were identified.
   Potential benefits include augmenting available internship training and
   increasing rural sites' access to training.
OI Robiner, William/0000-0003-3928-2407
ZA 0
ZS 0
TC 3
ZB 0
Z8 0
ZR 0
Z9 3
U1 0
U2 5
SN 1068-9583
UT WOS:000281542600008
PM 20737199
ER

PT J
AU Shortt, S. E. D.
   Guillemette, Jean-Marc
   Duncan, Anne Marie
   Kirby, Frances
TI Defining Quality Criteria for Online Continuing Medical Education
   Modules Using Modified Nominal Group Technique
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 30
IS 4
BP 246
EP 250
DI 10.1002/chp.20089
PD FAL 2010
PY 2010
AB Introduction: The rapid increase in the use of the Internet for
   continuing education by physicians suggests the need to define quality
   criteria for accredited online modules.
   Methods: Continuing medical education (CME) directors from Canadian
   medical schools and academic researchers participated in a consensus
   process, Modified Nominal Group Technique, to develop agreement on the
   most important quality criteria to guide module development. Rankings
   were compared to responses to a survey of a subset of Canadian Medical
   Association (CMA) members.
   Results: A list of 17 items was developed, of which 10 were deemed by
   experts to be important and 7 were considered secondary. A quality
   module would: be needs-based; presented in a clinical format; utilize
   evidence-based information; permit interaction with content and experts;
   facilitate and attempt to document practice change; be accessible for
   later review; and include a robust course evaluation. There was less
   agreement among CMA members on criteria ranking, with consensus on
   ranking reached on only 12 of 17 items. In contrast to experts, members
   agreed that the need to assess performance change as a result of an
   educational experience was not important.
   Discussion: This project identified 10 quality criteria for accredited
   online CME modules that representatives of Canadian organizations
   involved in continuing education believe should be taken into account
   when developing learning products. The lack of practitioner support for
   documentation of change in clinical behavior may suggest that they favor
   traditional attendance- or completion-based CME; this finding requires
   further research.
ZB 2
TC 20
Z8 0
ZR 0
ZS 1
ZA 0
Z9 21
U1 2
U2 11
SN 0894-1912
EI 1554-558X
UT WOS:000288401700006
PM 21171030
ER

PT J
AU McHugh, Seamus Mark
   Corrigan, Mark
   Dimitrov, Borislav
   Cowman, Seamus
   Tierney, Sean
   Humphreys, Hilary
   Hill, Arnold
TI A Targeted E-Learning Program for Surgical Trainees to Enhance Patient
   Safety in Preventing Surgical Infection
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 30
IS 4
BP 257
EP 259
DI 10.1002/chp.20091
PD FAL 2010
PY 2010
AB Introduction: Surgical site infection accounts for 20% of all health
   care-associated infections (HCAIs); however, a program incorporating the
   education of surgeons has yet to be established across the specialty.
   Methods: An audit of surgical practice in infection prevention was
   carried out in Beaumont Hospital from July to November 2009. An
   educational Web site was developed targeting deficiencies highlighted in
   the audit. Interactive clinical cases were constructed using PHP coding,
   an HTML-embedded language, and then linked to a MySQL relational
   database. PowerPoint tutorials were produced as online Flash audiovisual
   movies. An online repository of streaming videos demonstrating best
   practice was made available, and weekly podcasts were made available on
   the iTunes (c) store for free download. Usage of the e-learning program
   was assessed quantitatively over 6 weeks in May and June 2010 using the
   commercial company Hitslink.
   Results: During the 5-month audit, deficiencies in practice were
   highlighted, including the timing of surgical prophylaxis (33%
   noncompliance) and intravascular catheter care in surgical patients (38%
   noncompliance regarding necessity). Over the 6-week assessment of the
   educational material, the SurgInfection.com Web pages were accessed more
   than 8000 times; 77.9% of the visitors were from Ireland. The most
   commonly accessed modality was the repository with interactive clinical
   cases, accounting for 3463 (43%) of the Web site visits. The average
   user spent 57 minutes per visit, with 30% of them visiting the Web site
   multiple times.
   Discussion: Interactive virtual cases mirroring real-life clinical
   scenarios are likely to be successful as an e-learning modality.
   User-friendly interfaces and 24-hour accessibility will increases uptake
   by surgical trainees.
RI Humphreys, Hilary/C-9918-2012; Tierney, Sean/I-7740-2013; Dimitrov, Borislav D/A-1246-2010; Corrigan, Mark/; Humphreys, Hilary/
OI Tierney, Sean/0000-0002-1886-7214; Dimitrov, Borislav
   D/0000-0002-5896-2072; Corrigan, Mark/0000-0002-9615-6450; Humphreys,
   Hilary/0000-0002-9646-2183
ZB 3
TC 14
ZR 0
ZS 0
Z8 0
ZA 0
Z9 14
U1 0
U2 4
SN 0894-1912
EI 1554-558X
UT WOS:000288401700008
PM 21171032
ER

PT J
AU Tan, Jerry
   Stacey, Dawn
   Fung, Karen
   Barankin, Benjamin
   Bissonnette, Robert
   Gulliver, Wayne
   Lui, Harvey
   Shear, Neil
   Jackson, Christine
   Zhang, Xuemao
TI Treatment Decision Needs of Psoriasis Patients: Cross-sectional Survey
SO JOURNAL OF CUTANEOUS MEDICINE AND SURGERY
VL 14
IS 5
BP 233
EP 239
DI 10.2310/7750.2010.09049
PD SEP-OCT 2010
PY 2010
AB Background: Informed shared decision making is a mutual process engaging
   both doctor and patient and informed by best medical evidence and
   patient values and preferences.
   Objective: Our aim was to identify the needs of psoriasis patients in
   decisions on selecting treatment
   Methods: Psoriasis subjects participated in an online survey on
   decisional role, postdecisional conflict, and treatment awareness
   Results: Of 2,622 people invited to participate, 248 completed surveys.
   Their most recent treatment decision was either made by subjects alone
   (42%) or physicians alone (28%) or was shared (29%) Subjects perceived
   that their doctors lacked time to stay abreast of treatments, to provide
   counseling, and to access appropriate treatments. Deficiencies most
   frequently identified were information on options, clarification of
   values, access to physicians, and decision-making skills. Those with a
   body surface area (BSA) >= 3% more frequently indicated that having the
   skill or ability to make treatment decisions was important.
   Limitations: The limitations of this study include sampling, recall, and
   reporting bias Percent BSA was not verified.
   Conclusions: The multiple deficiencies in support of psoriasis patients
   in treatment decisions may preclude informed shared decision making
RI Lui, Harvey/AAF-5688-2020; Zhang, Xuemao/; Barankin, Benjamin/
OI Lui, Harvey/0000-0002-0584-5980; Zhang, Xuemao/0000-0002-6113-4710;
   Barankin, Benjamin/0000-0002-9010-8968
TC 19
ZS 0
ZA 0
ZB 3
ZR 0
Z8 0
Z9 19
U1 0
U2 2
SN 1203-4754
EI 1615-7109
UT WOS:000283027600005
PM 20868620
ER

PT J
AU Humphreys, Barry Kim
   Peterson, Cynthia K.
   Muehlemann, Daniel
   Haueter, Priska
TI ARE SWISS CHIROPRACTORS DIFFERENT THAN OTHER CHIROPRACTORS? RESULTS OF
   THE JOB ANALYSIS SURVEY 2009
SO JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS
VL 33
IS 7
BP 519
EP 535
DI 10.1016/j.jmpt.2010.08.003
PD SEP 2010
PY 2010
AB Objective: With the start of a new chiropractic program in the faculty
   of medicine, University of Zurich, an in-depth look at chiropractic
   practice in Switzerland was needed to help direct the undergraduate and
   postgraduate education. The purposes of this study were (1) to identify
   specific characteristics of chiropractic practice in Switzerland to
   ensure that relevant key competencies particular to practice in this
   country are covered in the undergraduate and postgraduate chiropractic
   programs and (2) to compare chiropractic practice in Switzerland to
   other countries who have completed similar surveys.
   Methods: Using the National Board of Chiropractic Examiners (United
   States) job analysis survey as a template and adapting questions from
   the General Chiropractic Council United Kingdom survey, a Swiss
   questionnaire was created and tested for face and content validity
   before being placed online for completion by the 260 members of the
   Swiss Association for Chiropractors. Participation was voluntary and
   anonymous. Data were entered into an Excel spreadsheet, and descriptive
   statistics were calculated.
   Results: The response rate was 70%. Similarities between Swiss
   chiropractors and their international counterparts were found in the
   most common conditions treated, the common etiologies of these
   conditions, the most common age groups seen, and the most common
   treatment methods used. Differences were found in the high proportion of
   patients referred directly to chiropractors from varying medical
   specialists in Switzerland, the fact that the most common category of
   patient to be seen by chiropractors in Switzerland is the acute followed
   by the subacute patient, the much higher requirement for continuing
   education hours in Switzerland, and the reduced use of diagnostic
   imaging compared with practitioners from the United States.
   Conclusions: Chiropractic practice in Switzerland is a
   government-recognized medical profession with significant
   interprofessional referrals resulting in earlier chiropractic treatment
   for many patients. However, Swiss chiropractic practitioners still
   retain their professional identity and focus of practice. (J
   Manipulative Physiol Ther 2010;33:519-535)
ZB 4
Z8 0
TC 41
ZA 0
ZR 0
ZS 0
Z9 41
U1 0
U2 8
SN 0161-4754
UT WOS:000283808800005
PM 20937430
ER

PT J
AU Howe, Carol L.
TI Review: Health Care Decision-Making WebCT Module for Medical Students
SO JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
VL 58
IS 9
BP 1788
EP 1790
DI 10.1111/j.1532-5415.2010.03026.x
PD SEP 2010
PY 2010
AB The Health Care Decision-Making Module was initially created as an
   interactive WebCT program and was subsequently converted to a pdf format
   for posting on the Portal of Geriatric Online Education in early 2006
   and updated on October 29, 2009. WebCT was the first of what are now
   many comprehensive software programs used by universities for conducting
   online courses. The current Health Care Decision-Making module is a
   straightforward pdf with embedded hyperlinks and exercises, allowing for
   easy downloading, sharing, and adapting by other institutions.
OI Howe, Carol/0000-0002-7911-4160
ZR 0
TC 1
Z8 0
ZB 0
ZA 0
ZS 0
Z9 1
U1 0
U2 3
SN 0002-8614
UT WOS:000281549000023
PM 20863339
ER

PT J
AU Haden, N. Karl
   Chaddock, Michael
   Hoffsis, Glen F.
   Lloyd, James W.
   Reed, William M.
   Ranney, Richard R.
   Weinstein, George J.
TI Knowledge, Skills, and Attitudes of Veterinary College Deans: AAVMC
   Survey of Deans in 2010
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 37
IS 3
BP 210
EP 219
DI 10.3138/JVME.37.3.210
PD FAL 2010
PY 2010
AB The purposes of this Association of American Veterinary Medical Colleges
   (AAVMC) study was to develop a profile of deans to understand the
   knowledge, skills, and attitudes that current deans of schools and
   colleges of veterinary medicine consider important to job success and to
   inform the association's leadership development initiatives. Forty-two
   deans responded to an online leadership program needs survey, which
   found that knowledge, skills, and abilities related to communication,
   finance and budget management, negotiation, conflict management, public
   relations, and fundraising were recommended as the most important areas
   for fulfilling a deanship. Most respondents speculated that the greatest
   challenges for their institutions will be in the areas of faculty
   recruitment and retention and financing veterinary education. Reflecting
   on their experiences, respondents offered an abundance of advice to
   future deans, often citing the importance of preparation, communication,
   and leadership qualities as necessary for a successful and satisfying
   deanship. More than three-quarters of the respondents indicated moderate
   to high interest in an AAVMC multi-phase leadership training program to
   develop administrative leaders. A nearly equal number also indicated
   support for formal leadership training for current veterinary medical
   college and school deans. The study suggests leadership development
   topics that AAVMC could provide at existing meetings or through new
   programming. The study also suggests directions for individual
   institutions as they seek to implement leadership development activities
   at the local level.
ZB 1
ZS 0
Z8 0
ZR 0
TC 7
ZA 0
Z9 7
U1 1
U2 9
SN 0748-321X
EI 1943-7218
UT WOS:000283333600002
PM 20847329
ER

PT J
AU Haden, N. Karl
   Chaddock, Michael
   Hoffsis, Glen F.
   Lloyd, James W.
   Reed, William M.
   Ranney, Richard R.
   Weinstein, George J.
TI Preparing Faculty for the Future: AAVMC Members' Perceptions of
   Professional Development Needs
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 37
IS 3
BP 220
EP 232
DI 10.3138/jvme.37.3.220
PD FAL 2010
PY 2010
AB Our purpose in this study was to determine professional development
   needs of faculty in the Association of American Veterinary Medical
   Colleges' (AAVMC's) member institutions, including those needs
   associated with current and emerging issues and leadership development.
   The survey asked respondents to report their level of job satisfaction
   and their perceptions of professional development as they related to
   support and resources, teaching, research, career planning, and
   administration. Five hundred and sixty-five individuals from 49 member
   institutions responded to an online professional development needs
   survey. We found that job satisfaction was associated with a variety of
   workplace variables correlated with academic rank, with those of higher
   academic rank expressing greater levels of satisfaction. Respondents
   with tenure also expressed generally higher levels of satisfaction. Most
   of the respondents expressed interest in learning more about topics
   related to teaching (e.g., effective questioning, giving feedback,
   principles of learning and motivation), research (e.g., research design,
   writing grants), career planning (e.g., mentoring, time management), and
   administration (e.g., fostering innovation, enhancing productivity,
   improving the work environment). Just more than half of the respondents
   indicated moderate to high interest in an AAVMC multi-phase leadership
   training program. The study suggests topics for which AAVMC should
   provide professional development opportunities either at existing
   meetings or through new programming. The study also suggests directions
   for individual institutions as they seek to implement professional
   development activities at the local level.
ZB 1
ZR 0
ZS 0
Z8 0
ZA 0
TC 7
Z9 7
U1 1
U2 21
SN 0748-321X
EI 1943-7218
UT WOS:000283333600003
PM 20847330
ER

PT J
AU Tsai, Chia-Fen
   Wang, Shuu-Jiun
   Fuh, Jong-Ling
TI Moderate chronic kidney disease is associated with reduced cognitive
   performance in midlife women
SO KIDNEY INTERNATIONAL
VL 78
IS 6
BP 605
EP 610
DI 10.1038/ki.2010.185
PD SEP 2010
PY 2010
AB Several studies have shown that general and specific cognitive
   dysfunction may be present during the early stages of chronic kidney
   disease. These studies, however, were conducted in elderly patients with
   comorbid conditions and used a limited battery of cognitive tests. Here
   we determined whether 40- to 54-year-old women in a population-based
   cohort in Taiwan with moderate chronic kidney disease have reduced
   cognitive performance. In total, 64 women with moderate chronic kidney
   disease (estimated glomerular filtration rate (eGFR) stage 3) were
   randomly matched by age and education with 192 control individuals with
   eGFR stage 2 or better. All patients underwent the Rey Auditory-Verbal
   Learning Test, visual memory, verbal fluency, Trail Making Test, digit
   spans, and Hospital Anxiety and Depression Scale neuropsychological
   tests. Women with moderate chronic kidney disease had significantly
   worse performance in delayed recalls and backward digit span than
   controls. Mixed effects modeling showed that women with moderate chronic
   kidney disease had reduced cognitive performance after controlling for
   body mass index, menopausal status, and psychosocial distress. Thus, in
   a population-based sample, we found that midlife women have reduced
   cognitive performance associated with early-stage chronic kidney
   disease. If confirmed, routine cognition evaluation of patients with
   mild chronic kidney disease may help identify this problem earlier
   because mild cognitive impairment can convert to dementia. Kidney
   International (2010) 78, 605-610; doi:10.1038/ki.2010.185; published
   online 23 June 2010
OI Fuh, Jong-Ling/0000-0001-9135-3351
ZA 0
ZS 0
ZB 15
TC 29
Z8 0
ZR 0
Z9 29
U1 0
U2 9
SN 0085-2538
EI 1523-1755
UT WOS:000281467100013
PM 20571474
ER

PT J
AU Crisan, Sorin
   Vesa, Stefan
   Buzdugan, Elena
   Donca, Valer
   Ciovicescu, Felix
   Pestrea, Catalin
   Nita, Teodora
   Crisan, Iulia Maria
TI The ankle-brachial index-a classification of the patient education
   websites
SO MEDICAL ULTRASONOGRAPHY
VL 12
IS 3
BP 218
EP 222
PD SEP 2010
PY 2010
AB The authors present a classification of the most important types of
   online resources regarding the ankle-brachial index, for patients with
   peripheral arterial disease and other interested people (websites of
   national institutes, universities of medicine, regional hospitals,
   medical societies and associations etc).
RI BUZDUGAN, ELENA V/B-6780-2014; Vesa, Stefan Cristian/I-2481-2019; Donca, Valer/AAF-9810-2020; Buzdugan, Elena/; Pestrea, Catalin/
OI Vesa, Stefan Cristian/0000-0003-4549-3526; Buzdugan,
   Elena/0000-0002-2992-6056; Pestrea, Catalin/0000-0002-0840-1736
ZA 0
Z8 0
ZB 0
ZR 0
TC 0
ZS 0
Z9 0
U1 0
U2 6
SN 1844-4172
EI 2066-8643
UT WOS:000208902600008
PM 21203599
ER

PT J
AU Bynum, Ann B.
   Irwin, Cathy A.
   Cohen, Betty
TI Satisfaction with a Distance Continuing Education Program for Health
   Professionals
SO TELEMEDICINE JOURNAL AND E-HEALTH
VL 16
IS 7
BP 776
EP 786
DI 10.1089/tmj.2010.0005
PD SEP 2010
PY 2010
AB This study assessed differences in program satisfaction among health
   professionals participating in a distance continuing education program
   by gender, ethnicity, discipline, and community size. A one-group
   posttest design was used with a sample of 45,996 participants in the
   University of Arkansas for Medical Sciences, Rural Hospital, Distance
   Continuing Medical Education Program during 1995-2007. This program
   provided 2,219 continuing education programs for physicians (n = 7,047),
   nurses (n = 21,264), allied health (n = 3,230) and dental (n = 305)
   professionals, pharmacists (n = 4,088), administrators (n = 1,211), and
   marketing/finance/human resources professionals (n = 343). These
   programs were provided in Arkansas hospitals, clinics, and area health
   education centers. Interactive video technology and the Internet were
   used to deliver these programs. The program satisfaction instrument
   demonstrated adequate internal consistency reliability (Cronbach's alpha
   = 0.91) and construct validity. Participants had high levels of
   satisfaction regarding knowledge and skills, use of information to
   enhance patient care, program quality, and convenience of the technology
   (mean total satisfaction score = 4.44, range: 1-5). Results from the
   t-test for independent samples and one-way analysis of variance
   indicated that men (p = 0.01), African-Americans and Hispanics (p <
   0.01), dental professionals (p < 0.01), and participants in larger urban
   communities (population of 75,001-185,000) (p < 0.01) had significantly
   greater satisfaction. Nurses and physicians had significantly greater
   satisfaction regarding the use of information in practice to enhance
   patient care (p < 0.01). Results suggest that socioeconomic and
   demographic factors can affect satisfaction with distance continuing
   education programs.
Z8 0
ZA 0
ZS 0
TC 14
ZB 0
ZR 0
Z9 14
U1 0
U2 15
SN 1530-5627
EI 1556-3669
UT WOS:000281509900037
PM 20815744
ER

PT J
AU Ahern, Matthew
   Mallin, Michael P
   Weitzel, Scott
   Madsen, Troy
   Hunt, Pat
TI Variability in Ultrasound Education among Emergency Medicine
   Residencies.
SO The western journal of emergency medicine
VL 11
IS 4
BP 314
EP 8
PD 2010-Sep
PY 2010
AB OBJECTIVE: Education in emergency ultrasound (EUS) has become an
   essential part of emergency medicine (EM) resident training. In 2009,
   comprehensive residency training guidelines were published to ensure
   proficiency in ultrasound education. The American College of Emergency
   Physicians (ACEP) recommends that 150 ultrasound exams be performed for
   physician competency. Our goal is to evaluate the current ultrasound
   practices among EM residency programs and assess the need for further
   formalization of EUS training.
   METHODS: We generated a survey using an online survey tool and
   administered via the internet. The survey consisted of 25 questions that
   included multiple choice and free text answers. These online survey
   links were sent via email to EM ultrasound directors at all 149 American
   College of Graduate Medical Education EM residency programs in April
   2008. We surveyed programs regarding EUS curriculum and residency
   proficiency requirements and descriptive statistics were used to report
   the survey findings.
   RESULTS: Sixty-five residency programs responded to the survey. The
   average number of ultrasound exams required by programs for EUS
   competency was 137 scans. However, the majority of programs 42/65 (64%)
   require their residents to obtain 150 scans or greater for competency.
   Fifty-one out of 64 (79%) programs reported having a structured
   ultrasound curriculum while 14/64 (21%) of programs reported that EUS
   training is primarily resident self-directed. In terms of faculty
   credentialing, 29/62 (47%) of residency programs have greater than 50%
   of faculty credentialed. Forty-four out of 61 (72%) programs make EUS a
   required rotation. Thirty-four out of 63 (54%) programs felt that they
   were meeting all their goals for resident EUS education.
   CONCLUSION: Currently discrepancies exist between EM residency programs
   in ultrasound curriculum and perceived needs for achieving proficiency
   in EUS. Although a majority of residency programs require 150 ultrasound
   exams or more to achieve resident competency, overall the average number
   of scans required by all programs is 137 exams. This number is less than
   that recommended by ACEP for physician competency. These data suggest
   that guidelines are needed to help standardize ultrasound training for
   all EM residency programs.
ZA 0
ZB 1
Z8 0
ZS 0
TC 49
ZR 0
Z9 49
U1 0
U2 4
EI 1936-9018
UT MEDLINE:21079699
PM 21079699
ER

PT J
AU Rosser, B. R. Simon
   Oakes, J. Michael
   Konstan, Joseph
   Hooper, Simon
   Horvath, Keith J.
   Danilenko, Gene P.
   Nygaard, Katherine E.
   Smolenski, Derek J.
TI Reducing HIV risk behavior of men who have sex with men through
   persuasive computing: results of the Men's INTernet Study-II
SO AIDS
VL 24
IS 13
BP 2099
EP 2107
DI 10.1097/QAD.0b013e32833c4ac7
PD AUG 24 2010
PY 2010
AB Objective: The primary objective of this study was to develop and test a
   highly interactive Internet-based HIV prevention intervention for men
   who have sex with men (MSM). MSM remain the group at highest risk for
   HIV/AIDS in the United States and similar countries. As the Internet
   becomes popular for seeking sex, online interventions to reduce sexual
   risk are critical. Given previous studies, a secondary objective was to
   demonstrate that good retention is possible in online trials.
   Design: A randomized controlled trial with 3-month, 6-month, 9-month,
   and 12-month follow-up design was employed. Methods: In 2008, 650
   participants were randomized to an online, interactive sexual risk
   reduction intervention or to a waitlist null control.
   Results: Retention was 76-89% over 12 months. At 3-month follow-up,
   results showed a 16% reduction in reported unprotected anal intercourse
   risk among those in the treatment condition versus control [95%
   confidence interval (95% CI) of rate ratio: 0.70-1.01]. No meaningful
   differences were observed at 12-month follow-up.
   Conclusion: Internet-based, persuasive computing programs hold promise
   as an effective new approach to HIV prevention for MSM, at least in the
   short term. Further, online trials can be conducted with acceptable
   retention provided strong retention protocols are employed. Four
   directions for future research are identified. (C) 2010 Wolters Kluwer
   Health vertical bar Lippincott Williams & Wilkins
OI Rosser, B. R. Simon/0000-0001-8862-531X; Smolenski,
   Derek/0000-0003-4767-075X
ZB 22
TC 72
ZS 0
ZR 0
ZA 0
Z8 2
Z9 74
U1 0
U2 17
SN 0269-9370
EI 1473-5571
UT WOS:000280555200015
PM 20601853
ER

PT J
AU Saenz, Rafael
   Skledar, Susan J.
   Yourich, Bryan
   Mark, Scott M.
TI Educational program for pharmacists at a multifacility academic medical
   center
SO AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY
VL 67
IS 16
BP 1368
EP 1372
DI 10.2146/ajhp090680
PD AUG 15 2010
PY 2010
AB Purpose. An educational program for pharmacists in a multifacility
   health care setting is described.
   Summary. The expansion of pharmacy services at a university medical
   center from a centralized to a decentralized, unit-based model created
   the need for enhanced education of staff pharmacists. A steering
   committee with pharmacy department and school of pharmacy representation
   surveyed educational and professional needs related to the expanded
   services. Pharmacists indicated that they needed an educational program
   that was comprehensive, interactive, and accessible to all shifts.
   Pharmacy school clinical faculty members provided most of the initial
   educational sessions, which combined didactic presentations and
   case-based discussion. The needs survey was used in selecting topics
   that were most relevant to the pharmacists' expanded practice. Each
   major topic was covered in a series of one-hour sessions held at
   two-week intervals and scheduled at a time convenient for
   afternoon-shift pharmacists. Incentives were offered to encourage
   participation. The live presentations were recorded with video-streaming
   technology and made available via the Internet to pharmacists on all
   shifts in all facilities of the health system as well as to faculty
   members. Since program implementation in 2005, attendance at the live
   sessions has averaged 25. In postimplementation surveys, pharmacists
   indicated that the program was meeting their needs and improving patient
   care. Since 2008, pharmacists have been able to earn
   continuing-education (CE) credit for the sessions.
   Conclusion. A collaborative educational series with online access,
   clinical content, and CE credit has been effective in meeting
   pharmacists' needs in a multifacility health care setting.
ZB 0
ZS 0
TC 2
Z8 0
ZR 0
ZA 0
Z9 2
U1 0
U2 4
SN 1079-2082
EI 1535-2900
UT WOS:000280778000015
PM 20689128
ER

PT J
AU Marker, David R.
   Bansal, Anshuman K.
   Juluru, Krishna
   Magid, Donna
TI Developing a Radiology-Based Teaching Approach for Gross Anatomy in the
   Digital Era
SO ACADEMIC RADIOLOGY
VL 17
IS 8
BP 1057
EP 1065
DI 10.1016/j.acra.2010.02.016
PD AUG 2010
PY 2010
AB Rationale and Objectives: The purpose of this study was to assess the
   implementation of a digital anatomy lecture series based largely on
   annotated, radiographic images and the utility of the Radiological
   Society of North America-developed Medical Imaging Resource Center
   (MIRC) for providing an online educational resource.
   Materials and Methods: A series of digital teaching images were
   collected and organized to correspond to lecture and dissection topics.
   MIRC was used to provide the images in a Web-based educational format
   for incorporation into anatomy lectures and as a review resource. A
   survey assessed the impressions of the medical students regarding this
   educational format.
   Results: MIRC teaching files were successfully used in our teaching
   approach. The lectures were interactive with questions to and from the
   medical student audience regarding the labeled images used in the
   presentation. Eighty-five of 120 students completed the survey. The
   majority of students (87%) indicated that the MIRC teaching files were
   "somewhat useful" to "very useful" when incorporated into the lecture.
   The students who used the MIRC files were most likely to access the
   material from home (82%) on an occasional basis (76%). With regard to
   areas for improvement, 63% of the students reported that they would have
   benefited from more teaching files, and only 9% of the students
   indicated that the online files were not user friendly.
   Conclusions: The combination of electronic radiology resources available
   in lecture format and on the Internet can provide multiple opportunities
   for medical students to learn and revisit first-year anatomy. MIRC
   provides a user-friendly format for presenting radiology education files
   for medical students.
Z8 0
ZS 2
ZA 0
ZB 1
ZR 0
TC 42
Z9 44
U1 0
U2 5
SN 1076-6332
UT WOS:000280032900014
PM 20447843
ER

PT J
AU Raupach, T.
   Muenscher, C.
   Pukrop, T.
   Anders, S.
   Harendza, S.
TI Significant increase in factual knowledge with web-assisted
   problem-based learning as part of an undergraduate cardio-respiratory
   curriculum
SO ADVANCES IN HEALTH SCIENCES EDUCATION
VL 15
IS 3
BP 349
EP 356
DI 10.1007/s10459-009-9201-3
PD AUG 2010
PY 2010
AB In recent years, increasing attention has been paid to web-based
   learning although the advantages of computer-aided instruction over
   traditional teaching formats still need to be confirmed. This study
   examined whether participation in an online module on the differential
   diagnosis of dyspnoea impacts on student performance in a multiple
   choice examination of factual knowledge in cardiology and pneumology. A
   virtual problem-based learning environment for medical students
   supervised by postgraduate teachers was created. Seventy-four out of 183
   fourth-year medical students volunteered to use the online module while
   attending a 6-week cardio-respiratory curriculum in summer 2007. Of
   these, 40 were randomly selected to be included ( intervention group);
   the remaining 34 served as an internal control group. Analysis of all
   written exams taken during the preceding term showed that both groups
   were comparable (86.4 +/- 1.1 vs. 85.9 +/- 1.1%; p = 0.751). Students in
   the intervention group scored significantly higher in the final course
   assessment than students allocated to the control group (84.8 +/- 1.3
   vs. 79.5 +/- 1.4%; p = 0.006; effect size 0.67). Thus, additional
   problem-based learning with an online module as part of an undergraduate
   cardio-respiratory curriculum lead to higher students' scores in an exam
   testing factual knowledge. Whether using this teaching format increases
   overall student motivation to engage in the learning process needs to be
   further investigated.
RI Anders, Sven/D-7670-2014; Raupach, Tobias/H-4737-2014
ZA 0
TC 13
ZB 2
Z8 0
ZR 0
ZS 0
Z9 15
U1 2
U2 17
SN 1382-4996
EI 1573-1677
UT WOS:000281894600005
PM 19774475
ER

PT J
AU Gambito, Ephraim D.
   Gonzalez-Suarez, Consuelo B.
   Oquinena, Teresa I.
   Agbayani, Ricardo B.
TI Evidence on the Effectiveness of Topical Nitroglycerin in the Treatment
   of Tendinopathies: A Systematic Review and Meta-Analysis
SO ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
VL 91
IS 8
BP 1291
EP 1305
DI 10.1016/j.apmr.2010.02.008
PD AUG 2010
PY 2010
AB Objective: To evaluate evidence on the effectiveness of topical
   nitroglycerin (NTG) in treating tendinopathies.
   Data Sources: Systematic searches were conducted on Science Direct,
   Scirus, Highwire Press Stanford University, PubMed Central, Directory of
   Open Access Journals, Free Medical Journals, Free Full Text, Bioline
   International, Findarticles, BioMed Central, IndMed, OpenMD, QMed,
   Geneva Foundation for Medical Education and Research, Scientific
   Electronic Library Online, eMedicine/Medscape/Medline, Biomedical
   E-journals, Current Contents Connect, Journal of Medical Internet
   Research, Cochrane, Turning Research Into Practice, Ovid, and EBSCO
   databases. There were no restrictions regarding the language of
   publication.
   Study Selection: All clinical controlled trials or randomized controlled
   trials (RCTs) evaluating the effects of NTG for patients with acute,
   subacute, or chronic tendinopathies, whether the said intervention was
   placebo-controlled or controlled against a comparator intervention, were
   considered for inclusion.
   Data Extraction: A reviewer extracted data from included studies using a
   data extraction form by the Joanna Briggs Institute.
   Data Synthesis: Methodologic quality of studies was assessed by 2
   independent reviewers through a critical appraisal form by the Alberta
   Heritage Foundation. Qualitative analyses of data were done using a
   rating system devised by Van Tulder and colleagues. Where possible,
   meta-analyses of data were performed. Seven clinically relevant and
   high-quality RCTs involving 446 subjects were identified and included in
   this review. Meta-analysis showed that NTG has a positive effect in pain
   reduction during activities of daily living in chronic tendinopathies,
   with an odds ratio of 4.44 (95% confidence interval [CI], 2.34-8.40),
   and in both acute and chronic phases combined, with an odds ratio of
   4.86 (95% CI, 2.62-9.02). There is also qualitative, strong (Level 1)
   evidence that NTG is effective in enhancing tendon forces in the chronic
   phase. There is limited and/or conflicting evidence (Level 3) for other
   outcomes in the chronic phase and all outcomes in the acute phase. There
   is a significant between-group difference between NTG and control in the
   incidence of headache, with an odds ratio of 1.73 (95% Cl, 1.01-2.97).
   No significant difference was observed in the occurrence of contact
   dermatitis, with an odds ratio of 2.12 (95% Cl, .89-5.02).
   Conclusions: In chronic tendinopathies, there is strong evidence for NTG
   in relieving pain during activities of daily living, and increasing
   tendon strength. Further studies are needed to explore the role of this
   promising intervention in all phases of tendinopathies.
RI Gonzalez-Suarez, Consuelo/F-6241-2010
ZA 0
ZS 0
ZB 5
TC 27
Z8 1
ZR 0
Z9 28
U1 0
U2 23
SN 0003-9993
EI 1532-821X
UT WOS:000281178900020
PM 20684913
ER

PT J
AU Sexton, Minden B.
   Byrd, Michelle R.
   O'Donohue, William T.
   Jacobs, Negar Nicole
TI Web-based treatment for infertility-related psychological distress
SO ARCHIVES OF WOMENS MENTAL HEALTH
VL 13
IS 4
BP 347
EP 358
DI 10.1007/s00737-009-0142-x
PD AUG 2010
PY 2010
AB Infertility has been associated with stigma and negative psychosocial
   functioning. However, only a small proportion of this population
   actually receives care. Fertility patients predominantly use the
   Internet for information gathering, social support, and assistance with
   decision-making; yet, available web resources are unreliable sources of
   mental health care. Web-based alternatives also have the potential to
   assist with intervention access difficulties and may be of significant
   lower cost. This study evaluated the efficacy of a web-based approach to
   providing a cognitive behavioral intervention with 31 infertile women
   seeking medical reproductive technologies. Following randomized
   assignment, participants using the web-based intervention were compared
   with those in a wait-list control condition on general and
   infertility-related psychological stress measures. Results were mixed
   regarding intervention efficacy. Significant declines in general stress
   were evidenced in the experimental group compared with a wait-list
   control group. However, website access did not result in statistically
   significant improvements on a measure of infertility-specific stress.
   These findings add to the literature on psychological interventions for
   women experiencing fertility problems. Moreover, despite the widespread
   use of the Internet by this population, the present study is one of the
   first to investigate the usefulness of the Internet to attenuate stress
   in this population. Preliminary results suggest general stress may be
   significantly reduced in infertile women using an online cognitive
   behavioral approach.
OI Sexton, Minden/0000-0001-7632-1108; Jacobs, Negar
   Nicole/0000-0003-2697-3911
ZB 10
ZS 0
TC 44
ZR 0
ZA 0
Z8 0
Z9 45
U1 3
U2 36
SN 1434-1816
EI 1435-1102
UT WOS:000279501600006
PM 20127127
ER

PT J
AU Cooke, Helen
   Foureur, Maralyn
   Kinnear, Ann
   Bisits, Andrew
   Giles, Warwick
TI The development and initiation of the NSW Department of Health
   interprofessional Fetal welfare Obstetric emergency Neonatal
   resuscitation Training project
SO AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY
VL 50
IS 4
BP 334
EP 339
DI 10.1111/j.1479-828X.2010.01167.x
PD AUG 2010
PY 2010
AB Background:
   The Fetal Welfare Obstetric emergency Neonatal resuscitation Training
   (FONT) project was initiated on a background of rising notifications of
   adverse events in NSW maternity units, the significant proportion of
   which were related to fetal welfare assessment.
   Aims:
   The aim of the study is to describe the development and introduction of
   the NSW state-wide interprofessional FONT project.
   Methods:
   Following development and risk assessment, FONT was launched in February
   2008. The project consists of an online component and two face-to-face
   training days to be completed each 3 years; the first day for fetal
   welfare assessment and the second for obstetric and newborn emergencies.
   Eight, 2-day training sessions were conducted throughout NSW for FONT
   trainers. Each trainer underwent pre- and post-testing for changes in
   knowledge of fetal welfare assessment. The 2005-2008 NSW adverse event
   report numbers were assessed.
   Results:
   From 20 February to 17 April 2008, 240 trainers had been trained in
   fetal welfare assessment, and by the end of 2008 these trainers had
   trained 954 clinicians. There were significant improvements in the
   interpretation and management planning of electronic fetal heart rate
   patterns following training. Analysis of Severity Assessment Codes 1 and
   2 showed no significant trend in the number of notifications for adverse
   events related to fetal welfare assessment.
   Conclusions:
   In the first 11 months, 25% of the state's maternity practitioners had
   received training in the first stage of the FONT project. The FONT
   project has shown short-term improvements in learning and communication
   skills and in the participants of the project.
RI Foureur, Maralyn/ABC-2997-2021; Foureur, Maralyn/I-9672-2014
OI Foureur, Maralyn/0000-0002-0454-0165
ZS 0
ZA 0
Z8 0
ZR 0
ZB 0
TC 5
Z9 5
U1 0
U2 2
SN 0004-8666
EI 1479-828X
UT WOS:000280970400004
PM 20716260
ER

PT J
AU Hardy, Andrew B.
   Jones, Llinos
   Kastelik, Jack
TI Development of a web-based training programme for respiratory physicians
   in Yorkshire
SO CLINICAL MEDICINE
VL 10
IS 4
BP 344
EP 348
DI 10.7861/clinmedicine.10-4-344
PD AUG 2010
PY 2010
AB This article describes the establishment of a web-based training
   programme for postgraduate respiratory trainees. A pilot survey assessed
   trainees' experiences of online learning. All trainees had used the
   internet for work-related purposes with commonly used resources being
   Google, national society websites and specialty journals. A modular
   training programme based on article review, multiple choice questions
   (MCQs) and a reflective feedback exercise was subsequently established
   and trainees' experiences reviewed at three and 15 months. Trainees
   found that topics covered were appropriate, contained novel information
   and subjectively impacted on practice. Common problems were technical
   difficulties accessing the site (37%) and journal articles (74%),
   ambiguity of MCQs and difficulty finding time during normal working
   hours to complete modules. Trainees felt that feedback from MCQs and
   discussion with colleagues and their educational supervisor were useful
   methods to support their learning, but did not find the self-reflection
   exercise helpful.
ZB 0
Z8 0
ZR 0
TC 0
ZS 0
ZA 0
Z9 0
U1 0
U2 2
SN 1470-2118
EI 1473-4893
UT WOS:000280717300011
PM 20849007
ER

PT J
AU Stahl, Stephen M.
   Davis, Richard L.
   Kim, Dennis H.
   Lowe, Nicole Gellings
   Carlson, Richard E., Jr.
   Fountain, Karen
   Grady, Meghan M.
TI Play it gain: The Master Psychopharmacology Program as an Example of
   Interval Learning in Bite-Sized Portions
SO CNS SPECTRUMS
VL 15
IS 8
BP 491
EP 504
DI 10.1017/S1092852900000444
PD AUG 2010
PY 2010
AB Medical education often presents new material as large data dumps at a
   single live event (lecture or symposium), in part because it is
   traditional, and also because this structure can be perceived as the
   most time efficient for busy clinicians and their teachers. However,
   modern learning theory and new insights from the neurobiological basis
   of long-term memory formation show that the format of single-event
   presentation of materials is not very effective. Rather, seeing the
   presentation of new materials over time, in bite-sized chunks, and then
   seeing them again at a later time, particularly as a test, leads to more
   retention of information than does learning the same amount of material
   as a large bolus in a single setting. This notion of learning over time,
   also called "interval learning" or "spaced learning;" is particularly
   well adapted to the Internet era. Here we describe an application of
   this concept to the learning of psychopharmacology over time in
   bite-sized and repeated portions structured as an "online fellowship"
   called the Master Psychopharmacology Program
   (www.neiglobal.com/mpptour).
ZS 0
Z8 0
ZR 0
ZA 0
TC 8
ZB 0
Z9 8
U1 0
U2 3
SN 1092-8529
EI 2165-6509
UT WOS:000209725100004
PM 20703196
ER

PT J
AU Sullivan, Mary M.
   O'Brien, Colette R.
   Gitelman, Stephen E.
   Shapiro, Susan E.
   Rushakoff, Robert J.
TI Impact of an Interactive Online Nursing Educational Module on Insulin
   Errors in Hospitalized Pediatric Patients
SO DIABETES CARE
VL 33
IS 8
BP 1744
EP 1746
DI 10.2337/dc10-0031
PD AUG 2010
PY 2010
AB OBJECTIVE To determine the effectiveness of an online module for
   reducing insulin administration errors by nurses caring for hospitalized
   pediatric patients.
   RESEARCH DESIGN AND METHODS Pediatric nursing staff completed a
   mandatory online educational module teaching insulin pharmacokinetics
   and the insulin order form, using diluted insulin and finishing with 15
   interactive cases. A chart audit to determine all possible insulin
   errors of patients receiving insulin was done before and 2-6 months
   after the educational module.
   RESULTS All of the medical center's 283 pediatric nurses successfully
   completed the educational module. A total of 24 charts were audited in
   the preintervention phase and 22 in the postintervention phase. The
   preintervention insulin error rate was 14.8%, reduced to 1.7% (P <
   0.001) postintervention. Improvement occurred in correct insulin dosing
   and type, timing of administration, and timely blood glucose monitoring
   and documentation.
   CONCLUSIONS An interactive online educational module can be an effective
   strategy for reducing pediatric nurses' insulin administration errors.
TC 18
Z8 1
ZS 0
ZR 0
ZA 0
ZB 5
Z9 19
U1 0
U2 5
SN 0149-5992
UT WOS:000281422600010
PM 20504898
ER

PT J
AU Ibrahim, S H
   Ali, S K
   Sadaf, S
TI Factors that affect implementation of web-based faculty evaluation
   forms: residents' perspectives from a developing country.
SO Education for health (Abingdon, England)
VL 23
IS 2
BP 334
EP 334
PD 2010-Aug
PY 2010
AB CONTEXT: A web-based evaluation system for residents to provide feedback
   on faculty was piloted in four training programs at the Aga Khan
   University prior to institution-wide implementation. Of the four
   programs, less than 50% of forms were submitted by residents of three
   programs while more than 70% of forms were submitted by the residents of
   one program. This study was conducted to identify reasons for the
   varying participation rates of the four programs with a view to
   improving the system.
   METHODS: A qualitative approach was employed using focus group
   discussions (FGDs). Volunteers were invited and three groups of eight to
   ten residents each were formed. Participants for FGDs were selected from
   all residency years. FGDs were used to identify residents' perceptions
   regarding the web-based faculty evaluation system and to identify
   residents' problems and concerns with completing the web-based faculty
   evaluating forms.
   RESULTS: Technical issues in completing and submitting the forms online
   were identified to be the main deterrents to completing the evaluation
   forms. Non-accessibility of a resource person for resolving technical
   problems with the software and the burden of taking time out to complete
   the forms were considered as limiting factors by many residents.
   Residents recommended a focused orientation session to the new system
   within the departments.
   CONCLUSION: Residents' confidence and support are key to promoting
   adequate participation in web-based evaluations. Focused orientation
   sessions, reinforcement, reminders, assurances of confidentiality, and
   removal of technical glitches should help to improve resident
   participation.
RI Sadaf, Shazia/A-4565-2015
OI Sadaf, Shazia/0000-0001-6044-9633
ZA 0
ZR 0
TC 0
ZS 0
ZB 0
Z8 0
Z9 0
U1 0
U2 0
EI 1469-5804
UT MEDLINE:20853237
PM 20853237
ER

PT J
AU Lee, Nan-Yao
   Huang, Yu-Tsung
   Hsueh, Po-Ren
   Ko, Wen-Chien
TI Clostridium difficile Bacteremia, Taiwan
SO EMERGING INFECTIOUS DISEASES
VL 16
IS 8
BP 1204
EP 1210
DI 10.3201/eid1608.100064
PD AUG 2010
PY 2010
AB Medscape, LLC is pleased to provide online continuing medical education
   (CME) for this journal article, allowing clinicians the opportunity to
   earn CME credit. This activity has been planned and implemented in
   accordance with the Essential Areas and policies of the Accreditation
   Council for Continuing Medical Education through the joint sponsorship
   of Medscape, LLC and Emerging Infectious Diseases. Medscape, LLC is
   accredited by the ACCME to provide continuing medical education for
   physicians. Medscape, LLC designates this educational activity for a
   maximum of 0.5 AMA PRA Categoiy 1 credits (TM). Physicians should only
   claim credit commensurate with the extent of their participation in the
   activity. All other clinicians completing this activity will be issued a
   certificate of participation. To participate in this journal CME
   activity: (1) review the learning objectives and author disclosures; (2)
   study the education content; (3) take the post-test and/or complete the
   evaluation at http://cme.medscape.com/viewpublication/30063; (4)
   view/print certificate.
RI Ko, Wen-Chien/ABG-4316-2020; Hsueh, Po-Ren/ABE-1594-2021; HSUEH, PO-REN/; Huang, Yu-tsung/
OI Ko, Wen-Chien/0000-0001-7497-149X; HSUEH, PO-REN/0000-0002-7502-9225;
   Huang, Yu-tsung/0000-0002-7805-4178
Z8 1
ZR 0
ZA 0
ZS 1
TC 36
ZB 21
Z9 38
U1 0
U2 1
SN 1080-6040
EI 1080-6059
UT WOS:000280452600002
PM 20678312
ER

PT J
AU Li, Chung-Chen
   Wang, Lin
   Eng, Hock-Liew
   You, Huey-Ling
   Chang, Ling-Sai
   Tang, Kuo-Shu
   Lin, Ying-Jui
   Kuo, Hsuan-Chang
   Lee, Ing-Kit
   Liu, Jien-Wei
   Huang, Eng-Yen
   Yang, Kuender D.
TI Correlation of Pandemic (H1N1) 2009 Viral Load with Disease Severity and
   Prolonge Viral Shedding in Children
SO EMERGING INFECTIOUS DISEASES
VL 16
IS 8
BP 1265
EP 1272
DI 10.3201/eid1608.091918
PD AUG 2010
PY 2010
AB Medscape, LLC is pleased to provide online continuing medical education
   (CME) for this journal article, allowing clinicians the opportunity to
   earn CM.E credit. This activity has been planned and implemented in
   accordance with the Essential Areas and policies of the Accreditation
   Council for Continuing Medical Education through the joint sponsorship
   of Medscape. LLC and Emerging Infectious Diseases..Medscape, LLC is
   accredited by the ACCME to provide continuing medical education for
   physicians. Medscape, LLC designates this educational activity for a
   maximum of 0.5 AMA PRA Category 1 Credits (TM). Physicians should only
   claim credit commensurate with the extent of their participation in the
   activity. All other clinicians completing this activity will be issued a
   certificate of participation. To participate in this journal CME
   activity: (1) review the learning objectives and author disclosures; (2)
   study the education content; (3) take the post-test and/or complete the
   evaluation at http://cme.medscape.com/viewpublication/30063; (4)
   view/print certificate.
ZS 1
ZA 0
ZB 71
Z8 2
ZR 0
TC 98
Z9 102
U1 1
U2 4
SN 1080-6040
EI 1080-6059
UT WOS:000280452600011
PM 20678321
ER

PT J
AU Choi, Jeungok
   Bakken, Suzanne
TI Web-based education for low-literate parents in Neonatal Intensive Care
   Unit: Development of a website and heuristic evaluation and usability
   testing
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 79
IS 8
BP 565
EP 575
DI 10.1016/j.ijmedinf.2010.05.001
PD AUG 2010
PY 2010
AB Purpose: Low health literacy has been associated with poor
   health-related outcomes. The purposes are to report the development of a
   website for low-literate parents in the Neonatal Intensive Care Unit
   (NICU), and the findings of heuristic evaluation and a usability testing
   of this website.
   Methods: To address low literacy of NICU parents, multimedia educational
   Website using visual aids (e.g., pictographs, photographs),
   voice-recorded text message in addition to a simplified text was
   developed. The text was created at the 5th grade readability level. The
   heuristic evaluation was conducted by three usability experts using 10
   heuristics. End-users' performance was measured by counting the time
   spent completing tasks and number of errors, as well as recording users'
   perception of ease of use and usefulness (PEUU) in a sample of 10 NICU
   parents.
   Results: Three evaluators identified 82 violations across the 10
   heuristics. All violations, however, received scores <2, indicating
   minor usability problems. Participants' time to complete task varies
   from 81.2 s (SD = 30.9) to 2.2 s (SD = 1.3). Participants rated the
   Website as easy to use and useful (PEUU mean = 4.52, SD = 0.53). Based
   on the participants' comments, appropriate modifications were made.
   Discussion and conclusions: Different types of visuals on the Website
   were well accepted by low-literate users and agreement of visuals with
   text improved understanding of the educational materials over that with
   text alone. The findings suggest that using concrete and realistic
   pictures and pictographs with clear captions would maximize the benefit
   of visuals. One emerging theme was "simplicity" in design (e.g., limited
   use of colors, one font type and size), content (e.g., avoid lengthy
   text), and technical features (e.g., limited use of pop-ups). The
   heuristic evaluation by usability experts and the usability test with
   actual users provided complementary expertise, which can give a richer
   assessment of a design for low literacy Website. These results
   facilitated design modification and implementation of solutions by
   categorizing and prioritizing the usability problems. (C) 2010 Elsevier
   Ireland Ltd. All rights reserved.
ZA 0
ZR 0
TC 62
ZB 12
Z8 0
ZS 1
Z9 62
U1 0
U2 45
SN 1386-5056
EI 1872-8243
UT WOS:000279439800003
PM 20617546
ER

PT J
AU Ho, S. C.
   Wu, S.
   Chan, S. G.
   Sham, A.
TI Menopausal transition and changes of body composition: a prospective
   study in Chinese perimenopausal women
SO INTERNATIONAL JOURNAL OF OBESITY
VL 34
IS 8
BP 1265
EP 1274
DI 10.1038/ijo.2010.33
PD AUG 2010
PY 2010
AB Objectives: Whether age or menopause per se influences fat distribution
   remains controversial. This study aimed to investigate the change of
   body composition, particularly body fat distribution, in relation to
   menopausal transition in a 30-month prospective study of perimenopausal
   women.
   Methods: A total of 438 community-based healthy women aged 44-55 years
   participated in the Hong Kong Perimenopausal Women Osteoporosis Study.
   Data were obtained at baseline, and at 9-, 18- and 30-month during the
   follow-up. Soft tissue measurements consisting of fat mass and lean
   muscle mass of the trunk and whole body were obtained by the dual energy
   X-ray absorptiometry. Percentage change of body measurements over the
   follow-up period was compared between women who remained premenopausal,
   those who went through menopausal transition, and those who were
   menopausal since baseline.
   Results: A slight decrease in the lean mass but an increase in the total
   fat mass and trunk fat mass (TFM) over the follow-up period were noted.
   Multivariate linear regression analysis showed that age was negatively
   associated with an increase in central obesity. Adjusted for the
   important predictors-age, age of menarche and education level,
   menopausal status was a significant and independent predictor of the
   decrease in lean mass and the increase in percent of body fat, TFM and
   trunk-leg fat mass ratio.
   Conclusion: Our 30-month longitudinal study showed that menopause has an
   independent effect on an increase in fat mass, and an increase in
   central obesity in perimenopausal Chinese women. International Journal
   of Obesity (2010) 34, 1265-1274; doi: 10.1038/ijo.2010.33; published
   online 2 March 2010
TC 67
Z8 3
ZR 0
ZB 30
ZS 0
ZA 0
Z9 69
U1 0
U2 12
SN 0307-0565
EI 1476-5497
UT WOS:000280732400005
PM 20195288
ER

PT J
AU Berry, T. R.
   Spence, J. C.
   Blanchard, C.
   Cutumisu, N.
   Edwards, J.
   Nykiforuk, C.
TI Changes in BMI over 6 years: the role of demographic and neighborhood
   characteristics
SO INTERNATIONAL JOURNAL OF OBESITY
VL 34
IS 8
BP 1275
EP 1283
DI 10.1038/ijo.2010.36
PD AUG 2010
PY 2010
AB Objective: To undertake a 6-year longitudinal investigation of the
   relationship between the built environment (perceived and objectively
   measured) and change in body mass index (BMI). Specifically, this
   research examined whether change in BMI was predicted by objectively
   measured neighborhood walkability and socioeconomic status (SES), and
   perceived neighborhood characteristics (for example, crime, traffic and
   interesting things to look at) in addition to other factors such as age,
   gender, education, physical activity, fruit and vegetable consumption
   and smoking.
   Design: Longitudinal study
   Subjects: 500 adults who provided complete data in 2002 and 2008 and who
   did not move over the course of the study (47.8% female; age in 2002:
   18-90 years).
   Measurements: Telephone surveys in 2002 and 2008 measuring perceptions
   of their neighborhood environment and demographic factors. Objective
   measures of neighborhood characteristics were calculated using census
   data and geographical information systems in 2006.
   Results: Age, neighborhood SES and perceived traffic were significantly
   related to increased BMI over the 6 years. Younger participants and
   those in lower SES neighborhoods were more likely to have increased BMI.
   Agreement with the statement that traffic made it difficult to walk also
   predicted increased BMI.
   Conclusion: This study adds to the literature to show that BMI increased
   in low SES neighborhoods. Although more research is needed to fully
   understand how neighborhood SES contributes to obesity, it is without
   question that individuals in socially disadvantaged neighborhoods face
   more barriers to health than their wealthier counterparts. This study
   also calls into question the relationship between walkability and
   changes in BMI and emphasizes the necessity of longitudinal data rather
   than relying on cross-sectional research. International Journal of
   Obesity (2010) 34, 1275-1283; doi: 10.1038/ijo.2010.36; published online
   16 February 2010
RI Spence, John C/D-1548-2009
OI Spence, John C/0000-0001-8485-1336
ZB 16
Z8 0
ZS 0
ZA 0
ZR 0
TC 56
Z9 56
U1 0
U2 27
SN 0307-0565
UT WOS:000280732400006
PM 20157324
ER

PT J
AU Ademi, Z.
   Walls, H. L.
   Peeters, A.
   Liew, D.
   Hollingsworth, B.
   Stevenson, C.
   Steg, Ph-G
   Bhatt, D. L.
   Reid, C. M.
CA REACH Registry Investigators
TI Economic implications of obesity among people with atherothrombotic
   disease
SO INTERNATIONAL JOURNAL OF OBESITY
VL 34
IS 8
BP 1284
EP 1292
DI 10.1038/ijo.2010.42
PD AUG 2010
PY 2010
AB Objective: The purpose of this study was to ascertain the impact of
   obesity on the cost of disease management in people with or at high risk
   of atherothrombotic disease from a governmental perspective using a
   bottom-up approach to cost estimation. In addition, the aim was also to
   explore the causes of any differences found.
   Method: The health-care costs of obesity were estimated from 2819
   participants recruited into the nationwide Australian REACH Registry
   with established atherothrombotic disease or at least three risk factors
   for atherothrombosis. Enrollment was in 2004, through primary care
   general practices. Information was collected on the use of
   cardiovascular drugs, hospitalizations and ambulatory care services.
   'Bottom-up' costing was undertaken by assigning unit costs to each
   health-care item, based on Australian Government-reimbursed figures
   2006-2007. Linear-mixed models were used to estimate associations
   between direct medical costs and body mass index (BMI) categories.
   Results: Annual pharmaceutical costs per person increased with
   increasing BMI category, even after adjusting for gender, age, living
   place, formal education, smoking status, hypertension and diabetes.
   Adjusted annual pharmaceutical costs of overweight and obese
   participants were higher ($7 (P = 0.004) and $144 (<0.001),
   respectively) than those of the normal weight participants. This was due
   to participants in higher BMI categories receiving more pharmaceuticals
   than normal weight participants. There was no significant change across
   the BMI categories in annual ambulatory care costs and annual hospital
   costs.
   Conclusion: In these participants with or at high risk of
   atherothrombotic disease, annual pharmaceutical costs were greater in
   participants of higher BMI category, but there was not such a gradient
   in the annual hospital or ambulatory care costs. The greater
   cardiovascular pharmaceutical costs for participants of higher BMI
   categories remained even after adjusting for a range of demographic
   factors and comorbidities. Our results suggest that these costs are
   explained by the higher number of drugs used among people with
   atherothrombotic disease. Further investigation is needed to understand
   the reasons for this level of drug use. International Journal of Obesity
   (2010) 34, 1284-1292; doi: 10.1038/ijo.2010.42; published online 2 March
   2010
RI STEG, Philippe Gabriel/Z-1567-2019; Hollingsworth, Bruce/ABH-7283-2020; PEETERS, ANNA/B-3663-2013; Peeters, Anna/M-8284-2019; Reid, Christopher M/AAP-8135-2021; Hollingsworth, Bruce/; Reid, Christopher/; Liew, Danny/; Ademi, Zanfina/; STEG, Philippe Gabriel/
OI PEETERS, ANNA/0000-0003-4340-9132; Peeters, Anna/0000-0003-4340-9132;
   Hollingsworth, Bruce/0000-0002-4314-6523; Reid,
   Christopher/0000-0001-9173-3944; Liew, Danny/0000-0002-0131-623X; Ademi,
   Zanfina/0000-0002-0625-3522; STEG, Philippe Gabriel/0000-0001-6896-2941
TC 3
ZS 0
ZA 0
ZR 0
ZB 2
Z8 0
Z9 3
U1 0
U2 3
SN 0307-0565
EI 1476-5497
UT WOS:000280732400007
PM 20195286
ER

PT J
AU Charreire, H.
   Casey, R.
   Salze, P.
   Kesse-Guyot, E.
   Simon, C.
   Chaix, B.
   Banos, A.
   Badariotti, D.
   Touvier, M.
   Weber, C.
   Oppert, J-M
TI Leisure-time physical activity and sedentary behavior clusters and their
   associations with overweight in middle-aged French adults
SO INTERNATIONAL JOURNAL OF OBESITY
VL 34
IS 8
BP 1293
EP 1301
DI 10.1038/ijo.2010.39
PD AUG 2010
PY 2010
AB Objective: To identify leisure-time physical activity (LTPA) and
   sedentary behavior patterns, as well as to investigate their
   relationships with overweight.
   Design: Cross-sectional study.
   Subjects: Men (n = 2206) and women (n = 2476) aged > 45 years, living in
   France, enrolled in the SU.VI.MAX (Supplementation en VItamines et
   Mineraux AntioXydants) study.
   Measurements: LTPA and sedentary behavior were assessed using the
   Modifiable Activity Questionnaire whereas weight and height were
   measured from study participants. Clusters were defined, by gender, with
   multiple correspondence analysis and cluster analysis successively,
   taking into account the type (walking, gardening, etc.) and duration of
   each physical activity performed, as well as the time spent watching
   television (TV) as typical sedentary behavior. Logistic regression
   models were used to assess associations with overweight.
   Results: Four physical activity and sedentary behavior clusters were
   identified among men and three among women. We chose as referent cluster
   the cluster associating 'walking and gardening-low TV' in men and the
   cluster associating 'walking and gardening-high TV' in women. Compared
   with the referent cluster and after adjustment for age, education level,
   smoking status and place of residence, the likelihood of overweight
   (defined as body mass index >= 25 kg m(-2)) in women was lower for a
   'multiple activity-low TV' cluster (odds ratio (OR) = 0.66, 95%
   confidence interval = 0.54-0.81) and for a cluster associating
   'endurance physical activity-low TV' (OR = 0.42 (0.29-0.60)). Compared
   with the referent cluster and after adjustment, the likelihood of
   overweight in men was decreased for the 'endurance physical activity'
   cluster (OR = 0.66, (0.52-0.84)), whereas no significant association was
   found with the other clusters.
   Conclusions: Patterns combining specific types of physical activity and
   sedentary behavior were identified and differed in their relations to
   overweight in adults. The identification of global patterns of activity
   allows us to go beyond a simple decreased activity-increased body weight
   approach and adds to our understanding of the associations of specific
   forms and grouping of activity with overweight in adults. International
   Journal of Obesity (2010) 34, 1293-1301; doi: 10.1038/ijo.2010.39;
   published online 2 March 2010
RI Touvier, Mathilde/E-8817-2017; Emmanuelle, Kesse-Guyot/F-2692-2017; Oppert, Jean-Michel/F-2810-2017; , simon/B-2895-2011; Chaix, Basile/B-8625-2014; Kesse-Guyot, Emmanuelle/ABH-7347-2020; Kesse-Guyot, Emmanuelle/K-4689-2012; Charreire, Helene/F-3037-2017; Casey, Romain/; BANOS, Arnaud/
OI Touvier, Mathilde/0000-0002-8322-8857; Emmanuelle,
   Kesse-Guyot/0000-0002-9715-3534; , simon/0000-0002-7820-3233; Charreire,
   Helene/0000-0002-1260-9812; Casey, Romain/0000-0002-5918-9261; BANOS,
   Arnaud/0000-0001-5145-0843
ZB 6
TC 16
ZA 0
ZR 0
ZS 0
Z8 0
Z9 16
U1 0
U2 18
SN 0307-0565
EI 1476-5497
UT WOS:000280732400008
PM 20195284
ER

PT J
AU Armbruster, J.
   Schmidt, B.
   Poets, C. F.
   Bassler, D.
TI Nurses' compliance with alarm limits for pulse oximetry: qualitative
   study
SO JOURNAL OF PERINATOLOGY
VL 30
IS 8
BP 531
EP 534
DI 10.1038/jp.2009.189
PD AUG 2010
PY 2010
AB Objective: Monthly audits for the multicenter Canadian Oxygen Trial have
   shown that our neonatal team has consistently maintained study
   participants within the intended pulse oximetry alarm limits between 68
   and 79% of the time during the first 3 days of life while infants were
   receiving supplemental oxygen. This good performance prompted us to
   explore our nurses' perceptions of what makes them compliant with alarm
   limits for pulse oximetry in preterm infants.
   Study Design: The local neonatal research nurse interviewed all 41 staff
   nurses in the neonatal intensive care unit at the University Children's
   Hospital in Tuebingen, Germany, for this qualitative study.
   Result: Nurses identified education (22/41), prompt response to alarms
   (22/41), a favorable patient-to-staff ratio (18/41), root cause analysis
   at the bedside (15/41), and the high priority given to control of oxygen
   therapy in the department (14/41) as the five most important
   determinants of their good compliance.
   Conclusion: These findings may be useful for other neonatal teams who
   struggle to improve their compliance with alarm limits for pulse
   oximetry. Journal of Perinatology (2010) 30, 531-534;
   doi:10.1038/jp.2009.189; published online 10 December 2009
OI Bassler, Dirk/0000-0003-2358-4419
ZA 0
ZS 0
ZR 0
Z8 0
TC 24
ZB 10
Z9 24
U1 0
U2 7
SN 0743-8346
EI 1476-5543
UT WOS:000280549200007
PM 20010614
ER

PT J
AU Zborovski, Stephen
   Rohekar, Gina
   Rohekar, Sherry
TI Strategies to Improve Recruitment into Rheumatology: Results of the
   Workforce in Rheumatology Issues Study (WRIST)
SO JOURNAL OF RHEUMATOLOGY
VL 37
IS 8
BP 1749
EP 1755
DI 10.3899/jrheum.091389
PD AUG 2010
PY 2010
AB Objective. By 2026, there will be a 64% shortfall of rheumatologists in
   Canada. A doubling of current rheumatology trainees is likely needed to
   match future needs; however, there are currently no evidence-based
   recommendations for how this can be achieved. The Workforce in
   Rheumatology Issues Study (WRIST) was designed to determine factors
   influencing the choice of rheumatology as a career.
   Methods. An online survey was created and invitations to participate
   were sent to University of Western Ontario (UWO) medical students, UWO
   internal medicine (IM) residents, Canadian rheumatology fellows, and
   Canadian rheumatologists. Surveys sent to each group of respondents were
   identical except for questions related to demographics and past
   training. Participants rated factors that influenced their choice of
   residency and scored factors related to the attractiveness of
   rheumatology and to recruitment strategies. Statistical significance was
   determined using chi-squared and factor analysis.
   Results. The survey went out to 1014 individuals, and 491 surveys were
   completed (48.4%). Responses indicated the importance of exposure
   through rotations and role models in considering rheumatology.
   Significant (p < 0.002) differences between groups were evident
   regarding what makes rheumatology attractive and effective recruitment
   strategies, most interestingly with rheumtologists and trainees
   expressing opposite views on the latter.
   Conclusion. Recommendations are made in 2 broad categories: greater
   exposure and greater information. As medical students and IM residents
   progress through their training, their interest in rheumatology lessens,
   thus it is important to begin recruitment initiatives as early as
   possible in the training process. (First Release July I 2010; J
   Rheumatol 2010;37:1749-55; doi:10.3899/jrheum.091389)
RI Rohekar, Gina/G-3343-2011; Rohekar, Sherry/G-3344-2011; Rohekar, Sherry/
OI Rohekar, Sherry/0000-0001-8949-4198
TC 17
ZA 0
ZS 0
Z8 0
ZB 5
ZR 0
Z9 17
U1 0
U2 3
SN 0315-162X
EI 1499-2752
UT WOS:000280860600029
PM 20595272
ER

PT J
AU Chovil, Nicole
   Panagiotopoulos, Constadina
TI Engaging families in research to determine health literacy needs related
   to the use of second-generation antipsychotics in children and
   adolescents.
SO Journal of the Canadian Academy of Child and Adolescent Psychiatry =
   Journal de l'Academie canadienne de psychiatrie de l'enfant et de
   l'adolescent
VL 19
IS 3
BP 201
EP 8
PD 2010-Aug
PY 2010
AB OBJECTIVES: We sought to engage parents and caregivers in research to
   understand their health literacy needs related to the use of
   second-generation antipsychotic medications (SGAs) in children and
   youth.
   METHODS: Two focus groups with a total of 14 participants were conducted
   in two distinct geographical regions of British Columbia.
   RESULTS: Participants expressed that they had numerous questions about
   the medications but had few reliable resources available to them. They
   currently obtain information from a wide variety of sources including:
   psychiatrists, pharmacy print-outs, pediatricians, other parents, the
   Internet, and books. They expressed a preference for information to be
   initially delivered verbally, on a 'one-to-one' basis by their medical
   professional (preferably psychiatrist, psychologist, pediatrician), and
   then supplemented by accessible, written- and video-reference materials
   that would also be available online from a single reputable source
   (e.g., BC Children's Hospital). The weight gain and other potential
   metabolic side effects were of great concern to parents. Educational
   resources that address healthy nutrition and promotion of physical
   activity need to address the specific issues that parents looking after
   children with mental health concerns face.
   CONCLUSIONS: Families are key partners in the management and treatment
   of child and adolescent psychiatric disorders. The findings from this
   study support the value of including the "family" voice in developing
   educational strategies related to medications such as SGAs.
RI Panagiotopoulos, Constadina/AAO-6827-2020; Panagiotopoulos, Constadina/
OI Panagiotopoulos, Constadina/0000-0002-1379-7472
ZA 0
ZR 0
Z8 0
TC 5
ZS 0
ZB 0
Z9 5
U1 0
U2 2
EI 2293-6122
UT MEDLINE:20842275
PM 20842275
ER

PT J
AU Kanthraj, G. R.
TI Authors' willingness for second-opinion teledermatology in
   difficult-to-manage cases: 'an online survey'
SO JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY
VL 24
IS 8
BP 961
EP 966
DI 10.1111/j.1468-3083.2009.03532.x
PD AUG 2010
PY 2010
AB Background
   Expert non-availability for an instant difficult-to-manage case may
   limit the online discussion group to provide second-opinion
   teledermatology for registered dermatologists. Author-based
   second-opinion teledermatology (AST) is proposed and assessment of
   authors' response to answer queries and their willingness to participate
   in teledermatology consultation is analysed.
   Materials and methods
   Authors of 292 articles from seven non-open access dermatology and three
   general medical journals addressing difficult-to-manage cases from June
   2007 to December 2008 participated in this online dermatology authors'
   survey. Authors' response to reprint requests, answer literature queries
   and willingness to offer second-opinion teledermatology were the main
   outcome measures. Perceived views were also documented.
   Results
   The scores for reprints requests vs. received were (chi 2 = 13.57, n =
   292), P = 0.000. The scores for articles read, analysed and literature
   queries sent vs. authors answered were (chi 2 = 11.09, n = 190), P =
   0.001. The scores for authors responded to reprints vs. willing to offer
   second-opinion teledermatology consultation were (chi 2 = 5.65, n =
   190), P = 0.017 and authors responded to reprint requests, answered
   queries and willing to offer second-opinion (chi 2 = 5.65, n = 190), P =
   0.017.
   Conclusion
   A dermatologist obtains literature, answered queries and constructive
   suggestions with additional informative material and pools
   second-opinions from the authors using their e-mail to deliver quality
   health care. AST is an alternative to online discussion group for
   second-opinion teledermatology practice in difficult-to-manage cases.
   Uniform international laws are to be framed to facilitate telemedicine
   care for a difficult-to-manage case.
RI JSSMC00319, G R KANTHRAJ/AAS-7903-2020; KANTHRAJ, G R/Y-3051-2018
OI JSSMC00319, G R KANTHRAJ/0000-0001-8278-714X; 
TC 2
Z8 0
ZR 0
ZA 0
ZS 0
ZB 0
Z9 2
U1 2
U2 8
SN 0926-9959
UT WOS:000279447900018
PM 20015171
ER

PT J
AU Salim, Ali
   Malinoski, Darren
   Schulman, Danielle
   Desai, Chirag
   Navarro, Sonia
   Ley, Eric J.
TI The Combination of an Online Organ and Tissue Registry With a Public
   Education Campaign Can Increase the Number of Organs Available for
   Transplantation
SO JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE
VL 69
IS 2
BP 451
EP 454
DI 10.1097/TA.0b013e3181e7847a
PD AUG 2010
PY 2010
AB Background: A persistent shortage of organs and inexhaustible waiting
   lists continue to result in many people dying while awaiting
   transplantation. On July 1, 2006, the California Department of Motor
   Vehicles joined forces with California's Online Organ and Tissue
   Registry and launched a campaign to increase donation rates. This
   campaign included intense public and media education. The efficacy of
   such a campaign on donor demographics has not been studied.
   Methods: Retrospective analysis was conducted of organ donor referrals
   and donations from all southern California hospitals covered by a
   regional organ procurement agency. Organ donor demographics from 2 years
   before (pretime: 2004-2005) and 2 years after (posttime: 2007-2008) were
   compared.
   Results: Pretime included 6,112 referrals, 1,548 potential donors with
   696 actual donors. Posttime included 7,119 referrals, 1,409 potential
   donors, and 699 actual donors. Consent for donation improved to 51.0%
   from 47.5% (p = 0.064), family decline decreased to 32.6% from 44.1% (p
   < 0.0001), and conversion rates improved to 49.6% from 45.0% (p =
   0.011). Coroners also declined donation less frequently during posttime
   (1.8% vs. 0.6%, p = 0.004). Extended criteria donors improved to 9.5%
   from 3.8% (p < 0.0001), and donor after cardiac death improved to 3.0%
   from 1.4% (p = 0.002). A decrease in organs per donor was noted (3.57%
   vs. 3.14%, p < 0.0001) most likely because of the increase in extended
   criteria donors and donor after cardiac death.
   Conclusions: Public and media education significantly improved organ
   donor demographics. Although this study compares only 2 years before
   with 2 years after the donation campaign, the results are extremely
   favorable. Therefore, a public donation campaign and an organ donor
   registry are effective promotions that could help increase the number of
   organs available for transplantation.
ZS 2
TC 27
Z8 0
ZB 10
ZA 0
ZR 0
Z9 28
U1 0
U2 4
SN 0022-5282
UT WOS:000280890800040
PM 20699756
ER

PT J
AU Cook, David A.
   Garside, Sarah
   Levinson, Anthony J.
   Dupras, Denise M.
   Montori, Victor M.
TI What do we mean by web-based learning? A systematic review of the
   variability of interventions
SO MEDICAL EDUCATION
VL 44
IS 8
BP 765
EP 774
DI 10.1111/j.1365-2923.2010.03723.x
PD AUG 2010
PY 2010
AB OBJECTIVES Educators often speak of web-based learning (WBL) as a single
   entity or a cluster of similar activities with homogeneous effects. Yet
   a recent systematic review demonstrated large heterogeneity among
   results from individual studies. Our purpose is to describe the
   variation in configurations, instructional methods and presentation
   formats in WBL.
   METHODS We systematically searched MEDLINE, EM BASE, ERIC, CINAHL and
   other databases (last search November 2008) for studies comparing a WBL
   intervention with no intervention or another educational activity. From
   eligible studies we abstracted information on course participants,
   topic, configuration and instructional methods. We summarised this
   information and then purposively selected and described several WBL
   interventions that illustrate specific technologies and design features.
   RESULTS We identified 266 eligible studies. Nearly all courses (89%)
   used written text and most (55%) used multimedia. A total of 32% used
   online communication via e-mail, threaded discussion, chat or
   videoconferencing, and 9% implemented synchronous components. Overall,
   24% blended web-based and non-computer-based instruction. Most web-based
   courses (77%) employed specific instructional methods, other than text
   alone, to enhance the learning process. The most common instructional
   methods (each used in nearly 50% of courses) were patient cases,
   self-assessment questions and feedback. We describe several studies to
   illustrate the range of instructional designs.
   CONCLUSIONS Educators and researchers cannot treat WBL as a single
   entity. Many different configurations and instructional methods are
   available for WBL instructors. Researchers should study when to use
   specific WBL designs and how to use them effectively.
RI Levinson, Anthony J./AAB-2735-2019; Montori, Victor/
OI Levinson, Anthony J./0000-0001-5240-6449; Montori,
   Victor/0000-0003-0595-2898
ZA 1
Z8 0
ZR 0
ZB 11
ZS 8
TC 145
Z9 153
U1 5
U2 60
SN 0308-0110
EI 1365-2923
UT WOS:000280711000004
PM 20633216
ER

PT J
AU MacDonald, Joanna
   Sohn, Sangsu
   Ellis, Pete
TI Privacy, professionalism and Facebook: a dilemma for young doctors
SO MEDICAL EDUCATION
VL 44
IS 8
BP 805
EP 813
DI 10.1111/j.1365-2923.2010.03720.x
PD AUG 2010
PY 2010
AB OBJECTIVES This study aimed to examine the nature and extent of use of
   the social networking service Facebook by young medical graduates, and
   their utilisation of privacy options.
   METHODS We carried out a cross-sectional survey of the use of Facebook
   by recent medical graduates, accessing material potentially available to
   a wider public. Data were then categorised and analysed. Survey subjects
   were 338 doctors who had graduated from the University of Otago in 2006
   and 2007 and were registered with the Medical Council of New Zealand.
   Main outcome measures were Facebook membership, utilisation of privacy
   options, and the nature and extent of the material revealed.
   RESULTS A total of 220 (65%) graduates had Facebook accounts; 138 (63%)
   of these had activated their privacy options, restricting their
   information to 'Friends'. Of the remaining 82 accounts that were more
   publicly available, 30 (37%) revealed users' sexual orientation, 13
   (16%) revealed their religious views, 35 (43%) indicated their
   relationship status, 38 (46%) showed photographs of the users drinking
   alcohol, eight (10%) showed images of the users intoxicated and 37 (45%)
   showed photographs of the users engaged in healthy behaviours. A total
   of 54 (66%) members had used their accounts within the last week,
   indicating active use.
   CONCLUSIONS Young doctors are active members of Facebook. A quarter of
   the doctors in our survey sample did not use the privacy options,
   rendering the information they revealed readily available to a wider
   public. This information, although it included some healthy behaviours,
   also revealed personal information that might cause distress to patients
   or alter the professional boundary between patient and practitioner, as
   well as information that could bring the profession into disrepute (e.g.
   belonging to groups like 'Perverts united'). Educators and regulators
   need to consider how best to advise students and doctors on societal
   changes in the concepts of what is public and what is private.
RI Roundtree, Aimee/B-8838-2012; Ellis, Pete/
OI Ellis, Pete/0000-0002-1503-1921
ZA 1
ZS 4
Z8 0
TC 151
ZB 13
ZR 0
Z9 158
U1 0
U2 48
SN 0308-0110
EI 1365-2923
UT WOS:000280711000008
PM 20633220
ER

PT J
AU Finn, Gabrielle
   Garner, Jayne
   Sawdon, Marina
TI 'You're judged all the time!' Students' views on professionalism: a
   multicentre study
SO MEDICAL EDUCATION
VL 44
IS 8
BP 814
EP 825
DI 10.1111/j.1365-2923.2010.03743.x
PD AUG 2010
PY 2010
AB OBJECTIVES This study describes how medical students perceive
   professionalism and the context in which it is relevant to them. An
   understanding of how Phase 1 students perceive professionalism will help
   us to teach this subject more effectively. Phase 1 medical students are
   those in the first 2 years of a 5-year medical degree.
   METHODS Seventy-two undergraduate students from two UK medical schools
   participated in 13 semi-structured focus groups. Focus groups, carried
   out until thematic saturation occurred, were recorded and transcribed
   verbatim. Data were analysed and coded using NVivo 8, using a grounded
   theory approach with constant comparison.
   RESULTS From the analysis, seven themes regarding professionalism
   emerged: the context of professionalism; role-modelling; scrutiny of
   behaviour; professional identity; 'switching on' professionalism;
   leniency (for students with regard to professional standards), and
   sacrifice (of freedom as an individual). Students regarded
   professionalism as being relevant in three contexts: the clinical, the
   university and the virtual. Students called for leniency during their
   undergraduate course, opposing the guidance from Good Medical Practice.
   Unique findings were the impact of clothing and the online social
   networking site Facebook on professional behaviour and identity.
   Changing clothing was described as a mechanism by which students 'switch
   on' their professional identity. Students perceived society to be
   struggling with the distinction between doctors as individuals and
   professionals. This extended to the students' online identities on
   Facebook. Institutions' expectations of high standards of
   professionalism were associated with a feeling of sacrifice by students
   caused by the perception of constantly 'being watched'; this perception
   was coupled with resentment of this intrusion. Students described the
   significant impact that role-modelling had on their professional
   attitudes.
   CONCLUSIONS This research offers valuable insight into how Phase 1
   medical students construct their personal and professional identities in
   both the offline and online environments. Acknowledging these learning
   mechanisms will enhance the development of a genuinely student-focused
   professionalism curriculum.
RI Oliveira, Aline L/D-2475-2011; Roundtree, Aimee/B-8838-2012; Finn, Gabrielle Maria/AAL-6366-2020; Sawdon, Marina/; Finn, Gabrielle/
OI Sawdon, Marina/0000-0002-8668-257X; Finn, Gabrielle/0000-0002-0419-694X
TC 79
Z8 0
ZS 1
ZA 0
ZR 0
ZB 4
Z9 80
U1 0
U2 45
SN 0308-0110
EI 1365-2923
UT WOS:000280711000009
PM 20633221
ER

PT J
AU Klein, Kelly R.
   Cohen, Hillary
   Baseluos, Cindy
   Marshall, John
   Likourezos, Antonios
   Jain, Ashika
   Davidson, Steven
TI H1N1: Communication Patterns among Emergency Department Staff during the
   H1N1 Outbreak, April 2009
SO PREHOSPITAL AND DISASTER MEDICINE
VL 25
IS 4
BP 296
EP 301
DI 10.1017/S1049023X00008220
PD AUG 2010
PY 2010
AB Introduction: The H1N1 influenza virus has been described by the World
   Health Organization (WHO) and the media as a disease that could rival
   the 1918 Spanish Influenza epidemic in deaths. During the spring of
   2009, emergency departments across the world saw a spike in the number
   of influenza cases and by June 2009, the WHO had declared H1N1 a
   pandemic. In order to prevent emergency department staff from becoming
   ill and to provide up-to-date medical care to patients, information had
   to be disseminated quickly to emergency department staff.
   Methods: An anonymous Internet survey was utilized to query emergency
   department staff regarding communication methods and overall attitudes
   regarding safety and treatment during the spring of 2009.
   Results: The majority of emergency department staff (263; 88.3%) used
   multiple sources to obtain information about the H1N1 virus. There were
   258 respondents (88.9%) that felt that the hospital was supplying them
   with the necessary information to protect themselves and their families
   and 280 (98.5%) felt confident that their emergency department was
   treating patients by the government-recommended guidelines.
   Statistically significant differences were noted in communication
   patterns between direct and indirect patient care providers.
   Conclusions: In general, H1N1 communication to emergency department
   staff was perceived as good during the initial H1N1 outbreak. However,
   because of the limitations associated with an online survey, these
   results do not allow for generalization to the total emergency
   department staff population. Hospital administrators may need to
   consider the differences in communication preferences of direct patient
   care providers and indirect patient care providers when distributing
   important information to emergency department staff during crisis and
   emergency situations.
ZS 0
Z8 0
TC 1
ZB 0
ZA 0
ZR 0
Z9 1
U1 1
U2 2
SN 1049-023X
EI 1945-1938
UT WOS:000445098500003
PM 20845313
ER

PT J
AU Caiata-Zufferey, Maria
   Abraham, Andrea
   Sommerhalder, Kathrin
   Schulz, Peter J.
TI Online Health Information Seeking in the Context of the Medical
   Consultation in Switzerland
SO QUALITATIVE HEALTH RESEARCH
VL 20
IS 8
BP 1050
EP 1061
DI 10.1177/1049732310368404
PD AUG 2010
PY 2010
AB A growing number of patients search for medical information on the
   Internet. Understanding how they use the Internet is important, as this
   might impact their health, patient-practitioner roles, and general
   health care provision. In this article, we illustrate the motives of
   online health information seeking in the context of the doctor-patient
   relationship in Switzerland. We conducted semistructured interviews with
   patients who searched for health information online before or after a
   medical consultation. Findings suggest that patients searched for health
   information online to achieve the goals of preparing for the
   consultation, complementing it, validating it, and/or challenging its
   outcome. The initial motivations for online health information seeking
   are identified in the needs for acknowledgment, reduction of
   uncertainty, and perspective. Searching health information online was
   also encouraged by personal and contextual factors, that is, a person's
   sense of self-responsibility and the opportunity to use the Internet.
   Based on these results, we argue that online health information seeking
   is less concerned with what happens during the consultation than with
   what happens before or after it, in the sociocultural context.
RI Schulz, Peter/GQQ-1290-2022; Schulz, Peter/AAM-9816-2020; Caiata-Zufferey, Maria/
OI Schulz, Peter/0000-0003-4281-489X; Schulz, Peter/0000-0003-4281-489X;
   Caiata-Zufferey, Maria/0000-0003-4197-8913
ZS 2
ZA 0
Z8 0
TC 96
ZB 8
ZR 0
Z9 97
U1 6
U2 58
SN 1049-7323
EI 1552-7557
UT WOS:000280044200003
PM 20442347
ER

PT J
AU Glynn, R. W.
   Kerin, M. J.
TI Factors influencing medical students and junior doctors in choosing a
   career in surgery
SO SURGEON-JOURNAL OF THE ROYAL COLLEGES OF SURGEONS OF EDINBURGH AND
   IRELAND
VL 8
IS 4
BP 187
EP 191
DI 10.1016/j.surge.2009.11.005
PD AUG 2010
PY 2010
AB Background/purpose: Identification of those factors which influence
   career choice will help to avoid a shortfall in surgical recruitment. We
   aimed to determine the views of medical students and junior doctors
   regarding influences on their career aspirations, such that potential
   disincentives to a career in surgery could be identified.
   Methods: A structured questionnaire was distributed in paper-form and
   online. 290 respondents were asked to score 20 items regarding influence
   on their career aspirations using Likert-scales ranging from 1 (no
   influence) to 5 (strong influence). Stepwise regression was employed to
   determine those factors most important when considering a surgical
   career.
   Results: The response rate was 84%. 13.2% of respondents felt they would
   choose surgery, with males more likely to see it as a realistic career
   choice (p = 0.006). Factors which most influenced career choice were
   future employment, career opportunities, and intellectual challenge.
   Those aspiring to a career in surgery placed most emphasis on prestige,
   whilst an emphasis on lifestyle during training was associated with
   those choosing an alternative to surgery. Influences varied according to
   career stage.
   Conclusions: Future employment, career opportunities and intellectual
   challenge are most important when considering which discipline to choose
   within medicine, with job prestige of particular importance to those
   interested in a surgical career. These findings represent an opportunity
   for surgical educators to reinforce the positive aspects of life as a
   surgeon, and the job security which is inherent within a surgical
   career. Surgery remains a disproportionately unpopular choice for women,
   with lifestyle factors identified as the key deterrent. (C) 2009 Royal
   College of Surgeons of Edinburgh (Scottish charity number SC005317) and
   Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All
   rights reserved.
RI Kerin, Michael J/D-6748-2013; Kerin, Michael/
OI Kerin, Michael/0000-0003-4164-5561
TC 57
Z8 0
ZA 0
ZR 0
ZB 5
ZS 4
Z9 59
U1 0
U2 19
SN 1479-666X
UT WOS:000279692400001
PM 20569936
ER

PT J
AU Bayram, Jamil
   Rosborough, Stephanie
   Bartels, Susan
   Lis, Julian
   VanRooyen, Michael J.
   Kapur, Bobby
   Anderson, Philip D.
TI Core Curricular Elements for Fellowship Training in International
   Emergency Medicine
SO ACADEMIC EMERGENCY MEDICINE
VL 17
IS 7
BP 748
EP 757
DI 10.1111/j.1553-2712.2010.00795.x
PD JUL 10 2010
PY 2010
AB P>Objectives:
   The objective was to describe the common educational goals, curricular
   elements, and methods of evaluation used in international emergency
   medicine (IEM) fellowship training programs currently. IEM fellowship
   programs have been developed to provide formal training for emergency
   physicians (EPs) interested in pursuing careers in IEM. Those
   fellowships are variable in scope, objectives, and duration. Previously
   published articles have suggested a general curriculum structure for IEM
   fellowships.
   Methods:
   A search of MEDLINE, EMBASE, and CINAHL databases from 1950 to June 2008
   was performed, combining the terms international, emergency medicine,
   and fellowship. Online curricula and descriptive materials from IEM
   fellowships listed by the Society for Academic Emergency Medicine (SAEM)
   were reviewed. Knowledge and skill areas common to multiple programs
   were organized in discrete categories. IEM fellowship directors were
   contacted for input and feedback.
   Results:
   Eight articles on IEM fellowships were identified. Two articles
   described a general structure for fellowship curriculum. Sixteen of 20
   IEM fellowship programs had descriptive materials posted online. These
   information sources, plus input from seven fellowship program directors,
   yielded the following seven discrete knowledge and skill areas: 1)
   emergency medicine systems development, 2) humanitarian relief, 3)
   disaster management, 4) public health, 5) travel and field medicine, 6)
   program administration, and 7) academic skills.
   Conclusions:
   While IEM fellowships vary with regard to objectives and structure, this
   article presents an overview of the current focus of IEM fellowship
   training curricula that could serve as a resource for IEM curriculum
   development at individual institutions.
RI Anderson, Philip D./R-8043-2019; Bartels, Susan/Q-8756-2019
OI Anderson, Philip D./0000-0002-4573-3609; Bartels,
   Susan/0000-0003-2782-3480
ZA 0
ZS 0
TC 20
ZB 0
Z8 0
ZR 0
Z9 20
U1 0
U2 2
SN 1069-6563
EI 1553-2712
UT WOS:000279613400018
PM 20653590
ER

PT J
AU Resende, Marcelo de Aquino
   Vasconcelos Resende, Roberta Barreto
   Tavares, Rodrigo da Silveira
   Rodrigues Santos, Carlos Roberto
   Soares Barreto-Filho, Jose Augusto
TI Comparative Study of the Pro-Atherosclerotic Profile of Students of
   Medicine and Physical Education
SO ARQUIVOS BRASILEIROS DE CARDIOLOGIA
VL 95
IS 1
BP 21
EP 29
DI 10.1590/S0066-782X2010005000061
PD JUL 10 2010
PY 2010
AB Background: Recent studies have demonstrated a strong association
   between physical activity, low level of cardiorespiratory fitness and
   the presence of cardiovascular risk factors.
   Objective: Compare the level of physical activity, level of
   cardiorespiratory fitness and cardiovascular risk in students of
   medicine and physical education.
   Methods: At the first phase, the International Physical Activity
   Questionnaire (IPAQ) was used to quantify the physical activity level of
   126 students from the 7(th) and 8(th) semesters of the physical
   education and medicine courses. At the second phase, 40 students were
   randomly selected (20 from each course) to undergo cardiovascular risk
   assessment and cardiorespiratory fitness. The following data were
   assessed 1) arterial pressure; 2) body mass index (BMI); 3) percentage
   of fat (electrical bioimpedance); 4) abdominal circumference (AC); 5)
   laboratory biochemical assessment; and 6) cardiorespiratory fitness
   (Kline's Test).
   Results: The comparison of students of medicine and physical education,
   respectively, showed a higher frequency of individuals presenting: low
   level of physical activity (55% vs 15.0%; p = 0.008); pre-hypertension
   measured by SAP (80% vs 25.0%; p = 0.000) and by DAP (45% vs 5.0%; p =
   0.003); overweight (50% vs 10.0%; p = 0.006); increased abdominal
   circumference (25% vs 0.0%; p = 0.017); increased total cholesterol (165
   +/- 28 vs 142 +/- 28 mg/dl; p = 0.015); increased LDL-c (99 +/- 27 vs 81
   +/- 23 mg/dl; p = 0.026); increased glycemia (81 +/- 8.0 vs 75 +/- 7.0
   mg/dl; p = 0.013); lower cardiorespiratory fitness (48 +/- 8.0 vs 56 +/-
   7.0 ml/kg/min; p = 0.001).
   Conclusion: Students of medicine presented lower levels of physical
   activity practice, lower level of cardiorespiratory fitness and higher
   frequency of cardiovascular risk factors, when compared to physical
   education students. (Arq Bras Cardiol. 2010; [online]. ahead print,
   PP.0-0)
ZB 0
Z8 0
TC 1
ZS 3
ZA 0
ZR 0
Z9 4
U1 0
U2 1
SN 0066-782X
UT WOS:000281033200004
PM 20563525
ER

PT J
AU Bosse, Hans M.
   Huwendiek, Soeren
   Skelin, Silvia
   Kirschfink, Michael
   Nikendei, Christoph
TI Interactive film scenes for tutor training in problem-based learning
   (PBL): dealing with difficult situations
SO BMC MEDICAL EDUCATION
VL 10
AR 52
DI 10.1186/1472-6920-10-52
PD JUL 6 2010
PY 2010
AB Background: In problem-based learning (PBL), tutors play an essential
   role in facilitating and efficiently structuring tutorials to enable
   students to construct individual cognitive networks, and have a
   significant impact on students' performance in subsequent assessments.
   The necessity of elaborate training to fulfil this complex role is
   undeniable. In the plethora of data on PBL however, little attention has
   been paid to tutor training which promotes competence in the moderation
   of specific difficult situations commonly encountered in PBL tutorials.
   Methods: Major interactive obstacles arising in PBL tutorials were
   identified from prior publications. Potential solutions were defined by
   an expert group. Video clips were produced addressing the tutor's role
   and providing exemplary solutions. These clips were embedded in a PBL
   tutor-training course at our medical faculty combining PBL
   self-experience with a non-medical case. Trainees provided pre- and
   post-intervention self-efficacy ratings regarding their PBL-related
   knowledge, skills, and attitudes, as well as their acceptance and the
   feasibility of integrating the video clips into PBL tutor-training (all
   items: 100 = completely agree, 0 = don't agree at all).
   Results: An interactive online tool for PBL tutor training was developed
   comprising 18 video clips highlighting difficult situations in PBL
   tutorials to encourage trainees to develop and formulate their own
   intervention strategies. In subsequent sequences, potential
   interventions are presented for the specific scenario, with a concluding
   discussion which addresses unresolved issues. The tool was well accepted
   and considered worth the time spent on it (81.62 +/- 16.91; 62.94 +/-
   16.76). Tutors considered the videos to prepare them well to respond to
   specific challenges in future tutorials (75.98 +/- 19.46). The entire
   training, which comprised PBL self-experience and video clips as
   integral elements, improved tutor's self-efficacy with respect to
   dealing with problematic situations (pre: 36.47 +/- 26.25, post: 66.99
   +/- 21.01; p <.0001) and significantly increased appreciation of PBL as
   a method (pre: 61.33 +/- 24.84, post: 76.20 +/- 20.12; p <.0001).
   Conclusions: The interactive tool with instructional video clips is
   designed to broaden the view of future PBL tutors in terms of
   recognizing specific obstacles to functional group dynamics and
   developing individual intervention strategies. We show that this tool is
   well accepted and can be successfully integrated into PBL
   tutor-training. Free access is provided to the entire tool at
   http://www.medizinische-fakultaet-hd.uni-heidelberg.de/fileadmin/PBLTuto
   rTraining/player.swf.
RI Kirschfink, Michael/AAG-5410-2020; Huwendiek, Sören/ABD-9244-2020; Bosse, Hans Martin/AAS-5652-2021
OI Huwendiek, Sören/0000-0001-6116-9633; Bosse, Hans
   Martin/0000-0001-7888-9434
TC 16
ZR 0
ZS 1
ZB 0
ZA 0
Z8 2
Z9 18
U1 0
U2 3
EI 1472-6920
UT WOS:000284846400001
PM 20604927
ER

PT J
AU Howe, L. D.
   Galobardes, B.
   Sattar, N.
   Hingorani, A. D.
   Deanfield, J.
   Ness, A. R.
   Davey-Smith, G.
   Lawlor, D. A.
TI Are there socioeconomic inequalities in cardiovascular risk factors in
   childhood, and are they mediated by adiposity? Findings from a
   prospective cohort study
SO INTERNATIONAL JOURNAL OF OBESITY
VL 34
IS 7
BP 1149
EP 1159
DI 10.1038/ijo.2010.52
PD JUL 2010
PY 2010
AB Background: Socioeconomic gradients in adiposity were not present during
   childhood for previous generations, but have emerged in contemporary
   children. It is unknown whether this translates to socioeconomic
   gradients in associated cardiovascular risk factors in children, with
   consequent implications for inequalities in coronary heart disease (CHD)
   and diabetes when these children reach adulthood.
   Methods: Using data from 7772 participants aged 10-years from the Avon
   Longitudinal Study of Parents and Children, we examined the association
   between maternal education and a large number of cardiovascular risk
   factors (cholesterol, triglycerides, high-density lipoprotein,
   apolipoprotein, adiponectin, leptin, C-reactive protein (CRP),
   interleukin-6 (IL-6) and systolic and diastolic blood pressure), and
   examined whether inequalities were mediated by adiposity, measured by
   dual energy X-ray absorptiometry (DXA)-assessed total fat mass.
   Results: There were socioeconomic differences in a number of the
   cardiovascular risk factors (apolipoprotein B, systolic and diastolic
   blood pressure, CRP, leptin and IL-6). Inequalities were greater in
   girls than boys. Inequalities in CRP and leptin were completely mediated
   by adiposity. Inequalities in other cardiovascular risk factors were
   partially mediated by adiposity.
   Conclusion: This study showed important socioeconomic inequalities in
   adiposity and associated cardiovascular risk factors in a contemporary
   UK population of 10-year-old children. Differences between contemporary
   children and previous generations in the socioeconomic patterning of
   cardiovascular risk factors suggest future adults may have greater
   inequalities in diabetes and CHD than current adults. These findings
   highlight the importance of interventions aimed at preventing obesity in
   childhood, particularly among those of lower socioeconomic position.
   International Journal of Obesity (2010) 34, 1149-1159;
   doi:10.1038/ijo.2010.52; published online 16 March 2010
RI Ness, Andy R/M-7612-2013; Davey Smith, George/A-7407-2013; s, hema/; Hingorani, Aroon/; Deanfield, John/; Venkatasubramanian, Siddharth/; Howe, Laura/; Lawlor, Debbie A/
OI Ness, Andy R/0000-0003-3548-9523; Davey Smith,
   George/0000-0002-1407-8314; s, hema/0000-0002-3440-9475; Hingorani,
   Aroon/0000-0001-8365-0081; Deanfield, John/0000-0001-8806-6052;
   Venkatasubramanian, Siddharth/0000-0002-5860-0768; Howe,
   Laura/0000-0003-3357-2796; Lawlor, Debbie A/0000-0002-6793-2262
Z8 0
ZS 1
ZB 26
TC 47
ZA 0
ZR 0
Z9 47
U1 0
U2 16
SN 0307-0565
EI 1476-5497
UT WOS:000279724600006
PM 20231844
ER

PT J
AU Chakraborty, Ananya
TI A survey on postgraduate pharmacology education in India
SO INDIAN JOURNAL OF PHARMACOLOGY
VL 42
IS 4
BP 253
EP U26
DI 10.4103/0253-7613.68439
PD JUL-AUG 2010
PY 2010
ZR 0
TC 2
ZA 0
ZB 2
ZS 0
Z8 0
Z9 2
U1 0
U2 0
SN 0253-7613
UT WOS:000282430200016
PM 20927257
ER

PT J
AU Cottrell, Scott
   Smith, Templeton
   Ferrari, Norman
   Lorenzetti, Rosemarie Cannarella
   Jacques, Mitch
   Shumway, Jamie
TI A Generalizability Study of Student Ratings in Logbooks to Assess the
   Educational Process of Clinical Learning
SO ACADEMIC MEDICINE
VL 85
IS 7
BP 1237
EP 1241
DI 10.1097/ACM.0b013e3181e00712
PD JUL 2010
PY 2010
AB Purpose To investigate the number of student raters necessary for a
   reliable estimate of how educators approach the process of clinical
   learning (i.e., levels of student participation and educator feedback)
   in clinical settings.
   Method Third-year medical students documented clinical experiences
   across seven core clerkships by using an online system. The authors
   asked students to identify their clinical encounters and to respond to
   questions about the educational process. The authors' hypothesis was
   that educators would have different preferences with regard to students'
   participation in the clinical experience, as well as different
   preferences with regard to offering their own feedback to students. The
   authors conducted a generalizability study to ascertain the variance
   components for the responses to the educator feedback and the student
   participation log questions. This generalizability study design was a
   rater-nested-with-person design, noted as r:p. The authors also
   conducted a decision study to calculate projected G (generalizability)
   coefficients across different numbers of raters. The results can help
   determine the minimum number of raters required to reach a reliable
   estimate of whether a faculty member offers feedback and invites
   students to participate in the clinical encounter.
   Results The generalizability study found that most of the variance
   components were attributed to educators. The decision study found that
   the G coefficients reached acceptable levels of reliability when at
   least five raters completed clinical encounters with an educator.
   Conclusions The results suggest that students' responses reliably
   distinguished the levels of educator feedback and encouragement that
   were needed for student participation in clinical encounters.
ZS 0
ZR 0
ZA 0
Z8 0
ZB 0
TC 1
Z9 1
U1 0
U2 4
SN 1040-2446
UT WOS:000279378400029
PM 20592522
ER

PT J
AU Dang, Kien
   Waddell, Andrea E.
   Lofchy, Jodi
TI Teaching to Teach in Toronto
SO ACADEMIC PSYCHIATRY
VL 34
IS 4
BP 277
EP 281
DI 10.1176/appi.ap.34.4.277
PD JUL-AUG 2010
PY 2010
AB Objective: The training objectives for postgraduate education in the
   United States and Canada both state that teaching skills should be
   formally developed during training. This article reviews the development
   of the Teaching-to-Teach program at the University of Toronto Department
   of Psychiatry, the current curriculum, evaluation, and future directions
   of the program. The authors highlight some of the challenges encountered
   and discuss ideas for implementation of similar programs in diverse
   training settings.
   Methods: A Teaching-to-Teach curriculum was developed with separate
   tracks for junior and senior residents. Topics covered include
   one-to-one teaching, the one-minute clinical preceptor model,
   challenging teaching scenarios, and providing effective feedback.
   Results: In 2007, 100% of residents who responded to an evaluation
   questionnaire agreed or strongly agreed that the topics covered were
   relevant, and in 2008, 92% of respondents agreed that topics were
   relevant. In 2007, all respondents agreed or strongly agreed that they
   felt more prepared to teach. In 2008, 85% of respondents felt more
   prepared to teach. In 2007, all respondents felt that the amount of
   teaching was good or too little, but in 2008, 46% of respondents felt
   there was too much teaching.
   Conclusion: The large size of the University of Toronto psychiatry
   program may make this curriculum difficult to generalize to smaller
   training sites. The use of online modules, collaboration between
   programs, or individual teaching electives may be other ways of
   implementing a teaching to teach program. Overall, our curriculum was
   well-received by trainees and they felt better prepared to take on the
   role of teacher after participating.
RI Waddell, Andrea/ABA-9390-2020; Waddell, Andrea/
OI Waddell, Andrea/0000-0003-1155-6015
ZA 0
Z8 0
ZS 0
TC 13
ZB 0
ZR 0
Z9 13
U1 0
U2 3
SN 1042-9670
UT WOS:000279113900007
PM 20576985
ER

PT J
AU Donovan, Andrea
TI Radiology Residents as Teachers: Current Status of Teaching Skills
   Training in United States Residency Programs
SO ACADEMIC RADIOLOGY
VL 17
IS 7
BP 928
EP 933
DI 10.1016/j.acra.2010.03.008
PD JUL 2010
PY 2010
AB Rationale and Objectives: Radiology residents often teach medical
   students and other residents. Workshops developed with the goal of
   improving resident teaching skills are becoming increasingly common in
   various fields of medicine. The purpose of this study was to determine
   the prevalence and structure of resident-teacher training opportunities
   within radiology programs in the United States.
   Method and Materials: Program directors with membership in the
   Association of Program Directors in Radiology (APDR) were surveyed to
   determine views on a panel of topics related to resident-teacher
   training programs.
   Results: A total of 114(56%) of 205 APDR members completed an online
   survey. Approximately one-third (32%) stated that their program provided
   instruction to residents on teaching skills. The majority of these
   programs (72%) were established within the last 5 years. Residents
   provided teaching to medical students (94%) and radiology residents
   (90%). The vast majority of program directors agreed that it is
   important for residents to teach (98%) and that these teaching
   experiences helped residents become better radiologists (85%).
   Ninety-four percent of program directors felt that the teaching skills
   of their residents could be improved, and 85% felt that residents would
   benefit from instruction on teaching methods. Only one-third of program
   directors felt their program adequately recognized teaching provided by
   residents.
   Conclusion: Program directors identified residents as being active
   contributors to teaching in most programs. Although teaching was viewed
   as an important skill to develop, few programs had instituted a
   resident-teacher curriculum. Program directors felt that residents would
   benefit from structured training to enhance teaching skills. Future
   studies are needed to determine how best to provide teaching skills
   training for radiology trainees.
ZB 0
ZR 0
ZA 0
TC 13
Z8 0
ZS 0
Z9 13
U1 1
U2 6
SN 1076-6332
EI 1878-4046
UT WOS:000279508000017
PM 20447842
ER

PT J
AU Dreschel, Nancy A.
TI The effects of fear and anxiety on health and lifespan in pet dogs
SO APPLIED ANIMAL BEHAVIOUR SCIENCE
VL 125
IS 3-4
BP 157
EP 162
DI 10.1016/j.applanim.2010.04.003
PD JUL 2010
PY 2010
AB Fear and anxiety-related behaviors are common in per clogs and are
   likely to cause a physiological stress response in individuals that are
   exposed to those things they find fear or anxiety-inducing. Stress
   responses are related to a number of changes in hormonal and immune
   modulation and have been shown in many species to be related to disease
   processes and shortened lifespan. It was predicted that dogs with fear
   and anxiety disorders would have decreased lifespan and increased
   disease frequency and severity.
   In this retrospective study, owners of 721 deceased clogs completed a 99
   question online survey that asked about the demographics, training,
   behavioral characteristics, health history, age at and cause of death in
   their pets. Correlational and regression analyses were performed to
   explore relationships between behavior; fear and anxiety subscales;
   lifespan; and specific diseases and causes of death.
   Results show that how "well-behaved" an owner felt their clog was
   positively correlated with lifespan (R(2) = 0.18, P < 0.001). Dogs with
   extreme non-social fear and separation anxiety were found to have an
   increased severity and frequency of skin disorders (R(2) = 0.03, P <
   0.001). While neither stranger-directed fear nor any other fear or
   anxiety scales were related to specific causes of death, fear of
   strangers was found to be related to a significantly shortened lifespan
   (R(2) = 0.16, P < 0.001). There is evidence to suggest that the stress
   of living with a fear or anxiety disorder can have negative effects on
   health and lifespan in the domestic dog. (c) 2010 Elsevier B.V. All
   rights reserved.
ZB 36
Z8 0
ZA 0
TC 76
ZR 0
ZS 0
Z9 77
U1 6
U2 151
SN 0168-1591
UT WOS:000279965000010
ER

PT J
AU O'Shaughnessy, Lelia
   Haq, Inam
   Maxwell, Simon
   Llewelyn, Martin
TI Teaching of clinical pharmacology and therapeutics in UK medical
   schools: current status in 2009
SO BRITISH JOURNAL OF CLINICAL PHARMACOLOGY
VL 70
IS 1
BP 143
EP 148
DI 10.1111/j.1365-2125.2010.03665.x
PD JUL 2010
PY 2010
AB center dot Junior doctors feel poorly prepared by their training in
   Clinical Pharmacology and Therapeutics and commonly make prescribing
   errors.
   center dot Since 1993 the General Medical Council's guidance on
   undergraduate medical education 'Tomorrow's Doctors' has emphasized the
   integration of Clinical Pharmacology and Therapeutics teaching within
   the medical curriculum.
   center dot With the publication of a new version of Tomorrow's Doctors
   in 2009, medical schools will be further revising their Clinical
   Pharmacology and Therapeutics teaching.
   WHAT THIS STUDY ADDS
   center dot Although we know what the recommendations for undergraduate
   teaching of Clinical Pharmacology and Therapeutics teaching are, there
   are no published data describing what is currently happening in UK
   medical schools.
   center dot This paper describes the course structures, volume and range
   of teaching and assessment of Clinical Pharmacology and Therapeutics in
   the UK in 2009.
   center dot Our data provide a foundation for schools looking to revise
   the Clinical Pharmacology and Therapeutics Teaching in the light of
   Tomorrow's Doctors 2009.
   AIM
   To describe the current structure, delivery and assessment of Clinical
   Pharmacology and Therapeutics (CPT) teaching in UK medical schools.
   METHODS
   An online questionnaire was distributed to the person with overall
   responsibility for CPT teaching at all UK medical schools in June 2009.
   RESULTS
   Thirty of the 32 UK medical schools responded. 60% of schools have a CPT
   course although in 72% this was an integrated vertical theme. At 70% of
   schools pharmacologists have overall responsibility for CPT teaching
   (clinical 67%, non-clinical 33%); at 20% teaching is run by a
   non-specialist clinician and at 7% by a pharmacist. Teaching is commonly
   delivered by NHS clinicians (87%) and clinical pharmacists (80%) using
   lectures (90%) but additionally 50% of schools use e-Learning and 63%
   have a student formulary. CPT is assessed throughout the curriculum at
   many schools through written, practical examinations and course work.
   90% of schools have specific CPT content in their written examinations.
   90% of respondents believed that their students were 'fairly' to 'well'
   prepared for the foundation year but only 37% of schools gather data on
   the competence of their graduates.
   CONCLUSIONS
   CPT teaching in UK medical schools is very diverse. Most schools do not
   assess the performance of their graduates as prescribers and there is a
   lack of evidence that many of the teaching approaches employed are
   suitable for the development of prescribing skills. It is vital that
   developments in CPT teaching are driven by validated, real-world
   assessments of the prescribing skills of medical students and newly
   qualified doctors.
RI Llewelyn, Martin/A-7194-2011; Llewelyn, Martin/Y-1472-2019
OI Llewelyn, Martin/0000-0002-6811-1124; 
Z8 0
TC 40
ZA 0
ZR 1
ZS 1
ZB 19
Z9 41
U1 0
U2 5
SN 0306-5251
UT WOS:000278643800019
PM 20642558
ER

PT J
AU Jorm, Anthony F.
   Fischer, Julie-Anne
   Oh, Elizabeth
TI Effect of feedback on the quality of suicide prevention websites:
   randomised controlled trial
SO BRITISH JOURNAL OF PSYCHIATRY
VL 197
IS 1
BP 73
EP 74
DI 10.1192/bjp.bp.109.072777
PD JUL 2010
PY 2010
AB There is concern regarding the quality of information about mental
   health problems on the internet. A trial was carried out to see whether
   sending feedback to website administrators about the quality of
   information on their website would lead to an improvement
   (ACTRN12609000449235). Fifty-two suicide prevention websites were
   identified by means of an online search. The quality of information
   about how to help someone who is suicidal was scored against expert
   consensus guidelines. Websites were randomised to receive feedback or
   serve as controls. The information on the websites varied greatly in
   quality. However, feedback did not lead to an improvement.
RI Jorm, Anthony F/B-5555-2009; Fischer, Julie/
OI Jorm, Anthony F/0000-0002-1424-4116; Fischer, Julie/0000-0002-3443-1058
TC 11
ZB 0
ZS 0
Z8 0
ZA 0
ZR 0
Z9 11
U1 0
U2 3
SN 0007-1250
EI 1472-1465
UT WOS:000279596900015
PM 20592439
ER

PT J
AU Vu, Lan H.
   van der Pols, Jolieke C.
   Whiteman, David C.
   Kimlin, Michael G.
   Neale, Rachel E.
TI Knowledge and Attitudes about Vitamin D and Impact on Sun Protection
   Practices among Urban Office Workers in Brisbane, Australia
SO CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION
VL 19
IS 7
BP 1784
EP 1789
DI 10.1158/1055-9965.EPI-10-0127
PD JUL 2010
PY 2010
AB Background: Sun exposure is the main source of vitamin D. Increasing
   scientific and media attention to the potential health benefits of sun
   exposure may lead to changes in sun exposure behaviors.
   Methods: To provide data that might help frame public health messages,
   we conducted an online survey among office workers in Brisbane,
   Australia, to determine knowledge and attitudes about vitamin D and
   associations of these with sun protection practices. Of the 4,709 people
   invited to participate, 2,867 (61%) completed the questionnaire. This
   analysis included 1,971 (69%) participants who indicated that they had
   heard about vitamin D.
   Results: Lack of knowledge about vitamin D was apparent. Eighteen
   percent of people were unaware of the bone benefits of vitamin D but 40%
   listed currently unconfirmed benefits. Over half of the participants
   indicated that more than 10 minutes in the sun was needed to attain
   enough vitamin D in summer, and 28% indicated more than 20 minutes in
   winter. This was significantly associated with increased time outdoors
   and decreased sunscreen use. People believing sun protection might cause
   vitamin D deficiency (11%) were less likely to be frequent sunscreen
   users (summer odds ratio, 0.63; 95% confidence interval, 0.52-0.75).
   Conclusions: Our findings suggest that there is some confusion about sun
   exposure and vitamin D, and that this may result in reduced
   sun-protective behavior.
   Impact: More information is needed about vitamin D production in the
   skin. In the interim, education campaigns need to specifically address
   the vitamin D issue to ensure that skin cancer incidence does not
   increase. Cancer Epidemiol Biomarkers Prev; 19(7); 1784-9. (C) 2010
   AACR.
RI Whiteman, David C/P-2728-2014; van der Pols, Jolieke C/A-9436-2013; Neale, Rachel E./I-4427-2018; Kimlin, Michael/
OI Whiteman, David C/0000-0003-2563-9559; van der Pols, Jolieke
   C/0000-0003-4169-1795; Neale, Rachel E./0000-0001-7162-0854; Kimlin,
   Michael/0000-0002-9536-8646
TC 45
ZS 0
ZR 0
ZB 14
Z8 1
ZA 0
Z9 47
U1 0
U2 5
SN 1055-9965
EI 1538-7755
UT WOS:000279590100013
PM 20570906
ER

PT J
AU Mason, R.
   Schwartz, B.
   Burgess, R.
   Irwin, E.
TI Emergency Medical Services: a resource for victims of domestic violence?
SO EMERGENCY MEDICINE JOURNAL
VL 27
IS 7
BP 561
EP 564
DI 10.1136/emj.2009.084129
PD JUL 2010
PY 2010
AB Background Domestic violence (DV), also known as intimate partner
   violence (IPV), is one of the leading causes of serious injury among
   women of childbearing age. As first responders on the scene during DV
   calls where personal injuries have occurred, Emergency Medical Services
   (EMS) could routinely identify, report and assist victims of violence.
   Yet, little is known of the prevalence of DV calls in EMS practice,
   Emergency Medical Technicians' (EMT) knowledge and comfort in responding
   to such calls, or how they care for victims.
   Method The objectives of this study were to assess EMTs' knowledge of
   and experience with providing care to victims of DV in the province of
   Ontario, Canada. Data were gathered through an online, short-answer
   survey. Survey data were analysed using basic frequency displays, and
   descriptive statistics are reported.
   Results Almost 500 EMTs participated in this study, the vast majority of
   whom (90%) attended at least one DV call in the preceding year, with 65%
   attending between 10 and 20 DV calls. The majority of respondents
   (84.5%) wished for more education and training on the issue.
   Conclusion EMTs have frequent contact with victims of DV yet have
   received little education about the issue. The majority of those
   surveyed would like specific education and training on DV.
ZA 0
ZS 0
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ZR 0
ZB 0
TC 10
Z9 10
U1 0
U2 5
SN 1472-0205
UT WOS:000279235500024
PM 20584964
ER

PT J
AU Wongsrichanalai, Chansuda
   Varma, Jay K.
   Juliano, Jonathan J.
   Kimerling, Michael E.
   MacArthur, John R.
TI Extensive Drug Resistance in Malaria and Tuberculosis
SO EMERGING INFECTIOUS DISEASES
VL 16
IS 7
BP 1063
EP 1067
DI 10.3201/eid1607.091840
PD JUL 2010
PY 2010
AB Medscape, LLC is pleased to provide online continuing medical education
   (CME) for this journal article, allowing clinicians the opportunity to
   earn CME credit. This activity has been planned and implemented in
   accordance with the Essential Areas and policies of the Accreditation
   Council for Continuing Medical Education through the joint sponsorship
   of Medscape. LLC and Emerging Infectious Diseases. Medscape, LLC is
   accredited by the ACCME to provide continuing medical education for
   physicians. Medscape, LLC designates this educational activity for a
   maximum of 0.5 AMA PRA Category I Credits (TM). Physicians should only
   claim credit commensurate with the extent of their participation in the
   activity. All other clinicians completing this activity will be issued a
   certificate of participation. To participate in this journal CME
   activity: (1) review the learning objectives and author disclosures; (2)
   study the education content; (3) take the post-test and/or complete the
   evaluation at http://cme.medscape.com/viewpublication/30063; (4)
   view/print certificate.
TC 13
Z8 0
ZA 0
ZR 0
ZB 7
ZS 0
Z9 13
U1 0
U2 4
SN 1080-6040
UT WOS:000279522200002
PM 20587175
ER

PT J
AU Syam, P.
   Rughani, K.
   Vardy, S. J.
   Rimmer, T.
   Fitt, A.
   Husain, T.
   McInerney, L.
   Broome, D.
   Driver, R.
   Wormald, R.
   Ramirez-Florez, S.
TI The Peterborough scheme for community specialist optometrists in
   glaucoma: a feasibility study
SO EYE
VL 24
IS 7
BP 1156
EP 1164
DI 10.1038/eye.2009.327
PD JUL 2010
PY 2010
AB Purpose This study assessed the role of specialist optometrists who were
   working in the community and sharing the care for glaucoma patients
   with, and under close supervision of, a consultant ophthalmologist
   working in the Hospital Eye Services (HES) to ensure high-quality
   standards, safety, and care.
   Methods From February 2005 onwards, the majority of all new glaucoma
   referrals to our eye department were diverted to our specialist
   optometrists in glaucoma (SOGs) in their own community practices.
   Selected patients in the HES setting who were already diagnosed with
   stable glaucoma were also transferred to the SOGs. The completed
   clinical finding details of the SOGs, including fundus photographs and
   Humphrey visual field tests, were scrutinised by the project lead.
   Results This study included 1184 new patients seen by specialist
   optometrists between February 2005 and March 2007. A total of 32% of
   patients were referred on to the hospital, leaving the remaining 68%
   patients to be seen for at least their next consultation in the
   community by the SOGs. The following levels of disagreement were
   observed between SOGs and the project lead: on cup: disc ratio (11%),
   visual field interpretation (7%), diagnosis (12%), treatment plan (10%),
   and outcome (follow-up interval and location) (17%).
   Conclusion This study indicates that there is potential for a
   significant increase in the role of primary care optometry in glaucoma
   management. The study also confirms a need for a significant element of
   supervision and advice from a glaucoma specialist. The important issue
   of cost effectiveness is yet to be confirmed. Eye (2010) 24, 1156-1164;
   doi:10.1038/eye.2009.327; published online 26 February 2010
ZR 0
Z8 0
ZA 0
ZS 0
TC 17
ZB 5
Z9 17
U1 0
U2 9
SN 0950-222X
UT WOS:000279976000005
PM 20186167
ER

PT J
AU Peng, Jinye
   Babaguchi, Noboru
   Luo, Hangzai
   Gao, Yuli
   Fan, Jianping
TI Constructing Distributed Hippocratic Video Databases for
   Privacy-Preserving Online Patient Training and Counseling
SO IEEE TRANSACTIONS ON INFORMATION TECHNOLOGY IN BIOMEDICINE
VL 14
IS 4
BP 1014
EP 1026
DI 10.1109/TITB.2009.2029695
PD JUL 2010
PY 2010
AB Digital video now plays an important role in supporting more profitable
   online patient training and counseling, and integration of patient
   training videos from multiple competitive organizations in the health
   care network will result in better offerings for patients. However,
   privacy concerns often prevent multiple competitive organizations from
   sharing and integrating their patient training videos. In addition,
   patients with infectious or chronic diseases may not want the online
   patient training organizations to identify who they are or even which
   video clips they are interested in. Thus, there is an urgent need to
   develop more effective techniques to protect both video content privacy
   and access privacy. In this paper, we have developed a new approach to
   construct a distributed Hippocratic video database system for supporting
   more profitable online patient training and counseling. First, a new
   database modeling approach is developed to support concept-oriented
   video database organization and assign a degree of privacy of the video
   content for each database level automatically. Second, a new algorithm
   is developed to protect the video content privacy at the level of
   individual video clip by filtering out the privacy-sensitive human
   objects automatically. In order to integrate the patient training videos
   from multiple competitive organizations for constructing a centralized
   video database indexing structure, a privacy-preserving video sharing
   scheme is developed to support privacy-preserving distributed classifier
   training and prevent the statistical inferences from the videos that are
   shared for cross-validation of video classifiers. Our experiments on
   large-scale video databases have also provided very convincing results.
TC 4
ZB 0
ZR 0
ZA 0
ZS 0
Z8 0
Z9 5
U1 1
U2 11
SN 1089-7771
EI 1558-0032
UT WOS:000280480700015
PM 19726265
ER

PT J
AU McGaffey, A.
   Hughes, K.
   Fidler, S. K.
   D'Amico, F. J.
   Stalter, M. N.
TI Can Elvis Pretzley and the Fitwits improve knowledge of obesity,
   nutrition, exercise, and portions in fifth graders?
SO INTERNATIONAL JOURNAL OF OBESITY
VL 34
IS 7
BP 1134
EP 1142
DI 10.1038/ijo.2010.58
PD JUL 2010
PY 2010
AB Objective: To determine the effectiveness of an educational
   intervention, created with a human-centered design approach, on
   children's knowledge and beliefs related to obesity and nutrition.
   Design: Pre-post intervention: we evaluated fifth graders (aged 9-12)
   from five urban schools using a survey instrument at 1 week before
   intervention, immediately after intervention, and 1 week later after
   intervention.
   Subjects: Of 189 fifth graders enrolled in the schools, 165 consented
   students (87.3%) completed baseline data. We obtained immediate
   post-intervention data from 94% of them and 1-week post-intervention
   data from 88%.
   Results: Of the 14 instrument questions that covered items under
   obesity, disease, nutrition, portion sizes, and exercise, 11 showed
   significant improvements in the percentage of correct answers. The
   children's knowledge in specific areas, including the meaning of the
   term 'obesity' and portion sizes, increased dramatically. Participatory
   design, child-inspired characters, hand-based portions, traditional
   games, and attention to reception by the students resulted in an
   engaging presentation.
   Conclusion: Simplified health vocabulary and multiple modes of
   presentation resulted in accessible and understandable health education
   regarding obesity, nutrition, exercise, and portion size. This study
   yields compelling evidence that the Fitwits tools are an effective
   method to promote knowledge about obesity. Future studies are needed to
   determine whether this knowledge can affect health outcomes.
   International Journal of Obesity (2010) 34, 1134-1142; doi:
   10.1038/ijo.2010.58; published online 30 March 2010
ZB 0
Z8 0
TC 10
ZR 0
ZA 0
ZS 0
Z9 10
U1 0
U2 16
SN 0307-0565
EI 1476-5497
UT WOS:000279724600004
PM 20351739
ER

PT J
AU Chivers, P.
   Hands, B.
   Parker, H.
   Bulsara, M.
   Beilin, L. J.
   Kendall, G. E.
   Oddy, W. H.
TI Body mass index, adiposity rebound and early feeding in a longitudinal
   cohort (Raine Study)
SO INTERNATIONAL JOURNAL OF OBESITY
VL 34
IS 7
BP 1169
EP 1176
DI 10.1038/ijo.2010.61
PD JUL 2010
PY 2010
AB Objective: This study examined the influence of type and duration of
   infant feeding on adiposity rebound and the tracking of body mass index
   (BMI) from birth to 14 years of age.
   Methods: A sample of 1330 individuals over eight follows-ups was drawn
   from the Western Australian Pregnancy Cohort (Raine) Study. Trajectories
   of BMI from birth to adolescence using linear mixed model analysis
   investigated the influence of age at which breastfeeding was stopped and
   the age at which other milk was introduced (binomial 4-month cutoff
   point). A subsample of linear mixed model-predicted BMI was used to
   determine BMI and age at nadir for early infant feeding groups.
   Results: Chi-square analysis between early feeding and weight status
   (normal weight, overweight and obese) groups found a significant
   difference between thee age at which breastfeeding was stopped (P<0.001)
   and the age at which other milk was introduced (P = 0.011), with a
   higher proportion of overweight and obese in the <= 4-month group, even
   after controlling for maternal education. Using the linear mixed model,
   the BMI determined was higher over time for the group that was breastfed
   for <= 4 months (P = 0.015), with a significant interaction effect with
   the group in which other milk was introduced at <= 4 months (P = 0.011).
   Using predicted BMI from the linear mixed model, significant differences
   for nadirs of adiposity rebound between early feeding groups were found
   (P<0.005).
   Conclusions: Early infant feeding was important in the timing of, and
   BMI at, adiposity rebound. The relationship between infant feeding and
   BMI remained up to the age of 14 years. Although confounding factors
   cannot be excluded, these findings support the importance of exclusive
   breastfeeding for longer than 4 months as a protective behaviour against
   the development of adolescent obesity. International Journal of Obesity
   (2010) 34, 1169-1176; doi: 10.1038/ijo.2010.61; published online 30
   March 2010
RI Study, Raine/K-4517-2013; Hands, Beth/W-1379-2019; Study, Raine/G-9547-2015; Chivers, Paola/AAA-1014-2020
OI Chivers, Paola/0000-0003-2278-4857
ZA 0
TC 71
ZR 0
ZB 36
ZS 3
Z8 1
Z9 74
U1 0
U2 12
SN 0307-0565
EI 1476-5497
UT WOS:000279724600008
PM 20351733
ER

PT J
AU Crawford, D.
   Cleland, V.
   Timperio, A.
   Salmon, J.
   Andrianopoulos, N.
   Roberts, R.
   Giles-Corti, B.
   Baur, L.
   Ball, K.
TI The longitudinal influence of home and neighbourhood environments on
   children's body mass index and physical activity over 5 years: the CLAN
   study
SO INTERNATIONAL JOURNAL OF OBESITY
VL 34
IS 7
BP 1177
EP 1187
DI 10.1038/ijo.2010.57
PD JUL 2010
PY 2010
AB Objective: To determine the independent contributions of family and
   neighbourhood environments to changes in youth physical activity and
   body mass index (BMI) z-score over 5 years.
   Methods: In 2001, 2004 and 2006, 301 children (10-12 years at baseline)
   had their height and weight measured (BMI was converted to z-scores
   using Centers for Disease Control and Prevention reference charts; see
   http://www.cdc.gov/growthcharts) and moderate-to-vigorous physical
   activity (MVPA) assessed using accelerometers. In 2001, parents reported
   on the home environment (social support, role modelling, rules and
   restrictions, physical environment) and perceived neighbourhood
   environment (local traffic, road safety, sporting venues, public
   transport), and Geographic Information Systems were used to map features
   of the neighbourhood environment (destinations, road connectivity,
   traffic exposure). Generalized estimating equations were used to predict
   average BMI z-score and MVPA over time from baseline home and perceived
   and objective neighbourhood environment factors.
   Results: Among boys, maternal education and heavy traffic were inversely
   associated, and sibling physical activity, maternal role modelling of
   MVPA and the presence of dead-end roads were positively associated with
   MVPA. Having unmarried parents, maternal MVPA role modelling and number
   of home sedentary items were positively associated with BMI z-score
   among boys. Among girls, having siblings, paternal MVPA role modelling,
   physical activity rules and parental physical activity co-participation
   were positively associated with MVPA. Having unmarried parents and
   maternal sedentary behaviour role modelling were positively associated,
   and number of sedentary behaviour rules and physical activity items were
   inversely associated with BMI z-score among girls.
   Conclusion: The home environment seems more important than the
   neighbourhood environment in influencing children's physical activity
   and BMI z-score over 5 years. Physical activity and weight gain
   programmes among youth should focus on parental role modelling, rules
   around sedentary and active pursuits, and parental support for physical
   activity. Intervention studies to investigate these strategies are
   warranted. International Journal of Obesity (2010) 34, 1177-1187;
   doi:10.1038/ijo.2010.57; published online 30 March 2010
RI Cleland, Verity/J-7677-2014; Baur, Louise/AAE-3413-2021; Ball, Kylie/B-5866-2015; Salmon, Jo/X-2630-2019; Crawford, David A/K-6301-2015; Salmon, Jo/C-1226-2009; Timperio, Anna F/A-3086-2013; Giles-Corti, Billie/Y-3203-2019; Baur, Louise/; Giles-Corti, Billie/; Roberts, Rebecca/
OI Cleland, Verity/0000-0001-8358-3237; Ball, Kylie/0000-0003-2893-8415;
   Salmon, Jo/0000-0002-4734-6354; Crawford, David A/0000-0002-2467-7556;
   Salmon, Jo/0000-0002-4734-6354; Timperio, Anna F/0000-0002-8773-5012;
   Baur, Louise/0000-0002-4521-9482; Giles-Corti,
   Billie/0000-0003-0102-0225; Roberts, Rebecca/0000-0001-6287-9020
ZS 1
ZA 0
Z8 1
ZR 0
TC 112
ZB 22
Z9 113
U1 1
U2 67
SN 0307-0565
EI 1476-5497
UT WOS:000279724600009
PM 20351728
ER

PT J
AU Imai, K.
   Hamaguchi, M.
   Mori, K.
   Takeda, N.
   Fukui, M.
   Kato, T.
   Kawahito, Y.
   Kinoshita, S.
   Kojima, T.
TI Metabolic syndrome as a risk factor for high-ocular tension
SO INTERNATIONAL JOURNAL OF OBESITY
VL 34
IS 7
BP 1209
EP 1217
DI 10.1038/ijo.2010.32
PD JUL 2010
PY 2010
AB Objective: To investigate the relationship between the metabolic
   syndrome and intraocular pressure (IOP).
   Methods: An observational study was conducted in a medical health
   checkup program at a general hospital. This study involved 14 003
   apparently healthy Japanese men and women, 18-83 years of age, with a
   mean IOP of 14.8 (3.0) mmHg. IOP was examined by noncontact tonometer.
   High-ocular tension was defined as IOP > 21 mm Hg without optic-disc
   abnormalities or history of receiving any anti-glaucoma therapy.
   Modified criteria of the revised National Cholesterol Education Program
   Adult Treatment Panel III (rATPIII), the new International Diabetes
   Federation definition, and the Japan Society for The Study of Obesity
   definition were used to characterize the metabolic syndrome. Air
   temperature was assessed from the Gifu Meteorological Observatory, Gifu,
   Japan.
   Results: In the male and female subjects, mean IOP and the prevalence of
   high-ocular tension became high in direct correlation with the increased
   number of metabolic syndrome components. To analyze by logistic
   regression, the metabolic syndrome defined by rATPIII was positively and
   maximum temperature was negatively correlated with high-ocular tension
   in males (adjusted odds ratio: 2.0 [95% confidence interval, CI,
   1.43-2.78] and 0.63 [ 95% CI, 0.54-0.73], respectively) and in females
   (adjusted odds ratio: 7.09 [ 95% CI, 3.74-13.43] and 0.67 [ 95% CI,
   0.53-0.87], respectively). Three of five metabolic syndrome components
   (fasting plasma glucose, blood pressure, and triglycerides) were related
   to high-ocular tension.
   Conclusion: The metabolic syndrome is a risk factor for high-ocular
   tension. International Journal of Obesity (2010) 34, 1209-1217;
   doi:10.1038/ijo.2010.32; published online 16 February 2010
OI Hamaguchi, Masahide/0000-0002-8651-4445; Fukui,
   Michiaki/0000-0003-0903-1797; Kawahito, Yutaka/0000-0002-3860-0488
TC 31
ZA 0
ZS 0
Z8 0
ZR 0
ZB 11
Z9 31
U1 1
U2 6
SN 0307-0565
EI 1476-5497
UT WOS:000279724600014
PM 20157320
ER

PT J
AU Atherton, Helen
   Oakeshott, Pippa
   Aghaizu, Adamma
   Hay, Phillip
   Kerry, Sally
TI Use of an online questionnaire for follow-up of young female students
   recruited to a randomised controlled trial of chlamydia screening
SO JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH
VL 64
IS 7
BP 580
EP 584
DI 10.1136/jech.2009.098830
PD JUL 2010
PY 2010
AB Background Randomised controlled trials often rely on questionnaires for
   follow-up.
   Objective To compare response rates to an online and postal 12-month
   follow-up questionnaire on sexual health in female students who took
   part in a chlamydia screening trial.
   Methods 1329 sexually active female students aged 16-27 were recruited
   from 12 universities and further education (FE) colleges. The 299
   participants recruited between September 2004 and February 2005 were
   sent a postal questionnaire after 12 months. The 1030 participants
   recruited between March and December 2005 were contacted by email after
   12 months and given a weblink to an online questionnaire.
   Results The response rates to the 12-month questionnaire in the online
   and postal groups were 51% and 29% 4 weeks after follow-up commenced (RR
   1.78 (1.47 to 2.14)) and 72% and 59% after 3 months. After adjusting for
   ethnicity, smoking, type of educational institution (university or FE
   college) and subject studied (health-related or not), the RR at 4 weeks
   was 1.88 (1.42 to 2.50). However, a prior telephone call to confirm
   contact details increased the response rate at 3 months in the postal
   group. In the online group, university students, those of white
   ethnicity and non-smokers had higher response rates at 4 weeks.
   Conclusions In this young student population, an online questionnaire
   was quicker, cheaper and more efficient than a postal questionnaire.
   However, some FE college students did not have an email address.
   Telephone prompts and postal questionnaires were essential in obtaining
   a good response rate.
RI Atherton, Helen/AFK-5296-2022; Oakeshott, Pippa/
OI Atherton, Helen/0000-0002-7072-1925; Oakeshott,
   Pippa/0000-0003-2568-8211
TC 8
ZA 0
ZS 0
ZR 0
ZB 2
Z8 0
Z9 8
U1 0
U2 6
SN 0143-005X
EI 1470-2738
UT WOS:000278712900005
PM 20547698
ER

PT J
AU Kernisan, Leslie P.
   Sudore, Rebecca L.
   Knight, Sara J.
TI Information-Seeking at a Caregiving Website: A Qualitative Analysis
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 12
IS 3
AR e31
DI 10.2196/jmir.1548
PD JUL-SEP 2010
PY 2010
AB Background: The Internet is widely used for health information, yet
   little is known about the online activity of family caregivers of
   elders, a rapidly growing group. In order to better understand the
   online information-seeking activity of "e-caregivers" and other visitors
   at a caregiving website, we undertook a qualitative analysis of survey
   data from a website marketed as a comprehensive resource for adults
   caring for aging parents.
   Objective: The objectives were to better understand what types of
   information are sought by those visiting a website focused on elder-care
   issues and to identify overarching themes that might inform future
   development of Internet resources related to caregiving and aging.
   Methods: From March 2008 to March 2009, a 5-question pop-up survey was
   offered 9662 times and completed 2161 times. For 1838 respondents,
   included was a free text answer to the question "What were you looking
   for?" and 1467 offered relevant and detailed responses. The survey also
   asked about satisfaction with the site, gender of the respondent, and
   relationship to the individual being cared for. Content analysis was
   used to develop a coding dictionary, to code responses into
   information-seeking categories, and to identify overarching themes.
   Results: Of the respondents (76% of whom were female), 50% indicated
   they were caring for parents, 17% for themselves only, and 31% for
   others. Over half (57%) reported finding what they were looking for, and
   46% stated they were extremely likely to recommend the website.
   Frequently mentioned information-seeking categories included "health
   information," "practical caregiving," and "support." Respondents also
   requested information related to housing, legal, insurance, and
   financial issues. Many responses referred to multiple comorbid
   conditions and complex caregiving situations. Overarching themes
   included (1) a desire for assistance with a wide range of practical
   skills and information and (2) help interpreting symptoms and behavior,
   such as knowing what life impacts to expect over the course of a health
   condition or treatment.
   Conclusion: Visitors to a website targeting adults caring for aging
   parents reported seeking both general information on caregiving and
   specific assistance with the complex custodial, medical, emotional, and
   financial aspects of caregiving. Visitors requested both information to
   build caregiving skills as well as assistance in interpreting and
   knowing what to expect from symptoms, health conditions, and changes in
   behavior and relationships. Many desired communication with and support
   from other caregivers. Health care providers and eHealth developers
   should expect that many caregivers of elders are using the Internet as a
   resource. Further research and development is needed to fully realize
   the Internet's potential for education and support of caregivers.
RI Knight, Sara/AAJ-3818-2020; Sudore, Rebecca/AAF-1635-2021
TC 46
ZB 5
ZS 1
ZA 0
Z8 0
ZR 0
Z9 46
U1 0
U2 27
SN 1438-8871
UT WOS:000282761500004
PM 20675292
ER

PT J
AU Stinson, Jennifer
   McGrath, Patrick
   Hodnett, Ellen
   Feldman, Brian
   Duffy, Ciaran
   Huber, Adam
   Tucker, Lori
   Hetherington, Ross
   Tse, Shirley
   Spiegel, Lynn
   Campillo, Sarah
   Gill, Navreet
   White, Meghan
TI Usability Testing of an Online Self-management Program for Adolescents
   With Juvenile Idiopathic Arthritis
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 12
IS 3
AR e30
DI 10.2196/jmir.1349
PD JUL-SEP 2010
PY 2010
AB Background: A new bilingual (English and French) Internet-based
   self-management program, Teens Taking Charge: Managing Arthritis Online,
   for adolescents with arthritis and their parents was developed following
   a needs assessment. Objectives: This study explored the usability (user
   performance and satisfaction) of the self-management program for youth
   with juvenile idiopathic arthritis (JIA) and their parents to refine the
   health portal prototype.
   Methods: A qualitative study design with semi-structured, audio taped
   interviews and observation by a trained observer was undertaken with two
   iterative cycles to determine the usability (ease of use, efficiency,
   errors, and user satisfaction) of the user interface and content areas
   of the intervention. A purposive sample of English-speaking (n = 11;
   mean age = 15.4, standard deviation [SD] 1.7) and French-speaking (n =
   8; mean age = 16.0, SD 1.2) adolescents with JIA and one of their
   respective parents/caregivers were recruited from 2 Canadian tertiary
   care centers. Descriptive statistics and simple content analyses were
   used to organize data into categories that reflected the emerging
   usability themes.
   Results: All of the participants had access to a computer/Internet at
   home; however, adolescents were more comfortable using the
   computer/Internet than their parents. Adolescents and parents provided
   similar as well as differing suggestions on how the website user
   interface could be improved in terms of its usability (navigation;
   presentation and control usage errors; format and layout; as well as
   areas for further content development). There were no major differences
   in usability issues between English- and French-speaking participants.
   Minor changes to the website user interface were made and tested in a
   second cycle of participants. No further usability problems were
   identified in the second iterative cycle of testing. Teens and parents
   responded positively to the appearance and theme of the website (ie,
   promoting self-management) and felt that it was easy to navigate, use,
   and understand. Participants felt that the content was appropriate and
   geared to meet the unique needs of adolescents with JIA and their
   parents as well as English- and French-speaking families. Many
   participants responded that the interactive features ( discussion board,
   stories of hope, and video clips of youth with JIA) made them feel
   supported and "not alone" in their illness.
   Conclusions: We describe the usability testing of a self-management
   health portal designed for English- and French-speaking youth with
   arthritis and their parents, which uncovered several usability issues.
   Usability testing is a crucial step in the development of
   self-management health portals to ensure that the various end users (
   youth and parents) have the ability to access, understand, and use
   health-related information and services that are delivered via the
   Internet and that they are delivered in an efficient, effective,
   satisfying, and culturally competent manner.
RI Feldman, Brian M/A-8586-2011; McGrath, Patrick/; Huber, Adam/; Tucker, Lori/
OI McGrath, Patrick/0000-0002-9568-2571; Huber, Adam/0000-0002-6616-1689;
   Tucker, Lori/0000-0002-4314-6750
Z8 0
ZA 0
ZR 0
TC 83
ZB 9
ZS 0
Z9 83
U1 0
U2 24
SN 1438-8871
UT WOS:000282761500005
PM 20675293
ER

PT J
AU Van't Riet, Jonathan
   Crutzen, Rik
   De Vries, Hein
TI Investigating Predictors of Visiting, Using, and Revisiting an Online
   Health-Communication Program: A Longitudinal Study
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 12
IS 3
AR e37
DI 10.2196/jmir.1345
PD JUL-SEP 2010
PY 2010
AB Background: Online health communication has the potential to reach large
   audiences, with the additional advantages that it can be operational at
   all times and that the costs per visitor are low. Furthermore, research
   shows that Internet-delivered interventions can be effective in changing
   health behaviors. However, exposure to Internet-delivered
   health-communication programs is generally low. Research investigating
   predictors of exposure is needed to be able to effectively disseminate
   online interventions.
   Objective: In the present study, the authors used a longitudinal design
   with the aim of identifying demographic, psychological, and behavioral
   predictors of visiting, using, and revisiting an online program
   promoting physical activity in the general population.
   Methods: A webpage was created providing the public with information
   about health and healthy behavior. The website included a "physical
   activity check," which consisted of a physical activity
   computer-tailoring expert system where visitors could check whether
   their physical activity levels were in line with recommendations.
   Visitors who consented to participate in the present study (n = 489)
   filled in a questionnaire that assessed demographics, mode of
   recruitment, current physical activity levels, and health motivation.
   Immediately after, participants received tailored feedback concerning
   their current physical activity levels and completed a questionnaire
   assessing affective and cognitive user experience, attitude toward being
   sufficiently physically active, and intention to be sufficiently
   physically active. Three months later, participants received an email
   inviting them once more to check whether their physical activity level
   had changed.
   Results: Analyses of visiting showed that more women (67.5%) than men
   (32.5%) visited the program. With regard to continued use, native Dutch
   participants (odds ratio [OR] = 2.81, 95% confidence interval [CI] =
   1.16-6.81, P = .02) and participants with a strong motivation to be
   healthy (OR = 1.46, CI = 1.03-2.07, P = .03) were most likely to
   continue usage of the program. With regard to revisiting, older
   participants (OR = 1.04, CI = 1.01-1.06, P = .01) and highly educated
   participants (OR = 4.69, CI = 1.44-15.22, P = .01) were more likely to
   revisit the program after three months. In addition, positive affective
   user experience predicted revisiting (OR = 1.64, CI = 1.12-2.39, P =
   .01).
   Conclusions: The results suggest that online interventions could
   specifically target men, young people, immigrant groups, people with a
   low education, and people with a weak health motivation to increase
   exposure to these interventions. Furthermore, eliciting positive
   feelings in visitors may contribute to higher usage rates.
RI Van 't Riet, Jonathan/F-6977-2012
Z8 0
ZB 9
ZA 0
ZS 0
TC 67
ZR 0
Z9 67
U1 0
U2 19
SN 1438-8871
UT WOS:000282761500010
PM 20813716
ER

PT J
AU Hart, Jan K.
   Newton, Bruce W.
   Boone, Steven E.
TI University of Arkansas for Medical Sciences electronic health record and
   medical informatics training for undergraduate health professionals
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 98
IS 3
BP 212
EP 216
DI 10.3163/1536-5050.98.3.007
PD JUL 2010
PY 2010
AB The University of Arkansas for Medical Sciences (UAMS) is planning
   interprofessional training in electronic health records (EHRs) and
   medical informatics. Training will be integrated throughout the
   curricula and will include seminars on broad concepts supplemented with
   online modules, didactic lectures, and hands-on experiences. Training
   will prepare future health professionals to use EHRs, evidence-based
   medicine, medical decision support, and point-of-care tools to reduce
   errors, improve standards of care, address Health Insurance Portability
   and Accountability Act requirements and accreditation standards, and
   promote appropriate documentation to enable data retrieval for clinical
   research. UAMS will ensure that graduates are ready for the rapidly
   evolving practice environment created by the HITECH Act.
ZS 0
ZB 0
ZR 0
TC 9
Z8 0
ZA 0
Z9 9
U1 0
U2 6
SN 1536-5050
UT WOS:000280736700007
PM 20648253
ER

PT J
AU Martin-Gill, Christian
   Roth, Ronald N.
   Mosesso, Vincent N., Jr.
TI RESIDENT FIELD RESPONSE IN AN EMERGENCY MEDICINE PREHOSPITAL CARE
   ROTATION
SO PREHOSPITAL EMERGENCY CARE
VL 14
IS 3
BP 370
EP 376
DI 10.3109/10903121003770647
PD JUL-SEP 2010
PY 2010
AB Background. Emergency medical services (EMS) is an important component
   of emergency medicine residency curricula. For over 20 years, residents
   at a university-affiliated program have staffed a physician response
   vehicle and responded to selected calls in an urban EMS system with
   online faculty backup. Objectives. To describe the prehospital
   educational experience and patient care provided through this unique
   program and to assess residents' perceptions. Methods. This was a
   three-year retrospective study of patient care records for all
   prehospital resident responses. Information obtained included complaint,
   disposition, procedures performed, and medications administered. The
   number of EMS radio consultations provided by residents during this
   rotation was also sought. We surveyed 43 current and recently graduated
   residents to assess their perceptions of this experience. Results.
   Residents treated 1,434 patients during 1,381 scene responses (16.7
   field patient contacts per resident-year). Complaints included cardiac
   arrest (788, 55.0%) and neurologic (230, 16.0%), traumatic (194, 13.5%),
   respiratory (144, 10.0%), and other cardiac (40, 2.8%) emergencies. Most
   patients (1,022; 71.3%) were transported to the hospital, including 82
   of 143 patients (57.3%) who initially refused EMS transport. Residents
   performed procedures on 546 responses (39.5%), including 123 successful
   intubations, 115 central lines, 43 peripheral (IV) lines, and 10
   intraosseous lines. EMS radio consultation records were available for
   only the second half of the study period. Residents provided 11,583
   consultations during this one-and-a-half-year period (264 radio
   consultations per resident-year). Of the 40 returned surveys (93.0%),
   autonomy (n = 21), medical decision making (n = 10), and management of
   high-acuity patients (n = 7) were the most important perceived benefits
   of this program. Conclusion. Our prehospital training program
   incorporates emergency medicine residents as in-field physicians and
   allows hands-on opportunity to provide patient care for a variety of
   conditions in the EMS environment, as well as extensive experience in
   online medical direction. The trainees believed it had a strong positive
   impact on their acquisition of important emergency medicine abilities.
Z8 0
ZB 1
ZA 0
ZS 0
TC 7
ZR 0
Z9 7
U1 0
U2 3
SN 1090-3127
UT WOS:000283118400014
PM 20441445
ER

PT J
AU Post, M. W. M.
   Kirchberger, I.
   Scheuringer, M.
   Wollaars, M. M.
   Geyh, S.
TI Outcome parameters in spinal cord injury research: a systematic review
   using the International Classification of Functioning, Disability and
   Health (ICF) as a reference
SO SPINAL CORD
VL 48
IS 7
BP 522
EP 528
DI 10.1038/sc.2009.177
PD JUL 2010
PY 2010
AB Objectives: This study is part of the development of an International
   Classification of Functioning, Disability and Health (ICF) Core Set for
   spinal cord injury (SCI). Its specific objectives were to identify
   outcome parameters reported in published studies on individuals with SCI
   in the early post-acute and chronic situation, and to identify and
   quantify the concepts of the reported parameters using the ICF as a
   reference.
   Methods: Electronic searches of Medline, EMBASE, PsycINFO and CINAHL
   from 2001 to 2005 were carried out. All outcome parameters and their
   underlying concepts were retrieved from the included studies. These
   concepts were linked to categories of the ICF using standardized rules.
   Results: From the 6681 abstracts retrieved, 2205 were randomly selected
   (33.0%) and 281 studies met the inclusion criteria (12.7%). A total
   number of 5217 concepts were retrieved from standardized and
   non-standardized measures, of which 4049 (77.6%) could be linked to 175
   different ICF categories: 56 out of 114 Body Functions, 19 out of 56
   Body Structures, 62 out of 118 Activities and Participation and 38 out
   of 74 Environmental Factors categories. Second-level categories reported
   in >20% of all studies were pain, remunerative employment, health
   services, systems and policies, school education and higher education.
   Conclusion: The ICF provides a valuable reference to identify and
   quantify the concepts of measures focusing on SCI in the early
   post-acute and chronic situation. The findings show a great diversity in
   the consequences of SCI and underscore the importance of social
   participation and environment for people with SCI. Spinal Cord (2010)
   48, 522-528; doi:10.1038/sc.2009.177; published online 5 January 2010
RI Geyh, Szilvia/F-6994-2011; Scheuringer, Monika/C-2306-2013; Post, Marcel/AAS-2502-2021
OI Scheuringer, Monika/0000-0001-7196-3419; 
ZS 2
ZR 0
Z8 1
ZA 0
ZB 15
TC 32
Z9 33
U1 1
U2 16
SN 1362-4393
EI 1476-5624
UT WOS:000279384000003
PM 20048752
ER

PT J
AU Carozza, S. E.
   Puumala, S. E.
   Chow, E. J.
   Fox, E. E.
   Horel, S.
   Johnson, K. J.
   McLaughlin, C. C.
   Reynolds, P.
   Von Behren, J.
   Mueller, B. A.
   Spector, L. G.
TI Parental educational attainment as an indicator of socioeconomic status
   and risk of childhood cancers
SO BRITISH JOURNAL OF CANCER
VL 103
IS 1
BP 136
EP 142
DI 10.1038/sj.bjc.6605732
PD JUN 29 2010
PY 2010
AB BACKGROUND: Little has been reported on socioeconomic (SES) patterns of
   risk for most forms of childhood cancer.
   METHODS: Population-based case-control data from epidemiological studies
   of childhood cancer conducted in five US states were pooled and
   associations of maternal, paternal and household educational attainment
   with childhood cancers were analysed. Odds ratios (ORs) and 95%
   confidence intervals were estimated using logistic regression,
   controlling for confounders.
   RESULTS: Although there was no association with parental education for
   the majority of cancers evaluated, there was an indication of a positive
   association with lower education for Hodgkin's and Burkitt's lymphoma
   and Wilm's tumour, with the ORs ranging from 1.5 to > 3.0 times that of
   more educated parents. A possible protective effect was seen for lower
   parental education and astrocytoma and hepatoblastoma, with ORs reduced
   by 30 to 40%.
   CONCLUSIONS: These study results should be viewed as exploratory because
   of the broad nature of the SES assessment, but they give some indication
   that childhood cancer studies might benefit from a more thorough
   assessment of SES. British Journal of Cancer (2010) 103, 136-142.
   doi:10.1038/sj.bjc.6605732 www.bjcancer.com Published online 8 June 2010
   (C) 2010 Cancer Research UK
RI Chow, Eric/AAU-8380-2021; McLaughlin, Colleen/AAD-8604-2020; Spector, Logan/; McLaughlin, Colleen/
OI Chow, Eric/0000-0001-7712-961X; Spector, Logan/0000-0003-2516-0222;
   McLaughlin, Colleen/0000-0003-4172-8172
ZR 0
ZA 0
Z8 0
ZB 22
ZS 0
TC 37
Z9 37
U1 0
U2 6
SN 0007-0920
UT WOS:000279374800020
PM 20531410
ER

PT J
AU Kron, Frederick W.
   Gjerde, Craig L.
   Sen, Ananda
   Fetters, Michael D.
TI Medical student attitudes toward video games and related new media
   technologies in medical education
SO BMC MEDICAL EDUCATION
VL 10
AR 50
DI 10.1186/1472-6920-10-50
PD JUN 24 2010
PY 2010
AB Background: Studies in K-12 and college students show that their
   learning preferences have been strongly shaped by new media technologies
   like video games, virtual reality environments, the Internet, and social
   networks. However, there is no known research on medical students' game
   experiences or attitudes towards new media technologies in medical
   education. This investigation seeks to elucidate medical student
   experiences and attitudes, to see whether they warrant the development
   of new media teaching methods in medicine.
   Methods: Medical students from two American universities participated.
   An anonymous, 30-item, cross-sectional survey addressed demographics,
   game play experience and attitudes on using new media technologies in
   medical education. Statistical analysis identified: 1) demographic
   characteristics; 2) differences between the two universities; 3) how
   video game play differs across gender, age, degree program and
   familiarity with computers; and 4) characteristics of students who play
   most frequently.
   Results: 217 medical students participated. About half were female
   (53%). Respondents liked the idea of using technology to enhance
   healthcare education (98%), felt that education should make better use
   of new media technologies (96%), and believed that video games can have
   educational value (80%). A majority (77%) would use a multiplayer online
   healthcare simulation on their own time, provided that it helped them to
   accomplish an important goal. Men and women agreed that they were most
   inclined to use multiplayer simulations if they were fun (97%), and if
   they helped to develop skill in patient interactions (90%). However,
   there was significant gender dissonance over types of favorite games,
   the educational value of video games, and the desire to participate in
   games that realistically replicated the experience of clinical practice.
   Conclusions: Overall, medical student respondents, including many who do
   not play video games, held highly favorable views about the use of video
   games and related new media technology in medical education. Significant
   gender differences in game play experience and attitudes may represent
   male video game design bias that stresses male cognitive aptitudes;
   medical educators hoping to create serious games that will appeal to
   both men and women must avoid this.
Z8 0
ZS 1
ZA 0
ZB 4
ZR 0
TC 89
Z9 89
U1 0
U2 63
EI 1472-6920
UT WOS:000284846100001
PM 20576125
ER

PT J
AU Casebeer, Linda
   Brown, Jennifer
   Roepke, Nancy
   Grimes, Cyndi
   Henson, Blake
   Palmore, Ryan
   Granstaff, U. Shanette
   Salinas, Gregory D.
TI Evidence-based choices of physicians: a comparative analysis of
   physicians participating in Internet CME and non-participants
SO BMC MEDICAL EDUCATION
VL 10
AR 42
DI 10.1186/1472-6920-10-42
PD JUN 10 2010
PY 2010
AB Background: The amount of medical education offered through the Internet
   continues to increase, providing unprecedented access for physicians
   nationwide. However, the process of evaluating these activities is
   ongoing. This study is a continuation of an earlier report that found
   online continuing medical education (CME) to be highly effective in
   making evidence-based decisions.
   Methods: To determine the effectiveness of 114 Internet CME activities,
   case vignette-based surveys were administered to U.S.-practicing
   physicians immediately following participation, and to a representative
   control group of non-participants. Survey responses were analyzed based
   on evidence presented in the content of CME activities. An effect size
   for each activity was calculated using Cohen's d to determine the amount
   of difference between the two groups in the likelihood of making
   evidence-based clinical decisions.
   Results: In a sample of 17,142 U.S. physicians, of the more than 350,000
   physicians who participated in 114 activities, the average effect size
   was 0.82. This indicates an increased likelihood of 48% that physicians
   participating in online activities were making clinical choices based on
   evidence.
   Conclusion: Physicians who participated in online CME activities
   continue to be more likely to make evidence-based clinical choices than
   non-participants in response to clinical case vignettes.
TC 36
Z8 1
ZA 0
ZS 0
ZR 0
ZB 5
Z9 37
U1 0
U2 3
EI 1472-6920
UT WOS:000284845000001
PM 20537144
ER

PT J
AU Stewart, Moira
   Reid, Graham
   Brown, Judith Belle
   Burge, Fred
   DiCenso, Alba
   Watt, Susan
   McWilliam, Carol
   Beaulieu, Marie-Dominique
   Meredith, Leslie
TI Development and Implementation of Training for Interdisciplinary
   Research in Primary Health Care
SO ACADEMIC MEDICINE
VL 85
IS 6
BP 974
EP 979
DI 10.1097/ACM.0b013e3181dbe31f
PD JUN 2010
PY 2010
AB The authors describe a national training program in Canada focusing on
   research in primary health care (PHC). The program, sponsored by the
   Canadian Institutes of Health Research's Strategic Training in Health
   Research Program, is called Transdisciplinary Understanding and Training
   on Research-Primary Health Care (TUTOR-PHC); it began in 2002 and is
   funded to continue until 2015. The purpose-built curriculum has two main
   goals: (1) to build a cadre of skilled, independent researchers to
   enhance the evidence base for PHC practice and policy and (2) to
   increase the interdisciplinary focus in PHC research. The program
   consists of three elements: (1) a three-day on-site symposium, (2) four
   online workshops (three weeks each), and (3) two online
   interdisciplinary discussion groups (seven weeks each). Participants
   develop PHC research skills during in-person and online workshops. They
   gain knowledge of and experience in interdisciplinary PHC research
   through participation in interdisciplinary discussion groups and by
   observing mentor interactions. Both the symposium and the online
   components involve a variety of interactive education approaches. The 77
   graduates from across Canada represent 14 disciplines, most commonly
   family medicine, nursing, epidemiology, psychology, social work, and
   sociology. Graduates of the program publish at a high rate and are
   building their careers in PHC research. The structure of TUTOR-PHC
   encourages not only skill development and content uptake but also the
   exchange of tacit knowledge. The complete program leads to a synthesis
   of skills, knowledge, personal communication abilities, and
   cross-discipline curiosity, creating a wellrounded collaborative PHC
   researcher. Acad Med. 2010; 85: 974-979.
OI Burge, Fred/0000-0001-8130-4644
ZR 0
ZB 2
TC 15
ZA 0
ZS 0
Z8 0
Z9 15
U1 0
U2 9
SN 1040-2446
UT WOS:000279377300016
PM 20505396
ER

PT J
AU Roek, Marion A. E.
   Spijkerman, Renske
   Poelen, Evelien A. P.
   Lemmers, Lex
   Engels, Rutger C. M. E.
TI The unique contribution of attitudes toward non-alcoholic drinks to the
   prediction of adolescents' and young adults' alcohol consumption
SO ADDICTIVE BEHAVIORS
VL 35
IS 6
BP 651
EP 654
DI 10.1016/j.addbeh.2010.02.007
PD JUN 2010
PY 2010
AB Attitudes toward alternative behaviors, such as drinking soda instead of
   alcohol, might contribute to the prediction of young people's drinking
   behavior. The current study explored the associations between late
   adolescents' and young adults' attitudes toward alcoholic and
   non-alcoholic drinks and their alcohol consumption, and whether these
   associations were moderated by participants' sex, age and education
   level. Cross-sectional data were collected among 1012 15 to
   25-year-olds. Participants completed an online questionnaire on
   attitudes toward alcoholic and non-alcoholic drinks, binge drinking and
   monthly alcohol consumption.
   Data were analyzed by employing structural equation modeling in Mplus.
   After controlling for the shared variance in both attitudes, attitudes
   toward alcoholic drinks were positively related and attitudes toward
   non-alcoholic drinks were negatively related to participants' monthly
   alcohol use and binge drinking. Relations between attitudes towards
   alcoholic drinks and monthly alcohol consumption were stronger for boys
   than for girls and stronger for participants with intermediate education
   background. Relations between both attitudes and binge drinking were
   strongest for high educated participants. According to our data,
   non-alcohol attitudes provide a unique contribution to the prediction of
   alcohol use. (C) 2010 Elsevier Ltd. All rights reserved.
RI Spijkerman, Renske/D-5791-2012; Engels, Rutger/
OI Engels, Rutger/0000-0003-1944-9126
ZB 1
ZR 0
ZS 0
Z8 0
ZA 0
TC 3
Z9 3
U1 0
U2 8
SN 0306-4603
EI 1873-6327
UT WOS:000276778600022
PM 20202759
ER

PT J
AU Gookin, Jody L.
   McWhorter, Dan
   Vaden, Shelly
   Posner, Lysa
TI Outcome assessment of a computer-animated model for learning about the
   regulation of glomerular filtration rate
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 34
IS 2
BP 97
EP 105
DI 10.1152/advan.00012.2010
PD JUN 2010
PY 2010
AB Gookin JL, McWhorter D, Vaden S, Posner L. Outcome assessment of a
   computer-animated model for learning about the regulation of glomerular
   filtration rate. Adv Physiol Educ 34:97-105, 2010; doi:
   10.1152/advan.00012.2010.-The regulation of the glomerular filtration
   rate (GFR) is a particularly important and challenging concept for
   students to integrate into a memorable framework for building further
   knowledge and solving clinical problems. In this study, 76 first-year
   veterinary students and 19 veterinarians in clinical specialty training
   (house officers) participated in separate online exercises to evaluate
   the use of a computer-animated model of GFR regulation
   (www.aamc.org/mededportal)on learning outcome. Students were randomly
   allocated to study either the animated model or written materials before
   completion of a 10-question multiple-choice quiz. House officers
   completed a 35-question test before and after study of the animated
   model. Both groups completed a survey about the learning exercise. The
   ability of the model to enhance learning was demonstrated by a
   significant improvement (P < 0.001) in the test performance of house
   officers after studying the model. The model performed similarly to
   written materials alone in affecting the subsequent quiz performance of
   the students. The majority of students and house officers agreed or
   strongly agreed that the animated model was easy to understand, improved
   their knowledge and appreciation of the importance of GFR regulation,
   and that they would recommend the model to peers. Most students [63 of
   76 students (83%)] responded that they would prefer the use of the
   animated model alone over the study of written materials but
   acknowledged that a combination of hardcopy written notes and the
   animated model would be ideal. A greater applicability of the model to
   more advanced students and an introduction in a didactic setting before
   individual study were suggested by the house officers. The results of
   this study suggest that the animated model is a useful, effective, and
   well-received tool for learning and creating a visual memory of the
   regulatory mechanisms of GFR.
OI Vaden, Shelly/0000-0003-4402-7830; Gookin, Jody/0000-0002-2911-0874;
   Posner, Lysa/0000-0003-4579-9648
ZB 0
Z8 0
TC 7
ZS 0
ZA 0
ZR 0
Z9 7
U1 0
U2 6
SN 1043-4046
UT WOS:000278353700013
PM 20522905
ER

PT J
AU Brotto, Lori A.
   Knudson, Gail
   Inskip, Jess
   Rhodes, Katherine
   Erskine, Yvonne
TI Asexuality: A Mixed-Methods Approach
SO ARCHIVES OF SEXUAL BEHAVIOR
VL 39
IS 3
BP 599
EP 618
DI 10.1007/s10508-008-9434-x
PD JUN 2010
PY 2010
AB Current definitions of asexuality focus on sexual attraction, sexual
   behavior, and lack of sexual orientation or sexual excitation; however,
   the extent to which these definitions are accepted by self-identified
   asexuals is unknown. The goal of Study 1 was to examine relationship
   characteristics, frequency of sexual behaviors, sexual difficulties and
   distress, psychopathology, interpersonal functioning, and alexithymia in
   187 asexuals recruited from the Asexuality Visibility and Education
   Network (AVEN). Asexual men (n = 54) and women (n = 133) completed
   validated questionnaires online. Sexual response was lower than
   normative data and was not experienced as distressing, and masturbation
   frequency in males was similar to available data for sexual men. Social
   withdrawal was the most elevated personality subscale; however,
   interpersonal functioning was in the normal range. Alexithymia was
   elevated in 12%. Social desirability was also in the normal range. Study
   2 was designed to expand upon these quantitative findings with 15
   asexuals from Study 1 through in-depth telephone interviews. The
   findings suggest that asexuality is best conceptualized as a lack of
   sexual attraction; however, asexuals varied greatly in their experience
   of sexual response and behavior. Asexuals partnered with sexuals
   acknowledged having to "negotiate" sexual activity. There were not
   higher rates of psychopathology among asexuals; however, a subset might
   fit the criteria for Schizoid Personality Disorder. There was also
   strong opposition to viewing asexuality as an extreme case of sexual
   desire disorder. Finally, asexuals were very motivated to liaise with
   sex researchers to further the scientific study of asexuality.
TC 28
ZB 4
ZA 0
ZR 0
Z8 0
ZS 1
Z9 29
U1 2
U2 3
SN 0004-0002
EI 1573-2800
UT WOS:000276739400006
PM 19082703
ER

PT J
AU Stevens, Garry
   Jones, Alison
   Smith, George
   Nelson, Jenny
   Agho, Kingsley
   Taylor, Melanie
   Raphael, Beverley
TI DETERMINANTS OF PARAMEDIC RESPONSE READINESS FOR CBRNE THREATS
SO BIOSECURITY AND BIOTERRORISM-BIODEFENSE STRATEGY PRACTICE AND SCIENCE
VL 8
IS 2
BP 193
EP 202
DI 10.1089/bsp.2009.0061
PD JUN 2010
PY 2010
AB Paramedics play a pivotal role in the response to major emergencies.
   Recent evidence indicates that their confidence and willingness to
   respond to chemical, biological, radiological, nuclear, and
   explosives-related (CBRNE) incidents differs from that relating to their
   "routine'' emergency work. To further investigate the factors
   underpinning their readiness to respond to CBRNE incidents, paramedics
   in New South Wales (NSW), Australia, were asked to complete a validated
   online survey instrument. Univariate and multivariate analyses were
   performed to examine associated factors determining readiness. The
   sample of 663 respondents was weighted to reflect the NSW paramedic
   population as a whole. The univariate analysis indicated that gender,
   length of service, deployment concern, perceived personal resilience,
   CBRNE training, and incident experience were significantly associated
   with perceived CBRNE response readiness. In the initial multivariate
   analysis, significantly higher response readiness was associated with
   male gender, university education, and greater length of service (10-15
   years). In the final multivariate model, the combined effect of
   training/ incident experience negated the significant effects observed
   in the initial model and, importantly, showed that those with recent
   training reported higher readiness, irrespective of incident experience.
   Those with lower concern regarding CBRNE deployment and those with
   higher personal resilience were significantly more likely to report
   higher readiness (Adjusted Relative Risk [ARR] = 0.91, 95% CI:
   0.84-0.99; ARR = 1.40, 95% CI: 1.11-1.72, respectively). These findings
   will assist emergency medical planners in recognizing occupational and
   dispositional factors associated with enhanced CBRNE readiness and
   highlight the important role of training in redressing potential
   readiness differences associated with these factors.
RI Agho, Kingsley/AAE-9971-2020; Taylor, Melanie R/H-5248-2017; Agho, Kingsley/AAW-5622-2021; Stevens, Garry/
OI Taylor, Melanie R/0000-0002-8862-9510; Agho,
   Kingsley/0000-0003-4111-3207; Stevens, Garry/0000-0002-3556-4098
ZS 0
Z8 0
TC 15
ZA 0
ZR 0
ZB 0
Z9 15
U1 1
U2 13
SN 1538-7135
UT WOS:000279033100008
PM 20569060
ER

PT J
AU Layne, Kerry
   Nabeebaccus, Adam
   Fok, Henry
   Lams, Boris
   Thomas, Stephen
   Kinirons, Mark
TI Modernising morning report: innovation in teaching and learning.
SO The clinical teacher
VL 7
IS 2
BP 77
EP 82
DI 10.1111/j.1743-498X.2010.00357.x
PD 2010-Jun
PY 2010
AB BACKGROUND: Over recent years there has been a shift in undergraduate
   medical education, from predominantly passive, didactic teaching methods
   to facilitating learning by focusing on the management of common
   scenarios, through the means of problem- and case-based learning.
   CONTEXT: Case-based learning and peer-led teaching are often overlooked
   at postgraduate level, despite the continuing demonstrated success of
   these methods in fostering independent reasoning and problem-solving
   skills that are vital for newly qualified doctors to develop. When
   trying to strike a balance between educational needs and service
   provision, it is essential to identify and implement efficient,
   effective approaches to optimise learning opportunities.
   INNOVATION: We have adapted the pre-existing framework of the American
   'Morning Report' to suit the needs of today's junior doctors, creating a
   system of providing case-based learning paired with peer-led teaching.
   IMPLICATIONS: We evaluated the educational model through a focus group
   session, and found that our Morning Report was a unique environment
   where junior doctors feel comfortable engaging with group case-based
   teaching, with the support and encouragement of senior consultants,
   reinforced with online case summaries and blog resources.
OI Fok, Henry/0000-0002-3693-7861
ZS 0
TC 8
ZB 0
Z8 0
ZR 0
ZA 0
Z9 8
U1 0
U2 2
EI 1743-498X
UT MEDLINE:21134153
PM 21134153
ER

PT J
AU Garner, Jayne
   O'Sullivan, Helen
TI Facebook and the professional behaviours of undergraduate medical
   students.
SO The clinical teacher
VL 7
IS 2
BP 112
EP 5
DI 10.1111/j.1743-498X.2010.00356.x
PD 2010-Jun
PY 2010
AB BACKGROUND: The rapid growth and accessibility of social networking
   websites has fundamentally changed the way people manage information
   about their personal and professional lives. In particular, it has been
   suggested that interaction in virtual communities erodes elements of
   responsibility, accountability and social trust that build traditionally
   meaningful communities. The purpose of this study was to investigate how
   undergraduate medical students use the social network website Facebook,
   and to identify any unprofessional behaviour displayed online.
   METHODS: A voluntary anonymous online survey was devised by the
   University of Liverpool, and emailed to students. Question topics
   included the use of Facebook, privacy settings, groups relating to the
   course and professional behaviours. Results were input to spss for
   analysis.
   RESULTS: The response rate was 31 per cent (n = 56). The majority of
   respondents did have a Facebook account and admitted there were photos
   they found embarrassing on the site. Over half of the respondents
   reported they had seen unprofessional behaviour by their colleagues on
   Facebook. Although students say that they are aware of the UK's General
   Medical Council (GMC) guidance, unprofessional behaviour is still
   demonstrated on the site.
   DISCUSSION: This research highlights the issue of social networking
   websites and professionalism amongst medical students. Further guidance
   from the GMC and medical schools should remind students that images and
   information placed on social networking sites is in the public domain,
   and could impact upon their professional reputation and identity.
ZA 1
ZR 0
ZB 5
Z8 0
ZS 3
TC 67
Z9 72
U1 0
U2 12
EI 1743-498X
UT MEDLINE:21134159
PM 21134159
ER

PT J
AU Gharaibeh, Khaled M.
   Malkawi, Mohammed J.
   Hamza, Ben
TI An Interactive Simulation Tool for Image Registration Education
SO COMPUTER APPLICATIONS IN ENGINEERING EDUCATION
VL 18
IS 2
BP 225
EP 237
DI 10.1002/cae.20179
PD JUN 2010
PY 2010
AB A medical image registration simulation toolkit built using MATLAB
   graphical user interface (GUI) is presented. The developed Matlab GUI's
   provide an effective tool for exploring different image registration
   techniques including a new feature-based image registration technique
   proposed by the authors. The toolkit is useful for biomedical
   engineering students and can be used as a web-based learning tool. (C)
   2009 Wiley Periodicals, Inc. Comput Appl Eng Educ 18: 225-237. 2010:
   Published online in Wiley InterScience (www.interscience.wiley.com): DOI
   10.1002/cae.20179
RI Gharaibeh, Khaled M/A-8327-2009
ZB 0
TC 2
ZA 0
ZS 0
Z8 0
ZR 0
Z9 2
U1 0
U2 18
SN 1061-3773
EI 1099-0542
UT WOS:000277374000003
ER

PT J
AU Repanos, Costa
   Anderson, Daniel
   Earnshaw, James
   Mitchell, David
   Coman, William
TI Manipulation of nasal fractures with local anaesthetic: A 'How to do it'
   with online video tutorial
SO EMERGENCY MEDICINE AUSTRALASIA
VL 22
IS 3
BP 236
EP 239
DI 10.1111/j.1742-6723.2010.01289.x
PD JUN 2010
PY 2010
AB Nasal fractures are the most common facial fractures and displaced
   fractures may cause considerable cosmetic concern. Traditionally,
   displaced nasal fractures have been manipulated under general
   anaesthesia (GA) performed within 2 weeks of the injury. Despite
   evidence for the benefit of local anaesthesia (LA), nasal fractures are
   still most commonly reduced under GA. We have presented a method of
   reduction of simple nasal fractures under LA in an outpatient setting.
   This has the advantage of being painless, simple to attempt and
   cost-effective. If reduction is inadequate then a general anaesthetic
   reduction is still possible. A recent comprehensive systematic review of
   all the available evidence did not show any significant difference (in
   terms of cosmesis, pain or nasal obstruction) between using LA and GA
   methods and highlighted the evidence base to support LA. We describe our
   method of assessment and treatment of displaced nasal fractures and
   provide an online tutorial
   (http://sciencestage.com/v/22194/local-anaesthetic-nasal-fracture-reduct
   ion.html). It is important to keep in mind that any concerns should be
   referred to an otolaryngology specialist for further management and that
   practitioners attempting this technique should first receive training
   from an otolaryngologist.
Z8 0
ZR 0
ZA 0
ZS 0
ZB 2
TC 2
Z9 3
U1 0
U2 1
SN 1742-6731
EI 1742-6723
UT WOS:000278565600006
PM 20590785
ER

PT J
AU Adams, Samantha A.
TI Revisiting the online health information reliability debate in the wake
   of "web 2.0": An inter-disciplinary literature and website review
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 79
IS 6
SI SI
BP 391
EP 400
DI 10.1016/j.ijmedinf.2010.01.006
PD JUN 2010
PY 2010
AB Purpose: The purpose of this inter-disciplinary literature review was to
   explore renewed concerns about the reliability of online health
   information in light of the increasing popularity of web applications
   that enable more end-user-generated content ("web 2.0").
   Methods: The findings are based on a literature and web review.
   Literature was collected at four different points between October 2006
   and October 2008 and included 56 sources from 10 academic disciplines.
   The web review consisted of following 6 blogs (including both new and
   archived posts, with comments) and one wiki for a period of 1.5 months
   and assessing the content for relevancy on six points, totaling 63
   sources altogether.
   Results: The reliability issues that are identified with respect to "web
   2.0" reiterate more general concerns expressed about theweb over the
   last 15 years. The difference, however, lies in the scope and scale of
   potential problems. Social scientists have also pointed to new issues
   that can be especially relevant for use of web 2.0 applications in
   health care. Specific points of renewed concern include: disclosure of
   authorship and information quality, anonymity and privacy, and the
   ability of individuals to apply information to their personal situation.
   Whether or not end-users understand what social scientists call
   "negative network externalities" is a new concern. Finally, not all
   reliability issues are negative-social networking and the shift from
   text-based information to symbolic information, images or interactive
   information, are considered to enhance patient education and to provide
   opportunities to reach diverse groups of patients.
   Conclusions: Interactive and collaborative web applications undeniably
   offer new opportunities for reaching patients and other health care
   consumers by facilitating lay information creation, sharing and
   retrieval. However, researchers must be careful and critical when
   incorporating applications or practices from other fields in health
   care. We must not easily dismiss concerns about reliability as outdated.
   Specific issues related to use of newly popular web applications for
   health purposes must be addressed. Nonetheless, the articles reviewed
   here also clearly show that potential problems can be addressed and the
   positive aspects of the technologies embraced. (C) 2010 Elsevier Ireland
   Ltd. All rights reserved.
ZS 2
ZA 0
Z8 0
ZB 19
ZR 0
TC 152
Z9 154
U1 2
U2 71
SN 1386-5056
EI 1872-8243
UT WOS:000278192800002
PM 20188623
ER

PT J
AU Rennie, Heather
   MacKenzie, Gina
TI The Psychosocial Oncology Learning Assessment: A Province-Wide Survey of
   Cancer Care Providers' Learning Needs
SO JOURNAL OF CANCER EDUCATION
VL 25
IS 2
BP 206
EP 210
DI 10.1007/s13187-010-0112-z
PD JUN 2010
PY 2010
AB A psychosocial oncology learning needs assessment was developed and
   offered online to cancer care providers in a variety of settings across
   all health regions in British Columbia. The purpose was to better
   understand the psychosocial learning needs of cancer care providers and
   to use this knowledge to shape continuing education priorities.
   Respondents' preferred learning formats, access to technology and
   barriers to accessing psychosocial learning opportunities were also
   assessed. Cancer care providers including radiation therapists, social
   workers, dieticians, pharmacists, physicians and nurses in both
   community and agency settings were surveyed. Two hundred and sixty-seven
   people completed the survey. Key learning needs identified included
   cultural aspects of care, symptom management, treating the anxious
   patient, self-care for the professional, care of elderly patients, basic
   cancer-related medical issues surrounding care and ethics. Community
   respondents indicated more needs than agency respondents. On-site
   training was the most preferred learning format, and time constraints
   were the biggest barrier to accessing learning opportunities.
   Participants had access to technology. Next steps include conducting key
   informant and focus group interviews to determine if interest in a
   learning need is the same as a relevant knowledge and practice gap. This
   research suggests that cancer care providers are interested in learning
   more about the psychosocial issues related to cancer care.
CT Annual BC-Cancer-Agency Conference 2006
CY OCT, 2006
CL Vancouver, CANADA
SP BC Canc Agcy
ZA 0
ZB 1
Z8 0
ZS 0
TC 8
ZR 0
Z9 8
U1 0
U2 12
SN 0885-8195
UT WOS:000278180000016
PM 20361284
ER

PT J
AU Dhillon, N.
   Jones, N.
   Fergie, N.
TI Audit of management of periorbital cellulitis and abscess in a district
   general hospital and a tertiary referral centre, in line with published
   guidelines
SO JOURNAL OF LARYNGOLOGY AND OTOLOGY
VL 124
IS 6
BP 636
EP 640
DI 10.1017/S0022215109992799
PD JUN 2010
PY 2010
AB Objective: To audit the management of periorbital cellulitis or abscess,
   in line with guidelines published in 2004, within a district general
   hospital and a tertiary referral centre.
   Method: Retrospective audit analysing 58 cases at a district general
   hospital and 61 cases at a tertiary referral centre, encountered since
   2004.
   Results: At the tertiary referral centre, 22 patients were diagnosed
   with pre-septal cellulitis and discharged, as were 20 cases at the
   district general hospital. At the tertiary referral centre, 95 per cent
   of patients were correctly seen by an ophthalmologist and 82 per cent by
   a senior ENT surgeon, compared with 63 and 39 per cent, respectively, at
   the district general hospital. In both centres, one patient did not
   receive a computed tomography scan where this was indicated. Despite the
   need for twice daily monitoring of ophthalmological criteria, both sites
   lacked 100 per cent compliance. At the tertiary referral centre, 76 per
   cent of patients were correctly treated with intravenous antibiotics,
   compared with 68 per cent at the district general hospital.
   Conclusion: At both sites, adherence to guidelines was suboptimal.
   Management may be improved through improved education and online
   information support.
RI Vallabh, Neeru/AAU-5130-2020
OI Vallabh, Neeru/0000-0002-0109-4112
Z8 0
ZS 0
ZR 0
ZA 0
TC 2
ZB 2
Z9 2
U1 0
U2 1
SN 0022-2151
UT WOS:000278834800009
PM 20082744
ER

PT J
AU Wallwiener, Christian W.
   Wallwiener, Lisa-Maria
   Seeger, Harald
   Mueck, Alfred O.
   Bitzer, Johannes
   Wallwiener, Markus
TI Prevalence of Sexual Dysfunction and Impact of Contraception in Female
   German Medical Students
SO JOURNAL OF SEXUAL MEDICINE
VL 7
IS 6
BP 2139
EP 2148
DI 10.1111/j.1743-6109.2010.01742.x
PD JUN 2010
PY 2010
AB Introduction.
   Female sexual dysfunction (FSD) is a very common disorder, with an
   estimated prevalence of having at least one sexual dysfunction of about
   40%.
   Aim.
   To investigate the prevalence and types of FSD and the relationship
   between hormonal contraception (HC) and FSD in female German medical
   students.
   Main Outcome Measures.
   Female Sexual Function Index (FSFI) with additional questions on
   contraception, sexual activity, and other factors that may influence
   sexual function.
   Methods.
   An online questionnaire based on the FSFI was completed by students from
   six medical schools. Obtained data were screened for inconsistencies by
   programmed algorithms.
   Results.
   A total of 1,219 completed questionnaires were received, and 1,086 were
   included in the analyses after screening. The mean total FSFI score was
   28.6 +/- 4.5. 32.4% of women were at risk for FSD according to FSFI
   definitions. Based on domain scores, 8.7% for were at risk for FSD
   concerning orgasm, 5.8% for desire, 2.6% for satisfaction, 1.2% for
   lubrication, 1.1% for pain and 1.0% for arousal. The method of
   contraception and smoking were factors with significant effect on the
   total FSFI score whereby hormonal contraception was associated with
   lower total FSFI scores and lower desire and arousal scores than no
   contraception and non-hormonal contraception only. Other variables such
   as stress, pregnancy, smoking, relationship and wish for children had an
   important impact on sexual function as expected according to earlier
   studies.
   Conclusions.
   The prevalence of students at high risk for FSD was consistent with the
   literature although domain subscores differed from samples previously
   described. The contraception method has a significant effect on the
   sexual functioning score and women using contraception, especially
   hormonal contraception, had lower sexual functioning scores. Stress and
   relationship among other variables were found to be associated with
   sexual function and may thus provide insight into the etiology of sexual
   disorders. Wallwiener CW, Wallwiener L-M, Seeger H, Muck AO, Bitzer J,
   and Wallwiener M. Prevalence of sexual dysfunction and impact of
   contraception in female german medical students. J Sex Med
   2010;7:2139-2148.
RI Wallwiener, Markus/AAH-9038-2021
ZR 2
TC 67
ZB 13
Z8 0
ZA 0
ZS 4
Z9 72
U1 0
U2 18
SN 1743-6095
EI 1743-6109
UT WOS:000278311100017
PM 20487241
ER

PT J
AU Lewis, Catherine E.
   Tillou, Areti
   Yeh, Michael W.
   Quach, Chi
   Hiatt, Jonathan R.
   Hines, O. Joe
TI Web-Based Portfolios: A Valuable Tool for Surgical Education
SO JOURNAL OF SURGICAL RESEARCH
VL 161
IS 1
BP 40
EP 46
DI 10.1016/j.jss.2008.12.010
PD JUN 1 2010
PY 2010
AB Background. Our residency program developed and implemented an online
   portfolio system. In the present communication, we describe this system
   and provide an early analysis of its effect on competency-based
   performance and acceptance of the system by the residents.
   Materials and Methods. To measure competency-based performance,
   end-of-rotation global evaluations of residents by faculty completed
   before (n = 1488) and after (n = 697) implementation of the portfolio
   were compared. To assess acceptance, residents completed a 20-question
   survey.
   Results. Practice-based learning and improvement improved following
   implementation of the portfolio system (P = 0.002). There was also a
   trend toward improvement in the remaining competencies. In the survey
   tool (response rate 69%), 95% of the residents agreed that the purpose
   and functions of the system had been explained to them, and 82% affirmed
   understanding of ways in which the system could help them, although
   fewer than half reported that their portfolio had aided in their
   development of the competencies. All residents appreciated the system's
   organizational capabilities, and 87% agreed that the portfolio was a
   useful educational tool.
   Conclusions. This web portfolio program is a valuable new instrument for
   both residents and administrators. Early analysis of its impact
   demonstrates a positive effect across all competencies, and survey
   analysis revealed that residents have a positive view of this new
   system. As the portfolio is further incorporated into the educational
   program, we believe that our residents will discover new tools to craft
   a career of genuine self-directed learning. (C) 2010 Elsevier Inc. All
   rights reserved.
TC 8
ZA 0
ZS 0
Z8 0
ZB 1
ZR 0
Z9 8
U1 0
U2 4
SN 0022-4804
EI 1095-8673
UT WOS:000277537200010
PM 19345374
ER

PT J
AU Komenda, Paul
   Copland, Michael
   Makwana, Jay
   Djurdjev, Ogdjenka
   Sood, Manish M.
   Levin, Adeera
TI The cost of starting and maintaining a large home hemodialysis program
SO KIDNEY INTERNATIONAL
VL 77
IS 11
BP 1039
EP 1045
DI 10.1038/ki.2010.37
PD JUN 2010
PY 2010
AB Home extended hours hemodialysis improves some measurable biological and
   quality-of-life parameters over conventional renal replacement therapies
   in patients with end-stage renal disease. Published small studies
   evaluating costs have shown savings in terms of ongoing operating costs
   with this modality. However, all estimates need to include the total
   costs, including infrastructure, patient training, and maintenance;
   patient attrition by death, transplantation, technique failure; and the
   necessity of in-center dialysis. We describe a comprehensive funding
   model for a large centrally administered but locally delivered home
   hemodialysis program in British Columbia, Canada that covered 122
   patients, of which 113 were still in the program at study end. The
   majority of patients performed home nocturnal hemodialysis in this
   2-year retrospective study. All training periods, both in-center and
   in-home dialysis, medications, hospitalizations, and deaths were
   captured using our provincial renal database and vital statistics.
   Comparative data from the provincial database and pricing models were
   used for costing purposes. The total comprehensive costs per
   patient-incorporating startup, home, and in-center dialysis;
   medications; home remodeling; and consumables-was $59,179 for years
   2004-2005 and $48,648 for 2005-2006. The home dialysis patients required
   multiple in-center dialysis runs, significantly contributing to the
   overall costs. Our study describes a valid, comprehensive funding model
   delineating reliable cost estimates of starting and maintaining a large
   home-based hemodialysis program. Consideration of hidden costs is
   important for administrators and planners to take into account when
   designing budgets for home hemodialysis. Kidney International (2010) 77,
   1039-1045; doi:10.1038/ki.2010.37; published online 10 March 2010
RI Sood, Manish M/H-3134-2019; Komenda, Paul/
OI Sood, Manish M/0000-0002-9146-2344; Komenda, Paul/0000-0001-7016-7146
ZB 7
ZA 0
Z8 0
ZS 0
ZR 0
TC 28
Z9 28
U1 0
U2 5
SN 0085-2538
EI 1523-1755
UT WOS:000277626700013
PM 20375983
ER

PT J
AU Hain, P. D.
   Joers, B.
   Rush, M.
   Slayton, J.
   Throop, P.
   Hoagg, S.
   Allen, L.
   Grantham, J.
   Deshpande, J. K.
TI An intervention to decrease patient identification band errors in a
   children's hospital
SO QUALITY & SAFETY IN HEALTH CARE
VL 19
IS 3
BP 244
EP 247
DI 10.1136/qshc.2008.030288
PD JUN 2010
PY 2010
AB Context Patient misidentification continues to be a quality and safety
   issue. There is a paucity of US data describing interventions to reduce
   identification band error rates.
   Setting Monroe Carell Jr Children's Hospital at Vanderbilt.
   Key measures Percentage of patients with defective identification bands.
   Strategies for change Web-based surveys were sent, asking hospital
   personnel to anonymously identify perceived barriers to reaching zero
   defects with identification bands. Corrective action plans were created
   and implemented with ideas from leadership, front-line staff and the
   online survey. Data from unannounced audits of patient identification
   bands were plotted on statistical process control charts and shared
   monthly with staff. All hospital personnel were expected to "stop the
   line" if there were any patient identification questions.
   Effects of change The first audit showed a defect rate of 20.4%. The
   original mean defect rate was 6.5%. After interventions and education,
   the new mean defect rate was 2.6%.
   Lessons learnt (a) The initial rate of patient identification band
   errors in the hospital was higher than expected. (b) The action
   resulting in most significant improvement was staff awareness of the
   problem, with clear expectations to immediately stop the line if a
   patient identification error was present. (c) Staff surveys are an
   excellent source of suggestions for combating patient identification
   issues. (d) Continued audit and data collection is necessary for
   sustainable staff focus and continued improvement. (e) Statistical
   process control charts are both an effective method to track results and
   an easily understood tool for sharing data with staff.
ZB 1
ZR 0
TC 9
ZS 2
ZA 0
Z8 0
Z9 9
U1 0
U2 7
SN 1475-3898
UT WOS:000279355700017
PM 20364035
ER

PT J
AU Krause, J. S.
   Terza, J. V.
   Saunders, L. L.
   Dismuke, C. E.
TI Delayed entry into employment after spinal cord injury: factors related
   to time to first job
SO SPINAL CORD
VL 48
IS 6
BP 487
EP 491
DI 10.1038/sc.2009.157
PD JUN 2010
PY 2010
AB Study design: Data were cross-sectional and were collected by survey
   methodology.
   Objectives: To investigate factors predictive of length of time between
   spinal cord injury (SCI) onset and start of first post-injury employment
   and full-time employment.
   Setting: A large specialty hospital in the Southeastern United States,
   with additional participant samples from two hospitals in the Midwestern
   United States.
   Methods: Participants were identified from patient records at the
   participating hospitals. They met the following three
   exclusion/inclusion criteria: traumatic SCI, at least 18 years of age at
   time of survey, and a minimum of 1-year after SCI. Outcome measures were
   years from injury onset to beginning first post-injury job and years to
   first full-time post-injury job. Two separate models were developed for
   each outcome using a regression analysis. All those 10 years and more
   post-injury were censored (that is eliminated) in the analysis.
   Results: Having a higher level of education, less severe injury, being
   Caucasian, and returning to the pre-injury employer were associated with
   a shorter interval to initiation of employment with 10-year censoring.
   In addition to these variables, gender was associated with time to
   return to first full-time job.
   Conclusion: The findings underscore the importance of using pre-injury
   education and opportunities to return to the pre-injury employer to
   minimize the length of time until initiation of employment after SCI.
   Spinal Cord (2010) 48, 487-491; doi: 10.1038/sc.2009.157; published
   online 24 November 2009
ZA 0
ZS 0
ZB 14
TC 40
ZR 0
Z8 0
Z9 40
U1 0
U2 6
SN 1362-4393
UT WOS:000278321900009
PM 19935754
ER

PT J
AU Cho, Alex H.
   Arar, Nedal H.
   Edelman, David E.
   Hartwell, Patricia H.
   Oddone, Eugene Z.
   Yancy, William S., Jr.
TI Do Diabetic Veterans Use the Internet? Self-Reported Usage, Skills, and
   Interest in Using My HealtheVet Web Portal
SO TELEMEDICINE JOURNAL AND E-HEALTH
VL 16
IS 5
BP 595
EP 602
DI 10.1089/tmj.2009.0164
PD JUN 2010
PY 2010
AB Objective: The Veterans Health Administration has developed My
   HealtheVet (MHV), a Web-based portal that links veterans to their care
   in the veteran affairs (VA) system. The objective of this study was to
   measure diabetic veterans' access to and use of the Internet, and their
   interest in using MHV to help manage their diabetes. Materials and
   Methods: Cross-sectional mailed survey of 201 patients with type 2
   diabetes and hemoglobin A(1c) > 8.0% receiving primary care at any of
   five primary care clinic sites affiliated with a VA tertiary care
   facility. Main measures included Internet usage, access, and attitudes;
   computer skills; interest in using the Internet; awareness of and
   attitudes toward MHV; demographics; and socioeconomic status. Results: A
   majority of respondents reported having access to the Internet at home.
   Nearly half of all respondents had searched online for information about
   diabetes, including some who did not have home Internet access. More
   than a third obtained "some'' or "a lot'' of their health-related
   information online. Forty-one percent reported being "very interested''
   in using MHV to help track their home blood glucose readings, a third of
   whom did not have home Internet access. Factors associated with being
   "very interested'' were as follows: having access to the Internet at
   home (p < 0.001), "a lot/some'' trust in the Internet as a source of
   health information (p = 0.002), lower age (p = 0.03), and some college
   (p = 0.04). Neither race (p = 0.44) nor income (p = 0.25) was
   significantly associated with interest in MHV. Conclusions: This study
   found that a diverse sample of older VA patients with sub-optimally
   controlled diabetes had a level of familiarity with and access to the
   Internet comparable to an age-matched national sample. In addition,
   there was a high degree of interest in using the Internet to help manage
   their diabetes.
OI Edelman, David/0000-0001-7112-6151
ZR 0
Z8 0
ZS 0
ZB 4
ZA 0
TC 42
Z9 42
U1 0
U2 9
SN 1530-5627
UT WOS:000279178400011
PM 20575727
ER

PT J
AU Sanya, Emmanuel O.
   Ayodele, Olugbenga E.
   Olanrewaju, Timothy O.
TI Interest in neurology during medical clerkship in three Nigerian medical
   schools
SO BMC MEDICAL EDUCATION
VL 10
AR 36
DI 10.1186/1472-6920-10-36
PD MAY 20 2010
PY 2010
AB Background: This study sought to ascertain perception of Nigerian
   medical students of neurology in comparison with 7 other major medical
   specialties. To also determine whether neurology was the specialty
   students consider most difficult and the reasons for this and to
   appraise their opinion on how neurosciences and neurology were taught in
   their different universities.
   Methods: Self-administered questionnaires were used to obtain
   information from randomly selected clinical students from 3 medical
   colleges in Nigeria (University of Ibadan, Ibadan; University of Ilorin,
   Ilorin; Ladoke Akintola University of Technology, Osogbo).
   Results: Of 320 questionnaires sent out, 302 were returned given 94%
   response rate. Students felt they knew neurology least of all the 8
   medical specialties, and were not confident of making neurological
   diagnoses. About 82% of the students indicated they learnt neurology
   best from bedside teaching, followed by use of medical textbooks. Close
   to 15% found online resources very useful for learning neurology and 6%
   indicated that group discussion was quite useful in the acquisition of
   knowledge on neurology. Histology and biochemistry were the preclinical
   subjects participants opined were least useful in learning neurology.
   The most frequent reasons students felt neurology was difficult were
   problems with understanding neuroanatomy (49%), insufficient exposure to
   neurological cases (41%), too many complex diagnoses (32%) and
   inadequate neurology teachers (32%).
   Conclusions: Nigerian medical students perceived neurology as the most
   difficult medical specialty and are not interested in specializing in
   it. Neurology education could be improved upon by provision of more
   bedside tutorials and increased availability of online resources to
   enhance learning. There is need to emphasize increased frequency of
   small group discussions amongst students so that they will be used to
   teamwork after graduation.
OI Ayodele, Olugbenga/0000-0003-3383-4127
Z8 0
ZS 2
ZR 0
ZA 0
TC 16
ZB 2
Z9 18
U1 0
U2 7
EI 1472-6920
UT WOS:000284843300002
PM 20487554
ER

PT J
AU Michielsen, Kristien
   Chersich, Matthew F.
   Luchters, Stanley
   De Koker, Petra
   Van Rossem, Ronan
   Temmerman, Marleen
TI Effectiveness of HIV prevention for youth in subSaharan Africa:
   systematic review and meta-analysis of randomized and nonrandomized
   trials
SO AIDS
VL 24
IS 8
BP 1193
EP 1202
DI 10.1097/QAD.0b013e3283384791
PD MAY 15 2010
PY 2010
AB Objective: Systematically assess the effectiveness of HIV-prevention
   interventions in changing sexual behaviour of young people (10-25 years)
   in sub-Saharan Africa.
   Methods: Three online databases were searched using prespecified terms.
   Additional articles were identified on websites of international
   organizations and by searching bibliographies. Randomized and
   nonrandomized trials of interventions aiming to reduce risk behaviour
   were included as well as single-arm studies reporting effects of
   differential exposure to an intervention. Data were extracted
   independently in duplicate using predefined data fields.
   Results: Thirty-one studies on 28 interventions met the inclusion
   criteria, including 11 randomized trials. Difficulties with implementing
   planned activities were reportedly common and differential exposure to
   intervention was high. Two hundred and seventeen outcome measures were
   extracted: 88 early (within 1 year of intervention) and 129 late
   outcomes (more than 1 year after the end of the intervention). Sex
   education and condom promotion among youth did not increase sexual
   behaviour as well as risky sexual behaviour. No positive effects on
   sexual behaviour were detected either and condom use at last sex only
   increased among males [relative risk 1.46; 95% confidence interval
   1.31-1.64]. One study reported a reduction of herpes simplex virus-2,
   but not HIV incidence.
   Conclusion: There remains a stark mismatch between the HIV burden in
   youth and the number of attempts to design and test prevention
   interventions -only two trials report biological outcomes. More
   effective interventions targeting youth are needed. Attention should go
   to studying implementation difficulties, sex differences in responses to
   interventions, determinants of exposure to interventions and perhaps
   inclusion of other factors apart from HIV/ AIDS which influence sexual
   behaviour. (C) 2010 Wolters Kluwer Health | Lippincott Williams &
   Wilkins
OI Luchters, Stanley/0000-0001-5235-5629; Michielsen,
   Kristien/0000-0002-4119-6770; chersich, matthew/0000-0002-4320-9168
TC 125
Z8 2
ZS 3
ZB 32
ZR 0
ZA 0
Z9 129
U1 0
U2 29
SN 0269-9370
EI 1473-5571
UT WOS:000277079400013
PM 20375876
ER

PT J
AU Bekkers, Marie-Jet
   Simpson, Sharon A.
   Dunstan, Frank
   Hood, Kerry
   Hare, Monika
   Evans, John
   Butler, Christopher C.
CA STAR Study Team
TI Enhancing the quality of antibiotic prescribing in Primary Care:
   Qualitative evaluation of a blended learning intervention
SO BMC FAMILY PRACTICE
VL 11
AR 34
DI 10.1186/1471-2296-11-34
PD MAY 7 2010
PY 2010
AB Background: The Stemming the Tide of Antibiotic Resistance ( STAR)
   Educational Program aims to enhance the quality of antibiotic
   prescribing and raise awareness about antibiotic resistance among
   general medical practitioners. It consists of a seven part, theory-based
   blended learning program that includes online reflection on clinicians'
   own practice, presentation of research evidence and guidelines, a
   practice-based seminar focusing on participants' own antibiotic
   prescribing and resistance rates in urine samples sent from their
   practice, communication skills training using videos of simulated
   patients in routine surgeries, and participation in a web forum.
   Effectiveness was evaluated in a randomised controlled trial in which
   244 GPs and Nurse Practitioners and 68 general practices participated.
   This paper reports part of the process evaluation of that trial.
   Methods: Semi-structured, digitally recorded, and transcribed telephone
   interviews with 31 purposively sampled trial participants analysed using
   thematic content analysis.
   Results: The majority of participants reported increased awareness of
   antibiotic resistance, greater self-confidence in reducing antibiotic
   prescribing and at least some change in consultation style and
   antibiotic prescribing behaviour. Reported practical changes included
   adopting a practice-wide policy of antibiotic prescription reduction.
   Many GPs also reported increased insight into patients' expectations,
   ultimately contributing to improved doctor-patient rapport. The
   components of the intervention put forward as having the greatest
   influence on changing clinician behaviour were the up-to-date research
   evidence resources, simple and effective communication skills presented
   in on-line videos, and presentation of the practice's own antibiotic
   prescribing levels combined with an overview of local resistance data.
   Conclusion: Participants regarded this complex blended learning
   intervention acceptable and feasible, and reported wide-ranging,
   positive changes in attitudes and clinical practice as a result of
   participating in the STAR Educational Program.
RI Hood, Kerenza/C-2528-2008; Butler, Christopher/; Simpson, Sharon Anne/
OI Hood, Kerenza/0000-0002-5268-8631; Butler,
   Christopher/0000-0002-0102-3453; Simpson, Sharon
   Anne/0000-0002-6219-1768
ZS 1
ZB 11
ZA 0
ZR 0
TC 37
Z8 0
Z9 37
U1 0
U2 28
EI 1471-2296
UT WOS:000279851500001
PM 20459655
ER

PT J
AU McCandliss, Bruce D.
TI Educational neuroscience: The early years
SO PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF
   AMERICA
VL 107
IS 18
BP 8049
EP 8050
DI 10.1073/pnas.1003431107
PD MAY 4 2010
PY 2010
ZR 0
ZA 0
TC 31
Z8 1
ZS 1
ZB 8
Z9 32
U1 0
U2 22
SN 0027-8424
UT WOS:000277310400003
PM 20421482
ER

PT J
AU Blas, Magaly M.
   Alva, Isaac E.
   Carcamo, Cesar P.
   Cabello, Robinson
   Goodreau, Steven M.
   Kimball, Ann M.
   Kurth, Ann E.
TI Effect of an Online Video-Based Intervention to Increase HIV Testing in
   Men Who Have Sex with Men in Peru
SO PLOS ONE
VL 5
IS 5
AR e10448
DI 10.1371/journal.pone.0010448
PD MAY 3 2010
PY 2010
AB Background: Although many men who have sex with men (MSM) in Peru are
   unaware of their HIV status, they are frequent users of the Internet,
   and can be approached by that medium for promotion of HIV testing.
   Methods: We conducted an online randomized controlled trial to compare
   the effect of HIV-testing motivational videos versus standard public
   health text, both offered through a gay website. The videos were
   customized for two audiences based on self-identification: either gay or
   non-gay men. The outcomes evaluated were 'intention to get tested' and
   'HIV testing at the clinic.'
   Findings: In the non-gay identified group, 97 men were randomly assigned
   to the video-based intervention and 90 to the text-based intervention.
   Non-gay identified participants randomized to the video-based
   intervention were more likely to report their intention of getting
   tested for HIV within the next 30 days (62.5% vs. 15.4%, Relative Risk
   (RR): 2.77, 95% Confidence Interval (CI): 1.42-5.39). After a mean of
   125.5 days of observation (range 42-209 days), 11 participants
   randomized to the video and none of the participants randomized to text
   attended our clinic requesting HIV testing (p = 0.001). In the
   gay-identified group, 142 men were randomized to the video-based
   intervention and 130 to the text-based intervention. Gay-identified
   participants randomized to the video were more likely to report
   intentions of getting an HIV test within 30 days, although not
   significantly (50% vs. 21.6%, RR: 1.54, 95% CI: 0.74-3.20). At the end
   of follow up, 8 participants who watched the video and 10 who read the
   text visited our clinic for HIV testing (Hazard Ratio: 1.07, 95% CI:
   0.40-2.85).
   Conclusion: This study provides some evidence of the efficacy of a
   video-based online intervention in improving HIV testing among
   non-gay-identified MSM in Peru. This intervention may be adopted by
   institutions with websites oriented to motivate HIV testing among
   similar MSM populations.
RI Goodreau, Steven/P-2366-2017; Kurth, Ann E/A-1615-2013; Goodreau, Steven/
OI Goodreau, Steven/0000-0003-1009-5763
ZS 3
ZB 17
Z8 1
ZR 0
ZA 0
TC 58
Z9 62
U1 0
U2 12
SN 1932-6203
UT WOS:000277240300021
PM 20454667
ER

PT J
AU Sierles, Frederick S.
TI Perspective: The Revolution Is Upon Us
SO ACADEMIC MEDICINE
VL 85
IS 5
BP 799
EP 805
DI 10.1097/ACM.0b013e3181d748b0
PD MAY 2010
PY 2010
AB Profound socioeconomic pressures on medical student education have been
   catalogued extensively. These pressures include teaching patient
   shortages, teacher shortages, conflicting systems, and financial
   problems. Many of these problems have been caused by an unregulated free
   market affecting medicine overall, with market values sometimes
   overshadowing the academic values of education, research, and patient
   care. This has caused profound changes in the conduct of medical student
   education. Particularly important has been a reduction in the "gold
   standard" of teaching: direct student-teacher and supervised
   student-patient interaction, replaced by a potpourri of online and
   simulated modules. The aggregate of these changes constitutes a
   revolution that challenges whether medical schools, school buildings,
   classes, and dedicated faculty are even necessary. The author posits
   several recommendations in response to this revolution: (1) recognize
   the revolution as such, and carefully guide or abort it, lest its
   outcome be inadequate, inauthentic, or corrupt, (2) prioritize academic
   rather than business values, (3) ensure that funds allotted for
   education are used for education, (4) insist that medical schools, not
   industry, teach students, (5) value authentic education more than
   simulation, (6) adopt learner-centered teaching without misusing it, (7)
   maintain acceptable class attendance without requiring it, (8) provide,
   from the first school day, authentic, patient-centered medical education
   characterized by vertical integration, humanism, early patient exposure,
   biopsychosocial orientation, and physician role modeling, (9) ensure
   that third-and fourth-year students have rich patient-care
   responsibility, and 10) keep tenure. These actions would permit the
   preservation of an educational gold standard that justifies medical
   education's cost.
Z8 0
ZB 0
ZS 1
ZR 0
ZA 0
TC 7
Z9 8
U1 0
U2 2
SN 1040-2446
EI 1938-808X
UT WOS:000279375600021
PM 20520029
ER

PT J
AU Schwartz, Alan
   Pappas, Cleo
   Sandlow, Leslie J.
TI Data Repositories for Medical Education Research: Issues and
   Recommendations
SO ACADEMIC MEDICINE
VL 85
IS 5
BP 837
EP 843
DI 10.1097/ACM.0b013e3181d74562
PD MAY 2010
PY 2010
AB The authors explore issues surrounding digital repositories with the
   twofold intention of clarifying their creation, structure, content, and
   use, and considering the implementation of a global digital repository
   for medical education research data sets-an online site where medical
   education researchers would be encouraged to deposit their data in order
   to facilitate the reuse and reanalysis of the data by other researchers.
   By motivating data sharing and reuse, investigators, medical schools,
   and other stakeholders might see substantial benefits to their own
   endeavors and to the progress of the field of medical education. The
   authors review digital repositories in medicine, social sciences, and
   education, describe the contents and scope of repositories, and present
   extant examples. The authors describe the potential benefits of a
   medical education data repository and report results of a survey of the
   Society for Directors of Research in Medicine Education, in which
   participants responded to questions about data sharing and a potential
   data repository. Respondents strongly endorsed data sharing, with the
   caveat that principal investigators should choose whether or not to
   share data they collect. A large majority believed that a repository
   would benefit their unit and the field of medical education. Few
   reported using existing repositories.
   Finally, the authors consider challenges to the establishment of such a
   repository, including taxonomic organization, intellectual property
   concerns, human subjects protection, technological infrastructure, and
   evaluation standards. The authors conclude with recommendations for how
   a medical education data repository could be successfully developed.
OI Schwartz, Alan/0000-0003-3809-6637
TC 7
ZB 0
ZR 0
Z8 1
ZS 0
ZA 0
Z9 8
U1 0
U2 13
SN 1040-2446
UT WOS:000279375600027
PM 20520037
ER

PT J
AU Cook, David A.
   Levinson, Anthony J.
   Garside, Sarah
   Dupras, Denise M.
   Erwin, Patricia J.
   Montori, Victor M.
TI Instructional Design Variations in Internet-Based Learning for Health
   Professions Education: A Systematic Review and Meta-Analysis
SO ACADEMIC MEDICINE
VL 85
IS 5
BP 909
EP 922
DI 10.1097/ACM.0b013e3181d6c319
PD MAY 2010
PY 2010
AB Purpose
   A recent systematic review (2008) described the effectiveness of
   Internet-based learning (IBL) in health professions education. A
   comprehensive synthesis of research investigating how to improve IBL is
   needed. This systematic review sought to provide such a synthesis.
   Method
   The authors searched MEDLINE, CINAHL, EMBASE, Web of Science, Scopus,
   ERIC, TimeLit, and the University of Toronto Research and Development
   Resource Base for articles published from 1990 through November 2008.
   They included all studies quantifying the effect of IBL compared with
   another Internet-based or computer-assisted instructional intervention
   on practicing and student physicians, nurses, pharmacists, dentists, and
   other health professionals. Reviewers working independently and in
   duplicate abstracted information, coded study quality, and grouped
   studies according to inductively identified themes.
   Results
   From 2,705 articles, the authors identified 51 eligible studies,
   including 30 randomized trials. The pooled effect size (ES) for learning
   outcomes in 15 studies investigating high versus low interactivity was
   0.27 (95% confidence interval, 0.08-0.46; P = .006). Also associated
   with higher learning were practice exercises (ES 0.40 [0.08-0.71; P =
   .01]; 10 studies), feedback (ES 0.68 [0.01-1.35; P = .047]; 2 studies),
   and repetition of study material (ES 0.19 [0.09-0.30; P < .001]; 2
   studies). The ES was 0.26 (-0.62 to 1.13; P = .57) for three studies
   examining online discussion. Inconsistency was large (I-2 >= 89%) in
   most analyses. Meta-analyses for other themes generally yielded
   imprecise results.
   Conclusions
   Interactivity, practice exercises, repetition, and feedback seem to be
   associated with improved learning outcomes, although inconsistency
   across studies tempers conclusions. Evidence for other instructional
   variations remains inconclusive.
RI Levinson, Anthony J./AAB-2735-2019; Montori, Victor/
OI Levinson, Anthony J./0000-0001-5240-6449; Montori,
   Victor/0000-0003-0595-2898
ZB 18
ZR 0
Z8 3
TC 307
ZA 0
ZS 5
Z9 316
U1 3
U2 109
SN 1040-2446
EI 1938-808X
UT WOS:000279375600038
PM 20520049
ER

PT J
AU Nassab, Reza
   Hamnett, Nathan
   Nelson, Kate
   Kaur, Simranjit
   Greensill, Beverley
   Dhital, Sanjiv
   Juma, Ali
TI Cosmetic Tourism: Public Opinion and Analysis of Information and Content
   Available on the Internet
SO AESTHETIC SURGERY JOURNAL
VL 30
IS 3
BP 465
EP 469
DI 10.1177/1090820X10374104
PD MAY-JUN 2010
PY 2010
AB Background: The medical tourism market is a rapidly growing sector
   fueled by increasing health care costs, longer domestic waiting times,
   economic recession, and cheaper air travel.
   Objectives: The authors investigate public opinion on undergoing
   cosmetic surgery abroad and then explore the information patients are
   likely to encounter on the Internet when searching for such services.
   Methods: A poll of 197 members of the general public was conducted in
   the United Kingdom. An Internet search including the terms plastic
   surgery abroad was conducted, and the first 100 relevant sites were
   reviewed.
   Results: Of the 197 respondents, 47% had considered having some form of
   cosmetic surgery. Most (97%) would consider going abroad for their
   procedure. The Internet was a source of information for 70%. The review
   of the first 100 sites under "plastic surgery abroad" revealed that most
   centers were located in Eastern Europe (26%), South America (14%), and
   the Far East (11%). Exploring the information provided on the Web sites,
   we found 37% contained no information regarding procedures. Only 10% of
   sites contained any information about potential complications. Even less
   frequently mentioned (4%) were details of aftercare or follow-up
   procedures.
   Conclusions: The authors found that the overwhelming majority of
   respondents considering plastic surgery would also consider seeking
   cosmetic surgical treatment abroad. The Internet sites that appear most
   prominently in an online search contained a distinct lack of information
   for potential patients, particularly with regard to complications and
   aftercare. There is, therefore, a need for improved public awareness and
   education about the considerations inherent in medical tourism. The
   introduction of more stringent regulations for international centers
   providing such services should also be considered to help safeguard
   patients.
ZA 0
Z8 0
ZB 3
ZR 0
ZS 0
TC 40
Z9 40
U1 1
U2 48
SN 1090-820X
UT WOS:000298237400028
PM 20601579
ER

PT J
AU Noble, James
   Hechter, Frank J.
   Karaiskos, Nicholas
   Wiltshire, William A.
TI Motivational factors and future life plans of orthodontic residents in
   the United States
SO AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS
VL 137
IS 5
BP 623
EP 630
DI 10.1016/j.ajodo.2008.03.034
PD MAY 2010
PY 2010
AB Introduction: The purposes of this study were to investigate factors
   influencing career choice and identify future life plans of orthodontic
   residents in the United States. Methods: Program chairs and directors of
   all 65 orthodontic residency programs in the United States were
   contacted by e-mail and telephone for permission to e-mail their
   residents and invite them to take part in on online survey. A total of
   335 residents from 37 programs were invited to complete an anonymous
   57-item questionnaire in May 2007. Data were categorized, and basic
   statistics including chi-square comparative analyses were performed.
   Results: A total of 136 (40.60%) residents completed the survey. A
   "passion for orthodontics'' emerged as the most important factor
   (20.29%) influencing the decision to pursue orthodontics as a career,
   followed by "intellectual stimulation or challenge'' (18.12%). Most
   residents decided to become an orthodontist before they were in dental
   school (44.93%). Most residents (89.05%) plan to engage in private
   practice, and only 2 intend to pursue primarily an academic career. The
   average resident debt was $165,226 at the end of their program.
   Conclusions: The decision to become an orthodontist is often made early
   in life, before dental school, and a passion for orthodontics is the
   motivational factor. Residents plan to enter private practice and not
   pursue a career in academia. The current shortage of academics and
   orthodontic researchers will not be resolved from the current pool of
   orthodontic residents. A possible solution to the academic crisis is to
   change the selection criteria in programs to accept orthodontic
   residents who develop a passion for orthodontics while in dental school
   or to recruit primary researchers and teachers to the specialty.
   Residents plan to practice in an urban setting. Rural and underserviced
   areas will probably continue to experience shortages of orthodontists in
   the future. (Am J Orthod Dentofacial Orthop 2010;137:623-30)
TC 19
Z8 0
ZS 0
ZR 0
ZB 0
ZA 0
Z9 19
U1 0
U2 8
SN 0889-5406
EI 1097-6752
UT WOS:000277408200020
PM 20451781
ER

PT J
AU Chin, Jing Jih
TI Medical Professionalism in the Internet Age
SO ANNALS ACADEMY OF MEDICINE SINGAPORE
VL 39
IS 5
BP 345
EP 347
PD MAY 2010
PY 2010
ZA 0
ZB 1
ZR 0
TC 5
Z8 0
ZS 0
Z9 5
U1 0
U2 0
SN 0304-4602
UT WOS:000278435400001
PM 20535421
ER

PT J
AU Lopez Hidalgo, Maria Jesus
   Aguado Gomez, Alicia
   Sanchez Ruiz, Marceliana
   Garcia-Moreno Rodriguez, Gregoria
   Alejandre Lazaro, Gemma
TI How are the websites of pharmaceutical companies directed at users?
SO ATENCION PRIMARIA
VL 42
IS 5
BP 273
EP 277
DI 10.1016/j.aprim.2009.07.016
PD MAY 2010
PY 2010
AB Objective: To describe the content and structure of the websites of
   pharmaceutical companies (PC) with health information to patients.
   Design: Descriptive, cross-sectional.
   Main measurements: health topics treated, and 9 sections: objectives and
   target population; editorial policy, authoring, updating of content,
   personal data protection, interactivity, accessibility, advertising
   labels.
   Setting: Internet.
   Participants: All PC websites with patient health information in
   Spanish.
   Results: We studied 60 sites found. Most common: 19.3% neurology, mental
   health and 12% digestive diseases. Few specify the address of the person
   responsible for the site (51.7%), responsible for quality (10%) or the
   authors of the text (15%). Nearly 2/3 show the date of publication of
   content (66.7%), but only 13.3% updated. Privacy and data protection are
   mentioned in 65%, with only 28.3% allowing control of the use of
   personal data. Only 10% allow expressing doubts online and 1/3 of the
   sites have frequently asked questions. A total of 41.7% omitted to say
   their information does not replace medical advice. Educational materials
   (for children) can be downloaded in 11.7%. Almost all (93.3%) adapted
   their language to the recipient, but none are accessible to disabled
   people. The majority (86.7%) have the company logo on all pages. Only
   16.7% are fronts for advertising, and only 9 sites have a quality seal
   (HONcode).
   Conclusions: Pages are designed to give superficial information on a
   disease than directly advertise a particular brand or active ingredient.
   However, their reliability has to be low due to the authors and sources
   of information being unknown. If Internet health information was
   truthful and backed up by authors or appropriate information sources,
   the Internet could well be a genuine health education tool. (C) 2009
   Elsevier Espana, S.L. All rights reserved.
ZA 0
ZS 1
ZB 0
ZR 0
TC 5
Z8 0
Z9 6
U1 0
U2 2
SN 0212-6567
EI 1578-1275
UT WOS:000277656400007
PM 19959257
ER

PT J
AU Sanderson, Christine
   Tieman, Jennifer
TI CareSearch Online palliative care information for GPs
SO AUSTRALIAN FAMILY PHYSICIAN
VL 39
IS 5
BP 341
EP 343
PD MAY 2010
PY 2010
AB Background
   General practitioners have always been involved in providing palliative
   care. As Australia's population ages, the number of patients living with
   cancer and end stage chronic disease will increase.
   Objective
   This article looks at existing barriers to, and community expectations
   of, GP involvement in the provision of palliative care. It presents the
   CareSearch project as one initiative aimed at building GPs' awareness
   and skills in palliative care.
   Discussion
   Palliative care is traditionally viewed as being the intense care of a
   patient who is close to death. In recent years, the scope of palliative
   care has expanded to include patients who may live for many years with
   end stage organ failure or cancer. Care of these patients in the
   community inevitably involves input from the GP. Barriers to GPs'
   participation in palliative care include knowledge barriers and
   structural factors. Some GPs feel unprepared to deal with what they see
   as the complex clinical and psychosocial aspects of palliative care. A
   number of initiatives have been developed to build the awareness and
   skills of GPs in palliative care. The GP section of the CareSearch
   website has been specifically developed to provide knowledge, skills and
   practical advice for GPs who provide palliative care in the community.
RI Tieman, Jennifer/A-1293-2009; Tieman, Jennifer/
OI Tieman, Jennifer/0000-0002-2611-1900
ZS 0
Z8 0
ZR 0
ZB 1
TC 12
ZA 0
Z9 12
U1 0
U2 3
SN 0300-8495
UT WOS:000277631300021
PM 20485725
ER

PT J
AU Topolovec-Vranic, Jane
   Cullen, Nora
   Michalak, Alicja
   Ouchterlony, Donna
   Bhalerao, Shree
   Masanic, Cheryl
   Cusimano, Michael D.
TI Evaluation of an online cognitive behavioural therapy program by
   patients with traumatic brain injury and depression
SO BRAIN INJURY
VL 24
IS 5
BP 762
EP 772
DI 10.3109/02699051003709599
PD MAY 2010
PY 2010
AB Primary objective: The most frequently reported psychiatric symptom
   after traumatic brain injury (TBI) is depression. This study examined
   whether internet-delivered cognitive behaviour therapy (CBT) could be
   appropriate and effective for patients with mild or moderate TBI and
   depression.
   Methods and procedures: Patients were recruited for an at-home, 6-week
   internet-based CBT program (MoodGYM). Participants were assessed during
   this period by weekly telephone calls and at 12 months post-enrolment.
   Intervention completion rates, predictors of adherence, user feedback
   and changes in scores on validated depression scales were assessed.
   Main outcomes and results: Twenty-one patients were recruited: 64% and
   43% completed the 6-week intervention and the 12-month follow-up,
   respectively. Adherence rates were not predicted by demographic or
   injury characteristics in this small sample. Patients identified
   reading, memory and comprehension requirements as limitations of the
   program. Scores on the depression scales were significantly decreased
   upon completion of the intervention and at the 12-month follow-up.
   Conclusions: The MoodGYM program may be effective for treating symptoms
   of depression in patients with TBI. While adherence rates were not
   predicted by age, education level or injury severity, demands upon
   memory and concentration which may already be compromised in these
   patients need to be considered.
RI Cusimano, Michael/X-4059-2019; Topolovec-Vranic, Jane/A-5293-2013; Cullen, Nora/; Cusimano, Michael/
OI Topolovec-Vranic, Jane/0000-0001-7695-4212; Cullen,
   Nora/0000-0001-6359-9418; Cusimano, Michael/0000-0002-9989-0650
TC 57
ZS 0
ZA 0
ZR 0
Z8 0
ZB 11
Z9 57
U1 0
U2 23
SN 0269-9052
UT WOS:000277391300009
PM 20370383
ER

PT J
AU White, Ian
TI A simple, low-cost stereographic video capture and viewing solution for
   teaching psychomotor skills using online delivery
SO BRITISH JOURNAL OF EDUCATIONAL TECHNOLOGY
VL 41
IS 3
BP 420
EP 431
DI 10.1111/j.1467-8535.2009.00958.x
PD MAY 2010
PY 2010
AB It is recognised that the teaching of complex psychomotor skills using
   online delivery is difficult without the support of either face-to-face
   coaching and tuition or a stereoscopic viewing system that provides
   users with a feel for the spatial nature of the skills being taught. To
   date, the limitations of bandwidth, and the high cost and sophistication
   of existing three-dimensional video production and viewing technologies
   have limited the use of stereoscopic video imaging to highly funded
   fields, such as sports and medical research or military applications.
   The advent of desktop video editing software, along with personal video
   players (such as the Apple iPod and iPhone) with small screens utilising
   efficient video codecs, means that high-quality video podcasts can now
   be effectively created and delivered via the Internet. Combining these
   new video technologies with a conventional analogue stereo viewing and
   capture system makes the production of stereoscopic video potentially
   much more accessible to educators as a practical teaching tool. This
   paper seeks to alert educational designers to an exploratory study into
   a potentially useful methodology for the capture, production,
   dissemination and viewing of stereoscopic video images using existing,
   low-cost technologies. Aside from the production of a simple viewer, the
   process is straightforward and requires only basic and readily available
   equipment. Applications in education as well as vocational and sports
   training are self-evident.
Z8 0
TC 2
ZA 0
ZR 0
ZB 0
ZS 0
Z9 2
U1 0
U2 7
SN 0007-1013
EI 1467-8535
UT WOS:000276776400020
ER

PT J
AU Wahidi, Momen M.
   Silvestri, Gerard A.
   Coakley, Raymond D.
   Ferguson, J. Scott
   Shepherd, R. Wesley
   Moses, Leonard
   Conforti, John
   Que, Loretta G.
   Anstrom, Kevin J.
   McGuire, Franklin
   Colt, Henri
   Downie, Gordon H.
TI A Prospective Multicenter Study of Competency Metrics and Educational
   Interventions in the Learning of Bronchoscopy Among New Pulmonary
   Fellows
SO CHEST
VL 137
IS 5
BP 1040
EP 1049
DI 10.1378/chest.09-1234
PD MAY 2010
PY 2010
AB Background: Learning medical procedures relies predominantly on the
   apprenticeship model, and competency is established based on the number
   of performed procedures. Our study aimed to establish bronchoscopy
   competency metrics based on performance and enhanced learning with
   educational interventions.
   Methods: We conducted a prospective study of the acquisition of
   bronchoscopy skills and cognitive knowledge in two successive cohorts of
   new pulmonary fellows between July 5, 2006, and June 30, 2008. At
   prespecified milestones, validated tools were used for testing: the
   Bronchoscopy Skills and Tasks Assessment Tool (BSTAT), an objective
   evaluation of bronchoscopy skills with scores ranging from 0 to 24, and
   written multiple-choice questions examinations. The first cohort
   received training in bronchoscopy as per the standards set by each
   institution, whereas the second cohort received educational
   interventions, including training in simulation bronchoscopy and an
   online bronchoscopy curriculum.
   Results: There was significant variation among study participants in
   bronchoscopy skills at their 50th bronchoscopy, the minimum number
   previously set to achieve competency in bronchoscopy. An educational
   intervention of incorporating simulation bronchoscopy enhanced the speed
   of acquisition of bronchoscopy skills, as shown by the statistically
   significant improvement in mean BSTAT scores for seven of the eight
   milestone bronchoscopies (P < .05). The online curriculum did not
   improve the performance on the written tests; however, compliance of the
   learners with the curriculum was low.
   Conclusions: Performance-based competency metrics can be used to
   evaluate bronchoscopy skills. Educational interventions, such as
   simulation-based training, accelerated the acquisition of bronchoscopy
   skills among first-year pulmonary fellows as assessed by a validated
   objective assessment tool. CHEST 2010; 137(5):1040-1049
ZB 22
Z8 0
ZR 1
TC 92
ZS 2
ZA 0
Z9 94
U1 0
U2 1
SN 0012-3692
EI 1931-3543
UT WOS:000277542300008
PM 19858234
ER

PT J
AU Simon, Christian
   Schramm, Sarah
   Hillis, Stephen
TI Patient internet use surrounding cancer clinical trials: Clinician
   perceptions and responses
SO CONTEMPORARY CLINICAL TRIALS
VL 31
IS 3
BP 229
EP 234
DI 10.1016/j.cct.2010.03.003
PD MAY 2010
PY 2010
AB Clinician perceptions of patient internet use related to clinical trials
   are not well documented. This exploratory study surveyed how cancer care
   providers at one NCI-designated cancer center viewed patient internet
   use surrounding cancer trials, including whether it affected patient
   decision making regarding trial enrollment. The sample included 20
   oncologists (59%) and 14(41%) nurses (n = 34). Most clinicians (n = 26;
   76%) perceived the internet as having an effect on whether or not
   patients decided to enroll in a cancer trial. Two thirds (n = 17; 65%)
   felt that this effect was positive, including in terms of enhancing
   patient knowledge of, access to, and enrollment in trials. Clinicians
   were asked if they ever discussed with their patients the topic of going
   online to find out more about cancer trials. Over half (n = 18; 58%) who
   responded (n = 31) to this item said yes; the rest (n = 13; 42%) said
   no. The majority (n = 10; 77%) in the "no" category were among those who
   reported that the internet had an effect on patient decision making.
   These data provisionally suggest that clinicians may see the internet as
   having mostly a positive effect on patient decision making about cancer
   trials, but that their communication efforts with patients do not always
   logically follow from this perception. Provider-patient discussion about
   internet use may be an opportunity for clinicians to contribute to
   improved patient knowledge of and enrollment in cancer trials. More
   research is needed to confirm and explain the gap between clinician
   perception and communication regarding trial-related internet use by
   cancer patients. (C) 2010 Elsevier Inc. All rights reserved.
OI Hillis, Stephen/0000-0002-4886-8584
TC 5
Z8 0
ZR 0
ZS 0
ZA 0
ZB 0
Z9 5
U1 0
U2 2
SN 1551-7144
EI 1559-2030
UT WOS:000277811300006
PM 20227523
ER

PT J
AU Huffman, Mark D.
   Galloway, James M.
TI Cardiovascular Health in Indigenous Communities: Successful Programs
SO HEART LUNG AND CIRCULATION
VL 19
IS 5-6
SI SI
BP 351
EP 360
DI 10.1016/j.hlc.2010.02.013
PD MAY-JUN 2010
PY 2010
AB Background: Indigenous people across the globe have generally had
   suboptimal access to quality medical care and effective prevention
   programs. The available programs that existed have generally been poorly
   funded and have primarily focussed on infectious diseases. More recent
   trends denoting significant rising morbidity and mortality of chronic
   diseases have brought some limited medical focus on cardiovascular
   diseases, their risk factors and their prevention. However, there is a
   growing body of evidence published and unpublished of developed and
   developing successful programs to provide culturally appropriate and
   sensitive treatment for cardiovascular diseases and prevention. Within
   this report, we aim to describe some of these programs in order to
   understand common approaches and links that make them successful. Once
   this survey is completed, a template for successful CVD programs can be
   created for the development of future programs.
   Methods: We used several methods to gather information about successful
   Indigenous CVD programs: Pub Med search (keywords: Indigenous, native,
   First Nation, Aboriginal, cardiovascular, cardiac, etc.), online
   searches of government-based health programs (World Health Organization,
   Centers for Disease Control, etc.) and non-government health programs
   (World Heart Federation, Bill & Melinda Gates Foundation, etc.), and,
   importantly, personal communication with multiple thought leaders and
   program directors in the field of international CVD treatment and
   prevention.
   Results: Programs can be divided into: (1) epidemiologic programs, which
   focus on data collection, (2) focussed prevention programs and
   population approach to CVD prevention, and (3) clinical prevention and
   intervention programs.
   Discussion: Common themes that define successful Indigenous CVD programs
   include: dedicated focus on the Indigenous population, widespread
   community involvement within the Indigenous population, often through
   the use of Indigenous community health workers, a focus on high-risk
   individuals within the population and regularly scheduled contact
   between the program and participants. We recommend that these themes are
   incorporated during development of future CVD programs for Indigenous
   people. (Heart, Lung and Circulation 2010;19:351-360) (C) 2010
   Australasian Society of Cardiac and Thoracic Surgeons and the Cardiac
   Society of Australia and New Zealand. All rights reserved.
CT 1st Indigenous Cardiovascular Health Conference of the
   Cardiac-Society-of-Australia-and-New-Zealand
CY AUG 16-17, 2009
CL Sydney, AUSTRALIA
SP Cardiac Soc Australia & New Zealand
OI Huffman, Mark/0000-0001-7412-2519
ZR 0
ZB 1
TC 20
ZA 0
ZS 0
Z8 0
Z9 20
U1 0
U2 15
SN 1443-9506
EI 1444-2892
UT WOS:000278768400014
PM 20359950
ER

PT J
AU De Rivas, Beatriz
   Barrios, Vivencio
   Redon, Josep
   Calderon, Alberto
TI Effectiveness of an Interventional Program to Improve Blood Pressure
   Control in Hypertensive Patients at High Risk for Developing Heart
   Failure: HEROIC Study
SO JOURNAL OF CLINICAL HYPERTENSION
VL 12
IS 5
BP 335
EP 344
DI 10.1111/j.1751-7176.2010.00271.x
PD MAY 2010
PY 2010
AB The Efectividad de un Programa de Intervencion en el Control de la
   Presion Arterial de los Hipertensos en Riesgo de Desarrollar
   Insuficiencia Cardiaca (HEROIC) study was designed to assess whether an
   educational program for primary care physicians could improve blood
   pressure (BP) control in hypertensive patients at high risk for
   developing heart failure. The program contained a combination of
   educational training (live group sessions or online training) and
   information feedback. Two hundred twenty-six physicians completed the
   program and provided valid data in 2489 patients before and 2168 after 1
   year. There was a small but significant reduction of -1.1 mm Hg (P=.009)
   in systolic BP and a higher proportion of patients achieved their BP
   target (13.6% vs 15.6%, P=.055). Thus, the authors concluded that there
   was a slight improvement in BP control after the educational program,
   but this change was not sufficient to avoid development of heart
   failure. More complex and intensive programs are needed for this type of
   prevention.
RI Redon, Josep/L-5997-2019; REDON, JOSEP/E-1719-2019
OI Redon, Josep/0000-0001-8777-6773; 
ZA 0
ZS 1
TC 16
ZR 2
Z8 0
ZB 4
Z9 17
U1 0
U2 6
SN 1524-6175
EI 1751-7176
UT WOS:000277302200004
PM 20546374
ER

PT J
AU Bereknyei, Sylvia
   Nevins, Andrew
   Schillinger, Erika
   Garcia, Ronald D.
   Stuart, A. Elizabeth
   Braddock, Clarence H., III
TI Beyond Knowledge, Toward Linguistic Competency: An Experiential
   Curriculum
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 25
BP S155
EP S159
DI 10.1007/s11606-010-1271-7
SU 2
PD MAY 2010
PY 2010
AB INTRODUCTION/AIMS: Training is essential for future health care
   providers to effectively communicate with limited English proficient
   (LEP) patients during interpreted encounters. Our aim is to describe an
   innovative skill-based medical school linguistic competency curriculum
   and its impact on knowledge and skills.
   SETTING: At Stanford University School of Medicine, we incorporated a
   linguistic competency curriculum into a 2-year Practice of Medicine
   preclinical doctoring course and pediatrics clerkship over three
   cohorts.
   PROGRAM DESCRIPTION: First year students participated in extensive
   interpreter-related training including: a knowledge-based online module,
   interactive role-play exercises, and didactic skill-building sessions.
   Students in the pediatrics clerkship participated in interpreted
   training exercises with facilitated feedback.
   PROGRAM EVALUATION: Knowledge and skills were evaluated in the first and
   fourth years. First year students' knowledge scores increased
   (pre-test=0.62, post-test=0.89, P<0.001), and they demonstrated good
   skill attainment during an end-year performance assessment. One cohort
   of students participated in the entire curriculum and maintained
   performance into the fourth year.
   DISCUSSION: Our curriculum increased knowledge and led to skill
   attainment, each of which showed good durability for a cohort of
   students evaluated 3 years later. With a growing LEP population, these
   skills are essential to foster in future health care providers to
   effectively communicate with LEP patients and reduce health disparities.
RI Merrell, Sylvia Bereknyei/AAB-2813-2019
OI Merrell, Sylvia Bereknyei/0000-0002-5525-0379
TC 6
Z8 0
ZR 0
ZB 0
ZA 0
ZS 0
Z9 6
U1 0
U2 10
SN 0884-8734
EI 1525-1497
UT WOS:000277270300016
PM 20352511
ER

PT J
AU Baran, Szczepan W.
   Johnson, Elizabeth J.
   Kehler, James
   Hankenson, F. Claire
TI Development and Implementation of Multimedia Content for an Electronic
   Learning Course on Rodent Surgery
SO JOURNAL OF THE AMERICAN ASSOCIATION FOR LABORATORY ANIMAL SCIENCE
VL 49
IS 3
BP 307
EP 311
PD MAY 2010
PY 2010
AB The development of new rodent models of human disease and advances in
   surgical equipment and technologies have increased the demand for
   expertise in rodent surgery. Because of the limited availability of
   rodent surgical training courses, electronic (e-) learning is presented
   as an alternative to in-person education and as a means to hone the
   expertise of current surgeons in biomedical research, similar to
   e-learning applications for human surgery training. Translating this
   model to the biomedical research field provides participants with an
   opportunity to train themselves on rodent surgical techniques prior to
   operating on live models. An e-learning rodent surgery course was
   incorporated into a training class of undergraduate (n = 39) and
   graduate (n = 12) laboratory animal students, and a portion of the
   course was presented to laboratory animal professionals (n = 15). The
   effectiveness of the method was evaluated using written examination and
   postcourse surveys. The exam data demonstrated that the e-learning
   course transferred knowledge comparable to a lecture course on surgery
   that was presented in-person. Students responded favorably to videos,
   step-by-step photographs of surgical procedures, and the ready
   accessibility of the course. Critiques included the need to improve
   video resolution and quality of the voice-overs. These results support
   the continued development and implementation of electronic rodent
   surgical technique courses for use in laboratory animal and biomedical
   research communities.
ZS 0
ZB 2
TC 7
ZR 0
Z8 0
ZA 0
Z9 7
U1 0
U2 4
SN 1559-6109
UT WOS:000277895200010
PM 20587161
ER

PT J
AU Sukhlecha, Anupama
TI Online matchmaking enables large-scale individual mentoring
SO MEDICAL EDUCATION
VL 44
IS 5
BP 492
EP 492
DI 10.1111/j.1365-2923.2010.03664.x
PD MAY 2010
PY 2010
RI Dimitriadis, Konstantinos/D-3697-2016; Störmann, Sylvère/AAI-4079-2021
OI Störmann, Sylvère/0000-0002-5465-3491
ZR 0
ZS 0
ZB 0
ZA 0
Z8 0
TC 7
Z9 7
U1 1
U2 1
SN 0308-0110
UT WOS:000276495300012
PM 20518989
ER

PT J
AU Huwendiek, Soeren
   de Leng, Bas A.
TI Online spaced education to supplement live courses
SO MEDICAL EDUCATION
VL 44
IS 5
BP 519
EP 519
DI 10.1111/j.1365-2923.2010.03665.x
PD MAY 2010
PY 2010
RI Huwendiek, Sören/ABD-9244-2020
OI Huwendiek, Sören/0000-0001-6116-9633
Z8 0
TC 0
ZS 0
ZR 0
ZB 0
ZA 0
Z9 0
U1 0
U2 0
SN 0308-0110
UT WOS:000276495300047
PM 20374457
ER

PT J
AU Nallasamy, Sudha
   Uhler, Tara
   Nallasamy, Nambi
   Tapino, Paul J.
   Volpe, Nicholas J.
TI Ophthalmology Resident Selection: Current Trends in Selection Criteria
   and Improving the Process
SO OPHTHALMOLOGY
VL 117
IS 5
BP 1041
EP 1047
DI 10.1016/j.ophtha.2009.07.034
PD MAY 2010
PY 2010
AB Objective: To document and assess current ophthalmology resident
   selection practices as well as to initiate discussion on how best to
   improve the process.
   Design: Online survey comprising 56 questions.
   Participants: Program directors, chairpersons, or members of the
   resident selection committee representing 65 United States ophthalmology
   residency programs accredited by the Accreditation Council on Graduate
   Medical Education.
   Methods: Study participants completed an online, anonymous survey
   consisting primarily of multiple choice questions, with single or
   multiple answers.
   Main Outcome Measures: Ophthalmology resident selection practices were
   evaluated and included: screening of applications, interview processes,
   selection factors, and formation of rank lists; recommendations given to
   applicants; and respondent satisfaction with the current selection
   process.
   Results: As a group, survey respondents deemed the following factors
   most important in resident selection: interview performance (95.4%),
   clinical course grades (93.9%), letters of recommendation (83.1%), and
   board scores (80%). Statistical analyses deemed that the best predictors
   of resident performance are interviews, clinical course grades,
   recommendation letters, and ophthalmology rotation performance.
   Conclusions: Ophthalmology resident selection is a relatively subjective
   process, continuing to rely heavily on cognitive factors. Because these
   factors are not always indicative of ultimate resident quality, it would
   be helpful if ophthalmology training programs improved selection
   practices to discern who most likely will become a successful resident
   and future ophthalmologist. Long-term studies correlating applicant
   attributes with residency and postresidency success are needed to
   recommend guidelines for a more standardized selection process.
RI Nallasamy, Nambi/L-8399-2019
OI Nallasamy, Nambi/0000-0001-7501-7198
ZA 0
TC 25
Z8 0
ZS 0
ZR 0
ZB 7
Z9 25
U1 0
U2 6
SN 0161-6420
EI 1549-4713
UT WOS:000277261800028
PM 20110128
ER

PT J
AU Roberts, Megan E.
   Gerrard, Meg
   Reimer, Rachel
   Gibbons, Frederick X.
TI Mother-Daughter Communication and Human Papillomavirus Vaccine Uptake by
   College Students
SO PEDIATRICS
VL 125
IS 5
BP 982
EP 989
DI 10.1542/peds.2009-2888
PD MAY 2010
PY 2010
AB OBJECTIVES: Although a human papillomavirus (HPV) vaccine has been
   available for more than 3 years, little research has documented the
   uptake and predictors of vaccination among older adolescents and young
   adult women. The purpose of this cross-sectional study was to examine
   the prevalence of HPV vaccination among college women across time and to
   explore the effect of mother-daughter communication on vaccination.
   METHODS: During the period of fall 2007 through fall 2009, a convenience
   sample of 972 female undergraduate students (aged 18-25) at a large
   Midwestern state university (89% white) completed a paper-and- pencil or
   online anonymous questionnaire that assessed their sexual-risk behavior,
   knowledge of HPV, perceptions of HPV risk, communication from their
   mothers about sex-related topics (including HPV), and their current
   vaccination status.
   RESULTS: Sixty-five percent of the women reported being sexually active,
   and 49% reported having received at least the first of the 3-shot
   vaccine series. The mother's approval of HPV vaccination,
   mother-daughter communication about sex, and daughter's perceptions of
   vulnerability to HPV were positively associated with vaccination status.
   Among the women who had not received any of the HPV shots, the mother's
   approval of HPV vaccination, perceived vulnerability to HPV, and risky
   sexual behavior were predictive of interest in receiving the vaccine.
   Mother-daughter communication about values related to sex was negatively
   associated with interest.
   CONCLUSIONS: Although many of these young women were old enough to
   receive the vaccine without their parents' consent, perception of their
   mother's approval and mother-daughter communication about sex were
   important predictors of vaccination. Pediatrics 2010;125:982-989
OI Reimer, Rachel/0000-0002-5285-3991
TC 88
ZS 1
Z8 0
ZR 0
ZB 23
ZA 0
Z9 88
U1 0
U2 4
SN 0031-4005
UT WOS:000277232800017
PM 20385645
ER

PT J
AU Santori, G.
   Valente, U.
TI Impact of the Italian Continuing Medical Education Program on the
   Research Production of a Transplantation Center: A Preliminary Analysis
SO TRANSPLANTATION PROCEEDINGS
VL 42
IS 4
BP 1025
EP 1028
DI 10.1016/j.transproceed.2010.03.038
PD MAY 2010
PY 2010
AB In Italy, a Continuing Medical Education (CME) program that engages
   about one million health professionals involved with different roles in
   National Health Service (physicians, nurses, biologists,
   pharmacologists, psychologists, veterinarians, technicians, etc) became
   officially mandatory on January 1, 2008. In Italy, the traditional form
   of acquiring CME credits is to attend lectures and conferences, while
   the main structured online service was dismissed in November 2008. The
   Italian Ministry of Health required health professionals to obtain 50
   credits/y, with no obligation toward scientific production. In this
   study, we have preliminarily evaluated the potential impact of a
   compulsory CME program on the research production of our transplantation
   center. We selected the research products published by surgeons (n = 10)
   and university researchers (n = 2) who were on duty in our center from
   1995 to 2007. For this period, Pub Med returned 89 research products
   with at least one surgeon/researcher of our center as author/coauthor.
   The mean number of published research products/y was 6.84 +/- 4.5. The
   number of expected research products for 2008 and 2009 on the basis of a
   time series analysis applied to the period 1995 to 2007 was 12.35 and
   12.91, respectively. A search in Pub Med restricted to 2008 and 2009
   (from January 1 to November 23) returned in both years eight research
   products. Considering that in our center there was no increase in volume
   activities or changes in whole working processes, it seems reasonable to
   assume that the new compulsory, time-consuming Italian CME program may
   have played a role in the decline of scientific production. A systematic
   monitoring should be started with the aim to investigate the potential
   impact of the Italian CME program on biomedical research output,
   especially for centers and disciplinary areas mainly involved in
   clinical research.
CT 33rd Congress of the Italian-Tranplantation-Society
CY DEC 13-15, 2009
CL Milan, ITALY
SP Italian Tranplantat Soc
RI Santori, Gregorio/E-8418-2012; Santori, Gregorio/
OI Santori, Gregorio/0000-0003-3764-2624
ZB 1
ZA 0
Z8 0
ZS 0
TC 2
ZR 0
Z9 2
U1 0
U2 0
SN 0041-1345
UT WOS:000278498000006
PM 20534215
ER

PT J
AU Hoybye, M. T.
   Dalton, S. O.
   Deltour, I.
   Bidstrup, P. E.
   Frederiksen, K.
   Johansen, C.
TI Effect of Internet peer-support groups on psychosocial adjustment to
   cancer: a randomised study
SO BRITISH JOURNAL OF CANCER
VL 102
IS 9
BP 1348
EP 1354
DI 10.1038/sj.bjc.6605646
PD APR 27 2010
PY 2010
AB BACKGROUND: We conducted a randomised study to investigate whether
   providing a self-guided Internet support group to cancer patients
   affected mood disturbance and adjustment to cancer.
   METHODS: Baseline and 1-, 6- and 12-month assessments were conducted
   from 2004 to 2006 at a national rehabilitation centre in Denmark. A
   total of 58 rehabilitation course weeks including 921 survivors of
   various cancers were randomly assigned to a control or an intervention
   group by cluster randomisation. The intervention was a lecture on the
   use of the Internet for support and information followed by
   participation in an Internet support group. Outcome measures included
   self-reported mood disturbance, adjustment to cancer and self-rated
   health. Differences in scores were compared between the control group
   and the intervention group.
   RESULTS: The effect of the intervention on mood disturbance and
   adjustment to cancer showed a transient difference at the 6- month
   follow-up, where the intervention group reported less reduction in
   anxious preoccupation (P = 0.04), helplessness (P = 0.002), confusion (P
   = 0.001) and depression (P = 0.04). Otherwise no significant effects
   were observed.
   CONCLUSION: We conclude that use of Internet-based support groups in
   cancer patients still needs to confirm long-lasting psychological
   effects. British Journal of Cancer (2010) 102, 1348-1354.
   doi:10.1038/sj.bjc.6605646 www.bjcancer.com (C) 2010 Cancer Research UK
RI Høybye, Mette Terp/K-2179-2013; Høybye, Mette Terp/I-3758-2019; Johansen, Christoffer/AAG-7916-2020; Dalton, Susanne Oksbjerg/; Bidstrup, Pernille/
OI Høybye, Mette Terp/0000-0001-6914-2697; Høybye, Mette
   Terp/0000-0001-6914-2697; Johansen, Christoffer/0000-0002-4384-206X;
   Dalton, Susanne Oksbjerg/0000-0002-5485-2730; Bidstrup,
   Pernille/0000-0002-9704-6800
ZS 1
ZB 9
Z8 2
ZR 0
TC 82
ZA 0
Z9 84
U1 0
U2 18
SN 0007-0920
UT WOS:000277098900006
PM 20424614
ER

PT J
AU Sisson, Stephen D.
   Hill-Briggs, Felicia
   Levine, David
TI How to improve medical education website design
SO BMC MEDICAL EDUCATION
VL 10
AR 30
DI 10.1186/1472-6920-10-30
PD APR 21 2010
PY 2010
AB Background: The Internet provides a means of disseminating medical
   education curricula, allowing institutions to share educational
   resources. Much of what is published online is poorly planned, does not
   meet learners' needs, or is out of date.
   Discussion: Applying principles of curriculum development, adult
   learning theory and educational website design may result in improved
   online educational resources. Key steps in developing and implementing
   an education website include: 1) Follow established principles of
   curriculum development; 2) Perform a needs assessment and repeat the
   needs assessment regularly after curriculum implementation; 3) Include
   in the needs assessment targeted learners, educators, institutions, and
   society; 4) Use principles of adult learning and behavioral theory when
   developing content and website function; 5) Design the website and
   curriculum to demonstrate educational effectiveness at an individual and
   programmatic level; 6) Include a mechanism for sustaining website
   operations and updating content over a long period of time.
   Summary: Interactive, online education programs are effective for
   medical training, but require planning, implementation, and maintenance
   that follow established principles of curriculum development, adult
   learning, and behavioral theory.
OI Hill-Briggs, Felicia/0000-0002-2804-3278
ZB 2
ZR 0
ZS 1
Z8 0
TC 21
ZA 0
Z9 22
U1 0
U2 15
EI 1472-6920
UT WOS:000284842500001
PM 20409344
ER

PT J
AU Salles de Souza, Eliana Pereira
   Sotello Cabrera, Eliana Marcia
   Braile, Domingo Marcolino
TI The article of the future
SO REVISTA BRASILEIRA DE CIRURGIA CARDIOVASCULAR
VL 25
IS 2
BP 141
EP 148
DI 10.1590/S0102-76382010000200003
PD APR-JUN 2010
PY 2010
AB Technological advances and the Internet have contributed to the
   increased disclosure and updating of knowledge and science. Scientific
   papers are considered the best form of disclosure of information and
   have been undergoing many changes, not on their way of development, but
   on the structure of publication. The Future paper, a name for this new
   structure, uses hypermediatic resources, allowing a quick, easy and
   organized access to these items online. The exchange of information,
   comments and criticisms can be performed in real time, providing agility
   in science disclosure. The trend for the future of documents, both from
   professionals or enterprises, is the "cloud computing", in which all
   documents will be developed and updated with the use of various
   equipments: computer, palm, netbook, ipad, without need to have the
   software installed on your computer, requiring only an Internet
   connection.
RI BRAILE, DOMINGO/B-8228-2008; Cabrera, Eliana/B-3190-2016
OI BRAILE, DOMINGO/0000-0001-7704-2258; Cabrera, Eliana/0000-0002-6967-5773
ZS 2
TC 2
ZB 0
Z8 0
ZR 0
ZA 0
Z9 3
U1 0
U2 0
SN 0102-7638
EI 1678-9741
UT WOS:000279986800003
PM 20802903
ER

PT J
AU Gulcu, Nebahat
   Bulut, Sefa
TI [Content analysis of websites directed to low back pain].
FT Bel agrisi konusuna yonelik internet sitelerinin icerik analizi.
SO Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the
   Turkish Society of Algology
VL 22
IS 2
BP 68
EP 72
PD 2010-Apr
PY 2010
AB OBJECTIVES: In this study, we aimed to evaluate the websites directed at
   providing information about low back pain with respect to their content
   and quality.
   METHODS: The websites were detected by scanning the words 'low back
   pain' from the Turkish pages module of the Google search portal. One
   hundred and fifty websites introduced on the first 20 pages were
   evaluated; the 65 websites determined to fulfill the desired criteria
   were analyzed in detail.
   RESULTS: Twenty of the 65 websites were excluded due to low quality,
   extraction from another website, sales promotion-related books/products,
   or qualified as news. In the majority of websites, no site administrator
   was indicated. When an administrator was indicated, the common
   specialities were physical therapists (13%), neurosurgeons (8%) and
   anesthesiologists (4%). Ten of the websites (22%) provided a pain
   definition close to international standards, whereas pain classification
   was available on most of the websites (84%). There was no mention of
   methods of pain scoring on any of them. Treatment modalities for which
   information was given included mostly behavioral, physical and
   pharmacological therapies, respectively. Complementary techniques, in
   order, included acupuncture, yoga and bioenergy. On 10 websites, text
   was supported with medical photographs, and videos were available on
   two. None of the websites had a provision for selection of other
   languages.
   CONCLUSION: Websites directed to low back pain should be enriched with
   respect to scientific content, thereby serving to increase the level of
   social education related to pain management.
Z8 0
ZB 0
ZR 0
ZA 0
TC 2
ZS 0
Z9 2
U1 0
U2 0
SN 1300-0012
UT MEDLINE:20582748
PM 20582748
ER

PT J
AU Draper, Brian
   Reutens, Sharon
   Subau, Doug
TI Workforce and advanced training survey of the RANZCP Faculty of
   Psychiatry of Old Age: issues and challenges for the field
SO AUSTRALASIAN PSYCHIATRY
VL 18
IS 2
BP 142
EP 145
DI 10.3109/10398560903314138
PD APR 2010
PY 2010
AB Objectives: There is concern that there are insufficient old age
   psychiatrists in an ageing population. We aim to describe the work
   patterns of old age psychiatrists in Australia and New Zealand in order
   to identify barriers to training and practice.
   Methods: Members of the Faculty of Psychiatry of Old Age (FPOA) and
   other psychiatrists who have completed the Certificate of Psychiatry of
   Old Age were notified of the online survey by email in October 2008.
   Results: Two hundred and twenty FPOA members resident in Australia and
   New Zealand were surveyed and 87 responded (56% male, mean age 49.2
   years). While 82% had a public appointment, 34% worked in private
   practice where barriers included the lack of a multidisciplinary team
   and remuneration. Only 18% of clinical time was in a rural or regional
   setting. High levels of job satisfaction (88%) were found, with the main
   factors being working with older people, working in a multidisciplinary
   team and the intellectual challenge. Advanced training was felt to be
   beneficial, though some weaknesses were identified.
   Conclusions: Old age psychiatry is a satisfying career with an advanced
   training program that is reported to be beneficial to practice. Because
   the old age psychiatry workforce will face mounting challenges over the
   next decades, it is imperative that planning for the future mental
   health needs of older Australians be commenced immediately.
ZA 0
TC 7
ZB 0
ZR 0
Z8 0
ZS 0
Z9 7
U1 0
U2 2
SN 1039-8562
UT WOS:000275891400009
PM 20102322
ER

PT J
AU Ferguson, P. E.
   Jordens, C. F. C.
   Gilroy, N. M.
TI Patient and family education in HSCT: improving awareness of respiratory
   virus infection and influenza vaccination. A descriptive study and brief
   intervention
SO BONE MARROW TRANSPLANTATION
VL 45
IS 4
BP 656
EP 661
DI 10.1038/bmt.2009.209
PD APR 2010
PY 2010
AB To prevent respiratory virus (RV) infection after hematopoietic SCT
   (HSCT), patient and household members are advised to have annual
   influenza vaccinations and avoid symptomatic contacts. The object of
   this study was to measure and increase patient/household awareness of RV
   infection and preventive measures. We used a self-administered
   questionnaire before/after a 5-min educational module (2006-2007) and
   interviews with HSCT patients (2005-2007). The subjects were patients
   and their households attending pre-HSCT education in an Australian HSCT
   Unit. Outcome measures were awareness of RV infection post-HSCT and
   effective prevention strategies; household influenza vaccination on
   admission for HSCT. In all, 139 out of 205 (68%) participants completed
   both questionnaires. Baseline knowledge of RV infection risk was high;
   knowledge of prevention was low. Intervention increased awareness that
   influenza post-HSCT could be fatal or require intensive care (68-87%, P
   = 0.003), knowledge of effective prevention strategies (41-78%, P <
   0.0001) including vaccination (11-58%, P < 0.0001), and belief among
   family/friends (but not patients) that household vaccination reduces
   influenza risk post-HSCT (57-97%, P < 0.0001 and 76-81%, P = 0.2,
   respectively). Household vaccination at HSCT admission was 71% for
   attenders and 30% for non-participants (RR 2.38, 95% confidence interval
   (CI) 1.49-3.80, P < 0.0001). We concluded that patient and family
   pre-HSCT education increases awareness of RV prevention strategies and
   household influenza vaccination. Bone Marrow Transplantation (2010) 45,
   656-661; doi:10.1038/bmt.2009.209; published online 17 August 2009
RI Ferguson, Patricia/AAN-9552-2020; Jordens, Christopher/
OI Jordens, Christopher/0000-0001-9454-1059
ZS 2
ZB 7
ZR 0
TC 17
Z8 0
ZA 0
Z9 18
U1 0
U2 3
SN 0268-3369
EI 1476-5365
UT WOS:000276373900007
PM 19684629
ER

PT J
AU Sininger, Yvonne S.
   Grimes, Alison
   Christensen, Elizabeth
TI Auditory Development in Early Amplified Children: Factors Influencing
   Auditory-Based Communication Outcomes in Children with Hearing Loss
SO EAR AND HEARING
VL 31
IS 2
BP 166
EP 185
DI 10.1097/AUD.0b013e3181c8e7b6
PD APR 2010
PY 2010
AB Objective: The purpose of this study was to determine the influence of
   selected predictive factors, primarily age at fitting of amplification
   and degree of hearing loss, on auditory-based outcomes in young children
   with bilateral sensorineural hearing loss.
   Design: Forty-four infants and toddlers, first identified with mild to
   profound bilateral hearing loss, who were being fitted with
   amplification were enrolled in the study and followed longitudinally.
   Subjects were otherwise typically developing with no evidence of
   cognitive, motor, or visual impairment. A variety of subject factors
   were measured or documented and used as predictor variables, including
   age at fitting of amplification, degree of hearing loss in the better
   hearing ear, cochlear implant status, intensity of oral education,
   parent-child interaction, and the number of languages spoken in the
   home. These factors were used in a linear multiple regression analysis
   to assess their contribution to auditory-based communication outcomes.
   Five outcome measures, evaluated at regular intervals in children
   starting at age 3, included measures of speech perception (Pediatric
   Speech Intelligibility and Online Imitative Test of Speech Pattern
   Contrast Perception), speech production (Arizona-3), and spoken language
   (Reynell Expressive and Receptive Language).
   Results: The age at fitting of amplification ranged from 1 to 72 mo, and
   the degree of hearing loss ranged from mild to profound. Age at fitting
   of amplification showed the largest influence and was a significant
   factor in all outcome models. The degree of hearing loss was an
   important factor in the modeling of speech production and spoken
   language outcomes. Cochlear implant use was the other factor that
   contributed significantly to speech perception, speech production, and
   language outcomes. Other factors contributed sparsely to the models.
   Conclusions: Prospective longitudinal studies of children are important
   to establish relationships between subject factors and outcomes. This
   study clearly demonstrated the importance of early amplification on
   communication outcomes. This demonstration required a participant pool
   that included children who have been fit at very early ages and who
   represent all degrees of hearing loss. Limitations of longitudinal
   studies include selection biases. Families who enroll tend to have high
   levels of education and rate highly on cooperation and compliance
   measures. Although valuable information can be extracted from
   prospective studies, not all factors can be evaluated because of
   enrollment constraints.
Z8 0
ZA 0
ZS 7
ZB 48
ZR 0
TC 130
Z9 136
U1 2
U2 70
SN 0196-0202
EI 1538-4667
UT WOS:000279368600003
PM 20081537
ER

PT J
AU Lai, N M
   Nalliah, S
TI Information-seeking practices of senior medical students: the impact of
   an evidence-based medicine training programme.
SO Education for health (Abingdon, England)
VL 23
IS 1
BP 151
EP 151
PD 2010-Apr
PY 2010
AB CONTEXT: The practice of Evidence-based Medicine (EBM) involves
   physicians regularly accessing and appraising clinical information. Few
   prior studies have assessed the information-seeking behaviours of
   medical undergraduates. At the International Medical University (IMU),
   Malaysia, senior medical students receive clinically-integrated EBM
   training to facilitate their future practice of EBM.
   OBJECTIVES: We assessed whether EBM training in the final six months of
   medical training changes our students' information-seeking practices and
   their confidence in understanding and appraising clinical evidence.
   METHODS: Between September 2005 and February 2006, self-administered
   questionnaires were distributed to 65 senior medical students at the
   beginning and again at the end of their clerkship training during which
   there was a clinically-integrated EBM curriculum. The questionnaires
   covered the topics of their preferred sources of clinical information,
   online search frequencies, estimated time to retrieve an abstract, and
   their understanding and confidence in their critical appraisal skills.
   FINDINGS: Sixty-four (98%) students completed the initial survey and 63
   (97%) completed the follow-up survey. The majority indicated that they
   preferred to first consult another individual (colleagues, lecturers,
   hospital staff) for their clinical queries (60.9% in the initial survey
   and 61.9% in the follow-up survey), with no change in their overall
   preference following the EBM curriculum six months later (p=0.144).
   There were significant increases in search activities following the
   curriculum, for example, students who searched PubMed or Medline for
   more than three times per week increased from 9.7% to 31.7% (p < 0.001).
   Students reported that they more often accessed single journals than
   databases. Despite significant improvements in students' reported
   understanding of journals and their confidence in critical appraisal (p
   < 0.001), there was no improvement in reported search speed, with 48.4%
   in the initial survey and 49.2% in the follow-up survey reporting to
   take 30 minutes or less to trace an abstract of interest (p=0.979).
   CONCLUSIONS: Our EBM training, offered within a supportive curriculum,
   increased our students' confidence and activity related to EBM, but
   failed to change students' reported information-seeking behaviours.
   Other factors influencing medical students' information-seeking practice
   need to be explored.
RI Lai, Nai Ming/H-3163-2019; Nalliah, Sivalingam/ABB-3530-2021; nalliah, sivalingam/
OI nalliah, sivalingam/0000-0002-1465-7420
ZS 1
ZR 0
ZB 2
ZA 0
Z8 0
TC 21
Z9 22
U1 0
U2 3
EI 1469-5804
UT MEDLINE:20589599
PM 20589599
ER

PT J
AU Anshu
   Sharma, M
   Burdick, W P
   Singh, T
TI Group dynamics and social interaction in a South Asian online learning
   forum for faculty development of medical teachers.
SO Education for health (Abingdon, England)
VL 23
IS 1
BP 311
EP 311
PD 2010-Apr
PY 2010
AB BACKGROUND: Group dynamics of online medical faculty development
   programs have not been analyzed and reported in literature. Knowledge of
   the types of content of posted messages will help to understand group
   dynamics and promote participation in an asynchronous learning
   environment. This paper assesses group dynamics and social interactivity
   in an online learning environment for medical teachers in the South
   Asian context.
   METHODS: Participants of a medical education fellowship program
   conducted by the Foundation for Advancement of International Medical
   Education and Research (FAIMER) Regional Institute at Christian Medical
   College, Ludhiana (CMCL) in India interact on a listserv called the
   Mentoring-Learning Web (ML-Web). Monthly topics for online discussion
   are chosen by fellows through a standard tool called "multi-voting".
   Fellows volunteer to moderate sessions and direct the pace of the
   discussion. We analyzed the content and process of the discussion of one
   particular month. The emails were categorized as those that reflected
   cognitive presence (dealing with construction and exploration of
   knowledge), teacher presence (dealing with instructional material and
   learning resources), and social presence, or were administrative in
   nature. Social emails were further classified as: affective, cohesive
   and interactive.
   RESULTS: Social emails constituted one-third of the total emails.
   Another one-quarter of the emails dealt with sharing of resources and
   teacher presence, while cognitive emails comprised 36.2% of the total.
   More than half of the social emails were affective, while a little less
   than one-third were cohesive.
   CONCLUSION: Social posts are an inevitable part of online learning.
   These posts promote bonding between learners and contribute to better
   interaction and collaboration in online learning. Moderators should be
   aware of their presence and use them as tools to promote interactivity.
RI ANSHU/AAZ-8035-2021
OI ANSHU/0000-0002-4971-7630
ZA 0
ZB 0
ZR 0
Z8 0
ZS 0
TC 9
Z9 9
U1 0
U2 3
EI 1469-5804
UT MEDLINE:20589603
PM 20589603
ER

PT J
AU Hills, D J
   Robinson, T
   Kelly, B
   Heathcote, S
TI Outcomes from the trial implementation of a multidisciplinary online
   learning program in rural mental health emergency care.
SO Education for health (Abingdon, England)
VL 23
IS 1
BP 351
EP 351
PD 2010-Apr
PY 2010
AB INTRODUCTION: Emergency Departments (EDs) are often the first point of
   contact for people with acute mental health problems. The impact of the
   Mental Health Emergency Care (MHEC) online learning program on the
   knowledge and skills development of clinicians and support staff was
   evaluated, and options for sustainable implementation of the program
   were proposed.
   METHODS: Participants were recruited from the four rural health services
   and the rural areas of one metropolitan health service in New South
   Wales, Australia. The MHEC course was conducted online over 24 weeks and
   comprised four sequential modules, each based on a clinical scenario
   that demonstrated a typical, acute mental health presentation to a
   general hospital ED. The course was designed to model collaborative
   practice in mental health emergency care.
   RESULTS: Participants were surveyed before and after completing the MHEC
   course. Statistically significant improvements were detected in
   participant confidence in managing key mental health problems, perceived
   self-efficacy in dealing with challenging, aggressive behaviours and
   confidence in key online learning skills. Participants also reported
   very positive experiences in relation to the course content and
   structure, instructor support, multidisciplinary discussion and
   feedback, and improvements in their knowledge and skills about emergency
   mental healthcare.
   CONCLUSIONS: This study provides evidence for the effectiveness and
   acceptability of an online educational program in developing the
   capacity of front-line staff to respond effectively to people who
   present to EDs with acute mental health problems. The positive outcomes
   and evaluations of the MHEC course provide support for the deployment of
   online learning programs that address mental health emergency care.
RI Hills, Danny/G-1470-2011; Robinson, Tracy/AAF-2958-2021; Kelly, Brian/G-7755-2013
OI Hills, Danny/0000-0002-1908-0739; Kelly, Brian/0000-0003-4460-1134
ZB 0
TC 7
ZA 0
Z8 0
ZR 0
ZS 0
Z9 7
U1 0
U2 1
EI 1469-5804
UT MEDLINE:20589605
PM 20589605
ER

PT J
AU Perlman, Cynthia
   Weston, Cynthia
   Gisel, Erika
TI Enabling meaningful learning through Web-based instruction with
   occupational therapy students
SO ETR&D-EDUCATIONAL TECHNOLOGY RESEARCH AND DEVELOPMENT
VL 58
IS 2
BP 191
EP 210
DI 10.1007/s11423-008-9097-2
PD APR 2010
PY 2010
AB This paper explores the design of a Web-based tutorial for Activity
   Analysis offered within an undergraduate course of occupational therapy
   and how its design features influenced meaningful learning from the
   students' perspective. This tutorial, using a case-based format, offers
   a learner-directed approach to students and the application of Activity
   Analysis, a clinical practice tool. The design is based on principles of
   meaningful learning for on-line instruction (Jonassen, Educational
   Technology, 35, 60-63, 1995) and instructional theories. Analysis of
   feedback from learners identifies the salient attributes of the tutorial
   on meaningful learning.
TC 13
ZS 1
ZB 0
ZA 0
ZR 0
Z8 0
Z9 14
U1 1
U2 9
SN 1042-1629
EI 1556-6501
UT WOS:000275899000005
ER

PT J
AU Beyerlein, A.
   Toschke, A. M.
   von Kries, R.
TI Risk factors for childhood overweight: shift of the mean body mass index
   and shift of the upper percentiles: results from a cross-sectional study
SO INTERNATIONAL JOURNAL OF OBESITY
VL 34
IS 4
BP 642
EP 648
DI 10.1038/ijo.2009.301
PD APR 2010
PY 2010
AB Background: The worldwide increasing prevalence of childhood overweight
   seems to be due to an increasing proportion of extremely high body mass
   index (BMI) values rather than to a shift of the entire BMI
   distribution. These findings might be attributed to incremental exposure
   to risk factors particularly affecting overweight children.
   Objective: To assess the possible differences in associations of several
   risk factors by subgroups of children's BMI distribution.
   Methods: We applied quantile regression to cross-sectional data on 9698
   German preschoolers (5-6 years) collected in 1999 and 2002. Sex-and
   age-specific BMI standard deviation scores (BMI-SDSs) were used as the
   outcome variable, and maternal BMI, maternal smoking during pregnancy,
   exclusive formula feeding, child's weight gain from birth to 2 years of
   life and low parental education as explanatory variables.
   Results: All risk factors except formula feeding contributed to a
   positive shift in mean BMI-SDS. The estimated effects of all risk
   factors on BMI-SDS were greatest for children with the highest BMI-SDS
   value. For example, high television (TV) viewing (>2 h day(-1)) had an
   effect of 0.46 (95% confidence interval (CI): 0.46, 0.46) SDS units on
   overweight children (90th percentile), but only a 0.22 (95% CI: 0.11,
   0.33) SDS effect on normal-weight children (50th percentile).
   Conclusions: For well-known risk factors of childhood overweight,
   stronger associations in children with higher BMI values were observed.
   These findings might possibly help to explain the secular shift in the
   upper BMI percentiles in children. International Journal of Obesity
   (2010) 34, 642-648; doi: 10.1038/ijo.2009.301; published online 19
   January 2010
RI Beyerlein, Andreas/I-7504-2019
OI Beyerlein, Andreas/0000-0001-6603-5036
ZB 19
TC 47
Z8 0
ZR 0
ZS 0
ZA 0
Z9 48
U1 0
U2 8
SN 0307-0565
UT WOS:000276481700006
PM 20084072
ER

PT J
AU Kark, M.
   Neovius, M.
   Rasmussen, F.
TI Obesity status and risk of disability pension due to psychiatric
   disorders
SO INTERNATIONAL JOURNAL OF OBESITY
VL 34
IS 4
BP 726
EP 732
DI 10.1038/ijo.2009.298
PD APR 2010
PY 2010
AB Objective: The aim of this study was to investigate associations between
   underweight, overweight and obesity in young adult men and risk of
   disability pension (DP) due to psychiatric disorders.
   Design and subjects: In this nationwide study of 1 110 139 Swedish men
   (mean age 18.3 +/- 0.5 years), weight, height and muscular strength were
   measured at mandatory military conscription testing (1969-1994).
   Information on DP (1971-2006), residential area, parental socioeconomic
   position and education and preexisting psychiatric disorders was
   obtained by record linkage of national registers.
   Results: During 26 million person-years of follow-up, 19 684 men
   received DP due to psychiatric disorders. After adjustment, hazard
   ratios (HRs) due to any psychiatric disorder were 1.20 (95% CI:
   1.15-1.26) for underweight, 1.14 (95% CI: 1.08-1.21) for overweight and
   1.43 (95% CI: 1.28-1.60) for obesity compared to normal weight. For
   affective disorders, HRs were elevated for underweight (1.24, 95% CI:
   1.16-1.32), overweight (1.19, 95% CI: 1.10-1.28) and obesity (1.55, 95%
   CI: 1.33-1.81), whereas for substance abuse increased risks were seen
   only for underweight (1.41, 95% CI: 1.23-1.61) and obesity (1.50, 95%
   CI: 1.07-2.12). For nonaffective disorders (including schizophrenia)
   overweight (HR 0.87, 95% CI: 0.76-1.00) and obesity (HR 0.79, 95% CI:
   0.57-1.10) seemed to be protective, although not statistically
   significant. HRs for personality disorders were increased for
   underweight (1.18, 95% CI: 1.04-1.34), overweight (1.16, 95% CI:
   1.00-1.30) and obesity (1.40, 95% CI: 1.03-1.90).
   Conclusion: Underweight and overweight were associated with small risk
   increases, whereas higher risks for DP were generally found for obesity.
   International Journal of Obesity (2010) 34, 726-732; doi:
   10.1038/ijo.2009.298; published online 26 January 2010
OI Neovius, Martin/0000-0003-2300-3055; Rasmussen, Finn/0000-0001-7915-7809
TC 10
Z8 0
ZB 4
ZA 0
ZR 0
ZS 2
Z9 12
U1 0
U2 3
SN 0307-0565
EI 1476-5497
UT WOS:000276481700016
PM 20101246
ER

PT J
AU Ahn, Jaimo
   Donegan, Derek J.
   Lawrence, J. Todd R.
   Halpern, Scott D.
   Mehta, Samir
TI The Future of the Orthopaedic Clinician-Scientist
SO JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
VL 92A
IS 4
BP 1041
EP 1046
DI 10.2106/JBJS.I.00504
PD APR 2010
PY 2010
AB Background: The successful incorporation of research into the future
   careers of residents provides tremendous potential for increasing
   scientific orthopaedic inquiry and improving musculoskeletal care.
   Therefore, we sought to assess resident opinions regarding plans and
   incentives for future research and the opinions of academic chairs who
   must support them.
   Methods: Residents from sixteen departments were surveyed with a
   twenty-four-question online survey. Similar surveys were sent to chairs
   of all residency-sponsoring departments.
   Results: The response rate was 44% (183) for the residents and 60%
   (eighty-six) for the chairs. Forty-two percent of the residents felt
   certain or likely that they would perform research during their careers,
   and 28% were undecided. Ninety-nine percent thought that orthopaedic
   surgeons performing research is important to clinical orthopaedics.
   Ninety-three percent of the residents expressed the need for monetary
   incentives for research, but only 40% would help to provide it. Chairs
   similarly noted the importance of research subsidization (92%) and a
   willingness to support it (70%). Residents indicated that increased
   funding and protected time would provide the greatest incentives for
   research during residency; chairs agreed. After training, debt relief
   and salary support were most important for residents; chairs chose
   protected time and a chair who is supportive of research as most
   important. Primary authorship on a prior manuscript and past research
   experience were found to be associated with greater future research
   interest in univariate analyses; primary authorship maintained an
   independent association in multivariate analysis. Younger residents and
   women were more likely to be unsure of their research interest.
   Conclusions: Many orthopaedic residents in training have interest in
   integrating research into their future practice and support the research
   mission of orthopaedic surgeons. Our results may aid in identifying
   residents with high research interest (and those unsure) and help to
   guide the provision of incentives to actuate those interests.
   Clinical Relevance: Increasing the future research potential of
   residents will help to spur scientific investigation, which serves as
   the foundation for evidence-based clinical orthopaedic care.
TC 24
ZS 0
ZA 0
ZR 0
Z8 1
ZB 1
Z9 25
U1 0
U2 7
SN 0021-9355
EI 1535-1386
UT WOS:000276526400034
PM 20360532
ER

PT J
AU Magro, Adriane
   Swarz, Jeffrey
   Ousley, Anita
TI CancerSPACE: An Interactive E-learning Tool Aimed to Improve Cancer
   Screening Rates
SO JOURNAL OF COMPUTER-MEDIATED COMMUNICATION
VL 15
IS 3
BP 482
EP 499
DI 10.1111/j.1083-6101.2010.01512.x
PD APR 2010
PY 2010
AB Cancer is the second leading cause of death in the United States today.
   Due to advances in new medical technology, screening devices for many
   cancers including breast, cervical, and colon cancers, are drastically
   reducing mortality rates. These technologies are able to detect cancer
   early, allowing for earlier treatment and a better survival rate.
   Unfortunately, many people, especially those in low socioeconomic
   groups, those without health insurance, and minority groups have very
   low cancer screening rates. As a result of not being screened, these
   populations face higher rates of cancer. One way to improve cancer
   screening rates in low income and minority populations is to target the
   healthcare staff which works with them. CancerSPACE (Simulated Practice
   and Collaborative Education) is aimed to improve cancer screening
   education among healthcare professionals in a virtual, interactive, easy
   to use online simulation presented in a game format. Simulated
   education, such as this, can be used on an individual basis at times and
   locations which are convenient for staff members. It also helps the user
   to retain information, stay engaged with the task at hand, and learn how
   to apply the information presented into a real clinical environment.
Z8 0
ZA 0
ZS 0
ZB 0
TC 3
ZR 0
Z9 3
U1 1
U2 12
SN 1083-6101
UT WOS:000277623800008
ER

PT J
AU Anson, Lynn
   Edmundson, Elizabeth
   Teasley, Susan
TI Implications of Evidence-Based Venipuncture Practice in a Pediatric
   Health Care Magnet Facility
SO JOURNAL OF CONTINUING EDUCATION IN NURSING
VL 41
IS 4
BP 179
EP 185
DI 10.3928/00220124-20100326-03
PD APR 2010
PY 2010
AB Venipunctures are very distressing for children. Nurses who routinely
   perform venipuncture procedures report an interest in becoming
   proficient in this skill. This procedure includes monitoring for
   potential adverse outcomes and providing age-appropriate coping
   strategies. These interventions make this necessary experience more
   positive. This study evaluated whether the completion of an
   evidence-based online tutorial program improved knowledge, attitudes,
   and self-reported venipuncture practices. Pre- and post-intervention
   self-assessment data were obtained from 426 nurses who provide direct
   patient care in medical-surgical units and clinics at a pediatric Magnet
   hospital. Analyses of these data determined that nurses improved their
   ability to grade intravenous infiltrates (t = 155.78, df = 1, p = .000)
   and phlebitis (t = 172.14, df = 1, p = .000). These results showed that
   an online training program increases knowledge and practices regarding
   venipuncture. J Contin Educ Nurs 2010;41(4):179-185.
ZR 0
ZA 0
TC 10
ZB 0
Z8 0
ZS 0
Z9 10
U1 0
U2 5
SN 0022-0124
EI 1938-2472
UT WOS:000282934700008
PM 20411890
ER

PT J
AU D'Sa, Viren A.
   High, Pamela C.
TI Resident Education in Developmental Behavioral Pediatrics: The Impact of
   the 80-Hour Work Week
SO JOURNAL OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
VL 31
IS 3
BP 230
EP 232
DI 10.1097/DBP.0b013e3181d60dc1
PD APR 2010
PY 2010
AB Objective: This study assessed the structure of pediatric resident
   developmental behavioral pediatrics (DBP) rotations in the context of
   the Accreditation Council for Graduate Medical Education duty hour
   mandates. Methods: We distributed an online survey addressing rotation
   structure, call schedule, and impact of the duty hour policy to resident
   DBP rotation directors in 114 of 204 pediatric residency programs in the
   United States and Canada and received responses from 81 programs (71%
   response rate). Results: Seventy-five percent of respondents reported an
   average of 16% reduction in their DBP rotation after implementation of
   the Duty Hours rule in 2003. More programs having overnight calls during
   the rotation reported decreases versus those without overnight calls
   (91% vs 52%, p < .001). Conclusions: Decreases in exposure to DBP, a
   result of duty hour mandates, may be negatively impacting benefits of
   mandatory DBP rotations. Attention may need to be given to the
   consequences for resident education in DBP.
OI D'Sa, Viren/0000-0002-3476-8419
TC 1
ZA 0
ZR 0
Z8 0
ZS 0
ZB 1
Z9 1
U1 0
U2 2
SN 0196-206X
UT WOS:000277181100009
PM 20410700
ER

PT J
AU Anari, S.
TI Endoscopic rigid oesophagoscopy: a simple method to teach rigid
   oesophagoscopy
SO JOURNAL OF LARYNGOLOGY AND OTOLOGY
VL 124
IS 4
BP 424
EP 425
DI 10.1017/S0022215109991538
PD APR 2010
PY 2010
AB Teaching rigid oesophagoscopy is a challenging task for trainers. This
   report describes a simple technique of teaching rigid oesophagoscopy,
   using an endoscopic telescope. The accompanying video clip (available
   online at The Journal of Laryngology & Otology website), the first of
   its kind, represents a valuable teaching aid.
ZR 0
ZA 0
ZS 0
TC 1
ZB 0
Z8 0
Z9 1
U1 0
U2 1
SN 0022-2151
UT WOS:000276923300016
PM 19922705
ER

PT J
AU Ivanitskaya, Lana
   Brookins-Fisher, Jodi
   O'Boyle, Irene
   Vibbert, Danielle
   Erofeev, Dmitry
   Fulton, Lawrence
TI Dirt Cheap and Without Prescription: How Susceptible are Young US
   Consumers to Purchasing Drugs From Rogue Internet Pharmacies?
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 12
IS 2
AR e11
DI 10.2196/jmir.1520
PD APR-JUN 2010
PY 2010
AB Background: Websites of many rogue sellers of medications are accessible
   through links in email spam messages or via web search engines. This
   study examined how well students enrolled in a U.S. higher education
   institution could identify clearly unsafe pharmacies.
   Objective: The aim is to estimate these health consumers' vulnerability
   to fraud by illegitimate Internet pharmacies.
   Methods: Two Internet pharmacy websites, created specifically for this
   study, displayed multiple untrustworthy features modeled after five
   actual Internet drug sellers which the authors considered to be
   potentially dangerous to consumers. The websites had none of the safe
   pharmacy signs and nearly all of the danger signs specified in the Food
   and Drug Administration's (FDA's) guide to consumers. Participants were
   told that a neighborhood pharmacy charged US$165 for a one-month supply
   of Beozine, a bogus drug to ensure no pre-existing knowledge. After
   checking its price at two Internet pharmacies-$37.99 in pharmacy A and
   $57.60 in pharmacy B-the respondents were asked to indicate if each
   seller was a good place to buy the drug. Responses came from 1,914
   undergraduate students who completed an online eHealth literacy
   assessment in 2005-2008. Participation rate was 78%.
   Results: In response to "On a scale from 0-10, how good is this pharmacy
   as a place for buying Beozine?" many respondents gave favorable ratings.
   Specifically, 50% of students who reviewed pharmacy A and 37% of
   students who reviewed pharmacy B chose a rating above the scale
   midpoint. When explaining a low drug cost, these raters related it to
   low operation costs, ad revenue, pressure to lower costs due to
   comparison shopping, and/or high sales volume. Those who said that
   pharmacy A or B was "a very bad place" for purchasing the drug (25%), as
   defined by a score of I or less, related low drug cost to lack of
   regulation, low drug quality, and/or customer information sales. About
   16% of students thought that people should be advised to buy cheaper
   drugs at pharmacies such as these but the majority (62%) suggested that
   people should be warned against buying drugs from such internet sellers.
   Over 22% of respondents would recommend pharmacy A to friends and family
   (10% pharmacy B). One-third of participants supplied online health
   information to others for decision-making purposes. After controlling
   for the effects of education, health major, and age, these respondents
   had significantly worse judgment of Internet pharmacies than those who
   did not act as information suppliers.
   Conclusions: At least a quarter of students, including those in health
   programs, cannot see multiple signs of danger displayed by rogue
   Internet pharmacies. Many more are likely to be misled by online sellers
   that use professional design, veil untrustworthy features, and mimic
   reputable websites. Online health information consumers would benefit
   from education initiatives that (1) communicate why it can be dangerous
   to buy medications online and that (2) develop their information
   evaluation skills. This study highlights the importance of regulating
   rogue Internet pharmacies and curbing the danger they pose to consumers.
RI Ivanitskaya, Lana V/G-5385-2011; Tang, Zeng/G-8085-2012; Fulton, Lawrence/J-6974-2019
OI Fulton, Lawrence/0000-0001-8603-1913
Z8 1
TC 37
ZA 0
ZB 4
ZR 0
ZS 0
Z9 38
U1 1
U2 52
SN 1438-8871
UT WOS:000278860800003
PM 20439253
ER

PT J
AU Joseph-Williams, Natalie
   Evans, Rhodri
   Edwards, Adrian
   Newcombe, Robert G.
   Wright, Patricia
   Grol, Richard
   Elwyn, Glyn
TI Supporting Informed Decision Making Online in 20 Minutes: An
   Observational Web-log Study of a PSA Test Decision Aid
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 12
IS 2
AR e15
DI 10.2196/jmir.1307
PD APR-JUN 2010
PY 2010
AB Background: Web-based decision aids are known to have an effect on
   knowledge, attitude, and behavior; important components of informed
   decision making. We know what decision aids achieve in randomized
   controlled trials (RCTs), but we still know very little about how they
   are used and how this relates to the informed decision making outcome
   measures.
   Objective: To examine men's use of an online decision aid for prostate
   cancer screening using website transaction log files (web-logs), and to
   examine associations between usage and components of informed decision
   making.
   Methods: We conducted an observational web-log analysis of users of an
   online decision aid, Prosdex. Men between 50 and 75 years of age were
   recruited for an associated RCT from 26 general practices across South
   Wales, United Kingdom. Men allocated to one arm of the RCT were included
   in the current study. Time and usage data were derived from website log
   files. Components of informed decision making were measured by an online
   questionnaire.
   Results: Available for analysis were 82 web-logs. Overall, there was
   large variation in the use of Prosdex. The mean total time spent on the
   site was 20 minutes. The mean number of pages accessed was 32 (SD 21)
   out of a possible 60 pages. Significant associations were found between
   increased usage and increased knowledge (Spearman rank correlation [rho]
   = 0.69, P < .01), between increased usage and less favorable attitude
   towards PSA testing (rho = -0.52, P < .01), and between increased usage
   and reduced intention to undergo PSA testing (rho = -0.44, P < .01). A
   bimodal distribution identified two types of user: low access and high
   access users.
   Conclusions: Increased usage of Prosdex leads to more informed decision
   making, the key aim of the UK Prostate Cancer Risk Management Programme.
   However, developers realistically have roughly 20 minutes to provide
   useful information that will support informed decision making when the
   patient uses a web-based interface. Future decision aids need to be
   developed with this limitation in mind. We recommend that web-log
   analysis should be an integral part of online decision aid development
   and analysis.
RI Grol, Richard/C-8523-2013; Elwyn, G./L-4292-2015; Elwyn, Glyn/B-4798-2009
OI Elwyn, Glyn/0000-0002-0917-6286
ZR 0
TC 20
ZS 0
ZB 3
ZA 0
Z8 0
Z9 20
U1 0
U2 9
SN 1438-8871
UT WOS:000278860800007
PM 20507844
ER

PT J
AU Nordfeldt, Sam
   Hanberger, Lena
   Bertero, Carina
TI Patient and Parent Views on a Web 2.0 Diabetes Portal-the Management
   Tool, the Generator, and the Gatekeeper: Qualitative Study
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 12
IS 2
AR e17
DI 10.2196/jmir.1267
PD APR-JUN 2010
PY 2010
AB Background: The Internet has undergone rapid development, with
   significant impact on social life and on modes of communication. Modern
   management of type 1 diabetes requires that patients have access to
   continuous support and learning opportunities. Although Web 2.0
   resources can provide this support, few pediatric clinics offer it as
   part of routine diabetes care.
   Objective: We aimed to explore patients' and parents' attitudes toward a
   local Web 2.0 portal tailored to young patients with type 1 diabetes and
   their parents, with social networking tools such as message boards and
   blogs, locally produced self-care and treatment information, and
   interactive pedagogic devices. Opportunities and obstacles to the
   implementation of Web 2.0 applications in clinical practice were sought.
   Methods: Participants were 16 mothers, 3 fathers, and 5 young patients
   (ages 11-18 years; median 14 years) who each wrote an essay on their
   experience using the portal, irrespective of frequency and/or their
   success in using it. Two main guiding questions were asked. A
   qualitative content analysis was conducted of the essays as a whole.
   Results: Three main categories of portal users' attitudes were found; we
   named them "the management tool," "the generator," and "the gatekeeper."
   One category was related to the management tool functionality of the
   portal, and a wide range of concrete examples was found regarding useful
   facts and updates. Being enabled to search when necessary and find
   reliable information provided by local clinicians was regarded as a
   great advantage, facilitating a feeling of security and being in
   control. Finding answers to difficult-to-ask questions, questions portal
   users did not know they had before, and questions focusing on sensitive
   areas such as anxiety and fear, was also an important feature. A second
   category was related to the generator function in that visiting the
   portal could generate more information than expected, which could lead
   to increased use. Active message boards and chat rooms were found to
   have great value for enhancing mediation of third party peer-to-peer
   information. A certain level of active users from peer families and
   visible signs of their activity were considered necessary to attract
   returning users. A third category was related to the gatekeeper function
   of the password requirement, which created various access problems. This
   and other unsuccessful experiences caused users to drop the portal. A
   largely open portal was suggested to enhance use by those associated
   with the child with diabetes, such as school personnel, relatives,
   friends and others, and also by young users somewhat unwilling to
   self-identify with the disease.
   Conclusions: Web 2.0 services have great potential for supporting
   parents and patients with type 1 diabetes by enhancing their information
   retrieval and disease management. Well-developed services, such as this
   one, may generate continued use and should, therefore, be carefully
   maintained and updated by health care professionals who are alert and
   active on the site with new information and updates. Login procedures
   should be simple and minimized as much as possible. The education of
   clinical practitioners regarding the use of Web 2.0 resources needs more
   attention.
RI Berterö, Carina/H-8659-2019
OI Berterö, Carina/0000-0003-1588-135X
TC 57
ZB 7
ZR 0
ZS 1
Z8 1
ZA 0
Z9 58
U1 0
U2 69
SN 1438-8871
UT WOS:000278860800008
PM 20511179
ER

PT J
AU Van De Belt, Tom H.
   Engeleni, Lucien J. L. P. G.
   Berbent, Sivera A. A.
   Schoonhoven, Lisette
TI Definition of Health 2.0 and Medicine 2.0: A Systematic Review
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 12
IS 2
AR e18
DI 10.2196/jmir.1350
PD APR-JUN 2010
PY 2010
AB Background: During the last decade, the Internet has become increasingly
   popular and is now an important part of our daily life. When new "Web
   2.0" technologies are used in health care, the terms "Health 2.0" or
   "Medicine 2.0" may be used.
   Objective: The objective was to identify unique definitions of Health
   2.0/Medicine 2.0 and recurrent topics within the definitions.
   Methods: A systematic literature review of electronic databases (PubMed,
   Scopus, CINAHL) and gray literature on the Internet using the search
   engines Google, Bing, and Yahoo was performed to find unique definitions
   of Health 2.0/Medicine 2.0. We assessed all literature, extracted unique
   definitions, and selected recurrent topics by using the constant
   comparison method.
   Results: We found a total of 1937 articles, 533 in scientific databases
   and 1404 in the gray literature. We selected 46 unique definitions for
   further analysis and identified 7 main topics.
   Conclusions: Health 2.0/Medicine 2.0 are still developing areas. Many
   articles concerning this subject were found, primarily on the Internet.
   However, there is still no general consensus regarding the definition of
   Health 2.0/Medicine 2.0. We hope that this study will contribute to
   building the concept of Health 2.0/Medicine 2.0 and facilitate
   discussion and further research.
RI van de Belt, Tom H/Q-1677-2015; van de Belt, Tom H/AAN-4345-2020; Schoonhoven, Lisette/O-3330-2013; Berben, Sivera AA/G-7363-2014
OI van de Belt, Tom H/0000-0002-5401-8973; van de Belt, Tom
   H/0000-0002-5401-8973; 
ZS 2
ZR 0
ZB 23
Z8 0
TC 181
ZA 0
Z9 185
U1 2
U2 23
SN 1438-8871
UT WOS:000278860800011
PM 20542857
ER

PT J
AU Conigliaro, Rosemarie L.
   Stratton, Terry D.
TI Assessing the quality of clinical teaching: a preliminary study
SO MEDICAL EDUCATION
VL 44
IS 4
BP 379
EP 386
DI 10.1111/j.1365-2923.2009.03612.x
PD APR 2010
PY 2010
AB Objectives
   Evaluations in the clinical arena are fraught with problems. Current
   assessments of clinical teaching typically measure attributes of
   clinical teachers in overly broad terms, are often subjective and often
   succumb to the halo effect. This is in contradistinction to measurements
   of lectures, workshops or online educational content, which can more
   readily be assessed using objective criteria. As a result, clinical
   evaluations are often insufficient to provide focused feedback, guide
   faculty development or identify specific areas for clinical teachers to
   implement change and improvement. The aim of our study was to offset
   these limitations.
   Methods
   We developed a structured, 15-item objective structured clinical
   examination (OSCE)-type checklist of discrete teaching behaviours
   intended to be: (i) observable; (ii) applicable to multiple disciplines,
   and (iii) reliably identifiable. Our goal was to test and utilise this
   checklist as an objective assessment of clinical teaching across a range
   of in-patient teaching rounds experiences. During 2007-2008, pairs of
   external raters on two separate occasions observed nine attending
   physicians during actual in-patient paediatrics and internal medicine
   ward rounds at a large, academic medical centre. Observers documented
   the extent to which specific teaching behaviours did or did not occur.
   Results
   The internal consistency of the 15-item checklist was good (alpha =
   0.85). A two-facet, partially nested G study found the generalisability
   of ratings to be generally acceptable, but inter-rater reliability
   varied greatly between occasions and across individual checklist items.
   Conclusions
   Despite attempts to identify discrete and observable target behaviours,
   placing observers on rounds to detect these behaviours may not be as
   straightforward as it would seem. Clinical teaching may be a more
   inherently subjective process, based on different teaching styles of
   faculty staff. However, a set of objective checklist items to be
   completed by trained observers on teaching rounds holds promise as a
   potentially viable means of identifying strengths and weaknesses of
   clinical instruction. Further research is needed to define what
   constitutes quality clinical teaching, as well as the most reliable
   method for assessing it.
ZB 1
Z8 0
ZR 0
ZS 3
ZA 0
TC 15
Z9 19
U1 0
U2 6
SN 0308-0110
EI 1365-2923
UT WOS:000275761100009
PM 20444073
ER

PT J
AU Gurgel, Richard K.
   Schiff, Bradley A.
   Flint, John H.
   Miller, Robert A.
   Zahtz, Gerald D.
   Smith, Richard V.
   Fried, Marvin P.
   Smith, Richard J. H.
TI Mentoring in otolaryngology training programs
SO OTOLARYNGOLOGY-HEAD AND NECK SURGERY
VL 142
IS 4
BP 487
EP 492
DI 10.1016/j.otohns.2009.12.002
PD APR 2010
PY 2010
AB OBJECTIVE: The Accreditation Council for Graduate Medical Education's
   focus on outcome-based training has made the mentoring process critical
   for resident education. It is unknown how otolaryngology training
   programs mentor residents. Our objective was to determine the current
   state of mentoring in otolaryngology training programs and describe
   resident perceptions of mentoring.
   STUDY DESIGN: Cross-sectional survey.
   SETTING: Accredited U.S. otolaryngology training programs.
   SUBJECTS AND METHODS: All U.S. otolaryngology residents and program
   directors were contacted via e-mail with a link to an online survey.
   RESULTS: Of the 1411 residents contacted, 27.7 percent responded,
   representing 71 of the 103 accredited otolaryngology programs. Of the
   103 program directors contacted, 37.9 percent responded. Of these
   programs, 26 had formal mentoring programs, 45 did not have formal
   mentoring programs, and 12 programs were listed in both categories.
   Fifty-one percent of male residents and 49 percent of female residents
   had mentors. The most important mentor characteristics were personality
   match, good clinical role model, and similar subspecialty interests.
   Least important characteristics were race, gender, and age. Twenty-six
   percent of residents felt that 'minoring was critical to their training,
   while 63 percent of residents listed mentoring as important but not
   critical. Programs with fewer faculty and residents were less likely to
   offer formal mentoring (P = 0.007 and 0.054, respectively). Of residents
   who did not have mentors, 80 percent lacked a mentor because their
   residency had no formal mentoring program.
   CONCLUSION: Residents perceive mentoring as important, and formal
   mentoring programs should be incorporated into otolaryngology training
   programs. (C) 2010 American Academy of Otolaryngology Head and Neck
   Surgery Foundation. All rights reserved.
CT Annual Meeting of the
   American-Academy-of-Otolaryngology-Head-and-Neck-Surgery-Foundation
CY OCT 04-07, 2009
CL San Diego, CA
SP Amer Acad Otolaryngol Head & Neck Surg Fdn
RI Zahtz, Gerald/AAL-7140-2020; Gurgel, Richard/; Smith, Richard/
OI Gurgel, Richard/0000-0001-9601-2628; Smith, Richard/0000-0003-1201-6731
Z8 1
ZR 0
TC 26
ZB 3
ZS 0
ZA 0
Z9 27
U1 0
U2 3
SN 0194-5998
UT WOS:000276071400003
PM 20304265
ER

PT J
AU Makoul, Gregory
   Zick, Amanda B.
   Aakhus, Mark
   Neely, Kathy J.
   Roemer, Phillip E.
TI Using an online forum to encourage reflection about difficult
   conversations in medicine
SO PATIENT EDUCATION AND COUNSELING
VL 79
IS 1
BP 83
EP 86
DI 10.1016/j.pec.2009.07.027
PD APR 2010
PY 2010
AB Objective: Medical students encounter many challenging communication
   situations during the clinical clerkships. We created the Difficult
   Conversations Online Forum (DC Forum) to give students an opportunity to
   reflect, debrief, and respond to one another about their experiences.
   Methods: The DC Forum is a web-based application with structured
   templates for student posts and responses, along with a mechanism for
   faculty feedback. It became a required part of the curriculum for
   third-year medical students in 2003. We content analyzed data collected
   during the 2003-2004 and 2004-2005 academic years (N = 315). All
   open-ended responses were coded by two members of the research team; the
   few disagreements were resolved via discussion.
   Results: While posts addressed a wide range of topics, more than
   one-third (35.6%) of students addressed delivering bad news. Nearly half
   (49.4%) of the students reported they had talked with someone about
   their difficult conversation, most frequently a resident physician; the
   suggestions they received varied in terms of helpfulness. Only a small
   percentage of students (4.7%) reported accessing other resources.
   Conclusion: The DC Forum provides a template that encourages reflection
   and dialogue about challenging communication situations. The online
   design is feasible, and enables a virtual discussion that can be joined
   by students regardless of their clerkship schedule or clinical site.
   Practice implications: A structured approach for reflection and a
   simple, safe mechanism for feedback are essential components of the
   learning process regarding difficult conversations. While the DC Forum
   was created for medical students, the online approach may prove useful
   across the continuum of medical education. (C) 2009 Elsevier Ireland
   Ltd. All rights reserved.
RI Aakhus, Mark/AAM-3299-2021; Aakhus, Mark/F-9989-2011
OI Aakhus, Mark/0000-0002-5414-147X; Aakhus, Mark/0000-0002-5414-147X
ZB 0
ZR 0
Z8 0
ZA 0
TC 21
ZS 1
Z9 22
U1 1
U2 9
SN 0738-3991
UT WOS:000276698200014
PM 19717269
ER

PT J
AU Sasson, Comilla
   Forman, Jane
   Krass, David
   Macy, Michelle
   Hegg, A. J.
   McNally, Bryan F.
   Kellermann, Arthur L.
TI A Qualitative Study to Understand Barriers to Implementation of National
   Guidelines for Prehospital Termination of Unsuccessful Resuscitation
   Efforts
SO PREHOSPITAL EMERGENCY CARE
VL 14
IS 2
BP 250
EP 258
DI 10.3109/10903120903572327
PD APR-JUN 2010
PY 2010
AB Background. The American Heart Association's (AHA's) Advanced Cardiac
   Life Support guidelines act as the national standards for termination of
   resuscitation (TOR) in cases of refractory out-of-hospital cardiac
   arrest. However, local emergency medical services (EMS) implementation
   of these guidelines has been nonuniform. Objective. To identify the
   operational issues within local EMS systems that may serve as barriers
   or facilitators to full acceptance of national guidelines for
   prehospital TOR in appropriate circumstances. Methods. We conducted
   three focus groups at the January 2008 National Association of EMS
   Physicians (NAEMSP) annual meeting. Snowball sampling was used to
   recruit 19 physicians, two EMS providers, one research director, one
   nurse, and one medical student attending the conference. Two reviewers
   analyzed the data in an iterative process to identify recurrent and
   unifying themes. Results. We identified three distinct stakeholder
   groups whose current beliefs and practices may influence local
   implementation of TOR: EMS providers with variations in education and
   work culture; EMS medical directors with responsibility but little
   authority; and online medical control physicians who do not communicate
   effectively with the other groups. Our focus group participants
   suggested that national organizations, such as the AHA and the American
   College of Emergency Physicians, may serve a role in overcoming the
   overarching barriers of communication, standardized educational
   requirements, and coordination of local services. Conclusion. We have
   identified operational barriers that may impede implementation of TOR
   guidelines. Three influential stakeholder groups will need to work with
   national organizations to overcome these local barriers.
CT Annual Meeting of the National-Association-of-EMS-Physicians
CY JAN 22-24, 2009
CL Jacksonville, FL
SP Natl Assoc EMS Phys (NAEMSP)
RI Macy, Michelle/AAV-7528-2020; McNally, Bryan/AAE-9332-2020
OI Macy, Michelle/0000-0003-4401-7384; 
ZS 0
ZA 0
ZB 2
Z8 0
ZR 0
TC 27
Z9 27
U1 0
U2 5
SN 1090-3127
EI 1545-0066
UT WOS:000275155100018
PM 20144019
ER

PT J
AU Fukuda, H.
   Imanaka, Y.
   Hirose, M.
   Hayashida, K.
TI Impact of system-level activities and reporting design on the number of
   incident reports for patient safety
SO QUALITY & SAFETY IN HEALTH CARE
VL 19
IS 2
BP 122
EP 127
DI 10.1136/qshc.2008.027532
PD APR 2010
PY 2010
AB Background Incident reporting is a promising tool to enhance patient
   safety, but few empirical studies have been conducted to identify
   factors that increase the number of incident reports.
   Objective To evaluate how the number of incident reports are related to
   system-level activities and reporting design.
   Methods A questionnaire survey was administered to all 1039 teaching
   hospitals in Japan. Items on the survey included number of reported
   incidents; reporting design of incidents; and status for system-level
   activities, including assignment of safety managers, conferences, ward
   rounds by peers, and staff education. Staff education encompasses many
   aspects of patient safety and is not limited to incident reporting.
   Poisson regression models were used to determine whether these
   activities and design of reporting method increase incident reports
   filed by physicians and nurses.
   Results Educational activities were significantly associated with
   reporting by physicians (53% increase, p < 0.001) but had no significant
   effect on nurse-generated reports. More reports were submitted by
   physicians and nurses in hospitals where time involved with filing a
   report was short (p < 0.05). The impact of online reporting was limited
   to a 26% increase in physicians' reports (p < 0.05).
   Conclusion In accordance with the suggestions by previous studies that
   examined staff perceptions and attitudes, this study empirically
   demonstrated that to decrease burden to reporting and to implement staff
   educations may improve incident reporting.
ZA 0
Z8 0
ZB 1
TC 9
ZR 0
ZS 0
Z9 9
U1 1
U2 17
SN 1475-3898
UT WOS:000276073300010
PM 20351160
ER

PT J
AU Collier, T. R.
   Jones, M. L.
   Murray, H. H.
TI Skimboarding: a new cause of water sport spinal cord injury
SO SPINAL CORD
VL 48
IS 4
BP 349
EP 351
DI 10.1038/sc.2009.122
PD APR 2010
PY 2010
AB Study design: Case series.
   Objective: To present three cases of spinal cord injuries associated
   with skimboarding and to suggest aspects of the sport that may be
   associated with spinal cord injury.
   Setting: Shepherd Center, Atlanta, GA, USA. Spinal cord injury
   rehabilitation facility.
   Methods: Three males, aged 17-23 years, sustained cervical spine
   fractures resulting in tetraplegia after skimboarding accidents.
   Results: The patients admitted from Florida hospitals presented with
   tetraplegia resulting from both incomplete and complete spinal cord
   injuries. The ASIA Impairment Scale (AIS) neurologic levels ranged from
   C3 to C5. All were injured by being thrown from the skimboard riding
   into the waves in shallow water. All patients required surgical
   stabilization and inpatient rehabilitation.
   Conclusions: Previous studies on skimboarding have demonstrated the risk
   of extremity fractures and soft tissue injuries. Spinal cord injury
   should be considered an additional risk associated with skimboarding,
   particularly as the sport has grown in popularity and become more `
   extreme' in the maneuvers performed. Increased education and awareness
   about the potential risk of spinal cord injury are essential. Spinal
   Cord (2010) 48, 349-351; doi: 10.1038/sc.2009.122; published online 6
   October 2009
ZR 0
ZB 0
Z8 0
TC 4
ZS 0
ZA 0
Z9 4
U1 0
U2 7
SN 1362-4393
EI 1476-5624
UT WOS:000276194900013
PM 19806162
ER

PT J
AU McHugh, Seamus Mark
   Hill, A. D. K.
   Humphreys, H.
TI Preventing healthcare-associated infection through education: Have
   surgeons been overlooked?
SO SURGEON-JOURNAL OF THE ROYAL COLLEGES OF SURGEONS OF EDINBURGH AND
   IRELAND
VL 8
IS 2
BP 96
EP 100
DI 10.1016/j.surge.2009.11.009
PD APR 2010
PY 2010
AB Background/aims: Some 20-30% of HCAI are considered to be preventable
   through an extensive infection prevention and control programme. Through
   an extensive literature review we aim to critically appraise studies
   which have utilised education initiatives to decrease HCAI.
   Methods: An extensive review of the literature was carried out in both
   online medical journals and through the Royal College of Surgeons in
   Ireland library.
   Findings: Many studies over the last 10 years have demonstrated success
   in educating nursing staff, critical care healthcare workers as well as
   medical students and junior doctors in the infection prevention and
   control of infection. Comparatively few have focussed on surgical
   trainees. A blended learning approach, with particular focus on the
   small group format is important. Interventions involving web-based
   learning in combination with established education formats are proving
   successful in changing behaviour.
   Conclusions: The development of an educational strategy for surgical
   trainees focussing on infection prevention and control is overdue. Such
   a programme would have far reaching benefits for individual patients,
   contribute to significant economic savings within health services and
   enhance the quality and safety of patient care. (C) 2009 Royal College
   of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal
   College of Surgeons in Ireland. Published by Elsevier Ltd. All rights
   reserved.
RI Hill, Arnold DK/F-8438-2011; Humphreys, Hilary/C-9918-2012; Humphreys, Hilary/
OI Humphreys, Hilary/0000-0002-9646-2183
ZB 3
ZS 0
ZR 0
TC 8
ZA 0
Z8 0
Z9 8
U1 0
U2 9
SN 1479-666X
UT WOS:000276337200009
PM 20303891
ER

PT J
AU Mancini, J.
   Genre, D.
   Dalenc, F.
   Ferrero, J-M
   Kerbrat, P.
   Martin, A-L
   Roche, H.
   Maylevin, F.
   Tarpin, C.
   Viens, P.
   Geneve, J.
   Julian-Reynier, C.
TI Participants' uptake of clinical trial results: a randomised experiment
SO BRITISH JOURNAL OF CANCER
VL 102
IS 7
BP 1081
EP 1084
DI 10.1038/sj.bjc.6605592
PD MAR 30 2010
PY 2010
AB BACKGROUND: Participants are showing great interest these days in
   obtaining the results of clinical trials. The aim of this study was to
   assess patients' uptake and understanding of the results of the trial in
   which they have participated and the impact of a letter offering
   patients the possibility of consulting the trial results on a specific
   website.
   METHODS: Breast cancer patients participating in a trial on the efficacy
   of Trastuzumab were randomly subdivided into an Internet group (who
   received the letter of invitation) and a control group (who did not
   receive it). Among 115 HER2-positive women from 21 centres, 107 (93%)
   answered a self-administered questionnaire.
   RESULTS: Most of the patients in both groups had access to the Internet
   (72.0%). The majority (97.2%) stated that receiving information about
   the trial results would be useful, and the oncologist was the most
   frequently preferred information provider. The Internet group's declared
   uptake of the trial results was only slightly higher (47.1% vs 33.9%; P
   = 0.166); however, they understood the results significantly more
   accurately (18.8% vs 5.6%; P = 0.039).
   INTERPRETATION: Although Internet was not the respondents' preferred
   source of information, the possibility of using this source slightly
   increased the uptake and understanding of the results. British Journal
   of Cancer (2010) 102, 1081-1084. doi: 10.1038/sj.bjc.6605592
   www.bjcancer.com Published online 2 March 2010 (C) 2010 Cancer Research
   UK
RI Roché, Henri/O-9211-2014; Viens, Patrice/Q-8499-2018; Genre, Dominique/P-7628-2019; Mancini, Julien/G-6263-2011; H, R/GSN-1738-2022; Genre, Domi/S-6988-2019
OI Roché, Henri/0000-0001-7463-205X; Viens, Patrice/0000-0003-1511-1048;
   Genre, Dominique/0000-0003-1736-4612; Mancini,
   Julien/0000-0001-9500-8598; 
ZB 4
ZR 0
ZA 0
TC 17
Z8 0
ZS 0
Z9 17
U1 0
U2 3
SN 0007-0920
EI 1532-1827
UT WOS:000276159900001
PM 20197767
ER

PT J
AU Nylenna, Magne
   Eiring, Oystein
   Strand, Grete
   Rottingen, John-Arne
TI Wiring a nation: putting knowledge into action
SO LANCET
VL 375
IS 9719
BP 1048
EP 1051
DI 10.1016/S0140-6736(09)61832-8
PD MAR 20 2010
PY 2010
TC 10
ZB 2
Z8 0
ZR 0
ZS 0
ZA 0
Z9 11
U1 1
U2 7
SN 0140-6736
EI 1474-547X
UT WOS:000276110700037
PM 20304248
ER

PT J
AU Antes, Alison L.
   Wang, Xiaoqian
   Mumford, Michael D.
   Brown, Ryan P.
   Connelly, Shane
   Devenport, Lynn D.
TI Evaluating the Effects That Existing Instruction on Responsible Conduct
   of Research Has on Ethical Decision Making
SO ACADEMIC MEDICINE
VL 85
IS 3
BP 519
EP 526
DI 10.1097/ACM.0b013e3181cd1cc5
PD MAR 2010
PY 2010
AB Purpose To examine the effects that existing courses on the responsible
   conduct of research (RCR) have on ethical decision making by assessing
   the ethicality of decisions made in response to ethical problems and the
   underlying processes involved in ethical decision making. These
   processes included how an individual thinks through ethical problems
   (i.e., meta-cognitive reasoning strategies) and the emphasis placed on
   social dimensions of ethical problems (i.e., social-behavioral
   responses).
   Method In 2005-2007, recruitment announcements were made, stating that a
   nationwide, online study was being conducted to examine the impact of
   RCR instruction on the ethical decision making of scientists.
   Recruitment yielded contacts with over 200 RCR faculty at 21 research
   universities and medical schools; 40 (20%) RCR instructors enrolled
   their courses in the current study. From those courses, 173 participants
   completed an ethical decision-making measure.
   Results A mixed pattern of effects emerged. The ethicality of decisions
   did not improve as a result of RCR instruction and even decreased for
   decisions pertaining to business aspects of research, such as contract
   bidding. Course participants improved on some meta-cognitive reasoning
   strategies, such as awareness of the situation and consideration of
   personal motivations, but declined for seeking help and considering
   others' perspectives. Participants also increased their endorsement of
   detrimental social-behavioral responses, such as deception, retaliation,
   and avoidance of personal responsibility.
   Conclusions These findings indicated that RCR instruction may not be as
   effective as intended and, in fact, may even be harmful. Harmful effects
   might result if instruction leads students to overstress avoidance of
   ethical problems, be overconfident in their ability to handle ethical
   problems, or overemphasize their ethical nature. Future research must
   examine these and other possible obstacles to effective RCR instruction.
   Acad Med. 2010; 85: 519-526.
TC 78
ZS 0
ZB 9
Z8 0
ZR 0
ZA 0
Z9 78
U1 1
U2 23
SN 1040-2446
EI 1938-808X
UT WOS:000276132100029
PM 20182131
ER

PT J
AU Baker, Raymond C.
   Klein, Melissa
   Samaan, Zeina
   Lewis, Kadriye
TI Effectiveness of an Online Pediatric Primary Care Curriculum
SO ACADEMIC PEDIATRICS
VL 10
IS 2
BP 131
EP 137
DI 10.1016/j.acap.2009.12.004
PD MAR-APR 2010
PY 2010
AB Objective.-The aim of this study was to evaluate the effectiveness of a
   supplementary online pediatric primary care (PPC) curriculum in reaching
   pediatric residents and increasing knowledge in selected primary care
   topics.
   Methods.-We conducted a nonrandomized, controlled, pre-test/post-test
   study comparing an online PPC curriculum supplement with the traditional
   formal, conference-based curriculum alone, both with identical content.
   We compared 2 groups of first-year categorical pediatric residents from
   2 successive years: one group (from 2006-2007) was offered the online
   curriculum supplement (study group) and one (2005-2006) was not (control
   group). Comparisons were made using the following: 1) pre-testing and
   post-testing of knowledge; and 2) monitoring of attendance at the formal
   conferences and accessing the online curriculum.
   Results.-The control group of 33 residents and the study group of 34
   residents were similar with respect to gender, age, and first-year
   in-training exam scores. In the first quarter of the year, 93% (mean) of
   the study group accessed the online curriculum; 43% accessed it in the
   last quarter of the year. For the same time periods, 33% and 30% of all
   of the residents (intervention and control groups combined) attended the
   noon conferences. The pre-test and post-test scores of the study group
   showed a significant increase (P < .001), and the post-test score
   comparison of study versus control group was also significant (P =
   .035). There were no significant differences in the in-training exam
   scores between the 2 groups for exams given at the beginning of their
   second year.
   Conclusion.-An online PPC curriculum is an effective supplement to
   traditional resident education and reaches a significantly larger number
   of residents compared with the traditional conference-based format.
RI Baker, Raymond C/D-1545-2015; Lewis, Kadriye O./AAI-9689-2020
OI Baker, Raymond C/0000-0001-6777-1000; 
ZS 0
TC 10
ZA 0
ZB 1
ZR 0
Z8 0
Z9 10
U1 0
U2 5
SN 1876-2859
EI 1876-2867
UT WOS:000279188300009
PM 20206912
ER

PT J
AU Anderson, M. Brownell
TI An Outsider's Perspective on a Provocative Proposal: What Would Flexner
   Think?
SO ANATOMICAL SCIENCES EDUCATION
VL 3
IS 2
BP 101
EP 102
DI 10.1002/ase.144
PD MAR-APR 2010
PY 2010
AB This viewpoint commentary focuses on a proposal for integrated anatomy
   education in undergraduate college from Dr. Darda published in the
   Anatomical Sciences Education. Although the proposal is for college
   level education, the proposal echoes some ideas proposed a century ago
   by Abraham Flexner when he wrote his report titled "Medical Education in
   the United States and Canada.'' It begins with an acknowledgement of the
   author's status as an outsider. There have been numerous calls for
   change in basic science education, particularly in medical education.
   Interestingly, however, the monumental reforms of the "Flexner Report''
   were impelled largely from outside the specific discipline of medical
   education. The commentary discussion then moves to observations about
   the proposal for Integrative Anatomy and support for the proposal from
   both the Flexner Report and the 2009 report from the Association of
   American Medical Colleges and the Howard Hughes Medical Institute,
   "Scientific Foundations for Future Physicians.'' The essay considers the
   benefits of the research on the learning sciences that now inform our
   work in education; the influence of competency-based education that
   frees education from a lock-step approach of course completion to a
   student-focused integrative approach to learning; and the availability
   of online resources for anatomy education through repositories, such as
   MedEdPORTAL. The final observation is that the changes underway in
   education and in the sciences basic to medicine, in particular, are
   substantial and will require the dialogue that Dr. Darda is promoting
   with his provocative proposal. Anat Sci Educ 3: 101-102, 2010. (C) 2010
   American Association of Anatomists.
ZA 0
ZB 1
ZR 0
TC 4
Z8 0
ZS 0
Z9 4
U1 0
U2 0
SN 1935-9772
UT WOS:000278600700009
PM 20213852
ER

PT J
AU Pozza, Manuela Dalla
   Valerii, Leila
   Graziani, Manuel
   Ianniello, Marco
   Bagni, Marina
   Damiani, Silvia
   Ravarotto, Licia
   Busani, Luca
   Ceolin, Chiara
   Terregino, Calogero
   Cecchinato, Mattia
   Marangon, Stefano
   Lelli, Rossella
   Alessandrini, Barbara
TI An Electronic Learning Course on Avian Influenza in Italy (2008)
SO AVIAN DISEASES
VL 54
IS 1
BP 784
EP 786
DI 10.1637/8758-033109-ResNote.1
SU S
PD MAR 2010
PY 2010
AB The success of emergency intervention to control contagious animal
   diseases is dependent on the preparedness of veterinary services. In the
   framework of avian influenza preparedness, the Italian Ministry of
   Health, in cooperation with the National Reference Centers for
   Epidemiology and Avian Influenza, implemented an electronic learning
   course using new web-based information and communication technologies.
   The course was designed to train veterinary officers involved in disease
   outbreak management, laboratory diagnosis, and policy making. The
   "blended learning model' was applied, involving participants in
   tutor-supported self-learning, collaborative learning activities, and
   virtual classes. The course duration was 16 hr spread over a 4-wk
   period. Six editions were implemented for 705 participants. All
   participants completed the evaluation assignments, and the drop out rate
   was very low (only 4%). This project increased the number of
   professionals receiving high-quality training on Al in Italy, while
   reducing expenditure and maximizing return on effort.
CT 7th International Symposium on Avian Influenza
CY APR 05-08, 2009
CL Univ Georgia, Athens, GA
HO Univ Georgia
RI Busani, Luca/J-9253-2012; Terregino, Calogero/; Marangon, Stefano/; Cecchinato, Mattia/
OI Busani, Luca/0000-0002-6081-2794; Terregino,
   Calogero/0000-0002-7727-3336; Marangon, Stefano/0000-0002-3158-4243;
   Cecchinato, Mattia/0000-0002-2269-7879
ZS 0
ZB 0
ZR 0
TC 0
ZA 0
Z8 0
Z9 0
U1 0
U2 1
SN 0005-2086
EI 1938-4351
UT WOS:000276455300107
PM 20521733
ER

PT J
AU Sousa, Joao Carlos
   Costa, Manuel Joao
   Palha, Joana Almeida
TI Teaching the Extracellular Matrix and Introducing Online Databases
   Within a Multidisciplinary Course with i-cell-MATRIX A STUDENT-CENTERED
   APPROACH
SO BIOCHEMISTRY AND MOLECULAR BIOLOGY EDUCATION
VL 38
IS 2
SI SI
BP 79
EP 84
DI 10.1002/bmb.20338
PD MAR-APR 2010
PY 2010
AB The biochemistry and molecular biology of the extracellular matrix (ECM)
   is difficult to convey to students in a classroom setting in ways that
   capture their interest. The understanding of the matrix's roles in
   physiological and pathological conditions study will presumably be
   hampered by insufficient knowledge of its molecular structure.
   Internet-available resources can bridge the division between the
   molecular details and ECM's biological properties and associated
   processes. This article presents an approach to teach the ECM developed
   for first year medical undergraduates who, working in teams: (i) Explore
   a specific molecular component of the matrix, (ii) identify a disease in
   which the component is implicated, (iii) investigate how the component's
   structure/function contributes to ECM' supramolecular organization in
   physiological and in pathological conditions, and (iv) share their
   findings with colleagues. The approach designated i-cell-MATRIX is
   focused on the contribution of individual components to the overall
   organization and biological functions of the ECM. i-cell-MATRIX is
   student centered and uses 5 hours of class time. Summary of results and
   take home message: A "1-minute paper" has been used to gather student
   feedback on the impact of i-cell-MATRIX. Qualitative analysis of student
   feedback gathered in three consecutive years revealed that students
   appreciate the approach's reliance on self-directed learning, the
   interactivity embedded and the demand for deeper insights on the ECM.
   Learning how to use Internet biomedical resources is another positive
   outcome. Ninety percent of students recommend the activity for
   subsequent years. i-cell-MATRIX is adaptable by other medical schools
   which may be looking for an approach that achieves higher student
   engagement with the ECM.
RI Palha, Joana Almeida/C-2745-2009; Costa, Manuel Joao/C-3900-2009; Sousa, João C/C-1048-2009; Sousa, João/T-6628-2019
OI Palha, Joana Almeida/0000-0002-8866-368X; Costa, Manuel
   Joao/0000-0001-5255-4257; Sousa, João C/0000-0003-3249-0035; Sousa,
   João/0000-0003-3249-0035
ZR 0
Z8 0
TC 1
ZA 0
ZB 1
ZS 0
Z9 1
U1 1
U2 7
SN 1470-8175
EI 1539-3429
UT WOS:000277498600005
PM 21567800
ER

PT J
AU Oliveira, Julia Martins
   Mesquita, Diego Martins
   Hermes-Lima, Marcelo
TI What's on the News? The Use of Media Texts in Exams of Clinical
   Biochemistry for Medical and Nutrition Students
SO BIOCHEMISTRY AND MOLECULAR BIOLOGY EDUCATION
VL 38
IS 2
SI SI
BP 85
EP 90
DI 10.1002/bmb.20344
PD MAR-APR 2010
PY 2010
AB Health-related popular articles are easily found among media sources.
   With the increasing popularity of the internet, medical information -
   full of misconceptions - has become easily available to the lay people.
   The ability to recognize misconceptions may require good biomedical
   knowledge. In this sense, we decided to use articles from the internet
   as part of a formal exam to evaluate students' learning of Clinical and
   Applied Biochemistry (CAB). This test, known as the True-or-False
   (T-or-F) exam, is made up of statements found online that are judged by
   freshmen medical and nutrition students taking Basic Biochemistry. In
   the last four teaching-semesters, students' acceptance and responses to
   T-or-F exam on CAB were evaluated through questionnaires (using a 0-4
   Likert scale). Results from 258 students revealed that 71, 87, and 94%
   of them believed, respectively, that the exam was (i) difficult, (ii) of
   good quality, and (iii) that using media-questions is relevant for
   evaluating the learning of CAB. Moreover, the average grade in the
   T-of-F exam was 5.85 (out of 10). This low average is probably because
   students are not familiarized with this sort of examination that does
   not emphasize on memorizations of biochemical pathways and processes -
   it instead evaluates mostly the comprehension and application of
   knowledge, levels 2 and 3 in Bloom's scale. Such conclusion was possible
   by analyzing 192 questions in four exams - 67% were at levels 2, 3 or
   above. This kind of media-based exam could be well applied to several
   other disciplines in health sciences.
RI Hermes-Lima, Marcelo/AAP-1167-2020; Hermes-Lima, Marcelo/
OI Hermes-Lima, Marcelo/0000-0003-1732-0927
TC 3
ZA 0
ZB 0
ZS 0
Z8 0
ZR 0
Z9 3
U1 1
U2 6
SN 1470-8175
EI 1539-3429
UT WOS:000277498600006
PM 21567801
ER

PT J
AU Broomhead, R. H.
   Marks, R. J.
   Ayton, P.
TI Confirmation of the ability to ventilate by facemask before
   administration of neuromuscular blocker: a non-instrumental piece of
   information?
SO BRITISH JOURNAL OF ANAESTHESIA
VL 104
IS 3
BP 313
EP 317
DI 10.1093/bja/aep380
PD MAR 2010
PY 2010
AB Our aim was to determine whether anaesthetists routinely confirm their
   ability to ventilate a patient's lungs by a facemask before the
   administration of a neuromuscular blocker and the rationale for this
   practice.
   An online survey of trainee and non-trainee anaesthetists working in
   hospitals forming part of the Central London School of Anaesthesia
   collected 136 complete data sets over a 3 month period.
   Seventy-eight of 136 (57%) routinely checked they could ventilate by the
   facemask ('checkers'). The reasons given for this varied, though the
   most common was the ability to 'enable escape wake-up'. The practice was
   most commonly adopted by anaesthetists with less experience. In a
   hypothetical 'cannot ventilate' scenario, the use of succinylcholine was
   advocated by the majority of respondents, both 'checkers' and
   'non-checkers'.
   Despite the lack of firm evidence to support the practice of confirming
   the ability to ventilate the lungs before administering a neuromuscular
   blocking drug (NMB), we found strongly held views that supported the
   practice and equally strongly held views that opposed it. However, in a
   hypothetical emergency situation where ventilation by the facemask after
   induction of anaesthesia was impossible, the majority of respondents
   (including 'checkers') would administer a neuromuscular blocker. This
   apparent paradox can be explained by well-recognized psychological
   mechanisms. We suggest that in checking the ability to ventilate by the
   facemask, some anaesthetists are seeking information that may be
   relevant but not instrumental in deciding when to administer an NMB.
RI Ayton, Peter/AAQ-8657-2020
OI Ayton, Peter/0000-0003-2285-4608
ZB 10
ZS 0
ZR 0
Z8 1
ZA 0
TC 25
Z9 26
U1 0
U2 1
SN 0007-0912
UT WOS:000274485900007
PM 20042476
ER

PT J
AU Premkumar, Kalyani
   Ross, Allen G.
   Lowe, Jennifer
   Troy, Carla
   Bolster, Cheryl
   Reeder, Bruce
TI Technology-enhanced Learning of Community Health in Undergraduate
   Medical Education
SO CANADIAN JOURNAL OF PUBLIC HEALTH-REVUE CANADIENNE DE SANTE PUBLIQUE
VL 101
IS 2
BP 165
EP 170
DI 10.1007/BF03404365
PD MAR-APR 2010
PY 2010
AB Objectives: The purpose of this evaluation study was to identify the
   feasibility of repurposing specific online modules developed by the
   Public Health Agency of Canada as continuing education modules for
   front-line practitioners, in teaching clinical epidemiology to
   undergraduate medical students. Specifically, relevancy of the content,
   quality of online material, time-effectiveness of using the online
   component, required resources, and student satisfaction were
   investigated.
   Method: Both qualitative and quantitative data were collected.
   Semi-structured interviews were conducted with stakeholders from the
   Skills Enhancement Program, technical support personnel, instructors, a
   web administrator and an assignment marker. Surveys measuring student
   satisfaction were administered to students in the middle of the online
   component and at the end of the course. Two student focus groups were
   conducted. As well, other documents (e.g., online materials, course
   packages) were reviewed.
   Results: Instructors felt that the content of the modules was
   appropriate and would enhance learning, although making changes was time
   consuming. Medical students reported that the content was relevant and
   they enjoyed the flexibility allowed by the online components. However,
   students reported that there were too many assignments and too much
   content for the allotted time frame.
   Conclusion: The Public Health Agency's online content seems to be
   relevant to medical students, but needs to be fine-tuned further to
   cater to their specific needs. Instructors required a lot of time to
   review and revise the content. The time allocated for online content in
   this course was too little compared to the volume of information. It is
   feasible to repurpose the online modules in undergraduate medical
   education.
OI Ross, Allen/0000-0002-2329-0907; Premkumar, Kalyani/0000-0002-6127-7498
TC 5
ZA 0
ZS 2
ZR 0
ZB 0
Z8 0
Z9 6
U1 0
U2 4
SN 0008-4263
UT WOS:000278132100014
PM 20524384
ER

PT J
AU McLeod, Ian X.
   He, Youwen
TI Roles of autophagy in lymphocytes: reflections and directions
SO CELLULAR & MOLECULAR IMMUNOLOGY
VL 7
IS 2
BP 104
EP 107
DI 10.1038/cmi.2009.115
PD MAR 2010
PY 2010
AB Recent studies have revealed that autophagy, a fundamental intracellular
   process, plays many different roles in lymphocyte development and
   function. Autophagy regulates naive T-lymphocyte homeostasis,
   specifically by regulating mitochondrial quality and turnover, and is
   necessary for the proliferation of mature T cells. Autophagy also acts
   as a cellular death pathway in lymphocytes, both upon prolonged cytokine
   withdrawal and during acute antigen-receptor stimulation if improperly
   regulated. Furthermore, during HIV infection, hyperinduction of
   autophagy leads to massive T-cell death in uninfected CD4(+) T cells,
   and is rescued by inhibiting autophagic initiation. Constitutively high
   levels of autophagy in thymic epithelial cells are necessary for optimal
   processing and presentation of endogenous antigens, and required for
   proper positive and negative selection of developing thymocytes.
   Autophagy also promotes the survival of B lymphocytes, as well as the
   development of early B-cell progenitors. In B cells, autophagy is an
   alternative death pathway, as antigen-receptor stimulation in the
   absence of costimulation induces a potent autophagic death. Thus,
   autophagy plays a complex role in lymphocytes and is regulated during
   their lifespan to ensure a healthy immune system. Cellular & Molecular
   Immunology (2010) 7, 104-107; doi: 10.1038/cmi.2009.115; published
   online 1 February 2010
ZS 1
TC 12
ZA 0
ZB 9
ZR 0
Z8 0
Z9 12
U1 0
U2 1
SN 1672-7681
EI 2042-0226
UT WOS:000275414400005
PM 20118969
ER

PT J
AU Mosca, Lori
   Mochari-Greenberger, Heidi
   Dolor, Rowena J.
   Newby, L. Kristin
   Robb, Karen J.
TI Twelve-Year Follow-Up of American Women's Awareness of Cardiovascular
   Disease Risk and Barriers to Heart Health
SO CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES
VL 3
IS 2
BP 120
EP 127
DI 10.1161/CIRCOUTCOMES.109.915538
PD MAR 2010
PY 2010
AB Background-Awareness of cardiovascular disease (CVD) risk has been
   linked to taking preventive action in women. The purpose of this study
   was to assess contemporary awareness of CVD risk and barriers to
   prevention in a nationally representative sample of women and to
   evaluate trends since 1997 from similar triennial surveys.
   Methods and Results-A standardized survey about awareness of CVD risk
   was completed in 2009 by 1142 women >= 25 years of age, contacted
   through random digit dialing oversampled for racial/ethnic minorities,
   and by 1158 women contacted online. There was a significant increase in
   the proportion of women aware that CVD is the leading cause of death
   since 1997 (P for trend=<0.0001). Awareness among telephone participants
   was greater in 2009 compared with 1997 (54% versus 30%, P<0.0001) but
   not different from 2006 (57%). In multivariate analysis, African
   American and Hispanic women were significantly less aware than white
   women, although the gap has narrowed since 1997. Only 53% of women said
   they would call 9-1-1 if they thought they were having symptoms of a
   heart attack. The majority of women cited therapies to prevent CVD that
   are not evidence-based. Common barriers to prevention were
   family/caretaking responsibilities (51%) and confusion in the media
   (42%). Community-level changes women thought would be helpful were
   access to healthy foods (91%), public recreation facilities (80%), and
   nutrition information in restaurants (79%).
   Conclusions-Awareness of CVD as the leading cause of death among women
   has nearly doubled since 1997 but is stabilizing and continues to lag in
   racial/ethnic minorities. Numerous misperceptions and barriers to
   prevention persist and women strongly favored environmental approaches
   to facilitate preventive action. (Circ Cardiovasc Qual Outcomes. 2010;
   3: 120-127.)
OI Greenberger, Heidi Mochari/0000-0003-3334-0119; Dolor,
   Rowena/0000-0001-7317-9468
ZA 0
ZS 6
Z8 2
TC 238
ZB 66
ZR 2
Z9 247
U1 0
U2 16
SN 1941-7713
UT WOS:000276080200004
PM 20147489
ER

PT J
AU Gill, Peter
   Kitney, Lauren
   Kozan, Daniel
   Lewis, Melanie
TI Online learning in paediatrics: a student-led web-based learning
   modality.
SO The clinical teacher
VL 7
IS 1
BP 53
EP 7
DI 10.1111/j.1743-498X.2009.00337.x
PD 2010-Mar
PY 2010
AB BACKGROUND: undergraduate medical education is shifting away from
   traditional didactic methods towards a more self-directed learning
   environment. E-learning has emerged as a vital learning modality that
   allows students to apply key principles to practical scenarios in a
   truly personalised approach.
   CONTEXT: at the University of Alberta, paediatrics is taught
   longitudinally, with lectures distributed throughout the preclinical
   curriculum and concentrated in the 8-week paediatric clinical clerkship.
   As a result, students entering clerkship lack core foundational
   knowledge and clinical skills.
   INNOVATION: PedsCases (http://www.pedscases.com) is a student-driven
   interactive website designed to achieve the learning outcomes identified
   by the competency-based paediatric curriculum. This open-access
   e-learning tool is a comprehensive peer-reviewed learning resource that
   incorporates various learning modalities. Material is student generated
   and peer reviewed by staff paediatricians to ensure validity, accuracy
   and usefulness. After 17 months, PedsCases contains 216 questions, 19
   cases, 11 flashcard-type quizzes, 11 podcasts and two clinical videos,
   and has had 2148 unique visitors from 73 different countries. PedsCases
   is one of the top five references returned by Internet search engines
   for the phrase 'paediatrics for medical students'.
   IMPLICATIONS: PedsCases is a collaborative resource created for and by
   medical students that provides an opportunity for active self-directed
   learning while disseminating knowledge in an evidence-based, interactive
   and clinically relevant fashion. PedsCases encourages students to take
   an active role in their education and drive medical education
   initiatives in response to the evolving curriculum. As the focus of
   medical education shifts towards independent learning, student-led
   educational tools such as PedsCases have emerged as essential resources
   for students.
RI Gill, Peter J./A-6021-2012
OI Gill, Peter J./0000-0002-6253-1312
ZS 0
TC 15
ZB 1
Z8 0
ZR 0
ZA 0
Z9 15
U1 0
U2 5
EI 1743-498X
UT MEDLINE:21134144
PM 21134144
ER

PT J
AU Mullie, P.
   Clarys, P.
   Hulens, M.
   Vansant, G.
TI Dietary patterns and socioeconomic position
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 64
IS 3
BP 231
EP 238
DI 10.1038/ejcn.2009.145
PD MAR 2010
PY 2010
AB Background/Objectives: To test a socioeconomic hypothesis on three
   dietary patterns and to describe the relation between three commonly
   used methods to determine dietary patterns, namely Healthy Eating Index,
   Mediterranean Diet Score and principal component analysis.
   Subjects/Methods: Cross-sectional design in 1852 military men. Using
   mailed questionnaires, the food consumption frequency was recorded.
   Results: The correlation coefficients between the three dietary patterns
   varied between 0.43 and 0.62. The highest correlation was found between
   Healthy Eating Index and Healthy Dietary Pattern ( principal components
   analysis). Cohen's kappa coefficient of agreement varied between 0.10
   and 0.20. After age-adjustment, education and income remained associated
   with the most healthy dietary pattern. Even when both socioeconomic
   indicators were used together in one model, higher income and education
   were associated with higher scores for Healthy Eating Index,
   Mediterranean Diet Score and Healthy Dietary Pattern. The least healthy
   quintiles of dietary pattern as measured by the three methods were
   associated with a clustering of unhealthy behaviors, that is, smoking,
   low physical activity, highest intake of total fat and saturated fatty
   acids, and low intakes of fruits and vegetables.
   Conclusions: The three dietary patterns used indicated that the most
   healthy patterns were associated with a higher socioeconomic position,
   while lower patterns were associated with several unhealthy behaviors.
   European Journal of Clinical Nutrition (2010) 64, 231-238;
   doi:10.1038/ejcn.2009.145; published online 20 January 2010
RI Mullie, Patrick/AAM-9688-2020; Mullie, Patrick/; Vansant, Greet (Margareta)/; Hulens, Mieke/
OI Mullie, Patrick/0000-0001-5592-3169; Vansant, Greet
   (Margareta)/0000-0002-5781-8482; Hulens, Mieke/0000-0002-2335-8772
ZA 0
ZR 0
ZB 48
Z8 1
ZS 8
TC 116
Z9 121
U1 3
U2 28
SN 0954-3007
EI 1476-5640
UT WOS:000275168400001
PM 20087378
ER

PT J
AU Prunuske, Jacob
TI Live and Web-based Orientations Are Comparable for a Required Rotation
SO FAMILY MEDICINE
VL 42
IS 3
BP 180
EP 184
PD MAR 2010
PY 2010
AB Background and Objectives: Studies show equivalency in knowledge when
   measured following Web-based learning and live lecture. However, the
   effectiveness of a Web-based orientation for a required clinical
   rotation is unknown. Methods: Medical students viewed a Web-based
   orientation and completed a 13-item evaluation before beginning a
   required 6-week community medicine rotation. Evaluation data from
   2007-2008 live orientation sessions were compared to responses from
   2008-2009 Web-based orientation sessions. Data were analyzed by
   two-sample tests of proportion. Results: A total of 169 students
   completed surveys during the study period-78 following the live and 91
   following the Web-based orientation. Response rates were equal in the
   two groups. The survey tool had a high level of reliability (Cronbach's
   alpha=0.96). There was no statistical difference in student evaluations
   for 12 of 13 orientation evaluation items. Conclusions: Live and
   Web-based formats are comparable for presenting orientation materials to
   a required clinical rotation. Students jell the purpose of the rotation,
   educational goals, course structure, and requirements were clearly
   presented regardless of format. Transition from a live to Web-based
   format reduced faculty time required to present at rotation
   orientations.
RI Prunuske, Jacob/AAV-8646-2020
ZR 0
Z8 0
ZB 1
TC 6
ZS 0
ZA 0
Z9 6
U1 0
U2 1
SN 0742-3225
EI 1938-3800
UT WOS:000278937500012
PM 20204893
ER

PT J
AU Jacobs, Nele
   De Bourdeaudhuij, Ilse
   Claes, Neree
TI Surfing depth on a behaviour change website: Predictors and effects on
   behaviour
SO INFORMATICS FOR HEALTH & SOCIAL CARE
VL 35
IS 2
BP 41
EP 52
DI 10.3109/17538157.2010.492922
PD MAR 2010
PY 2010
AB The primary objectives of the present study were to gain insight into
   website use and to predict the surfing depth on a behaviour change
   website and its effect on behaviour. Two hundred eight highly educated
   adults from the intervention condition of a randomised trial received
   access to a medical intervention, individual coaching (by e-mail, post,
   telephone or face-to-face) and a behaviour change website. Website use
   (e.g. surfing depth, page view duration) was registered. Online
   questionnaires for physical activity and fat intake were filled out at
   baseline and after 6 months. Hierarchical linear regression was used to
   predict surfing depth and its effect on behaviour. Seventy-five per cent
   of the participants visited the website. Fifty-one and fifty-six per
   cent consulted the physical activity and fat intake feedback,
   respectively. The median surfing depth was 2. The total duration of
   interventions by e-mail predicted deeper surfing (beta = 0.36; p <
   0.001). Surfing depth did not predict changes in fat intake (beta =
   -0.07; p = 0.45) or physical activity (beta = -0.03; p = 0.72).
   Consulting the physical activity feedback led to more physical activity
   (beta = 0.23; p = 0.01). The findings from the present study can be used
   to guide future website development and improve the information
   architecture of behaviour change websites.
RI De+Bourdeaudhuij, Ilse/AAC-5528-2019
OI De+Bourdeaudhuij, Ilse/0000-0001-9969-7597
TC 4
ZR 0
Z8 0
ZB 0
ZA 0
ZS 0
Z9 4
U1 0
U2 12
SN 1753-8157
EI 1753-8165
UT WOS:000282060500001
PM 20726734
ER

PT J
AU Pigeyre, M.
   Bokor, S.
   Romon, M.
   Gottrand, F.
   Gilbert, C. C.
   Valtuena, J.
   Gomez-Martinez, S.
   Moreno, L. A.
   Amouyel, P.
   Dallongeville, J.
   Meirhaeghe, A.
CA HELENA Study Grp
TI Influence of maternal educational level on the association between the
   rs3809508 neuromedin B gene polymorphism and the risk of obesity in the
   HELENA study
SO INTERNATIONAL JOURNAL OF OBESITY
VL 34
IS 3
BP 478
EP 486
DI 10.1038/ijo.2009.260
PD MAR 2010
PY 2010
AB Objective: Neuromedin B (NMB) is a bombesin-like peptide, which inhibits
   food intake and modulates stress-related behaviour. An NMB gene
   polymorphism (P73T) has been earlier associated with obesity and
   abnormal eating behaviour in adults.
   Methods: The association between four NMB polymorphisms and
   obesity-related phenotypes was investigated in the Healthy Lifestyle in
   Europe by Nutrition in Adolescence cross-sectional study (n = 1144,
   12-17-year-old European adolescents). This population was genotyped for
   the NMB rs1107179, rs17598561, rs3809508 and rs1051168 (P73T)
   polymorphisms. Obesity was defined according to Cole et al. (BMJ 2000;
   320: 1240-1243) criteria; eating behaviour was assessed by the Eating
   Behaviour and Weight Problems Inventory for Children (EWI-C) and the
   food choices and preferences questionnaires. Familial socioeconomic
   status (SES) was assessed through the parents' educational level.
   Results: Only the genotype distribution of rs3809508 differed according
   to obesity status, as the TT genotype was more frequent in obese than in
   non-obese adolescents (8.6% vs 3.1%, P = 0.05; adjusted odds ratio for
   obesity (95% confidence interval): 2.85 (1.11-7.31), P = 0.03).
   Moreover, TT subjects had higher body mass index (22.8 +/- 4.4 kg m(-2)
   vs 21.3 +/- 3.7 kg m(2), P = 0.02), waist circumference (75.8 +/- 9.7cm
   vs 72.2 +/- 9.3 cm, P = 0.006), waist-to-hip ratio (0.84 +/- 0.14 vs
   0.79 +/- 0.07, P<0.0001) and waist-to-height ratio (0.47 +/- 0.06 vs
   0.44 +/- 0.55, P = 0.002) than C allele carriers. The effects of this
   single nucleotide polymorphism on all anthropometric values were
   influenced by the maternal SES, in that a low maternal educational level
   aggravated the phenotype of adolescents carrying the TT genotype
   (interactions: P<0.02). No association with EWI-C scores was found,
   although sweet craving was a more frequent cause of between-meal food
   intake in TT subjects than in C allele carriers (24.3% vs 9.2%, P =
   0.01).
   Conclusion: In European adolescents, the TT genotype of the NMB
   rs3809508 polymorphism was associated with a higher risk of obesity.
   Moreover, the effects of this polymorphism on anthropometric values were
   influenced by the maternal educational level. International Journal of
   Obesity (2010) 34, 478-486; doi: 10.1038/ijo.2009.260; published online
   15 December 2009
RI Vardavas, Constantine/O-4961-2016; Moreno, Luis/S-1780-2019; Martínez, Sonia SGM Gómez/Q-2626-2017; Meirhaeghe, Aline/E-4663-2015; gottrand, frederic F/G-7370-2015; Vardavas, Constantine I/G-7598-2011; Valtuena, Jara/; Pigeyre, Marie/; Gomez_Martinez, Sonia/; Amouyel, Philippe/
OI Vardavas, Constantine/0000-0003-0171-9570; Moreno,
   Luis/0000-0003-0454-653X; Meirhaeghe, Aline/0000-0001-6983-2364;
   gottrand, frederic F/0000-0002-5290-0436; Valtuena,
   Jara/0000-0002-9377-8668; Pigeyre, Marie/0000-0003-2984-8366;
   Gomez_Martinez, Sonia/0000-0002-3281-0118; Amouyel,
   Philippe/0000-0001-9088-234X
Z8 0
ZS 0
ZB 9
ZR 0
ZA 0
TC 16
Z9 16
U1 1
U2 7
SN 0307-0565
EI 1476-5497
UT WOS:000275503200009
PM 20010906
ER

PT J
AU Mazerolle, Stephanie M.
   Scruggs, Ian C.
   Casa, Douglas J.
   Burton, Laura J.
   McDermott, Brendon P.
   Armstrong, Lawrence E.
   Maresh, Carl M.
TI Current Knowledge, Attitudes, and Practices of Certified Athletic
   Trainers Regarding Recognition and Treatment of Exertional Heat Stroke
SO JOURNAL OF ATHLETIC TRAINING
VL 45
IS 2
BP 170
EP 180
DI 10.4085/1062-6050-45.2.170
PD MAR-APR 2010
PY 2010
AB Context: Previous research has indicated that despite awareness of the
   current literature on the recommended prevention and care of exertional
   heat stroke (EHS), certified athletic trainers (ATs) acknowledge failure
   to follow those recommendations.
   Objective: To investigate the current knowledge, attitudes, and
   practices of ATs regarding the recognition and treatment of EHS.
   Design: Cross-sectional study.
   Setting: Online survey.
   Patients or Other Participants: We obtained a random sample of e-mail
   addresses for 1000 high school and collegiate ATs and contacted these
   individuals with invitations to participate. A total of 498 usable
   responses were received, for a 25% response rate.
   Main Outcome Measure(s): The survey instrument evaluated ATs' knowledge
   and actual practice regarding EHS and included 29 closed-ended Likert
   scale questions (1 = strongly disagree, 7 = strongly agree), 2
   closed-ended questions rated on a Likert scale (1 = lowest value, 9 =
   greatest value), 8 open-ended questions, and 7 demographic questions. We
   focused on the open-ended and demographic questions.
   Results: Although most ATs (77.1%) have read the current National
   Athletic Trainers' Association position statement on heat illness, only
   18.6% used rectal thermometers to assess core body temperature to
   recognize EHS, and 49.7% used cold-water immersion to treat EHS.
   Athletic trainers perceived rectal thermometers as the most valid
   temperature assessment device when compared with other assessment
   devices (P <= .05), but they used oral thermometers as the primary
   assessment tool (49.1%). They identified cold-water immersion as the
   best cooling method (P <= .05), even though they used other means to
   cool a majority of the time (50.3%).
   Conclusions: The ATs surveyed have sound knowledge of the correct means
   of EHS recognition and treatment. However, a significant portion of
   these ATs reported using temperature assessment devices that are invalid
   with athletes exercising in the heat. Furthermore, they reported using
   cooling treatment methods that have inferior cooling rates.
OI Burton, Laura/0000-0002-3454-3228
TC 36
Z8 0
ZS 0
ZB 21
ZR 0
ZA 0
Z9 36
U1 0
U2 11
SN 1062-6050
EI 1938-162X
UT WOS:000275927300009
PM 20210621
ER

PT J
AU Mayer, Deborah K.
   Ratichek, S.
   Berhe, H.
   Stewart, S.
   McTavish, F.
   Gustafson, D.
   Parsons, S. K.
TI Development of a health-related website for parents of children
   receiving hematopoietic stem cell transplant: HSCT-CHESS
SO JOURNAL OF CANCER SURVIVORSHIP
VL 4
IS 1
BP 67
EP 73
DI 10.1007/s11764-009-0108-z
PD MAR 2010
PY 2010
AB Introduction Parents of pediatric hematopoietic stem cell transplant
   (HSCT) play a pivotal role in the care of their child during and after
   transplant. In addition to the child's comforter, parents also serve as
   care coordinators and conduits of communication between various health
   care providers, family and community members. The stress on the parent
   and family is enormous during this process, which for many is compounded
   by geographic dislocation to accompany their child during the rigorous
   treatment and recovery process. For many parents, their own recovery
   spans months to years.
   Methods Parental activation, a process of becoming informed to
   participate in decisions, collaborate with health care providers, and
   manage care provided the conceptual framework to develop an eHealth
   approach for this population. HSCT-CHESS was developed, based on
   previous success with an existing eHealth system of integrated services,
   the Comprehensive Health Enhancement Support System (CHESS (TM)). CHESS
   (TM) is designed to help individuals and families cope with a health
   crisis or medical concern. The iterative user-centered development
   process for HSCT-CHESS included parents of HSCT recipients,
   representatives from an HSCT Advocacy Group, and members of the
   clinical, research, development and design teams. This rigorous process,
   including online focus groups and surveys, utilization of a parental
   user group, and an editorial and development process are described.
   Conclusion As the population of cancer survivors and caregivers increase
   and as the oncology workforce becomes more stretched; developing eHealth
   applications may be an approach to address many of caregivers unmet
   needs. The purpose in describing this process is to help others when
   considering such an endeavor. HSCT-CHESS is now being tested in a
   randomized controlled trial versus standard care to evaluate its impact
   on the quality of life of both the parent and child HSCT recipient.
RI Mayer, Deborah K/D-1540-2010
ZA 0
ZB 3
ZR 0
Z8 1
ZS 0
TC 17
Z9 18
U1 0
U2 17
SN 1932-2259
EI 1932-2267
UT WOS:000292468200007
PM 19967409
ER

PT J
AU Schumacher, Donna
TI The Electronic Medical Record and Clinical Nursing Student Instruction:
   Tips and Tricks for Success
SO JOURNAL OF CONTINUING EDUCATION IN NURSING
VL 41
IS 3
BP 102
EP 103
DI 10.3928/00220124-20100224-08
PD MAR 2010
PY 2010
AB It is vital to keep faculty and students up-to-date on the latest
   electronic medical record and practice changes. A large Midwest academic
   center found that an effective and efficient way of communicating these
   changes to 10 affiliated nursing programs was through the Blackboard
   Inc. electronic online program. The tips learned may prove helpful for
   other health care institutions when deciding on a process to meet this
   contractual element. J Contin Educ Nurs 2010;41(3):102-103.
ZS 0
ZR 0
Z8 0
TC 0
ZA 0
ZB 0
Z9 0
U1 0
U2 2
SN 0022-0124
UT WOS:000282934600003
PM 20229958
ER

PT J
AU Alikhan, Ali
   Kaur, Ravneet R.
   Feldman, Steven R.
TI Podcasting in dermatology education
SO JOURNAL OF DERMATOLOGICAL TREATMENT
VL 21
IS 2
BP 73
EP 79
DI 10.3109/09546630902936786
PD MAR 2010
PY 2010
AB Background: Podcasting is a relatively new technology, which allows
   users to subscribe to audio/video broadcasts online, download new ones,
   and transfer to their MP3 devices. Studies in medical and dental schools
   have demonstrated that podcasting is an effective learning method.
   Objective: To discuss the history, strengths, and weaknesses of the
   dermatology-related podcasts available for download. Methods: An iTunes
   search was performed, and five dermatology-related podcasting
   subscriptions were accessed; the previous 10 podcasts in each
   subscription were assessed to compile an overall picture. Authors
   listened to all podcasts, evaluated them independently, then shared
   their evaluations to optimally capture details. Results: Each of the
   podcasting services had its own strengths and weaknesses. While some
   were targeted towards practicing physicians, others were targeted to
   patients and medical students. Furthermore, none of the services updated
   at a regular, timely interval. Our analysis was limited to podcasts in
   the English language. We did not assess the accuracy of the content of
   the podcasts. Conclusion: Podcasting allows a truly mobile educational
   resource, one that could benefit dermatologists. Prestigious journals
   and large institutions should become more involved in developing
   informative, evidence-based podcasts at regular intervals. Videocasting
   offers the possibility of viewing procedures. Conferences are also prime
   ground for podcasts. Improved regulation and increased interest (from
   large organizations and institutions) will be crucial to the future of
   podcasting.</.
RI Feldman, Steven R./AAH-6971-2021
OI Feldman, Steven R./0000-0002-0090-6289
TC 12
Z8 0
ZB 1
ZS 0
ZA 0
ZR 0
Z9 12
U1 0
U2 15
SN 0954-6634
UT WOS:000274877000003
PM 19701846
ER

PT J
AU DeJoy, Sharon Bernecki
TI "Midwives Are Nice, But ...": Perceptions of Midwifery and Childbirth in
   an Undergraduate Class
SO JOURNAL OF MIDWIFERY & WOMENS HEALTH
VL 55
IS 2
BP 117
EP 123
DI 10.1016/j.jmwh.2009.05.009
PD MAR-APR 2010
PY 2010
AB Introduction: The purpose of this study was to explore college students'
   beliefs about childbirth and midwifery.
   Methods: A critical qualitative analysis was used to identify common
   themes that occurred in an online class discussion about midwifery.
   Results: This population of 459 college students drew on the larger
   social discourse of the medical model of childbirth to frame their
   discussion of childbirth and midwives. Common beliefs that emerged from
   class discussions included the perceived dangerous nature of childbirth,
   the necessity for technologic interventions in childbirth, and doubts
   about the quality of midwifery training and practice.
   Discussion: To promote midwifery among this population, advocates should
   continue public education efforts through a variety of media and
   communication strategies, with an emphasis on the safety of midwifery
   care.
TC 13
ZB 0
Z8 0
ZS 0
ZA 0
ZR 0
Z9 13
U1 0
U2 9
SN 1526-9523
UT WOS:000275109500005
PM 20189130
ER

PT J
AU Dixon, Brian E.
   Newlon, Christine M.
TI How Do FUTURE NURSING EDUCATORS PERCEIVE INFORMATICS? ADVANCING THE
   NURSING INFORMATICS AGENDA THROUGH DIALOGUE
SO JOURNAL OF PROFESSIONAL NURSING
VL 26
IS 2
BP 82
EP 89
DI 10.1016/j.profnurs.2009.05.001
PD MAR-APR 2010
PY 2010
AB Informatics is a popular topic in literature, in media, and in
   education. However, nursing professionals and even nursing faculty may
   not have a clear understanding of informatics. The authors conducted a
   small simulation study to examine how nursing students enrolled in a
   doctor of philosophy program-future nursing educators-perceived
   informatics and its core elements Using an online collaboration tool,
   the students were asked to create a plan for integrating informatics
   into a simulated undergraduate nursing program. The results of the study
   provide lessons for nursing professionals and educators Students
   identified only a handful of competencies believed important by
   informatics initiatives led by the American Nurses Association and the
   Technology Informatics Guiding Education Reform. Although most students
   believed an undergraduate curriculum should teach computer skills, only
   a few participants identified information literacy skills, such as
   privacy and security of health information, as important for beginning
   nurses Although limited, findings articulate the need for a universally
   accepted definition of informatics and a shared understanding of an
   informatics core curriculum.
RI Dixon, Brian E./K-4469-2019; Dixon, Brian E./A-9494-2013
OI Dixon, Brian E./0000-0002-1121-0607
ZA 0
ZB 1
ZS 2
ZR 0
TC 11
Z8 0
Z9 12
U1 0
U2 14
SN 8755-7223
EI 1532-8481
UT WOS:000276322900003
PM 20304375
ER

PT J
AU Haas, David M.
   Wunder, Kathleen
   Wolf, James G.
   Denne, Scott C.
TI Women's Health Care Providers' Attitudes Toward Research in Pregnancy
SO JOURNAL OF REPRODUCTIVE MEDICINE
VL 55
IS 3-4
BP 108
EP 114
PD MAR-APR 2010
PY 2010
AB OBJECTIVE: To evaluate women's health care providers' attitudes towards
   research in pregnancy.
   STUDY DESIGN: An online, anonymous survey given to health care providers
   and personnel directly involved in the care of pregnant women at 3
   hospitals. The survey ascertained research involvement and attitudes
   toward both research in general and research on pregnant women.
   RESULTS: One hundred thirty-one people responded to the survey (27%).
   The majority of health care providers supported research, with
   CONCLUSION: While women's health care workers are generally supportive
   of research in pregnancy, a discrepancy exists between what they would
   encourage others to do and what they would do. In order to promote
   recruitment of pregnant women into research studies, education of all
   health care workers involved in pregnant women's care should be a major
   focus. (J Reprod Med 2010; 55:108-114)
ZS 0
Z8 0
TC 5
ZR 0
ZB 1
ZA 0
Z9 5
U1 1
U2 2
SN 0024-7758
UT WOS:000277600300005
PM 20506670
ER

PT J
AU Peska, Don N
   Lewis, Kadriye O
TI Uniform instruction using web-based, asynchronous technology in a
   geographically distributed clinical clerkship: analysis of osteopathic
   medical student participation and satisfaction.
SO The Journal of the American Osteopathic Association
VL 110
IS 3
BP 135
EP 42
PD 2010-Mar
PY 2010
AB CONTEXT: As medical schools in the United States increase their class
   sizes, many institutions are forced to extend their teaching
   affiliations outside of their immediate communities. Geographic
   distribution threatens the ability to provide the uniform learning
   opportunities that students need and accrediting bodies require.
   OBJECTIVE: To determine if a Web-based, asynchronous learning module can
   provide an effective, uniform learning opportunity for osteopathic
   medical students enrolled in clinical clerkship.
   METHODS: Third-year osteopathic medical students enrolled in an 8-week
   core clinical clerkship in surgery were required to participate in a
   Web-based, asynchronous, interactive instructional module designed to
   provide opportunities for higher-order thinking through analysis,
   synthesis, and reflective learning. The quantity and content of
   students' online course interactions were analyzed to determine
   quantitative and qualitative features of their course participation. At
   the completion of the clerkship, students completed a 10-item
   Likert-type survey of their experience to determine the most helpful
   attributes of the Web-based learning module. Responses were assigned
   numerical values from 1 (strongly disagree) to 5 (strongly agree) to
   obtain a mean score for each question.
   RESULTS: Sixty-three students completed the Web-based module. The
   content of their discussions, as determined by message coding,
   identified the critical thinking needed to acquire abstract
   conceptualization of the problems presented in a typical surgery
   clerkship. Students found the content of the module relevant to the
   clerkship (mean score, 4.18) and valued facilitator feedback (4.00).
   Although they did not prefer Web-based instruction of classroom lecture
   (2.66), students indicated that the Web-based module enhanced their
   overall learning experience in the clerkship (3.30).
   CONCLUSION: Web-based technology in the clinical education of third-year
   osteopathic medical students appears to afford an acceptable teaching
   alternative when face-to-face instruction cannot be provided. Further
   study of the impact of instructional design on the quality of
   higher-order thinking in this domain is needed, as is an appreciation
   for the dynamics of group learning in a virtual environment.
RI Lewis, Kadriye O./AAI-9689-2020
ZR 0
TC 12
ZA 0
Z8 0
ZB 0
ZS 0
Z9 12
U1 0
U2 0
EI 1945-1997
UT MEDLINE:20386022
PM 20386022
ER

PT J
AU Rodgers, Delores J
TI AOA continuing medical education.
SO The Journal of the American Osteopathic Association
VL 110
IS 3
BP 168
EP 82
PD 2010-Mar
PY 2010
AB The previous continuing medical education (CME) cycle began on January
   1, 2007, and ended on December 31, 2009. All members of the American
   Osteopathic Association (AOA), other than those exempted, were required
   to participate in the CME program and to meet specified CME credit hour
   requirements for that CME cycle. The author provides an update on the
   new 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.
ZB 0
ZS 0
ZA 0
Z8 0
TC 5
ZR 0
Z9 5
U1 0
U2 0
EI 1945-1997
UT MEDLINE:20386026
PM 20386026
ER

PT J
AU Hughes, Benjamin
   Wareham, Jonathan
   Joshi, Indra
TI Doctors' Online Information Needs, Cognitive Search Strategies, and
   Judgments of Information Quality and Cognitive Authority: How Predictive
   Judgments Introduce Bias Into Cognitive Search Models
SO JOURNAL OF THE AMERICAN SOCIETY FOR INFORMATION SCIENCE AND TECHNOLOGY
VL 61
IS 3
BP 433
EP 452
DI 10.1002/asi.21245
PD MAR 2010
PY 2010
AB Literature examining information judgments and Internet search behaviors
   notes a number of major research gaps, including how users actually make
   these judgments outside of experiments or researcher-defined tasks, and
   how search behavior is impacted by a user's judgment of online
   information. Using the medical setting, where doctors face real
   consequences in applying the information found, we examine how
   information judgments employed by doctors to mitigate risk impact their
   cognitive search. Diaries encompassing 444 real clinical information
   search incidents, combined with semistructured interviews across 35
   doctors, were analyzed via thematic analysis. Results show that doctors,
   though aware of the need for information quality and cognitive
   authority, rarely make evaluative judgments. This is explained by
   navigational bias in information searches and via predictive judgments
   that favor known sites where doctors perceive levels of information
   quality and cognitive authority. Doctors' mental models of the Internet
   sites and Web experience relevant to the task type enable these
   predictive judgments. These results suggest a model connecting online
   cognitive search and information judgment literatures. Moreover, this
   implies a need to understand cognitive search through longitudinal or
   learning-based views for repeated search tasks, and adaptations to
   medical practitioner training and tools for online search.
RI Brennan, Kathy/D-6118-2011
Z8 0
ZR 0
ZS 2
ZA 0
TC 27
ZB 3
Z9 28
U1 3
U2 74
SN 1532-2882
EI 1532-2890
UT WOS:000274926000001
ER

PT J
AU Reed, Amy B.
   Rhodes, Robert
   Ricotta, John
TI Determining who trains vascular surgery fellows in endovascular
   techniques
SO JOURNAL OF VASCULAR SURGERY
VL 51
IS 3
BP 756
EP 759
DI 10.1016/j.jvs.2009.10.109
PD MAR 2010
PY 2010
AB Objectives: Vascular surgery training has evolved from a single clinical
   year after general surgery training to a multi-year training program to
   encompass such entities as noninvasive vascular laboratory, office-based
   procedures, and endovascular techniques. Simultaneously, members of the
   vascular surgery community have had to undergo significant training to
   become facile with endovascular techniques. We surveyed vascular surgery
   trainees on the online Vascular Surgery in-Training Examination (VSITE)
   in 2008 and 2009 to assess who trained them in percutaneous techniques.
   Methods: Vascular surgery trainees in the Independent (2-year) and
   Integrated (5-year) training programs were asked to participate in a
   survey upon completion of the VSITE in 2008 and 2009. Examinees were
   asked to select whether vascular surgeons, cardiologists, or
   interventional radiologists trained them in carotid angioplasty and
   stenting (CAS), thoracic endografts (TEVAR), endovascular abdominal
   aortic aneurysm repair (EVAR), renal artery intervention, iliac
   stenting, superficial femoral artery (SFA), and tibial artery
   percutaneous interventions.
   Results: Survey response rate was 79.6% (191 of 240). Results of the
   survey are shown in Table I. In 2009, vascular surgeons provided more
   than 84% of the training to vascular surgery residents. Only six
   respondents had >50% of their percutaneous training with interventional
   radiology and two with cardiologists.
   Conclusion: Vascular surgeons involved in resident education have been
   able to retrain themselves in endovascular techniques such that the are
   now able to provide greater than 80% of the endovascular experience to
   vascular surgery residents. (J Vasc Surg 2010;51:756-9.)
Z8 0
ZR 0
ZB 1
ZA 0
TC 10
ZS 0
Z9 10
U1 0
U2 2
SN 0741-5214
UT WOS:000275738600035
PM 20045620
ER

PT J
AU Crisan, Sorin
   Militaru, Valentin
   Crisan, Iulia Maria
TI Abdominal aortic aneurysm - online methods of patient education
SO MEDICAL ULTRASONOGRAPHY
VL 12
IS 1
BP 22
EP 25
PD MAR 2010
PY 2010
AB The authors present some of the most important online methods of patient
   education on diagnosis and treatment of abdominal aortic aneurysm
   (easy-to-read articles, medical journal with patient pages, patient
   guides, brochures, illustrations, animations, and frequently asked
   questions)
RI Militaru, Valentin/AAB-4740-2021
ZR 0
ZB 0
Z8 0
ZA 0
ZS 0
TC 1
Z9 1
U1 0
U2 2
SN 1844-4172
EI 2066-8643
UT WOS:000208902400005
PM 21165450
ER

PT J
AU Gabril, Manal Y.
   Yousef, George M.
TI Informatics for practicing anatomical pathologists: marking a new era in
   pathology practice
SO MODERN PATHOLOGY
VL 23
IS 3
BP 349
EP 358
DI 10.1038/modpathol.2009.190
PD MAR 2010
PY 2010
AB Informatics can be defined as using highly advanced technologies to
   improve patient diagnosis or management. Pathology informatics had
   evolved as a response to the overwhelming amount of information that was
   available, in an attempt to better use and maintain them. The most
   commonly used tools of informatics can be classified into digital
   imaging, telepathology, as well as Internet and electronic data mining.
   Digital imaging is the storage of anatomical pathology information,
   either gross pictures or microscopic slides, in an electronic format.
   These images can be used for education, archival, diagnosis, and
   consultation. Virtual microscopy is the more advanced form of digital
   imaging with enhanced efficiency and accessibility. Telepathology is now
   increasingly becoming a useful tool in anatomical pathology practice.
   Different types of telepathology communications are available for both
   diagnostic and consultation services. The spectrum of applications of
   informatics in the field of anatomical pathology is broad and
   encompasses medical education, clinical services, and pathology
   research. Informatics is now settling on solid ground as an important
   tool for pathology teaching, with digital teaching becoming the standard
   tool in many institutions. After a slow start, we now witness the
   transition of informatics from the research bench to bedside. As we are
   moving into a new era of extensive pathology informatics utilization,
   several challenges have to be addressed, including the cost of the new
   technology, legal issues, and resistance of pathologists. It is clear
   from the current evidence that pathology informatics will continue to
   grow and have a major role in the future of our specialty. However, it
   is also clear that it is not going to fully replace the human factor or
   the regular microscope. Modern Pathology (2010) 23, 349-358; doi:
   10.1038/modpathol. 2009. 190; published online 15 January 2010
ZS 0
ZB 19
TC 42
ZR 0
ZA 0
Z8 0
Z9 42
U1 0
U2 5
SN 0893-3952
EI 1530-0285
UT WOS:000275108600001
PM 20081805
ER

PT J
AU Meneses, Karen
   McNees, Patrick
   Azuero, Andres
   Jukkala, Angela
TI Development of the Fertility and Cancer Project: An Internet Approach to
   Help Young Cancer Survivors
SO ONCOLOGY NURSING FORUM
VL 37
IS 2
BP 191
EP 197
DI 10.1188/10.ONF.191-197
PD MAR 2010
PY 2010
AB Purpose/Objectives: To describe the development of the Fertility and
   Cancer Project (FCP), an Internet approach to supplement information
   about fertility; describe FCP study participants' characteristics,
   fertility, cancer knowledge, and Internet use; and assess perceived
   information and support from the oncology team.
   Design: Descriptive.
   Setting: Internet, international.
   Sample: 106 young survivors of breast cancer from eight countries.
   Methods: FCP content was developed from the literature and interviews
   with breast cancer survivors, oncology professionals, and young women
   without cancer who were having fertility problems. Participants learned
   about the FCP through advocacy groups, cancer care providers, and Web
   searches. After enrollment, they completed five surveys:
   sociodemographic, breast cancer and health status, knowledge of
   fertility, Internet use, and the Medical Outcomes Study-Social Support
   Survey.
   Main Research Variables: Sociodemographics, breast cancer, health
   status, fertility knowledge, Internet use, and social support.
   Findings: Prior to diagnosis, most survivors had no fertility concerns,
   hut more than 14% reported fertility problems. Following breast cancer
   diagnosis and treatment, 23 reported fertility problems. About half
   reported receiving little information about fertility options from the
   oncology team and were referred to a reproductive endocrinologist.
   Internet use to obtain support and health information was common. Most
   reported frequent computer use and Internet access in their homes.
   Participants were most knowledgeable of the general and
   treatment-related factors that could affect fertility; they were least
   knowledgeable of infertility treatment.
   Conclusions: Results provide preliminary evidence about the demographic,
   cancer treatment, and support characteristics of young survivors of
   breast cancer who seek online information about fertility.
   Implications for Nursing: The Internet is a promising format for
   engaging young cancer survivors who seek information about fertility and
   cancer. Future studies can evaluate FCP effectiveness in delivering
   education and support interventions.
TC 33
ZR 0
ZA 0
ZB 6
ZS 1
Z8 1
Z9 35
U1 0
U2 11
SN 0190-535X
EI 1538-0688
UT WOS:000275607500009
PM 20189924
ER

PT J
AU Gardner, H. Garry
   Baum, Carl R.
   Dowd, M. Denise
   Durbin, Dennis R.
   Lichenstein, Richard
   Quinlan, Kyran P.
   Sege, Robert D.
   Turner, Michael S.
   Weiss, Jeffrey C.
CA Comm Injury Violence Poison Preven
TI Policy Statement-Prevention of Choking Among Children
SO PEDIATRICS
VL 125
IS 3
BP 601
EP 607
DI 10.1542/peds.2009-2862
PD MAR 2010
PY 2010
AB Choking is a leading cause of morbidity and mortality among children,
   especially those aged 3 years or younger. Food, coins, and toys are the
   primary causes of choking-related injury and death. Certain
   characteristics, including shape, size, and consistency, of certain toys
   and foods increase their potential to cause choking among children.
   Childhood choking hazards should be addressed through comprehensive and
   coordinated prevention activities. The US Consumer Product Safety
   Commission (CPSC) should increase efforts to ensure that toys that are
   sold in retail store bins, vending machines, or on the Internet have
   appropriate choking-hazard warnings; work with manufacturers to improve
   the effectiveness of recalls of products that pose a choking risk to
   children; and increase efforts to prevent the resale of these recalled
   products via online auction sites. Current gaps in choking-prevention
   standards for children's toys should be reevaluated and addressed, as
   appropriate, via revisions to the standards established under the Child
   Safety Protection Act, the Consumer Product Safety Improvement Act, or
   regulation by the CPSC. Prevention of food-related choking among
   children in the United States has been inadequately addressed at the
   federal level. The US Food and Drug Administration should establish a
   systematic, institutionalized process for examining and addressing the
   hazards of food-related choking. This process should include the
   establishment of the necessary surveillance, hazard evaluation,
   enforcement, and public education activities to prevent food-related
   choking among children. While maintaining its highly cooperative
   arrangements with the CPSC and the US Department of Agriculture, the
   Food and Drug Administration should have the authority to address
   choking-related risks of all food products, including meat products that
   fall under the jurisdiction of the US Department of Agriculture. The
   existing National Electronic Injury Surveillance System-All Injury
   Program of the CPSC should be modified to conduct more-detailed
   surveillance of choking on food among children. Food manufacturers
   should design new foods and redesign existing foods to avoid shapes,
   sizes, textures, and other characteristics that increase choking risk to
   children, to the extent possible. Pediatricians, dentists, and other
   infant and child health care providers should provide choking-prevention
   counseling to parents as an integral part of anticipatory guidance
   activities. Pediatrics 2010;125:601-607
RI Durbin, Dennis/AAD-7829-2022; Sege, Robert/
OI Sege, Robert/0000-0003-1260-4787
Z8 0
ZS 3
ZR 0
ZB 10
ZA 0
TC 55
Z9 56
U1 1
U2 11
SN 0031-4005
UT WOS:000275945700026
ER

PT J
AU Nguyen, C. T.
   Gao, T.
   Hernandez, A. V.
   Jones, J. S.
TI Can residents perform transrectal ultrasound-guided prostate biopsy with
   patient comfort comparable to biopsy performed by attending staff
   urologists?
SO PROSTATE CANCER AND PROSTATIC DISEASES
VL 13
IS 1
BP 52
EP 57
DI 10.1038/pcan.2009.36
PD MAR 2010
PY 2010
AB Transrectal ultrasound (TRUS)-guided prostate biopsy is a critical
   diagnostic tool in urology. Residents require adequate training but
   resident education could have a deleterious effect on patient comfort
   and morbidity. We compared pain associated with prostate biopsy when
   performed by staff versus resident urologists in order to determine the
   impact of resident training. Male patients scheduled to undergo prostate
   biopsy were assigned to either a staff urologist or a resident as the
   primary surgeon. All residents were directly assisted by the staff
   surgeon. The patients were given a visual analogue scale (VAS; 0-100 mm)
   and were asked to assess the pain associated with each component of
   prostate biopsy, including probe insertion, anesthetic injection and the
   biopsies themselves. The mean VAS scores for probe insertion, anesthetic
   injection and biopsies were 31.0, 30.4 and 30.1, respectively, for
   patients in the staff cohort and 37.1, 28.9 and 33.6, respectively, for
   those in the resident cohort. There was a statistically significant
   difference between staff and resident VAS scores, marked by a higher
   odds of greater pain with ultrasound probe placement (odds ratio
   (OR)=1.48, P=0.012) and the biopsies themselves (OR=1.52, P=0.01) in the
   resident cohort. TRUS biopsy can be performed by adequately trained and
   supervised resident urologists of all levels, but there is the potential
   for increased patient pain, particularly with ultrasonic probe insertion
   and obtaining core biopsies. However, the absolute magnitude of the
   differences in pain scores between residents and staff was small and may
   not be clinically meaningful. Such data indicate that urological
   resident training can be accomplished without compromising patient care
   and comfort. Prostate Cancer and Prostatic Diseases (2010) 13, 52-57;
   doi:10.1038/pcan.2009.36; published online 22 September 2009
RI Hernandez, Adrian V./ABD-4616-2021
OI Hernandez, Adrian V./0000-0002-9999-4003
ZB 1
ZS 1
TC 7
ZA 0
Z8 0
ZR 0
Z9 7
U1 0
U2 2
SN 1365-7852
EI 1476-5608
UT WOS:000274397500009
PM 19770843
ER

PT J
AU Chisolm, Deena J.
TI Does Online Health Information Seeking Act Like a Health Behavior?: A
   Test of the Behavioral Model
SO TELEMEDICINE JOURNAL AND E-HEALTH
VL 16
IS 2
BP 155
EP 161
DI 10.1089/tmj.2009.0102
PD MAR 2010
PY 2010
AB Objective: This analysis tests the hypothesis that health information
   search can be modeled using the behavioral model, a tool traditionally
   used for other healthcare behaviors. Materials and Methods: The Pew
   Internet and American Life August 2006 Survey was used to model five
   selected Internet health information seeking behaviors: information on a
   specific disease, diet and nutrition, mental health, complementary and
   alternative medicine, and sexual health. Each behavior was modeled using
   hierarchical logistic regression with independent variables of
   predisposing factors (age, race, sex, and education), enabling factors
   (home Internet access, Internet experience, and high-speed access), and
   need factors (health status, chronic health condition, and current
   health crisis). Results: Health information search is not a monolithic
   behavior. Sex, age over 65, current health crisis, and regular use of
   the Internet were the most consistent predictors of use, each being
   significant in four of the five models. Blacks (odds ratio [OR] = 0.50,
   95% confidence interval [CI] 0.34-0.74) and Hispanics (OR = 0.59, 95% CI
   0.37-0.95) were significantly less likely than whites to search for
   information on a specific disease or condition but blacks (OR = 2.73,
   95% CI 1.69-4.43) were more likely than whites to search for sexual
   health information and Hispanics (OR = 1.72, 95% CI 1.09-2.73) were more
   likely than whites to search for complementary and alternative medicine
   information. Pseudo-r(2) for the fully specified models ranged from 0.13
   for mental health search to 0.32 for specific disease search.
   Conclusion: Health Internet behaviors can successfully be described
   using models designed for traditional health behaviors; however,
   different health information seeking behaviors have different user
   profiles.
RI Chisolm, Deena/E-2887-2011
ZS 1
TC 33
Z8 0
ZR 0
ZB 2
ZA 0
Z9 33
U1 2
U2 53
SN 1530-5627
EI 1556-3669
UT WOS:000275756500005
PM 20156127
ER

PT J
AU Beijer, Lilian J.
   Rietveld, Toni C. M.
   van Beers, Marijn M. A.
   Slangen, Robert M. L.
   van den Heuvel, Henk
   de Swart, Bert J. M.
   Geurts, Alexander C. H.
TI E-Learning-Based Speech Therapy: A Web Application for Speech Training
SO TELEMEDICINE JOURNAL AND E-HEALTH
VL 16
IS 2
BP 178
EP 181
DI 10.1089/tmj.2009.0104
PD MAR 2010
PY 2010
AB In The Netherlands, a web application for speech training, E-learning-
   based speech therapy ( EST), has been developed for patients with
   dysarthria, a speech disorder resulting from acquired neurological
   impairments such as stroke or Parkinson's disease. In this report, the
   EST infrastructure and its potentials for both therapists and patients
   are elucidated. EST provides patients with dysarthria the opportunity to
   engage in intensive speech training in their own environment, in
   addition to undergoing the traditional face-to-face therapy. Moreover,
   patients with chronic dysarthria can use EST to independently maintain
   the quality of their speech once the face-to-face sessions with their
   speech therapist have been completed. This telerehabilitation
   application allows therapists to remotely compose speech training
   programs tailored to suit each individual patient. Moreover, therapists
   can remotely monitor and evaluate changes in the patient's speech. In
   addition to its value as a device for composing, monitoring, and
   carrying out web-based speech training, the EST system compiles a
   database of dysarthric speech. This database is vital for further
   scientific research in this area.
RI de Swart, B.J.M./L-4678-2015; Geurts, Alexander/H-8032-2014
OI Geurts, Alexander/0000-0001-7478-1119
TC 13
ZA 0
ZB 2
Z8 0
ZS 1
ZR 0
Z9 13
U1 0
U2 32
SN 1530-5627
EI 1556-3669
UT WOS:000275756500008
PM 20184455
ER

PT J
AU Tasli, Levent
   Kacar, Nida
   Aydemir, Ertugrul Hasbi
TI The Citation and Articles Published in the TURKDERM Between 1999-2007: A
   Retrospective Assesment
SO TURKDERM-TURKISH ARCHIVES OF DERMATOLOGY AND VENEROLOGY
VL 44
IS 1
BP 8
EP 11
PD MAR 2010
PY 2010
AB Background and Design: In this report, it has been aimed to investigate
   the citation rates of the online issues of the "Turkdem" which has been
   indexed in the Web of Science since 2008. It is aimed also to have a
   base to comparing with the results of the citations in the indexed years
   after 2008 in the future.
   Material and Method: It was searched the articles published in the
   "review, original article, case report, continious education, letter to
   editor, surgical prosedurs and what's your diagnosis" sections between
   1999-2007 by Google scholar programme. The citations from Ulaknet
   national medical index, ISI and the other online peer-review journals
   were grouped according to years and article types.
   Results: Fourty-six % (n=165), 37% (n=131), 10% (n=35), 5% (n=17) and 1%
   (n=5) of the searched 356 articles were original articles, case reports,
   reviews, continous education and letters to editor, respectively. There
   were also three reports, two and one of which were what's your diagnosis
   and surgical procedures, respectively. Thirty seven, 30, 7, 5, and one
   of the cited 80 articles were in the sections of "original article, case
   report, continiuous education, review and letter to editor",
   respectively. The number of self made citations was 13 (13 %). Although
   only five citations (5%) were determined in the journals with impact
   factors higher than 1.4 which have been indexed by the Web of Science,
   44 citations (44%) were established in national dermatology journals.
   Conclusion: These results point out the low use rate of national
   references. (Turkderm 2010; 44: 8-11)
RI Tasli, Levent/AAD-6575-2022
OI Tasli, Levent/0000-0002-5433-4394
Z8 0
TC 0
ZR 0
ZS 0
ZA 0
ZB 0
Z9 0
U1 0
U2 3
SN 2717-6398
EI 2651-5164
UT WOS:000275852600003
ER

PT J
AU Bernstein, P.
   Stiehler, M.
   Haasper, C.
TI Survey of the Simultaneous Management of Clinical and Research Burdens
   in German University Orthopaedic and Trauma Departments
SO ZEITSCHRIFT FUR ORTHOPADIE UND UNFALLCHIRURGIE
VL 148
IS 2
BP 155
EP 162
DI 10.1055/s-0030-1249795
PD MAR 2010
PY 2010
AB Aim: Academic careers often place the burden of research on top of
   clinical work. This conflict denotes a demanding task especially in
   surgical disciplines, such as orthopaedics and traumatology. Driven by
   changes in the social system, concerning, e. g., leisure and parentship,
   the future organisation of the academic workplace needs to address these
   individual issues. With the aim to evaluate individual motivation
   towards combining research, clinical work and private life and to
   receive suggestions for improvement we conducted a survey addressing
   residents employed in the orthopaedic and traumatological departments of
   German university hospitals.
   Method: With the support of the "Junges Forum der Deutschen Gesellschaft
   fur Orthopadie und Unfallchirurgie (DGOU)", a survey, containing 21
   questions about occupational and private issues, was sent out to the
   orthopaedic and traumatologic departments of 25 university hospitals in
   Germany. The focus of the questions was set on motivation, priorities
   and personal resources. It was possible to answer the questions by
   e-mail; later an anonymous online version of the survey was set in
   action as well.
   Results: Completely answered forms were received from n = 105
   physicians, of which 88% were judged as active researchers. Over 50% of
   the participants were satisfied with their clinical career and with
   their research results. 96% of the survey participants felt sure that
   most of the research could only be managed during spare time. A majority
   of the participants supported the idea of receiving leave of absence
   from clinical duties for research in order to serialise the scientific
   and clinical careers. Interestingly, when focusing on priority settings,
   salary aspects were ranked as low as research interests, falling behind
   the wish for a more intensive surgical training and more leisure time.
   Conclusions: Individual solutions seem to be necessary to achieve a
   scheduled efficiency of clinical and research careers. This includes
   structural developments (like a professionally headed lab) and the
   establishment of dynamic clinical structures. It seems possible that the
   clinical organisation of physicians in teams might offer solutions to
   cope with the demands of surgical training and clinical care on the one
   hand and research on the other hand.
RI Bernstein, Peter/AAX-7963-2021; Haasper, Carl/H-3089-2019
OI Haasper, Carl/0000-0003-1209-4721
Z8 0
ZS 0
TC 7
ZR 0
ZB 1
ZA 0
Z9 7
U1 0
U2 6
SN 1864-6697
EI 1864-6743
UT WOS:000276422600013
PM 20376757
ER

PT J
AU Wong, Geoff
   Greenhalgh, Trisha
   Pawson, Ray
TI Internet-based medical education: a realist review of what works, for
   whom and in what circumstances
SO BMC MEDICAL EDUCATION
VL 10
AR 12
DI 10.1186/1472-6920-10-12
PD FEB 2 2010
PY 2010
AB Background: Educational courses for doctors and medical students are
   increasingly offered via the Internet. Despite much research, course
   developers remain unsure about what (if anything) to offer online and
   how. Prospective learners lack evidence-based guidance on how to choose
   between the options on offer. We aimed to produce theory driven criteria
   to guide the development and evaluation of Internet-based medical
   courses.
   Methods: Realist review - a qualitative systematic review method whose
   goal is to identify and explain the interaction between context,
   mechanism and outcome. We searched 15 electronic databases and
   references of included articles, seeking to identify theoretical models
   of how the Internet might support learning from empirical studies which
   (a) used the Internet to support learning, (b) involved doctors or
   medical students; and (c) reported a formal evaluation. All study
   designs and outcomes were considered. Using immersion and
   interpretation, we tested theories by considering how well they
   explained the different outcomes achieved in different educational
   contexts.
   Results: 249 papers met our inclusion criteria. We identified two main
   theories of the course-in-context that explained variation in learners'
   satisfaction and outcomes: Davis's Technology Acceptance Model and
   Laurillard's model of interactive dialogue. Learners were more likely to
   accept a course if it offered a perceived advantage over available
   non-Internet alternatives, was easy to use technically, and compatible
   with their values and norms. 'Interactivity' led to effective learning
   only if learners were able to enter into a dialogue - with a tutor,
   fellow students or virtual tutorials - and gain formative feedback.
   Conclusions: Different modes of course delivery suit different learners
   in different contexts. When designing or choosing an Internet-based
   course, attention must be given to the fit between its technical
   attributes and learners' needs and priorities; and to ways of providing
   meaningful interaction. We offer a preliminary set of questions to aid
   course developers and learners consider these issues.
RI Greenhalgh, Trisha/B-1825-2015; Wong, Geoff/
OI Greenhalgh, Trisha/0000-0003-2369-8088; Wong, Geoff/0000-0002-5384-4157
ZS 6
Z8 3
ZR 0
TC 249
ZA 0
ZB 19
Z9 257
U1 2
U2 124
EI 1472-6920
UT WOS:000284839200002
PM 20122253
ER

PT J
AU Courtenay-Quirk, Cari
   Horvath, Keith J.
   Ding, Helen
   Fisher, Holly
   McFarlane, Mary
   Kachur, Rachel
   O'Leary, Ann
   Rosser, B. R. Simon
   Harwood, Eileen
TI Perceptions of HIV-Related Websites Among Persons Recently Diagnosed
   with HIV
SO AIDS PATIENT CARE AND STDS
VL 24
IS 2
BP 105
EP 115
DI 10.1089/apc.2009.0228
PD FEB 2010
PY 2010
AB Many HIV-positive persons use the Internet to address at least some of
   their needs for HIV-specific information and support. The aim of this
   multimethod study was to understand how a diverse sample of persons who
   were recently diagnosed with HIV (PRDH) used the Internet after an HIV
   diagnosis and their perceptions of online HIV-related information and
   resources. HIV-positive persons (N = 63) who had been diagnosed since
   the year 2000 were recruited primarily through HIV-related websites and
   HIV medical clinics. One third of participants (33%, n = 21) were gay or
   bisexual men, 25% (n = 16) were heterosexual men, 32% (n = 20) were
   heterosexual women, and 10% (n = 6) were transgender women (male to
   female). Semistructured interviews and brief postinterview surveys were
   used to collect qualitative and quantitative data. Qualitative findings
   suggested that the most appealing websites to PRDH included those that:
   (1) provided usable information on topics of immediate concern; (2) used
   accessible formats that were easy to navigate; (3) were perceived as
   trustworthy, and (4) provided access to diverse perspectives of persons
   living with HIV/AIDS. Topics that PRDH found most useful included
   various medical treatment-related issues, tools for coping with
   depression and fear, and learning how others cope with HIV.
   Incorporating the perspectives of HIV-positive persons into the design
   and content of HIV-related websites is important to enhance their appeal
   for this diverse and growing population.
RI Kachur, Rachel/ABA-9352-2021; Harwood, Eileen Mae/; Rosser, B. R. Simon/
OI Harwood, Eileen Mae/0000-0001-8133-4608; Rosser, B. R.
   Simon/0000-0001-8862-531X
ZA 0
Z8 0
ZR 0
ZS 0
TC 19
ZB 1
Z9 19
U1 0
U2 6
SN 1087-2914
UT WOS:000274527200006
PM 20064028
ER

PT J
AU Guerra, Carla Morales
   Ramos, Monica Parente
   Penna, Virginia Zagallo
   Goto, Janaina Midori
   Santi, Leandro Queiroz
   Stempliuk, Valeska de Andrade
   Sallas, Janaina
   Medeiros, Eduardo A. S.
TI Perceptions and attitudes of the professional staff concerning infection
   surveillance and control programs in Brazilian hospitals
SO AMERICAN JOURNAL OF INFECTION CONTROL
VL 38
IS 1
BP 59
EP 62
DI 10.1016/j.ajic.2009.05.011
PD FEB 2010
PY 2010
AB Background: Several countries have conducted studies to assess the
   status of their infection control programs (ICP) with the objective of
   improving quality of infection control practices.
   Methods: To assess the perceptions and attitudes of the health care
   workers (HCW) concerning ICP in Brazilian hospitals, we conducted a
   cross-sectional survey using a self-administered online questionnaire
   during a Web-based course (WBC) on infection control (IC) and
   antimicrobial resistance (AR).
   Results: Of 6256 Brazilian HCW registered for the WBC, 1998 were members
   of infection control committees (ICC) and answered the survey. Eight
   hundred six (40.4%) respondents said that an ICP was established for
   more than 10 years in their institutions. Most professionals reported
   that their hospitals perform microbiologic surveillance targeted at
   epidemiologically important multidrug-resistant organisms, but the
   majority underestimated the prevalence of AR.
   Conclusion: Our survey highlights important information about the
   perceptions and attitudes of ICC members that may be used to tailor key
   interventions for implementing effective ICP. It suggests, additionally,
   that, to achieve countrywide standardized IC mechanisms in a developing
   country, authorities should consider the social, cultural, and
   economical disparities between regions and identify specific regional
   needs to make available the resources required to minimize such
   disparities.
RI Medeiros, Eduardo A/B-9825-2012
OI Medeiros, Eduardo A/0000-0002-6205-259X
TC 5
ZB 3
ZR 0
ZS 1
Z8 0
ZA 0
Z9 6
U1 0
U2 0
SN 0196-6553
UT WOS:000274859400011
PM 19748704
ER

PT J
AU Shinchuk, Leonid M.
   Chiou, Philip
   Czarnowski, Virginia
   Meleger, Alec L.
TI Demographics and Attitudes of Chronic-Pain Patient Who Seek Online
   Pain-Related Medical Information Implications for Healthcare Providers
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 89
IS 2
BP 141
EP 146
DI 10.1097/PHM.0b013e3181c56938
PD FEB 2010
PY 2010
AB Objective: To identify the demographics, search characteristics, and
   attitudes of chronic-pain patients who access online pain-related
   medical information.
   Design: This is a cross-sectional survey study.
   Results: Ninety percent of patients had access to the Internet; 63% of
   patients used the Internet to obtain online pain-related medical
   information, of which 57% and 55% believed that the information was
   "useful" and "credible," respectively. Ninety-five percent of current
   online pain-related medical information users and 52% of nonusers
   planned to use the Internet in the future to obtain online pain-related
   medical information. Only half of our subjects ever shared the
   information found on Internet with their treating healthcare provider.
   Conclusions: A large proportion of chronic-pain patients use the
   Internet to obtain online pain-related medical information. This
   behavior was found to show significant correlation with patients' level
   of education. Despite multiple previous studies suggesting inaccurate
   and low quality of online medical information, most of the patients felt
   confident in the credibility of online pain-related medical information
   obtained. Furthermore, many patients choose not to share this
   information with their healthcare providers. Healthcare providers must
   acknowledge the growing importance of Internet-based health information,
   be prepared to entertain questions and assist patients in evaluating the
   quality of online pain-related medical information, and possibly
   proactively suggest quality third-party pain-related websites.
ZB 4
ZA 0
TC 9
ZR 0
Z8 0
ZS 0
Z9 9
U1 0
U2 13
SN 0894-9115
UT WOS:000274117300009
PM 19966558
ER

PT J
AU Fagerlin, Angela
   Zikmund-Fisher, Brian J.
   Smith, Dylan M.
   Nair, Vijayan
   Derry, Holly A.
   McClure, Jennifer B.
   Greene, Sarah
   Stark, Azadeh
   Alford, Sharon Hensley
   Lantz, Paula
   Hayes, Daniel F.
   Wiese, Cheryl
   Zweig, Sarah Claud
   Pitsch, Rosemarie
   Jankovic, Aleksandra
   Ubel, Peter A.
TI Women's decisions regarding tamoxifen for breast cancer prevention:
   responses to a tailored decision aid
SO BREAST CANCER RESEARCH AND TREATMENT
VL 119
IS 3
BP 613
EP 620
DI 10.1007/s10549-009-0618-4
PD FEB 2010
PY 2010
AB Tamoxifen reduces primary breast cancer incidence, yet causes serious
   side effects. To date, few women with increased breast cancer risk have
   elected to use tamoxifen for chemoprevention. The objective of the study
   was to determine women's knowledge of and attitudes toward tamoxifen
   following exposure to a tailored decision aid (DA). A total of 632 women
   with a 5-year risk of breast cancer a parts per thousand yen1.66% (Mean
   = 2.56, range = 1.7-17.3) were recruited from two healthcare
   organizations. Participants viewed an online DA that informed them about
   their 5-year risk of breast cancer and presented individually tailored
   content depicting the risks/benefits of tamoxifen prophylaxis. Outcome
   measures included behavioral intentions (to seek additional information
   about tamoxifen, to talk to a physician about tamoxifen, and to take
   tamoxifen); knowledge; and perceived risks and benefits of tamoxifen.
   After viewing the DA, 29% of participants said they intended to seek
   more information or talk to their doctor about tamoxifen, and only 6%
   believed they would take tamoxifen. Knowledge was considerable, with 63%
   of women answering at least 5 of 6 knowledge questions correctly.
   Participants were concerned about the risks of tamoxifen, and many
   believed that the benefits of tamoxifen did not outweigh the risks. This
   study is the largest to date to test women's preferences for taking
   tamoxifen and one of the largest to have tested the impact of a tailored
   DA. After viewing the DA, women demonstrated good understanding of
   tamoxifen's risks and benefits, but most were not interested in taking
   tamoxifen for breast cancer chemoprevention.
RI Hayes, Daniel/ABE-1129-2020; Zikmund-Fisher, Brian J./A-7677-2009; Zikmund-Fisher, Brian/
OI Zikmund-Fisher, Brian/0000-0002-1637-4176
TC 67
ZR 0
ZB 22
ZA 0
Z8 1
ZS 0
Z9 68
U1 0
U2 8
SN 0167-6806
EI 1573-7217
UT WOS:000273624900010
PM 19908143
ER

PT J
AU Price, James W.
   Price, John R.
   Pratt, Dan D.
   Collins, John B.
   McDonald, Julie
TI High-fidelity simulation in anesthesiology training: a survey of
   Canadian anesthesiology residents' simulator experience
SO CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE
VL 57
IS 2
BP 134
EP 142
DI 10.1007/s12630-009-9224-5
PD FEB 2010
PY 2010
AB The objective of this survey was to explore Canadian anesthesiology
   residents' educational experience with high-fidelity simulation and to
   improve understanding of the factors perceived to have either a positive
   or a negative effect on residents' learning.
   In 2008, all Canadian anesthesiology residents (n = 599) were invited to
   complete a ten-minute anonymous online survey. Survey questions were
   derived from two sources, a literature search of MEDLINE (1966 to
   present), EMBASE (1980 to present), and the Cochrane and Campbell
   collaboration libraries and the experience of 25 pilot residents and the
   lead author.
   The survey response rate was 27.9% (n = 167). Junior residents (PGY1-3)
   responded that it would be helpful to have an introductory simulation
   course dealing with common intraoperative emergencies. The introduction
   of multidisciplinary scenarios (where nurses and colleagues from
   different specialties were involved in scenarios) was strongly
   supported. With respect to gender, male anesthesia residents indicated
   their comfort in making mistakes and asking for help in the simulator
   more frequently than female residents. In accordance with the ten Best
   Evidence Medical Education (BEME) principles of successful simulator
   education, Canadian centres could improve residents' opportunities for
   repetitive practice (with feedback), individualization of scenarios, and
   defined learning outcomes for scenarios.
   Anesthesiology residents indicate that simulation-based education is an
   anxiety provoking experience, but value its role in promoting safe
   practice and enhancing one's ability to deal with emergency situations.
   Suggestions to improve simulation training include increasing residents'
   access, adopting a more student-centred approach to learning, and
   creating a safer learning environment.
ZB 11
ZA 0
TC 29
ZS 2
ZR 1
Z8 0
Z9 31
U1 0
U2 3
SN 0832-610X
UT WOS:000273846700007
PM 20054681
ER

PT J
AU Brockes, M. C.
   Buehler, R. P. Neuhaus
   Schulz, E.
   Neumann, C. L.
   Schmidt-Weitmann, S.
TI Online medical consulting service at the University Hospital Zurich
   before and after introduction of a service fee
SO DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT
VL 135
IS 6
BP 231
EP 235
DI 10.1055/s-0029-1244838
PD FEB 2010
PY 2010
AB Objective: The University Hospital of Zurich has been providing an
   anonymous online consultation service since 1999. In January 2008 a
   service fee of CHF 20.- was introduced. The present investigation
   evaluated the impact of the service fee on the use of the medical online
   consulting service.
   Methodology: All 8269 requests between January 2007 and December 2008
   were analysed using the following criteria: number, complexity and
   subjects (ICD-10) of the requests, personal statements of the users and
   evaluation of the online answers.
   Results: The number of requests decreased by 69% (6298 vs. 1971) and the
   age of the users rose from 36 +/- 16 to 40 +/- 17 years. The text length
   of the requests increased (characters: 677 +/- 463 vs. 801 +/- 539), as
   did the length of the answers (characters: 1397 +/- 3224 vs. 2391 +/-
   4327). In 2008 the assistance of specialists at the University Hospital
   Zurich were called upon more frequently (11.1% vs. 15.9%). Regarding the
   assessments of the quality of the answers, there were differences in the
   range of positive evaluations ("good": 38% vs. 41% "excellent" 43% vs.
   36%).
   Discussion: The introduction of a new service fee resulted in a decrease
   in requests. At the same time, a greater number of older people used the
   service, and they asked questions that are more complex. Apparently,
   persons that probably have more medical problems have greater
   appreciation for the opportunity to ask questions and, in comparison to
   younger persons, are more willing to pay for the service. The continued
   positive evaluation given to the medical answers shows that an Internet
   service involving a fee can also be a useful supplement to the
   conventional physician/patient relationship.
OI Schmidt-Weitmann, Sabine/0000-0002-0709-7971; Neumann, Claas
   Lennart/0000-0001-7370-412X
ZR 0
ZA 0
ZS 0
Z8 0
TC 9
ZB 2
Z9 9
U1 4
U2 19
SN 0012-0472
UT WOS:000274189100002
PM 20127605
ER

PT J
AU Semba, R. D.
   Houston, D. K.
   Bandinelli, S.
   Sun, K.
   Cherubini, A.
   Cappola, A. R.
   Guralnik, J. M.
   Ferrucci, L.
TI Relationship of 25-hydroxyvitamin D with all-cause and cardiovascular
   disease mortality in older community-dwelling adults
SO EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL 64
IS 2
BP 203
EP 209
DI 10.1038/ejcn.2009.140
PD FEB 2010
PY 2010
AB Background/Objectives: Vitamin D deficiency is associated with
   cardiovascular disease, osteoporosis, poor muscle strength, falls,
   fractures and mortality. Although older adults are at a higher risk of
   vitamin D deficiency, the relationship of serum 25-hydroxyvitamin D
   (25(OH) D) with all-cause and cardiovascular disease mortality has not
   been well characterized in the elderly. We hypothesized that low serum
   25(OH) D levels predicted mortality in older adults.
   Subjects/Methods: Serum 25(OH) D as well as all-cause and cardiovascular
   disease mortality were examined in 1006 adults, aged >= 65 years, who
   participated in the InCHIANTI (Invecchiare in Chianti, Aging in the
   Chianti Area) study, a population-based, prospective cohort study of
   aging in Tuscany, Italy. Serum 25(OH) D levels were measured at the time
   of enrollment in 1998-1999, and participants were followed up for
   mortality.
   Results: During 6.5 years of follow-up, 228 (22.7%) participants died,
   of whom 107 died due to cardiovascular diseases. Compared with
   participants in the highest quartile of serum 25(OH) D (> 26.5 ng/ml)
   (to convert to nmol/l, multiply by 2.496), those in the lowest quartile
   (<10.5 ng/ml) had increased risk of all-cause mortality (Hazard Ratio
   (H.R.) 2.11, 95% Confidence Interval (95% C.I.): 1.22-3.64, P = 0.007)
   and cardiovascular disease mortality (H.R. 2.64, 95% C.I.: 1.14-4.79, P
   = 0.02), in multivariate Cox proportional hazards models that adjusted
   for age, sex, education, season, physical activity and other potential
   confounders.
   Conclusions: Older community-dwelling adults with low serum 25(OH) D
   levels are at higher risk of all-cause and cardiovascular disease
   mortality. European Journal of Clinical Nutrition (2010) 64, 203-209;
   doi: 10.1038/ejcn.2009.140; published online 2 December 2009
RI bandinelli, stefania/AAL-4570-2020; Cherubini, Antonio/AAL-4632-2020; Cherubini, Antonio/; Houston, Denise/
OI Cherubini, Antonio/0000-0003-0261-9897; Houston,
   Denise/0000-0002-3355-4304
ZA 0
ZR 0
TC 142
ZB 81
Z8 1
ZS 1
Z9 143
U1 1
U2 10
SN 0954-3007
EI 1476-5640
UT WOS:000274232800012
PM 19953106
ER

PT J
AU Masunaga, Hiromi
   Hitchcock, Maurice A.
TI Residents' and Faculty's Beliefs About the Ideal Clinical Teacher
SO FAMILY MEDICINE
VL 42
IS 2
BP 116
EP 120
PD FEB 2010
PY 2010
AB Background and Objectives: The objective of this study; was to examine
   how, residents and about ideal clinical teaching Methods: We stitched in
   family medicine compare in their belie 205 residents and 148 faculty. in
   family medicine who completed the Clinical Teaching Perception Inventory
   (CTPI) online between April 2001 and July 2008. The participants ranked
   28 single-word descriptors that characterized clinical teachers along a
   7-point-scale ranging from "least like my ideal teacher" to "most like
   my ideal teacher." Results: Both residents and that the ideal clinical
   teachers should be stimulating encourage, comopetent, and communicating
   and should not be conventional, cautious, or controlling. However,
   residents rated probing and innovative significantly lower than did
   faculty. Conclusions: Clinical faculty and in family medicine have a
   shared view of the ideal clinical teachear. However, residents and
   faculty differed in their ratings on the descriptors "Probing" and This
   difference might at least in part stem from where residents and faculty
   are located along a continuum from novice to mature expert.
ZB 1
Z8 0
ZS 0
TC 9
ZR 0
ZA 0
Z9 9
U1 1
U2 7
SN 0742-3225
EI 1938-3800
UT WOS:000274778100017
PM 20135569
ER

PT J
AU Hampson, S. E.
   Tonstad, S.
   Irgens, L. M.
   Meltzer, H. M.
   Vollrath, M. E.
TI Mothers' negative affectivity during pregnancy and food choices for
   their infants
SO INTERNATIONAL JOURNAL OF OBESITY
VL 34
IS 2
BP 327
EP 331
DI 10.1038/ijo.2009.230
PD FEB 2010
PY 2010
AB Objective: The objective of this study was to analyze whether maternal
   negative affectivity assessed in pregnancy is related with subsequent
   infant food choices.
   Design: The study design was a cohort study.
   Subjects: The subjects were mothers (N = 37 919) and their infants
   participating in the Norwegian Mother and Child Cohort Study conducted
   by the Norwegian Institute of Public Health.
   Measurements: Maternal negative affectivity assessed prepartum ( Hopkins
   Symptom Checklist 5 (SCL-5) at weeks 17 and 30 of pregnancy),
   introduction of solid foods by month 3 and feeding of sweet drinks by
   month 6 ( by the reports of the mothers) were analyzed.
   Results: Mothers with higher negative affectivity were 64% more likely
   (95% confidence interval 1.5-1.8) to feed sweet drinks by month 6, and
   79% more likely ( 95% confidence interval 1.6-2.0) to introduce solid
   foods by month 3. These odds decreased to 41 and 30%, respectively,
   after adjusting for mother's age, body mass index (BMI) and education.
   Conclusion: The maternal trait of negative affectivity is an independent
   predictor of infant feeding practices that may be related with childhood
   weight gain, overweight and obesity. International Journal of Obesity (
   2010) 34, 327-331; doi: 10.1038/ijo.2009.230; published online 17
   November 2009
RI 杜, 美晨/S-4063-2016; Vollrath, Margarete/; Meltzer, Helle Margrete/
OI 杜, 美晨/0000-0002-1562-1155; Vollrath, Margarete/0000-0001-6514-1144;
   Meltzer, Helle Margrete/0000-0002-3591-7017
ZR 0
ZB 6
ZA 0
TC 12
ZS 0
Z8 0
Z9 12
U1 0
U2 4
SN 0307-0565
EI 1476-5497
UT WOS:000274508100014
PM 19918247
ER

PT J
AU Farnan, Jeanne M.
   Paro, John A. M.
   Rodriguez, Renee M.
   Reddy, Shalini T.
   Horwitz, Leora I.
   Johnson, Julie K.
   Arora, Vineet M.
TI Hand-off Education and Evaluation: Piloting the Observed Simulated
   Hand-off Experience (OSHE)
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 25
IS 2
BP 129
EP 134
DI 10.1007/s11606-009-1170-y
PD FEB 2010
PY 2010
AB AIM: The Observed Simulated Hand-off Experience (OSHE) was created to
   evaluate medical students' sign-out skills using a real-time assessment
   tool, the Hand-off CEX.
   SETTING: Thirty-two 4th year medical students participated as part of an
   elective course.
   PROGRAM DESCRIPTION: One week following an interactive workshop where
   students learned effective hand-off strategies, students participated in
   an experience in which they performed a hand-off of a mock patient using
   simulated history and physical examination data and a brief video.
   PROGRAM EVALUATION: Internal medicine residents served as standardized
   hand-off receivers and were trained on expectations. Students were
   provided feedback using a newly developed Hand-off CEX, based on the
   "Mini-CEX," which rates overall hand-off performance and its components
   on a 9-point Likert-type scale. Outcomes included performance ratings
   and pre- and post-student self-assessments of hand-off preparedness.
   Data were analyzed using Wilcoxon signed-rank tests and descriptive
   statistics. Resident receivers rated overall student performance with a
   mean score of 6.75 (range 4-9, maximum 9). Statistically significant
   improvement was observed in self-perceived preparedness for performing
   an effective hand-off (67% post-vs. 27% pre-reporting 'well-prepared,'
   p<0.009).
   DISCUSSION: This brief, standardized hand-off training exercise improved
   students' confidence and was rated highly by trained observers. Future
   work focuses on formal validation of the Hand-off CEX instrument.
CT Midwest Regional Meeting of the Society-of-General-Internal-Medicine
CY SEP 25-26, 2008
CL Chicago, IL
SP Soc Gen Internal Med
RI Horwitz, Leora/ABD-1292-2020; Horwitz, Leora/A-6959-2009; Arora, Vineet/; Johnson, Julie K./; Rodriguez, Robert/
OI Horwitz, Leora/0000-0003-1800-6040; Arora, Vineet/0000-0002-4745-7599;
   Johnson, Julie K./0000-0002-7757-5529; Rodriguez,
   Robert/0000-0003-1354-1773
ZB 9
ZA 0
ZR 0
ZS 0
TC 74
Z8 0
Z9 74
U1 0
U2 6
SN 0884-8734
EI 1525-1497
UT WOS:000274744800008
PM 19924489
ER

PT J
AU Kerfoot, B. Price
TI Adaptive Spaced Education Improves Learning Efficiency: A Randomized
   Controlled Trial
SO JOURNAL OF UROLOGY
VL 183
IS 2
BP 678
EP 681
DI 10.1016/j.juro.2009.10.005
PD FEB 2010
PY 2010
AB Purpose: Spaced education is a novel form of online education that
   harnesses the 2 psychology research findings of spacing and testing
   effects. Spaced education is delivered by daily emails containing
   clinically relevant multiple choice questions. To take advantage of the
   spacing effect the questions are repeated at fixed intervals for a fixed
   number of repetitions. An adaptive spaced education system was developed
   to customize spacing intervals and the number of repetitions based on
   learner knowledge level. To determine whether this system improves
   learning efficiency I performed a randomized trial to compare the
   learning efficiency of adaptive vs nonadaptive spaced education systems
   among surgery students at 2 medical schools.
   Materials and Methods: A total of 62 year 3 students were randomized to
   identical course content in adaptive or nonadaptive spaced education
   formats. The course consisted of 40 validated, spaced education items on
   the 4 urology topics benign prostatic hyperplasia, erectile dysfunction,
   prostate cancer and prostate specific antigen screening. The nonadaptive
   cohort received daily emails containing 2 questions with a linear review
   of the material 20 days after initial presentation. The adaptive cohort
   received daily emails via an adaptive algorithm that limited the
   repetition of mastered content. Each cohort completed a validated end of
   course test.
   Results: The adaptive cohort answered significantly fewer spaced
   education items than the nonadaptive cohort (p = 0.001) but achieved
   comparable end of course test scores (p = 0.37). The adaptive algorithm
   increased learning efficiency by 38%.
   Conclusions: Adaptive spaced education boosts learning efficiency.
ZB 2
ZA 0
ZS 0
ZR 0
TC 57
Z8 0
Z9 57
U1 0
U2 20
SN 0022-5347
EI 1527-3792
UT WOS:000273540600115
PM 20022032
ER

PT J
AU Henderson, Bonnie An
   Kim, Jae Yong
   Golnik, Karl C.
   Oetting, Thomas A.
   Lee, Andrew G.
   Volpe, Nicholas J.
   Aaron, Maria
   Uhler, Tara A.
   Arnold, Anthony
   Dunn, James P.
   Prajna, N. Venkatesh
   Lane, Anne Marie
   Loewenstein, John I.
TI Evaluation of the Virtual Mentor Cataract Training Program
SO OPHTHALMOLOGY
VL 117
IS 2
BP 253
EP 258
DI 10.1016/j.ophtha.2009.07.009
PD FEB 2010
PY 2010
AB Objective: Evaluate the effectiveness of an interactive cognitive
   computer simulation for teaching the hydrodissection portion of cataract
   surgery compared with standard teaching and to assess the attitudes of
   residents about the teaching tools and their perceived confidence in the
   knowledge gained after using the tools.
   Design: Case-control study.
   Participants and Controls: Residents at academic institutions.
   Methods: Prospective, multicenter, single-masked, controlled trial was
   performed in 7 academic departments of ophthalmology (Harvard Medical
   School/Massachusetts Eye and Ear Infirmary, University of Iowa, Emory
   University, University of Cincinnati, University of Pennsylvania/Scheie
   Eye Institute, Jefferson Medical College of Thomas Jefferson
   University/Wills Eye Institute, and the Aravind Eye Institute). All
   residents from these centers were asked to participate and were
   randomized into 2 groups. Group A (n = 30) served as the control and
   received traditional teaching materials; group B (n = 38) received a
   digital video disc of the Virtual Mentor program. This program is an
   interactive cognitive simulation, specifically designed to separate
   cognitive aspects (such as decision making and error recognition) from
   the motor aspects. Both groups took online anonymous pretests (n = 68)
   and posttests (n = 58), and answered satisfaction questionnaires (n =
   53). Wilcoxon tests were completed to compare pretest and posttest
   scores between groups. Analysis of variance was performed to assess
   differences in mean scores between groups.
   Main Outcome Measures: Scores on pretests, posttests, and satisfaction
   questionnaires.
   Results: There was no difference in the pretest scores between the 2
   groups (P = 0.62). However, group B (Virtual Mentor [VM]) scored
   significantly higher on the posttest (P = 0.01). Mean difference between
   pretest and posttest scores were significantly better in the VM group
   than in the traditional learning group (P = 0.04). Questionnaire
   revealed that the VM program was "more fun" to use (24.1% vs 4.2%) and
   residents were more likely to use this type of program again compared
   with the likelihood of using the traditional tools (58.6% vs 4.2%).
   Conclusions: The VM, a cognitive computer simulation, augmented teaching
   of the hydrodissection step of phacoemulsification surgery compared with
   traditional teaching alone. The program was more enjoyable and more
   likely to be used repetitively by ophthalmology residents.
   Financial Disclosure(s): Proprietary or commercial disclosures may be
   found after the references. Ophthalmology 2010; 117: 253-258 (C) 2010 by
   the American Academy of Ophthalmology.
RI Lee, Andrew/GVU-2817-2022; Namperumalsamy, Venkatesh Prajna/; Oetting, Thomas/
OI Namperumalsamy, Venkatesh Prajna/0000-0003-2019-4044; Oetting,
   Thomas/0000-0003-1764-610X
ZA 0
ZB 4
ZR 0
TC 18
ZS 0
Z8 0
Z9 18
U1 0
U2 9
SN 0161-6420
UT WOS:000274530300010
PM 19969355
ER

PT J
AU Katz, Gail B.
   Peifer, Karen L.
   Armstrong, Gail
TI Assessment of Patient Simulation Use in Selected Baccalaureate Nursing
   Programs in the United States
SO SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN
   HEALTHCARE
VL 5
IS 1
BP 46
EP 51
DI 10.1097/SIH.0b013e3181ba1f46
PD FEB 2010
PY 2010
AB Introduction: Newly graduated nurses are expected to possess clinical
   skills and the ability to critically judge quality in patient care.
   There are an increasing number of baccalaureate nursing (BSN) schools
   that are integrating the use of patient simulation (PS) in the
   educational experience of their students. This descriptive study
   examines the use of PS technology in selected BSN programs in the United
   States.
   Methods: This study targeted National League for Nursing-accredited BSN
   schools with an online survey related to the current use of PS in course
   curriculum and how it is being used. Two hundred nine BSN schools were
   identified and 78 schools responded (37.3% response rate).
   Results: Sixty (78.9%) BSN schools responded to the survey reported
   using patient simulators in core clinical nursing courses: health
   assessment, nursing fundamentals, medical/surgical nursing I and II,
   pediatrics, and obstetrics courses. Approximately 31% of schools
   reported using high-fidelity scenarios in more than 51% of their
   clinical courses. The responding schools indicate that they are using PS
   in the usual undergraduate nursing courses that coincide with clinical
   settings. The replacement of actual clinical hours with PS remains
   controversial and unresolved. Responses to an open-ended question
   indicated interest in using PS but that many schools are limited by not
   having a dedicated faculty to champion the way and resources to purchase
   the technology.
   Conclusions: Although there were limitations to this study, it is one of
   the first to describe the patterns of using PS in nursing schools for
   clinical education. As the use of this technology grows in BSN programs,
   addressing the issues resulting from this study are essential to
   understanding the use of this technology in nursing education. (Sim
   Healthcare 5:46-51, 2010)
TC 24
ZS 0
ZR 0
ZA 0
Z8 1
ZB 1
Z9 25
U1 0
U2 10
SN 1559-2332
EI 1559-713X
UT WOS:000276077900010
PM 20383091
ER

PT J
AU Linassi, G.
   Shan, R. Li Pi
   Marino, R. J.
TI A web-based computer program to determine the ASIA impairment
   classification
SO SPINAL CORD
VL 48
IS 2
BP 100
EP 104
DI 10.1038/sc.2009.98
PD FEB 2010
PY 2010
AB Objective: To develop an interactive computer program that facilitates
   uniformity and accuracy in the collection and assessment of spinal
   cord-impairment data.
   Design: A computer program that captures and processes clinical
   examination information in graphical form using the 2002 American Spinal
   Injury Association (ASIA) guidelines. This program calculates motor and
   sensory level, neurological level, the ASIA impairment scale (AIS) grade
   and zone of partial preservation.
   Participants/Methods: The International Standards for Neurological
   Classification of Spinal Cord Injury (ISNCSCI) were encoded and a
   graphic representation of the standard ASIA data-capturing form (with
   permission) was produced using Adobe Flash programming technology by the
   Division of Multimedia at the University of Saskatchewan.
   Results: Testing by the development team has been successful in
   producing accurate ASIA-impairment data.
   Conclusion: Adapting the ISNCSCI system to a computer-generated format
   is possible and will promote uniformity in the collection and
   interpretation of impairment data. This program can also be used to
   educate health-care personnel, including residents and medical students,
   on classifying the impairment in traumatic spinal cord injury. Spinal
   Cord (2010) 48, 100-104; doi: 10.1038/sc.2009.98; published online 25
   August 2009
OI Marino, Ralph/0000-0003-2670-4113; linassi, gary/0000-0003-3343-4262
ZA 0
Z8 0
ZR 0
ZS 0
TC 13
ZB 7
Z9 13
U1 0
U2 3
SN 1362-4393
UT WOS:000274246900003
PM 19704413
ER

PT J
AU Gray, Kathleen
   Tobin, Jacinta
TI Introducing an online community into a clinical education setting: a
   pilot study of student and staff engagement and outcomes using blended
   learning
SO BMC MEDICAL EDUCATION
VL 10
AR 6
DI 10.1186/1472-6920-10-6
PD JAN 26 2010
PY 2010
AB Background: There are growing reasons to use both information and
   communication functions of learning technologies as part of clinical
   education, but the literature offers few accounts of such
   implementations or evaluations of their impact. This paper details the
   process of implementing a blend of online and face-to-face learning and
   teaching in a clinical education setting and it reports on the
   educational impact of this innovation.
   Methods: This study designed an online community to complement a series
   of on-site workshops and monitored its use over a semester. Quantitative
   and qualitative data recording 43 final-year medical students' and 13
   clinical educators' experiences with this blended approach to learning
   and teaching were analysed using access, adoption and quality criteria
   as measures of impact.
   Results: The introduction of the online community produced high student
   ratings of the quality of learning and teaching and it produced student
   academic results that were equivalent to those from face-to-face-only
   learning and teaching. Staff had mixed views about using blended
   learning.
   Conclusions: Projects such as this take skilled effort and time. Strong
   incentives are required to encourage clinical staff and students to use
   a new mode of communication. A more synchronous or multi-channel
   communication feedback system might stimulate increased adoption.
   Cultural change in clinical teaching is also required before clinical
   education can benefit more widely from initiatives such as this.
RI Gray, Kathleen/AAI-9415-2020; Gray, Kathleen/D-6021-2013
OI Gray, Kathleen/0000-0003-1616-2170; Gray, Kathleen/0000-0003-1616-2170
ZB 0
ZR 0
ZS 1
TC 46
Z8 1
ZA 0
Z9 48
U1 4
U2 38
EI 1472-6920
UT WOS:000284838700001
PM 20100354
ER

PT J
AU Nicolao, Marie
   Taeuber, Martin G.
   Marian, Florica
   Heusser, Peter
TI Complementary medicine courses in Swiss medical schools: actual status
   and students' experiences
SO SWISS MEDICAL WEEKLY
VL 140
IS 3-4
BP 44
EP 51
PD JAN 23 2010
PY 2010
AB Background: In line with growing public popularity of complementary and
   alternative medicine (CAM), courses in CAM have been implemented in
   Medical Schools internationally, but as vet in an uncoordinated and
   heterogeneous way. In Switzerland, comprehensive data about CAM
   education at Medical Faculties are lacking.
   Objectives: To survey courses at Swiss Medical Schools, document medical
   students' attitude toward and knowledge of CAM and their experience of
   CAM courses at medical schools. The aim was to determine the
   relationship between the presence/absence of CAM courses at each medical
   school and students' attitude toward, knowledge of, and motivation to
   learn about CAM.
   Methods: Data about current courses in CAM were collected from the
   websites of the five Swiss Medical Schools and from an online
   questionnaire addressed to the CAM teachers (n = 13). All Swiss senior
   medical students (n = 640) were surveyed by an anonymous online
   questionnaire.
   Results: There arc two chairs for CAM in Bern and Zurich, CAM
   familiarisation courses are provided by external teachers in Basel and
   Lausanne, and there was no CAM education in Geneva. 38.3% of the senior
   medical students replied to the survey. 80.0% of the students who
   visited CAM courses stated that they have improved their knowledge of
   CAM. There was no relationship between the presence of CAM education and
   a significant elevation of the self-assessed knowledge of CAM of the
   students. CAM education has no significant influence on students'
   opinions about CAM, nor does it significantly motivate them to deepen
   their study of CAM. Form, frequency and content of CAM courses are
   similarly as heterogeneous as in other countries.
   Conclusions: There is no coordination or standard for CAM courses in
   Swiss Medical Schools. Our results suggest an overall positive attitude
   toward and positive personal experiences with CAM of Swiss medical
   students', but a relationship between the absence or presence of CAM
   courses and students attitudes and knowledge could not be found. A
   coordinated policy towards the integration of CAM in medical curricula
   is strongly recommended.
RI Kummer, Juerg/B-3322-2011
ZB 2
ZA 0
ZS 0
Z8 0
ZR 0
TC 16
Z9 16
U1 0
U2 4
SN 1424-7860
EI 1424-3997
UT WOS:000274045900003
PM 20131118
ER

PT J
AU McCluskey, Annie
   Middleton, Sandy
TI Delivering an evidence-based outdoor journey intervention to people with
   stroke: Barriers and enablers experienced by community rehabilitation
   teams
SO BMC HEALTH SERVICES RESEARCH
VL 10
AR 18
DI 10.1186/1472-6963-10-18
PD JAN 19 2010
PY 2010
AB Background: Transferring knowledge from research into practice can be
   challenging, partly because the process involves a change in attitudes,
   roles and behaviour by individuals and teams. Helping teams to identify
   then target potential barriers may aid the knowledge transfer process.
   The aim of this study was to identify barriers and enablers, as
   perceived by allied health professionals, to delivering an
   evidence-based (Level 1) outdoor journey intervention for people with
   stroke.
   Methods: A qualitative design and semi-structured interviews were used.
   Allied health professionals (n = 13) from two community rehabilitation
   teams were interviewed, before and after receiving feedback from a
   medical record audit and attending a training workshop. Interviews
   allowed participants to identify potential and actual barriers, as well
   as enablers to delivering the intervention. Qualitative data were
   analysed using theoretical domains described by Michie and colleagues.
   Results: Two barriers to delivery of the intervention were the social
   influence of people with stroke and their family, and professionals'
   beliefs about their capabilities. Other barriers included professionals'
   knowledge and skills, their role identity, availability of resources,
   whether professionals remembered to provide the intervention, and how
   they felt about delivering the intervention. Enablers to delivering the
   intervention included a belief that they could deliver the intervention,
   a willingness to expand and share professional roles, procedures that
   reminded them what to do, and feeling good about helping people with
   stroke to participate.
   Conclusions: This study represents one step in the quality improvement
   process. The interviews encouraged reflection by staff. We obtained
   valuable data which have been used to plan behaviour change
   interventions addressing identified barriers. Our methods may assist
   other researchers who need to design similar behaviour change
   interventions.
RI Middleton, Sandy/J-5526-2015
OI Middleton, Sandy/0000-0002-7201-4394
ZS 0
ZA 0
Z8 0
TC 30
ZB 0
ZR 0
Z9 30
U1 1
U2 17
EI 1472-6963
UT WOS:000274661500001
PM 20082725
ER

PT J
AU Vollmar, Horst C.
   Mayer, Herbert
   Ostermann, Thomas
   Butzlaff, Martin E.
   Sandars, John E.
   Wilm, Stefan
   Rieger, Monika A.
TI Knowledge transfer for the management of dementia: a cluster-randomised
   trial of blended learning in general practice
SO IMPLEMENTATION SCIENCE
VL 5
AR 1
DI 10.1186/1748-5908-5-1
PD JAN 4 2010
PY 2010
AB Background: The implementation of new medical knowledge into general
   practice is a complex process. Blended learning may offer an effective
   and efficient educational intervention to reduce the
   knowledge-to-practice gap. The aim of this study was to compare
   knowledge acquisition about dementia management between a blended
   learning approach using online modules in addition to quality circles
   (QCs) and QCs alone.
   Methods: In this cluster-randomised trial with QCs as clusters and
   general practitioners (GPs) as participants, 389 GPs from 26 QCs in the
   western part of Germany were invited to participate. Data on the GPs'
   knowledge were obtained at three points in time by means of a
   questionnaire survey. Primary outcome was the knowledge gain before and
   after the interventions. A subgroup analysis of the users of the online
   modules was performed.
   Results: 166 GPs were available for analysis and filled out a knowledge
   test at least two times. A significant increase of knowledge was found
   in both groups that indicated positive learning effects of both
   approaches. However, there was no significant difference between the
   groups. A subgroup analysis of the GPs who self-reported that they had
   actually used the online modules showed that they had a significant
   increase in their knowledge scores.
   Conclusion: A blended learning approach was not superior to a QCs
   approach for improving knowledge about dementia management. However, a
   subgroup of GPs who were motivated to actually use the online modules
   had a gain in knowledge.
RI Rieger, Monika A./R-3311-2016
OI Rieger, Monika A./0000-0002-7855-3663
ZR 0
TC 26
ZS 0
Z8 0
ZB 2
ZA 0
Z9 26
U1 0
U2 23
SN 1748-5908
UT WOS:000274780700001
PM 20047652
ER

PT J
AU Hauser, Sonya Irish
   Goldberg, Jeanne P.
   Wilde, Parke
   Bers, Marina
   Ioannone, Lori
   Economos, Christina D.
TI Comparison of Online and Face-to-Face Dissemination of a Theory-Based
   After School Nutrition and Physical Activity Training and Curriculum
SO JOURNAL OF HEALTH COMMUNICATION
VL 15
IS 8
BP 859
EP 879
AR PII 931299116
DI 10.1080/10810730.2010.522225
PD 2010
PY 2010
AB This study was conducted to compare two different online delivery
   methods to train after school program leaders (ASPLs) to implement a
   nutrition and physical activity curriculum for children to each other
   and to a face-to-face (FTF) training model. A three-group design was
   used in which ASPLs from 12 states were randomized to either standard
   (n=34) or an enhanced interaction (n=31) online training, while a FTF
   group (n=24) served as comparison. All ASPLs completed training and
   implemented curriculum lessons over 16 weeks from March to June 2007.
   Weekly evaluations and pre and post-intervention questionnaires compared
   number of lessons implemented, subjective ratings of lesson success, and
   pre and post leader nutrition and physical activity knowledge.
   Multivariate linear regression analyses were used for among-group
   comparisons, paired Ttests for within-group knowledge change. Knowledge
   scores increased significantly (p.001) within each group. All ASPLs
   fulfilled the goal of conducting at least 9 lessons, and they rated 64%
   of lessons successful. After adjustment, knowledge change and success
   scores did not differ among groups. Implementation was significantly
   higher for FTF (+2.23 lessons, p=.013) than for enhanced interaction,
   but not for standard. Online training for ASPLs, such as the standard
   condition, are viable means of nutrition and physical activity education
   and program dissemination.
RI Wilde, Parke/B-6011-2009
OI Wilde, Parke/0000-0002-9596-9230
TC 6
ZR 0
ZA 0
Z8 0
ZB 0
ZS 0
Z9 6
U1 1
U2 21
SN 1081-0730
EI 1087-0415
UT WOS:000285413000005
PM 21170788
ER

PT J
AU Ried, L. Douglas
TI A Distance Education Course in Statistics
SO AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION
VL 74
IS 9
AR 172
DI 10.5688/aj7409172
PD 2010
PY 2010
AB Objectives. To evaluate the learning outcomes of an online, distance
   education course in statistics for doctor of pharmacy (PharmD) students.
   Design. Lectures for the course were produced by the course faculty,
   converted into digital format (mp4), placed within the college's course
   management system, and video streamed to students. The course required
   students to interact with the course content using workbooks and
   simulations and with the instructor via VoIP examination reviews.
   Assessment. A quasi-experimental study involving 4 groups of students
   was conducted. Second-year (P2) students were assigned randomly to 1 of
   3 groups and asked to complete a precourse survey that contained:
   demographic information only (group 1); demographic items plus 10 items
   assessing statistics knowledge (group 2); or demographic items plus 20
   items assessing statistics knowledge (group 3). At the end of the
   course, all students were given the same 20 items on the final
   examination (postcourse survey instrument). A control group consisting
   of randomly selected first-year (P1) students completed the 20-item
   precourse survey instrument. P1 and P2 students' scores on the 20-item
   precourse survey were not significantly different. Students who had
   taken a statistics course before entering the PharmD program scored
   higher on the precourse survey. P2 students in all 3 study groups had
   similar scores on the final examination (postcourse survey) (p = 0.43).
   Conclusions. Students can be taught the basic principles of statistics
   and how to use statistics to read the pharmacy and medical literature
   entirely online. This study has significant implications for how classes
   traditionally taught in the classroom might be taught at a distance
   using innovative instructional technologies.
TC 6
Z8 0
ZS 0
ZB 1
ZR 0
ZA 0
Z9 6
U1 0
U2 11
SN 0002-9459
EI 1553-6467
UT WOS:000284100100014
PM 21301606
ER

PT J
AU Wagner, Dianne P.
   Roskos, Steven
   DeMuth, Robin
   Mavis, Brian
TI Development and evaluation of a Health Record Online Submission Tool
   (HOST)
SO MEDICAL EDUCATION ONLINE
VL 15
AR 5350
DI 10.3402/meo.v15i0.5350
PD 2010
PY 2010
AB Introduction: Health records (HRs) are crucial to quality patient care.
   The Michigan State University College of Human Medicine begins teaching
   health record (HR) writing during the second-year clinical skills
   courses. Prior to this project, we used a cumbersome paper system to
   allow graduate assistants to grade and give feedback on students' HRs.
   This study discusses the development and evaluates the effectiveness of
   the new Health Record Online Submission Tool (HOST).
   Methods: We developed an electronic submission system with the goals of
   decreasing the logistical demands of the paper-based system; improving
   the effectiveness, consistency, and oversight of HR instruction and
   evaluation; expanding the number of students who could serve as written
   record graduate assistants (WRGAs); and to begin preparing students for
   the use of electronic health records (EHRs). We developed the initial
   web-based system in 2003 and upgraded it to its present form, HOST, in
   2007. We evaluated the system using course evaluations, surveys of WRGAs
   and clinical students, and queries of course faculty and staff.
   Results: Course evaluation by 1,106 students during years 2001 through
   2008 revealed that the students' self-assessment of ability to write HRs
   improved briefly with the introduction of HOST but then returned to
   baseline. The initial change to electronic submission was well received,
   though with continued use its rating dropped. A survey of 65 (response
   rate 61.3%) clinical students indicated that HOST did not completely
   prepare them for EHRs. The WRGAs (n = 14; response rate 58%) found the
   system easy to use to give feedback to students. Faculty (n = 3) and
   staff (n = 2) found that it saved time and made the review of students'
   HRs and WRGAs grading simpler. Student perception of grading consistency
   did not improve.
   Conclusions: HOST is the first published online method of in-depth HR
   training for preclinical students using information gathered in clinical
   encounters. With it we were able to maintain effective instruction,
   streamline course management, and significantly decrease staff time.
   HOST did not improve student perception of grading consistency and did
   not prepare students for specific EHR use. Within the context of our
   class size expansion and our community-based educational program, HOST
   bridges geography and can support future improvements in HR instruction
   and faculty development. Medical educators at other institutions could
   use a similar system to accomplish these goals.
ZR 0
ZB 0
TC 2
ZA 0
Z8 0
ZS 0
Z9 2
U1 0
U2 6
SN 1087-2981
UT WOS:000208699900018
PM 20975928
ER

PT J
AU Horvath, Keith J.
   Weinmeyer, Richard
   Rosser, Simon
TI Should it be illegal for HIV-positive persons to have unprotected sex
   without disclosure? An examination of attitudes among US men who have
   sex with men and the impact of state law
SO AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV
VL 22
IS 10
BP 1221
EP 1228
AR PII 924398776
DI 10.1080/09540121003668078
PD 2010
PY 2010
AB The aims of this study were to describe the overall pattern and
   predictors of attitudes toward criminalizing unprotected sex without
   disclosure by persons living with HIV among a broad sample of men who
   have sex with men (MSM) living in the USA, and to examine whether
   attitudes and sexual risk behavior differ by states with HIV-specific
   laws or no such laws. Participants (n=1725) were recruited in a 3.5
   month period to complete a cross-sectional 70-minute online survey
   assessing attitudes and high risk sexual behavior. Participants
   self-identified as male, 18 years of age or older, a US resident, and
   having ever had sex with a man. In addition, participants were coded as
   residing in a state with HIV-specific laws or not. Results showed that
   most (65%) respondents believed it should be illegal for persons living
   with HIV to have unprotected sex without disclosure. However, among the
   total sample and HIV-positive MSM, attitudes and unprotected sex with
   recent partners did not vary by state law. Believing that it should not
   be illegal for persons living with HIV to have unprotected sex without
   disclosure was associated with HIV-positive status (OR=0.33), higher
   education (ORs=0.42-0.64), gay orientation (non-gay orientation:
   OR=1.54), perceptions that state residents were somewhat or very
   accepting toward homosexuality (OR=0.75), unprotected anal intercourse
   with two or more recent sexual partners (OR=0.72), and lower perceptions
   of responsibility (OR=0.75). The results did not support the proposition
   that HIV-specific laws deter high-risk sexual behavior, however further
   research is needed to examine whether they act as a barrier for MSM at
   highest risk for acquiring or transmitting HIV.
OI Rosser, B. R. Simon/0000-0001-8862-531X
TC 38
ZR 0
ZB 9
ZS 1
Z8 0
ZA 0
Z9 39
U1 0
U2 6
SN 0954-0121
EI 1360-0451
UT WOS:000281849300007
PM 20635241
ER

PT J
AU Bulik, Robert J.
   Shokar, Gurjeet S.
TI Integrating telemedicine instruction into the curriculum: expanding
   student perspectives of the scope of clinical practice
SO JOURNAL OF TELEMEDICINE AND TELECARE
VL 16
IS 7
BP 355
EP 358
DI 10.1258/jtt.2010.090910
PD 2010
PY 2010
AB We have developed a telemedicine elective for fourth-year medical
   students to learn about the delivery of primary care telemedicine. The
   goals were to expose medical students to telemedicine as a method for
   delivery of primary care and to reinforce the importance of
   doctor-patient communication during the health-care encounter. The
   elective lasted four weeks. It had three components: two online
   introductory courses to telemedicine; site visits to near and distant
   telemedicine sites; and a reflective writing paper. In the first year,
   seven medical students out of a class of 230 chose the telemedicine
   elective from a list of 188 alternatives. Evaluation ratings and the
   students' written comments, along with end-of-course discussions,
   indicated that the telemedicine elective was a valuable experience. An
   elective in the medical school curriculum may be a useful way of
   providing future physicians with an understanding of telemedicine.
ZR 0
Z8 0
TC 21
ZA 0
ZB 2
ZS 1
Z9 21
U1 0
U2 3
SN 1357-633X
UT WOS:000284079300001
PM 20643847
ER

PT J
AU Taylor, Clare
   Turnbull, Caroline
   Sparrow, Nigel
TI Establishing the continuing professional development needs of general
   practitioners in their first five years after training.
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 21
IS 5
BP 316
EP 9
PD 2010-Sep
PY 2010
AB AIMS: To identify existing and preferred methods of accessing CPD for
   GPs in the first five years of independent practice. To establish areas
   of CPD need for this group. To quantify how many First5 GPs are
   currently part of a small group and if they undertake CPD in this
   format. To investigate how First5 currently fund CPD and how much they
   would be willing to invest in CPD per year.
   METHODS: Online survey of RCGP members who have been on the GP register
   for less than five years.
   RESULTS: First5 GPs access CPD in a variety of formats. CPD provision
   around practice management and leadership aimed at GPs in their first
   five years is currently lacking. Many First5 GPs already belong to a
   small group but more than half find undertaking CPD in the small group
   is challenging. Most First5 GPs self fund their educational activity and
   would like to spend 500 or less per year on CPD.
   CONCLUSION: Cost-effective CPD tailored to the needs of GPs in their
   first five years of independent practice and delivered in a variety of
   formats is lacking in some educational areas. First5 GPs require formal
   written guidance on delivering CPD in small groups.
ZR 0
ZS 0
Z8 1
TC 20
ZA 0
ZB 1
Z9 20
U1 0
U2 3
SN 1473-9879
UT MEDLINE:20868547
PM 20868547
ER

PT J
AU Aronoff, Stephen C.
   Evans, Barry
   Fleece, David
   Lyons, Paul
   Kaplan, Lawrence
   Rojas, Roberto
TI Integrating Evidence Based Medicine Into Undergraduate Medical
   Education: Combining Online Instruction With Clinical Clerkships
SO TEACHING AND LEARNING IN MEDICINE
VL 22
IS 3
BP 219
EP 223
AR PII 923152259
DI 10.1080/10401334.2010.488460
PD 2010
PY 2010
AB Background: Incorporation of evidence based medicine into the
   undergraduate curriculum varies from school to school. The purpose of
   this study was to determine if an online course in evidence based
   medicine run concurrently with the clinical clerkships in the 3rd year
   of undergraduate medical education provided effective instruction in
   evidence based medicine (EBM). Description: During the first 18 weeks of
   the 3rd year, students completed 6 online, didactic modules. Over the
   next 24 weeks, students developed questions independently from patients
   seen during clerkships and then retrieved and appraised relevant
   evidence. Online, faculty mentors reviewed student assignments submitted
   throughout the course to monitor progress. Mastery of the skills of EBM
   was assessed prior to and at the conclusion of the course using the
   Fresno test of competency. Evaluation: Paired data were available from
   139 students. Postcourse test scores (M= 77.7; 95% CI = 59-96.4) were
   significantly higher than precourse scores (M= 66.6; 95% CI =
   46.5-86.7), p .001. Paired evaluations demonstrated an average
   improvement of 11.1 +/- 20.0 points. All of the students submitted 4
   independently derived questions and successfully retrieved and appraised
   evidence. Conclusions: Medical students successfully acquired and
   independently applied EBM skills following extended, online, faculty
   mentored instruction. This method of instruction provided uniform
   instruction across geographic sites and medical specialties and
   permitted efficient use of faculty time.
TC 46
ZR 0
ZB 4
ZS 0
Z8 1
ZA 0
Z9 47
U1 0
U2 13
SN 1040-1334
EI 1532-8015
UT WOS:000278925500012
PM 20563945
ER

PT J
AU Finlayson, Alexander E. T.
   Baraco, Abdirazak
   Cronin, Nathalie
   Johnson, Oliver
   Little, Simon
   Nuur, Abdirahman
   Tanasie, Dragos
   Leather, Andy
TI An international, case-based, distance-learning collaboration between
   the UK and Somaliland using a real-time clinical education website
SO JOURNAL OF TELEMEDICINE AND TELECARE
VL 16
IS 4
BP 181
EP 184
DI 10.1258/jtt.2010.004004
PD 2010
PY 2010
AB We established a medical education website to deliver real-time,
   clinical case-based education to sites in Somaliland from the UK. The
   website was based on a web 2.0 social networking concept in order to
   recreate, as nearly as possible, the clinical bedside teaching
   experience. A survey showed that medical students in Somaliland had
   sufficient computer access to exploit the website. Teaching began in
   December 2008 and the teaching programme has developed into a regular
   weekly teaching session involving up to seven different student groups
   in Somaliland at different locations. As well as north-south teaching,
   the website has been employed to support a study module in London. Small
   groups of UK-based medical students have been partnered with intern
   tutors in Somaliland. Forty UK students have taken part in this
   teaching, which is now in its second year. Feedback from those involved
   has demonstrated that a collaboration in which both north-south and
   south north teaching occurs can strengthen partnerships in which both
   parties contribute and benefit.
OI Johnson, Oliver/0000-0001-8698-0553; Little, Simon/0000-0001-6249-6230;
   Leather, Andy/0000-0003-0500-5962
ZS 0
ZB 3
ZA 0
Z8 0
ZR 0
TC 32
Z9 32
U1 0
U2 14
SN 1357-633X
UT WOS:000279425000004
PM 20511568
ER

PT J
AU Treweek, Shaun
   Pitkethly, Marie
   Cook, Jonathan
   Kjeldstrom, Monica
   Taskila, Taina
   Johansen, Marit
   Sullivan, Frank
   Wilson, Sue
   Jackson, Catherine
   Jones, Ritu
   Mitchell, Elizabeth
TI Strategies to improve recruitment to randomised controlled trials
SO COCHRANE DATABASE OF SYSTEMATIC REVIEWS
IS 4
AR MR000013
DI 10.1002/14651858.MR000013.pub5
PD 2010
PY 2010
AB Background
   Recruiting participants to trials can be extremely difficult.
   Identifying strategies that improve trial recruitment would benefit both
   trialists and health research.
   Objectives
   To quantify the effects of strategies to improve recruitment of
   participants to randomised controlled trials.
   Search strategy
   We searched the Cochrane Methodology Review Group Specialised Register -
   CMR (The Cochrane Library (online) Issue 1 2008) (searched 20 February
   2008); MEDLINE, Ovid (1950 to date of search) (searched 06 May 2008);
   EMBASE, Ovid (1980 to date of search) (searched 16 May 2008); ERIC, CSA
   (1966 to date of search) (searched 19 March 2008); Science Citation
   Index Expanded, ISI Web of Science (1975 to date of search) (searched 19
   March 2008); Social Sciences Citation Index, ISI Web of Science (1975 to
   date of search) (searched 19 March 2008); and National Research Register
   (online) (Issue 3 2007) (searched 03 September 2007); C2-SPECTR
   (searched 09 April 2008). We also searched PubMed (25 March 2008) to
   retrieve "related articles" for 15 studies included in a previous
   version of this review.
   Selection criteria
   Randomised and quasi-randomised controlled trials of methods to increase
   recruitment to randomised controlled trials. This includes
   non-healthcare studies and studies recruiting to hypothetical trials.
   Studies aiming to increase response rates to questionnaires or trial
   retention, or which evaluated incentives and disincentives for
   clinicians to recruit patients were excluded.
   Data collection and analysis
   Data were extracted on the method evaluated; country in which the study
   was carried out; nature of the population; nature of the study setting;
   nature of the study to be recruited into; randomisation or
   quasi-randomisation method; and numbers and proportions in each
   intervention group. We used risk ratios and their 95% confidence
   intervals to describe the effects in individual trials, and assessed
   heterogeneity of these ratios between trials.
   Main results
   We identified 27 eligible trials with more than 26,604 participants.
   There were 24 studies involving interventions aimed directly at trial
   participants, while three evaluated interventions aimed at people
   recruiting participants. All studies were in health care.
   Some interventions were effective in increasing recruitment: telephone
   reminders to non-respondents (RR 2.66, 95% CI 1.37 to 5.18), use of
   opt-out, rather than opt-in, procedures for contacting potential trial
   participants (RR 1.39, 95% CI 1.06 to 1.84) and open designs where
   participants know which treatment they are receiving in the trial (RR
   1.25, 95% CI 1.18 to 1.34). However, some of these strategies have
   disadvantages, which may limit their widespread use. For example,
   opt-out procedures are controversial and open designs are by definition
   unblinded. The effects of many other recruitment strategies are unclear;
   examples include the use of video to provide trial information to
   potential participants and modifying the training of recruiters. Many
   studies looked at recruitment to hypothetical trials and it is unclear
   how applicable these results are to real trials.
   Authors' conclusions
   Trialists can increase recruitment to their trials by using the
   strategies shown to be effective in this review: telephone reminders;
   use of opt-out, rather than opt-in; procedures for contacting potential
   trial participants and open designs. Some strategies (e. g. open trial
   designs) need to be considered carefully before use because they also
   have disadvantages. For example, opt-out procedures are controversial
   and open designs are by definition unblinded.
RI Cook, Jonathan/D-3648-2015; Sullivan, Frank/L-8286-2019; jackson, cathy/H-4869-2013; Greiver, Michelle/N-8764-2015; Treweek, Shaun/AAE-8006-2019; Mitchell, Elizabeth/
OI Cook, Jonathan/0000-0002-4156-6989; Sullivan, Frank/0000-0002-6623-4964;
   Greiver, Michelle/0000-0001-8957-0285; Treweek,
   Shaun/0000-0002-7239-7241; Mitchell, Elizabeth/0000-0002-2833-1632
ZB 29
Z8 0
ZS 0
TC 199
ZR 0
ZA 0
Z9 198
U1 7
U2 16
SN 1469-493X
EI 1361-6137
UT WOS:000276686600020
PM 20393971
ER

PT J
AU Potomkova, Jarmila
   Mihal, Vladimir
   Zapletalova, Jirina
   Subova, Dana
TI INTEGRATION OF EVIDENCE-BASED PRACTICE IN BEDSIDE TEACHING PAEDIATRICS
   SUPPORTED BY E-LEARNING
SO BIOMEDICAL PAPERS-OLOMOUC
VL 154
IS 1
BP 83
EP 87
DI 10.5507/bp.2010.014
PD 2010
PY 2010
AB Bedside teaching with evidence-based practice elements, supported by
   e-learning activities, can play an important role in modern medical
   education. Teachers have to incorporate evidence from the medical
   literature to increase student motivation and interactivity.
   Materials and Methods. An integral part of the medical curricula at
   Palacky University Olomouc (Czech Republic) are real paediatric
   scenarios supplemented with a review of current literature to enhance
   evidence-based bedside teaching & learning. Searching for evidence is
   taught through librarian-guided interactive hands-on sessions and/or
   web-based tutorials followed by clinical case presentations and
   feedback.
   Results. Innovated EBM paediatric clerkship demonstrated students'
   preferences towards web-based interactive bedside teaching & learning.
   In two academic years (2007/2008, 2008/2009), learning-focused feedback
   from 106 and 131 students, resp. was obtained about their attitudes
   towards evidence-based bedside teaching. The assessment included among
   others the overall level of instruction, quality of practical
   evidence-based training, teacher willingness and impact of instruction
   on increased interest in the specialty. There was some criticism about
   excessive workload. A parallel survey was carried out on the perceived
   values of different forms of information skills training (i.e.
   demonstration, online tutorials, and librarian-guided interactive search
   sessions) and post-training self-reported level of search skills.
   Conclusion. The new teaching/learning paediatric portfolio is a
   challenge for further activities, including effective knowledge
   translation, continuing medical & professional development of teachers,
   and didactic, clinically integrated teaching approaches.
OI Subova, Dana/0000-0002-7585-5367; Potomkova, Jarmila/0000-0002-4228-609X
ZS 0
TC 10
ZR 0
ZB 0
Z8 0
ZA 0
Z9 10
U1 0
U2 15
SN 1213-8118
UT WOS:000276310900012
PM 20445715
ER

PT J
AU Glang, Ann
   Koester, Michael C.
   Beaver, Sherry
   Clay, Janet
   McLaughlin, Karen
TI Online Training in Sports Concussion for Youth Sports Coaches
SO INTERNATIONAL JOURNAL OF SPORTS SCIENCE & COACHING
VL 5
IS 1
BP 1
EP 11
DI 10.1260/1747-9541.5.1.1
PD 2010
PY 2010
AB The purpose of this study was to evaluate ACTive: Athletic Concussion
   Training using Interactive Video Education, an interactive e-learning
   program designed to train community coaches of youth ages 10-18 in
   effective sports concussion prevention and management practices.
   Seventy-five youth sports coaches from across the country completed the
   study over the Internet. Results of a randomized control trial
   demonstrated significant differences between treatment and control
   participants on measures of: (a) knowledge about sports concussion,
   management, and prevention; (b) attitudes about the importance of
   preventing sports concussion; and (c) intention and self-efficacy in
   sports concussion management and prevention. The results suggest that
   ACTive is an effective method of training youth sports coaches who are
   in an important position to reduce risks associated with sports
   concussion.
OI Glang, Ann/0000-0002-3057-1977
ZB 6
ZS 0
TC 57
ZA 0
ZR 0
Z8 0
Z9 57
U1 2
U2 35
SN 1747-9541
EI 2048-397X
UT WOS:000276559100002
PM 20640175
ER

PT J
AU McDougal, Julie
   Gettys, Ann
   Hagood, James S.
TI ChILD Family Education
SO PEDIATRIC ALLERGY IMMUNOLOGY AND PULMONOLOGY
VL 23
IS 1
BP 87
EP 90
DI 10.1089/ped.2010.0005
PD 2010
PY 2010
AB The Children's Interstitial Lung Disease (chILD) Foundation and chILD
   Research Cooperative identified a need for accurate and understandable
   chILD-related information for families. As a result, collaboration with
   the University of Alabama at Birmingham (UAB) Pediatric Pulmonary Center
   (PPC) produced "Get Up And Go With chILD!," a comprehensive,
   chILD-specific family education resource. Families and clinicians from
   multiple backgrounds and perspectives submitted content suggestions and
   copies of currently used family education and health management
   materials. Families provided information about the helpful and unhelpful
   information they had received in the past, the information they wished
   they had received, and their educational preferences. The resultant
   booklet is comprehensive, containing the education topics identified as
   critical for inclusion by families and clinicians, and is written at a
   seventh grade reading level. Available both in print and online, the
   online version contains live links to interactive Web sites, support
   groups, teaching videos, and downloadable forms and tools. If health
   education is to be understandable, useable, efficient, cost-effective,
   and of superior quality, if it is to improve people's lives by
   facilitating a change in their attitudes, beliefs, knowledge, skill
   levels, and behavior, an interdisciplinary, family-centered approach is
   crucial. This is resource intensive, but the initial costs of producing
   materials in this manner far outweigh the potential costs of poorly
   developed and delivered health education. Through an iterative,
   well-coordinated, collaborative process between families and clinicians
   from a variety of backgrounds and perspectives, "Get Up And Go With
   chILD!" exemplified this approach.
RI McDougal, Julie A/H-8477-2019
ZA 0
Z8 0
ZB 3
ZS 0
ZR 0
TC 4
Z9 4
U1 0
U2 5
SN 2151-321X
UT WOS:000280331400010
PM 22332033
ER

PT J
AU Metcalf, Mary P.
   Tanner, T. Bradley
   Buchanan, Amanda
TI Effectiveness of an online curriculum for medical students on genetics,
   genetic testing and counseling
SO MEDICAL EDUCATION ONLINE
VL 15
AR 4856
DI 10.3402/meo.v15i0.4856
PD 2010
PY 2010
AB Background: It is increasingly important that physicians have a thorough
   understanding of the basic science of human genetics and the ethical,
   legal and social implications (ELSI) associated with genetic testing and
   counseling.
   Methods: The authors developed a series of web-based courses for medical
   students on these topics. The course modules are interactive, emphasize
   clinical case studies, and can easily be incorporated into existing
   medical school curricula.
   Results: Results of a 'real world' effectiveness trial indicate that the
   courses have a statistically significant effect on knowledge, attitude,
   intended behavior and self-efficacy related to genetic testing (p<0.001;
   N varies between 163 and 596 for each course).
   Conclusions: The results indicate that this curriculum is an effective
   tool for educating medical students on the ELSI associated with genetic
   testing and for promoting positive changes in students' confidence,
   counseling attitudes and behaviors.
TC 17
Z8 0
ZA 0
ZR 0
ZS 0
ZB 7
Z9 17
U1 0
U2 3
SN 1087-2981
UT WOS:000208699900005
PM 20174615
ER

PT C
AU Sun, Jimeng
   Gotz, David
   Cao, Nan
GP IEEE
TI DiseaseAtlas: Multi-facet Visual Analytics for Online Disease Articles
SO 2010 ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE
   AND BIOLOGY SOCIETY (EMBC)
SE IEEE Engineering in Medicine and Biology Society Conference Proceedings
BP 1123
EP 1126
DI 10.1109/IEMBS.2010.5627103
PD 2010
PY 2010
AB Online health information portals provide valuable content to casual
   consumers. However, the page-oriented nature of these resources makes it
   difficult for users to understand the overall information space and
   navigate the complex relationships between various diseases. We have
   developed a visual analytic system named DiseaseAtlas that helps users
   navigate a large set of disease-related documents and understand
   multi-dimensional relationships for key semantic concepts such as
   symptoms and treatments. This paper describes several unique aspects of
   DiseaseAtlas and demonstrates its capabilities through a case study.
CT 32nd Annual International Conference of the IEEE
   Engineering-in-Medicine-and-Biology-Society (EMBC 10)
CY AUG 30-SEP 04, 2010
CL Buenos Aires, ARGENTINA
SP IEEE Engn Med & Biol Soc (EMBS)
RI Cao, Nan/O-5397-2014
Z8 0
TC 0
ZR 0
ZS 0
ZB 0
ZA 0
Z9 0
U1 0
U2 1
SN 1557-170X
BN 978-1-4244-4124-2
UT WOS:000287964001131
PM 21096321
ER

PT C
AU Lazareck, Lisa J.
   Farrell, David
   Kostkova, Patty
   Lecky, Donna M.
   McNulty, Cliodna A. M.
   Weerasinghe, Dasun
GP IEEE
TI Learning by gaming - evaluation of an online game for children
SO 2010 ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE
   AND BIOLOGY SOCIETY (EMBC)
SE IEEE Engineering in Medicine and Biology Society Conference Proceedings
BP 2951
EP 2954
DI 10.1109/IEMBS.2010.5626257
PD 2010
PY 2010
AB Playing computer games is widely popular among children and teenagers as
   an entertainment activity; meanwhile, playing computer games also
   provides a learning opportunity. For example, the rules of the game have
   to be learned by the player in order to improve his/her performance.
   Based on that principle, the City eHealth Research Centre (CeRC)
   developed a web game for 13-15 year olds, whereby the player becomes an
   investigator who attends the scene of an incident that involves
   microbes. There are four missions in total, each involving a mystery
   that the player needs to solve and learning objectives that need to be
   taught - such as antibiotic resistance and the importance of hygiene.
   This paper presents the results from a game evaluation that took place
   between July of 2009, in four UK schools (Glasgow, Gloucester, London),
   with 129 students; whereby 98% of the students commented positively
   about playing the game. Subsequently, CeRC has improved the game and
   developed an interactive educational games portal (www.edugames4all.com)
   for different age groups of web game enthusiasts.
CT 32nd Annual International Conference of the IEEE
   Engineering-in-Medicine-and-Biology-Society (EMBC 10)
CY AUG 30-SEP 04, 2010
CL Buenos Aires, ARGENTINA
SP IEEE Engn Med & Biol Soc (EMBS)
RI Lecky, Donna Marie/AAB-6849-2019; Kostkova, Patricie/
OI Lecky, Donna Marie/0000-0002-1223-9356; Kostkova,
   Patricie/0000-0002-2281-3972
TC 9
ZA 0
Z8 0
ZS 0
ZR 0
ZB 1
Z9 9
U1 0
U2 10
SN 1557-170X
BN 978-1-4244-4124-2
UT WOS:000287964003088
PM 21095993
ER

PT J
AU Searle, Nancy S.
   Thompson, Britta M.
   Friedland, Joan A.
   Lomax, James W.
   Drutz, Jan E.
   Coburn, Michael
   Nelson, Elizabeth A.
TI The Prevalence and Practice of Academies of Medical Educators: A Survey
   of US Medical Schools
SO ACADEMIC MEDICINE
VL 85
IS 1
BP 48
EP 56
DI 10.1097/ACM.0b013e3181c4846b
PD JAN 2010
PY 2010
AB Purpose
   Academies of medical educators can be defined as formal organizations of
   academic teaching faculty recognized for excellence in their
   contributions to their school's education mission and who, as a group,
   serve specific needs of the institution. The authors studied the
   characteristics of academies, including the processes for admission,
   selection, and retention of academy members; the types of faculty who
   are academy members; program goals; benefits offered by academies to the
   individual and to the institution; funding sources and amounts; and the
   rapid increase in academies since 2003.
   Method
   In 2008, the authors sent an online questionnaire to 127 U. S. medical
   schools. Responses were analyzed using descriptive statistics. To
   determine differences between groups, multivariate analysis of variance
   was performed. Correlation analysis (Pearson r) was used to identify
   association between variables. Effect size was determined using eta
   squared (eta(2)).
   Results
   Thirty-six of the 122 responding schools (96% response rate) reported
   having academies; 21 schools had initiated academies since 2003, and 33
   schools were planning or considering academies. There was a
   statistically significant difference between academies established
   before 2004 and in 2004 regarding benefits offered to individuals,
   membership terms and maintenance requirements, and goals.
   Conclusions
   Rogers' theory of the diffusion of innovation may explain the recent
   spread of academies. When beginning or reexamining existing academy
   programs, institutions should consider goals, application process,
   benefits offered to members as well as the institution, expendable
   resources, and means of support, because the final product depends on
   the choices made at the beginning.
Z8 0
ZR 0
ZA 0
ZS 0
TC 49
ZB 6
Z9 49
U1 1
U2 5
SN 1040-2446
EI 1938-808X
UT WOS:000276131300016
PM 20042821
ER

PT B
AU Mizumoto, Kiyohisa
   Okamoto, Makito
   Ishii, Kunio
   Noshiro, Makoto
   Kuroda, Yuko
   Shirataka, Masuo
   Taga, Masaki
   Iguchi, Kaoru
   Ikemoto, Hisashi
   Shiba, Tadayoshi
BE Watanabe, H
   Koizumi, M
TI Interprofessional Team-Based Medical Education Program at Kitasato
   University: Collaboration Among 14 Health-Related Professions
SO ADVANCED INITIATIVES IN INTERPROFESSIONAL EDUCATION IN JAPAN: JAPAN
   INTERPROFESSIONAL WORKING AND EDUCATION NETWORK
BP 75
EP 93
DI 10.1007/978-4-431-98076-6_8
PD 2010
PY 2010
AB Medical technology is quickly becoming more advanced and more narrowly
   specialized. At the same time, epidemiological and demographic profiles
   are changing drastically. Therefore, it Would be difficult to provide
   the utmost health services unless various pieces of knowledge scattered
   across multiple health-related professions are integrated for practical
   application. Furthermore, as society's needs for health services are
   also changing, it is no longer enough to treat the disease. Hence, the
   quality of health services is being looked at to humanize the process of
   diagnosis and treatment and to consider ethical, psychological, and
   social aspects of services. To provide quality health services, it is
   imperative for various health-related professionals, who are narrowly
   specialized, to closely work together as a team. This, in turn, requires
   urgent training of human resources so that such collaborative teamwork
   can smoothly take place.
   Kitasato University has four health-related schools and two specialized
   colleges, which together educate as many as 14 types of health-related
   specialist professionals. The university is also known for its good
   clinical education in collaboration with its four affiliated hospitals.
   By taking advantage of these unique characteristics, the university, as
   a whole, embarked on the Interprofessional Team-Based Medical Education
   Program in 2006 as one of its key educational programs. The Program,
   built on the conventional school education method (so-called "vertical
   education"), which had already proven effective, aims to train students
   through collaboration among different professionals with specifically
   innovated educational methods and contents to encourage such
   collaboration. Through this "cross-sectional education," students gain
   the ability to collaborate effectively with others.
   Currently, the Program includes (1) the All-Kitasato Team-Based Medical
   Drill, which is a simulated team-based medical exercise undertaken by
   small groups consisting of 10 students each. The drill started in 2006
   and trains about 1200 senior students from the four health-related
   schools and two specialized colleges each year; and (2) An Introduction
   to Team-Based Medicine lecture, which started in 2008 as an introductory
   course common to all four health-related schools. It is meant to make
   the collaboration in health care more systematic. The lecture is given
   to about 1000 freshman students each year to deepen their understanding
   and appreciation of team-based medicine at an early stage of their
   university education. It is a real-time, two-way, dialogue-style, online
   lecture. As subsequent steps to initiatives (1) and (2) above, the
   university further plans to establish (3) Team-Based Clinical Training,
   which will be a practical training program conducted primarily at the
   four university-affiliated hospitals; and (4) a system-wide University
   Clinical Education Center, which will coordinate clinical education
   collaboration and team-based clinical training among the four
   university-affiliated hospitals and the four health-related schools.
RI Noshiro, Makoto/AAI-9744-2020
ZR 0
ZS 0
ZA 0
ZB 0
Z8 0
TC 0
Z9 0
U1 0
U2 1
BN 978-4-431-98075-9
UT WOS:000274504100008
D2 10.1007/978-4-431-98076-6
ER

PT J
AU Blue, Amy V
   Charles, Laurine
   Howell, David
   Koutalos, Yiannis
   Mitcham, Maralynne
   Nappi, Jean
   Zoller, James
TI Introducing students to patient safety through an online
   interprofessional course.
SO Advances in medical education and practice
VL 1
BP 107
EP 14
DI 10.2147/AMEP.S13350
PD 2010 Dec 07
PY 2010
AB Interprofessional education (IPE) is increasingly called upon to improve
   health care systems and patient safety. Our institution is engaged in a
   campus-wide IPE initiative. As a component of this initiative, a
   required online interprofessional patient-safety-focused course for a
   large group (300) of first-year medical, dental, and nursing students
   was developed and implemented. We describe our efforts with developing
   the course, including the use of constructivist and adult learning
   theories and IPE competencies to structure students' learning in a
   meaningful fashion. The course was conducted online to address obstacles
   of academic calendars and provide flexibility for faculty participation.
   Students worked in small groups online with a faculty facilitator.
   Thematic modules were created with associated objectives, online
   learning materials, and assignments. Students posted completed
   assignments online and responded to group members' assignments for
   purposes of group discussion. Students worked in interprofessional
   groups on a project requiring them to complete a root cause analysis and
   develop recommendations based on a fictional sentinel event case.
   Through project work, students applied concepts learned in the course
   related to improving patient safety and demonstrated interprofessional
   collaboration skills. Projects were presented during a final in-class
   session. Student course evaluation results suggest that learning
   objectives and content goals were achieved. Faculty course evaluation
   results indicate that the course was perceived to be a worthwhile
   learning experience for students. We offer the following recommendations
   to others interested in developing an in-depth interprofessional
   learning experience for a large group of learners: 1) consider a hybrid
   format (inclusion of some face-to-face sessions), 2) address IPE and
   broader curricular needs, 3) create interactive opportunities for shared
   learning and working together, 4) provide support to faculty
   facilitators, and 5) recognize your learners' educational level. The
   course has expanded to include students from additional programs for the
   current academic year.
ZS 0
TC 6
ZA 0
Z8 0
ZB 1
ZR 0
Z9 6
U1 0
U2 1
SN 1179-7258
UT MEDLINE:23745069
PM 23745069
ER

PT J
AU Jones, Stephanie P.
   Jenkinson, Amanda J.
   Leathley, Michael J.
   Watkins, Caroline L.
TI Stroke knowledge and awareness: an integrative review of the evidence
SO AGE AND AGEING
VL 39
IS 1
BP 11
EP 22
DI 10.1093/ageing/afp196
PD JAN 2010
PY 2010
AB Methods: an integrative review of published studies about stroke
   knowledge and awareness was performed by searching online bibliographic
   databases, using keywords, from 1966 to 2008. Studies were included in
   the review if they focussed on risk factors, signs and symptoms, action
   and information. Each study was reviewed by two researchers (SJ and MJ).
   Results: we identified 169 studies of which 39 were included in the
   review. The ability to name one risk factor for stroke varied between
   studies, ranging from 18% to 94% when asked open-ended questions and
   from 42% to 97% when asked closed questions. The ability to name one
   symptom ranged from 25% to 72% when asked open-ended questions and from
   95% to 100% when asked closed questions. When asked what action people
   would take if they thought they were having a stroke, between 53% and
   98% replied that they would call the EMS. People generally obtained
   information about stroke from family and friends. Older members of the
   population, ethnic minority groups and those with lower levels of
   education had consistently poor levels of stroke knowledge.
   Conclusions: generally, levels of knowledge about recognising and
   preventing stroke were poor. Nevertheless, most participants stated they
   would contact the EMS at the onset of stroke symptoms.
RI Watkins, Caroline L/E-6898-2013
OI Watkins, Caroline L/0000-0002-9403-3772
Z8 4
ZS 2
ZB 28
ZA 0
ZR 2
TC 125
Z9 133
U1 0
U2 13
SN 0002-0729
UT WOS:000272922800005
PM 19897540
ER

PT J
AU Ruf, D.
   Berner, M.
   Kriston, L.
   Lohmann, M.
   Mundle, G.
   Lorenz, G.
   Niebling, W.
   Haerter, M.
TI Cluster-randomized Controlled Trial of Dissemination Strategies of an
   Online Quality Improvement Programme for Alcohol-related Disorders
SO ALCOHOL AND ALCOHOLISM
VL 45
IS 1
BP 70
EP 78
DI 10.1093/alcalc/agp079
PD JAN-FEB 2010
PY 2010
AB The study is registered at ClinicalTrials.gov: NCT00314067.
   This article conforms to the guidelines in the Consolidated Standards of
   Reporting Trials (CONSORT) statement (Moher et al., 2001; Campbell et
   al., 2004).
RI Kriston, Levente/D-1713-2013; Harter, Martin/
OI Kriston, Levente/0000-0003-0748-264X; Harter, Martin/0000-0001-7443-9890
ZS 0
ZR 0
ZB 1
Z8 0
TC 6
ZA 0
Z9 6
U1 0
U2 0
SN 0735-0414
EI 1464-3502
UT WOS:000273225300011
PM 19889887
ER

PT J
AU Novais, M.A.P.
   Ramos, M.P.
   Nappo, S.A.
   Sigulem, D.
TI Study of Teacher Practices in Health Sciences in Brazil
SO American Journal of Distance Education
VL 24
IS 1
BP 40
EP 51
DI 10.1080/08923640903297794
PD Jan.-March 2010
PY 2010
AB This study involved fourteen semistructured interviews with teaching
   staff at a Brazilian university. These interviews were aimed at
   unveiling possible transformations caused by distance education in
   classroom teaching and in medical assistance practices. The discourses
   collected were analyzed using qualitative methods and divided into
   groups with convergent meanings, resulting in the following units:
   Infrastructure, Personal Use of Information Technology Resources,
   Impressions of Distance Education, Intensity of Dedication,
   Interactivity, Benefits of Distance Education, Teaching Practices, and
   Changes in Assistance. Results suggest that virtual teaching has
   resulted in positive changes in the professor-student relationship that
   allow improvements in interactivity and the creation of different
   expectations from those observed in classroom practice. There was a
   significant appropriation of the technological resources and pedagogical
   activities used in online courses for classroom teaching practice. Also
   observed was the transfer of knowledge to the personal and medical
   assistance spheres.
RI Sigulem, Daniel/ABF-4725-2020; nappo, solange aparecida/AAY-3578-2020
OI nappo, solange aparecida/0000-0002-4089-8690
ZR 0
ZA 0
ZS 0
Z8 0
TC 0
ZB 0
Z9 0
U1 0
U2 0
SN 0892-3647
UT INSPEC:11741143
ER

PT J
AU Senore, Carlo
   Armaroli, Paola
   Silvani, Marco
   Andreoni, Bruno
   Bisanti, Luigi
   Marai, Luisa
   Castiglione, Guido
   Grazzini, Grazia
   Taddei, Serena
   Gasperoni, Stefano
   Giuliani, Orietta
   Malfitana, Giuseppe
   Marutti, Anna
   Genta, Giovanna
   Segnan, Nereo
TI Comparing Different Strategies for Colorectal Cancer Screening in Italy:
   Predictors of Patients' Participation
SO AMERICAN JOURNAL OF GASTROENTEROLOGY
VL 105
IS 1
BP 188
EP 198
DI 10.1038/ajg.2009.583
PD JAN 2010
PY 2010
AB OBJECTIVES: The objective of this study was to study predictors of
   patients' participation in colorectal cancer (CRC) screening.
   METHODS: Men and women, aged 55-64 years, were randomized to the
   following: (i) biennial fecal occult blood test (FOBT) delivered by mail
   (n = 2,266); (ii) FOBT delivered by a general practitioner
   (GP)/screening facility (n = 5,893); (iii) "once-only" sigmoidoscopy
   (FS) (n = 3,650); (iv) FS followed by FOBT for screenees with negative
   FS (n = 10,867); and (v) patient's choice between FS and FOBT (n =
   3,579). A stratified (by screening arm) random sample of attenders and
   nonattenders was contacted by trained interviewers 4 months after the
   initial invitation. Subjects giving their consent were administered a
   questionnaire (available online) investigating perceptions of individual
   CRC risk, attitudes toward prevention, adoption of health protective
   behaviors, and reasons for attendance/nonattendance. Adjusted prevalence
   odds ratios (ORs) were computed by multivariable logistic regression.
   RESULTS: The response rate was 71.9% (701 of 975) among nonattenders and
   88.9% (773 of 870) among attenders. Adjusting for screening arm, center,
   gender, age, and education, participation was significantly higher among
   people who consulted their GP before undergoing screening (OR: 4.24; 95%
   confidence interval (CI): 3.11-5.78), who mentioned one first-degree
   relative with CRC (OR: 3.62; 95 % CI: 2.02-6.49), who reported regular
   physical activity (OR: 1.85;95 % CI: 1.33-2.55), and who read the mailed
   information (letter only: OR: 1.85; 95 % CI: 1.23-2.78; letter +
   leaflet: OR: 3.18; 95 % CI: 2.12-4.76). People who considered screening
   to be ineffective (OR: 0.12; 95 % CI: 0.08-0.19), those who considered
   it to be effective but reported even moderate levels of anxiety (OR:
   0.32; 95 % CI: 0.23-0.45), and those who mentioned previous knowledge of
   CRC screening tests were less likely to accept the invitation (OR: 0.49;
   95 % CI: 0.34-0.70).
   CONCLUSIONS: Adoption of health protective behaviors is associated with
   a higher attendance rate, whereas anxiety represents a strong barrier,
   even among people who deemed screening to be effective. Increasing the
   proportion of people who consult their GP when making a decision
   regarding screening might enhance participation.
RI Grazzini, Grazia/K-8503-2016; giuliani, orietta/W-4874-2018; Armaroli, Paola/; Segnan, Nereo/; Senore, Carlo/
OI Grazzini, Grazia/0000-0002-9713-3007; giuliani,
   orietta/0000-0002-1843-3475; Armaroli, Paola/0000-0001-8965-4307;
   Segnan, Nereo/0000-0002-4730-5384; Senore, Carlo/0000-0003-1023-7477
TC 61
ZR 0
ZA 0
ZS 0
ZB 21
Z8 2
Z9 62
U1 0
U2 9
SN 0002-9270
EI 1572-0241
UT WOS:000273996200026
PM 19826409
ER

PT J
AU Olson, Rebecca
   Grossman, Ruth M.
   Fu, Patricia L.
   Sabogal, Fabio
TI Raising Awareness of Medicare Member Rights Among Seniors and Caregivers
   in California
SO AMERICAN JOURNAL OF PUBLIC HEALTH
VL 100
IS 1
BP 9
EP 12
DI 10.2105/AJPH.2008.152264
PD JAN 2010
PY 2010
AB Many Medicare recipients do not understand their health care rights.
   Lumetra, formerly California's Medicare quality improvement
   organization, developed a multifaceted outreach program to increase
   beneficiary awareness of its services and of the right to file
   quality-of-care complaints and discharge appeals. Layered outreach
   activities to Medicare members and their caregivers in 2 targeted
   counties consisted of paid media, direct mailings, community outreach,
   and online marketing. Calls to Lumetra's helpline and visits to its Web
   site-measures of beneficiary awareness of case review services-increased
   by 106% and 1214%, respectively, in the targeted counties during the
   4-month outreach period. Only small increases occurred in nontargeted
   counties. Increases in quality-of-care complaints and discharge appeal
   rates were detected during a longer follow-up period. (Am J Public
   Health. 2010;100:9-12. doi:10.2105/AJPH.2008.152264)
Z8 0
TC 1
ZB 0
ZS 0
ZA 0
ZR 0
Z9 1
U1 0
U2 0
SN 0090-0036
UT WOS:000273166800006
PM 19965568
ER

PT J
AU Clare, S.
   Mank, A.
   Stone, R.
   Davies, M.
   Potting, C.
   Apperley, J. F.
CA EBMT Nurses Grp
TI Management of related donor care: a European survey
SO BONE MARROW TRANSPLANTATION
VL 45
IS 1
BP 97
EP 101
DI 10.1038/bmt.2009.117
PD JAN 2010
PY 2010
AB Donating BM or peripheral stem cells is a challenging process that
   requires a considerable commitment on the part of the donating
   individual, especially when there is a relationship between donor and
   recipient. In order to develop a better understanding of related donor
   management, the research subcommittee of the European Group for Blood
   and Marrow Transplantation-Nurses Group (EBMT-NG) designed a
   questionnaire to survey European transplant centres. This questionnaire
   investigated several key areas, including guidelines, patient
   information, donor consent and follow-up services. It was distributed to
   a sample of delegates (N = 150) at the 2005 meeting of the EBMT-NG.
   Guidelines for the information given to patients were primarily from
   local (33, 52%), and a combination of local and national (13, 21%)
   sources. Transplant information was predominantly given to related
   donors by the recipient's transplant team (36, 57%). A total of 33 (52%)
   centres indicated that donors were also consented by transplant doctors,
   whereas 16 (25%) identified that consent was obtained by doctors who
   were not connected with the transplant team. At present, there is a lack
   of recognized standardized guidelines for the management of related
   donors. The development of such guidelines would assist in maintaining
   patient autonomy, confidentiality and access to accurate and objective
   information. Bone Marrow Transplantation (2010) 45, 97-101; doi:
   10.1038/bmt.2009.117; published online 8 June 2009
RI Potting, Carin/E-2271-2016
ZB 9
ZR 0
TC 26
ZA 0
Z8 0
ZS 0
Z9 26
U1 0
U2 0
SN 0268-3369
UT WOS:000273592000013
PM 19503111
ER

PT J
AU Livengood, Michelle
   Anderson, Jonathan W.
   Schmitter-Edgecombe, Maureen
TI Assessment of memory self-awareness following traumatic brain injury
SO BRAIN INJURY
VL 24
IS 4
BP 598
EP 608
DI 10.3109/02699051003652815
PD 2010
PY 2010
AB Design and methods: Participants were 23 individuals with TBI and 23
   controls matched on age, education and sex. Online assessment of memory
   was assessed by comparing the predicted amount of information
   participants expected that they would remember following trial 1, trial
   5 and a 20-minute delay with actual memory performance on list-learning
   and visuospatial memory tests. Offline assessment of memory involved
   contrasting self-ratings provided by TBI participants about their
   everyday memory functioning with ratings from knowledgeable informants
   and with performance on objective memory tests.
   Results: Individuals with TBI displayed poorer recall for newly learned
   information than control participants, but no significant group
   differences emerged in the online assessment of memory self-awareness.
   The offline assessment comparisons similarly demonstrated that the
   individuals with TBI exhibited accurate awareness for their everyday
   memory performances.
   Conclusions: These findings suggest intact memory self-awareness
   following moderate-to-severe TBI during the early stages of recovery
   (2-10 months post-injury).
ZR 0
TC 10
ZS 0
ZA 0
ZB 3
Z8 0
Z9 10
U1 1
U2 8
SN 0269-9052
EI 1362-301X
UT WOS:000275682300004
PM 20235762
ER

PT J
AU Doherty, Iain
   McKimm, Judy
TI e-learning in clinical teaching
SO BRITISH JOURNAL OF HOSPITAL MEDICINE
VL 71
IS 1
BP 44
EP 47
DI 10.12968/hmed.2010.71.1.45973
PD JAN 2010
PY 2010
OI McKimm, Judy/0000-0002-8949-5067
ZA 0
ZB 0
TC 7
ZS 1
ZR 0
Z8 0
Z9 8
U1 0
U2 4
SN 1750-8460
UT WOS:000275483700023
PM 20081642
ER

PT J
AU Pape-Koehler, C.
   Chmelik, C.
   Heiss, M. M.
   Jauch, K. W.
TI E-learning in surgical procedure manuals and blogs
SO CHIRURG
VL 81
IS 1
BP 14
EP 18
DI 10.1007/s00104-009-1759-z
PD JAN 2010
PY 2010
AB E-learning is the constant companion for every surgeon in the initial
   years of training. Later they will be mostly used as reliable reference
   works. With the spread of computers and the possibilities of the World
   Wide Web there is an increasingly large selection of electronic learning
   options on the market. In this review the most important current
   surgical e-learning options will be presented.
   Inclusion criteria were determined according to a defined term which
   must be fulfilled for e-learning in operation techniques. Options were
   identified by an online search and analyzed using a criteria catalogue.
   This catalogue contained a total of 31 criteria for the fields of
   aEurocontent presentation", aEuroinfrastructure" and aEuroevaluation". A
   differentiation was made between online and offline options.
   A total of five online and five offline options which fulfilled the
   inclusion criteria could be indentified. None of the options currently
   encompass a similarly high number of operations compared to those
   offered in conventional operation textbooks. The use and combination of
   media, such as video and animation, are limited to online options and
   are available in various forms and combinations. The use of options is
   mostly free of charge and at most registration is necessary. Some of the
   options are multilingual.
   The range of e-learning options for general and visceral surgical
   operations is at present still limited and reduced to a few platforms.
   The scientific content and validity of the contents are not always
   guaranteed. It remains to be seen how the options presented here will
   develop further and what the results of the necessary scientific
   evaluation will be.
Z8 1
ZA 0
TC 9
ZR 0
ZB 0
ZS 0
Z9 10
U1 5
U2 11
SN 0009-4722
EI 1433-0385
UT WOS:000273744500003
PM 19898757
ER

PT J
AU Wilde, Alex
   Meiser, Bettina
   Mitchell, Philip B.
   Schofield, Peter R.
TI Public interest in predictive genetic testing, including
   direct-to-consumer testing, for susceptibility to major depression:
   preliminary findings
SO EUROPEAN JOURNAL OF HUMAN GENETICS
VL 18
IS 1
BP 47
EP 51
DI 10.1038/ejhg.2009.138
PD JAN 2010
PY 2010
AB The past decade has seen rapid advances in the identification of
   associations between candidate genes and a range of common
   multifactorial disorders. This paper evaluates public attitudes towards
   the complexity of genetic risk prediction in psychiatry involving
   susceptibility genes, uncertain penetrance and gene-environment
   interactions on which successful molecular-based mental health
   interventions will depend. A qualitative approach was taken to enable
   the exploration of the views of the public. Four structured focus groups
   were conducted with a total of 36 participants. The majority of
   participants indicated interest in having a genetic test for
   susceptibility to major depression, if it was available. Having a family
   history of mental illness was cited as a major reason. After discussion
   of perceived positive and negative implications of predictive genetic
   testing, nine of 24 participants initially interested in having such a
   test changed their mind. Fear of genetic discrimination and privacy
   issues predominantly influenced change of attitude. All participants
   still interested in having a predictive genetic test for risk for
   depression reported they would only do so through trusted medical
   professionals. Participants were unanimously against direct-to-consumer
   genetic testing marketed through the Internet, although some would
   consider it if there was suitable protection against discrimination. The
   study highlights the importance of general practitioner and public
   education about psychiatric genetics, and the availability of
   appropriate treatment and support services prior to implementation of
   future predictive genetic testing services. European Journal of Human
   Genetics (2010) 18, 47-51; doi:10.1038/ejhg.2009.138; published online
   19 August 2009
RI Meiser, Bettina/AAG-5480-2021; Schofield, Peter/C-9669-2011; Mitchell, Philip/
OI Schofield, Peter/0000-0003-2967-9662; Mitchell,
   Philip/0000-0002-7954-5235
ZS 0
ZA 0
TC 59
ZB 28
Z8 0
ZR 1
Z9 60
U1 0
U2 12
SN 1018-4813
UT WOS:000272609900011
PM 19690586
ER

PT J
AU Meuser, Thomas M
   Carr, David B
   Irmiter, Cheryl
   Schwartzberg, Joanne G
   Ulfarsson, Gudmundur F
TI The American Medical Association Older Driver Curriculum for health
   professionals: changes in trainee confidence, attitudes, and practice
   behavior.
SO Gerontology & geriatrics education
VL 31
IS 4
BP 290
EP 309
DI 10.1080/02701960.2010.528273
PD 2010
PY 2010
AB Few gerontology and geriatrics professionals receive training in driver
   fitness evaluation, state reporting of unfit drivers, or transportation
   mobility planning yet are often asked to address these concerns in the
   provision of care to older adults. The American Medical Association
   (AMA) developed an evidence-based, multi-media Curriculum to promote
   basic competences. This study evaluated reported changes in practice
   behaviors 3 months posttraining in 693 professionals trained via the AMA
   approach. Eight Teaching Teams, designated and trained by AMA staff,
   offered 22 training sessions across the United States in 2006 to 2007.
   Trainees (67% female; mean age 46) completed a pretest questionnaire and
   a posttest administered by mail. Physicians were the largest
   professional group (32%). Although many trainees acknowledged having
   conversations with patients about driving at pretest, few endorsed
   utilizing specific techniques recommended by the AMA prior to this
   training. The posttest response rate was 34% (n = 235). Significant
   improvements in reported attitudes, confidence, and practices were found
   across measured items. In particular, posttest data indicated new
   adoption of in-office screening techniques, chart documentation of
   driver safety concerns, and transportation alternative planning
   strategies. Findings suggest that a well-designed, one-time continuing
   education intervention can enhance health professional confidence and
   clinical practice concerning driver fitness evaluation and mobility
   planning. Targeted dissemination of this Curriculum (in-person and
   online) will allow more to benefit in the future.
RI Ulfarsson, Gudmundur F/G-8461-2012; Carr, David/
OI Ulfarsson, Gudmundur F/0000-0002-0094-7531; Carr,
   David/0000-0003-2641-3850
Z8 0
ZB 3
TC 19
ZS 0
ZR 0
ZA 0
Z9 19
U1 0
U2 1
EI 1545-3847
UT MEDLINE:21108097
PM 21108097
ER

PT J
AU Kudumovic, Mensura
   Kudumovic, Dzafer
   Mesanovic, Nevres
   Huremovic, Eldin
TI Modern Information Comunication Technologies and educational
   technologies applied to education of medicine
SO HEALTHMED
VL 4
IS 1
BP 158
EP 162
PD 2010
PY 2010
AB The introduction of ICT in medical education as well as additional
   qualification and training in medicine, contributing directly to
   improvement in the efficiency of this segment of the educational system,
   especially through reducing the cost, especially of visiting professors
   travel costs (video-conferencing).
   This article describes the application of modem information and
   communication technologies and the introduction of combined methods of
   teaching at the Medical Faculty in Sarajevo.
   This research aims to identify the information infrastructure and the
   possibility of introduction and application of modem ICT and education
   combined approach of medical education at the Medical Faculty in
   Sarajevo.
   For the purposes of the application of blended methods of education is
   planned to develop electronic educational content, based on multimedia.
   This content can be developed and delivered trough the platform for the
   development and content delivery, and monitoring activities of students,
   e e-Learning. unsa, or e-learning e-net. For the purpose of electronic
   communication with students used will be forums, chat and e-mail on the
   same system.
   Previous activities in this field are quite modest and done partially
   within the eContent program of WUS Austria program.
   Focus of this research and the methods used in research at the Medical
   Faculty of the University in Sarajevo, as the central institution for
   medical education. Identification and testing of educational content is
   determined in advance, which require this type of research.
   Applied is the methodology of system approach and system analysis and
   the analysis as a method for identifying opportunities and threats from
   the environment, or to analyze strengths and weaknesses.
   In cooperation with Indiana University - USA and professor Dey Sukhen
   MD. PhD prepared is the frame (application) for online learning in the
   Moodle (LMS), aimed primarily to post graduate students and other target
   groups of students and health professionals
RI Kudumovic, Mensura/GLT-1274-2022
ZR 0
ZB 0
Z8 0
ZS 0
TC 5
ZA 0
Z9 5
U1 0
U2 48
SN 1840-2291
UT WOS:000276510200024
ER

PT J
AU Renahy, Emilie
   Parizot, Isabelle
   Chauvin, Pierre
TI Determinants of the frequency of online health information seeking:
   Results of a Web-based survey conducted in France in 2007
SO INFORMATICS FOR HEALTH & SOCIAL CARE
VL 35
IS 1
BP 25
EP 39
DI 10.3109/17538150903358784
PD JAN 2010
PY 2010
AB In the general population, social disparities in Internet practices have
   been less described than disparities in health information access. Aim
   is to determine whether there are differences in the frequency of
   Internet use for health information among health seekers. We conducted
   an Internet-based survey from November 2006 to March 2007. We considered
   the 3720 residents of France who had searched for health information
   during the previous 12 months. This study reveals different uses of the
   Internet for health information seeking (HIS) between men and women and
   between the general population and people who work in the health sector.
   Health status, taking care of somebody who is sick, and active Internet
   use were associated with higher frequencies of online HIS to varying
   degrees. The effects of age and level of education were not clear or
   were not significant. Greater health concerns and some issues in the
   physician-patient relationship were associated with higher frequencies
   of Internet use for HIS in the general population. Considering that this
   increasing use of online tools for HIS is consistent with current public
   health policies that promote the development of the 'informed patient',
   one should remain cautious about these social disparities in online HIS
   practices.
RI Chauvin, Pierre/G-1095-2015; Chauvin, Pierre/S-2981-2019
OI Chauvin, Pierre/0000-0002-9183-6406; Chauvin, Pierre/0000-0002-9183-6406
ZB 10
TC 56
ZR 0
ZS 1
ZA 0
Z8 0
Z9 56
U1 0
U2 29
SN 1753-8157
EI 1753-8165
UT WOS:000285004600003
PM 20302437
ER

PT J
AU Weiland, Tracey J
   Mackinlay, Claire
   Jelinek, George A
TI Perceptions of nurse practitioners by emergency department doctors in
   Australia.
SO International journal of emergency medicine
VL 3
IS 4
BP 271
EP 8
DI 10.1007/s12245-010-0214-8
PD 2010 Aug 26
PY 2010
AB BACKGROUND: The Australian Medical Association is strongly opposed to
   the nurse practitioner (NP) role with concerns that NPs may become
   doctor substitutes without the requisite training and education that the
   medical role demands. Despite this, NPs have been heralded by some as a
   potential solution to the access block, workforce shortage and increased
   demand affecting emergency departments (EDs).
   AIMS: The purpose of this study was to determine the perception of NPs
   by medical staff working in Australian EDs.
   METHODS: Semi-structured telephone interviews were conducted with closed
   and open-ended questions. Participants were drawn from a representative
   stratified sample of two city, two metropolitan and two provincial
   hospitals of each State/Territory.
   RESULTS: A total of 95 doctors from 35 EDs participated in this study
   including 36 Departmental Directors; 36% of participating Directors
   indicated having an NP on staff. Doctors were strongly opposed to the
   statement that NPs could replace either nurses or other prevocational
   doctors; 71 interviewees commented on the role of NPs in the ED.
   Thematic analyses revealed polarised views held by doctors. Eight major
   themes were identified, the most common being that there is a lack of
   clarity of the NP role definition, their scope of practice and
   differentiation from the medical role.
   CONCLUSION: Although ED NPs represent a highly skilled professional
   group their role is poorly understood by ED doctors. Opposition to the
   NP role is a significant barrier to the introduction of great numbers of
   ED NPs as a strategy to overcome the medical workforce shortage.
   ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article
   (doi:10.1007/s12245-010-0214-8) contains supplementary material, which
   is available to authorized users.
RI Weiland, Tracey/Y-2029-2018; Jelinek, George/
OI Weiland, Tracey/0000-0002-4053-5507; Jelinek, George/0000-0001-6157-0910
TC 11
ZA 0
Z8 0
ZS 0
ZB 0
ZR 0
Z9 11
U1 0
U2 1
EI 1865-1380
UT MEDLINE:21373292
PM 21373292
ER

PT J
AU Hwang, Kevin O.
   Ottenbacher, Allison J.
   Green, Angela P.
   Cannon-Diehl, M. Roseann
   Richardson, Oneka
   Bernstam, Elmer V.
   Thomas, Eric J.
TI Social support in an Internet weight loss community
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 79
IS 1
BP 5
EP 13
DI 10.1016/j.ijmedinf.2009.10.003
PD JAN 2010
PY 2010
AB Purpose: To describe social support for weight loss shared by members of
   a large Internet weight loss community.
   Methods: We conducted a mixed-methods study with surveys (n = 193) and
   interviews (n = 13) of community members along with a content analysis
   of discussion forum messages (n = 1924 messages). Qualitative data were
   analyzed for social support themes.
   Results: Survey respondents were primarily white (91.4%) and female
   (93.8%) with mean age 37.3 years and mean body mass index 30.9. They
   used forums frequently, with 56.8% reading messages, 36.1% replying to
   messages, and 18.5% posting messages to start a discussion related to
   weight loss on a daily or more frequent basis. Major social support
   themes were encouragement and motivation, mentioned at least once by
   87.6% of survey respondents, followed by information (58.5%) and shared
   experiences (42.5%). Subthemes included testimonies, recognition for
   success, accountability, friendly competition, and humor. Members valued
   convenience, anonymity, and the non-judgmental interactions as unique
   characteristics of Internet-mediated support.
   Conclusion: This Internet weight loss community plays a prominent role
   in participants' weight loss efforts. Social support within Internet
   weight loss communities merits further evaluation as a weight loss
   resource for clinicians to recommend to patients. Understanding these
   communities could improve how health professionals evaluate, build,
   harness, and manipulate social support for weight loss. (C) 2009
   Elsevier Ireland Ltd. All rights reserved.
OI Hwang, Kevin/0000-0002-2932-512X; Ottenbacher,
   Allison/0000-0002-8974-5580; Bernstam, Elmer/0000-0001-7643-791X
ZR 1
ZA 0
ZB 19
Z8 2
ZS 2
TC 184
Z9 188
U1 4
U2 50
SN 1386-5056
EI 1872-8243
UT WOS:000274014100002
PM 19945338
ER

PT J
AU Na, H-N
   Hong, Y-M
   Kim, J.
   Kim, H-K
   Jo, I.
   Nam, J-H
TI Association between human adenovirus-36 and lipid disorders in Korean
   schoolchildren
SO INTERNATIONAL JOURNAL OF OBESITY
VL 34
IS 1
BP 89
EP 93
DI 10.1038/ijo.2009.207
PD JAN 2010
PY 2010
AB Background: Although the human adenovirus-36 (Ad-36) has been associated
   with obesity and related lipid disorders in the United States, this
   association has yet to be identified in other countries. Therefore, we
   tried to determine whether Ad-36 is associated with obesity or lipid
   disorders in Korean schoolchildren.
   Method: A total of 318 Korean schoolchildren aged 6-15 years, who
   participated in the Ewha Womans University Obesity Research Study, were
   selected for a community-based cohort study. Non-obese and obese were
   defined as body mass index (BMI) <85th and >= 95th percentiles of the
   Korean reference BMI-for-age curves, respectively, according to
   International Obesity Task Force definitions. The cutoff points for
   lipid disorders were modified from the age-modified standards of the
   National Cholesterol Education Program (NCEP)-Adult Treatment Panel
   (ATP) III metabolic syndrome criteria. The Ad-36 antibody was measured
   using a serum neutralization assay.
   Results: More obese participants than non-obese participants tested
   positive for the Ad-36 antibody (28.57 vs 13.56%, respectively; P =
   0.0174). Within the obese group, the participants who tested positive
   for the Ad-36 antibody had higher levels of triglycerides (TG) and total
   cholesterol than those who tested negative for the Ad-36 antibody (P <
   0.001). However, these associations were not present in the non-obese
   group. The unadjusted odds ratio (OR) for Ad-36 antibody positivity was
   greater in obese participants than non-obese participants (OR 2.550, 95%
   confidence interval (CI): 1.154-5.633). However, this OR seemed to be
   nonsignificant when age, sex and lipid variables were included in the
   analysis (OR 1.752, 95% CI: 0.763-4.020). The unadjusted OR for the
   elevated TG was significantly higher in participants who were Ad-36
   antibody-positive than those who were Ad-36 antibody-negative (OR 2.511,
   95% CI: 1.448-4.353). This trend remained constant even after adjustment
   for age, sex and obesity (OR 2.328, 95% CI: 1.296-4.181).
   Conclusion: Ad-36 seems to be strongly associated with lipid disorders
   in Korean schoolchildren regardless of obesity. International Journal of
   Obesity (2010) 34, 89-93; doi:10.1038/ijo.2009.207; published online 13
   October 2009
RI Jo, Inho/R-3581-2019; Kim, Jihye/
OI Kim, Jihye/0000-0002-3280-7381
TC 72
ZS 1
ZR 0
ZA 1
ZB 45
Z8 1
Z9 74
U1 0
U2 0
SN 0307-0565
EI 1476-5497
UT WOS:000273519800013
PM 19823186
ER

PT J
AU Rolley, John X.
   Salamonson, Yenna
   Dennison, Cheryl R.
   Davidson, Patricia M.
TI Nursing Care Practices Following a Percutaneous Coronary Intervention
   Results of a Survey of Australian and New Zealand Cardiovascular Nurses
SO JOURNAL OF CARDIOVASCULAR NURSING
VL 25
IS 1
BP 75
EP 84
DI 10.1097/JCN.0b013e3181bb419d
PD JAN-FEB 2010
PY 2010
AB Background: Although there is high-level evidence to guide optimal
   medical care for percutaneous coronary interventions, there are less
   explicit guidelines to support nurses in providing care. Aim: This study
   describes the practice standards and priorities of care of
   cardiovascular nurses in Australia and New Zealand. Method: Item
   generation for the survey was informed by an integrative literature
   review and existing clinical guidelines. A 116-item Web-based survey was
   administered to cardiovascular nurses, via electronic mail lists of
   professional cardiovascular nursing organizations, using a secure online
   data collection system. Results: Data were collected from March 2008 to
   March 2009. A total of 148 respondents attempted the survey, with 110
   (743%) completing all items. All respondents were registered nurses with
   an average of 12.3 (SD, 7.61) years of clinical experience in the
   cardiovascular setting. A range of practice patterns was evident in
   ambulation time after percurtaneous coronary intervention, methods of
   sheath removal, pain relief, and patient positioning. Respondents
   consistently rated psychosocial care a lower priority than other tasks
   and also identified a knowledge deficit in this area. Conclusion: This
   survey identified diversity of practice patterns and a range of
   educational needs. Increasing evidence to support evidence-based
   practice and guideline development is necessary to promote high-quality
   care and improved patient outcomes.
RI Salamonson, Yenna/G-5751-2011; Himmelfarb, Cheryl Dennison/V-5660-2019; Rolley, John X./I-6797-2013; Salamonson, Yenna/AAX-4499-2020; Davidson, Patricia M./; ROLLEY, John/
OI Salamonson, Yenna/0000-0002-7429-4086; Himmelfarb, Cheryl
   Dennison/0000-0003-1918-4316; Rolley, John X./0000-0002-5903-6468;
   Davidson, Patricia M./0000-0003-2050-1534; ROLLEY,
   John/0000-0001-6813-8450
ZA 0
ZS 0
ZB 0
TC 13
ZR 0
Z8 1
Z9 14
U1 0
U2 12
SN 0889-4655
EI 1550-5049
UT WOS:000273131800016
PM 20134285
ER

PT J
AU Geiger, Brian F
   O'Neal, Marcia R
   Smith, Kay Hogan
   Evans, Retta R
   Jackson, Jeri B
   Firsing, Stephen L
TI Responding to Health Information and Training Needs of Individuals with
   Disabilities.
SO Journal of consumer health on the Internet
VL 14
IS 1
BP 23
EP 32
PD 2010-Jan-01
PY 2010
AB The role of a medical librarian includes guiding consumers to search for
   information related to specific health needs and interpret information
   for personal use. Little is known about barriers to accessing health
   information and clinical services for those with cognitive and physical
   disabilities. The purpose of this paper is to describe a statewide needs
   assessment of the health information and services needs of individuals
   with disabilities and their caregivers.Data from the needs assessment
   conducted by the Health Services Training Project of more than 1,000
   respondents indicate unmet needs for outreach to increase effective use
   of library and information resources. Fewer consumers and their
   caregivers utilized the Internet to search for health information as
   compared to clinical service providers and students in health
   professions. A majority of consumers reported difficulty obtaining and
   understanding online health information. Service providers and students
   shared concerns about information quality. Consumers and caregivers
   expressed highest levels of trust in information provided by service
   providers, nonprofit health agencies, reference books, and libraries.
OI Smith, Kay/0000-0002-0932-1412
ZS 0
ZB 0
Z8 0
ZA 0
ZR 0
TC 2
Z9 2
U1 0
U2 1
SN 1539-8285
UT MEDLINE:20730027
PM 20730027
ER

PT J
AU Bufano, Ulla B. Arvidson
   Branch-Mays, Grishondra
   Gilliam, Julie
   Romberg, Elaine
TI An Online Multimedia Treatment Planning Tool: Effect on Dental Students'
   Knowledge in Using Standardized Clinical Data
SO JOURNAL OF DENTAL EDUCATION
VL 74
IS 1
BP 50
EP 57
PD JAN 2010
PY 2010
AB A multidisciplinary, Multimedia, online Treatment Planning Data
   Acquisition Tool (TPDat) containing standardized information was created
   at the University of Maryland Dental School to improve Students' actual
   and perceived knowledge in and self-assessed confidence about the
   gathering and recording of standardized data at a patient's initial
   visit. Students from the classes of 2009 (seniors) and 2010 (juniors)
   completed a pre-test (2009 N=93, 79 percent of the class; 2010 N=105, 85
   percent) and an unannounced post-test six months later (2009 N=46 40
   percent; 20 10 N=102, 83 percent). Multiple-choice items were used to
   test student knowledge, and a Likert scale was used to assess perceived
   knowledge and confidence (1=low to 5=high). The students also assessed
   the degree of helpfulness of the different TPDat sections. Juniors'
   knowledge about information in the TPDat was significantly higher at the
   post-test (11.9 +/- 1.6) than the pre-test ( 11.0 +/- 1.9, F= 13.545,
   p+/-0.0001 Their confidence was also significantly higher at the
   post-test (3.58+/-0.5) compared to the pre-test (3.34+/-0.6, F=11.417,
   p=0.001 Seniors' perceived knowledge on the pre-test (3.87+/-0.4) was
   significantly lower than six months later (4.03+/-0.4. F=3.984,
   p=0.048). Seniors' knowledge and confidence pre-test scores were not
   significantly different from their post-test scores. No significant
   difference was found between the 2009 (11.3) and 2010 (11.9) levels of
   knowledge at the post-test. Since there was no significant difference in
   post-test knowledge scores between juniors and seniors (who had twelve
   months longer experience), this may indicate that the TPDat was the
   deciding factor in knowledge acquisition. The results showed that the
   TPDat facilitated learning and standardization of gathering and
   recording of clinical data.
ZS 0
ZA 0
ZB 0
Z8 0
TC 4
ZR 0
Z9 4
U1 0
U2 0
SN 0022-0337
UT WOS:000275394600009
PM 20061530
ER

PT J
AU Moore, Niamh
   Gilmartin, Mary
TI Teaching for Better Learning: A Blended Learning Pilot Project with
   First-Year Geography Undergraduates
SO JOURNAL OF GEOGRAPHY IN HIGHER EDUCATION
VL 34
IS 3
BP 327
EP 344
AR PII 927171314
DI 10.1080/03098265.2010.501552
PD 2010
PY 2010
AB Internationally, recognition is growing that the transition between
   post-primary and higher education is raising a number of challenges for
   both students and educators. Simultaneously with growing class sizes,
   resources have become more constrained and there is a new set of
   expectations from the onet generationo (Mohanna, 2007, p. 211) The use
   of e-learning in medical education, Postgraduate Medical Journal, 83, p.
   211). Within this transforming context, modes of instruction that cater
   for different paces of learning and learning styles by combining
   traditional and electronic media have become increasingly important.
   This paper discusses the transformation of an introductory human
   geography module at University College Dublin using a blended learning
   approach that extends beyond the media used to incorporate all aspects
   of, and inputs into, the learning process. Our experience highlights how
   blended learning can aid the achievement of a range of objectives in
   relation to student engagement and the promotion of deeper learning.
   However, blended learning is not a quick-fix solution to all issues
   relating to new university students and our analysis draws out a more
   complex relationship than anticipated between blended learning and
   student retention that will require further examination.
RI zhang, joseph/H-1070-2011; Moore-Cherry, Niamh/G-5999-2012; Gilmartin, Mary/
OI Moore-Cherry, Niamh/0000-0003-0372-8809; Gilmartin,
   Mary/0000-0001-5587-3384
ZS 0
Z8 1
ZA 1
TC 35
ZB 0
ZR 0
Z9 36
U1 2
U2 50
SN 0309-8265
EI 1466-1845
UT WOS:000282122300002
ER

PT J
AU Spijkerman, Renske
   Roek, Marion A. E.
   Vermulst, Ad
   Lemmers, Lex
   Huiberts, Annemarie
   Engels, Rutger C. M. E.
TI Effectiveness of a Web-Based Brief Alcohol Intervention and Added Value
   of Normative Feedback in Reducing Underage Drinking: A Randomized
   Controlled Trial
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 12
IS 5
AR e65
DI 10.2196/jmir.1465
PD 2010
PY 2010
AB Background: Current insights indicate that Web-based delivery may
   enhance the implementation of brief alcohol interventions. Previous
   research showed that electronically delivered brief alcohol
   interventions decreased alcohol use in college students and adult
   problem drinkers. To date, no study has investigated the effectiveness
   of Web-based brief alcohol interventions in reducing alcohol use in
   younger populations.
   Objective: The present study tested 2 main hypotheses, that is, whether
   an online multicomponent brief alcohol intervention was effective in
   reducing alcohol use among 15- to 20-year-old binge drinkers and whether
   inclusion of normative feedback would increase the effectiveness of this
   intervention. In additional analyses, we examined possible moderation
   effects of participant's sex, which we had not a priori hypothesized.
   Method: A total of 575 online panel members (aged 15 to 20 years) who
   were screened as binge drinkers were randomly assigned to (1) a
   Web-based brief alcohol intervention without normative feedback, (2) a
   Web-based brief alcohol intervention with normative feedback, or (3) a
   control group (no intervention). Alcohol use and moderate drinking were
   assessed at baseline, 1 month, and 3 months after the intervention.
   Separate analyses were conducted for participants in the original sample
   (n = 575) and those who completed both posttests (n = 278). Missing
   values in the original sample were imputed by using the multiple
   imputation procedure of PASW Statistics 18.
   Results: Main effects of the intervention were found only in the
   multiple imputed dataset for the original sample suggesting that the
   intervention without normative feedback reduced weekly drinking in the
   total group both 1 and 3 months after the intervention (n = 575, at the
   1-month follow-up, beta = -.24, P = .05; at the 3-month follow-up, beta
   = -.25, P = .04). Furthermore, the intervention with normative feedback
   reduced weekly drinking only at 1 month after the intervention (n=575,
   beta = -.24, P = .008). There was also a marginally significant trend of
   the intervention without normative feedback on responsible drinking at
   the 3-month follow-up (n = 575, beta = .40, P = .07) implying a small
   increase in moderate drinking at the 3-month follow-up. Additional
   analyses on both datasets testing our post hoc hypothesis about a
   possible differential intervention effect for males and females revealed
   that this was the case for the impact of the intervention without
   normative feedback on weekly drinking and moderate drinking at the
   1-month follow-up (weekly drinking for n = 278, beta = -.80, P = .01,
   and for n = 575, beta = -.69, P = .009; moderate drinking for n = 278,
   odds ratio [OR] = 3.76, confidence interval [CI] 1.05 - 13.49, P = .04,
   and for n = 575, OR = 3.00, CI = 0.89 - 10.12, P = .08) and at the
   3-month follow-up (weekly drinking for n = 278, beta = -. 58, P = .05,
   and for n = 575, beta = -. 75, P = .004; moderate drinking for n = 278,
   OR = 4.34, CI = 1.18 - 15.95, P = .04, and for n = 575, OR = 3.65, CI =
   1.44 - 9.25, P = .006). Furthermore, both datasets showed an interaction
   effect between the intervention with normative feedback and
   participant's sex on weekly alcohol use at the 1-month follow-up (for n
   = 278, beta = -. 74, P = .02, and for n = 575, beta = -. 64, P =. 01)
   and for moderate drinking at the 3-month follow-up (for n = 278, OR =
   3.10, CI = 0.81 - 11.85, P = .07, and for n = 575, OR = 3.00, CI = 1.23
   - 7.27, P = .01). Post hoc probing indicated that males who received the
   intervention showed less weekly drinking and were more likely to drink
   moderately at 1 month and at 3 months following the intervention. For
   females, the interventions yielded no effects: the intervention without
   normative feedback even showed a small unfavorable effect at the 1-month
   follow-up.
   Conclusion: The present study demonstrated that exposure to a Web-based
   brief alcohol intervention generated a decrease in weekly drinking among
   15- to 20-year-old binge drinkers but did not encourage moderate
   drinking in the total sample. Additional analyses revealed that
   intervention effects were most prominent in males resulting in less
   weekly alcohol use and higher levels of moderate drinking among 15- to
   20-year-old males over a period of 1 to 3 months.
RI Vermulst, Ad/C-4557-2011; Spijkerman, Renske/D-5791-2012; Engels, Rutger/
OI Vermulst, Ad/0000-0003-2062-2619; Engels, Rutger/0000-0003-1944-9126
ZB 9
ZA 0
ZR 0
Z8 0
TC 46
ZS 0
Z9 46
U1 0
U2 24
SN 1438-8871
UT WOS:000285714300010
PM 21169172
ER

PT J
AU van der Zanden, Rianne A. P.
   Speetjens, Paula A. M.
   Arntz, Karlijn S. E.
   Onrust, Simone A.
TI Online Group Course for Parents With Mental Illness: Development and
   Pilot Study
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 12
IS 5
AR e50
DI 10.2196/jmir.1394
PD 2010
PY 2010
AB Background: Children of parents with mental illness (COPMI) are at
   greater risk of developing mental disorders themselves. Since impaired
   parenting skills appear to be a crucial factor, we developed a
   facilitated 8-session preventative group course called KopOpOuders (Chin
   Up, Parents) delivered via the Internet to Dutch parents with
   psychiatric problems. The goal was to promote children's well-being by
   strengthening children's protective factors via their parents. To reach
   parents at an early stage of their parenting difficulties, the course is
   easily accessible online. The course is delivered in a secure chat room,
   and participation is anonymous.
   Objective: This paper reports on (1) the design and method of this
   online group course and (2) the results of a pilot study that assessed
   parenting skills, parental sense of competence, child well-being, and
   course satisfaction.
   Method: The pilot study had a pre/post design. Parenting skills were
   assessed using Laxness and Overreactivity subscales of the Parenting
   Scale (PS). Sense of parenting competence was measured with the
   Ouderlijke Opvattingen over Opvoeding (OOO) questionnaire, a Dutch scale
   assessing parental perceptions of parenting using the Feelings of
   Incompetence and Feelings of Competence subscales. Child well-being was
   assessed with the total problem score, Emotional Problems, and
   Hyperactivity subscales of the Strengths and Difficulties Questionnaire
   (SDQ). Paired samples t tests were performed, and Cohen's d was used to
   determine effect sizes. Intention-to-treat analyses and analyses of
   completers only were both performed. Course satisfaction was evaluated
   using custom-designed questionnaires.
   Results: The sample comprised 48 parents with mental illness. The
   response rate was 100% (48/48) at pretest and 58% (28/48) at posttest.
   Significant improvements were found on PS Laxness and Overreactivity
   subscales (P < .01) and on the OOO Feelings of Incompetence and
   Competence subscales (P < .01) in analysis of completers only as well as
   by intention-to-treat analysis. Effects were moderate on the PS (d = .52
   and d = .48) and were large and moderate on the OOO (d = 0.61 and d =
   0.46). At pretest, 75% and 64% of PS scores were in the clinical range,
   which declined to 43% and 39% at posttest. No significant changes were
   found for child well-being. Scores for approximately two thirds of
   children were not in the clinical range at both pretest and posttest.
   The mean course satisfaction score was 7.8 on a 10-point scale. Of all
   participants, 20% (10/48) followed all the sessions.
   Conclusion: This online group course on parenting skills is innovative
   in the field of e-support and among interventions for mentally ill
   parents. The pilot results are promising, showing moderate to large
   effects for parenting skills and parental sense of competence. Test
   scores at baseline indicating parenting problems were largely in the
   clinical range, and baseline scores indicating problems among the
   children were in the nonclinical range, suggesting that parents were
   reached at an early stage. Course satisfaction was high. Future research
   should focus on cost effectiveness and course adherence.
ZR 0
ZA 0
ZB 2
ZS 0
TC 27
Z8 0
Z9 27
U1 0
U2 28
SN 1438-8871
UT WOS:000285714300014
PM 21169178
ER

PT J
AU Wanner, Miriam
   Martin-Diener, Eva
   Bauer, Georg
   Braun-Fahrlaender, Charlotte
   Martin, Brian W.
TI Comparison of Trial Participants and Open Access Users of a Web-Based
   Physical Activity Intervention Regarding Adherence, Attrition, and
   Repeated Participation
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 12
IS 1
AR e3
DI 10.2196/jmir.1361
PD JAN-MAR 2010
PY 2010
AB Background: Web-based interventions are popular for promoting healthy
   lifestyles such as physical activity. However, little is known about
   user characteristics, adherence, attrition, and predictors of repeated
   participation on open access physical activity websites.
   Objective: The focus of this study was Active-online, a Web-based
   individually tailored physical activity intervention. The aims were (1)
   to assess and compare user characteristics and adherence to the website
   (a) in the open access context over time from 2003 to 2009, and (b)
   between trial participants and open access users; and (2) to analyze
   attrition and predictors of repeated use among participants in a
   randomized controlled trial compared with registered open access users.
   Methods: Data routinely recorded in the Active-online user database were
   used. Adherence was defined as: the number of pages viewed, the
   proportion of visits during which a tailored module was begun, the
   proportion of visits during which tailored feedback was received, and
   the time spent in the tailored modules. Adherence was analyzed according
   to six one-year periods (2003-2009) and according to the context (trial
   or open access) based on first visits and longest visits. Attrition and
   predictors of repeated participation were compared between trial
   participants and open access users.
   Results: The number of recorded visits per year on Active-online
   decreased from 42,626 in 2003-2004 to 8343 in 2008-2009 (each of six
   one-year time periods ran from April 23 to April 22 of the following
   year). The mean age of users was between 38.4 and 43.1 years in all time
   periods and both contexts. The proportion of women increased from 49.5%
   in 2003-2004 to 61.3% in 2008-2009 (P<.001). There were differences but
   no consistent time trends in adherence to Active-online. The mean age of
   trial participants was 43.1 years, and 74.9% were women. Comparing
   contexts, adherence was highest for registered open access users. For
   open access users, adherence was similar during the first and the
   longest visits; for trial participants, adherence was lower during the
   first visits and higher during the longest visits. Of registered open
   access users and trial participants, 25.8% and 67.3% respectively
   visited Active-online repeatedly (P<.001). Predictors of repeated use
   were male sex (odds ratio [OR] = 1.2, 95% confidence interval [CI] =
   1.04-1.38) and increasing age category in registered open access users,
   and age 46-60 versus < 30 years (OR = 3.04, 95% Cl = 1.25-7.38) and
   Swiss nationality (ORnonSwiss = 0.64, 95% CI = 0.41-1.00) in trial
   participants. Despite reminder emails, attrition was much higher in
   registered open access users compared with trial participants, with a
   median lifetime website usage of 0 days in open access users and 290
   days in trial participants.
   Conclusions: Adherence, patterns of use, attrition, and repeated
   participation differed between trial participants and open access users.
   Reminder emails to encourage repeated participation were effective for
   trial participants but not for registered open access users. These
   issues are important when interpreting results of randomized controlled
   effectiveness trials.
RI Martin-Diener, Eva/B-8812-2013; Martin, Brian W/H-3241-2012; Wanner, Miriam/
OI Wanner, Miriam/0000-0003-0888-0690
Z8 0
ZR 0
ZB 9
ZS 0
ZA 0
TC 70
Z9 70
U1 0
U2 3
SN 1438-8871
UT WOS:000274633100003
PM 20147006
ER

PT J
AU White, Angela
   Kavanagh, David
   Stallman, Helen
   Klein, Britt
   Kay-Lambkin, Frances
   Proudfoot, Judy
   Drennan, Judy
   Connor, Jason
   Baker, Amanda
   Hines, Emily
   Young, Ross
TI Online Alcohol Interventions: A Systematic Review
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 12
IS 5
AR e62
DI 10.2196/jmir.1479
PD 2010
PY 2010
AB Background: There has been a significant increase in the availability of
   online programs for alcohol problems. A systematic review of the
   research evidence underpinning these programs is timely.
   Objectives: Our objective was to review the efficacy of online
   interventions for alcohol misuse. Systematic searches of Medline,
   PsycINFO, Web of Science, and Scopus were conducted for English
   abstracts (excluding dissertations) published from 1998 onward. Search
   terms were: (1) Internet, Web*; (2) online, computer*; (3) alcohol*; and
   (4) E\effect*, trial*, random* (where * denotes a wildcard). Forward and
   backward searches from identified papers were also conducted. Articles
   were included if (1) the primary intervention was delivered and accessed
   via the Internet, (2) the intervention focused on moderating or stopping
   alcohol consumption, and (3) the study was a randomized controlled trial
   of an alcohol-related screen, assessment, or intervention.
   Results: The literature search initially yielded 31 randomized
   controlled trials (RCTs), 17 of which met inclusion criteria. Of these
   17 studies, 12 (70.6%) were conducted with university students, and 11
   (64.7%) specifically focused on at-risk, heavy, or binge drinkers.
   Sample sizes ranged from 40 to 3216 (median 261), with 12 (70.6%)
   studies predominantly involving brief personalized feedback
   interventions. Using published data, effect sizes could be extracted
   from 8 of the 17 studies. In relation to alcohol units per week or month
   and based on 5 RCTs where a measure of alcohol units per week or month
   could be extracted, differential effect sizes to posttreatment ranged
   from 0.02 to 0.81 (mean 0.42, median 0.54). Pre-post effect sizes for
   brief personalized feedback interventions ranged from 0.02 to 0.81, and
   in 2 multi-session modularized interventions, a pre-post effect size of
   0.56 was obtained in both. Pre-post differential effect sizes for peak
   blood alcohol concentrations (BAC) ranged from 0.22 to 0.88, with a mean
   effect size of 0.66.
   Conclusions: The available evidence suggests that users can benefit from
   online alcohol interventions and that this approach could be
   particularly useful for groups less likely to access traditional
   alcohol-related services, such as women, young people, and at-risk
   users. However, caution should be exercised given the limited number of
   studies allowing extraction of effect sizes, the heterogeneity of
   outcome measures and follow-up periods, and the large proportion of
   student-based studies. More extensive RCTs in community samples are
   required to better understand the efficacy of specific online alcohol
   approaches, program dosage, the additive effect of telephone or
   face-to-face interventions, and effective strategies for their
   dissemination and marketing.
RI Baker, Amanda L/H-2966-2014; Stallman, Helen/AAP-3932-2021; Young, Ross/AAF-2082-2021; Klein, Britt/; Drennan, Judy/; Young, Ross/; Kavanagh, David/; Connor, Jason/F-7040-2010; Kay-Lambkin, Frances/
OI Baker, Amanda L/0000-0002-3328-7146; Stallman,
   Helen/0000-0001-7830-0781; Klein, Britt/0000-0003-2912-8043; Drennan,
   Judy/0000-0001-7389-2415; Young, Ross/0000-0002-6806-6503; Kavanagh,
   David/0000-0001-9072-8828; Connor, Jason/0000-0002-7020-1196;
   Kay-Lambkin, Frances/0000-0002-4252-5572
Z8 0
TC 196
ZA 0
ZR 0
ZB 51
ZS 4
Z9 200
U1 3
U2 72
SN 1438-8871
UT WOS:000285714300015
PM 21169175
ER

PT J
AU Wiecha, John
   Heyden, Robin
   Sternthal, Elliot
   Merialdi, Mario
TI Learning in a Virtual World: Experience With Using Second Life for
   Medical Education
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 12
IS 1
AR e1
DI 10.2196/jmir.1337
PD JAN-MAR 2010
PY 2010
AB Background: Virtual worlds are rapidly becoming part of the educational
   technology landscape. Second Life (SL) is one of the best known of these
   environments. Although the potential of SL has been noted for health
   professions education, a search of the world's literature and of the
   World Wide Web revealed a limited number of formal applications of SL
   for this purpose and minimal evaluation of educational outcomes.
   Similarly, the use of virtual worlds for continuing health professional
   development appears to be largely unreported.
   Methods: We designed and delivered a pilot postgraduate medical
   education program in the virtual world, Second Life. Our objectives were
   to: (1) explore the potential of a virtual world for delivering
   continuing medical education (CME) designed for physicians; (2)
   determine possible instructional designs using SL for CME; (3)
   understand the limitations of SL for CME; (4) understand the barriers,
   solutions, and costs associated with using SL, including required
   training; and (5) measure participant teaming outcomes and feedback. We
   trained and enrolled 14 primary care physicians in an hour-long, highly
   interactive event in SL on the topic of type 2 diabetes, Participants
   completed surveys to measure change in confidence and performance on
   test cases to assess learning. The post survey also assessed
   participants' attitudes toward the virtual teaming environment.
   Results: Of the 14 participant physicians, 12 rated the course
   experience, 10 completed the pre and post confidence surveys, and 10
   completed both the pre and post case studies. On a seven-point Likert
   scale (1, strongly disagree to 7, strongly agree), participants' mean
   reported confidence increased from pre to post SL event with respect to:
   selecting insulin for patients with type 2 diabetes (pre = 4.9 to post =
   6.5, P = .002); initiating insulin (pre = 5.0 to post = 6.2, P = .02);
   and adjusting insulin dosing (pre = 5.2 to post = 6.2, P = .02). On test
   cases, the percent of participants providing a correct insulin
   initiation plan increased from 60% (6 of 10) pre to 90% (9 of 10) post
   (P = .2), and the percent of participants providing correct initiation
   of mealtime insulin increased from 40% (4 of 10) pre to 80% (8 of 10)
   post (P = .09). All participants (12 of 12) agreed that this experience
   in SL was an effective method of medical education, that the virtual
   world approach to CME was superior to other methods of online CME, that
   they would enroll in another such event in SL, and that they would
   recommend that their colleagues participate in an SL CME course. Only
   17% (2 of 12) disagreed with the statement that this potential Second
   Life method of CME is superior to face-to-face CME.
   Conclusions: The results of this pilot suggest that virtual worlds offer
   the potential of a new medical education pedagogy to enhance teaming
   outcomes beyond that provided by more traditional online or face-to-face
   postgraduate professional development activities. Obvious potential
   exists for application of these methods at the medical school and
   residency levels as well.
OI Sternthal, Elliot/0000-0002-4136-1940; Wiecha, John/0000-0003-4524-9283
TC 150
ZR 0
ZB 9
Z8 0
ZS 3
ZA 0
Z9 151
U1 0
U2 44
SN 1438-8871
UT WOS:000274633100001
PM 20097652
ER

PT J
AU Ossebaard, Hans C.
   van Gemert-Pijnen, Julia E. W. C.
   Sorbi, Marjolijn J.
   Seydel, Erwin R.
TI A study of a Dutch online decision aid for parents of children with ADHD
SO JOURNAL OF TELEMEDICINE AND TELECARE
VL 16
IS 1
BP 15
EP 19
DI 10.1258/jtt.2009.001006
PD 2010
PY 2010
AB During a three-month study period, visitors to an online decision aid
   (DA) for attention deficit hyperactivity disorder (ADHD) were invited to
   complete an online questionnaire before and after working through the
   DA. Some 75,000 unique visitors found their way to the page on DAs,
   although fewer than 1 in 10 visited the DA for ADHD, staying there for
   about six minutes on average and using 8-9 clicks to navigate. A total
   of 195 people completed the first questionnaire (a response rate of
   about 3%). Only 12 of the respondents to the first questionnaire (6%)
   completed the second questionnaire. There was no significant effect of
   the DA as measured by three decisional outcome measures. Respondents
   moderately appreciated the information received. Even though the DA was
   constructed according to evidence-based guidelines and International
   Patient Decision Aids Standards wherein expert and patient involvement
   are assured, these preliminary results suggest that the online DA for
   ADHD needs further work to support the decision-making process of
   parents with regard to the most appropriate treatment for their child.
RI Ossebaard, Hans/AAS-6767-2021
OI Ossebaard, Hans/0000-0001-9537-9655
Z8 0
ZR 0
TC 15
ZS 0
ZA 0
ZB 1
Z9 15
U1 0
U2 3
SN 1357-633X
UT WOS:000274324200005
PM 20086262
ER

PT J
AU van Uden-Kraan, Cornelia F.
   Drossaert, Constance H. C.
   Taal, Erik
   Seydel, Erwin R.
   van de Laart, Mart A. F. I.
TI Patient-initiated online support groups: motives for initiation, extent
   of success and success factors
SO JOURNAL OF TELEMEDICINE AND TELECARE
VL 16
IS 1
BP 30
EP 34
DI 10.1258/jtt.2009.001009
PD 2010
PY 2010
AB We studied the success and success factors of online support groups
   (OSGs) for patients, and the motives and goals of people who start such
   groups. We interviewed 23 webmasters of OSGs for patients with breast
   cancer, fibromyalgia and arthritis. The majority were women (n = 20) and
   most were patients (n = 21). Analysis of the interviews revealed that
   webmasters had altruistic and intrinsic motives for initiating an online
   support group. They defined success as the fulfilment of the goals they
   had in mind when they initiated their groups. To be able to make a group
   successful, decisions about its organization and management need to be
   coherent with these goals. Most webmasters stressed that promoting the
   group, keeping it alive and moderating the messages were vital success
   factors during the evolution stage. Management of the OSGs took up much
   of the webmasters' time and energy. On average webmasters were occupied
   with the group for 10-15 hours a week. Our study provides an overview of
   the pros and cons of differing decisions that have to be made when
   initiating an OSG.
RI Taal, Erik/F-2827-2010; van Uden-Kraan, Cornelia/AAH-4093-2021; Drossaert, Constance/
OI Taal, Erik/0000-0002-9822-4488; Drossaert, Constance/0000-0002-7083-3169
ZR 0
TC 17
ZA 0
ZS 2
ZB 1
Z8 0
Z9 19
U1 1
U2 16
SN 1357-633X
EI 1758-1109
UT WOS:000274324200008
PM 20086265
ER

PT J
AU Wiesner, Ann M.
   Steinke, Douglas T.
   Vincent, William R., III
   Record, Kenneth E.
   Smith, Kelly M.
TI National survey of pharmacy services in free medical clinics
SO JOURNAL OF THE AMERICAN PHARMACISTS ASSOCIATION
VL 50
IS 1
BP 45
EP U61
DI 10.1331/JAPhA.2010.09013
PD JAN-FEB 2010
PY 2010
AB Objectives: To characterize the current model of pharmacy services in
   free clinics, identify the extent to which free clinics serve as
   training sites for student pharmacists and residents, elucidate pharmacy
   service gaps in free clinics, and compare results to a 2001 survey.
   Design: Descriptive, nonexperimental, cross-sectional study.
   Setting: Free medical clinics in the United States in early 2008.
   Participants: Clinics registered at www.freeclinicfoundation.org.
   Intervention: A 26-point questionnaire addressed clinic and pharmacy
   demographics, pharmacy services, medication storage and distribution
   processes, and systems management. Survey invitations were sent via
   postal mail, with responses submitted via hardcopy or online (Survey
   Monkey). Nonresponders received a second mailing 4 weeks later.
   Main outcome measures: Characteristics determined by survey responses.
   Results: 42% of clinics responded (216 of 518). The median annual clinic
   budget was $145,000, with 1% to 20% spent on medications. Of responding
   clinics, 30% had a licensed pharmacy that was staffed on average by 3.4
   pharmacist volunteers and 0.1 pharmacist employees. Of the 83.5% (177 of
   212) that dispensed drugs, clinics filled 67 prescriptions per day with
   cardiovascular, gastrointestinal, and anti-infective agents as top
   classes. Pharmacy personnel provided mainly traditional (e. g.,
   distributive) services (61.1%), and 19.3% of clinics trained student
   pharmacists. Since 2001, the number of clinics (355 vs. 518) and
   prescriptions dispensed (29 vs. 67 per day) increased but the percentage
   with a licensed pharmacy (33% vs. 30%) and mean number of pharmacist
   volunteers/employees (3.8/0.1 vs. 3.4/0.1) remained constant.
   Conclusion: The model of free clinic pharmacy services is a modified
   community practice. Pharmacy personnel have the opportunity to expand
   their role and pharmacy practice in free clinics.
CT Annual Meeting of the University-Health-System-Consortium
CY DEC 08, 2008
CL Orlando, FL
SP Univ Health Syst Consortium
RI Smith, Kelly M/AAV-9795-2020; Vincent, Will/AAP-8062-2020
ZB 0
ZS 0
TC 4
ZR 0
ZA 0
Z8 0
Z9 4
U1 1
U2 7
SN 1544-3191
EI 1544-3450
UT WOS:000274325700009
PM 20097639
ER

PT J
AU Lynn, Valerie A.
   Bose, Arpita
   Boehmer, Susan J.
TI Librarian instruction-delivery modality preferences for professional
   continuing education
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 98
IS 1
BP 57
EP 64
DI 10.3163/1536-5050.98.1.017
PD JAN 2010
PY 2010
AB Objectives: Attending professional continuing education (CE) is an
   important component of librarianship. This research study identified
   librarians' preferences in delivery modalities of instruction for
   professional CE. The study also identified influential factors
   associated with attending CE classes.
   Methods: Five instruction-delivery modalities and six influential
   factors were identified for inclusion in an online survey. The survey
   completed by members of the American Library Association (ALA), Special
   Libraries Association (SLA), and Medical Library Association (MLA)
   provided the data for analysis of librarian preferences and influential
   factors.
   Results: The majority of respondents were MLA members, followed by ALA
   and SLA members. Librarians from all three library associations
   preferred the face-to-face instructional modality. The most influential
   factor associated with the decision to attend a professional CE class
   was cost.
   Conclusions: All five instruction-delivery modalities present useful
   structures for imparting professional CE. As librarians' experience with
   different modalities increases and as technology improves, preferences
   in instruction delivery may shift. But at present, face-to-face remains
   the most preferred modality. Based on the results of this study, cost
   was the most influential factor associated with attending a CE class.
   This may change as additional influential factors are identified and
   analyzed in future studies.
ZB 0
ZA 0
ZR 0
TC 8
ZS 0
Z8 0
Z9 8
U1 0
U2 20
SN 1536-5050
UT WOS:000273952700017
PM 20098656
ER

PT J
AU Nicolao, Marie
   Taeuber, Martin G.
   Heusser, Peter
TI How should complementary and alternative medicine be taught to medical
   students in Switzerland? A survey of medical experts and students
SO MEDICAL TEACHER
VL 32
IS 1
BP 50
EP 55
DI 10.3109/01421590902825123
PD 2010
PY 2010
AB Background: In Switzerland and in the whole western world, the growing
   popularity of CAM is calling for its implementation in the undergraduate
   medical curriculum.
   Aims: To determine whether medical experts and medical students are
   favorable to complementary and alternative medicine (CAM) education at
   Swiss medical schools and to investigate their opinion about its form,
   content and goals.
   Methods: Experts in the fields of conventional medicine (COM, n = 106),
   CAM experts (n = 29) and senior medical students (n = 640) were surveyed
   by an online questionnaire.
   Results: 48.7% of the COM experts, 100% of the CAM experts, and 72.6% of
   the students are favorable to CAM education at Swiss medical schools.
   The most requested disciplines are acupuncture, phytotherapy, and
   homeopathy; the most recommended characteristics of CAM education are
   elective courses, during the clinical years, in the format of seminars
   and lectures. For the CAM experts, the priority is to improve the
   students' knowledge of CAM, whereas for the COM experts and the
   students, the priority is to analyze efficiency, security, interactions,
   and secondary effects of CAM.
   Conclusions: CAM courses should be informative, giving the students
   sufficient knowledge to provide a critical analysis of efficiency and
   security of different CAM modalities.
RI Kummer, Juerg/B-3322-2011
ZR 0
Z8 2
ZA 0
ZS 1
ZB 0
TC 19
Z9 19
U1 0
U2 2
SN 0142-159X
UT WOS:000273838400008
PM 20095775
ER

PT J
AU Sandars, John
   Walsh, Kieran
   Homer, Matthew
TI High users of online continuing medical education: A questionnaire
   survey of choice and approach to learning
SO MEDICAL TEACHER
VL 32
IS 1
BP 83
EP 85
DI 10.3109/01421590903199171
PD 2010
PY 2010
AB Background: There is an increasing provision of online continuing
   medical education (CME) and some learners are high users of this
   approach.
   Aims: To understand why some learners choose to make high use of online
   CME.
   Methods: An online self-completed questionnaire sent to users who had
   completed 30 British Medical Journal BMJ Learning modules.
   Results: High users who are younger and more recently qualified appear
   to have a deeper approach to learning. Their choice of online CME also
   appears to be unrelated to workload and personal pressures. However,
   there are also high users, who are both younger and older doctors, who
   have a superficial approach to learning and this appears to be related
   to workload and personal pressures.
   Conclusion: Young doctors appear to make high use of online CME,
   possibly because of their previous educational experiences. Doctors,
   both young and old, who have a more superficial approach to learning,
   appear to choose online CME because of increased work and life
   pressures. Further research is recommended.
OI Homer, Matt/0000-0002-1161-5938
Z8 1
ZA 0
ZB 1
ZR 0
ZS 0
TC 29
Z9 30
U1 0
U2 6
SN 0142-159X
UT WOS:000273838400015
PM 20095781
ER

PT J
AU Lewis, Kadriye O.
   Baker, Raymond C.
TI Teaching medical professionals online: A cross-discipline experience
SO MEDICAL TEACHER
VL 32
IS 3
BP 262
EP 264
DI 10.3109/01421590903434185
PD 2010
PY 2010
AB Aim: Our aim was to solicit the experiences of a group of College of
   Education faculty about teaching medical professionals in an online
   master's degree in education program.
   Method: We used a focus group approach (eight instructors) to explore
   and gain a deeper understanding about teaching medical professionals by
   instructors who are in cross disciplines (e.g., nonmedical backgrounds).
   Results: The data were analyzed using a qualitative thematic analysis
   approach. Six themes emerged from the instructors' comments about online
   teaching to medical professionals compared with other students they have
   taught in a classroom setting.
   Conclusion: This study has implications for online teachers and for
   those who are planning cross-discipline teaching programs.
RI Baker, Raymond C/D-1545-2015; Lewis, Kadriye O./AAI-9689-2020
OI Baker, Raymond C/0000-0001-6777-1000; 
TC 3
ZA 0
ZS 0
ZB 1
ZR 0
Z8 0
Z9 3
U1 0
U2 8
SN 0142-159X
UT WOS:000275402400021
PM 20218844
ER

PT J
AU Finn, Gabrielle Maria
   Patten, Debra
   McLachlan, John Charles
TI The impact of wearing scrubs on contextual learning
SO MEDICAL TEACHER
VL 32
IS 5
BP 381
EP 384
DI 10.3109/01421590903437196
PD 2010
PY 2010
AB Aim: To explore the impact of an authentic context (wearing hospital
   scrubs) on learning and recall.
   Methods: 82 first year medical students sat a pre-test on renal gross
   anatomy and imaging, to establish prior knowledge, wearing their own
   clothes. Students wore either scrubs or their own clothes for the first
   teaching session on renal gross anatomy. A mid-test on this topic was
   completed immediately after the teaching session. Students then changed
   into opposite clothing and attended a self-directed session on renal
   imaging. An imaging specific mid-test was completed. 5 weeks later
   students completed two post-tests (gross anatomy and imaging) in their
   own clothes. Tests were online.
   Results: Data were analysed using paired t-tests. Results showed no
   significant difference between test performance immediately after the
   teaching session, but a significant improvement (p = 0.04) on recall
   between groups tested in the same clothing versus testing in different
   clothing. The effect size of the teaching intervention was 0.27, a
   'moderate' effect in teaching terms.
   Conclusions: Students examined in the same context as they were taught
   recalled significantly more information.
RI Finn, Gabrielle Maria/AAL-6366-2020; McLachlan, John/AAF-4203-2021; PATTEN, DEBRA/; Finn, Gabrielle/; McLachlan, John/
OI PATTEN, DEBRA/0000-0002-0629-8907; Finn, Gabrielle/0000-0002-0419-694X;
   McLachlan, John/0000-0001-5493-2645
ZB 2
ZS 0
TC 17
Z8 0
ZA 0
ZR 0
Z9 17
U1 0
U2 2
SN 0142-159X
UT WOS:000277097000011
PM 20423256
ER

PT J
AU Gray, Ewan
   Lorgelly, Paula K.
TI Health economics education in undergraduate medical degrees: an
   assessment of curricula content and student knowledge
SO MEDICAL TEACHER
VL 32
IS 5
BP 392
EP 399
DI 10.3109/01421590903480113
PD 2010
PY 2010
AB Methods: Semi-structured interviews with senior teaching staff in three
   Medical Schools, a review of course documentation, and an online survey
   to assess student knowledge. The survey was scored and mean scores were
   compared across medical schools, year of study, and teaching components,
   including the professional background of the teachers.
   Results: There was considerable diversity across the medical schools in
   terms of the content of the health economics education, and in the way
   that the learning was structured and delivered. Student knowledge was
   found to vary across medical schools; the school with the most intensive
   health economics curricula was found to perform marginally better.
   Students who were taught by health economists scored higher than those
   who were taught by other professions.
   Conclusion: The teaching and learning environment and level of student
   knowledge of health economics was found to differ considerably across
   medical schools. The delivery of health economics teaching by
   specialised health economists would appear to be one possible strategy
   to improve student knowledge.
RI Lorgelly, Paula/B-5400-2012; Lorgelly, Paula/
OI Lorgelly, Paula/0000-0002-8990-9514
Z8 0
ZB 0
ZR 0
ZA 0
ZS 1
TC 13
Z9 13
U1 0
U2 3
SN 0142-159X
UT WOS:000277097000013
PM 20423258
ER

PT J
AU Schostak, Jill
   Davis, Mike
   Hanson, Jacky
   Schostak, John
   Brown, Tony
   Driscoll, Peter
   Starke, Ian
   Jenkins, Nick
TI Effectiveness of Continuing Professional Development' project: A summary
   of findings
SO MEDICAL TEACHER
VL 32
IS 7
BP 586
EP 592
DI 10.3109/0142159X.2010.489129
PD 2010
PY 2010
AB This article reports on a study examining continuing professional
   development (CPD) for consultant doctors. The aim of the study was to
   identify what promotes or inhibits the effectiveness of CPD and met the
   following objectives: comparing and contrasting the experiences of CPD
   across the range of specialties; identifying and describing the range of
   different models of CPD employed across the different specialties and
   clinical contexts; considering the educational potential of reflective
   practice in CPD and its impact on professional practice and exploring
   how different professionals judge the effectiveness of current CPD
   practices. Using a mixture of qualitative (interviews, letters,
   observation) and quantitative (online questionnaire) methods, the views
   of CPD providers and users were surveyed. Findings suggested that the
   effectiveness of CPD, as inferred from the comments made by interviewees
   and questionnaire respondents, relates to the impact on knowledge,
   skills, values, attitudes, behaviours and changes in practice in the
   work place. The quality of CPD was seen as inextricably linked to any
   improvements in the quality of the professional practices required for
   service delivery. There was widespread consensus as to the value of
   learning in professional settings. There was recognition that there
   needs to be a move away from tick boxes to the in- depth identification
   of learning needs and how these can be met both within and external to
   the work place, with learning being adequately enabled and assessed in
   all locations. In conclusion, it can be said that CPD is valued and is
   seen as effective when it addresses the needs of individual clinicians,
   the populations they serve and the organisations within which they work.
   However, the challenge for CPD may lie in the dynamic interaction
   between educational opportunities and service delivery requirements, as
   there may be occasions where they vie with each other for resources.
OI Davis, Michael/0000-0002-0984-4758
ZS 2
ZB 4
TC 46
ZA 0
Z8 0
ZR 0
Z9 48
U1 0
U2 12
SN 0142-159X
EI 1466-187X
UT WOS:000280515700008
PM 20653382
ER

PT J
AU Varga-Atkins, Tuende
   Dangerfield, Peter
   Brigden, David
TI Developing professionalism through the use of wikis: A study with
   first-year undergraduate medical students
SO MEDICAL TEACHER
VL 32
IS 10
BP 824
EP 829
DI 10.3109/01421591003686245
PD 2010
PY 2010
AB Aim: Learning about professionalism occurs through collaboration, with
   peer groups being important sources of support for students [Sandars J,
   Homer M, Pell G, Croker T. 2008. Web 2.0 and social software: The
   medical student way of e-learning. Med Teach 14:1-5. Accessed 2008
   February 14]. This study aimed to discover whether the use of wikis
   (collaborative websites) could enhance medical students' development of
   professionalism.
   Methods: An online wiki was made available to four problem-based
   learning (PBL) groups, involving 32 students. Data collection comprised
   a small-scale student survey and four focus groups eliciting their views
   about wiki use, triangulated with facilitator interviews and wiki usage
   statistics.
   Results: Several factors affected individual student and group
   engagement with wikis, such as positive group dynamics. Students shared
   web links, helping clarify PBL discussions and increase their
   confidence.
   Conclusions: Two main benefits of using wikis for the development of
   professionalism with medical students were revealed. First, wikis acted
   as a shared knowledge base for hard-to-find resources on
   professionalism. Second, it was precisely when students reflected on the
   difference between interacting in wikis and their online social spaces,
   or when they considered whether or not to post a resource that their
   sense of professionalism emerged.
RI Dangerfield, Peter/AAY-7437-2020; Varga-Atkins, Tünde/AAJ-6649-2020
OI Varga-Atkins, Tünde/0000-0002-9492-4284
Z8 0
ZB 4
ZR 0
TC 39
ZA 0
ZS 0
Z9 40
U1 0
U2 16
SN 0142-159X
EI 1466-187X
UT WOS:000282957200014
PM 20854158
ER

PT J
AU Soemantri, Diantha
   Herrera, Cristian
   Riquelme, Arnoldo
TI Measuring the educational environment in health professions studies: A
   systematic review
SO MEDICAL TEACHER
VL 32
IS 12
BP 947
EP 952
DI 10.3109/01421591003686229
PD 2010
PY 2010
AB Background: One of the determinants of the medical student's behaviour
   is the medical school learning environment.
   Aim: The aim of this research was to identify the instruments used to
   measure the educational environment in health professions education and
   to assess their validity and reliability.
   Methods: We performed an electronic search in the medical literature
   analysis and retrieval system online (MEDLINE) and Timelit (Topics in
   medical education) databases through to October 2008. The non-electronic
   search (hand searching) was conducted through reviewing the references
   of the retrieved studies and identifying the relevant ones. Two
   independent authors read, rated and selected studies for the review
   according to the pre-specified criteria. The inter-rater agreement was
   measured with Kappa coefficient.
   Results: Seventy-nine studies were included with the Kappa coefficient
   of 0.79, which demonstrated a reliable process, and 31 instruments were
   extracted. The Dundee Ready Education Environment Measure, Postgraduate
   Hospital Educational Environment Measure, Clinical Learning Environment
   and Supervision and Dental Student Learning Environment Survey are
   likely to be the most suitable instruments for undergraduate medicine,
   postgraduate medicine, nursing and dental education, respectively.
   Conclusions: As a valid and reliable instrument is available for each
   educational setting, a study to assess the educational environment
   should become a part of an institution's good educational practice.
   Further studies employing a wider range of databases with more
   elaborated search strategies will increase the comprehensiveness of the
   systematic review.
OI Herrera, Cristian/0000-0002-6219-7975
Z8 0
ZB 16
ZA 0
ZR 0
TC 145
ZS 13
Z9 154
U1 2
U2 25
SN 0142-159X
UT WOS:000284412100008
PM 21090946
ER

PT J
AU Daetwyler, Christof J.
   Cohen, Diane G.
   Gracely, Edward
   Novack, Dennis H.
TI eLearning to enhance physician patient communication: A pilot test of
   "doc.com" and "WebEncounter" in teaching bad news delivery
SO MEDICAL TEACHER
VL 32
IS 9
BP E381
EP E390
DI 10.3109/0142159X.2010.495759
PD 2010
PY 2010
AB Background: Physician-patient communication skills help determine the
   nature and quality of diagnostic information elicited from patients, the
   quality of the physician's counseling, and the patient's adherence to
   treatment. In spite of their importance, surveys have demonstrated a
   wide variability and deficiencies in the teaching of these skills.
   Aim: Describe two specific methodologies for teaching physician-patient
   communication skills developed at our institution and pilot test them
   for effectiveness.
   Methods: Between 2004 and 2009 we developed "doc.com," a series of 41
   media-rich online modules on all aspects of healthcare communication
   jointly with the American Academy on Communication in Healthcare.
   Starting in 2006, we expanded our preexisting experience with the
   videoconferencing system "WebOSCE" into the online application
   "WebEncounter." This new methodology combines practice of communication
   skills on standardized patients with structured assessment and
   constructive feedback. We had three randomized groups: controls who did
   only the assessment parts of a WebOSCE on two occasions, a doc.com group
   who had doc.com in between the assessment occasions, and a combined
   group that had both doc.com and a WebEncounter between assessments.
   Results/Conclusion: We found significant improvement in skills as
   components were added, and the training program was well received.
ZB 3
TC 40
ZS 4
Z8 0
ZA 0
ZR 0
Z9 41
U1 0
U2 9
SN 0142-159X
UT WOS:000282894300004
PM 20795797
ER

PT J
AU Eslaminejad, Tahereh
   Masood, Mona
   Ngah, Nor Azilah
TI Assessment of instructors' readiness for implementing e-learning in
   continuing medical education in Iran
SO MEDICAL TEACHER
VL 32
IS 10
BP E407
EP E412
DI 10.3109/0142159X.2010.496006
PD 2010
PY 2010
AB Back ground: E-learning provides new levels of flexibility in learning
   and teaching. This contribution of e-learning is dependent on the levels
   of readiness in several critical factors particularly in an educational
   organization.
   Aim: The purpose of this study was to assess instructors' readiness and
   to identify the most important factors that affect their readiness in
   e-learning in CME programs in order to use the effective opportunities
   that facilitate e-learning in CME programs.
   Methods: A 5-point Likert scale instrument consisting of two domains
   (technical and pedagogical) was constructed according to four subdomains
   (knowledge, attitude, skills, and habits) and distributed to 70 faculty
   members. A factor analysis was employed to extract significant factors.
   Results: The results revealed that the mean of readiness on e-learning
   for faculty members was 3.25 +/- 0.58 in technical and 3.37 +/- 0.49 in
   pedagogical domains on a 5-point Likert scale (1-5). The factors such as
   "familiarity with learning management system," "willingness to teach by
   adopting a new technology," "willingness to use e-learning as a viable
   alternative," "ability to deliver e-material and to provide e-content
   for teaching," and "being accustomed to the virtual environment and
   utilization of the computer and the internet" were extracted on
   technical readiness domain. In addition, the pedagogical readiness
   factors were: "familiarity with online teaching principle and method,"
   "willingness to use technology in instruction and material development,"
   "ability to design content for e-material and online course
   evaluation,'' and "being accustomed to providing information back up
   regularly and employing eclectic methods and multiple approaches in
   teaching."
   Conclusion: The findings of this study suggest that training should be
   offered to instructors on a continuous, rather than a one-off basis so
   that their IT knowledge and skills are upgraded over time. In addition,
   results indicate that pedagogical innovations are required to develop
   and implement an effectiveness e-learning program.
RI Masood, Mona/E-1292-2012; Eslaminejad, Tahereh/AAA-6119-2022
OI Masood, Mona/0000-0002-3200-8918; Eslaminejad,
   Tahereh/0000-0001-6597-7056
TC 25
Z8 0
ZS 1
ZB 2
ZA 0
ZR 0
Z9 26
U1 2
U2 10
SN 0142-159X
UT WOS:000282957200001
PM 20854145
ER

PT J
AU Todres, Mathew
   Tsimtsiou, Zoi
   Stephenson, Anne
   Jones, Roger
TI The emotional intelligence of medical students: An exploratory
   cross-sectional study
SO MEDICAL TEACHER
VL 32
IS 1
BP E42
EP E48
DI 10.3109/01421590903199668
PD 2010
PY 2010
AB Background: Emotional intelligence (EI) may be related to student
   characteristics (such as conscientiousness and empathy), and performance
   at medical school, although few studies have so far been conducted.
   Aim: To investigate the association of EI with students' age, sex,
   ethnicity and stage of study at a London medical school.
   Methods: All medical students were invited to complete an online EI
   instrument, the Mayer-Salovey-Caruso Emotional Intelligence Test
   (MSCEIT) version 2, a 141-item measure of the ability to perceive, use,
   understand and manage emotions. An additional questionnaire to gather
   demographic data was linked to the MSCEIT.
   Results: We analysed 263 responses from a population of 2114 medical
   students after three reminders (12.3% response rate). Aggregated EI
   scores were similar through the curriculum. Age, sex and ethnicity
   explained 9.2% of the variance in aggregated EI scores. In terms of
   managing emotions, 6.7% of the variance was explained by the stage of
   study, with significantly higher scores for students in their final year
   compared to those in the first two years.
   Conclusion: This exploratory study provides preliminary data on EI
   scores for UK medical students identifies factors associated with higher
   and lower scores and suggests that aggregated EI scores remain stable
   during medical training.
RI Tsimtsiou, Zoi/AAD-4915-2020; Todres, Mathew/A-6258-2009
OI Todres, Mathew/0000-0001-6496-7809
ZA 0
ZS 2
ZR 0
Z8 0
TC 38
ZB 3
Z9 40
U1 1
U2 13
SN 0142-159X
EI 1466-187X
UT WOS:000273838400032
PM 20095766
ER

PT J
AU Lopez-Campos, G.
   Lopez-Alonso, V.
   Martin-Sanchez, F.
TI Training Health Professionals in Bioinformatics Experiences and Lessons
   Learned
SO METHODS OF INFORMATION IN MEDICINE
VL 49
IS 3
BP 299
EP 304
DI 10.3414/ME09-02-0008
PD 2010
PY 2010
AB Background: Genomic technologies and particularly bioinformatics have
   significantly changed biomedical research along the last decade and are
   being recognized as potential methods for application also in medical
   practice and public health. There exists a growing need for different
   collectives of the healthcare sector to receive training in the methods,
   tools and databases related with these new areas.
   Objectives:This paper describes the teaching experience of our
   department during the last ten years and analyzes past activities
   designed for teaching bioinformatics to different groups of health
   professionals. We aim to illustrate the main lessons learned and offer
   useful clues to other groups interested in setting up training
   initiatives in bioinformatics for health professionals.
   Methods: The group selected several methodologies for the training
   activities ("face-to-face", online/e-learning) on the basis of three
   criteria: 1) the target collective, 2) the contents of the course, and
   3) its length. Courses were evaluated and the results are hereby
   presented and discussed.
   Results: National and international training courses on bioinformatics,
   biomedical informatics and genomics were developed according to specific
   requirements defined by the profile of each of the targeted health
   professional group. These activities provided the students with the
   necessary skills for better understanding the use of bioinformatics
   tools and databases and the appropriate way of applying them into
   specific health domains.
   Conclusions:The increasing demand of training courses in new
   technologies related to genomics and bioinformatics by health
   professionals provides a good opportunity for the development of
   tailored courses based on their specific needs, expectations and demands
   geared to bridge the gap between research and practice and facilitating
   their everyday work.
RI Martin-Sanchez, Fernando J/A-7587-2008; Sanchez, Fernando Martin/K-1542-2019; Campos, Guillermo H Lopez/G-2883-2015; Lopez-Campos, Guillermo/O-4349-2017
OI Martin-Sanchez, Fernando J/0000-0002-7312-5707; Lopez-Campos,
   Guillermo/0000-0003-3011-0940
ZA 0
ZR 0
TC 5
ZB 1
ZS 0
Z8 0
Z9 5
U1 0
U2 8
SN 0026-1270
UT WOS:000278818400012
PM 20405087
ER

PT J
AU Freudenberg, L. S.
   Nattland, A.
   Jonas, G.
   Beyer, T.
   Bockisch, A.
TI E-learning in nuclear medicine
SO NUKLEARMEDIZIN-NUCLEAR MEDICINE
VL 49
IS 4
BP 161
EP 166
DI 10.3413/nukmed-0305
PD 2010
PY 2010
AB Aim: To assess available e-learning concepts and programmes for nuclear
   medicine at university hospitals in Germany. Methods: All (34)
   departments of nuclear medicine at German university hospitals were
   asked to participate in an anonymized online survey. Questions were
   categorized into four topics: 1.) clinic and education; 2.) on-site
   strategies for e-learning; 3.) available e-learning offers and 4.) free
   text comments on experiences and expectations. All input was reviewed
   descriptively; free text was analyzed analytically. Results: The
   response rate was 56% (19/34). 13/19 responses indicated well-defined
   e-learning strategies, mainly to support frontal teaching courses.
   Future e-learning perspectives focus on clinical case studies with
   sufficient imaging materials. Only 7/19 university hospitals operate a
   centralized e-learning platform (e. g. Moodle). The acceptance of the
   available e-learning options by the students is considered relatively
   poor. Conclusions: Today e-learning concepts for nuclear medicine are
   available at selected university hospitals only. All responders wish to
   expand on e-learning but many report the lack of administrative support
   to do so. These data could be regarded as a basis for discussions of
   inter-university teaching scenarios.
RI beyer, thomas/AAN-1789-2020
ZS 0
Z8 0
ZA 0
TC 3
ZB 0
ZR 0
Z9 3
U1 1
U2 4
SN 0029-5566
UT WOS:000281241400006
PM 20539918
ER

PT J
AU Melchior, Lynne
   Carter, Becky
   Helsley, Anne
   Ernest, Janice K.
   Friesner, Dan
TI The Diabetes Disease State Management Exemplar
SO NURSING ECONOMICS
VL 28
IS 1
BP 7
EP +
PD JAN-FEB 2010
PY 2010
AB One relatively new method of providing care to patients with chronic
   disease is disease state management (DSM).
   Diabetes is particularly interesting to study because it is not only one
   of the most prevalent chronic diseases, but it is also a disease for
   which DSM is highly cost effective.
   Similarly, registered nurses represent the group of practitioners most
   likely to provide a comprehensive set of DSM activities.
   This experiment was conducted in fall 2005 at a nationally recognized
   diabetes center which is affiliated with a large, full service medical
   center
   The results suggest at least three forms of content delivery - in-class,
   at-home study packets, and online modules are all equally effective at
   enhancing diabetes DSM knowledge.
RI Friesner, Daniel/AAK-2377-2020
ZA 0
ZR 0
ZS 0
TC 4
Z8 0
ZB 0
Z9 4
U1 0
U2 0
SN 0746-1739
UT WOS:000274428300003
PM 20306874
ER

PT J
AU Higgins, James P.
TI The Diminishing Presence of Plastic Surgeons in Hand Surgery: A Critical
   Analysis
SO PLASTIC AND RECONSTRUCTIVE SURGERY
VL 125
IS 1
BP 248
EP 260
DI 10.1097/PRS.0b013e3181c496a2c
PD JAN 2010
PY 2010
AB Background: A growing trend of diminished presence of plastic surgery
   within the field of hand surgery has been observed in the membership of
   the American Society for Surgery of the Hand, applications for
   Certificate of Added Qualifications in Surgery of the Hand, and
   applications for hand surgery fellowships.
   Methods: The American Society for Surgery of the Hand resident education
   subcommittee has investigated this trend, collecting data from the
   Association of American Medical Colleges, the American Board of
   Orthopaedic Surgery, the American Board of Plastic Surgery, the National
   Residency Matching Program, the Accreditation Council for Graduate
   Medical Education, the American Society for Surgery of the Hand, the
   American Association of Hand Surgery, and the Certificate of Added
   Qualifications in Surgery of the Hand and from an online survey of
   plastic surgery-trained hand surgeons in the United States.
   Results: These data indicate that the subspecialty of hand surgery
   enjoys growing popularity with increasing fellowship applicants
   annually; uses an effective, fair, and multidisciplinary match; and
   demonstrates continued and healthy growth in its premier academic
   society. Despite these positive indicators, the percentage of new
   plastic surgery diplomates obtaining Certificate of Added Qualifications
   in Surgery of the Hand has decreased from 10 percent (20 applicants per
   year) to 4 percent (8 applicants per year), the percentage of examinees
   for the Certificate of Added Qualifications in Surgery of the Hand
   originating from plastic surgery training backgrounds has decreased from
   30 percent to 15 percent, the percentage of the overall body of actively
   practicing plastic surgeons in the United States that hold Certificate
   of Added Qualifications in Surgery of the Hand qualifications is
   steadily decreasing (now to 10 percent), and the plastic surgery
   membership in the American Society for Surgery of the Hand is
   demonstrating negligible growth despite the overall expansion of the
   American Society for Surgery of the Hand.
   Conclusions: This report serves as a detailed and systematic account of
   these findings, a balanced interpretation, and a proposal of specific
   potential solutions. These include recommendations for changes in the
   structure and content of plastic surgery training programs and the
   National Residency Matching Program hand surgery fellowship
   designations. (Plast. Reconstr. Surg. 125: 248, 2010.)
ZR 0
ZB 0
Z8 0
ZS 1
TC 37
ZA 0
Z9 38
U1 0
U2 0
SN 0032-1052
UT WOS:000273417000030
PM 20048616
ER

PT B
AU Biswas, Rakesh
   Joshi, Rajeev
   Maitra, Arjun
   Joshi, Ankur
   Kapoor, Anil
   Thomas, Shaji
   Shanker, Shiv
BE Nata, RV
TI INTEGRATING MEDICAL EDUCATION WITH MEDICAL PRACTICE: A COMMUNITY BASED
   ONLINE, COLLABORATIVE, LEARNING, HEALTHCARE NETWORK
SO PROGRESS IN EDUCATION, VOL 18
SE Progress in Education
VL 18
BP 203
EP 215
PD 2010
PY 2010
AB Medical education and practice are at a cross roads. This article
   discusses the need to develop a novel, adaptable mixed-platform for
   supporting health care informational needs for integrating medical
   learning with practice. The proposed platform enables clients (patient
   users) requiring healthcare to enter an unstructured but detailed
   account of their day-to-day health informational requirements that may
   be structured into a lifetime electronic health record which in turn may
   be a valuable learning resource for both medical students and practicing
   professionals. It illustrates the discussion with an operational model
   for a pilot project that can help to explore the potential of a
   collaborative network of patient and health professional users to
   support the provision of health care services, helping to effectively
   engage patient users with their own healthcare. Such a solution has the
   potential to allow both patients, medical students and health
   professional users to produce useful materials, to contribute toward
   improved social health outcomes in terms of health education and primary
   disease prevention, and to address both pre-treatment and post-treatment
   phases of illness that are often neglected in the context of
   overburdened support services.
RI THOMAS, SHAJI/Q-6379-2018
ZB 0
ZA 0
ZS 0
ZR 0
TC 0
Z8 0
Z9 0
U1 0
U2 0
BN 978-1-60876-117-3
UT WOS:000280438300010
ER

PT J
AU Mahan, John D.
   Ferris, Maria E.
TI Case-Based Education at the 2009 Pediatric Nephrology Fellows Conference
SO RENAL FAILURE
VL 32
IS 1
BP 14
EP 20
DI 10.3109/08860220903474428
PD 2010
PY 2010
AB The hallmark of the professional is continued development and expanded
   expertise based on acquisition of new knowledge and refinement of
   clinical skills. Medical knowledge acquisition is a key component of
   professional development for fellows in training as well as practicing
   physicians. New medical knowledge may be acquired via
   experience/instruction in the clinical setting (clinic, hospital, etc),
   self-directed or teacher-directed reading, case-based discussions,
   lecture presentations, recorded enduring presentations (vodcasts,
   podcasts, etc.), online learning modules, review-and board-type
   questions/answers, and small-group discussions. All of these methods
   have value for continued expansion of medical knowledge, and for many
   learners, a combination of methods is far superior to reliance on one or
   two methods alone. The following four cases demonstrate the benefit of
   case-based discussions to further pediatri nephrology fellow education.
CT Pediatric Nephrology Fellows Conference held in Conjunction with 11th
   International Conference on Dialysis
CY 2009
CL Las Vegas, NV
SP Renal Res Inst
RI Maria, Ferris E/A-5143-2012
OI Maria, Ferris E/0000-0003-1694-886X
ZR 0
TC 3
ZB 0
ZA 0
ZS 0
Z8 0
Z9 3
U1 0
U2 1
SN 0886-022X
UT WOS:000277745400003
PM 20113260
ER

PT J
AU Lourencao, Luciano Garcia
   Moscardini, Airton Camacho
   Sperli Geraldes Soler, Zaida Aurora
TI HEALTH AND QUALITY OF LIFE OF MEDICAL RESIDENTS
SO REVISTA DA ASSOCIACAO MEDICA BRASILEIRA
VL 56
IS 1
BP 81
EP 91
DI 10.1590/S0104-42302010000100021
PD JAN-FEB 2010
PY 2010
AB HEALTH AND QUALITY OF LIFE OF MEDICAL RESIDENTS
   OBJECTIVE. This article highlights the relationship between health and
   quality of life among the resident medical staff.
   METHODS. A review was carried out to analyze the content of the
   relationship under study. Sources for this search were the Virtual
   Health Library (VHL), by BIREME (Centro Latino-American and Caribbean
   Center on Health Sciences Information), the Electronic databases Medline
   (Medical Literature Analysis and Retrieval System On-Line) Lilacs
   (Literatura Latino-American and Caribbean Health Sciences), SciELO
   (Scientific Electronic Library Online) and the email address
   scholar.google.com.br Descriptors used were: Quality of life, Burnout,
   Internship and Residency. Planning and analysis of scientific
   literature, was performed to evaluate and discuss issues presented in
   the studies related to the subject, considering the distribution of
   publications according to country of origin, date of publication, source
   and title, focus of study and main conclusions.
   RESULTS. Studies published point to high rates of burnout, stress,
   depression, fatigue and insomnia among medical residents; moreover a
   lack of coping strategies, the relationship between workload and quality
   of life, require a change of medical legislation regarding work-based
   learning.
   CONCLUSION. Studies have shown that an adequate training program is
   needed not only to increase professional qualification and personal
   quality of life, but also to provide safety during patient treatment It
   is known that residency training is stressful; it is nevertheless a
   process required to prepare for a solid career and personal growth of
   the young medical staff [Rev Assoc Med Bras 2010; 56(1): 81-91]
RI Lourenção, Luciano Garcia/AAO-7298-2020; Lourenção, Luciano Garcia/F-4318-2015
OI Lourenção, Luciano Garcia/0000-0002-1240-4702; Lourenção, Luciano
   Garcia/0000-0002-1240-4702
ZA 0
Z8 0
TC 35
ZR 0
ZB 4
ZS 23
Z9 51
U1 0
U2 9
SN 0104-4230
UT WOS:000275163600020
PM 20339792
ER

PT J
AU Opperman, E. A.
   Buchholz, A. C.
   Darlington, G. A.
   Ginis, K. A. Martin
   Grp, SHAPE-SCI Research
TI Dietary supplement use in the spinal cord injury population
SO SPINAL CORD
VL 48
IS 1
BP 60
EP 64
DI 10.1038/sc.2009.86
PD JAN 2010
PY 2010
AB Study design: Longitudinal, non-experimental.
   Objectives: To determine the following: (1) prevalence of supplement use
   in a representative sample of the chronic spinal cord injury (SCI)
   population; (2) most frequently consumed supplements; and (3)
   characteristics of consistent supplement users.
   Setting: Ontario, Canada.
   Methods: A structured questionnaire was used to collect demographic
   information from 77 community-dwelling adults with chronic SCI (50.6%
   paraplegia, 81.8% male, 42.4 +/- 11.9 years, body mass index (BMI) 25.4
   +/- 5.1 kgm(-2)). A standardized form was used to record dietary intake,
   including supplements, in the previous 24 h, at three time points
   (baseline, 6 months and 18 months). Logistic regression and multivariate
   logistic regression were used to determine which characteristic(s) was
   (were) associated with consistent supplement use.
   Results: Seventy-one percent of the sample reported using supplements at
   least once, with 50.6% being classified as consistent supplement users
   (at least twice across the three time points). The top three supplements
   consumed were multivitamins (25%), calcium (20%) and vitamin D (16%).
   Supplement use status was not associated with gender, level of injury,
   age, education, physical activity, BMI, smoking or alcohol intake.
   Conclusions: Dietary supplement use was common in our sample of
   individuals with long-standing SCI, but no common characteristics
   distinguished users from non-users. We suggest that health practitioners
   be aware of the high dietary supplement use in this population so that
   they can probe for type, dose and frequency, as supplements may have an
   important influence on dietary assessment results. Spinal Cord (2010)
   48, 60-64; doi:10.1038/sc.2009.86; published online 7 July 2009
RI Buchholz, Andrea/H-3153-2016; MARTIN GINIS, KATHLEEN/
OI MARTIN GINIS, KATHLEEN/0000-0002-7076-3594
TC 12
ZB 3
ZS 0
ZR 0
Z8 2
ZA 0
Z9 13
U1 0
U2 4
SN 1362-4393
EI 1476-5624
UT WOS:000273349400012
PM 19581916
ER

PT B
AU Cakmak, H.
   Maass, H.
   Boll, M.
   Kuehnapfel, U.
BA Huang, JL
TI COLLABORATIVE SURGICAL TRAINING IN A GRID ENVIRONMENT
SO SURGICAL SIMULATION AND TRAINING
SE Surgery-Procedures Complications and Results
BP 59
EP 88
PD 2010
PY 2010
AB Surgical simulators for training and education were originally designed
   as stand-alone systems without any possibility to consult an expert
   online during a training session, to download surgical models from the
   internet or to use distributed computation power of computer clusters.
   Studies have shown that the voluntary usage of stand-alone VR based
   surgical simulators is disappointing. A better user acceptance could be
   achived by a modular system design with networking capabilities to offer
   sophisticated, distributed services. These services can be classified
   as: (1) Unidirectional services for uploading and downloading of 3-D
   surgical models from a web server and for distributed data storage in
   general. (2) Bi-directional services for audio-visual communication,
   chat-rooms, real-time exchange of simulation and visualisation data. (3)
   Computing services with access to distributed computing clusters. (4)
   Virtual collaboration services for haptic input devices. The embedding
   of surgical simulators into a grid environment is facilitated by a
   modular surgical simulator design. In this chapter we describe our
   approved simulator design concept and the system modules for authoring,
   simulation and assessment. Furthermore we introduce KisGrid as a new
   grid environment for surgical simulators that offers the specified
   services together with appropriate grid applications for building
   virtual collaborative organizations. The grid applications so far enable
   to exchange surgical models via a model server, the communication
   between experts and trainees, audio-visual monitoring, recording and
   archiving of simulation sessions, evaluation and assessment of training
   success, haptic interaction in shared virtual worlds for team training
   and expert guided training without spatial limits. Furthermore the grid
   enables to use computer clusters for distributed calculation of object
   deformation or medical image processing for model segmentation. A
   KisGrid server has been setup and first results for collaborative
   surgical training with video conferencing, simulation monitoring and
   haptic team-training over long distances have been achieved.
RI Çakmak, Hüseyin Kemâl/G-1507-2018
OI Çakmak, Hüseyin Kemâl/0000-0002-1463-7606
ZB 0
ZA 0
TC 1
ZS 0
Z8 0
ZR 0
Z9 1
U1 0
U2 2
BN 978-1-61668-437-2
UT WOS:000284242100003
ER

PT S
AU Doyle, D. John
BE Lazakidou, A
TI Development of an Educational Web Site to Assist in Learning Clinical
   Airway Management
SO WEB-BASED APPLICATIONS IN HEALTHCARE AND BIOMEDICINE
SE Annals of Information Systems
VL 7
BP 205
EP 214
DI 10.1007/978-1-4419-1274-9_14
PD 2010
PY 2010
AB This report describes the planning, implementation, trials, and
   tribulations in an ultimately successfully effort to develop and launch
   a web-based medical education resource dealing with clinical airway
   management. The resource, aimed primarily at medical students, can be
   accessed online at www.airwayeducation.net.
ZS 0
ZA 0
ZR 0
TC 0
ZB 0
Z8 0
Z9 0
U1 0
U2 0
SN 1934-3221
BN 978-1-4419-1273-2
UT WOS:000272513400014
D2 10.1007/978-1-4419-1274-9
ER

EF