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Results 401 - 450 of 680
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Silverman M A - - 1998
Medical Readiness Training Exercises (MEDRETEs) can be a valuable training tool for U.S. Army personnel in remote areas of deployment. We report our experience of the MEDRETE in El Salvador in 1996. Working with foreign physicians of the host country was a positive experience in which we learned local customs ...
Hoyal F M - - 1998
The medical and educational literature reveals no helpful material on applying quality assurance principles to the evaluation of medical locums tenens. The present preliminary study describes the development and analysis of a questionnaire designed to indicate measures of competence in locums and satisfaction by those who supervise them. The sample ...
Ahmad F K - - 1998
OBJECTIVE: To determine the frequency of use and the failure rate of protective equipment by obstetric staff during common obstetric procedures. METHODS: A prospective observational study was conducted of multiple obstetric procedures. The presence, area of specialty, level of training, and gender of each team member were recorded along with ...
Kapur N - - 1998
The 'new deal' on junior doctors' hours of work has led to the widespread introduction of working patterns such as full shifts and partial shifts in the United Kingdom. The impact of these changes on the training of medical staff is unclear. The subjects of the current study were 36 ...
Hermann R C - - 1998
OBJECTIVE: Use of ECT is highly variable, and previous study has linked its availability to the geographic concentration of psychiatrists. However, less than 8% of all U.S. psychiatrists provide ECT. The authors analyzed the characteristics of psychiatrists who use ECT to understand more fully the variation in its use and ...
Zvárová J - - 1998
In this paper, we show different activities of the European Center for Medical Informatics, Statistics and Epidemiology (EuroMISE Center) of Charles University and Academy of Sciences in the field of medical informatics, statistics and epidemiology education and training. The development of these activities started within the TEMPUS-PHARE project in 1993 ...
Annan G L - - 1998
The medical librarian of 1967 lives in a period of changing concepts, dramatic new methods, everwidening scientific horizons. In looking toward the immediate past he may think of the medical librarian of thirty years ago as a complacent follower of accepted procedures, not as a pioneer in a brave new ...
Sanchez J L - - 1998
Outpatient medical surveillance of U.S. troops was conducted during 11 different overseas missions between 1981 and 1990. In addition, at the end of each of 18 overseas missions during the same period, a sample of troops was queried regarding illnesses and exposures experienced in the preceding time overseas. Diarrhea was ...
Mittelman M - - 1998
Naval Hospital Great Lakes, Branch Medical Clinic, Recruit Training Command is the Navy's only recruit inprocessing point in the country. The clinic will medically inprocess approximately 54,000 new Navy recruits this year. In fiscal year 1995, the clinic inprocessed approximately 44,000 recruits, 35,000 males and 9,000 females. The Navy Medical ...
Kizakevich P N - - 1998
The Virtual Medical Trainer (VMET) combines multimedia sound and graphics with physiological engines, medical-procedures databases, and 3-D patients to produce an interactive environment that can mimic the cognitive pre-hospital assessment and care demands of a real emergency. VMET uses a reconfigurable component software and training framework that allows a uniform ...
Calle P A - - 1997
In this paper, we assessed the effects of a training course for emergency medical dispatchers on the handling of out-of-hospital cardiac arrest cases in the dispatch center of a two-tiered emergency medical services system. A total of 112 cardiac arrest cases were studied; 64 before and 48 after the training ...
de Boer J - - 1997
Medical disaster preparedness (MDP) of Rotterdam-Europort has been estimated by grading personnel, materials, and methods utilized in the chain of medical care, from the disaster site to the hospital. On a scale from 1 to 5, this MDP was set at 2.8: the disaster site is the weakest link, which ...
Remennick L I - - 1997
About 13,000 physicians from the former Soviet Union have found themselves in the saturated medical market in Israel as a result of the latest wave of immigration. This paper examines the gap in professional attitudes and practices between Israeli and Soviet MDs and the cognitive mechanisms employed by immigrant physicians ...
Ruiz M A - - 1997
Sixty-two medical observers at various levels of medical training examined six patients for the presence or absence of scleral icterus in a double-blind survey. At a total serum bilirubin of 42.8 mmol/l (2.5 mg/dl) and 53.0 mmol/l (3.1 mg/dl), 58% (95% confidence interval [CI] 33-80%) and 68% (95% CI 46-85%) ...
Zeitels S M - - 1997
Jacob Da Silva Solis-Cohen was a Renaissance physician and healer, who possessed great technical and intellectual skills. He was a self-made specialist in aerodigestive tract disease at a time when this was generally perceived as charlatanism. Unlike his contemporaries in laryngology, he was a trained surgeon, and he believed strongly ...
Zhang Y H - - 1997
This article details the activities of the Chinese Medical Centres at Bath and Manchester, UK, both of which were set up by Sino-European Clinics Ltd (SEC) to promote traditional Chinese medicine (TCM) as a rational body of knowledge in the West. Both Centres are staffed by highly trained Chinese consultants ...
De Lorenzo R A - - 1997
As military medicine in general copes with a rapidly changing world environment, so too must the backbone of the medical force, the enlisted medic. To meet these challenges, the training and utilization of military medics must match new and different missions. This paper will explore innovative approaches to training and ...
Williams M J - - 1997
OBJECTIVE: To determine the value of advanced trauma life support (ATLS) training for medical staff in a major incident situation, based upon performance in a simulated exercise. METHODS: A major incident exercise was used to assess the management of trauma victims arriving in hospital suffering from multiple or life threatening ...
Dauphinee D - - 1997
Some physicians think the current squeeze facing postgraduate medical education was caused by cuts in the number of residency positions. The authors consulted the Canadian Post-MD Education Registry database to determine the actual state of postgraduate training opportunities and to correct erroneous views that may be affecting the debate over ...
Hulsman R L - - 1997
One of the main problems in training medical specialists in communication skills is the fact that very few specialists participate in such courses. Most courses on communication skills are hard to combine with a busy medical practice because of the course attendance requirement on working days. Interact-Cancer has been developed ...
Olsen J C - - 1997
The United States' national security strategy endorses "humanitarian interests" as a justifiable reason to deploy U.S. forces. The Armed Forces Medical Corps must adapt its readiness training regimens to include this new type of deployment, yet not neglect its primary mission of supporting the fighting forces at home and abroad. ...
Scott R - - 1997
Talipes equinovarus (clubfoot) is a complex deformity which in the West is usually treated by trained orthopaedic surgeons. In developing countries, however, most clubfeet will need to be treated by medical officers lacking specialist training. We report one author's experience in treating clubfeet in a small, rural East African hospital ...
Leigh S - - 1997
Seeks to throw light on both strategic and managerial aspects of the post of medical director. The medical director is a key executive member of the Trust Board, yet the role remains ill-defined. The existing published guidance gives some indication of what medical directors should be doing but gives limited ...
Janković S - - 1997
A review and description is presented of medical support in the nonprofessional Croatian Home Guard brigade (2,200 soldiers) during the Croatian Operation Storm. Medical support was organized according to a straightforward and easily changeable model that enabled quick adaptations from defense to attack positions. It was provided initially on the ...
Chi D M - - 1997
The MediSim system extends virtual environment technology to allow medical personnel to interact with and train on simulated casualties. The casualty model employs a three-dimensional animated human body that displays appropriate physical and behavioral responses to injury and/or treatment. Medical corpsmen behaviors were developed to allow the actions of simulated ...
Bynum W F - - 1997
This essay examines the background and implementation of the statutory requirement that each medical graduate in Great Britain must spend a pre-registration year in hospital training before full registration can be effected. It looks briefly at the French and USA 'internship', and then describes the British situation before 1950, when ...
Huehns T Y - - 1997
Medical education in Turkey has certain similarities with systems in the West, and is struggling to train its doctors to the highest standard. However, as a country it remains very much in between the cultures of East and West. Although the overall organisation of medical training is continually changing, and ...
Lee D D - - 1996
Minimal-risk anesthesia practice demands that fundamental physiologic and pharmacologic principles be applied to the specific medical and surgical needs of individual patients. In developing an anesthesia plan for a patient, health status must be assessed and considered along with other extrinsic factors such as the physical setting in which the ...
Stimmel B D - - 1996
International Medical Graduates (IMGs) have played an integral role in provision of medical services in the United States, representing 25% of physicians nationwide and up to 43% in some states. Because of the concern with the future physician surplus, several proposals have been advanced specifically targeting IMGs. Although the need ...
Baker M S - - 1996
Navy medicine is challenged to provide ongoing and realistic training for medical personnel who will be deployed to provide battlefield care. Current events in this country suggest that the need for realistic training could be met while simultaneously providing support to civilian communities with great need. Deployable Medical Systems hospital ...
Popplow J R - - 1996
This study examined whether the 8 weeks of initial medical training and 9 d re-certification every 3 yr given to Canadian Forces (CF) Search and Rescue Technicians (SAR Techs) was satisfactory. The course content was compared with 272 held medical case documents for the period 1990-93, inclusive. This practical medical ...
Baker M S - - 1996
Medical personnel in military units are highly vulnerable to post-traumatic stress disorder. They are removed from their conventional identity, stature, and social support system, and are deprived of a sense of control and physical comforts. They then must witness and immerse themselves in the gruesome results of warfare. Ideal training ...
Morlang W M - - 1996
The world continues to experience major disasters with large numbers of casualties and fatalities. Dentistry's role in these disasters is explored. Overall disaster preparedness is discussed and the potential for the health care delivery system in the disaster area to be overwhelmed is emphasized. The role of dental personnel in ...
Bissell R A - - 1996
Disasters frequently demand exceptional skills from medical responders. Providers work most efficiently and effectively, however, within the roles and hierarchical structures with which they are familiar. The goal of disaster medical response planners is to assign personnel to roles that are as familiar as possible and to simultaneously enhance flexibility ...
Rourke J T - - 1996
Better education, recruitment, and retention of rural doctors are priorities in Canada and Australia. All medical schools in both countries offer some training in rural areas. In Canada, postgraduate training is provided by university medical schools, which have produced a variety of rural educational initiatives in response to regional needs ...
Klemperer F - - 1996
Continental Europe is now only 20 minutes away by train from mainland Britain, and moving ever closer politically. Mutual recognition of medical qualifications within the European Union is well established: working in other parts of Europe is, in principle, straightforward. Working in different health care systems can offer new perspectives ...
LaMontagne A D - - 1996
An in-depth survey of ethylene oxide (EtO) health and safety was conducted in Massachusetts hospitals (n = 92) to investigate the determinants of the provision of medical surveillance for EtO exposure. We have evaluated the relationships between provision of EtO medical surveillance and (1) activating OSHA-specified triggers for providing EtO ...
McConnell A A - - 1996
Venepuncture is commonly regarded as a trivial procedure allocated to the most junior medical staff. The result of this policy is that junior doctors are required to perform a minimally invasive procedure on consenting patients without any structured venepuncture training or assessment. Consequently, inexperienced doctors may perform multiple and sometimes ...
Peifer J W - - 1996
Researchers from the Georgia Institute of Technology and the Medical College of Georgia (GIT/MCG) have developed an interactive computer simulation of Endoscopic Retrograde Cholangio-Pancreatography (ERCP). ERCP is a minimally invasive technique for evaluating and treating pathologic conditions of the biliary and pancreatic ducts. While ERCP provides the patient with substantial ...
Gallagher R J - - 1996
A nonlinear 0/1 mixed integer programming model is presented for a constrained discriminant analysis problem. The model enables controlling misclassification probabilities by placing restrictions on the numbers of misclassifications allowed among the training entities and incorporating a "reserved-judgment" region to which entities whose classifications are difficult to determine may be ...
Carter R - - 1996
An urban teaching facility with nearly 3,000 employees had communication problems associated with race, gender and other cultural differences. It also competed for health care dollars and faced possible reduction in federal funding. The medical center instituted mandatory training in cultural diversity and customer service-and integrated the training process with ...
Ambrosiadou B V - - 1996
Insulin regime prescription is performed by medical personnel based on a number of patient related factors such as age, activity, type of current medication, desirable control, whether the patient belongs to a special category, for example whether he has fever or has undergone surgery, etc. No general rules apply so ...
Ewing D J - - 1996
The Scottish Office Home and Health Department (SOHHD) has, since 1980, published a regular series of articles on medical staffing in Scotland. The articles have taken the form of a series of tables provided by the Information and Statistics Division (ISD) of the Common Services Agency from the annual 'Medman' ...
Bagshaw M - - 1996
In the year ending March 1994, British Airways (BA) carried in excess of 30 million passengers worldwide. There was a total of 2078 reported in-flight medical incidents, with 18 unscheduled diversions for medical reasons. The commonest reported conditions were faints, diarrhoea and vomiting. The BA aircraft medical kit content exceeds ...
Lloyd J - - 1996
Outlines the author's experiences and the lessons learnt from work in the field of management training for doctors and other medical personnel. Explains the policy of using a dual approach: economic concepts and ideas in practical situations. States that by adopting this participative, problem-solving approach and involving the discipline of ...
Steiner R D - - 1995
The causes of hydrops fetalis are myriad. As a result of the advent of routine Rh screening, most cases are not currently related to Rh incompatibility. Genetic, metabolic, chromosomal, and syndromic causes are among the most frequently identified causes of nonimmune hydrops. The importance of determining the underlying cause of ...
Azolov V V - - 1995
The authors reviewed their experiences of treating masses of victims after disasters in Arzamas, Armenia, and Ethiopia. To handle these vast numbers of victims, local hospitals were reorganized into specialized clinics with appropriate equipment and medical personnel. Some of the patients were evacuated to multispecialized clinics or rear hospitals. A ...
Goodell L M - - 1995
The first contract laborers arrived from China in 1852, but little attention was paid to their medical needs. In 1886 a physician from Japan arrived to minister to the health and medical needs of the Japanese immigrants. After 1900 most physicians caring for immigrant plantation workers were Western trained from ...
Pappert E J - - 1995
During the nineteenth century, two parallel developments, a surge in neuroscience discovery and the advent of medical specialization, resulted in new educational demands for advanced, postgraduate neurologic training in the United States. Archival data, including trustees' reports, school charters, and instructional plans from medical institutions in New York, Boston, Philadelphia, ...
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