Saunders LL, Krause JS. Behavioral factors related to fatigue among persons with spinal cord injury. To examine behavioral risk factors in relation to fatigue after spinal cord injury (SCI), specifically cardiovascular-related behaviors, prescription medication use, and alcohol and cigarette use. Cross-sectional. A medical university in the southeastern United States. Adults ...

Medical Education 2012: 46: 71-79 Objectives  In the health professions we expect practitioners and trainees to engage in self-regulation of their learning and practice. For example, doctors are responsible for diagnosing their own learning needs and pursuing professional development opportunities; medical residents are expected to identify what they do not ...

A desire for improved quality of care and governmental financial incentives has thrust many healthcare organizations into a heightened sense of urgency to implement electronic medical records. The staff educator plays a key role in the successful implementation of a comprehensive electronic medical record. This author describes the successes, challenges, ...

In France, "article critique" became a particular teaching method in the second part of the medical curriculum. It approaches a reading exercise of scientific medical papers similar to that of journal club. It could be compared to reviewing a paper as performed by reviewers of a scientific journal. We studied ...

As part of a 2010 conference entitled "Patients and Populations: Public Health in Medical Education," faculty from four U.S. medical schools (Case Western Reserve University, Harvard Medical School, the University of Colorado School of Medicine, and the University of Vermont College of Medicine), collaborated on a workshop to help other ...

In 1992, the Journal of the American Medical Association published a paper launching a new paradigm for lifelong learning in medical practice - evidence based medicine (EBM). Twenty years later EBM is known well beyond the field of clinical practice and has become an integral part of medical curricula worldwide.

Abstract Purpose: To showcase the observations and lessons learned from the first large-scale international telemedicine program addressing the medical and health consequences of disasters. Background: Almost 24 years ago a major earthquake devastated the northwestern region of Soviet Armenia. The National Aeronautics and Space Administration deployed a telemedicine spacebridge, which ...

This review discusses how the internet currently is being used to provide medical education in the nephrology community and addresses some of the issues and dilemmas unique to using this media. It focuses on how blogs, wikis, podcasts/YouTube, social bookmarking/media, and mobile devices are used to deliver e-learning in nephrology.

Medical Education 2011; 45: 777-784 Objective  Many changes in medical education have occurred during the author's 50-year career in the field. The aim of this paper is to describe 10 lessons worth recording for others engaged in the training of health care professionals. Three Career Phases  The first phase in ...

Problem-based learning (PBL) is a teaching-learning process or method of instruction that is widely used in medical education curricula. Librarians play important roles as facilitators for PBL as well as guides for information resources. Involvement in PBL activities presents unique opportunities to incorporate library resources and instruction into the medical ...

Many patients with oral lesions present to general medical practitioners (GMPs). GMPs are also more likely to see patients with higher oral cancer risk. Therefore, GMPs play an important role in the early detection and prevention of oral cancer but is this reflected in undergraduate medical teaching. A questionnaire regarding ...

OBJECTIVE. To survey medical graduates from the University of Hong Kong on how well they perceived their learning needs had been fulfilled by the old (before 1997) and the new (after 1997) curricula. DESIGN. Retrospective questionnaire survey. SETTING. The University of Hong Kong, Hong Kong. PARTICIPANTS. Medical graduates from the ...

Introduction: A 70% increase in graduating interns is projected in Australia from 2007 to 2012. Emergency medicine is a key term in the intern year. There is little information on the preparedness of EDs for this increase, and what resources will be required. Methods: Semistructured telephone interview to senior and ...

Because natural disasters provoke an increase in mental and medical disorders in survivors, an increase in psychotropic prescriptions has been observed following disasters. This study assesses the pharmacoepidemiology of antidepressant and antipsychotic drug prescriptions after an earthquake in Italy by using an administrative database. Statins and diabetic medications served as ...

Background: Reflection is increasingly incorporated into all levels of medical education but little is known about best practices for teaching and learning reflection. Aims: To develop a literature-based reflective learning guide for medical education and conduct a pilot study to determine whether (1) guide use enhances medical students' reflective writing ...

Background: Map of Medicine is a web-based knowledge resource depicting evidence-based pathways of patient care. Recent publications suggest a possible role for the Map of Medicine as a training tool in postgraduate education. Aim: The aim of this study was to explore the potential of the Map of Medicine to ...

Small group, problem-based learning sessions began at The University of Texas Medical Branch in the late 1990s when administrators overhauled the school's curriculum. The new curriculum was intended to shift medical education away from passive learning and toward active learning. The results have been dramatic. Students' mean scores on Step ...

Professional siloing within medical institutions has been identified as a problem in medical education, including resident training. The authors discuss how trainees from different disciplines can collaborate to address this problem. A group of trainees from psychiatry, developmental medicine, neurology, and education came together to develop a community of practice ...

Recognizing the crucial role of veterinarians in mitigating antimicrobial resistance (AMR), the Centers for Disease Control and Prevention (CDC) has funded the development of a suite of educational materials to promote the responsible veterinary medical use of antimicrobials. An open-access, Web-based multimedia curriculum regarding antimicrobial resistance in veterinary practice was ...

BACKGROUND: In 2006, the University of Virginia became one of the first academic medical institutions to be placed on probation, after the Accreditation Council for Graduate Medical Education (ACGME) Institutional Review Committee implemented a new classification system for institutional reviews. INTERVENTION: After University of Virginia reviewed its practices and implemented ...

Smidt D, Torpet LA, Nauntofte B, Heegaard KM, Pedersen AML. Associations between oral and ocular dryness, labial and whole salivary flow rates, systemic diseases and medications in a sample of older people. Community Dent Oral Epidemiol 2011; 39: 276-288. © 2010 John Wiley & Sons A/S Abstract -  Objective:  To investigate ...

BACKGROUND: Over 6% of women become pregnant when taking teratogenic medications, and contraceptive counseling appears to occur at suboptimal rates. Adherence to contraception is an important component in preventing unwanted pregnancy and has not been evaluated in this population. We undertook a pharmacy claims-based analysis to evaluate the degree to ...

Frogs in the research setting may require administration of test compounds or of medications (if they are ill). Various routes of administration can be used in frogs, including parenteral, enteral, transdermal and oral. This column discusses clinical techniques for restraint and oral administration of medication, food or test compounds in ...

With the exception of oral medications, most traditional forms of drug delivery outside the operating suite require an injection with a needle-a process that is painful and anxiety-provoking, risks needle stick injury, and consumes valuable staff time. In addition, intravenous access in pediatrics may be difficult for inexperienced providers. Intranasal ...

The medical institutions had paid attention to the medication error via Bar-Code Medication Administration system (BCMA) to improve the accuracy of the medication process for patient safety. Yet, the working time of drug delivery was under investigated. Comparing the working time of oral drugs between Bar-Code Medication Administration system and ...

When the German national medical licensing regulations were changed in 2002, the second part of the medical licensing examination was supplemented with a practical component and expanded from one day to two. The aim of this study was to assess the written and oral-practical examination grades before and after the ...

BACKGROUND: Whereas several literature reviews have discussed the role of excipients in drug-related reactions, no article has focused specifically on those found in oral dermatologic medications. METHODS: The Compendium of Pharmaceuticals and Specialties (CPS) was used to reference the inert ingredients found in oral dermatologic medications. An extensive literature review ...

Dental caries in the primary dentition can have significant damaging effects on a childs growth due to impairment of oral functions. Since the first encounter of a child to a medical environment is often through pediatricians and medical practitioners, it is important that they be aware of the prevention of ...

AIM: Zhi Zhu Wan (ZZW) is a classical Chinese medical formulation used for the treatment of functional dyspepsia that attributed to Spleen-deficiency Syndrome. ZZW contains Atractylodes Rhizome and Fructus Citrus Immaturus, the later originates from both Citrus aurantium L. (BZZW) and Citrus sinensis Osbeck (RZZW). The present study is designed ...

The 2009 Framework defines the joint Dutch national learning outcomes to be attained by medical students after completing their three-year master programme in medicine. The Framework thus helps to guarantee to society at large and to patients in particular that medical graduates who are starting out as practitioners have attained ...

Teleconsultations provide new opportunities for learning in medical settings. This study explores the conditions under which learning among physicians takes place. The empirical context is 47 real-time video conferences carried out to examine collaborative work and the medical talk involved. Sixteen of the observations were consultations wherein general practitioners (GPs) ...

Telemedicine is the specialty of medicine that uses the evolving telecommunications industry combined with medical information technology to provide remote medical services. The use of smartphone telemedicine is an efficient and effective way for remote specialist consultation and should be considered by the oral and maxillofacial surgeon. Smartphones provide fast ...

Fear of side effects and previous negative experiences are common reasons for contraceptive nonuse. We collected information about perceptions of oral contraceptive (OC) safety from 1271 women 18-49 years old in El Paso, TX, and compared their responses to a medical evaluation by a nurse practitioner. We also asked participants ...

Oral medications are frequently used to manage spasticity. Some clinicians may believe that oral medications are a more conservative or "first-line" strategy to treat this condition. However, their use may lead to significant adverse events. Additionally, efficacy has not been well-established, in particular the ability of these medications to enhance ...

Objective. The aim of the present study was to examine the impact of general diseases and medication on oral health-related quality of life (OHRQoL) in a Swedish adult population using the Swedish version of Oral Impacts on Daily Performances (OIDP). Material and methods. A three-site sample of 200 adults (20-86 ...

Using a structured interview method, we sought to address the following questions regarding cervical dystonia (CD) and employment: (1) what is the frequency and severity of job impairment in CD; (2) what are the clinical features that contribute to job impairment; (3) how does the effectiveness of botulinum toxin (BTx) ...

There are few published reports that discuss oral burns in children. Electrical, chemical, and thermal agents are the main causative agents of these burns. Some chemicals can cause burning in the mucosa of cheeks, lips, tongue, and palate. Because of the clinical state of acute pain associated with lack of ...

Primary care physicians frequently provide contraceptive counseling to women who are interested in family planning, have medical conditions that may be worsened by pregnancy, or have medical conditions that necessitate the use of potentially teratogenic medications. Effective counseling requires up-to-date knowledge about hormonal contraceptive methods that differ in hormone dosage, ...

Intravenous dexamethasone (DXM) is used as adjuvant medication in bacterial meningitis of childhood, although no single study has proven its efficacy against death, severe neurological sequelae, or hearing impairment. Meta-analyses do not facilitate interpretation, because they combine profoundly dissimilar populations and neglect the child's presenting condition. Important new information was ...

An ageing population requires dental professionals to be aware of the oral effects of medications taken by their patients. This case study will present the challenges faced by the hygienist in the oral health management of a 79-year-old medically compromised patient over a 2-year period. The interrelationship between the ageing ...

The aim of this study was to evaluate decontamination (absorption) efficacy of a preparation called Mineral Cationic Carrier (MCC) against skin contamination with sulphur mustard in vivo. MCC is a synthetic preparation with known ion exchange, absorption efficiency, and bioactive potential. CBA mice were applied increasing doses of sulphur mustard ...

The aim of the present study was to assess the skin permeation mechanism and bioavailability of celecoxib (CXB) using novel nanoemulsion formulation. Fourier transform infrared spectra and differential scanning calorimetric thermogram of skin treated with nanoemulsion indicated that permeation occurred due to the extraction of stratum corneum (SC) lipids by ...

High shear wet granulation is a preferred manufacturing method of tablets. It allowed for rapid production of compressible granulations. The resultant granulation characteristics depend on a combination of formulation properties and processing parameters. Fully pregelatinized starches are currently being used as binders in wet granulated formulations. But due to the ...

Vowels adjacent to nasal consonants (m, n, in English) tend to be nasalized. The effect of velopharyngeal opening on vowel nasalization has been studied by Feng et al. (1996) and Pruthi et al. (2007) with a transmission line model of the vocal tract based on MRI data of the area ...

Biodegradable poly(lactide-co-glycolide) (PLGA) antimicrobial nanofibers containing silver nanoparticles were prepared by electrospinning technique. Characterization of the Ag/PLGA nanofiber mats were determined by using SEM, TEM, WAXD and UV-vis spectrum. The antibacterial efficacy of the composites mats made of silver nanoparticles and PLGA fibers was measured. The antimicroorganization efficacy of Ag ...

Recently it has been suggested that a certain degree of variability in coarticulatory vowel nasalization is due to variation in the temporal alignment of nasal and oral gestures for N. In particular, the extent of vowel nasalization in VNC sequences is shown to be inversely related to the duration of ...

Hirsutism is usually the result of an underlying adrenal, ovarian, or central endocrine abnormality mainly due to polycystic ovary syndrome but may also be idiopathic or drug induced. The aim of medical treatment of hirsutism is to rectify any causal hormonal balance, slow down or stop excessive hair growth, and ...

BACKGROUND: Presentations at scientific congresses and symposiums can be in two different forms: poster or oral presentation. Each method has some advantages and disadvantages. To combine the advantages of oral and poster presentations, a new presentation type was conceived: "video in poster." METHODS: The top of the portable digital video ...

BACKGROUND: Ayurvedic medicines are known to contain arsenic and concentrations up to toxic levels have been reported in certain formulations. However, clinical disease due to arsenic containing ayurvedic medicines has rarely been reported. We seek to highlight the existence of toxic levels of arsenic in certain ayurvedic preparations that can ...

The purpose of this review was to examine the practice of oral assessment in postgraduate medical education in the context of the core assessment constructs of validity, reliability and fairness. Although oral assessment has a long history in the certification process of medical specialists and is a well-established part of ...