1,172 research outputs found

    War as a positive medical educational experience

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    Context: There is little empirical evidence in the literature regarding the nature of the experiences of medical students during war. In this study we set out to assess and analyse the experiences of medical students and residents in Beirut, Lebanon during the 2006 Lebanon-Israel war. Methods: Students and residents working at the American University of Beirut Medical Center and the Beirut Government University Hospital during the July 2006 war were invited to participate. A total of 21 students or residents took part in either a focus group or one of 11 semi-structured interviews. These were recorded, transcribed and analysed to bring out common themes. Results: Although the wartime experience was stressful, medical students and residents reported many largely positive effects of war on their medical training. Students adapted to the difficult conditions and became more resourceful. Participants connected emotionally with their patients and were able to show more compassion. They felt pride in their chosen profession and had higher levels of motivation for dealing with the normally irksome aspects of medical practice. Practical skills associated with the treatment of wartime injuries were learned, as were more general lessons about life priorities. Conclusions: Despite the curtailing of formal educational activities, participants benefited from positive learning experiences in a wartime environment. Strikingly, participants 'cared' more for their patients. Further research looking at the underlying cause of this increased level of compassion may be useful in the education of all medical students, not just those involved in conflict. © Blackwell Publishing Ltd 2008.*AMN INT, 2006, ISR LEB DEL DESTR CO; Bergovec M, 2002, CROAT MED J, V43, P67; Chochinov H, 2007, BRIT MED J, V335, P184, DOI 10.1136-bmj.39244.650926.47; Duzel G, 2003, CROAT MED J, V44, P98; Gluncic V, 2001, ACAD MED, V76, P82, DOI 10.1097-00001888-200101000-00022; Haslam Nick, 2007, Med J Aust, V187, P381; Horton R, 1999, LANCET, V353, P2139, DOI 10.1016-S0140-6736(99)05242-3; KELLEHEAR A, 1993, UNOBTRUSIVE RES GUID, P1; Khuri R N, 1983, Middle East J Anaesthesiol, V7, P1; Kyle RR, 2004, J CLIN ANESTH, V16, P152, DOI 10.1016-j.clinane.2003.09.003; MARUSIC A, 2004, CLIN TEACHER, V1, P19, DOI DOI 10.1111-J.1743-498X; MARUSIC M, 1994, ACAD MED, V69, P111, DOI 10.1097-00001888-199402000-00005; Morikawa MJ, 2003, FAM MED, V35, P440; Nasir JM, 2004, MAYO CLIN PROC, V79, P1087; O'Flynn K, 2006, MED EDUC, V40, P235, DOI 10.1111-j.1365-2929.2006.02388.x; Ritchie J, 2002, QUALITATIVE RES COMP, P305; SAMSON K, 2005, NEUROL TODAY, V5, P4, DOI 10.1097-00132985-200502000-00003; Shehadi S I, 1983, Middle East J Anaesthesiol, V7, P29; Shehadi S I, 1983, Middle East J Anaesthesiol, V7, P21; Voelker R, 2002, JAMA-J AM MED ASSOC, V287, P1099, DOI 10.1001-jama.287.9.109923

    On the Vulgate of Thomas Bilney

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    Arguably the most interesting source for the religious views of the early English evangelical Thomas Bilney (1495–1531) are the annotations in his copy of the Vulgate. Unfortunately, scholars have accessed these annotations almost exclusively through the error-riddled and selective summary provided in 1940 by J. Y. Batley. This study corrects Batley's most significant errors and provides transcriptions and translations of the most interesting annotations that he omitted. These include discussions of clerical celibacy, whether God is the author of evil, which biblical texts are authentically canonical and the nature of the law, justification and salvation

    Implementation of an emergency department computer system: Design features that users value

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    Electronic medical records (EMRs) can potentially improve the efficiency and effectiveness of patient care, especially in the emergency department (ED) setting. Multiple barriers to implementation of EMR have been described. One important barrier is physician resistance. The ED Dashboard is an EMR developed in a busy tertiary care hospital ED. Its implementation was exceptionally smooth and successful. We set out to examine the design features used in the development of the system and assess which of these features played an important role in the successful implementation of the ED Dashboard. An anonymous survey of users of the ED Dashboard was conducted in January and February 2009 to evaluate their perceptions of the degree of success of the implementation and the importance of the design features used in that success. Results were analyzed using SPSS software (SPSS Inc., Chicago, IL). Of the 188 end-users approached, 175 (93percent) completed the survey. Despite minimal training in the use of the system, 163 (93percent) perceived the system as easy or extremely easy to use. Users agreed that the design features employed were important contributors to the system's success. Being alerted when new test results were ready, the use of most common lists, and the use of color were features that were considered valuable to users. Success of a medical information system in a busy ED is, in part, dependent on careful attention to subtle details of system design. Copyright © 2011 Elsevier Inc. Printed in the USA. All rights reserved.Ashish K., 2009, NEW ENGL J MED, V360, P1628; Berg M, 2001, INT J MED INFORM, V64, P143, DOI 10.1016-S1386-5056(01)00200-3; Chuadry B, 2006, Ann Intern Med, V144, P742; D Armijo, Electronic health record usability. Interface design considerations. Agency for Healthcare Research and Quality website; Derlet RW, 2002, ANN EMERG MED, V39, P430, DOI 10.1067-mem.2002.122707; Ford EW, 2009, J AM MED INFORM ASSN, V16, P274, DOI 10.1197-jamia.M3042; Hoot NR, 2008, ANN EMERG MED, V52, P126, DOI 10.1016-j.annemergmed.2008.03.014; Johnson CW, 2006, QUAL SAF HEALTH CARE, V15, pI76, DOI 10.1136-qshc.2005.016105; Kushniruk A, 2002, COMPUT BIOL MED, V32, P141, DOI 10.1016-S0010-4825(02)00011-2; Lapointe L, 2006, CAN MED ASSOC J, V174, P1573, DOI 10.1503-cmaj.050281; Likourezos A, 2004, J EMERG MED, V27, P419, DOI 10.1016-j.jemermed.2004.03.019; Miller RH, 2004, HEALTH AFFAIR, V23, P116, DOI 10.1377-hlthaff.23.2.116; Patel V L, 1998, Proc AMIA Symp, P29; Scott JT, 2005, BRIT MED J, V331, P1313, DOI 10.1136-bmj.38638.497477.68; Shelton Rachel, 2009, Dimens Crit Care Nurs, V28, P9, DOI 10.1097-01.DCC.0000325106.28851.89; Trzeciak S, 2003, EMERG MED J, V20, P402, DOI 10.1136-emj.20.5.40233

    The OPAL Collaboration

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    From 1 105 045 hadronic Z 0 decays observed with the OPAL detector at the LEP e + e \Gamma collider, 21 732 four-jet events are selected. A simultaneous fit of three selected angular variables from these events by the second order QCD matrix element calculation yields CA=C F = 2:11 \Sigma 0:16(stat:) \Sigma 0:28(syst:) T F =C F = 0:40 \Sigma 0:11(stat:) \Sigma 0:14(syst:) for the ratios of colour factors, in agreement with SU(3) expectations of CA=C F = 9=4 and T F =C F = 3=8. (Submitted to Physics Letters B) The OPAL Collaboration R. Akers 16 , G. Alexander 23 , J. Allison 16 , K.J. Anderson 9 , S. Arcelli 2 , S. Asai 24 , A. Astbury 28 , D. Axen 29 , G. Azuelos 18;a , A.H. Ball 17 , E. Barberio 26 , R.J. Barlow 16 , R. Bartoldus 3 , J.R. Batley 5 , G. Beaudoin 18 , A. Beck 23 , G.A. Beck 13 , J. Becker 10 , C. Beeston 16 , T. Behnke 27 , K.W. Bell 20 , G. Bella 23 , P. Bentkowski 18 , S. Bentvelsen 8 , P. Berlich 10 , S. Be..

    Determination of an Upper Limit for the Mass of the

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    An upper limit for the ø mass is determined through the kinematic reconstruction of the decay ø ! 5ß \Sigma ø in the OPAL detector at LEP. The limit is obtained using a new method based on the comparison of the two--dimensional distribution of energy and invariant mass of the five--pion system with expectations from different neutrino mass hypotheses. From a sample of five events surviving the selection criteria we obtain an upper limit of 74 MeV at 95% confidence level. It is the first measurement at LEP energies, where the larger average multiplicity of e + e \Gamma ! qq events makes the suppression of this background more robust compared to lower energies. (Submitted to Zeitschrift fur Physik C) The OPAL Collaboration R. Akers 16 , G. Alexander 23 , J. Allison 16 , K.J. Anderson 9 , S. Arcelli 2 , S. Asai 24 , A. Astbury 28 , D.Axen 29 , G. Azuelos 18;a , A.H. Ball 17 , E. Barberio 26 , R.J. Barlow 16 , R. Bartoldus 3 , J.R. Batley 5 , G. Beaud..

    The kebla: or, a defence of eastward adoration. In a letter to the author of Alkibla. By John Andrews, Vicar of South-Newington in Oxfordshire [electronic resource].

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    Author of Alkibla = William Asplin.Price from imprint: price Six Pence.Electronic reproduction.English Short Title Catalog,Reproduction of original from British Library

    An Upper Limit on the Branching Ratio for

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    We have searched for decays of the ø lepton into seven or more charged particles, using data collected with the OPAL detector from 1990 to 1995 in e + e \Gamma collisions at p s ß MZ . No candidate events were found and an upper limit on the branching ratio for ø decays into seven charged particles of 1:8 \Theta 10 \Gamma5 at the 95% confidence level was determined. (Accepted by Physics Letters B) The OPAL Collaboration K. Ackerstaff 8 , G. Alexander 23 , J. Allison 16 , N. Altekamp 5 , K.J. Anderson 9 , S. Anderson 12 , S. Arcelli 2 , S. Asai 24 , D. Axen 29 , G. Azuelos 18;a , A.H. Ball 17 , E. Barberio 8 , R.J. Barlow 16 , R. Bartoldus 3 , J.R. Batley 5 , S. Baumann 3 , J. Bechtluft 14 , C. Beeston 16 , T. Behnke 8 , A.N. Bell 1 , K.W. Bell 20 , G. Bella 23 , S. Bentvelsen 8 , P. Berlich 10 , S. Bethke 14 , O. Biebel 14 , A. Biguzzi 5 , S.D. Bird 16 , V. Blobel 27 , I.J. Bloodworth 1 , J.E. Bloomer 1 , M. Bobins..
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