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Clinical pathways translate evidence-based recommendations into locally practicable, process-specific algorithms that reduce practice variations and optimize quality of care. Our objective was to abstract practice-oriented knowledge from a cohort of real clinical pathways and represent this knowledge as a clinical pathway ontology. We employed a four step(More)
OBJECTIVE To assess, in a retrospective three-centre series, a second analysis of the initial experience and results of patients undergoing radical cystectomy (RC) and orthotopic neobladder reconstruction (ONR) after an additional 4 years of follow-up. PATIENTS AND METHODS The medical records of 104 suitable consecutive patients undergoing RC and ONR(More)
OBJECTIVE To track and describe career choice decisions of medical students as they progressed through their undergraduate training. DESIGN Quantitative survey of each class at 5 points during their undergraduate experience. Each survey collected qualitative descriptors of students' current career choices. SETTING Faculty of Medicine at Memorial(More)
OBJECTIVE To investigate the effects of weight loss and time post laparoscopic gastric banding surgery (LGB) on urinary and sexual function. MATERIALS AND METHODS 653 females and 145 males who underwent LGB over the last 10 years at a single centre in Australia were contacted by post and asked to complete validated questionnaires. RESULTS The(More)
The purpose of this study was to determine whether student devised and delivered supplemental instruction is beneficial and acceptable to first-year medical students. A student-run Supplemental Instruction Project (SIP) was developed and delivered by second-year medical students and offered free of charge to all first-year medical students at Memorial(More)
This article reports the case of a 73-year-old man with hypocalcemia-induced heart failure secondary to primary idiopathic hypoparathyroidism. Total calcium at the time of presentation was 5.36 mg/dL (1.34 mmol/L). Ventricular function, as documented by echocardiogram, showed improvement with correction of serum calcium levels. Heart failure is rarely(More)
STUDY OBJECTIVE We explore perceptions surrounding use of portable inhalers and holding chambers (spacers) for delivery of beta-agonist respiratory medications to children in the emergency department (ED) and factors influencing practice change. METHODS This was a qualitative study guided by principles of grounded theory. Data were collected through focus(More)
BACKGROUND Universal screening for intimate partner violence (IPV) in the emergency department (ED) has been advocated by many medical institutions. Policies implemented for IPV screening have met with numerous obstacles. One such obstacle is the perception by emergency personnel that patients might be offended by such screening if they presented to the ED(More)
Studies that used other types of nerve blocks such as subcostal, lateral cutaneous and psoas blocks were excluded. A 2004 Cochrane Review update, “Nerve blocks (subcostal, lateral cutaneous, femoral, triple, psoas) for hip fractures,” was excluded for this reason as well, although the references were examined for relevant articles. Studies that described(More)
BACKGROUND Specialty career choice is a critical decision for medical students, and research has examined factors influencing particular specialties or assessed it from a demographic perspective. The purpose of this study was to explore and describe influential factors in students' decision-making, irrespective of their particular specialty in a Canadian(More)