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Current Shortage (current + shortage)
Selected Abstracts,Schools without walls?' Developments and challenges in dental outreach teaching , report of a recent symposiumEUROPEAN JOURNAL OF DENTAL EDUCATION, Issue 4 2006K. A. Eaton Abstract, During the 2004 annual meeting of the International Association for Dental Research, the Education Research Group held a symposium on dental outreach teaching. After a brief introduction, which reviews relevant aspects of the relatively sparse literature, this paper summarises the proceedings, the themes and conclusions that emerged and the research issues that were identified. It aims to describe aspects of current practice around the world and to promote future discussion. Presenters gave details of outreach programmes for dental undergraduates in Australia, Finland, Malaysia (and Southeast Asia), the United Kingdom and the United States. From these presentations four themes emerged. They were: reasons for the introduction of outreach teaching, its perceived beneficial effects, organisational issues, educational issues. The reasons included a recognition of the need to educate dental undergraduates as members of ,care teams' in the environments and communities where they were ultimately like to work and the current shortage of both suitable patients and teachers (faculty) in many dental schools. A wide range of potential benefits and some disadvantages were identified. The organisational issues were, in the main, seen to relate to finance and administration. The educational issues included the need to train and monitor the performance of teachers at outreach clinics and to assess the performance of the undergraduates whilst at the outreach locations. It was concluded that new technology made it easier to teach at a distance and it was possible to create a dental ,school without walls'. It was recognised that few evaluations of dental outreach teaching have been carried out and that there were many research questions to be answered, including: whether it should be a voluntary or compulsory part of the undergraduate curriculum, how long it should last and what type of outcomes should be assessed. [source] Job Satisfaction and Subjective Well-Being in a Sample of NursesJOURNAL OF APPLIED SOCIAL PSYCHOLOGY, Issue 5 2005Stephen A. Sparks It is surprising that there are no published studies exploring job satisfaction and subjective well-being (SWB) in nurses given the current shortage (Clark & Clark, 2002). For the present study, 152 nurses completed measures of job satisfaction, SWB, and social desirability. The Dimensions of Satisfaction scale was designed for this study and demonstrated acceptable reliability and validity. Results indicated that the most important aspect to nurses' job satisfaction is pay, followed by staffing and benefits. When entering the field, nurses most valued pay, followed by personal fulfillment and respect. A majority of the sample (59%) indicated satisfaction with their job, but this is well below the national average for American workers (85%; National Opinion Research Center, 2000). Nurses indicated higher SWB than the general population (Myers & Diener, 1996). However, the correlation between job satisfaction and SWB was lower than that of the general population (Tail, Padgett, & Baldwin, 1989). [source] Survey of endoscopic ultrasonographic practice and training in the Asia-Pacific regionJOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, Issue 8 2006Khek Yu Ho Abstract Background:, Little is known about the current status of endoscopic ultrasonography (EUS) training in the Asia,Pacific region. The aim of the present study was to assess EUS practice and training in the Asia,Pacific region and seek to identify areas where the development of EUS expertise could be further enhanced. Methods:, A direct mail survey was sent out to 87 practising endosonographers in various parts of the Asia,Pacific region outside of Japan. They were asked to report on their prior training, utilization of EUS, and EUS training in their country. Results:, The respondents (n = 71) were mostly young (median age 40 years), male (97%), practising in academia (36.6%) or public hospitals (50.7%) and fairly experienced (median 5 years) in EUS practices; they had performed a median of 500 procedures in their career. Among them, 49.3% were self-taught. Only 22.5% and 21.1% had undergone formal overseas fellowship lasting ,6 months, and local gastrointestinal fellowships of various durations, respectively. Fifty-six percent were currently involved in EUS teaching. Most (90%) thought that a formal EUS training fellowship is necessary for acquiring acceptable competence and there should be a minimum number (median 100) of supervised procedures performed and minimum amount of time (median 6 months) spent on training. Conclusions:, Although EUS practitioners in the Asia,Pacific region were not behind their European or US counterparts in hands-on experience, the lack of formal EUS training programs and opportunities remains an area of concern. For the region to increase EUS utilization, the current shortage of training opportunities needs to be addressed. [source] Genetic characterization of rhesus macaques (Macaca mulatta) in NepalAMERICAN JOURNAL OF PRIMATOLOGY, Issue 5 2006Randall C. Kyes Abstract Indian-origin rhesus macaques (Macaca mulatta) have long served as an animal model for the study of human disease and behavior. Given the current shortage of Indian-origin rhesus, many researchers have turned to rhesus macaques from China as a substitute. However, a number of studies have identified marked genetic differences between the Chinese and Indian animals. We investigated the genetic characteristics of a third rhesus population, the rhesus macaques of Nepal. Twenty-one rhesus macaques at the Swoyambhu Temple in Kathmandu, Nepal, were compared with more than 300 Indian- and Chinese-origin rhesus macaques. The sequence analyses of two mitochondrial DNA (mtDNA) loci, from the HVS I and 12,S rRNA regions, showed that the Nepali animals were more similar to Indian-origin than to Chinese-origin animals. The distribution of alleles at 24 short tandem repeat (STR) loci distributed across 17 chromosomes also showed greater similarity between the Nepali and Indian-origin animals. Finally, an analysis of seven major histocompatibility complex (MHC) alleles showed that the Nepali animals expressed Class I alleles that are common to Indian-origin animals, including Mamu-A*01. All of these analyses also revealed a low level of genetic diversity within this Nepali rhesus sample. We conclude that the rhesus macaques of Nepal more closely resemble rhesus macaques of Indian origin than those of Chinese origin. As such, the Nepali rhesus may offer an additional resource option for researchers who wish to maintain research protocols with animals that possess key genetic features characteristic of Indian-origin rhesus macaques. Am. J. Primatol. 68:1,11, 2006. © 2005 Wiley-Liss, Inc. [source] Deceased Donor Kidney Transplantation from Donors with Acute Renal Failure due to RhabdomyolysisAMERICAN JOURNAL OF TRANSPLANTATION, Issue 7 2009K. L. Mekeel With the current shortage of solid organs for transplant, the transplant community continues to look for ways to increase the number of organ donors, including extending the criteria for donation. In rhabdomyolysis, the byproducts of skeletal muscle breakdown leak into the circulation resulting in acute renal failure in up to 30% of patients. In nonbrain dead patients, this condition is reversible and most patients recover full renal function. Seven potential donors had rhabdomyolysis with acute renal failure as evidenced by the presence of urine hemoglobin, plasma creatinine kinase levels of greater than five times the normal and elevated creatinine. One donor required dialysis. At our institution, 10 kidneys were transplanted from the seven donors. Two grafts had immediate function, five grafts experienced slow graft function and three grafts had delayed graft function requiring hemodialysis. At a mean of 8.7 months posttransplant (2.4,25.2 months), all patients have good graft function, are off dialysis and have a mean creatinine of 1.3 (0.7,1.8). In conclusion, our experience suggests that rhabdomyolysis with acute renal failure should not be a contraindication for donation, although recipients may experience slow or delayed graft function. [source] Improving Rural Access to Emergency PhysiciansACADEMIC EMERGENCY MEDICINE, Issue 6 2007Daniel A. Handel MD The recent Institute of Medicine report entitled The Future of Emergency Care in the United States Health System acknowledges workforce issues in rural America but does not adequately address the current shortage of emergency medicine residency,trained and board-certified emergency physicians in rural America. Areas worthy of further attention to ameliorate this threat include 1) government and hospital support of emergency medicine resident educational debt load, 2) modification of residency review committee for emergency medicine guidelines to permit modified training programs that are rural focused, and 3) support of pilot projects designed to modify the delivery of rural emergency care under remote supervision by academic medical center,based practitioners. The authors discuss these potential solutions to help guide policy makers seeking to enhance rural emergency care delivery through a stronger emergency medicine workforce. [source] | ||||||||||