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Colleagues
Kinds of Colleagues Selected AbstractsJOHN J. KEPES, MD, FRSM: THE LOSS OF A COLLEAGUE, MENTOR AND FRIENDBRAIN PATHOLOGY, Issue 3 2010Bernd W. Scheithauer M.D. No abstract is available for this article. [source] REPLY TO NATOLI AND COLLEAGUESNUTRITION & DIETETICS, Issue 4 2008Bill Shrapnel MHP [source] Memories of Tom David Andersen: Friend, Colleague, Scholar, Inspirer, and RhizomeFAMILY PROCESS, Issue 4 2007HARLENE ANDERSON First page of article [source] Remembering a Dear Friend and ColleagueNEUROMODULATION, Issue 3 2006April 1, John Oakley, MD January 1 [source] In Celebration of an Honored Colleague and Cherished FriendARTIFICIAL ORGANS, Issue 2 2002Peter Ivanovich M.D. No abstract is available for this article. [source] J.G. Granö and Edgar Kant: Teacher and Pupil, Colleagues and FriendsGEOGRAFISKA ANNALER SERIES B: HUMAN GEOGRAPHY, Issue 3 2005Olavi Granö Abstract This paper is adapted from an address given at the plenary session of the conference 'From Native and Landscape Research to Urban and Regional Studies, held in Tartu on 23 August, 2002, to mark the birthdays of J.G. Granö (120 years.) and Edgar Kant (100 years). The Finnish geographer J.G. Granö was Professor of Geography at the University of Tartu from 1919 to 1923, a period during which that university became the birthplace of many original geographical ideas. Edgar Kant was beginning his studies at that time, and a link was forged between the two scholars which lasted until Granö's death in 1956. The nature of this interaction and its significance for the history of geographical studies are discussed. [source] Development Section, April 2008GEOGRAPHY COMPASS (ELECTRONIC), Issue 3 2008Cheryl McEwan EDITORIAL It is a great privilege to serve as Editor for the Development section of Geography Compass. The journal is an exciting new venture in electronic publishing that aims to publish state-of-the-art peer-reviewed surveys of key contemporary issues in geographical scholarship. As the first Editor of this section, it is my responsibility to establish the key aims and innovations for this section of the journal. These include: publishing reviews of scholarship on topics of contemporary relevance that are accessible and useful to researchers, teachers, students and practitioners; developing the range of topics covered across the spectrum of development geography; helping to set agendas in development geography by identifying gaps in existing empirical and conceptual research; commissioning articles from both established and graduate/early career researchers who are working at the frontiers of development geography; and communicating the distinctiveness of Geography Compass. Part of this distinctiveness is in publishing articles that are both of scholarly excellence and accessible to a wide audience. The first volume of Geography Compass was published in 2007, covering a wide range of topics (e.g. migration, children, technology, grassroots women's organizations, civil society, biodiversity, tourism, inequality, agrarian change, participatory development, disability, spirituality) in a number of specific geographical areas (e.g. Africa/southern Africa, Caribbean, China, Peru). Forthcoming in 2008/2009 are articles on the Gambia, Latin America, the Philippines, Southeast Asia, Bangladesh and South Africa, focusing on topics such as food security, comparative post-socialism, foreign aid and fair trade. Building on these diverse and excellent articles, I plan to communicate the distinctiveness of Development in a number of ways. First, I encourage an ecumenical approach to the notion of ,development geography' and welcome contributions from scholars across a range of social science disciplines whose work would be useful to a geography audience. This is important, not least because both development and geography, in disciplinary terms, are largely European inventions. Many scholars in Latin America, Africa and Asia, for example, do not refer to themselves as either development specialists or geographers but are producing important research in areas of direct relevance to students and researchers of ,development geography'. As the first editions illustrate, I also seek to publish articles that reflect ,development' in its broadest sense, encompassing economic, (geo)political, social, cultural and environmental issues. 2008 will be an interesting year for development, with a number of important issues and events shaping discourse and policy. These include: the Beijing Olympics and increasing focus on China's role in international development; political change in a number of African countries (Kenya, Zimbabwe, South Africa); the US presidential elections and potential shifts in policy on climate change, trade and security; the impacts of the Bali roadmap on climate change in the current economic context; the increasing number of impoverished people in Asia (notably China and India), sub-Saharan Africa and Latin America (notably Brazil) that even the World Bank has acknowledged; the implications of the increasing role of philanthropic foundations (e.g. the Gates Foundation and those emerging in India and Russia) in international development. I hope to see some of these issues covered in this journal. Second, I am keen to break down the association between ,development' and parts of the world variously categorized as ,Third World', ,Global South' or ,Developing World' by publishing articles that cut across North and South, East and West. The intellectual and disciplinary practices within (Western) geography that separate those researching issues in the South and post-socialist contexts from those researching similar issues in advanced capitalist economies are, it seems, no longer sustainable or sensible. Moreover, while studies of transnational and ethical trade, neoliberalism, household economies and ,commodity chains', for example, incorporate a multitude of case studies from across the world, these tend to be understood through conceptual lenses that almost always have their theoretical antecedents in Western theorization. The notion of ,learning from' debates, policy and practice in other parts of the world is still relatively alien within the discipline. There are thus issues in how we research and teach ethically and responsibly in and about different parts of the world, and in which this journal might make a contribution. Third, and related, part of my responsibility is to ensure that Compass reflects the breadth of debate about ,development' by publishing articles written by a truly international range of scholars. This has proved to be a challenge to date, in part reflecting the newness of the journal and the difficulties posed by English language publication. However, an immediate aim is to publish the work and ideas of scholars based outside of Anglophone contexts, in the Global South and in post-socialist contexts, and to use international referees who are able to provide valuable commentaries on the articles. A longer-term aim is to also further internationalize the Editorial Board. Currently, one-third of the Editorial Board is non-UK and I plan to increase this to at least 50% in future. Fourth, I plan to ensure that the Development section takes full advantage of electronic publication and the opportunities this offers. Thus, while I am keen to retain a word limit in the interest of publishing accessible articles, the lack of constraint regarding page space enables authors to include a wide range of illustrative and other material that is impossible in print journals. I plan to encourage authors to make greater use of visual materials (maps, photographs/photo-essays, video, sound recordings, model simulations and datasets) alongside text as well as more innovative forms of presentation where this might be appropriate. Finally, in the coming year, I intend to work more closely with other Compass section Editors to realize the potential for fostering debate that cuts across subdisciplinary and even disciplinary boundaries. The journal publishes across the full spectrum of the discipline and there is thus scope for publishing articles and/or special issues on development-related topics that might best be approached through dialogue between the natural and social sciences. Such topics might include resources (e.g. water, oil, bio-fuels), hazard and risk (from environmental issues to human and state security), and sustainability and quality of life (planned for 2008). Part of the distinctiveness of Compass is that electronic-only publication ensures that articles are published in relatively quick time , in some cases less than 3 months from initial submission to publication. It thus provides an important outlet for researchers working in fast-changing contexts and for those, such as graduate and early-career researchers, who might require swift publication for career purposes. Of course, as Editor I am reliant on referees both engaging with Manuscript Central and providing reports on articles in a relatively short space of time to fully expedite the process. My experience so far has been generally very positive and I would like to thank the referees for working within the spirit of the journal. Editing a journal is, of course, a collaborative and shared endeavour. The Development Editorial Board has been central to the successful launch of Development by working so generously to highlight topics and potential authors and to review articles; I would like to take this opportunity to thank Tony Bebbington, Reg Cline-Cole, Sara Kindon, Claire Mercer, Giles Mohan, Warwick Murray, Richa Nagar, Rob Potter, Saraswati Raju, Jonathan Rigg, Jenny Robinson and Alison Stenning. The Editors-in-Chief , Mike Bradshaw and Basil Gomez , have provided invaluable advice while adding humour (and colour) to the editorial process. Colleagues at Wiley-Blackwell have provided superb support, in particular, Helen Ashton who is constantly on hand to provide advice and assistance. I look forward to working closely with these people again in the coming year, as well as with the authors and readers who are vital to ensuring that Geography Compass fulfils its remit. [source] Symposium in memory of Professor Inga Marie NilssonHAEMOPHILIA, Issue 4 2001Article first published online: 18 JUL 200 Professor Inga Marie Nilsson (1923,99) was a pioneer in the field of bleeding and thromboembolic disorders and made several major scientific contributions during her career. To honour her memory, colleagues from all over the world were invited to cover several aspects of haemostasis by giving state-of-the-art lectures at an international symposium in Malmö on September 22,23, 2000, chaired by Professors Lou Aledort and Erik Berntorp. Colleagues of Professor Nilsson in Malmö gave a short introduction to each topic. A short review of the meeting will be presented. [source] Mental health training and development needs of community agency staffHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 5 2002Jenny Secker Abstract Emphasis has long been placed in UK national policy on providing ,seamless' mental health services to meet both the health and social care needs of service users. While attention has been paid to the training required by specialist mental health and primary care staff in order to achieve this, the needs of other community agency staff have received less attention. The present article describes a study designed to identify the training needs of staff working within a broad range of agencies. Focus group discussions were used to explore participants' experiences of mental health problems amongst clients, their confidence in dealing with these, current sources of support and perceived training needs. The results indicate that participants in all agencies routinely encountered a range of problems. Colleagues were the main source of support, followed by line managers, but supervision structures and wider organisational support were lacking in some cases. Joint working with specialist mental health services was almost universally problematic and all groups identified a range of training needs. On the basis of the results, the present authors put forward suggestions as to how these needs might be met. [source] Friends, Strangers or Countrymen?POLITICAL STUDIES, Issue 1 2001The Ties between Citizens as Colleagues Some analogies are better than others for understanding the ties and responsibilities between citizens of a state. Citizens are better understood as particular kinds of colleagues than as either strangers or members of close-knit communities such as family or friends. Colleagues are diverse, separate and relatively distant individuals whose involuntary interdependence as equals in a practice or institution creates common concerns; this entails special responsibilities of communication, consideration and trust, which are capable of extension beyond the immediate group. Citizens likewise are involuntarily interdependent in political practices, and have comparable concerns and obligations that are more substantial than liberal advocates of constitutional patriotism recommend. But these are distinct from and potentially more extensible than those between co-nationals sharing a common culture, which are proposed by nationalists and some communitarians. The relationship of citizens is a more valid ground for associative obligations than others apart from family and friends. [source] Better the Devil You Know: Response to Professor Ponticelli and ColleaguesAMERICAN JOURNAL OF TRANSPLANTATION, Issue 5 2010L. G. Hidalgo No abstract is available for this article. [source] Response to O'Connell and ColleaguesAMERICAN JOURNAL OF TRANSPLANTATION, Issue 4 2010M. Hornum No abstract is available for this article. [source] Robert Rosen, His Students and His Colleagues: A Glimpse into the Past and the Future as WellCHEMISTRY & BIODIVERSITY, Issue 10 2007Donald C. Mikulecky No abstract is available for this article. [source] Nursing-Sensitive Outcome Implementation and Reliability Testing in a Tertiary Care SettingINTERNATIONAL JOURNAL OF NURSING TERMINOLOGIES AND CLASSIFICATION, Issue 2003Julia G. Behrenbeck PURPOSE To describe the NOC outcomes most relevant for specialty nursing practice and in selected field sites representing the continuum of care; to assess the adequacy of measures (reliability, validity, sensitivity, specificity, practicality); and to describe the linkages among nursing diagnoses, interventions, and outcomes in clinical decision making. METHODS Data were collected on 434 patients during the 12-month data collection period at a tertiary care center: cardiac surgery intensive care (n= 76), cardiac transplant unit (n= 153), and medical unit (n= 205). Medical diagnoses of patients on the two cardiac units were related to cardiac disease. Medical diagnoses of patients on the medical unit were extremely varied (ranging from e.g., gout to pneumonia). Data were collected on 65 separate outcome labels for a total of 633 ratings. FINDINGS In the cardiac transplant ICU, data were collected on 42 outcomes: 30 had an average interrater reliability of ,85%, and 16 had an absolute agreement interrater reliability of ,85%. In the cardiac surgery ICU, data were collected on 30 outcomes: 25 had an average interrater reliabilty of ,85%, 6 had an absolute agreement interrater of ,85%. In the medical unit, data were collected on 45 outcomes: 41 had an average interrater reliability of ,85%, 14 had an absolute agreement interrater reliability of ,85%. Four outcomes have been implemented into the documentation system for all patients: Tissue Integrity: Skin and Mucous Membranes, Mobility Level, Knowledge: Disease Process, and Coping. CONCLUSIONS Overall, nursing staff were very positive about having the opportunity to participate in nursing research. Staff were able to think about the relative status of their patient and how nursing care contributes to the patient's recovery. They appreciated the opportunity to discuss this with a colleague during the interrater exercise. Increased familiarity with NOC allows staff members to determine which outcomes comprise core nursing-sensitive outcomes for their clinical setting. [source] Barriers to, and facilitators of post-operative pain management in Iranian nursing: a qualitative research studyINTERNATIONAL NURSING REVIEW, Issue 4 2008N. Rejeh bscn, mscn Background:, Unrelieved post-operative pain continues to be a major clinical challenge, despite advances in management. Although nurses have embraced a crucial role in pain management, its extent is often limited in Iranian nursing practice. Aim:, To determine Iranian nurses' perceptions of the barriers and facilitators influencing their management of post-operative pain. Methods:, This study was qualitative with 26 participant nurses. Data were obtained through semi-structured serial interviews and analysed using the content analysis method. Findings:, Several themes emerged to describe the factors that hindered or facilitated post-operative pain management. These were grouped into two main themes: (1) barriers to pain management after surgery with subgroups such as powerlessness, policies and rules of organization, physicians leading practice, time constraints, limited communication, interruption of activities relating to pain, and (2) factors that facilitated post-operative pain management that included the nurse,patient relationship, nurses' responsibility, the physician as a colleague, and nurses' knowledge and skills. Conclusion:, Postoperative pain management in Iran is contextually complex, and may be controversial. Participants believed that in this context accurate pain management is difficult for nurses due to the barriers mentioned. Therefore, nurses make decisions and act as a patient comforter for pain after surgery because of the barriers to effective pain management. [source] The Contributions of Stewart Myers to the Theory and Practice of Corporate Finance,JOURNAL OF APPLIED CORPORATE FINANCE, Issue 4 2008Franklin Allen In a 40-plus year career notable for path-breaking work on capital structure and innovations in capital budgeting and valuation, MIT finance professor Stewart Myers has had a remarkable influence on both the theory and practice of corporate finance. In this article, two of his former students, a colleague, and a co-author offer a brief survey of Professor Myers's accomplishments, along with an assessment of their relevance for the current financial environment. These contributions are seen as falling into three main categories: ,Work on "debt overhang" and the financial "pecking order" that not only provided plausible explanations for much corporate financing behavior, but can also be used to shed light on recent developments, including the reluctance of highly leveraged U.S. financial institutions to raise equity and the recent "mandatory" infusions of capital by the U.S. Treasury. ,Contributions to capital budgeting that complement and reinforce his research on capital structure. By providing a simple and intuitive way to capture the tax benefits of debt when capital structure changes over time, his adjusted present value (or APV) approach has not only become the standard in LBO and venture capital firms, but accomplishes in practice what theorists like M&M had urged finance practitioners to do some 30 years earlier: separate the real operating profitability of a company or project from the "second-order" effects of financing. And his real options valuation method, by recognizing the "option-like" character of many corporate assets, has provided not only a new way of valuing "growth" assets, but a method and, indeed, a language for bringing together the disciplines of corporate strategy and finance. ,Starting with work on estimating fair rates of return for public utilities, he has gone on to develop a cost-of-capital and capital allocation framework for insurance companies, as well as a persuasive explanation for why the rate-setting process for railroads in the U.S. and U.K. has created problems for those industries. [source] European evaluation of a new hyaluronic acid filler incorporating lidocaineJOURNAL OF COSMETIC DERMATOLOGY, Issue 4 2008Gregor Wahl MD Summary Background, A new dermal filler has been developed with preincorporated lidocaine for the treatment of moderate/severe wrinkles. Aims, Injector and patient evaluation of comfort and aesthetic results obtained with a new hyaluronic acid filler incorporating lidocaine (HAL) following treatment of nasolabial folds. Patients/Methods, Three thousand five hundred and sixty-six patients were recruited by 485 injectors across 16 countries. All patients had previously received facial fillers but now required further treatment. All patients received the new hyaluronic acid filler incorporating lidocaine. Results, Injector assessment of HAL was that it was very easy to inject in > 75% of patients, and postinjection sculpting/massaging was very easy in most patients (> 70%). Both injectors and patients reported low patient pain levels, with patients experiencing less pain during all stages of the HAL injection procedure compared to previous dermal fillers. Over 95% of injectors rated the aesthetic effect of HAL as "excellent" or "good," with 99.1% stating they would recommend treatment to a colleague and 99.4% recommending treatment to other patients. More than 90% of patients were happy with the treatment, and 99% would recommend HAL to friends. Conclusions, The new hyaluronic acid filler incorporating lidocaine provides a more comfortable injection experience and improved aesthetic result for most patients compared with other dermal fillers used previously. [source] Kisspeptin: A Novel Regulator of Reproductive FunctionJOURNAL OF NEUROENDOCRINOLOGY, Issue 8 2008W. S. Dhillo Young Neuroendocrinologists Prize Reviews Michael Harbuz Young Investigator Prize Lecture The UK and international neuroendocrine community was deeply shocked and saddened the unbelievably premature death of Michael Harbuz in Bristol in 2006. Mick was a superb friend and colleague, and played a huge part in the development and activities of the British Neuroendocrine Group/British Society for Neuroendocrinology (BSN), serving as both Membership Secretary and Treasurer between 1999 and 2004. Mick was a leader in the field of neuroendocrine,immune interactions, and brought a great deal of charisma, humour and ability to meetings and conferences. He was also a passionate and committed supporter of the progress of young researchers and of their participation in neuroendocrine events. He recognised that today's postgraduate students and postdoctoral research fellows are tomorrow's neuroendocrine researchers, be it in academia, the health services or industry. To recognise Mick's great commitment to and enthusiasm for postgraduate education both in the University of Bristol and in the BSN, we decided to honour and remember him by instituting the ,Michael Harbuz Young Investigator Prize Lecture' to be delivered annually. Dr Waljit Dhillo from Imperial College London was the inaugural recipient of this award, and presented his lecture at the Annual Meeting of the BSN in Nottingham in September 2007, upon which this review is based. Recent evidence demonstrates that the neuropeptide kisspeptin and its receptor, GPR54, have a fundamental role in initiating the onset of puberty and are important in regulating reproductive function. This review discusses the evidence available from animals and humans demonstrating that kisspeptin potently stimulates the release of gonadotrophins by stimulating the release of gonadotrophin-releasing hormone and that a lack of kisspeptin or GPR54 results in reproductive failure. [source] Professor Michael J. Pikal: Scientist, family man, educator, colleague and friendJOURNAL OF PHARMACEUTICAL SCIENCES, Issue 9 2009Steven Nail First page of article [source] Courtroom to Classroom: Justice Harlan's Lectures at George Washington University Law SchoolJOURNAL OF SUPREME COURT HISTORY, Issue 3 2005ANDREW NOVAK John Marshall Harlan had a singularly successful legal career as an Associate Justice of the Supreme Court that spanned thirty-three years, from 1877 to 1911, one of the longest terms in history. For twenty-one of those years on the Court he also distinguished himself as a professor of constitutional law at George Washington University. Along with his colleague on the Bench and on the faculty, Associate Justice David J. Brewer, Harlan carried a full course load, teaching just about every subject: evidence, torts, property law, corporation law, commercial law, international law, and his specialty, constitutional law. [source] Vascular fluid dynamics and vascular biology and diseaseMATHEMATICAL METHODS IN THE APPLIED SCIENCES, Issue 17-18 2001C. G. Caro My tribute to James Lighthill, one of the world's great mathematical scientists, is offered with admiration and sadness,he was both colleague and friend. I met James in 1964, through an introduction by Sir Geoffrey (G.I.) Taylor. He was then Royal Society Research Professor at Imperial College and I was a lecturer in medicine at St. Thomas's Hospital, with a particular interest in cardiovascular and respiratory mechanics. Within a short while we began to collaborate and about a year later James proposed to Imperial College that it should take the then almost unique step of setting up an activity in physiological flow. The Physiological Flow Studies Unit was started at the College in 1966,on an experimental basis with a staff of one (the writer). Looking back over a period of more than 30 years, I have three outstanding, interrelated impressions. First, that the field of physiological fluid dynamics has grown hugely worldwide, attesting in no small measure to James Lighthill's prescience and contributions. Second, that close collaboration between life scientists and doctors and engineers and physical scientists, has led to great advances in the understanding of normal and disturbed biology and of the relevant fluid dynamics. Third, that recognition that mechanical stresses play a key role in cellular and molecular biology, has given a tremendous boost to physiological mechanics. My aim in this note is to describe some earlier and current work on vascular fluid dynamics and vascular biology and disease and, where appropriate, to trace its descent from early studies undertaken with James. Copyright © 2001 John Wiley & Sons, Ltd. [source] Generalisability in unbalanced, uncrossed and fully nested studiesMEDICAL EDUCATION, Issue 4 2010Ajit Narayanan Medical Education 2010: 44: 367,378 Objectives, There is growing interest in multi-source, multi-level feedback for measuring the performance of health care professionals. However, data are often unbalanced (e.g. there are different numbers of raters for each doctor), uncrossed (e.g. raters rate the doctor on only one occasion) and fully nested (e.g. raters for a doctor are unique to that doctor). Estimating the true score variance among doctors under these circumstances is proving a challenge. Methods, Extensions to reliability and generalisability (G) formulae are introduced to handle unbalanced, uncrossed and fully nested data to produce coefficients that take into account variances among raters, ratees and questionnaire items at different levels of analysis. Decision (D) formulae are developed to handle predictions of minimum numbers of raters for unbalanced studies. An artificial dataset and two real-world datasets consisting of colleague and patient evaluations of doctors are analysed to demonstrate the feasibility and relevance of the formulae. Another independent dataset is used for validating D predictions of G coefficients for varying numbers of raters against actual G coefficients. A combined G coefficient formula is introduced for estimating multi-sourced reliability. Results, The results from the formulae indicate that it is possible to estimate reliability and generalisability in unbalanced, fully nested and uncrossed studies, and to identify extraneous variance that can be removed to estimate true score variance among doctors. The validation results show that it is possible to predict the minimum numbers of raters even if the study is unbalanced. Discussion, Calculating G and D coefficients for psychometric data based on feedback on doctor performance is possible even when the data are unbalanced, uncrossed and fully nested, provided that: (i) variances are separated at the rater and ratee levels, and (ii) the average number of raters per ratee is used in calculations for deriving these coefficients. [source] Conflict: The Skeleton in Academe's ClosetNEW DIRECTIONS FOR COMMUNITY COLLEGES, Issue 109 2000Rose Ann Findlen "Conflict IS the job," the seasoned administrator tells his younger colleague. But conflict may offer opportunities as well as obstacles and ought not be avoided. [source] Near-fatal antibiotic advicePRESCRIBER, Issue 12 2008Article first published online: 14 JUL 200 Dr David Orlans recounts the dilemma of following the advice of a hospital colleague that resulted in the patient having an anaphylactic reaction requiring hospital admission. Copyright © 2008 Wiley Interface Ltd [source] Photovoltaics in an architectural contextPROGRESS IN PHOTOVOLTAICS: RESEARCH & APPLICATIONS, Issue 6 2004Dr. Henk Kaan Abstract In well-populated areas, such as western Europe, PV is often integrated into the building envelope. Despite the fact that there are many examples showing that PV can be an aesthetically neutral or visually attractive element in architecture, many BIPV systems display few architectural qualities. But if well applied, PV can increase a building's character and value. Within Task 7 of the IEA PVPS programme a team of experts with an architectural background studied which key requirements needed to be complied with (design criteria for good-quality PV projects) in order to produce successful PV integration. These criteria are discussed in the article. PV is not automatically considered an indispensable material in architectural terms. This is why, no matter how well it is integrated, PV remains an ,added' element. Architects can take this as their starting point and can use one of the design approaches that are presented in the article. These criteria for incorporating PV in the building design and the design criteria for good-quality PV projects are important to architects and architectural critics in determining why a BIPV project, be it their own design or that of a colleague, is or is not aesthetically pleasing. This offers learning opportunities and reasons for follow-up or improvement options. Architects who apply PV in a well-thought-out way can make their clients very happy, and thereby contribute to a greater acceptance of PV technology. Copyright © 2004 John Wiley & Sons, Ltd. [source] Short-term impact of a robot-assisted laparoscopic prostatectomy ,mini-residency' experience on postgraduate urologists' practice patterns,THE INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY, Issue 1 2006Elspeth M. McDougall Introduction To assist practising urologists acquire and incorporate robot-assisted laparoscopic prostatectomy (RALP) into their practice, a 5 day mini-residency (M-R) programme with a mentor, preceptor and potential proctor experience was established at the University of California, Irvine, Yamanouchi Center for Urological Education. The follow-up results from the initial 21 RALP M-R participants are presented. Methods Between September 2003 and September 2004, 21 urologists from six states and four countries underwent a RALP M-R. Each participant underwent 1:2 teacher:attendee instruction over a 5 day period, which included inanimate model skills training, animal/cadaver laboratory skills training and operating room observation experience. Participants were also offered a proctoring experience at their hospital if they so desired. A questionnaire survey was mailed 1,14 months (mean 7.2 months) following completion of the mini-residency and these results were tabulated and reviewed. Results A 100% response rate was achieved from the mailed questionnaires. The mean M-R participant age was 43 years (range 33,55 years). One-third of the M-R participants were practising in an academic environment. Most of the participants (55%) had no fellowship training. Of those with fellowship training (45%), three (15%) were in laparoscopy and three (15%) were in oncology; 25% of the participants were in large (>6 physicians), 25% in small (2,6 physicians) and 15% in solo practices; 70% of the participants were located in an urban setting. The majority of the participants (80%) had laparoscopic experience during residency training and had performed 20,60 laparoscopic cases prior to attending the M-R programme. Within 7.2 months after M-R (range 1,14 months), 95% of the participants were practising robot-assisted laparoscopic prostatectomy and 25% of the RALP M-R participants had also performed robotic-assisted laparoscopic pyeloplasty. Of the M-R participants, 38% availed themselves of the preceptor/proctor component of the programme; among these, 100% reported that they were performing RALP vs. only 92% of the MR participants who did not have a proctor experience. The 5 day length of the M-R was considered to be of satisfactory duration by 90% of the participants, while 1 participant considered it too brief and 1 considered it too long. All but one of the participants rated the M-R as a very or extremely valuable experience. All the M-R participants indicated that they would recommend this training programme to a colleague. Conclusions A 5 day intensive RALP M-R course seems to encourage postgraduate urologists, already familiar with laparoscopy, to successfully Copyright © 2006 John Wiley & Sons, Ltd. [source] The profession of ferryman: Considerations on the analyst's internal attitude in consultation and in referral,THE INTERNATIONAL JOURNAL OF PSYCHOANALYSIS, Issue 1 2006STEFANO BOLOGNINI Psychoanalytic consultation is an interview with a patient who will not be taken in treatment by the consultant analyst, but who will be sent to another, perhaps specifi cally chosen, colleague after one or more assessment sessions. This practice is becoming increasingly important since, besides traditional private relationships between consultant and patient, it is now common in many specialized centres affi liated to offi cial psychoanalytical institutions. The author explores some fundamental aspects of the analyst's internal attitude in consultation: motivation to know; a ,concave' attitude to listening; responsibility in proposing suitable technical choices and referral to a further specialist; empathy and partial identifi cation; the balance between authentic experience in the consultation and risks of seduction; internal links within the community of colleagues; the technique for sending patients on. He presents a clinical example, specifi cally aimed at reproducing the internal attitude of the analyst, together with the necessary work that allows a diffi cult patient to initiate psychoanalytic treatment. [source] Discussion of Dr Hinz's contributionTHE INTERNATIONAL JOURNAL OF PSYCHOANALYSIS, Issue 2 2003Joyce McDougall The author places herself in the position of the analyst to ,listen' to a session reported by her German colleague, Dr Hinz; her interpretation of the material presented gives greater importance to the striving of the analysand to have his ,productions' appreciated than the analyst's interpretation of the negative transference aspects attributed to the same material. [source] THE EXTERNAL OBSERVER AND THE LENS OF THE PATIENT-ANALYST MATCHTHE INTERNATIONAL JOURNAL OF PSYCHOANALYSIS, Issue 2 2002Judy L. Kantrowitz A focus on the match between patient and analyst places attention on the dynamic effect of the interaction of character and conflict of both participants on the process that evolves between them. Match is neither a predictive nor static concept. Rather it refers to an unfolding transaction that itself shifts and changes during the course of analytic work. The treating analyst's perception of the effect of this match is by necessity limited by the analyst's own blind spots and other countertransference phenomena. Reporting the analyst's clinical experience to an analytically trained observer, external to the dyad, may broaden the analyst's perspective. Using the lens of the match, a colleague in the role of supervisor, consultant or peer can provide feedback from which the analyst may acquire insight. As a result of this process, the influence that the participants' similarities and differences have upon each other becomes clear to the analyst. This awareness, in turn, may lead the analyst to appreciate the effect of the analyst's stance of distance or closeness and to evaluate whether at this phase of treatment it is beneficial or detrimental to the analytic process. Clinical illustrations of the effect of the external observer's feedback in relation to the patient,analyst match are provided. [source] Effects of a distance learning program on physicians' opioid- and benzodiazepine-prescribing skillsTHE JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS, Issue 4 2006Deana Midmer BScN Abstract Introduction: Opioid misuse is common among patients with chronic nonmalignant pain. There is a pressing need for physicians to increase their confidence and competence in managing these patients. Methods: A randomized controlled trial of family physicians (N = 88) attending 1 of 4 continuing medical education events helped to determine the effectiveness of e-mail case discussions in changing physician behavior. Before random assignment, participants completed a pretest and attended a 3-hour didactic session on prescribing opioids and benzodiazepines. The intervention group participated in 10 weeks of e-mail case discussions, with designated participants responding to questions on cases. An addictions physician facilitated the discussion. Several months after the e-mail discussion, participants took part in a mock telephone consultation; a blinded researcher posing as a medical colleague asked for advice about 2 cases involving opioid and benzodiazepine prescribing. Using a checklist, the researcher recorded the questions asked and advice given by the physician. Results: On post-testing, both groups expressed greater optimism about treatment outcomes and were more likely to report using a treatment contract and providing advice about sleep hygiene. There were no significant differences between pretesting and post-testing between the groups on the survey. During the telephone consultation, the intervention group asked significantly more questions and offered more advice than the control group (odds ratio for question items, 1.27 [p = .03]; advice items, 1.33 [p = .01). Discussion: Facilitated by electronic mail and a medical expert, case discussion is an effective means of improving physician performance. Telephone consultation holds promise as a method for evaluating physicians' assessment and management skills. [source] | |||||||||||||||||||||||||||||||