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Marin, A. Itzam, Helio Neves da Silva, Hongan Chen, Nihaal Mehta, Linh K. Nguyen, Jeffrey R. SooHoo, Jennifer E. Adams, and Jasleen K. Singh. "A Third-Year Medical School Ophthalmology Curriculum for a Longitudinal Integrated Clerkship Model." Journal of Academic Ophthalmology 14, no. 02 (July 2022): e209-e215. http://dx.doi.org/10.1055/s-0042-1756201.
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Abstract Background Longitudinal Integrated Clerkships (LICs) are innovative educational models that allow medical student continuity with patients, preceptors, colleagues, and health care systems. Given their benefits, the number of LICs continues to increase. We share a pilot model for an ophthalmology LIC curriculum at the University of Colorado School of Medicine targeted for students to see patients through transitions of care. Methods A needs assessment was performed including literature search, interviews with expert faculty, and a precurricular student questionnaire. Based on our findings, we developed a pilot two-part curriculum consisting of an introductory lecture and a half-day clinical experience designed to integrate patient eye care into the LIC model. At the end of the year, students completed a questionnaire assessing attitude, confidence, and knowledge. Precourse data were collected from students in the academic year (AY) 2018/2019 to aid with the needs assessment. Postcourse data were collected after completion of the curriculum from students in AY 2019/2020. Data from questionnaire were intended to improve our curricular experience. Results Our curriculum was piloted between the 2019 and 2020 AY. The completion rate of our curriculum was 100%. The questionnaire response rate was 90% in pre- and postcurricular groups (n=15/17 and n=9/10, respectively). Hundred percent of students from both groups responded that it is “very important”/“important” for all physicians to be able to identify when ophthalmology referral is indicated. After the intervention, there were significant differences in the rate of students responding that they were “confident” diagnosing acute angle-closure glaucoma (36 vs. 78%, p=0.04), treating a chemical burn (20 vs 67%, p=0.02), and diagnosing viral conjunctivitis (27 vs. 67%); 90% of students reported increased confidence in longitudinal care of patients in the eye clinic. Conclusions Medical students believe in the importance of ophthalmic education regardless of their specialty of choice. We present a pilot model to introduce ophthalmology within an LIC model. Future studies with a larger sample are needed to determine the impact of this model in terms of knowledge acquisition and relationship between curriculum and ophthalmology interest among students. Our curriculum can be adapted to other underrepresented specialties in the medical school curriculum and is easily exportable to other LICs.
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Bugubaeva, M. "Multidisciplinary University Virtual Clinic - DIMEDUS in Teaching Students of the International Medical Faculty of Osh State University." Virtual Technologies in Medicine, no. 3 (August 29, 2022): 165–66. http://dx.doi.org/10.46594/2687-0037_2022_3_1483.
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Mastering practical skills with the help of simulation technologies eliminates the risk to the life, health of the patient and the stress of the trainee, allows you to conduct classes according to individual programs, without taking into account the operating mode of the clinic, makes it possible to repeatedly practice the skill and bring the manipulation to automatism. The article shows the effectiveness of the use of a multidisciplinary university virtual clinic - Dimedus in practical classes in teaching clinical disciplines to foreign students of the international medical faculty of Osh State University.
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Svatko, L. G., V. I. Galochkin, and K. A. Alimetov. "LXX years of the Department of Otorhinolaryngology, Kazan Medical University." Kazan medical journal 76, no. 1 (January 15, 1995): 1–6. http://dx.doi.org/10.17816/kazmj79849.
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The beginning of the development of otorhinolaryngology in Kazan should be considered 1925 - the time of the opening of the otorhinolaryngological department and clinic at the Faculty of Medicine of Kazan University. Its creation was carried out by prof. V.K. Trutnev.
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Vande Griend, Joseph, Danielle R. Fixen, Cy W. Fixen, Jason Zupec, and Joseph J. Saseen. "Clinic-Level Population Health Intervention by PGY2 Ambulatory Care Pharmacy Residents to Optimize Medication Management in a Self-Insured Employer Health Plan Population." Journal of Pharmacy Practice 31, no. 1 (March 14, 2017): 52–57. http://dx.doi.org/10.1177/0897190017698057.
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Background: Postgraduate year 2 ambulatory care pharmacy residents (PGY2 residents) may be able to improve healthcare quality by providing clinical pharmacy services provided to self-insured employer health plan patients. The objectives of this study are to describe this care delivery in a family medicine clinic, and to identify patients most likely to benefit from the service. Methods: From October 1, 2014 till June 30, 2015, comprehensive medication review was completed by PGY2 residents for patients insured by CU Anthem at the University of Colorado Westminster Family Medicine. For patients with medication-related problems (MRPs), a note was sent to the provider before the patient visit. Patient characteristics were compared in those who received a clinical pharmacy note with those who did not. Results: Sixty-eight MRPs were identified in 39 notes; 40 (58.8%) recommendations were implemented. The following Clinical Pharmacy Priority (CP2) score criteria were identified more frequently in patients with MRPs: age ≥65 years, diagnosis of diabetes, hypertension, chronic obstructive pulmonary disease, cardiovascular disease, blood pressure ≥140/90, hemoglobin A1c >7.9%, and ≥6 items on the medication list. Conclusion: PGY2 residents identified and resolved numerous clinically relevant MRPs. Patient-specific criteria can be utilized to target self-insured employer health plan patients who are likely to have clinically relevant MRPs.
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Kamiandrouskaya, A. A., I. O. Pokhodenko-Chudakova, A. S. Lastovka, E. S. Yadchenko, V. V. Gorbachev, M. S. Kosova, A. A. Kabanava, and N. A. Averchankava. "STAY IN THE ULM UNIVERSITY CLINIC (GERMANY)." Vestnik of Vitebsk State Medical University 20, no. 2 (April 15, 2021): 109–15. http://dx.doi.org/10.22263/2312-4156.2021.2.109.
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In March 2020 I was in the Ulm University Clinic for 2 weeks. My internship course took place on the basis of the department of general and visceral surgery. The work in the clinic is structured in such a way that not only surgeons but also doctors of the adjoining specialties, trainees and students participate in the discussion of patients’ treatment. And at the morning conferences, a resuscitator, a radiologist and an endoscopist must always be present. The operating unit has all necessary equipment in sufficient quantity. Preoperative preparation is carried out by the anesthetic team in the preoperative room. A special role is given to the patient’s thermal isolation using special blankets, protection of the patient’s eyes with a patch, and perioperative antibiotic prophylaxis. In addition to the operating surgeon and two main assistants, the operating team obligatorily includes a student. Continuous training by senior surgeons of junior ones is practiced. Basic surgical instruments are represented with everything you need. In the postoperative period all drugs are charged into infusion machines at a daily dosage, which simplifies the work of paramedical personnel and also reduces the risk of catheter infection. When entering a medical university the competition is initially very high (more than 20 people per place). All doctors work in a unified team, there is no strict division into university chairs and clinic departments. Two weeks spent in the Ulm University Clinic have shaped my understanding of medical care and medical education in Germany, acquainted me with the specificity of the surgical service and the technical features of performing surgical interventions.
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Komarov, R. N., and N. A. Kuznetsov. "175 years of the Faculty Surgery Department and N.N. Burdenko Faculty Surgery Clinic of the I.M. Sechenov First Moscow State Medical University (Sechenov University)." Clinical Medicine (Russian Journal) 99, no. 9-10 (January 27, 2022): 576–82. http://dx.doi.org/10.30629/0023-2149-2021-99-9-10-576-582.
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In 1846, the faculty surgery clinic of the Medical Faculty of Moscow University was established. An important role in its formation and further development was played by prominent surgeons who managed this clinic at various times (F.I. Inozemtsev, V.A. Basov, N.V. Sklifosovsky, A.A. Bobrov, N.N. Burdenko etc.). The contribution of all mentioned before is covered in detail in this article.
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Hua, Natalie T., Chia-Ding Shih, and David Tran. "Medical and Economic Impact of a Free Student-Run Podiatric Medical Clinic." Journal of the American Podiatric Medical Association 105, no. 5 (September 1, 2015): 418–23. http://dx.doi.org/10.7547/13-022.
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Background Data from the free student-run podiatric medical clinic at Clínica Tepati at the University of California, Davis, were used to analyze medical and economic impacts on health-care delivery and to extrapolate the economic impact to the national level. Clínica Tepati also provides an excellent teaching environment and services to the uninsured Hispanic population in the Greater Sacramento area. Methods In this analysis, we retrospectively reviewed patient medical records for podiatric medical encounters during 15 clinic days between November 2010 and February 2012. The economic impact was evaluated by matching diagnoses and treatments with Medicare reimbursement rates using International Classification of Diseases codes, Current Procedural Terminology codes, and the prevailing Medicare reimbursement rates. Results Sixty-three podiatric medical patients made 101 visits during this period. Twenty patients returned to the clinic for at least one follow-up visit or for a new medical concern. Thirty-nine different diagnoses were identified, and treatments were provided for all 101 patient encounters/visits. Treatments were limited to those within the clinic's resources. This analysis estimates that $17,332.13 worth of services were rendered during this period. Conclusions These results suggest that the free student-run podiatric medical clinic at Clínica Tepati had a significant medical and economic impact on the delivery of health care at the regional level, and when extrapolated, nationally as well. These student-run clinics also play an important role in medical education settings.
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Nguyen, Tao Nhat Thi, Linh Thi Xuan Huynh, Nhi Thi Thuy Huynh, and Van Kim Thi Nguyen. "SURVEY OF DISEASE MODEL AT TRA VINH UNIVERSITY GENERAL CLINIC." Scientific Journal of Tra Vinh University 1, no. 31 (September 1, 2018): 58–64. http://dx.doi.org/10.35382/18594816.1.31.2018.8.
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The study is to identify disease model and relevant factors at the General Clinic of Tra Vinh University (GC-TVU). A crosssectional survey of 42.884 patients who underwent medical treatment at GC-TVU from August 2016 to August 2017. The results showed that non-infectious diseases accounted for 62,4%, two times higher than that of infectious diseases (30,9%) and more than 9 times as compared with the trauma group, accident, poisoning (6,8%). The high rate of mental illness included 21,1% mental disorders, 19.8% infections and parasites, and 15,8% circulatory disease. The most common diseases are high blood pressure 11,4%, muscle pain 6,4%, back pain 5,9%, diabetes mellitus 3,7% and gastric inflammation 3,2%. The disease structure is closely related to age, sex and areaof living. This result is the basis for investing infrastructure and faculties and training of human resources in order to meet people’s needs and to improve the quality of health care routes.
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Editorial, E. "Erratum: The article „Congenital upper eyelid coboloma with ipsilateral eyebrow hypoplasia” [Urodjeni defekt gornjeg kapka sa istostranom hipoplazijom obrve]. Vojnosanit pregl 2012; 69(9): 809-811. (DOI:10.2298/VSP1209809V)." Vojnosanitetski pregled 73, no. 11 (2016): 1078. http://dx.doi.org/10.2298/vsp1611078e.
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The authors and their affiliations were listed as follows: Dejan Vulovic+, Marijan Novakovic??, Tatjana Sarenac?, Mirjana Janicijevic-Petrovic?, Nenad Petrovic?, Suncica Sreckovic?, Sasa Milicevic?, Branislav Piscevic? +Centre for Plastic Surgery, ?Clinic for Ophthalmology, Clinical Centre Kragujevac, Kragujevac, Serbia; ?Clinic for Plastic Surgery and Burns, Military Medical Academy, Belgrade, Serbia; ?Medical Faculty of the Military Medical Academy, University of Defence, Belgrade, Serbia Listed the authors and their affiliations should read as: Dejan Vulovic+, Marijan Novakovic??, Tatjana Sarenac?, Mirjana Janicijevic-Petrovic?, Nenad Petrovic?, Suncica Sreckovic?, Sasa Milicevic?, Branislav Piscevic? +Centre for Plastic Surgery, ?Clinic for Ophthalmology, Clinical Centre Kragujevac, Kragujevac, Serbia; ?Clinic for Plastic Surgery and Burns, Military Medical Academy, Belgrade, Serbia; ?Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia <br><br><font color="red"><b> Link to the corrected article <u><a href="http://dx.doi.org/10.2298/VSP1209809V ">10.2298/VSP1209809V</a></b></u>
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McPoil, Thomas G. "Is Excellence in the Cards?" Physical Therapy 99, no. 10 (October 2019): 1281–90. http://dx.doi.org/10.1093/ptj/pzz104.
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ABSTRACT Thomas G. McPoil, PT, PhD, FAPTA, is Emeritus Professor of Physical Therapy at Regis University, Denver, Colorado, and Emeritus Regents’ Professor of Physical Therapy at Northern Arizona University. He has served as an Adjunct Honorary Professor in the School of Physiotherapy at the University of Queensland, Brisbane, Australia, and currently serves as a consultant to the Physical Therapy Orthotics Clinic at Denver Health Medical Center, Denver, Colorado. Dr. McPoil is known nationally and internationally for his scholarly contributions that have systematically examined foot and ankle function from both scientific and clinical perspectives. Dr. McPoil is an author or coauthor of 130 publications in peer-reviewed journals, coeditor of 2 books, and coauthor of 6 book chapters. His work reaches beyond the profession of physical therapy, as he served on the editorial boards of Foot and Ankle International, the Journal of Foot and Ankle Research, and Research in Sports Medicine and is currently on the editorial boards of the Journal of the American Podiatric Medical Association and The FOOT. Dr McPoil received his PhD in kinesiology with a specialization in biomechanics from University of Illinois at Urbana–Champaign. He holds an MS in physical education with a specialization in athletic training from Louisiana State University and a BA in physical education from the California State University, Sacramento. During his career, he has held faculty appointments at the University of Illinois at Chicago, Northern Arizona University, and Regis University. Dr McPoil’s clinical practice has focused on the management of chronic orthopedic foot and ankle disorders for the past 38 years. Dr McPoil is the founding president of the Foot and Ankle Special Interest Group of the Academy of Orthopaedic Physical Therapy. He has served as Vice President of the Academy of Orthopaedic Physical Therapy and as the Treasurer of the Journal of Orthopaedic and Sports Physical Therapy. He has received numerous teaching awards, including APTA’s Dorothy E. Baethke & Eleanor J. Carlin Award for Excellence in Academic Teaching and the Academy of Orthopaedic Physical Therapy’s James A. Gould Excellence in Teaching Orthopaedic Physical Therapy Award. He is a recipient of a Fulbright Senior Scholar Award, the William J. Stickel Award for Research in Podiatric Medicine, the Academy of Orthopaedic Physical Therapy’s Stanley Paris Distinguished Service Award and was elected a Catherine Worthingham Fellow of APTA in 2007.
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Holzheimer, R. G., P. Quoika, D. Pätzmann, and R. Füssle. "Nosocomial infections in general surgery: Surveillance report from a German university clinic." Infection 18, no. 4 (July 1990): 219–25. http://dx.doi.org/10.1007/bf01643391.
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Neubauer, Jane. "Leader Interview: Self-Development and the Arts." Creative Nursing 6, no. 4 (January 2000): 5–14. http://dx.doi.org/10.1891/1078-4535.6.4.5.
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This Leader Interview is with Jane Neubauer, RN, MS. She does personal and organizational development through her consulting business, The Creative Leadership Retreat. She did similar work with the British National Health Service at the King’s Fund, a foundation in London. She had been an executive and educator at the University of Wyoming, University of Colorado Health Sciences Center, Mercy Medical Center, Denver, and University of Cincinnati Health Sciences Center. Carol Lindeman, RN, PhD, FAAN, conducted the interview.
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Kamalov, I. I., and M. F. Musin. "The Radiodiagnosis and Radiotherapy Department of the Kazan State Medical University - 60 years." Kazan medical journal 77, no. 4 (August 15, 1996): 314–17. http://dx.doi.org/10.17816/kazmj104559.
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The formation of roentgenology in Kazan is connected with the name of professor V.A. Luria, a therapeutic gastroenterologist. In 1922 he began to teach a course on roentgenology in the Institute for Advanced Training of Physicians, which he created. One of Luria's first students and organizer of the X-ray department of his clinic, which was later transformed into an independent department, was M.I. Goldstein (1896-1974).
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Hubbell, F. Allan, Howard Waitzkin, Lloyd Rucker, Barbara V. Akin, and M. Gabriela Heide. "Financial Barriers to Medical Care: A Prospective Study in a University-Affiliated Community Clinic." American Journal of the Medical Sciences 297, no. 3 (March 1989): 158–62. http://dx.doi.org/10.1097/00000441-198903000-00005.
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Mota, Pau, Kevin Selby, Alexandre Gouveia, Konstantinos Tzartzas, Philippe Staeger, Regis Marion-Veyron, and Patrick Bodenmann. "Difficult patient–doctor encounters in a Swiss university outpatient clinic: cross-sectional study." BMJ Open 9, no. 1 (January 2019): e025569. http://dx.doi.org/10.1136/bmjopen-2018-025569.
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IntroductionPrevious research has shown that multiple factors contribute to healthcare providers perceiving encounters as difficult, and are related to both medical and non-medical demands.AimTo measure the prevalence and to identify predictors of encounters perceived as difficult by medical residents.Design and settingCross-sectional study at the Department of Ambulatory Care and Community Medicine (DACCM), a university outpatient clinic with a long tradition of caring for vulnerable patients.MethodWe identified difficult doctor–patient encounters using the validated Difficult Doctor–Patient Relationship Questionnaire (DDPRQ-10), and characterised patients using the patient’s vulnerability grid, a validated questionnaire measuring five domains of vulnerability, both completed by medical residents after each encounter. We used a multiple linear regression model with the outcome variable as the DDPRQ-10 score, controlling for resident characteristics.ParticipantsWe analysed 527 patient encounters performed by all 27 DACCM residents (17 women and 10 men). We asked each medical resident to evaluate 20 consecutive consultations starting on the same date.OutcomeOne hundred and fifty-seven encounters (29.8%) were perceived as difficult.ResultsAfter adjusting for differences among residents, all five domains of the patient vulnerability grid were independently associated with a difficult encounter: frequent healthcare user; psychological comorbidity; health comorbidity; risky behaviours and a precarious social situation.ConclusionNearly a third of encounters were perceived as difficult by medical residents in our university outpatient clinic that cares for a high proportion of vulnerable patients. This represents twice the average ratio of difficult encounters in general practice. All five domains of patient vulnerability appear to have partial explanatory power on medical residents’ perception of difficult patient encounters.
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Ebdrup, L., M. Storgaard, S. Jensen-fangel, and N. Obel. "Ten Years of Extrapulmonary Tuberculosis in a Danish University Clinic." Scandinavian Journal of Infectious Diseases 35, no. 4 (January 2003): 244–46. http://dx.doi.org/10.1080/00365540310000274.
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Puch, Aleksandra, Michał Kurczyński, Piotr Arkuszewski, and Katarzyna Bogusiak. "Overview of Emergency Department Visits in Craniomaxillofacial and Oncological Clinic of Medical University in Lodz." Dental and Medical Problems 53, no. 2 (2016): 244–52. http://dx.doi.org/10.17219/dmp/61156.
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Shanturov, A. G., and M. V. Subbotina. "On the 90th anniversary of the Department and Clinic of Otorhinolaryngology, Irkutsk State Medical University." Vestnik otorinolaringologii 80, no. 3 (2015): 80. http://dx.doi.org/10.17116/otorino201580380-85.
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Khamitov, Kh S., and A. N. Galiullin. "175th anniversary of Kazan Medical Institute." Kazan medical journal 70, no. 2 (April 15, 1989): 81–87. http://dx.doi.org/10.17816/kazmj99813.
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In the acts on founding a university in Kazan - the affirmative charter and statute, signed on November 5, 1804, among its four branches was included the branch of medical or medical sciences, but the opening of the medical faculty took place only on May 14, 1814. The process of forming the faculty, its development, and scientific and pedagogical work initially proceeded under difficult conditions. For a long time the faculty had no base of its own. The funds allocated by the government were quite insignificant. The Faculty had to pass especially hard tests in those years when the university was practically ruled by the reactionary and obscurantist M.L. Magnitsky. The medical faculty was then deprived of almost all of its professors. The few anatomical preparations by order of M. L. Magnitsky were buried in the cemetery. But even in these very unfavorable conditions new progressive forces were maturing in the University. In 1826 the rector of the University became a brilliant scientist and teacher N.I. Lobachevsky. He gathered around himself a nucleus of talented, creative and progressive scholars. Under his direct supervision the main institutions of medical faculty were built: anatomic theater, clinic buildings.
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Tsvetkov, I. "Professor Goryaev N. K. (To the 30th anniversary of scientific, pedagogical and social activities)." Kazan medical journal 29, no. 1-2 (November 19, 2021): 1–4. http://dx.doi.org/10.17816/kazmj80258.
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Nikolai Konstantinovich Goryaev was born on 12/VI 1875 in the city of Tyumen, Tobolsk province, in the family of the manager of a free post office. In 1894 he graduated from the Orenburg gymnasium with a gold medal and entered the St. Petersburg Mining Institute. But N.K. was not attracted by the future activity of a mining engineer, and from the second year he left the Mining Institute and in 1895 entered the medical faculty of Moscow University. In connection with student unrest and participation in them, N.K. in the fall of 1898, he was expelled from Moscow University without the right to enroll in higher educational institutions with deportation to Orenburg under the public supervision of the police. At the end of the expulsion period in 1899, NK entered Kazan University for the third year of the medical faculty with great difficulties. On October 18, 1902, he passed the state examinations, received a doctor's diploma with a medical degree with honors, and remained to work as an external student at the Hospital. therapeutic clinic (director - prof. Kotovshchikov), and then becomes a supernumerary resident in the Faculty Therapeutic Clinic of Professor NI Kotovshchikov and consecutively occupies the positions of supernumerary resident, full-time resident, laboratory assistant and senior assistant in the same clinic.
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Pfirstinger, Jochen, Bernhard Bleyer, Christian Blum, Michael Rechenmacher, Christoph H. Wiese, and Hans Gruber. "Determinants of completion of advance directives: a cross-sectional comparison of 649 outpatients from private practices versus 2158 outpatients from a university clinic." BMJ Open 7, no. 12 (December 2017): e015708. http://dx.doi.org/10.1136/bmjopen-2016-015708.
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ObjectivesTo compare outpatients from private practices and outpatients from a university clinic regarding the determinants of completion of advance directives (AD) in order to generalise results of studies from one setting to the other. Five determinants of completion of AD were studied: familiarity with AD, source of information about AD, prior experiences with own life-threatening diseases or family members in need of care and motives in favour and against completion of AD.DesignObservational cross-sectional study.SettingPrivate practices and a university clinic in Germany in 2012.Participants649 outpatients from private practices and 2158 outpatients from 10 departments of a university clinic.Outcome measuresCompletion of AD, familiarity with AD, sources of information about AD (consultation), prior experiences (with own life-threatening disease and family members in need of care), motives in favour of or against completion of AD, sociodemographic data.ResultsDeterminants of completion of AD did not differ between outpatients from private practices versus university clinic outpatients. Prior experience with severe disease led to a significantly higher rate of completion of AD (33%/36% with vs 24%/24% without prior experience). Participants with completion of AD had more often received legal than medical consultation before completion, but participants without completion of AD are rather aiming for medical consultation. The motives in favour of or against completion of AD indicated inconsistent patterns.ConclusionsDeterminants of completion of AD are comparable in outpatients from private practices and outpatients from a university clinic. Generalisations from university clinic samples towards a broader context thus seem to be legitimate. Only one-third of patients with prior experience with own life-threatening diseases or family members in need of care had completed an AD as expression of their autonomous volition. The participants’ motives for or against completion of AD indicate that ADs are considered a kind of ‘negative autonomy’ as instruments to prevent particular forms of therapy. Interactive, repeated and situation-based AD discussions might reach a higher percentage of patients and concurrently enable personal volitions and thereby strengthen individual ‘positive autonomy’.
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Kubina, Natalia, Dmitry Kashparov, Lyudmila Puryzhova, and Irina Kravchenko. "Innovative approach to University clinics positioning in sustainable economic development concept in conditions of changing challenges." E3S Web of Conferences 291 (2021): 03003. http://dx.doi.org/10.1051/e3sconf/202129103003.
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The issues related to the development of university medicine in connection with the emerging epidemiological situation and trends for the future are becoming more and more relevant in both research and practical aspects all over the world. The experience of university clinics abroad has been sufficiently studied, however, in Russia, the process of formation and development of medical clinics at leading Federal Universities has begun recently, and is not active enough. Currently, there are no more than 10 university clinics in the country, their experience, functioning mechanisms and contribution to the general results of a healthcare development has not yet been summarized and described in the scientific literature. At the same time, the scientific description and study of the issues of University clinics as medical institutions of a special type capable of providing high-tech medical services to the population and solving the issues of human resources for developing medicine are very relevant and significant in implementing the sustainable economic development concept in the conditions of changing challenges. Based on the analysis of the experience of foreign University clinics, an attempt is made to study the model and generalize the experience of University clinics formation in Russia in order to identify the main problems and prospects for their development. Without pretending to cover the whole range of problems associated with the development of university medicine, the main objective of the study is the issues of an innovative approach to the formation concept of medical centers positioning on the platform of a “University Clinic” brand. Using the example of the University Clinic - Clinical and Diagnostic Center of Immanuel Kant Baltic Federal University (CDC IKBFU) the process of forming the concept of University clinic positioning was described; a situational analysis of the medical services market was carried out in order to identify the problems in sustainable growth goal-setting; possible approaches to the choice of the positioning concept of the University Clinic were analyzed; the concept of the CDC positioning on the platform of the “University Clinic” brand was proposed; a model of a “pyramid of values” was built for a medical organization of this type; an innovative approach to the formation of the clinic’s media policy was proposed; the recommendations were developed to implement the concept of the platform of the “University Clinic” brand positioning in the online environment in the information openness context. The findings obtained make it possible to continue the study of a whole range of issues, both scientific, methodological and practical, concerning the substantiation of an effective model for University clinics functioning; solving organizational, managerial and legislative aspects related to their departmental subordination, coordination of the ministries of education and healthcare, the sources of their funding, the forms of state support and others.
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Rüttimann, Sigmund, and Désirée Clémençon. "Usefulness of Routine Urine Analysis in Medical Outpatients." Journal of Medical Screening 1, no. 2 (April 1994): 84–87. http://dx.doi.org/10.1177/096914139400100204.
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Objective— To investigate prospectively the value of routine urine analysis in a university based, medical outpatient clinic providing primary (> 90%) and referral care (< 10%) in general internal medicine, as determined by whether it led to a new diagnosis requiring a change in medical management (new treatment; advice to patient; further follow up appointment). Methods— A dipstick urine analysis was performed in 610 consecutive patients (mean (SD) age 41 (16) years) making their first clinic visit. A urinary sediment of the same specimen was examined in those patients with abnormal results for haemoglobin, leucocytes, or protein. A urine analysis was defined as routine when it was not considered indicated for diagnostic or management purposes by the resident in charge at the patients' initial clinic visit. The main outcome measures were the number and nature of new diagnoses leading to a change in patient management. Results— In 183 patients (30%, 95% confidence interval (CI) 27% to 34%) the urine analysis was performed as an indicated test and in 427 (70%; 95% CI 64% to 73%) as a routine test. Urine analysis was abnormal in 71 of the 427 patients (17%) in whom it had been performed as a routine test. Abnormal findings led to a change in management in three patients only (0·7%; 95% CI 0·2% to 2·2%). Critical assessment makes the value of routine urine analysis debatable even in these three patients. Conclusions— In a middle aged medical outpatient group of a university based, teaching clinic providing predominantly primary care, urine analysis can be restricted to patients in whom it is clinically indicated.
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Ali, Muttaqin Kholis. "Pengembangan dan Validasi Rancang Bangun Sistem Informasi Surat Elektronik Poliklinik Berbasis Website." JRTI (Jurnal Riset Tindakan Indonesia) 6, no. 2 (July 23, 2021): 175. http://dx.doi.org/10.29210/3003996000.
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Polyclinic at State University of Padang is one of technical services unit or UPT that still uses manual system for documenting medical records and administration. The purpose of this project is to make a design about information system in polyclinic at State University of Padang. It will be an effective project for many activities and also for a process of health services, so that, all of activities in Polyclinic will being computerized. Beside of that, this system also uses online system that will help the patient in the clinic to get good services easily. The system of this design uses a PHP's programming language with Framework Codeigniter. Moreover, the design of this information system in the clinic also uses Relational Database Management System (RDBMS) MySQL. Designing and Planning this project uses Bootstrap CSS Framework that functioning to make the system more dynamist and responsive. The output of this project in the clinic at State University of Padang is a system that will fulfill the requirements of health services by an online system. And for an employee, this system is useful to make a monthly or yearly report, so that their job will be easier than before. However, the designing and planning of information systems in that clinic still needing a development in many aspects to get the maximum result. The development of this project will include such as a system or even the people around the clinic at State University of Padang.
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Borre, Ethan D., Suephy C. Chen, Matilda W. Nicholas, Edward W. Cooner, Donna Phinney, Amanda Morrison, Natalie Combs, and Meenal Kheterpal. "Early Implementation and Evaluation of a Teledermatology Virtual Clinic Within an Academic Medical Center." Iproceedings 6, no. 1 (December 20, 2021): e35432. http://dx.doi.org/10.2196/35432.
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Background Teledermatology can increase patient access; however, its optimal implementation remains unknown. Objective This study aimed to describe and evaluate the implementation of a pilot virtual clinic teledermatology service at Duke University. Methods Leaders at Duke Dermatology and Duke Primary Care identified a teledermatology virtual clinic to meet patients’ access needs. Implementation was planned over the exploration, preparation, implementation, and sustainment phases. We evaluated the implementation success of teledermatology using the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework and prioritized outcome collection through a stakeholder survey. We used the electronic health record and patient surveys to capture implementation outcomes. Results Our process consisted of primary care providers (PCPs) who sent clinical and dermatoscopic images of patient lesions or rashes via e-communication to a teledermatology virtual clinic, with a subsequent virtual clinic scheduling of a video visit with the virtual clinic providers (residents or advanced practice providers, supervised by Duke Dermatology attending physicians) within 2-5 days. The teledermatology team reviews the patient images on the day of the video visit and gives their diagnosis and management plan with either no follow-up, teledermatology nurse follow-up, or in-person follow-up evaluation. Implementation at 4 pilot clinics, involving 19 referring PCPs and 5 attending dermatologists, began on September 9, 2021. As of October 31, 2021, a total of 68 e-communications were placed (50 lesions and 18 rashes) and 64 virtual clinic video visits were completed. There were 3 patient refusals and 1 conversion to a telephonic visit. Participating primary care clinics differed in the number of patients referred with completed visits (range 2-32) and the percentage of providers using e-communications (range 13%-53%). Patients were seen soon after e-communication placement; compared to in-person wait times of >3 months, the teledermatology virtual clinic video visits occurred on average 2.75 days after e-communication. In total, 20% of virtual clinic video visits were seen as in-person visit follow-up, which suggests that the majority of patients were deemed treatable at the virtual clinic. All patients who returned the patient survey (N=10, 100%) agreed that their clinical goals were met during the virtual clinic video visits. Conclusions Our virtual clinic model for teledermatology implementation resulted in timely access for patients, while minimizing loss to follow-up, and has promising patient satisfaction outcomes. However, participating primary care clinics differ in their volume of referrals to the virtual clinic. As the teledermatology virtual clinics scale to other clinic sites, a systematic assessment of barriers and facilitators to its implementation may explain these interclinic differences. Acknowledgments We are grateful to the Private Diagnostic Clinic and Duke Institute for Health Innovation for their support. Conflicts of Interest None declared.
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Parikh, Mihir J., Lee Cheng, Linda Z. Nieman, and Richard M. Grimes. "Medical Treatment of Women and Adherence to HIV Guidelines at an Urban University-Staffed Public Clinic." Journal of Women's Health 12, no. 9 (November 2003): 897–902. http://dx.doi.org/10.1089/154099903770948122.
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Editorial, E. "Corrigendum." Vojnosanitetski pregled 79, no. 1 (2022): 99. http://dx.doi.org/10.2298/vsp2201099e.
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The article "Prevalence of vitamin D3 deficiency in patients with type 2 diabetes and protinuria" published in the December 2021 print issue of the Vojnosanitetski pregled (Vojnosanit Pregl 2021; 78(12): 1292?1302; https://doi.org/10.2298/VSP200220064S) by Tatjana Stojsic Vuksanovic and Violeta Knezevic, contains error with respect to the affiliation of Violeta Knezevic. Instead of the existing affiliation "Clinical Center of Vojvodina, Clinic for Nephrology and Clinical Immunology, Novi Sad Serbia", there should be "University Clinical Center of Vojvodina, Clinic for Nephrology and Clinical Immunology, Novi Sad, Serbia?.
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Aisner, Dara L., Mathew D. Rumery, Daniel T. Merrick, Kimi L. Kondo, Hala Nijmeh, Derek J. Linderman, Robert C. Doebele, et al. "Do More With Less: Tips and Techniques for Maximizing Small Biopsy and Cytology Specimens for Molecular and Ancillary Testing: The University of Colorado Experience." Archives of Pathology & Laboratory Medicine 140, no. 11 (September 9, 2016): 1206–20. http://dx.doi.org/10.5858/arpa.2016-0156-ra.
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Context.— In an era in which testing of patient tumor material for molecular and other ancillary studies is of increasing clinical importance for selection of therapy, the ability to test on small samplings becomes critical. Often, small samplings are rapidly depleted in the diagnostic workup or are insufficient for multiple ancillary testing approaches. Objective.— To describe technical methodologies that can be implemented to preserve and maximize tissue for molecular and other ancillary testing. Data Sources.— Retrospective analysis of a case cohort from the University of Colorado, description of techniques used at the University of Colorado, and published literature. Conclusions.— Numerous techniques can be deployed to maximize molecular and other ancillary testing, even when specimens are from small samplings. A dedicated process for molecular prioritization has a high success rate, but also increases workload, which must be factored into establishing such a process. Additionally, establishing high-fidelity communication strings is critical for success of dedicated molecular prioritization of samples. Numerous approaches can be deployed for alternative specimen types, and several technical approaches can also aid in maximizing small specimens.
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Bugubaeva, M. M., L. M. Dzhumaeva, R. K. Kalmatov, and M. D. Gorshkov. "Multidisciplinary University Virtual Clinic DIMEDUS as an Assessment Tool at the Final State Attestation of the Graduates." Virtual Technologies in Medicine, no. 4 (January 12, 2023): 285–89. http://dx.doi.org/10.46594/2687-0037_2022_4_1570.
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In medical universities of the Kyrgyz Republic, the final stage of education is the passing of the Final State Attestation, which establishes the level of readiness of graduates to perform professional tasks and its compliance with the requirements of the State Educational Standard for Higher Professional Education of the Ministry of Education and Science of the Kyrgyz Republic in the specialty 560001 — “General Medicine“. The article summarizes the experience of conducting the Final State Attestation of graduates of the international medical (IMF) and medical faculties (MF) of Osh State University using the “Multidisciplinary University Virtual Clinic DIMEDUS” as one of the elements of the assessment tools, and also presents the results of an online survey, where graduates of MMF and MF for the 2021-2022 academic year gave their assessment of the Final State Attestation using the DIMEDUS virtual clinic and the prospects for using virtual technologies in training and certification in the future.
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Pincavage, Amber T., Rabia R. Razi, Vineet M. Arora, Julie Oyler, and James N. Woodruff. "Resident Education in Free Clinics: An Internal Medicine Continuity Clinic Experience." Journal of Graduate Medical Education 5, no. 2 (June 1, 2013): 327–31. http://dx.doi.org/10.4300/jgme-d-12-00127.1.
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Abstract Background Most internal medicine (IM) residency programs provide ambulatory training in academic medical centers. Community-based ambulatory training has been suggested to improve ambulatory and primary care education. Free clinics offer another potential training setting, but there have been few reports about the experience of IM residents in free clinics. Objective We assessed the feasibility and acceptability of inclusion of an ambulatory rotation in a free clinic and IM residency curriculum and the advantages of the free clinic setting over the traditional ambulatory clinic model. Methods In 2010, the University of Chicago Internal Medicine Residency Program partnered with a free clinic in order to establish a community-based continuity clinic experience. To assess the feasibility of this innovation, 16 residents were surveyed 9 months after implementation of the clinic to determine satisfaction, perceived preparation to address common medical conditions, and attitudes toward the underserved care population. A subset of these responses was compared to responses from residents in the traditional clinic model. Results Residents in the free clinic rotation were more satisfied and perceived they were more prepared to work in low-resource settings and reported similar levels of preparation regarding common outpatient conditions than residents in a traditional continuity clinic format. They reported increased future likelihood of working in an underserved clinic. Conclusions Our exploratory study suggests free clinics may be an effective platform for community-based continuity clinic training.
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Kochorova, L. V., A. A. Potapchuk, and V. V. Afanasieva. "A BRIEF HISTORY OF UNIVERSITY CLINICS IN RUSSIA AND IN THE WORLD." Scientific Notes of the I. P. Pavlov St. Petersburg State Medical University 25, no. 4 (April 21, 2019): 26–30. http://dx.doi.org/10.24884/1607-4181-2018-25-4-26-30.
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The article discusses the importance of university clinics and historical aspects of their development both abroad and in Russia. The history of the development of university clinics goes side by side with the development of medical education in general. The concept of university clinics has been laid down since the time of the ancient East. The European stage of the formation of university clinics dates back to the Middle Ages and the Renaissance period. Nowadays, university clinics work according to the model of cooperation between the university and the clinic, or according to the model of integration of the clinic into the university. In Russia, in fact, Peter the First laid the notion of university clinics that facilitated the opening of hospital schools. The importance of combining the educational and therapeutic process is proved. Thus, this combination improves the quality of medical care.
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Sartor, A. J., S. D. Ryan, T. Sellmeyer, S. J. Withrow, and L. E. Selmic. "Bi-institutional retrospective cohort study evaluating the incidence of osteosarcoma following tibial plateau levelling osteotomy (2000–2009)." Veterinary and Comparative Orthopaedics and Traumatology 27, no. 05 (2014): 339–45. http://dx.doi.org/10.3415/vcot-14-01-0006.
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SummaryObjectives: To evaluate the incidence and risk factors for occurrence of osteosarcoma (OSA) following tibial plateau levelling osteotomy (TPLO).Methods: Medical records of client-owned dogs that underwent consecutive TPLO procedures at two institutions were retrospectively reviewed. Referring veterinarians and owners were contacted for follow-up. Each institutional cohort was assessed separately, and the incidence density rate and median time to occurrence of OSA at the TPLO site and at other sites were calculated. Marginal Cox regression was used to calculate hazard ratios and 95% confidence intervals for potential risk factors for occurrence of OSA.Results: There were 472 CLINIC A (Colorado State University Veterinary Teaching Hospital) and 1992 CLINIC B (SAGE Centers for Veterinary Specialty and Emergency Care) TPLO cases with over one year of follow-up available. There were five and six dogs within the cohorts that developed OSA at the site of TPLO, and seven and 22 dogs that developed OSA at other anatomical sites, respectively. The incidence density rates of OSA at the TPLO site were 30.4 and 10.2 per 10,000 dog-years at risk, and other sites were 42.6 and 37.5 per 10,000 dog-years at risk. The median time to occurrence of OSA of TPLO site OSA was 4.6 and 4.4 years, which was longer than that of other site OSA of 2.9 and 3.4 years.Clinical significance: There is a low incidence of OSA following TPLO surgery. The longer time to occurrence for TPLO site OSA is similar to that for fracture-associated sarcoma, and could indicate a similar underlying pathophysiology rather than spontaneous OSA occurrence.
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Кuryk, O. G., М. Yu Коlomoiets, V. О. Yakovenko, Т. V. Теreshchenko Т. V. Теreshchenko, and R. P. Тkachenko. "Clinic-morphological diagnosis of Barrett’s esophagus." Klinicheskaia khirurgiia 85, no. 7 (July 26, 2018): 9–12. http://dx.doi.org/10.26779/2522-1396.2018.07.09.
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Objective. Determination of efficacy of morphological diagnosis of the Barrett’s esophagus (BE).
Маterials and methods. Diagnosis of BE in accordance to data obtained during screening endoscopic investigation with biopsy and morphological verification in 2014 - 2016 yrs, basing on Medical Centre «University Clinic «Оberig», Kyiv, was analyzed.
Results. BE was diagnosed in 841 (36.8%) patients (95% of confidence interval (CІ) 36.02 – 39.76) among 2405 patients, in whom esophagogastroscopy was conducted. Histologically cardiac metaplasia was revealed in 48 (5.71%) patients, fundic - in 136 (16.19%), intestinal specialized - in 625 (72.28%), and the mixed - in 32 (3.81%) patients. Dysplasia of high and low grades was diagnosed in 32 (3.81%) (95% CІ 2.04 – 4.62), including: in 24 (75.0%) - low, and in 8 (25.0%) – high. Аdenocarcinoma was revealed in 4 (0.47%) patients (95% CІ 0.20 – 1.36).
Conclusion. Мorphological verdict constitutes the main and objective criterion for the BE verification, what is important for selection of the treatment tactics and certainly help to determine the disease prognosis.
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Okulov, A. M. "M.P. Konchalovsky. Selected Works." Kazan medical journal 43, no. 4 (November 16, 2021): 101–4. http://dx.doi.org/10.17816/kazmj87381.
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Maxim Petrovich Konchalovsky (1875-1942) was one of the greatest therapists in the Soviet Union. He graduated from the medical faculty of Moscow University in 1899 and defended his doctoral dissertation in 1911. All his life and work were associated with the faculty therapeutic clinic (the university, and then the 1st Moscow Order of Lenin Medical Institute), where he came as a resident and which he headed from 1929 until the end of his life.
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Vecherkin, V. A., V. A. Ptitsyn, N. V. Glagolev, D. A. Baranov, A. A. Shestakov, and P. V. Koryashkin. "To the 115<sup>th</sup> anniversary of the birth of Anna A. Rusanova -an outstanding surgeon and teacher." Russian Journal of Pediatric Surgery 26, no. 4 (August 26, 2022): 245–49. http://dx.doi.org/10.55308/1560-9510-2022-26-4-245-249.
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Anna A. Rusanova (March 8, 1907 - May 5, 1991) - surgeon, teacher, professor (1961), Doctor of Medical Sciences (1961), memoirist.Graduated from the Medical Faculty of Voronezh State University (1929). During the Great Patriotic War, he was a military doctor. Dean (1944-1974), Head of the Department of Pediatric Surgery at the Pediatric Faculty of Voronezh State Medical University (1961-1972). Author of more than 100 scientific papers, including the book "Clinic and treatment of closed craniocerebral trauma" (1974). Author of posthumously published poems, documentary stories, memoirs.
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Moura, Ana Flávia, José A. Moura-Neto, Cibele Isaac Saad Rodrigues, Mariana O. Miranda, Tulio Coelho Carvalho, Nathalia Pereira Paschoalin Carvalho, Edison Souza, José A. Moura-Jr, and Constança Margarida S. Cruz. "Resistant hypertension: Prevalence and profile of patients followed in a university ambulatory." SAGE Open Medicine 9 (January 2021): 205031212110208. http://dx.doi.org/10.1177/20503121211020892.
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Background: Hypertension affects about 36 million Brazilians. It is estimated that 10%–20% of these have resistant hypertension. These patients are at an increased risk of early target organ damage, as well as cardiovascular and renal events. Objective: To estimate the prevalence of resistant hypertension in a specialized outpatient clinic, to describe the sociodemographic and clinical characteristics of these patients, and to identify possible factors associated with resistant hypertension. Methods: Data collection from medical records of hypertensive patients treated using oral antihypertensive drugs in optimized doses at a specialized university clinic from March 2014 to December 2014, after ethical approval statement. All patients were using appropriate antihypertensive drugs in optimized doses and assisted at a teaching-assistance clinic of internal medicine of the Bahiana School of Medicine and Public Health in Brazil. Results: A total of 104 patients were enrolled and 31.7% (n = 33) had criteria for resistant hypertension. Of the total participants, 75.7% were female and 54.8% were black or brown. The average age was 61.7 years (SD ± 10.1). In the resistant hypertension group, 63.6% had diabetes, compared to 32.4% in the hypertension group. Among resistant hypertensive patients, 51.5% had dyslipidemia. Regarding drug treatment, 75.8% of the resistant hypertension group and 51.4% of the hypertension group used statins. Among patients with resistant hypertension, 90.9% used angiotensin II receptor blockers and 66.7%, dihydropyridine calcium channel blockers. In the resistant hypertension group, 75.8% used beta-blockers, against 25.4% in the hypertension group. Conclusion: The prevalence of hypertension was higher than that described in the global literature, which may be associated with the high percentage of black and brown (“pardos”) patients in the population studied, and also because the study was performed in a specialized outpatient clinic.
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Gallagher, Aaron, Gabriela Steiner, Martha Michel, Cesar Nava Gonzales, Sabrina Mendez-Contreras, Alice Lu, Marcos Armendariz, Triveni DeFries, Suzanne Barakat, and Coleen Kivlahan. "Asylum seeker trauma in a student-run clinic: reducing barriers to forensic medical evaluations." Torture Journal 32, no. 3 (September 14, 2022): 49–64. http://dx.doi.org/10.7146/torture.v32i3.130227.
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Introduction: The number of forcibly displaced immigrants entering the United States continues to rapidly increase. Movement from Latin America across the southern border of the United States was the third-largest migration worldwide in 2017; the U.S. now serves as home to one-fifth of the world’s migrants (Budiman, 2020; Leyva-Flores et al., 2019). Reporting on the first two years of clients receiving forensic medical evaluations (FMEs) conducted by clinicians trained at University of California, San Francisco (UCSF), this descriptive study demonstrates the multiple layers and types of trauma in asylum seekers presenting to a student-run asylum clinic (SRAC) at an academic medical center.
Methods: A retrospective review of the first 102 asylum seekers presenting to a university-affiliated SRAC for forensic medical and psychological evaluations is summarized. Demographics, immigration history, medical and mental health histories, descriptions of extensive trauma and referral patterns are reported. Multivariate statistics were employed to investigate the relationship between past trauma and current mental health status.
Results: Clients reported extensive trauma histories, with an average of 4.4 different types of ill-treatment per person, including physical, psychological, and sexual violence. The current mental health burden was extensive with 86.9 percent of clients reporting symptoms of PTSD and/or depression. Clients were evaluated within a clinic structure that intentionally aligns with SAMHSA’s implementation domains of trauma-informed care using a continuous improvement model to reduce barriers to FMEs and promote longitudinal follow-up and referral access.
Discussion: This study demonstrates the profound trauma exposure reported by asylum seekers, as well as the adaptation of a SRAC to better respond to complex trauma through intentional structural and leadership decisions. The HRC experience provides a blueprint for other asylum clinics to implement systematic trauma-centered services.
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Ismagilov, M. F. "In memory of Professor Dmitry Petrovich Skolozubov." Neurology Bulletin XXXII, no. 1-2 (May 15, 2000): 80. http://dx.doi.org/10.17816/nb78844.
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1999 marked the 160th anniversary of the birth of the famous Russian neuropathologist Dmitry Petrovich Skolozubov, the first professor, head of the department and director of the clinic of nervous diseases of the medical faculty of the Kazan Imperial University.
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Koreň, Ján, Michal Andrezál, Hana Drahovská, Zuzana Hubenáková, Adriána Liptáková, and Tibor Maliar. "Next-Generation Sequencing of Carbapenem-Resistant Klebsiella pneumoniae Strains Isolated from Patients Hospitalized in the University Hospital Facilities." Antibiotics 11, no. 11 (November 3, 2022): 1538. http://dx.doi.org/10.3390/antibiotics11111538.
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Carbapenem-resistant (CR) Klebsiella pneumoniae represents an urgent worldwide threat. We focused on CR K. pneumoniae in selected facilities of the University Hospital Bratislava (UHB) to investigate sequence types (STs), clonal relatedness, and antimicrobial resistance. Suspected carbapenem-nonsusceptible K. pneumoniae strains were obtained from hospitalized patients. Further examination included carbapenemase confirmation, cgMLST, and quantitative susceptibility testing. Of the total 41 CR K. pneumoniae strains, 26 (63.4%) were determined as ST11 in hospital No. 1; of these ST11, 22 (84.6%) were found in the first internal clinic. Six (14.6%) ST258 and three (7.3%) ST584 occurred in hospital No. 2; the most, i.e., four (66.7%), ST258 were detected in the geriatric clinic. In hospital No. 3, we found two (4.8%) ST584 and one (2.4%) ST258. Of the ST11 set, 24 (92.3%) produced NDM-1. Furthermore, seven (87.5) ST258 and five (100%) ST584 strains generated KPC-2. Antimicrobial resistance was as follows: ertapenem 97.6%, meropenem 63.4%, tigecycline 7.3%, eravacycline 7.3%, and colistin 2.5%. We revealed a presumably epidemiological association of ST11 with transmission, particularly in the first internal clinic of hospital No. 1, while ST258 and ST584 were related to interhospital dissemination between medical facilities No. 2 and No. 3. It is essential to prevent the circulation of these pathogens within and between healthcare facilities.
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Yusup, Deni K., Burhanuddin Hamnach, and Cate Sumner. "The Opportunities and Challenges of Student Paralegal within University Legal Clinic at PTKIN." AL-'ADALAH 16, no. 2 (January 23, 2020): 225–48. http://dx.doi.org/10.24042/adalah.v16i2.5659.
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This paper is motivated by the role of the university legal clinic under the spirit of implementing the third of university role in the field of community service. In practice, legal aid services at universities are not different from general aid agencies in general. One of the uniqueness of the university legal clinic program is the direct involvement of student paralegal in helping the clients to get legal aid services within the university and court. The student paralegal encounters various opportunities and challenges. The main opportunities, they have their passion and strong motivation to become justice fighters for justice seekers, while they have also the main challenges such as limited time, facilities, knowledge, and legal skills. However, the existence of student paralegal has proven to be very helpful for the clients not only in processing applications and registering cases in court but also in assisting clients in the form of consultation and legal assistance during non-litigation and litigation. Therefore, the university legal clinic program needs to be further strengthened and developed at PTKIN because it has proven positive implications for helping underprivileged people and justice seekers to get access to justice.
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Slark, Hollie. "Three Months in China." Acupuncture in Medicine 18, no. 1 (June 2000): 61–64. http://dx.doi.org/10.1136/aim.18.1.61.
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An eight week period of study was undertaken at Shanghai Medical University as a student elective from Manchester University Medical School. During this time the student was taught elements of the traditional theory of acupuncture and was given clinical training in acupuncture, electroacupuncture, moxibustion, cupping and herbal injection. A good variety of medical problems were seen being treated. The process of selecting a suitable venue for a student elective in China is discussed, as is the teaching routine in an acupuncture clinic.
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Kamalov, I. I. "Republican Scientific and Practical Conference "Modern Methods of Diagnostics and Treatment of Patients in Clinic"." Kazan medical journal 78, no. 1 (February 15, 1997): 77–78. http://dx.doi.org/10.17816/kazmj81137.
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Prospects of development of the Department of Radiation Diagnostics and Radiation Therapy of Kazan Medical University, which celebrated its 60th anniversary, was devoted to the report of Prof. I.I. Kamalov (Kazan).
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Alsager, Ghadeer Abdullah, Khalid Alzahrani, Fahad Alshayhan, Raghad A. Alotaibi, Khalid Murrad, and Orfan Arafah. "Prevalence and classification of accessory navicular bone: a medical record review." Annals of Saudi Medicine 42, no. 5 (September 2022): 327–33. http://dx.doi.org/10.5144/0256-4947.2022.327.
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BACKGROUND: The accessory navicular bone (ANB) is one of the most common accessory bones in the foot. Certain pathologies, such as posterior tibial tendon insufficiency are associated with ANB, and should be differentiated from midfoot and hindfoot fractures such as navicular tuberosity avulsion fractures. There are few studies addressing the prevalence and types of ANB in Saudi Arabia. OBJECTIVES: Determine the prevalence and morphological variations of ANB and its relation with age and sex in patients visiting foot and ankle clinics. DESIGN: Medical record review SETTING: Orthopedic foot and ankle clinic at a university hospital. PATIENTS AND METHODS: The presence of ANB was retrospectively analyzed in radiographs from patients who presented to the orthopedic foot and ankle at our university hospital from February 2010 to December 2020. The patients were stratified according to sex, age, and diagnosis. For each ANB, recorded information included site, size, classification, subtypes, and symptomatology. Purposive sampling was used to select the patients for the study (non-probability sampling). MAIN OUTCOME MEASURES: Prevalence of ANB in patients attending a foot and ankle clinic. SAMPLE SIZE: 117 patients and 194 feet. RESULTS: ANB was analyzed in 1006 radiographs from 503 patients. ANB was detected in 117 (23.3%) patients and 194 (19.3%) feet Prevalence was significantly higher in females (67.5%) than in males (32.5%) (Z=5.359, P <.001). The ages ranged from 19 to 86 years, with a mean age of 48.26 (14.5) years. The most common site was bilateral (77 patients, 65.8 %). Type I was the most common type, with a prevalence of 42.1%. There were no significant differences in types in relation to sex, but all types and subtypes differed significantly from each other. CONCLUSION: ANB was common among patients presenting to the foot and ankle clinic, with an overall prevalence of 23.3%. It should be considered among the differential diagnosis in chronic foot pain, and should be differentiated from midfoot and hindfoot fractures. Further studies with a larger, randomized sample are needed, for more accuracy and to confirm the reported results. LIMITATIONS: Retrospective chart review, non-probability sampling, and use of plain radiographs. CONFLICT OF INTEREST: None.
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Okulov, K. A. "P. V. Manenkov. Results of clinical experience. Kazan University Publishing House. 1968, 5,125 pp. Circulation 2000. The price is 75 kopecks." Kazan medical journal 50, no. 4 (March 31, 2022): 108–9. http://dx.doi.org/10.17816/kazmj104242.
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The author of the book, Professor Pavel Vasilyevich Manenkov, is a student of the famous Professor Viktorin Sergeevich Gruzdev, his successor at the Department of Obstetrics and Gynecology at the Kazan Medical Institute and currently a consultant at the clinic.
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Andreev, Alexander Alekceevich, and Anton Petrovich Ostroushko. "LEVIT Vladimir Semenovich – doktor meditsinskikh nauk, professor, zasluzhennyy deyatel' nauki RSFSR, vydayushchiysya khirurg, dekan meditsinskogo fakul'teta Irkutskogo universiteta, general-mayor meditsinskoy sluzhby." Vestnik of Experimental and Clinical Surgery 11, no. 2 (June 30, 2018): 151. http://dx.doi.org/10.18499/2070-478x-2018-11-2-151.
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Vladimir Semyonovich Levit was born in 1883 and after graduation from the gymnasium he studied at the Medical Faculty of the University of Koenigsberg (1901-1906), worked in the Ardatov Zemstvo of the Simbirsk Gubernia. In 1914, Vladimir Semenovich defended his doctoral dissertation, became head of the surgical department of the Simbirsk Province Hospital, and began teaching at a paramedic school. V.S. Levit was elected privat-docent of the faculty surgical clinic of Tomsk University (1919), privat-docent (1922), then professor and head of the department of the faculty surgical clinic, dean of the medical faculty (1922-1926) of Irkutsk University, head of the department of hospital surgery of medical faculty. 2 Moscow University (since 1926), which is headed for 27 years. V.S. Levit for the first time in the USSR successfully resected cardia (1928), surgery for hernia of the esophageal aperture (1929). In 1936 he was awarded the title of Honored Scientist of the RSFSR. During the Great Patriotic War V.S. Levit was appointed chief surgeon of the Moscow Military District, deputy chief surgeon of the Soviet Army (1942), and in 1943 he became a major general of the medical service. Since 1950, V.S. Levit - chief surgeon of the Central Military Hospital. P.V. Mandrika. He published 120 scientific works, he was the editor of 3-volume manual, 2-volume textbook on surgery, the surgical section of the Great Medical Encyclopedia, the publication "The Experience of Soviet Medicine in the Great Patriotic War of 1941-1945." V.S. Levit was the editor of the magazine "Soviet Surgery" (later "Surgery") (1931-1953), a member of the editorial board of the journals "New Surgery", "Russian Clinic", "Central Medical Journal." He was the head and scientific consultant in the preparation of 23 candidate and 10 doctoral dissertations. V.S. Levit was a member of the International Surgical Society, chairman of the Moscow Surgical Society, a member of the Academic Council of the Ministry of Health of the USSR, and district Soviets of Working People's Deputies. V.S. Leviticus was awarded the Order of the Red Banner, the Patriotic War of the 2nd degree, the Red Star, medals. V.S. Leviticus died in 1961 in Moscow.
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kler, Erdem, Zehra Erkol, and Gamze er. "Forensic Medical Evaluation of Nasal Trauma Cases." Annals of Medical Research 29, no. 6 (2022): 1. http://dx.doi.org/10.5455/annalsmedres.2021.12.652.
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Aim: The purpose of this study was to evaluate the cases for which a final report was made due to nasal trauma and to reveal the errors made in the diagnosis. Materials and Methods: Among the forensic reports prepared in the Forensic Medicine Clinic of Bolu Abant İzzet Baysal University Training and Research Hospital between 2015-2019, cases with "a history of nasal trauma" were included in the study. Result: In this study, 315 cases with a history of nasal trauma were included. Two hundred sixty-four (83.8%) of the cases were male and 51 (16.2%) are female. Two hundred thirty-one of the cases (73.3%) were injured as a result of the intentional blunt injuries. Before applying to the Forensic Medicine Clinic, 28 (8.9%) of the cases were evaluated only by physical examination, 46 (14.6%) by physical examination + direct radiography, 241 (76.5%) by physical examination + direct radiography + CT. It was evaluated that the report prepared by emergency department physicians on 203 cases (64.4%) was correct, whereas the report prepared on 112 (35.6%) cases was erroneous. It was evaluated that the reports prepared by Otorhinolaryngologists on 117 cases (80.1%) were correct, whereas the reports prepared on 29 (19.9%) cases were erroneous. Conclusion: We believe that it is more appropriate to give the final forensic report of cases with nasal trauma by a Forensic Medicine Specialist rather than Emergency Department physicians or an Otorhinolaryngologist.
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Adams, Adrienne L., and Patricia Meaden. "A 12-Week Comparison Regarding Symptom Improvement in an Urban University-Based Outpatient Child Psychiatry Clinic." American Journal of Therapeutics 21, no. 1 (2014): 10–14. http://dx.doi.org/10.1097/mjt.0b013e3182949971.
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Zakiev, R. Z., and V. V. Guryanov. "125 years of the Department of Skin and Venereal Diseases of Kazan State Medical University." Kazan medical journal 78, no. 6 (December 15, 1997): 469–70. http://dx.doi.org/10.17816/kazmj83702.
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The Chair of skin and venereal diseases was organized in 1872. Its first head was professor A.G. Ge, who graduated from the Medical faculty of Kazan University in 1865 and as early as 1868 defended his thesis for a Doctor of Medicine degree. From 1870 to 1872 A. G. Ge studied skin and venereal diseases abroad, in the clinics of the largest dermatologists Gebra, Zeisle, Sigmund and Brucke (in Vienna and Wrzburg). Thanks to his persistence and efforts on March 1, 1900 a new clinic was opened, built on donations of State Councilor I.I. Alafuzov, the owner of several factories in Kazan. A.G. Ge owns 20 works. The result of my many years of clinical teaching, personal observations and researches was the textbook "The course of venereal diseases", which was reprinted 8 times during the author's life. A considerable part of my works is devoted to the issues of organization of struggle against syphilis and prostitution. Prof. A.G. Ge headed the department for 35 years.
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Thimme, Robert, Heike Pahl, Karin Werner, Irene Nagel, and Leena Bruckner-Tuderman. "Strukturierte Karrierewege in der Universitätsmedizin." DMW - Deutsche Medizinische Wochenschrift 144, no. 07 (March 29, 2019): 489–93. http://dx.doi.org/10.1055/a-0851-5750.
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AbstractScientifically active medical doctors are required for successful translation of novel basic findings into the clinic. However, there is an increasing tendency of young medical doctors to primarily follow a more clinically and not scientifically orientated career pathway. Therefore, the establishment of novel career education structures and career perspectives in university medicine are important to stop this development. Here, we will discuss the current situation and ongoing attempts to design novel structural programs that allow a better combination of clinical and scientific work by highlighting also current developments at the Faculty of Medicine at the University of Freiburg.
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Sharrief, Anjail Z., Evelyn Hinojosa, Gail Cooksey, Munachi N. Okpala, Elenir B. Avritscher, Claudia Pedroza, Mary Carter Denny, Joshua Samuels, Jon E. Tyson, and Sean I. Savitz. "Does care in a specialised stroke prevention clinic improve poststroke blood pressure control: a protocol for a randomised comparative effectiveness study." BMJ Open 9, no. 2 (February 2019): e024695. http://dx.doi.org/10.1136/bmjopen-2018-024695.
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IntroductionHypertension is a major risk factor for recurrent stroke, and blood pressure (BP) reduction is associated with decreased risk of stroke recurrence. However, many stroke survivors have poorly controlled BP after their initial stroke. The Stroke Transitions Education and Prevention (STEP) Clinic was established to provide a comprehensive approach to stroke risk factor reduction.Methods and analysisThis randomised comparative effectiveness study was designed to assess the impact of care in the STEP clinic versus usual care on poststroke BP reduction. Eligible hospitalised patients with ischaemic stroke, haemorrhagic stroke or transient ischaemic attack are scheduled for a clinic screening visit within 4 weeks of discharge if they meet baseline inclusion criteria. At the clinic visit, patients who have uncontrolled BP, defined as automated office BP ≥135/85 mm Hg are randomised (1:1) to either the STEP clinic or usual care for management. STEP clinic patients receive instructions to self-monitor, a BP monitor, sleep apnoea screening, dietary counselling, review of BP monitoring records and adjustment of medications. Patients are followed by a neurologist and a stroke-trained nurse practitioner. Usual care participants are seen by a neurologist and recommendations for secondary prevention are sent to primary care providers. The primary outcome is the difference in mean daytime ambulatory systolic BP at 6 months, assessed using linear regression analysis. Secondary outcomes include 24 hours ambulatory BP, medication adherence and medication self-efficacy, and composite cardiovascular events.Ethics and disseminationThis study was approved by the Institutional Review Boards at the McGovern Medical School at the University of Texas Health Sciences Center and the Georgetown University School of Medicine. Uninsured and Spanish-speaking patients are included in the study.Trial registration numberNCT02591394; Pre-results.