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Stiff upper lips.

Explore the source record for details and available documents.

Abortion, Induced↗
PubMed1992

[Effects of diabetes education in children].

This article presents the results of a research project on psychological as well as medical effects of diabetes-education on young children. The education programme influences some aspects of the emotional attitude of children towards their diabetes in a positive way. Significant results are found on three topics: the emotional attitude towards diabetes(care), speaking up about diabetes in the social environment, and taking own responsibility towards diabetes(care). The medical effects tested are not significantly influenced. Children and parents experience (the results of) the education programme commonly in a positive way.

Child↗
PubMed1993

Clinical skills training of U.S. medical students.

BACKGROUND: Although there is general agreement that the teaching of clinical procedures needs vast improvement, little appears to have been done to achieve this goal, particularly with regard to medical students. METHOD: In the summer and fall of 1992, 60 U.S. medical schools participated in a telephone survey about how they taught clinical procedures to medical students. The schools were in 30 states and the District of Columbia; 36 were public and 24 were private. The schools were asked to describe what procedures were taught, how, and over what duration of time, with a focus on whether students were taught procedures prior to their clinical rotations. RESULTS: More than three-fourths of the schools (47 of 60) offered nothing other than an introduction to phlebotomy. Only four schools offered more extensive courses (40-50 hours) that covered a variety of topics. CONCLUSION: Few schools had adopted any formal method for training students to perform clinical procedures. In light of this problem, the authors describe a solution that has proven popular at the Stanford University School of Medicine--an elective course in surgical skills developed in 1988-89 and continuing to the present. Although the content of this particular course focuses on surgical procedures, important topics from other disciplines could easily be added or substituted. The course incorporates techniques that have previously been shown to be successful, such as the use of plastic models and cadavers. It also enables students to learn by performing procedures on each other, and to benefit from continuity of supervision by being taught by one faculty member.

Clinical Clerkship↗
PubMed1996

The challenge to medical research in a cost-competitive environment. Interview by Mark Harris.

As managed care and government actions threaten the financial base of research and education at America's teaching hospitals, they must find new sources of funds. Mary Woolley of the advocacy group Research!America notes that the heads of healthcare systems can help reverse the downward trend in funding and gain a competitive edge with the public, who favor spending more on research.

Academic Medical Centers↗
PubMed2007

Clinical review of 202 patients with vulval lichen sclerosus: A possible association with psoriasis.

Two hundred and two patients with clinically typical or biopsy-confirmed vulval lichen sclerosus were reviewed either at consultation (75%) or by retrospectively examining their chart. At diagnosis, 79% were 50 years or older. Ninety-six per cent complained of itching, pain and/or dyspareunia. Lichen sclerosus most often affected the labia minora and perineum but 50% had perianal and 13% had extragenital disease. Thirty-five patients gave a history of psoriasis (17%), which affected the vulval area in 10. Thyroid disease was reported in 39 patients (19%), and 33 gave a family history of thyroid disease. Of those tested (142), 20% had elevated thyroid antibodies. Topical clobetasol propionate was very effective but at least intermittent treatment was required long term in 85%. At follow up, 101 of 185 patients (56%) were asymptomatic but 22 (12%) continued to have moderate-to-severe symptoms. Thyroid disease and psoriasis are common associated conditions.

Administration, Cutaneous↗
PubMed2003

Family-friendly policies: general nurses' preferences and experiences.

While European Union policy emphasises that one of the aims of family-friendly working arrangements is to increasing gender equality, in the UK the focus has been primarily on workforce retention. Drawing on a study of Registered General Nurses who returned to work after breaks for maternity leave, this paper considers their preferences and experiences in light of current UK family-friendly policies and the implications of the findings for increasing gender equality. Questionnaires were completed by respondents in three regional health authorities and focused on the four to eight year period after qualification. The following topics were investigated: views about length of maternity break and reasons for returning to work sooner than preferred; hours sought after a return and hours obtained; the availability of preferred patterns of work and of flexible hours; retention of grade on return; the availability and use of workplace crèches, and childcare arrangements when children were unwell.

Child Day Care Centers↗