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Bichel-Findlay J, Koch S, Mantas J, Abdul SS, Al-Shorbaji N, Ammenwerth E, Baum A, Borycki EM, Demiris G, Hasman A, Hersh W, Hovenga E, Huebner UH, Huesing ES, Kushniruk A, Hwa Lee K, Lehmann CU, Lillehaug SI, Marin HF, Marschollek M, Martin-Sanchez F, Merolli M, Nishimwe A, Saranto K, Sent D, Shachak A, Udayasankaran JG, Were MC, Wright G. Recommendations of the International Medical Informatics Association (IMIA) on Education in Biomedical and Health Informatics: Second Revision. Int J Med Inform 2023; 170:104908. [PMID: 36502741 DOI: 10.1016/j.ijmedinf.2022.104908] [Citation(s) in RCA: 10] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2022] [Accepted: 10/23/2022] [Indexed: 11/06/2022]
Abstract
BACKGROUND The purpose of educational recommendations is to assist in establishing courses and programs in a discipline, to further develop existing educational activities in the various nations, and to support international initiatives for collaboration and sharing of courseware. The International Medical Informatics Association (IMIA) has published two versions of its international recommendations in biomedical and health informatics (BMHI) education, initially in 2000 and revised in 2010. Given the recent changes to the science, technology, the needs of the healthcare systems, and the workforce of BMHI, a revision of the recommendations is necessary. OBJECTIVE The aim of these updated recommendations is to support educators in developing BMHI curricula at different education levels, to identify essential skills and competencies for certification of healthcare professionals and those working in the field of BMHI, to provide a tool for evaluators of academic BMHI programs to compare and accredit the quality of delivered programs, and to motivate universities, organizations, and health authorities to recognize the need for establishing and further developing BMHI educational programs. METHOD An IMIA taskforce, established in 2017, updated the recommendations. The taskforce included representatives from all IMIA regions, with several having been involved in the development of the previous version. Workshops were held at different IMIA conferences, and an international Delphi study was performed to collect expert input on new and revised competencies. RESULTS Recommendations are provided for courses/course tracks in BMHI as part of educational programs in biomedical and health sciences, health information management, and informatics/computer science, as well as for dedicated programs in BMHI (leading to bachelor's, master's, or doctoral degree). The educational needs are described for the roles of BMHI user, BMHI generalist, and BMHI specialist across six domain areas - BMHI core principles; health sciences and services; computer, data and information sciences; social and behavioral sciences; management science; and BMHI specialization. Furthermore, recommendations are provided for dedicated educational programs in BMHI at the level of bachelor's, master's, and doctoral degrees. These are the mainstream academic programs in BMHI. In addition, recommendations for continuing education, certification, and accreditation procedures are provided. CONCLUSION The IMIA recommendations reflect societal changes related to globalization, digitalization, and digital transformation in general and in healthcare specifically, and center on educational needs for the healthcare workforce, computer scientists, and decision makers to acquire BMHI knowledge and skills at various levels. To support education in BMHI, IMIA offers accreditation of quality BMHI education programs. It supports information exchange on programs and courses in BMHI through its Working Group on Health and Medical Informatics Education.
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Affiliation(s)
| | - Sabine Koch
- Health Informatics Centre, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Sweden
| | - John Mantas
- Health Informatics Lab, School of Health Sciences, National and Kapodistrian University of Athens, Greece
| | - Shabbir S Abdul
- Graduate Institute of Biomedical Informatics, Taipei Medical University, Taiwan
| | | | - Elske Ammenwerth
- UMIT - Private University for Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria
| | - Analia Baum
- Hospital Italiano de Buenos Aires, Health Informatics Department, Argentina
| | | | - George Demiris
- Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, United States
| | - Arie Hasman
- Department of Medical Informatics Amsterdam UMC, location AMC, The Netherlands
| | - William Hersh
- Department of Medical Informatics & Clinical Epidemiology, School of Medicine, Oregon Health & Science University, United States
| | - Evelyn Hovenga
- Digital Health, Australian Catholic University, Australia
| | - Ursula H Huebner
- Hochschule Osnabrueck - University AS Osnabrueck, Department of Business Management and Social Sciences, Germany
| | | | - Andre Kushniruk
- School of Health Information Science, University of Victoria, Canada
| | - Kye Hwa Lee
- Department of Information Medicine, Asan Medical Center and University of Ulsan College of Medicine, South Korea
| | - Christoph U Lehmann
- Clinical Informatics Center, University of Texas Southwestern Medical Center, United States
| | | | | | - Michael Marschollek
- Peter L. Reichertz Institute for Medical Informatics of TU Braunschweig and Hannover Medical School, Germany
| | | | - Mark Merolli
- Department of Physiotherapy, School of Health Sciences, Centre for Health, Exercise and Sports Medicine, Centre for Digital Transformation of Health, The University of Melbourne, Australia
| | - Aurore Nishimwe
- Health Informatics Program, College of Medicine and Health Sciences, University of Rwanda, Rwanda
| | - Kaija Saranto
- Health and Human Services Informatics, University of Eastern Finland, Finland
| | - Danielle Sent
- Department of Medical Informatics Amsterdam UMC, location AMC, The Netherlands
| | - Aviv Shachak
- Institute of Health Policy, Management and Evaluation (Dalla Lana School of Public Health), University of Toronto, Canada
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Puviani M, Baum A, Ono S, Ando Y, Hackl R, Manske D. Puviani et al. Reply. Phys Rev Lett 2022; 129:199702. [PMID: 36399762 DOI: 10.1103/physrevlett.129.199702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Accepted: 10/05/2022] [Indexed: 06/16/2023]
Affiliation(s)
- M Puviani
- Max Planck Institute for Solid State Research, 70569 Stuttgart, Germany
| | - A Baum
- Walther Meissner Institut, Bayerische Akademie der Wissenschaften, 85748 Garching, Germany
| | - S Ono
- Central Research Institute of Electric Power Industry, Yokosuka, 240-0196 Kanagawa, Japan
| | - Y Ando
- Institute of Physics II, University of Cologne, 50937 Köln, Germany
| | - R Hackl
- Walther Meissner Institut, Bayerische Akademie der Wissenschaften, 85748 Garching, Germany
| | - D Manske
- Max Planck Institute for Solid State Research, 70569 Stuttgart, Germany
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Kostyrko K, Hinkel M, Traexler P, Arnold D, Melo-Zainzinger G, Gerlach D, Ruzicka R, Jacob R, Baum A, Lu H, Vellano C, Marszalek J, Heffernan T, Tontsch-Grunt U, Hofmann M. MEKi-based combination strategies for targeting KRAS-driven cancer. Eur J Cancer 2022. [DOI: 10.1016/s0959-8049(22)00945-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Duffrin M, Holben D, Evans R, c. Wang, Burnett D, Henes S, Baum A, De Chabert-rRos J, Diaz S. The FoodMASTER Initiative Deep South Network: Impacting STEM Education Learning Environments with Food-Based Activities. J Acad Nutr Diet 2022. [DOI: 10.1016/j.jand.2022.08.079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Puviani M, Baum A, Ono S, Ando Y, Hackl R, Manske D. Calculation of an Enhanced A_{1g} Symmetry Mode Induced by Higgs Oscillations in the Raman Spectrum of High-Temperature Cuprate Superconductors. Phys Rev Lett 2021; 127:197001. [PMID: 34797154 DOI: 10.1103/physrevlett.127.197001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Revised: 05/20/2021] [Accepted: 09/30/2021] [Indexed: 06/13/2023]
Abstract
In superconductors the Anderson-Higgs mechanism allows for the existence of a collective amplitude (Higgs) mode which can couple to eV light mainly in a nonlinear Raman-like process. The experimental nonequilibrium results on isotropic superconductors have been explained going beyond the BCS theory including the Higgs mode. Furthermore, in anisotropic d-wave superconductors strong interaction effects with other modes are expected. Here we calculate the Raman contribution of the Higgs mode from a new perspective, including many-body Higgs oscillations effects and their consequences in conventional, spontaneous Raman spectroscopy. Our results suggest a significant contribution to the intensity of the A_{1g} symmetry Raman spectrum in d-wave superconductors. In order to test our theory, we predict the presence of measurable characteristic oscillations in THz quench-optical probe time-dependent reflectivity experiments.
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Affiliation(s)
- M Puviani
- Max Planck Institute for Solid State Research, 70569 Stuttgart, Germany
| | - A Baum
- Walther Meissner Institut, Bayerische Akademie der Wissenschaften, 85748 Garching, Germany
| | - S Ono
- Central Research Institute of Electric Power Industry, Yokosuka, 240-0196 Kanagawa, Japan
| | - Y Ando
- Institute of Physics II, University of Cologne, 50937 Köln, Germany
| | - R Hackl
- Walther Meissner Institut, Bayerische Akademie der Wissenschaften, 85748 Garching, Germany
| | - D Manske
- Max Planck Institute for Solid State Research, 70569 Stuttgart, Germany
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6
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Garcia Saiso S, Marti MC, Malek Pascha V, Pacheco A, Luna D, Plazzotta F, Nelson J, Tejerina L, Bagolle A, Savignano MC, Baum A, Orefice PJ, Haddad AE, Messina LA, Lopes P, Rubió FS, Otzoy D, Curioso WH, Luna A, Medina FM, Sommer J, Otero P, De Quiros FGB, D'Agostino M. [Implementation of telemedicine in the Americas: Barriers and facilitatorsBarreiras e facilitadores para a implementação da telemedicina nas Américas]. Rev Panam Salud Publica 2021; 45:e131. [PMID: 34703460 PMCID: PMC8530000 DOI: 10.26633/rpsp.2021.131] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2021] [Accepted: 06/28/2021] [Indexed: 11/24/2022] Open
Abstract
Con millones de personas en el mundo en situación de distanciamiento físico por el COVID-19, las tecnologías de la información y comunicaciones (TICs) se han posicionado como uno de los medios principales de interacción y colaboración. Ya al inicio de este milenio se empezaban a mencionar las siguientes ventajas: mayor acceso a la información y a la prestación de servicios; fortalecimiento educativo; control de calidad de los programas de detección y reducción de los costos de la atención de en salud. Sin embargo, entre las principales barreras de adopción de la telemedicina se encuentran las de índole: tecnológicas; humanas y sociales; psico-sociales y antropológicas; de Gobernanza y económicas. En estos 20 años se logró un aumento en los recursos y capacidad técnica, una mejora en la educación digital, un empoderamiento del paciente en su tratamiento y un mayor interés público en esta área. En especial se considera exitosa la conformación de equipos interdisciplinarios, las redes académicas y profesionales y las consultas médicas virtuales. Después de revisar el estado de la telemedicina en la Región de las Américas, los autores recomiendan adoptar medidas urgentes para poner en práctica políticas y programas nacionales de telemedicina, incluyendo el marco normativo y presupuesto necesario, cuya implementación se realice de manera integral e interoperable y que se sustente de redes académicas, de colaboración e instituciones especializadas. Dichas políticas deben generar un contexto habilitante que den sostenibilidad al avance logrado, considerando los aspectos mencionados en las posibles barreras.
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Affiliation(s)
- Sebastian Garcia Saiso
- Organización Panamericana de la Salud Washington D.C. Estados Unidos Organización Panamericana de la Salud, Washington D.C., Estados Unidos
| | - Myrna C Marti
- Consultora internacional Argentina Consultora internacional, Argentina
| | | | - Adrian Pacheco
- CENETEC Ciudad de México México CENETEC, Ciudad de México. México
| | - Daniel Luna
- Hospital Italiano de Buenos Aires Ciudad Autónoma de Buenos Aires Argentina Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
| | - Fernando Plazzotta
- Hospital Italiano de Buenos Aires Ciudad Autónoma de Buenos Aires Argentina Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
| | - Jennifer Nelson
- Banco Interamericano de Desarrollo Washington D.C. Estados Unidos Banco Interamericano de Desarrollo, Washington D.C., Estados Unidos
| | - Luis Tejerina
- Banco Interamericano de Desarrollo Washington D.C. Estados Unidos Banco Interamericano de Desarrollo, Washington D.C., Estados Unidos
| | - Alexandre Bagolle
- Banco Interamericano de Desarrollo Washington D.C. Estados Unidos Banco Interamericano de Desarrollo, Washington D.C., Estados Unidos
| | - Maria Celeste Savignano
- Hospital de Pediatría "Prof Dr. Juan P. Garrahan" Ciudad Autónoma de Buenos Aires Argentina Hospital de Pediatría "Prof Dr. Juan P. Garrahan", Ciudad Autónoma de Buenos Aires, Argentina
| | - Analia Baum
- Ministerio de Salud de la Ciudad Autónoma de Buenos Aires Argentina Ministerio de Salud de la Ciudad Autónoma de Buenos Aires, Argentina
| | | | - Ana Estela Haddad
- Universidad de Sao Paulo San Pablo Brasil Universidad de Sao Paulo, San Pablo, Brasil
| | - Luiz Ary Messina
- Rede Nacional de Ensino e Pesquisa Rio de Janeiro Brasil Rede Nacional de Ensino e Pesquisa, Rio de Janeiro, Brasil
| | - Paulo Lopes
- Rede Nacional de Ensino e Pesquisa Rio de Janeiro Brasil Rede Nacional de Ensino e Pesquisa, Rio de Janeiro, Brasil
| | - Francesc Saigí Rubió
- Universitat Oberta de Catalunya Barcelona España Universitat Oberta de Catalunya, Barcelona, España
| | - Daniel Otzoy
- Red Centroamericana de Informática en Salud Guatemala Red Centroamericana de Informática en Salud, Guatemala, Guatemala
| | - Walter H Curioso
- Universidad Continental Lima Perú Universidad Continental, Lima, Perú
| | - Antonio Luna
- Hospital de Pediatría "Prof Dr. Juan P. Garrahan" Ciudad Autónoma de Buenos Aires Argentina Hospital de Pediatría "Prof Dr. Juan P. Garrahan", Ciudad Autónoma de Buenos Aires, Argentina
| | | | - Janine Sommer
- Hospital Italiano de Buenos Aires Ciudad Autónoma de Buenos Aires Argentina Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
| | - Paula Otero
- Hospital Italiano de Buenos Aires Ciudad Autónoma de Buenos Aires Argentina Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina
| | - Fernán González Bernaldo De Quiros
- Ministerio de Salud de la Ciudad Autónoma de Buenos Aires Argentina Ministerio de Salud de la Ciudad Autónoma de Buenos Aires, Argentina
| | - Marcelo D'Agostino
- Organización Panamericana de la Salud Washington D.C. Estados Unidos Organización Panamericana de la Salud, Washington D.C., Estados Unidos
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He G, Li D, Jost D, Baum A, Shen PP, Dong XL, Zhao ZX, Hackl R. Raman Study of Cooper Pairing Instabilities in (Li_{1-x}Fe_{x})OHFeSe. Phys Rev Lett 2020; 125:217002. [PMID: 33274977 DOI: 10.1103/physrevlett.125.217002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/20/2020] [Accepted: 10/15/2020] [Indexed: 06/12/2023]
Abstract
We studied the electronic Raman spectra of (Li_{1-x}Fe_{x})OHFeSe as a function of light polarization and temperature. In the B_{1g} spectra alone we observe the redistribution of spectral weight expected for a superconductor and two well-resolved peaks below T_{c}. The nearly resolution-limited peak at 110 cm^{-1} (13.6 meV) is identified as a collective mode. The peak at 190 cm^{-1} (23.6 meV) is presumably another collective mode since the line is symmetric and its energy is significantly below the gap energy observed by single-particle spectroscopies. Given the experimental band structure of (Li_{1-x}Fe_{x})OHFeSe, the most plausible explanations include conventional spin-fluctuation pairing between the electron bands and the incipient hole band and pairing between the hybridized electron bands. The absence of gap features in A_{1g} and B_{2g} symmetry favors the second case. Thus, in spite of various differences between the pnictides and chalcogenides, this Letter demonstrates the proximity of pairing states and the importance of band structure effects in the Fe-based compounds.
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Affiliation(s)
- G He
- Walther Meissner Institut, Bayerische Akademie der Wissenschaften, 85748 Garching, Germany
| | - D Li
- Beijing National Laboratory for Condensed Matter Physics, Institute of Physics, Chinese Academy of Sciences, Beijing 100190, China
- School of Physical Sciences, University of Chinese Academy of Sciences, Beijing 100049, China
| | - D Jost
- Walther Meissner Institut, Bayerische Akademie der Wissenschaften, 85748 Garching, Germany
- Fakultät für Physik E23, Technische Universität München, 85748 Garching, Germany
| | - A Baum
- Walther Meissner Institut, Bayerische Akademie der Wissenschaften, 85748 Garching, Germany
| | - P P Shen
- Beijing National Laboratory for Condensed Matter Physics, Institute of Physics, Chinese Academy of Sciences, Beijing 100190, China
- School of Physical Sciences, University of Chinese Academy of Sciences, Beijing 100049, China
| | - X L Dong
- Beijing National Laboratory for Condensed Matter Physics, Institute of Physics, Chinese Academy of Sciences, Beijing 100190, China
- School of Physical Sciences, University of Chinese Academy of Sciences, Beijing 100049, China
- Songshan Lake Materials Laboratory, Dongguan, Guangdong 523808, China
| | - Z X Zhao
- Beijing National Laboratory for Condensed Matter Physics, Institute of Physics, Chinese Academy of Sciences, Beijing 100190, China
- School of Physical Sciences, University of Chinese Academy of Sciences, Beijing 100049, China
- Songshan Lake Materials Laboratory, Dongguan, Guangdong 523808, China
| | - R Hackl
- Walther Meissner Institut, Bayerische Akademie der Wissenschaften, 85748 Garching, Germany
- Fakultät für Physik E23, Technische Universität München, 85748 Garching, Germany
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Middleton N, Christodoulides V, Hadjigeorgiou E, Nicolaou C, Gourounti C, Leiweiber J, Gouni O, Baum A, Kolokotroni O. Shaping Baby Buddy Cyprus: eHealth literacy for the transition to parenthood. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa165.908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Issue
The transition to parenthood presents opportunities to promote mother-child health. Though of varying quality, internet information-seeking is prevalent while attendance in antenatal classes is low. Digital innovation can support access to timely and valid information for all, key component of WHO's Respectful Maternity Care.
Description of the problem
”Baby Buddy Forward” assessed the cross-national transferability of the innovative Baby Buddy (UK) healthy pregnancy and early parenthood app to the medicalized and decentralized birth environment in Cyprus. Within a Participatory Action Research (PAR) framework, formative qualitative and quantitative methods were employed to engage with the professional and mums-to-be community and deliver a locally relevant resource to enhance user-provider communication and shared decision-making.
Results
We (a) assessed available resources in a structured quantitative and qualitative rating exercise, (b) identified gaps and priorities in an eDelphi survey (N = 275 mums and 193 professionals, re-rated at annual Midwifery conference), (c) gained in-depth understanding of information-seeking behaviours in a series of focus groups with a diverse set of mums-to-be (N = 100) and (d) explored perceptions about the use of internet for information in pregnancy and the quality of communication with professionals in a questionnaire survey (N = 200). New health communication material was co-created with participants and an intervention for embedding the tool in clinical practice was proposed within the COM-B behavioural change framework.
Lessons
In a “changing landscape” of antenatal education, Baby Buddy functions as “proof of concept” for cross-national innovation exchange. Beyond a learning experience, the use of PAR provided ground for building transdisciplinary alliances and creating a public health digital resource to enhance the health literacy of new parents and support the educational role of maternal and child health professionals.
Key messages
Digital resources can reduce social disparities, enrich the user-provider exchange and support the educational role of professionals. PAR provides a framework for co-creation and sense of common purpose.
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Affiliation(s)
- N Middleton
- Department Nursing, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus
- Baby Buddy Forward Consortium, Erasmus+, Nicosia, Cyprus
| | - V Christodoulides
- Birth Forward, NGO, Nicosia, Cyprus
- Baby Buddy Forward Consortium, Erasmus+, Nicosia, Cyprus
| | - E Hadjigeorgiou
- Department Nursing, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus
- Baby Buddy Forward Consortium, Erasmus+, Nicosia, Cyprus
| | - C Nicolaou
- Department Nursing, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus
- Baby Buddy Forward Consortium, Erasmus+, Nicosia, Cyprus
| | - C Gourounti
- Department Midwifery, University of West Attica, Athens, Greece
- Baby Buddy Forward Consortium, Erasmus+, Nicosia, Cyprus
| | - J Leiweiber
- Department Midwifery, Evangelische Hochschule Berlin, Berlin, Germany
- Baby Buddy Forward Consortium, Erasmus+, Nicosia, Cyprus
| | - O Gouni
- Cosmoanelixis, NGO, Athens, Greece
- Baby Buddy Forward Consortium, Erasmus+, Nicosia, Cyprus
| | - A Baum
- Best Beginnings, Charity, London, UK
- Baby Buddy Forward Consortium, Erasmus+, Nicosia, Cyprus
| | - O Kolokotroni
- Department Primary Care and Population Health, University of Nicosia Medical School, Nicosia, Cyprus
- Baby Buddy Forward Consortium, Erasmus+, Nicosia, Cyprus
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Briatore A, Tarsetti EV, Latorre A, Gonzalez Bernaldo de Quirós F, Luna D, Fuentes NA, Elizondo CM, Baum A, Alonso Serena M, Giunta DH. Causes of appointment attendance, nonattendance, and cancellation in outpatient consultations at a university hospital. Int J Health Plann Manage 2019; 35:207-220. [DOI: 10.1002/hpm.2890] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2019] [Revised: 08/07/2019] [Accepted: 08/08/2019] [Indexed: 11/08/2022] Open
Affiliation(s)
- Agustina Briatore
- Departamento de Informática en SaludHospital Italiano de Buenos Aires CABA Argentina
| | | | - Agustin Latorre
- Servicio de PediatríaHospital de Clínicas “José de San Martín” CABA Argentina
| | - Fernan Gonzalez Bernaldo de Quirós
- Área de Investigación en Medicina InternaHospital Italiano de Buenos Aires CABA Argentina
- Servicio de Clínica MédicaHospital Italiano de Buenos Aires CABA Argentina
| | - Daniel Luna
- Departamento de Informática en SaludHospital Italiano de Buenos Aires CABA Argentina
| | - Nora Angélica Fuentes
- Área de Investigación en Medicina InternaHospital Italiano de Buenos Aires CABA Argentina
| | - Cristina Maria Elizondo
- Área de Investigación en Medicina InternaHospital Italiano de Buenos Aires CABA Argentina
- Servicio de Clínica MédicaHospital Italiano de Buenos Aires CABA Argentina
| | - Analia Baum
- Departamento de Informática en SaludHospital Italiano de Buenos Aires CABA Argentina
| | - Marina Alonso Serena
- Área de Investigación en Medicina InternaHospital Italiano de Buenos Aires CABA Argentina
| | - Diego Hernán Giunta
- Área de Investigación en Medicina InternaHospital Italiano de Buenos Aires CABA Argentina
- Servicio de Clínica MédicaHospital Italiano de Buenos Aires CABA Argentina
- Departamento de investigaciónHospital Italiano de Buenos Aires CABA Argentina
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Giussi Bordoni MV, Baum A, García G, Moriñigo P, Luna D, Otero P, Otero C, de Quirós FBG. Change Management in Healthcare Organizations: Soft Skills Training Strategies Through Blended Learning Environments. Stud Health Technol Inform 2019; 264:1999-2000. [PMID: 31438448 DOI: 10.3233/shti190754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Teaching soft skills for change management in healthcare organizations is becoming increasingly necessary, even more, when implementing health information systems (HIS). There is little evidence that these skills can be learned through online teaching environments. This paper describes the experience of having taught soft skills to health informatics master's degree students, through blended learning environments.
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Affiliation(s)
- M V Giussi Bordoni
- Department of HealthInformatics, Hospital Italiano de Buenos Aires, Argentina
| | - A Baum
- Department of HealthInformatics, Hospital Italiano de Buenos Aires, Argentina
| | - G García
- Department of HealthInformatics, Hospital Italiano de Buenos Aires, Argentina
| | - P Moriñigo
- Department of HealthInformatics, Hospital Italiano de Buenos Aires, Argentina
| | - D Luna
- Department of HealthInformatics, Hospital Italiano de Buenos Aires, Argentina
| | - P Otero
- Department of HealthInformatics, Hospital Italiano de Buenos Aires, Argentina
| | - C Otero
- Department of HealthInformatics, Hospital Italiano de Buenos Aires, Argentina
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Faretta F, Levi D, Marques L, Ferrante D, Giussi Bordoni MV, Baum A, de Quirós FGB. Developing an Electronic Record Tool Representative of Primary Health Care in the Public Health Care System of Buenos Aires City. Stud Health Technol Inform 2019; 264:516-520. [PMID: 31437977 DOI: 10.3233/shti190276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The Primary Health Care strategy is based on organization of interdisciplinary teams and comprehensive approach to health, disease and health care processes. To strengthen information systems so that they represent primary health care complexities, participatory meetings were held with primary care practitioners from the public health care system of Buenos Aires City. Terms for the record tool and its components were chosen using consensus methodologies. This process involved 300 practitioners from 49 centers, and submission of 21 proposals. It was decided to change the term "Electronic Medical Record" with "Comprehensive Health Record." It was also agreed that, apart from "Reason for Consultation," the field "Problem Situation" would be added, that "Care Service" would be replaced with "Care Act," and that a new module "Health Team Management and Education Activities" would be included to document practitioners team activities.
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Affiliation(s)
- F Faretta
- Health Information Systems Office, Ministry of Health, Buenos Aires City, Argentina
| | - D Levi
- Health Information Systems Office, Ministry of Health, Buenos Aires City, Argentina
| | - L Marques
- Health Information Systems Office, Ministry of Health, Buenos Aires City, Argentina
| | - D Ferrante
- Strategic Planning Office, Ministry of Health, Buenos Aires City, Argentina
| | - M V Giussi Bordoni
- Health Information Systems Office, Ministry of Health, Buenos Aires City, Argentina
| | - A Baum
- Health Information Systems Office, Ministry of Health, Buenos Aires City, Argentina
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Stok Capella JF, Zubillaga MJ, Nero FG, Muguerza P, Lanuza J, Alassia L, Tablado MR, Giussi MV, Baum A. Design, Implementation and Adoption of an Electronic Dental Record Within an Electronic Health Record in the Public Healthcare System of Buenos Aires City. Stud Health Technol Inform 2019; 264:1803-1804. [PMID: 31438352 DOI: 10.3233/shti190656] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This paper describes the development and implementation of a Dental Record within an Electronic Health Record in the public Primary Health Care network of Buenos Aires City. In the five months of implementation, the adoption was progressively increasing but with a great deal of variability among the health facilities. Pediatric population was the most common assisted and the most frequent oral health problem was caries.
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Affiliation(s)
- J F Stok Capella
- Health Information Systems Office, Ministry of Health, Buenos Aires City, Argentina
| | - M J Zubillaga
- Health Information Systems Office, Ministry of Health, Buenos Aires City, Argentina
| | - F G Nero
- Health Information Systems Office, Ministry of Health, Buenos Aires City, Argentina
| | - P Muguerza
- Health Information Systems Office, Ministry of Health, Buenos Aires City, Argentina
| | - J Lanuza
- Health Information Systems Office, Ministry of Health, Buenos Aires City, Argentina
| | - L Alassia
- Health Information Systems Office, Ministry of Health, Buenos Aires City, Argentina
| | - M Rodriguez Tablado
- Health Information Systems Office, Ministry of Health, Buenos Aires City, Argentina
| | - M V Giussi
- Health Information Systems Office, Ministry of Health, Buenos Aires City, Argentina
| | - A Baum
- Health Information Systems Office, Ministry of Health, Buenos Aires City, Argentina
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Vazquez MV, Palermo C, Islas MB, Zapata M, Giussi Bordoni MV, Esteban S, Baum A. Adoption Factors Related to Electronic Vaccine Record in the Public Primary Care Network of Buenos Aires City. Stud Health Technol Inform 2019; 264:2001-2002. [PMID: 31438449 DOI: 10.3233/shti190755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The Electronic Health Record used in the public primary care network of Buenos Aires City has a specific module for the vaccines registration. The present study explores the factors of EHR adoption by nurses. We found 5 barriers and one facilitator for adoption. Barriers are related with organize the flow of patients especially during vaccine campaigns, adapt the work stations and integrate the records with the vaccine central program.
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Affiliation(s)
- M V Vazquez
- Health Information Systems Office, Ministry of Health, Buenos Aires City, Argentina
| | - C Palermo
- Health Information Systems Office, Ministry of Health, Buenos Aires City, Argentina
| | - M B Islas
- Health Information Systems Office, Ministry of Health, Buenos Aires City, Argentina
| | - M Zapata
- Health Information Systems Office, Ministry of Health, Buenos Aires City, Argentina
| | - M V Giussi Bordoni
- Health Information Systems Office, Ministry of Health, Buenos Aires City, Argentina
| | - S Esteban
- Health Information Systems Office, Ministry of Health, Buenos Aires City, Argentina
| | - A Baum
- Health Information Systems Office, Ministry of Health, Buenos Aires City, Argentina
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Ray R, Baum A, Rixen T, Gleixner G, Jana TK. Exportation of dissolved (inorganic and organic) and particulate carbon from mangroves and its implication to the carbon budget in the Indian Sundarbans. Sci Total Environ 2018; 621:535-547. [PMID: 29195202 DOI: 10.1016/j.scitotenv.2017.11.225] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/24/2017] [Revised: 11/19/2017] [Accepted: 11/20/2017] [Indexed: 06/07/2023]
Abstract
Mangroves are known for exchanging organic and inorganic carbon with estuaries and oceans but studies that have estimated their contribution to the global budget are limited to a few mangrove ecosystems which exclude world's largest the Sundarbans. Here, we worked in the Indian Sundarbans and in the Hooghly river/estuary in May (pre-monsoon) and December (post-monsoon), 2014. Aims were, i) to quantify the riverine export of particulate organic carbon (POC) and dissolved organic and inorganic carbon (DOC, DIC)) of the Hooghly into the Bay of Bengal (BoB), ii) to estimate the C export (DOC, DIC, POC) from the Sundarbans into the BoB by using a simple mixing model, as well as iii) to revise the existing C budget constructed for the mangroves. The riverine exports of POC, DOC and DIC account for 0.07TgCyr-1, 0.34TgCyr-1 and 4.14TgCyr-1, respectively, and were largest during the monsoon period. Results revealed that mangrove plant derived organic matter and its subsequent degradation is the primary source of DIC and DOC in the Hooghly estuary whereas POC is linked to soil erosion. Mangroves are identified as a major source of carbon (POC, DOC, DIC) transported from the Sundarbans into the BoB, with export rates of 0.58 TgCyr-1, 3.03TgCyr-1, and 3.69TgCyr-1 respectively, altogether amounting to 7.3TgCyr-1. This C export from the Indian Sundarbans exceeds the 'missing C' of the previous budget, thus necessitating further research to finally resolve the mangrove C budget. However, these first baseline data on C exports from the world's largest deltaic mangrove improves limited global data inventory and signifies the need of acquiring more data from different mangrove settings to reduce uncertainties.
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Affiliation(s)
- R Ray
- Department of Biogeochemistry, Leibniz Center for Tropical Marine Research; Fahrenheitstr. 6, 28359 Bremen, Germany.
| | - A Baum
- Department of Biogeochemistry, Leibniz Center for Tropical Marine Research; Fahrenheitstr. 6, 28359 Bremen, Germany
| | - T Rixen
- Department of Biogeochemistry, Leibniz Center for Tropical Marine Research; Fahrenheitstr. 6, 28359 Bremen, Germany
| | - G Gleixner
- Department of Biogeochemical Processes, Max Planck Institute for Biogeochemistry, Hans Knoell Str. 10, 07745 Jena, Germany
| | - T K Jana
- Department of Marine Science, University of Calcutta, 35 B. C. Road, Kolkata 700019, India
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Baum S, Sillem M, Ney JT, Baum A, Friedrich M, Radosa J, Kramer KM, Gronwald B, Gottschling S, Solomayer EF, Rody A, Joukhadar R. What Are the Advantages of 3D Cameras in Gynaecological Laparoscopy? Geburtshilfe Frauenheilkd 2017; 77:45-51. [PMID: 28190888 DOI: 10.1055/s-0042-120845] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
Introduction Minimally invasive operative techniques are being used increasingly in gynaecological surgery. The expansion of the laparoscopic operation spectrum is in part the result of improved imaging. This study investigates the practical advantages of using 3D cameras in routine surgical practice. Materials and Methods Two different 3-dimensional camera systems were compared with a 2-dimensional HD system; the operating surgeon's experiences were documented immediately postoperatively using a questionnaire. Results Significant advantages were reported for suturing and cutting of anatomical structures when using the 3D compared to 2D camera systems. There was only a slight advantage for coagulating. The use of 3D cameras significantly improved the general operative visibility and in particular the representation of spacial depth compared to 2-dimensional images. There was not a significant advantage for image width. Depiction of adhesions and retroperitoneal neural structures was significantly improved by the stereoscopic cameras, though this did not apply to blood vessels, ureter, uterus or ovaries. Conclusion 3-dimensional cameras were particularly advantageous for the depiction of fine anatomical structures due to improved spacial depth representation compared to 2D systems. 3D cameras provide the operating surgeon with a monitor image that more closely resembles actual anatomy, thus simplifying laparoscopic procedures.
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Affiliation(s)
- S Baum
- Klinik für Frauenheilkunde und Geburtshilfe, UKSH Klinik für Frauenheilkunde und Geburtshilfe Campus Lübeck, Lübeck, Germany; Universitätsklinikum des Saarlandes, Klinik für Frauenheilkunde und Geburtshilfe, Homburg/Saar, Germany
| | - M Sillem
- Praxisklinik am Rosengarten, Mannheim, Germany
| | - J T Ney
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg/Saar, Germany
| | - A Baum
- Praxis Prof. Dr. Dhom & Partner, Ludwigshafen, Germany
| | - M Friedrich
- Frauenklinik, HELIOS-Klinikum Krefeld, Krefeld, Germany
| | - J Radosa
- Universitätsklinikum des Saarlandes, Klinik für Frauenheilkunde und Geburtshilfe, Homburg/Saar, Germany
| | - K M Kramer
- Viszera Chirurgie-Zentrum, Munich, Germany
| | - B Gronwald
- Zentrum für Palliativmedizin und Kinderschmerztherapie, Universitätsklinikum des Saarlandes, Homburg, Germany
| | - S Gottschling
- Universitätsklinikum des Saarlandes, Zentrum für Palliativmedizin und Kinderschmerztherapie, Homburg/Saar
| | - E F Solomayer
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg/Saar, Germany
| | - A Rody
- Klinik für Frauenheilkunde und Geburtshilfe, UKSH Klinik für Frauenheilkunde und Geburtshilfe Campus Lübeck, Lübeck, Germany
| | - R Joukhadar
- Universitätsfrauenklinik Würzburg, Würzburg, Germany
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Mandirola Brieux HF, Benitez S, Otero C, Luna D, Masud JHB, Marcelo A, Househ M, Hullin C, Villalba C, Indarte S, Guillen S, Otero P, Campos F, Baum A, Gonzalez Bernaldo de Quirós F. Cultural Problems Associated with the Implementation of eHealth. Stud Health Technol Inform 2017; 245:1213. [PMID: 29295300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
A major hurdle in eHealth implementation is that it is difficult to put into practice. In this study, the primary aim was to identify the main barrier associated with implementing eHealth. This study surveyed IMIA members from May to November 2015. From the results, it is clear that medical professionals were recording most of their data by hand. This paper culture is a paradigm that is difficult to break. Cultural factors are the primary barrier in eHealth implementation.
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Affiliation(s)
| | - S Benitez
- Hospital Italiano (HIBA), Buenos Aires, Argentina
| | - C Otero
- Hospital Italiano (HIBA), Buenos Aires, Argentina
| | - D Luna
- Hospital Italiano (HIBA), Buenos Aires, Argentina
| | - J H B Masud
- Public Health Informatics Foundation (PHIF), Bangladesh
| | - A Marcelo
- University of the Philippines, Manila, Philippines
| | - M Househ
- King Saud Bin Abdulaziz University for Health Sciences, College of Public Health and Health Informatics, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia
| | - C Hullin
- UC Pontificia Universidad Católica de Chile, Santiago de Chile, Chile
| | - C Villalba
- Facultad Politécnica, Universidad Nacional de Asunción, Paraguay
| | | | | | - P Otero
- Hospital Italiano (HIBA), Buenos Aires, Argentina
| | - F Campos
- Hospital Italiano (HIBA), Buenos Aires, Argentina
| | - A Baum
- Hospital Italiano (HIBA), Buenos Aires, Argentina
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Alassia L, Palermo C, Recondo F, Giussi M, Stieben A, Baum A, Gonzalez Bernaldo de Quiros F. Managing User Needs During the EHR Implementation in Buenos Aires City: The HelpDesk Role. Stud Health Technol Inform 2017; 245:835-837. [PMID: 29295216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Enablement, guidance, and proactive preparation for a new IT system implementation has proven to be a smart way to prepare people to embrace change. These activities are closely related to change management approaches which seek to help people understand and adopt specific behaviors. That being said, investing in such activities becomes the cornerstone of the success of the project. Leading IT companies around the world include in their strategy for new services and offering deployments, a proactive HelpDesk service. This not only helps build long lasting/trusted relationships between end users and IT sectors but also helps reduce cost and maximizes the Return of Investment. A streamlined process and easy to use/fluent communication channel between parties are powerful risk management/Quality Assurance and Continuous Improvement tools. In this paper, we address the example of a HelpDesk support team implementation of a city-scaled Electronic Health Records implementation.
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Affiliation(s)
- L Alassia
- Dirección de Informática Clínica, Estadística y Epidemiológica, Health Ministry, Buenos Aires City
| | - C Palermo
- Dirección de Informática Clínica, Estadística y Epidemiológica, Health Ministry, Buenos Aires City
| | - F Recondo
- Dirección de Informática Clínica, Estadística y Epidemiológica, Health Ministry, Buenos Aires City
| | - M Giussi
- Dirección de Informática Clínica, Estadística y Epidemiológica, Health Ministry, Buenos Aires City
| | - A Stieben
- Dirección de Informática Clínica, Estadística y Epidemiológica, Health Ministry, Buenos Aires City
| | - A Baum
- Dirección de Informática Clínica, Estadística y Epidemiológica, Health Ministry, Buenos Aires City
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Tontsch-Grunt U, Savarese F, Baum A, Scharn D, Gerlach D, Hofmann M, Popow J, Schweifer N, Engelhardt H, Musa H, Lee C, Munzert G, Kraut N. Combination of the novel BET inhibitor BI 894999 with CDK9 inhibition suggests a promising regimen for the treatment of AML. Eur J Cancer 2016. [DOI: 10.1016/s0959-8049(16)32862-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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19
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Baum A, Hansen P, Nørgaard L, Sørensen J, Mikkelsen J. Rapid quantification of casein in skim milk using Fourier transform infrared spectroscopy, enzymatic perturbation, and multiway partial least squares regression: Monitoring chymosin at work. J Dairy Sci 2016; 99:6071-6079. [DOI: 10.3168/jds.2016-10947] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2016] [Accepted: 04/21/2016] [Indexed: 11/19/2022]
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20
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Baum S, Meyberg-Solomayer G, Baum A, Radosa J, Hamza A, Gronwald B, Friedrich M, Solomayer EF, Joukhadar R. Deciding Factors for the Referral of a Female Patient to a Specific Hospital from the Viewpoint of Practice-Based Specialists. Geburtshilfe Frauenheilkd 2015; 75:456-461. [PMID: 26097249 DOI: 10.1055/s-0035-1546035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2014] [Revised: 03/17/2015] [Accepted: 04/06/2015] [Indexed: 10/23/2022] Open
Abstract
Background: One of the key points of patient care is the cooperation between practice-based specialists and clinical facilities. The present study was undertaken in order to illustrate the deciding factors, from the viewpoint of practice-based specialists, for the referral of a female patient to a specific hospital. Methods: Altogether a total of 322 practice-based specialists from various disciplines were contacted in writing and sent a questionnaire. In this survey the recipients were questioned about the criteria, in order of importance, applied for the referral of a (female) patient to a specific clinical facility. Results: In the foreground for the referral of a patient to a specific hospital are the aspects of medical quality and competence. On a closer look we find the surgical spectrum, especially the availability of endoscopic and special operations as a main factor. Further factors are a low rate of complications and the availability of modern diagnostic methods. Also evaluated as an important aspect was the easy reachability of a competent consultant. Factors of lower relevance for referral behaviour were personal familiarity with the colleagues employed in the hospital, specific further training events and the course of previous cooperation. Conclusions: A modern diagnostic and therapeutic spectrum coupled with an easy reachability of competent contact partners are the main factors for cooperation from the viewpoint of the practice-based specialist. Of lowest relevance, among others, was the aspect of previous cooperation. Thus, it can be seen that by means of changes in cooperation an improvement in patient care can be achieved at any time.
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Affiliation(s)
- S Baum
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg/Saar
| | - G Meyberg-Solomayer
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg/Saar
| | - A Baum
- Praxis Prof. Dr. Dhom & Partner, Ludwigshafen
| | - J Radosa
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg/Saar
| | - A Hamza
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg/Saar
| | - B Gronwald
- Zentrum für Palliativmedizin und Kinderschmerztherapie, Universitätsklinikum des Saarlandes, Homburg
| | | | - E F Solomayer
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg/Saar
| | - R Joukhadar
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg/Saar
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Rommel KP, Baum A, Mende M, Desch S, Gutberlet M, Schuler G, Thiele H, Eitel I. Prognostic significance and relationship of worst lead residual ST segment elevation with myocardial damage assessed by cardiovascular MRI in myocardial infarction. Heart 2014; 100:1257-63. [DOI: 10.1136/heartjnl-2013-305462] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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22
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Müller B, Baum A, Holzhausen M, Grittner U, Hilgendorf I, Martus P, Altiner A, Evers S, Rolfs A, Zettl UK, Kropp P. [The Rostock Headache Questionnaire ("Rokoko")--validation of a tool to screen and to qualify primary headaches]. Fortschr Neurol Psychiatr 2014; 82:145-8. [PMID: 24615585 DOI: 10.1055/s-0034-1365981] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Primary headache disorders should be diagnosed based on the detailed history of the patient. However, only few questions are necessary to allocate the symptoms to migraine, tension-type headache or other primary headaches in most cases. The "Rostock Headache Questionnaire" (Rokoko) is suitable for being completed by the investigator or the patient him/herself within a few minutes. Validation parameters of a sample of n = 87 patients (median: 44 years), diagnosed by headache experts in a personal interview ("gold standard"), are presented. Sensitivity and specificity for migraine without aura (0.87/0.51), migraine with aura (0.71/0.95), tension-type headache (0.57/0.93), or a combination of both (0.22/0.93) are based on the parameters pain frequency (recurrent vs. permanent), and the presence or absence of aura symptoms. To differentiate tension-type headache into episodic or chronic forms, the questionnaire can be analysed individually based on the frequency of headache days. The questionnaire enables the fast acquisition of relevant data in headache diagnosis and headache research with sufficient sensitivity and specificity. In addition, further information about triggering and symptoms of headaches can be assessed. The questionnaire can be used both by neurologists or psychiatrists and by general practitioners. The questionnaire does not replace the physical examination.
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Affiliation(s)
- B Müller
- Institut für Medizinische Psychologie und Medizinische Soziologie, Zentrum für Nervenheilkunde, Universitätsmedizin Rostock
| | - A Baum
- Institut für Medizinische Psychologie und Medizinische Soziologie, Zentrum für Nervenheilkunde, Universitätsmedizin Rostock
| | - M Holzhausen
- Institut für Biostatistik und Klinische Epidemiologie, Charité - Universitätsmedizin Berlin
| | - U Grittner
- Institut für Biostatistik und Klinische Epidemiologie, Charité - Universitätsmedizin Berlin
| | - I Hilgendorf
- Klinik für Hämatologie, Onkologie und Palliativmedizin, Zentrum für Innere Medizin, Universitätsmedizin Rostock
| | - P Martus
- Institut für Klinische Epidemiologie und angewandte Biometrie, Universitätsklinikum Tübingen
| | - A Altiner
- Institut für Allgemeinmedizin, Universitätsmedizin Rostock
| | - S Evers
- Klinik für Neurologie, Universitätsklinikum Münster
| | - A Rolfs
- Albrecht-Kossel Institut für Neuroregeneration, Zentrum für Nervenheilkunde, Universitätsmedizin Rostock
| | - U K Zettl
- Klinik und Poliklinik für Neurologie, Universitätsmedizin Rostock
| | - P Kropp
- Institut für Medizinische Psychologie und Medizinische Soziologie, Zentrum für Nervenheilkunde, Universitätsmedizin Rostock
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23
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Brieux HFM, Kaminker D, Campos F, Guillen S, Alejandris J, Luna D, Baum A, de Quirós FGB. Nutritional Alert in hospitalized patients. Stud Health Technol Inform 2014; 205:697-701. [PMID: 25160276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
UNLABELLED The objective of the study is to assess a nutritional risk alert using an Informatics System in hospitalized patients versus the conventional methodology. METHOD We studied 400 medical patients at the Belgrano Hospital Critical Care Unit. We considered two groups of 200 patients. In the first the group (Control Group), nutritional risk was diagnosed in a traditional way. In the second group (Alarm Group), nutritional risk was diagnosed with an alert system. The alert was triggered when a patient showed low levels of, at least, two of the following variables: albumin, cholesterol, triglyceride, lymphocyte or low body mass index (BMI). RESULTS Nutritional risk was detected in 20.3% of the Control Group patients while, in the Alert Group, nutritional risk was detected in 34.3% of the patients; the difference between the two groups was significant (p<0.001), with a sensitivity rate of 99% and a specificity rate of 98%. CONCLUSION Malnutrition is more easily detected when using an alert system.
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Affiliation(s)
| | | | - Fernando Campos
- Health Informatics Department, Hospital Italiano de Buenos Aires, Argentina (HIBA)
| | | | | | - Daniel Luna
- Health Informatics Department, Hospital Italiano de Buenos Aires, Argentina (HIBA)
| | - Analia Baum
- Health Informatics Department, Hospital Italiano de Buenos Aires, Argentina (HIBA)
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Bütehorn A, Seidel G, Neitzke G, Baum A, Hirschberg I, Strech D, Dierks ML. Kann man „Ethikkompetenz“ lernen? Ergebnisse der Evaluation eines Kursprogramms für Schüler und junge Erwachsene. Gesundheitswesen 2013. [DOI: 10.1055/s-0033-1354169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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25
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Kretzschmar F, Muschler B, Böhm T, Baum A, Hackl R, Wen HH, Tsurkan V, Deisenhofer J, Loidl A. Raman-scattering detection of nearly degenerate s-wave and d-wave pairing channels in iron-based Ba0.6K0.4Fe2As2 and Rb0.8Fe1.6Se2 superconductors. Phys Rev Lett 2013; 110:187002. [PMID: 23683238 DOI: 10.1103/physrevlett.110.187002] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/20/2012] [Indexed: 06/02/2023]
Abstract
We show that electronic Raman scattering affords a window into the essential properties of the pairing potential V(k,k') of iron-based superconductors. In Ba0.6K0.4Fe2As2 we observe band dependent energy gaps along with excitonic Bardasis-Schrieffer modes characterizing, respectively, the dominant and subdominant pairing channel. The d(x(2)-y(2)) symmetry of all excitons allows us to identify the subdominant channel to originate from the interaction between the electron bands. Consequently, the dominant channel driving superconductivity results from the interaction between the electron and hole bands and has the full lattice symmetry. The results in Rb(0.8)Fe(1.6)Se(2) along with earlier ones in Ba(Fe(0.939)Co(0.061))(2)As(2) highlight the influence of the Fermi surface topology on the pairing interactions.
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Affiliation(s)
- F Kretzschmar
- Walther Meissner Institute, Bavarian Academy of Sciences and Humanities, 85748 Garching, Germany
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26
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Campos F, Plazzotta F, Luna D, Baum A, de Quirós FGB. Developing and implementing an interoperable document-based electronic health record. Stud Health Technol Inform 2013; 192:1169. [PMID: 23920943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Health information exchange ensuring its authenticity and integrity is not a simple task. Many institutions have implemented different solutions to perform this exchange using partial or summary information, and rarely include metadata that establish the context in which they performed the primary data capture. In this setting, we proposed the creation of an alternative architecture, parallel, yet integrated with a traditional electronic health record, based on the relational data model. We used a clinical documents standard, the CDA, whose architecture allows having a scalable document-based electronic clinical data repository, plausible to be shared with the patient, other institutions, other healthcare professionals or funders, with secure and controlled access and that remains unchanged over time. Furthermore, in addition to achieving this redundant clinical data repository, it was possible to reduce printing charts thanks to the portability that this standard allows.
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Affiliation(s)
- Fernando Campos
- Health InformationDepartment, Hospital Italiano de Buenos Aires, Argentina
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Luna D, Otero P, Baum A, Borbolla D, de Quiros F. Spreading Knowledge in Medical Informatics: the Contribution of the Hospital Italiano de Buenos Aires. Yearb Med Inform 2009. [DOI: 10.1055/s-0038-1638654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
Abstract
SummaryMedical Informatics (MI) is an emerging discipline with a high need of trained and skillful professionals.
Objective To describe the educational experience of the Department of Health Informatics of the Hospital Italiano de Buenos Aires.
Methods A descriptive study of the development of the Medical Informatics Residency Program (MIRP) and the e-learning courses related to medical informatics.
Results A four-year MIRP with 15 rotations was started in 2000, and was awarded national educational accreditation. Eight residents have been fully trained and their main academic contributions are shown in this study.The e-learning courses related to medical informatics (Healthcare Management, Epidemiology & Biostatistics, Information Retrieval, Computer Literacy started, 10x10 Spanish version and HL7 introductory course) started in 2006 and were followed by more than 2266 students from all over the world, with an increase trend in foreign students.
Conclusions These educational activities have produced skilled human resources for the development and maintenance of the health informatics projects at our Hospital. In parallel, the number of students trained by e-learning continues to increase, demonstrating the worldwide need of knowledge in this field.
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Jenkins FJ, Baum A. Stress and reactivation of latent herpes simplex virus: a fusion of behavioral medicine and molecular biology. Ann Behav Med 2009; 17:116-23. [PMID: 18425662 DOI: 10.1007/bf02895060] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023] Open
Abstract
Since 1978, the study of health and behavior has become a major focus of scientists in psychology, psychiatry, nursing, neuroscience, and in traditional medical science disciplines. Investigation of psychological or behavioral influences on biological systems has established that biobehavioral processes such as stress play an important role in disease processes. An excellent example of the interactions between stress and health outcomes is the reactivation of latent herpes simplex virus (HSV) leading to recurrent lesions. This article describes what is currently known about HSV latency and reactivation and considers some mechanisms by which stress-induced changes in the host's immune and nervous systems might allow for either the establishment or reactivation of latent viral infections.
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Affiliation(s)
- F J Jenkins
- Division of Behavioral Medicine and Oncology, Pittsburgh Cancer Institute, University of Pittsburgh, 3600 Forbes Avenue, Suite 405, 15213, Pittsburgh, PA 15213, USA
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Gonzalez Bernaldo de Quiros F, Luna D, Otero P, Baum A, Borbolla D. Spreading knowledge in medical informatics: the contribution of the hospital Italiano de Buenos Aires. Yearb Med Inform 2009:147-152. [PMID: 19855888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023] Open
Abstract
UNLABELLED Medical Informatics (MI) is an emerging discipline with a high need of trained and skillful professionals. OBJECTIVE To describe the educational experience of the Department of Health Informatics of the Hospital Italiano de Buenos Aires. METHODS A descriptive study of the development of the Medical Informatics Residency Program (MIRP) and the e-learning courses related to medical informatics. RESULTS A four-year MIRP with 15 rotations was started in 2000, and was awarded national educational accreditation. Eight residents have been fully trained and their main academic contributions are shown in this study. The e-learning courses related to medical informatics (Healthcare Management, Epidemiology & Biostatistics, Information Retrieval, Computer Literacy started, 10x10 Spanish version and HL7 introductory course) started in 2006 and were followed by more than 2266 students from all over the world, with an increase trend in foreign students. CONCLUSIONS These educational activities have produced skilled human resources for the development and maintenance of the health informatics projects at our Hospital. In parallel, the number of students trained by e-learning continues to increase, demonstrating the worldwide need of knowledge in this field.
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Rudolph D, Steegmaier M, Hoffmann M, Grauert M, Baum A, Quant J, Garin-Chesa P, Adolf G. 430 POSTER Characterization of BI 6727, a novel Polo-like kinase inhibitor with a distinct pharmacokinetic profile and efficacy in a model of taxane-resistant colon cancer. EJC Suppl 2008. [DOI: 10.1016/s1359-6349(08)72364-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Li D, Ambrogio L, Shimamura T, Kubo S, Takahashi M, Chirieac LR, Padera RF, Shapiro GI, Baum A, Himmelsbach F, Rettig WJ, Meyerson M, Solca F, Greulich H, Wong KK. BIBW2992, an irreversible EGFR/HER2 inhibitor highly effective in preclinical lung cancer models. Oncogene 2008; 27:4702-11. [PMID: 18408761 DOI: 10.1038/onc.2008.109] [Citation(s) in RCA: 1099] [Impact Index Per Article: 68.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Genetic alterations in the kinase domain of the epidermal growth factor receptor (EGFR) in non-small cell lung cancer (NSCLC) patients are associated with sensitivity to treatment with small molecule tyrosine kinase inhibitors. Although first-generation reversible, ATP-competitive inhibitors showed encouraging clinical responses in lung adenocarcinoma tumors harboring such EGFR mutations, almost all patients developed resistance to these inhibitors over time. Such resistance to first-generation EGFR inhibitors was frequently linked to an acquired T790M point mutation in the kinase domain of EGFR, or upregulation of signaling pathways downstream of HER3. Overcoming these mechanisms of resistance, as well as primary resistance to reversible EGFR inhibitors driven by a subset of EGFR mutations, will be necessary for development of an effective targeted therapy regimen. Here, we show that BIBW2992, an anilino-quinazoline designed to irreversibly bind EGFR and HER2, potently suppresses the kinase activity of wild-type and activated EGFR and HER2 mutants, including erlotinib-resistant isoforms. Consistent with this activity, BIBW2992 suppresses transformation in isogenic cell-based assays, inhibits survival of cancer cell lines and induces tumor regression in xenograft and transgenic lung cancer models, with superior activity over erlotinib. These findings encourage further testing of BIBW2992 in lung cancer patients harboring EGFR or HER2 oncogenes.
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Affiliation(s)
- D Li
- Department of Medical Oncology, Dana-Farber Cancer Institute, MA, USA
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Solca F, Baum A, Krause M, Baumann M, Wong K, Greulich H, Adolf G. 5508 POSTER Efficacy of BIBW 2992, a potent irreversible inhibitor of EGFR and HER2, in models of head and neck cancer. EJC Suppl 2007. [DOI: 10.1016/s1359-6349(07)71225-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Baum A, Gürtler U, Munzert G, Steegmaier M. 356 POSTER In vivo efficacy of BI 2536, a potent and selective inhibitor of the mitotic kinase PIK1, in combination with various cytotoxic agents. EJC Suppl 2006. [DOI: 10.1016/s1359-6349(06)70361-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Solca F, Baum A, Himmelsbach F, Amelsberg A, Adolf G. 567 POSTER Efficacy of BIBW 2992, an irreversible dual EGFR/HER2 receptor tyrosine kinase inhibitor, in combination with cytotoxic agents. EJC Suppl 2006. [DOI: 10.1016/s1359-6349(06)70572-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Zakowski SG, Cohen L, Hall MH, Wollman K, Baum A. Differential effects of active and passive laboratory stressors on immune function in healthy men. Int J Behav Med 2006; 1:163-84. [PMID: 16250811 DOI: 10.1207/s15327558ijbm0102_4] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
The immunomodulatory effects of acute laboratory stressors were examined by comparing active and passive stressors in a between-subjects design. Healthy male volunteers (N = 67) were recruited and randomly assigned to an active, passive, or no stressor condition. Subjects were exposed to either the Stroop and mental arithmetic tasks (active). two surgery films (passive). or two nature films (no stress). Cardiovascular reactivity, plasma catecholamines and cortisol. and self-reported distress were measured pre-task and post-task. Lymphocyte proliferation to concanavalin A (Con A). pokeweed mitogen (PWM), and phytohemagglutinin was assessed a1 baseline, after the first task, after the second task, and 30 min later. Lymphocyte proliferation lo Con A and PWM was significantly reduced in response to the stressors. Different response patterns emerged, depending on the type of stressor and the mitogen used. Changes in lymphocyte proliferation were significantly associated with cardiovascular reactivity during the tasks. Results are discussed in terms of potency of the stressors and mechanisms underlying passive versus active laboratory tasks. Implications for future research are addressed.
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Affiliation(s)
- S G Zakowski
- Pittsburgh Cancer Institute, University of Pittsburgh, PA 15213-3412, USA
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Abstract
OBJECTIVE To investigate the effects of chronic stress on weight changes and related behavioral changes in parents with a child who had just been diagnosed with cancer compared to parents with healthy children. DESIGN Longitudinal case-control study with assessments occurring over a three-month period following the child's diagnosis of cancer. SUBJECTS In total, 49 parents of healthy children and 49 parents of cancer patients aged 19-58. MEASUREMENTS Body weight, diet, physical activity, self-reported mood and stress. RESULTS Parents of cancer patients were more likely to gain weight, and experienced significantly greater weight gain over the 3 months than parents of healthy children. The magnitude of weight gain was related to the degree of psychological distress that the parents experienced. Parents of cancer patients reported lower levels of physical activity and lower caloric intake than parents of healthy children, with the most marked differences between groups occurring in the area of physical activity. CONCLUSION Findings suggest that a major stressor, such as a child's diagnosis of cancer, is associated with weight gain. Further research is needed to determine how long these weight gains persist and whether other types of stress also produce weight gains. Such studies should focus not only on the effect of stress on eating behavior but also on physical activity.
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Affiliation(s)
- A W Smith
- University of Pittsburgh Cancer Institute, Pittsburgh, PA, USA.
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Abstract
The number of deaths per year from hepatocellular carcinoma (HCC) exceeds 250000, placing it sixth as the cause of death from cancer worldwide. The primary etiology of most cases of HCC in the US is hepatitis B and/or C. Extensive research has demonstrated that the relationship between hepatitis B infection and the progression to HCC is mediated by the immune system. A substantial, but unrelated literature, describes the relationship between psychosocial factors (e.g., stress, psychiatric morbidity), immune system reactivity, and disease progression in patients with cancer. However, the role of these factors in the progression of HBV-HCC has not been explored. An understanding of the relationship among virology, immunology, and behavior in the development and recurrence of HCC may provide alternative methods for secondary prevention of HCC (e.g., behavioral) until a vaccine and/or pharmacological treatments are developed, feasible, and affordable.
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Affiliation(s)
- J Steel
- Department of Hematology and Oncology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA.
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Abstract
Lazarus and Folkman proposed one of the most comprehensive theories of stress and coping in the psychology literature, but many of their postulates have received little empirical attention, and some of the existing research hasyielded contradictory findings. This longitudinal study sought to clarify the associations among control appraisal, coping, and stress within this theoreticalframework. The theory postulates that coping strategies used tend to match the level of appraised controllability of the stressor (matching hypothesis). It further states that the effects of problem-focused versus emotion-focused coping are moderated by the appraised controllability of the stressor (goodness-of-fit hypothesis). An alternative to the latter is the main-effects hypothesis, which states that problem-focused coping is generally more effective in reducing distress regardless of appraisal. These hypotheses were tested on 72 adults who completed questionnaires on coping and control appraisal. Stress was assessed using self-report (Symptom Checklist-90-Revised) and a behavioral measure (proofreading task) at two times approximately 2 months apart. Appraised control significantly predicted type of coping such that greater control was associated with more problem-focused and less emotion-focused coping. Although the main-effects hypothesis was not supported, the goodness-of-fit hypothesis was partly confirmed by a significant control by emotion-focused coping interaction predicting both self-report and behavioral measures of stress.
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Affiliation(s)
- S G Zakowski
- Department of Psychology, Finch University of Health Sciences/The Chicago Medical School, IL 60064, USA.
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Cohen L, de Moor C, Devine D, Baum A, Amato RJ. Endocrine levels at the start of treatment are associated with subsequent psychological adjustment in cancer patients with metastatic disease. Psychosom Med 2001; 63:951-8. [PMID: 11719634 DOI: 10.1097/00006842-200111000-00014] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE This study examined the association between hormonal profiles at the start of cancer treatment and subsequent psychological symptomatology. METHODS Twenty-seven patients with metastatic renal cell carcinoma and 18 patients with metastatic melanoma completed three assessments during the course of treatment: at the start of treatment (baseline), at the end of treatment (3 weeks after baseline), and at a follow-up appointment 1 month later. Cortisol, norepinephrine, and epinephrine levels were measured at baseline using 15-hour urine samples. At each assessment, patients completed the Impact of Event Scale (IES) and the Brief Symptom Inventory (BSI). RESULTS Patients reported moderate levels of distress throughout treatment as measured by the IES and BSI. Norepinephrine levels at the start of treatment were positively associated with IES total scores at the end of treatment and at follow-up, and cortisol levels were positively associated with IES total scores at follow-up after adjusting for baseline IES and overall distress scores. Norepinephrine levels were also positively associated with depression scores at follow-up, and cortisol levels were positively associated with depression scores at the end of treatment and at follow-up after adjusting for baseline depression and overall distress scores. CONCLUSIONS Hormonal profiles at the start of cancer treatment are associated with subsequent psychological adjustment.
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Affiliation(s)
- L Cohen
- Department of Behavioral Science, The University of Texas M. D. Anderson Cancer Center, Houston, TX 77030, USA.
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Fullerton CS, Ursano RJ, Epstein RS, Crowley B, Vance K, Kao TC, Dougall A, Baum A. Gender differences in posttraumatic stress disorder after motor vehicle accidents. Am J Psychiatry 2001; 158:1486-91. [PMID: 11532736 DOI: 10.1176/appi.ajp.158.9.1486] [Citation(s) in RCA: 127] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE Women have higher rates of posttraumatic stress disorder (PTSD) than men. The authors examined prior trauma, PTSD, major depression, anxiety disorder not including PTSD, and peritraumatic dissociation; current peritraumatic dissociation; and passenger injury as possible explanations for the different rates of acute PTSD in women and men after a serious motor vehicle accident. METHOD Subjects age 18-65 years who had been in a serious motor vehicle accident (N=122) were assessed with the Structured Clinical Interview for DSM-III-R and the Peritraumatic Dissociative Experiences Questionnaire-Rater Version 1 month after the accident. RESULTS Women did not differ from men in meeting the overall reexperiencing criterion for a diagnosis of PTSD (criterion B), but women were at greater risk for the specific reexperiencing symptoms of intense feelings of distress in situations similar to the motor vehicle accident and physical reactivity to memories of the motor vehicle accident. Women were 4.7 times more likely than men to meet the overall avoidance/numbing criterion (criterion C) and 3.8 times more likely to meet the overall arousal criterion (criterion D). Women were more likely than men to report the criterion C symptoms of avoiding thoughts and situations associated with the accident, loss of interest in significant activities, and a sense of foreshortened future and the criterion D symptoms of trouble sleeping, difficulty concentrating, and exaggerated startle response. Multiple logistic regression analysis indicated that the gender differences in acute PTSD were not associated with prior trauma, PTSD, peritraumatic dissociation, major depression, or anxiety disorder not including PTSD or with passenger injury. However, peritraumatic dissociative symptoms at the time of the accident were associated with a significantly higher risk for acute PTSD in women than in men. CONCLUSIONS Gender differences in peritraumatic dissociation may help explain differences in risk for PTSD and for some PTSD symptoms in women and men.
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Affiliation(s)
- C S Fullerton
- Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, MD 20814-4799, USA.
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Abstract
OBJECTIVE This study identified factors that predict individual vulnerability to psychological trauma by examining the relationships among situation and person variables and symptoms of posttraumatic stress disorder (PTSD) 1, 6, and 12 months after a serious motor vehicle accident (MVA). METHODS Background characteristics, exposure variables (ie, injury severity and accident characteristics), and psychosocial variables (ie, perceived loss of control, social support, and coping) were used to predict symptoms of PTSD and recovery in 115 injured MVA victims. All participants were injured during the MVA and provided data prospectively over the course of a year after their accidents. RESULTS Along with background and exposure variables, use of wishful thinking coping distinguished between victims with and without symptoms of PTSD. CONCLUSIONS Psychosocial variables such as wishful thinking coping can be used to identify MVA victims who are at risk of developing chronic posttraumatic stress and warrant further investigation.
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Abstract
BACKGROUND Screening flexible sigmoidoscopy is an underused cancer prevention procedure. Physicians often cite patient discomfort as a reason for not requesting sigmoidoscopy, but patient experiences and attitudes toward sigmoidoscopy have not been well studied. OBJECTIVE To measure patient satisfaction and the determinants of satisfaction with screening sigmoidoscopy. METHODS An instrument to assess satisfaction with screening sigmoidoscopy was developed. Responses were evaluated with a factor analysis, tested for reproducibility and internal consistency, and validated against an external standard. RESULTS A total of 1221 patients (666 men and 555 women; mean age, 61.8 years) were surveyed after sigmoidoscopy. Examinations were performed by a nurse practitioner (n = 668), internist (n = 344), or gastrointestinal specialist (n= 184). More than 93% of the participants strongly agreed or agreed they would be willing to undergo another examination, and 74.9% would strongly recommend the procedure to their friends. Regarding pain and discomfort, 76.2% strongly agreed or agreed that the examination did not cause a lot of pain, 78.1% stated that it did not cause a lot of discomfort, and 68.5% thought that it was more comfortable than they expected. Fifteen percent to 25% of the patients indicated they had a lot of pain, great discomfort, or more discomfort than expected. Women were more likely to have significant pain or discomfort than men (adjusted odds ratio, 2.9; 95% confidence interval, 1.9-4.3; P<.001). CONCLUSIONS Approximately 70% of individuals who undergo screening sigmoidoscopy are satisfied and find the procedure more comfortable than expected, whereas only 15% to 25% find the procedure unpleasant. Physicians should not project discomfort onto patients as a reason for not requesting screening sigmoidoscopy.
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Affiliation(s)
- R E Schoen
- Department of Medicine and the University of Pittsburgh Cancer Institute, University of Pittsburgh, PA, USA
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Dougall AL, Herberman HB, Delahanty DL, Inslicht SS, Baum A. Similarity of prior trauma exposure as a determinant of chronic stress responding to an airline disaster. J Consult Clin Psychol 2000. [PMID: 10780129 DOI: 10.1037//0022-006x.68.2.290] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The cumulative effects of trauma were examined in 108 workers at the site of a major air disaster at 4 time points over a year following the crash. The influence of trauma history on chronic distress and physiological arousal associated with the crash were examined. Stress levels were expected to differ on the basis of the similarity of prior trauma exposure to work at the crash site. Prior traumatic exposure that was "dissimilar" to this type of work was associated with greater vulnerability to crash-related stress, that is, more distress and crash-related intrusions during the year following the crash. Accumulation of a variety of different traumatic experiences appeared to sensitize workers to the new stressor and to perpetuate chronic stress. Understanding the role of trauma history is important for improving intervention efforts aimed at alleviating stress following a trauma.
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Affiliation(s)
- A L Dougall
- Department of Behavioral Medicine and Oncology, University of Pittsburgh, Pennsylvania 15213, USA
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Fullerton CS, Ursano RJ, Epstein RS, Crowley B, Vance KL, Kao TC, Baum A. Peritraumatic dissociation following motor vehicle accidents: relationship to prior trauma and prior major depression. J Nerv Ment Dis 2000; 188:267-72. [PMID: 10830563 DOI: 10.1097/00005053-200005000-00003] [Citation(s) in RCA: 45] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Individuals who dissociate at the time of a traumatic event (peritraumatic dissociation) are more likely to develop acute and chronic posttraumatic stress disorder (PTSD). However, little is known about who is at risk of peritraumatic dissociation. Motor vehicle accident subjects (N = 122) were systematically recruited and followed over 12 months. We used the Structured Clinical Interview for DSM-III-R (SCID) and the Peritraumatic Dissociative Experiences Questionnaire-Rater Version (PDEQ-RV). Younger subjects were more likely to experience peritraumatic dissociation as were white versus nonwhites, and single versus married subjects. Younger subjects reported a greater number of peritraumatic dissociative symptoms as did subjects with an injured passenger. After adjusting for age and passenger injury, prior major depression was significantly related to more peritraumatic dissociative symptoms. An interaction of age and prior major depression indicated that those who were younger and reported a history of major depression had the greatest number of peritraumatic dissociative symptoms.
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Affiliation(s)
- C S Fullerton
- Department of Psychiatry, Uniformed Services University of the Health Sciences, F Edward Hèbert School of Medicine, Bethesda, Maryland 20814-4799, USA
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Abstract
OBJECTIVE This study examined relationships among stress hormone levels, posttraumatic stress disorder (PTSD) diagnosis and symptoms, and gender shortly after a common civilian trauma. METHODS Levels of catecholamines and cortisol in 15-hour urine samples were examined in 55 adults who had been in serious motor vehicle accidents and in 22 age-matched control. RESULTS Catecholamines were related to PTSD diagnosis and symptoms, but only among men: PTSD-symptomatic men who had been in an accident exhibited elevated levels of epinephrine and norepinephrine 1 month after the accident and had higher epinephrine levels 5 months later. Intrusive thoughts predicted catecholamine levels at 1 month, and avoidance of trauma-relevant stimuli was associated with higher epinephrine levels 5 months later. These effects were not significant among women. Urinary cortisol was also elevated among PTSD-symptomatic men, but not women, and only immediately (1 month) after the accident. For men and women, greater emotional numbing predicted a lower cortisol level 6 months after the accident. CONCLUSIONS These findings were interpreted as limited support for the generalizability of findings in men with chronic, combat-related PTSD and indicate the need for additional research on psychoendocrine assessment of traumatized women and specific dimensions of PTSD symptomatology.
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Affiliation(s)
- L W Hawk
- University of Pittsburgh, PA, USA.
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Dougall AL, Herberman HB, Delahanty DL, Inslicht SS, Baum A. Similarity of prior trauma exposure as a determinant of chronic stress responding to an airline disaster. J Consult Clin Psychol 2000; 68:290-5. [PMID: 10780129 DOI: 10.1037/0022-006x.68.2.290] [Citation(s) in RCA: 62] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The cumulative effects of trauma were examined in 108 workers at the site of a major air disaster at 4 time points over a year following the crash. The influence of trauma history on chronic distress and physiological arousal associated with the crash were examined. Stress levels were expected to differ on the basis of the similarity of prior trauma exposure to work at the crash site. Prior traumatic exposure that was "dissimilar" to this type of work was associated with greater vulnerability to crash-related stress, that is, more distress and crash-related intrusions during the year following the crash. Accumulation of a variety of different traumatic experiences appeared to sensitize workers to the new stressor and to perpetuate chronic stress. Understanding the role of trauma history is important for improving intervention efforts aimed at alleviating stress following a trauma.
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Affiliation(s)
- A L Dougall
- Department of Behavioral Medicine and Oncology, University of Pittsburgh, Pennsylvania 15213, USA
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Delahanty DL, Wang T, Maravich C, Forlenza M, Baum A. Time-of-day effects on response of natural killer cells to acute stress in men and women. Health Psychol 2000. [PMID: 10711586 DOI: 10.1037//0278-6133.19.1.39] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Diurnal influences on natural killer (NK) cell changes to acute stress were assessed in 21 men and 21 women assigned to either an acute stress (mental arithmetic) or control task condition. Sessions began at either 8 a.m. or 2 p.m. Number of NK (CD3-CD56+) cells and NK activity were measured at baseline, during the 5-min task, and 60 and 90 min after the task. Both morning and afternoon stress participants had elevated NK cell numbers during the task. After the task, number of NK cells decreased in morning stress participants but remained significantly above baseline levels 60 and 90 min posttask. NK cell numbers in afternoon stress participants decreased to below baseline levels 60 and 90 min after the task. Changes in NK activity were driven primarily by diurnal influences. NK activity increased in all morning participants and stayed increased 60 and 90 min posttask. NK activity of all afternoon participants also increased during the task but dropped below baseline 60 and 90 min later. Greater increases in NK levels and activity during the task were associated with greater heart rate changes.
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Affiliation(s)
- D L Delahanty
- Department of Psychology, Kent State University, Ohio 44242, USA.
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Abstract
Socioeconomic status (SES) is an important predictor of a range of health and illness outcomes. Research seeking to identify the extent to which this often-reported effect is due to protective benefits of higher SES or to toxic elements of lower social status has not yielded consistent or conclusive findings. A relatively novel hypothesis is that these effects are due to chronic stress that is associated with SES; lower SES is reliably associated with a number of important social and environmental conditions that contribute to chronic stress burden, including crowding, crime, noise pollution, discrimination, and other hazards or stressors. In other words, chronic stress may capture much of the variance in health and social outcomes associated with harmful aspects of lower social status. Low SES is generally associated with distress, prevalence of mental health problems, and with health-impairing behaviors that are also related to stress. Research targeting this hypothesis is needed to determine the extent to which stress is a pathway linking SES and health.
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Affiliation(s)
- A Baum
- University of Pittsburgh Cancer Institute, Pennsylvania 15213, USA.
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Abstract
Diurnal influences on natural killer (NK) cell changes to acute stress were assessed in 21 men and 21 women assigned to either an acute stress (mental arithmetic) or control task condition. Sessions began at either 8 a.m. or 2 p.m. Number of NK (CD3-CD56+) cells and NK activity were measured at baseline, during the 5-min task, and 60 and 90 min after the task. Both morning and afternoon stress participants had elevated NK cell numbers during the task. After the task, number of NK cells decreased in morning stress participants but remained significantly above baseline levels 60 and 90 min posttask. NK cell numbers in afternoon stress participants decreased to below baseline levels 60 and 90 min after the task. Changes in NK activity were driven primarily by diurnal influences. NK activity increased in all morning participants and stayed increased 60 and 90 min posttask. NK activity of all afternoon participants also increased during the task but dropped below baseline 60 and 90 min later. Greater increases in NK levels and activity during the task were associated with greater heart rate changes.
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Affiliation(s)
- D L Delahanty
- Department of Psychology, Kent State University, Ohio 44242, USA.
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Ursano RJ, Fullerton CS, Epstein RS, Crowley B, Vance K, Kao TC, Baum A. Peritraumatic dissociation and posttraumatic stress disorder following motor vehicle accidents. Am J Psychiatry 1999; 156:1808-10. [PMID: 10553747 DOI: 10.1176/ajp.156.11.1808] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE This study examined the relation between peritraumatic dissociation and posttraumatic stress disorder (PTSD) in victims of motor vehicle accidents. METHOD Victims of serious motor vehicle accidents (N = 122) were assessed for peritraumatic dissociation with the Peritraumatic Dissociative Experiences Questionnaire-Rater Version and followed longitudinally to assess acute and chronic PTSD (1 month and 3 months after the accident) with the Structured Clinical Interview for DSM-III-R. RESULTS The most common peritraumatic dissociative symptom was time distortion (56.6%). Subjects with peritraumatic dissociation were 4.12 times more likely than those without to have acute PTSD and 4.86 times more likely to develop chronic PTSD. The risk was independent of risk associated with the presence of PTSD before the accident. CONCLUSIONS Peritraumatic dissociation is common following motor vehicle accidents and is a risk factor for acute and chronic PTSD, independent of risk associated with prior PTSD.
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Affiliation(s)
- R J Ursano
- Department of Psychiatry, Uniformed Services University of the Health Sciences, F. Edward Hébert School of Medicine, Bethesda, MD 20814-4799, USA
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