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McGuire C. Relationship Between Resilience, Emotional Intelligence, and Age. Radiol Technol 2023; 95:8-16. [PMID: 37709521] [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] [Received: 09/01/2022] [Accepted: 11/09/2022] [Indexed: 09/16/2023]
Abstract
PURPOSE To explore the relationship between resilience, emotional intelligence (EI), and age in students enrolled in health care professional programs. METHODS Convenience sampling was used to recruit participants by posting a survey link in health care courses at a midsized southeastern public university in the United States. The survey included 5 demographic questions, the Schutte Self-Report Emotional Intelligence Test, and the Brief Resilience Scale. A multiple linear regression model was conducted to examine the relationship between age, EI, and resilience. RESULTS A total of 199 students participated in the study, consisting of 178 females (89.4%) and 21 males (10.6%). The collective study findings indicated a significant predictive relationship among EI, age, and resilience. The multiple linear regression findings were significant (F 2,194 = 58.48, P < .001, and R 2 = 0.376), suggesting a predictive relationship among EI, age, and resilience. The coefficient of determination, R 2, indicated that approximately 37.6% of the variance in resilience was explained by EI and age. DISCUSSION The shortage in the health care workforce combined with increasing reports of burnout and attrition among workers emphasizes the critical role of education programs in preparing future health care professionals. Understanding the effect of EI and age on levels of resilience might help educators develop collaborative interventions. Educators should consider incorporating EI skills development in the curriculum to influence positive retention and clinical experiences for health care students that translate to their careers in the health care profession. CONCLUSION The significant predictive relationship of EI and age with resilience offers insight into the possible solution of increasing resilience skills by integrating EI in the curriculum.
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Affiliation(s)
- Cindy McGuire
- Cindy McGuire, EdD, R.T.(R)(M), works for Northwestern State University of Louisiana in Shreveport
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2
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Jonk Y, Snow KI, Thayer D, McGuire C, Bratesman S, Smith CA, Ziller E. Pent-up demand for care among dual-eligible victims of elder financial exploitation in Maine. J Elder Abuse Negl 2020; 32:334-356. [PMID: 32886027 DOI: 10.1080/08946566.2020.1806980] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Elder financial exploitation (EFE), the misuse of a vulnerable adult's property or resources for personal gain, is a form of elder abuse. This study addresses whether dual-eligible EFE victims were experiencing pent-up demand for health services alleviated through investigation by Adult Protective Services (APS). A quasi-experimental design addressed health service utilization and costs for 131 dual-eligible Maine APS clients over age 60 with substantiated allegations of EFE relative to comparable non-APS controls. APS case files spanning 2007-2012 were linked to 2006-2014 Medicare and Medicaid claims data. Service utilization and costs were analyzed 1 year prior, during, and 2 years after the initial APS investigation. Difference in differences logistic regression and generalized linear models addressed the likelihood of incurring costs and expenditure levels relative to matched controls, respectively. Victims of EFE had higher overall odds of using inpatient and long-term services and supports (LTSS) and higher odds of using LTSS post-investigation than controls. Higher overall levels of outpatient and prescriptions expenditures and higher inpatient expenditures during the APS event year contributed toward APS clients incurring $1,142 higher PMPM total costs than controls. Victims of EFE were experiencing significant pent-up demand for health services post-APS involvement.
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Affiliation(s)
- Yvonne Jonk
- Muskie School of Public Service, University of Southern Maine , Portland, ME, USA
| | - Kimberly I Snow
- Muskie School of Public Service, University of Southern Maine , Portland, ME, USA
| | - D Thayer
- Muskie School of Public Service, University of Southern Maine , Portland, ME, USA
| | - C McGuire
- Muskie School of Public Service, University of Southern Maine , Portland, ME, USA
| | - S Bratesman
- Muskie School of Public Service, University of Southern Maine , Portland, ME, USA
| | - C A Smith
- School of Social Work, University of Maryland , Baltimore, School of Social Work, MD, USA
| | - E Ziller
- Muskie School of Public Service, University of Southern Maine , Portland, ME, USA
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McGuire C, Dale P, Copplestone D, Wilson C, Tyler A. Characterising radium-226 particles from legacy contamination to support radiation dose assessments. J Environ Radioact 2020; 212:106127. [PMID: 31885362 DOI: 10.1016/j.jenvrad.2019.106127] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/31/2019] [Revised: 11/29/2019] [Accepted: 11/29/2019] [Indexed: 06/10/2023]
Abstract
Radioactive particles are physically discrete sources of radioactivity that have been released into the environment as a result of past emergencies, events and practices. As the release of radioactive particles is often unplanned, the source term has not been characterised, and the potential radiation doses have not been prospectively assessed. If a plausible exposure pathway exists, radioactive particles in the environment may present a hazard to the public depending on their radiological, physical and chemical characteristics. Given their physically discrete nature, standard assessment approaches such as dispersion and transfer modelling of liquid and gaseous radioactive releases, are not appropriate for radioactive particles. The challenge for national regulatory authorities is to calculate potential radiation doses from unplanned releases of radioactive particles into the environment, assess whether the doses are relevant to radiological protection and decide whether actions are required to reduce potential doses. To address this challenge, this paper presents the approach being adopted to radiologically, physically and chemically characterise Ra-226 particles from a contaminated legacy site using gamma spectrometry, optical macroscopy and SEM-EDS. The use of particle characterisation data to support radiation dose assessments is discussed and consideration is given to radioactive particles in the context of radiological protection.
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Affiliation(s)
- C McGuire
- Biological and Environmental Sciences, Faculty of Natural Sciences, University of Stirling, Stirling, FK9 4LA, United Kingdom; Scottish Environment Protection Agency, Strathallan House, Castle Business Park, Stirling, FK9 4TZ, United Kingdom.
| | - P Dale
- Scottish Environment Protection Agency, Strathallan House, Castle Business Park, Stirling, FK9 4TZ, United Kingdom
| | - D Copplestone
- Biological and Environmental Sciences, Faculty of Natural Sciences, University of Stirling, Stirling, FK9 4LA, United Kingdom
| | - C Wilson
- Biological and Environmental Sciences, Faculty of Natural Sciences, University of Stirling, Stirling, FK9 4LA, United Kingdom
| | - A Tyler
- Biological and Environmental Sciences, Faculty of Natural Sciences, University of Stirling, Stirling, FK9 4LA, United Kingdom
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Cauble R, Hamad S, Herring E, Lichtenwalter C, McGuire C, Dridi S. Leptin Activates NLRP3 Inflammasome-Associated with Type II Diabetes and Obesity. ACTA ACUST UNITED AC 2018. [DOI: 10.17140/aftnsoj-4-e016] [Citation(s) in RCA: 2] [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: 11/11/2022]
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5
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Coulter EH, Miller L, McCorkell S, McGuire C, Algie K, Freeman J, Weller B, Mattison PG, McConnachie A, Wu O, Paul L. Validity of the activPAL3 activity monitor in people moderately affected by Multiple Sclerosis. Med Eng Phys 2017; 45:78-82. [PMID: 28408158 DOI: 10.1016/j.medengphy.2017.03.008] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [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: 11/24/2016] [Revised: 03/03/2017] [Accepted: 03/26/2017] [Indexed: 10/19/2022]
Abstract
Walking is the primary form of physical activity performed by people with Multiple Sclerosis (MS), therefore it is important to ensure the validity of tools employed to measure walking activity. The aim of this study was to assess the criterion validity of the activPAL3 activity monitor during overground walking in people with MS. Validity of the activPAL3 accelerometer was compared to video observation in 20 people moderately affected by MS. Participants walked 20-30m twice along a straight quiet corridor at a comfortable speed. Inter-rater reliability of video observations was excellent (all intraclass correlations >0.99). The mean difference (activPAL3- mean of raters) was -4.70±9.09, -4.55s±10.76 and 1.11s±1.11 for steps taken, walking duration and upright duration respectively. These differences represented 8.7%, 10.0% and 1.8% of the mean for each measure respectively. The activPAL3 tended to underestimate steps taken and walking duration in those who walked at cadences of ≤38 steps/min by 60% and 47%, respectively. The activPAL3 is valid for measuring walking activity in people moderately affected by MS. It is accurate for upright duration regardless of cadence. In participants with slow walking cadences, outcomes of steps taken and walking duration should be interpreted with caution.
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Affiliation(s)
- E H Coulter
- School of Medicine, Dentistry and Nursing, Oakfield Avenue, University of Glasgow, Glasgow G12 8LL, UK ; School of Health Sciences, Queen Margaret University, Queen Margaret Drive, Musselburgh, Edinburgh EH21 6UU, UK .
| | - L Miller
- Multiple Sclerosis Service, NHS Ayrshire and Arran, Kilwinning Road, Irvine KA12 6SS, UK; School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.
| | - S McCorkell
- Multiple Sclerosis Service, NHS Ayrshire and Arran, Kilwinning Road, Irvine KA12 6SS, UK.
| | - C McGuire
- Anne Rowling Regenerative Neurology Clinic, 49 Little France Crescent, NHS Lothian, Edinburgh EH16 4SB, UK.
| | - K Algie
- School of Health Professions, University of Plymouth, Derriford Road, Plymouth PL6 8BH, UK.
| | - J Freeman
- School of Health Professions, University of Plymouth, Derriford Road, Plymouth PL6 8BH, UK.
| | - B Weller
- Anne Rowling Regenerative Neurology Clinic, 49 Little France Crescent, NHS Lothian, Edinburgh EH16 4SB, UK.
| | - P G Mattison
- Multiple Sclerosis Service, NHS Ayrshire and Arran, Kilwinning Road, Irvine KA12 6SS, UK.
| | - A McConnachie
- Robertson Centre for Biostatistics, University of Glasgow, University Avenue, Glasgow G12 8QQ, UK.
| | - O Wu
- Institute of Health and Wellbeing, University of Glasgow, Lilybank Gardens, Glasgow G12 8RZ, UK.
| | - L Paul
- School of Medicine, Dentistry and Nursing, Oakfield Avenue, University of Glasgow, Glasgow G12 8LL, UK .
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Santamaria-Perez D, McGuire C, Makhluf A, Kavner A, Chuliá-Jordan R, Jorda JL, Rey F, Pellicer-Porres J, Martinez-García D, Rodriguez-Hernández P, Muñoz A. Correspondence: Strongly-driven Re+CO 2 redox reaction at high-pressure and high-temperature. Nat Commun 2016; 7:13647. [PMID: 27897171 PMCID: PMC5141295 DOI: 10.1038/ncomms13647] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Affiliation(s)
- D Santamaria-Perez
- Earth, Planetary and Space Sciences Department, University of California Los Angeles, Los Angeles, California 951567, USA.,MALTA-Departamento de Física Aplicada-ICMUV, Universitat de València, 46100 Valencia, Spain
| | - C McGuire
- Earth, Planetary and Space Sciences Department, University of California Los Angeles, Los Angeles, California 951567, USA
| | - A Makhluf
- Earth, Planetary and Space Sciences Department, University of California Los Angeles, Los Angeles, California 951567, USA
| | - A Kavner
- Earth, Planetary and Space Sciences Department, University of California Los Angeles, Los Angeles, California 951567, USA
| | - R Chuliá-Jordan
- MALTA-Departamento de Física Aplicada-ICMUV, Universitat de València, 46100 Valencia, Spain
| | - J L Jorda
- Instituto de Tecnologia Quimica, Universitat Politècnica de València-CSIC, 46022 Valencia, Spain
| | - F Rey
- Instituto de Tecnologia Quimica, Universitat Politècnica de València-CSIC, 46022 Valencia, Spain
| | - J Pellicer-Porres
- MALTA-Departamento de Física Aplicada-ICMUV, Universitat de València, 46100 Valencia, Spain
| | - D Martinez-García
- MALTA-Departamento de Física Aplicada-ICMUV, Universitat de València, 46100 Valencia, Spain
| | - P Rodriguez-Hernández
- MALTA-Departamento de Física, Instituto Univ. de Materiales y Nanotecnología, Universidad de La Laguna, 38207 La Laguna, Tenerife, Spain
| | - A Muñoz
- MALTA-Departamento de Física, Instituto Univ. de Materiales y Nanotecnología, Universidad de La Laguna, 38207 La Laguna, Tenerife, Spain
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7
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Rankin J, McGuire C, Matthews L, Russell M, Ray D. Facilitators and barriers to the increased supervisory role of senior charge nurses: a qualitative study. J Nurs Manag 2015; 24:366-75. [PMID: 26370219 DOI: 10.1111/jonm.12330] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/06/2015] [Indexed: 11/29/2022]
Abstract
AIMS To explore the experiences of senior charge nurses provided with 'increased supervisory hours'. BACKGROUND Designated supervisory time is essential for senior charge nurses to provide effective clinical leadership. It is important to explore the impact arises of such an increase. METHODS An online questionnaire collected exploratory data from senior charge nurses (n = 60). Semi-structured interviews gathered in-depth qualitative data (n = 12). Findings were analysed for common themes associated with implementation of the increased senior charge nurse supervisory role. RESULTS The majority of senior charge nurses were unable to use their full allocation of supervisory time. They struggled to accomplish leadership goals because of managing staffing levels, increased workload, time constraints and limited support. Factors that facilitated the role included preparation and support, adequate staff capacity, effective leadership skills and availability of supervisory time. The senior charge nurses took pride in providing clinical leadership, promoting staff development and delivering patient care. Support, in terms of preparation, capacity building and ongoing mentoring, was a key factor for achieving senior charge nurse goals. CONCLUSION Senior charge nurses should be supported to maximise supervisory time through the provision of an induction programme, formal coaching and ongoing training and development. IMPLICATIONS FOR NURSING MANAGEMENT Preparation and support is essential for senior charge nurses to deliver enhanced clinical leadership through increased supervisory time.
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Affiliation(s)
- J Rankin
- School of Health, Nursing and Midwifery, University of the West of Scotland, Paisley, UK
| | - C McGuire
- Leading Better Care, School of Health, Nursing and Midwifery, University of the West of Scotland, Paisley, UK
| | - L Matthews
- Leading Better Care, School of Health, Nursing and Midwifery, University of the West of Scotland, Paisley, UK
| | | | - D Ray
- Leading Better Care, School of Health, Nursing and Midwifery, University of the West of Scotland, Paisley, UK
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8
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9
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Tyler AN, Dale P, Copplestone D, Bradley S, Ewen H, McGuire C, Scott EM. The radium legacy: Contaminated land and the committed effective dose from the ingestion of radium contaminated materials. Environ Int 2013; 59:449-455. [PMID: 23933503 DOI: 10.1016/j.envint.2013.06.016] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/17/2012] [Revised: 06/17/2013] [Accepted: 06/22/2013] [Indexed: 06/02/2023]
Abstract
The manufacture and use of radium in the early to mid-20th century within industrial, medicinal and recreational products have resulted in a large number of contaminated sites across a number of countries with notable examples in the USA and Europe. These sites, represent a significant number of unregulated sources of potential radiological exposure that have collectively and hitherto not been well characterised. In 2007, the Radioactive Contaminated Land (RCL) Regulations came into force in the UK, providing the statutory guidance for regulators to classify and deal with RCL. Here we report on results derived from digestion experiments to estimate committed effective dose, a key aspect of the RCL Regulations, from the ingestion of radium contaminated sources that can be found in the environment. This case study includes particles, clinker and artefacts that arise from past military activities on a site that was once an airfield at Dalgety Bay on the Firth of Forth, UK. Since 2011 the number of radium contaminated finds has increased by one order of magnitude on the foreshore areas of Dalgety Bay. The increase in finds may in large part be attributed to a change in monitoring practice. A subsample of sixty sources was selected, on the basis of their activity and dimensions, and subjected to digestion in simulated stomach and lower intestine solutions. The study demonstrated that more radium-226 ((226)Ra) and lead-210 ((210)Pb; driven by Polonium solubility) are dissolved from sources in artificial 'stomach' solutions compared with 'lower intestine' solutions. The combined 'gut' solubility for (226)Ra and apparent (210)Pb varied from less than 1% to up to 35% ICRP 72 conversion factors were used to convert the activities measured in solution to committed effective dose. A little over 10% of the sources tested dissolved sufficient radioactivity to result in 100mSv committed effective dose to an infant. Using the solubility of 35% as a worst case, minimum source activities necessary to deliver 100mSv to the full age range of users of the foreshore were estimated. All the estimated activities have been detected and recovered through routine monitoring.
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Affiliation(s)
- A N Tyler
- Biological and Environmental Sciences, School of Natural Sciences, University of Stirling, Stirling FK9 4LA, United Kingdom.
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10
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Polak M, Belgi G, McGuire C, Pickard C, Healy E, Friedmann P, Ardern-Jones M. In vitrodiagnostic assays are effective during the acute phase of delayed-type drug hypersensitivity reactions. Br J Dermatol 2013; 168:539-49. [DOI: 10.1111/bjd.12109] [Citation(s) in RCA: 56] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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11
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Micovic M, Kurdoghlian A, Moyer HP, Hashimoto P, Hu M, Antcliffe M, Willadsen PJ, Wong WS, Bowen R, Milosavljevic I, Yoon Y, Schmitz A, Wetzel M, McGuire C, Hughes B, Chow DH. GaN MMIC PAs for E-Band (71 GHz - 95 GHz) Radio. ACTA ACUST UNITED AC 2008. [DOI: 10.1109/csics.2008.7] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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12
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Friedmann PS, Perzanowska M, McGuire C, Nayak N, Clough GF, Sampson AP, Church MK. New therapeutic indications for Cys-LT1
antagonists: atopic dermatitis and urticaria. ACTA ACUST UNITED AC 2008. [DOI: 10.1046/j.1472-9725.2001.00030.x] [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: 11/20/2022]
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13
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Dixon L, Lucksted A, Stewart B, Burland J, Brown CH, Postrado L, McGuire C, Hoffman M. Outcomes of the peer-taught 12-week family-to-family education program for severe mental illness. Acta Psychiatr Scand 2004; 109:207-15. [PMID: 14984393 DOI: 10.1046/j.0001-690x.2003.00242.x] [Citation(s) in RCA: 85] [Impact Index Per Article: 4.3] [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: 11/20/2022]
Abstract
OBJECTIVE Family-to-Family Education Program (FFEP) is a 12-week course for family members of adults with serious mental illness (SMI). This study evaluates the effectiveness of FFEP for several family member outcomes. METHOD The FFEP enrollees on a > or =3-month waiting list were eligible; 95 consenting family members agreed to four interviews (waitlist, pre-FFEP, post-FFEP, and 6 months post-FFEP) regarding subjective and objective burden, empowerment, and depression. Mixed effects ANOVA models tested hypotheses of decreased burden and increased empowerment after FFEP. RESULTS The FFEP was associated with reduced subjective burden (P < 0.01) and increased empowerment (P < 0.01) without changes in objective burden. Knowledge about SMI, understanding the mental health system, and self-care also improved. There was no significant decay at 6-month followup. CONCLUSION This study provides evidence that FFEP is helpful to relatives of persons with SMI by reducing subjective burden and worry, and increasing empowerment, knowledge about SMI, understanding the mental health system, and self-care.
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Affiliation(s)
- L Dixon
- Center for Mental Health Services Research, University of Maryland Baltimore Department of Psychiatry, School of Medicine, Baltimore, MD 21201, USA.
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Kubota R, Hokoc JN, Moshiri A, McGuire C, Reh TA. A comparative study of neurogenesis in the retinal ciliary marginal zone of homeothermic vertebrates. Brain Res Dev Brain Res 2002; 134:31-41. [PMID: 11947935 DOI: 10.1016/s0165-3806(01)00287-5] [Citation(s) in RCA: 113] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
The retina of many fish and amphibians grows throughout life, roughly matching the overall growth of the animal. The new retinal cells are continually added at the anterior margin of the retina, in a circumferential zone of cells, known as the ciliary marginal zone, or CMZ. Recently, Fischer and Reh [Dev. Biol. 220 (2000) 197] have found that new neurons are added to the retina of the chicken via proliferation and subsequent differentiation of neurons and glia at the retinal margin in a zone highly reminiscent of the CMZ of lower vertebrates. In addition, other groups have reported that putative retinal stem cells could be isolated from the ciliary margin of the adult mouse. In light of these findings, we have re-investigated the eyes of three additional species to determine whether other homeothermic vertebrates also possess CMZ cells and whether we could detect evidence for addition of neurons at the retinal margin in mature animals. We examined one additional avian species, the quail, one marsupial, the opposum, and one mammal, the mouse. We find that the CMZ cells have been gradually diminished during vertebrate evolution. The quail has a reduced CMZ as compared to the chicken, while the opposum has only a few cells likely related to the CMZ and we failed to find evidence of CMZ cells at the margin of the mouse retina.
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Affiliation(s)
- R Kubota
- Departments of Ophthalmology, Biological Structure, and the Neurobiology and Behavior Program, University of Washington, Seattle, WA 98195, USA
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15
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Wang L, Yan L, McGuire C, Kozak CA, Wang M, Kim UJ, Siciliano M, Weinshilboum RM. Mouse histamine N-methyltransferase: cDNA cloning, expression, gene cloning and chromosomal localization. Inflamm Res 2001; 50:300-8. [PMID: 11475331 DOI: 10.1007/pl00000248] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [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: 11/24/2022] Open
Abstract
OBJECTIVE Histamine N-methyltransferase (HNMT) catalyzes the Ntau-methylation of histamine. We set out to clone a mouse liver HNMT cDNA and the mouse HNMT gene as steps toward characterizing molecular genetic mechanisms involved in the regulation of this important histamine-metabolizing enzyme. DESIGN A PCR-based strategy was used to clone both the mouse HNMT cDNA and the gene encoding that cDNA, Hnmt. The cDNA was used both to express recombinant mouse HNMT and to determine the chromosomal localization of Hnmt. RESULTS The mouse liver HNMT cDNA was 1657 bp in length with an 888 bp open reading frame (ORF) that encoded a 296 amino acid protein with a predicted Mr value of approximately 32.5 kDa. The amino acid sequence of the encoded protein was 84% identical to that of human kidney HNMT. Mouse HNMT was expressed in COS-1 cells, and its apparent Km values for histamine and S-adenosyl-L-methionine (Ado-Met), the two cosubstrates for the reaction, were 5.3 and 5.8 microM, respectively. The mouse HNMT gene, Hnmt, spanned approximately 25 kb and had 7 exons. Its structure differed from that of the human gene primarily by the presence of an additional exon at the 5'-terminus. Hnmt mapped to mouse chromosome 2 in an area of conserved synteny to human chromosome 2q, the location of the human gene (2q22) on the basis of fluorescence in situ hybridization. CONCLUSIONS Cloning and functional characterization of the mouse HNMT cDNA and gene will now make it possible to study in the mouse molecular genetic mechanisms involved the regulation of this important histamine-metabolizing enzyme.
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Affiliation(s)
- L Wang
- Department of Molecular Pharmacology and Experimental Therapeutics, Mayo Graduate School-Mayo Clinic-Mayo Foundation, Rochester, MN 55905 USA
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16
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Simpson NK, Johnson CC, Ogden SL, Gamito E, Trocky N, McGuire C, Martin J, Barrow S, Lamerato L, Flickinger LM, Broski KG, Engelhard D, Hilke C, Bonk J, Gahagan B, Gren LH, Childs J, Lappe K, Fouad M, Thompson J, Sullivan D. Recruitment strategies in the Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial: the first six years. Control Clin Trials 2000; 21:356S-378S. [PMID: 11189688 DOI: 10.1016/s0197-2456(00)00102-1] [Citation(s) in RCA: 41] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/15/2023]
Abstract
The Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial has a total enrollment goal of almost 150,000 participants. These participants are being recruited at ten screening centers across the United States. All screening centers tested recruitment methodologies during a 1-year pilot phase. The main phase of recruitment was planned to take place over a 3-year period. The majority of participants are being recruited during the main phase of the study. Each of the screening centers tailors recruitment to its individual catchment area. Recruitment strategies in the PLCO trial are described. As the trial began, several protocol changes were made to help to increase enrollment. The National Cancer Institute (NCI) initiated recruitment efforts at the national level. The individual screening centers describe some of the specific recruitment experiences encountered. As the study progressed, the NCI implemented special initiatives to increase the enrollment of minority participants.
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Affiliation(s)
- N K Simpson
- Early Detection Research Group, Division of Cancer Prevention, National Cancer Institute, Bethesda, Maryland 20892-7346, USA
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17
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Woodard JL, Goldstein FC, Roberts VJ, McGuire C. Convergent and discriminant validity of the CVLT (dementia version). California Verbal Learning Test. J Clin Exp Neuropsychol 1999; 21:553-8. [PMID: 10550812 DOI: 10.1076/jcen.21.4.553.878] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
This study investigated the convergent and discriminant validity of the 9-item "dementia version'' of the California Verbal Learning Test (CVLT-9) in a sample of 130 geriatric patients evaluated for memory complaints. Moderate correlations were observed between the CVLT-9 sum of words recalled for trials 1-5 (Trial 1-5 Recall) and Long-Delay Free Recall (LDFR) measures and the immediate and delayed Logical Memory (LM I and LM II) and Visual Reproduction (VR I and VR II) subtests from the Wechsler Memory Scale-Revised (WMS-R). However, the CVLT-9 Trial 1-5 Recall and VR I measures demonstrated significant correlations with a number of additional measures of language and visuospatial ability. The CVLT-9 LDFR, and the WMS-R LM I, LM II, and VR II showed less overlap with non-episodic memory functioning. A principal components analysis yielded a three-component solution consisting of a general or "g'' component, a specific memory component, and a mood component. The CVLT-9 Trial 1-5 Recall and VR I loaded on both the "g'' and the memory components, whereas LM I, LM II, and VR II loaded on only the memory component. We conclude that the CVLT-9 Trial 1-5 Recall and VR I demonstrate low discriminant validity, suggesting diminished specificity as memory measures.
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Affiliation(s)
- J L Woodard
- Emory University School of Medicine, Department of Neurology, Atlanta, GA, United States of America.
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Armstrong P, Chase L, Cowan C, Gross C, McGuire C, Shoebridge L, Veldhoen R, White J. The quality coach--the facilitators' perspective. Hosp Top 1999; 74:31-5. [PMID: 10156823 DOI: 10.1080/00185868.1996.11736047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- P Armstrong
- Langley Memorial Hospital, British Columbia, Canada
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Kilbreth EH, Coburn AF, McGuire C, Martin DP, Diehr P, Madden CW, Skillman SM. State-sponsored programs for the uninsured: is there adverse selection? Inquiry 1998; 35:250-65. [PMID: 9809054] [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] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Abstract
Risk contracting by states for coverage of previously uninsured populations has been hampered by uncertainty regarding likely claims experience. This study reports on the utilization experience of two state programs offering subsidized coverage in commercial managed care organizations to low-income and previously uninsured people. Program participants used services similarly to people enrolled through large employer benefit plans. There was no evidence of pent-up demand or an unusual level of chronic illness. Similarly, there was little evidence of underutilization, although dissatisfaction and reported barriers to service were more frequent among nonwhite enrollees.
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Affiliation(s)
- E H Kilbreth
- Institute for Health Policy, Edmund S. Muskie School of Public Service, University of Southern Maine, Portland 04104-9300, USA
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Jacoby AG, Howard-Glenn L, McGuire C, Hayashida B. A CNS integrated health care delivery system model. Nurs Manag (Harrow) 1995; 26:37-8, 40. [PMID: 7478361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
The more complicated a client's health needs are, the higher the risk for inappropriate utilization of services, fragmentation of care and delays in system access. The challenge is to ensure that patients move appropriately from one access point to another in the most efficient, effective manner. The Integrated Health Care Delivery System is designed to meet this challenge.
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Kilbreth EH, McGuire C. State choices for voluntary health reform initiatives. Adv Health Econ Health Serv Res 1994; 15:1-25. [PMID: 10163092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Affiliation(s)
- E H Kilbreth
- Edmund S. Muskie Institute of Public Affairs, University of Southern Maine, USA
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McGuire C. It's all a healing journey. Beginnings 1994; 14:2, 7, 11. [PMID: 7865972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
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Abstract
Two surveys were conducted among pregnant women throughout England, before (n = 625) and after (n = 607) a mass media campaign on smoking and pregnancy targeted at women aged 15-24 years, in the social grade C2DE. The majority of the post-campaign sample recalled having seen at least one of the campaign's series of press advertisements. There was a significant increase among this sample in those considering smoking to be very dangerous to the unborn child, in those understanding the term passive smoking and in those considering passive smoking to be very dangerous. During the campaign there was a 14% increase in the number of calls to a cessation helpline from pregnant women. Over the campaign there were no significant changes in smoking prevalence and consumption among pregnant women or partners or in the numbers of partners offering suggestions to pregnant women about their smoking behaviour.
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Affiliation(s)
- P Campion
- Health Education Authority, London, UK
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Greenoak J, Arnold D, Huntley J, McGuire C. Health at work in the NHS feature. Promot Educ 1994; 1:6-10. [PMID: 8186949 DOI: 10.1177/102538239400100103] [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] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Almost 20 million people are in paid employment in England today, spending up to 60 per cent of their waking hours in their places of work, many for 40 years or more. Workplaces are, therefore, a major influence on health and provide an invaluable setting for health promotion.
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Affiliation(s)
- J Greenoak
- Health Education Authority, London, England
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McGuire C. The power of a healing network: we did it! Beginnings 1993; 13:2-3. [PMID: 8260764] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
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Coburn AF, Fortinsky R, McGuire C, McDonald TP. Effect of prospective reimbursement on nursing home costs. Health Serv Res 1993; 28:45-68. [PMID: 8463109 PMCID: PMC1069921] [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: 01/30/2023] Open
Abstract
OBJECTIVE This study evaluates the effect of Maine's Medicaid nursing home prospective payment system on nursing home costs and access to care for public patients. DATA SOURCES/STUDY SETTING The implementation of a facility-specific prospective payment system for nursing homes provided the opportunity for longitudinal study of the effect of that system. Data sources included audited Medicaid nursing home cost reports, quality-of-care data from state facility survey and licensure files, and facility case-mix information from random, stratified samples of homes and residents. Data were obtained for six years (1979-1985) covering the three-year period before and after implementation of the prospective payment system. STUDY DESIGN This study used a pre-post, longitudinal analytical design in which interrupted, time-series regression models were estimated to test the effects of prospective payment and other factors, e.g., facility characteristics, nursing home market factors, facility case mix, and quality of care, on nursing home costs. PRINCIPAL FINDINGS Prospective payment contributed to an estimated $3.03 decrease in total variable costs in the third year from what would have been expected under the previous retrospective cost-based payment system. Responsiveness to payment system efficiency incentives declined over the study period, however, indicating a growing problem in achieving further cost reductions. Some evidence suggested that cost reductions might have reduced access for public patients. CONCLUSIONS Study findings are consistent with the results of other studies that have demonstrated the effectiveness of prospective payment systems in restraining nursing home costs. Potential policy trade-offs among cost containment, access, and quality assurance deserve further consideration, particularly by researchers and policymakers designing the new generation of case mix-based and other nursing home payment systems.
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Affiliation(s)
- A F Coburn
- Edmund S. Muskie Institute of Public Affairs, University of Southern Maine, Portland 04103
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McGuire C. Role modeling. Beginnings 1993; 13:2. [PMID: 8481606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
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McGuire C. Leadership: what AHNA means to me. Beginnings 1992; 12:2, 4. [PMID: 1521031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
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McGuire C. HIB. Assessing information needs. Health Visit 1992; 65:268. [PMID: 1468947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Planning the launch of the new Haemophilus influenzae b vaccine in October of this year has challenged health educators involved with child immunisation, writes Christine McGuire of the Health Education Authority (HEA). Here she outlines the findings from initial research commissioned to explore parental and professional information needs.
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McGuire C. Collaborative practice: the key is the quality of the process. Beginnings 1992; 12:2, 6. [PMID: 1551008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
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McGuire C. An overview of holistic nursing. Imprint 1990; 37:73-4. [PMID: 2401507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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Abstract
Conventional hardcopy images from 266 body CT studies were compared with those provided at a commercially available picture archiving communication system (PACS) workstation. Unprocessed PACS images were larger but otherwise precisely duplicated hardcopy images. The PACS images were evaluated before and after application of various image processing/display features. Approximately three-quarters of the cases were depicted equally well with PACS and hardcopy, but in one quarter of the cases, diagnostic features were judged to be shown more clearly at the PACS workstation. When PACS images were viewed first, change in diagnosis after subsequent hardcopy inspection was infrequent (confidence change: 4%; different findings: 2%). Conversely, when hardcopy images were viewed first, change in diagnosis after subsequent PACS inspection was more frequent (confidence change: 19%; different findings: 8%). Specialized image manipulation available on PACS was critical for its performance. Review of cases with new findings discovered during the second inspection showed the majority of them to be clinically significant, true-positives discovered by PACS. We conclude that PACS is a useful modality for interpretation of body CT images.
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Affiliation(s)
- K S Berbaum
- Department of Radiology, University of Iowa, Iowa City
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Abstract
A patient with severe seropositive rheumatoid arthritis and hepatic cirrhosis developed septic arthritis of his knees. Plesiomonas shigelloides was isolated from joint fluid, blood, and also from the gut. The patient's joint symptoms responded to treatment with oral trimethoprim-sulphamethoxazole, but he died of uncontrolled gastrointestinal bleeding five days later.
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Abstract
A three-year study was designed to assess general reading and writing skills of 231 entering medical students and to compare these scores with those of clinically oriented reading and writing skills in the same cohort of students three years later. Standardized reading and writing tests were administered to all entering freshmen in the class of 1982. Clinical reading and writing examinations were developed by the authors and members of the faculty. The reading test consisted of 16 multiple-choice questions in response to three short discussions in medical journals. Clinical writing was assessed through scoring each student's latter of referral to another physician after he read a "mock" chart of a patient's hospital care. The results showed that entry-level reading comprehension and clinical reading had a significant association as did entry-level English composition and clinical writing. Regression analysis showed that the entry-level reading and writing scores were better predictors of clinical reading and writing skills than any other prematriculation variables. The implications of these findings for medical education are discussed.
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McGuire C, Hatcher M. The American Holistic Nurses Association. Holistic Assertive Nurse 1981; 4:1-3. [PMID: 6914296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
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Gordon MS, Ewy GA, Felner JM, Forker AD, Gessner I, McGuire C, Mayer JW, Patterson D, Sajid A, Waugh RA. Teaching bedside cardiologic examination skills using "Harvey", the cardiology patient simulator. Med Clin North Am 1980; 64:305-13. [PMID: 6155573 DOI: 10.1016/s0025-7125(16)31620-0] [Citation(s) in RCA: 48] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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McDermott JF, McGuire C, Berner ES. A study of board certification in child psychiatry as a valid indicator of clinical competence. J Am Acad Child Psychiatry 1977; 16:517-28. [PMID: 886104 DOI: 10.1016/s0002-7138(09)61604-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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McDermott JF, McGuire C, Finch SM. Board certification in child psychiatry: recent developments. Am J Psychiatry 1974; 131:463-5. [PMID: 4814917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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40
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McGuire C. [Training and evaluation of clinical judgement using simulation technics]. Rev Med Chil 1973; 101:865-9. [PMID: 4787388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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41
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Williamson JW, McGuire C. Consecutive case conference: an educational evaluation. J Med Educ 1968; 43:1068-1074. [PMID: 5696295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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Abstract
The proposed discrimination model for Q representation is a generalization of the method of unfolding in an algebraic rather than a geometric field. Placements of Q statements relative to one another in joint space so as to form a quasi-normal distribution of the q stimulus items are assigned Q values which form a bounded set of symbols with specified order in arithmetic progression; for example, a finite set from "one" to "nine" wherein "five" is the midpoint of an ordered metric within persons. An algebraic theory of numbers permits mathematical operations to be carried out with sets of sets of such symbols. Using illustrative data, a mathematical model is developed for the analysis of Q values, each of which represents the intersect of two or more dimensions of behavior structured into a Q set, and for testing its stability, consistency, and reliability. The Q check procedures permit comparisons among individuals and subsamples of population samples.
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McGuire C. Evaluation in dermatology. Arch Dermatol 1965; 91:303-12. [PMID: 9626076 DOI: 10.1001/archderm.91.4.303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Acton HW, McGuire C. Actinomycotic Lesions of the Skin of the Hands and Feet Due to Actinomyces keratolytica, n. sp. Ind Med Gaz 1931; 66:65-70. [PMID: 29009965 PMCID: PMC5185668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Hugh W. Acton
- LIEUTENANT-COLONEL, I.M.S., Director, School of Tropical Medicine and Hygiene, Calcutta, (Under the Indian Research Fund Association)
| | - C. McGuire
- School of Tropical Medicine and Hygiene. (Under the Indian Research Fund Association)
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Acton HW, McGuire C. Keratolysis Plantare Sulcatum, a Lesion Due to an Actinomycotic Fungus. Ind Med Gaz 1930; 65:61-65. [PMID: 29008753 PMCID: PMC5157287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Hugh W. Acton
- LIEUTENANT-COLONEL, I.M.S., Director, Calcutta School of Tropical Medicine and Hygiene
| | - C. McGuire
- Under the Indian Research Fund Association
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Acton HW, McGuire C. "Cooly Itch." A purulent folliculitis due to the Trichophyton violaceum variety Indicum. Ind Med Gaz 1929; 64:241-246. [PMID: 29009841 PMCID: PMC5164820] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Hugh W. Acton
- LIEUTENANT-COLONEL, I.M.S., Director, Calcutta School of Tropical Medicine and Hygiene
| | - C. McGuire
- Under the Indian Research Fund Association
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47
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Acton HW, McGuire C. Tinea Cruris: Its Manifestations, Diagnosis and Treatment. Ind Med Gaz 1927; 62:419-428. [PMID: 29010792 PMCID: PMC5197913] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Hugh W. Acton
- LIEUT.-COL., I.M.S., In-charge of the Skin Department
| | - C. McGuire
- School of Tropical Medicine and Hygiene, Calcutta
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