Prediction and improvement of oocyte competence are two critical issues in assisted reproductive technology to improve infertility therapy. The lack of reliable and objective predictors of oocyte developmental competence for oocyte/embryo selection during in vitro fertilization hampers the effectiveness of this technology. Likewise, the low pregnancy rate resulting from in vitro maturation of h...

Objective To measure the effect of an educational intervention on clinical competences for diagnosis and treatment of rheumatic diseases in primary healthcare physicians working in the Guadalajara Metropolitan Area, Jalisco, Mexico. Methodology Quasi-experimental study conducted in physicians from two primary health care units. The study was carried out in a 40 physicians sample, 21 in Group...

BACKGROUND The clinical ladder system categorizes the degree of nursing professionalism and rewards and is an important human resource tool for managing nursing. AIM We developed a model to evaluate nursing professionalism, which determines the clinical ladder system levels, and verified its validity. METHODS Data were collected using a clinical competence tool developed in this study, and ...

CONTEXT Empathy is a major component of a satisfactory doctor-patient relationship and the cultivation of empathy is a learning objective proposed by the Association of American Medical Colleges (AAMC) for all American medical schools. Therefore, it is important to address the measurement of empathy, its development and its correlates in medical schools. OBJECTIVES We designed this study to t...

studies in cognitive linguistics have highlighted the importance of metaphors for language teaching. metaphoric competence, as an important aspect of intelligence, can contribute to the learning of languages. most textbooks in esl/efl avoid the issue of figurative language and concentrate only on the denotative aspects of language. this article reports a study conducted at the islamic azad univ...

Some bioethicists have argued in favor of a sliding scale notion of competence, paternalistically requiring greater competence in relation to more significant risk. I argue against a sliding scale notion, taking issue with the positions of Allen E. Buchanan and Dan W. Brock, Ian Wilkes, and Joel Feinberg. Rejecting arguments that a sliding scale is supported by legal cases, by ordinary usage, a...