The awareness of health care providers, particularly physicians, towards telemedicine is pivotal to its development. In this study we distributed questionnaires among Libyan physicians attending a medical symposium on telemedicine, held in the period 28 February-1 March, 2005. The sample comprised 28 males and 13 females from different specialties and from different parts of the country. Most r...

The effect of attending breech, twin, and post-date pregnancies on home birth outcomes was assessed. The same from was used to collect data on a convenience sample of 4,361 home births attended by apprentice-trained midwives from 1970 to 1985 and 4,107 home births attended by family physicians from 1969 to 1981. Data sets were compared to find 1,000 pairs of pregnant women, one from each group,...

CONTEXT Financial pressures have increased the emphasis on expeditious hospital discharge. Identification of barriers to timely discharge may help direct efforts to decrease unnecessary hospital days. OBJECTIVE To identify caregivers' perceptions of reasons for discharge delays at an academic medical center. DESIGN Survey and free-form written responses using a convenience sample (overall r...

Evidence has accumulated in support of the role of Journal Clubs (JC) as an effective educational tool especially in promoting critical appraisal skills, and improving knowledge of epidemiology and biostatistics. However, the educational underpinnings that inform the process and explain how learning occurs within the context of JCs have not been investigated. We conducted a qualitative study am...

The goal of this qualitative study was to assess physicians’ perceptions around features key screens within a prominent commercial EHR, and solicit end-user recommendations for improved retrieval high-priority clinical information. We conducted qualitative, descriptive 25 physicians in medical ICU setting. at tertiary academic center. An in-depth, semi-structured interview guide developed elici...

Wellens syndrome is an electrocardiographic pattern involving T waves in precordial leads a group of patients presenting with unstable angina suggestive critical stenosis the proximal left anterior descending coronary artery (LAD).It very crucial for attending physicians to be able recognize these patterns because failure do so can lead life threatening catastrophe and devastating outcome.Here ...

The trainee in difficulty is someone who is either marginal or at risk of failing in his or her clinical performance. Dealing effectively with these learners can pose problems even for seasoned medical educators. This article discusses some of the common mistakes made by educators in dealing with the trainee in difficulty and offers suggestions for a systematic approach. Further, the roles of f...

The purpose of our research is the development of a new technology, teleimmersion, which will make possible 3D visual communication between people distributed over the globe. We are putting together a low-end, PC-based, affordable hardware system, and are developing the software for a teleimmersion node (T-node). The software is based on accurate polynocular stereo. We will describe a testbed f...

Quality of care in the nursing home (NH) has received great attention over the past 2 decades. The role of the physician in the quality equation, however, has not been well described. Some commentators have gone so far as to argue that physicians have been marginalized owing to the lack of an evidence base demonstrating the impact of physician care on quality measures, including cost.1 We have ...

background:     purpose:     methods:     results     conclusion     rug interactions , active training : drug interactions are common medical errors in gorgan province and training can decrease their rate. keywords. d   : overall prevalence of drug interactions was 8.93%, of which 6.55% were major, 65.58% moderate and 27.87% minor. interactions were mostly seen among male doctors. the physicia...