BACKGROUND The phenomenon of discharge against medical advice (DAMA) among pediatric patients places pediatricians in a dilemma between respect for the parent's decision and the desire to provide complete care for the vulnerable child-patient. Little has been written about factors that affect a pediatrician's decision to allow a parent to discharge his child against medical advice. This qualita...

The specifications of automated learning scenarios can lead to advantages for virtual learning environments and important benefits for organizations, although research in this e-learning area has not addressed this issue. To achieve this goal, one requirement is to have an infrastructure able to support the execution of specifications of learning scenarios. This paper presents an open service-o...

We describe a logic language to formally express interdependencies between classes belonging to different schemas, the socalled interschema knowledge. These interdependencies allow a designer of a multidatabase (MDB) to establish relationships between both the intensional definition and the set of instances of classes represented in different schemas. These assertions form the „backbone“ of the...

My discussion will be focussed on the notion of a property. I first present the standard intensional definition of a property, which is formulated in terms of possible worlds, and outline some of the philosophical problems this definition leads to. Then I introduce the notion of a conceptual space and show how such spaces can be used as a basis for a new criterion of what a property is. This cr...

This article explores the boundaries of neighborhoods as subjectively constructed by 37 adolescents and 33 parents across four census-defined block groups in a Western city. We examine the degree of consensus among participants on the spatial boundaries of their neighborhoods, the stability of participants’ subjectively constructed neighborhood definitions, and the overlap between subjectively ...

PURPOSE This article identifies challenges in defining, measuring, and studying quality of life of nursing home residents. DESIGN AND METHOD A theoretical analysis was conducted based on literature and the author's own large-scale studies of quality of life of nursing home residents. RESULTS Measuring quality of life is a relatively low priority in nursing homes because of focus on markers ...

This article reviews the various definitions of case formulation, differences between diagnosis and case formulation, how case formulation for the child patient differs from the adult patient, and case formulation in the context of residency training, including challenges for residents transitioning from adult psychiatry. It presents a suggested structure for constructing a biopsychosocial form...

Academic surgeons play an instrumental role in the training of our medical students and surgical residents. Although volunteer faculty often have an important role in the clinical development of surgeons-in-training, the tasks of curricular development, structured didactic sessions, professional advising, research sponsorship, and mentoring at all levels fall to the academic surgeon. Historical...

1219. Utility of Case Definitions for Healthcare-associated Infections (HAIs) used in Adult Long Term Care Facilities (LTCFs) for Residents in Pediatric Long Term Care Facilities ( pLTCFs) Meghan Murray, MPH; Lisa Saiman, MD, MPH; Bevin Cohen, MPH, MPhil; Elaine Larson, RN, PhD, FAAN, CIC; Natalie Neu, MD; School of Nursing, Columbia University Medical Center, New York, NY; Department of Pediat...

Existing training on elder mistreatment in nursing homes focuses on detection and reporting of abuse, with little training specifically targeted toward prevention of mistreatment before it occurs. We used qualitative interviews with nursing home staff, policy makers, and related professionals to identify training needs. Based on participant accounts, we drafted a number of competencies essentia...