Despite the growing literature on sustainability assessment in urban context, resulting approaches and methods utilise several differing theoretical frameworks lack a unifying vision modus operandi. Innumerable tools instruments have been developed for particular purposes rather narrow goals. Curiously, these remain unable to trace assess vernacular forms traditional built environments, even th...

Medicines receiving a conditional marketing authorization through Medicines Adaptive Pathways to Patients (MAPPs) will be a challenge for payers. The "introduction" of MAPPs is already seen by the European Medicines Agency (EMA) as a fait accompli, with payers not consulted or involved. However, once medicines are approved through MAPPs, they will be evaluated for funding by payers through diff...

OBJECTIVE The aim of this study was to identify elements of occupational medicine practice used on a frequent basis which are considered to be of high priority for continuing professional development (CPD). METHODS A postal questionnaire covering 28 areas of knowledge or practice was sent to all members of the Society of Occupational Medicine in September 2000. Respondents were asked to alloc...

Regenerative medicine is a site for opposing forces of gatekeeping and innovation. This applies both to regulation of market entry and to clinical adoption. Key gateways include the EU's Advanced Therapy Medicinal Products Regulation, technology assessment body NICE and commissioning/service contractor National Health Service England. The paper maps recent gatekeeping flexibilities, describing ...

First submission on 02/04/13; last submission on 16/06/13; accepted for publication on 17/06/13; published on 20/08/13 1. Master’s in Pathology by Universidade Federal de Minas Gerais (UFMG); pathologist at LAPAC. 2. Graduate student in Medicine at UFMG. 3. Master’s in Infectology and Tropical Medicine by UFMG; professor at Universidade Federal de Ouro Preto (UFOP). 4. Pathologist at Centro de ...

Symptoms are important patient-reported outcomes (PRO), which help to evaluate the impact of diseases and treatments and assess quality of care. Thorough symptom assessment is a challenge, as patients in palliative settings are often polysymptomatic and easily fatigued. There is no consensus about standardization of symptom assessment in palliative medicine. The available research provides some...

BACKGROUND Fourth-degree perineal lacerations are an uncommon, unpredictable injury that family physicians may face. METHODS After a needs assessment and feasibility review, we developed goals, objectives, instructional tools, and a feedback survey for a curriculum using a novel model to simulate perineal laceration repair. RESULTS Fifty-six learners evaluated the session, expressing increa...

INTRODUCTION For optimal direction in career paths and postgraduate training, students can benefit from information to guide them through options. Using geriatric medicine as a template, the goal was to develop a multimedia podcast resource that can give a clearer picture of what a specialty entails. METHODS The project included a survey of existing resources and needs assessment of medical s...