Unacceptable Behaviors Towards Health Professional Clinical Students: Protocol For a Mixed-Methods Study.

Background And Aims: Previous studies describe the occurrence of unacceptable behaviors reported by students pursuing health professional education in Aotearoa, New Zealand and across the globe. These include, but are not limited to, experiences of verbal abuse, sexual harassment, and discrimination based on race/ethnicity, religious beliefs, gender, and sexual orientation. University of Otago teaching staff across the various health professional programs often receive anecdotal reports of these phenomena from their clinical students.

Patient representation in New Zealand general practice and rural health case-based teaching: a quality improvement exercise.

Introduction Healthcare inequity disproportionately affects minority populations in Aotearoa New Zealand. Healthcare providers may contribute to inequity due to their biases. Medical education can unintentionally promote biases by reinforcing stereotypes or limiting exposure to diversity.

Exploring the value of social network 'care maps' in the provision of long-term conditions care.

Objectives: There is renewed attention to the role of social networks as part of person-centred long-term conditions care. We sought to explore the benefits of 'care maps' - a patient-identified social network map of their care community - for health professionals in providing person-centred care.

Methods: We piloted care maps with 39 patients with long-term conditions in three urban and one rural general practice and two hospital wards.

Alcohol, tobacco and cannabis use: Do students with mild-intellectual disability mimic students in the general population?

Education policies encourage inclusion of students with mild-intellectual disability (mild-ID) in community/school life. However, such policies potentially increase exposure to substance use. This article examines tobacco, alcohol and cannabis use among French students enrolled in special units for students with disabilities (ULIS) at mainstream junior high schools compared to those of general population of the equivalent age; and explores factors associated with substance use among ULIS students, known to present mostly mild-ID.

Socialization instances linked to cannabis experimentation among French teenagers.

France presents one of the highest prevalence of teenagers aged 15-year-olds who report they already have experienced cannabis in Europe. Data from the French 2010 Health Behavior in School-aged Children (HSBC) survey and environmental parameters typifying schools' neighborhoods were used to study cannabis experimentation. We conducted a two-level logistic regression (clusters being schools) on 4,175 French 8th-10th graders from 156 schools.

Using motivational interviewing for weight feedback to parents of young children.

Aim: To determine whether a single session of motivational interviewing (MI) for feedback of a child's overweight status promotes engagement in treatment following screening.

Methods: One thousand ninety-three children aged 4-8 years were recruited through primary and secondary care to attend health screening, including assessment of parenting practices and motivation (questionnaire). Families with normal-weight children were informed about their child's weight but had no further involvement.

The Safe and Effective Clinical Outcomes (SECO) clinic: learning responsibility for patient care through simulation.

Background: This article describes a simulated General Practice clinic for medical students, which incorporates specific features to aid learning of clinical problem solving.

Description: We outline the overall objectives of the simulation, explain the concept, and describe how the clinic works. The clinic is novel in that it utilises clinical outcomes as measures for student success in the consultation.

Motivational interviewing for screening and feedback and encouraging lifestyle changes to reduce relative weight in 4-8 year old children: design of the MInT study.

Background: Because parental recognition of overweight in young children is poor, we need to determine how best to inform parents that their child is overweight in a way that enhances their acceptance and supports motivation for positive change. This study will assess 1) whether weight feedback delivered using motivational interviewing increases parental acceptance of their child's weight status and enhances motivation for behaviour change, and 2) whether a family-based individualised lifestyle intervention, delivered primarily by a MInT mentor with limited support from "expert" consultants in psychology, nutrition and physical activity, can improve weight outcomes after 12 and 24 months in young overweight children, compared with usual care.

Methods/design: 1500 children aged 4-8 years will be screened for overweight (height, weight, waist, blood pressure, body composition).

Nurse and parent partnership during children's vaccinations: a conversation analysis.

Aim: This paper is a report of a study conducted to examine the elements of partnership and communication between nurses and parents during actual events of immunization.

Background: Childhood immunizations require collaboration with parents, who may be anxious about immunization safety or subjecting their children to painful procedures.

Methods: Ten interactions during immunization events from six purposively selected general practices were videoed in 2005, giving 168 minutes of talk.

Porcine dermal hammock for repair of anterior and posterior vaginal wall prolapse: 5-year outcome.

Study Objective: To estimate the long-term efficacy of acellular cross-linked porcine dermal implants for the substitution of prolapsed anterior and posterior endopelvic fascia. In addition, surgical techniques to improve outcome were examined.

Design: Prospective longitudinal study (Canadian Task Force classification II-2).

Contraceptive use by 15-year-old students at their last sexual intercourse: results from 24 countries.

Objectives: To identify and report cross-national patterns in contraceptive use among sexually active adolescents.

Design: A cross-national cross-sectional survey.

Setting: Data were collected in 2002 by self-report questionnaire from students in school classrooms.

The use of a xenogenic barrier to prevent mesh erosion with laparoscopic sacrocolpopexy.

Study Objective: To assess the efficacy of a xenogenic barrier in preventing vaginal mucosal erosion and the use of a collagen-coated polypropylene mesh in preventing small bowel obstruction with laparoscopic sacrocolpopexy for the treatment of severe vaginal prolapse.

Design: Prospective longitudinal study (Canadian Task Force classification II-1).

Setting: Private urogynecology clinic.

Systemic inflammation correlates with increased expression of skeletal muscle ubiquitin but not uncoupling proteins in cancer cachexia.

Muscle wasting in experimental cancer cachexia has been associated with increased ubiquitin proteasome proteolytic system activity and increased uncoupling protein (UCP) expression. Increased ubiquitin proteasome pathway activity has also been found in gastric, but not lung, cancer patients. It therefore remains unclear in which patients modulation of this proteolytic system could be a therapeutic target.

Effects of a large-scale industrial disaster on rates of symptoms consistent with posttraumatic stress disorders among schoolchildren in toulouse.

Background: Posttraumatic stress disorder (PTSD) has been studied largely among adults and in the context of intentional, collective experiences such as war and terrorism. Far less is known about PTSD among adolescents and resulting from massive industrial accidents. Such an accident in Toulouse, France, 10 days after the World Trade Center disaster, provided an opportunity to examine its effects among adolescents already sensitized by media coverage of the World Trade Center disaster.

Laparoscopic sacrocolpopexy for severe vaginal vault prolapse: five-year outcome.

Study Objective: To assess the efficacy of the laparoscopic sacrocolpopexy in the treatment of severe vaginal prolapse.

Design: (Canadian Task Force classification II-1).

Setting: Private clinic.

Assessing health risk behaviors among adolescents: the effect of question wording and appeals for honesty.

Purpose: To understand how methodological factors influence prevalence estimates of health-risk behaviors obtained from surveys, we examined the effect of varying question wording and honesty appeals while holding other aspects of the surveys constant.

Methods: A convenience sample of students (n = 4140) in grades 9 through 12 was randomly assigned to complete one of six versions of a paper-and-pencil questionnaire in classrooms. Each questionnaire version represented a different combination of honesty appeal (standard vs.

A prospective multisite study of radiofrequency bipolar energy for treatment of genuine stress incontinence.

Study Objective: To assess the efficacy of radiofrequency electrothermal energy to treat genuine stress incontinence (GSI).

Design: Multicenter, prospective, single-arm, longitudinal study (Canadian Task Force classification II-1).

Setting: Six North American university-affiliated and private clinic sites.

Acute and long-term outcomes of radio frequency bladder neck suspension.

Purpose: A new treatment modality for women with stress urinary incontinence secondary to urethral hypermobility is radio frequency bladder neck suspension. Radio frequency energy is a form of electromagnetic energy that is reliable and highly controllable. This thermal therapy can produce well-defined areas of tissue heating.