Nurse-physician collaboration in an academic medical centre: The influence of organisational and individual factors.

Ineffective physician-nurse collaboration has been recognised to adversely impact patient and organisational outcomes, and some studies suggest an underlying factor may be that nurses and physicians have different perceptions of interprofessional collaboration (IPC). The objectives of this study were to evaluate for a difference in the perception of IPC between physicians and nurses and to explore potential contributing factors at the individual and organisational levels to any observed difference. Data including measures of perceptions of IPC were collected from a convenience sample of resident physicians (n = 47), attending physicians (n = 18), and nurses (n = 54) providing care for internal medicine patients in a large tertiary care academic medical centre.

Fluctuating helical asymmetry and morphology of snails (Gastropoda) in divergent microhabitats at 'Evolution Canyons I and II,' Israel.

Background: Developmental instability of shelled gastropods is measured as deviations from a perfect equiangular (logarithmic) spiral. We studied six species of gastropods at 'Evolution Canyons I and II' in Carmel and the Galilee Mountains, Israel, respectively. The xeric, south-facing, 'African' slopes and the mesic, north-facing, 'European' slopes have dramatically different microclimates and plant communities.

ACFAS universal foot and ankle scoring system: forefoot (module 2). American College of Foot and Ankle Surgeons.

The American College of Foot and Ankle Surgeons developed the Universal Evaluation Scoring System to evaluate parameters related to foot and ankle surgery. The project was developed in four sections or modules. The second of these modules, Forefoot, is presented here.

ACFAS Universal Foot and Ankle Scoring System: First Metatarsophalangeal Joint and First Ray (module 1).

The American College of Foot and Ankle Surgeons presents the Universal Evaluation Scoring System to evaluate parameters related to foot and ankle surgery. This instrument was developed primarily to allow investigators a means of consistency in clinical assessments. The project was developed in four sections or modules.