P2.12THE ROLE OF INSULIN ON FUNCTION OF RESISTANCE ARTERIES FROM OBESE YOUNG WOMEN AT RISK OF ‘DIABETES’ AND CONTROLS

Abstract Introduction Entrustable Professional Activities (EPAs) have been applied differently in many postgraduate medical education (PGME) programmes, but the reasons for and the consequences of this variation are not well known. Our objective was to investigate how the uptake of EPAs is influenced by the workplace environment and to what extent the benefits of working with EPAs are at risk when the uptake of EPAs is influenced. This knowledge can be used by curriculum developers who intend to apply EPAs in their curricula. Method For this qualitative study, we selected four PGME programmes: General Practice, Clinical Geriatrics, Obstetrics & Gynaecology, and Radiology & Nuclear Medicine. A document analysis was performed on the national training plans, supported by the AMEE Guide for developing EPA-based curricula and relevant EPA-based literature. Interviews were undertaken with medical specialists who had specific involvement in the development of the curricula. Content analysis was employed and illuminated the possible reasons for variation in the uptake of EPAs. Results An important part of the variation in the uptake of EPAs can be explained by environmental factors, such as patient population, the role of the physician in the health-care system, and the setup of local medical care institutions where the training programme takes place. The variation in uptake of EPAs is specifically reflected in the number and breadth of the EPAs, and in the way the entrustment decision is executed within the PGME programme. Discussion Due to variation in uptake of EPAs, the opportunities for trainees to work independently during the training programme might be challenging. EPAs can be implemented in the curriculum of PGME programmes in a meaningful way, but only if the quality of an EPA is assessed, future users are involved in the development, and the key feature of EPAs (the entrustment decision) is retained.

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Role of Integrated Functional Assessment Pathway Using 99m Tc -Mebrofinate SPECT-CT Scan, ICG, Elastography and HVPG in Patients at Risk of Post Hepatectomy Liver Failure

HPB ◽

10.1016/j.hpb.2020.11.091 ◽

2021 ◽

Vol 23 ◽

pp. S38

Author(s):

B.V. Dasari ◽

P. Kadam ◽

K.J. Roberts ◽

R.P. Sutcliffe ◽

N. Chatzizacharias ◽

...

Keyword(s):

At Risk ◽

Liver Failure ◽

Ct Scan ◽

Functional Assessment ◽

Patients At Risk

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The mediating role of joint attention in the relationship between motor skills and receptive and expressive language in siblings at risk for autism spectrum disorder

Infant Behavior and Development ◽

10.1016/j.infbeh.2019.101377 ◽

2019 ◽

Vol 57 ◽

pp. 101377

Author(s):

E. Bruyneel ◽

E. Demurie ◽

P. Warreyn ◽

H. Roeyers

Keyword(s):

Autism Spectrum Disorder ◽

At Risk ◽

Joint Attention ◽

Motor Skills ◽

Expressive Language ◽

Autism Spectrum ◽

Spectrum Disorder ◽

Mediating Role ◽

The Relationship

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Intracranial Venous Hypertension and Venous Sinus Stenting in the Modern Management of Idiopathic Intracranial Hypertension

Life ◽

10.3390/life11060508 ◽

2021 ◽

Vol 11 (6) ◽

pp. 508

Author(s):

Robert K. Townsend ◽

Kyle M. Fargen

Keyword(s):

Intracranial Hypertension ◽

Young Women ◽

Idiopathic Intracranial Hypertension ◽

Venous Hypertension ◽

Venous Sinus ◽

Venous Outflow ◽

The Status ◽

Insight Into ◽

Symptom Recurrence

Idiopathic intracranial hypertension (IIH) is a debilitating condition that has traditionally been difficult to treat. In recent years, there has been increasing focus on the role of intracranial venous hypertension in the pathophysiology of IIH. Based on increased understanding of this pathophysiology, venous sinus stenting (VSS) has emerged as a safe and reliable treatment for a certain population of patients with IIH. Stratifying patients with IIH based on the status of their venous outflow can provide insight into which patients may enjoy reduction in their symptoms after VSS and provides information regarding why some patients may have symptom recurrence. The traditional view of IIH as a disease due to obesity in young women has been cast into doubt as the understanding of the role of intracranial venous hypertension has improved.

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Remote monitoring in heart failure: current and emerging technologies in the context of the pandemic

Heart ◽

10.1136/heartjnl-2020-318062 ◽

2021 ◽

Vol 107 (5) ◽

pp. 366-372

Author(s):

Donya Mohebali ◽

Michelle M Kittleson

Keyword(s):

Heart Failure ◽

At Risk ◽

Remote Monitoring ◽

Reliable Method ◽

Healthcare Delivery ◽

Rapid Expansion ◽

Monitoring Technology ◽

Remote Healthcare ◽

Monitoring Technologies

The incidence of heart failure (HF) remains high and patients with HF are at risk for frequent hospitalisations. Remote monitoring technologies may provide early indications of HF decompensation and potentially allow for optimisation of therapy to prevent HF hospitalisations. The need for reliable remote monitoring technology has never been greater as the COVID-19 pandemic has led to the rapid expansion of a new mode of healthcare delivery: the virtual visit. With the convergence of remote monitoring technologies and reliable method of remote healthcare delivery, an understanding of the role of both in the management of patients with HF is critical. In this review, we outline the evidence on current remote monitoring technologies in patients with HF and highlight how these advances may benefit patients in the context of the current pandemic.

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Selected Predictors of the Sense of Intimacy in Relationships of Young Adults

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16224447 ◽

2019 ◽

Vol 16 (22) ◽

pp. 4447

Author(s):

Dorota Czyżowska ◽

Ewa Gurba ◽

Natalia Czyżowska ◽

Alicja Kalus ◽

Katarzyna Sitnik-Warchulska ◽

...

Keyword(s):

Young Women ◽

Stepwise Regression ◽

Interpersonal Relations ◽

Childhood And Adolescence ◽

Main Research ◽

Identity Style ◽

Identity Commitment ◽

Study Results ◽

Predictive Role

The main research objective of this study was seeking the predictive role of closeness to parents, attachment, identity style, identity commitment, type of relationship, and having children in intimacy among young women and men. Many studies indicate differences in the level of engagement, communication, and satisfaction in relationships. The study group comprised 227 people, including 114 women (M = 29.99; SD = 4.36), and 113 men (M = 30.00; SD = 4.33). A total of 40% of the subjects were married, and the remaining 60% subjects were in informal relationships; 101 people had children and the other individuals were childless. The following instruments were used: The Miller Social Intimacy Scale, questionnaires to assess closeness and attachment, and the Identity Style Inventory. The significance of the differences and the stepwise regression analysis were performed. The results of the study demonstrated a higher level of intimacy in a relationship with a partner among women than men. The nature of a relationship does not matter to the sense of intimacy. However, closeness to parents during childhood and adolescence, the model of interpersonal relations, and the identity style are predictors of intimacy in a relationship. The study results can be used in creating preventive and educational programs focused on family life and satisfied relationships.

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