Applicant Perspectives on Virtual Otolaryngology Residency Interviews

2022 ◽  
pp. 000348942110573
Author(s):  
Daniel O. Kraft ◽  
Eve M. R. Bowers ◽  
Brandon T. Smith ◽  
Noel Jabbour ◽  
Barry M. Schaitkin ◽  
...  
Keyword(s):  
Geographic Area ◽  
Poor Quality ◽  
Future Application ◽  
Academic Institutions ◽  
Interview Process ◽  
Use Of Technology ◽  
Interview Format ◽  
Time Savings ◽  
First Time

Objective: Residency interviews serve as an opportunity for prospective applicants to evaluate programs and to determine their potential fit within them. The 2019 SARS-CoV2 pandemic mandated programs conduct interviews virtually for the first time. The purpose of this study was to assess applicant perspectives on the virtual interview. Methods: A Qualtrics survey assessing applicant characteristics and attitudes toward the virtual interview was designed and disseminated to otorhinolaryngology applicants from 3 large academic institutions in the 2020 to 2021 application cycle. Results: A total of 33% of survey applicants responded. Most applicants were satisfied with the virtual interview process. Applicants reported relatively poor quality of interactions with residents and an inability to assess the “feel” of a geographic area. Most applicants received at least 11 interviews with over a third of applicants receiving >16 interviews. Only 5% of applicants completed >20 interviews. Most applicants believed interviews should be capped between 15 and 20 interviews. Most applicants reported saving >$5000, with over a quarter of applicants saving >$8000, and roughly one-third of applicants saving at least 2 weeks of time with virtual versus in-person interviews. Conclusions: While virtual interviews have limitations, applicants are generally satisfied with the experience. Advantages include cost and time savings for both applicants and programs, as well as easy use of technology. Continuation of the virtual interview format could be considered in future application cycles; geographical limitations may be overcome with in-person second looks, and increased emphasis should be placed on resident interactions during and prior to interview day.

St. Cyprian and Moissac: A Thirteenth-Century Sequence

Traditio ◽  
1963 ◽  
Vol 19 ◽  
pp. 147-166
Author(s):  
Maurice Bévenot
Keyword(s):  
Thirteenth Century ◽  
Poor Quality ◽  
Full Length ◽  
The Poor ◽  
First Time ◽  
Special Notice ◽  
The Way

The discovery of an ancient sequence might not at first sight seem to deserve any special notice. No doubt its absence in the monumental collections of A. M. Dreves and C. Blume, and in U. J. Chevalier's Repertorium hymnologicum, may surprise us, but the poor quality of so many of the sequences there collected may justify an initial indifference to the unearthing of yet another. How was it missed by those indefatigable collectors? Perhaps the reason is that they confined themselves mainly to liturgical books whereas the sequence here presented for the first time is found in one single manuscript which is not a liturgical book but a collection of works by St. Cyprian. These had been transcribed round about the year 1100, and the sequence, words and music, was added to the beginning of the codex in the first part of the thirteenth century. That it was missed is, then, no surprise, but a full-length treatment seems to be called for, because of the light it throws on the history, both factual and literary, behind it, as also possibly on the music of the time and the way that a sequence was then constructed. At least some of its more interesting features can here be gathered together.

Underdiagnosis and Undertreatment of Migraine in Italy: A Survey of Patients Attending for The First Time 10 Headache Centres

Cephalalgia ◽  
2009 ◽  
Vol 29 (12) ◽  
pp. 1285-1293 ◽  
Author(s):  
S Cevoli ◽  
D D'Amico ◽  
P Martelletti ◽  
F Valguarnera ◽  
E Del Bene ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Healthcare Utilization ◽  
Short Form ◽  
Poor Quality ◽  
Current Therapy ◽  
Previous Diagnosis ◽  
Headache Diagnosis ◽  
First Time ◽  
Headache Centres

The aim of this study was to asses the clinical features, pattern of healthcare and drug utilization of migraine patients attending 10 Italian headache centres (HC). Migraine is underdiagnosed and undertreated everywhere throughout the world, despite its considerable burden. Migraine sufferers often deal with their problem alone using self-prescribing drugs, whereas triptans are used by a small proportion of patients. All patients attending for the first time 10 Italian HCs over a 3-month period were screened for migraine. Migraine patients underwent a structured direct interview about previous migraine diagnosis, comorbidity, headache treatments and their side-effects and healthcare utilization for migraine. Patient satisfaction with their usual therapy for the migraine attack was evaluated with the Migraine-Assessment of Current Therapy (ACT) questionnaire. The quality of life of migraine patients was assessed by mean of Short Form (SF)-12 and Migraine-Specific Quality of life (MSQ) version 2.1 questionnaires. Of the 2675 patients who attended HCs for the first time during the study period, 71% received a diagnosis of migraine and the first 953 subjects completed the study out of 1025 patients enrolled. Only 26.8% of migraine patients had a previous diagnosis of migraine; 62.4% of them visited their general practitioner (GP) in the last year, 38.2% saw a specialist for headache, 23% attended an Emergency Department and 4.5% were admitted to hospital for migraine; 82.8% of patients used non-specific drugs for migraine attacks, whereas 17.2% used triptans and only 4.8% used a preventive migraine medication. Triptans were used by 46.4% of patients with a previous diagnosis of migraine. About 80% of migraine patients took over-the-counter medications. The Migraine-ACT revealed that 60% of patients needed a change in their treatment of migraine attacks, 85% of whom took non-specific drugs. Both the MSQ version 2.1 and the SF-12 questionnaires indicated a poor quality of life of most patients. Migraine represents the prevalent headache diagnosis in Italian HCs. Migraine is still underdiagnosed in Italy and migraine patients receive a suboptimal medical approach in our country, despite the healthcare utilization of migraine subjects being noteworthy. A cooperative network involving GPs, neurologists and headache specialists is strongly desirable in order to improve long-term migraine management in Italy.

scholarly journals New opportunities for treatment of severe bronchial asthma: from clinical studies to portraits of patients

2015 ◽  
Vol 12 (3) ◽  
pp. 51-61
Author(s):  
N M Nenasheva
Keyword(s):  
Quality Of Life ◽  
Severe Asthma ◽  
Bronchial Asthma ◽  
Significant Proportion ◽  
Poor Quality ◽  
New Class ◽  
Definition Of ◽  
First Time

The proportion of patients with controlled asthma has increased over the last 15 years, however, still there is a significant proportion of patients who do not achieve control of the disease, and therefore have a high risk of exacerbations, hospitalizations, and poor quality of life. Patients with severe asthma, for which there were limited additional pharmacotherapy are the major problem. For the first time in recent years in the treatment of asthma a new class of drugs appeared: longacting anticholinergics - tiotropium which had been entered in stepwise therapy of asthma by GINA 2015. The definition of severe asthma, the role of the cholinergic nervous system in bronchial asthma, mechanism of action and clinical efficacy of tiotropium in severe bronchial asthma adults are described in the article.

scholarly journals Crystal structure of steroid reductase SRD5A reveals conserved steroid reduction mechanism

2020 ◽  
Author(s):  
Yufei Han ◽  
Qian Zhuang ◽  
Bo Sun ◽  
Wenping Lv ◽  
Sheng Wang ◽  
...  
Keyword(s):  
Crystal Structure ◽  
Poor Quality ◽  
Transmembrane Segments ◽  
Reduction Mechanisms ◽  
Evolutionarily Conserved ◽  
Therapeutic Molecules ◽  
Immune System Regulation ◽  
First Time ◽  
Sequence Similarities

AbstractSteroid hormones are essential in stress response, immune system regulation, and reproduction in mammals. Steroids with 3-oxo-Δ4 structure, such as testosterone, androstenedione and progesterone, could be catalyzed by steroid 5α-reductases (SRD5As) to generate their corresponding 3-oxo-5α steroids, which are essential for multiple physiological and pathological processes. Abnormal activities of SRD5As will lead to benign prostatic hyperplasia, alopecia, prostatic cancer or infertility due to the poor quality of sperms. However, the detailed reduction mechanisms of SRD5As remain elusive. Here we report the crystal structure of PbSRD5A, which shares 60.6% and 51.5% sequence similarities with human SRD5A1 and −2 respectively, from Proteobacteria bacterium in complex with the cofactor NADPH at 2.0 Å resolution. PbSRD5A exists as a monomer comprised of seven transmembrane segments (TMs). The TM1-4 enclose a hydrophobic cavity for steroids substrates binding, whereas TM5-7 coordinate with cofactor NADPH through extensive hydrogen bonds network. Homology-based structural models of HsSRD5A1 and −2, together with extensive biochemical characterizations, for the first time unveiled the substrate recognition of SRD5As and provide an important framework for further understanding of the mechanism of NADPH mediated steroids 3-oxo-Δ4 reduction. Based on these analyses, the design of therapeutic molecules targeting SRD5As with improved specificity and therapeutic efficacy would be possible.One Sentence SummaryStructural and biochemical characterizations decipher the evolutionarily conserved mechanism in steroid 5α-reductases catalyzing NADPH mediated steroids reduction.

scholarly journals Effect of erectile dysfunction on quality of life

2001 ◽  
Vol 7 (3) ◽  
pp. 510-518
Author(s):  
M. A. Abolfotouh ◽  
N. S. Al Helali
Keyword(s):  
Quality Of Life ◽  
Erectile Dysfunction ◽  
Cross Sectional Study ◽  
Poor Quality ◽  
Sectional Study ◽  
Cross Sectional ◽  
Male Sexual Dysfunction ◽  
Lack Of Exercise ◽  
First Time

Erectile dysfunction [ED] is one of the most common diseases of male sexual dysfunction. A cross-sectional study of 388 ED patients who attended six andrology and urology clinics in Jeddah for the first time was performed during a period of 3 months. ED was rated as mild [21% of patients], moderate [60%] or severe [19%], and was strongly associated with age. After adjusting for age, only lack of exercise, alcohol consumption and drug addiction were significantly associated with severity; hypertension, cardiac diseases and smoking were not. About two-thirds of the patients had poor quality of life; severe ED was the only significant predictor of this. Severe ED was not an indicator for co-morbidities.

scholarly journals The Quality of the Websites of Agritourism Farms in Visegrad Group Countries in the Light of Selected Synthetic Measures

2017 ◽  
Vol 10 (4) ◽  
pp. 76-85
Author(s):  
Karol Król
Keyword(s):  
Poor Quality ◽  
Performance Parameters ◽  
Website Quality ◽  
Average Value ◽  
Search Results ◽  
Local Impact ◽  
First Time ◽  
Visegrad Group ◽  
Web Directories

Abstract Subject and purpose of work: The aim of the work was to evaluate the quality of the websites of agritourism farms in the Visegrad Group countries. Materials and methods: Evaluation of website quality was based on selected “site authority” measures, from the so-called SEO metrics: Trust Rank, Moz Rank and Page Authority, as well as measurement of the selected performance parameters of websites. The research was conducted on a group of 400 websites of agritourism farms, whose addresses were obtained from selected web directories. Results: In the case of as many as 331 sites (approx. 83%) Trust Rank lower than 1 point was recorded. The majority of tested websites are characterised by an average value of the Moz Rank index and a low value of the Page Authority index. The average time taken to load the website in the browser window for the first time was about 2.7 seconds, with as many as 68 (17%) websites being loaded in over 5 seconds. Conclusions: The tested websites are characterised by low values of the authority index, which may indicate poor quality, poor visibility in search results and a lack of recommendations from other valuable sites. Low index values may also mean that, despite the global potential, the tested websites have a merely local impact. Their existence is known to a small number of people and their Internet visibility is negligible or nonexistent. Websites published in such a manner do not fulfil their function.

Communication Sciences and Disorders PhD Graduates' Perceptions of Their PhD Program

2020 ◽  
Vol 5 (2) ◽  
pp. 463-478
Author(s):  
Elizabeth Crais ◽  
Melody Harrison Savage
Keyword(s):  
Detailed Examination ◽  
Career Expectations ◽  
Doctoral Preparation ◽  
Creative Solutions ◽  
Phd Education ◽  
Doctor Of Philosophy ◽  
First Time ◽  
Students Success ◽  
Phd Program

Purpose The shortage of doctor of philosophy (PhD)–level applicants to fill academic and research positions in communication sciences and disorders (CSD) programs calls for a detailed examination of current CSD PhD educational practices and the generation of creative solutions. The intended purposes of the article are to encourage CSD faculty to examine their own PhD program practices and consider the perspectives of recent CSD PhD graduates in determining the need for possible modifications. Method The article describes the results of a survey of 240 CSD PhD graduates and their perceptions of the challenges and facilitators to completing a PhD degree; the quality of their preparation in research, teaching, and job readiness; and ways to improve PhD education. Results Two primary themes emerged from the data highlighting the need for “matchmaking.” The first time point of needed matchmaking is prior to entry among students, mentors, and expectations as well as between aspects of the program that can lead to students' success and graduation. The second important matchmaking need is between the actual PhD preparation and the realities of the graduates' career expectations, and those placed on graduates by their employers. Conclusions Within both themes, graduate's perspectives and suggestions to help guide future doctoral preparation are highlighted. The graduates' recommendations could be used by CSD PhD program faculty to enhance the quality of their program and the likelihood of student success and completion. Supplemental Material https://doi.org/10.23641/asha.11991480

An experience of performing spirometry by trained general practitioners

2020 ◽  
pp. 34-36
Author(s):  
M. A. Pokhaznikova ◽  
E. A. Andreeva ◽  
O. Yu. Kuznetsova
Keyword(s):  
General Practitioners ◽  
Quality Criteria ◽  
Poor Quality ◽  
Male Gender ◽  
Study Research ◽  
The Poor ◽  
Quality Of Research ◽  
Forced Expiratory Maneuver ◽  
Maximal Effort

The article discusses the experience of teaching and conducting spirometry of general practitioners as part of the RESPECT study (RESearch on the PrEvalence and the diagnosis of COPD and its Tobacco-related aetiology). A total of 33 trained in spirometry general practitioners performed a study of 3119 patients. Quality criteria met 84.1% of spirometric studies. The analysis of the most common mistakes made by doctors during the forced expiratory maneuver is included. The most frequent errors were expiration exhalation of less than 6s (54%), non-maximal effort throughout the test and lack of reproducibility (11.3%). Independent predictors of poor spirogram quality were male gender, obstruction (FEV1 /FVC<0.7), and the center where the study was performed. The number of good-quality spirograms ranged from 96.1% (95% CI 83.2–110.4) to 59.8% (95% CI 49.6–71.4) depending on the center. Subsequently, an analysis of the reasons behind the poor quality of research in individual centers was conducted and the identified shortcomings were eliminated. The poor quality of the spirograms was associated either with the errors of the doctors who undertook the study or with the technical malfunctions of the spirometer.

KUALITAS HIDUP PASIEN STROKE DI POLIKLINIK RAWAT JALAN RUMAH SAKIT SWASTA YOGYAKARTA

2019 ◽  
Vol 7 (3) ◽  
pp. 232-237
Author(s):  
Hana Larasati ◽  
Theresia Titin Marlina
Keyword(s):  
Quality Of Life ◽  
Social Relations ◽  
Hemorrhagic Stroke ◽  
Poor Quality ◽  
Social Dimension ◽  
Stroke Patients ◽  
Sampling System ◽  
Post Stroke ◽  
Psychological Dimension

Background: stroke is a disorder of nervous system function that occurs suddenly and is caused by brain bleeding disorders that can affect the quality of life physical dimensions, social dimensions, psychological dimensions, environmental dimensions. Based on the result of Lumbu study (2015) the number of samples were 71 people collected data using the (WHOQOL-BREF). There were 56 people (78,9%) had the poor quality of life of post stroke. The mean of post-stroke quality of life domain was physical domain (45,27%), psychological domain (49,87%), social relations domain (48,15%) and environmental domain (50.01%). Objective: the purpose of the study was know the quality of life of the stroke patients in Outpatient Polyclinic of Private Hospital in Yogyakarta. Methods: used descriptive quantitative by using questionnaire test of purposive sampling system based on patients who have been affected of ischemic or hemorrhagic stroke before, number 30 respondents. Result: quality of life of stroke patient of medium physical dimension (67%), psychological dimension (71%), social dimension (67%), dimension good environment (63%). Conclusion: the quality of life of stroke patients of physical dimension, psychological dimension, and moderate social dimension, while the quality of life of stroke patients were good environmental dimension.   Keywords: Hemorrhagic stroke, ischemic stroke, quality of life

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