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2.
Med Teach ; 45(9): 1012-1018, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-36706166

RESUMO

BACKGROUND: To ensure high qualification standards in medical institutions, a questionnaire has been developed to evaluate the postgraduate medical education in Switzerland. AIM: This article describes the development and longitudinal analysis of a questionnaire using eight scales to assess the quality of postgraduate medical education. METHOD: The questionnaire has been administered to all residents every year since 2003. In 2020, 8,745 residents returned the questionnaire, resulting in a response rate of 70%. In addition, a survey is conducted annually among the directors of medical institutions. RESULTS: We present results of the directors' survey and the resident evaluation from 2020, as well as longitudinal data over 16 years. The mean values of the eight scales remained stable or increased slightly over the years. The decision-making culture scale is generally rated best by the residents, while the evidence-based medicine scale is rated as the least good. The most important drivers of residents' satisfaction with a training site are the work environment and leadership culture scales. The directors perceive the evaluation to be fair and useful. CONCLUSIONS: The questionnaire represents a reliable and useful tool for the quality control in postgraduate medical training. It provides yearly feedback to the directors regarding how the residents perceive their training giving insights for improvments.


Assuntos
Educação Médica , Internato e Residência , Humanos , Suíça , Inquéritos e Questionários , Controle de Qualidade
3.
J Vis Exp ; (189)2022 Nov 25.
Artigo em Inglês | MEDLINE | ID: mdl-36504091

RESUMO

The Borrelia consists of three groups of species, those of the Lyme borreliosis (LB) group, also known as B. burgdorferi sensu lato (s.l.) and recently reclassified into Borreliella, the relapsing fever (RF) group Borrelia, and a third reptile-associated group of spirochetes. Culture-based methods remain the gold standard for the laboratory detection of bacterial infections for both research and clinical work, as the culture of pathogens from bodily fluids or tissues directly detects replicating pathogens and provides source material for research. Borrelia and Borreliella spirochetes are fastidious and slow growing, and thus are not commonly cultured for clinical purposes; however, culture is necessary for research. This protocol demonstrates the methodology and recipes required to successfully culture LB and RF spirochetes, including all recognized species from B. burgdorferi s.l. complex including B. afzelii, B. americana, B. andersonii, B. bavariensis, B. bissettii/bissettiae, B. burgdorferi sensu stricto (s.s.), B. californiensis, B. carolinensis, B. chilensis, B. finlandensis, B. garinii, B. japonica, B. kurtenbachii, B. lanei, B. lusitaniae, B. maritima, B. mayonii, B. spielmanii, B. tanukii, B. turdi, B. sinica, B. valaisiana, B. yangtzensis, and RFspirochetes, B. anserina, B. coriaceae, B. crocidurae, B. duttonii, B. hermsii, B. hispanica, B. persica, B. recurrentis, and B. miyamotoi. The basic medium for growing LB and RF spirochetes is the Barbour-Stoenner-Kelly (BSK-II or BSK-H) medium, which reliably supports the growth of spirochetes in established cultures. To be able to grow newly isolated Borrelia isolates from tick- or host-derived samples where the initial spirochete number is low in the inoculum, modified Kelly-Pettenkofer (MKP) medium is preferred. This medium also supports the growth of B. miyamotoi. The success of the cultivation of RF spirochetes also depends critically on the quality of ingredients.


Assuntos
Grupo Borrelia Burgdorferi , Borrelia burgdorferi , Borrelia , Doença de Lyme , Febre Recorrente , Humanos , Febre Recorrente/diagnóstico , Doença de Lyme/diagnóstico
4.
BMC Psychiatry ; 22(1): 524, 2022 08 02.
Artigo em Inglês | MEDLINE | ID: mdl-35918711

RESUMO

BACKGROUND: Previous research has demonstrated the negative effects of study-related stressors on the mental health of medical students. It has been found that social resources such as social identity, dual identity and social support help buffer negative mental health outcomes. Notably, social status has been found to weaken the connection between stress and depressive symptoms. Based on these findings, the present study investigates how social resources (i.e., social identity, social support, dual identity and status) mitigate the impact of study-related stressors on the mental health of medical students who carry an inordinate stress burden. METHODS: The data collection was based on a questionnaire (online and paper-pencil) which was distributed to medical students in North Rhine-Westphalia, Germany. The sample (224 participants) consisted of 77.2% female and 22.8% male medical students (36.2% human medicine students (HMS) and 63.8% dental medicine students (DMS)). The questionnaire included graphical scales and standardized questionnaires. We investigated demographic data, study-related stressors (i.e. academic performance, clinical practice, faculty relations) and depressive symptoms as outcomes, and social identity, social support, dual identity and status as moderators. The analyses were performed using SPSS 25 for Windows. RESULTS: We found significant positive associations between study-related stressors and depressive symptoms. While dual identity as well as social support by fellow students emerged as buffers in these associations, the other social resources did not. As regards status, it was found to work as a buffer only in HMS, who typically enjoy a significantly higher status than dental medical students. CONCLUSION: It is only social resources such as support from fellow students and dual identity, but not other resource types, that can be effective buffers against depressive symptoms associated with study-related stressors. These findings can be used to promote students' identities in relation to both fellow students and the faculty, or the university as a whole, enabling students to better cope with stress and, thus, suffer less from depressive symptoms. Furthermore, the HMS, who ascribe a relatively high status to themselves, can use their status as a buffering factor in stressful situations, in which little can be done from the outside.


Assuntos
Estudantes de Medicina , Estudos Transversais , Depressão/psicologia , Feminino , Alemanha , Humanos , Masculino , Estresse Psicológico/psicologia , Estudantes de Medicina/psicologia
5.
Front Big Data ; 5: 787421, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35496379

RESUMO

In this community review report, we discuss applications and techniques for fast machine learning (ML) in science-the concept of integrating powerful ML methods into the real-time experimental data processing loop to accelerate scientific discovery. The material for the report builds on two workshops held by the Fast ML for Science community and covers three main areas: applications for fast ML across a number of scientific domains; techniques for training and implementing performant and resource-efficient ML algorithms; and computing architectures, platforms, and technologies for deploying these algorithms. We also present overlapping challenges across the multiple scientific domains where common solutions can be found. This community report is intended to give plenty of examples and inspiration for scientific discovery through integrated and accelerated ML solutions. This is followed by a high-level overview and organization of technical advances, including an abundance of pointers to source material, which can enable these breakthroughs.

6.
PLoS One ; 17(2): e0263351, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35108313

RESUMO

Pandemics, such as the current SARS-CoV-2 pandemic, represents a health threat to humans worldwide. During times of heightened health risks, the public's perceptions, and acceptance of evidence-based preventive measures, such as vaccines, is of high relevance. Moreover, people might seek other preventive remedies to protect themselves from getting infected (e.g., herbal remedies, nutritional supplements). A recent study on consumers' preference for naturalness showed that people put more weight on perceived naturalness of a preventive remedy compared to a curative one. This result was attributed to the increased focus on perceived effectiveness as opposed to perceived risk. This raises the question whether the current pandemic would shift people's perceptions from prevention to curing and thus, exhibit a preference for synthetic remedies because they are seen as more effective. The present online experiment (conducted in April 2021) investigated people's perceptions of vaccines and remedies within the context of the current SARS-CoV-2 pandemic. A 2x2 between-subject design with type of remedy (natural vs. synthetic) and salience of SARS-CoV-2 pandemic (high vs. low) was conducted in Switzerland in spring 2021 (N = 452). The data did not provide evidence of a curative mindset for preventive remedies, as the participants exhibited a clear preference for the natural remedy compared to the synthetic remedy. Our study stresses the importance of understanding people's mindsets on how to protect themselves from infection with a virus during an ongoing pandemic to tackle misinformation and vaccine hesitancy.


Assuntos
COVID-19/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Hesitação Vacinal/psicologia , Adulto , Idoso , COVID-19/prevenção & controle , Vacinas contra COVID-19/farmacologia , Comunicação , Comportamento do Consumidor , Dissidências e Disputas , Feminino , Humanos , Disseminação de Informação , Masculino , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , SARS-CoV-2/patogenicidade , Suíça , Vacinação , Hesitação Vacinal/tendências , Vacinas
7.
Pflugers Arch ; 468(10): 1663-71, 2016 10.
Artigo em Inglês | MEDLINE | ID: mdl-27553229

RESUMO

Diseases such as the sick sinus and the Brugada syndrome are cardiac abnormalities, which can be caused by a number of genetic aberrances. Among them are mutations in HCN4, a gene, which encodes the hyperpolarization-activated, cyclic nucleotide-gated ion channel 4; this pacemaker channel is responsible for the spontaneous activity of the sinoatrial node. The present genetic screening of patients with suspected or diagnosed Brugada or sick sinus syndrome identified in 1 out of 62 samples the novel mutation V492F. It is located in a highly conserved site of hyperpolarization-activated cyclic nucleotide-gated (HCN)4 channel downstream of the filter at the start of the last transmembrane domain S6. Functional expression of mutant channels in HEK293 cells uncovered a profoundly reduced channel function but no appreciable impact on channel synthesis and trafficking compared to the wild type. The inward rectifying HCN4 current could be partially rescued by an expression of heteromeric channels comprising wt and mutant monomers. These heteromeric channels were responsive to cAMP but they required a more negative voltage for activation and they exhibited a lower current density than the wt channel. This suggests a dominant negative effect of the mutation in patients, which carry this heterozygous mutation. Such a modulation of HCN4 activity could be the cause of the diagnosed cardiac abnormality.


Assuntos
Síndrome de Brugada/genética , Canais Disparados por Nucleotídeos Cíclicos Ativados por Hiperpolarização/genética , Proteínas Musculares/genética , Mutação de Sentido Incorreto , Canais de Potássio/genética , Potenciais de Ação , Síndrome de Brugada/diagnóstico , Células HEK293 , Heterozigoto , Humanos , Canais Disparados por Nucleotídeos Cíclicos Ativados por Hiperpolarização/metabolismo , Proteínas Musculares/metabolismo , Canais de Potássio/metabolismo , Domínios Proteicos , Multimerização Proteica , Transporte Proteico
8.
Vet Res ; 47: 22, 2016 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-26830914

RESUMO

The outcome of an udder infection (mastitis) largely depends on the species of the invading pathogen. Gram-negative pathogens, such as Escherichia coli often elicit acute clinical mastitis while Gram-positive pathogens, such as Staphylococcus aureus tend to cause milder subclinical inflammations. It is unclear which type of the immune competent cells residing in the udder governs the pathogen species-specific physiology of mastitis and which established cell lines might provide suitable models. We therefore profiled the pathogen species-specific immune response of different cell types derived from udder and blood. Primary cultures of bovine mammary epithelial cells (pbMEC), mammary derived fibroblasts (pbMFC), and bovine monocyte-derived macrophages (boMdM) were challenged with heat-killed E. coli, S. aureus and S. uberis mastitis pathogens and their immune response was scaled against the response of established models for MEC (bovine MAC-T) and macrophages (murine RAW 264.7). Only E. coli provoked a full scale immune reaction in pbMEC, fibroblasts and MAC-T cells, as indicated by induced cytokine and chemokine expression and NF-κB activation. Weak reactions were induced by S. aureus and none by S. uberis challenges. In contrast, both models for macrophages (boMdM and RAW 264.7) reacted strongly against all the three pathogens accompanied by strong activation of NF-κB factors. Hence, the established cell models MAC-T and RAW 264.7 properly reflected key aspects of the pathogen species-specific immune response of the respective parental cell type. Our data imply that the pathogen species-specific physiology of mastitis likely relates to the respective response of MEC rather to that of professional immune cells.


Assuntos
Infecções por Escherichia coli/veterinária , Imunidade Inata , Glândulas Mamárias Animais/imunologia , Mastite Bovina/imunologia , Infecções Estafilocócicas/veterinária , Infecções Estreptocócicas/veterinária , Animais , Bovinos , Células Cultivadas , Células Epiteliais/imunologia , Células Epiteliais/microbiologia , Escherichia coli/imunologia , Infecções por Escherichia coli/imunologia , Infecções por Escherichia coli/microbiologia , Feminino , Fibroblastos/imunologia , Fibroblastos/microbiologia , Regulação da Expressão Gênica , Macrófagos/imunologia , Macrófagos/microbiologia , Glândulas Mamárias Animais/microbiologia , Mastite Bovina/microbiologia , Especificidade da Espécie , Infecções Estafilocócicas/imunologia , Infecções Estafilocócicas/microbiologia , Staphylococcus aureus/imunologia , Infecções Estreptocócicas/imunologia , Infecções Estreptocócicas/microbiologia , Streptococcus/imunologia
9.
Front Psychol ; 6: 1422, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26441792

RESUMO

The lost letter technique is an unobtrusive method to investigate attitudes in a particular population. Ostensibly lost letters from senders who apparently belong to different groups or addressed to recipients from apparently different groups are dispersed in public places, and return rates represent a measure of altruistic or discriminatory behavior toward one group or another. In two field experiments using the lost letter technique, we investigated the influence of group membership and the presence or absence of a doctorate degree as an indicator of competence on the likelihood of receiving helping behavior. Experiment 1 showed that a generic member of a low-status ethnic out-group (Turks living in Germany) was the target of discrimination, while a generic member of a non-stigmatized out-group (French in Germany) was not. Moreover, when the name of the member from the stigmatized out-group was (vs. was not) preceded by a doctorate degree, more of the allegedly lost letters were returned. There were no such differential effects for recipients who were members of the in-group (Germans) or the non-stigmatized out-group (French). Experiment 2 showed that a recipient from the stigmatized out-group (Turk) with a doctorate degree received more letters when the sender was German versus Turkish (i.e., from the recipient's own group). Overall, the sender's ethnic group membership was an important factor for the likelihood of receiving an ostensibly lost letter, in that fewer letters arrived from a sender with a Turkish (vs. German) name. We conclude that the likelihood of altruistic behavior toward out-group members can increase when in-group members intend to communicate with competent out-group members. Therefore, under certain conditions, the presentation of a highly competent member of an otherwise stigmatized out-group may serve as a discrimination buffer.

10.
Front Psychol ; 5: 876, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25177303

RESUMO

According to systematic reviews, religious beliefs and practices are related to higher life satisfaction, happiness, and positive affect (Koenig and Larson, 2001). The present research extends previous findings by comparing satisfaction with life and character strengths of non-religious people, religious people, who practice their religion and people that have a religious affiliation but do not practice their religion. We assessed life satisfaction (SWLS), character strengths (VIA-IS) and the orientations to happiness (OTH) in a sample of N = 20538 participants. People with a religious affiliation that also practice their religion were found to be more satisfied with their life and scored higher on life of meaning than those who do not practice their religion and than non-religious people. Also religious people who practice their religion differed significantly from those who do not practice their religion and non-religious people regarding several character strengths; they scored higher on kindness, love, gratitude, hope, forgiveness, and on spirituality. There were no substantial differences between people who had no religious affiliation and those with a religious affiliation that do not practice their religion (all [Formula: see text]s < 0.009). Altogether, the present findings suggest that people profit from a religious affiliation if they also actively practice their religion.

11.
Pers Soc Psychol Bull ; 36(9): 1213-24, 2010 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-20709937

RESUMO

To explain the determinants of negative behavior toward deviants (e.g., punishment), this article examines how people evaluate others on the basis of two types of standards: minimal and maximal. Minimal standards focus on an absolute cutoff point for appropriate behavior; accordingly, the evaluation of others varies dichotomously between acceptable or unacceptable. Maximal standards focus on the degree of deviation from that standard; accordingly, the evaluation of others varies gradually from positive to less positive. This framework leads to the prediction that violation of minimal standards should elicit punishment regardless of the degree of deviation, whereas punishment in response to violations of maximal standards should depend on the degree of deviation. Four studies assessed or manipulated the type of standard and degree of deviation displayed by a target. Results consistently showed the expected interaction between type of standard (minimal and maximal) and degree of deviation on punishment behavior.


Assuntos
Punição , Comportamento Social , Conformidade Social , Políticas de Controle Social/normas , Tortura/psicologia , Adulto , Idoso , Análise Fatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Psicológicos , Princípios Morais , Projetos Piloto , Distribuição Aleatória , Adulto Jovem
12.
J Neurooncol ; 97(2): 275-7, 2010 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-19898746

RESUMO

Epithelioid Hemangioendothelioma (EH) is a rare soft-tissue tumor which may present as an isolated tumor or can spread to affect internal organs. The course of EH varies, based on the tissue of origin. This case report describes a young woman who developed cutaneous EH with concurrent intracranial disease during pregnancy. After resection, the lesions returned. Even after several courses of chemotherapy and radiotherapy, the patient developed multifocal disease including pulmonary, skeletal, and liver disease. She now exhibits stable disease after approximately 6 years of therapy with lenalidomide.


Assuntos
Antineoplásicos/uso terapêutico , Neoplasias Encefálicas/tratamento farmacológico , Hemangioendotelioma Epitelioide/tratamento farmacológico , Talidomida/análogos & derivados , Adulto , Ensaios Clínicos como Assunto , Feminino , Humanos , Lenalidomida , Imageamento por Ressonância Magnética , Talidomida/uso terapêutico , Tomografia Computadorizada por Raios X
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