What information do patients recall from the third molar surgical consultation?

The aim of this study was to determine whether the use of a professionally prepared educational video on third molar extraction enhances comprehension and retention of general and informed consent information. A prospective cohort study of adult patients undergoing consultation followed by extraction of third molars in the Oral and Maxillofacial Surgery Clinic, University of Illinois at Chicago was completed. At the initial consultation, the subjects viewed an educational video and received specific verbal individual information about their case. A written examination (group 1) was then completed; a subgroup of the subjects (group 2) was selected randomly to complete the same examination at the next visit prior to the procedure. The primary predictor variable was utilization of the video. The primary outcome variable was comprehension of information regarding third molars, assessed by examination scores. The secondary outcome variable was retention of the information, assessed by repeat examination scores. One hundred adults (34 male, 66 female; group 1) completed the examination at least once; 54 (19 male, 35 female) completed both examinations (group 2). Correct responses ranged from 64% to 100% in group 1 and from 37% to 100% in group 2. In group 2, all questions answered incorrectly at the first visit were answered correctly at the second visit, without any additional information being provided. Patient comprehension and retention of pertinent pre-surgical information is poor, despite use of an educational video to supplement the usual verbal consultation. These results confirm those of prior studies and may have medico-legal implications regarding the informed consent process for third molar surgery.     

Development of LactaPedia: A lactation glossary for science and medicine

During the last decade, there have been several publications highlighting the need for consistent terminology in breastfeeding research. Standard terms and definitions are essential for the comparison and interpretation of scientific studies that, in turn, support evidence‐based education, consistency of health care, and breastfeeding policy. Inconsistent advice is commonly reported by mothers to contribute to early weaning. A standard language is the fundamental starting point required for the provision of consistent advice. LactaPedia ( www.lactapedia.com ) is a comprehensive lactation glossary of over 500 terms and definitions created during the development of LactaMap ( www.lactamap.com ), an online lactation care support system. This paper describes the development of LactaPedia, a website that is accessible free of charge to anyone with access to the Internet. Multiple methodological frameworks were incorporated in LactaPedia's development in order to meet the needs of a glossary to support both consistent health care and scientific research. The resulting LactaPedia methodology is a six‐stage process that was developed inductively and includes framework to guide vetting and extension of its content using public feedback via discussion forums. The discussion forums support ongoing usability and refinement of the glossary. The development of LactaPedia provides a fundamental first step towards improving breastfeeding outcomes that are currently well below World Health Organisation recommendations globally.     

“一带一路”背景下医学留学生计算机基础教育探讨

以中山大学中山医学院的医学留学生计算机基础教育课程为例，分析医学留学生教育基本情况和信息素养，构建“一带一路”背景下面向国际的数字化医生课程体系，阐述课程总体目标和主要内容以及多元化教学模式在课程中的应用，以期更好地适应国际社会对医学人才的需要。     

中成药说明书安全性信息及不良反应监测数据分析

目的 分析中成药说明书安全性信息，结合不良反应监测数据，为临床合理使用中成药提供依据。方法 通过实地收集获取410个中成药品种的说明书，对安全性信息进行统计和分析；检索浙江省的不良反应监测数据，选取重点品种对比说明书与监测数据之间的差异。结果 共收集中成药说明书410份，302个品种[不良反应]项为尚不明确（占73.66%）；262个品种[禁忌]项为尚不明确（占63.90%）；仅3个品种[特殊人群]项有相关规定。重点品种的不良反应监测数据显示中成药的不良反应并不少见，可累及全身多个系统和器官。结论 中成药的安全监测成果还没有彻底落实在说明书安全性信息的修订与完善中。药品生产企业应充分发挥药品安全主体责任，主动补充更新说明书安全性信息。     

民族医药移动信息平台设计与实现

以广西中医药大学已建成的民族医药专业数据库作为依托，基于微信公众平台设计和实现一个功能完善、简单易用的民族医药移动信息平台。介绍平台设计思路、设计原则、功能模块、关键技术、预期结果等方面。     

Quantile regression and empirical likelihood for the analysis of longitudinal data with monotone missing responses due to dropout,with applications to quality of life measurements from clinical trials

The analysis of quality of life (QoL) data can be challenging due to the skewness of responses and the presence of missing data. In this paper, we propose a new weighted quantile regression method for estimating the conditional quantiles of QoL data with responses missing at random. The proposed method makes use of the correlation information within the same subject from an auxiliary mean regression model to enhance the estimation efficiency and takes into account of missing data mechanism. The asymptotic properties of the proposed estimator have been studied and simulations are also conducted to evaluate the performance of the proposed estimator. The proposed method has also been applied to the analysis of the QoL data from a clinical trial on early breast cancer, which motivated this study.     

针刺手法效应规律及神经电信息机制研究

针刺手法是影响针刺疗效的关键,然而其作用规律、机制尚不完全清楚。天津中医药大学实验针灸学研究中心郭义教授团队与天津大学电气自动化与信息工程学院王江教授团队,长期以来围绕针刺手法作用规律及神经电信息机制开展合作研究,构建了常见针刺手法的数学模型,用数学语言解析了针刺手法操作过程,实现了针刺手法的科学表征;揭示了基于神经电信息的针刺手法部分作用规律;刻画了针刺手法电信号的非线性动力学特征,明确不同针刺手法诱发神经电信息编码存在差异,是针刺手法效应差异的机制之一。研究成果为针刺手法的科学性奠定了提供了实验依据,对针刺手法的传承、应用和发展具有促进作用。     

Assessing barriers and increasing use of immunization information systems in independent community pharmacies: Study protocol for a randomized controlled trial

BackgroundAs the number of providers administering vaccines increases, including pharmacists, there is a concern of fragmented immunization records in state and regional immunization information systems (IIS). In order for IIS to have complete records, it is critical that each provider administering vaccines, including pharmacists, participate and update the IIS each time a vaccine is administered to a patient. In Alabama, provider participation in the state IIS is not mandatory; as a result, less than 25% of adults over the age of 19 have immunization data recorded. IIS participation among independent pharmacies is of particular concern as approximately 40% of Alabama pharmacies are independently owned, but only 27% of these are enrolled in the IIS.ObjectiveThe objective of this report is to describe a study protocol to assess the impact of an IIS training program among community pharmacies’ IIS enrollment and actual participation rates.MethodsThe research design is a randomized controlled trial. Study participants are Alabama pharmacists who work in independently owned pharmacies that currently provide at least one type of non-seasonal vaccine and are not currently enrolled in the Alabama IIS. Multiple outcomes including awareness, knowledge, attitudes, intention, IIS enrollment, and IIS participation will be compared between intervention and control groups across three time points (baseline, one-month, and three-months). Individual and organizational factors will be measured to identify any possible associations with outcomes.ImplicationsThe expected outcome is to create an effective training program that is scalable and ready for dissemination. If successful, this training program can be replicated and used to significantly impact the completeness and accuracy of IIS across the U.S., providing the potential for IIS to be used consistently in assessing immunization status and recommending additional vaccines in the pharmacy setting, thereby improving vaccination coverage and making the provision of immunizations safe and efficient.