以医学史为切入点的医学人文教育用于胃肠外科床旁教学研究

目的 调查将胃肠外科发展史内容引入床旁教学前后,医学生对胃肠外科发展史的认知情况.方法 2020年9月至2021年2月对在复旦大学附属中山医院普通外科参加床旁教学的复旦大学上海医学院临床医学专业学生进行问卷调查.其中,2020年11月前的床旁教学中未专门安排胃肠外科发展史教学内容(对照组),2020年12月后的床旁教学...     

Commentary—Marasmus in a Newly Rich Urbanized Society

To assess the feasibility of fortifying flour with folic acid as a strategy to prevent neural tube defects in Malaysia, a country where the staple food is rice, we used 24-hour recall to study all cereal flour intake in women of reproductive age. Eighty-eight percent took at least a half portion of cereal flour and 85% took at least one whole portion. Vitamin supplements were taken by 36% but few knew whether the supplement contained folic acid. Cereal flour consumption is frequent and folic acid fortification of flour is feasible. Subgroups of the population not consuming flour need to be identified.     

Nutritional status of schoolgirls in Isfahan,Iran: Anthropometric and hematological measurements

Weights, heights and other anthropometric measurements are presented for seven year old schoolgirls belonging to different socioeconomic groups in Iran. It was found that measurements of the children of professional people were indistinguishable from internationally accepted standards. The measurements of girls in the lower socioeconomic strata were lower. Hematological measurements indicated lack of anemia in any of the children. Possible reasons for these findings are discussed in relation to previously published reports of nutritional problems in Iran.     

Can a single brief intervention improve participants’ readiness for interprofessional learning?

Abstract

Interprofessional learning (IPL) was introduced for University of Nottingham 3rd year medical and nursing students at the Lincoln County Hospital. An evaluation of the subsequently implemented IPL intervention allowed us to ask the research question: can a single brief IPL intervention improve attitudes to IPL? A low fidelity simulation intervention was chosen as the mode of IPL, focusing on teamwork in the context of the assessment of the acutely ill patient. To assess the intervention’s effect on students’ attitudes, a validated questionnaire (RIPLS) was completed before and after the session. Nine of the nineteen questions in RIPLS had significantly different responses following the intervention. This reflected a more positive attitude to IPL following the intervention. This evaluation of this intervention suggests that IPL is valued by students and significantly improves attitudes to IPL, at least in the immediate post-intervention period.     

The prevalence of use,dependency and harms of legal ‘party pills’ containing benzylpiperazine (BZP) and trifluorophenylmethylpiperazine (TFMPP) in New Zealand

Piperazine‐based ‘party pills’ containing 1‐benzylpiperazine (BZP) and 1‐(m‐trifluorophenylmethylphenyl)piperazine (TFMPP) have become increasingly popular in New Zealand and many other countries. The aim of this study was to collect data on the population prevalence and related harm from legal party pill use in New Zealand. A national household sample of 2010 people aged 13–45 years old was collected using a computer‐assisted telephone interviewing (CATI) facility. Twenty per cent of the sample had tried legal party pills and 15% had used them in the previous year. Approximately 40% of males aged 18–24 years old had used legal party pills in the past year. While most users reported fairly minor problems from use, such as insomnia (50% of last year users), some users reported potentially more serious physical problems, such as ‘vomiting’ (12%), ‘inability to urinate’ (10%), ‘chest pains’ (4%) and ‘seizures’ (0.8%). Users also reported a range of psychological problems from use such as visual hallucinations (9%), paranoia (8%) and depression (8%). Two per cent of last year users were classified as dependent on legal party pills using a short dependency scale. The extent of harms and incidences of more serious problems, suggest that stricter regulation of the sale and use of legal party pills in New Zealand may be appropriate.