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I am a resident physician in clinical pharmacology and toxicology at University Hospital Center Split, Croatia. I am bound with slave ownership-contract to my employer. Such slave ownership-contracts do not exist in most of other EU member states. Resident physicians are also obliged to fill in the residency booklet and work diary, which are both extremely complicated (more than 1500 signatures and seals), and against which Croatian Medical Chamber also complained several times, in order to acquire the right to take the specialist exam. Both slave ownership-contracts and extremely complicated administrative obligations are the cause why so many doctors leave Croatian healthcare system and there is no political or legal initiative, except for the Croatian Medical Chamber, to change such legislative that potentially violates human rights of Croatian resident physicians. I wrote several times to Ministry of Health in order to obtain legally valid explanation of extremely complicated administrative obligations, and with a potential goal to ask for more transparent, more user-friendly, simpler administrative obligations, and preferably in an on-line form, but I received no answer (administrative silence). I also contacted several lawyers and even a Croatian Bar Association for legal aid, but I received little or no help at all.
SAY NO TO ALL KINDS OF SLAVERY!
Please support the fight that is being taken by Croatian Medical Chamber in order to free us, resident physicians, from slavery and forced, underpaid or sometimes even unpaid labor.
Please share this post.
If you are a lawyer, politician or activist, and have any idea how to help me in my legal fight, please contact me on my e-mail: domina.petric@gmail.com
  1. https://www.hlk.hr/pravno-misljenje-o-primjeni-prava-eu-a-u-sporovima-oko-tzv-robovlasnickih-ugovora.aspx
  2. https://sibenski.slobodnadalmacija.hr/sibenik/vijesti/hrvatska-i-svijet/jos-jedan-dokaz-bolesne-birokracije-bez-tisuca-pecata-u-dvjema-knjizicama-u-hrvatskoj-ne-mozes-postati-lijecnik-specijalist-568095
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Please compare Croatian per capita GDP & PPP with countries such as Sweden, Finland, Norway, Austria etc ! Democracy & progressive society are always directly proportional to per capita GDP & PPP !
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Hello everyone,
Recently, the Journal of Continuing Education in the Health Professions published one of our studies.
In this study, we investigated how certain physician characteristics influence Covid treatment approaches.
Their preferences were determined by a number of factors, including the gender of the physicians and the differences in specializations.
We have discovered that all physicians, regardless of specialty, will require additional pandemic education throughout their academic and professional careers. For instance, we discovered that female physicians were more comply with the guidelines.
What are your thoughts regarding this?
I am fascinated about your insightful ideas and remarks.
Thank you.
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The success of treatment depends on the doctor-patient relationship (DPR), which must be solid. It is crucial to keep a healthy DPR throughout therapy. 2019's Coronavirus Disease (COVID-19) added new difficulties to the already challenging doctor-patient relationships.
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I am looking for a tool to assess effective communication 7 pillars in a communication of physicians. Is there any validated tools?
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Do you mean scales?
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Are there any European dermatology associations' recommendations or guidelines concerning the free sample dispensing of cosmeceuticals from physician offices?
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Thank you for your answer. In Slovenia, the most delivered free samples of sunscreens are Anthelios of La Roche-Posay, Avene, Eucerin - Beiersdorf, and Actinica - Galderma. Is it the same in Iran?
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How many sample are required for qualitative study to achieve saturation, if the sample are come from different countries? As example, I would like to get insight from Anaesthetist Physician from UK, US, Malaysia, New Zealand and Australia?
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Like most answers in research, the answer to your question is: it depends... If you are doing a comparative study between those five nations, and you want to do justice to your research questions, it would be a massive qualitative study. The best way I see is to treat all five nations as a single set of samples and keep going until you see saturation. If you have a very specific, narrow focus, I think it's doable. Best wishes!
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I am interested in developing a survey to distribute among pediatric physicians, neurologists, teachers to collect data regarding the awareness of developmental coordination disorder in Israel. I would appreciate a "jumping-off" point via using a tool developed in other countries/cultures that I would then adapt to be suitable for the Israeli culture.
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Hi! These references might be of your interest
Hunt J, Zwicker JG, Godecke E, Raynor A. Awareness and knowledge of developmental coordination disorder: A survey of caregivers, teachers, allied health professionals and medical professionals in Australia. Child Care Health Dev 2021; 47 (2): [174–183]. Disponible en: https://doi.org/10.1111/cch.12824
Smith M, Banwell HA, Ward E, Williams CM. Determining the clinical knowledge and practice of Australian podiatrists on children with developmental coordination disorder: a cross-sectional survey. J Foot Ankle Res. 2019; 12 (42). Disponible en: https://doi.org/10.1186/s13047-019-0353-y
Gaines R, Missiuna C, Egan M, McLean J. Educational outreach and collaborative care enhances physician’s perceived knowledge about Developmental Coordination Disorder. BMC Health Serv Res. 2008; 8: [21]. Disponible en: https://doi.org/10.1186/1472-6963-8-21
Camden C, Rivard L, Pollock N, Missiuna C. Knowledge to practice in developmental coordination disorder: Impact of an evidence-based online module on physical therapists’ self-reported knowledge, skills, and practice. Phys Occup Ther Pediatr. 2015; 35 (2): [195–210]. Disponible en: https://doi.org/10.3109/01942638.2015.1012318
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Antihistamines block the actions of histamine and also have effects on inflammation which is independent of histamine-H(1)-receptor antagonism. Many physicians prescribe antihistamines for asthma patients. However, recent studies have shown that controlling allergic rhinitis with antihistamines has a small, indirect effect in improving asthma symptoms.
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No, antihistamines do not improve bronhial asthma. Some benefits could be present in rhinitis, asociated to asthma.
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Please suggest me a good questionnaire for conducting a study with the following details. The independent variables of the proposed study are 1) Autocratic Leadership Style, 2) Democratic Leadership Style, 3) Laissez-Faire Leadership Style, 4) Transformational Leadership Style, and 5) Transactional Leadership Style. The research objectives and research questions are as follows;
Research Objectives
The research objectives for the proposed study are as follows;
1) To examine the impact of autocratic leadership style on job satisfaction of physicians.
2) To examine the impact of democratic leadership style on job satisfaction of physicians.
3) To examine the impact of laissez-faire leadership style on job satisfaction of physicians.
4) To examine the impact of transformational leadership style on job satisfaction of physicians.
5) To examine the impact of transactional leadership style on job satisfaction of physicians.
Research Questions
The research questions for the proposed study are as follows;
1) What is the impact of autocratic leadership style on job satisfaction of physicians?
2) What is the impact of democratic leadership style on job satisfaction of physicians?
3) What is the impact of laissez-faire leadership style on job satisfaction of physicians?
4) What is the impact of transformational leadership style on job satisfaction of physicians?
5) What is the impact of transactional leadership style on job satisfaction of physicians?
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I have a medical student colleague who was recently diagnosed with a rare condition and wanted to draft a case report for publication. However, the attending physician who made the diagnosis was not interested in collaborating on the report. Considering that the patient had access to all patient files and had found other medical professionals (who were not the diagnosing physicians) to collaborate on the case report, is it OK for the patient to draft their own case report without inputs from the diagnosing physician?
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Please have look on our(Eminent Biosciences (EMBS)) collaborations.. and let me know if interested to associate with us
Our recent publications In collaborations with industries and academia in India and world wide.
EMBS publication In association with Universidad Tecnológica Metropolitana, Santiago, Chile. Publication Link: https://pubmed.ncbi.nlm.nih.gov/33397265/
EMBS publication In association with Moscow State University , Russia. Publication Link: https://pubmed.ncbi.nlm.nih.gov/32967475/
EMBS publication In association with Icahn Institute of Genomics and Multiscale Biology,, Mount Sinai Health System, Manhattan, NY, USA. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/29199918
EMBS publication In association with University of Missouri, St. Louis, MO, USA. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/30457050
EMBS publication In association with Virginia Commonwealth University, Richmond, Virginia, USA. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/27852211
EMBS publication In association with ICMR- NIN(National Institute of Nutrition), Hyderabad Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/23030611
EMBS publication In association with University of Minnesota Duluth, Duluth MN 55811 USA. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/27852211
EMBS publication In association with University of Yaounde I, PO Box 812, Yaoundé, Cameroon. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/30950335
EMBS publication In association with Federal University of Paraíba, João Pessoa, PB, Brazil. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/30693065
Eminent Biosciences(EMBS) and University of Yaoundé I, Yaoundé, Cameroon. Publication Link: https://pubmed.ncbi.nlm.nih.gov/31210847/
Eminent Biosciences(EMBS) and University of the Basque Country UPV/EHU, 48080, Leioa, Spain. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/27852204
Eminent Biosciences(EMBS) and King Saud University, Riyadh, Saudi Arabia. Publication Link: http://www.eurekaselect.com/135585
Eminent Biosciences(EMBS) and NIPER , Hyderabad, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/29053759
Eminent Biosciences(EMBS) and Alagappa University, Tamil Nadu, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/30950335
Eminent Biosciences(EMBS) and Jawaharlal Nehru Technological University, Hyderabad , India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/28472910
Eminent Biosciences(EMBS) and C.S.I.R – CRISAT, Karaikudi, Tamil Nadu, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/30237676
Eminent Biosciences(EMBS) and Karpagam academy of higher education, Eachinary, Coimbatore , Tamil Nadu, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/30237672
Eminent Biosciences(EMBS) and Ballets Olaeta Kalea, 4, 48014 Bilbao, Bizkaia, Spain. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/29199918
Eminent Biosciences(EMBS) and Hospital for Genetic Diseases, Osmania University, Hyderabad - 500 016, Telangana, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/28472910
Eminent Biosciences(EMBS) and School of Ocean Science and Technology, Kerala University of Fisheries and Ocean Studies, Panangad-682 506, Cochin, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/27964704
Eminent Biosciences(EMBS) and CODEWEL Nireekshana-ACET, Hyderabad, Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/26770024
Eminent Biosciences(EMBS) and Bharathiyar University, Coimbatore-641046, Tamilnadu, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/27919211
Eminent Biosciences(EMBS) and LPU University, Phagwara, Punjab, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/31030499
Eminent Biosciences(EMBS) and Department of Bioinformatics, Kerala University, Kerala. Publication Link: http://www.eurekaselect.com/135585
Eminent Biosciences(EMBS) and Gandhi Medical College and Osmania Medical College, Hyderabad 500 038, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/27450915
Eminent Biosciences(EMBS) and National College (Affiliated to Bharathidasan University), Tiruchirapalli, 620 001 Tamil Nadu, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/27266485
Eminent Biosciences(EMBS) and University of Calicut - 673635, Kerala, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/23030611
Eminent Biosciences(EMBS) and NIPER, Hyderabad, India. ) Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/29053759
Eminent Biosciences(EMBS) and King George's Medical University, (Erstwhile C.S.M. Medical University), Lucknow-226 003, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/25579575
Eminent Biosciences(EMBS) and School of Chemical & Biotechnology, SASTRA University, Thanjavur, India Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/25579569
Eminent Biosciences(EMBS) and Safi center for scientific research, Malappuram, Kerala, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/30237672
Eminent Biosciences(EMBS) and Dept of Genetics, Osmania University, Hyderabad Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/25248957
EMBS publication In association with Institute of Genetics and Hospital for Genetic Diseases, Osmania University, Hyderabad Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/26229292
Sincerely,
Dr. Anuraj Nayarisseri
Principal Scientist & Director,
Eminent Biosciences.
Mob :+91 97522 95342
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Collaboration with different nationality peers is good for researchers today. So, it is crucial that physicians should know where they can found them; and how to start working with them.
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Please have look on our(Eminent Biosciences (EMBS)) collaborations.. and let me know if interested to associate with us
Our recent publications In collaborations with industries and academia in India and world wide.
EMBS publication In association with Universidad Tecnológica Metropolitana, Santiago, Chile. Publication Link: https://pubmed.ncbi.nlm.nih.gov/33397265/
EMBS publication In association with Moscow State University , Russia. Publication Link: https://pubmed.ncbi.nlm.nih.gov/32967475/
EMBS publication In association with Icahn Institute of Genomics and Multiscale Biology,, Mount Sinai Health System, Manhattan, NY, USA. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/29199918
EMBS publication In association with University of Missouri, St. Louis, MO, USA. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/30457050
EMBS publication In association with Virginia Commonwealth University, Richmond, Virginia, USA. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/27852211
EMBS publication In association with ICMR- NIN(National Institute of Nutrition), Hyderabad Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/23030611
EMBS publication In association with University of Minnesota Duluth, Duluth MN 55811 USA. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/27852211
EMBS publication In association with University of Yaounde I, PO Box 812, Yaoundé, Cameroon. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/30950335
EMBS publication In association with Federal University of Paraíba, João Pessoa, PB, Brazil. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/30693065
Eminent Biosciences(EMBS) and University of Yaoundé I, Yaoundé, Cameroon. Publication Link: https://pubmed.ncbi.nlm.nih.gov/31210847/
Eminent Biosciences(EMBS) and University of the Basque Country UPV/EHU, 48080, Leioa, Spain. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/27852204
Eminent Biosciences(EMBS) and King Saud University, Riyadh, Saudi Arabia. Publication Link: http://www.eurekaselect.com/135585
Eminent Biosciences(EMBS) and NIPER , Hyderabad, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/29053759
Eminent Biosciences(EMBS) and Alagappa University, Tamil Nadu, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/30950335
Eminent Biosciences(EMBS) and Jawaharlal Nehru Technological University, Hyderabad , India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/28472910
Eminent Biosciences(EMBS) and C.S.I.R – CRISAT, Karaikudi, Tamil Nadu, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/30237676
Eminent Biosciences(EMBS) and Karpagam academy of higher education, Eachinary, Coimbatore , Tamil Nadu, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/30237672
Eminent Biosciences(EMBS) and Ballets Olaeta Kalea, 4, 48014 Bilbao, Bizkaia, Spain. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/29199918
Eminent Biosciences(EMBS) and Hospital for Genetic Diseases, Osmania University, Hyderabad - 500 016, Telangana, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/28472910
Eminent Biosciences(EMBS) and School of Ocean Science and Technology, Kerala University of Fisheries and Ocean Studies, Panangad-682 506, Cochin, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/27964704
Eminent Biosciences(EMBS) and CODEWEL Nireekshana-ACET, Hyderabad, Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/26770024
Eminent Biosciences(EMBS) and Bharathiyar University, Coimbatore-641046, Tamilnadu, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/27919211
Eminent Biosciences(EMBS) and LPU University, Phagwara, Punjab, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/31030499
Eminent Biosciences(EMBS) and Department of Bioinformatics, Kerala University, Kerala. Publication Link: http://www.eurekaselect.com/135585
Eminent Biosciences(EMBS) and Gandhi Medical College and Osmania Medical College, Hyderabad 500 038, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/27450915
Eminent Biosciences(EMBS) and National College (Affiliated to Bharathidasan University), Tiruchirapalli, 620 001 Tamil Nadu, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/27266485
Eminent Biosciences(EMBS) and University of Calicut - 673635, Kerala, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/23030611
Eminent Biosciences(EMBS) and NIPER, Hyderabad, India. ) Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/29053759
Eminent Biosciences(EMBS) and King George's Medical University, (Erstwhile C.S.M. Medical University), Lucknow-226 003, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/25579575
Eminent Biosciences(EMBS) and School of Chemical & Biotechnology, SASTRA University, Thanjavur, India Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/25579569
Eminent Biosciences(EMBS) and Safi center for scientific research, Malappuram, Kerala, India. Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/30237672
Eminent Biosciences(EMBS) and Dept of Genetics, Osmania University, Hyderabad Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/25248957
EMBS publication In association with Institute of Genetics and Hospital for Genetic Diseases, Osmania University, Hyderabad Publication Link: https://www.ncbi.nlm.nih.gov/pubmed/26229292
Sincerely,
Dr. Anuraj Nayarisseri
Principal Scientist & Director,
Eminent Biosciences.
Mob :+91 97522 95342
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Greetings
The authorship criteria by ICMJE is clearly mentioned. My query is when a surgeon of lab physician is involved only as treating physician or surgeon doing the patient management as per the patient's requirement and within standard operating procedure of the institute; no active intervention or beyond the routinely required intervention is performed by them; or study methodology does not require any change in the routing care from the surgical of paraclinical laboratory department- is it mandatory to include a surgeon or lab physician as investigator? If not done- how does it breach ethical principles or authorship criteria? What does your (country) rule say?
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Dear Sir,
At first I am a retired surgeon. Then, to perioperative outcome a surgeon and lab are dealt, in therapy and research and both could be investigators.
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Artificial intelligence can assist doctors in finding the right treatments among many options for cancer, Capturing data from various databases relating to the condition, AI helps physicians identify & choose the right drugs for the right patients, AI supports the decision-making processes for existing drugs & expanded treatments for other conditions, as well as expediting the clinical trials process by finding the right patients from a number of data sources.
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There is available the preprint of the following paper
The methodical paper describes application of complexity measures and AI/ML methods on prediction of life threatening arrhytmias up to one hour before their onset. It is written in the form available to everyone, even to non-specialists. Entropy is explained in detail and easy to grasp way.
Feel free to comment the paper and your understanding of AI & complexity capabilities to uncover and predict physiology reactions of organs and bodies.
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Dear colleagues,
tale this 5-minute survey, that aims to assess the Level of Harm in physicians‘ career and personal life during the COVID pandemic.
support this projects and help us
Thank you in advance!
M. Galanis
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I practice my daily life very naturally, perform my duties and participate in conferences and workshops, whether in attendance or virtual .. I also live with my family naturally as well. The pandemic as COVID-19 has not significantly affected my personal life..
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Endometriosis is defined and diagnosed surgically by the appearance of endometrial-like stroma and glands in the sites exterior to the uterus (Denny et al, 2007). It would be interesting to find out and learn the diagnosis, treatment, prevalence of endometriosis in Indian women. Also, are they being referred to a women's health physiotherapist?
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1. Trends in Endometriosis among Laparoscopic Patients in Multiple Hospitals in Northern India: A 3-Year Review
2. Study of endometriosis in women of reproductive age, laparoscopic
management and its outcome
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Complaints have been lodged with the physician's medical board by other physicians because of her stated positions on COVID-19, including recommending the use of HCQ and not recommending vaccination. The complaining physicians say that her statements are a danger to their medical practice. What do you think of this? Is this dangerous? Does the Medical Board have the power and right to control a physician's speech?
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Looks Like Just a "Stern" Warning:
Ontario doctor cautioned by regulators for spreading COVID-19 misinformation
Stewart Bell and Andrew Russell, Global News: March 04, 2021.
An Ontario doctor has been cautioned by the College of Physicians and Surgeons for spreading misinformation about COVID-19 vaccines and lockdowns that could put the public at risk. Provided by Global News Dr. Kulvinder Gill, a Brampton, Ont. physician, has been cautioned for spreading COVID-19 misinformation.
Dr. Kulvinder Gill was issued three cautions for “inappropriate” and “unprofessional” statements she posted on social media claiming that neither lockdowns nor vaccines were necessary.
On Twitter, the Brampton doctor had claimed there was “absolutely no medical or scientific reason for this prolonged, harmful and illogical lockdown,” the college wrote in its decision.
She had also written “we don’t need a vaccine” and shared a Tweet claiming that contact tracing, testing and isolation were “ineffective, naive & counter-productive against COVID-19.”
The college’s complaints committee ruled that the comments, posted last year, were factually incorrect and likely to be taken seriously by non-medical members of the public because she is a physician.
Gill was cautioned for “lack of professionalism and failure to exercise caution in her posts on social media, which is irresponsible behaviour for a member of the profession and presents a possible risk to public health.”
No Hoax: Fighting COVID-19 has meant tackling conspiracy theories, even within families
The first of its type, the decision comes as Canada’s doctors are growing increasingly concerned about misinformation and conspiracy theories about COVID-19 that have become pervasive online.
A Global News investigation found that an assortment of far-right, anti-government and anti-vaccine groups, as well as China, Russia and Iran, have been spreading COVID-19 misinformation.
In its decisions, the college said that while it was valid to point out that lockdowns had drawbacks and to question if they were working or whether the costs outweighed the benefits, Gill had gone beyond that.
“She stated unequivocally and without providing any evidence that there is no medical or scientific reason for the lockdown," the college wrote.
"Her statement does not align with the information coming from public health, and moreover, it is not accurate,” according to the ruling.
Misinformation is spreading as fast as coronavirus. It will ‘take a village’ to fight it
Lockdowns in China and South Korea were evidence they reduced the spread of COVID-19, the college wrote.
“For the respondent to state otherwise is misinformed and misleading and furthermore an irresponsible statement to make on social medial during a pandemic,” the decision read.
Video: Concerns about third wave and getting back to normal
Gill is the co-founder of the advocacy group Concerned Ontario Doctors. Her Twitter account has more than 56,000 followers. She could not be reached for comment.
Her claim that vaccinations were not needed was also deemed inappropriate by the college, which said vaccines had been tested and approved in Canada and were the best way to end the pandemic.
“While it is possible for a return to ‘normal life’ without vaccinating the public, this is a high-risk strategy and one that could potentially take years to achieve,” the college wrote.
According to the decision, Gill provided no evidence to support the statement that vaccines were not necessary.
“It would be expected and understandable if a certain proportion of the general public who read this statement decided to decline the vaccine with the assurance that they were acting on the guidance of a physician.”
“For this reason, the Committee considered it irresponsible, and a potential risk to public health, for the respondent to have made this statement in the middle of a pandemic.”
The college complaints committee additionally took Gill to task for retweeting that contact tracing, testing and isolation were counter-productive, a view it called “indefensible.”
“The committee would expect a certain proportion of the non-medically trained public who read this post to subsequently decide not to follow government and public health rules and recommendations regarding contact tracing, testing and isolation," the ruling read.
“This could have significant negative consequences for public health. The Respondent’s comments in this regard are irresponsible and careless in the current context and climate."
While Gill had argued her tweets were taken out of context, the college said that tweets by nature had “limited context.” Nor did the college accept that her tweets were made on a personal account.
“The respondent’s Twitter biography makes it very clear that she is a physician and also identifies her as the leader of a group of physicians, Concerned Ontario Doctors," it said.
“The respondent’s tweets are accessible by the public. Moreover, members of the public who are not healthcare professionals are likely to attribute significant weight and authority to the respondent’s tweets, given her profession.”
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I'm doing a study to evaluate the adherence rate of clinicians to a clinical practice guideline using clinical vignettes (an online survey). The study only includes physicians who are dealing with a specific disease (a rare one). Unfortunately, there is no database, a record for the number of the registered physicians who's dealing with this case, or previous similar study.
The adherence will be presented as a percentage and a comparison between different variables (such as subspecialty and etc...) will be evaluated.
When I stared to collect data, I found that there is only few knew about this disease. In addition, most of the participants did not submit a complete response.
The survey was posted for two months and I only got 30 complete responses.
So, what is the acceptable minimum sample size for my study that I can reach and still gets a meaningful result ?
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There is no "ideal number", as it depends on the size of the "Target Population" to study and the level of confidence we want to work at; yes - although only for "statistical purposes" - a "large" sample is considered when its "n" is greater than 30 subjects or elements and "small" when it is equal to or less ... this translates into the statistical tests to be used in each case and, above all, in the reliability tests of the calculated statistics; but it does not mean that it is one "n" better than the other. In short, the "adequate number" is the one that is sufficiently representative, at a pre-established level of confidence, of the "Target population" to be analyzed.
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For evidence, a few snapshots from any Scientific/Medical Conference are enough.
Physicians are obviously not good enough to heal themselves, and, do not practice what they preach.
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This is mildly Ironic. However, let's look at where most of these experts live. The United States and Canada are highly respected and cited. 75% of North Americans are overweight. Few areas like Colorado have obesity rates below 20%
and the national average is 40%. see:
Therefore it is possible that this is just a coincidence.
At any rate, the fact that they are fat is linked to where they live n'est pas?
(France and the rest of the modern world is fast catching up) So why can't our most eminent & established medical and scientific experts heal themselves but the American Quarterback Tom Brady seems to do that quite well?
The General Principle
The French natural philosopher Brillat-Savarin—once said “Tell me what you eat and I shall tell who you are”. So let's accept t hat the problem is FOOD, industrial food consumption. I am not going to concentrate on how much sugar has been added to American junk food, because I hope everyone knows this, and Marion Nestle once told me hidden sugar is our fat problem. This sounds really good and is certainly covers a great portion of the problem, but would not explain our medical experts' enigma. They would know sugar and act accordingly you would hope.
Hence back to food:
Our Daily Bread
Bread is certainly not an industrial product... that's food, right? Well, that has not been true since about 1939 when the American government made it mandatory to add iron powder to wheat products and then in the 1950s to rice and corn items. Yes, this health supplement experiment was without the consent of the test subjects. Even if you were eating naturally or "bio", would you avoid corn, whole wheat, and rice products? Thus, even if you know your science or medicine you are probably unaware that the largest unproven medical experiment is ongoing in your countries.(USA, Great Britain, Brazil, Australia, Mexico, Canada, etc.
Incidentally, iron and its deficiency are linked to obesity in many ways here is just one example
not to mention iron apparently adversely affects aging
Plus, many Southern States add niacin or nicotinic acid to bread which seems to amplify iron utilization.see
BTW Tom Brady eats gluten-free and effectively avoids most magnetic cereals, muffins, and bread.
Leaky Gut and Obesity
Your microbiome affects your body weight
And iron can perturb such an ecosystem
Meat
Let's eat meat every day, three times a day! This was not how Americans ate at the beginning of the twentieth century when obesity was not a problem.
Worse, many fast food outlets and supermarket items add sugar to their meat. Sugar added to iron-enriched or iron-rich food is throwing gasoline onto a fire.I do agree with M.Nestle.see
Nutrition advocacy in action: the politics of sugar vs. fat
I will let you guess... Tom Brady doesn't eat meat much and sugar is not in his diet.
Vegetables
So let's examine eating vegetables out of season say tomatoes. Well, that would be hydroponically grown. Great yields, but depending on what metals, say iron, are in the hydroponic fluid then because of osmosis this will be reflected in the fruit or vegetable. Coincidentally TB12 does not eat tomatoes;-)
How about some nice ripe black olives? Would you believe me if I told you those olives are softened with lye and dyed black with ferrous glutamate?
I can't cover all the various ways minerals have entered our food chain here but be aware that it is happening all the time.
Milk and Dairy Products
Again milk production has increased so much since the 1950s that many small dairy farmers have ceased to exist. Because cows are so overmilked, that cows udders need treatment with iodine, plus odd ways of increasing yield dairy products are now the major source of iodine for most people instead of seafood.
We have added meat to bovine diets with disastrous results, How do we get such increases in milk production?
Interestingly enough Tom Brady doesn't seem to eat milk cheese.
Pregnancy
Weirdly pregnancy is a risk factor for obesity in women with women becoming more obese with each birth at least in Peru. see
It is a common medical practice worldwide to give expectant mothers folic acid and iron.
could iron explain these results?
To sum this up.
What are the health effects of too much metabolites like iron, folic acid, iodine, and so on? Is this road of good intentions a path to obesity and poor health? We just don't know.
but I think
It is mostly about the iron stupid.
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Hello,
I would like to ask you please about literature review for qualitative study, What should I include in the literature review if my question about physicians Prception about a topic and no previous study have the same question?
Also, could you please help me with a resource for qualitative descriptive study?
Best wishes,
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You need to do a literature review on "physicians perceptions" in the domain of your research, and broader how one defines and studies "physician perceptions". It is your research question and data recollection data would finally decide the methodology to use. The methodology is not prior to the research question or problematic but only a technical aftermath. Nonetheless, one decided the methodology, you need to review as well the methodological literature available in your research domain.
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The POTUS and FLOTUS were reported to be positive for mRNA SARS-CoV-2 yesterday. Others on the White House staff have also contracted the virus recently. My theory is that the Most Powerful Man on Earth is probably on the best treatment that money and power can acquire. So what is that "best" treatment in existence? The news today hinted at what he is on, this may not be true, and he may be on other things that were not reported. Also, big news, there is no mention of HCQ!!
Trump taking Regeneron, Remdesivir therapy for coronavirus diagnosis: ex-WH doctor explains
The president was taken to Walter Reed Medical Center 'out of an abundance of caution' Friday night
The House physician on Trump’s medical care at Walter Reed
President Trump is taking experimental coronavirus drugs Remdesivir and Regeneron after being diagnosed with COVID-19 this week, his former White House physician told "Fox & Friends Weekend."
"The two of those in combination should help clear the virus out of his body much sooner than his body could do it on its own," Dr. Ronny Jackson said Saturday morning.
TRUMP TWEETS FROM HOSPITAL AS DOC CONFIRMS REMDESIVIR TREATMENT: ‘GOING WELL, I THINK!’
The president was taken to Walter Reed National Military Medical Center "out of an abundance of caution" Friday night and is being treated with experimental drugs in response to a compassionate use request.
"The Regeneron product is an antibody product," Trump's former doctor explained.
"They found two particular antibodies in the research they did coming up to developing this product. One of them attaches to the spiked protein and prevents the virus from entering into the host cell, the human cell. So what it does basically is it attaches itself to the virus and it disables the virus where it can't get into the body, into the cells of the body and cause infection, and so that essentially drops the viral count," he said. "Eventually your body clears those viruses."
REGENERON IS TRUMP'S COVID-19 TREATMENT: WHAT TO KNOW
The other drug, Remdesivir, he explained, stops viral replication: "So we're blocking the virus that's already in his body and we're preventing the replication of the virus with the Remdesivir," he said.
Jackson, who helped design and build the presidential wing at Walter Reed, predicts that Trump will spend three to four days there.
"I think they'll monitor him and check to make sure the fever is not getting worse and that his symptoms are improving. After a couple of days, I think he will be back to the White House," he said.
Prior to moving to Walter Reed, on Friday afternoon, Dr. Sean P. Conley, the president’s physician, released an update on the president's condition.
“Following PCR-confirmation of the president’s diagnosis, as a precautionary measure he received a single 8-gram dose of Regeneron’s polyclonal antibody cocktail,” a memo released Friday afternoon by Dr. Sean P. Conley, the president’s physician stated. "He completed the infusion without incident.”
"In addition to the polyclonal antibodies, the president has been taking zinc, Vitamin D, famotidine, melatonin and a daily aspirin," Conley said. Apparently, they are not ill enough to stop working, and may be following isolation while performing their duties. Mike Pence is negative in testing.
We all await the results of this trial. I wish all of those involved a 'speedy recovery.' Thank you, Gary Ordog, MD, October 03, 2020. Stay safe and stay healthy!
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TOTALLY missing the fundamental fact of such infectious diseases, there IS NO "cure" universally applicable, as we have known from centuries of exposure and treatment observations. Every individual is unique. Statistics apply to the Population, not the Individual! So, we know "probabilities" of survival for various sub-groups as well as in aggregate. Whether contained or widespread, those values aren't going to change much - and less as more and more data are accumulated. MOST will recover in all cases! SOME may require medical assistance to avoid complications, mitigate severe symptoms, and possibly assist in killing the virus.
The greatest value for effort will be to protect the most vulnerable, treat only the most adversely affected, and understand the relatively low risk associated with COVID-19 compared to so many other risks that we accept (but try to avoid) in normal life. It's what it is.
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WHAT IS YOUR THOUGHT?
Here is some question
In the context of patient-centred teaching, today’s obligations raise many questions that may result in reshaping medical education.
For example:
- How can we train future physicians during the limitations of social distancing?
- In addition to web-based learning and digital content, can we simulate virtual patient experiences?
- How should we protect students who may feel obligated to care for Covid-19 (or similar) patients regarding supervisory and grading aspect?
- How do we determine who are essentially in need of personal protective equipment during medical education?
- What are the implications of avoiding infected patient engagement for medical students?
- Are there any responsibilities of medical students as junior members of health-care teams in unprecedented times?
- How can medical schools help their residents to tackle the challenges of this pandemic as competent graduate physicians?
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I think the Medical Education need to go more disciplinary and share more lessons learned. Please refer to our papers on our book
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Good morning every body, i need books, Article, any other forms of materials about indian women in medicine, history of indian physicians
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If you please, go to Google , which is the most helpful .
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Medical guidelines, prescribing how to diagnose a disease and how to treat this can be very helpful. On the other side, if a physician is obliged to follow this to the letter, it can be a burden, limiting common sense.
The same holds for ISO15189, partly helpful for improving the quality of their output and partly a burden forcing clinical laboratories into a lot of work.
What is your opinion on the balance between benefit and burden?
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It is depends upon the application with dedication!
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The dawn of homoeopathy in the world unbolted a new epoch in medicine and gave new
connotation to the word “Cure”. According to Stuart Close, homoeopathy alone, of all therapeutic
methods, can legitimately claim to effect true cures by medication, as distinguished from recoveries
(natural recoveries following treatment consisting of mere palliation of symptoms); and this it claims,
first, because it is based upon a definite general principle or law of nature; second, because it is able to
successfully apply that principle to individual cases; and third, because it does actually restore the sick to
health, quickly, safely, gently and permanently, upon easily comprehensible principles.
After maintaining all these possible ways, we may fail to cure if there may present any deflected
current in the path of cure. We are aware about the fact that disease is manifested perceptibly by signs and
symptoms and cure is manifested by the removal of these signs and symptoms. Sometimes we may face
hurdle to remove the manifestation of symptoms and it may happen that patient is not improving. Strictly
speaking the removal of all the signs and symptoms of the case is equivalent to a cure, but if the
symptoms disappear and the patient is not restored to health and strength it means either that some of the
most important symptoms of the case have been overlooked, or that the case has passed beyond the
curable stage. So there is definitely obstacle to cure created either by the nature of disease itself (Incurable
diseases, Rareness of symptoms etc.) or by the physician (Limited knowledge of Materia medica,
impatience of the physician, mistakes in prescribing, mistakes in proper homoeopathic case taking etc.) or
by the patient in any form (patient does not give proper information, the patient gives a confusing or
inadequate report, patient fails to take remedy correctly, excessive use of medicines, life style factors,
drugs and alcohol abuse etc.). This article, portrayed about the obstacles to cure from homoeopathic point
of view.
Let's discuss.
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it is useful
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Do you consider lack of interdisciplinary cooperation to be negative for the prevention of the corona virus spread worldwide?
It seems disciplines and organizations are making choices and recommendations from their own disciplines.
For instance economics, health care, physicians, experts in virus, but there seem to be opposed information spread.
Should it not be a cooperation of experts first that set standards and advices?
Would an expert in the virus, be an expert in psychological behavior of people?
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Yes dear Peter Griepink , I agree with you.
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Most of Physicians have rushed to use an unproven drug to treat COVID 19 , so, Is unproven treatment opposite of the Physician's Oath?
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Thanks Muhammad Yousuf and supporters
Yes, the first principle of Hippocrates oath is (primum non nocere) first, do no harm. In the COVID 19, the physicians used unproven drug to treat the patients, although WHO cautions against physicians and medical associations recommending or administering these unproven treatments for patients with COVID-19.
Some physicians maybe know that it harms patients, but their argument seems to do something instead of nothing.
Any ideas are welcome.
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Dear colleagues,
Τhe Coronavirus disease 2019 (COVID-19) spreads rapidly and is a public health emergency all over the world. Although its mortality and infectivity are not known yet, we decided to contact this study in order to find out how prepared are PCPs to deal with a suspected COVID-19 patient.
This is a cross-cultural study aiming to investigate the relationship between the knowledge, attitude, and practice of COVID-19, and psychosocial and personality factors affecting the physicians' attitudes towards the patients of COVID-19. Participation in the study must be on a voluntary basis. No personal identification information is required in the questionnaire. Your answers will be kept strictly confidential and evaluated only by the researchers; the obtained data will be used for scientific purposes.
The questionnaire does not contain questions that may cause discomfort in the participants. However, during participation, for any reason, if you feel uncomfortable, you are free to quit at any time.
Thank you for your participation in our questionnaire, which will take around 10-12 minutes to complete. If you would like to reach us, please contact us at the following email ozden.gokdemir@izmirekonomi.edu.tr, we'll be happy to give you all the information you need.
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Thank you very much for sharing your work. I hope all of us will be safe as soon as possible.
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I am writing research proposal that involves nurse practitioners and physician assistants, I have had little success on finding forums to post my survey, other than the usual social media sites. Can anyone direct me to such forums where they allow survey links to be posted?
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Moshe and Terri are correct. Fine various places of employment i.e. I did my research in mental health so found people at various hospitals, CMH's, private practice etc. and stopped by to give them the questionnaire or had buddy's get colleagues to fill them our for me. This way is was a more diverse population. Find friends in the field to get Np and Pa's to fill these out. Best wishes.
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Dear colleague,
Thank you for accepting our invitation to participate in this online survey dedicated to physicians worldwide, which evaluates current knowledge and experience during the COVID-19 pandemic. As we all know, the pressure on healthcare systems and the medical community are higher than ever before. Through this short online questionnaire, we invite practitioners all over the world to anonymously share their beliefs regarding COVID-19. The survey includes 30 single-choice or multiple-choice questions and takes around 5-6 minutes to complete it. Participating in this survey implies the agreement to use the answers in carrying out an analysis on the current knowledge and experience with COVID-19. Data gathered through this survey will be processed completely anonymously. By completing this questionnaire, you express your agreement to voluntarily participate in this question-based research. You can refuse to participate in the study or withdraw at any time before finishing the survey. Results will be presented in a research paper available online. Again we are grateful to you for taking the time to complete this survey. For inquiries please contact physician.survey.covid19@gmail.com.
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İt was completed...
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Ventilator is running out of supply under COVID-19, especially severely ill patients require non-invasive or even invasive ventilator support.
When there is outbreak of COVID-19 locally, physicians are facing the difficulties to choose between different patients for the allocation of limited medical resources.
Is there any simple way to turn something on hand to a usable ventilation machine? No matter household electronic gadgets, e.g. fan, vacuum cleaner, or existing medical equipment.
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Will this extension increase the dead space of the breathing system, and weaken the ventilation?
What is the infection risk with this arrangement?
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Unless there is clinically tested deficiency and/or physician or dietitian recommendation, is that possible to give any type of supplement to athletes or research participants during experiments?
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I think it needs ethical approval of this research
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While most governments try to hide the facts and manipulate statistics about COVOD-19 due to political/economical/stupidity reasons, many physicians and scientists are currently working on finding cures for COVOD-19. I am curious whether there is any center/platform to use experts from different areas of research in this fight.
To be clearer, let me ask this:
I work in biomedical engineering department. I, my colleagues and our students are familiar with optimization, data analysis, artificial intelligence, time-series analysis, modeling, control and …
I hope there might be a center which can provide some data, plus some tasks, so we can do some real and useful research and have a share in this fight.
Just a saying: maybe a proper deep neural network can suggest best combination of drugs according to the available history.
-----------------------
P.S.
My question is about the direct fight. I don’t mean helping in e.g. producing masks, cloths and …
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Stay at home. :-)
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The failure of physicians who write papers on medical devices to actually mention the NAME of the medical device they used in the research is going to kill a lot of people when those medical devices fall off the market for lack of clinical data.
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Agreed on all points.
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Hypertension is very common disease in many places and millions are suffering .It has very link to potassium nin blood , Hypertension remains the leading cause of cardiovascular disease (CVD), affecting approximately 1 billion individuals worldwide [1]. More than 72 million Americans, or nearly 1 in 3 adults, are estimated to have hypertension but only 34% achieve blood pressure (BP) control [2–5]. Nearly 70 million more adults are at risk of developing prehypertension, BP between 120/80 mm Hg and 140/90 mm Hg. Over 90% of adults in the United States will probably develop hypertension, especially systolic elevations, by age 65 [3]. Hypertension is associated with an increased risk of morbidity and mortality from stroke (cerebrovascular accident, CVA), coronary heart disease (CHD), myocardial infarction, congestive heart failure, and end-stage renal disease. Poor BP control is even more of a challenge for patients with diabetes and chronic kidney disease, who have lower recommended BP goals [6]. Hypertension remains the most common reason for patient visits to physician’s offices and is the primary reason for the use of prescription antihypertensive drugs, with an annual cost of almost $20 billion. Diet in the Prevention and Treatment of Hypertension Several epidemiologic studies [7–10] suggest that diet plays an important role in determining BP. So how potassium is playing?
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Deceased professor’s e-mails reveal his ‘loneliness’ in TB research
The news that Koh Won-jung, a professor of the Division of Pulmonary and Critical Care Medicine at Samsung Medical Center, took his own life saddened the medical community in the summer this year. People lamented that “the star of the Korean medical community has fallen.” Koh not only made great achievements but drew much anticipation for his future research outcomes.
Physicians said it was hard to believe that he killed himself because he had more passion for patient care and research than anyone else. Just before he died, he was about to have a fresh start after 18 years of work at Samsung Medical Center.
Koh was exhausted. He worked day and night for 18 years and became an authority in the field of tuberculosis (TB) and nontuberculous mycobacteria (NTM). However, the for-profit system at the hospital did not support him.
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Please let me argue that this case is not an exception, but an event part of a worrying intensifying trend. Increasing privatiozation and deregulation of healthcare markets in Europe and beyond lead to this kind of outcomes:
Rachel Tansey (2017). " The creeping privatisation of healthcare - Problematic EU policies and the corporate lobby push" Corporate Europe Observatory Brussels, 2/6/2017, Available at: https://corporateeurope.org/en/power-lobbies/2017/06/creeping-privatisation-healthcare
One of the side-effects is that private owners might want people to work for less salary but with more workload. A giant actor in the sector recognized the problem: Ana Maria Sedletchi (2019). " 5 things you should know about burnout " - a webinar with Dr. Susana Banerjee at Elsevier Researcher Academy, October 14, 2019 Available at: https://www.elsevier.com/connect/5-things-you-should-know-about-burnout
I would rather quit a workplace than become ill as a result od stress. This case of the professor in question should have never happened! - there might be factors that are not open to the public... Yours sincerely, Bulcsu Szekely
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There are scientists who believe that synthetic vitamins are useless, because they are either not properly absorbed, or for some reasons do not affect metabolism, as expected. Some even say that synthetic vitamins might be harmful. On the other hand, they are considered effective by a lot of physicians.
It would be interesting to know the opinion of experts on this issue.
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Natural vitamins are nutritionally superior to synthetic ones.
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Dear all,
I had prepared a questionnaire to assess the knowledge, attitude, and practices of HPV vaccine recommendation among physicians in south India. I had done content validity by using expert panel. Now i want to test reliability. I had used questions having multiple options, Likert scale responses, Binary answers, and description as answers. Now i want to test reliability of the questionnaire.
What type tools or statistics i have to be used to assess the reliability of questionnaire.
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Another point to add is to conduct pre-testing of questionnaire first to ensure high quality translation before proceed to psychometric testing (reliability and validity assessment). Another source of reference for questionnaire validation is as below:
Streiner, D. L., Norman, G. R. & Cairney, J. (2015). Health Measurement Scales: A practical guide to their development and use. 5th ed. Oxford: Oxford University Press.
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Hello, I'm starting one research to see how different countries use the Distance Learning for teaching healthcare students like Nurses, Physicians, etc. In Brazil we're having a great discussion by the legal allowance of our Education Ministry for the oppening of Distance Learning Bachelors courses. So I wanted to know how different countries work with this situation.
Thank you very much!
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I teach online and write my own virtual simulations and virtual lessons that I use.
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There are patients who want to know not only whether their lab results are good or bad but also why some tests are more reliable than others. So, sometimes physicians are expected to explain intellectually challenging concepts such as test sensitivity and specificity. I'd be interested to hear from you some plain language definitions of these two concepts. These definitions may be useful not only in the context of face-to-face patient-physician relationship but also in the context of printed or electronic patient education materials. Thanks!
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Responding 'on the fly' - and therefore offering an incomplete answer, because I think that providing a simile/metaphor might be easier for folk to understand? Finding the appropriate analogy is the trick!
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Is it wise or accepted to forecast the life span of incurable moribund patients by the treating physicians and express it to her/him or to their relatives? What is your opinion on this practice?
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That is a very important question and simultaneously one of the most difficult in medicine to answer. Actually, it depends on the nature of the patient. Some are naturally born fighters, others prefer a white lie.
According to my personal experience, it depends on the true nature of the person whether it is good, to tell the truth, or not. Age plays its role too. Younger people get more disappointed and frightened by the possibility of nearing death than older ones.
A very important factor is that so-called truth can easily become a nocebo as we tell it to a patient. How does it work with placebo/nocebo? Our body is, more that we are willing to accept, governed by our mind and spirit. When we do discourage the person from activating his/her healing powers, he can disconnect the body from the immense influence of the mind and spirit. This can activate a strong and fast demise.
On the other hand, some patients when they get a 'fatal' prediction, they have enough power in their mind and spirit to activate all healing powers in their body.
It is very, really very difficult to estimate who is who. On top of it, even a single patient can change the above categories once or even more times during his life.
According to my personal experience, it is the most important to 'probe' patient and 'guess' what is the best. There are certain messages from the previous life that can tell us how tough the given person is.
To rely only on statistics based on the lives of other patients is not sufficient. Patients are not numbers. The role of motivation is tremendous.
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Hi
There no doubt that modern medicine is a dynamic practice. Technological and pharmacological development have changed the way of medical practice. We currently live immersed in an ocean of new technological devices and new drugs in one side and in the other side medical industry is constantly pushing physicians to use their novel products. My question is: 1.- How this situation has changed your medical practice in you milieu?. 2.- How do you decide to incorporate a new device in your practice? 3.- How do you decide to use a new drug? 4.- How do you manage pressures of the medical industry for acquiring their products? Thank you
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When you get information about some new drug it is necessary to find also references from researchers not related with the lab who is producing the new drug. The information you can find which is independent from the industry may give you an insight of what you can expect from the new drug. This is time consuming but absolutely necessary in Oncology.
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I just would like to do a preliminary survey type investigation amongst the health care workers, including, nurses, doctor, midwifed, physicians, physiotherapist, etc.
Please clearly state your thoughts about the AI and include your position at the end of your statement as well. Please feel free to share it. Your help on this matter would be greatly appreciated.
Many thanks in advance 🙏
Dr.Emre Pakdemirli
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AI? It is the Future.
P.S. The same is for Big Data management.
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Condensed classification of hypertensive retinopathy is required to deal with day to day problems related to busy physicians who after having seen the positive opinion of ophthalmologist regarding presence of hypertensive retinopathy (regardless of looking at the grade of hypertensive retinopathy ophthalmologist have mentioned) change their patient management plans towards end organ damage. However, many classifications of hypertensive retinopathy start with zero grade (no changes) or minimal/reversible changes. Fortunately, new condensed classification recently developed have solved this day to day problem in clinical practice. In this classification there are only three grades and the very first grade mentions irreversible changes, so it is safe to follow this grading system for reporting regarding presence or absence of hypertensive retinopathy in modern day clinical practice.
Ref. Shah SIA, Huda F, Jalbani A etal: Frequency of hypertensive retinopathy on the basis of “Imtiaz's Grading System of Hypertensive Retinopathy”, at Larkana Pakistan, Pak J Ophthalmol 2018, Vol. 34, No. 4 : 237-242
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It is a clear fact and most of us have observed changes in the management plans of their patients by nephrologists/cardiologists, etc. towards end organ damage after we designate the patient is suffering from hypertensive retinopathy (no matter the patient is in first grade which may be zero) because they see the positive or negative report and don't have time to see the grading.
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Dear Dr. Di Lorenzo,
I am going to cite your paper on KD intervention for patients with migraine in an article for a medical magazine, Headache & Migraine Advisor. This article is for an audience of physicians and it's about pharmacological and non-pharmacological interventions for children with migraine. Could you please comment on considerations for implementing such a diet in children and adolescents? Thank you!
Erica Slaughter
Medical Writer
Headache and Migraine Advisor
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Erica,
The gist of the truth about migraine.
Best,
Vinod
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The physician should be permitted to do everything in interest of patients with out consent and should be treated as implied consent
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Exceptions to Informed Consent in Emergency Medicine
The doctrine of informed consent is a legal concept that applies to all physicians in every field
of medicine. This doctrine is premised on the
notion that “[e]very human being of adult
years and sound mind has a right to determine what
shall be done with his own body . . .”1 The principle of bodily self-determination, even in emergency care situations, permeates through all cases involving informed consent and may only be set aside by legally recognized exceptions. These exceptions are included in both statutory and case law (ie, legislature-created and
judge-created law, respectively).
THE DOCTRINE OF INFORMED CONSENT
For a patient to be considered legally informed, the doctrine of informed consent requires a patient to have reasonable knowledge of the procedure to be performed as well as some understanding of the nature of the risks involved in the procedure.
To provide this level of knowledge and understanding, a physician generally has the duty to disclose to the patient the following information:
• Diagnosis, including an understanding of any steps taken to determine the diagnosis
• Nature of the proposed treatment, including the potential risks of the treatment and the probability of success
• Medically recognized alternative measures relating to diagnosis or treatment, including measures that may be considered less desirable by the physician
• Consequences of the patient’s decision to decline or refuse treatment.
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Clot sustained in a accident, however patient doesn't has any sign or difficulties. Some physician suggest it may dissolve itself and other recommends a surgery. Please explain.
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thank u sir
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What I heard from my neurology colleague, that migraine is usually a diagnosis by exclusion. That means if your physician suspects you have migraine, other investigations will be done to exclude that you don't have another diagnosis.
Why is it so until this time of high tech and advanced medical diagnostic tests?
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Dear Mohamad-Hani, maybe the following papers will help you on the subject:
Kunkel RS. Migraine aura without headache: benign, but a diagnosis of exclusion. Cleve Clin J Med 2005;72(6):529-34. https://mdedge-files-live.s3.us-east-2.amazonaws.com/files/s3fs-public/issues/articles/content_72_529.pdf
Tinsley A, Rothrock JF. What Are We Missing in the Diagnostic Criteria for Migraine? Curr Pain Headache Rep 2018;22(12):84. https://link.springer.com/article/10.1007%2Fs11916-018-0733-1
Yang H, Zhang J, Liu Q, Wang Y. Multimodal MRI-based classification of migraine: using deep learning convolutional neural network. Biomed Eng Online 2018;17(1):138. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6186044/pdf/12938_2018_Article_587.pdf
van der Meer HA, Visscher CM, Vredeveld T, Nijhuis van der Sanden MW, Hh Engelbert R, Speksnijder CM. The diagnostic accuracy of headache measurement instruments: A systematic review and meta-analysis focusing on headaches associated with musculoskeletal symptoms. Cephalalgia. 2019 Apr 18:333102419840777. doi: 10.1177/0333102419840777. [Epub ahead of print]. https://journals.sagepub.com/doi/pdf/10.1177/0333102419840777
Šukalo A, Merdžanović E, Alic A, Vrabac-Mujčinagić M, Alibašić E, Janković SM. Screening general practice patients for migraine without aura: construction and validation of the Balkan Migraine Screening Questionnaire (BMSQ). Med Glas (Zenica). 2019 Aug 1;16(2). doi: 10.17392/1021-19. [Epub ahead of print]. https://www.ncbi.nlm.nih.gov/pubmed/31127712
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I'm trying to get a view on existing projects / studies /articles / theses that evaluate the needs and gaps in disaster medicine education for health care providers (physicians, nurses, EMT's). Basic curricula as well as postgraduate education are of interest.
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thanks!
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The use of ultrasound applied to critical patients is based on the international guidelines for the use of ultrasound in Intensive Care issued by the Round Table of Experts on Ultrasound in the UCI and the American College of Chest Physicians (CHEST) / La Société de Reanimation of Langue Française (SRFL).
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To improve US utilization in the ICU settings, two major factors are:
- sufficient staff training on the availabile ultrasound devices in the ICU
- adapting the international bedside ultrasound guidelines into hospital policy
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Which idea corresponds to your patients' management style ?
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Knowledge and compassion
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Would you contribute the development of the list of diseases known with the names of the physicians, who identified them, in the world of medicine?
As known; Some diseases in the world of medicine are known by the name of physicians who identify them. Looking at the examples:
BEHCET : Dr. Hulusi Behçet
HODGKIN : Dr. Thomas Hodgkin
ALZHEIMER: Dr. Alois Alzheimer
CUSHING : Dr. Harvey Cushing
...............
Can you help improve this list with examples you know about it?
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In 1984, research groups led by Dr. Gallo, Dr. Luc Montagnier at the Pasteur Institute in Paris, and Dr. Jay Levy at the University of California, San Francisco, all identified a retrovirus as the cause of AIDS. Each group called the virus by a different name: HTLV-III, LAV, and ARV, respectively.
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We are searching for the workload of young physicians. In Germany, there have been protests because of dangerous working conditions in 2005 and 2006. Therefore, we established the MAGRO project and we are keen to gain knowledge from other countries/ regions of the world. Best wishes, David Groneberg and Stefanie Mache
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Workload is probably about the same, but very different. The actual load on the wards, in call, with patients is less, but more time spent on portfolio building, collecting qualifications in different areas like education and personal administration for appraisal, recalibration, etc.
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The role of Standard Therapeutic Guideline (STG) of disease is very important. An STD is beneficial for:
ensuring patients' safety,
raising therapeutic efficacy,
improving quality of life, and
reducing the cost of therapy
However, some healthcare practitioners do not support the above logic. They believe that a physician is a sane person with adequate expertise to write an appropriate prescription without seeking SGD's help.
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In addition to what you was mentioned the STG also increase the patients adherence to their therapy (increase patient compliance) which is crucial factor for therapeutic success.
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I have read much of your work and am very interested in your publications. Are you able to share your recent work?
Thank you
Linda Bluestein
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Pouvez-vous m'envoyer votre adresse Email. Je vous envoie mes dernières publications?
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Do any physicians, researchers and scientisays among us ever wonder how it is that while researching and standing as proponents of advancing the health of the general population —we often fail to acknowledge our own health — and may even put others’ health before our own personal health?
“Doctor health thy self” may not just be a cute anecdote. Seriously. The path to becoming a doctor and the hours invested in treating others, long and arduous, may be killing us. What say you?
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Health care workers often fail to take care of their own health. Some experience burnout or compassion fatigue periodically especially in the mental health field. Health care workers are at high risk due to their contact with patients who may have various diseases. Thus, not only are hand washing and other protocols important it is imperative that these workers periodically take time off to relax and decompress.
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Are you aware of research comparing expectations /perceptions of patients versus physicians/physical therapists concerning TIME for recovery?
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Thanks Moses!
That's true but my question is NOT how long it takes to recover, my question is if patients' and clinicians' expectation differ.
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This specificity of this question is directed towards medicine, pharmacy and nursing.
Understanding differences in the pharmacology knowledge and pharmacotherapeutic skills of pharmacists and physicians plays a vital role in optimizing inter-professional collaboration and education. These skills include prescription writing, patient communication about medication (Keijsers et al., 2015) and patient education.
What are the additional sets of skills that a graduate should possess that can later transform into competencies.
I am looking forward to Specific, Relevant & To the point answers.
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Thanks Nanloh (@Nanloh Samuel Jiman) for providing me an insightful piece of information about student awareness and a watchful approach discerning the economical impacts linked to inappropriate pharmacotherapeutics practices.
I am extremely grateful to you Hassan (@Mohamed Hassan Elnaem), I completely agree with you that student's understanding of the rationale behind the guidelines and recommendations in the context of evidence based practice is an integral pharmacotherapeutics skill or aptitude that can play a significant role not only for drug prescription but also for effective dissemination or sharing of information among other health care professionals including the patients.
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As Medical practitioners, we all deal with several patients/people every day.
How many of us are good listeners? And how many us are pushers, pigeon-holing patients swiftly and sometimes erroneously?
Whys are we given two ears but only one mouth?
What are the warning signs and caveats for a superlative physician / doctor?
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Rafael,
Thank you for participating, and, for putting forth some very pertinent points.
I think you will find the following useful.
I am now in my seventh decade, having worked as a physician for almost 45 years, and, have dealt with around 30 patients per day, say a total of approximately 300,000 patients, very likely more. On some days for 18 years, I would see over 100 patients per day.
I have made some rules of thumb, that you will find very useful.
At the beginning of any session, after introductory formalities are over and the vital statistics are flicked over, I turn to my patients, and ask them how may I help them.
1) I NEVER INTERRUPT THE FIRST 3-5 SENTENCES FROM THE PATIENT< SIMPLY NODDING IN ENCOURAGEMENT for the PATIENT TO CONTINUE or an INAUDIBLE MURMUR or a noncommital Hmm>. IT NEVER TAKES MORE THAN 2 MINUTES. AT THIS TIME I AM HYPER-ATTENTIVE, DESPITE THE NOISES OF THE OUTPATIENT DEPARTMENT.
2) In these 2 minutes, I make out a SINGLE MAJOR PRIMARY COMPLAINT.
3) I NEVER INTERRUPT THE PATIENT FOR THE FIRST 2 MINUTES.
4) IF THE PATIENT SPEAKS LESS <1 minute, I go over whatever she/he has said, and, the vitals, once more, as well as over the general demeanour, attire, content and nature of disclosure> and I step in to cover up for the next 2-3 minutes.
5) IF THE PATIENT IS VOLUBLE BEYOND 5 minutes, I GENTLY ESCORT THEM OVER TO THE COUCH TO EXAMINE.
6) IN FOUR DECADES OF MANAGING PATIENTS, I HAVE NEVER FAILED TO DO JUSTICE TO ANT PATIENT.
7) Once on the couch, patients rarely speak further.
8) BEYOND 5 minutes is my time--what I chose to spend with a patient.
9) At 5 minutes per patient, you can see 12-15 patients in 1 hour, and, keep the Insurance company also happy.
10) Do not prescribe more than 2-3 medicines on first visit. If you prescribe more, you do not know what you are treating in the outpatients.
Take it from an old physician: 2 minutes/3 sentences/primary complaint/couch-10 RULES - and you are done.
With in-patients, we all necessarily take longer.
After 5 minutes or so, consultation changes to conversation, and, is generally non-contributory, except in really tough cases. You should approach the inpatient bed with a 10-15 minutes frame of mind (no more), and, go back to your writing desk/office/workstation. If you spend more than 10 minutes, you have not been listening well. The physical examination of a comatose patient/GBS/complex multi-valve cardiac disorder can be completed in 10 minutes, if your mind knows what is to be sought.
With intensivists/lab/ECG/X-ray/cannula/ infusion order/specialist's referral -- write in 5 minutes and move on. Come back again to the patient later.
Try it. It really works.
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Utilizing the correct mix of physicians and non physcisions can asssit in assuring there is 24 hour coverage based on the strategic mission, patient outcomes, and catchement area.
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YES!!!  Hope for the best..... and TRAIN TOGETHER FOR THE WORST!!!!
Google "Meredith Addison emergency nurse" and let's NETWORK!!!
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Pharmacology is a basic science that plays a significant role in the daily decision making of physicians. One must consider side effects, drug-drug interactions and probable iatrogenic causes of new conditions. This knowledge is best conserved by frequent review and should be maintained in the current age of continuous medical education and professional development. How best would it be for the practicing doctor to maintain this knowledge?
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Yes your line of thinking is perfectly justified.
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I need a good doctor to be a mentor for my graduation research.
My topic is about vitamin D, so I want orthopedic, family medicine or internal medicine physician.
How can I find?
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What is your research about Zahra?
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How do we get to know we are winning?
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Of course, how frequently people move on is a function of the country (and gross domestic product, including per capita), sector, industry, occupation, age range, family circumstances, etc. but a few statistics cast light. On average, the average worker in the United Kingdom changes jobs every 5 years; in the United States, he/she moves every 4 years. (Looking at historical trends, 4–5 years is a short period: in the 1950s–1970s, for instance, workers would join an organization and stay there for life—or at least decades; people valued jobs and financial security above all.) But the Millennials—born between 1982 and 1999—change jobs on average once every 2–3 years and will have had four different careers in their lifetime. As Millennials rise in the workplace (with expectations to continuously learn, develop, and advance in their careers), the old stigma that frequently changing jobs looks bad on a résumé because it tells recruiters you cannot commit, hold down a job, or get along with colleagues is becoming antiquated.
PS: As long ago as 1989, in the book titled The Age of Unreason, Charles Handy wrote about “the portfolio worker”, a person who holds a number of jobs, clients, and types of work simultaneously. Jobs come and go and careers do not last as long as they used to; but, a portfolio can stay with you throughout your life. Handy suggested that more people should orient their work lives around a body of work as opposed to a single position that lasts for 40 years.