RESULTS Our pre-intervention audit showed a hypnotic use of 48%. This decreased to 26% for the first month following the educational intervention. Usage increased gradually in proportion to time from intervention. However, over the 4-month post-intervention period hypnotic use remained significantly lower than preintervention throughout the time period studied. CLINICAL IMPLICATIONS As the stud...

BACKGROUND In problem-based learning (PBL), tutors play an essential role in facilitating and efficiently structuring tutorials to enable students to construct individual cognitive networks, and have a significant impact on students' performance in subsequent assessments. The necessity of elaborate training to fulfil this complex role is undeniable. In the plethora of data on PBL however, littl...

BACKGROUND This paper aims at assessing the effectiveness of the package of road safety measures implemented after road safety was included in the political agenda in the year 2004 on the number of road traffic-injured people in Spain. METHODS An evaluation study was performed using an interrupted time-series design. The study population was people injured in road traffic crashes in Spain bet...

BACKGROUND The volume and percentage of percutaneous coronary interventions (PCIs) performed for nonacute indications have declined in the United States since 2007. However, little is known if similar trends occurred in Taiwan. METHODS We used data from Taiwan National Health Insurance inpatient claims to examine the regional and hospital variations in the extent of decline in the percentage ...

This controlled, longitudinal investigation tested the effectiveness of a bereavement counselling model for adults on reducing complicated grief (CG) symptoms. Participants (N = 344; 79% female; mean age: 49.3 years) were adult residents of Scotland who were bereaved of a close relation or partner, experiencing elevated levels of CG, and/or risks of developing CG. It was hypothesized that parti...

As part of Preventing Suicide: Kentucky's Plan, a gatekeeper training was implemented. The implementation of this brief educational intervention and changes in participants' suicide prevention attitudes were examined. Data were collected from 3,958 people in 213 sessions from May 2004 to August 2006. Participants reported high levels of satisfaction with the trainings. Immediately following the...

During transradial intervention, sharp edge of the guide catheter tip may act like a "razor-blade" and can prevent the catheter navigation especially in situation like double hair pin loop. Here, we report primary percutaneous coronary intervention (PCI) through diagnostic catheter using an innovative technique, balloon-assisted sliding and tracking (BLAST), to overcome this double hairpin loop...

BACKGROUND Leadership is a key feature in implementation efforts, which is highlighted in most implementation frameworks. However, in studying leadership and implementation, only few studies rely on established leadership theory, which makes it difficult to draw conclusions regarding what kinds of leadership managers should perform and under what circumstances. In industrial and organizational ...