The 180-year-old, Madras Medical College, to which the Institute of Child Health (ICH) is affiliated, has an annual intake of 250 under-graduates and 54 pediatric post graduates. Established in 1997, our Pediatric Emergency Department (PED) was equipped by Japan’s International Cooperation Agency [2]. To sustain the project, the Tamil Nadu government sanctioned a faculty position in PEM. Over, ...

PURPOSE Biosimilars are a cost-effective alternative to biologics that could improve patients' access to expensive biological medicines. Currently, there are little data on doctors' perceptions of biosimilars and in what situations they are comfortable prescribing biosimilars. In this study, we investigated medical specialists' perceptions of biosimilars and the factors associated with the acce...

The structural materials used for LMFBR are austeniticsteels from Type AISI 304, 316 or steels which are simi-lar. Investigations show that a leak-be fore-break conceptcan be established for LMFBR piping systems and components,due to the ductile behavior of these steels and the opera-ting conditions. A major element of this concept is theknowledge of fatigue crack growth...

McCartney is right, nagging doesn’t work: it assumes deliberate non-compliance, undermining patients’ autonomy and intelligence. Some people need nudges (as I do to complete the review that has been sitting on my desk for 10 days) and others support (as I do to clear more urgent work to find time for that review), but few respond well to being treated like an ignorant lazy person. Clinicians ne...

For the policy-implementing part of his job, the administrator has to be a coordinator, which is a generalist function. At the policy-implementing stage, he needs to be a generalist in the sense of feeding extra-disciplinary valuejudgments, culled from his wide administrative experience, into the decision-making process. But, at the same time, for policyformulation he had to master specialised ...

In recent years, usability testing has been the subject of growing interest, resulting in an explosion of methods and techniques. Although the HCI scientific and industrial communities acknowledge the merits of user interface evaluation, how to proceed in practice is still unclear. Usability testing is considered to be time consuming, unreliable, limited in scope, and based on expert experience...

Two models are presented of real-time exchange and price adjustment for a system of interrelated markets mediated by trade specialists. The first (MBM) features partially decentralized barter exchange in which specialists continuously maintain inventories and periodically adjust prices. A 'correspondence principle' yields existence and efficiency of (steadystate) equilibrium. Local stability fo...

BACKGROUND The infectious diseases specialist is a medical doctor dedicated to the management of infectious diseases in their individual and collective dimensions. OBJECTIVES The aim of this paper was to evaluate the current profile and distribution of infectious diseases specialists in Brazil. METHODS This is a cross-sectional study using secondary data obtained from institutions that regi...

background: excellence and quality models are comprehensive methods for improving the quality of healthcare. the aim of this study was to design excellence and quality model for training centers of primary health care using delphi method. methods: in this study, delphi method was used. first, comprehensive information were collected using literature review. in extracted references, 39 models we...

BACKGROUND It is not known if there is a differential impact on Alzheimer's disease (AD) diagnosis and outcomes if/when patients are diagnosed with cognitive decline by specialists versus non-specialists. This study examined the cost trajectories of Medicare beneficiaries initially diagnosed by specialists compared to similar patients who received their diagnosis in primary care settings. MET...