Patients' Knowledge of Female Pelvic Health and Related Educational Preferences.

Many patients have a rudimentary knowledge of their body's anatomy and functioning. In a clinical setting, deficits in patient understanding can lead to miscommunication affecting patient care and satisfaction. Hence, this study aims to estimate a baseline of patient knowledge regarding pelvic anatomy and to assess their educational preferences in learning about related topics. For this cross-sectional study, we developed a 24-item assessment with questions related to pelvic anatomy, health, and function. The questionnaire was validated using feedback from anonymous community focus groups, and then distributed to English-speaking female patients at the Women's Clinic of LAC + USC Medical Center (Los Angeles). The participant performance as a percentage-correct score on the anatomy assessment constituted our primary outcome. As secondary outcomes, educational preferences were inquired. Statistical analysis was conducted using two-sample t tests. The majority of our total sample of 269 were Hispanic (65.4 %) with a mean age of 35.3 years. We documented deficits in patient knowledge with a mean score of 66.1 % correct on anatomy assessment. Statistically significant lower scores were associated with less education and with Hispanic/Latino origin. Additionally, we found that while physicians have played a role in health education, women prefer to receive more education from their providers in the future. The deficits we identified indicate the pressing need to improve the pelvic health literacy of our patients. Understanding what our patients know and want to know is critical to effective communication and is fundamental to providing better clinical care in the future.

World-wide architecture of osteoporosis research: density-equalizing mapping studies and gender analysis.

OBJECTIVE: While research activities on osteoporosis grow constantly, no concise description of the global research architecture exists. Hence, we aim to analyze and depict the world-wide scientific output on osteoporosis combining bibliometric tools, density-equalizing mapping projections and gender analysis. METHOD: Using the NewQIS platform, we analyzed all osteoporosis-related publications authored from 1900 to 2012 and indexed by the Web of Science. Bibliometric details were analyzed related to quantitative and semi-qualitative aspects. RESULTS: The majority of 57 453 identified publications were original research articles. The USA and Western Europe dominated the field regarding cooperation activity, publication and citation performance. Asia, Africa and South America played a minimal role. Gender analysis revealed a dominance of male scientists in almost all countries except Brazil. CONCLUSION: Although the scientific performance on osteoporosis is increasing world-wide, a significant disparity in terms of research output was visible between developed and low-income countries. This finding is particularly concerning since epidemiologic evaluations of future osteoporosis prevalences predict enormous challenges for the health-care systems in low-resource countries. Hence, our study underscores the need to address these disparities by fostering future research endeavors in these nations with the aim to successfully prevent a growing global burden related to osteoporosis.

[Musculoskeletal chronic pain: Latin-American expert panel review based on scientific evidence]. / Dolor musculoesquelético crónico: Opinión de un grupo de expertos latinoamericanos basada en la evidencia científica.

Based on the continual medical education, in the first trimester of 2010 an expert in pain meeting has being made at Mexico City. The priority of the research was on educate residents of medical school or at their post graduate years, and the priority was on investigate of how our residents use adequate pain medication. In that first meeting at Mexico City, from different countries, the agreement was on inadequate use of pain treatment caused from inadequate education of the proper indication of drugs and other therapies for muscle skeletal pain. We decided to make a Latin American expert recommendation in chronic muscle pain where we include: epidemiological and socioeconomic pain data, actual classification of NSAIDs, pharmacological and other treatment in pain, and side effects of most popular drugs with actual recommendations. We include Medline guides, reviews, randomized studies and meta-analysis from 2001 to 2010.

[Computer assisted codification of diagnosis. Experience in a neurology/neurosurgery service]. / Codificacion de diagnósticos asistida por computador. Experiencia en un servicio de neurología/neurocirugía.

The aim of this report is to show a dBase III+based program designed to assign the International Classification of Diseases codes to medical diagnoses. The principal features, advantages and limitations diagnoses. The principal features, advantages and limitations of the program are depicted and its yield with different users in a Neurology and Neurosurgery department is analyzed. It is concluded that this is a user friendly software with minimal hardware requirements that can be used in any clinical setting.

Giant-cell carcinoma of the lung. Clinical and pathological assessment. Comparison with other large-cell anaplastic bronchogenic carcinomas.

Fewer than 40 cases of giant-cell carcinoma of the lung have been described in the world literature. Fourteen new cases are now presented. This is a special type of large-cell anaplastic carcinoma characterized by tumour giant cells with one or more nuclei and by a very pleomorphic appearance. A number of previous authors have emphasized the following special features of this type of tumour. Occurrence in a younger age group, a more rapid course from initial symptoms until death, more extensive metastasization, and a more peripheral location of the primary tumour than in other large-cell anaplastic carcinomas. It has also been stated that the tumour differs from other large-cell anaplastic carcinomas in its shorter duration (average 4 1/2 months) and more peripheral distribution (c/p ratio 1:2.2). In the present material only the survival period was significantly shorter (average 7 months), while in other respects the tumour did not differ from other large-cell anaplastic carcinomas.