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Negotiating a new chair package:context and considerations

Family Medicine and Community Health 2023年第1期11卷 26-32页

作者： Amanda Weidner Samantha Elwood richelle koopman Julie Phillips David Schmitz Li Li A Peter Catinella Jehni Robinson Nahid Rianon C J Peek Irfan Asif Family Medicine University of WashingtonSeattleWashingtonUSA Association of Departments of Family Medicine LeawoodKansasUSA Family Medicine Oregon Health&Science UniversityPortlandOregonUSA Family and Community Medicine University of Missouri School of MedicineColumbiaMissouriUSA Family Medicine Michigan State UniversityEast LansingMichiganUSA Family and Community Medicine University of North Dakota School of Medicine and Health SciencesGrand ForksNorth DakotaUSA Family Medicine University of Virginia School of MedicineCharlottesvilleVirginiaUSA Family Medicine Texas Tech University TransmountainEl PasoTexasUSA Family&Community Medicine Texas Tech University Health Sciences Center El PasoPaul L.Foster School of MedicineEl PasoTexasUSA Family Medicine University of Southern California Keck School of MedicineLos AngelesCaliforniaUSA Family and Community Medicine The University of Texas Health Science Center at Houston John P and Katherine G McGovern Medical SchoolHoustonTexasUSA Family Medicine and Community Health University of Minnesota Medical SchoolMinneapolisMinnesotaUSA Family and Community Medicine The University of Alabama at Birmingham Heersink School of MedicineBirminghamAlabamaUSA

Negotiating a resource package as a potential new department chair is common practice in academic *** foundations for this negotiation include the historical presence of the department in relation to the broader institution,projections for future growth,accounting for mission/vision,resource needs(space,personnel,finances,etc),faculty and staff development,and external partnerships within and outside the *** similarities in this process across departments,many nuances influence the development of a specific new chair package,such as,department size;desires,perspectives and talents of the incoming chair,the department faculty,the medical school and dean;prevailing agendas and mission imperatives;and the overall priorities of the *** strategy and forethought,a new chair package can promote a successful chair tenure and departmental *** through the Association of Departments of Family Medicine with input from several dozen department chairs and senior leaders,this is intended to serve as a practical guide to new chair packages for chair candidates.

关键词： finance prevailing outside

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Anal plugs and retrograde colonic irrigation are helpful in fecal incontinence or constipation

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World Journal of Gastroenterology 2007年第22期13卷 3101-3105页

作者： Marcel Cazemier richelle JF Felt-Bersma Chris JJ Mulder Department of Gastroenterology and Hepatology VU University Medical Center Postbus 7057 1007 MB Amsterdam The Netherlands

AIM： To evaluate the feasibility, clinical effect and predicting factors for favorable outcome of treatment with anal plugs in fecal incontinence and retrograde colonic irrigation （RCI） in patients with fecal incontinence or constipation.METHODS： Patients who received treatment with an anal plug or RCI between 1980 and 2005 were investigated with a questionnaire.RESULTS： Of the 201 patients （93 adults, 108 children）, 101 （50%） responded. Adults： anal plugs （8）, five stopped immediately, one stopped after 20 mo and two used it for 12-15 too. RCl （40, 28 fecal incontinence, 12 constipation）, 63% are still using it （mean 8.5 years）, 88% was satisfied. Younger adults （〈 40 years） were more satisfied with RCI （94 % vs 65%, P = 0.05）. Children： anal plugs （7）, 5 used it on demand for an average of 2.5 years with satisfactory results, one stopped immediately and one after 5 years. RCI （26 fecal incontinence, 22 constipation）, 90% are still using it （mean time 6.8 years） and felt satisfied. Children tend to be more satisfied （P = 0.001）. Besides age, no predictive factors for success were found. There was no difference in the outcome between patients with fecal incontinence or constipation.CONCLUSION： RCI is more often applied than anal plugs and is helpful in patients with fecal incontinence or constipation, especially for younger patients. Anal plugs can be used incidentally for fecal incontinence, especially in children.

关键词： Fecal incontinence Constipation Retrograde colonic irrigation Anal plug

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Temperature-controlled radiofrequency energy in patients with anal incontinence:an interim analysis of worldwide data

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Gastroenterology Report 2014年第2期2卷 121-125页

作者： richelle J.F.Felt-Bersma Department of Gastroenterology and Hepatology VU University Medical CentreAmsterdamNetherlands

Background:Controlled delivery of radiofrequency energy(SECCA procedure)as treatment for anal incontinence(AI)was introduced 15 years *** then,several clinical studies have *** article evaluates the clinical response and sustainability of SECCA for patients with ***:Only original clinical studies retrieved from PubMed and Medline were *** outcome measures,faecal incontinence scores,definition of response,clinical results and anorectal evaluation were ***:Ten studies were included,which involved 150 original *** studies reported a long-term *** one-year follow-up shows a moderate effect,which declines somewhat over *** minor temporary side-effects are reported and none of the patients declined ***:SECCA is a safe and well-tolerated procedure that is easy to perform without any serious short-or long-term complications,but with only a moderate clinical effect that declines over *** of randomized,sham-controlled controlled trials are awaited.

关键词： anal incontinence radiofrequency temperature control SECCA

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Referral for anorectal function evaluation is indicated in 65% and beneficial in 92% of patients

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World Journal of Gastroenterology 2008年第2期14卷 272-277页

作者： Maria M Szojda Erik Tanis Chris JJ Mulder richelle JF Felt-Bersma Department of Gastroenterology and Hepatology VU University Medical Centre PO Box 7057 1007 MB Amsterdam The Netherlands

AIM: To determine the indicated referrals to a tertiary centre for patients with anorectal symptoms, the effect of the advised treatment and the discomfort of the ***: In a retrospective study, patients referred for anorectal function evaluation (AFE) between May 2004 and October 2006 were sent a questionnaire, as were the doctors who referred them. AFE consisted of anal manometry, rectal compliance measurement and anal endosonography. An indicated referral was defined as needing AFE to establish a diagnosis with clinical consequence (fecal incontinence without diarrhea, 3rd degree anal sphincter rupture, congenital anorectal disorder, inflammatory bowel disease with anorectal complaints and preoperative in patients for re-anastomosis or enterostoma, anal fissure, fistula or constipation). Anal ultrasound is always indicated in patients with fistula, anal manometry and rectal compliance when impaired continence reserve is suspected. The therapeutic effect was noted as improvement, no improvement but reassurance, and ***: From the 216 patients referred, 167 (78%) returned the questionnaire. The referrals were indicated in 65%. Of these, 80% followed the proposed advice. Improvement was achieved in 35% and a reassurance in 57% of the patients, no difference existed between patient groups. On a VAS scale (1 to 10) symptoms improved from 4.0 to 7.2. Most patients reported no or little discomfort with AFE. CONCLUSION: Referral for AFE was indicated in 65%. Beneficial effect was seen in 92%: 35% improved and 57% was reassured. Advice was followed in 80%. Better instruction about indication for AFE referral is warranted.

关键词： Anorectal function evaluation Fecal incontinence Anal endosonography Anal manometry

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Neurological heterotopic ossification:novel mechanisms,prognostic biomarkers and prophylactic therapies

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Bone Research 2020年第4期8卷 379-392页

作者： Ker Rui Wong richelle Mychasiuk Terence J.O’Brien Sandy R.Shultz Stuart J.McDonald Rhys D.Brady Department of Neuroscience Central Clinical SchoolMonash UniversityMelbourneVICAustralia Department of Medicine Royal Melbourne HospitalThe University of MelbourneParkvilleVICAustralia Department of Physiology Anatomy and MicrobiologySchool of Life SciencesLa Trobe UniversityBundooraVICAustralia

Neurological heterotopic ossification(NHO)is a debilitating condition where bone forms in soft tissue,such as muscle surrounding the hip and knee,following an injury to the brain or spinal *** abnormal formation of bone can result in nerve impingement,pain,contractures and impaired *** are often diagnosed with NHO after the bone tissue has completely mineralised,leaving invasive surgical resection the only remaining treatment *** resection of NHO creates potential for added complications,particularly in patients with concomitant injury to the central nervous system(CNS).Although recent work has begun to shed light on the physiological mechanisms involved in NHO,there remains a significant knowledge gap related to the prognostic biomarkers and prophylactic treatments which are necessary to prevent NHO and optimise patient *** article reviews the current understanding pertaining to NHO epidemiology,pathobiology,biomarkers and treatment *** particular,we focus on how concomitant CNS injury may drive ectopic bone formation and discuss considerations for treating polytrauma patients with *** conclude that understanding of the pathogenesis of NHO is rapidly advancing,and as such,there is the strong potential for future research to unearth methods capable of identifying patients likely to develop NHO,and targeted treatments to prevent its manifestation.

关键词： such has likely

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Innovative Benthic Lander for Macroalgae Monitoring in Shallow-Water Environments

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Journal of Marine Science and Application 2020年第1期19卷 133-147页

作者： João Pedro Santana Nuno Mathias richelle Hoveling Hugo Alves Tiago Morais INEGI-Institute of Science and Innovation in Mechanical and Industrial Engineering Rua Dr.Roberto Frias 400 Campus FEUP4200-465 PortoPortugal Quest Innovations BV Industrieweg 411775 PW MiddenmeerThe Netherlands

The colonization of underwater environments by exotic seaweeds is causing major ecological problems around the *** project,referred to AMALIA,aims to transform this current ocean threat into an opportunity by adding value to the macroalgae present off the northwest of the Iberian *** do so and to observe the presence of seaweeds in situ,an ocean modular submersible platform was *** platform was designed to be capable of detecting and surveying surges of invasive seaweeds while withstanding sea *** designs followed by a screening process were performed,taking into consideration criteria such as operational range and *** open-frame lander was considered and further developed using buckling *** parallel,a state-of-the-art monitoring system was created using spectral imaging,allowing for the future creation of a macroalgae identification *** addition,sensorial systems for characterizing growth conditions were *** trials were executed to assess the capability of the system,and sea trials are currently being *** simulations and laboratory trials indicate that the structure is fully capable of being deployed for shallow-water environments with a state-of-the-art invasive seaweed monitoring system while maintaining a high degree of modularity.

关键词： Benthic landers Ocean surveillance Environmental protection Ocean technology Marine instrumentation

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