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A novel approach is presented that allows high-quality, 3D patterned bionanocomposite layered films to be constructed on substrates whose surface properties are incompatible with existing self-assembly methods.
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Eight aphasic and eight brain-damaged nonaphasic patients silently "read" a short passage while performing an internal search for specified consonant letters of varying phonological and syntactic salience. The nonaphasic patients showed the phonological and syntactic effects customarily achieved by normal readers. For example, they were more likely to find a letter if it were pronounced than if it were silent, and they were more likely to find a letter if it were in a content word than in a function word. The aphasics had reliable phonological effects but no observable syntactic effects. Those aphasics with relatively large phonological effects performed better on a separate task requiring the oral reading of isolated words. For reading theory, the primary message from this study is that phonological recoding may occur between word recognition and the completion of semantic analysis, and that recoding may not by itself be sufficient to reading for meaning. For aphasia theory, the main implication of this study is that aphasics read by applying the appropriate phonological strategies, but that such strategies are limited in the face of ineffective syntactic and semantic processing, as occurs in aphasia.
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BACKGROUND: Whilst most patients are happy to participate in medical examinations, previous studies have shown that some are dissatisfied with the information that they receive beforehand. OBJECTIVES: To demonstrate that patient satisfaction can be improved by the provision of written information. METHODS: Thirty-seven patients attending the final MBBS examination were sent written information about what to expect. The patients' experiences were assessed by means of an anonymous postal questionnaire 1 week after the examination. Their satisfaction with the level of information received beforehand was compared with that of an historical cohort who had received no written information. RESULTS: The patients had few complaints about their experience of participating in examinations and many enjoyed it. Only 5% of patients registered dissatisfaction with the level of information that was provided, compared with 18% in the previous study (P = 0.077). CONCLUSIONS: Written information led to a (near significant) improvement in patients satisfaction when compared to a previous cohort. We recommend that all patients attending for medical examinations should be provided with written information.
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BACKGROUND AND OBJECTIVE: In order to achieve points for the CME certificate of the German Medical Council ("Arztekammer") the reader of a CME article in a medical journal has to fill in an evaluation form that includes knowledge assessment. This article summarizes the data of the first ten CME presentations in the "Deutsche Medizinische Wochenschrift". METHODS: 4481 completed data sets were evaluated by chi-square and binomial tests using SPSS version 10.0. RESULTS: 85% of the participants were specialists, mainly in internal medicine or surgery: those working in private practice or a hospital took part. The great majority had received their licence one to 30 years ago. The topics dealt with diseases which were not uniformly often seen in clinical practice. The individually perceived changes in the strategy of diagnosis and therapy, induced by the CME article, was mainly dependent on qualification and specialization of the reader as well as on the frequency, with which the reader had been treating the respective disorder. The articles were appreciated by specialists as well as by non-specialists. Knowledge assessment was largely made on the basis of the article alone and was successfully passed by nearly 90% of the participants. CONCLUSION: For the first time this article provides detailed data on CME activities in a nation-wide available German medical journal and thus forms the basis for discussing further the definition of quality criteria for CME articles in medical journals.
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