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A comprehensive analysis of forensic science training in forensic pathology fellowship programs.

The purpose of this study is to assess the current nature and extent of forensic science training in the nation's 43 Accreditation Council for Graduate Medical Education (ACGME)-accredited forensic pathology fellowship programs. This manuscript describes the results of a survey of training program directors performed as a project for the College of American Pathologists (CAP) Forensic Identity Committee. The results show a considerable diversity in the forensic sciences training in forensic pathology programs, ranging from one to ten weeks, with an average of 4.1 weeks. However, almost one half of programs provide no training in at least one of the surveyed disciplines. Only 58.1% of responding programs meet the ACGME requirements for forensic science training, and a similar percentage (56.0%) currently provides the duration of forensic science training recommended by the National Association of Medical Examiners (NAME). The deficit in the NAME training recommendations, surprisingly, was strictly in the field of toxicology.

Accreditation↗

Current issues in the design of academic health sciences libraries: findings from three recent facility projects.

Planning a new health sciences library at the beginning of the twenty-first century is a tremendous challenge. Technology has radically changed the way libraries function in an academic environment and the services they provide. Some individuals question whether the library as place will continue to exist as information becomes increasingly available electronically. To understand how libraries resolve programming and building design issues, visits were made to three academic health sciences libraries that have had significant renovation or completed new construction. The information gathered will be valuable for planning a new library for the University of Colorado Health Sciences Center and may assist other health sciences librarians as they plan future library buildings.

Colorado↗

[Scientific publications of Costa Rica in Science Citation Index bibliometric analysis of the period 1999-2001].

This study analyzed the publications of authors from Costa Rican institutions that were included in the Science Citation Index (SCI) during 1999-2001. Out of the 722 references detected, distributed in 328 journals, 90.7% corresponded to original research articles. The total productivity figures showed a moderately increasing trend, both in absolute and population-adjusted terms, in concordance with previous data recorded for the period 1980-1998. The contribution of Revista de Biología Tropical to these figures corresponded to 10.0%, 8.9%, and 19.1%, for the years 1999, 2000, and 2001, respectively. The subject distribution of articles followed a similar pattern to that described for 1980-1998, with a predominance of biomedical (33.3%) and biological (27.5%) sciences, followed by agronomical (15.5%) sciences, chemistry (13.6%), physics (5.0%), geological sciences (3.6%), and mathematics (1.5%). Citation analyses for individual publications (up to July 15, 2002) revealed that only 45.2% of the articles had been cited at least once. The ten most cited references were analyzed, varying from 26 to 114 citations. The average citation per article was 2.60, and the average number of authors per article was 2.92. In agreement with data from 1980-1998, the University of Costa Rica appeared as the institution with highest productivity of SCI publications during 1999-2001, with a contribution of 50.0%. The percentage of publications performed without the participation of foreign co-authors showed a change in its decreasing trend of 1980-1998, stabilizing near the range of 25-30% during the period 1999-2001.

Authorship↗

The ethics and science of medicating children.

Prescriptions for psychiatric drugs to children and adolescents have skyrocketed in the past 10 years. This article presents evidence that the superior effectiveness of stimulants and antidepressants is largely a presumption based on an empirical house of cards, driven by an industry that has no conscience about the implications of its ever growing, and disturbingly younger, list of consumers. Recognizing that most mental health professionals do not have the time, and sometimes feel ill-equipped to explore the controversy regarding pharmacological treatment of children, this article discusses the four fatal flaws of drug studies to enable critical examination of research addressing the drugging of children. The four flaws are illustrated by the Emslie studies of Prozac and children, which offer not only a strident example of marketing masquerading as science, but also, given the recent FDA approval of Prozac for children, a brutal reminder of the danger inherent in not knowing how to distinguish science from science fiction. The authors argue that an ethical path requires the challenge of the automatic medical response to medicate children, with an accompanying demand for untainted science and balanced information to inform critical decisions by child caretakers.

Adolescent↗

[What is the subject of science "bioinformatics"?].

The paper is concerned with some problems of terminology, in particular the term "bioinformatics". In the last few years, the term "bioinformatics" has been intensively used among molecular biologists to indicate a subject that is only a constituent of genomics and is considered to involve a computer-assisted analysis of all data on nucleotide sequences of DNA. However, a wide circle of scientists, including biologists, physicists, mathematicians, and specialists in the field of cybernetics, informatics, and other disciplines have accepted and accept, as a rule, the "bioinformatics" as a synonym of science cybernetics and as a successor of this science. In this case, the subject of science "bioinformatics" should embrace not only genomics but practically all sections of the biological science. It should involve a study of information processes (storage, transfer, and processing of information, etc.) participating in the regulation and control at all levels of living systems, from macromolecules to the brain of higher animals and human.

Computational Biology↗

Executive management studies: the application of real-time science in health administration education.

While sound scientific research, such as randomized controlled trials (RCTs), has produced findings leading to significant gains in healthcare, real-time science learning gives administrators and providers a way of responding to immediate need and rapid change while improving performance and the quality of care delivered. Real-time science learning is a cycle of team reflection on and exchange of theory and practical knowledge that produces many benefits for the individual, the organization, and the healthcare field. By questioning principles and analyzing information, teams generate recommendations for organizational improvement as well as develop their individual abilities to address other unforeseen demands in differentcontexts. All of this serves as a foundation for more rigorous scientific research that leads to the advancement of the healthcare field. This article shows how the Department of Health Management and Informatics at the University of Missouri-Columbia adapted real-time science into the Executive Management Study (EMS) requirement of the Master of Health Administration (M.H.A.) and the Master of Science in Health Informatics (M.S.) curriculums. The process is represented by a cycle of Health Administration Education, experienced through a Practical Application, which leads to the creation and dissemination of information and Research Advancing the Field.

Curriculum↗

Infection transmission science and models.

Infection transmission systems circulate infection through complex contact patterns related to both contact patterns and patterns of factors that affect the risk of transmission given contact. The nonlinear dynamics of infection transmission cause these patterns to make big differences in population infection levels. A science of infection transmission system analysis is needed to focus on those details that affect the control of infection transmission. This science must have a strong theoretical base because there is little chance that a dominantly data based approach not using mechanistic models of transmission will have any predictive value. The theoretical base should be built on linked transmission system models that are focused on making needed inferences for both building the theoretical base and making infection control decisions. The linking of different models is needed for a strategy of inference robustness assessment that is designed to find the model that is simple enough to effectively analyze the transmission system but not so simple that realistic violation of simplifying assumptions will change an inference. Types of models that should be used in such linked analyses include deterministic and stochastic compartmental models, discrete individual models with individual event histories but structured mass action mixing, network models that provide more detail as to who has contact with whom, and intermediate model forms such as correlation models that address some aspects of contact details while preserving the flexibility of deterministic compartmental models to structure mixing and analyze the system. While transmission system science is currently weak in regards both to its data base and its theory base, many things are now coming together that could make this science flourish. On the data side these include greater ability to detect infectious agent sequences in the environment and greater ability to sequence and genetically relate agents identified at different sites in the transmission system. On the theory sides, new model construction and model analysis methods are providing new potential to use the new sources of data. Also new parameter estimation methods provide new potential to combine models and data in effective analytic strategies.

Communicable Diseases↗

Developing a virtual community for health sciences library book selection: Doody's Core Titles.

PURPOSE: The purpose of this article is to describe Doody's Core Titles in the Health Sciences as a new selection guide and a virtual community based on an effective use of online systems and to describe its potential impact on library collection development. SETTING/PARTICIPANTS/RESOURCES: The setting is the availability of health sciences selection guides. Participants include Doody Enterprise staff, Doody's Library Board of Advisors, content specialists, and library selectors. Resources include the online system used to create Doody's Core Titles along with references to complementary databases. BRIEF DESCRIPTION: Doody's Core Titles is described and discussed in relation to the literature of selection guides, especially in comparison to the Brandon/Hill selected lists that were published from 1965 to 2003. Doody's Core Titles seeks to fill the vacuum created when the Brandon/Hill lists ceased publication. Doody's Core Titles is a unique selection guide based on its method of creating an online community of experts to identify and score a core list of titles in 119 health sciences specialties and disciplines. RESULTS/OUTCOME: The result is a new selection guide, now available annually, that will aid health sciences librarians in identifying core titles for local collections. EVALUATION METHOD: Doody's Core Titles organizes the evaluation of core titles that are identified and recommended by content specialists associated with Doody's Book Review Service and library selectors. A scoring mechanism is used to create the selection of core titles, similar to the star rating system employed in other Doody Enterprise products and services.

Book Selection↗

[The developmental status and prospect of the science of acupuncture and moxibustion abroad].

In recent years the science of acupuncture and moxibustion has been keeping on development all over the world. It is shown as the strengthening of legislation and management, the flourishing of education and training, the expanding of clinical indications and the increasing level of clinical research. The developmental trends of the science of acupuncture and moxibustion in the world include that it will be paid more attention to by the international mainstream medicine, the clinical research will still focus on the certifying therapeutic effectiveness, and that it will be able to do more attribution to the therapy of difficult and complicated cases. Understanding the developmental status and trend of the science of acupuncture and moxibustion abroad is important for promoting the domestic development and internationalization of the science of acupuncture and moxibustion.

Acupuncture↗

Can science be a business? Lessons from biotech.

In 1976, Genentech, the first biotechnology company, was founded by a young venture capitalist and a university professor to exploit recombinant DNA technology. Thirty years and more than 300 billion dollars in investments later, only a handful of biotech firms have matched Genentech's success or even shown a profit. No avalanche of new drugs has hit the market, and the long-awaited breakthrough in R&D productivity has yet to materialize. This disappointing performance raises a question: Can organizations motivated by the need to make profits and please shareholders successfully conduct basic scientific research as a core activity? The question has largely been ignored, despite intense debate over whether business's invasion of basic science-long the domain of universities and nonprofit research institutions- is limiting access to discoveries, thereby slowing advances in science. Biotech has not lived up to its promise, says the author, because its anatomy, which has worked well in other high-tech sectors, can't handle the fundamental challenges facing drug R&D: profound, persistent uncertainty and high risks rooted in the limited knowledge of human biology; the need for the diverse disciplines involved in drug discovery to work together in an integrated fashion; and barriers to learning, including tacit knowledge and murky intellectual property rights, which can slow the pace of scientific advance. A more suitable anatomy would include increased vertical integration; a smaller number of closer, longer collaborations; an emphasis by universities on sharing rather than patenting scientific discoveries; more cross-disciplinary academic research; and more federal and private funding for translational research, which bridges basic and applied science. With such modifications, science can be a business.

Biotechnology↗

The redesign of the Medical Informatics Master of Science course at the University of Amsterdam.

OBJECTIVES: To describe our new two years Master of Science (MSc) program starting in September 2006 at the University of Amsterdam- Academic Medical Center, The Netherlands. METHODS: We elaborate shortly on the mission, organizational structure and new contents of this new MSc course in medical informatics. RESULTS: Through the years, our medical informatics university program underwent some major revisions of which the transition from a four years course into a three years BSc program and a two years MSc program has been the most fundamental. The new MSc program is aimed at (international) baccalaureates in medical informatics, computer science, medicine, health sciences, and biology. Besides, health care professionals or professionals with a background in computer science may enter the program. The program length is two years, comprising four study semesters of 30 European Credits each (EC, 1 EC corresponding to 27 hours study load), equalizing 120 EC in total of which 48 EC are reserved for the master's thesis. CONCLUSIONS: With the new set up of the MSc program, that will be offered in English, we hope to both accommodate the learning needs of our own baccalaureates and to attract international baccalaureates and other professionals to this course. Our ultimate aim is to bring forth medical informatics specialists who are well equipped to make significant contributions to the field.

Curriculum↗

Herzl's Altneuland: Zionist utopia, medical science and public health.

In this article we explore how the vision uniting Zionism, science, medicine and public health is depicted in Herzl's novel Altneuland (Old-New Land). Altneuland, which belongs to the genre of fin-de-siècle utopian novels, presents a modernistic vision of progress, integrating science with a humanistic society of equals. The remedy for the "psychopathology of the Jew" was believed by many Zionists to be a return to Palestine, and the establishment there of a healthy national Jewish home. Yet, Herzl's utopia, as depicted in Altneuland, is homogeneous, not allowing for other voices to be expressed, such as those of women and Arabs. Moreover, the belief that science and technology could solve social problems did not take into account the tensions that they would create in the society and environment. This vision of science and society, with its inherent tensions, will continue to inform the Zionist discourse of our present day.

History, 19th Century↗

Health science information management. An approach to improving QA and clinical practice.

To help quality assurance (QA) professionals and clinical practitioners keep up with advances in health care knowledge and technology, we describe a prototype Health Science Information Management (HSIM) publication. We conceptualize HSIM to include: (a) identification of unique science information needs; (b) rapid retrieval of valid needed information; and (c) use the information to improve health care benefits. To more adequately accomplish these functions, we suggest that five specific categories of information will be essential: (1) reports of recent advances in Science Information Management methods; (2) original reports of Science Information Syntheses (SISs) providing information immediately applicable for QA; (3) previously published reports of "classic" SISs relevant to QA; (4) reviews of new technologies and products immediately applicable to quality management; (5) cumulative indexing of the above methods and products. Making the above information available to QA professionals might substantially improve the impact of quality management.

Abstracting and Indexing↗

[The relation of basic sciences and medicine: institutional, professional and pedagogic implications].

The author analyses the problems involved in the transfer of concepts and techniques from the basic sciences to the medical practice. The number of skills to be acquired in the course of medical training restricts the inclusion of the teaching in depth of basic sciences in the Curricula of medical schools. Post-graduate teaching cannot be used for that purpose unless it is geared to MD's fully dedicated to research. New discoveries in the basic sciences which may be relevant to medicine can only be made available to doctors through the development of basic research in medical institutions, playing the role of centers of excellence. Since basic research in the medical field is, by its nature, interdisciplinary, such policy entails the recruitment of scientists with non-medical background to whom career opportunities comparable to those of the doctors should be made available. In countries with small scientific communities the most important step in the stimulation of basic research is the identification of young talents and the support of existing productive groups. In the mid term, molecular biology, neurobiology and signal processing (specially image processing) seem to be promising areas from a medical point of view. Science should be considered a very important component of the cultural activity of a country.

Biology↗

[Analysis of doctoral theses in nursing science produced in Finland in the years 1982-1987].

Licentiate theses in nursing science produced in Finland in 1982-87 are analysed in terms of their frame of reference, methodology, data collection techniques and analytical methods. The data were gathered by means of a content analysis using a list of themes specially constructed for this purpose and classified qualitatively on the basis of statements appearing in the theses. The majority of the theses were of a descriptive nature, usually employing a survey method. The most common means of data collection was by questionnaire, typically combining a number of such methods within the same work. The material was largely analysed by quantitative methods, with a qualitative approach adopted in only two cases. The theoretical frame of reference consisted of the theories of nursing science and the behavioural sciences, but two theses were found which did not make use of information from nursing science at all in their frame of reference, and three which developed their own theoretical models.

Academic Dissertations as Topic↗

Some comments on teaching biostatistics in medical and health sciences.

The role of statistical methods is now well recognized in health sciences since these disciplines are concerned with the study of communities or populations where the principles of sampling and statistical inference are clearly applicable. However, many medical and health sciences teachers and students have been slower to perceive the need for knowledge of biostatistical methods, even though all aspects of medical diagnosis and prognosis are governed by the laws of probability. Some of them are still skeptical about the value and importance of biostatistical principles to their fields and raise questions about the meaning, content, and nature of biostatistics and relevance of its teaching to health sciences disciplines. The purpose of this essay is to address some of these issues with the hope to invoke comments and responses from other biostatistics instructors who have encountered similar predicaments in their teaching and consulting roles to health sciences students and professionals.

Biometry↗

On the character of hygienic science.

In its nature, ends and purposes, hygiene is a medical science. Consequently, it can be axiomatically accepted that the character of medicine is also the character of hygiene. Traditionally, medicine ranks among biological sciences. The author deliberates on the need to regard the current complex of medical sciences, hygiene included, as socio-biological sciences.

Humans↗

Determining the core competencies of the ideal health sciences communicator.

The Education Committee of HeSCA conducted a Delphi study to generate agreement among a panel of experts regarding the core competencies of an ideal health sciences communicator. Seventy-five present and future competencies were identified and classified in terms of relative importance. Competencies concerning general communications techniques were determined to be most important, followed by abilities specifically related to the health sciences communications field. Management competencies were third in order of importance, and competencies that dealt with having a knowledge of the health sciences ranked fourth. The information reported helps to describe the knowledge and skill basis of the profession, as perceived by leaders in the field. The results can serve as guidelines for planning continuing education programs and professional development activities for health sciences communicators.

Communication↗