Country Of Training Research Articles

Predictors of failure to attend scheduled mammography appointments at a Public Teaching Hospital

To identify patient, institutional, and physician characteristics that predict failure to attend scheduled mammography appointments. Retrospective chart review. Medicine clinic at an urban public teaching hospital. All 907 women aged 40 years and more scheduled for mammography from March 1990 to June 1991. The main outcome measure was whether a woman kept her scheduled mammography appointment. Potential predictor variables included patient age, race, marital status, and insurance status; waiting interval to obtain a mammography appointment; and physician gender, level of training, country of training, and native language. The rate of failed mammography appointments was 23%. Univariate analysis showed that appointment failure was associated with age (p = 0.03), with the lowest failure rates (19%) among women aged 60 years and more. Appointment keeping varied significantly by race (p = 0.01), largely because of the higher failure rate among Native American women (36%). Insured women had a failure rate of 22% vs 33% for uninsured women (p = 0.01). The rate of failed appointments varied significantly by waiting interval (p = 0.05), with a peak failure rate of 27% for appointments scheduled 14-27 days in advance. None of the physician variables was associated with appointment failure. Multivariate analysis confirmed these results. Interventions to improve completion of breast cancer screening should include additional efforts targeted at groups with high rates of appointment failure, such as women under the age of 60, the uninsured, and Native Americans. Long waiting intervals to obtain mammography appointments may decrease compliance.

The early development of neuroscience in Canada.

A review of some of my personal recollections and research into the early development of neuroscience in Canada seems particularly appropriate at this time since we have just celebrated the 50th anniversary of the founding of the Montreal Neurological Institute which not only played a leading role in the early development of neuroscience in Canada, but also had considerable impact upon the development of both clinical and basic neuroscience throughout the world. The concept of the fusion of all the varied disciplines concerned with studies of the nervous system into one integrated “neuroscience” as we know it today in the Society for Neuroscience was not known when Dr. Penfield established the Montreal Neurological Institute with this in mind. He recruited colleagues in neurochemistry, neurophysiology, neuroanatomy, pathology, and neuropsychology to work in close association with clinical neurologists and neurosurgeons. Fellows were attracted from many countries for training in all of these disciplines and shared his dream of an integrated neuroscience aimed at a better understanding of the function of the nervous system underlying behaviour and mental function and more rational treatment of neurological diseases.The inspiration, enthusiasm, and tireless determination of Dr. Penfield during the difficult times for the initial few years and during the most productive years of rapid growth following World War II, helped develop the Institute into a leading centre for research and training of neuroscientists in Canada, and also served as a catalyst for the rapid development of neuroscience in other centres throughout Canada and the United States. As one of my French colleagues has expressed it, the Institute was the “mother house” of neuroscience in Canada. It soon became a truly international institute of worldwide reknown.

The International Center of the Academies of Sciences of the Socialist Countries for training in heat and mass transfer

The International Center of the Academies of Sciences of the Socialist Countries for training in heat and mass transfer

Electric voting in the wisconsin legislature

AbstractMr. Rodriguez is one of four graduates of the University of the Philippines who recently were sent to this country for training in legislative and municipal reference library work.