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Vuckovic-Dekic L.,Academy of Medical science
Srpski Arhiv za Celokupno Lekarstvo | Year: 2014

Authorship and authorship abuse are in the focus of interest of all main actors in the publication game – authors, reviewers and editors of scientific journals. Along with the steady rise of the number of publications, the number of coauthors in multiauthored papers raises even more, some of them being undeserved authors. Because publication is the main way for evaluating scientists, authorship is prone to abuse, and thus the false/undeserved/gift authorship emerges. This dilutes the responsibility and damages the publication enterprise, thus initiating a constant struggle of scientific community against this type of scientific dishonesty. In this paper, several prevention and corrective measures with the aim to diminish such a dishonest behavior of authors are described. © 2014, Serbia Medical Society. All rights reserved. Source

Bahadori M.,Tehran University of Medical Sciences | Azizi M.H.,Academy of Medical science
Iranian Red Crescent Medical Journal | Year: 2012

The history of tuberculosis (TB) traces back to antiquity. Despite significant progress of various diagnostic methods and introduction of anti-tuberculosis drugs in past decades, TB is still a major worldwide health concern which leads annually to two million deaths, especially after the emergence of multidrug-resistant Mycobacterium TB and HIV co-infection. Presented here is a brief review of conventional and new TB diagnostic laboratory methods including their advantages and disadvantages as well as common challenges in diagnosis and management of TB. © Iranian Red Crescent Medical Journal. Source

Prabhakaran A.,Academy of Medical science
Indian journal of public health | Year: 2014

The feasibility of using mobile health clinics (MHCs) to deliver health services in urban poor areas has to be explored as the health needs of the residents are not sufficiently addressed by the existing primary health care delivery system in India. To estimate the cost of providing primary health care services and the out of pocket expenditure (OOPE) incurred, while utilizing these services provided through the MHC based Urban Health Program of a Medical College in North India for the year 2008-2009. A cross-sectional study to estimate OOPE was conducted among 330 subjects selected from patients attending the mobile health care facility. For estimation of provider cost, 5 steps process involving identification of cost centres, measurement of inputs, valuing of inputs, assigning of inputs to cost centers, and estimation of unit cost were carried out. Total annual cost of providing services under Urban Health Program in the year 2008-2009 was Rs. 7,691,943 Unit cost of providing outpatient curative care, antenatal care, and immunization were Rs. 107.74/visit, Rs. 388/visit and Rs. 66.14 per immunization, respectively. The mean OOPE incurred was Rs. 29.50/visit, while utilizing outpatient curative services and Rs. 88.70/visit for antenatal services. The MHC can be considered as a viable option to provide services to urban poor. Source

Iversen A.C.,Kings College London | Eady N.A.,Academy of Medical science | Wessely S.C.,Kings College London
Journal of the Royal Society of Medicine | Year: 2014

Objectives: To describe a successful mentoring schemedesigned for mid-career clinician scientists and to examinefactors associated with mentee report of positive careerimpact.Design: Mixed methods study including in-depth interviewsand cross-sectional data collection via an online survey.Setting: Academy of Medical Sciences mentoring schemeset up in 2002 and evaluated in 2010. Participants: One hundred and forty-seven of 227 menteestook part in the study (response rate of 65%). Ten mentees,three mentors and eight stakeholders/scheme staff wereselected to participate in in-depth interviews.Main outcome measures: Qualitative data: Interviewswere transcribed, and free text was analysed to identifythemes and subthemes in the narrative. Quantitative data:We examined the associations of reported positive careerimpact of mentoring by performing simple and multiplelogistic regression analysis.Results: Mentoring success was determined by a variety offactors including reasons for selection (e.g. presence of apersonal recommendation), mentee characteristics (e.g.younger age), experience and skills of the mentor (e.g.'mentor helped me to find my own solutions') and thequality of the relationship (e.g. 'my mentor and I set outclear expectations early on'). Conclusions: Our evaluation demonstrates that bothmentor and mentee value mentoring and that careful planningof a scheme including preparation, training andongoing support of both mentor and mentee addressingexpectations, building rapport and logistics are likely tobe helpful in ensuring success and benefit from theintervention. © The Royal Society of Medicine. Source

Wan Y.-D.,Zhengzhou University | Sun T.-W.,Zhengzhou University | Kan Q.-C.,Zhengzhou University | Guan F.-X.,Academy of Medical science | Zhang S.-G.,Zhengzhou University
Critical Care | Year: 2014

Introduction: Observational data have suggested that statin therapy may reduce mortality in patients with infection and sepsis; however, results from randomized studies are contradictory and do not support the use of statins in this context. Here, we performed a meta-analysis to investigate the effects of statin therapy on mortality from infection and sepsis.Methods: We searched electronic databases (PubMed and Embase) for articles published before November 2013. Randomized or observational studies reporting the effects of statin therapy on mortality in patients with infection or sepsis were eligible. Randomized and observational studies were separately pooled with relative risks (RRs) and random-effects models.Results: We examined 5 randomized controlled trials with 867 patients and 27 observational studies with 337,648 patients. Among the randomized controlled trials, statins did not significantly decrease in-hospital mortality (RR, 0.98; 95% confidence interval (CI), 0.73 to 1.33) or 28-day mortality (RR, 0.93; 95% CI, 0.46 to 1.89). However, observational studies indicated that statins were associated with a significant decrease in mortality with adjusted data (RR, 0.65; 95% CI, 0.57 to 0.75) or unadjusted data (RR, 0.74; 95% CI, 0.59 to 0.94).Conclusions: Limited evidence suggests that statins may not be associated with a significant reduction in mortality from infection and sepsis. Although meta-analysis from observational studies showed that the use of statins was associated with a survival advantage, these outcomes were limited by high heterogeneity and possible bias in the data. Therefore, we should be cautious about the use of statins in infection and sepsis. © 2014 Wan et al.; licensee BioMed Central Ltd. Source

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