Education research: a case-based bioethics curriculum for neurology residents.

Education research: a case-based bioethics curriculum for neurology residents.

BACKGROUND
In 2012, the American Academy of Neurology (AAN) up to date and expanded its ethics curriculum into Practical Ethics in Clinical Neurology, a case-based ethics curriculum for neurologists.
METHODS
We piloted a case-based bioethics curriculum for neurology residents utilizing the framework and matters really useful by the AAN, matched to medical instances drawn from Columbia’s neurologic providers. Our main end result was residents’ capability to investigate and handle ethically complicated instances as measured on precurriculum and postcurriculum multiple-choice quizzes. Secondary outcomes included precurriculum and postcurriculum self-assessed consolation in discussing and managing ethically complicated instances, in addition to attendance at ethics dialogue classes as in comparison with attendance at different didactic classes.
RESULTS
Resident efficiency on quizzes improved from 75.8% to 86.7% (p = 0.02). Comfort in discussing ethically complicated instances improved from 6.four to 7. four on a 10-point scale (p = 0.03). Comfort in managing such instances trended towards enchancment however didn’t attain statistical significance. Attendance was considerably higher at ethics discussions (73.5%) than at different didactic classes (61.7%, p = 0.04).
CONCLUSIONS
Our formal case-based ethics curriculum for neurology residents, based mostly on core matters drawn from the AAN’s printed curricula, was efficiently piloted. Our examine confirmed a statistically important enchancment in residents’ capability to investigate and handle ethically complicated instances as measured by multiple-choice assessments and self-assessments.
Education research: a case-based bioethics curriculum for neurology residents.
Education research: a case-based bioethics curriculum for neurology residents.

“HTLV-I Infection” Twenty-Year Research in Neurology Department of Mashhad University of Medical Sciences.

Human T-cell lymphotropic virus (HTLV) sorts 1 and a couple of belong to the Oncorna group of retroviridae, a massive household of viruses, grouped initially by pathogenic options, however later revised on the premise of genome construction and nucleotide sequence. HTLV-I used to be the primary found human retrovirus to be related to a malignancy in 1980.

The malignancy, first described by Uchiyama and colleagues in southwestern Japan, was named Adult T-cell Leukemia/Lymphoma (ATL) and characterised with cutaneous and respiratory involvement, hepatosplenomegaly, lymphadenopathy and varied metabolic abnormalities corresponding to hypercalcemia. The HTLV-I has been recognized to be endemic to sure elements of Iran just like the province of Khorasan within the northeast since 1990, with a 2.3% prevalence price of an infection.

The foremost manifestations of HTLV-I an infection are neurologic and hematologic (corresponding to ATL) problems, however it has additionally different manifestations corresponding to uveitis, arthritis, dermatitis, vitiligo and lymphocytic alveolitis. Its foremost neurologic manifestation is a power progressive myelopathy that’s referred to HTLV-I Associated Myelopathy (HAM) in Japan and Tropical Spastic Paraparesis (TSP) in Caribbean.

But different problems corresponding to peripheral neuropathy, polyradiculoneuropathy, myopathy, peripheral facial paresis, and so forth have been reported too. In this evaluation we want to give some transient data on the completely different facets (together with epidemiology, pathogenesis and pathology, medical findings, and remedy) of HTLV-I an infection in keeping with our twenty-year researches. The division of neurology of Mashhad University of Medical Sciences has been a pioneer in researches on HTLV-I within the final twenty years.