The impact of capital requirements on U.K. bank behaviour

This paper was presented at the conference "Financial services at the crossroads: capital regulation in the twenty-first century" as part of session 1, "Impact of capital requirements on bank risk taking: empirical evidence." The conference, held at the Federal Reserve Bank of New York on February 26-27, 1998, was designed to encourage a consensus between the public and private sectors on an agenda for capital regulation in the new century.Bank capital ; Banks and banking - Great Britain ; Great Britain ; Bank investments

The Effect of Insulin Resistance and Obesity on Low−Density Lipoprotein Particle Size in Children

Objective: In adults, it was shown that obesity and insulin resistance affect low−density lipoprotein (LDL) particle size and small dense (sd) LDL is associated with cardiovascular diseases. In this study, we investigated the effect of obesity and insulin resistance on LDL particle size

Is the use of videotape recording superior to verbal feedback alone in the teaching of clinical skills?

<p>Abstract</p> <p>Background</p> <p>In recent times, medical schools have committed to developing good communication and history taking skills in students. However, there remains an unresolved question as to which constitutes the best educational method. Our study aims to investigate whether the use of videotape recording is superior to verbal feedback alone in the teaching of clinical skills and the role of student self-assessment on history taking and communication skills.</p> <p>Methods</p> <p>A randomized controlled trial was designed. The study was conducted with 52 of the Dokuz Eylul University Faculty of Medicine second year students. All students' performances of communication and history taking skills were assessed twice. Between these assessments, the study group had received both verbal and visual feedback by watching their video recordings on patient interview; the control group received only verbal feedback from the teacher.</p> <p>Results</p> <p>Although the self-assessment of the students did not change significantly, assessors' ratings increased significantly for videotaped interviews at the second time.</p> <p>Conclusions</p> <p>Feedback based on videotaped interviews is superior to the feedback given solely based on the observation of assessors.</p

Volume CXIV, Number 4, November 7, 1996

Objective: Turner syndrome (TS) is a chromosomal disorder caused by complete or partial X chromosome monosomy that manifests various clinical features depending on the karyotype and on the genetic background of affected girls. This study aimed to systematically investigate the key clinical features of TS in relationship to karyotype in a large pediatric Turkish patient population.Methods: Our retrospective study included 842 karyotype-proven TS patients aged 0-18 years who were evaluated in 35 different centers in Turkey in the years 2013-2014.Results: The most common karyotype was 45,X (50.7%), followed by 45,X/46,XX (10.8%), 46,X,i(Xq) (10.1%) and 45,X/46,X,i(Xq) (9.5%). Mean age at diagnosis was 10.2±4.4 years. The most common presenting complaints were short stature and delayed puberty. Among patients diagnosed before age one year, the ratio of karyotype 45,X was significantly higher than that of other karyotype groups. Cardiac defects (bicuspid aortic valve, coarctation of the aorta and aortic stenosis) were the most common congenital anomalies, occurring in 25% of the TS cases. This was followed by urinary system anomalies (horseshoe kidney, double collector duct system and renal rotation) detected in 16.3%. Hashimoto's thyroiditis was found in 11.1% of patients, gastrointestinal abnormalities in 8.9%, ear nose and throat problems in 22.6%, dermatologic problems in 21.8% and osteoporosis in 15.3%. Learning difficulties and/or psychosocial problems were encountered in 39.1%. Insulin resistance and impaired fasting glucose were detected in 3.4% and 2.2%, respectively. Dyslipidemia prevalence was 11.4%.Conclusion: This comprehensive study systematically evaluated the largest group of karyotype-proven TS girls to date. The karyotype distribution, congenital anomaly and comorbidity profile closely parallel that from other countries and support the need for close medical surveillance of these complex patients throughout their lifespa

KANSER HASTALIĞININ BİREYİN BİRİNCİ BASAMAK SAĞLIK HİZMETLERİNİ KULLANMA DURUMU ÜZERİNE ETKİSİ

KANSER HASTALIĞININ BİREYİN BİRİNCİ BASAMAK SAĞLIK HİZMETLERİNİ KULLANMA DURUMU ÜZERİNE ETKİSİEdiz Yıldırım,&nbsp;Tolga GünvarDokuz Eylül Üniversitesi Tıp Fakültesi Aile Hekimliği Anabilim DalıGirişKanser varlığında önleyici muayenelerin önemi göz önüne alındığında, birinci basamak sağlık hizmeti, tarama programları ve önleme yoluyla sağlığı geliştirme alanına odaklanmıştır. Birinci basamak sağlık hizmeti birincil ve ikincil olarak kanserden korunmayı sağlamak üzere tasarlanmıştır. Birincil koruma yaşam biçimi değişiklikleri oluşturma yoluyla kanser oluşumunu önleme, ikincil koruma taramalar yardımıyla kansere erken evrede tanı koyma anlamını taşımaktadır.Çalışmamızın amacı kanser hastalarının birinci basamak sağlık hizmetlerini kullanma durumu ve bunu etkileyen faktörlerin araştırılmasıdır.YöntemAraştırma kesitsel analitik desende planlandı. Dokuz Eylül Üniversitesi Tıp Fakültesi Aile Hekimliği Anabilim Dalına bağlı Eğitim Aile Sağlığı Merkezlerine kayıtlı hastalar arasından basit rastgele örnekleme yöntemi ile belirlenecek 18 yaş üzeri 450 bireyden oluşan bir örneklem üzerinde çalışma yapılacaktır.&nbsp; Bağımsız değişkenleri içeren bir anket ve işlevselliği ölçen ölçekler veri toplama aracı olarak kullanılacaktır. Katılımcılar telefon ile çalışmaya davet edilecekler ve telefon veya yüz yüze olarak veriler toplanacaktır. Tanımlayıcı istatistikler ve karşılaştırmalı analizler yapılacaktır.BulgularBağımlı değişken tanı, tedavi ve koruyucu sağlık hizmetleri açısından birinci basamak sağlık hizmetini kullanma durumu; bağımsız değişkenler ise kanser tanısı, sosyo-demografik değişkenler (yaş, cinsiyet, eğitim, sosyoekonomik durum vb.), kronik hastalık varlığı, işlevsellik durumu olacaktır.SonuçBirinci basamak sağlık hizmeti kanser oluşumunu azaltmada çok yönlü role sahiptir. Sağlık hizmeti sunucuları kanserin önlenmesi yoluyla halk sağlığının geliştirilmesi hakkında daha fazla bilgi sahibi olmalı ve yetenek kazanmalıdır.Tartışma SorularıÖrneklem seçimi uygun mudur?İşlevsellik ve bağımsız değişkenler için uygun ölçekler önerir misiniz?Yöntem ile ilgili önerileriniz nedir?Anahtar Kelimeler:kanser erken tespiti,&nbsp;doktorlar birinci basamak,&nbsp;temel sağlık hizmeti</div