Teaching cross-sectional anatomy in parallel with gross anatomy through a curriculum incorporating CT scanning of cadavers

Navigating and interpreting cross-sectional medical image sets are important skills used by most physicians to apply anatomical knowledge to patient care. However, few medical schools provide formal instruction in understanding cross-sectional anatomy. For these reasons, a curriculum was developed in which the medical school gross anatomy cadavers were CT scanned prior to dissection, and CT images of specific cadavers were correlated both to labelled atlas images and to direct structural observations of those same cadavers during dissection. The students were taught to navigate CT data sets in axial, coronal, and sagittal planes, to mentally synthesize three-dimensional understandings of individual cadaveric structures, and to correlate these understandings to the same structures observed directly during dissection. On average, the students reported a significantly higher interest in interpreting radiologic images and comfort level interacting with CT images after the course. Additionally, several opportunities to improve the educational initiative were discovered

Civil liability of credit rating agencies - regulatory all-or-nothing approaches between immunity and over-deterrence

The European Commission recently put forward a proposal for a regulation to amend and strengthen the 2009 version of the EU's rules on the regulation of credit rating agencies ("CRA3"). Among other things, Art. 35a of the draft proposal introduces strict liability for rating agencies. This liability proposal is at odds with the aim to strengthen competition in the rating sector and could have a chilling effect on capital markets. The paper analyses existing rules on civil liability of rating agencies under different legal systems. Subsequently, the provision under Art. 35a of the Draft Proposal is examinded more closely. Suggestions on possible improvemts of the proposal are made

Towards a comprehensive model of managers wellbeing: The role of self-determination theory

The present study extends the testing of dimensions from self determination theory (SDT) to include the three facilitators (global aspirations, mindfulness and global motivation), the three needs satisfaction (autonomy, competence and relatedness), and perceived autonomous support (PAS) towards the wellbeing of 386 New Zealand managers. The theory suggests that individuals with higher SDT dimensions will achieve greater motivation and wellbeing, although few studies test more than one dimension. Findings showed that global aspirations reduced negative affect, while mindfulness, global motivations and PAS increased life satisfaction, positive affect, and subjective wellbeing, and reduced negative effect. Of the three needs satisfaction, autonomy increased life satisfaction and subjective wellbeing, while competence increased positive affect and subjective wellbeing, and reduced negative effect. In addition, PAS was tested as a moderator of facilitators and needs satisfaction and a number of significant interactions were found, generally providing support for PAS enhancing the beneficial nature of the SDT dimensions. Overall, the study provides evidence of superior wellbeing outcomes for organizations and employees encompassing SDT dimensions, including the interaction effects of PAS

Who goes to a sexual health clinic? Gender differences in service utilisation.

Aim: Our aim was to review utilisation of the Hamilton Sexual Health Clinic (Hamilton, Waikato, New Zealand) with regard to gender differences. Methods: Notes of those attending during 9 months (1 February 2008–31 October 2008) were reviewed—and their demographic details, source of referral, reasons for attending, and diagnostic coding data were compared. In addition, Waikato Hospital laboratory provided Chlamydia trachomatis test results for the study period. Data was analysed for gender differences. Results: Overall, more women attended than men. By age bands, more 15–19 year old women than men attended (23.3% vs 12.5%, p<0.001) but, for all age-bands 20 years and older, men were at least as likely to attend as women. Further, for those aged 25– 29 years (20.3% vs 17%, p<0.5) and 45 years and older (11.9% vs 7.4%, p<0.001), more men than women of the same-age band were seen. Men who attended were more likely to self-refer (58.5% vs 43%, p<0.001) and less likely to be asymptomatic (30.3% vs 38.4%, p<0.001). Conclusions: Our data suggest men aged 20 years and older are at least, if not more, likely than women to attend a sexual health clinic for sexual health concerns. However, there appears to be under-utilisation by younger men. To improve sexual health for men and women, help-seeking must be timely and effective. We need to better understand and address sexual healthcare barriers for young men

Getting the Right Mix: Developing a primary - secondary health provider IT interface in the Waikato District Health Board

The article presents a study on the electronic health record systems (EHR) developed by Waikato District Health Board (DHB) in New Zealand. The DHB develop EHR with the intention of integrating primary, secondary and tertiary provider information. The findings shows key issues like stability of a sound secondary health provider information technology (IT) infrastructure and basis of patient data on health industry standards

Generating value: real optionality in the EdF take-over of British Energy

Earlier this year, EDF’s long-awaited acquisition of the British Energy was completed. But what was the company’s rationale behind the £12.5 billion takeover of the UK nuclear generator

Radiation measurements from polar and geosynchronous satellites Semiannual report, 1 Oct. 1970 - 31 Mar. 1971

Radiation measurements from polar and synchronous satellites applied to problems of atmospheric circulation and energetic