{"title":"6. THE MORE THINGS CHANGE, THE MORE THEY REMAIN THE SAME?","authors":"","doi":"10.1515/9781503603066-007","DOIUrl":"https://doi.org/10.1515/9781503603066-007","url":null,"abstract":"","PeriodicalId":35577,"journal":{"name":"Connecticut Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66841165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The times they are A-changin'.","authors":"M. Duke","doi":"10.4324/9780429323867-1","DOIUrl":"https://doi.org/10.4324/9780429323867-1","url":null,"abstract":"Higher education changed relatively little between the middle ages and the end of the 20th century. Medieval professors stood in front of groups of students and lectured while students listened and took notes . . . and for much of my career, I stood in front of students and lectured while they listened and took notes. However, all of this is changing because of technology, and higher education will never be the same. In short, we have had a long history of bringing students to knowledge (in classrooms, libraries, and lecture halls). Increasingly, however, we will be expected to bring knowledge to students. This knowledge, packaged in palatable, engaging, and easily digestible modules, will be consumed in students’ homes, in parks and cafes, and on beaches, and our students will master the material at their own pace. If they need a mentor, they will likely turn to online resources rather than come to us. Despite its long history, the “sage on a stage” model of higher education has never been an especially effective way to train either undergraduate or graduate students. Clinical skills are better taught by “a guide by the side,” and psychologists appreciate the power of modeling more than most professionals. However, this guide does not have to be a professor, and he or she does not need to be in the same room – or even the same country – as the student. Few of us fully appreciate the profound changes that are occurring throughout the world. For example, in 2002 there was a seismic shift in knowledge and a tipping point was reached. In that year, for the first time, “the worldwide digital storage capacity overtook total analog capacity” (University of Southern California, 2011). The ready and ubiquitous availability of digital information on iPhones, iPads, and laptop computers is changing every aspect of our lives – including education. I have been affected personally by this remarkable revolution in information technology. In 2005, I became editor of PsycCRITIQUES, the online continuation of the paper journal Contemporary Psychology: APA Review of Books. Bob Sternberg was the last editor of the paper journal, and the lineage of editors included Gardner Lindzey and Janet Taylor Spence and stretched back to E. G. Boring (who founded the journal in 1956). Initially I was disappointed that the paper journal was being discontinued. Like others of my generation, there was a certain comfort in holding information, and I wanted to have the journal in my briefcase, if not in my hands. A web page seemed like a pallid and inadequate substitute. My disappointment dissipated as soon as I realized that readers could hyperlink from references to primary sources, jumping in seconds to resources that would have taken them hours or days to CONTENTS","PeriodicalId":35577,"journal":{"name":"Connecticut Medicine","volume":"76 1 1","pages":"55-6"},"PeriodicalIF":0.0,"publicationDate":"2020-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43561576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The national cancer program.","authors":"F. Rauscher","doi":"10.32388/ht8bu0","DOIUrl":"https://doi.org/10.32388/ht8bu0","url":null,"abstract":"","PeriodicalId":35577,"journal":{"name":"Connecticut Medicine","volume":"38 11 1","pages":"577-9"},"PeriodicalIF":0.0,"publicationDate":"2020-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69632456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Incidence of Hepatitis C Virus and Other Bloodborne Virus Infections Among Nonurban Residents of Fairfield and New Haven Counties, Connecticut Who Inject Drugs.","authors":"Samantha H Batman, Lauretta E Grau, Robert Heimer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Opioid overdose and substance abuse treatment entry data suggest that injection drug use is increasing in nonurban locations. We sought to explore the prevalence and incidence of viral infections among people who inject drugs (PWID) residing in Fairfield and New Haven counties but outside of the six largest cities. A longitudinal cohort of PWID was assembled and incidence of HIV-1, hepatitis B virus, and hepatitis C virus infections was determined by annual antibody screening. Data on participants' socioeconomic situation and risk behaviors were collected. We identified 11 new hepatitis C virus infections and calculated incidence at 9.03 cases per 100 person-years. Only one new HIV infection and one new hepatitis B virus infection were detected. Factors associated with seroconversion were assessed. Given the high incidence of HCV and lack of HBV vaccination coverage, prevention and treatment resources need to be targeted to this population.</p>","PeriodicalId":35577,"journal":{"name":"Connecticut Medicine","volume":"82 3","pages":"133-137"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8315100/pdf/nihms-1551238.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39254695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emanuel Jose Saad, Diego De Goycoechea, Maria Kurpis, Ricardo Arturo Albertini
{"title":"Intravascular Lymphoma: A Diagnostic Challenge.","authors":"Emanuel Jose Saad, Diego De Goycoechea, Maria Kurpis, Ricardo Arturo Albertini","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Intravascular large B-cell lymphoma (IVLBCL) is a rare type of extranodal large B-cell lymphoma that selectively affects small and medium-sized bloodvessels in the absence oflymph-adenopathy. The central nervous system (CNS) and skin are the organs most commonly affected. We describe the case of a 64-year-old male who presented to the emergency department (ED) complaining of asthenia and bilateral lower extremity edema that progressed rapidly to anasarca. On presentation, laboratory results were significant for elevated erythrocyte sedimentation rate (ESR) and lactate dehydrogenase (LDH) levels. A skin biopsywas performed, which revealed occlusion of blood vessels by atypical immunophenotype B lymphoid cells within the dermis and subcutaneous tissue. The immuno-histochemistry was consistent with IVLB CL. IVLBCL is an aggressive and rapidly fatal neoplasia with varied and nonspecific clinical manifestations, hence, a diagnostic challenge. This case shows an unusual presentation with asthenia and rapidly progressive edema.</p>","PeriodicalId":35577,"journal":{"name":"Connecticut Medicine","volume":"81 5","pages":"281-284"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36078339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abigail Cutler, Jonathan D Black, Sangini S Sheth, Shefali Pathy
{"title":"When Things Go Wrong: Examining the Frequency and Aftermath of Critical Incidents Among OBGYN Residents.","authors":"Abigail Cutler, Jonathan D Black, Sangini S Sheth, Shefali Pathy","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To examine the frequency with which obstetrics and gynecology (OBGYN) residents experience critical incidents (CIs) during residency and participate in postincident debriefing.</p><p><strong>Methods: </strong>A survey was conducted to examine the frequency of CIs during training, abilities of residents to cope with CIs, and the impact of postincident debriefing.</p><p><strong>Results: </strong>Among the 27 residents who responded (93.1%), 82.6% reported involvement in one ormore CIs during residency. There was a statistically significant difference in the cumulative number of CIs experienced when stratified by level of training. Following a CI, 39.2% of residents reported having an opportunity to debrief and only 30.4% \"always\" had enough support to cope. Among those who had debriefed, 100% felt that it had helped them to process the incident.</p><p><strong>Conclusion: </strong>OBGYN residents frequently experience CIs during their training years. Postincident debriefing is not the norm but is desired and may help residents process difficult clinical situations.</p>","PeriodicalId":35577,"journal":{"name":"Connecticut Medicine","volume":"81 5","pages":"261-266"},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36078334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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