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Showing "Collegium secures through term loan agreement public debt" PubMed Articles 1–25 of 14,000+

Influence of Student Loan Debt on General Surgery Resident Career and Lifestyle Decision-Making.

The average medical school debt in 2011 was $170,000 and by 2017 it increased to $190,000. High debt burden has been shown to affect career choices for residents in primary care specialties; however, it has not been well studied among surgical residents. The purpose of this multi-institutional study is to assess the amount of debt among general surgery residents and its effects on their career and lifestyle decisions.

Association between medical student debt and choice of specialty: a 6-year retrospective study.

The effect of rapidly increasing student debt on medical students' ultimate career plans is of particular interest to residency programs desiring to enhance recruitment, including primary care specialties. Previous survey studies of medical students indicate that amount of student debt influences choice of medical specialty. Research on this topic to date remains unclear, and few studies have included the average income of different specialties in analyses. The purpose of this study is to observe whether em...

Long-Term Public Health Responses in High-Impact Weather Events: Hurricane Maria and Puerto Rico as a Case Study.

This statement responds to the public health challenges in Puerto Rico in the wake of Hurricane Maria during September 2017. As a result of Maria, and to a certain extent Hurricane Irma, the territory sustained unprecedented damage. We call for a mid- and long-term public health response and research to assess the long-term impacts of high-impact weather events, such as Maria's effects on Puerto Rico, including impacts on vulnerable populations' environmental health and well-being.

Measuring public preferences in France for potential consequences stemming from re-allocation of healthcare resources.

When deciding which new programme to implement and where the additional resources, if needed, will come from, the decision makers need to accommodate the uncertainty of the potential changes in population health and medical expenditures that can occur. They also need to determine the value of these potential changes. The objective of this study is to identify a public valuation function measuring how the public values changes in population health and medical expenditures when healthcare resources are re-all...

A Multilevel Workforce Study on Drivers of Turnover and Training Needs in State Health Departments: Do Leadership and Staff Agree?

To characterize agreement between senior governmental public health staff and their subordinates concerning drivers for staff turnover, and skill importance and ability.

How to evaluate agreement between quantitative measurements.

When a method comparison study is performed, the aim is to evaluate the agreement of measurements of different methods. We present the Bland-Altman plot with limits of agreement as the correct analysis methodology. We also discuss other scaled and unscaled indices of agreement and commonly used inappropriate approaches.

Intra and Interobserver Agreement Regarding the Walch Classification System for Shoulder Joint Arthritis.

 To evaluate the inter- and intraobserver agreement regarding the Walch classification system for shoulder arthritis.  Computed tomography scans of the shoulder joint of adult patients were selected between 2012 and 2016, and they were classified by physicians with different levels of expertise in orthopedics. The images were examined at three different times, and the analyses were evaluated by the Fleiss Kappa index to verify the intra- and interobserver agreement.  The Kappa index for the intraobs...

Long-term effects of continuous subcutaneous insulin infusion in adults with type 1 diabetes mellitus patients: Results of a public healthcare system.

To evaluate the long-term clinical effect of continuous subcutaneous insulin infusion (CSII) in adult type 1 diabetes mellitus (T1DM) patients in a regional public healthcare system real-world scenario.

Mass evacuation and increases in long-term care benefits: Lessons from the Fukushima nuclear disaster.

Though mass evacuation may increase the need for long-term care (LTC) services, how the need for LTC services increases and how the public LTC system affects it is not well understood. We evaluated changes in public LTC benefits for the people living in the mandatory evacuation areas established after the 2011 Fukushima nuclear disaster and examined the roles of the universal LTC insurance system in Japan.

The Accidental Consequences of Student Debt.

A Stimulus Package to Address the Pediatric Sleep Debt Crisis in the United States.

Patterns of long-term conditions in older age and subsequent mortality: a national study of inequalities in health.

Multiple long-term health conditions in older people are associated with increased mortality. The study aims to identify patterns of long-term health in a national ageing population using a census-based self-reported indicator of long-term health conditions. We assessed associations with subsequent mortality and socio-economic and demographic risk factors.

The puzzle of number agreement with disjunction.

In English, when two nouns in a disjunctive subject differ in number (e.g., the dogs or the cat), the verb tends to agree with the number of the nearer noun. This is exceptional, as a noun's linear proximity to the verb does not generally play a role in agreement. In the present study, we investigate a further puzzle about agreement with disjunction, namely, the existence of a pattern in which two singular disjuncts trigger plural agreement (e.g., The lawyer or the accountant are…). Two eyetracking studie...

Basophil Sensitivity Reflects the Long-term Clinical Outcome of Subcutaneous Immunotherapy in Grass Pollen Allergic Patients.

Allergic rhinoconjunctivitis is a public health problem. Allergen Immunotherapy is an effective and safe treatment, that modifies the natural course of allergic disease and induces long-term tolerance.

Multilevel analyses of related public health indicators: The European Surveillance of Congenital Anomalies (EUROCAT) Public Health Indicators.

Public health organisations use public health indicators to guide health policy. Joint analysis of multiple public health indicators can provide a more comprehensive understanding of what they are intended to evaluate.

Public health over private wealth: rebalancing public and private interests in international trade and investment agreements.

The emerging global trade and investment regime is a site of ongoing contestation between states, powerful industry actors and civil society organisations seeking to influence the formation of legal rules, principles, practices and institutions. The inclusion of major transnational tobacco, alcohol and ultraprocessed food companies seeking to influence governments in these processes has resulted in the expanded distribution and consumption of unhealthy commodities across the globe, overshadowing many of the...

Modern slavery and public health: a rapid evidence assessment and an emergent public health approach.

Modern slavery is a human rights violation and a global public health concern. To date, criminal justice approaches have dominated attempts to address it. Modern slavery has severe consequences for people's mental and physical health, and there is a pressing need to identify and implement effective preventative measures. As such, a public health approach to modern slavery requires elucidation. The objectives of this study were to explore the case for public health involvement in addressing modern slavery an...

Eliminating Medical School Debt: A Dean and Geriatrician's View From Opposite Ends of the Training Pipeline.

Communicating Recommendations in Public Health Emergencies: The Role of Public Health Authorities.

Adherence to public health recommendations is critical for public safety and well-being. Effective and appropriate communication plays an important role in whether populations trust government and public health authorities, and the extent to which people follow public health recommendations. Poor trust in communication from public health authorities can pose significant challenges for mitigating public health emergencies and maintaining health security. This study aimed to explore the importance of trust in...

Education, training, and experience in public health ethics and law within the UK public health workforce.

Public health ethics and law (PHEL) is a core professional competency for the public health workforce. However, few data are available describing the extent to which UK public health workforce members experience ethical and legal issues or have sufficient educational and/or training background to adequately deal with such issues.

Long-term Consequences in Trauma: At the Center of the Public Health Approach Is the Survivor's Voice.

Exact interval estimators for some commonly used measures of binary agreement.

We develop exact interval estimators for some commonly used classical measures of agreement in binary responses. We apply Monte Carlo simulation to evaluate the performance of these estimators. When the measure of agreement is homogeneous, we note that extending the results presented here to accommodate stratified analysis is straightforward. We use the data taken from a survey studying the agreement of religious identifications and the data taken from a study assessing the diagnostic performance of Whooley...

International Public Health Laboratory Twinning: An Innovative Approach to Strengthen the National Health Laboratory System in Uganda, 2014-2017.

International initiatives to strengthen national health laboratory systems in resource-poor countries are often hampered by unfamiliarity with the country's health laboratory environment and turnover of international partners during the initiative. This study provides an overview of, and lessons learned from, the use of a laboratory long-term partnership approach (ie, "twinning") to strengthen the national public health laboratory system in an international setting. We focused on the partnering of the Ugand...

Agreement study on gait assessment using a video-assisted rating method in patients with idiopathic normal-pressure hydrocephalus.

Gait disturbance is a major symptom of idiopathic normal-pressure hydrocephalus (iNPH) and is assessed by raters of different professions or with different degrees of experience. Agreement studies are usually done by two raters or more, and comparisons among multiple groups of raters are rare. In this study, we aimed to examine the agreement among multiple groups of raters on gait patterns and a grading scale through a video-assisted gait analysis in patients with iNPH. Fifteen participants with iNPH were e...

Short- & long-term effects of monetary and non-monetary incentives to cooperate in public good games: An experiment.

Using a common experimental framework, this paper addresses both the question of the short-term and the long-lasting effects of temporary monetary and non-monetary incentive mechanisms on increasing individual contributions to the public good. The results show that both punishments and rewards significantly increase contributions compared to the baseline, but that monetary sanctions lead to the highest contributions, whereas non-monetary sanctions lead to the lowest contributions. The four types of incentiv...

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