No abstract available.
Disclosure

No abstract available.
Disclosure

Magandang Gabi po sa inyong lahat lalo na sa mga bagong specialista (o Diplomate) ng ating samahang PBO-HNS na pinararangalan natin ngayon; Ganuon din sa kanilang mga kabiyak, at mga magulang, mga marangal nating panauhin at syempre sa mga dati kong kasama sa PSO at PBO-HNS. Itong samahang ito ang hindi tumitigil na paunlarin ang mga patakaran ng Society at para ang ENT Diplomate ay maging tunay na specialist at hindi “ispecialista daw.” For the single ones among you, let’s give your parents special citation for having sacrificed not only once during your medical student days but twice-during your residency days. Their encouragement and material aid are phenomenal. Likewise to those married, your spouses either had a more challenging housewife’s role or became “house bands” during your busy training days. So in this talk of mine which you may consider “unsolicited advice,” I will mention some idealistic-- even bordering on the philosophical -- reminders of some of our pillars in the specialty and my own experience as a budding practitioner. Also my personal pitfalls and how to possibly solve them. After all, when we reach our sunset years, we can discuss such topics ad infinitum.
Empathy ; Disclosure

OBJECTIVES: How dose the Journal of Korean Neuropsychiatric Association reconcile both the essential companion in clinical practice and the leading academic journal of general psychiatry? METHODS: I have been involving 2 projects of the British Journal of Psychiatry (BJP), the leading international journal of general psychiatry. The first is a comparison between papers that are seen by referees who are willing for their names to be closed to the authors of previous papers and those who do not wish their names to be closed. The second involves the rejection rates and long-term outcome of papers submitted from low and middle income countries (LAMI). RESULTS: Many referees of BJP were supportive of disclosure but not so much when it comes to the bad news. LAMI are contributing well to the psychiatric literature, though conclusions from the results can only be tentative in view of the relative small numbers. CONCLUSION: The BJP showed me that good journalism in an academic publication is not oxymoron. The criterion of the originality and the scientific reliability should remain uncompromised at any time and these should remain the clearest guides. I also would like our journal to be more excellence in clinical communication.
Disclosure ; Friends ; Humans ; Journalism ; Publications

OBJECTIVES: How dose the Journal of Korean Neuropsychiatric Association reconcile both the essential companion in clinical practice and the leading academic journal of general psychiatry? METHODS: I have been involving 2 projects of the British Journal of Psychiatry (BJP), the leading international journal of general psychiatry. The first is a comparison between papers that are seen by referees who are willing for their names to be closed to the authors of previous papers and those who do not wish their names to be closed. The second involves the rejection rates and long-term outcome of papers submitted from low and middle income countries (LAMI). RESULTS: Many referees of BJP were supportive of disclosure but not so much when it comes to the bad news. LAMI are contributing well to the psychiatric literature, though conclusions from the results can only be tentative in view of the relative small numbers. CONCLUSION: The BJP showed me that good journalism in an academic publication is not oxymoron. The criterion of the originality and the scientific reliability should remain uncompromised at any time and these should remain the clearest guides. I also would like our journal to be more excellence in clinical communication.
Disclosure ; Friends ; Humans ; Journalism ; Publications

PURPOSE: The purpose of this study was to examine the actual condition and the general cognition toward the disclosure of diagnosis among cancer patients. METHODS: A survey using a structured questionnaire was conducted with 195 cancer patient from October 18, 2011 to November 19. The data was analyzed with SPSS (version 18.0) for frequency analysis and chi2 test. RESULTS: 88.2% of cancer patients were agreed to the disclosure of cancer diagnosis. Cancer patients had preferences for a doctor to notify the disclosure of their cancer diagnosis (90.8%) and immediate notification of the cancer diagnosis (89.7%). The sequences of disclosing cancer diagnosis were following; the patient and the care-giver notified at the same time (47.2%). the patient notified first (32.3%) and the care-giver notified first (20.5%). Cognition toward disclosure of cancer diagnosis was statistically significant only with age (p=.003). CONCLUSION: These result suggested that cancer patient wanted to notify their cancer diagnosis by doctor, as soon as cancer diagnosis confirmed, before notifying to their family, and to know accurate cancer related information. Therefore, principals and guidelines in disclosing cancer diagnosis are essential to increase the quality of cancer patient care.
Cognition ; Disclosure ; Humans ; Patient Care ; Surveys and Questionnaires

PURPOSE: Triage in the emergency departmen (ED) is the preliminary clinical sorting process before full disclosure of patients' problems so that patients with the highest acuity are treated first in the setting of resource constraints. To overcome the inter-rater variability of existing triage tools, the Emergency Severity Index (ESI) was developed and was shown to be both valid and reliable in practice. Because of the disparity in practice patterns and some inappropriate criteria in the original ESI, the authors have modified the ESI and determined its inter-rater reliability. METHODS: We applied the modified ESI to a convenient sample of adults who visited an urban academic ED between July 24, 2001, and August 5, 2001. After completion of a short, 4-hour training course on the modified ESI, an intern and emergency medicine resident pair triaged the patients independently. The inter-rater reliability was measured using a weighted kappa analysis and was categorized as excellent (>or=0.8), good (0.60-0.79), or fair ( Adult ; Disclosure ; Emergencies* ; Emergency Medicine ; Humans ; Triage*

The comprehensive European Board of Ophthalmology Diploma (EBOD) examination is one of 38 European medical specialty examinations. This review aims at disclosing the specific procedures and content of the EBOD examination. It is a descriptive study summarizing the present organization of the EBOD examination. It is the 3rd largest European postgraduate medical assessment after anaesthesiology and cardiology. The master language is English for the Part 1 written test (knowledge test with 52 modified type X multiple-choice questions) (in the past the written test was also available in French and German). Ophthalmology training of minimum 4 years in a full or associated European Union of Medical Specialists (UEMS) member state is a prerequisite. Problem-solving skills are tested in the Part 2 oral assessment, which is a viva of 4 subjects conducted in English with support for native language whenever feasible. The comprehensive EBOD examination is one of the leading examinations organized by UEMS European Boards or Specialist Sections from the point of number of examinees, item banking, and item contents.
Cardiology ; Disclosure ; Europe ; European Union ; Ophthalmology* ; Specialization

In a systemvalidation of a ambulatory EKG analysis system we examined the HP 43420A ambulatory EKG analysis system(Fa.Hewlett packard, USA). The complete capture module 43405A with the applied software is able to record 24 hours events without single beat lable. Model 43400B patient analyzer records intermittant the EKG events and represents these in the Ambulatory EKG report. By means of the devices 31 patients were examined. Beat-to-beat analysis of the complete full disclosure is visually carried out. Sensitivity and postitve predictive value were 94(96)% and 100% for ventricular ectopic beat(VEB). The sensitivity amounted to 87% in the detecting of VEB pair(couplet), the positive predictive value 94%. VEB Run/VT(ventriular tachycardia) resulted in a sensitivity of 82% and in positive predictive value of 93%. The automatically edited Ambulatory EKG report with his EKG strips is representative of full disclosure and reliable in comparison with the analyzed results of full disclosure. The HP 43420A Ambulatory EKG Analysis system, a new and developed device with all digital recording system and full disclosure capability is found comparable to the best ones of the presently available Holter monitoring system.
Bioengineering* ; Disclosure ; Electrocardiography ; Electrocardiography, Ambulatory* ; Humans

Disclosure of a diagnosis of cancer to patients is a major problem among physicians in Korea. Many questions arise when considering issues involved in telling the diagnosis of cancer beyond the question of whether to tell. But there has been no consensus guideline on how, and in what context, to tell the diagnosis of cancer to the patients. The review of the literature reveals that the attitudes of physicians on the truth telling have been changing from favoring non-disclosure to disclosure over time. The disclosure rate was 81.8% in a Korean survey performed in 1990, while it was 65% in a survey in 1979. The younger the patient's age was, the higher the disclosure rate was. This tendency was same in Korean nurses and patients. The majority of Korean patients wanted their doctors to break the bad news, not only because the patients wanted to obtain detailed information about their conditions but also because they believed their doctors. They also wanted their family to hear the truth first, immediately after the diagnosis had been confirmed. The most important issue in the process of disclosing a diagnosis of cancer to patients is truth. Otherwise, doctors will lose the chance to give help to the patients when they are in real need of doctor's help at the very end of their lives.
Consensus ; Diagnosis* ; Disclosure ; Humans ; Korea ; Terminally Ill*