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Lack of tools for translating mandatory reporting legislation into clinical assessments of driving ability may also explain the discomfort. Although cma guidelines are available, Canadian driving studies have demonstrated that physicians desire more comprehensive and definitive tools for assessing driving fitness4,13. Such tools may come in the form of continuing medical education through workshops or conference presentations3. In our study, almost 80% of fps and specialists reported a desire for increased guidance in determining fitness to drive, and almost 90% of all respondents desired clearer, more comprehensive reporting guidelines.
Methods: An anonymous, cross-sectional, self-report questionnaire was sent to all active members of the Canadian Urological Association practicing in Ontario. The survey consisted of demographic data and 10 closed-ended questions designed to capture biopsy preferences in ambiguous clinical situations. Respondent preferences for recommending a prostate biopsy were compared to a guideline-informed study standard. Descriptive and correlative statistics were used to analyze the responses.
This study highlights the perceived Professional role and identity of nursing home physicians as a significant driver of antibiotic prescribing and clinical decision making in this setting. All physicians saw themselves as Appropriate prescribers, while only some physicians also saw themselves as Educators or Change drivers. Lack of time, high staff turnover, lack of access to diagnostic equipment, and provision of care to several homes at one time leading to a high number of residents to care for and teams to work with (Environmental context and resources), made it challenging for physicians to fill all roles. Even among those who were motivated to improve their prescribing, few had the capabilities and opportunities needed to work with team members to achieve this practice change in a sustainable way. While the A&F report supported physicians to understand their own prescribing practices, it did not appear to reinforce behaviour change, suggesting that A&F may provide more benefit when applied with other strategies.
This study developed a simulation model that focused on the behavior of nontruck drivers when encountering trucks. Behavior during adverse weather was one of the factors evaluated. Experiments used data from the Borman Expressway data and from stated-preference surveys of nontruck drivers.
This research looked at potential design and use of an in-car system that would adaptive speed controls to guide driver behavior under adverse weather conditions. The report focused on system design considerations and further research required. e24fc04721
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