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Search Results: 1 - 10 of 83 matches for " Tsveti Markova "
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Lack of chart reminder effectiveness on family medicine resident JNC-VI and NCEP III guideline knowledge and attitudes
Paul S Echlin, Ross EG Upshur, Tsveti P Markova
BMC Family Practice , 2004, DOI: 10.1186/1471-2296-5-14
Abstract: A pilot study was performed to determine if change in a previously identified CPG compliance factor (accessibility) would produce a significant increase in family medicine resident knowledge and attitude toward the guidelines. The primary study intervention involved placing a summary of the Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC VI) and the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (NCEP III) CPGs in all patient (>18 yr.) charts for a period of three months. The JNC VI and NCEP III CPGs were also distributed to each Wayne State family medicine resident, and a copy of each CPG was placed in the preceptor's area of the involved clinics. Identical pre- and post- intervention questionnaires were administered to all residents concerning CPG knowledge and attitude.Post-intervention analysis failed to demonstrate a significant difference in CPG knowledge. A stastically significant post-intervention difference was found in only on attitude question. The barriers to CPG compliance were identified as 1) lack of CPG instruction; 2) lack of critical appraisal ability; 3) insufficient time; 4) lack of CPG accessibility; and 5) lack of faculty modeling.This study demonstrated no significant post intervention changes in CPG knowledge, and only one question that reflected attitude change. Wider resident access to dedicated clinic time, increased faculty modeling, and the implementation of an electronic record/reminder system that uses a team-based approach are compliance factors that should be considered for further investigation. The interpretation of CPG non-compliance will benefit from a causal matrix focused on physician knowledge, attitudes, and behavior. Recent findings in resident knowledge-behavior discordance may direct the future investigation of physician CPG non-compliance away from generalized barrie
An unusual presentation of adenoid cystic carcinoma of the minor salivary glands with cranial nerve palsy: a case study
Amal Abdul-Hussein, Pierre A Morris, Tsveti Markova
BMC Cancer , 2007, DOI: 10.1186/1471-2407-7-157
Abstract: A 49-year-old African American female presented to the emergency room complaining of severe right-sided headache, photophobia, dizziness and nausea, with diplopia. The patient had a 14 year history migraine headaches, hypertension, and mild intermittent asthma. Physical examination revealed right lateral rectus muscle palsy with esotropia. There was numbness in all three divisions of the right trigeminal nerve. Motor and sensory examination of extremities was normal. An MRI of the brain/brain stem was obtained which showed a large mass in the clivus extending to involve the nasopharynx, pterygoid plate, sphenoid and right cavernous sinuses.Biopsy showed an ACC tumor with a cribriform pattern of the minor salivary glands. The patient underwent total gross surgical resection and radiation therapy.This is a case of ACC of the minor salivary glands with intracranial invasion. The patient had long history of headaches which changed in character during the past year, and symptoms of acute 5th and 6th cranial nerve involvement. Our unique case demonstrates direct invasion of cavernous sinus and could explain the 5th and 6th cranial nerve involvement as histopathology revealed no perineural invasion.Adenoid Cystic Carcinoma (ACC) is a rare tumor entity and comprises about 1% of all malignant tumor of the oral and maxillofacial region [1]. It is a slowly growing but highly invasive cancer with high recurrence rate. Lymphatic spread to local lymph nodes is rare. Hematogenous spread, however, occurs often in the course of the disease [2]. Intracranial ACC even is more rare and has been reported as 4 – 22% of ACC [3]. It could be primary or secondary which could occur either by direct invasion like in our case, hematogenous spread, or perineural spread [4,5]. Perineural spread of ACC has long been recognized. The literature revealed that the region of Gasserian ganglion to be the most common site of involvement (35.8%) [2,3,6,7], while cavernous sinus was involved in 15.1% [3-5
Gerard Duveen on the epistemology of social representations
Markova, Ivana
Papers on Social Representations , 2010,
A Comment on the paper by J. T. Jost
Markova, Ivana
Papers on Social Representations , 1992,
Bulgarian Workers in Madrid: Legal Position and Performance on the Job Market
Eugenia Markova
Revista CIDOB d'Afers Internacionals , 2009,
Abstract: This article examines the performance of illegal and legal Bulgarian immigrants on the Madrid job market, their propensity to integrate into the receiving society and their intention to return to Bulgaria. The performance of migrants is defined by their success in finding employment (and specifically by their first job and present job in the host country), by their competition with autochthonous workers for employment and by patterns of saving/ remittance sending. The article is based on a survey carried out in 2003/2004 on 202 Bulgarian immigrants residing in the Community of Madrid.
Un fragmento manuscrito de una novela de caballerías en judeo-espa ol
Markova, Alla
Sefarad : Revista de Estudios Hebraicos y Sefardíes , 2009,
Abstract: The article describes a Judeo-Spanish manuscript from the Firkovitch Collection in St. Petersburg. It is a fragment of a chivalry novel, with all features typical of the genre: scenes of battles and love, witchcraft and courage. Unfortunately, neither the beginning nor the end of the manuscript is preserved, and at present it is not possible to identify the fragment with any of the known chivalry novels. Some hints indicate that the text was written by (or adapted for) Jews. El artículo describe un manuscrito hebraico-aljamiado que se encuentra en la colección Firkovitch de San Petersburgo. Se trata de un fragmento de una novela de caballerías, con todos los rasgos típicos del género –escenas de batallas y amor, hechicería y coraje. Por desgracia, el fragmento no tiene ni principio ni fin, y en este momento no es posible atribuirlo a ninguna novela de caballerías conocida. Varios rasgos nos indican que el texto fue escrito por (o adaptado para) judíos.
Youth Conformity Regarding Institutions and Media
Nikolay Ivantchev,Kremena Markova
Psychological Thought , 2012,
Abstract: An experiment on conformity was carried out. The participants were 95 youths. The scale “Conformity – Autonomy” from I. Karagiozov’s questionnaire for locus of control (1998) was also used. The results indicated the prevalence of youth conformity regarding institutions and media. The different types of conformity were related to each other. The subjects’ gender and the experimentators’ gender mediated the connections between the both types of conformity. The female youths conformed more with institutions than the male youths, but there were not any significant gender differences in their conform behavior regarding media (magazines). More male youths conformed for the magazines when the experimentator was a woman. More female youths conformed for the magazines when the experimentator was a man.
Attitude Formation of Benefits Satisfaction: Knowledge and Fit of Benefits
Gery Markova, Foard Jones
International Journal of Business Research and Management , 2011,
Abstract: Using the theoretical framework of the Theory of Reasoned Action [6], we examine benefits satisfactionas an attitude formed by the beliefs about benefits (i.e., benefits knowledge) and the perceived value ofthese benefits (i.e., fit of benefits to individual needs). We use questionnaires to gather data from arandom sample of 591 employees in a large county agency in the South-eastern United States. The datasupport that knowledge of benefits is associated with enhanced benefits satisfaction and mediates theeffect of explanations about benefits on satisfaction. The results provide strong evidence that benefitsperceived to suit employee needs generate highest benefits satisfaction. Employees satisfied with theirbenefits are less likely to consider leaving the organization. The tested model is a starting point for futurestudies to apply the extended Theory of Reasoned Action [1] and incorporate perceived behaviouralcontrol and subjective norms (i.e., co-workers’ attitudes) in forming benefits satisfaction. Understandingemployees’ affective and cognitive reactions to compensation, including benefits, can render betterpractices. Companies should use information campaigns to improve employee beliefs about benefits.Better attentiveness to individual needs and preferences can maximize the utility of a benefits plan andimprove its acceptance. We replicate and extend past research in a parsimonious model of benefitssatisfaction with a random sample of public sector employees.
Wind structure in late-B supergiants
N. Markova,H. Markov
Physics , 2009,
Abstract: Extended spectroscopic datasets of several late-B stars of luminosity class Ia revealed the presence of similar peculiarities in their H alpha profiles, which might be interpreted as indications of deviation from spherically symmetric, smooth wind approximation. Surface structures due to non-radial pulsations or weak, large-scale, dipole magnetic fields might be responsible for creating wind structure in the envelopes of these stars.
The mass discrepancy problem in O stars of solar metallicity. Does it still exist?
N. Markova,J. Puls
Physics , 2014, DOI: 10.1017/S1743921314006462
Abstract: Using own and literature data for a large sample of O stars in the Milky Way, we investigate the correspondence between their spectroscopic and evolutionary masses, and try to put constraints on various parameters that might influence the estimates of these two quantities.
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