Physicians falter on test of bioterrorism awareness

first_img The authors say their findings suggest that the government should include physician education among its bioterrrorism preparedness priorities. On the diagnosis questions, the average pretraining score was 46.8%. The participants scored 70.5% on anthrax-related questions, 50.7% for smallpox, 49.6% for botulism, and 16.3% for pneumonic plague. After the training, the average diagnostic score improved to 79.0%. The 631 physicians were among 2,407 physicians in 30 internal medicine residency programs in 16 states and Washington, DC, who were invited to participate in the study. Thirty participants (4.8%) were attending physicians, and nearly all the rest were residents. In one common diagnostic error, after reading a description of a rash that was consistent with varicella, 42.6% of participants concluded it was smallpox. On the management side, more than 90% of participants knew the importance of quickly giving botulinum antitoxin for botulism, but 31.4% wrongly opted for giving antibiotics too. The level of training didn’t seem to affect the residents’ scores, as first-, second-, and third-year residents all averaged about the same on the pretraining test, the report says. However, the attending physicians scored significantly higher than the residents, with an average score of 50.0% versus 36.9%. Geographic region had no apparent effect on the scores. “The ability of physicians to distinguish smallpox, anthrax, botulism, and plague from other, more common disorders was poor, as was their ability to manage illness due to bioterrorism agents once a diagnosis had been made,” the report states. One bright spot, however, was that most physicians could distinguish inhalational anthrax from other community-acquired pneumonias, probably because of publicity generated by the anthrax attacks of 2001. Sep 28, 2005 (CIDRAP News) – Hospital residents did poorly on a test of their ability to recognize and manage diseases potentially related to bioterrorism, but they fared much better after taking an online training program, according to a report in Archives of Internal Medicine. But the average scores on both tests rose to 79% after the residents completed the Web-based training program. One limitation of the study was that participants knew they were completing a training module on bioterrorism, which could have affected their diagnostic judgments, the report says. However, they were told that illnesses described might or might not be due to bioterrorism agents. The 631 physicians who participated in the study correctly diagnosed anthrax, smallpox, pneumonic plague, and botulism less than half the time, and they made correct management decisions only a quarter of the time, according to the report by Sara E. Cosgrove and colleagues from the Johns Hopkins University School of Medicine in Baltimore. On the management test, physicians scored an average of only 25.4% before training. They were right 60.2% of the time on botulism questions, but they scored only 14.6% on smallpox, 17.0% on anthrax, and 9.7% on plague. After taking the training, the overall average score soared to 79.1%. The physicians took a multiple-choice test on diagnosis and management of the four diseases before going through the training module. Afterward they took another test, with different questions. Anthrax, smallpox, botulism, and pneumonic plague are four of the six diseases or disease classes that terrorists are considered most likely to try to use. Cosgrove SE, Perl TM, Xiaoyan S, et al. Ability of physicians to diagnose and manage illness due to category A bioterrorism agents. Arch Int Med 2005;165(17):2002-6 [Full text]last_img read more

McDan Challenges Ghana Tennis

first_imgMr. Daniel McKorley, the CEO and the executive Chairman of McDan Group of Companies, sponsor of the McDan West Africa Tennis Tournament in an interview told tenisgh.com, that he does not want to be part Ghana tennis that will produces only local stars, he intimated that such approach won’t bring any international laurels to Ghana. “McDan seeks to go beyond supporting local Ghanaian Tennis, we want to able to sponsor Ghanaian international Tennis stars”Towards preparing for this year’s McDan tournament, his advice to local players was that, “current crop of local players need to improve their standard of play and train more, stop complaining and focus to be able to face the stiffest competition and eventually break into the ATP rankings”adding that it will hurt to present US$5,000 total prize money to foreigner.Asked what he (as a tennisenthusiast) would want changed for the better tennis in Ghana, Mr. Mckorley said the Ghana Tennis Federation (GTF) will do with little professionalismin their engagement, he however commended  Secretary General of the PhilipinaFrimpong and the Vice President Isaac Duah Federation for their dedication to duty.Mr. McKorley said he was glad that within the space of two years the McDan Open Championship has become a breeding ground for winners of major silverware, which inspires him to do more.tennisgh with McdanThis year’s edition of the tournament is sponsored by McDan Shipping, with technical support from the Ghana Tennis Federation (GTF) and the Confederation of African Tennis (CAT).Professional tennis players from Benin, Togo, Burkina Faso, Nigeria, Cote d’Ivoire and host country Ghana are expected to converge at the tennis court of the Accra Sports Stadium to battle for honors.   –Follow Joy Sports on Twitter: @JoySportsGH. Our hashtag is #JoySportslast_img read more

Tottenham’s Vertonghen believes he knows where he’ll be playing next season

first_img Boxing Day fixtures: All nine Premier League games live on talkSPORT REVEALED targets Latest Tottenham News REVEALED possible standings Vertonghen reached the World Cup semi-final with Belgium in the summer BIG PRESENTS UP TOP Where every Premier League club needs to strengthen in January OFF gameday cracker Every current Premier League club’s best kit from the past decade Where Ancelotti ranks with every Premier League boss for trophies won Vertonghen expects his club to activate that option.“My contract is expiring at the end of the season, but Tottenham have an option to extend it with one year,” he explained.“I think they will take up the option. We’ll see what happens.”The Belgian is currently 31 years old (turns 32 in April) and has starred for both club and country in recent months. Son ban confirmed as Tottenham fail with appeal to overturn red card Which teams do the best on Boxing Day in the Premier League era? punished How the Premier League table could change after the Boxing Day fixtures Tottenham issue immediate ban to supporter who threw cup at Kepa Redknapp calls Son ‘petulant’, but Holloway says red card for Rudiger kick was ‘soft’ Tottenham defender Jan Vertonghen thinks he will still be at the club come 2020.The centre-back’s contract is set to expire at the end of the current campaign, though Spurs have an option to extend it by a further year. smart causal no dice 1 What every Premier League club’s fans dream of this Christmaslast_img read more

Fulham sack Slavisa Jokanovic and appoint former Leicester manager Claudio Ranieri

first_img Premier League Team of the Season so far, including Liverpool and Leicester stars Latest Football News Claudio Ranieri has been appointed the new manager of Fulham following Slavisa Jokanovic’s sacking, the Premier League club have confirmed.Jokanovic leaves with the Craven Cottage club bottom of the Premier League table having won just a single of their 12 matches to date. shining Which teams do the best on Boxing Day in the Premier League era? Forbes list reveals how much Mayweather, Ronaldo and Messi earned this decade Where Ancelotti ranks with every Premier League boss for trophies won REVEALED Claudio Ranieri’s Premier League Record BEST OF Every time Ally McCoist lost it on air in 2019, including funny XI reactions RANKED REPLY huge blow Matches: 209Wins: 104Draws: 55Losses: 50Goals for: 354Goals against: 221 ADVICE center_img REVEALED Berahino hits back at b******t Johnson criticism – ‘I was in a dark place at Stoke’ Jokanovic was widely tipped to get the sack with Fulham in dire straits Oxlade-Chamberlain suffers another setback as Klopp confirms serious injury no dice “The objective at Fulham should never be to merely survive in the Premier League. We must at all times be a difficult opponent and should expect to succeed.“This Fulham squad has exceptional talent that is contrary to its position in the table. I know this team is very capable of better performances, which we will work on straight away as we prepare for Southampton at the Cottage.”The match against fellow relegation battlers Saints is in a week-and-a-half, on Saturday, November 24.Shahid Khan, the Fulham chairman, added: “I wasn’t anticipating having to make this announcement related to Slavisa and wish the circumstances were such that I didn’t have to, but our path this season has led me to make what I know is the correct decision, at the right time, for our players, the Club and our supporters. “Slavisa will always have my appreciation and respect for everything he did to return Fulham to top-flight football. I am hoping everyone in the Fulham Family shares my heartfelt sentiments for Slavisa and joins me in wishing him success and good fortune, wherever his next stop may be.”Jokanovic leaves Craven Cottage one month shy of his three-year anniversary with the club, with a record that reads 64 wins, 36 draws and 45 defeats in 145 matches.The highlight of his spell with Fulham was undoubtedly securing their return to the Premier League with a play-off defeat of Aston Villa in May. Ronaldo warned Lukaku how hard scoring goals in Serie A would be before Inter move 1 Shahid Khan today announced that he has appointed Claudio Ranieri as Manager of Fulham Football Club, replacing Slaviša Jokanović.👉 https://t.co/BUE1vNnvaO pic.twitter.com/pfxS97ONPG— Fulham Football Club (@FulhamFC) November 14, 2018His final game was Sunday’s 2-0 defeat by Liverpool at Anfield, which left the Cottagers three points off safety.Ranieri, 67, has been handed a multi-year contract. This is his first job in English football since guiding Leicester to the Premier League title in 2015/16 before being sacked in February 2017.The Italian said: “It is an honour to accept Mr. Khan’s invitation and opportunity to lead Fulham, a fantastic club with tradition and history. Top nine Premier League free transfers of the decade Son ban confirmed as Tottenham fail with appeal to overturn red card MONEY Ranieri’s first taste of English football came with Chelsea between 2000 and 2004, when he guided the club to a Champions League semi-final and an FA Cup final.Prior to his spell at Stamford Bridge, he masterminded successive promotions with Italian club Cagliari, reaching Serie A in 1989.Then after time spent with Napoli and Fiorentina, the Italian moved to Spain where he won the UEFA Intertoto Cup and Copa del Rey with Valencia and briefly took charge of Atletico Madrid.His four years at Stamford Bridge were followed by spells in Italy with Parma, Juventus, Roma and Inter Milan, before success in France with Monaco.Ranieri won Ligue 2 with the French club in 2012/13 and then finished second in Ligue 1 the following year.Either side of his famous time with Leicester, Ranieri briefly coached Greece and French club Nantes.last_img read more