Well, you have hepatic metastases: Use of technical language by medical students in simulated patient interviews.

OBJECTIVE: This research explored medical students' use and perception of technical language in a practical training setting to enhance skills in breaking bad news in oncology. METHODS: Terms potentially confusing to laypeople were selected from 108 videotaped interviews conducted in an undergraduate Communication Skills Training. A subset of these terms was included in a questionnaire completed by students (N=111) with the aim of gaining insight into their perceptions of different speech registers and of patient understanding. Excerpts of interviews were analyzed qualitatively to investigate students' communication strategies with respect to these technical terms. RESULTS: Fewer than half of the terms were clarified. Students checked for simulated patients' understanding of the terms palliative and metastasis/to metastasize in 22-23% of the interviews. The term ambulatory was spontaneously explained in 75% of the interviews, hepatic and metastasis/to metastasize in 22-24%. Most provided explanations were in plain language; metastasis/to metastasize and ganglion/ganglionic were among terms most frequently explained in technical language. CONCLUSION: A significant number of terms potentially unfamiliar and confusing to patients remained unclarified in training interviews conducted by senior medical students, even when they perceived the terms as technical. PRACTICE IMPLICATIONS: This exploration may offer important insights for improving future physicians' skills.

Moving Beyond Teen Crash Fatality Statistics: The Go-Team Study, GOTM-000, 2013

Despite a trend of decreasing teen fatalities due to motor vehicle crashes over the past decade, they remain the leading cause of adolescent fatalities in Iowa. The purpose of this study was to create detailed case studies of each fatal motor vehicle crash involving a driver under the age of 20 that occurred in Iowa in 2009, 2010, and 2011. Data for each crash were gathered from media sources, law enforcement agencies, and the Iowa Department of Transportation. The driving records of the teens, which included their licensure history, prior traffic citations, and prior crashes, were also acquired. In addition, data about the charges filed against a teen as a result of being involved in a fatal crash were obtained. A total of 126 crashes involving 131 teen drivers that resulted in 143 fatalities were analyzed. Many findings for fatal crashes involving teen drivers in Iowa are consistent with national trends, including the overrepresentation of male drivers, crash involvement that increases with age, crash involvement per vehicle miles traveled that decreases with age, and prevalence of single-vehicle road departure crashes. Relative to national statistics, teen fatalities from crashes in Iowa are more likely to occur from midnight to 6am and from 9am to noon. Crash type varied by driver age and county population level. Teen drivers contributed to the fatal crashes at a rate of 74%; contribution of the teen driver was unknown for 11% of crashes. Speed was a factor for about 25% of the crashes for which a teen driver was at fault. The same was also true of alcohol/drug impairment. Only 20% of the rear-seat occupants of the teen drivers’ vehicles wore seat belts compared to 60% use for the front-seat occupants. Analysis of the teens’ driving records prior to the fatal crash suggests at-fault crashes and speeding violations are associated with contributing to the fatal crash.

Classification and Pay Plans FY2014, June 2013

This document Classifications and Pay Plans is produced by the State of Iowa Executive Branch, Department of Administrative Services. Informational document about the pay plan codes and classification codes, how to use them.

Mulch Iowa: A Guide to the Benefits of Mulch and Why you should use mulch produced in Iowa, December 17, 2003

Mulch helps to recreate the organic layer and soil structure of a wooded environment, which benefits your trees and shrubs... • Helps maintain even soil temperature in the roots by keeping them cool in the summer and warm in the winter. • Promotes plant growth. • Controls weeds. • Conserves soil moisture, meaning you use less water. • Improves soil structure and quality over the root area. • Protects from mechanical damage (mowers, string trimmers, etc.) • Helps beautify the new planting.

Iowa Alcoholic Beverages Laws and You, 2012

Iowa’s alcoholic beverages industry operates within the confines of a carefully cast partnership between the Iowa Alcoholic Beverages Division (Division), licensees and law enforcement officials. Close cooperation among these three entities is essential for regulation and enforcement of Iowa’s alcoholic beverages laws in order to achieve compliance. This manual was developed to provide licensees (their employees and agents) with the information needed to protect the welfare and safety of Iowans through compliance with laws addressing the manufacture, distribution and sale of alcoholic beverages.

Are You Prepared? A Guide to Emergency Preparedness, October 24, 2013

Being prepared means making an emergency plan, building an emergency kit and being aware of the hazards that can impact you. Whether you are at home or at work, emergencies like tornadoes, flooding or winter storms can occur quickly and without warning. We can’t prevent emergencies, but we can prepare for them.

You are not alone...making an informed decision about your pregnancy, January 1997

When you are faced with a difficult decision, it’s not unusual to feel confused, frustrated, and perhaps a little frightened because you are not sure what to expect or where to turn for answers. The purpose of this handbook is to assist you in making an informed choice about your pregnancy.

Tap&Go: Gamificant l'esport en dispositius Android amb NFC

El contingut d'aquest projecte, consisteix en desenvolupar una solució per a dispositius mòbils Android amb NFC, amb la finalitat de motivar i incrementar el nombre de ciutadans que practiquen esport a la ciutat de Barcelona. El projecte inclou disseny de la interfície mòbil, la creació d'una base de dades, un servei d'API Rest per accedir a les dades des dels dispositius, l'ús del servei de mapes de Google i diferents llibreries i eines per a dissenyar l'arquitectura del sistema. Es tindran en compte les restriccions en disseny i funcionalitat per part del client (ajuntament).

Consumer Advisory: First You Win, Then You Lose Prize, sweepstakes and international lottery scams, December 2014

The Attorney General’s Consumer Protection Division receives hundreds of calls and consumer complaints every year. Follow these tips to avoid unexpected expense and disappointments. This record is about: First You Win, Then You Lose Prize, sweepstakes and international lottery scams

Safety & You, September 2011

Iowa State University Police Department annually prepares and distributes “Safety & You” to all students, faculty, staff, as well as potential students and employees. Campus crime, arrest and referral statistics include those reported to the ISU Police, designated campus officials (including, but not limited to, Department of Residence, Dean of Students Office, athletic coaches, and advisors to student organizations), Ames Police and the Story County Sheriff’s Office. The ISU Counseling and Thielen Student Health Centers are exempted by patient confidentiality laws from disclosing reported information. Iowa State University does not have a voluntary confidential procedure for reporting crimes to law enforcement