Lesbian, Gay, Bisexual, and Transgender Health and Medical Education

Abstract

dictive value and thus any signal identified by the search engine would likely be a true event. However, the trade-off to this strategy might be a reduction in the overall number of cases actually identified. One query algorithm used for postoperative renal failure had an overall positive predictive value of 0.93 (95% CI, 0.69-1.00) yet identified only 33% of cases. Using the tiered approach in our study, this would require the manual review of 14 medical records to identify 13 episodes of postoperative acute renal failure. An institution that wanted to maximize case finding but was not overly constrained in resources to perform manual record review for confirmation might focus on sensitivity but at a cost of producing more false-positive alerts. Using the postoperative renal failure example, we developed a query that reached a sensitivity of 0.82 (95% CI, 0.67-0.91) but with a specificity of 0.94 (95% CI, 0.93-0.95). Based on our study results, a tiered approach would require a manual review of 128 records to identify 32 episodes of postoperative acute renal failure.

Acceptability and Preliminary Efficacy of a Lesbian, Gay, Bisexual, and Transgender-Affirmative Mental Health Practice Training in a Highly Stigmatizing National Context

“…25,37,48,50,85 The type of provider training tested herein possesses promise for effecting change at each of these levels, as this training affected the attitudes of individual participants directly and positively, and has the potential to change normative practice within mental health professions. Empowering individual practitioners to be agents of stigma reduction and LGBT-competent health practice increases the odds that the institutions to which they belong might follow suit as a matter of standard practice.…”

“…42 Based on data from other countries, these disparities might be attributable to minority stress, healthcare discrimination, and lack of LGBT-specific medical expertise. 22,25,40,[43][44][45][46][47][48][49][50] By targeting mental health concerns through psychosocial interventions, physical health risk behaviors are concomitantly addressed. 51,52 LGBT-competent mental healthcare, which is urgently needed given LGBT individuals' elevated prevalence of psychiatric disorders, 22,[25][26][27][28]30,53 is lacking in Romania (LelutiuWeinberger C, Manu M, Lȃscut F, et al: Preliminary efficacy of the first mobile health intervention to reduce HIV risk among MSM in Romania.…”

6 Práticas Educativas em Saúde: Integrando Sexualidade e Gênero na Graduação em Medicina

“…Nesse contexto, torna-se um desafio criar oportunidades acadêmicas para a inserção O debate sobre o ensino da sexualidade no curso de graduação em Medicina permanece atual no cenário acadêmico mundial 5,6,8,11,12 . Há sugestões para que a inserção da temática sexualidade inclua os aspectos biológicos, psicológicos e socioculturais, garantindo a oferta ampla de conhecimentos [18][19][20][21] .…”

“…A sensibilização dos estudantes ocorre por meio da autopercepção das crenças, dos mitos e dos preconceitos que sustentam suas atitudes e criam obstáculos à assistência 18,20,21 . A sensibilização pode promover um ambiente favorável ao desenvolvimento de novas atitudes, além de facilitar a aquisição de habilidades de comunicação para a coleta de uma história sexual 18,19,21,22 .…”

“…A sensibilização pode promover um ambiente favorável ao desenvolvimento de novas atitudes, além de facilitar a aquisição de habilidades de comunicação para a coleta de uma história sexual 18,19,21,22 . Essa estratégia pedagógica, adotada em grupos de 10 a 14 estudantes, propicia a expressão de opiniões e sen- A provocação imagética e dialógica mobilizou a participação da maioria dos estudantes dos dois cursos por meio da exposição de opiniões, vivências pessoais e sentimentos.…”