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https://www.readbyqxmd.com/read/29691756/prospective-evaluation-of-cardiac-ultrasound-performance-by-general-internal-medicine-physicians-during-a-6-month-faculty-development-curriculum
#1
Christopher J Smith, Abdulrahman Morad, Christopher Balwanz, Elizabeth Lyden, Tabatha Matthias
BACKGROUND: Point-of-care (POCUS) education is rapidly expanding within medical schools and internal medicine residency programs, but lack of trained faculty is a major barrier. While POCUS training can improve short-term outcomes, knowledge and skills rapidly decay without deliberate practice and feedback. The purpose of this study was to evaluate the performance of focused cardiac ultrasound (FCU) by volunteer general internal medicine (GIM) faculty participating in a longitudinal POCUS curriculum...
April 24, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/29691289/hip-and-groin-time-loss-injuries-decreased-slightly-but-injury-burden-remained-constant-in-men-s-professional-football-the-15-year-prospective-uefa-elite-club-injury-study
#2
Jonas Werner, Martin Hägglund, Jan Ekstrand, Markus Waldén
BACKGROUND: Hip and groin injuries are common in men's professional football, but the time-trend of these injuries is not known. AIM: To investigate hip and groin injury rates, especially time-trends, in men's professional football over 15 consecutive seasons. STUDY DESIGN: Prospective cohort study. SETTING: Men's professional football. METHODS: 47 European teams were followed prospectively for a varying number of seasons between 2001/2002 and 2015/2016, totalling 268 team seasons...
April 24, 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29690944/appropriate-use-criteria-for-paediatric-echocardiography-in-an-outpatient-practice-a-validation-study
#3
Mark J Cartoski, Meghan Kiley, Philip J Spevak
BACKGROUND: Although transthoracic echocardiography is the dominant imaging modality in CHD, optimal utilisation is unclear. We assessed whether adherence to the paediatric Appropriate Use Criteria for outpatient transthoracic echocardiography could reduce inappropriate use without missing significant cardiac disease. METHODS: Using the Appropriate Use Criteria, we determined the indication and appropriateness rating for each initial echocardiogram performed at our institution during calendar year 2014 (N=1383)...
April 25, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29690906/a-forecasting-model-for-dengue-incidence-in-the-district-of-gampaha-sri-lanka
#4
Gayan P Withanage, Sameera D Viswakula, Y I Nilmini Silva Gunawardena, Menaka D Hapugoda
BACKGROUND: Dengue is one of the major health problems in Sri Lanka causing an enormous social and economic burden to the country. An accurate early warning system can enhance the efficiency of preventive measures. The aim of the study was to develop and validate a simple accurate forecasting model for the District of Gampaha, Sri Lanka. Three time-series regression models were developed using monthly rainfall, rainy days, temperature, humidity, wind speed and retrospective dengue incidences over the period January 2012 to November 2015 for the District of Gampaha, Sri Lanka...
April 24, 2018: Parasites & Vectors
https://www.readbyqxmd.com/read/29690853/rn-job-satisfaction-and-retention-after-an-interprofessional-team-intervention
#5
Dawon Baik, Brenda Zierler
Despite continuing interest in interprofessional teamwork to improve nurse outcomes and quality of care, there is little research that focuses on nurse job satisfaction and retention after an interprofessional team intervention. This study explored registered nurse (RN) job satisfaction and retention after a purposeful interprofessional team training and structured interprofessional bedside rounds were implemented. As part of a larger study, in this comparative cross-sectional study, pre- and post-intervention data on RN job satisfaction and turnover rate were collected and analyzed...
April 1, 2018: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/29689688/swimming-exercise-induced-reversed-expression-of-mir-96-and-its-target-gene-nav1-3-in-diabetic-peripheral-neuropathy-in-rats
#6
Amir Mahmoudi Aghdam, Parviz Shahabi, Elham Karimi-Sales, Rafigheh Ghiasi, Saeed Sadigh-Eteghad, Javad Mahmoudi, Mohammad Reza Alipour
Diabetes is a common metabolic disease which leads to diabetic peripheral neuropathy. Recently, the role of microRNA-96 (miR-96) in alleviating neuropathic pain by inhibiting the expression of NaV1.3, an isoform of voltage-gated sodium channels, has been shown. Peripheral nerve injuries result in NaV1.3 elevation. Exercise has beneficial role in diabetes management and peripheral neuropathy. However, the effects of exercise on miR-96 and its target gene NaV1.3 in diabetic rats are unknown. Therefore, the present study investigated the effects of exercise training on the expression of miR-96 and NaV1...
April 25, 2018: Chinese Journal of Physiology
https://www.readbyqxmd.com/read/29689571/endoscopist-factors-that-influence-serrated-polyp-detection-a-multicenter-study
#7
Seth D Crockett, Rebecca A Gourevitch, Michele Morris, David S Carrell, Sherri Rose, Zhuo Shi, Julia B Greer, Robert E Schoen, Ateev Mehrotra
BACKGROUND:  Serrated polyps are important colorectal cancer precursors that are variably detected during colonoscopy. We measured serrated polyp detection rate (SPDR) in a large, multicenter, cross-sectional study of colonoscopy quality to identify drivers of SPDR variation. METHODS:  Colonoscopy and pathology reports were collected for a 2-year period (10/2013-9/2015) from four sites across the United States. Data from reports, including size, location, and histology of polyps, were abstracted using a validated natural language processing algorithm...
April 24, 2018: Endoscopy
https://www.readbyqxmd.com/read/29689048/mapping-nurses-activities-in-surgical-hospital-wards-a-time-study
#8
W F J M van den Oetelaar, H F van Stel, W van Rhenen, R K Stellato, W Grolman
BACKGROUND: Balancing the number of nursing staff in relation to the number of patients is important for hospitals to remain efficient and optimizing the use of resources. One way to do this is to work with a workload management method. Many workload management methods use a time study to determine how nurses spend their time and to relate this to patient characteristics in order to predict nurse workload. OBJECTIVE: In our study, we aim to determine how nurses spend their working day and we will attempt to explain differences between specialized surgical wards...
2018: PloS One
https://www.readbyqxmd.com/read/29688110/a-mixed-methods-evaluation-of-a-multidisciplinary-point-of-care-ultrasound-program
#9
Andrew Smith, Michael Parsons, Tia Renouf, Sarah Boyd, Peter Rogers
BACKGROUND: Point of Care Ultrasound (PoCUS) is well established within emergency medicine, however, the availability of formal training for other clinical disciplines is limited. Memorial University has established a cost-efficient, multidisciplinary PoCUS training program focusing on training residents' discipline-specific ultrasound skills. This study evaluates the skills, knowledge, and attitudes of residents who participated in the program. METHODS: Analysis was conducted using a mixed-methods, sequential exploratory approach...
April 24, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29687266/physiological-and-psychological-determinants-of-whole-body-endurance-exercise-following-short-term-sustained-operations-with-partial-sleep-deprivation
#10
Michail E Keramidas, Magnus Gadefors, Lars-Ove Nilsson, Ola Eiken
PURPOSE: The study examined the effects of short-term field-based military training with partial sleep deprivation on whole-body endurance performance in well-trained individuals. METHODS: Before and after a 2-day sustained operations (SUSOPS), 14 cadets performed a 15-min constant-load cycling at 65% of peak power output (PPO; CLT65 ), followed by an exhaustive constant-load trial at 85% of PPO (CLT85 ). Physiological [oxygen uptake ([Formula: see text]O2 ), heart rate (HR), mean arterial pressure (MAP), cardiac output (CO), and regional oxygenation (TOI) in the frontal cerebral cortex and vastus lateralis muscle] and psychological [effort perception (RPE), affective valence (FS), and perceived activation (FAS)] variables were monitored during exercise...
April 23, 2018: European Journal of Applied Physiology
https://www.readbyqxmd.com/read/29686763/international-medical-graduates-in-the-us-physician-workforce-and-graduate-medical-education-current-and-historical-trends
#11
Awad A Ahmed, Wei-Ting Hwang, Charles R Thomas, Curtiland Deville
Background : Data show that international medical graduates (IMGs), both US and foreign born, are more likely to enter primary care specialties and practice in underserved areas. Comprehensive assessments of representation trends for IMGs in the US physician workforce are limited. Objective : We reported current and historical representation trends for IMGs in the graduate medical education (GME) training pool and US practicing physician workforce. Methods : We compared representation for the total GME and active practicing physician pools with the 20 largest residency specialties...
April 2018: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29686609/cerebellar-transcranial-direct-current-stimulation-modulates-corticospinal-excitability-during-motor-training
#12
Rebekah L S Summers, Mo Chen, Andrea Hatch, Teresa J Kimberley
Background : Cerebellar activity can be modulated using cerebellar transcranial direct current stimulation (ctDCS) and, when applied concurrently with task training, has been shown to facilitate cognitive and motor performance. However, how ctDCS facilitates motor performance is not fully understood. Objective/Hypothesis : To assess the electrophysiological and motor performance effects of ctDCS applied during motor training. Methods : Fourteen healthy adults (age 28.8 ± 10.5 years) were randomly assigned to complete one session of finger tracking training with either simultaneous bilateral anodal or sham ctDCS...
2018: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/29685835/incidence-of-anterolateral-ligament-tears-in-the-anterior-cruciate-ligament-deficient-knee-a-magnetic-resonance-imaging-analysis
#13
Christopher Gaunder, Scot Campbell, Michael Sciortino, Mark Slabaugh
PURPOSE: The purpose of this study is to determine the incidence of anterolateral ligament (ALL) tears on magnetic resonance imaging (MRI) in patients diagnosed with anterior cruciate ligament (ACL) tears. Furthermore, this study sought to determine the inter- and intraobserver reliability in diagnosing an ALL tear. METHODS: The MRI radiologic database at a community military hospital was queried for ACL tears over the period of January 2011 to April 2015. During this time, 181 MRIs were identified as having ACL tears...
April 20, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29685117/validation-of-the-posttraumatic-stress-disorder-checklist-5-pcl-5-in-a-primary-care-population-with-high-hiv-prevalence-in-zimbabwe
#14
Ruth Verhey, Dixon Chibanda, Lorna Gibson, Jonathan Brakarsh, Soraya Seedat
BACKGROUND: There is a dearth of validated tools measuring posttraumatic stress disorder (PTSD) in low and middle-income countries in sub-Saharan Africa. We validated the Shona version of the PTSD Checklist for DSM-5 (PCL-5) in a primary health care clinic in Harare, Zimbabwe. METHOD: Adults aged 18 and above attending the clinic were enrolled over a two-week period in June 2016. After obtaining written consent, trained research assistants administered the tool to eligible participants...
April 23, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29684926/changes-in-phase-angle-and-handgrip-strength-induced-by-suspension-training-in-older-women
#15
Francesco Campa, Analiza Mónica Silva, Stefania Toselli
This study aimed to present a suspension exercise training program suitable for older adults and to verify the effect of 12 weeks of training on handgrip strength (HS) and anthropometric and bioelectrical impedance parameters in older adults. Thirty older women (age 66.1±4.7 years, BMI 30.6±5.3 kg/m2 ) were randomly assigned to one of two groups: a training group (TG, n=15) or a control group (CG, n=15). The TG participated in a 12-week suspension training program, while the CG maintained their normal physical activity habits for the duration of the study...
April 23, 2018: International Journal of Sports Medicine
https://www.readbyqxmd.com/read/29683915/organized-chaos-in-late-specialization-team-sports-weekly-training-loads-of-elite-adolescent-rugby-union-players
#16
Padraic J Phibbs, Ben Jones, Gregory Roe, Dale B Read, Joshua Darrall-Jones, Jonathon Weakley, Andrew Rock, Kevin Till
Phibbs, PJ, Jones, B, Roe, G, Read, DB, Darrall-Jones, J, Weakley, J, Rock, A, and Till, K. Organized chaos in late specialization team sports: weekly training loads of elite adolescent rugby union players. J Strength Cond Res 32(5): 1316-1323, 2018-The aim of this study was to quantify the mean weekly training load (TL) of elite adolescent rugby union players participating in multiple teams and examine the differences between playing positions. Twenty elite male adolescent rugby union players (17.4 ± 0.7 years) were recruited from a regional academy and categorized by playing position: forwards (n = 10) and backs (n = 10)...
May 2018: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/29683914/different-patterns-in-muscular-strength-and-hypertrophy-adaptations-in-untrained-individuals-undergoing-nonperiodized-and-periodized-strength-regimens
#17
Eduardo O De Souza, Valmor Tricoli, Jacob Rauch, Michael R Alvarez, Gilberto Laurentino, André Y Aihara, Fabiano N Cardoso, Hamilton Roschel, Carlos Ugrinowitsch
De Souza, EO, Tricoli, V, Rauch, J, Alvarez, MR, Laurentino, G, Aihara, AY, Cardoso, FN, Roschel, H, and Ugrinowitsch, C. Different patterns in muscular strength and hypertrophy adaptations in untrained individuals undergoing non-periodized and periodized strength regimens. J Strength Cond Res 32(5): 1238-1244, 2018-This study investigated the effects of nonperiodized (NP), traditional periodization (TP), and daily undulating periodization (UP) regimens on muscle strength and hypertrophy in untrained individuals...
May 2018: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/29683517/biodiversity-conservation-and-armed-conflict-a-warfare-ecology-perspective
#18
REVIEW
Thor Hanson
The activities involved in preparing for, executing, and recovering from armed conflict are globally pervasive and consequential, with significant impacts on natural systems. Effects on biodiversity are predominantly negative, produced by direct and indirect battlefield impacts, as well as the general breakdown of social, economic, and governance systems during wartime. Certain conservation opportunities do occur, however, particularly on lands set aside for training exercises, buffer zones, and peace parks...
April 23, 2018: Annals of the New York Academy of Sciences
https://www.readbyqxmd.com/read/29683030/transcranial-direct-current-stimulation-enhances-motor-skill-learning-but-not-generalization-in-chronic-stroke
#19
Manuela Hamoudi, Heidi M Schambra, Brita Fritsch, Annika Schoechlin-Marx, Cornelius Weiller, Leonardo G Cohen, Janine Reis
BACKGROUND: Motor training alone or combined with transcranial direct current stimulation (tDCS) positioned over the motor cortex (M1) improves motor function in chronic stroke. Currently, understanding of how tDCS influences the process of motor skill learning after stroke is lacking. OBJECTIVE: To assess the effects of tDCS on the stages of motor skill learning and on generalization to untrained motor function. METHODS: In this randomized, sham-controlled, blinded study of 56 mildly impaired chronic stroke patients, tDCS (anode over the ipsilesional M1 and cathode on the contralesional forehead) was applied during 5 days of training on an unfamiliar, challenging fine motor skill task (sequential visual isometric pinch force task)...
April 1, 2018: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/29682834/the-nature-of-delayed-dream-incorporation-dream-lag-effect-personally-significant-events-persist-but-not-major-daily-activities-or-concerns
#20
Jean-Baptiste Eichenlaub, Elaine van Rijn, Mairéad Phelan, Larnia Ryder, M Gareth Gaskell, Penelope A Lewis, Matthew P Walker, Mark Blagrove
Incorporation of details from waking life events into rapid eye movement (REM) sleep dreams has been found to be highest on the 2 nights after, and then 5-7 nights after, the event. These are termed, respectively, the day-residue and dream-lag effects. This study is the first to categorize types of waking life experiences and compare their incorporation into dreams across multiple successive nights. Thirty-eight participants completed a daily diary each evening and a dream diary each morning for 14 days. In the daily diary, three categories of experiences were reported: major daily activities (MDAs), personally significant events (PSEs) and major concerns (MCs)...
April 22, 2018: Journal of Sleep Research
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