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https://www.readbyqxmd.com/read/28567578/the-efficacy-and-safety-of-multiple-dose-intravenous-tranexamic-acid-on-blood-loss-following-total-knee-arthroplasty-a-randomized-controlled-trial
#1
Yiting Lei, Jinwei Xie, Bin Xu, Xiaowei Xie, Qiang Huang, Fuxing Pei
PURPOSE: To assess the efficacy and safety of multiple-dose intravenous tranexamic acid (IV-TXA) on blood loss following total knee arthroplasty (TKA). METHODS: One hundred fifty nine patients received one bolus of IV-TXA before skin incision and two boluses three and six hours later (group A), or another bolus nine hours later (group B), or another two boluses nine and 12 hours later (group C). The primary outcomes were total blood loss (TBL), hidden blood loss (HBL), and maximum haemoglobin (Hb) drop...
May 31, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28500461/predicting-success-in-percutaneous-transhepatic-biliary-drainage
#2
Ankaj Khosla, Yin Xi, Seth Toomay
PURPOSE: To develop a model to predict successful bilirubin decrease following percutaneous biliary drain placement. METHODS: A total of 257 patients who were identified having undergone percutaneous transhepatic biliary drain placement (PTBD) at our institution between 2002 and 2013 had their medical records and imaging reviewed. Of those, 190 of these patients met criteria and were used in the analysis. A regression model was performed on logarithm-transformed collected variables to predict post-drainage logarithmic transformed total bilirubin levels...
May 12, 2017: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/28496275/qualitative-analysis-of-student-perceptions-comparing-team-based-learning-and-traditional-lecture-in-a-pharmacotherapeutics-course
#3
Tami L Remington, Barry E Bleske, Tracy Bartholomew, Michael P Dorsch, Sally K Guthrie, Kristin C Klein, Jeffrey M Tingen, Trisha D Wells
Objective. To qualitatively compare students' attitudes and perceptions regarding team-based learning (TBL) and lecture. Design. Students were exposed to TBL and lecture in an elective pharmacotherapeutics course in a randomized, prospective, cross-over design. After completing the course, students provided their attitudes and perceptions through a written self-reflection and narrative questions on the end-of-course evaluation. Student responses were reviewed using a grounded theory coding method. Assessment...
April 2017: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/28472506/transport-related-stress-and-its-resolution-in-turkey-pullets-activation-of-a-pro-inflammatory-response-in-peripheral-blood-leukocytes
#4
Yossi Wein, Zohar Geva, Enav Bar-Shira, Aharon Friedman
The transportation process is one of the most stressful practices in poultry and livestock management. Extensive knowledge is available on the impact of transport on stress and animal welfare; however, little is known on the impact of transport on the physiology of turkey pullets, their welfare and health, and even less on the process of homeostatic recovery in the post-transport new environment. The main focus of this manuscript was to focus on trauma, stress, and recovery following transport of turkey pullets from nurseries to pullet farms...
May 3, 2017: Poultry Science
https://www.readbyqxmd.com/read/28471931/evaluating-self-efficacy-after-a-team-based-learning-activity
#5
Camille Loftin, Holly West
PURPOSE: Evidence suggests that confidence in learning may improve academic performance. The purpose of this study was to evaluate the University of Texas Medical Branch (UTMB) physician assistant (PA) student's self-efficacy for learning end-of-life (EOL) care after a team-based learning (TBL) activity. Confidence in the PA student's critical thinking skills after a TBL activity was also assessed. METHODS: This research used a pretest-posttest 2-group design. Eighty-seven UTMB didactic-year PA students were randomly assigned to a TBL group (n = 43) or non-TBL group (n = 44)...
May 1, 2017: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/28412667/nurses-perceptions-of-the-impact-of-team-based-learning-participation-on-learning-style-team-behaviours-and-clinical-performance-an-exploration-of-written-reflections
#6
Elizabeth Oldland, Judy Currey, Julie Considine, Josh Allen
Team-Based Learning (TBL) is a teaching strategy designed to promote problem solving, critical thinking and effective teamwork and communication skills; attributes essential for safe healthcare. The aim was to explore postgraduate student perceptions of the role of TBL in shaping learning style, team skills, and professional and clinical behaviours. An exploratory descriptive approach was selected. Critical care students were invited to provide consent for the use for research purposes of written reflections submitted for course work requirements...
May 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28379087/uncover-it-students-would-learn-leadership-from-team-based-learning-tbl-the-effect-of-guided-reflection-and-feedback
#7
Maryam Alizadeh, Azim Mirzazadeh, Dean X Parmelee, Elizabeth Peyton, Leila Janani, Gholamreza Hassanzadeh, Saharnaz Nedjat
CONTEXT: Little is known about best practices for teaching and learning leadership through Team-Based learning™ (TBL™) with medical students. We hypothesized that guided reflection and feedback would improve shared leadership and shared leadership capacity, and enhance team decision quality in TBL teams. We used the Kolb experiential learning theory as the theoretical framework. METHOD: The study was conducted at Tehran University of Medical Sciences. Three TBL sessions with 206 students (39 teams) participated in the study...
April 2017: Medical Teacher
https://www.readbyqxmd.com/read/28375329/study-of-a-weak-scattering-model-in-aero-optic-simulations-and-its-computation
#8
Lingfei Xu, Zhichao Zhou, Tianrong Ren
Atmosphere optic statistical modeling cannot be used to analyze aerodynamic flow laser beam propagation characteristics without accounting for the density spectrum of the refractive index. However, numerical simulations support the analysis of these characteristics through ray tracing, random-phase-screen diffraction modeling, and Maxwell-equation-based scattering modeling. We analyzed the laser-beam propagation in aero-optics using the Maxwell-equation-based scattering model. Three approaches offer solutions to Maxwell's equations in statistically inhomogeneous media: high-order numerical differentiations with paraxial approximation and Runge-Kutta methods, Born-approximated scattering potential integral equations, and Rytov-approximated scattering potential integral equations...
April 1, 2017: Journal of the Optical Society of America. A, Optics, Image Science, and Vision
https://www.readbyqxmd.com/read/28331383/applying-team-based-learning-of-diagnostics-for-undergraduate-students-assessing-teaching-effectiveness-by-a-randomized-controlled-trial-study
#9
Rui Zeng, Lian-Rui Xiang, Jing Zeng, Chuan Zuo
BACKGROUND: We aimed to introduce team-based learning (TBL) as one of the teaching methods for diagnostics and to compare its teaching effectiveness with that of the traditional teaching methods. METHODS: We conducted a randomized controlled trial on diagnostics teaching involving 111 third-year medical undergraduates, using TBL as the experimental intervention, compared with lecture-based learning as the control, for teaching the two topics of symptomatology. Individual Readiness Assurance Test (IRAT)-baseline and Group Readiness Assurance Test (GRAT) were performed in members of each TBL subgroup...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/28319822/comparison-of-intravenous-versus-topical-tranexamic-acid-in-primary-total-hip-and-knee-arthroplasty-an-updated-meta-analysis
#10
REVIEW
Jinwei Xie, Qinsheng Hu, Qiang Huang, Jun Ma, Yiting Lei, Fuxing Pei
BACKGROUND: The appropriate route for administering tranexamic acid in primary total hip (THA) and knee arthroplasty (TKA) remains controversial. The purpose of this meta-analysis was to compare the efficacy and safety of topical or intravenous tranexamic acid. METHODS: PubMed, EMBASE, and the Cochrane Library databases were systematically searched for randomized controlled trials (RCTs) comparing topical and intravenous tranexamic acid following primary THA or TKA...
May 2017: Thrombosis Research
https://www.readbyqxmd.com/read/28293158/comparison-of-medical-students-learning-approaches-between-electronic-and-hard-copy-team-based-learning
#11
Fawzy Sharaf, Sultan Alnohair
AIM: To compare the students' perception of team-based learning (TBL): The paper (hard copy) compared with the e-copy (electronic copy) in the family medicine course of the fifth year medical students, Qassim University College of Medicine. METHODS: A cross-sectional study was conducted during the family medicine course in 2015-2016 to compare the hard copy and the e-copy TBL sessions. We used Google drive to distribute, collect and analyze the questionnaire. The results of the e-copy TBL are shown and displayed directly with each session to the students, which was not the same as practiced with hard copy...
January 2017: International Journal of Health Sciences
https://www.readbyqxmd.com/read/28265784/-all-i-need-is-help-to-do-well-herbs-medicines-faith-and-syncretism-in-the-negotiation-of-elder-health-treatment-in-rural-ghana
#12
Eileen Smith-Cavros, Joyce Avotri-Wuaku, Albert Wuaku, Amal Bhullar
This qualitative research sought answers to questions about how elders in Agate, Ghana, coped with the challenges of illness in a rural village and in particular how they negotiated treatment for their illnesses within a flawed and limited healthcare system. In our study, 22 of 28 interviewees used all methods available to them (biomedical approaches [doctors and/or hospitals and/or doctor-prescribed medications], herbs, over-the-counter medicines [i.e., acetaminophen painkillers], and faith-based methods [praying/fasting/laying of hands/holy food and/or water]) in attempts to heal their illnesses...
March 6, 2017: Journal of Religion and Health
https://www.readbyqxmd.com/read/28261403/jgme-aliem-hot-topics-in-medical-education-analysis-of-a-multimodal-online-discussion-about-team-based-learning
#13
Jeff Riddell, Catherine Patocka, Michelle Lin, Jonathan Sherbino
BACKGROUND : Team-based learning (TBL) is an instructional method that is being increasingly incorporated in health professions education, although use in graduate medical education (GME) has been more limited. OBJECTIVE : To curate and describe themes that emerged from a virtual journal club discussion about TBL in GME, held across multiple digital platforms, while also evaluating the use of social media in online academic discussions. METHODS : The Journal of Graduate Medical Education (JGME) and the Academic Life in Emergency Medicine blog facilitated a weeklong, open-access, virtual journal club on the 2015 JGME article "Use of Team-Based Learning Pedagogy for Internal Medicine Ambulatory Resident Teaching...
February 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/28260153/effects-of-different-methods-of-using-pneumatic-tourniquet-in-patients-undergoing-total-knee-arthroplasty-a-randomized-control-trial
#14
Y Zhang, D Li, P Liu, X Wang, M Li
BACKGROUND: The goal of this work was to investigate the effects of different methods of using pneumatic tourniquet on reducing blood loss in patients undergoing cemented total knee arthroplasty (TKA). METHODS: One hundred and fifty patients undergoing unilateral cemented TKA were randomly divided into three groups (50 patients per group). The tourniquet was used during the entire operation (Group A), used from the beginning of operation to the completion of joint replacement (Group B), and from the beginning of osteotomy to the completion of arthroplasty (Group C)...
March 4, 2017: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/28250366/evaluation-of-team-based-learning%C3%A2-in-a-doctor-of-physical-therapy-curriculum
#15
Donald H Lein, John D Lowman, Christopher A Eidson, Hon K Yuen
Purpose: The purpose of this retrospective study is to evaluate students' academic outcomes after implementation of the Team-Based Learning™ (TBL) approach in patient/client management courses in an entry-level doctor of physical therapy (DPT) curriculum. Methods: The research design of this study involved comparing written and practical exam scores from DPT student cohorts taught with the traditional instructional methods (lecture-based) to those of students from subsequent cohorts taught using the TBL approach in two patient/client management courses: Basic Skills and Cardiopulmonary...
February 28, 2017: Journal of Educational Evaluation for Health Professions
https://www.readbyqxmd.com/read/28249842/tuberculous-lymphadenitis-is-associated-with-enhanced-baseline-and-antigen-specific-induction-of-type-1-and-type-17-cytokines-and-reduced-interleukin-1%C3%AE-il-1%C3%AE-and-il-18-at-the-site-of-infection
#16
Gokul Raj Kathamuthu, Kadar Moideen, Dhanaraj Baskaran, Vaithilingam V Banurekha, Dina Nair, Gomathi Sekar, Rathinam Sridhar, Bharathi Vidyajayanthi, Ganeshan Gajendraraj, Dinesh Kumar Parandhaman, Alena Srinivasan, Subash Babu
Tuberculous lymphadenitis (TBL) is characterized by an expansion of Th1 and Th17 cells with altered serum levels of proinflammatory cytokines. However, the cytokine profile at the site of infection, i.e., the affected lymph nodes, has not been examined in detail. To estimate the baseline and mycobacterial antigen-stimulated concentrations of type 1, type 17, and other proinflammatory cytokines in patients with TBL (n = 14), we examined both the baseline and the antigen-specific concentrations of these cytokines before and after chemotherapy and compared them with those in individuals with pulmonary tuberculosis (PTB) (n = 14)...
May 2017: Clinical and Vaccine Immunology: CVI
https://www.readbyqxmd.com/read/28237314/preventive-motor-training-but-not-progenitor-grafting-ameliorates-cerebellar-ataxia-and-deregulated-autophagy-in-tambaleante-mice
#17
Elisa Fucà, Michela Guglielmotto, Enrica Boda, Ferdinando Rossi, Ketty Leto, Annalisa Buffo
Treatment options for degenerative cerebellar ataxias are currently very limited. A large fraction of such disorders is represented by hereditary cerebellar ataxias, whose familiar transmission facilitates an early diagnosis and may possibly allow to start preventive treatments before the onset of the neurodegeneration and appearance of first symptoms. In spite of the heterogeneous aetiology, histological alterations of ataxias often include the primary degeneration of the cerebellar cortex caused by Purkinje cells (PCs) loss...
June 2017: Neurobiology of Disease
https://www.readbyqxmd.com/read/28207503/clamping-drainage-is-unnecessary-after-minimally-invasive-total-knee-arthroplasty-in-patients-with-tranexamic-acid-a-randomized-controlled-trial
#18
RANDOMIZED CONTROLLED TRIAL
Yuangang Wu, Timin Yang, Yi Zeng, Canfeng Li, Bin Shen, Fuxing Pei
BACKGROUND: Drainage and tranexamic acid (TXA) have been widely used in total knee arthroplasty (TKA). However, it remains unclear whether it is necessary to clamp the drain after minimally invasive TKA (MIS-TKA) when TXA is used. We therefore conducted a randomized controlled trial to compare the effects of clamping versus not clamping drainage following MIS-TKA in patients in whom TXA was used. METHODS: From January 2015 to December 2015, 121 patients undergoing unilateral primary MIS-TKA were enrolled and randomly divided into 2 groups...
February 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28179720/using-team-based-learning-to-teach-a-hybrid-pharmacokinetics-course-online-and-in-class
#19
Ann Snyder Franklin, Susan Markowsky, Justin De Leo, Sven Normann, Erik Black
Objective. To compare the effectiveness of face-to-face and online team-based learning (TBL) to teach phenytoin pharmacokinetics. Design. A TBL format was used to teach an online cohort of 222 pharmacy students and two face-to-face cohorts (Tampa and Las Vegas) of pharmacy students. Students in all cohorts completed individual and team readiness tests (iRATs and tRATs), and a self-assessment survey to determine teamwork and content understanding. Knowledge retention questions also were added to the final examination...
December 25, 2016: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/28178641/does-team-based-learning-improve-performance-in-an-infectious-diseases-course-in-a-preclinical-curriculum
#20
Kathryn C Behling, Rose Kim, Matthew Gentile, Osvaldo Lopez
Objectives: To examine whether introduction of Team-based Learning (TBL) improves student learning resulting in improved performance on final examination questions and decreased failures in an infectious diseases course. Methods: To improve mastery of course content, we designed an intervention, which provided weekly TBL exercises in study years 2 and 3 to review concepts presented during didactic lectures and laboratory exercises.  The remaining course structure and content was essentially unchanged...
February 8, 2017: International Journal of Medical Education
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