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https://www.readbyqxmd.com/read/28103718/peer-review-improves-psychometric-characteristics-of-multiple-choice-questions
#1
Hani Abozaid, Yoon Soo Park, Ara Tekian
PURPOSE: For new and emerging medical schools, developing a system to peer-review and evaluate the assessment processes through faculty development programs can be a challenge. This study evaluates the impact of peer-review practices on item analysis, reliability, and the standard error of measurement of multiple-choice questions for summative final examinations. METHODS: This study used a retrospective cohort design of two consecutive academic years in 2012 and in 2013...
January 20, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28069624/external-validation-of-the-revised-cardiac-risk-index-and-update-of-its-renal-variable-to-predict-30-day-risk-of-major-cardiac-complications-after-non-cardiac-surgery-rationale-and-plan-for-analyses-of-the-vision-study
#2
Pavel S Roshanov, Michael Walsh, P J Devereaux, S Danielle MacNeil, Ngan N Lam, Ainslie M Hildebrand, Rey R Acedillo, Marko Mrkobrada, Clara K Chow, Vincent W Lee, Lehana Thabane, Amit X Garg
INTRODUCTION: The Revised Cardiac Risk Index (RCRI) is a popular classification system to estimate patients' risk of postoperative cardiac complications based on preoperative risk factors. Renal impairment, defined as serum creatinine >2.0 mg/dL (177 µmol/L), is a component of the RCRI. The estimated glomerular filtration rate has become accepted as a more accurate indicator of renal function. We will externally validate the RCRI in a modern cohort of patients undergoing non-cardiac surgery and update its renal component...
January 9, 2017: BMJ Open
https://www.readbyqxmd.com/read/28063607/do-great-teams-think-alike-an-examination-of-team-mental-models-and-their-impact-on%C3%A2-team%C3%A2-performance
#3
Aimee K Gardner, Daniel J Scott, Kareem R AbdelFattah
BACKGROUND: Team mental models represent the shared understanding of team members within their relevant environment. Thus, team mental models should have a substantial impact on a team's ability to engage in purposeful and coordinated action. We sought to examine the impact of shared team mental models on team performance and to investigate if team mental models increase over time as teams continue to work together. METHODS: New surgery interns were assigned randomly to 1 of 10 teams...
January 4, 2017: Surgery
https://www.readbyqxmd.com/read/28051327/are-there-potential-safety-issues-concerning-the-safe-usage-of-electronic-personal-tracking-devices-the-experience-of-a-multi-sport-elite-club
#4
Daniel Medina, Eduard Pons, Antonio Gomez, Marc Guitart, Andres Martin, Jairo Vazquez-Guerrero, Ismael Camenforte, Berta Carles, Roger Font
Despite approval of the use of electronic personal tracking devices (EPTD) during competition by the International Football Association Board (IFAB), other team sport organizations and leagues have banned its use due to "safety concerns", with no evidence to support this assertion. The aim of the current brief report is to provide empirical evidence to support the wide-spread usage across all sports by examining safety issues concerning the use of EPTD in a multi-team sports club. A total of 5 outdoor football teams (first team, second team, under 19, under 18 and first team female) and 3 indoor multi-sport (basketball, futsal and handball) teams have been monitored; accounting for a total of 63...
January 4, 2017: International Journal of Sports Physiology and Performance
https://www.readbyqxmd.com/read/28031600/medical-curriculum-and-pharmacology-an-appraisal
#5
P S R K Haranath
Pharmacology was introduced with Western Medical Education in India in 1900s. RN Chopra was the first Professor of Pharmacology along with patient care in School of Tropical Medicine Calcutta. Now Pharmacologists do not have clinical care nor give laboratory services to hospitals. Medical Education advanced in the West in 1960s with more emphasis on Integrated Teaching and Student Self-study and less on didactic lectures. System Based Learning and Problem Based Learning reduced importance of individual subjects...
October 2016: Indian Journal of Pharmacology
https://www.readbyqxmd.com/read/28030366/nicu-nurses-and-lactation-based-support-and-care
#6
Elizabeth Froh, Katherine Dahlmeier, Diane L Spatz
BACKGROUND: The provision of human milk and breastfeeding is essential in the neonatal intensive care unit (NICU) population. However, recent national research has demonstrated very low percentages of NICU nurses providing lactation-based support and care to patients and families, and less than half of all NICUs have an International Board Certified Lactation Consultant (IBCLC) on staff. PURPOSE: The purpose of this study was to describe how NICU bedside nurses are providing lactation-based support and care during their shifts and the frequency of that support...
December 27, 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/27996178/quantitative-analysis-of-extracranial-arterial-tortuosity-in-patients-with-sickle-cell-disease
#7
Karen Buch, Rahul Arya, Bhavya Shah, Rohini N Nadgir, Naoko Saito, Muhammad M Qureshi, Osamu Sakai
PURPOSE: Compared to the intracranial vasculature in sickle cell disease (SCD) patients, the morphologic changes of the extracranial vasculature in SCD patients are less well understood. The purpose of this study was to evaluate the tortuosity of the extracranial carotid and vertebral arteries in patients with SCD compared to age-matched controls. METHODS: Following Institution Review Board approval, between January 2004 and December 2013, Magnetic resonance angiogram neck examinations were retrospectively reviewed on 56 patients with SCD and 56 age-matched controls...
December 20, 2016: Journal of Neuroimaging: Official Journal of the American Society of Neuroimaging
https://www.readbyqxmd.com/read/27968839/mortality-and-retention-in-hospital-based-and-cdc-based-antiretroviral-service-delivery-in-people-living-with-hiv-in-the-guangdong-province-china-a-prospective-cohort-study
#8
Chuanyi Ning, Kumi M Smith, Chase D McCann, Fengyu Hu, Yun Lan, Fuchun Zhang, Hao Liang, Jinmin Zhao, Joseph D Tucker, Weiping Cai
BACKGROUND: Enormous efforts have been made to decentralise HIV service delivery in China, gradually developing a network of thousands of Centres For Disease Control And Prevention (CDCs) with or without local hospitals providing antiretroviral therapy (ART) to every village or equivalent. However, in the Guangdong Province, China, most infected patients from CDCs delivering HIV services have been switched to sentinel hospitals, providing an opportunity to examine this shift on linkage to care, retention, and mortality among people living with HIV...
October 2016: Lancet
https://www.readbyqxmd.com/read/27968823/10-year-trends-in-the-production-and-attrition-of-chinese-medical-graduates-an-analysis-of-nationwide-data
#9
Selina S Lien, Russell O Kosik, Angela P Fan, Lei Huang, Xudong Zhao, Xiaojie Chang, Yuhwa Wang, Qi Chen
BACKGROUND: Over the past decade, China's systems of medical education and health care have undergone unprecedented reform. Despite these reforms, a trend of declining interest among medical graduates in pursuing careers in clinical practice has persisted. The aim of this analysis is to examine physician workforce production and attrition rates and use current trends to predict whether an adequate and equitable supply of physicians will exist in the future. METHODS: We analysed data about Chinese medical graduates and physicians in clinical practice between 2005 and 2015 using the Chinese National Health and Family Planning Commission reports and yearbooks published by the government of China and the Peking Union Medical College...
October 2016: Lancet
https://www.readbyqxmd.com/read/27923089/correlations-between-ratings-on-the-resident-annual-evaluation-summary-and-the-internal-medicine-milestones-and-association-with-abim-certification-examination-scores-among-us-internal-medicine-residents-2013-2014
#10
Karen E Hauer, Jonathan Vandergrift, Brian Hess, Rebecca S Lipner, Eric S Holmboe, Sarah Hood, William Iobst, Stanley J Hamstra, Furman S McDonald
Importance: US internal medicine residency programs are now required to rate residents using milestones. Evidence of validity of milestone ratings is needed. Objective: To compare ratings of internal medicine residents using the pre-2015 resident annual evaluation summary (RAES), a nondevelopmental rating scale, with developmental milestone ratings. Design, Setting, and Participants: Cross-sectional study of US internal medicine residency programs in the 2013-2014 academic year, including 21 284 internal medicine residents (7048 postgraduate-year 1 [PGY-1], 7233 PGY-2, and 7003 PGY-3)...
December 6, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27847352/the-effects-of-an-e-mental-health-program-and-job-coaching-on-the-risk-of-major-depression-and-productivity-in-canadian-male-workers-protocol-for-a-randomized-controlled-trial
#11
JianLi Wang, Scott B Patten, Raymond W Lam, Mark Attridge, Kendall Ho, Norbert Schmitz, Alain Marchand, Bonnie M Lashewicz
BACKGROUND: Major depression (MDE) is prevalent in men and affects men's health and productivity. Because of the stigma against depression and social/gender norms, men are less likely to seek help for emotion and stress-related issues. Therefore, innovative solutions tailored for men are needed. With rapid development of the Internet and information technologies, one promising solution that has drawn considerable attentions is electronic mental (e-mental) health programs and services...
November 15, 2016: JMIR Research Protocols
https://www.readbyqxmd.com/read/27843335/incidence-of-clinical-symptoms-during-long-duration-orbital-spaceflight
#12
Brian Crucian, Adriana Babiak-Vazquez, Smith Johnston, Duane L Pierson, C Mark Ott, Clarence Sams
BACKGROUND: The environment of spaceflight may elevate an astronaut's clinical risk for specific diseases. The purpose of this study was to derive, as accurately as currently possible, an assessment of in-flight clinical "incidence" data, based on observed clinical symptoms in astronauts on board the International Space Station (ISS). METHODS: Electronic medical records were examined from 46 long-duration ISS crew members, each serving approximately a 6-month mission on board the ISS, constituting 20...
2016: International Journal of General Medicine
https://www.readbyqxmd.com/read/27754014/me-02-3-extending-sprint-results-to-diabetics
#13
Guido Grassi
The Systolic Blood Pressure Intervention Trial (SPRINT), sponsored by the National Heart, Lung and Blood Institute in the USA, allocated 9361 hypertensive patients (mean age 68 years) to two systolic blood pressure treatment targets (either < 120mmHg or < 140mmHg). Although SPRINT intended to enrol hypertensive patients at high cardiovascular risk, it specifically excluded patients with diabetes mellitus or prior stroke. SPRINT was stopped earlier than planned, after a mean follow-up of 3.26 years, on the recommendation of its data and safety monitoring board, and data were published on 9 November 2015...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27687963/the-iaslc-mesothelioma-staging-project-proposals-for-revisions-of-the-t-descriptors-in-the-forthcoming-eighth-edition-of-the-tnm-classification-for-pleural-mesothelioma
#14
Anna K Nowak, Kari Chansky, David C Rice, Harvey I Pass, Hedy L Kindler, Lynn Shemanski, Andrea Billé, Robert C Rintoul, Hasan F Batirel, Charles F Thomas, Joseph Friedberg, Susana Cedres, Marc de Perrot, Valerie W Rusch
INTRODUCTION: The current T component for malignant pleural mesothelioma (MPM) has been predominantly informed by surgical data sets and consensus. The International Association for the Study of Lung Cancer undertook revision of the seventh edition of the staging system for MPM with the goal of developing recommendations for the eighth edition. METHODS: Data elements including detailed T descriptors were developed by consensus. Tumor thickness at three pleural levels was also recorded...
December 2016: Journal of Thoracic Oncology
https://www.readbyqxmd.com/read/27660141/ct-radiomic-analysis-using-lymph-node-density-profile-in-correlation-to-suv-value-for-pet-ct-based-n-staging
#15
Frederik Giesel, Florian Schneider, Clemens Kratochwil, Daniel Rath, Tim Holland-Letz, Jan Moltz, Hans-Ulrich Kauczor, Lawrence Schwartz, Uwe Haberkorn, Paul Flechsig
: In patients with lung cancer (LC), malignant melanoma (MM), gastroenteropancreatic neuroendocrine tumours (GEP-NETs) and prostate cancer (PCA), N-staging is often performed by integrated (18)F-FDG-Positron Emission Tomography/Computed Tomography (PET/CT) (LC, MM), (68)Ga-DOTATOC-PET/CT (GEP-NET) and (68)Ga-PSMA-PET/CT (PCA): N-staging is not always accurate due to indeterminate PET-findings. To better evaluate malignant lymph node (LN) infiltration, additional surrogate parameters, especially in cases with indeterminate PET-findings, would be helpful...
September 22, 2016: Journal of Nuclear Medicine: Official Publication, Society of Nuclear Medicine
https://www.readbyqxmd.com/read/27642925/me-02-3-extending-sprint-results-to-diabetics
#16
Guido Grassi
The Systolic Blood Pressure Intervention Trial (SPRINT), sponsored by the National Heart, Lung and Blood Institute in the USA, allocated 9361 hypertensive patients (mean age 68 years) to two systolic blood pressure treatment targets (either < 120mmHg or < 140mmHg). Although SPRINT intended to enrol hypertensive patients at high cardiovascular risk, it specifically excluded patients with diabetes mellitus or prior stroke. SPRINT was stopped earlier than planned, after a mean follow-up of 3.26 years, on the recommendation of its data and safety monitoring board, and data were published on 9 November 2015...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27634126/defining-achieving-and-maintaining-competence-in-cardiovascular-training%C3%A2-and-practice
#17
REVIEW
Jeffrey T Kuvin, Eric S Williams
Patients, hospitals, insurers, and the public rely on competent physicians. The definition and documentation of competency in cardiovascular training and practice continues to evolve. New tools, such as the American College of Cardiology's in-training examination, restructured Core Cardiovascular Training Statement, curricular and lifelong learning competencies, and the Accreditation Council for Graduate Medical Education Milestones help define competent trainees and practitioners, and level the playing field...
September 20, 2016: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/27633644/bioethics-training-programmes-for-africa-evaluating-professional-and-bioethics-related-achievements-of-african-trainees-after-a-decade-of-fogarty-nih-investment
#18
Nancy E Kass, Joseph Ali, Kristina Hallez, Adnan A Hyder
OBJECTIVES: Our primary aim was to evaluate the impact of US National Institutes of Health (NIH)-funded bioethics training programmes (Fogarty bioethics training programmes, FBTPs) that trained individuals from Africa over the programme's first 10 years to examine changes between pretraining and post-training in individual achievement and to document any associations between individual, training programme and post-training accomplishments. DESIGN: We surveyed trainees from the 10 bioethics programmes funded by NIH Fogarty International Center from 2000 to 2011 that included African trainees...
September 15, 2016: BMJ Open
https://www.readbyqxmd.com/read/27605696/humeral-shaft-fracture-fixation-incidence-rates-and-complications-as-reported-by-american-board-of-orthopaedic-surgery-part-ii-candidates
#19
REVIEW
Michael B Gottschalk, William Carpenter, Elise Hiza, William Reisman, James Roberson
BACKGROUND: Despite extensive research regarding patient outcomes after operative fixation of humeral shaft fractures by means of open reduction and internal fixation (ORIF) or intramedullary nailing (IMN), no current consensus exists regarding the optimal surgical treatment. The objective of this study was to compare IMN and plate fixation (ORIF) of humeral shaft fractures by using the American Board of Orthopaedic Surgery (ABOS) Part II operative database to analyze incidence rates, changes in management trends over time, early complications, and factors affecting the management choice...
September 7, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27599891/ultrasonographic-features-of-traumatic-neuromas-in-breast-cancer-patients-after-mastectomy
#20
Hwa Sung Sung, Young-Seon Kim
PURPOSE: The purpose of this study was to evaluate the ultrasonographic (US) features of traumatic neuromas in breast cancer patients after mastectomy. METHODS: This study was performed with approval from our Institutional Review Board, and the requirement for informed consent was waived. Six traumatic neuromas in five patients were included in this study. The US findings of traumatic neuromas were evaluated retrospectively by two radiologists according to the Breast Imaging-Reporting and Data System (BI-RADS) lexicon...
January 2017: Ultrasonography
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