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https://www.readbyqxmd.com/read/28430318/teaching-medical-students-ultrasound-guided-vascular-access-which-learning-method-is-best
#1
Alwin Lian, James C R Rippey, Peter J Carr
INTRODUCTION: Ultrasound is recommended to guide insertion of peripheral intravenous vascular cannulae (PIVC) where difficulty is experienced. Ultrasound machines are now common-place and junior doctors are often expected to be able to use them. The educational standards for this skill are highly varied, ranging from no education, to self-guided internet-based education, to formal, face-to-face traditional education. In an attempt to decide which educational technique our institution should introduce, a small pilot trial comparing educational techniques was designed...
April 20, 2017: Journal of Vascular Access
https://www.readbyqxmd.com/read/28425923/connectivity-restoration-in-wireless-sensor-networks-via-space-network-coding
#2
Alfred Uwitonze, Jiaqing Huang, Yuanqing Ye, Wenqing Cheng
The problem of finding the number and optimal positions of relay nodes for restoring the network connectivity in partitioned Wireless Sensor Networks (WSNs) is Non-deterministic Polynomial-time hard (NP-hard) and thus heuristic methods are preferred to solve it. This paper proposes a novel polynomial time heuristic algorithm, namely, Relay Placement using Space Network Coding (RPSNC), to solve this problem, where Space Network Coding, also called Space Information Flow (SIF), is a new research paradigm that studies network coding in Euclidean space, in which extra relay nodes can be introduced to reduce the cost of communication...
April 20, 2017: Sensors
https://www.readbyqxmd.com/read/28421176/distributed-learning-revitalizing-anesthesiology-training-in-resource-limited-ethiopia
#3
Krupa B Patel, Morgan Dooley, Ananya Abate, Vanessa Moll
BACKGROUND: Ethiopia has a significant paucity of available health-care workers. Despite the increasing number of medical schools, there are not enough physician instructors. Furthermore, availability and standardization of postgraduate training are lacking. Modalities of e-learning have been shown to be successful when used to impart medical education in other resource-limited countries. The Emory University and Addis Ababa University (AAU) Departments of Anesthesiology have formed a collaboration with the intent of improving the AAU Anesthesiology residency program, one of two postgraduate training programs for anesthesiology in Ethiopia...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28420604/a-digital-tool-to-promote-alcohol-and-drug-use-screening-brief-intervention-and-referral-to-treatment-skill-translation-a-mobile-app-development-and-randomized-controlled-trial-protocol
#4
Derek D Satre, Khanh Ly, Maria Wamsley, Alexa Curtis, Jason Satterfield
BACKGROUND: Translation of knowledge and skills from classroom settings to clinical practice is a major challenge in healthcare training, especially for behavioral interventions. For example, screening, brief intervention, and referral to treatment (SBIRT) is a highly-promoted approach to identifying and treating individuals at risk for alcohol or drug problems, yet effective, routine use of SBIRT has lagged. OBJECTIVE: The objective of this paper is to describe the development, pilot testing, and trial protocol of a mobile app based on the theory of planned behavior (TPB) to promote SBIRT skill translation and application...
April 18, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28412892/is-there-a-role-for-fidelity-self-assessment-in-the-individual-placement-and-support-model-of-supported-employment
#5
Paul J Margolies, Jennifer L Humensky, I-Chin Chiang, Nancy H Covell, Karen Broadway-Wilson, Raymond Gregory, Thomas C Jewell, Gary Scannevin, Stephen Baker, Lisa B Dixon
OBJECTIVE: Fidelity assessments help ensure that evidence-based practices are implemented properly. Although assessments are typically conducted by independent raters, some programs have implemented self-assessments because of resource constraints. Self-assessments were compared with independent assessments of programs implementing individual placement and support supported employment. METHODS: Eleven community-based outpatient programs in New York State completed both self- and independent assessments...
April 17, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28412666/student-nurses-perceptions-of-clinical-placements-in-australian-prison-health-services-a-mixed-methods-study
#6
Thea F van de Mortel, Judith Needham, Kate Barnewall, Ashleigh Djachenko, Jennifer Patrick
Increasing demands for clinical placements have forced tertiary institutions to look for alternative placements for third year nursing students. While Prison Health Services provide an opportunity for nursing students to engage in care of offender populations with significant chronic illnesses, there has been little evaluation of such placements. Third year undergraduate nurses (18/46) participated in a mixed methods study to provide evidence-based research on students' perceptions of clinical placements in Prison Health Services...
April 11, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28387620/reoperation-and-readmission-after-clipping-of-an-unruptured-intracranial-aneurysm-a-national-surgical-quality-improvement-program-analysis
#7
Hormuzdiyar H Dasenbrock, Timothy R Smith, Robert F Rudy, William B Gormley, M Ali Aziz-Sultan, Rose Du
OBJECTIVE Although reoperation and readmission have been used as quality metrics, there are limited data evaluating the rate of, reasons for, and predictors of reoperation and readmission after microsurgical clipping of unruptured aneurysms. METHODS Adult patients who underwent craniotomy for clipping of an unruptured aneurysm electively were extracted from the prospective National Surgical Quality Improvement Program registry (2011-2014). Multivariable logistic regression and recursive partitioning analysis evaluated the independent predictors of nonroutine hospital discharge, unplanned 30-day reoperation, and readmission...
April 7, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/28386952/student-perspectives-of-a-student-led-groups-program-model-of-professional-practice-education-in-a-brain-injury-rehabilitation-unit
#8
Freyr Patterson, Jennifer Fleming, Kathryn Marshall, Nadine Ninness
BACKGROUND/AIM: Professional practice education is a core and essential component of occupational therapy training. With increasing numbers of education programmes and more students requiring professional practice placements, development of innovative models of professional practice education has emerged, but these require investigation. The aim of this study was to investigate student experiences and perceptions of the Student-Led Groups Program model of professional practice education in an inpatient brain injury rehabilitation unit...
April 7, 2017: Australian Occupational Therapy Journal
https://www.readbyqxmd.com/read/28385588/outcomes-of-elective-outpatient-hysteroscopic-sterilization-in-undocumented-women-a-retrospective-analysis
#9
Patsy J McGuire, Jennifer Butler, Christina Gavito, Jeanelle Sheeder, Kristina Tocce
OBJECTIVE: To determine the feasibility of hysteroscopic sterilization in low-income and unauthorized immigrant women when financial barriers to care are removed. METHODS: Outpatient hysteroscopic sterilization for low-income women at an urban clinic was made possible by grant funding. All procedures were performed by obstetrician/gynecologist attending physicians or supervised trainees. Electronic records were reviewed for cases performed from June 2010 to December 11, 2013...
April 3, 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/28384435/birthing-on-country-in-our-community-a-case-study-of-engaging-stakeholders-and-developing-a-best-practice-indigenous-maternity-service-in-an-urban-setting
#10
Sue Kildea, Sophie Hickey, Carmel Nelson, Jody Currie, Adrian Carson, Maree Reynolds, Kay Wilson, Sue Kruske, Megan Passey, Yvette Roe, Roianne West, Anton Clifford, Machellee Kosiak, Shannon Watego, Sally Tracy
Developing high-quality and culturally responsive maternal and infant health services is a critical part of 'closing the gap' in health disparities between Aboriginal and Torres Strait Islander people and other Australians. The National Maternity Services Plan led work that describes and recommends Birthing on Country best-practice maternity care adaptable from urban to very remote settings, yet few examples exist in Australia. This paper demonstrates Birthing on Country principles can be applied in the urban setting, presenting our experience establishing and developing a Birthing on Country partnership service model in Brisbane, Australia...
April 7, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28383745/challenges-in-neonatal-nursing-clinical-teaching-to-nurse-midwife-technicians-in-malawi
#11
Ellemes Everret Phuma-Ngaiyaye, Oluyinka Adejumo, Anita Fafa Dartey
BACKGROUND: Practice-based learning is important in clinical teaching of nursing and midwifery as students develop the necessary competencies and confidence aligned by the outcomes of their learning programs. However, in Malawi, research shows that clinical teaching in neonatal nursing has not been given adequate consideration. This article reports on challenges faced by educators and students in clinical teaching and learning in neonatal nursing for nurse-midwife technicians. METHOD: An explorative qualitative study was conducted...
April 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/28383297/supportive-technology-in-the-resuscitation-of-out-of-hospital-cardiac-arrest-patients
#12
Scott T Youngquist, Kenneth A Scheppke, Paul E Pepe
PURPOSE OF REVIEW: To discuss the increasing value of technological tools to assess and augment the quality of cardiopulmonary resuscitation (CPR) and, in turn, improve chances of surviving out-of-hospital cardiac arrest (OHCA). RECENT FINDINGS: After decades of disappointing survival rates, various emergency medical services systems worldwide are now seeing a steady rise in OHCA survival rates guided by newly identified 'sweet spots' for chest compression rate, chest compression depth, and monitoring for unnecessary pauses in chest compressions as well as methods to better ensure full-chest recoil after compressions...
April 5, 2017: Current Opinion in Critical Care
https://www.readbyqxmd.com/read/28377655/efficacy-of-various-intracanal-medicaments-in-human-primary-teeth-with-necrotic-pulp-against-candida-biofilms-an-in-vivo-study
#13
Jophie V Paikkatt, Sheela Sreedharan, Beena Philomina, V P Kannan, Madhu Santhakumar, Tv Anupam Kumar
BACKGROUND: Candida has been associated with cases of secondary and persistent root canal infections. The purpose of this study was to evaluate and compare the effectiveness of commonly used intracanal medicament against Candida biofilms found in root canals of human primary teeth with necrotic pulp. MATERIALS AND METHODS: Pulp canals of 45 single-rooted primary maxillary anterior teeth with pulp necrosis in 34 children were included in the study. They were divided into three groups of 15 samples each - group I: Ca(OH)2 (calcium hydroxide); group II: 1% chlorhexidine gel (CHX); and group III: 1% metronidazole gel...
January 2017: International Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/28377139/real-time-intraoperative-evaluation-of-implant-quality-and-dose-correction-during-prostate-brachytherapy-consistently-improves-target-coverage-using-a-novel-image-fusion-and-optimization-program
#14
Michael J Zelefsky, Gilad N Cohen, Amandeep S Taggar, Marisa Kollmeier, Sean McBride, Gig Mageras, Marco Zaider
PURPOSE: Our purpose was to describe the process and outcome of performing postimplantation dosimetric assessment and intraoperative dose correction during prostate brachytherapy using a novel image fusion-based treatment-planning program. METHODS AND MATERIALS: Twenty-six consecutive patients underwent intraoperative real-time corrections of their dose distributions at the end of their permanent seed interstitial procedures. After intraoperatively planned seeds were implanted and while the patient remained in the lithotomy position, a cone beam computed tomography scan was obtained to assess adequacy of the prescription dose coverage...
January 20, 2017: Practical Radiation Oncology
https://www.readbyqxmd.com/read/28375233/standard-wheel-based-field-calibration-method-for-railway-wheelset-diameter-online-measuring-system
#15
Yuejian Chen, Zongyi Xing, Yifan Li, Zhi Yang
Laser displacement sensor (LDS)-based online measuring of the wheel diameter has been widely adopted in engineering for advantages such as noncontact, high efficiency, and high precision. For almost all these online measuring systems, calibration is certainly needed in order to obtain the extrinsic parameters of sensors. A field-based easy-to-operate, economical, and efficient calibration method is proposed for an LDS-based wheel diameter online measuring system. Only one standard wheelset is used to build the 3D calibration target that is also the measurement target of the system...
April 1, 2017: Applied Optics
https://www.readbyqxmd.com/read/28375072/evaluating-the-quality-of-veterinary-students-experiences-of-learning-in-clinics
#16
Susan M Matthew, Robert A Ellis, Rosanne M Taylor
Educators seeking to evaluate the quality of students' experiences of clinic-based learning (CBL) face a challenging task. CBL programs provide multiple opportunities for learning and aim to develop a wide range of skills, knowledge, and capacities. While direct observation of learners provides important information about students' proficiency in performing various clinical tasks, more comprehensive measures are required to unpack and identify factors relating to practice readiness as a whole. This study identified variables that have a logical and statistically significant association with learning outcomes across the broad range of attributes expected of new graduate veterinarians...
April 4, 2017: Journal of Veterinary Medical Education
https://www.readbyqxmd.com/read/28371779/dynamic-path-exploration-on-mobile-devices
#17
Michael Birsak, Przemyslaw Musialski, Peter Wonka, Michael Wimmer
We present a novel framework for visualizing routes on mobile devices. Our framework is suitable for helping users explore their environment. First, given a starting point and a maximum route length, the system retrieves nearby points of interest (POIs). Second, we automatically compute an attractive walking path through the environment trying to pass by as many highly ranked POIs as possible. Third, we automatically compute a route visualization that shows the current user position, POI locations via pins, and detail lenses for more information about the POIs...
March 31, 2017: IEEE Transactions on Visualization and Computer Graphics
https://www.readbyqxmd.com/read/28370852/prospective-study-of-the-use-of-intraoperative-neuromonitoring-in-determining-post-operative-energy-requirements-and-physiologic-midline-in-spinal-cord-stimulation
#18
Claire Collison, Julia Prusik, Steven Paniccioli, Michael Briotte, Rachael Grey, Paul Feustel, Julie G Pilitsis
BACKGROUND: Intraoperative neuromonitoring (IONM) through electromyography (EMG) studies has been shown to be a safe, effective way to determine the laterality of the spinal cord and guide electrode placement during spinal cord stimulation (SCS). However, the use of IONM to predict post-operative energy requirements and midline has not been examined and offers a new avenue to streamline programming and device selection. Further, the impact of cerebrospinal fluid (CSF) thickness on intraoperative and post-operative amplitudes is understood but has not been explicitly characterized...
March 28, 2017: Neuromodulation: Journal of the International Neuromodulation Society
https://www.readbyqxmd.com/read/28368137/preventing-unemployment-and-disability-benefit-receipt-among-people-with-mental-illness-evidence-review-and-policy-significance
#19
Bonnie O'Day, Rebecca Kleinman, Benjamin Fischer, Eric Morris, Crystal Blyler
OBJECTIVE: We identify effective services to assist 3 groups of people with mental illnesses become or remain employed and prevent dependence on disability cash benefits: (a) individuals, including youth, who are experiencing an initial episode of psychosis; (b) employed individuals at risk of losing jobs due to mental illness; and (c) individuals who are or may become long-term clients of mental health services and are likely to apply for disability benefits. METHOD: We searched for articles published between 1992 and 2015 using key word terminology related to employment support services and each subgroup, and prioritized articles by study design...
April 3, 2017: Psychiatric Rehabilitation Journal
https://www.readbyqxmd.com/read/28366500/peer-to-peer-mentoring-outcomes-of-third-year-midwifery-students-mentoring-first-year-students
#20
Rosemarie Hogan, Deborah Fox, Georgina Barratt-See
PROBLEM: Undergraduate midwifery students commonly experience anxiety in relation to their first clinical placement. BACKGROUND: A peer mentoring program for midwifery students was implemented in an urban Australian university. The participants were first-year mentee and third-year mentor students studying a three-year Bachelor degree in midwifery. The program offered peer support to first-year midwifery students who had little or no previous exposure to hospital clinical settings...
March 30, 2017: Women and Birth: Journal of the Australian College of Midwives
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