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https://www.readbyqxmd.com/read/29474851/active-learning-improves-on-task-behaviors-in-4th-grade-children
#1
J B Bartholomew, N M Golaszewski, E Jowers, E Korinek, G Roberts, A Fall, S Vaughn
While increased opportunities for physical activity (PA) are a critical, public health need for children, school-based interventions often place teachers in the position to choose between PA and time spent on academic lessons. Active learning is designed to overcome this by combining PA with academic material. Moreover, teachers are likely to be more responsive to change in academic-related outcomes than in PA. This study utilizes a large, cluster randomized control trial in which student attention, or time on task (TOT) and accelerometer-based PA is assessed in conjunction with active learning...
February 20, 2018: Preventive Medicine
https://www.readbyqxmd.com/read/29474792/academic-based-and-aerobic-only-movement-breaks-are-there-differential-effects-on-physical-activity-and-achievement
#2
Alicia L Fedewa, Elizabeth Fettrow, Heather Erwin, Soyeon Ahn, Minnah Farook
PURPOSE: This study investigated the academic achievement and physical activity differences between types of activity breaks implemented in elementary school classrooms. This study evaluated whether there was a difference between the impact of purely aerobic-based movement breaks and the impact of academic-based breaks on children's academic achievement outcomes. METHOD: Participants included 460 children in 3rd grade through 5th grade at 4 elementary schools. There were 176 children in the schools that engaged in academic-based breaks and 284 in the schools that engaged in aerobic-only breaks...
February 23, 2018: Research Quarterly for Exercise and Sport
https://www.readbyqxmd.com/read/29473942/graphical-instructions-for-administration-and-scoring-the-mini-cog-results-of-a-randomized-clinical-trial
#3
Edlira Tam, Benjamin T Gandesbery, Laura Young, Soo Borson, Eiran Z Gorodeski
OBJECTIVES: To develop a novel set of graphical Mini-Cog instructions designed to aid clinicians previously untrained on the Mini-Cog in accurate administration and scoring and to determine whether use of these graphical instructions improved the speed and accuracy of deployment of this tool. DESIGN: Randomized clinical trial. SETTING: Testing was conducted in a simulated environment with a mock patient. PARTICIPANTS: Registered nurses working in inpatient or outpatient settings at a large academic medical center who had no prior exposure to or training with the Mini-Cog (N=92)...
February 23, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29473147/agency-and-responsibility-in-adolescent-students-a-challenge-for-the-societies-of-tomorrow
#4
Consuelo Mameli, Luisa Molinari, Stefano Passini
BACKGROUND: The literature in educational psychology converges on the idea that students should take an active and accountable position in their learning processes. Nevertheless, there is still a lack of research that has systematically put the constructs of agency and responsibility at the core of their interests. AIMS: In this study, we explore whether good experiences at school - here conceptualized as the general level of basic needs fulfilment and interpersonal justice - impact on student agency and responsibility, which in turn are considered as possible mediators between a good educational experience and two outcome measures, that is, academic achievement and career decision-making self-efficacy...
February 23, 2018: British Journal of Educational Psychology
https://www.readbyqxmd.com/read/29472306/neurocognitive-and-educational-outcomes-in-children-and-adolescents-with-ckd-a-systematic-review-and-meta-analysis
#5
Kerry Chen, Madeleine Didsbury, Anita van Zwieten, Martin Howell, Siah Kim, Allison Tong, Kirsten Howard, Natasha Nassar, Belinda Barton, Suncica Lah, Jennifer Lorenzo, Giovanni Strippoli, Suetonia Palmer, Armando Teixeira-Pinto, Fiona Mackie, Steven McTaggart, Amanda Walker, Tonya Kara, Jonathan C Craig, Germaine Wong
BACKGROUND AND OBJECTIVES: Poor cognition can affect educational attainment, but the extent of neurocognitive impairment in children with CKD is not well understood. This systematic review assessed global and domain-specific cognition and academic skills in children with CKD and whether these outcomes varied with CKD stage. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Electronic databases were searched for observational studies of children with CKD ages 21 years old or younger that assessed neurocognitive or educational outcomes...
February 22, 2018: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/29472255/comparison-of-a-newly-established-emotional-stimulus-approach-to-a-classical-assessment-driven-approach-in-bls-training-a-randomised-controlled-trial
#6
Karl Kuckuck, Hanna Schröder, Rolf Rossaint, Lina Stieger, Stefan K Beckers, Sasa Sopka
OBJECTIVE: The study objective was to implement two strategies (short emotional stimulus vs announced practical assessment) in the teaching of resuscitation skills in order to evaluate whether one led to superior outcomes. SETTING: This study is an educational intervention provided in one German academic university hospital. PARTICIPANTS: First-yearmedical students (n=271) during the first3 weeks of their studies. INTERVENTIONS: Participants were randomly assigned to one of two groups following a sequence of random numbers: the emotional stimulus group (EG) and the assessment group (AG)...
February 22, 2018: BMJ Open
https://www.readbyqxmd.com/read/29472244/age-and-other-factors-affecting-the-outcome-of-aabr-screening-in-neonates
#7
Lise Carolyn Johnson, Margaret Toro, Emily Vishnja, Arielle Berish, Bianca Mills, Zhigang Lu, Ellice Lieberman
BACKGROUND: Although the utility of universal newborn hearing screening is undisputed, testing protocols vary. In particular, the impact of the infant's age at the time of automated auditory brainstem response (AABR) screening has not been well studied. METHODS: We conducted a retrospective review of newborn hearing screening data in 6817 low-risk, term and late-preterm newborns at our large, urban, academic medical center for a 1-year period to analyze the impact of age and other factors on the screening failure rate and referral for diagnostic testing...
February 22, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29472106/open-versus-laparoscopic-portal-lymphadenectomy-in-gallbladder-cancer-is-there-a-difference-in-lymph-node-yield
#8
Cecilia T Ong, Kenneth Leung, Daniel P Nussbaum, Zhifei Sun, Beat Gloor, Dan G Blazer, Mathias Worni
BACKGROUND: Gallbladder cancer (GBC) is the most common biliary tract malignancy. Because it commonly metastasizes via lymphatics, portal lymphadenectomy should be included in oncologic resections. This study aimed to compare the oncologic equivalence of the laparoscopic versus open technique by evaluating lymph node (LN) yield. METHODS: The 2010-2012 National Cancer Data Base identified patients who underwent laparoscopic or open resection of GBC with dedicated lymphadenectomy...
February 19, 2018: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
https://www.readbyqxmd.com/read/29471185/the-attention-training-technique-improves-children-s-ability-to-delay-gratification-a-controlled-comparison-with-progressive-relaxation
#9
Joanne Murray, Helen Scott, Claire Connolly, Adrian Wells
The ability to delay gratification at a young age is a predictor of psychological, cognitive, health, and academic later-life outcomes. This study aimed to extend earlier research and explore whether a metacognitive intervention, Wells' (1990) Attention Training Technique (ATT), could improve young children's ability to delay gratification compared to an active-control (Progressive Muscle Relaxation: PMR), and no-intervention group. One hundred and one children aged 5-6 years old were recruited from schools...
February 15, 2018: Behaviour Research and Therapy
https://www.readbyqxmd.com/read/29470574/changes-in-scope-of-procedures-performed-by-pediatric-otolaryngologists-in-the-past-decade
#10
Alexandria L Irace, Catherine Shank, Eelam A Adil, Michael J Cunningham, Kosuke Kawai, Georgios Sideridis, Reza Rahbar
Importance: Monitoring current trends in pediatric otolaryngology will help adjust our training and practice paradigms in a way that ensures the long-term viability of the specialty. Objectives: To gauge the current scope of pediatric otolaryngology (ORL) practice within and outside of the United States and to identify changes in caseload over the past decade. Design, Setting, and Participants: An online survey was sent to pediatric ORL chairs and/or fellowship directors at 42 institutions in the United States and abroad...
February 22, 2018: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/29470571/prevalence-of-myelin-oligodendrocyte-glycoprotein-and-aquaporin-4-igg-in-patients-in-the-optic-neuritis-treatment-trial
#11
John J Chen, W Oliver Tobin, Masoud Majed, Jiraporn Jitprapaikulsan, James P Fryer, Jacqueline A Leavitt, Eoin P Flanagan, Andrew McKeon, Sean J Pittock
Importance: Autoantibodies to aquaporin-4 (AQP4) and myelin oligodendrocyte glycoprotein (MOG) are recently established biomarkers of autoimmune optic neuritis whose frequency and accompanying phenotype, especially for MOG-IgG, are still being characterized. The Optic Neuritis Treatment Trial (ONTT) was a well-known randomized clinical trial in optic neuritis; therefore, knowledge of the serostatus and accompanying phenotype of these patients would be useful to determine the frequency of these antibodies in patients presenting with typical monocular optic neuritis and their outcomes...
February 22, 2018: JAMA Ophthalmology
https://www.readbyqxmd.com/read/29470247/hypofibrinogenemia-is-associated-with-poor-outcome-and-secondary-hemophagocytic-lymphohistiocytosis-macrophage-activation-syndrome-in-pediatric-severe-sepsis
#12
Jessica K Signoff, Julie C Fitzgerald, David T Teachey, Fran Balamuth, Scott L Weiss
OBJECTIVES: Some children with sepsis exhibit a sustained hyperinflammatory response that can trigger secondary hemophagocytic lymphohistiocytosis/macrophage activation syndrome. Although hypofibrinogenemia is a shared feature of sepsis and hemophagocytic lymphohistiocytosis, there are no data about fibrinogen as a biomarker to identify children with sepsis/secondary hemophagocytic lymphohistiocytosis/macrophage activation syndrome overlap. We hypothesized that hypofibrinogenemia is associated with poor outcomes and secondary hemophagocytic lymphohistiocytosis/macrophage activation syndrome and has utility as a screening biomarker for this sepsis phenotype...
February 21, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29470218/expanding-rn-scope-of-practice-to-include-lumbar-puncture
#13
Jennifer Ernst, Christine D Aliory, Catherine R Yows
: The competing demands of caring for high-acuity patients, reducing health care costs, and improving access to specialty care are complex challenges facing all health care providers. One approach-empowering nurses to expand their scope of practice-has been successfully employed for two decades by the nurse and physician leadership of a neurology department in an urban academic medical center. This article discusses the department's implementation of a quality improvement initiative to enhance access to neurology services in an ambulatory clinic by extending nursing practice to include lumbar puncture...
March 2018: American Journal of Nursing
https://www.readbyqxmd.com/read/29470127/telemedicine-physical-examination-utilizing-a-consumer-device-demonstrates-poor-concordance-with-in-person-physical-examination-in-emergency-department-patients-with-sore-throat-a-prospective-blinded-study
#14
Moneeb Akhtar, Paul G Van Heukelom, Azeemuddin Ahmed, Rachel D Tranter, Erinn White, Nathaniel Shekem, David Walz, Catherine Fairfield, J Priyanka Vakkalanka, Nicholas M Mohr
BACKGROUND: Telemedicine allows patients to connect with healthcare providers remotely. It has recently expanded to evaluate low-acuity illnesses such as pharyngitis by using patients' personal communication devices. The purpose of our study was to compare the telemedicine-facilitated physical examination with an in-person examination in emergency department (ED) patients with sore throat. MATERIALS AND METHODS: This was a prospective, observational, blinded diagnostic concordance study of patients being seen for sore throat in a 60,000-visit Midwestern academic ED...
February 22, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29468799/a-consensus-model-shifting-assessment-practices-in-dietetics-tertiary-education
#15
Rachel Bacon, Jane Kellett, Janeane Dart, Cathy Knight-Agarwal, Rebecca Mete, Susan Ash, Claire Palermo
AIM: The aim of this research was to evaluate a Consensus Model for competency-based assessment. METHODS: An evaluative case study was used to allow a holistic examination of a constructivist-interpretivist programmatic model of assessment. Using a modified Delphi process, the competence of all 29 students enrolled in their final year of a Master of Nutrition and Dietetics course was assessed by a panel (with expertise in competency-based assessment; industry and academic representation) from a course e-portfolio (that included the judgements of student performance made by worksite educators) and a panel interview...
February 21, 2018: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
https://www.readbyqxmd.com/read/29468527/collaborative-practice-agreement-in-solid-organ-transplantation
#16
Bharath R Ravichandran, Matthew W Gillespie, Tracy M Sparkes, Carla Williams, Stephen T Bartlett, Abdolreza Haririan, Brian M Masters
Background Given the complexity of solid organ transplant recipients, a multidisciplinary approach is required. To promote medication safety and enable providers to focus on the medical and surgical needs of these patients, our department of pharmacy created a collaborative practice agreement between physicians and pharmacists. Through this agreement, credentialed pharmacists are empowered to provide inpatient services including initiation and adjustment of medications through independent review of laboratory results after multidisciplinary rounds...
February 21, 2018: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29467980/a-prospective-multicenter-evaluation-of-the-value-of-the-on-call-orthopedic-resident
#17
J Benjamin Jackson, Scott Vincent, James Davies, Kevin Phelps, Chris Cornett, Greg Grabowski, Brian Scannell, Alan Stotts, Miranda Bice
Background : Funding for graduate medical education is at risk despite the services provided by residents. Objective : We quantified the potential monetary value of services provided by on-call orthopedic surgery residents. Methods : We conducted a prospective, cross-sectional, multicenter cohort study design. Over a 90-day period in 2014, we collected data on consults by on-call orthopedic surgery residents at 4 tertiary academic medical centers in the United States...
February 2018: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29467582/neoadjuvant-chemotherapy-among-patients-treated-for-nonmetastatic-breast-cancer-in-a-population-with-a-high-hiv-prevalence-in-johannesburg-south-africa
#18
Paul Ruff, Herbert Cubasch, Maureen Joffe, Evan Rosenbaum, Nivashni Murugan, Ming-Chih Tsai, Oluwatosin Ayeni, Katherine D Crew, Judith S Jacobson, Alfred I Neugut
Background: Neoadjuvant (primary) chemotherapy (NACT) is the standard of care for locally advanced breast cancer. It also allows for the short-term assessment of chemotherapy response; a pathological complete responses correspond to improved long-term breast cancer outcomes. In sub-Saharan Africa, many patients are diagnosed with large nonresectable tumors. We examined NACT use in breast cancer patients who visited public hospitals in Johannesburg, South Africa. Methods: We assessed demographic characteristics, tumor stage and grade, hormone receptor status, and human immunodeficiency virus (HIV) status of female patients diagnosed with nonmetastatic invasive carcinoma of the breast at Chris Hani Baragwanath Academic Hospital between January 1, 2009, and December 31, 2011...
2018: Cancer Management and Research
https://www.readbyqxmd.com/read/29466531/association-of-increased-chronicity-of-depression-with-hiv-appointment-attendance-treatment-failure-and-mortality-among-hiv-infected-adults-in-the-united-states
#19
Brian W Pence, Jon C Mills, Angela M Bengtson, Bradley N Gaynes, Tiffany L Breger, Robert L Cook, Richard D Moore, David J Grelotti, Conall O'Cleirigh, Michael J Mugavero
Importance: Depression commonly affects adults with HIV and complicates the management of HIV. Depression among individuals with HIV tends to be chronic and cyclical, but the association of this chronicity with HIV outcomes (and the related potential for screening and intervention to shorten depressive episodes) has received little attention. Objective: To examine the association between increased chronicity of depression and multiple HIV care continuum indicators (HIV appointment attendance, treatment failure, and mortality)...
February 21, 2018: JAMA Psychiatry
https://www.readbyqxmd.com/read/29465631/near-infrared-cerebral-oximetry-to-predict-outcome-after-pediatric-cardiac-surgery-a-prospective-observational-study
#20
Marine Flechet, Fabian Güiza, Dirk Vlasselaers, Lars Desmet, Stoffel Lamote, Heidi Delrue, Marc Beckers, Michaël P Casaer, Pieter Wouters, Greet van den Berghe, Geert Meyfroidt
OBJECTIVES: To assess whether near-infrared cerebral tissue oxygen saturation, measured with the FORESIGHT cerebral oximeter (CAS Medical Systems, Branford, CT) predicts PICU length of stay, duration of invasive mechanical ventilation, and mortality in critically ill children after pediatric cardiac surgery. DESIGN: Single-center prospective, observational study. SETTING: Twelve-bed PICU of a tertiary academic hospital. PATIENTS: Critically ill children and infants with congenital heart disease, younger than 12 years old, admitted to the PICU between October 2012 and November 2015...
February 19, 2018: Pediatric Critical Care Medicine
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