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Transitional year residency

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https://www.readbyqxmd.com/read/28092429/residents-understanding-of-adult-congenital-heart-disease
#1
Paul Cooper, Morgan Hindes, Timothy M Maul, Stephen C Cook
OBJECTIVE: Medical residents are exposed to increasing numbers of adults with congenital heart disease (ACHD). While inadequate ACHD knowledge may lead to inappropriate practice, this educational deficit has not been investigated. Our aim was to analyze residents' attitudes, perceived ability, and knowledge of ACHD medicine. DESIGN, METHODS, OUTCOME MEASURES: A single center, multiprogram cross-sectional study was conducted in 2015 using an electronic survey to assess 472 medical residents' perceived knowledge and self-assessed skills related to ACHD medicine...
January 16, 2017: Congenital Heart Disease
https://www.readbyqxmd.com/read/28086861/managing-shades-of-grey-a-focus-group-study-exploring-community-dwellers-views-on-advance-care-planning-in-older-people
#2
Natasha Michael, Clare O'Callaghan, Emma Sayers
BACKGROUND: Community-dwelling consumers of healthcare are increasing, many aging with life-limiting conditions and deteriorating cognition. However, few have had advance care planning discussions or completed documentation to ensure future care preferences are acted upon. This study examines the awareness, attitudes, and experiences of advance care planning amongst older people and unrelated offspring/caregivers of older people residing in the community. METHODS: Qualitative descriptive research, which included focus groups with older people (55+ years) and older people's offspring/caregivers living in an Australian city and surrounding rural region...
January 13, 2017: BMC Palliative Care
https://www.readbyqxmd.com/read/28042513/the-development-of-children-placed-into-different-types-of-russian-families-following-an-institutional-intervention
#3
Robert B McCall, Rifkat J Muhamedrahimov, Christina J Groark, Oleg I Palmov, Natalia V Nikiforova, Jennifer L Salaway, Megan M Julian
This study examined whether interventions in Russian Baby Homes promoting warm, sensitive, and responsive caregiver-child interactions and relationships would be associated with advantages in those children's behavior years after they transitioned to family care. Children (N = 135) who had resided for at least 3 months (M = 13.8 months) in one of three intervention institutions were subsequently placed in Russian families (relatives or non-relatives) for at least 1 year (M = 33.5 months). When children were 1...
October 2016: International Perspectives in Psychology: Research, Practice, Consultation
https://www.readbyqxmd.com/read/28026201/the-learning-curve-in-prostate-mri-interpretation-self-directed-learning-versus-continual-reader-feedback
#4
Andrew B Rosenkrantz, Abimbola Ayoola, David Hoffman, Anunita Khasgiwala, Vinay Prabhu, Paul Smereka, Molly Somberg, Samir S Taneja
OBJECTIVE: The purpose of this study is to evaluate the roles of self-directed learning and continual feedback in the learning curve for tumor detection by novice readers of prostate MRI. MATERIALS AND METHODS: A total of 124 prostate MRI examinations classified as positive (n = 52; single Prostate Imaging Reporting and Data System [PI-RADS] category 3 or higher lesion showing Gleason score ≥ 7 tumor at MRI-targeted biopsy) or negative (n = 72; PI-RADS category 2 or lower and negative biopsy) for detectable tumor were included...
December 27, 2016: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28004031/caregiving-and-mental-health-among-workers-longitudinal-evidence-from-a-large-cohort-of-adults-in-thailand
#5
Vasoontara Yiengprugsawan, Liana Leach, Janneke Berecki-Gisolf, Hal Kendig, David Harley, Sam-Ang Seubsman, Adrian C Sleigh
BACKGROUND: As people in middle and lower income countries live longer, more people become sick, disabled, and frail and the demand for family caregiving grows. Thailand faces such challenges. This study investigates the relationship between caregiving and mental health among workers drawn from a large longitudinal cohort of Thai adults. METHODS: Participants were drawn from the Thai Health-Risk Transition Study, a cohort study since 2005 of distance-learning adult Open University students residing nationwide...
December 2016: SSM—Population Health
https://www.readbyqxmd.com/read/27989576/population-levels-and-geographical-distribution-of-hiv-rna-in-rural-ugandan-and-kenyan-communities-including-serodiscordant-couples-a-cross-sectional-analysis
#6
Vivek Jain, Maya L Petersen, Teri Liegler, Dathan M Byonanebye, Dalsone Kwarisiima, Gabriel Chamie, Norton Sang, Doug Black, Tamara D Clark, Andras Ladai, Albert Plenty, Jane Kabami, Emmanuel Ssemmondo, Elizabeth A Bukusi, Craig R Cohen, Edwin D Charlebois, Moses R Kamya, Diane V Havlir
BACKGROUND: As sub-Saharan Africa transitions to a new era of universal antiretroviral therapy (ART), up-to-date assessments of population-level HIV RNA suppression are needed to inform interventions to optimise ART delivery. We sought to measure population viral load metrics to assess viral suppression and characterise demographic groups and geographical locations with high-level detectable viraemia in east Africa. METHODS: The Sustainable East Africa Research in Community Health (SEARCH) study is a cluster-randomised controlled trial of an HIV test-and-treat strategy in 32 rural communities in Uganda and Kenya, selected on the basis of rural setting, having an approximate population of 10 000 people, and being within the catchment area of a President's Emergency Plan for AIDS Relief-supported HIV clinic...
December 15, 2016: Lancet HIV
https://www.readbyqxmd.com/read/27976913/social-support-and-mental-health-status-of-older-people-a-population-based-study-in-iran-tehran
#7
Maryam Tajvar, Emily Grundy, Astrid Fletcher
OBJECTIVES: To investigate direct and stress-buffering associations between social support from family and the mental health of older people in Iran, a country which has recently undergone an exceptionally fast fertility transition and is consequently experiencing rapid population ageing. METHOD: A cross-sectional stratified random survey of 800 people aged 60+ years resident in Tehran was conducted. In total, 644 people responded. The Social Provisions Scale and the General Health Questionnaire were used to measure perceived social support and mental health, respectively...
December 15, 2016: Aging & Mental Health
https://www.readbyqxmd.com/read/27974373/incidence-and-risk-factors-for-type-2-diabetes-mellitus-in-transitional-thailand-results-from-the-thai-cohort-study
#8
Keren Papier, Susan Jordan, Catherine D'Este, Chris Bain, Janya Peungson, Cathy Banwell, Vasoontara Yiengprugsawan, Sam-Ang Seubsman, Adrian Sleigh
BACKGROUND: Type 2 diabetes mellitus (T2DM) is increasingly prevalent in countries undergoing rapid development, including Thailand. We assessed T2DM incidence over an 8-year period in a nationwide cohort of Thai adults. METHODS: Thai Cohort Study participants were surveyed in 2005, 2009 and 2013. The analysed cohort members were aged (15-88), did not have diabetes in 2005 and were followed up by questionnaire in 2013 (n=39 507). T2DM was ascertained using self-report, which has been validated using physician interviews...
December 13, 2016: BMJ Open
https://www.readbyqxmd.com/read/27940479/prevalence-and-correlates-of-self-reported-chronic-non-communicable-diseases-in-botswana-a-cross-sectional-study
#9
Gobopamang Letamo, Mpho Keetile, Kannan Navaneetham, Mpho Phatsimo
BACKGROUND: The purpose of this paper is to estimate the prevalence of self-reported chronic non-communicable diseases and their correlates in Botswana. This is a nationally representative, cross-sectional survey. METHODS: This is a cross-sectional study of respondents aged 10-64 years using data from the Botswana AIDS Impact Survey IV conducted in 2013. Three self-reported non-communicable diseases, namely, hypertension, diabetes and asthma were used. Multivariate logistic regression models were used to identify their correlates...
January 2017: International Health
https://www.readbyqxmd.com/read/27924051/increased-stroke-burdens-among-the-low-income-young-and-middle-aged-in-rural-china
#10
Xianjia Ning, Jian Sun, Rongcai Jiang, Hongyan Lu, Lingling Bai, Min Shi, Jun Tu, Yanan Wu, Jinghua Wang, Jianning Zhang
BACKGROUND AND PURPOSE: Although stroke in the young and middle aged accounts for 31% of all strokes in China, the disease burden is unknown. We aimed to determine the secular trends in stroke incidence and the transition of subtypes in rural China over a 24-year period. METHODS: In 1992, 14 920 residents were recruited to participate in the Tianjin Brain Study. Stroke events and all deaths were registered annually. We assessed the trends in incidence of first-ever stroke, including intracerebral hemorrhage and ischemic stroke, among adults aged 35 to 64 years during 1992 to 1999, 2000 to 2007, and 2008 to 2015...
January 2017: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/27923090/association-between-end-of-rotation-resident-transition-in-care-and-mortality-among-hospitalized-patients
#11
Joshua L Denson, Ashley Jensen, Harry S Saag, Binhuan Wang, Yixin Fang, Leora I Horwitz, Laura Evans, Scott E Sherman
Importance: Shift-to-shift transitions in care among house staff are associated with adverse events. However, the association between end-of-rotation transition (in which care of the patient is transferred) and adverse events is uncertain. Objective: To examine the association of end-of-rotation house staff transitions with mortality among hospitalized patients. Design, Setting, and Participants: Retrospective multicenter cohort study of patients admitted to internal medicine services (N = 230 701) at 10 university-affiliated US Veterans Health Administration hospitals (2008-2014)...
December 6, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27919240/urban-rural-differences-in-the-prevalence-of-non-communicable-diseases-risk-factors-among-25-74-years-old-citizens-in-yangon-region-myanmar-a-cross-sectional-study
#12
Aung Soe Htet, Marius B Bjertness, Lhamo Y Sherpa, Marte Karoline Kjøllesdal, Win Myint Oo, Haakon E Meyer, Hein Stigum, Espen Bjertness
BACKGROUND: Recent societal and political reforms in Myanmar may upturn the socio-economy and, thus, contribute to the country's health transition. Baseline data on urban-rural disparities in non-communicable disease (NCD) risk factors are not thoroughly described in this country which has been relatively closed for more than five decades. We aim to investigate urban-rural differences in mean values and the prevalence of selected behavioral and metabolic risk factors for non-communicable diseases and 10-years risk in development of coronary heart diseases (CHD)...
December 5, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27906029/trends-in-clinical-characteristics-and-outcomes-of-pre-art-care-at-a-large-hiv-clinic-in-nairobi-kenya-a-retrospective-cohort-study
#13
Jared O Mecha, Elizabeth N Kubo, Lucy W Nganga, Peter N Muiruri, Lilian N Njagi, Immaculate N Mutisya, Justine J Odionyi, Syokau C Ilovi, Mary Wambui, Christopher Githu, Richard Ngethe, Elizabeth M Obimbo, Zipporah W Ngumi
BACKGROUND: The success of antiretroviral therapy in resource-scarce settings is an illustration that complex healthcare interventions can be successfully delivered even in fragile health systems. Documenting the success factors in the scale-up of HIV care and treatment in resource constrained settings will enable health systems to prepare for changing population health needs. This study describes changing demographic and clinical characteristics of adult pre-ART cohorts, and identifies predictors of pre-ART attrition at a large urban HIV clinic in Nairobi, Kenya...
November 14, 2016: AIDS Research and Therapy
https://www.readbyqxmd.com/read/27895697/trends-in-clinical-characteristics-and-outcomes-of-pre-art-care-at-a-large-hiv-clinic-in-nairobi-kenya-a-retrospective-cohort-study
#14
Jared O Mecha, Elizabeth N Kubo, Lucy W Nganga, Peter N Muiruri, Lilian N Njagi, Immaculate N Mutisya, Justine J Odionyi, Syokau C Ilovi, Mary Wambui, Christopher Githu, Richard Ngethe, Elizabeth M Obimbo, Zipporah W Ngumi
BACKGROUND: The success of antiretroviral therapy in resource-scarce settings is an illustration that complex healthcare interventions can be successfully delivered even in fragile health systems. Documenting the success factors in the scale-up of HIV care and treatment in resource constrained settings will enable health systems to prepare for changing population health needs. This study describes changing demographic and clinical characteristics of adult pre-ART cohorts, and identifies predictors of pre-ART attrition at a large urban HIV clinic in Nairobi, Kenya...
2016: AIDS Research and Therapy
https://www.readbyqxmd.com/read/27893233/trajectories-of-victimization-in-ethnic-diaspora-immigrant-and-native-adolescents-separating-acculturation-from-development
#15
Philipp Jugert, Peter F Titzmann
This longitudinal study aimed to differentiate between acculturative and developmental processes by (a) comparing levels and change rates in victimization among ethnic German immigrants and native German adolescents in Germany and Russian Jewish immigrants in Israel, and (b) testing whether interindividual differences in victimization among immigrant youth can be explained by the same general factors as in native groups or by migration-specific factors. In addition, we tested whether or not acculturative and developmental processes interact...
November 28, 2016: Developmental Psychology
https://www.readbyqxmd.com/read/27886219/elderly-suicide-trends-in-the-context-of-transforming-china-1987-2014
#16
Bao-Liang Zhong, Helen F K Chiu, Yeates Conwell
In the context of rapid ageing, understanding the time-trend of elderly suicide (ES) could inform China's efforts on suicide prevention. We examined time-trends in Chinese ES rates (ESRs) from 1987 to 2014, a period of profound social changes. Suicide rates by residence (rural/urban), gender, and 5-year age-group (65+) in 1987-2014 were provided by the Chinese Ministry of Health. Time-trends were analyzed with joinpoint analysis. The time-trend of national ESRs was downward (average annual percent change [AAPC] = -3...
November 25, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27883972/rheumatic-heart-disease-in-a-developing-country-incidence-and-trend-monastir-tunisia-2000-2013
#17
Asma Sriha Belguith, Afifa Koubaa Abdelkafi, Sana El Mhamdi, Manel Ben Fredj, Hela Abroug, Arwa Ben Salah, Inès Bouanene, Fahima Hassine, Amal Amara, Sana Bhiri, Abdelkarim Derbel, Habib Gamra, Faouzi Maatouk, Mohamed Soussi Soltani
BACKGROUND: The penicillin therapy of β hemolytic streptococcal pharyngitis has aided in the decrease of rheumatic heart disease (RHD) in developing countries. Tunisia is an endemic area, however, and incidence of RHD is weakly documented. We aimed at establishing the standardized incidence rate (SIR) of RHD in Monastir governorate and at determining RHD prevalence among hospitalized patients in two cardiology departments. METHODS: From the regional register of Monastir Hospital morbidity, we have selected newly diagnosed patients with RHD, residents of Monastir, and hospitalized to the 2 cardiology departments between 2000 and 2013 (2001 not included)...
February 1, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/27879003/risk-and-protective-processes-predicting-rural-african-american-young-men-s-substance-abuse
#18
Junhan Cho, Steven M Kogan
Informed by a life course perspective, this study tested a cascade model linking harsh, unresponsive parenting during childhood to young African American men's substance abuse via precocious transitions, economic instability, and future orientation. The moderating influence of community disadvantage and romantic partner support on the hypothesized pathways was also examined. At the baseline, the sample included 505 African American men between ages 19 and 22 years from high-poverty rural communities. Follow-up data were collected 18 months after baseline...
December 2016: American Journal of Community Psychology
https://www.readbyqxmd.com/read/27865597/expert-consensus-of-general-surgery-residents-proficiency-with-common-endocrine-operations
#19
Roy Phitayakorn, Rachel R Kelz, Emil Petrusa, Rebecca S Sippel, Cord Sturgeon, Kepal N Patel, Nancy D Perrier
BACKGROUND: Proficiency with common endocrine operations is expected of graduating, general surgery residents. However, no expert consensus guidelines exist about these expectations. METHODS: Members of the American Association of Endocrine Surgeons were surveyed about their opinions on resident proficiency with common endocrine operations. RESULTS: Overall response rate was 38%. A total of 92% of the respondents operate with residents. On average, they believed that the steps of a total thyroidectomy for benign disease and a well-localized parathyroidectomy could be performed by a postgraduate year 4 surgery resident...
January 2017: Surgery
https://www.readbyqxmd.com/read/27855697/regional-health-care-inequity-in-children-s-survival-in-zhejiang-province-china
#20
Weifang Zhang, Dingwan Chen, Huan Zhou, Yanhua Xu, Zhuopu Xu, Ying Ying, Zhengyan Zhao
BACKGROUND: China is now under a period of social transition, and inequity is evident in the field of health care. We aimed to investigate regional health-care inequalities in children's survival in Zhejiang Province, China. METHODS: In our study, monitoring data of Zhejiang Province from 2005 to 2014 was collected. The flow of data collection of community-district-city for urban areas or village-township-county rural areas was followed. The factors affecting equity was analyzed including regional economical level and household registry...
November 17, 2016: International Journal for Equity in Health
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