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https://www.readbyqxmd.com/read/29227710/changing-the-treatment-direction-for-opiate-addiction-dr-dole-s-research
#1
Herman Joseph, Joycelyn Sue Woods
Under the leadership of Drs. Vincent P. Dole, Marie Nyswander, and Mary Jeanne Kreek, in collaboration with the psychologist, Norman Gordon and sociologist, Herman Joseph at The Rockefeller University beginning in the 1960s, the first medical treatment for heroin addiction was developed. Drs. Dole, Nyswander and Kreek also developed the first hypothesis of opiate addiction as a metabolic disease. This biological revolution challenged beliefs about addiction, spurred further research and challenged legal positions of the judiciary and the broader criminal justice system (Dole & Nyswander, 1967 )...
December 11, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/29226220/initial-results-of-the-master-s-degree-programme-in-leadership-in-medicine-impact-on-hospital-based-follow-on-training-of-doctors
#2
Chris-Henrik Wulfert, Joachim Hoitz, Ulrike Senger
Objective: This pilot project, which was jointly conducted by a hospital and a university, describes the development of the Master's Degree Programme in Leadership in Medicine, a course designed to supplement medical specialty training. The aim of the pilot project is to demonstrate how hospital-based projects on personnel and organisational development undertaken under academic supervision can be used to increase leadership responsibility among doctors whose duties include providing initial and follow-on training and to professionalise medical specialty training as a leadership task...
2017: GMS Journal for Medical Education
https://www.readbyqxmd.com/read/29225582/significant-need-for-a-french-network-of-expert-centers-enabling-a-better-characterization-and-management-of-treatment-resistant-depression-fondation-fondamental
#3
Antoine Yrondi, Djamila Bennabi, Emmanuel Haffen, Marion Garnier, Frank Bellivier, Thierry Bourgerol, Vincent Camus, Thierry D'Amato, Olivier Doumy, Frédéric Haesebaert, Jérôme Holtzmann, Christophe Lançon, Philippe Vignaud, Fanny Moliere, Isabel Nieto, Raphaëlle Marie Richieri, Philippe Domenech, Corentin Rabu, Luc Mallet, Liova Yon, Laurent Schmitt, Florian Stephan, Guillaume Vaiva, Michel Walter, Pierre-Michel Llorca, Philippe Courtet, Marion Leboyer, Wissam El-Hage, Bruno Aouizerate
Background: Major depression is characterized by (i) a high lifetime prevalence of 16-17% in the general population; (ii) a high frequency of treatment resistance in around 20-30% of cases; (iii) a recurrent or chronic course; (iv) a negative impact on the general functioning and quality of life; and (v) a high level of comorbidity with various psychiatric and non-psychiatric disorders, high occurrence of completed suicide, significant burden along with the personal, societal, and economic costs...
2017: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29223749/egg-freezing-for-age-related-fertility-decline
#4
Julio Saumet, Angel Petropanagos, Karen Buzaglo, Eileen McMahon, Gunwant Warraich, Neal Mahutte
OBJECTIVE: To provide a comprehensive review and evidence based recommendations for Canadian fertility centres that offer social egg freezing. OUTCOMES: In social egg freezing cycles we evaluated thawed oocyte survival rates, fertilization rates, embryo quality, pregnancy rates, and live birth rates. We also review how these outcomes are impacted by age, ovarian reserve, and the number of eggs cryopreserved. Finally, we discuss the risks of social egg freezing, the alternatives, the critical elements for counselling and informed consent, and future reporting of egg freezing outcome data...
December 6, 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29219907/the-implementation-of-a-structured-nursing-leadership-development-program-for-succession-planning-in-a-health-system
#5
Priscilla Ramseur, Mary Ann Fuchs, Pamela Edwards, Janice Humphreys
Preparing future nursing leaders to be successful is important because many current leaders will retire in large numbers in the future. A structured nursing leadership development program utilizing the Essentials of Nurse Manager Orientation online program provided future nursing leaders with content aligned with nursing leadership competencies. Paired with assigned mentors and monthly leadership sessions, the participants increased their perception of leadership competence.
January 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29219894/crisis-management-simulation-establishing-a-dual-neurosurgery-and-anesthesia-training-experience
#6
Jeremy Ciporen, Haley Gillham, Michele Noles, Dawn Dillman, Mark Baskerville, Caleb Haley, Donn Spight, Ryan C Turner, Brandon P Lucke-Wold
BACKGROUND: Simulation training has been shown to be an effective teaching tool. Learner management of an intraoperative crisis such as a major cerebrovascular bleed requires effective teamwork, communication, and implementation of key skill sets at appropriate time points. This study establishes a first of a kind simulation experience in a neurosurgery/anesthesia resident (learners) team working together to manage an intraoperative crisis. METHODS: Using a cadaveric cavernous carotid injury perfusion model, 7 neurosurgery and 6 anesthesia learners, were trained on appropriate vascular injury management using an endonasal endoscopic technique...
January 2018: Journal of Neurosurgical Anesthesiology
https://www.readbyqxmd.com/read/29219868/experiences-of-healthcare-middle-managers-in-developing-capacity-and-capability-to-manage-complexity-a-systematic-review-protocol
#7
Trude Anita Hartviksen, Jessica Aspfors, Lisbeth Uhrenfeldt
The objective of this review is to explore the experiences of healthcare middle managers in developing capacity and capability to manage in a leadership role characterized by high complexity.
December 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29219094/a-collaborative-approach-to-adopting-adapting-guidelines-the-australian-24-hour-movement-guidelines-for-the-early-years-birth-to-5-years-an-integration-of-physical-activity-sedentary-behavior-and-sleep
#8
Anthony D Okely, Davina Ghersi, Kylie D Hesketh, Rute Santos, Sarah P Loughran, Dylan P Cliff, Trevor Shilton, David Grant, Rachel A Jones, Rebecca M Stanley, Julie Sherring, Trina Hinkley, Stewart G Trost, Clare McHugh, Simon Eckermann, Karen Thorpe, Karen Waters, Timothy S Olds, Tracy Mackey, Rhonda Livingstone, Hayley Christian, Harriette Carr, Adam Verrender, João R Pereira, Zhiguang Zhang, Katherine L Downing, Mark S Tremblay
BACKGROUND: In 2017, the Australian Government funded the update of the National Physical Activity Recommendations for Children 0-5 years, with the intention that they be an integration of movement behaviours across the 24-h period. The benefit for Australia was that it could leverage research in Canada in the development of their 24-h guidelines for the early years. Concurrently, the Grading of Recommendations Assessment, Development and Evaluation (GRADE) working group published a model to produce guidelines based on adoption, adaption and/or de novo development using the GRADE evidence-to-decision framework...
November 20, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29216263/roles-responsibilities-and-characteristics-of-lay-community-health-workers-involved-in-diabetes-prevention-programmes-a-systematic-review
#9
Jillian Hill, Nasheeta Peer, Brian Oldenburg, Andre Pascale Kengne
AIM: To examine the characteristics of community health workers (CHWs) involved in diabetes prevention programmes (DPPs) and their contributions to expected outcomes. METHODS: Electronic databases including PubMed-MEDLINE, EBSCOHost, and SCOPUS/EMBASE were searched for studies published between January 2000 and March 2016. All studies that used CHWs to implement DPP in ≥18-year-old participants without diabetes but at high risk for developing the condition, irrespective of the study design, setting or outcomes measured, were included...
2017: PloS One
https://www.readbyqxmd.com/read/29214626/a-descriptive-analysis-of-data-from-the-department-of-defense-joint-trauma-system-prehospital-trauma-registry
#10
Stephen G Schauer, Michael D April, Jason F Naylor, Joshua J Oliver, Cord W Cunningham, Andrew D Fisher, Russ S Kotwal
The active battlefield is an environment of chaos and confusion. Depending on the scale of combat, the chaos and confusion often extend into the prehospital combat setting with multiple personnel and units involved in the chain of care of casualties. The chaos of the prehospital combat setting has led to limitations in the availability of data for performance improvement and research. The Department of Defense (DoD) Joint Trauma System (JTS) Prehospital Trauma Registry (PHTR) was developed in conjunction with the updated Tactical Combat Casualty Care (TCCC) card and a TCCC after action report (AAR), and currently serves as the prehospital repository and module of the DoD Trauma Registry (DoDTR)...
October 2017: U.S. Army Medical Department Journal
https://www.readbyqxmd.com/read/29214595/health-systems-sustainability-and-rare-diseases
#11
Rita Maria Ferrelli, Marta De Santis, Amalia Egle Gentile, Domenica Taruscio
The paper is addressing aspects of health system sustainability for rare diseases in relation to the current economic crisis and equity concerns. It takes into account the results of the narrative review carried out in the framework of the Joint Action for Rare Diseases (Joint RD-Action) "Promoting Implementation of Recommendations on Policy, Information and Data for Rare Diseases", that identified networks as key factors for health systems sustainability for rare diseases. The legal framework of European Reference Networks and their added value is also presented...
2017: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/29213251/who-wants-to-be-an-intrapreneur-relations-between-employees-entrepreneurial-professional-and-leadership-career-motivations-and-intrapreneurial-motivation-in-organizations
#12
Kim-Yin Chan, Moon-Ho R Ho, Jeffrey C Kennedy, Marilyn A Uy, Bianca N Y Kang, Olexander S Chernyshenko, Kang Yang T Yu
This paper reports an empirical study conducted to examine the relationship between employees' Entrepreneurial, Professional, and Leadership (EPL) career motivations and their intrapreneurial motivation. Using data collected from 425 working adults in the research/innovation and healthcare settings, we develop a self-report measure of employee intrapreneurial motivation. We also adapt an existing self-report measure of E, P, and L career motivations (previously developed and used with university students) for use with working adult organizational employees...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/29210132/community-pharmacists-in-england-s-opinions-on-skill-mix-and-delegation
#13
Emma Barnes, Alison Bullock, Margaret Allan, Karen Hodson
OBJECTIVES: Following the 2005 contractual framework amendment, the expanding role of community pharmacy team members required a shift in entrenched views on roles and duties. This study aimed to report on community pharmacists' opinions on skill mix and explore how they can be addressed so that skill mix may be optimised. METHODS: An invitation to complete an online questionnaire was distributed via email, marked for the attention of the lead pharmacist. Following a low response, a paper-based questionnaire was sent to all community pharmacies in England (n = 11,816)...
December 6, 2017: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/29206264/rn-to-bsn-students-quality-improvement-knowledge-skills-confidence-and-systems-thinking
#14
Peggy Trent, Mary A Dolansky, Jacqueline Kayler DeBrew, Gayle M Petty
BACKGROUND: Little evidence demonstrates that RN-to-baccalaureate nursing (BSN) graduates have met The Essentials of Baccalaureate Education for Professional Nursing Practice-specifically, evidence of the graduates' organizational and systems leadership related to quality care and patient safety. This BSN Essentials reflects the QSEN quality improvement (QI) competency. The purpose of this pilot study was to develop and test an assessment strategy to measure RN-to BSN students' QI competence and their perception of QI knowledge and skills...
December 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/29205278/jack-aviv-and-brains-of-children
#15
REVIEW
Angelo A Lamola
Both lead intoxication in early childhood and deficient bilirubin-binding capacity (BBC) of blood in jaundiced neonates indicate risk for brain damage. Zinc protoporphyrin (ZPP) is a biomarker for lead intoxication (PbI) as well as well as for iron deficiency. Under the leadership of Jack Aviv, Aviv Biomedical, Inc. developed robust hematofluorometers for point-of-care assays of ZPP in blood and for the high-affinity BBC of blood. These assays use just drops of whole blood and are simple, fast and inexpensive...
December 4, 2017: Biopolymers
https://www.readbyqxmd.com/read/29204852/european-antibiotic-awareness-day-2017-training-the-next-generation-of-health-care-professionals-in-antibiotic-stewardship
#16
Lenneke Schrier, Adamos Hadjipanayis, Stefano Del Torso, Tom Stiris, Marieke Emonts, Hans Juergen Dornbusch
Antimicrobial stewardship (AMS) aims to optimise treatment, minimise the risk of adverse effects and reduce health care costs. In addition, it is recognised as a key component to stop the current spread of antimicrobial resistance in Europe. Educational programmes are particularly important for the successful implementation of AMS. Training should start during medical school, continue during clinical training and be reinforced throughout postgraduate training. National core curricula for paediatric training should include passive and active training of competencies needed for AMS and future paediatricians should be skilled in taking leadership roles in AMS initiatives...
December 5, 2017: European Journal of Pediatrics
https://www.readbyqxmd.com/read/29203696/treasure-your-exceptions-an-interview-with-2017-george-beadle-award-recipient-susan-a-gerbi
#17
Susan A Gerbi
THE Genetics Society of America's (GSA) George W. Beadle Award honors individuals who have made outstanding contributions to the community of genetics researchers and who exemplify the qualities of its namesake. The 2017 recipient is Susan A. Gerbi, who has been a prominent leader and advocate for the scientific community. In the course of her research on DNA replication, Gerbi helped develop the method of Replication Initiation Point (RIP) mapping to map replication origins at the nucleotide level, improving resolution by two orders of magnitude...
December 2017: Genetics
https://www.readbyqxmd.com/read/29202164/lessons-learned-by-a-founding-dean-college-of-health-and-human-services-at-western-kentucky-university
#18
John A Bonaguro
This article describes the process in the development and implementation of the College of Health and Human Services at Western Kentucky University. Lessons learned and insights gained as an inaugural dean are presented around four main themes: creating a culture of trust and transparency, leaders of change, strategic planning, and cultivating external resources. The application of change theory, transformational leadership, and systems thinking enabled the college to more than double its enrollment and to address critical workforce needs in health and human services...
2017: Journal of Allied Health
https://www.readbyqxmd.com/read/29200422/whole-system-approaches-to-improving-the-health-and-wellbeing-of-healthcare-workers-a-systematic-review
#19
Sarah L Brand, Jo Thompson Coon, Lora E Fleming, Lauren Carroll, Alison Bethel, Katrina Wyatt
BACKGROUND: Healthcare professionals throughout the developed world report higher levels of sickness absence, dissatisfaction, distress, and "burnout" at work than staff in other sectors. There is a growing call for the 'triple aim' of healthcare delivery (improving patient experience and outcomes and reducing costs; to include a fourth aim: improving healthcare staff experience of healthcare delivery. A systematic review commissioned by the United Kingdom's (UK) Department of Health reviewed a large number of international healthy workplace interventions and recommended five whole-system changes to improve healthcare staff health and wellbeing: identification and response to local need, engagement of staff at all levels, and the involvement, visible leadership from, and up-skilling of, management and board-level staff...
2017: PloS One
https://www.readbyqxmd.com/read/29200238/entrustable-professional-activity-epa-reshapes-the-practice-of-specialist-training
#20
Leila Niemi-Murola
In addition to medical expertise, competence-based medical training comprises communication and collaboration skills, professionalism, and leadership skills. Continuous feedback is essential for learning and development, and feedback only from the medical specialist examination taken in the end of training does not ensure thorough specialist training. Entrustable professional activity (EPA) is a unit of professional practice, defined as tasks or responsibilities typical of the specialty. EPA translates competence-based training into manageable and meaningful entities and provides tools for the evaluation of medical competence...
2017: Duodecim; Lääketieteellinen Aikakauskirja
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