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https://www.readbyqxmd.com/read/29441119/diagnosis-monitoring-and-prevention-of-exposure-related-non-communicable-diseases-in-the-living-and-working-environment-dimopex-project-is-designed-to-determine-the-impacts-of-environmental-exposure-on-human-health
#1
REVIEW
Lygia Therese Budnik, Balazs Adam, Maria Albin, Barbara Banelli, Xaver Baur, Fiorella Belpoggi, Claudia Bolognesi, Karin Broberg, Per Gustavsson, Thomas Göen, Axel Fischer, Dorota Jarosinska, Fabiana Manservisi, Richard O'Kennedy, Johan Øvrevik, Elizabet Paunovic, Beate Ritz, Paul T J Scheepers, Vivi Schlünssen, Heidi Schwarzenbach, Per E Schwarze, Orla Sheils, Torben Sigsgaard, Karel Van Damme, Ludwine Casteleyn
The WHO has ranked environmental hazardous exposures in the living and working environment among the top risk factors for chronic disease mortality. Worldwide, about 40 million people die each year from noncommunicable diseases (NCDs) including cancer, diabetes, and chronic cardiovascular, neurological and lung diseases. The exposure to ambient pollution in the living and working environment is exacerbated by individual susceptibilities and lifestyle-driven factors to produce complex and complicated NCD etiologies...
2018: Journal of Occupational Medicine and Toxicology
https://www.readbyqxmd.com/read/29436114/interprofessional-learning-in-ambulatory-care
#2
Rosemary Saunders, Helen Dugmore, Karla Seaman, Rachel Singer, Fiona Lake
BACKGROUND: Interprofessional practice amongst health care professionals can facilitate effective collaboration and can improve health outcomes for patients. Interprofessional clinical placements have mainly been established within inpatient settings; however, ambulatory care settings can also provide interprofessional education. This study evaluates an interprofessional placement in ambulatory care for medical and nursing students. METHODS: Medical and nursing students undertook a 2-week interprofessional placement in respiratory, diabetes and chronic pain clinics, as well as within the patient's home...
February 12, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29431178/improving-email-strategies-to-target-stress-and-productivity-in-clinical-practice
#3
Melissa J Armstrong
Physician burnout is gaining increased attention in medicine and neurology and often relates to hours worked and insufficient time. One component of this is administrative burden, which relates to regulatory requirements and electronic health record tasks but may also involve increased time spent processing emails. Research in academic medical centers demonstrates that physicians face increasing inbox sizes related to mass distribution emails from various sources on top of emails required for patient care, research, and teaching...
December 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/29429290/-the-application-progress-of-3d-printing-technology-in-ophthalmology
#4
Z K Ji, Y Zhao, S S Yu, H Zhao
3D printing is a kind of technology that makes 3D models from computer-aided designs through additive manufacturing, in which successive layers of the material are deposited onto underlying layers to construct 3D objects. In recent years, 3D printing is gradually applied in the field of ophthalmology, such as the cornea, retina, orbital operation, ocular tumor radiotherapy, ocular implants and ophthalmology teaching. This article reviews the application status of 3D printing technology in the basic research and clinical treatment in ophthalmology...
January 11, 2018: [Zhonghua Yan Ke za Zhi] Chinese Journal of Ophthalmology
https://www.readbyqxmd.com/read/29425890/the-top-medical-education-studies-of-2016-a-narrative-review
#5
REVIEW
H Barrett Fromme, Michael S Ryan, Alix Darden, Donna D'Alessandro, Leora Mogilner, Steven Paik, Teri L Turner
Education, like clinical medicine, should be based on the most current evidence in the field. Unfortunately, medical educators can be overwhelmed by the sheer volume and range of resources for this literature. This article provides an overview of 15 articles from 2016 that the authors consider the top articles in the field of pediatric medical education. The seven authors, all medical educators with combined leadership and expertise across the continuum of pediatric medical education, used an interative, three-stage process to review more than 6339 abstracts published in 2016...
February 6, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29425738/investigation-of-blended-learning-video-resources-to-teach-health-students-clinical-skills-an-integrative-review
#6
REVIEW
Elisabeth Coyne, Hazel Rands, Valda Frommolt, Victoria Kain, Melanie Plugge, Marion Mitchell
OBJECTIVES: The aim of this review is to inform future educational strategies by synthesising research related to blended learning resources using simulation videos to teach clinical skills for health students. DESIGN: An integrative review methodology was used to allow for the combination of diverse research methods to better understand the research topic. This review was guided by the framework described by Whittemore and Knafl (2005), DATA SOURCES: Systematic search of the following databases was conducted in consultation with a librarian using the following databases: SCOPUS, MEDLINE, COCHRANE, PsycINFO databases...
January 31, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29422144/the-relation-between-patient-education-patient-empowerment-and-patient-satisfaction-a-cross-sectional-comparison-study
#7
Mei-Yu Yeh, Shu-Chen Wu, Tao-Hsin Tung
PURPOSE: Patient empowerment is a paradigm of clinical practice. The goal of patient empowerment is to lead patients' health and wellbeing. The aim of this study is to evaluate the relation between patient education, patient empowerment and patient satisfaction based on multi-hospital cross-sectional study design in Taiwan. METHODS: In this cross-sectional survey, 609 inpatients in four teaching hospitals in northern Taiwan from August 2009 to July 2010 were recruited...
February 2018: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/29421644/experiences-of-the-graduates-of-the-first-baccalaureate-midwifery-programme-in-pakistan-a-descriptive-exploratory-study
#8
Arusa Lakhani, Rafat Jan, Marina Baig, Kiran Mubeen, Sadia Abbas Ali, Shahnaz Shahid, Karyn Kaufman
BACKGROUND: in 2012 the Aga Khan University in Karachi, Pakistan opened the country's first bachelor's degree program in midwifery for women who held diplomas in nursing and midwifery. The principal aims were to prepare midwives who would be competent to provide full-scope practice. For quality assurance, the programme was continuously monitored and assessed. As part of this ongoing evaluation process we sought in-depth feedback from the first graduates about their student experiences...
January 30, 2018: Midwifery
https://www.readbyqxmd.com/read/29417740/the-clinical-educator-and-complexity-a-review
#9
REVIEW
Adrian Schoo, Koshila Kumar
BACKGROUND: Complexity science perspectives have helped in examining fundamental assumptions about learning and teaching in the health professions. The implications of complexity thinking for how we understand the role and development of the clinical educator is less well articulated. This review article outlines: the key principles of complexity science; a conceptual model that situates the clinical educator in a complex system; and the implications for the individual, organisation and the system...
February 8, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29416146/time-spent-by-patients-in-a-pre-anaesthetic-clinic-and-the-factors-affecting-it-an-audit-from-a-tertiary-care-teaching-hospital
#10
Justin P James, Suma Mary Thampi
Background and Aims: Patient satisfaction from a pre-anaesthetic clinic (PAC) visit is greatly influenced by time spent there. We aimed to determine time spent in a PAC without an appointment system and the factors affecting the same. Methods: Four hundred and eight patients coming to PAC were tracked using a time-motion study model. Time spent in waiting and consultation was recorded. Independent variables potentially affecting time spent were documented. Patients were grouped based on independent variables, and the groups were compared for significant differences using appropriate statistical tests...
January 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/29400638/the-relationship-between-general-health-and-coping-style-with-the-perceived-stress-in-primigravida-healthy-pregnant-women-using-the-path-model
#11
Farshid Shamsaei, Azam Maleki, Fatemeh Shobeiri, Farzaneh Soltani, Fazlollah Ahmadi, Ghodratollah Roshanaei
The aim of this study was to analyze relationships among general health, coping style, and perceived stress in healthy primigravida pregnant women. A cross-sectional study was conducted at public health clinics in Hamadan city, Iran between July and December 2015. In total, 380 pregnant women were selected through stratified random sampling. Data were collected using the Revised Prenatal Coping Inventory and General Health Questionnaire. Perceived stress was assessed through an interview comprised of open-ended questions...
February 5, 2018: Women & Health
https://www.readbyqxmd.com/read/29393799/resolving-ethical-dilemmas-in-a-tertiary-care-veterinary-specialty-hospital-adaptation-of-the-human-clinical-consultation-committee-model
#12
Philip M Rosoff, Jeannine Moga, Bruce Keene, Christopher Adin, Callie Fogle, Rachel Ruderman, Heather Hopkinso, Charity Weyhrauch
Technological advances in veterinary medicine have produced considerable progress in the diagnosis and treatment of numerous diseases in animals. At the same time, veterinarians, veterinary technicians, and owners of animals face increasingly complex situations that raise questions about goals of care and correct or reasonable courses of action. These dilemmas are frequently controversial and can generate conflicts between clients and health care providers. In many ways they resemble the ethical challenges confronted by human medicine and that spawned the creation of clinical ethics committees as a mechanism to analyze, discuss, and resolve disagreements...
February 2018: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/29390941/a-cross-sectional-study-on-teaching-pelvic-examination-in-medical-schools-in-the-uk-the-cotes-study
#13
Aisha Janjua, Paul Smith, T Justin Clark
Gynaecological teaching associates (GTAs) appear to be effective in aiding medical students to acquire core skills in female pelvic examination (FPE). The aim was to explore the current provision for teaching and assessment of FPE in Obstetric and Gynaecological (O&G) placements across UK medical schools and in particular, the use of GTAs. An online survey was sent to undergraduate academic leads for O&G, representing 29 of the 30 UK medical schools. The response rate was 21/29 (72%). The average placement was 6...
February 1, 2018: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29389994/factors-associated-with-patient-recall-of-key-information-in-ambulatory-specialty-care-visits-results-of-an-innovative-methodology
#14
M Barton Laws, Yoojin Lee, Tatiana Taubin, William H Rogers, Ira B Wilson
While some studies have assessed patient recall of important information from ambulatory care visits, none has done so recently. Furthermore, little is known about features of clinical interactions which are associated with patient understanding and recall, without which shared decision making, a widely shared ideal for patient care, cannot occur. Our objective was to evaluate characteristics of patients and outpatient encounters associated with patient recall of information after one week, along with observation of elements of shared decision making...
2018: PloS One
https://www.readbyqxmd.com/read/29389224/perspectives-on-palliative-care-in-cancer-clinical-trials-diverse-meanings-from-multidisciplinary-cancer-care-providers
#15
Michelle A Mollica, Erin E Kent, Kathleen M Castro, Erin M Ellis, Rebecca A Ferrer, Angela L Falisi, Anna Gaysynsky, Grace C Huang, Martha A Palan, Wen-Ying Sylvia Chou
BACKGROUND: Palliative care (PC) is often misunderstood as exclusively pertaining to end-of-life care, which may be consequential for its delivery. There is little research on how PC is operationalized and delivered to cancer patients enrolled in clinical trials. OBJECTIVE: We sought to understand the diverse perspectives of multidisciplinary oncology care providers caring for such patients in a teaching hospital. METHODS: We conducted qualitative semistructured interviews with 19 key informants, including clinical trial principal investigators, oncology fellows, research nurses, inpatient and outpatient nurses, spiritual care providers, and PC fellows...
February 1, 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29386207/absence-of-july-phenomenon-in-acute-ischemic-stroke-care-quality-and-outcomes
#16
Marco Gonzalez-Castellon, Christine Ju, Ying Xian, Adrian Hernandez, Gregg C Fonarow, Lee Schwamm, Eric E Smith, Deepak L Bhatt, Matthew Reeves, Joshua Z Willey
BACKGROUND: Lower care quality and an increase in adverse outcomes as a result of new medical trainees is a concept well rooted in popular belief, termed the "July phenomenon." Whether this phenomenon occurs in acute ischemic stroke has not been well studied. METHODS AND RESULTS: We analyzed data from patients admitted with ischemic stroke in 1625 hospitals participating in the Get With The Guidelines-Stroke program for the 5-year period between January 2009 and December 2013...
January 31, 2018: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29385577/interprofessional-case-conference-impact-on-learner-outcomes
#17
Jeffrey Sordahl, India C King, Kyle Davis, Rick Tivis, Scott C Smith, Amber Fisher, Janet Willis, Timothy Gordon, William G Weppner
Transition to interprofessional team-based care is a quickly progressing healthcare model and requires changes in medical training approaches. The Department of Veteran Affairs (VA) has taken a lead role in creating such training experiences, one of which is the establishment of multiple Centers of Excellence in Primary Care Education (CoEPCE). These sites are tasked with developing teaching innovations to better facilitate interprofessional team-based care. The patient-aligned care team interprofessional care update (PACT-ICU) is an interprofessional workplace learning activity with the goals of simultaneously addressing educational and patient care needs...
January 27, 2018: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/29383081/a-cognitive-apprenticeship-based-faculty-development-intervention-for-emergency-medicine-educators
#18
Chris Merritt, Michelle Daniel, Brendan W Munzer, Mariann Nocera, Joshua C Ross, Sally A Santen
In just a few years of preparation, emergency medicine (EM) trainees must achieve expertise across the broad spectrum of skills critical to the practice of the specialty. Though education occurs in many contexts, much learning occurs on the job, caring for patients under the guidance of clinical educators. The cognitive apprenticeship framework, originally described in primary and secondary education, has been applied to workplace-based medical training. The framework includes a variety of teaching methods: scaffolding, modeling, articulation, reflection, and exploration, applied in a safe learning environment...
January 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29383053/taking-advantage-of-the-teachable-moment-a-review-of-learner-centered-clinical-teaching-models
#19
REVIEW
Sneha A Chinai, Todd Guth, Elise Lovell, Michael Epter
When working in a chaotic Emergency Department (ED) with competing priorities, clinical teaching may be sacrificed for the sake of patient flow and throughput. An organized, efficient approach to clinical teaching helps focus teaching on what the learner needs at that moment, incorporates regular feedback, keeps the department on track, and prevents over-teaching. Effective clinical teaching in a busy environment is an important skill for senior residents and faculty to develop. This review will provide a critique and comparison of seven structured teaching models to better prepare readers to seize the teachable moment...
January 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29381162/leadership-development-through-peer-facilitated-simulation-in-nursing-education
#20
Karen M Brown, Jennifer L Rode
BACKGROUND: Baccalaureate nursing graduates must possess leadership skills, yet few opportunities exist to cultivate leadership abilities in a clinical environment. Peer-facilitated learning may increase the leadership skills of competence, self-confidence, self-reflection, and role modeling. Facilitating human patient simulation provides opportunities to develop leadership skills. METHOD: With faculty supervision, senior baccalaureate students led small-group simulation experiences with sophomore and junior peers and then conducted subsequent debriefings...
January 1, 2018: Journal of Nursing Education
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