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https://www.readbyqxmd.com/read/29691950/adapting-evidence-based-clinical-practice-guidelines-at-university-teaching-hospitals-a-model-for-the-eastern-mediterranean-region
#1
Yasser S Amer, Hayfaa A Wahabi, Manal M Abou Elkheir, Ghada A Bawazeer, Shaikh M Iqbal, Maher A Titi, Aishah Ekhzaimy, Khalid A Alswat, Rasmieh A Alzeidan, Lubna A Al-Ansary
RATIONALE, AIMS, AND OBJECTIVES: Clinical practice guidelines (CPGs) are significant tools for evidence-based health care quality improvement. The CPG program at King Saud University was launched as a quality improvement program to fulfil the international accreditation standards. This program was a collaboration between the Research Chair for Evidence-Based Healthcare and Knowledge Translation and the Quality Management Department. This study aims to develop a fast-track method for adaptation of evidence-based CPGs and describe results of the program...
April 24, 2018: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29691103/the-risk-stratification-and-prognostic-prediction-value-of-procalcitonin-and-clinical-severity-scores-on-patients-with-community-acquired-pneumonia-in-emergency-department-prediction-value-of-procalcitonin-and-severity-scores-for-cap
#2
Haijiang Zhou, Shubin Guo, Tianfei Lan, Shuai Ma, Fang Zhang, Zhiling Zhao
OBJECTIVE: Community-acquired pneumonia (CAP) is a common presentation to the emergency department (ED) and has high mortality rates. The aim of our study is to investigate the risk stratification and prognostic prediction value of precalcitonin (PCT) and clinical severity scores on patients with CAP in ED. METHODS: 226 consecutive adult patients with CAP admitted in ED of a tertiary teaching hospital were enrolled. Demographic information and clinical parameters including PCT levels were analyzed...
March 21, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29685436/diagnosis-of-bovine-dictyocaulosis-by-bronchoalveolar-lavage-technique-a-comparative-study-using-a-bayesian-approach
#3
Thibaut Lurier, Marie Laure Delignette-Muller, Benoit Rannou, Christina Strube, Marie-Anne Arcangioli, Gilles Bourgoin
Bovine dictyocaulosis is a pulmonary parasitic disease present in temperate countries, with potential important clinical and economic impacts. The Baermann technique is routinely used despite its low sensitivity in adult cows. Recently developed serological tests seem to offer better sensitivity, but validations of these tests in field conditions are few. We aimed to study two non-previously evaluated diagnosis methods of dictyocaulosis based on bronchoalveolar lavage sampling (BAL), which allows finding lungworm stages in the lungs as well as determination of eosinophilia...
June 1, 2018: Preventive Veterinary Medicine
https://www.readbyqxmd.com/read/29683013/medical-students-professional-identity-development-from-being-actors-in-an-objective-structured-teaching-exercise
#4
Jehanne De Grasset, Marie-Claude Audetat, Nadia Bajwa, Nicole Jastrow, Hélène Richard-Lepouriel, Mathieu Nendaz, Noelle Junod Perron
INTRODUCTION: Medical students develop professional identity through structured activities and impromptu interactions in various settings. We explored if contributing to an Objective Structured Teaching Exercise (OSTE) influenced students' professional identity development. METHODS: University clinical faculty members participated in a faculty development program on clinical supervision. Medical students who participated in OSTEs as simulated residents were interviewed in focus groups about what they learnt from the experience and how the experience influenced their vision of learning and teaching...
April 22, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29680511/spinal-pa-movements-behave-as-if-there-are-limitations-of-local-segmental-mobility-and-are-large-enough-to-be-perceivable-by-manual-palpation-a-synthesis-of-the-literature
#5
Neil Tuttle, Charles Hazle
BACKGROUND: Posterio-anterior (PA) movements are one type of passive intervertebral movement used to assess and treat perceived deficits in localized segmental mobility. OBJECTIVES: To describe: 1) The specific effects that reductions in segmental mobility would be expected to have on PA movements; 2) How differences in PA movements in clinical situations compare to what would be expected with reduced segmental mobility; and 3) Whether such differences in PA movements are likely to be perceivable by manual palpation...
April 16, 2018: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/29680431/occurrence-of-nocturia-is-not-mediated-by-nocturnal-hypoxia-length-and-severity-in-patients-with-sleep-disordered-breathing
#6
P Finamore, S Scarlata, A Laudisio, F Galdi, M E Pipita, I Chiarella, R Giua, L Cortese, C Rivera, R Antonelli Incalzi
BACKGROUND: Nocturia is highly prevalent in subjects with respiratory sleep disturbances (ie obstructive sleep apnea). The aim of our study is to evaluate whether nocturia is associated with intermittent desaturations or hypoxia length and severity in people undergoing polysomnography. METHODS: We recruited 275 consecutive subjects attending the outpatient clinic for respiratory diseases at Campus Bio-Medico Teaching Hospital. Nocturia was defined as a self-reported voiding frequency ≥ two per night...
May 2018: Sleep Medicine
https://www.readbyqxmd.com/read/29677046/student-and-preceptor-advancement-in-a-dedicated-education-site-innovation-in-clinical-education-for-advanced-practice-nurses
#7
Katherine C Hall, Sandy K Diffenderfer, April Stidham, Christine M Mullins
In the 1990s, dedicated education units transformed undergraduate preceptorships, but graduate preceptorships remain static. The dyadic nurse practitioner preceptorship model supports an environment where faculty, students, and preceptors may overlook nuances that affect the teaching-learning process. This article describes an innovative clinical education model, Student and Preceptor Advancement in a Dedicated Education Site, designed to improve preceptorships for advanced practice nurses. The focus is on adaptations made to facilitate use in advanced practice nursing programs...
April 19, 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29676054/considering-the-interdependence-of-clinical-performance-implications-for-assessment-and-entrustment
#8
Stefanie S Sebok-Syer, Saad Chahine, Christopher J Watling, Mark Goldszmidt, Sayra Cristancho, Lorelei Lingard
INTRODUCTION: Our ability to assess independent trainee performance is a key element of competency-based medical education (CBME). In workplace-based clinical settings, however, the performance of a trainee can be deeply entangled with others on the team. This presents a fundamental challenge, given the need to assess and entrust trainees based on the evolution of their independent clinical performance. The purpose of this study, therefore, was to understand what faculty members and senior postgraduate trainees believe constitutes independent performance in a variety of clinical specialty contexts...
April 19, 2018: Medical Education
https://www.readbyqxmd.com/read/29674109/mixed-method-evaluation-of-a-cadaver-dissection-course-for-general-surgery-interns-an-innovative-approach-for-filling-the-gap-between-gross-anatomy-and-the-operating-room
#9
Yen-Yi Juo, Christina Hanna, Quach Chi, Grace Chang, Warwick J Peacock, Areti Tillou, Catherine E Lewis
OBJECTIVE: To evaluate an innovative whole cadaver dissection curriculum designed to focus on teaching procedure-relevant anatomy and surgical skills to surgery interns. DESIGN: A mixed methods explanatory sequential design incorporating both quantitative and qualitative evaluations was used to evaluate the cadaver dissection course. Quantitative data were prospectively collected and retrospectively reviewed in order to compare anatomy knowledge and operative skills before and after the course...
April 16, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29672937/see-reflect-learn-more-qualitative-analysis-of-breaking-bad-news-reflective-narratives
#10
Orit Karnieli-Miller, Michal Palombo, Dafna Meitar
CONTEXT: Breaking bad news (BBN) is a challenge that requires multiple professional competencies. BBN teaching often includes didactic and group role-playing sessions. Both are useful and important, but exclude another critical component of students' learning: day-to-day role-model observation in the clinics. Given the importance of observation and the potential benefit of reflective writing in teaching, we have incorporated reflective writing into our BBN course. The aim of this study was to enhance our understanding of the learning potential in reflective writing about BBN encounters and the ability to identify components that inhibit this learning...
May 2018: Medical Education
https://www.readbyqxmd.com/read/29667584/pharmacist-interventions-during-patient-rounds-in-two-intensive-care-units-clinical-and-financial-impact
#11
B E Bosma, P M L A van den Bemt, P H G J Melief, J van Bommel, S S Tan, N G M Hunfeld
INTRODUCTION: The risk of prescribing errors and related adverse drug events (ADE) on the intensive care unit (ICU) is high. Based on studies carried out in North America or the UK, a clinical pharmacy service can reduce ADEs and lower overall costs. This study looks into the clinical and financial impact of interventions made by pharmacists during patient rounds in two ICU settings in the Netherlands. MATERIALS AND METHODS: A quality improvement study was performed in a general teaching hospital (GTH) and a university hospital (UH) in the Netherlands...
April 2018: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/29665243/creating-virtual-3-dimensional-models-for-teaching-pre-clinical-tooth-preparation-students-usages-and-perceptions
#12
W S Lin, J C Chou, J R Charette, M J Metz, B T Harris, N Choi
PURPOSE: This research aimed to evaluate the students' usage and perceptions of using smartphones in their general dental education and learning tooth preparation with the individually designed virtual 3D instructional models in the pre-clinical removable partial denture course. MATERIALS AND METHODS: Second-year dental students were asked to voluntarily participate in a survey to investigate their demographic information, general usages of smartphones, perception of smartphones usage in dental education (construct 1) and perception of individually designed virtual 3D instructional models (construct 2)...
April 17, 2018: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://www.readbyqxmd.com/read/29665161/poverty-as-an-independent-risk-factor-for-in-hospital-mortality-in-community-acquired-pneumonia-a-study-in-a-developing-country-population
#13
Hassan Jahanihashemi, Mona Babaie, Soroush Bijani, Maryam Bazzazan, Behzad Bijani
BACKGROUND: Community-acquired pneumonia (CAP) is one of the most severe lower respiratory tract infections with a high in-hospital mortality. The aim of this study was to investigate the socioeconomic and medical risk factors affecting the prognosis of acute pneumonia. The results of this study can mention the value of socioeconomic backgrounds like poverty and illiteracy in clinical practice, even in a well-known biological phenomenon (eg acute pneumonia). METHODS: In this cross-sectional study, all admitted patients to a tertiary teaching hospital with a diagnosis of community acquired pneumonia in a 12-month period were enrolled...
April 17, 2018: International Journal of Clinical Practice
https://www.readbyqxmd.com/read/29663891/flipped-learning-can-rheumatology-lead-the-shift-in-medical-education
#14
Yasser El Miedany, Maha El Gaafary, Nadia El Aroussy, Sally Youssef
OBJECTIVE: To: 1. implement flipped classroom rheumatology teaching for undergraduate education. 2. Evaluate outcomes of teaching using OSCE assessment and student perceived effectiveness and satisfaction survey. METHODS: The flipped classroom education was conducted in 3 phases. Phase 1: carried out in the students' own time. Web links were emailed to assist exposure of the instructional part of the lesson online. Phase 2: interactive in-class activity to share personal reflection and reinforce the key aspects...
April 16, 2018: Current Rheumatology Reviews
https://www.readbyqxmd.com/read/29655572/3d-modelling-and-printing-technology-to-produce-patient-specific-3d-models
#15
Nicolette S Birbara, James M Otton, Nalini Pather
BACKGROUND: A comprehensive knowledge of mitral valve (MV) anatomy is crucial in the assessment of MV disease. While the use of three-dimensional (3D) modelling and printing in MV assessment has undergone early clinical evaluation, the precision and usefulness of this technology requires further investigation. This study aimed to assess and validate 3D modelling and printing technology to produce patient-specific 3D MV models. METHODS: A prototype method for MV 3D modelling and printing was developed from computed tomography (CT) scans of a plastinated human heart...
November 10, 2017: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/29650483/solid-cystic-and-tubular-novice-ultrasound-skills-training-using-a-versatile-affordable-practice-model
#16
Shruti Sevak, Benjamin Lurvey, Ashley A Woodfin, Zachary Hothem, Rose E Callahan, James Robbins, Kathryn Ziegler
OBJECTIVE: In spite of the recognized benefits of ultrasound, many physicians have little experience with using ultrasound to perform procedures. Many medical schools and residency programs lack a formal ultrasound training curriculum. We describe an affordable ultrasound training curriculum and versatile, inexpensive practice model. DESIGN: Participants underwent a didactic session to teach the theory required to perform ultrasound-guided procedures. Motor skills were taught using a practice model incorporating analogs of common anatomic and pathologic structures into an opacified gelatin substrate...
April 9, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29650071/improving-observational-skills-to-enhance-the-clinical-examination
#17
REVIEW
Stephen W Russell
For much of the 20th century, educators lacked evidence that teaching observational skills could benefit modern medicine. But in 2001, a statistical model emerged that supported the effectiveness of teaching observational skills to medical students using a museum-based curriculum. The story that led to that ground-breaking study, and the consequences that sprung from it, is retold here, traveling from the darkened caves in the foothills of France to the brightly lit galleries of the Yale center for British art...
May 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/29616433/mortality-and-detailed-characteristics-of-pre-icu-qsofa-negative-patients-with-suspected-sepsis-an-observational-study
#18
Izumi Nakayama, Junichi Izawa, Hideyuki Mouri, Tetsuhisa Kitamura, Junji Shiotsuka
BACKGROUND: Recent studies have suggested that quick Sequential Organ Failure Assessment (qSOFA) scores have limited utility in early prognostication in high-mortality populations. The purpose of this study was to investigate the association between pre-ICU qSOFA scores and in-hospital mortality among patients admitted to the ICU with suspected sepsis. This study also aimed to describe detailed clinical characteristics of qSOFA-negative (< 2) patients. METHODS: This single center, observational study, conducted in a Japanese tertiary care teaching hospital between May 2012 and June 2016, enrolled all consecutive adult patients admitted to the ICU with suspected sepsis...
April 3, 2018: Annals of Intensive Care
https://www.readbyqxmd.com/read/29614233/the-effect-of-speech-language-pathology-students-on-clinician-time-use-and-activity
#19
Elizabeth Bourne, Lindy McAllister, Srivalli Nagarajan, Kate Short
PURPOSE: This prospective study investigated the impact of supervising students on public health speech-language pathologists' (SLPs) time and patient activity levels in order to broaden evidence in the profession. METHOD: Thirty-four SLPs supervising students collected data profiling their time use and activity during the first, middle and penultimate placement week. They also collected data for a week when not supervising students. Pre- and post-placement surveys were used to supplement quantitative data with additional information such as clinician and student experience levels...
April 3, 2018: International Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/29608118/a-global-health-training-model-for-teaching-pediatric-clinical-decision-making-skills-to-rwandan-physical-therapists-a-case-report
#20
Kathryn Clark, Cara N Whalen Smith, Lori Kohls, Ines Musabyemariya, Egide Kayonga Ntagungira, Monika Mann, Steve R Fisher
BACKGROUND AND PURPOSE: There is increasing interest among physical therapists from high-income countries to participate in education development projects in low-income countries. However, there are few examples in the literature of effective developmental models or projects. This case report describes a model for improving pediatric clinical decision making skills among Rwandan physical therapists using best practices in clinical decision making, evidence-based practice where possible, and use of the International Classification of Functioning and Disability (ICF) model...
April 2, 2018: Physiotherapy Theory and Practice
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