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https://www.readbyqxmd.com/read/28426520/nursing-practice-research-and-education-in-the-west-the-best-is-yet-to-come
#1
Heather M Young, Susan Bakewell-Sachs, Linda Sarna
PURPOSE: This paper celebrates the 60th anniversary of the Western Institute of Nursing, the nursing organization representing 13 states in the Western United States, and envisions a preferred future for nursing practice, research, and education. BACKGROUND: Three landmark calls to action contribute to transforming nursing and healthcare: the Patient Protection and Affordable Care Act of 2010; the Institute of Medicine report Future of Nursing: Leading Change, Advancing Health; and the report Advancing Healthcare Transformation: A New Era for Academic Nursing...
April 20, 2017: Nursing Research
https://www.readbyqxmd.com/read/28422849/temporal-trends-in-centralization-and-racial-disparities-in-utilization-of-high-volume-hospitals-for-lung-cancer-surgery
#2
Wil Lieberman-Cribbin, Bian Liu, Emanuele Leoncini, Raja Flores, Emanuela Taioli
Racial disparities have been suggested in hospital utilization and outcome for lung cancer surgery, but the effect of hospital centralization on closing this gap is unknown. We hypothesized that centralization has increased the utilization of high- or very-high-volume (HV/VHV) hospitals, a proxy for access to high-quality care, over the study period independently from race.Inpatient records were extracted from the New York Statewide Planning and Research Cooperative System database (1995-2012) according to Clinical Modification of the International Classification of Diseases, 9th Revision diagnosis codes 162...
April 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28419485/maternal-and-child-characteristics-associated-with-mother-child-interaction-in-one-year-olds
#3
J Carolyn Graff, Andrew J Bush, Frederick B Palmer, Laura E Murphy, Toni M Whitaker, Frances A Tylavsky
Mothers' interactions with their young children have predicted later child development, behavior, and health, but evidence has been developed mainly in at-risk clinical samples. An economically and racially diverse sample of pregnant women who were not experiencing a high-risk pregnancy were recruited to participate in a community-based, longitudinal study of factors associated with child cognitive and social-emotional development during the first 3 years. The purpose of the present analysis was to identify associations between the characteristics of 1125 mothers and their 1-year-olds and the mothers' and children's scores on the Nursing Child Assessment Teaching Scale (NCATS)...
April 18, 2017: Research in Nursing & Health
https://www.readbyqxmd.com/read/28417080/applying-a-systems-approach-to-thyroid-physiology-looking-at-the-whole-with-a-mitochondrial-perspective-instead-of-judging-single-tsh-values-or-why-we-should-know-more-about-mitochondria-to-understand-metabolism
#4
REVIEW
Roy Moncayo, Helga Moncayo
Classical thinking in endocrine physiology squeezes our diagnostic handling into a simple negative feedback mechanism with a controller and a controlled variable. In the case of the thyroid this is reduced to TSH and fT3 and fT4, respectively. The setting of this tight notion has no free space for any additions. In this paper we want to challenge this model of limited application by proposing a construct based on a systems approach departing from two basic considerations. In first place since the majority of cases of thyroid disease develop and appear during life it has to be considered as an acquired condition...
June 2017: BBA Clinical
https://www.readbyqxmd.com/read/28412784/-three-dimensional-printing-and-oral-medicine
#5
M Hu
After 30 years of development, three-dimensional printing technology has made great progress, and the model and surgical guide have been clinically applied. The three-dimensional printing of titanium and other metal prosthesis and dental crown after adequate research will be applied clinically, and three-dimensional bioprinting and related biological materials need further study. Three-dimensional printing provides opportunities for the development of oral medicine, which will change the way of clinical work, teaching and research...
April 9, 2017: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
https://www.readbyqxmd.com/read/28407978/applicability-of-the-heart-failure-readmission-risk-score-a-first-european-study
#6
Francesc Formiga, Joan Masip, David Chivite, Xavier Corbella
BACKGROUND: The Readmission Risk score (RR score) has been considered useful to predict Medicare/Medicaid patients' likelihood of 30-day hospital readmission for heart failure (HF). To our knowledge, the accuracy of this prediction model has not been independently validated in other clinical circumstances in Europe. METHODS: From July 2013 to December 2014, all patients who survived to a first admission due to decompensated HF at our tertiary care teaching hospital were retrospectively included in the study...
June 1, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/28405926/the-use-of-theatre-in-medical-education-in-the-emergency-cases-school-an-appealing-and-widely-accessible-way-of-learning
#7
Christodoulos Keskinis, Vasileios Bafitis, Panagiota Karailidou, Christina Pagonidou, Panteleimon Pantelidis, Alexandros Rampotas, Michail Sideris, Georgios Tsoulfas, Dimitrios Stakos
INTRODUCTION: Theatre models in medical education have been used worldwide in order to train medical students and graduates in managing various situations. However, the literature reports little regarding its appeal to trainees. We conducted a medical seminar, entitled Emergency Cases School, which employed such techniques. Actors simulated the actions of doctors and patients involved in various emergency cases, in front of a large audience, in a specially modified theatre hall which resembled the emergency room environment...
April 12, 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28402457/analysis-of-cost-variation-in-craniotomy-for-tumor-using-2-national-databases
#8
Corinna C Zygourakis, Caterina Y Liu, Seungwon Yoon, Christopher Moriates, Christy Boscardin, R Adams Dudley, Michael T Lawton, Philip Theodosopoulos, Mitchel S Berger, Ralph Gonzales
BACKGROUND: There is a significant increase and large variation in craniotomy costs. However, the causes of cost differences in craniotomies remain poorly understood. OBJECTIVE: To examine the patient and hospital factors that underlie the cost variation in tumor craniotomies using 2 national databases: the National Inpatient Sample (NIS) and Vizient, Inc. (Irving, Texas). METHODS: For 41 483 patients who underwent primary surgery for supratentorial brain tumors from 2001 to 2013 in the NIS, we created univariate and multivariate models to evaluate the effect of several patient factors and hospital factors on total hospital cost...
April 10, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28401705/a-3d-virtual-reality-ophthalmoscopy-trainer
#9
Andrew S Wilson, Jake O'Connor, Lewis Taylor, David Carruthers
BACKGROUND: Performing eye examinations is an important clinical skill that medical students often find difficult to become proficient in. This paper describes the development and evaluation of an innovative 3D virtual reality (VR) training application to support learning these skills. METHODS: The VR ophthalmoscope was developed by a clinical team and technologist using the unity game engine, smartphone and virtual reality headset. It has a series of tasks that include performing systematic eye examinations, identifying common eye pathologies and a knowledge quiz...
April 12, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28398984/experiences-of-pre-licensure-or-pre-registration-health-professional-students-and-their-educators-in-working-with-intra-professional-teams-a-qualitative-systematic-review
#10
Diane L Butcher, Karen MacKinnon, Anne Bruce, Carol Gordon, Clare Koning
BACKGROUND: Inter-professional initiatives are prevalent in the healthcare landscape, requiring professionals to collaborate effectively to provide quality patient care. Little attention has been given to intra-professional relationships, where professionals within one disciplinary domain (such as degree and diploma nursing students) collaborate to provide care. New care models are being introduced where baccalaureate and diploma students of a particular discipline (such as nursing, occupational therapy, dentistry or physiotherapy) work closely together in teams to deliver care...
April 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/28398388/-teaching-methods-for-clinical-settings-a-literature-review
#11
Anna Brugnolli, Carla Benaglio
. Teaching Methods for clinical settings: a review. INTRODUCTION: The teaching process during internship requires several methods to promote the acquisition of more complex technical skills such as relational, decisional and planning abilities. OBJECTIVE: To describe effective teaching methods to promote the learning of relational, decisional and planning skills. METHODS: A literature review of the teaching methods that have proven most effective, most appreciated by students, and most frequently used in Italian nursing schools...
January 2017: Assistenza Infermieristica e Ricerca: AIR
https://www.readbyqxmd.com/read/28397376/nursing-curriculums-may-hinder-a-career-in-gerontological-nursing-an-integrative-review
#12
William Garbrah, Tarja Välimäki, Marjo Palovaara, Päivi Kankkunen
OBJECTIVE: To investigate what prevents undergraduate nursing students from choosing gerontological nursing as a career option. DESIGN: This study utilised an integrative literature review, which allows the inclusion of previous studies with diverse research designs to gain a broader view of the reasons why nursing students do not choose a gerontological nursing career. METHODS: An electronic database search of CINAHL (Ebsco), Scopus and Eric elicited 251 scientific peer-reviewed empirical studies, published from 2006 to March 2016 in English...
April 10, 2017: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/28392599/a-call-to-promote-healthcare-justice-a-summary-of-integrated-outpatient-clinics-exemplifying-principles-of-catholic-social-teaching
#13
Nicole P Waters, Trenton Schmale, Allison Goetz, Jason T Eberl, Jessica H Wells
There is an urgent need to promote healthcare justice for patients as well as members of the healthcare team including physicians. In this article, we explain how principles of Catholic social teaching (i.e., dignity of the individual, common good, destination of goods, solidarity, and subsidiarity) are applied to health care, by featuring various types of outpatient clinics including free, charitable-direct primary care, hybrid, federally qualified health center, and rural health clinic. We describe how attempts have been made to improve the quality and access of health care by creating new medical schools (i...
February 2017: Linacre Quarterly
https://www.readbyqxmd.com/read/28392598/answering-the-call-to-accessible-quality-health-care-for-all-using-a-new-model-of-local-community-not-for-profit-charity-clinics-a-return-to-christ-centered-care-of-the-past
#14
Yuri Cuellar De la Cruz, Stephen Robinson
This article uses studies and organizational trends to understand available solutions to the lack of quality health care access, especially for the poor and needy of local U.S. communities. The U.S. healthcare system seems to be moving toward the World Health Organization's recommendation for universal health coverage for healthcare sustainability. Healthcare trends and offered solutions are varied. Christian healthcare traditionally implements works of mercy guided by a Christian ethos embracing the teachings of human dignity, solidarity, the common good, and subsidiarity...
February 2017: Linacre Quarterly
https://www.readbyqxmd.com/read/28391631/estimates-of-heritability-of-atrial-fibrillation-in-the-standardbred-racehorse
#15
M Kraus, P W Physick-Sheard, L F Brito, F S Schenkel
BACKGROUND: The number of Standardbred racehorses admitted to the Ontario Veterinary College Teaching Hospital (OVCTH, Guelph, Canada) for treatment of atrial fibrillation (AF) has been on the rise since the early 1990s. A small number of sires have been contributing to a large proportion of cases, indicating there may be a genetic predisposition to the arrhythmia in this breed. OBJECTIVES: The objectives of this study were to determine the heritability of AF in Standardbred horses and whether heritability of the arrhythmia differs across gaits and/or sexes...
April 9, 2017: Equine Veterinary Journal
https://www.readbyqxmd.com/read/28390883/is-orthopedic-department-teaching-status-associated-with-adverse-outcomes-of-primary-total-hip-arthroplasty
#16
Matthew R Boylan, Dean C Perfetti, Qais Naziri, Aditya V Maheshwari, Carl B Paulino, Michael A Mont
BACKGROUND: Although resident physicians play a vital role in the US health care system, they are believed to create inefficiencies in the delivery of care. Under the regional component of the Comprehensive Care for Joint Replacement model, teaching hospitals are forced to compete on efficiency and outcomes with nonteaching hospitals. METHODS: We identified 86,021 patients undergoing elective primary total hip arthroplasty in New York State between January 1, 2009, and September 30, 2014...
March 14, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28390407/a-qualitative-study-to-explore-views-of-patients-carers-and-mental-health-professionals-to-inform-cultural-adaptation-of-cbt-for-psychosis-cbtp-in-china
#17
Weihui Li, Li Zhang, Xuerong Luo, Bangshan Liu, Zhipeng Liu, Fang Lin, Zhiling Liu, Yuhuan Xie, Melissa Hudson, Shanaya Rathod, David Kingdon, Nusrat Husain, Xudong Liu, Muhammad Ayub, Farooq Naeem
BACKGROUND: The evidence for effectiveness of Cognitive Behaviour Therapy (CBT) is robust and the national organizations in the United Kingdom and the United States recommend its use. It is not utilized to its full potential in low and middle-income countries. Adaptation of CBT treatment to the target culture may facilitate its uptake. This study explored views of patients with schizophrenia, their caregivers, and mental health professionals for the purpose of cultural adaptation of CBT...
April 8, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28384212/creating-an-automated-trigger-for-sepsis-clinical-decision-support-at-emergency-department-triage-using-machine-learning
#18
Steven Horng, David A Sontag, Yoni Halpern, Yacine Jernite, Nathan I Shapiro, Larry A Nathanson
OBJECTIVE: To demonstrate the incremental benefit of using free text data in addition to vital sign and demographic data to identify patients with suspected infection in the emergency department. METHODS: This was a retrospective, observational cohort study performed at a tertiary academic teaching hospital. All consecutive ED patient visits between 12/17/08 and 2/17/13 were included. No patients were excluded. The primary outcome measure was infection diagnosed in the emergency department defined as a patient having an infection related ED ICD-9-CM discharge diagnosis...
2017: PloS One
https://www.readbyqxmd.com/read/28381713/the-purpose-and-scope-of-pedagogy-in-pharmaceutical-education
#19
Akihiro Nakamura
 The WHO and International Pharmaceutical Federation (FIP) introduced the concept of the "seven-star pharmacist" in which a pharmacist is described as a caregiver, communicator, decision-maker, teacher, lifelong learner, leader and manager. In six-year pharmaceutical education programs, which have been provided in schools of pharmacy since 2006, 5th year students participate in on-site practice experiences in hospitals and community pharmacies. Thus, Japanese pharmacists also began to have a role in pharmaceutical education as teachers in clinical settings...
2017: Yakugaku Zasshi: Journal of the Pharmaceutical Society of Japan
https://www.readbyqxmd.com/read/28380152/incontinence-associated-dermatitis-a-cohort-study-in-critically-ill-patients
#20
Tânia Couto Machado Chianca, Paula Caroline Gonçales, Patrícia Oliveira Salgado, Beatriz de Oliveira Machado, Gilmara Lopes Amorim, Carla Lúcia Goulart Constant Alcoforado
Objectives: Estimate incidence, determine risk factors and propose a prediction model for the development of incontinence- associated dermatitis critically ill adult patients. Method: Concurrent cohort study with 157 critically ill patients. Data collection was daily performed between February and July 2015, at a public teaching hospital of Belo Horizonte, Minas Gerais. Data was entered in a database and subjected to descriptive, survival and multivariate analysis...
March 30, 2017: Revista Gaúcha de Enfermagem
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