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https://www.readbyqxmd.com/read/28197967/year-end-clinic-handoffs-a-national-survey-of-academic-internal-medicine-programs
#1
Erica Phillips, Christina Harris, Wei Wei Lee, Amber T Pincavage, Karin Ouchida, Rachel K Miller, Saima Chaudhry, Vineet M Arora
BACKGROUND: While there has been increasing emphasis and innovation nationwide in training residents in inpatient handoffs, very little is known about the practice and preparation for year-end clinic handoffs of residency outpatient continuity practices. Thus, the latter remains an identified, yet nationally unaddressed, patient safety concern. OBJECTIVES: The 2014 annual Association of Program Directors in Internal Medicine (APDIM) survey included seven items for assessing the current year-end clinic handoff practices of internal medicine residency programs throughout the country...
February 14, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28195962/ebus-stat-subscore-analysis-to-predict-the-efficacy-and-assess-the-validity-of-virtual-reality-simulation-for-ebus-tbna-training-among-experienced-bronchoscopists
#2
Simone Scarlata, Patrizio Palermo, Piero Candoli, Ariela Tofani, Tommasangelo Petitti, Lorenzo Corbetta
BACKGROUND: Linear endobronchial ultrasound transbronchial needle aspiration (EBUS-TBNA) represents a pivotal innovation in interventional pulmonology; determining the best approach to guarantee systematic and efficient training is expected to become a main issue in the forthcoming years. Virtual reality simulators have been proposed as potential EBUS-TBNA training instruments, to avoid unskilled beginners practicing directly in real-life settings. A validated and perfected simulation program could be used before allowing beginners to practice on patients...
February 10, 2017: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/28190709/training-in-minimally-invasive-pancreatic-resections-a-paradigm-shift-away-from-see-one-do-one-teach-one
#3
Melissa E Hogg, Marc G Besselink, Pierre-Alain Clavien, Abe Fingerhut, D Rohan Jeyarajah, David A Kooby, A James Moser, Henry A Pitt, Oliver A Varban, Charles M Vollmer, Herbert J Zeh, Paul Hansen
BACKGROUND: Increased incorporation of minimally invasive pancreatic resections (MIPR) has emerged into hepato-pancreato-biliary practice, however, no standardization exists for its safe adoption. Novel strategies are presented for dissemination of safe MIPR. METHODS: An international State-of-the-Art conference evaluating multiple aspects of MIPR was conducted by a panel of pancreas experts in Sao Paulo, Brazil on April 20, 2016. Training and education issues were discussed regarding the introduction of novel strategies for safe dissemination of MIPR...
February 9, 2017: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
https://www.readbyqxmd.com/read/28188771/twin-vaginal-delivery-innovate-or-abdicate
#4
REVIEW
Sarah Rae Easter, Laura Taouk, Jay Schulkin, Julian N Robinson
Neonatal safety data along with national guidelines have prompted renewed interest in vaginal delivery of twins-particularly in the case of the noncephalic second twin. Yet the rising rate of twin cesarean deliveries, coupled with the national decline in operative obstetrics, raise concerns about the availability of providers skilled in twin vaginal birth. Providers are key stakeholders for increasing rates of twin vaginal delivery. We surveyed a group of practicing obstetricians to explore potential barriers to vaginal birth of twins with a focus on delivery of the noncephalic second twin...
February 7, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28186914/design-and-validation-of-a-biofeedback-device-to-improve-heel-to-toe-gait-in-seniors
#5
Abhishek Vadnerkar, Sabrina Figueiredo, Nancy Mayo, Robert Kearney
A feature of healthy human walking gait is a clearly defined heel-strike at initial contact, known as heel-to-toe gait. However, a common consequence of ageing is the deterioration of this heel first gait towards a flat foot, or 'shuffling' gait. This leads to a shortened stride length, slowed gait speed, and an increased fall risk. Shuffling gait is normally treated by physiotherapy, however, therapist time is limited and training is restricted to a clinical environment. Gait rehabilitation could be expedited with the use of a device that distinguishes between heel-to-toe and shuffling gait and gives feedback to the user...
February 7, 2017: IEEE Journal of Biomedical and Health Informatics
https://www.readbyqxmd.com/read/28183308/reasons-for-unmet-need-for-family-planning-with-attention-to-the-measurement-of-fertility-preferences-protocol-for-a-multi-site-cohort-study
#6
Kazuyo Machiyama, John B Casterline, Joyce N Mumah, Fauzia Akhter Huda, Francis Obare, George Odwe, Caroline W Kabiru, Sharifa Yeasmin, John Cleland
BACKGROUND: Unmet need for family planning points to the gap between women's reproductive desire to avoid pregnancy and contraceptive behaviour. An estimated 222 million women in low- and middle-income countries have unmet need for modern contraception. Despite its prevalence, there has been little rigorous research during the past fifteen years on reasons for this widespread failure to implement childbearing desires in contraceptive practice. There is demographic survey data on women's self-reported reasons for non-use, but these data provide limited insight on the full set of possible obstacles to use, and one may doubt the meaningfulness of explanations provided by non-users alone...
February 9, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28181945/operating-room-management-and-the-business-of-anesthesia-innovative-solutions-to-bridge-the-educational-gap-in-residency-training-programs
#7
Scott M Wasilko, Chris Giordano
No abstract text is available yet for this article.
February 8, 2017: A & A Case Reports
https://www.readbyqxmd.com/read/28181242/sensory-profile-and-consumer-acceptability-of-prebiotic-white-chocolate-with-sucrose-substitutes-and-the-addition-of-goji-berry-lycium-barbarum
#8
Janaína Madruga Morais Ferreira, Bruna Marcacini Azevedo, Valdecir Luccas, Helena Maria André Bolini
Functional food is a product containing nutrients that provide health benefits beyond basic nutrition. The objective of the present study was to evaluate the descriptive sensory profile and consumers' acceptance of functional (prebiotic) white chocolates with and without the addition of an antioxidant source (goji berry [GB]) and sucrose replacement. The descriptive sensory profile was determined by quantitative descriptive analysis (QDA) with trained assessors (n = 12), and the acceptance test was performed with 120 consumers...
February 9, 2017: Journal of Food Science
https://www.readbyqxmd.com/read/28176645/prevention-interventions-for-people-living-with-hiv-in-military-settings
#9
Michael Grillo, Margo Sloan, Che Wankie, Kelly Woodland, Elizabeth Reader, Bruce Porter, Caroline Macera, Richard Shaffer
Military prevention programs and healthy living programs were developed in the mid-1980s to manage and support newly HIV-positive military personnel in the US military. Since then, a program developed by the Centers for Disease Control and Prevention with support from the Department of Defense HIV/AIDS Prevention Program (DHAPP), called Positive Health, Dignity and Prevention (PHDP), is currently being rolled out by DHAPP in partner militaries. The program, designed to reduce HIV transmission, is a package of interventions for people living with HIV (PLHIV), including risk reduction counseling, condom provision, disclosure counseling, testing of sexual partner(s) and children, adherence counseling, diagnosis and treatment of sexually transmitted infections, and provision of family planning services...
February 7, 2017: Current HIV Research
https://www.readbyqxmd.com/read/28173789/participatory-science-and-innovation-for-improved-sanitation-and-hygiene-process-and-outcome-evaluation-of-project-shine-a-school-based-intervention-in-rural-tanzania
#10
Erin Hetherington, Matthijs Eggers, Joyce Wamoyi, Jennifer Hatfield, Mange Manyama, Susan Kutz, Sheri Bastien
BACKGROUND: Diarrheal disease is a major cause of mortality and morbidity in low and middle income countries with children being disproportionately affected. Project SHINE (Sanitation & Hygiene INnovation in Education) is a grassroots participatory science education and social entrepreneurship model to engage youth and the wider community in the development of sustainable strategies to improve sanitation and hygiene. METHODS: Based in rural and remote Tanzania, this pilot study engaged pastoralist high-school students and communities in the development and evaluation of culturally and contextually relevant strategies to improve sanitation and hygiene...
February 7, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28171684/socially-transmitted-diffusion-of-a-novel-behavior-from-subordinate-chimpanzees
#11
Stuart K Watson, Lisa A Reamer, Mary Catherine Mareno, Gillian Vale, Rachel A Harrison, Susan P Lambeth, Steven J Schapiro, Andrew Whiten
Chimpanzees (Pan troglodytes) demonstrate much cultural diversity in the wild, yet a majority of novel behaviors do not become group-wide traditions. Since many such novel behaviors are introduced by low-ranking individuals, a bias toward copying dominant individuals ("rank-bias") has been proposed as an explanation for their limited diffusion. Previous experimental work showed that chimpanzees (Pan troglodytes) preferentially copy dominant over low-rank models. We investigated whether low ranking individuals may nevertheless successfully seed a beneficial behavior as a tradition if there are no "competing" models...
February 7, 2017: American Journal of Primatology
https://www.readbyqxmd.com/read/28159132/-if-really-we-are-committed-things-can-change-starting-from-us-healthcare-providers-perceptions-of-postpartum-care-and-its-potential-for-improvement-in-low-income-suburbs-in-dar-es-salaam-tanzania
#12
Eunice N Pallangyo, Columba Mbekenga, Carina Källestål, Christine Rubertsson, Pia Olsson
OBJECTIVE: To explore healthcare providers' perceptions of the current postpartum care (PPC) practice and its potential for improvement at governmental health institutions in low-resource suburbs in Dar es Salaam, Tanzania. DESIGN: Qualitative design, using focus group discussions (8) and qualitative content analysis. SETTING: Healthcare institutions (8) at three levels of governmental healthcare in Ilala and Temeke suburbs, Dar es Salaam...
March 2017: Sexual & Reproductive Healthcare: Official Journal of the Swedish Association of Midwives
https://www.readbyqxmd.com/read/28157405/an-assessment-of-pathology-resident-access-to-and-use-of-technology-a-nationwide-survey
#13
Bethany D Vallangeon, Jeffrey S Hawley, Richard Sloane, Sarah M Bean
CONTEXT: -Current technologies including digital slide scanners and handheld devices can revolutionize clinical practice and pathology graduate medical education (GME). The extent to which these technologies are used in pathology GME is unknown. OBJECTIVES: -To determine the types of technologies used, usage amount, and how they are integrated into pathology residency/fellowship programs nationwide. DESIGN: -A 40-question online survey for residents/fellows was developed and administered via the Research Electronic Data Capture System after institutional review board approval...
February 3, 2017: Archives of Pathology & Laboratory Medicine
https://www.readbyqxmd.com/read/28156491/integrating-a-palliative-care-longitudinal-track-into-a-family-medicine-residency-program
#14
(no author information available yet)
: 156 Background: Palliative care and Palliative care skills are being instituted in many hospitals and clinics as they have been shown to improve health care outcomes and decrease costs. While health care organizations are adopting these coordinated care programs, finding competent physicians to work effectively in these programs is difficult. METHODS: PIH Health Hospital Whittier Family Medicine Residency Program developed a longitdudinal Palliative Care and Chronic Disease track to generate a transformed workforce of future family physicians that can deliver innovative, empathetic and effective care for seriously ill patients who are at risk due to health disparities, advanced multiple chronic conditions, or frailty...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28154775/three-dimensional-printing-review-of-application-in-medicine-and-hepatic-surgery
#15
Rui Yao, Gang Xu, Shuang-Shuang Mao, Hua-Yu Yang, Xin-Ting Sang, Wei Sun, Yi-Lei Mao
Three-dimensional (3D) printing (3DP) is a rapid prototyping technology that has gained increasing recognition in many different fields. Inherent accuracy and low-cost property enable applicability of 3DP in many areas, such as manufacturing, aerospace, medical, and industrial design. Recently, 3DP has gained considerable attention in the medical field. The image data can be quickly turned into physical objects by using 3DP technology. These objects are being used across a variety of surgical specialties. The shortage of cadaver specimens is a major problem in medical education...
December 2016: Cancer Biology & Medicine
https://www.readbyqxmd.com/read/28153385/video-review-as-a-tool-to-improve-orthopedic-residents-performance-of-closed-manipulative-reductions
#16
Nickul S Jain, Ran Schwarzkopf, John A Scolaro
OBJECTIVE: Orthopedic residents commonly perform closed manipulative reductions as a part of their training. Traditionally, this skill is taught early in training but difficult to simulate. Proficiency is achieved through repetition and experience; faculty observation and instruction is unfortunately often limited. Direct resident teaching has been shown to increase competency, comfort, and long-term skill retention. We hypothesize that video review of closed fracture reductions will provide an inexpensive and valuable tool for resident education and improve skill performance...
January 30, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28152939/clinical-specialist-radiation-therapists-csrt-creating-capacity-while-improving-quality-of-care
#17
Michelle Ang, Laura Zychla, Kate Bak, Lynne Nagata, Hasmik Beglaryan, Jillian Ross, Asad Husain, Carina Simniceanu, Eric Gutierrez, Padraig Richard Warde, Nicole Harnett
: 124 Background: Ontario's cancer system faces many challenges, including a rising incidence of cancer, aging population, increasingly complex cancer treatment, and health human resource (HHR) constraints. In response, Cancer Care Ontario and the Ontario Ministry of Health and Long Term Care collaborated on a project to assess whether a new advanced practice radiation therapist role - the 'Clinical Specialist Radiation Therapist' (CSRT) - could enhance access to high quality, innovative care by optimizing the use of HHR...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28149386/conforming-and-nonconforming-personality-and-stress-coping-styles-in-combat-athletes
#18
Ryszarda Ewa Bernacka, Bogusław Sawicki, Anna Mazurek-Kusiak, Joanna Hawlena
The main objective of this study was to investigate whether the personality dimension of conformism/nonconformism was a predictor of stress coping styles in athletes training combat sports, and to present the characteristics of this personality dimension in the context of the competitors' adaptive/innovative sport performance. Scores of 346 males practising combat sports such as kick boxing, MMA, thai boxing, boxing and wrestling were analyzed. The participants completed the Creative Behaviour Questionnaire (KANH III) measuring the conformity/nonconformity personality dimension and the Coping Inventory for Stressful Situations (CISS) measuring stress coping styles...
June 1, 2016: Journal of Human Kinetics
https://www.readbyqxmd.com/read/28148325/the-past-present-and-future-of-paediatric-cardiology-training-at-the-johns-hopkins-hospital-in-the-tradition-of-dr-helen-taussig
#19
Gary S Beasley, Anne M Murphy, Joel I Brenner, William J Ravekes
Johns Hopkins has been a leader in paediatric cardiology for over 85 years. In the 1940s, Dr Helen Taussig began training fellows in paediatric cardiology at Johns Hopkins at a time when the diagnosis and treatment of CHD were in the earliest stage. Under her leadership, the fellowship developed a strong foundation that has continued to evolve to meet the current needs of learners and educators. In the current era, the Johns Hopkins programme implements the current theories of adult education and actively engages our fellows in learning as well as teaching...
December 2016: Cardiology in the Young
https://www.readbyqxmd.com/read/28145945/training-internal-medicine-residents-in-social-medicine-and-research-based-health-advocacy-a-novel-in-depth-curriculum
#20
Gaurab Basu, Richard J Pels, Rachel L Stark, Priyank Jain, David H Bor, Danny McCormick
PROBLEM: Health disparities are pervasive worldwide. Physicians have a unique vantage point from which they can observe the ways social, economic, and political factors impact health outcomes and can be effective advocates for enhanced health outcomes and health equity. However, social medicine and health advocacy curricula are uncommon in postgraduate medical education. APPROACH: In academic year (AY) 2012, the Cambridge Health Alliance internal medicine residency program transformed an elective into a required social medicine and research-based health advocacy curriculum...
January 31, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
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