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https://www.readbyqxmd.com/read/28813991/voluntary-phantom-hand-and-finger-movements-in-transhumerai-amputees-could-be-used-to-naturally-control-polydigital-prostheses
#1
Nathanael Jarrasse, Caroline Nicol, Florian Richer, Amelie Touillet, Noel Martinet, Jean Paysant, Jozina B De Graaf
An arm amputation is extremely invalidating since many of our daily tasks require bi-manual and precise control of hand movements. Perfect hand prostheses should therefore offer a natural, intuitive and cognitively simple control over their numerous biomimetic active degrees of freedom. While efficient polydigital prostheses are commercially available, their control remains complex to master and offers limited possibilities, especially for high amputation levels. In this pilot study, we demonstrate the possibility for upper-arm amputees to intuitively control a polydigital hand prosthesis by using surface myoelectric activities of residual limb muscles (sEMG) associated with phantom limb movements, even if these residual arm muscles on which the phantom activity is measured were not naturally associated with hand movements before amputation...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/28813946/a-user-centered-design-approach-in-the-development-of-rehabilitation-devices-after-stroke
#2
Natalie Jankowski, Laura Schonijahn, Adina Kreitlow, Elsa Gotze, Michael Wahl
Involving users in iterative development processes is to be shown to increase the quality of health care devices and to prevent refusal. Successful use can only be achieved provided that the devices are accepted by its users. In this study potentials of user satisfaction surveys in the development of stroke rehabilitation devices are presented. The two arm-training devices Reha-Slide (RS) and Bi-Manu-Track (BMT) are assessed for patient satisfaction. The aim is to detect the satisfaction with the current state of certain aspects of the devices to obtain incentives for technical optimisation...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/28812961/community-managed-services-for-persons-with-intellectual-disability-andhra-pradesh-experience
#3
Jayanthi Narayan, Raja Pratapkumar, Sudhakara P Reddy
In resource poor settings innovative and bottom-up approaches are required to provide services to people with with disabilities. In this context, the present paper explains a community-based model of manpower development and coordination of services for people with intellectual disabilities in unified state of Andhra Pradesh in India. Women with disabilities from the village were identified, and those willing to be trained to work as community resource persons (CRPs) were selected and given hands-on training in a phased manner...
September 2017: Journal of Intellectual Disabilities: JOID
https://www.readbyqxmd.com/read/28811919/trainee-experiences-of-intellectual-disability-psychiatry-and-an-innovative-leaderless-support-group-a-qualitative-study
#4
Ross Spackman, Hannah Toogood, Jayne Kerridge, Jon Nash, Elizabeth Anderson, Dheeraj Rai
Aims and method There is very little research into the challenges of training in intellectual disability psychiatry or into interventions which may address these challenges. Using focus groups, we explored the experiences of intellectual disability psychiatry trainees, and evaluated a leaderless trainee support group developed in Bristol. Results Five distinct themes were identified via framework analysis: that trainees felt unprepared for the difference from previous posts; the need for support; the value of the group; that trainees were concerned about judgement in supervision; that the group structure was valued...
August 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/28808567/community-based-saving-groups-an-innovative-approach-to-overcome-the-financial-and-social-barriers-in-health-care-seeking-by-the-women-in-the-rural-remote-communities-of-pakistan
#5
Babar Tasneem Shaikh, Qayyum Noorani, Shazia Abbas
BACKGROUND: In remote rural areas of Pakistan, access to the maternal, newborn and child health (MNCH) care provided by a skilled health provider is quite difficult. There are many reasons such as women's restricted social mobility, lack of education, disenfranchised in decision making and poverty. To overcome these barriers and impediments in district Chitral, which is the largest territory in terms of geography in province Khyber Pakhtunkhwa, local women of reproductive age, were mobilized to form the Community Based Saving Groups (CBSGs) at the village level...
2017: Archives of Public Health, Archives Belges de Santé Publique
https://www.readbyqxmd.com/read/28806989/maximising-value-from-a-united-kingdom-biomedical-research-centre-study-protocol
#6
Trisha Greenhalgh, Pavel V Ovseiko, Nick Fahy, Sara Shaw, Polly Kerr, Alexander D Rushforth, Keith M Channon, Vasiliki Kiparoglou
BACKGROUND: Biomedical Research Centres (BRCs) are partnerships between healthcare organisations and universities in England. Their mission is to generate novel treatments, technologies, diagnostics and other interventions that increase the country's international competitiveness, to rapidly translate these innovations into benefits for patients, and to improve efficiency and reduce waste in healthcare. As NIHR Oxford BRC (Oxford BRC) enters its third 5-year funding period, we seek to (1) apply the evidence base on how best to support the various partnerships in this large, multi-stakeholder research system and (2) research how these partnerships play out in a new, ambitious programme of translational research...
August 14, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28804254/developing-scientists-in-hispanic-substance-use-and-health-disparities-research-through-the-creation-of-a-national-mentoring-network
#7
Angela R Bazzi, Cristina Mogro-Wilson, Nalini Junko Negi, Jennifer M Reingle Gonzalez, Miguel Ángel Cano, Yessenia Castro, Alice Cepeda
Hispanics are disproportionately affected by substance use and related health harms yet remain underrepresented across scientific disciplines focused on researching and addressing these issues. An interdisciplinary network of scientists committed to fostering the development of social and biomedical researchers focused on Hispanic substance use and health disparities developed innovative mentoring and career development activities. We conducted a formative evaluation study using anonymous membership and conference feedback data to describe specific mentoring and career development activities developed within the national network...
2017: Mentor Tutoring
https://www.readbyqxmd.com/read/28801403/equipping-community-pharmacy-workers-as-agents-for-health-behaviour-change-developing-and-testing-a-theory-based-smoking-cessation-intervention
#8
Liz Steed, Ratna Sohanpal, Wai-Yee James, Carol Rivas, Sandra Jumbe, Angel Chater, Adam Todd, Elizabeth Edwards, Virginia Macneil, Fraser Macfarlane, Trisha Greenhalgh, Chris Griffiths, Sandra Eldridge, Stephanie Taylor, Robert Walton
OBJECTIVE: To develop a complex intervention for community pharmacy staff to promote uptake of smoking cessation services and to increase quit rates. DESIGN: Following the Medical Research Council framework, we used a mixed-methods approach to develop, pilot and then refine the intervention. METHODS: Phase I: We used information from qualitative studies in pharmacies, systematic literature reviews and the Capability, Opportunity, Motivation-Behaviour framework to inform design of the initial version of the intervention...
August 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/28798945/optogenetic-stimulation-and-recording-of-primary-cultured-neurons-with-spatiotemporal-control
#9
Jérémie Barral, Alex D Reyes
We studied a network of cortical neurons in culture and developed an innovative optical device to stimulate optogenetically a large neuronal population with both spatial and temporal precision. We first describe how to culture primary neurons expressing channelrhodopsin. We then detail the optogenetic setup based on the workings of a fast Digital Light Processing (DLP) projector. The setup is able to stimulate tens to hundreds neurons with independent trains of light pulses that evoked action potentials with high temporal resolution...
June 20, 2017: Bio-protocol
https://www.readbyqxmd.com/read/28795976/becoming-a-physician-scientist-a-view-looking-up-from-base-camp
#10
Rebecca D Ganetzky
The process of becoming a physician-scientist is a long and often harrowing one. The author reflects on her own experience deciding to commit to a career as a physician-scientist and setting out on that career path. She identifies the largest challenges as the lack of clear direction to becoming a physician-scientist; the long lag time between the end of graduate medical education and becoming faculty, resulting in lower wages, less job security, and conflicts with personal goals; and a tension between traditional definitions of success and her own areas of interest...
August 8, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28795731/twisting-induces-ferromagnetism-in-homometallic-clusters
#11
Ghenadie Novitchi, Sergi Vela, Guillaume Pilet, Cyrille Train, Vincent Robert
A helical chiral cluster bridging two sets of Cu2 units is reported. The two double-stranded ligands induce a distorted tetrahedral environment for one of the two copper(ii) ions whereas the second one remains in a standard octahedral environment. Magnetic measurements and wavefunction calculations demonstrate that the copper(ii) centres are ferromagnetically coupled (J = 7.7 cm(-1)). This ligand-driven ferromagnetic interaction thus appears as a proof-of-concept of an innovative strategy towards high-spin clusters...
August 10, 2017: Dalton Transactions: An International Journal of Inorganic Chemistry
https://www.readbyqxmd.com/read/28794665/resident-wellness-institutional-trends-over-10-years-since-2003
#12
Dongseok Choi, Andrea Cedfeldt, Christine Flores, Kimberly Irish, Patrick Brunett, Donald Girard
BACKGROUND: The surveys in this study were carried out at the Graduate Medical Education Division at Oregon Health & Science University (OHSU). OHSU implemented two significant wellness initiatives: a wellness program in 2004, and a policy allowing 4 half-days off each academic year to pursue personal or family health care needs in 2010. This study provides a secondary data analysis of five cross-sectional surveys of career satisfaction of resident and fellow trainees. METHODS: All trainees were surveyed five times over a 10-year period using anonymous, cross-sectional web-based survey instruments...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/28792856/factors-that-influence-the-recruitment-and-retention-of-nurses-in-public-health-agencies
#13
Valerie A Yeager, Janna M Wisniewski
OBJECTIVE: Given challenges to recruiting nurses to public health and the growth in national policies focused on population health, it is crucial that public health agencies develop strategies to sustain this important group of employees. The objective of this study was to examine factors that influence nurses' decisions to work in public health agencies. METHODS: This cross-sectional study examined perspectives of nurses who worked in state and local public health departments and responded to the 2010 Council on Linkages Between Academia and Public Health Practice's survey of public health workers...
January 1, 2017: Public Health Reports
https://www.readbyqxmd.com/read/28790518/coordinated-management-of-academic-health-centers
#14
Jeffrey R Balser, William W Stead
Academic health centers (AHCs) are the nation's primary resource for healthcare discovery, innovation, and training. US healthcare revenue growth has declined sharply since 2009, and is forecast to remain well below historic levels for the foreseeable future. As the cost of education and research at nearly all AHCs is heavily subsidized through large transfers from clinical care margins, our institutions face a mounting crisis. Choices centering on how to increase the cost-effectiveness of the AHC enterprise require unprecedented levels of alignment to preserve an environment that nurtures creativity...
2017: Transactions of the American Clinical and Climatological Association
https://www.readbyqxmd.com/read/28789602/innovation-and-entrepreneurship-programs-in-us-medical-education-a-landscape-review-and-thematic-analysis
#15
Blake A Niccum, Arnab Sarker, Stephen J Wolf, Matthew J Trowbridge
BACKGROUND: Training in innovation and entrepreneurship (I&E) in medical education has become increasingly prevalent among medical schools to train students in complex problem solving and solution design. OBJECTIVE: We aim to characterize I&E education in US allopathic medical schools to provide insight into the features and objectives of this growing field. DESIGN: I&E programs were identified in 2016 via structured searches of 158 US allopathic medical school websites...
2017: Medical Education Online
https://www.readbyqxmd.com/read/28780556/evaluation-of-dementianet-a-network-based-primary-care-innovation-for-community-dwelling-patients-with-dementia-protocol-for-a-longitudinal-mixed-methods-multiple-case-study
#16
Anke Richters, Minke S Nieuwboer, Marieke Perry, Marcel G M Olde Rikkert, Rene J F Melis, Marjolein A van der Marck
INTRODUCTION: Primary healthcare professionals will increasingly be required to manage and optimise their treatment for patients with dementia. With DementiaNet, we aim to reduce the burden of dementia on healthcare services and society through implementation and facilitation of integrated network-based care with increased dementia expertise. DementiaNet is designed as a stepwise approach including clinical leadership, quality improvement cycles and interprofessional training, which are tailor-made to the local context...
August 4, 2017: BMJ Open
https://www.readbyqxmd.com/read/28780314/a-high-definition-video-teaching-module-for-thyroidectomy-surgery
#17
Amr F Hamour, Adrian I Mendez, Jeffrey R Harris, Vincent L Biron, Hadi Seikaly, David W J Côté
OBJECTIVE: With the changing landscape of postgraduate surgical education to competency-based curricula, there emerges a need for alternative forms of training. Video teaching modules have been shown to be effective tools in surgical education, complementing traditional postgraduate curricula. There is a lack of validated modules described in the literature, specifically for teaching thyroidectomy. The primary objective of this study was to develop and validate a high definition video-based teaching module instructing thyroidectomy surgery to Otolaryngology-Head and Neck Surgery trainees...
August 2, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28777247/a-comparison-of-pre-season-and-in-season-practice-and-game-loads-in-ncaa-division-i-football-players
#18
Aaron D Wellman, Sam C Coad, Patrick J Flynn, Ty K Siam, Christopher P McLellan
The aim of the present study was to quantify the individual practice and game loads throughout an NCAA division I football season to determine if significant differences exist between the practice loads associated with pre-season training camp and those undertaken during the in-season period. Thirty-one NCAA division I football players were monitored using GPS and IA (MinimaxX S5; Catapult Innovations, Melbourne, Australia) during 22 pre-season practices, 36 in-season practices, and 12 competitions. The season was divided into four distinct phases for data analysis: pre-season week 1 (pre-season1), pre-season week 2 (pre-season2), pre-season week 3 (pre-season3), and 12 in-season weeks...
July 31, 2017: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/28776418/the-kintun-program-for-families-with-dementia-from-novel-experiment-to-national-policy-innovative-practice
#19
Jean Gajardo, José M Aravena, Marilú Budinich, Alberto Larraín, Patricio Fuentes, Laura N Gitlin
The Kintun program is the first public health strategy specifically designed for dementia care in Chile. It was launched in 2013 in the city of Santiago with support from the National Service for the Elderly and the Municipality of Peñalolén. Using an interdisciplinary team, the program seeks to promote community integration and better support for persons with dementia and their caregivers. The multicomponent program includes: an activity-based day care center, training and education of family caregivers, home visits, and community outreach to increase dementia awareness...
January 1, 2017: Dementia
https://www.readbyqxmd.com/read/28776415/introducing-the-care-certificate-evaluation-innovative-practice
#20
Elaine Argyle, Louise Thomson, Antony Arthur, Jill Maben, Justine Schneider, Heather Wharrad
Although investment in staff development is a prerequisite for high-quality and innovative care, the training needs of front line care staff involved in direct care have often been neglected, particularly within dementia care provision. The Care Certificate, which was fully launched in England in April 2015, has aimed to redress this neglect by providing a consistent and transferable approach to the training of the front line health and social care workforce. This article describes the early stages of an 18-month evaluation of the Care Certificate and its implementation funded by the Department of Health Policy Research Programme...
January 1, 2017: Dementia
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