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https://www.readbyqxmd.com/read/29652953/-prescription-of-opioids-at-the-moment-of-discharge-from-an-emergency-department
#1
Matías Martínez, Luis Herrada, Ana Muñoz, Camila Chávez, Marcela Jirón
Background There is a worrisome increase in opioid prescription worldwide. Their use and overuse may cause adverse outcomes. Aim To determine incidence and characteristics of opioid prescription at discharge at an emergency department (ED). Material and Methods A prospective observational study in a random sample of adult patients attended at an ED of a teaching hospital. We reviewed medical records prescriptions for each patient to collect information about drugs prescribed, reason and medical indication of use (doses and duration)...
December 2017: Revista Médica de Chile
https://www.readbyqxmd.com/read/29642968/review-historical-and-futuristic-developments-in-bovine-semen-technology
#2
P Lonergan
Up to the 18th century, the prevailing view of reproduction, or 'generation' as it was referred to, was that organisms develop from miniatures of themselves, termed preformation. The alternative theory, epigenesis, proposed that the structure of an animal emerges gradually from a relatively formless egg. The teachings of the Ancient Greeks who argued either that both sexes each contributed 'semen' to form the embryo, or held a more male-centred view that the female merely provided fertile ground for the male seed to grow, dominated thinking until the 17th century, when the combined work of numerous scholars led to the theory that all female organisms, including humans, produced eggs...
April 12, 2018: Animal: An International Journal of Animal Bioscience
https://www.readbyqxmd.com/read/29625708/is-video-observation-as-effective-as-live-observation-in-improving-teamwork-in-the-operating-room
#3
Anthony H Bui, Shanice Guerrier, David L Feldman, Patricia Kischak, Santosh Mudiraj, Donna Somerville, Minimole Shebeen, Cynthia Girdusky, I Michael Leitman
BACKGROUND: Teamwork in the operating room decreases the risk of preventable patient harm. Observation in the operating room allows for evaluation of compliance with best-practice surgical guidelines. This study examines the relative ability of video and live observation to promote operating room teamwork. METHODS: Video and audio cameras were installed in 2014 into all operating rooms at an 875-bed, urban teaching hospital. Recordings were chosen at random for review by an internal quality improvement team...
April 3, 2018: Surgery
https://www.readbyqxmd.com/read/29607720/a-practical-safe-zone-technique-for-lag-screw-fixation-of-the-fibula
#4
A R Kaye, W Marlow, G Williams, A P Molloy, L W Mason
Introduction During ankle fracture fixation, iatrogenic trauma to retro fibula structures can result in morbidity and reoperation. We describe a safe zone for lag screw insertion. Materials and methods This study was completed in three sections. We identified the average entry and exit points for the lag screw using 45 Weber B ankle fractures identified from our trauma database. We then analysed 26 sequentially presented ankle magnetic resonance images, concentrating on axial sections at 4, 8, 12 and 16 mm above the ankle joint...
April 1, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29607343/the-effect-of-teach-back-training-on-self-management-in-kidney-transplant-recipients-a-clinical-trial
#5
Farzin Mollazadeh, Masumeh Hemmati Maslakpak
Background: Kidney transplant recipients need self-management during their lifetime, and training these patients is essential for the realization of self-management. Teach-back training (TBT) was used to receive, understand, and retain information. This study aimed to determine the effect of TBT on self-management in kidney transplant recipients. Methods: In this clinical trial study, 84 kidney transplant recipients who referred to the clinic of Imam Khomeini Hospital in Urmia (a city in northwest of Iran), from January to March 2017, were selected through convenience sampling and randomly assigned to intervention and control groups...
April 2018: International Journal of Community Based Nursing and Midwifery
https://www.readbyqxmd.com/read/29592645/being-suspicious-of-the-sense-of-ease-and-undeterred-by-the-sense-of-difficulty-looking-back-at-schmidt-and-bjork-1992
#6
Robert A Bjork
Richard Schmidt and I titled our article "New Conceptualizations of Practice: Common Principles in Three Paradigms Suggest New Concepts for Training" to reflect our view that prevailing ideas about how to optimize teaching, learning, and practicing were, in our words, "at best incomplete, and at worst incorrect." We argued that teachers and trainers were susceptible to being misled by two commonsense assumptions-namely, that procedures that enhance performance during training are the procedures of choice and that the context of training needs to match in detail the posttraining context that is the target of training...
March 2018: Perspectives on Psychological Science: a Journal of the Association for Psychological Science
https://www.readbyqxmd.com/read/29575626/challenges-associated-with-parenting-youth-with-neurofibromatosis-a-qualitative-investigation
#7
Catherine Pierre-Louis, Tessa Heinhuis, Eric Riklin, Ana-Maria Vranceanu
Parents of children with the neurofibromatoses (NF; neurofibromatosis 1, neurofibromatosis 2, and schwannomatosis) are at an increased risk for emotional and physical health problems. This study aimed to determine parents' perceptions of stressors associated with parenting a child with NF in order to inform the development of a resiliency intervention. We conducted three live video semi structured focus groups with parents of youth with NF (N = 30), which were subsequently transcribed and coded using qualitative content analysis...
April 2018: American Journal of Medical Genetics. Part A
https://www.readbyqxmd.com/read/29574942/the-contribution-of-occupation-to-children-s-experience-of-resilience-a-qualitative-descriptive-study
#8
Linda Bowden, Kirk Reed, Ellen Nicholson
BACKGROUND: This qualitative descriptive study explored what occupations children aged 10-13 years participate in and how participation in occupation contributes to resilience from their perspective. Little is known about how occupations contribute to resilience, and less is known from children's perspectives. Exploring how participation in occupation contributes to resilience is important as children continue to face adverse situations; resilience may help protect their development against uncertainty...
March 25, 2018: Australian Occupational Therapy Journal
https://www.readbyqxmd.com/read/29552358/teach-and-playback-training-device-for-minimally-invasive-surgery
#9
Sriram Garudeswaran, Sohyung Cho, Ikechukwu Ohu, Ali K Panahi
Recent technological progress offers the opportunity to significantly transform conventional open surgical procedures in ways that allow minimally invasive surgery (MIS) to be accomplished by specific operative instruments' entry into the body through key-sized holes rather than large incisions. Although MIS offers an opportunity for less trauma and quicker recovery, thereby reducing length of hospital stay and attendant costs, the complex nature of this procedure makes it difficult to master, not least because of the limited work area and constricted degree of freedom...
2018: Minimally Invasive Surgery
https://www.readbyqxmd.com/read/29531779/prevalence-of-axial-spondyloarthritis-in-patients-with-acute-anterior-uveitis-a-cross-sectional-study-utilising-mri
#10
Mark P Sykes, Louise Hamilton, Colin Jones, Karl Gaffney
Objective: Acute anterior uveitis (AAU) is the most common extra-articular manifestation of axial spondyloarthritis (axSpA). In this study, patients presenting with AAU were evaluated clinically and with MRI in order to estimate the prevalence of axSpA. Methods: Consecutive patients presenting to a university teaching hospital between February 2014 and March 2015 with AAU were invited to participate. Those with a history of chronic back pain (CBP) beginning <45 years were evaluated clinically and with MRI of thoracolumbar spine and sacroiliac joints...
2018: RMD Open
https://www.readbyqxmd.com/read/29528700/going-back-to-school-an-opportunity-for-lifelong-learning-for-people-with-dementia-in-denmark-innovative-practice
#11
Alison Ward, Kim Alberg Sorensen, Helle Kousgaard, Diana Schack Thoft, Jacqueline Parkes
The provision of lifelong learning for older people is often promoted as a way of engaging socially and maintaining cognitive function. The concept is also used with people with dementia, but is often limited to short-term programmes. Innovative practice from Denmark takes this concept further, offering people with early stage dementia the opportunity to return to school to attend classes in cognitive training, music, art and woodcraft. A pilot study conducted by the school of teaching and communication (Voksenskolen For Undervisning og Kommunikation) offers evidence for the benefits of prolonged educational programmes for people with dementia in maintaining decision-making, cognitive function and social interactions, with limited evidence of the impact on memory...
January 1, 2018: Dementia
https://www.readbyqxmd.com/read/29527760/challenges-in-clinical-teaching-investigated-towards-sustainable-staff-recruitment-and-retention-in-dentistry
#12
A Veerasamy, C Loch, L Adam, B J Howe, P A Brunton
PURPOSE: The study was conducted to identify possible factors and potential barriers that affect the retention and recruitment of clinical teaching staff at the Faculty of Dentistry, University of Otago, New Zealand. METHODOLOGY: A short questionnaire survey was distributed to 47 clinical teaching staff to understand the retention strategies and barriers. The collected quantitative and qualitative data were analysed and presented. FINDINGS: The response rate was 96%, with an equal distribution of female and male clinicians...
March 11, 2018: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://www.readbyqxmd.com/read/29527063/central-institute-of-psychiatry-a-fictional-journey-to-past-in-a-time-machine
#13
Tapas Kumar Aich, Basudeb Das, T Sudhakar Bhat
A fictional journey was planned and carried out in a time machine, to know and understand the glorious past of Central Institute of Psychiatry (CIP), Ranchi. As Dr. Anand, the protagonist, went through different periods in the history of CIP, he narrated his experiences while meeting different peoples in different clinical settings. In this journey, he met Lt. Col Berkeley-Hill at European Mental Hospital, as it was in the 1930s. He tried to understand the relevance of Professor Mapother's report and its essence in relation to European and Indian psychiatric scenario during inter-war period, the significance of Moore-Taylor's report, and the direction of psychiatric training and teaching during postindependence era under Major RB Davis as the superintendent of Hospital for Mental Diseases (HMD)...
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29527055/mental-hospitals-in-india-reforms-for-the-future
#14
REVIEW
Muktesh Daund, Sushma Sonavane, Amresh Shrivastava, Avinash Desousa, Sanjay Kumawat
Mental hospitals are an integral part of mental health services in India. It is an interesting story how mental hospitals have responded to the challenges of contemporary period they were built in. It is beyond doubt that it is a progressive journey along with advances in mental health both in India and internationally. As in other countries, mental hospitals in India have responded to the social challenges, disparities, and poor resources of workforce and fiscal investment. Historically, there have been changes and three major reforms are needed, namely attempt to facilitate discharge and placing patients back into the family, introducing teaching and research in mental hospitals, and accountability to civil rights as per the requirements of the National Human Rights Commission...
February 2018: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/29525487/self-knowledge-of-health-teachers-a-qualitative-exploratory-study
#15
Bruna Pedroso Canever, Marta Lenise do Prado, Diana Coelho Gomes, Vânia Marli Schubert Backes, Bruna Helena de Jesus
BACKGROUND: Specific pedagogical training for teaching in the area of health emerges with the goal of creating critical and reflective professionals and as a necessary challenge to university teaching, where there is reflection on self-awareness, consciousness, and the incompleteness of being. OBJECTIVES: This study aims to understand how Freire's critical consciousness is expressed in the pedagogical practice of health teachers. DESIGN: This study is a qualitative study that is descriptive, exploratory, and analytical...
March 3, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29524776/study-circles-in-hospitals-obstetrics-centers-as-a-teaching-learning-strategy-in-midwifery-education
#16
Roselane Gonçalves, Jacqueline Isaac Machado Brigagão, Glauce Cristine Ferreira Soares
We describe the experience of study circles on the theme 'good obstetrics practices backed by scientific evidence' and argue that they prepared midwifery students to dialogue with hospital staff and empowered them in the process of negotiating the implementation of practices put forward by the International Confederation of Midwives (ICM). We conclude that study circles are an efficient strategy of preparing midwifery students to be active participants in the maternity care team and lead discussions of evidenced-based practice...
February 15, 2018: Midwifery
https://www.readbyqxmd.com/read/29523534/establishment-of-a-pharmacist-led-service-for-patients-at-high-risk-for-opioid-overdose
#17
Ryan Tewell, Lisa Edgerton, Elizabeth Kyle
PURPOSE: A program at a family medicine clinic to provide naloxone prescriptions in conjunction with education on naloxone use and opioid hazards to patients at risk for opioid overdose is described. SUMMARY: Consistent with a 2016 Centers for Disease Control and Prevention (CDC) guideline on opioid prescribing for chronic pain, a family medicine clinic implemented updated controlled substance agreements and medical record templates for documentation of pain management visits and established a pharmacist-led naloxone clinic...
March 15, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29514642/enhancing-communication-skills-for-telehealth-development-and-implementation-of-a-teach-back-intervention-for-a-national-maternal-and-child-health-helpline-in-australia
#18
Suzanne Morony, Kristie Weir, Gregory Duncan, Janice Biggs, Don Nutbeam, Kirsten J Mccaffery
BACKGROUND: Telehealth professionals require advanced communication skills, in part to compensate for lack of visual cues. Teach-Back is a best practice communication technique that has been recommended but not previously evaluated for consumer telehealth. We aimed to implement Teach-Back at a national maternal and child health telephone helpline. We describe the intervention and report telenurse experiences learning to use Teach-Back. METHODS: We identified barriers (time, knowledge, skills, beliefs) and enablers (self-reflection) to using Teach-Back, and developed a novel training program to address these, guided by the Theoretical Domains Framework...
March 7, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29505971/validation-of-adolescent-suicide-assessment-protocol-20-asap-20-to-sri-lankan-adolescents
#19
A S Malalagama, S Tennakoon, D R R Abeyasinghe
PURPOSE: Youth suicide rates are rising worldwide, including Sri Lanka, where 46.5/100,000 among 15-19yrs was reported in 1986. Identifying high risk adolescents is vital. Dearth of trained professionals, demands an instrument utilizable by non-psychiatrists. Such was not available in Sinhalese. Adolescent Suicide Assessment Protocol (ASAP-20) and its' manual was translated and validated to Sri Lankan adolescents. METHOD: A validation study. Forward/back translations followed by cultural adaptation...
February 24, 2018: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/29477272/experiences-of-women-who-donated-human-milk
#20
Laura M Candelaria, Diane L Spatz, Noreen Giordano
OBJECTIVE: To examine the experiences of women who donated breast milk to a hospital-based milk bank regulated under the policies and procedures set forth by the Human Milk Banking Association of North America (HMBANA). DESIGN: Qualitative, phenomenological design. SETTING: The Mothers' Milk Bank in a children's hospital in the Northeastern region of the United States. PARTICIPANTS: Twelve HMBANA-approved milk donors older than 21 years with infants hospitalized in the NICU...
February 22, 2018: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
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