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https://www.readbyqxmd.com/read/29051721/a-comparison-of-medical-education-in-germany-and-the-united-states-from-applying-to-medical-school-to-the-beginnings-of-residency
#1
REVIEW
Dmitry Zavlin, Kevin T Jubbal, Jonas G Noé, Bernd Gansbacher
Both Germany and the United States of America have a long tradition of science and medical excellence reaching back as far as the nineteenth century. The same tribute must be paid to the medical educational system in both countries. Despite significant initial similarities and cross-inspiration, the paths from enrolling in a medical university to graduating as a medical doctor in Germany and the US seem to have become much different. To fill a void in literature, the authors' objective therefore is to delineate both structures of medical education in an up-to-date review and examine their current differences and similarities...
2017: German Medical Science: GMS E-journal
https://www.readbyqxmd.com/read/29045245/newborn-safety-bundle-to-prevent-falls-and-promote-safe-sleep
#2
Bethann Lipke, Gael Gilbert, Heather Shimer, Larry Consenstein, Christine Aris, Lynne Ponto, Susan Lafaver, Christopher Kowal
PURPOSE: At our Baby-Friendly USA hospital, with at least 80% of mothers breastfeeding and rooming-in, it is not uncommon for mothers to fall asleep in their hospital bed while feeding. The aim of this study was to develop a newborn infant safety bundle and evaluate its efficacy in helping reduce unsafe sleep situations while simultaneously preventing newborn falls. STUDY DESIGN AND METHOD: Data were collected in March 2015 using an infant at risk-to-fall instrument prior to nurses initiating the newborn infant safety bundle...
October 17, 2017: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/29026234/compliance-with-the-guide-for-commissioning-oral-surgery-an-audit-and-discussion
#3
O Modgill, A Shah
Introduction The Guide for commissioning oral surgery and oral medicine published by NHS England (2015) prescribes the level of complexity of oral surgery and oral medicine investigations and procedures to be carried out within NHS services. These are categorised as Level 1, Level 2, Level 3A and Level 3B. An audit was designed to ascertain the level of oral surgery procedures performed by clinicians of varying experience and qualification working in a large oral surgery department within a major teaching hospital...
October 13, 2017: British Dental Journal
https://www.readbyqxmd.com/read/28980881/the-perspective-of-healthcare-providers-and-patients-on-health-literacy-a-systematic-review-of-the-quantitative-and-qualitative-studies
#4
Retha Rajah, Mohamed Azmi Ahmad Hassali, Lim Ching Jou, Muthu Kumar Murugiah
AIM: Health literacy (HL) is a multifaceted concept, thus understanding the perspective of healthcare providers, patients, and the system is vital. This systematic review examines and synthesises the available studies on HL-related knowledge, attitude, practice, and perceived barriers. METHODS: CINAHL and Medline (via EBSCOhost), Google Scholar, PubMed, ProQuest, Sage Journals, and Science Direct were searched. Both quantitative and/or qualitative studies in the English language were included...
October 1, 2017: Perspectives in Public Health
https://www.readbyqxmd.com/read/28970614/impact-of-standardized-simulated-patients-on-first-year-pharmacy-students-knowledge-retention-of-insulin-injection-technique-and-counseling-skills
#5
Riley Bowers, Robert Tunney, Kim Kelly, Beth Mills, Katie Trotta, C Neil Wheeless, Richard Drew
Objective. To compare pre- and post-intervention test scores assessing insulin injection technique and counseling skills among P1 students with (intervention) or without (control) simulated patients, and to compare counseling checklist and knowledge retention test scores between groups. Methods. This study utilized cluster randomization. In addition to traditional instruction, the intervention group counseled a simulated patient on the use of insulin using the teach-back method. Test score changes from baseline were analyzed via two-sample t-test...
August 2017: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/28956413/teachers%C3%A2-assessment-practices-in-context-of-nursing-clinical-education-a-qualitative-descriptive-study
#6
Patricia Blanchette, Maud-Christine Chouinard, Jacques-André Gueyaud
Since no study has yet been able to assess the Quebec portrait of teachers' evaluation practices in the context of clinical education in nursing. Considering the importance of clinical teaching and evaluation in the education of nursing students, this study is justified. This article presents the results of a study that aimed to describe and understand the experience of teachers in the ongoing assessment of nursing students' learning during clinical education. It aimed to describe the evaluation practices of teachers during the learning of students in clinical education and achievement context, and to identify factors influencing these practices...
August 17, 2017: Recherche en Soins Infirmiers
https://www.readbyqxmd.com/read/28944639/-unknown-title
#7
(no author information available yet)
Since no study has yet been able to assess the Quebec portrait of teachers' evaluation practices in the context of clinical education in nursing. Considering the importance of clinical teaching and evaluation in the education of nursing students, this study is justified. This article presents the results of a study that aimed to describe and understand the experience of teachers in the ongoing assessment of nursing students' learning during clinical education. It aimed to describe the evaluation practices of teachers during the learning of students in clinical education and achievement context, and to identify factors influencing these practices...
August 17, 2017: Recherche en Soins Infirmiers
https://www.readbyqxmd.com/read/28939399/the-impact-of-teach-back-method-on-retention-of-key-domains-of-emergency-department-discharge-instructions
#8
Becky Ann Slater, Yinjiang Huang, Preeti Dalawari
BACKGROUND: Studies have shown that patient understanding and recall of their emergency department (ED) discharge instructions is limited. The teach-back method involves patients repeating back what they understand, in their own words, so that discharge providers can confirm comprehension and correct misunderstandings. OBJECTIVE: The objective of this study was to determine if the teach-back method would increase retention of post ED discharge instructions. METHODS: A before-and-after study design (pre and post teach-back method) was used at an academic Midwestern institution...
September 19, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28937930/feasibility-of-a-multidisciplinary-caregiving-training-protocol-for-young-caregivers-in-families-with-als
#9
Melinda S Kavanaugh, Megan Howard, Lori Banker-Horner
Feasibility of a multidisciplinary caregiving training protocol for young caregivers in families with ALS. OBJECTIVES: To assess the feasibility of a multidisciplinary young caregiver group training protocol for children and youth who provide care to a family member with ALS. METHOD: Peer group experiential young caregiver model based on theories of self-management and self-efficacy. Training conducted by a multidisciplinary team of therapists in ALS (PT, OT, Speech and social work), as well as assistive device vendors...
September 22, 2017: Social Work in Health Care
https://www.readbyqxmd.com/read/28935005/sequelae-of-occult-aggression-disqualifying-young-socially-housed-female-new-zealand-white-rabbits-oryctolagus-cuniculus-from-participation-in-dermal-toxicology-studies
#10
Jeffrey D Wyatt, Diane M Moorman-White, Donnalee Ventura, Brett W Schneider, Thomas W Bittner
International animal welfare organizations and federal, regional, and institutional oversight bodies encourage social housing of gregarious species, such as New Zealand white rabbits (Oryctolagus cuniculus), to promote animal wellbeing in research, teaching, testing and farming settings. At our institution, 2 groups of female New Zealand white rabbits (approximate age, 11 wk; mean weight, 2.35 kg), compatibly paired at the vendor for 5 wk, were paired in caging or group-housed in a floor pen. The rabbits appeared compatible, demonstrating primarily affiliative behaviors throughout 6 wk of daily observations...
October 1, 2017: Comparative Medicine
https://www.readbyqxmd.com/read/28906264/governance-of-academic-medical-centers-is-indeed-a-complex-and-unique-operation
#11
David S Guzick, Donald E Wilson
As academic medical centers (AMCs) have extended their operations into their communities, partnered with new organizations, and developed new modes of operation to achieve their missions, new governance approaches are required. Chari and colleagues, in this issue of Academic Medicine, describe the development and application of criteria to evaluate governance options for the University of California (UC), which has a number of public AMCs, almost all of which are components of individual UC universities. Although many of these criteria may also be applicable to smaller AMCs, a more individual approach to governance is required-that is, one must step back and first ask about the organization, structure, and goals of the entities to be governed...
September 12, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28861706/xerostomia-quality-of-life-scale-xeqols-questionnaire-validation-of-italian-version-in-head-and-neck-cancer-patients
#12
Luciana Lastrucci, Silvia Bertocci, Vittorio Bini, Simona Borghesi, Roberta De Majo, Andrea Rampini, Pietro Giovanni Gennari, Paola Pernici
AIM: To translate the Xerostomia Quality-of-Life Scale (XeQoLS) into Italian language (XeQoLS-IT). Xerostomia is the most relevant acute and late toxicity in patients with head and neck cancer treated with radiotherapy (RT). Patient-reported outcome (PRO) instruments are subjective report on patient perception of health status. The XeQoLS consists of 15 items and measures the impact of salivary gland dysfunction and xerostomia on the four major domains of oral health-related QoL. METHODS: The XeQoLS-IT was created through a linguistic validation multi-step process: forward translation (TF), backward translation (TB) and administration of the questionnaire to 35 Italian patients with head and neck cancer...
August 31, 2017: La Radiologia Medica
https://www.readbyqxmd.com/read/28835470/ospreys-do-not-teach-offspring-how-to-kill-prey-at-the-nest
#13
Megan Howard, Will Hoppitt
There is strong evidence for teaching in only a handful of species, most of which are cooperative breeders, leading some researchers to suggest that teaching may be more likely to evolve in such species. Alternatively, this initial distribution could be an artefact of the popularity and tractability of cooperative breeders as behavioural study systems. Therefore, establishing or refuting this potential evolutionary link requires researchers to assess potential cases of teaching in more non-cooperatively breeding species...
August 2017: Biology Letters
https://www.readbyqxmd.com/read/28832179/self-care-educational-intervention-to-reduce-hospitalisations-in-heart-failure-a-randomised-controlled-trial
#14
M Boyde, R Peters, N New, R Hwang, T Ha, D Korczyk
BACKGROUND: A variety of educational interventions have been implemented to assist patients with heart failure to maintain their own health, develop self-care behaviours and decrease readmissions. AIMS: The purpose of this study was to determine the effectiveness of a multimedia educational intervention for patients with heart failure in reducing unplanned hospital readmissions. METHODS: The study, a randomised controlled trial in a large tertiary referral hospital in Australia, recruited 200 patients...
August 1, 2017: European Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/28818249/health-literacy-cancer-prevention-strategies-for-early-adults
#15
Robert A Simmons, Susan C Cosgrove, Martha C Romney, James D Plumb, Rickie O Brawer, Evelyn T Gonzalez, Linda G Fleisher, Bradley S Moore
Health literacy, the degree to which individuals have the capacity to obtain, process, and understand health information and services needed to make health decisions, is an essential element for early adults (aged 18-44 years) to make informed decisions about cancer. Low health literacy is one of the social determinants of health associated with cancer-related disparities. Over the past several years, a nonprofit organization, a university, and a cancer center in a major urban environment have developed and implemented health literacy programs within healthcare systems and in the community...
September 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28817856/back-to-basics-the-effect-of-healthy-diet-and-exercise-on-chronic-disease-management
#16
Robert L Allison
INTRODUCTION: The increase in obesity rates in the U.S. and other less developed industrial countries have led to a worldwide epidemic of chronic disease states. Increased obesity rates are implicated in the treatment failures for illnesses such as coronary artery disease, diabetes, heart failure, hypertension and cancer. Effective prevention of obesity through diet and exercise contributes to the successful medical management of multiple chronic disease states. OBJECTIVE: Review the last 10 years of literature (2006-2016) on the effects of diet and exercise as they relate to the prevention of chronic disease...
2017: South Dakota Medicine: the Journal of the South Dakota State Medical Association
https://www.readbyqxmd.com/read/28813068/cultural-adaptation-of-the-short-self-regulation-questionnaire-suggestions-for-the-speech-area
#17
Anna Alice Almeida, Mara Behlau
Purpose: To present the translated and linguistic and culturally adapted version of the Short self-regulation Questionnaire (SSRQ) for the Brazilian Portuguese and to check its applicability to patients with dysphonia. Methods: The SSRQ is a tool used to evaluate the ability to self-regulate behavior; it has 31 items and generates three scores: total index of individual self-regulation capacity and partial scores for goal setting and impulse control. Each item should be scored by means of a Likert-type 5-point scale; the total score ranges from 29 to 145 points...
August 14, 2017: CoDAS
https://www.readbyqxmd.com/read/28807431/a-prospective-analysis-of-injury-rates-patterns-and-causes-in-cliff-and-splash-diving
#18
Lukas Ernstbrunner, Armin Runer, Paul Siegert, Matthäus Ernstbrunner, Johannes Becker, Thomas Freude, Herbert Resch, Philipp Moroder
INTRODUCTION: Information about injuries and its differences in Cliff Diving (CD) and Splash Diving (SD) are unknown. It was the aim to analyse (1) injury rates, patterns and causes; (2) differences (in injuries) between both disciplines; and to (3) identify targets for future injury prevention interventions. METHODS: From April to November 2013, 81 cliff and 51 splash divers were prospectively surveyed with an encrypted, monthly e-mail-based questionnaire. RESULTS: During a total of 7857h diving with an average diving height of 13 (±7)m, an overall injury rate of 7...
August 5, 2017: Injury
https://www.readbyqxmd.com/read/28798212/the-dna-triangle-and-its-application-to-learning-meiosis
#19
L Kate Wright, Christina M Catavero, Dina L Newman
Although instruction on meiosis is repeated many times during the undergraduate curriculum, many students show poor comprehension even as upper-level biology majors. We propose that the difficulty lies in the complexity of understanding DNA, which we explain through a new model, the DNA triangle The DNA triangle integrates three distinct scales at which one can think about DNA: chromosomal, molecular, and informational Through analysis of interview and survey data from biology faculty and students through the lens of the DNA triangle, we illustrate important differences in how novices and experts are able to explain the concepts of ploidy, homology, and mechanism of homologous pairing Similarly, analysis of passages from 16 different biology textbooks shows a large divide between introductory and advanced material, with introductory books omitting explanations of meiosis-linked concepts at the molecular level of DNA...
2017: CBE Life Sciences Education
https://www.readbyqxmd.com/read/28792996/-the-legacy-of-cabanis-a-hypothesis-on-the-roots-of-medical-education-in-brazil
#20
Naomar Almeida-Filho
Georges Cabanis was a reformer of clinical practice and medical education who laid the conceptual foundations during the French Revolution for the development of education in France over the course of the 19th century. The model, in turn, marked the organization of educational systems in many Latin American countries. The objective of this article is to present and justify a hypothesis: the model of medical education still hegemonic in Brazil is still based upon the Cabanisian reform, holding a linear and Cartesian conceptual perspective, with a discipline-based curriculum, traditional teaching formats, and submission to corporate professional logic...
August 7, 2017: Cadernos de Saúde Pública
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