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Medical Education

Sebastian C Semler, Frank Wissing, Ralf Heyder
This article is part of the Focus Theme of Methods of Information in Medicine on the German Medical Informatics Initiative. The Medical Informatics Initiative (MII) was launched within the scope of the German Federal Ministry of Education and Research's (BMBF) Medical Informatics Funding Scheme, with the goal of developing infrastructure for the integration of clinical data from patient care and medical research in Germany. Its work is to be performed over the course of a decade (2016-2025) across three funding phases, with the first two concentrating on university hospitals...
July 2018: Methods of Information in Medicine
Stefanie Gehring, René Eulenfeld
This article is part of the Focus Theme of Methods of Information in Medicine on the German Medical Informatics Initiative. The Medical Informatics Initiative of the German Federal Ministry of Education and Research will make use of the potential of digitalization in the field of medicine in Germany. The aim is to improve the possibilities for medical research and patient care through innovative IT solutions. In an initial step, data integration centres will be set up at university hospitals to ensure the technical and organizational conditions necessary for multi-site exchange of data between health care and clinical and biomedical research...
July 2018: Methods of Information in Medicine
Reinhold Haux
This article is part of the Focus Theme of Methods of Information in Medicine on the German Medical Informatics Initiative. Funded by the German Federal Ministry of Education and Research with about 150 million Euro in its currently starting development and networking phase this initiative has already a significant impact on the development of health information systems in Germany. In this Focus Theme two editorials introduce this initiative, one from the viewpoint of its funding institution and one from the initiative's accompanying institutions...
July 2018: Methods of Information in Medicine
Jeongyoung Park, Xiaoli Wu, Bianca K Frogner, Patricia Pittman
BACKGROUND: Few studies have looked under the hood of practice redesign to understand whether and, if so, how staffing changed with the adoption of patient-centered medical home (PCMH), and whether these staffing changes impacted utilization. OBJECTIVES: To examine the workforce transformation occurring in community health centers that have achieved PCMH status, and to assess the relationship of those changes to utilization, as measured by the number of visits. RESEARCH DESIGN, SUBJECTS, MEASURES: Using a difference-in-differences approach, we compared staffing and utilization outcomes in 450 community health centers that had adopted a PCMH model between 2007 and 2013 to a matched sample of 243 nonadopters located in the 50 states and the District of Columbia...
July 13, 2018: Medical Care
Hui Zhang, Evalotte Mörelius, Sam Hong Li Goh, Wenru Wang
BACKGROUND: Debriefing helps learners to gain knowledge through guided reflection and discussion. Video-assisted debriefing (VAD) refers to adding video review during the debriefing process. PURPOSE: This review evaluated the effectiveness of VAD on learners' reactions, learning, and behavior compared with verbal debriefing (if possible) and identified its effective elements. METHODS: A structured search was conducted in PubMed, MEDLINE, CINAHL, ScienceDirect, Scopus, Web of Science, and PsycINFO...
July 13, 2018: Nurse Educator
Ann M Stalter, Amy Jauch
BACKGROUND: Nurses need to take a lead in reducing medical errors. Formal education of systems thinking (ST) can be a catalyst for error prevention. PROBLEM: Integration of ST in RN-BSN education has not been studied. APPROACH: A descriptive, cross-sectional design using survey methods was used. OUTCOMES: Deans of accredited RN-BSN programs across the Midwest reported on ST integration across their RN-BSN programs. Gaps in ST integration were identified as (1) a lack of evaluation tools to determine mastery of systems theory, thinking and awareness, and the application of quality and safety competencies for systems-level synthesis and (2) program outcomes emphasizing autonomy of systems-level decisions...
July 13, 2018: Nurse Educator
Teresa George Abraham, Charnicia Huggins, Gilda Diaz-Fuentes, John Roglieri
OBJECTIVE: Asthma is one of the major causes of hospital readmissions in the South Bronx. The goal of this study was to assess the impact of asthma education provided by registered pharmacists with asthma educator certification (AE-C), on medication adherence and hospitalizations/Emergency Department (ED) visits. METHODS: This was a retrospective chart review of patients seen in the pulmonary clinic from October 2014 to August 2015 for asthma education by AE-C pharmacists...
July 17, 2018: Journal of Asthma: Official Journal of the Association for the Care of Asthma
Emily L Mueller, Anneli R Cochrane, William E Bennett, Aaron E Carroll
BACKGROUND: The use of mobile health (mHealth) has grown exponentially, even by caregivers of vulnerable populations. The study objective was to understand mobile technology usage, barriers, and desires by caregivers of children with cancer. PROCEDURE: Paper surveys were mailed to caregivers of children diagnosed with cancer at Riley Hospital for Children between June 2015 and June 2017. The survey contained 13 questions, both fixed and open-ended, and was sent in both English and Spanish up to three times...
July 17, 2018: Pediatric Blood & Cancer
S Vetter, T Miron, M Wilchek
Since the importance of the high affinity between avidin and biotin, Kd  = 3 × 10-16  M, gained universal recognition, numerous chemical, biological and medical avidin-biotin based applications have been developed. However, in some cases the high affinity may be a disadvantage, as this interaction is irreversible under physiological conditions. The dye, 4'-hydroxyazobenzene-2-carboxylic acid (HABA), binds avidin, at the biotin binding site, as determined by X-ray, at a much lower affinity constant, Kd  = 6 × 10-6  M...
July 11, 2018: Journal of Chromatography. B, Analytical Technologies in the Biomedical and Life Sciences
Athanasios E Chantzaras, John N Yfantopoulos
BACKGROUND: Harsh funding cutbacks along with measures shifting cost to patients have been implemented in the Greek health system in recent years. Our objective was to investigate the evolution of financial protection of Greek households against out-of-pocket payments (OOPP) during the economic crisis. METHODS: National representative data of 33,091 households were derived from the Household Budget Surveys for the period 2008-2015. Financial protection was assessed by applying the approaches of catastrophic (CHE) and impoverishing OOPP...
June 22, 2018: Social Science & Medicine
Salima Farooq, Rehana Rehman, Mehwish Hussain, Jacqueline Maria Dias
INTRODUCTION: Educational environment (EE) in a health educational institute can bring about an enduring impact on the students' motivation, knowledge, critical thinking along with their social life. Therefore, identifying strengths and the need for change in the education environment is vital for the enhancement of the students' learning. OBJECTIVE: This study aimed to compare the perceptions of nursing and medical students about their EE in a private university, Karachi Pakistan...
July 9, 2018: Nurse Education Today
Cyrielle Derguy, Solenne Roux, Marine Portex, Katia M'bailara
The aim of this study was to assess the respective weight of individual and environmental factors on quality of life (Qol) of parents of children with autism spectrum disorders (ASD). Few studies have investigated both individual and environmental predictors of Qol but to our knowledge, none of them has considered the child's and parents' characteristics, family context and services available in the same design. Participants were 115 parents (73 mothers and 42 fathers) of children with ASD aged from 3 to 10 years...
July 7, 2018: Psychiatry Research
Luís Midão, Anna Giardini, Enrica Menditto, Przemyslaw Kardas, Elísio Costa
Polypharmacy, a common condition among the elderly, is associated with adverse outcomes, including increased healthcare costs, due to higher mortality, falls and hospitalizations rates, adverse drug reactions, drug-drug reactions and medication nonadherence. This study aims to evaluate the prevalence and factors related to polypharmacy in older adults across 17 European countries, plus Israel. In this cross-sectional analysis, we used data from participants aged 65 or more years from Wave 6 of the Survey of Health, Ageing, and Retirement in Europe (SHARE) database...
June 30, 2018: Archives of Gerontology and Geriatrics
Virginie Fouilloux, Célia Gran, Christophe Guervilly, Jean Breaud, Fedoua El Louali, Pierre Rostini
INTRODUCTION: Medical and para-medical education is one of the key points of healthcare strategy. Training and education based on high-fidelity simulation is one of the gold standards in modern healthcare institutions. We describe a model of training dedicated to ICU nurses in charge of patients with ECMO. The aim of our educational tool was to teach ICU nurses ECMO basic knowledge and skills. METHODS: An ECMO Specialist Course Committee implemented the training programme...
July 1, 2018: Perfusion
Shan Jiang, Lijian Zhang, Jingsheng Zhao
The issue on the acupuncture clinical service mode has been early proposed by the scholars. The acupuncture clinical service mode is still existed as the department of acupuncture in TCM hospital nowadays. But this pattern has brought the inconvenience and issues between physicians and patients. In the study, through reviewing briefly the history of acupuncture hospital since the foundation of the People's Republic of China, the authors explained why taking the Hospital of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences (CACMS) as the object...
July 12, 2018: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
Erik A Hansen, Philippe Klee, Mirjam Dirlewanger, Thérèse Bouthors, Eglantine Elowe-Gruau, Sophie Stoppa-Vaucher, Franziska Phan-Hug, Maria-Christina Antoniou, Jérôme Pasquier, Andrew A Dwyer, Nelly Pitteloud, Michael Hauschild
BACKGROUND: The study aimed to assess accuracy, satisfaction and usability of a flash glucose monitoring system (FGM) in children and adolescents with type 1 diabetes mellitus (T1DM) attending a diabetes summer camp. METHODS: Sixty-six children and adolescents with T1DM aged 6-17 years participating in a 7-day medically-supervised summer camp were enrolled. Capillary blood glucose (BG) and flash glucose (FG) values were measured simultaneously at breakfast, lunch and dinner and for any given FG value <72 mg/dL (<4...
July 16, 2018: Pediatric Diabetes
José Guilherme Behrensdorf Derraik, Wayne Stephen Cutfield, Sarah Elizabeth Maessen, Paul Leslie Hofman, Timothy Kenealy, Alistair Jan Gunn, Craig Alan Jefferies
OBJECTIVE: New-onset diabetic ketoacidosis (DKA) is entirely preventable with early recognition of the symptoms of type 1 diabetes mellitus (T1D). In this study, we aimed to assess whether a simple and easily delivered educational campaign could reduce the risk of DKA. METHODS: A poster highlighting key features of new-onset T1D was delivered once a year over two years to mailboxes of over 460,000 individual residential households in the Auckland Region (New Zealand)...
July 16, 2018: Pediatric Diabetes
Paige I Partain, Ashok Kumbamu, Gladys B Asiedu, Valeria Cristiani, Marilyn Deling, Christine Weis, Brian Lynch
Objectives Optimal early childhood development is crucial for promoting positive child health outcomes. Community programs supporting child development are available throughout the United States but general parental perceptions of such programs are not well understood. This study aimed to examine parental perceptions of community programs for early childhood development in a semi-urban city of the US. Methods Data were collected from focus groups (n = 4) composed of English-fluent parents from the local community with at least one child aged 0-5 years...
July 16, 2018: Maternal and Child Health Journal
Javier A Luzon, Bjarte T Andersen, Bojan V Stimec, Jean H D Fasel, Arne O Bakka, Airazat M Kazaryan, Dejan Ignjatovic
BACKGROUND: Three-dimensional (3D) printing technology has recently been well approved as an emerging technology in various fields of medical education and practice; e.g., there are numerous studies evaluating 3D printouts of solid organs. Complex surgery such as extended mesenterectomy imposes a need to analyze also the accuracy of 3D printouts of more mobile and complex structures like the diversity of vascular arborization within the central mesentery. The objective of this study was to evaluate the linear dimensional anatomy landmark differences of the superior mesenteric artery and vein between (1) 3D virtual models, (2) 3D printouts, and (3) peroperative measurements...
July 16, 2018: Surgical Endoscopy
Richard M Conran, Suzanne Zein-Eldin Powell, Ronald E Domen, Cindy B McCloskey, Mark D Brissette, David A Cohen, Lisa Ross Dixon, Melissa Robin George, Dita A Gratzinger, Miriam D Post, Cory A Roberts, Amyn M Rojiani, Charles Franklin Timmons, Kristen Johnson, Robert D Hoffman
Professionalism and physician well-being are important topics in academic medicine. Lapses in professional judgment may lead to disciplinary action and put patient's health at risk. Within medical education, students and trainees are exposed to professionalism in the institution's formal curriculum and hidden curriculum. Development of professionalism starts early in medical school. Trainees entering graduate medical education already have developed professional behavior. As a learned behavior, development of professional behavior is modifiable...
January 2018: Academic Pathology
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