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https://www.readbyqxmd.com/read/29606124/transferring-skills-in-quality-collaboratives-focused-on-improving-patient-logistics
#1
Anne Marie Weggelaar-Jansen, Jeroen van Wijngaarden
BACKGROUND: A quality improvement collaborative, often used by the Institute for Healthcare Improvement, is used to educate healthcare professionals and improve healthcare at the same time. However, no prior research has been done on the knowledge and skills healthcare professionals need to achieve improvements or the extent to which quality improvement collaboratives help enhance both knowledge and skills. Our research focused on quality improvement collaboratives aiming to improve patient logistics and tried to identify which knowledge and skills are required and to what extent these were enhanced during the QIC...
April 2, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29602240/optimizing-outcomes-with-polymethylmethacrylate-fillers
#2
REVIEW
Michael H Gold, Neil S Sadick
INTRODUCTION: The ideal filler should be long-lasting, biocompatible, chemically inert, soft and easy to use, and have a long history of safety. This review focuses on the evolution and development of the PMMA-collagen gel, Bellafill, and the 10 years of postmarketing experience of Bellafill since it received premarket approval (PMA) from the FDA as Artefill in 2006. Artefill was rebranded to Bellafill in 2015. METHODS: The authors conducted a literature search on PubMed for key articles describing the steps in which Arteplast, a PMMA filler developed in 1989, led to the development of Bellafill, the only PMMA filler approved by the US FDA for the treatment of nasolabial folds and acne scar correction...
March 30, 2018: Journal of Cosmetic Dermatology
https://www.readbyqxmd.com/read/29571543/dysphagia-in-children
#3
Kimberly L Duffy
Speech-Language Pathologists (SLP) play an integral role in evaluating and treating pediatric patients with dysphagia related to aerodigestive disorders. Non-supportive anatomy, cardio-respiratory and medical status, state control, neurologic functioning, postural stability and control, gastrointestinal functioning, hunger and satiation, developmental abilities, oral-motor skills, oral/pharyngeal reflexes, airway protection and secretion management can create barriers to successful oral feeding. Swallowing is broken down into four phases and difficulties can occur during any phase or in combination with another phase of swallowing...
March 2018: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/29565966/haptic-communication-between-humans-is-tuned-by-the-hard-or-soft-mechanics-of-interaction
#4
Atsushi Takagi, Francesco Usai, Gowrishankar Ganesh, Vittorio Sanguineti, Etienne Burdet
To move a hard table together, humans may coordinate by following the dominant partner's motion [1-4], but this strategy is unsuitable for a soft mattress where the perceived forces are small. How do partners readily coordinate in such differing interaction dynamics? To address this, we investigated how pairs tracked a target using flexion-extension of their wrists, which were coupled by a hard, medium or soft virtual elastic band. Tracking performance monotonically increased with a stiffer band for the worse partner, who had higher tracking error, at the cost of the skilled partner's muscular effort...
March 2018: PLoS Computational Biology
https://www.readbyqxmd.com/read/29523423/capnocytophaga-canimorsus-an-emerging-pathogen-in-immunocompetent-patients-experience-from-an-emergency-department
#5
Nicole Bertin, Gabriele Brosolo, Fabrizio Pistola, Francesco Pelizzo, Christian Marini, Franco Pertoldi, Olga Vriz
BACKGROUND: Capnocytophaga canimorsus is a bacterium of the normal oral flora of dogs and cats. Human infection is caused by animal bite but is rarely observed, mainly in immunocompromised patients. We present 2 cases of C. canimorsus infection that occurred in immunocompetent patients and caused multiorgan failure and in both cases severe neurologic involvement. CASE REPORT: In the first case, we present a 69-year-old immunocompetent woman with septic shock derived from skin and soft tissue infection after a dog's bite...
March 6, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29514345/military-trauma-and-surgical-procedures-in-conflict-area-a-review-for-the-utilization-of-forward-surgical-team
#6
Yi-Ling Cai, Jin-Tao Ju, Wen-Bao Liu, Jian Zhang
Introduction: Forward surgical teams (FSTs) have been used as highly mobile surgical facilities that provide "damage control" medical support in modern wars. FST regiments differ greatly in different armed services and nations. We systemically reviewed the utilization of FSTs around the world with an emphasis on the medical conditions and workloads encountered by FSTs in modern wars. Materials and Methods: We searched for terms related to FSTs, such as "Forward Surgical Team" and "Field Surgical Team," in the PubMed, EMBASE, Web of Science, and MEDLINE databases and collected any articles that provided numerical data on the organization of medical personnel combat casualty characteristics, including the casualty composition, injury types and locations, and mechanisms of injury, and surgical procedures performed...
March 1, 2018: Military Medicine
https://www.readbyqxmd.com/read/29513973/pharmaceutical-care-in-opinion-of-polish-medical-and-pharmaceutical-students-an-exploratory-study
#7
Damian Swieczkowski, Piotr Merks, Milosz Jaguszewski, Danuta Siluk
Pharmacy students should have a sufficient level of knowledge, skills, and attitude to practice pharmaceutical care effectively in the routine practice in the community pharmacy. Moreover, the strong cooperation between pharmacists and physicians is strongly needed in the process of providing pharmaceutical care. The aim of the study was to investigate the opinions of students of the Faculty of Medicine and Pharmacy from Medical University of Gdansk on pharmaceutical care and cognitive services and aspects of interprofessional collaboration between physicians and pharmacists under the conditions of Polish healthcare system...
May 2017: Acta Poloniae Pharmaceutica
https://www.readbyqxmd.com/read/29510812/blowout-fractures-clinic-imaging-and-applied-anatomy-of-the-orbit
#8
Ulrik Nikolaj Ascanius Felding
Isolated fractures of the orbital floor or medial wall are often referred to as blowout fractures (BOFs). Debilitating double vision and aesthetic deformity may affect the patients' quality of life and daily living skills, for instance, working or driving a car. The management of blowout fractures is, however, challenging, since not all fractures demand surgery. Some patients may have symptoms which subside, or may never develop symptoms. Due to a lack of evidence, there are still considerable differences in opinion on the criteria for surgery...
March 2018: Danish Medical Journal
https://www.readbyqxmd.com/read/29491657/langerhans-cell-histiocytosis-a-challenge-for-the-dental-professional
#9
Shweta Bansal, Arun Garg, Richa Khurana
Langerhans cell histiocytosis (LCH) is a group of rare disorders histologically characterized by the proliferation of LC, involving multiple organs and systems. Typically, there is bone involvement and, less frequently, lesions may be found in the lungs, liver, lymph nodes, skin, and mucosae. Oral soft tissue lesions without bone involvement are rare. Antigenic markers that react with CD1a glycoprotein, cytoplasmatic protein S100 detected by immunoperoxidase staining, and/or presence of Birbeck granules on electron microscopic examination are required for a definitive diagnosis of LCH...
October 2017: Journal of Cutaneous and Aesthetic Surgery
https://www.readbyqxmd.com/read/29484726/soft-somatosensitive-actuators-via-embedded-3d-printing
#10
Ryan L Truby, Michael Wehner, Abigail K Grosskopf, Daniel M Vogt, Sebastien G M Uzel, Robert J Wood, Jennifer A Lewis
Humans possess manual dexterity, motor skills, and other physical abilities that rely on feedback provided by the somatosensory system. Herein, a method is reported for creating soft somatosensitive actuators (SSAs) via embedded 3D printing, which are innervated with multiple conductive features that simultaneously enable haptic, proprioceptive, and thermoceptive sensing. This novel manufacturing approach enables the seamless integration of multiple ionically conductive and fluidic features within elastomeric matrices to produce SSAs with the desired bioinspired sensing and actuation capabilities...
February 27, 2018: Advanced Materials
https://www.readbyqxmd.com/read/29479802/3d-printed-surgical-simulation-models-as-educational-tool-by-maxillofacial-surgeons
#11
S M Werz, S J Zeichner, B-I Berg, H-F Zeilhofer, F Thieringer
INTRODUCTION: The aim of this study was to evaluate whether inexpensive 3D models can be suitable to train surgical skills to dental students or oral and maxillofacial surgery residents. Furthermore, we wanted to know which of the most common filament materials, acrylonitrile butadiene styrene (ABS) or polylactic acid (PLA), can better simulate human bone according to surgeons' subjective perceptions. MATERIALS AND METHODS: Upper and lower jaw models were produced with common 3D desktop printers, ABS and PLA filament and silicon rubber for soft tissue simulation...
February 26, 2018: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://www.readbyqxmd.com/read/29442297/a-single-center-cost-analysis-of-treating-primary-and-metastatic-brain-cancers-with-either-brain-laser-interstitial-thermal-therapy-litt-or-craniotomy
#12
Eric C Leuthardt, Jeff Voigt, Albert H Kim, Pete Sylvester
BACKGROUND: Brain laser interstitial thermal therapy (LITT) under magnetic resonance imaging (MRI) guidance has recently gained US clinical approval for the ablation of soft, neurological tissue. LITT is a minimally invasive alternative to craniotomy. OBJECTIVE: While safety and efficacy are the focus of most current LITT studies, it is unclear how acute care costs (inpatient care ± aftercare) of LITT compare to craniotomy in an academic medical center. Therefore, the purpose of this analysis is to examine these costs of using brain LITT under MRI guidance compared to craniotomy in complex anatomies...
March 2017: PharmacoEconomics Open
https://www.readbyqxmd.com/read/29438116/analysis-of-football-injuries-by-position-group-in-division-i-college-football-a-5-year-program-review
#13
Michael K Krill, James R Borchers, Joshua T Hoffman, Matthew L Krill, Timothy E Hewett
OBJECTIVE: The purpose of this study was to evaluate injury characteristics by position groups. DESIGN: Prospective, observational study. SETTING: A single, major Division I collegiate football program. PARTICIPANTS: All players on a collegiate football program each fall regular season. INDEPENDENT VARIABLES: Exposure to Division I collegiate football and position groups. MAIN OUTCOME MEASURES: Injury rates (IRs) per 1000 athlete exposures (AEs) and injury rate ratios (IRRs) were calculated and analyzed for all monitored injury variables, which included time in the season, body part, type of injury, game and practice injuries, mechanism of injury, and type of exposure...
February 12, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29436802/les-attentes-des-%C3%A3-tudiants-de-g%C3%A3-n%C3%A3-ration-y-en-formation-param%C3%A3-dicale%C3%A2-des-comp%C3%A3-tences-acad%C3%A3-miques-mais-aussi-non-acad%C3%A3-miques
#14
Cynthia Engels
Generation Y's (born between 1981 and 1999) educational approach in healthcare studies raises questions about their expectations and which teaching methods to use with this generation. The study involved third year students of occupational therapy. One hundred and twelve students were consulted in September 2012 and September 2013 about their expectations regarding the courses and the teaching methods which were offered. Results allowed to highlight firstly the importance of the usefulness of the course and secondly expectations regarding the teachers' soft skills...
February 2, 2018: Recherche en Soins Infirmiers
https://www.readbyqxmd.com/read/29419594/rate-of-relapse-after-enucleation-of-solid-multicystic-ameloblastoma-followed-by-piezoelectric-or-conventional-peripheral-ostectomy
#15
Giuseppe Troiano, Alessandra Inghingolo, Rosario Serpico, Domenico Ciavarella, Lorenzo Lo Muzio, Gabriele Cervino, Marco Cicciù, Luigi Laino
The use of piezo surgery is characterized by a good cutting ability associated with a higher soft tissues respect. Such skills have led to an increment of the use of such systematic in the clinical practice. The aim of this study was to figure out whether the use of piezo surgery may show clinical advantages when enucleation is followed by peripheral ostectomy for the treatment of solid/multicystic ameloblastoma. A retrospective case-control study was performed, including patients treated with piezo surgery or conventional drilling in a single center in Italy...
February 6, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29404639/ct-colonography-interpretation-how-to-maximize-polyp-detection-and-minimize-overcalling
#16
Seong Ho Park, David H Kim
This article outlines how to achieve maximum accuracy in interpreting CT colonography (CTC) regarding colonic findings. Interpreting extracolonic findings seen on CTC is a separate diagnostic task and will not be addressed in this article. While many interpretive pitfalls are in fact related to CTC techniques, this article focuses on issues that are related to interpretive knowledge and skills, avoiding in-depth discussions on CTC techniques. Principal methods and further tips for detecting possible polyp candidates and for confirming true soft-tissue polyps will be discussed...
February 5, 2018: Abdominal Radiology
https://www.readbyqxmd.com/read/29399428/comparison-of-live-versus-online-instruction-of-a-novel-soft-skills-course-in-mongolia
#17
Aditya Mahadevan, Matthew C Strehlow, Khandregzen Dorjsuren, Jennifer A Newberry
Background Soft skills are essential for employee success in the global marketplace; however, many developing countries lack content experts to provide the requisite instruction to an emerging workforce. One possible solution is to use an online, open-access curriculum. To date, no studies on soft skills curricula using an online learning platform have been undertaken in Mongolia. Objective To evaluate the efficacy of an online versus classroom platform to deliver a novel soft skills course in Mongolia. Methods A series of eight lectures along with corresponding surveys and multiple choice question tests were developed and translated into the Mongolian language...
November 30, 2017: Curēus
https://www.readbyqxmd.com/read/29388789/controlled-palatal-harvest-technique-for-harvesting-a-palatal-subepithelial-connective-tissue-graft
#18
Neel B Bhatavadekar, Amit S Gharpure
Subepithelial connective tissue grafts (SCTGs) have been extensively used to augment soft-tissue volume on dental implants and natural teeth. The authors present a technique called the controlled palatal harvest (CPH) to obtain SCTGs. CPH provides an alternative to the trap-door and single-incision techniques currently utilized. The objective of this article is to describe this harvesting technique for SCTGs. A case report is presented in which the CPH technique was successfully used to obtain a SCTG. Contrary to current techniques where the SCTG is usually taken from the palatal (bone) side, this technique involves the dissection of a thick split-thickness flap in which the graft is harvested from the raised flap...
February 2018: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/29384581/tips-and-trends-to-start-the-new-year
#19
Michael R Bleich
With the New Year comes the opportunity to set goals and advance training and development opportunities for leaders. This article presents five tips and five trends that serve as prognosticators for the coming year, including tips to influence time management and leadership impact and trends, such as sexual harassment training and "soft" skills development, which are now core skills for team success. A shift from hierarchical structures to network- and relationship-centered webs for advanced problem solving is also projected...
January 1, 2018: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/29383077/development-of-a-novel-ultrasound-guided-peritonsillar-abscess-model-for-simulation-training
#20
Vivienne Ng, Jennifer Plitt, David Biffar
Introduction: Peritonsillar abscess (PTA) is the most common deep space infection of the head and neck presenting to emergency departments.1 No commercial PTA task trainer exists for simulation training. Thus, resident physicians often perform their first PTA needle aspiration in the clinical setting, knowing that carotid artery puncture and hemorrhage are serious and devastating complications. While several low-fidelity PTA task trainers have been previously described, none allow for ultrasound image acquisition...
January 2018: Western Journal of Emergency Medicine
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