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just in time training

Jason Moran, Rodrigo Ramirez-Campillo, Urs Granacher
BACKGROUND: Jump training (JT) can be used to enhance the ability of skeletal muscle to exert maximal force in as short a time as possible. Despite its usefulness as a method of performance enhancement in athletes, only a small number of studies have investigated its effects on muscle power in older adults. OBJECTIVES: The aims of this meta-analysis were to measure the effect of JT on muscular power in older adults (≥ 50 years), and to establish appropriate programming guidelines for this population...
October 20, 2018: Sports Medicine
Jasmine L Jacobs-Wingo, Jeffrey Schlegelmilch, Maegan Berliner, Gloria Airall-Simon, William Lang
PURPOSE: Many nurses are trained inadequately in emergency preparedness (EP), preventing them from effectively executing response roles during disasters, such as chemical, biological, radiological, nuclear, and explosive (CBRNE) events. Nurses also indicate lacking confidence in their abilities to perform EP activities. The purpose of this article is to describe the phased development of, and delivery strategies for, a CBRNE curriculum to enhance EP among nursing professionals. The New York City (NYC) Department of Health and Mental Hygiene (DOHMH) and the National Center for Disaster Preparedness at Columbia University's Earth Institute led the initiative...
September 17, 2018: Journal of Nursing Scholarship
Susan P Proctor, Matthew M Scarpaci, Alexis L Maule, Kristin J Heaton, Kathryn Taylor, Caitlin C Haven, Jennifer Rood, Maria Ospina, Antonia M Calafat
Wearing of permethrin treated clothing is becoming more prevalent in military and outdoor occupational and recreational settings, as a personal protection measure against vector borne diseases transmitted through arthropods (e.g., malaria, Lyme disease). The goal of the study was to prospectively examine permethrin exposure among new U.S. Army recruits who had just been issued permethrin-treated uniforms over a 10-week military training period and whether individual body composition (percent body fat, %BF) and physical workload (total energy expenditure, TEE) influenced the exposure...
October 4, 2018: Toxicology Letters
Asis Roy, Sourangshu Bhattacharya, Kalyan Guin
BACKGROUND: Clinical tests for diagnosis of any disease may be expensive, uncomfortable, time consuming and can have side effects e.g. barium swallow test for esophageal cancer. Although we can predict non-existence of esophageal cancer with near 100% certainty just using demographics, lifestyle, medical history information, and a few basic clinical tests but our objective is to devise a general methodology for customizing tests with user preferences to avoid expensive or uncomfortable tests...
September 29, 2018: Artificial Intelligence in Medicine
Katie Waine, Rachel S Dean, Chris Hudson, Jonathan Huxley, Marnie L Brennan
Clinical audit is a quality improvement tool used to assess and improve the clinical services provided to patients. This is the first study to investigate the extent to which clinical audit is understood and utilised in farm animal veterinary practice. A cross-sectional study to collect experiences and attitudes of farm animal veterinary surgeons in the UK towards clinical audit was conducted using an online nationwide survey. The survey revealed that whilst just under three-quarters ( n = 237/325; 73%) of responding veterinary surgeons had heard of clinical audit, nearly 50% ( n = 148/301) had never been involved in a clinical audit of any species...
September 28, 2018: Veterinary Sciences
Isabel Segura-Bedmar, Cristobal Colón-Ruíz, Miguél Ángel Tejedor-Alonso, Mar Moro-Moro
Anaphylaxis is a life-threatening allergic reaction that occurs suddenly after contact with an allergen. Epidemiological studies about anaphylaxis are very important in planning and evaluating new strategies that prevent this reaction, but also in providing a guide to the treatment of patients who have just suffered an anaphylactic reaction. Electronic Medical Records (EMR) are one of the most effective and richest sources for the epidemiology of anaphylaxis, because they provide a low-cost way of accessing rich longitudinal data on large populations...
September 25, 2018: Journal of Biomedical Informatics
Tom Francart, Konstantin Wiebe, Thomas Wesarg
Currently there is a growing population of cochlear-implant (CI) users with (near) normal hearing in the non-implanted ear. This configuration is often called SSD (single-sided deafness) CI. The goal of the CI is often to improve spatial perception, so the question raises to what extent SSD CI listeners are sensitive to interaural time differences (ITDs). In a controlled lab setup, sensitivity to ITDs was investigated in 11 SSD CI listeners. The stimuli were 100-pps pulse trains on the CI side and band-limited click trains on the acoustic side...
September 27, 2018: Journal of the Association for Research in Otolaryngology: JARO
Brenda L Jacklitsch, Keith A King, Rebecca A Vidourek, Ashley L Merianos
Heat-related illness (HRI), injury, and death among oil spill cleanup responders can be prevented through training and educational materials. This study assessed heat-related training and educational materials currently used and desired by oil spill cleanup responders. A needs assessment was completed by 65 oil spill cleanup responders regarding their occupational heat-related experiences and training needs. Oil spill cleanup responders reported participating on average in 37 oil spill cleanup activities per year...
2018: Environmental Health Insights
Joanie Sims-Gould, Douglas L Race, Heather Macdonald, Kristin M Houghton, Ciarán M Duffy, Lori B Tucker, Heather A McKay
BACKGROUND: Physical activity is essential for ensuring optimal physical function and fitness in children with juvenile idiopathic arthritis (JIA). Although exercise intervention trials informed current clinical practice, few studies addressed why children with JIA do or do not participate in exercise interventions. We aimed to describe perceived barriers and facilitators to the uptake and adherence to a 6-month home-based exercise intervention for children diagnosed with JIA and their parents...
September 20, 2018: Pediatric Rheumatology Online Journal
Naoki Yanagisawa, Koji Wada, John D Spengler, Ramon Sanchez-Pina
BACKGROUND: Participants in mass gathering events are at risk of acquiring imported and locally endemic infectious diseases. The 2014 dengue outbreak in Tokyo gathered attention since it was the first time in 70 years for Japan to experience an autochthonous transmission. Preparation for emerging infectious threats is essential even in places where these outbreaks have been largely unknown. The aim of this study is to identify strategies for early detection and prevention of dengue infection during the 2020 summer Olympics and Paralympics in Tokyo...
September 2018: PLoS Neglected Tropical Diseases
Kara E Sawarynski, Dwayne M Baxa, Robert Folberg
PROBLEM: Medical student participation in research enhances appreciation of the scientific literature and the conduct of investigation, and may lead to an interest in academic medicine. Independent medical student research offers frequently overlooked opportunities to develop and assess professional practice abilities, including project design and implementation, interprofessional team communication, and time management. These skills, useful to physicians, are often challenging for medical students to master as they transition into clinical careers...
September 14, 2018: Teaching and Learning in Medicine
Melissa E Dichter, Anne Teitelman, Heather Klusaritz, Douglas M Maurer, Peter F Cronholm, Chyke A Doubeni
BACKGROUND AND OBJECTIVES: Experiences of psychological trauma are common among primary care patient populations, and adversely affect patients' health and health care utilization. Trauma-informed care (TIC) is a framework for identifying and responding to patients' experiences of psychological trauma to avoid retraumatization. The purpose of this study was to evaluate the current state of TIC training in family medicine residency programs in the United States in order to identify opportunities for and barriers to TIC training...
September 2018: Family Medicine
Runnan He, Kuanquan Wang, Na Zhao, Yang Liu, Yongfeng Yuan, Qince Li, Henggui Zhang
Atrial fibrillation (AF) is the most common cardiac arrhythmias causing morbidity and mortality. AF may appear as episodes of very short (i.e., proximal AF) or sustained duration (i.e., persistent AF), either form of which causes irregular ventricular excitations that affect the global function of the heart. It is an unmet challenge for early and automatic detection of AF, limiting efficient treatment strategies for AF. In this study, we developed a new method based on continuous wavelet transform and 2D convolutional neural networks (CNNs) to detect AF episodes...
2018: Frontiers in Physiology
K C Prasad, Abhilasha Karunasagar, P K Anjali
Stapedotomy followed by placement of a piston prosthesis is the mainstay for surgical management of otosclerosis primarily undertaken to improve hearing in patients. Although a simple and elegant procedure, prosthesis placement in stapes surgery is difficult to master. Improper surgical technique or improper placement of prosthesis may result in complications which may require revision surgery. We here describe a training technique that is simple, inexpensive, improves the skills and can be done using easily available materials such as a disposable syringe, stapler pin and micro-forceps...
September 2018: Indian Journal of Otolaryngology and Head and Neck Surgery
James D Dormer, Rongrong Guo, Ming Shen, Rong Jiang, Mary B Wagner, Baowei Fei
Ultrasound is widely used for diagnosing cardiovascular diseases. However, estimates such as left ventricle volume currently require manual segmentation, which can be time consuming. In addition, cardiac ultrasound is often complicated by imaging artifacts such as shadowing and mirror images, making it difficult for simple intensity-based automated segmentation methods. In this work, we use convolutional neural networks (CNNs) to segment ultrasound images of rat hearts embedded in agar phantoms into four classes: background, myocardium, left ventricle cavity, and right ventricle cavity...
February 2018: Proceedings of SPIE
Courtney S Streur, Christine L Schafer, Valerie P Garcia, Daniela A Wittmann
INTRODUCTION: Although pediatric urologists have taken responsibility for initiating discussions on sexual and reproductive health with spina bifida patients, research shows that very few girls and women with spina bifida have ever discussed this topic with any physician. AIM: We sought to better understand pediatric urologists' gaps in knowledge and training needs in the sexual and reproductive health education of women with spina bifida with the goal of creating a tool kit to equip providers to have these discussions...
October 2018: Journal of Sexual Medicine
Laura A Cathcart, Gabriela Ramírez-León, Yamelith Aguilar Orozco, Elizabeth A Flanagan, Stefanie E Young, Robert A Garcia
Rapidly training numerous staff and volunteers to distribute and dispense medical countermeasures is challenging because of limited resources and evolving information during public health emergencies. The Applied Learning and Development Team within the Division of State and Local Readiness at the Centers for Disease Control and Prevention (CDC) proposes just-in-time training (JITT) templates that can be rapidly customized and implemented early in any public health emergency. The proposed template model aligns with modular training design research to increase relevance and rapid deployment of training...
September 2018: American Journal of Public Health
Jan M Zottmann, Peter Dieckmann, Tatjana Taraszow, Marcus Rall, Frank Fischer
Aims: In addition to medical facts, medical students participating in simulation-based training are supposed to acquire general knowledge, e.g. heuristics to cope with critical incidents. While active participation is considered a major benefit of this kind of training, a large portion of students' time is often spent observing peers acting in the simulator. Thus, we instructionally supported learners with a collaboration script (i.e., a set of scaffolds that distribute roles and activities among learners in group learning situations) during observational phases of a simulation-based training...
2018: GMS Journal for Medical Education
Kirsten K Roessler, Ashley E Muller
BACKGROUND: Women who exercise intensively, whether competitive or recreational, devote a lot of time and energy into exercise, which requires high levels of ambition and motivation. The aim of the study is to investigate the self-understanding and bodily identity of different (competitive vs recreational) forms of exercise, and to investigate the role of important others (parents, siblings and social relations) for this self-understanding. METHODS: A qualitative study using semi-structured interviews...
September 3, 2018: BMC Women's Health
Brad J Schoenfeld, Bret Contreras, James Krieger, Jozo Grgic, Kenneth Delcastillo, Ramon Belliard, Andrew Alto
PURPOSE: The purpose of this study was to evaluate muscular adaptations between low-, moderate-, and high-volume resistance training (RT) protocols in resistance-trained men. METHODS: Thirty-four healthy resistance-trained men were randomly assigned to 1 of 3 experimental groups: a low-volume group (1SET) performing 1 set per exercise per training session (n = 11); a moderate-volume group (3SET) performing 3 sets per exercise per training session (n = 12); or a high-volume group (5SET) performing 5 sets per exercise per training session (n = 11)...
August 28, 2018: Medicine and Science in Sports and Exercise
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