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higher Medical Education

Athira Viswam, Padmavathi Nagarajan, Pooja Patnaik Kuppili, Balaji Bharadwaj
Context: Cognitive impairments are common among patients with alcohol dependence. It may involve frontal executive dysfunction, global cognitive impairments, or both. Motivation to quit alcohol involves recognition of alcohol use as a problem. This ability may be construed as a cognitive symptom. Aims: The aim is to study the frequency of cognitive dysfunction among patients with alcohol dependence and to study the association between cognitive dysfunction and the motivation to quit alcohol...
July 2018: Indian Journal of Psychological Medicine
Jackie Campbell, Kirty Vaghela, Stephen Rogers, Michelle Pyer, Alice Simon, Jo Waller
BACKGROUND: Information leaflets have been shown to significantly improve awareness of the symptoms of gynaecological cancers and to reduce perceived barriers to seeking medical help. This record-based, parallel, randomised control trial study aimed to assess whether receipt of a leaflet would change the behaviour of women experiencing symptoms indicative of gynaecological cancers by prompting them to visit their general practitioner (GP). METHODS: 15,538 women aged 40 years or over registered with five general practices in Northamptonshire, UK were randomised to two groups using the SystmOne randomise facility...
August 9, 2018: BMC Public Health
L Geraldino-Pardilla, T Kapoor, I Canto, T Perez-Recio, J Then, C Tineo, E Loyo, A Askanase
Objectives Hispanics with systemic lupus erythematosus (SLE) in the United States have more severe disease and damage accrual compared with whites. Data on Hispanics of similar ancestry in geographically different locations is limited but essential in defining genetic and environmental factors for SLE. This study evaluates SLE disease burden in two Dominican communities, Washington Heights in New York City (NYC) and Santiago in the Dominican Republic (DR). Methods Disease activity (SLE Disease Activity Index 2000 (SLEDAI-2K)) and damage (Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index (SDI)) were cross-sectionally measured in 76 Dominican SLE patients from the Columbia University Lupus Cohort in NYC and compared with 75 Dominican SLE patients living in Santiago in the DR...
August 9, 2018: Lupus
Shane P Desselle, Ryan Hoh, Charlotte Rossing, Erin R Holmes, Amanpreet Gill, Lemuel Zamora
INTRODUCTION: The importance of pharmacy support personnel is increasingly recognized. Studies have evaluated workplace issues and evolving roles; however, needed information from technicians themselves is scarce. The purpose of this study was to examine preferences for work activities and the general abilities of US pharmacy technicians and Danish pharmaconomists. METHODS: Surveys were administered to random samples of US technicians in 8 states and the general population of Danish pharmaconomists...
August 9, 2018: Journal of Pharmacy Practice
Lina Behm, Eva Björkman, Gerd Ahlström
BACKGROUND: Older people with multi-morbidity are major users of healthcare and are often discharged from hospital with ongoing care needs. This care is frequently provided by informal caregivers and the time immediately after discharge is challenging for caregivers with new and/or additional tasks, resulting in anxiety and stress. AIM: This study aimed to describe mental health, with particular reference to anxiety and depression and reactions to caregiving, and to investigate any associations between the two, in next of kin of older people with multi-morbidity after hospitalisation...
August 9, 2018: Scandinavian Journal of Caring Sciences
Miranda Huffman, Sarah Gustafson, Souvik Chatterjee, Marc Rabner, Shantanu Nundy, Mary M Gerkovich, Scott M Wright
PURPOSE: Adaptive learning emerges when precise assessment informs delivery of educational materials. This study will demonstrate how data from Human Dx, a case-based e-learning platform, can characterize an individual's diagnostic reasoning skills, and deliver tailored content to improve accuracy. METHODS: Pearson Chi-square analysis was used to assess variability in accuracy across three groups of participants (attendings, residents, and medical students) and three categories of cases (core medical, surgical, and other)...
August 9, 2018: Medical Teacher
Maryam Kousha, Hossein Alizadeh Bagheri, Abtin Heydarzadeh
Background: Residency is one of the most critical periods of medical education. Residents are susceptible in high risk for mental problems which can affect the doctor-patient relationship. Emotional intelligence (EI) correlates closely with stress and mental health. Considering the important role of EI in medical education and with regard to lack of studies in this group in Iran, this study conducted to determine the relationship between EI and stress, anxiety, and depression in a sample of resident physician in our university of medical sciences...
March 2018: Journal of Family Medicine and Primary Care
Amira Fahad Al-Harbi, Leila Abdullah Alsaid, P J Parameaswari
Background: Epilepsy is the most neurological condition prevalent in humanity and it is associated with stigma and discrimination. Knowledge and practice of primary care teachers toward students with epilepsy, especially at young age, is imperative for their development. Objectives: This study was designed to assess the level of knowledge, attitude, and practice of female primary school teachers toward students with epilepsy in Riyadh, Saudi Arabia. Subjects and Methods: In this cross-sectional study, 582 female primary school teachers had volunteered...
March 2018: Journal of Family Medicine and Primary Care
Jyoti Aggarwal, Rajesh Satyapal Taneja, Pulin Kumar Gupta, Mohsin Wali, Anubhuti Chitkara, Afroz Jamal
Background: In human immunodeficiency virus (HIV)-infected men, hypogonadism is the most common endocrinological disorder, and most cases of hypogonadism are secondary. The aim of this study was to find out the hormonal abnormalities in HIV-infected males and it's correlation with CD4 cell counts. Materials and Methods: One hundred HIV-infected male patients were evaluated in the Department of Medicine, Postgraduate Institute of Medical Education and Research and Dr...
May 2018: Indian Journal of Endocrinology and Metabolism
Nirvani Goolsarran, Carine E Hamo, Susan Lane, Stacey Frawley, Wei-Hsin Lu
BACKGROUND: Although the American Council of Graduate Medical Education (ACGME) mandates formal education in patient safety, there is a lack of standardized educational practice on how to conduct patient safety training. Traditionally, patient safety is taught utilizing instructional strategies that promote passive learning such as self-directed online learning modules or didactic lectures that result in suboptimal learning and satisfaction. METHODS: During the summer of 2015, 76 trainees consisting of internal medicine interns and senior-level nursing students participated in an interactive patient safety workshop that used a flipped classroom approach integrating team based learning (TBL) and interprofessional simulated application exercises...
August 8, 2018: BMC Medical Education
Seung Woon Rha, Seung Hyuk Choi, Doo Il Kim, Dong Woon Jeon, Jae Hwan Lee, Kyung Soon Hong, Tae Joon Cha, Jang Hyun Cho, Sang Kon Lee, Yong Hwan Park, Woo Jung Park, Hyun Joo Kim, Young Joo Kim, Juneyoung Lee, Donghoon Choi
BACKGROUND AND OBJECTIVES: We aimed to investigate the history of medical resource consumption and quality of life (QoL) in peripheral arterial disease (PAD) patients in Korea. METHODS: This was a prospective, multi-center (23 tertiary-hospitals, division of cardiology), non-interventional study. Adult patients (age ≥20 years) suffering from PAD for the last 12-month were enrolled in the study if they met with any of following; 1) ankle-brachial index (ABI) ≤0...
June 18, 2018: Korean Circulation Journal
André O Werneck, Adewale L Oyeyemi, Edilson S Cyrino, Enio R V Ronque, Célia L Szwarcwald, Manuel J Coelho-E-Silva, Danilo R Silva
We investigated the association between age at menarche, and adiposity and blood pressure in adulthood, as well as the mediation effects of adiposity on the relationship between age at menarche and blood pressure. This was a nationally representative survey conducted in Brazil in 2013 (Brazilian Health Survey). The participants included 33,715 women between 18 and 100 years old. Age at menarche was self-reported and outcomes (body mass index [BMI], waist circumference, and blood pressure) were objectively measured...
August 7, 2018: Hypertension Research: Official Journal of the Japanese Society of Hypertension
Yueh-Chu Wu, Edy Kornelius, Yi-Sun Yang, Yih-Fen Chen, Chien-Ning Huang
BACKGROUND: Type 2 diabetes mellitus (T2DM) is largely attributable to lifestyle factors. Although physiological and medical care needs must be met, psychosocial factors should not be neglected. PURPOSE: The aim of this study was to determine whether a 6-month intervention consisting of educational sessions using Steno Balance Cards, which involves guided group dialogue, resulted in better glycemic outcomes than conventional diabetes education. METHODS: Patients with T2DM whose glycolated hemoglobin A1c levels were higher than 8% were recruited from September to October 2015...
August 7, 2018: Journal of Nursing Research: JNR
Annie N Simpson, Lois J Matthews, Christy Cassarly, Judy R Dubno
OBJECTIVES: Although many individuals with hearing loss could benefit from intervention with hearing aids, many do not seek or delay seeking timely treatment after the onset of hearing loss. There is limited data-based evidence estimating the delay in adoption of hearing aids with anecdotal estimates ranging from 5 to 20 years. The present longitudinal study is the first to assess time from hearing aid candidacy to adoption in a 28-year ongoing prospective cohort of older adults, with the additional goal of determining factors influencing delays in hearing aid adoption, and self-reported successful use of hearing aids...
August 6, 2018: Ear and Hearing
Laura Rodriguez-Romo, Alberto Olaya Vargas, Sumit Gupta, Jaime Shalkow-Klincovstein, Lourdes Vega-Vega, Alfonso Reyes-Lopez, Carlo Cicero-Oneto, Juan Mejia-Arangure, Oscar Gonzalez-Ramella, Rafael Pineiro-Retif, Aracely Lopez-Facundo, Maria de Los Angeles Del Campo-Martinez, Isidoro Tejocote, Kelly Brennan, Christopher M Booth
Purpose Limited data describe the delivery of pediatric cancer care in Mexico. We report a nationwide survey of pediatric cancer units. Methods An electronic survey was distributed to 74 pediatric cancer units in Mexico to describe case volumes; organization of care; and availability of medical/surgical specialists, supportive care, complex therapies, and diagnostic services. Centers were classified as low (< 30 new patients/year), medium (30 to 59/year) and high (≥ 60/year). Results Sixty-two centers completed the survey (response rate, 84%)...
July 2018: Journal of Global Oncology
Carmen Giurgescu, Lara Fahmy, Jaime Slaughter-Acey, Alexandra Nowak, Cleopatra Caldwell, Dawn P Misra
Background: While maternal depressive symptoms during pregnancy have been linked to preterm birth (PTB; birth before 37 completed weeks of gestation), little has been reported on potential buffering factors, particularly specific to Black women who are at much higher risk. We examined the association between depressive symptoms and PTB in pregnant Black women, with father of the baby (FOB) support as a potential buffering factor. Methods: Data were obtained from the life-course influences on fetal environments study (2009-2011), a cohort of 1,410 Black women in metropolitan Detroit, Michigan (71% response rate) using maternal interviews and medical record abstraction collected during the postpartum hospitalization...
2018: AIMS Public Health
Karen K Wong, Alexandra Velasquez, Neil R Powe, Delphine S Tuot
BACKGROUND: We explored the association between health literacy and self-care behaviors among low-income patients with chronic kidney disease (CKD). METHODS: We used baseline data from the Kidney Awareness Registry and Education trial (n = 137 patients with CKD) and multivariable logistic regressions to cross-sectionally examine the association between health literacy, defined by a validated questionnaire, and healthy behaviors. RESULTS: Study participants had a mean age of 55 years, were racially diverse (6% White, 36% Hispanic, 43% Black, 15% Asian) and 26% had low health literacy...
August 6, 2018: BMC Nephrology
Rachel Wells, Macy L Stockdill, J Nicholas Dionne-Odom, Deborah Ejem, Kathryn L Burgio, Raegan W Durant, Sally Engler, Andres Azuero, Salpy V Pamboukian, Jose Tallaj, Keith M Swetz, Elizabeth Kvale, Rodney O Tucker, Marie Bakitas
BACKGROUND: Palliative care is specialized medical care for people with serious illness that is focused on providing relief from symptoms and stress and improving the quality of life (QOL) for patients and their families. To help the 6.5 million U.S. adults and families affected by heart failure manage the high symptom burden, complex decision-making, and risk of exacerbation and death, the early integration of palliative care is critical and has been recommended by numerous professional organizations...
August 6, 2018: Trials
Erin E Ayala, Jeffrey S Winseman, Ryan D Johnsen, Hyacinth R C Mason
BACKGROUND: Research on student wellness has highlighted the importance of self-care for medical students; however, scholars have yet to identify the extent to which self-reported engagement in self-care behaviors is associated with attenuation of the negative relationship between stress and quality of life during the initial years of medical education. METHODS: Using a self-report survey designed to measure self-care, perceived stress, and quality of life, we hypothesized that self-care would moderate the relationship between stress and psychological quality of life in medical students, as well as stress and physical quality of life...
August 6, 2018: BMC Medical Education
Douglas M Bowley, D Lamb, P Rumbold, P Hunt, J Kayani, A M Sukhera
INTRODUCTION: The WHO Constitution enshrines '… the highest attainable standard of health as a fundamental right of every human being .' Strengthening delivery of health services confers benefits to individuals, families and communities, and can improve national and regional stability and security. In attempting to build international healthcare capability, UK Defence Medical Services (DMS) assets can contribute to the development of healthcare within overseas nations in a process that is known as Defence Healthcare Engagement (DHE)...
August 4, 2018: Journal of the Royal Army Medical Corps
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