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https://www.readbyqxmd.com/read/28805522/pace-trial-claims-for-recovery-in-myalgic-encephalomyelitis-chronic-fatigue-syndrome-true-or-false-it-s-time-for-an-independent-review-of-the-methodology-and-results
#1
Charles Bernard Shepherd
The PACE trial set out to discover whether cognitive behaviour therapy and graded exercise therapy are safe and effective forms of treatment for myalgic encephalomyelitis/chronic fatigue syndrome. It concluded that these interventions could even result in recovery. However, patient evidence has repeatedly found that cognitive behaviour therapy is ineffective and graded exercise therapy can make the condition worse. The PACE trial methodology has been heavily criticised by clinicians, academics and patients...
August 2017: Journal of Health Psychology
https://www.readbyqxmd.com/read/28801397/getting-the-right-balance-a-mixed-logit-analysis-of-the-relationship-between-uk-training-doctors-characteristics-and-their-specialties-using-the-2013-national-training-survey
#2
Idaira Rodriguez Santana, Martin Chalkley
OBJECTIVE: To analyse how training doctors' demographic and socioeconomic characteristics vary according to the specialty that they are training for. DESIGN: Descriptive statistics and mixed logistic regression analysis of cross-sectional survey data to quantify evidence of systematic relationships between doctors' characteristics and their specialty. SETTING: Doctors in training in the United Kingdom in 2013. PARTICIPANTS: 27 530 doctors in training but not in their foundation year who responded to the National Training Survey 2013...
August 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/28797276/preventive-medicine-as-a-first-or-second-choice-course-a-cross-sectional-survey-into-students-motivational-differences-and-implications-for-information-provision
#3
Van Anh Thi Nguyen, Karen D Könings, Albert J J A Scherpbier, Pamela Wright, Hoat Ngoc Luu, Jeroen J G van Merriënboer
BACKGROUND: Challenges in recruiting and retaining medical staff in preventive medical specialties have recently been the subject of numerous studies. To improve selection procedures, it is important to understand the career preferences and incentives of students in preventive medicine (PM), who initially marked the program as either their first choice or second choice. 1386 PM students in four Vietnamese medical schools participated in a survey using a structured, written questionnaire...
August 10, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28791651/addressing-health-disparities-with-school-based-outreach-the-health-career-academy-program
#4
Liana Gefter, Judy Spahr, John Gruber, Sandra Ross, Laurie Watson, Barry Mann
Pipeline programs address health disparities by promoting academic achievement and entry of low-income ethnic and racial minority youth into healthcare fields. The Health Career Academy (HCA) is a 3-year pipeline program for high school students from low-income, ethnic, and racial minority communities. Health professional students serve as program mentors. The HCA has been implemented in nine US sites, with partnerships between 17 health professional schools and 17 high schools. A total of 386 10th grade students and 95 11th grade students enrolled as participants in the 2015-2016 HCA program...
August 8, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28790505/the-privilege-of-being-a-physician-and-the-immutable-values-of-the-medical-profession
#5
Gustavo R Heudebert
The medical profession has been, is, and will continue to be under siege by a variety of sources most of which are external to the profession and not under our control. The consequences of this unrelenting pressure are leading to burnout, early retirement, and low career satisfaction. Arguably, these and perhaps other not-well-recognized factors has influenced the well-being of physicians and culminated in a high suicide rate in the profession. However, the pressures that our profession have been under over the last 2,500 years, albeit less pronounced than the current ones, have been successfully navigated by going back to the foundational values of medicine that are both intemporal and immutable...
2017: Transactions of the American Clinical and Climatological Association
https://www.readbyqxmd.com/read/28790253/-the-necessity-and-the-current-status-of-safe-handling-of-anticancer-drugs
#6
Kiyoko Kanda
Number of people who handle anticancer drugs in their profession is increasing. Anticancer drugs, which are hazardous drugs(HD), exert cytocidal effects on cancer cells, but many have also been shown to have mutagenicity, teratogenicity and carcinogenicity; therefore, safe handling of anticancer drugs is necessary. In July 2015, the first Japanese guidelines for exposure control measures, namely, the "Joint Guidelines for Safe Handling of Cancer Chemotherapy Drugs", were published jointly by 3 societies. Our guideline is the creation of the Japanese Society of Cancer Nursing(JSCN), Japanese Society of Medical Oncology(JSMO)and Japanese Society of Pharmaceutical Oncology(JASPO)and has a historical significance...
July 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/28783863/-the-educational-situation-of-young-chest-physicians-reasons-for-choosing-pneumology-as-specialization-and-assessment-of-carreer-relevant-aspects-by-gender-and-occupational-situation
#7
Lucia Christians, Regina Prenzel
Pneumology is one of the medical areas suffering a lot from young doctors shortage. However, there is an increasing number of young female academics - independent of specialty - whose successful medical career is blocked by internal and external reasons. At the 56th DGP congress (German Society for Pneumology) we did a survey on 358 participating chest physicians in order to identify the career promoting and the career restraining reasons and the relevant aspects regarding the specialty choice of pneumology...
August 2017: Pneumologie
https://www.readbyqxmd.com/read/28782226/perspectives-of-hospital-emergency-department-staff-on-trauma-informed-care-for-injured-children-an-australian-and-new-zealand-analysis
#8
Claire Hoysted, Franz E Babl, Nancy Kassam-Adams, Markus A Landolt, Laura Jobson, Sarah Curtis, Anupam B Kharbanda, Mark D Lyttle, Niccolò Parri, Rachel Stanley, Eva Alisic
AIM: To examine Australian and New Zealand emergency department (ED) staff's training, knowledge and confidence regarding trauma-informed care for children after trauma, and barriers to implementation. METHODS: ED staff's perspectives on trauma-informed care were assessed using a web-based self-report questionnaire. Participants included 468 ED staff (375 nursing and 111 medical staff) from hospitals in Australia and New Zealand. Data analyses included descriptive statistics, χ(2) tests and multiple regressions...
August 6, 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/28776685/patients-experiences-and-satisfaction-about-care-provided-by-male-nurses-in-medical-surgical-units-in-islamabad-pakistan-a-pilot-study
#9
Ahtisham Younas, Amara Sundus
BACKGROUND: Nursing is predominantly a female profession and caring has been considered an attribute of female nurses, which could imply a noncaring image of male nurses. AIM: To determine patients' experiences and satisfaction from care provided by male nurses in a private hospital in Islamabad, Pakistan. METHODS: This cross-sectional study included a purposive sample of 50 patients admitted to medical surgical units for at least 2 days and who had at least three professional interactions with a male nurse...
August 4, 2017: Nursing Forum
https://www.readbyqxmd.com/read/28775385/-guidelines-for-the-preventive-health-care-of-hairdressing-apprentices
#10
Aleksandra Golińska-Zach, Marta Wiszniewska, Jolanta Walusiak-Skorupa
Hairdressing is one of the most developing branch of the service industry in Poland. Providing representatives of this occupational group with preventive health care services it should be remembered that they are at risk of skin and respiratory diseases, which occur due to a quite frequent exposure to harmful agents in the work environment of hairdressers and hairdressing apprentices. Interestingly, a much lower number of researches concentrate on respiratory symptoms than on skin disorders in hairdressers...
July 26, 2017: Medycyna Pracy
https://www.readbyqxmd.com/read/28771776/developing-and-rewarding-teachers-as-educators-and-scholars-remarkable-progress-and-daunting-challenges
#11
David M Irby, Patricia S O'Sullivan
CONTEXT: This article describes the scholarly work that has addressed the fifth recommendation of the 1988 World Conference on Medical Education: 'Train teachers as educators, not content experts alone, and reward excellence in this field as fully as excellence in biomedical research or clinical practice'. PROGRESS: Over the past 30 years, scholars have defined the preparation needed for teaching and other educator roles, and created faculty development delivery systems to train teachers as educators...
August 3, 2017: Medical Education
https://www.readbyqxmd.com/read/28771765/dynamics-between-doctors-and-managers-in-the-italian-national-health-care-system
#12
Giovanna M Vicarelli, Emmanuele Pavolini
This article focuses on the changes in the Italian NHS by concentrating on patterns in the managerialisation of doctors. It addresses a series of shortcomings in studies on the response by doctors to managerialisation. The first is a shortcoming of theoretical and analytical nature. It is necessary to adopt a broader perspective whereby analysis considers not only the interaction between doctors and managers, but also the public control and regulation agencies that operate in that field. The second shortcoming is a methodological one...
August 3, 2017: Sociology of Health & Illness
https://www.readbyqxmd.com/read/28770572/mental-health-of-health-professionals
#13
Kenneth Nunn
Helping medical colleagues with depression and suicidal thoughts and feelings can be more difficult than helping those who are not in the caring professions. The current systems of notification of impairment and supporting troubled doctors, especially in the public sector, are not working well and can make help seeking and help accepting harder. Accessing effective psychiatric help confidentially and in a timely way is difficult unless it is anticipated, facilitated, tenacious and resistant to initial rebuff...
August 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/28766394/moral-distress-in-iranian-pediatric-nurses
#14
Elham Ghasemi, Reza Negarandeh, Leila Janani
BACKGROUND: Moral distress is a very common experience in the nursing profession, and it is one of the main reasons for job dissatisfaction, burnout, and quitting among nurses. For instance, morally difficult situations in taking care of child patients who are severely ill may lead to moral distress for nurses. However, most of the studies about moral distress have been conducted on nurses of special wards and adult medical centers with much focus on developed countries. Subsequently, little has been researched on this topic among nurses in other nations such as Iran, and most certainly, there has been hardly any such research involving Iranian pediatric nurses...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/28765471/the-future-of-interprofessional-education-and-practice-for-dentists-and-dental-education
#15
Elizabeth A Andrews
In the ever-changing landscape of education, health professions programs must be adaptable and forward-thinking. Programs need to understand the services students should be educated to provide over the next 25 years. The movement to increase collaboration among health professionals to improve health care outcomes is a significant priority for all health professions. Complex medical issues frequently seen in patients can best be addressed with interprofessional health care teams. Training future health care providers to work in such teams facilitates collaborative care and can result in improved outcomes for patients...
August 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28765470/the-role-of-oral-health-care-professionals-in-providing-medical-services
#16
Michael Glick, Barbara L Greenberg
Integration of oral health care professionals (OHCPs) into medical care could advance efforts to control increasingly prevalent conditions such as cardiovascular disease, diabetes mellitus, human immunodeficiency virus infection, and hepatitis C infection, each of which is associated with significant morbidity and health care costs. Prevention and early intervention are effective for reducing the incidence and severity of these diseases, while increasing cost of health care may drive the need for nontraditional models of health education and delivery...
August 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28765469/the-future-of-oral-health-care-provided-by-physicians-and-allied-professionals
#17
Hugh Silk
Medical providers of all types are beginning to engage in oral health, both academically and in practice. The process has been slow; however, momentum has increased over the past two decades as major health care organizations have emphasized the importance of oral health as a vital part of overall health. This article begins by defining which health providers have and should engage the public in oral health and then briefly reviews the influences that have led health professionals to address oral health in education and practice...
August 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28765464/the-effect-of-new-oral-care-technologies-on-the-need-for-dentists-in-2040
#18
Peter M Milgrom, Jeremy A Horst
This article addresses changes in technology of oral self-care or professional care that may increase or decrease the demand for dentists by 2040. The focus is on dental caries, periodontitis, and temporomandibular joint disorders (TMD), as the first two are the main areas of current practice and because TMD is an area for growth. To address this question, the authors examined the scientific literature and government registries to identify recent or soon-to-be-available technologies. They also examined the state of translational efficiency, dissemination, and adoption of advances into dental practice...
August 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28765458/looking-back-to-move-ahead-interprofessional-education-in-dental-education
#19
Lindsey M Hamil
Interprofessional education (IPE) is a widely recognized and critical component of dental and health professions education and is included in two of the predoctoral education standards required by the Commission on Dental Accreditation (CODA). Following a review of the literature on the state of IPE education in U.S. dental education programs, this article revisits six institutions identified in previous research as exemplars successfully implementing IPE on their campuses. Interviews were conducted with leaders at the following programs: Columbia University, Medical University of South Carolina, University of Colorado Anschutz Medical Campus, University of Florida, University of Minnesota, and Western University of Health Sciences...
August 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28765456/trends-in-basic-sciences-education-in-dental-schools-1999-2016
#20
Marilyn S Lantz, Charles F Shuler
The purpose of this study was to examine data published over the past two decades to identify trends in the basic sciences curriculum in dental education, provide an analysis of those trends, and compare them with trends in the basic sciences curriculum in medical education. Data published from the American Dental Association (ADA) Surveys of Dental Education, American Dental Education Association (ADEA) Surveys of Dental School Seniors, and two additional surveys were examined. In large part, survey data collected focused on the structure, content, and instructional strategies used in dental education: what was taught and how...
August 2017: Journal of Dental Education
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