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Core competencies

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https://www.readbyqxmd.com/read/28449293/a-novel-approach-to-study-medical-decision-making-in-the-clinical-setting-the-own-point-of-view-perspective
#1
Thierry Pelaccia, Jacques Tardif, Emmanuel Triby, Bernard Charlin
BACKGROUND: Making diagnostic and therapeutic decisions is a critical activity among physicians. It relies on the ability of physicians to use cognitive processes and specific knowledge in the context of a clinical reasoning. This ability is a core competency in physicians, especially in the field of emergency medicine where the rate of diagnostic errors is high. Studies that explore medical decision-making in an authentic setting are increasing significantly. They are based on the use of qualitative methods which are applied at two separate times: 1) a video recording of the subject's actual activity in an authentic setting and 2) an interview with the subject, supported by the video recording...
April 27, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28446523/evaluation-of-the-coping-parent-online-universal-programme-study-protocol-for-a-pilot-randomised-controlled-trial
#2
Dawn Adele Owen, Nia Griffith, Judy Hutchings
TRIAL SPONSOR: Bangor University, Brigantia Building, College Road, Bangor, LL57 2AS, UK INTRODUCTION: The COPING parent online universal programme is a web-based parenting intervention for parents of children aged 3-8 years with an interest in positive parenting. The programme focuses on strengthening parent-child relationships and encouraging positive child behaviour. This trial will evaluate whether the intervention is effective in increasing the use of positive parenting strategies outlined in the programme using parent report and blind observation measures...
April 26, 2017: BMJ Open
https://www.readbyqxmd.com/read/28443350/the-validation-of-a-school-based-culturally-grounded-drug-prevention-curriculum-for-rural-hawaiian-youth
#3
Scott K Okamoto, Susana Helm, Lindsey K Ostrowski, Lucille Flood
The purpose of this study was to validate a school-based, culturally grounded drug prevention curriculum for rural Native Hawaiian youth. Faculty and administrators from eight geographically dispersed middle-, intermediate-, or multilevel schools on Hawai'i island were interviewed on the cultural relevance and feasibility of implementation of the curriculum (Ho'ouna Pono). While all participants appreciated the culturally specific content interwoven throughout the curriculum's structure, several of them expressed concerns that the curriculum would compete with resources needed to implement Common Core national standards...
April 1, 2017: Health Promotion Practice
https://www.readbyqxmd.com/read/28441934/health-literacy-in-childhood-and-youth-a-systematic-review-of-definitions-and-models
#4
Janine Bröder, Orkan Okan, Ullich Bauer, Dirk Bruland, Sandra Schlupp, Torsten M Bollweg, Luis Saboga-Nunes, Emma Bond, Kristine Sørensen, Eva-Maria Bitzer, Susanne Jordan, Olga Domanska, Christiane Firnges, Graça S Carvalho, Uwe H Bittlingmayer, Diane Levin-Zamir, Jürgen Pelikan, Diana Sahrai, Albert Lenz, Patricia Wahl, Malcolm Thomas, Fabian Kessl, Paulo Pinheiro
BACKGROUND: Children and young people constitute a core target group for health literacy research and practice: during childhood and youth, fundamental cognitive, physical and emotional development processes take place and health-related behaviours and skills develop. However, there is limited knowledge and academic consensus regarding the abilities and knowledge a child or young person should possess for making sound health decisions. The research presented in this review addresses this gap by providing an overview and synthesis of current understandings of health literacy in childhood and youth...
April 26, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28440223/structural-insights-into-the-molecular-mechanisms-of-myasthenia-gravis-and-their-therapeutic-implications
#5
Kaori Noridomi, Go Watanabe, Melissa N Hansen, Gye Won Han, Lin Chen
The nicotinic acetylcholine receptor (nAChR) is a major target of autoantibodies in myasthenia gravis (MG), an autoimmune disease that causes neuromuscular transmission dysfunction. Despite decades of research, the molecular mechanisms underlying MG have not been fully elucidated. Here, we present the crystal structure of the nAChR α1 subunit bound by the Fab fragment of mAb35, a reference monoclonal antibody that causes experimental MG and competes with ~65% of antibodies from MG patients. Our structures reveal for the first time the detailed molecular interactions between MG antibodies and a core region on nAChR α1...
April 25, 2017: ELife
https://www.readbyqxmd.com/read/28439242/comprehensive-psychopathological-assessment-based-on-the-association-for-methodology-and-documentation-in-psychiatry-amdp-system-development-methodological-foundation-application-in-clinical-routine-and-research
#6
REVIEW
Rolf-Dieter Stieglitz, Achim Haug, Erdmann Fähndrich, Michael Rösler, Wolfgang Trabert
The documentation of psychopathology is core to the clinical practice of the psychiatrist and clinical psychologist. However, both in initial as well as further training and specialization in their fields, this particular aspect of their work receives scanty attention only. Yet, for the past 50 years, the Association for Methodology and Documentation in Psychiatry (AMDP) System has been in existence and available as a tool to serve precisely the purpose of offering a systematic introduction to the terminology and documentation of psychopathology...
2017: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/28437426/representational-models-a-common-framework-for-understanding-encoding-pattern-component-and-representational-similarity-analysis
#7
Jörn Diedrichsen, Nikolaus Kriegeskorte
Representational models specify how activity patterns in populations of neurons (or, more generally, in multivariate brain-activity measurements) relate to sensory stimuli, motor responses, or cognitive processes. In an experimental context, representational models can be defined as hypotheses about the distribution of activity profiles across experimental conditions. Currently, three different methods are being used to test such hypotheses: encoding analysis, pattern component modeling (PCM), and representational similarity analysis (RSA)...
April 24, 2017: PLoS Computational Biology
https://www.readbyqxmd.com/read/28435741/the-influence-of-clarification-and-threats-on-life-situation-patients-experiences-1-year-after-tsci
#8
Bodil Bjørnshave Noe, Merete Bjerrum, Sanne Angel
INTRODUCTION: The study was conducted at the Spinal Cord Injury Centre of Western Denmark (VCR). The aim of the study was to explore patients' experiences following traumatic spinal cord injury and to identify characteristics of positive versus negative life situation 1 year post discharge from hospital rehabilitation. This was a qualitative study conducted using inductive content analysis. CASE PRESENTATION: In this qualitative study seven patients were interviewed one year after discharge from initial rehabilitation at the VCR...
2017: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/28433403/-public-health-competencies-and-contents-in-spanish-university-degree-programmes-of-veterinary-medicine
#9
María Del Carmen Davó-Blanes, Carmen Vives-Cases, Belén Huerta
OBJECTIVE: To reach a consensus among public health faculty from various Spanish universities about the core public health competencies that should be integrated into the Veterinary Medicine degree training. METHODS: The 3rd Forum of University Professors of Public Health was held at the School of Veterinary Medicine of the University of Cordoba (12-13 January 2016). Forty-two university professors and lecturers from nine Spanish universities with veterinary degrees participated in the forum...
April 19, 2017: Gaceta Sanitaria
https://www.readbyqxmd.com/read/28431522/comparative-proteomic-analysis-of-neisseria-meningitidis-wildtype-and-dpra-null-mutant-strains-links-dna-processing-to-pilus-biogenesis
#10
Getachew Tesfaye Beyene, Shewit Kalayou, Tahira Riaz, Tone Tonjum
BACKGROUND: DNA processing chain A (DprA) is a DNA binding protein which is ubiquitous in bacteria, and is required for DNA transformation to various extents among bacterial species. However, the interaction of DprA with competence and recombination proteins is poorly understood. Therefore, the proteomes of whole Neisseria meningitidis (Nm) wildtype and dprA mutant cells were compared. Such a comparative proteomic analysis increases our understanding of the interactions of DprA with other Nm components and may elucidate its potential role beyond DNA processing in transformation...
April 21, 2017: BMC Microbiology
https://www.readbyqxmd.com/read/28430830/assessment-of-global-kidney-health-care-status
#11
Aminu K Bello, Adeera Levin, Marcello Tonelli, Ikechi G Okpechi, John Feehally, David Harris, Kailash Jindal, Babatunde L Salako, Ahmed Rateb, Mohamed A Osman, Bilal Qarni, Syed Saad, Meaghan Lunney, Natasha Wiebe, Feng Ye, David W Johnson
Importance: Kidney disease is a substantial worldwide clinical and public health problem, but information about available care is limited. Objective: To collect information on the current state of readiness, capacity, and competence for the delivery of kidney care across countries and regions of the world. Design, Setting, and Participants: Questionnaire survey administered from May to September 2016 by the International Society of Nephrology (ISN) to 130 ISN-affiliated countries with sampling of key stakeholders (national nephrology society leadership, policy makers, and patient organization representatives) identified by the country and regional nephrology leadership through the ISN...
April 21, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28425915/competition-between-histone-and-transcription-factor-binding-regulates-the-onset-of-transcription-in-zebrafish-embryos
#12
Shai R Joseph, Máté Pálfy, Lennart Hilbert, Mukesh Kumar, Jens Karschau, Vasily Zaburdaev, Andrej Shevchenko, Nadine L Vastenhouw
Upon fertilization, the genome of animal embryos remains transcriptionally inactive until the maternal-to-zygotic transition. At this time, the embryo takes control of its development and transcription begins. How the onset of zygotic transcription is regulated remains unclear. Here, we show that a dynamic competition for DNA binding between nucleosome-forming histones and transcription factors regulates zebrafish genome activation. Taking a quantitative approach, we found that the concentration of non-DNA bound core histones sets the time for the onset of transcription...
April 20, 2017: ELife
https://www.readbyqxmd.com/read/28425890/biomedical-simulation-evolution-concepts-challenges-and-future-trends
#13
Carla Sá-Couto, Luís Patrão, Francisco Maio-Matos, José Miguel Pêgo
Biomedical simulation is an effective educational complement for healthcare training, both at undergraduate and postgraduate level. It enables knowledge, skills and attitudes to be acquired in a safe, educationally orientated and efficient manner. In this context, simulation provides skills and experience that facilitate the transfer of cognitive, psychomotor and proper communication competences, thus changing behavior and attitudes, and ultimately improving patient safety. Beyond the impact on individual and team performance, simulation provides an opportunity to study organizational failures and improve system performance...
December 30, 2016: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28415900/pediatric-nurse-practitioners-clinical-competencies-and-knowing-patterns-in-nursing-focus-group-interviews
#14
Hyejung Lee, Anna Kim, Anna Meong, Minjeong Seo
BACKGROUND: The generic competency domains of advanced nursing practice have been reported on in numerous countries, but rather few studies have examined competencies specific to pediatric nurse practitioners (PNPs). OBJECTIVES: We identified the core clinical competencies of PNPs in South Korea and related these identified competencies to the five patterns of knowing in nursing. DESIGN: Focus group interviews were conducted with five PNP students and four PNPs using two thematic questions, one on clinical competencies required for PNPs and the other on competencies specific to Korean PNPs...
April 19, 2017: Contemporary Nurse
https://www.readbyqxmd.com/read/28414407/medical-student-teaching-and-recruiting-50-years-of-balancing-two-educational-aims
#15
Benjamin N Schneider, Alexander Chessman, William Toffler, Lara Handler, Beat Steiner, Frances Emily Biagioli
Family medicine (FM) undergraduate medical educators have had two distinct missions, to increase the knowledge, skills, and attitudes of all students while also striving to attract students to the field of family medicine. A five decade literature search was conducted gathering FM curricular innovations and the parallel trends in FM medical student interest. Student interest in FM had a rapid first-decade rise to 14%, a second 1990's surge, followed by a drop to the current plateau of 8-9%. This falls far short of the 30-50% generalist benchmark needed to fill the country's health care needs...
April 2017: Family Medicine
https://www.readbyqxmd.com/read/28411301/the-core-competencies-in-hospital-medicine-2017-revision-section-3-healthcare-systems
#16
Satyen Nichani, Nick Fitterman, Michael Lukela, Jonathan Crocker
No abstract text is available yet for this article.
April 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28411300/the-core-competencies-in-hospital-medicine-2017-revision-section-2-procedures
#17
Satyen Nichani, Nick Fitterman, Michael Lukela, Jonathan Crocker
No abstract text is available yet for this article.
April 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28411299/the-core-competencies-in-hospital-medicine-2017-revision-section-1-clinical-conditions
#18
Satyen Nichani, Nick Fitterman, Michael Lukela, Jonathan Crocker
No abstract text is available yet for this article.
April 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28411292/updating-the-core-competencies-in-hospital-medicine-2017-revision-introduction-and-methodology
#19
Satyen Nichani, Jonathan Crocker, Nick Fitterman, Michael Lukela
No abstract text is available yet for this article.
April 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28408726/integrated-surgical-academic-training-in-the-uk-a-cross-sectional-survey
#20
Natalie S Blencowe, James C Glasbey, Philip J McElnay, Aneel Bhangu, Vimal J Gokani, Rhiannon L Harries
OBJECTIVES: This study aimed to explore variations in the provision of integrated academic surgical training across the UK. DESIGN: This is an online cross-sectional survey (consisting of 44 items with a range of free-text, binomial and 5-point Likert scale responses) developed by the Association of Surgeons in Training. SETTING: A self-reported survey instrument was distributed to academic surgical trainees across the UK (n=276). PARTICIPANTS: 143 (51...
April 13, 2017: Postgraduate Medical Journal
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