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https://www.readbyqxmd.com/read/28099177/medical-students-perspectives-on-implementing-curriculum-change-at-one-institution
#1
Aaron M Yengo-Kahn, Courtney E Baker, Kimberly D Lomis
Training physicians to be effective practitioners throughout their careers begins in undergraduate medical education with particular focus on self-directed inquiry, professional and interprofessional development, and competency-based assessment. A select number of medical schools are restructuring their curricula by placing the student at the center of content delivery to enhance the learning experience. While this restructuring may benefit the adult learner, administrators often make assumptions about how students will perceive and respond to such innovative and unfamiliar educational concepts...
January 17, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28095070/player-responses-to-match-and-training-demands-during-an-intensified-fixture-schedule-in-professional-rugby-league-a-case-study
#2
Craig Twist, Jamie Highton, Matthew Daniels, Nathan Mill, Graeme Close
Player loads and fatigue responses were reported in 15 professional rugby league players (24.3 ± 3.8 y) during a period of intensified fixtures. Repeated measures of internal and external loads, perceived wellbeing and jump flight time were recorded across 22 days, comprising nine training sessions and matches on days 5, 12, 15 and 21 (player exposure: 3.6 ± 0.6 matches). Mean training load (session RPE x duration) between matches was 1177, 1083, 103, and 650 AU, respectively. Relative distance in Match 1 (82 m/min) and Match 4 (79 m/min) was very likely lower in Match 2 (76 m/min) and likely higher in Match 3 (86 m/min)...
January 17, 2017: International Journal of Sports Physiology and Performance
https://www.readbyqxmd.com/read/28093825/three-decades-of-continuous-wrist-activity-recording-analysis-of-sleep-duration
#3
Alexander A Borbély, Thomas Rusterholz, Peter Achermann
Motor activity recording by a wrist-worn device is a common method to monitor the rest-activity cycle. The first author wore an actimeter continuously for more than three decades, starting in 1982 at the age of 43.5 years. Until November 2006 analysis was performed on a 15-min time base, and subsequently on a 2-min time base. The timing of night-time sleep was determined from the cessation and re-occurrence of daytime-level activity. Sleep duration declined from an initial 6.8 to 6 h in 2004. The declining trend was reversed upon retirement, whereas the variance of sleep duration declined throughout the recording period...
January 17, 2017: Journal of Sleep Research
https://www.readbyqxmd.com/read/28079286/design-synthesis-biological-evaluation-and-3d-qsar-analysis-of-podophyllotoxin-dioxazole-combination-as-tubulin-targeting-anticancer-agents
#4
Zi-Zhen Wang, Wen-Xue Sun, Xue Wang, Ya-Han Zhang, Han-Yue Qiu, Jin-Liang Qi, Yan-Jun Pang, Gui-Hua Lu, Xiao-Ming Wang, Fu-Gen Yu, Yong-Hua Yang
The advancement of cancer fighting drugs has never been a simple linear process. Those drugs design professionals begin to find inspiration from the nature after failing to find the ideal products by creative drugs design and high-throughput screening. To obtain new molecules for inhibiting tubulin, podophyllotoxin was adopted as the leading compound and 1,3,4-oxadiazole was brought in to the C-4 site of podophyllotoxin in this research. A series of seventeen podophyllotoxin derived esters have been achieved and then evaluated their antitumor activities against four different cancer cell lines: A549, MCF-7, HepG2 and HeLa...
January 12, 2017: Chemical Biology & Drug Design
https://www.readbyqxmd.com/read/28078667/philanthropy-in-health-professions-education-research-determinants-of-success
#5
Robert Paul, Elisa Hollenberg, Brian D Hodges
CONTEXT: Fund-raising is a new practice in medical education research. OBJECTIVES: This qualitative study explores a cross-sectional analysis of philanthropy in medical education in Canada and Europe and identifies some common characteristics in the fund-raising system, key roles and characteristics of research sites that have had success. METHODS: Medical education research sites that had received donations greater than Can$100 000 were identified by searching publicly available sources...
January 11, 2017: Medical Education
https://www.readbyqxmd.com/read/28075109/patient-centered-communication-basic-skills
#6
M Jawad Hashim
Communication skills needed for patient-centered care include eliciting the patient's agenda with open-ended questions, especially early on; not interrupting the patient; and engaging in focused active listening. Understanding the patient's perspective of the illness and expressing empathy are key features of patient-centered communication. Understanding the patient's perspective entails exploring the patient's feelings, ideas, concerns, and experience regarding the impact of the illness, as well as what the patient expects from the physician...
January 1, 2017: American Family Physician
https://www.readbyqxmd.com/read/28068150/challenges-of-information-security-incident-learning-an-industrial-case-study-in-a-chinese-healthcare-organization
#7
Ying He, Chris Johnson
Security incidents can have negative impacts on healthcare organizations, and the security of medical records has become a primary concern of the public. However, previous studies showed that organizations had not effectively learned lessons from security incidents. Incident learning as an essential activity in the "follow-up" phase of security incident response lifecycle has long been addressed but not given enough attention. This paper conducted a case study in a healthcare organization in China to explore their current obstacles in the practice of incident learning...
January 9, 2017: Informatics for Health & Social Care
https://www.readbyqxmd.com/read/28046047/expectation-or-sensorial-reality-an-empirical-investigation-of-the-biodynamic-calendar-for-wine-drinkers
#8
Wendy V Parr, Dominique Valentin, Phil Reedman, Claire Grose, James A Green
The study's aim was to investigate a central tenet of biodynamic philosophy as applied to wine tasting, namely that wines taste different in systematic ways on days determined by the lunar cycle. Nineteen New Zealand wine professionals tasted blind 12 Pinot noir wines at times determined within the biodynamic calendar for wine drinkers as being favourable (Fruit day) and unfavourable (Root day) for wine tasting. Tasters rated each wine four times, twice on a Fruit day and twice on a Root day, using 20 experimenter-provided descriptors...
2017: PloS One
https://www.readbyqxmd.com/read/28004618/organisation-of-services-for-managing-adhd
#9
D R Coghill
There is considerable variation in practice, both between and with different countries in the management of attention deficit hyperactivity disorder (ADHD). Whilst there is no one optimal model of service organisation there are general principles of care that can be introduced to reduce this variability. There are frequent debates and discussions about which professional group is best placed to manage ADHD at different points in the life cycle. Who delivers care is however less important than ensuring that training schemes provide adequate exposure, training and experience to both the core and non-core skills required to provide a comprehensive package of care...
December 22, 2016: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/27996343/meta-ethnography-of-qualitative-research-on-the-experience-of-being-a-partner-to-an-individual-with-schizophrenia-spectrum-disorder
#10
Laura Foran Lewis
Several qualitative studies explore the experience of being a partner to an individual with schizophrenia spectrum disorder, but these studies remain isolated "islands of knowledge." This meta-ethnography aimed to synthesize current qualitative studies using Noblit and Hare's method. Thirteen studies were identified for inclusion. Three overarching themes were revealed: unmet expectations of relationship, renegotiating relationship roles, and separation versus togetherness. Themes interacted as a cycle with separation versus togetherness as temporal endpoints...
December 20, 2016: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/27976663/physical-activity-for-longer-working-lives-an-analysis-of-physical-activity-profiles-of-selected-occupational-groups-in-poland
#11
Elzbieta Biernat, Sonia Buchholtz, Marek Góra
BACKGROUND: Extending working lives has become an inevitable objective of public policy in the era of population ageing. It is possible, however, that the duration of working life will depend on individual employability. Out of a wide range of factors affecting employability, in this paper we have analyzed one specific aspect of health status, which is physical activity. METHODS: This paper studies the relationship between physical activity and BMI among representatives of seven occupational groups in Poland using a logit regression...
December 13, 2016: La Medicina del Lavoro
https://www.readbyqxmd.com/read/27941275/increased-postural-sway-and-changes-in-the-neuromuscular-activities-of-the-ankle-stabilizing-muscles-at-ovulation-in-healthy-young-women
#12
Haneul Lee, JongEun Yim
Lateral ankle sprains are one of the most common injuries among the physically active subjects. Ankle inversion-eversion laxity is greater and dynamic postural control is less in women compared with men. The purpose of this study was to examine differences in postural sway and its effects on the neuromuscular activities of the ankle stabilizing muscles during the menstrual cycle in young women. Fourteen young women with regular menstrual cycles participated in this experiment. Postural sway and electromyographic signals of the lateral gastrocnemius, peroneus longus (PL), and tibialis anterior (TA) were recorded while the participants performed eight different balance tasks at ovulation and early follicular phase during one full menstrual cycle...
2016: Tohoku Journal of Experimental Medicine
https://www.readbyqxmd.com/read/27938629/-struggle-to-obtain-redress-women-s-experiences-of-living-with-symptoms-attributed-to-dental-restorative-materials-and-or-electromagnetic-fields
#13
Lena Mårell, Monica Lindgren, Kerstin Ternulf Nyhlin, Christina Ahlgren, Anders Berglund
The aim of this study was to explore the experiences of illness and the encounters with health care professionals among women who attributed their symptoms and illness to either dental restorative materials and/or electromagnetic fields, despite the fact that research on health effects from dental fillings or electricity has failed to substantiate the reported symptoms. Thirteen women (aged 37-63 years) were invited to the study and a qualitative approach was chosen as the study design, and data were collected using semi-structured interviews...
2016: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/27926599/effectiveness-of-a-natural-family-planning-service-program
#14
Richard J Fehring, Mary Schneider
PURPOSE: The aims of this study were to determine and compare extended use-effectiveness of an online nurse-managed fertility education service program among women (and subgroups of women) seeking to avoid pregnancy. STUDY DESIGN AND METHODS: This was a 24-month prospective study of a university-based online Web site with 663 nonbreastfeeding women using an online charting system to avoid pregnancy. Participants tracked their fertility online with either cervical mucus monitoring, electronic hormonal fertility monitoring, or both fertility indicators...
January 2017: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/27925490/the-vicious-cycle-of-stigma-and-disclosure-in-self-management-a-study-among-the-dutch-hiv-population
#15
Daniel H de Vries, Luca Koppen, Adolfo Mejia Lopez, Reina Foppen
Though HIV has become a chronic disease, HIV-related stigma has remained. This article reports on a study that asked how Dutch people living with HIV-AIDS (PLWHA) experienced stigmatization and devised self-management strategies. We used qualitative findings from a survey questionnaire conducted among 468 Dutch HIV-positive people (3% of the population), using a stratified research sample. Findings show how respondents experience relatively high public (30%), self- (26%) and structural (15%) stigma. At the same time, results show the importance of selective disclosure as a self-management strategy...
December 2016: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
https://www.readbyqxmd.com/read/27925122/-abortion-and-stigma-an-analysis-of-the-scientific-literature-on-the-theme
#16
Leila Adesse, Claudia Bonan Jannotti, Katia Silveira da Silva, Vania Matos Fonseca
This article analyzes the scientific output on abortion and social stigma and the potential of the stigma category for abortion care in Brazil. An integrative review of publications on scientific databases without a time limit was conducted. Sixty-five publications with the social representations of women who had an abortion and the professionals who attended them were analyzed. The obstacles to the implementation of abortion laws and the protocols and norms that facilitate access to quality services care was explored...
December 2016: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/27918652/does-short-duration-heat-exposure-at-a-matched-cardiovascular-intensity-improve-intermittent-running-performance-in-a-cool-environment
#17
Calvin P Philp, Martin Buchheit, Cecilia M Kitic, Christopher T Minson, James W Fell
PURPOSE: To investigate whether a five-day cycling training block in the heat (35°C) in Australian rules footballers was superior to exercising at the same relative intensity in cool conditions (15°C) for improving intermittent running performance in a cool environment (<18°C). METHODS: Using a parallel-group design, 12 semi-professional football players performed five days of cycling exercise [70% heart rate reserve (HRR) for 45 min (5 x 50 min sessions in total)] in a hot (HEAT, 35±1°C, 56±9% RH) or cool environment (COOL, 15±3°C, 81±10% RH)...
December 5, 2016: International Journal of Sports Physiology and Performance
https://www.readbyqxmd.com/read/27906550/delayed-diagnosis-and-a-lack-of-information-associated-with-dissatisfaction-in-women-with-polycystic-ovary-syndrome
#18
Melanie Gibson-Helm, Helena Teede, Andrea Dunaif, Anuja Dokras
CONTEXT: Polycystic ovary syndrome (PCOS) is a complex, chronic and under-recognized disorder. Diagnosis experience may have lasting effects on wellbeing and self-management. OBJECTIVE: To investigate PCOS diagnosis experiences, information provided and concerns about PCOS. DESIGN: Cross-sectional study using an online questionnaire. SETTING: Recruitment via support group websites in 2015-2016. PARTICIPANTS: 1385 women with a reported diagnosis of PCOS, living in North America (53...
December 1, 2016: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/27900923/-the-infection-risk-scan-in-clinical-practice-improving-infection-prevention-and-antibiotic-use-through-transparency
#19
I Willemsen, J A J W Kluytmans
OBJECTIVE: The increase in Highly Resistant Micro-Organisms (HRMO) in hospitals and nursing homes requires an intensification of infection prevention measures. This paper describes a new, standardised approach to infection prevention and monitoring of antibiotic use. DESIGN: Cross-sectional, observational study. METHOD: The Infection RIsk Scan (IRIS) measures a number of objectifiable variables in the field of infection prevention, including the dissemination of HRMO, the use of antibiotics and indwelling medical devices, environmental contamination, hand hygiene and personal hygiene of healthcare workers, and various infection control preconditions...
2016: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/27893502/implementing-a-4c-approach-to-quality-improvement
#20
Michelle McGonigal
Designing a quality improvement activity can be labor intensive and intimidating to facilitators who have not been specially trained in process improvement methodologies. To simplify the process, a team was formed with the specific task of developing a basic model that addresses key concepts in change theory. The 2010 Institute of Medicine report stresses the importance of health care professionals working together, collaboratively, to use data to improve patient outcomes and improve care nationally. In addition, as noted in Quality and Safety Education for Nurses (2013), competencies have been developed to promote frontline problem solving including using data for quality improvement, providing safe care, functioning in collaborative teams, respecting and addressing patient and family concerns, applying evidence-based practice, and using informatics to make decisions...
January 2017: Critical Care Nursing Quarterly
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