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https://www.readbyqxmd.com/read/29349777/in-bed-cycling-in-the-icu-patient-safety-and-recollections-with-motivational-effects
#1
M Ringdal, M Warren Stomberg, K Egnell, E Wennberg, R Zätterman, C Rylander
BACKGROUND: In-bed cycling (IBC) is gaining interest for implementation in intensive care units. Our main objective was to explore patient recollections and experiences of early mobilization, including IBC. Secondly, we aimed to examine if IBC was safe and feasible. METHODS: Eleven participants were interviewed about their experiences during their critical illnesses and active mobilization in the intensive care unit. The interviews were analyzed thematically. Six participants were also monitored for physiological reactions and adverse events during IBC while mechanically ventilated...
January 18, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/29344082/implementing-guidelines-on-physical-health-in-the-acute-mental-health-setting-a-quality-improvement-approach
#2
Stuart Green, Ed Beveridge, Liz Evans, Jenny Trite, Sandra Jayacodi, Rachel Evered, Caroline Parker, Luca Polledri, Emily Tabb, John Green, Anton Manickam, Joanna Williams, Rebecca Deere, Bill Tiplady
Background: In the UK, life expectancy for people living with a serious mental illness, such as schizophrenia and bipolar disorder, is reduced by 15-20 years compared with the general population. In recent years, evidence based guidelines/policies designed to improve their physical health have been published, yet a gap remains between recommendations and practice. This case study describes how guidelines to support physical health were implemented using a quality improvement approach...
2018: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/29343237/subtypes-in-clinical-burnout-patients-enrolled-in-an-employee-rehabilitation-program-differences-in-burnout-profiles-depression-and-recovery-resources-stress-balance
#3
Kathrin Bauernhofer, Daniela Bassa, Markus Canazei, Paulino Jiménez, Manuela Paechter, Ilona Papousek, Andreas Fink, Elisabeth M Weiss
BACKGROUND: Burnout is generally perceived a unified disorder with homogeneous symptomatology across people (exhaustion, cynicism, and reduced professional efficacy). However, increasing evidence points to intra-individual patterns of burnout symptoms in non-clinical samples such as students, athletes, healthy, and burned-out employees. Different burnout subtypes might therefore exist. Yet, burnout subtypes based on burnout profiles have hardly been explored in clinical patients, and the samples investigated in previous studies were rather heterogeneous including patients with various physical, psychological, and social limitations, symptoms, and disabilities...
January 17, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29324564/falls-assessment-and-interventions-among-older-patients-in-two-medical-and-one-surgical-hospital-wards-in-spain-a-best-practice-implementation-project
#4
Laura Albornos-Muñoz, Esther Melián-Correa, Amanda Acosta-Arrocha, Carmen Gallo-Blanco, Felicidad Béjar-Bacas, Emma Alonso-Poncelas, Montserrat Serra-Estrada, Esther González-María, María Teresa Moreno-Casbas
OBJECTIVE: The current project aimed to improve fall prevention and management through clinical audits and the implementation of a quality-improvement cycle at the local level. INTRODUCTION: Falls are one of the most common adverse events reported in hospitals; evidence-based fall prevention interventions aim to reduce the number of people who fall. METHODS: A one-year clinical audit was conducted using a pre-post implementation audit method, namely the Joanna Briggs Institute's (JBI) Practical Application of Clinical Evidence System and the getting research into practice audit and feedback tool...
January 2018: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29286268/landmark-lecture-in-nursing-a-life-cycle-perspective-on-chd-what-happens-beyond-your-clinic
#5
Philip Moons
Over the past decades, survival of patients with CHD improved significantly, making it a life-cycle disease. Hence, there is a need for a workforce that can take up the care for afflicted individuals in the different phases of the life spectrum. Each life phase is associated with specific challenges. Topics that should receive more attention in clinical care or in CHD research are parenting styles of parents of children, transfer and transition of adolescents, cumulative burden of injury in the brain in adults, and geriatric care for older persons with CHD...
December 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/29284049/leishmania-viannia-braziliensis-infection-in-wild-small-mammals-in-ecotourism-area-of-brazil
#6
Gabriel Barbosa Tonelli, Aline Tanure, Felipe Dutra Rego, Gustavo Mayr de Lima Carvalho, Rodolfo Stumpp, Gabriela Ribeiro Ássimos, Aldenise Martins Campos, Ana Cristina Viana Mariano da Rocha Lima, Célia Maria Ferreira Gontijo, Gustavo Fontes Paz, José Dilermando Andrade Filho
Leishmaniases are parasitic diseases transmitted to mammalian hosts by sand fly vectors (Diptera: Psychodidae). Despite the increasing occurrence of visceral and cutaneous leishmaniasis cases in urban centers, their transmission still occur primarily in wild environments and may be associated with professional activities and recreation, such as ecotourism. The Reserva Particular do Patrimônio Natural Santuário do Caraça (RPPNSC) is one of the largest ecotourism attractions in the State of Minas Gerais, Brazil, and comprises an area of environmental preservation with 11,233 hectares presenting a transitional vegetation between Cerrado and Atlantic Forest...
2017: PloS One
https://www.readbyqxmd.com/read/29246693/advancing-learning-to-advance-pharmacy-practice
#7
Michael J Rouse, CoraLynn B Trewet, Kristin K Janke
OBJECTIVES: The objectives of this commentary are to: 1) describe advancements in the continuing professional development (CPD) model over the past decade; 2) detail an updated CPD cycle; and 3) describe how practitioners' adoption of the CPD approach may facilitate the advancement of pharmacy practice. SUMMARY: CPD is a self-directed, ongoing, systematic, and outcomes-focused approach to an individual's lifelong learning that is applied into practice. The 6 components of reflect, plan, learn, evaluate, apply, and record + review, described in a revised depiction of the CPD cycle, have evolved over the past 10 years alongside the evolution of the profession of pharmacy...
December 12, 2017: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29245056/subcutaneous-trastuzumab-herceptin-versus-intravenous-trastuzumab-for-the-treatment-of-patients-with-her2-positive-breast-cancer-a-time-motion-and-cost-assessment-study-in-a-lean-operating-day-care-oncology-unit
#8
Wiebren A A Tjalma, Tom Van den Mooter, Tim Mertens, Valerie Bastiaens, Manon T Huizing, Konstantinos Papadimitriou
OBJECTIVE: The subcutaneous (SC) formulation of trastuzumab represents an alternative to the intravenous (IV) infusion in the treatment of patients with HER2-positive metastatic and early breast cancer. We compared the two formulations in terms of time and cost differential. STUDY DESING: We conducted a time, motion and cost assessment study in a lean operating day care oncology unit to determine and compare the time and costs of trastuzumab SC versus IV administration in patients with HER2-positive breast cancer...
December 7, 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29239986/practical-model-of-low-volume-paddling-based-sprint-interval-training-improves-aerobic-and-anaerobic-performances-in-professional-female-canoe-polo-athletes
#9
Mohsen Sheykhlouvand, Erfan Khalili, Mohammadali Gharaat, Hamid Arazi, Mousa Khalafi, Bahman Tarverdizadeh
Brief, intense exercise training employing running and cycling as exercise interventions may induce aerobic and anaerobic adaptations in athletes from wide range of sports. However, this has not been studied extensively for those sports in which the upper-body is predominantly involved. Our purpose was to examine the effects of kayak paddling-based sprint interval training (SIT) on cardiorespiratory fitness and anaerobic performance. 16 professional female canoe polo athletes (age = 27.6 ± 1.9 years; height = 165...
December 11, 2017: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/29236665/-claude-bernard%C3%A2-%C3%A2-then-and-now
#10
Peter Wise
The early life of Claude Bernard - dreamer and frustrated playwright - reveals no indication of his future scientific aptitude. Cartesian doubt, a principle that he would adhere to lifelong, clouded a failed pharmacy apprenticeship that led to medical studies in Paris - but without great success. Research was his only aim, it was made possible only by a lucrative but unsuccessful arranged marriage. His passion for work and over-riding principles of truth and proof would ultimately allow him to stand out from his peers with recognition by multiple French professional societies - and the wider scientific world...
2017: Biologie Aujourd'hui
https://www.readbyqxmd.com/read/29234554/the-influence-of-extrinsic-factors-on-knee-biomechanics-during-cycling-a-systematic-review-of-the-literature
#11
Therese E Johnston, Tiara A Baskins, Rachael V Koppel, Samuel A Oliver, Donald J Stieber, Lisa T Hoglund
Background: The knee is susceptible to injury during cycling due to the repetitive nature of the activity while generating torque on the pedal. Knee pain is the most common overuse related injury reported by cyclists, and intrinsic and extrinsic factors can contribute to the development of knee pain. Purpose: Due to the potential for various knee injuries, this purpose of this systematic review of the literature was to determine the association between biomechanical factors and knee injury risk in cyclists...
December 2017: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/29233539/effect-of-tetracalcium-phosphate-monetite-toothpaste-on-dentin-remineralization-and-tubule-occlusion-in-vitro
#12
L Medvecky, R Stulajterova, M Giretova, J Mincik, M Vojtko, J Balko, J Briancin
OBJECTIVES: To investigate the tubule occlusion and remineralization potential of a novel toothpaste with active tetracalcium phosphate/monetite mixtures under de/remineralization cycling. METHODS: Dentin de/remineralization cycling protocol consisted of demineralization in 1% citric acid at pH 4.6 with following remineralization with toothpastes and soaking in artificial saliva. Effectiveness of toothpastes to promote remineralization was evaluated by measurement of microhardness recovery, analysis of surface roughness, thickness of coating and scanning electron microscopy...
December 9, 2017: Dental Materials: Official Publication of the Academy of Dental Materials
https://www.readbyqxmd.com/read/29233381/pharmacy-resident-led-student-mentoring-program-a-focus-on-developing-mentoring-skills
#13
Meredith L Howard, Taylor D Steuber, Sarah A Nisly, Jessica Wilhoite, Lindsay Saum
BACKGROUND AND PURPOSE: Formalized mentoring programs are often credited for influencing professional development of mentees. Unfortunately, little information exists regarding advancement of mentoring skills. We report the development and evaluation of a program to cultivate mentoring skills in pharmacy residents. EDUCATIONAL ACTIVITY AND SETTING: Advanced pharmacy practice experience students and pharmacy residents were contacted for program participation. Resident mentors were paired with a student mentee for the program...
November 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29233046/how-is-a-new-category-born-on-mechanisms-of-formation-cycles-of-recognition-and-the-looping-effect-of-national-trauma
#14
Galia Plotkin Amrami
This article explores the mechanisms underlying the formation of a new category in the Israeli therapeutic field-"national trauma." By comparing the two different paths of emergence of this category, the research reexamines the meaning of Hacking's concept "looping effect" and, in particular, the issue of awareness of the categorized individuals and the categorizing knowledge-producers to the effects of a categorization. This study demonstrates that the formation of "national trauma" is both an intentional product of the efforts and ideology of practitioners and an unintentional outcome of their scientific and interventional activities...
March 1, 2017: Health (London)
https://www.readbyqxmd.com/read/29227432/cpd-and-kt-models-used-and-opportunities-for-synergy
#15
Joan Sargeant, Francine Borduas, Anne Sales, Doug Klein, Brenna Lynn, Heather Stenerson
The two fields of continuing professional development (CPD) and knowledge translation (KT) within the health care sector, and their related research have developed as somewhat parallel paths with limited points of overlap or intersection. This is slowly beginning to change. The purpose of this paper is to describe and compare the dominant conceptual models informing each field with the view of increasing understanding and appreciation of the two fields, how they are similar and where they differ, and the current and potential points of intersection...
October 2017: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/29227160/inter-and-intra-examiner-reliability-of-bitewing-radiography-and-near-infrared-light-transillumination-for-proximal-caries-detection-and-assessment
#16
Friederike Litzenburger, Katrin Heck, Vinay Pitchika, Klaus W Neuhaus, Fabian N Jost, Reinhard Hickel, Anahita Jablonski-Momeni, Alexander Welk, Alexander Lederer, Jan Kühnisch
OBJECTIVES: The purpose of this in vitro study was to evaluate the inter- and intra-examiner reliability of digital bitewing (DBW) radiography and near-infrared light transillumination (NIRT) for proximal caries detection and assessment in posterior teeth. METHODS: From a pool of 85 patients, 100 corresponding pairs of DBW and NIRT images (~1/3 healthy, ~1/3 with enamel caries and ~1/3 with dentin caries) were chosen. Twelve dentists with different professional statuses and clinical experience repeated the evaluation in two blinded cycles...
December 11, 2017: Dento Maxillo Facial Radiology
https://www.readbyqxmd.com/read/29219885/displaced-clavicle-fractures-in-cyclists-return-to-athletic-activity-after-anteroinferior-plate-fixation
#17
Ven Denise J C van der, Tim K Timmers, Ivo A M J Broeders, Olden G D J van
BACKGROUND: One of the most commonly observed injuries in cycling is fracture of the clavicle. Nevertheless, there is limited literature available on clinical outcomes after plate fixation of clavicle fractures in cyclists, rehabilitation protocols, and the time to return to sports. PURPOSE: The aim of this study was to evaluate the functional outcome, complications, and return to athletic activity at short-term follow-up after surgical repair. STUDY DESIGN: Case series...
December 1, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29208562/microbiological-factors-affecting-clostridium-difficile-recurrence
#18
REVIEW
C H Chilton, D S Pickering, J Freeman
BACKGROUND: Recurrent Clostridium difficile infection (rCDI) places a huge economic and practical burden on healthcare facilities. Furthermore, rCDI may impact quality of life, leaving patients in a 'rCDI cycle', and dependant on antibiotic therapy. AIMS: This article discusses the importance of microbiological factors in the development of rCDI. SOURCES: Literature was drawn from a search of PubMed from 2000 onwards with the search term "recurrent Clostridium difficile infection"; and further references quoted within these articles...
December 2, 2017: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/29197689/action-research-and-millennials-improving-pedagogical-approaches-to-encourage-critical-thinking
#19
Gwen Erlam, Liz Smythe, Valerie Wright-St Clair
BACKGROUND: This article examines the effects of intergenerational diversity on pedagogical practice in nursing education. While generational cohorts are not entirely homogenous, certain generational features do emerge. These features may require alternative approaches in educational design in order to maximize learning for millennial students. METHOD: Action research is employed with undergraduate millennial nursing students (n=161) who are co-researchers in that they are asked for changes in current simulation environments which will improve their learning in the areas of knowledge acquisition, skill development, critical thinking, and communication...
November 24, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/29185294/preparing-supervisors-to-provide-safeguarding-supervision-for-healthcare-staff
#20
Marcia Smikle
This paper outlines why experienced supervisors at a London healthcare provider received skills training so they could offer safeguarding supervision to front-line colleagues with case management responsibilities for vulnerable children and young people. It examines how supervisors use the main functions of supervision and a cycle of reflection in clinical practice with supervisees. As well as the professional issues encountered by supervisors in relation to the benefits, the challenges of providing supervision and the action required to make safeguarding supervision a part of the organisational culture are also explored...
November 28, 2017: Nursing Management (Harrow)
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