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https://www.readbyqxmd.com/read/28810931/a-comprehensive-regional-clinical-and-educational-ecpr-protocol-decreases-time-to-ecmo-in-patients-with-refractory-out-of-hospital-cardiac-arrest
#1
Brian Grunau, Sarah Carrier, Jamil Bashir, William Dick, Luke Harris, Robert Boone, Dan Kalla, Frank Scheuermeyer, Brian Twaites, Ron Straight, James Abel, Ken McDonald, Ruth MacRedmond, David Agulnik, Joe Finkler, Jeanne MacLeod, Jim Christenson, Anson Cheung
OBJECTIVE: Extracorporeal membrane oxygenation within CPR (ECPR) may improve survival for refractory out-of-hospital cardiac arrest (OHCA). We developed a prehospital, emergency department (ED), and hospital-based clinical and educational protocol to improve the key variable of time-to-ECPR (TTE). METHODS: In a single urban health region we involved key prehospital, clinical, and administrative stakeholders over a 2-year period, to develop a regional ECPR program with destination to a single urban tertiary care hospital...
August 16, 2017: CJEM
https://www.readbyqxmd.com/read/28802875/primary-sclerosing-cholangitis-a-comprehensive-review
#2
REVIEW
Tom H Karlsen, Trine Folseraas, Douglas Thorburn, Mette Vesterhus
Primary sclerosing cholangitis (PSC) is a rare disorder characterized by multi-focal bile duct strictures and progressive liver disease. Inflammatory bowel disease (IBD) is usually present and there is a high risk of cholangiocarcinoma and colorectal cancer. With no effective medical therapy, most patients ultimately require liver transplantation, after which disease recurrence may occur. With limited therapeutic options and lack of proven surveillance strategies, patients experience significant unmet needs...
August 9, 2017: Journal of Hepatology
https://www.readbyqxmd.com/read/28801874/eapd-interim-seminar-in-turin-italy
#3
(no author information available yet)
No abstract text is available yet for this article.
August 2017: European Archives of Paediatric Dentistry: Official Journal of the European Academy of Paediatric Dentistry
https://www.readbyqxmd.com/read/28801006/palliative-care-in-kazakhstan
#4
Gulnara Kunirova, Ainur Shakenova
In Kazakhstan, like most ex-Soviet Union countries palliative care began in the late 1990's with the opening of the Almaty Hospice in 1999. Since that time, several palliative care services have opened in urban centers but there is little coverage in rural areas. Palliative care has grown due to the collaborative work of Parliament leaders, Ministry of Health, local governments officials, Public Health Higher School, National Center for Health Development, academic medical institutions, oncology and palliative care experts, NGO's, Soros Foundation Kazakhstan, and international experts...
August 8, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28794664/initial-construct-validity-evidence-of-a-virtual-human-application-for-competency-assessment-in-breaking-bad-news-to-a-cancer-patient
#5
Timothy C Guetterman, Frederick W Kron, Toby C Campbell, Mark W Scerbo, Amy B Zelenski, James F Cleary, Michael D Fetters
BACKGROUND: Despite interest in using virtual humans (VHs) for assessing health care communication, evidence of validity is limited. We evaluated the validity of a VH application, MPathic-VR, for assessing performance-based competence in breaking bad news (BBN) to a VH patient. METHODS: We used a two-group quasi-experimental design, with residents participating in a 3-hour seminar on BBN. Group A (n=15) completed the VH simulation before and after the seminar, and Group B (n=12) completed the VH simulation only after the BBN seminar to avoid the possibility that testing alone affected performance...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/28791534/human-capital-accumulation-and-its-effect-on-agribusiness-performance-the-case-of-china
#6
Thomas Bilaliib Udimal, Zhuang Jincai, Emmanuel Caesar Ayamba, Patrick Boateng Sarpong
This study investigates the effect of accumulated human capital on the performance of agribusinesses in China. Four hundred fifty agribusiness owners were interviewed for the study. Growth in sales over the last 5 years was used as a measure of performance. The following variables were reviewed and captured as those constituting human capital: education, raised in the area, parents being entrepreneurs, attending business seminars/trade fairs, managerial experience, similar work experience, cooperative membership, and training...
August 8, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/28783919/training-in-endoscopy-endoscopic-ultrasound
#7
REVIEW
Chang Min Cho
Endoscopic ultrasound (EUS) has been recently established as an indispensable modality for the diagnosis and management of pancreatobiliary and gastrointestinal (GI) disorders. EUS proficiency requires both cognitive and technical abilities, including an understanding of the appropriate indications, the performance of appropriate evaluations before and after the procedure, and the management of procedure-related complications. An increasing demand for skills to handle a growing range of interventional EUS procedures and a continual shortage of EUS training programs are two major obstacles for EUS training...
July 2017: Clinical Endoscopy
https://www.readbyqxmd.com/read/28768952/evaluation-of-an-evidence-based-medicine-educational-program-for-pharmacists-and-pharmacy-students
#8
Tadashi Shimizu, Masahiro Ueda, Mikoto Toyoyama, Shiho Ohmori, Nobumasa Takagaki
 This study evaluated the effect of an evidence-based medicine (EBM) educational program on EBM-related knowledge and skills of pharmacists and pharmacy students. Our preliminary educational program included the following four sessions: 1) ice breaker, 2) formulation of answerable clinical questions from virtual clinical scenario using the PICO criteria, 3) critical appraisal of the literature using a checklist, and 4) critical appraisal of the results and integrating the evidence with experience and patients values...
2017: Yakugaku Zasshi: Journal of the Pharmaceutical Society of Japan
https://www.readbyqxmd.com/read/28768546/five-years-experience-of-an-annual-course-on-implementation-science-an-evaluation-among-course-participants
#9
Siw Carlfjord, Kerstin Roback, Per Nilsen
BACKGROUND: Increasing interest in implementation science has generated a demand for education and training opportunities for researchers and practitioners in the field. However, few implementation science courses have been described or evaluated in the scientific literature. The aim of the present study was to provide a short- and long-term evaluation of the implementation training at Linköping University, Sweden. METHODS: Two data collections were carried out...
August 2, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28765440/teaching-cultural-competence-in-dental-education-a-systematic-review-and-exploration-of-implications-for-indigenous-populations-in-australia
#10
REVIEW
Cathryn J Forsyth, Michelle J Irving, Marc Tennant, Stephanie D Short, John A Gilroy
Indigenous and other minority populations worldwide experience higher rates of disease including poor oral health than other populations. Cultural competence of practitioners is increasingly being recognized as fundamental to health care and quality of life in addressing these disparities. The aims of this study were to conduct a systematic review of the literature about teaching cultural competence in dental education and to explore the particular relevance of that teaching for the oral health care of Indigenous populations in Australia...
August 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28763076/-study-plan-2016-of-the-licentiate-of-medical-surgery-of-the-faculty-of-higher-studies-iztacala
#11
Adolfo René Méndez-Cruz, Xavier de Jesús Novales-Castro, Lilia Isabel Ramírez-García, Eugenio Camarena-Ocampo, Julia Reyes-Reali, Uriel Calderón-Abundes, Dante Amato
The 2016 undergraduate medical degree curriculum at the Facultad de Estudios Superiores Iztacala of the Universidad Nacional Autónoma de México (UNAM) is presented. It is the result of a long institutional reflection and academic dialog process of approximately three years, which culminated in its approval by UNAM's Academic Council for the Biology, Chemistry, and Health Sciences areas on January 25, 2016. Its most relevant characteristics are: modular organization, four knowledge areas (biomedical, methodological, socio-psychological, and humanistic and medical practice), and new modules such as Seminar of socio-psycho-biological integration; Genetics and molecular biology; Biochemistry and cellular biology; Pharmacological basis of therapeutics; Infectious diseases, microbiology and parasitology; Medical ethics; Public health; and Evidence-based medicine - clinical epidemiology...
May 2017: Gaceta Médica de México
https://www.readbyqxmd.com/read/28760184/perceived-influences-on-farmers-market-use-among-urban-wic-enrolled-women
#12
Jennifer Di Noia, Dorothy Monica, Karen Weber Cullen, Debbe Thompson
OBJECTIVES: We identified perceived barriers and facilitators to purchasing fruits and vegetables (FV) at farmers' markets, FV shopping practices, and reactions to a planned online lesson to promote farmers' market use among urban, inner-city WIC-enrolled women. METHODS: Thirteen focus groups were conducted with 3-5 participants each (N = 54). RESULTS: Common barriers were structural (transportation issues) and informational (not knowing the locations of markets)...
September 1, 2017: American Journal of Health Behavior
https://www.readbyqxmd.com/read/28760081/plasma-concentrations-of-ascorbic-acid-in-a-cross-section-of-the-german-population
#13
Alexander F Hagel, Heinz Albrecht, Wolfgang Dauth, Wolfgang Hagel, Francesco Vitali, Ingo Ganzleben, Hans W Schultis, Peter C Konturek, Jürgen Stein, Markus F Neurath, Martin Raithel
Objectives Vitamin C deficiency is considered extremely rare in modern industrialized countries. This study was performed to assess vitamin C concentrations in the German population. Methods As part of a consultant-patient seminar on nutrition and food intolerances, patients were asked to participate in this study on a voluntary basis. Blood samples were taken for analysis of serum vitamin C concentrations, and all patients were asked to complete a questionnaire. The vitamin C concentration was determined by high-performance liquid chromatography...
January 1, 2017: Journal of International Medical Research
https://www.readbyqxmd.com/read/28748745/histamine-poisoning-from-insect-consumption-an-outbreak-investigation-from-thailand
#14
Summon Chomchai, Chulathida Chomchai
BACKGROUND: Insect consumption is a common practice in the Asian culture and all over the world. We are reporting an outbreak investigation of histamine poisoning from ingestion of fried insects. METHODS: On 24 July 2014, a group of students at a seminar presented to Angthong Provincial Hospital, Thailand, with pruritic rash after ingesting snacks consisting of fried insects from a vendor. We initiated an outbreak investigation with retrospective cohort design and collected samples of remaining foods for analyses...
July 27, 2017: Clinical Toxicology
https://www.readbyqxmd.com/read/28748196/developing-interactive-antimicrobial-stewardship-and-infection-prevention-curricula-for-diverse-learners-a-tailored-approach
#15
Priya Nori, Theresa Madaline, Iona Munjal, Shubha Bhar, Yi Guo, Susan K Seo, Andrea Porrovecchio, Elizabeth Gancher, Joshua Nosanchuk, Liise-Anne Pirofski, Belinda Ostrowsky
BACKGROUND: To impart principles of antimicrobial stewardship (AS) and infection prevention and control (IPC), we developed a curriculum tailored to the diverse aptitudes of learners at our medical center. METHODS: We integrated case-based modules, group learning activities, smartphone applications (apps), decision support tools, and prescription audit and feedback into curricula of the medical school, medicine residency program, infectious diseases (ID) fellowship program, and hospital medicine program operations...
2017: Open Forum Infectious Diseases
https://www.readbyqxmd.com/read/28745729/highlights-of-skin-disease-education-foundation-s-41st-annual-hawaii-dermatology-seminar%C3%A2
#16
Kenneth B Gordon, Craig L Leonardi, Daniel E Furst, Neal Bhatia, Lawrence F Eichenfield, Katie Beleznay
New therapies, recent pathophysiological findings, and updated guidelines combined to create compelling presentations at the Skin Disease Education Foundation's 41st Annual Hawaii Dermatology Seminar™. This educational supplement summarizes the highlights of clinical sessions presented during this CME/CE conference. A growing understanding of the biology of psoriasis has facilitated the development of increasingly efficacious medications. Skin clearance used to be regarded as an impractical goal for psoriasis therapy...
June 2017: Seminars in Cutaneous Medicine and Surgery
https://www.readbyqxmd.com/read/28744967/compression-therapy%C3%A2-%C3%A2-cross-sectional-observational-survey-about-knowledge-and-practical-treatment-of-specialised-and-non-specialised-nurses-and-therapists
#17
Kristina Heyer, Kerstin Protz, Matthias Augustin
Knowledge about methods and materials and their correct usage is the basis for compression therapy. This study compares knowledge and practical skills of participants with further training with those who had no training. This comparison provides information on whether further qualifications have an impact on knowledge and practical skills. In seminars for compression therapy, data on specific and non-specific expertise were acquired. A practical test determined the participants' skills for creating a compression bandage in a pressure value range of 50-60 mmHg...
July 25, 2017: International Wound Journal
https://www.readbyqxmd.com/read/28742449/a-case-history-introducing-the-oregon-ag-seminar-series-keys-to-program-and-research-to-practice-success
#18
Marcy J Harrington, Kirk Lloyd
This case history of Oregon state's Ag Seminar Series is consistent with the Socio-Ecological Model, demonstrating how policy at a state level can influence an organizational approach with impacts that ultimately influence safety practices on the farm. From modest beginnings, the Ag Seminar Series, offered through a workers compensation insurance company, now serves over 2,300 Oregon farmers annually in English and Spanish. This case offers unique but also replicable methods for educators, insurers, and researchers in safety education, safety motivators, and research-to-practice (r2p)...
July 25, 2017: Journal of Agromedicine
https://www.readbyqxmd.com/read/28740435/barriers-and-facilitators-to-cervical-cancer-screening-among-pakistani-and-somali-immigrant-women-in-oslo-a-qualitative-study
#19
Abdi A Gele, Samera A Qureshi, Prabhjot Kour, Bernadette Kumar, Esperanza Diaz
Norway has a low incidence and mortality rate of cervical cancer, which is mainly due to the high participation rate of women in cervical cancer screening. However, the attendance of cervical cancer screening was reported to be low among immigrant women. For this reason, we conducted a qualitative study to obtain better insight into perceived barriers and challenges to cervical cancer screening among Somali and Pakistani women in the Oslo region. A convenient sample of 35 (18 Pakistani, 17 Somali) women were recruited for the study in collaboration with Somali and Pakistani community partners...
2017: International Journal of Women's Health
https://www.readbyqxmd.com/read/28733939/comparison-of-endotracheal-tube-cuff-pressure-values-before-and-after-training-seminar
#20
Ayça Tuba Dumanlı Özcan, Cihan Döğer, Abdülkadir But, Işık Kutlu, Şemsi Mustafa Aksoy
It is recommended that endotracheal cuff (ETTc) pressure be between 20 and 30 cm H2O. In this present study, we intend to observe average cuff pressure values in our clinic and the change in these values after the training seminar. The cuff pressure values of 200 patients intubated following general anesthesia induction in the operating theatre were measured following intubation. One hundred patients whose values were measured before the training seminar held for all physician assistants, and 100 patients whose values were measured after the training seminar were regarded as Group 1 and Group 2, respectively...
July 22, 2017: Journal of Clinical Monitoring and Computing
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