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https://www.readbyqxmd.com/read/29653213/neutrophilic-dermatoses-part-ii-pyoderma-gangrenosum-and-other-bowel-and-arthritis-associated-neutrophilic-dermatoses
#1
REVIEW
Hovik J Ashchyan, Caroline A Nelson, Sasha Stephen, William D James, Robert G Micheletti, Misha Rosenbach
Neutrophilic dermatoses are a heterogeneous group of inflammatory skin disorders that present with unique clinical features, but are unified by the presence of a sterile, predominantly neutrophilic infiltrate on histopathology. The morphology of cutaneous lesions associated with these disorders is heterogeneous, which renders diagnosis challenging. Moreover, a thorough evaluation is required to exclude diseases that mimic these disorders and to diagnose potential associated infectious, inflammatory, and neoplastic processes...
April 10, 2018: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/29653210/neutrophilic-dermatoses-part-i-pathogenesis-sweet-syndrome-neutrophilic-eccrine-hidradenitis-and-beh%C3%A3-et-s-disease
#2
REVIEW
Caroline A Nelson, Sasha Stephen, Hovik J Ashchyan, William D James, Robert G Micheletti, Misha Rosenbach
Neutrophilic dermatoses are a heterogeneous group of inflammatory skin disorders that present with unique clinical features, but are unified by the presence of a sterile, predominantly neutrophilic infiltrate on histopathology. The morphology of cutaneous lesions associated with these disorders is heterogeneous, which renders diagnosis challenging. Moreover, a thorough evaluation is required to exclude diseases that mimic these disorders and to diagnose potential associated infectious, inflammatory, and neoplastic processes...
April 10, 2018: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/29652954/-time-to-change-the-graduate-postgraduate-liaison-in-chilean-medical-education-reflections-about-a-double-certification-as-physician-and-doctor-in-medical-sciences
#3
Miguel Concha M
In the last 150 years, scientific research has produced extraordinary discoveries in Medicine and there is no doubt that research will continue contributing substantially in the future but there is no the same conviction regarding how to provision such capacities in medical graduates. In Chile, the Faculties of Medicine created several doctorate programs in Medical Sciences (Ph.D.) to strengthen medical research. However, the low number of physicians who apply to these programs is a caveat. These programs provide the advanced third-cycle competencies expected by students aspiring for an excellence research certification and their incorporation into academia...
December 2017: Revista Médica de Chile
https://www.readbyqxmd.com/read/29650497/quality-of-medical-education-is-our-health-in-safe-hands
#4
Tanuj Kanchan, Kewal Krishan, Neelam Dehal
The medical profession, once considered a "noble profession" has been under the scanner for deterioration in services. This decline is generally attributed to commercialisation of services, waning human values, and a lack of empathy and communication skills. At a time when discussions are focused on devising approaches to test medical students for attributes such as empathy, communication skills and concern for the less privileged, developing nations like India are suffering from the "problem of too many"...
March 12, 2018: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/29649848/-palliative-sedation-despite-guidelines-a-difficult-process-of-decisions
#5
Martin Kamprad, Ute Helm
A distinction needs to be made between intermediate and continuous sedation as well as between minimal, moderate and deep sedation. To gain ethical acceptance it is crucial that for palliative sedation (PS) minimally required doses are administered to decrease suffering. Intermittent PS is used for decreasing physical symptoms, whereas deep continuous PS is used to minimize intolerable suffering or psychological symptoms. Precise medical indication and education of patient and relatives are pre-requirements to any PS...
April 2018: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/29648892/assessment-of-the-readiness-for-interprofessional-learning-scale-ripls-an-item-response-theory-analysis
#6
Matthew James Kerry, Rongmei Wang, Jinbing Bai
This short report aims to bring evidence from modern psychometric methods to bear on a popularly deployed questionnaire in interprofessional education (IPE) assessment. Specifically, three interrelated problems raised against the Readiness for Interprofessional Learning Scale (RIPLS) are examined in a study with 280 medical and nursing student participants. Firstly, findings support RIPLS overall reliability, but fail to support subscale reliabilities. Secondly, findings indicate a strong, general factor underlying the RIPLS that supports unidimensional interpretations...
April 12, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29644493/exploring-the-correlates-of-linkage-to-hiv-medical-care-among-persons-living-with-hiv-infection-plwh-in-the-deep-south-results-and-lessons-learned-from-the-louisiana-positive-charge-initiative
#7
Russell A Brewer, Sarah Chrestman, Snigdha Mukherjee, Karen E Mason, Typhanye V Dyer, Peter Gamache, Mary Moore, DeAnn Gruber
We explored the correlates of linkage to HIV medical care and barriers to HIV care among PLWH in Louisiana. Of the 998 participants enrolled, 85.8% were successfully linked to HIV care within 3 months. The majority of participants were male (66.2%), African American (81.6%), and had limited education (74.4%). Approximately 22% of participants were Black gay and bisexual men. The most common reported barrier to care was lack of transportation (27.1%). Multivariable analysis revealed that compared with Black gay and bisexual men, White gay and bisexual men were significantly more likely to be linked to HIV care (adjusted prevalence ratio, aPR 1...
April 11, 2018: AIDS and Behavior
https://www.readbyqxmd.com/read/29644143/-certified-%C3%A2-now-what-on-the-challenges-of-lifelong-learning-report-from-an-amee-2017-symposium
#8
Carolin Sehlbach, Martin Balzan, Jonathan Bennett, Helena Prior Filipe, Ebbe Thinggaard, Frank Smeenk
The increasing mobility of patients and healthcare professionals across the countries of Europe has highlighted the wide variations in both medical training, and provision of medical competency and skills. The maintenance of the standards defining competency and skills have national and international implications and have proved challenging for national regulatory bodies. Thus each nation has introduced different types of Continuing Professional Development (CPD), recertification and relicensing systems. At the Symposium entitled: " 'Certified … now what?' On the Challenges of Lifelong Learning" in August 2017 at the Association for Medical Education in Europe (AMEE) annual conference, we reviewed differing European national relicensing systems were reviewed...
2018: Journal of European CME
https://www.readbyqxmd.com/read/29629066/the-challenges-of-clinical-education-in-a-baccalaureate-surgical-technology-students-in-iran-a-qualitative-study
#9
Roghayeh Zardosht, Hossein Karimi Moonaghi, Mohammad Etezad Razavi, Soleiman Ahmady
Background: Clinical education is an integral part of the surgical technology curriculum, in which students combine and integrate knowledge, skills, attitudes, values and philosophies of the profession. It is difficult to learn and adapt to different types of skills and roles in the operating room environment. Objective: This qualitative study examines the difference between the clinical education of Surgical Technology and other clinical settings, and the challenges faced by students in the field, within the course...
February 2018: Electronic Physician
https://www.readbyqxmd.com/read/29627304/low-fidelity-model-making-activity-by-students-a-novel-way-of-learning-concepts-of-neuroanatomy
#10
Shilpi Gupta Dixit, Pushpa Potaliya, S M Nayeemudin, Surajit Ghatak
Teaching and learning anatomy has always been an integral part of medical education. Teaching neuroanatomy has always faced innate and contextual challenges therefore various innovative teaching-learning methods have been devised on the idea of engaging learners in meaningful learning activities through apt guidance, communication among peers and cluster activities. The present study aims at such an innovative method. The study was conducted in practical sessions of first year MBBS at the Institute during second semester...
April 4, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29626591/impact-of-the-canadian-diabetes-association-guidelines-dissemination-strategy-on-clinician-knowledge-and-behaviour-change-outcomes
#11
Catherine H Yu, Erin Lillie, Alekhya Mascarenhas-Johnson, Carolyn Gall Casey, Sharon E Straus
AIM: Implementation of clinical practice guideline(CPG) into clinical practice remains limited. Using the Knowledge-To-Action framework, a guideline dissemination and implementation strategy for the Canadian Diabetes Association's 2013 CPG was developed and launched to clinicians and people with diabetes. METHODS: The RE-AIM framework guided evaluation of this strategy clinician; we report here one aspect of the effectiveness dimension using mixed methods. We measured impact of the strategy on clinican knowledge and behaviour change constructs using evaluation forms, national online survey and individual interviews...
April 4, 2018: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/29626582/prevalence-awareness-treatment-and-control-of-diabetes-in-portugal-results-from-the-first-national-health-examination-survey-insef-2015
#12
Marta Barreto, Irina Kislaya, Vânia Gaio, Ana Paula Rodrigues, Ana João Santos, Sónia Namorado, Liliana Antunes, Ana Paula Gil, José Manuel Boavida, Rogério Tavares Ribeiro, Ana Clara Silva, Patrícia Vargas, Tamara Prokopenko, Baltazar Nunes, Carlos Matias Dias
AIMS: Diabetes Mellitus is a major public health threat worldwide and continues to increase in numbers and significance. Estimates of diabetes prevalence, awareness, treatment and control are essential to effectively monitor its trends, plan and evaluate interventions. METHODS: We conducted a nationwide health examination survey in the population residing in Portugal aged between 25 and 74 years old in 2015. It consisted in a cross sectional prevalence study which included the measurement of HbA1c, a physical examination and a general health interview of a probabilistic sample of 4911 individuals (Authorization n°9348/2010 of the National Committee for Data Protection)...
April 4, 2018: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/29625810/enlight-european-network-for-light-ion-hadron-therapy
#13
REVIEW
Manjit Dosanjh, Ugo Amaldi, Ramona Mayer, Richard Poetter
The European Network for Light Ion Hadron Therapy (ENLIGHT) was established in 2002 following various European particle therapy network initiatives during the 1980s and 1990s (e.g. EORTC task group, EULIMA/PIMMS accelerator design). ENLIGHT started its work on major topics related to hadron therapy (HT), such as patient selection, clinical trials, technology, radiobiology, imaging and health economics. It was initiated through CERN and ESTRO and dealt with various disciplines such as (medical) physics and engineering, radiation biology and radiation oncology...
April 3, 2018: Radiotherapy and Oncology: Journal of the European Society for Therapeutic Radiology and Oncology
https://www.readbyqxmd.com/read/29624896/the-use-and-effectiveness-of-interactive-progressive-drawing-in-anatomy-education
#14
Sarah J Greene
Anatomical relationships are challenging concepts for first-year medical students. The use of progressive drawing, where an image is created from a blank template, has long been utilized for outlining anatomical relationships and continuity from one region to another, and has shown positive outcomes for student learning. More recently, computerized progressive drawing has been introduced; however, challenges, including issues with visual clarity, have been described. In this study, 17 computerized screencasts of drawings covering neurovasculature of the limbs, abdomen, pelvis, head, and neck were created and provided to first-year medical students at Morehouse School of Medicine...
April 6, 2018: Anatomical Sciences Education
https://www.readbyqxmd.com/read/29623773/continuing-education-for-general-practitioners-working-in-rural-practice-a-review-of-the-literature
#15
Stephanie Dowling, Jason Last, Henry Finnigan, Walter Cullen
Background Studies demonstrate that the CME/CPD (continuing medical education/continuing professional development) needs of rural general practitioners (GPs) are unique. Little research has focused specifically on the effectiveness of CME/CPD programmes for rural practice. Aims To review the literature on CME/CPD for GPs in rural areas, focussing on studies which examined impact on doctor performance or patient outcomes. Methods A search of peer-reviewed English language literature and relevant grey literature was conducted: identified literature was reviewed...
April 6, 2018: Education for Primary Care
https://www.readbyqxmd.com/read/29623752/developing-and-evaluating-a-course-programme-to-enhance-existential-communication-with-cancer-patients-in-general-practice
#16
Elisabeth Assing Hvidt, Jette Ammentorp, Jens Søndergaard, Connie Timmermann, Dorte Gilså Hansen, Niels Christian Hvidt
OBJECTIVE: Our objective was to describe the development and evaluation of a course programme in existential communication targeting general practitioners (GPs). DESIGN: The UK Medical Research Council's (MRC) framework for complex intervention research was used as a guide for course development and evaluation and was furthermore used to structure this paper. The development phase included: identification of existing evidence, description of the theoretical framework of the course, designing the intervention and deciding for types of evaluation...
April 6, 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/29623016/evaluation-of-diabetes-care-management-in-primary-clinics-based-on-the-guidelines-of-american-diabetes-association
#17
Ahmed Ismail Albarrak, Rafiuddin Mohammed, Bushra Assery, Dalya Allam, Sarah Al Morit, Reem Al Saleh, Reem Zare'a
Objective: There is a rapid increase in the incidence of diabetes mellitus in Saudi Arabia. Diabetes management is an essential constituent to prevent prognosis of diabetes complications. The main objective of this study was to assess diabetes care in primary clinics based on the guidelines of American Diabetes Association (ADA). Methods: A retrospective study at King Khaled University Hospitals, Riyadh, Saudi Arabia. A total of 200 patients were randomly selected from the databases of primary care clinics...
January 2018: International Journal of Health Sciences
https://www.readbyqxmd.com/read/29622527/epic-allies-a-gamified-mobile-phone-app-to-improve-engagement-in-care-antiretroviral-uptake-and-adherence-among-young-men-who-have-sex-with-men-and-young-transgender-women-who-have-sex-with-men-protocol-for-a-randomized-controlled-trial
#18
Sara LeGrand, Kathryn E Muessig, Alyssa Platt, Karina Soni, Joseph R Egger, Nkechinyere Nwoko, Tobias McNulty, Lisa B Hightow-Weidman
BACKGROUND: In the United States, young men who have sex with men (YMSM) and transgender women who have sex with men (YTWSM) bear a disproportionate burden of prevalent and incident HIV infections. Once diagnosed, many YMSM and YTWSM struggle to engage in HIV care, adhere to antiretroviral therapy (ART), and achieve viral suppression. Computer-based interventions, including those focused on behavior change, are recognized as effective tools for engaging youth. OBJECTIVE: The purpose of the study described in this protocol is to evaluate the efficacy of Epic Allies, a theory-based mobile phone app that utilizes game mechanics and social networking features to improve engagement in HIV care, ART uptake, ART adherence, and viral suppression among HIV-positive YMSM and YTWSM...
April 5, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29622502/chronic-pain-medication-management-of-older-populations-key-points-from-a-national-conference-and-innovative-opportunities-for-pharmacy-practice
#19
Julia Fiona-Maree Gilmartin-Thomas, J Simon Bell, Danny Liew, Carolyn A Arnold, Rachelle Buchbinder, Colin Chapman, Flavia Cicuttini, Malcolm Dobbin, Stephen J Gibson, Melita J Giummarra, Jenny Gowan, Benny Katz, Dan L Lubman, Matthew McCrone, Jennifer Pilgrim, Anneliese Synnot, Eleanor van Dyk, Barbara Workman, John McNeil
OBJECTIVE: Inappropriate use of pain medication has serious consequences for older populations. Experts in the field have noted an increase in opioid prescriptions, and opioid-related hospitalisations and deaths among this vulnerable population. In the pursuit of educating pharmacists, physicians, allied healthcare professionals, researchers, academics and the public facing the challenges of chronic pain medication management, 'The Inaugural Monash University School of Public Health and Preventive Medicine (SPHPM) Best Practice in Chronic Pain Medication Management Day Conference' was held in December 2016 at the Alfred Medical Research and Education Precinct (Melbourne, Australia)...
March 19, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29620675/educational-interventions-to-improve-handover-in-health-care-an-updated-systematic-review
#20
Morris Gordon, Elaine Hill, Jennifer N Stojan, Michelle Daniel
PURPOSE: Effective handovers (handoffs) are vital to patient safety. Medical educators investigated educational interventions to improve handovers in a 2011 systematic review. The number of publications on handover education has increased since then, so authors undertook this updated review. METHOD: The authors considered studies involving educational interventions to improve handover amongst undergraduate or postgraduate health professionals in acute care settings...
April 3, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
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