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Continuing medical education

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https://www.readbyqxmd.com/read/29913393/medication-errors-in-a-pediatric-anesthesia-setting-incidence-etiologies-and-error-reduction-strategies
#1
Izabela C Leahy, Meghan Lavoie, David Zurakowski, Amanda W Baier, Robert M Brustowicz
STUDY OBJECTIVE: The objective of the study was to: a) characterize the frequency, type, and outcome of anesthetic medication errors spanning an 8.5-year period, b) describe the targeted error reduction strategies and c) measure the effects, if any, of a focused, continuous, multifaceted Medication Safety Program. DESIGN: Retrospective analysis. SETTING: All anesthetizing locations (57). PATIENTS: All anesthesia patients at all Boston Children's Hospital anesthetizing locations from January 2008 to June 2016 were included...
June 15, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29913285/epidemiology-and-clinical-outcomes-of-viral-central-nervous-system-infections
#2
Fatma Ben Abid, Mohammed Abukhattab, Hafedh Ghazouani, Obada Khalil, Ahmed Gohar, Hussam Al Soub, Muna Al Maslamani, Abdullatif Al Khal, Eman Al Masalamani, Said Al Dhahry, Samar Hashim, Faraj Howadi, Adeel A Butt
BACKGROUND: Central nervous system (CNS) viral infections are an important cause of morbidity and mortality. No data are available regarding their epidemiology in Qatar. DESIGN: We retrospectively evaluated all cerebrospinal fluid findings from January 2011-March 2015 at Hamad Medical Corporation. Those with abnormal CSF finding were included in our study. We excluded those with missing medical records, no clinical evidence of viral CNS infection or proven bacterial, fungal or tuberculosis CNS infection...
June 15, 2018: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/29911629/prehospital-personnel-s-attitudes-to-pain-management
#3
Maaret Castrèn, Veronica Lindström, Jenny Hagman Branzell, Leila Niemi-Murola
Objectives Pain is one of the most common reasons for patients to seek acute medical care. The management of pain is often inadequate both in the prehospital setting and in the emergency department. Our aim was to evaluate the attitudes towards pain management among prehospital personnel in two Scandinavian metropolitan areas. Methods A questionnaire with 36 items was distributed to prehospital personnel working in Helsinki, Finland (n=70) and to prehospital personnel working in Stockholm, Sweden (n=634). Each item was weighted on a five-level Likert scale...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29908820/dermatoses-caused-by-cultural-practices-cosmetic-cultural-practices
#4
REVIEW
Neelam A Vashi, Nicole Patzelt, Stephen Wirya, Mayra B C Maymone, Roopal V Kundu
The second article in this continuing medical education series discusses cosmetic practices associated with cultural dermatoses, including hair care, traditional clothing, and skin decorations. Often, the steps individuals take to enhance their physical appearance are determined by cultural perceptions of beauty. Without awareness of cultural practices, a multitude of cutaneous dermatoses may be missed by the dermatologist. Recognition and understanding of patients' cultural backgrounds and habits will allow the practicing dermatologist to offer better counseling and treatment options while providing a more meaningful and understanding physician-patient relationship...
July 2018: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/29908818/dermatoses-caused-by-cultural-practices-therapeutic-cultural-practices
#5
REVIEW
Neelam A Vashi, Nicole Patzelt, Stephen Wirya, Mayra B C Maymone, Pedro Zancanaro, Roopal V Kundu
With globalization and widespread immigration, physicians increasingly encounter patients from varying backgrounds and diverse customs. Although certain cultural practices are widely performed, there is limited medical literature describing their dermatologic and systemic effects and complications. Population diversity and sharing of traditions make it increasingly important for dermatologists to understand the role of cultural practices and recognize physiologic and pathologic sequelae. In addition, dermatologists are often adjured to assess skin findings that may be mistaken for abuse...
July 2018: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/29908787/objective-evaluation-of-a-didactic-curriculum-for-the-radiation-oncology-medical-student-clerkship
#6
Daniel W Golden, Gregory E Kauffmann, Ryan P McKillip, Jeanne M Farnan, Yoon Soo Park, Alan Schwartz
PURPOSE: A structured didactic radiation oncology clerkship curriculum for medical students is in use at multiple academic medical centers. Objective evidence supporting this educational approach over the traditional clerkship model is lacking. This study evaluated the curriculum efficacy using an objective knowledge assessment. METHODS AND MATERIALS: Medical students received the Radiation Oncology Education Collaborative Study Group (ROECSG) curriculum consisting of 3 lectures (Overview of Radiation Oncology, Radiation Biology/Physics, and Practical Aspects of Simulation/Radiation Emergencies) and a radiation oncology treatment-planning workshop...
April 26, 2018: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/29908764/development-of-the-ripe-model-reflective-interprofessional-education-model-to-enhance-interprofessional-collaboration
#7
C Lucas, T Power, C Hayes, C Ferguson
This paper describes a novel model to providing interprofessional education (IPE) and interprofessional collaboration (IPC) within a simulated healthcare environment, in the higher education setting. The RIPE Model (Reflective Interprofessional Education Model) was developed for the purpose of enhancing IPE and IPC, clinical judgement, and decision-making between health professional students (pharmacy and nursing students) at the patient's simulated hospital bedside. A foundation 'unfolding' case utilizing the RIPE model was piloted with first year Master of pharmacy students and postgraduate nursing students at an Australian university and included a pharmacy practitioner acting as a resident medical officer (RMO) for the purpose of the teaching module...
June 2, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29907099/loss-of-job-related-right-to-healthcare-associated-with-employment-turnover-challenges-for-the-mexican-health-system
#8
Germán Guerra, Emilio Gutiérrez-Calderón, Nelly Salgado de Snyder, Víctor Hugo Borja-Aburto, Adolfo Martínez-Valle, Miguel Ángel González-Block
BACKGROUND: The Mexican health system segments access and right to healthcare according to worker position in the labour market. In this contribution we analyse how access and continuity of healthcare gets interrupted by employment turnover in the labour market, including its formal and informal sectors, as experienced by affiliates to the Mexican Institute of Social Security (IMSS) at national level, and of workers with type 2 diabetes (T2DM) in Mexico City. METHODS: Using data from the National Employment and Occupation Survey, 2014, and from IMSS electronic medical records for workers in Mexico City, we estimated annual employment turnover rates to measure the loss of healthcare access due to labour market dynamics...
June 15, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29901771/preparedness-evaluation-of-french-military-orthopedic-surgeons-before-deployment
#9
Camille Choufani, Olivier Barbier, Aurélie Mayet, Sylvain Rigal, Laurent Mathieu
Introduction: A deployed military orthopedic surgeon is a trauma surgeon working in austere conditions. The first aim of this study was to analyze the current activity of French military orthopedic surgeons in the field and to identify the differences of the combat zone with their daily practice. The second aim was to assess the adequacy of the preparedness they received before their deployment and to identify additional needs that could be addressed in future training. Methods: An evaluation survey was sent to all French military orthopedic surgeons deployed in theaters of operations between 2004 and 2014...
June 13, 2018: Military Medicine
https://www.readbyqxmd.com/read/29901484/the-efficacy-of-a-comprehensive-reminder-system-to-improve-health-behaviors-and-blood-pressure-control-in-hypertensive-ischemic-stroke-patients-a-randomized-controlled-trial
#10
Li-Hong Wan, Xiao-Pei Zhang, Li-Ming You, Heng-Fang Ruan, Shao-Xian Chen
BACKGROUND AND OBJECTIVE: The health behaviors of hypertensive stroke patients in China are not satisfactory. In this study, we tested the effect of a Health Belief Model Comprehensive Reminder System on health behaviors and blood pressure control in hypertensive ischemic stroke patients after occurrence and hospital discharge. METHODS: A randomized, parallel-group, assessor-blinded experimental design yielded participation of 174 hospitalized hypertensive ischemic stroke patients...
June 12, 2018: Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/29900872/transparency-in-continuing-medical-education-author-s-reply
#11
Ladan Golestaneh
No abstract text is available yet for this article.
June 9, 2018: Lancet
https://www.readbyqxmd.com/read/29898948/geographic-variation-in-fp-and-gp-scope-of-practice-in-ontario-comparative-provincial-study
#12
Elizabeth F Wenghofer, Sophia M Kam, Patrick E Timony, Roger Strasser, Jessica Sutinen
OBJECTIVE: To describe and compare the scope of practice (SoP) of GPs and FPs between the rural northern, rural southern, urban northern, and urban southern regions of Ontario. DESIGN: Cross-sectional retrospective analysis of the 2013 College of Physicians and Surgeons of Ontario official register and annual membership renewal survey data. SETTING: Ontario. PARTICIPANTS: All independently practising GPs and FPs with a primary practice address in Ontario...
June 2018: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29896072/nurses-knowledge-regarding-pain-management-in-high-acuity-care-units-a-case-study-of-palestine
#13
Basma Salameh
Background: Most patients who have been hospitalized at some point in time must have experienced a measure of pain despite improvements in health-care systems. Globally, there is a dearth in information with regard to pain management. Pain management is an essential process for nurses because they spend most time of the day with the patients. Therefore, nurses' level of knowledge and positive attitudes toward pain management reflect this vital and significant role played by nurses in critical care units...
May 2018: International Journal of Health Sciences
https://www.readbyqxmd.com/read/29895629/pattern-and-predictors-of-outpatient-palliative-care-referral-among-thoracic-medical-oncologists
#14
David Hui, Kelly Kilgore, Minjeong Park, Diane Liu, Yu Jung Kim, Ji Chan Park, Frank Fossella, Eduardo Bruera
BACKGROUND: There is significant variation in access to palliative care. We examined the pattern of outpatient palliative care referral among thoracic medical oncologists and identified oncologist characteristics associated with greater referral. MATERIALS AND METHODS: We retrieved data on all patients who died of advanced thoracic malignancies at our institution between January 1, 2007, and December 31, 2012. Using median as a cutoff, we defined two groups (high-referring and low-referring oncologists) based on their frequency of referral...
June 12, 2018: Oncologist
https://www.readbyqxmd.com/read/29895288/registered-or-unregistered-levels-and-differentials-in-registration-and-certification-of-births-in-ghana
#15
Fidelia A A Dake, Kamil Fuseini
BACKGROUND: The birth of a child is a vital event that needs to be registered but this is not always the case as an estimated 40 million births go unregistered annually. Birth registration safeguards the basic rights of children and gives them an identity, citizenship/nationality and legal protection against violence, abuse and human rights violations. It is therefore necessary that all births are registered and even more critical that the registration of a birth is followed by the issuance of a birth certificate...
June 13, 2018: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/29893469/leadership-and-registered-nurses-rns-working-after-hours-in-residential-aged-care-facilities-racfs-a-structured-literature-review
#16
REVIEW
Dorika Nhongo, Joyce Hendricks, Julie Bradshaw, Kasia Bail
BACKGROUND: Registered nurses (RNs) working in Residential Aged Care Facilities are required to undertake complex management tasks including leading nursing care teams, supervising non-nursing staff, and allocating workloads according to residents' care needs, staff skills and experience. Registered nurses plan, assess, manage medication, evaluate each resident's care, liaise with doctors and allied health professionals and are responsible for evidence-based practice in accordance with the Nursing Standards for Practice (2016)...
June 12, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29893411/knowledge-attitudes-and-behaviour-towards-preventive-oral-care-in-early-childhood-among-paediatricians-in-trinidad-and-tobago-findings-of-a-national-survey
#17
Visha Ramroop, Annie Kowlessar, Vidya Ramcharitar-Maharaj, Lerissa Morris, Rahul Naidu
OBJECTIVE: To determine paediatrician's knowledge and attitudes about oral health in Trinidad and Tobago. DESIGN AND METHOD: A pre-tested questionnaire was sent out via survey monkey to 70 out of 75 paediatricians registered with the Medical Board of Trinidad and for whom email addresses were available. Hard copies of the questionnaires were delivered to the paediatric departments of the Eric Williams Medical Sciences complex. Paediatricians that were unable to complete the questionnaire online were asked to complete hard copies...
June 12, 2018: International Dental Journal
https://www.readbyqxmd.com/read/29891103/which-patient-and-doctor-behaviours-make-a-medical-consultation-more-effective-from-a-patient-point-of-view-results-from-a-european-multicentre-study-in-31-countries
#18
Maria Angela Mazzi, Michela Rimondini, Egbert van der Zee, Wienke Boerma, Christa Zimmermann, Jozien Bensing
OBJECTIVE: To assess European patients' preferences regarding seven aspects of doctor-patient communication. METHODS: 6049 patients from 31 European countries evaluated 21 doctor and 12 patient behaviours, through a patient-generated questionnaire (PCVq). Multilevel models explored the effects of patient characteristics, contextual and cultural dimensions on preferences. RESULTS: Patients attributed more responsibility to doctors, by giving greater importance to doctor than to patient factors, in particular to Treating the patient as a partner and as a person and Continuity of care...
May 30, 2018: Patient Education and Counseling
https://www.readbyqxmd.com/read/29889745/simulation-in-obstetrics
#19
Andrew J Satin
Simulation in obstetrics is a widely accepted and valuable tool that benefits all levels of learners from medical students to maternal-fetal medicine subspecialists. What began as an adjunct to medical education now has a rapidly expanding role in acquisition of new and innovative procedures, team and unit training, and safety and quality initiatives. The number of obstetric simulation peer-reviewed reports has increased exponentially in recent years, yet only a small percentage of reports primarily addresses clinical outcomes...
June 6, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29888377/the-future-of-diving-research-in-norway
#20
EDITORIAL
Andreas Møllerløkken
Norway has a long tradition of quality research within the field of baromedicine. With the discovery of oil in the North Sea, it became important to establish scientific research facilities to overcome immediate challenges, but also to work towards long-term goals. For the diving community, an understanding of the pathophysiology of decompression sickness (DCS) has been one of the major forces to maintain focus on the importance of scientific research in this field. In addition to oil, the aquaculture and fish farming industries are increasing in size and are Norway's second biggest export industry today...
June 30, 2018: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
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