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https://www.readbyqxmd.com/read/28211050/the-care-approach-to-reducing-diagnostic-errors
#1
Jess L Rush, Stephen E Helms, Eliot N Mostow
BACKGROUND: Diagnostic errors appear to be the most common, costly, and dangerous of all medical mistakes. There has been a notable increase on the focus of error prevention as part of a growing patient safety movement. However, diagnostic errors have received less attention than other types of error. Our goal is to present a short mnemonic that can act as a checklist or posted reminder to help practitioners in dermatology or any field of medicine to avoid diagnostic errors. METHODS: To meet this goal, the authors reviewed the literature and discussed errors and potential errors they have experienced over 55 years of combined practice, to create a short mnemonic...
February 16, 2017: International Journal of Dermatology
https://www.readbyqxmd.com/read/28181974/the-respect-that-other-deserves-a-game-between-forces-and-weaknesses-in-the-field-of-health-care
#2
Carlos A Sampaio
Caring for people with diminished faculties and forms of disease and handicap that break down their personality places high demands on care staff. Anchored in a caring science with a holistic and humanistic approach, this article analyzes the trajectories of control that emerge in nurse care interactions. A suggested answer is the responsibility of the nurse to be aware of the power inequality, to recognize the potential for patients to feel intimidated, and to create a therapeutic alliance. The right use of power in the nurse-patient interaction guarantees that the patient's needs are foremost and the patient's vulnerability is sheltered...
March 2017: Holistic Nursing Practice
https://www.readbyqxmd.com/read/28130710/medical-students-reflections-toward-end-of-life-a-hospice-experience
#3
Andrea Bovero, Chiara Tosi, Marco Miniotti, Riccardo Torta, Paolo Leombruni
In this study, we want to investigate the personal reflections toward care of the dying cancer patients among second year medical students. Two hundred fifty second year medical students attended an elective short course on end-of-life care and a brief training at the hospice Valletta, in Turin. After group discussion, the students explained their reflections about their experience. Two different supervisors of the study analyzed themes of the students and subdivided them in categories according to the frequency...
January 27, 2017: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/28129636/towards-recovery-oriented-psychosocial-interventions-for-bipolar-disorder-quality-of-life-outcomes-stage-sensitive-treatments-and-mindfulness-mechanisms
#4
REVIEW
Greg Murray, Nuwan D Leitan, Neil Thomas, Erin E Michalak, Sheri L Johnson, Steven Jones, Tania Perich, Lesley Berk, Michael Berk
Current adjunctive psychosocial interventions for bipolar disorder (BD) aim to impact illness course via information sharing/skill development. This focus on clinical outcomes contrasts with the emergent recovery paradigm, which prioritises adaptation to serious mental illness and movement towards personally meaningful goals. The aim of this review is to encourage innovation in the psychological management of BD by considering three recovery-oriented trends in the literature. First, the importance of quality of life as a target of recovery-oriented clinical work is considered...
January 17, 2017: Clinical Psychology Review
https://www.readbyqxmd.com/read/28118933/integrative-medicine-breaking-down-silos-of-knowledge-and-practice-an-epigenetic-approach
#5
Bruce S McEwen
The future of medicine is discussed in the context of epigenetic influences during the entire life course and the lived experiences of each person, avoiding as much as possible the "medicalization" of the individual and taking a more humanistic view. The reciprocal communication between brain and body via the neuroendocrine, autonomic, metabolic and immune systems and the plasticity of brain architecture provide the basis for devising better "top down" interventions that engage the whole person in working towards his or her welfare...
January 11, 2017: Metabolism: Clinical and Experimental
https://www.readbyqxmd.com/read/28105614/-effect-of-surgeons-on-palliative-treatment-for-malignant-tumors
#6
Jin Gu
For advanced stage tumor patients who can not receive radical treatment, quite a part of them require surgical intervention. Surgeons play a important role and are still the main force in palliative treatment for tumors. But in present medical education system, training contents for surgeon involving palliative treatment are few. In fact, surgeons have responsibilities for improving the quality of life, ameliorating pain, preserving the dignity and relieving symptoms of patients in the palliative treatment of tumors...
January 25, 2017: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/28064257/epistemic-cognition-in-medical-education-a-literature-review
#7
REVIEW
Jennifer L Eastwood, Elysa Koppelman-White, Misa Mi, Jason Adam Wasserman, Ernest F Krug Iii, Barbara Joyce
Objective: To review the research literature on epistemic cognition in medical education. Methods: We conducted database searches using keywords related to epistemic cognition and medical education or practice. In duplicate, authors selected and reviewed empirical studies with a central focus on epistemic cognition and participant samples including medical students or physicians. Independent thematic analysis and consensus procedures were used to identify major findings about epistemic cognition and implications for research and medical education...
January 7, 2017: International Journal of Medical Education
https://www.readbyqxmd.com/read/28050879/using-critical-consciousness-to-inform-health-professions-education-a%C3%A2-literature-review
#8
REVIEW
Mark Halman, Lindsay Baker, Stella Ng
PURPOSE: To explore how, in health professions education (HPE), the concept of critical consciousness has been defined and discussed, and to consider and suggest how critical pedagogy could be applied in practice. This exploration responds to increasing calls in the literature for HPE to foster compassionate care and social consciousness through the social sciences and humanities. METHOD: The authors searched Medline/PubMed, ERIC and Web of Science for articles focusing on critical consciousness and/or critical pedagogy involving health professions...
February 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28007633/the-go-actiwe-randomized-controlled-trial-an-interdisciplinary-study-designed-to-investigate-the-health-effects-of-active-commuting-and-leisure-time-physical-activity
#9
Mads Rosenkilde, Martin Bæk Petersen, Anne Sofie Gram, Jonas Salling Quist, Jonas Winther, Simon Due Kamronn, Desirée Hornbæk Milling, Jakob Eg Larsen, Astrid Pernille Jespersen, Bente Stallknecht
Regular physical activity is efficacious for improving metabolic health in overweight and obese individuals, yet, many adults lead sedentary lives. Most exercise interventions have targeted leisure time, but physical activity also takes place in other domains of everyday life. Active commuting represents a promising alternative to increase physical activity, but it has yet to be established whether active commuting conveys health benefits on par with leisure time physical activity (LTPA). A 6-month randomized controlled trial was designed to investigate the effects of increased physical activity in transport (bicycling) or leisure time domains (moderate or vigorous intensity endurance exercise)...
December 19, 2016: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/27936262/-a-mental-health-hygiene-experiment-the-case-of-les-pinceaux-d-or
#10
Hubert Wallot
Many research, notably that of Gene Cohen (2007), have shown positive impact of artistic activities for seniors. In 2006 in Quebec City, three professional painters have created a none lucrative organization called Les Pinceaux d'Or (The Golden Brushes). Its mission is to create a positive experience of painting learning in elderly needing persons. The organization operates in long-term health-care facilities or in low-income housings and day centers. It offers free painting courses to elderly persons referred by local community health centers or community organizations as seniors with psychosocial needs...
December 0: Santé Mentale Au Québec
https://www.readbyqxmd.com/read/27881113/psychotherapy-integration-under-scrutiny-investigating-the-impact-of-integrating-emotion-focused-components-into-a-cbt-based-approach-a-study-protocol-of-a-randomized-controlled-trial
#11
Anna Babl, Martin Grosse Holtforth, Sara Heer, Mu Lin, Annabarbara Stähli, Dominique Holstein, Martina Belz, Yvonne Egenolf, Eveline Frischknecht, Fabian Ramseyer, Daniel Regli, Emma Schmied, Christoph Flückiger, Jeannette Brodbeck, Thomas Berger, Franz Caspar
BACKGROUND: This currently recruiting randomized controlled trial investigates the effects of integrating components of Emotion-Focused Therapy (EFT) into Psychological Therapy (PT), an integrative form of cognitive-behavioral therapy in a manner that is directly mirroring common integrative practice in the sense of assimilative integration. Aims of the study are to understand how both, an existing therapy approach as well as the elements to be integrated, are affected by the integration and to clarify the role of emotional processing as a mediator of therapy outcome...
November 24, 2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27843789/real-world-evidence-an-indian-perspective
#12
REVIEW
Amit Dang, B N Vallish
Randomized controlled trials (RCTs) are the gold standard for measuring the safety and efficacy of drugs. However, they are being challenged by payers and health care providers since they are looking for real world evidence (RWE) to validate whether the new intervention provides similar safety and efficacy as reported in RCT data. RWE uses real world data (RWD) to generate insight, foresight, and explorative findings on diseases, products, and patient populations. There are varied sources of RWD such as administrative data, large pragmatic trials, registries, electronic health records, and health surveys...
October 2016: Perspectives in Clinical Research
https://www.readbyqxmd.com/read/27759681/beyond-the-cyst-the-many-contributions-of-isadore-tarlov-1905-1977-to-contemporary-neurosurgical-practice
#13
Anand Kaul, Sunil Manjila, Jonathan P Miller
: Isadore Max Tarlov (1905-1977) is primarily remembered for his 1938 description of the eponymous perineural "Tarlov cyst." However, during his long career as a neurosurgeon and researcher, he was responsible for many other observations and inventions that influenced the development of neurosurgery in the 20th century. While studying at Johns Hopkins Medical School he was acquainted with Walter Dandy, and he became the first resident to study under Wilder Penfield at the newly formed Montreal Neurological Institute...
November 2016: Neurosurgery
https://www.readbyqxmd.com/read/27641703/a-partnership-model-for-a-reflective-narrative-for-researcher-and-participant
#14
Gill Murphy, Kath Peters, Lesley Wilkes, Debra Jackson
Background Conceptual frameworks are important to ensure a clear underpinning research philosophy. Further, the use of conceptual frameworks can support structured research processes. Aim To present a partnership model for a reflective narrative for researcher and participant. Discussion This paper positions the underpinning philosophical framework of the model in social constructionism (the idea that jointly constructed understandings form the basis for shared assumptions) and narrative enquiry. The model has five stages - study design, invitation to share a research space and partnership, a metaphorical research space, building a community story, and reading the community story to others...
September 2016: Nurse Researcher
https://www.readbyqxmd.com/read/27583990/medical-teachers-humanistic-perspective-on-pedagogy-a-new-starting-point-for-faculty-development
#15
Jenny Barrett, Lyn Yates, Geoffrey McColl
INTRODUCTION: This study investigated the perspectives on pedagogy held by medical teachers in hospitals. METHODS: The teachers were interviewed after they had been observed in both clinical and classroom settings. RESULTS: The study showed the teachers' reliance on the relational aspects of pedagogy more than on technical pedagogical knowledge. Teachers referred to their aims and approaches as "interactive," but this does not refer to any deliberate pedagogical design or acts...
2016: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/27515454/rett-syndrome-turns-50-themes-from-a-chronicle-medical-perspectives-and-the-human-face-of-rett-syndrome
#16
Gabriel M Ronen, Peter L Rosenbaum
BACKGROUND: Fifty years ago Andreas Rett first described in great detail what came to be known as "Rett syndrome." Understanding girls and women with this syndrome and their families helped in many ways to revolutionize modern neurodevelopmental medicine. For some people the identification of the genetic underpinning of the syndrome and the ongoing biological research into this condition represented the peak of the scientific accomplishments in Rett syndrome. For others, it was developments in clinical research methodologies that were especially important...
August 2016: Pediatric Neurology
https://www.readbyqxmd.com/read/27442031/a-digital-future-for-the-history-of-psychology
#17
Christopher D Green
This article discusses the role that digital approaches to the history of psychology are likely to play in the near future. A tentative hierarchy of digital methods is proposed. A few examples are briefly described: a digital repository, a simple visualization using ready-made online database and tools, and more complex visualizations requiring the assembly of the database and, possibly, the analytic tools by the researcher. The relationship of digital history to the old "New Economic History" (Cliometrics) is considered...
August 2016: History of Psychology
https://www.readbyqxmd.com/read/27398772/towards-a-common-understanding-of-the-health-sciences
#18
G Stucki, S Rubinelli, J D Reinhardt, J E Bickenbach
OBJECTIVE: The aim of health sciences is to maintain and improve the health of individuals and populations and to limit disability. Health research has expanded astoundingly over the last century and a variety of scientific disciplines rooted in very different scientific and intellectual traditions has contributed to these goals. To allow health scientists to fully contextualize their work and engage in interdisciplinary research, a common understanding of the health sciences is needed...
September 2016: Das Gesundheitswesen
https://www.readbyqxmd.com/read/27378375/taking-personal-responsibility-nurses-and-assistant-nurses-experiences-of-good-nursing-practice-in-psychiatric-inpatient-care
#19
Sebastian Gabrielsson, Stefan Sävenstedt, Malin Olsson
Therapeutic nurse-patient relationships are considered essential for good nursing practice in psychiatric inpatient care. Previous research suggests that inpatient care fails to fulfil patients' expectations in this regard, and that nurses might experience the reality of inpatient care as an obstruction. The aim of the present study was to explore nurses' and assistant nurses' experiences of good nursing practice in the specific context of psychiatric inpatient care. Qualitative interviews were conducted with 12 skilled, relationship-oriented nurses and assistant nurses in order to explore their experiences with nursing practice related to psychiatric inpatient care...
October 2016: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/27357479/multimorbidity-p4-medicine-and-holism
#20
James A Marcum
RATIONALE, AIMS AND OBJECTIVES: Multimorbidity is a serious challenge to providing patients with quality health care. Sturmberg et al. propose a P4 or whole-person medical model based on a holistic approach to deliver such care. The aim of this commentary is to examine critically their P4 model and holistic approach. METHODS: The P4 model and holistic approach of Sturmberg et al. are analysed conceptually in terms of an effective strategy or sequence for framing P4 medicine and with respect to different philosophical notions of holism for grounding it...
June 29, 2016: Journal of Evaluation in Clinical Practice
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