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https://www.readbyqxmd.com/read/29908363/video-based-assessments-of-colonoscopy-inspection-quality-correlate-with-quality-metrics-and-highlight-areas-for-improvement
#1
Anna Duloy, Rena H Yadlapati, Mark Benson, Andrew J Gawron, Charles J Kahi, Tonya R Kaltenbach, Jessica McClure, Dyanna L Gregory, Rajesh N Keswani
BACKGROUND & AIMS: Adenoma detection rate (ADR) and serrated polyp detection rate (SDR) vary significantly among colonoscopists. Colonoscopy inspection quality (CIQ) is the quality with which a colonoscopist inspects for polyps and may explain some of this variation. We aimed to determine the relationship between CIQ and historical ADRs and SDRs in a cohort of colonoscopists and assess whether there is variation in CIQ components (fold examination, cleaning, and luminal distension) among colonoscopists with similar ADRs and SDRs...
June 13, 2018: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/29907508/using-a-real-time-location-system-to-measure-patient-flow-in-a-radiation-oncology-outpatient-clinic
#2
Kevin Conley, Chester Chambers, Shereef Elnahal, Amanda Choflet, Kayode Williams, Theodore DeWeese, Joseph Herman, Maqbool Dada
PURPOSE: Common performance metrics for outpatient clinics define the time between patient arrival and entry into an examination room as "waiting time." Time spent in the room is considered processing time. This characterization systematically ignores time spent in the examination room waiting for service. If these definitions are used, performance will consistently understate total waiting times and overstate processing times. Correcting such errors will provide a better understanding of system behavior...
May 5, 2018: Practical Radiation Oncology
https://www.readbyqxmd.com/read/29907220/validation-of-the-american-association-for-the-surgery-of-trauma-s-emergency-general-surgery-breast-infection-grading-system
#3
Brittany L Murphy, Matthew C Hernandez, Nimesh D Naik, Amy E Glasgow, Victor Y Kong, Damian L Clarke, Humza Y Saleem, Jennifer M Racz, Elizabeth B Habermann, Martin D Zielinski
BACKGROUND: The American Association for the Surgery of Trauma (AAST) developed emergency general surgery (EGS) grading systems for multiple diseases to standardize classification of disease severity. The grading system for breast infections has not been validated. We aimed to validate the AAST breast infection grading system. METHODS: Multi-institutional retrospective review of all adult patients with a breast infection diagnosis at Mayo Clinic Rochester 1/2015-10/2015 and Pietermaritzburg South African Hospital 1/2010-4/2016 was performed...
August 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29906642/the-effect-of-simethicone-on-postoperative-ileus-in-patients-undergoing-colorectal-surgery-spot-a-randomized-controlled-trial
#4
Jeremy E Springer, Shiraz Elkheir, Cagla Eskicioglu, Aristithes G Doumouras, Stephen Kelly, Ilun Yang, Shawn Forbes
BACKGROUND: Postoperative ileus is a poorly understood multifactorial outcome following colorectal surgery that presents significant clinical challenges and contributes to increased morbidity, length of stay, and healthcare cost. To date, there are few pharmacological interventions that shorten the duration of postoperative ileus. OBJECTIVE: This study is the first to evaluate the efficacy of simethicone in treating postoperative ileus symptoms in patients undergoing colorectal surgery...
June 12, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29906632/youtube-for-millennial-nursing-students-using-internet-technology-to-support-student-engagement-with-bioscience
#5
Amy Nb Johnston, Matthew J Barton, Grant A Williams-Pritchard, Michael Todorovic
Undergraduate nursing programs typically include students with limited 'on-campus' time who need learning resources that are flexible, technologically appropriate, remotely-accessible (mobile smart devices), and above all, engaging. This has presented academics with challenges surrounding institutional security firewalls, password-access requirements, intellectual property/ownership and staff/student privacy. To overcome these challenges a collection of evidence-based YouTube videos, posted on the Biological Sciences YouTube Channel, supported by the Biosciences in Nurse Education, and underpinned by Benner's pedagogical framework, were developed with the intention of moving students from novice to competent clinical bioscience users...
June 9, 2018: Nurse Education in Practice
https://www.readbyqxmd.com/read/29905921/pediatric-inpatient-and-emergency-dermatology-consultations-a-5-year-retrospective-analysis
#6
Mariana Cruz-Manzano, Cristina N Brau-Javier, Sheila Valentín-Nogueras, Luz D Figueroa-Guzmán
OBJECTIVE: To characterize and analyze the inpatient and emergency pediatric dermatology consults in our academic hospital center. METHODS: We reviewed 485 consultations that were done by the University of Puerto Rico Department of Dermatology from July 2007 to June 2012. The date, patient age and gender, consulting service, presumptive diagnosis, final diagnosis, and diagnostic procedures performed were documented for each consult. RESULTS: The patients' ages ranged from newborn to 18 years; the 13 to 18 years age group was the most common (29%)...
June 2018: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29905785/healthcare-services-for-syrian-refugees-in-jordan-a-systematic-review
#7
R El Arab, M Sagbakken
Background: This review aims to explore the healthcare needs and access to healthcare services among Syrian refugees in Jordan. Furthermore, it identifies possible ways of responding to such needs within the framework of the structural challenges faced in this particular context. Methods: Through qualitative techniques, this study systematically reviewed nine articles identified in academic and international organizations' databases. Six articles are from scholarly sources, while three are published reports or commentary articles; thus, there are variations in methodological rigour...
June 13, 2018: European Journal of Public Health
https://www.readbyqxmd.com/read/29905672/alterations-in-mitochondrial-function-in-blood-cells-obtained-from-patients-with-sepsis-presenting-to-an-emergency-department
#8
David H Jang, Clinton J Orloski, Shawn Owiredu, Frances S Shofer, John C Greenwood, David M Eckmann
OBJECTIVE: Mitochondrial dysfunction has been implicated as a key cellular event leading to organ dysfunction in sepsis. Our objective is to measure changes in mitochondrial bioenergetics in subjects with early presentation of sepsis to provide insight into the incompletely understood pathophysiology of the dysregulated host response in sepsis. DESIGN: Prospective observational study SETTING:: Single site tertiary academic emergency department SUBJECTS:: We enrolled a total of 48 subjects were enrolled in the study, 10 with sepsis or septic shock, 10 with infection without sepsis, 14 older and 14 younger healthy controls...
June 13, 2018: Shock
https://www.readbyqxmd.com/read/29905670/behavioral-measures-of-listening-effort-in-school-age-children-examining-the-effects-of-signal-to-noise-ratio-hearing-loss-and-amplification
#9
Ronan McGarrigle, Samantha J Gustafson, Benjamin W Y Hornsby, Fred H Bess
OBJECTIVES: Increased listening effort in school-age children with hearing loss (CHL) could compromise learning and academic achievement. Identifying a sensitive behavioral measure of listening effort for this group could have both clinical and research value. This study examined the effects of signal-to-noise ratio (SNR), hearing loss, and personal amplification on 2 commonly used behavioral measures of listening effort: dual-task visual response times (visual RTs) and verbal response times (verbal RTs)...
June 13, 2018: Ear and Hearing
https://www.readbyqxmd.com/read/29905661/types-of-trauma-posttraumatic-stress-disorder-and-academic-performance-in-a-population-of-university-students
#10
Juliana L Pereira, Gisela Maria Guedes-Carneiro, Liana R Netto, Patrícia Cavalcanti-Ribeiro, Sidnei Lira, José F Nogueira, Carlos A Teles, Karestan C Koenen, Aline S Sampaio, Lucas C Quarantini
The aim of this work was to investigate the association between traumatic experiences and posttraumatic stress disorder (PTSD) with the academic performance of university students. This is a one-phase study that included 2213 students, enrolled at one of seven college institutions in their first or final semesters in all programs, who filled out the self-response questionnaires. From this student population, 14% presented with PTSD, with 13.3% in their first semester and 14.9% in their final semester. The students who presented lower academic results (low scoring) had a higher prevalence of PTSD in both the first and final semesters...
June 14, 2018: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/29904743/risk-factors-involved-in-treatment-delays-and-differences-in-treatment-type-for-patients-with-prostate-cancer-by-risk-category-in-an-academic-safety-net-hospital
#11
Carolyn K Kan, Muhammad M Qureshi, Apar Gupta, Ankit Agarwal, Gretchen A Gignac, B Nicolas Bloch, Nicholas Thoreson, Ariel E Hirsch
Objectives: Understanding the drivers of delays from diagnosis to treatment can elucidate how to reduce the time to treatment (TTT) in patients with prostate cancer. In addition, the available treatments depending on the stage of cancer can vary widely for many reasons. This study investigated the relationship of TTT and treatment choice with sociodemographic factors in patients with prostate cancer who underwent external beam radiation therapy (RT), radical prostatectomy (RP), androgen deprivation therapy (ADT), or active surveillance (AS) at a safety-net academic medical center...
April 2018: Advances in Radiation Oncology
https://www.readbyqxmd.com/read/29904551/curricular-activities-that-promote-metacognitive-skills-impact-lower-performing-students-in-an-introductory-biology-course
#12
Nathan V Dang, Jacob C Chiang, Heather M Brown, Kelly K McDonald
This study explores the impacts of repeated curricular activities designed to promote metacognitive skills development and academic achievement on students in an introductory biology course. Prior to this study, the course curriculum was enhanced with pre-assignments containing comprehension monitoring and self-evaluation questions, exam review assignments with reflective questions related to study habits, and an optional opportunity for students to explore metacognition and deep versus surface learning. We used a mixed-methods study design and collected data over two semesters...
2018: Journal of Microbiology & Biology Education: JMBE
https://www.readbyqxmd.com/read/29904320/facilitators-and-barriers-to-ad-hoc-team-performance
#13
Bobbie Ann A White, Angela Eklund, Tresa McNeal, Angie Hochhalter, Alejandro C Arroliga
Most teams in hospital medicine are ad hoc, meaning that the teams vary in participants. Ad hoc teams can be found in academic teaching hospitals where team members change across shifts and rotations. Due to varying team membership, these teams face significant hurdles, because they lack an opportunity to develop a team identity, shared mental models, and trust. This article discusses facilitators and barriers to effective functioning of ad hoc teams. Communication, conflict management, power, and leadership are areas that either serve as facilitators or barriers to positive team function...
July 2018: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/29903999/high-throughput-identification-of-mammalian-secreted-proteins-using-species-specific-scheme-and-application-to-human-proteome
#14
Jian Zhang, Haiting Chai, Song Guo, Huaping Guo, Yanling Li
Secreted proteins are widely spread in living organisms and cells. Since secreted proteins are easy to be detected in body fluids, urine, and saliva in clinical diagnosis, they play important roles in biomarkers for disease diagnosis and vaccine production. In this study, we propose a novel predictor for accurate high-throughput identification of mammalian secreted proteins that is based on sequence-derived features. We combine the features of amino acid composition, sequence motifs, and physicochemical properties to encode collected proteins...
June 14, 2018: Molecules: a Journal of Synthetic Chemistry and Natural Product Chemistry
https://www.readbyqxmd.com/read/29903721/visual-attention-on-a-respiratory-function-monitor-during-simulated-neonatal-resuscitation-an-eye-tracking-study
#15
Trixie A Katz, Danielle D Weinberg, Claire E Fishman, Vinay Nadkarni, Patrice Tremoulet, Arjan B Te Pas, Aleksandra Sarcevic, Elizabeth E Foglia
OBJECTIVE: A respiratory function monitor (RFM) may improve positive pressure ventilation (PPV) technique, but many providers do not use RFM data appropriately during delivery room resuscitation. We sought to use eye-tracking technology to identify RFM parameters that neonatal providers view most commonly during simulated PPV. DESIGN: Mixed methods study. Neonatal providers performed RFM-guided PPV on a neonatal manikin while wearing eye-tracking glasses to quantify visual attention on displayed RFM parameters (ie, exhaled tidal volume, flow, leak)...
June 14, 2018: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://www.readbyqxmd.com/read/29903639/focused-transthoracic-echocardiography-curriculum-for-advanced-practice-providers-assures-good-concordance-with-intensivists-at-echocardiography
#16
Jose L Diaz-Gomez, Ami A Grek, Carla P Venegas-Borsellino, Andreea C Chirila, Angela M Builes, Robert A Ratzlaff
OBJECTIVE: To describe a focused transthoracic echocardiography (FoTE) curriculum for advanced practice providers (APPs) for echocardiography-driven diagnosis of shock in critically ill patients. METHODS: Twelve APPs in 4 intensive care units at an academic medical center received didactic sessions on FoTE, including 1-on-1 proctorship with a registered cardiac sonographer. For a period of 6 months the trainees performed individual studies, then they performed FoTE examinations on critically ill patients; their diagnoses were compared with those of experienced intensivists for the same patients...
June 11, 2018: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/29903624/outcomes-in-microvascular-head-and-neck-reconstruction-in-the-setting-of-restricted-residency-hours
#17
Richard Chan Woo Park, Amishav Y Bresler, Amy P Bansal, Soly Baredes
BACKGROUND: Resident duty hour restrictions can limit the frequency of resident flap checks at smaller institutions with "home" call. Institutions are compensating with adjuvant nursing flap checks as well as incorporating technology; however, this management remains controversial. METHODS: A prospective cohort of 122 free flaps for reconstruction of the head and neck by a single surgeon. Demographic information, operative details, postoperative care, and flap outcomes were recorded...
June 5, 2018: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29903001/assessing-the-predictors-for-training-in-management-amongst-hospital-managers-and-chief-executive-officers-a-cross-sectional-study-of-hospitals-in-abuja-nigeria
#18
Ogbonnia Godfrey Ochonma, Stephen Ikechukwu Nwatu
BACKGROUND: There is a compelling need for management training amongst hospital managers in Nigeria mostly because management was never a part of the curricula in medical schools and this has resulted in their deficiencies in effective policymaking, planning and bottom line management. There has been no study to the best of our knowledge on the need and likely factors that may influence the acquisition of such training by hospital managers and this in effect was the reason for this study...
June 14, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29902740/promoting-emotional-intelligence-and-resilience-in-undergraduate-nursing-students-an-integrative-review
#19
REVIEW
Michelle Cleary, Denis Visentin, Sancia West, Violeta Lopez, Rachel Kornhaber
OBJECTIVE: To synthesize the evidence that explored resilience and emotional intelligence in undergraduate nursing students. BACKGROUND: Nursing is a demanding profession that offers unique challenges. Emotional intelligence and resilience are traits that can allow nursing students to effectively respond to challenges in professional placements and future practice. DESIGN: An integrative review incorporating both quantitative and qualitative research designs...
May 30, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29902645/serum-level-of-antibodies-against-hepatitis-b-core-protein-is-associated-with-clinical-relapse-after-discontinuation-of-nucleos-t-ide-analogue-therapy
#20
Heng Chi, Zhandong Li, Bettina E Hansen, Tao Yu, Xiaoyong Zhang, Jian Sun, Jinlin Hou, Harry L A Janssen, Jie Peng
BACKGROUND & AIMS: Levels of antibodies against the hepatitis B virus (HBV) core protein (anti-HBc) have been associated with response to nucleos(t)ide analogue and (peg)interferon therapy in patients with chronic HBV infection. We performed a prospective study to determine whether the total serum level of anti-HBc level (immunoglobulins M and G) is associated with clinical relapse after discontinuation of nucleos(t)ide analogue-based therapy. METHODS: We collected data from patients with chronic HBV infection who discontinued nucleos(t)ide analogue therapy according to pre-specified stopping criteria, recruited from November 2012 through July 2016 at an academic hospital in Guangzhou, China...
June 11, 2018: Clinical Gastroenterology and Hepatology
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