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https://www.readbyqxmd.com/read/29045991/naloxone-counseling-for-harm-reduction-and-patient-engagement
#1
Jonathan K Han, Lucas G Hill, Marianne E Koenig, Niladri Das
BACKGROUND AND OBJECTIVES: The United States is experiencing an epidemic of opioid-related deaths. Naloxone, the drug of choice for reversing acute opioid overdose, is not routinely prescribed for outpatient use. The aims of this project were to improve naloxone awareness, increase naloxone prescribing, and prevent opioid overdoses. METHODS: A naloxone counseling intervention was implemented in three family health centers by an interprofessional team of providers including family medicine physicians, clinical pharmacists, and social workers...
October 2017: Family Medicine
https://www.readbyqxmd.com/read/29045712/hospice-utilization-in-patients-with-malignant-gliomas
#2
Deborah Forst, Eric Adams, Ryan Nipp, Allison Martin, Areej El-Jawahri, Ayal Aizer, Justin T Jordan
BACKGROUND: Despite recommendations from professional organizations supporting early hospice enrollment for patients with cancer, little research exists regarding end-of-life (EOL) practices for patients with malignant gliomas (MG). We evaluated rates and correlates of hospice enrollment and hospice length-of-stay (LOS) among patients with MG. METHODS: Using the Surveillance, Epidemiology and End Results (SEER)-Medicare linked database, we identified adult patients who were diagnosed with MG from January 1, 2002 to December 31, 2011 and who died before December 31, 2012...
October 16, 2017: Neuro-oncology
https://www.readbyqxmd.com/read/29043298/professional-burnout-and-concurrent-health-complaints-in-neonatal-nursing
#3
Natalija Skorobogatova, Nida Žemaitienė, Kastytis Šmigelskas, Rasa Tamelienė
The aim of this study was to analyze nurses' professional burnout and health complaints and the relationship between the two components. METHODS: The anonymous survey included 94 neonatal intensive care nurses from two centers of perinatology. The Maslach Burnout Inventory-Human Services Survey (MBI-HSS) was used to evaluate professional burnout; it consisted of 3 components, Emotional Exhaustion, Depersonalization, and Personal Accomplishments, with 22 items in total. Health complaints were evaluated by 21 items, where nurses were asked to report the occurrence of symptoms within the last year...
2017: Open Medicine (Warsaw, Poland)
https://www.readbyqxmd.com/read/29042758/prescribing-of-psychotropic-medication-for-nursing-home-residents-with-dementia-a-general-practitioner-survey
#4
Justin M Cousins, Luke Re Bereznicki, Nick B Cooling, Gregory M Peterson
OBJECTIVE: The aim of this study was to identify factors influencing the prescribing of psychotropic medication by general practitioners (GPs) to nursing home residents with dementia. SUBJECTS AND METHODS: GPs with experience in nursing homes were recruited through professional body newsletter advertising, while 1,000 randomly selected GPs from southeastern Australia were invited to participate, along with a targeted group of GPs in Tasmania. An anonymous survey was used to collect GPs' opinions...
2017: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29037109/the-process-of-co-creating-the-interface-for-venster-an-interactive-artwork-for-nursing-home-residents-with-dementia
#5
Gaston Jamin, Tom Luyten, Rob Delsing, Susy Braun
INTRODUCTION: Interactive art installations might engage nursing home residents with dementia. The main aim of this article was to describe the challenging design process of an interactive artwork for nursing home residents, in co-creation with all stakeholders and to share the used methods and lessons learned. This process is illustrated by the design of the interface of VENSTER as a case. METHODS: Nursing home residents from the psychogeriatric ward, informal caregivers, client representatives, health care professionals and members of the management team were involved in the design process, which consisted of three phases: (1) identify requirements, (2) develop a prototype and (3) conduct usability tests...
October 17, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29035894/prevalence-of-potentially-distracting-noncare-activities-and-their-effects-on-vigilance-workload-and-nonroutine-events-during-anesthesia-care
#6
Jason M Slagle, Eric S Porterfield, Amanda N Lorinc, David Afshartous, Matthew S Shotwell, Matthew B Weinger
BACKGROUND: When workload is low, anesthesia providers may perform non-patient care activities of a clinical, educational, or personal nature. Data are limited on the incidence or impact of distractions on actual care. We examined the prevalence of self-initiated nonclinical distractions and their effects on anesthesia workload, vigilance, and the occurrence of nonroutine events. METHODS: In 319 qualifying cases in an academic medical center using a Web-based electronic medical chart, a trained observer recorded video and performed behavioral task analysis...
October 16, 2017: Anesthesiology
https://www.readbyqxmd.com/read/29034970/oral-health-of-older-residents-in-care-and-community-dwellers-nursing-implications
#7
J S Choi, Y J Yi, L R Donnelly
BACKGROUND: Poor oral health is associated with a reduced quality of life and serious illnesses. Consequently, nurses need to be more aware of oral health to improve the general health of residents in care. AIM: To evaluate and compare oral health behaviours and levels of salivary haemoglobin and dental biofilm acidogenicity, which can be used to evaluate oral disease activity, between residents and community dwellers in South Korea. METHODS: This cross-sectional study included 133 participants: 64 residents and 69 community dwellers...
October 16, 2017: International Nursing Review
https://www.readbyqxmd.com/read/29032024/characteristics-of-self-inflicted-drug-overdose-deaths-in-north-carolina
#8
Anna E Austin, Scott K Proescholdbell, Kathleen E Creppage, Alex Asbun
BACKGROUND: Drug overdose mortality is a major public health concern in the United States, with prescription opioids contributing substantially to recent increases in drug overdose deaths. Compared to unintentional drug overdose deaths, relatively little data describes intentional self-inflicted drug overdose deaths (i.e., suicide by drug overdose). The aim of this study was to examine the characteristics of self-inflicted drug overdose deaths, overall and in comparison to unintentional drug overdose deaths...
October 10, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/29026730/important-role-of-medical-training-curriculum-to-promote-the-rate-of-human-milk-feeding
#9
REVIEW
Yong Joo Kim
The rate of human milk feeding has been decreasing despite the diverse efforts of many physicians and nurses, as well as numerous professional organizations and various international health institutions. The number of physicians and nurses who can provide proper guidance for human milk feeding and offer appropriate knowledge and techniques to allow the most beneficial and convenient manner of breastfeeding is quite deficient. It is suggested that physicians and nurses be trained to teach and educate about the medical importance of human milk feeding to lactating mothers...
September 2017: Pediatric Gastroenterology, Hepatology & Nutrition
https://www.readbyqxmd.com/read/29025820/well-being-of-family-medicine-graduates
#10
Olga Szafran, Wayne Woloschuk, Jacqueline M I Torti, Douglas Myhre
OBJECTIVE: To determine family medicine graduates' professional and personal well-being, general health status, stress levels, coping strategies, and the degree to which they felt supported or isolated in professional life; and to compare findings by sex, practice location, and location of medical school (Canadian medical graduates [CMGs] vs international medical graduates [IMGs]). DESIGN: Retrospective, cross-sectional survey. SETTING: University of Alberta in Edmonton and the University of Calgary in Alberta...
October 2017: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29025302/medical-student-healthcare-consulting-groups-a-novel-way-to-train-the-next-generation-of-physician-executives
#11
Esther Y Hsiang, Andrew G Breithaupt, Peiyi Su, Andrew T Rogers, Niv Milbar, Sanjay V Desai
Meeting the challenges of the evolving healthcare environment requires leadership of physicians well-trained in clinical medicine and healthcare management. However, many physicians lack training in business and leadership. While some residency programs have management tracks, training at the medical school level is currently lacking. We developed the Hopkins Health Management Advisory Group, an extracurricular program at Johns Hopkins University School of Medicine that exposes medical students to healthcare management and fosters development of leadership skills...
October 12, 2017: Medical Teacher
https://www.readbyqxmd.com/read/29023245/education-in-pediatrics-across-the-continuum-epac-first-steps-toward-realizing-the-dream-of-competency-based-education
#12
John S Andrews, James F Bale, Jennifer B Soep, Michele Long, Carol Carraccio, Robert Englander, Deborah Powell
The Education in Pediatrics Across the Continuum (EPAC) Study Group is developing the first competency-based, time-variable progression from undergraduate medical education (UME) to graduate medical education (GME) in the history of medical education in the United States. EPAC, an innovation project sponsored by the Association of American Medical Colleges (AAMC) and supported by the Josiah Macy Jr. Foundation, was developed through a collaboration between 5 medical schools and multiple professional organizations with an interest in undergraduate and graduate medical education...
October 11, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29018643/case-reports-case-series-from-clinical-practice-to-evidence-based-medicine-in-graduate-medical-education
#13
EDITORIAL
Jerry W Sayre, Hale Z Toklu, Fan Ye, Joseph Mazza, Steven Yale
Case reports and case series or case study research are descriptive studies that are prepared for illustrating novel, unusual, or atypical features identified in patients in medical practice, and they potentially generate new research questions. They are empirical inquiries or investigations of a patient or a group of patients in a natural, real-world clinical setting. Case study research is a method that focuses on the contextual analysis of a number of events or conditions and their relationships. There is disagreement among physicians on the value of case studies in the medical literature, particularly for educators focused on teaching evidence-based medicine (EBM) for student learners in graduate medical education...
August 7, 2017: Curēus
https://www.readbyqxmd.com/read/28994868/foodborne-outbreak-simulation-to-teach-field-epidemiology-the-moroccan-field-epidemiology-training-program
#14
Imane Jroundi, Abdellatif Belarbi
BACKGROUND: Morocco in 2010 launched a new field epidemiology training program to enhance the skills of health professionals in charge of epidemiological surveillance and to investigate outbreaks; including foodborne diseases that represent a very substantial burden of disease. AIM: To apply an active learning method to teach outbreak investigation within a controled environment for field epidemiology trainees program at the Moroccan National school of public Health...
November 2016: La Tunisie Médicale
https://www.readbyqxmd.com/read/28993553/utilization-effect-of-floor-plan-sketches-in-hypothetical-cases-assuming-a-community-care-meeting
#15
Keiko Kudo, Akira Suzuki, Kumiko Urahashi, Fuki Okoshi, Michiko Bando, Ikuko Takahashi, Kumi Inomata
Objective Floor plan sketches (FPSs) are schematic representations of floors in a home. FPSs display information gathered from observations and interviews on people's way of dwelling. To elucidate the effects of utilizing FPSs in case reviews assuming a community care meeting attended by multidisciplinary professionals, we conducted reviews of hypothetical cases created for experimental purposes.Methods Two hypothetical cases (Cases 1 and 2) were developed, and each case was reviewed with and without FPSs...
2017: [Nihon Kōshū Eisei Zasshi] Japanese Journal of Public Health
https://www.readbyqxmd.com/read/28993075/call-to-action-aprns-in-u-s-nursing-homes-to-improve-care-and-reduce-costs
#16
Marilyn J Rantz, Nancy M Birtley, Marcia Flesner, Charles Crecelius, Cathy Murray
BACKGROUND: Centers for Medicare and Medicaid Innovation Center sponsored the initiative to reduce avoidable hospitalizations among nursing facility residents. PURPOSE: Missouri Quality Initiative (MOQI) designed inter-professional model in nursing homes with advanced practice registered nurses (APRNs). METHOD: MOQI APRN model was implemented for 4 years in 16 nursing homes in a metro area of the Midwest. Hospitalizations were reduced (40% all-cause, 58% potentially avoidable), emergency room visits (54% all-cause, 65% potentially avoidable), Medicare expenditures for hospitalizations (34% all-cause, 45% potentially avoidable), and Medicare expenditures for emergency room visits (50% all-cause, 60% potentially avoidable) for long-stay nursing home residents...
September 21, 2017: Nursing Outlook
https://www.readbyqxmd.com/read/28993045/-the-pharmaceutical-industry-and-specialised-medical-training-residents-perceptions-in-madrid-spain
#17
Raquel González-Rubio, Esperanza Escortell-Mayor, Isabel Del Cura González
OBJECTIVE: To assess the frequency of exposure and attitudes to the pharmaceutical industry (PI) of residents in the Region of Madrid (RM), Spain, and to analyse the association with specialty, professional environment and training. METHODS: Cross-sectional electronic survey in May and June 2015 of all medical residents in RM. We collected sociodemographic variables and those of interaction with the PI in four blocks: frequency of interactions, attitudes and perceptions, environment and regulatory framework, and skills; with the first two blocks we created a Synthetic PI Interaction Index (SPIII)...
October 6, 2017: Gaceta Sanitaria
https://www.readbyqxmd.com/read/28992143/a-qualitative-study-of-sign-out-processes-between-primary-and-on-call-residents-relationships-in-information-exchange-responsibility-and-accountability
#18
Soo-Hoon Lee, Dale A Fisher, Heidi Mah, Wei-Ping Goh, Phillip H Phan
Objective: To review a quality improvement event on the process of sign-outs between the primary and on-call residents. Design: A retrospective qualitative study using semi-structured interviews. Setting: A tertiary academic medical center in Singapore with 283 inpatient Medicine beds served by 28 consultants, 29 registrars, 45 residents and 30 interns during the day but 5 residents and 3 interns at night. Participants: Residents, registrars and consultants...
October 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28991846/a-multi-institutional-longitudinal-faculty-development-program-in-humanism-supports-the-professional-development-of-faculty-teachers
#19
William T Branch, Richard M Frankel, Janet P Hafler, Amy B Weil, MaryAnn C Gilligan, Debra K Litzelman, Margaret Plews-Ogan, Elizabeth A Rider, Lars G Osterberg, Dana Dunne, Natalie B May, Arthur R Derse
The authors describe the first 11 academic years (2005-2006 through 2016-2017) of a longitudinal, small-group faculty development program for strengthening humanistic teaching and role modeling at 30 U.S. and Canadian medical schools that continues today. During the yearlong program, small groups of participating faculty met twice monthly with a local facilitator for exercises in humanistic teaching, role modeling, and related topics that combined narrative reflection with skills training using experiential learning techniques...
October 3, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28991844/criterion-based-assessment-in-a-norm-based-world-how-can-we-move-past-grades
#20
Anne G Pereira, Majka Woods, Andrew P J Olson, Suzanne van den Hoogenhof, Briar L Duffy, Robert Englander
In the United States, the medical education community has begun a shift from the Flexnerian time-based model to a competency-based medical education model. The graduate medical education (GME) community is substantially farther along in this transition than is the undergraduate medical education (UME) community.GME has largely adopted the use of competencies and their attendant milestones and increasingly is employing the framework of entrustable professional activities (EPAs) to assess trainee competence. The UME community faces several challenges to successfully navigating a similar transition...
October 3, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
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