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https://www.readbyqxmd.com/read/28812161/a-proficiency-based-virtual-reality-endoscopy-curriculum-improves-performance-on-the-fundamentals-of-endoscopic-surgery-examination
#1
Daniel A Hashimoto, Emil Petrusa, Roy Phitayakorn, Christina Valle, Brenna Casey, Denise Gee
INTRODUCTION: The fundamentals of endoscopic surgery (FES) examination is a national test of knowledge and skill in flexible gastrointestinal endoscopy. The skill portion of the examination involves five tasks that assesses the following skills: scope navigation, loop reduction, mucosal inspection, retroflexion, and targeting. This project aimed to assess the efficacy of a proficiency-based virtual reality (VR) curriculum in preparing residents for the FES skills exam. METHODS: Experienced (>100 career colonoscopies) and inexperienced endoscopists (<50 career colonoscopies) were recruited to participate...
August 15, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28803724/implementation-and-outcomes-of-an-evidence-based-precepting-program-for-burn-nurses
#2
Johnnie R Robbins, Krystal K Valdez-Delgado, Nicole W Caldwell, Linda H Yoder, Elizabeth J Hayes, Michaèl G Barba, Hope L Greeley, Colleen Mitchell, Elizabeth A Mann-Salinas
INTRODUCTION: There is significant nationwide interest in transitioning new and new-to-specialty nurses into practice, especially in burn care. Lack of a structured transition program in our Burn Center was recognized as a contributing factor for nursing dissatisfaction and increased turnover compared to other hospital units. Employee evaluations exposed a need for more didactic instruction, hands-on learning, and preceptor support. The goal of this project was to implement an evidence-based transition to practice program specific to the burn specialty...
August 10, 2017: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/28800520/a-modified-delphi-process-to-identify-clinical-and-research-priorities-in-patient-and-family-centred-critical-care
#3
Simon J W Oczkowski, Selena Au, Amanda Roze des Ordons, Marlyn Gill, Melissa L Potestio, Orla Smith, Tasnim Sinuff, Henry T Stelfox, Alison E Fox-Robichaud
PURPOSE: To identify elements which enable patient and family centred care (PFCC) in the intensive care unit (ICU) and priorities for PFCC research. MATERIALS AND METHODS: We engaged a panel of multidisciplinary stakeholders in a modified Delphi process. Items generated from a literature review and panelist suggestions were rated in 3 successive rounds on a scale from 1 to 7. Median score was used to rate each item's priority, with 5 or more indicating "essential priority," 4 or 5 "moderate priority" and 3 or less "low priority...
August 6, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/28800209/using-local-clinical-educators-and-shared-resources-to-deliver-simulation-training-activities-across-rural-and-remote-south-australia-and-south-west-victoria-a-distributed-collaborative-model
#4
Stacey C Masters, Sandi Elliott, Sarah Boyd, James A Dunbar
PROBLEM: There is a lack of access to simulation-based education (SBE) for professional entry students (PES) and health professionals at rural and remote locations. DESIGN: A descriptive study. SETTING: Health and education facilities in regional South Australia and south-west Victoria. KEY MEASURES FOR IMPROVEMENT: Number of training recipients who participated in SBE; geographical distribution and locations where SBE was delivered; number of rural clinical educators providing SBE...
August 11, 2017: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/28799866/proprioception-and-flexibility-profiles-of-elite-synchronized-swimmers
#5
Nora M Y Cho, Hedda P Giorgi, Karen P Y Liu, Young-Hyeon Bae, Louisa M Y Chung, Kitchana Kaewkaen, Shirley S M Fong
This study compared the full-body flexibility and joint proprioception (on land and underwater) of (a) 20 elite female synchronized swimmers (mean age ± standard deviation = 18.5 ± 1.9 years) and (b) 20 college female swim team members with no training in synchronized swimming (control participants; mean age ± standard deviation = 20.6 ± 1.3 years). Flexibility of the trunk and upper and lower limbs was measured using plastic tape and a goniometer, respectively. Joint proprioception (joint position sense) of the upper and lower limbs on land and underwater was measured by an active joint angle repositioning test...
January 1, 2017: Perceptual and Motor Skills
https://www.readbyqxmd.com/read/28798912/force-myography-for-monitoring-grasping-in-individuals-with-stroke-with-mild-to-moderate-upper-extremity-impairments-a-preliminary-investigation-in-a-controlled-environment
#6
Gautam P Sadarangani, Xianta Jiang, Lisa A Simpson, Janice J Eng, Carlo Menon
There is increasing research interest in technologies that can detect grasping, to encourage functional use of the hand as part of daily living, and thus promote upper-extremity motor recovery in individuals with stroke. Force myography (FMG) has been shown to be effective for providing biofeedback to improve fine motor function in structured rehabilitation settings, involving isolated repetitions of a single grasp type, elicited at a predictable time, without upper-extremity movements. The use of FMG, with machine learning techniques, to detect and distinguish between grasping and no grasping, continues to be an active area of research, in healthy individuals...
2017: Frontiers in Bioengineering and Biotechnology
https://www.readbyqxmd.com/read/28792856/factors-that-influence-the-recruitment-and-retention-of-nurses-in-public-health-agencies
#7
Valerie A Yeager, Janna M Wisniewski
OBJECTIVE: Given challenges to recruiting nurses to public health and the growth in national policies focused on population health, it is crucial that public health agencies develop strategies to sustain this important group of employees. The objective of this study was to examine factors that influence nurses' decisions to work in public health agencies. METHODS: This cross-sectional study examined perspectives of nurses who worked in state and local public health departments and responded to the 2010 Council on Linkages Between Academia and Public Health Practice's survey of public health workers...
January 1, 2017: Public Health Reports
https://www.readbyqxmd.com/read/28791516/nlscore-a-novel-quantitative-algorithm-based-on-3-dimensional-structural-determinants-to-predict-the-probability-of-nuclear-localization-in-proteins-containing-classical-nuclear-localization-signals
#8
P S Hari, T S Sridhar, R Pravin Kumar
The presence of a nuclear localization signal (NLS) in proteins can be inferred by the presence of a stretch of basic amino acids (KRKK). These NLSs are termed classical NLS (cNLS). However, only a fraction of proteins containing the cNLS pattern are transported into the nucleus by binding to importin α. Hence, there must exist, additional structural determinants that guide the appropriate interaction between putative NLSs containing cargo and importin α. Using 52 protein structures containing cNLS obtained from RCSB PDB, we assembled a training set and a validation set such that both sets were comprised of a combination of proteins with proven nuclear localization and ones that were non-nuclear...
August 9, 2017: Journal of Molecular Modeling
https://www.readbyqxmd.com/read/28790346/gaussian-network-model-can-be-enhanced-by-combining-solvent-accessibility-in-proteins
#9
Hua Zhang, Tao Jiang, Guogen Shan, Shiqi Xu, Yujie Song
Gaussian network model (GNM), regarded as the simplest and most representative coarse-grained model, has been widely adopted to analyze and reveal protein dynamics and functions. Designing a variation of the classical GNM, by defining a new Kirchhoff matrix, is the way to improve the residue flexibility modeling. We combined information arising from local relative solvent accessibility (RSA) between two residues into the Kirchhoff matrix of the parameter-free GNM. The undetermined parameters in the new Kirchhoff matrix were estimated by using particle swarm optimization...
August 8, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28789739/teamstepps-virtual-teams-interactive-virtual-team-training-and-practice-for-health-professional-learners
#10
Rachel A Umoren, Julie A Poore, Linda Sweigart, Natalia Rybas, Evalyn Gossett, Miles Johnson, Martina Allen, Patricia J Scott, Barbara Truman, Rohit Das
Medical errors because of communication failure are common in health care settings. Teamwork training, such as Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS), improves team performance and patient outcomes. Academic institutions seek high-quality, low-cost curricula for interprofessional education (IPE) to prepare learners for clinical experiences before and after graduation; however, most IPE curricula involve lectures, simple tabletop exercises, and in-person simulations and are not readily accessible to geographically distributed and asynchronously engaged learners...
August 1, 2017: Creative Nursing
https://www.readbyqxmd.com/read/28783387/a-proposed-surgical-training-pathway-for-the-21st-century
#11
Nicholas Newton, Anna Sharrock
Numerous problems have been identified with current UK surgical training. These include the balance between generalist and specialist practice, service provision and training time, and work-life balance. This article proposes modifications to the current training pathway. A three-stage training model is discussed using modular training to clearly identify training aims and endpoints and allow flexibility in training and working practices. This will help with workforce planning and work-life balance and support high quality patient-focused surgical training in the 21st century...
August 2, 2017: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/28776478/start-using-a-checklist-pronto-recommendation-for-a-standard-review-process-for-chemotherapy-orders
#12
Brian C Crandell, Jill S Bates, Tatjana Grgic
Chemotherapy order review by pharmacists requires careful attention to many details, and serious consequences can occur if errors are made. Other high-risk industries have long used checklists to improve accuracy and reduce the risk of errors. Despite the recent expansion of checklist use in other areas of medicine, there is currently no published evidence that checklists are being widely used by pharmacists in the evaluation of chemotherapy orders. This article explains a flexible checklist called PRONTO (Patient, Regimen, Organ Function, Numbers, Toxicity, Order Verification) that has been successfully used by pharmacists in variety of practice settings in two academic centers in North Carolina...
January 1, 2017: Journal of Oncology Pharmacy Practice
https://www.readbyqxmd.com/read/28767651/an-automated-system-for-the-objective-evaluation-of-human-gustatory-sensitivity-using-tongue-biopotential-recordings
#13
Danilo Pani, Ilenia Usai, Piero Cosseddu, Melania Melis, Giorgia Sollai, Roberto Crnjar, Iole Tomassini Barbarossa, Luigi Raffo, Annalisa Bonfiglio
The goal of this work is to develop an automatic system for the evaluation of the gustatory sensitivity of patients using an electrophysiological recording of the response of bud cells to taste stimuli. In particular, the study aims to evaluate the effectiveness and limitations of supervised classifiers in the discrimination between subjects belonging to the three 6-n-propylthiouracil (PROP) taster categories (supertasters, medium tasters, and non-tasters), exploiting features extracted from electrophysiological recordings of the tongue...
2017: PloS One
https://www.readbyqxmd.com/read/28763076/-study-plan-2016-of-the-licentiate-of-medical-surgery-of-the-faculty-of-higher-studies-iztacala
#14
Adolfo René Méndez-Cruz, Xavier de Jesús Novales-Castro, Lilia Isabel Ramírez-García, Eugenio Camarena-Ocampo, Julia Reyes-Reali, Uriel Calderón-Abundes, Dante Amato
The 2016 undergraduate medical degree curriculum at the Facultad de Estudios Superiores Iztacala of the Universidad Nacional Autónoma de México (UNAM) is presented. It is the result of a long institutional reflection and academic dialog process of approximately three years, which culminated in its approval by UNAM's Academic Council for the Biology, Chemistry, and Health Sciences areas on January 25, 2016. Its most relevant characteristics are: modular organization, four knowledge areas (biomedical, methodological, socio-psychological, and humanistic and medical practice), and new modules such as Seminar of socio-psycho-biological integration; Genetics and molecular biology; Biochemistry and cellular biology; Pharmacological basis of therapeutics; Infectious diseases, microbiology and parasitology; Medical ethics; Public health; and Evidence-based medicine - clinical epidemiology...
May 2017: Gaceta Médica de México
https://www.readbyqxmd.com/read/28759535/relationship-between-physical-fitness-at-the-end-of-pre-season-and-the-in-season-game-performance-in-japanese-female-professional-baseball-players
#15
Yuya Watanabe, Yosuke Yamada, Tsukasa Yoshida, Tomoyuki Matsui, Kazuya Seo, Yoshikazu Azuma, Machiko Hiramoto, Yuichiro Miura, Hideaki Fukushima, Akito Shimazu, Toshiaki Eto, Homare Saotome, Noriyuki Kida, Toru Morihara
This study examined anthropometric and fitness profiles of Japanese female professional baseball players and investigated the relationship between players' physical fitness and in-season game performance. Fifty-seven players who were registered in the Japan Women's Baseball League (JWBL) participated. Height, weight, grip strength, back strength, knee-extension and -flexion strength, hamstring extensibility, vertical jump height, and horizontal jump distance were measured at pre-season (February and March) in 2013...
July 28, 2017: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/28756746/nordic-walking-can-be-incorporated-in-the-exercise-prescription-to-increase-aerobic-capacity-strength-and-quality-of-life-for-elderly-a-systematic-review-and-meta-analysis
#16
Valentina Bullo, Stefano Gobbo, Barbara Vendramin, Federica Duregon, Lucia Cugusi, Andrea Di Blasio, Danilo Sales Bocalini, Marco Zaccaria, Marco Bergamin, Andrea Ermolao
The aim of this systematic review and meta-analysis was to summarize and analyze the effects of Nordic Walking on physical fitness, body composition and quality of life in the elderly. METHODS: keyword "Nordic Walking" associated with "elderly" AND/OR "aging" AND/OR "old subjects" AND/OR "aged" AND/OR "older adults" were used in the onlines database Medline, Embase, PubMed, Scopus, PsycINFO and SPORTDiscus. Only studies written in English language and published in peer-reviewed journals were considered...
July 29, 2017: Rejuvenation Research
https://www.readbyqxmd.com/read/28755980/profiling-coping-strategies-in-male-and-female-rats-potential-neurobehavioral-markers-of-increased-resilience-to-depressive-symptoms
#17
Molly Kent, Massimo Bardi, Ashley Hazelgrove, Kaitlyn Sewell, Emily Kirk, Brooke Thompson, Kristen Trexler, Brennan Terhune-Cotter, Kelly Lambert
Coping strategies have been associated with differential stress responsivity, perhaps providing a valuable neurobiological marker for susceptibility to the emergence of depressogenic symptoms or vulnerability to other anxiety-related disorders. Rats profiled with a flexible coping phenotype, for example, exhibit increased neurobiological markers of emotional regulation compared to active and passive copers (Bardi et al., 2012; Lambert et al., 2014). In the current study, responses of male and female rats to prediction errors in a spatial foraging task (dry land maze; DLM) were examined after animals were exposed to chronic unpredictable stress (CUS)...
August 3, 2017: Hormones and Behavior
https://www.readbyqxmd.com/read/28755139/within-session-reversal-learning-in-rhesus-macaques-macaca-mulatta
#18
Rebecca M Rayburn-Reeves, Brielle T James, Michael J Beran
In a midsession reversal (MSR) task, animals are typically presented with a simple, simultaneous discrimination (S1+, S2-) where contingencies are reversed (S1-, S2+) half-way through each session. This paradigm creates multiple, relevant cues that can aid in maximizing overall reinforcement. Recent research has shown that pigeons show systematic anticipatory and perseverative errors across the session, which increase as a function of proximity to the reversal trial. This behavior has been theorized to indicate primary control by temporal cues across the session, instead of the cues provided by recent reinforcement history that appear to control behavior shown by humans...
July 28, 2017: Animal Cognition
https://www.readbyqxmd.com/read/28755042/replicating-evidence-based-practices-with-flexibility-for-perinatal-home-visiting-by-paraprofessionals
#19
Erin J Rotheram-Fuller, Dallas Swendeman, Kimberly D Becker, Eric Daleiden, Bruce Chorpita, Danielle M Harris, Neil T Mercer, Mary Jane Rotheram-Borus
Introduction Strategies are needed to improve the efficacy of paraprofessional home visitors for pregnant women in the United States. This study evaluates the maternal and child outcomes when evidence-based practices (EBP) are replicated with flexibility, rather than fidelity to a manualized intervention. Methods Pregnant mothers (N = 203) in five clinics were recruited in the waiting rooms and randomized to standard clinic care as the control condition (n = 104) or standard care plus home visiting (n = 99)...
July 28, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28753109/anticipation-and-response-pandemic-influenza-in-malawi-2009
#20
Evanson Z Sambala, Lenore Manderson
BACKGROUND: In 2006, Malawi developed a national influenza plan to mitigate, prevent and manage the burden of infection should an outbreak occur. In 2009, it translated its contingency plan to respond to the unfolding influenza pandemic. However, little is known of how Malawi translated its national influenza plan into response actions, or the success of these responses. OBJECTIVE: To investigate how Malawi translated its preparedness plan and so broaden our understanding of the outcomes of the responses...
2017: Global Health Action
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