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https://www.readbyqxmd.com/read/27822297/community-based-system-dynamic-as-an-approach-for-understanding-and-acting-on-messy-problems-a-case-study-for-global-mental-health-intervention-in-afghanistan
#1
Jean-Francois Trani, Ellis Ballard, Parul Bakhshi, Peter Hovmand
BACKGROUND: Afghanistan lacks suitable specialized mental healthcare services despite high prevalence of severe mental health disorders which are aggravated by the conflict and numerous daily stressors. Recent studies have shown that Afghans with mental illness are not only deprived of care but are vulnerable in many other ways. Innovative participatory approaches to the design of mental healthcare policies and programs are needed in such challenging context. METHODS: We employed community based system dynamics to examine interactions between multiple factors and actors to examine the problem of persistently low service utilization for people with mental illness...
2016: Conflict and Health
https://www.readbyqxmd.com/read/27783781/fatherhood-experiences-of-fathers-of-boys-diagnosed-with-duchenne-muscular-dystrophy
#2
Silvana Aparecida de Lucca, Eucia Beatriz Lopes Petean
This study's aim was to understand the experience of being the father of a boy diagnosed with Duchenne Muscular Dystrophy (DMD). Eight fathers of 10-year-old or older boys diagnosed with DMD, living in RibeirãoPreto and surrounding cities participated in the study. Interviews included a semi-structured script and data were analyzed according to thematic content analysis. The results show that the confirmation of a DMD diagnosis shocked fathers and was mixed with sorrow, helplessness and hopelessness. Most fathers considered the illness of their child to be a mission sent by God, which helps to alleviate the pain and anguish caused by the disease...
October 2016: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/27749805/a-grounded-theory-qualitative-analysis-of-interprofessional-providers-perceptions-on-caring-for-critically-ill-infants-and-children-in-pediatric-and-general-emergency-departments
#3
Sandeep Gangadharan, Gunjan Tiyyagura, Marcie Gawel, Barbara M Walsh, Linda L Brown, Megan Lavoie, Khoon-Yen Tay, Marc A Auerbach
OBJECTIVE: The objective of this study was to explore pediatric emergency department (PED) and general emergency department (GED) providers' perceptions on caring for critically ill infants and children. METHODS: This study utilized qualitative methods to examine the perceptions of emergency department providers caring for critically ill infants and children. Teams of providers participated in 4 in situ simulation cases followed by facilitated debriefings. Debriefings were recorded and professionally transcribed...
October 4, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27727255/-walking-among-doctors-and-patients-stories-and-reflections
#4
Luigi Pagliaro, Agostino Colli
The clinician - the doctor who treats sick people - should be able to establish a good human relationship with his or her patients and their family; should be able to reach a diagnosis even in patients with rare diseases, or atypical presentations - or should refer the patient to a senior colleague; and should be able to recommend the best treatment (or no treatment at all). And he - or she - should be able to draw these abilities from the "deliberate practice" according to Ericsson, i.e. from the combination of experience with reflection - not, or with much lesser strength, from the medical literature as suggested by Evidence-Based Medicine...
September 2016: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/27693904/developing-a-medical-school-curriculum-for-psychological-moral-and-spiritual-wellness-student-and-faculty-perspectives
#5
Christine M Mitchell, Zachary D Epstein-Peterson, Julia Bandini, Ada Amobi, Jonathan Cahill, Andrea Enzinger, Sarah Noveroske, John Peteet, Tracy Balboni, Michael Balboni
CONTEXT: While many studies have addressed the integration of a religion/spirituality curriculum into medical school training, few describe the process of curriculum development based on qualitative data from students and faculty. OBJECTIVES: The aim of this study is to explore the perspectives of medical students and chaplaincy trainees regarding the development of a curriculum to facilitate reflection on moral and spiritual dimensions of caring for the critically-ill, and to train students in self-care practices that promote professionalism...
September 29, 2016: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/27585973/interprofessional-collaborative-care-characteristics-and-the-occurrence-of-bedside-interprofessional-rounds-a-cross-sectional-analysis
#6
Jed D Gonzalo, Judy Himes, Brian McGillen, Vicki Shifflet, Erik Lehman
BACKGROUND: Interprofessional collaboration improves the quality of medical care, but integration into inpatient workflow has been limited. Identification of systems-based factors promoting or diminishing bedside interprofessional rounds (BIR), one method of interprofessional collaboration, is critical for potential improvements in collaboration in hospital settings. The objective of this study was to determine whether the percentage of bedside interprofessional rounds in 18 hospital-based clinical units is attributable to spatial, staffing, patient, or nursing perception characteristics...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27562896/influence-of-learner-knowledge-and-case-complexity-on-handover-accuracy-and-cognitive-load-results-from-a-simulation-study
#7
John Q Young, Savannah M van Dijk, Patricia S O'Sullivan, Eugene J Custers, David M Irby, Olle Ten Cate
CONTEXT: The handover represents a high-risk event in which errors are common and lead to patient harm. A better understanding of the cognitive mechanisms of handover errors is essential to improving handover education and practice. OBJECTIVES: This paper reports on an experiment conducted to study the effects of learner knowledge, case complexity (i.e. cases with or without a clear diagnosis) and their interaction on handover accuracy and cognitive load. METHODS: Participants were 52 Dutch medical students in Years 2 and 6...
September 2016: Medical Education
https://www.readbyqxmd.com/read/27354850/conflations-of-marital-status-and-sanity-implicit-heterosexist-bias-in-psychiatric-diagnosis-in-physician-dictated-charts-at-a-midwestern-medical-center
#8
REVIEW
Jonathan M Metzl, Sara I McClelland, Erin Bergner
This paper discusses the role of gender role conformity in psychiatric determinants of well-being after of the depathologization of homosexuality from the DSM. In order to examine the heterosexualizing of sanity in U.S. psychiatric and popular cultures, we analyze archived psychiatrist-dictated patient charts from outpatient psychiatric clinics from a Midwestern medical center (n = 45). We highlight ways physicians deployed heteronormative gender expectations to describe and treat women's and men's depressive illness and implicitly construed troubled female-male relationships and sexual encounters as indices of psychopathology...
June 2016: Yale Journal of Biology and Medicine
https://www.readbyqxmd.com/read/27309966/crossing-boundaries-in-interprofessional-education-a-call-for-instructional-integration-of-two-script-concepts
#9
Jan Kiesewetter, Ingo Kollar, Nicolas Fernandez, Stuart Lubarsky, Claudia Kiessling, Martin R Fischer, Bernard Charlin
Clinical work occurs in a context which is heavily influenced by social interactions. The absence of theoretical frameworks underpinning the design of collaborative learning has become a roadblock for interprofessional education (IPE). This article proposes a script-based framework for the design of IPE. This framework provides suggestions for designing learning environments intended to foster competences we feel are fundamental to successful interprofessional care. The current literature describes two script concepts: "illness scripts" and "internal/external collaboration scripts"...
September 2016: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/27294769/food-safety-knowledge-attitudes-and-behaviors-of-native-american-families-with-young-children-a-mixed-methods-study
#10
Kara Vlasin-Marty, Paula Ritter-Gooder, Julie A Albrecht
Children are at increased risk for foodborne illness due to underdeveloped immune system. Limited research has been reported on food safety knowledge of Native American families with children 10 years of age and younger. This study was conducted to determine the food safety knowledge, attitudes, and behaviors of the main food preparer in these families by collecting quantitative and qualitative data simultaneously in a mixed method approach. A food safety knowledge survey created using FightBAC!(™) concepts was administered prior to focus groups discussions held in Native American communities using a script based upon the Health Belief Model...
December 2016: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/27172879/doctors-experience-of-the-contraceptive-consultation-a-qualitative-study-in-australia
#11
Marguerite Kelly, Kumiyo Inoue, Kirsten I Black, Alexandra Barratt, Deborah Bateson, Alison Rutherford, Mary Stewart, Juliet Richters
BACKGROUND: Contraception is a field in which good doctor-patient communication is crucial and core to shared decision making. Despite the centrality of contraception to primary health care in Australia, little is known about how doctors manage the contraceptive consultation. In particular, little is known about how doctors discuss sexual issues related to contraception. METHODS: Fifteen contraceptive providers participated in qualitative interviews averaging 45 min...
May 12, 2016: Journal of Family Planning and Reproductive Health Care
https://www.readbyqxmd.com/read/27168884/clinical-reasoning-terms-included-in-clinical-problem-solving-exercises
#12
John L Musgrove, Jason Morris, Carlos A Estrada, Ryan R Kraemer
Background Published clinical problem solving exercises have emerged as a common tool to illustrate aspects of the clinical reasoning process. The specific clinical reasoning terms mentioned in such exercises is unknown. Objective We identified which clinical reasoning terms are mentioned in published clinical problem solving exercises and compared them to clinical reasoning terms given high priority by clinician educators. Methods A convenience sample of clinician educators prioritized a list of clinical reasoning terms (whether to include, weight percentage of top 20 terms)...
May 2016: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/27143043/case-based-clinical-reasoning-in-feline-medicine-3-use-of-heuristics-and-illness-scripts
#13
Martin L Whitehead, Paul J Canfield, Robert Johnson, Carolyn R O'Brien, Richard Malik
AIM: This is Article 3 of a three-part series on clinical reasoning that encourages practitioners to explore and understand how they think and make case-based decisions. It is hoped that, in the process, they will learn to trust their intuition but, at the same time, put in place safeguards to diminish the impact of bias and misguided logic on their diagnostic decision-making. SERIES OUTLINE: Article 1, published in the January 2016 issue of JFMS, discussed the relative merits and shortcomings of System 1 thinking (immediate and unconscious) and System 2 thinking (effortful and analytical)...
May 2016: Journal of Feline Medicine and Surgery
https://www.readbyqxmd.com/read/27104204/the-validity-and-reliability-of-script-concordance-test-in-otolaryngology-residency-training
#14
Kamyar Iravani, Mitra Amini, Aida Doostkam, Mahnaz Dehbozorgian
INTRODUCTION: The script concordance test (SCT) is one the best tools used to evaluate clinical reasoning in ill-defined clinical situations. The aim of this study was to demonstrate SCT application in otolaryngology residency training. METHODS: A 20 item otolaryngology SCT containing 60 questions was administered to 26 otolaryngology residents. The test was prepared by two otolaryngologists familiar to medical education. These questions have been validated by otolaryngology experts...
April 2016: Journal of Advances in Medical Education & Professionalism
https://www.readbyqxmd.com/read/27102980/script-theory-virtual-case-a-novel-tool-for-education-and-research
#15
Jake Hayward, Amandy Cheung, Alkarim Velji, Jenny Altarejos, Peter Gill, Andrew Scarfe, Melanie Lewis
: Context/Setting: The script theory of diagnostic reasoning proposes that clinicians evaluate cases in the context of an "illness script," iteratively testing internal hypotheses against new information eventually reaching a diagnosis. We present a novel tool for teaching diagnostic reasoning to undergraduate medical students based on an adaptation of script theory. INTERVENTION: We developed a virtual patient case that used clinically authentic audio and video, interactive three-dimensional (3D) body images, and a simulated electronic medical record...
April 21, 2016: Medical Teacher
https://www.readbyqxmd.com/read/26976289/when-the-illness-goes-off-script-an-exercise-in-clinical-reasoning
#16
Georges Al-Helou, Zafia Anklesaria, Jeffrey Kohlwes, Jalil Ahari, Gurpreet Dhaliwal
No abstract text is available yet for this article.
July 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/26944395/an-experimental-paradigm-to-repeatedly-induce-somatic-symptoms
#17
Jeanine Schwarz, Japhia-Marie Gottschalk, Judith Ruckmann, Winfried Rief, Maria Kleinstäuber
OBJECTIVE: Experimental research in the field of medically unexplained physical symptoms (MUPS) is rare. We examined a method of script driven imagery in terms of manipulating the intensity of the symptom, the impairment by the symptom and the symptom tolerance. Additionally, we identified relevant predictors for the efficacy of symptom induction. METHODS: We assessed the most impairing symptom in 48 subjects suffering from multiple, chronic MUPS and a severe physical illness that 48 age-matched healthy controls suffered from in the past...
March 2016: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/26936495/case-based-clinical-reasoning-in-feline-medicine-2-managing-cognitive-error
#18
Paul J Canfield, Martin L Whitehead, Robert Johnson, Carolyn R O'Brien, Richard Malik
AIM: This is Article 2 of a three-part series on clinical reasoning that encourages practitioners to explore and understand how they think and make case-based decisions. It is hoped that, in the process, they will learn to trust their intuition but, at the same time, put in place safeguards to diminish the impact of bias and misguided logic on their diagnostic decision-making. SERIES OUTLINE: Article 1, published in the January 2016 issue of JFMS, discussed the relative merits and shortcomings of System 1 thinking (immediate and unconscious) and System 2 thinking (effortful and analytical)...
March 2016: Journal of Feline Medicine and Surgery
https://www.readbyqxmd.com/read/26848162/defining-and-improving-the-role-of-emergency-medical-services-in-cape-town-south-africa
#19
Trisha Anest, Sarah Stewart de Ramirez, Kamna S Balhara, Peter Hodkinson, Lee Wallis, Bhakti Hansoti
INTRODUCTION: Low and middle income countries bear a disproportionate burden of paediatric morbidity and mortality. South Africa, a middle income country, has unacceptably high mortality in children less than 5 years of age. Many factors that contribute to the child mortality rate are time sensitive and require efficient access to emergency care. Delays and barriers within the emergency medical services (EMS) system increase paediatric morbidity and mortality from time sensitive illnesses...
August 2016: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/26780309/case-control-pilot-study-of-soft-contact-lens-wearers-with-corneal-infiltrative-events-and-healthy-controls
#20
MULTICENTER STUDY
Kathryn Richdale, Dawn Y Lam, Heidi Wagner, Aaron B Zimmerman, Beth T Kinoshita, Robin Chalmers, Luigina Sorbara, Loretta Szczotka-Flynn, Usha Govindarajulu, G Lynn Mitchell
PURPOSE: The purpose of this study was to assess risk factors associated with soft contact lens (SCL)-related corneal infiltrative events (CIEs). METHODS: This was a single-visit, case-control study conducted at five academic centers in North America. Cases were defined as current SCL wearers with a symptomatic CIE. For each case, three age- and sex-matched controls were enrolled. Subjects completed the Contact Lens Risk Survey (CLRS), a standardized scripted medical interview, supplied a recent health history, and underwent an ocular examination...
January 1, 2016: Investigative Ophthalmology & Visual Science
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