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https://www.readbyqxmd.com/read/29122129/a-new-algorithm-for-crossing-chronic-total-occlusions-from-the-asia-pacific-chronic-total-occlusion-club
#1
REVIEW
Scott A Harding, Eugene B Wu, Sidney Lo, Soo Teik Lim, Lei Ge, Ji-Yan Chen, Jie Quan, Seung-Whan Lee, Hsien-Li Kao, Etsuo Tsuchikane
Although the hybrid chronic total occlusion (CTO) algorithm had many excellent recommendations, there has been infrequent adoption in the Asia Pacific region. The Asia Pacific CTO club propose an algorithm for case selection based on the Japan-CTO score and a new CTO algorithm, which is applicable globally. This algorithm allows for differing skill sets and equipment availability and contains practical teaching for CTO percutaneous coronary intervention. Similar to the hybrid algorithm there are 3 main questions that determine whether the primary approach is antegrade or retrograde: 1) is there proximal cap ambiguity; 2) is the distal vessel of poor quality; and 3) are there interventional collaterals present...
November 13, 2017: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/29048940/a-cpgcluster-teaching-learning-based-optimization-for-prediction-of-cpg-islands-in-the-human-genome
#2
Cheng-Hong Yang, Yi-Cheng Chiang, Li-Yeh Chuang, Yu-Da Lin
Many CpG island detection methods have been proposed based on sliding window and clustering technology, but the accuracy of these methods is proportional to the time required. Therefore, an accurate and rapid method for identifying CpG islands remains an important challenge in the complete human genome. We propose a hybrid method CpGTLBO to detect the CpG islands in the human genome. The method uses the clustering approach and the teaching-learning-based optimization (TLBO) algorithm. The clustering approach is used to detect CpG island candidates, and it can effectively reduce the huge volume of unnecessary DNA fragments...
October 19, 2017: Journal of Computational Biology: a Journal of Computational Molecular Cell Biology
https://www.readbyqxmd.com/read/29019167/hybrid-simulation-in-teaching-clinical-breast-examination-to-medical-students
#3
Joseph Nassif, Abdul-Karim Sleiman, Anwar H Nassar, Sima Naamani, Rana Sharara-Chami
Clinical breast examination (CBE) is traditionally taught to third-year medical students using a lecture and a tabletop breast model. The opportunity to clinically practice CBE depends on patient availability and willingness to be examined by students, especially in culturally sensitive environments. We propose the use of a hybrid simulation model consisting of a standardized patient (SP) wearing a silicone breast simulator jacket and hypothesize that this, compared to traditional teaching methods, would result in improved learning...
October 10, 2017: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/28966730/cognitive-load-measurement-in-a-virtual-reality-based-driving-system-for-autism-intervention
#4
Lian Zhang, Joshua Wade, Dayi Bian, Jing Fan, Amy Swanson, Amy Weitlauf, Zachary Warren, Nilanjan Sarkar
Autism Spectrum Disorder (ASD) is a highly prevalent neurodevelopmental disorder with enormous individual and social cost. In this paper, a novel virtual reality (VR)-based driving system was introduced to teach driving skills to adolescents with ASD. This driving system is capable of gathering eye gaze, electroencephalography, and peripheral physiology data in addition to driving performance data. The objective of this paper is to fuse multimodal information to measure cognitive load during driving such that driving tasks can be individualized for optimal skill learning...
April 2017: IEEE Transactions on Affective Computing
https://www.readbyqxmd.com/read/28965792/what-do-women-want-valuing-women-s-preferences-and-estimating-demand-for-alternative-models-of-maternity-care-using-a-discrete-choice-experiment
#5
Christopher G Fawsitt, Jane Bourke, Richard A Greene, Brendan McElroy, Nicolas Krucien, Rosemary Murphy, Jennifer E Lutomski
In many countries, there has been a considerable shift towards providing a more woman-centred maternity service, which affords greater consumer choice. Maternity service provision in Ireland is set to follow this trend with policymakers committed to improving maternal choice at hospital level. However, women's preferences for maternity care are unknown, as is the expected demand for new services. In this paper, we used a discrete choice experiment (DCE) to (1) investigate women's strengths of preference for different features of maternity care; (2) predict market uptake for consultant- and midwifery-led care, and a hybrid model of care called the Domiciliary In and Out of Hospital Care scheme; and (3) calculate the welfare change arising from the provision of these services...
November 2017: Health Policy
https://www.readbyqxmd.com/read/28928914/reducing-radiation-exposure-in-an-electrophysiology-lab-with-introduction-of-newer-fluoroscopic-technology
#6
Munish Sharma, Koroush Khalighi
The use of fluoroscopic devices exposes patients and operators to harmful effects of ionizing radiation in an electrophysiology (EP) lab. We sought to know if the newer fluoroscopic technology (Allura Clarity) installed in a hybrid EP helps to reduce prescribed radiation dose. We performed radiation dose analysis of 90 patients who underwent various procedures in the EP lab at a community teaching hospital after the introduction of newer fluoroscopic technology in June of 2016. Watchman device insertion, radiofrequency ablation procedures, permanent pacemaker (PPM)/implantable cardioverter defibrillator (ICD) placement and battery changes were included in the study to compare radiation exposure during different procedures performed commonly in an EP lab...
June 7, 2017: Clinics and Practice
https://www.readbyqxmd.com/read/28877678/extranodal-natural-killer-t-cell-lymphoma-in-malawi-a-report-of-three-cases
#7
Tamiwe Tomoka, Eric Powers, Toon van der Gronde, Amy Amuquandoh, Bal Mukunda Dhungel, Coxcilly Kampani, Steve Kamiza, Nathan D Montgomery, Yuri Fedoriw, Satish Gopal
BACKGROUND: Extranodal NK/T-cell lymphoma (ENKTCL) reports from sub-Saharan Africa (SSA) are remarkably rare, despite early childhood acquisition and high prevalence of the causative infectious agent, Epstein-Barr virus (EBV), and frequent occurrence of other lymphoproliferative disorders causally associated with EBV. CASE PRESENTATIONS: At a national teaching hospital in Malawi, three patients of African descent were seen with ENKTCL between 2013 and 2014. Patients were aged between 29 and 60 years, two with craniofacial involvement and one with a primary abdominal tumor, and all were HIV-negative...
September 6, 2017: BMC Cancer
https://www.readbyqxmd.com/read/28861354/epstein-barr-virus-encoded-small-rnas-in-idiopathic-orbital-inflammatory-pseudotumor-tissues-a-comparative-case-series
#8
Min-Wei Ren, Yi Du, Shan Ren, Cheng-Ye Tang, Jian-Feng He
AIM: To investigate the positive rate and types of cells that express Epstein-Barr virus-encoded small RNAs (EBERs) and to determine the distribution of EBER-expressing cells in idiopathic orbital inflammatory pseudotumor (IOIP) tissues. METHODS: We retrospectively examined 40 archived paraffin specimens from two teaching hospitals in Southern China between January 2007 and January 2015 that were pathologically determined to exhibit IOIP. Eleven concurrent paraffin specimens of thyroid-associated ophthalmopathy (TAO) composed the control group...
2017: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/28830556/transmission-and-characterization-of-bla-ndm-1-in-enterobacter-cloacae-at-a-teaching-hospital-in-yunnan-china
#9
Na Du, Shumin Liu, Min Niu, Yong Duan, Shuangmeng Zhang, Jing Yao, Jian Mao, Ran Chen, Yan Du
BACKGROUND: In recent years, New Delhi metallo-beta-lactamases 1 (bla NDM-1) has been reported with increasing frequency and become prevalent. The present study was undertaken to investigate the epidemiological dissemination of the bla NDM-1 gene in Enterobacter cloacae isolates at a teaching hospital in Yunnan, China. METHODS: Antimicrobial susceptibility testing was performed using VITEK 2 system and E test gradient strips. The presence of integrons and insertion sequence common region 1 were examined by PCR and sequencing...
August 22, 2017: Annals of Clinical Microbiology and Antimicrobials
https://www.readbyqxmd.com/read/28818008/occupational-therapy-student-experiences-of-a-university-mental-health-course-based-on-an-integrated-application-of-problem-based-and-team-based-learning
#10
Annika Lexén, Jenny Hultqvist, Gunilla Amnér
BACKGROUND: The goal of problem-based and team-based learning (PBL/TBL) is to maximize student engagement and encourage interactive learning. Combining these methods in course design is described as a win-win situation that optimizes student learning, professional development, and uses varied teaching approaches that fit well within health science. More research is needed in the effectiveness of such a hybrid approach. OBJECTIVES: The aim of this study was to explore student experiences of a newly developed mental health course based on an integrated application of PBL and TBL in a university occupational therapy program in Sweden...
August 17, 2017: Scandinavian Journal of Occupational Therapy
https://www.readbyqxmd.com/read/28806277/nursing-faculty-attitudes-and-practices-related-to-online-teaching
#11
Lisa Broussard, Kathleen Wilson
Online education as a teaching methodology is relatively new in higher education in comparison to traditional face-to-face instruction. There is often concern that the quality of online classes is inferior and that academic rigor is compromised when faculty are not engaged with students in a classroom. The purpose of this pilot study was to assess nursing faculty attitudes and practices regarding online teaching. Findings indicated that overall, faculty feel that achievement of student learning outcomes in online and hybrid settings is comparable to face-to-face and report excitement with most aspects of teaching online...
August 10, 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/28750911/technology-meets-tradition-the-perceived-impact-of-the-introduction-of-information-and-communication-technology-on-ward-rounds-in-the-intensive-care-unit
#12
Jennifer J Plumb, Isla Hains, Michael J Parr, David Milliss, Robert Herkes, Johanna I Westbrook
BACKGROUND: Public policy in many health systems is currently dominated by the quest to find ways to 'do more with less'-to achieve better outcomes at a reduced cost. The success or failure of initiatives in support of this quest are often understood in terms of an adversarial dynamic or struggle between the professional logics of medicine and of management. Here, we use the case of the introduction of information and communication technology (ICT) to a well-established ritual of medical autonomy (the medical ward round) to articulate a more nuanced explanation of how and why new ways of working with technology are accepted and adopted (or not)...
September 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/28696053/learning-effectiveness-and-satisfaction-of-international-medical-students-introducing-a-hybrid-pbl-curriculum-in-biochemistry
#13
Qiu Yan, Li Ma, Lina Zhu, Wenli Zhang
A biochemistry course is a fundamental but important subject in medical education in China. In recent years, the number of international medical students has increased. Curriculum reform in biochemistry teaching is needed because of the knowledge limitations of students, a close linkage of biochemical content with clinics, the shortcomings of lecture-centered teaching, and the requirements for early clinical practice training and competence. In this study, we analyzed a novel curriculum reform, "Hybrid-PBL," which combined problem-based learning (PBL) with biochemistry lectures and was implemented for biochemical teaching at Dalian Medical University (DMU) in China...
July 8, 2017: Biochemistry and Molecular Biology Education
https://www.readbyqxmd.com/read/28679576/best-practices-for-learning-physiology-combining-classroom-and-online-methods
#14
Lisa C Anderson, Kathleen E Krichbaum
Physiology is a requisite course for many professional allied health programs and is a foundational science for learning pathophysiology, health assessment, and pharmacology. Given the demand for online learning in the health sciences, it is important to evaluate the efficacy of online and in-class teaching methods, especially as they are combined to form hybrid courses. The purpose of this study was to compare two hybrid physiology sections in which one section was offered mostly in-class (85% in-class), and the other section was offered mostly online (85% online)...
September 1, 2017: Advances in Physiology Education
https://www.readbyqxmd.com/read/28679573/the-effect-of-flipped-teaching-combined-with-modified-team-based-learning-on-student-performance-in-physiology
#15
Chaya Gopalan, Megan C Klann
Flipped classroom is a hybrid educational format that shifts guided teaching out of class, thus allowing class time for student-centered learning. Although this innovative teaching format is gaining attention, there is limited evidence on the effectiveness of flipped teaching on student performance. We compared student performance and student attitudes toward flipped teaching with that of traditional lectures using a partial flipped study design. Flipped teaching expected students to have completed preclass material, such as assigned reading, instructor-prepared lecture video(s), and PowerPoint slides...
September 1, 2017: Advances in Physiology Education
https://www.readbyqxmd.com/read/28658267/impact-of-a-hybrid-tgfu-sport-education-unit-on-student-motivation-in-physical-education
#16
Alexander Gil-Arias, Stephen Harvey, Adrián Cárceles, Alba Práxedes, Fernando Del Villar
The Teaching Games for Understanding (TGfU) and Sport Education (SE) pedagogical models share several objectives and pedagogical processes. Despite this seemingly uncanny relationship, few studies have examined the efficacy of a hybrid TGfU/SE pedagogical model, particularly how a teacher's utilization of such a model impacts on student motivation. The purpose of the current study was to investigate the effect a hybrid TGfU/SE unit, in comparison to direct instruction, on students' perceptions of various aspects of their motivation to engage in physical education (autonomous motivation, basic psychological needs, enjoyment and intention to be physically active)...
2017: PloS One
https://www.readbyqxmd.com/read/28646974/testing-the-feasibility-of-a-briefer-school-based-preventive-intervention-with-aggressive-children-a-hybrid-intervention-with-face-to-face-and-internet-components
#17
John E Lochman, Caroline L Boxmeyer, Shannon Jones, Lixin Qu, David Ewoldsen, W Michael Nelson
This study describes the results from a feasibility study of an innovative indicated prevention intervention with hybrid face-to-face and web-based components for preadolescent youth. This intervention includes a considerably briefer set of face-to-face sessions from the evidence-based Coping Power program and a carefully integrated internet component with practice and teaching activities and cartoon videos for children and for parents. The Coping Power - Internet Enhanced (CP-IE) program introduces a set of cognitive-behavioral skills in 12 small group sessions for children delivered during the school day and 7 group sessions for parents...
June 2017: Journal of School Psychology
https://www.readbyqxmd.com/read/28612403/a-meta-analysis-of-anatomy-laboratory-pedagogies
#18
Adam B Wilson, Corinne H Miller, Barbie A Klein, Melissa A Taylor, Michael Goodwin, Eve K Boyle, Kirsten Brown, Chantal Hoppe, Michelle Lazarus
INTRODUCTION The debate regarding anatomy laboratory teaching approaches is ongoing and controversial. To date, the literature has yielded only speculative conclusions due to general methodological weaknesses and a lack of summative empirical evidence. Through a meta-analysis, this study compared the effectiveness of instructional laboratory approaches used in anatomy education to objectively and more conclusively synthesize the existing literature. MATERIALS AND METHODS Studies published between January 1965 and December 2015 were searched through five databases...
June 13, 2017: Clinical Anatomy
https://www.readbyqxmd.com/read/28534436/perceptions-of-sport-science-students-on-the-potential-applications-and-limitations-of-blended-learning-in-their-education-a-qualitative-study
#19
Justin W L Keogh, Lisa Gowthorp, Michelle McLean
This study sought to gain insight into blended learning-naive sports science students' understanding and perceptions of the potential benefits and limitations of blended (hybrid) learning, which has been defined as the thoughtful integration of face-to-face and online instructional approaches. Five focus groups, each comprising 3-4 students from either the undergraduate or postgraduate sports science programmes were conducted. The focus groups were facilitated by a researcher who was not involved in sports science...
September 2017: Sports Biomechanics
https://www.readbyqxmd.com/read/28506972/career-and-research-outcomes-of-the-physician-scientist-training-program-at-the-university-of-calgary-a-retrospective-cohort-study
#20
Jason T Bau, Alexandra D Frolkis, Nabeela Nathoo, Bryan G Yipp, Morley D Hollenberg, Paul L Beck
BACKGROUND: Physician-scientists are integral to medical research, with medical programs throughout Canada invested in training hybrid physician-scientists. Few data exist as to whether these programs are generating the diversity, gender equity and numbers of trainees essential for the future of medical research and teaching. We aimed to identify factors that contribute to research productivity, diversity and retention of individuals as physician-scientists. METHODS: We completed a retrospective cohort study, for the period 1973 to 2015, of the University of Calgary Leaders in Medicine Program in Calgary, Alberta...
May 15, 2017: CMAJ Open
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