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https://www.readbyqxmd.com/read/29746651/the-impact-of-the-veteran-s-affairs-medical-system-on-an-otolaryngology-residency-training-program
#1
Alexander Lanigan, Mark Spaw, Christopher Donaghe, Joseph Brennan
Introduction: The field of otolaryngology has become the leading specialty in the management of head and neck pathology and trauma. Graduate medical education programs tasked to train military head and neck surgeons within the Department of Defense (DoD) maintain certification by ensuring adequate surgical case volume and training. In recent years, surgical case numbers have declined due to an overall healthy active duty patient population and deployments of residency faculty. As such, a novel initiative between the San Antonio Military Medical Center and the South Texas Veteran's Healthcare system was developed to provide seamless care among active duty service members, dependents, retirees, and veterans...
May 9, 2018: Military Medicine
https://www.readbyqxmd.com/read/29652010/a-survey-on-the-use-of-various-gingival-displacement-techniques-in-fixed-partial-denture-by-the-prosthodontists-in-vadodara-city
#2
Meghna Ashok Gadhavi, Narendra Nirmal, Himanshu Arora
Aims: To evaluate the use of various gingival displacement techniques prior to impression making in fixed partial dentures by the Prosthodontists in Vadodara. Settings and Design: Questionnaire based survey among prosthodontists in Vadodara city. Methods and Material: All the prosthodontists practitioners and those prosthodontists in academic institutes in Vadodara City, Gujarat, were surveyed through a questionnaire regarding their usage of gingival displacement technique and their reasons and methods of using gingival displacement technique for fixed partial denture...
March 2018: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
https://www.readbyqxmd.com/read/29622008/factors-associated-with-internal-medicine-physician-job-attitudes-in-the-veterans-health-administration
#3
David C Mohr, Jennifer L Eaton, Mark Meterko, Kelly L Stolzmann, Joseph D Restuccia
BACKGROUND: US healthcare organizations increasingly use physician satisfaction and attitudes as a key performance indicator. Further, many health care organizations also have an academically oriented mission. Physician involvement in research and teaching may lead to more positive workplace attitudes, with subsequent decreases in turnover and beneficial impact on patient care. This article aimed to understand the influence of time spent on academic activities and perceived quality of care in relation to job attitudes among internal medicine physicians in the Veterans Health Administration (VHA)...
April 5, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29564125/therapeutics-discovery-from-bench-to-first-in-human-trials
#4
Ensaf M Al-Hujaily, Tanvir Khatlani, Zeyad Alehaideb, Rizwan Ali, Bader Almuzaini, Bahauddeen M Alrfaei, Jahangir Iqbal, Imadul Islam, Shuja Malik, Bader A Marwani, Salam Massadeh, Atef Nehdi, Barrak Alsomaie, Bader Debasi, Ibraheem Bushnak, Saeed Noibi, Syed Hussain, Wahid Abdul Wajid, Jean-Pierre Armand, Sheraz Gul, Julen Oyarzabal, Rana Rais, Chas Bountra, Ahmed Alaskar, Bander Al Knawy, Mohamed Boudjelal
The 'Therapeutics discovery: From bench to first in-human trials' conference, held at the King Abdullah International Medical Research Center (KAIMRC), Ministry of National Guard Health Affairs (MNGHA), Kingdom of Saudi Arabia (KSA) from October 10-12, 2017, provided a unique opportunity for experts worldwide to discuss advances in drug discovery and development, focusing on phase I clinical trials. It was the first event of its kind to be hosted at the new research center, which was constructed to boost drug discovery and development in the KSA in collaboration with institutions, such as the Academic Drug Discovery Consortium in the United States of America (USA), Structural Genomics Consortium of the University of Oxford in the United Kingdom (UK), and Institute of Materia Medica of the Chinese Academy of Medical Sciences in China...
March 2018: Biomedical Reports
https://www.readbyqxmd.com/read/29514558/perioperative-surgical-home-reduces-rapid-response-calls-to-a-postoperative-surgical-ward-how-anesthesiologists-are-improving-the-inpatient-safety-net
#5
Tessa L Walters, T Edward Kim, Edward R Mariano, Geoffrey Kenton Lighthall
BACKGROUND: The Perioperative Surgical Home (PSH) is an anesthesiologist-led, coordinated care model that may improve patient experience and safety. We hypothesized that PSH will decrease activation of the rapid response system for surgical inpatients. METHODS: This retrospective study was performed at an academic Veterans Affairs hospital with a PSH. Data from both medical and surgical cohorts admitted to a single ward were analyzed for the Pre-PSH (July 2006 to October 2010) and Post-PSH (November 2011 to May 2015) epochs...
March 1, 2018: Seminars in Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/29482218/effect-of-a-collaborative-care-intervention-vs-usual-care-on-health-status-of-patients-with-chronic-heart-failure-the-casa-randomized-clinical-trial
#6
David B Bekelman, Larry A Allen, Connor F McBryde, Brack Hattler, Diane L Fairclough, Edward P Havranek, Carolyn Turvey, Paula M Meek
Importance: Many patients with chronic heart failure experience reduced health status despite receiving conventional therapy. Objective: To determine whether a symptom and psychosocial collaborative care intervention improves heart failure-specific health status, depression, and symptom burden in patients with heart failure. Design, Setting, and Participants: A single-blind, 2-arm, multisite randomized clinical trial was conducted at Veterans Affairs, academic, and safety-net health systems in Colorado among outpatients with symptomatic heart failure and reduced health status recruited between August 2012 and April 2015...
April 1, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/29461131/interprofessional-transformation-of-clinical-education-the-first-six-years-of-the-veterans-affairs-centers-of-excellence-in-primary-care-education
#7
Nancy D Harada, Laural Traylor, Kathryn Wirtz Rugen, Judith L Bowen, C Scott Smith, Bradford Felker, Deborah Ludke, Ivy Tonnu-Mihara, Joshua L Ruberg, Jayson Adler, Kimberly Uhl, Annette L Gardner, Stuart C Gilman
This paper describes the Centers of Excellence in Primary Care Education (CoEPCE), a seven-site collaborative project funded by the Office of Academic Affiliations (OAA) within the Veterans Health Administration of the United States Department of Veterans Affairs (VA). The CoEPCE was established to fulfill OAA's vision of large-scale transformation of the clinical learning environment within VA primary care settings. This was accomplished by funding new Centers within VA facilities to develop models of interprofessional education (IPE) to teach health professions trainees to deliver high quality interprofessional team-based primary care to Veterans...
February 20, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29421166/defining-the-scope-of-prognosis-primary-care-clinicians-perspectives-on-predicting-the-future-health-of-older-adults
#8
John M Thomas, Terri R Fried
CONTEXT: Studies examining the attitudes of clinicians toward prognostication for older adults have focused on life expectancy prediction. Little is known about whether clinicians approach prognostication in other ways. OBJECTIVES: To describe how clinicians approach prognostication for older adults, defined broadly as making projections about patients' future health. METHODS: In five focus groups, 30 primary care clinicians from community-based, academic-affiliated, and Veterans Affairs primary care practices were given open-ended questions about how they make projections about their patients' future health and how this informs the approach to care...
May 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29385020/persistent-symptoms-and-objectively-measured-balance-performance-among-oef-oif-veterans-with-remote-mild-traumatic-brain-injury
#9
Jeffrey R Hebert, Jeri E Forster, Kelly A Stearns-Yoder, Molly E Penzenik, Lisa A Brenner
OBJECTIVE: To investigate linear relationships between dizziness, fatigue, and depression and posttraumatic stress disorder (PTSD) and objectively measured balance performance in Veterans with remote mild traumatic brain injury (mTBI). SETTING: Academic laboratory; Veterans Affairs Medical Center. PARTICIPANTS: Thirty Veterans (28 men) who served in Iraq/Afghanistan and whose most recent mTBI was sustained more than 6 months prior to enrollment...
January 30, 2018: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/29369267/advancing-professional-development-through-a-community-of-practice-the-new-england-network-for-faculty-affairs
#10
Christine M Power, Luanne E Thorndyke, Robert J Milner, Kathleen Lowney, Charles G Irvin, Zoe Fonseca-Kelly, Emelia J Benjamin, Robina M Bhasin, Maureen T Connelly
INTRODUCTION: In an era of competing priorities, funding is increasingly restricted for offices of faculty affairs and development. Opportunities for professional staff to grow and network through attendance at national meetings and to share best practices are limited. We sought to describe a community of practice established to enhance the professional development of faculty affairs professionals and to document its impact. METHODS: We outlined the process of formation of the New England Network for Faculty Affairs (NENFA), reviewed the pedagogical approaches to professional development, and surveyed members to evaluate the impact of NENFA on their activities, professional network and their institutions...
January 18, 2018: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/29279029/beyond-leisure-the-role-of-alcohol-in-the-lives-of-nigerian-university-students
#11
Emeka W Dumbili, Blessing N Onyima
BACKGROUND: Alcohol consumption among young people in Nigeria has traditionally been constrained due to the socio-cultural belief that alcohol is for adults. In contemporary Nigeria, media reports indicate that young people drink alcohol regularly in large quantities, but empirical research on what motivates their alcohol use is lacking. OBJECTIVES: To explore the motives for consuming alcohol among male and female students at a Nigerian university. METHODS: Drawing on motivational theories of alcohol use, 31 semi-structured interviews were conducted with students (aged 19-23 years)...
December 26, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/29277130/an-interdisciplinary-academic-detailing-approach-to-decrease-inappropriate-medication-prescribing-by-physician-residents-for-older-veterans-treated-in-the-emergency-department
#12
Jason M Moss, William E Bryan, Loren M Wilkerson, Heather A King, George L Jackson, Ryan K Owenby, Courtney H Van Houtven, Melissa B Stevens, James Powers, Camille P Vaughan, William W Hung, Ula Hwang, Alayne D Markland, Richard Sloane, William Knaack, Susan Nicole Hastings
OBJECTIVE: To evaluate the impact of an academic detailing intervention delivered as part of a quality improvement project by a physician-pharmacist pair on (1) self-reported confidence in prescribing for older adults and (2) rates of potentially inappropriate medications (PIMs) prescribed to older adults by physician residents in a Veteran Affairs emergency department (ED). METHODS: This quality improvement project at a single site utilized a questionnaire that assessed knowledge of Beers Criteria, self-perceived barriers to appropriate prescribing in older adults, and self-rated confidence in ability to prescribe in older adults which was administered to physician residents before and after academic detailing delivered during their emergency medicine rotation...
January 1, 2017: Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/29184849/giving-drugs-a-second-chance-overcoming-regulatory-and-financial-hurdles-in-repurposing-approved-drugs-as-cancer-therapeutics
#13
REVIEW
J Javier Hernandez, Michael Pryszlak, Lindsay Smith, Connor Yanchus, Naheed Kurji, Vijay M Shahani, Steven V Molinski
The repositioning or "repurposing" of existing therapies for alternative disease indications is an attractive approach that can save significant investments of time and money during drug development. For cancer indications, the primary goal of repurposed therapies is on efficacy, with less restriction on safety due to the immediate need to treat this patient population. This report provides a high-level overview of how drug developers pursuing repurposed assets have previously navigated funding efforts, regulatory affairs, and intellectual property laws to commercialize these "new" medicines in oncology...
2017: Frontiers in Oncology
https://www.readbyqxmd.com/read/29120208/university-students-perceived-need-for-mental-health-services-a-study-of-variables-related-to-not-seeking-help
#14
Sara Nash, Meggen Sixbey, Sunghee An, Ana Puig
This study analyzed data from the 2012 Student Experience in the Research University (SERU) survey, collected from undergraduate students at 9 universities. Researchers explored how demographic and behavioral variables related to avoidance of psychological help when needed. A total of 7,992 SERU participants responded to target items included in the present study. We examined whether student characteristics and behaviors differed between 3 self-report groups: (1) students who indicated they did not need counseling services; (2) students who reported needing counseling services, but not using them; and (3) students who reported using counseling services at least once during the 2012 academic year...
November 2017: Psychological Services
https://www.readbyqxmd.com/read/29117314/assessment-of-fluorodeoxyglucose-f18-labeled-positron-emission-tomography-for-diagnosis-of-high-risk-lung-nodules
#15
Amelia W Maiga, Stephen A Deppen, Sarah Fletcher Mercaldo, Jeffrey D Blume, Chandler Montgomery, Laszlo T Vaszar, Christina Williamson, James M Isbell, Otis B Rickman, Rhonda Pinkerman, Eric S Lambright, Jonathan C Nesbitt, Eric L Grogan
Importance: Clinicians rely heavily on fluorodeoxyglucose F18-labeled positron emission tomography (FDG-PET) imaging to evaluate lung nodules suspicious for cancer. We evaluated the performance of FDG-PET for the diagnosis of malignancy in differing populations with varying cancer prevalence. Objective: To determine the performance of FDG-PET/computed tomography (CT) in diagnosing lung malignancy across different populations with varying cancer prevalence. Design, Setting, and Participants: Multicenter retrospective cohort study at 6 academic medical centers and 1 Veterans Affairs facility that comprised a total of 1188 patients with known or suspected lung cancer from 7 different cohorts from 2005 to 2015...
November 8, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/29107461/vignettes-and-viewpoints-from-a-professional-autobiography
#16
EDITORIAL
Jeffrey M Lyness
In this professional autobiography, the author describes factors contributing to important decisions in his academic geriatric psychiatry career. Major inflection points included embarking on clinical research and later deciding to focus more on leadership roles in education and in faculty affairs. The discussion then examines themes that have emerged in reviewing this career arc, including the value of: the variety and social connectedness inherent in the academic life; cultivation of interpersonal relationships and best efforts as much as possible; an open mind ready to (collegially) seize new opportunities; and family, friends, and avocational pursuits as complements to one's profession...
March 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29044408/testing-a-positive-psychological-intervention-for-osteoarthritis
#17
Leslie R M Hausmann, Ada Youk, C Kent Kwoh, Said A Ibrahim, Michael J Hannon, Debra K Weiner, Rollin M Gallagher, Acacia Parks
Objective: Osteoarthritis is a leading cause of disability for which there is no cure. Psychosocial-oriented treatments are underexplored. We developed and tested an intervention to build positive psychological skills (e.g., gratitude) to reduce osteoarthritis symptom severity, including pain and functioning, and to improve psychosocial well-being in patients with knee or hip osteoarthritis. Design: Two-arm randomized design with six-month follow-up. Setting: An academic Veterans Affairs Medical Center...
October 1, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/28979003/correction-to-report-of-the-2016-17-academic-affairs-standing-committee-entrustable-professional-activities-implementation-roadmapcorrection-to-student-self-assessment-and-faculty-assessment-of-performance-in-an-interprofessional-error-disclosure-simulation
#18
(no author information available yet)
[This corrects the article DOI: 10.5688/ajpe815S4.][This corrects the article DOI: 10.5688/ajpe81354.].
August 2017: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/28931486/caring-for-the-veteran-military-and-family-member-nursing-competencies-strategies-for-integrating-content-into-nursing-school-curricula
#19
Libba Reed McMillan, David Crumbley, Julie Freeman, Marilyn Rhodes, Michele Kane, Joy Napper
In the United States, one in every 15 persons is a Veteran (U. S. Department of Veterans Affairs, 2016; U. S. News & World Report, 2017). An estimated 27% of these Veterans receive healthcare through the Veteran's Health Administration (VHA), leaving 73% to seek care in civilian hospitals (Bagalman, 2014). Realistically, most nurses in the United States will care for military members, Veterans or family members in a variety of healthcare systems and settings. Nurse educators are positioned to lead efforts in providing nursing students with the knowledge necessary to provide competent care and serve as advocates for our nation's heroes...
September 2017: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
https://www.readbyqxmd.com/read/28885879/infusion-room-based-transition-to-practice-model-for-teaching-cancer-systemic-therapy-management
#20
Jennifer M Duff, Merry-Jennifer Markham, Thomas J George, Julia L Close
PURPOSE: Oncology training requirements mandate that fellows demonstrate competence in delivery of cancer therapeutics, understand clinical indications for treatment, and manage toxicities by completion of training. An academic training environment may hinder fellows' engagement in prescribing, monitoring, and adjusting cancer therapy; thus, trainees may complete their fellowship with limited experience in developing such critical skills. To provide hands-on experience in cancer systemic therapy management, we created a novel infusion room-based rotation in the final year of training; here we report the structure, logistics, and evaluation of this innovative program...
November 2017: Journal of Oncology Practice
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