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https://www.readbyqxmd.com/read/29120208/university-students-perceived-need-for-mental-health-services-a-study-of-variables-related-to-not-seeking-help
#1
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
#2
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
#3
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...
October 4, 2017: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29044408/testing-a-positive-psychological-intervention-for-osteoarthritis
#4
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
#5
(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
#6
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
#7
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
https://www.readbyqxmd.com/read/28877293/thermodilution-vs-estimated-fick-cardiac-output-measurement-in-clinical-practice-an-analysis-of-mortality-from-the-veterans-affairs-clinical-assessment-reporting-and-tracking-va-cart-program-and-vanderbilt-university
#8
Alexander R Opotowsky, Edward Hess, Bradley A Maron, Evan L Brittain, Anna E Barón, Thomas M Maddox, Laith I Alshawabkeh, Bradley M Wertheim, Meng Xu, Tufik R Assad, Jonathan D Rich, Gaurav Choudhary, Ryan J Tedford
Importance: Thermodilution (Td) and estimated oxygen uptake Fick (eFick) methods are widely used to measure cardiac output (CO). They are often used interchangeably to make critical clinical decisions, yet few studies have compared these approaches as applied in medical practice. Objectives: To assess agreement between Td and eFick CO and to compare how well these methods predict mortality. Design, Setting, and Participants: This investigation was a retrospective cohort study with up to 1 year of follow-up...
October 1, 2017: JAMA Cardiology
https://www.readbyqxmd.com/read/28761013/why-gupta-et-al-s-critique-of-niche-construction-theory-is-off-target
#9
Marcus W Feldman, John Odling-Smee, Kevin N Laland
Gupta et al., in their article in this issue ('Niche construction in evolutionary theory: the construction of an academic niche?'. doi:10.1007/s12041-017-0787-6), lament 'serious problems with the way science is being done' and suggest that 'niche construction theory exemplifies this state of affairs.' However, their aggressively confrontational but superficial critique of niche construction theory (NCT) only contributes to these problems by attacking claims that NCT does not make. This is unfortunate, as their poor scholarship has done a disservice to the evolutionary biology community through propagating misinformation...
July 2017: Journal of Genetics
https://www.readbyqxmd.com/read/28756056/healthcare-costs-related-to-treatment-of-hepatocellular-carcinoma-among-veterans-with-cirrhosis-in-the-united-states
#10
David E Kaplan, Michael K Chapko, Rajni Mehta, Feng Dai, Melissa Skanderson, Ayse Aytaman, Michelle Baytarian, Kathryn D'Addeo, Rena Fox, Kristel Hunt, Christine Pocha, Adriana Valderrama, Tamar H Taddei
BACKGROUND & AIMS: It is important to quantify medical costs associated with hepatocellular carcinoma (HCC), the incidence of which is rapidly increasing in the United States, for development of rational healthcare policies related to liver cancer surveillance and treatment of chronic liver disease. We aimed to comprehensively quantify healthcare costs for HCC among patients with cirrhosis in an integrated health system and develop a model for predicting costs that is based on clinically relevant variables...
July 26, 2017: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/28720927/report-of-the-2016-17-academic-affairs-standing-committee-entrustable-professional-activities-implementation-roadmap
#11
Amy L Pittenger, Debra A Copeland, Matthew M Lacroix, Quamrun N Masuda, Peter Mbi, Melissa S Medina, Susan M Miller, Scott K Stolte, Cecilia M Plaza
The purpose of this report is to: 1) Identify linkages across the EPA statements, Center for the Advancement of Pharmacy Education 2013 Educational Outcomes (CAPE 2013) and the Joint Commission of Pharmacy Practitioners' Pharmacist Patient Care Process (PPCP); 2) Provide ways EPA statements can be used to communicate core skills that are part of the entry-level pharmacist identity; 3) Suggest a potential roadmap for AACP members on how to implement EPA statements.
June 2017: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/28699945/contextual-influences-of-trainee-characteristics-and-daily-workload-on-trainee-learning-preferences
#12
Brita Roy, Nidhi Huff, Carlos Estrada, Analia Castiglioni, Lisa Willett, Robert Centor
We previously defined teaching domains necessary for successful inpatient medicine attending rounds from the trainees' perspective in Role Modeling, Learning Environment, Teaching Process and Team Management. We sought to understand whether trainee characteristics and daily fluctuations in workload influence the prioritization of these domains. We conducted a prospective observational study in general medicine inpatient wards at a university, Veterans Affairs, and a county hospital affiliated with one academic institution over the course of 6 months...
July 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28658016/leadership-development-programs-at-academic-health-centers-results-of-a-national-survey
#13
Raymond Lucas, Ellen F Goldman, Andrea R Scott, Valerie Dandar
PURPOSE: To identify the prevalence and characteristics of faculty leadership development programs (LDPs) offered by North American academic health centers (AHCs) and to uncover gaps in leadership training. METHOD: Faculty development/affairs deans of the 161 Association of American Medical Colleges member schools were surveyed in 2015 on their approach to faculty leadership training. For AHCs delivering their own training, the survey included questions about LDP participants, objectives, curriculum, delivery, resources, and evaluation...
June 27, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28574804/the-best-of-times
#14
Johanna T Dwyer
I came of age as a nutrition scientist during the best of times-years that spanned a rapidly changing world of food and nutrition science, politics, and policy that greatly broadened the specialty and its influence on public affairs. I followed the conventional route in academe, working my way up the academic ladder in Boston from a base first in a school of public health and later in a teaching hospital and medical school, interspersed with stints in Washington, DC. Thus I tell a tale of two cities. Those were the best of times because nutrition science and policy converged and led to important policies and programs that shaped the field for the next 50 years...
August 21, 2017: Annual Review of Nutrition
https://www.readbyqxmd.com/read/28525633/scan-echo-for-pain-management-implementing-a-regional-telementoring-training-for-primary-care-providers
#15
Sherry Ball, Brigid Wilson, Scott Ober, Ali Mchaourab
Objective.:  The Specialty Care Access Network-Extension for Community Health Outcomes (SCAN-ECHO) is a video teleconferencing-based training program where primary care providers are trained by a specialty care team to provide specialty care. A multidisciplinary team of pain management specialists at the Cleveland Veterans Affairs Medical Center established such a program for pain management; a description and preliminary effectiveness assessment of this training program is presented...
May 19, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/28489453/association-of-decision-making-with-patients-perceptions-of-care-and-knowledge-during-longitudinal-pulmonary-nodule-surveillance
#16
Donald R Sullivan, Sara E Golden, Linda Ganzini, Renda Soylemez Wiener, Karen B Eden, Christopher G Slatore
RATIONALE: Patient participation in medical decision-making is widely advocated, but outcomes are inconsistent. OBJECTIVES: We examined the associations between medical decision-making roles, and patients' perceptions of their care and knowledge while undergoing pulmonary nodule surveillance. METHODS: The study setting was an academically affiliated Veterans Affairs hospital network in which 121 participants had 319 decision-making encounters...
November 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/28476277/implementing-smoking-cessation-guidelines-for-hospitalized-veterans-cessation-results-from-the-va-best-trial
#17
Mark W Vander Weg, John E Holman, Hafizur Rahman, Mary Vaughan Sarrazin, Stephen L Hillis, Steven S Fu, Kathleen M Grant, Allan V Prochazka, Susan L Adams, Catherine T Battaglia, Lynne M Buchanan, David Tinkelman, David A Katz
PURPOSE: To examine the impact of a nurse-initiated tobacco cessation intervention focused on providing guideline-recommended care to hospitalized smokers. DESIGN: Pre-post quasi-experimental trial. SETTING: General medical units of four US Department of Veterans Affairs hospitals. SUBJECTS: 898 adult Veteran smokers (503 and 395 were enrolled in the baseline and intervention periods, respectively). INTERVENTION: The intervention included academic detailing, adaptation of the computerized medical record, patient self-management support, and organizational support and feedback...
June 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28449592/-i-had-to-change-so-much-in-my-life-to-live-with-my-new-limitations-multimorbid-patients-descriptions-of-their-most-bothersome-chronic-conditions
#18
Cindie A Slightam, Kirsten Brandt, Emily C Jenchura, Eleanor T Lewis, Steven M Asch, Donna M Zulman
Objective To characterize diseases that are described as most bothersome by individuals with multiple chronic conditions and to identify themes that characterize their experiences with their most bothersome condition. Methods In a survey of patients at an academic center and a Veterans Affairs hospital, we asked individuals with multiple chronic conditions to identify their most bothersome chronic condition and describe why it is challenging. Standard content analysis methods were used to code responses and identify themes reflecting characteristics of most bothersome conditions...
January 1, 2017: Chronic Illness
https://www.readbyqxmd.com/read/28427430/profile-and-professional-expectations-of-medical-students-from-11-latin-american-countries-the-red-lirhus-project
#19
Percy Mayta-Tristán, Reneé Pereyra-Elías, Juan José Montenegro-Idrogo, Christian R Mejia, Fiorella Inga-Berrospi, Edward Mezones-Holguín
BACKGROUND: Latin America is undergoing a human resource crisis in health care in terms of labor shortage, misdistribution and poor orientation to primary care. Workforce data are needed to inform the planning of long-term strategies to address this problem. This study aimed to evaluate the academic and motivational profile, as well as the professional expectations, of Latin American medical students. RESULTS: We conducted an observational, cross-sectional, multi-country study evaluating medical students from 11 Spanish-speaking countries in 2011-2012...
April 20, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28422561/development-and-feasibility-of-a-structured-goals-of-care-communication-guide
#20
David B Bekelman, Rachel Johnson-Koenke, Sangeeta C Ahluwalia, Anne M Walling, Jamie Peterson, Rebecca L Sudore
BACKGROUND: Discussing goals of care and advance care planning is beneficial, yet how to best integrate goals of care communication into clinical care remains unclear. OBJECTIVE: To develop and determine the feasibility of a structured goals of care communication guide for nurses and social workers. DESIGN/SETTING/SUBJECTS: Developmental study with providers in an academic and Veterans Affairs (VA) health system (n = 42) and subsequent pilot testing with patients with chronic obstructive pulmonary disease or heart failure (n = 15) and informal caregivers (n = 4) in a VA health system...
September 2017: Journal of Palliative Medicine
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