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https://www.readbyqxmd.com/read/29464134/crowdsourced-curriculum-development-for-online-medical-education
#1
REVIEW
Eric Shappell, Teresa M Chan, Brent Thoma, N Seth Trueger, Bob Stuntz, Robert Cooney, James Ahn
In recent years online educational content, efforts at quality appraisal, and integration of online material into institutional teaching initiatives have increased. However, medical education has yet to develop large-scale online learning centers. Crowd-sourced curriculum development may expedite the realization of this potential while providing opportunities for innovation and scholarship. This article describes the current landscape, best practices, and future directions for crowdsourced curriculum development using Kern's framework for curriculum development and the example topic of core content in emergency medicine...
December 8, 2017: Curēus
https://www.readbyqxmd.com/read/29459133/screening-for-mullerian-anomalies-in-patients-with-unilateral-renal-agenesis-leveraging-early-detection-to-prevent-complications
#2
M Alexandra Friedman, Liza Aguilar, Quetrell Heyward, Carol Wheeler, Anthony Caldamone
BACKGROUND: Mullerian anomalies have a known association with renal agenesis yet, to date, there are no formal recommendations for screening women with certain renal anomalies for associated genital tract disorders. OBJECTIVE: The objective of this study is to review current data regarding the association between renal and Mullerian anomalies, and propose screening recommendations. STUDY DESIGN: A comprehensive review of the literature was performed to identify relevant articles using the keywords "unilateral renal agenesis," "renal anomalies," and "Mullerian anomalies...
February 9, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29446250/how-do-small-groups-promote-behaviour-change-an-integrative-conceptual-review-of-explanatory-mechanisms
#3
Aleksandra J Borek, Charles Abraham
BACKGROUND: Small groups are used to promote health, well-being, and personal change by altering members' perceptions, beliefs, expectations, and behaviour patterns. An extensive cross-disciplinary literature has articulated and tested theories explaining how such groups develop, function, and facilitate change. Yet these theoretical understandings are rarely applied in the development, description, and evaluation of health-promotion, group-based, behaviour-change interventions. METHODS: Medline database, library catalogues, search engines, specific journals and reference lists were searched for relevant texts...
February 15, 2018: Applied Psychology. Health and Well-being
https://www.readbyqxmd.com/read/29439425/inappropriate-use-of-medication-by-elderly-polymedicated-or-multipathological-patients-with-chronic-diseases
#4
REVIEW
Virtudes Pérez-Jover, José J Mira, Concepción Carratala-Munuera, Vicente F Gil-Guillen, Josep Basora, Adriana López-Pineda, Domingo Orozco-Beltrán
The growth of the aging population leads to the increase of chronic diseases, of the burden of multimorbility, and of the complexity polypharmacy. The prevalence of medication errors rises in patients with polypharmacy in primary care, and this is a major concern to healthcare systems. This study reviews the published literature on the inappropriate use of medicines in order to articulate recommendations on how to reduce it in chronic patients, particularly in those who are elderly, polymedicated, or multipathological...
February 10, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29438461/backpack-programs-and-the-crisis-narrative-of-child-hunger-a-critical-review-of-the-rationale-targeting-and-potential-benefits-and-harms-of-an-expanding-but-untested-model-of-practice
#5
Maryah S Fram, Edward A Frongillo
In recent years, school-based food backpack programs (BPPs) have come into national prominence as a response to a perceived crisis of child hunger in America. Distributing bags of free food directly to schoolchildren for their own personal consumption each weekend, BPPs bring together private donors, faith communities, and public schools around an intuitively appealing project: children are hungry, and so we give them food. Perhaps because of their intuitive appeal, BPPs have expanded rapidly, without rigorous evaluation to determine their impacts on children, families, and schools...
January 1, 2018: Advances in Nutrition
https://www.readbyqxmd.com/read/29436887/machine-learning-in-autistic-spectrum-disorder-behavioral-research-a-review-and-ways-forward
#6
Fadi Thabtah
Autistic Spectrum Disorder (ASD) is a mental disorder that retards acquisition of linguistic, communication, cognitive, and social skills and abilities. Despite being diagnosed with ASD, some individuals exhibit outstanding scholastic, non-academic, and artistic capabilities, in such cases posing a challenging task for scientists to provide answers. In the last few years, ASD has been investigated by social and computational intelligence scientists utilizing advanced technologies such as machine learning to improve diagnostic timing, precision, and quality...
February 13, 2018: Informatics for Health & Social Care
https://www.readbyqxmd.com/read/29432037/applying-a-cognitive-neuroscience-perspective-to-disruptive-behavior-disorders-implications-for-schools
#7
Patrick M Tyler, Stuart F White, Ronald W Thompson, R J R Blair
A cognitive neuroscience perspective seeks to understand behavior, in this case disruptive behavior disorders (DBD), in terms of dysfunction in cognitive processes underpinned by neural processes. While this type of approach has clear implications for clinical mental health practice, it also has implications for school-based assessment and intervention with children and adolescents who have disruptive behavior and aggression. This review articulates a cognitive neuroscience account of DBD by discussing the neurocognitive dysfunction related to emotional empathy, threat sensitivity, reinforcement-based decision-making, and response inhibition...
February 12, 2018: Developmental Neuropsychology
https://www.readbyqxmd.com/read/29428904/developmental-disorder-of-podocytes-and-the-related-renal-diseases
#8
Ya-Nan Zhu, Ying Ao, Bin Li, Yang Wan, Hui Wang
Podocyte is one of the main components of glomerular filtration barrier in the kidney; the loss or dysfunction of podocyte could impair the functions of glomerular filtration barrier, leading to development of various renal diseases. Podocyte is a terminally differentiated cell, and thus does not possess any proliferative properties. Accordingly, its number and contribution to renal function are initially determined by its normal development. Information from the literature and results of our research indicate that genetic factors or prenatal adverse environment could cause developmental retardation of podocytes, thereby suggesting the potential fetal developmental origin(s) of kidney diseases, and involvement of epigenetic mechanisms in the regulation of key genes in podocyte development...
February 20, 2018: Yi Chuan, Hereditas
https://www.readbyqxmd.com/read/29422099/applying-the-results-based-management-framework-to-the-cerca-multi-component-project-in-adolescent-sexual-and-reproductive-health-a-retrospective-analysis
#9
Kathya Cordova-Pozo, Andrea J Hoopes, Freddy Cordova, Bernardo Vega, Zoyla Segura, Arnold Hagens
BACKGROUND: Adolescent sexual and reproductive health (SRH), problems such as unplanned pregnancies are complex and multifactorial, thus requiring multifaceted prevention interventions. Evaluating the impact of such interventions is important to ensure efficiency, effectiveness and accountability for project funders and community members. In this study, we propose Results Based Management (RBM) as a framework for project management, using the Community Embedded Reproductive Health Care for Adolescents (CERCA) as a case study for RBM...
February 8, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29419942/professional-nursing-values-a-concept-analysis
#10
Bonnie J Schmidt, Erin C McArthur
AIM: The aim of this concept analysis is to clarify the meaning of professional nursing values. BACKGROUND: In a time of increasing ethical dilemmas, it is essential that nurses internalize professional values to develop and maintain a professional identity. However, nursing organizations and researchers provide different conceptions of professional nursing values, leading to a lack of clarity as to the meaning and attributes of this construct. DESIGN: Walker and Avant's (2011) method was used to guide an analysis of this concept...
January 2018: Nursing Forum
https://www.readbyqxmd.com/read/29417740/the-clinical-educator-and-complexity-a-review
#11
REVIEW
Adrian Schoo, Koshila Kumar
BACKGROUND: Complexity science perspectives have helped in examining fundamental assumptions about learning and teaching in the health professions. The implications of complexity thinking for how we understand the role and development of the clinical educator is less well articulated. This review article outlines: the key principles of complexity science; a conceptual model that situates the clinical educator in a complex system; and the implications for the individual, organisation and the system...
February 8, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29412023/using-the-care-hours-per-patient-day-tool-one-hospital-s-experience
#12
Anika Giannasi, Josie Rudman
This article examines one hospital's journey to improve the way in which the nursing workforce was used. A clear message in Lord Carter's review for the Department of Health ( Carter, 2016 ) was to drive efficiency and work towards being the 'model hospital'. With the introduction of the care hours per patient day, a new rota management system, and a review of the establishment tool used, the hospital has developed a way of real time tracking of nursing time against patient care needs on a ward-by-ward basis...
February 8, 2018: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29399916/fundamental-care-guided-by-the-careful-nursing-philosophy-and-professional-practice-model%C3%A2
#13
Therese Connell Meehan, Fiona Timmins, Jacqueline Burke
AIM: To propose the Careful Nursing Philosophy and Professional Practice Model© as a conceptual and practice solution to current fundamental nursing care erosion and deficits. BACKGROUND: There is growing awareness of the crucial importance of fundamental care. Efforts are underway to heighten nurses' awareness of values that motivate fundamental care and thereby increase their attention to effective provision of fundamental care. However, there remains a need for nursing frameworks which motivate nurses to bring fundamental care values to life in their practice and strengthen their commitment to provide fundamental care...
February 5, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29392290/voice-articulation-and-prosody-contribute-to-listener-perceptions-of-speaker-gender-a-systematic-review-and-meta-analysis
#14
Yeptain Leung, Jennifer Oates, Siew Pang Chan
Purpose: The aim of this study was to provide a systematic review of the aspects of verbal communication contributing to listener perceptions of speaker gender with a view to providing clinicians with guidance for the selection of the training goals when working with transsexual individuals. Method: Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) guidelines were adopted in this systematic review. Studies evaluating the contribution of aspects of verbal communication to listener perceptions of speaker gender were rated against a new risk of bias assessment tool...
February 1, 2018: Journal of Speech, Language, and Hearing Research: JSLHR
https://www.readbyqxmd.com/read/29382247/antibiotic-loaded-cement-spacers-lessons-learned-from-the-past-20-years
#15
Konstantinos Anagnostakos, Bernd Fink
The use of antibiotic-impregnated cement spacers is an established method in the treatment of periprosthetic hip and knee joint infections. Over the past 20 years, the indications for spacer implantation have expanded, and various modified surgical techniques have been proposed to manage difficult anatomical situations. To ensure clinical success, knowledge about the cement impregnation and the pharmacokinetic properties of antibiotic-loaded bone cement is an indispensable premise. Areas covered: In this review, techniques for the fabrication of cement spacers, the incorporation of antibiotics into bone cement, elution kinetics, the clinical performance of spacers, individualized surgical techniques as well as possible postoperative complications are presented...
March 2018: Expert Review of Medical Devices
https://www.readbyqxmd.com/read/29378667/saving-lives-at-birth-development-of-a-retrospective-theory-of-change-impact-framework-and-prioritised-metrics
#16
Marek Lalli, Harriet Ruysen, Hannah Blencowe, Kristen Yee, Karen Clune, Mary DeSilva, Marissa Leffler, Emily Hillman, Haitham El-Noush, Jo Mulligan, Jeffrey C Murray, Karlee Silver, Joy E Lawn
BACKGROUND: Grand Challenges for international health and development initiatives have received substantial funding to tackle unsolved problems; however, evidence of their effectiveness in achieving change is lacking. A theory of change may provide a useful tool to track progress towards desired outcomes. The Saving Lives at Birth partnership aims to address inequities in maternal-newborn survival through the provision of strategic investments for the development, testing and transition-to-scale of ground-breaking prevention and treatment approaches with the potential to leapfrog conventional healthcare approaches in low resource settings...
January 29, 2018: Globalization and Health
https://www.readbyqxmd.com/read/29368630/applying-the-robins-i-tool-to-natural-experiments-an-example-from-public-health
#17
Hilary Thomson, Peter Craig, Michele Hilton-Boon, Mhairi Campbell, Srinivasa Vittal Katikireddi
BACKGROUND: A new tool to assess Risk of Bias In Non-randomised Studies of Interventions (ROBINS-I) was published in Autumn 2016. ROBINS-I uses the Cochrane-approved risk of bias (RoB) approach and focusses on internal validity. As such, ROBINS-I represents an important development for those conducting systematic reviews which include non-randomised studies (NRS), including public health researchers. We aimed to establish the applicability of ROBINS-I using a group of NRS which have evaluated non-clinical public health natural experiments...
January 24, 2018: Systematic Reviews
https://www.readbyqxmd.com/read/29366367/re-thinking-technology-and-its-growing-role-in-enabling-patient-empowerment
#18
Aisha Umar Akeel, Darren Mundy
The presence and increase of challenges to eHealth in today's society have begun to generate doubts about the capability of technology in patient empowerment, especially within the frameworks supporting empowerment. Through the review of existing frameworks and articulation of patient demands, weaknesses in the current application of technology to support empowerment are explored, and key constituents of a technology-driven framework for patient empowerment are determined. This article argues that existing usage of technology in the design, development and implementation of patient empowerment in the healthcare system, although well intentioned, is insufficiently constituted, primarily as a result of fragmentation...
January 1, 2018: Health Informatics Journal
https://www.readbyqxmd.com/read/29363779/genetic-constraints-on-adaptation-a-theoretical-primer-for-the-genomics-era
#19
REVIEW
Tim Connallon, Matthew D Hall
Genetic constraints are features of inheritance systems that slow or prohibit adaptation. Several population genetic mechanisms of constraint have received sustained attention within the field since they were first articulated in the early 20th century. This attention is now reflected in a rich, and still growing, theoretical literature on the genetic limits to adaptive change. In turn, empirical research on constraints has seen a rapid expansion over the last two decades in response to changing interests of evolutionary biologists, along with new technologies, expanding data sets, and creative analytical approaches that blend mathematical modeling with genomics...
January 24, 2018: Annals of the New York Academy of Sciences
https://www.readbyqxmd.com/read/29350780/an-evolutionary-concept-analysis-of-futility-in-health-care
#20
Lauren Morata
AIM: To report a concept analysis of futility in health care. BACKGROUND: Each member of the healthcare team: the physician, the nurse, the patient, the family and all others involved perceive futility differently. The current evidence and knowledge in regard to futility in health care manifest a plethora of definitions, meanings and interpretations without consensus. DESIGN: Concept analysis. DATA SOURCES: Databases searched included Medline, Cumulative Index of Nursing and Allied Health Literature, Academic Search Premier, Cochrane Database of Systematic Reviews and PsycINFO...
January 19, 2018: Journal of Advanced Nursing
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