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Situation awareness

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https://www.readbyqxmd.com/read/29346221/a-validation-argument-for-a-simulation-based-training-course-centered-on-assessment-recognition-and-early-management-of-pediatric-sepsis
#1
Gary L Geis, Derek S Wheeler, Amy Bunger, Laura G Militello, Regina G Taylor, Jerome P Bauer, Terri L Byczkowski, Benjamin T Kerrey, Mary D Patterson
INTRODUCTION: Early recognition of sepsis remains one of the greatest challenges in medicine. Novice clinicians are often responsible for the recognition of sepsis and the initiation of urgent management. The aim of this study was to create a validity argument for the use of a simulation-based training course centered on assessment, recognition, and early management of sepsis in a laboratory-based setting. METHODS: Five unique simulation scenarios were developed integrating critical sepsis cues identified through qualitative interviewing...
January 17, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29339224/emerging-souvenirs-clinical-presentation-of-the-returning-traveller-with-imported-arbovirus-infections-in-europe
#2
Isabella Eckerle, Violeta Briciu, Onder Ergonul, Mihaela Lupse, Anna Papa, Amanda Radulescu, Sotirios Tsiodras, Christine Tsitou, Christian Drosten, Véronique Nussenblatt, Chantal Reusken, Louise Sigfrid, Nick J Beeching
BACKGROUND: Arboviruses are an emerging group of viruses that are causing increasing health concerns globally, including in Europe. Clinical presentation usually consists of a non-specific febrile illness that may be accompanied by rash, arthralgia and arthritis and/or with neurological or haemorrhagic syndromes. The range of differential diagnoses of other infectious and non-infectious aetiologies is broad, presenting a challenge for physicians. While knowledge of the geographic distribution of pathogens and the current epidemiological situation, incubation periods, exposure risk factors and vaccination history can help guide the diagnostic approach, the non-specific and variable clinical presentation can delay final diagnosis...
January 12, 2018: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/29338279/the-chondrocoracoideus-muscle-a-rare-anatomical-variant-of-the-pectoral-area
#3
Dionysios Venieratos, Alexandros Samolis, Maria Piagkou, Stergios Douvetzemis, Alexandrina Kourotzoglou, Kontantinos Natsis
OBJECTIVE: The study adds important information regarding the descriptive anatomy of a very rarely reported unilateral chondrocoracoideus muscle (of Wood). Additionally it highlights the concomitant muscular and neural alterations. CASE REPORT: The current case presents the occurrence of a chondrocoracoideus muscle situated left-sided, as an extension of the abdominal portion of the pectoralis major muscle (PM). The chondrocoracoideus coexisted with a contralateral atypical PM, partially blended with the clavicular fibers of the deltoid muscle...
November 2017: Acta Medica Academica
https://www.readbyqxmd.com/read/29336403/superior-vena-cava-clamping-during-thoracic-surgery-implications-for-the-anesthesiologist
#4
Monish S Raut, Swetanka Das, Rohitash Sharma, Elvin Daniel, Amit Motihar, Arvind Verma, Sibashankar Kar, Arun Maheshwari, Ganesh Shivnani, Arvind Kumar
Resection and reconstruction of the SVC is a challenging Intraoperative situation owing to the potential complications after clamping a patent vessel. Hemodynamic imbalance and neurological effects of SVC clamping can be life threatening. These complications can be prevented by careful intraoperative monitoring and management. Anaesthesiologist must be aware of different options to manage such challenging situations.
January 2018: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/29335237/-why-do-they-need-to-check-me-patient-participation-through-ehealth-and-the-doctor-patient-relationship-qualitative-study
#5
Christiane Grünloh, Gunilla Myreteg, Åsa Cajander, Hanife Rexhepi
BACKGROUND: Roles in the doctor-patient relationship are changing and patient participation in health care is increasingly emphasized. Electronic health (eHealth) services such as patient accessible electronic health records (PAEHRs) have been implemented to support patient participation. Little is known about practical use of PAEHR and its effect on roles of doctors and patients. OBJECTIVE: This qualitative study aimed to investigate how physicians view the idea of patient participation, in particular in relation to the PAEHR system...
January 15, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29335140/-the-sexualisation-of-the-care-relationship-by-the-patient-in-gerontology
#6
REVIEW
Flavie Gouraud, Franck Rexand-Galais, Benoit Maillard, Hélène Delrieu
The expression of the sexuality of the ageing patient in the care setting, particularly when it concerns the genital area and involves the caregiver without he or she being aware, constitutes a critical situation for the geriatric teams. A psychodynamic reading of these situations is important for the caregiving teams in order to optimise the somatic treatment and to prevent the risk of an unsuitable reactive treatment. This article presents a clinical case as an example.
January 2018: Soins. Gérontologie
https://www.readbyqxmd.com/read/29334645/co-morbid-depressive-disorder-is-associated-with-better-neurocognitive-performance-in-first-episode-schizophrenia-spectrum
#7
Sarah E Herniman, Sue M Cotton, Eóin Killackey, Robert Hester, Kelly A Allott
BACKGROUND: Both major depressive disorder (MDD) and first episode schizophrenia spectrum (FES) are associated with significant neurocognitive deficits. However, it remains unclear whether the neurocognitive deficits in individuals with FES are more severe if there is comorbid depressive disorder. The aim of this study was to compare the neurocognitive profiles between those with and without full-threshold depressive disorder in FES. METHOD: This study involved secondary analysis of baseline data from a randomized controlled trial of vocational intervention for young people with first-episode psychosis (N = 82; age range: 15-25 years)...
January 3, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29330842/self-perceived-long-term-transfer-of-learning-after-postpartum-hemorrhage-simulation-training
#8
Brena C P Melo, Ana R Falbo, Jette Led Sorensen, Jeroen J G van Merriënboer, Cees van der Vleuten
OBJECTIVE: To explore long-term transfer (application of acquired knowledge and skills on the job) after postpartum hemorrhage simulation training based on either instructional design (ID) principles or conventional best practice. METHODS: In this qualitative study, semi-structured interviews with obstetrics and gynecology healthcare practitioners were conducted between August 7 and September 26, 2015, in Recife, Brazil. The participants were randomly selected from each of two postpartum hemorrhage simulations attended 2 years earlier (one ID and one conventional best practice)...
January 13, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29327604/strategies-to-improve-recruitment-of-people-with-dementia-to-research-studies
#9
Ruth Bartlett, Richard Milne, Rebecca Croucher
Background Low participation in research is one of the key challenges to advancing understanding of dementia, and improving the care and treatment of those who live with this condition. Nurses and nurse researchers play a vital role in recruiting people with dementia to studies, as several countries including the United States and the United Kingdom set national targets and develop initiatives to encourage more people with dementia to take part in research. Aim To highlight the challenges to recruiting people with dementia to studies, and to identify strategies that nurses, and in particular, nurse researchers can use for overcoming them...
January 1, 2018: Dementia
https://www.readbyqxmd.com/read/29325493/simulation-based-evaluation-of-an-in-vehicle-smart-situation-awareness-enhancement-system
#10
Andreas Gregoriades, Alistair Sutcliffe
Situation awareness (SA) constitutes a critical factor in road safety, strongly related to accidents. This paper describes the evaluation of a proposed SA enhancement system (SAES) that exploits augmented reality through a head-up display. Two SAES designs were evaluation (information rich v. minimal information) using a custom-made simulator and the Situation Awareness Global Assessment Technique (SAGAT) with performance and EEG measures. The paper describes the process of assessing the SA of drivers using the SAES, through a series of experiments with participants in a Cave Automatic Virtual Environment (CAVE)...
January 11, 2018: Ergonomics
https://www.readbyqxmd.com/read/29324794/real-time-positioning-in-logging-effects-of-forest-stand-characteristics-topography-and-line-of-sight-obstructions-on-gnss-rf-transponder-accuracy-and-radio-signal-propagation
#11
Eloise G Zimbelman, Robert F Keefe
Real-time positioning on mobile devices using global navigation satellite system (GNSS) technology paired with radio frequency (RF) transmission (GNSS-RF) may help to improve safety on logging operations by increasing situational awareness. However, GNSS positional accuracy for ground workers in motion may be reduced by multipath error, satellite signal obstruction, or other factors. Radio propagation of GNSS locations may also be impacted due to line-of-sight (LOS) obstruction in remote, forested areas. The objective of this study was to characterize the effects of forest stand characteristics, topography, and other LOS obstructions on the GNSS accuracy and radio signal propagation quality of multiple Raveon Atlas PT GNSS-RF transponders functioning as a network in a range of forest conditions...
2018: PloS One
https://www.readbyqxmd.com/read/29324273/a-situational-crime-prevention-analysis-of-anglican-clergy-s-child-protective-practices
#12
Michael Andre Guerzoni
To date, a predominant focus within the field of 'clerical collar crime' has revolved around institutional-level church responses to child sexual abuse events, survivors and offenders. Comparatively, little attention has been directed towards the micro-level and in particular, examining clerical responses to child sexual abuse. This article presents empirical findings concerning the 'everyday' child protective practices of Anglican clergy in the Diocese of Tasmania, Australia. Research data was acquired through open-ended qualitative interviews conducted with a sample of 34 clergy in a broader study of clerical culture, habitus and life amidst the 'church abuse crisis'...
January 8, 2018: Child Abuse & Neglect
https://www.readbyqxmd.com/read/29321023/which-risk-understandings-can-be-derived-from-the-current-disharmonized-regulation-of-complementary-and-alternative-medicine-in-europe
#13
Solveig Wiesener, Anita Salamonsen, Vinjar Fønnebø
BACKGROUND: Many European citizens are seeking complementary and alternative medicine (CAM). These treatments are regulated very differently in the EU/EFTA countries. This may demonstrate differences in how risk associated with the use of CAM is perceived. Since most CAM treatments are practiced fairly similarly across Europe, differing risk understandings may influence patient safety for European CAM users. The overall aim of this article is thus to contribute to an overview and awareness of possible differing risk understandings in the field of CAM at a policymaking/structural level in Europe...
January 10, 2018: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/29316575/time-trend-of-reported-cases-and-publications-hepatitis-e-in-comparison-to-hepatitis-a%C3%A2-%C3%A2-d-in-germany-from-2001-to-2016
#14
Malte H Wehmeyer, Johannes Hartl, Moritz von Wulffen, Ansgar W Lohse, Sven Pischke
BACKGROUND:  The frequency of autochthonous hepatitis E virus (HEV) infections in Western countries has increased since the millennium, probably due to a higher awareness for HEV. The aim of this study was to analyze the epidemiological situation and regional distribution of HEV in comparison to hepatitis A - D in Germany. METHODS:  Data of the reported cases, patients' travel histories, and the regional distribution of hepatitis A - E virus infections from 2001 to 2017 were extracted from databases of the Robert Koch Institute...
January 2018: Zeitschrift Für Gastroenterologie
https://www.readbyqxmd.com/read/29315043/how-should-medical-schools-prepare-medical-students-for-leading-the-nhs
#15
F Kazzazi, J Bartlett, E Finnerty
The NHS is an evolving landscape. While the level of clinical knowledge conferred to medical students remains constant, their competence in other skills, such as leadership, needs to be enhanced in order for them to successfully work within the health-care system. The importance of leadership is considered at the start and end of a medical degree - when applying to medical school with various examples of leading a team, and upon balancing scenarios of leadership when sitting the situational judgement test in final year...
January 2, 2018: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/29313908/human-factors-in-preventing-complications-in-anaesthesia-a-systematic-review
#16
REVIEW
C P L Jones, J Fawker-Corbett, P Groom, B Morton, C Lister, S J Mercer
Human factors in anaesthesia were first highlighted by the publication of the Anaesthetists Non-Technical Skills Framework, and since then an awareness of their importance has gradually resulted in changes in routine clinical practice. This review examines recent literature around human factors in anaesthesia, and highlights recent national reports and guidelines with a focus on team working, communication, situation awareness and human error. We highlight the importance of human factors in modern anaesthetic practice, using the example of complex trauma...
January 2018: Anaesthesia
https://www.readbyqxmd.com/read/29310652/what-makes-patients-aware-of-their-artificial-knee-joint
#17
F L Loth, M C Liebensteiner, J M Giesinger, K Giesinger, H R Bliem, B Holzner
BACKGROUND: Joint awareness was recently introduced as a new concept for outcome assessment after total knee arthroplasty (TKA). Findings from qualitative and psychometric studies suggest that joint awareness is a distinct concept especially relevant to patients with good surgical outcome and patients at late follow-up time points. The aim of this study was to improve the understanding of the concept of joint awareness by identifying situations in which patients are aware of their artificial knee joint and to investigate what bodily sensations and psychological factors raise a patient's awareness of her/his knee...
January 8, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29310448/motivations-for-participation-in-an-online-social-media-community-for-diabetes
#18
Katherine White, Achamyeleh Gebremariam, Dana Lewis, Weston Nordgren, James Wedding, Josh Pasek, Ashley Garrity, Emily Hirschfeld, Joyce M Lee
BACKGROUND: Our objectives were to describe individuals' motivations for participation in an online social media community and to assess their level of trust in medical information provided by medical professionals and community members. METHODS: A purposive survey was delivered to participants recruited through posts on the CGM in the Cloud group, Twitter, and blogs. Individuals were asked a series of demographic and social media use questions. RESULTS: A total of 1268 members of the CGM in the Cloud community responded to the survey...
January 1, 2018: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/29306255/adaptation-reliability-and-validity-study-of-the-hwalek-sengstockelder-abuse-screening-test-h-s-east-a-turkish-version
#19
Nilgün Özçakar, Akça Toprak Ergönen, Mehtap Kartal, Hakan Baydur
Background/aim: The most important issues in elder abuse and neglect are lack of awareness and difficulties in determining the situation. Our aim is to determine the reliability and validity of the Turkish version of the Hwalek-Sengstock Elder Abuse Screening Test (H-S/EAST).Materials and methods: The H-S/EAST (15-itemed, three-dimensional: direct abuse, characteristics of vulnerability, and potentially abusive situation) was translated according to the guidelines and experts evaluated it for content validity and cultural adaptation...
December 19, 2017: Turkish Journal of Medical Sciences
https://www.readbyqxmd.com/read/29306117/difficulties-in-emotion-regulation-in-treatment-seeking-alcoholics-with-and-without-co-occurring-mood-and-anxiety-disorders
#20
Clara M Bradizza, Whitney C Brown, Melanie U Ruszczyk, Kurt H Dermen, Joseph F Lucke, Paul R Stasiewicz
Emotion regulation difficulties (ERD) are known to underlie mental health conditions including anxiety and depressive disorders and alcohol use disorder (AUD). Although AUD, mood, and anxiety disorders commonly co-occur, no study has examined the association between these disorders and ERD among AUD outpatients. In the current study, emotion regulation (ER) scores of AUD individuals with no co-occurring mental health condition were compared to the ER scores of individuals who met diagnostic criteria for co-occurring mood and/or anxiety disorders...
December 29, 2017: Addictive Behaviors
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