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https://www.readbyqxmd.com/read/28098571/operating-room-anesthesia-subspecialization-is-not-associated-with-significantly-greater-quality-of-supervision-of-anesthesia-residents-and-nurse-anesthetists
#1
Franklin Dexter, Johannes Ledolter, Richard H Epstein, Bradley J Hindman
BACKGROUND: Supervision of anesthesia residents and nurse anesthetists is a major responsibility of faculty anesthesiologists. The quality of their supervision can be assessed quantitatively by the anesthesia residents and nurse anesthetists. Supervision scores are an independent measure of the contribution of the anesthesiologist to patient care. We evaluated the association between quality of supervision and level of specialization of anesthesiologists. METHODS: We used two 6-month periods, one with no feedback to anesthesiologists of the residents' and nurse anesthetists' evaluations, and the other with feedback...
November 2, 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28097179/the-comparison-of-two-types-of-relaxation-techniques-on-postoperative-state-anxiety-in-candidates-for-the-mastectomy-surgery-a-randomized-controlled-clinical-trial
#2
Zohreh Parsa Yekta, Fatemeh Sadeghian, Taraneh Taghavi Larijani, Abbas Mehran
BACKGROUND: Anxiety among patients after surgery can affect their physiological and psychological well-being. The aim of this study was to investigate and compare the effects of Benson's relaxation and rhythmic breathing techniques on postoperative anxiety in candidates for the mastectomy surgery. METHODS: This randomized controlled clinical trial study was conducted with ninety patients in 2013. The patients were hospitalized for the mastectomy surgery in three surgical wards in a teaching hospital, Tehran, Iran...
January 2017: International Journal of Community Based Nursing and Midwifery
https://www.readbyqxmd.com/read/28096737/implementation-of-evidence-on-the-nurse-patient-relationship-in-psychiatric-wards-through-a-mixed-method-design-study-protocol
#3
Antonio R Moreno-Poyato, Pilar Delgado-Hito, Raquel Suárez-Pérez, Juan M Leyva-Moral, Rosa Aceña-Domínguez, Regina Carreras-Salvador, Juan F Roldán-Merino, Teresa Lluch-Canut, Pilar Montesó-Curto
BACKGROUND: Psychiatric nurses are aware of the importance of the therapeutic relationship in psychiatric units. Nevertheless, a review of the scientific evidence indicates that theoretical knowledge alone is insufficient to establish an adequate therapeutic alliance. Therefore, strategies are required to promote changes to enhance the establishment of the working relationship. The aims of the study are to generate changes in how nurses establish the therapeutic relationship in acute psychiatric units, based on participative action research and to evaluate the effectiveness of the implementation of evidence through this method...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28092245/-effect-of-the-diabetimss-program-on-cardiovascular-risk-blood-pressure-and-hdl-cholesterol-in-patients-with-metabolic-syndrome
#4
Miguel Angel Mendoza-Romo, Juan Felipe Montes-Acuña, Gad Gamed Zavala-Cruz, Rafael Natividad Nieva-de Jesús, María Cleofas Ramírez-Arreola, Héctor Jesús Andrade-Rodríguez
OBJECTIVE: The aim of this paper is to evaluate the effect of the DiabetIMSS program on cardiovascular risk, blood pressure and HDL cholesterol in patients with metabolic syndrome. METHODS: Quasi-experimental intervention study. Non-probabilistic convenience sampling. 35 subjects in the educational strategy one year were included. The following variables were collected: age, gender, smoking, total cholesterol, HDL cholesterol, systolic and diastolic blood pressure; cardiovascular risk calculator based on Framingham is calculated...
January 2017: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/28077106/age-of-onset-of-substance-use-and-psychosocial-problems-among-individuals-with-substance-use-disorders
#5
Anju Poudel, Sital Gautam
BACKGROUND: Substance use is generally initiated in adolescence or early adulthood and is commonly associated with several physical, psychological, emotional and social problems. The objective of this study is to assess the age of onset of substance use differences on psychosocial problems among individuals with substance use disorders (SUDs) residing in drug rehabilitation centers. METHODS: A descriptive cross sectional research design was carried out. Probability Proportional to Size (PPS) sampling technique was used to select the drug rehabilitation centers and all the respondents meeting the inclusion criteria of the selected seven rehabilitation centers were taken as a sample and comprised of 221 diagnosed individuals with SUDs...
January 11, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28076594/predictive-factors-of-atrial-fibrillation-after-coronary-artery-bypass-grafting
#6
Cynthia de Oliveira Folla, Cinthia Cristina de Santana Melo, Rita de Cassia Gengo E Silva
Objective: To analyze predictive demographic and perioperative variables of postoperative atrial fibrillation in patients who underwent exclusively coronary artery bypass grafting. Methods: This was a retrospective cohort. We randomly selected 105 medical records of patients who underwent exclusively coronary artery bypass grafting in 2014. Demographic, clinical (preoperative and immediate postoperative) data and related with surgical procedure were collected from medical records...
October 2016: Einstein
https://www.readbyqxmd.com/read/28060838/attitudes-and-readiness-of-students-of-healthcare-professions-towards-interprofessional-learning
#7
Mari Kannan Maharajan, Kingston Rajiah, Suan Phaik Khoo, Dinesh Kumar Chellappan, Ranjit De Alwis, Hui Cing Chui, Lui Lee Tan, Yee Ning Tan, Shin Yee Lau
OBJECTIVES: To evaluate the attitudes and readiness of students of healthcare professions towards interprofessional learning. METHODOLOGY: A cross-sectional study design was used. Two different scales were used to measure the readiness for and perception of interprofessional learning; these were the 'Readiness for Interprofessional Learning Scale' and the 'Interdisciplinary Education Perception Scale'. A convenience sampling method was employed. The sample was drawn from undergraduate students enrolled in years 1 to 5 of medical, dental, pharmacy and health sciences programme...
2017: PloS One
https://www.readbyqxmd.com/read/28057047/effect-of-an-educational-intervention-on-knowledge-and-attitude-regarding-pharmacovigilance-and-consumer-pharmacovigilance-among-community-pharmacists-in-lalitpur-district-nepal
#8
Nisha Jha, Devendra Singh Rathore, Pathiyil Ravi Shankar, Shital Bhandary, Rabi Bushan Pandit, Sudesh Gyawali, Mohamed Alshakka
BACKGROUND: Pharmacovigilance activities are in a developing stage in Nepal. ADR reporting is mainly confined to healthcare professionals working in institutions recognized as regional pharmacovigilance centers. Community pharmacists could play an important role in pharmacovigilance. This study was conducted among community pharmacists in Lalitpur district to examine their knowledge and attitude about pharmacovigilance before and after an educational intervention. METHODS: Knowledge and attitude was studied before, immediately after and 6 weeks following the intervention among 75 community pharmacists...
January 3, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28050403/effects-of-storytelling-based-education-in-the-prevention-of-drug-abuse-among-adolescents-in-iran-based-on-a-readiness-to-addiction-index
#9
Mahdieh Poodineh Moghadam, Mahdieh Sari, Abbas Balouchi, Farah Madarshahian, Khadijeh Moghadam
INTRODUCTION: One of the most effective strategies in the prevention of addiction is increasing awareness among young people, towards the tendency for taking drugs their physical, mental and social side effects. Storytelling is effective for increasing characteristics of happiness and resilience. This study uses storytelling, a common and popular method to increase awareness among adolescents. AIM: To examine the effect of storytelling-based education on the prevention of drug abuse, based on a readiness to addiction index...
November 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28047852/we-b-201-00-statistical-failings-that-keep-us-all-in-the-dark
#10
David Schlesinger
: Evidence is growing to suggest that many published clinical results cannot be replicated. At the same time, the number of published clinical papers is steadily increasing and most if not all base their conclusions on evidence provided by formal statistical tests. Medical physicists have a critical need to understand and be able to interpret the methods and results of these studies in order to judge their scientific quality and relevance. However many medical physicists have minimal or no training in the sort of practical statistical methods commonly found in the literature...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047191/we-b-201-01-introduction-not-everything-you-read-is-true
#11
D Schlesinger
: Evidence is growing to suggest that many published clinical results cannot be replicated. At the same time, the number of published clinical papers is steadily increasing and most if not all base their conclusions on evidence provided by formal statistical tests. Medical physicists have a critical need to understand and be able to interpret the methods and results of these studies in order to judge their scientific quality and relevance. However many medical physicists have minimal or no training in the sort of practical statistical methods commonly found in the literature...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046521/we-b-201-02-statistical-failings-that-can-keep-us-all-in-the-dark
#12
J Sloan
: Evidence is growing to suggest that many published clinical results cannot be replicated. At the same time, the number of published clinical papers is steadily increasing and most if not all base their conclusions on evidence provided by formal statistical tests. Medical physicists have a critical need to understand and be able to interpret the methods and results of these studies in order to judge their scientific quality and relevance. However many medical physicists have minimal or no training in the sort of practical statistical methods commonly found in the literature...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28044244/a-robust-approach-for-exploring-hemodynamics-and-thrombus-growth-associations-in-abdominal-aortic-aneurysms
#13
Konstantinos Tzirakis, Yiannis Kamarianakis, Eleni Metaxa, Nikolaos Kontopodis, Christos V Ioannou, Yannis Papaharilaou
Longitudinal studies of vascular diseases often need to establish correspondence between follow-up images, as the diseased regions may change shape over time. In addition, spatial data structures should be taken into account in the statistical analyses to avoid inferential errors. This study investigates the association between hemodynamics and thrombus growth in abdominal aortic aneurysms (AAAs) while emphasizing on the abovementioned methodological issues. Six AAA surfaces and their follow-ups were three-dimensionally reconstructed from computed-tomography images...
January 2, 2017: Medical & Biological Engineering & Computing
https://www.readbyqxmd.com/read/28042631/the-effect-of-wet-cupping-on-quality-of-life-of-adult-patients-with-chronic-medical-conditions-in-king-abdulaziz-university-hospital
#14
Soad K Al Jaouni, Eman A El-Fiky, Samiha A Mourad, Nahla Khamis Ibrahim, Abdullah M Kaki, Sawsan M Rohaiem, Mohamad H Qari, Laila M Tabsh, Adel A Aljawhari
To assess the effect of wet cupping on health-related quality of life (HRQOL) of adult patients with chronic medical conditions, who were referred to the Cupping Clinic of King Abdulaziz University Hospital (KAUH), Jeddah, Kingdom of Saudi Arabia. Methods: A controlled, quasi-experimental study design was carried out among 629 patients referred for cupping from the KAUH Specialty Clinics, during the period from January to December 2014. Patients in the intervention group (309 patients) completed a pre-test included WHO quality of life-BREF, received one wet-cupping session, and filled-out the post-test (1 month later)...
January 2017: Saudi Medical Journal
https://www.readbyqxmd.com/read/28039782/reduced-sensitivity-to-social-priors-during-action-prediction-in-adults-with-autism-spectrum-disorders
#15
Valerian Chambon, Chlöé Farrer, Elisabeth Pacherie, Pierre O Jacquet, Marion Leboyer, Tiziana Zalla
An extensive amount of evidence has documented a diminished ability to predict and understand other people's action in individuals with autism spectrum disorders (ASD). Recently, two theoretical accounts, the "Hypo-priors" and the "Aberrant precision" hypotheses, have suggested that attenuated Bayesian priors or an imbalance of the precision ascribed to sensory evidence relative to prior expectations may be responsible for the atypical perceptual experience and difficulties with action understanding in ASD...
December 28, 2016: Cognition
https://www.readbyqxmd.com/read/28039292/to-condition-or-not-condition-analysing-change-in-longitudinal-randomised-controlled-trials
#16
Cynthia J Coffman, David Edelman, Robert F Woolson
OBJECTIVE: The statistical analysis for a 2-arm randomised controlled trial (RCT) with a baseline outcome followed by a few assessments at fixed follow-up times typically invokes traditional analytic methods (eg, analysis of covariance (ANCOVA), longitudinal data analysis (LDA)). 'Constrained' longitudinal data analysis (cLDA) is a well-established unconditional technique that constrains means of baseline to be equal between arms. We use an analysis of fasting lipid profiles from the Group Medical Clinics (GMC) longitudinal RCT on patients with diabetes to illustrate applications of ANCOVA, LDA and cLDA to demonstrate theoretical concepts of these methods including the impact of missing data...
December 30, 2016: BMJ Open
https://www.readbyqxmd.com/read/28035054/the-relationship-between-autonomous-motivation-and-autonomy-support-in-medical-students-academic-achievement
#17
Rose Feri, Diantha Soemantri, Anwar Jusuf
Objectives: This study applied self-determination theory (SDT) to investigate the relationship between students' autonomous motivation and tutors' autonomy support in medical students' academic achievement. Methods: This was a cross-sectional study. Out of 204 students in a fundamental medical science course, 199 participated in the study. Data was collected using two questionnaires: the Learning Self-Regulation and Learning Climate Questionnaires. The score of the course assessment was the measure of academic achievement...
December 29, 2016: International Journal of Medical Education
https://www.readbyqxmd.com/read/28027298/inferential-structure-determination-of-chromosomes-from-single-cell-hi-c-data
#18
Simeon Carstens, Michael Nilges, Michael Habeck
Chromosome conformation capture (3C) techniques have revealed many fascinating insights into the spatial organization of genomes. 3C methods typically provide information about chromosomal contacts in a large population of cells, which makes it difficult to draw conclusions about the three-dimensional organization of genomes in individual cells. Recently it became possible to study single cells with Hi-C, a genome-wide 3C variant, demonstrating a high cell-to-cell variability of genome organization. In principle, restraint-based modeling should allow us to infer the 3D structure of chromosomes from single-cell contact data, but suffers from the sparsity and low resolution of chromosomal contacts...
December 2016: PLoS Computational Biology
https://www.readbyqxmd.com/read/28027047/predictors-of-disability-and-quality-of-life-with-an-upper-extremity-peripheral-nerve-disorder
#19
Macyn Miller Stonner, S E Mackinnon, Vicki Kaskutas
OBJECTIVE: We sought to understand the wide range of problems that patients with upper-extremity peripheral nerve disorders experience and to identify predictors of disability and quality of life (QOL). METHOD: Data from standardized assessments of disability and QOL, physical examination results, and intake surveys from 627 patients were analyzed using descriptive and inferential statistics. We compared results between groups and built multivariate models measuring disability, work disability, and physical and mental QOL...
January 2017: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/28002654/nurses-evidence-based-practice-beliefs-and-the-role-of-evidence-based-practice-mentors-at-university-hospitals-in-finland
#20
Hannele Saunders, Katri Vehviläinen-Julkunen
BACKGROUND: Although systematic implementation of evidence-based practice (EBP) is essential to effectively improve patient outcomes, quality, and value of care, nurses do not consistently use evidence in practice. Uptake is hampered by lack of nurses' readiness for EBP, including nurses' EBP beliefs and lack of EBP mentors. Favorable EBP beliefs are foundational to Registered Nurses' (RNs) use and integration of best evidence into clinical decision making, whereas EBP mentors are in a key role for strengthening RNs' beliefs in the value of EBP and confidence in their ability to implement EBP...
December 21, 2016: Worldviews on Evidence-based Nursing
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