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https://www.readbyqxmd.com/read/28746240/-does-the-organization-of-plastic-surgery-units-into-independent-departments-affect-academic-productivity
#1
Scott N Loewenstein, Stephen Duquette, Nakul Valsangkar, Umakanth Avula, Neha Lad, Juan Socas, Roberto L Flores, Rajiv Sood, Leonidas G Koniaris
BACKGROUND: There is an increased push for plastic surgery units in the United States to become independent departments administered autonomously rather than as divisions of a multispecialty surgery department. The purpose of this research was to determine if there are any quantifiable differences in the academic performance of departments versus divisions. METHODS: Using a list of the plastic surgery units affiliated with The American Council of Academic Plastic Surgeons (ACAPS), unit websites were queried for departmental status and to obtain a list of affiliated faculty...
July 12, 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28742992/utilizing-secondary-agricultural-education-programs-to-deliver-evidence-based-grain-safety-training-for-young-and-beginning-workers
#2
Yuan-Hsin Cheng, William E Field, Roger L Tormoehlen, Brian F French
Purdue University's Agricultural Safety and Health Program (PUASHP) has collaborated with secondary agricultural education programs, including FFA Chapters, for over 70 years to deliver and promote agricultural safety and health programming. With support from a U.S. Department of Labor Susan Harwood Program grant, PUASHP utilized a Developing a Curriculum (DACUM) process to develop, implement, and evaluate an evidence-based curriculum for use with young and beginning workers, ages 16-20, exposed to hazards associated with grain storage and handling...
July 25, 2017: Journal of Agromedicine
https://www.readbyqxmd.com/read/28738038/nurse-education-and-survivorship-building-the-specialty-through-training-and-program-development%C3%A2
#3
Marcia Grant, Mary McCabe, Denice Economou
BACKGROUND: As the number of cancer survivors in the United States continues to grow, the need to educate healthcare providers in the components of survivorship care remains a challenge in the current healthcare system. Survivors have unique concerns and follow-up requirements that are key to minimizing their risks for recurrence and supporting quality of life.
. OBJECTIVES: This article describes the impact of the curriculum, faculty, and teaching methods for an educational program to prepare nurses to provide cancer survivorship care...
August 1, 2017: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/28736411/community-engaged-attribute-mapping-exploring-resources-and-readiness-to-change-the-rural-context-for-obesity-prevention
#4
Deborah John, Tammy Winfield, Lena Etuk, Perry Hystad, Gail Langellotto, Melinda Manore, Kathy Gunter
BACKGROUND: Individual risk factors for obesity are well-known, but environmental characteristics that influence individual risk, especially in rural communities, are not confirmed. Rural communities face unique challenges to implementing environmental strategies, such as walkability, aimed at supporting weight healthy lifestyles. Cooperative Extension, a community-embedded weight health partner, convened and engaged community members in self-exploration of local resources and readiness to change environmental characteristics perceived to promote unhealthy eating and inactivity...
2017: Progress in Community Health Partnerships: Research, Education, and Action
https://www.readbyqxmd.com/read/28724152/cost-of-incremental-expansion-of-an-existing-family-medicine-residency-program
#5
Evan A Ashkin, Warren P Newton, Brian Toomey, Ronald Lingley, Cristen P Page
BACKGROUND AND OBJECTIVES: Expanding residency training programs to address shortages in the primary care workforce is challenged by the present graduate medical education (GME) environment. The Medicare funding cap on new GME positions and reductions in the Health Resources and Services Administration (HRSA) Teaching Health Center (THC) GME program require innovative solutions to support primary care residency expansion. Sparse literature exists to assist in predicting the actual cost of incremental expansion of a family medicine residency program without federal or state GME support...
July 2017: Family Medicine
https://www.readbyqxmd.com/read/28705161/entrustment-of-the-on-call-senior-medical-resident-role-implications-for-patient-safety-and-collective-care
#6
Noureen Huda, Lisa Faden, Mark Goldszmidt
BACKGROUND: The on-call responsibilities of a senior medicine resident (SMR) may include the admission transition of patient care on medical teaching teams (MTT), supervision of junior trainees, and ensuring patient safety. In many institutions, there is no standardised assessment of SMR competency prior to granting these on-call responsibilities in internal medicine. In order to fulfill competency based medical education requirements, training programs need to develop assessment approaches to make and defend such entrustment decisions...
July 14, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28701238/cognitive-stimulation-therapy-in-dementia-care-exploring-the-views-and-experiences-of-service-providers-on-the-barriers-and-facilitators-to-implementation-in-practice-using-normalization-process-theory
#7
Claire Dickinson, Grant Gibson, Zoe Gotts, Lynne Stobbart, Louise Robinson
BACKGROUND: Cognitive stimulation therapy (CST) is an evidence-based, cost-effective psychosocial intervention for people with dementia but is currently not a standard part of post-diagnostic care. This qualitative study explored the views and experiences of dementia care providers on the barriers and facilitators to its implementation in usual care. METHOD: Thirty four semi-structured interviews (24 participants) were conducted across four dementia care sites in the North of England; ten were follow-up interviews...
July 13, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28698337/protocol-for-a-multicentre-randomised-feasibility-study-evaluating-the-impact-of-a-prognostic-model-for-management-of-blunt-chest-wall-trauma-patients-stumbl-trial
#8
Ceri Battle, Zoe Abbott, Hayley A Hutchings, Claire Oâ Neill, Sam Groves, Alan Watkins, Fiona E Lecky, Sally Jones, James Gagg, Richard Body, Philip A Evans
INTRODUCTION: A new prognostic model has been developed and externally validated, the aim of which is to assist in the management of the blunt chest wall trauma patient in the emergency department (ED). A definitive randomised controlled trial (impact trial) is required to assess the clinical and cost effectiveness of the new model before it can be accepted in clinical practice. The purpose of this trial is to assess the feasibility and acceptability of such a definitive trial and inform its design...
July 10, 2017: BMJ Open
https://www.readbyqxmd.com/read/28697356/perceptual-learning
#9
Aaron R Seitz
Perceptual learning refers to how experience can change the way we perceive sights, sounds, smells, tastes, and touch. Examples abound: music training improves our ability to discern tones; experience with food and wines can refine our pallet (and unfortunately more quickly empty our wallet), and with years of training radiologists learn to save lives by discerning subtle details of images that escape the notice of untrained viewers. We often take perceptual learning for granted, but it has a profound impact on how we perceive the world...
July 10, 2017: Current Biology: CB
https://www.readbyqxmd.com/read/28696170/predicting-ascospore-release-of-monilinia-vaccinii-corymbosi-of-blueberry-with-machine-learning
#10
Dalphy Harteveld, Michael Grant, Jay W Pscheidt, Tobin Peever
Mummy berry, caused by Monilinia vaccinii-corymbosi, causes economic losses of highbush blueberry in the US Pacific Northwest (PNW). Apothecia develop from mummified berries overwintering on soil surfaces and produce ascospores that infect tissue emerging from floral and vegetative buds. Disease control currently relies on fungicides applied on a calendar-basis rather than inoculum availability. To establish a prediction model for ascospore release, apothecial development was tracked in three fields, one in western OR and two in northwestern WA in 2015 and 2016...
July 11, 2017: Phytopathology
https://www.readbyqxmd.com/read/28685958/availability-of-breastfeeding-peer-support-in-the-united-kingdom-a-cross-sectional-study
#11
Aimee Grant, Kirsten McEwan, Sally Tedstone, Giles Greene, Lauren Copeland, Billie Hunter, Julia Sanders, Rhiannon Phillips, Amy Brown, Mike Robling, Shantini Paranjothy
Peer support is recommended by the World Health Organization for the initiation and continuation of breastfeeding, and this recommendation is included in United Kingdom (U.K.) guidance. There is a lack of information about how, when, and where breastfeeding peer support was provided in the U.K. We aimed to generate an overview of how peer support is delivered in the U.K. and to gain an understanding of challenges for implementation. We surveyed all U.K. infant feeding coordinators (n = 696) who were part of U...
July 7, 2017: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/28685037/integrating-palliative-care-into-national-health-systems-in-africa-a-multi-country-intervention-study
#12
Liz Grant, Julia Downing, Emmanuel Luyirika, Mairead Murphy, Liz Namukwaya, Fatia Kiyange, Mackuline Atieno, Emilly Kemigisha-Ssali, Jenny Hunt, Kaly Snell, Scott A Murray, Mhoira Leng
BACKGROUND: The WHO is calling for the integration of palliative care in all health care settings globally. METHODS: A 3.5-year program was implemented in 12 government hospitals, three each in Kenya, Rwanda, Uganda and Zambia. A four-pillared approach of advocacy, staff training, service delivery strengthening and international and regional partnership working was utilized. A baseline assessment was undertaken to ascertain needs, and 27 indicators were agreed to guide and evaluate the intervention...
June 2017: Journal of Global Health
https://www.readbyqxmd.com/read/28681421/communicating-about-death-and-dying-developing-training-for-staff-working-in-services-for-people-with-intellectual-disabilities
#13
Irene Tuffrey-Wijne, Tracey Rose, Robert Grant, Astrid Wijne
BACKGROUND: Many people with intellectual disabilities are affected by death, yet conversations about death are often avoided by staff working with them. This study aimed to assess staff training needs and to develop, trial and evaluate a training course on communicating about death and dying. METHOD: (i) Semi-structured interviews with 20 staff in residential/supported living services to establish training needs; (ii) three-one-day courses were attended by 114 staff and evaluated through questionnaires...
July 5, 2017: Journal of Applied Research in Intellectual Disabilities: JARID
https://www.readbyqxmd.com/read/28679958/fc-functional-antibodies-in-humans-with-severe-h7n9-and-seasonal-influenza
#14
Hillary A Vanderven, Lu Liu, Fernanda Ana-Sosa-Batiz, Thi Ho Nguyen, Yanmin Wan, Bruce Wines, P Mark Hogarth, Danielle Tilmanis, Arnold Reynaldi, Matthew S Parsons, Aeron C Hurt, Miles P Davenport, Tom Kotsimbos, Allen C Cheng, Katherine Kedzierska, Xiaoyan Zhang, Jianqing Xu, Stephen J Kent
BACKGROUND: Both seasonal and novel avian influenza viruses can result in severe infections requiring hospitalization. Anti-influenza antibodies (Abs) with Fc-mediated effector functions, such as Ab-dependent cellular cytotoxicity (ADCC), are of growing interest in control of influenza but have not previously been studied during severe human infections. As such, the objective of this study was to examine Fc-mediated Ab functions in humans hospitalized with influenza infection. METHODS: Serum Ab response was studied in subjects hospitalized with either pandemic H7N9 avian influenza virus in China (n = 18) or circulating seasonal influenza viruses in Melbourne, Australia (n = 16)...
July 6, 2017: JCI Insight
https://www.readbyqxmd.com/read/28669858/pelvic-incidence-a-fixed-value-or-can-you-change-it
#15
Howard M Place, Ann M Hayes, Stephen B Huebner, Andy M Hayden, Heidi Israel, Jennifer L Brechbuhler
BACKGROUND CONTEXT: There has been renewed interest in the pelvic vertebrae by spinal surgeons recently. Those involved in working with patients with adult spinal deformity, focus on the position of the fused spine as it relates to the pelvis, and determine success or failure by specific numbers for given pelvic parameters. The pelvic parameters that are commonly measured for these patients are pelvic tilt, sacral slope, and pelvic incidence. Out of the three, pelvic incidence has always been considered to be the fixed measurement, while pelvic tilt and sacral slope have the capacity to change in relation to external forces...
June 29, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28669788/the-effect-of-gender-on-resident-autonomy-in-the-operating-room
#16
Shari L Meyerson, Joel M Sternbach, Joseph B Zwischenberger, Edward M Bender
OBJECTIVE: Discrimination against women training in medicine and surgery has been subjectively described for decades. This study objectively documents gender differences in the degree of autonomy given to thoracic surgery trainees in the operating room. DESIGN: Thoracic surgery residents and faculty underwent frame of reference training on the use of the 4-point Zwisch scale to measure operative autonomy. Residents and faculty then submitted evaluations of their perception of autonomy granted for individual operations as well as operative difficulty on a real-time basis using the "Zwisch Me!!" mobile application...
June 29, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28662251/the-intra-articular-wave-sign-as-a-landmark-for-suture-anchor-placement-in-arthroscopic-remplissage
#17
Cynthia A Kahlenberg, Grant H Garcia, Ryan M Degen, Joseph N Liu, Joshua S Dines
In arthroscopic remplissage, surgeons may inadvertently pass sutures through the teres minor rather than the infraspinatus tendon. This misplacement of the sutures may lead to poor outcomes. The authors describe the novel use of the posterior band of the inferior glenohumeral ligament, known as the "wave sign," as a reliable intra-articular landmark for suture anchor placement to improve suture passage accuracy. Twelve cadaveric shoulders underwent arthroscopic remplissage by a fellowship-trained surgeon. During the first phase of the study, remplissage was performed on 6 specimens with standard technique...
June 29, 2017: Orthopedics
https://www.readbyqxmd.com/read/28658019/history-and-outcomes-of-50-years-of-physician-scientist-training-in-medical-scientist-training-programs
#18
Clifford V Harding, Myles H Akabas, Olaf S Andersen
Physician-scientists are needed to continue the great pace of recent biomedical research and translate scientific findings to clinical applications. MD-PhD programs represent one approach to train physician-scientists. MD-PhD training started in the 1950s and expanded greatly with the Medical Scientist Training Program (MSTP), launched in 1964 by the National Institute of General Medical Sciences (NIGMS) at the National Institutes of Health. MD-PhD training has been influenced by substantial changes in medical education, science, and clinical fields since its inception...
June 27, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28657854/differences-between-relative-and-absolute-speed-and-metabolic-thresholds-in-rugby-league
#19
Tannath J Scott, Heidi R Thornton, Macfarlane T U Scott, Ben J Dascombe, Grant M Duthie
PURPOSE: This study compared relative and absolute speed and metabolic thresholds for quantifying match output in elite rugby league. METHODS: Twenty-six professional players competing in the National Rugby League (NRL) were monitored with global positioning systems (GPS) across a rugby league season. Absolute speed [moderate-intensity running (MIRTh >3.6 m·s(-1)); high intensity running (HIRTh > 5.2 m·s(-1))] and metabolic (>20 W·kg(-1)) thresholds were compared to individualised ventilatory [first (VT1IFT), and second (VT2IFT)] thresholds estimated from the 30-15 intermittent fitness test (30-15IFT), as well as the metabolic threshold associated with VT2IFT (HPmetVT2), to examine difference in match-play demands...
June 28, 2017: International Journal of Sports Physiology and Performance
https://www.readbyqxmd.com/read/28657501/profiles-of-law-enforcement-agency-body-armor-policies-a-latent-class-analysis-of-the-lemas-2013-data
#20
Weiwei Liu, Bruce Taylor
The life-saving benefits of body armor have been well-documented, and law enforcement agency (LEA) body armor wear requirements have been cited by police officers as one of the most important reasons for them to wear body armor. However, research on LEAs' policies and practices regarding body armor is scarce. This study examined whether there are different agency-level profiles of various body armor related policies, and related these body armor policy profiles to agency characteristics, size, location, etc...
June 28, 2017: Journal of Occupational and Environmental Hygiene
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