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https://www.readbyqxmd.com/read/28095585/clinical-nursing-leadership-education-in-long-term-care-intervention-design-and-evaluation
#1
Valerie Fiset, Tracy Luciani, Alyssa Hurtubise, Theresa L Grant
The main objective of the current case study was to investigate the perceived leadership learning needs and feasibility of delivering leadership education to registered staff involved in direct care in long-term care (LTC) homes. The study was conducted in Ontario, Canada, and participants included RNs, registered practical nurses, and nursing administrators. Phase 1 bilingual web-based survey and bilingual focus group needs assessment data supported a preference for external training along with in-house mentoring to support sustainability...
January 17, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28095061/methods-of-monitoring-training-load-and-their-relationships-to-changes-in-fitness-and-performance-in-competitive-road-cyclists
#2
Dajo Sanders, Grant Abt, Matthijs K Hesselink, Tony Myers, Ibrahim Akubat
PURPOSE: The aim of this study was to assess the dose-response relationships between different training load methods and aerobic fitness and performance in competitive road cyclists. METHOD: Training data from 15 well-trained competitive cyclists were collected during a 10-week (December - March) pre-season training period. Before and after the training period, participants underwent a laboratory incremental exercise test with gas exchange and lactate measures and a performance assessment using an 8-min time trial (8MT)...
January 17, 2017: International Journal of Sports Physiology and Performance
https://www.readbyqxmd.com/read/28093857/can-blood-flow-restriction-augment-muscle-activation-during-high-load-training
#3
Scott J Dankel, Samuel L Buckner, Matthew B Jessee, Kevin T Mattocks, J Grant Mouser, Brittany R Counts, Gilberto C Laurentino, Jeremy P Loenneke
INTRODUCTION: Blood flow restriction has been shown to augment muscle activation and increase muscle size when combined with low-load training; however, much less is known on whether blood flow restriction can augment muscle activation during high-load exercise. PURPOSE: To determine whether applying blood flow restriction can augment muscle activation with traditional high-load resistance exercise. METHOD: Ten individuals completed two sets of elbow flexion exercise to volitional fatigue...
January 16, 2017: Clinical Physiology and Functional Imaging
https://www.readbyqxmd.com/read/28090097/impact-of-the-birkman-method-assessment-on-pharmacy-student-self-confidence-self-perceptions-and-self-awareness
#4
Whitney D Maxwell, Amy D Grant, Patricia H Fabel, Cathy Worrall, Kristy Brittain, Breanne Martinez, Z Kevin Lu, Robert Davis, Georgia H Doran, Bryan Ziegler
Objective. To identify changes in pharmacy student self-confidence, self-perceptions, and self-awareness after completing the Birkman Method assessment and training program. Methods. Survey tools were developed to evaluate students at baseline and following the co-curricular Birkman Method program. Following IRB approval, students participating in the Birkman Method program were recruited for enrollment in this survey-based study. Results. Student self-confidence was high at baseline (mean=4 out of 5) and did not significantly change after Birkman Method testing and training...
November 25, 2016: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/28088616/patient-agency-and-contested-notions-of-disability-in-social-assistance-applications-in-south-africa
#5
Gabrielle Kelly
Problems in fairly allocating welfare and health resources are very often located in the spaces where citizens interact directly with state workers. This study draws on observations of doctor-patient encounters in disability assessments for the South African disability grant (DG) to examine how doctor-patient interactions and patient agency shape social welfare allocation in a context of high poverty and inequality. Data were gathered via interviews with healthcare workers and observations of doctor-patient interactions in twelve clinics and three hospitals in the Western Cape province between October 2013 and August 2014...
January 9, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28088558/the-effects-of-upper-body-exercise-across-different-levels-of-blood-flow-restriction-on-arterial-occlusion-pressure-and-perceptual-responses
#6
Kevin T Mattocks, Matthew B Jessee, Brittany R Counts, Samuel L Buckner, J Grant Mouser, Scott J Dankel, Gilberto C Laurentino, Jeremy P Loenneke
Recent studies have investigated relative pressures that are applied during blood flow restriction exercise ranging from 40%-90% of resting arterial occlusion pressure; however, no studies have investigated relative pressures below 40% arterial occlusion pressure. The purpose of this study was to characterize the cardiovascular and perceptual responses to different levels of pressures. Twenty-six resistance trained participants performed four sets of unilateral elbow flexion exercise using 30% of their 1RM in combination with blood flow restriction inflated to one of six relative applied pressures (0%, 10%, 20%, 30%, 50%, 90% arterial occlusion pressure)...
January 11, 2017: Physiology & Behavior
https://www.readbyqxmd.com/read/28086953/student-and-faculty-perceptions-on-the-rapid-scale-up-of-medical-students-in-ethiopia
#7
Brittney S Mengistu, Holly Vins, Caitrin M Kelly, Daphne R McGee, Jennifer O Spicer, Miliard Derbew, Abebe Bekele, Damen Haile Mariam, Carlos Del Rio, Henry M Blumberg, Dawn L Comeau
BACKGROUND: Ethiopia is a country of over 94 million people that has a severe physician shortage with approximately only 2.5 physicians per 100,000 persons. Recently, the Ethiopian government implemented a "flood and retain" initiative to rapidly increase the quantity of physicians in Ethiopia. Consequently, medical student enrollment at Addis Ababa University (AAU) School of Medicine increased from 100 to approximately 300-400 students per class. This study evaluated the impact of the rapid scale-up in the number of medical students on the quality of medical education at AAU and the impact of the U...
January 13, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28086792/irish-general-practitioner-attitudes-toward-decriminalisation-and-medical-use-of-cannabis-results-from-a-national-survey
#8
Des Crowley, Claire Collins, Ide Delargy, Eamon Laird, Marie Claire Van Hout
BACKGROUND: Governmental debate in Ireland on the de facto decriminalisation of cannabis and legalisation for medical use is ongoing. A cannabis-based medicinal product (Sativex®) has recently been granted market authorisation in Ireland. This unique study aimed to investigate Irish general practitioner (GP) attitudes toward decriminalisation of cannabis and assess levels of support for use of cannabis for therapeutic purposes (CTP). METHODS: General practitioners in the Irish College of General Practitioner (ICGP) database were invited to complete an online survey...
January 13, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28076356/the-limitations-of-the-gre-in-predicting-success-in-biomedical-graduate-school
#9
Liane Moneta-Koehler, Abigail M Brown, Kimberly A Petrie, Brent J Evans, Roger Chalkley
Historically, admissions committees for biomedical Ph.D. programs have heavily weighed GRE scores when considering applications for admission. The predictive validity of GRE scores on graduate student success is unclear, and there have been no recent investigations specifically on the relationship between general GRE scores and graduate student success in biomedical research. Data from Vanderbilt University Medical School's biomedical umbrella program were used to test to what extent GRE scores can predict outcomes in graduate school training when controlling for other admissions information...
2017: PloS One
https://www.readbyqxmd.com/read/28076250/patient-reported-offers-of-alcohol-treatment-for-primary-care-patients-at-high-risk-for-an-alcohol-use-disorder
#10
Sean Grant, Katherine E Watkins, Andy Bogart, Susan M Paddock, Kimberly A Hepner
BACKGROUND: This study assessed patient-reported alcohol treatment offers by health care providers following routine annual screening for alcohol use in primary care. METHODS: A telephone interview within 30 days of the annual screen assessed demographics, alcohol and other drug use, mental health symptoms, and offers of formal treatment for alcohol by a Veterans Affairs health care provider. We included male patients (n = 349) at high risk for an alcohol use disorder (AUD) who had not received alcohol treatment in the past 3 months...
November 2016: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28074571/screening-brief-intervention-and-referral-to-treatment-sbirt-implementation-barriers-facilitators-and-model-migration
#11
Janice Vendetti, Amanda Gmyrek, Donna Damon, Manu Singh, Bonnie McRee, Frances Del Boca
AIMS: To identify barriers and facilitators associated with initial implementation of a US alcohol and other substance use Screening, Brief Intervention, and Referral to Treatment (SBIRT) grant program, and to identify modifications in program design that addressed implementation challenges. DESIGN: A mixed-method approach used quantitative and qualitative data, including SBIRT provider ratings of implementation barriers and facilitators, staff interview responses and program documentation...
February 2017: Addiction
https://www.readbyqxmd.com/read/28066901/what-does-individual-strength-say-about-resistance-training-status
#12
Samuel L Buckner, J Grant Mouser, Matthew B Jessee, Scott J Dankel, Kevin T Mattocks, Jeremy P Loenneke
The point at which an individual becomes resistance "trained" is not well defined in the literature. Some studies have defined training status as having engaged in consistent resistance training activities for a given period of time, whereas others base inclusion criteria on strength levels alone, or levels of strength in combination with training age/time. If the primary focus of a study is to examine adaptations in individuals with high levels of strength, then it may be appropriate to exclude the individuals who do not meet strength requirements...
January 9, 2017: Muscle & Nerve
https://www.readbyqxmd.com/read/28062823/health-extension-and-clinical-and-translational-science-an-innovative-strategy-for-community-engagement
#13
Arthur Kaufman, Robert L Rhyne, Juliana Anastasoff, Francisco Ronquillo, Marnie Nixon, Shiraz Mishra, Charlene Poola, Janet Page-Reeves, Carolina Nkouaga, Carla Cordova, Richard S Larson
Health Extension Regional Officers (HEROs) through the University of New Mexico Health Sciences Center (UNMHSC) help to facilitate university-community engagement throughout New Mexico. HEROs, based in communities across the state, link priority community health needs with university resources in education, service, and research. Researchers' studies are usually aligned with federal funding priorities rather than with health priorities expressed by communities. To help overcome this misalignment, the UNM Clinical and Translational Science Center (CTSC) provides partial funding for HEROs to bridge the divide between research priorities of UNMHSC and health priorities of the state's communities...
January 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28056786/immune-adaptation-to-chronic-intense-exercise-training-new-microarray-evidence
#14
Dongmei Liu, Ru Wang, Ana R Grant, Jinming Zhang, Paul M Gordon, Yuqin Wei, Peijie Chen
BACKGROUND: Endurance exercise training, especially the high-intensity training, exhibits a strong influence on the immune system. However, the mechanisms underpinning the immune-regulatory effect of exercise remain unclear. Consequently, we chose to investigate the alterations in the transcriptional profile of blood leukocytes in young endurance athletes as compared with healthy sedentary controls, using Affymetrix human gene 1.1 ST array. RESULTS: Group differences in the transcriptome were analyzed using Intensity-based Hierarchical Bayes method followed by a Logistic Regression-based gene set enrichment method...
January 5, 2017: BMC Genomics
https://www.readbyqxmd.com/read/28050911/caring-for-elder-patients
#15
Karin Nordstr├Âm, Tenzin Wangmo
BACKGROUND: Neglect and abuse of elders in care institutions is a recurring issue in the media. Elders in care institutions are vulnerable due to their physical, cognitive, and verbal limitations. Such vulnerabilities may make them more susceptible to mistreatment by caregivers on whom they are heavily dependent. OBJECTIVES: The goal was to understand caregivers' concerns about ensuring correct and proper treatment, as well as their experiences with neglect and abuse of older patients...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/28048904/su-g-bra-02-development-of-a-learning-based-block-matching-algorithm-for-ultrasound-tracking-in-radiotherapy
#16
A Shepard, B Bednarz
PURPOSE: To develop an ultrasound learning-based tracking algorithm with the potential to provide real-time motion traces of anatomy-based fiducials that may aid in the effective delivery of external beam radiation. METHODS: The algorithm was developed in Matlab R2015a and consists of two main stages: reference frame selection, and localized block matching. Immediately following frame acquisition, a normalized cross-correlation (NCC) similarity metric is used to determine a reference frame most similar to the current frame from a series of training set images that were acquired during a pretreatment scan...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048710/su-f-t-97-outlier-identification-in-radiation-therapy-knowledge-modeling
#17
Y Sheng, Y Ge, L Yuan, T Li, F Yin, Q Wu
PURPOSE: To investigate the impact of outliers on knowledge modeling in radiation therapy, and develop a systematic workflow for identifying and analyzing geometric and dosimetric outliers using pelvic cases. METHODS: Four groups (G1-G4) of pelvic plans were included: G1 (37 prostate cases), G2 (37 prostate plus lymph node cases), and G3 (37 prostate bed cases) are all clinical IMRT cases. G4 are 10 plans outside G1 re-planned with dynamic-arc to simulate dosimetric outliers...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048700/tu-d-bra-00-treatment-planning-system-commissioning-and-qa
#18
Greg Salomons
INTRODUCTION: Treatment planning systems (TPS) are a cornerstone of modern radiation therapy. Errors in their commissioning or use can have a devastating impact on many patients. To support safe and high quality care, medical physicists must conduct efficient and proper commissioning, good clinical integration, and ongoing quality assurance (QA) of the TPS. AAPM Task Group 53 and related publications have served as seminal benchmarks for TPS commissioning and QA over the past two decades...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048646/tu-ab-brc-07-efficiency-of-an-iaea-phase-space-source-for-a-low-energy-x-ray-tube-using-egs
#19
Pgf Watson, M A Renaud, J Seuntjens
PURPOSE: To extend the capability of the EGSnrc C++ class library (egs++) to write and read IAEA phase-space files as a particle source, and to assess the relative efficiency gain in dose calculation using an IAEA phase-space source for modelling a miniature low energy x-ray source. METHODS: We created a new ausgab object to score particles exiting a user-defined geometry and write them to an IAEA phase-space file. A new particle source was created to read from IAEA phase-space data...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048565/th-ab-201-09
#20
L Mirzakhanian, H Benmakhlouf, J Seuntjens
PURPOSE: To determine the k_(Q_msr,Q)^(f_msr,f_ref) factor, introduced in the small field formalism for five common type chambers used in the calibration of Leksell Gamma-Knife Perfexion model over a range of different phantom electron densities. METHODS: Five chamber types including Exradin-A16, A14SL, A14, A1SL and IBA-CC04 are modeled in EGSnrc and PENELOPE Monte Carlo codes using the blueprints provided by the manufacturers. The chambers are placed in a previously proposed water-filled phantom and four 16-cm diameter spherical phantoms made of liquid water, Solid Water, ABS and polystyrene...
June 2016: Medical Physics
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