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https://www.readbyqxmd.com/read/28920797/description-of-gastric-ulcers-and-of-their-suspected-associated-risk-factors-in-deceased-wild-equids-at-the-r%C3%A3-serve-africaine-de-sigean-france-2010-2016
#1
Benjamin Lamglait, Marielle Vandenbunder-Beltrame, Elodie Trunet, Karin Lemberger
Gastric ulcers are common in domestic horses and foals, affecting at least 90% of unmedicated racehorses in active training. Despite these high prevalences in domestic horses, literature about this condition in wild equids is almost nonexistent. The presence of gastric ulcers was evaluated at necropsy in six species of wild equids that died at the Réserve Africane de Sigean, a safari park in the south of France from 2010 to 2016. Among the 55 individuals that died during that period, a description of the gastric mucosa was available in 82% (45/55) of cases...
September 2017: Journal of Zoo and Wildlife Medicine: Official Publication of the American Association of Zoo Veterinarians
https://www.readbyqxmd.com/read/28895809/sbirt-curriculum-integration-and-sustainability-social-work-and-nursing-faculty-perspectives
#2
M Nicole Belfiore, Marcela D Blinka, Karlynn BrintzenhofeSzoc, Joseph Shields
BACKGROUND: The Substance Abuse and Mental Health Services Administration (SAMHSA) has funded grants to universities to provide training and conduct research on the dissemination of Screening, Brief Intervention, and Referral to Treatment (SBIRT) to health care professionals. However, when it comes to integrating SBIRT content into an existing curriculum, difficulties can arise. When there is so much content already in the curriculum, adding more can be challenging. Additionally, some faculty believe that course curricula should be driven by the expertise and knowledge of faculty, not by opportunities afforded because of grant funding...
September 12, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28893747/the-health-and-well-being-of-australia-s-future-medical-doctors-protocol-for-a-5-year-observational-cohort-study-of-medical-trainees
#3
Erin Cvejic, Gordon Parker, Samuel B Harvey, Zachery Steel, Dusan Hadzi-Pavlovic, Claire L Macnamara, Uté Vollmer-Conna
INTRODUCTION: Clinical training in the undergraduate medical course places multiple stressors on trainees, which have been held to lead to heightened distress, depression, suicide, substance misuse/abuse and poor mental health outcomes. To date, evidence for morbidity in trainees is largely derived from cross-sectional survey-based research. This limits the accuracy of estimates and the extent to which predispositional vulnerabilities (biological and/or psychological), contextual triggers and longer-term consequences can be validly identified...
September 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/28882683/structured-operative-autonomy-an-institutional-approach-to-enhancing-surgical-resident-education-without-impacting-patient-outcomes
#4
Brandon M Wojcik, Zhi Ven Fong, Madhukar S Patel, David C Chang, Dustin R Long, Haytham Ma Kaafarani, Emil Petrusa, John T Mullen, Keith D Lillemoe, Roy Phitayakorn
BACKGROUND: Though barriers to granting surgical residents autonomy in the operating room are well described, few have proposed practical strategies to overcome them. Our department adopted a multidisciplinary approach to develop a rotation that aimed to grant chief residents structured operative autonomy. In this study, we assess the feasibility of implementation, impact on patient safety and educational benefit to residents following the program's pilot year. STUDY DESIGN: During a one-month rotation, chief residents began cases alone using their own operative block time...
September 4, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28870192/development-of-a-framework-for-the-co-production-and-prototyping-of-public-health-interventions
#5
Jemma Hawkins, Kim Madden, Adam Fletcher, Luke Midgley, Aimee Grant, Gemma Cox, Laurence Moore, Rona Campbell, Simon Murphy, Chris Bonell, James White
BACKGROUND: Existing guidance for developing public health interventions does not provide information for researchers about how to work with intervention providers to co-produce and prototype the content and delivery of new interventions prior to evaluation. The ASSIST + Frank study aimed to adapt an existing effective peer-led smoking prevention intervention (ASSIST), integrating new content from the UK drug education resource Talk to Frank ( www.talktofrank.com ) to co-produce two new school-based peer-led drug prevention interventions...
September 4, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28868804/prevalence-and-socioeconomic-characteristics-of-alcohol-disorders-among-men-and-women-in-the-eastern-cape-province-south-africa
#6
Lena M C Andersson, Akwasi Twum-Antwi, Carin Staland-Nyman, Dalena Rm van Rooyen
There is growing concern about alcohol problems in low- and middle-income countries. More research is required, particularly among the younger generation. The aim of this study was to investigate the prevalence of alcohol disorders and associated socioeconomic characteristics among young men and women living in the Eastern Cape Province, South Africa. This was a cross-sectional population-based study of 977 participants (52% male and 48% female) aged 18-40, the majority of whom lived in low-income areas. Data collection was carried out in 2012 by trained fieldworkers...
September 4, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28864705/a-protocol-for-a-randomised-controlled-trial-of-the-bone-response-to-impact-loading-or-resistance-training-in-young-women-with-lower-than-average-bone-mass-the-optima-ex-trial
#7
Conor Lambert, Belinda R Beck, Amy T Harding, Steven L Watson, Benjamin K Weeks
INTRODUCTION: The aim of the Osteoporosis Prevention Through Impact and Muscle-loading Approaches to Exercise trial is to compare the bone response to two known osteogenic stimuli - impact loading exercise and resistance training. Specifically, we will examine the effect of a 10-month, twice-weekly, high-intensity impact loading exercise intervention and a 10-month, twice-weekly, high-intensity resistance training intervention on bone mass and strength at clinically important skeletal sites...
September 1, 2017: BMJ Open
https://www.readbyqxmd.com/read/28862111/how-can-we-improve-education-of-breast-surgeons-across-europe
#8
Agnieszka Kolacinska
The proposed global curriculum developed by the American Society of Surgical Oncology (SSO) and the European Society of Surgical Oncology (ESSO) and the textbook: provides a state-of- the- art of breast cancer surgery, complements the syllabus and curriculum of the Union Europeenne des Medecins Specialistes (UEMS) examination in breast surgery/ European Board of Surgery Qualification in Breast Surgery (EBSQinBS) administered by ESSO (1) Knowledge and understanding of the principles of breast cancer incidence, aetiology, risk factors, genetics, premalignant and high-risk lesions, pathology, prognostic and predictive factors, risk prediction models, screening, diagnosis and imaging, breast cancer, oncoplastic, reconstructive breast surgery, axillary surgery and future perspective for this, radiation therapy, neoadjuvant and adjuvant systemic treatment- endocrine-, immuno- and chemotherapy, side effects and toxicities of treatment, locoregional recurrence, follow-up, locally advanced breast cancer, metastatic breast cancer, breast cancer in young and elderly patients, survivor issues, lymphedema, palliative care, chroni pain, body image and sexuality, fertility issues, cognitive functions, etc...
July 2017: Chirurgia
https://www.readbyqxmd.com/read/28861459/development-of-a-comprehensive-and-sustainable-gynecologic-oncology-training-program-in-western-kenya-a-low-resource-setting
#9
Barry Rosen, Peter Itsura, Philip Tonui, Alan Covens, Luc van Lonkhuijzen, Elkanah Omenge Orang'o
To provide information on the development of a gynecologic oncology training program in a low-resource setting in Kenya. This is a review of a collaboration between Kenyan and North American physicians who worked together to develop a gynecologic oncology training in Kenya. We review the published data on the increase of cancer incidence in sub-Saharan Africa and outline the steps that were taken to develop this program. The incidence of cervical cancer in Kenya is very high and is the leading cause of cancer mortality in Kenya...
August 2017: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/28859408/fuel-use-in-mammals-conserved-patterns-and-evolved-strategies-for-aerobic-locomotion-and-thermogenesis
#10
Grant B McClelland, Sulayman A Lyons, Cayleih E Robertson
Effective aerobic locomotion depends on adequate delivery of oxygen and an appropriate allocation of metabolic substrates. The use of metabolic substrates during exercise follows a predictive pattern of lipid and carbohydrate oxidation that is similar in lowland native cursorial mammals. We have found that in two highland lineages of mice (Phyllotis and Peromyscus) the fuel use pattern is shifted to a greater reliance on carbohydrates compared to their lowland conspecifics and congenerics. However, there is variation between lineages in the importance of phenotypic plasticity in the expression of this metabolic phenotype...
August 1, 2017: Integrative and Comparative Biology
https://www.readbyqxmd.com/read/28851792/the-clinical-academic-workforce-of-the-future-a-cross-sectional-study-of-factors-influencing-career-decision-making-among-clinical-phd-students-at-two-research-intensive-uk-universities
#11
Joana Lopes, Veronica Ranieri, Trevor Lambert, Chris Pugh, Helen Barratt, Naomi J Fulop, Geraint Rees, Denise Best
OBJECTIVES: To examine clinical doctoral students' demographic and training characteristics, career intentions, career preparedness and what influences them as they plan their future careers. DESIGN AND SETTING: Online cross-sectional census surveys at two research-intensive medical schools in England in 2015-2016. PARTICIPANTS: All medically qualified PhD students (N=523) enrolled at the University of Oxford and University College London were invited to participate...
August 28, 2017: BMJ Open
https://www.readbyqxmd.com/read/28844986/design-and-challenges-for-a-randomized-multi-site-clinical-trial-comparing-the-use-of-service-dogs-and-emotional-support-dogs-in-veterans-with-post-traumatic-stress-disorder-ptsd
#12
Gabrielle H Saunders, Kousick Biswas, Tracey Serpi, Stephanie McGovern, Shirley Groer, Eileen M Stock, Kathryn M Magruder, Daniel Storzbach, Kelly Skelton, Thad Abrams, Mark McCranie, Joan Richerson, Patricia A Dorn, Grant D Huang, Michael T Fallon
Posttraumatic stress disorder (PTSD) is a leading cause of impairments in quality of life and functioning among Veterans. Service dogs have been promoted as an effective adjunctive intervention for PTSD, however published research is limited and design and implementation flaws in published studies limit validated conclusions. This paper describes the rationale for the study design, a detailed methodological description, and implementation challenges of a multisite randomized clinical trial examining the impact of service dogs on the on the functioning and quality of life of Veterans with PTSD...
August 26, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/28842722/glucose-effectiveness-but-not-insulin-sensitivity-is-improved-after-short-term-interval-training-in-individuals-with-type-2-diabetes-mellitus-a-controlled-randomised-crossover-trial
#13
Kristian Karstoft, Margaret A Clark, Ida Jakobsen, Sine H Knudsen, Gerrit van Hall, Bente K Pedersen, Thomas P J Solomon
AIMS/HYPOTHESIS: The role of glucose effectiveness (S G) in training-induced improvements in glucose metabolism in individuals with type 2 diabetes is unknown. The objectives and primary outcomes of this study were: (1) to assess the efficacy of interval walking training (IWT) and continuous walking training (CWT) on S G and insulin sensitivity (S I) in individuals with type 2 diabetes; and (2) to assess the association of changes in S G and S I with changes in glycaemic control. METHODS: Fourteen participants with type 2 diabetes underwent three trials (IWT, CWT and no training) in a crossover study...
August 25, 2017: Diabetologia
https://www.readbyqxmd.com/read/28830868/efficient-and-effective-precepting-of-pharmacy-students-in-acute-and-ambulatory-care-rotations-a-delphi-expert-panel-study
#14
Robert Ignoffo, Lucinda Chan, Katherine Knapp, Emily Chan, Eric Ip, Jason Bandy, Kathleen Besinque, James Colbert, Jeremiah J Duby, Joseph S Galanto, Mark Gloudeman, Patty Havard, Grant Lackey, Eric Lozano, James Scott, Tania L Stewart
PURPOSE: Using the Delphi process, a panel of experienced preceptors achieved consensus on best practices to increase preceptor efficiency and effectiveness. METHODS: The Delphi panelists completed 3 survey rounds and a face-to-face meeting. Survey questions covered several topics, including preparation of students for rotations, preceptor efficiency and effectiveness, potential resident contributions to precepting, methods of developing critical-thinking skills and providing assessment and feedback, precepting time metrics, and barriers to preceptor effectiveness...
August 22, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28829187/mass-killing-under-the-guise-of-ect-the-darkest-chapter-in-the-history-of-biological-psychiatry
#15
G Gazdag, G S Ungvari, H Czech
Following its inception, electroconvulsive therapy (ECT), rapidly spread all over the world, including Nazi Germany. Paradoxically, at the same time, the euthanasia programme was started in Germany: the extermination of people with intellectual disabilities and severe psychiatric disorders. In Lower Austria, Dr Emil Gelny, who had been granted a specialist qualification in psychiatry after three months of clinical training, took control of two psychiatric hospitals, in Gugging and Mauer-Öhling. In 1944, he began systematically killing patients with an ECT machine, something that was not practised anywhere else before or after, and remains unprecedented in the history of convulsive therapy...
August 1, 2017: History of Psychiatry
https://www.readbyqxmd.com/read/28822063/mind-body-therapies-in-cancer-what-is-the-latest-evidence
#16
REVIEW
Linda E Carlson, Erin Zelinski, Kirsti Toivonen, Michelle Flynn, Maryam Qureshi, Katherine-Ann Piedalue, Rachel Grant
PURPOSE OF REVIEW: Many people living with cancer use complementary therapies, and some of the most popular are mind-body therapies (MBTs), including relaxation and imagery, hypnosis, yoga, meditation, tai chi and qigong, and art therapies. The efficacy of these modalities was reviewed by assessing recent findings in the context of cancer care. RECENT FINDINGS: These therapies show efficacy in treating common cancer-related side effects, including nausea and vomiting, pain, fatigue, anxiety, depressive symptoms and improving overall quality of life...
August 18, 2017: Current Oncology Reports
https://www.readbyqxmd.com/read/28821429/high-intensity-interval-resistance-training-hiirt-in-older-adults-effects-on-body-composition-strength-anabolic-hormones-and-blood-lipids
#17
Tatiana Moro, Grant Tinsley, Antonino Bianco, Angela Gottardi, Gio Batta Gottardi, Diego Faggian, Mario Plebani, Giuseppe Marcolin, Antonio Paoli
No abstract text is available yet for this article.
August 15, 2017: Experimental Gerontology
https://www.readbyqxmd.com/read/28819744/correlations-do-not-show-cause-and-effect-not-even-for-changes-in-muscle-size-and-strength
#18
Scott J Dankel, Samuel L Buckner, Matthew B Jessee, J Grant Mouser, Kevin T Mattocks, Takashi Abe, Jeremy P Loenneke
It is well known that resistance exercise results in increased muscle strength, but the cause of the improvement is not well understood. It is generally thought that initial increases in strength are caused by neurological factors, before being predominantly driven by increases in muscle size. Despite this hypothesis, there is currently no direct evidence that training-induced increases in muscle size contribute to training-induced increases in muscle strength. The evidence used to support this hypothesis is exclusively correlational analyses and these are often an afterthought using data collected to answer a different question of interest...
August 17, 2017: Sports Medicine
https://www.readbyqxmd.com/read/28818227/impact-of-an-educational-program-on-the-quality-of-life-of%C3%A2-patients-with-lymphedema-a-preliminary-evaluation
#19
Sophie Blaise, Bernadette Satger, Gilles Pernod, Cécile Richaud, Béatrice Villemur, Patrick H Carpentier
OBJECTIVE: We report on the preliminary evaluation of a well-designed program, Living with Lymphedema. This longitudinal cohort study assessed patients' quality of life using questionnaires. Our main objective was to evaluate the satisfaction of the patients and their adherence to the program. This was done using a specific questionnaire of satisfaction as well as by noting patients' adherence to the program (number of patients attending all three consultations). The secondary objective was to assess the effect of the program on the patient's quality of life...
September 2017: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/28814328/building-capacity-for-dissemination-and-implementation-research-one-university-s-experience
#20
Ross C Brownson, Enola K Proctor, Douglas A Luke, Ana A Baumann, Mackenzie Staub, Matthew T Brown, Mallory Johnson
BACKGROUND: While dissemination and implementation (D&I) science has grown rapidly, there is an ongoing need to understand how to build and sustain capacity in individuals and institutions conducting research. There are three inter-related domains for capacity building: people, settings, and activities. Since 2008, Washington University in St. Louis has dedicated significant attention and resources toward building D&I research capacity. This paper describes our process, challenges, and lessons with the goal of informing others who may have similar aims at their own institution...
August 16, 2017: Implementation Science: IS
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