keyword
https://read.qxmd.com/read/37910153/conversational-agents-in-health-care-expert-interviews-to-inform-the-definition-classification-and-conceptual-framework
#21
JOURNAL ARTICLE
Laura Martinengo, Xiaowen Lin, Ahmad Ishqi Jabir, Tobias Kowatsch, Rifat Atun, Josip Car, Lorainne Tudor Car
BACKGROUND: Conversational agents (CAs), or chatbots, are computer programs that simulate conversations with humans. The use of CAs in health care settings is recent and rapidly increasing, which often translates to poor reporting of the CA development and evaluation processes and unreliable research findings. We developed and published a conceptual framework, designing, developing, evaluating, and implementing a smartphone-delivered, rule-based conversational agent (DISCOVER), consisting of 3 iterative stages of CA design, development, and evaluation and implementation, complemented by 2 cross-cutting themes (user-centered design and data privacy and security)...
November 1, 2023: Journal of Medical Internet Research
https://read.qxmd.com/read/37891695/implementation-evaluation-of-a-teledermatology-virtual-clinic-at-an-academic-medical-center
#22
JOURNAL ARTICLE
Meenal K Kheterpal, Ethan D Borre, Udeyvir Cheema, Matilda W Nicholas, Edward W Cooner, Donna Phinney, Kelly Gagnon, Leah L Zullig, Heather A King, Elizabeth J Malcolm, Suephy C Chen
BACKGROUND: Teledermatology (TD) is an evidence-based practice that may increase access to dermatologic care. We sought to use the Exploration, Preparation, Implementation, and Sustainment (EPIS) and the Reach, Efficacy, Adoption, Implementation, and Maintenance (RE-AIM) frameworks to evaluate implementation of TD at Duke. METHODS: The EPIS and RE-AIM frameworks were deployed to design and implement a TD program that leveraged the strengths of the Duke University Health System and addressed previously reported barriers to implementation of store-and-forward and synchronous TD models...
October 27, 2023: Implementation science communications
https://read.qxmd.com/read/37871929/effectiveness-of-synchronous-vs-asynchronous-faculty-aid-in-learning-how-to-diagnose-plan-and-perform-a-44c-ankle-fracture-osteosynthesis-in-a-synthetic-bone-model
#23
JOURNAL ARTICLE
C Arroyo-Berezowsky, L Ochoa-Olvera, P Jorba-Elguero, V Giordano
INTRODUCTION: COVID-19 pandemic has disrupted educational activities since 2020. AO Trauma Latin American courses took place in a blended modality during 2021 and participant's feedback was positive. In this study, we aim to identify if there was any difference in learning, planning, and executing an osteosynthesis on a bone model with synchronous or asynchronous faculty support during an online asynchronous learning program. MATERIAL AND METHODS: we designed an online asynchronous course designed for teaching about trimalleolar ankle fractures...
2023: Acta Ortopédica Mexicana
https://read.qxmd.com/read/37781440/the-virtual-visit-a-telehealth-curriculum-for-internal-medicine-residents-featuring-a-virtual-physical-examination
#24
JOURNAL ARTICLE
Megan McConnell, Puneet Kumar, Rashmi Mullur
BACKGROUND: During the COVID-19 pandemic, medical professionals were obligated to adapt to virtual care. Most resident physicians had no formal telehealth training. The virtual physical examination remained underutilized. OBJECTIVE: We describe a needs assessment leading to the creation of a telehealth curriculum for internal medicine (IM) and internal medicine pediatric (IM/P) residents, and report changes in residents' confidence level as well as feasibility data...
October 2023: Journal of Graduate Medical Education
https://read.qxmd.com/read/37720418/training-to-transition-using-simulation-based-training-to-improve-resident-physician-confidence-in-hospital-discharges
#25
JOURNAL ARTICLE
Jenna Sizemore, Andrea Bailey, Spoorthi Sankineni, Karen Clark, Shanthi Manivannan, Maria Kolar, Mary Warden, Sarah Sofka
INTRODUCTION: Hospital discharge is a highly critical and complex process that is prone to medical errors, poor communication, and ineffective synchronization of transitional teams. Improving safety during postacute care transitions has become a national focus. Simulation-based training is an underutilized method of instruction for medical resident transitions of care education. METHODS: As an integral part of a transitions curriculum, 36 PGY 1 residents from internal medicine and transitional year residency programs underwent a discharge simulation utilizing a trained simulated participant (SP) and a lay caregiver...
2023: MedEdPORTAL Publications
https://read.qxmd.com/read/37683265/scaffolding-the-transition-to-residency-a-qualitative-study-of-coach-and-resident-perspectives
#26
JOURNAL ARTICLE
Agnes Park, Colleen Gillespie, Marc Triola, Lynn Buckvar-Keltz, Richard E Greene, Abigail F Winkel
PURPOSE: This study explores coaching during transition from medical school to residency through the perspectives of residents and faculty coaches participating in a coaching program from residency match through the first year of residency. METHOD: From January to September 2020, 15 faculty coaches in internal medicine, obstetrics and gynecology, emergency medicine, orthopedics, and pathology participated in a synchronous, in-person coaching training course. All 94 postgraduate year 1 residents in these 5 training programs participated...
September 4, 2023: Academic Medicine
https://read.qxmd.com/read/37674046/noninvasive-electrical-mapping-compared-with-the-paced-qrs-complex-for-optimizing-crt-programmed-settings-and-predicting-multidimensional-response
#27
JOURNAL ARTICLE
Frances L Morales, Derek J Bivona, Mohamad Abdi, Rohit Malhotra, Oliver Monfredi, Andrew Darby, Pamela K Mason, J Michael Mangrum, Sula Mazimba, Robert W Stadler, Frederick H Epstein, Kenneth C Bilchick, Pim J A Oomen
The aim was to test the hypothesis that left ventricular (LV) and right ventricular (RV) activation from body surface electrical mapping (CardioInsight 252-electrode vest, Medtronic) identifies optimal cardiac resynchronization therapy (CRT) pacing strategies and outcomes in 30 patients. The LV80, RV80, and BIV80 were defined as the times to 80% LV, RV, or biventricular electrical activation. Smaller differences in the LV80 and RV80 (|LV80-RV80|) with synchronized LV pacing predicted better LV function post-CRT (p = 0...
September 6, 2023: Journal of Cardiovascular Translational Research
https://read.qxmd.com/read/37642986/an-evaluation-of-a-personalized-multicomponent-commercial-digital-weight-management-program-single-arm-behavioral-trial
#28
JOURNAL ARTICLE
Sherry Pagoto, Ran Xu, Tiffany Bullard, Gary D Foster, Richard Bannor, Kaylei Arcangel, Joseph DiVito, Matthew Schroeder, Michelle I Cardel
BACKGROUND: Digital behavioral weight loss programs are scalable and effective, and they provide an opportunity to personalize intervention components. However, more research is needed to test the acceptability and efficacy of personalized digital behavioral weight loss interventions. OBJECTIVE: In a 6-month single-arm trial, we examined weight loss, acceptability, and secondary outcomes of a digital commercial weight loss program (WeightWatchers). This digital program included a personalized weight loss program based on sex, age, height, weight, and personal food preferences, as well as synchronous (eg, virtual workshops and individual weekly check-ins) and asynchronous (eg, mobile app and virtual group) elements...
August 29, 2023: Journal of Medical Internet Research
https://read.qxmd.com/read/37626415/using-the-re-aim-framework-to-evaluate-the-implementation-and-effectiveness-of-a-who-hearts-based-intervention-to-integrate-the-management-of-hypertension-into-hiv-care-in-uganda-a-process-evaluation
#29
REVIEW
Martin Muddu, Fred Collins Semitala, Isaac Derick Kimera, Douglas Joseph Musimbaggo, Mary Mbuliro, Rebecca Ssennyonjo, Simon Peter Kigozi, Rodgers Katwesigye, Florence Ayebare, Christabellah Namugenyi, Frank Mugabe, Gerald Mutungi, Chris T Longenecker, Anne R Katahoire, Jeremy I Schwartz, Isaac Ssinabulya
BACKGROUND: World Health Organization (WHO) HEARTS packages are increasingly used to control hypertension. However, their feasibility in persons living with HIV (PLHIV) is unknown. We studied the effectiveness and implementation of a WHO HEARTS intervention to integrate the management of hypertension into HIV care. METHODS: This was a mixed methods study at Uganda's largest HIV clinic. Components of the adapted WHO HEARTS intervention were lifestyle counseling, free hypertension medications, hypertension treatment protocol, task shifting, and monitoring tools...
August 25, 2023: Implementation science communications
https://read.qxmd.com/read/37610385/rural-location-of-residence-is-not-associated-with-use-of-telemedicine-for-initial-medical-contact-for-gender-related-healthcare
#30
JOURNAL ARTICLE
Rosemary Claire Roden, Marley G Billman, Robert Mullin, Angelea Francesco, Jamal H Essayli
PURPOSE: There is very little information available regarding the health needs of transgender and gender diverse adolescents and young adults with gender dysphoria who reside in rural areas of the United States. This study aims to determine if residing in a rural area is associated with the use of telemedicine services, such as synchronous voice-video appointments, for initial contact for medical interventions for gender-related reasons in adolescents and young adults with gender incongruence...
August 23, 2023: Journal of Adolescent Health
https://read.qxmd.com/read/37552711/knowledge-transfer-in-support-of-the-development-of-oxygen-concentrators-in-emergency-settings-during-the-covid-19-pandemic
#31
JOURNAL ARTICLE
Urs B Lustenberger, Alexandra Krestnikova, Olivier G Gröninger, Robert N Grass, Wendelin J Stark
The COVID-19 pandemic simultaneously disrupted supply chains and generated an urgent demand in medical infrastructure. Among personal protective equipment and ventilators, there was also an urgent demand for chemical oxygen. As devices to purify oxygen could not be manufactured and shipped rapidly enough, a simple and accessible oxygen concentrator based on pressure swing adsorption was developed at ETH Zurich in spring 2020. Instead of building devices locally and shipping them, it was decided to educate others in need of oxygen...
April 24, 2023: Journal of Chemical Education
https://read.qxmd.com/read/37529771/utilization-and-staff-perspectives-on-an-on-demand-telemedicine-model-for-people-with-intellectual-and-developmental-disabilities-who-reside-in-certified-group-residences
#32
JOURNAL ARTICLE
Carolyn A Berry, Lorraine Kwok, Miriam Gofine, Matthew Kaufman, Debra A Williams, Kelly Terlizzi, Mike Alvaro, Charles J Neighbors
BACKGROUND: Non-emergent medical problems that arise when a usual provider is unavailable can often result in emergency department or urgent care visits, which can be particularly distressing to people with intellectual and developmental disabilities (PIDD). On-demand, synchronous telemedicine may be a promising supplement when immediate care from usual sources is unavailable. Prior research demonstrated that high-quality telemedicine can be effectively delivered to PIDD. The aim of this article is to describe the utilization and staff perspectives on the implementation of the Telemedicine Triage Project (TTP), an innovative model that provides telemedicine consultations for PIDD who reside in state-certified group residences and present with an urgent but non-emergent medical concern when their usual provider is unavailable...
2023: Telemedicine reports
https://read.qxmd.com/read/37506222/a-blended-approach-to-developing-psychomotor-skills-in-novice-learners-in-a-doctor-of-physical-therapy-curriculum
#33
JOURNAL ARTICLE
Catherine A Bilyeu, Amy W McDevitt, Dana L Judd
PURPOSE: Psychomotor skill performance is central to effective clinical practice across health professions. These complex skills are challenging to teach, particularly in the novice learner. As many health professions programs have increased blended course offerings, educators must establish best practices for teaching psychomotor skills in this evolving learning environment. The purpose of this paper is to describe the innovative application of an evidence-based framework to teaching psychomotor skills to novice learners in a blended learning environment...
July 28, 2023: Medical Teacher
https://read.qxmd.com/read/37465838/remote-synchronous-laceration-repair-instruction-with-summary-feedback
#34
JOURNAL ARTICLE
Stephen K Stacey, Christopher L Boswell, Karen K Cowan, Anthony J Furlano, Mark D McEleney, Erin F Morcomb, Christopher J Tookey
BACKGROUND AND OBJECTIVES: Social distancing and quarantine requirements imposed during the COVID-19 pandemic necessitated remote training in many learning situations that formerly focused on traditional in-person training. In this context, we developed an adaptive approach to teaching laceration repair remotely while allowing for synchronous instruction and feedback. METHODS: In April 2020, 35 family medicine residents from 4 programs in the Midwest United States participated in a real-time, remotely-delivered, 2-hour virtual procedure workshop of instruction in suture techniques for laceration repair...
2023: PRiMER: Peer-Review Reports in Medical Education Research
https://read.qxmd.com/read/37461074/breaking-down-the-fences-among-registries-on-autoinflammatory-diseases-the-e-merge-project
#35
JOURNAL ARTICLE
Y Vyzhga, V Hentgen, R Caorsi, H Wittkowski, M Hofer, N Ruperto, E Lainka, K Theodoropoulou, D Foell, E Mosci, M Gattorno
BACKGROUND: Among the various numbers of different autoinflammatory diseases (AIDs), the absolute majority of them remains rare, with a single representative in large populations. This project, endorsed by PRES, supported by the EMERGE fellowship program, and performed in line with the Metadata registry for the ERN RITA (MeRITA), has the objective of performing a data synchronization attempt of the most relevant research questions regarding clinical features, diagnostic strategies, and optimal management of autoinflammatory diseases...
July 17, 2023: Orphanet Journal of Rare Diseases
https://read.qxmd.com/read/37440285/applying-user-centered-design-and-implementation-science-to-the-early-stage-development-of-a-telehealth-enhanced-hybrid-cardiac-rehabilitation-program-quality-improvement-study
#36
JOURNAL ARTICLE
Andrea T Duran, Adrianna Keener-DeNoia, Kimberly Stavrolakes, Adina Fraser, Luis V Blanco, Emily Fleisch, Nicole Pieszchata, Diane Cannone, Charles Keys McKay, Emma Whittman, Donald Edmondson, Rachel C Shelton, Nathalie Moise
BACKGROUND: Cardiac rehabilitation (CR) is an evidence-based intervention that improves event-free survival in patients with cardiac conditions, yet <27% of all eligible patients use CR in the United States. CR is traditionally delivered in clinic-based settings where implementation barriers abound. Innovative nontraditional program designs and strategies are needed to support widespread CR uptake. OBJECTIVE: This study aimed to demonstrate how user-centered design (UCD) and implementation science (IS) principles and methods can be integrated into the early-stage development of nontraditional CR interventions...
July 13, 2023: JMIR Formative Research
https://read.qxmd.com/read/37377504/virtual-anesthesiology-medical-student-learning-program-pilot-designed-in-response-to-covid-19
#37
JOURNAL ARTICLE
Amanda S Xi, Natalie J Koons, Abigail Schirmer, Akshay Shanker, Reece J Goiffon
BACKGROUND: This learning opportunity was designed to provide an interactive, virtual, educational anesthesiology program for interested medical students and to offer an opportunity to learn more about an institutional culture through a question and answer (Q&A) with program faculty preceptors for the 2020-2021 anesthesiology residency application cycle. We sought to identify if this virtual learning program was a valuable educational tool through a survey. METHODS: A short Likert-scale survey was sent to medical students before and after participation in a session using REDCap electronic data capture tool...
2023: Journal of Education in Perioperative Medicine: JEPM
https://read.qxmd.com/read/37370964/a-decade-of-therapeutic-challenges-in-synchronous-gynecological-cancers-from-the-bucharest-oncological-institute
#38
JOURNAL ARTICLE
Laurentiu Simion, Elena Chitoran, Ciprian Cirimbei, Daniela-Cristina Stefan, Ariana Neicu, Bogdan Tanase, Sinziana Octavia Ionescu, Dan Cristian Luca, Laurentia Gales, Adelina Silvana Gheorghe, Dana Lucia Stanculeanu, Vlad Rotaru
The aim of our study is to present the particularities of a specific subset of gynecological cancer patients in Romania. We present a review of synchronous gynecological neoplasia (SGN) treated in the Bucharest Oncological Institute's surgery departments over a decade. Between 2012 and 2022, 7419 female patients with genital malignancies were treated. We identified 36 patients with invasive synchronous primary gynecological cancers (0.5%) and 12 cases with one primary gynecological and another primary invasive pelvic cancer (rectal/bladder)...
June 15, 2023: Diagnostics
https://read.qxmd.com/read/37369068/spanish-for-veterinarians-part-2-a-survey-gauging-student-perspectives-on-a-profession-specific-language-learning-experience
#39
JOURNAL ARTICLE
Emily E Forehand, Shannon K Zeller, Danielle M Frey
This article describes the distribution and results of a survey that was disseminated among students enrolled in Doctor of Veterinary Medicine (DVM) programs in the United States. It is a critical component to a substantial effort being undertaken at Colorado State University (CSU) to overhaul their current Spanish for Veterinarians offerings (outlined and discussed in Spanish for Veterinarians Part 1: An Approach to Weaving Spanish Language Education into DVM Curricula) into a cohesive Spanish language program that offers consistent synchronous exposure to the language and guided practice over several semesters of instruction...
June 12, 2023: Journal of Veterinary Medical Education
https://read.qxmd.com/read/37368435/patient-satisfaction-with-pharmacist-led-chronic-care-management-services-combined-with-medication-synchronization
#40
JOURNAL ARTICLE
Magdi Awad, Kenneth Furdich, Dana Webb
DISCLAIMER: In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. PURPOSE: Chronic care management (CCM) improves clinical outcomes, enhances patients' adherence with medical treatments, reduces overall cost, and increases patient satisfaction...
June 27, 2023: American Journal of Health-system Pharmacy: AJHP
keyword
keyword
41354
2
3
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.