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Continous medical education

Bona Yoon, Monica Irmler, Charles Faselis, Angelike P Liappis
Clinical culture contaminations delay the correct diagnosis, result in repeat testing, and may extend the length of a hospital stay. A simple educational session reminding providers of the ubiquitous presence of bacteria on the skin and in our environment, led to a significant decrease in contaminated cultures (16.9% versus 10.9%, p = 0.03). J Contin Educ Nurs. 2016;47(10):446-448.
October 1, 2016: Journal of Continuing Education in Nursing
Thembelihle Zuma, Daniel Wight, Tamsen Rochat, Mosa Moshabela
BACKGROUND: Traditional health practitioners (THPs) play a vital role in the health care of the majority of the South African population and elsewhere on the African continent. However, many studies have challenged the role of THPs in health care. Concerns raised in the literature include the rationale, safety and effectiveness of traditional health practices and methods, as well as what informs them. This paper explores the processes followed in becoming a traditional healer and how these processes are related to THP roles...
2016: BMC Complementary and Alternative Medicine
Ester Innocent
The population residing Sub-Sahara Africa (SSA) continues to suffer from communicable health problems such as HIV/AIDS, malaria, tuberculosis, and various neglected tropical as well as non-communicable diseases. The disease burden is aggravated by shortage of medical personnel and medical supplies such as medical devices and minimal access to essential medicine. For long time, human beings through observation and practical experiences learned to use different plant species that led to the emergence of traditional medicine (TM) systems...
June 2016: Journal of Intercultural Ethnopharmacology
David G Ingram, Jodi A Mindell, Kristina Puzino, Russel M Walters
BACKGROUND: Sleep coaches are individuals of various backgrounds who offer services to families struggling with behavioral childhood sleep problems. We conducted a survey of coaches to further elucidate scope of practice, practice patterns, geographic distribution, education, training, and beliefs regarding qualification requirements. METHODS: A Web-based survey was completed by 142 individuals who identified as a sleep coach. RESULTS: Coaches were distributed across 17 countries and 5 continents...
June 30, 2016: Behavioral Sleep Medicine
Romain Boissier, Eugenie Di Crocco, Alice Faure, Geraldine Hery, Véronique Delaporte, Eric Lechevallier, Pierre D E Mouriquand, Jean-Michel Guys, Gilles Karsenty
OBJECTIVE: To document the long-term outcomes of paediatric augmentation gastrocystoplasty (AGC) in terms of preservation of renal function and maintenance of dryness, and to analyse the rate of complications. PATIENTS AND METHODS: The medical records of children who had undergone AGC between 1992 and 2000 (minimum time interval of 15 years) were reviewed retrospectively. The following data were collected: age at surgery, the cause of bladder dysfunction, functioning of the AGC, any complications, and the long-term outcome of the patients...
June 20, 2016: BJU International
Adeline Boatin, Joseph Ngonzi, Leslie Bradford, Blair Wylie, Annekathryn Goodman
INTRODUCTION: In Uganda, an estimated 120 obstetrician/gynecologists serve a population of 30 million people demonstrating the need to train additional skilled clinician leaders in reproductive health. In 2012, a partnership was formed with the Mbarara Regional Referral Hospital (MRRH) in southwest Uganda and the Massachusetts General Hospital (MGH) in Boston, USA, in part to increase access to specialist training. This report presents an update in the development of a teaching conference between the institutions...
November 2015: Open Journal of Obstetrics and Gynecology
Kannikar Wechkunanukul, Hugh Grantham, Robyn A Clark
OBJECTIVES: The aim of this review is to summarise research from a range of countries describing the differences in time taken to seek medical care for chest pain and factors which contribute to delay times. METHODS: An integrative literature review was undertaken using the Medline, CINAHL and Scopus databases for publications between 1994 and 2014. Articles dealing with delay time, and the factors associated with delay time, were extracted from the literature. RESULTS: The search yielded 395 articles of which 205 full-text articles were assessed for eligibility...
April 22, 2016: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
E Sarantopoulos
"Orandum est ut sit mens sana in corpore sano" ("You should pray for a healthy mind in a healthy body"). This phrase is a shortened citation from the satirical work of the Roman poet Juvenal. It highlights the significant role of physical as well as mental health. Aesthetic ideals have existed since the Archaic age, but they are not necessarily the same in different continents. Being familiar with aesthetic ideals in different cultures might help to accommodate patients' needs and wishes in today's globalised world...
April 2016: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
Alice Faure, Matthieu Peycelon, Pauline Lallemant, Georges Audry, Veronique Forin
PURPOSE: To describe the acceptance and efficacy of clean intermittent catheterization (CIC) in the management of lower urinary tract (LUT) dysfunction regardless of the age of the children and their degree of urethral sensation. MATERIALS AND METHODS: We retrospectively evaluated boys managed with CIC at a pediatric teaching hospital between 1992 and 2014. Age, urethral sensation, acceptance, efficacy in terms of continence and preserving upper urinary tract and genitourinary complications were reviewed in the medical records...
March 2016: Urology Journal
Julie Park, Charles M Kantrow, Mark G Coulthard
BACKGROUND: The University of Queensland (UQ), Ochsner Clinical School (OCS) is a partnership between Ochsner Health System in New Orleans, LA, and UQ in Brisbane, Australia. OCS medical students are trained on both continents, receiving their didactic education in Australia and their clinical education in the United States. METHODS: We review the OCS experience and compare the pediatric rotations at OCS and UQ. RESULTS: Students in the pediatric rotations in Australia and in the United States receive their clinical instruction in the real-world learning environment of hospitals and clinics...
2016: Ochsner Journal
Ismael Dominguez-Rosado, Vitor Moutinho, Ronald P DeMatteo, T Peter Kingham, Michael D'Angelica, Murray F Brennan
BACKGROUND: Training of foreign medical graduates in surgical oncology is an undervalued intervention for improving global cancer care. The aim of this work was to describe the design and results of a clinical training program for international surgeons from a single comprehensive cancer center. STUDY DESIGN: Of 39 international fellows trained during 20 years, 34 were surveyed about education, research, and current context of surgical practice. A citation and H-index calculation (ie h number of publications that each has at least h citations) was performed to assess scientific productivity of each graduated fellow...
May 2016: Journal of the American College of Surgeons
Alexander J O Gibbs, Alexandra C Malyon, Zoë B McC Fritz
BACKGROUND: Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions are made in hospitals throughout the globe. International variation in clinicians' perception of DNACPR decision-making and implementation and the factors influencing such variation has not previously been explored. METHODS: A questionnaire asking how DNACPR decisions are made, communicated and perceived in their country was composed: it consisted of seven closed-answer and four open-answer questions...
June 2016: Resuscitation
Julie L Hopkins, Gail E Bromley
The purpose of this project was to determine whether a nurse residency program was effective in improving satisfaction with new graduates' performance competence in interprofessional collaboration. This was a cross-sectional survey design, comparing the satisfaction ratings of nurse leaders and staff nurses at a mid-western academic medical center to national benchmark data obtained from the 2007 Nursing Practice Readiness Tool. The sample consisted of 149 nurses who worked in inpatient units where new graduates practice...
March 2016: Journal of Continuing Education in Nursing
S Kraus, G Ogunbanjo, K Sliwa, N A B Ntusi
Despite medical advances, heart failure (HF) remains a global health problem and sub-Saharan Africa (SSA) is no exception, with decompensated HF being the most common primary diagnosis for patients admitted to hospital with heart disease. In SSA the in-hospital mortality rate of decompensated HF is up to 8.3%. HF is a clinical syndrome that is caused by a diverse group of aetiologies, each requiring unique management strategies, highlighting the need for diagnostic certainty and a broad understanding of the complex pathophysiology of this condition...
January 2016: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
Sallie J Shipman, Marietta P Stanton, Stephen Tomlinson, Linda Olivet, Ann Graves, Douglas McKnight, Patricia M Speck
The study purpose was to examine the reflections of the lived experiences of nurses in shelters or temporary community medical clinics responding for the first time to a civilian disaster. The disaster-nursing literature echoes the need for development of disaster content in the nursing curriculum. However, little thematic analysis-supporting curriculum from the lived experience of first-time responders exists in the literature. This study's purpose is to identify the essential thematic knowledge and skills necessary to provide care to disaster survivors in communities and for determining the themes necessary to formulate education in emergency preparedness curricula...
February 2016: Journal of Continuing Education in Nursing
Peter Rubenwolf, Christian Thomas, Joachim W Thüroff, Raimund Stein
PURPOSE: We evaluated the outcome in female patients with classic bladder exstrophy and continent urinary diversion for sexual function and fertility. MATERIALS AND METHODS: We reviewed the medical records of female exstrophy patients who underwent continent urinary diversion in our department between 1969 and 2014. Patients were invited for followup examination and asked to complete questionnaires relating to sexual function, social integration and maternity. RESULTS: Of 38 eligible patients 29 (response rate 76%) with a followup of 22...
July 2016: Journal of Urology
Muhammad U Sharif, Mohamed E Elsayed, Austin G Stack
Amidst the rising tide of chronic kidney disease (CKD) burden, the global nephrology workforce has failed to expand in order to meet the growing healthcare needs of this vulnerable patient population. In truth, this shortage of nephrologists is seen in many parts of the world, including North America, Europe, Australia, New Zealand, Asia and the African continent. Moreover, expert groups on workforce planning as well as national and international professional organizations predict further reductions in the nephrology workforce over the next decade, with potentially serious implications...
February 2016: Clinical Kidney Journal
I J N Koppen, A von Gontard, J Chase, C S Cooper, C S Rittig, S B Bauer, Y Homsy, S S Yang, M A Benninga
BACKGROUND: Fecal incontinence (FI) in children is frequently encountered in pediatric practice, and often occurs in combination with urinary incontinence. In most cases, FI is constipation-associated, but in 20% of children presenting with FI, no constipation or other underlying cause can be found - these children suffer from functional nonretentive fecal incontinence (FNRFI). OBJECTIVE: To summarize the evidence-based recommendations of the International Children's Continence Society for the evaluation and management of children with FNRFI...
February 2016: Journal of Pediatric Urology
Phyllis A Bonham, Bonny G Flemister, Linda R Droste, Jan J Johnson, Teresa Kelechi, Catherine R Ratliff, Myra F Varnado
The purpose of this article is to provide a summary of the recommendations from the 2014 Guideline for Management of Wounds in Patients With Lower-Extremity Arterial Disease (LEAD), published by the Wound, Ostomy and Continence Nurses Society (WOCN). This article provides an overview of the process used to update and develop the guideline, and specific recommendations from the guideline for assessment, referral for further evaluation, interventions (ie, debridement, dressings, infection, antibiotics, nutrition, pain management, compression issues, medications, surgical options, and adjunctive therapies), and patient education and risk-reduction strategies...
January 2016: Journal of Wound, Ostomy, and Continence Nursing
Kathie Lasater, Ann E Nielsen, Mary Stock, Tanya L Ostrogorsky
Assessing newly hired nurses' readiness for practice is critical for safe practice and the quality care of patients; therefore, hospitals need effective assessment strategies to promote clinical judgment development. One large medical center hospital developed a process to assess new hires' clinical judgment, using case studies. This article describes the assessment process and reports findings from a retrospective analysis of the clinical judgment competency of the participants. The findings suggest that more orientation time and experience are needed for less-experienced nurses (<3 years) and experienced nurses who have not practiced in acute care...
December 2015: Journal of Continuing Education in Nursing
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