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https://www.readbyqxmd.com/read/28421176/distributed-learning-revitalizing-anesthesiology-training-in-resource-limited-ethiopia
#1
Krupa B Patel, Morgan Dooley, Ananya Abate, Vanessa Moll
BACKGROUND: Ethiopia has a significant paucity of available health-care workers. Despite the increasing number of medical schools, there are not enough physician instructors. Furthermore, availability and standardization of postgraduate training are lacking. Modalities of e-learning have been shown to be successful when used to impart medical education in other resource-limited countries. The Emory University and Addis Ababa University (AAU) Departments of Anesthesiology have formed a collaboration with the intent of improving the AAU Anesthesiology residency program, one of two postgraduate training programs for anesthesiology in Ethiopia...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28388221/exploiting-linkage-information-and-problem-specific-knowledge-in-evolutionary-distribution-network-expansion-planning
#2
Ngoc Hoang Luong, Han La Poutré, Peter A N Bosman
This article tackles the Distribution Network Expansion Planning (DNEP) problemthat has to be solved by distribution network operators to decide which, where, and/or when enhancements to electricity networks should be introduced to satisfy the future power demands. Because of many real-world details involved, the structure of the problem is not exploited easily using mathematical programming techniques, for which reason we consider solving this problem with evolutionary algorithms (EAs). We compare three types of EAs for optimizing expansion plans: the classic genetic algorithm (GA), the estimation-of-distribution algorithm (EDA), and the Gene-pool Optimal Mixing Evolutionary Algorithm (GOMEA)...
April 7, 2017: Evolutionary Computation
https://www.readbyqxmd.com/read/28369378/reduced-cytoplasmic-mbnl1-is-an-early-event-in-a-brain-specific-mouse-model-of-myotonic-dystrophy
#3
Pei-Ying Wang, Yu-Mei Lin, Lee-Hsin Wang, Ting-Yu Kuo, Sin-Jhong Cheng, Guey-Shin Wang
Myotonic dystrophy type 1 (DM1) is caused by an expansion of CTG repeats in the 3' untranslated region (UTR) of dystrophia myotonia protein kinase (DMPK) gene. Cognitive impairment associated with structural change in the brain is prevalent in DM1. How this histopathological abnormality during disease progression develops remains elusive. Nuclear accumulation of mutant DMPK mRNA containing expanded CUG RNA disrupting the cytoplasmic and nuclear activities of muscleblind-like (MBNL) protein has been implicated in DM1 neural pathogenesis...
March 24, 2017: Human Molecular Genetics
https://www.readbyqxmd.com/read/28365920/the-changing-face-of-clinical-trials-in-psoriatic-arthritis
#4
REVIEW
Alexis Ogdie, Laura Coates
PURPOSE OF THE REVIEW: We will address current treatment and unmet needs in psoriatic arthritis (PsA), examine existing randomized controlled trials (RCTs), and consider options for new trial designs and challenges in their implementation. RECENT FINDINGS: While therapeutic options for PsA have rapidly increased, there continues to be a need for clinical trials to test new therapies and establish optimal treatment strategies in order to improve the care for patients with PsA...
April 2017: Current Rheumatology Reports
https://www.readbyqxmd.com/read/28364922/understanding-the-policy-environment-for-immunization-supply-chains-lessons-learned-from-landscape-analyses-in-uganda-and-senegal
#5
Henry Luzze, Ousseynou Badiane, El Hadji Mamadou Ndiaye, Annette Seck Ndiaye, Brian Atuhaire, Phionah Atuhebwe, Phillippe Guinot, Erin Fry Sosne, Abdoulaye Gueye
As immunization programs around the world undergo rapid change and expansion, supply chain and logistics systems have become strained, making it increasingly challenging for national public health systems to provide reliable, safe, and efficient access to vaccines. Governments and immunization partners have been aware of this problem for several years, and in 2010, the World Health Organization (WHO) launched the Effective Vaccine Management (EVM) process to help countries identify shortcomings in their immunization supply chains and develop plans for systematic improvement...
April 19, 2017: Vaccine
https://www.readbyqxmd.com/read/28359313/an-examination-of-the-causes-consequences-and-policy-responses-to-the-migration-of-highly-trained-health-personnel-from-the-philippines-the-high-cost-of-living-leaving-a-mixed-method-study
#6
Erlinda Castro-Palaganas, Denise L Spitzer, Maria Midea M Kabamalan, Marian C Sanchez, Ruel Caricativo, Vivien Runnels, Ronald Labonté, Gail Tomblin Murphy, Ivy Lynn Bourgeault
BACKGROUND: Dramatic increases in the migration of human resources for health (HRH) from developing countries like the Philippines can have consequences on the sustainability of health systems. In this paper, we trace the outflows of HRH from the Philippines, map out its key causes and consequences, and identify relevant policy responses. METHODS: This mixed method study employed a decentered, comparative approach that involved three phases: (a) a scoping review on health workers' migration of relevant policy documents and academic literature on health workers' migration from the Philippines; and primary data collection with (b) 37 key stakeholders and (c) household surveys with seven doctors, 329 nurses, 66 midwives, and 18 physical therapists...
March 31, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28351883/american-mock-world-health-organization-an-innovative-model-for-student-engagement-in-global-health-policy
#7
Mia Lei, Neha Acharya, Edith Kwok Man Lee, Emma Catherine Holcomb, Veronica Kapoor
The American Mock World Health Organization (AMWHO) is a model for experiential-based learning and student engagement in global health diplomacy. AMWHO was established in 2014 at the University of North Carolina at Chapel Hill with a mission to engage students in health policy by providing a simulation of the World Health Assembly (WHA), the policy-forming body of the World Health Organization that sets norms and transforms the global health agenda. AMWHO conferences are designed to allow students to take their knowledge of global health beyond the classroom and practice their skills in diplomacy by assuming the role of WHA delegates throughout a 3-day weekend...
March 24, 2017: Global Health, Science and Practice
https://www.readbyqxmd.com/read/28342402/the-effects-of-mindful-learning-on-pro-environmental-behavior-a-self-expansion-perspective
#8
Yanmei Tang, Liuna Geng, P Wesley Schultz, Kexin Zhou, Peng Xiang
This current article explores the differential effects of mindful learning on pro-environmental behavior from the perspective of self-expansion. A total of 253 participants were recruited for four experiments. In Study 1, the mindful-learning group reported greater levels of pro-environmental behavioral intentions compared to a randomized control. In Study 2, we utilized different learning materials focusing on self, humans, or the biosphere in three sub-experiments. Study 2a manipulated mindsets by a self-related focus and revealed participants in a mindfulness condition had lower pro-environmental behavioral intentions than those in the mindlessness group...
March 22, 2017: Consciousness and Cognition
https://www.readbyqxmd.com/read/28321393/an-integrated-approach-to-falls-prevention-a-model-for-linking-clinical-and-community-interventions-through-the-massachusetts-prevention-and-wellness-trust-fund
#9
Laura J Coe, Julie Ann St John, Santhi Hariprasad, Kalpana N Shankar, Patricia A MacCulloch, Amy L Bettano, Jean Zotter
Older adult falls continue to be a public health priority across the United States-Massachusetts (MA) being no exception. The MA Prevention and Wellness Trust Fund (PWTF) program within the MA Department of Public Health aims to reduce the physical and economic burdens of chronic health conditions by linking evidence-based clinical care with community intervention programs. The PWTF partnerships that focused on older adult falls prevention integrated the Centers for Disease Control and Prevention's Stopping Elderly Accidents, Death and Injuries toolkit into clinical settings...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28318749/experience-and-outcomes-of-micrografting-for-major-paediatric-burns
#10
H Rode, R Martinez, D Potgieter, S Adams, A D Rogers
BACKGROUND: The deficit of donor sites in major burns over 50% of the total body surface area has necessitated the application of methods besides traditional meshed autografting to achieve definitive skin cover. The Meek micrografting technique was introduced at this hospital in 2011, especially in the absence of a reliable source of deceased donor allograft skin. The purpose of this study was to evaluate this strategy with reference to its technical execution, efficacy and indications in the context of major paediatric burn surgery...
March 15, 2017: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/28315694/incorporation-of-autopsy-case-based-learning-into-phd-graduate-education-a-novel-approach-to-bridging-the-bench-to-bedside-gap
#11
Erin G Brooks, Joanne M Thornton, Erik A Ranheim, Zsuzsanna Fabry
Given the current rapid expansion of biological knowledge and the challenges of translating that knowledge into clinical practice, finding effective methods of teaching graduate students clinical medicine concepts has become even more critical. The utility of autopsy in medical student and resident education has been well-established. Multiple studies have reported it to be a helpful means of teaching anatomy, pathophysiology, clinical problem-solving skills, and medical diagnostic techniques. While various models of training Ph...
March 15, 2017: Human Pathology
https://www.readbyqxmd.com/read/28298160/new-perspectives-on-health-professions-students-e-learning-looking-through-the-lens-of-the-visitor-and-resident-model
#12
Maralyn Druce, Stella Howden
BACKGROUND: The growth of e-learning in health professional education reflects expansion of personal use of online resources. Understanding the user perspective in a fast-changing digital world is essential to maintain the currency of our approach. METHODS: Mixed methods were used to investigate a cohort of postgraduate, e-learning healthcare students' perspectives on their use of online resources for personal and/or professional roles, via questionnaire and student-constructed diagrams, capturing use of online resources (underpinned by White's model of "resident" and "visitor" online engagement)...
March 15, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28290107/estimating-willingness-to-pay-for-online-health-services-with-discrete-choice-experiments
#13
Jieun Chang, Scott J Savage, Donald M Waldman
BACKGROUND: Research has outlined the benefits and costs of online health services, but these studies have typically focused on a specific geographic region or disease. Very few studies have estimated consumer demand for online health services. OBJECTIVE: This study estimated household's willingness to pay (WTP) for the ability to receive remote diagnosis, treatment, monitoring and consultations online (telehealth). METHODS: WTP was estimated with a random utility model and household data from a US survey employing repeated discrete-choice experiments...
March 13, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28288650/analysis-of-an-international-collaboration-for-capacity-building-of-human-resources-for-eye-care-case-study-of-the-college-college-vision-2020-link
#14
Nyawira Mwangi, Marcia Zondervan, Covadonga Bascaran
BACKGROUND: There is an extreme health workforce shortage in Eastern, Central, and Southern Africa. Shortage of eye care workers impedes effective implementation of prevention of blindness programs. The World Health Organization has identified education, partnership, leadership, financing, and policy as intertwined interventions that are critical to resolving this crisis on the long term. CASE PRESENTATION: The VISION 2020 LINK between the College of Ophthalmology of Eastern, Central, and Southern Africa and the Royal College of Ophthalmologists in the United Kingdom aims to increase the quantity and quality of eye care training in East, Central, and Southern Africa through a focus on five strategic areas: fellowship examination for ophthalmologists, training the trainers, curriculum development for residents in ophthalmology and ophthalmic clinical officers, continuous professional development (CPD), and mentoring program for young ophthalmologists...
March 14, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28275359/the-dopamine-prediction-error-contributions-to-associative-models-of-reward-learning
#15
REVIEW
Helen M Nasser, Donna J Calu, Geoffrey Schoenbaum, Melissa J Sharpe
Phasic activity of midbrain dopamine neurons is currently thought to encapsulate the prediction-error signal described in Sutton and Barto's (1981) model-free reinforcement learning algorithm. This phasic signal is thought to contain information about the quantitative value of reward, which transfers to the reward-predictive cue after learning. This is argued to endow the reward-predictive cue with the value inherent in the reward, motivating behavior toward cues signaling the presence of reward. Yet theoretical and empirical research has implicated prediction-error signaling in learning that extends far beyond a transfer of quantitative value to a reward-predictive cue...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28274988/incorporation-of-lean-methodology-into-pharmacy-residency-programs
#16
Natalie John, Holly Snider, Lisa Edgerton, Laurie Whalin
PURPOSE: The implementation of lean methodology into pharmacy residency programs at a community teaching hospital is described. SUMMARY: New Hanover Regional Medical Center, a community teaching hospital in southeastern North Carolina, fully adopted a lean culture in 2010. Given the success of lean strategies organizationally, this methodology was used to assist with the evaluation and development of its pharmacy residency programs in 2014. Lean tools and activities have also been incorporated into residency requirements and rotation learning activities...
March 15, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28267290/great-expectations-a-framework-for-assessing-and-understanding-key-factors-affecting-student-learning-of-foundational-reading-skills
#17
REVIEW
Audrey-Marie Moore, Amber Gove, Karen Tietjen
This article addresses the evolution of the underlying theories of change in global education reform efforts between 1990 and 2015, informed by the shift in focus from access to quality and learning. We review recent data regarding how different types of donor interventions (i.e., structural or pedagogical) have contributed to improved reading outcomes and compare effect sizes over a series of intervention studies conducted from 2003 to 2015. Against this background, we present a framework for understanding how the intensity, frequency, and fidelity of the interventions as well as the enabling environments of reform affect the magnitude and rates at which reading and learning outcomes can be expected to improve...
March 2017: New Directions for Child and Adolescent Development
https://www.readbyqxmd.com/read/28263269/education-for-developing-and-sustaining-a-health-care-workforce-for-disaster-readiness
#18
Joanne C Langan, Roberta Lavin, Kelly A Wolgast, Tener Goodwin Veenema
The United States needs a national health care and public health workforce with the knowledge, skills, and abilities to respond to any disaster or public health emergency in a timely and appropriate manner. This requires that all of our nation's nurses and health care providers have unrestrained access to high-quality, evidence-based, competency-driven education and training programs. Programs of study for disaster readiness in both the academic and service sectors are limited in number. Those that do exist may be based upon consensus rather than competency and be price prohibitive...
April 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/28254091/a-methodology-for-automated-cpa-extraction-using-liver-biopsy-image-analysis-and-machine-learning-techniques
#19
Markos G Tsipouras, Nikolaos Giannakeas, Alexandros T Tzallas, Zoe E Tsianou, Pinelopi Manousou, Andrew Hall, Ioannis Tsoulos, Epameinondas Tsianos
BACKGROUND AND OBJECTIVE: Collagen proportional area (CPA) extraction in liver biopsy images provides the degree of fibrosis expansion in liver tissue, which is the most characteristic histological alteration in hepatitis C virus (HCV). Assessment of the fibrotic tissue is currently based on semiquantitative staging scores such as Ishak and Metavir. Since its introduction as a fibrotic tissue assessment technique, CPA calculation based on image analysis techniques has proven to be more accurate than semiquantitative scores...
March 2017: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/28241908/implementation-and-evaluation-of-the-safety-net-specialty-care-program-in-the-denver-metropolitan-area
#20
Meredith P Fort, Lynnette M Namba, Sarah Dutcher, Tracy Copeland, Neysa Bermingham, Chris Fellenz, Deborah Lantz, John J Reusch, Elizabeth A Bayliss
OBJECTIVES: In response to limited access to specialty care in safety-net settings, an integrated delivery system and three safety-net organizations in the Denver, CO, metropolitan area launched a unique program in 2013. The program offers safety-net providers the option to electronically consult with specialists. Uninsured patients may be seen by specialists in office visits for a defined set of services. This article describes the program, identifies aspects that have worked well and areas that need improvement, and offers lessons learned...
2017: Permanente Journal
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