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https://www.readbyqxmd.com/read/28332283/clinical-reasoning-skills-in-final-year-dental-students-a-qualitative-cross-curricula-comparison
#1
E T Nafea, R Dennick
AIMS: The aim of this research was to explore the perceptions of undergraduate dental students regarding clinical reasoning skills and also discover the influences of different curriculum designs on the acquisition of these skills by students. METHODS: Eighteen final-year students from three different dental schools with varied curricula and cultures participated in the current research. The research used qualitative methodology. The study took place in 2013-2014...
March 23, 2017: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://www.readbyqxmd.com/read/28332224/monitoring-and-regulation-of-learning-in-medical-education-the-need-for-predictive-cues
#2
Anique B H de Bruin, John Dunlosky, Rodrigo B Cavalcanti
CONTEXT: Being able to accurately monitor learning activities is a key element in self-regulated learning in all settings, including medical schools. Yet students' ability to monitor their progress is often limited, leading to inefficient use of study time. Interventions that improve the accuracy of students' monitoring can optimise self-regulated learning, leading to higher achievement. This paper reviews findings from cognitive psychology and explores potential applications in medical education, as well as areas for future research...
March 23, 2017: Medical Education
https://www.readbyqxmd.com/read/28325084/application-of-a-contextual-instructional-framework-in-a-continuing-professional-development-training-program-for-physiotherapists-in-rwanda
#3
Kim Dunleavy, Julia Chevan, Antoinette P Sander, Jean Damascene Gasherebuka, Monika Mann
BACKGROUND: Continuing professional development is an important component of capacity building in low resource countries. The purpose of this case study is to describe the use of a contextual instructional framework to guide the processes and instructional design choices for a series of continuing professional development courses for physiotherapists in Rwanda. METHODS: Four phases of the project are described: (1) program proposal, needs assessment and planning, (2) organization of the program and instructional design, (3) instructional delivery and (4) evaluation...
March 22, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28323356/on-the-use-of-one-sided-statistical-tests-in-biomedical-research
#4
Ricardo Murphy
There is a tendency to automatically use two-sided tests to assess the statistical significance of experimental results. Yet if a theory predicts the direction of an experimental outcome, or if for some practical (e.g. clinical) reason an outcome in that direction is the only one of interest, then it makes sense to use a one-sided test. The use of a two-sided test in these situations will lead to too many false negatives. Consequently treatment effects that corroborate a theory or that are of practical importance may be missed...
March 21, 2017: Clinical and Experimental Pharmacology & Physiology
https://www.readbyqxmd.com/read/28321895/the-role-of-leptospira-spp-in-horses-affected-with-recurrent-uveitis-in-the-uk
#5
F Malalana, R J Blundell, G L Pinchbeck, C M McGowan
BACKGROUND: Equine Recurrent Uveitis (ERU) is a common cause of ocular pain and blindness in horses. Leptospira spp. have commonly been implicated in the pathophysiology of ERU in mainland Europe and USA. No recent studies have been carried out in the UK but it is reported that Leptospira is not a major factor in the aetiology of ERU in the UK. OBJECTIVES: to establish the prevalence of Leptospira-associated ERU in the UK and identify the serovars involved in these cases in the UK; compare serum versus aqueous humour antibody levels in cases and controls in order to confirm the diagnosis of Leptospira-associated ERU; and assess the usefulness of serology alone as a confirmatory test for Leptospira-associated ERU in the UK...
March 20, 2017: Equine Veterinary Journal
https://www.readbyqxmd.com/read/28321550/ethical-implications-of-the-electronic-health-record-in-the-service-of-the-patient
#6
Lois Snyder Sulmasy, Ana María López, Carrie A Horwitch
Electronic health records (EHRs) provide benefits for patients, physicians, and clinical teams, but also raise ethical questions. Navigating how to provide care in the digital age requires an assessment of the impact of the EHR on patient care and the patient-physician relationship. EHRs should facilitate patient care and, as an essential component of that care, support the patient-physician relationship. Billing, regulatory, research, documentation, and administrative functions determined by the operational requirements of health care systems, payers, and others have resulted in EHRs that are better able to satisfy such external functions than to ensure that patient care needs are met...
March 20, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28321240/validation-of-veterans-specific-activity-questionnaire-to-assess-exercise-tolerance-of-chinese-elderly-with-coronary-heart-disease
#7
Yan Wang, Jing-Jing Shi, Bo-Zhong Wang
OBJECTIVE: The Veterans Specific Activity Questionnaire (VSAQ) has been used to assess exercise tolerance. Nevertheless, there is no validated Chinese version. The aim of this study is to determine whether a questionnaire-based method using the Chinese version of VSAQ (the modified VSAQ) is a practical tool to assess exercise tolerance of Chinese elderly with coronary heart disease. METHODS: One hundred thirty consecutive elderly patients who were diagnosed with coronary heart disease (CHD) (mean age 68...
December 2016: Journal of Geriatric Cardiology: JGC
https://www.readbyqxmd.com/read/28320927/clinical-reasoning-a-43-year-old-woman-with-right-limb-weakness
#8
Siying Li, Jingjing Zhang, Ping Liu, Ruili Wei, Huaiwu Yuan, Qing Ke
No abstract text is available yet for this article.
March 21, 2017: Neurology
https://www.readbyqxmd.com/read/28315947/impact-of-18-f-fdg-pet-ct-on-surgical-management-in-patients-with-advanced-melanoma-an-outcome-based-analysis
#9
Andrea Forschner, Susann-Cathrin Olthof, Brigitte Gückel, Peter Martus, Werner Vach, Christian la Fougère, Konstantin Nikolaou, Ulrike Keim, Thomas Kurt Eigentler, Claus Garbe, Christina Pfannenberg
PURPOSE: To evaluate the influence of (18)F-FDG-PET/CT on clinical decision making and outcome in advanced melanoma patients planned for radical metastasectomy. METHODS AND MATERIALS: A cohort of 333 patients with mainly stage III/IV melanoma having a PET/CT for clinical reasons was prospectively enrolled in our oncologic PET/CT registry between 2013 and 2015. Referring physicians completed questionnaires regarding their intended management for each patient before and after PET/CT...
March 18, 2017: European Journal of Nuclear Medicine and Molecular Imaging
https://www.readbyqxmd.com/read/28314322/concurrent-chemotherapy-improves-the-overall-survival-of-patients-irradiated-for-locally-recurrent-bladder-cancer
#10
Dirk Rades, Lisa Manig, Stefan Janssen, Steven E Schild
AIM: To investigate the predictive value of several factors, including concurrent chemotherapy, for overall survival of patients irradiated for locally recurrent bladder cancer. PATIENTS AND METHODS: Thirty patients irradiated for local recurrence of bladder cancer were included; 14 received concurrent chemotherapy. Ten factors were analyzed for overall survival: gender, age, period from bladder cancer diagnosis to irradiation of local recurrence, Karnofsky performance scale, tumour grading, pack-years smoked, smoking during radiotherapy, radiation dose, interruption of radiotherapy and concurrent chemotherapy...
March 2017: Anticancer Research
https://www.readbyqxmd.com/read/28306576/clinical-use-of-smartphones-among-medical-and-nursing-staff-in-greece-a-survey
#11
Pantelis Stergiannis, Georgios Intas, Georgia Toulia, Ioannis Tsolakoglou, Petros Kostagiolas, Eleni Christodoulou, Eleftheria Chalari, Vasilios Kiriakopoulos, Georgios Filntisis
The aim of this study was to investigate the clinical use of smartphones among medical and nursing staff in Greece. This study used a 17-item questionnaire that was administered to the participants by the authors. The sample consists of 974 participants of 1200 who were asked to participate (ie, a response rate of 81.3%). The survey was open to all categories of medical and nursing staff (junior doctors, specialized doctors, assistant nurses, and RNs). In total, 167 participants (18.5%) were nurse assistants; 385 participants (42...
March 16, 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28289174/clinical-reasoning-a-14-year-old-boy-with-fatigue-and-episodic-worsening-of-weakness
#12
Bhaskar Roy, Nizar Chahin
No abstract text is available yet for this article.
March 14, 2017: Neurology
https://www.readbyqxmd.com/read/28287827/intensive-care-unit-educators-a-multicenter-evaluation-of-behaviors-residents-value-in-attendings
#13
Lekshmi Santhosh, Snigdha Jain, Anna Brady, Michelle Sharp, W Graham Carlos
RATIONALE: It is important for attendings to know which behaviors influence learner perceptions. To date, two studies focusing on general medicine attendings have been published addressing internal medicine residents' perceptions of attendings; there are no data on intensive care unit (ICU) attendings. OBJECTIVES: We sought to expand the evidence regarding this topic through a multicenter study at four geographically diverse academic medical centers. Our study focused on identifying the teaching behaviors of ICU physicians that learners observe in attendings they value as effective educators...
March 13, 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/28281378/faculty-experience-and-engagement-in-a-longitudinal-integrated-clerkship
#14
Sarah C Snow, Jennifer Gong, Jennifer E Adams
The authors sought to understand rewards and challenges of teaching third-year medical students in the University of Colorado School of Medicine (CUSOM) Denver Health Longitudinal Integrated Clerkship (DH-LIC) compared to teaching in rotation-based clerkships (RBCs). The authors considered implications for the recruitment and retention of faculty in clinical educational programs. Preceptors completed surveys at baseline and year-end. Of eligible faculty, 28 of 40 completed both baseline and year-end surveys...
March 10, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28281369/electronic-assessment-of-clinical-reasoning-in-clerkships-a-mixed-methods-comparison-of-long-menu-key-feature-problems-with-context-rich-single-best-answer-questions
#15
Sören Huwendiek, Friedrich Reichert, Cecilia Duncker, Bas A de Leng, Cees P M van der Vleuten, Arno M M Muijtjens, Hans-Martin Bosse, Martin Haag, Georg F Hoffmann, Burkhard Tönshoff, Diana Dolmans
BACKGROUND: It remains unclear which item format would best suit the assessment of clinical reasoning: context-rich single best answer questions (crSBAs) or key-feature problems (KFPs). This study compared KFPs and crSBAs with respect to students' acceptance, their educational impact, and psychometric characteristics when used in a summative end-of-clinical-clerkship pediatric exam. METHODS: Fifth-year medical students (n = 377) took a computer-based exam that included 6-9 KFPs and 9-20 crSBAs which assessed their clinical reasoning skills, in addition to an objective structured clinical exam (OSCE) that assessed their clinical skills...
March 10, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28274681/what-is-diabetes-distress-and-how-can-we-measure-it-a-narrative-review-and-conceptual-model
#16
REVIEW
Kathryn Dennick, Jackie Sturt, Jane Speight
BACKGROUND: Diabetes distress is the negative emotional impact of living with diabetes. It has tangible clinical importance, being associated with sub-optimal self-care and glycemic control. Diabetes distress has been operationalized in various ways and several measures exist. Measurement clarity is needed for both scientific and clinical reasons. OBJECTIVES: To clarify the conceptualization and operationalization of diabetes distress, identify and distinguish relevant measures, and evaluate their appropriateness for this purpose...
February 14, 2017: Journal of Diabetes and its Complications
https://www.readbyqxmd.com/read/28273678/learning-on-the-fly-how-rural-junior-doctors-learn-during-consultations-with-retrieval-physicians
#17
Timothy Baker, Koshila Kumar, Marcus Kennedy
OBJECTIVE: This study explores how rural junior doctors learn while consulting retrieval physicians about critically ill and injured patients, as well as the tensions characterising teaching and learning in this setting. METHODS: Data were collected via three focus groups, involving rural junior doctors (n = 8), rural senior doctors (n = 3) and retrievalists (n = 3). The discussions were transcribed and subject to multistage coding. RESULTS: Rural junior doctors believe they learn from interactions with retrieval physicians...
March 8, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28265044/clinical-reasoning-a-young-woman-with-respiratory-failure-hearing-loss-and-paraplegia
#18
Achilles Ntranos, Hazem Shoirah, Mandip S Dhamoon, David Hahn, Thomas P Naidich, Susan Shin
No abstract text is available yet for this article.
March 7, 2017: Neurology
https://www.readbyqxmd.com/read/28263425/fast-bilateral-breast-coverage-with-high-spectral-and-spatial-resolution-hiss-mri-at-3t
#19
Milica Medved, Hui Li, Hiroyuki Abe, Deepa Sheth, Gillian M Newstead, Olufunmilayo I Olopade, Maryellen L Giger, Gregory S Karczmar
PURPOSE: To develop and assess a full-coverage, sensitivity encoding (SENSE)-accelerated breast high spatial and spectral resolution (HiSS) magnetic resonance imaging (MRI) within clinically reasonable times as a potential nonenhanced MRI protocol for breast density measurement or breast cancer screening. MATERIALS AND METHODS: Sixteen women with biopsy-proven cancer or suspicious lesions, and 13 women who were healthy volunteers or were screened for breast cancer, received 3T breast MRI exams, including SENSE-accelerated HiSS MRI, which was implemented as a submillimeter spatial resolution echo-planar spectroscopic imaging (EPSI) sequence...
March 6, 2017: Journal of Magnetic Resonance Imaging: JMRI
https://www.readbyqxmd.com/read/28263044/mri-for-premature-neonatal-brain-injury-a-case-report
#20
Alexander Langham
This case report aims to extend analytical thinking and clinical reasoning of clinicians and radiographers when presented with diagnosing premature neonatal brain injuries (PNBI). The report considers the uses and merit of magnetic resonance imaging (MRI) in the primary assessment of PNBI. The traditional technique of cranial ultrasound as the first modality of choice can have several limitations, which includes a lower temporal resolution in its ability to differentiate grey-white matter distribution patterns, lower spatial resolution in its ability to accurately map white matter fibre tracts and distribution patterns which are critical in white matter injury pathological events...
March 6, 2017: Journal of Medical Radiation Sciences
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