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https://www.readbyqxmd.com/read/28104901/reliability-of-a-clinical-reasoning-viva-assessment-in-an-australian-pre-professional-osteopathy-program-based-on-generalizability-theory
#1
Brett Vaughan, Paul Orrock, Sandra Grace
Clinical reasoning is situation-dependent and case-specific therefore assessment across different patient presentations is warranted. The present study aims to know if reliability of multi-station case-based viva assessment of clinical reasoning in an Australian pre-registration osteopathy program based on generalizability theory. Students (year 4 and 5) and examiners were recruited from the osteopathy program at Southern Cross University, Lismore, Australia. The study took place on a single day in the student teaching clinic...
January 20, 2017: Journal of Educational Evaluation for Health Professions
https://www.readbyqxmd.com/read/28094591/algo-used-by-homecare-nonoccupational-therapists-selecting-bathing-assistive-technology-enhancing-standardization-by-exploring-clinical-reasoning
#2
Mélanie Ruest, Annick Bourget, Nathalie Delli-Colli, Manon Guay
Algo is a clinical decision algorithm developed to support nonoccupational therapists in establishing assistive technology recommendations to enable physically disabled adults to perform their hygiene at home. This study aimed to explore the in-depth clinical reasoning of nonoccupational therapists using Algo to pinpoint the items leading to disagreements regarding recommendations. A multiple-case study was conducted with eight nonoccupational therapists trained to use Algo and filmed while using it with six standardized clients...
January 17, 2017: Occupational Therapy in Health Care
https://www.readbyqxmd.com/read/28093518/clinical-reasoning-sudden-onset-pulsatile-headache-in-a-previously-healthy-young-man
#3
Chuan Qin, Chu Pan, Dai-Shi Tian
No abstract text is available yet for this article.
January 17, 2017: Neurology
https://www.readbyqxmd.com/read/28090099/first-year-pharmacy-students-views-on-their-chosen-professional-career
#4
Lezley-Anne Hanna, Fergal Askin, Maurice Hall
Objective. To investigate what factors influenced students to study pharmacy and determine in which sector they hoped to gain employment, both in the short and longer term. Methods. First-year pharmacy students (n=124) were invited to complete a paper-based, self-administered questionnaire consisting of 4 sections. Descriptive statistics and nonparametric tests were conducted. Results. One hundred (96.8% response rate) students completed the questionnaire (22.5% male; 77.5% female). Key influential factors for choosing pharmacy included: enjoyment of science at school, a desire to improve people's health and wellbeing, and to work in health care...
November 25, 2016: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/28087554/how-prepared-are-uk-medical-graduates-for-practice-a-rapid-review-of-the-literature-2009-2014
#5
Lynn V Monrouxe, Lisa Grundy, Mala Mann, Zoe John, Eleni Panagoulas, Alison Bullock, Karen Mattick
OBJECTIVE: To understand how prepared UK medical graduates are for practice and the effectiveness of workplace transition interventions. DESIGN: A rapid review of the literature (registration #CRD42013005305). DATA SOURCES: Nine major databases (and key websites) were searched in two timeframes (July-September 2013; updated May-June 2014): CINAHL, Embase, Educational Resources Information Centre, Health Management Information Consortium, MEDLINE, MEDLINE in Process, PsycINFO, Scopus and Web of Knowledge...
January 13, 2017: BMJ Open
https://www.readbyqxmd.com/read/28069983/clinical-reasoning-oculobulbar-dysfunction-central-or-peripheral
#6
Karen Karwa, Kenkichi Nozaki
No abstract text is available yet for this article.
January 10, 2017: Neurology
https://www.readbyqxmd.com/read/28069982/clinical-reasoning-labyrinthine-hemorrhage-an-unusual-etiology-for-peripheral-vertigo
#7
Simy K Parikh, Samuel A Frank
No abstract text is available yet for this article.
January 10, 2017: Neurology
https://www.readbyqxmd.com/read/28056969/voluntary-attendance-of-small-group-brainstorming-tutoring-courses-intensify-new-clerk-s-excellence-in-clinical-care-a-pilot-study
#8
Ling-Yu Yang, Chia-Chang Huang, Hui-Chi Hsu, Ying-Ying Yang, Ching-Chi Chang, Chiao-Lin Chuang, Wei-Shin Lee, Jen-Feng Liang, Hao Min Cheng, Chin-Chou Huang, Fa-Yauh Lee, Shung-Tai Ho, Ralph Kirby
BACKGROUND: Clerkship provides a unique way of transferring the knowledge and skills gathered during medical school's curriculum into real-ward clinical care environment. The annual program evaluation has indicated that the training of clerks in diagnostic and clinical reasoning skills needed to be enhanced. Recently, "clinical excellence" program have been promoted in our institution to augment the excellence in clinical care of new clerks. Current study aims to evaluate whether this pilot program improve the "clinical excellence" of new clerks...
January 6, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28050937/beyond-research-literature-occupational-therapists-perspectives-on-and-uses-of-evidence-in-everyday-practice
#9
Deborah A Dougherty, Susan E Toth-Cohen, George S Tomlin
BACKGROUND: Recent literature in evidence-based practice indicates that evidence is defined differently from practice and research perspectives. However, few published works address therapists' perspectives of the nature and use of evidence in everyday practice. PURPOSE: This study describes the definition, types, and use of evidence from the perspective of six school-based occupational therapists. METHOD: Data were collected through focus groups and participant-submitted documentation and analyzed using qualitative and quantitative content analysis...
December 2016: Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie
https://www.readbyqxmd.com/read/28048992/-geriatric-psychiatry-and-dementia
#10
Philippe Fernandez
Behavioural disorders linked to dementia are common. The intertwining of psychiatric and neurodegenerative pathologies means caregivers are faced with complex situations on a daily basis. The expertise of the geriatric psychiatry teams helps to guide the clinical reasoning and to find the best nursing approach in order to understand the symptom and support the patient.
January 2017: Revue de L'infirmière
https://www.readbyqxmd.com/read/28048405/su-f-p-12-leveraging-a-communication-tool-to-assess-imrt-planning-process-efficiency-and-identify-improvement-opportunities
#11
J Evans
PURPOSE: To utilize an existing patient-specific IMRT QA communication tool to quantify our department's compliance with existing IMRT planning policies and to identify opportunities for improvement. METHODS: A centralized network-based spreadsheet is utilized by our dosimetrists to communicate to the physics team when an IMRT plan is ready for patient-specific QA measurement. Since Feb. 2014, the dosimetrists and physicists track additional date information for each case including treatment start, contour approval, plan approval, and QA measurement...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047715/we-de-201-08-multi-source-rotating-shield-brachytherapy-apparatus-for-prostate-cancer
#12
H Dadkhah, X Wu, Y Kim, R Flynn
PURPOSE: To introduce a novel multi-source rotating shield brachytherapy (RSBT) apparatus for the precise simultaneous angular and linear positioning of all partially-shielded 153Gd radiation sources in interstitial needles for treating prostate cancer. The mechanism is designed to lower the detrimental dose to healthy tissues, the urethra in particular, relative to conventional high-dose-rate brachytherapy (HDR-BT) techniques. METHODS: Following needle implantation, the delivery system is docked to the patient template...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28029347/enhancing-the-clinical-reasoning-skills-of-postgraduate-students-in-internal-medicine-through-medical-nonfiction-and-nonmedical-fiction-extracurricular-books
#13
H S Kiran, Thomas V Chacko, K A Sudharshana Murthy, H Basavana Gowdappa
OBJECTIVE: To improve the clinical reasoning skills of postgraduate students in internal medicine through 2 kinds of extracurricular books: medical nonfiction and nonmedical fiction. METHODS: Clinical reasoning is difficult to define, understand, observe, teach, and measure. This is an educational innovation under an experimental framework based on a cognitive intervention grounded in constructivist and cognitivist theories. This study was conducted from June 1, 2014, through May 31, 2015...
October 28, 2016: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28011803/the-italian-subcutaneous-implantable-cardioverter-defibrillator-survey-s-icd-why-not
#14
Giovanni Luca Botto, Giovanni B Forleo, Alessandro Capucci, Francesco Solimene, Antonello Vado, Giovanni Bertero, Pietro Palmisano, Ennio Pisanò, Antonio Rapacciuolo, Tommaso Infusino, Alessandro Vicentini, Miguel Viscusi, Paola Ferrari, Antonello Talarico, Giovanni Russo, Giuseppe Boriani, Luigi Padeletti, Mariolina Lovecchio, Sergio Valsecchi, Antonio D'Onofrio
AIMS: A recommendation for a subcutaneous-implantable cardioverter-defibrillator (S-ICD) has been added to recent European Society of Cardiology Guidelines. However, the S-ICD is not ideally suitable for patients who need pacing. The aim of this survey was to analyse the current practice of ICD implantation and to evaluate the actual suitability of S-ICD. METHODS AND RESULTS: The survey 'S-ICD Why Not?' was an independent initiative taken by the Italian Heart Rhythm Society (AIAC)...
December 23, 2016: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/28006042/evaluating-effects-of-switching-anti-vascular-endothelial-growth-factor-drugs-for-age-related-macular-degeneration-and-diabetic-macular-edema
#15
Frederick L Ferris, Maureen G Maguire, Adam R Glassman, Gui-Shuang Ying, Daniel F Martin
Importance: When a patient with neovascular age-related macular degeneration or diabetic macular edema does not respond to an initial anti-vascular endothelial growth factor agent, usually after several injections, ophthalmologists may switch to another anti-vascular endothelial growth factor agent. Authors of case series have suggested beneficial effects from switching. However, to our knowledge, there are no studies with an appropriate control group to evaluate how such patients would do without switching agents...
December 22, 2016: JAMA Ophthalmology
https://www.readbyqxmd.com/read/28006024/a-novel-approach-to-identifying-trajectories-of-mobility-change-in-older-adults
#16
Rachel E Ward, Marla K Beauchamp, Nancy K Latham, Suzanne G Leveille, Sanja Percac-Lima, Laura Kurlinski, Pengsheng Ni, Richard Goldstein, Alan M Jette, Jonathan F Bean
OBJECTIVES: To validate trajectories of late-life mobility change using a novel approach designed to overcome the constraints of modest sample size and few follow-up time points. METHODS: Using clinical reasoning and distribution-based methodology, we identified trajectories of mobility change (Late Life Function and Disability Instrument) across 2 years in 391 participants age ≥65 years from a prospective cohort study designed to identify modifiable impairments predictive of mobility in late-life...
2016: PloS One
https://www.readbyqxmd.com/read/27999727/an-intervention-based-clinical-reasoning-framework-to-guide-the-management-of-thoracic-pain-in-a-dancer-a-case-report
#17
Michael Masaracchio, Kaitlin Kirker, Cristiana Kahl Collins, William Hanney, Xinliang Liu
BACKGROUND AND PURPOSE: As a result of the anatomical proximity of the thoracic spine to the cervical, lumbar, and shoulder regions, dysfunction in the thoracic spine can influence pain, mobility, and stability across these areas. Currently, a paucity of evidence exists addressing treatment of individuals with primary thoracic pain, especially in young, athletic patients. Furthermore, current research discussing clinical reasoning frameworks focus on the differential diagnostic process...
December 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27992492/promoting-therapists-use-of-motor-learning-strategies-within-virtual-reality-based-stroke-rehabilitation
#18
Danielle E Levac, Stephanie M N Glegg, Heidi Sveistrup, Heather Colquhoun, Patricia Miller, Hillel Finestone, Vincent DePaul, Jocelyn E Harris, Diana Velikonja
PURPOSE: Therapists use motor learning strategies (MLSs) to structure practice conditions within stroke rehabilitation. Virtual reality (VR)-based rehabilitation is an MLS-oriented stroke intervention, yet little support exists to assist therapists in integrating MLSs with VR system use. METHOD: A pre-post design evaluated a knowledge translation (KT) intervention incorporating interactive e-learning and practice, in which 11 therapists learned how to integrate MLSs within VR-based therapy...
2016: PloS One
https://www.readbyqxmd.com/read/27990498/big-data-based-decision-support-systems-to-improve-clinicians-cognition
#19
Don Roosan, Matthew Samore, Makoto Jones, Yarden Livnat, Justin Clutter
Complex clinical decision-making could be facilitated by using population health data to inform clinicians. In two previous studies, we interviewed 16 infectious disease experts to understand complex clinical reasoning. For this study, we focused on answers from the experts on how clinical reasoning can be supported by population-based Big-Data. We found cognitive strategies such as trajectory tracking, perspective taking, and metacognition has the potential to improve clinicians' cognition to deal with complex problems...
2016: IEEE International Conference on Healthcare Informatics IEEE International Conference on Healthcare Informatics
https://www.readbyqxmd.com/read/27982716/apps-in-therapy-occupational-therapists-use-and-opinions
#20
Anna M Seifert, Nicole Stotz, Alexia E Metz
To gather information on occupational therapy practitioners' use and opinions of apps, an online survey was distributed to occupational therapy practitioners licensed in the state of Ohio. The survey sought information regarding clinical populations and skill areas for which apps are used, potential barriers to use of apps and preferred apps/app features. OTs working in medical and education-based settings and with clients of all ages responded to the survey. Over half (53%) reported not using apps in therapy, with "not having access to the technology at work" being the leading reason endorsed...
December 16, 2016: Disability and Rehabilitation. Assistive Technology
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