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https://www.readbyqxmd.com/read/28793952/maintaining-capacity-for-in-practice-teaching-and-supervision-of-students-and-general-practice-trainees-a-cross-sectional-study-of-early-career-general-practitioners
#1
Nigel Catzikiris, Amanda Tapley, Simon Morgan, Elizabeth G Holliday, Jean Ball, Kim Henderson, Taryn Elliott, Neil Spike, Cathy Regan, Parker Magin
Objectives Expanding learner cohorts of medical students and general practitioner (GP) vocational trainees and the impending retirement of the 'baby boomer' GP cohort threaten the teaching and supervisory capacity of the Australian GP workforce. Engaging newly qualified GPs is essential to sustaining this workforce training capacity. The aim of the present study was to establish the prevalence and associations of in-practice clinical teaching and supervision in early career GPs.Methods The present study was a cross-sectional questionnaire-based study of recent (within 5 years) alumni of three of Australia's 17 regional general practice training programs...
August 10, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28780876/the-pituri-learning-circle-central-australian-aboriginal-women-s-knowledge-and-practices-around-the-use-of-i-nicotiana-i-spp-as-a-chewing-tobacco
#2
Angela M Ratsch, Andrea Mason, Linda Rive, Fiona E Bogossian, Kathryn J Steadman
INTRODUCTION: Tobacco smoking has a range of known and predictable adverse outcomes, and across the world sustained smoking reduction campaigns are targeted towards reducing individual and public risk and harm. Conversely, more than 87 million women, mostly in low- and middle-income countries, use smokeless tobacco, yet the research examining the effect of this form of tobacco exposure on women is remarkably scant. In central Australia, the chewing of wild <i>Nicotiana</i> spp...
July 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28768891/the-evolution-of-dual-meat-and-milk-cattle-husbandry-in-linearbandkeramik-societies
#3
Rosalind E Gillis, Lenka Kovačiková, Stéphanie Bréhard, Emilie Guthmann, Ivana Vostrovská, Hana Nohálová, Rose-Marie Arbogast, László Domboróczki, Joachim Pechtl, Alexander Anders, Arkadiusz Marciniak, Anne Tresset, Jean-Denis Vigne
Cattle dominate archaeozoological assemblages from the north-central Europe between the sixth and fifth millennium BC and are frequently considered as exclusively used for their meat. Dairy products may have played a greater role than previously believed. Selective pressure on the lactase persistence mutation has been modelled to have begun between 6000 and 4000 years ago in central Europe. The discovery of milk lipids in late sixth millennium ceramic sieves in Poland may reflect an isolated regional peculiarity for cheese making or may signify more generalized milk exploitation in north-central Europe during the Early Neolithic...
August 16, 2017: Proceedings. Biological Sciences
https://www.readbyqxmd.com/read/28753875/islam-and-the-urinary-stoma-a-contemporary-theological-and-urological-dilemma
#4
Saiful Miah, Altaf Mangera, Nadir I Osman, Suresh Venugopal, James Catto, Derek Rosario
BACKGROUND: The prayer ritual is an essential component of Islam that requires entry into a state of physical purity (wudhu) through ablution, which is invalidated by voiding. An important dilemma for patients and surgeons may arise when a Muslim patient is counselled on cystectomy because of the belief by some that an incontinent urinary diversion will automatically invalidate their wudhu. OBJECTIVE: To determine if there are any religious barriers and implications for Muslim patients undergoing an incontinent urinary diversion...
July 13, 2017: European Urology Focus
https://www.readbyqxmd.com/read/28721175/conducting-a-surveillance-problem-analysis-on-poor-feedback-from-reference-laboratory-liberia-february-2016
#5
Joseph Asamoah Frimpong, Maame Pokuah Amo-Addae, Peter Adebayo Adewuyi, Casey Daniel Hall, Meeyoung Mattie Park, Thomas Knue Nagbe
The laboratory plays a major role in surveillance, including confirming the start and end of an outbreak. Knowing the causative agent for an outbreak informs the development of response strategies and management plans for a public health event. However, issues and challenges may arise that limit the effectiveness or efficiency of laboratories in surveillance. This case study applies a systematic approach to analyse gaps in laboratory surveillance, thereby improving the ability to mitigate these gaps. Although this case study concentrates on factors resulting in poor feedback from the laboratory, practise of this general approach to problem analysis will confer skills required in analysing most public health issues...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28717283/training-pathways-in-oral-and-maxillofacial-surgery-across-the-globe-a-mini-review
#6
REVIEW
Sanjeev Kumar
Due to historical reasons, many different training pathways exist across countries that lead to a degree in oral and maxillofacial surgery. Although it is generally accepted to be a specialty of dentistry, the complex nature of procedures being performed by OMF surgeons today, has necessitated extensive general surgical training. Many countries have thus made dual qualification mandatory, while others have extended training programs in OMFS with integrated medical teaching. In India, frequent contact with foriegn experts, availability of world-class equipment and efforts of individual surgeons has ensured that the full scope of OMFS is practised in select centres of learning...
September 2017: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/28714342/a-multicentre-study-of-how-goal-setting-is-practised-during-inpatient-stroke-rehabilitation
#7
Sarah Plant, Sarah F Tyson
OBJECTIVE: To describe goal-setting during inpatient stroke rehabilitation. DESIGN: There were two stages: an electronic questionnaire for multidisciplinary teams and an analysis of goal-setting documentation for rehabilitation patients. SETTING: Five inpatient stroke units. PARTICIPANTS: Staff involved in goal-setting and patients undergoing stroke rehabilitation. RESULTS: A total of 13 therapists and 49 patients were recruited, and 351 documented goals were examined...
July 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28710208/primary-care-workforce-and-continuous-medical-education-in-china-lessons-to-learn-from-a-nationwide-cross-sectional-survey
#8
William C W Wong, ShanZhu Zhu, Jason J Ong, MingHui Peng, Cindy L K Lam, Michael R Kidd, Martin Roland, SunFang Jiang
OBJECTIVES: This study aimed to examine the education and training background of Chinese community health centres (CHCs) staff, continuous medical education (CME) and factors affecting participation in CME. DESIGN: Cross-sectional survey. SETTING: Community health centres (CHCs). PARTICIPANTS: All doctors and nurses working in selected CHCs (excluding those solely practising traditional Chinese Medicine). MAIN OUTCOME MEASURES: CME recorded by CHCs and self-reported CME participation...
July 13, 2017: BMJ Open
https://www.readbyqxmd.com/read/28691744/dentists-attitudes-towards-acute-pharmacological-pain-management-in-children-and-adolescents
#9
Henrik Berlin, Thomas List, Karin Ridell, Gunilla Klingberg
AIM: This study aimed to investigate Swedish dentists' attitudes regarding pain management strategies for treating children and adolescents. It assessed recommendations for pre- and postoperative analgesics, and use of local anaesthesia, and whether application of these strategies differs between general dental practitioners (GDPs) and specialists in paediatric dentistry (SPDs). DESIGN: We invited all GDPs (n = 807) in southern Sweden (Region Skåne), and all registered SPDs (n = 122) working in Sweden (929 actively practising dentists under age 65 years) to participate in a postal survey on pain management in paediatric dental care...
July 10, 2017: International Journal of Paediatric Dentistry
https://www.readbyqxmd.com/read/28671478/a-qualitative-study-exploring-factors-influencing-clinical-decision-making-for-influenza-like-illness-in-solapur-city-maharashtra-india
#10
A S Ahankari, P R Myles, S Tsang, F Khan, S Atre, T Langley, A Kudale, M Bains
The co-existence of different types of medical systems (medical pluralism) is a typical feature of India's healthcare system. For conditions such as influenza-like illness (ILI), where non-specific disease signs/symptoms exist, clinical reasoning in the context of medical pluralism becomes crucial. Recognising this need, we undertook a qualitative study, which explored factors underpinning clinical decisions on diagnosis and management of ILI. The study involved semi-structured interviews including clinical vignettes with 20 healthcare practitioners (working within allopathy, homeopathy and Ayurveda) working in the private healthcare sector in Solapur city, India...
July 3, 2017: Anthropology & Medicine
https://www.readbyqxmd.com/read/28624928/a-survey-analysis-of-indigenous-goat-production-in-communal-farming-systems-of-botswana
#11
P I Monau, C Visser, S J Nsoso, E Van Marle-Köster
A total of 153 communal farmers in four agro-ecological regions of Botswana were interviewed using a structured questionnaire. The aims of the survey were to characterise existing communal goat production systems, evaluate the importance of goats to farmers and identify breeding practices and constraints encountered in goat production in Botswana. Data was collected on socio-economic parameters, general and breeding management practices and major constraints limiting goat production in Botswana. All respondents were small-scale communal farmers with 63% respondents practising mixed crop-livestock farming and 37% keeping livestock as their primary activity...
August 2017: Tropical Animal Health and Production
https://www.readbyqxmd.com/read/28621642/spectrum-and-antibiotic-resistance-of-uropathogens-between-2004-and-2015-in-a-tertiary-care-hospital-in-hungary
#12
András Magyar, Béla Köves, Károly Nagy, András Dobák, Vinodh Kumar Adithyaa Arthanareeswaran, Péter Bálint, Florian Wagenlehner, Péter Tenke
PURPOSE: Surveillance of the bacterial spectrum and antibiotic-resistance patterns of locally occurring uropathogens is essential to serve as a basis for empirical treatment of urinary tract infections (UTIs), as antibiotic-resistance rates may vary geographically with significant differences between countries and regions, and with time. METHODOLOGY: We retrospectively analysed all urine samples taken in the department of urology in a tertiary care hospital in Hungary from January 2004 to December 2015...
June 2017: Journal of Medical Microbiology
https://www.readbyqxmd.com/read/28612934/rural-specialists-the-nature-of-their-work-and-professional-satisfaction-by-geographical-location-of-work
#13
Belinda O'Sullivan, Matthew McGrail, Deborah Russell
OBJECTIVE: Systematically describe the characteristics of rural specialists, their work and job satisfaction by geographical location of work. DESIGN: Cross-sectional. SETTING AND PARTICIPANTS: Three thousand, four hundred and seventy-nine medical specialists participating in the 2014 Medicine in Australia: Balancing Employment and Life (MABEL) survey of doctors. MAIN OUTCOME MEASURE: Location of practise, whether metropolitan, large (>50 000 population) or small regional centres (<50 000 population)...
June 14, 2017: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/28584345/anaesthesia-for-electroconvulsive-therapy-an-overview-with-an-update-on-its-role-in-potentiating-electroconvulsive-therapy
#14
REVIEW
Pavan Kumar Kadiyala, Lakshmi Deepthi Kadiyala
Despite advances in pharmacotherapy, electroconvulsive therapy (ECT) remains a mainstay treatment option in psychiatry since its introduction in 1930s. It can be used primarily in severe illnesses when there is an urgent need for treatment or secondarily after failure or intolerance to pharmacotherapy. The 'unmodified' technique of ECT was practised initially, with a high incidence of musculoskeletal complications. Several modifications including general anaesthesia and muscle relaxation are used to increase the safety and patient acceptability of ECT...
May 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28573757/circuit-class-therapy-for-improving-mobility-after-stroke
#15
REVIEW
Coralie English, Susan L Hillier, Elizabeth A Lynch
BACKGROUND: Circuit class therapy (CCT) offers a supervised group forum for people after stroke to practise tasks, enabling increased practice time without increasing staffing. This is an update of the original review published in 2010. OBJECTIVES: To examine the effectiveness and safety of CCT on mobility in adults with stroke. SEARCH METHODS: We searched the Cochrane Stroke Group Trials Register (last searched January 2017), CENTRAL (the Cochrane Library, Issue 12, 2016), MEDLINE (1950 to January 2017), Embase (1980 to January 2017), CINAHL (1982 to January 2017), and 14 other electronic databases (to January 2017)...
June 2, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28547999/a-long-term-self-managed-handwriting-intervention-for-people-with-parkinson-s-disease-results-from-the-control-group-of-a-phase-ii-randomized-controlled-trial
#16
Johnny Collett, Marloes Franssen, Charlotte Winward, Hooshang Izadi, Andy Meaney, Wala Mahmoud, Marko Bogdanovic, Martin Tims, Derick Wade, Helen Dawes
OBJECTIVE: To report on the control group of a trial primarily designed to investigate exercise for improving mobility in people with Parkinson's disease (pwP). The control group undertook a handwriting intervention to control for attention and time spent practising a specific activity. DESIGN: Secondary analysis of a two-arm parallel phase II randomized controlled trial with blind assessment. SETTING: Community. PARTICIPANTS: PwP able to walk ⩾100 m and with no contraindication to exercise were recruited from the Thames Valley, UK, and randomized (1:1) to exercise or handwriting, via a concealed computer-generated list...
May 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28543227/implant-dentistry-in-australia-the-present-and-future-a-survey-of-australian-dentists-and-specialists
#17
Y N Guo, J E Dudley, R M Logan, L C Richards
BACKGROUND: In recent years, implant dentistry has become a routine part of many general dental practices in Australia. However, there has been little information regarding its extent and scope. This investigation aimed to address this issue by surveying Australian general dental practitioners (GDPs) and relevant specialists regarding their practice of implant dentistry. METHODS: Anonymous electronic surveys were designed online using SurveyMonkey(™) and delivered to the following professional bodies: all seven State/Territory branches of the Australian Dental Association, the Australian and New Zealand Academy of Periodontists, the Australian and New Zealand Academy of Oral and Maxillofacial Surgeons, and prosthodontist members of the Australian Prosthodontic Society...
May 25, 2017: Australian Dental Journal
https://www.readbyqxmd.com/read/28494477/new-zealand-plastic-surgeons-life-time-contribution-to-peer-reviewed-literature
#18
Tess Brian, Brandon Adams
AIM: The New Zealand Medical Association commits the New Zealand doctor to evidence-based medicine, scholarship, teaching, collaboration and communication. To assess this commitment, one measure, contribution to the peer-reviewed literature, was examined for one group of New Zealand doctors: plastic surgeons. METHOD: Plastic surgeons with a current practising certificate were identified on the New Zealand medical register (April 2016). Scopus database was searched for publications by each...
May 12, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28474405/teaching-leadership-the-medical-student-society-model
#19
Jacob H Matthews, Gabriella L Morley, Eleanor Crossley, Shivam Bhanderi
BACKGROUND: All health care professionals in the UK are expected to have the medical leadership and management (MLM) skills necessary for improving patient care, as stipulated by the UK General Medical Council (GMC). CONTEXT: Newly graduated doctors reported insufficient knowledge about leadership and quality improvement skills, despite all UK medical schools reporting that MLM is taught within their curriculum. INNOVATION: A medical student society organised a series of extracurricular educational events focusing on leadership topics...
May 5, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28447854/healthy-diet-health-impact-prevalence-correlates-and-interventions
#20
REVIEW
Denise de Ridder, Floor Kroese, Catharine Evers, Marieke Adriaanse, Marleen Gillebaart
OBJECTIVE: To discuss healthy diet from a psychological perspective by considering definitions of healthy diet in terms of consumer understanding; the health effects of specific dietary elements in terms of overweight and (chronic) illness; the prevalence of healthy diet; the psychological and environmental determinants of healthy diet; and the psychological interventions that have been designed to promote healthy diet. DESIGN: A systematic review of the psychological literature on healthy diet...
August 2017: Psychology & Health
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