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https://www.readbyqxmd.com/read/28345729/medication-adherence-among-cardiac-patients-in-khartoum-state-sudan-a-cross-sectional-study
#1
Abdelmoneim Awad, Nahid Osman, Siham Altayib
INTRODUCTION: Non-adherence to medication among cardiac patients is often the major risk factor for poor clinical outcomes, increased mortality rates and higher healthcare costs. The literature evaluating the prevalence of and reasons for non-adherence in resource-poor settings is extremely limited compared to resource-rich settings. There is a scarcity of data about medication adherence in Sudan hence this study was performed to identify prevalence, predictors and barriers of non-adherence to medication among cardiac patients in Khartoum State...
March 23, 2017: Cardiovascular Journal of Africa
https://www.readbyqxmd.com/read/28342917/science-of-health-care-delivery-as-a-first-step-to-advance-undergraduate-medical-education-a-multi-institutional-collaboration
#2
Stephanie R Starr, Darcy A Reed, Alison Essary, William Hueston, C Daniel Johnson, Natalie Landman, John Meurer, Bonnie Miller, Greg Ogrinc, Elizabeth M Petty, John Raymond, William Riley, Sherine Gabriel, Cheryl Maurana
Physicians must possess knowledge and skills to address the gaps facing the US health care system. Educators advocate for reform in undergraduate medical education (UME) to align competencies with the Triple Aim. In 2014, five medical schools and one state university began collaborating on these curricular gaps. The authors report a framework for the Science of Health Care Delivery (SHCD) using six domains and highlight curricular examples from each school. They describe three challenges and strategies for success in implementing SHCD curricula...
March 22, 2017: Healthcare
https://www.readbyqxmd.com/read/28337648/diagnosis-and-treatment-of-alternating-hemiplegia-of-childhood
#3
REVIEW
Melanie Masoud, Lyndsey Prange, Jeffrey Wuchich, Arsen Hunanyan, Mohamad A Mikati
The diagnosis and treatment of patients with Alternating Hemiplegia of Childhood (AHC) and related disorders should be provided by a multidisciplinary team experienced with the spectrum of presentations of this disease, with its related disorders, with its complex and fluctuating manifestations, and with cutting edge advances occurring in the field. Involvement in research to advance the understanding of this disease and partnership with international collaborators and family organizations are also important...
February 2017: Current Treatment Options in Neurology
https://www.readbyqxmd.com/read/28332182/status-update-on-women-s-reproductive-health-care-and-obstetrics-gynecology-postgraduate-training-in-post-ebola-sierra-leone
#4
Rachel Chan Seay, A P Koroma, Jenell Coleman, Clark T Johnson, Emmanuel A Ugwa, Jean Anderson
Academic partnerships can help to expand the women's reproductive healthcare workforce and improve maternal mortality.(1) In-country postgraduate and continuing medical education opportunities are key to training and retaining specialized physicians. The present report describes a developing academic partnership to build capacity in Sierra Leone following the Ebola virus disease epidemic. This article is protected by copyright. All rights reserved.
March 23, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28317473/the-columbia-bronx-va-amalgamative-clerkship-an-effective-12-week-integrated-longitudinal-clinical-experience
#5
Jillian Diuguid-Gerber, Samuel Porter, Samuel C Quiah, Katherine Nickerson, Deborah Jones, Zeena Audi, Boyd F Richards
BACKGROUND: Many medical schools have adopted the longitudinal integrated clerkship (LIC) model in response to calls for increased continuity in clinical learning environments. However, because of implementation challenges, such programs are not feasible at some institutions or are limited to a small number of students. OBJECTIVE: In January 2014, Columbia University College of Physicians and Surgeons (P&S) recognized the need to explore different LIC formats and began offering four, 12-week amalgamative clerkships (AC)...
2017: Medical Education Online
https://www.readbyqxmd.com/read/28290949/dod-supported-overseas-training-rotations-in-tropical-medicine-and-global-health-2000-2015
#6
James D Mancuso, Patrick W Hickey, Rodney L Coldren, Amy K Korman, Lisa W Keep, Robert F DeFraites, Maria Smith, Luke J Mancuso, Jose L Sanchez
In 1999, the Department of Defense developed a tropical medicine training program (TMTP) to train military physicians, medical students, and scientists in performing surveillance activities in an overseas environment. This review describes the competencies, educational approach, program participants, institutional collaborations, and process outcomes of the TMTP from 2000 to 2015. TMTP-sponsored rotations addressed a wide variety of interdisciplinary competencies, many of which have military-unique applications...
March 2017: Military Medicine
https://www.readbyqxmd.com/read/28275996/the-effects-of-race-and-racial-concordance-on-patient-physician-communication-a-systematic-review-of-the-literature
#7
Megan Johnson Shen, Emily B Peterson, Rosario Costas-Muñiz, Migda Hunter Hernandez, Sarah T Jewell, Konstantina Matsoukas, Carma L Bylund
OBJECTIVE: Racial disparities exist in health care, even when controlling for relevant sociodemographic variables. Recent data suggest disparities in patient-physician communication may also contribute to racial disparities in health care. This study aimed to systematically review studies examining the effect of black race and racial concordance on patient-physician communication. METHODS: A comprehensive search using the PRISMA guidelines was conducted across seven online databases between 1995 and 2016...
March 8, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28270202/rheumatology-in-africa-challenges-and-opportunities
#8
EDITORIAL
Girish M Mody
Africa faces many health challenges despite sustained growth and development over the past decade. Contributory factors are the lack of financial resources, an inadequate health professional workforce, a high burden of communicable diseases, and an increasing burden of non-communicable diseases. Rheumatology services are limited or non-existent in many parts of sub-Saharan Africa. Over the past decade, partnerships with international academic institutions have resulted in some progress in the training of rheumatologists and health professionals and development of rheumatology services in countries such as Kenya, Nigeria, and Zambia...
March 7, 2017: Arthritis Research & Therapy
https://www.readbyqxmd.com/read/28266885/the-design-implementation-and-evaluation-of-a-physiotherapist-led-clinic-for-orthopedic-surveillance-for-children-with-cerebral-palsy
#9
Karen Hurtubise, Robin Shanks, Laura Benard
AIM: To describe the development process and the evaluation results of a new physiotherapy-led clinic for orthopedic monitoring of secondary impairments for children with cerebral palsy (CP). METHODS: A new clinic model was developed and implemented, guided by the Framework for the Development of Advanced Practice Roles and the Model for Improvement. Patient visits and wait-time statistics were measured during the implementation phase. Once implemented, an evaluation of the clinic model objectives was conducted...
March 7, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/28263022/the-importance-of-patient-centred-care-to-overcome-barriers-in-the-management-of-actinic-keratosis
#10
REVIEW
R Cerio
Visible actinic keratosis (AK) lesions and subclinical (non-visible) sun damage in the field of cancerization are associated with risk of both non-melanoma skin cancer, including basal cell carcinoma (BCC) and squamous cell carcinoma (SCC), and, more rarely, melanoma. As the incidences of AK and skin cancer are increasing, effective prevention and treatment of AK is essential to minimize disease burden and improve patient quality of life. Currently, AK lesions are often left untreated and field therapies are underused...
March 2017: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/28252466/defining-clinical-excellence-in-hospital-medicine-a-qualitative-study
#11
Susrutha Kotwal, Ivonne Peña, Eric Howell, Scott Wright
INTRODUCTION: There are now more than 50,000 hospitalists working in the United States. Limited empiric research has been performed to characterize clinical excellence in hospital medicine. We conducted a qualitative study to discover elements judged to be most pertinent to excellence in clinical care delivered by hospitalists. METHODS: The chiefs of hospital medicine at five hospitals were asked to identify their "clinically best" hospitalists. Data collection, in the form of one-on-one interviews, was directed by an interview guide...
January 2017: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/28251675/intentional-partnering-a-grounded-theory-study-on-developing-effective-partnerships-among-nurse-and-physician-managers-as-they-co-lead-in-an-evolving-healthcare-system
#12
Christina Clausen, Melanie Lavoie-Tremblay, Margaret Purden, Lise Lamothe, Helene Ezer, Lynne Mcvey
AIM: To describe the process of how nurse and physician managers in formalized dyads work together to address clinical management issues in the surgical division of one hospital setting. BACKGROUND: Nurse and physician managers are uniquely positioned to co-lead and transform healthcare delivery. However, little is known about how this management dyad functions in the healthcare setting DESIGN: A constructivist grounded theory approach was used to investigate the process of how nurse and physician managers work together in formalized dyads in an urban Canadian university affiliated teaching hospital...
March 2, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28248960/human-cystic-echinococcosis-in-morocco-ultrasound-screening-in-the-mid-atlas-through-an-italian-moroccan-partnership
#13
Houda Chebli, Abderrhamane Laamrani El Idrissi, Mustapha Benazzouz, Badre Eddine Lmimouni, Haddou Nhammi, Mourad Elabandouni, Mohammed Youbi, Rajaa Afifi, Sara Tahiri, Abdellah Essayd El Feydi, Adbellatif Settaf, Carmine Tinelli, Annalisa De Silvestri, Souad Bouhout, Bernadette Abela-Ridder, Simone Magnino, Enrico Brunetti, Carlo Filice, Francesca Tamarozzi
BACKGROUND: Cystic echinococcosis (CE) is a neglected parasitic zoonosis with considerable socioeconomic impact on affected pastoral communities. CE is endemic throughout the Mediterranean, including Morocco, where the Mid Atlas is the most prevalent area for both human and animal infection. The highest hospital annual incidence of human CE is recorded in the provinces of Ifrane and El Hajeb. However, hospital-based statistics likely underestimate the real prevalence of infection, as a proportion of cases never reach medical attention or official records...
March 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28247207/facilitating-admissions-of-diverse-students-a%C3%A2-six-point-evidence-informed-framework-for-pipeline-and-program-development
#14
Meredith E Young, Aliki Thomas, Lara Varpio, Saleem I Razack, Mark D Hanson, Steve Slade, Katharine L Dayem, David J McKnight
INTRODUCTION: Several national level calls have encouraged reconsideration of diversity issues in medical education. Particular interest has been placed on admissions, as decisions made here shape the nature of the future physician workforce. Critical analysis of current practices paired with evidence-informed policies may counter some of the barriers impeding access for underrepresented groups. METHODS: We present a framework for diversity-related program development and evaluation grounded within a knowledge translation framework, and supported by the initiation of longitudinal collection of diversity-related data...
February 28, 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28217384/decreasing-hospital-length-of-stay-following-lumbar-fusion-utilizing-multidisciplinary-committee-meetings-involving-surgeons-and-other-caretakers
#15
Lisa B E Shields, Lisa Clark, Steven D Glassman, Christopher B Shields
BACKGROUND: Although hospital length of stay (LOS) following lumbar fusion has decreased for a variety of reasons, different institutions find their LOS over the benchmarks published by the national Agency for Healthcare Research and Quality (AHRQ). Over a 3-year period, this prospective study introduced utilization of multidisciplinary committee meetings between surgeons and other caretakers to decrease LOS following spinal fusion surgery without compromising the quality of care. METHODS: A multidisciplinary committee was established to assess factors and institute recommendations that influence hospital LOS following lumbar fusion compared to the national compared to the national AHRQ benchmark at baseline and at 1 and 2 years after adjusting our standard practice...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/28209705/patients-experiences-of-diabetes-education-teams-integrated-into-primary-care
#16
Barbara Grohmann, Sherry Espin, Enza Gucciardi
OBJECTIVE: To explore patients' perspectives on care received from diabetes education teams (a registered nurse and a registered dietitian) integrated into primary care. DESIGN: Qualitative study using semistructured, one-on-one interviews. SETTING: Three diabetes education programs operating in 11 primary care sites in one region of Ontario. PARTICIPANTS: Twenty-three patients with diabetes. METHODS: Purposeful sampling was used to recruit participants from each site for interviews...
February 2017: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/28167591/the-arc-of-human-immunodeficiency-virus-capacity-development-insights-from-a-decade-of-partnership-for-medical-education-in-zambia
#17
Cassidy W Claassen, Lottie Hachaambwa, Dorcas Phiri, Douglas C Watson, Devang Patel, Christopher M Bositis, Amy Bositis, Deus Mubangizi, Robert Redfield, Peter Mwaba, Robb Sheneberger
Zambia and other sub-Saharan nations suffer from a critical shortage of trained health-care professionals to combat the human immunodeficiency virus/acquired immunodeficiency syndrome crisis. The University of Maryland and the Zambian Ministry of Health have partnered over the past decade to develop health-care capacity among physicians, nurses, and community health workers. We describe novel interventions to train health-care workers at all levels and argue that our collaboration represents a successful model for such partnerships between western medical institutions and African governmental health agencies...
February 6, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28167228/comparison-of-conflict-of-interest-among-published-hernia-researchers-self-reported-to-the-centers-of-medicare-and-medicaid-services-open-payments-database
#18
Oscar A Olavarria, Julie L Holihan, Deepa Cherla, Cristina A Perez, Lillian S Kao, Tien C Ko, Mike K Liang
INTRODUCTION: Many healthcare providers have financial interests and relationships with healthcare companies. In order to maintain transparency, investigators are expected to disclose their conflicts of interest (COI). Recently, the Centers of Medicare and Medicaid Services (CMS) developed an open payment database of COI reported by industry. We hypothesize there is discordance between industry-reported and physician self-reported COI among ventral hernia publications. METHODS: PubMed was searched for ventral hernia studies accepted for publication between June 2013 and October 2015 and published by authors from the United States...
February 3, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28166827/the-polypill-approach-an-innovative-strategy-to-improve-cardiovascular-health-in-europe
#19
Valentín Fuster, Francesc Gambús, Aldo Patriciello, Margaretha Hamrin, Diederick E Grobbee
BACKGROUND: Cardiovascular disease (CVD) is a major cause of disability and premature death. Despite European guidelines advocating the use of medical therapies in CVD, many patients still do not achieve the guideline-recommended treatment, which highlights the need for change and innovations in this field. This requirement has been widely recognised by the national ministries of health, several European cardiology societies, and the European Parliament, who support the initiation of strategies to improve and promote cardiovascular health...
February 7, 2017: BMC Pharmacology & Toxicology
https://www.readbyqxmd.com/read/28161300/development-and-delivery-of-a-pharmacist-training-program-to-increase-naloxone-access-in-kentucky
#20
Emma Palmer, Steve Hart, Patricia R Freeman
OBJECTIVE: To describe the development and delivery of a comprehensive training program for Kentucky pharmacists to enable dispensation of naloxone per protocol. PRACTICE DESCRIPTION: In May 2015, the Kentucky Board of Pharmacy (KBP) promulgated regulations outlining the requirements for pharmacists to initiate the dispensing of naloxone under a physician-approved protocol. The Advancing Pharmacy Practice in Kentucky Coalition, a partnership between Kentucky's Colleges of Pharmacy, KBP, and state and local pharmacists associations, developed and offered educational programming to fulfill this regulation...
February 1, 2017: Journal of the American Pharmacists Association: JAPhA
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