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https://www.readbyqxmd.com/read/28432089/preparing-future-doctors-for-palliative-care-views-of-course-organisers
#1
Steven Walker, Jane Gibbins, Paul Paes, Stephen Barclay, Astrid Adams, Madawa Chandratilake, Faye Gishen, Philip Lodge, Bee Wee
BACKGROUND: Effective training at medical school is essential to prepare new doctors to safely manage patients with palliative care (PC) and end of life care (EOLC) needs. The contribution of undergraduate PC course organisers is central but their collective views regarding role are unknown. OBJECTIVE: To survey attitudes of PC course organisers regarding their course, organisation, the adequacy of training provided and level of personal satisfaction. METHODS: An anonymised, multifactorial, web-based questionnaire was devised, tested, modified and then sent to lead PC course organisers at all UK medical schools...
April 21, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28426677/information-ranks-highest-expectations-of-female-adolescents-with-a-rare-genital-malformation-towards-health-care-services
#2
Elisabeth Simoes, Alexander N Sokolov, Andrea Kronenthaler, Hanna Hiltner, Norbert Schaeffeler, Katharina Rall, Esther Ueding, Monika A Rieger, Anke Wagner, Leonie S Poesch, Marie-Christin Baur, Judith Kittel, Sara Y Brucker
BACKGROUND: Access to highly specialized health care services and support to meet the patient's specific needs is critical for health outcome, especially during age-related transitions within the health care system such as with adolescents entering adult medicine. Being affected by an orphan disease complicates the situation in several important respects. Long distances to dedicated institutions and scarcity of knowledge, even among medical doctors, may present major obstacles for proper access to health care services and health chances...
2017: PloS One
https://www.readbyqxmd.com/read/28418104/is-the-nuclear-refractive-index-lower-than-cytoplasm-validation-of-phase-measurements-and-implications-for-light-scattering-technologies
#3
Zachary A Steelman, Will J Eldridge, Jacob B Weintraub, Adam Wax
The refractive index (RI) of biological materials is a fundamental parameter for the optical characterization of living systems. Numerous light scattering technologies are grounded in a quantitative knowledge of the refractive index at cellular and subcellular scales. Recent work in quantitative phase microscopy (QPM) has called into question the widely held assumption that the index of the cell nucleus is greater than that of the cytoplasm, a result which disagrees with much of the current literature. In this work, we critically examine the measurement of the nuclear and whole-cell refractive index using QPM, validating that nuclear refractive index is lower than that of cytoplasm in four diverse cell lines and their corresponding isolated nuclei...
April 18, 2017: Journal of Biophotonics
https://www.readbyqxmd.com/read/28408170/community-pharmacists-attitudes-toward-providing-care-and-services-to-patients-with-severe-and-persistent-mental-illness
#4
Alicia Watkins, Jerry McKee, Caitlin Hughes, Trista Pfeiffenberger
OBJECTIVES: To assess community pharmacists' attitudes toward working with patients who have severe and persistent mental illness (SPMI) and to identify perceived barriers to providing care and services to this population. DESIGN: This study was a cross-sectional survey of community pharmacists in North Carolina. The questionnaire, which was distributed electronically, included demographic questions about the responder and pharmacy in which they practiced, Likert-type scale questions assessing pharmacists' comfort and attitudes towards working with patients with SPMI, and barriers preventing provision of care...
April 10, 2017: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/28406103/remote-online-case-based-learning-a-comparison-of-remote-online-and-face-to-face-case-based-learning-a-randomized-controlled-trial
#5
Peter Nicklen, Jenny L Keating, Sophie Paynter, Michael Storr, Stephen Maloney
BACKGROUND: Case-based learning (CBL) is an educational approach where students work in small, collaborative groups to solve problems. Computer assisted learning (CAL) is the implementation of computer technology in education. The purpose of this study was to compare the effects of a remote-online CBL (RO-CBL) with traditional face-to-face CBL on learning the outcomes of undergraduate physiotherapy students. METHODS: Participants were randomized to either the control (face-to-face CBL) or to the CAL intervention (RO-CBL)...
September 2016: Education for Health: Change in Training & Practice
https://www.readbyqxmd.com/read/28403813/beliefs-and-practices-during-pregnancy-post-partum-and-in-the-first-days-of-an-infant-s-life-in-rural-cambodia
#6
Claudia Turner, Sreymom Pol, Kamsan Suon, Leakhena Neou, Nicholas P J Day, Michael Parker, Patricia Kingori
BACKGROUND: The aim of this study was to record the beliefs, practices during pregnancy, post-partum and in the first few days of an infant's life, held by a cross section of the community in rural Cambodia to determine beneficial community interventions to improve early neonatal health. METHODS: Qualitative study design with data generated from semi structured interviews (SSI) and focus group discussions (FGD). Data were analysed by thematic content analysis, with an a priori coding structure developed using available relevant literature...
April 12, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28397075/explanation-can-cause-forgetting-memory-dynamics-in-the-generation-of-new-arguments
#7
Julia S Soares, Benjamin C Storm
Retrieval-induced forgetting is observed when the retrieval of target information causes the forgetting of nontarget information. The present study investigated whether similar dynamics occur in the context of generating arguments in the process of explanation. Participants studied arguments associated with several issues before attempting to think of new arguments pertaining to a subset of those issues. When given a later memory test, participants were less likely to recall the studied arguments if they had attempted to think of new arguments than if they had not...
April 10, 2017: Psychonomic Bulletin & Review
https://www.readbyqxmd.com/read/28396797/validation-of-general-job-satisfaction-in-the-korean-labor-and-income-panel-study
#8
Shin Goo Park, Sang Hee Hwang
BACKGROUND: The purpose of this study is to assess the validity and reliability of general job satisfaction (JS) in the Korean Labor and Income Panel Study (KLIPS). METHODS: We used the data from the 17th wave (2014) of the nationwide KLIPS, which selected a representative panel sample of Korean households and individuals aged 15 or older residing in urban areas. We included in this study 7679 employed subjects (4529 males and 3150 females). The general JS instrument consisted of five items rated on a scale from 1 (strongly disagree) to 5 (strongly agree)...
2017: Annals of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28395307/a-method-for-constructing-informative-priors-for-bayesian-modeling-of-occupational-hygiene-data
#9
Harrison Quick, Tran Huynh, Gurumurthy Ramachandran
In many occupational hygiene settings, the demand for more accurate, more precise results is at odds with limited resources. To combat this, practitioners have begun using Bayesian methods to incorporate prior information into their statistical models in order to obtain more refined inference from their data. This is not without risk, however, as incorporating prior information that disagrees with the information contained in data can lead to spurious conclusions, particularly if the prior is too informative...
January 1, 2017: Annals of Work Exposures and Health
https://www.readbyqxmd.com/read/28394733/training-internal-medicine-residents-to-manage-chronic-pain-and-prescription-opioid-misuse
#10
Allison L Ruff, Daniel P Alford, Robert Butler, J Henry Isaacson
BACKGROUND: Residents feel unprepared to care for patients with chronic pain on long-term opioids who exhibit signs of prescription opioid misuse. OBJECTIVE: Describe an educational intervention for internal medicine residents to improve confidence, practices, attitudes, and self-reported knowledge of resources for chronic pain and opioid misuse. METHODS: The intervention included 2 sessions. Session 1 (3 hours): a lecture on chronic pain, prescription opioid misuse, and opioid use disorders and communication skills practice...
April 10, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28390693/limitations-on-the-compensation-of-gamete-donors-a-public-opinion-survey
#11
Malinda S Lee, Leslie Farland, Stacey Missmer, Elizabeth S Ginsburg
OBJECTIVE: To determine public opinion on gamete donor compensation. DESIGN: Cross-sectional web-based survey. SETTING: Not applicable. PATIENT(S): A nationally representative sample of 1,427 people in the United States. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Support for the compensation of gamete donors. RESULTS: Of 1,427 respondents, 51 (4%) disagreed with use of IVF for any indication, and 232 (16%) believed that oocyte and/or sperm donation to be always unacceptable...
April 6, 2017: Fertility and Sterility
https://www.readbyqxmd.com/read/28390181/perceptions-and-opinions-of-canadian-pet-owners-about-anaesthesia-pain-and-surgery-in-small-animals
#12
P V Steagall, B P Monteiro, H L M Ruel, G Beauchamp, G Luca, J Berry, S Little, E Stiles, S Hamilton, D Pang
OBJECTIVES: The aim of this study was to evaluate the perceptions and opinions of Canadian pet owners about anaesthesia, pain and surgery in dogs and cats. METHODS: Six Canadian veterinary hospitals participated. Each practice received 200 copies of a questionnaire that were distributed to pet owners. Questions regarding the use of analgesics, anaesthesia, surgery and onychectomy (cats) were included. Responses were transformed into ordinal scores and analysed with a Cochran-Mantel-Haenszel test...
April 8, 2017: Journal of Small Animal Practice
https://www.readbyqxmd.com/read/28388352/health-related-quality-of-life-and-receipt-of-women-centred-hiv-care-among-women-living-with-hiv-in-canada
#13
Allison Carter, Mona Loutfy, Alexandra de Pokomandy, Guillaume Colley, Wendy Zhang, Paul Sereda, Nadia O'Brien, Karène Proulx-Boucher, Valerie Nicholson, Kerrigan Beaver, Angela Kaida, On Behalf Of The Chiwos Research Team
We measured health-related quality-of-life (HRQOL) using the SF-12 among women living with HIV (WLWH) in Canada between August 2013 and May 2015. We investigated differences by perceived receipt of women-centered HIV care (WCHC), assessed using an evidence-based definition with a 5-point Likert item: "Overall, I think that the care I have received from my HIV clinic in the last year has been women-centred" (dichotomized into Agree vs. Disagree/Neutral). Of 1308 participants, 26.3% were from British Columbia, 48...
April 7, 2017: Women & Health
https://www.readbyqxmd.com/read/28384835/validation-of-the-automated-electronic-microemboli-detection-system-in-patients-undergoing-carotid-endarterectomy
#14
Tesse Leunissen, Daniel van Vriesland, Hester den Ruijter, Frans Moll, Werner Mess, Gert Jan de Borst
Purpose To assess the diagnostic value of automatic embolus detection software (AEDS) in transcranial Doppler (TCD) monitoring for the detection of solid microemboli in patients at risk for perioperative stroke during carotid endarterectomy (CEA). Materials and Methods In 50 patients undergoing CEA, perioperative TCD registration was recorded. All recorded events, identified and saved by the AEDS, were analyzed off-line doubly by two human experts (HEs) within a time frame of > 4 months. The inter- and intraobserver variability was assessed...
April 6, 2017: Ultraschall in der Medizin
https://www.readbyqxmd.com/read/28379082/twelve-tips-for-the-construction-of-ethical-dilemma-case-based-assessment
#15
Tsuen-Chiuan Tsai
Ethical dilemma case-based examination (ethics Script Concordance Test, eSCT) is a written examination that can be delivered to a large group of examinees for the purpose of measuring high-level thinking. As it accommodates for diverse responses from experts, ethics SCT allows partial credits. The framework of ethics SCT includes a vignette with an ethical dilemma and a leading question, which asks the examinee to "agree" or "disagree", plus the shifts of prior decision by adding new information. In this article, the following tips for constructing this type of examination are provided: use "true" dilemmas, select an appropriate ethical issue, target high-level cognitive tasks, list key components, keep a single central theme, device quality scoring system, be important and plausible, be clear, select quality experts, validate, know the limitation, and be familiar with test materials...
April 2017: Medical Teacher
https://www.readbyqxmd.com/read/28378307/user-preferences-and-water-use-savings-owing-to-washbasin-taps-retrofit-a-case-study-of-the-decivil-building-of-the-university-of-aveiro
#16
Inês Meireles, Vítor Sousa, Kemi Adeyeye, Armando Silva-Afonso
During the last decades, achieving water efficiency in buildings has increasingly become an important challenge in the scope of sustainability. Water consumption is directly related to individual conduct. Despite the various technological improvements in fixtures and appliances, their performance will be influenced by human preferences and behavior. As a result, the potential for effective water consumption saving is influenced by behavior change as well as water-efficient fixtures and appliances. This work evaluates the impact of user preferences and behavior change on the water-efficient performance of tap aerators in a case study building: the Department of Civil Engineering building of the University of Aveiro, Portugal...
April 4, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/28376911/culture-clash-investigating-constructions-of-sexual-and-reproductive-health-from-the-perspective-of-1-5-generation-migrants-in-australia-using-q-methodology
#17
T Dune, J Perz, Z Mengesha, D Ayika
BACKGROUND: In Australia, those who migrate as children or adolescents (1.5 generation migrants) may have entered a new cultural environment at a crucial time in their psychosexual development. These migrants may have to contend with constructions of sexual and reproductive health from at least two cultures which may be at conflict on the matter. This study was designed to investigate the role of culture in constructions of sexual and reproductive health and health care seeking behaviour from the perspective of 1...
April 4, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28370704/dyadic-incongruence-in-chronic-heart-failure-implications-for-patient-and-carer-psychological-health-and-self-care
#18
Jan Cameron, David R Thompson, Dion Szer, Joannah Greig, Chantal F Ski
AIM AND OBJECTIVES: To examine whether chronic heart failure (CHF) patient-carer dyads who disagree about the division of illness management tasks (incongruent) experience poorer psychosocial health and self-care, than those who agree (congruent). BACKGROUND: Informal carers often assist patients with (CHF) in the complex management of their illness but little is known about how relationship dynamics may affect psychosocial health. DESIGN: A prospective cross-sectional study was adopted with a purposeful sample of 25 CHF patient-carer dyads residing in Australia...
March 30, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28367389/the-effect-of-volunteering-at-a-student-run-free-healthcare-clinic-on-medical-students-self-efficacy-comfortableness-attitude-and-interest-in-working-with-the-underserved-population-and-interest-in-primary-care
#19
Kelvin Tran, Aleksandr Kovalskiy, Anand Desai, Amna Imran, Rahim Ismail, Caridad Hernandez
INTRODUCTION: The number of primary care physicians in the United States continues to lag behind the number of uninsured people. There has been a growing demand for medical students to improve their self-efficacy, comfortableness, attitude, and interest in working with the underserved and in primary care. This study aims to discern whether volunteering at a student-run, free healthcare clinic has a positive impact on these five variables of interest or not. METHODS: A 95-item survey was distributed through Qualtrics Survey Software (Qualtrics, Provo, UT, USA) to medical students from the Class of 2018 and Class of 2019 at the University of Central Florida College of Medicine...
February 23, 2017: Curēus
https://www.readbyqxmd.com/read/28364172/mapping-french-people-and-health-professionals-positions-regarding-the-circumstances-of-morphine-use-to-relieve-cancer-pain
#20
Julie Mazoyer, Maria Teresa Muñoz Sastre, Paul Clay Sorum, Etienne Mullet
BACKGROUND: Cancer patients suffer in part because some health professionals prescribe or administer amounts of analgesics, namely opioids, which are too small or too widely spaced to be fully effective. Patients' reluctance to use opioids for pain treatment is often mentioned as a reason not to apply the official guidelines, but very few studies have been conducted on people's attitudes about opioid use to relieve cancer pain. METHODS: One hundred twenty lay participants and 30 health professionals (7 physicians and 23 nurses) were presented with a set of vignettes describing a terminally ill woman with cancer who is in pain...
March 31, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
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