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Suzanne McKenzie, Jessica Pearce, Robin A Ray
BACKGROUND AND OBJECTIVES: Hereditary haemochromatosis is a chronic inherited iron overload disorder that is primarily treated with venesection. The aim of this study was to investigate factors associated with optimal haemochromatosis self-management. METHOD: A national online questionnaire was developed. Questions covered demographics, and individual haemochromatosis history and management. The theory of planned behaviour also guided question development. Two logistic regression models were developed for the binary outcomes of serum ferritin within target range and intention to continue venesection...
September 2018: Australian journal of general practice
Luke P Wheeler, Emma L Karran, Daniel S Harvie
BACKGROUND: Low back pain is responsible for significant personal and societal burden, particularly when it becomes persistent. Despite international consensus regarding the judicious use of diagnostic spinal imaging, patients continue to be over-referred. OBJECTIVE: The aim of this article is to highlight the critical need for primary care clinicians to engage in thoughtful use of imaging procedures, and to consider alternative or adjunct methods for providing reassurance, in order to avoid or mitigate the potential negative impact of 'anomalous' findings...
September 2018: Australian journal of general practice
Wirangrong Srithongklang, Benchapan Panithanang, Pontip Kompor, Prasit Pengsaa, Natthawut Kaewpitoon, Parichart Wakkhuwatapong, Soraya J Kaewpitoon
Cholangiocarcinoma (CCA) is a neoplasm known as one of the most common causes of cancer-related deaths in Southeast Asia, particularly in Thailand, Laos, and Cambodia. Prevention and health education are required. Therefore, this study aimed to determine the effectiveness of an educational intervention to prevent CCA among a rural population in Thailand based on the health belief model (HBM) and self-efficacy frameworks. In this quasi-experimental study, 60 participants (30 participants in the experimental group and 30 participants in the control group) were selected in 2017...
September 22, 2018: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
Andreas Lundin, Kyriaki Kosidou, Christina Dalman
BACKGROUND: The autism-spectrum quotient scale was developed to study autism as a spectrum. Few studies have examined the psychometric properties of the 10 item AQ (AQ-10). We examine the AQ-10 measurement ability and convergent validity in a population health survey (n = 44,722). METHODS: The item severity and item discrimination was assessed using item response theory. Convergent validity was assessed by regressing on ADHD, psychological distress (PD) and having an education in the sciences...
September 22, 2018: Journal of Autism and Developmental Disorders
Bijesh Mishra, Buddhi R Gyawali, Krishna P Paudel, Neelam C Poudyal, Marion F Simon, Siddhartha Dasgupta, George Antonious
Promoting the sustainable agricultural practices at an individual farm level is essential to ensure agricultural sustainability. This study analyzed whether and how various factors related to farm or farmers' characteristics influence the adoption intensity of sustainable agriculture practices. We used a negative binomial regression model to fit the data collected from a mail survey of farmers in Kentucky, USA. Our results showed that the adoption intensity of sustainable agriculture practices varied significantly among agricultural districts in Kentucky...
September 22, 2018: Environmental Management
Meghan Bowman-Curci, Gwendolyn P Quinn, Joyce Reinecke, Richard R Reich, Susan T Vadaparampil
PURPOSE: The National Comprehensive Cancer Network (NCCN) created guidelines to facilitate implementation of fertility preservation (FP) discussions and referrals for adolescent and young adult patients. We assessed if availability of workplace FP resources and referral policies differed among learners in the Educating Nurses about Reproductive Health in Cancer Healthcare (ENRICH) training program based on NCCN membership. METHODS: Learners completed a baseline application, including demographic information and the availability of FP resources and referral policies...
September 22, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Caroline A Jackson, Cathie L M Sudlow, Gita D Mishra
OBJECTIVE: To determine whether the association between highest educational attainment and stroke differed by sex and age; and whether potential mediators of observed associations differ by sex. DESIGN: Prospective cohort study. SETTING: Population based, New South Wales, Australia. PARTICIPANTS: 253 657 stroke-free participants from the New South Wales 45 and Up Study. OUTCOME MEASURES: First-ever stroke events, identified through linkage to hospital and mortality records...
September 21, 2018: BMJ Open
Judy A Shea, Jeffrey H Silber, Sanjay V Desai, David F Dinges, Lisa M Bellini, James Tonascia, Alice L Sternberg, Dylan S Small, David M Shade, Joel Thorp Katz, Mathias Basner, Krisda H Chaiyachati, Orit Even-Shoshan, David Westfall Bates, Kevin G Volpp, David A Asch
INTRODUCTION: Medical trainees' duty hours have received attention globally; restrictions in Europe, New Zealand and some Canadian provinces are much lower than the 80 hours per week enforced in USA. In USA, resident duty hours have been implemented without evidence simultaneously reflecting competing concerns about patient safety and physician education. The objective is to prospectively evaluate the implications of alternative resident duty hour rules for patient safety, trainee education and intern sleep and alertness...
September 21, 2018: BMJ Open
G J Melendez-Torres, Tara Tancred, Adam Fletcher, Rona Campbell, James Thomas, Christopher Bonell
OBJECTIVES: To systematically review evidence on the effectiveness of interventions including integration of academic and health education for reducing physical aggression and violence, and describe the content of these interventions. DATA SOURCES: Between November and December 2015, we searched 19 databases and 32 websites and consulted key experts in the field. We updated our search in February 2018. ELIGIBILITY CRITERIA: We included randomised trials of school-based interventions integrating academic and health education in students aged 4-18 and not targeted at health-related subpopulations (eg, learning or developmental difficulties)...
September 21, 2018: BMJ Open
Suying Lu, Jiawang Wei, Feifei Sun, Weiwei Xiao, Ruiqing Cai, Zijun Zhen, Jia Zhu, Juan Wang, Junting Huang, Lixia Lu, Xiaofei Sun, Yuanhong Gao
PURPOSE: The objective of this study was to reveal the long-term sequelae in survivors of childhood and adolescent nasopharyngeal carcinoma (NPC) after radiotherapy. METHODS AND MATERIALS: We reviewed the medical records of NPC patients younger than 18 years old who were treated at XXX from February 1991 to October 2010. Data concerning clinical characteristics, treatment, outcomes, and late morbidities were extracted. Chi-squared tests and binary regression analysis were used to compare the cumulative incidence (CI) of treatment comorbidities between different groups of survivors...
September 20, 2018: International Journal of Radiation Oncology, Biology, Physics
Rajaa Al-Raddadi, Osama Alwafi, Omima Shabouni, Naeema Akbar, Mohammed Alkhalawi, Adel Ibrahim, Raheela Hussain, Mohammed Alzahrani, Mohammed Al Helal, Abdullah Assiri
This study aimed to estimate the seroprevalence of anti-dengue IgG antibodies in Makkah, Al Madinah, Jeddah, and Jizan; and to identify the associated demographic, clinical, and environmental independent risk factors. A community-based household serosurvey conducted between September 20, 2016 and January 31, 2017. A multi-stage stratified cluster sampling was used to select 6,596 participants from Makkah, Madinah, Jeddah, and Jizan. Blood samples were drawn from all participants to detect anti-dengue IgG antibodies...
September 20, 2018: Acta Tropica
Alper Sonmez, Cem Haymana, Fahri Bayram, Serpil Salman, Oguzhan Sitki Dizdar, Eren Gurkan, Ayse Kargili Carlıoglu, Cem Barcin, Tevfik Sabuncu, Ilhan Satman
AIMS: Turkey has the highest prevalence of diabetes in Europe. It is therefore essential to know the overall cardiovascular risk and reveal the predictors of metabolic control in Turkish adults with diabetes mellitus. METHODS: A nationwide, multicenter survey consecutively enrolled patients who were under follow up for at least a year. Optimal control was defined as HbA1c<7%, home arterial blood pressure (ABP) <135/85 mmHg, or LDL-C <100 mg/dL. Achieving all parameters indicated triple metabolic control...
September 20, 2018: Diabetes Research and Clinical Practice
Jonathan Fryer, Mary Schuller, Greg Wnuk, Shari Meyerson, Joseph Zwischenberger, Andreas Meier, Reed Williams, Brian George
BACKGROUND: Complex problems are often easier to address when multiple entities collaborate. The Procedural Learning and Safety Collaborative (PLSC) was established to address complex problems in general surgery residency training by connectively engaging multiple residency programs in addressing progressive research questions. STUDY DESIGN: Recently, PLSC members held a national symposium which included leadership from several leading surgical societies to come to a consensus on what are the most critical issues in general surgery education...
September 19, 2018: Journal of Surgical Education
Viviane G Nasr, Nina A Guzzetta, Emad B Mossad
Pediatric cardiac anesthesia as a discipline has evolved over the years to become a well recognized sub-specialty. Education and training in the field has also continued to change and develop. In this review, the author outline the changes in the field over the years and suggest a structure for an organized fellowship training process.
August 11, 2018: Journal of Cardiothoracic and Vascular Anesthesia
Kristie B Hadden, Connie L Arnold, Laura M Curtis, Jennifer M Gan, Scott Hur, Mary Kwasny, Jean C McSweeney, Latrina Y Prince, Michael S Wolf, Terry C Davis
Proper diabetes self-care requires patients to have considerable knowledge, a range of skills, and to sustain multiple health behaviors. Self-management interventions are needed that can be readily implemented and sustained in rural clinics with limited resources that disproportionately care for patients with limited literacy. Researchers on our team developed an evidence-based, patient-centered, low literacy intervention promoting diabetes self-care that includes: 1) the American College of Physicians (ACP) Diabetes Guide that uses plain language and descriptive photographs to teach core diabetes concepts and empower patients to initiate behavior change; 2) a brief counseling strategy to assist patients in developing short-term, explicit and attainable goals for behavior change ('action plans'); and 3) a training module for health coaches that prepares them to assume educator/counselor roles with the Diabetes Guide as a teaching tool...
September 19, 2018: Contemporary Clinical Trials
Laure Gossec, Anna Molto, Xavier Romand, Déborah Puyraimond-Zemmour, Matthieu Lavielle, Catherine Beauvais, Eric Senbel, René-Marc Flipo, Sophie Pouplin, Christophe Richez, Alain Saraux, Maryse Mézières, Loriane Gutermann, Philippe Gaudin, Daniel Wendling, Maxime Dougados
BACKGROUND: Adherence to treatment is a key issue in chronic inflammatory rheumatic diseases (CIRDs). OBJECTIVE: To develop recommendations to facilitate in daily practice, the management of non-adherence to disease-modifying drugs in patients with rheumatoid arthritis, spondyloarthritis, psoriatic arthritis, connective tissue diseases or other CIRDs. METHODS: The process comprised (a) systematic literature reviews of methods (including questionnaires) to measure non-adherence, risk factors for non-adherence and efficacy of targeted interventions; (b) development of recommendations through consensus of 104 rheumatologist and nurse experts; (c) assessment of agreement and ease of applicability (1-5 where 5 is highest) by the 104 experts...
September 19, 2018: Joint, Bone, Spine: Revue du Rhumatisme
Genevieve J H Quek, Shefaly Shorey
Preceptorship is a commonly used clinical teaching method for new nurses, and perceptions regarding it are varied and come from many sources. The aim of this integrative review is to explore the perceptions of preceptorship from preceptors and newly graduated nurses. Three electronic databases were searched for relevant articles and the Joanna Briggs Institute's critical appraisal tools were used to assess for suitability before inclusion in the review. Twenty articles were included eventually. A total of six focus areas were identified: (a) role of the preceptor, (b) preceptor preparation and support, (c) challenges of being a preceptor, (d) preceptorship significance for newly graduated nurses, (e) needs of newly graduated nurses, and (f) factors affecting the preceptor-preceptee relationship...
September 2018: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
Liqiong Shen, Huiwen Zeng, Xiaoyan Jin, Jing Yang, Shaomei Shang, Yan Zhang
BACKGROUND: <Fundamental Nursing> is the first specialized curriculum for nursing students, laying a foundation for nursing education. <Fundamental Nursing> includes many important basic nursing skills, which suggests the traditional examination could not evaluate how well students learn. Since the OSCE (objective structured clinical examination) developed, it has been used among newly graduated nurses, postgraduate nursing students and achieved some success. OSCE might be a better way to evaluate and reflect students' fundamental nursing skills and comprehensive abilities, although few studies have put it into practice...
September 2018: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
Mahdieh Arian, Mohsen Soleimani, Mohammad Bagher Oghazian
OBJECTIVES: The present study seeks to answer the following two questions: Are nurse educators satisfied with their job? What are the factors affecting job satisfaction in nurse educators? BACKGROUND: Nurse educators' job satisfaction has a significant role in the efficiency and performance of nursing schools. Identifying the factors affecting job satisfaction in nurse educators is essential to improving their quality of work and ultimately training efficient students and nurses...
September 2018: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
Jun Zhang, Qin Cui
BACKGROUND: Collaborative learning has been used in nursing education for more than two decades. However, little is known about its relationship to quality of nursing education, its implementation process as well as what factors likely influence the effectiveness of the teaching approach. METHODS: Previous relevant literature had been searched and located from three electronic databases including CINAIL, PubMed, and Google Scholar. RESULTS: Collaborative learning had been employed in classroom teaching, clinical education and online course teaching...
September 2018: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
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