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https://www.readbyqxmd.com/read/29235172/scaling-up-child-development-centres-in-bangladesh
#1
N Z Khan, R Sultana, F Ahmed, A B Shilpi, N Sultana, G L Darmstadt
BACKGROUND: Child Development Centres (CDCs) have been established within government medical college tertiary hospitals across Bangladesh. Services entail a parent-professional partnership in a child and family friendly environment with a focus on assessment, diagnosis, and management of a range of neurodevelopmental disorders in children and adolescents 0-16 years of age. Services are provided by a multidisciplinary team of professionals (child health physician, child psychologist, and developmental therapist) who emphasize quality of services over the numbers of children seen...
January 2018: Child: Care, Health and Development
https://www.readbyqxmd.com/read/29234823/-digital-learning-and-teaching-in-medical-education-already-there-or-still-at-the-beginning
#2
REVIEW
Sebastian Kuhn, Susanne Frankenhauser, Daniel Tolks
The current choice of digital teaching and learning formats in medicine is very heterogeneous. In addition to the widely used classical static formats, social communication tools, audio/video-based media, interactive formats, and electronic testing systems enrich the learning environment.For medical students, the private use of digital media is not necessarily linked to their meaningful use in the study. Many gain their experience of digital learning in the sense of "assessment drives learning", especially by taking online exams in a passive, consuming role...
December 12, 2017: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/29234807/development-and-validation-of-a-deep-learning-system-for-diabetic-retinopathy-and-related-eye-diseases-using-retinal-images-from-multiethnic-populations-with-diabetes
#3
Daniel Shu Wei Ting, Carol Yim-Lui Cheung, Gilbert Lim, Gavin Siew Wei Tan, Nguyen D Quang, Alfred Gan, Haslina Hamzah, Renata Garcia-Franco, Ian Yew San Yeo, Shu Yen Lee, Edmund Yick Mun Wong, Charumathi Sabanayagam, Mani Baskaran, Farah Ibrahim, Ngiap Chuan Tan, Eric A Finkelstein, Ecosse L Lamoureux, Ian Y Wong, Neil M Bressler, Sobha Sivaprasad, Rohit Varma, Jost B Jonas, Ming Guang He, Ching-Yu Cheng, Gemmy Chui Ming Cheung, Tin Aung, Wynne Hsu, Mong Li Lee, Tien Yin Wong
Importance: A deep learning system (DLS) is a machine learning technology with potential for screening diabetic retinopathy and related eye diseases. Objective: To evaluate the performance of a DLS in detecting referable diabetic retinopathy, vision-threatening diabetic retinopathy, possible glaucoma, and age-related macular degeneration (AMD) in community and clinic-based multiethnic populations with diabetes. Design, Setting, and Participants: Diagnostic performance of a DLS for diabetic retinopathy and related eye diseases was evaluated using 494 661 retinal images...
December 12, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29234049/a-novel-classification-indicator-of-type-1-and-type-2-diabetes-in-china
#4
Yannian Wang, Shanshan Liu, Ruoxi Chen, Zhongning Chen, Jinlei Yuan, Quanzhong Li
Because of the differences of treatment, it is extremely important to classify the types of diabetes, especially for the diagnosis made by clinician. In this study, we proposed a novel scheme calculating an indicator of classifying diabetes, which contains two stages: the first is a model of feature extraction, 17 features are automatically extracted from the curve of glucose concentration acquired by continuous glucose monitoring system (CGM); the second is a model of diabetes parameter regression based on an ensemble learning algorithm named double-Class AdaBoost...
December 12, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29233921/integrated-analysis-of-motif-activity-and-gene-expression-changes-of-transcription-factors
#5
Jesper Grud Skat Madsen, Alexander Rauch, Elvira Laila Van Hauwaert, Søren Fisker Schmidt, Marc Winnefeld, Susanne Mandrup
The ability to predict transcription factors based on sequence information in regulatory elements is a key step in systems-level investigation of transcriptional regulation. Here, we have developed a novel tool, IMAGE, for precise prediction of causal transcription factors based on transcriptome profiling and genome-wide maps of enhancer activity. High precision is obtained by combining a near-complete database of position weight matrices (PWMs), generated by compiling public databases and systematic prediction of PWMs for uncharacterized transcription factors, with a state-of-the-art method for PWM scoring and a novel machine learning strategy, based on both enhancers and promoters, to predict the contribution of motifs to transcriptional activity...
December 12, 2017: Genome Research
https://www.readbyqxmd.com/read/29233677/alzheimer-s-disease-and-gut-microbiota-modifications-the-long-way-between-preclinical-studies-and-clinical-evidence
#6
REVIEW
Cesare Mancuso, Rosaria Santangelo
Recent studies have suggested the role of an infectious component in the pathogenesis of Alzheimer's disease (AD). In light of this, research has focused on some bacteria constituting the intestinal microbial flora which can produce amyloid. Once generated, the latter hypothetically triggers a systemic inflammatory response which compromises complex brain functions, such as learning and memory. Clinical studies have shown that, in cognitively impaired elderly patients with brain amyloidosis, there is lower abundance in the gut of E...
December 9, 2017: Pharmacological Research: the Official Journal of the Italian Pharmacological Society
https://www.readbyqxmd.com/read/29233422/implementation-of-a-virtual-dispensing-simulator-to-support-us-pharmacy-education
#7
Marcus Ferrone, Clark Kebodeaux, Jill Fitzgerald, Lisa Holle
INTRODUCTION: A key element for pharmacy practice defined by the Accreditation Council for Pharmacy Education (ACPE) is medication use systems management. A web-based community pharmacy simulation originally created for Australian pharmacy students was adapted for pharmacy students in the United States (US). The objective of this study was to collaboratively adapt an existing international simulation program for utility in the US and measure student perceptions of a web-based community pharmacy simulation program in three US schools of pharmacy...
July 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29233382/-it-s-like-rotations-but-in-the-classroom-creation-of-an-innovative-course-to-prepare-students-for-advanced-pharmacy-practice-experiences
#8
Yolanda M Hardy, Janene L Marshall
BACKGROUND AND PURPOSE: The purpose of this article is to discuss the course development and results of a survey assessing students' perceived confidence in performing various skills after completion of this course. EDUCATIONAL ACTIVITY AND SETTING: The course was taught using a model in which all activities performed by students took place in a fictitious health system. The course was created to give students the opportunity to learn in an environment that closely mimicked advanced pharmacy practice experiences (APPEs) while in the didactic setting...
November 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29232846/home-camera-based-fall-detection-system-for-the-elderly
#9
Koldo de Miguel, Alberto Brunete, Miguel Hernando, Ernesto Gambao
Falls are the leading cause of injury and death in elderly individuals. Unfortunately, fall detectors are typically based on wearable devices, and the elderly often forget to wear them. In addition, fall detectors based on artificial vision are not yet available on the market. In this paper, we present a new low-cost fall detector for smart homes based on artificial vision algorithms. Our detector combines several algorithms (background subtraction, Kalman filtering and optical flow) as input to a machine learning algorithm with high detection accuracy...
December 9, 2017: Sensors
https://www.readbyqxmd.com/read/29231236/relevance-of-the-cerebral-collateral-circulation-in-ischaemic-stroke-time-is-brain-but-collaterals-set-the-pace
#10
Simon Jung, Roland Wiest, Jan Gralla, Richard McKinley, Heinrich Mattle, David Liebeskind
Blood supply to the brain is secured by an extensive collateral circulation system, which can be divided into primary routes, i.e., the Circle of Willis, and secondary routes, e.g., collaterals from the external to the internal carotid artery and leptomeningeal collaterals. Collateral flow is the basis for acute stroke treatment, since neurones will only survive long enough to be rescued with reperfusion therapies if there is sufficient collateral flow. Poor collateral flow is associated with worse outcome and faster growth of larger infarcts in acute stroke treatment...
December 12, 2017: Swiss Medical Weekly
https://www.readbyqxmd.com/read/29231180/realization-of-synaptic-learning-and-memory-functions-in-y2o3-based-memristive-device-fabricated-by-dual-ion-beam-sputtering
#11
Mangal Das, Amitesh Kumar, Rohit Singh, Myo Than Htay, Shaibal Mukherjee
Single synaptic device with inherent learning and memory functions is demonstrated based on a forming-free amorphous Y2O3 (yttria) memristor fabricated by dual ion beam sputtering system. Synaptic functions such as nonlinear transmission characteristics, long-term plasticity, short-term plasticity and "learning behavior" are achieved using a single synaptic device based on cost-effective metal-insulator- semiconductor (MIS) structure. A "learning behavior" function is demonstrated, for the first time in the literature, for yttria based memristor, which bears resemblance to certain memory functions of biological systems...
December 12, 2017: Nanotechnology
https://www.readbyqxmd.com/read/29230569/a-proctoring-system-to-manage-the-learning-curve-associated-with-the-introduction-of-transcatheter-aortic-valve-implantation-in-japan
#12
Masahiro Yamawaki, Kiyotaka Iwasaki, Motoharu Araki, Tsutomu Ito, Yoshiaki Ito, Norio Tada, Kensuke Takagi, Futoshi Yamanaka, Yusuke Watanabe, Masanori Yamamoto, Shinichi Shirai, Kentaro Hayashida
As transcatheter aortic valve implantation (TAVI) requires multidisciplinary collaboration, operators and the entire heart team must overcome a steep learning curve. A web-based screening and traditional on-site proctoring system were developed for the introduction of TAVI in Japan. To assess the learning curve involved with the introduction of TAVI under the supervision of a novel proctoring system. We divided 749 consecutive patients enrolled in the OCEAN-TAVI study between October 2013 and August 2015 into the trans-femoral (TF, n = 608) and transapical (TA, n = 141) approach groups to compare outcomes in patients who underwent TAVI during the early proctoring period (proctoring group) and after the procedures began to be performed independently (independent group)...
December 11, 2017: Heart and Vessels
https://www.readbyqxmd.com/read/29230320/factors-promoting-and-inhibiting-sustained-impact-of-a-mental-health-task-shifting-program-for-hiv-providers-in-ethiopia
#13
D Jerene, M Biru, A Teklu, T Rehman, A Ruff, L Wissow
Background: Task-shifting mental health into general medical care requires more than brief provider training. Generalists need long-term support to master new skills and changes to work context are required to sustain change in the face of competing priorities. We examined program and context factors promoting sustainability of a mental health task-shifting training for hospital-based HIV providers in Ethiopia. Methods: Convergent mixed-methods quasi-experimental study...
2017: Global Mental Health
https://www.readbyqxmd.com/read/29230171/spatial-temporal-feature-analysis-on-single-trial-event-related-potential-for-rapid-face-identification
#14
Lei Jiang, Yun Wang, Bangyu Cai, Yueming Wang, Yiwen Wang
The event-related potential (ERP) is the brain response measured in electroencephalography (EEG), which reflects the process of human cognitive activity. ERP has been introduced into brain computer interfaces (BCIs) to communicate the computer with the subject's intention. Due to the low signal-to-noise ratio of EEG, most ERP studies are based on grand-averaging over many trials. Recently single-trial ERP detection attracts more attention, which enables real time processing tasks as rapid face identification...
2017: Frontiers in Computational Neuroscience
https://www.readbyqxmd.com/read/29229650/improving-contraceptive-access-use-and-method-mix-by-task-sharing-implanon-insertion-to-frontline-health-workers-the-experience-of-the-integrated-family-health-program-in-ethiopia
#15
Yewondwossen Tilahun, Candace Lew, Bekele Belayihun, Kidest Lulu Hagos, Mengistu Asnake
In 2009, the Ethiopian Federal Ministry of Health launched an Implanon scale-up program with the goal of improving the availability of long-acting reversible contraceptive (LARC) methods at the community level. The Integrated Family Health Program (IFHP) supported the ministry to train Health Extension Workers (HEWs), a cadre of frontline health workers, on Implanon insertion. Prior to this task-sharing initiative, HEWs were only permitted to provide short-acting contraceptive methods; Implanon insertion services were only available at higher-level health facilities, such as health centers and above...
December 8, 2017: Global Health, Science and Practice
https://www.readbyqxmd.com/read/29227866/partnerships-for-active-children-in-elementary-schools-paces-first-year-process-evaluation
#16
Cate A Egan, Collin Webster, R Glenn Weaver, Ali Brian, David Stodden, Laura Russ, Danielle Nesbitt, Spyridoula Vazou
Movement integration (MI) is a strategy within comprehensive school physical activity programs (CSPAP). School-university partnerships are recommended to leverage teachers' capacity to use MI. A mixed method process evaluation was conducted of the first year of implementing Partnerships for Active Children in Elementary Schools (PACES). Classroom teachers (N=12) from four schools participated. Data were collected in Fall 2014 (baseline) and Spring 2015 (∼ four months of intervention) using the System for Observing Student Movement in Academic Routines and Transitions and semi-structured interviews...
December 6, 2017: Evaluation and Program Planning
https://www.readbyqxmd.com/read/29227431/faculty-development-for-continuing-interprofessional-education-and-collaborative-practice
#17
Ivan L Silver, Karen Leslie
This article proposes a framework for faculty development in continuing interprofessional education (CIPE) and collaborative practice. The framework is built on best practices in faculty development and CIPE. It was informed by local experience in the development, delivery, and evaluation of a faculty development program to promote capacity for dissemination of concepts relating to interprofessional education (IPE) and interprofessional collaboration (IPC) in health care environments. Interprofessional education has been demonstrated in clinical contexts to enhance interprofessional collaboration, patient care, and health outcomes...
October 2017: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/29227430/continuing-education-meets-the-learning-organization-the-challenge-of-a-systems-approach-to-patient-safety
#18
John M Eisenberg
Since the release of the report of the Institute of Medicine on medical errors and patient safety in November 1999, health policy makers and health care leaders in several nations have sought solutions that will improve the safety of health care. This attention to patient safety has highlighted the importance of a learning approach and a systems approach to quality measurement and improvement. Balanced with the need for public disclosure of performance, confidential reporting with feedback is one of the prime ways that nations such as the United States, Canada, the United Kingdom, and Australia have approached this challenge...
October 2017: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/29226857/prostate-cancer-detection-using-machine-learning-techniques-by-employing-combination-of-features-extracting-strategies
#19
Lal Hussain, Adeel Ahmed, Sharjil Saeed, Saima Rathore, Imtiaz Ahmed Awan, Saeed Arif Shah, Abdul Majid, Adnan Idris, Anees Ahmed Awan
Prostate is a second leading causes of cancer deaths among men. Early detection of cancer can effectively reduce the rate of mortality caused by Prostate cancer. Due to high and multiresolution of MRIs from prostate cancer require a proper diagnostic systems and tools. In the past researchers developed Computer aided diagnosis (CAD) systems that help the radiologist to detect the abnormalities. In this research paper, we have employed novel Machine learning techniques such as Bayesian approach, Support vector machine (SVM) kernels: polynomial, radial base function (RBF) and Gaussian and Decision Tree for detecting prostate cancer...
November 28, 2017: Cancer Biomarkers: Section A of Disease Markers
https://www.readbyqxmd.com/read/29226226/work-based-assessment-and-co-production-in-postgraduate-medical-training
#20
Eric S Holmboe
Assessment has always been an essential component of postgraduate medical education and for many years focused predominantly on various types of examinations. While examinations of medical knowledge and more recently of clinical skills with standardized patients can assess learner capability in controlled settings and provide a level of assurance for the public, persistent and growing concerns regarding quality of care and patient safety worldwide has raised the importance and need for better work-based assessments...
2017: GMS Journal for Medical Education
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