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https://www.readbyqxmd.com/read/27760535/the-haiti-medical-education-project-development-and-analysis-of-a-competency-based-continuing-medical-education-course-in-haiti-through-distance-learning
#1
Robert Battat, Marc Jhonson, Lorne Wiseblatt, Cruff Renard, Laura Habib, Manouchka Normil, Brian Remillard, Timothy F Brewer, Galit Sacajiu
BACKGROUND: Recent calls for reform in healthcare training emphasize using competency-based curricula and information technology-empowered learning. Continuing Medical Education programs are essential in maintaining physician accreditation. Haitian physicians have expressed a lack access to these activities. The Haiti Medical Education Project works in alliance with Haitian medical leadership, faculty and students to support the Country's medical education system. We present the creation, delivery and evaluation of a competency-based continuing medical education curriculum for physicians in rural Haiti...
October 19, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27751795/the-limits-of-electronic-fetal-heart-rate-monitoring-in-the-prevention-of-neonatal-metabolic-acidemia
#2
Steven L Clark, Emily Hamilton, Thomas J Garite, Audra Timmins, Philip A Warrick, Samuel Smith
BACKGROUND: Despite intensive efforts directed at initial training in fetal heart rate interpretation, continuing medical education, board certification/recertification, team training and the development of specific protocols for the management of abnormal fetal heart rate patterns, the goals of consistently preventing hypoxia-induced fetal metabolic acidemia and neurologic injury remain elusive. OBJECTIVE: To validate a recently published algorithm for the management of category II fetal heart rate tracings , examine reasons for the birth of infants with significant metabolic acidemia despite the use of electronic fetal heart rate monitoring and critically examine the limits of EFHRM in the prevention of neonatal metabolic acidemia...
October 14, 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27671850/shedding-light-on-shingles-the-power-of-prevention
#3
Lawrence Herman, Myron J Levin, Susan Rehm
Shingles, or herpes zoster (HZ), is a common secondary infection caused by a reactivated varicella zoster virus (VZV). More than 95% of immunocompetent individuals aged at least 50 years are seropositive for VZV and are therefore at risk for developing HZ. Age-related increased incidence of HZ and its complications are thought to be related to the decline in cell-mediated immunity. Complications of HZ, which create a significant patient and economic burden, may be neurological, ophthalmological, dermatological, or visceral...
October 2016: American Journal of Medicine
https://www.readbyqxmd.com/read/27647465/neurological-assessment-with-validated-tools-in-general-icu-multicenter-randomized-before-and-after-pragmatic-study-to-evaluate-the-effectiveness-of-an-e-learning-platform-for-continuous-medical-education
#4
Giovanni Mistraletti, Michele Umbrello, Stefania Anania, Elisa Andrighi, Alessandra Di Carlo, Federica Martinetti, Serena Barello, Giovanni Sabbatini, Paolo Formenti, Tommaso Maraffi, Francesco Marrazzo, Alessandra Palo, Giacomo Bellani, Riccarda Russo, Silvia Francesconi, Federico Valdambrini, Marco Cigada, Francesca Riccardi, Egidio A Moja, Gaetano Iapichino
BACKGROUND: International guidelines recommend systematic assessment of pain, agitation/sedation and delirium with validated scales for all ICU patients. However, these evaluations are often not done. We have created an e-learning training platform for the continuous medical education, and assessed its efficacy in increasing the use of validated tools by all medical and nursing staff of the participating ICUs during their daily practice. METHODS: Multicenter, randomized, before and after study...
September 20, 2016: Minerva Anestesiologica
https://www.readbyqxmd.com/read/26775772/neurocutaneous-disease-neurocutaneous-dysesthesias
#5
REVIEW
Nora K Shumway, Emily Cole, Kristen Heins Fernandez
Dysesthesia is a generic term for a cutaneous symptom--such as pruritus, burning, tingling, stinging, anesthesia, hypoesthesia, tickling, crawling, cold sensation, or even pain--without a primary cutaneous condition in a well-defined location that is often caused by nerve trauma, impingement, or irritation. There are multiple types of dysesthesias depending on the body location and the nerves involved. While location, exact symptoms, and etiologies might vary, the underlying theme is that these conditions are of neurologic origin and have dermatologic consequences...
February 2016: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/25649832/clinical-routine-use-of-dopamine-transporter-imaging-in-516-consecutive-patients
#6
Claire Thiriez, Emmanuel Itti, Gilles Fénelon, Eva Evangelista, Michel Meignan, Pierre Cesaro, Philippe Remy
[(123)I]-FP-CIT is a single photon emission computed tomography (SPECT) ligand showing in vivo the loss of dopaminergic terminals in the brain and is now available in the market. Despite several systematic studies in clinically inconclusive cases, the use of such imaging in clinical routine is scarcely reported. We analyzed 516 files of subjects with movement disorders who were consecutively examined using [(123)I]-FP-CIT scan and determined whether the use of imaging was appropriate and if it improved clinical diagnosis or care of the patient...
2015: Journal of Neurology
https://www.readbyqxmd.com/read/25631127/clinical-management-of-pruritus
#7
REVIEW
Sonja Ständer, Claudia Zeidler, Nina Magnolo, Ulrike Raap, Thomas Mettang, Andreas E Kremer, Elke Weisshaar, Matthias Augustin
The care of patients with chronic pruritus as a symptom of a wide variety of underlying diseases continues to confront dermatologists with diagnostic and therapeutic challenges. However, a structured history and a physical examination may already substantially help in narrowing down the number of potential differential diagnoses. Apart form reducing the intensity of pruritus, identification and appropriate treatment of the underlying disease are important needs of patients. If these goals doesn't lead to improvement of itch, current guidelines provide a number of topical and systemic therapies for symptomatic treatment...
February 2015: Journal der Deutschen Dermatologischen Gesellschaft, Journal of the German Society of Dermatology: JDDG
https://www.readbyqxmd.com/read/25609761/the-effects-of-test-enhanced-learning-on-long-term-retention-in-aan-annual-meeting-courses
#8
RANDOMIZED CONTROLLED TRIAL
Douglas P Larsen, Andrew C Butler, Wint Y Aung, John R Corboy, Deborah I Friedman, Michael R Sperling
OBJECTIVE: We measured the long-term retention of knowledge gained through selected American Academy of Neurology annual meeting courses and compared the effects of repeated quizzing (known as test-enhanced learning) and repeated studying on that retention. METHODS: Participants were recruited from 4 annual meeting courses. All participants took a pretest. This randomized, controlled trial utilized a within-subjects design in which each participant experienced 3 different postcourse activities with each activity performed on different material...
February 17, 2015: Neurology
https://www.readbyqxmd.com/read/25385910/assessment-of-physicians-knowledge-of-glasgow-coma-score
#9
Jkc Emejulu, Spu Nkwerem, O C Ekweogwu
BACKGROUND: Glasgow Coma Scale (GCS) is the most commonly used tool in assessing comatose patients. It is simple, easily communicable, and useful in prognostication and determination of the treatment modality in head injury. Unfortunately, a high percentage of clinicians who are not in the emergency or neurological services are not conversant with this life-saving tool. OBJECTIVE: The objective of this study was to assess the level of knowledge of GCS among physicians practicing in a tertiary institution in South-East Nigeria, and to evaluate the call for a new and simpler scoring system...
November 2014: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/25363004/introduction-of-our-new-associate-editor
#10
Annick Desjardins, Roshaine Gunawardana
Annick Desjardins, MD, FRCPC, speaks to Roshaine Gunawardana, Managing Commissioning Editor: Annick Desjardins is Associate Professor within the Department of Neurology and is the Director of Clinical Research at The Preston Robert Tisch Brain Tumor Center at Duke. In 2003, Dr Desjardins completed her residency in Adult Neurology at the Universite de Sherbrooke, Quebec, Canada. Following a 2-year fellowship in neuro-oncology at The Preston Robert Tisch Brain Tumor Center at Duke, she joined the Center as faculty, in July 2005...
2014: CNS Oncology
https://www.readbyqxmd.com/read/25187281/the-educational-mission-in-forensic-publishing
#11
Debra A Pinals, Richard L Frierson
Organizing frameworks that affect medical education include requirements for residency education set out by the Accreditation Council for Graduate Medical Education (ACGME), board certification requirements of the American Board of Psychiatry and Neurology (ABPN), and requirements of the Accreditation Council for Continuing Medical Education (ACCME) for awarding continuing medical education (CME) credits. Physicians rely on a variety of sources to meet these requirements, including medical journals. It is unclear, however, whether journals actually assist physicians in meeting these educational requirements...
2014: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/25098069/evaluating-neurology-cme-in-two-educational-methods-using-patton-s-utilization-focused-model
#12
Farhan Vakani, Amina Ahmad, Aziz Sonawalla, Mughis Sheerani
BACKGROUND: Generally in continuing education medical education (CME) the most time is consumed for in the planning and preparation of the event. This planning and preparation, however, needs recognition through an evaluative process. The purpose of this study was to evaluate neurology CME in two educational methods, lecture vs task-based learning, using Patton's utilisation focused model. METHODS: This was an observational, cross-sectional inquiry. The questionnaire evaluated the educational elements such as learning objectives met, content covered, presentations at the level of understanding, level of interaction, knowledge gained, time management, queries responded, organisation, quality of learning material and overall grading of the educational event...
January 2013: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/24861193/-quality-guidelines-for-presurgical-epilepsy-diagnosis-and-operative-epilepsy-therapy-1st-revised-version
#13
F Rosenow, T Bast, T Czech, V Hans, C Helmstaedter, H-J Huppertz, M Seeck, E Trinka, K Wagner
In patients with pharmacorefractory epilepsy, preoperative epilepsy evaluation and subsequent epilepsy surgery lead to a significant improvement of seizure control, proportion of seizure-free patients, quality of life and social participation. The aims of preoperative epilepsy evaluation are to define the chance of complete seizure freedom and the likelihood of inducing new neurological deficits in a given patient. As epilepsy surgery is an elective procedure quality standards are particularly high. As detailed in the first edition of these practice guidelines, quality control relates to seven different domains: (1) establishing centres with a sufficient number of sufficiently and specifically trained personnel, (2) minimum technical standards and equipment, (3) continuing medical education of employees, (4) surveillance by trained personnel during the video electroencephalography (EEG) monitoring (VEM), (5) systematic acquisition of clinical and outcome data, (6) the minimum number of preoperative evaluations and epilepsy surgery procedures and (7) cooperation of epilepsy centres...
June 2014: Der Nervenarzt
https://www.readbyqxmd.com/read/24560375/in-memoriam-of-professor-theodore-l-munsat-1930-2013-his-outstanding-legacy-with-the-wfn
#14
EDITORIAL
Marco T Medina
The World Federation of Neurology (WFN) lost an outstanding leader on November 22, 2013 with the death of Professor Theodore Leon Munsat ("Ted"), in Waltham, Massachusetts, USA. Professor Munsat was Emeritus professor of Neurology at Tufts University School of Medicine and served the WFN in several capacities as trustee, chairman of the WFN Education and research committees, chairman of the WFN ALS Research group and founding director of the WFN Seminars in Clinical Neurology. He was president of the American Academy of Neurology (AAN), 1989-1991, chairman of the Continuing Educational Committee of the AAN and founding director of AAN's premier continuing medical education journal Continuum: Lifelong Learning in Neurology...
April 15, 2014: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/24411537/task-based-learning-versus-problem-oriented-lecture-in-neurology-continuing-medical-education
#15
COMPARATIVE STUDY
Farhan Vakani, Wasim Jafri, Amina Ahmad, Aziz Sonawalla, Mughis Sheerani
OBJECTIVE: To determine whether general practitioners learned better with task-based learning or problem-oriented lecture in a Continuing Medical Education (CME) set-up. STUDY DESIGN: Quasi-experimental study. PLACE AND DURATION OF STUDY: The Aga Khan University, Karachi campus, from April to June 2012. METHODOLOGY: Fifty-nine physicians were given a choice to opt for either Task-based Learning (TBL) or Problem Oriented Lecture (PBL) in a continuing medical education set-up about headaches...
January 2014: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/24350159/interpretation-of-computed-tomography-of-the-head-emergency-physicians-versus-radiologists
#16
Ali Arhami Dolatabadi, Alireza Baratloo, Alaleh Rouhipour, Ali Abdalvand, Hamidreza Hatamabadi, Mohammadmehdi Forouzanfar, Majid Shojaee, Behrooz Hashemi
BACKGROUND: Many patients are brought to crowded emergency departments (ED) of hospitals every day for evaluation of head injuries, headaches, neurologic deficits etc. CT scan of the head is the most common diagnostic measure used to search for pathologies. In many EDs the initial interpretation of images are performed by emergency physicians (EP). Since most decisions are made based on the initial interpretation of the images by emergency physicians and not the radiologists, it is necessary to assess the accuracy of interpretations made by the former group...
September 2013: Trauma Monthly
https://www.readbyqxmd.com/read/24018741/-headache-disorders
#17
Takao Takeshima, Shoji Kikui
Primary headache disorders such as migraine, tension-type headache, and cluster headache are prevalent and disabling neurological disorders. Although most headache disorders are largely treatable, they are under-recognized, under-diagnosed, and under-treated. Many headache sufferers in Japan do not receive appropriate and effective health care; hence, the illness, which should be relieved, persists and acts as an individual and societal burden. One of the barriers most responsible for this is poor awareness of the disorders...
September 2013: Brain and Nerve, Shinkei Kenkyū No Shinpo
https://www.readbyqxmd.com/read/23967519/announcing-a-new-continuing-medical-education-course-%C3%A2-bridging-neurology-and-psychiatry-movement-disorders%C3%A2
#18
Joseph H Friedman
No abstract text is available yet for this article.
June 2013: Cognitive and Behavioral Neurology: Official Journal of the Society for Behavioral and Cognitive Neurology
https://www.readbyqxmd.com/read/23928802/six-decades-of-the-chair-of-internal-medicine-at-the-medical-faculty-in-skopje
#19
K Chakalaroski
The chair of internal medicine in Republic of Macedonia was created in 1947. The Department of Internal Medicine (CIM) is the most numerous at Skopje's medical faculty (currently 56 members). According to the archive material from the first session of the Scientific Teaching Council of the Faculty of Medicine (17.03.1947), Mr Mario Krmpotic (Professor of Internal Medicine) was proposed as the first Director of the Internal Clinic (1947). For reasons unknown, Mr Krmpotic never came to Skopje to accept the post...
2013: Prilozi (Makedonska Akademija Na Naukite i Umetnostite. Oddelenie za Medicinski Nauki)
https://www.readbyqxmd.com/read/23551983/enteral-vs-intravenous-icu-sedation-management-study-protocol-for-a-randomized-controlled-trial
#20
RANDOMIZED CONTROLLED TRIAL
Giovanni Mistraletti, Elena S Mantovani, Paolo Cadringher, Barbara Cerri, Davide Corbella, Michele Umbrello, Stefania Anania, Elisa Andrighi, Serena Barello, Alessandra Di Carlo, Federica Martinetti, Paolo Formenti, Paolo Spanu, Gaetano Iapichino
BACKGROUND: A relevant innovation about sedation of long-term Intensive Care Unit (ICU) patients is the 'conscious target': patients should be awake even during the critical phases of illness. Enteral sedative administration is nowadays unusual, even though the gastrointestinal tract works soon after ICU admission. The enteral approach cannot produce deep sedation; however, it is as adequate as the intravenous one, if the target is to keep patients awake and adapted to the environment, and has fewer side effects and lower costs...
April 3, 2013: Trials
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