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https://www.readbyqxmd.com/read/28417516/discovering-what-matters-interrogating-clinician-responses-to-ethics-consultation
#1
Stuart G Finder, Virginia L Bartlett
Against the background assumptions that (a) knowing what clinical ethics consultation represents to those with whom ethics consultants work most closely is a necessary component for being responsible in the practice of ethics consultation, and (b) the complexities of soliciting and understanding colleague evaluations require another inherent responsibility for the methods by which ethics consultations are evaluated, in this article we report our experience soliciting, analyzing, and trying to understand retrospective evaluations of our Clinical Ethics Consultation Service...
May 2017: Bioethics
https://www.readbyqxmd.com/read/28405579/a-survey-of-methods-and-tools-to-detect-recent-and-strong-positive-selection
#2
REVIEW
Pavlos Pavlidis, Nikolaos Alachiotis
Positive selection occurs when an allele is favored by natural selection. The frequency of the favored allele increases in the population and due to genetic hitchhiking the neighboring linked variation diminishes, creating so-called selective sweeps. Detecting traces of positive selection in genomes is achieved by searching for signatures introduced by selective sweeps, such as regions of reduced variation, a specific shift of the site frequency spectrum, and particular LD patterns in the region. A variety of methods and tools can be used for detecting sweeps, ranging from simple implementations that compute summary statistics such as Tajima's D, to more advanced statistical approaches that use combinations of statistics, maximum likelihood, machine learning etc...
December 2017: Journal of Biological Research
https://www.readbyqxmd.com/read/28385174/take-home-training-in-laparoscopy
#3
Ebbe Thinggaard
When laparoscopy was first introduced, skills were primarily taught using the apprenticeship model. A limitation of this method when compared to open surgery, was that it requires more time to practise and more frequent learning opportunities in clinical practice. The unique set of skills required in laparoscopy highlighted the need for new training methods that reduce the need for supervision and do not put the patient at risk. Simulation training was developed to meet this need. The overall purpose of this thesis was to explore simulation-based laparoscopic training at home...
April 2017: Danish Medical Journal
https://www.readbyqxmd.com/read/28385071/treatment-of-missing-data-in-follow-up-studies-of-randomised-controlled-trials-a-systematic-review-of-the-literature
#4
Thomas R Sullivan, Lisa N Yelland, Katherine J Lee, Philip Ryan, Amy B Salter
BACKGROUND/AIMS: After completion of a randomised controlled trial, an extended follow-up period may be initiated to learn about longer term impacts of the intervention. Since extended follow-up studies often involve additional eligibility restrictions and consent processes for participation, and a longer duration of follow-up entails a greater risk of participant attrition, missing data can be a considerable threat in this setting. As a potential source of bias, it is critical that missing data are appropriately handled in the statistical analysis, yet little is known about the treatment of missing data in extended follow-up studies...
April 1, 2017: Clinical Trials: Journal of the Society for Clinical Trials
https://www.readbyqxmd.com/read/28376571/immunotherapy-of-cancer
#5
Joseph A Trapani, Phillip K Darcy
BACKGROUND: For 50 years, cancer physicians have relied on just three primary treatment modalities: surgery, radiation therapy and chemotherapy. Over that time, enormous progress has been made in understanding cancer biology, targeted anti-cancer drugs have emerged, and thousands of clinical trials have taught us how best to craft treatment combinations that improve clinical outcomes. Only five years ago, a fourth and radically different form of therapy finally emerged: immune‑based cancer therapies...
2017: Australian Family Physician
https://www.readbyqxmd.com/read/28364938/experiential-and-authentic-learning-approaches-in-vaccine-management
#6
Umit Kartoglu, James Vesper, Hanna Teräs, Thomas Reeves
A high level of concern is placed on the storage, handling, transportation, and distribution of vaccines and other pharmaceutical products, particularly those that are time and temperature sensitive. While active and passive cooling equipment and monitoring devices are important, it is the various personnel responsible for executing and writing procedures, designing and operating systems, and investigating problems and helping prevent them who are paramount in establishing and maintaining a "cold chain" for time and temperature sensitive pharmaceutical products (TTSPPs)...
April 19, 2017: Vaccine
https://www.readbyqxmd.com/read/28351662/learning-a-commonsense-moral-theory
#7
Max Kleiman-Weiner, Rebecca Saxe, Joshua B Tenenbaum
We introduce a computational framework for understanding the structure and dynamics of moral learning, with a focus on how people learn to trade off the interests and welfare of different individuals in their social groups and the larger society. We posit a minimal set of cognitive capacities that together can solve this learning problem: (1) an abstract and recursive utility calculus to quantitatively represent welfare trade-offs; (2) hierarchical Bayesian inference to understand the actions and judgments of others; and (3) meta-values for learning by value alignment both externally to the values of others and internally to make moral theories consistent with one's own attachments and feelings...
March 25, 2017: Cognition
https://www.readbyqxmd.com/read/28350310/exploratory-study-of-rural-physicians-self-directed-learning-experiences-in-a-digital-age
#8
Vernon Curran, Lisa Fleet, Karla Simmons, Mohamed Ravalia, Pamela Snow
INTRODUCTION: The nature and characteristics of self-directed learning (SDL) by physicians has been transformed with the growth in digital, social, and mobile technologies (DSMTs). Although these technologies present opportunities for greater "just-in-time" information seeking, there are issues for ensuring effective and efficient usage to compliment one's repertoire for continuous learning. The purpose of this study was to explore the SDL experiences of rural physicians and the potential of DSMTs for supporting their continuing professional development (CPD)...
October 2016: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/28341692/-we-both-just-wanted-to-be-normal-parents-a-qualitative-study-of-the-experience-of-maternity-care-for-women-with-learning-disability
#9
Reem Malouf, Jenny McLeish, Sara Ryan, Ron Gray, Maggie Redshaw
BACKGROUND: More women with learning disability (LD) are becoming mothers. Women with LD have rights to equal access to maternity care that meets their needs, however, many have poor pregnancy and birth outcomes compared to other women in the UK. Research is limited in this area. OBJECTIVES: The aim of the study was to explore the lived experiences of pregnancy, childbirth, prenatal and postnatal care and services received by this group of women in the UK, including their expressed information and support needs relating to maternity care...
March 24, 2017: BMJ Open
https://www.readbyqxmd.com/read/28331123/development-of-teaching-materials-in-basic-nursing-using-virtual-reality-%C3%AF-ceiling-image-teaching-materials-of-a-hospital-room%C3%AF
#10
Keiko Tsuji, Naomi Iwata, Hiromi Kodama, Tomoko Hagiwara, Kiyako Takai, Maki Matsumoto
It is difficult to understand nursing practically for students who have just started studying nursing, because they cannot imagine the actual medical scene. The authors expect that they can improve nursing learning through experiences in virtual medical environments supported by ICT (information and commnication technology). We developed teaching materials in nursing education, and in a previous study we reported that the use of a virtual hospital was useful for students who had not had medical experience. The aim of the present study was to have students consider the meaning of a hospital room ceiling...
2017: Journal of UOEH
https://www.readbyqxmd.com/read/28303334/an-insect-inspired-model-for-visual-binding-ii-functional-analysis-and-visual-attention
#11
Brandon D Northcutt, Charles M Higgins
We have developed a neural network model capable of performing visual binding inspired by neuronal circuitry in the optic glomeruli of flies: a brain area that lies just downstream of the optic lobes where early visual processing is performed. This visual binding model is able to detect objects in dynamic image sequences and bind together their respective characteristic visual features-such as color, motion, and orientation-by taking advantage of their common temporal fluctuations. Visual binding is represented in the form of an inhibitory weight matrix which learns over time which features originate from a given visual object...
March 16, 2017: Biological Cybernetics
https://www.readbyqxmd.com/read/28282014/planning-for-the-leicester-city-football-club-victory-parade
#12
Martin Halse
This paper details the multiagency planning for and delivery of the Leicester City Football Club victory parade at the end of the 2015/16 football season to celebrate the team winning the Barclays Premier League. This is compared and contrasted with the planning and delivery of the reinterment of the mortal remains of King Richard III, which took place in Leicester a little more than 12 months prior. Both events were unprecedentedly high-profile for a comparatively small city and the routes involved had much in common...
January 1, 2017: Journal of Business Continuity & Emergency Planning
https://www.readbyqxmd.com/read/28253256/a-mechanism-for-the-cortical-computation-of-hierarchical-linguistic-structure
#13
Andrea E Martin, Leonidas A A Doumas
Biological systems often detect species-specific signals in the environment. In humans, speech and language are species-specific signals of fundamental biological importance. To detect the linguistic signal, human brains must form hierarchical representations from a sequence of perceptual inputs distributed in time. What mechanism underlies this ability? One hypothesis is that the brain repurposed an available neurobiological mechanism when hierarchical linguistic representation became an efficient solution to a computational problem posed to the organism...
March 2017: PLoS Biology
https://www.readbyqxmd.com/read/28252469/evidence-based-principles-for-using-technology-enhanced-learning-in-the-continuing-professional-development-of-health-professionals
#14
Karen M Scott, Louise Baur, Jenny Barrett
Increasingly, health professional training involves the use of educational technologies through what is broadly termed "Technology-Enhanced Learning" (TEL). TEL includes hardware, such as computers and mobile devices, and software, such as software applications (apps), learning management systems, and discussion boards. For many years, TEL has formed an integral part of health professional programs and is growing in acceptance, if not expectation, in postgraduate training and continuing education. TEL generally aims to be flexible, engaging, learner focused and interactive, and may involve collaboration and communication...
January 2017: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/28222927/coping-with-the-enduring-unpredictability-of-opioid-addiction-an-investigation-of-a-novel-family-focused-peer-support-organization
#15
John F Kelly, Nilo Fallah-Sohy, Julie Cristello, Brandon Bergman
BACKGROUND: Opioid overdose deaths have become a major public health crisis. While efforts have focused mostly on helping opioid-addicted individuals directly, family members suffer also from the grave and enduring unpredictability associated with opioid addiction and often play a vital role in helping addicted loved ones access care. Little is known, however, about resources to help affected family members. Here we describe results from the first quantitative and qualitative investigation of a free and growing support organization for family members of addicted individuals ("Learn to Cope" [LTC]; www...
February 17, 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28222846/planning-for-the-leicester-city-football-club-victory-parade
#16
Martin Halse
This paper details the multiagency planning for and delivery of the Leicester City Football Club victory parade at the end of the 2015/16 football season to celebrate the team winning the Barclays Premier League. This is compared and contrasted with the planning and delivery of the reinterment of the mortal remains of King Richard III, which took place in Leicester a little more than 12 months prior. Both events were unprecedentedly high-profile for a comparatively small city and the routes involved had much in common...
January 1, 2017: Journal of Business Continuity & Emergency Planning
https://www.readbyqxmd.com/read/28187721/assessing-the-link-between-witnessing-inter-parental-violence-and-the-perpetration-of-intimate-partner-violence-in-bangladesh
#17
Md Jahirul Islam, Mosiur Rahman, Lisa Broidy, Syed Emdadul Haque, Yu Mon Saw, Nguyen Huu Chau Duc, Md Nurruzzaman Haque, Md Mostafizur Rahman, Md Rafiqul Islam, Md Golam Mostofa
BACKGROUND: We aimed to examine the influence of witnessing father-to-mother violence on: 1) perpetration of intimate partner violence (IPV); and 2) endorsement of attitudes justifying wife beating in Bangladesh. METHODS: This paper used data from the 2007 Bangladesh Demographic Health Survey. The analyses were based on the responses of 3374 ever-married men. Exposure to IPV was determined by men's self-reports of witnessing inter-parental violence in childhood...
February 10, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28185226/memory-and-learning-for-visual-signals-in-time-and-space
#18
Sujala Maharjan, Jason M Gold, Robert Sekuler
Vision is often characterized as a spatial sense, but what does that characterization imply about the relative ease of processing visual information distributed over time rather than over space? Three experiments addressed this question, using stimuli comprising random luminances. For some stimuli, individual items were presented sequentially, at 8 Hz; for other stimuli, individual items were presented simultaneously, as horizontal spatial arrays. For temporal sequences, subjects judged whether each of the last four luminances matched the corresponding luminance in the first four; for spatial arrays, they judged whether each of the right-hand four luminances matched the corresponding left-hand luminance...
February 9, 2017: Attention, Perception & Psychophysics
https://www.readbyqxmd.com/read/28184087/learning-to-look-from-different-perspectives-what-can-dental-undergraduates-learn-from-an-arts-and-humanities-based-teaching-approach
#19
F Smyth Zahra, K Dunton
By its nature, clinical teaching involves supporting small groups of dental students at the chairside as they treat their own patients. Scaffolding their learning in this way enables observation at close quarters of the various stages of development from early novice, just commencing clinical treatment of patients, to those approaching qualification. The students' main concerns throughout are not primarily with the technical skills required, which they have already been taught in the clinical skills laboratories, but dealing with the complex realities and ambiguities of clinical practice; the 'hidden curriculum' of decision making, judgement calls, issues of communication and what it actually means to be professional...
February 10, 2017: British Dental Journal
https://www.readbyqxmd.com/read/28151816/mobile-technology-in-the-perioperative-arena-rapid-evolution-and-future-disruption
#20
Brian S Rothman, Rajnish K Gupta, Matthew D McEvoy
Throughout the history of medicine, physicians have relied upon disruptive innovations and technologies to improve the quality of care delivered, patient outcomes, and patient satisfaction. The implementation of mobile technology in health care is quickly becoming the next disruptive technology. We first review the history of mobile technology over the past 3 decades, discuss the impact of hardware and software, explore the rapid expansion of applications (apps), and evaluate the adoption of mobile technology in health care...
March 2017: Anesthesia and Analgesia
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