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https://www.readbyqxmd.com/read/28316635/epigenetic-mechanisms-of-integrative-medicine
#1
REVIEW
Riya R Kanherkar, Susan E Stair, Naina Bhatia-Dey, Paul J Mills, Deepak Chopra, Antonei B Csoka
Since time immemorial humans have utilized natural products and therapies for their healing properties. Even now, in the age of genomics and on the cusp of regenerative medicine, the use of complementary and alternative medicine (CAM) approaches represents a popular branch of health care. Furthermore, there is a trend towards a unified medical philosophy referred to as Integrative Medicine (IM) that represents the convergence of CAM and conventional medicine. The IM model not only considers the holistic perspective of the physiological components of the individual, but also includes psychological and mind-body aspects...
2017: Evidence-based Complementary and Alternative Medicine: ECAM
https://www.readbyqxmd.com/read/28304000/outcome-based-approach-to-medical-education-towards-academic-programmes-accreditation-a-review-article
#2
Abdelmarouf H Mohieldein
The rapid change worldwide, as a consequence of advances in science and technology, necessitates the graduation of well-qualified graduates who have the appropriate knowledge and skills to fulfill specific work requirements. Hence, redesigning academic models by focusing on educational outcomes became the target and priority for universities around the world. In this systematic review we collected and retrieved literature using a selection of electronic databases. The objectives of this report is to: 1) provide an overview of the evolution of outcome-based education (OBE), (2) illustrate the philosophy and principle of OBE, (3) list the OBE advantages and benefits, (4) describe the assessment strategies used in OBE, and (5) discuss the role of teachers and students as key elements...
March 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/28255954/adherence-as-a-language-game
#3
REVIEW
Espen Skarstein Kolberg
Non-adherence, i.e. medication intake behavior not corresponding with agreed recommendations, is associated with increased morbidity and death, and it has been estimated that as many as 50% of patients in developed countries are not taking their medications as prescribed. But even as efforts in improving medication adherence over the years have increased, results are inconsistent, with only a minority of clinical trials showing any improvement in both adherence and clinical outcome. Since patient education is central to promoting good medication adherence, and language is integral to education, perhaps an exploration of the meaning and use of language, using the philosophy of Ludwig Wittgenstein, is in order...
March 2, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28241301/battle-of-the-bulge-aortic-aneurysm-management-from-early-modernity-to-the-present
#4
Justin Barr
For centuries, physicians have recognized aortic aneurysms as an acute threat to life. Therapeutic approaches to the disease began in the 18th century when leading physicians, such as René Laennec and Antonio Valsalva, applied research on circulation and blood coagulation to devise whole-body fasting and bleeding regimens to prevent rupture. After John Hunter's success in ligating arteries to treat peripheral aneurysms, surgeons attempted analogous operations on the aorta, but even the renowned Sir Astley Cooper and William Halsted met with disastrous results...
February 21, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/28226332/responsible-safe-and-effective-prescription-of-opioids-for-chronic-non-cancer-pain-american-society-of-interventional-pain-physicians-asipp-guidelines
#5
Laxmaiah Manchikanti, Adam M Kaye, Nebojsa Nick Knezevic, Heath McAnally, Konstantin Slavin, Andrea M Trescot, Susan Blank, Vidyasagar Pampati, Salahadin Abdi, Jay S Grider, Alan D Kaye, Kavita N Manchikanti, Harold Cordner, Christopher G Gharibo, Michael E Harned, Sheri L Albers, Sairam Atluri, Steve M Aydin, Sanjay Bakshi, Robert L Barkin, Ramsin M Benyamin, Mark V Boswell, Ricardo M Buenaventura, Aaron K Calodney, David L Cedeno, Sukdeb Datta, Timothy R Deer, Bert Fellows, Vincent Galan, Vahid Grami, Hans Hansen, Standiford Helm Ii, Rafael Justiz, Dhanalakshmi Koyyalagunta, Yogesh Malla, Annu Navani, Kent H Nouri, Ramarao Pasupuleti, Nalini Sehgal, Sanford M Silverman, Thomas T Simopoulos, Vijay Singh, Daneshvari R Solanki, Peter S Staats, Ricardo Vallejo, Bradley W Wargo, Arthur Watanabe, Joshua A Hirsch
BACKGROUND: Opioid use, abuse, and adverse consequences, including death, have escalated at an alarming rate since the 1990s. In an attempt to control opioid abuse, numerous regulations and guidelines for responsible opioid prescribing have been developed by various organizations. However, the US opioid epidemic is continuing and drug dose deaths tripled during 1999 to 2015. Recent data show a continuing increase in deaths due to natural and semisynthetic opioids, a decline in methadone deaths, and an explosive increase in the rates of deaths involving other opioids, specifically heroin and illicit synthetic fentanyl...
February 2017: Pain Physician
https://www.readbyqxmd.com/read/28225664/historic-leadership
#6
Ellen F Johnsen, Katherine J Pohlman
School nursing practice establishes itself in the midst of both education and nursing philosophies, ethics, standards, laws, and regulations. Treading these two worlds is difficult at times and requires that a school nurse possess a strong foundational knowledge base, seek professional collaboration, and navigate conflicting professional demands in order to promote student and public safety. This article is Part 2 of a four-part series that recounts the inspiring story of a school nurse, Ellen Johnsen, who did just that back in the 1980s in Broken Arrow, Oklahoma...
March 2017: NASN School Nurse
https://www.readbyqxmd.com/read/28225463/doctors-without-borders
#7
Val Wass, Lesley Southgate
The unprecedented demands of patient and population priorities created by globalization and escalating health and social inequities will not be met unless medical education changes. Educators have failed to move fast enough to create an education framework that meets current population needs. A new common set of professional values around global social accountability is necessary. Education borders must be broken down at three levels-societal-institutional, interpersonal, and individual.At a societal-institutional level, global health must be embraced as part of a philosophy of population needs, human rights, equity, and justice...
February 21, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28157086/professional-activities-of-professor-kazimiera-milanowska-in-the-field-of-rehabilitation
#8
Maciej Łuczak, Mateusz Milanowski
Professor Kazimiera Milanowska is a rehabilitation physician and academic scholar of international renown. She has extensive expert knowledge and scientific achievements in the fields of medical rehabilitation and physical culture sciences. The aim of the present biographical study was to present the development of Prof. Kazimiera Milanowska's career. As Head of the Rehabilitation Department at the Medical Academy in Poznań, she delivered lectures on the clinical foundations of rehabilitation and theory and philosophy of modern rehabilitation as well as numerous courses on methods of musculoskeletal compensation and adaptation, muscle reeducation, and rehabilitation following peripheral neuron injury...
May 5, 2016: Ortopedia, Traumatologia, Rehabilitacja
https://www.readbyqxmd.com/read/28155325/should-we-use-philosophy-to-teach-clinical-communication-skills
#9
Berna Gerber
Effective communication between the doctor and patient is crucial for good quality health care. Yet, this form of communication is often problematic, which may lead to several negative consequences for both patients and doctors. Clinical communication skills have become important components of medical training programmes. The traditional approach is to teach students particular communication skills, such as listening to patients and asking open-ended questions. Despite their importance, such training approaches do not seem to be enough to deliver medical practitioners who are able and committed to communicate effectively with patients...
November 16, 2016: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28138090/standardizing-phlebotomy-job-descriptions
#10
Jim Cook
BACKGROUND: The University of Maryland Medical System, like all other medical systems, is faced with providing the highest quality care in an environment of increased demands and competition for resources. Some responses to this pressure include improved integration, coordination, and efficiency. Laboratory integration has been highlighted by our medical system as a promising area for improvement. Standardization of practices, including job descriptions, is an important step on this journey...
February 2017: Laboratory Medicine
https://www.readbyqxmd.com/read/28130710/medical-students-reflections-toward-end-of-life-a-hospice-experience
#11
Andrea Bovero, Chiara Tosi, Marco Miniotti, Riccardo Torta, Paolo Leombruni
In this study, we want to investigate the personal reflections toward care of the dying cancer patients among second year medical students. Two hundred fifty second year medical students attended an elective short course on end-of-life care and a brief training at the hospice Valletta, in Turin. After group discussion, the students explained their reflections about their experience. Two different supervisors of the study analyzed themes of the students and subdivided them in categories according to the frequency...
January 27, 2017: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/28112530/ethics-in-pharmacy-curriculum-for-undergraduate-pharmacy-students-a-needs-assessment-study
#12
Pooneh Salari, Mohammad Abdollahi
INTRODUCTION: Recent advances in pharmacy practice have created serious ethical challenges for the pharmacists. Pursuing a new philosophy of practice is required to overcome these challenges and optimize the standard of care. In this regard, the current ethics guideline in the Pharmacy curriculum used in Tehran University of Medical Sciences, does not provide a fully comprehensive understanding of the issue. Therefore, the aim of the present study was to revise the current curriculum based on a needs assessment study...
January 2017: Archives of Iranian Medicine
https://www.readbyqxmd.com/read/28094427/minimalism-in-art-medical-science-and-neurosurgery
#13
Ali İhsan Ökten
The word ''minimalism'' is a word derived from French the word ''minimum''. Whereas the lexical meaning of minimum is ''the least or the smallest quantity necessary for something'', its expression in mathematics can be described as ''the lowest step a variable number can descend, least, minimal''. Minimalism, which advocates an extreme simplicity of the artistic form, is a current in modern art and music whose origins go to 1960s and which features simplicity and objectivity. Although art, science and philosophy are different disciplines, they support each other from time to time, sometimes they intertwine and sometimes they copy each other...
December 21, 2016: Turkish Neurosurgery
https://www.readbyqxmd.com/read/28068134/psychologists-in-patient-centered-medical-homes-pcmhs-roles-evidence-opportunities-and-challenges
#14
Anne E Kazak, Justin M Nash, Kimberly Hiroto, Nadine J Kaslow
The patient-centered medical home (PCMH) is an increasingly common model of health care delivery with many exciting opportunities for psychologists. The PCMH reflects a philosophy and model of care that is highly consistent with psychological science and practice. It strives to provide patient-centered, comprehensive, team-based, coordinated, accessible, and quality and safety-oriented health care delivery to individuals and families. Moreoever, in keeping with changes in the health care system more broadly, the PCMH model prioritizes the integration of behavioral and physical health care, and this emphasis lays the foundation for active and full engagement of psychologists in this context...
January 2017: American Psychologist
https://www.readbyqxmd.com/read/28065344/abai-s-moc-assessment-of-knowledge-program-matures-adding-value-with-continuous-learning-and-assessment
#15
REVIEW
David I Bernstein, Stephen I Wasserman, William P Thompson, Theodore M Freeman
Rapid changes in modern medicine along with advances in the science of learning and memory have necessitated a shift in the way physician knowledge is assessed. Physician recertification beyond initial certification has historically consisted of retaining large amounts of knowledge over a long time span. The adult learning theory has shown that the maintenance and improvement of our knowledge base is more effective by being exposed to new concepts at regular intervals throughout one's career and reinforcing these concepts on an ongoing basis...
January 2017: Journal of Allergy and Clinical Immunology in Practice
https://www.readbyqxmd.com/read/28055087/osteopathic-philosophy-and-manipulation-enhancement-program-influence-on-osteopathic-medical-students-interest-in-osteopathic-manipulative-medicine
#16
Mikhail Volokitin, Pavan V Ganapathiraju
CONTEXT: Interest in osteopathic manipulative medicine (OMM) among first- and second-year osteopathic medical students typically declines toward the end of the second year of medical school. An osteopathic philosophy and manipulation enhancement (OPME) program was implemented for osteopathic medical students to gain additional exposure to OMM at the Touro College of Osteopathic Medicine in New York, New York. OBJECTIVE: To assess how additional exposure to OMM through the OPME program influenced first- and second-year students' interest in using OMM...
January 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/28051888/the-benefits-and-burdens-of-cancer-a-prospective-longitudinal-cohort-study-of-adolescents-and-young-adults
#17
Joelle P Straehla, Krysta S Barton, Joyce P Yi-Frazier, Claire Wharton, Kevin Scott Baker, Kira Bona, Joanne Wolfe, Abby R Rosenberg
BACKGROUND: Adolescents and early young adults (AYAs) with cancer are at high risk for poor outcomes. Positive psychological responses such as benefit-finding may buffer the negative impacts of cancer but are poorly understood in this population. OBJECTIVE: We aimed to prospectively describe the content and trajectory of benefit- and burden-finding among AYAs to develop potential targets for future intervention. PATIENTS AND METHODS: One-on-one semistructured interviews were conducted with English-speaking AYA patients (aged 14-25 years) within 60 days of diagnosis of a noncentral nervous system malignancy requiring chemotherapy, 6-12 and 12-18 months later...
January 4, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28047960/tu-b-206-02-on-the-algorithmic-approach-to-ethical-conduct
#18
G Sherouse
PURPOSE: To reacquaint the participant with foundational aspects of educational, healthcare and research ethics as they relate to the Medical Physicist day to day role. METHODS: Presenting recognized best practice guidelines and tenants applied to hypothetical scenarios and medical physics related occupations. RESULTS: The application of recognized standards of ethical behavior result in beneficial outcomes for all involved CONCLUSION: Ethics is multi-faceted in its manifestation application; most facets are applicable to any avenue a medical physicist may pursue in their career...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047387/tu-b-206-00-do-the-right-thing
#19
Jeffrey Limmer
PURPOSE: To reacquaint the participant with foundational aspects of educational, healthcare and research ethics as they relate to the Medical Physicist day to day role. METHODS: Presenting recognized best practice guidelines and tenants applied to hypothetical scenarios and medical physics related occupations. RESULTS: The application of recognized standards of ethical behavior result in beneficial outcomes for all involved CONCLUSION: Ethics is multi-faceted in its manifestation application; most facets are applicable to any avenue a medical physicist may pursue in their career...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046722/tu-b-206-01-navigating-the-black-white-and-gray
#20
J Limmer
PURPOSE: To reacquaint the participant with foundational aspects of educational, healthcare and research ethics as they relate to the Medical Physicist day to day role. METHODS: Presenting recognized best practice guidelines and tenants applied to hypothetical scenarios and medical physics related occupations. RESULTS: The application of recognized standards of ethical behavior result in beneficial outcomes for all involved CONCLUSION: Ethics is multi-faceted in its manifestation application; most facets are applicable to any avenue a medical physicist may pursue in their career...
June 2016: Medical Physics
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