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https://www.readbyqxmd.com/read/29777659/adopting-the-quadruple-aim-the-university-of-rochester-medical-center-experience-%C3%A2-%C3%A2-%C3%A2-moving-from-physician-burnout-to-physician-resilience
#1
Allen P Anandarajah, Timothy E Quill, Michael R Privitera
BACKGROUND: The high rates of burnout among medical professionals in the US are well documented. The reasons for burnout and the factors that contribute to physician resilience among healthcare providers in academic centers however are less well studied. METHODS: Healthcare providers at a large academic center were surveyed to measure degree of burnout and callousness and identify associated factors. Additional questions evaluated the features linked to resilience...
May 16, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/29777605/ethics-and-or-aesthetics-reflections-on-cosmetic-surgery-for-adolescents
#2
Gianluca Montanari Vergallo, Enrico Marinelli, Simona Napoletano, Natale Mario Di Luca, Simona Zaami
Cosmetic surgery entails various ethical issues, even more so in cases involving adolescent patients. Cosmetic surgeons need to take into account how modern societies consider physical appearance an essential component of everyday life, as well as the vulnerability of youths and adolescents. For that reason, it is imperative to thoroughly assess the psychological and emotional states, in addition to the motivations, of minor patients. That goal can be achieved through the use of the DAS-59, (the Derriford Appearance Scale)1 , an effective and dependable tool devised to evaluate the psychological difficulties and distress experienced by people living with problems of appearance...
May 2018: Cuadernos de Bioética: Revista Oficial de la Asociación Española de Bioética y Ética Médica
https://www.readbyqxmd.com/read/29775080/mindfulness-meditation-and-interprofessional-cardiopulmonary-resuscitation-a-mixed-methods-pilot-study
#3
Diana J Kelm, Jennifer L Ridgeway, Becca L Gas, Monali Mohan, David A Cook, Darlene R Nelson, Roberto P Benzo
PROBLEM: Mindfulness training includes mindfulness meditation, which has been shown to improve both attention and self-awareness. Medical providers in the intensive care unit often deal with difficult situations with strong emotions, life-and-death decisions, and both interpersonal and interprofessional conflicts. The effect of mindfulness meditation training on healthcare providers during acute care tasks such as cardiopulmonary resuscitation remains unknown. Mindfulness meditation has the potential to improve provider well-being and reduce stress in individuals involved in resuscitation teams, which could then translate into better team communication and delivery of care under stress...
May 18, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29772089/microevolutionary-selection-dynamics-acting-on-immune-genes-of-the-green-veined-white-butterfly-pieris-napi
#4
Naomi L P Keehnen, Jason Hill, Sören Nylin, Christopher W Wheat
Insects rely on their innate immune system to successfully mediate complex interactions with their microbiota, as well as the microbes present in the environment. Previous work has shown that components of the canonical immune gene repertoire evolve rapidly and have evolutionary characteristics originating from interactions with fast-evolving microorganisms. Although these interactions are likely to vary among populations, there is a poor understanding of the microevolutionary dynamics of immune genes, especially in non-Dipteran insects...
May 17, 2018: Molecular Ecology
https://www.readbyqxmd.com/read/29766480/-the-therapeutic-alliance-in-community-mental-health-services
#5
A Groenendijk, J Van Hecke
The treatment of severe mental illnesses is increasingly taking place in a domiciliary setting due to the deinstitutionalisation.<br/> AIM: Theoretical reflection on the influence of home treatment on the therapeutic alliance.<br/> METHOD: Qualitative review of possible effects of home treatment based on own experiences, the scientific literature, and recent handbooks on community mental health.<br/> RESULTS: The therapeutic relationship appears to be an important general factor in the outcomes of community mental health approaches...
2018: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/29762792/medical-student-interest-in-flexible-residency-training-options
#6
Madison Piotrowski, Debra Stulberg, Mari Egan
BACKGROUND AND OBJECTIVES: Medical residents continue to experience high rates of burnout during residency training even after implementation of the 2003 Accreditation Council for Graduate Medical Education duty-hour restrictions. The purpose of this study is to determine medical student interest in flexible residency training options. METHODS: Researchers developed an 11-question survey for second through fourth-year medical students. The populations surveyed included medical students who were: (1) attending the 2015 American Academy of Family Physicians National Conference, the 2015 Family Medicine Midwest Conference, and (2) enrolled at University of Chicago Pritzker School of Medicine, University of Illinois College of Medicine at Chicago, Drexel University College of Medicine, and Case Western Reserve University School of Medicine...
May 2018: Family Medicine
https://www.readbyqxmd.com/read/29760353/direct-and-indirect-harassment-experiences-and-burnout-among-academic-faculty-in-japan
#7
Masumi Takeuchi, Kyoko Nomura, Saki Horie, Hiroko Okinaga, Chithra R Perumalswami, Reshma Jagsi
The purpose of this study is three-fold: (1) to compare harassment (sexual, gender, and academic harassment both directly and indirectly experienced - i.e. "directly harassed" and "have seen or heard of someone who experienced harassment", respectively) experienced by males and females, (2) to investigate whether such experiences correlate with burnout, and (3) to explore whether social support might mitigate any such relationship between harassment and burnout. This cross-sectional study was conducted at a private university in Japan in February 2014 and is based on a work-life balance survey obtained from 330 academic faculty members...
2018: Tohoku Journal of Experimental Medicine
https://www.readbyqxmd.com/read/29754122/schizophrenia-and-type-2-diabetes-mellitus
#8
V Mamakou, A Thanopoulou, F Gonidakis, N Tentolouris, V Kontaxakis
Schizophrenia is associated with increased risk for type 2 diabetes mellitus, resulting in elevated cardiovascular risk and limited life expectancy, translated into a weighted average of 14.5 years of potential life lost and an overall weighted average life expectancy of 64.7 years. The exact prevalence of type 2 diabetes among people with schizophrenia varies across studies and ranges 2-5fold higher than in the general population, whereas the aetiology is complex and multifactorial. Besides common diabetogenic factors, applied similarly in the general population, such as obesity, hyperlipidemia, smoking, hypertension, poor diet and limited physical activity, the co-occurrence of schizophrenia and diabetes is also attributed to unique conditions...
January 2018: Psychiatrikē, Psychiatriki
https://www.readbyqxmd.com/read/29743061/transitional-journeys-into-and-through-medical-education-for-first-in-family-fif-students-a-qualitative-interview-study
#9
Andrew Mark Bassett, Caragh Brosnan, Erica Southgate, Heidi Lempp
BACKGROUND: There has been much interest in the transitions along the medical education continuum. However, little is known about how students from non-traditional backgrounds experience both the move to, and through Medical School, and their ambitions post-graduation. This research sought to understand the transitional journey into, and through undergraduate medical education, and future career aspirations for first-in-family (FiF) medical students. METHODS: Based on a interpretivist epistemological perspective, 20 FiF students from one English Medical School participated in semi-structured interviews...
May 9, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29728925/student-perspectives-on-the-impact-of-an-undergraduate-work-integrated-learning-program-on-admission-and-transition-to-medical-school
#10
Rachel McDonald, Adam Bobrowski, Leah Drost, Leigha Rowbottom, Judene Pretti, Hany Soliman, Stephanie Chan, Edward Chow
Work-integrated learning (WIL) is a form of education that integrates academic and workplace study. Such programs provide students the opportunity to concurrently develop cognitive and non-cognitive competencies. The purpose of this study is to explore which experiences and skills learned in a WIL placement are useful in applying to medical school and transitioning into the first year of a Doctor of Medicine program. All individuals who worked in the Rapid Response Radiotherapy Program (RRRP; WIL placement) since 2004 and had completed at least 1 year of medical school were invited to participate...
May 5, 2018: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/29724626/the-stability-of-factors-influencing-the-choice-of-medical-specialty-among-medical-students-and-postgraduate-radiology-trainees
#11
Adam J Yen, Emily M Webb, Eric J Jordan, Kimberly Kallianos, David M Naeger
OBJECTIVE: To investigate whether general psychological motivating factors that guide career selection of a medical specialty differ over the course of medical school and to compare differences in motivating factors among students choosing "controllable" lifestyle specialties, students choosing "uncontrollable" lifestyle specialties, and a cohort of radiology residents. MATERIALS AND METHODS: An anonymous survey was distributed to first- through fourth-year medical students and radiology residents at a single institution...
April 30, 2018: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29715277/metal-cofactor-modulated-folding-and-target-recognition-of-hiv-1-ncp7
#12
Weitong Ren, Dongqing Ji, Xiulian Xu
The HIV-1 nucleocapsid 7 (NCp7) plays crucial roles in multiple stages of HIV-1 life cycle, and its biological functions rely on the binding of zinc ions. Understanding the molecular mechanism of how the zinc ions modulate the conformational dynamics and functions of the NCp7 is essential for the drug development and HIV-1 treatment. In this work, using a structure-based coarse-grained model, we studied the effects of zinc cofactors on the folding and target RNA(SL3) recognition of the NCp7 by molecular dynamics simulations...
2018: PloS One
https://www.readbyqxmd.com/read/29697426/does-mindfulness-training-enhance-the-professional-development-of-residents-a-qualitative-study
#13
Hanne Verweij, Hiske van Ravesteijn, Madelon L M van Hooff, Antoine L M Lagro-Janssen, Anne E M Speckens
PURPOSE: In addition to developing diagnostic and clinical skills, postgraduate medical education should stimulate residents' professional development. Teaching medical professionalism is challenging and is often left largely to the informal and hidden curricula. An intervention that might be beneficial for medical residents is Mindfulness-Based Stress Reduction (MBSR). The authors implemented MBSR as an optional course for residents and qualitatively explored how it influenced residents professionally...
April 24, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29694922/vestibular-signals-in-primate-cortex-for-self-motion-perception
#14
REVIEW
Yong Gu
The vestibular peripheral organs in our inner ears detect transient motion of the head in everyday life. This information is sent to the central nervous system for automatic processes such as vestibulo-ocular reflexes, balance and postural control, and higher cognitive functions including perception of self-motion and spatial orientation. Recent neurophysiological studies have discovered a prominent vestibular network in the primate cerebral cortex. Many of the areas involved are multisensory: their neurons are modulated by both vestibular signals and visual optic flow, potentially facilitating more robust heading estimation through cue integration...
April 21, 2018: Current Opinion in Neurobiology
https://www.readbyqxmd.com/read/29690546/a-rationale-for-music-training-to-enhance-executive-functions-in-parkinson-s-disease-an-overview-of-the-problem
#15
Teresa Lesiuk, Jennifer A Bugos, Brea Murakami
Music listening interventions such as Rhythmic Auditory Stimulation can improve mobility, balance, and gait in Parkinson&rsquo;s Disease (PD). Yet, the impact of music training on executive functions is not yet known. Deficits in executive functions (e.g., attention, processing speed) in patients with PD result in gait interference, deficits in emotional processing, loss of functional capacity (e.g., intellectual activity, social participation), and reduced quality of life. The model of temporal prediction and timing suggests two networks collectively contribute to movement generation and execution: the basal ganglia-thalamocortical network (BGTC) and the cerebellar-thalamocortical network (CTC)...
April 22, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/29687186/attitude-towards-end-of-life-communication-of-austrian-medical-students
#16
Tamara Rumpold, Carola Lütgendorf-Caucig, Henriette Löffler-Stastka, Sophie Roider-Schur, Richard Pötter, Kathrin Kirchheiner
Medical students have to acquire theoretical knowledge, practical skills, and a personal attitude to meet the emerging needs of palliative care. The present study aimed to assess the personal attitude of Austrian medical students towards end of life communication (EOLC), as key part of palliative care. This cross-sectional, mono-institutional assessment invited all medical students at the Medical University of Vienna in 2015. The assessment was conducted web-based via questionnaire about attitudes towards EOLC...
April 23, 2018: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/29678960/toxoplasma-gondii-acetyl-coa-synthetase-is-involved-in-fatty-acid-elongation-of-long-fatty-acid-chains-during-tachyzoite-life-stages
#17
David Dubois, Stella Fernandes, Souad Amiar, Sheena Dass, Nicholas J Katris, Cyrille Y Botte, Yoshiki Yamaryo-Botte
Apicomplexan parasites are pathogens responsible for major human diseases such as toxoplasmosis caused by Toxoplasma gondii and malaria caused by Plasmodium spp.. Throughout their intracellular division cycle, the parasites require vast and specific amounts of lipids to divide and survive. This demand for lipids relies on a fine balance between de novo synthesized lipids and scavenged lipids from the host. Acetyl-CoA is a major and central precursor for many metabolic pathways especially for lipid biosynthesis...
April 20, 2018: Journal of Lipid Research
https://www.readbyqxmd.com/read/29671824/convergence-in-sleep-time-accomplished-gender-gap-in-sleep-time-for-middle-aged-adults-in-korea
#18
Seung-Eun Cha, Ki-Soo Eun
Although the gender gap in sleep time has narrowed significantly in the last decade, middle-aged women between ages 35 and 60 still sleep less than their male counterparts in Korea. This study examines and provides evidence for factors contributing to the gender gap in this age group. Using Korean Time Use Survey (KTUS) data from 2004, 2009 and 2014, we find that middle-aged women&rsquo;s difficulty in managing work-life balance and traditional role expectations placed upon women are the main causes of the gender gap in sleep time...
April 19, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29658306/-how-do-they-want-to-know-doctors-perspectives-on-making-and-communicating-a-diagnosis-of-dementia
#19
Cate Bailey, Jemima Dooley, Rose McCabe
Recent drives to facilitate earlier identification of dementia have led to increased memory clinic referrals and diagnoses. This study explored the perspectives of memory clinic doctors on making and delivering diagnoses. Four focus groups were conducted with 13 psychiatrists and two geriatricians in the UK. Transcripts were coded line by line using NVIVO. Thematic analysis identified 39 categories, 18 sub-themes and eight overarching themes. Inter-rater reliability on 31% of the data was 0.89. Increased public awareness of dementia was viewed positively in facilitating access to diagnosis and treatment...
January 1, 2018: Dementia
https://www.readbyqxmd.com/read/29622282/-the-more-you-know-the-more-you-realise-it-is-really-challenging-to-do-tensions-and-uncertainties-in-person-centred-support-for-people-with-long-term-conditions
#20
Vikki A Entwistle, Alan Cribb, Ian S Watt, Zoë C Skea, John Owens, Heather M Morgan, Simon Christmas
OBJECTIVE: To identify and examine tensions and uncertainties in person-centred approaches to self-management support - approaches that take patients seriously as moral agents and orient support to enable them to live (and die) well on their own terms. METHODS: Interviews with 26 UK clinicians about working with people with diabetes or Parkinson's disease, conducted within a broader interdisciplinary project on self-management support. The analysis reported here was informed by philosophical reasoning and discussions with stakeholders...
March 30, 2018: Patient Education and Counseling
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