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https://www.readbyqxmd.com/read/29683205/prohibiting-physicians-dual-practice-in-iran-policy-options-for-implementation
#1
Mohammad Bazyar, Arash Rashidian, Nader Jahanmehr, Faranak Behzadi, Javad Moghri, Leila Doshmangir
BACKGROUND: In Iran, based on the recent national policy documents, physician dual practice (PDP) has been prohibited. This study aimed to develop policy options (POs) to implement physicians' dual practice prohibition law in Iran. METHODS: International evidence published in English and local documents published in Persian about PDP analyzed and results (advantages, disadvantages, challenges and requirements to ban PDP, and applied policies to limit the dual practice) were extracted...
April 23, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29676364/qualitative-defects-with-normal-sperm-counts-in-a-patient-attending-infertility-clinic
#2
Rachna Goyal, Mrinalini Kotru, Aarti Gogia, Sonal Sharma
Background: Sperm morphology is an important qualitative parameter in semen analysis. Aim: To assess qualitative defects in the semen with normal sperm counts. Setting and Design: This was a prospective and descriptive study done in a tertiary care center. Materials and Methods: Seventy-five semen samples with normal sperm counts were evaluated. Qualitative defects of sperms on Papanicolaou-stained slides were assessed. The defects were noted as follows: head (tapering head, large head, small head, round head, bifid head), middle piece (bent neck, broad middle piece, excess residual cytoplasm), and tail (coiled tail)...
April 2018: Indian Journal of Pathology & Microbiology
https://www.readbyqxmd.com/read/29676216/developing-a-compassionate-culture-within-pediatric-rehabilitation-does-the-schwartz-rounds%C3%A2-support-both-clinical-and-nonclinical-hospital-workers-in-managing-their-work-experiences
#3
Keith Adamson, Sonia Sengsavang, Sakeena Myers-Halbig, Nancy Searl
Schwartz Rounds™ offers an interprofessional forum for staff to openly engage in discussions about social-emotional aspects of care. We aimed to assess the perceived impact of Rounds in the health care context of pediatric rehabilitation, as well as a comparative analysis of how Rounds affected clinical versus nonclinical staff. Does effect on perceived outcomes was also investigated. Data were collected from 29 hospital staff (15 clinicians, 14 nonclinicians) who attended one, two, or three+ Rounds via semistructured interviews...
April 1, 2018: Qualitative Health Research
https://www.readbyqxmd.com/read/29653248/core-trainee-boot-camp-a-method-for-improving-technical-and-non-technical-skills-of-novice-surgical-trainees-a-before-and-after-study
#4
R Bamford, L Langdon, C A Rodd, S Eastaugh-Waring, J E Coulston
INTRODUCTION: The transition to surgical training can be a stressful time for trainees and is most evident during national handover periods where new graduates start and senior trainees rotate to new programmes. During this time, patient mortality can increase and Hospital efficiency reduces. This influence is compounded by the impact of working time directives. Intensive, simulation rich training programmes or "Boot Camps" have been postulated as a solution. This article highlights the development of a surgical boot camp for novice surgical trainees and the impact this can have on training...
April 10, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29644871/interprofessional-rounds-improve-timing-of-appropriate-palliative-care-consultation-on-a-hospitalist-service
#5
Rafina Khateeb, Margaret R Puelle, Janice Firn, D'Anna Saul, Robert Chang, Lillian Min
Despite known benefits, palliative care (PC) consultation for hospitalized patients remains underutilized. The objective was to improve frequency and timeliness of appropriate inpatient PC consultation. On 2 of 11 hospitalist teams, a PC representative attended discharge rounds twice a week. Control teams' discharge rounds were unenhanced. Subjects were all patients admitted to a hospitalist service in a quaternary academic medical center. The primary outcome was change in provision of PC consultation over time; the secondary outcome was change in time-to-consult (days)...
April 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29626292/faculty-development-for-teaching-faculty-in-psychiatry-where-we-are-and-what-we-need
#6
Sallie G De Golia, Consuelo C Cagande, Mary S Ahn, Lisa M Cullins, Art Walaszek, Deborah S Cowley
OBJECTIVE: A Faculty Development Task Force surveyed the American Association of Directors of Psychiatric Residency Training membership to assess faculty development for graduate medical education faculty in psychiatry departments and barriers to seeking graduate medical education careers. METHODS: An anonymous Survey Monkey survey was emailed to 722 American Association of Directors of Psychiatric Residency Training members. The survey included questions about demographics, the current state of faculty development offerings within the respondent's psychiatry department and institution, and potential American Association of Directors of Psychiatric Residency Training faculty development programming...
April 6, 2018: Academic Psychiatry
https://www.readbyqxmd.com/read/29626163/should-a-teenager-be-allowed-to-leave-the-hospital-ama-to-attend-his-father-s-funeral
#7
Thomas Kania, Melissa Schafer, Amy E Caruso Brown, Robert S Olick, John D Lantos
What should physicians do when an adolescent wishes to risk his physical health and leave the hospital to attend the funeral of his late father? What if the young man's mother, and only remaining guardian, both supports and encourages such a decision? In this Ethics Rounds discussion, we examine the legality, morality, and safety of discharging a minor under such conditions.
April 6, 2018: Pediatrics
https://www.readbyqxmd.com/read/29623802/spiritual-counseling-program-for-children-with-anxiety-disorders-a-multi-city-experiment
#8
Samta P Pandya
This article reports on a multi-city two-year long experiment on the effect of a spiritual counseling program (SCP) on children diagnosed with anxiety disorders. The two-year customized SCP was conducted with 1238 children from 20 private schools in five cities across five countries, with an equal number in a control group. Results showed that post-treatment self-reported and counselor-tested anxiety outcome measure scores were lower for the treatment group. Girls, children from more affluent cities, middle-class children, and those who had one stay-at-home parent and no siblings showed reduced anxiety disorders post-treatment...
March 2018: Journal of Pastoral Care & Counseling: JPCC
https://www.readbyqxmd.com/read/29621156/real-life-real-time-elderly-fall-detection-with-a-triaxial-accelerometer
#9
Angela Sucerquia, José David López, Jesús Francisco Vargas-Bonilla
The consequences of a fall on an elderly person can be reduced if the accident is attended by medical personnel within the first hour. Independent elderly people often stay alone for long periods of time, being in more risk if they suffer a fall. The literature offers several approaches for detecting falls with embedded devices or smartphones using a triaxial accelerometer. Most of these approaches have not been tested with the target population or cannot be feasibly implemented in real-life conditions. In this work, we propose a fall detection methodology based on a non-linear classification feature and a Kalman filter with a periodicity detector to reduce the false positive rate...
April 5, 2018: Sensors
https://www.readbyqxmd.com/read/29590120/the-associations-between-water-and-sanitation-and-hookworm-infection-using-cross-sectional-data-from-togo-s-national-deworming-program
#10
Julia M Baker, Victoria Trinies, Rachel N Bronzan, Ameyo M Dorkenoo, Joshua V Garn, Sêvi Sognikin, Matthew C Freeman
BACKGROUND: Sustainable control of soil-transmitted helminths requires a combination of chemotherapy treatment and environmental interventions, including access to safe drinking water, sufficient water for hygiene, use of clean sanitation facilities, and handwashing (WASH). We quantified associations between home-, school-, and community-level WASH characteristics and hookworm infection-both prevalence and eggs per gram of stool (intensity)-among Togolese school children in the context of community-based chemotherapy treatments administered in the country from 2010 through 2014...
March 28, 2018: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/29589174/asking-a-variety-of-questions-on-walk-rounds-a-pilot-study
#11
Helen M Shields, Stephen R Pelletier, Christopher L Roy, James P Honan
BACKGROUND: Morning walk rounds have lost some of their engagement while remaining a useful and valued practice. AIM: We created a pilot study to evaluate the impact on rounds of learning to asking a variety of different questions. SETTING: One-hour intervention sessions were voluntarily offered to members of the Department of Medicine and taught by an expert in the question, listen, and respond method. PARTICIPANTS: Participants included attendings and residents in Internal Medicine on medical teams...
March 27, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29588271/development-of-an-exergame-to-deliver-a-sustained-dose-of-high-intensity-training-formative-pilot-randomized-trial
#12
Thomas McBain, Matthew Weston, Paul Crawshaw, Catherine Haighton, Iain Spears
BACKGROUND: Sport science can play a critical role in reducing health inequalities. The inverse relationship between life expectancy, cardiorespiratory fitness, and socioeconomic status could be addressed by performing high-intensity training (HIT), delivered in a class salient and accessible approach. Commercially available exergames have shown encouraging compliance rates but are primarily designed for entertainment purposes rather than focusing on health-related outcomes. A serious game tailored toward delivering an exercise stimulus, while reducing the aversive protocols associated with HIT, could be beneficial to engage and improve health outcomes in socially deprived males...
March 27, 2018: JMIR Serious Games
https://www.readbyqxmd.com/read/29581045/consensus-views-on-the-optimum-training-curriculum-for-advanced-minimally-invasive-surgery-a-delphi-study
#13
Mina Awad, Fady Awad, Fiona Carter, Bethan Jervis, Sonja Buzink, Jake Foster, Jack Jakimowicz, Nader K Francis
INTRODUCTION: There has been a wide uptake in the use of Minimal Invasive Surgery (MIS) globally across different surgical specialties. Whilst evidence exists for a structured training curriculum for basic laparoscopic surgery, there is little agreement on a complete framework for an advanced MIS training curriculum, defining the essential elements of the curriculum including the optimal assessment methods. The aim of this study is to obtain a consensus on the essential elements of a training curriculum for advanced MIS...
March 23, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29549906/prediction-of-survival-in-patients-with-symptomatic-spinal-metastases-comparison-between-the-tokuhashi-score-and-expert-oncologists
#14
Kenny Yat Hong Kwan, Tai Chung Lam, Horace Cheuk Wai Choi, Hui Yu Koh, Kenneth Man Chee Cheung
BACKGROUND: Existing scoring systems have suboptimal accuracy in prognosticating patients with spinal metastases. Currently, there is no superior method in predicting survival. This study aims to compare the accuracy of survival prediction by expert oncologists versus the revised Tokuhashi scores with actual survivals in a cohort of symptomatic spinal metastases patients. METHODS: All patients who underwent surgical treatment for metastatic spinal tumours in a tertiary hospital between January 2011 to December 2015 were reviewed...
March 2018: Surgical Oncology
https://www.readbyqxmd.com/read/29543739/effect-of-a-conditional-cash-transfer-program-on-nutritional-knowledge-and-food-practices-among-caregivers-of-3-5-year-old-left-behind-children-in-the-rural-hunan-province
#15
Yefu Zhang, Meimei Ji, Jiaojiao Zou, Tong Yuan, Jing Deng, Lina Yang, Mingzhi Li, Hong Qin, Jihua Chen, Qian Lin
Left-behind children (LBC) are a unique population in China, whose numbers have increased dramatically in recent years. Most caregivers of left-behind children (CLBC) are grandparents who lack knowledge about proper nutrition and food practice, putting LBC at greater risk for malnutrition. A cluster randomized controlled trial was carried to assess the effectiveness of the conditional cash transfer (CCT) program. Forty rural villages from Fenghuang County and Pingjiang County of Hunan province were selected...
March 15, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29532768/impact-of-four-years-of-annual-mass-drug-administration-on-prevalence-and-intensity-of-schistosomiasis-among-primary-and-high-school-children-in-western-kenya-a-repeated-cross-sectional-study
#16
Bernard O Abudho, Eric M Ndombi, Bernard Guya, Jennifer M Carter, Diana K Riner, Nupur Kittur, Diana M S Karanja, W Evan Secor, Daniel G Colley
Schistosomiasis remains a major public health problem in Kenya. The World Health Organization recommends preventive chemotherapy with praziquantel (PZQ) to control morbidity due to schistosomiasis. Morbidity is considered linked to intensity of infection, which along with prevalence is used to determine the frequency of mass drug administration (MDA) to school-age children. We determined the impact of annual school-based MDA on children across all primary and high school years using a repeated cross-sectional study design in five schools near Lake Victoria in western Kenya, an area endemic for Schistosoma mansoni ...
March 12, 2018: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29526389/facilitating-collaborative-and-effective-family-involvement-in-the-cancer-setting-guidelines-for-clinicians-trio-guidelines-1
#17
REVIEW
Rebekah Laidsaar-Powell, Phyllis Butow, Frances Boyle, Ilona Juraskova
OBJECTIVE: Family caregivers regularly attend medical consultations and are often involved in decision-making; however, there are few practical strategies to guide effective communication for the clinician-patient-family trio. We aimed to develop and evaluate the first comprehensive guidelines for oncology physicians and nurses, on how to positively and effectively involve family caregivers of adult patients in consultations and patient care (TRIO Guidelines-1) and how to manage challenging interactions with family caregivers (TRIO Guidelines-2)...
January 31, 2018: Patient Education and Counseling
https://www.readbyqxmd.com/read/29510675/spatial-variation-in-the-use-of-reproductive-health-services-over-time-a-decomposition-analysis
#18
Gordon Abekah-Nkrumah
BACKGROUND: The paper argues that several Sub-Saharan African countries have recorded marked improvements in the use of reproductive health services. However, the literature has hardly highlighted such progress and the factors responsible for them. The current study uses Ghana as a case to examine progress in the consumption of reproductive health services over the last two decades and the factors responsible for such progress. METHODS: The study uses two rounds (1998 and 2014) of Demographic and Health Survey data from Ghana...
March 6, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29496769/feasibility-of-cognitive-training-in-critically-ill-patients-a-pilot-study
#19
Annelies Wassenaar, Paul Rood, Danielle Boelen, Lisette Schoonhoven, Peter Pickkers, Mark van den Boogaard
BACKGROUND: Delirium occurs frequently in the intensive care unit and is associated with detrimental consequences. Cognitive training is a promising, nonpharmacologic, preventive intervention, but it is unknown whether cognitive training is feasible for patients in intensive care units. OBJECTIVES: To examine the feasibility for both nurses and patients of using cognitive training exercises for intensive care unit patients. METHODS: A pilot study of a set of cognitive training exercises in a large, academic intensive care unit...
March 2018: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/29480920/physician-mentored-patient-rounds-to-observe-and-assess-entrustable-professional-activities-1-and-2-in-preclinical-medical-students
#20
Neal R Chamberlain, Patricia S Sexton, Matthew R Hardee, Robert W Baer
Context: Thirteen entrustable professional activities (EPAs) for entering residency were created to aid medical educators as they prepare preclinical students for their residency and to assess student readiness for residency. The A.T. Still University Kirksville College of Osteopathic Medicine (ATSU-KCOM) developed a program called physician-mentored patient rounds (PMPR), which focuses on EPA 1 and EPA 2. Objective: To determine whether PMPRs could be used to assess expected behaviors of EPA 1 (gather a history and perform a physical examination) and EPA 2 (prioritize a differential diagnosis after a clinical encounter)...
March 1, 2018: Journal of the American Osteopathic Association
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