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https://www.readbyqxmd.com/read/28306682/training-future-anesthesiologists-in-obstetric-care
#1
Mauricio Vasco Ramírez
PURPOSE OF REVIEW: In order for the obstetric anesthesiologist to become a true perioperative / peripartum physician, a change in formative programs and certification process in anesthesia are needed. RECENT FINDINGS: Anesthesia training programs are migrating to competency based medical education (CBME) worldwide. The traditional model of attending lectures, grand rounds, reading textbooks and journal papers should be complemented by virtual modalities such as massive open online courses or online teaching tools...
March 16, 2017: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/28299288/food-safety-and-sustainable-nutrition-workshops-educational-experiences-for-primary-school-children-in-turin-italy
#2
Amaranta Traversa, Daniela Adriano, Alberto Bellio, Daniela Manila Bianchi, Silvia Gallina, Clara Ippolito, Angelo Romano, Paola Durelli, Andrea Pezzana, Lucia Decastelli
European control and prevention policies are focused to guarantee a high level of protection of consumers' health. Food-borne diseases as obesity, diabetes, food allergy, and food-borne outbreaks are increasing. To prevent food-borne diseases, it is fundamental to involve consumers, in particular children, in educational experiences aimed to learn the proper behaviours to be applied. In this context, we designed and performed 5 educational workshops about food safety, hidden allergens in food and nutrition aimed to involve children attending primary and summer school...
January 24, 2017: Italian Journal of Food Safety
https://www.readbyqxmd.com/read/28296805/does-nonlocal-women-s-attendance-at-antenatal-clinics-distort-hiv-prevalence-surveillance-estimates-in-pregnant-women-in-zimbabwe
#3
Katherine C Wilson, Mutsa Mhangara, Janet Dzangare, Jeffrey W Eaton, Timothy B Hallett, Owen Mugurungi, Simon Gregson
OBJECTIVE: The objective was to assess whether HIV prevalence measured among women attending antenatal clinics (ANCs) are representative of prevalence in the local area, or whether estimates may be biased by some women's choice to attend ANCs away from their residential location. We tested the hypothesis that HIV prevalence in towns and periurban areas is underestimated in ANC sentinel surveillance data in Zimbabwe. METHODS: National unlinked anonymous HIV surveillance was conducted at 19 ANCs in Zimbabwe in 2000, 2001, 2002, 2004, 2006, 2009, and 2012...
April 2017: AIDS
https://www.readbyqxmd.com/read/28288647/providers-of-antenatal-care-services-in-ghana-evidence-from-ghana-demographic-and-health-surveys-1988-2014
#4
Kwamena Sekyi Dickson, Eugene Kofuor Maafo Darteh, Akwasi Kumi-Kyereme
BACKGROUND: Antenatal care is one of the three most essential care - antenatal, delivery and post-natal, given to women during pregnancy and has the potential to contribute towards the achievement of the Sustainable Development Goal (SDG) target 3.1- reducing the global maternal mortality ratio to less than 70 per 100,000 and target 3.8 - achieve universal health coverage. The main objective is to examine the contribution of the various providers of antenatal care services in Ghana from 1988 to 2014...
March 14, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28287827/intensive-care-unit-educators-a-multicenter-evaluation-of-behaviors-residents-value-in-attendings
#5
Lekshmi Santhosh, Snigdha Jain, Anna Brady, Michelle Sharp, W Graham Carlos
RATIONALE: It is important for attendings to know which behaviors influence learner perceptions. To date, two studies focusing on general medicine attendings have been published addressing internal medicine residents' perceptions of attendings; there are no data on intensive care unit (ICU) attendings. OBJECTIVES: We sought to expand the evidence regarding this topic through a multicenter study at four geographically diverse academic medical centers. Our study focused on identifying the teaching behaviors of ICU physicians that learners observe in attendings they value as effective educators...
March 13, 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/28282227/an-integrated-framework-for-effective-and-efficient-communication-with-families-in-the-adult-intensive-care-unit
#6
Jennifer B Seaman, Robert M Arnold, Leslie P Scheunemann, Douglas B White
The increased focus on patient and family-centered care in adult intensive care units (ICUs) has generated multiple platforms for clinician-family communication beyond traditional interdisciplinary family meetings (family meetings)-including family-centered rounds, bedside or telephone updates, and electronic family portals. Some clinicians and administrators are now using these platforms instead of conducting family meetings. For example, some institutions are moving toward using family-centered rounds as the main platform for clinician-family communication, and some physicians rely on brief daily updates to the family at the bedside or by phone, in lieu of family meetings...
March 10, 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/28281375/undergraduate-medical-students-perceptions-of-their-learning-experience-in-pediatric-rotation-at-king-abdulaziz-university-medical-college-in-jeddah-saudi-arabia
#7
Nadia M Fida, Mohammed Farouq, Dhuha Alamawi, Hayat Kamfar
AIM: This study aimed to evaluate fifth-year medical students' perception of their learning experience during pediatric rotation at the medical college of King Abdulaziz University (KAU), Jeddah, Saudi Arabia. METHOD: This cross-sectional study was conducted by distributing a questionnaire to fifth-year students who attended the pediatric rotation at KAU, during 2013-2014. RESULTS: Three hundred fifty-six out of 360 students agreed to participate, representing a response rate of 99%...
March 10, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28279457/measuring-and-modelling-the-effects-of-systematic-non-adherence-to-mass-drug-administration
#8
Louise Dyson, Wilma A Stolk, Sam H Farrell, T Déirdre Hollingsworth
It is well understood that the success or failure of a mass drug administration campaign critically depends on the level of coverage achieved. To that end coverage levels are often closely scrutinised during campaigns and the response to underperforming campaigns is to attempt to improve coverage. Modelling work has indicated, however, that the quality of the coverage achieved may also have a significant impact on the outcome. If the coverage achieved is likely to miss similar people every round then this can have a serious detrimental effect on the campaign outcome...
March 2017: Epidemics
https://www.readbyqxmd.com/read/28277232/impact-of-near-peer-teaching-rounds-on-student-satisfaction-in-the-basic-surgical-clerkship
#9
Joseph A Lin, Norma Farrow, Brenessa M Lindeman, Anne O Lidor
BACKGROUND: Teaching rounds are rarely featured in the surgery clerkship. Senior students interested in surgery are suited to precept teaching rounds. Near-peer teaching can provide benefits to both learners and preceptors. METHODS: Near-peer teaching rounds consisted of senior student-precetors leading groups of 3 clerkship students on teaching rounds once during the clerkship. We prospectively surveyed student satisfaction before and after instituting near-peer teaching rounds...
September 30, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/28272590/all-together-now-impact-of-a-regionalization-and-bedside-rounding-initiative-on-the-efficiency-and-inclusiveness-of-clinical-rounds
#10
Kristin T L Huang, Jacquelyn Minahan, Patricia Brita-Rossi, Patricia Aylward, Joel T Katz, Christopher Roy, Jeffrey L Schnipper, Robert Boxer
BACKGROUND: Attending rounds at academic medical centers are often disconnected from patients and team members who are not physicians. Regionalization of care teams may facilitate bedside rounding and more frequent interactions among doctors, nurses, and patients. OBJECTIVE: We used time-motion analysis to investigate how regionalization of medical teams and encouragement of bedside rounds affect participants on rounds and rounding time. DESIGN AND SETTING: We used pre-post analysis to study the effects of care redesign on teams' daily rounds on a general medicine service at an academic medical center...
March 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28272589/standardized-attending-rounds-to-improve-the-patient-experience-a-pragmatic-cluster-randomized-controlled-trial
#11
Bradley Monash, Nader Najafi, Michelle Mourad, Alvin Rajkomar, Sumant R Ranji, Margaret C Fang, Marcia Glass, Dimiter Milev, Yile Ding, Andy Shen, Bradley A Sharpe, James D Harrison
BACKGROUND: At academic medical centers, attending rounds (AR) serve to coordinate patient care and educate trainees, yet variably involve patients. OBJECTIVE: To determine the impact of standardized bedside AR on patient satisfaction with rounds. DESIGN: Cluster randomized controlled trial. SETTING: 500-bed urban, quaternary care hospital. PATIENTS: 1200 patients admitted to the medicine service...
March 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28267119/prevention-of-medical-device-related-pressure-injuries-associated-with-respiratory-equipment-use-in-a-critical-care-unit-a-quality-improvement-project
#12
Cynthia A Padula, Heidi Paradis, Robert Goodwin, Judith Lynch, Deborah Hegerich-Bartula
Medical devices have been identified as an extrinsic risk factor for development of pressure injuries, with as many as 30% to 70% of medical device-related pressure injuries resulting from respiratory equipment. This article describes a quality improvement project undertaken to reduce the occurrence of respiratory device-related pressure injuries in a critically care unit. Multiple actions were implemented to achieve this goal. Respiratory therapists were trained to document occurrences on a daily basis, and apparent cause analyses were conducted on each occurrence...
March 2017: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/28266121/reigniting-compassion-into-healthcare-manaakitia-reflective-rounds
#13
S Shah, I Lambrecht, A O'Callaghan
AIMS: To evaluate the efficacy of monthly case-based, staff-support reflective rounds to discuss complex emotional and psychosocial issues that arise in caring for patients and families. METHODS: At Auckland City Hospital, a pilot programme called Manaakitia Reflective Rounds was delivered between April 2014 and September 2015. These were facilitated one-hour monthly case-based staff support groups to discuss complex emotional and psychosocial issues in caring for patients...
March 7, 2017: Internal Medicine Journal
https://www.readbyqxmd.com/read/28258898/prospective-qualitative-and-quantitative-analysis-of-real-time-peer-review-quality-assurance-rounds-incorporating-direct-physical-examination-for-head-and-neck-cancer-radiation-therapy
#14
Carlos E Cardenas, Abdallah S R Mohamed, Randa Tao, Andrew J R Wong, Mussadiq J Awan, Shirly Kuruvila, Michalis Aristophanous, G Brandon Gunn, Jack Phan, Beth M Beadle, Steven J Frank, Adam S Garden, William H Morrison, Clifton D Fuller, David I Rosenthal
PURPOSE: Our department has a long-established comprehensive quality assurance (QA) planning clinic for patients undergoing radiation therapy (RT) for head and neck cancer. Our aim is to assess the impact of a real-time peer review QA process on the quantitative and qualitative radiation therapy plan changes in the era of intensity modulated RT (IMRT). METHODS AND MATERIALS: Prospective data for 85 patients undergoing head and neck IMRT who presented at a biweekly QA clinic after simulation and contouring were collected...
November 19, 2016: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/28252835/experiences-of-aromatherapy-massage-among-adult-female-cancer-patients-a-qualitative-study
#15
Alice N L Kwong, Simone S M Ho, Karen W S Wan, Rosita M L Ho, K M Chow
OBJECTIVE: The aim of the study was to explore the experiences towards aromatherapy massage (ATM) use, and to examine the perceived benefits and adverse effects of ATM among adult female cancer patients. METHOD: A qualitative research design was used. Fifteen women with cancer were recruited for semi-structured interviews. Sample recruitment was undertaken through cancer self-help groups and referrals of a private aromatherapy clinic by convenience sampling. The interview data were analyzed by thematic analysis...
March 2, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28247306/a-double-chaotic-layer-encryption-algorithm-for-clinical-signals-in-telemedicine
#16
M A Murillo-Escobar, L Cardoza-Avendaño, R M López-Gutiérrez, C Cruz-Hernández
Recently, telemedicine offers medical services remotely via telecommunications systems and physiological monitoring devices. This scheme provides healthcare delivery services between physicians and patients conveniently, since some patients can not attend the hospital due to any reason. However, transmission of information over an insecure channel such as internet or private data storing generates a security problem. Therefore, authentication, confidentiality, and privacy are important challenges in telemedicine, where only authorized users should have access to medical or clinical records...
April 2017: Journal of Medical Systems
https://www.readbyqxmd.com/read/28225194/observing-bedside-rounds-for-faculty-development
#17
Somnath Mookherjee, Daniel Cabrera, Christy M McKinney, Elizabeth Kaplan, Lynne Robins
BACKGROUND: Bedside rounds are an ideal opportunity for clinical teaching. We previously offered faculty development on balancing learner autonomy, patient care and teaching. We noticed that participants often asked whether attending physicians and learners shared the same perceptions of the key elements (patient-centredness, efficiency and educational value) of bedside rounds. Understanding these perceptions and identifying areas of discordance would inform faculty development for optimal bedside rounds...
February 22, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28223867/pharmacy-education-in-saudi-arabia-a-vision-of-the-future
#18
Hisham Aljadhey, Yousef Asiri, Yaser Albogami, George Spratto, Mohammed Alshehri
Background: Pharmacy education in developing countries faces many challenges. An assessment of the challenges and opportunities for the future of pharmacy education in Saudi Arabia has not been conducted. Objectives: The purpose of the study was to ascertain the views and opinions of pharmacy education stakeholders regarding the current issues challenging pharmacy education, and to discuss the future of pharmacy education in Saudi Arabia. Methods: A total of 48 participants attended a one-day meeting in October 2011, designed especially for the purpose of this study...
January 2017: Saudi Pharmaceutical Journal: SPJ: the Official Publication of the Saudi Pharmaceutical Society
https://www.readbyqxmd.com/read/28214665/when-are-night-shifts-effective-for-nursing-student-clinical-learning-findings-from-a-mixed-method-study-design
#19
Alvisa Palese, Felix Basso, Elena Del Negro, Illarj Achil, Annamaria Ferraresi, Marzia Morandini, Renzo Moreale, Irene Mansutti
BACKGROUND: Some nursing programmes offer night shifts for students while others do not, mainly due to the lack of evidence regarding their effectiveness on clinical learning. OBJECTIVES: The principal aims of the study were to describe nursing students' perceptions and to explore conditions influencing effectiveness on learning processes during night shifts. DESIGN: An explanatory mixed-method study design composed of a cross-sectional study (primary method, first phase) followed by a descriptive phenomenological study design (secondary method, second phase) in 2015...
February 11, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28164385/learning-to-prescribe-through-co-working-junior-doctors-pharmacists-and-consultants
#20
Christy Noble, Stephen Billett
CONTEXT: Learning to prescribe is challenging for junior doctors. Significant efforts have been made to improve prescribing education, especially in view of the high rates of prescribing errors made by junior doctors. However, considerations of educational options often overlook the fact that learning to prescribe and prescribing practices rely on practice-based interactions with informed practitioners, such as pharmacists and consultants. Pharmacists have long made important contributions to developing prescribing capacities...
February 6, 2017: Medical Education
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