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schwartz rounds

Glenn Robert, Julia Philippou, Mary Leamy, Ellie Reynolds, Shilpa Ross, Laura Bennett, Cath Taylor, Caroline Shuldham, Jill Maben
OBJECTIVES: Schwartz Center Rounds ('Rounds') are a multidisciplinary forum in which healthcare staff within an organisation discuss the psychological, emotional and social challenges associated with their work in a confidential and safe environment. Implemented in over 375 North American organisations, since 2009, they have been increasingly adopted in England. This study aimed to establish how many and what types of organisations have adopted Rounds in England, and to explore why they did so...
January 5, 2017: BMJ Open
Raymond J Chadwick, Steven J Muncer, Bronagh C Hannon, Joanna Goodrich, Jocelyn Cornwell
OBJECTIVE: To evaluate the impact of Schwartz Center Rounds, a multi-disciplinary forum to reflect on the emotional consequences of working in healthcare, on the staff of a large acute general hospital over a three-year period. DESIGN: Evaluation data following each Round were collected routinely from all staff attending over this period and analysed quantitatively and qualitatively. SETTING: An integrated university teaching trust with both acute hospital and community services in the North East of England...
July 2016: JRSM Open
Faye Gishen, Sophia Whitman, Deborah Gill, Rhiannon Barker, Steven Walker
BACKGROUND: Training to be a doctor and caring for patients are recognized as being stressful and demanding. The wellbeing of healthcare professionals impacts upon the wellbeing and care of patients. Schwartz Centre Rounds (SCRs), multidisciplinary meetings led by a trained facilitator and designed for hospital staff, were introduced to enhance communication and compassion, and have since been widely adopted as a way of fostering compassion. The continuum of education suggests that medical students need to develop these attributes in conjunction with resilience and maintaining empathy...
2016: BMC Medical Education
Chia-Hsi Tang, Brent A Coull, Joel Schwartz, Qian Di, Petros Koutrakis
: Clarifying the trends in quantity, location, and causes of PM2.5 (particulate matter with an aerodynamic diameter <2.5 μm) emission changes is critical for evaluating and improving emission control strategies and reduce the risk posed to human health. According to the National Emissions Inventory (NEI) released by the U.S. Environmental Protection Agency (EPA), a general downward trend in PM2.5 emissions has been observed in the United States over the past decade. Although this trend is representative at the national level, it lacks the precision to locate emission hotspots at a finer scale...
January 2017: Journal of the Air & Waste Management Association
Steven Emilio Churchill, Christopher Scott Walker, Adam Michael Schwartz
Adult human foragers expend roughly 30-60 kcal per km in unburdened walking at optimal speeds.(1,2) In the context of foraging rounds and residential moves, they may routinely travel distances of 50-70 km per week, often while carrying loads.(3) Movement on the landscape, then, is arguably the single most expensive item in the activity budgets of hunter-gatherers. Mobility costs may have been greater still for Neandertals. They had stocky, short-limbed physiques that were energetically costly to move(4) and lived in relatively unproductive Pleistocene environments(5) that may have required greater movement to deal with problems of biodepletion and resource patchiness...
May 6, 2016: Evolutionary Anthropology
Maureen S Haugen, Wendy Landier, Belinda N Mandrell, Jeneane Sullivan, Courtney Schwartz, Micah A Skeens, Marilyn Hockenberry
Parents/caregivers require specialized education in order to care for their child with a newly diagnosed cancer. Currently, no evidence-based guidelines exist to identify content essential for inclusion in patient/family education prior to a child's initial discharge home; this study used Delphi methodology to obtain multidisciplinary consensus regarding essential content amongst pediatric oncology experts from the Children's Oncology Group. Three questionnaire rounds were employed to identify essential content, evaluate the importance of the educational topics identified, and gain expert consensus regarding the final ranking of topics identified and whether or not each topic was considered mandatory for inclusion in education for newly diagnosed patients...
November 2016: Journal of Pediatric Oncology Nursing: Official Journal of the Association of Pediatric Oncology Nurses
Krisda H Chaiyachati, Andre N Sofair, Jeremy I Schwartz, David Chia
OBJECTIVES: Patient throughput and early discharges are important for decreasing emergency department wait times and creating available beds for new hospital admissions. The educational schedule of internal medicine trainees can interfere with timely discharges, but targeted interventions can help residents meet the hospital's patient flow needs. Our training program instituted daily morning discharge rounds on the inpatient service, requiring each team to prepare potential discharges 1 day ahead and prioritizing these discharges the next day...
May 2016: Southern Medical Journal
Syed Faiz Qadri, Erick Hill, James Madison, Sriram Ramaswamy
No abstract text is available yet for this article.
February 2017: Academic Psychiatry
Cynthia H Ho
No abstract text is available yet for this article.
October 2015: Academic Medicine: Journal of the Association of American Medical Colleges
Gulam A Manji, Gary K Schwartz
Liposarcomas are one of the most common of more than 50 histologic subtypes of soft tissue sarcomas that, themselves, are heterogeneous. Liposarcomas fall into four distinct histologic subtypes: atypical lipomatous tumor/well-differentiated liposarcoma, dedifferentiated liposarcoma, myxoid (round cell) liposarcoma, and pleomorphic liposarcoma. Definitive treatment remains surgical resection with negative margins for resectable disease. However, well-differentiated liposarcomas that are large or difficult to operate upon should be followed with close surveillance as long as there is no radiologic concern for a dedifferentiated component...
March 2016: Journal of Oncology Practice
Natalia Ocampo-Peñuela, R Scott Winton, Charlene J Wu, Erika Zambello, Thomas W Wittig, Nicolette L Cagle
Bird-window collisions cause an estimated one billion bird deaths annually in the United States. Building characteristics and surrounding habitat affect collision frequency. Given the importance of collisions as an anthropogenic threat to birds, mitigation is essential. Patterned glass and UV-reflective films have been proven to prevent collisions. At Duke University's West campus in Durham, North Carolina, we set out to identify the buildings and building characteristics associated with the highest frequencies of collisions in order to propose a mitigation strategy...
2016: PeerJ
Alison Handley
No abstract text is available yet for this article.
November 18, 2015: Nursing Standard
Denise Irene Deppoliti, Denise Côté-Arsenault, Gina Myers, Jennifer Barry, Connie Randolph, Brendan Tanner
PURPOSE: Schwartz Center Rounds (SCRs) bring multidisciplinary caregivers together to discuss authentic patient cases from the social and emotional perspective. The monthly sessions provide a forum to share personal thoughts and feelings. The purpose of this paper is to learn why people attend SCR, understand what is gained from the experience, and identify key elements to use in measuring the program's effectiveness. DESIGN/METHODOLOGY/APPROACH: This qualitative descriptive study used four focus groups and three telephone interviews for data collection...
2015: Journal of Health Organization and Management
Jane Stevens
No abstract text is available yet for this article.
November 2015: British Journal of Hospital Medicine
Céline Simonin, Mahendra Awale, Michael Brand, Ruud van Deursen, Julian Schwartz, Michael Fine, Gergely Kovacs, Pascal Häfliger, Gergely Gyimesi, Abilashan Sithampari, Roch-Philippe Charles, Matthias A Hediger, Jean-Louis Reymond
Herein, we report the discovery of the first potent and selective inhibitor of TRPV6, a calcium channel overexpressed in breast and prostate cancer, and its use to test the effect of blocking TRPV6-mediated Ca(2+)-influx on cell growth. The inhibitor was discovered through a computational method, xLOS, a 3D-shape and pharmacophore similarity algorithm, a type of ligand-based virtual screening (LBVS) method described briefly here. Starting with a single weakly active seed molecule, two successive rounds of LBVS followed by optimization by chemical synthesis led to a selective molecule with 0...
December 1, 2015: Angewandte Chemie
K Jane Lee, Michael L Forbes, Gloria J Lukasiewicz, Trisha Williams, Anna Sheets, Kay Fischer, Matthew F Niedner
BACKGROUND: Health care professionals experience workplace stress, which may lead to impaired physical and mental health, job turnover, and burnout. Resilience allows people to handle stress positively. Little research is aimed at finding interventions to improve resilience in health care professionals. OBJECTIVE: To describe the availability, use, and helpfulness of resilience-promoting resources and identify an intervention to implement across multiple pediatric intensive care units...
September 2015: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
Russ Hargreaves
No abstract text is available yet for this article.
April 1, 2015: Nursing Times
Hamilton P Schwartz, Michael T Bigham, Pamela J Schoettker, Keith Meyer, Michael S Trautman, Robert M Insoft
OBJECTIVES: The transport of neonatal and pediatric patients to tertiary care facilities for specialized care demands monitoring the quality of care delivered during transport and its impact on patient outcomes. In 2011, pediatric transport teams in Ohio met to identify quality indicators permitting comparisons among programs. However, no set of national consensus quality metrics exists for benchmarking transport teams. The aim of this project was to achieve national consensus on appropriate neonatal and pediatric transport quality metrics...
October 2015: Pediatric Critical Care Medicine
Andréa Mônica Brandão Beber, Meritxell Sabidó, Janete Maria Rebelo Vieira, Maria Luiza Bazzo, Adele Schwartz Benzaken
INTRODUCTION: In 2011, the Brazilian Ministry of Health rolled out a program for the external quality assessment of rapid human immunodeficiency virus (HIV) tests using the dried tube specimen (DTS) method (EQA-RT/DTS-HIV). Our objective was to evaluate the implementation of this program at 71 voluntary counseling and testing centers (VCTCs) in the Brazilian Legal Amazonian area one year after its introduction. METHODS: Quantitative and qualitative study that analyzed secondary data and interviews with healthcare workers (HCWs) (n=39) and VCTC coordinators (n=32) were performed...
2015: Revista da Sociedade Brasileira de Medicina Tropical
Gulam Abbas Manji, Samuel Singer, Andrew Koff, Gary K Schwartz
Liposarcomas are one the most common of over 50 histologic subtypes of soft tissue sarcomas that are mostly resistant to chemotherapy. Histologically, liposarcomas themselves are heterogeneous and fall into four distinct subtypes: well-differentiated/atypical lipomatous tumor, dedifferentiated liposarcoma, myxoid (round cell) liposarcoma, and pleomorphic liposarcoma. Surgical resection with negative margins remains the mainstay for definitive treatment for operable disease. For unresectable disease, retrospective studies have identified myxoid (round cell) and pleomorphic sarcomas to be relatively responsive to chemotherapy...
2015: American Society of Clinical Oncology Educational Book
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