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https://www.readbyqxmd.com/read/28548368/developing-minimum-clinical-standards-for-physiotherapy-in-south-african-icus-a-qualitative-study
#1
Heleen van Aswegen, Shane Patman, Natascha Plani, Susan Hanekom
RATIONALE, AIMS, AND OBJECTIVES: Physiotherapists are integral members of the intensive care unit (ICU) team. Clinicians working in ICU are dependent on their own experience when making decisions regarding individual patient management thus resulting in variation in clinical practice. No formalized clinical practice guidelines or standards exist for the educational profile or scope of practice requirements for ICU physiotherapy. This study explored perceptions of physiotherapists on minimum clinical standards that ICU physiotherapists should adhere to for delivering safe, effective physiotherapy services to critically ill patients...
May 26, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28546937/ocular-manifestation-and-their-associated-factors-among-hiv-aids-patients-receiving-highly-active-antiretroviral-therapy-in-southern-ethiopia
#2
Anteneh Amsalu, Kindie Desta, Demiss Nigussie, Demoze Delelegne
AIM: To assess the pattern of ocular manifestation and associated factors among human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) patients on highly active antiretroviral therapy (HAART) at Hawassa University Referral Hospital, Southern Ethiopia. METHODS: A cross sectional study was conducted from January 2014 to April 2015. After obtaining informed written consent, 240 adult HIV/AIDS patients on HAART were randomly selected regardless of their ophthalmic symptoms, WHO status or CD4 count...
2017: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/28543943/assessment-of-horse-owners-ability-to-recognise-equine-laminitis-a-cross-sectional-study-of-93-veterinary-diagnosed-cases-in-great-britain
#3
D Pollard, C E Wylie, K L P Verheyen, J R Newton
BACKGROUND: Use of owner-reported data could further epidemiological knowledge of equine laminitis. However, owner recognition of laminitis has not previously been assessed. OBJECTIVES: The primary objective was to establish whether cases of owner-suspected laminitis would be confirmed as laminitis by the attending veterinary surgeon. Secondary objectives were to compare owner- and veterinary-reported information from veterinary-confirmed cases of equine laminitis...
May 22, 2017: Equine Veterinary Journal
https://www.readbyqxmd.com/read/28536137/the-right-care-every-time-improving-adherence-to-evidence-based-guidelines
#4
Jane Runnacles, Alice Roueché, Peter Lachman
Guidelines are integral to reducing variation in paediatric care by ensuring that children receive the right care, every time. However, for reasons discussed in this paper, clinicians do not always follow evidence-based guidelines. Strategies to improve guideline usage tend to focus on dissemination and education. These approaches, however, do not address some of the more complex factors that influence whether a guideline is used in clinical practice. In this article, part of the Equipped Quality Improvement series, we outline the literature on barriers to guideline adherence and present practical solutions to address these barriers...
May 23, 2017: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/28522283/-standardised-pain-assessment-in-cognitively-impaired-nursing-home-residents-comparing-the-use-of-assessment-tools-in-dementia-care-units-and-in-integrated-care-units
#5
Rebecca Palm, Erika Sirsch, Bernhard Holle, Sabine Bartholomeyczik
BACKGROUND: A large number of nursing home residents with cognitive impairments (CI) suffer from chronic pain, which is also discussed as a reason for challenging behavior. To assess pain in people with severe CI, the use of an observational pain instrument is recommended; for people without or with mild CI the gold standard is a self-rating instrument. It is unknown whether in German nursing homes pain assessment in residents with severe CI is actually conducted using observational instruments and which instruments are used...
May 15, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28512697/utilization-of-genetic-counseling-after-direct-to-consumer-genetic-testing-findings-from-the-impact-of-personal-genomics-pgen-study
#6
Diane R Koeller, Wendy R Uhlmann, Deanna Alexis Carere, Robert C Green, J Scott Roberts
Direct-to-consumer personal genomic testing (DTC-PGT) results lead some individuals to seek genetic counseling (GC), but little is known about these consumers and why they seek GC services. We analyzed survey data pre- and post-PGT from 1026 23andMe and Pathway Genomics customers. Participants were mostly white (91%), female (60%), and of high socioeconomic status (80% college educated, 43% household income of ≥$100,000). After receiving PGT results, 43 participants (4%) made or planned to schedule an appointment with a genetic counselor; 390 (38%) would have used in-person GC had it been available...
May 16, 2017: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/28511205/-stability-and-change-of-medical-specialty-of-residents-over-four-years-of-postgraduate-training-in-germany
#7
Hendrik van den Bussche, Stine Ziegler, Lea Krause-Solberg, Martin Scherer
Aim We analyzed medical residents' preferences in Germany with regard to the specialization fields after 4 years of postgraduate training and compared them to their preferences in the years before, e. g. at the end of undergraduate education in a gender comparative perspective, including the influence of parenthood. Methods The study is based on annual postal surveys of students of 7 medical faculties in Germany from their last year of medical school ("Practical Year") until after 4 years of postgraduate training...
May 16, 2017: Das Gesundheitswesen
https://www.readbyqxmd.com/read/28508725/evaluating-change-in-virtual-reality-adoption-for-brain-injury-rehabilitation-following-knowledge-translation
#8
Stephanie M N Glegg, Liisa Holsti, Sue Stanton, Steven Hanna, Diana Velikonja, Barbara Ansley, Denise Sartor, Christine Brum
PURPOSE: To evaluate the impact of knowledge translation (KT) on factors influencing virtual reality (VR) adoption and to identify support needs of therapists. HYPOTHESES: Intervention will be associated with improvements in therapists' perceived ease of use and self-efficacy, and an associated increase in intentions to use VR. METHOD: Single group mixed-methods pre-test-post-test evaluation of convenience sample of physical, occupational and rehabilitation therapists (n=37) from two brain injury rehabilitation centres...
April 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28503292/historical-influence-on-the-practice-of-chiropractic-radiology-part-i-a-survey-of-diplomates-of-the-american-chiropractic-college-of-radiology
#9
Kenneth J Young
BACKGROUND: It is known that not all chiropractors follow mainstream guidelines on the use of diagnostic ionising radiation. Various reasons have been discussed in the literature, including using radiography to screen for congenital anomalies, to perform postural analysis, to search for contraindications to spinal manipulation, and to document chiropractic subluxations, i.e., tiny anatomical displacements of vertebrae thought to affect nerves and health. The visualisation of subluxations was the reason chiropractic first adopted the x-ray in 1910...
2017: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/28496376/changing-trends-in-residents-as-teachers-across-graduate-medical-education
#10
Morhaf Al Achkar, Mathew Hanauer, Elizabeth H Morrison, M Kelly Davies, Robert C Oh
BACKGROUND: Teaching residents how to teach is a critical part of residents' training in graduate medical education (GME). The purpose of this study was to assess the change in resident-as-teacher (RaT) instruction in GME over the past 15 years in the US. METHODS: We used a quantitative and qualitative survey of all program directors (PDs) across specialties. We compared our findings with a previous work from 2000-2001 that studied the same matter. Finally, we qualitatively analyzed PDs' responses regarding the reasons for implementing and not implementing RaT instruction...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/28495811/randomised-controlled-trial-of-online-continuing-education-for-health-professionals-to-improve-the-management-of-chronic-fatigue-syndrome-a-study-protocol
#11
Sophie H Li, Carolina X Sandler, Sally M Casson, Joanne Cassar, Tina Bogg, Andrew R Lloyd, Benjamin K Barry
INTRODUCTION: Chronic fatigue syndrome (CFS) is a serious and debilitating illness that affects between 0.2%-2.6% of the world's population. Although there is level 1 evidence of the benefit of cognitive behaviour therapy (CBT) and graded exercise therapy (GET) for some people with CFS, uptake of these interventions is low or at best untimely. This can be partly attributed to poor clinician awareness and knowledge of CFS and related CBT and GET interventions. This trial aims to evaluate the effect of participation in an online education programme, compared with a wait-list control group, on allied health professionals' knowledge about evidence-based CFS interventions and their levels of confidence to engage in the dissemination of these interventions...
May 10, 2017: BMJ Open
https://www.readbyqxmd.com/read/28493445/informed-consent-community-engagement-and-study-participation-at-a-research-site-in-kigali-rwanda
#12
Jennifer Ilo van Nuil, Evelyne Kestelyn, Grace Umutoni, Lambert Mwambarangwe, Marie M Umulisa, Janneke van de Wijgert, Raffaella Ravinetto
People enroll in medical research for many reasons ranging from decisions regarding their own or family members' health situation to broader considerations including access to health and financial resources. In socially vulnerable communities the choice to participate is often based on a risk-benefit assessment that goes beyond the medical aspects of the research, and considers the benefits received. In this qualitative study, we examined the motivations of Rwandan women to participate in a non-commercial collaborative research study examining the safety, acceptability, and adherence of a contraceptive vaginal ring in Rwanda juxtaposed with the perceptions of the research within the community...
May 11, 2017: Developing World Bioethics
https://www.readbyqxmd.com/read/28485085/the-educational-impact-of-experience-overseas
#13
Thomas A Fox, Ged Byrne, Lucie M Byrne-Davis
BACKGROUND: Health care professionals are increasingly seeking overseas experience as part of their training. In the UK and Ireland, spending time overseas is becoming increasingly common during the first few years of training, with 10.8 per cent of Foundation Year-2 (Postgraduate Year-2) doctors working outside the UK in 2015. Although we know that doctors in training are increasingly seeking overseas experience, the reasons behind this are unknown. Many travel with the intention of returning after a period of time...
May 9, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28479889/prevalence-of-geophagia-and-its-contributing-factors-among-pregnant-women-at-dr-george-mukhari-academic-hospital-pretoria
#14
L R Macheka, J O Olowoyo, L Matsela, A A Khine
INTRODUCTION: Geophagia is very common among pregnant women, particularly in Africa. There are many reasons given for geophagia such as cultural, medicinal and religious, making it an acceptable norm regardless of health risks involved. OBJECTIVES: The study explored prevalence and factors influencing geophagia among women visiting an antenatal clinic in Pretoria. METHODS: A quantitative survey was done on a convenience sample of 597 pregnant women and structured interviews conducted...
December 2016: African Health Sciences
https://www.readbyqxmd.com/read/28475438/when-less-is-more-validating-a-brief-scale-to-rate-interprofessional-team-competencies
#15
Désirée A Lie, Regina Richter-Lagha, Christopher P Forest, Anne Walsh, Kevin Lohenry
BACKGROUND: There is a need for validated and easy-to-apply behavior-based tools for assessing interprofessional team competencies in clinical settings. The seven-item observer-based Modified McMaster-Ottawa scale was developed for the Team Objective Structured Clinical Encounter (TOSCE) to assess individual and team performance in interprofessional patient encounters. OBJECTIVE: We aimed to improve scale usability for clinical settings by reducing item numbers while maintaining generalizability; and to explore the minimum number of observed cases required to achieve modest generalizability for giving feedback...
2017: Medical Education Online
https://www.readbyqxmd.com/read/28474589/use-of-snapps-model-for-pediatric-outpatient-education
#16
Anju Kapoor, Anil Kapoor, Ashish Kalraiya, Sheela Longia
OBJECTIVE: To assess and compare the educational effectiveness of SNAPPS model with traditional method in developing reasoning skills of Pediatric residents in Out-patient department. METHODS: 40 case presentations with 4 residents (20 each with traditional and SNAPPS methods) were audiotaped and compared with respect to making differentials, reasoning for analyzing differentials, raising uncertainties by probing preceptor, and selecting case-related issues for self study...
April 15, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28473513/why-are-there-discrepancies-between-depressed-patients-global-rating-of-change-and-scores-on-the-patient-health-questionnaire-depression-module-a-qualitative-study-of-primary-care-in-england
#17
Jude Robinson, Naila Khan, Louise Fusco, Alice Malpass, Glyn Lewis, Christopher Dowrick
OBJECTIVES: Our aims were to investigate discrepancies between depressed patients' GlobalRating of Change (GRC) and scores on the Patient Health Questionnaire depression module (PHQ-9). Our objectives were to ascertain patients' views on the source and meaning of mismatches and assess their clinical significance. DESIGN: Qualitative study nested within a cohort, in a programme investigating the indications for prescribing antidepressants that will lead to a clinical benefit...
May 4, 2017: BMJ Open
https://www.readbyqxmd.com/read/28472859/lifestyle-interventions-for-the-treatment-of-women-with-gestational-diabetes
#18
REVIEW
Julie Brown, Nisreen A Alwan, Jane West, Stephen Brown, Christopher Jd McKinlay, Diane Farrar, Caroline A Crowther
BACKGROUND: Gestational diabetes (GDM) is glucose intolerance, first recognised in pregnancy and usually resolving after birth. GDM is associated with both short- and long-term adverse effects for the mother and her infant. Lifestyle interventions are the primary therapeutic strategy for many women with GDM. OBJECTIVES: To evaluate the effects of combined lifestyle interventions with or without pharmacotherapy in treating women with gestational diabetes. SEARCH METHODS: We searched the Pregnancy and Childbirth Group's Trials Register (14 May 2016), ClinicalTrials...
May 4, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28470075/factors-influencing-choice-of-site-for-rural-clinical-placements-by-final-year-medical-students-in-a-south-african-university
#19
Nontsikelelo O Mapukata, Rainy Dube, Ian Couper, Motlatso Mlambo
BACKGROUND: Most of South Africa's citizens who live in rural or underserved communities rely on the public health care sector to access quality health care. The value of rural exposure through clinical placements is well documented. Medical schools in South Africa have a responsibility to provide solutions that address the prevailing human resources challenges. Despite this commitment, medical students do not necessarily appreciate their role in resolving South Africa's human resources challenges...
April 28, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28468617/norwegian-midwives-opinion-of-their-midwifery-education-a-mixed-methods-study
#20
Mirjam Lukasse, Anne Marie Lilleengen, Anne Margrethe Fylkesnes, Lena Henriksen
BACKGROUND: Midwifery education in Norway has undergone radical reforms in the past few decades. In 2004, the compulsory year of paid internship was removed from the requirement to become an authorised midwife. Since then, authorisation as a midwife depends on the successful completion of a two-year full-time academic course, consisting of 50% clinical practice and 50% theoretical education. Our objective was to examine midwives' opinion of their Norwegian midwifery education in relation to their midwifery practice, comparing those educated with internship to those without...
May 3, 2017: BMC Medical Education
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