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https://www.readbyqxmd.com/read/28317249/getting-back-to-the-dissecting-room-an-evaluation-of-an-innovative-course-in-musculoskeletal-anatomy-for-uk-based-rheumatology-training
#1
Tim Blake, Debbi Marais, Andrew B Hassell, Kay Stevenson, Zoe Paskins
BACKGROUND: The rheumatologist relies heavily on clinical skills to diagnose diverse conditions, something that is correlated with one's knowledge of clinical anatomy. More recently, rheumatology has offered further career flexibility with opportunities to develop skills such as joint injection and musculoskeletal (MSK) ultrasound, both of which require a sound understanding of anatomy. Currently, there are no formal strategies to support competency-based anatomy learning in rheumatology in the UK...
March 20, 2017: Musculoskeletal Care
https://www.readbyqxmd.com/read/28295595/optometry-australia-scope-of-practice-survey-2015
#2
Patricia M Kiely, Skye Cappuccio, Ellen McIntyre
BACKGROUND: This paper presents results from the inaugural Scope of Practice Survey of Optometry Australia members conducted in October 2015. The survey gathered information related to confidence in detecting and diagnosing key ocular conditions, grading diabetic retinopathy, prescribing scheduled medicines, access to equipment, confidence using equipment, incidence of patients requiring therapeutic management, referral practices and services provided. METHODS: The survey was developed, piloted, modified and administered to members of Optometry Australia (excluding student and retired members), who had a current email address...
March 13, 2017: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
https://www.readbyqxmd.com/read/28295236/pharmacology-and-therapeutics-education-in-eu-needs-harmonisation-and-modernisation-a-cross-sectional-survey-among-185-medical-schools-in-27-countries
#3
D J Brinkman, J Tichelaar, M Okorie, L Bissell, T Christiaens, R Likic, R Mačiulaitis, J Costa, E J Sanz, B I Tamba, S R Maxwell, M C Richir, M A van Agtmael
Effective teaching in pharmacology and clinical pharmacology and therapeutics (CPT) is necessary to make medical students competent prescribers. However, the current structure, delivery and assessment of CPT education in the European Union (EU) is unknown. We sent an online questionnaire to teachers with overall responsibility for CPT education in EU medical schools. Questions focused on undergraduate teaching and assessment of CPT, and students' preparedness for prescribing. 185 medical schools (64%) from 27 EU countries responded...
March 15, 2017: Clinical Pharmacology and Therapeutics
https://www.readbyqxmd.com/read/28283798/serological-dynamics-and-risk-factors-of-besnoitia-besnoiti-infection-in-breeding-bulls-from-an-endemically-infected-purebred-beef-herd
#4
Alessia Libera Gazzonis, Gema Alvarez Garcia, Andrea Maggioni, Sergio Aurelio Zanzani, Emanuela Olivieri, Riccardo Compiani, Giuseppe Sironi, Luis Miguel Ortega Mora, Maria Teresa Manfredi
Bovine besnoitiosis has been deemed a re-emerging disease in Western Europe and considered endemic in Spain, Portugal, France and in some areas of Northern Italy. This report refers to an infection outbreak in a purebred beef herd from Northern Italy involving a large number of bulls. In October 2013, 544 animals were serologically tested with an in-house ELISA followed by a confirmatory Western blot to evaluate Besnoitia besnoiti seroprevalence. A year later, 461 animals were then serologically re-tested together with imported animals (n = 268)...
March 10, 2017: Parasitology Research
https://www.readbyqxmd.com/read/28266060/self-reported-optometric-practise-patterns-in-age-related-macular-degeneration
#5
Angelica Ly, Lisa Nivison-Smith, Barbara Zangerl, Nagi Assaad, Michael Kalloniatis
BACKGROUND: The use of advanced imaging in clinical practice is emerging and the use of this technology by optometrists in assessing patients with age-related macular degeneration is of interest. Therefore, this study explored contemporary, self-reported patterns of practice regarding age-related macular degeneration diagnosis and management using a cross-sectional survey of optometrists in Australia and New Zealand. METHODS: Practising optometrists were surveyed on four key areas, namely, demographics, clinical skills and experience, assessment and management of age-related macular degeneration...
March 7, 2017: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
https://www.readbyqxmd.com/read/28264711/findings-phenotypes-and-outcomes-in-freeman-sheldon-and-sheldon-hall-syndromes-and-distal-arthrogryposis-types-1-and-3-protocol-for-systematic-review-and-patient-level-data-meta-analysis
#6
Mikaela I Poling, José Andrés Morales Corado, Robert L Chamberlain
BACKGROUND: Freeman-Sheldon and Sheldon-Hall syndromes (FSS and SHS) and distal arthrogryposis types 1 and 3 (DA1 and DA3) are rare, often confused, congenital syndromes. Few studies exist. With reported diagnosis unreliable, it would be scientifically inappropriate to consider articles describing FSS, SHS, DA1, or DA3, unless diagnoses were independently verified, rendering conventional systematic review and meta-analysis methodology inappropriate and necessitating patient-level data analysis (PROSPERO: CRD42015024740)...
March 6, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/28259854/does-early-intervention-improve-outcomes-in-physiotherapy-management-of-lumbar-radicular-syndrome-a-mixed-methods-study-protocol
#7
Michael Reddington, Stephen J Walters, Judith Cohen, Susan Baxter
INTRODUCTION: Lumbar radicular syndrome (LRS) can be a painful and debilitating condition. The optimum management strategies and their timing remain elusive despite extensive research. Surgery provides good short-term outcomes but has concomitant risks and costs. Physiotherapy is commonly practised for patients with LRS but its effects remain equivocal and there is a lack of consensus on the type, duration and timing of physiotherapy intervention. There is a lack of high-quality evidence into new and innovative management strategies and the timings of those strategies for LRS...
March 3, 2017: BMJ Open
https://www.readbyqxmd.com/read/28256386/-reliability-study-on-the-interpretation-of-electrocardiograms-by-general-practitioners-and-trainees
#8
F J Alonso Moreno, R Orueta Sánchez, A Segura Fragoso, A I Rabadán Velasco, L Luna Del Pozo, A Villarín Castro, M Baquero Alonso, L Rodríguez Padial
OBJECTIVE: To determine the reliability of the interpretation of electrocardiograms (ECG) by general practitioners and those in training by making a comparison with the interpretation made by the cardiologist. MATERIAL AND METHODS: An observational study was conducted that included general practitioners working in the Toledo Health Area, physicians during their training in Family and Community Medicine, and cardiologists in their first 3 years of specialist training (R1-R3)...
February 27, 2017: Semergen
https://www.readbyqxmd.com/read/28249849/awareness-knowledge-and-practice-of-dyslipidaemia-management-among-postgraduate-primary-care-trainees-in-malaysia-a-cross-sectional-study
#9
Abdul Hadi Said, Yook Chin Chia
OBJECTIVES: Dyslipidaemia is one of the main risk factors for cardiovascular disease, the leading cause of death in Malaysia. This study assessed the awareness, knowledge and practice of lipid management among primary care physicians undergoing postgraduate training in Malaysia. DESIGN: Cross sectional study. SETTING: Postgraduate primary care trainees in Malaysia. PARTICIPANTS: 759 postgraduate primary care trainees were approached through email or hard copy, of whom 466 responded...
March 1, 2017: BMJ Open
https://www.readbyqxmd.com/read/28246897/four-year-outcomes-of-restored-posterior-tooth-surfaces-a-massive-data-analysis
#10
Michael Raedel, Andrea Hartmann, Steffen Bohm, Heinz-Werner Priess, Stefanie Samietz, Ioannis Konstantinidis, Michael H Walter
OBJECTIVES: There is only sparse knowledge concerning the outcomes of treatments with posterior permanent restorations in general practice settings. This study aimed at evaluating outcomes based on a large dataset by using a novel approach on a tooth surface basis. MATERIALS AND METHODS: The study based on routine data from a major German national health insurance company. Respective treatment fee codes allowed for tracking the clinical courses on a tooth surface level...
February 28, 2017: Clinical Oral Investigations
https://www.readbyqxmd.com/read/28245606/the-acute-inflammatory-response-to-absorbed-collagen-sponge-is-not-enhanced-by-bmp-2
#11
Hairong Huang, Daniel Wismeijer, Ernst B Hunziker, Gang Wu
Absorbed collagen sponge (ACS)/bone morphogenetic protein-2 (BMP-2) are widely used in clinical practise for bone regeneration. However, the application of this product was found to be associated with a significant pro-inflammatory response, particularly in the early phase after implantation. This study aimed to clarify if the pro-inflammatory activities, associated with BMP-2 added to ACS, were related to the physical state of the carrier itself, i.e., a wet or a highly dehydrated state of the ACS, to the local degree of vascularisation and/or to local biomechanical factors...
February 25, 2017: International Journal of Molecular Sciences
https://www.readbyqxmd.com/read/28240569/selected-questions-and-controversies-about-bedaquiline-a-view-from-the-field
#12
K Dheda, A Esmail, J Limberis, G Maartens
Although there has been a slow decline in tuberculosis (TB) incidence worldwide, the prevalence of drug-resistant TB in most high-burden countries has increased. Drug-resistant TB is associated with high mortality, is a threat to health care workers in TB-endemic countries and is prohibitively costly, which diverts resources away from drug-susceptible cases. Amplification of resistance means that there is an increasing proportion of patients with multidrug-resistant TB who have extensively drug-resistant TB (XDR-TB) or are programmatically untreatable...
December 1, 2016: International Journal of Tuberculosis and Lung Disease
https://www.readbyqxmd.com/read/28239951/the-technical-efficiency-of-oral-healthcare-provision-evaluating-role-substitution-in-national-health-service-dental-practices-in-england
#13
Harry Hill, Stephen Birch, Martin Tickle, Ruth McDonald, Paul Brocklehurst
OBJECTIVES: In many countries increasing use is being made of dental care professionals (DCPs) to provide aspects of clinical activity previously undertaken by dentists. This study evaluates the differences in practice efficiency associated with the utilisation of DCPs in the provision of General Dental Services in the National Health Service (NHS) in England. METHODS: One hundred twenty-one NHS practices completed a questionnaire and shared practice information held at the NHS Business Services Authority...
February 27, 2017: Community Dentistry and Oral Epidemiology
https://www.readbyqxmd.com/read/28220333/developing-skilled-doctor-patient-communication-in-the-workplace-a-qualitative-study-of-the-experiences-of-trainees-and-clinical-supervisors
#14
Esther Giroldi, Wemke Veldhuijzen, Kristel Geelen, Jean Muris, Frits Bareman, Herman Bueving, Trudy van der Weijden, Cees van der Vleuten
To inform the development of recommendations to facilitate learning of skilled doctor-patient communication in the workplace, this qualitative study explores experiences of trainees and supervisors regarding how trainees learn communication and how supervisors support trainees' learning in the workplace. We conducted a qualitative study in a general practice training setting, triangulating various sources of data to obtain a rich understanding of trainees and supervisors' experiences: three focus group discussions, five discussions during training sessions and five individual interviews...
February 20, 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/28216698/clinical-application-of-point-of-care-transthoracic-echocardiography-in-perioperative-period
#15
REVIEW
Swaroop Margale, Kurichi Marudhachalam, Sarvesh Natani
Transthoracic echocardiography (TTE) has established its role for diagnosis and management in cardiology and is used by various other specialities in medicine, but it is not routinely practised by anaesthesiologists in the perioperative period including the pre-admission clinic/outpatient clinic. The last decade has seen the emerging role of anaesthesiologist as a 'Perioperative physician'. This review article highlights the potential role and clinical utility, education, teaching and limitations of point of care (POC) TTE modality in perioperative care...
January 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28214147/simultaneous-idiopathic-bilateral-sudden-hearing-loss-characteristics-and-response-to-treatment
#16
Ferit Akil, Umur Yollu, Mehmet Yilmaz, H Murat Yener, Marlen Mamanov, Ender Inci
INTRODUCTION: The aetiology of sudden hearing loss is poorly defined; however, infectious, vascular and neoplastic aetiologies are presumed to be responsible. In addition, the aetiology of bilateral sudden hearing loss is also unknown. OBJECTIVE: The objective of this study is identify the characteristics and treatment response of simultaneous bilateral sudden hearing loss. METHODS: This is a case-control study that practised in tertiary care academic centre...
January 24, 2017: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/28210788/surgical-management-of-degenerative-meniscus-lesions-the-2016-esska-meniscus-consensus
#17
Ph Beaufils, R Becker, S Kopf, M Englund, R Verdonk, M Ollivier, R Seil
PURPOSE: A degenerative meniscus lesion is a slowly developing process typically involving a horizontal cleavage in a middle-aged or older person. When the knee is symptomatic, arthroscopic partial meniscectomy has been practised for a long time with many case series reporting improved patient outcomes. Since 2002, several randomised clinical trials demonstrated no additional benefit of arthroscopic partial meniscectomy compared to non-operative treatment, sham surgery or sham arthroscopic partial meniscectomy...
February 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28193242/process-evaluation-of-a-cluster-randomised-trial-testing-a-pressure-ulcer-prevention-care-bundle-a-mixed-methods-study
#18
Shelley Roberts, Elizabeth McInnes, Tracey Bucknall, Marianne Wallis, Merrilyn Banks, Wendy Chaboyer
BACKGROUND: As pressure ulcers contribute to significant patient burden and increased health care costs, their prevention is a clinical priority. Our team developed and tested a complex intervention, a pressure ulcer prevention care bundle promoting patient participation in care, in a cluster-randomised trial. The UK Medical Research Council recommends process evaluation of complex interventions to provide insight into why they work or fail and how they might be improved. This study aimed to evaluate processes underpinning implementation of the intervention and explore end-users' perceptions of it, in order to give a deeper understanding of its effects...
February 13, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28190366/predictors-of-remote-practice-location-in-the-first-seven-cohorts-of-james-cook-university-mbbs-graduates
#19
Torres Woolley, Tarun Sen Gupta, Maria Bellei
INTRODUCTION: This article describes factors predicting James Cook University (JCU) medical graduates undertaking at least 1 year of remote practice. The cross-sectional design involved point-in-time (2015) analysis of the JCU medical school's ongoing longitudinal graduate tracking database. Participants were the first seven cohorts of graduates from the JCU medical school who had completed at least their postgraduate year (PGY) 4 in Australia (<i>n</i>=529); that is, PGY 4 to PGY 10 graduates...
January 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28186074/adoption-of-electronic-health-record-system-in-community-based-physiotherapy-clinics-a-pilot-case-study
#20
Alan Yung
QUESTION: Can community-based physiotherapists adopt and use a nationally integrated electronic health record (NEHR) system? DESIGN: Observation and semi-structured interviews in two community-based physiotherapy clinics in Sydney, Australia. PARTICIPANTS: Two physiotherapy practice managers who were also practising physiotherapists. INTERVENTION: The implementation of a nationally integrated EHR system in physiotherapy...
2017: Studies in Health Technology and Informatics
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