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https://www.readbyqxmd.com/read/29226230/new-paths-in-post-graduate-medical-training-in-general-practice-8-years-of-experience-with-the-pilot-project-verbundweiterbildungplus-baden-w%C3%A3-rttemberg
#1
Simon Schwill, Julia Magez, Stefanie Joos, Jost Steinhäuser, Thomas Ledig, Aline Rubik, Wilhelm Niebling, Joachim Szecsenyi, Elisabeth Flum
Background: In face of the looming shortage of general practitioners, primary healthcare providers and post-graduate training in general practice are increasingly becoming part of the political agenda in Germany. In 2009 the program "Verbundweiterbildung plus Baden-Württemberg" (VWB plus BW) was developed by the Competence Center for General Practice in Baden-Wuerttemberg to ensure primary healthcare in the future by enhancing the attractiveness of general medicine. This paper describes the experiences that have been gathered in developing a post-graduate training-program for physicians undergoing specialist training in general practice...
2017: GMS Journal for Medical Education
https://www.readbyqxmd.com/read/29223767/evaluation-of-a-national-pediatric-subinternship-curriculum-implemented-through-individual-learning-plans
#2
Linda R Tewksbury, Cristina Carter, Lyuba Konopasek, Sandra M Sanguino, Janice L Hanson
OBJECTIVE: The Council on Medical Student Education in Pediatrics and Association of Pediatric Program Directors developed a Pediatric Subinternship (CAPS) Curriculum for use with an individualized learning plan (ILP). The authors determined which learning objectives (LOs) pediatric subinterns selected when provided the CAPS Curriculum, summarized students' self-reported progress, and determined feasibility of ILPs in subinternship. METHODS: Students from 10 medical schools completed a standardized ILP during pediatric subinternship...
December 6, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/29218627/top-ten-errors-of-statistical-analysis-in-observational-studies-for-cancer-research
#3
REVIEW
A Carmona-Bayonas, P Jimenez-Fonseca, A Fernández-Somoano, F Álvarez-Manceñido, E Castañón, A Custodio, F A de la Peña, R M Payo, L P Valiente
Observational studies using registry data make it possible to compile quality information and can surpass clinical trials in some contexts. However, data heterogeneity, analytical complexity, and the diversity of aspects to be taken into account when interpreting results makes it easy for mistakes to be made and calls for mastery of statistical methodology. Some questionable research practices that include poor analytical data management are responsible for the low reproducibility of some results; yet, there is a paucity of information in the literature regarding specific statistical pitfalls of cancer studies...
December 7, 2017: Clinical & Translational Oncology
https://www.readbyqxmd.com/read/29216757/assessing-challenges-in-low-income-families-to-inform-a-life-skills-based-obesity-intervention
#4
Nivedita Bhushan, Maihan Vu, Randall Teal, Jessica Carda-Auten, Dianne Ward, Temitope Erinosho
BACKGROUND: This article describes the formative research undertaken to explore challenges of low-income parents of 3-to 5-year-olds to inform a parent-focused life skills-based intervention to prevent obesity in preschool-aged children. METHOD: A total of 40 parents completed surveys, 30 parents participated in focus groups, and 5 community stakeholders participated in individual interviews. In each data mode, participants were asked to prioritize a list of challenges centered on parenting, family care, and self-care...
December 1, 2017: Health Promotion Practice
https://www.readbyqxmd.com/read/29208752/effects-of-alanyl-glutamine-treatment-on-the-peritoneal-dialysis-effluent-proteome-reveal-pathomechanism-associated-molecular-signatures
#5
Rebecca Herzog, Michael Boehm, Markus Unterwurzacher, Anja Wagner, Katja Parapatics, Peter Majek, André C Mueller, Anton Lichtenauer, Keiryn L Bennett, Seth L Alper, Andreas Vychytil, Christoph Aufricht, Klaus Kratochwill
Peritoneal dialysis (PD) is a modality of renal replacement therapy in which the high volumes of available PD effluent (PDE) represents a rich source of biomarkers for monitoring disease and therapy. Although this information could help guide the management of PD patients, little is known about the potential of PDE to define pathomechanism-associated molecular signatures in PD.</p> <p>We therefore subjected PDE to a high-performance multiplex proteomic analysis after depletion of highly-abundant plasma proteins and enrichment of low-abundance proteins...
December 4, 2017: Molecular & Cellular Proteomics: MCP
https://www.readbyqxmd.com/read/29204972/interprofessional-collaboration-a-qualitative-study-of-non-physician-perspectives-on-resident-competency
#6
Mariposa Garth, Alexandra Millet, Emily Shearer, Sara Stafford, Sylvia Bereknyei Merrell, Janine Bruce, Erika Schillinger, Alistair Aaronson, David Svec
BACKGROUND: The Association of American Medical Colleges (AAMC) includes the ability to collaborate in an interprofessional team as a core professional activity that trainees should be able to complete on day 1 of residency (Med Sci Educ. 26:797-800, 2016). The training that medical students require in order to achieve this competency, however, is not well established (Med Sci Educ. 26:457-61, 2016), and few studies have examined non-physician healthcare professionals' perspectives regarding resident physicians' interprofessional skills...
December 4, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29203185/conservative-management-of-high-grade-renal-trauma-does-not-lead-to-prolonged-hospital-stay
#7
Lindsay A Hampson, Kushan D Radadia, Anobel Y Odisho, Jack W McAninch, Benjamin N Breyer
Objective To evaluate the effect of conservative management of high-grade renal trauma on length of hospitalization, we aim to describe characteristics of patients with high-grade renal trauma that are associated with an increased length of stay (LOS) and the effect of conservative versus surgical management on hospital LOS. Methods A retrospective review of all patients who suffered unilateral high-grade renal trauma (grade 3 or higher) from 9/1977 to 8/2012 at San Francisco General Hospital in San Francisco, CA was performed...
December 1, 2017: Urology
https://www.readbyqxmd.com/read/29202097/targeted-community-based-interventions-improved-malaria-management-competencies-in-rural-ghana
#8
Isabella A Quakyi, George O Adjei, David J Sullivan, Judith K Stephens, Amos Laar, Vivian N Ama Aubyn, Richmond Owusu, Kwame S Sakyi, Nathaniel Coleman, Francis D Krampa, Linda Vanotoo, Julliette Tuakli, Bernard B Bortei, Edward Essuman, Felix Sorvor, Isaac A Boateng, Constance Bart-Plange, Ebenezer A Addison, Peter Winch, Andrew A Adjei
Background: Malaria is one of the most challenging public health concerns in the developing world. To address its impact in endemic regions, several interventions are implemented by stakeholders. The Affordable Medicine Facility-malaria (AMFm) is an example of such interventions. Its activities include communication interventions to enhance the knowledge of caregivers of children under five years, licensed chemical sellers (LCS) and prescribers on malaria management with artemisinin-based combination therapy (ACT)...
2017: Global Health Research and Policy
https://www.readbyqxmd.com/read/29200466/quantifying-the-expected-value-of-uncertain-management-choices-for-over-abundant-greylag-geese
#9
Ayesha I T Tulloch, Sam Nicol, Nils Bunnefeld
In many parts of the world, conservation successes or global anthropogenic changes have led to increasing native species populations that then compete with human resource use. In the Orkney Islands, Scotland, a 60-fold increase in Greylag Goose Anser anser numbers over 24 years has led to agricultural damages and culling attempts that have failed to prevent population increase. To address uncertainty about why populations have increased, we combined empirical modelling of possible drivers of Greylag Goose population change with expert-elicited benefits of alternative management actions to identify whether to learn versus act immediately to reduce damages by geese...
October 2017: Biological Conservation
https://www.readbyqxmd.com/read/29194531/conservative-surgery-versus-colorectal-resection-in-deep-endometriosis-infiltrating-the-rectum-a-randomized-trial
#10
Horace Roman, Michael Bubenheim, Emmanuel Huet, Valérie Bridoux, Chrysoula Zacharopoulou, Emile Daraï, Pierre Collinet, Jean-Jacques Tuech
STUDY QUESTION: Is there a difference in functional outcome between conservative versus radical rectal surgery in patients with large deep endometriosis infiltrating the rectum 2 years postoperatively? SUMMARY ANSWER: No evidence was found that functional outcomes differed when conservative surgery was compared to radical rectal surgery for deeply invasive endometriosis involving the bowel. WHAT IS KNOWN ALREADY: Adopting a conservative approach to the surgical management of deep endometriosis infiltrating the rectum, by employing shaving or disc excision, appears to yield improved digestive functional outcomes...
November 29, 2017: Human Reproduction
https://www.readbyqxmd.com/read/29193452/finnish-cytotechnologists-views-on-the-competencies-of-newly-graduated-biomedical-scientists-in-clinical-cytology
#11
E Liikanen
OBJECTIVE: This study asked 40 cytotechnologists for their views on the competencies of newly graduated biomedical scientists in clinical cytology during the national conference of the Finnish Association of Cytotechnologists in November 2015. METHODS: The questionnaire mainly consisted of statements that were scored on a five-point Likert-scale, where 1 was not important and 5 was very important. It covered five sections of clinical cytology: sampling and techniques, gynaecological screening, non-gynaecological screening, safety and quality management, and miscellaneous...
November 29, 2017: Cytopathology: Official Journal of the British Society for Clinical Cytology
https://www.readbyqxmd.com/read/29183312/integrated-community-case-management-in-a-peri-urban-setting-a-qualitative-evaluation-in-wakiso-district-uganda
#12
Robin Altaras, Mark Montague, Kirstie Graham, Clare E Strachan, Laura Senyonjo, Rebecca King, Helen Counihan, Denis Mubiru, Karin Källander, Sylvia Meek, James Tibenderana
BACKGROUND: Integrated community case management (iCCM) strategies aim to reach poor communities by providing timely access to treatment for malaria, pneumonia and diarrhoea for children under 5 years of age. Community health workers, known as Village Health Teams (VHTs) in Uganda, have been shown to be effective in hard-to-reach, underserved areas, but there is little evidence to support iCCM as an appropriate strategy in non-rural contexts. This study aimed to inform future iCCM implementation by exploring caregiver and VHT member perceptions of the value and effectiveness of iCCM in peri-urban settings in Uganda...
November 28, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29177057/motivation-and-perceived-competence-for-healthy-eating-and-exercise-among-overweight-obese-adolescents-in-comparison-to-normal-weight-adolescents
#13
Suzanne Mokhtari, Benjamin Grace, Youngju Pak, Astrid Reina, Quinn Durand, Jennifer K Yee
Background: The current literature on determinants of behavior change in weight management lacks sufficient studies on type of motivation among children/adolescents, on perceived competence, and in relation to healthy eating. This study aimed to investigate type of motivation and levels of perceived competence for healthy diet and exercise, as well as general self efficacy among adolescents. We hypothesized that overweight/obese adolescents would demonstrate lower autonomous motivation and perceived competence regarding diet and exercise, and lower self-efficacy in general, and that the scores would be influenced by socioeconomic factors...
2017: BMC Obesity
https://www.readbyqxmd.com/read/29174280/physician-staffing-needs-in-critical-care-departments
#14
V Gómez Tello, J Ruiz Moreno, M Weiss, E González Marín, P Merino de Cos, N Franco Garrobo, A Alonso Ovies, J C Montejo González, T Iber, G Marx, V Córcoles González, F Gordo Vidal, E Palencia Herrejón, J Roca Guiseris
Departments of Critical Care Medicine are characterized by high medical assistance costs and great complexity. Published recommendations on determining the needs of medical staff in the DCCM are based on low levels of evidence and attribute excessive significance to the structural/welfare approach (physician-to-beds ratio), thus generating incomplete and minimalistic information. The Spanish Society of Intensive Care Medicine and Coronary Units established a Technical Committee of experts, the purpose of which was to draft recommendations regarding requirements for medical professionals in the ICU...
November 21, 2017: Medicina Intensiva
https://www.readbyqxmd.com/read/29171308/family-directed-approach-to-brain-injury-fab-model-a-preliminary-framework-to-guide-family-directed-intervention-for-individuals-with-brain-injury
#15
Alinka Fisher, Michelle Bellon, Sharon Lawn, Sheila Lennon, McKay Sohlberg
PURPOSE: This article proposes a theoretical framework to help professionals include family as active members in brain injury rehabilitation. A trend towards greater family involvement has lead to the development of family-collaboration models. However, current models appear to focus on information sharing rather than increasing the capability of family members. This article introduces a family-directed approach to brain injury model, which provides a theoretical framework for supporting family as facilitators of change...
November 24, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29171165/readtools-a-universal-toolkit-for-handling-sequence-data-from-different-sequencing-platforms
#16
D Gómez-Sánchez, C Schlötterer
Sequencing whole genomes has become a standard research tool in many disciplines including Molecular Ecology, but the rapid technological advances in combination with several competing platforms has resulted in a confusing diversity of formats. This lack of standard formats causes several problems, such as undocumented pre-processing steps or the loss of information in downstream software tools, which do not account for the specifics of the different available formats. ReadTools is an open source Java toolkit designed to standardize and pre-process read data from different platforms...
November 24, 2017: Molecular Ecology Resources
https://www.readbyqxmd.com/read/29171082/mentor-judgements-and-decision-making-in-the-assessment-of-student-nurse-competence-in-practice-a-mixed-methods-study
#17
Sarah Burden, Anne Elizabeth Topping, Catherine O'Halloran
AIM: To investigate how mentors form judgements and reach summative assessment decisions regarding student competence in practice. BACKGROUND: Competence assessment is a significant component of pre-registration nursing programmes in the UK. Concerns exist that assessments are subjective, lack consistency and that mentors fail to judge student performance as unsatisfactory. DESIGN: A two stage sequential embedded mixed methods design. Data collected 2012-2013...
November 23, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29165004/person-directed-care-planning-in-nursing-homes-resident-family-and-staff-perspectives
#18
Kezia Scales, Michael Lepore, Ruth A Anderson, Eleanor S McConnell, Yuting Song, Bada Kang, Kristie Porter, Trini Thach, Kirsten N Corazzini
Empowering individuals to direct their own care is central to person-centered care and health care policy. However, there is limited knowledge of how "person-directed care planning" (PDCP) can be achieved in particular settings. This study identifies key structures and processes for operationalizing and implementing PDCP in nursing homes. Using participatory inquiry, we convened "stakeholder engagement sessions" with residents, families, nursing staff, and managers/administrators in two North Carolina nursing homes ( N = 24 sessions; N = 67 unique participants)...
September 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29162039/experiences-and-wishes-of-women-regarding-systemic-aspects-of-midwifery-care-in-germany-a-qualitative-study-with-focus-groups
#19
Elke Mattern, Susanne Lohmann, Gertrud M Ayerle
BACKGROUND: Knowledge of pregnant women's and mothers' viewpoints on midwifery care is crucial for its appropriate delivery and research. In Germany, comprehensive research to more fully understand women's needs in pregnancy, labour, birth and the postpartum period until weaning is lacking. International studies provide some knowledge of women's expectations, their choices, and subjective criteria indicating good midwifery care. METHODS: This study explores pregnant women's and mothers' experiences, needs and wishes regarding systemic aspects of midwifery care (access, availability, choices, model of midwifery care; maternity care in the healthcare system)...
November 21, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29158918/challenges-with-surveillance-of-healthcare-associated-infections-in-intensive-care-units-in-south-africa
#20
Saajida Mahomed, Ozayr Mahomed, A Willem Sturm, Stephen Knight, Prashini Moodley
Background: The incidence of healthcare-associated infections (HAIs) in the public health sector in South Africa is not known due to the lack of a surveillance system. We report on the challenges experienced in the implementation of a surveillance system for HAIs in intensive care units (ICUs). Methods: A passive, paper-based surveillance system was piloted in eight ICUs to measure the incidence of ventilator-associated pneumonia, catheter-associated urinary tract infection, and central line-associated bloodstream infection...
2017: Critical Care Research and Practice
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