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https://www.readbyqxmd.com/read/28428160/simulated-conversations-with-virtual-humans-to-improve-patient-provider-communication-and-reduce-unnecessary-prescriptions-for-antibiotics-a-repeated-measure-pilot-study
#1
Antoinette Schoenthaler, Glenn Albright, Judith Hibbard, Ron Goldman
BACKGROUND: Despite clear evidence that antibiotics do not cure viral infections, the problem of unnecessary prescribing of antibiotics in ambulatory care persists, and in some cases, prescribing patterns have increased. The overuse of antibiotics for treating viral infections has created numerous economic and clinical consequences including increased medical costs due to unnecessary hospitalizations, antibiotic resistance, disruption of gut bacteria, and obesity. Recent research has underscored the importance of collaborative patient-provider communication as a means to reduce the high rates of unnecessary prescriptions for antibiotics...
April 19, 2017: JMIR Medical Education
https://www.readbyqxmd.com/read/28426301/small-group-randomized-controlled-trial-to-increase-condom-use-and-hiv-testing-among-hispanic-latino-gay-bisexual-and-other-men-who-have-sex-with-men
#2
Scott D Rhodes, Jorge Alonzo, Lilli Mann, Eunyoung Y Song, Amanda E Tanner, Jorge Elias Arellano, Rodrigo Rodriguez-Celedon, Manuel Garcia, Arin Freeman, Beth A Reboussin, Thomas M Painter
OBJECTIVES: To evaluate the HOLA en Grupos intervention, a Spanish-language small-group behavioral HIV prevention intervention designed to increase condom use and HIV testing among Hispanic/Latino gay, bisexual, and other men who have sex with men. METHODS: In 2012 to 2015, we recruited and randomized 304 Hispanic/Latino men who have sex with men, aged 18 to 55 years in North Carolina, to the 4-session HOLA en Grupos intervention or an attention-equivalent general health education comparison intervention...
April 20, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28420689/-the-year-of-first-aid-effectiveness-of-a-3-day-first-aid-programme-for-7-14-year-old-primary-school-children
#3
Balint Banfai, Emese Pek, Attila Pandur, Henrietta Csonka, Jozsef Betlehem
AIM OF THE STUDY: Bystanders can play an important role in the event of sudden injury or illness. Our aim was to evaluate the effects of a 3-day first aid course for all primary school age groups (7-14 years old). METHODS: 582 school children were involved in the study. Training consisted of three sessions with transfer of theoretical knowledge and practical skills about first aid. The following most urgent situations were addressed in our study: adult basic life support (BLS), using an automated external defibrillator (AED), handling an unconscious patient, managing bleeding and calling the ambulance...
April 18, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28419170/evaluation-of-the-relative-efficacy-of-a-couple-cognitive-behaviour-therapy-cbt-for-premenstrual-disorders-pmds-in-comparison-to-one-to-one-cbt-and-a-wait-list-control-a-randomized-controlled-trial
#4
Jane M Ussher, Janette Perz
DESIGN: A randomised control trial (RCT) was conducted to examine the efficacy of couple-based cognitive behaviour therapy (CBT) for Premenstrual Disorders (PMDs), in comparison to one-to-one CBT and a wait-list control. METHODS: Triangulation of quantitative and qualitative outcome measures evaluated changes pre-post intervention. Eighty three women were randomly allocated across three conditions, with 63 completing post-intervention measures, a retention rate of 76%...
2017: PloS One
https://www.readbyqxmd.com/read/28409149/collaborative-implementation-strategy-for-newborn-resuscitation-and-essential-care-training-in-the-dominican-republic
#5
REVIEW
Alexandra Leader, Claudia Cadet, Davina Lazala, Wanny Roa, Olga Arroyo, Lloyd Jensen
BACKGROUND: Neonatal mortality accounts for 45% of under-5 mortality worldwide, with 98% of newborn deaths occurring in developing countries. The Dominican Republic (DR) demonstrates one of the highest neonatal mortality rates in Latin America despite broad access to care. Strategies to support professional capacity building and strengthen the local health care system are needed to improve neonatal outcomes in the DR. RATIONALE: Helping babies breathe (HBB) and essential care for every baby (ECEB) are evidence-based newborn resuscitation and essential care training programs that have been shown to improve providers' confidence, knowledge, and clinical skills...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28406100/medication-calculation-and-administration-workshop-and-hurdle-assessment-increases-student-awareness-towards-the-importance-of-safe-practices-to-decrease-medication-errors-in-the-future
#6
Darlene Wallace, Torres Woolley, David Martin, Roy Rasalam, Maria Bellei
BACKGROUND: Medication errors are the second most frequently reported hospital incident in Australia and are a global concern. A "Medication Calculation and Administration" workshop followed by a "hurdle" assessment (compulsory task mandating a minimum level of performance as a condition of passing the course) was introduced into Year 2 of the James Cook University medical curriculum to decrease dosage calculation and administration errors among graduates. This study evaluates the effectiveness of this educational activity as a long-term strategy to teach medical students' essential skills in calculating and administering medications...
September 2016: Education for Health: Change in Training & Practice
https://www.readbyqxmd.com/read/28399847/evaluation-of-helping-babies-breathe-quality-improvement-cycle-hbb-qic-on-retention-of-neonatal-resuscitation-skills-six-months-after-training-in-nepal
#7
Ashish Kc, Johan Wrammert, Viktoria Nelin, Robert B Clark, Uwe Ewald, Stefan Peterson, Mats Målqvist
BACKGROUND: Each year 700,000 infants die due to intrapartum-related complications. Implementation of Helping Babies Breathe (HBB)-a simplified neonatal resuscitation protocol in low-resource clinical settings has shown to reduce intrapartum stillbirths and first-day neonatal mortality. However, there is a lack of evidence on the effect of different HBB implementation strategies to improve and sustain the clinical competency of health workers on bag-and-mask ventilation. This study was conducted to evaluate the impact of multi-faceted implementation strategy for HBB, as a quality improvement cycle (HBB-QIC), on the retention of neonatal resuscitation skills in a tertiary hospital of Nepal...
April 11, 2017: BMC Pediatrics
https://www.readbyqxmd.com/read/28398842/feasibility-of-a-brief-yoga-intervention-for-improving-acute-pain-and-distress-post-gynecologic-surgery
#8
Stephanie J Sohl, Nancy E Avis, Kimberly Stanbery, Janet A Tooze, Kelly Moormann, Suzanne C Danhauer
BACKGROUND: Women undergoing surgical procedures for suspected gynecologic malignancies frequently experience pain and psychological distress related to surgery. Yoga may reduce these negative surgical outcomes. The primary objective of this pilot study was to assess the feasibility of evaluating a perioperative brief Yoga Skills Training (YST) in this population. Secondary objectives were to (1) assess the immediate effects of the YST on pain and psychological distress; and (2) provide preliminary data for future studies...
September 1, 2016: International Journal of Yoga Therapy
https://www.readbyqxmd.com/read/28384682/interactive-voice-response-based-self-management-for-chronic-back-pain-the-copes-noninferiority-randomized-trial
#9
Alicia A Heapy, Diana M Higgins, Joseph L Goulet, Kathryn M LaChappelle, Mary A Driscoll, Rebecca A Czlapinski, Eugenia Buta, John D Piette, Sarah L Krein, Robert D Kerns
Importance: Recommendations for chronic pain treatment emphasize multimodal approaches, including nonpharmacologic interventions to enhance self-management. Cognitive behavioral therapy (CBT) is an evidence-based treatment that facilitates management of chronic pain and improves outcomes, but access barriers persist. Cognitive behavioral therapy delivery assisted by health technology can obviate the need for in-person visits, but the effectiveness of this alternative to standard therapy is unknown...
April 3, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28384553/neonatal-resuscitation-training-for-midwives-in-uganda-strengthening-skill-and-knowledge-retention
#10
Clare Mildenberger, Cathryn Ellis, Kelley Lee
The objective of this project was to improve birth outcomes for babies in a regional referral hospital in Uganda by strengthening factors that influence the retention and application of neonatal resuscitation skills. Initial training in neonatal resuscitation is not enough on its own. In order to better understand the gap between training and effective practice, an evaluation of a neonatal resuscitation program was carried out. This included practical skill testing of local midwives using a neonatal resuscitation doll pre- and post-training, as well as follow up testing at 1 month and 12 months, followed by focus groups and interviews...
March 27, 2017: Midwifery
https://www.readbyqxmd.com/read/28381930/interference-effect-of-prior-explicit-information-on-motor-sequence-learning-in-relapsing-remitting-multiple-sclerosis-patients
#11
Nahid Zahiri, Iraj Abollahi, Seyed Massood Nabavi, Fatemeh Ehsani, Amir Masoud Arab, Ina Shaw, Ardalan Shariat, Brandon S Shaw, Maryam Dastoorpoor, Mahmoud Danaee, Bahram Sangelaji
BACKGROUND: Multiple sclerosis (MS) is the most widespread disabling neurological condition in young adults around the world. The purpose of this study was to investigate the impact of explicit information (EI) on motor-sequence learning in MS patients. METHODS: Thirty patients with relapsing-remitting MS (RRMS), age: 29.5 (SD = 5.6) years and 30 healthy gender-, age-, and education-matched control group participants, age: 28.8 (SD = 6.0) years, were recruited for this study...
March 2017: Malaysian Journal of Medical Sciences: MJMS
https://www.readbyqxmd.com/read/28381289/causes-consequences-and-policy-responses-to-the-migration-of-health-workers-key-findings-from-india
#12
Margaret Walton-Roberts, Vivien Runnels, S Irudaya Rajan, Atul Sood, Sreelekha Nair, Philomina Thomas, Corinne Packer, Adrian MacKenzie, Gail Tomblin Murphy, Ronald Labonté, Ivy Lynn Bourgeault
BACKGROUND: This study sought to better understand the drivers of skilled health professional migration, its consequences, and the various strategies countries have employed to mitigate its negative impacts. The study was conducted in four countries-Jamaica, India, the Philippines, and South Africa-that have historically been "sources" of health workers migrating to other countries. The aim of this paper is to present the findings from the Indian portion of the study. METHODS: Data were collected using surveys of Indian generalist and specialist physicians, nurses, midwives, dentists, pharmacists, dieticians, and other allied health therapists...
April 5, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28376345/the-effect-of-modeled-absolute-timing-variability-and-relative-timing-variability-on-observational-learning
#13
Lawrence E M Grierson, James W Roberts, Arthur M Welsher
There is much evidence to suggest that skill learning is enhanced by skill observation. Recent research on this phenomenon indicates a benefit of observing variable/erred demonstrations. In this study, we explore whether it is variability within the relative organization or absolute parameterization of a movement that facilitates skill learning through observation. To do so, participants were randomly allocated into groups that observed a model with no variability, absolute timing variability, relative timing variability, or variability in both absolute and relative timing...
April 1, 2017: Acta Psychologica
https://www.readbyqxmd.com/read/28376020/head-camera-video-recordings-of-trauma-core-competency-procedures-can-evaluate-surgical-resident-s-technical-performance-as-well-as-co-located-evaluators
#14
Colin F Mackenzie, Jason Pasley, Evan Garofalo, Stacy Shackelford, Hegang Chen, Nyaradzo Longinaker, Guinevere Granite, Kristy Pugh, George Hagegeorge, Samuel A Tisherman
BACKGROUND: Unbiased evaluation of trauma core competency procedures is necessary to determine if residency and pre-deployment training courses are useful. We tested whether a previously validated Individual Procedure Score (IPS) for individual procedure vascular exposure and fasciotomy (FAS) performance skills, could discriminate training status, by comparing IPS of evaluators co-located with surgeons to blind video evaluations. METHODS: Performance of axillary (AA), brachial (BA) and femoral artery (FA) vascular exposures and lower extremity FAS on fresh cadavers by 40 PGY 2-6 residents was video recorded from head- mounted cameras...
April 4, 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28368963/improved-retention-of-chest-compression-psychomotor-skills-with-brief-rolling-refresher-training
#15
Dana E Niles, Akira Nishisaki, Robert M Sutton, Okan U Elci, Peter A Meaney, Kathleen A OʼConnor, Jessica Leffelman, Jo Kramer-Johansen, Robert A Berg, Vinay Nadkarni
INTRODUCTION: High-quality cardiopulmonary resuscitation (CPR) is critical to improve survival from cardiac arrest. However, cardiopulmonary resuscitation knowledge and psychomotor skill proficiency are transient. We hypothesized that brief, in situ refresher training will improve chest compression (CC) psychomotor skill retention for bedside providers. METHODS: Nurses completed a baseline skill evaluation of CC quality 6 months after traditional basic life support recertification...
April 1, 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/28361662/throwing-skills
#16
Saeed Ghorbani, Andreas Bund
Traditionally, motor learning scientists have evaluated the process of learning a new motor skill by considering the skill as a whole. Yet, motor skills comprise various phases, and in the motor learning literature, it is not clear whether new learners show similar or different learning across various phases. We provide exploratory data on learning movement phases by novices, using baseball pitching as the learning task. Eight participants (four male, four female, M age = 23.7 years, SD = 2.4) performed five trials each in the pretest followed by three blocks of 10 trials each in the acquisition phase...
April 2017: Perceptual and Motor Skills
https://www.readbyqxmd.com/read/28355263/the-effect-of-a-sequential-structure-of-practice-for-the-training-of-perceptual-cognitive-skills-in-tennis
#17
David P Broadbent, Paul R Ford, Dominic A O'Hara, A Mark Williams, Joe Causer
OBJECTIVE: Anticipation of opponent actions, through the use of advanced (i.e., pre-event) kinematic information, can be trained using video-based temporal occlusion. Typically, this involves isolated opponent skills/shots presented as trials in a random order. However, two different areas of research concerning representative task design and contextual (non-kinematic) information, suggest this structure of practice restricts expert performance. The aim of this study was to examine the effect of a sequential structure of practice during video-based training of anticipatory behavior in tennis, as well as the transfer of these skills to the performance environment...
2017: PloS One
https://www.readbyqxmd.com/read/28351359/conveying-practical-clinical-skills-with-the-help-of-teaching-associates-a-randomised-trial-with-focus-on-the-long-term-learning-retention
#18
Sebastian H Hoefer, Jasmina Sterz, Bernd Bender, Maria-Christina Stefanescu, Marius Theis, Felix Walcher, Robert Sader, Miriam Ruesseler
BACKGROUND: Ensuring that all medical students achieve adequate clinical skills remains a challenge, yet the correct performance of clinical skills is critical for all fields of medicine. This study analyzes the influence of receiving feedback by teaching associates in the context of achieving and maintaining a level of expertise in complex head and skull examination. METHODS: All third year students at a German university who completed the obligatory surgical skills lab training and surgical clerkship participated in this study...
March 28, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28351063/from-communication-skills-to-skillful-communication-a-longitudinal-integrated-curriculum-for-critical-care-medicine-fellows
#19
Amanda L Roze des Ordons, Christopher J Doig, Philippe Couillard, Jason Lord
PROBLEM: Communication with patients and families in critical care medicine (CCM) can be complex and challenging. A longitudinal curricular model integrating multiple techniques within classroom and clinical milieus may facilitate skillful communication across diverse settings. APPROACH: In 2014-2015, the authors developed and implemented a curriculum for CCM fellows at the Cumming School of Medicine, University of Calgary, to promote the longitudinal development of skillful communication...
April 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28350191/persons-with-brain-injury-and-employment-supports-long-term-employment-outcomes-and-use-of-community-based-services
#20
Alisa Grigorovich, Mary Stergiou-Kita, Thecla Damianakis, Guylaine Le Dorze, Carolyn Lemsky, Debbie Hebert
OBJECTIVES: To understand how employment services (ES) are provided to persons with brain injuries (PWBIs) in Ontario, Canada, and the impact service delivery has on competitive-employment outcomes. DESIGN AND METHODS: A mixed-method case study of one community-based agency that provides specialized services to PWBIs. Relationships between demographic, service-related variables and employment outcomes (2009-2014) were analysed using chi-squares and analyses of variance...
March 28, 2017: Brain Injury: [BI]
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