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https://www.readbyqxmd.com/read/27858502/prehospital-providers-perceptions-on-providing-patient-and-family-centered-care
#1
Emily M Ayub, Esther M Sampayo, Manish I Shah, Cara B Doughty
BACKGROUND: A gap exists in understanding a provider's approach to delivering care that is mutually beneficial to patients, families, and other providers in the prehospital setting. The purpose of this study was to identify attitudes, beliefs, and perceived barriers to providing patient and family centered care (PFCC) in the prehospital setting and to describe potential solutions for improving PFCC during critical pediatric events. METHODS: We conducted a qualitative, cross-sectional study of a purposive sample of Emergency Medical Technicians (EMTs) and paramedics from an urban, municipal, fire-based EMS system, who participated in the Pediatric Simulation Training for Emergency Prehospital Providers (PediSTEPPS) course...
November 18, 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27779906/medial-prefrontal-medial-temporal-theta-phase-coupling-in-dynamic-spatial-imagery
#2
Raphael Kaplan, Daniel Bush, James A Bisby, Aidan J Horner, Sofie S Meyer, Neil Burgess
Hippocampal-medial prefrontal interactions are thought to play a crucial role in mental simulation. Notably, the frontal midline/medial pFC (mPFC) theta rhythm in humans has been linked to introspective thought and working memory. In parallel, theta rhythms have been proposed to coordinate processing in the medial temporal cortex, retrosplenial cortex (RSc), and parietal cortex during the movement of viewpoint in imagery, extending their association with physical movement in rodent models. Here, we used noninvasive whole-head MEG to investigate theta oscillatory power and phase-locking during the 18-sec postencoding delay period of a spatial working memory task, in which participants imagined previously learned object sequences either on a blank background (object maintenance), from a first-person viewpoint in a scene (static imagery), or moving along a path past the objects (dynamic imagery)...
October 25, 2016: Journal of Cognitive Neuroscience
https://www.readbyqxmd.com/read/27677827/a-virtual-reality-avatar-interaction-vrai-platform-to-assess-residual-executive-dysfunction-in-active-military-personnel-with-previous-mild-traumatic-brain-injury-proof-of-concept
#3
Nicolas Robitaille, Philip L Jackson, Luc J Hébert, Catherine Mercier, Laurent J Bouyer, Shirley Fecteau, Carol L Richards, Bradford J McFadyen
PURPOSE: This proof of concept study tested the ability of a dual task walking protocol using a recently developed avatar-based virtual reality (VR) platform to detect differences between military personnel post mild traumatic brain injury (mTBI) and healthy controls. METHODS: The VR platform coordinated motion capture, an interaction and rendering system, and a projection system to present first (participant-controlled) and third person avatars within the context of a specific military patrol scene...
September 28, 2016: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/27586065/does-the-presence-of-an-emergency-physician-influence-pre-hospital-time-pre-hospital-interventions-and-the-mortality-of-severely-injured-patients-a-matched-pair-analysis-based-on-the-trauma-registry-of-the-german-trauma-society-traumaregister-dgu-%C3%A2
#4
Dan Bieler, Axel Franke, Rolf Lefering, Sebastian Hentsch, Arnulf Willms, Martin Kulla, Erwin Kollig
PURPOSE: The role of emergency physicians in the pre-hospital management of severely injured patients remains controversial. In Germany and Austria, an emergency physician is present at the scene of an emergency situation or is called to such a scene in order to provide pre-hospital care to severely injured patients in approximately 95% of all cases. By contrast, in the United States and the United Kingdom, paramedics, i.e. non-physician teams, usually provide care to an injured person both at the scene of an incident and en route to an appropriate hospital...
August 28, 2016: Injury
https://www.readbyqxmd.com/read/27498411/fusion-of-sparse-representation-and-dictionary-matching-for-identification-of-humans-in-uncontrolled-environment
#5
Steven Lawrence Fernandes, G Josemin Bala
Biomechanics based human identification is a major area of research. Biomechanics based approaches depend on accurately recognizing humans using body movements, the accuracy of these approaches is enhanced by incorporating the knee-hip angle to angle relationships. Current biomechanics based models are developed by considering the biomechanics of human walking and running. In biomechanics the joint angle characteristics, also known as gait features play a vital role in identification of humans. In general, identification of humans can be broadly classified into two approaches: biomechanics based approach, also known as Gait Recognition and biometric based Composite Sketch Matching...
September 1, 2016: Computers in Biology and Medicine
https://www.readbyqxmd.com/read/27479261/-case-report-bilateral-humeral-intraosseous-access-for-cpr-in-a-3-years-old-child
#6
Thorsten Hess, Roman Böhmer, Florian Arndt, Gernot Lorber, Jochen Herrmann, Klaus Püschel, Thoralf Kerner
On-scene invasive emergency procedures, such as intraosseous puncture, are often unavoidable, when indicated, and present a challenge for the emergency physician. Personal, temporal or local conditions are often unsuitable. Even with regular intervention by the emergency medical service, "last resort" measures occur very infrequently, particularly in pediatric emergencies. For the first time, this case report presents the use of intraosseous access at the humeral head with children, with reference to indication, implementation, problems and risks...
July 2016: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/27441463/shedding-light-on-the-relative-dna-contribution-of-two-persons-handling-the-same-object
#7
F Oldoni, V Castella, D Hall
Traces collected on crime scene objects frequently result in challenging DNA mixtures from several contributors in different DNA proportions. Understanding how the relative proportion of DNA deposited by different persons who handled the same object evolves through time has important bearings. For instance, this information may help determine whether the major contributor in a mixed DNA profile is more likely to correspond to the object owner or to the person who may have stolen this object. In this perspective, a simulation-based protocol was designed where randomly paired participants were asked to act either as first (object owner) or second (last) users...
September 2016: Forensic Science International. Genetics
https://www.readbyqxmd.com/read/27355832/drug-list-as-a-cognitive-support-to-provide-detailed-information-on-a-patient-s-drug-use-a-comparison-of-two-methods-within-the-assessment-of-drug-misuse-and-dependence
#8
Bodil Monwell, Olof Blix, Arne Gerdner, Per Bülow
BACKGROUND: It is important to identify the type of drugs a patient has used, especially when polydrug misuse has increased and new drugs and patterns of misuse are quickly spread. OBJECTIVES: In order to acquire sufficient information about drug use, an effective and simple form of mapping is needed. METHODS: Persons actualized for Opioid Substitution Treatment (n = 135) were interviewed about their drug-history in a two-stage model. First, they were asked to write down the drugs misused, and dot those injected with a felt pen...
September 18, 2016: Substance Use & Misuse
https://www.readbyqxmd.com/read/27167404/neural-correlates-of-divided-attention-in-natural-scenes
#9
Sabrina Fagioli, Emiliano Macaluso
Individuals are able to split attention between separate locations, but divided spatial attention incurs the additional requirement of monitoring multiple streams of information. Here, we investigated divided attention using photos of natural scenes, where the rapid categorization of familiar objects and prior knowledge about the likely positions of objects in the real world might affect the interplay between these spatial and nonspatial factors. Sixteen participants underwent fMRI during an object detection task...
September 2016: Journal of Cognitive Neuroscience
https://www.readbyqxmd.com/read/27119024/reducing-time-to-first-on-scene-an-ambulance-community-first-responder-scheme
#10
Alan Campbell, Matt Ellington
The importance of early access to prehospital care has been demonstrated in many medical emergencies. This work aims to describe the potential time benefit of implementing a student Community First Responder scheme to support ambulance services in an inner-city setting in the United Kingdom. Twenty final and penultimate year medical students in the UK were trained in the "First Person on Scene" Business and Technology Education Council (BTEC) qualification. Over 12 months, they attended 89 emergency calls in an inner-city setting as Community First Responders (CFRs), alongside the West Midlands Ambulance Service, UK...
2016: Emergency Medicine International
https://www.readbyqxmd.com/read/27094813/a-mixed-method-research-to-investigate-the-adoption-of-mobile-devices-and-web2-0-technologies-among-medical-students-and-educators
#11
Si Fan, Jan Radford, Debbie Fabian
BACKGROUND: The past decade has witnessed the increasing adoption of Web 2.0 technologies in medical education. Recently, the notion of digital habitats, Web 2.0 supported learning environments, has also come onto the scene. While there has been initial research on the use of digital habitats for educational purposes, very limited research has examined the adoption of digital habitats by medical students and educators on mobile devices. This paper reports the Stage 1 findings of a two-staged study...
2016: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/27008136/starting-out-facing-my-fear-showed-that-nursing-was-the-right-career-choice-for-me
#12
Jason Jeffery
Having someone collapse in front of me and being the first person on the scene was one of my biggest fears. Then it actually happened.
March 23, 2016: Nursing Standard
https://www.readbyqxmd.com/read/26955058/a-wearable-virtual-usher-for-vision-based-cognitive-indoor-navigation
#13
Liyuan Li, Qianli Xu, Vijay Chandrasekhar, Joo-Hwee Lim, Cheston Tan, Michal Akira Mukawa
Inspired by progresses in cognitive science, artificial intelligence, computer vision, and mobile computing technologies, we propose and implement a wearable virtual usher for cognitive indoor navigation based on egocentric visual perception. A novel computational framework of cognitive wayfinding in an indoor environment is proposed, which contains a context model, a route model, and a process model. A hierarchical structure is proposed to represent the cognitive context knowledge of indoor scenes. Given a start position and a destination, a Bayesian network model is proposed to represent the navigation route derived from the context model...
February 29, 2016: IEEE Transactions on Cybernetics
https://www.readbyqxmd.com/read/26850988/from-resistance-to-invitations-how-men-voluntarily-in-therapy-for-intimate-partner-violence-may-contribute-to-the-development-of-a-working-alliance
#14
Bente Lømo, Hanne Haavind, Odd Arne Tjersland
The high drop-out rate and modest outcome for men in treatment for intimate partner violence (IPV) have highlighted the question of how therapists can establish an effective working alliance with these clients. The aim of this study was to conceptualize the variety of ways in which male clients using violence against a female partner might present themselves to form a working alliance that might appeal to them. We studied how 20 men voluntarily in individual IPV treatment contributed at the beginning of therapy to forming an alliance with therapists skilled in such treatment...
February 5, 2016: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/26746323/-temporality-and-psychological-debriefing-of-groups-a-variant-of-logical-time
#15
C Doucet, D Joubrel
OBJECTIVE: Group debriefing has been a topic of controversy regarding its temporal dimension. What is the opportune time for using this communication device and when is it the most effective? In practice, group debriefing is generally used after the fact, in post-event interventions. What is the rationale for delaying the debriefing process? Debriefing follows a logical progression that goes from evocation of the event to the expression of a possible future. How should one view this progression in relation to the subject's logical temporality? Finally, are the temporalities of the subjects and the group compatible? The objective of this paper is to show that one of the particularities of group debriefing is that it associates group temporality and subjective logical time...
September 2015: L'Encéphale
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