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https://www.readbyqxmd.com/read/29773980/anatomical-inputs-from-the-sensory-and-value-structures-to-the-tail-of-the-rat-striatum
#1
Haiyan Jiang, Hyoung F Kim
The caudal region of the rodent striatum, called the tail of the striatum (TS), is a relatively small area but might have a distinct function from other striatal subregions. Recent primate studies showed that this part of the striatum has a unique function in encoding long-term value memory of visual objects for habitual behavior. This function might be due to its specific connectivity. We identified inputs to the rat TS and compared those with inputs to the dorsomedial striatum (DMS) in the same animals. The TS directly received anatomical inputs from both sensory structures and value-coding regions, but the DMS did not...
2018: Frontiers in Neuroanatomy
https://www.readbyqxmd.com/read/29771570/how-primary-health-care-staff-working-in-rural-and-remote-areas-access-skill-development-and-expertise-to-support-health-promotion-practice
#2
Kathryn A McFarlane, Jenni Judd, Hylda Wapau, Nina Nichols, Kerrianne Watt, Sue Devine
INTRODUCTION: Health promotion is a key component of comprehensive primary health care. Health promotion approaches complement healthcare management by enabling individuals to increase control over their health. Many primary healthcare staff have a role to play in health promotion practice, but their ability to integrate health promotion into practice is influenced by their previous training and experience. For primary healthcare staff working in rural and remote locations, access to professional development can be limited by what is locally available and prohibitive in terms of cost for travel and accommodation...
May 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29771228/clinical-leadership-training-an-evaluation-of-the-welsh-fellowship-programme
#3
Suzanne Phillips, Alison Bullock
Purpose UK fellowship schemes have been set up to address low-level engagement of doctors with leadership roles. Established in 2013, the Welsh Clinical Leadership Fellowship (WCLF) programme aims to recruit aspiring future clinical leaders and equip them with knowledge and skills to lead improvements in healthcare delivery. This paper aims to evaluate the 12-month WCLF programme in its first two years of operation. Design/methodology/approach Focused on the participants ( n = 8), the authors explored expectations of the programme, reactions to academic components (provided by Academi Wales) and learning from workplace projects and other opportunities...
May 8, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/29770297/current-status-and-future-perspectives-of-the-pumpkin-trial
#4
REVIEW
Iki Adachi
Similar to the adult experience, the use of continuous-flow ventricular assist devices (VADs) has been increasing in the pediatric population. According to the PediMACS registry, continuous-flow VAD currently accounts for >60% of the durable device implantations in the U.S. Nonetheless, the continuous-flow VADs currently in use are designed for adults; this inevitably causes the patient-device size mismatch issue, especially when applied for small children. Pulsatile VADs, therefore, represent the only practical option for this group of patients despite the known risk profile of pulsatile VADs...
April 2018: Translational Pediatrics
https://www.readbyqxmd.com/read/29762795/addressing-racism-in-medical-education-an-interactive-training-module
#5
Tanya White-Davis, Jennifer Edgoose, Joedrecka S Brown Speights, Kathryn Fraser, Jeffrey M Ring, Jessica Guh, George W Saba
BACKGROUND AND OBJECTIVES: Education of health care clinicians on racial and ethnic disparities has primarily focused on emphasizing statistics and cultural competency, with minimal attention to racism. Learning about racism and unconscious processes provides skills that reduce bias when interacting with minority patients. This paper describes the responses to a relationship-based workshop and toolkit highlighting issues that medical educators should address when teaching about racism in the context of pernicious health disparities...
May 2018: Family Medicine
https://www.readbyqxmd.com/read/29761057/the-performance-of-cleaner-wrasse-labroides-dimidiatus-in-a-reversal-learning-task-varies-across-experimental-paradigms
#6
Simon Gingins, Fanny Marcadier, Sharon Wismer, Océane Krattinger, Fausto Quattrini, Redouan Bshary, Sandra A Binning
Testing performance in controlled laboratory experiments is a powerful tool for understanding the extent and evolution of cognitive abilities in non-human animals. However, cognitive testing is prone to a number of potential biases, which, if unnoticed or unaccounted for, may affect the conclusions drawn. We examined whether slight modifications to the experimental procedure and apparatus used in a spatial task and reversal learning task affected performance outcomes in the bluestreak cleaner wrasse, Labroides dimidiatus (hereafter "cleaners")...
2018: PeerJ
https://www.readbyqxmd.com/read/29759952/head-and-neck-anatomy-effect-of-focussed-near-peer-teaching-on-anatomical-confidence-in-undergraduate-medical-students
#7
Simon Morris, Max Sallis Osborne, Duncan Bowyer
OBJECTIVES: To assess the effect of near-peer head and neck anatomy teaching on undergraduates and to quantify the benefit from a focussed teaching course. Near-peer teaching involves colleagues within close seniority and age proximity teaching one another on a specified topic. DESIGN: Small group teaching sessions were delivered to medical students on 3 key areas of ENT anatomy. Participants were given a precourse and postcourse questionnaire to determine the benefit attained from the course...
May 11, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29759258/improving-maternal-safety-at-scale-with-the-mentor-model-of-collaborative-improvement
#8
Elliott K Main, Ravi Dhurjati, Valerie Cape, Julie Vasher, Anisha Abreo, Shen-Chih Chang, Jeffrey B Gould
BACKGROUND: Obstetric safety bundles, consisting of action steps shown to improve outcomes, have been developed to address the most common and preventable causes of maternal morbidity and mortality. Implementing these best practices across all birthing facilities remains an important and challenging clinical and public health priority. METHODS: The California Maternal Quality Care Collaborative (CMQCC) developed an innovative external mentor model for large-scale collaborative improvement in which participating organizations were subdivided into small teams of six to eight hospitals, led by a paired dyad of physician and nurse leaders...
May 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29758006/multi-touch-tabletop-system-using-infrared-image-recognition-for-user-position-identification
#9
Shota Suto, Toshiya Watanabe, Susumu Shibusawa, Masaru Kamada
A tabletop system can facilitate multi-user collaboration in a variety of settings, including small meetings, group work, and education and training exercises. The ability to identify the users touching the table and their positions can promote collaborative work among participants, so methods have been studied that involve attaching sensors to the table, chairs, or to the users themselves. An effective method of recognizing user actions without placing a burden on the user would be some type of visual process, so the development of a method that processes multi-touch gestures by visual means is desired...
May 14, 2018: Sensors
https://www.readbyqxmd.com/read/29752859/shifts-in-nursing-and-medical-student-s-attitudes-beliefs-and-behaviours-about-interprofessional-work-an-interprofessional-placement-in-ambulatory-care
#10
Karla Seaman, Rosemary Saunders, Helen Dugmore, Claire Tobin, Rachel Singer, Fiona Lake
AIM AND OBJECTIVES: To examine students' beliefs, behaviours and attitudes in relation to interprofessional socialisation, and their expectations and experience, before and after a two-week clinical placement in ambulatory care. BACKGROUND: Interprofessional clinical placements for students are important for developing an understanding of interprofessional collaboration and identity, for the benefit of patient care. Ambulatory care environment involves collaborative management of complex chronic problems...
May 12, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29751809/lessons-learned-from-ideal-33-recommendations-from-the-ideal-net-about-design-and-analysis-of-small-population-clinical-trials
#11
REVIEW
Ralf-Dieter Hilgers, Malgorzata Bogdan, Carl-Fredrik Burman, Holger Dette, Mats Karlsson, Franz König, Christoph Male, France Mentré, Geert Molenberghs, Stephen Senn
BACKGROUND: IDeAl (Integrated designs and analysis of small population clinical trials) is an EU funded project developing new statistical design and analysis methodologies for clinical trials in small population groups. Here we provide an overview of IDeAl findings and give recommendations to applied researchers. METHOD: The description of the findings is broken down by the nine scientific IDeAl work packages and summarizes results from the project's more than 60 publications to date in peer reviewed journals...
May 11, 2018: Orphanet Journal of Rare Diseases
https://www.readbyqxmd.com/read/29750367/efficacy-of-maternal-choline-supplementation-during-pregnancy-in-mitigating-adverse-effects-of-prenatal-alcohol-exposure-on-growth-and-cognitive-function-a-randomized-double-blind-placebo-controlled-clinical-trial
#12
Sandra W Jacobson, R Colin Carter, Christopher D Molteno, Mark E Stanton, Jane Herbert, Nadine M Lindinger, Catherine E Lewis, Neil C Dodge, H Eugene Hoyme, Steven H Zeisel, Ernesta M Meintjes, Christopher P Duggan, Joseph L Jacobson
BACKGROUND: We recently demonstrated the acceptability and feasibility of a randomized, double-blind choline supplementation intervention for heavy drinking women during pregnancy. In this paper, we report our results relating to the efficacy of this intervention in mitigating adverse effects of prenatal alcohol exposure on infant growth and cognitive function. METHODS: 69 Cape Coloured (mixed ancestry) heavy drinkers in Cape Town, South Africa, recruited in mid-pregnancy, were randomly assigned to receive a daily oral dose of either 2 g of choline or placebo from time of enrollment until delivery...
May 11, 2018: Alcoholism, Clinical and Experimental Research
https://www.readbyqxmd.com/read/29747641/the-syrian-conflict-a-case-study-of-the-challenges-and-acute-need-for-medical-humanitarian-operations-for-women-and-children-internally-displaced-persons
#13
Rahma Aburas, Amina Najeeb, Laila Baageel, Tim K Mackey
BACKGROUND: After 7 years of increasing conflict and violence, the Syrian civil war now constitutes the largest displacement crisis in the world, with more than 6 million people who have been internally displaced. Among this already-vulnerable population group, women and children face significant challenges associated with lack of adequate access to maternal and child health (MCH) services, threatening their lives along with their immediate and long-term health outcomes. DISCUSSION: While several health and humanitarian aid organizations are working to improve the health and welfare of internally displaced Syrian women and children, there is an immediate need for local medical humanitarian interventions...
May 11, 2018: BMC Medicine
https://www.readbyqxmd.com/read/29745711/rapid-visual-perception-of-interracial-crowds-racial-category-learning-from-emotional-segregation
#14
Sarah Ariel Lamer, Timothy D Sweeny, Michael Louis Dyer, Max Weisbuch
Drawing from research on social identity and ensemble coding, we theorize that crowd perception provides a powerful mechanism for social category learning. Crowds include allegiances that may be distinguished by visual cues to shared behavior and mental states, providing perceivers with direct information about social groups and thus a basis for learning social categories. Here, emotion expressions signaled group membership: to the extent that a crowd exhibited emotional segregation (i.e., was segregated into emotional subgroups), a visible characteristic (race) that incidentally distinguished emotional subgroups was expected to support categorical distinctions...
May 2018: Journal of Experimental Psychology. General
https://www.readbyqxmd.com/read/29742960/amantadine-did-not-positively-impact-cognition-in-chronic-traumatic-brain-injury-a-multi-site-randomized-controlled-trial
#15
Flora Hammond, Mark Sherer, James F Malec, Ross D Zafonte, Sureyya Dikmen, Jennifer A Bogner, Kathleen Bell, Jason Barber, Nancy Temkin
Despite limited evidence to support the use of amantadine to enhance cognitive function after traumatic brain injury, the clinical use for this purpose is highly prevalent and is often based on inferred belief systems. The purpose of this study was to assess effect of amantadine on cognition among individuals with a history of traumatic brain injury and behavioral disturbance employing a parallel-group, randomized, double-blind, placebo-controlled trial of amantadine 100 mg twice daily vs placebo for 60 days...
May 10, 2018: Journal of Neurotrauma
https://www.readbyqxmd.com/read/29740956/no-such-thing-as-a-free-lunch
#16
Douglas G J McKechnie, Anush Shashidhara, Pam Houston, Deborah Gill, Paul Dilworth
BACKGROUND: High-quality, out-of-classroom interactions between students and teachers help to develop communities of learning. In medicine, they contribute to the professionalisation of students. METHODS: We designed a novel student-faculty member lunch scheme for first-year medical students at our institution. Students received a free lunch in groups of six with a faculty member 'hosting' and paying for lunch, with the cost reimbursed by the medical school. Focus groups with students were used to evaluate the impact of the intervention...
May 8, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29740271/a-preliminary-comparison-of-motor-learning-across-different-non-invasive-brain-stimulation-paradigms-shows-no-consistent-modulations
#17
Virginia Lopez-Alonso, Sook-Lei Liew, Miguel Fernández Del Olmo, Binith Cheeran, Marco Sandrini, Mitsunari Abe, Leonardo G Cohen
Non-invasive brain stimulation (NIBS) has been widely explored as a way to safely modulate brain activity and alter human performance for nearly three decades. Research using NIBS has grown exponentially within the last decade with promising results across a variety of clinical and healthy populations. However, recent work has shown high inter-individual variability and a lack of reproducibility of previous results. Here, we conducted a small preliminary study to explore the effects of three of the most commonly used excitatory NIBS paradigms over the primary motor cortex (M1) on motor learning (Sequential Visuomotor Isometric Pinch Force Tracking Task) and secondarily relate changes in motor learning to changes in cortical excitability (MEP amplitude and SICI)...
2018: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/29738285/futsal-task-constraints-promote-transfer-of-passing-skill-to-soccer-task-constraints
#18
Luca Oppici, Derek Panchuk, Fabio Rubens Serpiello, Damian Farrow
This study investigated how learning a passing skill with futsal or soccer task constraints influenced transfer to a new task. Futsal (n = 24, 13.6 ± 1.2 years old, 7.0 ± 1.6 years of experience) and soccer (n = 24, 13.6 ± 1.2 years old, 6.8 ± 1.2 years of experience) players performed two 5v5 + goalkeeper modified games - a futsal-like task (small playing area with the futsal ball) and soccer-like task (large playing area with the soccer ball). Participants' passing accuracy and their orientation of attention were assessed during the two tasks...
May 8, 2018: European Journal of Sport Science
https://www.readbyqxmd.com/read/29734256/assessing-information-needs-regarding-metabolic-syndrome-among-gynecological-cancer-survivors-a-concurrent-mixed-method
#19
Insil Jang, Ji-Su Kim, Minhae Kim, Eunkyung Lee
BACKGROUND: Cancer survivors have an increased risk of non-cancer-related deaths, particularly metabolic syndrome (MetS). OBJECTIVE: We aimed to assess knowledge deficits regarding metabolism-related diseases among gynecological cancer survivors and the preferred source of health information. METHODS: Using a mixed methods approach, 70 participants responded to a structured modified version of the MetS questionnaire. We conducted 28 semistructured interviews of gynecological cancer survivors with MetS...
April 27, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29728090/what-can-we-learn-from-problem-based-learning-tutors-at-a-graduate-entry-medical-school-a-mixed-method-approach
#20
Diane O Doherty, Helena Mc Keague, Sarah Harney, Gerard Browne, Deirdre McGrath
Problem-based learning (PBL) has been adopted by many medical schools as an innovative method to deliver an integrated medical curriculum since its inception at McMaster University (Dornan et al., Med Educ 39(2):163-170, 2005; Finucane et al., Med Educ 35(1):56-61, 2001; Barrows, Tutorials in problem-based learning: A new direction in teaching the health professions, 1984). The student experience in PBL has been explored in detail (Merriam, New Directions for Adult and Continuing Education 89: 3-13, 2001; Azer, Kaohsiung J Med Sci 25(5): 240-249, 2009; Boelens et al...
May 4, 2018: BMC Medical Education
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