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https://www.readbyqxmd.com/read/28723691/high-cost-of-hospitalization-for-colonic-diverticular-bleeding-depended-on-repeated-bleeding-and-blood-transfusion-analysis-with-diagnosis-procedure-combination-data-in-japan
#1
Yoichiro Ito, Yasuhisa Sakata, Hisako Yoshida, Sayuri Nonaka, Susumu Fujii, Yuichiro Tanaka, Shimpei Shirai, Eri Takeshita, Takashi Akutagawa, Hiroharu Kawakubo, Koji Yamamoto, Nanae Tsuruoka, Ryo Shimoda, Ryuichi Iwakiri, Kazuma Fujimoto
BACKGROUND: Bleeding from a colonic diverticulum is serious in aged patients. The aim of this study was to determine the risk factors for high-cost hospitalization of colonic diverticular bleeding using the diagnosis procedure combination (DPC) data. METHODS: From January 2009 to December 2015, 78 patients with colonic diverticular bleeding were identified by DPC data in Saga Medical School Hospital. All patients underwent colonic endoscopy within 3 days. The patients were divided into 2 groups: the low-cost group (DPC cost of <500,000 yen) and the high-cost group (DPC cost of >500,000 yen)...
July 20, 2017: Digestion
https://www.readbyqxmd.com/read/28714497/admitting-deserving-medical-students-from-rural-and-disadvantaged-patan-academy-of-health-sciences-approach
#2
S K Upadhyay, S Bhandary, D B Bhandari, R K Dulal, K P Baral, R N Gongal, P K Acharya, S Shrestha, J N Shah, A Karki
BACKGROUND: Patan Academy of Health Sciences (PAHS) aims to produce physicians who would be able and willing to serve in the rural areas. Recognizing the critical importance of student selection strategy, among others, in achieving the program goals, it has adopted an innovative scheme for selecting medical students. This paper describes PAHS medical student selection scheme that favors enrollment of deserving applicants from rural and disadvantaged groups so as to help improve distribution of physicians in rural Nepal...
January 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/28705913/interpretation-modalities-used-on-family-centered-rounds-perspectives-of-spanish-speaking-families
#3
Ashley Anttila, David I Rappaport, Johan Tijerino, Nusrat Zaman, Iman Sharif
BACKGROUND AND OBJECTIVES: Limited-English-proficient (LEP) patients and families are at risk for worse hospital outcomes due to impaired communication. Family-centered rounds (FCR) have become the preferred format for information sharing among providers and families at pediatric institutions. However, there are limited data on FCR among LEP families, particularly regarding interpretation type. We sought to examine the relationships between interpretation type and FCR satisfaction and efficacy among Spanish-speaking families, the fastest growing LEP population in pediatric hospitals...
July 13, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28702788/how-do-physicians-become-medical-experts-a-test-of-three-competing-theories-distinct-domains-independent-influence-and-encapsulation-models
#4
Claudio Violato, Hong Gao, Mary Claire O'Brien, David Grier, E Shen
The distinction between basic sciences and clinical knowledge which has led to a theoretical debate on how medical expertise is developed has implications for medical school and lifelong medical education. This longitudinal, population based observational study was conducted to test the fit of three theories-knowledge encapsulation, independent influence, distinct domains-of the development of medical expertise employing structural equation modelling. Data were collected from 548 physicians (292 men-53.3%; 256 women-46...
July 12, 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/28699603/infants-with-extrahepatic-biliary-atresia-effect-of-follow-up-on-the-survival-rate-at-ege-university-medical-school-transplantation-center
#5
Miray Karakoyun, Maşallah Baran, Caner Turan, Murat Kılıç, Orkan Ergun, Sema Aydoğdu
BACKGROUND/AIMS: Biliary atresia (BA) is the main cause of neonatal cholestasis and the primary reason for infant liver transplants worldwide. It is an obliterative cholangiopathy observed only in children and caused by progressive inflammation and fibrosis of the bile duct. We collaborated with a liver transplantation center to investigate the effects of follow-up in patients with BA. MATERIALS AND METHODS: Medical records of 99 patients who were diagnosed with BA and monitored at our center from 1990 to 2002 (27 patients) and from 2003 to 2015 (72 patients) were analyzed retrospectively...
July 2017: Turkish Journal of Gastroenterology: the Official Journal of Turkish Society of Gastroenterology
https://www.readbyqxmd.com/read/28681649/first-experience-with-multiple-mini-interview-for-medical-school-admission-in-brazil-does-it-work-in-a-different-cultural-scenario
#6
Durval Anibal Daniel-Filho, Elda Maria Stafuzza Gonçalves Pires, Angela Tavares Paes, Eduardo Juan Troster, Simone Cristina Azevedo B S Silva, Mariana Fachini Granato, Thomaz Bittencourt Couto, Joyce Kelly Silva Barreto, Alexandre Holthausen Campos, Julio C Martins Monte, Claudio Schvartsman
PURPOSE: Evaluation of non-cognitive skills never has been used in Brazil. This study aims to evaluate Multiple Mini Interviews (MMI) in the admission process of a School of Medicine in São Paulo, Brazil. METHODS: The population of the study comprised 240 applicants summoned for the interviews, and 96 raters. MMI contributed to 25% of the applicants' final grade. Eight scenarios were created with the aim of evaluating different non-cognitive skills, each one had two raters...
July 6, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28678099/shifting-the-curve-fostering-academic-success-in-a-diverse-student-body
#7
Martha L Elks, Janice Herbert-Carter, Marjorie Smith, Brenda Klement, Brandi Brandon Knight, Ngozi F Anachebe
PROBLEM: Diversity in the health care workforce is key to achieving health equity. Although U.S. medical schools have worked to increase the matriculation and academic success of underrepresented minority (URM) students (African Americans, Latinos, others), they have had only limited success. Lower standardized test scores, including on the Medical College Admission Test (MCAT), have been a barrier to matriculation for many URM applicants. Lower subsequent standardized exam scores, including on the United States Medical Licensing Exam Step 1, also have been an impediment to students' progress, with mean scores for URM students lagging behind those for others...
July 3, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28677825/the-impact-after-50-years-of-a-new-medical-education-programme-with-a-regional-workforce-mission
#8
Richard Hays, Sarah Bowles, Terry Brown, Anthony Lawler, James Vickers
BACKGROUND: Tasmania established its medical programme in 1965 to produce graduates to address medical workforce recruitment challenges. Many Tasmanian graduates work in Tasmania, but workforce problems continue. This paper reports the workforce outcomes of the first 42 graduating cohorts. METHODS: A database for all University of Tasmania medical graduates from the years 1970 to 2011 was developed by combining information from university, registration and local workforce survey databases...
July 5, 2017: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/28672063/low-weight-gain-at-the-start-of-a-family-based-intervention-for-adolescent-girls-with-restrictive-eating-disorders-predicted-emergency-hospital-admission
#9
Ingemar Swenne, Helena Salonen Ros
AIM: This study examined predictors of emergency hospitalisation of adolescent girls with restrictive eating disorders and weight loss treated by a family-based intervention programme. METHODS: We studied 339 girls aged 10-17 years treated in a specialist unit at Uppsala University Children's Hospital, Sweden, from August 2010 to December 2015. Historical weight data were obtained from school health services and other weight data were determined at presentation...
July 3, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28649211/online-and-mobile-interventions-for-problem-gambling-alcohol-and-drugs-a-systematic-review
#10
Isabelle Giroux, Annie Goulet, Jonathan Mercier, Christian Jacques, Stéphane Bouchard
Online interventions for gambling, alcohol, and illegal drug related problems have been developing at a fast pace over the past decade. Yet, little is known about the content and efficacy of interventions provided entirely online for reducing drug/alcohol use and gambling, or about the characteristics of those who use these interventions. This systematic review aims to describe the characteristics of online interventions, their efficacy, and the profile of their clientele. Documentation was mainly obtained through four scientific databases in psychology, technology, and medical research (PsychINFO, MedLine, Francis, and INSPEC) using three keywords (substances or gambling, intervention, Internet)...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28617236/retention-patterns-of-canadians-who-studied-medicine-abroad-and-other-international-medical-graduates
#11
Maria Mathews, Rima Kandar, Steve Slade, Yanqing Yi, Sue Beardall, Ivy Bourgeault
OBJECTIVES: Are Canadians who study abroad (CSAs) more likely to stay in Canada than other international medical graduates (IMGs)? We looked at retention patterns of CSAs and immigrant IMGs who completed post-graduate medical education (PGME) training in Canada to describe the proportion and predictors of those working in Canada and in rural communities in Canada in 2015. METHODS: We linked the National IMG Database to Scott's Medical Database to track the work locations of CSAs and immigrant IMGs in 2015...
May 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28611878/physician-variability-in-management-of-emergency-department-patients-with-chest-pain
#12
Peter B Smulowitz, Orit Barrett, Matthew M Hall, Shamai A Grossman, Edward A Ullman, Victor Novack
INTRODUCTION: Chest pain is a common emergency department (ED) presentation accounting for 8-10 million visits per year in the United States. Physician-level factors such as risk tolerance are predictive of admission rates. The recent advent of accelerated diagnostic pathways and ED observation units may have an impact in reducing variation in admission rates on the individual physician level. METHODS: We conducted a single-institution retrospective observational study of ED patients with a diagnosis of chest pain as determined by diagnostic code from our hospital administrative database...
June 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28601913/the-effects-of-a-non-cognitive-versus-cognitive-admission-procedure-within-cohorts-in-one-medical-school
#13
Marieke de Visser, Cornelia Fluit, Janke Cohen-Schotanus, Roland Laan
In medical school selection, non-cognitive performance in particular correlates with performance in clinical practice. It is arguable, therefore, that selection should focus on non-cognitive aspects despite the predictive value of prior cognitive performance for early medical school performance. The aim of this study at Radboud University Medical Center, the Netherlands, is to determine the effects of admitting students through an autonomous non-cognitive procedure on early medical school performance. We compared their performance to the performance of students selected through an autonomous cognitive selection procedure, enrolling in the Bachelor's curriculum simultaneously...
June 10, 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/28585503/admission-exam-at-a-medical-school-correlation-between-symptoms-of-somatization-and-performance
#14
Christian Vajda, Josef Haas, Christian Fazekas
No abstract text is available yet for this article.
June 2017: Zeitschrift Für Psychosomatische Medizin und Psychotherapie
https://www.readbyqxmd.com/read/28557950/are-female-applicants-rated-higher-than-males-on-the-multiple-mini-interview-findings-from-the-university-of-calgary
#15
Marshall Ross, Ian Walker, Lara Cooke, Maitreyi Raman, Pietro Ravani, Sylvain Coderre, Kevin McLaughlin
PURPOSE: The multiple mini-interview (MMI) improves reliability and validity of medical school interviews, and many schools have introduced this in an attempt to select individuals more skilled in communication, critical thinking, and ethical decision making. But every change in the admissions process may produce unintended consequences, such as changing intake demographics. In this article, two studies exploring gender differences in MMI ratings are reported. METHOD: Cumulative meta-analysis was used to compare MMI ratings for female and male applicants to the University of Calgary Cumming School of Medicine between 2010 and 2014...
June 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28557921/less-fantasy-more-reality-a-call-for-humanistic-change-in-medical-school-admissions
#16
Tom Laux
No abstract text is available yet for this article.
June 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28557919/medical-school-admissions-an-lgbtq-perspective
#17
Andrew Tam
No abstract text is available yet for this article.
June 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28557917/the-ugly-truth-about-multiple-mini-interviews-in-medical-school-admissions
#18
Jason Parad
No abstract text is available yet for this article.
June 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28557916/streamlining-the-medical-school-admissions-process-for-couples
#19
Andrew H Zureick, Angela C Gauthier
No abstract text is available yet for this article.
June 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28556861/osteopathic-medical-students-entering-family-medicine-and-attitudes-regarding-osteopathic-manipulative-treatment-preliminary-findings-of-differences-by-sex
#20
Helen H Baker, Machelle Linsenmeyer, Lance C Ridpath, Laurie J Bauer, Robert W Foster
Context: Factors distinguishing osteopathic physicians from their allopathic counterparts include the use of osteopathic manipulative treatment (OMT), application of osteopathic principles and practice (OPP), and a greater likelihood of entering primary care, specifically family medicine (FM). In the United States, the percentage of entering osteopathic medical students who were female rose from 14.3% in fall 1977 to 44.3% in fall 2015. Objectives: To investigate the perspectives of female osteopathic medical students as they relate to osteopathic distinctiveness...
June 1, 2017: Journal of the American Osteopathic Association
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