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"Population medicine"

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https://www.readbyqxmd.com/read/29762797/contrasting-incoming-medical-students-attitudes-dual-degree-vs-traditional-tracks
#1
Kristina A Monteiro, Karl Dietrich, Jeffrey Borkan, Luba Dumenco, Allan R Tunkel, Richard Dollase, Paul George
BACKGROUND AND OBJECTIVES: The Warren Alpert Medical School of Brown University (AMS) recently implemented a novel dual degree MD-ScM program in primary care and population medicine (PC-PM) that enrolls up to 24 of its nearly 144 yearly matriculants. The overarching goal of this track is to train medical students to become physician leaders who focus on issues in population medicine within primary care. METHODS: We conducted a baseline assessment of the students enrolled in this parallel track in comparison to our traditional students to identify characteristics of and group differences between students in the PC-PM program and traditional students...
May 2018: Family Medicine
https://www.readbyqxmd.com/read/29384752/curricular-transformation-the-case-against-global-change
#2
Jeffrey M Borkan, Paul George, Allan R Tunkel
In this Commentary, the authors make the case for medical schools to pursue more circumscribed solutions to curricular redesign for undergraduate medical education (UME) rather than whole system changes-at least as first steps and perhaps as ultimate solutions. While they focus primarily on the experience at the Warren Alpert Medical School of Brown University (AMS), they believe that the insights gleaned from their experiences are generalizable to other innovations and other medical schools. The authors describe the implementation of the Primary Care - Population Medicine track at AMS as a working example of implementing circumscribed rather than global change, and they discuss the advantages and disadvantages of such an approach to curriculum transformation...
January 30, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29374389/community-action-research-track-community-based-participatory-research-and-service-learning-experiences-for-medical-students
#3
Nora Gimpel, Tiffany Kindratt, Alvin Dawson, Patti Pagels
Community-based participatory research (CBPR) and service-learning are unique experiential approaches designed to train medical students how to provide individualized patient care from a population perspective. Medical schools in the US are required to provide support for service-learning and community projects. Despite this requirement, few medical schools offer structured service-learning. We developed the Community Action Research Track (CART) to integrate population medicine, health promotion/disease prevention and the social determinants of health into the medical school curriculum through CBPR and service-learning experiences...
April 2018: Perspectives on Medical Education
https://www.readbyqxmd.com/read/29323821/implementing-population-medicine-in-a-pain-management-practice
#4
Barbara Koschak, David A Bryce, J Timothy Harrington
PURPOSE: To document and improve the quality of our chronic pain management using population management methods. METHODS: An analytic registry was developed, and all new patients were enrolled for 12 months. Patient demographics, standardized pain and function measures, and treatments were recorded. Usual care was provided. The registry was used to organize care and analyze management and outcomes. RESULTS: Of 454 total patients, only 154 (34%) completed a 6-month cycle of care...
June 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29160451/main-characteristics-of-patients-of-primary-health-care-services-in-brazil
#5
Ione Aquemi Guibu, José Cássio de Moraes, Augusto Afonso Guerra, Ediná Alves Costa, Francisco de Assis Acurcio, Karen Sarmento Costa, Margô Gomes de Oliveira Karnikowski, Orlando Mario Soeiro, Silvana Nair Leite, Juliana Álvares
OBJECTIVE: To characterize patients of primary health care services according to demographic and socioeconomic aspects, habits and lifestyle, health condition, and demand for health services and medicines. METHODS: This study is part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos - Serviços (PNAUM - National Survey on Access, Use and Promotion of Rational Use of Medicines - Services), a cross-sectional study carried out between 2014 and 2015...
November 13, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28941816/risk-factors-associated-with-milk-fever-occurrence-in-grazing-dairy-cattle
#6
A Saborío-Montero, B Vargas-Leitón, J J Romero-Zúñiga, J M Sánchez
The aim of this study was to determine risk factors associated with milk fever (MF) occurrence in Costa Rican grazing dairy cattle. A total of 69,870 cows from 126 dairy herds were included in the study. Data were collected in the Veterinary Automated Management and Production Control Program software by the Population Medicine Research Program of the Veterinary Medicine School, National University of Costa Rica, from 1985 to 2014. To determine the risk factors for MF, 2 logistic regression mixed models were evaluated...
September 20, 2017: Journal of Dairy Science
https://www.readbyqxmd.com/read/28935458/-value-based-health-care-vbhc-whence-and-wither
#7
Heiner Raspe
Since about 2005 VbHC has become a prominent movement on the border between population medicine and health economics. The "value" it is aiming at is defined as health care "outcomes per dollar spent". The text focuses on the work of two prominent proponents: M.E. Porter and J.A.M. Gray. It considers background and central elements of VbHC and discusses similarities and differences between the two authors. Especially the differences raise questions that will hopefully play a role in the German discussion that is still in its infancy...
February 2018: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28893808/clinical-population-medicine-integrating-clinical-medicine-and-population-health-in-practice
#8
EDITORIAL
Aaron M Orkin, Aamir Bharmal, Jenni Cram, Fiona G Kouyoumdjian, Andrew D Pinto, Ross Upshur
No abstract text is available yet for this article.
September 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28838385/chest-ultrasonography-in-health-surveillance-of-asbestos-related-pleural-disease
#9
Simone Scarlata, Panaiotis Finamore, Gilda Giannunzio, Simona Santangelo, Raffaele Antonelli Incalzi
High resolution computed tomography, (HRCT), is currently considered the diagnostic gold standard to diagnose early stage malignant pleural mesothelioma and other non-malignant pleural conditions, but it is expensive and exposes the patient to radiation dose. In a screening and population medicine perspective, Thoracic Ultrasounds may become a valuable alternative because it can detect minimal changes in pleural surface, is widely available and safe. On these bases, we therefore validated thoracic US in subjects with history of exposure to asbestos, having HRCT as the reference standard...
September 2017: Lung Cancer: Journal of the International Association for the Study of Lung Cancer
https://www.readbyqxmd.com/read/28581913/evaluation-of-an-immersive-farm-experience-to-teach-and-attract-veterinary-students-to-food-animal-medicine
#10
Derek M Foster, Hannah J Sylvester, Regina M Schoenfeld-Tacher
The Bovine Educational Symposium (BES) is a unique opportunity for North Carolina State University (NCSU) veterinary students to visit dairy farms, feedlots, cow-calf operations, and processing facilities, and to meet local bovine veterinarians. We hypothesized that this active learning opportunity would increase knowledge, change perceptions of animal agriculture and food-animal medicine, and provide skills that persist beyond graduation. Pre- and post-trip surveys were administered to 124 first-, second-, and third-year veterinary students attending BES over 3 years...
December 0: Journal of Veterinary Medical Education
https://www.readbyqxmd.com/read/28532612/why-evidence-based-medicine-failed-in-patient-care-and-medicine-based-evidence-will-succeed
#11
REVIEW
Ralph I Horwitz, Burton H Singer
Evidence-based medicine (EBM) has succeeded in strengthening the evidence base for population medicine. Where EBM has failed is in answering the practicing doctor's question of what a likely outcome would be when a given treatment is administered to a particular patient with her own distinctive biological and biographical (life experience) profile. We propose Medicine-based evidence (MBE), based on the profiles of individual patients, as the evidence base for individualized or personalized medicine. MBE will build an archive of patient profiles using data from all study types and data sources, and will include both clinical and socio-behavioral information...
April 2017: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/28373736/the-creation-of-the-department-of-population-medicine-at-the-ontario-veterinary-college
#12
Kevin Woodger, Elizabeth Stone, Cate Dewey
No abstract text is available yet for this article.
April 2017: Canadian Veterinary Journal. la Revue Vétérinaire Canadienne
https://www.readbyqxmd.com/read/27771883/natural-products-an-alternative-to-conventional-therapy-for-dermatophytosis
#13
REVIEW
Graciliana Lopes, Eugénia Pinto, Lígia Salgueiro
The increased incidence of fungal infections, associated with the widespread use of antifungal drugs, has resulted in the development of resistance, making it necessary to discover new therapeutic alternatives. Among fungal infections, dermatophytoses constitute a serious public health problem, affecting 20-25 % of the world population. Medicinal plants represent an endless source of bioactive molecules, and their volatile and non-volatile extracts are clearly recognized for being the historical basis of therapeutic health care...
February 2017: Mycopathologia
https://www.readbyqxmd.com/read/27718773/difference-of-hospital-charges-for-stroke-inpatients-between-hospitals-with-different-levels-and-therapeutic-modes-in-beijing-china
#14
Xiaochuan Huo, Bin Jiang, Zhenghong Chen, Xiaojuan Ru, Haixin Sun, Dongling Sun, Di Li, Wenzhi Wang
OBJECTIVES: The present study analyzed the hospital charges for stroke patients in China and determined the factors associated with hospital costs. METHODS: Medical records of hospitalized patients with a primary diagnosis of acute stroke were collected from 121 hospitals in Beijing (2012). Distribution characteristics of hospital charges for different stroke types, hospital levels and types were studied. Factors influencing total hospital charges were analyzed...
November 4, 2016: International Journal of Neuroscience
https://www.readbyqxmd.com/read/27099567/appropriateness-in-allergic-respiratory-diseases-health-care-in-italy-definitions-and-organizational-aspects
#15
Carlo Lombardi, Eleonora Savi, Maria Teresa Costantino, Enrico Heffler, Manlio Milanese, Giovanni Passalacqua, Giorgio Walter Canonica
In a historical period in which sustainability of the National Health Service is mandatory because of the international economical situation, the limited available resources at national level and the tendency of passing from a "population medicine" model towards the concept of "individualized medicine", the debate on appropriateness of medical and surgical procedures is of central importance. The choosing wisely campaign, started in United States in 2012 and then spread all over the world, tries to summarize which are the most inappropriate procedures for each medical and surgical speciality; as far as allergic respiratory diseases, the most relevant Italian societies and the American Academy defined the allergological procedures with the highest probability of inappropriateness...
2016: Clinical and Molecular Allergy: CMA
https://www.readbyqxmd.com/read/26604556/critical-analysis-of-india-s-national-mission-on-medicinal-plants-nmmp-in-providing-access-to-quality-botanical-drugs-to-improve-public-health
#16
Rahi Jain, Bakul Rao
Drugs play an important role in improving health of the population. Medicinal plants help in addressing the health issues of a large section of the population - especially the low and middle-income people. However, there are some concerns about the supply, efficacy and safety in using them. This study reviews India's major initiative toward medicinal plants namely, the National Mission on Medicinal Plants to meet medicinal plants challenges. The study analyzed the mission's probable shortcomings due to its design and operational details...
July 2015: Journal of Ayurveda and Integrative Medicine
https://www.readbyqxmd.com/read/26370554/cvd-prevention-through-policy-a-review-of-mass-media-food-menu-labeling-taxation-subsidies-built-environment-school-procurement-worksite-wellness-and-marketing-standards-to-improve-diet
#17
REVIEW
Ashkan Afshin, Jose Penalvo, Liana Del Gobbo, Michael Kashaf, Renata Micha, Kurtis Morrish, Jonathan Pearson-Stuttard, Colin Rehm, Siyi Shangguan, Jessica D Smith, Dariush Mozaffarian
Poor diet is the leading cause of cardiovascular disease in the USA and globally. Evidence-based policies are crucial to improve diet and population health. We reviewed the effectiveness for a range of policy levers to alter diet and diet-related risk factors. We identified evidence to support benefits of focused mass media campaigns (especially for fruits, vegetables, salt), food pricing strategies (both subsidies and taxation, with stronger effects at lower income levels), school procurement policies (for increasing healthful or reducing unhealthful choices), and worksite wellness programs (especially when comprehensive and multicomponent)...
November 2015: Current Cardiology Reports
https://www.readbyqxmd.com/read/26324974/leadership-in-undergraduate-medical-education-training-future-physician-leaders
#18
Brian Clyne, Brenda Rapoza, Paul George
To confront the challenges facing modern health care, experts and organizations are calling for an increase in physician leadership capabilities. In response to this need, physician leadership programs are proliferating, targeting all levels of experience at all levels of training. Many academic medical centers, major universities, and specialty societies now sponsor physician leadership training programs. To meet this need, The Warren Alpert Medical School of Brown University, as part of its Primary Care-Population Medicine (PC-PM) Program, designed a four-year integrated curriculum, Leadership in Health Care, to engage with leadership topics starting early in the preclinical stages of training...
September 1, 2015: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/26324973/integrating-population-and-clinical-medicine-a-new-third-year-curriculum-to-prepare-medical-students-for-the-care-of-individuals-panels-and-populations
#19
Jordan White, Alison Riese, Brian Clyne, Marcia W Vanvleet, Paul George
Population and Clinical Medicine (PCM) I & II constitute two of the nine courses established for the Warren Alpert Medical School of Brown University's (AMS) innovative dual-degree Primary Care-Population Medicine (PC-PM) program. The courses will run consecutively during students' third year in the program, in conjunction with the Longitudinal Integrated Clerkship (LIC). Throughout the courses, students will examine the intersection between population and clinical medicine with a focus on vulnerable populations, the social and community context of care, quality improvement, and leadership...
September 1, 2015: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/26324972/development-of-a-longitudinal-integrated-clerkship-at-the-warren-alpert-medical-school-of-brown-university
#20
Gary Epstein-Lubow, Sybil Cineas, James Yess, David Anthony, Mark Fagan, Paul George
The Warren Alpert Medical School of Brown University is introducing a longitudinal integrated clerkship for third year students in the Primary Care-Population Medicine Program as an alternative to more traditional clerkship models. In developing the longitudinal integrated clerkship, program faculty incorporated a historical perspective of medical education, modern knowledge about students' development of clinical skills, and educational science as it relates to faculty development and learner evaluation. The longitudinal integrated clerkship is being tailored to the fit the Brown University system; as such, it will be unique in its attention to population medicine, including its exposure of students to several distinct health care systems within a single geographic region, and integration of clinical training with completion of a Master's in Population Medicine...
September 1, 2015: Rhode Island Medical Journal
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