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https://www.readbyqxmd.com/read/28520498/palliative-care-and-parkinson-s-disease-caregiver-perspectives
#1
Isabel Boersma, Jacqueline Jones, Christina Coughlan, Julie Carter, David Bekelman, Janis Miyasaki, Jean Kutner, Benzi Kluger
BACKGROUND: Palliative care for Parkinson's disease (PD) is an emerging area of interest for clinicians, patients and families. Identifying the palliative care needs of caregivers is central to developing and implementing palliative services for families affected by PD. The objective of this paper was to elicit PD caregiver needs, salient concerns, and preferences for care using a palliative care framework. MATERIALS AND METHODS: 11 PD caregivers and one non-overlapping focus group (n = 4) recruited from an academic medical center and community support groups participated in qualitative semi-structured interviews...
May 18, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28514239/understanding-women-s-sexual-behaviors-that-may-put-them-at-risk-for-human-papillomavirus-related-neoplasias-what-should-we-ask
#2
Amita Kulkarni, Tram Tran, Christine Luis, Christina A Raker, Beth Cronin, Katina Robison
OBJECTIVES: Human papillomavirus is a multifocal infection that can involve the cervix, vagina, vulva, anus, and oropharynx. Our study aimed to determine whether standard sexual history questions regarding anal intercourse identify women participating in anal-related sexual practices. MATERIALS AND METHODS: A cross-sectional survey was conducted at the dysplasia clinic of a large academic medical center. Women presenting with human papillomavirus-related cervical, vulvar, or vaginal abnormalities were eligible...
May 16, 2017: Journal of Lower Genital Tract Disease
https://www.readbyqxmd.com/read/28509721/bundled-payments-for-care-improvement-preparing-for-the-medical-diagnosis-related-groups
#3
Lauran Hardin, Adam Kilian, Elizabeth Murphy
BACKGROUND: The Centers for Medicare and Medicaid Services Innovation Center introduced the Bundled Payments for Care Improvement (BPCI) initiative in 2011 as 1 strategy to encourage healthcare organizations and clinicians to improve healthcare delivery for patients, both when they are in the hospital and after they are discharged. Mercy Health Saint Mary's, a large urban academic medical center, engaged in BPCI primarily with a group of medical diagnosis-related groups (DRGs). OBJECTIVES: In this article, we describe our experience creating a system of response for the diverse people and diagnoses that fall into the medical DRG bundles and specifically identify organizational factors for enabling successful implementation of bundled payments...
May 15, 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28508741/caep-2016-academic-symposium-on-education-scholarship-training-our-future-clinician-educators-in-emergency-medicine
#4
Robert A Woods, Jennifer D Artz, Benoit Carrière, Simon Field, James Huffman, Sandy L Dong, Farhan Bhanji, Stella Yiu, Sheila Smith, Rose Mengual, Chris Hicks, Jason Frank
OBJECTIVE: To develop consensus recommendations for training future clinician educators (CEs) in emergency medicine (EM). METHODS: A panel of EM education leaders was assembled from across Canada and met regularly by teleconference over the course of 1 year. Recommendations for CE training were drafted based on the panel's experience, a literature review, and a survey of current and past EM education leaders in Canada. Feedback was sought from attendees at the Canadian Association of Emergency Physicians (CAEP) annual academic symposium...
May 2017: CJEM
https://www.readbyqxmd.com/read/28508740/caep-2016-academic-symposium-a-writer-s-guide-to-key-steps-in-producing-quality-medical-education-scholarship
#5
Teresa M Chan, Brent Thoma, Andrew Koch Hall, Aleisha Murnaghan, Daniel K Ting, Carly Hagel, Kristen Weersink, Paola Camorlinga, Jill McEwen, Farhan Bhanji, Jonathan Sherbino
A key skill for successful clinician educators is the effective dissemination of scholarly innovations and research. Although there are many ways to disseminate scholarship, the most accepted and rewarded form of educational scholarship is publication in peer-reviewed journals. This paper provides direction for emergency medicine (EM) educators interested in publishing their scholarship via traditional peer-reviewed avenues. It builds upon four literature reviews that aggregated recommendations for writing and publishing high-quality quantitative and qualitative research, innovations, and reviews...
May 2017: CJEM
https://www.readbyqxmd.com/read/28504978/beyond-googling-the-ethics-of-using-patients-electronic-footprints-in-psychiatric-practice
#6
Carl E Fisher, Paul S Appelbaum
Electronic communications are an increasingly important part of people's lives, and much information is accessible through such means. Anecdotal clinical reports indicate that mental health professionals are beginning to use information from their patients' electronic activities in treatment and that their data-gathering practices have gone far beyond simply searching for patients online. Both academic and private sector researchers are developing mental health applications to collect patient information for clinical purposes...
May 12, 2017: Harvard Review of Psychiatry
https://www.readbyqxmd.com/read/28489453/association-of-decision-making-with-patients-perceptions-of-care-and-knowledge-during-longitudinal-pulmonary-nodule-surveillance
#7
Donald R Sullivan, Sara E Golden, Linda Ganzini, Renda Soylemez Wiener, Karen B Eden, Christopher G Slatore
RATIONALE: Patient participation in medical decision making is widely advocated, but outcomes are inconsistent. OBJECTIVES: We examined the associations between medical decision making roles and patients' perceptions of their care and knowledge while undergoing pulmonary nodule surveillance. METHODS: The setting was an academically-affiliated Veterans Affairs hospital network where 121 participants had 319 decision making encounters. The Control Preferences Scale was used to assess patients' decision making roles...
May 10, 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/28487930/the-effects-of-medication-alerts-on-prescriber-response-in-a-pediatric-hospital
#8
Judith W Dexheimer, Eric S Kirkendall, Michal Kouril, Philip A Hagedorn, Thomas Minich, Leo L Duan, Monifa Mahdi, Rhonda Szczesniak, S Andrew Spooner
OBJECTIVE: More than 70% of hospitals in the United States have electronic health records (EHRs). Clinical decision support (CDS) presents clinicians with electronic alerts during the course of patient care; however, alert fatigue can influence a provider's response to any EHR alert. The primary goal was to evaluate the effects of alert burden on user response to the alerts. METHODS: We performed a retrospective study of medication alerts over a 24-month period (1/2013-12/2014) in a large pediatric academic medical center...
May 10, 2017: Applied Clinical Informatics
https://www.readbyqxmd.com/read/28483887/patient-perceptions-of-telehealth-primary-care-video-visits
#9
Rhea E Powell, Jeffrey M Henstenburg, Grace Cooper, Judd E Hollander, Kristin L Rising
PURPOSE: Telehealth is a care delivery model that promises to increase the flexibility and reach of health services. Our objective is to describe patient experiences with video visits performed with their established primary care clinicians. METHODS: We constructed semistructured, in-depth qualitative interviews with adult patients following video visits with their primary care clinicians at a single academic medical center. Data were analyzed with a content analysis approach...
May 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28479749/preparing-and-publishing-a-scientific-manuscript
#10
REVIEW
Padma R Jirge
Publishing original research in a peer-reviewed and indexed journal is an important milestone for a scientist or a clinician. It is an important parameter to assess academic achievements. However, technical and language barriers may prevent many enthusiasts from ever publishing. This review highlights the important preparatory steps for creating a good manuscript and the most widely used IMRaD (Introduction, Materials and Methods, Results, and Discussion) method for writing a good manuscript. It also provides a brief overview of the submission and review process of a manuscript for publishing in a biomedical journal...
January 2017: Journal of Human Reproductive Sciences
https://www.readbyqxmd.com/read/28476277/implementing-smoking-cessation-guidelines-for-hospitalized-veterans-cessation-results-from-the-va-best-trial
#11
Mark W Vander Weg, John E Holman, Hafizur Rahman, Mary Vaughan Sarrazin, Stephen L Hillis, Steven S Fu, Kathleen M Grant, Allan V Prochazka, Susan L Adams, Catherine T Battaglia, Lynne M Buchanan, David Tinkelman, David A Katz
PURPOSE: To examine the impact of a nurse-initiated tobacco cessation intervention focused on providing guideline-recommended care to hospitalized smokers. DESIGN: Pre-post quasi-experimental trial. SETTING: General medical units of four US Department of Veterans Affairs hospitals. SUBJECTS: 898 adult Veteran smokers (503 and 395 were enrolled in the baseline and intervention periods, respectively). INTERVENTION: The intervention included academic detailing, adaptation of the computerized medical record, patient self-management support, and organizational support and feedback...
June 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28475505/practical-issues-in-delivery-of-clinician-to-patient-telemental-health-in-an-academic-medical-center
#12
Jessica Abrams, Sarah Sossong, Lee H Schwamm, Lauren Barsanti, Michael Carter, Naomi Kling, Meghan Kotarski, Jaclyn Leddy, Benjamin Meller, Marcy Simoni, Michael Sullivan, Janet Wozniak
BACKGROUND: In the age of online communication, psychiatric care can now be provided via videoconferencing technologies. While virtual visits as a part of telepsychiatry and telemental health provide a highly efficient and beneficial modality of care, the implementation of virtual visits requires attention to quality and safety issues. As practitioners continue to utilize this technology, issues of clinician licensing, treatment outcomes of virtual visits versus in-person visits, and cost offset require ongoing study...
May 2017: Harvard Review of Psychiatry
https://www.readbyqxmd.com/read/28472546/an-exploration-of-anatomists-views-toward-the-use-of-body-painting-in-anatomical-and-medical-education-an-international-study
#13
Natalie E Cookson, Justine J Aka, Gabrielle M Finn
Previous research has explored the experiences of medical students using body painting as a learning tool. However, to date, faculty experiences and views have not been explored. This international qualitative study utilized a grounded theory approach with data collection through interviews with academics and clinicians who utilized body painting as part of their anatomical teaching. Twenty-six anatomists participated in the study from 14 centers worldwide. Three themes emerged from the data: (1) the efficacy of body painting, (2) the promotion of knowledge retention and recall, (3) considerations and practicalities regarding the use of body painting as a teaching tool...
May 4, 2017: Anatomical Sciences Education
https://www.readbyqxmd.com/read/28472351/the-benefits-and-limitations-of-targeted-training-in-flexible-transnasal-laryngoscopy-diagnosis
#14
Kimberly A Russell, Christopher D Brook, Michael P Platt, Gregory A Grillone, Avner Aliphas, J Pieter Noordzij
Importance: Targeted laryngoscopy training can be used successfully in de novo learners. Objective: To determine the value of targeted laryngoscopy education in interns. Design, Setting, and Participants: This prospective study of fiberoptic laryngoscopy interpretations enrolled 13 participants in an academic hospital setting from August 1 to December 31, 2015. Participants included 10 postgraduate year 1 emergency and otolaryngology interns and 3 board-certified otolaryngology attending physicians...
May 4, 2017: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/28470131/implementation-strategies-for-guidelines-at-icus-a-systematic-review
#15
Portia Jordan, Ferestas Mpasa, Wilma Ten Ham-Baloyi, Candice Bowers
Purpose The purpose of this paper is to critically analyze empirical studies related to the implementation strategies for clinical practice guidelines (CPGs) in intensive care units (ICUs). Design/methodology/approach A systematic review with a narrative synthesis adapted from Popay et al.'s method for a narrative synthesis was conducted. A search using CINAHL, Google Scholar, Academic search complete, Cochrane Register for Randomized Controlled Trials, MEDLINE via PUBMED and grey literature was conducted in 2014 and updated in 2016 (August)...
May 8, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28467032/comparative-effectiveness-of-treatments-for-binge-eating-disorder-systematic-review-and-network-meta-analysis
#16
REVIEW
Christine M Peat, Nancy D Berkman, Kathleen N Lohr, Kimberly A Brownley, Carla M Bann, Katherine Cullen, Mary J Quattlebaum, Cynthia M Bulik
Psychological and pharmacological interventions for binge-eating disorder have previously demonstrated efficacy (compared with placebo or waitlist control); thus, we aimed to expand that literature with a review of comparative effectiveness. We searched MEDLINE,® EMBASE,® Cochrane Library, Academic OneFile, CINAHL® for binge-eating disorder treatment articles and selected studies using predetermined inclusion and exclusion criteria. Data were sufficient for network meta-analysis comparing two pharmacological interventions; psychological interventions were analysed qualitatively...
May 3, 2017: European Eating Disorders Review: the Journal of the Eating Disorders Association
https://www.readbyqxmd.com/read/28466392/preemptive-panel-based-pharmacogenetic-testing-the-time-is-now
#17
Kristin W Weitzel, Larisa H Cavallari, Lawrence J Lesko
While recent discoveries have paved the way for the use of genotype-guided prescribing in some clinical environments, significant debate persists among clinicians and researchers about the optimal approach to pharmacogenetic testing in clinical practice. One crucial factor in this debate surrounds the timing and methodology of genotyping, specifically whether genotyping should be performed reactively for targeted genes when a single drug is prescribed, or preemptively using a panel-based approach prior to drug prescribing...
May 2, 2017: Pharmaceutical Research
https://www.readbyqxmd.com/read/28461631/satisfaction-of-dental-students-faculty-and-patients-with-tooth-shade-matching-using-a-spectrophotometer
#18
Erin Ballard, Michael J Metz, Bryan T Harris, Cynthia J Metz, Jang-Ching Chou, Dean Morton, Wei-Shao Lin
The aims of this study were to evaluate dental students' clinical shade-matching outcomes (from subjective use of shade guide) with an objective electronic shade-matching tool (spectrophotometer); to assess patients', students', and supervising faculty members' satisfaction with the clinical shade-matching outcomes; and to assess clinicians' support for use of the spectrophotometer to improve esthetic outcomes. A total of 103 volunteer groups, each consisting of patient, dental student, and supervising faculty member at the University of Louisville, were recruited to participate in the study in 2015...
May 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28449840/collectively-operated-fellow-initiated-research-as-a-novel-teaching-model-to-bolster-interest-and-increase-proficiency-in-academic-research
#19
Guillaume Marquis-Gravel, Robert Avram, Maxime Tremblay-Gravel, Olivier Desplantie, Hung Q Ly, Anique Ducharme, E Marc Jolicoeur
Research is a core aspect of training in academic medicine, but fellows face many challenges thwarting their ability to perform clinically meaningful projects. The concept of a multicentre clinical trial collectively operated by fellows, and integrated longitudinally into training, has never been described. In this article, the authors expose the key principles of Collectively Operated Fellow-Initiated Research (COFIR) that they put in place. The aim of COFIR is to introduce a cohort of fellows to the career of clinician-scientists by conducting a longitudinal research project integrated into the curriculum of their clinical fellowship at a level they would not have access to as single individuals...
May 2017: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/28445217/why-health-insurance-matters-and-why-research-evidence-should-too
#20
Benjamin D Sommers
In the current debate over the future of the Affordable Care Act (ACA), research evidence on the impact of the law and the effects of health insurance coverage in general is critical. Studies of health insurance expansion over the past decade have demonstrated that coverage expansions can produce significant reductions in mortality-particularly among minorities, those living in poorer areas, and those with chronic conditions potentially treatable with timely medical care. More recent studies of the ACA in particular demonstrate that the law has produced historically large reductions in the uninsured rate, with resulting improvements in access to care, perceived quality of care, and self-reported health...
April 25, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
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