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https://www.readbyqxmd.com/read/28528347/discriminative-accuracy-of-physician-and-nurse-predictions-for-survival-and-functional-outcomes-6-months-after-an-icu-admission
#1
Michael E Detsky, Michael O Harhay, Dominique F Bayard, Aaron M Delman, Anna E Buehler, Saida A Kent, Isabella V Ciuffetelli, Elizabeth Cooney, Nicole B Gabler, Sarah J Ratcliffe, Mark E Mikkelsen, Scott D Halpern
Importance: Predictions of long-term survival and functional outcomes influence decision making for critically ill patients, yet little is known regarding their accuracy. Objective: To determine the discriminative accuracy of intensive care unit (ICU) physicians and nurses in predicting 6-month patient mortality and morbidity, including ambulation, toileting, and cognition. Design, Setting, and Participants: Prospective cohort study conducted in 5 ICUs in 3 hospitals in Philadelphia, Pennsylvania, and enrolling patients who spent at least 3 days in the ICU from October 2013 until May 2014 and required mechanical ventilation, vasopressors, or both...
May 21, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28526695/-thinking-ethics-a-novel-pilot-proof-of-concept-program-of-integrating-ethics-into-the-physiology-curriculum-in-south-india
#2
Savitha D, Manjulika Vaz, Mario Vaz
Integrating medical ethics into the physiology teaching-learning program has been largely unexplored in India. The objective of this exercise was to introduce an interactive and integrated ethics program into the Physiology course of first-year medical students and to evaluate their perceptions. Sixty medical students (30 men, 30 women) underwent 11 sessions over a 7-mo period. Two of the Physiology faculty conducted these sessions (20-30 min each) during the routine physiology (theory/practicals) classes that were of shorter duration and could, therefore, accommodate the discussion of related ethical issues...
June 1, 2017: Advances in Physiology Education
https://www.readbyqxmd.com/read/28524765/what-can-critical-suicidology-do
#3
Jennifer White
Critical suicidology is an emerging area of scholarship and praxis that brings together academics, community activists, service users, practitioners, policy makers, family members and persons with lived experience, to rethink what it means to study suicide and enact practices of suicide prevention in more diverse and creative, less psycho-centric and less depoliticized, ways. In this paper I begin to articulate what it might mean to "think like a critical suicidologist," the questions that might get asked from this position, the academic and activist allies who might get recruited to the cause, and the potential cracks we might open up in pursuit of a more hopeful, life-affirming, and just future...
May 19, 2017: Death Studies
https://www.readbyqxmd.com/read/28521838/does-the-use-of-the-informed-healthcare-choices-ihc-primary-school-resources-improve-the-ability-of-grade-5-children-in-uganda-to-assess-the-trustworthiness-of-claims-about-the-effects-of-treatments-protocol-for-a-cluster-randomised-trial
#4
Allen Nsangi, Daniel Semakula, Andrew D Oxman, Matthew Oxman, Sarah Rosenbaum, Astrid Austvoll-Dahlgren, Laetitia Nyirazinyoye, Margaret Kaseje, Iain Chalmers, Atle Fretheim, Nelson K Sewankambo
BACKGROUND: The ability to appraise claims about the benefits and harms of treatments is crucial for informed health care decision-making. This research aims to enable children in East African primary schools (the clusters) to acquire and retain skills that can help them make informed health care choices by improving their ability to obtain, process and understand health information. The trial will evaluate (at the individual participant level) whether specially designed learning resources can teach children some of the key concepts relevant to appraising claims about the benefits and harms of health care interventions (treatments)...
May 18, 2017: Trials
https://www.readbyqxmd.com/read/28521557/metacognitive-verb-production-in-adolescents-the-link-to-complex-syntax
#5
Marilyn A Nippold, Laura M Vigeland, Megan W Frantz-Kaspar
Metacognitive verbs (MCVs) such as believe, know and think allow a speaker to describe the thoughts, feelings and perspectives of the self and others. As such, these words reflect the speaker's awareness of differing mental events and activities, or Theory of Mind (ToM). This study investigated the use of MCVs in adolescents with typical language development in relation to the production of complex sentences. It was of interest to determine the frequency with which adolescents used MCVs and to explore the links between MCVs and different types of subordinate clauses...
May 19, 2017: Clinical Linguistics & Phonetics
https://www.readbyqxmd.com/read/28517983/personalised-medicine-and-the-economy-of-biotechnological-promise
#6
Steve Sturdy
Rather than seek to distinguish hype from legitimate promise, it may be more helpful to think about personalised medicine as embodying a promissory economy which serves both to mobilize resources for research and - partly at least - to determine the ends to which that research is directed. Personalised medicine is a development of the larger promissory economy of medical biotechnology. As such, it systematically conflates public benefit with the pursuit of commercial and especially pharmaceutical interests...
April 2017: New Bioethics: a Multidisciplinary Journal of Biotechnology and the Body
https://www.readbyqxmd.com/read/28513769/the-situation-of-nursing-education-in-latin-america-and-the-caribbean-towards-universal-health
#7
Silvia Helena De Bortoli Cassiani, Lynda Law Wilson, Sabrina de Souza Elias Mikael, Laura Morán Peña, Rosa Amarilis Zarate Grajales, Linda L McCreary, Lisa Theus, Maria Del Carmen Gutierrez Agudelo, Adriana da Silva Felix, Jacqueline Molina de Uriza, Nathaly Rozo Gutierrez
Objective: to assess the situation of nursing education and to analyze the extent to which baccalaureate level nursing education programs in Latin America and the Caribbean are preparing graduates to contribute to the achievement of Universal Health. Method: quantitative, descriptive/exploratory, cross-sectional study carried out in 25 countries. Results: a total of 246 nursing schools participated in the study. Faculty with doctoral level degrees totaled 31...
May 11, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28512142/a-well-known-potassium-channel-plays-a-critical-role-in-lysosomes
#8
Michael X Zhu
Whole-endolysosome patch clamping presents new opportunities to identify and characterize channels pivotal for these acidic organelles. In this issue (Wang et al., 2017. J. Cell Biol. https://doi.org/10.1083/jcb.201612123), the identification of a role for the large conductance calcium-activated potassium channel brings new thinking about regulation of lysosome membrane potential and function.
May 16, 2017: Journal of Cell Biology
https://www.readbyqxmd.com/read/28512135/critical-thinking-in-healthcare-and-education
#9
Jonathan M Sharples, Andrew D Oxman, Kamal R Mahtani, Iain Chalmers, Sandy Oliver, Kevan Collins, Astrid Austvoll-Dahlgren, Tammy Hoffmann
No abstract text is available yet for this article.
May 16, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28511739/self-critical-thinking-and-overgeneralization-in-depression-and-eating-disorders-an-experimental-study
#10
Graham R Thew, James D Gregory, Kate Roberts, Katharine A Rimes
BACKGROUND: Self-critical thinking is common across psychological disorders. This study hypothesized that it may play an important role in 'overgeneralization', the process of drawing general implications from an isolated negative experience. AIMS: To explore the impact of two experimental tasks designed to elicit self-critical thoughts on the endorsement of general negative self-views of clinical and non-clinical populations. METHOD: Three groups (depression, eating disorders and non-clinical controls), completed standardized questionnaires and the two tasks...
May 17, 2017: Behavioural and Cognitive Psychotherapy
https://www.readbyqxmd.com/read/28509821/minimum-information-for-studies-evaluating-biologics-in-orthopaedics-mibo-platelet-rich-plasma-and-mesenchymal-stem-cells
#11
Iain R Murray, Andrew G Geeslin, Ewan B Goudie, Frank A Petrigliano, Robert F LaPrade
BACKGROUND: A comprehensive approach to the evaluation of biologic therapies for musculoskeletal conditions is required to guide appropriate future use. Clinical studies evaluating platelet-rich plasma (PRP) and mesenchymal stem cells (MSCs) are limited by inadequate reporting of scientific details critical to outcome. We developed minimum reporting requirements for clinical studies evaluating PRP and MSCs using Delphi consensus methods. METHODS: The need for consensus on the minimum reporting requirements for studies evaluating biologics was identified at the American Academy of Orthopaedic Surgeons/Orthopaedic Research Society (AAOS/ORS) Biologic Treatments for Orthopaedic Injuries Symposium in 2015 and the American Orthopaedic Society for Sports Medicine (AOSSM) Biologic Treatments for Sports Injuries II Think Tank in 2015...
May 17, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28500984/the-need-for-academic-electronic-health-record-systems-in-nurse-education
#12
Joohyun Chung, Insook Cho
The nursing profession has been slow to incorporate information technology into formal nurse education and practice. The aim of this study was to identify the use of academic electronic health record systems in nurse education and to determine student and faculty perceptions of academic electronic health record systems in nurse education. A quantitative research design with supportive qualitative research was used to gather information on nursing students' perceptions and nursing faculty's perceptions of academic electronic health record systems in nurse education...
April 29, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28499470/exercise-and-environment-new-qualitative-work-to-link-popular-practice-and-public-health
#13
Russell Hitchings, Alan Latham
The health benefits of physical activity are many and well known. Those hoping to promote public health are therefore understandably keen on encouraging physical exercise. This commentary considers the role of qualitative research in this undertaking, given a context in which medical researchers have more commonly taken a quantitative approach to the motivations that are thought to underpin exercise. Our core argument is that studies concerned with how particular environments are inhabited by particular groups of exercisers could play a more central part in public health promotion...
May 9, 2017: Health & Place
https://www.readbyqxmd.com/read/28496378/ethnopsychiatry-fosters-creativity-and-the-adoption-of-critical-and-reflexive-thinking-in-higher-education-students-insights-from-a-qualitative-analysis-of-a-preliminary-pilot-experience-at-the-faculty-of-medicine-and-surgery-university-of-genoa-italy
#14
Anna Siri, Giovanni Del Puente, Mariano Martini, Nicola Luigi Bragazzi
Creativity is an ability that plays a major role in the modern economy and society. It should represent an important component of the medical syllabus. However, it is often overlooked by the formal courses at universities. The current study aimed at evaluating whether the interactive educational models, recently adopted by the Faculty of Medicine and Surgery, at the University of Genoa, Italy, would favor the adoption of critical thinking, attitudes to changes, cultural diversity acceptance, and the adoption of relational soft skills versus traditional and frontal didactic teaching...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/28496265/a-pharmacotherapy-capstone-course-to-target-student-learning-and-programmatic-curricular-assessment
#15
Joseph J Saseen, Sunny A Linnebur, Laura M Borgelt, Jennifer Trujillo, Douglas N Fish, Scott Mueller
Objective. To describe how a pharmacotherapy capstone course was used for student learning and programmatic curricular assessment. Design. A pharmacotherapy capstone course was included in the University of Colorado curriculum for 13 years from 2002 through 2014. This 9-credit hour course was the last course prior to Advanced Pharmacy Practice Experiences (APPEs). Students were held accountable for prior learning using complex patient cases and other activities that are seen in APPEs. Application of knowledge, skills, and critical thinking were integrated in this course using exclusively active learning methodologies...
April 2017: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/28494774/expanding-conceptualizations-of-harm-reduction-results-from-a-qualitative-community-based-participatory-research-study-with-people-who-inject-drugs
#16
L M Boucher, Z Marshall, A Martin, K Larose-Hébert, J V Flynn, C Lalonde, D Pineau, J Bigelow, T Rose, R Chase, R Boyd, M Tyndall, C Kendall
BACKGROUND: The perspectives of people who use drugs are critical in understanding why people choose to reduce harm in relation to drug use, what practices are considered or preferred in conceptualizations of harm reduction, and which environmental factors interfere with or support the use of harm reduction strategies. This study explores how people who inject drugs (PWID) think about harm reduction and considers the critical imperative of equity in health and social services delivery for this community...
May 12, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28493509/linking-public-health-nursing-competencies-and-service-learning-in-a-global-setting
#17
Cynthia L Brown
BACKGROUND: Nurse educators in baccalaureate programs are charged with addressing student competence in public health nursing practice. These educators are also responsible for creating nursing student opportunities for civic engagement and development of critical thinking skills. The IOM report (2010) on the Future of Nursing emphasizes the nurse educator's role in promoting collaborative partnerships that incorporate interdisciplinary and intraprofessional efforts to promote health...
May 11, 2017: Public Health Nursing
https://www.readbyqxmd.com/read/28492843/spoken-language-production-in-young-adults-examining-syntactic-complexity
#18
Marilyn A Nippold, Megan W Frantz-Kaspar, Laura M Vigeland
Purpose: In this study, we examined syntactic complexity in the spoken language samples of young adults. Its purpose was to contribute to the expanding knowledge base in later language development and to begin building a normative database of language samples that potentially could be used to evaluate young adults with known or suspected language impairment. Method: Forty adults (mean age = 22 years, 10 months) with typical language development participated in an interview that consisted of 3 speaking tasks: a general conversation about common, everyday topics; a narrative retelling task that involved fables; and a question-and-answer, critical-thinking task about the fables...
May 10, 2017: Journal of Speech, Language, and Hearing Research: JSLHR
https://www.readbyqxmd.com/read/28492732/going-beyond-academic-integrity-might-broaden-our-understanding-of-plagiarism-in-science-education-a-perspective-from-a-study-in-brazil
#19
Christiane C Santos, Patrícia S Dos Santos, Maurício C Sant'ana, Hatisaburo Masuda, Monica B Barboza, Sonia M R Vasconcelos
Fostering innovation and creativity is a priority in the science and education policy agenda of most countries, which have advocated that innovative minds and processes will boost scientific and economic growth. While our knowledge society has embraced this view, fostering creativity is among the major challenges faced by educators and policymakers. For example, plagiarism, which may be considered a form of imitation and repetition, is a global concern at schools and universities. However, most discussions focus on academic integrity, which, we believe, leaves some gaps in the approach to the problem...
May 4, 2017: Anais da Academia Brasileira de Ciências
https://www.readbyqxmd.com/read/28487870/volume-related-weight-gain-as-an-independent-indication-for-renal-replacement-therapy-in-the-intensive-care-units
#20
REVIEW
Tibor Fülöp, Lajos Zsom, Mihály B Tapolyai, Miklos Z Molnar, László Rosivall
Attempts to identify specific therapies to reverse acute kidney injury (AKI) have been unsuccessful in the past; only modifying risk profile or addressing the underlying disease processes leading to AKI proved efficacious. The current thinking on recognizing AKI is compromised by a "kidney function percent-centered" viewpoint, a paradigm further reinforced by the emergence of serum creatinine-based automated glomerular filtration reporting over the last two decades. Such thinking is, however, grossly corrupted for AKI and poorly applicable in critically ill patients in general...
2017: Journal of Renal Injury Prevention
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