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https://www.readbyqxmd.com/read/28431420/generative-retrieval-improves-learning-and-retention-of-cardiac-anatomy-using-transesophageal-echocardiography
#1
Amanda M Kleiman, Katherine T Forkin, Allison J Bechtel, Stephen R Collins, Jennie Z Ma, Edward C Nemergut, Julie L Huffmyer
BACKGROUND: Transesophageal echocardiography (TEE) is a valuable monitor for patients undergoing cardiac and noncardiac surgery as it allows for evaluation of cardiovascular compromise in the perioperative period. It is challenging for anesthesiology residents and medical students to learn to use and interpret TEE in the clinical environment. A critical component of learning to use and interpret TEE is a strong grasp of normal cardiovascular ultrasound anatomy. METHODS: Fifteen fourth-year medical students and 15 post-graduate year (PGY) 1 and 2 anesthesiology residents without prior training in cardiac anesthesia or TEE viewed normal cardiovascular anatomy TEE video clips; participants were randomized to learning cardiac anatomy in generative retrieval (GR) and standard practice (SP) groups...
May 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28427295/development-of-visuo-haptic-transfer-for-object-recognition-in-typical-preschool-and-school-aged-children
#2
Giulia Purpura, Giovanni Cioni, Francesca Tinelli
Object recognition is a long and complex adaptive process and its full maturation requires combination of many different sensory experiences as well as cognitive abilities to manipulate previous experiences in order to develop new percepts and subsequently to learn from the environment. It is well recognized that the transfer of visual and haptic information facilitates object recognition in adults, but less is known about development of this ability. In this study, we explored the developmental course of object recognition capacity in children using unimodal visual information, unimodal haptic information, and visuo-haptic information transfer in children from 4 years to 10 years and 11 months of age...
April 20, 2017: Child Neuropsychology: a Journal on Normal and Abnormal Development in Childhood and Adolescence
https://www.readbyqxmd.com/read/28423813/understanding-the-context-of-learning-in-an-online-social-network-for-health-professionals-informal-learning
#3
Xin Li, Kathleen Gray, Karin Verspoor, Stephen Barnett
Online social networks (OSN) enable health professionals to learn informally, for example by sharing medical knowledge, or discussing practice management challenges and clinical issues. Understanding the learning context in OSN is necessary to get a complete picture of the learning process, in order to better support this type of learning. This study proposes critical contextual factors for understanding the learning context in OSN for health professionals, and demonstrates how these contextual factors can be used to analyse the learning context in a designated online learning environment for health professionals...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28422783/lessons-learned-from-humoral-responses-of-hiv-patients
#4
Laura E McCoy, Áine McKnight
PURPOSE OF REVIEW: Since 2009 many broadly neutralizing antibodies against HIV have been identified, yet there is still no vaccine capable of inducing such antibodies in humans. This review considers the early observations of HIV sera neutralization in light of more recent studies and highlights areas for future research. RECENT FINDINGS: Large clinical cohort studies using standardized neutralization assays and pseudoviruses derived from primary isolates have shown that 10-30% of HIV infections result in some level of serum neutralization breadth...
May 2017: Current Opinion in HIV and AIDS
https://www.readbyqxmd.com/read/28415138/the-roles-of-valuation-and-reward-processing-in-cognitive-function-and-psychiatric-disorders
#5
REVIEW
Sébastien Hélie, Farzin Shamloo, Keisha Novak, Dan Foti
In neuroeconomics, valuation refers to the process of assigning values to states and actions on the basis of the animal's current representation of the environment, while reward processing corresponds to processing the feedback received from the environment to update the values of states and actions. In this article, we review the brain circuits associated with valuation and reward processing and argue that these are fundamental processes critical to many cognitive functions. Specifically, we focus on the role of valuation and reward processing in attention, memory, decision making, and learning...
April 17, 2017: Annals of the New York Academy of Sciences
https://www.readbyqxmd.com/read/28405926/the-use-of-theatre-in-medical-education-in-the-emergency-cases-school-an-appealing-and-widely-accessible-way-of-learning
#6
Christodoulos Keskinis, Vasileios Bafitis, Panagiota Karailidou, Christina Pagonidou, Panteleimon Pantelidis, Alexandros Rampotas, Michail Sideris, Georgios Tsoulfas, Dimitrios Stakos
INTRODUCTION: Theatre models in medical education have been used worldwide in order to train medical students and graduates in managing various situations. However, the literature reports little regarding its appeal to trainees. We conducted a medical seminar, entitled Emergency Cases School, which employed such techniques. Actors simulated the actions of doctors and patients involved in various emergency cases, in front of a large audience, in a specially modified theatre hall which resembled the emergency room environment...
April 12, 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28401571/tying-knots-an-activity-theory-analysis-of-student-learning-goals-in-clinical-education
#7
Douglas P Larsen, Austin Wesevich, Jana Lichtenfeld, Antony R Artino, Ryan Brydges, Lara Varpio
CONTEXT: Learning goal programmes are often created to help students develop self-regulated learning skills; however, these programmes do not necessarily consider the social contexts surrounding learning goals or how they fit into daily educational practice. OBJECTIVES: We investigated a high-frequency learning goal programme in which students generated and shared weekly learning goals with their clinical teams in core Year 3 clerkships. Our study explores: (i) how learning goals were incorporated into the clinical work, and (ii) the factors that influenced the use of students' learning goals in work-based learning...
April 12, 2017: Medical Education
https://www.readbyqxmd.com/read/28398391/-the-italian-instrument-evaluating-the-nursing-students-clinical-learning-quality
#8
Alvisa Palese, Luca Grassetti, Irene Mansutti, Anne Destrebecq, Stefano Terzoni, Pietro Altini, Anita Bevilacqua, Anna Brugnolli, Carla Benaglio, Adriana Dal Ponte, Laura De Biasio, Valerio Dimonte, Benedetta Gambacorti, Adriana Fasci, Silvia Grosso, Franco Mantovan, Oliva Marognolli, Sandra Montalti, Raffaela Nicotera, Giulia Randon, Brigitte Stampfl, Morena Tollini, Federica Canzan, Luisa Saiani, Lucia Zannini
. The Clinical Learning Quality Evaluation Index for nursing students. INTRODUCTION: The Italian nursing programs, the need to introduce tools evaluating the quality of the clinical learning as perceived by nursing students. Several tools already exist, however, several limitations suggesting the need to develop a new tool. AIM: A national project aimed at developing and validating a new instrument capable of measuring the clinical learning quality as experience by nursing students...
January 2017: Assistenza Infermieristica e Ricerca: AIR
https://www.readbyqxmd.com/read/28398390/-a-comparison-of-the-most-used-instruments-to-assess-the-quality-of-clinical-learning-environments-of-nursing-students
#9
Raffaella Nicotera, Pietro Altini, Valerio Dimonte
. A comparison of the most used instruments to assess the quality of clinical learning environments of nursing students. INTRODUCTION: A clinical learning environment (CLE) promotes the development of professional competences, of critical and diagnostic reasoning in future nurses, thus the continuous assessment of its quality is pivotal. AIM: To describe and compare the most used instruments to measure the nursing students' perception of the quality of CLEs. METHODS: Six validated questionnaires were identified and compared: CLE (Clinical Learning Environment), CLEDI (Clinical Learning Environment Diagnostic Inventory), SECEE (Student Evaluation of Clinical Education Environment), CLEI (Clinical Learning Environment Inventory), CLES (Clinical Learning Environment and Supervision), CLES+T (Clinical Learning Environment and Supervision plus Teacher nurse)...
January 2017: Assistenza Infermieristica e Ricerca: AIR
https://www.readbyqxmd.com/read/28398386/-dossier-the-measurement-of-the-quality-of-clinical-learning-br-environments-for-nursing-students-introduction
#10
(no author information available yet)
No abstract text is available yet for this article.
January 2017: Assistenza Infermieristica e Ricerca: AIR
https://www.readbyqxmd.com/read/28397396/insight-gained-from-responses-to-surveys-on-reference-dosimetry-practices
#11
Bryan Muir, Wesley Culberson, Stephen Davis, Gwe-Ya Kim, Yimei Huang, Sung-Woo Lee, Jessica Lowenstein, Arman Sarfehnia, Jeffrey Siebers, Naresh Tolani
PURPOSE: To present the results and discuss potential insights gained through surveys on reference dosimetry practices. METHODS: Two surveys were sent to medical physicists to learn about the current state of reference dosimetry practices at radiation oncology clinics worldwide. A short survey designed to maximize response rate was made publicly available and distributed via the AAPM website and a medical physics list server. Another, much more involved survey, was sent to a smaller group of physicists to gain insight on detailed dosimetry practices...
April 11, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28397314/supporting-clinical-leadership-through-action-the-nurse-consultant-role
#12
Elizabeth Rosser, Rachael Grey, Deborah Neal, Julie Reeve, Caroline Smith, Janine Valentine
The aim is to evaluate the effectiveness of an action learning set (ALS) to enhance clinical leadership and extend their scope and confidence more strategically. BACKGROUND: As the most senior clinical role in most healthcare systems, the consultant nurse role is a solitary one. They are required to develop personal resilience, commitment and a belief in their ability to lead, with new consultants needing a strong support network to succeed. DESIGN: Following a two year ALS, four nurse consultants, one therapy consultant, and a university educationalist engaged in a co-operative inquiry approach using four cycles of discussion, reflection, analysis and action over an 18 month period from March 2015 - July 2016, to learn how to change and enhance their working practices...
April 10, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28395598/improving-clerkship-preparedness-a-hospital-medicine-elective-for-pre-clerkship-students
#13
Denise M Connor, Paul J Conlon, Bridget C O'Brien, Calvin L Chou
BACKGROUND: Medical students often struggle to apply their nascent clinical skills in clerkships. While transitional clerkships can orient students to new roles and logistics, students may benefit from developing clinical skills in inpatient environments earlier in their curriculum to improve readiness for clerkships. INTERVENTION: Our four- to six-session elective provides pre-clerkship students with individualized learning in the inpatient setting with the aim of improving clerkship preparedness...
2017: Medical Education Online
https://www.readbyqxmd.com/read/28395588/health-promotion-in-medical-education-lessons-from-a-major-undergraduate-curriculum-implementation
#14
Ann Wylie, Kathleen Leedham-Green
Despite the economic, environmental and patient-related imperatives to prepare medical students to become health promoting doctors, health promotion remains relatively deprioritised in medical curricula. This paper uses an in-depth case study of a health promotion curriculum implementation at a large UK medical school to provide insights into the experiences of teachers and learners across a range of topics, pedagogies, and teaching & assessment modalities. Topics included smoking cessation, behavioural change approaches to obesity, exercise prescribing, social prescribing, maternal and child health, public and global health; with pedagogies ranging from e-learning to practice-based project work...
April 10, 2017: Education for Primary Care
https://www.readbyqxmd.com/read/28390400/a-comparative-study-do-clickers-increase-student-engagement-in-multidisciplinary-clinical-microbiology-teaching
#15
Niall T Stevens, Hélène McDermott, Fiona Boland, Teresa Pawlikowska, Hilary Humphreys
BACKGROUND: Audience response devices, or "clickers", have been used in the education of future healthcare professionals for several years with varying success. They have been reported to improve the learning experience by promoting engagement and knowledge retention. In 2014, our department evaluated the use of "clickers" in a newly introduced multidisciplinary approach to teaching large groups of third year medical students clinical cases developed around a microbiology theme. METHODS: Six multidisciplinary teaching sessions covering community-acquired pneumonia, tuberculosis, infective endocarditis, peritonitis, bloodstream infection with pyelonephritis and bacterial meningitis were included in the study...
April 8, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28390032/a%C3%A2-qualitative-study-of-undergraduate-clerkships-in-the-intensive-care-unit-it-s-a%C3%A2-brand-new-world
#16
Enda O'Connor, Michael Moore, Walter Cullen, Peter Cantillon
INTRODUCTION: While ICU clerkships are commonplace in undergraduate medical education, little is known about how students learn there. This study aimed to explore students' perceptions of the ICU as a learning environment, the factors influencing their learning and any perceived differences between learning in the ICU and non-ICU settings. METHODS: We used interpretivist methodology, a social cognitive theoretical framework and a qualitative descriptive strategy...
April 7, 2017: Perspectives on Medical Education
https://www.readbyqxmd.com/read/28387695/the-quest-to-apply-vr-technology-to-rehabilitation-tribulations-and-treasures
#17
Emily A Keshner, Joyce Fung
The papers that follow stem from a symposium presented at the International Society for Posture and Gait Research (ISPGR) in Seville, Spain, in July 2015. Four speakers were charged with presenting their methods of applying virtual reality (VR) technology to obtain meaningful rehabilitation outcomes. The symposium aims to explore characteristics of VR that modify mechanisms supporting motor relearning. Common impairments in posture and gait that can be modulated within virtual environments by employing motor learning concepts, including sensory augmentation and repetition, were examined...
2017: Journal of Vestibular Research: Equilibrium & Orientation
https://www.readbyqxmd.com/read/28382707/improving-transfusion-education-for-junior-doctors-exploring-uk-experiences
#18
J E Graham, S Narayan, K Pendry
OBJECTIVES: To provide evidence-based guidance on how transfusion education should be delivered to junior doctors by employing established qualitative research methodology. BACKGROUND: There is a global call for increased transfusion education for doctors to support the delivery of evidence-based practice. Education is reported as an effective measure to improve transfusion practice, although there is a paucity of research evaluating how this should be effectively delivered...
April 2017: Transfusion Medicine
https://www.readbyqxmd.com/read/28381246/-fit-for-school-a-school-based-water-sanitation-and-hygiene-programme-to-improve-child-health-results-from-a-longitudinal-study-in-cambodia-indonesia-and-lao-pdr
#19
Denise Duijster, Bella Monse, Jed Dimaisip-Nabuab, Pantjawidi Djuharnoko, Roswitha Heinrich-Weltzien, Martin Hobdell, Katrin Kromeyer-Hauschild, Yung Kunthearith, Maria Carmela Mijares-Majini, Nicole Siegmund, Panith Soukhanouvong, Habib Benzian
BACKGROUND: The Fit for School (FIT) programme integrates school health and Water, Sanitation and Hygiene interventions, which are implemented by the Ministries of Education in four Southeast Asian countries. This paper describes the findings of a Health Outcome Study, which aimed to assess the two-year effect of the FIT programme on the parasitological, weight, and oral health status of children attending schools implementing the programme in Cambodia, Indonesia and Lao PDR. METHODS: The study was a non-randomized clustered controlled trial with a follow-up period of two years...
April 5, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28380380/virgin-beta-cells-persist-throughout-life-at-a-neogenic-niche-within-pancreatic-islets
#20
Talitha van der Meulen, Alex M Mawla, Michael R DiGruccio, Michael W Adams, Vera Nies, Sophie Dólleman, Siming Liu, Amanda M Ackermann, Elena Cáceres, Anna E Hunter, Klaus H Kaestner, Cynthia J Donaldson, Mark O Huising
Postnatal maintenance or regeneration of pancreatic beta cells is considered to occur exclusively via the replication of existing beta cells, but clinically meaningful restoration of human beta cell mass by proliferation has never been achieved. We discovered a population of immature beta cells that is present throughout life and forms from non-beta precursors at a specialized micro-environment or "neogenic niche" at the islet periphery. These cells express insulin, but lack other key beta cell markers, and are transcriptionally immature, incapable of sensing glucose, and unable to support calcium influx...
April 4, 2017: Cell Metabolism
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