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https://www.readbyqxmd.com/read/29689014/baby-friendly-as-a-regional-collaborative-quality-improvement-project-in-an-academic-medical-center-environment
#1
Martha J Krauss, Michelle Sharp
In 2012, the state of South Carolina lacked any Baby-Friendly designated hospitals. The Medical University of South Carolina had a strong lactation service since 2002 but continued to struggle with improving breastfeeding rates. The Baby-Friendly Hospital Initiative was the catalyst to increase breastfeeding rates at this academic medical center. In 2012, membership in the Best Fed Beginnings Learning Collaborative heightened awareness of the importance of interdisciplinary collaboration. Participation in the regional collaborative provided evidence-based breastfeeding education and best clinical practices that supported the maternal-infant dyad...
April 2018: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/29688082/evidence-of-a-diurnal-rhythm-in-implicit-reward-learning
#2
Alexis E Whitton, Malavika Mehta, Manon L Ironside, Greg Murray, Diego A Pizzagalli
Many aspects of hedonic behavior, including self-administration of natural and drug rewards, as well as human positive affect, follow a diurnal cycle that peaks during the species-specific active period. This variation has been linked to circadian modulation of the mesolimbic dopamine system, and is hypothesized to serve an adaptive function by driving an organism to engage with the environment during times where the opportunity for obtaining rewards is high. However, relatively little is known about whether more complex facets of hedonic behavior - in particular, reward learning - follow the same diurnal cycle...
April 24, 2018: Chronobiology International
https://www.readbyqxmd.com/read/29686769/residents-ratings-of-their-clinical-supervision-and-their-self-reported-medical-errors-analysis-of-data-from-2009
#3
DeWitt C Baldwin, Steven R Daugherty, Patrick M Ryan, Nicholas A Yaghmour, Ingrid Philibert
Background : Medical errors and patient safety are major concerns for the medical and medical education communities. Improving clinical supervision for residents is important in avoiding errors, yet little is known about how residents perceive the adequacy of their supervision and how this relates to medical errors and other education outcomes, such as learning and satisfaction. Methods : We analyzed data from a 2009 survey of residents in 4 large specialties regarding the adequacy and quality of supervision they receive as well as associations with self-reported data on medical errors and residents' perceptions of their learning environment...
April 2018: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29684831/dis-integrating-cultural-difference-in-practice-and-communication-a-qualitative-study-of-host-and-migrant-registered-nurse-perspectives-from-new-zealand
#4
Margaret Brunton, Catherine Cook
BACKGROUND: Several earlier studies have provided evidence of the difficulties nurses have had adapting to foreign workplaces, however few have considered wider perspectives of the workplace communication environment. OBJECTIVE: The aim of this study was to examine the viewpoints and experience of both New Zealand qualified nurses and internationally qualified nurses in managing communication within teams and the clinical practice context in an increasingly diverse healthcare workplace in New Zealand...
April 6, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29683013/medical-students-professional-identity-development-from-being-actors-in-an-objective-structured-teaching-exercise
#5
Jehanne De Grasset, Marie-Claude Audetat, Nadia Bajwa, Nicole Jastrow, Hélène Richard-Lepouriel, Mathieu Nendaz, Noelle Junod Perron
INTRODUCTION: Medical students develop professional identity through structured activities and impromptu interactions in various settings. We explored if contributing to an Objective Structured Teaching Exercise (OSTE) influenced students' professional identity development. METHODS: University clinical faculty members participated in a faculty development program on clinical supervision. Medical students who participated in OSTEs as simulated residents were interviewed in focus groups about what they learnt from the experience and how the experience influenced their vision of learning and teaching...
April 22, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29681322/mindsets-matter-a-new-framework-for-harnessing-the-placebo-effect-in-modern-medicine
#6
Sean R Zion, Alia J Crum
The clinical utility of the placebo effect has long hinged on physicians deceptively administering an objective placebo treatment to their patients. However, the power of the placebo does not reside in the sham treatment itself; rather, it comes from the psychosocial forces that surround the patient and the treatment. To this end, we propose a new framework for understanding and leveraging the placebo effect in clinical care. In outlining this framework, we first present the placebo effect as a neurobiological effect that is evoked by psychological processes...
2018: International Review of Neurobiology
https://www.readbyqxmd.com/read/29677046/student-and-preceptor-advancement-in-a-dedicated-education-site-innovation-in-clinical-education-for-advanced-practice-nurses
#7
Katherine C Hall, Sandy K Diffenderfer, April Stidham, Christine M Mullins
In the 1990s, dedicated education units transformed undergraduate preceptorships, but graduate preceptorships remain static. The dyadic nurse practitioner preceptorship model supports an environment where faculty, students, and preceptors may overlook nuances that affect the teaching-learning process. This article describes an innovative clinical education model, Student and Preceptor Advancement in a Dedicated Education Site, designed to improve preceptorships for advanced practice nurses. The focus is on adaptations made to facilitate use in advanced practice nursing programs...
April 19, 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29673605/rest-tremor-quantification-based-on-fuzzy-inference-systems-and-wearable-sensors
#8
Luis A Sanchez-Perez, Luis P Sanchez-Fernandez, Adnan Shaout, Juan M Martinez-Hernandez, Maria J Alvarez-Noriega
BACKGROUND: Currently the most consistent, widely accepted and detailed instrument to rate Parkinson's disease (PD) is the Movement Disorder Society sponsored Unified Parkinson Disease Rating Scale (MDS-UPDRS). However, the motor examination is based upon subjective human interpretation trying to capture a snapshot of PD status. Wearable sensors and machine learning have been broadly used to analyze PD motor disorder, but still most ratings and examinations lay outside MDS-UPDRS standards...
June 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29672256/an-analysis-of-vr-technology-used-in-immersive-simulations-with-a-serious-game-perspective
#9
Aline Menin, Rafael Torchelsen, Luciana Nedel
Using virtual environments (VEs) is a safer and cost-effective alternative to executing dangerous tasks, such as training firefighters and industrial operators. Immersive virtual reality (VR) combined with game aspects have the potential to improve the user experience in the VE by increasing realism, engagement, and motivation. This article investigates the impact of VR technology on 46 immersive gamified simulations with serious purposes and classifies it towards a taxonomy. Our findings suggest that immersive VR improves simulation outcomes, such as increasing learning gain and knowledge retention and improving clinical outcomes for rehabilitation...
March 2018: IEEE Computer Graphics and Applications
https://www.readbyqxmd.com/read/29669882/influential-parameters-for-the-analysis-of-intracellular-parasite-metabolomics
#10
Maureen A Carey, Vincent Covelli, Audrey Brown, Gregory L Medlock, Mareike Haaren, Jessica G Cooper, Jason A Papin, Jennifer L Guler
Metabolomics is increasingly popular for the study of pathogens. For the malaria parasite Plasmodium falciparum , both targeted and untargeted metabolomics have improved our understanding of pathogenesis, host-parasite interactions, and antimalarial drug treatment and resistance. However, purification and analysis procedures for performing metabolomics on intracellular pathogens have not been explored. Here, we purified in vitro -grown ring-stage intraerythrocytic P. falciparum parasites for untargeted metabolomics studies; the small size of this developmental stage amplifies the challenges associated with metabolomics studies as the ratio between host and parasite biomass is maximized...
April 25, 2018: MSphere
https://www.readbyqxmd.com/read/29668967/reducing-blindness-from-retinopathy-of-prematurity-rop-in-argentina-through-collaboration-advocacy-and-policy-implementation
#11
Luxme Hariharan, Clare E Gilbert, Graham E Quinn, Frances K Barg, Celia Lomuto, Ana Quiroga, Joan McLeod-Omawale, Andrea Zin, Zulma Ortiz, Ernesto Alda, Liliana Bouzas, Marina Brussa, Adriana Cattaino, Alejandro Dinerstein, Norma Erpen, Adriana Fandiño, Lidia Galina, Julio Manzitti, Silvia Marinaro, Teresa Sepúlveda, Patricia Visintín, Juan Carlos Silva, Cynthia Magluta, Alicia Benitez
Retinopathy of prematurity (ROP) is a largely avoidable cause of blindness in children worldwide, requiring high-quality neonatal care, early detection and treatment. In middle-income countries throughout Latin America, Eastern Europe and South Asia, there has been a rise in ROP blindness due to a combination of increased survival of preterm infants, resource-scarce medical environments and lack of policies, training and human resources. However, Argentina is an example of country where rates of ROP blindness have declined and ROP programmes have been successfully and effectively embedded within the health and legal system...
April 16, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29665214/an-analysis-of-clinical-transition-stresses-experienced-by-dental-students-a-qualitative-methods-approach
#12
M Botelho, X Gao, S Y Bhuyan
INTRODUCTION: Stress in dental students is well established with potential psychological distress, emotional exhaustion and burnout-related symptoms. Little attention has been given to the problems encountered by dental students during the transition from theoretical or paraclinical training to the clinical environment. The aim of this study was to adopt a qualitative research methods approach to understand the perceived stressors during students' clinical transition and provide insights for curriculum planners to enhance learning...
April 17, 2018: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://www.readbyqxmd.com/read/29659528/automated-quality-control-for-sensor-based-symptom-measurement-performed-outside-the-lab
#13
Reham Badawy, Yordan P Raykov, Luc J W Evers, Bastiaan R Bloem, Marjan J Faber, Andong Zhan, Kasper Claes, Max A Little
The use of wearable sensing technology for objective, non-invasive and remote clinimetric testing of symptoms has considerable potential. However, the accuracy achievable with such technology is highly reliant on separating the useful from irrelevant sensor data. Monitoring patient symptoms using digital sensors outside of controlled, clinical lab settings creates a variety of practical challenges, such as recording unexpected user behaviors. These behaviors often violate the assumptions of clinimetric testing protocols, where these protocols are designed to probe for specific symptoms...
April 16, 2018: Sensors
https://www.readbyqxmd.com/read/29658798/mock-echo-a-simulation-based-medical-education-method
#14
Rebecca C Fowler, Joanna G Katzman, George D Comerci, Brian M Shelley, Daniel Duhigg, Cynthia Olivas, Thomas Arnold, Summers Kalishman, Rebecca Monnette, Sanjeev Arora
PROBLEM: This study was designed to develop a deeper understanding of the learning and social processes that take place during the simulation-based medical education for practicing providers as part of the Project ECHO® model, known as Mock ECHO training. The ECHO model is utilized to expand access to care of common and complex diseases by supporting the education of primary care providers with an interprofessional team of specialists via videoconferencing networks. INTERVENTION: Mock ECHO trainings are conducted through a train the trainer model targeted at leaders replicating the ECHO model at their organizations...
April 16, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29658785/smartphone-use-and-schema-based-learning-in-dento-maxillofacial-radiology-practice-a-case-report-from-one-college-of-dentistry
#15
Young-A Ji, You Mee Lee, Hyun-Dae Lim, Won-Jong Park, Ji Hye Jung, Je-Woo Lee, Byung Do Lee
OBJECTIVES: This study investigates the students' satisfaction and awareness of competency towards smartphone use and schema based learning in dental radiology practice. METHODS: Third-year students undertaking a dental radiology practicum at a dental school were divided into two groups: one group received traditional clinical training, whereas the other group used smartphones in classes and received new training using schema assignments. At the end of the course, students' satisfaction with the training and self-awareness of their competency were surveyed, and their achievement was assessed...
April 16, 2018: Dento Maxillo Facial Radiology
https://www.readbyqxmd.com/read/29656997/veterinary-parasitology-teaching-at-london-meeting-the-day-one-competency-needs-of-new-veterinarians
#16
Mark Fox, Damer Blake, Dennis Jacobs
Over the past four decades, there has been an exponential increase in veterinary parasitology knowledge, coinciding with the advent of molecular biology in research. Therefore, it is unrealistic for teachers to expect students to graduate with an encyclopaedic knowledge of the subject. As a result, a new curriculum was introduced at The Royal Veterinary College (University of London) in 2007, designed to meet the needs of our new graduates, i.e. RCVS Day-One Competences. The aims of this curriculum are, inter alia, to ensure that new graduates have an up-to-date body of core knowledge and are able to apply such knowledge and newly-acquired information to scientific and clinical problem-solving...
April 30, 2018: Veterinary Parasitology
https://www.readbyqxmd.com/read/29655883/evaluating-surgical-coaching-a-mixed-methods-approach-reveals-more-than-surveys-alone
#17
Laura M Mazer, Yue-Yung Hu, Alexander F Arriaga, Caprice C Greenberg, Stuart R Lipsitz, Atul A Gawande, Douglas S Smink, Steven J Yule
OBJECTIVE: Traditionally, surgical educators have relied upon participant survey data for the evaluation of educational interventions. However, the ability of such subjective data to completely evaluate an intervention is limited. Our objective was to compare resident and attending surgeons' self-assessments of coaching sessions from surveys with independent observations from analysis of intraoperative and postoperative coaching transcripts. DESIGN: Senior residents were video-recorded operating...
April 11, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29653320/is-the-flipped-pedagogical-model-the-answer-to-the-challenges-of-rural-nursing-education-a-discussion-paper
#18
Helena Anolak, Andrew Coleman, Paul Sugden
Rural Australian health services face significant challenges such as aging populations, access and retention of services and health practitioners as well as difficulties with staff training due to geographic isolation. Educational pedagogy, through a 'flipped' or 'flipped' classroom method has become popular in nursing literature whereby discussion surrounding its effectiveness, ability to increase performance, address learning outcomes and resolve the education-clinical practice divide is currently being explored...
April 7, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29651758/the-role-of-emergency-medicine-clerkship-e-portfolio-to-monitor-the-learning-experience-of-students-in-different-settings-a-prospective-cohort-study
#19
Arif Alper Cevik, Sami Shaban, Margret El Zubeir, Fikri M Abu-Zidan
BACKGROUND: Although emergency departments provide acute care learning opportunities for medical students, student exposure to recommended curriculum presentations and procedures are limited. In this perspective, clinical environments providing learning opportunities for students should be monitored as part of an ongoing quality improvement process. This study aims to analyze student exposures and their involvement levels in two different hospitals (Tawam and Al Ain) so as to improve the teaching and learning activities...
April 12, 2018: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29629066/the-challenges-of-clinical-education-in-a-baccalaureate-surgical-technology-students-in-iran-a-qualitative-study
#20
Roghayeh Zardosht, Hossein Karimi Moonaghi, Mohammad Etezad Razavi, Soleiman Ahmady
Background: Clinical education is an integral part of the surgical technology curriculum, in which students combine and integrate knowledge, skills, attitudes, values and philosophies of the profession. It is difficult to learn and adapt to different types of skills and roles in the operating room environment. Objective: This qualitative study examines the difference between the clinical education of Surgical Technology and other clinical settings, and the challenges faced by students in the field, within the course...
February 2018: Electronic Physician
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