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Educational Value Unit

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https://www.readbyqxmd.com/read/29351551/periodontal-health-status-and-lung-function-in-two-norwegian-cohorts
#1
Antonio Manuel Pérez Barrionuevo, Francisco Gómez Real, Jannicke Igland, Ane Johannessen, Ernst Omenaas, Karl A Franklin, Laura Pérez Barrionuevo, Anne Nordrehaug Åstrøm, Cecilie Svanes, Randi Jacobsen Bertelsen
RATIONALE AND OBJECTIVES: The oral cavity is united with the airways, and thus poor oral health may affect respiratory health. However, data on the interaction of periodontal and respiratory health is limited. We aimed to evaluate whether periodontal health status, assessed by the Community Periodontal Index (CPI), was related to lung function among young and middle-aged adults in two Norwegian cohorts. METHODS: Periodontal health status and lung function were measured among 656 participants in the Norwegian part of the European Community Respiratory Health Survey (ECHRS III) and the RHINESSA offspring study...
2018: PloS One
https://www.readbyqxmd.com/read/29349842/is-end-of-life-a-special-case-connecting-q-with-survey-methods-to-measure-societal-support-for-views-on-the-value-of-life-extending-treatments
#2
Helen Mason, Marissa Collins, Neil McHugh, Jon Godwin, Job Van Exel, Cam Donaldson, Rachel Baker
Preference elicitation studies reporting societal views on the relative value of end-of-life treatments have produced equivocal results. This paper presents an alternative method, combining Q methodology and survey techniques (Q2S) to determine the distribution of 3 viewpoints on the relative value of end-of-life treatments identified in a previous, published, phase of this work. These were Viewpoint 1, "A population perspective: value for money, no special cases"; Viewpoint 2, "Life is precious: valuing life-extension and patient choice"; and Viewpoint 3, "Valuing wider benefits and opportunity cost: the quality of life and death...
January 19, 2018: Health Economics
https://www.readbyqxmd.com/read/29344323/the-impact-of-quantitative-data-provided-by-a-multi-spectral-digital-skin-lesion-analysis-device-on-dermatologists-decisions-to-biopsy-pigmented-lesions
#3
Aaron S Farberg, Richard R Winkelmann, Natalie Tucker, Richard White, Darrell S Rigel
BACKGROUND: Early diagnosis of melanoma is critical to survival. New technologies, such as a multi-spectral digital skin lesion analysis (MSDSLA) device [MelaFind, STRATA Skin Sciences, Horsham, Pennsylvania] may be useful to enhance clinician evaluation of concerning pigmented skin lesions. Previous studies evaluated the effect of only the binary output. OBJECTIVE: The objective of this study was to determine how decisions dermatologists make regarding pigmented lesion biopsies are impacted by providing both the underlying classifier score (CS) and associated probability risk provided by multi-spectral digital skin lesion analysis...
September 2017: Journal of Clinical and Aesthetic Dermatology
https://www.readbyqxmd.com/read/29336999/faculty-relative-value-unit-incentives-and-resident-education
#4
Lori A Deitte, Carolyn C Meltzer, Alexander Norbash, Mary C Mahoney, Jorge A Soto, Priscilla J Slanetz
No abstract text is available yet for this article.
January 11, 2018: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29332045/the-uniform-data-set-czech-version-normative-data-in-older-adults-from-an-international-perspective
#5
Tomas Nikolai, Hana Stepankova, Miloslav Kopecek, Zdenek Sulc, Martin Vyhnalek, Ondrej Bezdicek
BACKGROUND: Outside of the United States, international perspectives on normative data for neuropsychological test performance, within diverse populations, have been scarce. The neuropsychological test battery from the Uniform Data Set (UDS) of the Alzheimer's Disease Centers (ADC) program of the United States National Institute on Aging (NIA) is one of the most sensitive batteries for the evaluation of both normal cognitive aging and pathological cognitive decline. OBJECTIVE: This study aimed to determine the feasibility of the Czech Neuropsychological Test Battery from the Uniform Data Set (UDS-Cz 2...
2018: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/29321123/comparative-analysis-of-women-with-notable-subjective-health-indicators-compared-with-participants-in-the-australian-longitudinal-study-on-women-s-health-cross-sectional-survey
#6
Christoph Schnelle, Eunice J Minford, Vanessa McHardy, Jane Keep
BACKGROUND: At least six communities with unusually good health and longevity have been identified, but their lifestyles aren't adopted widely. Informal evidence suggests that women associated with Universal Medicine (UM), a complementary medicine health care organization in Eastern Australia and the United Kingdom with normal lifestyles, also have several unusual health indicators. OBJECTIVE: Our objective was to determine how UM participants compared with women in the Australian population at large on a variety of health indicators...
January 10, 2018: JMIR Public Health and Surveillance
https://www.readbyqxmd.com/read/29305231/neurodevelopmental-outcomes-of-infants-born-at-29-weeks-of-gestation-admitted-to-canadian-neonatal-intensive-care-units-based-on-location-of-birth
#7
Reem Amer, Diane Moddemann, Mary Seshia, Ruben Alvaro, Anne Synnes, Kyong-Soon Lee, Shoo K Lee, Prakesh S Shah
OBJECTIVE: To compare mortality and neurodevelopmental outcomes of outborn and inborn preterm infants born at <29 weeks of gestation admitted to Canadian neonatal intensive care units (NICUs). STUDY DESIGN: Data were obtained from the Canadian Neonatal Network and Canadian Neonatal Follow-up Network databases for infants born at <29 weeks of gestation admitted to NICUs from April 2009 to September 2011. Rates of death, severe neurodevelopmental impairment (NDI), and overall NDI were compared between outborn and inborn infants at 18-21 months of age, corrected for prematurity...
January 3, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29303825/the-relationship-of-hospital-ceo-characteristics-to-patient-experience-scores
#8
Christina Galstian, Larry Hearld, Stephen J O'Connor, Nancy Borkowski
Efforts by hospitals to improve patient experience continue as changes in policy such as the Affordable Care Act of 2010 have made patient experience a cornerstone of promoting greater value in the United States. Hospital CEOs play an important role in promoting positive patient experiences as they set the organizational vision and strategic goals and can execute change to support positive experiences.This study assessed whether three CEO characteristics-education, tenure with the organization, and gender-were associated with patient experience scores of California hospitals in 2013 and 2014...
January 2018: Journal of Healthcare Management / American College of Healthcare Executives
https://www.readbyqxmd.com/read/29301513/testicular-self-examination-among-bahir-dar-university-students-application-of-integrated-behavioral-model
#9
Hordofa Gutema, Yamrot Debela, Bizuayehu Walle, Kidist Reba, Habtamu Wondiye
BACKGROUND: Though the incidence of Testicular cancer among young is rising, little attention is given to promoting testicular self-examination which is recommended for its early prevention in developing countries. This study aimed to assess testicular self-examination and associated factors among Bahir Dar University students using integrated behavioral model. METHODS: Cross sectional study was conducted among Bahir Dar University students in September, 2016. Systematic sampling technique was used to select 884 participants...
January 4, 2018: BMC Cancer
https://www.readbyqxmd.com/read/29286607/limited-understanding-of-pap-smear-testing-among-women-a-barrier-to-cervical-cancer-screening-in-the-united-arab-emirates
#10
Fatima Ahmed AL-Hammadi, Fatema Al-Tahri, Asma Al-Ali, Satish C Nair, Mahera Abdulrahman
Global data indicate that cervical cancer is the fourth most common cancer among women worldwide. Important factors that affect interventions for early diagnosis of cervical cancer include social beliefs and values and poor knowledge. These may contribute to women’s participation in screening for cervical cancer and have a significant impact on decisions to take preventive action. The present study was conducted with 599 women in the UAE between September 2016 and March 2017. A cross-sectional survey was conducted to determine knowledge about cervical cancer and screening, demographic characteristics and perceived barriers...
December 29, 2017: Asian Pacific Journal of Cancer Prevention: APJCP
https://www.readbyqxmd.com/read/29286568/utilization-of-frozen-plasma-cryoprecipitate-and-recombinant-factor-viia-for-children-with-hemostatic-impairments-an-audit-of-transfusion-appropriateness
#11
Lani Lieberman, Yulia Lin, Christine Cserti-Gazdewich, Qi Long Yi, Jacob Pendergrast, Wendy Lau, Jeannie Callum
BACKGROUND: Blood transfusions and fractionated products are not without risk and may lead to acute and long-term adverse events. The objective of this study was to evaluate the appropriateness of usage of frozen plasma (FP), cryoprecipitate (CRYO), and recombinant factor VIIa (rVIIa) in a pediatric setting. METHODS: All orders for FP, CRYO, and rVIIa were prospectively audited over 6 weeks. Data collected included demographics, laboratory values, indication, and adverse reactions...
December 29, 2017: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/29277844/shared-participatory-research-principles-and-methodologies-perspectives-from-the-usa-and-brazil-45-years-after-paulo-freire-s-pedagogy-of-the-oppressed
#12
Nina Wallerstein, Leandro L Giatti, Cláudia Maria Bógus, Marco Akerman, Pedro Roberto Jacobi, Renata Ferraz de Toledo, Rosilda Mendes, Sonia Acioli, Margaret Bluehorse-Anderson, Shelley Frazier, Marita Jones
The trajectory of participation in health research by community social actors worldwide has been built on a history of community participation from the Ottawa Charter Health Promotion call for community mobilization, to the emancipatory educational philosophy of Paulo Freire, to social movements and organizing for health and social justice. This paper builds on this history to expand our global knowledge about community participation in research through a dialogue between experiences and contexts in two prominent countries in this approach; the United States and Brazil...
June 2017: Societies (Basel)
https://www.readbyqxmd.com/read/29261538/the-current-use-of-united-states-medical-licensing-examination-step-1-scores-holistic-admissions-and-student-well-being-are-in-the-balance
#13
Kevin F Moynahan
United States Medical Licensing Examination Step 1 scores increasingly are being used by graduate medical education programs to "screen out" applicants to invite for an interview; medical students with scores below a certain (usually unpublished) point are not considered for an interview. Conversely, many students are extended an interview invitation based solely on their Step 1 scores, prior to the release of their Medical Student Performance Evaluation. In this Invited Commentary, the author discusses why this practice has gained popularity as well as the unintended effects it has had in multiple domains--holistic undergraduate medical education admissions practices, student well-being, and medical school curricula...
December 19, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29251063/decreased-rates-of-inpatient-hypoglycemia-following-implementation-of-an-automated-tool-in-the-electronic-medical-record-for-identifying-root-causes
#14
Naina Sinha Gregory, Jane Jeffrie Seley, Jenny Ukena, Sona Shah, Matthew R Fred, Savira Kochhar Dargar, Elizabeth Mauer, Robert J Kim
OBJECTIVE: The objective was to identify root causes of hypoglycemia on medicine inpatient units using an automated tool. Data collected will guide educational interventions aimed at improving patient care and safety by decreasing rates of hypoglycemia. METHODS: A survey was conducted among RNs to identify risk factors for hypoglycemia. Survey data were used to create a hypoglycemia root cause survey tool in the EMR. RNs were prompted to utilize the tool when blood glucose (BG) < 70 mg/dL...
December 1, 2017: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/29247530/appropriateness-vs-value-echocardiography-in-primary-care
#15
Amy Bethge, Oana Penciu, Salma Baksh, Swapnil Parve, Jessika Lobraico, Andrew M Keller
BACKGROUND: Despite efforts targeting the growth of healthcare spending within the United States, the current increase in expenditures remains a widespread systemic issue. The overuse of healthcare testing has previously been identified as a modifiable contributing factor. One such test, echocardiography, has seen a continuous increase in its rate of use. This test is frequently ordered by primary-care physicians. HYPOTHESIS: In the setting of a low likelihood of disease, echocardiography does not substantially change cardiac therapy, even if appropriately ordered...
December 16, 2017: Clinical Cardiology
https://www.readbyqxmd.com/read/29239913/transforming-the-role-of-the-clinical-faculty-coordinator-in-the-dedicated-education-unit
#16
Nicole Auxier, Holly Simpson
The dedicated education unit (DEU) clinical education model has been identified nationally as an innovative model for clinical nursing education. This article identifies the core values of the DEU clinical faculty coordinator role and describes the transformation of this role across three clinical models. The role has been adapted to fit the needs of acute care, post-acute care, and community nursing DEU models, meeting the needs of the clinical educational environment and clinical staff as well as student learning outcomes...
December 13, 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29235415/decisional-control-preferences-among-patients-with-advanced-cancer-an-international-multicenter-cross-sectional-survey
#17
Sriram Yennurajalingam, Luis Fernando Rodrigues, Omar M Shamieh, Colombe Tricou, Marilène Filbet, Kyaw Naing, Akhileshwaran Ramaswamy, Pedro Emilio Perez-Cruz, Mary Jocylyn S Bautista, Sofia Bunge, Mary Ann Muckaden, Sarah Fakrooden, Vikash Sewram, Antonio Noguera Tejedor, Shobha S Rao, Janet L Williams, Diane D Liu, Minjeong Park, Zhanni Lu, Hilda Cantu, David Hui, Suresh K Reddy, Eduardo Bruera
BACKGROUND: Understanding patients' decision control preferences is important in providing quality cancer care. Patients' decisional control preference can be either active (patients prefer to make decisions themselves), shared (collaborative between patient, their physician, and/or family), or passive (patients prefer that the decisions are made by either the physician and/or their family). AIM: To determine the frequency and predictors of passive decision control preferences among advanced cancer patients...
December 1, 2017: Palliative Medicine
https://www.readbyqxmd.com/read/29221846/prevailing-ethical-dilemmas-encountered-by-physicians-in-terminal-cancer-care-changed-after-the-enactment-of-the-natural-death-act-fifteen-years-follow-up-survey
#18
Hsien-Liang Huang, Chien-An Yao, Wen-Yu Hu, Shao-Yi Cheng, Shinn-Jang Huang, Chih-Dao Chen, Wen-Yuan Lin, Yen-Chun Lin, Tai-Yuan Chiu
CONTEXT: Advance directive laws have influences on ethical dilemmas encountered by physicians caring for terminal cancer patients. OBJECTIVES: To identify the prevailing ethical dilemmas among terminal care physicians fifteen years after the Natural Death Act was enacted in Taiwan. METHODS: This study is a cross-sectional survey from April 2014 to February 2015 using the clustering sampling method and a well-structured questionnaire. Targeted participants included physicians at oncology and related wards or palliative care units where terminal cancer care may be provided in Taiwan...
December 5, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29218803/community-pharmacist-led-clinical-services-physician-s-understanding-perceptions-and-readiness-to-collaborate-in-a-midwestern-state-in-the-united-states
#19
Cameron Gordon, Elizabeth Unni, Jaime Montuoro, Diane B Ogborn
OBJECTIVES: Many pharmacists are actively enhancing their role in the delivery of health care by offering a variety of pharmacist-led clinical services. The delivery of these services within community pharmacies can contribute to overcoming the cost and accessibility challenges currently facing U.S. health care, especially when pharmacist-physician collaborative efforts are utilized. The study purpose was to identify general and family practice physicians' awareness of pharmacists' delivery of clinical services, uncover their perceived barriers to collaboration with community pharmacists, and collect their input on how to overcome such barriers in order to better understand how pharmacist-led clinical services can be integrated, improved and more widely utilized as a healthcare delivery mechanism...
December 7, 2017: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/29196426/a-model-for-postdoctoral-education-that-promotes-minority-and-majority-success-in-the-biomedical-sciences
#20
Arri Eisen, Douglas C Eaton
How does the United States maintain the highest-quality research and teaching in its professional science workforce and ensure that those in this workforce are effectively trained and representative of national demographics? In the pathway to science careers, the postdoctoral stage is formative, providing the experiences that define the independent work of one's first faculty position. It is also a stage in which underrepresented minorities (URMs) disproportionately lose interest in pursuing academic careers in science and, models suggest, a point at which interventions to increase proportions of URMs in such careers could be most effective...
2017: CBE Life Sciences Education
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