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https://www.readbyqxmd.com/read/29031925/attributes-of-excellent-surgical-trainers-an-analysis-of-outstanding-trainers
#1
EDITORIAL
P A Sutton, A J Beamish, S Rashid, E Elsey, H M Mohan, D O'Regan
Excellent surgical trainers play a key role in teaching, mentoring and inspiring the next generation of trainee surgeons. Although there are differences in approach, personality and technique among trainers, common themes exist for those that truly shine as examples of good training. The good surgical trainer has long been the "unsung hero" of patient safety, inspiring and imparting wisdom and skill in trainee surgeons, and instilling a sense of confidence and compassion. In order to recognise exceptional trainers, the Association of Surgeons in Training (ASiT) introduced the Silver Scalpel Award in 2000...
October 11, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29029055/prognostic-models-for-9-month-mortality-in-tuberculous-meningitis
#2
Le Thi Phuong Thao, A Dorothee Heemskerk, Ronald B Geskus, Nguyen Thi Hoang Mai, Dang Thi Minh Ha, Tran Thi Hong Chau, Nguyen Hoan Phu, Nguyen Van Vinh Chau, Maxine Caws, Nguyen Huu Lan, Do Dang Anh Thu, Nguyen Thuy Thuong Thuong, Jeremy Day, Jeremy J Farrar, M Estee Torok, Nguyen Duc Bang, Guy E Thwaites, Marcel Wolbers
Background: Tuberculous meningitis (TBM) is the most severe form of extra-pulmonary tuberculosis. We developed and validated prognostic models for 9-month mortality in HIV-uninfected and HIV-infected adults with TBM. Methods: We included 1699 subjects from four randomized clinical trials and one prospective observational study conducted at two major referral hospitals in Southern Vietnam from 2001-2015. Modelling was based on multivariable Cox proportional hazards regression...
September 26, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29026647/progress-in-development-of-bioderived-materials-for-dermal-wound-healing
#3
REVIEW
Lin-Cui Da, Yi-Zhou Huang, Hui-Qi Xie
Treatment of acute and chronic wounds is one of the primary challenges faced by doctors. Bioderived materials have significant potential clinical value in tissue injury treatment and defect reconstruction. Various strategies, including drug loading, addition of metallic element(s), cross-linking and combining two or more distinct types of materials with complementary features, have been used to synthesize more suitable materials for wound healing. In this review, we describe the recent developments made in the processing of bioderived materials employed for cutaneous wound healing, including newly developed materials such as keratin and soy protein...
October 2017: Regenerative Biomaterials
https://www.readbyqxmd.com/read/29016550/assessing-lifetime-stress-exposure-using-the-stress-and-adversity-inventory-for-adults-adult-strain-an-overview-and-initial-validation
#4
George M Slavich, Grant S Shields
OBJECTIVE: Numerous theories have proposed that acute and chronic stressors may exert a cumulative effect on lifespan health by causing biological "wear and tear", or allostatic load, which in turn promotes disease. Very few studies have directly tested such models, though, partly because of the challenges associated with efficiently assessing stress exposure over the entire life course. To address this issue, we developed the first online system for systematically assessing lifetime stress exposure, called the Stress and Adversity Inventory (STRAIN), and describe its initial validation here...
October 10, 2017: Psychosomatic Medicine
https://www.readbyqxmd.com/read/28992624/how-to-train-to-discharge-a-dermatology-outpatient-a-review
#5
A Harun, Andrew Y Finlay, M Sam Salek, Vincent Piguet
BACKGROUND/AIMS: The decision to discharge is a critical and common outpatient consultation event. However, little guidance exists over how discharge decision-making can be taught. We aimed to provide educational recommendations concerning outpatient discharge decision-making. METHODS: Recommendations were drawn from prior interviews with 40 consultant dermatologists and 56 dermatology outpatients, and from the "traffic light" design discharge information checklist, developed using the Delphi technique...
October 10, 2017: Dermatology: International Journal for Clinical and Investigative Dermatology
https://www.readbyqxmd.com/read/28988775/outbreak-of-vaccine-preventable-diseases-in-muslim-majority-countries
#6
REVIEW
Ali Ahmed, Kah Seng Lee, Allah Bukhsh, Yaser Mohammed Al-Worafi, Md Moklesur Rahman Sarker, Long Chiau Ming, Tahir Mehmood Khan
The increase in Muslim parents' refusal and hesitancy to accept childhood vaccination was identified as one of the contributing factors in the increase of vaccine-preventable diseases cases in countries such as Afghanistan, Malaysia and Pakistan. The spread of inaccurate and irresponsible information by the anti-vaccination movement may inflict more harm than good on Muslim communities. To curb this issue, health authorities in Pakistan and Malaysia have resorted to imposing strict punishments on parents who refuse to allow their children to be vaccinated...
October 4, 2017: Journal of Infection and Public Health
https://www.readbyqxmd.com/read/28984374/lessons-learned-from-15-years-of-non-grades-based-selection-for-medical-school
#7
Karen M Stegers-Jager
CONTEXT: Thirty years ago, it was suggested in the Edinburgh Declaration that medical school applicants should be selected not only on academic, but also on non-academic, attributes. The main rationale behind extending medical school selection procedures with the evaluation of (non-academic) personal qualities is that this will lead to the selection of students who will perform better as a doctor than those who are selected on the basis of academic measures only. A second rationale is the expectation that this will lead to a representative health workforce as a result of reduced adverse impact...
October 6, 2017: Medical Education
https://www.readbyqxmd.com/read/28981244/-specificity-of-communication-in-general-practice
#8
P Thomas, J M Thomas
Beyond its scientific and ethical competencies, a good doctor is characterized by his communication skills. The ability to listen is fundamental. During an interview, the physician must keep in mind a bio-psycho-social approach while being able to hear the unspeakable and inaudible. Knowledge of patients and their relatives, which seems to be a specific knowledge for general practitioners, offers a lot of information. Among the main sensitive topics that the clinician must identify are: intrafamily violence, domestic violence, substance abuse and anxiety-depressive disorders...
2017: Revue Médicale de Bruxelles
https://www.readbyqxmd.com/read/28979916/addressing-the-physicians-shortage-in-developing-countries-by-accelerating-and-reforming-the-medical-education-is-it-possible
#9
Mustafa Al-Shamsi
INTRODUCTION: Doctors' shortage has remained a concern worldwide. The developed countries started aids to recruit international medical graduates (IMG) to cope with the defects that the health care system suffers from; however, this solution may not work in developing countries that have a limited resource and poor budget to spend on the health care system. This study aims to present an alternative way to approach the physicians' shortage by accelerating undergraduate medical education and reform some post-graduate courses in order to cope with this problem...
October 2017: Journal of Advances in Medical Education & Professionalism
https://www.readbyqxmd.com/read/28972243/assessment-of-clinical-practices-for-crushing-medication-in-geriatric-units
#10
M Fodil, D Nghiem, M Colas, S Bourry, A-S Poisson-Salomon, H Rezigue, C Trivalle
OBJECTIVES: To assess the modification of the form of medication and evaluate staff observance of good clinical practices. DESIGN: One-day assessment of clinical practices. SETTING: 17 geriatrics units in the 3 Teaching Hospitals of Paris-Sud (APHP), France. PARTICIPANTS: Elderly in-patients with difficulties swallowing capsules and tablets. MEASUREMENTS: Assessment of target-patient prescriptions and direct observation of nurses' medical rounds...
2017: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/28970761/-go-make-your-face-known-collaborative-working-through-the-lens-of-personal-relationships
#11
Nigel King, Alison Bravington, Joanna Brooks, Jane Melvin, David Wilde
BACKGROUND: Collaborative working between professionals is a key component of integrated care. The academic literature on it largely focuses either on integration between health and social care or on the dynamics of power and identity between doctors and nurses. With the proliferation and extension of nursing roles, there is a need to examine collaborative working amongst different types of nurses. METHOD: This study explored experiences of collaborative working amongst generalist and specialist nurses, in community and acute settings...
August 10, 2017: International Journal of Integrated Care
https://www.readbyqxmd.com/read/28968299/contact-lens-compliance-with-ophthalmologists-and-other-health-professionals
#12
Ayse Guzin Taslipinar Uzel, Mehmet Murat Uzel, Nilay Yuksel, Emine Kalkan Akcay
PURPOSE: To assess the compliance with contact lens (CL) use among ophthalmologists and other health professionals, and to identify the main noncompliant behaviors. METHODS: A cross-sectional, comparative study was designed for soft CL wearers. Twenty-five ophthalmologists, 24 medical doctors other than ophthalmologists, 20 nurses (health professionals), and 52 lay people (members of the public) subjects were included in the interview. The compliance rate for each behavior were determined and compared...
September 29, 2017: Eye & Contact Lens
https://www.readbyqxmd.com/read/28959061/fears-and-concerns-of-patients-with-uterine-fibroids-a-survey-of-807-women
#13
Nina Isabelle Knudsen, Klaus-D Wernecke, Friederike Siedentopf, Matthias David
STUDY QUESTIONS: What specific fears and concerns do patients with uterine fibroids have? How are these influenced by sociodemographic factors, duration of condition and level of knowledge among these women? METHODS: Between January 2016 and January 2017 807 patients were consecutively surveyed at a university hospital speciality fibroid clinic using a two page locally developed and validated questionnaire focusing on fibroid-associated fears and concerns. RESULTS: The questionnaire was completed by 730 women (90...
September 2017: Geburtshilfe und Frauenheilkunde
https://www.readbyqxmd.com/read/28958125/-on-the-way-to-culture-sensitive-patient-information-materials-results-of-a-focus-group-study
#14
Zivile Ries, Fabian Frank, Isaac Bermejo, Chariklia Kalaitsidou, Jördis Zill, Jörg Dirmaier, Martin Härter, Jürgen Bengel, Lars Hölzel
Aim This study was part of a double-blind randomised controlled trial aimed to evaluate the effects of culture-sensitive patient information materials (PIM) compared with standard translated material. The study aimed to obtain the data for the development of culture sensitive PIM about unipolar depression for the 4 largest migrant groups in Germany (Turkish, Polish, Russian and Italian migration background). Method A qualitative study using 4 manual-based focus groups (FG), one for each migrant group, with 29 participants (9 with a Turkish (TüG), 8 with a Polish (PoG), 5 with a Russian (RuG) and 7 with an Italian (ItG) migration background) was conducted...
September 28, 2017: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/28956888/the-9-item-physician-documentation-quality-instrument-pdqi-9-score-is-not-useful-in-evaluating-emr-scribe-note-quality-in-emergency-medicine
#15
Katherine J Walker, Andrew Wang, William Dunlop, Hamish Rodda, Michael Ben-Meir, Margaret Staples
BACKGROUND: Scribes are assisting Emergency Physicians by writing their electronic clinical notes at the bedside during consultations. They increase physician productivity and improve their working conditions. The quality of Emergency scribe notes is unevaluated and important to determine. OBJECTIVE: The primary objective of the study was to determine if the quality of Emergency Department scribe notes was equivalent to physician only notes, using the Physician Documentation Quality Instrument, Nine-item tool (PDQI-9)...
September 26, 2017: Applied Clinical Informatics
https://www.readbyqxmd.com/read/28953826/reflecting-on-the-humanities-related-to-experiences-of-illness-with-a-creative-exploration-of-metaphoric-spaces
#16
Mohamud A Verjee
Every patient has a story to tell, and every experienced physician has a bank of stories to recall. A patient's visit is not chance but a search for a cure, amelioration of state, advice, guidance, a prescription, or for seeking reassurance, comfort, and in some circumstances, permission to "be well". From the simplest tale to the most complex, narratives abound. Sometimes, the most intimate information shared with the physician confidante, go dark and deep, with a yearning to "tell all" after a period of suppression...
September 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28953822/audit-on-the-quality-of-handovers-of-a-psychiatric-liaison-team-in-the-uk-a-short-report
#17
Trupti Koli, Maria Filippidou
BACKGROUND: The importance of handovers has been recognised and proven in clinical practice. In liaison psychiatry, this is particularly important due to the high turnover of patients seen, the shift work pattern and the number of member staff engaging in this process. An Audit on the Quality of Handovers was carried out within a Psychiatric Liaison team of a General hospital in UK with an intention to review and improve this. METHOD: Handovers were evaluated against the gold standard of the SBAR tool (Situation/Background/Assessment/Recommendations) over a period of 4 weeks...
September 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28953261/the-effect-of-personal-characteristics-perceived-threat-efficacy-and-breast-cancer-anxiety-on-breast-cancer-screening-activation
#18
Patrick De Pelsmacker, Martine Lewi, Veroline Cauberghe
In order to activate women to participate in breast cancer screening programs, a good understanding is needed of the personal characteristics that influence how women can be activated to search for more information, consult friends and doctors, and participate in breast cancer screening programs. In the current study, we investigate the effect of six personal characteristics that have in previous research been identified as important triggers of health behavior on breast cancer screening activation: Health awareness, Need for Cognition, Affect Intensity, Breast cancer knowledge, Topic involvement, and the Perceived breast cancer risk...
September 27, 2017: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/28950842/exploratory-study-into-awareness-of-heart-disease-and-health-care-seeking-behavior-among-emirati-women-uae-cross-sectional-descriptive-study
#19
Sarah Khan, Syed Adnan Ali
BACKGROUND: Cardiovascular disease was the leading cause of death among women in the United Arab Emirates (UAE) in 2010. Heart attacks usually happen in older women thus symptoms of heart disease may be masked by symptoms of chronic diseases, which could explain the delay in seeking health care and higher mortality following an ischaemic episode among women. This study seeks to a) highlight the awareness of heart diseases among Emirati women and b) to understand Emirati women's health care seeking behaviour in UAE...
September 26, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/28940614/encouraging-reflection-good-doctor-or-bad-doctor
#20
Sarah Brand, Patrick Lancaster, Irene Gafson, Helen Nolan
No abstract text is available yet for this article.
November 2017: Medical Education
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