Universities & Medical Training Research
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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 18.
[Reproductive health of women : Family planning and "reproductive rights" in Germany].
[Reproductive health of women : Family planning and "reproductive rights" in Germany].
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2013 Feb;56(2):192-8
Authors: Helfferich C
Abstract
The WHO (World Health Organization) definition of reproductive health establishes reproductive rights for women and men. This includes the capability to reproduce and the freedom to decide, if, when, and how often to do so. In this article the implementation of these rights in Germany is evaluated, focusing on selected aspects of family planning. Findings from empirical studies, surveys, and official register...
Source: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz - February 1, 2013 Category: Global & Universal Authors: Helfferich C Tags: Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz Source Type: research
Positive sexuality and its impact on overall well-being.
Abstract
Historically, the issue of sexual health has been largely considered with respect to the associated negative health outcomes. The dangers of sexual activity such as sexually transmitted infections (STIs), HIV/AIDS, unintended pregnancy, sexual coercion, and sexual violence have dominated the attention of those working in the field. Over the last 20 years, and particularly in the last decade, an increasing number of people from a variety disciplines that address issues of sexual health have developed a new discourse concerning the positive aspects of sexuality. This review of the literature explores this e...
Source: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz - February 1, 2013 Category: Global & Universal Authors: Anderson RM Tags: Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz Source Type: research
[The sexual health of men from a sexual-medical perspective].
Abstract
Men's sexual health can be impaired by a variety of sexual disorders, including numerous sexual dysfunctions (primary or due to general medical conditions or their treatment), but also paraphilias and gender identity disorders. These different disorders are often interwoven. This paper offers an overview of the prevalence, symptoms, and etiological factors of major sexual-medical disorders and of the basics of diagnostics and therapy. Special emphasis is given to the couple dimension and the biopsychosocial foundation of human sexuality, which requires an interdisciplinary approach. The paper argues for an...
Source: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz - February 1, 2013 Category: Global & Universal Authors: Bosinski HA Tags: Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz Source Type: research
New approaches to sexuality education and underlying paradigms.
This article highlights international developments around sexuality education, with a focus on Europe. It also compares differences in approaches and their often implicit underlying paradigms, with the aim of generating more international discussion on the advantages and disadvantages of these different approaches. International organizations need to be aware of the different approaches and need to reflect them in their work.
PMID: 23361210 [PubMed - as supplied by publisher]
Source: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz - February 1, 2013 Category: Global & Universal Authors: Ketting E, Winkelmann C Tags: Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz Source Type: research
[Prevention of sexually transmitted infections (STI) in Germany : From HIV to STI prevention].
[Prevention of sexually transmitted infections (STI) in Germany : From HIV to STI prevention].
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2013 Feb;56(2):262-8
Authors: Corsten C, von Rüden U
Abstract
The strategy of "social learning" has been established as the decisive basis for the development of prevention measures in the field of HIV/AIDS in Germany. In recent years, HIV/AIDS prevention has been expanded to include sexually transmitted infections (STI), and the"Don't Give AIDS a Chance" umbrella campaign of the Federal Centre for Health Education (Bundeszentrale für gesundheitliche...
Source: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz - February 1, 2013 Category: Global & Universal Authors: Corsten C, von Rüden U Tags: Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz Source Type: research
High levels of household food insecurity on the Navajo Nation.
CONCLUSIONS: Food insecurity rates on the Navajo Nation are the highest reported to date in the USA and are likely attributable to the extremely high rates of poverty and unemployment. Reducing food insecurity on the Navajo Nation will require increasing the availability of affordable healthy foods, addressing poverty and unemployment, and providing nutrition programmes to increase demand.
PMID: 23369257 [PubMed - as supplied by publisher]
Source: Public Health Nutrition - February 1, 2013 Category: Global & Universal Authors: Pardilla M, Prasad D, Suratkar S, Gittelsohn J Tags: Public Health Nutr Source Type: research
Learning and survival memory undergoing a permanent bilateral carotid ligation in rats.
CONCLUSION: The permanent bilateral carotid ligation induces change in the learning and survival memory.
PMID: 23370922 [PubMed - as supplied by publisher]
Source: Acta Cirurgica Brasileira - February 1, 2013 Category: Surgery Authors: Melo MC, Gadelha D, Mascena GV, Oliveira TK, Brandt CT Tags: Acta Cir Bras Source Type: research
Effect of singing training on total laryngectomees wearing a tracheoesophageal voice prosthesis.
CONCLUSION: Singing training seems to have a favorable effect on the quality of tracheoesophageal phonation and on singing voice.
PMID: 23370925 [PubMed - as supplied by publisher]
Source: Acta Cirurgica Brasileira - February 1, 2013 Category: Surgery Authors: Onofre F, Ricz HM, Takeshita-Monaretti TK, Prado MY, Aguiar-Ricz LN Tags: Acta Cir Bras Source Type: research
Practice other than playing games apparently has only a modest role in the development of chess expertise.
Abstract
Evidence that chess expertise rests on practice alone mostly comes from studies using a correlational retrospective recall paradigm, which confounds amount of study with number of games played and possible innate talent. Researchers also often use latest performance rating and include participants who play and study little. Study 1 partially replicated such studies with improvements such as use of peak rating and a large, skilled sample. Number of internationally-rated games played was the strongest predictor of peak rating. Total study hours was a significant but weaker predictor. Study 2 controlled for s...
Source: British Journal of Psychology - February 1, 2013 Category: Psychiatry & Psychology Authors: Howard RW Tags: Br J Psychol Source Type: research
Improving insight and non-insight problem solving with brief interventions.
Abstract
Developing brief training interventions that benefit different forms of problem solving is challenging. In earlier research, Chrysikou (2006) showed that engaging in a task requiring generation of alternative uses of common objects improved subsequent insight problem solving. These benefits were attributed to a form of implicit transfer of processing involving enhanced construction of impromptu, on-the-spot or 'ad hoc' goal-directed categorizations of the problem elements. Following this, it is predicted that the alternative uses exercise should benefit abilities that govern goal-directed behaviour, such a...
Source: British Journal of Psychology - February 1, 2013 Category: Psychiatry & Psychology Authors: Wen MC, Butler LT, Koutstaal W Tags: Br J Psychol Source Type: research
Preventing L5-s1 discitis associated with sacrocolpopexy.
CONCLUSION: : In the supine position, the most prominent structure in the presacral space is the L5-S1 disc, which extends approximately 1.5 cm cephalad to the "true" sacral promontory. During sacrocolpopexy, awareness of a 60-degree average drop between the anterior surfaces of L5 and S1 vertebra should assist with intraoperative localization of the sacral promontory and avoidance of the L5-S1 disc. The first sacral nerve can be expected approximately 3 cm from the upper surface of the sacrum and 1.5 cm from the midline.
LEVEL OF EVIDENCE: : II.
PMID: 23344278 [PubMed - in process]
Source: Obstetrics and Gynecology - February 1, 2013 Category: OBGYN Authors: Good MM, Abele TA, Balgobin S, Schaffer JI, Slocum P, McIntire D, Corton MM Tags: Obstet Gynecol Source Type: research
Practicing pelvic examinations by medical students on women under anesthesia: why not ask first?
Practicing pelvic examinations by medical students on women under anesthesia: why not ask first?
Obstet Gynecol. 2013 Feb;121(2 Pt 1):378
Authors: Tocce K, Teal SB
PMID: 23344291 [PubMed - in process]
Source: Obstetrics and Gynecology - February 1, 2013 Category: OBGYN Authors: Tocce K, Teal SB Tags: Obstet Gynecol Source Type: research
Committee opinion no. 554: reproductive and sexual coercion.
Committee opinion no. 554: reproductive and sexual coercion.
Obstet Gynecol. 2013 Feb;121(2 Pt 1):411-5
Authors:
Abstract
ABSTRACT:: Reproductive and sexual coercion involves behavior intended to maintain power and control in a relationship related to reproductive health by someone who is, was, or wishes to be involved in an intimate or dating relationship with an adult or adolescent. This behavior includes explicit attempts to impregnate a partner against her will, control outcomes of a pregnancy, coerce a partner to have unprotected sex, and interfere with contraceptive methods. Obstetrician-gynecologist...
Source: Obstetrics and Gynecology - February 1, 2013 Category: OBGYN Tags: Obstet Gynecol Source Type: research
Factors associated with success of vaginal birth after one caesarean section (VBAC) at three teaching hospitals in Addis Ababa, Ethiopia: a case control study
Conclusion:
It is possible to prepare a decision tool on the success of VBAC by taking important past and present obstetric and reproductive performance history as predictor.
Source: BMC Pregnancy and Childbirth - Latest articles - February 1, 2013 Category: OBGYN Authors: Malede BiraraYirgu Gebrehiwot Source Type: research
The use of abdominal muscle training, breathing exercises and abdominal massage to treat pediatric chronic functional constipation
ConclusionThe combined use of isometric training of abdominal muscles, breathing exercises and abdominal massage increased defecation frequency after 6 weeks but faecal incontinence remained unchanged Physiotherapy may be a useful treatment for constipation© 2013 The Authors. Colorectal Disease © 2013 The Association of Coloproctology of Great Britain and Ireland
Source: Colorectal Disease - February 1, 2013 Category: Gastroenterology Authors: Carlos André Gomes Silva, Maria Eugênia Farias Almeida Motta Tags: Original Article Source Type: research
Original Research: The Perioperative Experience of Patients with Parkinson's Disease: A Qualitative Study.
CONCLUSIONS: Participants' comments made it clear that the actions of nurses could affect the perioperative experience for better or for worse. Our findings further highlight the need for clinical care guidelines for hospitalized patients with Parkinson's disease. Nurses should take the lead in the development of guidelines for Parkinson's disease symptom management.
PMID: 23334560 [PubMed - as supplied by publisher]
Source: The American Journal of Nursing - February 1, 2013 Category: Nursing Authors: Anderson LC Tags: Am J Nurs Source Type: research
Antibiotic timing in neonates with suspected hospital-acquired infections.
Abstract
There exists general agreement within neonatology that antibiotics should be administered promptly to neonates with possible bacterial sepsis and meningitis. We initiated a series of quality improvement cycles designed to reduce delays in the initiation of antibiotic therapy to less than 2 hours when hospital-acquired infection (HAI) was suspected. All infants in this study were in neonatal intensive care (level II or III) who were started on antibiotics for a suspected HAI (defined as an infection that occurred 72 hours after admission to the NICU) were audited. Through a series of quality improvement cyc...
Source: Advances in Neonatal Care - February 1, 2013 Category: Nursing Authors: Bissinger RL, Mueller M, Cox TH, Cahill J, Garner SS, Irving M, Annibale DJ Tags: Adv Neonatal Care Source Type: research
A National Survey of Neonatal Peripherally Inserted Central Catheter (PICC) Practices.
CONCLUSION: : This extensive national survey of NICU PICC practices showed wide variation in multiple aspects of PICC insertion and maintenance. A gap between the evidence and current practice was evident in many facets of training, insertion techniques, and maintenance processes. The data suggest a need for an increase in awareness of clinicians of current practice guidelines and standards and the need for further research to develop an evidence basis for many aspects of PICC care where lacking.
PMID: 23360860 [PubMed - in process]
Source: Advances in Neonatal Care - February 1, 2013 Category: Nursing Authors: Sharpe E, Pettit J, Ellsbury DL Tags: Adv Neonatal Care Source Type: research
Metastatic breast cancer epidemiology and management with a focus on taxanes.
Abstract
Although considerable treatment advances have been made since the early 2000s, metastatic breast cancer (MBC) continues to provide challenges for patients and healthcare providers. The responsibilities of nurses regarding the management of MBC are extensive. Among other things, nurses must provide patient education, understand treatment administration, and have the ability to perform patient assessments, as well as identify and manage symptoms. The taxanes paclitaxel, docetaxel, and nab-paclitaxel are a class of microtubule-stabilizing agents that are highly active against MBC but have many differences amo...
Source: Clinical Journal of Oncology Nursing - February 1, 2013 Category: Nursing Authors: Donovan D Tags: Clin J Oncol Nurs Source Type: research
Quality-of-Life Considerations With Taxane-Based Therapy in Metastatic Breast Cancer.
Abstract
As with many other types of chemotherapy, taxanes are associated with side effects that can affect patients' quality of life. One of the major side effects of taxane therapy is taxane-induced peripheral neuropathy (TIPN). The development of TIPN is accompanied by troublesome burning, tingling, and numbness; TIPN also can affect patient safety because of the decreased ability to perceive sensations (e.g., pain, heat). Pain and fatigue are common side effects of taxane therapy. These particular symptoms may hinder patients from working or performing daily activities, thus affecting quality of life. This case...
Source: Clinical Journal of Oncology Nursing - February 1, 2013 Category: Nursing Authors: Maxwell C Tags: Clin J Oncol Nurs Source Type: research
Chemotherapy Extravasations: Prevention, Identification, Management, and Documentation.
Abstract
The nurses' role in safe and effective practice of chemotherapy administration is paramount. The purpose of this article is to present nurses administering chemotherapy with evidence-based information useful in eliminating or reducing the severity of an injury from a chemotherapy extravasation. Nurse education is essential to prevent, recognize, manage, and document chemotherapy extravasations. The classification of the cytotoxic drug and its mechanism of action is useful when selecting the IV access device and also will direct the nurse's intervention to manage the injury. The Oncology Nursing Society's C...
Source: Clinical Journal of Oncology Nursing - February 1, 2013 Category: Nursing Authors: Gonzalez T Tags: Clin J Oncol Nurs Source Type: research
The Use of Nipple-Sparing Mastectomy in Patients With Breast Cancer.
The objective of this article is to review the oncologic and surgical concerns with NSM, along with the appropriate selection of patients and potential postoperative complications. A review of the literature was conducted through MEDLINE®, PubMed, and Google Scholar, focusing on recent research. The findings revealed that although the oncologic safety of NSM continues to be debated, indications are strong that cancer recurrence rates are low and the aesthetic motivation is high for carefully screened patients. From those findings, considerations for patient education regarding risks and expectations are described. Nurses ...
Source: Clinical Journal of Oncology Nursing - February 1, 2013 Category: Nursing Authors: Long L Tags: Clin J Oncol Nurs Source Type: research
Heated Intraperitoneal Chemotherapy in Appendiceal Cancer Treatment.
Abstract
Appendiceal cancer is rare and has been treated traditionally with repeated surgical debulking; however, cytoreductive surgery (CRS) with heated intraperitoneal chemotherapy (HIPEC) is becoming the preferred treatment modality because of improved survival. Nurses are responsible for knowing how to care for patients who are receiving or have received this treatment and need to be prepared to provide education on oncofertility. This case study illustrates the nursing implications of pregnancy and childbirth following CRS with HIPEC.
PMID: 23372101 [PubMed - as supplied by publisher]
Source: Clinical Journal of Oncology Nursing - February 1, 2013 Category: Nursing Authors: Cianos R, Lafever S, Mills N Tags: Clin J Oncol Nurs Source Type: research
Nursing Student Attitudes Toward Oncology Nursing.
Abstract
Oncology education can impact nursing students' attitudes toward oncology and their interest in oncology nursing. To explore that relationship, a literature search was conducted using the CINAHL®, Cochrane Library, ERIC®, PubMed, and Scopus® databases. Nineteen pertinent studies were incorporated into the review, and recommendations were graded by strength of evidence schemas. The reviewed literature indicated undergraduate oncology education may be effective in encouraging nursing students to consider oncology as a practice area. Negative attitudes toward oncology such as fear and pessimism often are s...
Source: Clinical Journal of Oncology Nursing - February 1, 2013 Category: Nursing Authors: Komprood SR Tags: Clin J Oncol Nurs Source Type: research
The evolutionary rate of antibacterial drug targets
Conclusions:
Evolutionary rate can be used to score and find potential drug targets. The results presented here may become a useful addition to a repertoire of drug target prediction methods. As a proof of concept, we analyzed GO enrichment among the slowest evolving genes. These may become the starting point in the search for antibiotics with a novel mechanism.
Source: BMC Bioinformatics - Latest articles - February 1, 2013 Category: Bioinformatics Authors: Arkadiusz GladkiSzymon KaczanowskiPawel SzczesnyPiotr Zielenkiewicz Source Type: research
Medication Adherence among Older Adults with Schizophrenia.
This article presents findings from a qualitative study that explored the understanding older adults with schizophrenia have of their physical health status. The study was conducted among 28 older adults with schizophrenia from a variety of settings using semi-structured interviews and participant observation. Self-management of psychiatric and non-psychiatric medications and its effect on participants' health status was one of the central themes that emerged from the study. Different styles of medication adherence were identified and factors associated with each style are presented. The findings provide insights into the ...
Source: Journal of Gerontological Nursing - February 1, 2013 Category: Nursing Authors: Leutwyler HC, Fox PJ, Wallhagen M Tags: J Gerontol Nurs Source Type: research
A multidisciplinary approach to overreaching detection in endurance trained athletes
This study showed that monitoring various variables is required to prevent the transition between NT and OR. It emphasized that an OR index, which combines heart rate and blood lactate concentration changes after a strenuous training period, could be helpful to routinely detect OR.
Source: Journal of Applied Physiology - February 1, 2013 Category: Physiology Authors: Le Meur, Y., Hausswirth, C., Natta, F., Couturier, A., Bignet, F., Vidal, P. P. Tags: ARTICLES Source Type: research
Effect of contrasted levels of habitual physical activity on metabolic flexibility
The factors regulating the body's ability to switch from fat to carbohydrate oxidation in response to fuel availability changes, or metabolic flexibility (MF), are currently intensively investigated in the context of metabolic diseases. Although numerous metabolic diseases are associated with sedentary behaviors and metabolic inflexibility, the effect of habitual physical activity level (PAL) on MF regulation is surprisingly poorly known. We investigated how PAL affects MF in cross-sectional and interventional studies. MF was assessed in 44 subjects: normal-weight and overweight sedentary men submitted to 2 mo of exercise ...
Source: Journal of Applied Physiology - February 1, 2013 Category: Physiology Authors: Bergouignan, A., Antoun, E., Momken, I., Schoeller, D. A., Gauquelin-Koch, G., Simon, C., Blanc, S. Tags: ARTICLES Source Type: research
Pulmonary blood flow and its distribution in highly trained endurance athletes and healthy control subjects
In conclusion, reduced blood flow heterogeneity in response to adenosine in endurance athletes may be a reflection of capillary reserve, which is more extensively recruitable in athletes than in matched healthy control subjects.
Source: Journal of Applied Physiology - February 1, 2013 Category: Physiology Authors: Heinonen, I., Savolainen, A. M., Han, C., Kemppainen, J., Oikonen, V., Luotolahti, M., Duncker, D. J., Merkus, D., Knuuti, J., Kalliokoski, K. K. Tags: ARTICLES Source Type: research
Gluconeogenesis and hepatic glycogenolysis during exercise at the lactate threshold
Because the maintenance of glycemia is essential during prolonged exercise, we examined the effects of endurance training, exercise intensity, and plasma lactate concentration ([lactate]) on gluconeogenesis (GNG) and hepatic glycogenolysis (GLY) in fasted men exercising at, and just below, the lactate threshold (LT), where GNG precursor lactate availability is high. Twelve healthy men (6 untrained, 6 trained) completed 60 min of constant-load exercise at power outputs corresponding to their individual LT. Trained subjects completed two additional 60-min sessions of constant-load exercise: one at 10% below the LT workload (...
Source: Journal of Applied Physiology - February 1, 2013 Category: Physiology Authors: Emhoff, C.-A. W., Messonnier, L. A., Horning, M. A., Fattor, J. A., Carlson, T. J., Brooks, G. A. Tags: ARTICLES Source Type: research
Prostaglandin and myokine involvement in the cyclooxygenase-inhibiting drug enhancement of skeletal muscle adaptations to resistance exercise in older adults
Twelve weeks of resistance training (3 days/wk) combined with daily consumption of the cyclooxygenase-inhibiting drugs acetaminophen (4.0 g/day; n = 11, 64 ± 1 yr) or ibuprofen (1.2 g/day; n = 13, 64 ± 1 yr) unexpectedly promoted muscle mass and strength gains 25–50% above placebo (n = 12, 67 ± 2 yr). To investigate the mechanism of this adaptation, muscle biopsies obtained before and ~72 h after the last training bout were analyzed for mRNA levels of prostaglandin (PG)/cyclooxygenase pathway enzymes and receptors [arachidonic acid synthesis: cytosolic phospholipase A2 (cPLA2) and secreted phosph...
Source: AJP: Regulatory, Integrative and Comparative Physiology - February 1, 2013 Category: Physiology Authors: Trappe, T. A., Standley, R. A., Jemiolo, B., Carroll, C. C., Trappe, S. W. Tags: Call for Papers Source Type: research
A web-based survey of attitudes toward epilepsy in secondary and tertiary students in Malaysia, using the Public Attitudes Toward Epilepsy (PATE) scale.
CONCLUSION: The attitudes of secondary and tertiary students are more positive than those of the general population in the general domain but not in the personal domain.
PMID: 23314303 [PubMed - in process]
Source: Epilepsy and Behaviour - February 1, 2013 Category: Neurology Authors: Lim KS, Hills MD, Choo WY, Wong MH, Wu C, Tan CT Tags: Epilepsy Behav Source Type: research
A single pentylenetetrazole-induced clonic-tonic seizure episode is accompanied by a slowly developing cognitive decline in rats.
Abstract
According to different studies, between 5% and 10% of people suffer a single isolated seizure episode at some time in their life. However, little is known about the effects of a single seizure episode on cognitive function, and clinical investigations of this issue are not easy to perform. In this situation, animal models may be a reasonable choice. The aim of our study was to follow the time course of delayed effects of generalized clonic-tonic convulsions on learning and memory functions in rats. A clonic-tonic seizure episode was induced by a single i.p. injection of pentylenetetrazole (70mg/kg). Differ...
Source: Epilepsy and Behaviour - February 1, 2013 Category: Neurology Authors: Aniol VA, Ivanova-Dyatlova AY, Keren O, Guekht AB, Sarne Y, Gulyaeva NV Tags: Epilepsy Behav Source Type: research
Leadership development: see the need.
Authors:
PMID: 23360335 [PubMed - in process]
Source: Journal of Continuing Education in Nursing - February 1, 2013 Category: Nursing Tags: J Contin Educ Nurs Source Type: research
Taking the plunge: things to consider when making the decision to provide a national conference.
Abstract
This column describes factors and beginning steps that members of a provider unit should consider when making a decision to undertake a national conference.
PMID: 23360336 [PubMed - in process]
Source: Journal of Continuing Education in Nursing - February 1, 2013 Category: Nursing Authors: Desilets LD Tags: J Contin Educ Nurs Source Type: research
Strategies to improve delirium recognition in hospitalized older adults.
Abstract
As 24-hour caregivers, nurses' detection of delirium is critical to physician diagnosis because of the waxing and waning of delirium-related clinical features. However, nurses fail to accurately interpret delirium-related clinical features more than 30% of the time.
PMID: 23360337 [PubMed - in process]
Source: Journal of Continuing Education in Nursing - February 1, 2013 Category: Nursing Authors: Rice KL, Castex J Tags: J Contin Educ Nurs Source Type: research
Teaching the business of health care.
Abstract
This column identifies teaching modalities for assessing economic value, creating strategic plans, supporting implementation of cost-saving initiatives, and constantly evaluating.
PMID: 23360338 [PubMed - in process]
Source: Journal of Continuing Education in Nursing - February 1, 2013 Category: Nursing Authors: Logrippo MT Tags: J Contin Educ Nurs Source Type: research
Development of Simulated Chest Compression Videos for Objective Evaluation of CPR Instructors.
Authors:
PMID: 23360339 [PubMed - in process]
Source: Journal of Continuing Education in Nursing - February 1, 2013 Category: Nursing Tags: J Contin Educ Nurs Source Type: research
Projecting Thailand physician supplies between
2012 and 2030: application of cohort approaches
Conclusion:
This supply forecast, given various assumptions, would meet the targets outlined above, ofone doctor per 1,800 population, and one per 1,500 population, by 2016 and 2020respectively. However, rapid changes in the contextual environment, e.g. economic demand,physician demographics, and disease burden, may mean that the annual loss rate of 1% usedin this projection is not accurate in the future. To ensure population health needs are met,parallel policies on physician production encompassing both qualitative and quantitativeaspects should be in place. Improved, up-to-date information and establishment of aphysicia...
Source: Human Resources for Health - February 1, 2013 Category: Health Management Authors: Rapeepong SuphanchaimatThunthita WisaijohnNoppakun ThammathachareeViroj Tangcharoensathien Source Type: research
Building research capacity in Botswana: a randomized trial comparing training methodologies in the Botswana ethics training initiative
Conclusions:
Completion of the case-based intervention improved respondents' test scores, with those who completed all six email cases scoring roughly 10% better than those who failed to complete this task and those in the control arm. There was only suggestive evidence that intensive case work improved ethical issue identification, although there was limited ability to assess this outcome due to a high drop-out rate.
Source: BMC Medical Education - February 1, 2013 Category: Universities & Medical Training Authors: Francis BarchiMegan Kasimatis-SingletonMary KasulePilate KhulumaniJon Merz Source Type: research
Communication training for advanced medical students improves information recall of medical laypersons in simulated informed consent talks -- a randomized controlled trial
Conclusion:
Short communication training for advanced medical students improves information recall of medical laypersons in simulated informed consent talks.
Source: BMC Medical Education - February 1, 2013 Category: Universities & Medical Training Authors: Anne WernerFriederike HolderriedNorbert SchäffelerPeter WeyrichNora CelebiReimer RiessenStephan Zipfel Source Type: research
The benefits of exercise training in interstitial lung disease: Protocol for a multicentre randomised controlled trial
DiscussionThis trial will provide certainty regarding the role of exercise training in interstitial lung disease and will identify at what time point within the disease process this treatment is most effective. The results from this study will inform and optimise the clinical management of people with interstitial lung disease.Trial registration: Australian New Zealand Clinical Trials Registry ACTRN12611000416998
Source: BMC Pulmonary Medicine - Latest articles - February 1, 2013 Category: Respiratory Medicine Authors: Leona DowmanChristine McDonaldCatherine HillAnnemarie LeeKathryn BarkerClaire BooteIan GlaspoleNicole GohAnnemarie SouthcottAngela BurgeRebecca NdongoAlicia MartinAnne Holland Source Type: research
PreCisIon: PREdiction of CIS-regulatory elements improved by gene's positION
This study demonstrates that respective gene positioning carries significant information. This novel type of information is combined with traditional sequence information by a machine learning algorithm called PreCisIon. To optimize this combination, PreCisIon builds a strong gene target classifier by adaptively combining weak classifiers based on either local binding sequence or global gene position. This strategy generically paves the way to the optimized incorporation of any future advances in gene target prediction based on local sequence, genome layout or on novel criteria. With the current state of the art, PreCisIon...
Source: Nucleic Acids Research - February 1, 2013 Category: Research Authors: Elati, M., Nicolle, R., Junier, I., Fernandez, D., Fekih, R., Font, J., Kepes, F. Tags: Computational Methods, Genomics Computational Biology Source Type: research
Re: “Experience With a Practice Quality Improvement System in a University Radiology Department”
I was pleased to read the continuing medical education article by Theresa Kouo, MD [], and fully support the development of a centralized Practice Quality Improvement (PQI) system. I agree that shared educational goals among faculty members, fellows, and residents should be brought together to enhance one another's productivity, the sharing of credit, mentorship, and collaboration. At my own institution, we recently launched an online database tool to match researchers engaged in clinical, translational, and basic science research with motivated residents and students interested in gaining research experience. However, how...
Source: Journal of the American College of Radiology : JACR - February 1, 2013 Category: Radiology Authors: Jonathon A. Nye Tags: Other Content Source Type: research
Value of Case-Based Learning in a Nuclear Medicine Clerkship
Conclusions:
The integration of CBL, allied with the TIA, into clinical clerkships provides medical students with the opportunity to learn a nuclear medicine curriculum in an interactive and case-based format tailored specifically for medical students.
Source: Journal of the American College of Radiology : JACR - February 1, 2013 Category: Radiology Authors: Bi-Fang Lee, Nan-Tsing Chiu, Chung-Yi Li Tags: Original Articles Source Type: research
Culture Shift: An Imperative for Future Survival
Radiologists have experienced unprecedented prosperity for the past 3 decades. Technology has continually evolved, providing exciting opportunities for earlier diagnoses and improved patient care. The financial rewards enjoyed by radiologists have been impressive, and the quality of life has been difficult to beat. Circumstances change, and in the past few years, radiologists have been confronted with a variety of new challenges. These trends include declining reimbursement, an “image problem” at both the local and the national levels, more demanding hospital administrations, nontraditional competition from national en...
Source: Journal of the American College of Radiology : JACR - February 1, 2013 Category: Radiology Authors: Lawrence R. Muroff Tags: Original Articles Source Type: research
Inter‐rater reliability of assessment of levator ani muscle strength and attachement to the pubic bone in nulliparous women
ConclusionMOS revealed substantial agreement between the two investigators. In this group of nulliparous patients, there was good agreement between grades of LAM attachment, which correlated to TPUS. It therefore appears that these assessment tools are reproducible in nullipara, can be readily learned and reliably incorporated into clinical practice and research after appropriate training. Further evaluation to establish its clinical utility in postpartum women and women with (symptomatic) pelvic organ prolapse is awaited.
Source: Ultrasound in Obstetrics and Gynecology - February 1, 2013 Category: Radiology Authors: Kim Delft, Nadine Schwertner‐Tiepelmann, Ranee Thakar, Abdul H Sultan Tags: Original Article Source Type: research
A comparison of mean glandular dose diagnostic reference levels within the all-digital Irish nationalbreast screening programme and the Irish symptomatic breast services
Data on image quality, compression and radiation dose were collected from symptomatic breast units within the Republic of Ireland. Quantitative and qualitative data were analysed using SPSS. Recommendations of mean glandular dose (MGD) diagnostic reference levels were made at various levels for film-screen and full field digital mammography units to match levels published worldwide. MGDs received by symptomatic breast patients within Ireland are higher than those received in the all-digital Irish Breast Screening service; 55–65 mm breast: 1.75 mGy (screening) vs. 2.4 mGy (symptomatic) at the 95th percentile; various ...
Source: Radiation Protection Dosimetry - February 1, 2013 Category: Radiology Authors: O'Leary, D., Rainford, L. Tags: Papers Source Type: research
Optimizing Therapeutic Hypothermia for Neonatal Encephalopathy
CONCLUSIONS:
The implementation of a TH program to improve the consistency of care for patients in NICUs is feasible using standard-quality improvement methodology. The successful introduction of new interventions such as TH to the NICU culture requires a collaborative multidisciplinary team, use of a systematic quality improvement process, and perseverance.
Source: PEDIATRICS - February 1, 2013 Category: Pediatrics Authors: Olsen, S. L., DeJonge, M., Kline, A., Liptsen, E., Song, D., Anderson, B., Mathur, A. Tags: Quality Report Source Type: research
Promoting Excellence in the Care of Pediatric Endocrine Diseases in the Developing World
On behalf of the Global Pediatric Endocrinology and Diabetes group, the authors provide a perspective on the rights of a child as enshrined in the United Nations Convention on the Rights of the Child (1989) concerning the care of pediatric endocrine disorders and diabetes mellitus, throughout the world, with particular reference to care in resource-constrained settings. In this article, we define the spectrum of health care needs of the child with an endocrine disorder and how they may be addressed, in terms of education, research, and development of sustainable programs for improved health outcomes. We emphasize the respo...
Source: PEDIATRICS - February 1, 2013 Category: Pediatrics Authors: Zacharin, M., Chanoine, J. P., Cassorla, F., Brink, S., Hanas, R., Fideleff, H. L., Oduwole, A., Shah, N., Hochberg, Z., on behalf of all 70 Global Pediatric Endocrinology and Diabetes Active Members Tags: Endocrinology Special Article Source Type: research

