keyword
https://read.qxmd.com/read/32767738/community-based-recruitment-and-exome-sequencing-indicates-high-diagnostic-yield-in-adults-with-intellectual-disability
#1
Aniko Sabo, David Murdock, Shannon Dugan, Qingchang Meng, Marie-Claude Gingras, Jianhong Hu, Donna Muzny, Richard Gibbs
BACKGROUND: Establishing a genetic diagnosis for individuals with intellectual disability (ID) benefits patients and their families as it may inform the prognosis, lead to appropriate therapy, and facilitate access to medical and supportive services. Exome sequencing has been successfully applied in a diagnostic setting, but most clinical exome referrals are pediatric patients, with many adults with ID lacking a comprehensive genetic evaluation. METHODS: Our unique recruitment strategy involved partnering with service and education providers for individuals with ID...
August 7, 2020: Molecular Genetics & Genomic Medicine
https://read.qxmd.com/read/32767599/the-effect-of-a-computerized-best-practice-alert-system-in-an-outpatient-setting-on-metabolic-monitoring-in-patients-on-second-generation-antipsychotics
#2
Sydnee Cohen, Jolene R Bostwick, Vincent D Marshall, Kathleen Kruse, Gregory W Dalack, Paresh Patel
WHAT IS KNOWN AND OBJECTIVE: Metabolic syndrome is a well-documented adverse effect of second-generation antipsychotics (SGAs). Patients with metabolic syndrome are at an increased risk of potentially fatal cardiovascular events, including myocardial infarction and stroke. This elevated risk prompted the creation of a national guideline on metabolic monitoring for patients on SGAs in 2004. However, monitoring practices remained low at our clinic. To address this concern, a clinical decision support system was developed to alert providers of monitoring requirements...
August 7, 2020: Journal of Clinical Pharmacy and Therapeutics
https://read.qxmd.com/read/32767380/international-recommendations-for-an-effective-control-of-head-louse-infestations
#3
REVIEW
Kosta Y Mumcuoglu, Richard J Pollack, David L Reed, Stephen C Barker, Shirley Gordon, Ariel C Toloza, Maria I Picollo, Aysegul Taylan-Ozkan, Olivier Chosidow, Birgit Habedank, Joanna Ibarra, Terri L Meinking, Robert H Vander Stichele
Head louse infestations continue to be a concern of public health in most countries, including the most developed ones. The present recommendations are intended to inform and stress the role and impact of the different authorities, institutions, industry, and the public in the control of head lice in order to reduce the prevalence of this parasite. We encourage health authorities to pursue more effective methods to correctly identify such infestations, and evaluate existing and new pediculicides, medical devices, louse repellents, and louse- and nit-removal remedies...
August 7, 2020: International Journal of Dermatology
https://read.qxmd.com/read/32767286/therapeutic-patient-education-for-adrenal-insufficiency-under-covid-19-pandemic-conditions
#4
Tina Kienitz, Stefanie Hahner, Stephanie Burger-Stritt, Marcus Quinkler
Adrenal insufficiency (AI) requires life-long treatment with glucocorticoid replacement therapy. Over- or under-substitution carries the risk of increased morbidity in the form of side effects or adrenal crises. Glucocorticoid replacement therapy needs to be flexible with dose adaptation in special situations. This could not be managed by medical personnel on a daily basis, but requires an educated patient who has a good knowledge of the disease, understands his medical therapy and is able to perform situational dose adaptation...
August 6, 2020: Experimental and Clinical Endocrinology & Diabetes
https://read.qxmd.com/read/32767271/ethics-of-covid-19-related-school-closures
#5
Michael Silverman, Robert Sibbald, Saverio Stranges
COVID-19 mitigation strategies have led to widespread school closures around the world. Initially, these were undertaken based on data from influenza outbreaks in which children were highly susceptible and important in community-wide transmission. An argument was made that school closures were necessary to prevent harm to vulnerable adults, especially the elderly. Although data are still accumulating, the recently described complication, pediatric multisystem inflammatory syndrome, is extremely rare and children remain remarkably unaffected by COVID-19...
August 7, 2020: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://read.qxmd.com/read/32767215/hereditary-environmental-and-dietary-risk-factors-of-colorectal-cancer-a-case-control-study-in-the-algerian-east
#6
Samira Negrichi, Salima Taleb
Colorectal carcinoma (CRC) is the second most common cancer diagnosed in Algeria. The incidence and the mortality rate of CRC have increased so that the nation now ranks third in Africa in both these variables. Many environmental and genetic factors are suspected to play an important role in the development of the disease. This study aimed to identify the risk factors for CRC in Algeria. We performed a case-control study in five Medical Oncology Services in this region: Tebessa, Batna, Annaba, Setif, and Constantine, from 2016 to 2019...
August 7, 2020: Environmental Science and Pollution Research International
https://read.qxmd.com/read/32767185/strategies-to-encourage-medical-student-interest-in-urology
#7
REVIEW
Jubin E Matloubieh, Manizheh Eghbali, Nitya Abraham
PURPOSE OF REVIEW: Urology residency positions have steadily increased but applications have remained stagnant. This is an alarming trend given the aging general population and thus increased need for urologists. The purpose of this review is to describe barriers and suggest strategies to encourage medical students to pursue urology. RECENT FINDINGS: Barriers to interest in urology include educational factors, such as timing of exposure to urology in medical school, USMLE scores, research experience, and deciding in time for an early match, as well as socioeconomic barriers, such as cost, being underrepresented in medicine, and gender...
August 7, 2020: Current Urology Reports
https://read.qxmd.com/read/32767082/knowledge-gap-about-immune-checkpoint-inhibitors-among-rheumatologists-and-medical-students-a-survey
#8
Guilherme Ferreira Maciel da Silva, Joaquim Ivo Vasques Dantas Landim, Lucas Teixeira Dos Santos Brasil, Isabella Cabral Marinho Plens, Andressa Laura Castro Silva, Morton Aaron Scheinberg, Francisco Airton Castro Rocha
Previous studies found that physicians working in developed countries in Europe and in the USA declared insufficient knowledge concerning immune-related adverse events (irAE) following use of immune checkpoint inhibitors (ICI) in cancer treatment. We determined this knowledge gap among rheumatologists and medical students (MS) in Brazil. A web-based structured survey or a direct interview was applied to 1428 board-certified Brazilian rheumatologists and an adapted questionnaire was sent to 840 undergraduate MS attending the last 2 years of Medical Schools in Fortaleza-CE, Brazil, in September 2019...
August 7, 2020: Rheumatology International
https://read.qxmd.com/read/32766866/enhancing-the-scalability-of-the-collaborative-care-model-for-depression-using-mobile-technology
#9
Kelly E Carleton, Urvashi B Patel, Dana Stein, David Mou, Alissa Mallow, Michelle A Blackmore
The collaborative care model (CoCM) has substantial support for improving behavioral health care in primary care. However, large-scale CoCM adoption relies on addressing operational and financial implementation challenges across health care settings with varying resources. An academic medical center serving socioeconomically and racially diverse patients implemented the CoCM in seven practices. A smartphone application was introduced to facilitate CoCM care management during depression treatment (app-augmented CoCM)...
August 7, 2020: Translational Behavioral Medicine
https://read.qxmd.com/read/32766685/military-medical-students-intentions-to-pursue-operational-medicine-survey-design-and-initial-validation
#10
James F Schwartz, Anthony R Artino, Ting Dong
INTRODUCTION: The Uniformed Services University of the Health Sciences coordinates a 2-week Summer Operational Experience (SOE) during the first year of medical school. The SOE aims to provide students with operational context and enhance familiarity with service-specific operational environments, the services' medical department capabilities, and/or general warfighter skills. One overarching goal of the SOE is to provide an experience that may motivate students to pursue an operational medicine assignment at some point in their military career...
August 6, 2020: Military Medicine
https://read.qxmd.com/read/32766490/improving-point-of-care-ultrasound-documentation-and-billing-accuracy-in-a-pediatric-emergency-department
#11
Carrie Ng, Asha S Payne, Amit K Patel, Rosemary Thomas-Mohtat, Angela Maxwell, Alyssa Abo
Objective: The performance and interpretation of point-of-care ultrasound (POCUS) should be documented appropriately in the electronic medical record (EMR) with correct billing codes assigned. We aimed to improve complete POCUS documentation from 62% to 80% and improve correct POCUS billing codes to 95% or higher through the implementation of a quality improvement initiative. Methods: We collected POCUS documentation and billing data from the EMR. Interventions included: (1) staff education and feedback, (2) standardization of documentation and billing, and (3) changes to the EMR to support standardization...
July 2020: Pediatric Quality & Safety
https://read.qxmd.com/read/32766486/a-quality-improvement-project-to-standardize-surfactant-delivery-in-the-era-of-noninvasive-ventilation
#12
Jeong Eun Kim, Mariana Brewer, Regina Spinazzola, Elfriede Wallace, Joanne Casatelli, Joanna Beachy, Barry Weinberger, Shahana Perveen
Introduction: Continuous positive airway pressure (CPAP) and surfactant both improve outcomes for premature infants with respiratory distress syndrome. However, prolonged trials of CPAP, as well as observation periods after intubation, may delay the administration of surfactant. Late surfactant treatment likely increases the incidence of bronchopulmonary dysplasia, which leads to significant morbidity and healthcare utilization. Methods: We aimed to decrease time from meeting standard criteria (start of a continuous run of Fi O2 > 40% or Pa CO2 > 65 for >90 min) to intubation, and from intubation to surfactant administration, for infants <1,500 g or younger than 32 weeks gestation...
July 2020: Pediatric Quality & Safety
https://read.qxmd.com/read/32766484/reducing-point-of-care-blood-gas-testing-in-the-intensive-care-unit-through-diagnostic-stewardship-a-value-improvement-project
#13
Michael J Tchou, Sally May, John Holcomb, Ethan Tanner-Edwards, Kathy Good, Matthew Frazier, Erika L Stalets, Maya Dewan
Introduction: Overutilization of point-of-care (POC) testing may reduce the overall value of care due to high-cost cartridges, need for staff training, and quality assurance requirements. Methods: The Diagnostic Stewardship group at Cincinnati Children's Hospital Medical Center assembled a multidisciplinary team to reduce the use of POC blood gas testing by 20% in the pediatric intensive care unit (PICU). Key drivers of test overutilization included poor knowledge of cost, concern with testing turnaround time, and a lack of a standard definition of when a POC test was appropriate...
July 2020: Pediatric Quality & Safety
https://read.qxmd.com/read/32766481/-livertwitter-an-emerging-tool-for-liver-education-and-research
#14
Adam E Mikolajczyk, Nneka Ufere, Anthony C Breu, Neehar D Parikh, Guadalupe Garcia-Tsao, Elliot B Tapper
#LiverTwitter has emerged as an academic forum that has begun to advance the field of hepatology by disseminating content on chronic liver diseases to a global audience. This article summarizes the content presented in a panel discussion at the 2019 Liver Meeting by highlighting the perspectives of several key types of participants in Twitter: the trainee, the medical educator, the divisional account, the scientific journal, and the passive participant.
August 2020: Hepatology Communications
https://read.qxmd.com/read/32766350/effects-of-resident-education-and-self-implementation-of-integrated-pest-management-strategy-for-eliminating-bed-bug-infestation-in-ahvaz-city-southwestern-iran
#15
Ismaeil Alizadeh, Elham Jahanifard, Mona Sharififard, Mohammad Ebrahim Azemi
Background: Bed bugs as blood-sucking insects have become a public health problem in urban communities throughout the world. The objective of this study was to determine the effects of resident education and self-implementation of Integrated Pest Management (IPM) strategy for eliminating bed bug infestation in infected apartments in Ahvaz City, Iran. Methods: This interventional study was conducted in seventy apartments infested with bed bug ( Cimex lectularius ) in Ahvaz City, southwest Iran, during a 6-month period...
March 2020: Journal of Arthropod-borne Diseases
https://read.qxmd.com/read/32766337/clinical-instructors-recruitment-callenges-interpretive-structural-modeling-approach
#16
Akram Sadeghian, Shahram Tofighi, Nikoo Yamani, Tahereh Changiz
CONTEXT: Universities of medical sciences are responsible for educating and training human resources (HRs) that provide services to all members of the community. Clinical educators play a significant role in the promotion of health and education in medical sciences universities. AIMS: The aim of this study was to prioritize and develop a model to illustrate the relationship between faculty recruitment challenges in medical sciences universities. SETTINGS AND DESIGN: Interpretive structural modeling (ISM) is a system design method initially introduced by Warfield (1974)...
2020: Journal of Education and Health Promotion
https://read.qxmd.com/read/32766332/association-of-quality-of-life-with-physical-activity-depression-and-demographic-characteristics-and-its-predictors-among-medical-students
#17
Nafiseh Ghassab-Abdollahi, Seyed Kazem Shakouri, Alireza Taheri Aghdam, Ali Farshbaf-Khalili, Somayeh Abdolalipour, Azizeh Farshbaf-Khalili
BACKGROUND: Medical students face a variety of challenges during their years of medical education that can affect their quality of life (QOL). This study aimed to investigate the association of QOL with physical activity (PA), depression, and demographic characteristics, as well as to determine its predictors among medical students in different stages of education. METHODS: A cross-sectional descriptive-correlational study was conducted on 186 medical students of Tabriz University of Medical Sciences in different educational stages including basic sciences, physiopathology, externship, and internship using stratified random sampling method...
2020: Journal of Education and Health Promotion
https://read.qxmd.com/read/32766329/opportunities-and-challenges-of-social-media-for-health-knowledge-management-a-narrative-review
#18
REVIEW
Hossein Ghalavand, Sirous Panahi, Shahram Sedghi
INTRODUCTION: Social media is becoming a new tool for developing health knowledge management. However, despite the rapid growth of research in this area, few attempts have been made to review previous research. This study tried to summarize the opportunities and challenges of using social media to managing health knowledge. METHODOLOGY: This article used a narrative approach to collect and review studies. In this review, published documents during 2010-2019 were retrieved by search in the following three electronic scientific databases: Web of Knowledge, PubMed, and Google Scholar search engine using keywords including social media, public health, health knowledge, knowledge management, and health promotion...
2020: Journal of Education and Health Promotion
https://read.qxmd.com/read/32766326/design-and-psychometric-properties-of-willingness-to-mobile-learning-scale-for-medical-sciences-students-a-mixed-methods-study
#19
Nayereh Baghcheghi, Hamid Reza Koohestani, Mahmood Karimy
BACKGROUND AND AIM: Given the absence of a scale specially designed to measure willingness to mobile learning (m-learning) in medical sciences students, the present study was conducted to design and evaluate the psychometric properties of "willingness to m-learning" scale for medical sciences students. METHODOLOGY: The study was carried out as a mixed-method study in two phases at Saveh University of Medical Sciences in 2019. Phase one was a qualitative study to elaborate on the students' perception of m-learning...
2020: Journal of Education and Health Promotion
https://read.qxmd.com/read/32766324/training-needs-assessment-of-nursing-managers-for-achieving-university-health-coverage
#20
Sogand Tourani, Zainab Malmoon, Rouhollah Zaboli, Mehdi Jafari, Ali Nemati
BACKGROUND: University health coverage gives everyone accesses to health services focused on the most important causes of illness and death and ensures that the quality of services is high enough to improve the health of those receiving services. Nurses as the largest group of staff in the health system play an important role in achieving UHC. This study aimed to determine the training needs of nursing managers in universities of medical sciences of Iran in achieving UHC. MATERIALS AND METHODS: This study was a qualitative study conducted in 2019 using the framework method...
2020: Journal of Education and Health Promotion
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