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just in time training

Ronald S Weinstein, Michael J Holcomb, Elizabeth A Krupinski
This narrative-based paper provides a first-person account of the early history of telepathology (1985-2000) by the field's inventor, Ronald S. Weinstein, M. D. During the 1980s, Dr. Weinstein, a Massachusetts General Hospital-trained pathologist, was director of the Central Pathology Laboratory (CPL) for the National Cancer Institute-funded National Bladder Cancer Project, located at Rush Medical College in Chicago, IL. The CPL did post therapy revalidations of surgical pathology and cytopathology diagnoses before outcomes of the completed clinical trials were published...
2019: Journal of Pathology Informatics
Celia Taylor, Basimenye Nhlema, Emily Wroe, Moses Aron, Henry Makungwa, Elizabeth L Dunbar
BACKGROUND: Community Health Workers (CHWs) provide basic health screening and advice to members of their own communities. Although CHWs are trained, no CHW programmes have used a formal method to identify the level of achievement on post-training assessments that distinguishes "safe" from "unsafe". Objectives: The aim of this study was to use Ebel method of standard setting for a post-training written knowledge assessment for CHWs in Neno, Malawi. METHODS: 12 participants agreed the definitions of a "just-deployment ready" and an "ideal" CHW...
November 5, 2018: Annals of Global Health
Sean W Jewell, Toby Dylan Hocking, Paul Fearnhead, Daniela M Witten
Calcium imaging data promises to transform the field of neuroscience by making it possible to record from large populations of neurons simultaneously. However, determining the exact moment in time at which a neuron spikes, from a calcium imaging data set, amounts to a non-trivial deconvolution problem which is of critical importance for downstream analyses. While a number of formulations have been proposed for this task in the recent literature, in this article, we focus on a formulation recently proposed in Jewell and Witten (2018...
February 8, 2019: Biostatistics
Maria Skalska, Pantelis Theo Nikolaidis, Beat Knechtle, Thomas Johannes Rosemann, Łukasz Radzimiński, Joanna Jastrzębska, Mariusz Kaczmarczyk, Artur Myśliwiec, Paul Dragos, Guillermo F López-Sánchez, Zbigniew Jastrzębski
The aim of this study was to confirm that vitamin D supplementation of young soccer players during eight-week high-intensity training would have a significant effect on their motion activity. The subjects were divided into two groups: the experimental one, which was supplemented with vitamin D (SG, n = 20), and the placebo group (PG, n = 16), which was not supplemented with vitamin D. All the players were subjected to the same soccer training, described as High-Intensity Interval Training (HIIT). The data of the vitamin D status, time motion parameters and heart rate were collected just before and after the intervention...
February 6, 2019: Nutrients
Xiuyu Wu, Hongping Yuan, Ge Wang, Shuquan Li, Guangdong Wu
Lean construction has been viewed as an effective management approach for reducing the occurrence of no-value or destructive activities, such as wasting resources and safety-related accidents. However, few studies have systematically addressed how and to what extent lean construction practices influence construction safety. To bridge this gap, a conceptual model is developed and validated using a system dynamics approach. The construction system in this model comprises four sub-systems (i.e., environment system, equipment system, management system, and employee system)...
January 14, 2019: International Journal of Environmental Research and Public Health
Peirui Bai, Jayaram K Udupa, Yubing Tong, ShiPeng Xie, Drew A Torigian
PURPOSE: Radiological imaging and image interpretation for clinical decision making are mostly specific to each body region such as head & neck, thorax, abdomen, pelvis, and extremities. In this study, we present a new solution to trim automatically the given axial image stack into image volumes satisfying the given body region definition. METHODS: The proposed approach consists of the following steps. Firstly, a set of reference objects is selected and roughly segmented...
January 4, 2019: Medical Physics
P Vich Pérez, B Vicente Mata, I Prieto Checa, B Brusint Olivares, I Sevilla Machuca, O Sánchez López
OBJECTIVE: To detect doubts and training needs in an urban health and family doctor training centre during the usual practice. MATERIAL AND METHODS: A cross-sectional descriptive study was conducted for one month in an urban health centre in Madrid. Family doctors were interviewed after their daily clinics about the doubts they had identified, choosing two of them. Unresolved questions were grouped by subject and according to the current taxonomies. A teaching program was then developed to tackle them...
December 26, 2018: Semergen
Gillian Eva, Geeta Nanda, Kate Rademacher, Anna Mackay, Omaye Negedu, Anne Taiwo, Leila Dal Santo, Mariya Saleh, Lucky Palmer, Tracey Brett
BACKGROUND: The levonorgestrel intrauterine system (LNG IUS) is one of the most effective contraceptive methods, and it has noncontraceptive health benefits, including treatment for women with heavy menstrual bleeding. In 2016, Marie Stopes International Organisation Nigeria (MSION) expanded LNG IUS provision through training and support to 9 mobile outreach teams, 105 social franchise clinics, and 20 public-sector providers in 17 states. Information about the LNG IUS was added to awareness-raising materials, and community mobilizers provided information on the LNG IUS alongside other voluntary family planning methods...
December 27, 2018: Global Health, Science and Practice
Christine Grosso
The author, a third-year medical school student, talks about her mother's treatment for cancer. As her mother moved through the phases of her treatment, she struggled to reconcile what she should know as a family member with what she needed to know as a medical student. She was far enough along in her training to be familiar with all the heavy, often daunting, details of diseases and their treatments but not far enough along to know how to handle the weight of this knowledge. The author had already known the importance of understanding the chief complaint and the history of present illness...
December 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
Sandeep Grover, Swapnajeet Sahoo, Balachander Srinivas, Adarsh Tripathi, Ajit Avasthi
Aim: The aim of this study is to assess the perception of the young psychiatrists (aged ≤45 years) about their training received during the postgraduate training period. Methodology: An online E-mail survey using Survey Monkey electronic platform evaluated the perception of 451 psychiatrists about their own perception of training received during the postgraduation period. Results: About two-third ( n = 308; 68.3%) of the respondents reported that their overall training was 'good' or 'very good'...
October 2018: Indian Journal of Psychiatry
Adam Steel, Cibu Thomas, Aaron Trefler, Gang Chen, Chris I Baker
Resting-state functional connectivity (rsFC) between brain regions has been used for studying training-related changes in brain function during the offline period of skill learning. However, it is difficult to infer whether the observed training-related changes in rsFC measured between two scans occur as a consequence of task performance, whether they are specific to a given task, or whether they reflect confounding factors such as diurnal fluctuations in brain physiology that impact the MRI signal. Here, we sought to elucidate whether task-specific changes in rsFC are dissociable from time-of-day related changes by evaluating rsFC changes after participants were provided training in either a visuo-spatial task or a motor sequence task compared to a non-training condition...
December 19, 2018: NeuroImage
Niklas Westhoff, Henning Haumann, Maximilian Christian Kriegmair, Jost von Hardenberg, Johannes Budjan, Stefan Porubsky, Maurice Stephan Michel, Patrick Honeck, Manuel Ritter
PURPOSE: The aim of this study was to assess the impact of experience on the outcome of image fusion-guided prostate biopsies performed by urologists working at a high-volume medical center. METHODS: The first 210 consecutive fusion biopsies were analyzed following installation of the software-based biopsy platform Artemis™ (Eigen, USA). The impact of training was measured in terms of changes in prostate cancer detection rates and biopsy duration over time. We sought to identify a threshold of experience for urologists, which predicts higher detection rates of targeted biopsies...
December 17, 2018: World Journal of Urology
Sergey Milikisiyants, Maxim A Voinov, Antonin Marek, Morteza Jafarabadi, Jing Liu, Rong Han, Shenlin Wang, Alex I Smirnov
Over the past decades pulsed electron-electron double resonance (PELDOR), often called double electron-electron resonance (DEER), became one of the major spectroscopic tools for measurements of nanometer-scale distances and distance distributions in non-crystalline biological and chemical systems. The method is based on detecting the amplitude of the primary (3-pulse DEER) or refocused (4-pulse DEER) spin echo for the so-called "observer" spins when the other spins coupled to the former by a dipolar interaction are flipped by a "pump" pulse at another EPR frequency...
December 5, 2018: Journal of Magnetic Resonance
Melissa Rousseau, Karen D Könings, Claire Touchie
BACKGROUND: Physicians in training must achieve a high degree of proficiency in performing physical examinations and must strive to become experts in the field. Concerns are emerging about physicians' abilities to perform these basic skills, essential for clinical decision making. Learning at the bedside has the potential to support skill acquisition through deliberate practice. Previous skills improvement programs, targeted at teaching physical examinations, have been successful at increasing the frequency of performing and teaching physical examinations...
December 11, 2018: BMC Medical Education
Juan C Suarez, Ahmed A Al-Mansoori, Wilfredo J Borroto, Jesus M Villa, Preetesh D Patel
Background: Overlapping surgery occurs when a surgeon performs 2 procedures in an overlapping time frame. This practice is commonplace in the setting of total joint arthroplasty and is intended to increase patient access to experienced surgeons, improve efficiency, and advance the surgical competence of surgeons and trainees. The practice of overlapping surgery has been questioned because of safety and ethical concerns. As the literature is scarce on this issue, we evaluated the unplanned hospital readmission and reoperation rates associated with overlapping and non-overlapping total joint arthroplasty procedures...
September 25, 2018: JB & JS open access
Hiroaki Kubo, Hiromi Urata, Ryoko Katsuki, Miyako Hirashima, Shion Ueno, Yuriko Suzuki, Daisuke Fujisawa, Naoki Hashimoto, Keiji Kobara, Tetsuji Cho, Toshiko Mitsui, Shigenobu Kanba, Kotaro Otsuka, Takahiro A Kato
OBJECTIVE: In the workplace depression and suicide are serious mental health problems. A lack of knowledge and mental health skills along with the stigma toward mental health problems often results in delays in seeking professional help. Interventions targeting not only persons with mental health problems but also people around the individual are warranted in order to encourage supporting behavior within entire workplace. In the present study, we investigated the efficacy of our newly developed educational training program in the management with depression and suicidal risk in the workplace as a single-arm pilot trial...
2018: PloS One
I Wayan Pulantara, Bambang Parmanto, Anne Germain
BACKGROUND: Although evidence-based cognitive behavioral sleep treatments have been shown to be safe and effective, these treatments have limited scalability. Mobile health tools can address this scalability challenge. iREST, or interactive Resilience Enhancing Sleep Tactics, is a mobile health platform designed to provide a just-in-time adaptive intervention (JITAI) in the assessment, monitoring, and delivery of evidence-based sleep recommendations in a scalable and personalized manner...
December 7, 2018: Journal of Medical Internet Research
Claire Humphries, Suganthi Jaganathan, Jeemon Panniyammakal, Sanjeev Singh, Shifalika Goenka, Prabhakaran Dorairaj, Paramjit Gill, Sheila Greenfield, Richard Lilford, Semira Manaseki-Holland
OBJECTIVES: Research concentrating on continuity of care for chronic, non-communicable disease (NCD) patients in resource-constrained settings is currently limited and focusses on inpatients. Outpatient care requires attention as this is where NCD patients often seek treatment and optimal handover of information is essential. We investigated handover, healthcare communication and barriers to continuity of care for chronic NCD outpatients in India. We also explored potential interventions for improving storage and exchange of healthcare information...
2018: PloS One
Hadi Hadizadeh, Ahmad Reza Heravi, Ivan V Bajic, Parastoo Karami
Just noticeable difference (JND) models are widely used for perceptual redundancy estimation in images and videos. A common method for measuring the accuracy of a JND model is to inject random noise in an image based on the JND model, and check whether the JND-noise-contaminated image is perceptually distinguishable from the original image or not. Also, when comparing the accuracy of two different JND models, the model that produces the JND-noise-contaminated image with better quality at the same level of noise energy is the better model...
December 3, 2018: IEEE Transactions on Image Processing: a Publication of the IEEE Signal Processing Society
Thomaz Bittencourt Couto, Joyce Kelly Silva Barreto, Francielly Cesco Marcon, Ana Carolina Cintra Nunes Mafra, Tarso Augusto Duenhas Accorsi
Background: During in situ simulation, interprofessional care teams practice in an area where clinical care occurs. This study aimed to detect latent safety threats (LST) in a training program, which combined in situ simulation scenarios with just-in-time and just-in-place self-directed task training in an emergency department. We hypothesized this simulation-based training in actual care areas allows the detection of at least one LST per simulation scenario. Methods: This prospective observational study (April 2015-March 2016) involved 135 physicians, nurses, and nurse technicians...
2018: Advances in Simulation
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