﻿FN Clarivate Analytics Web of Science
VR 1.0
PT J
AU Camm, C. Fielder
   Russell, Emily
   Xu, Antonio Ji
   Rajappan, Kim
TI Does YouTube provide high-quality resources for patient education on
   atrial fibrillation ablation?
SO INTERNATIONAL JOURNAL OF CARDIOLOGY
VL 272
BP 189
EP 193
DI 10.1016/j.ijcard.2018.08.066
PD DEC 1 2018
PY 2018
AB Objective: Catheter ablation has a role in the treatment of selected
   patients with atrial fibrillation (AF). Patients are increasingly
   utilising the internet as an education resource. However, there is
   limited oversight on online patient information. This study aimed to
   determine the quality of video-based patient education resources for
   catheter ablation in AF.
   Methods: YouTube was searched for "Ablation" and one of "Atrial
   Fibrillation" or "AFib" or "AF" (a total of three searches). Videos were
   included if they discussed catheter ablation and excluded if they
   primarily discussed surgical/hybrid ablation or were non-English
   language. Each video was scored by two authors for compliance with a
   gold-standard item set created from patient booklets from the Arrhythmia
   Alliance.
   Results: A total of 6357 videos were identified from all searches. Of
   these, a total of 111 videos met inclusion criteria and were included in
   the analysis. The median number of views for each video was 1794.5 (IQR
   335 to 10,972) with a median duration of 217 s (IQR 135 to 444 s). The
   median number of essential criteria found in each video was 4/21 (IQR 3
   to 6), and no video met all the essential criteria. Video score was not
   significantly correlated with video likes or number of views.
   Conclusions: No available videos provide sufficiently detailed
   information for a patient to have a reasonable understanding of catheter
   ablation. A lack of correlation between views/'likes' and video score
   suggests patients are unable to critically evaluate these resources for
   educational content. (C) 2018 Elsevier B.V. All rights reserved.
OI Ji-Xu, Antonio/0000-0003-4705-181X; Russell, Emily/0000-0001-6042-3118
TC 11
ZB 1
ZS 0
Z8 0
ZR 0
ZA 0
Z9 11
U1 0
U2 1
SN 0167-5273
EI 1874-1754
UT WOS:000446025200037
PM 30177231
ER

PT J
AU Grover, Purva
   Kar, Arpan Kumar
   Davies, Gareth
TI "Technology enabled Health" - Insights from twitter analytics with a
   socio-technical perspective
SO INTERNATIONAL JOURNAL OF INFORMATION MANAGEMENT
VL 43
BP 85
EP 97
DI 10.1016/j.ijinfomgt.2018.07.003
PD DEC 2018
PY 2018
AB Technology had been used in health domain for various purposes such as
   for storing electronic health records; monitoring; education;
   communication; and for behavioural tracking. The evident benefits have
   triggered a huge amount of discussions surrounding health technology in
   the web 3.0 space and users around the globe are sharing their
   experiences and perspective on social media platforms. Social media had
   been used for creating awareness, sharing information and providing
   emotional support to public in different diseases. This study focuses on
   exploring the health technology related discussions in Twitter. For this
   study around 105,489 tweets were collected from Twitter by 15,587 unique
   users. These tweets were analysed through social media analytics
   approaches (i.e. CUP framework). The study presents the top technologies
   in health domain through hashtag analysis and top diseases (acute,
   chronic, communicable and non-communicable) through word analysis and
   their association through co-occurrence of words within the tweets. The
   association depicts technology had been used in treating, identifying
   and heeling of the various diseases. The discussion on social media is
   skewed towards computing algorithms. The acute and chronic diseases were
   discussed on social media, and our study indicates that statistically,
   there is no difference in the discussion of acute and chronic diseases.
   The communicable and non-communicable diseases are also discussed on
   social media, and our study indicates no statistically difference in the
   discussion of communicable and non-communicable diseases which signifies
   users are referring to Twitter for discussing various type of diseases
   irrespective of acute, chronic, communicable and non-communicable
   diseases. Future researchers can use the study as the evidence of
   extracting insights related to socio-technical perspective from Twitter
   data. The literature contains lot of evidences where technology had been
   useful in health domain, but the bigger picture of how the various
   technologies are being related to health domain is missing, therefore
   this study tries to contribute to this area by mining tweets.
RI Kar, Arpan Kumar/B-9999-2009
OI Kar, Arpan Kumar/0000-0003-4186-4887
Z8 0
ZB 2
ZS 0
TC 61
ZA 1
ZR 0
Z9 62
U1 9
U2 12
SN 0268-4012
EI 1873-4707
UT WOS:000447963300008
ER

PT J
AU Sofia Coutinho, Ana
   Ribeiro, Lucia
TI Communication of bad news in clinical practice - The Role of Liaison
   Psychiatry
SO PSILOGOS
VL 16
IS 2
BP 92
EP 102
DI 10.25752/psi.15291
PD DEC 2018
PY 2018
AB Background: Evidence suggests that physicians present important
   difficulties in communicating bad news, which negatively influences the
   clinical prognosis and leads to litigation situations. The requests for
   collaboration made to Liaison Psychiatry in this context reflect these
   difficulties, allowing the physician to remain distanced from the
   psychosocial aspects of the relationship with the patient and from
   feelings of impotence in the face of unfavorable prognosis.
   Aims: To carry out a review of the literature, in the field of
   physician-patient communication, focusing on the communication of bad
   news, and to reflect on the contribution of Liaison Psychiatry in this
   interaction.
   Methods: We performed a non-systematic review and critical analysis of
   the literature in the field of physician-patient communication, using
   online databases Pubmed and Scielo, with no time limit defined. We
   selected the studies focusing on the communication of bad news and
   included training programs specifically designed to improve the
   communicational skills of physicians in this interaction.
   Results and Conclusions: The difficulties identified in the report of
   bad news by the doctor seem to result from insufficient under and
   postgraduate academic training, from professional limitations such as
   the lack of time, and from difficulties in dealing with the
   psychological aspects of the patient. The training programs developed in
   this area, despite increasing confidence, lack rigorous scientific
   validation and are not widespread in medical training. We believe that
   Liaison Psychiatry should improve this reality by developing
   well-structured programs that combine methodologies and examine
   stakeholder satisfaction and long-term outcomes.
ZB 0
Z8 0
TC 0
ZR 0
ZS 0
ZA 0
Z9 0
U1 0
U2 0
SN 1646-091X
EI 2182-3146
UT WOS:000748668900008
ER

PT J
AU Dicianno, Brad E.
   Sherman, Adam
   Roehmer, Christian
   Zigler, Christina K.
TI Co-morbidities Associated With Early Mortality in Adults With Spina
   Bifida
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 97
IS 12
BP 861
EP 865
DI 10.1097/PHM.0000000000000964
PD DEC 2018
PY 2018
AB Objective The aims of this quality improvement project were to identify
   secondary conditions and medical co-morbidities in adult patients with
   spina bifida and to determine which factors were associated with an
   earlier age of death.
   Design Retrospective chart review of 487 patients who attended the
   University of Pittsburgh Medical Center Adult Spina Bifida Clinic
   between August 1, 2005, and June 6, 2017, was conducted.
   Results Of 487 patients who had received care at the University of
   Pittsburgh Medical Center Adult Spina Bifida Clinic, 48 were deceased.
   The most commonly reported causes of death included infection,
   respiratory failure, renal failure, shunt malfunction, and metastatic
   cancer. Underlying co-morbidities and secondary conditions included
   hydrocephalus, Chiari II malformation, tethered cord, scoliosis, and
   abnormal renal function. In deceased patients, earlier age of death was
   significantly associated with myelomeningocele subtype and the presence
   of hydrocephalus and Chiari II malformation.
   Conclusions Clinicians treating individuals with spina bifida should be
   aware of the potential for earlier mortality in individuals with
   myelomeningocele, hydrocephalus, and Chiari II malformation, especially
   with regard to infection, respiratory failure, renal failure, shunt
   malfunction, and cancer.
   To Claim CME Credits Complete the self-assessment activity and
   evaluation online at http://www.physiatry.org/JournalCME
   CME Objectives Upon completion of this article, the reader should be
   able to: (1) Discuss the importance of recognizing co-morbidities in
   adult individuals with spina bifida; (2) Describe secondary conditions
   and medical co-morbidities associated with spina bifida; and (3)
   Identify which conditions are associated with earlier age of death in
   adult individuals with spina bifida.
   Level Advanced
   Accreditation The Association of Academic Physiatrists is accredited by
   the Accreditation Council for Continuing Medical Education to provide
   continuing medical education for physicians. The Association of Academic
   Physiatrists designates this Journal-based CME activity for a maximum of
   1.0 AMA PRA Category 1 Credit(s). Physicians should only claim credit
   commensurate with the extent of their participation in the activity.
RI Dicanno, Brad/AAC-5918-2019; Zigler, Christina/GQH-9037-2022
OI Dicanno, Brad/0000-0003-0738-0192; Zigler, Christina/0000-0002-8996-7757
ZA 0
ZR 0
TC 17
ZB 5
ZS 0
Z8 0
Z9 17
U1 0
U2 5
SN 0894-9115
EI 1537-7385
UT WOS:000450430000004
PM 29757766
ER

PT J
AU Brazil, Victoria
   Davin, Lorna
TI Ten years of medical education registrars: Value added?
SO EMERGENCY MEDICINE AUSTRALASIA
VL 30
IS 6
BP 808
EP 813
DI 10.1111/1742-6723.13109
PD DEC 2018
PY 2018
AB Objective There is a paucity of any long-term follow up of trainees'
   career pathways or organisational outcomes from medical education
   registrar posts in emergency medicine training. We report on the
   experience of a selected group of medical education trainees during and
   subsequent to their post and reflect on the value added to emergency
   medical education at three institutions. Methods Results We conducted an
   online survey study, examining quantitative outcomes and qualitative
   reflections, of emergency physicians who had previously undertaken a
   medical education registrar post. Descriptive statistics were used to
   summarise responses to Likert items. The authors independently analysed
   and interpreted the reflective responses to identify key themes and
   sub-themes. Nineteen of 21 surveys were completed. Most respondents were
   in formal educational roles, in addition to clinical practice. The
   thematic analysis revealed that the medical education registrar
   experience, and the subsequent contribution of these trainees to medical
   education, is significantly shaped by external factors. These include
   the extent of faculty support, and the value placed on medical education
   by hospitals/departments/leaders. Acquisition of knowledge and skills in
   medical education was only part of a broader developmental journey and
   transitioning of identity for the trainees. Conclusions Our findings
   suggest that medical education trainees in emergency medicine progress
   to educational roles, and most respondents attribute their career
   progression to the medical education training experience. We recommend
   that medical education registrar programmes need to be valued within the
   clinical service, supported by faculty and a 'community of practice', to
   support trainees' transition to clinician educator leadership roles.
RI Brazil, Victoria/E-7978-2014; Davin, Lorna/AAX-1972-2021; Davin, Lorna/
OI Brazil, Victoria/0000-0001-9103-2507; Davin, Lorna/0000-0002-4833-4208
ZS 0
TC 0
ZR 0
ZB 0
Z8 0
ZA 0
Z9 0
U1 0
U2 3
SN 1742-6731
EI 1742-6723
UT WOS:000450396500010
PM 29788537
ER

PT J
AU Morris, Sue
   Schaefer, Kristen
   Rosowsky, Erlene
TI Primary Care for the Elderly Bereaved: Recommendations for Medical
   Education
SO JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS
VL 25
IS 4
BP 463
EP 470
DI 10.1007/s10880-018-9556-9
PD DEC 2018
PY 2018
AB The aim of this study was to explore the current practices of primary
   care physicians (PCPs) in providing bereavement care to elderly
   patients, with implications for medical education. A total of 63 PCPs
   answered a brief online survey about their typical practices, barriers,
   comfort level with bereavement, and confidence in their ability to
   diagnose prolonged grief disorder (PGD). They were recruited through an
   online newsletter and contacts of one of the authors. The results found
   that two-thirds of the PCPs do not routinely screen their elderly
   patients for recent losses, nor do they refer to mental health
   clinicians when loss is identified. Barriers included not learning of
   the deaths in patients' lives and lack of time during clinic visits.
   Those PCPs who had experienced their own losses were significantly more
   comfortable in speaking to patients about recent losses and more
   confident in their ability to diagnose PGD. We recommend bereavement
   education be incorporated into the medical school curriculum from the
   outset, utilizing the psychological principle of graded exposure to
   bereaved individuals.
ZA 0
Z8 0
ZB 1
ZS 0
TC 4
ZR 0
Z9 4
U1 1
U2 21
SN 1068-9583
EI 1573-3572
UT WOS:000447383100010
PM 29500657
ER

PT J
AU Wu, Ting-Ting
   Huang, Yueh-Min
   Su, Chen-Ying
   Chang, Lei
   Lu, Yi Chen
TI Application and Analysis of a Mobile E-Book System Based on
   Project-Based Learning in Community Health Nursing Practice Courses
SO EDUCATIONAL TECHNOLOGY & SOCIETY
VL 21
IS 4
SI SI
BP 143
EP 156
PD DEC 2018
PY 2018
AB Nursing practice courses are the most formative part of nursing
   education. Through practice, nursing students apply, validate, and
   clarify theories taught in class. Recently, research on the application
   of mobile devices in nursing practice courses has advanced rapidly. An
   e-book system that integrates text, audio, and images can improve a
   learner's attention, interest, and creativity. Few studies have explored
   e-book use in education in regional health centers, and studies that
   have approached this topic have focused only on the data search and
   retrieval aspects. To address this gap, the current study introduced an
   e-book system that integrated project-based learning and authentic
   learning into a community health nursing practice course. Analysis
   results of a 3-week experiment indicated that the diverse functions,
   multimedia features, and convenience of the e-book system not only
   increased learning interest and motivation but also improved learning
   effectiveness. However, the cognitive load imposed on nursing students
   using the e-book system also increased, because they were required to
   create and edit teaching materials for a new health care education
   method.
ZA 0
ZB 0
ZR 0
Z8 0
TC 4
ZS 0
Z9 4
U1 1
U2 25
SN 1176-3647
EI 1436-4522
UT WOS:000447287000013
ER

PT J
AU Vishwanatha, Jamboor K.
   Jones, Harlan P.
TI IMPLEMENTATION OF THE STEPS TOWARD ACADEMIC RESEARCH (STAR) FELLOWSHIP
   PROGRAM TO PROMOTE UNDERREPRESENTED MINORITY FACULTY INTO HEALTH
   DISPARITY RESEARCH
SO ETHNICITY & DISEASE
VL 28
IS 1
BP 3
EP 10
DI 10.18865/ed.28.1.3
PD WIN 2018
PY 2018
AB Eliminating disparities in health can benefit from the inclusion of
   diverse populations pursuing health disparity research careers. A goal
   of the Texas Center or Health Disparities (TCHD) is to provide
   opportunities her underrepresented minority faculty to become successful
   health disparity researchers. The TCHD created the Steps Toward Academic
   Research (STAR) fellowship program to provide faculty and community
   partners a yearlong face-to-face and online hybrid curriculum focused on
   acquiring fundamental concepts in biomedical and behavioral health
   disparity research, basics in grantsmanship as well as professional
   development skills. In total, this training approach is envisioned to
   provide mutually beneficial co-learning experiences that will increase
   the number of under-represented minorities (URMs) entering translational
   research focused on the elimination of health disparities.
RI Jones, Harlan/ABC-9920-2020; Vishwanatha, Jamboor/
OI Vishwanatha, Jamboor/0000-0002-0266-6020
TC 9
ZR 0
ZS 0
ZB 3
ZA 0
Z8 0
Z9 9
U1 0
U2 32
SN 1049-510X
EI 1945-0826
UT WOS:000438472200002
PM 29467560
ER

PT J
AU Jirovsky, Elena
   Hoffmann, Kathryn
   Mayrhuber, Elisabeth Anne-Sophie
   Mechili, Enkeleint Aggelos
   Angelaki, Agapi
   Sifaki-Pistolla, Dimitra
   Petelos, Elena
   van den Muijsenbergh, Maria
   van Loenen, Tessa
   Duckers, Michel
   Kolozsvari, Laszlo Robert
   Rurik, Imre
   Pavlic, Danica Rotar
   Sandoval, Diana Castro
   Borgioli, Giulia
   Pinilla, Maria Jose Caides
   Ajdukovic, Dean
   De Graaf, Pim
   van Ginneken, Nadja
   Dowrick, Christopher
   Lionis, Christos
TI Development and evaluation of a web-based capacity building course in
   the EUR-HUMAN project to support primary health care professionals in
   the provision of high-quality care for refugees and migrants
SO GLOBAL HEALTH ACTION
VL 11
IS 1
AR 1547080
DI 10.1080/16549716.2018.1547080
PD NOV 30 2018
PY 2018
AB Background: The ongoing refugee crisis has revealed the need for
   enhancing primary health care (PHC) professionals' skills and training.
   Objectives: The aim was to strengthen PHC professionals in European
   countries in the provision of high-quality care for refugees and
   migrants by offering a concise modular training that was based on the
   needs of the refugees and PHC professionals as shown by prior research
   in the EUR-HUMAN project.
   Methods: We developed, piloted, and evaluated an online capacity
   building course of 8 stand-alone modules containing information about
   acute health issues of refugees, legal issues, provider-patient
   communication and cultural aspects of health and illness, mental health,
   sexual and reproductive health, child health, chronic diseases, health
   promotion, and prevention. The English course template was translated
   into seven languages and adapted to the local contexts of six countries.
   Pre- and post-completion knowledge tests were administered to
   effectively assess the progress and knowledge increase of participants
   so as to issue CME certificates. An online evaluation survey post
   completion was used to assess the acceptability and practicability of
   the course from the participant perspective. These data were analyzed
   descriptively.
   Results: A total of 390 participants registered for the online course in
   6 countries with 175 completing all modules of the course, 47.7 % of
   them medical doctors. The mean time for completion was 10.77 hours. In
   total, 123 participants completed the online evaluation survey; the
   modules on acute health needs, legal issues (both 44.1%), and
   provider-patient communication/cultural issues (52.9%) were found
   particularly important for the daily practice. A majority expressed a
   will to promote the online course among their peers.
   Conclusion: This course is a promising learning tool for PHC
   professionals and when relevant supportive conditions are met. The
   course has the potential to empower PHC professionals in their work with
   refugees and other migrants.
RI Hoffmann, Kathryn/AAK-9099-2021; Mechili, Enkeleint A. A./ACN-6958-2022; van den Muijsenbergh, M.E.T.C./L-4534-2015; Kolozsvari, L. R./G-7730-2017; /AAI-2589-2019; Ajdukovic, Dean/X-2308-2019; Petelos, Elena/E-8400-2011; Jirovsky-Platter, Elena/; Hoffmann, Kathryn/; Sifaki-Pistolla, Dimitra/; Duckers, Michel/; Angelaki, Agapi/
OI Mechili, Enkeleint A. A./0000-0002-4072-296X; Kolozsvari, L.
   R./0000-0001-9426-0898; Petelos, Elena/0000-0001-8838-7470;
   Jirovsky-Platter, Elena/0000-0002-8304-2518; Hoffmann,
   Kathryn/0000-0001-8760-4250; Sifaki-Pistolla,
   Dimitra/0000-0001-9345-6266; Duckers, Michel/0000-0001-7746-053X;
   Angelaki, Agapi/0000-0002-8385-8429
Z8 0
ZB 0
ZR 0
ZS 0
ZA 0
TC 3
Z9 3
U1 1
U2 12
SN 1654-9880
UT WOS:000451747300001
PM 30499386
ER

PT J
AU Rossettini, Giacomo
   Palese, Alvisa
   Geri, Tommaso
   Fiorio, Mirta
   Colloca, Luana
   Testa, Marco
TI Physical therapists' perspectives on using contextual factors in
   clinical practice: Findings from an Italian national survey
SO PLOS ONE
VL 13
IS 11
AR e0208159
DI 10.1371/journal.pone.0208159
PD NOV 30 2018
PY 2018
AB Background
   Contextual factors (CFs) represent a potential therapeutic tool to boost
   physiotherapy outcomes, triggering placebo effects. Nevertheless, no
   evidence about the use of CFs among physical therapists is currently
   available.
   Objective
   To investigate the use of CFs and the opinion of Italian physical
   therapists specialized in Orthopaedic Manual Therapy (OMTs) on their
   therapeutic benefits.
   Design
   An exploratory cross-sectional online survey.
   Methods
   A 17-item questionnaire and 2 clinical vignettes assessed the
   perspective of OMTs on the adoption of CFs in daily clinical practice.
   The target population was composed of 906 OMTs. An online survey was
   performed in 2016 using SurveyMonkey Software. Data were analyzed by
   descriptive and inferential statistics.
   Results
   A total of 558 volunteers (61.6% of the target OMT population)
   participated in the study. Half of the participants (52.0%) claimed to
   use CFs frequently in their practice. More of 50% of OMTs valued the
   therapeutic significance of CFs for different health problems as
   determined by a combined psychological and physiological effect. OMTs
   considered the use of CFs ethically acceptable when they exert
   beneficial therapeutic effects and their effectiveness has emerged in
   previous clinical experiences (30.6%). They disagreed on the adoption of
   CFs when they are deceptive (14.1%). Moreover, OMTs did not communicate
   the adoption of CFs to patients (38.2%), and CFs were usually used in
   addition to other interventions to optimize clinical responses (19.9%).
   Psychological mechanisms, patient's expectation and conditioning were
   believed to be the main components behind CFs (7.9%).
   Limitations
   Considering that the data collected were self-reported and
   retrospective, recall and response biases may limit the internal and
   external validity of the findings.
   Conclusions
   OMTs used CFs in their clinical practice and believed in their
   therapeutic effect. The knowledge of CFs, placebo and nocebo mechanisms
   and their clinical effects should be included in physical therapists'
   university studies.
RI Palese, Alvisa/J-9427-2015; Geri, Tommaso/AAJ-2669-2021; Testa, Marco/; Rossettini, Giacomo/; Fiorio, Mirta/
OI Palese, Alvisa/0000-0002-3508-844X; Geri, Tommaso/0000-0001-9198-900X;
   Testa, Marco/0000-0001-8643-7200; Rossettini,
   Giacomo/0000-0002-1623-7681; Fiorio, Mirta/0000-0002-6356-0211
ZA 0
Z8 0
ZR 0
ZB 1
TC 22
ZS 0
Z9 22
U1 0
U2 2
SN 1932-6203
UT WOS:000451883700025
PM 30500838
ER

PT J
AU Giordano, Andrea
   Liethmann, Katrin
   Koepke, Sascha
   Poettgen, Jana
   Rahn, Anne Christin
   Drulovic, Jelena
   Beckmann, Yesim
   Sastre-Garriga, Jaume
   Galea, Ian
   Heerings, Marco
   Jongen, Peter Joseph
   Vettorazzi, Eik
   Solari, Alessandra
   Heesen, Christoph
CA AutoMS Grp
TI Risk knowledge of people with relapsing-remitting multiple sclerosis -
   Results of an international survey
SO PLOS ONE
VL 13
IS 11
AR e0208004
DI 10.1371/journal.pone.0208004
PD NOV 29 2018
PY 2018
AB Background
   Adequate disease and treatment-related risk knowledge of people with
   Multiple Sclerosis (pwMS) is a prerequisite for informed choices in
   medical encounters. Previous work showed that MS risk knowledge is low
   among pwMS and role preferences are different in Italy and Germany.
   Objective
   We investigated the level of risk knowledge and role preferences in 8
   countries and assessed putative variables associated with risk
   knowledge.
   Methods
   An online-survey was performed based on the Risk knowledge questionnaire
   for people with relapsing-remitting MS (RIKNO 2.0), the electronic
   Control Preference Scale (eCPS), and other patient questionnaires.
   Inclusion criteria of participants were: (1) age >= 18 years, (2) a
   diagnosis of relapsing-remitting MS (RRMS), (3) being in a decision
   making process for a disease modifying drug.
   Results
   Of 1939 participants from Germany, Italy, the Netherlands, Serbia, Spain
   and Turkey, 986 (51%) (mean age 38.6 years [range 18-67], 77% women, 7.8
   years of disease duration) completed the RIKNO 2.0, with a mean of 41%
   correct answers. There were less than 50 participants in the UK and
   Estonia and data were not analysed. Risk knowledge differed across
   countries (p < 0.001). Variables significantly associated with higher
   risk knowledge were higher education (p < 0.001), previous experience
   with disease modifying drugs (p = 0.001), correct answer to a medical
   data interpretation question (p < 0.001), while higher fear for
   wheelchair dependency was negatively associated to risk knowledge (p =
   0.001).
   Conclusion
   MS risk knowledge was overall low and differed across participating
   countries. These data indicate that information is an unmet need of most
   pwMS.
RI Galea, Ian/B-7997-2011; Vettorazzi, Eik/B-8130-2019; Giordano, Andrea/AAN-3738-2021; Solari, Alessandra/AAO-1741-2021; Sastre Garriga, Jaume/E-8605-2018
OI Galea, Ian/0000-0002-1268-5102; Vettorazzi, Eik/0000-0002-3737-6402;
   Giordano, Andrea/0000-0003-4466-9788; Solari,
   Alessandra/0000-0001-9930-7579; Sastre Garriga,
   Jaume/0000-0002-1589-2254
ZR 0
ZA 0
Z8 0
ZB 2
ZS 0
TC 12
Z9 12
U1 0
U2 0
SN 1932-6203
UT WOS:000451763800075
PM 30496233
ER

PT J
AU Lin, Tin-Kwang
   Yu, Pao-Ta
   Lin, Lian-Yu
   Liu, Ping-Yen
   Li, Yi-Da
   Hsu, Chiu-Tien
   Cheng, Yih-Ru
   Yeh, Chun-Yin
   Wong, Shu-Shu
   Pai, Shih-An
   Shee, Huey-Ling
   Weng, Chia-Ying
TI A pilot-study to assess the feasibility and acceptability of an
   Internet-based cognitive-behavior group therapy using video conference
   for patients with coronary artery heart disease
SO PLOS ONE
VL 13
IS 11
AR e0207931
DI 10.1371/journal.pone.0207931
PD NOV 29 2018
PY 2018
AB Background
   Many patients with coronary artery heart disease are unable to access
   traditional psychosocial rehabilitation conducted face to face due to
   excessive travel distance. Therefore, this study developed and assessed
   the feasibility and acceptability of an 8-week Internet-based
   cognitive-behavior group therapy program, described the patterns of use
   and measured change in risk factors.
   Methods
   This study adopted an online video conference system, JointNet, to
   maintain group interaction functions similar to face to face groups
   online, and also built an self-learning platform to deliver
   psychoeducation content and cognitive-behavior therapy related materials
   and homework. Forty-three out-patients were recruited in the pilot
   study, who then chose to participate in either the Internet-based
   cognitive-behavior group therapy or face to face group based on their
   preference. Fourteen patients were assigned to the waiting-list control.
   Results
   Seventeen participants (17/43 = 39.5%) chose the Internet-based
   cognitive-behavior group therapy program. Among them, thirteen
   participants (13/17 = 76.5%) finished the program and were more male
   (92.3% vs. 50%), employed (53.8% vs. 35.3%), and had longer education
   duration (13.9 vs. 12.5 years) than the counterparts of the face to face
   group. Furthermore, they were highly motivated with average number of
   log-ins (66.5 time), website surfing time (950.94 min), reading
   frequency (78.15 time) and reading time (355.90 min) for the
   self-learning platform during eight weeks; and also highly satisfied
   (97%) with visiting the self-learning platform and video conferences.
   The treatment effectiveness of Internet-based cognitive-behavior group
   therapy was comparable with face to face one in reducing anxiety,
   hostility, respiration rate, and in improving vasodilation but not
   depression compared with the waiting-list control.
   Conclusion
   These results indicated that the Internet-based group therapy program
   using video conference is feasible and acceptable for the psychosocial
   rehabilitation of patients with coronary artery heart disease, and
   provides an alternative for patients who are unable to obtain
   conventional psychosocial rehabilitation conducted face to face.
TC 0
ZB 0
Z8 3
ZR 0
ZS 1
ZA 0
Z9 4
U1 0
U2 5
SN 1932-6203
UT WOS:000451763800066
PM 30496222
ER

PT J
AU Lohmann, Sophie
   White, Benjamin X.
   Zuo, Zhen
   Chan, Man-Pui Sally
   Morales, Alex
   Li, Bo
   Zhai, Chengxiang
   Albarracin, Dolores
TI HIV messaging on Twitter: an analysis of current practice and
   data-driven recommendations
SO AIDS
VL 32
IS 18
BP 2799
EP 2805
DI 10.1097/QAD.0000000000002018
PD NOV 28 2018
PY 2018
AB Objectives: Social media messages have been increasingly used in health
   campaigns about prevention, testing, and treatment of HIV. We identified
   factors leading to the retransmission of messages from expert social
   media accounts to create data-driven recommendations for online HIV
   messaging.
   Design and methods: We sampled 20201 HIV-related tweets (posted between
   2010 and 2017) from 37 HIV experts. Potential predictors of
   retransmission were identified based on prior literature and machine
   learning methods, and were subsequently analyzed using multilevel
   negative binomial models.
   Results: Fear-related language, longer messages, and including images
   (e.g. photos, gif, or videos) were the strongest predictors of retweet
   counts. These findings were similar for messages authored by HIV
   experts, and also messages retransmitted by experts, but created by
   nonexperts (e.g. celebrities or politicians).
   Conclusions: Fear appeals affect how much HIV messages spread on
   Twitter, as do structural characteristics, like the length of the tweet
   and inclusion of images. A set of five data-driven recommendations for
   increasing message spread is derived and discussed in the context of
   current centers for disease control and prevention social media
   guidelines. Copyright (C) 2018 Wolters Kluwer Health, Inc. All rights
   reserved.
OI Lohmann, Sophie/0000-0001-9852-7684; Zuo, Zhen/0000-0003-1555-1756
TC 4
ZA 0
ZS 0
Z8 2
ZR 0
ZB 1
Z9 6
U1 0
U2 14
SN 0269-9370
EI 1473-5571
UT WOS:000453912600015
PM 30289801
ER

PT J
AU Calo, William A.
   Gilkey, Melissa B.
   Malo, Teri L.
   Robichaud, Meagan
   Brewer, Noel T.
TI A content analysis of HPV vaccination messages available online
SO VACCINE
VL 36
IS 49
BP 7525
EP 7529
DI 10.1016/j.vaccine.2018.10.053
PD NOV 26 2018
PY 2018
AB Parents have varied HPV vaccine communication needs, which presents a
   challenge for healthcare providers. To improve communication resources
   for providers, we sought to characterize HPV vaccination messages
   available in existing educational materials. In fall 2016, we searched
   PubMed, educational material clearinghouses, and Google for English
   language HPV vaccination messages. We extracted messages that a provider
   might use when raising the topic of HPV vaccination, answering common
   questions, and motivating vaccination. Two reviewers independently coded
   each message. The search identified 267 unique messages about HPV
   vaccination. Messages generally were long (mean no. of words = 44,
   standard deviation [SD] = 33) and required a high level of education to
   read (mean reading grade level = 10, SD = 3). Only 32% of messages were
   shorter than 25 words, and 12% had a readability at or below grade 6.
   Most frequent were messages to address common parent questions or
   concerns (62%); the most common topics were diseases prevented by HPV
   vaccine (18%) and safety and side effects (16%). Many messages included
   information about cancer prevention (26%) and same-day vaccination
   (13%). Few messages (6%) used a presumptive style to recommend HPV
   vaccination. In conclusion, available messages about HPV vaccination
   were markedly varied. We identified few messages that were both brief
   (to facilitate providers memorizing them) and accessible (to facilitate
   parents understanding them). Future research should identify which
   messages lead to HPV vaccine uptake. (C) 2018 Elsevier Ltd. All rights
   reserved.
RI Brewer, Noel T/C-4375-2008; Malo, Teri/
OI Brewer, Noel T/0000-0003-2241-7002; Malo, Teri/0000-0002-5620-4841
TC 11
ZR 0
ZA 0
Z8 0
ZB 4
ZS 0
Z9 11
U1 0
U2 4
SN 0264-410X
EI 1873-2518
UT WOS:000451354100011
PM 30366803
ER

PT J
AU Grace, Matthew K.
TI Depressive symptoms, burnout, and declining medical career interest
   among undergraduate premedical students
SO INTERNATIONAL JOURNAL OF MEDICAL EDUCATION
VL 9
BP 302
EP 308
DI 10.5116/ijme.5be5.8131
PD NOV 26 2018
PY 2018
AB Objectives: To investigate the relationship between mental health issues
   and medical career interest among undergraduate premedical students, and
   to explore whether this association varies by gender.
   Methods: A longitudinal survey of freshman and sophomore premedical
   students at Indiana University was conducted during the 2015-16 academic
   year. Survey data were collected from 390 respondents via an online
   questionnaire (response rate=14%) in September 2015, and 292 of these
   respondents participated in the follow-up survey in April 2016
   (retention rate=75%). Multi-level regression models were used to
   estimate the associations among depressive symptoms, burnout, and
   medical career interest.
   Results: Respondents who experienced more depressive symptoms (beta =
   -.07, z =-2.49, p =.013) and higher levels of burnout (beta = -.50, z
   =-3.98, p <.001) reported significant reductions in medical career
   interest over the study period. These associations remained consistent
   after controlling for socio-demographic characteristics and prior
   academic achievement. Depressive symptoms were associated with steeper
   declines in medical career interest among women compared to men (beta =
   -.09, z =-2.01, p =.045), though the relationship between burnout and
   medical career interest did not significantly vary by gender.
   Conclusions: Results provide evidence that premeds who experience more
   depressive symptoms and higher levels of burnout become less interested
   in entering the medical profession. The negative association between
   depressive symptoms and medical career interest was even more pronounced
   among premedical women compared to men. Findings suggest that colleges
   and universities in the United States should implement programs aimed at
   safeguarding the mental health of premedical students.
ZR 0
ZS 2
ZB 0
Z8 0
TC 16
ZA 0
Z9 17
U1 1
U2 7
SN 2042-6372
UT WOS:000451863400001
PM 30481160
ER

PT J
AU De Leng, Wendy E.
   Stegers-Jager, Karen M.
   Born, Marise Ph.
   Themmen, Axel P. N.
TI Influence of response instructions and response format on applicant
   perceptions of a situational judgement test for medical school selection
SO BMC MEDICAL EDUCATION
VL 18
AR 282
DI 10.1186/s12909-018-1390-0
PD NOV 26 2018
PY 2018
AB BackgroundThis study examined the influence of two Situational Judgement
   Test (SJT) design features (response instructions and response format)
   on applicant perceptions. Additionally, we investigated demographic
   subgroup differences in applicant perceptions of an SJT.MethodsMedical
   school applicants (N=372) responded to an online survey on applicant
   perceptions, including a description and two example items of an SJT.
   Respondents randomly received one of four SJT versions (should
   do-rating, should do-pick-one, would do-rating, would do-pick-one). They
   rated overall favourability and items on four procedural justice factors
   (face validity, applicant differentiation, study relatedness and chance
   to perform) and ease-of-cheating. Additionally, applicant perceptions
   were compared for subgroups based on gender, ethnic background and
   first-generation university status.ResultsApplicants rated would-do
   instructions as easier to cheat than should-do instructions. Rating
   formats received more favourable judgements than pick-one formats on
   applicant differentiation, study-relatedness, chance to perform and ease
   of cheating. No significant main effect for demographic subgroup on
   applicant perceptions was found, but significant interaction effects
   showed that certain subgroups might have more pronounced preferences for
   certain SJT design features. Specifically, ethnic minority applicants -
   but not ethnic majority applicants - showed greater preference for
   should-do than would-do instructions. Additionally, first-generation
   university students - but not non-first-generation university students -
   were more favourable of rating formats than of pick-one
   formats.ConclusionsFindings indicate that changing SJT design features
   may positively affect applicant perceptions by promoting procedural
   justice factors and reducing perceived ease of cheating and that
   response instructions and response format can increase the
   attractiveness of SJTs for minority applicants.
RI Born, Marise/Q-3746-2019
OI Born, Marise/0000-0002-5539-3388
ZS 0
ZR 0
TC 1
ZA 0
Z8 0
ZB 0
Z9 1
U1 0
U2 5
EI 1472-6920
UT WOS:000451267400002
PM 30477494
ER

PT J
AU Steel, Amie
   McIntyre, Erica
   Harnett, Joanna
   Foley, Hope
   Adams, Jon
   Sibbritt, David
   Wardle, Jon
   Frawley, Jane
TI Complementary medicine use in the Australian population: Results of a
   nationally-representative cross-sectional survey
SO SCIENTIFIC REPORTS
VL 8
AR 17325
DI 10.1038/s41598-018-35508-y
PD NOV 23 2018
PY 2018
AB In order to describe the prevalence and characteristics of complementary
   medicine (CM) practice and product use by Australians, we conducted a
   cross-sectional online survey with Australian adults aged 18 and over.
   Rates of consultation with CM practitioners, and use of CM products and
   practices were assessed. The sample (n = 2,019) was broadly
   representative of the Australian population. Prevalence of any CM use
   was 63.1%, with 36% consulting a CM practitioner and 52.8% using any CM
   product or practice. Bodywork therapists were the most commonly
   consulted CM practitioners (massage therapists 20.7%, chiropractors
   12.6%, yoga teachers 8.9%) and homeopaths were the least commonly
   consulted (3.4%). Almost half of respondents (47.8%) used
   vitamin/mineral supplements, while relaxation techniques/meditation were
   the most common practice (15.8%). CM users were more likely to be
   female, have a chronic disease diagnosis, no private health insurance, a
   higher education level, and not be looking for work. Prevalence of CM
   use in Australia has remained consistently high, demonstrating that CM
   is an established part of contemporary health management practices
   within the general population. It is critical that health policy makers
   and health care providers acknowledge CM in their attempts to ensure
   optimal public health and patient outcomes.
RI Frawley, Jane/G-4476-2016; McIntyre, Erica/V-6669-2018; Sibbritt, David W/F-8070-2017; Wardle, Jonathan/; Foley, Hope/; Steel, Amie/
OI Frawley, Jane/0000-0001-6037-0140; McIntyre, Erica/0000-0002-3970-9979;
   Sibbritt, David W/0000-0003-3561-9447; Wardle,
   Jonathan/0000-0001-8813-3542; Foley, Hope/0000-0003-4901-8300; Steel,
   Amie/0000-0001-6643-9444
ZR 0
TC 74
Z8 0
ZB 14
ZA 0
ZS 0
Z9 74
U1 1
U2 10
SN 2045-2322
UT WOS:000451059200014
PM 30470778
ER

PT J
AU Wegwarth, Odette
   Gigerenzer, Gerd
TI US gynecologists' estimates and beliefs regarding ovarian cancer
   screening's effectiveness 5 years after release of the PLCO evidence
SO SCIENTIFIC REPORTS
VL 8
AR 17181
DI 10.1038/s41598-018-35585-z
PD NOV 21 2018
PY 2018
AB Efficient patient care requires the conscientious use of current best
   evidence. Such evidence on ovarian cancer screening showed that the
   screening has no survival benefit but considerable harms; currently no
   medical organization recommends it. In a cross-sectional online survey
   study with 401 US outpatient gynecologists we investigated whether they
   follow the recommendation of their medical organizations in daily
   practice and report estimates of ovarian cancer screening's
   effectiveness that approximate current best evidence (within a +/- 10
   percent margin of error), and if not, whether a fact box intervention
   summarizing current best evidence improves judgments. Depending on
   question, 44.6% to 96.8% reported estimates and beliefs regarding
   screening's effectiveness that diverged from evidence, and 57.6%
   reported regularly recommending the screening. Gynecologists who
   recommend screening overestimated the benefit and underestimated the
   harms more frequently. After seeing the fact box, 51.6% revised initial
   estimates and beliefs, and the proportion of responses approximating
   best evidence increased on all measures (e.g., mortality reduction:
   32.9% [95% CI, 26.5 to 39.7] before intervention, 77.3% [71.0 to 82.8]
   after intervention). Overall, results highlight the need for intensified
   training programs on the interpretation of medical evidence. The
   provision of fact box summaries in medical journals may additionally
   improve the practice of evidence-based medicine.
RI Gigerenzer, Gerd/A-6250-2012; Gigerenzer, Gerd/M-5595-2013
OI Gigerenzer, Gerd/0000-0002-6163-5419; 
ZR 0
ZB 1
Z8 0
ZS 0
ZA 0
TC 8
Z9 8
U1 0
U2 2
SN 2045-2322
UT WOS:000450767000016
PM 30464251
ER

PT J
AU Martorella, Geraldine
   Graven, Lucinda
   Schluck, Glenna
   Berube, Melanie
   Gelinas, Celine
TI Nurses' Perception of a Tailored Web-Based Intervention for the
   Self-Management of Pain After Cardiac Surgery
SO SAGE OPEN NURSING
VL 4
AR 2377960818806270
DI 10.1177/2377960818806270
PD NOV 21 2018
PY 2018
AB Background Cardiac surgeries rank among the most frequent surgical
   procedures and present a risk of chronic postsurgical pain (CPSP). A
   continuum approach is required to prevent the development of CPSP. As a
   first step, a tailored web-based intervention was developed and
   successfully tested to tackle pain management during hospitalization.
   Before proceeding to further development, preliminary acceptability of
   the intervention including the postdischarge phase must be evaluated.
   Purpose The purpose of this study was to examine nurses' perception of a
   tailored Web-based intervention for pain management in the early
   recovery phase. The objectives were to evaluate intervention's
   acceptability and to identify ways to enhance its acceptability.
   Methods A parallel mixed methods approach was used to assess the
   acceptability of the intervention in the early recovery phase (first
   month after surgery).
   Results In total, 249 participants completed the online survey and 10
   participants were individually interviewed. Overall, the intervention
   was rated as acceptable. No difference was found in acceptability
   ratings by demographics. The intervention was rated as appropriate to
   very much appropriate by 79% of participants. Although nurses seemingly
   would recommend it to their patients, they did not perceive that their
   patients would be as highly willing to use it. Interviews highlighted
   several strengths of the intervention, such as postoperative pain
   awareness, customization of content, and flexible dosage and schedule.
   However, the main weakness was related to patient adherence. Opting for
   a hybrid format and integrating individual preferences could enhance the
   coaching experience.
   Conclusion The innovative intervention was judged as acceptable for pain
   management in the early recovery phase. Considering that the
   intervention has demonstrated positive effects on the pain experience in
   the first week after cardiac surgery, it seems logical to explore its
   potential impact after discharge on the transition to CPSP.
RI Gélinas, Céline/AAE-2653-2022; Schluck, Glenna/
OI Gélinas, Céline/0000-0001-7948-5570; Schluck, Glenna/0000-0001-5311-9636
ZS 0
ZR 0
Z8 0
ZA 0
TC 4
ZB 0
Z9 4
U1 0
U2 9
SN 2377-9608
UT WOS:000451352400001
PM 33415209
ER

PT J
AU Minders, Sefan P.
   Weibel, David
   Wissmath, Bartholomaus
   Schmitz, Felix M.
TI Do students achieve the desired learning goals using open-book formative
   assessments?
SO INTERNATIONAL JOURNAL OF MEDICAL EDUCATION
VL 9
BP 293
EP 301
DI 10.5116/ijme.5bc6.fead
PD NOV 19 2018
PY 2018
AB Objective: The present study aimed to examine whether medical students
   benefit from an open-book online formative assessment as a preparation
   for a practical course.
   Methods: A between-subjects experimental design was used: Participants -
   a whole cohort of second-year medical students (N=232) - were randomly
   assigned to either a formative assessment that covered the topic of a
   subsequent practical course (treatment condition) or a formative
   assessment that did not cover the topic of the subsequent course
   (control condition). Course-script-knowledge, as well as additional
   in-depth-knowledge, was assessed.
   Results: Students in the treatment condition had better course-script
   knowledge, both at the beginning, t((212)) = 4.96, p < .01, d = 0.72.,
   and in the end of the practical course, t((208)) = 4.80, p < .01, d =
   0.68. Analyses of covariance show that this effect is stronger for those
   students who understood the feedback that was presented within the
   formative assessment, F-(1(, 213))=10.17, p<.01. Additionally, the gain
   of in-depth-knowledge was significantly higher for students in the
   treatment condition compared to students in the control condition,
   t((208)) = 3.68., p < .05, d = 0.72 (0.51).
   Conclusion: Students benefit from a formative assessment that is related
   to and takes place before a subsequent practical course. They have a
   better understanding of the topic and gain more in-depth-knowledge that
   goes beyond the content of the script. Moreover, the study points out
   the importance of feedback pages in formative assessments.
OI Weibel, David/0000-0002-1848-9065; Wissmath,
   Bartholomaus/0000-0002-6222-6094
Z8 0
TC 1
ZA 0
ZS 0
ZR 0
ZB 0
Z9 1
U1 1
U2 4
SN 2042-6372
UT WOS:000451861700001
PM 30457974
ER

PT J
AU Zhang, Nanhua
   Kaizar, Eloise E.
   Narad, Megan E.
   Kurowski, Brad G.
   Yeates, Keith Owen
   Taylor, H. Gerry
   Wade, Shari L.
TI Examination of Injury, Host, and Social-Environmental Moderators of
   Online Family Problem Solving Treatment Efficacy for Pediatric Traumatic
   Brain Injury Using an Individual Participant Data Meta-Analytic Approach
SO JOURNAL OF NEUROTRAUMA
VL 36
IS 7
BP 1147
EP 1155
DI 10.1089/neu.2018.5885
EA NOV 2018
PD APR 2019
PY 2019
AB A series of five randomized controlled clinical trials (RCTs) conducted
   between 2002 and 2015 support the potential efficacy of online family
   problem-solving treatment (OFPST) in improving both child and
   parent/family outcomes after pediatric traumatic brain injury (TBI).
   However, small sample sizes and heterogeneity across individual studies
   have precluded examination of potentially important moderators. We
   jointly analyzed individual participant data (IPD) from these five RCTs,
   involving 359 children and adolescents between the ages of 5 and 18
   years, to confirm the role of previously identified moderators (child's
   age and pre-treatment symptom levels, parental education) and to examine
   other potential moderators (race, sex, IQ), using IPD meta-analysis.
   This reanalysis revealed statistically strong evidence that parental
   education, child age at baseline, IQ, sex, and parental depression level
   pre-treatment moderated the effect of OFPST on various outcomes. In
   particular, children of parents with a less than high school education
   exhibited fewer internalizing problems and better social competence.
   Children injured at an older age exhibited fewer externalizing behaviors
   and less executive dysfunction following OFPST. Child IQ moderated the
   effect of OFPST on social competence, with significantly better
   competence for children with lower IQ who received OFPST. Lower levels
   of parental depression followed OFPST among subgroups with lower IQ,
   boys, and higher parental depression scores at baseline. Our findings
   indicate that the optimal application of OFPST is likely to involve
   older children, those with lower IQ scores, or those from families with
   lower socioeconomic status (SES).
RI Yeates, Keith/AAJ-4223-2020; Yeates, Keith Owen/; Zhang, Nanhua/
OI Yeates, Keith Owen/0000-0001-7680-2892; Zhang,
   Nanhua/0000-0001-5796-3404
ZS 0
ZA 0
Z8 0
ZR 0
TC 7
ZB 1
Z9 7
U1 0
U2 3
SN 0897-7151
EI 1557-9042
UT WOS:000450731100001
PM 30328749
ER

PT J
AU Marcu, Afrodita
   Black, Georgia
   Whitaker, Katriina L.
TI Variations in trust in Dr Google when experiencing potential breast
   cancer symptoms: exploring motivations to seek health information online
SO HEALTH RISK & SOCIETY
VL 20
IS 7-8
BP 325
EP 341
DI 10.1080/13698575.2018.1550742
PD NOV 17 2018
PY 2018
AB How people trust the internet and seek health information online when
   experiencing and interpreting potential cancer symptoms is not well
   understood. We interviewed 27 women who had recently experienced at
   least one potential breast cancer symptom, and explored their symptom
   experience, help-seeking strategies, and whether they consulted the
   internet in relation to their symptoms. We conducted a thematic analysis
   and constructed a typology of attitudes towards, and experiences of,
   consulting the internet about the symptoms: i) confident; ii) neutral;
   iii) hesitant; and iv) avoidant. 'Hesitant' and 'avoidant' participants
   rarely mentioned cancer explicitly, doubted being able to interpret the
   information found online, and expressed concerns over finding
   'scaremongering' information or making incorrect self-diagnosis. The
   'avoiders' and the 'hesitant' participants perceived online
   information-seeking as being inherently risky, partly because online
   health content is likely to be inaccurate or exaggerated, and partly
   because the process of lay interpretation is likely to be flawed by lack
   of medical expertise. The findings suggest that not all women
   experiencing potential breast cancer symptoms seek health information
   online spontaneously or trust the internet as a legitimate source of
   health information. The women who did engage in online information
   seeking, particularly those with lower education, felt unsure about how
   to appraise online health sources to interpret their symptoms.
RI Whitaker, Katriina/AAA-6593-2020; Marcu, Afrodita/B-8498-2016; Black, Georgia/
OI Whitaker, Katriina/0000-0002-0947-1840; Marcu,
   Afrodita/0000-0002-5918-3417; Black, Georgia/0000-0003-2676-5071
ZA 0
TC 7
Z8 0
ZS 0
ZB 1
ZR 0
Z9 7
U1 5
U2 32
SN 1369-8575
EI 1469-8331
UT WOS:000454069000002
ER

PT J
AU Lee, Dasom
   Kang, Do-Hyung
   Ha, Na-hyun
   Oh, Chang-young
   Lee, Ulsoon
   Kang, Seung Wan
TI Effects of an Online Mind-Body Training Program on the Default Mode
   Network: An EEG Functional Connectivity Study
SO SCIENTIFIC REPORTS
VL 8
AR 16935
DI 10.1038/s41598-018-34947-x
PD NOV 16 2018
PY 2018
AB Online mind-body training (MBT) programs can improve the psychological
   capabilities of practitioners. Although there has been a lot of effort
   to understand the neural mechanisms underlying the therapeutic effects
   of meditation, little is known about changes in electroencephalographic
   (EEG) functional connectivity that accompany mind-body training. The
   present study aimed to investigate how an online MBT program alters EEG
   functional connectivity in the default mode network (DMN). We assessed a
   group of healthcare providers, including 14 females who participated in
   the 4-week MBT program and 15 females who underwent a 4-week of waiting
   period. EEG data and information about psychological states were
   obtained at baseline and 4 weeks. The result was that the intervention
   group showed significant reductions in anxiety and trait anger that were
   accompanied by increased global DMN network strengths in the theta and
   alpha (but not beta and delta) frequency bands; these changes were not
   observed in the control group. Other variables including state anger,
   positive and negative affect, and self-esteem have not been changed over
   time in both groups. These findings suggest that practicing the
   mind-body training could have a relevance to the functional differences
   in network related to stress and anxiety reaction.
Z8 0
ZR 0
ZB 2
ZA 0
TC 5
ZS 0
Z9 5
U1 1
U2 9
SN 2045-2322
UT WOS:000450280100001
PM 30446714
ER

PT J
AU Nahm, Eun-Shim
   Zhu, Shijun
   Bellantoni, Michele
   Keldsen, Linda
   Russomanno, Vince
   Rietschel, Matt
   Majid, Tabassum
   Son, HyoJin
   Smith, Leslie
TI The Effects of a Theory-Based Patient Portal e-Learning Program for
   Older Adults with Chronic Illnesses
SO TELEMEDICINE AND E-HEALTH
VL 25
IS 10
BP 940
EP 951
DI 10.1089/tmj.2018.0184
EA NOV 2018
PD OCT 1 2019
PY 2019
AB Introduction:The high prevalence of chronic illnesses is a serious
   public health problem in the United States, and more than 70 million
   older adults have at least one chronic illness. Patient portals (PPs)
   have an excellent potential to assist older adults in managing chronic
   illnesses; however, older adults' PP adoption rates have been low. Lack
   of support for older adults using PPs remains a critical gap in most
   implementation processes. The main aim of this study was to assess the
   impact of an older adult friendly Theory-based Patient portal e-Learning
   Program (T-PeP) on PP knowledge, selected health outcomes (health
   decision-making self-efficacy [SE] and health communication), PP SE and
   use, and e-health literacy in older adults.Materials and Methods:A
   two-arm randomized controlled trial was conducted with older adults
   (N=272) who had chronic conditions. Participants were recruited online,
   and data were collected at baseline, 3 weeks, and 4 months. The main
   intervention effects were tested using linear mixed models.Results:The
   average age of participants was 70.08.5 years, and 78.3% (n=213) were
   white. At 3 weeks, the intervention group showed significantly greater
   improvement than the control group in all outcomes except PP use. At 4
   months, the intervention effects decreased, but PP SE remained
   significant (p=0.015), and the intervention group showed higher
   frequency of PP use than the control group (p=0.029).Conclusion:The
   study findings showed that the T-PeP was effective in improving selected
   health and PP usage outcomes. Further studies are needed to test the
   long-term effects of T-PeP using more diverse samples.
TC 14
ZR 0
ZS 0
ZB 1
ZA 0
Z8 0
Z9 14
U1 5
U2 22
SN 1530-5627
EI 1556-3669
UT WOS:000450418100001
PM 30431393
ER

PT J
AU Erdem, Mehmet Nuri
   Karaca, Sinan
TI Evaluating the Accuracy and Quality of the Information in Kyphosis
   Videos Shared on YouTube
SO SPINE
VL 43
IS 22
BP E1334
EP E1339
DI 10.1097/BRS.0000000000002691
PD NOV 15 2018
PY 2018
AB Study Design. A quality-control YouTube-based study using the recognized
   quality scoring systems.
   Objective. In this study, our aim was to confirm the accuracy and
   quality of the information in kyphosis videos shared on YouTube.
   Summary of Background Data. The Internet is a widely and increasingly
   used source for obtaining medical information both by patients and
   clinicians. YouTube, in particular, manifests itself as a leading source
   with its ease of access to information and visual advantage for Internet
   users.
   Methods. The first 50 videos returned by the YouTube search engine in
   response to "kyphosis'' keyword query were included in the study and
   categorized under seven and six groups, based on their source and
   content. The popularity of the videos was evaluated with a new index
   called the video power index (VPI). The quality, educational quality,
   and accuracy of the source of information were measured using the
   Journal of American Medical Association (JAMA) score, Global Quality
   Score (GQS), and Kyphosis-Specific Score (KSS).
   Results. Videos had a mean duration of 397 seconds and a mean number of
   131,644 views, with a total viewing number of 6,582,221. The source
   (uploader) in 36% of the videos was a trainer and the content in 46% of
   the videos was exercise training. Seventy-two percent of the videos were
   about postural kyphosis. Videos had a mean JAMA score of 1.36 (range:
   1-4), GQS of 1.68 (range: 1-5), and KSS of 3.02 (range: 0-32). The
   academic group had the highest scores and the lowest VPIs. Conclusion.
   Online information on kyphosis is low quality and its contents are of
   unknown source and accuracy. In order to keep the balance in sharing the
   right information with the patient, clinicians should possess knowledge
   about the online information related to their field and should
   contribute to the development of optimal medical videos.
   Conclusion. Online information on kyphosis is low quality and its
   contents are of unknown source and accuracy. In order to keep the
   balance in sharing the right information with the patient, clinicians
   should possess knowledge about the online information related to their
   field and should contribute to the development of optimal medical
   videos.
RI Erdem, Mehmet Nuri/J-9767-2018
OI Erdem, Mehmet Nuri/0000-0001-7377-6393
ZA 0
TC 134
ZR 0
ZS 1
ZB 15
Z8 0
Z9 134
U1 2
U2 9
SN 0362-2436
EI 1528-1159
UT WOS:000452183300005
PM 29664816
ER

PT J
AU Khalil, Hanan
   Poon, Peter
   Byrne, Anny
   Ristevski, Eli
TI Challenges Associated with Anticipatory Medications in Rural and Remote
   Settings
SO JOURNAL OF PALLIATIVE MEDICINE
VL 22
IS 3
BP 297
EP 301
DI 10.1089/jpm.2018.0354
EA NOV 2018
PD MAR 2019
PY 2019
AB Background: Anticipatory medications (AM) have been widely used in
   various settings across many countries in people approaching end of
   life. Access to palliative care in rural and remote areas of Australia
   is lacking as are other medical services when compared with the
   metropolitan setting. Our aim is to identify challenges with the
   administration and access to AM in rural and remote communities with
   outcomes to guide improved delivery of care. Methods: An online survey
   administered using Qualtrics, a secure survey platform was distributed
   to a total of 18 managers from 18 rural and remote organizations across
   the South East of Victoria in Australia. The survey was distributed to a
   total of 108 nurses working in these organizations. Results: A total of
   29 nurses completed the survey (response rate 28%). Most of the nurses
   were working in a mixed practice providing community palliative and
   district nursing. A significant number of nurses (n=9, 31%) were working
   in remote settings and the remainder were located in regional areas.
   Almost a third of all nurses surveyed did not have specific guidance
   regarding the use of AM for their patients. Opioids (55%) were by far
   the most commonly used AM followed by antiemetics (45%). The most common
   decisions taken by nurses to administer AM were cited as patient
   deterioration or in their terminal phase with a fluctuating level of
   anxiety, and patients agitation. Access to AM and lack of staff
   education were major challenges in rural and remote areas. Conclusions:
   Provision of timely AM has the potential to improve the quality of life
   of patients and their caregivers. Key barriers to access AM can be
   overcome with community-level planning and nurses' education. Advanced
   nurses' roles have the opportunity to provide specialized care where
   access to specialist physicians is challenging.
RI khalil, hanan/AAX-4188-2021
OI khalil, hanan/0000-0002-3302-2009
Z8 0
ZR 0
ZS 0
ZA 0
ZB 0
TC 6
Z9 6
U1 5
U2 8
SN 1096-6218
EI 1557-7740
UT WOS:000450064900001
PM 30427742
ER

PT J
AU Wentzell, S.
   Moran, L.
   Dobranowski, J.
   Levinson, A.
   Hannigan, A.
   Dunne, C. P.
   McGrath, D.
TI E-learning for chest x-ray interpretation improves medical student
   skills and confidence levels
SO BMC MEDICAL EDUCATION
VL 18
AR 256
DI 10.1186/s12909-018-1364-2
PD NOV 12 2018
PY 2018
AB BackgroundRadiology is an important aspect of medicine to which medical
   students often do not receive sufficient exposure. The aim of this
   project was to determine whether the integration of an innovative
   e-learning module on chest x-ray interpretation of the heart would
   enhance the radiological interpretive skills, and improve the
   confidence, of first year graduate entry medical students.MethodsAll
   first-year graduate entry (all students had a prior university degree)
   medical students at the University of Limerick (n=152) during academic
   year 2015-16 were invited to participate in this study. An assessment
   instrument was developed which consisted of 5 radiological cases to be
   interpreted over a designated and supervised 15-min time period.
   Students underwent a pre-, mid- and post-intervention assessment of
   their radiology interpretative skills. An online e-module was provided
   following the pre-test and additional practice cases were provided
   following the mid-intervention test. Assessment scores and confidence
   levels were compared pre-, mid- and post-intervention.ResultsThe overall
   performance (out of a total score of 25) for the 87 students who
   completed all three assessments increased from 13.2 (SD 3.36)
   pre-intervention to 14.3 (SD 2.97) mid-intervention to 15.8 (SD 3.40)
   post-intervention. This change over time was statistically significant
   (p<0.001) with a medium effect size (eta-squared=0.35). Increases from
   pre- to post-intervention were observed in each of the five areas
   assessed, although performance remained poor in diagnosis
   post-intervention. Of the 118 students who provided feedback after the
   intervention, 102 (86.4%) stated that they would recommend the resource
   to a colleague to improve their interpretative skills.ConclusionsThis
   study suggests that early exposure to e-learning radiology modules is
   beneficial in undergraduate medical school curricula. Further studies
   are encouraged to assess how long the improvement may last before
   attrition.
RI Levinson, Anthony J./AAB-2735-2019; Dunne, Colum/
OI Levinson, Anthony J./0000-0001-5240-6449; Dunne,
   Colum/0000-0002-5010-3185
ZA 0
TC 13
ZB 0
ZS 1
Z8 0
ZR 0
Z9 14
U1 0
U2 6
SN 1472-6920
UT WOS:000450266200002
PM 30419883
ER

PT J
AU Ali, Kamran
   Cockerill, Josephine
   Zahra, Daniel
   Tredwin, Christopher
   Ferguson, Colin
TI Impact of Progress testing on the learning experiences of students in
   medicine, dentistry and dental therapy
SO BMC MEDICAL EDUCATION
VL 18
AR 253
DI 10.1186/s12909-018-1357-1
PD NOV 9 2018
PY 2018
AB AimsTo investigate the impact of progress testing on the learning
   experiences of undergraduate students in three programs namely,
   medicine, dentistry and dental therapy.MethodsParticipants were invited
   to respond to an online questionnaire to share their perceptions and
   experiences of progress testing. Responses were recorded anonymously,
   but data on their program, year of study, age, gender, and ethnicity
   were also captured on a voluntary basis.ResultsA total of 167
   participants completed the questionnaire yielding a response rate of
   27.2% (n=167). These included 96 BMBS students (27.4%), 56 BDS students
   (24.7%), and 15 BScDTH students (39.5%). A 3 -Program (BMBS, BDS,
   BScDTH) by 8-Topic (A-H) mixed analysis of variance (ANOVA) was
   conducted on the questionnaire responses. This revealed statistically
   significant main effects of Program and Topic, as well as a
   statistically significant interaction between the two (i.e. the pattern
   of topic differences was different across
   programs).ConclusionsUndergraduate students in medicine, dentistry, and
   dental therapy and hygiene regarded PT as a useful assessment to support
   their learning needs. However, in comparison to students in dentistry
   and dental therapy and hygiene, the perceptions of medical students were
   less positive in several aspects of PT.
RI ALI, KAMRAN/B-1880-2012; Zahra, Daniel/AGH-0064-2022; Cockerill, Josephine/
OI ALI, KAMRAN/0000-0002-3122-6729; Zahra, Daniel/0000-0001-6534-6916;
   Cockerill, Josephine/0000-0002-7316-655X
Z8 0
ZR 0
ZB 2
TC 6
ZS 0
ZA 0
Z9 6
U1 0
U2 3
SN 1472-6920
UT WOS:000449733700002
PM 30413204
ER

PT J
AU Kattah, Andrea G.
   Smith, Carin Y.
   Rocca, Liliana Gazzuola
   Grossardt, Brandon R.
   Garovic, Vesna D.
   Rocca, Walter A.
TI CKD in Patients with Bilateral Oophorectomy
SO CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
VL 13
IS 11
BP 1649
EP 1658
DI 10.2215/CJN.03990318
PD NOV 7 2018
PY 2018
AB Background and objectives Premenopausal women who undergo bilateral
   oophorectomy are at a higher risk of morbidity and mortality. Given the
   potential benefits of estrogen on kidney function, we hypothesized that
   women who undergo bilateral oophorectomy are at higher risk of CKD.
   Design, setting, participants, & measurements We performed a
   population-based cohort study of 1653 women residing in Olmsted County,
   Minnesota who underwent bilateral oophorectomy before age 50 years old
   and before the onset of menopause from 1988 to 2007. These women were
   matched by age (+/- 1 year) to 1653 referent women who did not undergo
   oophorectomy. Women were followed over a median of 14 years to assess
   the incidence of CKD. CKD was primarily defined using eGFR (eGFR<60
   ml/min per 1.73 m(2) on two occasions >90 days apart). Hazard ratios
   were derived using Cox proportional hazards models, and absolute risk
   increases were derived using Kaplan-Meier curves at 20 years. All
   analyses were adjusted for 17 chronic conditions present at index date,
   race, education, body mass index, smoking, age, and calendar year.
   Results Women who underwent bilateral oophorectomy had a higher risk of
   eGFR-based CKD (211 events for oophorectomy and 131 for referent women;
   adjusted hazard ratio, 1.42; 95% confidence interval, 1.14 to 1.77;
   absolute risk increase, 6.6%). The risk was higher in women who
   underwent oophorectomy at age <= 45 years old (110 events for
   oophorectomy and 60 for referent women; adjusted hazard ratio, 1.59; 95%
   confidence interval, 1.15 to 2.19; absolute risk increase, 7.5%).
   Conclusions Premenopausal women who undergo bilateral oophorectomy,
   particularly those <= 45 years old, are at higher risk of developing
   CKD, even after adjusting for multiple chronic conditions and other
   possible confounders present at index date.
RI Rocca, Walter/Z-5335-2019; Grossardt, Brandon R/A-9554-2019; Smith, Carin/
OI Grossardt, Brandon R/0000-0001-7112-9061; Smith,
   Carin/0000-0002-3610-6945
ZR 0
ZB 8
ZS 0
ZA 0
TC 23
Z8 0
Z9 23
U1 0
U2 1
SN 1555-9041
EI 1555-905X
UT WOS:000449800100010
PM 30232136
ER

PT J
AU Disler, Rebecca T.
   Inglis, Sally C.
   Newton, Phillip
   Currow, David C.
   Macdonald, Peter S.
   Glanville, Allan R.
   Donesky, Doranne
   Carrieri-Kohlman, Virginia
   Davidson, Patricia Mary
TI Older Patients' Perspectives of Online Health Approaches in Chronic
   Obstructive Pulmonary Disease
SO TELEMEDICINE AND E-HEALTH
VL 25
IS 9
BP 840
EP 846
DI 10.1089/tmj.2018.0098
EA NOV 2018
PD SEP 1 2019
PY 2019
AB Background:Chronic obstructive pulmonary disease (COPD) is a complex,
   chronic condition.Patients commonly have limited access to face-to-face
   support due to decreased mobility, symptom burden, and availability of
   services. Online health care approaches provide the potential for
   increased access to self-management education and support. This study
   sought to understand older patients with COPD's perspectives of online
   approaches to health care.Materials and Methods:Participants older than
   65 years were recruited from a respiratory service at an academic
   medical center. Qualitative, focus groups were used and recorded,
   transcribed verbatim, and analyzed using thematic analysis to identify
   key and repeated emergent themes.Results:Focus groups were undertaken
   between January and May 2014. Thematic analysis resulted in five overall
   themes: (1) concern over risks in the online environment; (2) multimedia
   and technology use as part of everyday life; (3) online resources as an
   opportunity for revision of forgotten knowledge; (5) potential for
   facilitation of decision-making support across geographical and physical
   barriers; and (4) perceived benefits of online peer support for people
   with COPD.Conclusions:Overall, these older participants with COPD had
   positive views of online health information, but did raise the need for
   guidance to ensure valid and reliable online sources. The capacity for
   online sources to increase access to decision support and up-to-date
   information was viewed positively, as was the ability to interact with
   peers who had similar experiences. Telecommunication tools and
   approaches are already being utilized in health care interactions.
   Further research is required into the most appropriate, feasible, and
   sustainable online health approaches to support patients with chronic
   illnesses such as COPD.
RI Newton, Phillip/B-2774-2013; Disler, Rebecca T/; Davidson, Patricia M./; Currow, David/; Donesky, DorAnne/
OI Newton, Phillip/0000-0002-5006-2037; Disler, Rebecca
   T/0000-0003-3084-1516; Davidson, Patricia M./0000-0003-2050-1534;
   Currow, David/0000-0003-1988-1250; Donesky, DorAnne/0000-0002-1935-7400
ZR 0
Z8 0
ZB 1
TC 7
ZS 0
ZA 0
Z9 7
U1 7
U2 30
SN 1530-5627
EI 1556-3669
UT WOS:000449368300001
PM 30394859
ER

PT J
AU Costello, Eamon
   Holland, Jane
   Kirwan, Colette
TI The future of online testing and assessment: question quality in MOOCs
SO INTERNATIONAL JOURNAL OF EDUCATIONAL TECHNOLOGY IN HIGHER EDUCATION
VL 15
AR 42
DI 10.1186/s41239-018-0124-z
PD NOV 4 2018
PY 2018
AB If MOOCs are to play a role in the future of higher education it is
   imperative that we critically examine how they are currently
   functioning. In particular, questions persist about the role MOOCs will
   play in the future of formal accredited learning. As the focus turns
   from informal and free to formal, accredited and paid, greater scrutiny
   will be brought to bear on the quality of the courses themselves.
   Although there have been some empirical studies into the quality of
   MOOCs, a notable gap exists in that such research has not examined
   Multiple Choice Questions (MCQs) which are a key component of much MOOC
   assessment and testing. Previous research suggests that flawed MCQ items
   may compromise the reliability and validity of these assessments,
   potentially leading to inconsistent outcomes for students. This study
   was hence designed to examine MCQ quality in MOOCs. 204 MCQs were
   analysed, from a selection of 18 MOOCs, sampling the domains of
   computing, socialscience and health sciences. Over 50% of MCQs (112)
   contained at least one item flaw; 57 MCQs contained multiple flaws. A
   large proportion of MOOC MCQs violated item-writing guidelines, which is
   comparable with previous studies examining the prevalence of flaws in
   assessments in more traditional educational contexts. The problem of low
   quality MCQs can be ameliorated by appropriate faculty training and pre-
   and post-test quality checks. These activities are essential if MOOCs
   are to become a force that can enable enhanced and improved pedagogies
   in the future of higher education, instead of simply proceeding to
   replicate existing poor practices at scale.
RI Holland, Jane/C-8722-2012; Costello, Eamon/T-6282-2017; Novalić, Fadil/X-1498-2019
OI Holland, Jane/0000-0002-8784-6169; Costello, Eamon/0000-0002-2775-6006;
   Novalić, Fadil/0000-0002-6921-0511
ZR 0
ZA 0
TC 5
ZS 0
ZB 0
Z8 0
Z9 5
U1 0
U2 16
SN 2365-9440
UT WOS:000449286500001
ER

PT J
AU Juniat, Valerie
   Golnik, Karl C.
   Bernardini, Francesco P.
   Cetinkaya, Altug
   Fay, Aaron
   Mukherjee, Bipasha
   Pakdel, Farzad
   Skippen, Brent
   Saleh, George M.
TI The Ophthalmology Surgical Competency Assessment Rubric (OSCAR) for
   anterior approach ptosis surgery
SO ORBIT-THE INTERNATIONAL JOURNAL ON ORBITAL DISORDERS-OCULOPLASTIC AND
   LACRIMAL SURGERY
VL 37
IS 6
BP 401
EP 404
DI 10.1080/01676830.2018.1437754
PD NOV 2 2018
PY 2018
AB Purpose: The International Council of Ophthalmology (ICO) is currently
   developing a series of standardized, internationally validated, teaching
   tools for key ophthalmic surgical procedures called the Ophthalmology
   Surgical Competency Assessment Rubrics (OSCARs). This study aims to
   develop an OSCAR for anterior approach ptosis surgery.Methods: An
   international panel of content experts, representing Australia, India,
   Iran, Italy, Turkey, UK, and the USA was established and worked to
   develop the rubric using a range of online collaboration tools. The team
   used the standardised OSCAR template as a baseline, developing explicit
   behavioural descriptors (the behaviour and performance expected for each
   step) that were reviewed and modified with successive models. Learners
   were scored a modified 4-point Dreyfus scale of skill acquisition
   (novice, beginner, advanced beginner, competent) with the removal of the
   expert domain.Results: The final OSCAR ptosis tool was developed in
   alignment with the ICO-OSCAR standard. Seventeen agreed and weighted
   stems were produced. Domains such as communication and postoperative
   complications were removed from this rubric as they are evaluated in
   other spheres of residency training. Specific comments with regard to
   the parameters and wording were incorporated to formulate the final
   rubric, which was internationally agreed and demonstrated face and
   content validity.Conclusions: The OSCAR for anterior approach ptosis is
   skill and behaviour-based, has ICO agreed standards for assessment and
   provides learners with specific targets for improvement. Although the
   OSCAR ptosis tool has face and content validity, further development
   could better elucidate its precise role.
RI Pakdel, Farzad/V-1977-2019; Cetinkaya, Altug/AAW-2602-2021; Fay, Aaron/
OI Pakdel, Farzad/0000-0001-7392-6056; Cetinkaya,
   Altug/0000-0002-6407-4696; Fay, Aaron/0000-0003-2848-2825
ZB 1
TC 5
ZR 0
ZA 0
ZS 0
Z8 0
Z9 5
U1 0
U2 1
SN 0167-6830
EI 1744-5108
UT WOS:000468341800002
PM 29442541
ER

PT J
AU Jena, R. K.
TI Predicting students' learning style using learning analytics: a case
   study of business management students from India
SO BEHAVIOUR & INFORMATION TECHNOLOGY
VL 37
IS 10-11
SI SI
BP 978
EP 992
DI 10.1080/0144929X.2018.1482369
PD NOV 2 2018
PY 2018
AB Business Management Education in India has shown an upward growth trend
   in the last couple of decades. Due to the diverse nature of the course,
   students from diverse academic backgrounds are being admitted to the
   course. Therefore, differences in students' abilities and their learning
   styles have a significant effect on their learning outcomes. Meanwhile,
   with the development of learning technologies, learners can be provided
   a more effective learning environment to optimise their learning. The
   purpose of this study was to develop a model to automatically detect the
   students' learning styles from their personal, academic and social media
   data and make recommendations for students, teachers, educators and
   administrators for overall improvement of learning outcomes. Data
   analysis in this research was represented using data collected from
   post-graduate business management students in India. A 10-fold
   cross-validation was used to create and test the models. The data were
   analysed by R and R-Studio. Classification accuracy, Precision, Recall,
   Kappa, ROC curve and F measure were observed. The results showed that
   the accuracy of classification by the C4.5 technique had the highest
   value at 95.7%, and it could be applied to develop Felder-Silverman's
   learning style while taking into consideration students' academic,
   personal information and social media preferences.
OI Jena, R K/0000-0001-7354-8999
TC 12
ZR 0
ZB 1
Z8 0
ZA 0
ZS 0
Z9 12
U1 0
U2 39
SN 0144-929X
EI 1362-3001
UT WOS:000447813400004
ER

PT J
AU Matsui, Hiroshi
   Ryu, Marika
   Kawabata, Hideaki
TI Visual Feedback of Target Position Affects Accuracy of Sequential
   Movements at Even Spaces
SO JOURNAL OF MOTOR BEHAVIOR
VL 50
IS 6
BP 689
EP 696
DI 10.1080/00222895.2017.1407744
PD NOV 2 2018
PY 2018
AB The role of visual feedback during movement is attributed to its
   accuracy, but findings regarding the utilization of this information are
   inconsistent. We developed a novel dot-placing task to investigate the
   role of vision in arm movements. Participants conducted pointing-like
   movements between two target stimuli at even spaces. In Experiment 1,
   visual feedback of targets and response positions was manipulated.
   Although visual loss of target stimuli hindered accuracy of movements,
   the absence of the position of previously placed dots had little effect.
   In Experiment 2, the effect of movement time on accuracy was assessed,
   as the relationship between these has been traditionally understood as a
   speed/accuracy trade-off. Results revealed that duration of movement did
   not impact movement accuracy.
ZR 0
ZS 0
ZB 0
ZA 0
Z8 0
TC 0
Z9 0
U1 0
U2 3
SN 0022-2895
EI 1940-1027
UT WOS:000450424900009
PM 29236615
ER

PT J
AU Wu, Yanhua
   Chen, Yuanhan
   Chen, Shixin
   He, Yani
   Liang, Huaban
   Dong, Wei
   Liang, Xinling
TI Attitudes and practices of Chinese physicians regarding chronic kidney
   disease and acute kidney injury management: a questionnaire-based
   cross-sectional survey in secondary and tertiary hospitals
SO INTERNATIONAL UROLOGY AND NEPHROLOGY
VL 50
IS 11
BP 2037
EP 2042
DI 10.1007/s11255-018-1882-1
PD NOV 2018
PY 2018
AB ObjectiveThis questionnaire-based cross-sectional survey reported the
   attitudes and practices of Chinese doctors regarding chronic kidney
   disease (CKD) and acute kidney injury (AKI) management.MethodsAn online
   questionnaire consisting of general information, awareness of CKD and
   AKI, education status, renal laboratory items, and clinical practices
   between February 20, 2017 and August 15, 2017.ResultsAmong the 1289
   respondents from secondary and tertiary hospitals in 30 provinces, 718
   (55.7%) were nephrologists, 94.3% had the ability to evaluate glomerular
   filtration rates, and 98.8% could evaluate urinary protein excretion,
   indicating that Chinese doctors met the minimum requirements to manage
   CKD. However, nearly half of all respondents reported that easy methods
   for spot urine creatinine-adjusted urinary protein assessments were
   unavailable. Awareness of the CKD risk stratification system and AKI
   definition was inadequate, and only 54.2% of respondents reported that
   they had received nutritional education for renal diseases. Although
   most of the respondents were nephrologists at university hospitals,
   66.4% and 76.3% of respondents reported nephrology referrals and
   nephrology consultations, respectively, after AKI, suggesting an
   insufficient role for nephrologists. Finally, management models differed
   significantly, indicating that universal guidelines for CKD and AKI
   management are required across China.ConclusionsSeveral considerable
   challenges remain regarding CKD and AKI management in China, including
   inadequate knowledge and training systems, an absence of clinical
   protocols, and insufficient multidisciplinary cooperation.
OI liang, Xinling/0000-0002-6764-9571
ZB 2
ZA 0
Z8 0
ZS 0
ZR 0
TC 4
Z9 4
U1 0
U2 0
SN 0301-1623
EI 1573-2584
UT WOS:000448806900015
PM 29748925
ER

PT J
AU Goldhammer, Hilary
   Maston, Essence D.
   Kissock, Laura A.
   Davis, John A.
   Keuroghlian, Alex S.
TI National Findings from an LGBT Healthcare Organizational Needs
   Assessment
SO LGBT HEALTH
VL 5
IS 8
BP 461
EP 468
DI 10.1089/lgbt.2018.0118
EA NOV 2018
PD DEC 1 2018
PY 2018
AB Purpose: LGBT populations require expanded access to healthcare that
   meets their unique needs. This article presents the primary findings of
   a training and technical assistance needs assessment conducted with
   healthcare organizations in geographically diverse areas of the United
   States to help determine gaps in LGBT health familiarity, preparedness,
   comfort, and practices. Methods: A total of 5980 staff members and 638
   leaders from 18 healthcare organizations participated in online needs
   assessment surveys. Cross-sectional findings and significance were
   evaluated using descriptive statistics and two-sample t-tests. Results:
   Significantly more clinicians agreed that they were familiar with
   lesbian, gay, and bisexual health needs compared with being familiar
   with transgender health needs (81.7% vs. 68.3%, p=0.005). The majority
   of clinicians rarely or never talked to their patients about sexual
   orientation (55.4%) or gender identity (71.9%), mostly due to believing
   that the topics were not relevant to care, concerns with making the
   patient uncomfortable or offending the patient, lack of experience, and
   not knowing the appropriate language for talking about the subjects.
   Nearly one-third of staff respondents did not know if sexual orientation
   or gender identity/expression was included in organizational
   nondiscrimination patient policies. Conclusion: Although clinicians may
   self-report that they are familiar with LGBT health issues, gaps in
   practice and knowledge indicate the need for more training, especially
   in transgender health and in talking to patients about sexual
   orientation and gender identity. healthcare organizations also need
   support in ensuring that their organizations create inclusive
   environments by educating staff and leadership on nondiscrimination
   policies.
OI Keuroghlian, Alex/0000-0002-6624-8354
ZB 1
ZS 0
Z8 0
ZA 0
ZR 0
TC 28
Z9 28
U1 1
U2 6
SN 2325-8292
EI 2325-8306
UT WOS:000448933300001
PM 30383473
ER

PT J
AU Fernando, Shannon M.
   Cheung, Warren J.
   Choi, Stephen B.
   Thurgur, Lisa
   Frank, Jason R.
TI Faculty mentorship during residency and professional development among
   practising emergency physicians
SO CANADIAN JOURNAL OF EMERGENCY MEDICINE
VL 20
IS 6
BP 944
EP 951
DI 10.1017/cem.2018.42
PD NOV 2018
PY 2018
AB Objective: Mentorship is perceived to be an important component of
   residency education. However, evidence of the impact of mentorship on
   professional development in Emergency Medicine (EM) is lacking.
   Methods: Online survey distributed to attending physician members of the
   Canadian Association of Emergency Physicians (CAEP), using a modified
   Dillman method. Survey contained questions about mentorship during
   residency training, and perceptions of the impact of mentorship on
   career development.
   Results: The response rate was 23.5% (309/1314). 63.6% reported having
   at least one mentor during residency. The proportion of participants
   with a formal mentorship component during residency was higher among
   those with mentors (44.5%) compared to those without any formal
   mentorship component during residency (8.0%, p<0.001). The most common
   topics discussed with mentors were career planning and work-life
   balance. The least common topics included research and finances. While
   many participants consulted their mentor regarding their first job
   (56.5%), fewer consulted their mentor regarding subspecialty training
   (45.1%) and research (41.1%). 71.8% chose to work in a similar centre as
   their mentor, but few completed the same subspecialty (24.8%), or
   performed similar research (30.4%). 94.1% stated that mentorship was
   important to success during residency. Participants in a formal
   mentorship program did not rate their experience of mentorship higher
   than those without a formal program.
   Conclusions: Among academic EM physicians with an interest in
   mentorship, mentorship during EM residency may have a greater
   association with location of practice than academic scholarship or
   subspecialty choice. Formal mentorship programs increase the likelihood
   of obtaining a mentor, but do not appear to improve reported mentorship
   experiences.
TC 4
ZR 0
ZA 0
Z8 0
ZB 0
ZS 0
Z9 4
U1 0
U2 2
SN 1481-8035
EI 1481-8043
UT WOS:000451701500023
PM 29631645
ER

PT J
AU Brockes, Christiane
   Barresi, Fabio
   Schmidt, Christian
   Schulz, Egbert
   Schmidt-Weitmann, Sabine
TI Health Topics of Medical Online Inquiries at the University Hospital of
   Zurich: Experiences of the Last 12 Years
SO DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT
VL 143
IS 22
BP E197
EP E205
DI 10.1055/a-0655-1083
PD NOV 2018
PY 2018
AB Background Digitization in the healthcare sector leads to new
   requirements and challenges in the doctor-patient relationship. Since
   1999, the UniversitatsSpital Zurich has been offering a web-based
   medical online consultation service for laymen. The aim of the
   retrospective study was to analyze which health topics are of special
   interest for the inquirers.
   Method All questions and answers between 2005 and 2016 were included.
   The calculation of the frequencies included the ICD-10 chapters, the age
   and gender of the inquirers, the number of recommended visits to the
   doctor, as well as the rating of the service. Changes in the frequencies
   were examined by regression analysis.
   Results The mean age of the 23 131 inquirers was 37.9 +/- 16.63 years.
   The age as well as the proportion of male inquirers increased
   significantly with yearly 1.22 years respectively 1.6 % male proportion.
   The most common health issues according to the ICD-10 classification
   included symptom-oriented or general inquiries about complaints without
   a particular disease (chapter XVIII: 13.8 % and XXI: 11.6 %), followed
   by inquiries about the skin (XII: 8.8 %), about the musculoskeletal
   system (XIII: 7.5 %) and to the genitourinary system (XIV: 7.4 %). The
   inquiries to Chapters XVIII and II (new formations) increased
   significantly. With "good" to "very good" 80.2 % of the users rated the
   benefit and with 96.7 % the comprehensibleness of the online answers.
   Discussion A web-based online consultation service can strengthen
   patient empowerment and the health literacy of medical laymen through
   the individual provision of health information. This included, in
   particular, unclear symptoms and findings without diagnosis. The
   advantages of an anonymous online consultation were used especially
   regarding intimate questions and progressively by men. The increase in
   inquiries concerning new formation may be due to the complex treatment
   strategies in the field of oncology.
OI Schmidt-Weitmann, Sabine/0000-0002-0709-7971
ZS 0
Z8 0
ZA 0
ZR 0
TC 1
ZB 0
Z9 1
U1 0
U2 6
SN 0012-0472
EI 1439-4413
UT WOS:000448730200001
PM 30376680
ER

PT J
AU McKearney, R. M.
   MacKinnon, R. C.
   Smith, M.
   Baker, R.
TI Tinnitus information online - does it ring true ?
SO JOURNAL OF LARYNGOLOGY AND OTOLOGY
VL 132
IS 11
BP 984
EP 989
DI 10.1017/S0022215118001792
PD NOV 2018
PY 2018
AB Objective. To assess, using standardised tools, the quality and
   readability of online tinnitus information that patients are likely to
   access.
   Methods. A standardised review was conducted of websites relating to
   tinnitus and its management. Each website was scored using the DISCERN
   instrument and the Flesch Reading Ease scale.
   Results. Twenty-seven unique websites were evaluated. The mean DISCERN
   score of the websites was 34.5 out of 80 (standard deviation = 11.2).
   This would be considered 'fair' in quality. Variability in DISCERN score
   between websites was high (range, 15-57: 'poor' to 'very good'). Website
   readability was poor, with a mean Flesch Reading Ease score of 52.6
   (standard deviation = 7.7); this would be considered 'difficult' to
   read.
   Conclusion. In general, the quality of tinnitus websites is fair and the
   readability is poor, with substantial variability in quality between
   websites. The Action on Hearing Loss and the British Tinnitus
   Association websites were identified as providing the highest quality
   information.
RI MacKinnon, Robert C/D-8043-2018; McKearney, Richard/
OI MacKinnon, Robert C/0000-0002-6486-5578; McKearney,
   Richard/0000-0001-7030-5617
TC 10
ZB 1
ZS 0
Z8 0
ZA 0
ZR 0
Z9 10
U1 0
U2 1
SN 0022-2151
EI 1748-5460
UT WOS:000452146300008
PM 30353795
ER

PT J
AU Courtenay, M.
   Lim, R.
   Castro-Sanchez, E.
   Deslandes, R.
   Hodson, K.
   Morris, G.
   Reeves, S.
   Weiss, M.
   Ashiru-Oredope, D.
   Bain, H.
   Black, A.
   Bosanquet, J.
   Cockburn, A.
   Duggan, C.
   Fitzpatrick, M.
   Gallagher, R.
   Grant, D.
   McEwen, J.
   Reid, N.
   Sneddon, J.
   Stewart, D.
   Tonna, A.
   White, P.
TI Development of consensus-based national antimicrobial stewardship
   competencies for UK undergraduate healthcare professional education
SO JOURNAL OF HOSPITAL INFECTION
VL 100
IS 3
BP 245
EP 256
DI 10.1016/j.jhin.2018.06.022
PD NOV 2018
PY 2018
AB Background: Healthcare professionals are involved in an array of
   patient- and medicine-related stewardship activities, for which an
   understanding and engagement with antimicrobial stewardship (AMS) is
   important. Undergraduate education provides an ideal opportunity to
   prepare healthcare professionals for these roles and activities.
   Aim: To provide UK national consensus on a common set of antimicrobial
   stewardship competencies appropriate for undergraduate healthcare
   professional education.
   Methods: A modified Delphi approach comprising two online surveys
   delivered to a UK national panel of 21 individuals reflecting expertise
   in prescribing and medicines management with regards to the education
   and practice of nurses and midwives, pharmacists, physiotherapists, and
   podiatrists; and antimicrobial prescribing and stewardship. Data
   collection took place between October and December 2017.
   Findings: A total of 21 participants agreed to become members of the
   expert panel, of whom 19 (90%) completed round 1 questionnaire, and 17
   (89%) completed round 2. Pan-elists reached a consensus, with
   consistently high levels of agreement reached, on six overarching
   competency statements (subdivided into six domains), and 55 individual
   descriptors essential for antimicrobial stewardship by healthcare
   professionals.
   Conclusion: Due to the consistently high levels of agreement reached on
   competency statements and their associated descriptors, this competency
   framework should be used to direct education for undergraduate
   healthcare professionals, and those working in new clinical roles to
   support healthcare delivery where an understanding of, and engagement
   with, AMS is important. Although the competencies target basic
   education, they can also be used for continuing education. (C) 2018 The
   Healthcare Infection Society. Published by Elsevier Ltd. All rights
   reserved.
RI Bain, Heather A/D-4403-2018; Castro-Sanchez, Enrique/H-7893-2019; Sneddon, Jacqueline/AAE-8788-2021; Lim, Rosemary/C-2488-2016; Grant, Daniel/; Weiss, Marjorie/; Ashiru-Oredope, Diane/
OI Bain, Heather A/0000-0002-7072-8879; Castro-Sanchez,
   Enrique/0000-0002-3351-9496; Sneddon, Jacqueline/0000-0003-1926-9491;
   Lim, Rosemary/0000-0003-1705-1480; Grant, Daniel/0000-0003-0779-6219;
   Weiss, Marjorie/0000-0001-8065-4108; Ashiru-Oredope,
   Diane/0000-0001-9579-2028
ZA 0
ZR 0
TC 29
ZB 10
Z8 0
ZS 0
Z9 29
U1 0
U2 7
SN 0195-6701
EI 1532-2939
UT WOS:000448006000038
PM 29966757
ER

PT J
AU Edirippulige, Sisira
   Smith, Anthony C.
   Wickramasinghe, Sumudu
   Armfield, Nigel R.
TI Examining the Influence of E-Health Education on Professional Practice
SO JOURNAL OF MEDICAL SYSTEMS
VL 42
IS 11
AR 215
DI 10.1007/s10916-018-1084-5
PD NOV 2018
PY 2018
AB e-Health is steadily integrating into modern health services, making
   significant changes in the way health services are traditionally
   delivered. To work in this new environment, healthcare workers are
   required to have new knowledge, skills and competencies specific to
   e-Health. The aim of this study was to understand the self-reported
   perceptions of graduates regarding the influence of an e-Health
   postgraduate program on their professional careers. In addition, this
   paper will provide an overview of the e-Health postgraduate program. All
   graduates from 2005 to 2015 were surveyed using an online questionnaire
   that consisted of a mixture of closed and open-ended questions. The
   number of participants in the study was 32. Response rate was 62%. The
   main motivating factors for studying e-Health were 'relevance to current
   practice' and 'e-Health is the future'. The participants noted that the
   opportunity to 'acquiring relevant knowledge' and 'having exposure' were
   key benefits offered by the e-Health education program. The majority of
   graduates (n = 23, 72%) thought that the postgraduate e-Health program
   had an influence on their professional practice. A similar number of
   participants (n = 23, 72%) mentioned that they had worked in the field
   of e-Health since their graduation. Their professional roles mainly
   involved 'implementation of e-Health in health service settings' and the
   'use of e-Health in clinical practice'. While e-Health may be steadily
   integrating into modern health services, e-Health specific job
   opportunities are still relatively limited. e-Health workforce
   development must be given priority.
RI Wickramasinghe, Sumudu Indika/I-4868-2019; Armfield, Nigel R./B-4896-2010; Smith, Anthony C./E-9538-2010; edirippulige, sisira/A-7380-2011
OI Armfield, Nigel R./0000-0003-4218-0030; Smith, Anthony
   C./0000-0002-7756-5136; edirippulige, sisira/0000-0001-6196-5437
TC 4
ZR 0
ZS 1
Z8 0
ZB 2
ZA 0
Z9 5
U1 0
U2 12
SN 0148-5598
EI 1573-689X
UT WOS:000446592700001
PM 30276486
ER

PT J
AU Baker, Philip R. A.
   Dingle, Kaeleen
   Dunne, Michael P.
TI Future of Public Health Training: What Are the Challenges? What Might
   the Solutions Look Like?
SO ASIA-PACIFIC JOURNAL OF PUBLIC HEALTH
VL 30
IS 8
BP 691
EP 698
DI 10.1177/1010539518810555
PD NOV 2018
PY 2018
AB The Asia-Pacific region has rapidly changing health needs. This
   reshaping of health priorities is directly affecting current and future
   public health education. This brief review focuses on foundational
   public health skills including epidemiology, biostatistics, and health
   informatics. Epidemiological skills, in particular, are essential for
   policymakers and practitioners to identify the emergence of problems and
   to inform priority setting of public health efforts. Training needs to
   move beyond didactic, passive learning methods in class settings to
   approaches that engage and challenge students and academics in active,
   flexible learning and realistic problem-solving. We provide an overview
   of future trends in public health training in the Asia-Pacific region
   and illustrate the diversity of online training resources globally that
   can enrich staff and student skills and complement our active,
   class-based teaching.
RI Dingle, Kaeleen/G-4885-2010; Baker, Philip/
OI Dingle, Kaeleen/0000-0001-8210-8194; Baker, Philip/0000-0002-2834-5436
TC 1
ZR 0
ZA 0
ZB 0
ZS 0
Z8 0
Z9 1
U1 0
U2 3
SN 1010-5395
EI 1941-2479
UT WOS:000453312100003
PM 30444136
ER

PT J
AU Haas, J.
   Baber, M.
   Byrom, N.
   Meade, L.
   Nouri-Aria, K.
TI Changes in student physical health behaviour: an opportunity to turn the
   concept of a Healthy University into a reality
SO PERSPECTIVES IN PUBLIC HEALTH
VL 138
IS 6
BP 316
EP 324
DI 10.1177/1757913918792580
PD NOV 2018
PY 2018
AB Aims: Previous studies have reported a high prevalence of unhealthy
   behaviours in the student population, which the Healthy University
   concept is now seeking to address, by taking a settings approach to
   health promotion. This study investigated how far students are already
   seeking to make changes to improve their health behaviour while in a
   university setting, to help inform the development of Healthy
   Universities. Methods: Data on student health behaviour change, health
   indicators and demographics were gathered from 550 students attending
   two London universities, via an online questionnaire released through
   the student union email system at one university and through iPads at a
   student centre at the other. Results: In total, 84% of respondents
   reported making changes to try to become healthier while at university,
   primarily for proactive health reasons rather than reacting to a
   perceived health or weight issue. Universities and student unions were
   reported as influencing behaviour change by only five students. Compared
   with previous studies, a higher proportion of respondents were pursuing
   healthier lifestyles, including only 11% reporting they smoked. There
   were some statistically significant demographic differences as regards
   alcohol consumption, physical activity, the types of food students were
   seeking to avoid and the reasons for this. Conclusion: The findings
   provide a novel perspective on student health behaviour and suggest that
   the traditional stereotype of a hedonistic student lifestyle freed from
   family constraints may need to be reassessed. Universities and student
   unions appear to have a significant opportunity to build on a more
   health conscious cohort of students, employing targeted approaches where
   appropriate, to encourage positive health behaviour change and make the
   Healthy Universities concept a reality, with important public health
   implications.
OI Meade, Laura/0000-0002-8600-0129; Baber, Michael/0000-0003-1519-6037;
   Haas, Julia/0000-0002-5216-2509; Byrom, Nicola/0000-0003-2104-550X
ZS 0
TC 10
ZA 0
ZB 0
Z8 0
ZR 1
Z9 11
U1 0
U2 13
SN 1757-9139
EI 1757-9147
UT WOS:000450310300013
PM 30141740
ER

PT J
AU Elisa Erana-Rojas, Irma
   Barbosa Quintana, Alvaro
   Perez Saucedo, Jose Eduardo
   de los Angeles Segura-Azuara, Nancy
   Lopez Cabrera, Mildred Vanessa
TI The virtual pathology lab experience
SO INTERNATIONAL JOURNAL OF INTERACTIVE DESIGN AND MANUFACTURING - IJIDEM
VL 12
IS 4
BP 1299
EP 1308
DI 10.1007/s12008-017-0397-9
PD NOV 2018
PY 2018
AB Learning pathology is a challenge, students must develop the skills to
   identify microscopic abnormalities, explain the interaction of
   functional disorders, and their causes. This study assesses a novel
   approach to teach pathology using clinical cases through digital images,
   virtual online slides, and a learning management system. Satisfaction of
   83 students in the Pathology class was assessed with an online survey,
   using a Likert scale from 1 to 5 where 1 stands for total disagreement
   and 5 for total agreement. Regarding the impact of virtual pathology lab
   experience in their academic performance, 97.6% of students believe this
   approach was useful to achieve learning objectives as it allows
   self-directed learning, easier feedback, and collaboration between
   peers.
RI Erana, Irma/Q-1058-2019; de los Ángeles Segura-Azuara, Nancy/Q-1059-2019; Cabrera, Mildred Vanessa López/P-9401-2019; Eraña-Rojas, Irma E/E-9936-2018; Perez Saucedo, Jose Eduardo/
OI Erana, Irma/0000-0002-9022-3739; de los Ángeles Segura-Azuara,
   Nancy/0000-0002-0150-0897; Cabrera, Mildred Vanessa
   López/0000-0002-6965-6636; Eraña-Rojas, Irma E/0000-0002-9022-3739;
   Perez Saucedo, Jose Eduardo/0000-0002-6046-8233
ZA 0
ZS 0
ZR 0
ZB 0
TC 1
Z8 0
Z9 1
U1 0
U2 3
SN 1955-2513
EI 1955-2505
UT WOS:000449307800014
ER

PT J
AU Niccols, Alison
   Cunningham, Charles
   Pettingill, Peter
   Bohaychuk, Donna
   Duku, Eric
TI Infant mental health: The Brief Child and Family Intake and Outcomes
   System
SO INTERNATIONAL JOURNAL OF BEHAVIORAL DEVELOPMENT
VL 42
IS 6
BP 588
EP 596
DI 10.1177/0165025417752497
PD NOV 2018
PY 2018
AB There is a need to identify children with potential mental health issues
   early in order to provide "an ounce of prevention." Unfortunately, there
   are few instruments available to identify emotional and behavioral
   issues in infants and many never receive intervention. We developed the
   Brief Child and Family Intake and Outcomes System for Infants, which is
   a standardized online parent questionnaire including one externalizing
   scale (Cooperating), two internalizing scales (Expressing Emotion;
   Responding to Change), and two regulatory scales (Eating; Sleeping). We
   conducted a normative study of 542 Canadian children aged 8-17 months,
   stratified by sex, age, geographic region, and parents' marital status,
   income, and education. Results of confirmatory factor analyses
   demonstrated good model fit and the relationship between items and
   subscales did not vary significantly between boys and girls or between
   younger and older infants. Reliability estimates indicated high internal
   consistency and adequate to high test-retest reliability. Providing
   preliminary evidence of validity, scale scores had moderate to strong
   positive relations with measures of family distress, caregiver mood, and
   demographic variables. Analyses of latent variables revealed good
   evidence of discriminant validity of the scales. We extend earlier work
   by addressing a very young age range, including subscales particularly
   relevant to infant emotional and behavioral regulation while at the same
   time minimizing respondent burden, and providing norms for Canadian
   infants. The questionnaire could be used in children's mental health
   settings, primary care, child welfare, and daycare facilities, for
   intake, triage, and describing infants.
RI Duku, Eric/C-6552-2008
OI Duku, Eric/0000-0003-3599-3527
ZR 0
ZA 0
Z8 0
TC 3
ZB 2
ZS 0
Z9 3
U1 0
U2 6
SN 0165-0254
EI 1464-0651
UT WOS:000452308400008
ER

PT J
AU Burt, Kate G.
   Luesse, Hersh B.
   Rakoff, Jennifer
   Ventura, Andrea
   Burgermaster, Marissa
TI School Gardens in the United States: Current Barriers to Integration and
   Sustainability
SO AMERICAN JOURNAL OF PUBLIC HEALTH
VL 108
IS 11
BP 1543
EP 1549
DI 10.2105/AJPH.2018.304674
PD NOV 2018
PY 2018
AB Objectives. To elucidate details about the barriers (time, funding,
   staffing, and space) to integrating and sustaining school gardens.
   Methods. A total of 99 school gardeners from 15 states participated in
   an online survey in June 2017. The 29-item survey contained qualitative
   and quantitative items that we analyzed using descriptive statistics and
   inductive content analysis.
   Results. In order of greatest to least barrier, gardeners ranked time,
   staff, funding, curriculum, and space. Time for classes to use the
   garden (66% of respondents) and time for staff training (62%) were the
   most frequently listed time-related challenges. Respondents also
   reported low engagement within the school community. An overall lack of
   funding was the most common funding-related barrier, and gardeners were
   unaware of how to obtain more funding.
   Conclusions. We identified 3 aspects of school gardens as opportunities
   to address time- and staff-related issues: strengthening of garden
   committees, professional development, and community outreach. Better
   channels are needed to disseminate funding opportunities within schools
   and to communicate with communities at large. Ultimately, doing so will
   strengthen existing school gardens as a vehicle to promote dietary,
   physical, and social health within communities.
OI Burt, Kate/0000-0002-6115-6450
ZB 1
ZS 0
Z8 0
ZA 0
ZR 0
TC 10
Z9 10
U1 1
U2 15
SN 0090-0036
EI 1541-0048
UT WOS:000446866300041
PM 30252527
ER

PT J
AU Hilger-Kolb, Jennifer
   Diehl, Katharina
   Herr, Raphael
   Loerbroks, Adrian
TI Effort-reward imbalance among students at German universities:
   associations with self-rated health and mental health
SO INTERNATIONAL ARCHIVES OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH
VL 91
IS 8
BP 1011
EP 1020
DI 10.1007/s00420-018-1342-3
PD NOV 2018
PY 2018
AB Purpose Although psychosocial stress has been associated with adverse
   health parameters, little is known about this topic among the variety of
   university students. We thus examined associations of psychosocial
   stress due to academic education with self-rated health, and symptoms of
   depression and anxiety among students from various study disciplines.
   Methods We used data from the Nutrition and Physical Activity (NuPhA)
   Study, a cross-sectional online survey among students enrolled across
   German universities (n = 698). Academic stress was assessed by a newly
   developed and validated student version of the Effort-Reward Imbalance
   (ERI-Student) Questionnaire. Depressive and anxiety symptoms were
   measured by applying the Patient Health Questionnaire-4 (PHQ-4) and
   using validated cut-offs.
   Results Separate multivariate logistic regression analyses run for the
   different ERI components, the ERI-ratio revealed that high effort, low
   reward, high over-commitment, and a high ERI-ratio were associated with
   poor self-rated health, and depressive and anxiety symptoms (odds ratios
   >= 2.43). Separate analyses for medical students and non-medical
   students largely confirmed these findings for both groups. Associations
   between all ERI components, the ERI ratio, and both mental health
   measures were, however, more pronounced among medical students.
   Conclusions We were able to show consistent associations between the
   ERI-Student Questionnaire and self-rated health and mental health across
   students from different study disciplines. Further research on
   associations between academic stress and health parameters is necessary
   to develop effective strategies that prevent students from adverse
   health outcomes during their academic education.
RI Diehl, Katharina/AAG-1505-2021
OI Diehl, Katharina/0000-0002-5408-652X
ZR 1
ZS 1
ZB 5
TC 13
ZA 0
Z8 0
Z9 15
U1 1
U2 22
SN 0340-0131
EI 1432-1246
UT WOS:000455181700010
PM 30022255
ER

PT J
AU Irribarra T, Luis
   Mery I, Pamela
   Lira S, Maria Jesus
   Campos D, Mauricio
   Gonzalez L, Francisca
   Irarrazaval D, Sebastian
TI Quality of life scores among 411 medical students
SO REVISTA MEDICA DE CHILE
VL 146
IS 11
BP 1294
EP 1303
PD NOV 2018
PY 2018
AB The high academic burden may hamper the quality of life of medical
   students. Aim: To evaluate the quality of life (QOL) for medical
   students attending a Chilean university. Material and Methods: Four
   hundred eleven medical students aged 22 +/- 2 years (51% women),
   studying in Santiago, Chile, answered online a validated Spanish version
   of the WHOQOL-BREF quality of life survey (scored from 0 to 100).
   Overall scores were assessed for the questionnaire domains Physical
   health, Psychological health, Interpersonal relationships, and
   Environment. Results: The global scores were 65.1 for Physical health,
   63.1 for Psychological health, 61.3 for Interpersonal relationships and
   67.2 for Environment. Students in clinical practice, females, those with
   sedentary behaviors and consuming modafinil had lower Physical health
   scores. Students coming from outside Santiago, with sedentary behaviors
   and who consumed modafinil had poorer Psychological health scores.
   Students coming from outside Santiago, males and those with sedentary
   behaviors had Lower Interpersonal relationship scores. Environment
   scores were also lower among students who were sedentary or from outside
   Santiago. Conclusions: The variables that had a greater negative impact
   in the quality of life of these students were the transition from
   theoretical courses to clinical practice, being from outside Santiago,
   being overweight or obese and consuming modafinil. Students that were
   physically active had better quality of life scores.
RI Lira, Maria Jesus/GVR-8310-2022; Irarrazaval, Sebastian/AAM-5920-2020
OI Irarrazaval, Sebastian/0000-0002-1215-1709
ZS 3
ZR 0
ZB 0
Z8 0
TC 4
ZA 0
Z9 6
U1 4
U2 9
SN 0034-9887
EI 0717-6163
UT WOS:000457750400008
PM 30725043
ER

PT J
AU Stolz, Lori A.
   Amini, Richard
   Situ-LaCasse, Elaine
   Acuna, Josie
   Irving, Steven C.
   Friedman, Lucas
   Fiorello, Albert B.
   Stea, Nicholas
   Fan, Heinrich
   Adhikari, Srikar
TI Multimodular Ultrasound Orientation: Residents' Confidence and Skill in
   Performing Point-of-care Ultrasound
SO CUREUS
VL 10
IS 11
AR e3597
DI 10.7759/cureus.3597
PD NOV 2018
PY 2018
AB Introduction
   The objectives of this study were to determine if a multimodular
   introductory ultrasound course improved emergency medicine intern
   confidence in performing a point-of-care ultrasound and if our
   educational objectives could he met with our chosen structure.
   Methods
   This is a prospective, observational study evaluating three consecutive
   incoming emergency medicine residency classes from three residency
   programs. A one-day introductory ultrasound course was delivered. The
   course consisted of 1) flipped classroom didactics, 2) in-person,
   casebased interactive teaching sessions, and 3) check-listed,
   goal-driven, hands-on instruction.
   Results
   Over three years, 73 residents participated in this study. There was no
   significant difference in performance on the written test (p = 0.54) or
   the skills assessment (p = 0.16) between years. Performance on the
   written pre-test was not a predictor of performance on the skills test
   (R-2 = 0.028; p = 0.19). Prior to training, residents were most
   confident in performing a focused assessment with sonography for trauma
   examination (median confidence 5.5 (interquartile range (IQR): 3 - 7) on
   a 10-point Likert scale where 1 represents low confidence and 10
   represents high confidence). They reported the lowest confidence in
   performing a cardiac ultrasound (3 (IQR: 2 - 6)). Following training,
   residents reported increased confidence with all applications (p <
   0.001). Eighty-five percent (confidence interval (CI): 73, 92) of
   residents agreed that the online ultrasound lectures effectively teach
   point-of-care ultrasound applications and 98% (CI: 88, 100) agreed that
   case-based interactive sessions helped them understand how ultrasound
   changes the management of acutely ill patients.
   Conclusions
   A written test of knowledge regarding the use of point-of-care
   ultrasound does not correlate with procedural skills at the start of
   residency, suggesting that teaching and evaluation of both types of
   skills are necessary. Following a multimodular introductory ultrasound
   course, residents showed increased confidence in performing the seven
   basic ultrasound applications. Residents reported that an asynchronous
   curriculum and case-based interactive sessions met the learning
   objectives and effectively taught point-of-care ultrasound applications.
ZA 0
Z8 0
ZB 0
ZS 0
TC 6
ZR 0
Z9 6
U1 4
U2 5
EI 2168-8184
UT WOS:000458695500064
PM 30680258
ER

PT J
AU Maeda, Eri
   Boivin, Jacky
   Toyokawa, Satoshi
   Murata, Katsuyuki
   Saito, Hidekazu
TI Two-year follow-up of a randomized controlled trial: knowledge and
   reproductive outcome after online fertility education
SO HUMAN REPRODUCTION
VL 33
IS 11
BP 2035
EP 2042
DI 10.1093/humrep/dey293
PD NOV 2018
PY 2018
AB STUDY QUESTION: What are the long-term effects of fertility education on
   knowledge and reproductive outcome?
   SUMMARY ANSWER: Participants in the intervention group retained some
   knowledge after 2 years and the partnered women had a new child more
   quickly than the comparison group.
   WHAT IS KNOWN ALREADY: Fertility education improves knowledge, at least
   in the short-term. Attitudes toward childbearing and its timing can
   change after exposure to educational materials.
   STUDY DESIGN, SIZE, DURATION: Participants were recruited via an online
   social research panel. In the original randomized controlled trial
   (RCT), knowledge of reproductive-aged participants was assessed before
   (T1) and immediately after (T2) receiving one of three information
   brochures: fertility (intervention group), healthy pre-pregnancy
   (focused on intake of folic acid during pregnancy, control group 1), or
   family policies in Japan (childcare provision, control group 2). The
   present follow-up study was conducted 2 years later in January 2017 (T3)
   with the same participants.
   PARTICIPANTS/MATERIALS, SETTING, METHODS: Of the T1 participants (n =
   1455), 383 men and 360 women (51%) responded to the T3 survey. Fertility
   knowledge measured with the Japanese version of the Cardiff Fertility
   Knowledge Scale (CFKS-J) and fertility status (e.g. new births, new
   medical consultations, and the timing of new birth) was assessed.
   MAIN RESULTS AND THE ROLE OF CHANCE: Baseline (T1) characteristics of
   the T3 participants were well balanced between groups, but T3
   participants were older, married, and more educated compared to those
   lost to follow-up. A repeated-measures analysis of variance showed
   significant knowledge gains among the intervention group from T1 to T3
   (11.2% and 7.0% among men and women, respectively) but no significant
   change over time for the control groups. There were no differences
   between groups in the incidence of new births or new medical
   consultations. However, subgroup analysis showed that timing of new
   births was accelerated for partnered individuals in the intervention
   group. Specifically, the proportion of partnered participants at T1 who
   had a new birth in the first year subsequent to presentation of
   information was higher in the intervention group versus control group 1
   (folic acid): 8.8% versus 1.4% (P = 0.09) among men and 10.6% versus
   2.3% (P = 0.03) among women, respectively. The odds ratios (adjusted for
   age) were 7.8 (95% CI: 0.86-70.7) and 5.2 (95% CI: 1.09-25.0) among men
   and women, respectively. The timing of births and the proportion of new
   births during the 2-year follow-up period in the intervention group were
   similar to that of control group 2 (family policy). The incidence of new
   medical consultation was higher in the male intervention group (12.0%)
   than in male control group 2 (family policy, 1.5%, P = 0.04) but similar
   among women in all groups.
   LIMITATIONS REASONS FOR CAUTION: First, the high attrition rate may
   limit the generalizability of these findings for longer-term acquisition
   of fertility knowledge, especially when applied to younger people who
   were more likely to be lost to follow-up. Second, this is a 2-year
   follow-up study and the results may change in the longer-term. Finally,
   we relied on self-reported questionnaire data and there is a possibility
   that some women were unknowingly pregnant at T1 but this risk should be
   distributed equally in the three groups through randomization.
   WIDER IMPLICATIONS OF THE FINDINGS: Effects of one-time education were
   limited but retained beyond baseline levels. Importantly, education was
   found to potentially accelerate decision-making about achieving births
   in partnered subgroups compared to receiving healthy pre-pregnancy
   information. However, this finding should be confirmed in future
   stratified RCTs designed to evaluate effects in these subgroups.
   Follow-up 'booster' education sessions might help people retain
   knowledge and facilitate reproductive decisions for longer. In view of
   the high attrition rate, especially among young populations, novel
   educational strategies to retain young people in fertility education
   cohorts should be explored.
   STUDY FUNDING/COMPETING INTEREST(S): This study was funded by National
   Center for Child Health and Development, the Daiwa Anglo-Japanese
   Foundation, Pfizer Health Research Foundation, and the Japan Society for
   the Promotion of Science. E.M. reports joint research funds from a
   public interest incorporated foundation '1 more Baby Ohendan.'
RI Boivin, Jacky/A-1666-2010
OI Boivin, Jacky/0000-0001-9498-1708
ZR 0
Z8 0
TC 11
ZS 0
ZA 0
ZB 1
Z9 11
U1 1
U2 11
SN 0268-1161
EI 1460-2350
UT WOS:000452617200010
PM 30265305
ER

PT J
AU Glover, LaShaunta M.
   Ma, Jennie Z.
   Kesh, Anshula
   Tompkins, Lindsay K.
   Hart, Joy L.
   Mattingly, Delvon T.
   Walker, Kandi
   Robertson, Rose Marie
   Payne, Tom
   Sims, Mario
TI The social patterning of electronic nicotin'e delivery system use among
   US adults
SO PREVENTIVE MEDICINE
VL 116
BP 27
EP 31
DI 10.1016/j.ypmed.2018.08.038
PD NOV 2018
PY 2018
AB There is little research examining the social patterning of electronic
   nicotine delivery system (ENDS) use. This study investigated the
   association between socioeconomic status (SES) (education, income, and
   employment status) and current and former ENDS use. Data were collected
   from 2561 participants from the American Heart Association Tobacco
   Regulatory and Addiction Center (A-TRAC) online survey. Participants
   were 18-64 years old and reported demographic, SES, and ENDS use.
   Poisson regression was used to estimate prevalence ratios (PR 95%
   confidence interval-CI) of participants' current and former (vs. never)
   ENDS use. Models were adjusted for age, sex, sexual orientation,
   race/ethnicity, marital status, and reasons for ENDS use. In the
   unadjusted analysis, ENDS use was primarily patterned by education and
   employment status. College educated persons (vs. those with less than a
   high school diploma) had a 37% greater prevalence of current ENDS use
   (PR 1.37, 95% CI 1.20-1.55), and a 16% greater prevalence of former ENDS
   use (PR 1.16, 95% CI 1.06-1.28) in the fully-adjusted model. Persons
   with household incomes above $90 K (vs. less than $20,000) had a greater
   prevalence of current (PR 1.30, 95% CI 1.19-1.41) and former (PR 1.17,
   95% CI 1.05-1.30) ENDS use. Those who were employed (vs. not employed)
   had a 13% greater prevalence of current ENDS use (PR 1.13, 95% CI
   1.07-1.19) after full adjustment. Higher SES (vs. lower SES) persons
   were more likely to use ENDS.
RI Mattingly, Delvon/AAM-9233-2021; Payne, Thomas/R-4290-2019; Glover, LaShaunta/; Glover, LaShaunta/; Tompkins, Lindsay/
OI Mattingly, Delvon/0000-0002-2039-7311; Payne,
   Thomas/0000-0002-9839-6255; Glover, LaShaunta/0000-0002-1347-0189;
   Glover, LaShaunta/0000-0002-7721-8169; Tompkins,
   Lindsay/0000-0001-9498-0588
ZA 0
ZR 0
ZS 0
ZB 7
TC 13
Z8 0
Z9 13
U1 0
U2 8
SN 0091-7435
EI 1096-0260
UT WOS:000446486700005
PM 30171967
ER

PT J
AU Verrelst, Ruth
   Van Tiggelen, Damien
   De Ridder, Roel
   Witvrouw, Erik
TI Decreased Average Power of the Hip External Muscles as a Predictive
   Parameter for Lower Extremity Injury in Women: A Prospective Study
SO CLINICAL JOURNAL OF SPORT MEDICINE
VL 28
IS 6
BP 533
EP 537
DI 10.1097/JSM.0000000000000481
PD NOV 2018
PY 2018
AB Objective: To prospectively identify hip strength associated risk
   factors contributing to the development of lower extremity (LE) injury.
   Design: Data were prospectively collected on healthy female physical
   education students. Setting: This study was conducted in the institution
   of the University of Ghent. Participants: Eighty-nine female physical
   education students aged 19.53 +/- 1.07 years. Assessment of Risk
   Factors: Testing included isokinetic hip strength measurements of
   abductors, adductors, internal rotators, and external rotators (ERs).
   Main Outcome Measures: Follow-up of the participants was assessed using
   a weekly online questionnaire and a 3-month retrospective control
   questionnaire. Lower extremity injury was diagnosed by an experienced
   medical doctor. Cox regression was used to identify the potential risk
   factors for the development of an LE injury. Results: Thirty-four
   participants were diagnosed with an LE injury during follow-up. This
   study identified that decreased average power (AP) (P = 0.031) on
   concentric ER strength was found to be a significant risk factor for LE
   injury. No other hip strength parameters were found to be significant
   contributors to the development of LE injury. Conclusions: Decreased AP
   of the hip ER muscles was identified as a significant predictor for LE
   injury, whereas no hip abduction weakness or peak torque parameters were
   found to be predictive. Because controlling LE extremity movements is an
   important function of the hip muscles, they might be more challenged in
   a dynamic measure such as AP than in a point measure such as peak
   torque. Concentric AP of hip ER muscles can therefore be seen as an
   interesting factor to include in LE injury screening protocols.
RI De Ridder, Roel/AAC-1908-2021
Z8 0
ZB 1
ZR 0
TC 2
ZA 0
ZS 0
Z9 2
U1 0
U2 5
SN 1050-642X
EI 1536-3724
UT WOS:000457852000014
PM 28727641
ER

PT J
AU Patel, Mitesh
   Kapoor, Harit
   Mittal, Vijay K.
TI Variations in Teaching Assistant Case Experience during General Surgical
   Residency
SO AMERICAN SURGEON
VL 84
IS 11
BP 1745
EP 1749
PD NOV 2018
PY 2018
AB In 2014 to 2015, the American Council for Graduate Medical Education
   required that graduating surgical residents must complete 25 cases as a
   teaching assistant (TA). The definition of TA varies among programs. The
   purpose of this study is to gain insight into how many cases residents
   log as a TA, the operative setting, and the types of cases performed. An
   online survey of 21 questions was sent via email to all general surgery
   program directors across the nation between August and October of 2015.
   Questions regarding the number of cases performed as TA, types of cases
   performed, and the operative setting were asked. We received 88
   responses of 200 surveys sent. Fifty-two per cent of programs stated
   that their graduating residents log more than 25 cases as TA on
   graduating. All 88 respondents stated that senior residents acted as TAs
   in the operating room; of these respondents, 59 per cent stated that
   senior residents acted as TAs in the clinic also, 66 per cent on floors,
   and 70 per cent in the emergency room. The definition of TA differs
   among programs. Also, the types of cases that residents log as TA varies
   among programs as there are no clear guidelines set by the American
   Council for Graduate Medical Education as to what constitutes a TA case.
   Nonetheless, in most programs, senior residents perform more than 25 TA
   cases.
ZR 0
ZA 0
ZS 0
TC 3
Z8 0
ZB 0
Z9 3
U1 0
U2 0
SN 0003-1348
EI 1555-9823
UT WOS:000452996400029
PM 30747627
ER

PT J
AU Raad, Wissam N.
   Ayub, Adil
   Huang, Chyun-Yin
   Guntman, Landon
   Rehmani, Sadiq S.
   Bhora, Faiz Y.
TI Robotic Thoracic Surgery Training for Residency Programs A Position
   Paper for an Educational Curriculum
SO INNOVATIONS-TECHNOLOGY AND TECHNIQUES IN CARDIOTHORACIC AND VASCULAR
   SURGERY
VL 13
IS 6
BP 417
EP 422
DI 10.1097/IMI.0000000000000573
PD NOV-DEC 2018
PY 2018
AB Objective: Robotic-assisted surgery is increasingly being used in
   thoracic surgery. Currently, the Integrated Thoracic Surgery Residency
   Program lacks a standardized curriculum or requirement for training
   residents in robotic-assisted thoracic surgery. In most circumstances,
   because of the lack of formal residency training in robotic surgery,
   hospitals are requiring a&litional training, mentorship, and formal
   proctoring of cases before granting credentials to perform
   robotic-assisted surgery. Therefore, there is necessity for residents in
   Integrated Thoracic Surgery Residency Program to have early exposure and
   formal training on the robotic platform. We propose a curriculum that
   can be incorporated into such programs that would satisfy both training
   needs and hospital credential requirements.
   Methods: We surveyed all 26 Integrated Thoracic Surgery Residency
   Program Directors in the United States. We also performed a PubMed
   literature search using the key word "robotic surgery training
   curriculum." We reviewed various robotic surgery training curricula and
   evaluation tools used by urology, obstetrics gynecology, and general
   surgery training programs. We then designed a proposed curriculum geared
   toward thoracic Integrated Thoracic Surgery Residency Program adopted
   from our credentialing experience, literature review, and survey
   consensus.
   Results: Of the 26 programs surveyed, we received 17 responses. Most
   Integrated Thoracic Surgery Residency Program directors believe that it
   is important to introduce robotic surgery training during residency. Our
   proposed curriculum is integrated during postgraduate years 2 to 6. In
   the preclinical stage postgraduate years 2 to 3, residents are required
   to complete introductory online modules, virtual reality simulator
   training, and in-house workshops. During clinical stage (postgraduate
   years 4-6), the resident will serve as a supervised bedside assistant
   and progress to a console surgeon. Each case will have defined steps
   that the resident must demonstrate competency. Evaluation will be based
   on standardized guidelines.
   Conclusions: Expansion and utilization of robotic assistance in thoracic
   surgery have increased. Our proposed curriculum aims to enable
   Integrated Thoracic Surgery Residency Progrartt residents to achieve
   competency in robotic-assisted thoracic surgery and to facilitate the
   acquirement of hospital privileges when they enter practice.
TC 10
ZR 0
ZB 1
ZA 0
ZS 0
Z8 0
Z9 10
U1 0
U2 2
SN 1556-9845
EI 1559-0879
UT WOS:000457398200005
PM 30516571
ER

PT J
AU Pighin, Stefania
   Tentori, Katya
   Savadori, Lucia
   Girotto, Vittorio
TI Fostering the Understanding of Positive Test Results
SO ANNALS OF BEHAVIORAL MEDICINE
VL 52
IS 11
BP 909
EP 919
DI 10.1093/abm/kax065
PD NOV 2018
PY 2018
AB Background The majority of health-service users seem unable to properly
   compute the positive predictive value of medical tests. The research
   reported in the present study sought to investigate whether, and to what
   extent, probabilistic inferences about a positive test result can be
   improved by changing the traditional way in which probability judgments
   are elicited and medical information is presented.
   Methods Online survey respondents were presented with a positive test
   result regarding a pregnant woman, and had to estimate the chances that
   her unborn baby had an anomaly (standard judgment), to apportion the
   numbers of chances for and against this hypothesis (distributive
   judgment), and to indicate whether the hypothesis that the baby had an
   anomaly was more or less likely than its alternative (relative
   judgment). Test sensitivity and information framing were also
   manipulated.
   Results Irrespective of education and to some extent of numeracy, the
   majority of respondents produced correct distributive assessments of
   chances, which were in line with relative judgments and more accurate
   than standard ones. When information displayed exclusively positive test
   results, inferences resulted further improved and unaffected by test
   sensitivity.
   Conclusions Simple communication strategies that prompt extensional
   reasoning on the relevant set of number of chances can help individuals
   to overcome probabilistic inference errors.
RI Savadori, Lucia/A-6196-2013; Savadori, Lucia/AAF-8807-2019
OI Savadori, Lucia/0000-0003-3957-3132
ZS 0
TC 5
Z8 0
ZA 0
ZB 1
ZR 0
Z9 5
U1 0
U2 2
SN 0883-6612
EI 1532-4796
UT WOS:000452677800001
PM 30346498
ER

PT J
AU Schroter, Sara
   Roberts, Jason
   Loder, Elizabeth
   Penzien, Donald B.
   Mahadeo, Sarah
   Houle, Timothy T.
TI Biomedical authors' awareness of publication ethics: an international
   survey
SO BMJ OPEN
VL 8
IS 11
AR e021282
DI 10.1136/bmjopen-2017-021282
PD NOV 2018
PY 2018
AB Objective The extent to which biomedical authors have received training
   in publication ethics, and their attitudes and opinions about the
   ethical aspects of specific behaviours, have been understudied. We
   sought to characterise the knowledge and attitudes of biomedical authors
   about common issues in publication ethics.
   Design Cross-sectional online survey.
   Setting and participants Corresponding authors of research submissions
   to 20 journals.
   Main outcome measure(s) Perceived level of unethical behaviour (rated 0
   to 10) presented in five vignettes containing key variables that were
   experimentally manipulated on entry to the survey and perceived level of
   knowledge of seven ethical topics related to publishing (prior
   publication, author omission, self-plagiarism, honorary authorship,
   conflicts of interest, image manipulation and plagiarism).
   Results 4043/10 582 (38%) researchers responded. Respondents worked in
   100 countries and reported varying levels of publishing experience. 67%
   (n=2700) had received some publication ethics training from a mentor,
   41% (n=1677) a partial course, 28% (n=1130) a full course and 55%
   (n=2206) an online course; only a small proportion rated training
   received as excellent. There was a full range (0 to 10 points) in
   ratings of the extent of unethical behaviour within each vignette,
   illustrating a broad range of opinion about the ethical acceptability of
   the behaviours evaluated, but these opinions were little altered by the
   context in which it occurred. Participants reported substantial
   variability in their perceived knowledge of seven publication ethics
   topics; one-third perceived their knowledge to be less than some
   knowledge' for the sum of the seven ethical topics and only 9% perceived
   substantial knowledge' of all topics.
   Conclusions We found a large degree of variability in espoused training
   and perceived knowledge, and variability in views about how ethical or
   unethical scenarios were. Ethical standards need to be better
   articulated and taught to improve consistency of training across
   institutions and countries.
RI Houle, Timothy T/I-7649-2019; Penzien, Donald B/H-9693-2017; Schroter, Sara/G-3427-2012; Houle, Timothy T/CAF-5465-2022; Roberts, Jason/AAX-1895-2021; Houle, Timothy/
OI Penzien, Donald B/0000-0003-4913-7158; Schroter,
   Sara/0000-0002-8791-8564; Houle, Timothy/0000-0001-9584-5580
ZB 1
TC 6
ZA 0
ZR 0
ZS 0
Z8 1
Z9 6
U1 0
U2 7
SN 2044-6055
UT WOS:000454740400022
PM 30478105
ER

PT J
AU Alizadeh, Iman
TI Evaluating the educational usability of Telegram as an SNS in ESAP
   programs from medical students' perspective
SO EDUCATION AND INFORMATION TECHNOLOGIES
VL 23
IS 6
BP 2569
EP 2585
DI 10.1007/s10639-018-9731-5
PD NOV 2018
PY 2018
AB This study aimed to investigate medical students' evaluation of using
   Telegram as a Social Networking Site (SNS) in English for Specific
   Academic Purposes (ESAP) programs. To this end, the students'
   explanatory responses about the merits and demerits of the SNS as well
   as their suggestions for improving its educational usability were
   collected. The qualitative data analysis of the students' responses
   showed the merit codes of accessibility, data exchange, group learning,
   competitive atmosphere, peer-checking, and time-saving. The demerit
   codes emerging from the analysis were dependence and cheating, distrust,
   addiction, distraction, Internet problems, lack of supervision and lack
   of instruction. The codes derived from the students' propositions were
   upgrading the SNS, dynamic atmosphere, blended-learning, teacher
   involvement, culture of using the platform, cooperative learning,
   appropriacy of the materials and type of the materials. The findings
   indicated that the trend of the students' views about the merits of the
   site centered on technical categories, their views about the demerits of
   the system revolved mainly around behavioral categories and their
   propositions were closely linked to educational categories. The data
   analysis also showed significant differences in the perceived
   significance of the codes to the students with accessibility, Internet
   problems and type of the materials being the most prominent ones in the
   merit, demerit, and proposition codes respectively. From the findings,
   it can be concluded that educators should be encouraged to join the SNS
   to educationally support students, consider the merits and demerits of
   the SNS before employing it and improve the usability of the site based
   on the feedback they receive from students. The study suggests that a
   fine-tuned action plan be outlined with an eye to the technical,
   educational and behavioral requirements for using the SNS. It is also
   recommended that educators' and students' level and range of activities
   as well as ethical codes of conduct on the SNS be clearly stipulated in
   the course plan of programs involving the use of the site.
RI Alizadeh, Iman/C-2265-2017
OI Alizadeh, Iman/0000-0002-4990-4989
ZB 1
Z8 0
ZA 0
ZS 1
TC 5
ZR 0
Z9 6
U1 2
U2 14
SN 1360-2357
EI 1573-7608
UT WOS:000446373900016
ER

PT J
AU Alfalah, Salsabeel F. M.
TI Perceptions toward adopting virtual reality as a teaching aid in
   information technology
SO EDUCATION AND INFORMATION TECHNOLOGIES
VL 23
IS 6
BP 2633
EP 2653
DI 10.1007/s10639-018-9734-2
PD NOV 2018
PY 2018
AB The use of technological tools is increasing rapidly in all fields,
   especially in education, which has moved from pen, pencil, and books, to
   using interactive technologies to help impart knowledge and
   understanding. Recent years have witnessed students facilitating
   immersive digital technology. However, it remains a challenge to provide
   sufficient learning medias to higher education students. The lack of
   novel technologies in the learning process does not necessarily mean
   that the students' educational level will be affected, but it may result
   in the need for extra efforts from both students and instructors in some
   fields. In order to allow education to catch up with technology,
   technological tools need to be utilized in the educational process.
   Virtual Reality (VR) is considered one of the novel options to add value
   to the learning journey. VR enables students to discover and explore
   their own knowledge. Furthermore, it makes the learning process more
   interesting, which improves students' motivation and attention. To
   ensure the actual active use of VR technology when embedded in higher
   education institutions, various factors that influence the acceptance or
   resistance of the technology integration should be examined prior to
   technology integration: Students and teaching staff perceptions,
   institutional support, barriers of integration, motivation for
   integration, prior technology experience, etc. This paper aims to
   examine instructors' perceptions towards VR integration through a case
   study in a Faculty of Information Technology (IT) in a University in the
   Middle East. Respondents surveyed in this study consisted of faculty
   members. A quantitative method were used, an adapted questionnaire was
   distributed online amongst IT teaching staff assessing their views about
   the possibility of the implications of VR as teaching aid. Descriptive
   statistics were used to analyze the questionnaire data. Results obtained
   from the quantitative data revealed the instructors willingness to adopt
   VR systems as a teaching aid, their intention to incorporate it into the
   education process in the future, barriers to technology use, users prior
   knowledge in technology. The results also revealed that technology
   training may be maximized for the integration of VR technology. This
   paper concludes with recommendations to facilitate the use of VR
   technology as a learning medium.
RI Alfalah, Salsabeel/C-9411-2015
OI Alfalah, Salsabeel/0000-0001-5281-9796
ZR 1
ZS 0
Z8 0
TC 41
ZA 0
ZB 0
Z9 42
U1 6
U2 73
SN 1360-2357
EI 1573-7608
UT WOS:000446373900019
ER

PT J
AU Abdulla, Mohammed H.
TI The use of an online student response system to support learning of
   Physiology during lectures to medical students
SO EDUCATION AND INFORMATION TECHNOLOGIES
VL 23
IS 6
BP 2931
EP 2946
DI 10.1007/s10639-018-9752-0
PD NOV 2018
PY 2018
AB Online-based response systems are increasingly used as a continuous
   assessment tool in classroom due to availability and ease of access. The
   present study aimed to validate the utilisation of online-based
   exercises for teaching to medical students. For this study, Socrative, a
   free online platform was used in teaching a physiology component of a
   second year module. Students' performance and evaluation of this
   approach was investigated with regard to participation in the class,
   understanding of the concepts and performance in the final exam. The
   performance of the class in multiple choice questions (MCQs) related to
   Socrative daily activities at the end of module and final exams was
   greater by some 24% (P < 0.05) compared to performance in questions with
   no Socrative background exercise. Moreover, the exam performance of
   students in 2016 after the introduction of Socrative was higher by 14%
   (P > 0.05) compared to a previous year, 2014 where no Socrative
   activities were used. The students' feedback regarding the utilisation
   of online-based exercises showed similar to 85% of respondents think
   that these activities were either 'very important' or 'important' to
   enhance their participation in the class and similar to 88% indicated
   that it is either 'very useful' or 'useful' to consolidate their
   understanding of this module's material. The findings from this study
   indicate that the use of online-based exercises through Socrative was
   positively received by medical students as an interactive classroom
   activity that also enhanced performance.
RI Abdulla, Mohammed H./V-4987-2019
OI Abdulla, Mohammed H./0000-0001-5496-5017
Z8 0
ZR 0
TC 5
ZS 1
ZA 0
ZB 0
Z9 6
U1 0
U2 9
SN 1360-2357
EI 1573-7608
UT WOS:000446373900036
ER

PT J
AU Davidson, Benjamin
   Alotaibi, Naif M.
   Hendricks, Benjamin K.
   Cohen-Gadol, Aaron A.
TI Popularity of Online Multimedia Educational Resources in Neurosurgery:
   Insights from The Neurosurgical Atlas Project
SO JOURNAL OF SURGICAL EDUCATION
VL 75
IS 6
BP 1615
EP 1623
DI 10.1016/j.jsurg.2018.05.001
PD NOV-DEC 2018
PY 2018
AB OBJECTIVE: The Neurosurgical Atlas is a popular world-wide multimedia
   website in neurosurgery with informative chapters and videos to promote
   excellence and safety in neurosurgical techniques. Here, we present our
   analysis of the viewing data of this website. This is intended to
   describe how online neurosurgical resources are being utilized by
   today's neurosurgical community. We hope this will be a useful guide for
   neurosurgeons interested in online multimedia education.
   DESIGN/SETTING/PARTICIPANTS: We analyzed Google Analytics and Vimeo data
   collected from The Neurosurgical Atlas between June 2016 and August
   2017, which tracked user demographics, geographical location, and the
   videos watched. Views were also analyzed categorically by dividing
   videos into 6 neurosurgical topics and into basic and advanced levels as
   per their surgical complexity.
   RESULTS: During the study period, there were 246,259 website visits and
   143,868 video plays. The most frequent age group seen was 25 to 34
   (44%), followed by 35 to 44 (24%), and 71% of visitors were male. Most
   website visits were from the United States (29.52%) followed by Brazil
   (6.43%). There was a steady increase in website visits and video plays
   over time, with multiple peaks corresponding to promotional email
   updates. The 6 neurosurgical topics were all similarly popular in video
   plays, with the general neurosurgical topics being slightly preferred.
   Similarly, basic and advanced topics were both viewed frequently, with a
   slight preference for the basic topics.
   CONCLUSIONS: Our study presents the first piece of evidence
   demonstrating the feasibility and popularity of a free online resource
   in neurosurgical education. Our experience highlights the growing demand
   for free-access online chapters, anatomical illustrations, and operative
   videos. This initiative should not stop with The Neurosurgical Atlas;
   other surgeons should feel encouraged to employ similar methods to
   disseminate and advance surgical education. ((C) 2018 Association of
   Program Directors in Surgery. Published by Elsevier Inc. All rights
   reserved.)
RI Hendricks, Benjamin/AAI-6544-2020; Alotaibi, Naif/
OI Hendricks, Benjamin/0000-0002-7123-4387; Alotaibi,
   Naif/0000-0002-8227-347X
ZA 0
Z8 1
ZB 3
ZS 0
TC 17
ZR 0
Z9 18
U1 0
U2 8
SN 1931-7204
EI 1878-7452
UT WOS:000454674100027
PM 29933900
ER

PT J
AU Li, Yi
   Fan, Jingjing
   Yang, Jingyi
   He, Chengqi
   Li, Shasha
TI Effects of Repetitive Transcranial Magnetic Stimulation on Walking and
   Balance Function after Stroke: A Systematic Review and Meta-Analysis
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 97
IS 11
BP 773
EP 781
DI 10.1097/PHM.0000000000000948
PD NOV 2018
PY 2018
AB Objective The aim of this study was to investigate the effects of
   repetitive transcranial magnetic stimulation (rTMS) on walking and
   balance function in patients with stroke.
   Design MEDLINE, EMBASE, CINAHL, PsycINFO, Web of Science, CENTRAL, and
   the Physiotherapy Evidence Database were comprehensively searched for
   randomized controlled trials published through March 2017 that
   investigated the effects of rTMS on lower limb function. Main outcomes
   included walking speed, balance function, motor function, and cortical
   excitability.
   Results Nine studies were included. The meta-analysis revealed a
   significant effect of rTMS on walking speed (standardized mean
   difference, 0.64; 95% confidence interval [CI], 0.32-0.95), particularly
   ipsilesional stimulation (standardized mean difference, 0.80; 95% CI,
   0.36-1.24). No significant effects were found for balance function
   (standardized mean difference, 0.10; 95% CI, -0.26 to 0.45), motor
   function (mean difference, 0.50, 95% CI: -0.68 to 1.68), or cortical
   excitability (motor-evoked potentials of the affected hemisphere: mean
   difference, 0.21 mV; 95% CI, -0.11 to 0.54; motor-evoked potentials of
   the unaffected hemisphere: mean difference, 0.09 mV; 95% CI, -0.16 to
   -0.02).
   Conclusion These results suggest that rTMS, particularly ipsilesional
   stimulation, significantly improves walking speed. Future studies with
   larger sample sizes and an adequate follow-up period are required to
   further understand the effects of rTMS on lower limb function and its
   relationship with changes in cortical excitability with the help of
   functional neuroimaging techniques.
   To Claim CME Credits Complete the self-assessment activity and
   evaluation online at http://www.physiatry.org/JournalCME
   CME Objectives Upon completion of this article, the reader should be
   able to: 1) Understand the potential neurophysiologic effects of rTMS;
   2) Appreciate the potential benefits of rTMS on stroke recovery; and 3)
   Identify indications for including rTMS in a stroke rehabilitation
   program.
   Level Advanced
   Accreditation The Association of Academic Physiatrists is accredited by
   the Accreditation Council for Continuing Medical Education to provide
   continuing medical education for physicians. The Association of Academic
   Physiatrists designates this Journal-based CME activity for a maximum of
   1.0 AMA PRA Category 1 Credit(s). Physicians should only claim credit
   commensurate with the extent of their participation in the activity.
ZS 0
ZB 3
TC 11
ZA 0
Z8 5
ZR 0
Z9 15
U1 1
U2 32
SN 0894-9115
EI 1537-7385
UT WOS:000447732700006
PM 29734235
ER

PT J
AU Bulbin, David
   Denio, Alfred E.
   Berger, Andrea
   Brown, Jason
   Maynard, Carson
   Sharma, Tarun
   Kirchner, H. Lester
   Ayoub, William T.
TI Improved Gout Outcomes in Primary Care Using a Novel Disease Management
   Program: A Pilot Study
SO ARTHRITIS CARE & RESEARCH
VL 70
IS 11
BP 1679
EP 1685
DI 10.1002/acr.23544
PD NOV 2018
PY 2018
AB ObjectiveMethodsTo pilot a primary care gout management improvement
   intervention.
   Two large primary care sites were selected: 1 underwent the
   intervention, the other, a control, underwent no intervention. The
   intervention consisted of engagement of intervention-site staff, surveys
   of provider performance improvement preferences, and onsite live and
   enduring online education. Electronic health record reminders were
   constructed. Both the intervention and control sites had 3 quality
   measures assessed monthly: the percentage of gout patients treated with
   urate-lowering therapy, the percentage of treated patients monitored
   with serum urate, and the percentage of treated patients at target serum
   urate 6.0 mg/dl. The intervention-site providers received monthly
   reports comparing their measures against their peers.
   ResultsConclusionBy 6 months, the intervention site significantly
   improved all 3 gout performance measures. The percentage treated
   increased from 54.4% to 61.1% (odds ratio [OR] 1.19 [95% confidence
   interval (95% CI) 1.08-1.31]; P < 0.001), the percentage monitored
   increased from 56.1% to 79.2% (OR 1.52 [95% CI 1.24-1.87]; P < 0.001),
   and the percentage at goal increased from 26.85% to 43.3% (OR 1.43 [95%
   CI 1.16-1.77]; P < 0.001). At 6 months after intervention, gout patients
   at the intervention site were more likely to be monitored (79.2% versus
   53.4% [OR 3.54 (95% CI 2.30-5.45)]; P < 0.001) and at goal (43.3% versus
   28.3% [OR 1.99 (95% CI 1.33-2.96)]; P < 0.001) than control-site
   patients. Numbers treated did not significantly improve over the control
   site.
   A pilot multifaceted gout management program can significantly improve
   primary care gout management performance.
OI Sharma, Tarun/0000-0001-6378-6547
TC 9
ZA 0
ZS 0
ZR 0
ZB 2
Z8 0
Z9 9
U1 0
U2 8
SN 2151-464X
EI 2151-4658
UT WOS:000448800600014
PM 29438607
ER

PT J
AU Day, Jamin J.
   Sanders, Matthew R.
TI Do Parents Benefit From Help When Completing a Self-Guided Parenting
   Program Online? A Randomized Controlled Trial Comparing Triple P Online
   With and Without Telephone Support
SO BEHAVIOR THERAPY
VL 49
IS 6
BP 1020
EP 1038
DI 10.1016/j.beth.2018.03.002
PD NOV 2018
PY 2018
AB In response to recent increases in the dissemination of Web based
   parenting supports, an important consideration is whether the core
   benefits of self-directed participation in online parenting
   interventions are counterbalanced by issues such as high dropout and
   noncompletion rates commonly reported within the Internet intervention
   literature. This study outlines a randomized controlled trial of Triple
   P Online, a Web-based variant of the Triple P Positive Parenting
   Program, delivered with varied levels of support scaffolding.
   Participants were 183 parents of children between 1 and 8 years of age
   with concerns about their child's behavior and at least one area of
   disadvantage or family difficulty. Participants were randomized to self
   directed Triple P Online, telephone-supported Triple P Online, or a
   wait-list control. Primary outcomes measured at baseline,
   postintervention, and 5-month follow-up were negative parenting styles
   and child behavior problems. Secondary outcomes included parent
   confidence, anger, and adjustment; relationship quality; program
   engagement; and parent satisfaction. Self-directed participants showed
   short-term treatment effects, including reductions in overall negative
   parenting and frequency of child behavior problems, while practitioner
   support led to greater improvements in negative parenting and intensity
   of difficult child behaviors. Participants in the supported condition
   were also more likely to complete modules and reported greater program
   satisfaction. At follow-up, 50% of outcomes for the self-directed
   condition were significantly better than the control, while 94% of
   outcomes were significantly better than the control in the
   practitioner-supported condition. Although self-directed online
   approaches to parenting intervention are promising, this research
   highlights how minimal support can improve effective engagement and
   enhance outcomes for families.
RI Sanders, Matthew R/C-1941-2013; Day, Jamin/H-6502-2018
OI Sanders, Matthew R/0000-0003-3479-6337; Day, Jamin/0000-0003-4277-4816
ZA 0
ZB 7
TC 35
ZS 0
Z8 0
ZR 0
Z9 35
U1 2
U2 14
SN 0005-7894
EI 1878-1888
UT WOS:000448632300015
PM 30316482
ER

PT J
AU Gould, Carol C.
TI Solidarity and the problem of structural injustice in healthcare
SO BIOETHICS
VL 32
IS 9
SI SI
BP 541
EP 552
DI 10.1111/bioe.12474
PD NOV 2018
PY 2018
AB The concept of solidarity has recently come to prominence in the
   healthcare literature. When understood descriptively, it usefully
   supplements other conceptions like reciprocity (e.g., between healthcare
   providers and their patients), patient-centered medicine, or care
   ethics. In the context of health insurance (especially in Europe), an
   appeal to solidarity effectively addresses the problem of the motivation
   for taking seriously the medical needs of compatriots by emphasizing
   shared vulnerabilities and needs. If understood more broadly as human
   solidarity, the notion proposes attention to the health of distant
   others, as a condition of their dignity. And taken normatively, it fills
   in some of the requirements of the abstract norms of justice and
   equality by advocating 'standing with' or aiding fellow community
   members or possibly also distant others in regard to their medical
   needs. Solidarity may be understood be required either for its own sake,
   when taken as a separate norm, or as a way to realize the demands of
   justice and equal treatment in matters of health. The current focus on
   solidarity in the healthcare literature is useful and important, in my
   view. Yet, to my mind, the understanding of it tends to be unduly
   restricted. For one thing, the literature has most often focused on
   solidarity within nation-states, as a relation among compatriots that
   supports universal healthcare. The notion is also seen as having import
   for contemporary developments like large health databases, biobanks,
   personalized medicine, and organ donation. A few authors extend
   solidarity more widely, particularly in interpreting the Universal
   Declaration on Bioethics and Human Rights, with its reference to
   solidarity in Article 13 and its implication in some other articles.
   Yet, these various uses of the conception of solidarity in healthcare
   have thus far tended to either disregard or even to actively eschew its
   traditional meanings of labor solidarity or social movement solidarity,
   or indeed, any use of the term that posits an 'other' against which
   solidarity might be practiced (although it is generally recognized that
   the concept is bounded and particular). I suggest that the neglect of
   some important historical (and contemporary) senses of solidarity-and
   especially social movement solidarity-leads to a blind spot in the
   current bioethical theories. An alternative reading of solidarity in
   healthcare drawing on social movement and labor contexts would highlight
   a crucial dimension of contemporary healthcare provision, namely,
   structural injustice. Systemic forms of injustice militate against
   adequate healthcare for all, and suggest the need for solidaristic
   action to struggle against and to remedy existing entrenched
   inequalities. Omitting an account of structural injustice and even of
   justice itself from the core meaning of solidarity leads, I argue, to a
   rather weak and too easy sense of what solidarity requires, and is ill
   suited to serve as an adequate normative guide for improving healthcare
   in the present. This is the case most obviously in regard to healthcare
   in the United States with its unequal health system, but I suggest it
   applies more generally and even in Europe, and certainly if we take the
   obligations of solidarity to extend transnationally. While traditional
   notions of solidarity within existing communities and nation-states
   remain significant, I believe that an adequate conception of solidarity
   needs to show how it is connected to justice.
   It also needs to extend transnationally, given our increasingly
   interconnected world, which raises difficult questions of the relation
   between national and transnational solidarities, and the justifications
   we can give for prioritizing the health and healthcare of those closer
   to us. In this essay, I will begin by briefly indicating how the
   existing approaches to solidarity in healthcare, despite their trenchant
   analyses of many of its features and applications, remain abstract and
   without sufficient critical import by not directly considering the
   impact of structural injustices. I will then attempt to sketch how an
   understanding of institutional barriers to equal treatment, along with
   the commitment to achieving justice concretely, need to inform not only
   our application of solidarity in practice but also our understanding of
   the core meaning of solidarity itself. I will not be able to address
   here the complex question of the priority that is often given to the
   needs of those close to us and the related question of negotiating our
   obligations to engage in national vs. transnational solidarity efforts,
   but I have taken this up in other work. In a series of books and
   articles, Barbara Prainsack and Alena Buyx have taken the lead in
   calling attention to the relevance of the concept of solidarity for
   bioethics. They have articulated a general conception and sketched
   several potential implications for healthcare and bioethics more widely.
   They advance the following definition: 'Solidarity is an enacted
   commitment to carry "costs" (financial, social, emotional, or otherwise)
   to assist others with whom a person or persons recognize similarity in a
   relevant respect.' Prainsack and Buyx usefully develop the notion of
   solidarity as a practice and see it as operating within three domains:
   the interpersonal, the group, and the administrative/legal. Their
   conception is largely descriptive, although it has some normative
   preconditions, and involves what they call axiological/axiomatic
   normativity of some sort. The difficulty of this latter phrase aside,
   Prainsack and Buyx seem willing to countenance morally negative
   expressions of solidarity (e.g., among members of a gang or even a
   terror group) in the interest of preserving the analytic utility of the
   concept. Moreover, they sharply distinguish solidarity from justice,
   regarding the latter as deontic and thus as not part of the concept of
   solidarity itself. But given their attention to the context of the
   practice of solidarity, they expect that norms like justice would be
   brought to bear, presumably to qualify the practice of solidarity. Since
   Prainsack and Buyx's approach is perhaps the most highly developed
   conception of solidarity in the bioethics literature, it can serve as a
   useful foil for elaborating my own account, drawing on and extending my
   previous work on this theme. The main strength of their approach, it
   seems to me, lies in its aptness for understanding solidarity as a group
   practice, and especially within nation-states. Indeed, their view, with
   its emphasis on bearing costs to assist others within a group, seems to
   line up primarily with what has been called a 'civic solidarity'
   conception, one that has been prominent in connection with European
   welfare states. The idea that solidarity can come to be entrenched
   administratively and legally also points to the dominance of that
   European model in their understanding (though their conception is
   supplemented with what they call interpersonal solidarity).
   Importantly, these authors' emphasis on solidarity as a practice
   helpfully ties solidarity to action. They suggest that this action
   orientation serves to distinguish solidarity from empathy or other
   sentiments. However, the centrality in their account of bearing 'costs'
   with the aim of assisting others brings the model close to the Christian
   tradition of solidarity with its emphasis on relieving suffering and
   aiding the poor. Their perspective likewise focuses on individual
   activity in aiding others, rather than on collective action. (The term
   'costs', however, has financial connotations that do not sit altogether
   easily with this religious perspective.) The Christian tradition of
   solidarity can be distinguished (at least in its older forms) from the
   alternative socialist tradition of labor union solidarity, where
   solidarity is aimed at promoting shared interests and overcoming
   domination and exploitation with the aim of achieving justice. In this
   article, I will suggest that this latter understanding of solidarity
   introduces an important normative aspect of the concept of solidarity,
   one that is largely lacking in Prainsack and Buyx's account. Although
   Prainsack and Buyx are at pains to differentiate between solidarity and
   charity (which is indeed an important distinction), I find their
   argument on this point unconvincing. They claim that charity is marked
   by assistance for others who are perceived as 'different' from oneself,
   rather than as being 'similar in a relevant respect.' The problem is
   that this distinction could be seen as having a question-begging aspect,
   inasmuch as the authors seem to posit by definition that in cases where
   people choose to donate to charities for people with a similar condition
   to their own (e.g., a particular illness), they are in fact acting in
   solidarity rather than charity. At the very least, more argument would
   be needed to establish the difference in question. Indeed, the issue of
   what is perceived as 'similar' and what counts as 'a relevant respect,'
   remains rather vague in their account. Clearly, perceptions of
   similarity and difference are notably various and variable. Can the
   perception of similarity with another in a relevant respect always be
   explained in a way that itself makes no reference to the solidarity that
   is supposed to follow from it, as it would have to be to avoid
   circularity? Is it, for example, the abstract status of being a fellow
   citizen that generates solidarity or does our tie to these others
   already presuppose pre-existing solidarities, e.g., as being members of
   our nation? The account would need to explicitly address questions such
   as these and also explicate what counts as 'similar in a relevant
   respect' to concretize this notion and give it real utility. In my own
   view, as developed elsewhere and as will become clear below, the
   distinction of solidarity from charity turns rather on the connection
   that solidarity bears to justice, and to the overcoming of domination
   and exploitation. It can also be seen to involve reciprocity in a sense
   to be indicated, which charity does not. Indeed, Prainsack and Buyx
   sharply distinguish between solidarity and reciprocity, taking the
   latter in the narrow sense of what I have elsewhere called instrumental
   reciprocity or 'tit for tat' reciprocity.
   In my view, reciprocity is a fundamental social relation that in fact
   takes several forms besides such instrumental ones, and I believe that
   reciprocity remains important for properly understanding solidarity.
   This potential for reciprocity helps to distinguish solidarity from
   charity, since charity evidently does not presuppose reciprocation from
   the needy or those aided. The reciprocity that applies to solidarity
   actions can be seen in the notion of mutual aid, which has been part of
   traditional understandings of labor and social movement solidarity. The
   mutuality involved here is itself a developed form of reciprocity, but
   one characterized not instrumentally in the manner of Prainsack and
   Buyx. Rather, reciprocity and the solidarity that incorporates it are
   here seen as aiming at improving the situation of the other, at least
   partly for its own sake, and not only for the subsequent return of
   benefit that could be expected from doing so. Although they do not
   explicitly tie solidarity to the overcoming of domination and
   exploitation, Prainsack and Buyx do helpfully take note of the dangers
   for healthcare posed by commercial interests, as well as entrenched
   inequalities. This is evident, for example, in their account of the
   problems that afflict the use of large databases and biobanks, as well
   as the perils that attend some proposed uses of personalized medicine.
   But these problematic dimensions of contemporary life are treated more
   as background conditions rather than as structural and institutional
   features against which solidarity actions with others need to struggle.
   Moreover, we can observe that the prevalence of commercial interests in
   regard to health databases can undercut the very possibilities for
   solidarity that these authors seek, by deterring people from
   contributing their information to them from fear of such commercial use.
   This lends an additional practical motivation to taking these structural
   background conditions seriously, if solidarity is to be encouraged.
   Certainly, these authors are right to highlight forms of solidarity that
   may arise in pursuit of common aims or shared goals, as within a
   political community (often taken as national). But I would suggest that
   solidarity is also centrally a process aimed at overcoming forms of
   domination and structural injustice, where people share an interest in
   doing so. This struggle against domination can sometimes itself take an
   instrumental form. But when it involves normative solidarity, it is
   properly understood as motivated by a shared interest in justice rather
   than simply the pursuit of benefits. As I have suggested, the classic
   account of solidarity in this sense is that of labor movement
   solidarity, but similar notions have characterized a range of social
   movements, e.g., in Latin America and elsewhere, whether aimed at
   agrarian reform or at overcoming authoritarian rule, where they take the
   form also of democratic movements. I propose that these examples, with
   the processive and critical notion of solidarity they imply, have
   implications for an adequate conception of solidarity for healthcare and
   for its applications there. Before turning to this socially critical
   notion of solidarity, we can note a drawback in the standard reading
   that takes solidarity as a unitary notion within a single group or
   community like the nation-state. Insofar as the group is limited to
   compatriots, or to members of smaller pre-existing groups, it evidently
   does not address the needs or vulnerabilities of others situated outside
   these groups' borders.
   Although there may be unitary groups or communities that are
   transnational, within which traditional forms of solidarity can be
   found, increasingly we see that cross-border or transnational
   relationships take a networked form and involve relations to
   'outsiders'. What sorts of solidarities are possible there both
   generally and in the context of healthcare? Some bioethicists have
   recently addressed this issue by introducing a notion of human
   solidarity or global solidarity. In the analysis given by Gunson, the
   notion of solidarity held to be suitable for global contexts and seen as
   underlying the Universal Declaration on Bioethics and Human Rights is
   explicitly understood as 'weak solidarity,' namely, 'the willingness to
   take the perspective of others seriously.' It does not add the
   requirement 'to act in support of it,' which he holds is characteristic
   of 'strong solidarity,' such as is involved in political solidarities or
   in social movements to counter exploitation or achieve justice. Gunson
   explicates weak solidarity as involving listening to others and 'caring
   for others,' but not necessarily as including efforts at reducing
   inequalities, or even a specific concern with those. He sees the
   Universal Declaration on Bioethics and Human Rights as appealing to a
   notion of human dignity, but seems to think that weak solidarity is
   sufficient to respect and uphold that dignity. I would suggest that the
   appropriate sense of dignity is the robust and demanding one that we
   find explicitly enunciated in the Universal Declaration of Human Rights,
   where dignity is taken in an egalitarian sense, and is held to imply
   certain labor rights, along with health itself as a human right. A
   related notion of dignity is likewise appealed to numerous times in the
   Universal Declaration on Bioethics and Human Rights, which also includes
   a specific reference to solidarity, as a goal of international
   cooperation, along with demands on governments for meeting health
   research and healthcare needs. But this Declaration could usefully go
   further to specify some of the practices that would help to realize
   these aims, and I suggest that strong, rather than weak, forms of
   solidarity would be required in order to fulfill them, and not merely
   the caring for and aiding others that Gunson and also Prainsack and Buyx
   emphasize in their accounts. We can distinguish two main senses of
   solidarity, as already adumbrated, each of which has import for
   healthcare and the structural injustice that may constrain it. One sense
   is unitary solidarity, often taken as pertaining to the relations among
   citizens within a state, but applying as well to the relations among
   members of smaller pre-existing groups. The second is what I call
   networking solidarity, evident when groups (often, though not
   necessarily, transnational), or sometimes also individuals, link up to
   work on projects aimed at overcoming oppression or exploitation. The
   first form of solidarity-unitary group solidarity-is often illustrated
   with the motto of the three musketeers: 'One for all and all for one,'
   but that is a rather specific and highly demanding version of it.
   Nonetheless, it has the advantage of calling attention to solidarity as
   involving a clear awareness of a 'we' or 'us'. Although some sense of a
   'we' can be discerned in both forms of solidarity analyzed here, it
   applies to each type somewhat differently, as we shall see.
   In contrast, the individualist approach to solidarity advanced by
   Prainsack and Buyx tends to diminish the role of shared or collective
   activity, although it helpfully includes a notion of identification with
   an other who in their view are aided because they are regarded as
   'similar in some respect.' In the account that I have developed, the
   first sense of solidarity pertains to relations among co-participants in
   an ongoing group, oriented to shared goals. Not all of the participants
   necessarily share all the goals of the group though they are generally
   committed to the main ones and to the group's persistence and viability
   as a whole. Note that solidarity here may not always require a
   pre-existing shared identity or culture (although it often does), but
   may emerge from the constitution of an ongoing 'we' in the context of
   collective or group agency. The shared goals of the group are not
   aggregative, that is, a sum of each individual's similar goals, but
   arise in common endeavors (normally including a multiplicity of
   overlapping subordinate goals), where the overarching goals are at least
   partly constitutive of the group itself. The various aims and goals are
   not always explicitly reflected on and are often embedded or
   institutionalized in the practices of the group. While such a conception
   of solidarity is often thought to be merely descriptive, I see it (as
   will be the case for the second sense as well) as grounded in a social
   ontology of what I have called individuals-in-relations, and as having
   normative dimensions. In this first case of group solidarity, as an
   instance of what I have elsewhere called 'common activities,' the norms
   go beyond the commitments involved in the constitution of any group
   whatever, and extend to the recognition (though often only implicit) of
   the fundamentally equal status of the individuals who constitute the
   group as agents. In virtue of this equality, I have argued elsewhere
   that the members should be granted equal rights to participate in
   processes of affirming and revising the goals of the group and should
   also have some say in how the various shared goals are carried out. This
   follows from an understanding of justice as what I have termed 'equal
   positive freedom,' or prima facie equal rights to the conditions of
   self-development, where such social contexts of activity are among these
   necessary conditions for individuals. In virtue of their equal agency,
   no individual has a right to dominate others in determining these common
   activities, that is, they have equal rights of co-determination of them.
   In this perspective, solidarity can be seen as an integral part of a set
   of norms that encompasses justice, as requiring the equal freedom of
   these relational individuals to develop themselves over time, and the
   norm of democracy, going beyond its traditional meanings of voting and
   majority rule to include equal rights of participation in co-determining
   group ends. In this account, which emphasizes people's interdependence
   and their embodied nature, the sort of mutual support involved in group
   solidarity emerges as a crucial condition for the self-transformative
   activity of individuals and for the persistence of the group itself. We
   can say then that the requirement to realize justice along with a broad
   range of human rights through solidaristic activity arises from people's
   interdependence and from the fact that their free development as agents
   requires a set of conditions, both material and social.
   Justice calls for the protection of the traditionally recognized
   negative liberties, but goes beyond it to require the availability of
   conditions that support people's self-developing activity (both as
   individuals and as collectives) over time, that is, their positive
   freedom. Crucial among these conditions are health and healthcare, as
   well as education and other central social needs. Given the individuals'
   fundamental equality as agents, with both individual dignity and shared
   needs, the norm of justice as requiring action to realize equality not
   only qualifies any potential group solidarity, as it does on the
   Prainsack and Buyx account, but is properly a core aspect of solidarity
   itself as a normative practice. From this perspective, the solidarities
   that obtain within a group not only help to realize justice concretely,
   but also can be said to constitute 'the other side of justice' (in
   Habermas's phrase). Solidarity actions not only reflect people's
   pre-existing feelings of connection to each other, but also can function
   in practice to solidify their understanding of shared neediness and
   their interdependence in meeting these needs and pursuing shared goals.
   The interdependence involved in common endeavors like political
   communities, together with the equal vulnerability of members of such
   communities, involves forms of reciprocity and gives rise to the
   requirement of mutual aid that is characteristic of solidarity. Further,
   the conditions for the realization of both individual freedom and of the
   shared goals of the group can in fact be seen to require the absence of
   domination and exploitation, that is, the overcoming of these one-sided
   forms of recognition not only in interpersonal relations, but also as
   they are entrenched in structural or institutional forms. Included here
   are types of economic functioning that systematically disadvantage large
   groups of people, along with other forms of institutional discrimination
   on the basis of race or gender, or other minority characteristics.
   Although existing solidarity groups are not always fully aware of the
   relevance to them of overcoming such injustices, I believe that such
   demands of justice are in fact integral to solidarity as a norm and not
   external to it, as on the empirically oriented account advanced by
   Prainsack and Buyx. Moreover, we can see that ongoing (and not merely
   pre-given) solidaristic social action within a collectivity and
   community is needed as a way to more fully achieve justice within it.
   These interrelations between solidarity and justice are even more
   evident in the second sense of solidarity, which I have called
   networking solidarities. This second form is most often found in social
   movements. Conceptually it arises primarily from classic notions of
   labor solidarity, which I have suggested can be extended to these
   movements and can even characterize the relations that are increasingly
   evident among civil society associations, e.g., NGOs. Networking
   solidarity is a form particularly apt for capturing constructive
   relations of support toward distantly situated others, but it can also
   apply within, as well as across, borders. This form of solidarity is
   generally aimed at overcoming forms of domination and exploitation, but
   may also include networking to help alleviate suffering.
   As a relation among groups (or sometimes even among individuals), I have
   elsewhere argued that it manifests a type of social empathy or the
   understanding of another group's situation and perspective, but such
   solidarity does not consist in sentiment per se. Rather, it necessarily
   involves action or a readiness to take action on behalf of, and in
   support of, others. Here, too, there is generally a commitment to a
   common cause, and when properly understood, I think, a commitment to
   justice. Although this form of solidarity in practice has tended to
   involve better-off people working to help those who are less advantaged,
   we can find a form of reciprocity implicit even here, in particular, an
   expectation of reciprocal action and mutual aid were it needed. More
   direct reciprocity is evident in traditional labor union solidarity, as
   well as in some social movements, where the solidarity actions are among
   people perceived to be similarly situated. In these various cases of
   networking solidarity, I have argued that normatively solidarity
   requires deference to the needs and goals of others as they themselves
   understand them. And ideally, solidarity movements should embody
   democratic modes of decision making among the participants, given their
   equal status as members, and their shared commitment to the overarching
   goals of their movement. Although there are some fully shared goals that
   motivate these forms of networking solidarity, especially inasmuch as
   they often take a project-oriented form, different subgroups act to
   realize these goals in ways they themselves determine, and they liaise
   or link up with each other to decide how each group can best participate
   and contribute. As groups or associations of their own, they tend to
   have their own sets of goals and plans unrelated to these solidarity
   actions. But they take themselves to be part of the larger movement or
   set of associations, aimed at overcoming forms of domination or
   suffering. Moreover, they often make use of online forms of networking
   and social media to coordinate their efforts with each other, and they
   offer each other mutual support and encouragement. Although the groups
   or individuals linking up in these networks can in some sense be
   regarded as themselves constituting a superordinate group, and thus from
   an abstract perspective as not being essentially different from the
   first form of group solidarity, the latter is unitary and understood by
   the members as a single group, most often pre-existing, while the former
   involves loose relations among groups (or sometimes also individuals)
   undertaken for the purpose of a given project or aim. In practice, then,
   we can regard these two forms of solidarity as distinct, and see them as
   manifested in two different types of social phenomena. The 'we' in the
   case of networking solidarity is constructed serially and diversely by
   its member groups (or individuals), and is oriented to a particular
   cause. Nonetheless, insofar as they take overcoming domination,
   oppression, or exploitation as their aim, they are at least partly
   defined by an egalitarian commitment to justice, and the 'we' should
   remain open to others similarly committed. It must be granted that labor
   solidarity and most social movement solidarity have often involved
   shared interests and an antagonistic relation to others regarded as
   exploitative or authoritarian. Indeed, the first sense of solidarity, as
   group solidarity, admits of a similar antagonistic relation to
   outsiders, e.g., in the case of hostility toward other nation-states.
   Nonetheless, we can see how normatively each of these forms of
   solidarity has the potential to develop in ways that are more inclusive
   rather than exclusive. In the national case this is possible if borders
   are not understood to reflect unitary shared identities but come to be
   regarded as contingent and indeed as porous, or at least much more so
   than at present. Likewise, labor and social movement solidarity are in
   principle open to all those who wish to join in their efforts to work
   toward social (and indeed global) justice, even though it must be
   admitted that in practice those benefiting from exploitation are
   unlikely to join in. The connection of solidarity to social and global
   justice suggests the need to theorize more fully how structural or
   systemic forms of injustice set the frame and motivation for many
   solidarity movements and can serve to orient their practices. The notion
   of structural injustice is perhaps most relevant to networking
   solidarities, especially where they explicitly aim at establishing
   justice and therefore would have to address such institutional forms of
   injustice. But this notion can also apply to unitary solidarity groups,
   if they seek to adequately meet the basic needs and respect the human
   rights of their members, who are affected by these forms of injustice.
   That structures or systems may operate so as to consistently produce
   injustices has been a prime insight in Marxist theories, which highlight
   the way the capitalist economic system exploits workers, apart from the
   specific intentions of individuals, who often do not aim at such
   exploitation. While classical liberal theories tend to put great weight
   on individual action and intention, the Marxist emphasis on structure
   and on the functioning of the capitalist system focuses us on the
   underlying ways in which corporations operate in accordance with the
   requirement to increase profits by way of the exploitation of labor.
   Marxist theory also brings to the forefront the notion of
   objectification. This refers to the significance of the embodiment of
   intentions and plans in artifacts and on the need to be recognized by
   others if people are to understand themselves. That is, it introduces
   elements of externality required for self-transformation, whether
   individual or cultural. In such an approach, not only the social, but
   the material, environment for human action can in various ways reflect
   existing class and other salient group differences. This environment for
   action also generates steady expectations and encourages certain modes
   of comportment in people who tend to operate in accordance with
   prevailing social practices and rules. At the same time, people have the
   capacity to change these practices and rules over time, though often
   only through collective choices and action. (This point may not always
   be duly appreciated in theories of structural injustice themselves.)
   More contemporary analyses of the structural factors that contribute to
   injustice, as found for example in the work of Anthony Giddens and Iris
   Young, cast light on how individuals can reproduce problematic practices
   through their choices within these structural constraints. While Giddens
   focused on processes of what he called structuration, Young highlighted
   consumer choices and other social practices that serve to produce and
   reproduce injustices, in a certain sense unwittingly, for example, by
   impacting sweatshop workers at a distance or by limiting access to the
   existing housing stock.
   According to Young:Structural injustices are harms that come to people
   as a result of structural processes in which many people participate.
   These participants may well be aware that their actions contribute to
   the processes that produce the outcomes, but for many it is not possible
   to trace the specific causal relation between their particular actions
   and some particular part of the outcome. This emphasis on structure,
   Young argues, turns our attention to 'how the institutions of a society
   work together to produce outcomes that support or minimize the threat of
   domination,' where these outcomes largely depend on the social
   positioning that conditions people's diverse life prospects. In later
   work, Young's emphasis turns more to the ways that practices that
   connect people to each other implicate them in these processes of social
   and structural reproduction. On her view, the connections in which
   people stand give rise to what she calls a 'forward looking' sense of
   political responsibility, and evoke the need to stand in solidarity with
   others. Leaving aside the difficult issue of responsibility, we can
   observe that focusing primarily on the amorphous practices of social
   life can lead us away from understanding the workings of contemporary
   political economy and its detrimental effects on those who lack the
   power to take any part in determining its direction. I have also
   criticized a view that would simply characterize everyone-whether
   workers or top executives-as implicated in these processes and
   practices, seeing these groups as distinguished only by degree. Rather,
   some have substantial control over the processes to which others are
   subjected. But for the purpose of the analysis here, we can take
   structural or systemic injustice to refer both to the operation of the
   formal political-economic institutions of capitalism (along with racism
   and patriarchy), and to the more informal practices and rules of social
   life, which also contribute to the production and reproduction of
   inequalities. How, then, are these structures and the injustices they
   produce connected to solidarity, as analyzed here? Without attempting a
   thorough account, we can observe that capitalist economic institutions
   have in fact disrupted earlier forms of solidarity, such as those
   characteristic of pre-capitalist political economies, marked by what
   Durkheim called mechanical solidarity. At the same time, new forms of
   solidarity have been created, e.g., through the division of labor (as
   described in Durkheim's term organic solidarity). In political contexts
   as well, older solidarities within local communities have tended to give
   way to national, or even transnational, forms. Yet, of greater relevance
   for us here are the ways in which political economic institutions, with
   the inequalities and forms of domination and exploitation they may
   generate, frame and motivate new solidarity movements to address these
   injustices. Recognizing how institutions and practices function in ways
   that assign differential power to various groups in society is essential
   if justice is to be constructed through solidaristic action. Even where
   solidarity actions aim only at relieving suffering and do not directly
   attempt to eliminate oppression or explanation, some understanding of
   the social and institutional context of those to be aided is needed if
   the solidarity actions are to be effective.
   For example, efforts to address the aftermath of hurricanes and also to
   mitigate them going forward call for attention to the social conditions
   that lead impoverished or minority groups to be disproportionately
   affected by such natural events-by reason of where they live, or the
   ways they lack protection against excessive damage from these natural
   events. In such situations, empathy with the situation of others, and
   even specific action to assist them, however important they may be, are
   insufficient unless they are coupled with an understanding of the
   impacts of the structural features of political economy and the
   injustices to which the operations of these institutions give rise. This
   is even more evidently the case where solidarity movements aim directly
   at overcoming oppression and exploitation, e.g., ending sweatshop labor.
   In such cases, effective action must not only support workers
   individually or remedy their specific situation but requires a socially
   critical analysis of the prevailing context that gives rise to the
   exploitation in the first place, which may also provide indications of
   how to address it. We can grant that solidaristic practices, whether in
   healthcare or other contexts, may well have their own utility as an
   expression of our sociality and our enjoyment of acting in common, and
   in this sense solidarity can even be said to have some value apart from
   its functioning to help in constructing justice. But the argument here
   is that these practices can be truly effective in meeting their aims
   only if they go well beyond charity and also beyond practices that
   simply 'incur costs to assist others recognized as similar' (in the
   Prainsack/Buyx formulation). If they are to conduce toward justice,
   these solidarity practices and movements need to address the ways that
   social, economic, and political institutions systematically function to
   deny some groups of people the basic means of life, and give rise to
   pervasive inequalities in people's opportunities for self-development
   and for participating in processes of collective self-determination.
   This is the case most clearly for what I have called networking
   solidarities, but it can apply to solidarity within more unitary
   contexts like nation-states to the degree that the bonds involved (e.g.,
   among citizens) are not merely pre-existing but affirmed and reinvented
   over time. Even more demandingly, at a normative level, we can say that
   solidaristic action needs to take seriously the requirement for deep
   social transformation in the direction of social, and indeed global,
   justice. In this way, as I have argued elsewhere, although solidarity
   remains particularistic in its orientation to specific problems and
   specific groups or individuals, it can keep in view the demands of
   universal human dignity. And solidarity movements can verify that their
   particular goals contribute (in however limited a way) to the broader
   goal of egalitarian social transformation. Thus, dispositions to
   empathy, deference, and mutual aid remain important components of
   solidaristic social action, but a critical analysis of the social
   context and concretely taking action oriented to alleviating structural
   injustices are needed as well. In addition, since the institutional
   context, with its given power relations, frames the various solidarity
   movements, sometimes the prevailing power formations are replicated
   within these movements themselves.
   I suggest that this calls for groups and agents to be self-reflective
   about these effects of the structural context in which they function,
   and to be on guard about the dangers of their own possible complicity in
   its replication and perpetuation. An important proviso should be
   mentioned before returning to the case of healthcare and considering the
   impact of the notions of solidarity analyzed here. That is, although
   solidarity has here been related to justice, with the concomitant need
   to analyze and address the structural injustices that frame solidarity
   action, there is no implication that solidarity movements or other
   solidarity activities are sufficient for achieving the institutional
   changes that justice requires. For that, democratic legislation and
   various political and economic transformations are also needed. But
   solidarity, whether binding the members of a nation-state, or
   interpreted in newer networking forms, are one important way of
   constructing the conditions for these transformations, or even, in some
   cases of prefiguring more just relations within the social relations of
   solidarity themselves. There is no question that the new focus on
   solidarity holds considerable import for healthcare, as Prainsack and
   Buyx have effectively argued. But the issue for us is what further
   benefit would result from incorporating solidarity's connection to
   justice, holding in view the significance of countering structural or
   systemic injustices. Given the vast range and specifics of healthcare
   and the social and economic factors conducive to health, I will focus on
   only a few of the most obvious implications for the practice of
   healthcare and for the potentially solidaristic activities of
   practitioners. We can ask: what difference would it make if we take
   seriously the need to address the differential structural power of the
   individuals and groups involved in healthcare, whether as practitioners
   or those served by them? And what is the scope and nature of the
   solidarity thus required? I will suggest in this final section that
   understanding solidarity in relation to structural injustice can not
   only shed new light on the sorts of examples that Prainsack and Buyx
   consider, but also, more importantly perhaps, highlight an entirely
   different range of examples of healthcare solidarity from the ones those
   authors consider. It takes us beyond such cases as the readiness to
   assist others through participating in healthcare databases or biobanks
   to cases of active participation in social movements aimed at improving
   healthcare nationally or transnationally, or, more defensively, to
   protesting structural injustices that lead to the wrongful denial of
   healthcare or to deep inequalities in its allocation. An obvious case of
   structural injustice in healthcare is provided by the deficiencies
   evident in the U.S. health insurance system (or lack of a system).
   Europeans have long recognized the centrality of solidarity with fellow
   citizens needed to undergird a willingness to contribute through taxes
   to a universal healthcare system. The types of provision in fact vary
   considerably, from socialized medicine as in the UK to state-funded
   support for private insurance provision, as in the Netherlands, along
   with dual systems mixing public and private support. But the
   universality at which these systems aim reflects the recognition of
   people's shared vulnerabilities in matters of health, and even an
   understanding that healthcare is a human right required by justice.
   There is also the acknowledgement that systematic or structural
   provision (or at least a guarantee) of healthcare is required in order
   to realize the universality at stake here. It is perhaps worth
   mentioning that despite their achievements, structural injustices do
   nonetheless persist in many of the European systems themselves. This is
   particularly the case where there are two tiers of provision such that
   private insurance is needed in order to gain superior care that (ideally
   at least) should be available to all. (Granted that in some European
   countries the public providers may actually be superior to private ones
   in some respects.) The lack of universal healthcare in the United States
   is evidently primarily due to the existence of structural injustice,
   rather than simply reflecting an absence of solidarity among
   compatriots. To state the obvious: the U.S. private insurance
   industry-and especially its leading large for-profit companies-is
   immensely powerful and, currently at least, enormously profitable. As
   part of the dominion of capitalist economic forms, these private firms
   also have inordinate influence over politics, as do the large drug
   companies. The activities of these companies exemplify the role of the
   'power of money' that is widely prevalent in U.S. politics and society,
   which in turn circumscribes the possibilities for public policy and law.
   Corporate lobbying and campaign contributions from corporations and the
   wealthy notably undercut political equality in the United States and can
   also prevent attention to the basic tasks involved in meeting human
   needs in equitable ways. Beyond this, it can be argued that the
   systematic differences between people's starting positions, depending on
   their class and race, in large measure fall out of existing economic
   functioning, particularly given the resistance of the powerful to the
   redistributions that would be needed for genuinely equal opportunities.
   Moreover, these differential and deleterious starting positions conduce
   to worse health outcomes for children affected by them, and for many
   adults over the course of their lives. In view of this systemic
   injustice, the sort of solidarity needed, then, is not only an empathic
   identification with other citizens (or better, with all members of the
   political community, including non-citizens). Rather, for meaningful
   change, attention also needs to be paid to the structural barriers to
   equal and universal healthcare. Although improvements and reforms can
   probably be made even without fundamental changes in these background
   structural economic and political conditions, realizing the goal of
   genuinely equal treatment would require transforming those basic
   economic structures themselves. And this in turn calls for social
   movements aimed at these transformations. In the case of the United
   States, some healthcare workers in fact have taken the lead in
   solidarity actions to preserve the existing limited forms of health
   insurance against efforts to strip vulnerable people of their coverage
   altogether. This represents an example of a type of solidarity action in
   the service of justice. Needless to say, much more needs to be done to
   develop a fully critical solidarity movement of the sort required.
   Indeed, some healthcare worker groups-notably National Nurses United and
   Physicians for Universal Healthcare-have taken the lead in spearheading
   the movement for Medicare for All, going considerably beyond the efforts
   to prevent repeal of the Affordable Care Act.
   They originally argued for a public option when that healthcare law was
   under development, and have gone on to organize healthcare consumers in
   various locales across the United States, including rural areas and
   those with large industries, to press for systemic changes in health
   insurance and in healthcare delivery, such as through establishing
   non-profit community health centers. In both domestic contexts and more
   global ones, connecting solidarity to structural injustice has been
   important for understanding and addressing the social and economic
   factors that greatly magnify the health impacts of natural disasters,
   e.g., of hurricanes or tsunamis or volcanic eruptions. Whereas
   solidarity with affected people has most often been episodic and
   motivated by empathy with them, attention to the structural factors that
   exacerbate the impact of these disasters on vulnerable populations
   expands the scope of what needs to be done in a forward-looking
   justice-oriented perspective. As suggested earlier, structural
   injustices that lead impoverished people to live in weak dwellings or in
   insecure geographical areas also expose them differentially to the
   health and other effects of weather or environmental catastrophes.
   Beyond the specific catastrophes, we can see that climate change itself
   has greater impacts on those groups as well, effects that will only
   increase over time. Cases that illustrate the ways that structural
   injustices intensify natural disasters (if not also contributing to
   causing them) are manifold, and the solidarity movements that have
   responded to these disasters are instructive for our purposes. A well
   known case is Hurricane Katrina in New Orleans in 2005, where African
   Americans made up 80% of the people in flooded low-lying communities,
   sometimes residing in inadequate housing like trailers, and without the
   means to escape the rising waters (especially due to low rates of car
   ownership). Not only did these minority communities bear the large part
   of the deaths and injuries from the hurricane, but also they experienced
   abiding health problems, e.g., those due to mold. Yet, despite the
   grossly inadequate federal response to this disaster, residents offered
   each other mutual assistance and were also aided by solidarity groups
   like Common Ground, which helped with community rebuilding, including
   founding a free health clinic, and aiding with wetlands restoration. A
   related example is the response to Hurricane Sandy in the New York/New
   Jersey area, where healthcare workers set up free clinics in trucks, and
   helped to raise money for much needed medical supplies for the various
   communities that lacked adequate resources of their own to deal with the
   storm aftermath. Internationally, structural injustices significantly
   contributed to the grave impact of the 2010 Haiti Earthquake, in which
   over 200,000 people were killed and over 300,000 injured, with more than
   1.5 million rendered homeless. Before the quake, many Haitians were
   impoverished and lived in slum conditions, leaving them highly
   vulnerable to floods and other natural disasters. The International
   Monetary Fund had implemented austerity programs in the preceding
   decades, which contributed to an evisceration of the public health
   systems and in turn to the health crisis following the earthquake, where
   there were radically insufficient medical supplies available.
   In the period that preceded the quake, an estimated 75% of Haiti's
   healthcare services had been provided by multinational and faith-based
   non-governmental organizations (NGOs), and its entire health supply
   system was externally run. The aid following the quake likewise involved
   a massive influx of international non-governmental organizations
   (INGOs), but Haitian NGOs were marginalized, as were the Haitian
   authorities, and over 90% of the aid money went to international actors,
   including the UN and INGOs, and to the private sector. This aid, too,
   was unequally distributed between the capital and rural areas, and
   between well-off and less well-off areas of Port-au-Prince itself. In
   contrast, more adequately addressing the medical needs arising from the
   quake, some international healthcare NGOs succeeded in working in
   solidarity with local Haitians, in particular, the INGO Partners in
   Health, which explicitly incorporated a focus on the impacts of
   structural factors in their efforts. A more recent case is provided by
   Hurricane Maria, which devastated Puerto Rico in the summer of 2017.
   This natural disaster likewise calls attention to political economic and
   social structural factors that greatly aggravated the situation. Years
   of austerity, this time managed by the U.S. government and banks, along
   with massive debt, left hospitals without many doctors and with
   inadequate medical supplies needed to deal with injuries following the
   storm. Puerto Rico's defective electrical grid also hampered the
   recovery from the hurricane. The inadequacies of this grid were
   exacerbated by the freeze imposed on a public infrastructure fund, which
   was instead used to funnel support to public-private partnerships under
   the same restructuring program. Moreover, in Puerto Rico, as in Haiti,
   we observe inequalities in the response to affected communities in the
   capital vs. in poorer rural areas. Solidarity work by healthcare
   workers, including doctors from Cuba, along with aid from the Puerto
   Rican diaspora, has been important in recovery and rebuilding efforts,
   but has not been able to make up for the lack of support from the U.S.
   government. It is evident, then, that effective action requires
   understanding the economic and social factors that condition people's
   life chances and their health, including the limitations imposed by
   their places of residence. Indeed, the economic functioning of
   capitalism seems to be a major causal factor not only in these discrete
   natural events but also in climate change itself. While no single
   solidarity movement can counter these structural or systemic effects,
   establishing a linkage between a particular event and the deeper
   structural conditions for its differential impact on impoverished or
   vulnerable populations is important for adequate public policy going
   forward, and for the provision of the right forms of assistance in the
   present. It suggests the need for aid that not only restores the
   situation to the one that preceded the environmental event in question
   but that establishes a better, and more resilient, situation going
   forward. Clearly, an interlinking and networking of solidarity movements
   and of civil society organizations, as well as of public policy, would
   be necessary for the social transformative changes required.
   Similar arguments concerning the need for solidarity activity to remedy
   structural injustices can be advanced in regard to other central
   national or global health problems: for example, the provision of clean
   water, as in the case of Flint, Michigan, or the protection of the water
   supplies from fracking, or from underwater pipelines as in the case of
   Standing Rock, where there was a substantial solidarity struggle in
   support of the affected Sioux indigenous people in 2016-2017.
   Internationally, the health challenges include the need for wider and
   cheaper provision of drugs to counter HIV-AIDS along with a host of
   other illnesses; ways of dealing with malaria and with preventable
   epidemics; providing clean water worldwide; and addressing the range of
   health issues that result from trafficking, child labor, and slave
   labor. In all these cases, solidarity movements would need to join up
   with others working to counter exploitation and the dominion of the
   profit motive, or struggling to rectify the deep inequalities in social
   and economic conditions, along with the effects of absolute poverty.
   Likewise, in regard to the overarching problem of climate change itself,
   we have already seen the emergence of major transnational solidarity
   movements, often taking the form of networks of local groups, and
   including the participation of numerous healthcare workers. Examples are
   the older Via Campesina, the People's Climate Movement, and 350.org,
   among many others. In the international context, mention should also be
   made of the way structural injustice frames medical problems arising
   from illness and other natural causes, but also those arising from war
   and other forms of violence. Some solidarity movements in those contexts
   have focused on offering aid to the injured, as with the 'White Helmets'
   operating in rebel-held areas of Syria, extracting the living from the
   rubble following Syrian government bombings. While this group is
   composed mainly of volunteers and is anti-authoritarian, it otherwise
   eschews any specific political affiliation. The Kurdish YPG (People's
   Defense Units) in northern Syria, which also has healthcare units
   operating in areas under attack, presents a somewhat different case,
   since it is explicitly anti-capitalist in orientation. However, a full
   discussion of these complex cases would take us beyond the scope of the
   present discussion. We can, in conclusion, return to two of the cases
   analyzed by Prainsack and Buyx and attempt to view them through the lens
   of structural injustice, with the resulting transformed interpretation
   of the solidaristic action required in those bioethical contexts. While
   less dramatic than the leading examples analyzed above, where solidarity
   needs to be directed explicitly towards countering structural
   injustices, the Prainsack and Buyx cases pose some interesting issues
   for consideration. The two applications of solidarity are those of
   governing health databases (as they put it), and personalized medicine
   and healthcare. As we have noted, in the course of their acute analysis,
   Prainsack and Buyx occasionally point to the dangers of the commercial
   uses of medical databases. But we can ask whether their recognition of
   these dangers fully informs their own account. Perhaps because they wish
   to make proposals that can be adopted immediately, the authors employ
   the notion of solidarity to recommend only modest restrictions on the
   use of these databases.
   For example, they urge that their use contribute to some public good at
   the same time as they retain their commercial or profit-oriented
   purposes, where these latter can even remain primary. The authors also
   tend to accept the existing limits on public funding for research as a
   given, rather than strongly arguing for its expansion by way of
   solidarity actions, however difficult accomplishing this might be in the
   present. In fact, the use of health databases for the purpose of private
   profit is a social choice that a society need not endorse. Likewise, the
   scope and extent of public funding is also a matter of policy and
   legislation, even if alternative directions would be difficult to
   implement in the context of a capitalist political economy. It is
   constraints posed by the latter that I would highlight in an alternative
   structural perspective on solidarity, taking us beyond the commitment to
   assist others that these authors foreground in their analysis. Indeed,
   one can further argue that the solidarity that Prainsack and Buyx seek,
   as a willingness to share one's own data in large databases, can
   actually be undercut by structural injustices. This is evident
   especially in regard to the potential commercial use of the data.
   Informed people, aware of the dangers that this background structural
   feature poses, may well be resistant to taking a chance on acting in the
   solidaristic ways that these authors recommend. People may be wary of
   these commercial uses and indeed, may even come to expect them, so they
   would decide against contributing their own information, despite
   assurances of confidentiality. In this way, the existing tendency toward
   an overriding concern with private self-interest is reinforced by the
   very existence and continuation of these structural background
   conditions. In this context, efforts to eliminate structural injustice,
   if effective, could be expected to assist in promoting the sorts of
   solidarities that Prainsack and Buyx seek. Another specific difference I
   have with these authors' otherwise excellent account of databases and
   their governance has to do with their rather puzzling remarks about
   dealing with the risks that must be accepted by those who contribute
   their health data to the database. For Prainsack and Buyx, solidarity is
   supposed to motivate people to provide their own health data to these
   databases and they argue that only 'broad consent' is needed for the use
   of this data by researchers rather than more traditional forms of
   informed consent, which they regard as excessively demanding and costly
   in this context. The authors propose that less attention should be given
   to preventing the risks of re-identification (with the potential
   discrimination that might follow) and more attention given to mitigating
   or compensating for harms that may accrue to individuals from misuse of
   their data in the future. This includes, they suggest, making fewer
   efforts to assure individual consent in a strong sense, and instead
   placing more emphasis on putting funds aside to remedy harms or injuries
   arising from misidentification or, more generally, from the misuse of
   information. I believe that encouraging solidaristic actions and
   practices of the sort these authors seek to engender would instead be
   aided by focusing even more than is presently done on preventing and
   limiting the risks that inevitably attend contributing one's personal
   health data for use in medical databases.
   This is so not only for instrumental reasons, namely, because otherwise
   people will not participate out of (largely rational) fear of these
   untoward consequences. A greater emphasis on limiting risk is also
   essential in recognition of the real structural problems that frame
   these databases, namely, the great commercial potential they hold and
   their openness to corporate use of the included health information in
   the interests of profits, along with the deep challenges involved in
   safeguarding privacy online. These structural features would not be
   meliorated by the authors' otherwise fine proposals to allow
   contributors to access their own raw data, and to be informed of
   possible health impacts on them personally that emerge from the research
   the databases facilitate. To adequately deal with the various social,
   technological, and medical challenges posed by these large databanks
   requires solidarity action in the interest of structural change besides
   the reforms the authors have sketched. Further, although Prainsack and
   Buyx helpfully suggest in passing that a few patients should be included
   among those who serve on the proposed governance boards for large
   databanks, it seems that the majority on these boards would be made up
   of standing groups of people whose only requirement is not to have
   conflicts of interest in regard to the potential uses of the databanks.
   This delimitation seems insufficient to assure the responsibility owed
   to the contributors of data, particularly in view of the background
   functioning of social and economic institutions that give managers and
   other elites the preponderance of power. Inasmuch as ethics boards are
   also ruled out by the authors as trustees (because they are
   overburdened, in their view, or may not be knowledgeable about the
   specific research in question), it is unclear how these governance
   boards would best be constituted on their approach. A strongly
   solidaristic view would require that a substantial number should be
   drawn from patients or their representatives, though it would clearly
   also be important to include a sizable number of scientists and other
   experts. We can see then that quasi-democratic requirements emerge for
   the governance of these databanks, such that those affected by them
   would have some say in overseeing them. This follows as well from the
   feature of deference, which I suggested is an important aspect of an
   adequate conception of solidarity. Deference is required toward those
   one is assisting, who should have a major role in specifying their needs
   and how they want to be assisted. Efforts must thus be made to hear from
   them systematically. This involves new forms of democratic, or perhaps
   quasi-democratic, input into the policies or actions in question. I use
   the qualification 'quasi' here to indicate that the input in question
   may not always have to be formal, though there is certainly a place for
   formal rights of participation on governance boards by some
   representatives of patients or even the public at large. This sort of
   deference to patients and democratic input by them also casts light on
   the final example of solidarity in action, drawing again from the
   Prainsack and Buyx account. They analyze the case of 'personalized
   medicine' or 'precision medicine,' which most often refers to the use of
   analytical software and databases to target medicine and healthcare to
   individuals in ways that are unique to them, e.g., by the use of
   genomics and through such software systems as IBM's Watson.
   The authors rightly point out that group characteristics continue to be
   important to these analyses, since data about groups provide the
   parameters for evaluating the medical status of individuals. But in
   personalized or precision medicine, the focus comes to be on the
   intersection of these group findings within particular differentiated
   individuals. Moreover, the authors usefully propose to extend the
   characteristics that are taken into account in personalized practices to
   include also social ones, as well as individuals' cultural and personal
   preferences. In regard to the identification of group characteristics
   and their embodiment in unique ways in individuals, it is clearly
   important to adopt a socially critical perspective as to what
   constitutes a relevant group. That is, taking structure into account
   suggests the importance of becoming aware of social preconceptions and
   potential bias in the identification of a group. This holds not only for
   standard ascriptive group identifications along the lines of gender,
   race, etc., but also of newer sets of subgroups or emerging crosscutting
   groups. It would also affect the ways both researchers and clinicians
   identify the social background conditions and the social and cultural
   preferences of the individuals, if these are to be taken into account
   and added to personalized medicine and healthcare, as Prainsack and Buyx
   propose. We can delineate one final implication of the importance of
   participation in healthcare by those affected, which I have suggested
   follows from a conception of solidarity that includes deference and
   hearing from others as to how they want to be aided or assisted.
   Clearly, a fuller view of personalized medicine would not only look at
   evidence-based therapies targeted at individuals drawing from large
   databases of relevant research, but should be open to input from
   patients themselves about the aims and methods of therapy. Even the
   basic interpretation of health and wellness, both of which are clearly
   shared goals of patients and clinicians, can be open to patients' input.
   This sort of participation by those affected by the practice of medicine
   and healthcare need not be understood in a way that diminishes the role
   of science or expertise. Rather, it reflects the recognition that
   solidarity with patients requires openness to their own perspectives and
   goals, and ideally involves their participation in co-determining their
   own care. Given the range of research knowledge and existing therapies,
   a truly personalized medicine would not only home in on targeted precise
   therapies, but would involve an interactive and cooperative process of
   health building and health sustenance. As argued here, it would also
   require practices of attunement to, and solidarity with, a patient's
   social context, needs, and aspirations. Further, understanding that
   social context, in turn, requires a focus on the differential power and
   inequalities that result from prevailing political and economic
   institutions, that is, an attention to structural injustice. The author
   declares no conflict of interest. Carol C. Gould is Distinguished
   Professor in Philosophy at Hunter College and in the Doctoral Programs
   in Philosophy and Political Science at the Graduate Center of The City
   University of New York, where she is also Director of the Center for
   Global Ethics and Politics. She is Editor of the Journal of Social
   Philosophy. Her most recent book is Interactive democracy: The social
   roots of global justice (Cambridge University Press, 2014.) Prainsack,
   B., & Buyx, A. (2017).
   Solidarity in biomedicine and beyond.
   Cambridge: Cambridge University Press. See for example, Gunson, D.
   (2009). Solidarity and the universal declaration on bioethics and human
   rights. Journal of Medicine and Philosophy, 34, 241-260. I discuss this
   question in Gould, C. C. (2014). Interactive democracy: The social roots
   of global justice. Cambridge: Cambridge University Press. Prainsack &
   Buyx, op. cit. note 1; and Prainsack, B., & Buyx, A. (2011). Solidarity:
   Reflections on an emerging concept in bioethics. Retrieved February 25,
   2018, from
   https://nuffieldbioethics.org/wp-content/uploads/2014/07/Solidarity_repo
   rt_FINAL.pdf Prainsack & Buyx, op. cit. note 1, p. 52. Ibid., pp. 68,
   77, 93. Ibid., pp. 76, 77, 93. Gould, C. C. (2007). Transnational
   solidarities. Journal of Social Philosophy, 38(1) (Special Issue on
   Solidarity, C. Gould & S. Scholz), 146-162; Gould, op. cit. note 3, pp.
   99-131. Bayertz, K. (1999). Four uses of 'solidarity'. In K. Bayertz
   (Ed.), Solidarity (pp. 3-28). Dordrecht: Kluwer. More recent
   articulations of the Catholic notion of solidarity, in particular, have
   seen it as tied labor, e.g., in the Polish Solidarnosc movement or to
   Latin American social movements. See for example, Beyer, G. J. (2014).
   The meaning of solidarity in Catholic social teaching. Political
   Theology, 15(1), 7-25. Clearly, too, as Beyer points out, Christianity
   is not unique among religions in appealing to some conception of
   solidarity. See also Schoenfeld, E. & Mestrovic, S. G. (1989).
   Durkheim's concept of justice and its relationship to social solidarity.
   Sociology of Religion, 50(2), 111-127. For a discussion of the some of
   the meanings of solidarity in historical context, see Brunkhorst, H.
   (2005). Solidarity: From civic friendship to a global legal community.
   Cambridge, MA: MIT Press; Pensky, M. (2008). The ends of solidarity:
   Discourse theory in ethics and politics. Albany, NY: State University of
   New York Press. For a discussion of the distinction of solidarity from
   charity and from humanitarian aid, see Gould, op.cit. note 8. Gould, C.
   C. (1983). Beyond causality in the social sciences: Reciprocity as a
   model of non-exploitative social relations. In R. S. Cohen & M. W.
   Wartofsky (Eds.), Epistemology, methodology and the social sciences:
   Boston studies in the philosophy of science (Vol. 71, pp. 53-88).
   Boston: D. Reidel; Gould, C. C. (1988). Rethinking democracy: Freedom
   and social cooperation in politics, economy, and society (pp. 31-90).
   Cambridge: Cambridge University Press. Gould, op. cit. note 8. Note that
   Andrea Sangiovanni adds this sort of national solidarity as a third
   traditional root of the notion, in addition to those derived from the
   Christian and socialist traditions. See Sangiovanni, A. (2015).
   Solidarity as joint action. Journal of Applied Philosophy, 32, 340-359.
   Eckenwiler, L., Straehle, C., & Chung, R. (2012). Global solidarity,
   migration, and global health inequity. Bioethics, 26, 382-390. Gunson,
   op. cit. note 2, p. 247. Ibid. For an intensive discussion of the
   concept of political solidarity and its forms, see Scholz, S. J. (2008).
   Political solidarity. University Park: Penn State University Press.
   Gunson, op. cit. note 2, p. 248. Gould, C. C. (1978). Marx's social
   ontology: Individuality and community in Marx's theory of social
   reality. Cambridge, MA: MIT Press; Gould (1988), op. cit. note 13, pp.
   91-132. For a development of the implications of this social ontology
   for understanding human rights and solidarity, see Gould, op. cit. note
   3.
   See especially Gould (1988), op. cit. note 13, pp. 31-90 and Gould, op.
   cit. note 3. Ibid. Ibid. For a related argument, see Young, I. M.
   (1990). Justice and the politics of difference. Princeton, NJ: Princeton
   University Press; Young, I. M. (2000). Inclusion and democracy. Oxford:
   Oxford University Press. On interdependence and vulnerability, see Held,
   V. (2006). The ethics of care: Personal, political, and global. New
   York, NY: Oxford University Press. For a discussion of the material and
   social conditions for human agency, including healthcare, see Gould, C.
   C. (2004). Globalizing democracy and human rights. Cambridge: Cambridge
   University Press. Regarding the connection of these conditions to
   economic and social human rights, see also Gould (1988), op. cit. note
   13, pp. 190-214, and Gould, op. cit. note 3, pp. 13-57. My own treatment
   of the notion of negative and positive freedom was indebted especially
   to Macpherson, C. B. (1973). Democratic theory: Essays in retrieval.
   Oxford: Oxford University Press. See Gould, op. cit. note 13, pp. 18-20,
   38-40, where I also discuss some differences from his view. Gould
   (1988), op. cit. note 13. Habermas, J. (1990). Justice and solidarity:
   On the discussion concerning Stage 6. Tr. S. W. Nicholson. In T. E. Wren
   (Ed.), The moral domain: Essays in the ongoing discussion between
   philosophy and the social sciences (pp. 244-245). Cambridge, MA: MIT
   Press. Gould (2004), op. cit. note 24; Gould, op. cit. note 8. Gould,
   op. cit. note 8. See also the account of solidarity and justice in
   Ferguson, A. (2009). Iris Young, global responsibility, and solidarity.
   In A. Ferguson & M. Nagel (Eds.), Dancing with Iris: Between
   phenomenology and the body politic in the political philosophy of Iris
   Marion Young (pp. 185-197). New York, NY: Oxford University Press.
   Gould, ibid: 157; Gould, op. cit. note 3, p. 111. Rippe, K. P. (1998).
   Diminishing solidarity. Ethical Theory and Moral Practice, 1(3),
   355-373. I have discussed inclusiveness and democracy in social
   movements in Gould, op. cit. note 3, pp. 99-131. Giddens, A. (1984). The
   constitution of society. Cambridge: Polity Press. Young, I. M. (2003).
   Political responsibility and structural injustice. Lawrence: University
   of Kansas, p. 7. Ibid, p. 6. Young, I. M. (2006). Responsibility and
   global justice: A social connections model. Social Philosophy and
   Policy, 23(1), 102-130. I discuss Young's conception of responsibility
   for global justice in Gould, C. C. (2009). Varieties of global
   responsibility: Reflections on Iris Marion Young's last writings. In
   Ferguson & Nagel, op. cit. note 29, pp. 199-211. Ibid. Although the
   focus in this article is primarily on the injustice and exploitation
   resulting from capitalist structures, it is evident that political
   economic institutions serve to replicate racism and patriarchy in
   addition to economic exploitation. A fuller account would need to
   consider the interrelations among these various forms of systemic or
   structural injustice, and the ways they produce unequal access to
   healthcare, along with deeply problematic impacts on health and
   well-being. Durkheim, E. (1964). The division of labor in society. Tr.
   G. Simpson. New York, NY: The Free Press. For further discussion, see
   Gould, op. cit. note 3, chapter 6. For a discussion of a range of
   environmental injustices and movements to address them, see Bullard, R.
   D. (Ed.). (2005). The quest for environmental justice: Human rights and
   the politics of pollution. San Francisco, CA: Sierra Club Books.
   For a useful discussion of the interaction of natural and social factors
   in Katrina and other U.S. disasters, see Tierney, K. (2006). Social
   inequality, hazards, and disasters. In R. J. Daniels, D. F. Kettl, & H.
   Kunreuther (Eds.), On risk and disaster: Lessons from Hurricane Katrina
   (pp. 109-128). Philadelphia: University of Pennsylvania Press. See also
   the helpful analyses in Bullard R. D. & Wright, B. (Eds.). (2009). Race,
   place, and environmental justice after Hurricane Katrina: Struggles to
   reclaim, rebuild and revitalize New Orleans and the Gulf Coast. Boulder,
   CO: Westview Press. Disasters Emergency Committee. Haiti earthquake
   facts and figures. UK. Retrieved February 24, 2018, from
   https://www.dec.org.uk/articles/haiti-earthquake-facts-and-figures The
   Haiti Case Study. (2012). NATO-Harvard Working Paper. Retrieved February
   24, 2018, from
   https://www.jallc.nato.int/products/docs/haiti_case_study.pdf Luge, T.
   (2010). Haiti case study. Retrieved February 24, 2018, from
   https://www.slideshare.net/Timoluege/2010-haiti-earthquake-response-case
   -study Chen, M. (2017, June 8). The bankers behind Puerto Rico's debt
   crisis. The Nation. New York, NY. Retrieved February 23, 2018, from
   https://www.thenation.com/article/bankers-behind-puerto-ricos-debt-crisi
   s/ Prainsack & Buyx, op. cit. note 1, p. 104. Ibid., pp. 114, 115.
   Ibid., p. 115. Ibid., p. 119. INTRODUCTION CURRENT INTERPRETATIONS OF
   SOLIDARITY IN HEALTHCARE TWO SENSES OF SOLIDARITY AND THEIR RELATION TO
   JUSTICE STRUCTURAL INJUSTICE AND SOLIDARITY SOME IMPLICATIONS FOR
   HEALTHCARE CONFLICT OF INTEREST Footnotes The concept of solidarity has
   recently come to prominence in the healthcare literature, addressing the
   motivation for taking seriously the shared vulnerabilities and medical
   needs of compatriots and for acting to help them meet these needs. In a
   recent book, Prainsack and Buyx take solidarity as a commitment to bear
   costs to assist others regarded as similar, with implications for
   governing health databases, personalized medicine, and organ donation.
   More broadly, solidarity has been understood normatively to call for
   'standing with' or assisting fellow community members and possibly also
   distant others in regard to their needs, whether for its own sake or in
   order to realize the demands of justice. I argue here that the
   understanding of solidarity in the existing bioethics literature is
   unduly restricted by not sufficiently theorizing the notion of
   structural (or systemic) injustice and its import for understanding
   solidarity. Extending traditional conceptions of labor and social
   movement solidarity, I contrast unitary solidarity within a given group
   with 'networking solidarities' across groups. I analyze the meaning of
   structural injustice and its significance for solidarity, including
   countering institutionally entrenched inequalities and economic
   exploitation. I then apply this broadened conception to healthcare,
   discussing structural problems with the U.S. insurance system and the
   solidarity movements addressing its deficiencies. I analyze some natural
   disasters and global health challenges that were aggravated by
   structural injustices, along with the solidarity movements they
   engendered. Finally, I revisit the questions of governing health
   databases and of personalized medicine with the enlarged conception of
   solidarity in view.
RI Fazli, Ghazal/AAE-8320-2022
Z8 1
TC 27
ZR 0
ZS 0
ZB 3
ZA 0
Z9 28
U1 99
U2 1321
SN 0269-9702
EI 1467-8519
UT WOS:000450332600002
PM 30044895
ER

PT J
AU Tanoue, Michael T.
   Chatterjee, Dhananjay
   Nguyen, Heajung L.
   Sekimura, Troy
   West, Brian H.
   Elashoff, David
   Suh, William H.
   Han, Janet K.
TI Tweeting the Meeting Rapid Growth in the Use of Social Media at Major
   Cardiovascular Scientific Sessions From 2014 to 2016
SO CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES
VL 11
IS 11
AR e005018
DI 10.1161/CIRCOUTCOMES.118.005018
PD NOV 2018
PY 2018
AB Twitter is a mobile social media microblogging service designed for
   instant online publication of short 280-character text-based messages
   known as tweets. Twitter's ability to rapidly circulate information and
   generate debate among its users has resulted in its application in
   arenas including politics, business, broadcasting, and academia.
   Fittingly, but not without controversy, Twitter use during major medical
   conferences has gained significant traction because of its ability to
   widely and rapidly disseminate information in real time(1,2) conferring
   a dramatic upside potential for medical education. Despite this rapid
   growth in social media utilization during major medical conferences,
   there is a paucity of data related to this in cardiology literature.
   This data report analyzes preliminary descriptive trends of Twitter use
   during 3 major cardiovascular meetings and evaluates its possible
   educational potential through a quantitative and qualitative analysis of
   conference-related tweets.
OI Han, Janet/0000-0003-2393-7018
TC 21
ZA 0
Z8 0
ZR 0
ZB 2
ZS 0
Z9 21
U1 0
U2 2
SN 1941-7705
EI 1941-7713
UT WOS:000450732600012
PM 30571329
ER

PT J
AU Borgmann, Hendrik
   Cooperberg, Matthew
   Murphy, Declan
   Loeb, Stacy
   N'Dow, James
   Jose Ribal, Maria
   Woo, Henry
   Roupret, Morgan
   Winterbottom, Andrew
   Wijburg, Carl
   Wirth, Manfred
   Catto, James
   Kutikov, Alexander
TI Online Professionalism-2018 Update of European Association of Urology
   (@Uroweb) Recommendations on the Appropriate Use of Social Media
SO EUROPEAN UROLOGY
VL 74
IS 5
BP 644
EP 650
DI 10.1016/j.eururo.2018.08.022
PD NOV 2018
PY 2018
AB Context: Social media (SoMe) has transformed communication among health
   care professionals by enabling rapid and global information exchange.
   Yet, the novelty of SoMe and concerns about potential risks continue to
   be barriers to adoption.
   Objective: To encourage appropriate professional use of SoMe by
   physicians in concordance with best practices and to update practical
   guidelines for effective and professional use of these communication
   technologies.
   Evidence aquisition: The European Association of Urology (EAU; @Uroweb)
   brought together a committee of So Me stakeholders in the urology field.
   PubMed and the grey literature were searched to identify So Me position
   papers by other medical societies and organizations.
   Evidence synthesis: Updated practical guidelines for effective and
   professional use of SoMe communication technologies. A core of 10
   practical recommendations for the responsible, ethical, and constructive
   use of SoMe communication technologies was articulated. The guidelines
   are limited by their inherent subjective nature and lack of robust
   evidence supporting their utility.
   Conclusions: SoMe is reshaping the way the urological care providers
   communicate; however, appropriate engagement requires courtesy,
   professionalism, and honesty. Adherence to guidelines will help users
   harness the benefits of SoMe in a safe and effective manner.
   Patient summary: Social media has transformed communication among health
   care professionals. This narrative review article provides an update of
   practical guidelines for effective and professional use of these
   communication technologies. (C) 2018 European Association of Urology.
   Published by Elsevier B.V. All rights reserved.
RI Borgmann, Hendrik/F-4658-2015; Woo, Henry/AAO-7421-2020; Kutikov, Alexander/H-2742-2013; Cooperberg, Matthew R/G-6249-2017; catto, james/; Loeb, Stacy/; Ribal, Maria J./
OI Borgmann, Hendrik/0000-0002-3955-564X; Woo, Henry/0000-0003-4099-0339;
   Cooperberg, Matthew R/0000-0003-4339-6685; catto,
   james/0000-0003-2787-8828; Loeb, Stacy/0000-0003-3933-9207; Ribal, Maria
   J./0000-0001-8142-5382
ZB 15
Z8 0
ZS 1
ZA 0
TC 38
ZR 0
Z9 38
U1 0
U2 13
SN 0302-2838
EI 1873-7560
UT WOS:000446875700032
PM 30177286
ER

PT J
AU Ashrafzade, Fateme
   al-Attar, Mohammad
TI ASSESSMENT OF CRITICAL THINKING IN PH.D. CANDIDATES OF PERSIAN MEDICINE
SO INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES
VL 5
IS 11
BP 11277
EP 11282
DI 10.5281/zenodo.1476938
PD NOV 2018
PY 2018
AB Thinking and decision making abilities are one of the most important
   skills for clinicians in general or special practice: but many studies
   result showed a gap between the ideal and the real, which lead to
   medical errors or inappropriate judgment in complex situations. Since
   traditional, alternative or complementary medical schools are still in
   the beginning road with various deficiencies in scientific structure or
   evidence-based instructions for clinicians, critical thinking is central
   proficiency for practitioners in this field. The purpose of this study
   is measure the critical thinking in Ph.D. candidates of Persian
   medicine.
   To conduct the research the California Critical Thinking Skills Test
   (form B) was used and the participation was voluntary, CCTST
   questionnaire sent online to Ph.D. candidates in Iranian medical
   universities, 18 persons responded to the test.
   The results showed that Ph.D. candidates of Persian Medicine are weak in
   all critical thinking skills include Analysis, Interpretation,
   Evaluation, Explanation, Deductive reasoning, Inductive reasoning. Also,
   female's scored higher than males in all areas of critical thinking,
   except the deductive reasoning that earned the same score. The findings
   of this study showed that critical thinking is an important challenge in
   the Ph.D. of Persian medicine education and it is recommended as one of
   the most fundamental educational outcomes in the Ph.D. curriculum of
   Persian Medicine.
RI al-Attar, Mohammad/P-6107-2016
OI al-Attar, Mohammad/0000-0002-5417-4730
ZA 0
ZR 0
TC 0
ZS 0
ZB 0
Z8 0
Z9 0
U1 0
U2 2
SN 2349-7750
UT WOS:000451707800028
ER

PT J
AU Al-Ghofili, Mohammad
   Al-Shehri, Mohammed
   Al-Rabiah, Ebraheem
TI EMERGENCY MEDICINE RESIDENTS AS TEACHERS: AN UNDERGRADUATE MEDICAL
   STUDENTS' PERCEPTION Running title: Medical Students Survey Residents as
   Teachers
SO INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES
VL 5
IS 11
BP 13001
EP 13005
DI 10.5281/zenodo.1495122
PD NOV 2018
PY 2018
AB Objectives: Clinical rotations play a major role in the learning process
   for medical students. During training, students are usually supervised
   by a team of residents and their consultants. This study was conducted
   in order to determine the perceptions of undergraduate medical students
   towards Emergency Medicine [EM] residents as teachers.
   Methods: An online survey that could be downloaded via Google documents
   was conducted among undergraduate medical students and interns from six
   government teaching hospitals in Riyadh, Saudi Arabia.
   Results: The survey was completed by 384 undergraduate medical students
   [interns: 88.8%; 5th year students: 11.2%]. About 63% of respondents
   indicated that EM residents taught them the general principles of
   medicine; 40.0% of respondents agreed that EM residents have a high
   level of theoretical knowledge, and 59.0% felt relaxed and confident
   when an EM resident was present to teach and guide them. Approximately
   18% of students attributed 75 % of their clinical knowledge to the EM
   residents who taught them. However, 62.0 % of the respondents believed
   that there is a need for EM residents to acquire more teaching skills.
   Conclusion: Undergraduate medical students and interns perceived
   teaching by EM residents positively. Moreover, EM residents who
   undertook a teaching role had a great impact on the acquisition of
   knowledge by undergraduate students. However, many students thought that
   there was still a need for EM residents to acquire more teaching skills
   and gain further competence in teaching
ZR 0
ZB 0
ZA 0
ZS 0
Z8 0
TC 0
Z9 0
U1 0
U2 0
SN 2349-7750
UT WOS:000451707800306
ER

PT J
AU Bursch, Brenda
   Emerson, Natacha D.
   Arevian, Armen C.
   Aralis, Hilary
   Galuska, Lee
   Bushman, Jessica
   Sinclair, Maegan
   Grimley, Karen
   Lester, Patricia
   Bulut, Yonca
TI Feasibility of Online Mental Wellness Self-assessment and Feedback for
   Pediatric and Neonatal Critical Care Nurses
SO JOURNAL OF PEDIATRIC NURSING-NURSING CARE OF CHILDREN & FAMILIES
VL 43
BP 62
EP 68
DI 10.1016/j.pedn.2018.09.001
PD NOV-DEC 2018
PY 2018
AB Purpose: The primary goal of this study was to test the feasibility of
   an educational online self-assessment of burnout, resilience, trauma,
   depression, anxiety, and common workplace stressors among nurses working
   in a pediatric intensive care unit or neonatal intensive care unit
   setting. The secondary, exploratory objectives were to estimate the
   prevalence of psychiatric symptoms in this sample and to identify those
   variables that most strongly predict burnout.
   Design and Methods: Data from optional and anonymous online measures
   were analyzed for 115 nurses (67.9% aged 25-44; 61.7% Caucasian) working
   in an urban children's hospital pediatric or neonatal ICU. Multiple
   linear regressions identified demographic variables and workplace
   stressors that significantly predicted each of three components of
   burnout.
   Results: Most respondents found the educational assessment and feedback
   to be helpful. Choosing nursing as a second career was associated with
   better resilience. Having worked in ICU settings longer and being older
   were both linked to lower levels of anxiety. Predictors of burnout
   varied across the three burnout subscales.
   Conclusions: Implementation of an online self-assessment with immediate
   educational feedback is feasible in critical care settings. The
   variability of predictors across the three burnout subscales indicates
   the need for tailored interventions for those at risk. Future research
   may include follow-up of nurses to examine changes in scores over time
   and expansion of the tool for other medical personnel.
   Practice Implications: An educational online self-assessment can be a
   helpful tool for pediatric critical care nurses experiencing varying
   degrees of burnout and distress. (C) 2018 Elsevier Inc. All rights
   reserved.
RI Bulut, Yonca/V-3290-2019; Bushman, Jessica/
OI Bushman, Jessica/0000-0002-1017-7948
ZS 0
Z8 0
ZR 0
ZA 0
ZB 0
TC 8
Z9 8
U1 5
U2 15
SN 0882-5963
UT WOS:000450921100028
PM 30473158
ER

PT J
AU Seffinger, Michael A.
   Hurwitz, Eric
   Quiamas, John
   Kitch, Antoinette
   Mervyn-Cohen, Vanessa
   Lin, Edward
TI Correlation of Personal Experience and Acquired Knowledge With Intent to
   Recommend Adjunctive Osteopathic Manipulative Treatment or Yoga for
   Patients With Chronic Low Back Pain
SO JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION
VL 118
IS 11
BP 738
EP 745
DI 10.7556/jaoa.2018.159
PD NOV 2018
PY 2018
AB Context: Osteopathic manipulative treatment (OMT) and yoga are both
   recommended by systematic reviews in the evidence-based research
   literature for low back pain management. It is unknown, to the authors'
   knowledge, what the effect of personal experience with OMT or yoga,
   reading research articles on OMT or yoga, or both will have on medical
   students' recommendations for these treatment options to future patients
   with chronic low back pain.
   Objective: To evaluate the likelihood of osteopathic medical students
   recommending OMT or yoga to treat patients with chronic low back pain
   based on their personal experience or reading research articles that
   recommend OMT or yoga for patients with chronic low hack pain.
   Methods: In this prospective cohort study, researchers administered an
   anonymous 18-question online survey for osteopathic medical students.
   The survey included a patient vignette, 2 evidence-based articles, and
   multiple choice, yes/no, and Liken-type questions. Participants were
   recruited via email from all 4 years of medical school. Between-group
   differences in proportions were assessed with descriptive statistics and
   chi(2) tests; differences within groups were assessed with the McNemar
   test; and Fischer exact tests were used when expected cell counts were
   less than 5.
   Results: A total of 180 participants (100 male, 80 female) completed the
   study. Personal experience increased the likelihood of osteopathic
   medical students recommending OMT (P<.018) or yoga (P<.001) to a future
   patient or to a patient in a case vignette (P<.05) with chronic low back
   pain. Students who read research articles were more likely to recommend
   OMT to the case patient and future patients before and after reading the
   intervention article regardless of their experience (P<.001).
   Conclusion: Personal experience and reading evidence-based research may
   increase the likelihood that osteopathic medical students will recommend
   OMT to future patients with chronic low back pain.
ZS 0
ZR 0
ZB 1
TC 1
ZA 0
Z8 0
Z9 1
U1 0
U2 11
SN 0098-6151
EI 1945-1997
UT WOS:000451833400007
PM 30398571
ER

PT J
AU Corn, Anne L.
   Lusk, Kelly E.
TI An Analysis of Parents' Reports on Educational Services for Their
   Children with Albinism
SO JOURNAL OF VISUAL IMPAIRMENT & BLINDNESS
VL 112
IS 6
BP 667
EP 682
DI 10.1177/0145482X1811200603
PD NOV-DEC 2018
PY 2018
AB Introduction: The purpose of this study was to gain information from
   parents in the United States about their children with albinism. The
   first article (in this issue) focused on the data from this study that
   addressed medical and low vision care. This article focuses on
   information and services related to the education of children with
   albinism. Methods: An online questionnaire was used to collect data for
   this study from parents of children with albinism. Representing 223
   children with albinism from 40 states in the U.S., 192 parents completed
   surveys and had opportunities to submit additional information. Results:
   A snapshot of the data indicates that, as a whole, parents perceive
   their children to do well academically, but they experience social and
   emotional challenges; 98 children were receiving direct instruction from
   a teacher of students with visual impairments and 84 were receiving
   consultation services. Although parents were generally satisfied with
   their level of involvement in the development of their children's
   education plans, many could not provide key information about the
   assessments their children had received, their children's reading rates,
   or the services with which their children were being provided.
   Discussion: These data illuminate the fact that, despite the premise of
   the Individuals with Disabilities Education Act (IDEA, 2004) that
   parents be equal partners in the education of their children with
   special needs, these parents of children with albinism were not as
   informed about the assessments and services that their children were
   receiving as might be expected. Findings also suggest the possibility
   that students with albinism may not be receiving appropriate educational
   services to address the limitations imposed by their low vision. In
   particular, it appears that these students, most of whom will be
   non-drivers, are not receiving orientation and mobility services. In
   addition, there was evidence that over half of these children may not be
   receiving instruction in the use of low vision devices. Implications for
   practitioners: The data gathered in this study provide directions for
   educators who work with children who have albinism and their families,
   as well as for those who design and administer services for children
   with visual impairments. Based on these reports from parents, it appears
   that children with albinism are not being assessed in the areas key to
   understanding their functioning and, although as a group they are doing
   well academically, other needs related to the Expanded Core Curriculum
   (ECC) are not being addressed as frequently. Teachers of students with
   visual impairments may want to be more explicit when describing to
   parents the assessments on which their educational recommendations are
   being made. Further research is needed to determine if children with low
   vision are being provided with educational services based on educational
   assessments and needs or if other administrative factors are driving
   these services.
TC 0
Z8 0
ZR 0
ZA 0
ZS 0
ZB 0
Z9 0
U1 0
U2 2
SN 0145-482X
EI 1559-1476
UT WOS:000453014600003
ER

PT J
AU Grayson, M. Lindsay
   Stewardson, Andrew J.
   Russo, Philip L.
   Ryan, Kate E.
   Olsen, Karen L.
   Havers, Sally M.
   Greig, Susan
   Cruickshank, Marilyn
CA Hand Hygiene Australia Natl Hand
TI Effects of the Australian National Hand Hygiene Initiative after 8 years
   on infection control practices, health-care worker education, and
   clinical outcomes: a longitudinal study
SO LANCET INFECTIOUS DISEASES
VL 18
IS 11
BP 1269
EP 1277
DI 10.1016/S1473-3099(18)30491-2
PD NOV 2018
PY 2018
AB Background The National Hand Hygiene Initiative (NHHI) is a standardised
   culture-change programme based on the WHO My 5 Moments for Hand Hygiene
   approach to improve hand hygiene compliance among Australian health-care
   workers and reduce the risk of health-care-associated infections. We
   analysed its effectiveness.
   Methods In this longitudinal study, we assessed outcomes of the NHHI for
   the 8 years after implementation (between Jan 1, 2009, and June 30,
   2017), including hospital participation, hand hygiene compliance
   (measured as the proportion of observed Moments) three times per year,
   educational engagement, cost, and association with the incidence of
   health-care-associated Staphylococcus aureus bacteraemia (HA-SAB).
   Findings Between 2009 and 2017, increases were observed in national
   health-care facility participation (105 hospitals [103 public and two
   private] in 2009 vs 937 hospitals [598 public and 339 private] in 2017)
   and overall hand hygiene compliance (36 213 [63.6%] of 56 978 Moments
   [95% CI 63.2-63.9] in 2009 vs 494 673 [84.3%] of 586 559 Moments
   [84.2-84.4] in 2017; p<0.0001). Compliance also increased for each
   Moment type and for each health-care worker occupational group,
   including for medical staff (4377 [50.5%] of 8669 Moments [95% CI
   49.4-51.5] in 2009 vs 53 620 [71.7%] of 74 788 Moments [71.4-72.0];
   p<0.0001). 1989 713 NHHI online learning credential programmes were
   completed. The 2016 NHHI budget was equivalent to AUD$0. 06 per
   inpatient admission nationally. Among Australia's major public hospitals
   (n=132), improved hand hygiene compliance was associated with declines
   in the incidence of HA-SAB (incidence rate ratio 0.85; 95% CI 0.79-0.93;
   13-0.0001): for every 10% increase in hand hygiene compliance, the
   incidence of HA-SAB decreased by 15%.
   Interpretation The NHHI has been associated with significant sustained
   improvement in hand hygiene compliance and a decline in the incidence of
   HA-SAB. Key features include sustained central coordination of a
   standardised approach and incorporation into hospital accreditation
   standards. The NHHI could be emulated in other national culture-change
   programmes. Copyright (C) 2018 Elsevier Ltd. All rights reserved.
RI Stewardson, Andrew/ABC-5208-2020; Russo, Philip/M-3232-2018
OI Stewardson, Andrew/0000-0001-6805-1224; Russo,
   Philip/0000-0003-3822-0554
ZS 1
TC 36
ZB 16
ZA 0
ZR 0
Z8 0
Z9 37
U1 1
U2 23
SN 1473-3099
EI 1474-4457
UT WOS:000448325300036
PM 30274723
ER

PT J
AU Suematsu, Mina
   Joseph, Sundari
   Abe, Keiko
   Yasui, Hiroki
   Takahashi, Noriyuki
   Okazaki, Kentaro
   Haxton, Jenni
   McFadyen, Morag
   Walker, Patrick
   Diack, Lesley
TI A Scottish and Japanese experience of patient-centred diabetic care:
   descriptive study of interprofessional education on live webinar
SO NAGOYA JOURNAL OF MEDICAL SCIENCE
VL 80
IS 4
BP 465
EP 473
DI 10.18999/nagjms.80.4.465
PD NOV 2018
PY 2018
AB To minimise the global burden of diabetes, the awareness of appropriate
   intervention methods for diabetes education and practice is essential.
   This project is the first international interprofessional education
   (IIPE) for the awareness of diabetes, with a focus on patient-centred
   care wherein three medical and four pharmacy students from Japan arid
   one medical, two pharmacy, two nutrition and one occupational therapy
   (OT) student from Scotland participated. We described IIPE effects using
   interdisciplinary education perception scale (IEPS) before and after the
   programme among Scottish and Japanese students. University of
   Aberdeen/Robert Gordon University and Nagoya University developed and
   established a shared online platform that provided knowledge to students
   on diabetes in both languages. We developed a case-based scenario that
   reflected diabetes care in each country using a standardised patient
   (SP). Lastly. a student-led live webinar was conducted on 14 November
   2014 (the World Diabetes Day) to discuss and exchange care methods for
   SP. Each participating national team presented their care plan and all
   students discussed the diabetic care plan online. Both Japanese and
   Scottish teams were able to accurately assess the patient's condition
   and empathise with the SP In conclusion, all participants learned that
   interprofessional collaboration was clearly required for diabetes
   management focused on patient-centred care. All participants appreciated
   the differences in the approach of the two countries involved because of
   the cultural- and health related differences. This programme was
   significant in raising awareness regarding the need for international
   interprofessional intervention on diabetes towards developing a model
   for live webinar IIPE.
RI Takahashi, Noriyuki/L-3016-2015; Suematsu, Mina/R-1046-2019; Suematsu, Makoto/I-8135-2013; Okazaki, Kentaro/
OI Takahashi, Noriyuki/0000-0003-1982-7019; Suematsu,
   Mina/0000-0003-1874-0018; Suematsu, Makoto/0000-0002-7165-6336; Okazaki,
   Kentaro/0000-0002-8449-804X
Z8 0
ZS 0
TC 2
ZR 0
ZB 0
ZA 0
Z9 2
U1 2
U2 7
SN 2186-3326
EI 0027-7622
UT WOS:000451856700003
PM 30587861
ER

PT J
AU Waring, Molly E.
   McManus, David D.
   Amante, Daniel J.
   Darling, Chad E.
   Kiefe, Catarina, I
TI Online health information seeking by adults hospitalized for acute
   coronary syndromes: Who looks for information, and who discusses it with
   healthcare providers?
SO PATIENT EDUCATION AND COUNSELING
VL 101
IS 11
BP 1973
EP 1981
DI 10.1016/j.pec.2018.06.016
PD NOV 2018
PY 2018
AB Objective: To describe characteristics associated with online health
   information-seeking and discussing resulting information with healthcare
   providers among adults with acute coronary syndromes (ACS).
   Methods: Consecutive patients hospitalized with ACS in 6 hospitals in
   Massachusetts and Georgia who reported Internet use in the past 4 weeks
   (online patients) were asked about online health information-seeking and
   whether they discussed information with healthcare providers.
   Participants reported demographic and psychosocial characteristics;
   clinical characteristics were abstracted from medical records. Logistic
   regression models estimated associations with information-seeking and
   provider communication.
   Results: Online patients (N = 1142) were on average aged 58.8 (SD: 10.6)
   years, 30.3% female, and 82.8% non-Hispanic white; 56.7% reported online
   health information-seeking. Patients with higher education and
   difficulty accessing medical care were more likely to report
   information-seeking; patients hospitalized with myocardial infarction,
   and those with impaired health numeracy and limited social networks were
   less likely. Among information-seekers, 33.9% discussed information with
   healthcare providers. More education and more frequent online
   information-seeking were associated with provider discussions.
   Conclusion: Over half of online patients with ACS seek health
   information online, but only 1 in 3 of these discuss information with
   healthcare providers.
   Practice implications: Clinician awareness of patient
   information-seeking may enhance communication including referral to
   evidence-based online resources. (c) 2018 Elsevier B.V. All rights
   reserved.
TC 14
ZS 0
ZB 0
ZR 0
Z8 1
ZA 0
Z9 15
U1 3
U2 40
SN 0738-3991
UT WOS:000446452600013
PM 30305253
ER

PT J
AU Tsapaki, Virginia
   Tabakov, Slavik
   Rehani, Madan M.
TI Medical physics workforce: A global perspective
SO PHYSICA MEDICA-EUROPEAN JOURNAL OF MEDICAL PHYSICS
VL 55
BP 33
EP 39
DI 10.1016/j.ejmp.2018.10.012
PD NOV 2018
PY 2018
AB Purpose: The International Organization for Medical Physics (IOMP)
   performed a detailed study following the first survey published in 2015
   with the particular objectives: 1) gather data on global medical
   physicists (MPs) workforce, 2) identify differences between geographical
   regions and, 3) investigate whether there is a gender dimension in
   higher hierarchy positions.
   Methods: An online questionnaire was send to IOMP members and contact
   points in countries where no professional MPs society existed.
   Information requested: total number (N) of MPs (men and women), N of
   current elected executive board (EB) of societies and women proportion
   in the board, president gender and number of women presidents for the
   last 10 years. IOMP archives were also investigated for data on gender
   composition related to chairs of committees, officers and IOMP awardees.
   Results: Ninety three countries reported 29,179 MPs, from which 8702
   were women (29.8%) and 20,477 men. The most dense MPs population was in
   Europe (34%), followed by North America (33%) and Asia/Oceania (24%).
   Societies EB women members constitute 21-40%, but rarely reach the
   presidential position. The IOMP archived data show that women MP
   representation decreases in higher hierarchy positions.
   Conclusions: Global MPs production does not meet clinical needs
   especially in Latin America/Caribbean and Africa (6% of total MPs
   workforce and small number of MPs/million of population). Rough
   estimations showed that approximately 58,950 MPs will be required by
   2035. Women representation is away from the United Nations and European
   Commissions goals. Women representation in higher hierarchy position is
   low.
RI tsapaki, Virginia/Q-1402-2019; Rehani, Madan/A-5198-2010; Tsapaki, Virginia/
OI Rehani, Madan/0000-0003-3519-1516; Tsapaki, Virginia/0000-0003-0275-4650
ZR 0
ZS 0
Z8 0
ZB 0
ZA 0
TC 11
Z9 11
U1 0
U2 3
SN 1120-1797
EI 1724-191X
UT WOS:000450741900005
PM 30471817
ER

PT J
AU Parker, Gordon
   McCraw, Stacey
   Tavella, Gabriela
   Hadzi-Pavlovic, Dusan
TI Measuring the consequences of a bipolar or unipolar mood disorder and
   the immediate and ongoing impacts
SO PSYCHIATRY RESEARCH
VL 269
BP 70
EP 74
DI 10.1016/j.psychres.2018.08.022
PD NOV 2018
PY 2018
AB Mood disorders may lead to major life consequences. This study builds on
   our preliminary examination of the impact of an extensive set of
   consequences and was undertaken in a larger clinical sample. Two hundred
   and forty four adults diagnosed with either unipolar depressive disorder
   or a bipolar disorder (type I or II) were administered an online survey
   of 60 items, listing potential consequences of having a mood disorder.
   Participants estimated the degree of impact (0-100) of each consequence
   on their life initially, and in the longer term. Items loading highly on
   the first 'general' factor of a bi-factor analysis were examined. Most
   items were affirmed by at least 75% of the sample. Significant group
   differences emerged on ten items. The bipolar group was 1.44-2.27 times
   more likely to experience difficulty with debts, education, speeding
   fines, increased risk of harm and delayed family planning. The unipolar
   group was 1.11-1.67 times more likely to experience social withdrawal,
   lowered life satisfaction, decreased overall wellbeing and ambition, and
   missed opportunities. Only one positive consequence (i.e. increased
   empathy) was identified. This extensive range of mood disorder
   consequences was highly endorsed by both BP and UP patients and with
   substantial immediate and ongoing impacts reported.
RI Hadzi-Pavlovic, Dusan/ABE-2266-2021
ZA 0
ZR 0
Z8 0
ZS 0
TC 3
ZB 1
Z9 3
U1 1
U2 3
SN 0165-1781
UT WOS:000449902700012
PM 30145304
ER

PT J
AU Zvolensky, Michael J.
   Mayorga, Nubia A.
   Garey, Lorra
TI Worry, anxiety sensitivity, and electronic cigarettes among adults
SO PSYCHIATRY RESEARCH
VL 269
BP 321
EP 327
DI 10.1016/j.psychres.2018.08.087
PD NOV 2018
PY 2018
AB Although electronic cigarette (e-cigarette) use is now a common
   substance use behavior, there is little understanding of the individual
   difference factors related to e-cigarette use beliefs and dependence.
   The present investigation sought to test a theoretically-driven model of
   anxiety sensitivity as an explanatory element in a worry-e-cigarette
   beliefs and dependence model. Participants included 558 adult
   e-cigarette users (51.4% female; 35.2 years, SD = 10.1) who were
   nationally recruited via an online survey system. Participants completed
   a single survey that assessed their mood and e-cigarette behavior and
   beliefs. Results supported a statistically significant indirect pathway
   for worry in relation to perceived benefits of e-cigarettes, e-cigarette
   positive outcome expectancies, and e-cigarette dependence via anxiety
   sensitivity; effect sizes were small. The indirect effects were evident
   when accounting for several theoretically relevant covariates (sex,
   income, education, concurrent cigarette use, and neuroticism). This
   study provides the first empirical evidence of the role of anxiety
   sensitivity in the relation between worry and e-cigarette use beliefs
   and behavior, which may represent a novel intervention target.
RI Mayorga, Nubia/AAR-7631-2021
ZA 0
Z8 1
ZR 0
ZS 0
ZB 11
TC 22
Z9 23
U1 0
U2 2
SN 0165-1781
EI 1872-7123
UT WOS:000449902700049
PM 30173037
ER

PT J
AU Kent, Mike
   Ellis, Katie
   Giles, Matt
TI Students with Disabilities and eLearning in Australia: Experiences of
   Accessibility and Disclosure at Curtin University
SO TECHTRENDS
VL 62
IS 6
BP 654
EP 663
DI 10.1007/s11528-018-0337-y
PD NOV 2018
PY 2018
AB This article reports on a study into students with disabilities and
   their experiences of eLearning at Curtin University in Australia. The
   results are compared to an earlier study of students at Open
   Universities Australia (OUA) (Kent 2016). The results confirm the
   earlier study's findings that these students are drawn to eLearning. The
   prevalence of mental illness and medical disabilities as the two most
   frequent impairment types amongst students with disabilities in
   Australia was confirmed, along with a need to rethink universal design
   for eLearning to better accommodate these students. It also finds that
   the students had difficulty accessing online platforms and notably those
   provided directly by the university. This survey confirmed that students
   at Curtin University were more aware than their OUA counterparts of
   accommodations that could be made to help with their studies. It also
   showed that, when used, those accommodations were more successful.
   However, the study also reported that Curtin University students were
   more likely to not disclose their disability as part of their studies.
OI Ellis, Katie/0000-0001-9560-2378; Kent, Michael/0000-0002-3549-3808
ZA 0
ZS 0
ZB 0
ZR 0
Z8 0
TC 13
Z9 13
U1 2
U2 17
SN 8756-3894
EI 1559-7075
UT WOS:000446891800017
ER

PT J
AU Chambers, Nola J.
   de Vries, Petrus J.
   Delehanty, Abigail D.
   Wetherby, Amy M.
TI Feasibility of utilizing autism navigator (R) for primary care in South
   Africa
SO AUTISM RESEARCH
VL 11
IS 11
BP 1511
EP 1521
DI 10.1002/aur.2018
PD NOV 2018
PY 2018
AB There is a significant research-to-practice gap in early detection of
   young children with autism spectrum disorder (ASD) worldwide but
   particularly in low- and middle-income countries (LMICs) where expertise
   is limited and high-quality training is difficult to access. Autism
   Navigator (R) for Primary Care is a web-based course designed to
   increase awareness of red flags of ASD in the second year of life and
   thus promote earlier detection and referral for intervention. It
   contains extensive video illustrations that offer rapid access to
   multiple exemplars of ASD red flags. This study examined aspects of
   feasibility of the Autism Navigator (R) for Primary Care in one LMIC,
   South Africa. A mixed-methods quasi-experimental design was used to
   examine relevant professionals' implementation of the course and measure
   changes in their knowledge of red flags after training. Perceptions of
   the acceptability, demand, and practicality of the course were explored
   in focus groups. Sixty-two providers completed the course online with a
   94% completion rate. Built-in learner assessment pass rates ranged from
   88% to 100%. Second-language English speakers took longer to complete
   the learner assessments, and professionals with less access to the
   Internet spent less time in the course. Participants' perceptions of the
   acceptability, demand, and practicality of the course were mostly
   positive with some suggestions made for local conditions. Results
   supported the feasibility of the course in this LMIC with some supports
   required pertaining to language and Internet access. We propose that
   this training has the potential to lower the age of detection of ASD in
   South Africa and other LMICs. Autism Research 2018, 11: 1511-1521. (c)
   2018 International Society for Autism Research, Wiley Periodicals, Inc.
OI Delehanty, Abigail/0000-0002-0938-2047; Wetherby,
   Amy/0000-0001-9072-8537
Z8 0
TC 2
ZA 0
ZS 0
ZB 0
ZR 0
Z9 2
U1 2
U2 12
SN 1939-3792
EI 1939-3806
UT WOS:000449751600007
PM 30345721
ER

PT J
AU Miguens-Vila, Ramon
   Ledesma-Ludi, Yanina
   Rodriguez-Lozano, Francisco
   Varela-Centelles, Pablo
   Seoane-Romero, Juan M.
   Castelo-Baz, Pablo
TI Disparities between English and Spanish in readability of online
   endodontic information for laypeople
SO JOURNAL OF THE AMERICAN DENTAL ASSOCIATION
VL 149
IS 11
BP 960
EP 966
DI 10.1016/j.adaj.2018.07.003
PD NOV 2018
PY 2018
AB Background. In this study, the authors assessed the readability of
   online endodontic information in English and Spanish.
   Methods. The authors performed a systematic search in Google in May
   2016. Search queries were "root canal treatment" and "?Que es una
   endodoncia?" without limits or filters. The authors assessed English
   readability by using Flesch-Kincaid Reading Grade Level, Flesch Reading
   Ease Score, Gunning Fog Index, Coleman-Liau index, automated readability
   index, and Simple Measure of Gobbledygook (SMOG) index. The authors
   calculated readability for Spanish by using the Fernandez-Huerta index
   and INFLESZ (Ines-Barrio).
   Results. The authors assessed the first 100 consecutive sites identified
   with each search strategy and selected 117 sites. Readability scores for
   English-language sites were in the category of normal to read, easily
   understood by 13- through 15-year-old students (Flesch Reading Ease
   Score, 63, interquartile range (IQR) [53.9-66.2]; Gunning Fog Index,
   10.4, IQR [8.8-12]; Coleman-Liau index, 12.5, IQR [11.6-13.3]; and
   automated readability index, 8.6, IQR [6.7-9.8]). SMOG results led to
   the estimation that only 7 years of education would be needed to
   understand these contents (SMOG, 7.6, IQR [6.5-8.8]). Spanish-language
   sites had a readability index normal for an adult, equivalent to a
   seventh or eighth school year (Fernandez-Huerta, 62.3, IQR [59.7-66.6];
   INFLESZ, 57.5, IQR [55.1-62.1]). The authors found that 36.6% of
   English-language sites had some degree of difficulty for readers to
   understand their contents, whereas 23% of Spanish-language sites had
   some degree of difficulty (14.46; 95% confidence interval, -3.16 to
   30.08).
   Conclusions. Spanish- and English-language electronic health information
   about endodontic treatment is acceptable to read, but-particularly for
   English-language sites-there is an important proportion of sites scoring
   difficulty levels well above the recommendations.
   Practical Implications. The internet is a useful tool for communicating
   with patients, but available endodontic information is difficult for
   laypeople to understand. Endodontists should produce relevant materials
   in plain language to overcome this problem.
RI Lozano, Francisco Javier Rodríguez/J-1743-2017; Seoane, Juan/
OI Lozano, Francisco Javier Rodríguez/0000-0002-0623-740X; Seoane,
   Juan/0000-0002-1370-9524
TC 3
ZR 0
ZB 1
ZA 0
ZS 0
Z8 0
Z9 3
U1 2
U2 12
SN 0002-8177
EI 1943-4723
UT WOS:000450549900021
PM 30219207
ER

PT J
AU Munigala, Satish
   Gardner, Timothy B.
   O'Reilly, Eileen M.
   Fernandez-del Castillo, Carlos
   Ko, Andrew H.
   Pleskow, Douglas
   Mills, Jeannine B.
   Vollmer, Charles M.
   Searle, Nicholas A.
   Alsante, Matthew
   Holt, Jane M.
   Gelrud, Andres
TI Understanding Pancreatic Diseases Using Animated Pancreas Patient:
   Informing Patients for Better Health Outcomes With Visual Formats of
   Learning
SO PANCREAS
VL 47
IS 10
BP 1256
EP 1261
DI 10.1097/MPA.0000000000001178
PD NOV-DEC 2018
PY 2018
AB Objectives The aim of this study was to evaluate the impact of Animated
   Pancreas Patient (APP) educational modules (APP website and YouTube) on
   pancreas education, awareness, and health outcomes.
   Methods This was a retrospective study of APP metrics data from
   September 2013 to October 2017. We evaluated audience reach (number of
   visit sessions, unique visitors, page views) and calculated top views by
   media type (animation, expert video, patient video, and slide show) and
   top retention videos from the modules. We also assessed the educational
   impact through learner feedback survey.
   Results The APP had 1,475,252 views (547,693 unique visitors, 63.1% in
   United States) during the study period. Most popular topic viewed among
   the animations was Role and Anatomy of the Pancreas (n = 361,116), and
   most common expert video viewed was Chronic Pancreatitis: What Foods and
   Beverages Should I Avoid? (n = 31,667). Participants who completed the
   online feedback survey reported knowledge gains and commitments to
   change.
   Conclusions Pancreas education in visual formats of learning provided by
   APP demonstrated wide reach and has substantial potential to inform and
   impact behaviors of patients and caregivers. Continued efforts should be
   made to provide patient resources that address health literacy and
   patient education and respond to patient needs for better quality of
   life and improved health outcomes in pancreatic diseases.
RI Castillo, Carlos Fenandez-del/AAO-2602-2020; Pleskow, Douglas K/F-3319-2016; O'Reilly, Eileen M./
OI Pleskow, Douglas K/0000-0003-0092-9496; O'Reilly, Eileen
   M./0000-0002-8076-9199
ZR 0
Z8 0
ZS 0
ZA 0
TC 3
ZB 1
Z9 3
U1 0
U2 8
SN 0885-3177
EI 1536-4828
UT WOS:000449304600015
PM 30286013
ER

PT J
AU Stengler, K.
   Frank, M.
   Riedel-Heller, S. G.
   Becker, T.
   Steinhart, I.
   Gerlinger, G.
   Hauth, I.
   Deister, A.
TI The German Association for Psychiatry, Psychotherapy and Psychosomatics
   participation compass II. Implementation of social participation for
   people with mental illnesses
SO NERVENARZT
VL 89
IS 11
BP 1237
EP 1242
DI 10.1007/s00115-018-0588-z
PD NOV 2018
PY 2018
AB ZusammenfassungDie Teilhabe am sozialen Leben ist fur die meisten
   Menschen mit psychischen Erkrankungen von existenzieller Bedeutung.
   Dennoch wird dieser Bereich in der psychosozialen Behandlung oftmals
   noch nicht genug berucksichtigt und eine Einbindung in den
   Behandlungsprozess findet momentan noch nicht uberall statt. Dies hangt
   zum einen mit inhaltlichen sowie auch mit strukturell-organisatorischen
   Hurden zusammen. Die unzahligen Moglichkeiten - auch au ss erhalb der
   sozialrechtlichen Definition -, am sozialen Leben teilzuhaben, und die
   Fulle an Bereichen, in denen soziale Teilhabe stattfinden kann, auf der
   einen Seite und Einrichtungs- und Tragervielfalt sowie regionale
   Unterschiede auf der anderen Seiten verhindern nicht selten eine
   notwendige zeitnahe Unterstutzung. Hinzu kommen unzureichende Kenntnis
   bei Behandlern uber etablierte Leistungen und unklare
   Verantwortlichkeiten fur Teilhabebemuhungen im facharztlichen Aus- und
   Weiterbildungssektor. Der vorgestellte Teilhabekompass zur Umsetzung
   sozialer Teilhabe fur Menschen mit psychischen Erkrankungen setzt hier
   an: Er soll eine Orientierungshilfe fur niedergelassene
   psychiatrisch-psychotherapeutische Facharzte, Haus- und Allgemeinarzte,
   Arzte der Gesundheitsamter/sozialpsychiatrischen Dienste sowie im
   stationaren und teilstationaren psychiatrisch-psychotherapeutischen
   Setting tatige Arzte sein. Sowohl die Papier- als auch die geplante
   Onlineversion sollen dem Adressatenkreis helfen, Menschen mit vor allem
   schweren psychischen Erkrankungen zeitnah und erfolgreich durch die
   breite Angebotspalette sozialer Teilhabeleistungen in Deutschland zu
   navigieren. AbstractFor most people living with mental illnesses,
   participating in society is of existential importance; however,
   psychosocial care often fails to recognize its significance and
   therefore rarely includes the patient's interaction with society in the
   course of treatment. The reasons for this are both substantial and
   organizational in nature. The endless opportunities for participating in
   society, current areas as well as ways of taking part in social life
   even beyond the terms of the social legislative definition are, in
   addition to institutional variety and regional differences, all too
   often barriers to providing the very urgently needed support. Further
   aspects are insufficient knowledge of therapists about established
   options of rehabilitative treatment and about responsibilities related
   to participation in specialized training and further education for
   professional caregivers. The presented compass of participation for
   social integration of persons with mental illnesses starts at this
   point: it provides guidelines for psychiatric and psychotherapeutic
   practitioners, general practitioners as well as for physicians working
   in residential or day care institutions with apsychiatric and
   psychotherapeutic background. Both this article and planned online
   versions should help professionals to timely and successfully assist
   people, particularly those with severe mental illnesses, to navigate the
   broad spectrum of services for social and vocational integration in
   Germany
RI Riedel-Heller, Steffi/ABG-1537-2021
ZS 0
ZR 0
TC 0
Z8 0
ZB 0
ZA 0
Z9 0
U1 2
U2 4
SN 0028-2804
EI 1433-0407
UT WOS:000449289700005
PM 30143833
ER

PT J
AU Rubin, Todd G.
   Catenaccio, Eva
   Fleysher, Roman
   Hunter, Liane E.
   Lubin, Naomi
   Stewart, Walter E.
   Kim, Mimi
   Lipton, Richard B.
   Lipton, Michael L.
TI MRI-defined White Matter Microstructural Alteration Associated with
   Soccer Heading Is More Extensive in Women than Men
SO RADIOLOGY
VL 289
IS 2
BP 478
EP 486
DI 10.1148/radiol.2018180217
PD NOV 2018
PY 2018
AB Purpose: To examine the role of sex in abnormal white matter
   microstructure after soccer heading as identified by using the
   diffusion-tensor imaging (DTI) metric fractional anisotropy (FA).
   Materials and Methods: In this prospective cross-sectional study, 98
   individuals who were enrolled in a larger prospective study of amateur
   soccer players (from 2013 to 2016) were matched 1: 1 for age and history
   of soccer heading in the prior 12 months. Among the subjects, 49 men
   (mean age, 25.7 years; range, 18-50 years) and 49 women (mean age, 25.8
   years; range, 18-50 years) with median total soccer headings per year of
   487 and 469, respectively, underwent 3.0-T DTI. Images were registered
   to the Johns Hopkins University template. A voxelwise linear regression
   was fitted for FA with terms for the number of headings during the
   previous 12 months and its interaction with sex after controlling for
   the following potential confounders: age, years of education, number of
   lifetime concussions, and handedness. In the resulting statistical maps,
   P < .01 indicated a statistically significant difference, with a
   threshold cluster size larger than 100 mm(3).
   Results: Among men, three regions were identified in which greater
   heading exposure was associated with lower FA; eight such regions were
   identified among women (>100 contiguous voxels, P < .01). In seven of
   the eight regions identified in women, the association between heading
   and FA was stronger in women than in men. There was no significant
   difference of heading with FA between the sexes for any region in which
   heading was associated with FA among men (P > .01, <100 contiguous
   voxels).
   Conclusion: With similar exposure to heading, women exhibit more
   widespread evidence of microstructural white matter alteration than do
   men, suggesting preliminary support for a biologic divergence of brain
   response to repetitive trauma. (c) RSNA, 2018
RI Catenaccio, Eva/M-7250-2019; Lipton, Richard B/B-5060-2011; Lipton, Richard Bruce/AAY-2818-2021; Rubin, Todd/
OI Catenaccio, Eva/0000-0003-0550-207X; Rubin, Todd/0000-0002-2821-5877
ZS 0
TC 24
ZB 6
ZR 0
Z8 1
ZA 0
Z9 25
U1 2
U2 6
SN 0033-8419
UT WOS:000447652300030
PM 30063172
ER

PT J
AU Yi, Paul H.
   Yi, Meghan M.
   Nguyen, Jie C.
TI Readability of Online Information Related to Pediatric Radiation Safety
   From Societal Websites
SO AMERICAN JOURNAL OF ROENTGENOLOGY
VL 211
IS 5
BP 1128
EP 1134
DI 10.2214/AJR.17.19299
PD NOV 2018
PY 2018
AB OBJECTIVE. The Internet has become a major readily available source of
   health care education. Pediatric radiation safety is a complex topic
   with evolving safety guidelines. The purpose of this study is to assess
   the readability of publically available online information pertaining to
   pediatric radiation safety available on the websites of radiologic and
   pediatric societies.
   MATERIALS AND METHODS. Online information related to pediatric radiation
   safety that is available on the Society for Pediatric Radiology website
   and the websites RadiologyInfo (sponsored by the Radiological Society of
   North America and the American College of Radiology) and
   HealthyChildren.org (sponsored by the American Academy of Pediatrics)
   was evaluated for readability. Each article was assessed using six
   readability tests, which use either a grade level or a numeric scale to
   categorize readability. ANOVA was used to compare readability levels and
   intraclass correlation coefficients for analytic reliability.
   RESULTS. A total of 54 articles were included in the analysis. Three of
   the articles were written below the eighth-grade reading level. The mean
   readability ranged from grades 12.1 to 14.8 among the five different
   grade level-based readability scales used. The mean readability
   determined using the numeric scale was 37.3 (which identified
   readability as difficult), with 91% of articles categorized as very
   difficult, difficult, or fairly difficult and with no article
   categorized as easy or very easy. No difference in readability was found
   among the different web sources (p = 0.46-0.85).
   CONCLUSION. Overall, the readability of information pertaining to
   pediatric radiation safety that is available on radiology and pediatric
   medical society websites is at a level that is too difficult for the
   average adult.
ZR 0
Z8 0
TC 6
ZS 0
ZA 0
ZB 0
Z9 6
U1 0
U2 1
SN 0361-803X
EI 1546-3141
UT WOS:000450915200036
PM 30240293
ER

PT J
AU Syed, Shahbaz
   Rosenberg, Hans
TI FOAMed and social media - innovation or disruption?
SO CANADIAN JOURNAL OF EMERGENCY MEDICINE
VL 20
IS 6
BP 818
EP 820
DI 10.1017/cem.2018.471
PD NOV 2018
PY 2018
ZA 0
Z8 0
TC 5
ZR 0
ZB 2
ZS 0
Z9 5
U1 0
U2 2
SN 1481-8035
EI 1481-8043
UT WOS:000451701500006
PM 30484425
ER

PT J
AU Smith-Jackson, TeriSue
   Brown, Mary, V
   Flint, Matthew
   Larsen, Merilee
TI A mixed method approach to understanding the factors surrounding delayed
   diagnosis of type one diabetes
SO JOURNAL OF DIABETES AND ITS COMPLICATIONS
VL 32
IS 11
BP 1051
EP 1055
DI 10.1016/j.jdiacomp.2018.08.011
PD NOV 2018
PY 2018
AB Aims: This study examined delayed type one diabetes (T1D) diagnosis,
   along with the associated severity markers, in the United States.
   Qualitative reflection was explored to add depth of understanding.
   Methods: 975 parents of a minor child with T1D were recruited through
   snowball, social media requests to complete a 55-question online survey
   on the experience of diagnosis.
   Results: 34% of children with T1D had a delayed diagnosis. When compared
   to those without a delayed diagnosis, these children were more likely to
   have an Emergency Room diagnosis (39.8% vs. 24.6%), be transported by
   ambulance or life flight (30.7% vs. 15.3%), be hospitalized (93.7% vs.
   83.9%), spend time in an Intensive Care Unit (42.2% vs. 21.3%), and be
   in diabetic ketoacidosis (DKA) (42.2% vs. 21.3%). Younger children were
   at increased risk, with higher rates of DKA and fewer days of symptoms.
   Many parents experienced frustration receiving a prompt diagnosis for
   their child, including an inability to schedule a physician appointment,
   proper glucose testing, and concerns being dismissed by professionals.
   Conclusion: More physician and parent education is needed. Doctors
   should conduct glucose screenings when diabetes symptoms are present.
   Parents need education to recognize excessive thirst and frequent
   urination as reasons to seek medical treatment. (C) 2018 Elsevier Inc.
   All rights reserved.
ZS 0
Z8 0
TC 1
ZB 0
ZA 0
ZR 0
Z9 1
U1 0
U2 6
SN 1056-8727
EI 1873-460X
UT WOS:000447815500014
PM 30217366
ER

PT J
AU Wray, Charlie M.
   Auerbach, Andrew D.
   Arora, Vineet M.
TI The Adoption of an Online Journal Club to Improve Research Dissemination
   and Social Media Engagement Among Hospitalists
SO JOURNAL OF HOSPITAL MEDICINE
VL 13
IS 11
BP 764
EP 769
DI 10.12788/jhm.2987
PD NOV 2018
PY 2018
AB BACKGROUND: Twitter-based journal clubs are intended to connect
   clinicians, educators, and researchers to discuss recent research and
   aid in dissemination of results. The Journal of Hospital Medicine (JHM)
   began producing a Twitter-based journal club, #JHMChat, in 2015.
   OBJECTIVE: To describe the implementation and assess the impact of a
   journal-sponsored, Twitter-based journal club on Twitter and journal
   metrics.
   INTERVENTION: Each #JHMChat focused on a recently published JHM article,
   was moderated by a social media editor, and included one study author or
   guest.
   MEASUREMENTS: The total number of participants, tweets,
   tweets/participant, impressions, page views, and change in the Altmetric
   score were assessed after each session. Thematic analysis of each
   article was conducted, and post-chat surveys of participating authors
   and participant responses to continuing medical education surveys were
   reviewed.
   RESULTS: Seventeen Twitter-based chats were held: seven (47%) focused on
   value, six (40%) targeted clinical issues, and four (27%) focused on
   education. On average, we found 2.17 (+/- 0.583 SD) million
   impressions/session, 499 (+/- 129 SD) total tweets/session, and 73 (+/-
   24 SD) participants/session. Value-based care articles had the greatest
   number of impressions (2.61 +/- 0.55 million) and participants (90 +/-
   12). The mean increase in the Altmetric score was 14 points (+/- 12),
   with medical education-themed articles garnering the greatest change
   (mean increase of 32). Page views were noted to have increased similarly
   to levels of electronic Table of Content releases. Authors and
   participants believed #JHMChat was a valuable experience and rated it
   highly on post-chat evaluations.
   CONCLUSION: Online journal clubs appear to increase awareness and uptake
   of journal article results and are considered a useful tool by
   participants. (C) 2018 Society of Hospital Medicine
OI Auerbach, Andrew/0000-0001-8440-0527
ZA 0
ZR 0
ZB 2
ZS 0
TC 22
Z8 0
Z9 22
U1 2
U2 7
SN 1553-5592
EI 1553-5606
UT WOS:000449157800005
PM 30484779
ER

PT J
AU Attardi, Stefanie M.
   Barbeau, Michele L.
   Rogers, Kem A.
TI Improving Online Interactions: Lessons from an Online Anatomy Course
   with a Laboratory for Undergraduate Students
SO ANATOMICAL SCIENCES EDUCATION
VL 11
IS 6
BP 592
EP 604
DI 10.1002/ase.1776
PD NOV-DEC 2018
PY 2018
AB An online section of a face-to-face (F2F) undergraduate (bachelor's
   level) anatomy course with a prosection laboratory was offered in
   2013-2014. Lectures for F2F students (353) were broadcast to online
   students (138) using Blackboard Collaborate (BBC) virtual classroom.
   Online laboratories were offered using BBC and three-dimensional (3D)
   anatomical computer models. This iteration of the course was modified
   from the previous year to improve online student-teacher and
   student-student interactions. Students were divided into laboratory
   groups that rotated through virtual breakout rooms, giving them the
   opportunity to interact with three instructors. The objectives were to
   assess student performance outcomes, perceptions of student-teacher and
   student-student interactions, methods of peer interaction, and
   helpfulness of the 3D computer models. Final grades were statistically
   identical between the online and F2F groups. There were strong, positive
   correlations between incoming grade average and final anatomy grade in
   both groups, suggesting prior academic performance, and not delivery
   format, predicts anatomy grades. Quantitative student perception surveys
   (273 F2F; 101 online) revealed that both groups agreed they were engaged
   by teachers, could interact socially with teachers and peers, and ask
   them questions in both the lecture and laboratory sessions, though
   agreement was significantly greater for the F2F students in most
   comparisons. The most common methods of peer communication were texting,
   Facebook, and meeting F2F. The perceived helpfulness of the 3D computer
   models improved from the previous year. While virtual breakout rooms can
   be used to adequately replace traditional prosection laboratories and
   improve interactions, they are not equivalent to F2F laboratories.
RI Attardi, Stefanie M/AFC-2547-2022; Rogers, Kem/
OI Attardi, Stefanie M/0000-0003-3291-490X; Rogers, Kem/0000-0002-6234-2634
ZB 3
ZA 0
ZR 0
Z8 0
TC 26
ZS 1
Z9 27
U1 5
U2 39
SN 1935-9772
EI 1935-9780
UT WOS:000449635200006
PM 29493909
ER

PT J
AU Downer, Ann
   Shapoval, Anna
   Vysotska, Olga
   Yuryeva, Iryna
   Bairachna, Tetiana
TI US e-learning course adaptation to the Ukrainian context: lessons
   learned and way forward
SO BMC MEDICAL EDUCATION
VL 18
AR 247
DI 10.1186/s12909-018-1349-1
PD NOV 1 2018
PY 2018
AB BackgroundAccess to continuing education opportunities is limited for
   Ukrainian healthcare workers, and the need is acute in order to support
   healthcare reform efforts currently underway in Ukraine. Online learning
   is a cost-effective mechanism for continuing education since healthcare
   workers can remain on the job during training. It also provides a means
   of keeping health professionals up to date on their knowledge and skills
   in rapidly changing and increasingly complex healthcare
   environments.MethodsThis paper describes the process of adapting an
   existing e-learning course from a US institution to the Ukrainian
   setting. Course participants' feedback was used to evaluate the
   effectiveness of the adapted version that was piloted twice in 2016-2017
   with 53 participants in total, 46 of whom completed the course and
   contributed to the evaluation.ResultsThis was the first fully online
   course on Leadership and Management in Health (LMiH) to be offered in
   Ukraine. Several lessons were learned during course adaptation when
   multiple aspects of the Ukrainian environment were taken into account
   including 1) linguistic accessibility, 2) access to the Internet, 3)
   computer literacy, and 4) novelty of online learning. Based on these
   findings, course material was first adapted by translating it from
   English to Ukrainian with the emphasis on cultural adjustment of idioms
   and real life examples. Then, using the first pilot results and
   participants suggestions, videotaped interviews with local healthcare
   management experts were added in order to further enhance cultural
   suitability as well as relevance and applicability of the course
   concepts. The last but not least lesson learned consisted in the fact
   that enhancing, transitioning, and sustaining online learning to new
   contexts required engagement of key stakeholders, national level
   support, and technical assistance through implementation and beyond yet
   turned out to be both cost-effective and sustainable investment of
   limited resources. Formative evaluation confirmed that the adaptation
   efforts resulted in a course relevant and acceptable to healthcare
   professionals in Ukraine.ConclusionTransition of the course to local
   ownership was accomplished in partnership with the Ukrainian Family
   Medicine Training Center in the Bogomolets National Medical University
   in Kyiv: LMiH is now certified for continuing medical education credit
   and offered twice a year by this institution. Lessons learned from this
   experience provide a roadmap for rapidly increasing access to new
   knowledge and skills for healthcare workers by adapting existing online
   resources to local needs; they are used to facilitate rapid expansion of
   other continuing education offerings in Ukraine: additional online
   courses from the University of Washington (UW) are planned for
   adaptation.
RI Vysotska, Olga/AAE-9598-2019
OI Vysotska, Olga/0000-0001-5733-8000
ZA 0
ZR 0
TC 4
ZS 0
Z8 0
ZB 0
Z9 4
U1 0
U2 10
EI 1472-6920
UT WOS:000449260000001
PM 30382853
ER

PT J
AU Bernard, Stephanie
   Cooke, Tiffany
   Cole, Tascha
   Hachani, Laura
   Bernard, Johnathan
TI Quality and readability of online information about type 2 diabetes and
   nutrition
SO JAAPA-JOURNAL OF THE AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS
VL 31
IS 11
BP 41
EP 44
DI 10.1097/01.JAA.0000546481.02560.4e
PD NOV 2018
PY 2018
AB Objective: The internet has become a vital resource through which
   patients learn about medical conditions. The aim of this study was to
   assess the quality and readability of online information about nutrition
   and diabetes management.
   Methods: An internet search was conducted using three search terms of
   varying sophistication (how to eat with diabetes, diabetes diet, and
   medical nutrition therapy for diabetes) and the three most popular
   search engines (Yahoo, Bing, and Google). Forty-two websites were
   prospectively analyzed for quality of information and assessed for
   readability using the Flesch-Kincaid score.
   Results: The 42 websites reviewed demonstrated wide variability in
   quality, regardless of the search term entered. The reading level
   required to understand the materials varied based on sophistication of
   the search term and ranged from the 6th- to the 11th-grade level.
   Conclusions: The quality of online information on nutrition education
   for patients with diabetes was extremely variable and readability often
   was higher than the average American reading level (8th grade). An
   awareness of quality and readability of the materials found on the
   internet can strengthen the patient-provider relationship.
ZB 0
Z8 0
ZS 0
ZA 0
ZR 0
TC 5
Z9 5
U1 1
U2 15
SN 1547-1896
EI 0893-7400
UT WOS:000447501000013
PM 30358679
ER

PT J
AU Brown, Derek W.
   Atwood, Todd F.
   Moore, Kevin L.
   MacAulay, Robert
   Murphy, James D.
   Mundt, Arno J.
   Pawlicki, Todd
TI A program to train medical physicists for direct patient care
   responsibilities
SO JOURNAL OF APPLIED CLINICAL MEDICAL PHYSICS
VL 19
IS 6
BP 332
EP 335
DI 10.1002/acm2.12472
PD NOV 2018
PY 2018
AB Objectives To develop a training program designed to meet the specific
   needs of medical physicists as they transition into a clinical role with
   direct patient care responsibilities. Materials and Methods The training
   program was designed in collaboration with the faculty at the UC San
   Diego School of Medicine and incorporates training techniques that have
   been shown to be effective in improving communication skills. The
   program emphasizes experiential, practice-based learning over didactic
   presentations. Results The training program is comprised of 5
   components: 1) a 1-day Clinician-Patient Communication Workshop run by
   the UC San Diego School of Medicine, 2) Communication Strategies for
   Radiation Oncology, which consists of two, 2-hour sessions designed to
   provide trainees with patient communication skills that are specific to
   patient interactions in radiation oncology, 3) Simulated Patient
   Interactions, in which trainees perform mock physicist-patient consults
   with trained patient actors, 4) Faculty-Observed Patient Consults, and
   5) a Case-Based Treatment Toxicity Course. A competency assessment
   mechanism was also developed to provide a clear set of objectives and to
   guide trainer feedback. [Correction added after first online publication
   on November 7, 2018: The phrase ", which consists of two, 2-hour" was
   added above.] Conclusions The training program that we have developed
   incorporates an array of established education techniques and provides a
   comprehensive, accessible, means of improving medical physicists'
   patient communication skills.
OI Atwood, Todd/0000-0002-1852-2240
TC 9
ZB 1
ZA 0
ZR 0
Z8 0
ZS 0
Z9 9
U1 0
U2 1
SN 1526-9914
UT WOS:000450155600038
PM 30328675
ER

PT J
AU Lombardi, Raul
   Ferreiro, Alejandro
   Rosa-Diez, Guillermo
   Margolis, Alvaro
   Yu, Luis
   Younes-Ibrahim, Mauricio
   Burdmann, Emmanuel A.
   Oeyen, Fatima
   Douthat, Walter
TI Raising Awareness of Acute Kidney Injury: A Latin American Experience
SO KIDNEY INTERNATIONAL REPORTS
VL 3
IS 6
BP 1416
EP 1423
DI 10.1016/j.ekir.2018.08.003
PD NOV 2018
PY 2018
AB Introduction: Raising awareness of acute kidney injury (AKI) is an
   essential strategy for minimizing the burden of this lethal syndrome.
   The AKI Commission of the Latin American Society of Nephrology and
   Hypertension conducted an educational program based on networked
   learning.
   Methods: Two online courses with similar methodologies were developed, 1
   course for nephrologists and the other for primary care physicians
   (PCP). The courses were developed as a distance education, asynchronous
   online modality with multiple educational strategies: written lessons,
   videos, e-rounds, and clinical simulation. Knowledge gain was explored
   through a 10-question test before and after course completion.
   Results: The course for nephrologists had 779 participants from 21
   countries; 52% were male, and 46% were <35 years of age. Mean
   qualification increased from 5.87 to 8.01 (36% gain of knowledge). The
   course for PCPs had 2011 participants, 81% of whom were physicians. The
   time from graduation was <5 years in 52%. In both courses, clinical
   simulation was considered the best part and lack of time the main
   limitation for learning. Because 48% of the nephrologist course
   attendees were interested in AKI activities, a Latin American AKI
   Network site (RedIRA) composed of a brief review, a clinical forum, a
   selfassessment, and a bibliography on AKI was launched on a monthly
   basis in November 2016. To date there are 335 users from 18 countries.
   Conclusions: Distance education techniques were effective for learning
   about AKI and are a potential tool for the development of a sustainable
   structure for communication, exchange, and integration of physicians
   involved in the care of patients with AKI.
RI Younes-Ibrahim, Mauricio/F-6480-2014; Burdmann, Emmanuel/AAY-1966-2020; Yu, Luis/E-8735-2012; Burdmann, Emmanuel/B-7023-2009; Younes-Ibrahim, Mauricio/ABD-8543-2021; Margolis, Alvaro/; Yu, Luis/; Lombardi, Raul/
OI Younes-Ibrahim, Mauricio/0000-0002-2521-764X; Burdmann,
   Emmanuel/0000-0002-7644-8579; Burdmann, Emmanuel/0000-0002-7644-8579;
   Margolis, Alvaro/0000-0002-2631-2323; Yu, Luis/0000-0001-9102-0063;
   Lombardi, Raul/0000-0002-2398-794X
ZA 0
ZB 1
ZR 0
TC 3
ZS 0
Z8 0
Z9 3
U1 0
U2 0
SN 2468-0249
UT WOS:000449304200024
PM 30450468
ER

PT J
AU Herrera, A. M.
   Brand, P.
   Cavada, G.
   Koppmann, A.
   Rivas, M.
   Mackenney, J.
   Sepulveda, H.
   Wevar, M. E.
   Cruzat, L.
   Soto, S.
   Perez, M. A.
   Leon, A.
   Contreras, I
   Alvarez, C.
   Walker, B.
   Flores, C.
   Lezana, V
   Garrido, C.
   Herrera, M. E.
   Rojas, A.
   Andrades, C.
   Chala, E.
   Martinez, R. A.
   Vega, M.
   Perillan, J. A.
   Seguel, H.
   Przybyzsweski, I
TI Hospitalizations for asthma exacerbation in Chilean children: A
   multicenter observational study
SO ALLERGOLOGIA ET IMMUNOPATHOLOGIA
VL 46
IS 6
BP 533
EP 538
DI 10.1016/j.aller.2018.02.006
PD NOV-DEC 2018
PY 2018
AB Background: Asthma hospitalization rates in Chilean children have
   increased in the last 14 years, but little is known about the factors
   associated with this.
   Objective: Describe clinical characteristics of children hospitalized
   for asthma exacerbation.
   Methods: Observational prospective cohort study in 14 hospitals. Over a
   one-year period, children five years of age or older hospitalized with
   asthma exacerbation were eligible for inclusion. Parents completed an
   online questionnaire with questions on demographic information, about
   asthma, indoor environmental contaminant exposure, comorbidities and
   beliefs about disease and treatment. Disease control was assessed by the
   Asthma Control Test. Inhalation technique was observed using a
   checklist.
   Results: 396 patients were enrolled. 168 children did not have an
   established diagnosis of asthma. Only 188 used at least one controller
   treatment at the time of hospitalization. 208 parents said they believed
   their child had asthma only when they had an exacerbation and 97
   correctly identified inhaled corticosteroids as anti-inflammatory
   treatment. 342 patients used the wrong spacer and 73 correctly performed
   all steps of the checklist.
   Conclusions: Almost half of the patients were not diagnosed with asthma
   at the time of hospitalization despite having a medical history
   suggestive of the disease. In the remaining patients with an established
   diagnosis of asthma potentially modifiable factors like bad adherence to
   treatment and poor inhalation technique were found. Implementing a
   nationwide asthma program including continued medical education for the
   correct diagnosis and follow up of these patients and asthma education
   for patients and caregivers is needed to reduce asthma hospitalization
   rates in Chilean children. (C) 2018 SEICAP. Published by Elsevier
   Espana, S.L.U. All rights reserved.
RI Garrido, carmen/G-1633-2018; Brand, Paul/ABB-3693-2021; Garrido, Carolina/GWM-5557-2022
OI Garrido, carmen/0000-0003-1368-1493; 
ZB 0
ZS 2
Z8 0
ZA 0
ZR 0
TC 2
Z9 4
U1 0
U2 3
SN 0301-0546
EI 1578-1267
UT WOS:000448089000003
PM 29720350
ER

PT J
AU Perumal, Vivek
TI A sectional anatomy learning tool for medical students: development and
   user-usage analytics
SO SURGICAL AND RADIOLOGIC ANATOMY
VL 40
IS 11
BP 1293
EP 1300
DI 10.1007/s00276-018-2082-5
PD NOV 2018
PY 2018
AB BackgroundA sound knowledge of cross-sectional anatomy is needed to
   interpret radiological images. Ultrathin E12-plastinated slices serve as
   good learning resources to begin with, but effective utilisation of
   these resources are often challenging due to their fragility and lack of
   adequate laboratory time. To enhance interpretation of E12 slices, and
   also to promote independent learning, we developed a web-based self
   learning resource.MethodsAn interactive online sectional anatomy
   learning tool (SALT) to learn the cross-sectional anatomy of the spinal
   levels, thorax, abdomen and pelvis was developed using Courselab
   software. SALT was piloted on third-year medical students learning
   regional and clinical anatomy of the human body. At the end of the
   academic year, student participation within the resource was analysed,
   and the resource usage was compared with the users' academic
   performance.ResultsEach aspect of SALT was accessed 338 times on
   average, by 51% of the class. The majority medical students accessed the
   resource after class hours. Continued research usage was observed on
   weekends and holidays, which peaked during exam periods. SALT usage also
   had a positive impact on the users' academic performance (p<0.05).
   Students also used the resource after exams and during their subsequent
   years of study.ConclusionSALT promoted independent learning, as well as
   enhanced students' learning experience and academic performance. Having
   the benefit of online access, the resource was used almost 24/7, both on
   and off-campus. Educators should be encouraged to develop and trial
   their own simple inexpensive online resources tailormade to meet student
   needs and supplement to the existing traditional teaching techniques.
OI Perumal, Vivek/0000-0002-9610-5813
ZB 1
TC 3
Z8 0
ZS 0
ZA 0
ZR 0
Z9 3
U1 0
U2 8
SN 0930-1038
EI 1279-8517
UT WOS:000447981600012
PM 30116840
ER

PT J
AU Davis, Trevor A.
   Yang, Stephen C.
TI Unmatched Integrated Cardiothoracic Surgery Program Applicants: Where Do
   They End Up?
SO ANNALS OF THORACIC SURGERY
VL 106
IS 5
BP 1556
EP 1560
DI 10.1016/j.athoracsur.2018.03.046
PD NOV 2018
PY 2018
AB Background. With the recent introduction of Integrated Cardiothoracic
   Surgery Residency Programs (IPs), limited data exist on unmatched
   applicants. We aimed to determine the dropout rate in individuals who
   applied for IP but did not match.
   Methods. An online Institutional Review Board- approved survey was sent
   to current residents (n = 409), provided by the Thoracic Surgery
   Directors Association, to evaluate preferences and pathway to
   cardiothoracic surgery (CTS). Descriptive analysis was performed on
   quantitative data. Main Residency Match Data from 2008 to 2017 were
   collected.
   Results. Of 250 respondents, 89 (36%) were in IPs. In the cohort, 110
   (44%) applied for at least one IP, whereas only 10 of the remaining 140
   CTS residents had contemplated applying. From written comments of those
   140 residents, the most common reasons against applying for IP programs
   were (1) uncertainty of IP training/belief that general surgery offered
   more well-rounded training and (2) uncommitted to CTS as a medical
   student. Interestingly, 96% of IP residents were set on a cardiac
   career, whereas a larger proportion of 4/3 and traditional residents
   were interested in general thoracic (36%). According to the National
   Resident Matching Program, 147 individuals applied to IP programs from
   2008 to 2011 and were unmatched. Only 20 of those individuals (14%),
   from our results, ended up in a CTS residency program.
   Conclusions. Only a small percentage of applicants that did not match to
   an IP from 2008 to 2011 have ended up in CTS. As IPs continue to develop
   and improve, the concerns brought about by current CTS residents must be
   addressed to attract the next generation of exceptional surgeons. (C)
   2018 by The Society of Thoracic Surgeons
ZB 0
ZR 0
TC 9
Z8 0
ZS 0
ZA 0
Z9 9
U1 0
U2 5
SN 0003-4975
EI 1552-6259
UT WOS:000448027400060
PM 29689239
ER

PT J
AU Hansen, Sydney
   Melzer-Lange, Marlene
   Nugent, Melodee
   Yan, Ke
   Rabbitt, Angela
TI Development and Assessment of an Online Training for the Medical
   Response to Sex Trafficking of Minors
SO ACADEMIC PEDIATRICS
VL 18
IS 8
BP 965
EP 968
DI 10.1016/j.acap.2018.07.009
PD NOV-DEC 2018
PY 2018
OI Rabbitt, Angela/0000-0003-4897-187X
ZR 0
TC 2
ZA 0
Z8 0
ZS 0
ZB 1
Z9 2
U1 0
U2 3
SN 1876-2859
EI 1876-2867
UT WOS:000450018700018
PM 30098443
ER

PT J
AU Weiner, Adam B.
   Tsai, Kyle P.
   Keeter, Mary-Kate
   Victorson, David E.
   Schaeffer, Edward M.
   Catalona, William J.
   Kundu, Shilajit D.
TI The Influence of Decision Aids on Prostate Cancer Screening Preferences:
   A Randomized Survey Study
SO JOURNAL OF UROLOGY
VL 200
IS 5
BP 1048
EP 1054
DI 10.1016/j.juro.2018.05.093
PD NOV 2018
PY 2018
AB Purpose: Shared decision making is recommended in regard to prostate
   cancer screening. Decision aids may facilitate this process but the
   impact of decision aids on screening preferences is poorly understood.
   Materials and Methods: In an online survey we randomized a national
   sample of adults to the online decision aids of 1 of 6 professional
   societies. We compared survey responses before and after decision aid
   exposure. The primary outcome was the change in participant likelihood
   of undergoing or recommending prostate cancer screening on a scale of
   1-unlikely to 100-extremely likely. Secondary outcomes included change
   in participant comfort with prostate cancer screening based on the
   average of 6, 5-point Likert-scale questions.
   Results: Median age was 53 years in the 1,336 participants and 50% were
   men. The randomized groups did not differ significantly by race, age,
   gender, income, marital status or education level. The likelihood of
   undergoing or recommending prostate cancer screening decreased from 83
   to 78 following decision aid exposure (p <0.001). Reviewing the decision
   aid from the Centers for Disease Control or the American Academy of
   Family Physicians did not alter the likelihood (each p >0.2). However,
   the decision aid from the United States Preventive Services Task Force
   was associated with the largest decrease in screening preference (-16.0,
   p <0.001). Participants reported increased comfort (from 3.5 to 4.1 of
   5) with the decision making process of prostate cancer screening
   following exposure to a decision aid (p <0.001).
   Conclusions: Exposure to a decision aid decreased the participant
   likelihood of undergoing or recommending prostate cancer screening and
   increased comfort with the screening process.
OI Weiner, Adam/0000-0002-1912-042X
TC 0
ZB 0
ZA 0
Z8 0
ZR 0
ZS 0
Z9 0
U1 0
U2 2
SN 0022-5347
EI 1527-3792
UT WOS:000446884900089
PM 29852180
ER

PT J
AU Lauderdale, Jennifer T.
TI Online Education and Case Management
SO PROFESSIONAL CASE MANAGEMENT
VL 23
IS 6
BP 353
EP 355
DI 10.1097/NCM.0000000000000330
PD NOV-DEC 2018
PY 2018
ZB 0
ZS 0
TC 0
Z8 0
ZR 0
ZA 0
Z9 0
U1 1
U2 7
SN 1932-8087
EI 1932-8095
UT WOS:000450893800010
PM 30289865
ER

PT J
AU Ali, Kamran
   Cockerill, Josephine
   Zahra, Daniel
   Qazi, Haroon S.
   Raja, Ulfat
   Ataullah, Khurram
TI Self-perceived preparedness of final year dental students in a
   developing country-A multi-institution study
SO EUROPEAN JOURNAL OF DENTAL EDUCATION
VL 22
IS 4
BP E745
EP E750
DI 10.1111/eje.12389
PD NOV 2018
PY 2018
AB Aims: To evaluate the self-perceived preparedness to practice of final
   year dental undergraduate students in three dental institutions.
   Methods: Dental undergraduate students in their final year from three
   dental institutions in Pakistan were invited to participate in an online
   study to assess self-perceived preparedness using a validated
   preparedness assessment scale.
   Results: In total, 134 students responded to the questionnaire yielding
   a response rate of 72%. Students felt adequately prepared to carry out
   several clinical procedures including clinical assessment, fillings,
   tooth extractions and communication skills. However, perceived
   preparedness was low in the students' ability to undertake intraoral
   radiographs, treatment planning, crowns, multirooted endodontics,
   research skills, referral for suspected oral cancer and raising concerns
   regarding inappropriate behaviour of colleagues.
   Conclusions: This is the first study which investigates the
   self-perceived preparedness of final year undergraduate dental students
   in Pakistan. The results show that the self-perceived preparedness of
   final year students was satisfactory for a range of clinical and
   affective skills. However, several areas of weaknesses were identified
   which underscore the need for additional training and consolidation.
RI ALI, KAMRAN/B-1880-2012; Zahra, Daniel/AGH-0064-2022; Cockerill, Josephine/
OI ALI, KAMRAN/0000-0002-3122-6729; Zahra, Daniel/0000-0001-6534-6916;
   Cockerill, Josephine/0000-0002-7316-655X
ZA 0
TC 6
ZS 0
ZR 0
ZB 0
Z8 0
Z9 6
U1 0
U2 2
SN 1396-5883
EI 1600-0579
UT WOS:000447285500018
PM 30098082
ER

PT J
AU Deng, Qingqi
   Zhang, Yao
   Li, Qiufang
   Wang, Hua
   Xu, Xinfen
TI Factors that have an impact on knowledge, attitude and practice related
   to kangaroo care: National survey study among neonatal nurses
SO JOURNAL OF CLINICAL NURSING
VL 27
IS 21-22
BP 4100
EP 4111
DI 10.1111/jocn.14556
PD NOV 2018
PY 2018
AB Aims and objectivesTo explore factors that impact nurses' knowledge,
   perceptions and practice related to kangaroo care in neonatal intensive
   care units in China.
   BackgroundIt is recognised extensively that kangaroo care is an
   effective intervention for improving the outcomes of preterm infants and
   has been recommended as a routine practice for neonatal care. However,
   this practice is uncommon in China and little is known about neonatal
   nurses' knowledge and attitude.
   DesignA descriptive cross-sectional survey.
   MethodsAn online questionnaire was completed by 830 neonatal nurses.
   Data were analysed using measures of central tendency, dispersion,
   ANOVA, t tests and the general linear model.
   ResultsA total of 48.2% of the participants reported practicing kangaroo
   care. Range of score for each scale was knowledge 0-16 (M=9.62),
   perceptions 28-103 (M=79.99), barriers 17-85 (M=65.40) and practice
   11-55 (M=34.44). Experience in using kangaroo care was a primary factor
   for the scores of four scales. Particularly, experienced nurses had
   higher level of knowledge and perceived less barriers. Respondents' role
   in neonatal intensive care units considerably influenced perceptions and
   practice level. Nurses' highest education and neonatal intensive care
   unit level also influenced the knowledge and practice score, separately.
   A major barrier to practice was the reluctance of physicians, nurses and
   parents.
   ConclusionNeonatal nurses' knowledge, attitude and practice levels
   related to kangaroo care were relatively low. Results suggested that
   leadership and knowledgeable practitioners could initiate education and
   clinical training to improve nurses' knowledge and awareness on the
   efficacy of kangaroo care. Moreover, initiatives and behaviours would be
   enhanced following increased knowledge and perceived value. Such
   barriers as the reluctance of medical staff may likewise be lowered or
   removed after experiencing kangaroo care.
   Relevance to clinical practiceNeonatal nurses' knowledge and belief need
   to be improved for optimal practice of kangaroo care. Organisational
   support and clear guidelines are also in need for successful kangaroo
   care.
OI Deng, Qingqi/0000-0002-7714-581X
ZA 0
TC 10
ZS 0
Z8 1
ZR 0
ZB 1
Z9 11
U1 0
U2 17
SN 0962-1067
EI 1365-2702
UT WOS:000446561500027
PM 29893432
ER

PT J
AU Du Mont, Janice
   Solomon, Shirley
   Kosa, Sarah Daisy
   Macdonald, Sheila
TI Development and evaluation of sexual assault training for emergency
   department staff in Ontario, Canada
SO NURSE EDUCATION TODAY
VL 70
BP 124
EP 129
DI 10.1016/j.nedt.2018.08.025
PD NOV 2018
PY 2018
AB Objective: The purpose of this evaluation was to assess the efficacy of
   a training in improving competence to address sexual assault among
   Emergency Department (ED) staff, as well as to compare in-person and
   online training modalities.
   Methods: A total of 1564 staff from 76 EDs in acute care hospitals
   across Ontario participated in either on-site (n = 828 staff) or online
   (n = 736 staff) training sessions, of whom 1366 (87%) completed both a
   pre- and post training questionnaire. Mean pre- and post-training scores
   measuring perceived competence in responding to victims/survivors of
   sexual assault were compared using paired t-tests. The mean gain score
   for in-person and online training was then compared using the
   Mann-Whitney U test. Finally, in-person and online participants' ratings
   of the training content and delivery were compared using the
   Mann-Whitney U test.
   Results: There were significant improvements for all 16 self-reported
   measures of competence following training. The mean gain in knowledge
   and skills was higher for in-person training participants. Participants
   in the in person modality more strongly agreed that the information they
   learned would help in providing care for sexual assault
   victims/survivors, and were more satisfied with the training overall.
   However, these participants less strongly agreed that there was an
   appropriate amount of time allotted for the scope of material presented.
   Conclusions: Overall, the training led to immediate improvements in ED
   staff perceived understanding and ability to address the needs of
   victims/survivors of sexual assault, with particular advantages to the
   in-person training.
OI Kosa, Sarah Daisy/0000-0002-0887-8884
ZA 1
ZR 0
TC 3
Z8 0
ZB 0
ZS 0
Z9 4
U1 0
U2 6
SN 0260-6917
EI 1532-2793
UT WOS:000445986500020
PM 30193237
ER

PT J
AU Christensen, Stine Holmegaard
   Bewick, Bridgette M.
   Bryant, Louise
   Skriver, Mette Vinther
   Hoybye, Mette Terp
TI Student and staff perceptions of alcohol as part of student life in
   Denmark: A Q methodology study
SO PLOS ONE
VL 13
IS 10
AR e0205923
DI 10.1371/journal.pone.0205923
PD OCT 25 2018
PY 2018
AB Introduction
   Intervening effectively to prevent students' harmful use of alcohol
   remains a challenge. Harmful alcohol use has been noted as the most
   dominant public health problem facing universities today. This study
   sought to investigate the diversity in staff and student perceptions of
   the contribution alcohol makes to student life in a Danish university
   setting. Increasing understanding of staff and students' perceptions of
   how alcohol fits into student life is required to amend future public
   health intervention for this population.
   Materials and methods
   This Q methodology study included 38 staff members and 105 students from
   Aarhus University, Denmark. Participants used online Q sorting software,
   to rank 40 statements about the contribution alcohol makes to the
   university student experience from strongly agree to disagree. To
   support the interpretation of the factors, self-reported alcohol
   consumption and demographic data were collected. In addition qualitative
   data was collected on the participant's reasons for the ranking of the
   items they most strongly agreed or disagreed with.
   Results and discussion
   Using principal components analysis, five statistically independent
   viewpoints for students and four for staff were identified.
   The findings provide evidence to inform approaches to prevent harmful
   alcohol use. Some viewpoints suggest a need for tailored secondary and
   tertiary prevention and intervention that focusses on individuals and/or
   sub-groups who are at risk of consuming alcohol at harmful levels. Other
   viewpoints suggest the need for primary universal prevention to support
   the maintenance of healthy norms which can prevent harmful alcohol
   behaviour. Public health campaigns need to ensure that interventions
   targeting harmful alcohol use at universities challenge problematic
   perceptions and attitudes while also bolstering exposure to positive
   norms.
RI Høybye, Mette Terp/I-3758-2019; Bewick, Bridgette/; Christensen, Stine Holmegaard/
OI Høybye, Mette Terp/0000-0001-6914-2697; Bewick,
   Bridgette/0000-0001-5752-5623; Christensen, Stine
   Holmegaard/0000-0003-4244-2002
ZR 0
TC 1
ZB 0
Z8 0
ZA 0
ZS 0
Z9 1
U1 0
U2 1
SN 1932-6203
UT WOS:000448438400034
PM 30359407
ER

PT J
AU Anderson, Alistair
TI Online health information and public knowledge, attitudes, and
   behaviours regarding antibiotics in the UK: Multiple regression analysis
   of Wellcome Monitor and Eurobarometer Data
SO PLOS ONE
VL 13
IS 10
AR e0204878
DI 10.1371/journal.pone.0204878
PD OCT 24 2018
PY 2018
AB Background
   Antimicrobial resistance is a global public health problem with some
   socially patterned drivers. The objective of the study was to
   investigate associations between use of and trust in the Internet as a
   source of health-related information and the public's knowledge,
   attitudes, and behaviours regarding antibiotics.
   Methods
   Two representative cross-sectional surveys (the 2015 Wellcome Monitor (n
   = 1524) and UK segment (n = 1330) of the 2016 Eurobarometer 85.1)
   covering knowledge about antibiotics and antibiotic consumption were
   analysed. Knowledge, attitude, and behaviour variables were analysed
   using regression in relation to demographic characteristics and use and
   trust in the Internet as a source of information.
   Results
   The key findings of the analysis are that both use of the Internet as a
   source of medical research information (variable from the Wellcome
   Monitor) and trust in the Internet as a source of information about
   antibiotics (variable from the Eurobarometer) were independently and
   positively associated with knowledge, attitude, and behaviour regarding
   antibiotics. Additionally, knowledge about antibiotics was positively
   associated with behaviour with antibiotics (Wellcome Monitor) and
   attitude towards finishing antibiotic prescriptions (Eurobarometer).
   Higher levels of education were associated with better knowledge about
   antibiotics in both datasets. Older age was positively associated with
   behaviour and attitude regarding antibiotic consumption.
   Conclusions
   The Internet is a resource for disseminating quality health information
   that has the potential to improve stewardship of antibiotics in the
   community. This study suggests that members of the UK public that use
   the Internet as a source of health-related information are more likely
   to be better informed about, and be more responsible with, antibiotics.
   This mode of information dissemination should be capitalised on to
   improve antimicrobial stewardship, and further research should examine
   what the most effective online information sources are in the UK and to
   what extent their association with behaviour is causal.
RI Anderson, Alistair/AAH-6460-2019
OI Anderson, Alistair/0000-0003-2385-0211
Z8 0
TC 21
ZA 0
ZR 0
ZB 13
ZS 0
Z9 21
U1 1
U2 8
SN 1932-6203
UT WOS:000448434000021
PM 30356302
ER

PT J
AU Gupta, Ankita
   Meriwether, Kate
   Hewlett, Guy
TI Impact of Training Specialty on Breastfeeding Among Resident Physicians:
   A National Survey
SO BREASTFEEDING MEDICINE
VL 14
IS 1
BP 46
EP 56
DI 10.1089/bfm.2018.0140
EA OCT 2018
PD FEB 2019
PY 2019
AB Objectives: The United States has seen an increasing number of
   child-bearing women in medical training. We aimed to compare the
   prevalence of exclusive breastfeeding across varied specialties, whose
   trainees may face different obstacles to breastfeeding. Materials and
   Methods: An online survey querying the duration and barriers to
   breastfeeding was sent to Accreditation Council for Graduate Medical
   Education (ACGME) and American Osteopathic Association (AOA) programs.
   Female residents with at least one living child born during residency
   were eligible. We compared the prevalence of exclusive breastfeeding for
   6 months between Obstetrics and Gynecology (OBGYN), nonsurgical, and
   non-OBGYN surgical specialties. A multiple regression model correcting
   for ethnicity, years lived in the United States, medical degree, year of
   residency at childbearing, geographical location, and clinical hours was
   performed. Results: There were 708 completed surveys, including 561
   nonsurgical, 73 OBGYN, and 74 non-OBGYN surgical residents. More OBGYN
   residents reported exclusive breastfeeding at 6 months (43/73, 59%) than
   nonsurgical (217/561, 39%) and non-OBGYN surgical residents (30/74, 41%)
   (p<0.01). After adjusting for confounders, OBGYN trainees were twice as
   likely to breastfeed (adjusted odds ratio [AOR]=2.18, 95% confidence
   interval [CI] 1.28-3.72) with no difference between non-OBGYN surgical
   and nonsurgical residents (AOR=1.24, 95% CI 0.70-2.19). Less OBGYN
   residents reported the lack of breastfeeding facilities at work (2.7%
   versus 17.6%, p<0.01) and inadequate leave (4.1% versus 17.6%, p=0.01)
   than non-OBGYN surgical residents. Conclusions: In this national survey
   of trainees in accredited programs, OBGYN residents were twice as likely
   to breastfeed and fewer OBGYN residents cited barriers to breastfeeding
   compared to other residents.
RI Gupta, Aditya/AAE-5797-2020; Gupta, Ankita/
OI Gupta, Ankita/0000-0001-7159-5695
ZS 0
ZA 0
ZB 1
ZR 0
TC 10
Z8 0
Z9 10
U1 0
U2 0
SN 1556-8253
EI 1556-8342
UT WOS:000447998800001
PM 30346796
ER

PT J
AU Thapa, Deependra Kaji
   Visentin, Denis
   Kornhaber, Rachel
   Cleary, Michelle
TI Migration of adult children and mental health of older parents 'left
   behind': An integrative review
SO PLOS ONE
VL 13
IS 10
AR e0205665
DI 10.1371/journal.pone.0205665
PD OCT 22 2018
PY 2018
AB Background
   Although a number of studies have examined the effect of the
   out-migration of children on the mental health of 'left behind' elderly
   parents, research on the consequences of children's migration on the
   mental health and well-being of elderly parents left behind is
   inconclusive and a systematic review is warranted.
   Objectives
   To identify the association between the left behind or empty nest status
   and the mental health of older parents, and to identify common risk
   factors for poor mental health among those left behind.
   Methods
   Online databases CINAHL, PsycINFO, PubMed, Scopus and ProQuest were
   searched for research (2000-September 2017) that focused on the
   relationship between the migration of adult children and the mental
   health of the older parents (>= 50 years) left behind. The JBI Checklist
   for Analytical Cross Sectional Studies was used to assess the
   methodological quality of the articles.
   Results
   25 articles met the inclusion criteria. The studies identified that left
   behind older parents had higher levels of mental health problems
   compared to non-left behind. Left behind parents had higher depressive
   symptoms, higher levels of loneliness, lower life satisfaction, lower
   cognitive ability and poorer psychological health. A number of risk
   factors were identified for mental health disorders among the left
   behind parents, which included living arrangements, gender, education,
   income, physical health status, physical activity, family and social
   support, age, rural residence and frequency of children's visit.
   Conclusions
   This review synthesised the various studies related to the mental health
   of left behind parents, advancing the theoretical and empirical
   understanding of the implications of out-migration of adult children on
   the psychological health and well-being of older parents. More
   responsive preventive measures and effective management approaches are
   required for this vulnerable cohort.
RI Thapa, Deependra Kaji/Y-2599-2019; Visentin, Denis/J-7467-2014
OI Thapa, Deependra Kaji/0000-0002-5689-0837; Visentin,
   Denis/0000-0001-9961-4384
Z8 0
ZR 0
TC 30
ZB 5
ZS 0
ZA 0
Z9 30
U1 14
U2 58
SN 1932-6203
UT WOS:000447938400014
PM 30346972
ER

PT J
AU Kaufman, Jessica
   Rya, Rebecca
   Lewin, Simon
   Bosch-Capblanch, Xavier
   Glenton, Claire
   Cliff, Julie
   Oyo-Ita, Angela
   Muloliwa, Artur Manuel
   Oku, Afiong
   Ames, Heather
   Rada, Gabriel
   Cartier, Yuri
   Hill, Sophie
TI Identification of preliminary core outcome domains for communication
   about childhood vaccination: An online Delphi survey
SO VACCINE
VL 36
IS 44
SI SI
BP 6520
EP 6528
DI 10.1016/j.vaccine.2017.08.027
PD OCT 22 2018
PY 2018
AB Background: Communication interventions for childhood vaccination are
   promising strategies to address vaccine hesitancy, but current research
   is limited by the outcomes measured. Most studies measure only
   vaccination-related outcomes, with minimal consideration of vaccine
   hesitancy-relevant intermediate outcomes. This impedes understanding of
   which interventions or elements are effective.
   It is also unknown which outcomes are important to the range of
   stakeholders affected by vaccine hesitancy. Outcome selection shapes the
   evidence base, informing future interventions and trials, and should
   reflect stakeholder priorities.
   Therefore, our aim was to identify which outcome domains (i.e. broad
   outcome categories) are most important to different stakeholders,
   identifying preliminary core outcome domains to inform evaluation of
   three common vaccination communication types: (i) communication to
   inform or educate, (ii) remind or recall, and (iii) enhance community
   ownership.
   Methods: We conducted a two-stage online Delphi survey, involving four
   stakeholder groups: parents or community members, healthcare providers,
   researchers, and government or non-governmental organisation
   representatives. Participants rated the importance of eight outcome
   domains for each of the three communication types. They also rated
   specific outcomes within one domain ("attitudes or beliefs") and
   provided feedback about the survey.
   Results: Collectively, stakeholder groups prioritised outcome domains
   differently when considering the effects of different communication
   types. For communication that aims to (i) inform or educate, the most
   important outcome domain is "knowledge or understanding"; for (ii)
   reminder communication, "vaccination status and behaviours"; and for
   (iii) community engagement communication, "community participation". All
   stakeholder groups rated most outcome domains as very important or
   critical. The highest rated specific outcome within the "attitudes or
   beliefs" domain was "trust".
   Conclusion: This Delphi survey expands the field of core outcomes
   research and identifies preliminary core outcome domains for measuring
   the effects of communication about childhood vaccination. The findings
   support the argument that vaccination communication is not a single
   homogenous intervention - it has a range of purposes, and vaccination
   communication evaluators should select outcomes accordingly. (C) 2017
   The Authors. Published by Elsevier Ltd.
RI Ames, Heather Melanie R/AFT-1164-2022; Bosch-Capblanch, Xavier/ABD-7059-2020; Glenton, Claire/; Kaufman, Jessica/
OI Bosch-Capblanch, Xavier/0000-0002-4469-0395; Glenton,
   Claire/0000-0002-7558-7737; Kaufman, Jessica/0000-0001-5139-4183
ZR 0
ZA 0
Z8 0
ZS 0
ZB 2
TC 7
Z9 7
U1 2
U2 9
SN 0264-410X
EI 1873-2518
UT WOS:000450136100011
PM 28835344
ER

PT J
AU Finnegan, Gary
   Holt, Daphne
   English, Peter M.
   Glismann, Steffen
   Thomson, Angus
   Salisbury, David M.
   Bogaerts, Hugues
   Bonanni, Paolo
TI Lessons from an online vaccine communication project
SO VACCINE
VL 36
IS 44
SI SI
BP 6509
EP 6511
DI 10.1016/j.vaccine.2018.05.007
PD OCT 22 2018
PY 2018
AB Most members of the general public use the internet to research health
   topics. However, the quality of vaccine-related material available
   online is mixed and internet search engines often bring web users to
   low-quality anti-vaccine websites.
   We present a case study of a pro-vaccine information hub launched in
   2011. Vaccines Today provides high-quality information about vaccines
   and diseases, expert interviews, answers to frequently asked questions,
   parent/patient stories and videos/infographics. Twitter, Facebook,
   YouTube and Instagram are used to share this content and to engage with
   various online audiences.
   This Commentary outlines what works in online communication about
   vaccines and offers proposals for improving the impact of online vaccine
   advocacy. The value of networking to boost visibility and search engine
   ranking is emphasised. Furthermore, we present the case for the sharing
   and application of best practice in online communication. (C) 2018
   Elsevier Ltd. All rights reserved.
RI Bonanni, Paolo/AAB-9823-2019; Finnegan, Gary/
OI Finnegan, Gary/0000-0002-3758-9010
TC 12
ZR 0
ZS 0
ZA 0
Z8 0
ZB 3
Z9 12
U1 2
U2 15
SN 0264-410X
EI 1873-2518
UT WOS:000450136100009
PM 29921491
ER

PT J
AU Iniesta, Carlos
   Alvarez-del Arco, Debora
   Miguel Garcia-Sousa, Luis
   Alejos, Belen
   Diaz, Asuncion
   Sanz, Nieves
   Garrido, Jorge
   Meulbroek, Michael
   Pujol, Ferran
   Moreno, Santiago
   Fuster-Ruiz de Apocada, Maria Jose
   Coll, Pep
   Antela, Antonio
   del Romero, Jorge
   Ayerdi, Oskar
   Riera, Melchor
   Hernandez, Juanse
   del Amo, Julia
TI Awareness, knowledge, use, willingness to use and need of Pre-Exposure
   Prophylaxis (PrEP) during World Gay Pride 2017
SO PLOS ONE
VL 13
IS 10
AR e0204738
DI 10.1371/journal.pone.0204738
PD OCT 19 2018
PY 2018
AB Objective
   To assess the awareness, knowledge, use, and willingness to use and need
   of PrEP among men who have sex with men (MSM) and transgender women (TW)
   who attended World Gay Pride (WGP) 2017 in Madrid.
   Design and methods
   Online survey. Participants were recruited through gay-oriented dating
   apps and HIV Non-Governmental Organizations' social media. Inclusion
   criteria included being MSM or TW, age 18 years old or above, and having
   attended WGP in Madrid. Information regarding the participant's
   awareness and knowledge, use or willingness to use, and need for PrEP
   was collected, as well as sociodemographic characteristics. Participants
   were considered to be in need of PrEP if they met one of the following
   indication criteria: having practiced unprotected anal intercourse with
   more than 2 partners, having practiced chemsex, or having engaged in
   commercial sex-all in the preceding 6 months. Descriptive and
   multivariable analyses with logistic regression were conducted.
   Results
   472 participants met the inclusion criteria and completed the
   questionnaire. The mean age was 38, 97.7% were MSM, 77% had a university
   education, and 85% were living in Spain, mostly in big cities. Overall,
   64% of participants were aware of PrEP, but only 33% knew correctly what
   PrEP was. 67% of HIV-negative participants were willing to take PrEP,
   although only 5% were taking it during WGP, mostly due to lack of
   access. 43% of HIV-negative respondents met at least one PrEP indication
   criteria. For HIV-negative men living in Spain, university education and
   living in big cities was associated with PrEP awareness. Lower education
   level and meeting PrEP criteria was associated with willingness to use
   PrEP.
   Conclusions
   Our study shows that among MSM attending WGP 2017 in Madrid, there was
   limited PrEP awareness, low accuracy of PrEP knowledge, and a high need
   and willingness to use PrEP. Health authorities should strengthen
   existing preventive strategies and implement PrEP.
RI Diaz, Asuncion/Q-6016-2017; Riera, Melchor/AEU-0584-2022; Iniesta, Carlos/; Garcia Sousa, Luis Miguel/; Alvarez-del Arco, Debora/E-1744-2015
OI Diaz, Asuncion/0000-0002-8309-4270; Iniesta, Carlos/0000-0002-0928-2679;
   Garcia Sousa, Luis Miguel/0000-0002-1816-9803; Alvarez-del Arco,
   Debora/0000-0003-4079-9219
Z8 2
ZA 0
ZS 0
ZB 7
ZR 0
TC 13
Z9 15
U1 0
U2 10
SN 1932-6203
UT WOS:000447761400005
PM 30339690
ER

PT J
AU Brandl, Katharina
   Rabadia, Soniya, V
   Chang, Alexander
   Mandel, Jess
TI Benefits of focus group discussions beyond online surveys in course
   evaluations by medical students in the United States: a qualitative
   study
SO JOURNAL OF EDUCATIONAL EVALUATION FOR HEALTH PROFESSIONS
VL 15
AR 25
DI 10.3352/jeehp.2018.15.25
PD OCT 16 2018
PY 2018
AB In addition to online questionnaires, many medical schools use
   supplemental evaluation tools such as focus groups to evaluate their
   courses. Although some benefits of using focus groups in program
   evaluation have been described, it is unknown whether these inperson
   data collection methods provide sufficient additional information beyond
   online evaluations to justify them. In this study, we analyze
   recommendations gathered from student evaluation team (SET) focus group
   meetings and analyzed whether these items were captured in open-ended
   comments within the online evaluations. Our results indicate that online
   evaluations captured only 49% of the recommendations identified via
   SETS. Surveys to course directors identified that 74% of the
   recommendations exclusively identified via the SETS were implemented
   within their courses. Our results indicate that SET meetings provided
   information not easily captured in online evaluations and that these
   recommendations resulted in actual course changes.
OI Mandel, Jess/0000-0002-2658-6025; Chang, Alexander/0000-0001-7614-2070
ZA 0
ZS 0
TC 2
ZR 0
ZB 0
Z8 0
Z9 2
U1 0
U2 4
SN 1975-5937
UT WOS:000451833300001
PM 30321914
ER

PT J
AU Sanchez-Jimenez, Virginia
   Munoz-Fernandez, Noelia
   Ortega-Rivera, Javier
TI Efficacy evaluation of "Dat-e Adolescence": A dating violence prevention
   program in Spain
SO PLOS ONE
VL 13
IS 10
AR e0205802
DI 10.1371/journal.pone.0205802
PD OCT 15 2018
PY 2018
AB This study presents the first evaluation of Dat-e Adolescence, a dating
   violence prevention program aimed at adolescents in Spain. A cluster
   randomized control trial was used involving two groups (a control group
   and experimental group) and two waves (pre-test and posttest six months
   apart). 1,764 students from across seven state high schools in Andalucia
   (southern Spain) participated in the study (856 in the control group and
   908 in the experimental group); 52.3% were boys (n = 918), with ages
   ranging from 11 to 19 years (average age = 14.73; SD = 1.34). Efficacy
   evaluation was analyzed using Latent Change Score Models and showed that
   the program did not impact on physical, psychological or online
   aggression and victimization, nor did it modify couple quality. It was,
   however, effective at modifying myths about romantic love, improving
   self-esteem, and improving anger regulation, as a trend. These initial
   results are promising and represent one of the first prevention programs
   evaluated in this country. Future follow-up will allow us to verify
   whether these results remain stable in the medium term.
RI Sánchez-Jiménez, Virginia/B-5782-2012; Muñoz Fernández, Noelia/C-6201-2019
OI Sánchez-Jiménez, Virginia/0000-0001-7394-9311; Muñoz Fernández,
   Noelia/0000-0002-1435-8404
ZB 2
ZR 0
ZA 0
Z8 0
ZS 2
TC 19
Z9 21
U1 2
U2 12
SN 1932-6203
UT WOS:000447417900055
PM 30321224
ER

PT J
AU Ju, Ke
   Kopp, Megan
   Wang, Yuqing
   Yuan, Gehui
   Zheng, Weiwei
   Ataman, Lauren M.
   Woodruff, Teresa K.
   Chen, Qionghua
   Xiao, Shuo
TI A Survey Study of Attitude and Knowledge Regarding Female Fertility
   Preservation Among Reproductive Health Professionals in Fujian, China
SO JOURNAL OF ADOLESCENT AND YOUNG ADULT ONCOLOGY
VL 8
IS 1
BP 67
EP 73
DI 10.1089/jayao.2018.0065
EA OCT 2018
PD FEB 1 2019
PY 2019
AB Purpose: Oncofertility is a newly developed medical field dedicated to
   preserving adolescent and young adult-aged cancer patients' fertility.
   For female cancer patients who desire to have children, fertility
   preservation has become an important concern before the cancer therapy.
   This study for the first time aimed to investigate attitude and
   knowledge regarding female fertility preservation among reproductive
   health professionals in China.
   Methods: An online questionnaire assessing participants' demographics,
   experience, attitude, and basic knowledge regarding oncofertility was
   designed and distributed to reproductive health professionals in Fujian,
   one of the major regions for cancer and reproductive care in southeast
   China.
   Results: The majority of participants (96.6%) who were familiar with
   fertility preservation were willing to collaborate with oncologists on
   preserving patients' fertility. However, similar to 20% of participants
   were not familiar with the term fertility preservation, and 30.4% and
   52.2% of them were never consulted by a cancer patient or an oncologist
   about the infertility risk from cancer therapy, respectively. Years of
   working experience, but not gender, educational background, and marital
   status, was significantly associated with participants' oncofertility
   experience and attitude. A majority of participants (79.3%) had a middle
   or low level of oncofertility knowledge, which was significantly linked
   to their educational background.
   Conclusion: Most of the surveyed reproductive health professionals held
   a positive attitude toward interdisciplinary collaboration with
   oncologists during oncofertility practice. However, the lack of their
   oncofertility knowledge highlighted the need of standard oncofertility
   education and training in China.
TC 5
ZS 0
ZR 0
ZB 2
ZA 0
Z8 1
Z9 6
U1 4
U2 12
SN 2156-5333
EI 2156-535X
UT WOS:000447147900001
PM 30312134
ER

PT J
AU Bonetti, D.
   Young, L.
   Hempleman, L.
   Deas, J.
   Shepherd, S.
   Clarkson, J.
TI Exploring the feasibility of general health promotion in UK dental
   primary care: ENGAGE in Scotland
SO BRITISH DENTAL JOURNAL
VL 225
IS 7
BP 645
EP 656
DI 10.1038/sj.bdj.2018.809
PD OCT 12 2018
PY 2018
AB Introduction Despite UK dental guidance recommending opportunistic
   health promotion, it's rare for GDPs to discuss more than oral hygiene
   with their patients. The ENGAGE intervention incorporates UK guidance
   and evidence-based behaviour change techniques to motivate patients to
   make lifestyle changes (reduce smoking, alcohol consumption and/or
   improve diet). It was designed to take less than five minutes and be
   delivered during a routine dental check-up, and includes a take-home
   patient handout signposting to free NHS lifestyle counselling helpline
   services. Aims To determine the feasibility (patient and GDP acceptance)
   of implementing ENGAGE in Scottish dental primary care. The overall aim
   is to examine feasibility UK-wide before testing its effectiveness for
   influencing patient outcomes in a multi-centre UK trial. Methods Study
   1: patient survey: N = 1000 adults from all health boards in Scotland
   were randomly selected from an NHS data base of medical patients and
   emailed the study invitation and link to an online questionnaire. Study
   2: GDP workshop, audit, survey: N = 50 GDPs across Scotland were invited
   to participate in the training workshop (limited to the first 20
   applicants), implement the intervention with their next 20 adult
   patients in for a check-up, audit their experience, then complete an
   online questionnaire. Results Study 1: 200 people completed the survey
   (52% male; 37% were 55 years or younger; 90% had visited their dentist
   in the previous 12 months). Less than (<) 15% were asked about their
   smoking, alcohol intake and/or diet when they last visited their dentist
   for a check-up; <10% would be embarrassed/offended if their dentist or
   dental hygienist asked them lifestyle questions during a dental
   check-up; more than (>) 70% would be reassured by the professionalism of
   their dentist or dental hygienist if they were asked; <4% would be
   embarrassed/offended if given a leaflet with NHS helpline information by
   their dentist. Study 2: N = 18 GDPs from nine out of 14 NHS regional
   health boards in Scotland delivered the ENGAGE intervention to 335
   patients (averaging 18 patients each). N = 17/18 participants agreed
   that this intervention could be delivered during a check-up, was an
   improvement on what they currently did and thought that it may make a
   difference to what their patients thought, felt, and/or did about
   reducing health risk. Conclusion The ENGAGE intervention is feasible to
   implement in Scottish dental primary care. Comments from patient and GDP
   participants will inform its development and further feasibility studies
   set in other UK regions.
OI Clarkson, Jan/0000-0001-5940-2926
TC 0
ZR 0
ZS 0
ZB 0
Z8 0
ZA 0
Z9 0
U1 0
U2 10
SN 0007-0610
EI 1476-5373
UT WOS:000447176200033
PM 30310225
ER

PT J
AU Cattaneo, Gabriele
   Bartres-Faz, David
   Morris, Timothy P.
   Solana Sanchez, Javier
   Macia, Didac
   Tarrero, Clara
   Tormos, Josep M.
   Pascual-Leone, Alvaro
TI The Barcelona Brain Health Initiative: A Cohort Study to Define and
   Promote Determinants of Brain Health
SO FRONTIERS IN AGING NEUROSCIENCE
VL 10
AR 321
DI 10.3389/fnagi.2018.00321
PD OCT 11 2018
PY 2018
AB The Barcelona Brain Health Initiative (BBHI) is an ongoing prospective
   longitudinal study focused on identifying determinants of brain health.
   The main objectives are: (i) to characterize lifestyle, cognitive,
   behavioral and environmental markers related to a given individual's
   cognitive and mental functions in middle to old age, (ii) to assess the
   biological determinants predictive of maintenance of brain health, and
   (iii) to evaluate the impact of a controlled multi-dimensional lifestyle
   intervention on improving and maintaining brain health. The BBHI cohort
   consists of >4500 healthy participants aged 40-65 years followed through
   online questionnaires (Phase I) assessing participants' self-perceived
   health and lifestyle factors in seven different domains: overall health,
   physical exercise, cognitive activity, sleep, nutrition, social
   interactions, and life purpose. In Phase II a sub-group of 1,000
   individuals is undergoing detailed in-person evaluations repeated at
   two-yearly intervals. These evaluations will provide deep phenotyping of
   brain function, including medical, neurological and psychiatric
   examinations, assessment of physical fitness, neuropsychological
   assessments, structural and functional brain magnetic resonance imaging,
   electroencephalography and perturbation-based non-invasive brain
   stimulation evaluations of brain activity, as well as collection of
   biological samples. Finally, in Phase III a further sub-group of 500
   participants will undergo a similar in-person assessment before and
   after a multi-dimensional intervention to optimize lifestyle habits and
   evaluate its effects on cognitive and brain structure and function. The
   intervention group will receive remote supervision through an ICT-based
   solution, with the support of an expert in health and lifestyle coaching
   strategies aimed at promoting adherence. On the other hand, the control
   group will not have this coaching support, and will only receive
   education and recommendations about healthy habits. Results of this
   three-part initiative shall critically contribute to a better
   understanding of the determinants to promote and maintain brain health
   over the lifespan.
RI Macia, Didac/AAB-5182-2021; Pascual-Leone, Alvaro/AAC-5101-2019; Bartres-Faz, David/C-8997-2011; Tormos Munoz, Jose Maria/; Morris, Timothy P/
OI Macia, Didac/0000-0003-3315-7293; Pascual-Leone,
   Alvaro/0000-0001-8975-0382; Bartres-Faz, David/0000-0001-6020-4118;
   Tormos Munoz, Jose Maria/0000-0002-8764-2289; Morris, Timothy
   P/0000-0002-7560-3821
ZA 0
Z8 0
ZB 7
ZS 0
TC 24
ZR 0
Z9 24
U1 4
U2 16
SN 1663-4365
UT WOS:000447028700001
PM 30405394
ER

PT J
AU Hill, Monica R.
   Goicochea, Shelby
   Merlo, Lisa J.
TI In their own words: stressors facing medical students in the millennial
   generation
SO MEDICAL EDUCATION ONLINE
VL 23
IS 1
AR 1530558
DI 10.1080/10872981.2018.1530558
PD OCT 5 2018
PY 2018
AB Background: Medical student exposure to stressors is associated with
   depression, burnout, somatic distress, decreases in empathy, serious
   thoughts about dropping out of medical school, suicidal ideation, and
   poor academic performance. Despite this, there have been no recent,
   multicenter, qualitative studies assessing medical students' perceptions
   of their greatest stressor(s). Objective: The goal of this study was to
   identify the most significant stressors noted by medical students
   themselves, in order to inform the development of programs and policies
   to reduce medical student distress. Design: Medical students from the
   nine schools in the state of Florida were invited to complete an
   anonymous online questionnaire assessing wellness and distress. Students
   were notified that all responses were voluntary and that individual
   responses would not be linked to themselves or their program. This paper
   focuses on students' responses to fixed-response items regarding their
   experience of stress and open-ended responses to the following question:
   "What do you consider to be the greatest stressor(s) facing medical
   students?' Qualitative data were analyzed using the Grounded Theory
   method of data analysis. Results: Results confirmed the impact of
   several stressors highlighted in previous studies (e.g., excessive
   workload, difficulties with studying and time management, conflicts in
   work-life balance and relationships, medical school peer relations,
   health concerns, and financial stressors). However, students also
   reported unique system-level concerns that have not consistently been
   highlighted in past research (e.g., medical school administrative
   failures, concerns about lack of assistance with career planning, and
   assessment-related performance pressure. Conclusions: Though
   individually focused interventions have demonstrated some success,
   medical students self-report stressors that may be better addressed
   through system-level changes.
RI Merlo, Lisa J./AAU-9179-2020
OI Merlo, Lisa J./0000-0003-3613-7853
ZA 0
ZR 0
ZB 12
ZS 5
Z8 0
TC 120
Z9 124
U1 7
U2 33
SN 1087-2981
UT WOS:000446507500001
PM 30286698
ER

PT J
AU Gong, Zhaohui
TI The development of medical MOOCs in China: current situation and
   challenges
SO MEDICAL EDUCATION ONLINE
VL 23
IS 1
AR 1527624
DI 10.1080/10872981.2018.1527624
PD OCT 4 2018
PY 2018
AB This study aimed to investigate the current situation and challenges on
   the development of medical massive open online courses (MOOCs) in China.
   A survey was constructed and the statistical analysis was adopted to
   evaluate the medical MOOCs. The results showed that the medical
   MOOC-related journal papers, conference papers, books and dissertations
   have risen dramatically over the past five years. In addition, the top 6
   most representative MOOC platforms provide the majority (87%) of medical
   courses. The statistical analysis showed that PMPH-MOOC was the most
   influential medical MOOC platform in China. Compared to the foreign
   medical MOOCs, medical MOOCs in China were urgently in need of systemic
   planning, interaction activities and international certification.
   Overall, the findings suggest that the development of medical MOOCs for
   higher education has been achieved a great success along with a huge
   challenge.
RI Gong, Zhaohui/T-8612-2019
OI Gong, Zhaohui/0000-0002-5662-2752
ZS 0
ZB 1
ZA 0
ZR 0
Z8 1
TC 8
Z9 9
U1 1
U2 23
SN 1087-2981
UT WOS:000446508200001
PM 30284511
ER

PT J
AU Slack, Catherine
   Wilkinson, Abigail
   Salzwedel, Jessica
   Ndebele, Paul
TI Strengthening stakeholder engagement through ethics review in biomedical
   HIV prevention trials: opportunities and complexities
SO JOURNAL OF THE INTERNATIONAL AIDS SOCIETY
VL 21
SI SI
AR e25172
DI 10.1002/jia2.25172
SU 7
PD OCT 2018
PY 2018
AB Introduction
   Clinical trials of biomedical HIV prevention modalities require the
   cooperation of multiple stakeholders. Key stakeholders, such as
   community members, may have stark vulnerabilities. Consequently, calls
   for HIV prevention researchers to implement stakeholder engagement are
   increasingly common. Such engagement is held to benefit
   inter-stakeholder relations, stakeholders themselves and the research
   itself. The ethics review process presents a unique opportunity to
   strengthen stakeholder engagement practices in HIV prevention trials.
   However, this is not necessarily straightforward. In this article, we
   consider several complexities. First, is stakeholder engagement a
   legitimate component of what Research Ethics Committees (RECs) should
   review for HIV prevention trials? Second, what are the core features of
   engagement that should be under ethics review? Third, what are the key
   practices that should be highlighted in ethics review?
   MethodsResults and discussionTo address these questions, we examined the
   international ethics guidelines specialized for such trials (UNAIDS
   2012, UNAIDS-AVAC GPP 2011) and directly applicable to such trials
   (CIOMS 2016; WHO 2011). Thematic analysis was used to code and analyse
   these guidelines.
   Ethics guidelines support REC review of engagement. Guidance recommends
   that engagement be broad and inclusive; early and sustained; and dynamic
   and responsive. Broad engagement practices include evaluating the
   context, planning in writing, and resourcing. RECs should assess
   engagement as part of a comprehensive review, and recommend revisions
   where necessary. Researchers should profile key elements of engagement
   valued in ethics guidance, when they draft ethics submissions.
   Importantly, the ethics review process should not undermine the dynamic
   responsiveness' required for excellent engagement in this field.
   ConclusionsAs evidence-informed engagement strategies emerge, these
   should inform the ethics submission and review process. Both parties in
   the review process should strive to avoid a superficial, check-list type
   approach that caricatures what should be a thorough, nuanced ethics
   review of a rich, responsive engagement process.
OI Ndebele, Paul/0000-0001-9669-1544
ZS 0
TC 10
ZA 0
ZR 0
ZB 6
Z8 0
Z9 10
U1 0
U2 1
EI 1758-2652
UT WOS:000447650900002
PM 30334604
ER

PT J
AU Basheer, Khalid
   Fatima, Muzayyian
   Sajjad, Muhammad Faaiz
TI EXPLORING THE PERCEPTION OF MEDICAL ALUMNI REGARDING INTEGRATED VS
   NON-INTEGRATED SYSTEM OF EDUCATION: A CROSS SECTIONAL SURVEY
SO INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES
VL 5
IS 10
BP 10013
EP 10018
DI 10.5281/zenodo.1461923
PD OCT 2018
PY 2018
AB Background: Memorization without any concept is the major impasse of
   traditional educational system in Pakistan. The extensive syllabus
   lacking concepts, pressure of assessments and forceful turnout in
   lectures divert the focus of medical students which leads to
   misconception and incompetence in clinical field. Aim of this study was
   to assess the perception of medical graduates/undergraduates regarding
   flaws and beneficence of non-integrated and integrated system
   respectively.
   Methodology: This cross-sectional study was conducted at CMH & LMDC from
   August, 2015 to September, 2015.The sample size was 225, non probability
   convenient sampling method was used. A modified version of questionnaire
   tailored from Usman et al and Farida et al was used to collect data
   online through Google forms which was sent to potential candidates to
   more than 20 medical colleges of Punjab, Pakistan. Five (5 point) Likert
   scale and SPSS v22 was used to assess the responses.
   Results: Mean age of the respondents was 22(+/- 1.83). Only a small
   number (15.3%) said that they are satisfied with current system of
   education while 18.9% were of the view that current system is total
   failure. Majority (77.5 %) said they attend lectures for the sake of
   attendance similarly major proportion (88.3%) agreed that clinical
   rotations are better than lecturers. Regarding usefulness of the PBL
   system, majority (79.1%) were in favor of its implementation especially
   respondents who belong from Government medical institutes.
   Conclusion: It is the indispensability to implement integrated system to
   meet up the rising standards of medical education keeping in view the
   assessed positive response among medical graduates for the system which
   will not only make collaboration more effective but also increase
   accessibility and improve approach for learning medicine.
Z8 0
TC 0
ZB 0
ZS 0
ZR 0
ZA 0
Z9 0
U1 0
U2 0
SN 2349-7750
UT WOS:000475656300055
ER

PT J
AU El Feghaly, Rana E.
   Chatterjee, Jahnavi
   Dowdy, Kristin
   Stempak, Lisa M.
   Morgan, Stephanie
   Needham, William
   Prystupa, Kesha
   Kennedy, Marie
TI A Quality Improvement Initiative: Reducing Blood Culture Contamination
   in a Children's Hospital
SO PEDIATRICS
VL 142
IS 4
AR e20180244
DI 10.1542/peds.2018-0244
PD OCT 2018
PY 2018
AB BACKGROUND AND OBJECTIVE: Blood culture contamination is a safety and
   quality concern in children's hospitals; it leads to increased
   unnecessary testing, admissions, antibiotic exposure, and cost. The
   standard benchmark for blood culture contamination is 3%. Our aim with
   the quality improvement project was to reduce the contamination rate at
   our children's hospital from a mean of 2.85% to <1.5% in 2 years.
   METHODS: After initial unit-specific efforts, we formed a
   multidisciplinary team, created a process map and a cause-and-effect
   analysis, sent out surveys to nurses, and created observation sheets
   used to identify problem areas and record the most common deviations
   during the collection process. We also standardized the blood culture
   collection protocol and reemphasized nurse education in person and with
   online modules. During our project, we noted that nurses were collecting
   1 to 3 mL of blood on all children regardless of weight. We developed
   optimal weight-based blood volumes and, after educating ordering
   providers, we updated our electronic medical record to reflect
   appropriate volumes in the order.
   RESULTS: Despite a steady increase in the number of blood cultures
   collected at our children's hospital, we were able to decrease the
   average contamination rate from 2.85% to 1.54%, saving the hospital an
   estimated average of $49 998 per month.
   CONCLUSIONS: By standardizing blood culture collection methods,
   optimizing blood volume, creating checklists, and reinforcing nurse
   education, we were able to develop a best practice for pediatric blood
   culture collection and reduce blood culture contamination to a
   sustainable low rate at our children's hospital.
RI Feghaly, Rana El/AED-0099-2022
ZR 0
ZS 0
ZA 0
ZB 6
Z8 0
TC 15
Z9 15
U1 0
U2 3
SN 0031-4005
EI 1098-4275
UT WOS:000449034300015
PM 30217808
ER

PT J
AU Tam, Chun Wah Michael
   Khan, Abeer Hasan
   Knight, Andrew
   Rhee, Joel
   Price, Karen
   McLean, Katrina
TI How doctors conceptualise P values A mixed methods study
SO AUSTRALIAN JOURNAL OF GENERAL PRACTICE
VL 47
IS 10
BP 705
EP 710
DI 10.31128/AJGP-02-18-4502
PD OCT 2018
PY 2018
AB Background and objectives
   Researchers and clinicians have been criticised for frequently
   misinterpreting and misusing P values. This study sought to understand
   how general practitioners (GPs) in Australia and New Zealand
   conceptualise P values presented in the manner typically encountered in
   a medical publication.
   Methods
   This mixed-methods study used quantitative and qualitative questions
   embedded in an online questionnaire and delivered through an Australian
   and New Zealand GP-specific Facebook group in 2017. It included
   questions that elaborated on the participant's conceptualisation of 'P =
   0.05' within a scenario and tested their P value interpretation ability
   and confidence.
   Results
   There were 247 participants who completed the questionnaire. Participant
   conceptualisations of P values were described using six thematic
   categories. The most common (and erroneous) conceptualisation was that P
   values numerically indicated a 'real-world probability'. No demographic
   factor, including research experience, seemed associated with better
   interpretation ability. A confidence-ability gap was detected.
   Discussion
   P value misunderstanding is pervasive and might be influenced by a few
   central misconceptions. Statistics education for clinicians should
   explicitly address the most common misconceptions.
OI Tam, Chun Wah Michael/0000-0001-8645-4756
ZS 0
ZA 0
TC 5
ZR 0
Z8 0
ZB 0
Z9 5
U1 0
U2 1
SN 2208-794X
EI 2208-7958
UT WOS:000456316200011
PM 31195776
ER

PT J
AU Zarifsanaiey, Nahid
   Mosalanejad, Leili
   Ebrahimi, Amir-Mohammad
TI A Holistic Approach to Teaching Medical Ethics: A New Trend to
   Accountability in Medical Education
SO PAKISTAN JOURNAL OF MEDICAL & HEALTH SCIENCES
VL 12
IS 4
BP 1829
EP 1835
PD OCT-DEC 2018
PY 2018
AB Medical ethics course has recently entered the curriculum of medicine.
   The interdisciplinary nature of this course (experimental sciences and
   humanities) necessitates a unique teaching and evaluation method. The
   present study aimed to design holistic approach to teaching medical
   ethics and its effect on moral reasoning indicators (moral Sensitivity
   and Moral Intelligence) knowledge and performance of medical students.
   The present quasi-experimental single group pretest-posttest study was
   performed in 2017 on 40 medical students who were studying medical
   ethics course in first half of the academic year in Jahrom University of
   Medical Sciences. Students were taught using holistic approach (flexible
   and interactive learning). Evaluating students' knowledge and
   performance in the form of online peer discussion and multiple-choice
   questions and Objective Structured Clinical Examination (OSCE) test.
   Data collection instruments included the Moral Sensitivity Questionnaire
   (MSQ) developed by Kim et al. (1994) and the Moral Competency Inventory
   (MCI) developed by Lennick and Kiel (2005), completed before and after
   the intervention. The Persian version reliability of the MCI instrument
   (r=0.94 by Mokhtarpour) and MSQ (r=81% and 97% by Hosseinpour et al)
   were confirmed. In addition, experts approved its face validity and five
   members of the faculty approved the validity of OSCE. Data were analyzed
   using paired-samples t-test and independent sample t-test. A
   significance level of 0.05 was considered to be statistically
   significant. The level of moral intelligence and moral sensitivity
   increased in women and men following the intervention (p<0.0001). There
   was significant correlation between students' online peer discussion,
   Multiple choice exam, OSCE, moral intelligence and moral sensitivity
   after intervention (p<0.0001). The results showed that, the students'
   mean scores of moral intelligence, moral sensitivity, and learning were
   increased by the application of educational strategy based on holistic
   approach.
RI Zarifsanaiey, Nahid/M-8789-2017; Mosalanejad, Leili -/AAA-8728-2022
OI Zarifsanaiey, Nahid/0000-0002-1297-8271; 
TC 1
Z8 0
ZA 0
ZR 0
ZB 0
ZS 0
Z9 1
U1 0
U2 1
SN 1996-7195
UT WOS:000468146000158
ER

PT J
AU Mandler, Ari Gilad
TI Touch Surgery: a Twenty-First Century Platform for Surgical Training
SO JOURNAL OF DIGITAL IMAGING
VL 31
IS 5
BP 585
EP 590
DI 10.1007/s10278-018-0102-y
PD OCT 2018
PY 2018
AB This manuscript reviews Touch Surgery, a novel online platform geared
   towards innovating professional training for surgical procedures. In
   other industries, such as aviation, simulation has already been shown to
   reduce costs and improve outcomes in crisis (JETS 3(4):348-352, 2010).
   Studies involving simulation-based learning in healthcare similarly
   indicate the potential for reducing errors through skill acquisition and
   cognitive retention (Int J Oral Maxillofac Surg 46:211, 2017). Cohort
   studies have shown improved performance among simulator-trained medical
   students in comparison to those with traditional ward training (Med
   Teach 9:53-57, 1987). With this front in mind, Touch Surgery is paving
   its way for implementation within the surgical realm. The simulations in
   this application are numerous and come from over 14 different
   specialties. This review details the purpose and features of the
   applicationto include its two distinct moduleswhile providing reviews
   based on its user functionality and application in medical training.
   Given the revolutionary shift to simulation-based learning, platforms
   like Touch Surgery must now meet the demands of surgical training in the
   twenty-first century.
TC 6
ZB 1
ZS 0
ZR 0
Z8 0
ZA 0
Z9 6
U1 0
U2 6
SN 0897-1889
EI 1618-727X
UT WOS:000445187500002
PM 29956010
ER

PT J
AU Kamath-Rayne, Beena D.
   Thukral, Anu
   Visick, Michael K.
   Schoen, Eileen
   Amick, Erick
   Deorari, Ashok
   Cain, Carrie Jo
   Keenan, William J.
   Singhal, Nalini
   Little, George A.
   Niermeyer, Susan
TI Helping Babies Breathe, Second Edition: A Model for Strengthening
   Educational Programs to Increase Global Newborn Survival
SO GLOBAL HEALTH-SCIENCE AND PRACTICE
VL 6
IS 3
BP 538
EP 551
DI 10.9745/GHSP-D-18-00147
PD OCT 2018
PY 2018
AB Background: Helping Babies Breathe (HBB), a skills-based program in
   neonatal resuscitation for birth attendants in resource-limited
   settings, has been implemented in over 80 countries since 2010.
   Implementation studies of HBB incorporating low-dose high-frequency
   practice and quality improvement show substantial reductions in fresh
   stillbirth and first-day neonatal mortality. Revision of the program
   aimed to further augment provider and facilitator skills and address
   gaps in implementation with the goal of improving neonatal survival.
   Methods: The Utstein Formula for Survival-Medical Science X Educational
   Efficiency X Local Implementation = Survival-provided a framework for
   the revisions. The 2015 Neonatal Resuscitation Consensus on Science and
   Treatment Recommendations by the International Liaison Committee on
   Resuscitation informed scientific updates, which were harmonized with
   the 2012 World Health Organization Basic Newborn Resuscitation
   Guidelines. Published literature and program reports, consensus
   guidelines on reprocessing equipment, systematic collection of
   suggestions from frontline users, and responses to a semistructured
   online questionnaire informed educational/implementation revisions.
   Links to maternal care were added. Draft materials underwent Delphi
   review and field testing in India and Sierra Leone. An Utstein-style
   meeting of stakeholders identified key actions for successful
   implementation.
   Results: Scientific revisions included expectant management of infants
   with meconium-stained amniotic fluid, limitation of suctioning, and
   initiating and continuing effective ventilation until spontaneous
   respirations. Frontline users (N=102) suggested augmented simulation
   methods to build confidence and competence and additional guidance for
   facilitators on implementation. Users identified a need for sufficient
   practice during the workshop, systematized ongoing practice, and enough
   simulators for participants. Field trials refined approaches to
   self-reflection, feedback and debriefing, and quality improvement.
   Utstein meeting stakeholders validated the importance of quality
   improvement and use of data to improve outcomes.
   Conclusions: The second edition of HBB provides a newer paradigm of
   learning for providers that incorporates workshop practice,
   self-reflection, and feedback and debriefing to reinforce learning as
   well as the promotion of mentorship and development of facilitators,
   systems for low-dose high-frequency practice in facilities, and quality
   improvement related to neonatal resuscitation.
ZR 0
ZB 12
ZS 0
Z8 0
TC 48
ZA 0
Z9 48
U1 0
U2 5
SN 2169-575X
UT WOS:000446354000013
PM 30287531
ER

PT J
AU Krase, Kelli
   Pfeifer, Emily
   Swan, Kimberly
TI Team-Based Learning Sessions Compared With Traditional Lecture in the
   Obstetrics and Gynecology Clerkship
SO OBSTETRICS AND GYNECOLOGY
VL 132
BP 14S
EP 18S
DI 10.1097/AOG.0000000000002856
SU 1
PD OCT 2018
PY 2018
AB OBJECTIVE: To estimate the effects of team-based learning sessions as
   part of the curriculum for the obstetrics and gynecology clerkship.
   METHODS: This is a prospective cohort study of clinical clerkship
   curriculum undertaken in Kansas City and Wichita between 2013 and 2017.
   A team-based learning curriculum included the same topics as the
   traditional lecture-format lectures and was instituted in Kansas City.
   The primary outcome was the obstetrics and gynecology National Board of
   Medical Examiners examination given at the end of the clerkship, both
   before and after the implementation of the team-based learning
   curriculum in Kansas City. An online questionnaire issued by the
   University of Kansas School of Medicine assessed learner satisfaction. A
   voluntary multiple-choice examination taken by both Kansas City and
   Wichita students months after clerkship completion assessed knowledge
   retention.
   RESULTS: The post-team-based learning Kansas City cohort scored a mean
   of 78.6 (95% CI 77.8-79.4) on the National Board of Medical Examiners
   obstetrics and gynecology subject examination compared with the
   pre-team-based learning Kansas City cohort scoring a mean of 74.6 (95%
   CI 73.6-75.6, P<.001). Student surveys did not show significant
   differences in satisfaction between pre-team-and post-team-based
   learning cohorts in Kansas City. There was no significant difference in
   knowledge retention scores between Kansas City and Wichita cohorts.
   DISCUSSION: We found significant improvement in National Board of
   Medical Examiners subject examination scores, which is likely the result
   of multiple curriculum changes, including the shift from didactic
   sessions to the active learning strategy of team-based learning.
   Team-based learning has provided a beneficial and stimulating learning
   experience for students.
CT Annual Meeting of the
   Association-of-Professors-of-Gynecology-and-Obstetrics (APGO) and the
   Council-on-Resident-Education-in-Obstetrics-and-Gynecology (CREOG)
CY FEB 28-MAR 03, 2018
CL National Harbor, MD
SP Council Resident Educ Obstet & Gynecol; Assoc Professors Gynecol &
   Obstet
ZB 1
ZR 0
Z8 1
ZS 1
ZA 0
TC 4
Z9 6
U1 0
U2 3
SN 0029-7844
UT WOS:000454042000004
PM 30247302
ER

PT J
AU Gaffka, Bethany J.
   Hassink, Sandra G.
   Santos, Melissa
   Eneli, Ihuoma
TI Provider Observations of Youth with Early Onset Severe Obesity in
   Tertiary Care Obesity Programs
SO CHILDHOOD OBESITY
VL 14
IS 7
BP 477
EP 483
DI 10.1089/chi.2018.0008
PD OCT 2018
PY 2018
AB Background: Over 2% of children between the ages of 2 and 5 have severe
   obesity; however, little is known about the characteristics of this
   population to guide healthcare professionals in providing care. An
   initial step is to examine observations of practitioners who manage
   children with severe early onset obesity in the clinical setting.
   Methods: A total of 72 interdisciplinary healthcare providers with
   experience providing obesity treatment to children under age 5 with
   severe obesity completed a semistructured online questionnaire.
   Participants responded to 10 open-ended questions about provider
   observations on several topics, including nutrition, eating behavior,
   activity, family structure and history, medical history, psychological
   conditions, and household routines. Data analysis was conducted using
   grounded theory methods. Emerging themes and subthemes were analyzed
   based on topics and provider discipline (e.g., medical, nursing, and
   psychology).
   Results: The most commonly observed and reported characteristic of young
   children with severe obesity was a parent-described dysfunctional
   approach to food, including frequent complaints about hunger, food
   seeking, and lack of satiety. Other characteristics included the
   presence of externalizing behaviors in the child such as temper tantrums
   and ADHD, developmental delays, medical comorbidities (e.g., asthma and
   sleep apnea), and unstructured home environments.
   Conclusions: Drawing on the experience of an interdisciplinary group of
   healthcare providers, this is the first study to describe provider
   observations of the young child with severe early onset obesity. If
   validated, these observations can serve to illuminate areas for further
   education and inform potential clinical subtyping, providing an
   opportunity to identify target areas for intervention.
OI eneli, ihuoma/0000-0002-4436-7141
TC 2
ZA 0
ZB 0
Z8 0
ZR 0
ZS 0
Z9 2
U1 0
U2 11
SN 2153-2168
EI 2153-2176
UT WOS:000445211400006
PM 30156432
ER

PT J
AU Breaks, Anne
   Smith, Christina
   Bloch, Steven
   Morgan, Sally
TI Blended diets for gastrostomy fed children and young people: a scoping
   review
SO JOURNAL OF HUMAN NUTRITION AND DIETETICS
VL 31
IS 5
BP 634
EP 646
DI 10.1111/jhn.12563
PD OCT 2018
PY 2018
AB BackgroundThe present review aimed to identify what is known about the
   use of blended diets in gastrostomy fed children and young people (i.e.
   children and young people refers to those who are aged up to 25 years
   with special educational needs or a disability in accordance with Part 3
   of the Children and Family Act 2014; within the review, the word
   children is used for simplicity but encompasses young people too) and to
   identify gaps in the literature on this topic to inform future research
   and policy.
   MethodsA scoping review methodology was used searching the online
   databases PUBMED, PsychINFO, CINAHL, SCOPUS and AMED, EMBASE for
   articles that addressed issues pertaining to blended diets. The review
   identified a broad range of literature, regardless of study design, and
   described and evaluated the quality, range and nature of research
   activity related to the use of blenderised diets.
   ResultsForty-three studies were included in the review. The studies
   focused on nutrition, equipment, the views of carers and patients, and
   the views of professionals. Several studies described the lack of
   evidence regarding pros and cons of blended diets and highlighted the
   need for further research into the field.
   ConclusionsThere were gaps in the evidence base regarding the impact of
   blended diets on the health and well-being of the children who receive
   them and upon the carers who feed the children. The nutritional impact
   of blended diets is not fully understood and the knowledge and views of
   professionals involved in the care of those receiving blended diets
   varies.
RI Morgan, Sally/AAH-5786-2019; Smith, Christina/; Breaks, Anne/; Morgan, Sally/
OI Smith, Christina/0000-0001-7803-9616; Breaks, Anne/0000-0001-6830-5108;
   Morgan, Sally/0000-0002-7573-4290
ZB 4
ZR 0
Z8 0
TC 13
ZA 0
ZS 1
Z9 13
U1 2
U2 7
SN 0952-3871
EI 1365-277X
UT WOS:000444679000006
PM 29761582
ER

PT J
AU Kessel, Kerstin A.
   Klein, Evelyn
   Hack, Carolin C.
   Combs, Stephanie E.
TI Complementary medicine in radiation oncology
SO STRAHLENTHERAPIE UND ONKOLOGIE
VL 194
IS 10
BP 904
EP 910
DI 10.1007/s00066-018-1345-8
PD OCT 2018
PY 2018
AB Recently, complementary and alternative medicine (CAM) has moved more
   into the focus, and cancer societies such as the German Cancer Society
   (Deutsche Krebsgesellschaft, DKG) have established working groups to
   develop a guideline for CAM. The present work aims to evaluate the
   acceptance of CAM in the whole radiation oncology community.
   We conducted an online survey on CAM and sent the modified questionnaire
   that was successfully distributed to all members of the Research Group
   on Gynecological Oncology (Arbeitsgemeinschaft Gynakologische Onkologie,
   AGO) of the DKG in 2014 to the members of the German Society of
   Radiation Oncology (Deutsche Gesellschaft fur Radioonkologie und
   Strahlentherapie, DEGRO). The survey consisted of 17 questions regarding
   personal information and current CAM guidelines within the
   workplace/clinic.
   A total of 143 members participated. Of these, 12% had some CAM
   qualification. For hematological cancer in 35% and in up to 76% for
   breast cancer, CAM treatment is offered in German radiation oncology
   facilities, mainly due to fatigue symptoms. CAM is part of routine
   treatment in 32.2%, 22.0% are planning to incorporate it. Most
   physicians advise patients to partake in sports activities and recommend
   dietary supplements and nutritional counseling. The cost of CAM
   treatment is fully covered in 9.8% of all participating facilities.
   Today, CAM is integrated into cancer care; however, skepticism regarding
   its effect still exists. Evidence-based results must be generated to
   convince physicians of the effectiveness of CAM methods. CAM
   qualifications must be included in physicians' training to improve their
   understanding and counseling regarding CAM options in cancer care.
ZB 1
TC 7
ZS 0
ZR 0
Z8 1
ZA 0
Z9 7
U1 1
U2 6
SN 0179-7158
EI 1439-099X
UT WOS:000446123800005
PM 30073483
ER

PT J
AU Burnett, Anthea M.
   Yashadhana, Aryati
   Lee, Ling
   Serova, Nina
   Brain, Daveena
   Naidoo, Kovin
TI Interventions to improve school-based eye-care services in low- and
   middle-income countries: a systematic review
SO BULLETIN OF THE WORLD HEALTH ORGANIZATION
VL 96
IS 10
BP 682
EP +
DI 10.2471/BLT.18.212332
PD OCT 2018
PY 2018
AB Objective To review interventions improving eye-care services for
   schoolchildren in low-and middle-income countries.
   Methods We searched online databases (CINAHL, Embase (R), ERIC, MEDLINE
   (R), ProQuest, PubMed (R) and Web of Science (TM)) for articles
   published between January 2000 and May 2018. Eligible studies evaluated
   the delivery of school-based eye-care programmes, reporting results in
   terms of spectacle compliance rates, quality of screening or attitude
   changes. We considered studies to be ineligible if no follow-up data
   were reported. Two authors screened titles, abstracts and full-text
   articles, and we extracted data from eligible full-text articles using
   the availability, accessibility, acceptability and quality rights-based
   conceptual framework.
   Findings Of 24 559 publications screened, 48 articles from 13 countries
   met the inclusion criteria. Factors involved in the successful provision
   of school-based eye-care interventions included communication between
   health services and schools, the willingness of schools to schedule
   sufficient time, and the support of principals, staff and parents.
   Several studies found that where the numbers of eye-care specialists are
   insufficient, training teachers in vision screening enables the
   provision of a good-quality and cost-effective service. As well as the
   cost of spectacles, barriers to seeking eye-care included poor literacy,
   misconceptions and lack of eye health knowledge among parents.
   Conclusion The provision of school-based eye-care programmes has great
   potential to reduce ocular morbidity and developmental delays caused by
   childhood vision impairment and blindness. Policy-based support, while
   also attempting to reduce misconceptions and stigma among children and
   their parents, is crucial for continued access.
RI Naidoo, Kovin Shunmugam/AAF-5914-2020; Burnett, Anthea/AAY-8429-2021; Burnett, Anthea/O-3479-2019; Yashadhana, Aryati/AAB-6194-2021
OI Burnett, Anthea/0000-0003-3772-6625; Yashadhana,
   Aryati/0000-0003-2573-8637
Z8 1
TC 21
ZS 1
ZB 3
ZR 0
ZA 0
Z9 23
U1 0
U2 12
SN 0042-9686
EI 1564-0604
UT WOS:000448236500014
PM 30455516
ER

PT J
AU Mozumder, Sarwar Islam
   Dickman, Paul W.
   Rutherford, Mark J.
   Lambert, Paul C.
TI InterPreT cancer survival: A dynamic web interactive prediction cancer
   survival tool for health-care professionals and cancer epidemiologists
SO CANCER EPIDEMIOLOGY
VL 56
BP 46
EP 52
DI 10.1016/j.canep.2018.07.009
PD OCT 2018
PY 2018
AB Background: There are a variety of ways for quantifying cancer survival
   with each measure having advantages and disadvantages. Distinguishing
   these measures and how they should be interpreted has led to confusion
   among scientists, the media, health care professionals and patients.
   This motivates the development of tools to facilitate communication and
   interpretation of these statistics.
   Methods: "InterPreT Cancer Survival" is a newly developed, publicly
   available, online interactive cancer survival tool targeted towards
   health-care professionals and epidemiologists
   (http://interpret.le.ac.uk). It focuses on the correct interpretation of
   commonly reported cancer survival measures facilitated through the use
   of dynamic interactive graphics. Statistics presented are based on
   parameter estimates obtained from flexible parametric relative survival
   models using large population-based English registry data containing
   information on survival across 6 cancer sites; Breast, Colon, Rectum,
   Stomach, Melanoma and Lung.
   Results: Through interactivity, the tool improves understanding of
   various measures and how survival or mortality may vary by age and sex.
   Routine measures of cancer survival are reported, however,
   individualised estimates using crude probabilities are advocated, which
   is more appropriate for patients or health care professionals. The
   results are presented in various interactive formats facilitating
   understanding of individual risk and differences between various
   measures.
   Conclusions: "InterPreT Cancer Survival" is presented as an educational
   tool which engages the user through interactive features to improve the
   understanding of commonly reported cancer survival statistics. The tool
   has received positive feedback from a Cancer Research UK patient
   sounding board and there are further plans to incorporate more disease
   characteristics, e.g.stage.
RI Dickman, Paul W/B-4572-2013; Rutherford, Mark/; Lambert, Paul/
OI Dickman, Paul W/0000-0002-5788-3380; Rutherford,
   Mark/0000-0003-1557-6697; Lambert, Paul/0000-0002-5337-663X
Z8 0
ZB 1
ZA 0
TC 4
ZR 0
ZS 0
Z9 4
U1 0
U2 1
SN 1877-7821
EI 1877-783X
UT WOS:000445121800007
PM 30032027
ER

PT J
AU Potocnjak, Ines
   Crumbach, Monika Elisabeth
   Vitols, Anna Mara Hrgetic
   Hrncic, Sandra
   Lambers, Christopher
   Bras, Marijana
   Jezek, Davor
   Seiwerth, Sven
   Degoricija, Vesna
TI The attitudes of international medical students toward educational
   methods and styles applied in a 6-year longitudinal course in
   fundamentals of medical skills in Croatia
SO CROATIAN MEDICAL JOURNAL
VL 59
IS 5
BP 267
EP 273
DI 10.3325/cmj.2018.59.267
PD OCT 2018
PY 2018
AB Aim To investigate international medical students' attitudes toward the
   impact of 6-year longitudinal course, Fundamentals of Medical Skills
   (FMS), at Medical Studies in English at the University of Zagreb on the
   development of their practical, clinical, and communication skills.
   Methods This cross-sectional study used a 23-item online survey to
   collect data from five generations of students attending the FMS course
   from January 31 to February 3, 2017. First-year students were not
   included. Invitations and reminders were sent to 202 FMS students by
   e-mail, SMS, and in closed groups in social networks
   Results The response rate was 69.8% (141/202 students). The majority of
   students found the course useful (83.7%); favored practical over
   communication skills (92.9%); found practical skills more useful in
   higher years (82.3%); thought more time was needed to practice by
   simulation on mannequins (75.2%); preferred Objective Structured
   Clinical Examination (OSCE) stations to traditional oral exams (78%);
   and would recommend a course like FMS to future students or students at
   other universities (79.4%). Significantly more women than men favored
   practical over communication skills (P=0.044). Significantly more 5th
   and 6th students than students at lower years preferred OSCE stations to
   traditional learning (P-0.025) and would recommend a course like FMS to
   future students or students at other universities (P=0.001).
   Conclusion Students positively evaluated the FMS course, but
   underestimated the communication skills aspect.
RI Jezek, Davor/ABF-5692-2020
ZB 1
ZR 0
Z8 0
ZS 0
ZA 0
TC 1
Z9 1
U1 0
U2 2
SN 0353-9504
EI 1332-8166
UT WOS:000456100500010
PM 30394019
ER

PT J
AU Peng, Jenny
   Clarkin, Chantalle
   Doja, Asif
TI Uncovering cynicism in medical training: a qualitative analysis of
   medical online discussion forums
SO BMJ OPEN
VL 8
IS 10
AR e022883
DI 10.1136/bmjopen-2018-022883
PD OCT 2018
PY 2018
AB Objective The development of cynicism in medicine, defined as a decline
   in empathy and emotional neutralisation during medical training, is a
   significant concern for medical educators. We sought to use online
   medical student discussion groups to provide insight into how cynicism
   in medicine is perceived, the consequences of cynicism on medical
   trainee development and potential links between the hidden curriculum
   and cynicism.
   Setting Online analysis of discussion topics in Premed101 (Canadian) and
   Student Doctor Network (American) forums.
   Participants 511 posts from seven discussion topics were analysed using
   NVivo 11. Participants in the forums included medical students,
   residents and practising physicians.
   Methods Inductive content analysis was used to develop a data-driven
   coding scheme that evolved throughout the analysis. Measures were taken
   to ensure the trustworthiness of findings, including duplicate
   independent coding of a sub-sample of posts and the maintenance of an
   audit trail.
   Results Medical students, residents and practising physicians
   participating in the discussion forums engaged in discourse about
   cynicism and highlighted themes of the hidden curriculum resulting in
   cynicism. These included the progression of cynicism over the course of
   medical training as a coping mechanism; the development of challenging
   work environments due to factors such as limited support, hierarchical
   demands and long work hours; and the challenge of initiating change due
   to the tolerance of unprofessionalism and the highly stressful nature of
   medicine.
   Conclusion Our unique study of North American medical discussion posts
   demonstrates that cynicism develops progressively and is compounded by
   conflicts between the hidden and formal curriculum. Online discussion
   groups are a novel resource to provide insight into the culture of
   medical training.
OI Doja, Asif/0000-0003-1457-071X
Z8 0
ZS 0
ZB 1
ZR 0
ZA 0
TC 14
Z9 14
U1 0
U2 5
SN 2044-6055
UT WOS:000454739500122
PM 30341130
ER

PT J
AU Armstrong, April W.
   Chambers, Cindy J.
   Maverakis, Emanual
   Cheng, Michelle Y.
   Dunnick, Cory A.
   Chren, Mary-Margaret
   Gelfand, Joel M.
   Wong, David J.
   Gibbons, Brittany M.
   Gibbons, Caitlin M.
   Torres, Josefina
   Steel, Andrea C.
   Wang, Elizabeth A.
   Clark, Caitlin M.
   Singh, Sanminder
   Kornmehl, Heather A.
   Wilken, Reason
   Florek, Aleksandra G.
   Ford, Adam R.
   Ma, Chelsea
   Ehsani-Chimeh, Nazanin
   Boddu, Sucharita
   Fujita, Mayumi
   Young, Paulina M.
   Rivas-Sanchez, Cesar
   Cornejo, Brenda, I
   Serna, Laura C.
   Carlson, Eric R.
   Lane, Christianne J.
TI Effectiveness of Online vs In-Person Care for Adults With Psoriasis A
   Randomized Clinical Trial
SO JAMA NETWORK OPEN
VL 1
IS 6
AR e183062
DI 10.1001/jamanetworkopen.2018.3062
PD OCT 2018
PY 2018
AB IMPORTANCE Innovative, online models of specialty-care delivery are
   critical to improving patient access and outcomes.
   OBJECTIVE To determine whether an online, collaborative connected-health
   model results in equivalent clinical improvements in psoriasis compared
   with in-person care.
   DESIGN, SETTING, AND PARTICIPANTS The Patient-Centered Outcomes Research
   Institute Psoriasis Teledermatology Trial is a 12-month, pragmatic,
   randomized clinical equivalency trial to evaluate the effect of an
   online model for psoriasis compared with in-person care. Participant
   recruitment and study visits took place at multicenter ambulatory
   clinics from February 2, 2015, to August 18, 2017. Participants were
   adults with psoriasis in Northern California, Southern California, and
   Colorado. The eligibility criteria were an age of 18 years or older,
   having physician-diagnosed psoriasis, access to the internet and a
   digital camera or mobile phone with a camera, and having a primary care
   physician. Analyses were on an intention-to-treat basis.
   INTERVENTIONS Participants were randomized 1:1 to receive online or
   in-person care (148 randomized to online care and 148 randomized to
   in-person care). The online model enabled patients and primary care
   physicians to access dermatologists online asynchronously. The
   dermatologists provided assessments, recommendations, education, and
   prescriptions online. The in-person group sought care in person. The
   frequency of online or in-person visits was determined by medical
   necessity. All participants were exposed to their respective
   interventions for 12 months.
   MAIN OUTCOMES AND MEASURES The prespecified primary outcome was the
   difference in improvement in the self-administered Psoriasis Area and
   Severity Index (PASI) score between the online and in-person groups.
   Prespecified secondary outcomes included body surface area (BSA)
   affected by psoriasis and the patient global assessment score.
   RESULTS Of the 296 randomized participants, 147 were women, 149 were
   men, 187 were white, and the mean (SD) age was 49 (14) years. The
   adjusted difference between the online and in-person groups in the mean
   change in the self-administered PASI score during the 12-month study
   period was -0.27 (95% CI, -0.85 to 0.31). The difference in the mean
   change in BSA affected by psoriasis between the 2 groups was -0.05% (95%
   CI, -1.58% to 1.48%). Between-group differences in the PASI score and
   BSA were within prespecified equivalence margins, which demonstrated
   equivalence between the 2 interventions. The difference in the mean
   change in the patient global assessment score between the 2 groups was
   -0.11 (95% CI, -0.32 to 0.10), which exceeded the equivalence margin,
   with the online group displaying greater improvement.
   CONCLUSIONS AND RELEVANCE The online, collaborative connected-health
   model was as effective as in-person management in improving clinical
   outcomes among patients with psoriasis. Innovative telehealth delivery
   models that emphasize collaboration, quality, and efficiency can be
   transformative to improving patient-centered outcomes in chronic
   diseases.
OI Ford, Adam/0000-0001-9857-6670
ZR 0
TC 35
ZA 0
ZS 0
ZB 2
Z8 0
Z9 35
U1 2
U2 7
SN 2574-3805
UT WOS:000452647700007
PM 30646223
ER

PT J
AU Babu, Maya A.
   Liau, Linda M.
   Connolly, E. Sander, Jr.
   Meyer, Fredric B.
TI Maintenance of Certification: Perceptions and Attitudes of Neurosurgeons
SO NEUROSURGERY
VL 83
IS 4
BP 835
EP 840
DI 10.1093/neuros/nyx498
PD OCT 2018
PY 2018
AB Assuring clinical competence throughout the career of a neurosurgeon is
   of paramount importance for patient safety. We present the first
   comprehensive survey of all neuro-surgeons board certified through the
   American Board of Neurological Surgery (ABNS) to evaluate perceptions of
   Maintenance of Certification (MOC). We administered a validated, online,
   confidential survey to 4899 neurosurgeons (2435 ABNS diplomates
   participating in MOC, 1440 diplomates certified prior to 1999
   [time-unlimited certificates], and 1024 retired diplomates). We received
   1449 responses overall (30% response rate). Our study found that most
   respondents believe that neurosurgeons should be required to participate
   in continuing professional improvement following initial board
   certification (75%). Most believe that specialty boards, working in
   conjunction with specialty societies, should require diplomates to
   participate in programs meant to promote continuous professional
   development (73%). The majority of respondents (76%) believed that
   self-assessment tests constituted a meaningful professional development
   activity, in addition to periodic case log reviews (33%) or quality
   improvement projects (32.6%). A plurality of respondents (44%) do not
   feel that the MOC process as currently structured provides them with
   value. There were no differences between those who were "grandfathered"
   and those who actively participate in MOC and no differences between
   those in private practice versus those in academics. The ABNS is
   cognizant of diplomate concerns and is actively developing new MOC
   paradigms to ensure that the process achieves both the goals of meeting
   the public interest and assuring that the quality of American
   neurosurgery remains exemplary.
OI Liau, Linda/0000-0002-4053-0052
Z8 0
ZR 0
ZS 0
ZA 0
ZB 0
TC 2
Z9 2
U1 0
U2 0
SN 0148-396X
EI 1524-4040
UT WOS:000454359400057
PM 29438528
ER

PT J
AU Yoo, Hyun-Joon
   Pyun, Sung-Bom
TI Efficacy of Bedside Respiratory Muscle Training in Patients With Stroke:
   A Randomized Controlled Trial
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 97
IS 10
BP 691
EP 697
DI 10.1097/PHM.0000000000000933
PD OCT 2018
PY 2018
AB Objective Inspiratory and expiratory muscles are important for effective
   respiratory function. This study aimed to investigate the efficacy of
   bedside respiratory muscle training on pulmonary function and
   stroke-related disabilities in stroke rehabilitation.
   Design Patients with stroke (N = 40) in a rehabilitation unit were
   randomly assigned to either the intervention group (n(1) = 20) or the
   control group (n(2) = 20). Both groups participated in a conventional
   stroke rehabilitation program. During the study period, the intervention
   group received bedside respiratory muscle training twice a day for 3
   wks. The respiratory muscle training consisted of (1) a breath stacking
   exercise, (2) inspiratory muscle training, and (3) expiratory muscle
   training. The primary outcomes were measures of pulmonary function:
   forced vital capacity, forced expiratory volume in 1 sec, and peak flow.
   Secondary outcomes were stroke-related disabilities assessed using the
   National Institutes of Health Stroke Scale, Modified Barthel Index, Berg
   Balance Scale, Fugl-Meyer Assessment, the Korean Mini-Mental State
   Examination, and pneumonia incidence.
   Results Pulmonary function was significantly improved in the
   intervention group after 3 wks of respiratory muscle training (P <
   0.05). This improvement in pulmonary function was independent of the
   improvement in stroke-related disabilities.
   Conclusion Three weeks of respiratory muscle training had significant
   effects on pulmonary function in stroke survivors.
   To Claim CME Credits Complete the self-assessment activity and
   evaluation online at http://www.physiatry.org/JournalCME
   CME Objectives Upon completion of this article, the reader should be
   able to: (1) Appreciate the respiratory function changes that occur in
   patients following a stroke; (2) Describe appropriate inspiratory and
   expiratory muscle training techniques to improve pulmonary function in
   patients following a stroke; (3) Enhance ability to implement inpatient;
   and (4) Determine appropriate respiratory training programs for patients
   following stroke.
   Level Advanced
   Accreditation The Association of Academic Physiatrists is accredited by
   the Accreditation Council for Continuing Medical Education to provide
   continuing medical education for physicians. The Association of Academic
   Physiatrists designates this Journal-based CME activity for a maximum of
   1.0 AMA PRA Category 1 Credit(s). Physicians should only claim credit
   commensurate with the extent of their participation in the activity.
RI Pyun, Sung-Bom/ADY-9496-2022; Yoo, Hyun-Joon/AAX-7740-2020
OI Pyun, Sung-Bom/0000-0002-1933-038X; 
ZA 0
TC 9
ZB 1
Z8 7
ZR 1
ZS 0
Z9 18
U1 2
U2 22
SN 0894-9115
EI 1537-7385
UT WOS:000444968800007
PM 29570467
ER

PT J
AU Kaos, Maximus D.
   Beauchamp, Mark R.
   Bursick, Shelly
   Latimer-Cheung, Amy E.
   Hernandez, Hamilton
   Warburton, Darren E. R.
   Yao, Christopher
   Ye, Zi
   Graham, T. C. Nicholas
   Rhodes, Ryan E.
TI Efficacy of Online Multi-Player Versus Single-Player Exergames on
   Adherence Behaviors Among Children: A Nonrandomized Control Trial
SO ANNALS OF BEHAVIORAL MEDICINE
VL 52
IS 10
BP 878
EP 889
DI 10.1093/abm/kax061
PD OCT 2018
PY 2018
AB Background Exergames have the potential to significantly increase
   physical activity in children. Studies to date have shown mixed results
   and often rely on self-reported data. Multi-player gaming may augment
   participation.
   Purpose The purpose of the study was to examine children's adherence
   behaviors in multi-player online exergames compared to a single-player
   condition within a home environment.
   Methods Seventy-two children, aged 9-12 years, who were not meeting
   physical activity guidelines at baseline, were allocated to the
   multi-player or single-player condition. Six-week cycle-based exergaming
   trials took place 5 day/week in the early evening with online game
   supervision. Bike use was objectively recorded via game logs.
   Results Adherence was high throughout the trial. Play session duration
   was M = 37.65 (SD = 15.39) min/day, and overall play duration was M =
   133.45 (SD = 81.27) min in Week 1 and M = 77.23 (SD = 84.09) min in Week
   6. Total physical activity was significantly higher at 6 weeks compared
   to baseline (p = .01, eta(2)(p) = .13). There was no significant
   difference in play duration between conditions (p = .57, eta(2)(p) =
   .01).
   Conclusion This trial objectively demonstrated that exergames can
   promote high adherence levels. Multi-player capabilities did not augment
   adherence levels. Introducing new games throughout the trial may have
   motivated participants to keep playing, regardless of whether play was
   against real or artificial opponents. Weekly play duration decreased due
   to a significant drop in play frequency. For children who enjoy
   exergames, innovative solutions to promote more frequent exergame play
   are needed.
RI WARBURTON, DARREN E R/A-2668-2019; Graham, Nicholas/AAJ-4748-2021; Rhodes, Ryan/ABB-4896-2020; WARBURTON, DARREN E R/AFN-7109-2022; Kaos, Maximus/; Latimer, Amy/; Yao, Christopher/
OI WARBURTON, DARREN E R/0000-0002-2842-9170; Rhodes,
   Ryan/0000-0003-0940-9040; Kaos, Maximus/0000-0001-7233-370X; Latimer,
   Amy/0000-0002-0442-6848; Yao, Christopher/0000-0002-3964-4626
TC 7
ZB 0
ZS 0
Z8 0
ZR 0
ZA 0
Z9 7
U1 1
U2 4
SN 0883-6612
EI 1532-4796
UT WOS:000449052300006
PM 30212848
ER

PT J
AU Stein, Jacob N.
   Klein, Jared W.
   Payne, Thomas H.
   Jackson, Sara L.
   Peacock, Sue
   Oster, Natalia, V
   Carpenter, Trinell P.
   Elmore, Joann G.
TI Communicating with Vulnerable Patient Population: A Randomized
   Intervention to Teach Inpatients to use the Eletronic Patent Portal
SO APPLIED CLINICAL INFORMATICS
VL 9
IS 4
BP 875
EP 883
DI 10.1055/s-0038-1676333
PD OCT 2018
PY 2018
AB Background Patient portals are expanding as a means to engage patients
   and have evidence for benefit in the outpatient setting. However, few
   studies have evaluated their use in the inpatient setting, or with
   vulnerable patient populations.
   Objective This article assesses an intervention to teach hospitalized
   vulnerable patients to access their discharge summaries using electronic
   patient portals.
   Methods Patients at a safety net hospital were randomly assigned to
   portal use education or usual care. Surveys assessed perceptions of
   discharge paperwork and the electronic portal.
   Results Of the 202 prescreened eligible patients (e.g., deemed mentally
   competent, spoke English, and had a telephone), only 43% had working
   emails. Forty-four percent of participants did not remember receiving or
   reading discharge paperwork. Patients trained in portal use (n = 47) or
   receiving usual care (n = 23) preferred hospitals with online record
   access (85 and 83%, respectively), and felt that online access would
   increase their trust in doctors (85 and 87%) and satisfaction with care
   (91% each). Those who received training in portal use were more likely
   to register for the portal (48% vs. 11%; p < 0.01).
   Conclusion Patients had positive perceptions of portals, and education
   increased portal use. Lack of email access is a notable barrier to
   electronic communication with vulnerable patients.
OI STEIN, JACOB NEWTON/0000-0002-2082-2760
ZA 0
Z8 0
ZS 0
ZR 0
ZB 1
TC 14
Z9 14
U1 1
U2 5
SN 1869-0327
UT WOS:000453033000001
PM 30541152
ER

PT J
AU Ang, Eng Tat
   Chan, Jia Min
   Gopal, Vik
   Shia, Ng Li
TI Gamifying anatomy education
SO CLINICAL ANATOMY
VL 31
IS 7
BP 997
EP 1005
DI 10.1002/ca.23249
PD OCT 2018
PY 2018
AB The objective of our research is to find out if gamification increases
   motivation for self-directed learning (SDL) of human anatomy among year
   1 medical students, and more importantly, their academic grades (n =
   120). At the NUS Yong Loo Lin School of Medicine, anatomy teaching has
   traditionally been delivered via didactic means. To encourage more
   active learning, suitable games (non-digital) and the script concordance
   test were utilized to enhance the process. The flipped classroom
   approach was also introduced to further trigger active learning. In
   addition, the use of mobile apps (digital) was also initiated as
   supplements for SDL. Feedback was collected based on the previously
   validated PRO-SDL scale. Results from the research yielded inconclusive
   evidence to support enhanced motivation among our students due to
   gamification (P > 0.05). However, it did help to encourage active
   participation for a "fun learning" experience supported by numerous
   positive comments. More importantly, the participant's continuous
   assessment (CA1, CA2, and CA3) and objective specific practical exam
   results were better than the cohort's average (P < 0.05), suggesting
   that enhanced meta-cognition, and factual recall had taken place. While
   it is positive, there are some caveats to note with gamification, first
   and foremost, that it is tutor dependent. Taken together, gamification
   could represent a new paradigm for anatomy education, and also an
   opportune time to change the prevailing culture in the healthcare and
   education industry. Clin. Anat. 31:997-1005, 2018. (c) 2018 Wiley
   Periodicals, Inc.
RI Ang, Eng-Tat/AAV-2294-2020
ZA 0
ZS 1
TC 17
Z8 0
ZR 0
ZB 4
Z9 19
U1 3
U2 41
SN 0897-3806
EI 1098-2353
UT WOS:000450355000008
PM 30168609
ER

PT J
AU Rovers, Sanne F. E.
   Clarebout, Geraldine
   Savelberg, Hans H. C. M.
   van Merrienboer, Jeroen J. G.
TI Improving student expectations of learning in a problem-based
   environment
SO COMPUTERS IN HUMAN BEHAVIOR
VL 87
BP 416
EP 423
DI 10.1016/j.chb.2018.02.016
PD OCT 2018
PY 2018
AB Despite the continuing popularity of problem-based learning (PBL)
   approaches in higher education worldwide, concerns have been raised
   regarding a decrease in effectiveness. Unrealistic expectations of
   students about the nature of learning in a PBL setting may lead to
   ineffective use of self-regulated learning strategies, in turn leading
   to suboptimal learning during self-study. In this study, we tested the
   effects of a workshop aimed at aligning students' perceptions and
   expectations of their learning environment to those of the university as
   expressed in faculty training programs. First-year PBL medical students
   were randomly assigned to either a control condition (n = 26) or a
   contrast (workshop) condition (n = 19), designed to enable them to
   compare and contrast their expectations to those of the university.
   Results showed no significant differences between conditions in
   students' reported use of SRL strategies, but indicated a differential
   development in students' intentions to take responsibility for their own
   learning, with students in the contrast condition reporting an increase
   in these intentions as a result of the intervention. The intervention
   did not have a differential effect for students with different pretest
   scores. We discuss how optimization of the PBL environment can inform
   the design of online, computer based support tools. (C) 2018 Elsevier
   Ltd. All rights reserved.
RI Savelberg, Hans/ABC-8946-2020; van Merrienboer, Jeroen J.G./C-2051-2009
OI Savelberg, Hans/0000-0002-8864-2109; van Merrienboer, Jeroen
   J.G./0000-0002-5868-7031
ZA 0
ZB 0
TC 11
ZS 2
Z8 0
ZR 0
Z9 12
U1 3
U2 48
SN 0747-5632
EI 1873-7692
UT WOS:000441485600041
ER

PT J
AU Coyne, Leanne
   Takemoto, Jody K.
   Parmentier, Brittany L.
   Merritt, Thayer
   Sharpton, Rachel A.
TI Exploring virtual reality as a platform for distance team-based learning
SO CURRENTS IN PHARMACY TEACHING AND LEARNING
VL 10
IS 10
BP 1384
EP 1390
DI 10.1016/j.cptl.2018.07.005
PD OCT 2018
PY 2018
AB Background and purpose: Online distance education has become popular in
   pharmacy education, but it can be challenging to provide engaging
   experiences such as team-based learning (TBL) in this format. This study
   explored the utility of virtual reality (VR) as a platform to provide
   the engaging elements of TBL, without students needing to be physically
   present in the same room.
   Educational activity and setting: Volunteers participated in a modified
   TBL exercise in VR, followed by a survey of the experience. The survey
   included Likert-type questions to evaluate the level of immersion and
   perceived engagement, comfort and desirability of VR-TBL experiences.
   Findings and discussion: The majority of the responses to the
   14-question survey were 'agree' or 'strongly agree'. Ninety-four percent
   (94.4%) of participants strongly agreed that this was a fun experience,
   and 94.4% of participants strongly agreed that they would take a course
   in this format if it was offered. Although none of the questions
   received a majority of 'disagree' or 'strongly disagree' responses,
   areas for improvement included ease of use of the technology, comfort
   and improving the learning activity.
   Summary: The response of participants to this study was positive and the
   overall conclusion was that VR has the potential to be a useful tool for
   online, distance TBL, and should be explored further.
OI Takemoto, Jody/0000-0001-5182-9941; Coyne, Leanne/0000-0001-7741-9254
ZB 0
ZA 0
TC 13
ZS 0
ZR 0
Z8 0
Z9 13
U1 1
U2 20
SN 1877-1297
EI 1877-1300
UT WOS:000452564600008
PM 30527368
ER

PT J
AU Park, Arum
   Chang, Hyejung
   Lee, Kyoung Jun
TI How to Sustain Smart Connected Hospital Services: An Experience from a
   Pilot Project on IoT-Based Healthcare Services
SO HEALTHCARE INFORMATICS RESEARCH
VL 24
IS 4
BP 387
EP 393
DI 10.4258/hir.2018.24.4.387
PD OCT 2018
PY 2018
AB Objectives: This paper describes an experience of implementing seamless
   service trials online and offline by adopting Internet of Things (IoT)
   technology based on near-field communication (NFC) tags and Bluetooth
   low-energy (BLE) beacons. The services were provided for both patients
   and health professionals. Methods: The pilot services were implemented
   to enhance healthcare service quality, improve patient safety, and
   provide an effective business process to health professionals in a
   tertiary hospital in Seoul, Korea. The services to enhance healthcare
   service quality include healing tours, cancer information/education,
   psychological assessments, indoor navigation, and exercise volume
   checking. The services to improve patient safety are monitoring of
   high-risk inpatients and delivery of real-time health information in
   emergency situations. In addition, the services to provide an effective
   business process to health professionals include surveys and web
   services for patient management. Results: Considering the sustainability
   of the pilot services, we decided to pause navigation and patient
   monitoring services until the interference problem could be completely
   resolved because beacon signal interference significantly influences the
   quality of services. On the other hand, we had to continue to provide
   new wearable beacons to high-risk patients because of hygiene issues, so
   the cost increased over time and was much higher than expected.
   Conclusions: To make the smart connected hospital services sustainable,
   technical feasibility (e.g., beacon signal interference), economic
   feasibility (e.g., continuous provision of new necklace beacons), and
   organizational commitment and support (e.g., renewal of new alternative
   medical devices and infrastructure) are required.
RI Chang, Hyejung/K-5764-2013; Chang, Hyejung/AAE-6371-2021
TC 2
ZB 0
ZS 0
ZR 0
ZA 0
Z8 0
Z9 2
U1 3
U2 25
SN 2093-3681
EI 2093-369X
UT WOS:000449771200017
PM 30443428
ER

PT J
AU Grover, Sandeep
   Sahoo, Swapnajeet
   Srinivas, Balachander
   Tripathi, Adarsh
   Avasthi, Ajit
TI Evaluation of psychiatry training in India: A survey of young
   psychiatrists under the aegis of research, education, and training
   foundation of Indian Psychiatric Society
SO INDIAN JOURNAL OF PSYCHIATRY
VL 60
IS 4
BP 445
EP 460
DI 10.4103/psychiatry.IndianJPsychiatry_334_18
PD OCT-DEC 2018
PY 2018
AB 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'. However, training was rated as poor/very poor in subspecialties
   of child and adolescent psychiatry and geriatric psychiatry by 26.2% and
   26.9% of the participants, respectively. Exposure/training was rated as
   " poor/very poor" by more than one- fifth of the participants in areas
   of repetitive transcranial magnetic stimulation and deep brain
   stimulation (69.9%), rehabilitation psychiatry (47%), forensic
   psychiatry (45.5%), psychodynamics (40.5%), neuroimaging (38.10%),
   psychotherapy (34.8%), orientation to private practice (26.9%),
   statistics (34.1%), writing skills (24.4%), ethical principles of
   research (23.5%), women mental health (23.3%), psychosexual medicine
   (22.7%), and research methodology (21.5%). Regarding academic activities
   involving writing skills, although majority (72.5%) of the participants
   reported being involved in writing case reports and half (50.3%)
   reported involvement in writing original articles, but exposure to
   writing other types of article was quite low. Training in different
   types psychotherapies in the form of adequate exposure, carrying out and
   supervision to different types of psychotherapy was inadequate/low for
   psychodynamic psychotherapies, rational emotive therapy, dialectical
   behavior therapy, eclectic psychotherapy, and other kind of therapies. A
   high proportion of respondents reported having good competence in the
   administration of modified electroconvulsive therapy and making
   presentation in academic fora just after passing degree from their
   institutes and at the time of survey (current competence). When
   comparisons were done between the different groups of institutes,
   significant difference was noted across all aspects of training.
   Conclusions: The present survey reflects that there is a variation in
   the psychiatry training in India. Accordingly, it can be said that there
   is a need to develop a model for competency- based training program at
   the level of the Indian Psychiatric Society in consonance with training
   regulatory bodies like the Medical Council of India, which can be
   implemented across the country to harmonize the training.
RI SAHOO, SWAPNAJEET/AAZ-5445-2020; Tripathi, Adarsh/AAP-9697-2020; Grover, Sandeep/
OI SAHOO, SWAPNAJEET/0000-0003-0365-7086; Tripathi,
   Adarsh/0000-0002-3885-6475; Grover, Sandeep/0000-0002-2714-2055
ZA 0
Z8 0
ZR 0
TC 5
ZS 0
ZB 0
Z9 5
U1 0
U2 1
SN 0019-5545
EI 1998-3794
UT WOS:000452794600011
PM 30581210
ER

PT J
AU Killinger, Tyler P.
   Schellhase, Kristen Couper
TI Medical Claims at National Collegiate Athletic Association Institutions:
   The Athletic Trainer's Role
SO JOURNAL OF ATHLETIC TRAINING
VL 53
IS 10
BP 1004
EP 1010
DI 10.4085/1062-6050-491-17
PD OCT 2018
PY 2018
AB Context: National Collegiate Athletic Association (NCAA) institutions
   are required to certify insurance coverage of medical expenses for
   injuries student-athletes sustain while participating in NCAA events.
   Institutions assign this role to a variety of employees, including
   athletic trainers (ATs), athletic administrators, business managers,
   secretaries, and others. In 1994, Street et al observed that ATs were
   responsible for administering medical claim payments at 68.1% of
   institutions. Anecdotally, ATs do not always feel well suited to perform
   these tasks.
   Objective: To investigate the ways athletic associations and departments
   coordinate athletic medical claims and the role of ATs in this process.
   Design: Cross-sectional study.
   Setting: Online Web-based survey.
   Patients or Other Participants: All 484 National Athletic Trainers'
   Association members self-identified as a head AT within an NCAA
   collegiate or university setting were solicited to respond to the online
   Web-based survey. Responses from 184 (38%) head ATs employed in
   collegiate settings were analyzed.
   Main Outcome Measure(s): Institutional demographic characteristics, type
   of insurance coverage, person assigned to handle insurance claims, hours
   spent managing claims, and training for the task.
   Results: In 62% of institutions, an AT was responsible for processing
   athletic medical claims. The head and assistant ATs spent means of 6.17
   and 10.32 hours per week, respectively, managing claims. Most
   respondents (62.1%) reported no formal training in handling athletic
   medical insurance claims. When asked when and how it was most
   appropriate to learn these concepts, 35.3% cited within an accredited
   athletic training program curriculum, 32.9% preferred on-the-job
   training, and 31.1% selected via continuing education.
   Conclusions: At NCAA institutions, ATs were responsible for
   administering athletic medical claims, a task in which most had no
   formal training. An AT may not possess adequate skills or time to handle
   athletic medical claims. Even if ATs are not solely responsible for this
   task, they remain involved as the coordinators of care. Athletic
   training programs, professional organizations that offer continuing
   education, and hiring institutions should consider focusing on and
   training appropriate personnel to manage athletic medical claims.
ZR 0
ZB 0
ZS 0
ZA 0
TC 0
Z8 0
Z9 0
U1 0
U2 1
SN 1062-6050
EI 1938-162X
UT WOS:000451435400010
PM 30324803
ER

PT J
AU Riley, Bernadette
TI Using the Flipped Classroom With Simulation-Based Medical Education to
   Engage Millennial Osteopathic Medical Students
SO JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION
VL 118
IS 10
BP 673
EP 678
DI 10.7556/jaoa.2018.147
PD OCT 2018
PY 2018
AB With advances in technology and the advent of social media and social
   networking sites, the way medical education is taught to millennials
   must evolve. The "flipped classroom," which occurs when students are
   exposed to learning materials before their assigned face-to-face class
   or didactic session, can help engage all learning styles. A flipped
   classroom paired with simulation-based medical education (SBME) engages
   millennial learners to acquire the large amount of information required
   in osteopathic medical school. Using this paired approach in osteopathic
   medical education can help students meet the requirements outlined by
   the Accreditation Council for Graduate Medical Education (ACGME). With
   the single accreditation system for graduate medical education,
   finalizing in 2020, this article proposes mandating a flipped classroom
   with SBME to better prepare osteopathic medical students for their
   training in ACGME-accredited programs.
ZS 0
ZB 0
TC 7
ZA 0
Z8 0
ZR 0
Z9 7
U1 0
U2 10
SN 0098-6151
EI 1945-1997
UT WOS:000451830900009
PM 30264142
ER

PT J
AU Almeida, Joao Paulo
   Velasquez, Carlos
   Karekezi, Claire
   Marigil, Miguel
   Hodaie, Mojgan
   Rutka, James T.
   Bernstein, Mark
TI Global neurosurgery: models for international surgical education and
   collaboration at one university
SO NEUROSURGICAL FOCUS
VL 45
IS 4
AR E5
DI 10.3171/2018.7.FOCUS18291
PD OCT 2018
PY 2018
AB OBJECTIVE International collaborations between high-income (HICs) and
   low- and middle-income countries (LMICs) have been developed as an
   attempt to reduce the inequalities in surgical care around the world. In
   this paper the authors review different models for international
   surgical education and describe projects developed by the Division of
   Neurosurgery at the University of Toronto in this field.
   METHODS The authors conducted a review of models of international
   surgical education reported in the literature in the last 15 years.
   Previous publications on global neurosurgery reported by the Division of
   Neurosurgery at the University of Toronto were reviewed to exemplify the
   applications and challenges of international surgical collaborations.
   RESULTS The most common models for international surgical education and
   collaboration include international surgical missions, long-term
   international partnerships, fellowship training models, and online
   surgical education. Development of such collaborations involves
   different challenges, including limited time availability, scarce
   funding/resources, sociocultural barriers, ethical challenges, and lack
   of organizational support. Of note, evaluation of outcomes of
   international surgical projects remains limited, and the development and
   application of assessment tools, such as the recently proposed Framework
   for the Assessment of International Surgical Success (FAIRNeSS), is
   encouraged.
   CONCLUSIONS Actions to reduce inequality in surgical care should be
   implemented around the world. Different models can be used for bilateral
   exchange of knowledge and improvement of surgical care delivery in
   regions where there is poor access to surgical care. Implementation of
   global neurosurgery initiatives faces multiple limitations that can be
   ameliorated if systematic changes occur, such as the development of
   academic positions in global surgery, careful selection of participant
   centers, governmental and nongovernmental financial support, and routine
   application of outcome evaluation for international surgical
   collaborations.
RI Almeida, Joao Paulo/AAA-3306-2021; Karekezi, Claire/AAR-9283-2021; Velasquez, Carlos/N-6669-2016
OI Almeida, Joao Paulo/0000-0002-9930-3807; Karekezi,
   Claire/0000-0002-7183-899X; Velasquez, Carlos/0000-0002-4443-5888
ZR 0
Z8 1
ZS 0
ZA 0
TC 15
ZB 2
Z9 16
U1 1
U2 4
SN 1092-0684
UT WOS:000446253400005
PM 30269576
ER

PT J
AU Chen, Vivi W.
   Hoang, Don
   Garner, Warren
TI Do Websites Provide What Applicants Need? Plastic Surgery Residency
   Program Websites Versus Applicant Self-reported Needs
SO PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN
VL 6
IS 10
AR e1900
DI 10.1097/GOX.0000000000001900
PD OCT 2018
PY 2018
AB Background: Plastic surgery residency program websites (PSRWs) remain a
   major resource for applicants to one of the most competitive specialties
   in medicine, yet it is unclear how the website content aligns with
   information applicants need.
   Objective: To evaluate PSRWs and whether they are meeting applicant
   needs.
   Methods: An anonymous online survey of 2016 plastic and reconstructive
   surgery applicants evaluated the use of PSRWs and information desired.
   Two researchers then independently analyzed all 93 PSRWs in the United
   States to determine whether the websites met the needs of applicants
   based on a quantitative scoring system.
   Results: Out of 369 total applicants to plastic surgery, the survey was
   sent to the 189 applicants to University of Southern California, and 87
   responded (46% response rate). Ninety-eight percentage of respondents
   used websites during the application process. For 31%, websites served
   as the only source of information. Websites were moderately (60%) and
   only slightly useful (32%). For 22% and 34%, the quality of a website
   influenced their decision to apply or interview, respectively. Out of
   the 22 common components between the applicant survey and scoring
   assessment of websites, there was a significant difference in 17
   components (77%) between those rated as important by applicants and
   availability of the corresponding component on websites (P < 0.05).
   Average (SD) score among websites was 18.7 (5.3) out of 49 maximum
   points (36.9%). Over 30% of websites displayed broken links or missing
   or outdated information. Only 19.6% displayed a link to provide website
   feedback.
   Conclusions: PSRWs commonly include pertinent information that is
   useful; however, most are lacking components valued by applicants. These
   findings can help guide the design, content, and improvement of PSRWs to
   be quality resources for applicants.
OI Hoang, DT/0000-0002-4463-4270
ZS 0
ZA 0
TC 15
ZR 0
ZB 1
Z8 0
Z9 15
U1 0
U2 0
SN 2169-7574
UT WOS:000450656100011
PM 30534485
ER

PT J
AU Grome, Luke J.
   Banuelos, Rosa C.
   Lopez, Michelle A.
   Nicome, Roger K.
   Leaming-Van Zandt, Katherine J.
TI Communication Course for Pediatric Providers Improves Self-efficacy
SO PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN
VL 6
IS 10
AR e1964
DI 10.1097/GOX.0000000000001964
PD OCT 2018
PY 2018
AB Background: Communication is essential to building a trusting,
   clinician-patient relationship. Multiple studies have demonstrated the
   effects of experiential communication training on patient experience and
   provider well-being and resiliency. To date, no studies have described
   an organization-wide communication training program for pediatric
   clinicians. The objective of this study was to evaluate the impact of a
   pediatric-focused communication course on provider satisfaction,
   self-efficacy, and burnout.
   Methods: Texas Children's Hospital, in collaboration with the Academy on
   Communication in Healthcare, designed and implemented a pediatric
   focused communication course entitled Breakthrough Communication. Pre,
   immediate-post, and 3-month postcourse completion online surveys were
   sent to participants 1 day before, 1 day after, and 3 months after
   course completion. Participant demographic information, self-assessment
   of communication skills, the Maslach Burnout Inventory Human Services
   Survey, and postcourse satisfaction data were collected.
   Results: Participants reported high course satisfaction and improved
   self-efficacy in all measured skill sets both following and 3 months
   after course completion. Trends indicating a reduction in provider
   burnout improved in 2 of the 3 Maslach Burnout Inventory domains;
   however, statistical significance was not achieved.
   Conclusions: A pediatric-focused communication course was well received
   by multi-specialty clinicians within a large, academic health care
   organization. This course enhanced clinician self-efficacy with newly
   learned pediatric encounter specific communication skills.
ZB 0
ZA 0
Z8 0
TC 4
ZR 0
ZS 0
Z9 4
U1 1
U2 3
SN 2169-7574
UT WOS:000450656100030
PM 30534504
ER

PT J
AU Kemp, Emma
   Koczwara, Bogda
   Butow, Phyllis
   Turner, Jane
   Girgis, Afaf
   Schofield, Penelope
   Hulbert-Williams, Nicholas
   Levesque, Janelle
   Spence, Danielle
   Vatandoust, Sina
   Kichenadasse, Ganessan
   Roy, Amitesh
   Sukumaran, Shawgi
   Karapetis, Christos S.
   Richards, Caroline
   Fitzgerald, Michael
   Beatty, Lisa
TI Online information and support needs of women with advanced breast
   cancer: a qualitative analysis
SO SUPPORTIVE CARE IN CANCER
VL 26
IS 10
BP 3489
EP 3496
DI 10.1007/s00520-018-4206-1
PD OCT 2018
PY 2018
AB Purpose Women with advanced breast cancer (ABC) face significant
   adjustment challenges, yet few resources provide them with information
   and support, and attendance barriers can preclude access to face-to-face
   psychosocial support. This paper reports on two qualitative studies
   examining (i) whether information and support-seeking preferences of
   women with ABC could be addressed in an online intervention, and (ii)
   how an existing intervention for patients with early stage cancer could
   be adapted for women with ABC.
   Methods Women with ABC participated in telephone interviews about their
   information and support-seeking preferences (N = 21) and evaluated an
   online intervention focused on early-stage cancer (N = 15). Interviews
   were transcribed and underwent thematic analysis using the framework
   method to identify salient themes.
   Results Participants most commonly sought medical, lifestyle-related,
   and practical information/support; however, when presented with an
   online intervention, participants most commonly gave positive feedback
   on content on coping with emotional distress. Difficulty finding
   information and barriers to using common sources of information/support
   including health professionals, family and friends, and peers were
   reported; however, some women also reported not wanting information or
   support. All participants evaluating the existing intervention gave
   positive feedback on various components, with results suggesting an
   online intervention could be an effective means of providing
   information/support to women with ABC, given improved
   specificity/relevance to ABC and increased tailoring to individual
   circumstances and preferences.
   ConclusionsAdaptation of an existing online intervention for early stage
   cancer appears to be a promising avenue to address the information and
   support needs of women with ABC.
RI Koczwara, Bogda/AFK-3205-2022; Koczwara, Bogda/AAG-1846-2022; Sukumaran, Shawgi/AAD-2292-2022; Karapetis, Christos/; Koczwara, Bogda/; Kichenadasse, Ganessan/; Roy, Amitesh/; Sukumaran, Shawgi/; Kemp, Emma/
OI Karapetis, Christos/0000-0003-1741-996X; Koczwara,
   Bogda/0000-0002-1201-1642; Kichenadasse, Ganessan/0000-0001-9923-5149;
   Roy, Amitesh/0000-0002-3583-7981; Sukumaran, Shawgi/0000-0001-5106-6227;
   Kemp, Emma/0000-0001-5664-8031
Z8 1
ZS 0
ZR 0
ZB 2
ZA 0
TC 20
Z9 20
U1 0
U2 5
SN 0941-4355
EI 1433-7339
UT WOS:000451483400020
PM 29693203
ER

PT J
AU Shaterjalali, Maria
   Changiz, Tahereh
   Yamani, Nikoo
TI Optimal clinical setting, tutors, and learning opportunities in medical
   education: A content analysis
SO JOURNAL OF EDUCATION AND HEALTH PROMOTION
VL 7
IS 1
DI 10.4103/jehp.jehp_56_18
PD OCT 2018
PY 2018
AB INTRODUCTION: As an integral and the most important part of medical
   education, clinical education provides the opportunity to prepare
   medical students as professionals. This study explores the standpoints
   of informants concerning the optimal conditions for clinical education
   and its components, including learning opportunities, clinical settings,
   and clinical tutors, with the aim to improve clinical teaching and
   standards. METHODS: The study design is built on qualitative content
   analysis with the directed approach. The participants were selected
   using purposive sampling with maximum variation, and the data were
   collected through online focus group discussion (FGD) and
   semi-structured individual interviews conducted either face-to-face or
   on the telephone. RESULTS: Twenty vice-chancelleries of education and
   medical education planners from across the country participated in this
   study. Concepts resulted in four main categories: educational settings,
   tutors, creating learning opportunities, and learning situations. The
   concepts were sorted into 15 subcategories, also 21 subclass 1 and 14
   subclass 2. The most extensive subcategories comprised variety of
   educational settings, teaching team conditions, and learning strategies.
   CONCLUSION: Optimal conditions for clinical education are associated
   with the use of educational settings close to the real workplace of
   general practitioners such as general inpatient settings, outpatient
   settings, and emergency department. Moreover, optimal conditions require
   the provision of learning opportunities by organized team of tutors and
   team member empowerment along with policy-making and planning on the
   national scale by the Ministry of Health in consideration of local
   conditions.
ZS 0
ZB 0
ZA 0
Z8 0
ZR 0
TC 2
Z9 2
U1 1
U2 1
SN 2277-9531
EI 2319-6440
UT WOS:000614859100008
PM 30505858
ER

PT J
AU Saldanha, Ian J.
   Petris, Rebecca
   Han, Genie
   Dickersin, Kay
   Akpek, Esen K.
TI Research Questions and Outcomes Prioritized by Patients With Dry Eye
SO JAMA OPHTHALMOLOGY
VL 136
IS 10
BP 1170
EP 1179
DI 10.1001/jamaophthalmol.2018.3352
PD OCT 2018
PY 2018
AB IMPORTANCE Dry eye is a common ocular surface condition with significant
   influence on patient quality of life and societal economic burden. There
   is an urgent need to prioritize new research for dry eye.
   OBJECTIVE To identify and rank research questions and outcomes important
   to patients with dry eye.
   DESIGN, SETTING, AND PARTICIPANTS This study was conducted using the
   following 6 steps: (1) identifying research questions from a previous
   survey of clinicians who treat patients with dry eye; (2) identifying
   outcomes from existing research (systematic reviews and their cited
   clinical trials in the Cochrane Eyes and Vision US Satellite database of
   eyes and vision reviews, and National Eye Institute-funded clinical
   trials registered on ClinicalTrials.gov) as of June 13, 2017; (3)
   identifying a sample of patients with dry eye from the email subscribers
   to the online newsletter KeratoScoop; (4) and (5) conducting a 2-round
   Delphi survey of those patients online in November and December 2017,
   respectively; and (6) designating and ranking questions and outcomes as
   important.
   MAIN OUTCOMES AND MEASURE 5 Importance assigned to research questions
   and outcomes for dry eye. A research question or outcome ranked by at
   least 75% of patients as 6 or higher on a scale of 0 to 10 was
   considered important.
   RESULTS Among the 420 patients from 15 countries who completed both
   rounds of the Delphi survey, most were 60 years of age or older (233
   [56%]), female (348 [83%]), white (393 [94%]), and of non-Hispanic
   ethnicity (398 [95%]). Among the 12 questions that clinicians had
   previously prioritized, patients rated 8 as important. The top 3
   questions pertained to effectiveness of patient education, environmental
   modifications, and topical anti-inflammatory eye drops for dry eye.
   Among the 109 outcomes identified in existing research on dry eye,
   patients rated 26 as important. Ten of these 26 were unpopular in
   existing research, with fewer than 10% of 158 studies reporting these
   outcomes. Of the 10 most important outcomes, 9 were associated with
   symptoms or quality of life. The 3 outcomes rated most important by
   patients were ocular burning or stinging, ocular discomfort, and ocular
   pain.
   CONCLUSIONS AND RELEVANCE This study identified research questions and
   outcomes important to patients with dry eye. A considerable gap was
   noted between outcomes in existing research on dry eye and outcomes
   patients consider important. Future research on dry eye should consider
   addressing the important research questions and outcomes identified
   herein, taking into account the patient perspective.
RI Akpek, Esen K/A-7054-2019
OI Akpek, Esen K/0000-0001-7700-207X
ZR 0
TC 27
Z8 1
ZA 0
ZS 0
ZB 5
Z9 28
U1 0
U2 4
SN 2168-6165
EI 2168-6173
UT WOS:000447067300020
PM 30128547
ER

PT J
AU Batista, Sara
   Santiago, Luiz Miguel
   Rosendo, Ines
TI Reasons for Perfectionism and Intolerance to Frustration in Medicine
   Students of University of Coimbra
SO ACTA MEDICA PORTUGUESA
VL 31
IS 10
BP 527
EP 533
DI 10.20344/amp.9976
PD OCT 2018
PY 2018
AB Introduction: Perfectionism and intolerance to frustration are the main
   factors of vulnerability to psychological stress observed in students of
   the Integrated Master Degree in Medicine of the Faculty of Medicine,
   University of Coimbra, a study claims. We aimed to ascertain their
   reasons, seeking for their prevention.
   Material and Methods: An observational triangulation study was
   performed, collecting the main reasons according to the opinion of a
   students focus-group, organized in a questionnaire completed with
   epidemiologic data, applied online to all students of the Integrated
   Master Degree in Medicine of the Faculty of Medicine, University of
   Coimbra. Statistical analysis was performed.
   Results: A representative sample, of n = 368, 77.7% female, was studied.
   The most important responded reasons were 'intrinsic factors' and
   'medical profession demands', with, respectively, 91.1% and 91.8% of
   'important'/'very important' answers; 'environmental pressure' is the
   less important, with 68.2% attributing those classifications. Students
   satisfied with curricular life attribute less importance to
   'environmental pressure' (p = 0.004), 'insecurity about professional
   training' (p = 0.017), 'curricular evaluation methods' (p = 0.002) and
   'Integrated Master Degree in Medicine of the Faculty of Medicine,
   University of Coimbra curricular demands' (p = 0.002); female students
   assign more importance to 'Integrated Master Degree in Medicine
   curricular demands' (p = 0.001); students involved in an extracurricular
   activity consider less important the 'environmental pressure' (p =
   0.007).
   Discussion: In this Integrated Master Degree in Medicine of the Faculty
   of Medicine, University of Coimbra students sample, vulnerability to
   psychological stress associated to perfectionism and intolerance to
   frustration is due essentially to self-demanding personality. Insecurity
   about professional demands, associated to suffering in anticipation and
   the absence of professional perspectives, represent another important
   cause.
   Conclusion: Psychological support, involvement in specific
   extracurricular activities and curricular reorganisation appear to be
   means of reducing the vulnerability to stress in medical students.
ZS 0
ZA 0
TC 0
ZR 0
ZB 0
Z8 0
Z9 0
U1 3
U2 4
SN 1646-0758
UT WOS:000448823400003
PM 30387420
ER

PT J
AU Gottlieb, Michael
   Arno, Kimbia
   Kuhns, Matthew
   Chan, Teresa M.
TI Distribution of Clinical Rotations Among Emergency Medicine Residency
   Programs in the United States
SO AEM EDUCATION AND TRAINING
VL 2
IS 4
BP 288
EP 292
DI 10.1002/aet2.10117
PD OCT 2018
PY 2018
AB Introduction: There are over 200 emergency medicine (EM) residency
   programs in the United States. While there are basic criteria defined by
   the Accreditation Council for Graduate Medical Education (ACGME), there
   can be significant variation between programs with regard to rotation
   distribution. Therefore, it would be valuable to have a benchmark for
   programs to understand their rotation mix in the context of the national
   landscape. This study aimed to provide a breakdown of the length and
   percentage of EM residency programs with each clinical rotation in the
   United States. This study also sought to examine trends and changes in
   EM residency programs since 1986.
   Methods: A list of all current EM residency programs was obtained using
   the ACGME website. All program websites were reviewed, and data were
   independently dual extracted by two investigators with discrepancies
   resolved by consensus with a third investigator. Programs without
   curricular data available online were queried via e-mail for the data.
   Programs were separated into 3- versus 4-year lengths. Mean, standard
   deviation, and range were calculated for each rotation.
   Results: A total of 200 of 202 programs (99%) had data available. Of
   these programs, 84.5% had a dedicated pediatric EM rotation with mean
   length of 9.7 weeks among 3-year programs and 12.1 weeks among 4-year
   programs. A total of 88% had a dedicated ultrasound rotation, 60% had a
   dedicated toxicology rotation, 73.5% had a dedicated emergency medical
   services rotation, 74% had a dedicated orthopedics rotation, 60% had a
   dedicated administration rotation, 29% had a dedicated research
   rotation, and 95% had dedicated elective time.
   Discussion: This study provides summative data regarding the rotation
   distribution among EM programs in the United States. Compared with prior
   data, there is less time dedicated to internal medicine rotations and
   increased pediatric, trauma, ultrasound, toxicology, and critical care
   experiences. These data will inform current and new EM residency
   programs when determining rotation selection.
RI Chan, Teresa/T-6676-2017; Gottlieb, Michael/
OI Chan, Teresa/0000-0001-6104-462X; Gottlieb, Michael/0000-0003-3276-8375
ZA 0
TC 10
Z8 0
ZS 0
ZB 1
ZR 0
Z9 10
U1 0
U2 0
EI 2472-5390
UT WOS:000770024300005
PM 30386838
ER

PT J
AU Cheng, Daryl R.
   Scodellaro, Thomas
   Uahwatanasakul, Wonie
   South, Mike
TI An Electronic Medical Record in Pediatric Medical Education: Survey of
   Medical Students' Expectations and Experiences
SO APPLIED CLINICAL INFORMATICS
VL 9
IS 4
BP 809
EP 816
DI 10.1055/s-0038-1675371
PD OCT 2018
PY 2018
AB Objective This study sought to quantitatively characterize medical
   students' expectations and experiences of an electronic health record
   (EHR) system in a hospital setting, and to examine perceived and actual
   impacts on learning.
   Methods Medical students from July to December 2016 at a tertiary
   pediatric institution completed pre- and postrotation surveys evaluating
   their expectations and experience of using an EHR during a pediatric
   medicine rotation. Survey data included past technology experience, EHR
   accessibility, use of learning resources, and effect on learning
   outcomes and patient-clinician communication.
   Results Students generally reported high computer self-efficacy (4.16
   +/- 0.752, mean +/- standard deviation), were comfortable with learning
   new software (4.08 +/- 0.771), and expected the EHR to enhance their
   overall learning (4.074 +/- 0.722). Students anticipated the EHR to be
   easy to learn, use, and operate, which was consistent with their
   experience (pre 3.86 vs. post 3.90, p = 0.56). Students did not expect
   nor experience that the EHR reduced their interaction, visual contact,
   or ability to build rapport with patients. The EHR did not meet
   expectations to facilitate learning around medication prescribing,
   placing orders, and utilizing online resources. Students found that the
   EHR marginally improved feedback surrounding clinical contributions to
   patient care from clinicians, although not to the expected levels (pre
   3.50 vs. post 3.17, p < 0.01).
   Conclusion Medical students readily engaged with the EHR, recognized
   several advantages in clinical practice, and did not consider their
   ability to interact with patients was impaired. There was widespread
   consensus that the EHR enhanced their learning and clinician's feedback,
   but not to the degree they had expected.
RI Cheng, Daryl R./H-9240-2019; South, Mike/
OI Cheng, Daryl R./0000-0001-5455-957X; South, Mike/0000-0002-5530-2722
ZB 0
ZS 0
Z8 0
ZR 0
ZA 0
TC 10
Z9 10
U1 0
U2 14
SN 1869-0327
UT WOS:000449505800001
PM 30406625
ER

PT J
AU Gostimir, Miso
   Sharma, Rahul A.
   Bhatti, Adil
TI Status of Canadian undergraduate medical education in ophthalmology
SO CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE
VL 53
IS 5
BP 474
EP 479
DI 10.1016/j.jcjo.2017.11.015
PD OCT 2018
PY 2018
AB Objective: To use the perspectives of undergraduate program directors to
   assess the current structure and adequacy of undergraduate ophthalmology
   curricula at Canadian medical schools.
   Design: Cross-sectional survey.
   Participants: Undergraduate ophthalmology program directors at each
   English-speaking Canadian medical school.
   Methods: Program directors were identified and invited to participate in
   an online survey. The 18-question survey focused on key areas of
   undergraduate ophthalmology curricula, including length, timeline,
   setting, and nature of medical students' exposure to ophthalmology. A
   period of 4 months was allowed for responses. Information from medical
   school web sites was combined with survey responses.
   Results: Responses were obtained from 7 of the 14 (50%) program
   directors. All of the respondents represented metropolitan institutions
   of greater than 100 seats. After combining survey and web site data,
   only 5 of 14 (35.7%) schools were found to have a mandatory clinical
   clerkship ophthalmology rotation. In each case, the mandatory rotation
   is less than 2 weeks. A core curriculum based on the International
   Council of Ophthalmology (ICO) guidelines is used in only 20% of
   schools. Extracurricular ophthalmology exposure in the form of research
   opportunities and interest groups exists in 100% and 71.4% of schools,
   respectively.
   Conclusions: The proportion of schools requiring mandatory clerkship
   ophthalmology rotations is only 35.7%. However, most departments use
   strategies to optimize the limited time allotted to ophthalmology
   rotations during medical school. A greater degree of adherence to the
   ICO curriculum guidelines may help to ensure that medical students
   develop an appropriate level of proficiency in managing patients with
   eye disease.
ZA 0
TC 9
Z8 0
ZR 0
ZS 0
ZB 2
Z9 9
U1 0
U2 2
SN 0008-4182
EI 1715-3360
UT WOS:000447644300028
PM 30340714
ER

PT J
AU Benard-Seguin, Etienne
   Kwok, Jason
   Liao, Walter
   Baxter, Stephanie
TI Use of a fundus photograph matching program in imparting proficiency in
   ophthalmoscopy
SO CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE
VL 53
IS 5
BP 480
EP 485
DI 10.1016/j.jcjo.2017.11.022
PD OCT 2018
PY 2018
AB Objective: To determine whether practice using an online fundus
   photograph program results in a long-term increase in proficiency with
   direct ophthalmoscopy skills in medical students.
   Design: This study was a prospective medical education trial. Students
   were enrolled to participate in a voluntary Objective Structured
   Clinical Examination (OSCE) using 5 patients with ocular findings.
   Students who matched a minimum of 6 discs 16 months before the study
   were assigned to the intervention group and were compared with students
   who did not participate in the exercise.
   Participants: Forty-six second-year medical students at Queen's
   University: 15 in the intervention group and 31 in the control group.
   Methods: Students were evaluated using the Queen's University
   Ophthalmoscopy OSCE Checklist (QUOOC). Students were asked to calculate
   the cup-to-disc ratio, comment on disc margins, and whether there was
   any macular pathology. Students participated in a summative OSCE as part
   of the curriculum in which all students attempted to match fundus
   photographs.
   Results: Students in the intervention group performed significantly
   better on the QUOOC, with a mean score of 78.3% (+/- 4.2), compared with
   the control, who had a mean score of 69.4% (+/- 4.2) (p = 0.005). The
   intervention group was significantly more accurate at matching optic
   nerve photographs, with 100% (15/15) of the students correctly
   identifying the correct optic nerve on first attempt compared with 53.3%
   (16/30) in the control group (p = 0.0014).
   Conclusions: The use of an online peer fundus photograph program leads
   to a long-term increase in examination technique, proficiency in
   ophthalmoscopy, and accuracy at matching optic nerve photographs.
CT Canadian Conference on Medical Education
CY MAY 01, 2017
CL Winnipeg, CANADA
OI Kwok, Jason/0000-0001-5573-9556
ZB 0
ZR 0
TC 2
ZA 0
Z8 0
ZS 0
Z9 2
U1 0
U2 0
SN 0008-4182
EI 1715-3360
UT WOS:000447644300029
PM 30340715
ER

PT J
AU Kiran, S.
   Sethi, Navdeep
TI Anaesthesiologist and social media: Walking the fine line
SO INDIAN JOURNAL OF ANAESTHESIA
VL 62
IS 10
BP 743
EP 746
DI 10.4103/ija.IJA_449_18
PD OCT 2018
PY 2018
AB Social media use is pervasive in society and has been rapidly
   amalgamated into the lives of anaesthesiologists. Using social media as
   an educational resource and ensuring an appropriate online presence is
   essential for professional growth. However, there are huge lacunae in
   editorial responsibility, peer review, and accountability of educational
   content on social media networks. The anaesthesiologist needs to be
   aware of the numerous shortcomings and must use social media
   responsibly. Following etiquettes, adopting a code of conduct and a high
   sense of professionalism is expected from the anaesthesiologist while
   posting on social media. Anaesthesiologists need to decide on their
   social media goals, like interaction with colleagues, continuing medical
   education or patient education, and then register for social media
   accounts accordingly. The need of the hour is comprehensive social media
   guidelines for anaesthesiologists, endorsed by institutions, societies,
   and professional health-care associations in India.
ZA 0
ZB 1
ZS 0
ZR 0
TC 3
Z8 0
Z9 3
U1 1
U2 3
SN 0019-5049
EI 0976-2817
UT WOS:000447030500003
PM 30443055
ER

PT J
AU Bonsignore, M.
   Alefelder, C.
   Pausner, N.
   Gastmeier, P.
   Nachtigall, I.
TI Perspectives for anesthesiologists in hospital hygiene
SO ANAESTHESIST
VL 67
IS 10
BP 758
EP 765
DI 10.1007/s00101-018-0478-6
PD OCT 2018
PY 2018
AB Background. It is mandatory for hospitals in Germany to employ infection
   control physicians and have an external consultation. The recommended
   coverage has substantially increased in the last years. Typically,
   infection control physicians are specialists for hygiene and
   environmental medicine and/or for microbiology. As there is already a
   shortage of these specialists, a curricular educational program in
   infection control was developed by the German Medical Association in
   2011. This program addresses specialists of different clinical
   disciplines. It covers a period of 24 months and includes 200 h of
   courses, divided into 6 modules. In addition, 7 weeks of internships
   must be absolved in hospital hygiene, in a microbiological laboratory
   and in the public health service. During the program, the trainee must
   be accompanied by a qualified supervisor, who is a specialist in
   hygiene. The aim of this article is to describe the current status of
   this program.
   Methods. A total of 91 infection control physicians, organized in
   different networks, were invited by email to take part in a survey with
   the online tool Survey Monkey (San Mateo, USA). The questions in the
   survey aimed at the characteristics of the participants as well as the
   conditions of the program. Further information about the various general
   regulations and conditions of the course was gathered through internet
   research, and from telephone and email contact with the State Medical
   Associations.
   Results. Approximately 250 physicians completed the program between 2011
   and 2017. The graduates were mostly anesthesiologists (45%) and 81% had
   a leading position (consultant or higher) before beginning the program.
   Most of them also had further education in antibiotic stewardship and/or
   infectious diseases. The requirements regarding training hours,
   examination and certification varied between the State Medical
   Associations. The supervision, a mandatory part of the program, is also
   implemented differently from state to state. Of the participants 49%
   felt well-qualified for the challenges ahead after finishing this
   program.
   Discussion. The program was able to increase the number of infection
   control physicians in a relatively short period of time; however, to
   guarantee a comparable quality of education it is necessary to
   standardize the requirements on a national level. The supervision also
   needs to be further specified. A new program is currently being
   developed by the German Medical Association, which will hopefully lead
   to an improvement of the educational program. Special strengths of the
   new infection control physicians are the broad clinical experience as
   well as the additional qualifications in antibiotic stewardship and/or
   infectious diseases. The weaknesses are the lack of practical experience
   and knowledge of technical hygiene. A mandatory inclusion of antibiotic
   stewardship and infectious diseases in the program would increase its
   impact. Anesthesiologists are well-suited for training as infection
   control physicians. For them, a new, exciting field of activity has
   opened up with the chance to be the head of their own department.
RI Bonsignore, Maria/U-6440-2017; Nachtigall, Irit/AAZ-9526-2021; Gastmeier, Petra/
OI Bonsignore, Maria/0000-0002-4875-7796; Gastmeier,
   Petra/0000-0001-5520-4287
ZS 0
Z8 0
ZB 0
TC 1
ZR 0
ZA 0
Z9 1
U1 0
U2 3
SN 0003-2417
EI 1432-055X
UT WOS:000447213200005
PM 30105518
ER

PT J
AU Gano, Laura
   Renshaw, Scott E.
   Hernandez, Ruben H.
   Cronholm, Peter F.
TI Opioid Overdose Prevention in Family Medicine Clerkships: A CERA Study
SO FAMILY MEDICINE
VL 50
IS 9
BP 698
EP 701
DI 10.22454/FamMed.2018.757385
PD OCT 2018
PY 2018
AB BACKGROUND AND OBJECTIVES: The national opioid crisis requires medical
   education to develop a proactive response centering on prevention and
   treatment. Primary care providers (PCPs)-many of whom are family
   medicine physicians-commonly treat patients on opiates, and write nearly
   50% of opioid prescriptions. Despite linkages between PCP opioid
   prescribing patterns and the associated potential for overdose, little
   is known about how family medicine clerkship students are trained to
   prevent opioid overdose, including training on the use of naloxone. This
   study describes the presence of opioid overdose education at the
   national level and barriers to inclusion. It also discusses
   implementation strategies along with instructional methodology and
   learner evaluation.
   METHODS: Data were collected as part of a cross-sectional survey
   administered electronically by the Council of Academic Family Medicine
   Educational Research Alliance to 139 family medicine clerkship
   directors.
   RESULTS: A total of 99 clerkship directors (71.2% response rate)
   responded to the survey. A large majority (86.4%) agreed that it is
   important to offer opioid overdose prevention education in the
   clerkship, yet only 25.8% include this topic. Of these, only 50.0%
   address naloxone use. The most common barriers to including opioid
   overdose prevention education were prioritization of educational topics
   (82.1%) followed by lack of available faculty with sufficient
   experience/expertise (67.7%).
   CONCLUSIONS: Findings point to a disparity between perceived importance
   of opioid overdose prevention education and inclusion of this topic in
   family medicine clerkship-level medical education. Innovative use of
   online education and partnering with community resources may address
   barriers related to curricular prioritization while supporting
   interprofessional education principles.
Z8 0
ZS 0
ZB 0
ZA 0
ZR 0
TC 3
Z9 3
U1 0
U2 0
SN 0742-3225
EI 1938-3800
UT WOS:000449431100009
PM 30307589
ER

PT J
AU Jopson, Laura
   Khanna, Amardeep
   Peterson, Patricia
   Rudell, Elaine
   Corrigan, Margaret
   Jones, David
TI Are Clinicians Ready for Safe Use of Stratified Therapy in Primary
   Biliary Cholangitis (PBC)? A Study of Educational Awareness
SO DIGESTIVE DISEASES AND SCIENCES
VL 63
IS 10
BP 2547
EP 2554
DI 10.1007/s10620-018-5074-8
PD OCT 2018
PY 2018
AB BackgroundPrimary Biliary Cholangitis (PBC, formerly cirrhosis), is a
   chronic cholestatic liver disease which until spring 2016 had a single
   licensed therapy, Ursodeoxycholic acid (UDCA). Approximately 30% of
   patients do not respond to UDCA, and are high-risk for progressing to
   end stage liver disease, transplantation or death. A new era of
   stratified medicine with second-line therapies to treat high-risk
   disease is emerging, with the first such second-line agent obeticholic
   acid recently receiving FDA and EMA approval and entering practice.
   Recent experience in the USA of inappropriate use and associated deaths
   has highlighted concerns as to whether clinicians have the knowledge to
   implement second-line therapies appropriately and safely.MethodsOnline
   survey of knowledge regarding optimal PBC management in
   Gastroenterologists and Hepatologists in the USA; the first 100
   completed responses from each group used for analysis.Results80% of
   Hepatologists felt they were highly competent in their understanding of
   the importance of early diagnosis and early UDCA therapy in PBC compared
   with 65% of gastroenterologists. However, only 36% of Hepatologists and
   30% of gastroenterologists felt competent at assessing response to UDCA.
   Competence in knowledge (mode of action, efficacy, and side effects) of
   second-line therapies and enrollment into trials was low among both
   groups.ConclusionSignificant knowledge gaps in clinicians managing PBC
   presents a problem in optimizing care. It is perhaps not surprising that
   knowledge of emerging second-line therapies is low, however more
   concerning is sub-optimal use of UDCA in real-life practice and the lack
   of confidence at assessing treatment response which should be a routine
   part of clinical practice to assess risk of disease progression and will
   be key in delivering stratified medicine.
ZR 0
Z8 0
ZS 0
TC 4
ZB 1
ZA 0
Z9 4
U1 0
U2 2
SN 0163-2116
EI 1573-2568
UT WOS:000444614000012
PM 29736833
ER

PT J
AU Bae, Steven S.
   Baxter, Stephanie
TI YouTube videos in the English language as a patient education resource
   for cataract surgery
SO INTERNATIONAL OPHTHALMOLOGY
VL 38
IS 5
BP 1941
EP 1945
DI 10.1007/s10792-017-0681-5
PD OCT 2018
PY 2018
AB PurposeTo assess the quality of the content of YouTube videos for
   cataract surgery patient education.SettingHotel Dieu Hospital, Kingston,
   Ontario, Canada.DesignObservational study.MethodsCataract surgery,
   cataract surgery for patients, and cataract surgery patient education
   were used as search terms. The first two pages of search results were
   reviewed. Descriptive statistics such as video length and view count
   were obtained. Two cataract surgeons devised 14 criteria important for
   educating patients about the procedure. Videos were analyzed based on
   the presence or absence of these criteria. Videos were also assessed for
   whether they had a primary commercial intent.ResultsSeventy-two videos
   were analyzed after excluding 48 videos that were duplicate, irrelevant,
   or not in English. The majority of videos came from a medical
   professional (71%) and many depicted a real cataract surgery procedure
   (43%). Twenty-one percent of the videos had a primary commercial intent
   to promote a practice or product. Out of a total possible 14 points, the
   mean number of usefulness criteria satisfied was only 2.281.80. There
   was no significant difference in view count between the most useful
   videos and other videos (p=0.94). Videos from medical organizations such
   as the National Health Service were more useful (p<0.0001).Conclusions
   Cataract surgery videos are popular on YouTube, but most are not
   adequately educational. Patients may be receiving biased information
   from videos created with primary commercial intent. Physicians should be
   aware of the type of information patients may be accessing on YouTube.
OI Bae, Steven/0000-0001-5759-3036
ZR 0
ZB 5
Z8 0
TC 34
ZS 0
ZA 0
Z9 34
U1 1
U2 7
SN 0165-5701
EI 1573-2630
UT WOS:000444586400016
PM 28849436
ER

PT J
AU McDonald, Catherine C.
   Kennedy, Erin
   Fleisher, Linda
   Zonfrillo, Mark R.
TI Factors Associated with Cell Phone Use While Driving: A Survey of
   Parents and Caregivers of Children Ages 4-10 Years
SO JOURNAL OF PEDIATRICS
VL 201
BP 208
EP 214
DI 10.1016/j.jpeds.2018.06.003
PD OCT 2018
PY 2018
AB Objectives To examine characteristics associated with cell phone use
   while driving by parents and caregivers of children ages 4-10 years.
   Study design National cross-sectional online survey with a convenience
   sample (March 2017-April 2017). Inclusion criteria: Parent/caregiver of
   a child age 4-10 years in their home, age >= 18 years, read and spoke
   English, and drove child >= 6 times in previous 3 months. Adjusted
   logistic regression analyses were modeled for outcome measures of
   previous 3-month self-report cell phone use while driving with the
   child.
   Results The analytic sample was n = 760. In the previous 3 months, 47%
   of parent/caregivers talked on a hand-held phone, 52.2% talked on a
   hands-free phone. 33.7% read texts, 26.7% sent texts, and 13.7% used
   social media while driving with their child in the vehicle. Compared
   with those who always used their typical child restraint system,
   participants who did not always use were more likely to talk on a
   hands-free phone (aOR 1.97, 95% CI 1.26-3.09), read a text (aOR 1.74.
   95% CI 1.11-2.73), send a text (aOR 1.65, 95% CI 1.04-2.62), and use
   social media (aOR 2.92, 95% CI 1.73-4.94) while driving. Higher income,
   not wearing a seat belt (driver) on every trip, and driving under
   influence of alcohol also were associated with various types of cell
   phone use while driving.
   Conclusions Inconsistent child restraint system use, lack of seat belt
   use, and driving under the influence of alcohol are associated with
   parent/caregiver cell phone use while driving. Screening and education
   related to parental driving behaviors should include addressing multiple
   risk behaviors.
RI Zonfrillo, Mark R./H-9403-2017; McDonald, Catherine/; Kennedy, Erin/
OI Zonfrillo, Mark R./0000-0002-0610-9563; McDonald,
   Catherine/0000-0003-3856-8542; Kennedy, Erin/0000-0002-1981-0260
ZS 0
ZA 0
TC 7
ZR 0
ZB 0
Z8 0
Z9 7
U1 0
U2 3
SN 0022-3476
EI 1097-6833
UT WOS:000445139100038
PM 30017337
ER

PT J
AU Marcus, Hani J.
   Jain, Abhiney
   Grieve, Joan
   Dorward, Neil L.
TI Informed Consent for Patients Undergoing Transsphenoidal Excision of
   Pituitary Adenoma: Development and Evaluation of a Procedure-Specific
   Online Educational Resource
SO WORLD NEUROSURGERY
VL 118
BP E933
EP E937
DI 10.1016/j.wneu.2018.07.102
PD OCT 2018
PY 2018
AB OBJECTIVE: The results of recent high-profile delict and medical
   negligence cases now require doctors to take "reasonable care to ensure
   that the patient is aware of any material risks involved in any
   recommended treatment, and of any reasonable alternative or variant
   treatments." Thus, we report the development and evaluation of a
   procedure-specific online educational resource to support the informed
   consent process for patients undergoing transsphenoidal excision of
   pituitary adenomas.
   METHODS: An interactive educational multimedia website was developed
   using a combination of text, images, and videos. A telephone
   questionnaire was devised to evaluate patients' understanding that
   included 15 true/false questions. The questionnaire was administered to
   separate cohorts of patients on the waiting list for transsphenoidal
   excision of a pituitary adenoma before and after introduction of the
   website. The patients were also asked to rate the extent to which they
   found the website easy to understand and useful on a 10-point Likert
   scale. Data were compared using the chi(2) and Mann-Whitney U test, with
   P < 0.05 considered to indicate statistical significance.
   RESULTS: Ten consecutive patients completed the questionnaire before the
   introduction of the website and nine afterward. The median questionnaire
   scores were significantly greater after the introduction of the website
   (14 of 15 vs. 12 of 15; P=0.002), and all patients subjectively found
   the website easy to understand and useful (10 of 10 in both groups).
   CONCLUSIONS: An interactive educational multimedia website appears to be
   a helpful adjunct to the informed consent process for patients
   undergoing transsphenoidal excision of a pituitary adenoma.
ZR 0
ZS 0
Z8 0
TC 4
ZA 0
ZB 0
Z9 4
U1 0
U2 2
SN 1878-8750
EI 1878-8769
UT WOS:000445032000121
PM 30031952
ER

PT J
AU Soares de Camargo, Celeste Rodovalho
   Maselli Schoueri, Jean Henri
   Neto, Felippe Lazar
   Segalla, Paola Boaro
   del Giglio, Auro
   Cubero, Daniel I. G.
TI Medical Student Oncology Congress: Designed and Implemented by Brazilian
   Medical Students
SO JOURNAL OF CANCER EDUCATION
VL 33
IS 5
BP 1151
EP 1158
DI 10.1007/s13187-017-1215-6
PD OCT 2018
PY 2018
AB Oncology is an essential field of medicine; however, its teaching is
   occasionally underemphasized and uncoordinated during medical school. An
   alternative method of providing additional oncological information to
   medical students is through extracurricular activities, such as
   congresses and medical student associations. The aim of this paper is to
   describe a Medical Student Oncology Congress entirely designed and
   organized by medical students. Three medical students from oncology
   study and research groups identified the gap in oncology training at
   universities and decided to organize a congress for students. They
   selected representatives from 26 universities in Brazil for onsite
   registration and created a website for online registration and promotion
   of the congress. To determine the topics of the lectures, they searched
   the medical literature for the most commonly occurring cancers in adults
   and children. Extrapolating the academic content of oncology, they
   organized lectures by non-governmental organizations (NGOs), talks on
   career guidance and research in this field as well as a role-playing
   workshop to train future doctors on how to deliver news to patients.
   There were a total of 609 attendees, with 590 students from 26 different
   universities in Brazil. Approximately 82% were medical students, and
   among the participants there were also 15 medical educators. A total of
   80.75% of the participants were extremely satisfied with the congress,
   and 99.17% would recommend it to a colleague. Most of the overall cost
   of the congress, 96%, was covered by registration fees. There was a 6%
   positive net balance, which was donated to the NGOs participating in the
   congress. This successful experience proves that it is possible to have
   a congress fully designed, organized and managed by students. It
   demonstrates how students can be active participants in their own
   education, as opposed to a classic approach through which only
   professors are responsible for instruction.
RI Cubero, Daniel/ABD-1856-2020; Cubero, Daniel IG/N-8720-2013
OI Cubero, Daniel/0000-0002-1936-2605; Cubero, Daniel
   IG/0000-0002-1936-2605
TC 1
Z8 0
ZA 0
ZR 0
ZB 0
ZS 0
Z9 1
U1 0
U2 0
SN 0885-8195
EI 1543-0154
UT WOS:000448674500031
PM 28361359
ER

PT J
AU Ismailov, Rovshan M.
   Khasanova, Zaytuna D.
TI Biosimilar Knowledge Among Oncology/Hematology Team Members in Colorado,
   USA: An Educational Initiative and Follow-Up Survey
SO BIODRUGS
VL 32
IS 5
BP 499
EP 506
DI 10.1007/s40259-018-0301-6
PD OCT 2018
PY 2018
AB BackgroundNo data exist regarding oncology/hematology team members'
   knowledge of and views on biosimilars in Colorado, USA. Published
   research has suggested that health professionals may have a poor
   understanding of many issues related to biosimilars.ObjectivesOur goal
   was to increase oncology/hematology team members' knowledge of
   biosimilars and then use an anonymous online survey to assess the
   knowledge gained. We also aimed to examine oncology/hematology team
   members' overall interest in the subject and their motivation to learn
   more about biosimilars in the future.MethodsIn phase I of the project,
   we developed printed materials covering many topics related to
   biosimilars, such as definition, regulation, and interchangeability, and
   the potential of biosimilars in optimal combination therapy for cancer.
   We distributed our brochures to each participating oncology/hematology
   office in Colorado. The oncology/hematology team members were then asked
   to complete the survey.ResultsA total of 62 team members responded to
   our survey. Nearly three-quarters of participants were oncology nurses
   or oncology nurse practitioners. More than 90% of survey respondents
   identified correct answers about the definition, regulations,
   interchangeability, safety, cost issues, and use of biosimilars in
   oncology and in older patients with cancer. Overall, and compared with
   those who had low levels of interest and motivation, significantly more
   (p<0.05) study participants were interested in the subject of
   biosimilars [57 (92%) vs. 5 (8%)], motivated to learn more about them
   [59 (95%) vs. 3 (5%)], and interested in sharing information about
   biosimilars with colleagues and patients [51 (82%) vs. 11
   (18%)].ConclusionOur results demonstrate that oncology/hematology team
   members participating in our study became familiar with many important
   issues related to biosimilars. Many survey respondents were highly
   motivated to participate in future training focused on biosimilars,
   which should pave the way for new educational projects in the area.
ZS 0
ZA 0
ZR 0
TC 8
ZB 4
Z8 0
Z9 8
U1 0
U2 1
SN 1173-8804
EI 1179-190X
UT WOS:000446665700008
PM 30120705
ER

PT J
AU Linzey, Joseph R.
   Graffeo, Christopher S.
   Wang, Justin Z.
   Haider, Ali S.
   Alotaibi, Naif M.
TI Neurosurgery and the rise of academic social media: what neurosurgeons
   should know
SO JOURNAL OF NEUROSURGERY
VL 129
IS 4
BP 1093
EP 1097
DI 10.3171/2018.2.JNS172817
PD OCT 2018
PY 2018
RI Graffeo, Christopher S/ABE-5578-2020; Haider, Ali/; Alotaibi, Naif/
OI Graffeo, Christopher S/0000-0001-5314-1067; Haider,
   Ali/0000-0002-4368-871X; Alotaibi, Naif/0000-0002-8227-347X
ZR 0
TC 15
ZA 0
Z8 0
ZS 0
ZB 2
Z9 15
U1 0
U2 10
SN 0022-3085
EI 1933-0693
UT WOS:000446085200030
PM 29979122
ER

PT J
AU France, Christopher R.
   France, Janis L.
TI Fear of blood draw is associated with inflated expectations of faint and
   prefaint reactions to blood donation
SO TRANSFUSION
VL 58
IS 10
BP 2360
EP 2364
DI 10.1111/trf.14934
PD OCT 2018
PY 2018
AB BACKGROUNDAlthough the risk of fainting and prefaint reactions (e.g.,
   dizziness, lightheadedness) is low during blood donation, there is
   evidence that this risk remains a concern for many donors. This study
   sought to measure perceived risk for such reactions within the general
   population and to relate perceived risk to individual reports of fear of
   having blood drawn.
   STUDY DESIGN AND METHODSA sample of 1019 men and women (52.2% male; mean
   SD age, 37.2 12.3 years; range, 18-80 years) completed an anonymous
   online survey that included questions that asked about their 1)
   estimation of the frequency of faint and prefaint symptoms experienced
   by blood donors and 2) fear of having blood drawn.
   RESULTSSurvey respondents overestimated the risk of both faint and
   prefaint reactions to blood donation, with estimates of fainting risk
   being more than 20 times the actual risk. Further, the perceived risk of
   both faint reactions (F(4,1008) = 25.88, p < 0.001) and prefaint
   reactions (F(4,1008) = 17.37, p < 0.001) was higher among those who
   reported greater fear of having blood drawn.
   CONCLUSIONThe general public has inflated expectations of the risk for
   faint and prefaint reactions to blood donation, suggesting that efforts
   to educate prospective donors with accurate information may help to
   reduce this relatively common concern.
OI France, Christopher/0000-0002-4723-0247
Z8 0
ZS 0
TC 11
ZB 6
ZA 0
ZR 0
Z9 11
U1 0
U2 5
SN 0041-1132
EI 1537-2995
UT WOS:000446320000018
PM 30222871
ER

PT J
AU Cheung, Gary
   Gale, Chris
   Menkes, David B.
TI What affects completion of the scholarly project? A survey of RANZCP
   trainees
SO AUSTRALASIAN PSYCHIATRY
VL 26
IS 5
BP 545
EP 550
DI 10.1177/1039856218772250
PD OCT 2018
PY 2018
AB Objective: To explore trainee perception of what facilitates or delays
   completion of the RANZCP Scholarly Project (SP).
   Method: Of 182 currently registered New Zealand trainees, 33 (18%)
   completed an online questionnaire and three open-ended questions.
   Results: Most trainees agreed or strongly agreed that having protected
   time for research (87.5%) and access to an appropriate supervisor
   (87.9%) would facilitate the completion of their SP. Other college
   requirements were identified by most trainees (87.9%) as a factor
   delaying completion.
   Conclusions: Identifying and protecting research time and ensuring
   adequate supervision appear essential to improve the uptake and
   completion of this training requirement.
RI Gale, Christopher Kennington/C-6513-2009
OI Gale, Christopher Kennington/0000-0001-8032-765X
ZS 1
Z8 0
ZB 0
ZA 0
TC 5
ZR 0
Z9 5
U1 0
U2 1
SN 1039-8562
EI 1440-1665
UT WOS:000446097600022
PM 29737192
ER

PT J
AU Milam, E. C.
   Leger, M. C.
TI Use of medical photography among dermatologists: a nationwide online
   survey study
SO JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY
VL 32
IS 10
BP 1804
EP 1809
DI 10.1111/jdv.14839
PD OCT 2018
PY 2018
AB BackgroundMedical photography enhances patient care, medical education
   and research. Despite medical photography's widespread use, little is
   known about how dermatologists choose to implement photography in
   routine clinical practice, and how they approach issues of image
   storage, image security and patient consent.
   ObjectiveTo characterize dermatologists' medical photography habits and
   opinions.
   MethodsA 32-item anonymous, multiple-choice SurveyMonkey questionnaire
   about medical photography practices was emailed to programme directors
   of the 117 United States (US) dermatology residency programmes between
   May and August 2015, with a request to forward to faculty and affiliated
   dermatologists. Only board-certified dermatologists practicing in the
   United States were eligible. The Institutional Review Board exempted our
   study from full review.
   ResultsOur survey included 153 board-certified dermatologists, primarily
   representing the north-east (43.1%) and identifying as academic
   dermatologists (75.5%). Medical photography is prevalent: 61.8% report
   everyday use and 21.7% photograph every patient. Those reporting rare
   use (3.3%) were, on average, 20 years older. Dermatologists most
   commonly use photography to mark biopsy sites (87.5%), track disease
   (82.9%) and for education/teaching (72.4%). Nearly half (46%) use
   smartphone cameras. Emailing and texting photographs with patients or
   colleagues are common (69.1%). Most dermatologists (75.7%) always
   request patient consent for photographs. Only 23.7% adhere to a
   photography protocol and 73.9% desire more training opportunities.
   ConclusionDermatologists value medical photography. While patterns of
   image acquisition, storage and consent are noted, a variety of methods
   and preferences exist. Clearer photography guidelines and increased
   educational resources are likely to improve image quality,
   exchangeability and confidentiality.
OI Milam, Emily C/0000-0002-8930-6561
ZS 0
ZA 0
ZR 0
Z8 0
ZB 0
TC 8
Z9 8
U1 0
U2 1
SN 0926-9959
EI 1468-3083
UT WOS:000446838100050
PM 29405432
ER

PT J
AU Adizie, T.
   Elamanchi, S.
   Prabu, A.
   Pace, A. V.
   Laxminarayan, R.
   Barkham, N.
TI Knowledge of features of inflammatory back pain in primary care in the
   West Midlands: a cross-sectional survey in the United Kingdom
SO RHEUMATOLOGY INTERNATIONAL
VL 38
IS 10
BP 1859
EP 1863
DI 10.1007/s00296-018-4058-5
PD OCT 2018
PY 2018
AB The objective of this study was to assess current practice of our local
   general practitioners (GPs) in using clinical features, as well as
   radiological and laboratory investigations to assess patients with IBP.
   An online, observational questionnaire-based survey was done in 10 West
   Midlands CCGs including disparate geographical and socioeconomic areas.
   The survey consisted of 23 questions based on Calin, Berlin and ESSG
   Criteria for spondyloarthropathies. GPs were asked to rate the
   importance of a range of symptoms as indications of IBP IBP (10 point
   scale, range 1-10), and what their views were on which were the most
   important treatments for patients with suspected inflammatory back
   pain(4 point scale, range 1-4). The 4 most important symptoms for
   predicting inflammatory back pain according to our local cohort of GPs
   were 'morning stiffness' sleep disturbances caused by back pain'
   insidious onset' and 'age of onset' <45. Among the treatment options,
   NSAIDs were ranked as the most important treatment option for IBP.
   DMARDS were rated as the next most important treatment option, ahead of
   physiotherapy and anti-TNF therapy. This study has highlighted relative
   lack of confidence among GPs in the assessment of IBP. Whether this
   reflects a need for education or poor performance of these questions in
   primary care populations requires further study.
Z8 0
ZS 0
ZB 1
ZA 0
TC 3
ZR 0
Z9 3
U1 0
U2 19
SN 0172-8172
EI 1437-160X
UT WOS:000444726100010
PM 30027350
ER

PT J
AU Legemate, Jaap D.
   Zanetti, Stefano P.
   Freund, Jan Erik
   Baard, Joyce
   de la Rosette, Jean J. M. C. H.
TI Surgical teaching in urology: patient safety and educational value of
   "LIVE' and "SEMI-LIVE' surgical demonstrations
SO WORLD JOURNAL OF UROLOGY
VL 36
IS 10
BP 1673
EP 1679
DI 10.1007/s00345-018-2291-x
PD OCT 2018
PY 2018
AB PurposeTo evaluate the opinion of urologists and their audience
   regarding patient safety and educational value of live surgical
   demonstrations (LSD) and semi-live surgical demonstrations
   (semi-LSD).MethodsFollowing the 2017 Challenges in Endourology' meeting,
   a survey addressing patient safety and the educational value of LSD and
   semi-LSD was disseminated online to all participants. Survey outcomes of
   LSD and semi-LSD were compared. ResultsAll 279 respondents attended both
   LSD and semi-LSD. Overall, 53% of said respondents stated that patient
   safety was always the highest priority for LSD, while 74% noted the same
   for semi-LSD. The complication risk in LSD was perceived equal by 57% of
   the respondents when compared to cases of similar difficulty in routine
   practice, while 38% perceived it as a greater risk. For semi-LSD, the
   complication risk was perceived equal by 84%, while 5% perceived it to
   be a greater risk in comparison to general practice. On a scale from 0
   (no value) to 10 (highly valuable), the average educational value of LSD
   and semi-LSD was rated 8.4 and 8.3, respectively. A substantial
   percentage of the surgeons who perform LSD express concerns that live
   surgery is not the optimal setting to ensure patient
   safety.ConclusionsLSD remains a popular tool for surgical education
   among urologists and their audience. However, patient safety remains a
   concern and is perceived less of a concern for semi-LSD. The educational
   value of LSD and semi-LSD was scored equally high. Therefore, we should
   consider to advocate the use of semi-LSD more often.
OI Freund, Jan Erik/0000-0001-9296-1148
Z8 0
ZR 0
TC 7
ZB 4
ZA 0
ZS 0
Z9 7
U1 0
U2 4
SN 0724-4983
EI 1433-8726
UT WOS:000445121400020
PM 29680950
ER

PT J
AU McClain, Elizabeth K.
   Johnson-Moton, Yolanda
   Larsen, Bryan
   Ellis, Rebecca J. Bartlett
   Niederhoffer, Eric
TI Making medicines: A case study in innovative academia-industry
   educational partnerships
SO INDUSTRY AND HIGHER EDUCATION
VL 32
IS 5
BP 302
EP 311
DI 10.1177/0950422218785826
PD OCT 2018
PY 2018
AB The approach to building innovative partnerships between academia and
   the pharmaceutical industry has expanded to investigate collaborations
   that offer meaningful outcomes beyond discovery and increased
   productivity. This case study uses a systems thinking approach to guide
   the process and analyse the outcome of a partnership undertaken by one
   pharmaceutical company and academia. The collaborative process
   established three tiers of evolution over a 3-year period. The outcome
   was an online module-based course, entitled Making Medicines: The
   Process of Drug Development', that provides information about the drug
   discovery and development process. Both the course development and the
   final product serve as a useful case study of how collaboration between
   academia and industry might be achieved. The development process itself
   is proposed as an appropriate approach for building educational
   partnerships.
ZB 1
TC 1
ZR 0
ZS 0
ZA 0
Z8 0
Z9 1
U1 1
U2 7
SN 0950-4222
EI 2043-6858
UT WOS:000446339500003
ER

PT J
AU Lui, Justin T.
   Compton, Evan D.
   Ryu, Won Hyung A.
   Hoy, Monica Y.
TI Assessing the role of virtual reality training in Canadian
   Otolaryngology-Head & Neck Residency Programs: a national survey of
   program directors and residents
SO JOURNAL OF OTOLARYNGOLOGY-HEAD & NECK SURGERY
VL 47
AR 61
DI 10.1186/s40463-018-0309-4
PD OCT 1 2018
PY 2018
AB Background: Given mounting pressure of work hour restrictions, resource
   constraints, and variability of clinical exposure, Otolaryngology-Head &
   Neck Surgery (OHNS) residency training has shifted away from the
   apprenticeship model to embrace the Royal College of Physicians and
   Surgeons of Canada's "Competence by Design" initiative. As a result,
   appraising both current and potential educational adjuncts has become
   increasingly important. In this investigation, a national needs
   assessment survey was performed to identify strengths, weaknesses, and
   future opportunities of the current training landscape.
   Methods: An online survey was distributed to all thirteen Canadian OHNS
   post-graduate administrators for completion by program directors and
   residents from February to October in 2016. Prior to distribution, the
   survey was vetted for face validity by a group of staff
   Otolaryngologists and questions were modified accordingly. Quantitative
   analysis was performed on SPSS (IBM Corp., Chicago) with non-parametric,
   two-tailed Mann-Whitney U testing performed on scaled questions.
   Results: Of the 68 responses, 11 of 13 (84.6%) of program directors and
   57 of 168 (33.9%) residents responded to the survey. All 13 programs
   currently utilize cadaveric laboratory dissections. Associated
   challenges were ranked as specimen availability, faculty participation,
   insufficient space, and resident time constraints. 30.8% of programs
   currently utilize some form of virtual reality simulator, which 90.9% of
   program directors felt would be a fair and effective platform for
   evaluation.
   Conclusion: A discrepancy exists between the favourable attitudes of
   both residents and program directors towards virtual reality simulation
   and its actual adoption. For successful adoption to occur, the existing
   barriers to unconventional training must be addressed and the tangible
   benefits for competency based training will need to be explored.
RI Ryu, Won H/AAU-6774-2020; Lui, Justin/
OI Lui, Justin/0000-0002-6843-4249
ZR 0
ZA 0
ZB 1
Z8 1
TC 5
ZS 0
Z9 6
U1 0
U2 2
SN 1916-0216
UT WOS:000446508800001
PM 30285860
ER

PT J
AU French, Heather
   Gray, Megan
   Gillam-Krakauer, Maria
   Bonachea, Elizabeth M.
   Carbajal, Melissa
   Payne, Allison
   Vasquez, Margarita M.
   Rubinos, Laura
   Falck, Alison
   Izatt, Susan
   Dadiz, Rita
TI Flipping the classroom: a national pilot curriculum for physiology in
   neonatal-perinatal medicine
SO JOURNAL OF PERINATOLOGY
VL 38
IS 10
BP 1420
EP 1427
DI 10.1038/s41372-018-0185-9
PD OCT 2018
PY 2018
AB Objective To explore interest, feasibility, perceived effectiveness, and
   acceptability of a standardized, national physiology curriculum for
   neonatal-perinatal medicine (NPM) fellows using online videos for
   knowledge acquisition paired with flipped classrooms (FCs) for knowledge
   application.
   Study design Two educational programs pairing online videos with FCs
   were developed and peer-reviewed. These programs were piloted at five
   institutions. Fellows completed surveys, and fellows and educators
   participated in focus groups after their FC experiences.
   Results Thirty-five fellows responded to the survey. Forty-one fellows
   and six educators participated in focus groups. Fellows and educators
   preferred online videos paired with FCs over didactic teaching and
   perceived them to be effective for knowledge acquisition and
   application.
   Conclusion Fellows and educators preferred FC learning over traditional
   didactics and reported that FCs facilitated creation of a learning
   community, fostering active learning. The favorable response toward this
   pilot project and the feasibility of its use supports further
   development of a standardized NPM physiology curriculum for fellowship
   training.
OI Payne, Allison/0000-0003-0216-6269; Gillam-Krakauer,
   Maria/0000-0002-3552-9196; French, Heather/0000-0001-8533-9158
ZR 0
TC 9
ZA 0
ZS 0
Z8 0
ZB 2
Z9 9
U1 1
U2 11
SN 0743-8346
EI 1476-5543
UT WOS:000446499400021
PM 30087455
ER

PT J
AU Shah, Ashish H.
   Barthelemy, Ernest
   Lafortune, Yudy
   Gernsback, Joanna
   Henry, Ariel
   Green, Barth
   Ragheb, John
TI Bridging the gap: creating a self-sustaining neurosurgical residency
   program in Haiti
SO NEUROSURGICAL FOCUS
VL 45
IS 4
AR E4
DI 10.3171/2018.7.FOCUS18279
PD OCT 2018
PY 2018
AB Given Haiti's longstanding socioeconomic burden and recent environmental
   and epidemiological catastrophes, the capacity for neurosurgery within
   Haiti has been limited, and outcomes for patients with neurosurgical
   conditions have remained poor. With few formally trained neurosurgeons
   (4) in a country of 10.5 million inhabitants, there is a significant
   need for the development of formal structured neurosurgical training. To
   mitigate the lack of neurosurgical care within Haiti, the authors
   established the first neurosurgical residency program within the country
   by creating an integrated model that uniquely fortifies existing Haitian
   neurosurgery with government sponsorship (Haitian Ministry of Health and
   National Medical School) and continual foreign support. By incorporating
   web-based learning modules, online assessments, teleconferences, and
   visiting professorships, the residency aims to train neurosurgeons over
   the course of 3-5 years to meet the healthcare needs of the nation.
   Although in its infancy, this model aims to facilitate neurosurgical
   capacity building by ultimately creating a self-sustaining residency
   program.
Z8 0
TC 11
ZA 0
ZB 2
ZS 0
ZR 0
Z9 11
U1 0
U2 1
SN 1092-0684
UT WOS:000446253400004
PM 30269591
ER

PT J
AU Preece, Ryan
   Ben-David, Eyal
   Rasul, Shahmeen
   Yatham, Swetha
TI Are we losing future talent? A national survey of UK medical student
   interest and perceptions of cardiothoracic surgery
SO INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY
VL 27
IS 4
BP 525
EP 529
DI 10.1093/icvts/ivy119
PD OCT 2018
PY 2018
AB OBJECTIVES: Cardiothoracic surgery appears to have become a
   significantly less popular career option among UK medical graduates.
   This study aimed to elucidate the current levels of interest in pursuing
   a career in cardiothoracic surgery among surgically orientated UK
   medical students and to determine the factors underlying this decision.
   METHODS: An online cross-sectional survey generated using the LimeSurvey
   was distributed to the surgical societies of all 32 UK medical schools.
   This assessed current career intentions, previous experience and
   perceptions of cardiothoracic surgery and the factors that attract or
   deter them to the speciality.
   RESULTS: A total of 352 responses were obtained. Although 31% of the
   total cohort was considering a career in cardiothoracic surgery, only
   14% of the final year students were. Seventy-five percent felt that they
   had received inadequate exposure to cardiothoracic surgery during their
   undergraduate curriculum, with 74% having spent no time on a dedicated
   cardiothoracic placement. Extracurricular exposure to the specialty was
   poor with 13% having attended a cardiothoracic conference/careers day.
   Approximately 50% of students were aware of the publication of
   surgeon-specific mortality data and previous scandals affecting the
   speciality; however, 80% claimed that this did not deter them. The main
   factor attracting students was the ability to significantly influence or
   save lives, whereas the main deterring factor was perceived competition
   levels.
   CONCLUSIONS: Although there remains healthy interest among UK students
   to pursue a career in cardiothoracic surgery, there is a worrying
   decline in desire over the course of medical school which appears to
   stem from a lack of engagement with the specialty both within
   undergraduate curricula and through extracurricular events.
CT Annual Meeting of the
   Society-for-Cardiothoracic-Surgeons-of-Great-Britain-and-Ireland (SCTS)
CY MAR 18-20, 2018
CL Glasgow, SCOTLAND
SP Soc Cardiothorac Surg Great Britain & Ireland
ZR 0
ZA 0
ZB 0
Z8 0
TC 15
ZS 0
Z9 15
U1 0
U2 3
SN 1569-9293
EI 1569-9285
UT WOS:000446178900009
PM 29672686
ER

PT J
AU Ottenhoff, Janna S. E.
   Kortlever, Joost T. P.
   Teunis, Teun
   Ring, David
TI Factors Associated With Quality of Online Information on
   Trapeziometacarpal Arthritis
SO JOURNAL OF HAND SURGERY-AMERICAN VOLUME
VL 43
IS 10
BP 889
EP +
DI 10.1016/j.jhsa.2018.08.004
PD OCT 2018
PY 2018
AB Purpose People increasingly search the Internet for information about
   common medical problems such as trapeziometacarpal (TMC) joint
   arthritis. But this information can be biased, inaccurate, and
   misleading. Medical professionals should be aware of what patients may
   be reading about their condition because concepts and beliefs can affect
   symptoms, limitations, and decision making This study sought factors
   associated with the quality of design and content of health information
   Web sites about TMC arthritis.
   Method Using 3 search engines we entered "thumb arthritis" and measured
   the quality of design and content of 67 Web sites using the DISCERN and
   LIDA tools, dominant tones using the IBM Watson Tone Analyzer, and
   readability, and we recorded Web site characteristics. All but 1 Web
   site exceeded the recommended sixth-grade reading level. We created 2
   backward stepwise regression models to identify independent factors
   associated with Web site design and content quality.
   Results In multivariable analysis, the Web site not having a clear
   preference for treatment was independently associated with greater
   design and content quality measured by DISCERN. Health On the Net (HON)
   code certification-a code of conduct for medical Web sites-and nonprofit
   Web sites had higher LIDA scores.
   Conclusions Online information on TMC arthrosis is difficult to read,
   often biased in favor of a particular treatment and influenced by profit
   and HONcode. Copyright (C) 2018 by the American Society for Surgery of
   the Hand. All rights reserved.
RI Teunis, Teun/C-9789-2014; Ring, David/AAV-9035-2021; Kortlever, Joost/
OI Teunis, Teun/0000-0001-5660-0695; Ring, David/0000-0002-6506-4879;
   Kortlever, Joost/0000-0003-3825-5546
ZB 2
ZA 0
ZS 1
TC 15
Z8 0
ZR 0
Z9 15
U1 0
U2 3
SN 0363-5023
EI 1531-6564
UT WOS:000446025500001
PM 30286849
ER

PT J
AU Luk, Lyndon
   Maher, Mary D.
   Desperito, Elise
   Weintraub, Joshua L.
   Amin, Sheik
   Ayyala, Rama S.
TI Evaluating Factors and Resources Affecting Ranking of Diagnostic
   Radiology Residency Programs by Medical Students in 2016-2017
SO ACADEMIC RADIOLOGY
VL 25
IS 10
BP 1344
EP 1352
DI 10.1016/j.acra.2018.05.001
PD OCT 2018
PY 2018
AB Rationale and Objectives: Recent changes in radiology curriculum and
   access to residency program information, including the introduction of
   various online resources and the Interventional Radiology integrated
   pathway, may influence the rank list order of medical student
   applicants. The purpose of this study is to assess factors that affect
   the rank lists of medical students applying to our radiology residency
   program in the 2016-2017 academic year.
   Materials and Methods: After IRB approval, an anonymous online 19
   question survey was emailed to 622 applicants to our diagnostic
   radiology and/or interventional radiology integrated pathway. Applicants
   ranked 35 unique factors that may influence their residency rank list
   order from 1 (not important at all) to 5 (very important), listed their
   top five 'very important' factors, and ranked various sources of
   information used to learn about residency programs. General applicant
   demographic questions were also included.
   Results: Response rate was 18.8% (117/622). The 5 most important factors
   affecting applicant ranking of programs are perceived happiness of the
   residents and faculty (4.69), fellowship and job placement of recent
   graduates (4.34), interactions with programs' current residents (4.33),
   stability of the department and program (4.29), and geographic location
   of the program (4.27). The top 5 resources for learning about residency
   programs were interactions with current residents at the program (4.47),
   program director (3.87), and interviewing faculty (3.87). Individual
   program websites were ranked more highly than internet message boards
   and forums as an information source.
   Conclusion: Medical students consider a large number of factors and
   resources in determining their rank lists, with factors encountered
   during the interview day playing a significant role in shaping the
   applicants' view of a residency program. (C) 2018 The Association of
   University Radiologists. Published by Elsevier Inc. All rights reserved.
TC 22
ZR 0
Z8 0
ZB 3
ZA 0
ZS 0
Z9 22
U1 0
U2 3
SN 1076-6332
EI 1878-4046
UT WOS:000445973900014
PM 30033195
ER

PT J
AU Sturman, Nancy
   Wong, Wai Yee
   Turner, Jane
   Allan, Chris
TI Online examiner calibration across specialties
SO CLINICAL TEACHER
VL 15
IS 5
BP 377
EP 381
DI 10.1111/tct.12701
PD OCT 2018
PY 2018
AB BackgroundIntegrating undergraduate medical curricula horizontally
   across clinical medical specialties may be a more patient-centred and
   learner-centred approach than rotating students through
   specialty-specific teaching and assessment, but requires some
   interspecialty calibration of examiner judgements. Our aim was to
   evaluate the acceptability and feasibility of an online pilot of
   interdisciplinary examiner calibration.
   Fair clinical assessment is important to both medical students and
   clinical teachers
   MethodsClinical teachers were invited to rate video-recorded student
   objective structured clinical examination (OSCE) performances and join
   subsequent online discussions using the university's learning management
   system. Post-project survey free-text and Likert-scale participant
   responses were analysed to evaluate the acceptability of the pilot and
   to identify recommendations for improvement.
   ResultsAlthough 68 clinicians were recruited to participate, and there
   were 1599 hits on recordings and discussion threads, only 25 clinical
   teachers rated at least one student performance, and 18 posted at least
   one comment. Participants, including rural doctors, appeared to value
   the opportunity for interdisciplinary rating calibration and discussion.
   Although the asynchronous online format had advantages, especially for
   rural doctors, participants reported considerable IT challenges.
   DiscussionOur findings suggest that fair clinical assessment is
   important to both medical students and clinical teachers. Interspecialty
   discussions about assessment may have the potential to enrich
   intraspecialty perspectives, enhance interspecialty engagement and
   collaboration, and improve the quality of clinical teacher assessment.
   Better alignment of university and hospital systems, a face to face
   component and other modifications may have enhanced clinician engagement
   with this project. Findings suggest that specialty assessment cultures
   and content expertise may not be barriers to pursuing more integrated
   approaches to assessment.
RI Sturman, Nancy/F-6613-2010; Wong, Wai Yee/
OI Sturman, Nancy/0000-0002-7124-5553; Wong, Wai Yee/0000-0002-3053-0729
TC 2
Z8 0
ZR 0
ZA 0
ZB 0
ZS 0
Z9 2
U1 0
U2 1
SN 1743-4971
EI 1743-498X
UT WOS:000445741700005
PM 28949069
ER

PT J
AU Potter, Lucy C.
   Feder, Gene
TI Domestic violence teaching in UK medical schools: a cross-sectional
   study
SO CLINICAL TEACHER
VL 15
IS 5
BP 382
EP 386
DI 10.1111/tct.12706
PD OCT 2018
PY 2018
AB BackgroundDomestic violence and abuse (DVA) is a leading contributor to
   the physical and mental ill health of women. Recent international
   guidance recommends that undergraduate medical curricula should
   includeDVA. We do not know whatis currently taught about DVA to medical
   students in the UK. Recent international guidance recommends that
   undergraduate medical curricula should include DVA
   MethodTeaching leads from all UK medical schools (n=34) were invited to
   participate in an 18-item online survey about what DVA education is
   provided, their views of this provision and any feedback provided by
   students. Descriptive statistics were used to analyse the data.
   ResultsA total of 25 out of 34 medical schools participated in the
   survey (74%). All respondents felt that there should be formal teaching
   on DVA in the medical curriculum. Eighty-fourpercent of respondents
   reported that there was some formal teaching in their medical school,
   and 90% of these reported that it was mandatory. Of those who delivered
   some teaching, 52% reported that the provision was 0-2hours in total.
   Most commonly content was delivered in year4. DVA teaching was delivered
   in different modules, by different methods and delivered by a range of
   different providers. Seventy-fivepercent of respondents reported that
   they felt the provision at their medical school was inadequate or not
   enough. Barriers to providing DVA education identified included time
   constraints, failure to perceive it as a medical problem and the
   assumption that it will be covered elsewhere.
   ConclusionMost medical students in the UK receive a small amount of
   teaching on DVA towards the end of the curriculum. This is perceived as
   inadequate.
OI Potter, Lucy/0000-0001-5380-5361; Feder, Gene/0000-0002-7890-3926
ZB 0
ZA 0
Z8 0
ZS 1
TC 10
ZR 0
Z9 11
U1 0
U2 2
SN 1743-4971
EI 1743-498X
UT WOS:000445741700006
PM 28984416
ER

PT J
AU LaPolla, Fred Willie Zametkin
   Rubin, Denis
TI The "Data Visualization Clinic": a library-led critique workshop for
   data visualization
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 106
IS 4
BP 477
EP 482
DI 10.5195/jmla.2018.333
PD OCT 2018
PY 2018
AB Background: The authors' main university library and affiliated academic
   medical center library sought to increase library programming around
   data visualization, a new service area for both libraries. Additionally,
   our institution is home to many researchers with a strong interest in
   data visualization but who are generally working in isolation of one
   another.
   Case Presentation: This case study describes an innovative workshop, the
   "Data Visualization Clinic," where members of our library's community
   bring in data visualization projects such as figures in papers, projects
   hosted online, and handouts and receive constructive feedback from a
   group of peers. The authors detail the process of hosting a clinic and
   the feedback that we received from participants.
   Conclusions: The "Data Visualization Clinic" offers a viable workshop to
   leverage expertise of library users and build the library's reputation
   as a hub of data visualization services without heavy investment in
   infrastructure like special monitors or coding skills. That said, it
   faces the challenge of relying on the participation of the broader
   community, which is often pressed for time. The event can also serve as
   an opportunity for researchers who have an interest in data
   visualization to meet and network.
OI LaPolla, Fred/0000-0002-3185-9753; Rubin, Denis/0000-0002-0483-9458
ZR 0
TC 4
ZS 0
Z8 0
ZA 0
ZB 0
Z9 4
U1 2
U2 12
SN 1536-5050
UT WOS:000446004900009
PM 30271289
ER

PT J
AU Chan, Teresa M.
   Gottlieb, Michael
   Sherbino, Jonathan
   Cooney, Robert
   Boysen-Osborn, Megan
   Swaminathan, Anand
   Ankel, Felix
   Yarris, Lalena M.
TI The ALiEM Faculty Incubator: A Novel Online Approach to Faculty
   Development in Education Scholarship
SO ACADEMIC MEDICINE
VL 93
IS 10
BP 1497
EP 1502
DI 10.1097/ACM.0000000000002309
PD OCT 2018
PY 2018
AB Problem
   Early- and midcareer clinician educators often lack a local
   discipline-specific community of practice (CoP) that encourages
   scholarly activity. As a result, these faculty members may feel
   disconnected from other scholars.
   Approach
   Academic Life in Emergency Medicine (ALiEM) piloted the Faculty
   Incubator. This longitudinal, asynchronous, online curriculum focused on
   developing a virtual CoP among 30 early- to midcareer medical educators
   (the incubatees), 8 core faculty mentors, and 10 guest mentors. The
   yearlong curriculum included 12 monthly modules focusing on core
   concepts in medical education scholarship. The initiative connected the
   incubatees with a virtual community of peers and mentors, with whom they
   completed multiple scholarly projects, sought mentorship, and engaged
   professionally. The authors used an online, closed, social media
   platform (Slack) to facilitate the exchange of ideas.
   Outcomes
   In the inaugural year (March 2016-February 2017), the mentorship team
   facilitated exceptional levels of online engagement among incubatees.
   All participants (incubatees, core mentors, and guest mentors) shared
   1,081 files and exchanged a total of 22,665 messages (approximately 62
   per day). Of these, 3,036 (13.4%) were via open channels, 5,483 (24.2%)
   via small groups, and 14,146 (62.4%) via direct messages.
   Next Steps
   The ALiEM Faculty Incubator represents a proof of concept, and initial
   outcomes show that it is possible to engage an international group of
   early- to midcareer medical educators to create a vibrant online CoP.
   The Faculty Incubator leaders plan to determine whether this engaged
   group of health professions educators will increase their scholarly
   output as a result of this initiative.
RI Chan, Teresa/T-6676-2017; Cooney, Robert/U-5368-2019; Gottlieb, Michael/K-3804-2019; Ankel, Felix/; Cooney, Robert/
OI Chan, Teresa/0000-0001-6104-462X; Gottlieb, Michael/0000-0003-3276-8375;
   Ankel, Felix/0000-0002-7329-5095; Cooney, Robert/0000-0003-0665-0154
ZR 0
ZS 0
ZA 0
TC 36
ZB 0
Z8 0
Z9 36
U1 1
U2 6
SN 1040-2446
EI 1938-808X
UT WOS:000445454300023
PM 29877914
ER

PT J
AU Birmaher, Boris
TI Letter From the AACAP Program Chair
SO JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY
VL 57
IS 10
BP VII
EP VII
SU S
PD OCT 2018
PY 2018
ZB 0
ZR 0
ZS 0
ZA 0
TC 0
Z8 0
Z9 0
U1 0
U2 0
SN 0890-8567
EI 1527-5418
UT WOS:000544087500387
ER

PT J
AU de Gregorio, Miguel A.
   Guirola, Jose A.
   Sierre, Sergio
   Serrano-Casorran, Carolina
   Gimeno, Maria J.
   Urbano, Jose
TI Interventional Radiology and Spanish Medical Students: A Survey of
   Knowledge and Interests in Preclinical and Clinical Courses
SO CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
VL 41
IS 10
BP 1590
EP 1598
DI 10.1007/s00270-018-1995-z
PD OCT 2018
PY 2018
AB Interventional Radiology (IR) is a medical activity that has experienced
   an extraordinary growth in the medical field in Spain in recent years.
   However, there is a lack of visibility in the Spanish Health
   Administration and the University community, especially among medical
   students.
   The purpose of this study is to determine IR knowledge among medical
   students, preclinical and clinical, in a single University in Spain.
   An electronic survey was uploaded (November-December 2017) to an online
   learning platform (Moodle) and sent to 414 students from second (183
   PCs) and fourth (231 Cs) year of medical school. A total of 313 students
   of 414 (75.6%) answered the survey 142/45.4% PCs and 171/54.6% Cs.
   Students quantified their knowledge between adequate (41% PCs/80.7% Cs)
   and poor levels (50.7% PCs/14% Cs). Most of the students suggested that
   interventional radiologists (IRs) should have a mixed training, surgical
   and radiological (95% PCs/88.8% Cs). Majority of students indicated that
   the professionals in charge of carrying out angioplasty were the IRs
   (95% PCs/83.6% Cs) and only 20.4% PCs/12.8% Cs (P = 0.165) of students
   chose cardiologists. Almost all of the medical students in both groups
   said they wanted to know more about IR (99.3% PCs/100.0% Cs), and the
   majority of students (100.0% PCs/98.8% Cs) said they agree or strongly
   agree that IR should be taught as an undergraduate medical subject.
   This study demonstrates that medical students in our University have
   poor knowledge of IR; however, they are overwhelmingly positive in their
   desire to have this subject taught as distinct curriculum in medical
   school.
RI Guirola, Jose Andres/K-3814-2017; Serrano-Casorran, Carolina/AAA-2807-2019; Urbano Garcia, Jose/; Serrano Casorran, Carolina/
OI Guirola, Jose Andres/0000-0002-0113-5121; Urbano Garcia,
   Jose/0000-0003-4138-7697; Serrano Casorran, Carolina/0000-0002-8880-6580
Z8 0
ZR 0
ZA 0
ZB 0
ZS 0
TC 9
Z9 9
U1 0
U2 4
SN 0174-1551
EI 1432-086X
UT WOS:000444164000017
PM 29872895
ER

PT J
AU Banker, Sumeet L.
   Fenick, Ada M.
   Qin, Li
   Talwalkar, Jaideep S.
TI Perceptions of Pediatric Residents Regarding Counseling About Use of
   Social Networking Sites
SO CLINICAL PEDIATRICS
VL 57
IS 11
BP 1275
EP 1280
DI 10.1177/0009922818772806
PD OCT 2018
PY 2018
AB Increasing use of social networking sites (SNS) among youth prompted
   professional organizations to urge pediatricians to promote healthy
   media use. Electronic questionnaires were distributed to 76 pediatric
   residents at one academic center measuring attitudes, practices, and
   familiarity with SNS. Of 43 respondents (response rate = 57%), most
   reported personal SNS use (98%) and familiarity with SNS used by youth
   (72%), and 88% agreed that pediatricians should provide counseling on
   SNS use. Only 5% felt they had adequate training on SNS use in children,
   and just 26% felt comfortable advising families. Residents were less
   likely to discuss SNS use than general media use (19% vs 56%, P = .007).
   Media counseling was correlated with SNS counseling (r = .38, P = .01).
   Pediatric residents recognize the importance of guiding families on SNS
   use, yet do not routinely provide counseling despite high levels of
   personal SNS use and familiarity. Focused training is necessary for
   pediatricians to prioritize practical guidance.
OI Fenick, Ada/0000-0002-7322-5329; Talwalkar, Jaideep/0000-0003-2471-8159
ZS 0
ZR 0
TC 2
ZB 1
Z8 0
ZA 0
Z9 2
U1 0
U2 1
SN 0009-9228
EI 1938-2707
UT WOS:000443973100004
PM 29717921
ER

PT J
AU Stump, Trevor A.
   Eng, Marty L.
TI The development and psychometric properties of the bipolar disorders
   knowledge scale
SO JOURNAL OF AFFECTIVE DISORDERS
VL 238
BP 645
EP 650
DI 10.1016/j.jad.2018.05.043
PD OCT 1 2018
PY 2018
AB Purpose: Bipolar Disorder (BD) presents in 1-4% of the world's
   population, carrying significant financial and functional consequences.
   Beyond the direct disease burden, patients with BD experience a high
   degree of both internal and external stigma. Additionally, medication
   adherence tends to be poor in patients with BD. Knowledge appears to
   play a role in mitigating both stigma and non-adherence, but these
   relationships have not been fully elucidated. The Bipolar Disorder
   Knowledge Scale (BDKS) was designed to explore the role of knowledge and
   better define such relationships. This research provides the evidence
   for the reliability and validity of the scale.
   Methods: Forty-seven items were developed to assess knowledge of BD. The
   47-item survey was sent out to two groups: first a group of 43
   pharmacists with BCPP credentials from the College of Psychiatric and
   Neurologic Pharmacists (CPNP) who were recruited from the CPNP
   directory, and second a group of 250 members of the general public who
   were recruited using Qualtrics Online Sample service. Participants were
   surveyed on their education status, health literacy, BD diagnostic
   status, and exposure to patients with BD. Participants then completed
   the 47-item scale. After 48 h 100 members from the original general
   public group were sent the same survey to assess test-retest
   reliability. For each item a difficulty index to evaluate how well
   participants performed on the item and a discrimination index to
   determine how well each item performed in high-scorers versus low
   scorers were calculated. Additionally, Cronbach's alpha was calculated
   to determine internal consistency validity and a Pearson correlation was
   run to determine test-retest reliability. Items were removed based on
   the results from the difficulty index, discrimination index, and
   Cronbach's alpha. Finally the pharmacist final scores were compared to
   the general public using an unpaired t-test to assess whether content
   experts were more likely to perform better on the scale. Following item
   removal, the scale was finalized at 25-items.
   Results: The mean score for the scale was 34.48 (71.83%; SD: 5.50) and
   the Cronbach's alpha was 0.773 before item analysis. Following item
   analysis, 22 items were dropped leaving 25 items on the final version of
   the scale. The remaining items retained a difficulty index below 90% and
   a discrimination index above 20%. The mean of the 25-item scale was
   18.40 (73.6%; SD: 4.13) for the general public and 23.20 (92.8%; SD:
   1.36) for the pharmacists group (p<0.001). The Cronbach's alpha for the
   finalized scale was 0.760, indicating a high-degree of internal
   consistency. While this is lower than the original alpha, this may be
   explained by the reduced number of scale items. A 25-item scale is much
   more practical and the items on the scale retain stronger item analysis
   statistics. Finally, the Pearson Correlation for the group who underwent
   the test-retest procedure was 0.841 (p<0.001) indicating strong
   test-retest reliability.
   Conclusion: The BDKS is a 25-item true-false scale that takes
   approximately 5-10 min to complete. The scale assesses knowledge of BD
   with items targeting diagnosis, etiology, disease course, symptoms,
   treatment, and life impact. The scale has shown strong internal
   consistency and test-retest reliability in a general population and will
   be useful for evaluating knowledge of BD as it relates to stigma,
   non-adherence, and other variables.
RI Stump, Trevor/AAI-5442-2020
OI Stump, Trevor/0000-0003-2207-6607
Z8 0
ZR 0
TC 2
ZA 0
ZS 0
ZB 1
Z9 2
U1 0
U2 12
SN 0165-0327
EI 1573-2517
UT WOS:000439557000088
PM 29957482
ER

PT J
AU Salas, Rachel Marie E.
   Strowd, Roy E.
   Ali, Imran
   Soni, Madhu
   Schneider, Logan
   Safdieh, Joseph
   Vaughn, Bradley V.
   Avidan, Alon Y.
   Jeffery, Jane B.
   Gamaldo, Charlene E.
TI Incorporating sleep medicine content into medical school through
   neuroscience core curricula
SO NEUROLOGY
VL 91
IS 13
BP 597
EP 610
DI 10.1212/WNL.0000000000006239
PD SEP 25 2018
PY 2018
AB Objective
   To present (1) justification for earmarking sleep medicine education as
   an essential component of all medical school curricula and (2) various
   avenues to incorporate sleep medicine exposure into medical school
   curricula through (primarily) neuroscience and neurology courses.
   Methods
   Per consensus of a team of leading neurology and sleep medicine
   educators, an evidence-based rationale for including sleep medicine
   across a 4-year medical school curriculum is presented along with
   suggested content, available/vetted resources, and formats for
   delivering sleep medicine education at various points and through
   various formats.
   Results
   Growing evidence has linked sleep disorders (e.g., sleep-disordered
   breathing, chronic insufficient sleep) as risk factors for several
   neurologic disorders. Medical educators in neurology/neuroscience are
   now strongly advocating for sleep medicine education in the context of
   neurology/neuroscience pre and post graduate medical education. Sleep
   medicine education is also a critical component of a proactive strategy
   to address physician wellness and burnout. The suggested curriculum
   proposes a sleep educational exposure time of 2-4 hours per year in the
   form of lectures, flipped-classroom sessions, clinical opportunities,
   and online educational tools that would result in a 200%-400% increase
   in the amount of sleep medicine exposure that US medical schools
   currently provide. The guidelines are accompanied by the recommendation
   for use of technological education, to facilitate more seamless
   curricular incorporation.
   Conclusion
   Even in this era with limited flexibility to add content to an already
   packed medical school curriculum, incorporating sleep medicine exposure
   into the current medical school curriculum is both justified and
   feasible.
RI Schneider, Logan/D-3372-2015; Safdieh, Joseph/AAC-1854-2019; AVIDAN, ALON/AFN-9908-2022; Avidan, Alon/AAK-8865-2020; Strowd, Roy/; Salas, MD, MEd, Rachel Marie E./
OI Schneider, Logan/0000-0001-8729-5224; Safdieh,
   Joseph/0000-0002-2495-2925; AVIDAN, ALON/0000-0002-8817-6590; Strowd,
   Roy/0000-0001-6651-5267; Salas, MD, MEd, Rachel Marie
   E./0000-0002-3945-3336
ZS 0
ZB 5
ZR 0
ZA 0
Z8 0
TC 18
Z9 18
U1 0
U2 5
SN 0028-3878
EI 1526-632X
UT WOS:000452496600015
PM 30185444
ER

PT J
AU Munro, Virginia
   Morello, Andrea
   Oster, Candice
   Redmond, Christine
   Vnuk, Anna
   Lennon, Sheila
   Lawn, Sharon
TI E-learning for self-management support: introducing blended learning for
   graduate students - a cohort study
SO BMC MEDICAL EDUCATION
VL 18
AR 219
DI 10.1186/s12909-018-1328-6
PD SEP 24 2018
PY 2018
AB Background: E-learning allows delivery of education in many diverse
   settings and researchers have demonstrated it can be as effective as
   learning conducted in traditional face-to-face settings. However, there
   are particular practices and skills needed in the area of providing
   patient self-management support (SMS), that may not be achievable
   online. The aim of this study was to compare three approaches in the
   training of university students regarding the preparation of a Chronic
   Condition Self-Management Care Plan: 1) traditional face-to-face
   delivery of SMS training, 2) an e-learning approach and 3) a blended
   approach (combining e-learning and face-to-face teaching).
   Methods: Graduate entry physiotherapy students and medical students at
   Flinders University were recruited. Depending on the cohort, students
   were either exposed to traditional face-to-face training, e-learning or
   a blended model. Outcomes were compared between the three groups. We
   measured adherence to care plan processes in the preparation of an
   assessment piece using the Flinders Program Chronic Care Self Management
   tools. A total of 183 care plans were included (102 traditional, 52
   blended, 29 e-learning,). All students submitted the Flinders Program
   Chronic Care Plan for university assessment and these were later
   assessed for quality by researchers. The submission was also assigned a
   consumer engagement score and a global competence score as these are
   integral to successful delivery of SMS and represent the patient
   perspective.
   Results: The blended group performed significantly better than the
   traditional group in quality use of the Flinders Program tools: Problem
   and Goals (P < 0.0001). They also performed significantly better in the
   total care plan score (P < 0.0001) and engagement score (P < 0.0001).
   There was no significant difference between the groups for the Partners
   in Health tool.
   Conclusions: In this pilot study, the blended learning model was a more
   effective method for teaching self-management skills than the
   traditional group, as assessed in the development of a chronic condition
   self-management care plan. We anticipate that future research with
   identical groups of students would yield similar results but in the
   meantime, academics can have confidence that blended learning is at
   least as effective as traditional learning methods.
RI Oster, Candice/L-3984-2019; Redmond, Christine/; Lawn, Sharon/E-1171-2015; Vnuk, Anna/
OI Oster, Candice/0000-0002-8214-3704; Redmond,
   Christine/0000-0001-6728-5723; Lawn, Sharon/0000-0002-5464-8887; Vnuk,
   Anna/0000-0003-2173-4962
TC 16
ZA 0
ZS 0
ZB 0
ZR 0
Z8 1
Z9 17
U1 2
U2 31
SN 1472-6920
UT WOS:000445727800001
PM 30249238
ER

PT J
AU Stuij, Sebastiaan M.
   Labrie, Nanon H. M.
   van Dulmen, Sandra
   Kersten, Marie Jose
   Christoph, Noor
   Hulsman, Robert L.
   Smets, Ellen
CA INSTRUCT Project Grp
TI Developing a digital communication training tool on
   information-provision in oncology: uncovering learning needs and
   training preferences
SO BMC MEDICAL EDUCATION
VL 18
AR 220
DI 10.1186/s12909-018-1308-x
PD SEP 24 2018
PY 2018
AB Background: Adequate information-provision forms a crucial component of
   optimal cancer care. However, information-provision is particularly
   challenging in an oncology setting. It is therefore imperative to help
   oncological health care practitioners (HCP) optimise their
   information-giving skills. New forms of online education, i.e.
   e-learning, enable safe and time and location independent ways of
   learning, enhancing access to continuous learning for HCP. As part of a
   user-centred approach to developing an e-learning to improve
   information-giving skills, this study aims to: 1) uncover the learning
   needs of oncological healthcare providers related to
   information-provision, and 2) explore their training preferences in the
   context of clinical practice.
   Methods: Focus groups and interviews were organised with oncological HCP
   (medical specialists and clinical nurse specialists) addressing
   participants' learning needs concerning information-provision and their
   training preferences with respect to a new digital training tool on this
   issue. All sessions were audiorecorded and transcribed verbatim. Using
   an inductive approach, transcripts were independently coded by three
   researchers and discussed to reach consensus. Main themes were
   summarised and discussed.
   Results: Four focus group sessions (total n = 13) and three interviews
   were conducted. The first theme concerned the patient outcomes HCP try
   to achieve with their information. We found HCP to mainly strive to
   promote patients' understanding of information. The second theme
   concerned HCP reported strategies and challenges when trying to inform
   their patients. These entailed tailoring of information to patient
   characteristics, structuring of information, and dealing with patients'
   emotions. Regarding HCP training preferences, an e-learning should be
   neatly connected to clinical practice. Moreover, participants desired a
   digital training to allow for feedback on their own (videotaped)
   information-giving skills from peers, communication experts, and/or
   patients; to monitor their progress and to tailored the training to
   individual learning needs.
   Conclusions: An e-learning for improvement of information-giving skills
   of oncological HCP should be aimed at the transfer of skills to clinical
   practice, rather than at enhancing knowledge. Moreover, an e-learning is
   probably most effective when the facilitates individual learning needs,
   supports feedback on competence level and improvement, and allows input
   from significant others (experts, peers, or patients).
RI van Dulmen, A.M./L-4287-2015; Smets, Ellen/
OI van Dulmen, A.M./0000-0002-1651-7544; Smets, Ellen/0000-0002-8145-8595
Z8 0
ZR 0
ZS 0
TC 9
ZA 0
ZB 0
Z9 9
U1 2
U2 15
SN 1472-6920
UT WOS:000445727800002
PM 30249221
ER

PT J
AU Saqr, Mohammed
   Fors, Uno
   Nouri, Jalal
TI Using social network analysis to understand online Problem-Based
   Learning and predict performance
SO PLOS ONE
VL 13
IS 9
AR e0203590
DI 10.1371/journal.pone.0203590
PD SEP 20 2018
PY 2018
AB Social network analysis (SNA) may be of significant value in studying
   online collaborative learning. SNA can enhance our understanding of the
   collaborative process, predict the under-achievers by means of learning
   analytics, and uncover the role dynamics of learners and teachers alike.
   As such, it constitutes an obvious opportunity to improve learning,
   inform teachers and stakeholders. Besides, it can facilitate data-driven
   support services for students. This study included four courses at
   Qassim University. Online interaction data were collected and processed
   following a standard data mining technique. The SNA parameters relevant
   to knowledge sharing and construction were calculated on the individual
   and the group level. The analysis included quantitative network analysis
   and visualization, correlation tests as well as predictive and
   explanatory regression models. Our results showed a consistent moderate
   to strong positive correlation between performance, interaction
   parameters and students' centrality measures across all the studied
   courses, regardless of the subject matter. In each of the studied
   courses, students with stronger ties to prominent peers (better social
   capital) in small interactive and cohesive groups tended to do better.
   The results of correlation tests were confirmed using regression tests,
   which were validated using a next year dataset. Using SNA indicators, we
   were able to classify students according to achievement with high
   accuracy (93.3%). This demonstrates the possibility of using interaction
   data to predict underachievers with reasonable reliability, which is an
   obvious opportunity for intervention and support.
RI Saqr, Mohammed/AAH-2520-2020
OI Saqr, Mohammed/0000-0001-5881-3109
ZB 5
ZR 0
ZA 0
TC 30
Z8 1
ZS 0
Z9 31
U1 3
U2 41
SN 1932-6203
UT WOS:000445626400028
PM 30235227
ER

PT J
AU Mackey, Christian
   Plegue, Melissa A.
   Deames, Marian
   Kittle, Matthew
   Sonneville, Kendrin R.
   Chang, Tammy
TI Family physicians' knowledge, attitudes, and behaviors regarding the
   weight effects of added sugar
SO SAGE OPEN MEDICINE
VL 6
DI 10.1177/2050312118801245
PD SEP 19 2018
PY 2018
AB Background and objectives: Added sugar consumption is a major risk
   factor for negative health outcomes and family physicians play an
   important role in educating patients regarding nutrition behaviors, such
   as consumption of added dietary sugar. The aim of this study was to
   describe the knowledge, attitudes, and behaviors of family physicians
   regarding added dietary sugar.
   Methods: An online questionnaire was administered to family physician
   members of the Council of Academic Family Medicine organizations, which
   support teaching physicians that train family physicians throughout the
   United States. Survey items underwent rigorous pilot and cognitive
   testing prior to administration. Descriptive statistics and Pearson's
   chi-square test were performed to evaluate physician's dietary
   counseling for patients with overweight and obesity.
   Results: Among practicing family physician members (n=1196), 72%
   reported providing dietary counseling to the majority (50%) of their
   patients with overweight and obesity. Most (90%) believed that their
   counseling was ineffective for the majority of patients. Frequency of
   counseling was significantly associated with beliefs about counseling
   effectiveness (p-value<0.001). Nearly all physicians (97%) advised
   against consuming sugary beverages, while advising patients to limit
   foods with added sugar was less common (82%).
   Discussion: Dietary counseling is often, but not always, provided to
   patients with overweight and obesity by family physicians in our sample,
   though most physicians believed their counseling is ineffective.
   National attention to added sugar as a risk for poor health should serve
   as a catalyst for renewed efforts from primary care educators and
   clinicians to engage in innovative practices to empower at-risk patients
   to improve their nutrition.
ZR 0
TC 2
Z8 0
ZS 0
ZA 0
ZB 0
Z9 2
U1 0
U2 5
SN 2050-3121
UT WOS:000445072100001
PM 30245821
ER

PT J
AU Berman, Norman B.
   Artino, Anthony R., Jr.
TI Development and initial validation of an online engagement metric using
   virtual patients
SO BMC MEDICAL EDUCATION
VL 18
AR 213
DI 10.1186/s12909-018-1322-z
PD SEP 17 2018
PY 2018
AB Background: Considerable evidence in the learning sciences demonstrates
   the importance of engagement in online learning environments. The
   purpose of this work was to demonstrate feasibility and to develop and
   collect initial validity evidence for a computer-generated dynamic
   engagement score based on student interactions in an online learning
   environment, in this case virtual patients used for clinical education.
   Methods: The study involved third-year medical students using virtual
   patient cases as a standard component of their educational program at
   more than 125 accredited US and Canadian medical schools. The engagement
   metric algorithm included four equally weighted components of student
   interactions with the virtual patient. We developed a self-report
   measure of motivational, emotional, and cognitive engagement and
   conducted confirmatory factor analysis to assess the validity of the
   survey responses. We gathered additional validity evidence through
   educator reviews, factor analysis of the metric, and correlations
   between student use of the engagement metric and self-report measures of
   learner engagement.
   Results: Confirmatory factor analysis substantiated the hypothesized
   four-factor structure of the survey scales. Educator reviews
   demonstrated a high level of agreement with content and scoring
   cut-points (mean Pearson correlation 0.98; mean intra-class correlation
   0.98). Confirmatory factor analysis yielded an acceptable fit to a
   one-factor model of the engagement score components. Correlations of the
   engagement score with self-report measures were statistically
   significant and in the predicted directions.
   Conclusions: We present initial validity evidence for a dynamic online
   engagement metric based on student interactions in a virtual patient
   case. We discuss potential uses of such an engagement metric including
   better understanding of student interactions with online learning,
   improving engagement through instructional design and interpretation of
   learning analytics output.
Z8 0
ZB 0
ZR 0
ZS 0
ZA 0
TC 9
Z9 9
U1 1
U2 13
SN 1472-6920
UT WOS:000444886700003
PM 30223825
ER

PT J
AU Knott, P. N.
   Wassif, H. S.
TI Older and wiser? First year BDS graduate entry students and their views
   on using social media and professional practice
SO BRITISH DENTAL JOURNAL
VL 225
IS 5
BP 437
EP 440
DI 10.1038/sj.bdj.2018.745
PD SEP 14 2018
PY 2018
AB The use of social media sites (SMS) has increased exponentially since
   their creation and introduction in the early 2000s. The number of
   regular users of SMS is estimated at over two billion people worldwide.
   Ethical and legal guidelines exert an additional responsibility on the
   behaviour of both graduate and undergraduate dentists when compared to
   members of the general public with some assumption that life experience
   can offer some insight into attitudes about online use of social media
   in relation to professional practice. Aim We set out to explore the
   views of the first year graduate entry programme students at the
   University of Central Lancashire and their use of SMS together with
   their opinions on what they consider to be professional online
   behaviour. Methods A mixed-methods approach was adopted with a
   questionnaire and semi-structured interviews which were designed to
   elicit the students' opinions. Results For this group of students, 100%
   were using social media sites and some were aware of some of their
   limitations and possible impact on their careers. There was some rather
   superficial knowledge of what is and is not professional to post via
   social media, however, students were not fully aware about the legal and
   ethical guidelines in place in relation to the topic. Conclusion Results
   from this study present an opportunity and a challenge for educators to
   incorporate additional details not only about professionalism and
   ethical and legal aspects within the undergraduate curriculum but more
   specific emphasis on the use of social media as part of the
   undergraduate BDS course.
ZR 0
ZB 0
Z8 0
TC 4
ZS 0
ZA 0
Z9 4
U1 1
U2 6
SN 0007-0610
EI 1476-5373
UT WOS:000444577800030
PM 30168814
ER

PT J
AU Myint, Leslie
   Leek, Jeffrey T.
   Jager, Leah R.
TI Explanation of observational data engenders a causal belief about
   smoking and cancer
SO PEERJ
VL 6
AR e5597
DI 10.7717/peerj.5597
PD SEP 12 2018
PY 2018
AB Most researchers do not deliberately claim causal results in an
   observational study. But do we lead our readers to draw a causal
   conclusion unintentionally by explaining why significant correlations
   and relationships may exist? Here we perform a randomized controlled
   experiment in a massive open online course run in 2013 that teaches data
   analysis concepts to test the hypothesis that explaining an analysis
   will lead readers to interpret an inferential analysis as causal. We
   test this hypothesis with a single example of an observational study on
   the relationship between smoking and cancer. We show that adding an
   explanation to the description of an inferential analysis leads to a
   15.2% increase in readers interpreting the analysis as causal (95%
   confidence interval for difference in two proportions: 12.8%-17.5%). We
   then replicate this finding in a second large scale massive open online
   course. Nearly every scientific study, regardless of the study design,
   includes an explanation for observed effects. Our results suggest that
   these explanations may be misleading to the audience of these data
   analyses and that qualification of explanations could be a useful avenue
   of exploration in future research to counteract the problem. Our results
   invite many opportunities for further research to broaden the scope of
   these findings beyond the single smoking-cancer example examined here.
RI Myint, Leslie/K-9479-2019; Jager, Leah/; Myint, Leslie/
OI Jager, Leah/0000-0003-3362-2298; Myint, Leslie/0000-0003-2478-0331
TC 0
ZR 0
ZS 0
Z8 0
ZB 0
ZA 0
Z9 0
U1 0
U2 1
SN 2167-8359
UT WOS:000444677900011
PM 30225177
ER

PT J
AU Eilayyan, Owis
   Thomas, Aliki
   Halle, Marie-Christine
   Ahmed, Sara
   Tibbles, Anthony C.
   Jacobs, Craig
   Mior, Silvano
   Davis, Connie
   Evans, Roni
   Schneider, Michael J.
   Alzoubi, Fadi
   Barnsley, Jan
   Long, Cynthia R.
   Bussieres, Andre
TI Promoting the use of self-management in novice chiropractors treating
   individuals with spine pain: the design of a theory-based knowledge
   translation intervention
SO BMC MUSCULOSKELETAL DISORDERS
VL 19
AR 328
DI 10.1186/s12891-018-2241-1
PD SEP 11 2018
PY 2018
AB Background: Clinical practice guidelines generally recommend clinicians
   use self-management support (SMS) when managing patients with spine
   pain. However, even within the educational setting, the implementation
   of SMS remains suboptimal. The objectives of this study were to 1)
   estimate the organizational readiness for change toward using SMS at the
   Canadian Memorial Chiropractic College (CMCC), Toronto, Ontario from the
   perspective of directors and deans, 2) estimate the attitudes and
   self-reported behaviours towards using evidence-based practice (EBP),
   and beliefs about pain management among supervisory clinicians and
   chiropractic interns, 3) identify potential barriers and enablers to
   using SMS, and 4) design a theory-based tailored Knowledge Translation
   (KT) intervention to increase the use of SMS.
   Methods: Mixed method design. We administered three self-administered
   questionnaires to assess clinicians' and interns' attitudes and
   behaviours toward EBP, beliefs about pain management, and practice
   style. In addition, we conducted 3 focus groups with clinicians and
   interns based on the Theoretical Domain Framework (TDF) to explore their
   beliefs about using SMS for patients with spine pain. Data were analysed
   using deductive thematic analysis by 2 independent assessors. A panel of
   7 experts mapped behaviour change techniques to key barriers identified
   informing the design of a KT intervention.
   Results: Participants showed high level of EBP knowledge, positive
   attitude of EBP, and moderate frequency of EBP use. A number of barrier
   factors were identified from clinicians (N = 6) and interns (N = 16)
   corresponding to 7 TDF domains: Knowledge; Skills; Environmental context
   and resources; Emotion; Beliefs about Capabilities; Memory, attention &
   decision making; and Social Influence. To address these barriers, the
   expert panel proposed a multifaceted KT intervention composed of a
   webinar and online educational module on a SMS guided by the Brief
   Action Planning, clinical vignettes, training workshop, and opinion
   leader support.
   Conclusion: SMS strategies can help maximizing the health care services
   for patients with spine pain. This may in turn optimize patients'
   health. The proposed theory-based KT intervention may facilitate the
   implementation of SMS among clinicians and interns.
RI Bussières, André E/ABA-1007-2021; Mior, Silvano A/L-4786-2015; Zoubi, Fadi Al/ABB-8375-2020
OI Bussières, André E/0000-0002-2818-6949; Mior, Silvano
   A/0000-0001-6575-2797; Zoubi, Fadi Al/0000-0002-7950-8979
ZB 2
ZR 0
ZA 0
TC 5
ZS 0
Z8 1
Z9 6
U1 0
U2 15
EI 1471-2474
UT WOS:000444658200006
PM 30205825
ER

PT J
AU Garcia-Milian, Rolando
   Hersey, Denise
   Vukmirovic, Milica
   Duprilot, Fanny
TI Data challenges of biomedical researchers in the age of omics
SO PEERJ
VL 6
AR e5553
DI 10.7717/peerj.5553
PD SEP 11 2018
PY 2018
AB Background. High-throughput technologies are rapidly generating large
   amounts of diverse omics data. Although this offers a great opportunity,
   it also poses great challenges as data analysis becomes more complex.
   The purpose of this study was to identify the main challenges
   researchers face in analyzing data, and how academic libraries can
   support them in this endeavor.
   Methods. A multimodal needs assessment analysis combined an online
   survey sent to 860 Yale-affiliated researchers (176 responded) and 15
   in-depth one-on-one semi-structured interviews. Interviews were
   recorded, transcribed, and analyzed using NVivo 10 software according to
   the thematic analysis approach.
   Results. The survey response rate was 20%. Most respondents (78%)
   identified lack of adequate data analysis training (e.g., R, Python) as
   a main challenge, in addition to not having the proper database or
   software (54%) to expedite analysis. Two main themes emerged from the
   interviews: personnel and training needs. Researchers feel they could
   improve data analyses practices by having better access to the
   appropriate bioinformatics expertise, and/or training in data analyses
   tools. They also reported lack of time to acquire expertise in using
   bioinformatics tools and poor understanding of the resources available
   to facilitate analysis.
   Conclusions. The main challenges identified by our study are: lack of
   adequate training for data analysis (including need to learn scripting
   language), need for more personnel at the University to provide data
   analysis and training, and inadequate communication between
   bioinformaticians and researchers. The authors identified the positive
   impact of medical and/or science libraries by establishing
   bioinformatics support to researchers.
RI Hersey, Denise/AHE-6389-2022; ARSLAN, Okan/AAA-3232-2020; Garcia-Milian, Rolando/F-3913-2011; Duprilot, Fanny/GQB-4870-2022; Hersey, Denise/
OI Garcia-Milian, Rolando/0000-0003-1557-566X; Hersey,
   Denise/0000-0002-2350-4725
ZR 0
Z8 0
ZB 6
TC 6
ZS 0
ZA 0
Z9 8
U1 2
U2 15
SN 2167-8359
UT WOS:000444676600007
PM 30221093
ER

PT J
AU Murray, Suzanne
   Labbe, Sara
   Kaplan, Alan
   Petrasko, Kristine
   Waserman, Susan
TI A multi-stakeholder perspective on asthma care in Canada: findings from
   a mixed methods needs assessment in the treatment and management of
   asthma in adults
SO ALLERGY ASTHMA AND CLINICAL IMMUNOLOGY
VL 14
AR 36
DI 10.1186/s13223-018-0261-x
PD SEP 10 2018
PY 2018
AB Background: Although several aspects of asthma care have been identified
   as being sub-optimal in Canada, such as patient education, practice
   guideline adoption, and access to care, there remains a need to
   determine the extent to which these gaps remain, so as to investigate
   their underlying causes, and potential solutions.
   Methods: An ethics-approved mixed methods educational needs assessment
   was conducted in four Canadian provinces (Alberta, British Columbia,
   Ontario, and Quebec), combining a qualitative phase (45-min
   semi-structured interviews with community-based healthcare providers and
   key stakeholders) and a quantitative phase (15-min survey, healthcare
   providers only).
   Results: A total of 234 participants were included in the study, 44 in
   semi-structured interviews and 190 in the online survey. Five clinical
   areas were reported to be suboptimal by multiple categories of
   participants, and specific causes were identified for each. These areas
   included: Integration of guidelines into clinical practice, use of
   spirometry, individualisation of asthma devices to patient needs,
   emphasis on patient adherence and self-management, and clarity regarding
   roles and responsibilities of different members of the asthma healthcare
   team. Common causes for gaps in all these areas included suboptimal
   knowledge amongst healthcare providers, differing perceptions on the
   importance of certain interventions, and inadequate communication
   between healthcare providers.
   Conclusions: This study provides a better understanding of the specific
   causes underlying common gaps and challenges in asthma care in Canada.
   This information can inform future continuing medical education, and
   help providers in community settings obtain access to adequate
   materials, resources, and training to support optimal care of adult
   patients with asthma.
ZR 0
TC 3
Z8 1
ZS 0
ZA 0
ZB 1
Z9 4
U1 0
U2 2
SN 1710-1492
UT WOS:000444520700001
PM 30214459
ER

PT J
AU Manciuc, Carmen
   Levandowski, Brooke A.
   Muir, Erin
   Radulescu, Amanda
   Barbosu, Monica
   Dye, Timothy D.
TI Access to digital and social media among Romanian HIV/AIDS clinical
   providers
SO GLOBAL HEALTH ACTION
VL 11
IS 1
AR 1513445
DI 10.1080/16549716.2018.1513445
PD SEP 6 2018
PY 2018
AB The WHO/UNAIDS suggests that digital tools - such as social media and
   online training opportunities, can connect providers in difficult social
   and medical contexts to providers elsewhere for guidance, support, and
   advice. Social media is emerging as an innovative option for connecting
   clinicians together and for enhancing access to professional resources.
   In Romania, characterized by an atypical HIV/AIDS epidemic which is
   further challenged by a range of access complexities, it is unclear how
   often - and which kinds of - social media clinicians use to support
   clinical care. This study was conducted to ascertain social media use
   for clinical providers based in two regions of Romania (Transylvania and
   Moldavia) who face distance challenges that could potentially be
   alleviated by social media interaction. We used an online survey to
   understand what social media are currently popular and perceived to be
   useful for learning clinical information. Descriptive and bivariate
   analyses were conducted. Providers indicated Facebook and WhatsApp were
   the most common social media platforms, with 62% and 45% reporting daily
   use, respectively. Providers who used one media platform were
   significantly more likely to use another social media platform (p <
   .05). These data are helpful for creating an online training platform on
   HIV/AIDS for Romanian clinical providers.
RI Manciuc, Carmen/AAS-2786-2020; Rădulescu, Amanda/AAB-5800-2022
ZA 0
ZS 0
Z8 0
ZB 0
TC 3
ZR 0
Z9 3
U1 0
U2 9
SN 1654-9880
UT WOS:000443874400001
PM 30188258
ER

PT J
AU Wood, Libby
   Bassez, Guillaume
   Bleyenheuft, Corinne
   Campbell, Craig
   Cossette, Louise
   Jimenez-Moreno, Aura Cecilia
   Dai, Yi
   Dawkins, Hugh
   Diaz Manera, Jorge Alberto
   Dogan, Celine
   el Sherif, Rasha
   Fossati, Barbara
   Graham, Caroline
   Hilbert, James
   Kastreva, Kristinia
   Kimura, En
   Korngut, Lawrence
   Kostera-Pruszczyk, Anna
   Lindberg, Christopher
   Lindvall, Bjorn
   Luebbe, Elizabeth
   Lusakowska, Anna
   Mazanec, Radim
   Meola, Giovani
   Orlando, Liannna
   Takahashi, Masanori P.
   Peric, Stojan
   Puymirat, Jack
   Rakocevic-Stojanovic, Vidosava
   Rodrigues, Miriam
   Roxburgh, Richard
   Schoser, Benedikt
   Segovia, Sonia
   Shatillo, Andriy
   Thiele, Simone
   Tournev, Ivailo
   van Engelen, Baziel
   Vohanka, Stanislav
   Lochmuller, Hanns
TI Eight years after an international workshop on myotonic dystrophy
   patient registries: case study of a global collaboration for a rare
   disease
SO ORPHANET JOURNAL OF RARE DISEASES
VL 13
AR 155
DI 10.1186/s13023-018-0889-0
PD SEP 5 2018
PY 2018
AB Background: Myotonic Dystrophy is the most common form of muscular
   dystrophy in adults, affecting an estimated 10 per 100,000 people. It is
   a multisystemic disorder affecting multiple generations with increasing
   severity. There are currently no licenced therapies to reverse, slow
   down or cure its symptoms. In 2009 TREAT-NMD (a global alliance with the
   mission of improving trial readiness for neuromuscular diseases) and the
   Marigold Foundation held a workshop of key opinion leaders to agree a
   minimal dataset for patient registries in myotonic dystrophy. Eight
   years after this workshop, we surveyed 22 registries collecting
   information on myotonic dystrophy patients to assess the proliferation
   and utility the dataset agreed in 2009. These registries represent over
   10,000 myotonic dystrophy patients worldwide (Europe, North America,
   Asia and Oceania).
   Results: The registries use a variety of data collection methods (e.g.
   online patient surveys or clinician led) and have a variety of budgets
   (from being run by volunteers to annual budgets over (sic) 200,000). All
   registries collect at least some of the originally agreed data items,
   and a number of additional items have been suggested in particular items
   on cognitive impact.
   Conclusions: The community should consider how to maximise this
   collective resource in future therapeutic programmes.
RI Takahashi, Masanori/O-8946-2019; Meola, Giovanni/K-4775-2016; Kastreva, Kristina/AAS-2741-2020; Schoser, Benedikt/AAH-6286-2020; Bassez, Guillaume/AAD-3033-2022; El Sehrif, Rasha/GNH-1474-2022; Vohanka, Stanislav/ABF-9821-2020; van Engelen, Baziel G.M./H-8027-2014; Schoser, Benedikt/; Kimura, En/B-3869-2010; Kastreva, Kristina/
OI Takahashi, Masanori/0000-0002-5513-5012; Meola,
   Giovanni/0000-0001-6396-717X; Vohanka, Stanislav/0000-0002-2229-624X;
   van Engelen, Baziel G.M./0000-0001-9867-9047; Schoser,
   Benedikt/0000-0002-2757-8131; Kimura, En/0000-0002-7865-5918; Kastreva,
   Kristina/0000-0002-0625-9473
ZS 0
Z8 0
ZR 0
ZA 0
TC 13
ZB 9
Z9 13
U1 1
U2 9
SN 1750-1172
UT WOS:000443735900002
PM 30185236
ER

PT J
AU Pietersen, Pia Iben
   Madsen, Kristian Rorbaek
   Graumann, Ole
   Konge, Lars
   Nielsen, Bjorn Ulrik
   Laursen, Christian Borbjerg
TI Lung ultrasound training: a systematic review of published literature in
   clinical lung ultrasound training
SO CRITICAL ULTRASOUND JOURNAL
VL 10
AR 23
DI 10.1186/s13089-018-0103-6
PD SEP 3 2018
PY 2018
AB Background: Clinical lung ultrasound examinations are widely used in the
   primary assessment or monitoring of patients with dyspnoea or
   respiratory failure. Despite being increasingly implemented, there is no
   international consensus on education, assessment of competencies, and
   certification. Today, training is usually based on the concept of
   mastery learning, but is often unstructured and limited by bustle in a
   clinical daily life. The aim of the systematic review is to provide an
   overview of published learning studies in clinical lung ultrasound, and
   to collect evidence for future recommendations in lung ultrasound
   education and certification.
   Methods: According to PRISMA guidelines, three databases (PubMed,
   Embase, Cochrane Library) were searched, and two reviewers examined the
   results for eligibility. Included publications were described and
   assessed for level of evidence and risk of bias according to guidelines
   from Oxford Centre for Evidence-Based Medicine and Cochrane
   Collaboration Tool for Risk of Bias assessment.
   Results: Of 7796 studies screened, 16 studies were included. Twelve pre-
   and post-test studies, three descriptive studies and one randomized
   controlled trial were identified. Seven studies included web-based or
   online modalities, while remaining used didactic or classroom-based
   lectures. Twelve (75%) studies provided hands-on sessions, and of these,
   11 assessed participants' hands-on skills. None of the studies used
   validated neither written nor practical assessment. The highest level of
   evidence score was 2 (n = 1), remaining scored 4 (n = 15). Risk of bias
   was assessed high in 11 of 16 studies (68.75%).
   Conclusion: All educational methods proved increased theoretical and
   practical knowledge obtained at the ultrasound courses, but the included
   studies were substantial heterogeneous in setup, learning-, and
   assessment methods, and outcome measures. On behalf of current published
   studies, it was not possible to construct clear guidelines for the
   future education and certification in clinical lung ultrasound, but the
   use of different hands-on training facilities tends to contribute to
   different aspects of the learning process. This systematic review proves
   a lack of learning studies within this content, and research with
   validated theoretical and practical tests for assessment is desired.
RI Pietersen, Pia Iben/AAJ-1355-2020; Graumann, Ole/; Pietersen, Pia Iben/; Laursen, Christian Borbjerg/
OI Graumann, Ole/0000-0002-9663-8361; Pietersen, Pia
   Iben/0000-0001-5718-3635; Laursen, Christian
   Borbjerg/0000-0001-6382-9906
ZA 0
ZB 7
ZR 1
TC 44
Z8 1
ZS 0
Z9 45
U1 1
U2 3
SN 2036-3176
EI 2036-7902
UT WOS:000446250800001
PM 30175392
ER

PT J
AU Kumar, Nilay
   Pandey, Ambarish
   Garg, Neetika
   Sampene, Emmanuel
   Lavie, Carl J.
TI Seasonal and Geographic Patterns in Seeking Cardiovascular Health
   Information: An Analysis of the Online Search Trends
SO MAYO CLINIC PROCEEDINGS
VL 93
IS 9
BP 1185
EP 1190
DI 10.1016/j.mayocp.2018.07.011
PD SEP 2018
PY 2018
AB Objective: To ascertain whether temporal and geographic interest in
   seeking cardiovascular disease (CVD) information online follows seasonal
   and geographic patterns similar to those observed in real-world data.
   Methods: We searched Google Trends for popular search terms relating to
   CVD. Relative search volumes (RSVs) were obtained for the period January
   4, 2004, to April 19, 2014, for the United States and Australia. We
   compared average RSVs by month and season and used cosinor analysis to
   test for seasonal variation in RSVs. We also assessed correlations
   between state-level RSVs and CVD burden using an ecological
   correlational design.
   Results: RSVs were 15% higher in the United States and 45% higher in
   Australia for winter compared with summer (P<.001 for difference for
   both). In the United States, RSVs were 36% higher in February compared
   with August, while in Australia, RSVs were 75% higher in August compared
   with January. On cosinor analysis, we found a significant seasonal
   variability in RSVs, with winter peaks and summer troughs for both the
   United States and Australia (P<.001 for zero amplitude test for both).
   We found a significant correlation between state-level RSVs and
   mortality from CVD (r=0.62; P<.001), heart disease (r=0.58; P<.001),
   coronary heart disease (r=0.48; P<.001), heart failure (r=0.51; P<.001),
   and stroke (r=0.60; P<.001).
   Conclusion: Google search query volumes related to CVD follow strong
   seasonal patterns with winter peaks and summer troughs. There is
   moderate to strong positive correlation between state-level search query
   volumes and burden of CVD mortality. (C) 2018 Mayo Foundation for
   Medical Education and Research
RI Garg, Neetika/AAS-1373-2021
OI Garg, Neetika/0000-0002-7001-2168
ZA 0
ZB 5
TC 13
ZS 0
ZR 0
Z8 0
Z9 13
U1 0
U2 5
SN 0025-6196
EI 1942-5546
UT WOS:000443582100012
PM 30193672
ER

PT J
AU Costa-Sanchez, Carmen
   Miguez-Gonzalez, Maria-Isabel
TI USE OF SOCIAL MEDIA FOR HEALTH EDUCATION AND CORPORATE COMMUNICATION OF
   HOSPITALS
SO PROFESIONAL DE LA INFORMACION
VL 27
IS 5
BP 1145
EP 1154
DI 10.3145/epi.2018.sep.18
PD SEP-OCT 2018
PY 2018
AB The main objective of this work is to obtain an in-depth understanding
   of digital communication strategies employed by hospitals by comparing
   and contrasting the digital communication of two hospitals of reference
   in Spain. The main method is content analysis of Facebook and Twitter
   along with in-depth interviews of hospital communication directors.
   Results show different communication strategies that depend on
   organizational goals. The public participated in digital communication
   within three themes: 1) general, sensitive, and topical health issues;
   2) personal and professional projects, as well as initiatives for
   struggle or sensitization; 3) corporate novelties that encourage public
   involvement. The use of currently existing platforms of social media
   from which to manage the online communication should be a priority for
   hospitals. Multimedia content can help to disclose health information.
   Online communication strategies are adapted to overall communication
   strategy and differences in cultural profiles lead to differences in
   priorities.
RI Costa-Sánchez, Carmen/ABE-8157-2020; González, María Isabel Míguez/AAA-1573-2019; Costa-Sanchez, Carmen/
OI González, María Isabel Míguez/0000-0002-0580-8493; Costa-Sanchez,
   Carmen/0000-0001-8154-9537
Z8 0
ZB 0
ZA 0
TC 9
ZS 0
ZR 0
Z9 9
U1 3
U2 32
SN 1386-6710
UT WOS:000445537400018
ER

PT J
AU Judge, Paul D.
   Alvi, Sameer A.
   Tawfik, Kareem O.
TI Priorities in the Neurotology Fellowship Match: A Survey Study of
   Program Directors and Fellows
SO ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY
VL 127
IS 9
BP 625
EP 630
DI 10.1177/0003489418783781
PD SEP 2018
PY 2018
AB Objectives: To ascertain motivations and priorities for neurotology
   fellowship applicants and program directors during the match process.
   Methods: Anonymous online survey distributed to 20 fellowship program
   directors and 40 current and incoming neurotology fellows. A 5-point
   Likert scale was used to assess the priorities of fellowship applicants
   and program directors in the match process.
   Results: Twenty-four of 40 (60%) current or incoming fellows and 14 of
   20 (65%) program directors responded to the survey. Fellows rated
   surgical exposure and volume as their highest priorities. In addition to
   neurotology case load, fellows highly valued exposure to otologic
   surgery. Salary, call, and work/life balance were among the lowest rated
   factors among fellows. Program directors attached the highest priority
   to the applicant interview performance, followed by strength of letters
   of recommendation and quality of prior research. Ethnicity, sex, and
   likelihood of an applicant ranking a program highly were the lowest
   rated factors among program directors.
   Conclusion: Among neurotology fellows, operative case load and breadth
   of surgical exposure are highly valued components of accredited
   fellowship training. Among neurotology fellowship program directors,
   candidates' performance during the fellowship interview appears to be
   highly valued, more so than the strength of applicants' letters of
   recommendation or prior research credentials.
OI Alvi, Sameer/0000-0002-9313-3376
ZA 0
ZR 0
Z8 0
TC 4
ZS 0
ZB 2
Z9 4
U1 0
U2 0
SN 0003-4894
EI 1943-572X
UT WOS:000467131800008
PM 29925248
ER

PT J
AU Anater, Andrea S.
   Catellier, Diane J.
   Levine, Burton A.
   Krotki, Karol P.
   Jacquier, Emma F.
   Eldridge, Alison L.
   Bronstein, Katherine E.
   Harnack, Lisa J.
   Peasley, Julia M. Lorenzana
   Lutes, Anne C.
TI The Feeding Infants and Toddlers Study (FITS) 2016: Study Design and
   Methods
SO JOURNAL OF NUTRITION
VL 148
BP 1516S
EP 1524S
DI 10.1093/jn/nxy035
SU 3
PD SEP 2018
PY 2018
AB Background: Diet and feeding patterns during the infant, toddler, and
   preschool years affect nutrient adequacy or excess during critical
   developmental periods. Understanding food consumption, feeding
   practices, and nutrient adequacy or excess during these periods is
   essential to establishing appropriate recommendations aimed at
   instilling healthy eating behaviors in children.
   Objective: The objective of the 2016 Feeding Infants and Toddlers Study
   (FITS 2016) was to update our knowledge on the diets and feeding
   patterns of young children and to provide new data in related areas such
   as feeding behaviors, sleep, physical activity, and screen use. This
   article describes the study design, data collection methods, 24-h
   dietary recall (24-h recall) protocol, and sample characteristics of
   FITS 2016.
   Methods: FITS 2016 is a cross-sectional study of caregivers of children
   aged <4 y living in the 50 states and Washington, DC. Data collection
   occurred between June 2015 and May 2016. A recruitment interview
   (respondent and child characteristics, feeding practices, physical
   activity, screen use, and sleep habits) was completed by telephone or
   online. This was followed by a feeding practices questionnaire and the
   24-h recall conducted by telephone. A second 24-h recall was collected
   for a random subsample of 25% of the total sampled population.
   Results: Among the 4830 recruited households with an age-eligible child,
   3248 (67%) completed the 24-h recall. The respondents were more likely
   to be white, less likely to be Hispanic, and more highly educated than
   the US population of adults in households with a child <4 y of age. The
   sample was subsequently calibrated and weighted, and the distribution of
   respondents was compared with known population distributions.
   Conclusions: FITS 2016 provides data based on sound methods that can
   inform researchers, policymakers, and practitioners about the food and
   nutrient intakes of young children. New findings may also be compared
   with previous FITS studies.
RI Catellier, Diane/AAN-2219-2021; Jacquier, Emma/; Harnack, Lisa/; Bronstein, Katherine/; Catellier, Diane/; Lutes, Anne Crook/; Eldridge, Alison/; Levine, Burton/; Anater, Andrea Smith/
OI Jacquier, Emma/0000-0003-4491-6371; Harnack, Lisa/0000-0003-1963-5316;
   Bronstein, Katherine/0000-0003-3546-369X; Catellier,
   Diane/0000-0002-3082-628X; Lutes, Anne Crook/0000-0002-8825-3605;
   Eldridge, Alison/0000-0002-9477-7130; Levine,
   Burton/0000-0002-2337-9338; Anater, Andrea Smith/0000-0003-0218-3966
ZS 0
ZR 0
ZB 23
ZA 0
Z8 0
TC 39
Z9 39
U1 0
U2 10
SN 0022-3166
EI 1541-6100
UT WOS:000451808000002
PM 29878140
ER

PT J
AU Hossain, Zahid
   Bumbacher, Engin
   Brauneis, Alison
   Diaz, Monica
   Saltarelli, Andy
   Blikstein, Paulo
   Riedel-Kruse, Ingmar H.
TI Design Guidelines and Empirical Case Study for Scaling Authentic
   Inquiry-based Science Learning via Open Online Courses and Interactive
   Biology Cloud Labs
SO INTERNATIONAL JOURNAL OF ARTIFICIAL INTELLIGENCE IN EDUCATION
VL 28
IS 4
SI SI
BP 478
EP 507
DI 10.1007/s40593-017-0150-3
PD SEP 2018
PY 2018
AB The Next Generation Science Standards (NGSS) and other national
   frameworks are calling for much more sophisticated approaches to STEM
   education, centered around the integration of complex experimentation
   (including real labs, not just simulations), data collection and
   analysis, modeling, and data-driven argumentation, i.e., students can
   behave like real scientists. How to implement such complex approaches in
   scalable ways is an unsolved challenge - both for presential and
   distance education. Here we report on the iterative design and
   large-scale deployment of an open online course with a "biology cloud
   experimentation lab" (using living cells) that engaged remote learners
   (> 300 students) in the scientific practices of experimentation,
   modeling and data analysis to investigate the phototaxis of a
   microorganism. We demonstrate (1) the robustness and scalability of the
   cloud lab technology (> 2,300 experiments run), (2) the design
   principles and synergistic integration of multiple UI and learning
   activities and suitable data formats to facilitate NGSS-aligned science
   activities, and (3) design features that leverages the natural
   variability of real biology experiments to instigate authentic inquiry.
   This platform and course content are now suited for large-scale
   adaptation in formal K-16 education; and we provide recommendations for
   inquiry-based science learning in general.
OI Riedel-Kruse, Ingmar/0000-0002-6068-5561
Z8 0
ZA 0
ZR 0
ZB 4
TC 22
ZS 0
Z9 22
U1 0
U2 22
SN 1560-4292
EI 1560-4306
UT WOS:000449673100002
ER

PT J
AU Boucaut, Rose
   Howson, Debbie
TI Teaching Safe Patient Handling Skills Using a Peer Approach
SO RADIOLOGIC TECHNOLOGY
VL 90
IS 1
BP 20
EP 30
PD SEP-OCT 2018
PY 2018
AB Purpose To elicit radiologic technology students' perceptions of a
   peer-teaching activity, to determine whether students gained safe
   patient handling skills from the activity, and to ascertain whether they
   used these skills during their first clinical placement.
   Methods Authors designed a peer-teaching activity whereby fourth-year
   physical therapy students taught first-year radiologic technology
   students safe patient handling skills. After completing the activity and
   the first clinical placement in a medical imaging or radiation therapy
   facility, 73 radiologic technology students were invited to complete an
   anonymous online survey about their experience with these activities.
   Results The survey response rate was 46.6%. All 34 participants reported
   a positive experience and 33 recommended it for future cohorts. The
   median number of skills radiologic technology students reported they
   gained from the activity was 6, while the median number of skills
   students reported using during clinical placement was 2.5.
   Discussion This peer-teaching activity involving radiologic technology
   and physical therapy students focused on practical, safe patient
   handling education. Positive feedback from radiologic technology
   students about the activities might have stemmed, in part, from the high
   teacher-to-student ratio, which afforded the radiologic technology
   students personal instruction. The radiologic technology students
   commented on the merit of hands-on experience, and they learned the
   importance of giving patients clear directions and standing close enough
   to patients to help them move and transfer safely.
   Conclusion The teaching activity focused on practical skills but also
   appears to have facilitated the development of professional behaviors
   and reflection on practice. Future research is required to determine why
   some students did not practice the skills during clinical placement.
OI Boucaut, Rose/0000-0002-1832-077X
TC 1
ZR 0
ZB 0
ZS 0
ZA 0
Z8 0
Z9 1
U1 0
U2 4
SN 0033-8397
EI 1943-5657
UT WOS:000461516400003
PM 30352915
ER

PT J
AU Yang, Wai Y.
   Fu, Yen
TI Level of empathy among dietitians: A pilot study
SO NUTRITION & DIETETICS
VL 75
IS 4
BP 411
EP 417
DI 10.1111/1747-0080.12421
PD SEP 2018
PY 2018
AB AimThe health-care providers' empathy has been linked to better patient
   outcomes. The increased demand for dietetics services has called for
   dietitians to examine their clinical practices and encounters with
   patients. To date, there are limited studies published on empathy among
   dietitians. Hence, this study aimed to determine the clinical
   dietitians' empathy level in Malaysia.
   MethodsUsing a purposive sampling method, this study was conducted on
   dietitians practising in the Malaysian hospitals (government and
   private). The Toronto Empathy Questionnaire (TEQ), a validated 16-item
   questionnaire was self-administered, either by online survey method or
   face-to-face method. Additional information on gender, ethnicity, years
   of experience and percentage of working time spent on clinical,
   administrative and other areas were collected.
   ResultsA total of 69 dietitians participated in the study (private
   (n=36) and government (n=33)). The dietitians' mean total TEQ scores
   were 49.725.62 (score ranged between 35 and 63). Significant difference
   of mean total TEQ scores was found between dietitians from private
   (51.06 +/- 5.26) and government hospitals (48.27 +/- 5.72). There was no
   significant difference in the level of empathy by gender, ethnicity,
   years of experience and percentage of time spent on clinical
   consultations, administration or others while at work.
   ConclusionsResults from this study showed that there were differences in
   empathy level of Malaysian dietitians by work setting. This preliminary
   finding serves as a baseline for future studies and could facilitate the
   development of dietetics education in Malaysia.
RI Yang, Wai Yew/CAE-2692-2022; Yang, Wai Yew/AAK-8049-2020
OI Yang, Wai Yew/0000-0001-6829-8526; Yang, Wai Yew/0000-0001-6829-8526
ZB 0
Z8 0
TC 5
ZS 0
ZR 0
ZA 0
Z9 5
U1 0
U2 8
SN 1446-6368
EI 1747-0080
UT WOS:000445193700010
PM 29633503
ER

PT J
AU Cavan, D.
   Makaroff, L. E.
   Fernandes, J. da Rocha
   Karuranga, S.
   Sylvanowicz, M.
   Conlon, J.
   Chaney, D.
   Malhi, A.
   Barratt, J.
TI Global perspectives on the provision of diabetic retinopathy screening
   and treatment: Survey of health care professionals in 41 countries
SO DIABETES RESEARCH AND CLINICAL PRACTICE
VL 143
BP 170
EP 178
DI 10.1016/j.diabres.2018.07.004
PD SEP 2018
PY 2018
AB Aim: To assess the level of awareness and provision of screening and
   treatment for Diabetic Eye Disease (DED) comprising Diabetic Retinopathy
   (DR) and Diabetic Macular Edema (DME) among health care professionals.
   Methods: The study was conducted in two phases. The first phase
   consisted of a qualitative study, based on semi-structured face-to-face
   and telephone interviews in 8 countries. The second phase used a
   quantitative approach utilising online surveys in 41 countries. The
   survey for health care professionals comprised of 43 questions covering
   provider information, practice characteristics, management of adults
   with diabetes and specific information from ophthalmologists on
   screening and treatments for DR.
   Results: There were 2329 health care professionals who participated in
   the online survey. More than one third of diabetes specialists surveyed
   reported that they did not discuss eye care with their diabetes
   patients. Nearly two-thirds of all health care professionals surveyed
   reported that they had written information about diabetes for patients
   available in their practice. Only one in five (22%, n = 58) primary care
   providers reported they had material that contained sufficient
   information on eye complications, and 37% (n = 252) of ophthalmologists
   reported that they had sufficient information on eye complications.
   Sixty-five percent (n = 378) of ophthalmologists reported that most of
   their patients presented when visual problems had already occurred. Six
   percent (n = 36) stated that most of their patients presented when it
   was already too late for effective treatment. The most substantial
   barriers to eye health mentioned by health care professionals responding
   to the survey were: a patients' lack of knowledge and/or awareness about
   eye complications (43%), followed by lack of importance given to eye
   examinations by patients (33%), and the high cost of care (32%).
   Ophthalmologists also reported late screening (66%), and lack of patient
   education materials (55%) as obstacles for improving eye health
   outcomes.
   Conclusion: Health care professionals need to be appropriately supported
   and trained so they can provide adults with diabetes with information
   about the risks of DR, support them in reducing their risk, and advocate
   for the provision of affordable DR screening and treatment as required.
   (C) 2018 Elsevier B.V. All rights reserved.
OI Makaroff, Lydia/0000-0001-7381-5743
TC 18
ZS 0
ZR 0
Z8 0
ZA 0
ZB 5
Z9 18
U1 0
U2 3
SN 0168-8227
EI 1872-8227
UT WOS:000445129900020
PM 30003940
ER

PT J
AU Arjadi, Retha
   Nauta, Maaike H.
   Bockting, Claudi L. H.
TI Acceptability of internet-based interventions for depression in
   Indonesia
SO INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN
   MENTAL AND BEHAVIOURAL HEALTH
VL 13
BP 8
EP 15
DI 10.1016/j.invent.2018.04.004
PD SEP 2018
PY 2018
AB Background: In Indonesia, internet-based interventions may represent a
   promising strategy to reduce the mental health gap given that the level
   of internet usage in the country continues to increase. To check the
   acceptability of internet-based interventions, this study investigates
   factors that contribute to the use of internet-based interventions for
   depression in Indonesia.
   Method: The survey was conducted online and had 904 participants
   recruited from specific social networks on mental health and general
   social media (Mean age = 27.07, 50.22% females). The three dependent
   variables were (1) behavioral intention to start using internet-based
   interventions for depression, (2) preference to use it as a substitute
   for regular treatments and (3) preference to use it to complement
   regular treatments. The predictor variables included sociodemographic
   characteristics, perceived mental health conditions, personal
   situational characteristics, personal innovativeness toward online
   services, and depression level.
   Results: A large majority reported to be open to using internet-based
   interventions for depression (73.7%), as well as to use it as a
   substitution (73.3%) or as a complementary (73%) to regular treatments.
   Personal innovativeness toward online services was the strongest
   significant predictor for all types of use, even when corrected for
   current depression level. When added to the analyses separately,
   depression level was the second strongest predictive factor for all
   dependent variables.
   Conclusion: The majority of Indonesians showed openness to use
   internet-based interventions for depression. To increase the adoption of
   internet-based interventions for depression, it is important to first
   promote internet usage to more people across the country, especially for
   those who are currently depressed.
OI Bockting, Claudi L.H./0000-0002-9220-9244
ZA 0
TC 15
ZB 2
Z8 0
ZR 0
ZS 0
Z9 15
U1 0
U2 2
EI 2214-7829
UT WOS:000457135000002
PM 30206513
ER

PT J
AU Luedtke, Thies
   Westermann, Stefan
   Pult, Lilian K.
   Schneider, Brooke C.
   Pfuhl, Gerit
   Moritz, Steffen
TI Evaluation of a brief unguided psychological online intervention for
   depression: A controlled trial including exploratory moderator analyses
SO INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN
   MENTAL AND BEHAVIOURAL HEALTH
VL 13
BP 73
EP 81
DI 10.1016/j.invent.2018.06.004
PD SEP 2018
PY 2018
AB Background: Psychological online interventions (POIs) reduce depression
   but we know little about factors influencing their effectiveness. We
   evaluated a new, brief POI for depression and conducted exploratory
   moderator analyses.
   Methods: In this online trial (German Clinical Trials Register;
   DRKS00011045), we allocated participants to treatment as usual (TAU; n =
   67) or POI (n = 65). At first, we randomized participants; later we
   allocated participants based on depression severity in order to counter
   baseline differences. The unguided POI addressed behavioral activation
   and depressive thinking in a single module with 25 webpages (including a
   smartphone application). We did one assessment at baseline and a
   post-assessment four weeks later.
   Results: At post-assessment, depression (p = .586), behavioral
   activation (p = .332), and dysfunctional attitudes (p = . 499) did not
   differ between groups. When concurrent treatments
   (medication/psychotherapy) remained constant/decreased, the POI
   outperformed TAU (p = .031). POI-participants with lower willingness to
   change (p = .030) or higher education (p = .017) were less likely to
   worsen (i. e., experience increased depressive symptoms) compared to
   TAU.
   Discussion: The targeted sample size was not reached, measurements were
   self-reported, and randomization failed. The POI's content may have been
   too limited. Concurrent treatments, which were more often sought out by
   TAU participants, diminished group differences and should be considered
   in future studies. Brief POIs may protect against worsening of
   depressive symptoms among highly educated participants or those with low
   willingness to change.
RI Pfuhl, Gerit/AAY-2940-2020; Pfuhl, Gerit/AAY-2976-2020; Westermann, Stefan/
OI Pfuhl, Gerit/0000-0002-3271-6447; Pfuhl, Gerit/0000-0002-3271-6447;
   Westermann, Stefan/0000-0002-4785-0024
ZR 0
TC 9
ZB 2
ZA 0
Z8 0
ZS 0
Z9 9
U1 0
U2 3
EI 2214-7829
UT WOS:000457135000011
PM 30206522
ER

PT J
AU Leavy, Jill M.
   Clifton, Peter M.
   Keogh, Jennifer B.
TI The Role of Choice in Weight Loss Strategies: A Systematic Review and
   Meta-Analysis
SO NUTRIENTS
VL 10
IS 9
AR 1136
DI 10.3390/nu10091136
PD SEP 2018
PY 2018
AB Effective strategies to achieve weight loss and long-term weight loss
   maintenance have proved to be elusive. This systematic review and
   meta-analysis aims to explore whether the choice of weight loss strategy
   is associated with greater weight loss. An electronic search was
   conducted using the MEDLINE (Medical Literature Analysis and Retrieval
   System Online, or MEDLARS Online), EMBASE (Excerpta Medica database),
   CINAHL (Cumulative Index to Nursing and Allied Health Literature), and
   PsycINFO (Database of Abstracts of Literature in the Field of
   Psychology, produced by the American Psychological Association and
   distributed on the association's APA PsycNET) databases for clinical
   trials and randomized controlled trials, investigating the role of
   choice in weight loss strategies. A total of nine studies were
   identified as meeting the pre-specified criteria. All of the studies
   included a Choice' or preference arm and a No Choice' arm or group who
   did not receive their preference as a control. A total of 1804 subjects
   were enrolled in these studies, with weight loss observed in both
   experimental and control groups of all studies, irrespective of dietary
   intervention, study duration, or follow-up length. Twelve interventions
   in nine trials were used for the meta-analysis, with results indicating
   a greater weight loss in the control groups, 1.09 +/- 0.28 (overall mean
   difference in weight loss between groups +/- standard error; p = 0).
   There was no significant effect of duration or attrition. In this
   meta-analysis, the choice of weight loss strategy did not confer a
   weight loss benefit.
RI Keogh, Jennifer B/B-6922-2011; Clifton, Peter/F-4446-2013
OI Keogh, Jennifer B/0000-0002-4788-3870; Clifton,
   Peter/0000-0002-6411-626X
ZB 1
ZA 0
ZS 0
Z8 0
ZR 0
TC 2
Z9 2
U1 0
U2 12
EI 2072-6643
UT WOS:000448659900009
PM 30134595
ER

PT J
AU McLaughlin, Laura
   Keim, Sarah A.
   Adesman, Andrew
TI Wandering by Children with Autism Spectrum Disorder: Key Clinical
   Factors and the Role of Schools and Pediatricians
SO JOURNAL OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
VL 39
IS 7
BP 538
EP 546
DI 10.1097/DBP.0000000000000591
PD SEP 2018
PY 2018
AB Objective: To examine the clinical characteristics associated with
   wandering in children with autism spectrum disorder (ASD), the impact on
   families, and how medical and educational professionals address
   wandering. Methods: An anonymous, online questionnaire was distributed
   through autism-related organizations to parents of children with ASD.
   The questionnaire asked about demographics, developmental diagnoses,
   past wandering behavior, and impact of wandering on parents. It also
   asked about the use of electronic tracking devices, requested
   Individualized Education Program (IEP) modifications, use of restraints
   and/or seclusion to prevent wandering at school, and receipt of guidance
   about wandering. Parents were included if they lived in the United
   States and had a child aged 4 to 18 years with ASD who had previously
   wandered. Results: A total of 1454 parents who completed the
   questionnaire met the inclusion criteria. It was found that 22.4% of the
   children wandered from their home or yard and 24.6% from a public place
   more than monthly. Wandering concerns affected 73.3% of parents'
   decisions to let their child spend time with friends or family in their
   absence. Furthermore, 48.6% and 58.7% of parents were moderately/very
   worried about their child wandering from home or yard or a public place,
   respectively. Over half of the parents (54.9%) parents requested IEP
   changes to address wandering. Only 33.3% of parents had previously
   received any counseling about wandering. Conclusion: Children with ASD
   and a history of elopement wandered at a fairly high frequency.
   Wandering concerns increased worry and anxiety for parents and
   negatively impacted household routines. The medical community is not
   adequately educating families about these risks. Pediatricians must
   become more aware of available prevention and mitigation strategies.
RI Keim, Sarah/F-8929-2013
OI Keim, Sarah/0000-0003-3490-3649
Z8 0
ZB 5
ZR 0
TC 7
ZA 0
ZS 0
Z9 7
U1 0
U2 4
SN 0196-206X
EI 1536-7312
UT WOS:000452562800002
PM 29994813
ER

PT J
AU Johansson, Klara
   Persson, Kristina Ingemarsdotter
   Deogan, Charlotte
   El-Khatib, Ziad
TI Factors associated with condom use and HIV testing among young men who
   have sex with men: a cross-sectional survey in a random online sample in
   Sweden
SO SEXUALLY TRANSMITTED INFECTIONS
VL 94
IS 6
BP 427
EP 433
DI 10.1136/sextrans-2017-053369
PD SEP 2018
PY 2018
AB Objectives T he objectives are to analyse social determinants of sexual
   health behaviour (condom use and HIV testing) among young,
   internet-active, cis men who have sex with men (MSM) in a high-income
   country. The aspects of sexual health behaviour analysed here are
   condomless anal intercourse with one or more new or casual partner(s),
   condomless anal intercourse during the most recent sex with a man and
   HIV testing.
   Methods A randomised sample of men active on Sweden's main online
   community for Lesbian, Gay, Bisexual and Trans people responded to an
   online survey (response rate 19%). A subsample of young people, aged
   15-29, was analysed (effective sample 597-669) using multivariable
   logistic regression with respect to factors associated with condomless
   anal intercourse with one or more new or casual partner(s), condomless
   anal intercourse at most recent sex and not having had a test for HIV.
   Results L ow education, being single and living in a metropolitan area
   were found to be independently associated with condomless anal
   intercourse with new or casual partner(s). Sex with a steady partner was
   associated with condomless anal intercourse during the most recent sex.
   Knowledge of where to get tested, high education, being born outside
   Sweden and condomless anal intercourse with new or casual sex partner(s)
   were independently associated with having been tested for HIV.
   Conclusions T he factors associated with sexual health behaviour among
   young MSM are complex, and preventive messages need to be tailored
   accordingly.
RI El-Khatib, Ziad/B-5161-2017; Johansson, Klara/
OI El-Khatib, Ziad/0000-0003-0756-7280; Johansson,
   Klara/0000-0002-3749-998X
Z8 0
ZS 0
ZB 1
TC 11
ZR 0
ZA 0
Z9 11
U1 0
U2 7
SN 1368-4973
EI 1472-3263
UT WOS:000443606300012
PM 29773663
ER

PT J
AU Subki, Ahmed H.
   Algethami, Mohammed R.
   Addas, Firas A.
   Alnefaie, Majed N.
   Hindi, Muhab M.
   Abduljabbar, Hassan S.
TI Women's perception and attitude to medical students' participation in
   obstetrics and gynecology care
SO SAUDI MEDICAL JOURNAL
VL 39
IS 9
BP 902
EP 909
DI 10.15537/smj.2018.9.22668
PD SEP 2018
PY 2018
AB Objectives: To determine the attitudes of obstetric and gynecological
   patients towards medical students' participation in clinical care.
   Methods: Patients in an obstetric and gynecological practice in Kingdom
   of Saudi Arabia, completed a structured self-administered online
   questionnaire to assess demographic, reproductive and lifestyle
   variables that affected their attitude towards the acceptance of medical
   students' participation in outpatient clinical care.
   Results: Out of the 595 women surveyed, 64.7% received perinatal care,
   while 35.3% received gynecologic care. Women mostly held positive
   attitudes towards medical students' participation. Women expressed more
   comfort with medical students' involvement during limited clinical care
   roles such as obtaining patient's history and physical examinations
   without a pelvic examination. Women reported higher comfort levels in
   the presence of female medical students, especially during pelvic
   examinations. The presence of male medical students caused a significant
   reduction in patient's comfort.
   Conclusion: Our results suggest that women seeking obstetrics and
   gynecology medical services are accepting students' involvement during
   the healthcare encounter. Most patients are more comfortable if direct
   contact with students is minimized and students' participation in
   medical care is restricted to more limited roles. In addition, the
   student's gender is a significant determinant of patient's acceptance
   and comfort during the clinical encounter.
OI Subki, Ahmed Hussein/0000-0002-0430-0321
TC 2
Z8 0
ZR 0
ZS 0
ZB 0
ZA 0
Z9 2
U1 0
U2 1
SN 0379-5284
UT WOS:000452510300007
PM 30251734
ER

PT J
AU Lee, Y. Y.
   Ranse, K.
   Silvester, W.
   Mehta, A.
   Van Haren, F. M. P.
TI Attitudes and self-reported end-of-life care of Australian and New
   Zealand intensive care doctors in the context of organ donation after
   circulatory death
SO ANAESTHESIA AND INTENSIVE CARE
VL 46
IS 5
BP 488
EP 497
DI 10.1177/0310057X1804600510
PD SEP 2018
PY 2018
AB The incidence of organ donation after circulatory death (DCD) in
   Australia and New Zealand (ANZ) has steadily increased in recent years.
   Intensive care doctors are vital to the implementation of DCD and
   healthcare professionals' attitudes to DCD can influence their
   participation. In order to determine ANZ intensive care doctors'
   attitudes to DCD, to explore if demographic characteristics influence
   attitude to DCD and to assess if attitude to DCD can predict palliative
   prescription rationale at the end of life of DCD donors, a
   cross-sectional online survey was distributed to ANZ intensive care
   doctors and responses collected between 29 April and 10 June 2016.
   Exploratory factor analysis was used to define various attributes of
   attitude to DCD. Results were subjected to comparative statistical
   analyses to examine the relation between demographic data and attitude
   to DCD. Multiple regression models were used to examine if attitude to
   DCD could predict intensive care doctors' palliative prescription
   rationales at the end of life of DCD donors. One hundred and sixty-one
   intensive care doctors responded to the survey with 69.4% having worked
   in intensive care for ten years or more. Respondents responded
   positively to the support of and perceived importance of DCD in helping
   those who would benefit from the donations (constructive attributes)
   (mean composite factor score = 3.84, standard deviation [SD] 0.83), they
   positively perceived that conducive and facilitative orchestration of
   DCD helps families cope (mean composite factor score = 3.94, SD 0.72)
   and that they would manage a DCD donor similar to any patient at the end
   of their life (mean score = 3.94, SD 0.72). Respondents responded
   negatively to having concerns that the circulatory death of potential
   DCD donors does not occur within the specified time frame (mean score =
   2.28, SD 1.02). There was an association between organ donation
   professional education courses, familiarity with national guidelines and
   positive attitudes to certain attributes of attitude to DCD. Regression
   models demonstrated the attitude to DCD may predict intensive care
   doctors' palliative medication prescription rationales at the end of
   life of the DCD donor. Intensive care doctors in ANZ adopt a morally
   neutral attitude to DCD where they recognise the importance of organ
   donation, and support and conduct DCD as a part of good end-of-life
   care.
RI Mehta, Abhinav/X-6201-2019
OI Mehta, Abhinav/0000-0001-7373-8231
ZS 0
Z8 0
ZB 0
TC 10
ZA 0
ZR 0
Z9 10
U1 2
U2 6
SN 0310-057X
EI 1448-0271
UT WOS:000453638800010
PM 30189823
ER

PT J
AU Walsh, Kathleen E.
   Secor, Jessica L.
   Matsumura, Jon S.
   Schwarze, Margaret L.
   Potter, Beth E.
   Newcomer, Peter
   Kim, Michael K.
   Bartels, Christie M.
TI Secure Provider-to-Provider Communication With Electronic Health Record
   Messaging: An Educational Outreach Study
SO JOURNAL FOR HEALTHCARE QUALITY
VL 40
IS 5
BP 283
EP 291
DI 10.1097/JHQ.0000000000000115
PD SEP-OCT 2018
PY 2018
AB Introduction: With increasing electronic health record (EHR) use,
   providers are talking less with one another. Now, many rely on EHRs.
   informal emails, or texts, introducing fragmentation and new data
   security challenges with new communication strategies. We aimed to
   examine the impact of a physician champion educational outreach
   intervention to promote electronic provider-to-provider communication in
   a large academic multispecialty group.
   Methods: Physician champions provided educational outreach to 16
   academic departments. using 10-minute case-based presentations. Online
   surveys assessed communication preferences and practices. Electronic
   health record queries counted EHR messaging use before and after
   intervention. Descriptive statistics compared responses by specialty
   (z-test). Paired responses with pre-post data were compared using
   chi-square tests. Time series analysis assessed EHR messaging rates
   before intervention versus after intervention.
   Results: Five hundred seventeen providers responded to the postoutreach
   survey. Eighty-six percent were familiar with EHR messaging tool and 78%
   knew how to use it after intervention. Among practitioner groups, Family
   Medicine preferred EHR messaging the most (62%). Groups who declined
   outreach least preferred it (26%). Among 88 respondents with paired
   pre-post intervention surveys, familiarity rose (79-96%), and
   self-reported use increased (66-88%).
   Conclusions: Physician champion educational outreach increased the use
   of the secure provider-to-provider EHR messaging tool.
RI Bartels, Christie Michels/ABG-4072-2020
OI Bartels, Christie Michels/0000-0001-6523-0374
ZR 0
ZA 0
TC 2
Z8 0
ZB 0
ZS 0
Z9 2
U1 0
U2 5
SN 1062-2551
EI 1945-1474
UT WOS:000454043300007
PM 29280777
ER

PT J
AU Seitz, Christopher M.
   Kabir, Zubair
TI Burn injuries caused by e-cigarette explosions: A systematic review of
   published cases
SO TOBACCO PREVENTION & CESSATION
VL 4
AR 32
DI 10.18332/tpc/94664
PD SEP 2018
PY 2018
AB INTRODUCTION E-cigarettes have the potential to cause burns from
   batteries that explode. Although e-cigarette explosion burns have been
   reported by the media (e. g. local online news, blogs), there is a need
   for a comprehensive review of published medical case reports regarding
   these injuries.
   METHODS CINAHL and PubMed were systematically searched using common
   terms regarding e-cigarettes (electronic cigarette, e-cigarette, vape,
   vaping, electronic nicotine delivery systems) in every combination with
   the term 'explosion'. Peer-reviewed articles were included if they: were
   written in English, described case reports of burn injuries caused by
   e-cigarette explosions, and were published in any year. Cases were
   categorized by demographics, location of the e-cigarette explosion,
   burned body areas, types of burns, total body surface area of burns, the
   need for skin grafting, and the length of hospital stay.
   RESULTS Thirty-one articles were included in the review and described
   164 cases. Most patients (90%) were male and between 20 to 29 years old.
   In the majority of cases (65%), e-cigarettes exploded in pockets,
   compared to exploding in the face or hand. Common burned areas included
   the thigh, hand, genitals, and face. Burn severity was typically
   second-degree burns (35%) or a combination of seconddegree and
   third-degree burns (20%). In all, 48 patients required skin grafting,
   with 19 reporting a median hospital stay of 5 days.
   CONCLUSIONS This review has several implications, including the need for
   regulation of batteries, education regarding battery safety, and
   leveraging images of the severity of e-cigarette explosion burns to
   discourage the use of e-cigarettes.
OI Kabir, Zubair/0000-0003-1529-004X
Z8 0
ZA 0
ZS 0
ZB 4
TC 10
ZR 0
Z9 11
U1 0
U2 9
EI 2459-3087
UT WOS:000453907100001
PM 32411858
ER

PT J
AU Day, A. T.
   Tang, L.
   Patel, U. A.
   Richmon, J. D.
   Emerick, K. S.
TI Otolaryngology resident experience with supraclavicular, submental and
   other regional flaps in the United States
SO AMERICAN JOURNAL OF OTOLARYNGOLOGY
VL 39
IS 5
BP 518
EP 521
DI 10.1016/j.amjoto.2018.05.016
PD SEP-OCT 2018
PY 2018
AB Objective: Despite the resurgence in regional flap use, otolaryngology
   resident regional flap experience has been incompletely studied. We
   sought to characterize United States (US) otolaryngology resident
   exposure to, and perceptions of, supraclavicular flaps (SCFs), submental
   flaps (SMFs), and other regional flaps.
   Methods: An online survey was disseminated every two weeks to 106 US
   otolaryngology residency program directors for distribution to residents
   within their programs between August and October 2016. 121 surveys were
   returned of which 106 were sufficiently completed and eligible for data
   analysis.
   Results: Among residents with adequate responses, 52 were postgraduate
   year (PGY) 1-3 (junior) residents and 54 were PGY 4-7 (senior)
   residents. Senior residents participated in more pectoralis major flaps
   (mean: 8.1, 95%-CI: 6.5-9.8) compared to SCFs (mean: 1.5, 95%-CI:
   1.0-2.0, p < 0.001) and SMFs (mean: 0.7; 95%-CI: 0.4-1.0, p < 0.001).
   Among senior residents exposed to SCFs, SMFs and pectoralis flaps, more
   individuals judged pectoralis major flaps as successful or very
   successful (96.2%, 95%-CI: 91.1-100%), compared to SCFs (64.3%, 95%-CI:
   46.5-82.0%; p < 0.001) and SMFs (63.2%, 95%-CI: 41.5-84.8%; p = 0.001).
   Conclusions: Senior otolaryngology residents were exposed to fewer SCFs
   and SMFs compared to pectoralis major flaps. Resident perception that
   SCFs and SMFs were not as successful as pectoralis major flaps should be
   investigated further.
RI Richmon, Jeremy/ABI-4295-2020; Day, Andrew/
OI Richmon, Jeremy/0000-0002-6588-6549; Day, Andrew/0000-0001-7187-4125
ZA 0
ZS 0
ZR 0
ZB 0
TC 3
Z8 0
Z9 3
U1 0
U2 2
SN 0196-0709
EI 1532-818X
UT WOS:000443929600013
PM 29884566
ER

PT J
AU Langfield, Tracey
   Colthorpe, Kay
   Ainscough, Louise
TI Online instructional anatomy videos: Student usage, self-efficacy, and
   performance in upper limb regional anatomy assessment
SO ANATOMICAL SCIENCES EDUCATION
VL 11
IS 5
BP 461
EP 470
DI 10.1002/ase.1756
PD SEP-OCT 2018
PY 2018
AB Allied health professionals concur that a sound knowledge of practical
   gross anatomy is vital for the clinician, however, human anatomy courses
   in allied health programs have been identified as high-risk for
   attrition and failure. While anatomists and clinicians agree that
   learning anatomy via human cadaveric instruction is the preferred
   method, students vary in their reaction to the cadaveric learning
   experience and have differing levels of anatomy self-efficacy. This
   study investigated whether student self-efficacy had an effect on
   student usage of supplemental instructional videos and whether the use
   of videos had an impact on student self-efficacy and/or learning.
   Anatomy self-efficacy differed based on gender and prior performance.
   Student usage of the videos varied widely and students with lower
   self-efficacy were more inclined to use the resources. The provision of
   the videos did not improve overall cohort performance as compared to a
   historical cohort, however, those students that accessed all video sets
   experienced a greater normalized learning gain compared to students that
   used none or one of the four sets of videos. Student reports and usage
   patterns indicate that the videos were primarily used for practical
   class preparation and revision. Potentially, the videos represent a
   passive mode of teaching whereas active learning has been demonstrated
   to result in greater learning gains. Adapting the videos into
   interactive tutorials which will provide opportunity for feedback and
   the development of students' self-evaluation may be more appropriate.
   Anat Sci Educ 11: 461-470. (c) 2017 American Association of Anatomists.
RI Ainscough, Louise/AAQ-2479-2020
OI Ainscough, Louise/0000-0001-8840-0719
ZB 2
TC 23
Z8 0
ZS 1
ZR 0
ZA 0
Z9 23
U1 5
U2 33
SN 1935-9772
EI 1935-9780
UT WOS:000443675100003
PM 29205947
ER

PT J
AU Wauthier, Laura M.
   Williams, Joanne M.
CA Scottish Soc Prevention Cruelty An
TI Using the mini C-BARQ to investigate the effects of puppy farming on dog
   behaviour
SO APPLIED ANIMAL BEHAVIOUR SCIENCE
VL 206
BP 75
EP 86
DI 10.1016/j.applanim.2018.05.024
PD SEP 2018
PY 2018
AB High demand for dogs in countries like the UK can lead to illegal
   intensive breeding and illegal importation of puppies for the pet trade.
   The current study investigates the effects of intensive breeding or
   'puppy farming' on canine behaviour, explores new ways of predicting
   negative outcomes and categorising dog behaviour, and probes whether
   various types of training or routines can mitigate these behavioural
   outcomes. Participants completed an online self-report questionnaire,
   combining a shortened version of the Canine Behavioural Assessment and
   Research Questionnaire (mini C-BARQ) (Duffy et al., 2014), with new
   scales created in collaboration with the Scottish Society for the
   Prevention of Cruelty to Animals (Scottish SPCA). 2026 participants
   completed the questionnaire; most owners had dogs from non-puppy farm
   backgrounds (n = 1702), the rest had dogs from puppy farms (n = 123), or
   were unsure of the source of the dog (n = 201). We validated the mini
   CBARQ as a tool for measuring dog behaviour, and explored its latent
   dimensions using factor analysis, extracting five first-order factors
   and one overarching second-order factor. We also confirm the validity of
   three of the four new scales developed with Scottish SPCA used to
   measure the impact of puppy farming practices. Linear and logistic
   regressions demonstrated that dogs from puppy farms have less desirable
   behaviours than dogs from other sources on 11 of the 14 behavioural
   subscales of the mini C-BARQ (for significant subscales, coefficients
   were between 0.1 and 0.2, and odds Ratios between 1.6 and 2.5).
   Generalized Linear Models (GLM) revealed the predictive power of two
   newly developed scales measuring early life experience in explaining
   variations in dog behaviour. In a GLM accounting for the dog's early
   life experience (and controlling for variables like breed and age),
   dog-walking significantly reduced the incidence of undesirable
   behaviours (p < 0.001), while different types of training had a
   significant interaction with poor early life experience in moderating
   canine behaviour (p < 0.002). Finally, dogs from puppy farms had
   significantly worse medical scores than dogs from other breeding sources
   (U = 144,719, z = 7.228, p < 0.001). These results suggest that puppy
   farming has negative impacts on dog behaviours and health, while more
   research is necessary to fully explore how to mitigate the effects of
   poor early life experience.
OI Wauthier, Laura/0000-0003-0337-1416
ZS 0
TC 9
ZB 3
ZA 0
ZR 0
Z8 0
Z9 9
U1 0
U2 56
SN 0168-1591
EI 1872-9045
UT WOS:000442056400010
ER

PT J
AU Vance, Esther
   Farlie, Melanie K.
   Kool, Bridget
   Tiedemann, Anne
   Hatton, Anna L.
   Sherrington, Catherine
   Sturnieks, Daina L.
TI Health professional student education related to the prevention of falls
   in older people: A survey of universities in Australia and New Zealand
SO AUSTRALASIAN JOURNAL ON AGEING
VL 37
IS 3
BP E116
EP E119
DI 10.1111/ajag.12543
PD SEP 2018
PY 2018
AB ObjectiveTo determine the amount and nature of health professional
   education related to fall prevention for older adults in Australian and
   New Zealand universities.
   MethodsUniversities offering medicine, nursing and allied health courses
   were invited to complete an online survey enquiring about fall
   prevention course-related information: topics; delivery mode; and time
   dedicated.
   ResultsOne hundred and five respondents, 11 disciplines and 43
   universities completed the survey. Courses were primarily undergraduate
   level (90%) and delivered face-to-face (93%). Time dedicated to fall
   prevention was usually one to three hours of lectures (>65% of courses)
   and 1-3+ hours of tutorials/practical sessions (>80% of courses).
   ConclusionsSurvey results indicate that education of health
   professionals across a range of disciplines in Australia and New Zealand
   does include older adult fall prevention. Education of all health and
   exercise professionals about falls is vital given their critical role in
   the prevention and management of falls in our rapidly ageing population.
RI Sherrington, Catherine/S-9196-2019; Farlie, Melanie K./K-1505-2019; Farlie, Melanie K./ABB-6913-2021; Kool, Bridget/; Sturnieks, Daina/; Hatton, Anna/D-2119-2011
OI Sherrington, Catherine/0000-0001-8934-4368; Farlie, Melanie
   K./0000-0002-6820-1496; Kool, Bridget/0000-0002-2537-4688; Sturnieks,
   Daina/0000-0002-4602-7685; Hatton, Anna/0000-0002-5612-469X
ZB 0
ZS 0
TC 3
ZR 0
Z8 0
ZA 0
Z9 3
U1 0
U2 10
SN 1440-6381
EI 1741-6612
UT WOS:000443380700007
PM 29766628
ER

PT J
AU Weigold, Arne
   Weigold, Ingrid K.
   Natera, Sara N.
TI Mean scores for self-report surveys completed using paper-and-pencil and
   computers: A meta-analytic test of equivalence
SO COMPUTERS IN HUMAN BEHAVIOR
VL 86
BP 153
EP 164
DI 10.1016/j.chb.2018.04.038
PD SEP 2018
PY 2018
AB The large body of literature on the comparability of mean scores for
   self-report survey responses gathered using paper-and-pencil and
   computer data collection methodologies has yielded inconclusive results.
   However, no comprehensive meta-analysis has been conducted in this
   field, and those that are available for specific measures have typically
   not differentiated between studies using between-groups and
   within-subjects designs. Also, few individual studies, and no
   meta-analyses, have used correct statistical procedures to determine the
   equivalence of the two methodologies. Consequently, we conducted two
   meta-analyses assessing quantitative equivalence (i.e., mean scores),
   with the first consisting of 144 independent effect sizes from studies
   with between-groups designs and the second including 70 independent
   effect sizes from studies using within-subjects designs. Both
   meta-analyses assessing mean scores indicated equivalence across
   conditions, with large heterogeneity of variance in the between groups
   analysis. Presence of others in both the paper-and-pencil and computer
   conditions accounted for a significant portion of this variance.
   Heterogeneity of variance was small for the within-subjects design
   analysis. Overall, results indicated that the mean scores for
   self-report surveys using paper-and pencil and the computer are
   comparable, although heterogeneity differs for the study designs.
   Equivalence testing was demonstrated to be the recommended statistical
   procedure for this type of research. (C) 2018 Elsevier Ltd. All rights
   reserved.
ZR 0
Z8 0
ZA 0
ZB 1
TC 12
ZS 0
Z9 12
U1 0
U2 7
SN 0747-5632
EI 1873-7692
UT WOS:000437968500015
ER

PT J
AU Neal, Ashley E.
   Lehto, Elizabeth
   Miller, Karen Hughes
   Davis, Erin
   Ziegler, Craig
TI A qualitative assessment of pediatric cardiology core content: Comments
   from Kentucky trainees, pediatricians, and pediatric cardiologists
SO CONGENITAL HEART DISEASE
VL 13
IS 5
BP 788
EP 793
DI 10.1111/chd.12626
PD SEP-OCT 2018
PY 2018
AB ObjectiveThe 2016 American Board of Pediatrics (ABP) content outline is
   comprehensive, including more than 50 cardiology-specific objectives
   within eight content areas. This study complements the quantitative
   analysis of a Kentucky-wide survey of trainees, pediatricians, and
   pediatric cardiologists asking them to identify most important
   cardiology content by analyzing their open-ended comments about what
   should be added and why? within these eight categories.
   Design, Methods, Outcome MeasuresThis cross-sectional study used an
   original, online survey instrument based on the 2016 ABP
   cardiology-specific objectives. We began an initial analysis of the
   qualitative data using Pandit's version of Glaser and Strauss Grounded
   theory (constant comparison). However, upon finding an abundance of
   comments focused on Diagnosis, we proceeded with a secondary analysis
   that further categorized Diagnosis comments into three themes aligned
   with Bloom's taxonomy. Additional comments focused on Management and
   clustered into Emergent/Acute Care (Resuscitation); Short-term Care
   (Inpatient); and Longitudinal Care (Outpatient).
   ResultsOf the 136 respondents, 23 (17%) were residents, 15 (11%)
   fellows, 85 (62%) pediatricians, and 13 (10%) pediatric cardiologists
   with 80% of attendings having faculty/gratis faculty status. The
   open-ended questions what needs to be added and why generated 93
   comments; 60 of which focused on Diagnosis; further classified as
   Recognize (16), Differentiate (12), and Evaluate (32). Management
   comments were related to acuity and care setting, grouped as
   Emergent/Acute Care (Resuscitation) [10]; Short-term Care (Inpatient)
   [6]; and Longitudinal Care (Outpatient) [17].
   ConclusionsThe 93 comments analyzed for this article showed a distinct
   preference for all respondents, trainees, pediatricians, and
   cardiologists alike, to value the addition of diagnostic skills with
   emphasis in the evaluate skill set as important cardiology curricular
   content beyond that included in the 2016 ABP cardiology-specific
   objectives. Responses could be used to provide practical guidance for
   curriculum design and reform.
RI Neal, Ashley/GRX-9804-2022; Neal, Ashley/
OI Neal, Ashley/0000-0002-6922-5414
ZA 0
Z8 0
ZS 0
ZR 0
TC 1
ZB 0
Z9 1
U1 0
U2 3
SN 1747-079X
EI 1747-0803
UT WOS:000452824600022
PM 30033580
ER

PT J
AU Knadler, Joseph J.
   Penny, Daniel J.
   Harris, Tyler H.
   Webb, Gary D.
   Cabrera, Antonio G.
   Kyle, William B.
TI Strength in numbers: Crowdsourcing the most relevant literature in
   pediatric cardiology
SO CONGENITAL HEART DISEASE
VL 13
IS 5
BP 794
EP 798
DI 10.1111/chd.12669
PD SEP-OCT 2018
PY 2018
AB ObjectiveThe growing body of medical literature in pediatric cardiology
   has made it increasingly difficult for individual providers to stay
   abreast of the most current, meaningful articles to help guide practice.
   Crowdsourcing represents a collaborative process of obtaining
   information from a large group of individuals, typically from an online
   or web-based community, and could serve a potential mechanism to pool
   individual efforts to combat this issue. This study aimed to utilize
   crowdsourcing as a novel way to generate a list of the most relevant,
   current publications in congenital heart disease, utilizing input from
   an international group of professionals in the field of pediatric
   cardiology.
   Design and SettingAll members of the PediHeartNet Google group, an
   international email distribution list of medical professionals with an
   interest in pediatric cardiology, were queried in 2017 to submit
   literature that they considered to be most relevant to their current
   practice. A Google Form submission platform was used. The articles were
   evaluated by a multi-institutional panel of four experts in pediatric
   cardiology using the Delphi method via an electronic evaluation form
   until a consensus was reached regarding whether the article merited
   inclusion in the final list.
   ResultsIn total, 260 articles were submitted by members of the
   PediHeartNet Google group. Expert review using the Delphi method
   resulted in a list of 108 articles. The final collection of articles was
   published on a publicly available educational website.
   ConclusionsCrowdsourcing represents a novel approach for generating a
   high-yield, comprehensive, yet practical list of the most relevant
   recent publications in pediatric cardiology. The same techniques could
   be easily applied to any medical subspecialty. By enlisting the input of
   frontline providers, the value and relevance of such a list will be
   significant. A web-based platform for publication of the list allows for
   real-time updates to ensure continued relevance.
RI Knadler, Joseph/ABD-7601-2021; Harris, Tyler/
OI Knadler, Joseph/0000-0001-6670-0307; Harris, Tyler/0000-0002-0046-3334
TC 0
Z8 0
ZS 0
ZR 0
ZB 0
ZA 0
Z9 0
U1 1
U2 2
SN 1747-079X
EI 1747-0803
UT WOS:000452824600023
PM 30178626
ER

PT J
AU Read, Andrew J.
   Rice, Michael D.
   Conjeevaram, Hari S.
   Saini, Sameer D.
TI A Deeper Look at the Small Bowel: Training Pathways in Video Capsule
   Endoscopy and Device-Assisted Enteroscopy
SO DIGESTIVE DISEASES AND SCIENCES
VL 63
IS 9
BP 2210
EP 2219
DI 10.1007/s10620-018-5133-1
PD SEP 2018
PY 2018
AB Background Although there are guidelines for video capsule endoscopy
   (VCE) and device-assisted enteroscopy (DAE), little is known about
   fellowship training in these technologies.
   Aims The aims were to better characterize current small bowel endoscopy
   training in 3-year GI fellowship programs and 4th-year advanced
   endoscopy programs in the U. S.
   Methods We developed an online multiple-choice survey to assess current
   GI fellowship program training in small bowel endoscopy. The survey was
   distributed via email to GI fellowship program directors in the U. S.
   Results Of the 168 program directors contacted, 59 responded (response
   rate = 35.1%). There was no statistically significant difference in the
   availability of VCE or DAE between respondents and non-respondents. VCE
   training was universally available in 3-year training programs, with
   84.8% (50/59) requiring it for fellows. The majority of 3-year GI
   fellows graduated with independence in VCE: 83.1% (49/59) of programs
   reported "most" or "all" graduates were able to read independently. DAE
   techniques were available in 86.4% of training programs (51/59).
   Training in DAE was more limited and shared between 3-year and 4th-year
   programs: 12.1% (7/58) of 3-year programs required training in DAE and
   22.9% (8/35) of 4th-year programs required training in DAE.
   Conclusions Training in VCE is widely available in U. S. GI fellowship
   programs, although programs have different ways of incorporating this
   training into the curriculum and of measuring competency. While DAE
   technology was available in the majority of programs, training was less
   frequently available, and training is shared between 3-year fellowship
   programs and 4th-year advanced endoscopy programs.
RI Read, Andrew/AAE-8386-2019; Read, Andrew/
OI Read, Andrew/0000-0001-7336-8496
ZA 0
Z8 2
TC 6
ZB 0
ZS 0
ZR 0
Z9 8
U1 1
U2 4
SN 0163-2116
EI 1573-2568
UT WOS:000441941000011
PM 29869767
ER

PT J
AU Kortemeyer, Gerd
   Kortemeyer, Anna Fritchie
TI The nature of collaborations on programming assignments in introductory
   physics courses: a case study
SO EUROPEAN JOURNAL OF PHYSICS
VL 39
IS 5
AR 055705
DI 10.1088/1361-6404/aad511
PD SEP 2018
PY 2018
AB We are providing a mixed-method case study of student collaborations on
   a programming assignment in an introductory physics course for
   non-majors. Clustering techniques provide insights on code similarity,
   and network analysis uncovers social networking in the completion of the
   assignment. These results are complemented by an open-ended survey,
   which aims to explain the formation of these network structures, as well
   as elicit affective and epistemological feedback. It was found that
   students generally underestimate the size of their collaboration
   network, except for students who feel overwhelmed by the task-these
   students believe that everybody copies. The crucial question whether
   student learning is aided or hindered by these collaborations leads to
   recommendations for future implementations of programming activities and
   assignments in physics courses.
Z8 0
TC 2
ZR 0
ZS 0
ZA 0
ZB 0
Z9 2
U1 1
U2 5
SN 0143-0807
EI 1361-6404
UT WOS:000441188500001
ER

PT J
AU Huo Chaoguang
   Ma Feicheng
   Qiu Yifei
   Wang Yuchao
TI Exploring the determinants of health knowledge adoption in social media:
   An intention-behavior-gap perspective
SO INFORMATION DEVELOPMENT
VL 34
IS 4
BP 346
EP 363
DI 10.1177/0266666917700231
PD SEP 2018
PY 2018
AB Health knowledge plays an important role in health education and
   promotion, in providing critical services to the global population and
   helping them live healthier lives and make informed health decisions.
   This study explores what determines health knowledge adoption in the
   context of Chinese social media, and attempts to explain why there is a
   gap between health knowledge adoption intention and behavior. Based on
   the ELM (elaboration likelihood method) and EPPM (extended parallel
   process model), this paper proposes four processes of health knowledge
   adoption to construct an explanatory framework, and examines it from the
   intention-behavior gap perspective, highlighting the mediating effect of
   trust. Data collected from 355 Chinese respondents was tested using a
   partial least squares (PLS) approach. The results indicate that
   perceived threat has a positive effect on health knowledge adoption via
   the mediator, fear; perceived efficacy has a positive direct effect on
   health knowledge adoption; and perceived knowledge quality and perceived
   source credibility both have a positive effect on health knowledge
   adoption via the mediator, trust. Trust and fear have different impacts
   on health knowledge adoption intention and behavior, which explains why
   there is sometimes a gap between them. Theoretical and practical
   contributions are discussed.
TC 4
ZA 0
ZR 0
ZB 0
Z8 1
ZS 0
Z9 5
U1 19
U2 135
SN 0266-6669
EI 1741-6469
UT WOS:000439102800004
ER

PT J
AU Bai, Li
   Cai, Zhengjie
   Lv, Yalan
   Wu, Tingling
   Sharma, Manoj
   Shi, Zumin
   Hou, Xiaorong
   Zhao, Yong
TI Personal Involvement Moderates Message Framing Effects on Food Safety
   Education among Medical University Students in Chongqing, China
SO INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
VL 15
IS 9
AR 2059
DI 10.3390/ijerph15092059
PD SEP 2018
PY 2018
AB Objective: This study explored whether the efficacy of food safety
   education interventions can be increased by message framing among
   medical university students, and demonstrated the role of personal
   involvement within the message recipient in moderating framed effects.
   Methods: A cross-sectional study of food safety message framing was
   conducted among medical university students (randomly selected 1353
   participants). An online self-administered questionnaire was used to
   collect information. Wilcoxon rank-sum test and Ordered multivariate
   logistic regression were utilised in the data analyses. Results: The
   present study showed significant differences in acceptance between the
   gain- and loss-framed groups (p < 0.001). Participants with higher
   personal involvement had higher acceptance than those with low personal
   involvement in gain- and loss-framed message models (p < 0.001). The
   acceptance of participants who were concerned about their health
   condition was higher than those who were neutral regarding their health
   condition (p < 0.001) and participants who suffered a food safety
   incident had higher acceptance than those who did not (p < 0.05).
   Conclusions: This study portrayed the selection preference of message
   framing on food safety education among medical university students in
   southwest China. Participants exposed to loss-framed messages had higher
   message acceptance than those exposed to gain-framed messages. Personal
   involvement may affect the food safety message framing. Public health
   advocates and professionals can use framed messages as a strategy to
   enhance intervention efficacy in the process of food safety education.
RI Zhao, Yong/Z-3231-2019; Shi, Zumin/A-1093-2009; Sharma, Manoj/AAN-6133-2020
OI Zhao, Yong/0000-0001-9290-109X; Shi, Zumin/0000-0002-3099-3299; Sharma,
   Manoj/0000-0002-4624-2414
TC 7
ZA 0
Z8 1
ZB 1
ZS 0
ZR 0
Z9 8
U1 4
U2 21
EI 1660-4601
UT WOS:000445765600267
PM 30235903
ER

PT J
AU Davies, Susan
   Coxe, Kathryn
   Harvey, Hosea H.
   Singichetti, Bhavna
   Guo, Jinhong
   Yang, Jingzhen
TI Qualitative Evaluation of High School Implementation Strategies for
   Youth Sports Concussion Laws
SO JOURNAL OF ATHLETIC TRAINING
VL 53
IS 9
BP 873
EP 879
DI 10.4085/1062-6050-529-17
PD SEP 2018
PY 2018
AB Context: All 50 states and the District of Columbia have enacted laws
   governing concussion management and education. These concussion laws,
   featuring common tenets regarding removal from play, return to play, and
   concussion education, have shaped school and district policies.
   Objective: To evaluate the strategies commonly used to implement
   concussion laws at the school and district levels, as reported by
   certified athletic trainers (ATs).
   Design: Qualitative study.
   Setting: High schools.
   Patients or Other Participants: We interviewed 64 ATs from high schools
   (1 per school) participating in High School Reporting Information
   Online.
   Data Collection and Analysis: Interviews were conducted with
   participants between April and October 2015 regarding implementation of
   the 3 core tenets of concussion laws. Research team members
   independently evaluated the interview transcripts and field notes to
   identify common themes in implementation strategies.
   Results: Of the 64 schools represented, 90.6% were public schools, 89.1%
   sponsored more than 15 sports, and all schools employed at least 1 AT
   and had a written concussion policy. Four commonly used strategies to
   implement removal from play were reliance on coaches, immediate
   response, referral and guidance after injury, and notification of key
   individuals. Use of assessment or baseline tests, communication among
   parties involved, reliance on AT assessments, and return-to-learn
   policies were 4 frequent strategies to implement return to play.
   Finally, 3 major implementation strategies to effectuate concussion
   education were use of existing educational tools, timing of education,
   and concussion training for school professionals.
   Conclusions: Although concussion laws were passed at different times and
   varied in content across states, common themes in implementation
   strategies emerged across jurisdictions. The identification of strategic
   approaches to implementation will help ensure proper concussion
   management and education, reducing negative health outcomes among youths
   with concussions.
RI Coxe, Kathryn/AAJ-8041-2021; Singichetti, Bhavna/; Harvey, Hosea/
OI Coxe, Kathryn/0000-0002-7813-1081; Singichetti,
   Bhavna/0000-0002-2188-3979; Harvey, Hosea/0000-0002-9491-6209
ZR 0
ZS 0
ZA 0
Z8 0
ZB 1
TC 11
Z9 11
U1 1
U2 10
SN 1062-6050
EI 1938-162X
UT WOS:000448540500007
PM 30284457
ER

PT J
AU Sapkaroski, Daniel
   Baird, Marilyn
   McInerney, John
   Dimmock, Matthew R.
TI The implementation of a haptic feedback virtual reality simulation
   clinic with dynamic patient interaction and communication for medical
   imaging students
SO JOURNAL OF MEDICAL RADIATION SCIENCES
VL 65
IS 3
BP 218
EP 225
DI 10.1002/jmrs.288
PD SEP 2018
PY 2018
AB IntroductionAn immersive virtual reality (VR) simulation clinic with
   dynamic patient interaction and communication was developed to
   facilitate the training of medical radiation science students. The
   software CETSOL VR Clinic was integrated into the Medical Imaging
   programme at Monash University in 2016 in order to benchmark student
   experiences against existing simulation techniques (Shaderware).
   MethodsAn iterative approach to development, based on two cycles of user
   feedback, was used to develop and refine the simulated clinical
   environment. This environment uses realistic 3D models, embedded
   clinical scenarios, dynamic communication, 3D hand gesture interaction,
   gaze and positional stereoscopic tracking and online user capabilities
   using the Unity game and physics engines. Students' perceptions of
   educational enhancement of their positioning skills following the use of
   the simulation tools were analysed via a 5-point Likert scale
   questionnaire.
   ResultsStudent perception scores indicated a significant difference
   between simulation modalities in favour of the immersive CETSOL VR
   Clinic, (2) (4, N=92)=9.5, P-value <0.001.
   ConclusionStudent perception scores on improvement of their clinical and
   technical skills were higher for the hand-positioning tasks performed
   with the CETSOL VR Clinic than with the comparative benchmark simulation
   that did not provide dynamic patient interaction and communication.
OI Sapkaroski, Daniel/0000-0001-8094-0817; Mc Inerney,
   John/0000-0001-9668-108X
TC 14
ZR 0
ZS 0
Z8 0
ZB 0
ZA 0
Z9 14
U1 2
U2 16
SN 2051-3909
UT WOS:000443398000008
PM 30006966
ER

PT J
AU Nayyar, Nikita
   Saggio, Greg
   Plummer, Maria
   Jung, Min-Kyung
   Kappenberg, John
TI Association of Mindfulness With Residency Preference and Curriculum
   Selection in Preclinical Osteopathic Medical Students
SO JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION
VL 118
IS 9
BP 587
EP 595
DI 10.7556/jaoa.2018.142
PD SEP 2018
PY 2018
AB Context: Recent studies suggest the shortage of US primary care
   physicians will be more than 50,000 by the year 2025. Mindful
   osteopathic medical students may be more inclined to pursue a career in
   primary care practice than those demonstrating lower levels of
   mindfulness. If so, assessing mindfulness before and after admission to
   medical school may reduce this shortage.
   Objective: In this cross-sectional survey-based study, the authors
   assessed whether mindfulness among preclinical osteopathic medical
   students was associated with (a) their current preference for primary
   care practice as a residency, and (b) their choice between 2 alternative
   curricula.
   Method: Participants were first- and second-year osteopathic medical
   students enrolled at the New York Institute of Technology College of
   Osteopathic Medicine (NYITCOM). They completed a 7-factor questionnaire
   of demographic variables and the online Five Facet Mindfulness
   Questionnaire (FFMQ) to determine their mindfulness score. They also
   identified their current preference for a residency. Data were then
   presented using various descriptive statistics and analyzed using
   independent t tests, chi(2) tests, and multiple logistic regression.
   Results: Among the 208 respondents, authors found that osteopathic
   medical students who expressed a preference for primary care practice
   showed no significant differences in mindfulness compared with those
   interested in specialist fields, as indicated by mean (SD) mindfulness
   scores of 3.34 (0.44) vs 3.33 (0.41), respectively (P=.88). However,
   among demographic variables, female students expressed a preference for
   primary care practice fields at significantly higher rates than male
   students (OR, 4.4; 95% CI, 2.2-8.5; P<.001). Also, students who
   matriculated less than 6 months after completing their undergraduate
   education were drawn to primary care practice at higher rates than those
   who delayed enrollment (OR, 2.3; 95% CI, 1.2-4.5; P=.016). None of the
   remaining demographic variables were associated with students' residency
   preference.
   Conclusion: Being female and matriculating immediately after
   undergraduate education was associated with a preference for primary
   care residency. However, no significant association was found between
   mindfulness and either residency preference or choice of alternative
   curricula.
RI plummer, maria/AHA-7650-2022
OI plummer, maria/0000-0001-9862-6244
ZA 0
ZS 0
ZR 0
Z8 0
TC 2
ZB 1
Z9 2
U1 1
U2 3
SN 0098-6151
EI 1945-1997
UT WOS:000451820400004
PM 30178048
ER

PT J
AU Englar, Ryane E.
   Show-Ridgway, Alyssa
   Noah, Donald L.
   Appelt, Erin
   Kosinski, Ross
TI Perceptions of the Veterinary Profession among Human Health Care
   Students before an Inter-Professional Education Course at Midwestern
   University
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 45
IS 3
BP 423
EP 436
DI 10.3138/jvme.1016-161r1
PD FAL 2018
PY 2018
AB Conflicts among health care professionals often stem from misperceptions
   about each profession's role in the health care industry. These divisive
   tendencies impede progress in multidisciplinary collaborations to
   improve human, animal, and environmental health. Inter-professional
   education (IPE) may repair rifts between health care professions by
   encouraging students to share their professional identities with
   colleagues in unrelated health care disciplines. An online survey was
   conducted at Midwestern University (MWU) to identify baseline
   perceptions about veterinary medicine among entry-level human health
   care students before their enrollment in an inter-professional course.
   Participation was anonymous and voluntary. The survey included
   Likert-type scales and free-text questions. Survey participants
   expressed their interest in and respect for the discipline of veterinary
   medicine, but indicated that their unfamiliarity with the profession
   hindered their ability to collaborate. Twenty percent of human health
   care students did not know the length of a Doctor of Veterinary Medicine
   (DVM) program and 27.6% were unaware that veterinarians could
   specialize. Although 83.2% of participants agreed that maintaining the
   human-animal bond is a central role of the veterinary profession,
   veterinary contributions to stem cell research, food and water safety,
   public health, environmental conservation, and the military were
   infrequently recognized. If IPE is to successfully pave the way for
   multidisciplinary collaboration, it needs to address these gaps in
   knowledge and broaden the definition of veterinary practice for future
   human health care providers.
RI Englar, Ryane E./AAM-7326-2020
OI Englar, Ryane E./0000-0002-7184-4978
ZA 0
ZR 0
ZS 0
TC 4
Z8 0
ZB 1
Z9 4
U1 0
U2 11
SN 0748-321X
EI 1943-7218
UT WOS:000441679000015
ER

PT J
AU Enns, Aganeta
   Eldridge, Gloria D.
   Montgomery, Cynthia
   Gonzalez, Vivian M.
TI Perceived stress, coping strategies, and emotional intelligence: A
   cross-sectional study of university students in helping disciplines
SO NURSE EDUCATION TODAY
VL 68
BP 226
EP 231
DI 10.1016/j.nedt.2018.06.012
PD SEP 2018
PY 2018
AB Background: Post-secondary students in training for helping profession
   disciplines, including nursing, may be at elevated risk for high stress
   levels. Stress among students has been linked with adverse physical and
   psychological health. In addition to the common stressors associated
   with post-secondary education, sources of stress for students in the
   helping professions include balancing academic and clinical demands.
   Previous research indicates perceived stress levels are correlated with
   emotional intelligence (EI) and with the coping strategies employed by
   students.
   Objectives: The aim of this study was to examine (1) the relationship
   between EI and perceived stress, and (2) the potential mediating role of
   coping responses.
   Design: A cross-sectional survey design was employed.
   Setting: Participants were recruited from a public university in the
   United States.
   Participants: A sample of 203 undergraduate and graduate students
   majoring in psychology, nursing, and social work was recruited.
   Method: Participants were recruited on-campus and through campus online
   resources and completed an online survey or a paper-and-pencil version
   of the survey. Descriptive statistics and mediation analyses were used
   to test the study hypotheses.
   Results: Higher EI was associated with lower perceived stress, and this
   association was partially mediated by both adaptive and maladaptive
   coping responses. Higher El was associated with greater use of adaptive
   coping and lower use of maladaptive coping, and these, in turn, were
   negatively and positively (respectively) associated with perceived
   stress.
   Conclusion: The findings suggest that interventions aimed at increasing
   emotional intelligence may help to reduce perceived stress for students
   in the helping disciplines.
ZA 1
Z8 0
TC 43
ZB 1
ZS 2
ZR 0
Z9 45
U1 6
U2 97
SN 0260-6917
EI 1532-2793
UT WOS:000442056100040
PM 30053557
ER

PT J
AU De Gagne, Jennie C.
   Conklin, Jamie L.
   Yamane, Sandra S.
   Kang, Hee Sun
   Hyun, Myung-Sun
TI Educating Future Health Care Professionals About Cybercivility Needs
   Assessment Study
SO NURSE EDUCATOR
VL 43
IS 5
BP 256
EP 261
DI 10.1097/NNE.0000000000000487
PD SEP-OCT 2018
PY 2018
AB As misbehaviors online in higher education have been widely addressed in
   recent research, the discourse on cyberincivility has become a
   contemporary issue in health professions education. However, studies
   regarding cybercivility, particularly from an interprofessional
   education standpoint, are few. This study assessed the knowledge,
   experience, and perceptions about cyberincivility among students in 4
   health care disciplines. Their preferred means of learning about
   cybercivility and the perceived benefits of such education are also
   discussed.
RI Kang, Hee Sun/AAG-9381-2019; Conklin, Jamie/
OI Kang, Hee Sun/0000-0003-3808-306X; Conklin, Jamie/0000-0002-3527-9975
Z8 0
ZA 0
ZS 0
ZB 0
TC 7
ZR 0
Z9 7
U1 1
U2 10
SN 0363-3624
EI 1538-9855
UT WOS:000443953200013
PM 29206713
ER

PT J
AU Lang, Markus
   Waterworth, Susan
   O'Brien, Anthony
TI What are the factors that influence the delivery of smoking cessation
   advice in critical care?
SO NURSING IN CRITICAL CARE
VL 23
IS 5
BP 237
EP 244
DI 10.1111/nicc.12190
PD SEP 2018
PY 2018
AB Background: The world's leading cause of preventable deaths, diseases
   and disabilities is smoking. Hospitalization can provide an opportunity
   for smokers to quit. Previous research found that smokers make up a high
   percentage of patients admitted to intensive care. Health care
   professionals working in critical care environments can make a valuable
   contribution to this public health issue by providing smoking cessation
   advice.
   Aim: To identify factors that inhibit and facilitate the delivery of
   smoking cessation advice by nurses and doctors in critical care
   settings.
   Design: Quantitative design using an online survey.
   Methods: This research was a single centre study carried out in a large
   tertiary hospital. Study sites were two adult critical care departments
   including a 14-bed general intensive care and a 16-bed cardiovascular
   intensive care unit. The target population for this research was the
   nursing and medical staff working in adult critical care environments.
   Results: The data suggests that doctors and nurses have a good
   understanding of the complications related to tobacco use and also have
   education on smoking cessation. Additionally the data suggest that
   doctors and nurses at the study sites generally have positive attitudes
   towards smoking cessation. Patient acuity and competence were concerns
   raised in relation to the delivery and effectiveness of smoking
   cessation advice in critical care environments.
   Conclusions: The recovery phase following critical illness might be an
   opportunity to provide cessation advice. This could include focusing
   cessation advice efforts on awake, orientated and extubated patients.
   Further research might be required to confirm this.
RI O'Brien, Anthony J/H-6153-2019
OI O'Brien, Anthony J/0000-0002-2069-8376
ZR 0
ZS 0
ZB 1
Z8 0
ZA 0
TC 2
Z9 2
U1 1
U2 3
SN 1362-1017
EI 1478-5153
UT WOS:000442347700005
PM 26177914
ER

PT J
AU Bennell, Kim L.
   Nelligan, Rachel K.
   Rini, Christine
   Keefe, Francis J.
   Kasza, Jessica
   French, Simon
   Forbes, Andrew
   Dobson, Fiona
   Abbott, J. Haxby
   Dalwood, Andrew
   Harris, Anthony
   Vicenzino, Bill
   Hodges, Paul W.
   Hinman, Rana S.
TI Effects of internet-based pain coping skills training before home
   exercise for individuals with hip osteoarthritis (HOPE trial): a
   randomised controlled trial
SO PAIN
VL 159
IS 9
BP 1833
EP 1842
DI 10.1097/j.pain.0000000000001281
PD SEP 2018
PY 2018
AB This assessor-, therapist-, and participant-blinded randomised
   controlled trial evaluated the effects of an automated internet-based
   pain coping skills training (PCST) program before home exercise for
   people with clinically diagnosed hip osteoarthritis. One hundred
   forty-four people were randomised to either the PCST group or the
   comparator group. In the first 8 weeks, the PCST group received online
   education and PCST, whereas the comparison group received online
   education only. From weeks 8 to 24, both groups visited a
   physiotherapist 5 times for home exercise prescription. Assessments were
   performed at baseline, 8, 24, and 52 weeks. Primary outcomes were hip
   pain on walking (11-point numerical rating scale) and physical function
   (Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC])
   at 24 weeks. Secondary outcomes were other measures of pain,
   quality-of-life, global change, self-efficacy, pain coping, pain
   catastrophizing, depression, anxiety, stress, physical activity, and
   adverse events. Primary outcomes were completed by 137 (95%), 131 (91%),
   and 127 (88%) participants at 8, 24, and 52 weeks, respectively. There
   were no significant between-group differences in primary outcomes at
   week 24 (change in: walking pain [mean difference 0.5 units; 95%
   confidence interval, -0.3 to 1.3] and function [-0.9 units; 95%
   confidence interval, -4.8 to 2.9]), with both groups showing clinically
   relevant improvements. At week 8, the PCST group had greater
   improvements in function, pain coping, and global improvement than
   comparison. Greater pain coping improvements persisted at 24 and 52
   weeks. In summary, online PCST immediately improved pain coping and
   function but did not confer additional benefits to a subsequent exercise
   program, despite sustained pain coping improvements.
RI Abbott, J. Haxby/AAK-4346-2020; ABBOTT, J. Haxby/AAH-3262-2019; Vicenzino, Bill/A-8492-2011; /AAB-3060-2019; Hodges, Paul W/B-6578-2008; Harris, Anthony/; Nelligan, Rachel/; Forbes, Andrew/; French, Simon/
OI Abbott, J. Haxby/0000-0001-6468-7284; Vicenzino,
   Bill/0000-0003-0253-5933; Hodges, Paul W/0000-0002-1206-9107; Harris,
   Anthony/0000-0003-1641-3320; Nelligan, Rachel/0000-0002-8689-6594;
   Forbes, Andrew/0000-0003-4269-914X; French, Simon/0000-0002-7061-7706
Z8 0
ZR 0
ZS 0
TC 26
ZA 0
ZB 4
Z9 26
U1 0
U2 13
SN 0304-3959
EI 1872-6623
UT WOS:000451225300019
PM 29794609
ER

PT J
AU Eubank, Louis
   Lee, Kwan S.
   Seder, David B.
   Strout, Tania
   Darrow, Matthew
   MacDonald, Catherine
   May, Teresa
   Riker, Richard R.
   Kern, Karl B.
TI Approaches to community consultation in exception from informed consent:
   Analysis of scope, efficiency, and cost at two centers
SO RESUSCITATION
VL 130
BP 81
EP 87
DI 10.1016/j.resuscitation.2018.06.031
PD SEP 2018
PY 2018
AB Objectives: Community consultation (CC) is fundamental to the Exception
   from Informed Consent (EFIC) process for emergency research, designed to
   inform and receive feedback from the target study population about
   potential risks and benefits. To better understand the effectiveness of
   different techniques for CC, we evaluated EFIC processes at two centers
   participating in a trial of early cardiac catheterization following
   out-of-hospital cardiac arrest.
   Methods: We studied the Institutional Review Board-approved CC
   activities at Maine Medical Center (MMC) and University of Arizona (AZ)
   in support of NCT02387398. In Maine, the public was consulted by survey
   at a professional basketball game and in the emergency department
   waiting room (in-person group), by multimedia direction to an online
   website (online group), and by mail (mailing group). Arizona respondents
   were either approached at a county fair (in-person group) or were
   directed to an online survey (online group) via social media
   advertising.
   Results: Among 2185 survey respondents, approval rates were high for
   community involvement and personal participation without individual
   consent. Community consultation using in-person, online, and mailed
   surveys offered slightly different approval rates, and the rate of
   responses by modality differed by age and education level but not
   ethnicity. Print advertising was the least cost effective at $ 442 per
   completed survey.
   Conclusions: Canvassing at public events was the most efficient mode of
   performing CC, with approval rates similar to mailings, online surveys,
   and canvassing in other locations. Print advertisements in local papers
   had a low yield and cost more than other approaches.
RI Seder, David B./M-4829-2019; Riker, Richard/AAP-1760-2020; Lee, Kwan/AAT-8316-2021; Strout, Tania D/L-1556-2013
OI Riker, Richard/0000-0002-0682-6204; Strout, Tania D/0000-0001-9053-1523
ZS 0
ZB 1
ZA 0
ZR 0
Z8 0
TC 10
Z9 10
U1 0
U2 3
SN 0300-9572
UT WOS:000441280100019
PM 29964145
ER

PT J
AU Schroeder, Hanna
   Thaeter, Laura
   Henze, Lina
   Drachsler, Hendrik
   Rossaint, Rolf
   Sopka, Sasa
TI Patient handoffs in undergraduate medical education: A systematic
   analysis of training needs
SO ZEITSCHRIFT FUR EVIDENZ FORTBILDUNG UND QUALITAET IM GESUNDHEITSWESEN
VL 135
BP 89
EP 97
DI 10.1016/j.zefq.2018.07.002
PD SEP 2018
PY 2018
AB Background: Insufficient handoffs lead to an increase in the risk of
   complications and malpractice, treatment delays, prolonged hospital
   stays, costs and patient complaints. The German Society for
   Anesthesiology and Intensive Care (DGAI) and the European Resuscitation
   Council (ERC) recommend the implementation of a communication procedure
   according to the SBAR concept. So far, there have been few curricular
   requirements in Germany regarding handoffs.
   Methods: As part of the EU-funded PATIENT project an online-based
   cross-sectional needs analysis was conducted in three countries. In
   Aachen, 237 medical students answered 45 items concerning handoffs in
   three sections: A: skills (relevance and self-assessment), B: clinical
   experience (agreement), C: curricula content (presence and relevance).
   Data was recorded using a Likert scale (0-7).
   Results: The students rated an adequate handoff performance as highly
   important (M = 6.8; SD: +/- 0.6) and their own expertise as low (M =4.0;
   SD: +/- 1.3). A high training need was identified for writing discharge
   letters and performing accurate handoffs. The students were aware of the
   link between adequate handoffs and patient safety (M = 6.5; SD: +/-
   0.9). They considered standardized handoff procedures as an important
   curricular component (M = 6.1; SD: +/- 1.1). From their point of view,
   the handling of medical errors is underrepresented in the curriculum
   (61.7 %).
   Conclusion: A need for handoff training was revealed, especially
   regarding transfers and discharges. Accordingly, learning objectives
   were determined and training modules developed and integrated into the
   curriculum in Aachen.
RI Schröder, Hanna/AAE-6335-2021; Sopka, Sasa/M-4990-2017
OI Sopka, Sasa/0000-0003-2165-5578
Z8 0
ZS 0
ZB 1
TC 4
ZA 0
ZR 0
Z9 4
U1 0
U2 7
SN 1865-9217
EI 2212-0289
UT WOS:000444047100012
PM 30054174
ER

PT J
AU de Solis, C. Navas
   Althaus, F.
   Basieux, N.
   Burger, D.
TI Sudden death in sport and riding horses during and immediately after
   exercise: A case series
SO EQUINE VETERINARY JOURNAL
VL 50
IS 5
BP 644
EP 648
DI 10.1111/evj.12803
PD SEP 2018
PY 2018
AB BackgroundSudden death affects the health of horses, the safety of
   riders and the public perception of animal welfare during equestrian
   events.
   ObjectivesTo describe the signalment, clinical history, sudden death
   episode, rider injuries and causes of sudden death during exercise or
   closely thereafter in sport and pleasure riding horses.
   Study designRetrospective case series based on an online questionnaire.
   MethodsAn online questionnaire was distributed to the veterinary and
   equestrian community. Connections of animals reported in the press to
   have died suddenly were sent the survey. Responses were analysed to
   obtain information.
   ResultsFifty-seven cases met inclusion criteria with enough information
   to be analysed. The most common discipline was eventing (n = 23, 40.4%),
   and the most common breed involved was Thoroughbred (n = 23, 40.4%).
   Forty-one (71.9%) horses collapsed during exercise, and 16 (28.1%)
   shortly thereafter. Twenty-four (42.1%) horses died during or near the
   time of competition and 33 (57.9%) during or near the time of training
   or a pleasure ride. In 16 (28.1%) horses, the cause of death was known
   or strongly suspected based on a post-mortem result, and a
   cardiovascular origin was reported in 13 of these 16 cases. Riders were
   injured in 13 (22.8%) cases, and injuries to their extremities were the
   most frequent.
   Main limitationsThere is potential for misdiagnosis and recall and
   selection bias, and in the absence of data on the total number of horses
   engaged in equestrian sports and riding, prevalence cannot be
   calculated.
   ConclusionsSudden death occurred in many types of equestrian sports and
   in riding horses. Death outside competition was more common suggesting
   that registries based on reports from official veterinarians
   underestimate the magnitude of this problem. Rider injuries were not
   uncommon when ridden horses collapsed and died. A definitive diagnosis
   for the cause of death was not commonly achieved and cardiovascular
   origin was the most common where a diagnosis was proposed by survey
   respondents.
OI Navas de Solis, Cristobal/0000-0003-0037-315X
ZR 1
TC 12
ZA 0
Z8 0
ZB 3
ZS 0
Z9 13
U1 0
U2 19
SN 0425-1644
EI 2042-3306
UT WOS:000440916600015
PM 29330860
ER

PT J
AU Gomez Rivas, Juan
   Rodriguez Socarras, Moises
   Patruno, Giulio
   Uvin, Pieter
   Esperto, Francesco
   Dinis, Paulo Jorge
   Roupret, Morgan
   Borgmann, Hendrik
TI Perceived Role of Social Media in Urologic Knowledge Acquisition Among
   Young Urologists: A European Survey
SO EUROPEAN UROLOGY FOCUS
VL 4
IS 5
BP 768
EP 773
DI 10.1016/j.euf.2016.11.010
PD SEP 2018
PY 2018
AB Background: Social media (SoMe) are increasingly being integrated into
   personal and professional life, with urology being a leading medical
   specialty in SoMe adoption.
   Objective: We aimed to assess the perceived role of SoMe in urologic
   knowledge acquisition among young urologists across Europe.
   Design, setting, and participants: Members of the European Society of
   Residents in Urology designed a 20-item online survey via
   surveymonkey.com. The survey was designed in accordance with Checklist
   for Reporting Results of Internet E-Surveys (CHERRIES) guidelines and
   was distributed via e-mail and social media in 23 European countries to
   urology residents and young urologists.
   Outcome measurements and statistical analysis: Statistical Package for
   the Social Sciences (SPSS) software was used for descriptive statistics
   and statistical analysis. For comparative analysis the Mann-Whitney U
   test was used.
   Results and limitations: A total of 316 young urologists with a mean age
   of 31.2 +/- 3.9 yr responded to the survey. Of the respondents, 99% use
   SoMe in a personal and/or professional way. YouTube and LinkedIn are the
   most frequently used platforms for professional use. SoMe were ranked in
   third place as an information source for urologic news/updates, lying
   behind journals and websites but ahead of congresses and books. Video
   content from YouTube or other sources was ranked as a preferred tool to
   see/understand surgical techniques ahead of websites and reference
   books. 61% follow urologic associations, 47% follow urologic events, 44%
   follow urologic journals, and 39% follow urologic experts on SoMe. The
   perceived influence of SoMe on urology knowledge was rated as moderate
   to high by 63% and as low to none by 37% of young urologists. Of the
   respondents, 44% apply guidelines on the appropriate use of SoMe in
   urology.
   Conclusions: SoMe play a significant role in knowledge acquisition by
   young urologists in Europe. Physicians, organizations, and institutions
   should strive to spread and provide valuable educational content through
   SoMe.
   Patient summary: Social media can be valuable for education in urology
   because it is useful to keep abreast of new developments in this field
   of medicine. (C) 2016 European Association of Urology. Published by
   Elsevier B.V. All rights reserved.
RI Borgmann, Hendrik/F-4658-2015; Esperto, Francesco/AAH-6580-2019; Rivas, Juan Gómez/H-1635-2013; Esperto, Francesco/AAJ-1625-2020; Patruno, Giulio/
OI Borgmann, Hendrik/0000-0002-3955-564X; Esperto,
   Francesco/0000-0002-0108-1864; Rivas, Juan Gómez/0000-0002-0556-3035;
   Esperto, Francesco/0000-0002-0108-1864; Patruno,
   Giulio/0000-0001-7859-8055
ZA 0
TC 36
Z8 0
ZB 11
ZR 0
ZS 3
Z9 39
U1 2
U2 7
EI 2405-4569
UT WOS:000486147300030
PM 28753825
ER

PT J
AU Ong, John
   Swift, Carla
   Magill, Nicholas
   Ong, Sharon
   Day, Anne
   Al-Naeeb, Yasseen
   Shankar, Arun
TI The association between mentoring and training outcomes in junior
   doctors in medicine: an observational study
SO BMJ OPEN
VL 8
IS 9
AR e020721
DI 10.1136/bmjopen-2017-020721
PD SEP 2018
PY 2018
AB Objective To determine quantitatively if a positive association exists
   between the mentoring of junior doctors and better training outcomes in
   postgraduate medical training within the UK.
   Design Observational study.
   Participants 117 trainees from the East of England Deanery (non-mentored
   group) and the recently established Royal College of Physicians (RCP)
   Mentoring scheme (mentored group) who were core medical trainees (CMTs)
   between 2015 and 2017 completed an online survey. Trainees who received
   mentoring at the start of higher specialty training, incomplete
   responses and trainees who were a part of both the East of England
   deanery and RCP Mentoring scheme were excluded leaving 85 trainees in
   the non-mentored arm and 25 trainees in the mentored arm. Responses from
   a total of 110 trainees were analysed.
   Main outcome measures Pass rates of the various components of the
   Membership of the Royal College of Physicians (MRCP) (UK) examination
   (MRCP Part 1, MRCP Part 2 Written and MRCP Part 2 PACES), pass rates at
   the Annual Review of Competency Progression (ARCP), trainee involvement
   in significant events, clinical incidents or complaints and trainee
   feedback on career progression and confidence.
   Results Mentored trainees reported higher pass rates of the MRCP Part 1
   exam versus non-mentored trainees (84.0% vs 42.4%, p<0.01). Mentored
   international medical graduates (IMGs) reported higher pass rates than
   non-mentored IMGs in the MRCP Part 2 Written exam (71.4% vs 24.0%,
   p<0.05). ARCP pass rates in mentored trainees were observed to be higher
   than non-mentored trainees (95.8% vs 69.9%, p<0.05). Rates of
   involvement in significant events, clinical incidents and complaints in
   both groups did not show any statistical difference. Mentored trainees
   reported higher confidence and career progression.
   Conclusions A positive association is observed between the mentoring of
   CMTs and better training outcomes. Further studies are needed to
   investigate the causative effects of mentoring in postgraduate medical
   training within the UK.
RI ong, john/AAA-5449-2019; Ong, Sharon/
OI ong, john/0000-0001-5103-7311; Ong, Sharon/0000-0001-9851-0401
ZR 0
ZB 3
TC 11
ZS 0
ZA 0
Z8 0
Z9 11
U1 0
U2 2
SN 2044-6055
UT WOS:000450417800021
PM 30244205
ER

PT J
AU Kilani, Mohamed
   Torabi, Korosh
   Mao, Guangzhao
TI Application of virtual laboratories and molecular simulations in
   teaching nanoengineering to undergraduate students
SO COMPUTER APPLICATIONS IN ENGINEERING EDUCATION
VL 26
IS 5
SI SI
BP 1527
EP 1538
DI 10.1002/cae.21940
PD SEP 2018
PY 2018
AB We address the challenges in teaching nanoengineering to undergraduates
   by applying computational tools to aid student learning. Virtual labs
   have been developed for the nanoparticle synthesis and characterization
   while a second lab module has been developed to study -helical protein
   structures and their tensile mechanics based on online molecular
   simulations.
OI Kilani, Mohamed/0000-0001-7520-6458; Mao, Guangzhao/0000-0001-9308-3922
ZA 0
ZB 0
TC 5
ZS 0
Z8 0
ZR 0
Z9 5
U1 3
U2 11
SN 1061-3773
EI 1099-0542
UT WOS:000445448000039
ER

PT J
AU Mehta, Rajesh
   Sharma, K. Aparna
TI Use of Learning Platforms for Quality Improvement
SO INDIAN PEDIATRICS
VL 55
IS 9
BP 803
EP 808
DI 10.1007/s13312-018-1385-2
PD SEP 2018
PY 2018
AB Ensuring quality in healthcare today has become extremely essential to
   ensure adequate utilization of healthcare services and improved
   outcomes. In addition to essential infrastructure in terms of safe and
   adequate space, knowledgeable and skilled health workers, and essential
   equipment and supply, the healthcare teams and administrators must also
   acquire knowledge and skills related to quality improvement (QI)
   methodologies. This review describes the role of learning platforms in
   teaching QI skills to the busy healthcare teams. Through Review of the
   published literature, we discuss challenges of learning and applying new
   skills of QI in day-to-day work by healthcare teams, and how learning
   platforms can assist in capacity building. There is a significant body
   of literature on the role of web-based teaching technology and learning
   platforms in medical education. Using modern communication technology,
   learning platforms can be established to bring together the healthcare
   teams, with QI experts to collaboratively learn, execute and share their
   experiences in improving quality of care in their own healthcare
   settings.
ZB 0
Z8 0
ZR 0
ZS 0
ZA 0
TC 6
Z9 6
U1 1
U2 8
SN 0019-6061
EI 0974-7559
UT WOS:000445093300018
PM 30345990
ER

PT J
AU Sivanandan, Sindhu
   Sethi, Amanpreet
   Joshi, Meena
   Thukral, Anu
   Sankar, M. Jeeva
   Deorari, Ashok K.
   Agarwal, Ramesh
TI Gains from Quality Improvement Initiatives Experience from a
   Tertiary-care Institute in India
SO INDIAN PEDIATRICS
VL 55
IS 9
BP 809
EP 817
DI 10.1007/s13312-018-1386-1
PD SEP 2018
PY 2018
AB Quality improvement (QI) in healthcare involves implementing small
   iterative changes by a team of people using a simple structured
   framework to resolve problems, improve systems, and to improve patient
   outcomes. These efforts are especially important in a resource-limited
   setting where infrastructure, staff and funds are meagre. The concept of
   QI often appears complex to a new careprovider who feels intimidated to
   participate in change activities. In this article, we describe our
   experience with QI activities to address various issues in the Neonatal
   intensive care unit. QI efforts resulted in improved patient outcomes,
   and motivated careproviders. QI is a continuous activity and can be done
   easily if the team is willing to learn from their experiences and use
   those lessons to adapt, adopt or abandon changes, and improve further.
   Our institute has also developed Point of Care Quality Improvement
   (POCQI), a free online resource for learning the science of QI, and also
   serves as a platform for sharing QI work.
RI Sethi, Amanpreet/AAI-8502-2020; Sankar, Jeeva/Q-1007-2019; Sivanandan, Sindhu/; Agarwal, Ramesh/
OI Sankar, Jeeva/0000-0003-1474-1451; Sivanandan,
   Sindhu/0000-0003-2259-5693; Agarwal, Ramesh/0000-0001-6208-3057
ZS 0
ZR 0
ZA 0
Z8 0
ZB 1
TC 8
Z9 8
U1 0
U2 2
SN 0019-6061
EI 0974-7559
UT WOS:000445093300019
PM 30345991
ER

PT J
AU Petrarca, Caroline A.
   Warner, Julia
   Simpson, Andrew
   Petrarca, Robert
   Douiri, Abdel
   Byrne, David
   Jackson, Timothy L.
TI Evaluation of eLearning for the teaching of undergraduate ophthalmology
   at medical school: a randomised controlled crossover study
SO EYE
VL 32
IS 9
BP 1498
EP 1503
DI 10.1038/s41433-018-0096-1
PD SEP 2018
PY 2018
AB Aim To compare ophthalmology teaching delivered by eLearning with
   traditional lectures, in terms of undergraduate performance and
   satisfaction.
   Methods Randomised controlled crossover study at King's College London
   Medical School with 245 third year medical students. The ophthalmology
   syllabus was divided into ten topics. Five topics were randomised to be
   taught by traditional lectures and five by electronic learning
   (eLearning). For the second rotation of students the topics were crossed
   over, so that those topics taught by traditional lectures were taught by
   eLearning and vice versa. At the end of each rotation the students sat
   an optional online mock examination containing 100 questions (ten on
   each topic). Students' examination performance was compared between the
   two teaching methods. Student satisfaction was assessed using an online
   satisfaction survey. Outcome measures were the mean percentage of
   correct answers across all ten topics, student satisfaction and
   self-assessed knowledge.
   Results The mean examination score for questions taught by eLearning was
   58% (95% CI, 55.7-59.6), versus 55% (95% CI 53.1-56.8) for traditional
   lectures (P = 0.047). Across all topics students were more satisfied
   with eLearning than traditional lectures, with 87% (95% CI 84.5-88.4)
   rating eLearning as 'excellent' or 'good' versus 65% (95% CI 62.0-67.4)
   for lectures (p < 0.0001). Overall 180 (75.6%) preferred eLearning
   compared to traditional lectures, with 166 (69.7%) rating eLearning
   'much better' or 'better,' 61 (25.6%) 'neutral' and 11 (4.6%) 'worse' or
   'much worse.'
   Conclusions Student satisfaction and examination performance are both
   enhanced by ophthalmology eLearning. Similar eLearning modules may be
   suitable for other specialties and postgraduate learning.
OI Jackson, Timothy/0000-0001-7618-1555; Petrarca,
   Robert/0000-0001-8693-3423; Douiri, Abdel/0000-0002-4354-4433
ZB 5
Z8 0
ZR 0
ZA 0
TC 14
ZS 0
Z9 14
U1 0
U2 4
SN 0950-222X
EI 1476-5454
UT WOS:000444407600012
PM 29802293
ER

PT J
AU Kraft, Robert R.
   Davis, Nancy
   Nilsen, Kari
TI Maintenance of Certification Part IV in Residency: Methods and Impact on
   Practice
SO FAMILY MEDICINE
VL 50
IS 8
BP 597
EP 604
DI 10.22454/FamMed.2018.823912
PD SEP 2018
PY 2018
AB BACKGROUND AND OBJECTIVES: The American Board of Family Medicine (ABFM)
   is the first medical specialty board to require all residents
   participate in the maintenance of certification (MOC) process prior to
   sitting for board certification. This study used surveys and focus
   groups of family medicine residents in four university-affiliated
   residency programs to explore participants' perceived benefits and
   barriers to common methods of completing the performance improvement in
   practice (Part IV) MOC requirement, and the perceived impact on
   practice.
   METHODS: Residents independently selected into one of three
   ABFM-approved methods of meeting the Part IV requirement. Following
   completion of the activity, participants completed a survey and then
   participated in a focus group.
   RESULTS: Residents cited time constraints as a major barrier to all Part
   IV methods. They also reported lack of relevance to practice,
   deficiencies in performance improvement skills, and access to clinical
   data. Ease of use was a benefit of online modules, but residents did not
   perceive them as relevant to practice or leading practice change.
   Portfolio and self-directed activities were perceived as most relevant
   to practice and improved patient care, and involved more team-based
   experiences. Most participants would not participate in Part IV if not
   required.
   CONCLUSIONS: Group quality improvement projects through the
   portfolio-approved and self-directed activities seemed to be the most
   positively reported way to complete the ABFM requirement. Regardless of
   method, time constraints and quality improvement expertise are
   significant barriers to completion of the requirement. Residency
   programs will need to grapple with these barriers to maximize benefits
   to residents as they prepare to become board certified.
ZB 0
ZA 0
TC 2
ZS 0
Z8 0
ZR 0
Z9 2
U1 0
U2 1
SN 0742-3225
EI 1938-3800
UT WOS:000449097600005
PM 30215819
ER

PT J
AU Oddone, Eugene Z.
   Gierisch, Jennifer M.
   Sanders, Linda L.
   Fagerlin, Angela
   Sparks, Jordan
   McCant, Felicia
   May, Carrie
   Olsen, Maren K.
   Damschroder, Laura J.
TI A Coaching by Telephone Intervention on Engaging Patients to Address
   Modifiable Cardiovascular Risk Factors: a Randomized Controlled Trial
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 33
IS 9
BP 1487
EP 1494
DI 10.1007/s11606-018-4398-6
PD SEP 2018
PY 2018
AB A large proportion of deaths and chronic illnesses can be attributed to
   three modifiable risk factors: tobacco use, overweight/obesity, and
   physical inactivity.
   To test whether telephone-based health coaching after completion of a
   comprehensive health risk assessment (HRA) increases patient activation
   and enrollment in a prevention program compared to HRA completion alone.
   Two-arm randomized trial at three sites.
   Primary care clinics at Veterans Affairs facilities.
   Four hundred seventeen veterans with at least one modifiable risk factor
   (BMI ae 30, < 150 min of at least moderate physically activity per week,
   or current smoker).
   Participants completed an online HRA. Intervention participants received
   two telephone-delivered health coaching calls at 1 and 4 weeks to
   collaboratively set goals to enroll in, and attend structured prevention
   programs designed to reduce modifiable risk factors.
   Primary outcome was enrollment in a structured prevention program by 6
   months. Secondary outcomes were Patient Activation Measure (PAM) and
   Framingham Risk Score (FRS).
   Most participants were male (85%), white (50%), with a mean age of 56.
   Participants were eligible, because their BMI was ae 30 (80%), they were
   physically inactive (50%), and/or they were current smokers (39%). When
   compared to HLA only at 6 months, health coaching intervention
   participants reported higher rates of enrollment in a prevention
   program, 51 vs 29% (OR = 2.5; 95% CI: 1.7, 3.9; p < 0.0001), higher
   rates of program participation, 40 vs 23% (OR = 2.3; 95% CI: 1.5, 3.6; p
   = 0.0004), and greater improvement in PAM scores, mean difference 2.5
   (95% CI: 0.2, 4.7; p = 0.03), but no change in FRS scores, mean
   difference 0.7 (95% CI - 0.7, 2.2; p = 0.33).
   Brief telephone health coaching after completing an online HRA increased
   patient activation and increased enrollment in structured prevention
   programs to improve health behaviors.
   NCT01828567.
RI Gierisch, Jennifer/GLU-1269-2022; Damschroder, Laura/
OI Damschroder, Laura/0000-0002-3657-8459
ZR 0
TC 16
Z8 0
ZA 0
ZB 2
ZS 0
Z9 16
U1 0
U2 5
SN 0884-8734
EI 1525-1497
UT WOS:000442642300019
PM 29736750
ER

PT J
AU Parkins, David J.
   Benwell, Martin J.
   Edgar, David F.
   Evans, Bruce J. W.
TI The relationship between unwarranted variation in optometric referrals
   and time since qualification
SO OPHTHALMIC AND PHYSIOLOGICAL OPTICS
VL 38
IS 5
BP 550
EP 561
DI 10.1111/opo.12580
PD SEP 2018
PY 2018
AB Purpose
   To investigate variation in optometric referral decision-making and the
   influence of experience and continuing education and training (CET).
   MethodsResultsTo gain insight into unwarranted variation in referral
   activity in the United Kingdom (UK): (1) triage data were audited to
   investigate source of referral, provisional diagnosis, and outcome; (2)
   an online system was developed to present two sets of 10 vignettes,
   designed to avoid prompting answers. Participating optometrists
   completed 10 pre-CET vignettes, recording their tests and management
   decisions. The main group of participants chose whatever CET they wished
   over a 6-month period and then completed another 10 post-CET vignettes.
   A second group of newly-qualified optometrists completed the vignettes
   before and after a CET course intervention, followed by a third group of
   pre-registered optometrists with an intervention of 6-months experience
   of their pre-registration year.
   The audit identified 1951 optometric referrals and 158 optometrists (211
   referrals were from general medical practitioners), with 122 of the 158
   optometrists making fewer than ten referrals. Two newly-qualified
   optometrists generated 12.5% of the total referrals in the audit (N =
   2162). Many suspect glaucoma referrals were based on a single suspect
   measurement resulting in a high discharge rate after community review,
   as did referrals for certain fundus-related appearances for which no
   treatment was indicated. The intervention of gaining CET points appeared
   to have no significant impact (p = 0.37) on referral decision-making,
   although this part of the study was underpowered. Self-selection bias
   was confirmed in the main group. When the main group and newly-qualified
   practitioners were compared, the number of referrals was negatively
   associated with time since qualification (p = 0.005). When all 20
   referral decisions were compared, all optometrists referring more than
   10 vignette patients came from a group of newly-qualified practitioners
   up to 2 years post-qualification. Pre-registered optometrists generally
   referred more appropriately than newly-qualified. Upon qualification,
   there was a significant increase in the number of sight tests undertaken
   per day (p = <0.0005).
   ConclusionsGaining CET points alone is unlikely to significantly improve
   referral decision-making. Mentoring and targeted CET for the
   newly-qualified up to 2 years post-qualification should be considered.
   Ophthalmology replies to the referring newly-qualified optometrist are
   vital for moderating future referrals and developing clinical
   confidence.
ZB 1
TC 11
ZA 0
Z8 0
ZR 0
ZS 0
Z9 11
U1 0
U2 6
SN 0275-5408
EI 1475-1313
UT WOS:000448286300009
PM 30175473
ER

PT J
AU ReFaey, Karim
   Tripathi, Shashwat
   Yoon, Jang W.
   Justice, Jessica
   Kerezoudis, Panagiotis
   Parney, Ian F.
   Bendok, Bernard R.
   Chaichana, Kaisorn L.
   Quinones-Hinojosa, Alfredo
TI The reliability of YouTube videos in patients education for Glioblastoma
   Treatment
SO JOURNAL OF CLINICAL NEUROSCIENCE
VL 55
BP 1
EP 4
DI 10.1016/j.jocn.2018.07.001
PD SEP 2018
PY 2018
AB Background: Glioblastomas (GBMs) are one of the most devastating primary
   tumors in humans and often results in minimal survival rates. Over the
   past 2 decades, patients have accessed the Internet to obtain
   information related to their diagnoses. In this study, we aimed to
   evaluate the accuracy and the reliability of GBM-related YouTube videos.
   Methods: In June of 2017, a search was conducted on YouTube using 6
   keywords. Videos were sorted using "Relevance-Based Ranking" option, and
   the first 3 pages for each search were selected for further analysis.
   Three independent reviewers evaluated the videos using the validated
   DISCERN Tool.
   Results: After sorting 23,100 videos, 9 videos were identified and
   included for analysis. Of the 9 videos analyzed, 88% (8/9) were from
   hospitals affiliated with prestigious universities across the country.
   Of the nine videos included in the analysis, two (22%) scored above a 3.
   There was an average 55% overlap in the videos analyzed by key term and
   the keyword search of "Malignant Glioma Treatment" had the highest
   percentage of videos above a score of 3 (66%).
   Conclusion: Many patients with GBM and their families access information
   on YouTube to familiarize themselves with the epidemiology, survival,
   and treatment options for this form of tumor. However, the information
   that is currently available online is not monitored or vetted using an
   official filtering process prior to its release. Medical institutions
   must work to produce more peer-reviewed content in order to improve the
   availability of credible health information on internet platforms.
   Published by Elsevier Ltd.
RI Tripathi, Shashwat/AAR-8733-2020; ReFaey, Karim/ABI-4283-2020; Tripathi, Shashwat/; ReFaey, Karim/
OI Tripathi, Shashwat/0000-0001-8172-7532; ReFaey,
   Karim/0000-0001-7227-1529
ZB 9
Z8 0
ZS 1
ZR 0
TC 51
ZA 0
Z9 51
U1 2
U2 6
SN 0967-5868
EI 1532-2653
UT WOS:000447569900001
PM 30075980
ER

PT J
AU Stienen, Martin N.
   Scholtes, Felix
   Samuel, Robin
   Weil, Alexander
   Weyerbrock, Astrid
   Surbeck, Werner
TI Different but similar: personality traits of surgeons and internists -
   results of a cross-sectional observational study
SO BMJ OPEN
VL 8
IS 7
AR e021310
DI 10.1136/bmjopen-2017-021310
PD SEP 2018
PY 2018
AB Objectives Medical practice may attract and possibly enhance distinct
   personality profiles. We set out to describe the personality profiles of
   surgical and medical specialties focusing on board-certified physicians.
   Design Prospective, observational.
   Setting Online survey containing the Ten-Item Personality Inventory
   (TIPI), an internationally validated measure of the Five Factor Model of
   personality dimensions, distributed to board-certified physicians,
   residents and medical students in several European countries and Canada.
   Differences in personality profiles were analysed using multivariate
   analysis of variance and Canonical Linear Discriminant Analysis on
   age-standardised and sex-standardised z-scores of the personality
   traits. Single personality traits were analysed using robust t-tests.
   Participants The TIPI was completed by 2345 board-certified physicians,
   1453 residents and 1350 medical students, who also provided demographic
   information.
   Results Normal population and board-certified physicians' personality
   profiles differed (p<0.001). The latter scored higher on
   conscientiousness, extraversion and agreeableness, but lower on
   neuroticism (all p<0.001). There was no difference in openness to
   experience. Board-certified surgical and medical doctors' personality
   profiles were also different (p<0.001). Surgeons scored higher on
   extraversion (p=0.003) and openness to experience (p=0.002), but lower
   on neuroticism (p<0.001). There was no difference in agreeableness and
   conscientiousness. These differences in personality profiles were
   reproduced at other levels of training, that is, in students and
   training physicians engaging in surgical versus medical practice.
   Conclusion These results indicate the existence of a distinct and
   consistent average 'physician personality'. Despite high variability
   within disciplines, there are moderate but solid and reproducible
   differences between surgical and medical specialties.
RI Surbeck, Werner/ABH-6286-2020; Stienen, Martin Nikolaus/I-2547-2019; Weyerbrock, Astrid/AAI-1731-2020; Surbeck, Werner/; Samuel, Robin/P-9572-2018
OI Stienen, Martin Nikolaus/0000-0002-6417-1787; Weyerbrock,
   Astrid/0000-0001-9060-4462; Surbeck, Werner/0000-0002-4733-795X; Samuel,
   Robin/0000-0002-7598-197X
Z8 0
TC 21
ZS 0
ZA 0
ZB 2
ZR 0
Z9 21
U1 0
U2 4
SN 2044-6055
UT WOS:000446181900119
PM 29982214
ER

PT J
AU Diver, Ruth
   Quince, Thelma
   Barclay, Stephen
   Benson, John
   Brimicombe, James
   Wood, Diana
   Thiemann, Pia
TI Palliative care in medical practice: medical students' expectations
SO BMJ SUPPORTIVE & PALLIATIVE CARE
VL 8
IS 3
BP 285
EP 288
DI 10.1136/bmjspcare-2017-001486
PD SEP 2018
PY 2018
AB Objectives During their careers, all doctors will be involved in the
   care of the dying, and this is likely to increase with current
   demographic trends. Future doctors need to be well-prepared for this.
   Little is known about medical students' expectations about providing
   palliative care. Our aim was to investigate how satisfying students
   expect palliative care to be, and any attitudes towards palliative care
   associated with a negative expectation.
   Methods Fifteen UK medical schools participated in the study, with 1898
   first and final year students completing an online questionnaire which
   investigated how satisfying they expect providing palliative care to be
   and their attitudes towards palliative care.
   Results At both the beginning and end of their training, a significant
   proportion of students expect palliative care to be less satisfying than
   other care (19.3% first year, 16% final year). Students expecting
   palliative care to be less satisfying were more likely to be men, and
   their attitudes suggest that while they understand the importance of
   providing palliative care they are concerned about the potential impact
   of this kind of work on them personally.
   Conclusions Medical student education needs to address why palliative
   care is important and how to deliver it effectively, and the strategies
   for dealing positively with the impact of this work on future
   clinicians.
ZR 0
Z8 0
ZB 0
ZS 0
ZA 0
TC 2
Z9 2
U1 0
U2 1
SN 2045-435X
EI 2045-4368
UT WOS:000445053100008
PM 29622688
ER

PT J
AU Taher, Ahmed
   Hart, Alexander
   Dattani, Neil Dinesh
   Poonja, Zafrina
   Bova, Christina
   Bandiera, Glen
   Pardhan, Kaif
TI Emergency medicine resident wellness: Lessons learned from a national
   survey
SO CANADIAN JOURNAL OF EMERGENCY MEDICINE
VL 20
IS 5
BP 721
EP 724
DI 10.1017/cem.2018.416
PD SEP 2018
PY 2018
AB Objectives: Emergency medicine (EM) residents face many challenges
   during residency. Given the negative effects of residency training and
   the paucity of information on EM resident wellness experiences, we
   conducted a national survey to characterize the current landscape of
   Canadian EM resident wellness.
   Methods: A cross-sectional study of Canadian EM residents was done using
   an online survey created by a Canadian Association of Emergency
   Physicians Resident Section working group on wellness. Surveys were sent
   to chief residents in Canadian EM residency programs accredited by
   either the Royal College of Physicians and Surgeons of Canada (RCPSC) or
   the College of Family Physicians of Canada (CFPC) in English and French.
   Results: Thirty-one EM programs were contacted (14 RCPSC and 17 CFPC),
   and 216 (42%) responses were collected. A multitude of negative wellness
   impacts were noted, including falling asleep while driving and motor
   vehicle collisions post-night or during a 24-hour call shift. Moreover,
   experiences included verbal, physical, and sexual harassment, and
   reports of low mood and suicidal ideation. Wellness supports were not
   always accessed after negative incidents. Residents reported deficits in
   formal wellness instruction, with support for formal EM program wellness
   time.
   Conclusions: Canadian EM residents face a multitude of psychosocial and
   physical wellness challenges, while supports may not be adequate.
   Opportunities exist to further investigate resident wellness with
   validated tools, engage stakeholders, and advance the EM resident
   wellness agenda.
Z8 0
ZR 0
ZB 0
TC 4
ZS 0
ZA 0
Z9 4
U1 0
U2 3
SN 1481-8035
EI 1481-8043
UT WOS:000444547500012
PM 30205857
ER

PT J
AU Peer, S.
   Vial, I.
   Numanoglu, A.
   Fagan, J. J.
TI What is the availability of services for paediatric ENT surgery and
   paediatric surgery in Africa?
SO EUROPEAN ANNALS OF OTORHINOLARYNGOLOGY-HEAD AND NECK DISEASES
VL 135
IS 5
BP S79
EP S83
DI 10.1016/j.anorl.2018.07.005
SU S
PD SEP 2018
PY 2018
AB Background: Children constitute 50% of Africa's population. Sub-Saharan
   Africa has the highest under-five mortality rates in the world. This
   study is the first to document the availability of paediatric ENT and
   paediatric surgery services in Africa.
   Objective: To determine the availability of paediatric ENT services in
   Africa, as well as that of paediatric surgery that would complement
   paediatric ENT.
   Method: A descriptive observational study in the form of an online
   questionnaire was distributed by email to known ENT and paediatric
   surgeons based in Africa.
   Results: Surgeons from twelve of 23 African countries responded to the
   survey. Seven countries had both ENT and paediatric surgery responses.
   In 8 of the 11 countries, the number of ENT surgeons per country was <
   6% of that of the UK, with 1 ENT surgeon per 414,000 people and 1
   paediatric surgeon per 1,181,151 people. Ten of 11 countries reported
   hearing assessments in schools were poor/unavailable. Seventy-three
   percent responded positively for access to rigid laryngoscopes,
   bronchoscopes, cameras and fibre optic cables, tracheostomy, anaesthesia
   and nurse practitioners. Access was reported as poor/unavailable for
   balloon dilators 73% (8/11 countries); CPAP machines 73% (8/11) and
   sleep studies 82% (9/11 countries). Flexible endoscopes were available
   in 50% (4/8 countries), 75% (6/8 countries) had access to a camera,
   monitor and stack. Thirty-eight percent (3/9 countries) reported no ENT
   specialists with paediatric training.
   Conclusions: There is a great shortage of paediatric ENT and paediatric
   surgery services in Africa. More regional training opportunities and
   health infrastructure for these surgical specialties are needed.
   Collaborative development of paediatric ENT, surgery and anaesthesia
   should be considered to improve ENT-related child health in Africa. (C)
   2018 Elsevier Masson SAS. All rights reserved.
RI Peer, Shazia/AAR-4584-2020
OI Peer, Shazia/0000-0001-6326-1193
TC 5
ZS 0
ZB 1
ZR 0
Z8 0
ZA 0
Z9 5
U1 0
U2 0
SN 1879-7296
EI 1879-730X
UT WOS:000445012400005
PM 30143398
ER

PT J
AU Lin, Annie W.
   Bergomi, Elena J.
   Dollahite, Jamie S.
   Sobal, Jeffery
   Hoeger, Kathleen M.
   Lujan, Marla E.
TI Trust in Physicians and Medical Experience Beliefs Differ Between Women
   With and Without Polycystic Ovary Syndrome
SO JOURNAL OF THE ENDOCRINE SOCIETY
VL 2
IS 9
BP 1001
EP 1009
DI 10.1210/js.2018-00181
PD SEP 2018
PY 2018
AB Context: Women with polycystic ovary syndrome (PCOS) report
   dissatisfaction with their early medical care. Little is understood
   about factors that can encourage stronger patient-provider relationships
   and promote treatment adherence.
   Objective: To compare trust in physicians and beliefs about social
   support from health care providers between women with and without PCOS.
   Design: Cross-sectional study with online questionnaire.
   Setting: Medical clinic referral or broader community recruitment via
   advertising and websites.
   Participants: Three hundred thirty-two US-based women with PCOS or with
   regular menses (n = 134 and n = 198, respectively).
   Main Outcome Measures: Trust and social support toward health care
   providers [primary care physicians (PCPs), specialists, and/or nurse
   practitioners and physician assistants].
   Results: PCOS was associated with greater distrust in the PCP's opinion
   (P < 0.01) and greater confidence about the PCP's prioritization of
   general health concerns (P = 0.04) than the comparison group. Patients
   with PCOS felt that the PCP spent less effort and were less qualified to
   treat PCOS health concerns than general health concerns (both P <
   0.001). No significant associations were observed between PCOS diagnosis
   and trust in specialists. When examining social support, women with PCOS
   felt they had more arguments with their health care providers than the
   comparison group (P = 0.02).
   Conclusion: Women with PCOS reported greater overall distrust in the
   PCP's opinions and more arguments with their health care providers than
   women without PCOS. These findings support a need to identify additional
   areas of improvement in the patient-provider relationship to ensure
   continuity of care for patients with PCOS who require life-long
   surveillance. Copyright (c) 2018 Endocrine Society
OI Lin, Annie/0000-0002-0045-8826
ZR 0
ZB 2
ZS 0
Z8 0
ZA 0
TC 13
Z9 14
U1 2
U2 16
SN 2472-1972
UT WOS:000444616400002
PM 30140785
ER

PT J
AU Kristufkova, Alexandra
   Da Costa, Mariana Pinto
   Mintziori, Gesthimani
   Vasquez, Juan Luis
   Aabakke, Anna J. M.
   Fode, Mikkel
TI Sexual Health During Postgraduate Training-European Survey Across
   Medical Specialties
SO SEXUAL MEDICINE
VL 6
IS 3
BP 255
EP 262
DI 10.1016/j.esxm.2018.04.001
PD SEP 2018
PY 2018
AB Background: Sexual health problems are common. Therefore, training in
   sexual health is relevant for the clinical practice of trainees and
   early-career specialists in several specialties who deal with patients
   with sexual health problems. However, little is known about how sexual
   health training is provided across countries and specialties.
   Aim: To assess (i) sexual health training during postgraduate training
   programs in psychiatry, obstetrics and gynecology, urology, and
   endocrinology across Europe; (ii) the confidence of trainees and
   early-career specialists in dealing with patients with sexual health
   problems; and (iii) their need for further training in sexual health
   during postgraduate training programs.
   Methods: The study was based on a collaboration among European societies
   of trainees in these 4 specialties. An online survey was developed and
   conducted from January 2015 through June 2016.
   Main Outcome Measures: Self-reported questionnaire.
   Results: We collected 366 completed surveys from 40 countries. Sexual
   health training was considered an important or very important part of
   specialty training by 78.7% of participants. Overall, 62.3% of
   participants had not received any training in sexual health. Especially
   in obstetrics and gynecology, the large majority did not have training
   in sexual health (82.8%), followed by psychiatry (59.8%), urology
   (58.4%), and endocrinology (56.1%). There were statistically significant
   differences among specialties in the confidence of participants in
   managing patients with sexual health problems. In general, trainees and
   early-career specialists who had received sexual health training felt
   more confident in dealing with patients with gender dysphoria (P =
   .011), need for sexual therapy (P = .0004), paraphilic disorders (P =
   .0003), and sexual dysfunction (P = .0017).
   Conclusions: Trainees and early-career specialists found sexual health
   training important for their future medical practice; however, less than
   half received it during their postgraduate training. Participants felt
   more confident in managing patients with sexual health problems when
   sexual health training was included in the postgraduate training
   program. Copyright (C) 2018, The Authors. Published by Elsevier Inc. on
   behalf of the International Society for Sexual Medicine.
RI Pinto da Costa, Mariana/AEX-4084-2022; Mintziori, Gesthimani/H-8491-2019; Kristufkova, Alexandra/X-1800-2019; Aabakke, Anna/
OI Aabakke, Anna/0000-0003-4754-506X
ZS 0
Z8 0
ZA 0
ZR 0
ZB 0
TC 6
Z9 6
U1 0
U2 0
SN 2050-1161
UT WOS:000444613700010
PM 29706561
ER

PT J
AU Madhuvu, Auxillia E.
   Plummer, Virginia
   Morphet, Julia
TI An exploration of participants' experience of an intensive care nursing
   transition to specialty practice program
SO AUSTRALIAN CRITICAL CARE
VL 31
IS 5
BP 311
EP 316
DI 10.1016/j.aucc.2017.08.005
PD SEP 2018
PY 2018
AB Background: Transition to specialty practice programs were developed to
   support, educate and facilitate recruitment and retention of nurses in
   specialised areas of practice. The intensive care nursing transition to
   specialty practice program in this study was implemented in 2000. To
   date, in Australia there are no published studies which focus on
   intensive care nursing transition to specialty practice programs.
   Objectives: The study aimed to explore the effects of an intensive care
   nursing transition to specialty practice program offered in two
   intensive care units in a single Australian health service.
   Methods: A cross-sectional survey design was used. Quantitative data
   were collected from nurses who participated in the transition to
   specialty practice program from 2005 to 2015 using an anonymous online
   survey. Summary statistics and Chi-square tests were used to analyse the
   data.
   Results: The response rate was 51.8% (n = 86). Most of the transition to
   specialty practice program participants had medical nursing experience
   (n = 35, 40.7%) or surgical nursing experience (n = 35, 40.7%) prior to
   enrolling into the program. More than half (n = 46, 53.5%) of the
   participants had worked in the intensive care units for more than two
   years post program. The majority of the participants (n = 60, 69.8%)
   undertook post graduate education after the transition to specialty
   practice program.
   Conclusion: Significant numbers of experienced nurses undertook
   transition to specialty practice program into intensive care and
   majority of the participants reported positive results of the program.
   (c) 2017 Australian College of Critical Care Nurses Ltd. Published by
   Elsevier Ltd. All rights reserved.
RI Madhuvu, Auxillia/AAQ-3931-2020; Morphet, Julia/; Plummer, Virginia/
OI Madhuvu, Auxillia/0000-0001-6841-1461; Morphet,
   Julia/0000-0001-7056-6526; Plummer, Virginia/0000-0003-3214-6904
ZS 0
ZA 0
Z8 0
ZR 0
ZB 0
TC 3
Z9 3
U1 1
U2 2
SN 1036-7314
EI 1878-1721
UT WOS:000444264300009
PM 28967467
ER

PT J
AU Lichtman, Allan S.
   Parker, William
   Goff, Barbara
   Mehra, Neeraj
   Shore, Eliane M.
   Lefebvre, Guylaine
   Chiang, Alexander
   Lenihan, John, Jr.
   Schreuder, Henk W. R.
TI A Randomized Multicenter Study Assessing the Educational Impact of a
   Computerized Interactive Hysterectomy Trainer on Gynecology Residents
SO JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
VL 25
IS 6
BP 1035
EP 1043
DI 10.1016/j.jmig.2018.01.025
PD SEP-OCT 2018
PY 2018
AB Study Objective: To assess the improvement of cognitive surgical
   knowledge of laparoscopic hysterectomy in postgraduate year (PGY) 1 and
   2 gynecology residents who used an interactive computer-based
   Laparoscopic Hysterectomy Trainer (Red Llama, Inc., Seattle, WA).
   Design: A multicenter, randomized, controlled study (Canadian Task Force
   classification I).
   Setting: Five departments of obstetrics and gynecology: Keck School of
   Medicine of the University of Southern California, Los Angeles, CA;
   University of California, Los Angeles, Los Angeles, CA; University of
   Washington, Seattle, WA; University of British Columbia, Vancouver,
   British Columbia, Canada; and University of Toronto, Toronto, Ontario,
   Canada.
   Participants: Gynecology residents, fellows, faculty, and minimally
   invasive surgeons.
   Interventions: The use of an interactive computer-based Laparoscopic
   Hysterectomy Trainer.
   Measurements and Main Results: In phase 1 of this 3-phase multicenter
   study, 2 hysterectomy knowledge assessment tests (A and B) were
   developed using a modified Delphi technique. Phase 2 administered these
   2 online tests to PGY 3 and 4 gynecology residents, gynecology surgical
   fellows, faculty, and minimally invasive surgeons (n = 60). In phase 3,
   PGY 1 and 2 gynecology residents (n = 128) were recruited, and 101 chose
   to participate, were pretested (test A), and then randomized to the
   control or intervention group. Both groups continued site-specific
   training while the intervention group additionally used the Laparoscopic
   Hysterectomy Trainer. Participant residents were subsequently posttested
   (test B). Phase 2 results showed no differences between cognitive tests
   A and B when assessed for equivalence, internal consistency, and
   reliability. Construct validity was shown for both tests (p < .001). In
   phase 3, the pretest mean score for the control group was 242 (standard
   deviation [SD] = 56.5), and for the intervention group it was 217 (SD =
   57.6) (nonsignificant difference, p = .089). The t test comparing the
   posttest control group (mean = 297, SD = 53.6) and the posttest
   intervention group (mean = 343, SD = 50.9) yielded a significant
   difference (p < .001, 95% confidence interval, 48.4-108.8). Posttest
   scores for the intervention group were significantly better than for the
   control group (p < .001).
   Conclusion: Using the Laparoscopic Hysterectomy Trainer significantly
   increased knowledge of the hysterectomy procedure in PGY 1 and 2
   gynecology residents. (C) 2018 AAGL. All rights reserved.
CT Annual Clinical Meeting of the
   Society-of-Obstetricians-and-Gynecologists-of-Canada
CY JUN 22, 2017
CL Ottawa, CANADA
SP Soc Obstetricians & Gynecologists Canada
RI Schreuder, Henk/AAG-4737-2020; Shore, Eliane/AAG-7663-2021; /
OI Shore, Eliane/0000-0001-9714-7858; /0000-0001-9564-0622
ZA 0
TC 3
ZB 2
Z8 0
ZS 0
ZR 0
Z9 3
U1 0
U2 5
SN 1553-4650
EI 1553-4669
UT WOS:000444517300026
PM 29410142
ER

PT J
AU Thakur, Elyse
   Recober, Ana
   Turvey, Carolyn
   Dindo, Lilian N.
TI Benefits of an on-line migraine education video for patients with
   cooccurring migraine and depression
SO JOURNAL OF PSYCHOSOMATIC RESEARCH
VL 112
BP 47
EP 52
DI 10.1016/j.jpsychores.2018.06.012
PD SEP 2018
PY 2018
AB Objective: To evaluate effects of an online, hour-long migraine
   education and management education program on health outcomes in people
   with migraine experiencing significant depressive symptoms.
   Methods: Eligible individuals in the community with comorbid migraine
   and depressive symptoms (n = 95) participated in the 12-week study.
   Participants completed self-report questionnaires examining general
   functioning, headache-specific disability, migraine frequency, pain, and
   depressive symptoms, before, and at 2, 6, and 12 weeks following the
   migraine education and management program. Primary analyses evaluated
   change over time in each outcome, using individual linear growth curve
   models.
   Results: After watching the migraine education and management video,
   there were significant effects of time (across all time points) for
   average pain level in the past 30 days (b = 0.20, p<.001), most intense
   pain level in the past 30 days (b = 0.33, p<.001) depression (Patient
   Health Questionnaire-8; b = 0.28, p = .002), and headache-specific
   disability (Headache Disability Inventory; b = 1.32, p<.001), such that
   each of these outcomes improved linearly over time.
   Conclusions: A brief, online educational video is practical and
   effective and can lead to enhanced migraine knowledge and
   self-management skills and lessen the burden of migraine and concurrent
   depressive symptoms.
OI Thakur, Er Honey/0000-0002-7124-047X; Turvey,
   Carolyn/0000-0002-8219-8676
ZS 0
TC 1
ZB 0
ZA 0
Z8 0
ZR 0
Z9 1
U1 0
U2 1
SN 0022-3999
EI 1879-1360
UT WOS:000442062100009
PM 30097135
ER

PT J
AU Alden, Dana L.
   Friend, John
   Fraenkel, Liana
   Jibaja-Weiss, Maria
TI The effects of culturally targeted patient decision aids on medical
   consultation preparation for Hispanic women in the US: Results from four
   randomized experiments
SO SOCIAL SCIENCE & MEDICINE
VL 212
BP 17
EP 25
DI 10.1016/j.socscimed.2018.06.030
PD SEP 2018
PY 2018
AB Rationale: Do culturally targeted patient decision aids (DAs) better
   prepare lower-middle and middle-class Hispanic American women for
   medical decision making compared to DAs designed for the general
   population? Health promotion evidence indicates that inclusion of
   cultural values, imagery, linguistics, and health data in a DA will
   improve ethnic patients' preparation relative to a generic DA; yet, this
   hypothesis remains untested.
   Method: Four experiments examined consultation preparation effects of
   culturally targeted versus generic DAs for Hispanic women living in the
   United States. Drawing on highly rated online DAs, an experienced
   Hispanic content developer and Hispanic focus groups worked with
   researchers to develop culturally targeted digital DAs. Online panels of
   self-identified Hispanic women in the U.S. were randomly assigned to a
   targeted or generic DA as part of a scenario-based physician
   consultation for advanced diabetes (Study 1) or early stage breast
   cancer (Studies 2-4).
   Results: Manipulation checks showed high awareness of cultural
   information in the targeted DA group. Despite efforts to rule out
   confounds that could account for null effects, DA cultural targeting did
   not increase knowledge, decision preparedness, or empowerment or reduce
   decision conflict in the four randomized experiments. Only individual
   difference variables (e.g., group interdependence) consistently
   predicted enhanced DA consultation preparation effects. Related research
   indicates that culture at the group level may exert less influence when
   individuals think deliberatively, feel less constrained by limited
   resources such as time, understand processing objectives, and/or are
   primed with task-specific schema/norms.
   Conclusion: Given deeper deliberation and clearly primed processing
   objectives, personal experiences and task-related schema/norms may have
   significantly reduced the effects of cultural targeting. Consistent
   findings from four studies suggest that culturally targeted DAs may not
   better prepare Hispanic women in the U.S. for medical decision making
   than generic versions designed for the broader population.
TC 2
ZR 0
ZA 0
ZS 0
ZB 0
Z8 0
Z9 2
U1 0
U2 9
SN 0277-9536
UT WOS:000442056900003
PM 29990671
ER

PT J
AU LeMaire, Scott A.
   Trautner, Barbara W.
   Ramamurthy, Uma
   Green, Susan Y.
   Zhang, Qianzi
   Fisher, William E.
   Rosengart, Todd K.
TI An Academic Relative Value Unit System for Incentivizing the Academic
   Productivity of Surgery Faculty Members
SO ANNALS OF SURGERY
VL 268
IS 3
BP 526
EP 533
DI 10.1097/SLA.0000000000002921
PD SEP 2018
PY 2018
AB Objective: The objective of this study was to evaluate a new academic
   relative-value unit (aRVU) scoring system linked to faculty compensation
   and analyze its association with overall departmental academic
   productivity.
   Summary Background Data: Faculty are often not incentivized or
   financially compensated for educational and research activities crucial
   to the academic mission.
   Methods: We launched an online, self-reporting aRVU system in 2015 to
   document and incentivize the academic productivity of our faculty. The
   system captured 65 specific weighted scores in 5 major categories of
   research, education, innovation, academic service, and peer review
   activities. The aRVU scores were rank-aggregated annually, and bonuses
   were distributed to faculty members in 3 tiers: top 10%, top third, and
   top half. We compared pre-aRVU (academic year 2015) to post-aRVU
   (academic year 2017) departmental achievement metrics.
   Results: Since 2015, annual aRVU bonuses totaling $493,900 were awarded
   to 59 faculty members (58% of eligible department faculty). Implementing
   aRVUs was associated with significant increases in several key
   departmental academic achievement metrics: presentations (579 to 862; P
   = 0.02; 49% increase), publications (390 to 446; P = 0.02; 14%), total
   research funding ($4.6M to $8.4M; P < 0.001; 83%), NIH funding ($0.6M to
   $3.4M; P < 0.001; 467%), industry-sponsored clinical trials (8 to 23; P
   = 0.002; 188%), academic society committee positions (226 to 298; P <
   0.001; 32%), and editorial leadership positions (50 to 74; P = 0.01;
   48%).
   Conclusions: Implementing an aRVU system was associated with increases
   in departmental academic productivity. Although other factors
   undoubtedly contributed to these increases, an aRVU program may
   represent an important mechanism for tracking and rewarding academic
   productivity in surgery departments.
CT 138th Annual Meeting of the American-Surgical-Association (ASA)
CY APR 19-21, 2018
CL Phoenix, AZ
SP Amer Surg Assoc
RI Zhang, Qianzi/GNW-5627-2022; LeMaire, Scott/
OI LeMaire, Scott/0000-0002-8736-4266
ZA 0
ZR 0
ZB 2
TC 23
Z8 0
ZS 0
Z9 23
U1 1
U2 2
SN 0003-4932
EI 1528-1140
UT WOS:000442240600015
PM 30004925
ER

PT J
AU Anh-Vu Ngo
   Thapa, Mahesh M.
TI Documenting your career as an educator electronically
SO PEDIATRIC RADIOLOGY
VL 48
IS 10
BP 1399
EP 1405
DI 10.1007/s00247-018-4210-0
PD SEP 2018
PY 2018
AB Academic radiologists on the clinician-educator track are required to
   provide a teaching portfolio as well as a curriculum vitae (CV) for
   academic promotion. The specific components of a teaching portfolio vary
   slightly depending on the institution. Traditionally academicians have
   collected the necessary documentation in paper format, often stuffing
   them in a binder or a desk drawer. However in the digital age most
   academic works are readily available in electronic format and can be
   accessed online. An electronic portfolio is the ideal method to
   efficiently organize this digital material. In this article, we describe
   the specific advantages of an online academic portfolio, explain how to
   set one up and review many options available to build an online
   electronic portfolio.
OI Ngo, Anh-Vu/0000-0001-8904-826X
ZB 0
Z8 0
TC 1
ZR 0
ZS 0
ZA 0
Z9 1
U1 2
U2 2
SN 0301-0449
EI 1432-1998
UT WOS:000441920000005
PM 30121794
ER

PT J
AU Liao, Chun-De
   Tsauo, Jau-Yih
   Chen, Hung-Chou
   Liou, Tsan-Hon
TI Efficacy of Extracorporeal Shock Wave Therapy for Lower-Limb
   Tendinopathy: A Meta-analysis of Randomized Controlled Trials
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 97
IS 9
BP 605
EP 619
DI 10.1097/PHM.0000000000000925
PD SEP 2018
PY 2018
AB Objective Extracorporeal shock wave therapy, including radial shock wave
   and focused shock wave types, is widely used for managing
   tendinopathies. The difference in efficacy between the 2 shock wave
   characteristics with different dosage levels remains controversial, and
   the purpose of this meta-analysis was to examine it for patients with
   lower-limb tendinopathy.
   Design A comprehensive search of online databases and search engines was
   performed. This study included randomized controlled trials reporting
   the efficacy of extracorporeal shock wave therapy in treating lower-limb
   tendinopathy. The included randomized controlled trials were subjected
   to a meta-analysis and risk of bias assessment.
   Results In total, 29 randomized controlled trials were included, all of
   which had a good methodological quality, with a PEDro score of 6/10.
   General extracorporeal shock wave therapy showed significant effects at
   the immediate follow-up [pain score: standardized mean difference =
   -1.41, 95% confidence interval = -2.01 to -0.82, P < 0.00001; function:
   standardized mean difference = 2.59, 95% confidence interval = 1.54 to
   3.64, P < 0.00001] as well as at 3, 6, and 12 months. In sequence,
   high-dosage focused shock wave, high-dosage radial shock wave, and
   low-dosage radial shock wave had superior pooled effects on overall
   clinical outcomes.
   Conclusions Extracorporeal shock wave therapy exerted a positive overall
   effect on pain and function for lower-limb tendinopathy. Shock wave
   types and dosage levels may have different contributions to treatment
   efficacy.
   To Claim CME Credits Complete the self-assessment activity and
   evaluation online at http://www.physiatry.org/JournalCME
   CME objectives Upon completion of this article, the reader should be
   able to: (1) Describe benefits of extracorporeal shock wave therapy for
   individuals with lower-limb tendinopathy; (2) Understand the impact of
   dosing and type of extracorporeal shock wave therapy has on treatment
   efficacy; and (3) Identify appropriate indications for incorporating
   extracorporeal shock wave therapy into the treatment plan for patients
   with lower-limb tendinopathy.
   Level Advanced
   Accreditation The Association of Academic Physiatrists is accredited by
   the Accreditation Council for Continuing Medical Education to provide
   continuing medical education for physicians. The Association of Academic
   Physiatrists designates this Journal-based CME activity for a maximum of
   1.0 AMA PRA Category 1 Credit(s). Physicians should only claim credit
   commensurate with the extent of their participation in the activity.
RI Liao, Chun-De/AAW-5990-2020; Liou, Tsan-Hon/I-8808-2019; Liou, Tsan-Hon/; Chen, Hung-Chou/
OI Liao, Chun-De/0000-0002-1930-4915; Liou, Tsan-Hon/0000-0002-0959-4023;
   Chen, Hung-Chou/0000-0001-8510-7437
ZA 0
ZR 0
ZS 0
TC 17
ZB 3
Z8 1
Z9 18
U1 0
U2 12
SN 0894-9115
EI 1537-7385
UT WOS:000441907200007
PM 29557811
ER

PT J
AU Ozturk, Ekin
   van Iersel, Marianne
   van Loon, Karsten
   den Rooijen, Corry
   van Dongen, Eric
   van Wijngaarden, Rob de Lind
   Klaase, Joost
   van Goor, Harry
TI Interactive online learning on perioperative management of elderly
   patients
SO AMERICAN JOURNAL OF SURGERY
VL 216
IS 3
BP 624
EP 629
DI 10.1016/j.amjsurg.2018.01.071
PD SEP 2018
PY 2018
AB Introduction: Surgical specialists and residents lack knowledge to
   adequately manage frail older patients. This study aims to evaluate the
   effects of an interactive online course regarding attitude,
   self-confidence and knowledge in perioperative management of the elderly
   patient.
   Methods: The six-weeks course consisted of expert videos, literature
   readings, quizzes and forum discussions. Surgical consultants with
   geriatric expertise and geriatricians moderated online discussions and
   stimulated interaction. Knowledge, self-confidence and attitude of
   course participants were compared at the beginning and end of the
   course.
   Results: 206 medical practitioners started the course. Knowledge scores
   improved significantly from 49% to 65% (p <0.005). Participants felt
   more secure (p <0.005) in the treatment of the older patient at the end
   of the course. A better attitude correlated with a higher total
   knowledge score in surgeons and surgical residents (p = 0.02).
   Conclusion: A six-week interactive online course on perioperative
   management of elderly patients increases relevant geriatric knowledge
   and improves self-confidence of residents and faculty. (C) 2018
   Published by Elsevier Inc.
RI van Goor, H./H-8035-2014
OI van Goor, H./0000-0003-0323-4876
ZR 0
TC 4
ZS 0
ZB 0
Z8 0
ZA 0
Z9 4
U1 0
U2 6
SN 0002-9610
EI 1879-1883
UT WOS:000443564500037
PM 29502855
ER

PT J
AU Woznitza, Nick
   Steele, Rebecca
   Piper, Keith
   Burke, Stephen
   Rowe, Susan
   Bhowmik, Angshu
   Maughn, Sue
   Springett, Kate
TI Increasing radiology capacity within the lung cancer pathway:
   centralised work-based support for trainee chest X-ray reporting
   radiographers
SO JOURNAL OF MEDICAL RADIATION SCIENCES
VL 65
IS 3
BP 200
EP 208
DI 10.1002/jmrs.285
PD SEP 2018
PY 2018
AB IntroductionDiagnostic capacity and time to diagnosis are frequently
   identified as a barrier to improving cancer patient outcomes. Maximising
   the contribution of the medical imaging workforce, including reporting
   radiographers, is one way to improve service delivery.
   MethodsAn efficient and effective centralised model of workplace
   training support was designed for a cohort of trainee chest X-ray (CXR)
   reporting radiographers. A comprehensive schedule of tutorials was
   planned and aligned with the curriculum of a post-graduate certificate
   in CXR reporting. Trainees were supported via a hub and spoke model
   (centralised training model), with the majority of education provided by
   a core group of experienced CXR reporting radiographers. Trainee and
   departmental feedback on the model was obtained using an online survey.
   ResultsFourteen trainees were recruited from eight National Health
   Service Trusts across London. Significant efficiencies of scale were
   possible with centralised support (48 h) compared to traditional
   workplace support (348 h). Trainee and manager feedback overall was
   positive. Trainees and managers both reported good trainee support,
   translation of learning to practice and increased confidence. Logistics,
   including trainee travel and release, were identified as areas for
   improvement.
   ConclusionCentralised workplace training support is an effective and
   efficient method to create sustainable diagnostic capacity and support
   improvements in the lung cancer pathway.
RI Bhowmik, Angshu/AAF-6459-2020; Woznitza, Nick/
OI Bhowmik, Angshu/0000-0003-4227-3085; Woznitza, Nick/0000-0001-9598-189X
ZR 0
TC 6
ZA 0
Z8 0
ZB 0
ZS 0
Z9 6
U1 0
U2 3
SN 2051-3909
UT WOS:000443398000006
PM 29806102
ER

PT J
AU Bartlett, S. J.
   Gutierrez, A. K.
   Butanis, A.
   Bykerk, V. P.
   Curtis, J. R.
   Ginsberg, S.
   Leong, A. L.
   Lyddiatt, A.
   Nowell, W. B.
   Orbai, A. M.
   Smith, K. C.
   Bingham, C. O., III
TI Combining online and in-person methods to evaluate the content validity
   of PROMIS fatigue short forms in rheumatoid arthritis
SO QUALITY OF LIFE RESEARCH
VL 27
IS 9
BP 2443
EP 2451
DI 10.1007/s11136-018-1880-x
PD SEP 2018
PY 2018
AB Purpose Fatigue is frequent and often severe and disabling in RA, and
   there is no consensus on how to measure it. We used online surveys and
   in-person interviews to evaluate PROMIS Fatigue 7a and 8a short forms
   (SFs) in people with RA.
   Methods We recruited people with RA from an online patient community (n
   = 200) and three academic medical centers (n = 84) in the US.
   Participants completed both SFs then rated the comprehensiveness and
   comprehensibility of the items to their fatigue experience. Cognitive
   debriefing of items was conducted in a subset of 32 clinic patients.
   Descriptive statistics were calculated, and associations were evaluated
   using Pearson and Spearman correlation coefficients.
   Results Mean SF scores were similar (p >= .61) among clinic patients
   reflecting mild fatigue (i.e., 54.5-55.9), but were significantly higher
   (p < .001) in online participants. SF Fatigue scores correlated highly
   (r >= 0.82; p < .000) and moderately with patient assessments of disease
   activity (r >= 0.62; p = .000). Most (70-92%) reported that the items
   "completely" or "mostly" reflected their experience. Almost all (>= 94%)
   could distinguish general fatigue from RA fatigue. Most (>= 85%) rated
   individual items questions as "somewhat" or "very relevant" to their
   fatigue experience, averaged their fatigue over the past 7 days (58%),
   and rated fatigue impact versus severity (72 vs. 19%). 99% rated fatigue
   as an important symptom they considered when deciding how well their
   current treatment was controlling their RA.
   Conclusions Results suggest that items in the single-score PROMIS
   Fatigue SFs demonstrate content validity and can adequately capture the
   wide range of fatigue experiences of people with RA.
RI Bartlett, Susan Joan/AAD-4103-2020; Bartlett, Susan J./J-9864-2012; Gutierrez-Rubio, Anna Kristina/; Orbai, Ana-Maria/; Ginsberg, Stephen/
OI Bartlett, Susan Joan/0000-0001-9755-2490; Gutierrez-Rubio, Anna
   Kristina/0000-0003-1322-9827; Orbai, Ana-Maria/0000-0001-8644-8567;
   Ginsberg, Stephen/0000-0002-1797-4288
ZS 1
ZA 0
ZB 6
ZR 0
TC 14
Z8 0
Z9 14
U1 0
U2 5
SN 0962-9343
EI 1573-2649
UT WOS:000442862200022
PM 29797175
ER

PT J
AU Berendt, Julia
   Steigleder, Tobias
   van Oorschot, Birgitt
   Villalobos, Matthias
   Simon, Steffen T.
   Scherg, Alexandra
   Ostgathe, Christoph
TI Comprehensive Cancer Center (CCC) in Germany: Results of a Survey
   Regarding the Recommendations for Palliative Care Teaching in Medical
   Studies
SO ZEITSCHRIFT FUR PALLIATIVMEDIZIN
VL 19
IS 5
BP 259
EP 265
DI 10.1055/a-0663-6340
PD SEP 2018
PY 2018
AB Background The academic curriculum-based teaching of palliative medicine
   is differently integrated in the funded Comprehensive Cancer Center
   (CCC). Recommendations are discussed, agreed and reported because a
   structural concept care shall be given to promote teaching of
   specialized palliative care in a CCC.
   Methods In a panel of experts from the Palliative Medicine workinggroup
   within the CCC network, nine statements about teaching in the CCCs were
   formulated based on guidelines and catalogues. 14 physicians with
   management and teaching responsibilities from the palliative care
   facilities of the CCCs were surveyed about a quantitative design using
   an online questionnaire. A statement was consented, as long as the
   agreement in the working group was >= 80 %. Comments were recorded via
   free text fields.
   Results 12 from 14 persons took part in the survey from May to August
   2016. They agreed on seven from nine recommendations. The agreement
   regarding the mandatory part of teaching (minimum 1.5 semester hours per
   week = 20 lessons each 45 min) went unanimous (100 %). Besides
   respondents recommend in the palliative care a choice option for medical
   students in the practical year (92%). The recommendation to use one full
   time worker who is employed for teaching, reached no consensus (75 %).
   However, the person responsible for teaching should be assigned a 1/4
   position for administrative tasks (83%).
   Discussion The medical directors of specialized palliative medicine in
   the German CCCs mostly agree upon which structural characteristics of
   the academic curriculum-based teaching of palliative medicine shall be
   taken into account. The recommendations may be integrated into a
   structural plan of CCC for promoting academic teaching in palliative
   care.
RI Ostgathe, Christoph/I-4385-2019
OI Ostgathe, Christoph/0000-0003-4449-5036
TC 1
ZA 0
ZB 0
ZS 0
ZR 0
Z8 0
Z9 1
U1 0
U2 0
SN 1615-2921
EI 1615-293X
UT WOS:000442309200013
ER

PT J
AU Sue, Gloria R.
   Covington, Woodrow C.
   Chang, James
TI The ReSurge Global Training Program: A Model for Surgical Training and
   Capacity Building in Global Reconstructive Surgery
SO ANNALS OF PLASTIC SURGERY
VL 81
IS 3
BP 250
EP 256
DI 10.1097/SAP.0000000000001513
PD SEP 2018
PY 2018
AB Background A paradigm shift is underway in the world of humanitarian
   global surgery to address the large unmet need for reconstructive
   surgical services in low- and middle-income countries (LMICs). Here, we
   discuss the ReSurge Global Training Program (RGTP), a model for surgical
   training and capacity building in reconstructive surgery in the
   developing world. The program includes an online reconstructive surgery
   curriculum, visiting educator trips, expert reconstructive surgeon
   involvement, trainee competency tracking system, and identification of
   local outreach partners to provide safe reconstructive surgery to the
   neediest of patients in the developing world.
   Methods A retrospective review of the components of the RGTP from July
   2014 through June 2017 was performed. Trainee milestones scores were
   analyzed to observe trends toward competency in specific plastic surgery
   skill sets.
   Results There were a total of 38 visiting educator trips during the
   study period. The trips took place in 10 LMICs. A total of 149 trainees
   were evaluated in the context of the visiting educator trips with 377
   distinct submodule evaluations. Four trainees had more than 10 submodule
   evaluations over 2 or more visiting educator trips. There was notable
   improvement in milestones ratings over time among the trainees in this
   program.
   Conclusions The RGTP is a model of reconstructive surgical training and
   capacity building in LMICs. Trainees develop important skill sets in
   reconstructive surgery as a result of their involvement in the program.
   This comprehensive training approach addresses the disparity in access
   to care in the developing world by providing short- and long-term
   solutions to unmet reconstructive needs.
ZR 0
ZB 0
ZS 0
ZA 0
TC 13
Z8 0
Z9 13
U1 0
U2 1
SN 0148-7043
EI 1536-3708
UT WOS:000442239900003
PM 29905604
ER

PT J
AU Effertz, Tobias
   Bischof, Anja
   Rumpf, Hans-Juergen
   Meyer, Christian
   John, Ulrich
TI The effect of online gambling on gambling problems and resulting
   economic health costs in Germany
SO EUROPEAN JOURNAL OF HEALTH ECONOMICS
VL 19
IS 7
BP 967
EP 978
DI 10.1007/s10198-017-0945-z
PD SEP 2018
PY 2018
AB Problematic and pathological gambling have emerged as substantial
   problems in many countries. One potential accelerating factor for this
   phenomenon during recent years is the Internet, which offers different
   kinds of games and online applications for gambling that are faster,
   more attractive due to a variety of design and marketing options, less
   costly and potentially more addictive than terrestrial gambling
   opportunities. However, the contributing role of the Internet for
   problematic gambling has not been analyzed sufficiently so far and
   remains inconclusive. The current study is based on a representative
   sample with 15,023 individuals from Germany. With a new concept of
   assessing online gambling with its relative fraction of total gambling
   activities and a control-function approach to account for possible
   endogeneity of online gambling, we estimate the impact of online
   gambling on gambling behavior while additionally controlling for a rich
   set of important covariates, like education, employment situation and
   family status. The results show that, on average, replacing 10% of
   offline gambling with online gambling increases the likelihood of being
   a problematic gambler by 8.8-12.6%. This increase is equivalent to
   139,322 problematic gamblers and 27.24 million a,notsign per year of
   additional expenditures in the German health sector. Our findings
   underpin the necessity to keep online gambling restricted to prevent
   further developments of problematic and pathological gambling in
   Germany.
RI Rumpf, Hans-Jürgen/ABD-3478-2020; Meyer, Christian/G-7448-2011; Effertz, Tobias/AAE-8102-2022; Rumpf, Hans-Juergen/; Bischof, Anja/
OI Meyer, Christian/0000-0003-4722-7109; Rumpf,
   Hans-Juergen/0000-0001-6848-920X; Bischof, Anja/0000-0003-3176-3329
ZB 3
ZA 0
TC 31
ZR 0
ZS 0
Z8 0
Z9 31
U1 2
U2 22
SN 1618-7598
EI 1618-7601
UT WOS:000441947900007
PM 29362900
ER

PT J
AU Barrow, A.
   Palmer, S.
   Thomas, S.
   Guy, S.
   Brotherton, J.
   Dear, L.
   Pearson, J.
TI Quality of web-based information for osteoarthritis: a cross-sectional
   study
SO PHYSIOTHERAPY
VL 104
IS 3
BP 318
EP 326
DI 10.1016/j.physio.2018.02.003
PD SEP 2018
PY 2018
AB Background Osteoarthritis (OA) is a chronic condition that affects over
   8.75 million people in the UK. Approximately 43% of people in the UK
   search for health and medical information online. However, health
   information on the internet is of variable quality. Research into the
   quality of online OA information is dated and there is a need to
   evaluate the existing information.
   Objectives To assess the quality of websites which provide educational
   information for patients with OA.
   Design Electronic cross-sectional survey.
   Methods The search term 'osteoarthritis' was entered into the five
   popular UK-based search engines in order to identify 50 unique websites.
   These websites were appraised by two assessors using criteria developed
   from the available literature and recent guidelines of the National
   Institute of Health and Care Excellence. The appraisal considered the
   general quality of the website and OA-specific content.
   Results Most of the websites evaluated (34/50, 68%) scored more than
   half of the maximum available quality score (max score 59). The median
   total score was 41. For general quality of the website, the median score
   was nine (range three to 16, out of 16), and for OA-specific content,
   the median score was 31 (range two to 43, out of 43). Websites of higher
   quality were created more recently, disclosed sources of information,
   had external seals of approval and directed the reader on to other
   relevant websites.
   Conclusions The internet is a potentially useful tool for educating and
   empowering healthcare consumers. The websites evaluated were generally
   of a 'high' standard; however, there was wide variation in the quality
   of information. (C) 2018 Published by Elsevier Ltd on behalf of
   Chartered Society of Physiotherapy.
RI Palmer, Shea/ABB-5401-2020; Palmer, Shea/; Pearson, Jennifer/
OI Palmer, Shea/0000-0002-5190-3264; Pearson, Jennifer/0000-0002-5754-2762
ZS 0
Z8 0
ZB 0
TC 5
ZA 0
ZR 0
Z9 5
U1 0
U2 8
SN 0031-9406
EI 1873-1465
UT WOS:000441176900006
PM 30030036
ER

PT J
AU Hopper, Mari K.
   Kaiser, Alexis N.
TI Engagement and higher order skill proficiency of students completing a
   medical physiology course in three diverse learning environments
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 42
IS 3
BP 429
EP 438
DI 10.1152/advan.00128.2017
PD SEP 2018
PY 2018
AB The primary aim of this study was to determine whether levels of student
   engagement, higher order skill proficiency, and knowledge acquisition
   demonstrated by medical students would differ when completing the same
   course in three diverse learning environments. Following Institutional
   Review Board approval, 56 first-year medical students, registered at the
   same medical school but attending class at three different campus
   centers, were enrolled in the study. All participants were completing a
   medical physiology course that utilized the same learning objectives but
   relied on different faculty incorporating diverse methodologies
   (percentage of class devoted to active learning strategies), course
   format (6-wk block vs. 17-wk semester), and student attendance. Students
   completed a validated survey of student engagement (SSE), a proctored
   online problem-based assessment of higher order skill proficiency
   [Collegiate Learning Assessment (CLA+); http://cae.org], and the
   National Board of Medical Examiners (NBME) Physiology subject exam. In
   this limited sample, results indicate no significant differences between
   campus sites for any of the variables assessed. Levels of engagement
   were lower than expected compared with published values for graduate
   students. Higher order skill proficiency assessed by CLA was
   significantly higher than values reported for college seniors
   nationally. Surprisingly, SSE offered no prediction of performance on
   CLA + or NBME, as there were no significant correlations between
   variables. These data indicate that, although first-year medical
   students may not perceive themselves as highly engaged, they are adept
   in using higher order skills and excel in meeting course learning
   objectives, regardless of learning environment.
OI Hopper, Mari/0000-0002-7063-9956
ZR 0
ZA 0
Z8 0
ZS 0
TC 7
ZB 1
Z9 7
U1 1
U2 6
SN 1043-4046
EI 1522-1229
UT WOS:000437920700005
PM 29972057
ER

PT J
AU Kimura, Shinji
   Onishi, Hirotaka
   Kawamata, Minori
TI Characteristics and perceptions of twice-weekly webinars for primary
   care physicians in Japan: a qualitative study
SO INTERNATIONAL JOURNAL OF MEDICAL EDUCATION
VL 9
BP 229
EP 238
DI 10.5116/ijme.5b6b.21e1
PD AUG 31 2018
PY 2018
AB Objectives: To explore the characteristic features and perceived value
   of free twice-weekly webinars predominantly focusing on the continuing
   professional development of primary care physicians in Japan.
   Methods: In this qualitative study, we conducted a focus group of the
   webinars' participants (n=6, a purposive sample). The discussion was
   recorded, with the recording subsequently transcribed, separated into
   meaningful segments and then open-coded until thematic saturation was
   reached. Concepts were generated through selective coding. Finally, the
   extracted concepts were grouped into categories.
   Results: Extracted concepts were grouped into five categories:
   technological breakthroughs, the creation of learning opportunities,
   external interaction, stimulation of internal interaction, and the
   advantages and disadvantages of nationwide expansion. The webinars were
   perceived to provide a comfortable learning climate, enabling physicians
   to teach one another, share their experiences and become virtual
   colleagues. The chat system stimulated real-time interaction between
   both a main speaker and participants and the participants. Participants
   were able to ask questions or give comments in a stress-free atmosphere.
   The webinars were found to elicit real-time, internal interaction within
   participating sites without interrupting the sessions. Participants also
   highly valued the absence of commercial sponsorship. The expansion of
   the webinars raised two concerns: the possibility of speakers becoming
   nervous and the increased burden on the organizers.
   Conclusions: The webinars have successfully allowed sharing of unbiased
   information and experiences in a comfortable, multifaceted interactive
   learning environment, enabling participants to feel connected. The chat
   system permitted interaction not feasible in face-to-face learning
   opportunities and has shown great promise as a means of online medical
   education.
Z8 0
ZB 0
ZR 0
TC 10
ZS 1
ZA 0
Z9 11
U1 1
U2 5
SN 2042-6372
UT WOS:000444919300001
PM 30171811
ER

PT J
AU Griffin, Bruce A.
   Nichols, John A. A.
TI Responses to a GP survey: current controversies in diet and
   cardiovascular disease
SO BMC FAMILY PRACTICE
VL 19
AR 150
DI 10.1186/s12875-018-0840-4
PD AUG 31 2018
PY 2018
AB Background: When advising patients on diet and health, the general
   practitioner (GP) makes judgements based on the evidence available.
   Since current evidence on diet and cardiovascular disease is conflicted
   and confusing, we surveyed the current consensus amongst GPs. The aim of
   this study was to determine the views of GPs on dietary saturated fat,
   carbohydrates and long chain omega-3 fatty acids in the management of
   cardiovascular disease.
   Method: An online questionnaire inviting participants to comment on
   seven contentious statements on diet and cardiovascular disease.
   Questionnaire circulated to the 1800 members of South West Thames
   Faculty of the Royal College of General Practitioners (RCGP).
   Participants were invited to tick "Agree", "Disagree" or "Not sure" and
   were encouraged to add comments for each question. The results were
   analysed with a combination of statistical analysis and thematic
   analysis of comments.
   Results: There were 89 responses. Most GPs seem well aware that drug
   treatment alone is inadequate and that dietary advice is important.
   However, there was considerable disagreement about the roles of
   saturated fats and carbohydrates in cardiovascular disease and "Not
   sure" responses ranged from 12 to 40.7%. The 40. 7% related to a
   statement on long chain omega-3 fatty acids. Analysis of comments
   revealed more opinions including an awareness of the need to warn
   patients about trans-fatty acids.
   Conclusions: Although the GP response rate was poor, responders do seem
   to see dietary advice as part of their role but do not consider
   themselves as experts. Education in this area should have a higher
   priority.
RI Nichols, John/Q-2853-2019; Nichols, John/
OI Nichols, John/0000-0002-6344-2346
ZB 0
ZR 0
ZA 0
ZS 1
TC 1
Z8 0
Z9 2
U1 0
U2 2
SN 1471-2296
UT WOS:000443489900003
PM 30170564
ER

PT J
AU Salim, Hani
   Lee, Ping Yein
   Ghazali, Sazlina Shariff
   Ching, Siew Mooi
   Ali, Hanifatiyah
   Shamsuddin, Nurainul Hana
   Mawardi, Maliza
   Kassim, Puteri Shanaz Jahn
   Dzulkarnain, Dayangku Hayaty Awang
TI Perceptions toward a pilot project on blended learning in Malaysian
   family medicine postgraduate training: a qualitative study
SO BMC MEDICAL EDUCATION
VL 18
AR 206
DI 10.1186/s12909-018-1315-y
PD AUG 29 2018
PY 2018
AB Background: Blended learning (BL) is a learning innovation that applies
   the concept of face-to-face learning and online learning. However,
   examples of these innovations are still limited in the teaching of
   postgraduate education within the field of family medicine. Malaysian
   postgraduate clinical training, is an in-service training experience and
   face-to-face teaching with the faculty members can be challenging. Given
   this, we took the opportunity to apply BL in their training. This study
   provides an exploration of the perceptions of the educators and students
   toward the implementation of BL.
   Methods: A qualitative approach was employed using focus group
   discussions (FGD) and in-depth interviews (IDI) at an academic centre
   that trains family physicians. Twelve trainees, all of whom were in
   their hospital specialty's rotations and five faculty members were
   purposively selected. Three FGDs among the trainees, one FGD and two
   IDIs among the faculty members were conducted using a semi-structured
   topic guide. Data were collected through audio-recorded interviews,
   transcribed verbatim and checked for accuracy. A thematic approach was
   used to analyse the data.
   Results: There were four main themes that emerged from the analysis.
   Both educators and trainees bill the perspective that BL encouraged
   continuity in learning. They agreed that BL bridges the gap in
   student-teacher interactions. Although educators perceived that BL is in
   concordance with trainees learning style, trainees felt differently
   about this. Some educators and trainees perceived BL to be an extra
   burden in teaching and learning.
   Conclusion: This study highlights a mix positive and negative
   perceptions of BL by educators and trainees. BL were perceived
   positively for continuity in learning and student-teacher interaction.
   However, educator and learner have mismatched perception of learning
   style. BL was also perceived to cause extra burden to both educators and
   learners. Integrating BL to a traditional learning curriculum is still a
   challenge. By knowing the strengths of BL in this setting, family
   medicine trainees in Malaysia can use it to enhance their current
   learning experience. Future study can investigate different pedagogical
   designs that suit family medicine trainees and educators in promoting
   independent learning in postgraduate training.
RI Lee, Ping Yein/C-1923-2012; Ching, Siew Mooi/I-5817-2013; Shamsuddin, Nurainul Hana/
OI Lee, Ping Yein/0000-0002-0912-6043; Ching, Siew
   Mooi/0000-0002-4425-7989; Shamsuddin, Nurainul Hana/0000-0001-8326-0024
ZB 0
ZR 0
ZS 1
TC 13
ZA 0
Z8 0
Z9 14
U1 0
U2 22
SN 1472-6920
UT WOS:000443107600001
PM 30157829
ER

PT J
AU Hoonpongsimanont, Wirachin
   Velarde, Irene
   Gilani, Christopher
   Louthan, Michael
   Lotfipour, Shahram
TI Assessing medical student documentation using simulated charts in
   emergency medicine
SO BMC MEDICAL EDUCATION
VL 18
AR 203
DI 10.1186/s12909-018-1314-z
PD AUG 28 2018
PY 2018
AB Background: The 1995 Health Care Financing Administration (HCFA)
   guidelines stated that providers may only use the review of systems and
   past medical, family, social history in student documentation for
   billing purposes; therefore, many providers viewed the student
   documentation as an extraneous step and chose not to allow medical
   students to document patient visits. This workflow negatively affected
   medical student education in documentation skills. Although the negative
   impact on students' documentation skills is obvious, areas of deficits
   are unknown. Understanding the area of deficits will benefit future
   curriculums to prepare prospective resident physicians for proper
   documentation. We aimed to assess areas of deficits in documentation of
   fourth-year medical students according to HCFA billing guidelines.
   Methods: We conducted a prospective study of fourth-year medical
   students' simulated chart documentations at a United States medical
   school from May 2014 to May 2015. We evaluated students' simulated
   charts from an online learning tool using simulated cases for
   completeness according to HCFA guidelines and analyzed data using
   descriptive statistics.
   Results: We found that 98.9% (n = 90) of the charts were downcoded. Of
   these charts, 33.0% (n = 30) had incomplete history of present illness,
   90.1% (n = 82) had incomplete review of systems, 73.6% (n = 67) had
   incomplete past medical, family, social history and 88.8% (n = 80) had
   incomplete physical exams.
   Conclusion: New curriculum should include billing guideline information
   and emphasize the completeness of charts according to acuity.
RI Louthan, Michael/K-4869-2013
ZR 0
ZS 0
ZA 0
TC 5
ZB 1
Z8 0
Z9 5
U1 0
U2 6
SN 1472-6920
UT WOS:000442961400001
PM 30153829
ER

PT J
AU Yamada, Toru
   Minami, Taro
   Soni, Nilam J.
   Hiraoka, Eiji
   Takahashi, Hiromizu
   Okubo, Tomoya
   Sato, Juichi
TI Skills acquisition for novice learners after a point-of-care ultrasound
   course: does clinical rank matter?
SO BMC MEDICAL EDUCATION
VL 18
AR 202
DI 10.1186/s12909-018-1310-3
PD AUG 22 2018
PY 2018
AB Background: Few studies have compared the effectiveness of brief
   training courses on point-of-care ultrasound (POCUS) skill acquisition
   of novice attending physicians vs. trainees. The purpose of this study
   was to evaluate the change in POCUS image interpretation skills and
   confidence of novice attending physicians vs. trainees after a 1-day
   POCUS training course.
   Methods: A 1-day POCUS training course was held in March 2017 in Japan.
   A standardized training curriculum was developed that included online
   education, live lectures, and hands-on training. The pre-course
   assessment tools included a written examination to evaluate baseline
   knowledge and image interpretation skills, and a physician survey to
   assess confidence in performing specific ultrasound applications. The
   same assessment tools were administered post-course, along with a course
   evaluation. All learners were novices and were categorized as trainees
   or attending physicians. Data were analyzed using two-way analysis of
   variance.
   Results: In total, 60 learners attended the course, and 51 learners
   (85%) completed all tests and surveys. The 51 novice learners included
   29 trainees (4 medical students, 9 PGY 1-2 residents, 16 PGY 3-5
   residents) and 22 attending physicians (6 PGY 6-10 physicians, and 16
   physicians PGY 11 and higher). The mean pre- and post-course test scores
   of novice trainees improved from 65.5 to 83.9% while novice attending
   physicians improved from 66.7 to 81.5% (p < 0.001). The post-course
   physician confidence scores in using ultrasound significantly increased
   in all skill categories for both groups. Both trainees and attending
   physicians demonstrated similar improvement in their post-course test
   scores and confidence with no statistically significant differences
   between the groups. The course evaluation scores for overall
   satisfaction and satisfaction with faculty members' teaching skills were
   4.5 and 4.6 on a 5-point scale, respectively.
   Conclusions: Both novice trainees and attending physicians showed
   similar improvement in point-of-care ultrasound image interpretation
   skills and confidence after a brief training course. Although separate
   training courses have traditionally been developed for attending
   physicians and trainees, novice learners of point-of-care ultrasound may
   acquire skills at similar rates, regardless of their ranking as an
   attending physician or trainee. Future studies are needed to compare the
   effectiveness of short training courses on image acquisition skills and
   determine the ideal course design.
RI Nilam Soni, Nilam J Soni/AAU-4098-2021; Minami, Taro/ABG-4988-2021; Minami, Taro/
OI Nilam Soni, Nilam J Soni/0000-0002-8460-0323; Minami,
   Taro/0000-0001-7373-939X
ZR 0
TC 21
ZA 0
ZB 3
Z8 0
ZS 0
Z9 21
U1 1
U2 4
SN 1472-6920
UT WOS:000442363800002
PM 30134975
ER

PT J
AU Gutierrez-Heredia, Luis
   Keogh, Colin
   Reynaud, Emmanuel G.
TI Assessing the Capabilities of Additive Manufacturing Technologies for
   Coral Studies, Education, and Monitoring
SO FRONTIERS IN MARINE SCIENCE
VL 5
AR 278
DI 10.3389/fmars.2018.00278
PD AUG 21 2018
PY 2018
AB Additive manufacturing, better known as 3D printing is becoming an
   easily accessible method to produce 3D objects ranging from medical
   devices to jet plane parts. However, this implies the creation of an
   accurate 3D digital model by Computer Assisted Design (CAD) or direct
   acquisition of a 3D model as well as a correct understanding of the
   various 3D printing technologies available with their pros and cons.
   Here, we present a method for editing and printing of 3D models of coral
   colonies for the generation of accurate and enhanced 3D models suitable
   for research and education. This is a follow-up from other papers where
   3D scanning was performed on fresh coral samples from field trips and
   coral skeletons from museum collections using different imaging
   techniques (multi-image photogrammetry and Micro CT scanning). 3D scans
   of colonies and samples of Turbinaria sp., Leptoseris incrustans,
   Oulophyllia crispa, Echinopora sp., Siderastrea savignyana, and
   Platygira daedalea were used to produce multi-material and multi-scale
   3D prints. Moreover, we studied the best practices for the 3D printing
   processes, and potential technologies most suitable for specific
   attributes in this practice. Additionally, we show the innovative
   application of 3D printed inert reactive corals able to indicate
   environmental changes, along with insights into the potential uses for
   the proposed method and related systems in biological fields and sharing
   with an online community.
OI Keogh, Colin/0000-0002-4110-8232
TC 3
ZB 0
Z8 0
ZR 0
ZS 0
ZA 0
Z9 3
U1 1
U2 4
EI 2296-7745
UT WOS:000457366000001
ER

PT J
AU dos Santos, Vinicius Souza
   Zortea, Maxciel
   Alves, Rael Lopes
   dos Santos Naziazeno, Catia Cilene
   Saldanha, Julia Schirmer
   Ribeiro de Carvalho, Sandra da Conceicao
   da Costa Leite, Antonio Jorge
   da Silva Torres, Iraci Lucena
   de Souza, Andressa
   Calvetti, Prisla Ucker
   Fregni, Felipe
   Caumo, Wolnei
TI Cognitive effects of transcranial direct current stimulation combined
   with working memory training in fibromyalgia: a randomized clinical
   trial
SO SCIENTIFIC REPORTS
VL 8
AR 12477
DI 10.1038/s41598-018-30127-z
PD AUG 20 2018
PY 2018
AB Cognitive dysfunction in fibromyalgia has been reported, especially
   memory. Anodal transcranial direct current stimulation (tDCS) over the
   dorsolateral prefrontal cortex (DLPFC) has been effective in enhancing
   this function. We tested the effects of eight sessions of tDCS and
   cognitive training on immediate and delayed memory, verbal fluency and
   working memory and its association with brain-derived neurotrophic
   factor (BDNF) levels. Forty females with fibromyalgia were randomized to
   receive eight sessions of active or sham tDCS. Anodal stimulation (2 mA)
   was applied over the DLPFC and online combined with a working memory
   training (WMT) for 20 minutes. Pre and post-treatment neurocognitive
   tests were administered. Data analysis on deltas considering years of
   education and BDNF as covariates, indicated active-tDCS + WMT
   significantly increased immediate memory indexed by Rey Auditory Verbal
   Learning Test score when compared to sham. This effect was dependent on
   basal BDNF levels. In addition, the model showed active stimulation
   increased orthographic and semantic verbal fluency scores (Controlled
   Oral Word Association Test) and short-term memory (Forward Digit Span).
   The combination of both techniques seemed to produce effects on specific
   cognitive functions related to short-term and long-term episodic memory
   and executive functions, which has clinical relevance for top-down
   treatment approaches in FM.
RI Calvetti, Prisla Ücker/G-6190-2016; de Souza, Andressa/Q-2446-2016; Carvalho, Sandra/H-1214-2014; caumo, wolnei/Q-8728-2016; Torres, Iraci L. S./G-6693-2012; Zortea, Maxciel/ABF-8448-2020; Leite, Jorge/M-9341-2019; Caumo, Wolnei/; Fregni, Felipe/
OI Calvetti, Prisla Ücker/0000-0003-0581-9595; de Souza,
   Andressa/0000-0002-6608-4695; Carvalho, Sandra/0000-0003-1759-5146;
   Torres, Iraci L. S./0000-0002-3081-115X; Leite,
   Jorge/0000-0002-0323-9012; Caumo, Wolnei/0000-0002-5083-4658; Fregni,
   Felipe/0000-0001-9359-8643
ZR 0
ZS 1
ZA 0
ZB 12
Z8 0
TC 21
Z9 21
U1 2
U2 21
SN 2045-2322
UT WOS:000442132100006
PM 30127510
ER

PT J
AU Thapa, Radha
   Saldanha, Sunita
   Prakash, Rishith
TI APPLICATION OF LEAN SIX-SIGMA APPROACH TO REDUCE BIOMEDICAL EQUIPMENTS
   BREAKDOWN TIME AND ASSOCIATED DEFECTS
SO JOURNAL OF EVOLUTION OF MEDICAL AND DENTAL SCIENCES-JEMDS
VL 7
IS 34
BP 3771
EP 3779
DI 10.14260/jemds/2018/847
PD AUG 20 2018
PY 2018
AB BACKGROUND
   Lean Six Sigma is an advanced methodology of quality management and
   quality improvement. Lean Six Sigma implementation in equipment
   maintenance can be a good solution, which can reduce the waste and
   variation through the DMAIC cycle. It is a need of time to adopt Lean
   Six Sigma methodology at all the levels of healthcare ubiquitously,
   since this methodology has worked wonders in other sectors like
   information technology, industry, education, both online and offline
   retail market, manufacturing etc. Biomedical equipments are the blood
   vessels of the hospital and it must be made sure that the critical
   medical devices are safe, accurate, reliable and operating at the
   required level of performance consistently by reduction of breakdown
   time and associated defects by adopting Lean Six Sigma approach.
   The objective of the study is to reduce the biomedical equipments
   breakdown time and associated defects by using Lean Six Sigma approach.
   MATERIALS AND METHODS
   This study was conducted at Yenepoya Medical College Hospital,
   Mangalore, India over a period of 15 months (March 2017-May 2018) over
   ninety-nine biomedical equipments in operation at Medical Intensive Care
   Unit. This study design is experimental. The objective was achieved by
   using popular DMAIC methodology.
   RESULTS
   The breakdown time reduced from 19165.83 minutes/month to an average of
   14.5 minutes/month after application of Lean Six Sigma. Similarly, the
   average number of associated defects reduced from 40 defects/month to 6
   defects/month. The Sigma level improved from 1.66 to 4.94 levels.
   CONCLUSION
   Lean Six Sigma approach is an effective and eloquent application in
   improving the biomedical equipment's maintenance. Lean Six Sigma
   approach can be adopted at various levels of healthcare system to
   increase the productivity, cost-effectiveness which enhances the
   healthcare service.
RI Thapa, Radha/Q-6791-2018; Thapa, Radha/
OI Thapa, Radha/0000-0003-0507-2209
ZS 0
TC 4
Z8 0
ZA 0
ZB 0
ZR 0
Z9 4
U1 2
U2 26
SN 2278-4748
EI 2278-4802
UT WOS:000444327800009
ER

PT J
AU Hendry, Gordon J.
   Fenocchi, Linda
   Woodburn, Jim
   Steultjens, Martijn
TI Foot pain and foot health in an educated population of adults: results
   from the Glasgow Caledonian University Alumni Foot Health Survey
SO JOURNAL OF FOOT AND ANKLE RESEARCH
VL 11
AR 48
DI 10.1186/s13047-018-0290-1
PD AUG 17 2018
PY 2018
AB Background: Foot pain is common amongst the general population and
   impacts negatively on physical function and quality of life.
   Associations between personal health characteristics,
   lifestyle/behaviour factors and foot pain have been studied; however,
   the role of wider determinants of health on foot pain have received
   relatively little attention. Objectives of this study are i) to describe
   foot pain and foot health characteristics in an educated population of
   adults; ii) to explore associations between moderate-to-severe foot pain
   and a variety of factors including gender, age, medical
   conditions/co-morbidity/multi-morbidity, key indicators of general
   health, foot pathologies, and social determinants of health; and iii) to
   evaluate associations between moderate-to-severe foot pain and foot
   function, foot health and health-related quality-of-life.
   Methods: Between February and March 2018, Glasgow Caledonian University
   Alumni with a working email address were invited to participate in the
   cross-sectional electronic survey (anonymously) by email via the Glasgow
   Caledonian University Alumni Office. The survey was constructed using
   the REDCap secure web online survey application and sought information
   on presence/absence of moderate-to-severe foot pain, patient
   characteristics (age, body mass index, socioeconomic status, occupation
   class, comorbidities, and foot pathologies). Prevalence data were
   expressed as absolute frequencies and percentages. Multivariate logistic
   and linear regressions were undertaken to identify associations 1)
   between independent variables and moderate-to-severe foot pain, and 2)
   between moderate-to-severe foot pain and foot function, foot health and
   health-related quality of life.
   Results: Of 50,228 invitations distributed, there were 7707 unique views
   and 593 valid completions (median age [inter-quartile range] 42 [31-52],
   67.3% female) of the survey (7.7% response rate). The sample was
   comprised predominantly of white Scottish/British (89.4%) working age
   adults (95%), the majority of whom were overweight or obese (57.9%), and
   in either full-time or part-time employment (82.5%) as professionals
   (72.5%). Over two-thirds (68. 5%) of the sample were classified in the
   highest 6 deciles (most affluent) of social deprivation.
   Moderate-to-severe foot pain affected 236/593 respondents (39.8%). High
   body mass index, presence of bunions, back pain, rheumatoid arthritis,
   hip pain and lower occupation class were included in the final
   multivariate model and all were significantly and independently
   associated with moderate-to-severe foot pain (p < 0.05), except for
   rheumatoid arthritis (p = 0.057). Moderate-to-severe foot pain was
   significantly and independently associated lower foot function, foot
   health and health-related quality of life scores following adjustment
   for age, gender and body mass index (p < 0.05).
   Conclusions: Moderate-to-severe foot pain was highly prevalent in a
   university-educated population and was independently associated with
   female gender, high body mass index, bunions, back pain, hip pain and
   lower occupational class. Presence of moderate-to-severe foot pain was
   associated with worse scores for foot function, foot health and
   health-related quality-of-life. Education attainment does not appear to
   be protective against moderate-to-severe foot pain.
OI Woodburn, James/0000-0002-5497-8739; Fenocchi, Linda/0000-0003-2536-8234
ZS 0
ZA 0
TC 8
ZB 2
ZR 0
Z8 0
Z9 8
U1 0
U2 8
SN 1757-1146
UT WOS:000442167300001
PM 30140313
ER

PT J
AU Schneider, Philip J.
   Pedersen, Craig A.
   Scheckelhoff, Douglas J.
TI ASHP national survey of pharmacy practice in hospital settings:
   Dispensing and administration-2017
SO AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY
VL 75
IS 16
BP 1203
EP 1226
DI 10.2146/ajhp180151
PD AUG 15 2018
PY 2018
AB Purpose. The results of the 2017 ASHP national survey of pharmacy
   practice in hospital settings are described.
   Methods. Pharmacy directors at 4,828 general and children's
   medicalsurgical hospitals in the United States were surveyed using a
   mixed-mode method of contact by mail and e-mail. Survey completion was
   online, using Qualtrics (Qualtrics, Provo, UT). IMS Health supplied data
   on hospital characteristics; the survey sample was drawn from the IMS
   hospital database (IMS Health, Yardley, PA).
   Results. The response rate was 14.4%. Drug distribution systems have
   evolved from centralized unit dose programs to decentralized programs
   based on the use of automated dispensing cabinets (ADCs). These systems
   have been made safer by the use of lidded pockets, by the use of
   machine-readable coding during ADC stocking, and by linking access to
   medications to results of pharmacist order review. Health-system
   pharmacists continue to improve quality practices for compounding
   sterile preparations, including the use of safeguards in handling
   hazardous drugs. While some hospitals are prepared for more stringent
   standards, including United States Pharmacopeia chapter 800
   requirements, much still needs to be done to meet these standards.
   Pharmacists are taking an active role in improving the responsible use
   of medications through antimicrobial stewardship and
   controlled-substance diversion prevention programs. The quality of the
   pharmacy workforce continues to be improved through the increased
   credentialing of both pharmacists and pharmacy technicians.
   Conclusion. Health-system pharmacists continue to have a positive impact
   on improving healthcare through programs that improve efficiency,
   safety, and clinical outcomes of medication use in health systems.
RI Schneider, Philip/AAA-8196-2022
OI Schneider, Philip/0000-0001-8740-809X
ZA 0
TC 52
ZS 2
ZR 0
ZB 5
Z8 0
Z9 52
U1 1
U2 9
SN 1079-2082
EI 1535-2900
UT WOS:000456277700007
PM 29903709
ER

PT J
AU Irvine, Cadi
   Armstrong, Alice
   Nagata, Jason M.
   Rollins, Nigel
   Schaaf, Diddie
   Doherty, Meg
   Penazzato, Martina
   Vicari, Marissa
TI Setting Global Research Priorities in Pediatric and Adolescent HIV Using
   the Child Health and Nutrition Research Initiative (CHNRI) Methodology
SO JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
VL 78
BP S3
EP S9
DI 10.1097/QAI.0000000000001742
SU 1
PD AUG 15 2018
PY 2018
AB Background: WHO and the Collaborative Initiative for Paediatric HIV
   Education and Research (CIPHER) of the International AIDS Society (IAS)
   led a collaborative process to set global prioritized research agendas,
   aiming to focusing future research, funding, and stakeholder's efforts.
   This study describes the methodology used to establish the research
   agendas.
   Methods: The Child Health and Nutrition Research Initiative methodology
   was adapted in parallel exercises on pediatric and adolescent HIV. After
   definition of scope by an expert working group, priority questions were
   collected from stakeholders through an online survey. Submitted
   questions were coded, analyzed, and collated. The same respondents were
   asked to score the collated lists through a second online survey. The
   top 10 ranked questions per thematic area (testing, treatment, and
   service delivery) were reviewed and priority themes developed with
   consideration of existing policy, systematic reviews, and planned,
   ongoing, and recently published research.
   Results: A total of 375 respondents submitted 1735 priority research
   questions. The majority of respondents were from Africa; 55%
   self-identified as researchers. The final collated lists included 51 and
   61 research questions for pediatric and adolescent HIV, respectively.
   The response rate for the second survey was 48%. The final research
   agendas include 5 priority research themes per area, discussed in 2
   separate publications.
   Conclusions: To date, this is the largest example of the Child Health
   and Nutrition Research Initiative method in pediatric and adolescent HIV
   in terms of stakeholders reached, and the first to incorporate top
   thematic areas based on current evidence. Its impact on improving
   outcomes for these populations will require strong political and
   financial commitment.
CT 9th International-AIDS-Society (IAS) Conference on HIV Science
CY JUL 23-26, 2017
CL Paris, FRANCE
SP Int AIDS Soc
RI Vicari, Marissa/W-2584-2018
OI Vicari, Marissa/0000-0002-8301-0751
ZB 2
ZA 0
ZR 0
Z8 0
ZS 0
TC 5
Z9 5
U1 1
U2 3
SN 1525-4135
EI 1077-9450
UT WOS:000440567700002
PM 29994913
ER

PT J
AU Schutze, Heike
   Shel, Allan
   Brodaty, Henry
TI Development, implementation and evaluation of Australia's first national
   continuing medical education program for the timely diagnosis and
   management of dementia in general practice
SO BMC MEDICAL EDUCATION
VL 18
AR 194
DI 10.1186/s12909-018-1295-y
PD AUG 10 2018
PY 2018
AB Background: Dementia is the second leading cause of death in Australia.
   Over half of patients with dementia are undiagnosed in primary care.
   This paper describes the development, implementation and initial
   evaluation of the first national continuing medical education program on
   the timely diagnosis and management of dementia in general practice in
   Australia.
   Methods: Continuing medical education workshops were developed and run
   in 16 urban and rural locations across Australia (12 were delivered as
   small group workshops, four as large groups), and via online modules.
   Two train-the-trainer workshops were held. The target audience was
   general practitioners, however, international medical graduates, GP
   registrars, other doctors, primary care nurses and other health
   professionals were also welcome. Self-complete questionnaires were used
   for the evaluation.
   Results: Of 1236 people (GPs, other doctors, nurses and other health
   professionals) who participated in the program, 609 completed the full
   program (small group workshops (282), large group workshops (75), online
   modules (252)); and 627 elected to undertake one or more individual
   submodules (large group workshops (444), online program (183)). Of those
   who completed the full program as a small group workshop, 14 undertook
   the additional Train-the-trainer program. 76% of participants felt that
   their learning needs were entirely met and 78% felt the program was
   entirely relevant to their practice.
   Conclusion: Continuing medical education programs are an effective
   method to deliver education to GPs. A combination of face-to-face and
   online delivery modes increases reach to primary care providers.
   Train-the-trainer sessions and online continuing medical education
   programs promote long-term delivery sustainability. Further research is
   required to determine the long-term knowledge translation effects of the
   program.
OI Schutze, Heike/0000-0003-4766-523X
TC 5
Z8 0
ZA 0
ZR 0
ZS 0
ZB 0
Z9 5
U1 1
U2 18
SN 1472-6920
UT WOS:000441270500001
PM 30097036
ER

PT J
AU Goolsarran, Nirvani
   Hamo, Carine E.
   Lane, Susan
   Frawley, Stacey
   Lu, Wei-Hsin
TI Effectiveness of an interprofessional patient safety team-based learning
   simulation experience on healthcare professional trainees
SO BMC MEDICAL EDUCATION
VL 18
AR 192
DI 10.1186/s12909-018-1301-4
PD AUG 8 2018
PY 2018
AB Background: Although the American Council of Graduate Medical Education
   (ACGME) mandates formal education in patient safety, there is a lack of
   standardized educational practice on how to conduct patient safety
   training. Traditionally, patient safety is taught utilizing
   instructional strategies that promote passive learning such as
   self-directed online learning modules or didactic lectures that result
   in suboptimal learning and satisfaction.
   Methods: During the summer of 2015, 76 trainees consisting of internal
   medicine interns and senior-level nursing students participated in an
   interactive patient safety workshop that used a flipped classroom
   approach integrating team based learning (TBL) and interprofessional
   simulated application exercises.
   Results: Workshop trainees demonstrated an increase in knowledge
   specifically related to patient safety core concepts on the Team
   Readiness Assurance Test (TRAT) compared to the Individual Readiness
   Assurance Test (IRAT) (p = 0.001). Completion rates on the simulation
   application exercises checklists were high except for a few critical
   action items such as hand-washing, identifying barriers to care, and
   making efforts to clarify code status with patient. The Readiness for
   Interprofessional Learning Scale (RIPLS) subscale scores for Teamwork
   and Collaboration and Professional Identity were higher on the
   post-workshop survey compared to the pre-workshop survey, however only
   the difference in the Positive Professional Identity subscale was
   statistically significant (p = 0.03). A majority (90%) of the trainees
   either agreed that the safety concepts they learned would likely improve
   the quality of care they provide to future patients.
   Conclusions: This novel approach to safety training expanded teaching
   outside of the classroom and integrated simulation and engagement in
   error reduction strategies. Next steps include direct observation of
   trainees in the clinical setting for team-based competency when it comes
   to patient safety and recognition of system errors.
ZB 4
ZA 0
ZS 3
ZR 0
Z8 2
TC 22
Z9 27
U1 2
U2 33
SN 1472-6920
UT WOS:000440963200001
PM 30089502
ER

PT J
AU Cheng, Adam
   Nadkarni, Vinay M.
   Mancini, Mary Beth
   Hunt, Elizabeth A.
   Sinz, Elizabeth H.
   Merchant, Raina M.
   Donoghue, Aaron
   Duff, Jonathan P.
   Eppich, Walter
   Auerbach, Marc
   Bigham, Blair L.
   Blewer, Audrey L.
   Chan, Paul S.
   Bhanji, Farhan
CA Amer Heart Assoc Educ Sci
   Amer Heart Assoc Educ Sci Programs
   Council Cardiopulm Critical Care
   Council Cardiovasc Stroke Nursing
   Council Quality Care Outcomes Res
TI Resuscitation Education Science: Educational Strategies to Improve
   Outcomes From Cardiac Arrest: A Scientific Statement From the American
   Heart Association
SO CIRCULATION
VL 138
IS 6
BP E82
EP E122
DI 10.1161/CIR.0000000000000583
PD AUG 7 2018
PY 2018
AB The formula for survival in resuscitation describes educational
   efficiency and local implementation as key determinants in survival
   after cardiac arrest. Current educational offerings in the form of
   standardized online and face-to-face courses are falling short, with
   providers demonstrating a decay of skills over time. This translates to
   suboptimal clinical care and poor survival outcomes from cardiac arrest.
   In many institutions, guidelines taught in courses are not thoughtfully
   implemented in the clinical environment. A current synthesis of the
   evidence supporting best educational and knowledge translation
   strategies in resuscitation is lacking. In this American Heart
   Association scientific statement, we provide a review of the literature
   describing key elements of educational efficiency and local
   implementation, including mastery learning and deliberate practice,
   spaced practice, contextual learning, feedback and debriefing,
   assessment, innovative educational strategies, faculty development, and
   knowledge translation and implementation. For each topic, we provide
   suggestions for improving provider performance that may ultimately
   optimize patient outcomes from cardiac arrest.
RI Cheng, Adam/L-9496-2017; Sinz, Elizabeth/AHE-5892-2022
OI Cheng, Adam/0000-0002-1039-7502; Sinz, Elizabeth/0000-0001-7129-6193
TC 139
ZA 0
ZS 3
ZR 0
Z8 1
ZB 20
Z9 141
U1 2
U2 21
SN 0009-7322
EI 1524-4539
UT WOS:000440866500001
PM 29930020
ER

PT J
AU Guraya, Salman Yousuf
   Almaramhy, Hamdi
   Al-Qahtani, Mona Faisal
   Guraya, Shaista Salman
   Bouhaimed, Manal
   Bilal, B.
TI Measuring the extent and nature of use of Social Networking Sites in
   Medical Education (SNSME) by university students: Results of a
   multi-center study
SO MEDICAL EDUCATION ONLINE
VL 23
IS 1
AR 1505400
DI 10.1080/10872981.2018.1505400
PD AUG 7 2018
PY 2018
AB There is a sharp rise in the use of social networking sites (SNSs) by
   university students for various purposes. However, little is known about
   the use of SNSs for educational purposes. This study aims to determine
   educational use of SNSs by the medical students of two Saudi and a
   Kuwaiti medical school. A cross-sectional study was conducted by
   administering a 20-statement questionnaire to the undergraduate medical
   and allied health sciences students of two Saudi universities: Taibah
   University (TU) and Imam Abdulrahman AlFaisal University (IAFU), and one
   Kuwaiti university, Kuwait University (KU). The data were collected and
   analyzed by SPSS 20. Of a total of 1312 respondents, 1181 (90%) students
   used SNSs and 131 (10%) did not use SNSs for any reason. Further, only
   442/1181 (37%, p < 0.00) students used SNSs for education and found
   these sites to be useful. As many as 357 (27%) students used SNSs for
   sharing education-related information once a day, 306 (23%) 3-5 times a
   day, and 331 (25%) once a week. A maximum of 678 (52%) used Facebook for
   educational purpose and most of the students, 469 (38%), used SNSs for
   sharing lectures. There were significant variations in responses among
   genders and year of schooling. The use of online social media in medical
   education is a rapidly evolving arena of scholarship. Low use of SNSs
   for sharing information and significant variations in perceptions of
   medical students about social media should draw attention of
   policy-makers for promoting awareness and educational reforms.
RI Guraya, Shaista Salman Salman/AAW-7561-2021; Guraya, Salman/ABC-9493-2021; Guraya, Salman/AEN-6633-2022; Bilal, ./ABC-5856-2020; Almaramhy, Hamdi/X-4433-2019; Al-Qahtani, Mona/
OI Guraya, Shaista Salman Salman/0000-0003-2903-8697; Guraya,
   Salman/0000-0001-5183-023X; Guraya, Salman/0000-0001-5183-023X; Bilal,
   ./0000-0001-6599-6687; Al-Qahtani, Mona/0000-0002-2036-3955
TC 20
ZB 0
ZA 0
ZR 0
ZS 0
Z8 0
Z9 20
U1 2
U2 15
SN 1087-2981
UT WOS:000441056700001
PM 30081773
ER

PT J
AU Jacquet, Gabrielle A.
   Umoren, Rachel A.
   Hayward, Alison S.
   Myers, Justin G.
   Modi, Payal
   Dunlop, Stephen J.
   Sarfaty, Suzanne
   Hauswald, Mark
   Tupesis, Janis P.
TI The Practitioner's Guide to Global Health: an interactive, online,
   open-access curriculum preparing medical learners for global health
   experiences
SO MEDICAL EDUCATION ONLINE
VL 23
IS 1
AR 1503914
DI 10.1080/10872981.2018.1503914
PD AUG 7 2018
PY 2018
AB Background: Short-term experiences in global health (STEGH) are
   increasingly common in medical education, as they can provide learners
   with opportunities for service, learning, and sharing perspectives.
   Academic institutions need high-quality preparatory curricula and
   mentorship to prepare learners for potential challenges in ethics,
   cultural sensitivity, and personal safety; however, availability and
   quality of these are variable.
   Objective: The objective of this study is to create and evaluate an
   open-access, interactive massive open online course (MOOC) that prepares
   learners to safely and effectively participate in STEGH, permits
   flexible and asynchronous learning, is free of charge, and provides a
   certificate upon successful completion.
   Methods: Global health experts from 8 countries, 42 institutions, and 7
   specialties collaborated to create The Practitioner's Guide to Global
   Health (PGGH): the first course of this kind on the edX platform.
   Demographic data, pre- and posttests, and course evaluations were
   collected and analyzed.
   Results: Within its first year, PGGH enrolled 5935 learners from 163
   countries. In a limited sample of 109 learners, mean posttest scores
   were significantly improved (p < 0.01). In the course's second year, 213
   sampled learners had significant improvement (p < 0.001).
   Conclusion: We created and evaluated the first interactive,
   asynchronous, free-of-charge global health preparation MOOC. The course
   has had significant interest from US-based and international learners,
   and posttest scores have shown significant improvement.
OI Jacquet, Gabrielle A./0000-0001-9486-5512; Umoren,
   Rachel/0000-0003-2356-9278
TC 16
ZA 0
ZS 0
ZR 0
ZB 2
Z8 0
Z9 16
U1 3
U2 16
SN 1087-2981
UT WOS:000441056900001
PM 30081760
ER

PT J
AU Khamisa, Karima
   Halman, Samantha
   Desjardins, Isabelle
   Jean, Mireille St
   Pugh, Debra
TI The implementation and evaluation of an e-Learning training module for
   objective structured clinical examination raters in Canada
SO JOURNAL OF EDUCATIONAL EVALUATION FOR HEALTH PROFESSIONS
VL 15
AR 18
DI 10.3352/jeehp.2018.15.18
PD AUG 6 2018
PY 2018
AB Improving the reliability and consistency of objective structured
   clinical examination (OSCE) raters' marking poses a continual challenge
   in medical education. The purpose of this study was to evaluate an
   e-learning training module for OSCE raters who participated in the
   assessment of third-year medical students at the University of Ottawa,
   Canada. The effects of online training and those of traditional
   in-person (face-to-face) orientation were compared. Of the 90 physicians
   recruited as raters for this OSCE, 60 consented to participate (67.7%)
   in the study in March 2017. Of the 6() participants, 55 rated students
   during the OSCE, while the remaining 5 were back-up raters. The number
   of raters in the online training group was 41, while that in the
   traditional in-person training group was 19. Of those with prior OSCE
   experience (n = 18) who participated in the online group, 13 (68%)
   reported that they preferred this format to the in-person orientation.
   The total average time needed to complete the online module was 15
   minutes. Furthermore, 89% of the participants felt the module provided
   clarity in the rater training process. There was no significant
   difference in the number of missing ratings based on the type of
   orientation that raters received. Our study indicates that online OSCE
   rater training is comparable to traditional face-to-face orientation.
TC 3
Z8 0
ZA 0
ZB 0
ZR 0
ZS 0
Z9 3
U1 2
U2 7
SN 1975-5937
UT WOS:000446661800001
PM 30078286
ER

PT J
AU Naser, Waheeb Nasr
   Saleem, Huda Ba
TI Emergency and disaster management training; knowledge and attitude of
   Yemeni health professionals- a cross-sectional study
SO BMC EMERGENCY MEDICINE
VL 18
AR 23
DI 10.1186/s12873-018-0174-5
PD AUG 6 2018
PY 2018
AB Background: Medical professionals together with other first responder
   teams are the first to attend an emergency or disaster. Knowledge and
   training in emergency and disaster preparedness are important in
   responding effectively. This study aims to assess the current knowledge,
   attitude and training in emergency and disaster preparedness among
   Yemeni health professionals.
   Method: A descriptive, cross-sectional, non-probability based study was
   conducted in Yemen using self-reported online and paper surveys in 2017.
   A total of 531 health professionals responded. The Chi-Square test was
   used to identify any significant difference in the knowledge and
   attitude of the professional categories. The p-value of <0.05 was used
   as a statistical significant.
   Results: The overall knowledge status of Yemeni health professionals was
   insufficient with regards to emergency and disaster preparedness. Of all
   respondents, 32.0% had good knowledge, 53.5% had fair and 14.5%
   exhibited poor knowledge. The educational level was a key factor in the
   knowledge gap amongst respondents. Regardless of the period of
   experience, postgraduate staff were more knowledgeable than graduates.
   Physicians were better in knowledge than other subgroups of health
   specialties. Health administrators seemed insufficiently qualified in
   emergency and disaster planning. Medical teachers performed better in
   responding to knowledge test than managers. However, the majority of
   study respondents appeared in the 'positive attitudes' level to
   emergency and disaster preparedness. 41.0% of all respondents had
   received no courses in disaster preparedness. The trained staff used
   NGOs, and online-related programs more frequently for learning disaster
   planning (15.7%, and 13.6%) respectively. In contrast, formal resources
   such as MoPHP, health facility, medical schooling programs were used by
   (10.2%, 9.6, and 7.3%) of respondents, respectively. 58.9% of
   respondents had not participated in any exercise in emergency and
   disaster preparedness. Of all respondents, triage and mass causality
   response exercises were attended by only (13.5%, and 9.7%) respectively.
   Conclusion: The absence of teaching programs is a major issue in the
   lack of knowledge of health professionals regarding disaster
   preparedness. Thus, emergency and disaster preparedness has to be
   included in the primary medical school curricula and continuing medical
   education programs of the health facilities. Long-term formal training
   such as undergraduate and postgraduate programs is necessary.
   Operational simulations enrolled key personnel of multi-agencies focus
   on an organizational training rather than individual based training are
   recommended.
RI Basaleem, Huda/AAX-9878-2020; Naser, Waheeb/
OI Basaleem, Huda/0000-0002-7353-5140; Naser, Waheeb/0000-0001-5737-2452
ZS 2
Z8 0
ZR 0
ZA 0
TC 25
ZB 2
Z9 27
U1 2
U2 16
SN 1471-227X
UT WOS:000441236500001
PM 30081832
ER

PT J
AU Ayala, Erin E.
   Winseman, Jeffrey S.
   Johnsen, Ryan D.
   Mason, Hyacinth R. C.
TI US medical students who engage in self-care report less stress and
   higher quality of life
SO BMC MEDICAL EDUCATION
VL 18
AR 189
DI 10.1186/s12909-018-1296-x
PD AUG 6 2018
PY 2018
AB Background: Research on student wellness has highlighted the importance
   of self-care for medical students; however, scholars have yet to
   identify the extent to which self-reported engagement in self-care
   behaviors is associated with attenuation of the negative relationship
   between stress and quality of life during the initial years of medical
   education.
   Methods: Using a self-report survey designed to measure self-care,
   perceived stress, and quality of life, we hypothesized that self-care
   would moderate the relationship between stress and psychological quality
   of life in medical students, as well as stress and physical quality of
   life. An online questionnaire was completed by 871 medical students
   representing 49 allopathic medical colleges throughout the U.S. between
   December 2015 and March 2016. The survey assessed perceived stress,
   self-care, quality of life and a variety of demographic variables.
   Regression analyses were used to assess interaction effects of self-care
   on the relationships between stress and quality of life.
   Results: Self-reported engagement in self-care appeared to moderate the
   relationships between perceived stress and both physical (p<.001) and
   psychological (p=.002) quality of life. As the level of reported
   engagement in self-care increased, the strength of the inverse
   relationship between perceived stress and both physical and
   psychological quality of life appeared to weaken.
   Conclusions: Our findings suggest that self-reported engagement in
   self-care activities is associated with a decrease in the strength of
   the relationship between perceived stress and quality of life in medical
   students. Students who disclose utilizing a multitude of self-care
   practices throughout their training may also sustain greater resiliency
   and lower risk for higher levels of distress during medical education.
RI Ayala, Erin/S-6136-2017
OI Ayala, Erin/0000-0001-6640-2131
Z8 0
ZR 0
ZS 0
ZA 0
ZB 3
TC 30
Z9 30
U1 1
U2 24
SN 1472-6920
UT WOS:000440962800005
PM 30081886
ER

PT J
AU Moore, Julia E.
   Rashid, Shusmita
   Park, Jamie S.
   Khan, Sobia
   Straus, Sharon E.
TI Longitudinal evaluation of a course to build core competencies in
   implementation practice
SO IMPLEMENTATION SCIENCE
VL 13
AR 106
DI 10.1186/s13012-018-0800-3
PD AUG 6 2018
PY 2018
AB Background: Few training opportunities are available for implementation
   practitioners; we designed the Practicing Knowledge Translation (PKT) to
   address this gap. The goal of PKT is to train practitioners to use
   evidence and apply implementation science in healthcare settings. The
   aim of this study was to describe PKT and evaluate participant use of
   implementation science theories, models, and frameworks (TMFs),
   knowledge, self-efficacy, and satisfaction and feedback on the course.
   Methods: PKT was delivered to implementation practitioners between
   September 2015 and February 2016 through a 3-day workshop, 11 webinars.
   We assessed PKT using an uncontrolled before and after study design,
   using convergent parallel mixed methods. The primary outcome was use of
   TMFs in implementation projects. Secondary outcomes were knowledge and
   self-efficacy across six core competencies, factors related to each of
   the outcomes, and satisfaction with the course. Participants completed
   online surveys and semi-structured interviews at baseline, 3, 6, and 12
   months.
   Results: Participants (n = 15) reported an increase in their use of
   implementation TMFs (mean = 2.11; estimate = 2. 11; standard error (SE)
   = 0.4; p = 0.03). There was a significant increase in participants'
   knowledge of developing an evidence-informed, theory-driven program
   (ETP) (estimate = 4.10; SE = 0.37; p = 0.002); evidence implementation
   (estimate = 2.68; SE = 0.42; p < 0.001); evaluation (estimate = 4.43; SE
   = 0.36; p < 0.001); sustainability, scale, and spread (estimate = 2.55;
   SE = 0.34; p < 0.001); and context assessment (estimate = 3.86; SE =
   0.32; p < 0.001). There was a significant increase in participants'
   self-efficacy in developing an ETP (estimate = 3.81; SE = 0.34; p <
   0.001); implementation (estimate = 3.01; SE = 0.36; p < 0.001);
   evaluation (estimate = 3.83; SE = 0.39; p = 0.002); sustainability,
   scale, and spread (estimate = 3.06; SE = 0.46; p = 0.003); and context
   assessment (estimate = 4.05; SE = 0.38; p = 0.016).
   Conclusion: Process and outcome measures collected indicated that PKT
   participants increased use of, knowledge of, self-efficacy in KT. Our
   findings highlight the importance of longitudinal evaluations of
   training initiatives to inform how to build capacity for implementers.
OI Moore, Julia/0000-0002-8147-6347
ZS 0
Z8 0
TC 17
ZB 2
ZR 0
ZA 0
Z9 17
U1 1
U2 7
SN 1748-5908
UT WOS:000440974200001
PM 30081921
ER

PT J
AU Mazerolle, Stephanie M.
   Eason, Christianne M.
   Goodman, Ashley
TI An Examination of Relationships Among Resiliency, Hardiness,
   Affectivity, and Work-Life Balance in Collegiate Athletic Trainers
SO JOURNAL OF ATHLETIC TRAINING
VL 53
IS 8
BP 788
EP 795
DI 10.4085/1062-6050-311-17
PD AUG 2018
PY 2018
AB Context: A multilevel model has been used to describe the complex nature
   of work-life balance in sport organizations. Organizational aspects such
   as work scheduling, hours worked, job demands, and decreased perceived
   value have been reported as factors that can positively or negatively
   affect work-life balance. However, the individual factors that
   contribute to this balance have not been well studied.
   Objective: To better understand the individual factors (emotional
   stability and coping) that may facilitate or inhibit work-life balance
   among athletic trainers (ATs).
   Design: Cross-sectional online survey.
   Setting: National Collegiate Athletic Association athletic training
   setting.
   Patients or Other Participants: A total of 423 (193 men, 230 women) ATs
   employed in the National Collegiate Athletic Association setting.
   Main Outcome Measure(s): Data were collected via a Web-based survey
   instrument consisting of demographic and Likert-scale questions related
   to resiliency, hardiness, affectivity, work-family conflict (WFC), and
   work-family enrichment (WFE). Likert responses were summed and
   demographic information was analyzed for frequency and distribution.
   Independent t tests, analysis of variance, and Spearman correlations
   were calculated to evaluate the relationships among variables.
   Results: Participants exhibited moderate hardiness scores of 3.9 +/- 4.0
   (range, -9 to 15). Positive affectivity was weakly negatively correlated
   with WFC (r = -0.212, P < .001) and moderately positively correlated
   with WFE (r= 0.448, P < .001). Resiliency was weakly negatively
   correlated with WFC (r = -0.25, P < .001) and weakly positively
   correlated with WFE (r= 0.228, P < .001). Additionally, individuals with
   less than 10 years of experience had lower positive affectivity scores
   than those with more than 10 years of experience. Men scored higher than
   women only in resiliency.
   Conclusions: Collegiate ATs demonstrated moderate levels of coping
   behaviors that allow them to manage their personal and professional
   lives. Athletic trainers with more years of experience displayed a more
   positive affect.
ZA 0
ZS 0
ZR 0
Z8 0
TC 7
ZB 3
Z9 7
U1 0
U2 14
SN 1062-6050
EI 1938-162X
UT WOS:000447157700011
PM 30226790
ER

PT J
AU Lorenzo-Alvarez, Rocio
   Pavia-Molina, Jose
   Sendra-Portero, Francisco
TI Exploring the Potential of Undergraduate Radiology Education in the
   Virtual World Second Life with First-cycle and Second-cycle Medical
   Students
SO ACADEMIC RADIOLOGY
VL 25
IS 8
BP 1087
EP 1096
DI 10.1016/j.acra.2018.02.026
PD AUG 2018
PY 2018
AB Rationale and Objectives: Virtual worlds have a remarkable potential for
   effective teaching and learning, providing immersive, realistic, and
   engaging online events. Previous studies have explored online education
   of health professionals in Second Life (SL), the most widely used
   virtual world, but none of the previous learning experiences were
   related to radiology. The purpose of this study was to explore the
   potential use of SL for undergraduate radiology education and the
   involvement of students in SL learning activities.
   Materials and Methods: We delivered a 4-week voluntary undergraduate
   radiology education program in SL, based on synchronous sessions and
   asynchronous tasks, with two modalities: introduction to basic radiology
   for first-cycle (first- to third-year) students and case-based clinical
   radiology for second-cycle (fourth- to sixth-year) students.
   Participants completed an evaluation questionnaire about the experiences
   after the learning program.
   Results: Forty-six students (20 first-cycle and 26 second-cycle)
   participated in this study. They found the contents of the course
   appropriate (mean >= 4.53/5), the initiative interesting, and the
   environment attractive (mean >= 4.32/5), and they were willing to
   participate in future SL experiences (mean >= 4.63/5). All students
   highly rated the organization, the content, the benefit to their medical
   education, and the professor (mean >= 9.05/10).
   Conclusion: Online radiology education using SL is feasible and well
   received by medical students of all year groups. The students
   participated and engaged in this activity very positively and rated the
   experience highly. The potential of using SL for radiology education
   includes promising expectations regarding collaborative learning and
   gamification.
RI Pavia, Jose/F-5526-2016; Sendra-Portero, Francisco/AAM-3468-2021
OI Pavia, Jose/0000-0002-3121-0735; Sendra-Portero,
   Francisco/0000-0001-9535-9806
Z8 0
ZR 0
ZA 0
ZB 0
TC 13
ZS 0
Z9 13
U1 1
U2 11
SN 1076-6332
EI 1878-4046
UT WOS:000439744500018
PM 30782465
ER

PT J
AU Walker, R.
   Blumfield, M.
   Truby, H.
TI Beliefs and advice-seeking behaviours for fertility and pregnancy: a
   cross-sectional study of a global sample
SO JOURNAL OF HUMAN NUTRITION AND DIETETICS
VL 31
IS 4
BP 486
EP 495
DI 10.1111/jhn.12554
PD AUG 2018
PY 2018
AB BackgroundPregnancy can motivate individuals to adopt lifestyle
   behaviours that protect the health of their offspring. The aims of the
   present study were to explore men's and women's beliefs about lifestyle,
   fertility and pregnancy, as well as where they seek advice.
   MethodsParticipants (2185 women and 221 men, six unspecified) from 104
   countries completed a questionnaire that explored their beliefs about
   what was important for a healthy pregnancy and their advice-seeking
   behaviours. Recruitment was via a Massive Open Online Course entitled
   Food as Medicine', with food, nutrient and health content. Comparisons
   of categorical data were performed using a chi-squared test (P = 0.05).
   ResultsEating a variety of fruits and vegetables and not smoking (both
   93.7%) were the most frequently and equally ranked in the top-five
   factors for a healthy pregnancy. Taking prenatal supplements (26.8%) was
   considered to be less important. Participants in Westernised countries
   ranked not smoking or drinking alcohol as being significantly more
   important than those in other countries. Overall, doctors (47.7%) were
   the most common source of fertility and pregnancy advice. Larger
   proportions of those aged <40 years used the Internet (<40 years 44.1%,
   >40 years 18.2% (2) = 152.7, P < 0.01) and social media (<40 years
   16.1%, >40 years 3.6%; (2) = 110.18, P < 0.01) for health information.
   ConclusionsThere is disconnection between beliefs and actions regarding
   the lifestyle behaviours considered to be important for a healthy
   pregnancy, particularly nutrition. Pregnancy advice-seeking has evolved,
   with younger men and women utilising the Internet and social media.
   Health professionals must consider new communication strategies to
   deliver evidence-based lifestyle advice, particularly for younger men
   and women and where access to healthcare is limited.
RI Truby, Helen/ABF-5095-2020; Walker, Ruth/
OI Truby, Helen/0000-0002-1992-1649; Walker, Ruth/0000-0002-1595-0178
ZS 0
ZR 0
Z8 0
ZB 3
ZA 0
TC 11
Z9 11
U1 1
U2 7
SN 0952-3871
EI 1365-277X
UT WOS:000438723800005
PM 29659064
ER

PT J
AU Lee, So Young
   Im, Sang Hee
   Kim, Bo Ryun
   Han, Eun Young
TI The Effects of a Motorized Aquatic Treadmill Exercise Program on Muscle
   Strength, Cardiorespiratory Fitness, and Clinical Function in Subacute
   Stroke Patients: A Randomized Controlled Pilot Trial
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 97
IS 8
BP 533
EP 540
DI 10.1097/PHM.0000000000000920
PD AUG 2018
PY 2018
AB Objective The aim of this study was to assess whether the effects of a
   motorized aquatic treadmill exercise program improve the isometric
   strength of the knee muscles, cardiorespiratory fitness, arterial
   stiffness, motor function, balance, functional outcomes, and quality of
   life in subacute stroke patients.
   Design Thirty-two patients were randomly assigned to 4-wk training
   sessions of either aquatic therapy (n = 19) or land-based aerobic
   exercise (n = 18). Isometric strength was measured using an isokinetic
   dynamometer. Cardiopulmonary fitness was evaluated using a
   symptom-limited exercise tolerance test and by measuring brachial ankle
   pulse wave velocity. Moreover, motor function (Fugl-Meyer Assessment
   [FMA] and FMA-lower limb [FMA-LL]), balance (Berg Balance Scale [BBS]),
   Activities of daily living (Korean version of the Modified Barthel Index
   [K-MBI]), and quality of life (EQ-5D index) were examined.
   Results There were no intergroup differences between demographic and
   clinical characteristics at baseline (P > 0.05). The results shows
   significant improvements in peak oxygen consumption (P = 0.02), maximal
   isometric strength of the bilateral knee extensors (P < 0.01) and
   paretic knee flexors (P = 0.01), FMA (P = 0.03), FMA-LL (P = 0.01), BBS
   (P = 0.01), K-MBI (P < 0.01), and EQ-5D index (P = 0.04) after treatment
   in the aquatic therapy group. However, only significant improvements in
   maximal isometric strength in the knee extensors (P = 0.03) and flexors
   (P = 0.04) were found within the aquatic therapy group and control
   group.
   Conclusions Water-based aerobic exercise performed on a motorized
   aquatic treadmill had beneficial effect on isometric muscle strength in
   the lower limb.
   To Claim CME Credits Complete the self-assessment activity and
   evaluation online at http://www.physiatry.org/JournalCME
   CME Objectives Upon completion of this article, the reader should be
   able to: (1) Articulate the rationale for including walking on an
   aquatic treadmill in the rehabilitation of subacute stroke patients; (2)
   Describe the beneficial effects of a motorized aquatic treadmill
   exercise program in the rehabilitation of subacute stroke patients; and
   (3) Determine the appropriate indications for incorporating a motorized
   aquatic treadmill exercise program in the rehabilitation of subacute
   stroke patients. Level: Advanced
   Accreditation The Association of Academic Physiatrists is accredited by
   the Accreditation Council for Continuing Medical Education to provide
   continuing medical education for physicians. The Association of Academic
   Physiatrists designates this Journal-based CME activity for a maximum of
   1.0 AMA PRA Category 1 Credit(s). Physicians should only claim credit
   commensurate with the extent of their participation in the activity.
OI IM, Sang Hee/0000-0001-5128-5526
Z8 3
ZA 0
ZR 0
ZS 0
TC 24
ZB 6
Z9 27
U1 9
U2 46
SN 0894-9115
EI 1537-7385
UT WOS:000439522700005
PM 29533252
ER

PT J
AU Bannatyne, Amy
   Stapleton, Peta
TI Eating Disorder Patient Experiences of Volitional Stigma Within the
   Healthcare System and Views on Biogenetic Framing: A Qualitative
   Perspective
SO AUSTRALIAN PSYCHOLOGIST
VL 53
IS 4
BP 325
EP 338
DI 10.1111/ap.12171
PD AUG 2018
PY 2018
AB ObjectiveResearch has consistently indicated that fear of stigma is a
   pertinent factor when understanding the poor prevalence of treatment
   seeking among individuals with mental illness, particularly eating
   disorders (EDs). The purpose of this study was to investigate the
   treatment experiences of ED sufferers within an Australian context, in
   addition to exploring patient views on framing EDs as biogenetic
   conditions, given the increased understanding and presentation of EDs as
   biologically based conditions.
   MethodsSemi-structured online data collection was conducted with 35
   Australian women with a history of an ED (54.3% in treatment, 45.7% in
   recovery or recovered). The data were evaluated using a three-phased
   coding system, allowing findings to emerge from significant themes
   inherent within the raw data (thematic analysis).
   ResultsTreatment was perceived as traumatic, punitive, blaming, lacking
   in understanding/education, and overemphasised the physical dimensions
   of the illness. The experience of volitional stigma in the healthcare
   system was frequent and expected, and for many sufferers had adverse
   effects. Biogenetic framing was perceived to be more likely to reduce
   (rather than exacerbate) stigma, particularly perceptions of volition
   and personal responsibility. Although reductions in blame and
   responsibility were welcomed, there was concern that biogenetic
   explanations could negatively impact recovery by endorsing genetic
   fatalism and encouraging self-fulfilling prophecies via genetic
   essentialism.
   ConclusionsOverall, findings highlight that attention to volitional
   stigma within the health system is required (particularly education) and
   that aetiological framing (with caution and sensitivity) is perceived to
   be a feasible stigma reduction method by ED sufferers.
OI Bannatyne, Amy/0000-0002-4573-6199; Stapleton, Peta/0000-0001-9916-7481
TC 3
ZS 0
Z8 0
ZB 1
ZA 0
ZR 0
Z9 3
U1 0
U2 7
SN 0005-0067
EI 1742-9544
UT WOS:000437729100005
ER

PT J
AU Gero, Daniel
   Hulesch, Bors
   Bueter, Marco
TI Mindset and Communication Barriers in the Diffusion of Bariatric Surgery
SO CURRENT ATHEROSCLEROSIS REPORTS
VL 20
IS 8
AR 38
DI 10.1007/s11883-018-0738-6
PD AUG 2018
PY 2018
AB Cumulating evidence is available to demonstrate the efficacy of
   bariatric surgery (BS) in achieving weight loss and optimizing
   comorbidities. However, currently, only a minority of eligible patients
   approaches bariatric centers. The underuse of BS can no longer be
   explained by the lack of evidence supporting its beneficial outcomes
   along with its favorable safety-profile, rather, by the supporting
   infrastructure, insurance coverage, and mindset of society, including
   potential patients and allied healthcare professionals. As a framework
   to approach mindset barriers in the diffusion of BS, we used the Rogers'
   levels of the innovation adoption process: (1) knowledge, (2)
   persuasion, (3) decision, (4) implementation, and (5) confirmation.
   Knowledge: people tend to believe that obesity is a result of lack of
   willpower and they have difficulties in differentiating BS from cosmetic
   surgery. Eligible patients often do not assess themselves as being
   morbidly obese and are unaware that they would qualify for BS.
   Persuasion: majority of BS candidates search health information online,
   with the aim of getting information about surgical techniques and other
   patients' experiences. Decision: metabolically more compromised patients
   are more likely to opt for BS. Implementation: general practitioners who
   already referred patients for BS seem to be more confident to refer
   again, to tackle obesity and manage postoperative follow-up.
   Confirmation: postbariatric patients seem to be more self-confident and
   more productive at work; however, their stigmatization might prevail
   related to the way they have achieved weight loss.
   Dissemination of balanced and corroborative information seems to be the
   main instrument to combat mindset barriers. The integration of general
   practitioners under the umbrella of bariatric centers has a great
   potential to increase referrals. Social media may represent a helpful
   tool to be used by medical professionals and patient-role models to
   improve confident decision-making of bariatric candidates.
RI Gero, Daniel/K-3949-2019
OI Gero, Daniel/0000-0003-2941-9801
ZS 0
TC 8
Z8 0
ZA 0
ZB 0
ZR 0
Z9 8
U1 0
U2 18
SN 1523-3804
EI 1534-6242
UT WOS:000433022000002
PM 29785493
ER

PT J
AU Azer, Samy A.
   Alghofaili, Maha M.
   Alsultan, Rana M.
   Alrumaih, Najla S.
TI Accuracy and Readability of Websites on Kidney and Bladder Cancers
SO JOURNAL OF CANCER EDUCATION
VL 33
IS 4
BP 926
EP 944
DI 10.1007/s13187-017-1181-z
PD AUG 2018
PY 2018
AB The aim of this study was to assess the scientific accuracy and the
   readability level of websites on kidney and bladder cancers. The search
   engines Google (TM), Yahoo (TM) and Bing (TM) were searched
   independently by assessors in November 2014 using the following
   keywords: "bladder cancer", "kidney cancer", "patient bladder cancer",
   "patient kidney cancer" and "bladder and kidney cancer". Only
   English-language websites were selected on the bases of predetermined
   inclusion and exclusion criteria. Assessors independently reviewed the
   findings and evaluated the accuracy and quality of each website by using
   the DISCERN and the LIDA instruments. The readability of the websites
   was calculated using the Flesch-Kincaid Grade Level Index and the
   Coleman-Liau Readability Index. Sixty-two websites were finally included
   in the study. The overall accuracy scores varied; for the DISCERN, the
   range was 28 to 76; out of 80 (mean +/- SD, 47.1 +/- 12.1; median =
   46.0, interquartile range (IQR) = 19.2), and for the LIDA, the range was
   52 to 125; out of 144 (mean +/- SD, 101.9 +/- 15.2; median, 103; IQR,
   16.5). The creators of these websites were universities and research
   centres (n = 25, 40%), foundations and associations (n = 10, 16%),
   commercial and pharmaceutical companies (n = 13, 21%), charities and
   volunteer work (n = 4, 6%) and non-university educational bodies (n =
   10, 16%). The readability scores (mean +/- SD) were 11.2 +/- 2.2 for the
   Flesch-Kincaid Grade Level Index and 11.2 +/- 1.6 for the Coleman-Liau
   Readability Index. The accuracy and the quality of the websites on
   kidney and bladder cancers varied. In most websites, there were
   deficiencies in clarity of aims, presenting symptoms, investigations and
   treatment options. The readability matched grades 10-11 literacy
   levels-a level above the public readability level. The study highlights
   the needs for further improvement of the online information created for
   public and patients with kidney and bladder cancers.
RI Azer, Samy A./C-8485-2009
OI Azer, Samy A./0000-0001-5638-3256
ZR 0
TC 9
ZA 0
ZB 1
Z8 0
ZS 0
Z9 9
U1 0
U2 7
SN 0885-8195
EI 1543-0154
UT WOS:000439815000028
ER

PT J
AU Ramkumar, Prem N.
   Navarro, Sergio M.
   Chughtai, Morad
   Haeberle, Heather S.
   Taylor, Samuel A.
   Mont, Michael A.
TI The Orthopaedic Surgery Residency Application Process: An Analysis of
   the Applicant Experience
SO JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
VL 26
IS 15
BP 537
EP 544
DI 10.5435/JAAOS-D-16-00835
PD AUG 1 2018
PY 2018
AB Introduction: Orthopaedic surgery residency positions are highly sought
   after. The purpose of this survey study was to report the following
   components of the applicant experience: (1) the number of programs to
   which applicants applied and interviewed, (2) the performance criteria
   associated with receiving interviews, (3) the way applicants respond to
   e-mail interview offers, (4) the pre-and post-interview communication
   between applicants and programs. (5) the importance of interview day
   activities and the determinants of the applicant rank order list (ROL),
   and (6) the financial cost of the application process.
   Methods: An online survey was administered and entirely completed by a
   representative sample of 100 orthopaedic surgery residency applicants
   for the 2015 to 2016 cycle during the 3-week period between the last
   interview of the application season and the deadline for ROL
   certification. The survey included 45 questions: 7 for background, 7 for
   competitiveness, 15 for the interaction between applicants and programs,
   15 for the importance of interview day experience and the determinants
   of the applicant ROL. and 1 for the cost of attending each interview.
   Results: Students applied to 83 +/- 27 programs, received 17 +/- 10
   interviews, and attended 12 +/- 5 interviews. Interview offers
   correlated with, in descending order, Alpha Omega Alpha status, Step 2
   Clinical Knowledge, and Step 1. The mean time to reply of interview
   offer was 17 minutes, yet 25% of the applicants lost at least one
   interview despite having at least one other person monitor the
   applicant's e-mail account. Applicants and programs frequently contacted
   each other to express interest. Although evaluating current residents
   was the most valuable aspect of interview day to applicants, the
   strongest determinants for applicants' ROLs were location and surgical
   experience, with research the least important factor. The cost of
   interview season was >$7.000 per applicant. excluding away externships.
   Conclusion: Applying to orthopaedic surgery residency is a complex,
   competitive, and costly experience for applicants. The application
   process may benefit from better expectation management of applicant
   candidacy and a more prohibitive communication policy between applicants
   and programs after the interview day.
RI Navarro, Sergio M/B-4287-2019; Navarro, Sergio M/K-8923-2019; Haeberle, Heather/
OI Navarro, Sergio M/0000-0003-3455-1567; Navarro, Sergio
   M/0000-0003-3455-1567; Haeberle, Heather/0000-0001-8341-8389
ZS 0
ZB 1
TC 26
ZA 0
ZR 0
Z8 0
Z9 26
U1 0
U2 1
SN 1067-151X
EI 1940-5480
UT WOS:000441274600007
PM 29870416
ER

PT J
AU Hart, Jo
   Furber, Christine
   Chisholm, Anna
   Aspinall, Samantha
   Lucas, Charlotte
   Runswick, Emma
   Mann, Karen
   Peters, Sarah
TI A mixed methods investigation of an online intervention to facilitate
   student midwives' engagement in effective conversations about
   weight-related behaviour change with pregnant women
SO MIDWIFERY
VL 63
BP 52
EP 59
DI 10.1016/j.midw.2018.05.001
PD AUG 2018
PY 2018
AB Objective: (1) To identify whether an online training intervention could
   increase midwifery students' knowledge of behaviour change techniques
   (BCTs) and intentions to use them in practice. (2) To identify students'
   views and current experiences of talking to women about weight-related
   behaviour change.
   Design: Mixed methods study involving pre- and post-training
   assessments, and qualitative interviews with midwifery students.
   Setting: Online training course delivered at a University in the North
   of England, UK.
   Participants: Midwifery students in the third year of their
   undergraduate degree during 2015-2016.
   Intervention: Online training focused on equipping students with
   knowledge of theoretically-informed BCTs, and the skills to use them
   opportunistically in existing practice settings.
   Measurements: Likelihood of discussing obesity with women was assessed
   via a 12-item, 7-point Likert scale assessing students' attitudes,
   subjective norms, perceived behavioural control, and intentions. A
   14-item checklist was used to assess BCT knowledge whereby students
   selected recognised BCTs (of 7 correct, 7 false). Students' views and
   experiences of current practice was explored through in-depth,
   semi-structured one-on-one interviews with a member of the research
   team.
   Findings: Students' subjective norms, perceived behavioural control, and
   knowledge of BCTs increased post-training but intention and attitudes
   did not. Interviews revealed three themes accounting for students
   experiences and views of behaviour change practice: (1) 'How training
   fits with current encounters with maternal obesity in midwifery
   training' (2) 'TEnT PEGS prepares students for practice', and (3) 'Value
   of tailored training'.
   Key conclusions: Online BCT training can improve the midwifery students'
   confidence, knowledge and beliefs that this is part of their role. They
   also reported finding the training helpful in better preparing them for
   this challenging element of their routine practice.
   Implications for practice: Online BCT training can be used to prepare
   undergraduate midwifery students for practice.
RI Hart, Jo/; Furber, Christine/E-5066-2011
OI Hart, Jo/0000-0001-9985-5137; Furber, Christine/0000-0002-5868-7525
Z8 0
TC 7
ZS 1
ZR 0
ZA 0
ZB 2
Z9 8
U1 0
U2 3
SN 0266-6138
EI 1532-3099
UT WOS:000436780500010
PM 29803013
ER

PT J
AU Shen, Chen
   Wang, Man Ping
   Wan, Alice
   Viswanath, Kasisomayajula
   Chan, Sophia Siu Chee
   Lam, Tai Hing
TI Health information exposure from information and communication
   technologies and its associations with health behaviors:
   Population-based survey
SO PREVENTIVE MEDICINE
VL 113
BP 140
EP 146
DI 10.1016/j.ypmed.2018.05.018
PD AUG 2018
PY 2018
AB Health information and communication technologies (ICTs) are
   increasingly used but little is known about routine exposure to health
   information from ICTs and its associations with health behaviors. A
   territory-wide population-based dual landline and mobile telephone
   survey was conducted in 2016 in Hong Kong, where smartphone ownership
   and Internet access are among the most prevalent, easiest and fastest in
   the world. Health information exposure from traditional sources
   (television/radio/newspaper/magazine), Internet websites, social media
   sites and instant messaging (IM); and information on smoking, alcohol
   consumption and physical activity were recorded. Prevalence was weighted
   by age, sex and education level of the general population. Multinomial
   logistic regression was used to assess the association of health
   information exposure with smoking and alcohol consumption, whilst
   multivariable linear regression was used to assess the association with
   frequency of moderate and vigorous physical activity (days/week). Of
   3063 respondents, most (71.6%) were often or sometimes exposed to health
   information from traditional sources, followed by Internet websites
   (40.9%), social media sites (40.7%), and IM (27.0%). Respondents with
   lower education and household income were less frequently exposed to
   health information from Internet websites, social media sites and IM
   (all P < 0.001). Health information exposure from IM was associated with
   being never smokers, and more frequent moderate and vigorous physical
   activity (all P for trend< 0.05). Health information exposure from IM
   was least frequent but associated with healthier behaviors. Further
   public health education campaigns can consider using IM to deliver
   information, particularly to disadvantaged groups.
RI Lam, Tai Hing/C-4317-2009; Wang, Man Ping/
OI Lam, Tai Hing/0000-0002-2033-9971; Wang, Man Ping/0000-0003-4000-2388
TC 23
ZB 3
Z8 0
ZS 0
ZA 0
ZR 0
Z9 23
U1 3
U2 49
SN 0091-7435
EI 1096-0260
UT WOS:000434298800021
PM 29787775
ER

PT J
AU O'Brien, Barbara M.
   Dugoff, Lorraine
TI What education, background, and credentials are required to provide
   genetic counseling?
SO SEMINARS IN PERINATOLOGY
VL 42
IS 5
BP 290
EP 295
DI 10.1053/j.semperi.2018.07.006
PD AUG 2018
PY 2018
AB Technological advances in genetics have resulted in an increase in the
   number and complexity of screening and diagnostic tests in the prenatal
   clinical arena. It is critical that patients are provided with
   appropriate counseling to enable them to make educated decisions. During
   this workshop session participants discussed the education, background
   and credentials required to provide counseling regarding prenatal
   genetic testing options. The participants agreed that prenatal care
   providers may have limited time and training to adequately address
   prenatal genetic testing. Telemedicine and online education may help to
   address this challenge. Workshop participants agreed that educational
   and certifying organizations should work together to develop standards
   for the certification and maintenance of certification processes. (C)
   2018 Elsevier Inc. All rights reserved.
TC 1
ZB 0
ZA 0
ZS 0
Z8 0
ZR 0
Z9 1
U1 2
U2 5
SN 0146-0005
EI 1558-075X
UT WOS:000449244700006
PM 30104009
ER

PT J
AU Hearn, Jasmine Heath
   Finlay, Katherine Anne
TI Internet-delivered mindfulness for people with depression and chronic
   pain following spinal cord injury: a randomized, controlled feasibility
   trial
SO SPINAL CORD
VL 56
IS 8
BP 750
EP 761
DI 10.1038/s41393-018-0090-2
PD AUG 2018
PY 2018
AB Study design Between-subjects, randomized controlled feasibility study.
   Objectives Populations with reduced sensory and motor function are at
   increased risk of depression, anxiety and pain, and may be less
   geographically mobile. This study explored the efficacy and feasibility
   of web-based mindfulness training for people with spinal cord injury
   (SCI).
   Setting UK community sample.
   Methods Participants were randomly allocated to an 8-week online
   mindfulness intervention (N= 36), or to internet-delivered
   psychoeducation (N= 31). Depression symptom severity was the primary
   outcome. Secondary outcomes included anxiety, quality of life (QoL),
   pain perception, pain catastrophizing and mindfulness. Measures were
   taken before (T1), at completion of, (T2), and 3 months following the
   intervention (T3).
   Results At T2, ten participants discontinued mindfulness training, and
   five discontinued psychoeducation. Dropouts were of significantly older
   age. Nine participants were lost to follow-up. Mindfulness reduced
   depression significantly more than psychoeducation at T2 (mean
   difference = -1.50, 95% CI [-2.43, -0.58]) and T3 (mean difference =
   -2.34, 95% CI [-3.62, -1.10]). Anxiety, pain unpleasantness and
   catastrophizing were significantly reduced compared with
   psychoeducation. Total mindfulness scores, and all facets of mindfulness
   except observing were significantly higher following mindfulness
   training. At follow-up, reductions in anxiety and catastrophizing
   persisted.
   Conclusions Internet-delivered mindfulness training offers unique
   benefits and is viable for people with reduced sensory awareness. Future
   work should explore the feasibility of combined education and
   mindfulness training. The use of brief interventions shows promise in
   maximizing participant retention.
RI Finlay, Katherine/AGY-7582-2022; Finlay, Katherine/AAI-7324-2020; Hearn, Jasmine/J-5754-2019
OI Finlay, Katherine/0000-0002-8997-2652; Finlay,
   Katherine/0000-0002-8997-2652; Hearn, Jasmine/0000-0001-5988-5278
Z8 2
TC 26
ZS 0
ZA 0
ZR 0
ZB 1
Z9 27
U1 2
U2 24
SN 1362-4393
EI 1476-5624
UT WOS:000441156700005
PM 29581519
ER

PT J
AU Eichhorn, Philip
   Andraschke, Udo
   Dross, Fritz
   Geppert, Carol, I
   Hartmann, Arndt
   Rau, Tilman T.
TI Restoration of an academic historical gross pathology
   collection-refreshed impact on current medical teaching?
SO VIRCHOWS ARCHIV
VL 473
IS 2
BP 219
EP 228
DI 10.1007/s00428-018-2369-2
PD AUG 2018
PY 2018
AB The declaration of Leiden pronounces the demand to conserve
   pathological-anatomical collections as cultural heritage. Likewise, the
   Institute of Pathology of the Friedrich-Alexander-University
   Erlangen-Nuremberg owns macroscopic pathological-anatomical specimens
   reaching back over 150 years. The purpose of this work is to examine the
   impact. meaning, and perception of such historical preparations during
   the current medical curriculum. Additionally, the experiences from the
   renovation process can be used as a template for other institutes. All
   preparations were documented, photographed, and catalogued in an
   electronic database. During a restoration period, a series of
   didactically suitable specimens were professionally restored. Hereby,
   the help of a special course of interested students was admitted. In a
   second step, the specimens were integrated into the regular teaching of
   students in macroscopic pathology. An evaluation was carried out on two
   student cohorts with and without historical specimens by means of a
   questionnaire with 23 items and two free text fields. In total, 1261
   specimens were registered covering diseases from almost the complete
   human body with a strong representation of the cardiovascular, urinary,
   gastrointestinal, and central nervous systems. Hereby, exceptional rare
   and untreated cases with medical relevance could be found and stepwise
   implemented into the curriculum. The student evaluation positively
   addressed that the courses became livelier and interactive. Furthermore,
   a more comprehensive overview and a better understanding of the
   macroscopic pathology were appreciated. However, more self-study time
   with the specimen was demanded. The authenticity of historical specimens
   contrasts with the tendency to carry out virtual "online" didactic
   methods. The stereoscopic view on often untreated and, therefore,
   unbiased cases enhances a skill-oriented deeper understanding of
   diseases. In conclusion, historical specimens regain interest and even
   didactic value, especially in an era of declining autopsy rates.
Z8 0
ZR 0
ZA 0
ZS 0
TC 4
ZB 1
Z9 4
U1 0
U2 4
SN 0945-6317
EI 1432-2307
UT WOS:000440285100010
PM 29748715
ER

PT J
AU Chung, L. M. Y.
   Fong, S. S. M.
   Ma, A. W. W.
   Cheng, S. T.
TI Integration of behavioural feedback in web-based systems nutrition
   learning among university students
SO JOURNAL OF COMPUTER ASSISTED LEARNING
VL 34
IS 4
BP 450
EP 457
DI 10.1111/jcal.12249
PD AUG 2018
PY 2018
AB This study evaluated whether nutrition knowledge and healthy eating
   patterns can be achieved through web-based systems, a secondary analysis
   of learning activities and assessment records. Students used online
   dietary recording systems to capture food intake data for 2weeks. The
   first cohort used a food photo-upload method and the second cohort used
   a food text-searching (TS) method. We compared nutrient intake profiles,
   nutrition knowledge, and reflective journals of the 2 groups.
   Interaction effects were tested by 1-way multivariate ANOVA on outcomes
   between groups (p<.05). More reflective and action statements in
   reflective journals were observed in the TS group. The photo-upload
   group exhibited significant improvement in saturated fat, sodium,
   cholesterol, and fat consumption (p<.001), as compared with TS group.
   Web-based dietary systems can be adopted in nutrition education to
   effectively enhance students' nutrition knowledge and help them to
   reflect on their dietary patterns.
RI CHUNG, Louisa Ming Yan/AAQ-1556-2020; Fong, Shirley S.M./J-4477-2012; Ma, Ada WW/
OI CHUNG, Louisa Ming Yan/0000-0003-4072-951X; Fong, Shirley
   S.M./0000-0001-6410-7606; Ma, Ada WW/0000-0002-0260-3513
ZR 0
TC 0
Z8 0
ZA 0
ZS 0
ZB 0
Z9 0
U1 0
U2 11
SN 0266-4909
EI 1365-2729
UT WOS:000439797800013
ER

PT J
AU Zhogoleva, O.
   Roomet, J.
   Munblit, D.
TI Russian mothers of allergic children: Worries and beliefs
SO ALLERGY
VL 73
SI SI
MA 0708
BP 402
EP 402
SU 105
PD AUG 2018
PY 2018
CT Congress of the European-Academy-of-Allergy-and-Clinical-Immunology
   (EAACI)
CY MAY 26-30, 2018
CL Munich, GERMANY
SP European Acad Allergy & Clin Immunol
RI Munblit, Daniel/H-7336-2019
OI Munblit, Daniel/0000-0001-9652-6856
TC 0
ZR 0
ZA 0
Z8 0
ZB 0
ZS 0
Z9 0
U1 0
U2 0
SN 0105-4538
EI 1398-9995
UT WOS:000441690402129
ER

PT J
AU Madrazo, J. A.
   Alrefaee, F.
   Bachina, P.
   De Leon, J. C.
   Geng, L.
   Gong, S.
   Jarvi, A.
   Heine, R. G.
   Ngamphaiboon, J.
   Ong, C.
   Rogacion, J. M.
TI International survey identifies educational needs around the management
   of infants with cow's milk allergy and lactose intolerance
SO ALLERGY
VL 73
SI SI
MA 0769
BP 430
EP 430
SU 105
PD AUG 2018
PY 2018
CT Congress of the European-Academy-of-Allergy-and-Clinical-Immunology
   (EAACI)
CY MAY 26-30, 2018
CL Munich, GERMANY
SP European Acad Allergy & Clin Immunol
ZR 0
TC 0
Z8 0
ZA 0
ZS 0
ZB 0
Z9 0
U1 0
U2 5
SN 0105-4538
EI 1398-9995
UT WOS:000441690402188
ER

PT J
AU Hommes, Franziska
   Drees, Simon
   Geffert, Karin
   von Philipsborn, Peter
   Stratil, Jan M.
TI Representation of social determinants of health in German medical
   education: protocol of a content analysis study
SO BMJ OPEN
VL 8
IS 8
AR e020696
DI 10.1136/bmjopen-2017-020696
PD AUG 2018
PY 2018
AB Introduction Action on the social determinants of health has been key
   for improving health and prolonging life in the past, and remains so
   today. Against this background, WHO's Commission on Social Determinants
   of Health has called for increased efforts to create health workforces
   trained in recognising, understanding and acting on the social
   determinants of health. However, little is known about the extent to
   which current medical education systems prepare graduates for this
   challenge. We, therefore, aim to analyse the extent to which the medical
   curriculum in Germany incorporates content on the social determinants of
   health.
   Methods and analysis We will conduct a qualitative and quantitative
   content analysis of four key document groups which influence medical
   education in Germany: the national medical catalogue of learning
   objectives; examination content outlines provided by the German
   Institute for Medical and Pharmaceutical Examination Questions; the
   online textbook most widely used for final examination preparation and
   the full set of questions from two national medical licensing
   examinations. We will analyse these documents based on a coding system,
   which we derived deductively from the report of WHO's Commission on
   Social Determinants of Health as well as other key publications of WHO.
   We will report quantitative indicators, such as the percentage of text
   related to social determinants of health for each document type.
   Moreover, we will conduct a semiqualitative analysis of relevant
   content.
   Ethics and dissemination This study is based on the analysis of existing
   documents which do not contain personal or otherwise sensitive
   information. Results from the study will be published in a scientific
   peer-reviewed journal.
RI Stratil, Jan/GLS-0318-2022; von Philipsborn, Peter/AAK-5819-2020; Drees, Simon/; Hommes, Franziska/
OI von Philipsborn, Peter/0000-0001-7059-6944; Drees,
   Simon/0000-0003-2693-8796; Hommes, Franziska/0000-0002-2600-9367
ZS 0
ZB 0
ZA 0
TC 3
ZR 0
Z8 0
Z9 3
U1 2
U2 4
SN 2044-6055
UT WOS:000446470200045
PM 30121594
ER

PT J
AU Kallestad, Havard
   Vedaa, Oystein
   Scott, Jan
   Morken, Gunnar
   Pallesen, Stale
   Harvey, Allison G.
   Gehrman, Phil
   Thorndike, Frances
   Ritterband, Lee
   Stiles, Tore Charles
   Sivertsen, Borge
TI Overcoming insomnia: protocol for a large-scale randomised controlled
   trial of online cognitive behaviour therapy for insomnia compared with
   online patient education about sleep
SO BMJ OPEN
VL 8
IS 8
AR e025152
DI 10.1136/bmjopen-2018-025152
PD AUG 2018
PY 2018
AB Introduction Insomnia is a major public health concern. While cognitive
   behaviour therapy for insomnia (CBT-I) is acknowledged as the best
   available intervention, there are unanswered questions about its wider
   dissemination, socioeconomic benefits and its impact on health resource
   utilisation. The aim of this randomised controlled trial (RCT) is to
   investigate the effectiveness of a fully automated online version of
   CBT-I compared with online patient education about sleep (PE). Outcome
   measures comprise changes in symptoms of insomnia, time off work due to
   sick leave as well as medication and health resource utilisation. Also,
   we will examine (i) putative mediators of the effects of CBT-I on
   insomnia severity and (ii) selected potential psycho-bio-social
   moderators of the effects of the interventions.
   Methods and analysis A parallel-group RCT will be conducted in a target
   sample of about 1500 adults recruited across Norway. Participants will
   complete an online screening and consent process. Those who meet
   eligibility criteria will be randomised to receive direct access to
   fully automated online CBT-I or to an online PE programme. The primary
   outcome is change in insomnia severity immediately postintervention;
   secondary outcomes are change in daytime functioning and other sleep
   measures postintervention and at 6-month and 24-month follow-up.
   Objective data from national registries will be obtained at two time
   points (1 year and 2years post-treatment), allowing a mirror image study
   of preintervention and postintervention rates of sick leave, and of
   medication and healthcare utilisation by condition.
   Ethics and dissemination The study protocol was approved by the Regional
   Committee for Medical and Health Research Ethics in South East Norway
   (2015/134). Findings from the RCT will be disseminated in peer-reviewed
   publications and conference presentations. Exploratory analyses of
   potential mediators and moderators will be reported separately.
   User-friendly outputs will be disseminated to patient advocacy and other
   relevant organisations.
   Trial registration number NCT02558647; Pre-results.
RI Morken, Gunnar/AAX-3373-2020; Vedaa, Øystein/GQH-4810-2022; Sivertsen, Borge/; Kallestad, Havard/; Stiles, Tore C./; Ritterband, Lee/G-7810-2011
OI Morken, Gunnar/0000-0003-1972-5901; Sivertsen,
   Borge/0000-0003-4654-9296; Kallestad, Havard/0000-0002-9173-942X;
   Stiles, Tore C./0000-0001-5853-6674; Ritterband, Lee/0000-0001-7624-5213
ZR 0
ZA 0
TC 10
ZB 2
Z8 0
ZS 0
Z9 10
U1 0
U2 2
SN 2044-6055
UT WOS:000446470200200
PM 30166311
ER

PT J
AU Martin, Priya
   Kumar, Saravana
   Abernathy, LuJuana
   Browne, Matthew
TI Good, bad or indifferent: a longitudinal multi-methods study comparing
   four modes of training for healthcare professionals in one Australian
   state
SO BMJ OPEN
VL 8
IS 8
AR e021264
DI 10.1136/bmjopen-2017-021264
PD AUG 2018
PY 2018
AB Objectives The aim of the study was to compare the differences in
   learning outcomes for supervision training of healthcare professionals
   across four modes namely face-to-face, videoconference, online and
   blended modes. Furthermore, changes sustained at 3months were examined.
   Design/methods A multimethods quasi-experimental longitudinal design was
   used. Data were collected at three pointsbefore training, immediately
   after training and at 3months post-training. Quantitative and
   qualitative data were collected through anonymous surveys and reflective
   summaries, respectively.
   Results Participants reported an increase in supervision knowledge and
   confidence immediately after training that was sustained at 3months with
   all four modalities of training. Using analysis of variance, we found
   these changes were sustained at 3months postcompletion (confidence
   p<0.01and knowledge p<0.01). However, there was no statistically
   significant difference in outcomes between the four modes of training
   delivery (confidence, p=0.22or knowledge, p=0.39). Reflective summary
   data highlighted the differences in terminology used by participant to
   describe their experiences across the different modes, the key role of
   the facilitator in training delivery and the merits and risks associated
   with online training.
   Conclusions When designed and delivered carefully, training can achieve
   comparable outcomes across all four modes of delivery. Regardless of the
   mode of delivery, the facilitator in training delivery is critical in
   ensuring positive outcomes.
RI Kumar, Saravana/B-8876-2009; Martin, Priya/ABE-2361-2021; Browne, Matthew/
OI Kumar, Saravana/0000-0002-4003-4411; Martin, Priya/0000-0002-2092-6551;
   Browne, Matthew/0000-0002-2668-6229
ZA 0
ZS 0
ZR 0
Z8 0
ZB 1
TC 3
Z9 3
U1 0
U2 5
SN 2044-6055
UT WOS:000446470200077
PM 30082352
ER

PT J
AU Nassri, Lina
   Schneider, Isabell
   Gaum, Petra Maria
   Lang, Jessica
TI A call for Applied Knowledge and Lived Interdisciplinarity in the
   medical care of depressed employees: a cross-sectional survey with
   German occupational physicians and psychotherapists
SO BMJ OPEN
VL 8
IS 8
AR e021786
DI 10.1136/bmjopen-2018-021786
PD AUG 2018
PY 2018
AB Objectives To identify approaches for an effective patient-centred care
   of depressed employees, we investigated occupational physicians' (OPs)
   and psychotherapists' (PTs) knowledge about job stressors on the
   development of depression, application of this knowledge,
   interdisciplinary cooperation and perceived barriers.
   Study design A cross-sectional online survey.
   Participants OPs (163; 48.5% male) and PTs (69; 43.5% male) providing
   complete data on the survey out of 257 OPs and 112 PTs who started the
   survey. There have been 458 (OPs) and 821 (PTs) initial clicks.
   Methods Main outcome measures were the importance ratings of specific
   job stressors, the frequency of asking patients about those stressors,
   the need for interdisciplinary cooperation, as well as perceived
   barriers for cooperation. We performed multivariate analysis of
   variance, intraclass correlation coefficients (ICCs) and Spearman's
   rank-order correlations.
   Results The achieved response rate for OPs was 56.1% and for PTs 13.6%.
   Both disciplines agreed on the importance of job stressors regarding
   depression (ICC=0.90; 95%CI: 0.54 to 0.98), but both ranked these
   factors differently from the current state of research. As to knowledge
   application, OPs showed positive associations between the importance of
   job stressors and the frequency of asking employees about them (eg, job
   insecurity (r(s)=0.20, p=0.005)) and PTs for social stressors (eg,
   interpersonal conflicts (r(s)=0.38, p=0.001)). OPs (mean=3.41) reported
   a higher necessity of interdisciplinary cooperation than PTs (mean=3.17;
   F(1,230)=7.02, p=0.009). Furthermore, cooperation was reported as
   difficult to implement. PTs perceived barriers (eg, time restriction) as
   more hindering (mean=3.2) than OPs (mean=2.8; F(1,171)=8.16, p=0.005).
   Conclusions Both disciplines are aware of the relevance of job stressors
   as risk factors for depression, but should be encouraged to ask
   employees more frequently about them. The need for interdisciplinary
   cooperation and possible barriers are discussed. It is crucial to
   emphasise the meaning of sufficient cooperation, since closing this gap
   for improving patient-centred care especially for employees suffering
   from depression is necessary.
RI Lang, Jessica/I-2388-2014; Gaum, Petra/
OI Lang, Jessica/0000-0001-7802-8546; Gaum, Petra/0000-0001-7210-2194
ZB 0
ZA 0
ZR 0
ZS 0
TC 1
Z8 0
Z9 1
U1 0
U2 2
SN 2044-6055
UT WOS:000446470200109
PM 30104315
ER

PT J
AU Seow, Lee Seng Esmond
   Chua, Boon Yiang
   Mahendran, Rathi
   Verma, Swapna
   Ong, Hui Lin
   Samari, Ellaisha
   Chong, Siow Ann
   Subramaniam, Mythily
TI Psychiatry as a career choice among medical students: a cross-sectional
   study examining school-related and non-school factors
SO BMJ OPEN
VL 8
IS 8
AR e022201
DI 10.1136/bmjopen-2018-022201
PD AUG 2018
PY 2018
AB Objectives Given the low recruitment to psychiatry worldwide, the
   current study aimed to examine how premedical and intramedical school
   factors, perception of career aspects, attitudes towards psychiatry,
   stigma towards mental illness and personality traits may affect the
   likelihood of psychiatry as a career choice.
   Design Cross-sectional online study.
   Participants 502 medical students from two public medical institutions
   in Singapore.
   Methods We critically examined existing literature for factors
   identified to influence psychiatry as a career choice and explored their
   effects in a group of medical students in Singapore. To avoid
   overloading the regression model, this analysis only included variables
   shown to have significant association (p<0.05) with the outcome variable
   from the initial (2) test and independent t-test analyses.
   Results A considerable number of non-medical school factors such as
   preschool influence and interest, personality traits and importance of a
   high status specialty in medicine were found to affect students' choice
   of psychiatry as a career. Among medical school factors, attending a
   psychiatry/mentalhealth club was the only influential factor. Negative
   attitudes towards psychiatry, but not stigma towards people with mental
   illness, significantly predicted the likelihood of not choosing
   psychiatry as a career.
   Conclusions Improving educational environment or teaching practice in
   psychiatric training may aid in future recruitment for psychiatrists.
   While the changing of premedical school influences or personality
   factors may be infeasible, medical schools and psychiatry institutes
   could play a more critical role by enhancing enrichment activities or
   clerkship experience to bring about a more positive attitudinal change
   towards psychiatry among students who did consider a career in
   psychiatry.
ZR 0
ZS 0
TC 10
ZB 1
ZA 0
Z8 0
Z9 10
U1 0
U2 0
SN 2044-6055
UT WOS:000446470200135
PM 30121607
ER

PT J
AU Khazanova, Darya
   Safdieh, Joseph E.
TI Continuing Medical Education in Neurology
SO SEMINARS IN NEUROLOGY
VL 38
IS 4
BP 479
EP 485
DI 10.1055/s-0038-1666978
PD AUG 2018
PY 2018
AB Continuing medical education (CME) is designed to keep physicians
   up-to-date on ever-changing practices and guidelines to provide patients
   with high quality care. CME is especially important in the field of
   neurology due to rapidly evolving knowledge and medical advances, and is
   a required element of maintenance of certification. CME itself has
   evolved from a passive, didactic approach to a learner-centered approach
   which utilizes new technologies, online learning, and simulations. CME
   improves knowledge, skills, and, to a lesser extent, patient outcomes,
   with multimodal, interactive interventions found to be most effective in
   teaching health care professionals. However, little data are available
   on CME in neurology. There is a significant gap in knowledge about CME
   interventions that work for neurologists. Rigorous education research,
   as well as making effective CME interventions more readily available to
   neurologists, is critical to optimize lifelong learning of physicians in
   the field of neurology.
RI Safdieh, Joseph/AAC-1854-2019
OI Safdieh, Joseph/0000-0002-2495-2925
TC 3
Z8 0
ZA 0
ZR 0
ZB 0
ZS 0
Z9 3
U1 0
U2 3
SN 0271-8235
EI 1098-9021
UT WOS:000442303700012
PM 30125903
ER

PT J
AU Mai, Tobias
TI Status and development of the rote as Parkinson Nurse in Germany - an
   online survey
SO PFLEGE
VL 31
IS 4
BP 181
EP 189
DI 10.1024/1012-5302/a000617
PD AUG 2018
PY 2018
AB Background: In Germany there is a course for Parkinson Nurses (PN) since
   2006. Content, structure and organization of their tasks have not yet
   been systematically described for Germany. Aim: How is the typical
   working day of PN organised in Germany? Which tasks do they have? Which
   conditions are promoting or inhibiting for their work? Methods: Among
   the graduates of the course, an online survey was conducted from
   September to November 2016.39 questionnaires were analysed descriptively
   (response rate 34%). Results: 52% of PN work in specialist hospitals and
   26% work in hospitals of maximum medical care. Only 29% work according
   to a concept and only 23% have a job description. 21 % of respondents no
   longer work as PN. Counselling and education, information on medication
   management, educational advertising on Parkinson' disease as well as
   training of other professionals are at the centre of their work. The
   activities usually focus the work in the institution; a trans-sectoral
   support for people with Parkinson's disease is rare. Conclusions: In the
   future, concepts and job descriptions should be stored in the
   institutions. which are oriented towards a cross-institutional
   orientation framework. On the basis of a common understanding of roles
   it is possible to facilitate networking of the PN as welt as the
   co-operation with other specialists.The curriculum at an academic level
   leads to the necessary competencies.
ZR 0
Z8 0
ZA 0
ZS 0
ZB 1
TC 7
Z9 7
U1 0
U2 3
SN 1012-5302
EI 1664-283X
UT WOS:000445104900002
PM 29944066
ER

PT J
AU Warner, Christina
   Carlson, Samantha
   Crichlow, Renee
   Ross, Michael W.
TI Sexual Health Knowledge of US Medical Students: A National Survey
SO JOURNAL OF SEXUAL MEDICINE
VL 15
IS 8
BP 1093
EP 1102
DI 10.1016/j.jsxm.2018.05.019
PD AUG 2018
PY 2018
AB Background: Sexual health is a critical component of overall wellness;
   however, only half of U.S. medical schools currently require formal
   instruction in sexuality.
   Aim: This study sought to quantify the sexual health knowledge of
   undergraduate medical students using a novel survey tool evaluating 6
   domains: sexual function and dysfunction; fertility and reproduction;
   sexuality across the lifespan; sexual minority health; society, culture,
   and behavior; as well as safety and prevention.
   Methods: A novel 32-question survey tool was developed by subject matter
   experts from the University of Minnesota Program in Human Sexuality.
   Survey questions were derived from the 2012 and 2014 Summits on Medical
   School Education in Sexual Health as well as the Sexuality Information
   and Education Council of the United States Guidelines for Kindergarten
   through 12th Grade. The total knowledge score was calculated out of 30
   points (excluding 2 terminology questions that were subjective). Medical
   students at 178 allopathic and osteopathic medical schools in the United
   States were invited to take the online survey.
   Outcomes: Students performed below a passing rate (70%) in 4 of the 6
   knowledge categories and below a passing rate overall in the knowledge
   assessment.
   Results: Survey respondents (n = 1,014) scored an average of 66% correct
   (approximately 20/30). Overall, students scored lowest on questions
   regarding safety and prevention (x = 49%) and highest on questions
   regarding sexuality across the lifespan (x = 75%). Higher knowledge
   scores were associated with the following variables (P < .05): medical
   school year, race/ethnicity, sexual orientation, religious affiliation,
   future medical specialty choice, program type (MD/DO), and taking a
   human sexuality course in medical school.
   Clinical Implications: Medical students may be under-prepared to address
   essential sexual health issues in future clinical practice.
   Strengths & Limitations: To the knowledge of the authors this is the
   only contemporary study seeking to measure U.S. medical student sexual
   health knowledge. Limitations include sample population size and
   diversity as well as a non-validated survey tool.
   Conclusion: Significant advances must be made in undergraduate medical
   education in order to prepare future physicians to address critical
   issues such as sexually transmitted disease, family planning, and health
   disparities. Copyright (C) 2018, International Society for Sexual
   Medicine. Published by Elsevier Inc. All rights reserved.
OI Crichlow, Renee/0000-0002-6284-1679; Ross, Michael/0000-0002-5718-9989
ZR 0
ZS 0
Z8 0
ZA 0
TC 19
ZB 4
Z9 19
U1 2
U2 13
SN 1743-6095
EI 1743-6109
UT WOS:000444630400006
PM 30017717
ER

PT J
AU Syrjala, Karen L.
   Crouch, Marie-Laure
   Leisenring, Wendy M.
   Flowers, Mary E. D.
   Artherholt, Samantha B.
   Fiscalini, Allison Stover
   Romano, Eleni
   Romano, Joan M.
   Martin, Paul J.
   Yi, Jean C.
TI Engagement with INSPIRE, an Online Program for Hematopoietic Cell
   Transplantation Survivors
SO BIOLOGY OF BLOOD AND MARROW TRANSPLANTATION
VL 24
IS 8
BP 1692
EP 1698
DI 10.1016/j.bbmt.2018.05.004
PD AUG 2018
PY 2018
AB In a secondary analysis of a randomized controlled trial (RCT), we
   examined participants' engagement with INSPIRE, a personalized online
   program for hematopoietic cell transplantation (HCT) survivors that
   focuses on cancer-related distress, depression, fatigue, and health care
   needs. We approached all adult, 3- to 18-year HCT survivors treated for
   hematologic malignancy without relapse or second cancer in the previous
   2 years for participation in an RCT with either immediate or delayed
   access to INSPIRE. Participants with immediate access could view the
   online material at any time. Data included page view tracking, medical
   records, and patient-reported outcomes, including the Short Form 36 and
   Cancer and Treatment Distress (CTXD) measures. Of 1322 eligible HCT
   survivors, 771 (58%) completed the baseline assessment, and 451 received
   immediate INSPIRE access and were included in analyses. The cohort was
   56% male, with a mean age of 52 +/- 12.2 years, and 26% received an
   autologous transplant. Most (77%) logged into the INSPIRE site at least
   once, and 48% viewed >= 8 pages. Survivors who viewed >= 2 pages were
   more likely to be age >= 40 years (relative risk [RR], 1.41; 95%
   confidence interval [CI], 1.10 to 1.80), to be female (RR, 1.22; 95% CI,
   1.07 to 1.40), to have chronic graft-versus-host disease (RR, 1.28; 95%
   CI, 1.08 to 1.51), to be less than 10 years post-HCT (RR, 1.19; 95% CI,
   1.01 to 1.39), and to have moderate CTXD distress (RR, 1.34; 95% CI,
   1.14 to 1.57). Engagement did not differ by race, education, income,
   rural/urban residence, computer experience, donor type, or depression
   (all P >= .50). The INSPIRE online program was widely used, including by
   those who often have reduced access to care after treatment. (C) 2018
   American Society for Blood and Marrow Transplantation.
OI Syrjala, Karen/0000-0001-8378-2797; Leisenring,
   Wendy/0000-0001-7405-0906
Z8 0
ZR 0
ZB 0
ZA 0
TC 9
ZS 0
Z9 9
U1 0
U2 5
SN 1083-8791
EI 1523-6536
UT WOS:000443668100023
PM 29753161
ER

PT J
AU Taylor, Jean O.
   Hartzler, Andrea L.
   Osterhage, Katie P.
   Demiris, George
   Turner, Anne M.
TI Monitoring for change: the role of family and friends in helping older
   adults manage personal health information
SO JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
VL 25
IS 8
BP 989
EP 999
DI 10.1093/jamia/ocy037
PD AUG 2018
PY 2018
AB Objective: Although family and friends (FF) often play a significant
   support role in the health of older adults (OA), we know little about
   their role in personal health information management (PHIM). To address
   this gap and inform the design of PHIM tools, we describe the work,
   needs, and barriers of FF in the context of PHIM for OAs.
   Methods: We conducted semi-structured telephone interviews with 52 FF
   identified by OA as being important in their health and PHIM. We
   analyzed interview transcripts for themes about FF information work,
   barriers, and support needs.
   Results: FF play a supportive role in OA health maintenance, medical
   encounters, decision making, and daily activities. Monitoring, the
   ongoing process of seeking information related to the OA status, emerged
   as a key activity comprised of 3 phases: detection, interpretation, and
   action. Barriers to monitoring included OA choices and constraints, FF
   constraints, and difficulty with technological tools, resources, health
   information exchange between providers, social network dynamics, and
   physical distance.
   Conclusions: FF frequently monitor for change in OA well-being, seeking
   up-to-date information to facilitate support of OA PHIM. Health
   information technology tools designed for FF can support all phases of
   monitoring by providing: (1) timely and granular levels of access to OA
   health information as the OA ages; (2) tailored health education for FF
   that is based on OA clinical data; and (3) networking platforms that
   integrate delegation, volunteering, and relevant resources, along with
   tools to facilitate support of OA appointment calendars and medication
   management. Such tools could reduce the burden of PHIM for OA and their
   loved ones.
RI Ajmi, Ghalia Al/AAB-6467-2019; Demiris, George/; Taylor, Jean/; HARTZLER, ANDREA/
OI Demiris, George/0000-0002-6318-5829; Taylor, Jean/0000-0002-7397-7985;
   HARTZLER, ANDREA/0000-0003-4932-7314
TC 9
Z8 0
ZR 0
ZS 0
ZB 1
ZA 0
Z9 9
U1 1
U2 14
SN 1067-5027
EI 1527-974X
UT WOS:000440955200009
PM 29726993
ER

PT J
AU Pejrona, Matteo
   Ristori, Gabriele
   Villafane, Jorge Hugo
   Pregliasco, Fabrizio Ernesto
   Berjano, Pedro
TI Does specialty matter? A survey on 176 Italian neurosurgeons and
   orthopedic spine surgeons confirms similar competency for common spinal
   conditions and supports multidisciplinary teams in comprehensive and
   complex spinal care
SO SPINE JOURNAL
VL 18
IS 8
BP 1498
EP 1503
DI 10.1016/j.spinee.2017.10.004
PD AUG 2018
PY 2018
AB BACKGROUND CONTEXT: Spine surgery is a multifaceted subspeciality
   requiring a breadth of knowledge and skill from different branches of
   medicine for the treatment of pathologies varying from degenerative to
   deformity. ontological, and trauma.
   PURPOSE: The aim of the study was to investigate the self-perceived
   competency of spine surgeons in relation to different types of spinal
   procedures.
   STUDY DESIGN/SETTING: This is a survey study.
   METHODS: We conducted a survey on 176 surgeons (orthopedic surgeons and
   neurosurgeons). The instrument used for the assessment of the perceived
   ability was a survey consisting of 21 items (scenarios) developed and
   distributed through a professional online survey service to ensure
   confidentiality and anonymity. A newly proposed procedure-specific
   rating survey was used for the evaluation. Kruskal-Wallis non-parametric
   test was used to assess validity. A p-value of <.05 was considered
   statistically significant. A Cronbach a value of >0.8 indicated
   reliability.
   RESULTS: Between the respondents (101), 47.5% were orthopedic surgeons
   and 52.5% were neurosurgeons. The internal consistency of the
   questionnaire was satisfactory (Cronbach alpha=0.93). For common spinal
   conditions, the orthopedic surgeons and the neurosurgeons perceived a
   similar competency. The neurosurgeons felt more competent in some
   cervical conditions (upper cervical procedures, myelopathy) and in
   neurologic tumors of the spine. The orthopedic surgeons felt more
   competent in deformities of the spine and in pelvic trauma.
   CONCLUSIONS: Self-perceived surgical competency for common spinal
   conditions is similar for orthopedic and neurosurgically trained spine
   surgeons. For less common conditions and clinical scenarios, the
   combination of both specialties seems to cover better the full spectrum
   of surgical care for spinal conditions. Multidisciplinary teams and
   comprehensive, multidisciplinary spinal surgical training should be
   considered to provide full coverage of spinal pathology. (C) 2017
   Elsevier Inc. All rights reserved.
RI Pejrona, Matteo/ABC-4858-2020; Pregliasco, Fabrizio Ernesto/D-1642-2012; pregliasco, fabrizio/AAD-7499-2022; Berjano, Pedro/C-1053-2017; Villafane, Jorge Hugo/K-6858-2015; Ristori, Gabriele/
OI Pejrona, Matteo/0000-0002-1848-0140; Pregliasco, Fabrizio
   Ernesto/0000-0002-3919-0679; Berjano, Pedro/0000-0002-1891-3719;
   Villafane, Jorge Hugo/0000-0002-3239-7626; Ristori,
   Gabriele/0000-0002-4305-7096
ZR 0
TC 7
ZB 0
Z8 0
ZA 0
ZS 0
Z9 7
U1 0
U2 0
SN 1529-9430
EI 1878-1632
UT WOS:000443585000026
PM 29031873
ER

PT J
AU Dhillon, Vaninder K.
   Al Khadem, Mai G.
   Tufano, Ralph P.
   Russell, Jonathon O.
TI Online and call center referral for endocrine surgical pathology within
   institutions
SO LARYNGOSCOPE
VL 128
IS 8
BP 1977
EP 1981
DI 10.1002/lary.26942
PD AUG 2018
PY 2018
AB Objectives/Hypothesis: We hypothesized that self-referred patients to
   academic centers will be equally distributed between general surgery and
   otolaryngology departments that perform thyroid surgery. We sought to
   quantify disparities in the assignment of these self-referred patients
   who may reach an institution through call centers or online pathways.
   Study design: Cross-sectional survey.
   Methods: Key words "thyroid surgery" and "thyroid cancer" were used
   along with the name of the Accreditation Council for Graduate Medical
   Education-listed otolaryngology program in both Google and Bing search
   engines. The top three search results for departments were reviewed, and
   a tally was given to general surgery (GS), otolaryngology-head and neck
   surgery (OLHNS), or neither. A multidisciplinary center with both GS and
   OLHNS was recorded as "equitable." Telephone calls were tallied if they
   were directed to GS or OLHNS.
   Results: Out of 400 program tallies, 117 (29.25%) patients were directed
   to GS and 50 (12.5%) were directed to OLHNS. An additional 181 (45.25%)
   were directed to neither group ("neither") (P<.05). Fifty-two (13%) of
   the patients were referred to multidisciplinary groups ("equitable"). A
   telephone call survey had 62 patients (62%) assigned to a general
   surgeon, as opposed to 38 (38%) for OLHNS (P<.05). Five institutions
   offered a multidisciplinary group when searching with Bing, and 11 were
   found by searching with Google.
   Conclusions: There is not an equal distribution of self-referred
   patients with thyroid surgical pathology. It may be important to
   increase the online presence of OLHNS surgeons who perform thyroid
   surgery at academic medical institutions. Multidisciplinary centers
   focused on thyroid and parathyroid surgical disease represents one model
   of assigning self-referred patients.
OI Russell, Jonathon O./0000-0003-2903-9649
TC 0
Z8 0
ZS 0
ZB 0
ZA 0
ZR 0
Z9 0
U1 0
U2 0
SN 0023-852X
EI 1531-4995
UT WOS:000443233500046
PM 28988447
ER

PT J
AU Howlett, Owen
   McKinstry, Carol
   Lannin, Natasha A.
TI Using functional electrical stimulation with stroke survivors: A survey
   of Victorian occupational therapists and physiotherapists
SO AUSTRALIAN OCCUPATIONAL THERAPY JOURNAL
VL 65
IS 4
BP 306
EP 313
DI 10.1111/1440-1630.12482
PD AUG 2018
PY 2018
AB Background/aim: Functional electrical stimulation (FES) improves active
   movement of the hemiplegic upper and lower limbs following stroke. The
   use of FES by Australian allied health clinicians in stroke
   rehabilitation is, however, unknown. The purpose of this study was to
   understand the use of FES in clinical practice. Reasons for the use of
   FES and potential variables that influence decision-making were also
   investigated.
   Methods: Cross-sectional study of Victorian allied health clinicians,
   using a snowball recruitment method. Ninety-seven eligible therapists
   completed the anonymous online survey. Data were analysed using
   frequency distributions.
   Results: The majority of respondents were occupational therapists (n =
   60; 62%). Approximately half of the respondents (n = 50; 52%) reported
   using FES in the past two years to improve a stroke survivor's ability
   to use their arm in daily activities. Respondents suggested that
   receiving workplace training from colleagues to learn how to use FES is
   the preferred method of education. Of those who received education (n =
   80), 50 participants reported using FES in their practice.
   Conclusion: There is variable use of FES in stroke rehabilitation to
   increase active movement after stroke. While there was moderate
   agreement about when to use FES and useful education approaches for
   learning to use FES, further research is needed to better understand
   strategies which could be implemented to support increased FES use in
   stroke rehabilitation.
RI Lannin, Natasha A/A-4195-2013; Howlett, Owen/AAE-8286-2020; Howlett, Owen/W-8268-2019; McKinstry, Carol/A-2144-2017
OI Lannin, Natasha A/0000-0002-2066-8345; Howlett,
   Owen/0000-0002-2193-7834; McKinstry, Carol/0000-0001-6383-6313
TC 1
ZB 0
Z8 0
ZA 0
ZR 0
ZS 1
Z9 2
U1 1
U2 11
SN 0045-0766
EI 1440-1630
UT WOS:000442984600008
PM 29851095
ER

PT J
AU Korth-Bradley, Joan M.
TI The Education of Prescribers for Safe and Effective Use of Medications
SO CLINICAL PHARMACOLOGY & THERAPEUTICS
VL 104
IS 2
BP 242
EP 243
DI 10.1002/cpt.1003
PD AUG 2018
PY 2018
AB The transformation of medical education, with the disappearance of
   sequential lectures in pharmacology, clinical pharmacology, and
   therapeutics, has left gaps in skills needed for new physicians and
   other prescribers to safely incorporate medications into clinical
   practice. Brinkman et al. conducted a Delphi study of European Union
   (EU) medical school educators and practitioners to identify core
   competencies needed to prescribe medications. Their findings offer
   directions for learned societies, such as ASCPT, to enhance pharmacology
   education and practice.
ZS 0
TC 0
ZR 0
Z8 0
ZA 0
ZB 0
Z9 0
U1 0
U2 2
SN 0009-9236
EI 1532-6535
UT WOS:000440647100007
PM 29380346
ER

PT J
AU Murray, Suzanne
   Labbe, Sara
   Kothare, Sanjeev
   Malaga, Ignacio
   Kluger, Gerhard
   Ogden, Patti
   Lazure, Patrice
   Arzimanoglou, Alexis
TI Identifying the educational needs of physicians in pediatric epilepsy in
   order to improve care: results from a needs assessment in Germany,
   Spain, and the United States
SO EPILEPTIC DISORDERS
VL 20
IS 4
BP 239
EP 256
DI 10.1684/epd.2018.0989
PD AUG 2018
PY 2018
AB Aims. The objective of this study was to gather evidence-based data on
   the educational needs of neuropediatricians. A needs assessment was
   conducted to identify the clinical challenges of physicians when
   diagnosing, medically treating, and managing pediatric patients with
   epilepsy; which could be addressed through educational interventions.
   Methods. A two-phase mixed-methods approach was used to conduct the
   needs assessment in Germany, Spain, and the US. Phase 1 consisted of
   qualitative data collection through multiple sources: a literature
   review, semi-structured interviews with clinicians and nurses working in
   pediatric epilepsy, and interpretation and input from faculty experts.
   Qualitative data were coded (NVivo) and analyzed using a thematic
   analysis, and findings were then used to design the second phase. Phase
   2 consisted of quantitative data collection through an online survey
   that aimed to validate the identified challenges and underlying causes
   using a larger sample than in Phase 1. Data from the survey were
   analyzed using frequency tabulations and chi-square tests (SPSS).
   Results. A total of 267 participants were included in the study. Phase 1
   included 88 participants (neurologists, pediatricians,
   neuropediatricians, and nurses). Phase 2 included 179 participants
   (neurologists, pediatricians, and neuropediatricians). The main areas of
   challenge which emerged from the triangulated data included: the
   integration of guidelines into practice, identification of epilepsy and
   epilepsy events, integration of genetic testing into practice,
   integration of non-pharmacological treatments, transition from pediatric
   to adult care, and involvement and engagement with caregivers.
   Underlying causes of these challenges are reported, along with
   supporting qualitative findings.
   Conclusions. This study identified the educational needs of physicians
   working in pediatric epilepsy in Germany, Spain and the USA.
   Increasingly, educational interventions are required to be
   evidence-based. The results of this study could be used to design such
   interventions to support neuropediatricians who wish to specialize in
   pediatric epileptology, in order to manage the identified challenges.
RI Malaga, Ignacio/AAL-6452-2021; Arzimanoglou, Alexis/; Lazure, Patrice/; Malaga, Ignacio/
OI Arzimanoglou, Alexis/0000-0002-7233-2771; Lazure,
   Patrice/0000-0002-9278-1718; Malaga, Ignacio/0000-0003-4074-6870
ZS 0
Z8 0
TC 7
ZB 1
ZR 0
ZA 0
Z9 7
U1 0
U2 3
SN 1294-9361
EI 1950-6945
UT WOS:000442988200002
PM 30078771
ER

PT J
AU Cueva, Katie
   Cueva, Melany
   Revels, Laura
   Dignan, Mark
TI Culturally-Relevant Online Education Improves Health Workers' Capacity
   and Intent to Address Cancer
SO JOURNAL OF COMMUNITY HEALTH
VL 43
IS 4
BP 660
EP 666
DI 10.1007/s10900-018-0465-5
PD AUG 2018
PY 2018
AB To address a desire for timely, medically-accurate cancer education in
   rural Alaska, ten culturally-relevant online learning modules were
   developed, implemented, and evaluated with, and for, Alaska's Community
   Health Aides/Practitioners (CHA/Ps). The project was guided by the
   framework of Community-Based Participatory Action Research, honored
   Indigenous Ways of Knowing, and was informed by Empowerment Theory. Each
   learner was invited to complete an end-of-module evaluation survey. The
   survey asked about changes in intent to share cancer information with
   patients as a result of the module. In 1 year, August 1, 2016-July 31,
   2017, 459 surveys were completed by 79 CHA/Ps. CHA/Ps reported that,
   because of the modules, they felt more knowledgeable about cancer, and
   more comfortable, confident, and prepared to talk about cancer with
   their patients, families, and communities. All learners shared that
   because of the modules, they intended to talk with their patients more
   often about cancer screenings, tobacco cessation, physical activity, or
   nutrition. These findings suggest that the application of this
   collaboratively developed, culturally-relevant, health promotion
   intervention has supported increased CHA/P capacity and intent to
   interact with patients about cancer. In the words of a learner: "Doing
   all these courses makes me a ton times more comfortable in talking about
   cancer with anyone. I didn't know too much about it at first but now I
   know a whole lot. Thank you".
TC 3
ZR 0
ZB 0
Z8 0
ZA 0
ZS 0
Z9 3
U1 1
U2 10
SN 0094-5145
EI 1573-3610
UT WOS:000437451400005
PM 29368103
ER

PT J
AU Lakeman, Richard
   McIntosh, Christine
TI Perceived confidence, competence and training in evidence-based
   treatments for eating disorders: a survey of clinicians in an Australian
   regional health service
SO AUSTRALASIAN PSYCHIATRY
VL 26
IS 4
BP 432
EP 436
DI 10.1177/1039856218766124
PD AUG 2018
PY 2018
AB Objectives: Eating disorders (EDs) are challenging to treat and
   contribute to considerable morbidity and mortality. This study sought to
   identify the educational preparedness, competence and confidence of
   clinicians to work with people with EDs; and to identify how services
   might be improved.
   Methods: Clinicians who worked in the emergency department, medical,
   paediatric wards and mental health services were invited to complete an
   online survey.
   Results: From the 136 surveys returned, 73% of respondents reported
   little or no confidence working with EDs. There was a strong linear
   correlation between perceived confidence and competence and hours of
   education. Those with 70 or more hours of self-reported training were
   2.7 times more likely to rate themselves as both confident and
   competent. Improving services for people with eating disorders included
   the provision of appropriate training, improving access to services
   including psychotherapy, and facilitating consistency in and continuity
   of care.
   Conclusions: To increase the confidence and competence of the workforce,
   regular training around EDs should be undertaken. The establishment of a
   specialist team to provide services across the continuum of care for
   people with severe or complex EDs appears warranted in a regional health
   service.
RI Lakeman, Richard/AGY-1656-2022; Lakeman, Richard/
OI Lakeman, Richard/0000-0002-4304-5431
ZA 0
TC 6
ZB 2
Z8 0
ZR 0
ZS 0
Z9 6
U1 0
U2 1
SN 1039-8562
EI 1440-1665
UT WOS:000442386200021
PM 29609472
ER

PT J
AU Laubert, Tilman
   Thomaschewski, Michael
   Auerswald, Paul
   Zimmermann, Markus
   Brueheim, Linda
   Keck, Tobias
   Benecke, Claudia
TI Implementation of a Laparoscopic Simulation Training in Undergraduate
   Medical Education - The Lubeck Toolbox-Curriculum
SO ZENTRALBLATT FUR CHIRURGIE
VL 143
IS 4
BP 412
EP 418
DI 10.1055/s-0043-106851
PD AUG 2018
PY 2018
AB Background Simulation-based training has become increasingly relevant in
   minimally invasive surgery (MIS). It is unclear whether or not the
   established Lubeck Toolbox (LTB) Curriculum for the acquisition of basic
   MIS skills can be implemented to supplement standard undergraduate
   education in surgery and how it would be accepted.
   Materials und Methods Since 04/2015, students at the medical school of
   the University of Lubeck have had the option to complete the highly
   standardized and validated LTB Curriculum. It consists of six subsequent
   tasks with pre-defined learning goals. Video tutorials allow for a
   self-educating approach. The individual training progress is documented
   continuously as scheduled by the curriculum. The program was evaluated
   in a standardized manner using an established online platform for the
   evaluation of university courses at the University of Lubeck.
   Results Between 04/2015 and 07/2016, 63 students completed the LTB
   Curriculum. The general interest in a surgical specialty rose from an
   average of 1.61 (SD 0.78) before to 1.12 after the curriculum. The
   numbers of required repetitions for the training tasks 1-6 were median
   24 (6-79), 23 (5-61), 7 (5-33), 15 (5-59), 16 (5-50), and 18 (7-48),
   respectively. None of the 63 students terminated the curriculum
   prematurely. On average, 4.35 (SD 1.58) hours per week were spent
   training with an overall duration of 4.1 (SD 1.2) weeks required to go
   through the LTB Curriculum. Evaluation results showed an overall rating
   of 1.0 (SD 0.17). The average learning progress, didactics and structure
   of the curriculum were rated as 1.0 (SD 0.24), 1.14 (SD 0.36), and 1.0
   (SD 0.24), respectively. The relevance for the following study years and
   the future professional activity was reported to be 1.2 (SD 0.45) on
   average.
   Conclusion As an addition to the regular undergraduate program, the
   Lubeck Toolbox Curriculum was well accepted by many students. Evaluation
   showed exceedingly positive results. Furthermore, the data suggest that
   the LTB Curriculum may increase the interest in a surgical specialty
   among medical students. This aspect seems to be relevant in times where
   surgeons should make every effort to recruit young doctors for surgical
   residency.
OI Keck, Tobias/0000-0001-7651-6183
ZR 0
TC 9
ZB 1
ZA 0
ZS 0
Z8 0
Z9 9
U1 0
U2 2
SN 0044-409X
EI 1438-9592
UT WOS:000442454200018
PM 28505682
ER

PT J
AU Rosen, Tony
   Shah, Manish
   Lundebjerg, Nancy E.
   Singh, Cynthia
   McMillian, Melissa
   Sarli, Cathy C.
   Suiter, Amy M.
   Lee, Andrew G.
   Burton, John R.
   Carpenter, Christopher R.
TI Impact of Jahnigen/GEMSSTAR Scholarships on Careers of Recipients in
   Emergency Medicine and on Development of Geriatric Emergency Medicine
SO ACADEMIC EMERGENCY MEDICINE
VL 25
IS 8
BP 911
EP 920
DI 10.1111/acem.13396
PD AUG 2018
PY 2018
AB Background: The Jahnigen Career Development Awards program was launched
   in 2002 with private funding and transformed into the Grants for Early
   Medical/Surgical Specialists' Transition to Aging Research (GEMSSTAR)
   program in 2011 through support from the National Institute on Aging and
   medical specialty professional societies. The Jahnigen/GEMSSTAR program
   has provided grants to early career physician-scientists from 10
   surgical and related medical specialties to initiate and sustain
   research careers in the geriatric aspect of their discipline. From 2002
   to 2016, there were 20 Jahnigen/GEMSSTAR recipients in emergency
   medicine (EM). The goal of this investigation was to examine the impact
   of Jahnigen/GEMSSTAR awards on careers of EM recipients and on
   development of academic geriatric EM.
   Methods: We conducted an online survey of the 20 EM recipients from 2002
   to 2016 and analyzed their academic productivity, research impact,
   career trajectory, and contributions to geriatric EM since receiving the
   award.
   Results: All 20 Jahnigen/GEMSSTAR scholars completed the survey.
   Scholars have published a median of 33 peer-reviewed articles
   (interquartile range [IQR] = 10-97) since the award, with median annual
   publication rates of 4.5 (IQR 1.6-7.0). All scholars had h-indices of 6
   or more, with a median of 18 (IQR = 9-28). Jahnigen/ GEMSSTAR scholars
   have served as principal investigator (PI) or co-PI on 126 grants since
   their award, with 90% having served as PI on at least one additional
   grant and 30% having received National Institutes of Health Career
   Development Awards. All scholars reported believing that the
   Jahnigen/GEMSSTAR was very helpful or helpful for career progress. Most
   (85%) reported ongoing contributions to geriatric EM in research,
   education, or administration.
   Conclusions: After the Jahnigen/GEMSSTAR award, EM scholars have been
   highly academically productive and successful, and the award has been
   instrumental in their career development. Awardees have been critical to
   the development of geriatric EM.
RI Lee, Andrew/GVU-2817-2022; Sarli, Cathy/C-2830-2008; Carpenter, Christopher/E-3720-2013; Suiter, Amy/E-1587-2015; Shah, Manish/
OI Sarli, Cathy/0000-0003-4817-0204; Carpenter,
   Christopher/0000-0002-2603-7157; Suiter, Amy/0000-0002-3409-4645; Shah,
   Manish/0000-0001-6331-1074
ZS 0
ZB 2
Z8 0
ZR 0
ZA 0
TC 12
Z9 12
U1 0
U2 3
SN 1069-6563
EI 1553-2712
UT WOS:000441740500007
PM 29493855
ER

PT J
AU Chaudhury, Bhaskar
   Varma, Akshar
   Keswani, Yashwant
   Bhatnagar, Yashodhan
   Parikh, Samarth
TI Let's HPC: A web-based platform to aid parallel, distributed and high
   performance computing education
SO JOURNAL OF PARALLEL AND DISTRIBUTED COMPUTING
VL 118
BP 213
EP 232
DI 10.1016/j.jpdc.2018.03.001
PN 1
PD AUG 2018
PY 2018
AB Let's HPC (www.letshpc.org) is an evolving open-access web-based
   platform to supplement conventional classroom oriented High Performance
   Computing (HPC) and Parallel & Distributed Computing (PDC) education.
   This platform has been developed to allow users to learn, evaluate,
   teach and see the performance of parallel algorithms from a system's
   viewpoint. The Let's HPC platform's motivation comes from the
   experiences of teaching HPC/PDC courses and it is designed to help
   streamline the process of analyzing parallel programs.
   At the heart of this platform is a database archiving the performance
   and execution environment related data of standard parallel algorithm
   implementations run on different computing architectures using different
   programming environments. The online plotting and analysis tools of our
   platform can be combined seamlessly with the database to aid
   self-learning, teaching, evaluation and discussion of different HPC
   related topics, with a particular focus on a holistic system's
   perspective. The user can quantitatively compare and understand the
   importance of numerous deterministic as well as non deterministic
   factors of both the software and the hardware that impact the
   performance of parallel programs. Instructors of HPC/PDC related courses
   can use the platform's tools to illustrate the importance of proper data
   collection and analysis in understanding factors impacting performance
   as well as to encourage peer learning among students. Scripts are
   provided for automatically collecting performance related data, which
   can then be analyzed using the platform's tools. The platform also
   allows students to prepare a standard lab/project report aiding the
   instructor in uniform evaluation. The platform's modular design enables
   easy inclusion of performance related data from contributors as well as
   addition of new features in the future.
   This paper summarizes the background and motivation behind the Let's HPC
   project, the design philosophy of the platform, the present capabilities
   of the platform, as well as the plans for future developments. (C) 2018
   Elsevier Inc. All rights reserved.
CT Workshop on Education for High-Performance Computing (EduHPC)
CY NOV 13-18, 2016
CL Salt Lake, UT
SP Assoc Comp Machinery; IEEE Comp Soc; SIGHPC
OI Chaudhury, Bhaskar/0000-0001-7618-3737
ZS 0
TC 8
Z8 0
ZR 1
ZB 0
ZA 0
Z9 9
U1 0
U2 12
SN 0743-7315
EI 1096-0848
UT WOS:000434003300022
ER

PT J
AU Matern, Lukas H.
   Farnan, Jeanne M.
   Hirsch, Kristen W.
   Cappaert, Melissa
   Byrne, Ellen S.
   Arora, Vineet M.
TI A Standardized Handoff Simulation Promotes Recovery From Auditory
   Distractions in Resident Physicians
SO SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN
   HEALTHCARE
VL 13
IS 4
BP 233
EP 238
DI 10.1097/SIH.0000000000000322
PD AUG 2018
PY 2018
AB Introduction Despite the increasing use of training simulations to teach
   and assess resident handoffs, simulations that approximate realistic
   hospital conditions with distractions are lacking. This study explores
   the effects of a novel simulation-based training intervention on
   resident handoff performance in the face of prevalent hospital
   interruptions.
   Methods After a preliminary educational module, entering postgraduate
   year 1 residents (interns) completed one of the following three handoff
   simulations: (1) no interruption, (2) hospital noise, or (3) noise and
   pager interruptions. Trained receivers rated interns using an
   evidence-based Handoff Behaviors Checklist and a previously validated
   Handoff Mini-Clinical Examination Exercise instrument.
   Results Of 127 eligible interns, 125 (98.4%) completed an online
   preparatory module and a handoff simulation. Interns receiving auditory
   interruptions were less likely to be heard adequately (48.8% noise and
   71.8% noise + pager vs. 100.0% uninterrupted, P < 0.001) and scored
   lower on establishing appropriate handoff settings (5.7 2.3 noise and
   6.2 +/- 1.8 noise + pager vs. 8.0 +/- 0.8 uninterrupted, P < 0.001).
   Interns receiving noise only shared a written sign-out document more
   effectively (71.1% vs. 30.2% uninterrupted and 43.6% noise + pager, P <
   0.001). There were no differences in averaged performance metrics on the
   Handoff Behaviors Checklist.
   Discussion While common hospital interruptions created nonideal
   circumstances for the handoff, interns receiving interruptions were
   rated similarly and recovered effectively. However, interns exposed to
   noise only used the written sign-out form more actively. Our findings
   suggest that this intervention was successful in promoting handoff
   proficiency despite exposure to common but significant hospital
   interruptions.
ZB 0
ZA 0
ZR 0
ZS 0
Z8 0
TC 1
Z9 1
U1 0
U2 4
SN 1559-2332
EI 1559-713X
UT WOS:000441709700003
PM 29727347
ER

PT J
AU Pagedar, Nitin A.
   Schularick, Nathan M.
   Lee, Phillip C.
   Karnell, Lucy H.
TI Health-Related Internet Use Among Otolaryngology Patients
SO ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY
VL 127
IS 8
BP 551
EP 557
DI 10.1177/0003489418779414
PD AUG 2018
PY 2018
AB Objective: The association between online health resources use in
   specific otolaryngology patients is poorly understood. To better
   understand health-related Internet use by otolaryngology patients, we
   surveyed first-visit patients at academic and private practice clinics
   in Iowa.
   Methods: Data on socioeconomic status, access, and utilization of online
   resources were collected. Age distributions were compared by t test, and
   categorical variables were compared by chi-square analysis. Multivariate
   logistic regression was used to estimate odds ratios for association
   between independent variables (age, sex, educational attainment,
   otolaryngology subspecialty, etc).
   Results: Data showed that 8.7% lacked Internet access; an additional
   5.4% reported access only in a public place or at work. Younger, more
   educated, and more urban patients reported higher rates of Internet
   access. Among university patients, patients seeing head and neck
   oncologists were most likely to report no Internet access (10.9%). Just
   over one-third of patients used the Internet to research their health
   condition prior to their appointment.
   Conclusions: Internet access was far from universal among this large
   cohort of otolaryngology outpatients. Head and neck cancer (HNC)
   patients report the least online access among all otolaryngology
   subspecialties. Providers should consider nonelectronic patient
   resources for older, more rural, less educated, and HNC patient
   populations as online/electronic methods of communication may not be
   accessible to these groups.
OI Pagedar, Nitin/0000-0002-1829-7258
ZA 0
ZB 0
TC 8
ZR 0
Z8 0
ZS 0
Z9 8
U1 0
U2 2
SN 0003-4894
EI 1943-572X
UT WOS:000439586000009
PM 29962224
ER

PT J
AU Ashford, Robert D.
   Brown, Austin M.
   Curtis, Brenda
TI Systemic barriers in substance use disorder treatment: A prospective
   qualitative study of professionals in the field
SO DRUG AND ALCOHOL DEPENDENCE
VL 189
BP 62
EP 69
DI 10.1016/j.drugalcdep.2018.04.033
PD AUG 1 2018
PY 2018
AB Background: The US is in the midst of one of the largest public health
   crises in recent history with over 63,000 drug poisoning deaths in 2016
   and a projected annual economic cost of over $420 billion. With the rise
   of deaths and economic burden related to substance use, it is paramount
   that systemic barriers within the treatment industry be identified and
   resolved.
   Methods: Data were collected from US substance use treatment
   professionals (N = 182) in the fall of 2016. Thematic analysis with
   axial coding was used on anonymized responses to an online open-ended
   survey. Additional ad hoc testing for variance (education, generation,
   regional location, and employment) was completed using Monte Carlo
   chi-square analyses.
   Results: 7 major themes emerged: 1) additional training, education, and
   use of evidence-based practices, 2) expansion of treatment services, 3)
   increased resources, 4) stigma reduction, 5) increased collaboration and
   leadership, 6) reductions in regulations, requirements, and incentives,
   and 7) expansion of recovery support services. Participant response
   yielded a significant relationship between employment type (p = 0.002)
   and regional location (p = 0.046).
   Conclusions: Systemic barriers in the treatment field are prevalent from
   the perspective of professionals engaged in the field. While previously
   identified barriers are still present, newly reported barriers include:
   1) lack of treatment services (e.g., capacity), 2) lack of technological
   resources (e.g., technological support tools), 3) lack of recovery
   support services (e.g., recovery housing), 4) lack of collaboration and
   leadership (e.g., communication and partnership), and 5) increasing
   unethical practices in the field (e.g., incentive-based patient
   brokering).
RI Curtis, Brenda/AAU-2837-2021; Ashford, Robert/
OI Ashford, Robert/0000-0003-3979-1754
ZR 0
ZB 2
Z8 0
TC 16
ZA 0
ZS 0
Z9 16
U1 2
U2 11
SN 0376-8716
EI 1879-0046
UT WOS:000439673200010
PM 29883870
ER

PT J
AU McCall, Marcy
   Spencer, Elizabeth
   Owen, Helen
   Roberts, Nia
   Heneghan, Carl
TI Characteristics and efficacy of digital health education: An overview of
   systematic reviews
SO HEALTH EDUCATION JOURNAL
VL 77
IS 5
BP 497
EP 514
DI 10.1177/0017896918762013
PD AUG 2018
PY 2018
AB Objective: The primary aim of this overview was to synthesise results
   from studies including digital education and its effect on knowledge or
   learning outcomes, student satisfaction, student enrolment, attendance
   rate, course completion rate, clinical practice, health outcomes for
   patients and cost-effectiveness in health-care education. A secondary
   aim was to report on successful instructional design strategies, and
   barriers or contextual factors influencing the effectiveness of online
   learning course delivery in healthcare education.
   Method: We conducted an overview of systematic reviews (SRs) for digital
   education interventions delivered to health-care students and
   practitioners.
   Results: We scanned 848 titles, reviewed 247 abstracts and assessed 49
   full-text articles against pre-determined inclusion and exclusion
   criteria. This overview includes data collected from 31,730 participants
   across 16 SRs. The quality of evidence included in the SRs ranged from
   very low (n=2), low (n=6) to moderate (n=8). The best available SRs were
   of moderate quality (7.4 of 11 AMSTAR). SR authors did not report other
   teaching methods as being superior to digital learning. In most cases
   (n=9), digital education when used in addition to traditional methods
   augmented knowledge acquisition. Other SRs (n=7) did not show
   statistically significant differences across interventions including
   digital education as a replacement, or additive resource to traditional
   intervention.
   Conclusion: Student enrolment, attendance rates, course completion
   rates, cost-effectiveness and changes in clinical outcomes for patients
   are underreported in the existing evidence. Although the quality and
   quantity of data are limited, evidence-based instructional design for
   digital education is becoming more possible, especially as educators
   establish learning activities that track to learning objectives for
   knowledge acquisition in health care.
RI Roberts, Nia W/F-9842-2010
OI Roberts, Nia W/0000-0002-1142-6440
ZB 2
ZR 0
ZS 0
ZA 0
Z8 0
TC 13
Z9 13
U1 1
U2 18
SN 0017-8969
EI 1748-8176
UT WOS:000441535400001
ER

PT J
AU Benjamin, Jennifer
   Groner, Judith
   Walton, Jennifer
   Noritz, Garey
   Gascon, Gregg M.
   Mahan, John D.
TI Learning in a Web-Based World: An Innovative Approach to Teach Physical
   Examination Skills in Patients with Neurodisability
SO ACADEMIC PEDIATRICS
VL 18
IS 6
BP 714
EP 716
DI 10.1016/j.acap.2018.02.014
PD AUG 2018
PY 2018
RI Benjamin, Jennifer/GLR-1107-2022; Gascon, Gregg/; Noritz, Garey/
OI Gascon, Gregg/0000-0002-0254-3442; Noritz, Garey/0000-0001-7308-3810
ZR 0
ZS 0
Z8 0
ZB 0
TC 1
ZA 0
Z9 1
U1 2
U2 4
SN 1876-2859
EI 1876-2867
UT WOS:000440776200018
PM 29518544
ER

PT J
AU Gouda, P.
   O'Flynn, S.
   Cantillon, P.
TI Desires versus reality of medical and health science summer student
   research opportunities
SO IRISH JOURNAL OF MEDICAL SCIENCE
VL 187
IS 3
BP 817
EP 820
DI 10.1007/s11845-017-1705-x
PD AUG 2018
PY 2018
AB Background Medical and health science students are increasingly becoming
   involved in research throughout their undergraduate education. However,
   the quality of student research outcomes has recently come into
   question.
   Methods A cross-sectional online survey of Irish medical and health
   science student who received a summer student research grant in 2014 and
   2015.
   Results Of 56 respondents (40.6% response rate), increasing
   competitiveness for future career opportunities was the highest rated
   motivational factor for pursuing research. Respondents were most often
   involved in analysing data (n = 51; 91.1%) and collecting data (n = 46;
   82.1%). Respondents most often identified that they would have liked to
   be involved in coming up with research question (n = 34; 60.7%), while
   in reality, they were least commonly involved in that aspect (n = 14;
   25.0%).
   Conclusion Despite the desire by summer research students to be involved
   in early components of research project design, this only occasionally
   occurs. Summer student research programs should explore the possibility
   of early involvement of students in the research design phase.
RI Gouda, Pishoy/B-6526-2015
OI Gouda, Pishoy/0000-0002-8158-4786
ZR 0
ZA 0
ZB 0
ZS 0
TC 1
Z8 0
Z9 1
U1 0
U2 5
SN 0021-1265
EI 1863-4362
UT WOS:000440161400041
PM 29080201
ER

PT J
AU Braun, Tara L.
   Louis, Matthew R.
   Dickey, Ryan M.
   Buchanan, Edward P.
TI A Sustainable and Scalable Approach to the Provision of Cleft Care: A
   Focus on Safety and Quality
SO PLASTIC AND RECONSTRUCTIVE SURGERY
VL 142
IS 2
BP 463
EP 469
DI 10.1097/PRS.0000000000004580
PD AUG 2018
PY 2018
AB Background: A global health model based on partnering with local
   hospitals and surgical teams, providing education and training for local
   providers, and mandating adherence to safety and quality standards to
   ensure safe surgery and anesthesia care can build local surgical
   capacity and strengthen existing health care systems in low- and
   middle-income countries. Smile Train uses this sustainable partnership
   model to provide responsible humanitarian aid while maintaining a
   bidirectional exchange with its international partners.
   Methods: A voluntary online survey is administered annually to Smile
   Train's global partners. One portion of this survey focuses on how Smile
   Train can best support providers' adherence to the Smile Train Safety
   and Quality Protocol and Anesthesia Guidelines for cleft care.
   Results: In 2014 and 2015, 1132 health care providers responded to Smile
   Train's annual partner survey (77 percent response rate). When asked how
   Smile Train could best support partners to continually meet the safety
   and quality standards, most partners reported that they could benefit
   from additional financial support (59.6 percent) and medical
   professional education and training opportunities (59.2 percent).
   Conclusions: The results from the partner survey yield important
   insights into the programmatic needs of Smile Train partners. Smile
   Train uses this information to efficiently allocate and distribute
   resources and to strategically plan and implement training opportunities
   where needed. The partner survey helps to ensure that Smile Train
   patients around the world consistently receive safe and high-quality
   cleft surgery and anesthesia care.
RI Buchanan, Edward Patrick/K-1598-2019; Dickey, Ryan/
OI Dickey, Ryan/0000-0001-8210-9007
ZB 0
TC 4
ZR 0
ZA 0
ZS 0
Z8 0
Z9 4
U1 0
U2 2
SN 0032-1052
EI 1529-4242
UT WOS:000439943900050
PM 30045182
ER

PT J
AU Maggio, Lauren A.
   Daley, Barbara J.
   Pratt, Daniel D.
   Torre, Dario M.
TI Honoring Thyself in the Transition to Online Teaching
SO ACADEMIC MEDICINE
VL 93
IS 8
BP 1129
EP 1134
DI 10.1097/ACM.0000000000002285
PD AUG 2018
PY 2018
AB Increasingly, health professions education (HPE) faculty are choosing or
   being required to transition their face-to-face teaching to online
   teaching. For many faculty, the online learning environment may
   represent a new context with unfamiliar technology, changing
   expectations, and unknown challenges. In this context, faculty members
   may find themselves teaching in ways that are dissonant with the
   existing assumptions, beliefs, and views that are central to their
   pedagogical or teaching identity. This identity dissonance may lead to
   dissatisfaction and frustration for faculty members and potentially
   suboptimal learning experiences for students. In this Perspective, the
   authors propose that faculty consider using Pratt's five teaching
   perspectives as a conceptual framework to recognize and mitigate
   potential identity dissonance as they transition to teaching online.
   Derived and refined through several years of research, these teaching
   perspectives are based on interrelated sets of intentions and beliefs
   that give direction and justification to faculty members' actions. They
   have been used in higher education to improve faculty satisfaction,
   self-reflection capabilities, and faculty development. The authors,
   therefore, believe that these teaching perspectives hold the potential
   to help HPE faculty enhance their teaching and retain their primary
   teaching identify, even as they shift to online teaching. Doing so may
   ensure that the components of teaching they enjoy and draw self-efficacy
   from are still central to their teaching experience. Pratt's teaching
   perspectives also provide a conceptual framework for creating future
   faculty development initiatives and conducting research to better
   understand and improve the experience of transitioning to online
   teaching.
OI Maggio, Lauren/0000-0002-2997-6133
Z8 0
ZS 0
ZB 0
ZR 1
ZA 0
TC 5
Z9 6
U1 0
U2 10
SN 1040-2446
EI 1938-808X
UT WOS:000439699000022
PM 29742615
ER

PT J
AU Gordon, Morris
   Hill, Elaine
   Stojan, Jennifer N.
   Daniel, Michelle
TI Educational Interventions to Improve Handover in Health Care: An Updated
   Systematic Review
SO ACADEMIC MEDICINE
VL 93
IS 8
BP 1234
EP 1244
DI 10.1097/ACM.0000000000002236
PD AUG 2018
PY 2018
AB Purpose
   Effective handovers (handoffs) are vital to patient safety. Medical
   educators investigated educational interventions to improve handovers in
   a 2011 systematic review. The number of publications on handover
   education has increased since then, so authors undertook this updated
   review.
   Method
   The authors considered studies involving educational interventions to
   improve handover amongst undergraduate or postgraduate health
   professionals in acute care settings. In September 2016, two authors
   independently conducted a standardized search of online databases and
   completed a data extraction and quality assessment of the articles
   included. They conducted a content analysis of and extracted key themes
   from the interventions described.
   Results
   Eighteen reports met the inclusion criteria. All but two were based in
   the United States. Interventions most commonly involved single-patient
   exercises based on simulation and role-play. Many studies mentioned
   multiprofessional education or practice, but interventions occurred
   largely in single-professional contexts. Analysis of interventions
   revealed three major themes: facilitating information management,
   reducing the potential for errors, and improving confidence. The
   majority of studies assessed Kirkpatrick's outcomes of satisfaction and
   knowledge/skill improvement (Levels 1 and 2). The strength of
   conclusions was generally weak.
   Conclusions
   Despite increased interest in and publications on handover, the quality
   of published research remains poor. Inadequate reporting of
   interventions, especially as they relate to educational theory,
   pedagogy, curricula, and resource requirements, continues to impede
   replication. Weaknesses in methodologies, length of follow-up, and scope
   of outcomes evaluation (Kirkpatrick levels) persist. Future work to
   address these issues, and to consider the role of multiprofessional and
   multiple-patient handovers, is vital.
RI Daniel, Michelle/AAG-2790-2019; Gordon, Morris/
OI Daniel, Michelle/0000-0001-8961-7119; Gordon, Morris/0000-0002-1216-5158
TC 29
ZS 0
Z8 0
ZR 0
ZA 0
ZB 2
Z9 29
U1 0
U2 14
SN 1040-2446
EI 1938-808X
UT WOS:000439699000037
PM 29620675
ER

PT J
AU Jeong, Dahn
   Presseau, Justin
   ElChamaa, Rima
   Naumann, Danielle N.
   Mascaro, Colin
   Luconi, Francesca
   Smith, Karen M.
   Kitto, Simon
TI Barriers and Facilitators to Self-Directed Learning in Continuing
   Professional Development for Physicians in Canada: A Scoping Review
SO ACADEMIC MEDICINE
VL 93
IS 8
BP 1245
EP 1254
DI 10.1097/ACM.0000000000002237
PD AUG 2018
PY 2018
AB Purpose
   This scoping review explored the barriers and facilitators that
   influence engagement in and implementation of self-directed learning
   (SDL) in continuing professional development (CPD) for physicians in
   Canada.
   Method
   This review followed the six-stage scoping review framework of Arksey
   and O'Malley and of Daudt et al. In 2015, the authors searched eight
   online databases for English-language Canadian articles published
   January 2005-December 2015. To chart and analyze data from the 17
   included studies, they employed a two-step analysis process composed of
   conventional content analysis followed by directed coding applying the
   Theoretical Domains Framework (TDF).
   Results
   Conventional content analysis generated five categories of barriers and
   facilitators: individual, program, technological, environmental, and
   workplace/organizational. Directed coding guided by the TDF allowed
   analysis of barriers and facilitators to behavior change according to
   two key groups: physicians engaging in SDL, and SDL developers designing
   and implementing SDL programs. Of the 318 total barriers and
   facilitators coded, 290 (91.2%) were coded for physicians and 28 (8.8%)
   for SDL developers. The majority (209; 65.7%) were coded in four key TDF
   domains: environmental context and resources, social influences, beliefs
   about consequences, and behavioral regulation.
   Conclusions
   This scoping review identified five categories of barriers and
   facilitators in the literature and four key TDF domains where most
   factors related to behavior change of physicians and SDL developers
   regarding SDL programs in CPD were coded. There was a significant gap in
   the literature about factors that may contribute to SDL developers'
   capacity to design and implement SDL programs in CPD.
RI Presseau, Justin/AAE-9961-2019; ElChamaa, Rima/; Jeong, Dahn/
OI Presseau, Justin/0000-0002-2132-0703; ElChamaa,
   Rima/0000-0002-2242-7289; Jeong, Dahn/0000-0003-1782-5669
TC 21
ZA 0
Z8 0
ZR 0
ZB 0
ZS 1
Z9 22
U1 4
U2 30
SN 1040-2446
EI 1938-808X
UT WOS:000439699000038
PM 29642101
ER

PT J
AU Seaman, Karla
   Saunders, Rosemary
   Dugmore, Helen
   Tobin, Claire
   Singer, Rachel
   Lake, Fiona
TI Shifts in nursing and medical students' attitudes, beliefs and
   behaviours about interprofessional work: An interprofessional placement
   in ambulatory care
SO JOURNAL OF CLINICAL NURSING
VL 27
IS 15-16
BP 3123
EP 3130
DI 10.1111/jocn.14506
PD AUG 2018
PY 2018
AB Aim and objectivesTo examine students' beliefs, behaviours and attitudes
   in relation to interprofessional socialisation, and their expectations
   and experience, before and after a 2-week clinical placement in
   ambulatory care.
   BackgroundInterprofessional clinical placements for students are
   important for developing an understanding of interprofessional
   collaboration and identity, for the benefit of patient care. Ambulatory
   care environment involves collaborative management of complex chronic
   problems. This educator supported placement that enabled final-year
   nursing and medical students to work together.
   DesignA descriptive matched before-after study was conducted.
   MethodsStudents' completed an online questionnaire before and after
   their clinical placement. The questionnaire comprised of three sections:
   demographic information, the Interprofessional Socialisation and Valuing
   Scale and open-ended questions. Descriptive analysis and paired t-tests
   were conducted for the three subscales, and thematic analysis of
   qualitative responses was conducted.
   ResultsSixty-two of the 151 students between 2011-2014 completed both
   surveys. There was a significant increase after placement in the overall
   Interprofessional Socialisation and Valuing Scale scores. The change was
   greater for nursing students compared with medical students, although
   for both groups the change was small. The majority had a good-to-very
   good experience learning each other's and their own professions and
   identified the nurse educator and teaching registrar as key to success.
   ConclusionA clinical placement in an ambulatory setting for nursing and
   medical students resulted in an increase in self-perceived ability to
   work with others and in valuing working with others.
   Relevance to clinical practiceInterprofessional clinical placements are
   essential for students to understand interprofessional practice for
   better patient outcomes and developing their own perspective of future
   work within an interprofessional team. Ambulatory care is an ideal
   environment for nursing and other health professional students to engage
   in interprofessional clinical placements.
OI Saunders, Rosemary/0000-0001-6213-4694; Dugmore,
   Helen/0000-0003-3190-1592; Seaman, Karla/0000-0003-4611-9616
ZS 0
ZR 0
Z8 1
TC 7
ZA 0
ZB 0
Z9 7
U1 0
U2 9
SN 0962-1067
EI 1365-2702
UT WOS:000439796600021
PM 29752859
ER

PT J
AU Hesse-Biber, Sharlene
   Flynn, Bailey
   Farrelly, Keeva
TI The Pink Underside: The Commercialization of Medical Risk Assessment and
   Decision-Making Tools for Hereditary Breast Cancer Risk
SO QUALITATIVE HEALTH RESEARCH
VL 28
IS 10
SI SI
BP 1523
EP 1538
DI 10.1177/1049732318767395
PD AUG 2018
PY 2018
AB The growth of the Internet since the millennium has opened up a myriad
   of opportunities for education, particularly in medicine. Although those
   looking for health care information used to have to turn to a
   face-to-face doctor's visit, an immense library of medical advice is now
   available at their fingertips. The BRCA genetic predispositions
   (mutations of the BRCA1 and BRCA2 breast cancer genes) which expose men
   and women to greater risk of breast, ovarian, and other cancers can be
   researched extensively online. Several nonprofit organizations now offer
   online risk assessment and decision-making tools meant to supplement
   conversation with medical professionals, which in actuality are quickly
   replacing it. We argue here through a critical qualitative template
   analysis of several such tools that the discursive frameworks utilized
   are prone to fearmongering, commercialization, and questionable
   validity. Left unchecked, these assessment tools could do more harm than
   good in driving young women especially to take unnecessary extreme
   surgical action.
OI Hesse-Biber, Sharlene/0000-0002-2169-1993
TC 3
ZR 0
ZA 0
ZB 1
ZS 0
Z8 0
Z9 3
U1 0
U2 8
SN 1049-7323
EI 1552-7557
UT WOS:000439609700001
PM 29642776
ER

PT J
AU Adams, Kirkwood
   Kearney, AMichelle
   Lee, Kiwon
   Rhoney, Denise
   Smith, K. Melissa
TI Strength in Numbers: A Team-Based Approach to Managing Patients with
   Hyponatremia
SO AMERICAN JOURNAL OF MEDICINE
VL 131
IS 8
BP 987
EP 987
DI 10.1016/j.amjmed.2018.05.005
PD AUG 2018
PY 2018
AB This virtual patient panel provides learners with real-world application
   of best practices among various members of the healthcare team in the
   management of patients with hyponatremia. A patient case is provided,
   followed by discussion among the team members to provide insight into
   and context for why particular courses of action were chosen.
Z8 0
ZR 0
TC 0
ZS 0
ZA 0
ZB 0
Z9 0
U1 0
U2 0
SN 0002-9343
EI 1555-7162
UT WOS:000441513900043
PM 29803780
ER

PT J
AU Alonso-Silverio, Gustavo A.
   Perez-Escamirosa, Fernando
   Bruno-Sanchez, Raul
   Ortiz-Simon, Jose L.
   Munoz-Guerrero, Roberto
   Minor-Martinez, Arturo
   Alarcon-Paredes, Antonio
TI Development of a Laparoscopic Box Trainer Based on Open Source Hardware
   and Artificial Intelligence for Objective Assessment of Surgical
   Psychomotor Skills
SO SURGICAL INNOVATION
VL 25
IS 4
BP 380
EP 388
DI 10.1177/1553350618777045
PD AUG 2018
PY 2018
AB Background. A trainer for online laparoscopic surgical skills assessment
   based on the performance of experts and nonexperts is presented. The
   system uses computer vision, augmented reality, and artificial
   intelligence algorithms, implemented into a Raspberry Pi board with
   Python programming language. Methods. Two training tasks were evaluated
   by the laparoscopic system: transferring and pattern cutting. Computer
   vision libraries were used to obtain the number of transferred points
   and simulated pattern cutting trace by means of tracking of the
   laparoscopic instrument. An artificial neural network (ANN) was trained
   to learn from experts and nonexperts' behavior for pattern cutting task,
   whereas the assessment of transferring task was performed using a
   preestablished threshold. Four expert surgeons in laparoscopic surgery,
   from hospital Raymundo Abarca Alarcon, constituted the experienced class
   for the ANN. Sixteen trainees (10 medical students and 6 residents)
   without laparoscopic surgical skills and limited experience in minimal
   invasive techniques from School of Medicine at Universidad Autonoma de
   Guerrero constituted the nonexperienced class. Data from participants
   performing 5 daily repetitions for each task during 5 days were used to
   build the ANN. Results. The participants tend to improve their learning
   curve and dexterity with this laparoscopic training system. The
   classifier shows mean accuracy and receiver operating characteristic
   curve of 90.98% and 0.93, respectively. Moreover, the ANN was able to
   evaluate the psychomotor skills of users into 2 classes: experienced or
   nonexperienced. Conclusion. We constructed and evaluated an affordable
   laparoscopic trainer system using computer vision, augmented reality,
   and an artificial intelligence algorithm. The proposed trainer has the
   potential to increase the self-confidence of trainees and to be applied
   to programs with limited resources.
RI Minor, Arturo AMM/I-2943-2017; Alarcón-Paredes, Antonio/Q-6353-2018; Pérez-Escamirosa, Fernando/AAS-7435-2020; Alonso-Silverio, Gustavo A/
OI Alarcón-Paredes, Antonio/0000-0002-9785-1252; Pérez-Escamirosa,
   Fernando/0000-0001-7886-8692; Alonso-Silverio, Gustavo
   A/0000-0002-2699-140X
ZA 0
ZR 0
ZS 0
ZB 1
TC 18
Z8 1
Z9 19
U1 2
U2 27
SN 1553-3506
EI 1553-3514
UT WOS:000439617900010
PM 29809097
ER

PT J
AU Machackova, Hana
   Smahel, David
TI The perceived importance of credibility cues for the assessment of the
   trustworthiness of online information by visitors of health-related
   websites: The role of individual factors
SO TELEMATICS AND INFORMATICS
VL 35
IS 5
BP 1534
EP 1541
DI 10.1016/j.tele.2018.03.021
PD AUG 2018
PY 2018
AB The varying quality of information available on the internet has
   increased the need for the assessment of the trustworthiness of online
   information. This need can be even more pressing in the consideration of
   information that has the potential to harm one's health. This study
   examined the perceived importance of credibility cues for the assessment
   of the trustworthiness of online information among visitors of websites
   focused on nutrition, dieting, and fitness. Using cross-sectional survey
   data from 695 Czech respondents aged 13-62 (84% females), four
   credibility components were identified. The most important for the
   assessment of trustworthiness was reported as the surface component,
   followed by external sources, author-oriented component, and feedback.
   An examination of the links with individual factors showed that the
   perceived importance of these components was linked to demographics,
   online experiences, and the motivation for visiting the websites. The
   surface component was more important for women and those with the
   motivation to lose weight; external sources were more important for
   those with higher education, author-oriented component was more
   important for those who are more active online and who have motivation
   to lose weight and improve their health; and feedback was more important
   for visitors with weight-loss motivation. The findings are discussed
   with regard to the role of diverse credibility cues for trustworthiness
   assessment, inter-individual differences, and the implications for
   praxis.
RI Smahel, David/G-5395-2017; Machackova, Hana/T-8902-2019
OI Smahel, David/0000-0003-2767-4331; Machackova, Hana/0000-0001-9498-9208
Z8 0
ZS 0
ZA 0
ZR 0
ZB 1
TC 12
Z9 12
U1 2
U2 34
SN 0736-5853
UT WOS:000438480500034
ER

PT J
AU Ang, John
   Doyle, Brian
   Allen, Penny
   Cheek, Colleen
TI Teaching bedside ultrasound to medical students
SO CLINICAL TEACHER
VL 15
IS 4
BP 331
EP 335
DI 10.1111/tct.12692
PD AUG 2018
PY 2018
AB Objective: Point-of-care ultrasound (POCUS) assists in the rapid
   diagnosis of conditions in the Emergency Department (ED). POCUS has been
   introduced to international medical curricula; however, there is no
   described implementation of clinically focused POCUS education in
   Australian medical schools. We wanted to investigate whether a formal
   curriculum can be effective and feasible in an Australian medical
   school.
   Methods: Pre-post intervention study of a focused curriculum based on
   the Extended Focused Assessment with Sonography in Trauma (E-FAST)
   examination, consisting of online and practical teaching, was
   implemented for Year-4 and -5 medical students. An online questionnaire
   was used to measure knowledge, image interpretation and confidence prior
   to the intervention. After the intervention and ED placement, the
   questionnaire was repeated and students were assessed performing the
   E-FAST examination on a healthy volunteer.
   Results: Twenty-seven students participated in both the pre-intervention
   and post-intervention questionnaires. There was a significant
   improvement in confidence in performing the E-FAST after the
   intervention [p < 0.001]. There was also a significant improvement in
   ultrasound knowledge and image interpretation skills. For the formative
   assessment, the mean score was 31.8 out of 33 and 22 of 27 students
   (82%) passed the assessment.
   Conclusions: We have demonstrated that a focused curriculum can improve
   POCUS knowledge and skills. The curriculum was feasible and well
   received. With global trends to include POCUS in medical education,
   Australian institutions should consider upskilling their medical
   graduates.
RI Cheek, Colleen/J-7663-2014
OI Cheek, Colleen/0000-0001-9426-1102
ZA 0
ZS 0
ZB 1
ZR 0
Z8 0
TC 10
Z9 11
U1 0
U2 3
SN 1743-4971
EI 1743-498X
UT WOS:000438733600011
PM 28786233
ER

PT J
AU Sposato, Luciano A.
   Stirling, Devin
   Saposnik, Gustavo
TI Therapeutic Decisions in Atrial Fibrillation for Stroke Prevention: The
   Role of Aversion to Ambiguity and Physicians' Risk Preferences
SO JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
VL 27
IS 8
BP 2088
EP 2095
DI 10.1016/j.jstrokecerebrovasdis.2018.03.005
PD AUG 2018
PY 2018
AB Background: Knowledge-to-action gaps influence therapeutic decisions in
   atrial fibrillation (AF). Physician-related factors are common, but the
   least studied. We evaluated the prevalence and determinants of
   physician-related factors and knowledge-to-action gaps among physicians
   involved in the management of AF patients. Design: In this
   cross-sectional study, participants from 6 South American countries
   recruited during an educational program answered questions regarding 16
   case scenarios of patients with AF and completed experiments assessing 3
   outcome measures: therapeutic inertia, herding, and errors in risk
   stratification knowledge translated into action (ERSKTA) based on
   commonly used stratification tools (Congestive heart failure,
   Hypertension, Age >= 75 years (double), Diabetes mellitus, previous
   Stroke/transient ischemic attack/thromboembolism (double), Vascular
   disease, Age 65-74 years, and female gender (score of 0 for males and 1
   for female) (CHA(2)DS(2)-VASc) and Congestive heart failure,
   Hypertension, Age years, Diabetes mellitus, and previous
   Stroke/transient ischemic attack (double) (CHADS(2))). Logistic
   regression analysis was conducted to determine factors associated with
   the outcomes. Results: Overall, 149 physicians were invited to
   participate, of which 88 (59.1%) completed the online assessment tool.
   Cardiology was the most frequent specialty (69.3%). Therapeutic inertia
   was present in 53 participants (60.2%), herding in 66 (75.0%), and
   ERSKTA in 46 (52.3%). Therapeutic inertia was inversely associated with
   willingness to take financial risks (odds ratio [OR] .72, 95% confidence
   interval [CI] .59-.89 per point in the financial risk propensity score),
   herding was associated with aversion to ambiguity in the medical domain
   (OR 5.35, 95% CI 1.40-20.46), and ERSKTA was associated with the
   willingness to take risks (OR 1.70, 95% CI 1.15-2.50, per point in
   score). Conclusions: Among physicians involved in stroke prevention in
   AF, individual risk preferences and aversion to ambiguity lead to
   therapeutic inertia, herding, and errors in risk stratification and
   subsequent use of oral anticoagulants. Educational interventions,
   including formal training in risk management and decision-making are
   needed.
RI Saposnik, Gustavo/M-3937-2017; Sposato, Luciano A/D-7782-2012; Stirling, Devin/
OI Saposnik, Gustavo/0000-0002-5950-9886; Sposato, Luciano
   A/0000-0001-6425-9343; Stirling, Devin/0000-0003-2453-9628
ZR 0
ZS 1
Z8 0
ZA 0
ZB 1
TC 6
Z9 6
U1 1
U2 3
SN 1052-3057
EI 1532-8511
UT WOS:000438139600014
PM 29650382
ER

PT J
AU Hall, Helen
   Leach, Matthew J.
   Brosnan, Caragh
   Cant, Robyn
   Collins, Melissa
TI Registered Nurses' communication about patients' use of complementary
   therapies: A national survey
SO PATIENT EDUCATION AND COUNSELING
VL 101
IS 8
BP 1403
EP 1409
DI 10.1016/j.pec.2018.03.010
PD AUG 2018
PY 2018
AB Objective: To identify communication patterns of Registered Nurses
   regarding patients' use of complementary therapies.
   Methods: A cross-sectional online survey conducted in 2017 recruited
   Australian Registered Nurses working in any area of nursing.
   Results: Responses of 614 Registered Nurses were analysed.
   Patient-initiated discussion of complementary therapies were common for
   77% of nurses; nurse-initiated discussions were perceived by 73%
   (sometimes/almost always/always). Nurses' personal use of complementary
   therapies predicted discussion with patients and education-based,
   oncology, or aged care/rehabilitation nurses were most likely to
   initiate dialogue. Many (55%) did not 'recommend' a particular therapy,
   although 12% 'almost always/always' did so. Four out of five nurses
   (84%) documented patients' use and communicated with medical/nursing
   colleagues about this use. Conversely, 61% 'never' or 'almost never'
   communicated with a complementary therapy practitioner.
   Conclusion: Nurses working in Australia often discuss complementary
   therapies, however they rarely specifically recommend their use. Their
   workplace environment and clinical context influenced nurses'
   willingness to communicate about complementary therapy use.
   Practice implications evidence: suggests the need for policy development
   to promote communication between mainstream healthcare providers and
   complementary therapy practitioners to support the delivery of safe,
   high quality patient care. (C) 2018 Elsevier B.V. All rights reserved.
RI Leach, Matthew J/ABD-7760-2021; Leach, Matthew J/A-2085-2008; Cant, Robyn/; Brosnan, Caragh/; Hall, Helen/
OI Leach, Matthew J/0000-0003-3133-1913; Cant, Robyn/0000-0001-5430-3275;
   Brosnan, Caragh/0000-0003-2104-4937; Hall, Helen/0000-0002-6647-620X
ZA 0
ZR 0
TC 4
Z8 0
ZS 1
ZB 1
Z9 6
U1 0
U2 8
SN 0738-3991
UT WOS:000437636700010
PM 29550294
ER

PT J
AU Yang, Fan
   Gannon, Brenda
   Weightman, Andrew
TI Public's Willingness to Pay Towards a Medical Device for Detecting Foot
   Ulceration in People with Diabetes
SO APPLIED HEALTH ECONOMICS AND HEALTH POLICY
VL 16
IS 4
BP 559
EP 567
DI 10.1007/s40258-018-0400-z
PD AUG 2018
PY 2018
AB Diabetic foot ulceration (DFU) is a common and serious complication
   among diabetic patients. A medical device has been developed to prevent
   the occurrence of DFU. The aim of this study was to investigate the
   willingness to pay (WTP) for this device among the general public in the
   UK.
   A contingent valuation survey was administered to 1051 participants
   through an online survey including questions on socio-demographic
   characteristics, self-reported health, knowledge of diabetes and medical
   devices, and WTP. A two-part model was used to analyse determinants of
   WTP, including a logistic model in the first part and a generalised
   linear model with a log-transformed WTP in the second part.
   More than half (55.9%) of the participants expressed a positive WTP. The
   annual mean (standard deviation) and median (interquartile range) WTP
   values were A 76.9 pound (69.1) and A 50 pound (80), respectively. Older
   age, middle-level education, good/excellent self-reported health,
   visiting doctors once/2-5 times, diabetes experience, medical device
   experience and more than average self-perceived likelihood of using
   similar devices were associated with a higher likelihood of willingness
   to pay. Younger age, male gender and higher household income were
   associated with higher WTP values.
   This study demonstrated that people are willing to pay for this device
   and they tend to contribute when they have experience of diabetes or
   similar devices and perceive self-benefit.
RI Yang, Fan/; Gannon, Brenda/D-2011-2017; Weightman, Andrew/
OI Yang, Fan/0000-0003-4689-265X; Gannon, Brenda/0000-0002-3672-4030;
   Weightman, Andrew/0000-0001-7232-4942
ZS 0
ZR 0
ZB 0
TC 1
ZA 0
Z8 0
Z9 1
U1 1
U2 7
SN 1175-5652
EI 1179-1896
UT WOS:000437152900012
PM 29948927
ER

PT J
AU Lone, M.
   McKenna, J. P.
   Cryan, J. F.
   Vagg, T.
   Toulouse, A.
   Downer, E. J.
TI Evaluation of an animation tool developed to supplement dental student
   study of the cranial nerves
SO EUROPEAN JOURNAL OF DENTAL EDUCATION
VL 22
IS 3
BP E427
EP E437
DI 10.1111/eje.12321
PD AUG 2018
PY 2018
AB IntroductionThe structure/function of the cranial nerves is a core topic
   for dental students. However, due to the perceived complexity of the
   subject, it is often difficult for students to develop a comprehensive
   understanding of key concepts using textbooks and models. It is accepted
   that the acquisition of anatomical knowledge can be facilitated by
   visualisation of structures. This study aimed to develop and assess a
   novel cranial nerve animation as a supplemental learning aid for dental
   students.
   Materials and MethodsA multidisciplinary team of anatomists,
   neuroscientists and a computer scientist developed a novel animation
   depicting the cranial nerves. The animation was viewed by newly enrolled
   first-year dental students, graduate entry dental students (year 1) and
   dental hygiene students (year 1). A simple life scenario employing the
   use of the cranial nerves was developed using a cartoon-type animation
   with a viewing time of 3.58minutes. The animation was developed with
   emphasis on a life scenario. The animation was placed online for 2weeks
   with open access or viewed once in a controlled laboratory setting.
   Questionnaires were designed to assess the participants' attitude
   towards the animation and their knowledge of the cranial nerves before
   and after visualisation. This study was performed before the delivery of
   core lectures on the cranial nerves.
   ResultsOur findings indicate that the use of the animation can act as a
   supplemental tool to improve student knowledge of the cranial nerves.
   Indeed, data indicate that a single viewing of the animation, in
   addition to 2-week access to the animation, can act as a supplemental
   learning tool to assist student understanding of the structure and
   function of cranial nerves. The animation significantly enhanced the
   student's opinion that their cranial nerve knowledge had improved. From
   a qualitative point of view, the students described the animation as an
   enjoyable and useful supplement to reading material/lectures and
   indicated that the animation was a useful tool in understanding the
   cranial nerves.
   ConclusionOverall, these findings indicate that an animation
   demonstrating the cranial nerves in a simple, everyday functional
   scenario may act as a learning aid in the study of cranial nerves.
RI Cryan, John F./A-6950-2013; Toulouse, Andre/A-3159-2009; Downer, Eric/; Lone, Mutahira/
OI Cryan, John F./0000-0001-5887-2723; Downer, Eric/0000-0002-6012-2291;
   Lone, Mutahira/0000-0002-0816-8049
ZS 0
ZR 0
Z8 0
ZB 0
TC 3
ZA 0
Z9 3
U1 0
U2 3
SN 1396-5883
EI 1600-0579
UT WOS:000436936300016
PM 29288542
ER

PT J
AU Epstein, Joel B.
   Smith, Derek K.
   Villines, Dana
   Parker, Ira
   Hameroff, Jeff
   Hill, Brian R.
   Murphy, Barbara A.
TI Patterns of oral and dental care education and utilization in head and
   neck cancer patients
SO SUPPORTIVE CARE IN CANCER
VL 26
IS 8
BP 2591
EP 2603
DI 10.1007/s00520-018-4099-z
PD AUG 2018
PY 2018
AB Purpose The purpose of this study was to examine patterns of oral health
   care among patients undergoing oral cancer therapy in order to better
   understand how oral care is being utilized, what types of providers are
   being utilized at various stages of cancer therapy, and assessing
   patients' satisfaction with the care they received at these stages.
   Methods An online survey was conducted via the Oral Cancer Foundation's
   support group message board. Participants were asked about their oral
   care immediately prior to cancer therapy, during cancer therapy, and
   post cancer therapy. The participants were also given the opportunity to
   provide open response feedback on their oral care which was analyzed
   qualitatively.
   Results Seventy-four participants completed the survey. Participants
   reported being informed that they needed to receive an oral evaluation
   72.6 and 53.6% of the time in the pre- and post-treatment stages,
   respectively. Compliance with this recommendation was 71.2% pre cancer
   therapy but dropped precipitously to 49.2% post cancer therapy. Pre- and
   post-therapy oral care was provided most commonly by the patient's usual
   dentist 41.1 and 55.9%, respectively, with medical providers
   predominating the treatment phase, 77.7%. Patients reported
   dissatisfaction rates of 29.0, 20.6, and 21.0% sequentially.
   Conclusions There is a general lack of consistency with how, when, and
   from whom oral cancer patients receive their oral health education. It
   is likely that this contributes to insufficient education resulting in
   high levels of patient dissatisfaction with their oral care.
ZR 0
ZA 0
ZB 1
TC 6
ZS 0
Z8 0
Z9 6
U1 1
U2 9
SN 0941-4355
EI 1433-7339
UT WOS:000436242800013
PM 29455300
ER

PT J
AU Tamioso, Priscilla Regina
   Rucinque, Daniel Santiago
   Miele, Mara
   Boissy, Alain
   Molento, Carla Forte Maiolino
TI Perception of animal sentience by Brazilian and French citizens: The
   case of sheep welfare and sentience
SO PLOS ONE
VL 13
IS 7
AR e0200425
DI 10.1371/journal.pone.0200425
PD JUL 25 2018
PY 2018
AB The study compared the perception of ordinary citizens from Curitiba,
   Brazil (OB) and Clermont-Ferrand, France (OF), as well as OB, Brazilian
   veterinarians (VB), biologists (BB) and animal scientists (AB),
   concerning animal welfare and sentience. An online survey containing 18
   open-ended, multiple choices and Likert scale questions was conducted
   from November 2014 to May 2016. The survey covered questions on
   demographics, perception of animal welfare, sheep welfare, sentience and
   animals' emotional capacities. In total, 1103 respondents participated
   in the survey (388 OB, 350 OF, 248 VB, 92 BB and 25 AB); data were
   compared using non-parametric tests. Brazilian citizens (46.9%) believed
   more than OF (3.7%) that welfare is not considered for farm animals and
   OB attributed higher scores of suffering to sheep during management
   procedures (median 4, severe suffering) than OF (3, moderate suffering).
   Additionally, OB gave higher scores of emotions to animals (5) than OF
   (4). In general, OB and BB had similar perceptions; OB and BB differed
   from VB and AB who were similar to each other. Citizens (46.9%) and BB
   (29.3%) believed more than VB (18.5%) and AB (12.0%) that welfare is not
   considered for farm animals; OB and BB also attributed higher scores of
   suffering to sheep during management procedures than VB and AB. Women
   and older respondents showed higher perception of animal welfare issues.
   There was no clear correlation between perception of animal welfare or
   sentience and education. Overall, ordinary citizens differed on their
   perceptions of welfare and sentience in livestock and specifically in
   sheep, and sheep suffering during management procedures. Ordinary
   citizens from Curitiba showed higher perception of animal welfare issues
   as compared to respondents from Clermont-Ferrand and to veterinarians
   and animal scientists. Ensuring a better consideration of welfare at
   farm level and in educational programs seems warranted according to the
   results of this study.
RI Miele, Mara/AAH-9160-2019; Rucinque, Daniel Santiago/; Tamioso, Priscilla Regina/
OI Rucinque, Daniel Santiago/0000-0003-0522-5746; Tamioso, Priscilla
   Regina/0000-0003-3141-9720
ZS 0
ZA 0
ZB 2
TC 3
ZR 0
Z8 0
Z9 3
U1 1
U2 12
SN 1932-6203
UT WOS:000439942500054
PM 30044857
ER

PT J
AU Riis, Allan
   Hartvigsen, Jan
   Rathleff, Michael Skovdal
   Afzali, Tamana
   Jensen, Martin Bach
TI Comparing satisfaction with a participatory driven web-application and a
   standard website for patients with low back pain: a study protocol for a
   randomised controlled trial (part of the ADVIN Back Trial)
SO TRIALS
VL 19
AR 399
DI 10.1186/s13063-018-2795-0
PD JUL 25 2018
PY 2018
AB Background: Low back pain (LBP) is the most common musculoskeletal
   disorder and a leading cause of disability worldwide. It impacts daily
   life and work capacity and is the most common reason for consulting a
   general practitioner (GP). According to international guidelines,
   information, reassurance, and advice are key components in the
   management of people with LBP; however, the consultation time available
   in general practice for each patient is often limited. Therefore, new
   methods to support the delivery of information and advice are needed and
   online technologies provide new opportunities to extend the consultation
   beyond the GP's office. However, it is not known whether GPs and people
   consulting their GP because of LBP will accept online technologies as
   part of the consultation. By involving patients in the development of
   online information, we may produce more user-friendly content and
   design, and improve patient acceptance and usage, optimising
   satisfaction and clinical outcomes. The purpose is to study satisfaction
   in people consulting their GP with LBP depending on whether they are
   randomised to receive supporting information through a new
   participant-driven web application or a standard reference website
   containing guideline-based information on LBP. It is hypothesised that
   patients offered information in a new web application will be more
   satisfied with the online information after 12 weeks compared to
   patients allocated to a standard website.
   Methods: Two hundred patients with LBP aged >= 18 years consulting
   Danish general practice will be randomly allocated 1:1 to either the new
   web application or standard online information in permuted blocks of
   two, four, and six. Patients with serious spinal diseases (cancer,
   fractures, spinal stenosis, spondyloarthritis), those without Danish
   reading skills or without online access, and pregnant women will not be
   included in the trial. Patient satisfaction measured by the Net Promotor
   Score after 12 weeks is the primary outcome. Patients will be aware of
   their allocation. GPs will be blinded unless informed by the patient
   Assessors are blinded.
   Discussion: To our knowledge, this is the first trial evaluating whether
   involving LBP patients in the development of an online web application
   will result in higher patient satisfaction.
OI Afzali, Tamana/0000-0001-8347-9878; Rathleff, Michael
   Skovdal/0000-0003-1173-0335; Jensen, Martin Bach/0000-0003-2162-7390;
   Riis, Allan/0000-0002-7009-3025; Hartvigsen, Jan/0000-0002-5876-7410
ZS 0
ZB 0
ZR 0
Z8 0
TC 3
ZA 0
Z9 3
U1 0
U2 9
EI 1745-6215
UT WOS:000439941000003
PM 30045749
ER

PT J
AU Yang, Young-Mo
   Lee, Jae-Joon
   Jeong, Eun
   Kim, Sun Young
   Han, Mi Ah
   Choi, Eun Joo
TI A survey of perceptions and attitudes about direct-to-consumer
   advertising of prescription drugs among college students in South Korea
SO PLOS ONE
VL 13
IS 7
AR e0201108
DI 10.1371/journal.pone.0201108
PD JUL 24 2018
PY 2018
AB Direct-to-consumer advertising (DTCA) of prescription drugs can be both
   beneficial and harmful to healthcare consumers. Therefore, DTCA for
   prescription drugs is a topic that should be considered crucially, at
   this point, when the interests of patients as well as pharmaceutical
   companies in DTCA of prescription drugs are growing in South Korea. The
   goals of this study were to investigate Korean college students'
   perceptions and attitudes about DTCA of prescription drugs through a
   survey as well as to analyze data according to their college majors in
   order to identify differences in their perceptions and attitudes about
   prescription drug DTCAs as future health care professionals and
   consumers, respectively. A descriptive, cross-sectional survey was
   conducted between September and November 2015. Participants were
   recruited from Chosun University in Gwangju, South Korea. Ethical
   approval for this study was obtained from the Chosun University
   Institutional Review Board. Of 1,040 questionnaires initially
   distributed, 774 were collected, and 742 were included in the analysis.
   The results of this study indicated that most students who had
   participated in the survey did not have sufficient knowledge of DTCA for
   prescription drugs. Approximately, 17% reported being cognizant of DTCA
   for prescription drugs. More healthcare students (24.6%) knew this term
   than non-healthcare students did (6.3%). In this study, most of the
   students were likely to feel that healthcare professionals (e.g.,
   doctors and pharmacists) had the responsibility of delivering
   information about prescription drugs to patients, and that all
   prescription drugs DTCA, if it were permitted, had to be pre-approved by
   the Korean government. The results of this study indicated that DTCA for
   prescription drugs had to be permitted under the condition of
   pre-approval of the DTCA contents by the Korean government, and
   prescription drugs should not be advertised through the Internet. It is
   recommended that the Korean government cautiously examine whether DTCA
   of prescription drugs should be permitted, after considering the current
   marketing strategies of pharmaceutical companies on the Internet and the
   effects of online electronic-DTCA on Korean consumers.
RI Kim, Sun/GSN-4867-2022
TC 1
ZA 0
Z8 0
ZS 0
ZR 0
ZB 0
Z9 1
U1 2
U2 6
SN 1932-6203
UT WOS:000439749200026
PM 30040833
ER

PT J
AU Zhang, Qing-Xia
   Li, Jie
   Zhang, Qin
   Li, Yi
   Lei, Cong-Han
   Shang, Bai-Xue
   Guan, Xiao-Shuang
   Zhang, Qing
TI Effect of Education by Messaging Software on the Quality of Bowel
   Preparation for Colonoscopy
SO CHINESE MEDICAL JOURNAL
VL 131
IS 14
BP 1750
EP 1752
DI 10.4103/0366-6999.235881
PD JUL 20 2018
PY 2018
ZR 0
ZS 0
ZB 3
Z8 1
TC 4
ZA 0
Z9 4
U1 0
U2 11
SN 0366-6999
UT WOS:000438436100019
PM 29998899
ER

PT J
AU McConnell, Meghan
   Gu, Ada
   Arshad, Aysha
   Mokhtari, Arastoo
   Azzam, Khalid
TI An innovative approach to identifying learning needs for intrinsic
   CanMEDS roles in continuing professional development
SO MEDICAL EDUCATION ONLINE
VL 23
IS 1
AR 1497374
DI 10.1080/10872981.2018.1497374
PD JUL 16 2018
PY 2018
AB Context: The CanMEDS framework promotes the development of competencies
   required to be an effective physician. However, it is still not well
   understood how to apply such frameworks to CPD contexts, particularly
   with respect to intrinsic competencies.
   Objective: This study explores whether physician narratives around
   challenging cases would provide information regarding learning needs
   that could help guide the development of CPD activities for intrinsic
   CanMEDS competencies.
   Methods: We surveyed medical and surgical specialists from Southern
   Ontario using an online survey. To assess perceived needs, participants
   were asked, 'Describe three CPD topic you would like to learn about in
   the next 12 months'. To identify learning needs that may have arisen
   from problems encountered in practice, participants were asked,
   'Describe three challenging situations encountered in the past 12
   months.' Responses to the two open-ended questions were analyzed using
   thematic content analysis.
   Results: Responses were received from 411 physicians, resulting in 226
   intrinsic CanMEDS codes for perceived learning needs and 210 intrinsic
   codes for challenges encountered in practices. Discrepancies in the
   frequency of intrinsic roles were observed between the two questions.
   Specifically, Leader (28%), Scholar (43%), and Professional (16%) roles
   were frequently described perceived learning needs, as opposed to
   challenges in practice (Leader: 3%; Scholar: 2%; and Professional: 8%.
   Conversely, Communicator 39%, Health Advocate 39%, and to a lesser
   extent Collaborator 11%) roles were frequently described in narratives
   surrounding challenges in practice, but appeared in <10% of descriptions
   of perceived learning needs (Communicator: 4%; Health Advocate 6%;
   Collaborator: 3%).
   Conclusion: The present study provides insight into potential learning
   needs associated with intrinsic CanMEDS competencies. Discrepancies in
   the frequency of intrinsic CanMEDS roles coded for perceived learning
   needs and challenges encountered in practice may provide insight into
   the selection and design of CPD activities.
OI Arshad, Aysha/0000-0002-2675-5925
TC 9
ZA 0
Z8 0
ZR 0
ZB 0
ZS 0
Z9 9
U1 0
U2 7
SN 1087-2981
UT WOS:000438773100001
PM 30010510
ER

PT J
AU Mitsuhashi, Toshiharu
TI Effects of two-week e-learning on eHealth literacy: a randomized
   controlled trial of Japanese Internet users
SO PEERJ
VL 6
AR e5251
DI 10.7717/peerj.5251
PD JUL 13 2018
PY 2018
AB Background. The Internet is widely used as a source of information by
   people searching for medical or healthcare information. However,
   information found on the Internet has several drawbacks, and the ability
   to consume accurate health information on the Internet (eHealth
   literacy) is increasingly important. This study's goal was to clarify
   the extent to which eHealth literacy is improved after e-learning in a
   randomized controlled trial.
   Methods. Data were collected on 301 Japanese adults through an online
   survey. Participants were assigned to the intervention (e-learning about
   eHealth literacy) group or the control group in a 1:1 ratio. The
   intervention group included 148 participants, and 153 participants were
   in the control group. The participants provided information at baseline
   on demographic characteristics, self-rated health, and frequency of
   Internet searching. The eHealth Literacy Scale (eHEALS), which was the
   main measure of eHealth literacy, and data on secondary outcomes (the
   Healthy Eating Literacy Scale and skill for evaluating retrieved search
   results) were obtained at baseline and at followup. The score difference
   was calculated by subtracting the score at baseline from the score at
   follow-up. Linear regression analysis and multinomial regression
   analysis were performed using the differences in score as the dependent
   variables and the intervention as the explanatory variable.
   Intention-to-treat analysis was employed.
   Results. The results from participants who responded to all of the
   questions both times were analyzed (134 in the intervention group and
   148 in the control group). eHEALS increased 1.57 points due to the
   intervention effect (Delta score change = 1.57; 95% CI [0.09-3.05]; p =
   0.037). Skills for evaluating retrieved search results improved more in
   the intervention group than in the control group (relative risk ratio =
   2.47; 95% Confidence Interval: 1.33, 4.59; p = 0.004). There were no
   large differences at baseline between the intervention and control
   groups in the eHEALS, Healthy Eating Literacy scale, or skill for
   evaluating retrieved search results. However, at follow-up, the
   intervention group had improved more than the control group on both the
   eHEALS and skill for evaluating retrieved search results.
   Discussion. eHealth literacy improved after the e-learning, as evidenced
   by the change to the eHEALS scores and increased skill for evaluating
   retrieved search results. There was no significant effect of e-learning,
   which did not include content on healthy eating, on the Healthy Eating
   Literacy Scale scores. This indicates that scores did not increase much
   due to effects other than e-learning, as is sometimes seen with the
   Hawthorne effect. Although it was statistically significant, the effect
   size was small. Therefore, future research is necessary to verify the
   clinical implications. In sum, this study suggests that e-learning is an
   effective way to improve eHealth literacy.
Z8 1
ZA 0
ZR 0
ZS 0
ZB 2
TC 16
Z9 17
U1 3
U2 18
SN 2167-8359
UT WOS:000438650500009
PM 30013857
ER

PT J
AU Rawson, Timothy M.
   Sivakumaran, Prasanthi
   Lobo, Rhannon
   Mahir, Gheed
   Rossiter, Adam
   Levy, Jeremy
   McGregor, Alison H.
   Lupton, Martin
   Easton, Graham
   Gill, Dipender
TI Development of a web-based tool for undergraduate engagement in medical
   research; the ProjectPal experience
SO BMC MEDICAL EDUCATION
VL 18
AR 166
DI 10.1186/s12909-018-1272-5
PD JUL 13 2018
PY 2018
AB Background: We report the development and evaluation of a web-based tool
   designed to facilitate student extra-curricular engagement in medical
   research through project matching students with academic supervisors. UK
   based university students were surveyed to explore their perceptions of
   undergraduate research, barriers and facilitators to current engagement.
   Following this, an online web-based intervention (www.ProjectPal.org)
   was developed to support access of students to research projects and
   supervisors. A pilot intervention was undertaken across a London-based
   university in January 2013 to February 2016. In March 2016, anonymised
   data were extracted from the prospective data log for analysis of
   website engagement and usage. Supervisors were surveyed to evaluate the
   website and student outputs.
   Results: Fifty-one students responded to the electronic survey.
   Twenty-four (47%) reported frustration at a perceived lack of
   opportunities to carry out extra-curricular academic projects. Major
   barriers to engaging in undergraduate research reported were
   difficulties in identifying suitable supervisors (33/51; 65%) and time
   pressures (36/51; 71%) associated with this. Students reported being
   opportunistic in their engagement with undergraduate research. Following
   implementation of the website, 438 students signed up to ProjectPal and
   the website was accessed 1357 times. Access increased on a yearly basis.
   Overall, 70 projects were advertised by 35 supervisors. There were 86
   applications made by students for these projects. By February 2016, the
   70 projects had generated 5 peer-review publications with a further 7
   manuscripts under peer-review, 14 national presentations, and 1 national
   prize.
   Conclusion: The use of an online platform to promote undergraduate
   engagement with extra-curricular research appears to facilitate
   extra-curricular engagement with research. Further work to understand
   the impact compared to normal opportunistic practices in enhancing
   student engagement is now underway.
RI Easton, Graham/K-8359-2019; Rawson, Timothy/AAH-1662-2019; Gill, Dipender/
OI Rawson, Timothy/0000-0002-2630-9722; Gill, Dipender/0000-0001-7312-7078
ZB 0
ZA 0
TC 2
Z8 0
ZR 0
ZS 2
Z9 3
U1 1
U2 5
SN 1472-6920
UT WOS:000438577100004
PM 30005595
ER

PT J
AU Gaupp, Rainer
   Fabry, Goetz
   Koerner, Mirjam
TI Self-regulated learning and critical reflection in an e-learning on
   patient safety for third-year medical students
SO INTERNATIONAL JOURNAL OF MEDICAL EDUCATION
VL 9
BP 189
EP 194
DI 10.5116/ijme.5b39.d5a8
PD JUL 12 2018
PY 2018
AB Objectives: To explore the influence of critical thinking,
   self-regulated learning and system usability on the acceptance of
   e-learning on patient safety.
   Methods: A cross-sectional study was conducted, using a 32-question
   online survey. One hundred ninety-three (n= 193 medical students
   participated in the study and were asked to rate levels of reflective
   thinking, self-regulated learning and attitudes towards patient safety
   using scales from the Questionnaire for Reflective Thinking, the
   Attitudes to Patient Safety Questionnaire and the System Usability
   Scale. Differences between reflection levels were calculated using
   paired t-tests, associations between critical thinking and
   self-regulated learning were calculated using linear correlations. We
   performed linear multiple regression analysis to identify predictors for
   student acceptance of the e-learning.
   Results: Students (n= 193) engaged in intermediate levels of reflection
   (5-point Likert, M= 3.62, SD= 0.73) and significantly (t((143))= 15.15,
   p< 0.001, d= 1.57) lower levels (M= 2.35, SD= 0.87) of critical
   reflection. Most students showed high (>= 4; 44.1%) or intermediate (< 4
   level > 2; 29.4 %) levels of self-regulated learning. A regression model
   indicated that 5 predictors (Reflection, critical reflection,
   selfregulated learning, relevance, usability) explained 65.3% of the
   variance (R-2 = 0.653, F-(5,F- 96)= 39.02, p< 0.01) of perceived total
   quality.
   Conclusions: This study shows that reflection and learning skills are
   important factors for e-learning acceptance, but perceived relevance and
   system usability play a more important role. From a didactic
   perspective, it is indispensable to provide the students with sufficient
   examples and links to professional practice to enhance the perception of
   relevance and to improve system usability permanently.
ZB 3
TC 11
Z8 0
ZR 0
ZA 0
ZS 1
Z9 12
U1 0
U2 7
SN 2042-6372
UT WOS:000438578600001
PM 30007950
ER

PT J
AU Breitkopf, Carmen Radecki
   Patricia Williams, Karen
   Ridgeway, Jennifer L.
   Parker, Monica W.
   Strong-Simmons, Alice
   Hayes, Sharonne N.
   Halyard, Michele Y.
TI Linking Education to Action: A Program to Increase Research
   Participation Among African American Women
SO JOURNAL OF WOMENS HEALTH
VL 27
IS 10
BP 1242
EP 1249
DI 10.1089/jwh.2017.6791
EA JUL 2018
PD OCT 2018
PY 2018
AB Background: Underrepresentation of African American women as research
   participants contributes to health disparities. Contemporary studies
   have focused on clinical trial (CT) participation; epidemiologic and
   genetic studies utilizing medical records and/or biological samples have
   received less attention. In partnership with The Links, Incorporated
   (The Links), a national service organization of professional African
   American women, this study sought to examine attitudes regarding chart
   review (CR) studies, genetic studies/biobanking (GEN), and CTs; develop;
   and evaluate an online education-to-action program. Methods: In phase 1,
   focus groups were convened with members of The Links to inform the
   content and format of the program. Phases 2 and 3 involved designing and
   evaluating the program, respectively. Results: Thirty-four women across
   three focus groups shared attitudes and perceptions regarding research
   and provided guidance for program development. Subsequently, 244 women
   completed the program (77% response rate), including pre- and
   post-assessments. Participants indicating that they definitely or
   probably (responses combined) intend to participate in research
   increased from 36.5% to 69.3% (pre/post-program). Agreement with the
   statement research in the U.S. is ethical increased (52.9% to 74.4%) as
   did factual knowledge regarding each of the study types. There was a
   decrease in reporting little or no understanding of study types
   (Pre/Post: GEN: 66%/24.9%, CR: 62.9%/18.4%, CTs: 40.7%/15.5%).
   Pre-program, few were very positive about the study types (14.3% GEN,
   15.0% CR, 28.6% CTs); post-program ratings increased and equalized
   (42.8% GEN, 43.0% CR, 42.5% CTs). Conclusions: An online
   education-to-action program targeting professional African American
   women improved knowledge, perceptions of ethics, and intent to
   participate in biomedical research.
ZS 0
ZA 0
Z8 0
ZR 0
ZB 3
TC 5
Z9 5
U1 0
U2 1
SN 1540-9996
EI 1931-843X
UT WOS:000437802700001
PM 29975586
ER

PT J
AU Fischbein, Rebecca
   Nicholas, Lauren
   Aultman, Julie
   Baughman, Kristin
   Falletta, Lynn
TI Twin-twin transfusion syndrome screening and diagnosis in the United
   States: A triangulation design of patient experiences
SO PLOS ONE
VL 13
IS 7
AR e0200087
DI 10.1371/journal.pone.0200087
PD JUL 5 2018
PY 2018
AB Objective
   Using patient-reported experiences, this study: 1) quantitatively
   evaluated TTTS screening trends, 2) examined screening and diagnostic
   experiences using a mixed methods approach, and 3) determined gaps in
   clinical care experiences.
   Design
   This was a cross-sectional study. Data was collected using a
   self-report, retrospective survey. A triangulation design was used to
   validate quantitative survey data with thematically analyzed qualitative
   data.
   Setting
   Participants were recruited through social media and national
   foundations and completed the survey online.
   Participants
   Participants were 312 women who completed a TTTS pregnancy in the United
   States, representing the largest survey of participants who have
   experienced TTTS.
   Methods
   Descriptive statistics and bivariate analyses were conducted.
   Multivariate logistic regression examined predictors of ultrasound
   frequency. Qualitative data were initially coded by hand and checked
   using qualitative software.
   Results
   The percentages of participants reporting guideline recommended
   screening, including identification of pregnancy type by gestational
   week 13 and timely receipt of ultrasounds, increased over time. However,
   44.6% of participants diagnosed in recent years (2014 and later),
   reported that prior to TTTS diagnosis, they did not receive biweekly or
   more frequent ultrasounds. Three patient-reported provider practices
   were related to receiving ultrasounds at the recommended frequency: (1)
   determining MCDA status prior to gestational week 14, (2) providing
   participants with early warnings about the risk of TTTS to their
   pregnancies after MCDA status had been determined, and (3) referring
   participants to a Maternal-Fetal Medicine Specialist after MCDA
   identification, as validated by qualitative data. Our qualitative data
   revealed gaps in effective clinical care experiences among OB/GYN and
   specialist providers.
   Conclusion
   These findings indicate screening and diagnosis for TTTS, as reported by
   patients, is improving in the United States; however, further efforts
   are required to ensure all patients receive appropriate screening,
   education and a team-based approach to comprehensive and supportive
   clinical care.
RI Baughman, Kristin R/B-8991-2009; Fischbein, Rebecca/AAH-7838-2019; Fischbein, Rebecca L/X-1024-2018; Aultman, Julie/AAM-3491-2020
OI Baughman, Kristin R/0000-0002-3128-3627; Fischbein,
   Rebecca/0000-0002-4373-2039; Fischbein, Rebecca L/0000-0002-4373-2039; 
TC 2
ZR 1
ZS 0
ZA 0
Z8 0
ZB 1
Z9 3
U1 1
U2 3
SN 1932-6203
UT WOS:000437424500066
PM 29975770
ER

PT J
AU Lee, Paul H.
   Fu, Baoguo
   Cai, Wangting
   Chen, Jingya
   Yuan, Zhenfei
   Zhang, Lifen
   Ying, Xiuhong
TI The effectiveness of an on-line training program for improving knowledge
   of fire prevention and evacuation of healthcare workers: A randomized
   controlled trial
SO PLOS ONE
VL 13
IS 7
AR e0199747
DI 10.1371/journal.pone.0199747
PD JUL 5 2018
PY 2018
AB Background
   Hospitals are vulnerable to fires and the evacuation process is
   challenging. However, faceto-face fire prevention and evacuation
   training may take healthcare workers' time away from patient care;
   therefore, effective on-line training may be warranted. We carried out
   and examined the effectiveness of an on-line education and training of
   fire prevention and evacuation training for healthcare workers in China
   by a randomized controlled trial using convenience sampling from five
   public hospitals in China.
   Methods
   A total of 128 participants were recruited between December 2014 and
   March 2015. The authors built a webpage that included the informed
   consent statement, pre-test questionnaire, video training, and post-test
   questionnaire. After completing the pre-test questionnaire, participants
   were randomly assigned to watch the intervention video (basic response
   to a hospital fire) or the control video (introduction to volcanic
   disasters). A 45-item questionnaire on knowledge of fire prevention and
   evacuation was administered before and after the video watching. This
   questionnaire were further divided into two subscales (25-item generic
   knowledge of fire response and 20-item hospital-specific knowledge of
   fire prevention and evacuation). One point was awarded for each correct
   answer.
   Results
   Half of the participants (n = 64, 50%) were randomized into the
   intervention group and the remaining 64 (50%) were randomized into the
   control group. For generic knowledge of fire prevention and evacuation,
   those in the intervention group improved significantly (from 16.16 to
   20.44, P < 0.001) while the scores of those in the control group
   decreased significantly (from 15.27 to 13.70, P = 0.03). For
   hospital-specific knowledge of fire prevention and evacuation, those in
   the intervention group (from 10.75 to 11.33, P = 0.15) and the control
   group (from 10.38 to 10.16, P = 0.54) had insignificant change. For
   total score, those in the intervention group improved significantly
   (from 26.91 to 31.77, P< 0.001) while those in the control group
   decreased insignificantly (from 25.64 to 23.86, P = 0.07). After the
   intervention, the difference between the scores of the intervention
   group and the control group on all three knowledge areas of fire
   prevention and evacuation (generic, hospital-specific, and total) were
   significant (all Ps < 0.05).
   Conclusions
   An on-line fire training program delivered via educational video can
   effectively improve healthcare workers' knowledge of fire prevention and
   evacuation.
RI Lee, Paul/F-2549-2010
OI Lee, Paul/0000-0002-5729-6450
ZR 0
Z8 0
ZA 0
ZS 0
TC 4
ZB 0
Z9 4
U1 3
U2 14
SN 1932-6203
UT WOS:000437424500045
PM 29975723
ER

PT J
AU Ho, Cheng-Maw
   Wang, Jann-Yuan
   Yeh, Chi-Chuan
   Wu, Yao-Ming
   Ho, Ming-Chih
   Hu, Rey-Heng
   Lee, Po-Huang
TI Efficient undergraduate learning of liver transplant: building a
   framework for teaching subspecialties to medical students
SO BMC MEDICAL EDUCATION
VL 18
AR 161
DI 10.1186/s12909-018-1267-2
PD JUL 4 2018
PY 2018
AB Background: Liver recipients may develop various diseases after
   transplant. However, because of inadequate study of liver transplant
   during undergraduate education, the quality of post-transplant care
   provided to these patients remains suboptimal. Herein, we introduce an
   innovative and integrated multimodal pedagogical approach to effectively
   disseminate key information regarding liver transplant to undergraduate
   students. The goal is to examine this approach through students'
   assessment in multiple dimensions.
   Methods: This prospective observational study evaluated student
   reactions to our pedagogical approach. Fifth-year medical students
   during the academic year 2015-2016 attended a 2-h session on what
   nontransplant doctors should know about liver transplants. The
   pedagogical strategy consisted of an online preclass self-learning
   exercise, an in-class interactive discussion (facilitated by the class
   teacher who is a liver transplant specialist to avoid distractions
   within the short-time frame), and a postclass essay assignment (to
   integrate and apply concepts). After the class, questionnaires were
   distributed to individual students to collect data, if returned,
   concerning the students' learning experience and feedback to improve
   teaching quality. Descriptive statistics, Mann-Whitney U tests,
   chi-squared tests, and McNemar's tests were used to analyze quantitative
   data. Qualitative data were content-coded through a descriptive approach
   using thematic analysis.
   Results: Of the 266 attendees, 263 (98.9%) completed the questionnaires
   and 182 (69.2%) provided comments. Student feedback indicated they "felt
   better" and "more satisfied" compared with problem-based learning (PBL)
   (51.0 and 63.1%, respectively) or large-lecture class (92.0 and 88.6%,
   respectively) approaches. Regarding confidently managing liver
   transplant patients in future, 80 (30.4%) and 246 (93.5%) students
   expressed preclass and postclass confidence, respectively (p < 0.001).
   The bell curve of the postclass self-assessment score of learning
   shifted toward right and became steeper compared with that of the
   preclass score (p < 0.001), suggesting students acquired considerable
   knowledge. The course was typically perceived to be cost-effective,
   practical, tension-free, and student-friendly.
   Conclusion: This pedagogical approach effectively propagated knowledge
   concerning liver transplant to medical students, who expressed
   considerable satisfaction with the approach.
RI ARSLAN, Okan/AAA-3232-2020; Ho, Ming-Chih/AAR-9783-2021; WANG, JANN-YUAN/; YEH, CHI-CHUAN/; HU, REY-HENG/; Ho, Cheng-Maw/; LEE, PO-HUANG/; WU, YAO-MING/
OI Ho, Ming-Chih/0000-0003-3660-1062; WANG, JANN-YUAN/0000-0003-3406-366X;
   YEH, CHI-CHUAN/0000-0003-4455-8981; HU, REY-HENG/0000-0001-6709-031X;
   Ho, Cheng-Maw/0000-0003-1874-7615; LEE, PO-HUANG/0000-0001-5831-035X;
   WU, YAO-MING/0000-0002-1720-7863
TC 5
ZR 0
ZA 0
Z8 0
ZS 0
ZB 3
Z9 5
U1 0
U2 12
SN 1472-6920
UT WOS:000437364300002
PM 29973216
ER

PT J
AU Nieroda, Marzena Ewa
   Lophatananon, Artitaya
   McMillan, Brian
   Chen, Li-Chia
   Hughes, John
   Daniels, Rona
   Clark, James
   Rogers, Simon
   Muir, Kenneth Ross
TI Online Decision Support Tool for Personalized Cancer Symptom Checking in
   the Community (REACT): Acceptability, Feasibility, and Usability Study
SO JMIR CANCER
VL 4
IS 2
AR e10073
DI 10.2196/10073
PD JUL 4 2018
PY 2018
AB Background: Improving cancer survival in the UK, despite recent
   significant gains, remains a huge challenge. This can be attributed to,
   at least in part, patient and diagnostic delays, when patients are
   unaware they are suffering from a cancerous symptom and therefore do not
   visit a general practitioner promptly and/or when general practitioners
   fail to investigate the symptom or refer promptly. To raise awareness of
   symptoms that may potentially be indicative of underlying cancer among
   members of the public a symptom-based risk assessment model (developed
   for medical practitioner use and currently only used by some UK general
   practitioners) was utilized to develop a risk assessment tool to be
   offered to the public in community settings. Such a tool could help
   individuals recognize a symptom, which may potentially indicate cancer,
   faster and reduce the time taken to visit to their general practitioner.
   In this paper we report results about the design and development of the
   REACT (Risk Estimation for Additional Cancer Testing) website, a tool to
   be used in a community setting allowing users to complete an online
   questionnaire and obtain personalized cancer symptom-based risk
   estimation.
   Objective: The objectives of this study are to evaluate (1) the
   acceptability of REACT among the public and health care practitioners,
   (2) the usability of the REACT website, (3) the presentation of
   personalized cancer risk on the website, and (4) potential approaches to
   adopt REACT into community health care services in the UK.
   Methods: Our research consisted of multiple stages involving members of
   the public (n=39) and health care practitioners (n=20) in the UK. Data
   were collected between June 2017 and January 2018. User views were
   collected by (1) the "think-aloud" approach when participants using the
   website were asked to talk about their perceptions and feelings in
   relation to the website, and (2) self-reporting of website experiences
   through open-ended questionnaires Data collection and data analysis
   continued simultaneously, allowing for website iterations between
   different points of data collection.
   Results: The results demonstrate the need for such a tool. Participants
   suggest the best way to offer REACT is through a guided approach, with a
   health care practitioner (eg, pharmacist or National Health Service
   Health Check nurse) present during the process of risk evaluation. User
   feedback, which was generally consistent across members of public and
   health care practitioners, has been used to inform the development of
   the website. The most important aspects were: simplicity, ability to
   evaluate multiple cancers, content emphasizing an inviting community
   "feel," use (when possible) of layperson language in the symptom
   screening questionnaire, and a robust and positive approach to cancer
   communication relying on visual risk representation both with affected
   individuals and the entire population at risk.
   Conclusions: This study illustrates the benefits of involving public and
   stakeholders in developing and implementing a simple cancer symptom
   check tool within community It also offers insights and design
   suggestions for user-friendly interfaces of similar health care
   Web-based services, especially those involving personalized risk
   estimation.
RI McMillan, Brian/J-8932-2019; Nieroda, Marzena/AAV-6852-2021; Clark, James/; Nieroda, Marzena/; Chen, Li-Chia/
OI McMillan, Brian/0000-0002-0683-3877; Clark, James/0000-0002-2992-4456;
   Nieroda, Marzena/0000-0001-5462-1986; Chen, Li-Chia/0000-0002-6158-6645
Z8 0
TC 5
ZS 0
ZR 0
ZB 0
ZA 0
Z9 5
U1 0
U2 5
SN 2369-1999
UT WOS:000453447400001
PM 29973334
ER

PT J
AU Sharma, Malika
   Chris, Allison
   Chan, Arlene
   Knox, David C.
   Wilton, James
   McEwen, Owen
   Mishra, Sharmistha
   Grace, Daniel
   Rogers, Tim
   Bayoumi, Ahmed M.
   Maxwell, John
   Shahin, Rita
   Bogoch, Isaac
   Gilbert, Mark
   Tan, Darrell H. S.
TI Decentralizing the delivery of HIV pre-exposure prophylaxis (PrEP)
   through family physicians and sexual health clinic nurses: a
   dissemination and implementation study protocol
SO BMC HEALTH SERVICES RESEARCH
VL 18
AR 513
DI 10.1186/s12913-018-3324-2
PD JUL 3 2018
PY 2018
AB Background: Gay, bisexual and other men who have sex with men (gbMSM) in
   Canada continue to experience high rates of incident HIV. Pre-exposure
   prophylaxis (PrEP, the regular use of anti-HIV medication) reduces HIV
   acquisition and could reduce incidence. However, there are too few
   physicians with expertise in HIV care to meet the projected demand for
   PrEP. To meet demand and achieve greater public health impact, PrEP
   delivery could be 'decentralized' by incorporating it into front-line
   prevention services provided by family physicians (FPs) and sexual
   health clinic nurses.
   Methods: This PrEP decentralization project will use two strategies. The
   first is an innovative knowledge dissemination approach called
   'Patient-Initiated CME' (PICME), which aims to empower individuals to
   connect their family doctors with online, evidence-based, continuing
   medical education (CME) on PrEP. After learning about the project
   through community agencies or social/sexual networking applications,
   gbMSM interested in PrEP will use a uniquely coded card to access an
   online information module that includes coaching on how to discuss their
   HIV risk with their FP. They can provide their physician a link to the
   accredited CME module using the same card. The second strategy involves
   a pilot implementation program, in which gbMSM who do not have a FP may
   bring the card to designated sexual health clinics where trained nurses
   can deliver PrEP under a medical directive. These approaches will be
   evaluated through quantitative and qualitative methods, including:
   questionnaires administered to patients and physicians at baseline and
   at six months; focus groups with patients, FPs, and sexual health clinic
   staff, and review of sexual health clinic charts. The primary objective
   is to quantify the uptake of PrEP achieved using each decentralization
   strategy. Secondary objectives include a) characterizing barriers and
   facilitators to PrEP uptake for each strategy, b) assessing fidelity to
   core components of PrEP delivery within each strategy, c) measuring
   patient-reported outcomes including satisfaction with clinician-patient
   relationships, and d) conducting a preliminary costing analysis.
   Discussion: This study will assess the feasibility of a novel strategy
   for disseminating knowledge about evidence-based clinical interventions,
   and inform future strategies for scale-up of an underutilized HIV
   prevention tool.
RI Bogoch, Isaac/AAS-9631-2020; Wilton, James/; Mishra, Sharmistha/
OI Wilton, James/0000-0002-2295-7511; Mishra,
   Sharmistha/0000-0001-8492-5470
TC 13
ZA 0
ZB 2
ZS 0
Z8 0
ZR 0
Z9 13
U1 1
U2 15
SN 1472-6963
UT WOS:000437413600005
PM 29970087
ER

PT J
AU Feenstra, K. Anton
   Abeln, Sanne
   Westerhuis, Johan A.
   dos Santos, Filipe Brancos
   Molenaar, Douwe
   Teusink, Bas
   Hoefsloot, Huub C. J.
   Heringa, Jaap
TI Training for translation between disciplines: a philosophy for life and
   data sciences curricula
SO BIOINFORMATICS
VL 34
IS 13
BP 4
EP 12
DI 10.1093/bioinformatics/bty233
PD JUL 1 2018
PY 2018
AB Motivation: Our society has become data-rich to the extent that research
   in many areas has become impossible without computational approaches.
   Educational programmes seem to be lagging behind this development. At
   the same time, there is a growing need not only for strong data science
   skills, but foremost for the ability to both translate between tools and
   methods on the one hand, and application and problems on the other.
   Results: Here we present our experiences with shaping and running a
   masters' programme in bioinformatics and systems biology in Amsterdam.
   From this, we have developed a comprehensive philosophy on how
   translation in training may be achieved in a dynamic and
   multidisciplinary research area, which is described here. We furthermore
   describe two requirements that enable translation, which we have found
   to be crucial: sufficient depth and focus on multidisciplinary topic
   areas, coupled with a balanced breadth from adjacent disciplines.
   Finally, we present concrete suggestions on how this may be implemented
   in practice, which may be relevant for the effectiveness of life science
   and data science curricula in general, and of particular interest to
   those who are in the process of setting up such curricula.
CT 26th Annual Conference on Intelligent Systems for Molecular Biology
   (ISMB)
CY JUL 06-10, 2018
CL Chicago, IL
RI Feenstra, Anton/H-9195-2019; Branco dos Santos, Filipe/; Teusink, Bas/; Abeln, Sanne/; Molenaar, Douwe/D-2017-2010
OI Feenstra, Anton/0000-0001-6755-9667; Branco dos Santos,
   Filipe/0000-0002-4268-8080; Teusink, Bas/0000-0003-3929-0423; Abeln,
   Sanne/0000-0002-2779-7174; Molenaar, Douwe/0000-0001-7108-4545
ZR 0
Z8 0
TC 2
ZA 0
ZB 2
ZS 0
Z9 2
U1 0
U2 8
SN 1367-4803
EI 1460-2059
UT WOS:000438247800002
PM 29950011
ER

PT J
AU Green, Kimberly E.
   Vu, Bao N.
   Phan, Huong T. T.
   Tran, Minh H.
   Ngo, Huu V.
   Vo, Son H.
   Ngo, Trang M.
   Doan, Anh H.
   Tran, Tham T.
   Nguyen, Trang N. N.
   Bao, An
   Hang, Lan T. X.
   Le, Thanh M.
   Doan, Tung T.
   Dang, Linh H.
   Ha, Giang T. T.
TI From conventional to disruptive: upturning the HIV testing status quo
   among men who have sex with men in Vietnam
SO JOURNAL OF THE INTERNATIONAL AIDS SOCIETY
VL 21
SI SI
AR e25127
DI 10.1002/jia2.25127
SU 5
PD JUL 2018
PY 2018
AB Introduction HIV prevalence among men who have sex with men (MSM) in
   Vietnam is increasing, while annual HIV testing uptake has remained
   consistently low, posing a significant challenge to reaching the
   90-90-90 goals. Barriers to MSM seeking HIV testing include concerns
   regarding confidentiality and lack of convenient testing options. Two
   new HIV testing strategies -HIV lay provider and HIV self-testing
   (HIVST)were piloted alongside intensive social media outreach to
   increase access to and uptake of HIV testing among MSM not actively
   engaged in services.
   Methods We measured the proportion of first-time MSM HIV testers opting
   for HIV lay or self-testing, and factors that were associated with
   first-time testing, as part of a larger HIV lay and self-testing study
   among key populations in Vietnam. We also assessed MSM satisfaction with
   HIV lay or self-testing, and testing location and provider preferences.
   Finally, we calculated linkage to care cascade among MSM that were
   diagnosed and enrolled in anti-retroviral therapy (ART) services.
   Results Among MSM that sought HIV lay and self-testing, 57.9% (n=320)
   and 51.3% (n=412) were first-time testers respectively. In the final
   adjusted models, the odds of being a first-time tester and opting for
   HIV lay testing were higher among MSM who were young, had lower levels
   of income and had never exchanged sex for money; for HIVST, the odds of
   being a first-time HIV tester were higher among MSM that had attained
   lower levels of education. HIV lay and self-testing resulted in higher
   detection of new HIV cases (6.8%) compared to conventional HIV testing
   among key populations (estimated at 1.6% in 2016), while MSM linked to
   testing through social media interventions presented with even higher
   HIV-positivity (11%). Combined, 1655 HIV cases were diagnosed and more
   than 90% were registered for ART services.
   Conclusions Our findings suggest that MSM-delivered HIV testing and
   self-testing, promoted through online or face-to-face interactions,
   offer important additions to MSM HIV testing services in Vietnam, and
   could significantly contribute to epidemic control by increasing HIV
   testing among harder-to-reach and higher-risk MSM, effectively enrolling
   them in ART, and reducing onward transmission.
ZA 0
ZB 13
TC 32
ZS 0
ZR 0
Z8 0
Z9 32
U1 2
U2 3
EI 1758-2652
UT WOS:000439824900008
PM 30033557
ER

PT J
AU Shofler, David W.
   Bosia, Kathryn
   Harkless, Lawrence
TI Fourth-Year Podiatric Medical Student Perspectives on Clerkships and
   Residency Selection
SO JOURNAL OF THE AMERICAN PODIATRIC MEDICAL ASSOCIATION
VL 108
IS 4
BP 311
EP 319
DI 10.7547/17-033
PD JUL-AUG 2018
PY 2018
AB Background: The fourth year of podiatric medical school is an important
   period in the education of the podiatric medical student, a period that
   consists largely of month-long clerkships. Nonetheless, there has been
   limited formal study of the quality of learning experiences during this
   period. Furthermore, there is limited knowledge of how podiatric medical
   students evaluate residency programs during clerkships.
   Methods: An online survey was developed and distributed electronically
   to fourth-year podiatric medical school students. The focus of the
   survey was the quality of learning experiences during externships, and
   decision making in ranking residency programs.
   Results: The most valuable learning experiences during clerkships were
   interactions with attending physicians, interactions with residents, and
   general feedback in surgery. Students self-identified that they most
   improved in the following areas during clerkships: forefoot surgery,
   clinical podiatry skills, and rearfoot surgery. The areas in which
   students improved the least were research, pediatrics, and practice
   management. The three most important factors students considered as they
   created their rank list were hands-on resident participation in surgical
   training, the attitude and personality of the residents, and the
   attitude and personality of the attending physicians. A range of
   surgical interest was identified among students, and students lacking in
   surgical interest self-reported less improvement in various surgical
   topics.
   Conclusions: The perspectives of fourth-year podiatric medical students
   are currently an underused resource. Improved understanding can help
   residency programs improve the quality of associated learning
   experiences and can make their programs more appealing to potential
   residency candidates.
TC 1
ZB 0
ZR 0
ZA 0
Z8 0
ZS 0
Z9 1
U1 0
U2 0
SN 8750-7315
EI 1930-8264
UT WOS:000457995200007
PM 30156885
ER

PT J
AU Shafi, Zahra
   Ullah, Muhammad Rizwan
   Qayyum, Saad
   Waqar, Hafiza Yusra
TI Do our Students Know About Acne: A Cross Sectional Study from King
   Edward Medical University, Lahore
SO PAKISTAN JOURNAL OF MEDICAL & HEALTH SCIENCES
VL 12
IS 3
BP 1230
EP 1232
PD JUL-SEP 2018
PY 2018
AB Aim: To assess the knowledge of AHS and Nursing students of KEMU
   regarding acne.
   Method: A cross-sectional study in 100 AHS and nursing students was
   conducted using a self-administered questionnaire.
   Result: Of the 100 respondents, 85% considered frequent face washing as
   effective treatment, whereas 93% students considered taking into account
   consultant's opinion. Regarding causative agent, 94% students believed
   that hormones are responsible while only 9% considered it hereditary.
   Students considered oily skin (90%) as the most important aggravating
   factor. Contrary to literature, Diet (87%) and poor hygiene (87%) were
   considered important aggravating factors, which highlights students'
   ignorance. The greatest psychosocial effect entailed was embarrassment
   (64%). Online resources and educational texts were the main sources
   contributing to students' knowledge.
   Conclusion: Results of this study not only pointed out the
   misconceptions of students but also depicted their outdated knowledge.
   It unveiled that a quarter of them didn't opt for treatment which is
   troublesome. Hence health education programs on acne should be
   incorporated in policy making not only to improve students' knowledge
   but to also satisfy patients in primary and secondary levels without
   burdening tertiary care.
ZB 0
TC 0
ZA 0
ZS 0
ZR 0
Z8 0
Z9 0
U1 1
U2 1
SN 1996-7195
UT WOS:000457655800112
ER

PT J
AU Hagg, Emily
   Dahinten, V. Susan
   Currie, Leanne M.
TI The emerging use of social media for health-related purposes in low and
   middle-income countries: A scoping review
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 115
BP 92
EP 105
DI 10.1016/j.ijmedinf.2018.04.010
PD JUL 2018
PY 2018
AB Background: Social media allows for instant access to, and dissemination
   of, information around the globe. Access to social media in low- and
   middle-income countries has increased exponentially in recent years due
   to technological advances. Despite this growth, the use of social media
   in low- and middle-income countries is less well-researched than in
   high-income countries.
   Objective: To identify, explore and summarize the current state of the
   literature on the use of social media for health in low- and
   middle-income countries.
   Methods: A scoping review was conducted on literature available to
   December 2017. Six databases were searched, and grey literature was
   identified through the Google and Google Scholar search engines.
   Literature was considered for inclusion if it (1) was published in
   English, (2) was conducted in or in relation to a low or middle-income
   country, (3) reported on as least one type of social media or social
   media use generally for health purposes, and (4) reported on at least
   one aspect of human health. Content analysis was performed to identify
   themes.
   Results: Forty articles met the inclusion criteria. Thirty-one were
   research articles, and nine were review/discussion/descriptive and
   evaluative reports. Since 2010, when the first article was published,
   most of the literature has focused on Asian (n=15) and African (n=12)
   countries. Twitter (n=11) and Facebook (n=10) were the most frequently
   discussed individual social media platforms. Four themes were
   identified: (1) use for health education and influence (sub-themes were
   health behaviour and health education); (2) use within infectious
   disease and outbreak situations; (3) use within natural disaster,
   terrorism, crisis and emergency response situations; and (4) producers
   and consumers of social media for health (sub-themes were
   misinformation, organizational challenges, users' expectations, and
   challenges of unique sub-populations). Most studies addressed more than
   one theme.
   Conclusion: Social media has the ability to facilitate disease
   surveillance, mass communication, health education, knowledge
   translation, and collaboration amongst health providers in low- and
   middle-income countries. Misinformation or poorly communicated
   information can contribute to negative health behaviours and adverse
   health outcomes amongst consumers, as well as hysteria and chaos.
   Organizations using social media should provide accurate and readable
   information. Promotion of credible social media sites by governments,
   health care professionals and researchers, as well as education on the
   appropriate use of social media, could help to lessen the effect of
   misinformation. This is a nascent body of literature and future research
   should investigate the relative effectiveness of various platforms for
   different users, other potential uses, and pursue a broader geographical
   focus.
OI Dahinten, Virginia Susan/0000-0002-5469-922X
ZS 1
Z8 0
TC 42
ZR 0
ZB 9
ZA 0
Z9 43
U1 4
U2 72
SN 1386-5056
EI 1872-8243
UT WOS:000432659000011
PM 29779724
ER

PT J
AU Bourne, Ruth
   Tweedie, Judith
   Pelly, Fiona
TI Preoperative nutritional management of bariatric patients in Australia:
   The current practice of dietitians
SO NUTRITION & DIETETICS
VL 75
IS 3
BP 316
EP 323
DI 10.1111/1747-0080.12384
PD JUL 2018
PY 2018
AB AimThe aim of this observational study was to investigate the reported
   practices of Australian dietitians managing bariatric surgery patients
   in the preoperative stage.
   MethodsAn online survey of dietitians providing nutritional care to
   bariatric patients was developed for the purpose of this investigation.
   The survey questions were guided by the Clinical Practice Guidelines for
   the Perioperative Nutritional, Metabolic and Nonsurgical Support of the
   Bariatric Surgery Patient guidelines and current literature.
   ResultsNinety-nine dietitians completed the survey. Most participants
   recommended one to two different medical nutrition therapy strategies
   for preoperative weight loss (n=69, 74%), with a very-low-energy diet
   exclusively from liquid meal replacements being the most frequently
   prescribed (n=62, 69%). A significantly higher proportion of dietitians
   working privately reported the involvement of a bariatric surgeon in the
   multidisciplinary team (P=0.002). More private practitioners also
   reported providing education on the nutritional consequences of the
   different types of bariatric procedures (P=0.005) and postoperative
   vitamin and mineral supplementation (P=0.013), as well as the use of the
   guidelines to guide their practice (P=0.014), compared to dietitians who
   worked in the public sector. A higher proportion of dietitians working
   in metropolitan areas reported that screening occurred more frequently
   for vitamin D (P=0.008), fasting blood lipids (P=0.03) and glycated
   haemoglobin (P=0.003) compared to those in regional/rural/remote areas.
   ConclusionsReported preoperative screening practices were not consistent
   with the recommendations from the literature and current American
   guidelines. Further investigation into the difference in the nutritional
   management strategies and work environments is warranted.
RI Pelly, Fiona/ABH-7180-2020; Tweedie, Judith/ABE-5033-2021
OI Pelly, Fiona/0000-0002-4735-1807; Tweedie, Judith/0000-0002-7089-0745
Z8 0
ZA 0
ZR 0
TC 5
ZB 0
ZS 0
Z9 5
U1 0
U2 6
SN 1446-6368
EI 1747-0080
UT WOS:000438354800009
PM 28913958
ER

PT J
AU Wood, Brian R.
   McMahan, Vanessa M.
   Naismith, Kelly
   Stockton, Jonathan B.
   Delaney, Lori A.
   Stekler, Joanne D.
TI Knowledge, Practices, and Barriers to HIV Preexposure Prophylaxis
   Prescribing Among Washington State Medical Providers
SO SEXUALLY TRANSMITTED DISEASES
VL 45
IS 7
BP 452
EP 458
DI 10.1097/OLQ.0000000000000781
PD JUL 2018
PY 2018
AB Background We aimed to assess HIV preexposure prophylaxis (PrEP)
   awareness and prescribing practices among Washington State medical
   providers from diverse professional disciplines and practice types.
   Methods In May 2016, we administered an anonymous online survey to
   licensed medical practitioners who provide primary, longitudinal,
   walk-in, emergency, obstetric, gynecologic, sexually transmitted
   infection, or family planning care.
   Results Of 735 eligible providers, 64.8% had heard of PrEP. Younger
   providers and providers with a doctor of medicine degree were more
   likely to be aware of PrEP compared with older providers (P = 0.0001)
   and providers of other training backgrounds (advanced registered nurse
   practitioner, doctor of osteopathic medicine, or physician assistant; P
   = 0.04). Among providers aware of PrEP, most frequent reported concerns
   about prescribing were adherence (46.0%) and costs (42.9%). Providers
   felt very (20.1%) or somewhat (33.8%) comfortable discussing PrEP
   overall, but very (26.8%) or somewhat (44.7%) uncomfortable discussing
   cost and insurance issues. The 124 PrEP prescribers reported a median of
   2 (range, 1-175; total, 1142) patients prescribed PrEP. Prior
   authorizations and insurance denials had prevented prescriptions for
   28.7% and 12.1% of prescribers, respectively.
   Conclusions Interventions to improve PrEP access should include
   education to inform medical providers about PrEP, with particular
   attention to provider types less likely to be aware. Continued efforts
   to eliminate cost and insurance barriers and educate providers regarding
   financial resources would help improve PrEP access.
ZB 13
TC 43
ZR 0
Z8 0
ZA 0
ZS 0
Z9 43
U1 0
U2 6
SN 0148-5717
EI 1537-4521
UT WOS:000435568400009
PM 29465664
ER

PT J
AU Monsees, Elizabeth
   Popejoy, Lori
   Jackson, Mary Anne
   Lee, Brian
   Goldman, Jennifer
TI Integrating staff nurses in antibiotic stewardship: Opportunities and
   barriers
SO AMERICAN JOURNAL OF INFECTION CONTROL
VL 46
IS 7
BP 737
EP 742
DI 10.1016/j.ajic.2018.03.028
PD JUL 2018
PY 2018
AB Background: Nursing has been called for greater participation in
   antibiotic stewardship. Although many of the functions that are integral
   to successful stewardship are within the scope of bedside nurses, data
   evaluating nursing engagement in stewardship are limited. The objective
   of this study was to identify nurses' roles and confidence in engaging
   in stewardship practices by conducting a survey of pediatric staff
   nurses employed at a 354-bed freestanding children's hospital with a
   well-established prospective audit and feedback stewardship program.
   Methods: An investigator-developed online survey was used to assess 10
   identified practices that fall within the responsibility of inpatient
   nurses and contribute to the stewardship process.
   Results: One hundred and eighty nurses participated in the study. Nurses
   were highly confident assessing for an adverse drug reaction history,
   obtaining cultures prior to antibiotics, and participating in patient
   education. They were less confident in reviewing microbiology results to
   determine antibiotic appropriateness. Clinical practice and hospital
   culture influenced perceptions of the nursing role in stewardship.
   Reported barriers to stewarding included nurses not included in rounds,
   interdisciplinary power differentials, and nursing input not actively
   sought.
   Conclusions: Barriers to nurse engagement were identified and could be
   addressed by improving education in microbiology and principles of
   antibiotic use along with more consistent inclusion of nurses in bedside
   rounds while also cultivating an environment where nurse contribution is
   actively sought. (C) 2018 Association for Professionals in Infection
   Control and Epidemiology, Inc. Published by Elsevier Inc. All rights
   reserved.
OI Lee, Brian/0000-0002-1337-1105
ZB 8
TC 25
ZS 0
ZR 0
ZA 0
Z8 0
Z9 25
U1 0
U2 8
SN 0196-6553
EI 1527-3296
UT WOS:000436956200006
PM 29729830
ER

PT J
AU Hansberry, David Richard
   White, Michael D.
   D'Angelo, Michael
   Prabhu, Arpan V.
   Kamel, Sarah
   Lakhani, Paras
   Sundaram, Baskaran
TI Lung Cancer Screening Guidelines: How Readable Are Internet-Based
   Patient Education Resources?
SO AMERICAN JOURNAL OF ROENTGENOLOGY
VL 211
IS 1
BP W42
EP W46
DI 10.2214/AJR.17.19042
PD JUL 2018
PY 2018
AB OBJECTIVE. Following the findings of the National Lung Screening Trial,
   several national societies from multiple disciplines have endorsed the
   use of low-dose chest CT to screen for lung cancer. Online patient
   education materials are an important tool to disseminate information to
   the general public regarding the proven health benefits of lung cancer
   screening. This study aims to evaluate the reading level at which these
   materials related to lung cancer screening are written.
   MATERIALS AND METHODS. The four terms "pulmonary nodule," "radiation,"
   "low-dose CT," and " lung cancer screening" were searched on Google, and
   the first 20 online resources for each term were downloaded, converted
   into plain text, and analyzed using 10 well-established readability
   scales. If the websites were not written specifically for patients, they
   were excluded.
   RESULTS. The 80 articles were written at a 12.6 +/- 2.7 (mean +/- SD)
   grade level, with grade levels ranging from 4.0 to 19.0. Of the 80
   articles, 62.5% required a high school education to comprehend, and
   22.6% required a college degree or higher (>= 16th grade) to comprehend.
   Only 2.5% of the analyzed articles adhered to the recommendations of the
   National Institutes of Health and American Medical Association that
   patient education materials be written at a 3rd- to 7th-grade reading
   level.
   CONCLUSION. Commonly visited online lung cancer screening-related
   patient education materials are written at a level beyond the general
   patient population's ability to comprehend and may be contributing to a
   knowledge gap that is inhibiting patients from improving their health
   literacy.
RI Prabhu, Arpan/M-4193-2014; White, Michael/
OI Prabhu, Arpan/0000-0002-9928-2911; White, Michael/0000-0002-6291-3943
Z8 0
ZR 0
TC 11
ZA 0
ZS 0
ZB 1
Z9 11
U1 0
U2 2
SN 0361-803X
EI 1546-3141
UT WOS:000439842000005
PM 29708784
ER

PT J
AU Fleagle, Timothy R.
   Borcherding, Nicholas C.
   Harris, Jennie
   Hoffmann, Darren S.
TI Application of flipped classroom pedagogy to the human gross anatomy
   laboratory: Student preferences and learning outcomes
SO ANATOMICAL SCIENCES EDUCATION
VL 11
IS 4
BP 385
EP 396
DI 10.1002/ase.1755
PD JUL-AUG 2018
PY 2018
AB To improve student preparedness for anatomy laboratory dissection, the
   dental gross anatomy laboratory was transformed using flipped classroom
   pedagogy. Instead of spending class time explaining the procedures and
   anatomical structures for each laboratory, students were provided online
   materials to prepare for laboratory on their own. Eliminating in-class
   preparation provided the opportunity to end each period with integrative
   group activities that connected laboratory and lecture material and
   explored clinical correlations. Materials provided for prelaboratory
   preparation included: custom-made, three-dimensional (3D) anatomy
   videos, abbreviated dissection instructions, key atlas figures, and
   dissection videos. Data from three years of the course (n=241 students)
   allowed for analysis of students' preferences for these materials and
   detailed tracking of usage of 3D anatomy videos. Students reported
   spending an average of 27:22 (+/- 17:56) minutes preparing for
   laboratory, similar to the 30 minutes previously allocated for in-class
   dissection preparation. The 3D anatomy videos and key atlas figures were
   rated the most helpful resources. Scores on laboratory examinations were
   compared for the three years before the curriculum change (2011-2013;
   n=242) and three years after (2014-2016; n=241). There was no change in
   average grades on the first and second laboratory examinations. However,
   on the final semi-cumulative laboratory examination, scores were
   significantly higher in the post-flip classes (P=0.04). These results
   demonstrate an effective model for applying flipped classroom pedagogy
   to the gross anatomy laboratory and illustrate a meaningful role for 3D
   anatomy visualizations in a dissection-based course. Anat Sci Educ 11:
   385-396. (c) 2017 American Association of Anatomists.
OI Hoffmann, Darren/0000-0003-1081-5222; Borcherding,
   Nicholas/0000-0003-1427-6342
TC 31
Z8 0
ZS 2
ZA 0
ZR 0
ZB 3
Z9 31
U1 2
U2 40
SN 1935-9772
EI 1935-9780
UT WOS:000436932100007
PM 29283505
ER

PT J
AU Hart, Laura M.
   Morgan, Amy J.
   Rossetto, Alyssia
   Kelly, Claire M.
   Mackinnon, Andrew
   Jorm, Anthony F.
TI Helping adolescents to better support their peers with a mental health
   problem: A cluster-randomised crossover trial of teen Mental Health
   First Aid
SO AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY
VL 52
IS 7
BP 638
EP 651
DI 10.1177/0004867417753552
PD JUL 2018
PY 2018
AB Background: teen Mental Health First Aid (tMHFA) is a classroom-based
   training programme for students aged 15-18years to improve supportive
   behaviours towards peers, increase mental health literacy and reduce
   stigma. This research evaluated tMHFA by comparing it to a matched
   emergency Physical First Aid (PFA) training programme.
   Methods: A cluster-randomised crossover trial matched four public
   schools in two pairs and then randomised each to first receive tMHFA or
   PFA for all Year 10 students. In the subsequent calendar year, the new
   Year 10 cohort received the opposite intervention, giving eight cohorts.
   Online surveys were administered at baseline and 1week post-training,
   measuring quality of first aid intentions, mental health literacy,
   problem recognition and stigmatising beliefs, towards fictional
   adolescents with depression and suicidality (John) and social anxiety
   (Jeanie).
   Results: A total of 1942 students were randomised (979 received tMHFA,
   948 received PFA), 1605 (84%) analysed for the John vignette at baseline
   and 1116 (69% of baseline) provided post-training data. The primary
   outcomes, helpful first aid intentions' towards John/Jeanie, showed
   significant group-by-time interactions with medium effect sizes
   favouring tMHFA (ds=0.50-0.58). Compared to PFA, tMHFA students also
   reported significantly greater improvements in confidence supporting a
   peer (ds=0.22-0.37) and number of adults rated as helpful (ds=0.45-0.46)
   and greater reductions in stigmatising beliefs (ds=0.12-0.40) and
   harmful first aid intentions' towards John/Jeanie (ds=0.15-0.41).
   Conclusions: tMHFA is an effective and feasible programme for increasing
   supportive first aid intentions and mental health literacy in
   adolescents in the short term. tMHFA could be widely disseminated to
   positively impact on help seeking for adolescent mental illness.
RI Jorm, Anthony F/B-5555-2009; Hart, Laura/; Rossetto, Alyssia/; Morgan, Amy/U-1315-2017
OI Jorm, Anthony F/0000-0002-1424-4116; Hart, Laura/0000-0001-5894-4520;
   Rossetto, Alyssia/0000-0002-9266-9427; Morgan, Amy/0000-0003-3784-0540
ZA 0
Z8 1
ZB 7
ZS 0
ZR 0
TC 47
Z9 48
U1 5
U2 32
SN 0004-8674
EI 1440-1614
UT WOS:000438555000005
PM 29417834
ER

PT J
AU Lucid, Leah
   Meza, Rosemary
   Pullmann, Michael D.
   Jungbluth, Nathaniel
   Deblinger, Esther
   Dorsey, Shannon
TI Supervision in Community Mental Health: Understanding Intensity of EBT
   Focus
SO BEHAVIOR THERAPY
VL 49
IS 4
BP 481
EP 493
DI 10.1016/j.beth.2017.12.007
PD JUL 2018
PY 2018
AB The goal of the present study was to examine clinician, supervisor, and
   organizational factors that are associated with the intensity of
   evidence-based treatment (EBT) focus in workplace-based clinical
   supervision of a specific EBT, Trauma-Focused Cognitive Behavioral
   Therapy (TF-CBT). Supervisors (n = 56) and clinicians (It = 207) from
   mental health organizations across Washington State completed online
   self-report questionnaires. Multilevel modeling (MLM) analyses were used
   to examine the relative influence of nested clinician and supervisor
   factors on the intensity of EBT focus in supervision. We found that 33%
   of the variance in clinician report of EBT supervision intensity
   clustered at the supervisor level and implementation climate was the
   only significant factor associated with EBT supervision intensity. While
   individual clinician and supervisor factors may play a role in EBT
   coverage in supervision, our results suggest that an implementation
   climate that supports EBT may be the most critical factor for improving
   intensity of EBT coverage. Thus, implementation efforts that address the
   extent to which EBTs are expected, rewarded, and supported within an
   organization may be needed to support greater coverage of EBT during
   workplace-based supervision.
ZA 0
Z8 0
ZB 1
TC 7
ZS 0
ZR 0
Z9 7
U1 0
U2 3
SN 0005-7894
EI 1878-1888
UT WOS:000437768500002
PM 29937252
ER

PT J
AU Boivin, J.
   Koert, E.
   Harris, T.
   O'Shea, L.
   Perryman, A.
   Parker, K.
   Harrison, C.
TI An experimental evaluation of the benefits and costs of providing
   fertility information to adolescents and emerging adults
SO HUMAN REPRODUCTION
VL 33
IS 7
BP 1247
EP 1253
DI 10.1093/humrep/dey107
PD JUL 2018
PY 2018
AB STUDY QUESTION: Does the provision of fertility (compared to control)
   information affect fertility-related knowledge, perceived threat of
   infertility, anxiety, physical stress and fertility plans in adolescents
   and emerging adults?
   SUMMARY ANSWER: The provision of fertility information was associated
   with increased fertility knowledge (emerging adults) and greater
   infertility threat (adolescents and emerging adults).
   WHAT IS KNOWN ALREADY: According to fertility education research,
   adolescents and emerging adults know less than they should know about
   fertility topics. Fertility knowledge can be improved through the
   provision of information in older adults.
   STUDY DESIGN, SIZE, DURATION: Experimental design. Secondary and
   university students completed pre-information questionnaires, were
   randomly assigned via computer to an experimental group, read either
   fertility (FertiEduc group) or healthy pregnancy information (Control
   group), and completed post-information questionnaires. Data were
   collected in group sessions via an online portal.
   PARTICIPANTS/MATERIALS, SETTING, METHODS: Eligible participants were
   aged 16-18 (adolescents) or 21-24 years (emerging adults), childless,
   not currently pregnant (for men, partner not pregnant) or trying to
   conceive, presumed fertile and intending to have a child in the future.
   Of the 255 invited, 208 (n = 93 adolescents, n = 115 emerging adults)
   participated. The FertiEduc group received 'A Guide to Fertility', four
   online pages of information about fertility topics (e.g. 'When are men
   and women most fertile?') and the Control group received four online
   pages from the National Health Service (NHS) pregnancy booklet 'Baby
   Bump and Beyond'. Participants completed a questionnaire (fertility
   knowledge, perceived threat of infertility, anxiety, physical stress and
   fertility plans, moderators) prior to and after the provision of
   information. Mixed factorial analysis of variance was used to examine
   the effects of information provision and hierarchical multiple
   regression to assess potential moderators of knowledge.
   MAIN RESULTS AND THE ROLE OF CHANCE: The FertiEduc and Control groups
   were equivalent on age, gender, disability, relationship status and
   orientation at baseline. Results showed that fertility information
   significantly increased fertility knowledge for emerging adults only (P
   < 0.001) and threat of infertility for emerging adults and adolescents
   (P = 0.05). The moderators were not significant. Participation in the
   study was associated with an increase in feelings of anxiety but a
   decrease in physical stress reactions. Adolescents had more optimal
   fertility plans compared to emerging adults due to being younger.
   LIMITATIONS, REASONS FOR CAUTION: This was an experimental study on a
   self-selected sample of men and women from selected educational
   institutions and only short term effects of information were studied.
   WIDER IMPLICATIONS OF THE FINDINGS: Provision of fertility information
   can have benefits (increased fertility knowledge) but also costs
   (increase potential threat of infertility). Adolescents find fertility
   information positive but do not learn from it. Fertility education
   should be tailored according to age groups and created to minimise
   negative effects. Longitudinal examination of the effects of fertility
   information in multi-centre studies is warranted and should include
   measures of perceived threat of infertility.
RI Boivin, Jacky/A-1666-2010; Harrison, China/
OI Boivin, Jacky/0000-0001-9498-1708; Harrison, China/0000-0003-3671-7866
ZB 4
ZA 0
ZS 0
ZR 0
Z8 0
TC 24
Z9 24
U1 1
U2 7
SN 0268-1161
EI 1460-2350
UT WOS:000438335300008
PM 29788136
ER

PT J
AU Hankemeier, Dorice
   Manspeaker, Sarah A.
TI Perceptions of Interprofessional and Collaborative Practice in
   Collegiate Athletic Trainers
SO JOURNAL OF ATHLETIC TRAINING
VL 53
IS 7
BP 703
EP 708
DI 10.4085/1062-6050-308-17
PD JUL 2018
PY 2018
AB Context: The ability to engage in interprofessional and collaborative
   practice (IPCP) has been identified as one of the Institute of
   Medicine's core competencies required of all health care professionals.
   Objective: To determine the perceptions of athletic trainers (ATs) in
   the collegiate setting regarding IPCP and current practice patterns.
   Design: Cross-sectional study.
   Patients or Other Participants: Of 6313 ATs in the collegiate setting,
   739 (340 men, 397 women, 2 preferred not to answer; clinical experience
   = 10.97 +/- 9.62 years) responded (11.7%).
   Main Outcome Measure(s): The Online Clinician Perspectives of
   Interprofessional Collaborative Practice survey section 1 assessed ATs'
   perceptions of working with other professionals (construct 1), ATs
   engaged in collaborative practice (construct 2), influences of
   collaborative practice (construct 3), and influences on roles,
   responsibilities, and autonomy in collaborative practice (construct 4).
   Section 2 assessed current practice patterns of ATs providing patient
   care and included the effect of communication on collaborative practice
   (construct 5) and patient involvement in collaborative practice
   (construct 6). Between-groups differences were assessed using a
   Kruskal-Wallis H test and Mann-Whitney U tests (P < .05).
   Results: Athletic trainers in the collegiate setting agreed with IPCP
   constructs 1 through 4 (construct 1 = 3.56 +/- 0.30, construct 2 = 3.36
   +/- 0.467, construct 3 = 3.48 +/- 0.39, construct 4 = 3.20 +/- 0.35) and
   indicated that the concepts of constructs 5 and 6 (1.99 +/- 0.46, 1.80
   +/- 0.50, respectively) were sometimes true in their setting. Athletic
   trainers functioning in a medical model reported lower scores for
   construct 5 (1.88 +/- 0.44) than did those in an athletic model (2.03
   +/- 0.45, U - 19522.0, P - .001). A total of 42.09% of the ATs' patient
   care was performed in collaborative practice.
   Conclusions: Athletic trainers in the collegiate setting agreed that
   IPCP concepts were beneficial to patient care but were not consistently
   practicing in this manner. Consideration of a medical model structure,
   wherein more regular interaction with other health care professionals
   occurs, may be beneficial to increase the frequency of IPCP.
ZB 2
Z8 0
ZA 0
TC 7
ZS 0
ZR 0
Z9 7
U1 0
U2 2
SN 1062-6050
EI 1938-162X
UT WOS:000443973200011
PM 30102070
ER

PT J
AU Obamiro, Kehinde O.
   Chalmers, Leanne
   Lee, Kenneth
   Bereznicki, Bonnie J.
   Bereznicki, Luke R.
TI Adherence to Oral Anticoagulants in Atrial Fibrillation: An Australian
   Survey
SO JOURNAL OF CARDIOVASCULAR PHARMACOLOGY AND THERAPEUTICS
VL 23
IS 4
BP 337
EP 343
DI 10.1177/1074248418770201
PD JUL 2018
PY 2018
AB Background: The aim of this study was to investigate the proportion of
   patients who have suboptimal adherence to oral anticoagulant (OAC),
   identify the predictors of adherence, and determine whether
   patient-related factors vary across adherence levels in Australia.
   Methods: Respondents were recruited for an online survey using Facebook.
   Survey instruments included the Morisky Medication Adherence Scale, the
   Anticoagulation Knowledge Tool, the Perception of Anticoagulant
   Treatment Questionnaires, and a modified Cancer Information Overload
   scale. Predictors of medication adherence were identified using ordinal
   regression analysis.
   Results: Of the 386 responses eligible for analysis, only 54.9% reported
   a high level of adherence. Participants aged 65 years or younger were
   less likely to have high adherence compared to older participants (odds
   ratio [OR], 0.54; 95% confidence interval [CI], 0.33-0.88; P = .013),
   while females were more likely to be highly adherent compared to males
   (OR, 1.69; 95% CI, 1.08-2.64; P = .023). The analyses showed that age,
   gender, treatment satisfaction, information overload, concerns about
   making mistake when taking OACs, and cost of medication were significant
   predictors of adherence.
   Conclusion: Self-reported suboptimal adherence to OAC is common among
   patients with atrial fibrillation. A focus on supporting people who are
   at higher risk of suboptimal adherence is needed to maximize the benefit
   of OAC therapy in this population.
RI Obamiro, Kehinde/; Lee, Kenneth/A-3406-2016; Bereznicki, Bonnie/; Chalmers, Leanne/
OI Obamiro, Kehinde/0000-0002-0265-1953; Lee, Kenneth/0000-0003-3022-4868;
   Bereznicki, Bonnie/0000-0001-8463-4817; Chalmers,
   Leanne/0000-0002-2477-2190
ZA 0
ZS 0
ZR 2
ZB 5
Z8 0
TC 16
Z9 17
U1 2
U2 9
SN 1074-2484
EI 1940-4034
UT WOS:000433425900007
PM 29658327
ER

PT J
AU Willman, Antony Sean
TI Determining the educational impact of the introduction of practice-based
   small group learning within an intraprofessional group of doctors
SO JOURNAL OF THE ROYAL ARMY MEDICAL CORPS
VL 164
IS 3
BP 160
EP 163
DI 10.1136/jramc-2017-000856
PD JUL 2018
PY 2018
AB Introduction Practice-Based Small Group Learning (PBSGL) is a system for
   continuing professional development introduced into Wessex Region
   Defence Primary Healthcare (DPHC) as the Salisbury Plain PBSGL group in
   2012. This is a mixed intraprofessional group comprising general
   practitioners (GPs), GP trainers, general practice specialist registrars
   (GPSTs) and general duties medical officers (GDMOs).
   Methods An anonymised online questionnaire and thematic analysis was
   undertaken to assess the educational impact of PBSGL in such a
   mixed-role group reflecting military general practice.
   Results A positive effect of PBSGL was demonstrated and further enhanced
   by the intraprofessional composition. Positive peer support effects were
   demonstrated for all members of the cohort regardless of role.
   Conclusion PBSGL is an essential pillar for supporting all doctors
   working within DPHC. Further qualitative evaluation of cohorts of GDMOs,
   GPSTs and mixed-role groups as well as the development of standardised
   questionnaires is recommended.
RI Willman, Antony/O-6199-2017
OI Willman, Antony/0000-0003-2050-3345
TC 3
ZA 0
ZB 0
Z8 0
ZR 0
ZS 0
Z9 3
U1 0
U2 11
SN 0035-8665
EI 2052-0468
UT WOS:000442400000006
PM 29330229
ER

PT J
AU Denniston, Charlotte
   Molloy, Elizabeth
   Rees, Charlotte E.
TI 'I will never ever go back': patients' written narratives of health care
   communication
SO MEDICAL EDUCATION
VL 52
IS 7
BP 757
EP 771
DI 10.1111/medu.13612
PD JUL 2018
PY 2018
AB ContextAlthough communication with patients is essential to health care,
   education designed to develop patient-centred communication often
   ignores patients' voices. Patient stories may offer a means to explore
   patient experiences to inform patient-centred communication skills
   education design.
   ObjectivesOur research questions were: (i) What are the features of
   patients' health care communication narratives? (ii) What differences
   exist between patient narratives evaluated as positive and those
   evaluated as negative? (iii) How do patients narrate emotion in their
   narratives?
   MethodsThis interpretivist research was underpinned by social
   constructionism. We employed a narrative approach to design an online
   questionnaire that was advertised to patients in the community. Analysis
   of the stories that were generated involved analysis of what was written
   (i.e. framework analysis) and of how it was written (i.e. attending to
   linguistic features).
   ResultsParticipants shared 180 written narratives about previous health
   care professional (HCP) communication interactions. Narratives commonly
   included those of female patients seeking help for musculoskeletal or
   psychological concerns, which most frequently had occurred within the
   previous 6months with male general practitioners in community settings.
   Framework analysis revealed four key themes: (i) patient actions during
   consultations; (ii) patient actions afterwards; (iii) lasting legacy,
   and (iv) interpersonal factors. Patients in narratives evaluated as
   positive actively engaged during and after interactions, had ongoing
   positive relationships with HCPs and felt valued in these relationships.
   Patients in narratives evaluated as negative were either passive or
   active during the interaction, but mostly failed to return to the HCP
   and felt devalued in their interaction. Further analysis of the
   linguistic features of select narratives revealed rich constructions of
   positive and negative emotions emphasising the lasting legacies of these
   interactions.
   ConclusionsAnalysis of patient narratives provides a detailed way of
   exploring patients' experiences, emotions and behaviours during and
   after consultations. Educational implications include emphasising the
   importance of valuing the patient, and of seeking and acting on patient
   feedback to calibrate HCPs' patient-centred communication practices.
   The authors explore patients' stories of health care communication to
   better inform patient-centred care curriculum design.
OI Rees, Charlotte/0000-0003-4828-1422; Molloy,
   Elizabeth/0000-0001-9457-9348; Denniston, Charlotte/0000-0002-3654-6721
ZR 0
ZB 0
ZS 0
TC 8
ZA 0
Z8 0
Z9 8
U1 0
U2 19
SN 0308-0110
EI 1365-2923
UT WOS:000434418300012
PM 29879300
ER

PT J
AU Xian, Hongtao
   Zhang, Yu
   Yang, Yang
   Zhang, Xiaoxue
   Wang, Xinran
TI A Descriptive, Cross-sectional Study Among Chinese Patients to Identify
   Factors that Affect Psychosocial Adjustment to an Enterostomy
SO OSTOMY WOUND MANAGEMENT
VL 64
IS 7
BP 8
EP 17
DI 10.25270/owm.2018.7.817
PD JUL 2018
PY 2018
AB Physiological, psychological, and social problems may affect adaptation
   to living with a stoma. A descriptive, cross-sectional study was
   conducted between March 2017 and June 2017 among patients culled from a
   manufacturer's database to identify factors that influence psychosocial
   adjustment in Chinese patients with an enterostoma.
   Patients with a history of ostomy surgery >= 1 month prior and who were
   >= 18 years of age, completed a primary school education, and able to
   communicate in Chinese were eligible to participate unless they had a
   history of psychosis, cognitive impairment, or participation in other
   research programs. After providing informed consent, participants
   completed a questionnaire that addressed demographic (age, gender,
   employment, educational level, marital status, medical payment method,
   living status, and area of residence) and stoma-related (date of
   surgery, preoperative stoma siting, ostomy appliance type, peristomal
   complications, regular defecation, stoma self-care ability,
   stoma-related communication with medical staff, level of understanding
   regarding stoma knowledge and care skills, appliance change
   knowledge/experience, and leakage history) factors. Social support was
   assessed using the 10-item Social Support Revalued Scale (SSRS), and 3
   dimensions of adjustment (acceptance, continuous worry, and positive
   life attitude) were assessed using the 20-item Chinese version of the
   Ostomy Adjustment Inventory (OAI). Questionnaires were administered via
   an online survey platform. Data were analyzed descriptively, and
   single-factor analysis and stepwise multiple linear regression were
   applied to identify the factors that influenced the adjustment level.
   Incomplete (missing >2 questions), incorrect, or hastily completed
   (within 600 seconds) records were excluded from analysis. Of the 1109
   persons who returned the questionnaire, 1010 (91.1%) completed the
   entire survey (564 men [55.8%] and 446 women [44.2%], mean age 56.62 +/-
   15.62 years); 823 (81.5%) had a colostomy and 187 (18.5%) had an
   ileostomy. The OAI dimension continuous worry was negatively and
   significantly associated with all 3 dimensions of the SSRS, including
   subjective support (r = 0.259), objective support (r = 0.259), and
   utilization of support (r = 0.289), while the dimension acceptance was
   positively associated with both subjective support (r = 0.082) and
   objective support (r = 0.074) (all P values < .05). Using multiple
   linear regression, residence area, peristomal complication, regular
   defecation, leaking, self-care ability, communication with medical staff
   regarding ostomy, understanding knowledge or skill needed for stoma
   care, utilization of social support, and total score of social support
   were found to be significantly associated with ostomy adjustment level
   (all P values < .05). Patients living in an urban area, with no history
   of peristomal complications, who had regular defecation, had not
   experienced leaking, had better self-care ability, frequently
   communicated with medical staff, had a high level understanding about
   knowledge or skill of stoma, and had higher social support scores had
   higher adjustment scores. Knowledge of the factors that enhance or
   hinder adaptation of the patient to the ostomy is an important tool in
   the clinician's care armamentarium.
ZA 0
ZS 0
ZR 0
TC 15
Z8 1
ZB 4
Z9 16
U1 5
U2 39
SN 0889-5899
EI 1943-2720
UT WOS:000441874600002
PM 30059335
ER

PT J
AU Garofalo, Milena
   Aggarwal, Rajesh
TI Obstetrics and Gynecology Modified Delphi Survey for Entrustable
   Professional Activities: Quantification of Importance, Benchmark Levels,
   and Roles in Simulation-based Training and Assessment
SO CUREUS
VL 10
IS 7
AR e3051
DI 10.7759/cureus.3051
PD JUL 2018
PY 2018
AB Objective
   Competency-based medical education (CBME) is playing a central role in
   physicians' training. It focuses on competencies, measured by
   entrustable professional activities (EPAs). The aim of this survey is
   threefold for each EPA to (1) quantify the importance for Obstetrics and
   Gynecology (OBGYN) residency training; (2) set benchmarks; (3) identify
   the importance of simulation-based training (SBT).
   Methods
   The EPAs were defined based on a review of five OBGYN curricula. Two
   rounds of a modified Delphi via online questionnaire were performed from
   January to March, 2017. Experts were North American OBGYN program
   directors. Using a Likert scale, they rated the importance of each EPA
   for residency training, identified benchmark levels of competence, and
   roles of simulation. Consensus was defined as >= 80% agreement.
   Results
   Item analysis yielded 15 EPAs. Survey response rate was 17.47% (40 out
   of 229) for part 1 and 6.55% for part 2 (15 out of 229). All experts
   rated the importance of each EPA for residency training as "moderately
   important" or "absolutely essential". For benchmarking, experts agreed
   with a stepwise increase in the level of competence, dependent on
   residency stage. Two EPAs, "Gynecological Technical Skills & Procedures"
   and "High-Risk Childbirth", reached consensus (rating 4 or 5) for
   simulation.
   Conclusion
   CBME requires EPAs and benchmarks for each residency stage. Simulation
   will become a valuable tool in this model. However, experts remain
   neutral about its role, except for technical skills. An OBGYN curriculum
   based on predefined EPAs, benchmarks, and adequate assessment tools,
   including simulation, needs to be further explored for CBME to be
   successful.
ZR 0
Z8 0
ZB 2
ZA 0
TC 6
ZS 0
Z9 6
U1 1
U2 5
EI 2168-8184
UT WOS:000450942900149
PM 30271696
ER

PT J
AU Hussain, Azhar
   Tabrez, Elsa
   Basu, Amitabha
   D'Silva, Caron S. M.
TI Medical Students' Perception of the Usage of Lecture Recording Software
SO CUREUS
VL 10
IS 7
AR e2963
DI 10.7759/cureus.2963
PD JUL 2018
PY 2018
AB Background: Lecture recording software is a useful reference tool that
   allows students to revisit lectures and understand complicated concepts
   in higher education. It is also a useful tool for students with learning
   difficulties, allowing them to reference and learn the material at their
   own pace. A significant advantage of this tool is the accessibility of
   course material to the students off campus. This study attempted to
   learn the students' perception of the purpose, use, and benefit of
   lecture recording software at a medical school.
   Methods: The study was conducted using a structured questionnaire
   delivered, via an Internet-based survey application in the Fall semester
   of 2017, to 105 students attending the basic sciences courses. A web
   link was generated after the 18-point questionnaire was uploaded to an
   online survey software. The link was communicated electronically to each
   student along with the date and time of the survey. The survey was
   anonymous. The results of the survey were summarized using descriptive
   statistics and graphical methods. Students were asked to submit
   voluntary, informed consent to participate in the study before
   attempting to answer the questionnaire. The institutional review board
   approved the research.
   Results: The results showed 77% students used this resource to
   understand points they missed in the class, 75% of them relearned
   complex ideas/concepts, and 62% of them used it to rewrite class notes.
   Reportedly, the software was used by students (78%) who missed a class
   due to an illness or while attending clinical shadowing. Of the
   students, 87% agreed that the software is helpful because of its
   off-campus availability while 84% of the students liked the service, as
   it allowed them to listen to the lectures at their own pace. Many
   students (65%) felt that the service helped them score better in the
   exams, whereas 38% did not think the recordings was helpful to get the
   desired grade and 50% student felt it was time-consuming.
   Conclusion: Despite the time-consuming listening process, students
   expressed a positive opinion about the usefulness of this software.
   Recording and archiving class lectures could be a useful academic
   resource. Students could learn from these archived lectures before the
   class and engage in the discussion later, enhancing active learning. The
   result suggests that students should also use other study resources and
   methods to achieve the desired grades. The induction of this student
   service into a professional curriculum would enhance the students'
   satisfaction, effectiveness, and outcomes.
ZB 0
ZS 0
TC 5
Z8 0
ZA 0
ZR 0
Z9 5
U1 1
U2 1
EI 2168-8184
UT WOS:000450942900062
PM 30210951
ER

PT J
AU Paetow, Glenn
   Zaver, Fareen
   Gottlieb, Michael
   Chan, Teresa M.
   Lin, Michelle
   Gisondi, Michael A.
TI Online Mastermind Groups: A Non-hierarchical Mentorship Model for
   Professional Development
SO CUREUS
VL 10
IS 7
AR e3013
DI 10.7759/cureus.3013
PD JUL 2018
PY 2018
AB Mentorship is an important driver of professional development and
   scholarship in academic medicine. Several mentorship models have been
   described in the medical education literature, with the majority
   featuring a hierarchical relationship between senior and junior members
   of an institution. 'Mastermind Groups', popularized in the business
   world, offer an alternative model of group mentorship that benefits from
   the combined intelligence and accumulated experience of the participants
   involved. We describe an online application of the Mastermind model,
   used as an opportunity for faculty development by a globally distributed
   team of health professions educators. The majority of our participants
   rated their experiences over two online Mastermind group mentoring
   sessions as 'very valuable', resulting in recommendations of specific
   developmental resources, professional referrals, and identifiable
   immediate 'next steps' for their careers. Our experience suggests that
   online Mastermind groups are an effective, feasible, zero-cost model for
   group mentorship and professional development in medicine.
RI Chan, Teresa/T-6676-2017; Gisondi, Michael/AGD-9935-2022
OI Chan, Teresa/0000-0001-6104-462X; Gisondi, Michael/0000-0002-6800-3932
Z8 0
ZR 0
ZS 0
ZA 0
TC 9
ZB 0
Z9 9
U1 0
U2 2
EI 2168-8184
UT WOS:000450942900111
PM 30397564
ER

PT J
AU Bakaniene, Indre
   Ziukiene, Laura
   Vasiliauskiene, Vaida
   Prasauskiene, Audrone
TI Participation of Children with Spina Bifida: A Scoping Review Using the
   International Classification of Functioning, Disability and Health for
   Children and Youth (ICF-CY) as a Reference Framework
SO MEDICINA-LITHUANIA
VL 54
IS 3
AR 40
DI 10.3390/medicina54030040
PD JUL 2018
PY 2018
AB Background and objectives. Participation is a fundamental right of the
   child, regardless of his health status. Assessing and supporting the
   participation of children with spina bifida (SB) presents a significant
   challenge for practitioners. The purpose of this study was to examine
   what is known about the participation of children with SB. Materials and
   Methods. The framework for scoping reviews from Arksey & O'Malley was
   used. A literature search in Cumulative Index to Nursing and Allied
   Health Literature (CINAHL), Medical Literature Analysis and Retrieval
   System Online (Medline), PsychINFO and the Education Resources
   Information Centre (ERIC) databases retrieved 136 papers, 10 of which
   met the criteria for inclusion and were selected for analysis. Synthesis
   of the results on participation within occupational domains of leisure,
   school and community, and factors influencing participation of children
   with SB was performed. Results. All the included studies were
   non-experimental and used cross-sectional, population-based or
   qualitative design. Most studies analysed social participation or
   participation in physical activities, except one that focused on school
   participation. Data from these studies have shown that children with SB
   experience greater participation restrictions compared to their typical
   peers or children with other chronic diseases. The participation was
   mainly affected by contextual factors. Relationships between pathology
   and participation were not sufficiently validated. Conclusions. There is
   little research on the participation of children with SB. Future studies
   must consider contextual factors and interventions facilitating or
   impeding participation.
RI Bakaniene, Indre/GSD-2449-2022; Bakanienė, Indrė/V-7078-2019; Bakaniene, Indre/W-2041-2019
OI Bakaniene, Indre/0000-0002-0309-7659
ZA 0
ZR 0
Z8 0
TC 5
ZS 1
ZB 1
Z9 5
U1 2
U2 11
SN 1010-660X
EI 1648-9144
UT WOS:000441528700009
PM 30344271
ER

PT J
AU Alsoghier, Abdullah
   Riordain, Richeal Ni
   Fedele, Stefano
   Porter, Stephen
TI Web-based information on oral dysplasia and precancer of the mouth -
   Quality and readability
SO ORAL ONCOLOGY
VL 82
BP 69
EP 74
DI 10.1016/j.oraloncology.2018.05.003
PD JUL 2018
PY 2018
AB Objectives: The numbers of individuals with oral cancer are increasing.
   This cancer is preceded by oral epithelial dysplasia (OED). There
   remains no detailed study of the online information presently available
   for patients with OED or indeed what information such patients may
   require to be appropriately informed regarding their condition. Hence,
   the aim of the present study is to assess the patient-oriented web
   content with respect to OED.
   Methods: The first 100 websites yielded from nine searches performed
   using different search terms and engines were considered. These were
   assessed for content, quality (DISCERN instrument, Journal of the
   American Medical Association benchmarks, and Health on Net seal) and
   readability (Flesch Reading Ease Score and Flesch-Kincaid Grade Level).
   Results: There was a general scarcity of OED content across the
   identified websites. Information about authors, sources used to compile
   the publication, treatment, and shared decision were limited or absent.
   Only 6% and 27% of the websites achieved all the four JAMA benchmarks
   and HON seal, respectively. The average readability level was at 10th
   grade (US schools), which far exceeds the recommended levels of written
   health information.
   Conclusion: At present patients seeking information on OED are likely to
   have difficulty in finding reliable information from the Web about this
   disorder and its possible impact upon their life. Further work is thus
   required to develop a web-based resource regarding OED that addresses
   the shortfalls demonstrated by the current study.
RI Alsoghier, Abdullah/M-8165-2018; Porter, Stephen/; Fedele, Stefano/; Ni Riordain, Richeal/
OI Alsoghier, Abdullah/0000-0002-1649-1954; Porter,
   Stephen/0000-0002-3328-2759; Fedele, Stefano/0000-0001-9006-9412; Ni
   Riordain, Richeal/0000-0002-1937-8105
ZA 0
ZR 0
TC 14
Z8 0
ZB 2
ZS 0
Z9 14
U1 0
U2 8
SN 1368-8375
EI 1879-0593
UT WOS:000436776400011
PM 29909904
ER

PT J
AU Lindor, Rachel A.
   McMahon, Erika M.
   Wood, Joseph P.
   Sadosty, Annie T.
   Boie, Eric T.
   Campbell, Ronna L.
TI Anaphylaxis-related Malpractice Lawsuits
SO WESTERN JOURNAL OF EMERGENCY MEDICINE
VL 19
IS 4
BP 693
EP 700
DI 10.5811/westjem.2018.4.37453
PD JUL 2018
PY 2018
AB Introduction: Anaphylaxis continues to cause significant morbidity and
   mortality. Healthcare providers struggle to promptly recognize and
   appropriately treat anaphylaxis patients. The goal of this study was to
   characterize anaphylaxis-related malpractice lawsuits.
   Methods: We collected jury verdicts, settlements, and court opinions
   regarding alleged medical malpractice involving anaphylaxis from May
   2011 through May 2016 from an online legal database (Thomson Reuters
   Westlaw). Data were abstracted onto a standardized data form.
   Results: We identified 30 anaphylaxis-related malpractice lawsuits, In
   80% of cases, the trigger was iatrogenic (40% intravenous [IV] contrast,
   33% medications, 7% latex). Sixteen (53%) cases resulted in death, 7
   (23%) in permanent cardiac and/or neurologic damage, and 7 (23%) in less
   severe outcomes. Fourteen (47%) of the lawsuits were related to exposure
   to a known trigger. Delayed recognition or treatment was cited in 12
   (40%) cases and inappropriate IV epinephrine dosing was reported in 5
   (17%) cases. Defendants were most commonly physicians (n=15, 50%) and
   nurses (n=5, 17%). The most common physician specialties named were
   radiology and primary care (n=3, 10% each), followed by emergency
   medicine, anesthesiology, and cardiology (n=2, 7% each). Among the 30
   cases, 14 (47%) favored the defendant, 8 (37%) resulted in findings of
   negligence, 3 (10%) cases settled, and 5 (17%) had an unknown legal
   outcome.
   Conclusion: Additional anaphylaxis education, provision of epinephrine
   autoinjectors or other alternatives to reduce dosing errors, and
   stronger safeguards to prevent administration of known allergens would
   all likely reduce anaphylaxis-related patient morbidity and mortality
   and providers' legal vulnerability to anaphylaxis-related lawsuits.
OI Campbell, Ronna/0000-0001-6305-6990; Lindor, Rachel/0000-0003-3099-8388
ZS 0
ZB 5
TC 7
Z8 0
ZA 0
ZR 0
Z9 7
U1 1
U2 3
SN 1936-900X
EI 1936-9018
UT WOS:000448890500011
PM 30013706
ER

PT J
AU van der Burgt, Stephanie M. E.
   Kusurkar, Rashmi A.
   Wilschut, Janneke A.
   Tsoi, Sharon L. N. M. Tjin A.
   Croiset, Gerda
   Peerdeman, Saskia M.
TI Motivational Profiles and Motivation for Lifelong Learning of Medical
   Specialists
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 38
IS 3
BP 171
EP 178
DI 10.1097/CEH.0000000000000205
PD JUL 2018
PY 2018
AB Introduction: Medical specialists face the challenge of maintaining
   their knowledge and skills and continuing professional development, that
   is, lifelong learning. Motivation may play an integral role in many of
   the challenges facing the physician workforce today including
   maintenance of a high performance. The aim of this study was to
   determine whether medical specialists show different motivational
   profiles and if these profiles predict differences in motivation for
   lifelong learning.
   Methods: An online questionnaire was sent to every medical specialist
   working in five hospitals in the Netherlands. The questionnaire included
   the validated Multidimensional Work Motivation Scale and the Jefferson
   Scale of Physician Lifelong Learning together with background questions
   like age, gender, and type of hospital. Respondents were grouped into
   different motivational profiles by using a two-step clustering approach.
   Results: Four motivational profiles were identified: (1) HAMC profile
   (for High Autonomous and Moderate Controlled motivation), (2) MAMC
   profile (for Moderate Autonomous and Moderate Controlled motivation),
   (3) MALC profile (for Moderate Autonomous and Low Controlled
   motivation), and (4) HALC profile (for High Autonomous and Low
   Controlled motivation). Most of the female specialists that work in an
   academic hospital and specialists with a surgical specialty were
   represented in the HALC profile.
   Discussion: Four motivational profiles were found among medical
   specialists, differing in gender, experience and type of specialization.
   The profiles are based on the combination of autonomous motivation (AM)
   and controlled motivation (CM) in the specialists. The profiles that
   have a high score on autonomous motivation have a positive association
   with lifelong learning.
RI Kusurkar, Rashmi A/D-5239-2012; Wilschut, Janneke/
OI Kusurkar, Rashmi A/0000-0002-9382-0379; Wilschut,
   Janneke/0000-0002-4921-227X
TC 17
ZS 0
ZA 0
ZB 0
ZR 0
Z8 0
Z9 17
U1 2
U2 20
SN 0894-1912
EI 1554-558X
UT WOS:000447398800005
PM 29794548
ER

PT J
AU Komarraju, Aparna
   Bartel, Twyla B.
   Dickinson, Lisa A.
   Grant, Frederick D.
   Yarbrough, Tracy L.
TI Implementation of a Flipped Classroom for Nuclear Medicine Physician CME
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 38
IS 3
BP 198
EP 204
DI 10.1097/CEH.0000000000000204
PD JUL 2018
PY 2018
AB Introduction: Increasingly, emerging technologies are expanding
   instructional possibilities, with new methods being adopted to improve
   knowledge acquisition and retention. Within medical education, many new
   techniques have been employed in the undergraduate setting, with less
   utilization thus far in the continuing medical education (CME) sphere.
   This paper discusses the use of a new method for CME-the "flipped
   classroom," widely used in undergraduate medical education. This method
   engages learners by providing content before the live ("in class")
   session that aids in preparation and fosters in-class engagement.
   Methods: A flipped classroom method was employed using an online
   image-rich case-based module and quiz prior to a live CME session at a
   national nuclear medicine meeting. The preparatory material provided a
   springboard for in-depth discussion at the live session-a case-based
   activity utilizing audience response technology. Study participants
   completed a survey regarding their initial experience with this new
   instructional method. In addition, focus group interviews were conducted
   with session attendees who had or had not completed the presession
   material; transcripts were qualitatively analyzed.
   Results: Quantitative survey data (completed by two-thirds of the
   session attendees) suggested that the flipped method was highly valuable
   and met attendee educational objectives. Analysis of focus group data
   yielded six themes broadly related to two categories-benefits of the
   flipped method for CME and programmatic considerations for successfully
   implementing the flipped method in CME.
   Discussion: Data from this study have proven encouraging and support
   further investigations around the incorporation of this innovative
   teaching method into CME for nuclear imaging specialists.
ZB 1
Z8 0
ZS 0
TC 3
ZR 0
ZA 0
Z9 3
U1 0
U2 16
SN 0894-1912
EI 1554-558X
UT WOS:000447398800009
PM 29933263
ER

PT J
AU Memon, Aamir Raoof
   Rathore, Farooq Azam
TI Moodle and Online Learning in Pakistani Medical Universities: An
   opportunity worth exploring in higher education and research
SO JOURNAL OF THE PAKISTAN MEDICAL ASSOCIATION
VL 68
IS 7
BP 1076
EP 1078
PD JUL 2018
PY 2018
AB Medical education and pedagogy have undergone a massive change in the
   21st century. Still, there is a lack of computer-assisted learning in
   most of the Pakistani medical schools. Modular Object-Oriented Dynamic
   Learning Environment (Moodle), is a user-friendly, online learning
   management system that is being used globally in teaching online courses
   to undergraduates, residents and doctoral students. Many international
   universities and medical institutes have integrated Moodle in their
   medical education and literature supports the use and importance of such
   tools. Still very few Pakistani medical schools are utilizing Moodle and
   similar blended-learning approaches in medical education. We recommend
   that Pakistani medical schools should consider using Moodle as an online
   learning platform to promote blended-learning in order to enhance the
   training of students and faculty, and improving their standards in line
   with the international standards.
RI Memon, Aamir/A-4385-2016; Rathore, Farooq Azam/B-8232-2008
OI Memon, Aamir/0000-0002-3203-418X; Rathore, Farooq
   Azam/0000-0002-4759-0453
ZB 2
ZS 1
ZA 0
ZR 0
TC 13
Z8 0
Z9 14
U1 1
U2 6
SN 0030-9982
UT WOS:000437931800020
PM 30317305
ER

PT J
AU Tenison, Elizabeth
   Touger-Decker, Riva
TI Impact of e-Learning or Blended Learning Versus Face-to-Face Learning in
   Regard to Physical Examination Skills, Knowledge, and Attitudes Among
   Health Professions Students
SO TOPICS IN CLINICAL NUTRITION
VL 33
IS 3
BP 259
EP 270
DI 10.1097/TIN.0000000000000149
PD JUL-SEP 2018
PY 2018
AB This review explored research on e-learning (EL), blended learning (BL),
   and face-to-face learning (F2FL) as teaching strategies for physical
   examination (PE) in regard to skill, attitude, and knowledge outcomes of
   students and trainees in the health professions. A search was performed
   of CINAHL, PubMed, and ProQuest databases; 9 studies were reviewed.
   Findings revealed EL or BL compared with F2FL may be equally or more
   effective for PE skill acquisition. However, the results were
   inconsistent regarding the effectiveness of various teaching platforms
   on the PE user attitude and knowledge outcomes. Further research is
   needed to identify the best approaches to teach PE in dietetics
   education.
TC 5
ZS 0
ZB 0
ZR 0
Z8 0
ZA 0
Z9 5
U1 8
U2 51
SN 0883-5691
EI 1550-5146
UT WOS:000442750200009
ER

PT J
AU Buykx, Penny
   Li, Jessica
   Gavens, Lucy
   Hooper, Lucie
   de Matos, Elena Gomes
   Holmes, John
TI Self-Reported Knowledge, Correct Knowledge and use of UK Drinking
   Guidelines Among a Representative Sample of the English Population
SO ALCOHOL AND ALCOHOLISM
VL 53
IS 4
BP 453
EP 460
DI 10.1093/alcalc/agx127
PD JUL 2018
PY 2018
AB Aims: Promotion of lower risk drinking guidelines is a commonly used
   public health intervention with various purposes, including
   communicating alcohol consumption risks, informing drinkers'
   decision-making and, potentially, changing behaviour. UK drinking
   guidelines were revised in 2016. To inform potential promotion of the
   new guidelines, we aimed to examine public knowledge and use of the
   previous drinking guidelines, including by population subgroup.
   Methods: A demographically representative, cross-sectional online survey
   of 2100 adults living in England in July 2015 (i.e. two decades after
   adoption of previous guidelines and prior to introduction of new
   guidelines). Univariate and multivariate logistic regressions examined
   associations between demographic variables, alcohol consumption
   (AUDIT-C), smoking, and knowledge of health conditions and self-reported
   knowledge and use of drinking guidelines. Multinomial logistic
   regression examined the same set of variables in relation to accurate
   knowledge of drinking guidelines (underestimation, accurate-estimation,
   overestimation).
   Results: In total, 37.8% of drinkers self-reported knowing their
   own-gender drinking guideline, of whom 66.2% gave an accurate estimate.
   Compared to accurate estimation, underestimation was associated with
   male gender, lower education and AUDIT-C score, while overestimation was
   associated with smoking. Few (20.8%) reported using guidelines to
   monitor drinking at least sometimes. Drinking guideline use was
   associated with higher education, overestimating guidelines and lower
   AUDIT-C. Correctly endorsing a greater number of health conditions as
   alcohol-related was associated with self-reported knowledge of
   guidelines, but was not consistently associated with accurate estimation
   or use to monitor drinking.
   Conclusions: Two decades after their introduction, previous UK drinking
   guidelines were not well known or used by current drinkers. Those who
   reported using them tended to overestimate recommended daily limits.
   SHORT SUMMARY: We examined public knowledge and use of UK drinking
   guidelines just before new guidelines were released (2016). Despite
   previous guidelines being in place for two decades, only one in four
   drinkers accurately estimated these, with even fewer using guidelines to
   monitor drinking. Approximately 8% of drinkers overestimated maximum
   daily limits.
RI Buykx, Penny/ABC-2035-2021; Holmes, John/; Gavens, Lucy/
OI Buykx, Penny/0000-0003-4788-4002; Holmes, John/0000-0001-9283-2151;
   Gavens, Lucy/0000-0003-3560-4691
ZA 0
ZB 4
ZR 0
ZS 0
TC 11
Z8 0
Z9 11
U1 0
U2 3
SN 0735-0414
EI 1464-3502
UT WOS:000439653000015
PM 29351574
ER

PT J
AU Maymone, Mayra B. C.
   Venkatesh, Samantha
   Secemsky, Eric
   Reddy, Kavitha
   Vashi, Neelam A.
TI Research Techniques Made Simple: Web-Based Survey Research in
   Dermatology: Conduct and Applications
SO JOURNAL OF INVESTIGATIVE DERMATOLOGY
VL 138
IS 7
BP 1456
EP 1462
DI 10.1016/j.jid.2018.02.032
PD JUL 2018
PY 2018
AB Web-based surveys, or e-surveys, are surveys designed and delivered
   using the internet. The use of these survey tools is becoming
   increasingly common in medical research. Their advantages are appealing
   to surveyors because they allow for rapid development and administration
   of surveys, fast data collection and analysis, low cost, and fewer
   errors due to manual data entry than telephone or mailed questionnaires.
   Internet surveys may be used in clinical and academic research settings
   with improved speed and efficacy of data collection compared with paper
   or verbal survey modalities. However, limitations such as potentially
   low response rates, demographic biases, and variations in computer
   literacy and internet access remain areas of concern. We aim to briefly
   describe some of the currently available Web-based survey tools,
   focusing on advantages and limitations to help guide their use and
   application in dermatologic research.
TC 15
ZR 0
ZS 0
ZA 0
ZB 4
Z8 0
Z9 15
U1 0
U2 2
SN 0022-202X
EI 1523-1747
UT WOS:000436407000013
PM 29941094
ER

PT J
AU Aaronson, Nicole Leigh
   Castano, Johnathan Edward
   Simons, Jeffrey P.
   Jabbour, Noel
TI Quality, Readability, and Trends for Websites on Ankyloglossia
SO ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY
VL 127
IS 7
BP 439
EP 444
DI 10.1177/0003489418776343
PD JUL 2018
PY 2018
AB Objective: This study evaluates the quality and readability of websites
   on ankyloglossia, tongue tie, and frenulectomy.
   Methods: Google was queried with six search terms: tongue tie, tongue
   tie and breastfeeding, tongue tie and frenulectomy, ankyloglossia,
   ankyloglossia and breastfeeding, and ankyloglossia and frenulectomy.
   Website quality was assessed using the DISCERN instrument. Readability
   was evaluated using the Flesch-Kincaid Reading Grade Level, Flesch
   Reading Ease Score, and Fry readability formula. Correlations were
   calculated. Search terms were analyzed for frequency using Google Trends
   and the NCBI database.
   Results: Of the maximum of 80, average DISCERN score for the websites
   was 65.7 (SD = 9.1, median = 65). Mean score for the Flesch-Kincaid
   Reading Grade Level was 11.6 (SD = 3.0, median = 10.7). Two websites
   (10%) were in the optimal range of 6 to 8. Google Trends shows tongue
   tie searches increasing in frequency, although the NCBI database showed
   a decreased in tongue tie articles.
   Conclusions: Most of the websites on ankyloglossia were of good quality;
   however, a majority were above the recommended reading level for public
   health information. Parents increasingly seek information on
   ankyloglossia online, while fewer investigators are publishing articles
   on this topic.
RI Aaronson, Nicole Leigh/H-6868-2019; Aaronson, Nicole/
OI Aaronson, Nicole/0000-0002-3028-453X
ZS 0
Z8 1
TC 8
ZB 0
ZR 0
ZA 0
Z9 9
U1 1
U2 6
SN 0003-4894
EI 1943-572X
UT WOS:000436022300003
PM 29774762
ER

PT J
AU Janzen, Bonnie
   Hellsten, Laurie-ann M.
TI Does the psychosocial quality of unpaid family work contribute to
   educational disparities in mental health among employed partnered
   mothers?
SO INTERNATIONAL ARCHIVES OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH
VL 91
IS 5
BP 633
EP 641
DI 10.1007/s00420-018-1310-y
PD JUL 2018
PY 2018
AB The contribution of unpaid family work quality to understanding social
   inequalities in women's mental health has been understudied and further
   limited by a scarcity of psychometrically sound instruments available to
   measure family work. Therefore, using a multi-item scale of family work
   quality with evidence of validity and reliability, the overall aim of
   the present study was to determine whether psychosocial qualities of
   unpaid family work contribute to educational inequities in women's
   mental health.
   Study participants in this cross-sectional study were 512 employed
   partnered mothers living in a Canadian province and recruited from an
   online research panel. The dependent variable was psychological
   distress. In addition to a 28-item measure assessing five dimensions of
   unpaid family work quality, independent variables included material
   deprivation, job decision latitude, job demands and several measures of
   the work-family interface. Multiple linear regression was the primary
   analysis.
   Compared to women with high school or less, university educated women
   reported lower psychological distress [b = - 2.23 (SE = 0.50) p =
   0.001]. The introduction of material deprivation into the model resulted
   in the largest reduction to the education disparity (51%), followed by
   equity in responsibility for unpaid family work (25%), family-to-work
   facilitation (22%), and decision latitude in paid work (21%). When
   entered simultaneously into the final model, the association between
   education and psychological distress was reduced by 70% and became
   statistically non-significant [b = - 0.68 (SE = 0.47) p = 0.10].
   In addition to the more established mechanisms of material conditions
   and decision latitude to explain mental health disparities, inequity in
   responsibility for unpaid family work may also play a role.
TC 5
ZR 0
ZS 0
Z8 0
ZA 0
ZB 1
Z9 5
U1 1
U2 12
SN 0340-0131
EI 1432-1246
UT WOS:000435376700013
PM 29691657
ER

PT J
AU Schueck, Andrea
   von Wolff, Michael
   Bitterlich, Norman
   Stute, Petra
TI Awareness, use and applicability of online risk calculators for
   non-communicable diseases-A cross-sectional study
SO MATURITAS
VL 113
BP 1
EP 6
DI 10.1016/j.maturitas.2018.03.015
PD JUL 2018
PY 2018
AB Chronic non-communicable diseases (NCDs) are the major reason for death
   and morbidity worldwide. As many NCDs are initially asymptomatic, online
   risk calculators with easy and inexpensive access have been developed
   and validated in order to facilitate early NCD detection and prevention.
   The aim of this study was to assess the awareness, use and applicability
   of NCD risk calculators among physicians in private practice in the
   canton of Bern, Switzerland. This was a cross-sectional cohort study of
   general practitioners and specialists in general internal medicine and
   gynaecologists. The questionnaire covered questions on the number of NCD
   risk calculators known and used, and barriers to their daily use during
   counselling. Awareness of NCD risk calculators was high. They were
   considered to be part of a routine preventive "check-up" by general
   internal medicine specialists and general practitioners but not by
   gynaecologists. AGLA (R) was the most known and used NCD risk
   calculator. However, 20-30% of physicians considered themselves
   non-users, and said they would be so even if access to online NCD risk
   calculators was made easier. More education on the benefits and better
   access to the NCD risk calculators are needed.
OI von Wolff, Michael/0000-0003-4303-2734
ZR 0
ZS 0
ZA 0
Z8 0
TC 2
ZB 2
Z9 2
U1 0
U2 1
SN 0378-5122
EI 1873-4111
UT WOS:000438659800002
PM 29903642
ER

PT J
AU Karila, L.
   Francois, H.
   Monnet, X.
   Noel, N.
   Roupret, M.
   Gajdos, V.
   Lambotte, O.
   Benhamou, D.
   Benyamina, A.
TI The Script Concordance Test: A multimodal teaching tool
SO REVUE DE MEDECINE INTERNE
VL 39
IS 7
BP 566
EP 573
DI 10.1016/j.revmed.2017.12.011
PD JUL 2018
PY 2018
AB In recent years, there has been a major interest in assessing learners
   during their medical education. The core of medical competence is the
   clinical reasoning that should be acquired by all medical actors. Its
   assessment includes the ability to integrate and apply different types
   of knowledge, weigh critical evidence and think about the process used
   to have a diagnosis. French faculties of medicine will have to include
   it in the training and evaluation of students during 2017. It should
   therefore be part of the new docimological modalities of the
   computerized "Epreuves Classantes Nationales" from 2020 onwards. In this
   article, we did a specific review of the literature concerning the
   theoretical foundations, methodology and use of Script Concordance Test
   (SCT) in the field of health. To do so, we used the PubMed, EMBASE and
   PsycINFO databases and selected articles in English and French language
   using the following keywords alone or in combination: script,
   concordance, script concordance test, medical studies, validity,
   fidelity, psychometric properties. We have found 62 articles that
   matched our search. Built on a well-targeted methodology, the SCT is a
   reliable and valid pedagogical tool. It can discriminate the levels of
   practice between medical students, residents and medical doctors,
   evaluate the progression and skills of clinical reasoning. It can be
   administered online, in multicentric centers, at a national or
   international level. There are, however, limitations that teachers must
   take into account. (C) 2018 Societe Nationale Francaise de Medecine
   Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.
RI Lambotte, Olivier/GRT-0160-2022; Benhamou, Dan/ABG-7935-2021; Noel, Nicolas/AAK-3911-2021; Francois, Helene/; Noel, Nicolas/; MONNET, Xavier/
OI Francois, Helene/0000-0001-7436-9554; Noel, Nicolas/0000-0003-4055-617X;
   MONNET, Xavier/0000-0001-6820-2678
ZR 0
ZS 0
Z8 0
TC 4
ZA 0
ZB 1
Z9 4
U1 3
U2 11
SN 0248-8663
UT WOS:000440262100005
PM 29576195
ER

PT J
AU Eneriz-Wiemer, Monica
   Liu, Shih-Dun
   Chu, Michael C. Y.
   Uribe-Leitz, Tarsicio
   Rajani, Krishna
   Sankar, Meera
   Robbins, Shira L.
   Lee, Henry C.
   Woodard, Claire
   Wang, C. Jason
TI Parents' Knowledge and Education of Retinopathy of Prematurity in Four
   California Neonatal Intensive Care Units
SO AMERICAN JOURNAL OF OPHTHALMOLOGY
VL 191
BP 7
EP 13
DI 10.1016/j.ajo.2018.03.039
PD JUL 2018
PY 2018
AB PURPOSE: Retinopathy of prematurity (ROP) may cause visual impairment in
   infants with very low birth weight. Lack of parent knowledge may
   contribute to gaps in screening and treatment. We studied parents'
   knowledge and education of ROP.
   DESIGN: Cross-sectional study.
   METHODS: SETTING: Four high-acuity neonatal intensive care units in
   California (40.84 beds).
   PARTICIPANTS: Total of 194 English- and Spanish-speaking parents of very
   low birth weight (< 1500 grams) infants recruited from September 2013 to
   April 2015.
   MAIN OUTCOME MEASURES: We asked parents what they knew about ROP, how
   they were educated about ROP, and their experiences obtaining outpatient
   eye care. We used multivariate analysis to assess whether parent
   knowledge was associated with level of English proficiency and literacy,
   education modality (verbal, written, online, video), and hospital
   transfer status.
   RESULTS: Of the 194 participants, 131 (68%) completed surveys: 18% had
   both limited English proficiency and low literacy while overall 26% had
   limited English proficiency and 37% had low literacy; 17% did not know
   that ROP is an eye disease, and 38% did not know that very low birth
   weight and prematurity are both risk factors for ROP. Parents reported
   receiving online resources (12%) or videos (3%). Half reported receiving
   information about infants' retinopathy status at discharge. No education
   modality was associated with higher knowledge. Limited English
   proficiency and low literacy were associated with lower knowledge (vs
   English-proficient, literate).
   CONCLUSIONS: Parents of infants with very low birth weight, particularly
   those with limited English proficiency and low health literacy, lack
   knowledge about ROP. (C) 2018 Elsevier Inc. All rights reserved.
RI Lee, Henry/GVS-2114-2022
ZA 0
Z8 0
TC 8
ZR 0
ZB 2
ZS 0
Z9 8
U1 1
U2 4
SN 0002-9394
EI 1879-1891
UT WOS:000437387100007
PM 29621506
ER

PT J
AU Mehta, Manish P.
   Swindell, Hasani W.
   Westermann, Robert W.
   Rosneck, James T.
   Lynch, T. Sean
TI Assessing the Readability of Online Information About Hip Arthroscopy
SO ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
VL 34
IS 7
BP 2142
EP 2149
DI 10.1016/j.arthro.2018.02.039
PD JUL 2018
PY 2018
AB Purpose: To investigate the current readability of online information
   pertaining to hip arthroscopy. Methods: The terms "hip arthroscopy" and
   "hip scope" were entered into the advanced search functions of Google,
   Yahoo!, and Bing on March 25, 2017, and results from the first 3 pages
   were analyzed. Results were required to be unique, accessible websites
   with information about hip arthroscopy conveyed primarily via analyzable
   text. Two reviewers applied inclusion criteria to the initial 97
   results, discussing to reach consensus in cases of disagreement.
   Overall, 60 unique results were reviewed with 48 meeting inclusion
   criteria. Websites were categorized as physician-sponsored, academic,
   commercial, governmental and nonprofit organization (NPO), or
   unspecified. Readability was measured via 6 different indices: the
   Flesch-Kincaid grade level (FKGL), Flesch Reading Ease (FRE), Gunning
   Fog Score, SMOG Index, Coleman-Liau Index (CLI), and Automated
   Readability Index (ARI) along with an average grade level and
   readability classification score. Results: Forty-eight unique websites
   were assessed for readability, with physician-sponsored webpages
   composing the majority (47.92%) followed by academic sources (35.42%).
   The webpages' average grade level, incorporating information from all 6
   metrics, was 12.79 +/- 1.98. Conclusions: The current readability of
   online information pertaining to hip arthroscopy is at an
   inappropriately high reading level compared with the sixth-grade level
   recommended by the American Medical Association and National Institutes
   of Health, thus introducing significant barriers to understanding for
   many patients. Online materials should be edited to reduce word and
   sentence length and complexity, use simpler terms, and minimize use of
   passive voice to facilitate patient knowledge acquisition and
   understanding of online information about hip arthroscopy. Clinical
   Relevance: This study shows that the current readability of online
   information on hip arthroscopy exceeds the suggested sixth-grade reading
   level. It also emphasizes the need for simplifying written materials and
   offers specific suggestions on doing so to increase accessibility of
   information for patients.
OI Westermann, Robert/0000-0002-5289-4689
ZB 2
Z8 0
ZS 0
ZR 0
TC 10
ZA 0
Z9 10
U1 0
U2 1
SN 0749-8063
EI 1526-3231
UT WOS:000438069000028
PM 29631940
ER

PT J
AU Aria, Reza
   Archer, Norm
TI Using an educational video vs. in-person education to measure patient
   perceptions of an online self-management support system for chronic
   illness
SO COMPUTERS IN HUMAN BEHAVIOR
VL 84
BP 162
EP 170
DI 10.1016/j.chb.2018.01.041
PD JUL 2018
PY 2018
AB The study is about comparing the users' perception and understanding of
   an online healthcare support system in two different situations and
   groups: Internet-panel group and In-person group. In the first group
   (Internet-panel), the participants were a group of patients, suffering
   from at least one type of chronic disease, who were chosen remotely from
   Canada and the United States. In the second group (In person),
   participants were a group of outpatients in St. Michael's Hospital in
   Toronto, Canada, who were suffering from at least one type of chronic
   disease. A short video clip was produced and used to educate the
   Internet-panel about the functionality and features of an online
   self-management support system for chronic illnesses (the system). After
   watching the video, participants were given a survey to test their
   perceptions of the system. For the In-person group, a nurse educated the
   patients about the functionalities of the system and later they answered
   to an identical survey. The UTAUT2, a pre-validated model of technology
   adoption, was used in the form of a Structured Equation Model to test
   the participants' perceptions in both groups of the study. A PLS
   statistical method was used for data analysis. The results of the two
   groups were compared; it showed that using a short video to introduce
   and educate patients with the different aspects and features of a highly
   complex technology, is as effective as time-consuming in-person
   education. The key is to develop relatable scenarios of using the
   technology and to focus on the structure of the video and the material
   that is conveyed to audience through the video. (C) 2018 Elsevier Ltd.
   All rights reserved.
TC 8
ZA 0
ZB 1
Z8 0
ZS 0
ZR 0
Z9 8
U1 1
U2 32
SN 0747-5632
EI 1873-7692
UT WOS:000433268600017
ER

PT J
AU Killian, John T., Jr.
   Leeper, James D.
   Xu, Qiong
   Sauer, Paul F., Jr.
   Porterfield, John R., Jr.
TI A Predictive Model for a Reputation-Based General Surgery Residency
   Match and a Novel Online Calculator
SO JOURNAL OF SURGICAL EDUCATION
VL 75
IS 4
BP 846
EP 853
DI 10.1016/j.jsurg.2017.09.012
PD JUL-AUG 2018
PY 2018
AB OBJECTIVE: This study aimed to identify medical student characteristics
   that predict a successful categorical match into a general surgery
   residency and a match based upon Doximity program rankings.
   DESIGN: This was a retrospective study that analyzed academic and
   personal predictors of a successful general surgery residency match.
   SETTING: This study was set at the University of Alabama at Birmingham
   School of Medicine, a public medical school.
   PARTICIPANTS: This study included 173 fourth-year medical students at a
   public medical school who matched into general surgery residency
   programs.
   METHODS: Our cohort comprised students graduating from our institution
   between 2004 and 2015 that matched into preliminary or categorical
   general surgery positions. We collected academic variables and performed
   univariate analyses and logistic regression to examine the likelihood of
   specific match outcomes.
   RESULTS: Of 173 students, 132 (76%) matched into a categorical position
   and 41 (24%) matched into a preliminary position. Of all variables,
   clinical ranking quartile was most effective in predicting a categorical
   match (R-2 = 0.35). Models for a match based upon Doximity ranking
   lacked the same predictive power.
   CONCLUSIONS: This research identifies students that are at risk for not
   matching into a categorical position and predicts competitiveness for
   certain programs. It provides a novel calculator to give applicants
   easily interpretable match probabilities. (C) 2017 Association of
   Program Directors in Surgery. Published by Elsevier Inc. All rights
   reserved.
OI Killian, John/0000-0002-3702-9005
ZB 2
ZS 0
ZR 0
ZA 0
Z8 0
TC 2
Z9 2
U1 0
U2 1
SN 1931-7204
EI 1878-7452
UT WOS:000439955800001
PM 29033024
ER

PT J
AU DeBoard, Zachary M.
   Paisley, Michael
   Thomas, Donald D.
TI Self-Appraised Readiness of Senior and Graduating General Surgery
   Residents to Perform Thoracic Surgery
SO JOURNAL OF SURGICAL EDUCATION
VL 75
IS 4
BP 877
EP 883
DI 10.1016/j.jsurg.2017.11.010
PD JUL-AUG 2018
PY 2018
AB OBJECTIVE: General surgeons perform up to 50% of noncardiac thoracic
   surgery (TS). Although data show consistent TS case volume during
   general surgery (GS) residency it is unknown whether this operative
   trend will persist given potentially limited subspecialty exposure. We
   sought to determine if certain aspects of residency programs and
   resident characteristics were associated with trainees' perceived
   comfort in performing certain basic TS procedures.
   DESIGN: An anonymous survey was distributed to GS residents regarding
   program characteristics, presence of a TS residency, and intent to
   pursue thoracic surgical training, and estimated case volumes of
   individual procedures. Comfort levels for performing video-assisted
   thoracoscopic surgical (VATS) procedures, open lobectomy, elective
   thoracotomy, and sternotomy were attained through a 5 point Likert-type
   scale.
   SETTING: This survey was administered at 50 training programs with
   responses recorded via an online form.
   PARTICIPANTS: Fourth- and fifth-year GS residents in the United States.
   RESULTS: Of 272 respondents 58% were fourth-year residents, 62% of
   residents trained at university-affiliated programs, and 64% reported a
   TS residency program at their institution and 16% stated intent to
   pursue TS. Fifth year residents performed significantly more cases than
   fourth-year residents despite no difference in median comfort levels.
   Residents intending to pursue TS performed significantly more cases and
   were more comfortable performing a thoracotomy, sternotomy, VATS wedge
   resection/biopsy, and VATS decortication/pleurodesis (p = 0.044, <0.001,
   0.045, 0.025). No characteristics were associated with comfort
   performing a lobectomy via thoracoscopic or open (thoracotomy)
   approaches.
   CONCLUSION: Most senior or graduating GS residents state they are
   comfortable performing certain thoracic procedures with those pursuing
   additional thoracic surgical training more comfortable overall. No
   characteristics were associated with comfort performing a lobectomy.
   These findings may advise residency curriculum design to ensure
   continued thoracic surgical exposure and recommend against
   non-fellowship trained surgeons performing a pulmonary lobectomy. (C)
   2017 Association of Program Directors in Surgery. Published by Elsevier
   Inc. All rights reserved.
ZR 0
Z8 0
ZB 0
ZS 0
TC 3
ZA 0
Z9 3
U1 0
U2 1
SN 1931-7204
EI 1878-7452
UT WOS:000439955800005
PM 29273336
ER

PT J
AU Petravick, Michael E.
   Marsh, J. Lawrence
   Karam, Matthew D.
   Dirschl, Douglas R.
TI A Survey on Recent Medical School Graduate Comfort With the Level 1
   Milestones
SO JOURNAL OF SURGICAL EDUCATION
VL 75
IS 4
BP 911
EP 917
DI 10.1016/j.jsurg.2017.10.004
PD JUL-AUG 2018
PY 2018
AB OBJECTIVE: The Next Accreditation System implemented 5 levels of
   milestones for orthopedic surgery residents in 2013. The Level 1
   milestones were noted as those "expected of an incoming resident." While
   the milestones were intended for assessing resident progression and
   readiness for independent practice, this designation can also be used to
   assess how well prepared graduating medical students are for beginning
   an orthopedic surgery residency. The primary objective of this paper is
   to measure recent medical school graduate comfort with the Level 1
   milestones.
   DESIGN, SETTING, AND PARTICIPANTS: In June 2015, the program directors
   for the Midwest Orthopaedic Surgical Skills (MOSS) Consortium affiliated
   residency programs were sent an online survey for distribution to the
   recent medical school graduates who matched at their respective
   programs. The survey was about recent graduate comfort with the Level 1
   milestone handles associated with 16 orthopedic milestones spanning
   multiple subspecialties. Responses were grouped based on comfort with
   individual milestone handles with orthopedic conditions (e.g., carpal
   tunnel) or with broader categories spanning orthopedic milestones (e.g.,
   imaging).
   RESULTS: In all, 66 of 112 graduates (58.9%) responded. Of 60 milestone
   handles surveyed, respondents were "Comfortable" with an average of 31.6
   +/- 14.2 handles with some conditions performing much better than
   others. The median "Comfortable" response rate was 31 handles. The 8
   broader categories had "Comfortable" response rates between 35% and 70%.
   All 8 orthopedic conditions had significantly higher "Comfortable"
   response rates for "Evaluation & Knowledge" handles than for "Decision
   Making & Treatment" handles.
   CONCLUSIONS: Most recent medical student graduates who matched into an
   orthopedic surgery residencies are only comfortable with about half of
   the Level 1 milestone handles even though they are expected to meet the
   Level 1 milestones upon beginning residency. This finding suggests the
   development of an assessment based on the Level 1 milestones would be
   appropriate to better inform both graduate and undergraduate medical
   education in orthopedic surgery. (C) 2017 Association of Program
   Directors in Surgery. Published by Elsevier Inc. All rights reserved.
OI Marsh, J Lawrence/0000-0002-3494-6289
ZB 0
Z8 0
ZS 0
ZA 0
TC 2
ZR 0
Z9 2
U1 0
U2 3
SN 1931-7204
EI 1878-7452
UT WOS:000439955800011
PM 29127019
ER

PT J
AU Jaffe, Todd A.
   Hasday, Steven J.
   Knol, Meghan
   Pradarelli, Jason
   Quamme, Sudha R. Pavuluri
   Greenberg, Caprice C.
   Dimick, Justin B.
TI Strategies for New Skill Acquisition by Practicing Surgeons
SO JOURNAL OF SURGICAL EDUCATION
VL 75
IS 4
BP 928
EP 934
DI 10.1016/j.jsurg.2017.09.016
PD JUL-AUG 2018
PY 2018
AB OBJECTIVE: To understand how practicing surgeons utilize available
   training methods, which methods are perceived as effective, and
   important barriers to using more effective methods.
   DESIGN: Online survey designed to characterize surgeon utilization and
   perception of available training methods.
   SETTING: Two large Midwestern academic health centers.
   PARTICIPANTS: 150 faculty surgeons.
   METHODS: Nominal values were compared using a McNemar's Test and
   Likert-like values were compared using a paired t-test (IBM SPSS
   Statistics v. 21.0; New York, NY).
   RESULTS: Survey response rate was 81% (122/150). 98% of surgeons
   reported learning a new procedure or technology after formal training.
   Many surgeons reported scrubbing in expert cases (78%) and self-directed
   study (66%), while few surgeons(6%) completed a mini-fellowship. The
   modalities used most commonly were scrubbing in expert cases (34%) and
   self-directed study (27%). Few surgeons (7%) believed self-directed
   study would be most effective, whereas 31% and 16% believed operating
   under supervision and mini-fellowships would be most effective,
   respectively. Surgeons believed more effective methods "would require
   too much time" or they had "confidence in their ability to implement
   safely."
   CONCLUSIONS: Practicing surgeons use a variety of training methods when
   learning new procedures and technologies, and there is disconnect
   between commonly used training methods and those deemed most effective.
   Confidence in surgeon's ability was cited as a reason for this
   discrepancy; and surgeons found time associated with more effective
   methods to be prohibitive. (C) 2017 Association of Program Directors in
   Surgery. Published by Elsevier Inc. All rights reserved.
OI Hasday, Steven/0000-0002-8912-2148; Jaffe, Todd/0000-0003-4430-2919
TC 7
ZB 0
ZR 0
ZA 0
ZS 0
Z8 0
Z9 7
U1 0
U2 7
SN 1931-7204
EI 1878-7452
UT WOS:000439955800014
PM 28974428
ER

PT J
AU Novin, Sherwin
   Yi, Paul H.
   Vanderplas, Taylor
   Yim, Douglas
   Hong, Kelvin
TI Integrated Interventional Radiology Residency Program Websites: A
   Development in Progress
SO AMERICAN JOURNAL OF ROENTGENOLOGY
VL 211
IS 1
BP 211
EP 216
DI 10.2214/AJR.17.19008
PD JUL 2018
PY 2018
AB OBJECTIVE. The purpose of this study is to evaluate the
   comprehensiveness of interventional radiology (IR) residency program
   websites.
   MATERIALS AND METHODS. We determined whether all integrated IR residency
   programs approved in 2016 by the Society for Interventional Radiology
   had a dedicated residency program website. On each website, we searched
   for 38 elements identified as important considerations for medical
   students applying to diagnostic radiology residency and IR fellowship
   programs. With the use of t tests and ANOVA, both the prevalence of
   criteria between regions and program sizes were compared.
   RESULTS. Of 61 IR residency programs that were identified, 44 (72%) had
   dedicated websites. On average, the websites included 38% of the 38
   elements evaluated. Only two residency program websites (5%) included
   more than 50% of the criteria assessed. The information most commonly
   found was a contact e-mail (95% of websites), a mailing address (91%),
   and a comprehensive listing of faculty (75%). The information that was
   least commonly included was clinical responsibility progression (7%), a
   description of didactics (5%), and simulation experience (5%). No
   significant difference in website comprehensiveness was noted between
   regions (p = 0.590) or between different quartiles of ranking of IR
   fellowship on an online social networking service for U.S. clinicians (p
   = 0.198).
   CONCLUSION. Nearly one-third of integrated IR residency programs do not
   have a dedicated website. Those that do exist are inadequately
   comprehensive, with less than 40% of assessed criteria present. Contact
   information and information about life outside of work were the most
   commonly included elements, with a description of clinical training
   opportunities less frequently included. Addressing these gaps in website
   content will help IR residency programs better inform prospective
   students and may increase the number of applicants.
Z8 0
ZB 1
ZS 0
TC 16
ZR 0
ZA 0
Z9 16
U1 0
U2 0
SN 0361-803X
EI 1546-3141
UT WOS:000439842000040
PM 29792738
ER

PT J
AU Rankin, Linda
   Stalnacke, Britt-Marie
   Fowler, Christopher J.
   Gallego, Gisselle
TI Differences in Swedish and Australian medical student attitudes and
   beliefs about chronic pain, its management, and the way it is taught
SO SCANDINAVIAN JOURNAL OF PAIN
VL 18
IS 3
BP 533
EP 544
DI 10.1515/sjpain-2018-0039
PD JUL 2018
PY 2018
AB Background and aims: Medical students receive training in the management
   of chronic pain, but the training is often suboptimal. Considering that
   the basis for physician's knowledge is their medical education, it is
   important to explore the attitudes and beliefs of medical students with
   respect both to chronic pain management and to their views on current
   pain education. Therefore, the aim of this study was to compare Swedish
   and Australian medical student's attitudes and beliefs about patients
   with chronic pain, and their perceptions regarding their chronic pain
   management education.
   Methods: An online survey was conducted with final year Australian and
   Swedish medical students from two different universities between
   December 2016 and February 2017. Attitudes and beliefs towards chronic
   pain patients were measured using the Health Care Providers' Pain and
   Impairment Scale (HC-PAIRS). A thematic analysis was conducted on open
   end questions regarding their views on their education and important
   skills for chronic pain management.
   Results: A total of 57 Swedish and 26 Australian medical students
   completed the HC-PAIRS scale. The Swedish medical students showed
   statistically significantly lower total mean HC-PAIRS scores compared to
   Australian medical students (46 and 51, respectively). Australian
   students had statistically significantly higher scores than the Swedish
   students for two of four factors: functional expectations and need for
   cure, whereas no significant differences were seen for the factors
   social expectations or for projected cognition. From the open end
   questions it was evident that final year medical students are
   knowledgeable about key chronic pain items described in clinical
   guidelines. However, both cohorts described their chronic pain training
   as poor and in need of improvement in several areas such as more focus
   on the biopsychosocial model, working in multidisciplinary teams, seeing
   chronic pain patients and pharmacological training.
   Conclusions: Attitudes and beliefs are formed during medical education,
   and our study exploring attitudes of medical students towards chronic
   pain and how it is taught have provided valuable information. Our survey
   provided detailed and cohesive suggestions for education improvement
   that also are in line with current clinical guidelines. This study
   indicates that the Swedish final year students have a more positive
   attitude towards chronic pain patients compared to their Australian
   counterparts. The majority of students in both cohorts perceived chronic
   pain management education in need of improvement.
   Implications: This study highlights several areas of interest that
   warrant further investigation, for example, the impact of a changed
   medical curriculum in alignment with these clinical guidelines requested
   by students in this survey, and correspondingly if their attitudes
   towards chronic pain patients can be improved through education.
   Further, we conclude that it would be valuable to align the
   implementation of the HC-PAIRS instrument in order to achieve comparable
   results between future studies.
RI Gallego, Gisselle/AAG-2398-2019; Fowler, Christopher J./M-6313-2019; Gallego, Gisselle/AAD-6026-2019; Rankin, Linda/
OI Fowler, Christopher J./0000-0002-6658-7874; Gallego,
   Gisselle/0000-0002-3243-8176; Rankin, Linda/0000-0002-2883-5603
ZR 0
ZA 0
ZS 0
TC 1
Z8 0
ZB 0
Z9 1
U1 0
U2 5
SN 1877-8860
EI 1877-8879
UT WOS:000439314200023
PM 29794271
ER

PT J
AU Scherdel, Pauline
   Hjelm, Nils
   Salaun, Jean-Francois
   Heude, Barbara
   Chalumeau, Martin
CA EBGM IV study grp
TI Survey highlights important discrepancies between definitions of
   paediatric abnormal growth taught to medical students in 23 European
   countries
SO ACTA PAEDIATRICA
VL 107
IS 7
BP 1218
EP 1222
DI 10.1111/apa.14266
PD JUL 2018
PY 2018
AB Aim: This study compared the definitions of abnormal growth that are
   taught across Europe to explain previously reported variations in
   growth-monitoring practices.
   Methods: We developed two online surveys in 2016 to obtain the
   definitions of abnormal growth in European countries and approached the
   national chairs of the European Confederation of Primary Care
   Paediatricians in 18 countries and the International Federation of
   Medical Students' Associations in 33 countries.
   Results: We obtained definitions from 10 of 18 paediatricians and 18 of
   33 students, covering 23 of the 33 European countries surveyed. Abnormal
   faltering growth was always defined, either by a single parameter (24%)
   or combined parameters (76%). Four static parameters were used:
   standardised height (100%), standardised weight (60%), standardised body
   mass index (12%) and distance to target height (20%). Two dynamic
   parameters were used: growth deflection (28%) and growth velocity (32%).
   The thresholds used to define abnormal faltering growth varied slightly
   in some cases and widely in others. Abnormal accelerated growth appeared
   in 52% of the definitions, with important variations in parameters and
   thresholds.
   Conclusion: There were important between-country discrepancies in the
   definitions of paediatric abnormal growth that were taught in 23
   European countries. Standardisation is vital.
RI Briganti, Giovanni/C-2094-2018; Heude, Barbara/GLU-9626-2022; Heude, Barbara/G-3095-2016; Scherdel, Pauline/; Bregant, Tina/; Likonska, Aleksandra/; Reali, Laura/
OI Briganti, Giovanni/0000-0002-4038-3363; Heude,
   Barbara/0000-0002-1565-1629; Heude, Barbara/0000-0002-1565-1629;
   Scherdel, Pauline/0000-0003-4517-9430; Bregant,
   Tina/0000-0001-6677-5894; Likonska, Aleksandra/0000-0002-3736-7960;
   Reali, Laura/0000-0002-2501-4930
TC 3
ZB 2
ZA 0
ZR 0
ZS 0
Z8 0
Z9 3
U1 0
U2 1
SN 0803-5253
EI 1651-2227
UT WOS:000435258200017
PM 29421846
ER

PT J
AU Yamamoto, Jennifer M.
   Hughes, Deborah J. F.
   Evans, Mark L.
   Karunakaran, Vithian
   Clark, John D. A.
   Morrish, Nicholas J.
   Rayman, Gerry A.
   Winocour, Peter H.
   Hambling, Clare
   Harries, Amanda W.
   Sampson, Michael J.
   Murphy, Helen R.
TI Community-based pre-pregnancy care programme improves pregnancy
   preparation in women with pregestational diabetes
SO DIABETOLOGIA
VL 61
IS 7
BP 1528
EP 1537
DI 10.1007/s00125-018-4613-3
PD JUL 2018
PY 2018
AB Aims/hypothesis Women with diabetes remain at increased risk of adverse
   pregnancy outcomes associated with poor pregnancy preparation. However,
   women with type 2 diabetes are less aware of and less likely to access
   pre-pregnancy care (PPC) compared with women with type 1 diabetes. We
   developed and evaluated a community-based PPC programme with the aim of
   improving pregnancy preparation in all women with pregestational
   diabetes.
   Methods This was a prospective cohort study comparing pregnancy
   preparation measures before and during/after the PPC intervention in
   women with pre-existing diabetes from 1 June 2013 to 28 February 2017.
   The setting was 422 primary care practices and ten National Health
   Service specialist antenatal diabetes clinics. A multifaceted approach
   was taken to engage women with diabetes and community healthcare teams.
   This included identifying and sending PPC information leaflets to all
   eligible women, electronic preconception care templates, online
   education modules and resources, and regional meetings and educational
   events. Key outcomes were preconception folic acid supplementation,
   maternal HbA(1c) level, use of potentially harmful medications at
   conception and gestational age at first presentation, before and
   during/after the PPC programme.
   Results A total of 306 (73%) primary care practices actively
   participated in the PPC programme. Primary care databases were used to
   identify 5075 women with diabetes aged 18-45 years. PPC leaflets were
   provided to 4558 (89.8%) eligible women. There were 842 consecutive
   pregnancies in women with diabetes: 502 before and 340 during/after the
   PPC intervention. During/after the PPC intervention, pregnant women with
   type 2 diabetes were more likely to achieve target HbA(1c) levels <= 48
   mmol/mol (6.5%) (44.4% of women before vs 58.5% of women during/after
   PPC intervention; p = 0.016) and to take 5 mg folic acid daily (23.5%
   and 41.8%; p = 0.001). There was an almost threefold improvement in
   'optimal' pregnancy preparation in women with type 2 diabetes (5.8% and
   15.1%; p = 0.021). Women with type 1 diabetes presented for earlier
   antenatal care during/after PPC (54.0% vs 67.3% before 8 weeks'
   gestation; p = 0.003) with no other changes.
   Conclusions/interpretation A pragmatic community-based PPC programme was
   associated with clinically relevant improvements in pregnancy
   preparation in women with type 2 diabetes. To our knowledge, this is the
   first community-based PPC intervention to improve pregnancy preparation
   for women with type 2 diabetes.
RI Hambling, Clare E/R-3703-2017; Murphy, Helen/
OI Hambling, Clare E/0000-0001-5851-6307; Murphy, Helen/0000-0002-5489-0614
ZA 0
TC 24
Z8 0
ZB 8
ZS 0
ZR 0
Z9 24
U1 0
U2 6
SN 0012-186X
EI 1432-0428
UT WOS:000434250500005
PM 29744539
ER

PT J
AU Cheung, Timothy
   Harianto, Harry
   Spanger, Manfred
   Young, Alan
   Wadhwa, Vikas
TI Low accuracy and confidence in chest radiograph interpretation amongst
   junior doctors and medical students
SO INTERNAL MEDICINE JOURNAL
VL 48
IS 7
BP 864
EP +
DI 10.1111/imj.13946
PD JUL 2018
PY 2018
AB Accurate chest X-ray (CXR) interpretation is an essential skill in
   clinical practice. Previous studies have shown poor accuracy and
   confidence rates (CR) of CXR interpretation by junior doctors and
   medical students. We presented 10 chest radiographs via an online
   questionnaire to Australian medical students and junior doctors, who
   were asked to identify the radiographic abnormality from a list of 15
   options and to rate their confidence for each answer. Of 67 complete
   responses, junior doctors achieved a mean score of 57.6% and medical
   students 56.1%, with CR of 67 versus 58% respectively. There was a
   significant positive relationship between accuracy and CR among junior
   doctors (Pearson's coefficient + 0.798, P = 0.006) and students
   (Pearson's coefficient + 0.716, P = 0.020). This study identified
   similarities in strength and weakness in CXR interpretation between
   medical students and junior doctors. There was a positive association
   between test scores and self-rated confidence scores.
OI Spanger, Manfred/0000-0002-1949-3437; Wadhwa, Vikas/0000-0001-8569-7668
Z8 0
ZA 0
ZR 0
ZS 0
ZB 0
TC 5
Z9 5
U1 0
U2 2
SN 1444-0903
EI 1445-5994
UT WOS:000437832800017
PM 29984505
ER

PT J
AU Nair, Dilip
   Hart, Andrea
TI Family Physicians' Perspectives on Their Weight Loss Nutrition
   Counseling in a High Obesity Prevalence Area
SO JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE
VL 31
IS 4
BP 522
EP +
DI 10.3122/jabfm.2018.04.170467
PD JUL-AUG 2018
PY 2018
AB Background: Obesity is a serious and highly prevalent health problem.
   Behavioral modification for weight loss is effective, and physician
   nutrition counseling is encouraged. Nevertheless, several studies have
   reported that physicians provide nutrition counseling infrequently. Time
   constraints and lack of patient compliance are among frequently reported
   barriers.
   Aim: In this pilot study, we aimed to examine physician weight loss
   nutrition counseling among family physicians in Huntington, West
   Virginia, an area with the highest obesity prevalence in the United
   States.
   Methods: We administered an anonymous 13-question online survey designed
   for this study to all area family physicians in continuity ambulatory
   practice, asking about how often they provided nutrition counseling to
   their comorbidly obese patients, their nutrition education background,
   the counseling resources used, and the barriers they faced.
   Results: Thirty-eight of the 47 invited physicians completed surveys.
   The 35 to 55 age group comprised 55% of the respondents. Men comprised
   53% of our sample. Two-thirds of the physicians reported that they
   counseled at a high frequency. Twenty-six of the 38 physicians reported
   that their nutrition education in medical school was none to minimal. Of
   the rest, 47.2% viewed their education as clinically relevant. The most
   frequently-used specific patient education sources were those embedded
   in electronic health records, the US Department of Agriculture's MyPlate
   tool, and a variety of smartphone-based apps. Time constraints and lack
   of patient interest in nutrition topics were the leading barriers cited.
   Conclusion: Family physicians practicing in the most obese population in
   the United States tend to be high-frequency obesity nutrition counselors
   who frequently use specific tools, consider their education lacking and
   face oft-cited barriers. Studies in other highly endemic areas are
   needed to confirm these findings.
ZS 0
ZR 0
ZA 0
ZB 2
Z8 0
TC 8
Z9 8
U1 0
U2 2
SN 1557-2625
EI 1558-7118
UT WOS:000438251800006
PM 29986977
ER

PT J
AU Patel, Vishnu M.
   Dahl-Grove, Deanna
TI Disaster Preparedness Medical School Elective: Bridging the Gap Between
   Volunteer Eagerness and Readiness
SO PEDIATRIC EMERGENCY CARE
VL 34
IS 7
BP 492
EP 496
DI 10.1097/PEC.0000000000000806
PD JUL 2018
PY 2018
AB Objective Eager medical students may not be prepared for unanticipated
   complexities of disaster response. This study aimed to answer 2
   questions: does an online disaster preparedness curriculum create a
   convenient method to educate medical students and motivate them to be
   better prepared to volunteer?
   Methods An online disaster preparedness elective was created for medical
   students. Four modules were created using Softchalk and hosted on the
   Blackboard Learning Management System. Students completed embedded
   pre-elective, post-lesson, and post-elective surveys.
   Results Fifty-five students completed the elective. When posed with the
   statement, I feel prepared for an emergency at the University or the
   immediate area, 70% stated that they disagreed or strongly disagreed
   before the elective. Subsequently, only 11% claimed to disagree after
   the elective. At the conclusion of the elective, 13% of students had
   prepared a personal emergency kit and 28% had prepared a family
   communication plan for reunification. Students were surveyed on the
   statement I would like to be involved in a community disaster response
   while continuing my medical training. Ninety-four percent claimed to
   agree or strongly agree before the elective, and 93% stated the same
   after elective completion.
   Conclusions This disaster preparedness elective was envisioned to be a
   resource for students. Advantages of online availability are ease of
   student access and minimal demand on faculty resources. A voluntary,
   self-paced online elective in disaster preparedness has shown to create
   a stronger interest in disaster participation in medical students.
   Student readiness to volunteer improved; however, willingness remained
   stagnant.
ZS 0
Z8 0
ZR 0
ZB 0
TC 9
ZA 0
Z9 9
U1 0
U2 9
SN 0749-5161
EI 1535-1815
UT WOS:000438545200016
PM 27455344
ER

PT J
AU Parker, Lisa
   Bero, Lisa
   Gillies, Donna
   Raven, Melissa
   Mintzes, Barbara
   Jureidini, Jon
   Grundy, Quinn
TI Mental Health Messages in Prominent Mental Health Apps
SO ANNALS OF FAMILY MEDICINE
VL 16
IS 4
BP 338
EP 342
DI 10.1370/afm.2260
PD JUL-AUG 2018
PY 2018
AB PURPOSE Many who seek primary health care advice about mental health may
   be using mobile applications (apps) claiming to improve well-being or
   relieve symptoms. We aimed to identify how prominent mental health apps
   frame mental health, including who has problems and how they should be
   managed.
   METHODS We conducted a qualitative content analysis of advertising
   material for mental health apps found online in the United States, the
   United Kingdom, Canada, and Australia during late 2016. Apps were
   included if they explicitly referenced mental health diagnoses or
   symptoms and offered diagnosis and guidance, or made health claims. Two
   independent coders analyzed app store descriptions and linked websites
   using a structured, open-ended instrument. We conducted interpretive
   analysis to identify key themes and the range of messages.
   RESULTS We identified 61 mental health apps: 34 addressed predominantly
   anxiety, panic, and stress (56%), 16 addressed mood disorders (26%), and
   11 addressed well-being or other mental health issues (18%). Apps
   described mental health problems as being psychological symptoms, a risk
   state, or lack of life achievements. Mental health problems were framed
   as present in everyone, but everyone was represented as employed, white,
   and in a family. Explanations about mental health focused on abnormal
   responses to mild triggers, with minimal acknowledgment of external
   stressors. Therapeutic strategies included relaxation, cognitive
   guidance, and self-monitoring. Apps encouraged frequent use and promoted
   personal responsibility for improvement.
   CONCLUSIONS Mental health apps may promote medicalization of normal
   mental states and imply individual responsibility for mental well-being.
   Within the health care clinician-patient relationship, such messages
   should be challenged, where appropriate, to prevent overdiagnosis and
   ensure supportive health care where needed.
RI Mintzes, Barbara/AFK-6613-2022; Jureidini, Jon/AFS-5457-2022; Bero, Lisa/; Gillies, Donna/; Jureidini, Jon/
OI Mintzes, Barbara/0000-0002-8671-915X; Bero, Lisa/0000-0003-1893-6651;
   Gillies, Donna/0000-0002-6216-4559; Jureidini, Jon/0000-0001-7585-2660
TC 24
ZB 4
ZR 0
ZA 0
ZS 0
Z8 0
Z9 24
U1 3
U2 19
SN 1544-1709
EI 1544-1717
UT WOS:000438252900012
PM 29987082
ER

PT J
AU McCarty, Jennifer L.
   Golofit, Piotr
   Tigges, Stefan
   Skalski, Matthew
TI Digital Medical Illustration for the Radiologist
SO RADIOGRAPHICS
VL 38
IS 4
BP 1145
EP 1157
DI 10.1148/rg.2018170088
PD JUL-AUG 2018
PY 2018
AB The adage "a picture is worth a thousand words" holds true in medicine,
   especially so in radiology. Although the images radiologists interpret
   are highly detailed, there often is no substitute for a concise
   diagrammatic illustration. Medical illustrations can help to clarify
   anatomy, pathology, and procedures-relaying complex information in a
   simple and easily understandable format. Medical illustrations have
   become ubiquitous in medical education and sought after for
   publications. Unfortunately, existing best-fit illustrations are not
   always available to complement discussion points. Thus, academicians are
   well served by the ability to produce their own illustrations. Although
   creating medical illustrations may seem unachievable to amateur artists,
   this is not necessarily the case. Digital illustration does not require
   the typical artistic skills needed for drawing with pen and paper or
   painting on a canvas. Radiologists of all skill levels, including those
   who do not view themselves as artistically inclined, can create their
   own high-quality original diagrams. Whether drawn freehand with a stylus
   or traced with a mouse, simple and complex digital works are within
   reach. However, the utility of illustration programs for radiologists is
   not inherently obvious, and discussion of useful features in the
   radiology literature is lacking. Digital illustration programs are
   accessible to most radiologists, and the process can be simplified to an
   easily approachable level, with illustration complexity left to the
   artist's discretion. (C) RSNA, 2018
OI McCarty, Jennifer/0000-0001-9533-6524
ZS 0
TC 4
ZR 0
ZB 0
Z8 0
ZA 0
Z9 4
U1 1
U2 9
SN 0271-5333
UT WOS:000438383300011
PM 29856683
ER

PT J
AU Mold, Freda
   Raleigh, Mary
   Alharbi, Nouf Sahal
   de Lusignan, Simon
TI The Impact of Patient Online Access to Computerized Medical Records and
   Services on Type 2 Diabetes: Systematic Review
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 20
IS 7
AR e235
DI 10.2196/jmir.7858
PD JUL 2018
PY 2018
AB Background: Online access to computerized medical records has the
   potential to improve convenience, satisfaction, and care for patients,
   and to facilitate more efficient organization and delivery of care.
   Objective: The objective of this review is to explore the use and impact
   of having online access to computerized medical records and services for
   patients with type 2 diabetes mellitus in primary care.
   Methods: Multiple international databases including Medline, Embase,
   CINAHL, PsycINFO and the Cochrane Library were searched between 2004 and
   2016. No limitations were placed on study design, though we applied
   detailed inclusion and exclusion criteria to each study. Thematic
   analysis was used to synthesize the evidence. The Mixed Methods
   Appraisal Toolkit was used to appraise study quality.
   Results: A search identified 917 studies, of which 28 were included.
   Five themes were identified: (1) disparities in uptake by age, gender,
   ethnicity, educational attainment, and number of comorbidities, with
   young men in full-time employment using these services most; (2)
   improved health outcomes: glycemic control was improved, but blood
   pressure results were mixed; (3) self-management support from improved
   self-care and shared management occurred especially soon after diagnosis
   and when complications emerged. There was a generally positive effect on
   physician-patient relationships; (4) accessibility: patients valued more
   convenient access when online access to computerized medical records and
   services work; and (5) technical challenges, barriers to use, and system
   features that impacted patient and physician use. The Mixed Methods
   Appraisal Toolkit rated 3 studies as 100%, 19 studies as 75%, 4 studies
   as 50%, and 1 study scored only 25%.
   Conclusions: Patients valued online access to computerized medical
   records and services, although in its current state of development it
   may increase disparities. Online access to computerized medical records
   appears to be safe and is associated with improved glycemic control, but
   there was a lack of rigorous evidence in terms of positive health
   outcomes for other complications, such as blood pressure. Patients
   remain concerned about how these systems work, the rules, and timeliness
   of using these systems.
RI de Lusignan, Smion/S-7838-2019; Mold, Freda/AAO-2734-2020; alharbi, nouf/AAP-4413-2021
OI de Lusignan, Smion/0000-0002-8553-2641; alharbi,
   nouf/0000-0002-4431-3303
ZB 1
Z8 0
ZA 0
TC 14
ZR 0
ZS 0
Z9 14
U1 2
U2 12
SN 1438-8871
UT WOS:000437974000001
PM 29980499
ER

PT J
AU Scrimgeour, D. S. G.
   Cleland, J.
   Lee, A. J.
   Brennan, P. A.
TI Predictors of success in the Intercollegiate Membership of the Royal
   College of Surgeons (MRCS) examination
SO ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND
VL 100
IS 6
BP 424
EP 427
DI 10.1308/rcsann.2018.0073
PD JUL 2018
PY 2018
AB INTRODUCTION The Intercollegiate Membership of the Royal College of
   Surgeons (MRCS, Parts A and B) is designed to safeguard patients and
   ensure high standards for trainees wishing to pursue a surgical career.
   We investigated which factors predict Part A and B success.
   METHODS UK graduates who had attempted both parts of MRCS from September
   2007 to February 2016 were included. Pearson correlation coefficients
   were used to examine the linear relationship between each part of MRCS
   and logistic regression analysis to identify potential independent
   predictors of MRCS pass/fail outcome.
   RESULTS A positive correlation between Part A and B score was identified
   (r = 0.41, P < 0.01). In Part A, males had higher pass rates than
   females (odds ratio, OR, 2.78, 95% confidence interval, CI, 1.83-4.19),
   white candidates were more likely to pass than black minority and ethnic
   doctors (OR 1.70, 95% CI 1.52-1.89), foundation year 1 doctors had
   higher pass rates than all other grades (e.g. core surgical year 2
   trainees vs. foundation year 1 doctors, OR 0.50, 95% CI 0.32-0.77) and
   younger graduates were more likely to pass than older graduates (OR
   2.60, 95% CI 1.81-3.63). In addition to ethnicity and stage of training,
   Part A performance (number of attempts and score) was an independent
   predictor for Part B.
   CONCLUSIONS Part A performance is related to Part B score. Many
   independent predictors of MRCS success were identified, but only stage
   of training and ethnicity were found to be common predictors of both
   parts. This article summarises the findings of our most recent MRCS
   study which was published in The Surgeon (online) in October 2017. (1)
CT International Surgical Congress of the
   Association-of-Surgeons-of-Great-Britain-and-Ireland
CY MAY 03-05, 2017
CL Glasgow, SCOTLAND
SP Assoc Surg Great Britain & Ireland
RI Cleland, Jennifer/AAI-9412-2020
OI Cleland, Jennifer/0000-0003-1433-9323
ZS 0
Z8 0
ZR 0
ZB 0
TC 5
ZA 0
Z9 5
U1 0
U2 0
SN 0035-8843
EI 1478-7083
UT WOS:000437327500010
PM 29607719
ER

PT J
AU Lorenzo Alvarez, R.
   Pavia Molina, J.
   Sendra Portero, F.
TI Possibilities of the three-dimensional virtual environment
   tridimensional Second Life (R) for training in radiology
SO RADIOLOGIA
VL 60
IS 4
BP 273
EP 279
DI 10.1016/j.rx.2018.02.006
PD JUL-AUG 2018
PY 2018
AB Three-dimensional virtual environments enable very realistic ludic,
   social, cultural, and educational activities to be carried out online.
   Second Life (R) is one of the most well-known virtual environments, in
   which numerous training activities have been developed for healthcare
   professionals, although none about radiology. The aim of this article is
   to present the technical resources and educational activities that
   Second Life offers for training in radiology based on our experience
   since 2011 with diverse training activities for undergraduate and
   postgraduate students. Second Life (R) is useful for carrying out
   radiology training activities online through remote access in an
   attractive scenario, especially for current generations of students and
   residents. More than 800 participants have reported in individual
   satisfaction surveys that their experiences with this approach have been
   interesting and useful for their training in radiology. (C) 2018 SERAM.
   Published by Elsevier Espana, S.L.U. All rights reserved.
RI Pavia, Jose/F-5526-2016; Sendra-Portero, Francisco/AAM-3468-2021
OI Pavia, Jose/0000-0002-3121-0735; Sendra-Portero,
   Francisco/0000-0001-9535-9806
Z8 0
ZS 0
ZR 0
TC 8
ZB 0
ZA 0
Z9 8
U1 1
U2 4
SN 0033-8338
EI 1578-178X
UT WOS:000437678700002
PM 29571525
ER

PT J
AU Flack, Natasha A. M. S.
   Nicholson, Helen D.
TI What do medical students learn from dissection?
SO ANATOMICAL SCIENCES EDUCATION
VL 11
IS 4
BP 325
EP 335
DI 10.1002/ase.1758
PD JUL-AUG 2018
PY 2018
AB Dissection has long been the accepted method for teaching anatomy to
   medical students. More recently, some educators have suggested that
   easier, cheaper, alternative methods are just as effective. But what do
   the students think? This paper aimed to identify what undergraduate
   medical students learn, how they cope, and what effects participating in
   dissection has on them as individuals. A cohort of 267 second year
   medical students at Otago Medical School were invited to complete three
   online surveys; before their first dissection laboratory class, after
   their first musculoskeletal system dissection and following the last
   semester of studying anatomy. Open-ended questions showcasing the
   attitudes, beliefs, and opinions on what dissection had taught the
   medical students over years two and three were analyzed. A general
   inductive approach was used and common emergent themes were identified.
   In total, 194 students completed the second, and 108 students completed
   the third questionnaire. Students commonly conveyed dissection as an
   appropriate and valuable educational tool, useful for teaching and
   learning anatomical knowledge and relationships, appreciating the body
   in three-dimension, teamwork, and how to cope with death/dead bodies.
   The noted effects of personal growth while participating in dissection
   were highly varied, but in general, impacted positively on the majority
   of students. This study shows that at Otago Medical School the students
   also believe that dissection is not only a useful tool to learn anatomy
   but also that it fosters teamwork, assists professional development and
   helps them come to terms with death and dying. Anat Sci Educ 11:
   325-335. (c) 2017 American Association of Anatomists.
TC 58
ZB 5
ZR 0
ZS 1
Z8 0
ZA 0
Z9 58
U1 0
U2 8
SN 1935-9772
EI 1935-9780
UT WOS:000436932100001
PM 29205960
ER

PT J
AU Agius, Andee
   Calleja, Neville
   Camenzuli, Christian
   Sultana, Roberta
   Pullicino, Richard
   Zammit, Christian
   Agius, Jean Calleja
   Pomara, Cristoforo
TI Perceptions of first-year medical students towards learning anatomy
   using cadaveric specimens through peer teaching
SO ANATOMICAL SCIENCES EDUCATION
VL 11
IS 4
BP 346
EP 357
DI 10.1002/ase.1751
PD JUL-AUG 2018
PY 2018
AB During the last decade, global interest in the multiple benefits of
   formal peer teaching has increased. This study aimed to explore the
   perceptions of first-year medical students towards the use of peer
   teaching to learn anatomy using cadaveric specimens. A descriptive,
   cross-sectional, retrospective survey was carried out. Data were
   collected using an online questionnaire which was administered to all
   medical students who were in their second year of their medical school
   curriculum and who had participated in sessions taught by their peers
   during their first year. Peer teaching was perceived as an effective
   method of learning anatomy by more than half of the participants.
   Analysis of mean responses revealed that the peer teachers created a
   positive, non-intimidating learning environment. Overall, participants
   gave positive feedback on their peer teachers. Six categories emerged
   from the responses given by participants as to why they would or would
   not recommend peer teaching. Ways of improvement as suggested by the
   respondents were also reported. Variables found to be significantly
   associated with the perceived benefits of the peer teaching program
   included sex differences, educational level and recommendations for peer
   teaching. This study brings to light the merits and demerits of peer
   teaching as viewed through the eyes of the peer learners. Peer teaching
   provides a sound platform for teaching and learning anatomy. Further
   discussions at higher levels are encouraged in order to explore the
   feasibility of introducing formal peer teaching in the medical
   curriculum. Anat Sci Educ 11: 346-357. (c) 2017 American Association of
   Anatomists.
RI pomara, cristoforo/AAG-2522-2019; Calleja, Neville/AAD-5450-2021; Pullicino, Richard/E-1584-2018; Calleja, Neville/E-3895-2019; POMARA, CRISTOFORO/AAC-1012-2019; Pomara, Cristoforo/AAX-1029-2020; Calleja, Neville/P-4170-2019; Calleja Agius, Jean/
OI Calleja, Neville/0000-0003-1800-2103; Pullicino,
   Richard/0000-0003-2183-9967; Calleja, Neville/0000-0003-1800-2103;
   POMARA, CRISTOFORO/0000-0002-9895-3402; Calleja Agius,
   Jean/0000-0001-6369-0297
ZA 0
TC 29
Z8 1
ZR 0
ZS 0
ZB 2
Z9 30
U1 1
U2 8
SN 1935-9772
EI 1935-9780
UT WOS:000436932100003
PM 29112798
ER

PT J
AU Sox, Colin M.
   Tenney-Soeiro, Rebecca
   Lewin, Linda O.
   Ronan, Jeanine
   Brown, Mary
   King, Marta
   Thompson, Rachel
   Noelck, Michelle
   Sutherell, Jamie S.
   Silverstein, Michael
   Cabral, Howard J.
   Dell, Michael
TI Efficacy of a Web-Based Oral Case Presentation Instruction Module:
   Multicenter Randomized Controlled Trial
SO ACADEMIC PEDIATRICS
VL 18
IS 5
BP 535
EP 541
DI 10.1016/j.acap.2017.12.010
PD JUL 2018
PY 2018
AB OBJECTIVE: Effective self-directed educational tools are invaluable. Our
   objective was to determine whether a self directed, web-based oral case
   presentation module would improve medical students' oral case
   presentations compared to usual curriculum, and with similar efficacy as
   structured oral presentation faculty feedback sessions.
   METHODS: We conducted a pragmatic multicenter cluster randomized
   controlled trial among medical students rotating in pediatric clerkships
   at 7 US medical schools. In the clerkship's first 14 days, subjects were
   instructed to complete an online Computer-Assisted Learning in
   Pediatrics Program (CLIPP) oral case presentation module, an in-person
   faculty-led case presentation feedback session, or neither (control). At
   the clerkship's end, evaluators blinded to intervention status rated the
   quality of students' oral case presentations on a 10-point scale. We
   conducted intention-to-treat multivariable analyses clustered on
   clerkship block.
   RESULTS: Study participants included 256 CLIPP (32.5%), 263 feedback
   (33.3%), and 270 control (34.2%) subjects. Only 51.1% of CLIPP subjects
   completed the assigned presentation module, while 98.5% of feedback
   subjects participated in presentation feedback sessions. Compared to
   controls, oral presentation quality was significantly higher in the
   feedback group (adjusted difference in mean quality, 0.28; 95%
   confidence interval, 0.08, 0.49) and trended toward being significantly
   higher in the CLIPP group (0.19; 95% confidence interval, -0.006, 0.38).
   The quality of presentations in the CLIPP and feedback groups was not
   significantly different (-0.10; 95% confidence interval, -0.31, 0.11).
   CONCLUSIONS: The quality of oral case presentations delivered by
   students randomized to complete the CLIPP module did not differ from
   faculty-led presentation feedback sessions and was not statistically
   superior to control.
OI Thompson, Rachel/0000-0002-1811-4490; Lewin, Linda/0000-0001-6028-3960
Z8 0
ZA 0
ZR 0
TC 3
ZS 0
ZB 0
Z9 3
U1 0
U2 2
SN 1876-2859
EI 1876-2867
UT WOS:000436383600010
PM 29325913
ER

PT J
AU Edwards, Christine
   Dogra, Nupur
   Antanrajakumar, Annet
   Sarangapani, Aparna
   Selk, Amanda
TI Vulvovaginal Disease Education in Canadian and American Gynecology
   Residency Programs: A Survey of Program Directors
SO JOURNAL OF LOWER GENITAL TRACT DISEASE
VL 22
IS 3
BP 242
EP 250
DI 10.1097/LGT.0000000000000390
PD JUL 2018
PY 2018
AB Objective The aims of the study were to assess and describe the current
   vulvovaginal curriculum in gynecology residency training programs in
   Canada and the United States and to compare this with national training
   objectives.
   Materials and Methods A 22-question electronic survey was sent to 252
   gynecology program directors in Canada and the United States between
   September 2015 and July 2016 using the platform SurveyMonkey.com. Survey
   responses were entered into SPSS Version 23, and analysis was performed
   using descriptive statistics.
   Results Overall, 58 (23%) of 252 programs directors responded. Nearly
   all of the sites provided formal teaching on pain disorders (54/58,
   93%), vulvar dermatoses (54/58, 93%), and vulvovaginal infections
   (57/58, 98%). Exposure to vulvovaginal clinics varied widely. On
   average, program directors estimated that residents spend a median of 10
   hours (0-200) in vulvar pain clinics, 9 hours (0-200) in dermatology
   clinics, and 50 hours (0-480) in colposcopy clinics during residency
   training. Most program directors (53/57, 93%) believed that all general
   gynecologists should be able to manage vulvar disorders in practice.
   Reported obstacles to treating vulvar disorders included lack of
   training (41/58, 71%) and lack of interest (35/58, 60%).
   Conclusions While most residency programs provided formal education on
   vulvovaginal diseases, clinical exposure is extremely variable between
   sites. When it is not possible to increase clinical exposure to
   vulvovaginal disorders, traditional training methods (lectures,
   textbooks) should be supplemented with online modules and other means of
   learning to improve resident knowledge of vulvovaginal diseases.
RI Selk, Amanda/J-1988-2019
OI Selk, Amanda/0000-0003-3744-8258
TC 3
ZS 0
ZR 0
Z8 0
ZA 0
ZB 1
Z9 3
U1 0
U2 2
SN 1089-2591
EI 1526-0976
UT WOS:000436064200015
PM 29570138
ER

PT J
AU Sherf-Dagan, Shiri
   Hod, Keren
   Mardy-Tilbor, Limor
   Gliksman, Shir
   Ben-Porat, Tair
   Sakran, Nasser
   Zelber-Sagi, Shira
   Goitein, David
   Raziel, Asnat
TI The Effect of Pre-Surgery Information Online Lecture on Nutrition
   Knowledge and Anxiety Among Bariatric Surgery Candidates
SO OBESITY SURGERY
VL 28
IS 7
BP 1876
EP 1885
DI 10.1007/s11695-018-3134-y
PD JUL 2018
PY 2018
AB Introduction Best practices for patient education in bariatric surgery
   (BS) remain undefined. The aims of this study were to evaluate the
   effect of an online lecture on nutrition knowledge, weight loss
   expectations, and anxiety among BS candidates and present a new tool to
   assess this knowledge before BS.
   Methods An interventional non-randomized controlled trial on 200 BS
   candidates recruited while attending a pre-BS committee. The first 100
   consecutive patients were assigned to the control group and the latter
   100 consecutive patients to the intervention group and were instructed
   to watch an online lecture of 15-min 1-2 weeks prior to surgery. All
   participants completed a BS nutrition knowledge and the state-trait
   anxiety inventory (STAI) questionnaires at the pre-BS committee and once
   again at the pre-surgery clinic. Body mass index (BMI), comorbidities,
   surgery type, marital status, and number of dietitian sessions were
   obtained from medical records.
   Results Data for paired study questionnaires scores were available for
   128 patients (n = 69 and n = 59 for the control and intervention groups,
   respectively), with a mean age and BMI of 40.3 +/- 11.4 years and 41.3
   +/- 4.9 kg/m(2), respectively. The BS nutrition knowledge and the state
   anxiety scores increased for both study groups at the pre-surgery clinic
   as compared to the pre-BS committee (P <= 0.028), but the improvement in
   the nutrition knowledge score was significantly higher for the
   intervention group (P = 0.030). No within or between-group differences
   were found for the trait anxiety items score. The "dream" and
   "realistic" weight goals were lower than the expected weight loss
   according to 70% excess weight loss (EWL) for both study groups at both
   time-points (P < 0.001 for all).
   Conclusion Education by an online lecture prior to the surgery improves
   BS nutrition knowledge, but not anxiety.
RI Raziel, Asnat/R-4520-2018; Nasser, SAKRAN/C-7844-2017; Goitein, David/W-1913-2019; Sherf-Dagan, Shiri/AAF-5528-2019
OI Raziel, Asnat/0000-0003-2118-9458; Nasser, SAKRAN/0000-0002-6658-8981;
   Goitein, David/0000-0002-0570-8150; Sherf-Dagan,
   Shiri/0000-0003-1225-7551
TC 8
ZR 0
Z8 0
ZS 1
ZB 1
ZA 0
Z9 9
U1 0
U2 3
SN 0960-8923
EI 1708-0428
UT WOS:000436300100010
PM 29455404
ER

PT J
AU Franceschini, Marco
   Fugazzaro, Stefania
   Agosti, Maurizio
   Sola, Carlotta
   Di Carlo, Antonio
   Cecconi, Lorenzo
   Ferro, Salvatore
CA Italian Study Grp Implementation S
TI Acute Phase Predictors of 6-Month Functional Outcome in Italian Stroke
   Patients Eligible for In-Hospital Rehabilitation
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 97
IS 7
BP 467
EP 475
DI 10.1097/PHM.0000000000000897
PD JUL 2018
PY 2018
AB Purpose The aim of the study was to assess early poststroke prognostic
   factors in patients admitted for postacute phase rehabilitation.
   Methods A 1-yr multicenter prospective project was conducted in four
   Italian regions on 352 patients who were hospitalized after a first
   stroke and were eligible for postacute rehabilitation. Clinical data
   were collected in the stroke or acute care units (acute phase), then in
   rehabilitation units (postacute phase), and, subsequently, after a 6-mo
   poststroke period (follow-up). Clinical outcome measures were
   represented using the Barthel Index and the modified Rankin Scale.
   Univariate and multivariate analyses were performed to identify the most
   important prognostic index.
   Results Modified Rankin Scale score, minor neurologic impairment, and
   early out-of-bed mobilization (within 2 days after the stroke) proved to
   be important factors related to a better recovery according to Barthel
   Index (power of prediction = 37%). Similarly, age, premorbid modified
   Rankin Scale score, and early out-of-bed mobilization were seen to be
   significant factors in achieving better overall participation and
   activity according to the modified Rankin Scale (power of prediction =
   48%). Barthel Index at admission and certain co-morbidities were also
   significant prognostic factors correlated with a better outcome.
   Conclusions According to the Barthel Index and modified Rankin Scale,
   early mobilization is an early predictor of favorable outcome.
   To Claim CME Credits Complete the self-assessment activity and
   evaluation online at http://www.physiatry.org/JournalCME
   CME Objectives Upon completion of this article, the reader should be
   able to: (1) Incorporate prognostic factors of good clinical outcomes
   after stroke in developing treatment plans for patients admitted to
   rehabilitation; (2) Identify acute phase indicators associated with
   favorable 6-mo outcome after stroke; and (3) Recognize the cut-off for
   early mobilization linked to better outcome in stroke survivors admitted
   to rehabilitation.
   Level Advanced
   Accreditation The Association of Academic Physiatrists is accredited by
   the Accreditation Council for Continuing Medical Education to provide
   continuing medical education for physicians. The Association of Academic
   Physiatrists designates this Journal-based CME activity for a maximum of
   1.0 AMA PRA Category 1 Credit(s). Physicians should only claim credit
   commensurate with the extent of their participation in the activity.
RI Di Carlo, Antonio/AAB-9776-2022; Fugazzaro, Stefania/K-3392-2018
OI Di Carlo, Antonio/0000-0002-4822-9766; Fugazzaro,
   Stefania/0000-0001-6435-9504
ZS 0
TC 8
Z8 0
ZA 0
ZR 0
ZB 1
Z9 8
U1 4
U2 9
SN 0894-9115
EI 1537-7385
UT WOS:000435653200007
PM 29369053
ER

PT J
AU Parker, Rhiannon B.
   Larkin, Theresa
   Cockburn, Jon
TI Gender Bias in Medical Images Affects Students' Implicit but not
   Explicit Gender Attitudes
SO AERA OPEN
VL 4
IS 3
DI 10.1177/2332858418798832
PD JUL-SEP 2018
PY 2018
AB Medical education curricula have the potential to impact the gender
   attitudes of future healthcare providers. This study investigated
   whether gender-biased imagery from anatomy textbooks had an effect on
   the implicit and explicit gender attitudes of students. We used an
   online experimental design in which students (N = 456; 55% female)
   studying anatomy were randomly assigned to a visual priming task using
   either gender-neutral or gender-biased images. The impact of this
   priming task on implicit attitudes was assessed using the Implicit
   Association Test (IAT) and the impact on explicit attitudes was measured
   using the Gender Bias in Medical Education Scale. Viewing biased images
   was significantly positively associated with implicit gender bias as
   indicated by higher IAT scores in the treatment compared to the control
   condition (mean IAT difference = 43 milliseconds; Cohen d = .33). In
   contrast, there was no significant effect of gender-biased images on
   explicit gender attitudes.
RI Parker, Rhiannon/O-9304-2018; Larkin, Theresa/; Cockburn, Jon/
OI Parker, Rhiannon/0000-0003-2156-3980; Larkin,
   Theresa/0000-0001-5916-7276; Cockburn, Jon/0000-0003-0916-2367
ZA 0
TC 5
ZB 2
Z8 0
ZS 0
ZR 0
Z9 5
U1 2
U2 7
EI 2332-8584
UT WOS:000509663300011
ER

PT J
AU Lin, Fu-Ren
   Kao, Chien-Min
TI Mental effort detection using EEG data in E-learning contexts
SO COMPUTERS & EDUCATION
VL 122
BP 63
EP 79
DI 10.1016/j.compedu.2018.03.020
PD JUL 2018
PY 2018
AB E-learning becomes an alternative learning mode since the prevalence of
   the Internet. Especially, the advance of MOOC (Massive Open Online
   Course) technology enables a course to enroll tens of thousands of
   online learners. How to improve learners' online learning experiences on
   MOOC platforms becomes a crucial task for platform providers. In this
   research, based on Cognitive Load Theory, we built a system to capture
   and tag a user's mental states while s/he is watching online videos with
   a commercial EEG device, and used different normalization schemes and
   time window lengths to process EEG signals recorded from the EEG device.
   Finally, we adopted different supervised learning algorithms to train
   and test the classifiers, and then evaluated their classification
   performance. The results show that the proposed approach can effectively
   process EEG data to train classifiers, which achieve high accuracy,
   precision and recall rates compared with those of previous studies. This
   system can effectively facilitate users' self-awareness of mental
   efforts in online learning contexts to enable the automatic feedback in
   synchronous and asynchronous learning contexts, especially taking MOOCs
   as an example.
OI Lin, Fu-ren/0000-0003-3644-8256
Z8 0
ZR 0
ZA 0
TC 45
ZB 2
ZS 0
Z9 45
U1 13
U2 97
SN 0360-1315
EI 1873-782X
UT WOS:000432512400007
ER

PT J
AU Zhao, Jing
   Eckenhoff, Maryellen F.
   Sun, Wei-Zen
   Liu, Renyu
TI Stroke 112: A Universal Stroke Awareness Program to Reduce Language and
   Response Barriers
SO STROKE
VL 49
IS 7
BP 1766
EP 1769
DI 10.1161/STROKEAHA.118.021729
PD JUL 2018
PY 2018
AB Background and Purpose To improve stroke awareness and reduce
   life-threatening prehospital delays worldwide, a universal stroke
   educational program is needed. To meet this unmet need, we developed a
   universal program without language barriers and tested its acceptance in
   Taiwan, where Chinese is the native language.
   Methods Stroke 112 was developed using the universal emergency phone
   number, 112. The numbers imply an emergency and correspond to the 3
   stroke recognition signs used in FAST (Face, Arm, Speech, and Time): 1
   uneven face (crooked mouth); 1 weak arm (arm weakness); 2 incoherent
   lips (slurred speech). An online survey was used to determine the
   acceptance of the Stroke 112 program compared with that of FAST in
   Chinese. The surveys were delivered using SurveyMonkey
   (http://www.surveymonkey.com) on 2 separate occasions in Taiwan; in
   August 2017 for an initial estimation of the acceptance of Stroke 112
   and in March 2018, 2 weeks after the official release of Stroke 112 in
   Taiwan, including a special introductory lecture for neurologists hosted
   by the STARS-Taiwan (Stroke Treatment and Research Society-Taiwan).
   Results The initial survey with 465 survey responders, 54.6% thought
   that Stroke 112 was easier to remember for people in Taiwan compared
   with FAST (41.2%). After Stroke 112's official release in Taiwan, 610
   individuals completed the survey, and the majority (66.4%) thought that
   Stroke 112 was easier to remember, a significant increase compared with
   the initial survey (P=0.0001). Among the 130 neurologists who attended
   the Stroke 112 introductory lecture, 55 completed the online survey. A
   greater acceptance of Stroke 112 (74.6%) compared with FAST (16.4%) was
   observed among these 55 neurologists (P=0.0001).
   Conclusions Stroke 112, a universal stroke educational program without
   language barriers was developed. It could potentially be implemented
   worldwide, especially where 112 is used as an emergency phone number.
Z8 0
ZS 0
ZA 0
TC 14
ZR 0
ZB 4
Z9 14
U1 0
U2 1
SN 0039-2499
EI 1524-4628
UT WOS:000436125600041
PM 29925649
ER

PT J
AU Lee, Corinne
   Knight, Suzanne W.
   Smith, Sharon L.
   Nagle, Dorothy J.
   DeVries, Lori
TI Safe Patient Handling and Mobility Development and Implementation of a
   Large-Scale Education Program
SO CRITICAL CARE NURSING QUARTERLY
VL 41
IS 3
BP 253
EP 263
DI 10.1097/CNQ.0000000000000204
PD JUL-SEP 2018
PY 2018
AB This article addresses the development, implementation, and evaluation
   of an education program for safe patient handling and mobility at a
   large academic medical center. The ultimate goal of the program was to
   increase safety during patient mobility/transfer and reduce nursing
   staff injury from lifting/pulling. This comprehensive program was
   designed on the basis of the principles of prework, application, and
   support at the point of care. A combination of online learning,
   demonstration, skill evaluation, and coaching at the point of care was
   used to achieve the goal. Specific roles and responsibilities were
   developed to facilitate implementation. It took 17 master trainers, 88
   certified trainers, 176 unit-based trainers, and 98 coaches to put 3706
   nurses and nursing assistants through the program. Evaluations indicated
   both an increase in knowledge about safe patient handling and an
   increased ability to safely mobilize patients. The challenge now is
   sustainability of safe patient-handling practices and the growth and
   development of trainers and coaches.
ZS 0
Z8 1
ZR 0
ZA 0
TC 1
ZB 0
Z9 2
U1 0
U2 5
SN 0887-9303
EI 1550-5111
UT WOS:000434014300004
PM 29851674
ER

PT J
AU Ann Adamczyk, Mary
TI Reducing Intensive Care Unit Staff Musculoskeletal Injuries With
   Implementation of a Safe Patient Handling and Mobility Program
SO CRITICAL CARE NURSING QUARTERLY
VL 41
IS 3
BP 264
EP 271
DI 10.1097/CNQ.0000000000000205
PD JUL-SEP 2018
PY 2018
AB The purpose of this safety initiative was to reduce work-related
   injuries through the implementation of a safe patient handling and
   mobility (SPHM) program in a medical intensive care unit. An SPHM
   program was implemented on a critical care medicine unit in February of
   2017. Nursing and assistive personnel completed education via hands-on
   and online educational modules regarding SPHM equipment and techniques
   and an SPHM policy. All staff were expected to follow SPHM practices.
   Critical care medicine unit nursing leadership and unit-based SPHM peer
   coaches rounded to ensure staff compliance with the program. A 1-year
   evaluation demonstrated a reduction of 86% in work-related injuries. In
   2016, there were 7 injuries while in 2017, only 1 injury occurred. Lost
   and restricted days away from work were reduced by 54% or from a total
   of 112 days in 2016 to 52 days in 2017. The implementation of an SPHM
   program in a medical intensive care unit appears to be highly effective
   at reducing health care worker injuries. More research is needed to
   identify the best and most effective ways to provide care to our most
   critical patients. Positive behaviors from the staff regarding the SPHM
   program have helped reduce injuries and lost workdays.
ZB 1
Z8 0
TC 7
ZS 0
ZR 0
ZA 0
Z9 7
U1 0
U2 10
SN 0887-9303
EI 1550-5111
UT WOS:000434014300005
PM 29851675
ER

PT J
AU Riskiyana, R.
   Claramita, M.
   Rahayu, G. R.
TI Objectively measured interprofessional education outcome and factors
   that enhance program effectiveness: A systematic review
SO NURSE EDUCATION TODAY
VL 66
BP 73
EP 78
DI 10.1016/j.nedt.2018.04.014
PD JUL 2018
PY 2018
AB Several studies have been conducted to evaluate the implementation of
   interprofessional education (IPE) across the globe. By looking at the
   timeline of each previous study, it can be inferred that the
   implementation of IPE has been improving continuously. However, the
   effectiveness of IPE still cannot be easily generalized due to
   misconceptions regarding how interprofessional collaboration
   capabilities should be evaluated. This study aims to generalize the
   learning outcomes that were produced by IPE in a global context and
   analyse the contributing factors. A systematic review was conducted
   within seven online databases as well as paperback periodical
   publications to search for the intended articles. A set of four
   criterions were assigned prior to the study using the standard
   Population-Intervention-Context-Outcome (PICO) model to ensure the
   included articles matched the study objectives. The quality of studies
   were appraised using the Medical Education Research Study Quality
   Improvement (MERSQI). Each included article was analysed using the
   narrative method to obtain the relevant information. Sixteen articles
   included in this study showed that IPE improved interprofessional
   collaborative knowledge, skills, and behaviour based on objective
   measurements. Complexity of the learning material, appropriateness of
   the program design, and referral to a specific standard of competence
   were assumed to play significant role towards the effectiveness of
   interprofessional education. This study results in several
   recommendation for future development of IPE, including a specific
   suggestion for its development in Asia region.
OI Riskiyana, Rilani/0000-0001-9610-512X
ZS 1
ZR 0
TC 16
ZA 0
Z8 0
ZB 1
Z9 16
U1 1
U2 13
SN 0260-6917
EI 1532-2793
UT WOS:000433645200014
PM 29684835
ER

PT J
AU Van Hout, Marie Claire
   Crowley, Des
   McBride, Aoife
   Delargy, Ide
TI Piloting online self-audit of methadone treatment in Irish general
   practice: results, reflections and educational outcomes
SO BMC MEDICAL EDUCATION
VL 18
AR 153
DI 10.1186/s12909-018-1259-2
PD JUN 27 2018
PY 2018
AB Background: Work based learning underpins the training and CPD of
   medical practitioners. Medical audit operates on two levels; individual
   self-assessment and professional/practice development. In Ireland,
   annual practice improvement audit is an essential requirement for the
   successful completion of continuous professional development (CPD) as
   determined by the regulatory body, the Irish Medical Council. All
   general practice (GP) doctors providing methadone maintenance treatment
   (MMT) in Ireland have a contractual obligation to partake in a yearly
   methadone practice audit. The Irish College of General Practitioners
   (ICGP) as national training provider is tasked to facilitate this annual
   audit process. The purpose of this audit is to assess the quality of
   care provided to patients against an agreed set of national standards,
   enhance learning, and promote practice improvement and reflective
   practice. The aim was to present an online MTP self-audit and evaluate
   results from a 12-month pilot among GPs providing MMT in Ireland.
   Methods: A mixed method study describing three phases (design and
   development, pilot/implementation and evaluation) of a new online
   self-audit tool was conducted. Descriptive and thematic analysis of
   audit and evaluation data was conducted.
   Results: Survey Monkey is a suitable software package for the
   development and hosting of an easy to use online audit for MMT providing
   doctors. Analysis of the audit results found that the majority of GPs
   scored 80% or over for the 25 identified essential criteria for MMT
   provision. The evaluation of the GP audit experience underscores the
   positive outcomes of the online self-audit in terms of improving
   practice systems, encouraging reflective practice, enhanced patient care
   and doctor commitment to continued provision of MMT in addiction clinics
   and in primary care.
   Conclusions: Results from this audit demonstrate a high level of
   compliance with best practise MMT guidelines by Irish GPs providing MMT.
   The online self-audit process was well received and encouraged
   reflective practice. The audit process hinged on the individual GP's
   ability to review and critically analyse their professional practice,
   and manage change. This model of audit could be adapted and used to
   monitor the management of other chronic illnesses in general practice.
ZS 0
Z8 0
TC 4
ZR 0
ZA 0
ZB 0
Z9 4
U1 1
U2 2
EI 1472-6920
UT WOS:000436643000003
PM 29945578
ER

PT J
AU Scantlebury, Arabella
   Parker, Adwoa
   Booth, Alison
   McDaid, Catriona
   Mitchel, Natasha
TI Implementing mental health training programmes for non-mental health
   trained professionals: A qualitative synthesis
SO PLOS ONE
VL 13
IS 6
AR e0199746
DI 10.1371/journal.pone.0199746
PD JUN 25 2018
PY 2018
AB Introduction
   Given the prevalence of mental health problems globally, there is an
   increasing need for the police and other non-mental health trained
   professionals to identify and manage situations involving individuals
   with mental health problems. The review aimed to identify and explore
   qualitative evidence on views and experiences of non-mental health
   professionals receiving mental health training and the barriers and
   facilitators to training delivery and implementation.
   Methods
   A meta-synthesis of qualitative evidence on the barriers, facilitators
   and perceived impact of mental health training programmes for non-mental
   health trained professionals. Systematic literature searches were
   undertaken of the following databases: Criminal Justice Abstracts (CJA);
   MEDLINE; Embase; PsycINFO; ASSIA; CENTRAL; SSCI; ERIC; Campbell Library;
   Social Care Online and EPOC from 1995 to 2016. Records were
   independently screened for eligibility by two researchers, data
   extraction and quality appraisal of studies was also undertaken
   independently by two researchers. The CASP tool was used to quality
   appraise included studies. Included studies were synthesised using a
   meta-ethnographic approach as outlined by Noblit and Hare.
   Results
   10,282 records were identified and eight qualitative studies were
   included. A range of barriers and facilitators to training were
   identified and related to the delivery and content of training; the use
   of additional resources; and staff willingness to engage with training
   and organisational factors. The perceived impact of training was also
   discussed in terms of how it affects trainees; perceptions of mental
   health; self-perception; responses to situations involving mental health
   and the potential of training to reduce injury or physical harm in
   situations involving mental health. The value of training and how to
   measure its impact were also discussed.
   Conclusion
   Findings from this review have implications for those designing,
   implementing and evaluating mental health training programmes. It is
   recommended that research evaluating mental health training includes a
   qualitative component to ensure that the barriers and facilitators to
   training and its impact on trainees' perceptions of mental health are
   understood.
RI Booth, Alison/I-8044-2015; Scantlebury, Arabella/; McDaid, Catriona Maria/
OI Booth, Alison/0000-0001-7138-6295; Scantlebury,
   Arabella/0000-0003-3518-2740; McDaid, Catriona Maria/0000-0002-3751-7260
Z8 0
TC 6
ZB 1
ZA 0
ZR 0
ZS 0
Z9 6
U1 1
U2 9
SN 1932-6203
UT WOS:000436088700041
PM 29940030
ER

PT J
AU Welzel, Franziska D.
   Stein, Janine
   Pabst, Alexander
   Luppa, Melanie
   Kersting, Anette
   Blueher, Matthias
   Luck-Sikorski, Claudia
   Koenig, Hans-Helmut
   Riedel-Heller, Steffi G.
TI Five A's counseling in weight management of obese patients in primary
   care: a clusterrandomized controlled trial (INTERACT)
SO BMC FAMILY PRACTICE
VL 19
AR 97
DI 10.1186/s12875-018-0785-7
PD JUN 23 2018
PY 2018
AB Background: Obesity is one of the most prevalent health problems in
   western societies. However, it seems not effectively managed in the
   healthcare system at present. Originating from smoking cessation a tool
   called the 5As for obesity management has been drafted and adapted by
   the Canadian Obesity Network (CON) to improve weight counseling and
   provider-patient-interaction. This paper describes the rationale and
   design of the INTERACT study. The objective of the INTERACT study is to
   evaluate the effectiveness and intervention costs of a 5As eLearning
   program for obesity management aimed specifically at general
   practitioners (GPs).
   Methods: The INTERACT study is a cluster randomized controlled trial
   aimed at implementing and evaluating an online-tutorial for obesity
   management based on the 5As approach in cooperating primary health care
   practices. Effectiveness of the 5As intervention will be evaluated by
   assessing patients and doctors perspectives on obesity management in
   primary care before and after the training. GPs in the intervention
   group will get access to the 5As obesity management online-tutorial
   while GPs in the control group will be assigned to a waiting list.
   Outcome measures for patients and GPs will be compared between the
   intervention group (treatment as usual + training of the GP) and the
   control group (treatment as usual). Hierarchical regression models will
   be used to analyze effects over time pre-and post-intervention.
   Discussion: The 5As present physicians with a simple mnemonic for
   patient counseling in the primary care context. While the use of the 5As
   in weight counseling seems to be associated with improved doctor-patient
   interaction and motivation to lose weight, intervention studies
   assessing the effectiveness of a short 5A eLearning tutorial for
   physicians on secondary outcomes, such as weight development, are
   lacking.
RI König, Hans-Helmut/P-1211-2018; Luppa, Melanie/AAQ-7338-2021; Riedel-Heller, Steffi/ABG-1537-2021; Pabst, Alexander/
OI König, Hans-Helmut/0000-0001-5711-6862; Pabst,
   Alexander/0000-0003-0432-5681
ZB 1
ZA 0
ZS 0
TC 9
Z8 0
ZR 0
Z9 9
U1 0
U2 2
SN 1471-2296
UT WOS:000435930600002
PM 29935541
ER

PT J
AU AlRuthia, Yazed
   Balkhi, Bander
   Alrasheed, Marwan
   Altuwaijri, Ahmed
   Alarifi, Mohammad
   Alzahrani, Huda
   Mansy, Wael
TI Use of dietary and performance-enhancing supplements among male fitness
   center members in Riyadh: A cross-sectional study
SO PLOS ONE
VL 13
IS 6
AR e0199289
DI 10.1371/journal.pone.0199289
PD JUN 21 2018
PY 2018
AB This study aimed to explore the health beliefs and patterns of dietary
   supplement usage among fitness center members. This cross-sectional
   study was conducted in four large indoor fitness centers in Riyadh,
   Saudi Arabia. This study involved male fitness center members aged >= 18
   years with no speech or hearing disabilities. In-person interviews were
   conducted with fitness center members who agreed to participate using a
   newly developed questionnaire. Information on participants'
   sociodemographics (e.g., age and education), smoking status, health
   status, exercise frequency, average time spent exercising, different
   supplements used, used supplements sources, and health beliefs regarding
   dietary supplements were obtained. A total of 445 fitness center members
   agreed to participate, and 198 of them reported taking dietary
   supplements. Most participants were between the age of 18 and 25 years
   (66%), had a college degree (74%), non-smokers (77%), healthy (84%), and
   perform exercise at least thrice weekly (52%) for at least 1 hour (63%).
   The percentage of participants who had favorable health views on dietary
   supplements was significantly higher among the supplement users than
   among the non-users (P<0.0001). Proteins, multivitamins, amino acids,
   and omega 3 fatty acids were the most commonly reported supplements
   used. Almost 30% of the supplement users reported buying them overseas,
   28% online, 25% from a pharmacy or supplement store, 19% from a medical
   clinic, and 17% from peddlers. Public health campaigns are needed to
   educate the public on the potential harmful effects of supplements if
   purchased from an unofficial seller or taken without seeking medical
   advice before using them.
RI Mansy, Wael/AAY-3782-2020; AlRuthia, Yazed/
OI Mansy, Wael/0000-0002-7988-2717; AlRuthia, Yazed/0000-0002-0029-5924
TC 5
ZA 0
ZR 0
ZB 0
Z8 0
ZS 0
Z9 5
U1 0
U2 4
SN 1932-6203
UT WOS:000435802500067
PM 29928034
ER

PT J
AU Govender, Desiree
   Naidoo, Saloshni
   Taylor, Myra
TI Scoping review of risk factors of and interventions for adolescent
   repeat pregnancies: A public health perspective
SO AFRICAN JOURNAL OF PRIMARY HEALTH CARE & FAMILY MEDICINE
VL 10
IS 1
AR a1685
DI 10.4102/phcfm.v10i1.1685
PD JUN 19 2018
PY 2018
AB Background: Adolescent repeat pregnancy is of importance in public
   health because the birth of a second child to an adolescent mother
   compounds the adverse medical, educational, socioeconomic and parenting
   outcomes. Repeat pregnancy in adolescence is not only an international
   phenomenon but also a local concern as it also occurs in South Africa.
   The prevalence of adolescent repeat pregnancy in Durban, KwaZulu-Natal,
   was reported as 17.6% in 2013.
   Aim: This review aimed to gather relevant information from national and
   international sources to inform practice and to provide an understanding
   of what is known about the risk factors of and the interventions for
   adolescent repeat pregnancy.
   Methods: A scoping review was undertaken using the Arksey and O'Malley
   framework. An electronic search was conducted using PubMed, Medline,
   Science Direct, Ebscohost, Sage and Wiley Online and Google Scholar.
   Results: The search identified 3032 citations. After a review of the
   full text articles, 26 articles met the inclusion criteria. Risk factors
   pertaining to adolescent repeat pregnancy are categorised according to
   individual factors, partner relationship factors, family factors, peer
   factors, and social and community factors. Interventions to reduce
   adolescent repeat pregnancy have been largely influenced by the
   ecological framework. Across studies, adolescent mothers who received
   medical, psychosocial, educational, and family planning support
   experienced lower rates of repeat pregnancy.
   Conclusion: A single 'one-size-fits-all' intervention for adolescent
   repeat pregnancy prevention is unlikely as different strategies were
   employed by the intervention programmes in this scoping review.
OI Naidoo, Saloshni/0000-0002-8844-0160
ZR 0
ZA 0
Z8 0
TC 11
ZS 1
ZB 1
Z9 11
U1 0
U2 4
SN 2071-2928
EI 2071-2936
UT WOS:000438636000001
PM 29943611
ER

PT J
AU Ratte, Antonius
   Drees, Simon
   Schmidt-Ott, Tabea
TI The importance of scientific competencies in German medical curricula -
   the student perspective
SO BMC MEDICAL EDUCATION
VL 18
AR 146
DI 10.1186/s12909-018-1257-4
PD JUN 19 2018
PY 2018
AB Background: Scientific competencies are of great importance for
   physicians; not only for conducting reliable research, but also for
   patient care. However, there is growing concern that a lack of
   scientific competencies among physicians may lead to a deterioration in
   the quality on biomedical research. This study aims at assessing medical
   students' perspectives on the implementation of scientific competency
   training in German medical curricula.
   Methods: An online survey was conducted in order to collect German
   medical students' opinions on the importance of acquiring scientific
   competencies during their medical studies and to provide us with an
   assessment of their current levels of basic scientific competencies by
   having them conduct a self-evaluation. Moreover, we wanted to understand
   their perceptions of current curricular content and to receive
   suggestions for improving scientific competency training. Participants
   were reached via the mailing lists of the German Medical Students'
   Association, as well as of local medical student committees, and the
   German Medical Students' Associations social media channel on Facebook.
   Results: In total, 2380 medical students from across all 37 German
   medical faculties participated in the survey. The majority of students
   agreed that the ability to critically evaluate the relevant literature
   is an important competency for physicians, and that every student should
   conduct a research project during their medical studies. However, the
   students evaluated their scientific competencies as unsatisfactory,
   especially with regard to statistics and scientific writing. They were
   strongly in favor of receiving extended research training.
   Conclusion: Our study provides insight into German medical students'
   self-perception in relation to both patient care and biomedical
   research, and makes recommendations for potential improvements in
   scientific training. The study demonstrates that scientific competencies
   are of great importance to medical students in Germany. Students are not
   lacking motivation for scientific practice and have numerous ideas for
   enhancing scientific teaching opportunities. Scientific training should
   follow a holistic approach based on three pillars: (i) a scientific core
   curriculum, (ii) intracurricular research projects, and (iii) special
   research programs for students strongly interested in medical research.
OI Buscher, Antonius/0000-0003-1774-4252; Drees, Simon/0000-0003-2693-8796
ZS 1
ZR 0
ZA 0
Z8 0
TC 14
ZB 0
Z9 14
U1 6
U2 16
SN 1472-6920
UT WOS:000436172500004
PM 29921261
ER

PT J
AU Burrola-Mendez, Yohali
   Goldberg, Mary
   Gartz, Rachel
   Pearlman, Jon
TI Development of a Hybrid Course on Wheelchair Service Provision for
   clinicians in international contexts
SO PLOS ONE
VL 13
IS 6
AR e0199251
DI 10.1371/journal.pone.0199251
PD JUN 15 2018
PY 2018
AB Introduction
   Wheelchair users worldwide are at high risk of developing secondary
   health conditions and premature death due to inappropriate wheelchair
   provision by untrained providers. The International Society of
   Wheelchair Professionals (ISWP) has developed a Hybrid Course based on
   the World Health Organization's Wheelchair Service Training
   Package-Basic Level. The Hybrid Course leverages online modules designed
   for low-bandwidth internet access that reduces the in-person training
   exposure from five to three and a half days, making it less expensive
   and more convenient for both trainees and trainers.
   Methods
   The Hybrid Course was designed using a systematic approach guided by an
   international group of stakeholders. The development followed the
   Quality Matters Higher Educational Rubric, web design guidelines for low
   bandwidth, experts' opinions, and the best practices for blended course
   design. A quasi-experimental approach was used to evaluate the
   effectiveness of the Hybrid Course taken by six graduate students in
   Rehabilitation Sciences at the University of Pittsburgh by measuring
   pre- and post knowledge using the validated ISWP Wheelchair Service
   Provision-Basic Test. The outcome measure was assessed using a paired
   sample t-test between pretest and posttest scores. The quality of the
   Hybrid Course was evaluated by three external reviewers using the
   Quality Matters Higher Educational Rubric who were blind to each others'
   evaluation and the results of the training intervention.
   Results
   Hybrid Course participants reported significant increases in scores on
   the ISWP Wheelchair Service Provision-Basic Test after participating in
   the training, with an average increase of 10.84 +/- 5.42, p = 0.004,
   Cohen's d= 1.99. In addition, the Hybrid Course met the Quality Matters
   Standards in two out of three evaluations and reported a percentage of
   agreement between evaluators of 84%.
   Conclusions
   The Hybrid Course met quality standards and proved to be effective in
   increasing basic level wheelchair knowledge in a group of Rehabilitation
   Science graduate students.
OI Burrola-Mendez, Yohali/0000-0001-9357-7543
ZR 0
ZB 2
ZA 0
ZS 0
Z8 0
TC 14
Z9 14
U1 2
U2 5
SN 1932-6203
UT WOS:000435439400015
PM 29906794
ER

PT J
AU Rohde, Rebecca L.
   Boakye, Eric Adjei
   Christopher, Kara M.
   Geneus, Christian J.
   Walker, Ronald J.
   Varvares, Mark A.
   Osazuwa-Peters, Nosayaba
TI Assessing university students' sexual risk behaviors as predictors of
   human papillomavirus (HPV) vaccine uptake behavior
SO VACCINE
VL 36
IS 25
BP 3629
EP 3634
DI 10.1016/j.vaccine.2018.05.022
PD JUN 14 2018
PY 2018
AB Objectives: There exists a significant gap in vaccine coverage of the
   human papillomavirus (HPV) among college-aged students. This study
   assessed sexual risk-taking behavior among university students and
   analyzed predictors of HPV vaccine initiation and completion in this
   population.
   Materials and methods: Data (n = 746) were from an anonymous online,
   cross-sectional survey distributed to university students, between the
   ages of 19-26 years, at a private Midwestern university. Both chi-square
   and multivariable logistics regression models estimated the association
   between sociodemographic characteristics and sexual risk factors
   (including number of vaginal sexual partners, number of oral sexual
   partners, initiation of oral sex, and initiation of vaginal sex), with
   HPV vaccine initiation and completion.
   Results: A significant number of participants (40%) had not received a
   single dose of the HPV vaccine series. Of those who initiated the
   series, more than half (51%) did not achieve completion. Additionally, a
   greater number of participants have had multiple (4 or more) oral sexual
   partners than vaginal sexual partners (25.7% vs. 20.3%). After adjusting
   for covariates, it was found that sexual risk factors were not
   significantly associated with HPV vaccine initiation or completion.
   Conclusion: HPV vaccine initiation and completion rates are suboptimal
   among university students. High levels of sexual-risk taking behaviors
   associated with HPV infection persist, yet are not significant
   predictors of HPV vaccine behaviors in this age group. To increase
   uptake among 18-26-year-old students, future public health interventions
   should focus on HPV vaccine education and uptake across the entire
   population, irrespective of sexual risk profile. (C) 2018 Elsevier Ltd.
   All rights reserved.
RI Adjei Boakye, Eric/D-4448-2015; Christopher, Kara M/AAD-5611-2019
OI Adjei Boakye, Eric/0000-0001-9163-8103; Christopher, Kara
   M/0000-0003-2288-6108
ZR 0
TC 9
ZA 0
ZS 0
ZB 5
Z8 0
Z9 9
U1 0
U2 7
SN 0264-410X
EI 1873-2518
UT WOS:000436202800013
PM 29753605
ER

PT J
AU O'Doherty, Diane
   Dromey, Marie
   Lougheed, Justan
   Hannigan, Ailish
   Last, Jason
   McGrath, Deirdre
TI Barriers and solutions to online learning in medical education - an
   integrative review
SO BMC MEDICAL EDUCATION
VL 18
AR 130
DI 10.1186/s12909-018-1240-0
PD JUN 7 2018
PY 2018
AB Background: The aim of this study is to review the literature on known
   barriers and solutions that face educators when developing and
   implementing online learning programs for medical students and
   postgraduate trainees.
   Methods: An integrative review was conducted over a three-month period
   by an inter-institutional research team. The search included
   ScienceDirect, Scopus, BioMedical, PubMed, Medline (EBSCO & Ovid), ERIC,
   LISA, EBSCO, Google Scholar, ProQuest A&I, ProQuest UK & Ireland, UL
   Institutional Repository (IR), UCDIR and the All Aboard Report. Search
   terms included online learning, medical educators, development,
   barriers, solutions and digital literacy. The search was carried out by
   two reviewers. Titles and abstracts were screened independently and
   reviewed with inclusion/exclusion criteria. A consensus was drawn on
   which articles were included. Data appraisal was performed using the
   Critical Appraisal Skills Programme (CASP) Qualitative Research
   Checklist and NHMRC Appraisal Evidence Matrix. Data extraction was
   completed using the Cochrane Data Extraction Form and a modified
   extraction tool.
   Results: Of the 3101 abstracts identified from the search, ten full-text
   papers met the inclusion criteria. Data extraction was completed on
   seven papers of high methodological quality and on three lower quality
   papers. Findings suggest that the key barriers which affect the
   development and implementation of online learning in medical education
   include time constraints, poor technical skills, inadequate
   infrastructure, absence of institutional strategies and support and
   negative attitudes of all involved. Solutions to these include improved
   educator skills, incentives and reward for the time involved with
   development and delivery of online content, improved institutional
   strategies and support and positive attitude amongst all those involved
   in the development and delivery of online content.
   Conclusion: This review has identified barriers and solutions amongst
   medical educators to the implementation of online learning in medical
   education. Results can be used to inform institutional and educator
   practice in the development of further online learning.
OI O Doherty, Diane/0000-0003-3955-2710
ZS 9
ZR 2
ZA 2
TC 252
ZB 11
Z8 1
Z9 266
U1 14
U2 85
SN 1472-6920
UT WOS:000435020100006
PM 29880045
ER

PT J
AU Olszewski, Aleksandra E.
   Daniel, Dennis A.
   Stein, Deborah R.
   McCulloch, Mignon I.
   Su, Sharon W.
   Hames, Daniel L.
   Wolbrink, Traci A.
TI Teaching Pediatric Peritoneal Dialysis Globally through Virtual
   Simulation
SO CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
VL 13
IS 6
BP 900
EP 906
DI 10.2215/CJN.10460917
PD JUN 7 2018
PY 2018
AB Background and objectives Despite the increasing prevalence of childhood
   kidney disease worldwide, there is a shortage of clinicians trained to
   provide peritoneal dialysis (PD). E-learning technologies may provide a
   solution to improve knowledge in PD. We describe the development of a
   virtual PD simulator and report the first 22 months of online usage.
   Design, setting, participants, & measurements The PD simulator was
   developed and released on OPENPediatrics in January of 2016. A
   prospective study of international, multidisciplinary healthcare
   providers was conducted from January of 2016 through October of 2017.
   User action data were analyzed with descriptive statistics and linear
   regression. Paired t tests compared user pre- and post-test scores. User
   satisfaction was assessed by survey.
   Results The simulator was accessed by 1066 users in 70 countries. Users
   spent a median of 35 minutes (interquartile range [IQR] 14-84) in the
   simulator. Users who completed the structured learning curriculum
   (n=300) spent a median of 85 minutes (IQR 46-95), and those who
   completed the entire simulator (n=63) spent a median of 122 minutes (IQR
   69-195). Users who completed the simulator were more likely to scroll
   through text and access the simulator in multiple sessions. The 300
   users that completed testing showed statistically significant increases
   in the post- versus pretest scores, with a mean increase of 36.4 of 100
   points, SD 19.9 (95% confidence interval, 34.1 to 38.6, P<0.001).
   Eighty-seven percent (20 of 23) of survey respondents felt the simulator
   was relevant to their clinical practice, and 78% (18 of 23) would
   recommend it to others.
   Conclusions This is the first reported virtual PD simulator. Increased
   test scores were observed between pre- and post-tests by clinicians who
   completed testing, across disciplines, training levels, and resource
   settings.
RI McCulloch, Mignon I/U-3288-2019; Wolbrink, Traci/T-7211-2019; McCulloch, Mignon/; Olszewski, Aleksandra/
OI McCulloch, Mignon/0000-0003-2876-4785; Olszewski,
   Aleksandra/0000-0003-4275-441X
TC 6
ZR 0
Z8 0
ZB 0
ZS 1
ZA 0
Z9 7
U1 0
U2 3
SN 1555-9041
EI 1555-905X
UT WOS:000434942600013
PM 29720505
ER

PT J
AU Sobel, Andrew D.
   Cox, Ryan M.
   Ashinsky, Beth
   Eberson, Craig P.
   Mulcahey, Mary K.
TI Analysis of Factors Related to the Sex Diversity of Orthopaedic
   Residency Programs in the United States
SO JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
VL 100
IS 11
AR e79
DI 10.2106/JBJS.17.01202
PD JUN 6 2018
PY 2018
AB Background: Women are underrepresented as applicants to and trainees of
   orthopaedic surgery residencies. Factors that attract women to or deter
   them from orthopaedic surgery have been previously published; however,
   there has been no analysis of the programs that train high percentages
   of female residents and the factors that differentiate them from
   programs that have low percentages of women. The purpose of this study
   was to identify and compare these factors between programs with high and
   low percentages of female residents.
   Methods: Information on each orthopaedic surgery residency program
   listed in the American Medical Association (AMA) Fellowship and
   Residency Electronic Interactive Database (FREIDA) was collected
   utilizing residency program web sites, an online survey distributed to
   residency program coordinators, and a follow-up telephone survey. These
   included data on resident and faculty demographic characteristics and
   residency program curriculum structure. The prevalence of factors in
   programs with the highest percentages of female residents was compared
   with those with lower percentages.
   Results: Data were obtained from 143 (97.3%) of 147 programs, with 3,406
   residents identified. Only 485 residents (14.2%) were female. Programs
   with more female residents had more female faculty members per program
   (p = 0.001), a higher percentage of faculty who were female (p < 0.001),
   more female associate professors (p < 0.001), more women in leadership
   positions (p < 0.001), and a higher prevalence of women's sports
   medicine programs (p = 0.03); were more commonly listed in the Top 40
   for National Institutes of Health (NIH) funding (p = 0.03) and U.S. News
   & World Report rankings (p = 0.02); and were more likely to offer a
   research year (p = 0.045).
   Conclusions: There are greater percentages of female residents at
   orthopaedic residency programs with more female faculty members, more
   women in leadership positions, a women's sports medicine program, and
   the option to do a research year. Departmental and national leaders may
   consider these factors when efforts are undertaken to enhance the
   recruitment of female applicants and improve female interest in
   orthopaedic surgery as a specialty.
ZB 2
Z8 0
ZR 0
ZS 0
ZA 0
TC 21
Z9 21
U1 0
U2 1
SN 0021-9355
EI 1535-1386
UT WOS:000437294200004
PM 29870453
ER

PT J
AU Gabarron, E.
   Bradway, M.
   Fernandez-Luque, L.
   Chomutare, T.
   Hansen, A. H.
   Wynn, R.
   Arsand, E.
TI Social media for health promotion in diabetes: study protocol for a
   participatory public health intervention design
SO BMC HEALTH SERVICES RESEARCH
VL 18
AR 414
DI 10.1186/s12913-018-3178-7
PD JUN 5 2018
PY 2018
AB Background: Participatory health approaches are increasingly drawing
   attention among the scientific community, and could be used for health
   promotion programmes on diabetes through social media. The main aim of
   this project is to research how to best use social media to promote
   healthy lifestyles with and within the Norwegian population.
   Methods: The design of the health promotion intervention (HPI) will be
   participatory, and will involve both a panel of healthcare experts and
   social media users following the Norwegian Diabetes Association. The
   panel of experts will agree on the contents by following the Delphi
   method, and social media users will participate in the definition of the
   HPI by expressing their opinions through an adhoc online questionnaire.
   The agreed contents between both parties to be used in the HPI will be
   posted on three social media channels (Facebook, Twitter and Instagram)
   along 24 months. The 3 months before starting the HPI, and the 3 months
   after the HPI will be used as control data. The effect of the HPI will
   be assessed by comparing formats, frequency, and reactions to the
   published HPI messages, as well as comparing potential changes in five
   support-intended communication behaviours expressed on social media, and
   variations in sentiment analysis before vs during and after the HPI.
   The HPI's effect on social media users' health-related lifestyles,
   online health behaviours, and satisfaction with the intervention will be
   assessed every 6 months through online questionnaires. A separate
   questionnaire will be used to assess the panel of experts' satisfaction
   and perceptions of the benefits for health professionals of a HPI as
   this one.
   Discussion: The time constraints of today's medical practice combined
   with the piling demand of chronic conditions such as diabetes make any
   additional request of extra time used by health care professionals a
   challenge. Social media channels provide efficient, ubiquitous and
   user-friendly platforms that can encourage participation, engagement and
   action necessary from both those who receive and provide care to make
   health promotion interventions successful.
OI Gabarron, Elia/0000-0002-7188-550X; Chomutare,
   Taridzo/0000-0003-3603-175X
ZS 1
Z8 1
ZB 5
ZA 0
ZR 0
TC 26
Z9 28
U1 6
U2 27
EI 1472-6963
UT WOS:000434285400008
PM 29871675
ER

PT J
AU Nixon, N. A.
   Lim, H.
   Elser, C.
   Ko, Y. J.
   Lee-Ying, R.
   Tam, V. C.
TI Oncology education for Canadian internal medicine residents: the value
   of participating in a medical oncology elective rotation
SO CURRENT ONCOLOGY
VL 25
IS 3
BP 213
EP 218
DI 10.3747/co.25.3934
PD JUN 2018
PY 2018
AB Background Despite the high incidence and burden of cancer in Canadians,
   medical oncology (MO) rotations are not mandatory in most Canadian
   internal medicine (IM) residency training programs.
   Methods All IM residents scheduled for a MO rotation at 4 Canadian
   teaching cancer centres between 1 January 2013 and 31 December 2015 were
   invited to complete an online survey before and after their rotation.
   The survey was designed to evaluate perceptions of oncology, comfort in
   managing cancer patients, and basic oncology knowledge.
   Results The survey was completed by 68 IM residents pre-rotation and by
   48 (71%) post-rotation. Cancer-related learning was acquired mostly from
   mo physicians in clinic (35%). Self-directed learning, didactic
   teaching, and resident or fellow teaching accounted for 31%, 26%, and
   10% respectively of learning acquisition. Comfort level in dealing with
   cancer patients and patients at end of life improved to 4.0/5 from 3.2
   /5 (p <0.001) and to 4.0/5 from 3.6/5 (p = 0.003) respectively. Mean
   knowledge assessment score improved to 83% post-rotation from 76%
   pre-rotation (p =0.003), with the greatest increase observed in general
   knowledge of common malignancies. The 3 topics ranked as most important
   to learn during a MO rotation were oncologic emergencies, common
   complications of treatment, and approach to diagnosis of cancer.
   Conclusions A rotation in mo improves the perceptions of IM residents
   about oncology and their comfort level in dealing with cancer patients
   and patients at end of life. Overall cancer knowledge is also improved.
   Given those benefits, IM residency programs should encourage most of
   their residents to complete a MO rotation.
OI Tam, Vincent/0000-0001-8732-0530
ZS 0
Z8 0
TC 4
ZR 0
ZA 0
ZB 0
Z9 4
U1 0
U2 0
SN 1198-0052
UT WOS:000437206700013
PM 29962839
ER

PT J
AU Mak, Chloe M.
   Law, Eric C. Y.
   Lee, Hencher H. C.
   Siu, W. K.
   Chow, K. M.
   Yeung, Sidney K. C. Au
   Ngan, Y. S.
   Tse, Niko K. C.
   Kwong, N. S.
   Chan, Godfrey C. F.
   Lee, K. W.
   Chan, W. P.
   Wong, S. F.
   Tang, Mary H. Y.
   Kan, Anita S. Y.
   Hui, Amelia P. W.
   So, P. L.
   Shek, C. C.
   Lee, Robert S. Y.
   Wong, K. Y.
   Yau, Eric K. C.
   Poon, K. H.
   Siu, Sylvia
   Poon, Grace W. K.
   Kwok, Anne M. K.
   Ng, Judy W. Y.
   Yim, Vera C. S.
   Ma, Grace G. Y.
   Chu, C. H.
   Tong, T. Y.
   Chong, Y. K.
   Chen, Sammy P. L.
   Ching, C. K.
   Chan, Angel O. K.
   Tam, Sidney
   Lau, Ruth L. K.
   Ng, W. F.
   Lee, K. C.
   Chan, Albert Y. W.
   Lam, C. W.
TI The first pilot study of expanded newborn screening for inborn errors of
   metabolism and survey of related knowledge and opinions of health care
   professionals in Hong Kong
SO HONG KONG MEDICAL JOURNAL
VL 24
IS 3
BP 226
EP 237
DI 10.12809/hkmj176939
PD JUN 2018
PY 2018
AB Introduction: Newborn screening is important for early diagnosis and
   effective treatment of inborn errors of metabolism (IEM). In response to
   a 2008 coroners' report of a 14-year-old boy who died of an undiagnosed
   IEM, the OPathPaed service model was proposed. In the present study, we
   investigated the feasibility of the OPathPaed model for delivering
   expanded newborn screening in Hong Kong. In addition, health care
   professionals were surveyed on their knowledge and opinions of newborn
   screening for IEM.
   Methods: The present prospective study involving three regional
   hospitals was conducted in phases, from 1 October 2012 to 31 August
   2014. The 10 steps of the OPathPaed model were evaluated: parental
   education, consent, sampling, sample dispatch, dried blood spot
   preparation and testing, reporting, recall and counselling, confirmation
   test, treatment and monitoring, and cost-benefit analysis. A fully
   automated online extraction system for dried blood spot analysis was
   also evaluated. A questionnaire was distributed to 430 health care
   professionals by convenience sampling.
   Results: In total, 2440 neonates were recruited for newborn screening;
   no true-positive cases were found. Completed questionnaires were
   received from 210 respondents. Health care professionals supported
   implementation of an expanded newborn screening for IEM. In addition,
   there is a substantial need of more education for health care
   professionals. The majority of respondents supported implementing the
   expanded newborn screening for IEM immediately or within 3 years.
   Conclusion: The feasibility of OPathPaed model has been confirmed. It is
   significant and timely that when this pilot study was completed, a
   governmentled initiative to study the feasibility of newborn screening
   for IEM in the public health care system on a larger scale was announced
   in the Hong Kong Special Administrative Region Chief Executive Policy
   Address of 2015.
RI Law, Chun Yiu/B-3515-2012; Ngan, Hextan Y S/; Hui, Pui Wah/
OI Law, Chun Yiu/0000-0001-8714-4792; Ngan, Hextan Y S/0000-0003-3945-159X;
   Hui, Pui Wah/0000-0001-7376-7307
TC 7
Z8 0
ZR 0
ZA 0
ZB 2
ZS 0
Z9 7
U1 0
U2 3
SN 1024-2708
UT WOS:000437668100003
PM 29888706
ER

PT J
AU Carlsen, Louise Ninett
   Westergaard, Maria Lurenda
   Bisgaard, Mette
   Schytz, Julie Brogaard
   Jensen, Rigmor Hojland
TI National awareness campaign to prevent medication-overuse headache in
   Denmark
SO CEPHALALGIA
VL 38
IS 7
BP 1316
EP 1325
DI 10.1177/0333102417736898
PD JUN 2018
PY 2018
AB Background Medication-overuse headache is prevalent, but in principle
   preventable.
   Objective To describe the Danish national awareness campaign for
   medication-overuse headache.
   Methods The Danish Headache Center, the Association of Danish
   Pharmacies, and headache patient organizations implemented a four-month
   medication-overuse headache awareness campaign in 2016. Target groups
   were the general public, general practitioners, and pharmacists. Key
   messages were: Overuse of pain-medication can worsen headaches;
   pain-medication should be used rationally; and medication-overuse
   headache is treatable. A range of communication technologies was used. A
   survey on the public's awareness of medication-overuse headache was
   conducted.
   Results The Danish adult population is 4.2 million. Online videos were
   viewed 297,000 times in three weeks. All 400 pharmacies received
   campaign materials. Over 28,000 leaflets were distributed. Two radio
   interviews were conducted. A television broadcast about headache reached
   an audience of 520,000. Forty articles were published in print media.
   Information was accessible at 32 reputable websites and five online news
   agencies. Three scientific papers were published. Information was
   available at an annual conference of general practitioners, including a
   headache lecture. The survey showed an increase in percentage of the
   public who knew about medication-overuse headache (from 31% to 38%).
   Conclusion A concerted campaign to prevent medication-overuse headache
   can be implemented through involvement of key stakeholders.
OI Carlsen, Louise Ninett/0000-0003-3634-7287
ZS 1
TC 15
ZR 2
ZB 7
Z8 0
ZA 0
Z9 17
U1 0
U2 4
SN 0333-1024
EI 1468-2982
UT WOS:000436023100012
PM 28994604
ER

PT J
AU Klein, Gudrun E.
   Guethlin, Corina
TI Information and Training Needs Regarding Complementary and Alternative
   Medicine: A Cross-sectional Study of Cancer Care Providers in Germany
SO INTEGRATIVE CANCER THERAPIES
VL 17
IS 2
BP 380
EP 387
DI 10.1177/1534735416666372
PD JUN 2018
PY 2018
AB Background: Among cancer care providers (CCPs), lack of knowledge
   constitutes an important barrier to the discussion of complementary and
   alternative medicine (CAM) use with patients. This study assessed CCPs'
   needs and preferences regarding CAM information and training (I&T).
   Methods: An online survey was completed by 209 general practitioners,
   437 medical specialists, 159 oncology nurses and medical assistants, and
   244 psychologists and social workers engaged in cancer care. Latent
   class analysis (LCA) was used to identify subgroups of individuals with
   distinct preference patterns regarding I&T content. Results: CCPs prefer
   CAM I&T to be provided as lectures, information platforms on the
   internet, workshops, and e-mail newsletters. Concerning subject matters,
   many CCPs considered CAM therapy options for the treatment of a variety
   of cancer disease- and therapy-related symptoms to be very important
   (75%-72% of the sample); the same applies to an overview of different
   CAM therapies (74%). LCA identified 5 latent classes (LCs) of CCPs. All
   of them attached considerable importance to medical indication,
   potential side effects, and tips for usage. LCs differed, however, in
   terms of overall importance ratings, the perceived importance of
   patients' reasons for using specific CAM therapies, case examples, and
   scientific evidence. Notably, the 5 LCs were clearly present in all 4
   occupational groups. Conclusions: CAM I&T should provide CCPs with an
   overview of different CAM therapies and show how CAM might help in
   treating symptoms cancer patients frequently demonstrate (eg, fatigue).
   Moreover, I&T programs should be flexible and take into account that
   individual information needs vary even within the same occupational
   group.
RI Güthlin, Corina/AAP-2322-2020
OI Güthlin, Corina/0000-0001-8490-467X
ZA 0
ZB 1
TC 11
Z8 0
ZS 0
ZR 0
Z9 11
U1 0
U2 4
SN 1534-7354
EI 1552-695X
UT WOS:000432073700023
PM 27585628
ER

PT J
AU Alsaeed, D.
   Furniss, D.
   Blandford, A.
   Smith, F.
   Orlu, M.
TI Carers' experiences of home enteral feeding: A survey exploring
   medicines administration challenges and strategies
SO JOURNAL OF CLINICAL PHARMACY AND THERAPEUTICS
VL 43
IS 3
BP 359
EP 365
DI 10.1111/jcpt.12664
PD JUN 2018
PY 2018
AB What is known and objectives: The use of enteral tube feeding at home is
   becoming more widespread, with patients ranging in age and diseases.
   Dysphagia and swallowing difficulties can compromise nutritional intake
   and the administration of oral medications, affecting therapeutic
   outcomes negatively. Carers' experiences of medicines administration and
   medicines optimization have not been explored fully. The objectives of
   this study were to identify issues carers experience in medicines
   administration; the strategies they have developed to cope; and
   suggestions to improve the medicines administration process.
   Methods: An online survey was promoted nationally; 42 carers completed
   it. Descriptive statistical analysis was applied, as well as thematic
   analysis of open-ended responses. Results were compared against the 4
   principles of medicines optimization.
   Results and discussion: 93% of respondents administered medications with
   enteral feeding tubes, but only 62% had received advice from healthcare
   professionals and only 8% had received written information on how to do
   so. Responses identified 5 medicines administration issues experienced
   by carers; 4 strategies they developed to cope; and 3 main areas of
   suggestions to improve medicines administration via enteral feeding at
   home.
   What is new and conclusion: The 4 principles of medicines optimization
   have not previously been applied to enteral feeding. We present a novel
   account of carers' experiences, for example coping with ill-suited
   formulations and a lack of training and support, which should inform
   better practice (Principle 1). Carers sometimes experience suboptimal
   choice of medicines (Principle 2). Carers' practices are not always
   well-informed and may affect therapeutic outcomes and safety (Principle
   3). There is scope for improvement in carer training, education and
   support to better support medicines optimization (Principle 4).
RI Orlu, Mine/F-4348-2017; Blandford, Ann/; Furniss, Dominic/; Smith, Felicity/
OI Orlu, Mine/0000-0002-2047-5025; Blandford, Ann/0000-0002-3198-7122;
   Furniss, Dominic/0000-0002-2114-4367; Smith,
   Felicity/0000-0001-9565-758X
ZS 0
ZB 2
TC 12
ZA 0
ZR 0
Z8 0
Z9 12
U1 0
U2 8
SN 0269-4727
EI 1365-2710
UT WOS:000431653900008
PM 29351363
ER

PT J
AU Torre, Kristin
   Jhorar, Preeti
   Wu, Rong
   Pfeifer, John
   Elaba, Zendee
   Murphy, Michael
TI Molecular testing practices and perceptions among dermatopathologists
SO JOURNAL OF CUTANEOUS PATHOLOGY
VL 45
IS 6
BP 387
EP 394
DI 10.1111/cup.13126
PD JUN 2018
PY 2018
AB Background: We evaluated how dermatopathologists are employing molecular
   testing in the setting of neoplastic skin diseases, and assessed their
   opinions of the broader role and utility of molecular technologies in
   clinical practice.
   Methods: A 15-question online survey was sent to Fellows of the American
   Society of Dermatopathology in April 2017.
   Results: One hundred and thirty-six dermatopathologists completed the
   survey (response rate = 16%). A majority (94%) of respondents reported
   experience with one or more molecular testing strategies. Sixty-two
   percent of dermatopathologists order 12 or more molecular tests per
   year, while 5% of respondents order 2 or fewer assays per year. More
   frequent utilization of molecular testing is associated with relevant
   instruction during residency training (P = .009), primary board
   certification in pathology (P = .008), academic medical center
   affiliation (P = <.0001), higher volume clinical practice (P = .0004),
   presence of on-site clinical molecular pathology/cytogenetics laboratory
   (P = .007), and greater physician confidence incorporating test results
   into histopathological assessments (P = <.0001).
   Conclusions: Wider adoption of molecular testing in dermatopathology may
   be limited by factors such as physician training, test costs/insurance
   coverage, logistical issues and lack of evidence-based clinical practice
   guidelines. Dermatopathologists have concerns regarding clinical
   validity/utility and inappropriate/overuse of some molecular tests. The
   importance of longitudinal education in molecular technologies and their
   applications for trainee and practicing physicians is highlighted.
ZA 0
Z8 0
ZR 0
ZS 0
ZB 1
TC 1
Z9 1
U1 0
U2 1
SN 0303-6987
EI 1600-0560
UT WOS:000437285400002
PM 29436726
ER

PT J
AU Hagatun, Susanne
   Vedaa, Oystein
   Harvey, Allison G.
   Nordgreen, Tine
   Smith, Otto R. F.
   Pallesen, Stale
   Havik, Odd E.
   Thorndike, Frances P.
   Ritterband, Lee M.
   Sivertsen, Borge
TI Internet-delivered cognitive-behavioral therapy for insomnia and
   comorbid symptoms
SO INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN
   MENTAL AND BEHAVIOURAL HEALTH
VL 12
BP 11
EP 15
DI 10.1016/j.invent.2018.02.003
PD JUN 2018
PY 2018
AB Background: Cognitive-behavioral therapy for insomnia (CBTi) is
   considered the standard treatment. The internet has proven to be a
   useful and successful tool of providing CBTi. However, few studies have
   investigated the possible effect of unguided internet-delivered CBTi
   (ICBTi) on comorbid psychological symptoms and fatigue.
   Methods: Based on a randomized controlled trial, we investigated whether
   unguided ICBTi had an effect on comorbid psychological symptoms. Adults
   with insomnia (n = 181; 67% women; mean age 44.9 years [SD 13.0]) were
   randomized to ICBTi (n = 95) or to an online patient education condition
   (n= 86) for a nine-week period.
   Results: The results from mixed linear modelling yielded medium to large
   between-group effect sizes from pre-to post-treatment for symptoms of
   anxiety or depression (d = -0.57; 95% CI = 0.79-0.35) and fatigue (d =
   0.92; 95% CI = 1.22-0.62). The ICBTi group was reassessed at a 6-month
   non-randomized follow-up, and the completing participants had on the
   average a significant increase (from the post-assessment) on symptoms of
   anxiety or depression, while the reduction in symptoms of fatigue (on
   post-assessment) was maintained. However, due to high dropout attrition
   and no control group data, caution should be made regarding the
   long-term effects. In conclusion, the present findings show that
   unguided ICBTi positively influence comorbid symptoms in the short-term,
   thereby emphasizing the clinical relevance of unguided ICBTi.
RI Vedaa, Øystein/GQH-4810-2022; Sivertsen, Borge/; Pallesen, Stale/; Ritterband, Lee/G-7810-2011
OI Sivertsen, Borge/0000-0003-4654-9296; Pallesen,
   Stale/0000-0002-5831-0840; Ritterband, Lee/0000-0001-7624-5213
ZB 3
ZA 0
TC 14
ZR 0
ZS 0
Z8 1
Z9 15
U1 2
U2 4
EI 2214-7829
UT WOS:000457134800002
PM 30135764
ER

PT J
AU Han, Jin
   Batterham, Philip J.
   Calear, Alison L.
   Wu, Yang
   Xue, Jing
   van Spijker, Bregje A. J.
TI Development and pilot evaluation of an online psychoeducational program
   for suicide prevention among university students: A randomised
   controlled trial
SO INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN
   MENTAL AND BEHAVIOURAL HEALTH
VL 12
BP 111
EP 120
DI 10.1016/j.invent.2017.11.002
PD JUN 2018
PY 2018
AB Introduction: Suicide is the second leading cause of death for the
   university aged population globally. A significant proportion of
   students with suicidal ideation or behaviours do not seek professional
   help. Few primary suicide prevention programs have specifically targeted
   help seeking for suicidal ideation or behaviours among university
   students.
   Methods: This study reported the development and pilot test of a brief,
   two-module online psychoeducational program (ProHelp) that aimed to
   encourage help seeking for suicidal ideation and behaviours among
   university students. The program consists of two five-minute modules
   that address the risk factors and warning signs of suicide, stigmatising
   attitudes, and perceived barriers to help seeking. 156 Chinese
   university students and 101 Australian university students were
   recruited to evaluate the effectiveness of this program at post-test and
   one-month follow-up. Participants were randomly assigned to the
   psychoeducational program or an attention control program.
   Results: Of the Chinese and Australian students who were randomised into
   the study, around 50% completed the twoday posttest survey, and 30%
   completed the one-month followup survey. Although no significant
   difference was found between the control and experimental group on
   professional help-seeking beliefs and intentions, both groups'
   help-seeking attitudes increased during the study (p = 0.003 for the
   posttest survey, and p = 0.008 for the followup survey). The
   experimental group in both countries demonstrated a significant
   improvement in suicide literacy at the post-test survey (p = 0.015)
   compared to control. Qualitative feedback indicated that the ProHelp
   program was user-friendly, clear, and helpful.
   Conclusions: This study provides initial evidence that a brief online
   psychoeducational program could enhance university students' suicide
   literacy in both China and Australia. It also suggests that increasing
   suicide literacy might not be sufficient to improve students' help
   seeking, although effect sizes indicated that this lowintensity online
   approach shows promise in encouraging more positive beliefs towards help
   seeking and preparedness to help individuals with suicidal ideation
   among young people.
CT 9th Scientific Meeting of the
   International-Society-for-Research-on-Internet-Interventions (ISRII)
CY SEP 12-14, 2017
CL Berlin, GERMANY
SP Int Soc Res Internet Intervent
RI Calear, Alison L/D-4191-2009; Han, Jin/N-1991-2019
OI Calear, Alison L/0000-0002-7028-725X; Han, Jin/0000-0001-7624-9468
TC 18
ZR 0
ZB 4
Z8 0
ZA 0
ZS 2
Z9 19
U1 3
U2 17
EI 2214-7829
UT WOS:000457134800014
PM 30135775
ER

PT J
AU Vincze, L.
   Rollo, M. E.
   Hutchesson, M. J.
   Callister, R.
   Collins, C. E.
TI VITAL change for mums: a feasibility study investigating tailored
   nutrition and exercise care delivered by video-consultations for women
   3-12 months postpartum
SO JOURNAL OF HUMAN NUTRITION AND DIETETICS
VL 31
IS 3
BP 337
EP 348
DI 10.1111/jhn.12549
PD JUN 2018
PY 2018
AB BackgroundA tailored approach to nutrition and physical activity advice
   can support women following childbirth in managing barriers (i.e. time
   and childcare) to making healthy lifestyle changes. The aim of the
   present study was to evaluate the implementation, acceptability and
   preliminary efficacy of a personally tailored nutrition and exercise
   programme for postpartum women delivered via video-consultations by an
   accredited practising dietitian (APD) and accredited exercise
   physiologist (AEP).
   MethodsIn this feasibility study (VITAL change for mums), postpartum
   (3-12 months) women (body mass index 25 or >2 kg above pre-pregnancy
   weight) who were seeking to achieve a healthy weight participated in a
   single-arm intervention. Participants received up to five real-time
   personalised video-consultations (2 x APD, 2 x AEP, 1 x either) over the
   8-week intervention period. Implementation (recruitment, retention,
   utilisation), acceptability (participant satisfaction) and preliminary
   efficacy (anthropometry, dietary intake, cardiovascular fitness,
   physical activity level, psychological wellbeing) were assessed.
   ResultsThirty women [mean (SD) age 31.6 (3.1) years, body mass index
   29.0 (4.0) kg m(-2), 100% married/de facto, 80% university level
   education] were recruited within 10 days and 27 completed the study.
   Women's mean (SD) ratings (out of a score of 5) indicated satisfaction
   with the video-consultations [4.4 (0.9)] and the online setting [4.5
   (0.8)]. Women agreed that accessing an APD [4.4 (0.8)] and AEP [4.3
   (0.9)] was easier using video-consultations than attending an in-person
   consultation. Statistically significant improvements in waist
   circumference, body composition, cardiorespiratory fitness, dietary
   intake and physical activity were observed from baseline to 8 weeks.
   ConclusionsThe findings of the present study suggest that a nutrition
   and exercise intervention delivered by qualified health professionals
   via video-consultations is feasible, acceptable and achieves positive
   outcomes for women following childbirth.
RI Hutchesson, Melinda J/G-7737-2013; Vincze, Lisa/ABF-2948-2020; ROLLO, MEGAN/ABC-3731-2021; COLLINS, CLARE/AAO-9933-2020
OI Hutchesson, Melinda J/0000-0002-1851-0661; Vincze,
   Lisa/0000-0003-0669-7147; ROLLO, MEGAN/0000-0003-1303-2063; COLLINS,
   CLARE/0000-0003-3298-756X
ZA 0
ZR 0
ZS 0
Z8 0
TC 7
ZB 0
Z9 7
U1 0
U2 7
SN 0952-3871
EI 1365-277X
UT WOS:000433582200007
PM 29543356
ER

PT J
AU Kraft, Michael
   Sayfie, Aaron
   Klein, Katherine
   Gruppen, Larry
   Quint, Leslie
TI Introducing First-Year Medical Students to Radiology: Implementation and
   Impact
SO ACADEMIC RADIOLOGY
VL 25
IS 6
BP 780
EP 788
DI 10.1016/j.acra.2018.02.002
PD JUN 2018
PY 2018
AB Rationale and Objectives: The aims of our study were (1) to describe a
   new educational intervention for first-year medical students that gave a
   substantial, early exposure to radiology and (2) to examine how this
   early exposure was received by the students.
   Materials and Methods: Our new curriculum incorporated a new 2-week
   course very early in the M1 year entitled Foundations of Diagnostics and
   Therapeutics. Among other topics, the course included a substantial
   introduction to radiology primarily through small-group seminars and
   online materials, administered using a flipped-classroom approach. The
   students were given pre- and postcourse surveys that assessed the degree
   to which they felt prepared to learn about radiology, as well as their
   interest in radiology. Results were analyzed using the Wilcoxon
   signed-rank test.
   Results: Survey responses were obtained from 170 students before the
   course and 65 students afterward. Upon completing the course, students
   showed significantly increased academic interest in radiology (P = .008)
   and a heightened perception of the effect of radiology on patient care
   (P = .04), without a significant change in interest in pursuing
   radiology as a career. Students showed an overwhelmingly Dositive
   response to the course, although some noted that previous anatomy
   training would have been helpful. Eighty percent agreed Dr strongly
   agreed that the flipped-classroom structure was an effective educational
   model.
   Conclusions: Our study demonstrated that students were very excited to
   gain exposure to radiology early in their medical school curiculum and
   such exposure led to an improved peroeption of the field.
ZB 1
Z8 0
ZA 0
ZR 0
TC 13
ZS 2
Z9 15
U1 0
U2 4
SN 1076-6332
EI 1878-4046
UT WOS:000432415600016
PM 30691773
ER

PT J
AU Fromel, Karel
   Groffik, Dorota
   Chmelik, Frantisek
   Cocca, Armando
   Skalik, Krzysztof
TI PHYSICAL ACTIVITY OF 15-17 YEARS OLD ADOLESCENTS IN DIFFERENT
   EDUCATIONAL SETTINGS: A POLISH-CZECH STUDY
SO CENTRAL EUROPEAN JOURNAL OF PUBLIC HEALTH
VL 26
IS 2
BP 137
EP 143
DI 10.21101/cejph.a4521
PD JUN 2018
PY 2018
AB Objectives: The aim of this study was to analyze adolescents' physical
   activity (PA) in two different educational settings, and to estimate the
   association between meeting PA recommendations and specific
   characteristics of adolescents' lifestyle.
   Methods: The study was carried out in the Moravia region of the Czech
   Republic and in the Silesia-Opole region of Poland. In total, 1,846
   participants completed the long International Physical Activity
   Questionnaire (IPAQ-long) using the online Indares system.
   Results: Results showed that the Polish sample was significantly more
   physically active than the Czech one concerning school PA (p < 0.001;
   eta(2) = 0.07). Comparing by gender, significant differences were found
   in vigorous PA (p < 0.001; eta(2) = 0.05) and moderate PA (p < 0.001;
   eta(2) = 0.08) in both samples. The recommendations for vigorous PA are
   met by 45.9% of Czech boys and 33.4% of girls; and by 64.5% of Polish
   boys and 51.3% of girls. Participation in organized PA was the main
   correlate to achieve the recommendations of vigorous PA in both Czech (p
   < 0.001; CI = 4.47-9.25) and Polish adolescents (p < 0.001; CI =
   1.99-5.37).
   Conclusions: The Polish educational model seems to be more effective for
   enhancing higher levels of PA among youth, as it provides pupils with a
   wider offer of organized PA. Girls were found to be less active than
   boys at high PA intensities in both countries, therefore, more effort
   must be put on involving them in organized PA.
RI Cocca, Armando/M-2303-2019; Chmelik, Frantisek/J-5243-2012; Frömel, Karel/L-9865-2017; Skalik, Krzysztof/X-3519-2018; Frömel, Karel/AAU-2222-2020; Groffik, Dorota/
OI Cocca, Armando/0000-0002-1109-0887; Chmelik,
   Frantisek/0000-0002-5758-3783; Frömel, Karel/0000-0001-7848-3418;
   Skalik, Krzysztof/0000-0002-8736-6894; Frömel,
   Karel/0000-0001-7848-3418; Groffik, Dorota/0000-0002-2266-2457
Z8 0
ZA 0
TC 12
ZS 0
ZB 1
ZR 0
Z9 12
U1 0
U2 13
SN 1210-7778
EI 1803-1048
UT WOS:000446082400011
PM 30102503
ER

PT J
AU Veschusio, Christine
   Jones, Mary Kenyon
   Mercer, James
   Martin, Amy Brock
TI Readying community water fluoridation advocates through training,
   surveillance, and empowerment
SO COMMUNITY DENTAL HEALTH
VL 35
IS 2
BP 67
EP 70
DI 10.1922/CDH_4021Veschusio04
PD JUN 2018
PY 2018
AB This paper describes the Community Water Fluoridation Advocacy Training
   Project that was designed to develop networks of community water
   fluoridation advocates in rural communities. The South Carolina (SC)
   Department of Health and Environmental Control Division of Oral Health
   staff and the SC Dental Association were responsible for developing and
   facilitating the training sessions for key policy influencers, which
   included medical and dental providers, early childhood educators, and
   water system operators and managers. Findings from the post-training
   survey indicate that participants increased their knowledge and skills
   to discuss the impact of water fluoridation on the dental health of
   community residents. Participants identified a need for online access to
   water fluoridation education and advocacy materials. Dental public
   health competencies illustrated: communication and collaboration with
   groups and individuals to advocate, implement and evaluate public health
   policy, legislation and regulations.
Z8 0
ZS 0
ZA 0
TC 1
ZR 0
ZB 0
Z9 1
U1 0
U2 4
SN 0265-539X
UT WOS:000433629900002
PM 29111620
ER

PT J
AU Saiman, Lisa
   Zhou, Juyan J.
   Jiang, Xiaotong
   Kosorok, Michael R.
   Muhlebach, Marianne S.
TI Surveying Cystic Fibrosis Care Centers to Assess Adoption of Infection
   Prevention and Control Recommendations
SO INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
VL 39
IS 6
BP 647
EP 651
DI 10.1017/ice.2018.72
PD JUN 2018
PY 2018
AB OBJECTIVEIn 2013, the Cystic Fibrosis (CF) Foundation developed an
   updated guideline for infection prevention and control (IP&C) practices
   for CF. We sought to assess the adoption of specific recommendations by
   CF care centers.METHODSDirectors of the 277 CF care centers in the
   United States were asked to complete a confidential online survey
   regarding the adoption of selected IP&C recommendations. Selected
   recommendations were those we considered less likely to be incorporated
   into a center's written IP&C policies.RESULTSCenter directors from 198
   of 277 CF centers (71%) completed the survey between December 2015 and
   June 2016; pediatric and larger centers were more likely to do so.
   Overall, 70% have adopted 75% of the selected recommendations. As
   recommended, almost all provided education to CF center staff (98%) and
   patients and families (97%); fewer developed educational materials in
   collaboration with local IP&C teams (59%) and/or patients and families
   (37%). Among 108 centers with non-English-speaking patients, 65 (60%)
   provided educational materials in relevant languages. Most (74%) held
   group education events; of the 138 centers with in-person meetings, 45%
   allowed 1 individual with CF to attend, and 51% allowed no individuals
   with CF to attend. Most centers (93%) held outdoor events, and 84%
   allowed >1 individual with CF to attend. Audits of exam-room cleaning
   were performed by 49% of CF centers.CONCLUSIONSCystic fibrosis centers
   in the United States have adopted many of the recommendations addressed
   in this survey. Nonetheless, these findings suggest opportunities for
   improvement. More CF centers should provide education to
   non-English-speaking patients and families, and CF centers should
   perform audits of room cleaning.Infect Control Hosp Epidemiol.
   2018;39:647-651
RI Jiang, Xiaotong/AAQ-4487-2020; Kosorok, Michael/ABB-7427-2021
OI Jiang, Xiaotong/0000-0003-3698-4526; 
ZS 0
ZR 0
ZB 0
Z8 0
TC 3
ZA 0
Z9 3
U1 0
U2 0
SN 0899-823X
EI 1559-6834
UT WOS:000434286500003
PM 29655374
ER

PT J
AU Williams, Jessica H.
   DeLaughter, Kathryn
   Volkman, Julie E.
   Sadasivam, Rajani S.
   Ray, Midge N.
   Gilbert, Gregg H.
   Houston, Thomas K.
CA QUIT-PRIMO & Natl Dent PBRN Collab
TI Exploring Online Asynchronous Counseling With Tobacco Treatment
   Specialists in the QUIT-PRIMO and National Dental PBRN HI-QUIT Studies:
   Who Uses It and What Do They Say?
SO AMERICAN JOURNAL OF HEALTH PROMOTION
VL 32
IS 5
BP 1170
EP 1177
DI 10.1177/0890117116670972
PD JUN 2018
PY 2018
AB Purpose: To describe the content of messages sent by smokers through
   asynchronous counseling within a Web-based smoking cessation
   intervention.
   Design: Qualitative.
   Setting: National community-based setting of patients who had been
   engaged by the medical or dental practices at which they attended or via
   Google advertisements.
   Participants: Adults older than 19 years who were current smokers and
   interested in quitting. Participants throughout the United States
   referred to a Web-based cessation intervention by their medical or
   dental provider or by clicking on a Google advertisement.
   Methods: We conducted a qualitative review of 742 asynchronous
   counseling messages sent by 270 Web site users. Messages were reviewed,
   analyzed, and organized into qualitative themes by the investigative
   team.
   Results: The asynchronous counseling feature of the intervention was
   used most frequently by smokers who were white (87%), female (67%), aged
   45 to 54 (32%), and who had at least some college-level education (70%).
   Qualitative analysis yielded 7 basic themes-Talk about the Process of
   Quitting, Barriers to Quitting, Reasons to Quit, Quit History, Support
   and Strategies for Quitting, Quitting with Medication, and Quit
   Progress. The most common theme was Support and Strategies for Quitting
   with 255 references among all messages.
   Conclusion: We found rich communication across the spectrum of the quit
   process, from persons preparing to quit to those who had successfully
   quit. Asynchronous smoking cessation counseling provides a promising
   means of social support for smokers during the quit process.
TC 1
Z8 0
ZB 0
ZA 0
ZS 0
ZR 0
Z9 1
U1 0
U2 7
SN 0890-1171
EI 2168-6602
UT WOS:000433907000001
PM 29848011
ER

PT J
AU Hostetter, Jason
   Khanna, Nishanth
   Mandell, Jacob C.
TI Integration of a Zero-footprint Cloud-based Picture Archiving and
   Communication System with Customizable Forms for Radiology Research and
   Education
SO ACADEMIC RADIOLOGY
VL 25
IS 6
BP 811
EP 818
DI 10.1016/j.acra.2018.01.031
PD JUN 2018
PY 2018
AB Rationale and Objectives: The purpose of this study was to integrate
   web-based forms with a zero-footprint cloud-based Picture Archiving and
   Communication Systems (PACS) to create a tool of potential benefit to
   radiology research and education.
   Materials and Methods: Web-based forms were created with a front-end and
   back-end architecture utilizing common programming languages including
   Vue.js, Node.js and MongoDB, and integrated into an existing
   zero-footprint cloud-based PACS,
   Results: The web-based forms application can be accessed in any modern
   internet browser on desktop or mobile devices and allows the creation of
   customizable forms consisting of a variety of questions types. Each form
   can be linked to an individual DICOM examination or a collection of
   DICOM examinations.
   Conclusions: Several uses are demonstrated through a series of case
   studies, including implementation of a research platform for
   multi-reader multi-case (MRMC) studies and other imaging research, and
   creation of an online Objective Structure Clinical Examination (OSCE)
   and an educational case file.
ZA 0
ZB 0
ZR 0
ZS 0
Z8 0
TC 12
Z9 12
U1 3
U2 28
SN 1076-6332
EI 1878-4046
UT WOS:000432415600021
PM 29555567
ER

PT J
AU Pinto, Camila
   Pagnussat, Aline Souza
   Rozin Kleiner, Ana Francisca
   Marchese, Ritchele Redivo
   Salazar, Ana Paula
   Rieder, Carlos R. M.
   Galli, Manuela
TI Automated Mechanical Peripheral Stimulation Improves Gait Parameters in
   Subjects With Parkinson Disease and Freezing of Gait: A Randomized
   Clinical Trial
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 97
IS 6
BP 383
EP 389
DI 10.1097/PHM.0000000000000890
PD JUN 2018
PY 2018
AB Objective This study aimed to assess spatiotemporal gait parameters and
   range of motion of lower limbs in subjects with Parkinson disease (PD)
   and freezing of gait, treated with automated mechanical peripheral
   stimulation (AMPS) or AMPS SHAM (placebo).
   Design This randomized clinical trial included 30 subjects allocated
   into two groups: AMPS (15 subjects with PD) and AMPS SHAM (15 subjects
   with PD). Fourteen age-matched healthy subjects were also included as a
   reference group. Both PD groups received the treatment twice a week
   during 4 weeks. Automated mechanical peripheral stimulation was applied
   using a commercial medical device (Gondola) and consisted of mechanical
   pressure in four areas of feet. For AMPS SHAM group, a subliminal
   stimulus was delivered. Gait analysis were measured before, after the
   first, after the fourth, and after the eighth sessions.
   Results We did not find significant differences between AMPS and AMPS
   SHAM groups either for spatiotemporal gait parameters or for range of
   motion of lower limbs. However, within-group analysis showed that AMPS
   group significantly improved spatiotemporal gait parameters and hip
   rotation range of motion throughout the treatment period. The AMPS SHAM
   group did not show any improvement.
   Conclusions Automated mechanical peripheral stimulation therapy induces
   improvements in spatiotemporal parameters and hip rotation range of
   motion of subjects with PD and freezing of gait.
   To Claim CME Credits Complete the self-assessment activity and
   evaluation online at http://www.physiatry.org/JournalCME
   CME Objectives Upon completion of this article, the reader should be
   able to: (1) Understand the impact of reduced plantar sensitivity on
   gait in individuals with Parkinson disease; (2) Identify the
   improvements on spatiotemporal gait parameters in subjects with
   Parkinson disease and freezing of gait after automated mechanical
   peripheral stimulation therapy; and (3) Recommend the use of new
   strategies of plantar stimulus for gait disorders of subjects with
   Parkinson disease.
   Level Advanced
   Accreditation The Association of Academic Physiatrists is accredited by
   the Accreditation Council for Continuing Medical Education to provide
   continuing medical education for physicians. The Association of Academic
   Physiatrists designates this Journal-based CME activity for a maximum of
   0.5 AMA PRA Category 1 Credit(s). Physicians should only claim credit
   commensurate with the extent of their participation in the activity.
RI Pagnussat, Aline/N-9335-2015; Galli, Manuela/AAH-8783-2019; pinto, camila/AAJ-1515-2021; Kleiner, Ana Francisca Rozin/C-3748-2015; Rieder, Carlos Roberto M/O-6600-2018; Galli, Manuela/; Salazar, Ana Paula/
OI Pagnussat, Aline/0000-0001-7837-5855; pinto, camila/0000-0003-0675-0147;
   Kleiner, Ana Francisca Rozin/0000-0003-1843-2787; Rieder, Carlos Roberto
   M/0000-0003-2950-7211; Galli, Manuela/0000-0003-2772-4837; Salazar, Ana
   Paula/0000-0001-7106-1167
Z8 1
ZB 5
ZR 0
TC 12
ZA 0
ZS 0
Z9 13
U1 0
U2 10
SN 0894-9115
EI 1537-7385
UT WOS:000432579700006
PM 29309313
ER

PT J
AU Momeni, Arash
   Hunter, Cedric
   Li, Alexander Y.
   Safa, Bauback
   Wan, Derrick C.
   Kneser, Ulrich
TI Opinions on Authorship: A Survey of Plastic Surgery Residents and
   Fellows
SO ANNALS OF PLASTIC SURGERY
VL 80
IS 6
BP 660
EP 663
DI 10.1097/SAP.0000000000001396
PD JUN 2018
PY 2018
AB Background Scientific publications are the cornerstone of scholarly
   activities. The importance of appropriately assigned authorship cannot
   be overstated. Hence, we felt it prudent to examine the perception of
   plastic surgery trainees regarding authorship. We hypothesized that
   plastic surgery trainees would not be in compliance with International
   Committee of Medical Journal Editors guidelines when determining what
   constitutes an authorship justifying contribution.
   Methods An online survey describing 4 distinct scenarios was distributed
   to plastic surgery trainees at 2 academic institutions using the
   Qualtrics research software (Provo, UT). Additional parameters queried
   included level of training and number of publications. Linear regression
   models were used to test correlation between responses and level of
   training and number of publications.
   Results Thirty-three of 48 trainees responded (response rate, 68.8%).
   All respondents had previously authored publications, with the majority
   (54.5%) having at least 10 publications. Although none of the scenarios
   presented justified authorship based on international guidelines, 33.3%
   of respondents believed that authorship was warranted in at least 3 of
   the 4 presented scenarios. Linear regression comparing for demographic
   variables to number of perceived authorship scenarios found a
   mild-moderate positive correlation with level of training (R = 0.34, P =
   0.05) and number of publications (R = 0.32, P = 0.07).
   Conclusions Plastic surgery trainees do not seem to be familiar with
   guidelines regarding authorship justifying contributions. It is
   important to raise awareness regarding criteria that warrant authorship
   and to educate our residents and fellows in matters of appropriate
   scholarly conduct because nothing short of the credibility of our
   scientific endeavors is otherwise in question.
RI Momeni, Arash/AAV-8300-2020; Wan, Derrick/
OI Momeni, Arash/0000-0002-6452-751X; Wan, Derrick/0000-0003-4666-1683
ZA 0
Z8 0
ZS 0
ZR 0
ZB 0
TC 2
Z9 2
U1 0
U2 1
SN 0148-7043
EI 1536-3708
UT WOS:000432679800014
PM 29489531
ER

PT J
AU Hu, Yanhong
   Wang, Xiaomin
   Tucker, Joseph D.
   Little, Paul
   Moore, Michael
   Fukuda, Keiji
   Zhou, Xudong
TI Knowledge, Attitude, and Practice with Respect to Antibiotic Use among
   Chinese Medical Students: A Multicentre Cross-Sectional Study
SO INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
VL 15
IS 6
AR 1165
DI 10.3390/ijerph15061165
PD JUN 2018
PY 2018
AB Objective: Inappropriate antibiotic use leads to antibiotic resistance.
   This has become a serious global crisis, with more multi-drug resistant
   infections and fewer effective antibiotics available. This study aims to
   understand knowledge, attitude, and practice (KAP) with respect to
   antibiotic use for self-limiting illnesses among medical students in
   China. Methods: An online cross-sectional survey instrument
   questionnaire was distributed in six regional universities in China from
   September to November 2015. Overall, 1819 medical students were
   enrolled. A pre-tested questionnaire was delivered by the researchers.
   KAP scores were calculated to determine the appropriation. Chi-squared
   and multivariable logistic regression and adjusted odd ratios (aORs)
   with 95% confidence interval (CI) were used to assess the relationship
   between the demographic characteristics and antibiotic use knowledge and
   behaviour. Results: In total, 11,192 students completed the
   questionnaires, with a response rate of 95%. In total, 529 (29%) medical
   students reported at least one self-limiting illness in the prior month.
   Of those with a self-limiting illness, 285 (54%) self-medicated, with 77
   (27%) using antibiotics; 111 (21%) went to see a doctor, of which 64
   (58%) were prescribed antibiotics, and 133 did nothing (25%). In the
   past year, 279 (15%) of medical students had used antibiotics as
   prophylaxis, and 273 (15%) of medical students had demanded an
   antibiotic from a doctor. Meanwhile, 1166 (64%) of them kept a personal
   stock of antibiotics, and 1034 (57%) of them had bought antibiotics at a
   pharmacy, of which 97% were purchased without a prescription. Students
   with high KAP scores with respect to antibiotics were significantly less
   likely to self-medicate with antibiotics (aOR 0.37, 95% CI 0.15-0.91, p
   = 0.031), use antibiotics for prophylaxis (aOR 0.35, 95% CI 0.21-0.60, p
   < 0.0001), or demand an antibiotic (aOR 0.46, 95% CI 0.26-0.81, p =
   0.007) from the doctor. Logistical regression showed that students whose
   fathers had a higher education level, whose mothers had medical
   background, who were from urban areas were more likely to stock
   antibiotics and self-medicate with antibiotics. Conclusion: High rates
   of antibiotic self-medication for self-limiting illness and stocking of
   antibiotics among medical students were observed. Along with the high
   rates of medical students receiving unnecessary antibiotics from their
   doctors were observed. The students' knowledge and attitude towards to
   antibiotics, which drive prescribing, highlight the urgent need for
   effective antibiotic stewardship and training programs in Chinese
   healthcare institutes and medical schools.
RI hu, jessika/T-7106-2018; Moore, Michael/C-3447-2011; zhou, xudong/; Fukuda, Keiji/
OI hu, jessika/0000-0002-0923-7923; Moore, Michael/0000-0002-5127-4509;
   zhou, xudong/0000-0002-0784-5343; Fukuda, Keiji/0000-0002-9598-9565
ZS 0
ZB 12
ZR 0
Z8 0
TC 28
ZA 0
Z9 29
U1 2
U2 13
SN 1660-4601
UT WOS:000436496900116
PM 29867005
ER

PT J
AU Yaniv, Ziv
   Lowekamp, Bradley C.
   Johnson, Hans J.
   Beare, Richard
TI SimpleITK Image-Analysis Notebooks: a Collaborative Environment for
   Education and Reproducible Research
SO JOURNAL OF DIGITAL IMAGING
VL 31
IS 3
BP 290
EP 303
DI 10.1007/s10278-017-0037-8
PD JUN 2018
PY 2018
AB Modern scientific endeavors increasingly require team collaborations to
   construct and interpret complex computational workflows. This work
   describes an image-analysis environment that supports the use of
   computational tools that facilitate reproducible research and support
   scientists with varying levels of software development skills. The
   Jupyter notebook web application is the basis of an environment that
   enables flexible, well-documented, and reproducible workflows via
   literate programming. Image-analysis software development is made
   accessible to scientists with varying levels of programming experience
   via the use of the SimpleITK toolkit, a simplified interface to the
   Insight Segmentation and Registration Toolkit. Additional features of
   the development environment include user friendly data sharing using
   online data repositories and a testing framework that facilitates code
   maintenance. SimpleITK provides a large number of examples illustrating
   educational and research-oriented image analysis workflows for free
   download from GitHub under an Apache 2.0 license:
   github.com/InsightSoftwareConsortium/SimpleITK-Notebooks.
RI Yaniv, Ziv/AAB-3658-2021; Yaniv, Ziv/O-3097-2019; Yaniv, Ziv/Q-1177-2015; Beare, Richard/; Johnson, Hans/M-7039-2015
OI Yaniv, Ziv/0000-0003-0315-7727; Yaniv, Ziv/0000-0003-0315-7727; Beare,
   Richard/0000-0002-7530-5664; Johnson, Hans/0000-0001-9513-2660
ZA 0
ZB 26
TC 86
ZR 0
Z8 0
ZS 0
Z9 86
U1 0
U2 8
SN 0897-1889
EI 1618-727X
UT WOS:000432711800003
PM 29181613
ER

PT J
AU Moccia, Marcello
   Brigo, Francesco
   Tedeschi, Gioacchino
   Bonavita, Simona
   Lavorgna, Luigi
TI Neurology and the Internet: a review
SO NEUROLOGICAL SCIENCES
VL 39
IS 6
BP 981
EP 987
DI 10.1007/s10072-018-3339-9
PD JUN 2018
PY 2018
AB Nowadays, the Internet is the major source to obtain information about
   diseases and their treatments. The Internet is gaining relevance in the
   neurological setting, considering the possibility of timely social
   interaction, contributing to general public awareness on otherwise
   less-well-known neurological conditions, promoting health equity and
   improving the health-related coping. Neurological patients can easily
   find several online opportunities for peer interactions and learning. On
   the other hand, neurologist can analyze user-generated data to better
   understand patient needs and to run epidemiological studies. Indeed,
   analyses of queries from Internet search engines on certain neurological
   diseases have shown a strict temporal and spatial correlation with the
   "real world." In this narrative review, we will discuss how the Internet
   is radically affecting the healthcare of people with neurological
   disorders and, most importantly, is shifting the paradigm of care from
   the hands of those who deliver care, into the hands of those who receive
   it. Besides, we will review possible limitations, such as safety
   concerns, financial issues, and the need for easy-to-access platforms.
RI Bonavita, Simona/AGN-5124-2022; Lavorgna, Luigi/AAG-9119-2021; Lavorgna, Luigi/R-2696-2016; Moccia, Marcello/N-6987-2015; Brigo, Francesco/H-6513-2013
OI Bonavita, Simona/0000-0002-8561-9720; Lavorgna,
   Luigi/0000-0003-4625-4236; Lavorgna, Luigi/0000-0003-4625-4236; Moccia,
   Marcello/0000-0003-2613-3090; Brigo, Francesco/0000-0003-0928-1577
ZR 0
ZA 0
Z8 0
ZB 10
ZS 0
TC 27
Z9 27
U1 1
U2 10
SN 1590-1874
EI 1590-3478
UT WOS:000433091600001
PM 29594831
ER

PT J
AU Ji, Gong-Jun
   Hu, Panpan
   Liu, Ting-Ting
   Li, Ying
   Chen, Xingui
   Zhu, Chunyan
   Tian, Yanghua
   Chen, Xianwen
   Wang, Kai
TI Functional Connectivity of the Corticobasal GangliaThalamocortical
   Network in Parkinson Disease: A Systematic Review and Meta-Analysis with
   Cross-Validation
SO RADIOLOGY
VL 287
IS 3
BP 973
EP 982
DI 10.1148/radiol.2018172183
PD JUN 2018
PY 2018
AB Purpose: To quantitatively summarize the functional connectivity (FC)
   feature of the corticobasal ganglia-thalamocortical (CBTC) network in
   patients with Parkinson disease (PD) by means of a meta-analysis with
   cross-validation.
   Materials and Methods: For this prospective study, a systematic
   literature search in the PubMed and EMBASE databases was performed for
   resting-state functional magnetic resonance (MR) imaging studies of PD
   published between January 2000 and May 2017. Then, a coordinate-based
   meta-analysis was conducted by Effect Size-Signed Differential Mapping.
   A cross-validation analysis was performed by using an independent
   resting-state functional MR imaging data set that contained 25 patients
   with PD and 19 age-, sex-, and education-matched healthy control
   participants. Two-sample t test was performed on FC maps between PD and
   control groups.
   Results: Thirty studies with 854 patients with PD and 831 control
   participants were included in this meta-analysis. The main meta-analysis
   found increased FC in the left pre- and postcentral gyrus in patients
   with PD compared with healthy control participants (z = 2.6; P < .001).
   The abnormality of the postcentral gyrus was further confirmed by
   subgroup meta-analyses on medication-naive (n = 25; z = 2.2; P < .001)
   and medication-off (n = 11; z = 1.5; P < .001) experiments, which
   suggested that the finding was unaffected by medication. The abnormality
   of the postcentral gyrus was cross-validated by the independent data set
   (t = 5.0; P < .05), which suggested a high reproducibility and
   generalizability.
   Conclusion: This meta-analysis emphasizes the left postcentral gyrus as
   a critical region in PD, which may become a potential target for
   clinical intervention.
RI hu, panpan/ABD-5695-2021; Tian, Yanghua/; Li, Ying/; JI, Gong-Jun/
OI Tian, Yanghua/0000-0001-5038-0599; Li, Ying/0000-0001-7415-1758; JI,
   Gong-Jun/0000-0002-7073-5534
ZB 15
TC 28
ZR 0
ZS 0
ZA 0
Z8 2
Z9 30
U1 6
U2 33
SN 0033-8419
UT WOS:000433883400029
PM 29514016
ER

PT J
AU Mozafarpour, Sarah
   Norris, Briony
   Borin, James
   Eisner, Brian H.
TI Assessment of readability, quality and popularity of online information
   on ureteral stents
SO WORLD JOURNAL OF UROLOGY
VL 36
IS 6
BP 985
EP 992
DI 10.1007/s00345-018-2179-9
PD JUN 2018
PY 2018
AB To evaluate the quality and readability of online information on
   ureteral stents.
   Google.com was queried using the search terms "ureteric stent",
   "ureteral stent", "double J stent" and, "Kidney stent" derived from
   Google AdWords. Website popularity was determined using Google Rank and
   the Alexa tool. Website quality assessment was performed using the
   following criteria: Journal of the American Medical Association (JAMA)
   benchmarks, Health on the Net (HON) criteria, and a customized DISCERN
   questionnaire. The customized DISCERN questionnaire was developed by
   combining the short validated DISCERN questionnaire with additional
   stent-specific items including definition, placement, complications,
   limitations, removal and "when to seek help". Scores related to stent
   items were considered as the "stent score" (SS). Readability was
   evaluated using five readability tests.
   Thirty-two websites were included. The mean customized DISCERN score and
   "stent score" were 27.1 +/- 7.1 (maximum possible score = 59) and 14.6
   +/- 3.8 (maximum possible score = 24), respectively. A minority of
   websites adequately addressed "stent removal" and "when to seek medical
   attention". Only two websites (6.3%) had HON certification (drugs.com,
   radiologyinfo.org) and only one website (3.3%) met all JAMA criteria
   (bradyurology.blogspot.com). Readability level was higher than the
   American Medical Association recommendation of sixth-grade level for
   more than 75% of the websites. There was no correlation between Google
   rank, Alexa rank, and the quality scores (P > 0.05).
   Among the 32 most popular websites on the topic of ureteral stents,
   online information was highly variable. The readability of many of the
   websites was far higher than standard recommendations and the online
   information was questionable in many cases. These findings suggest a
   need for improved online resources in order to better educate patients
   about ureteral stents and also should inform physicians that popular
   websites may have incomplete information.
OI Borin, James/0000-0002-1217-1566; Mozafarpour, Sarah/0000-0002-9258-8563
ZB 4
ZR 0
Z8 1
ZS 0
ZA 0
TC 7
Z9 8
U1 0
U2 5
SN 0724-4983
EI 1433-8726
UT WOS:000433120100020
PM 29435639
ER

PT J
AU Spagnoli, Laura
   Navaro, Monica
   Ferrara, Pietro
   Del Prete, Viola
   Attena, Francesco
CA Collaborative Working Grp
TI Online information about risks and benefits of screening mammography in
   10 European countries: An observational Web sites analysis
SO MEDICINE
VL 97
IS 22
AR e10957
DI 10.1097/MD.0000000000010957
PD JUN 2018
PY 2018
AB Most publications about breast cancer do not provide accurate and
   comprehensive information, giving few or no data about risk/benefit
   ratios. We conducted a comparative study among 10 European countries
   about health information on breast cancer screening, assessing the first
   10 Web sites addressing the general public that appeared following an
   Internet search.With the help of medical residents involved in the
   EuroNet MRPH Association, we analyzed the first 30 results of an
   Internet search in 10 European countries to determine the first 10 sites
   that offered screening mammography. We searched for the following
   information: source of information, general information on mammography
   and breast cancer screening, potential harms and risks (false positives,
   false positives after biopsy, false negatives, interval cancer,
   overdiagnosis, lead-time bias, and radiation exposure), and potential
   benefits (reduced mortality and increased survival).The United Kingdom
   provided the most information: 39 of all 70 possible identified risks
   (56%) were reported on its sites. Five nations presented over 35% of the
   possible information (United Kingdom, Spain, France, Ireland, and
   Italy); the others were under 30% (Portugal, Poland, Slovenia,
   Netherlands, and Croatia). Regarding the benefits, sites offering the
   most complete information were those in France (95%) and Poland
   (90%).Our results suggest that, despite consensus in the scientific
   community about providing better information to citizens, further
   efforts are needed to improve information about breast cancer screening.
   That conclusion also applies to countries showing better results. We
   believe that there should be greater coordination in this regard
   throughout Europe.
RI Ferrara, Pietro/AAF-4113-2019
OI Ferrara, Pietro/0000-0002-0349-3221
ZR 0
ZS 0
TC 4
ZA 0
ZB 0
Z8 0
Z9 4
U1 0
U2 1
SN 0025-7974
EI 1536-5964
UT WOS:000434308900071
PM 29851843
ER

PT J
AU Min, Alice A.
   Morley, Eric J.
   Rezaie, Salim R.
   Fox, Sean M.
   Grock, Andrew
TI Academic Life in Emergency Medicine Blog and Podcast Watch: Respiratory
   Emergencies
SO CUREUS
VL 10
IS 6
AR e2812
DI 10.7759/cureus.2812
PD JUN 2018
PY 2018
AB The Academic Life in Emergency Medicine (ALiEM) Approved Instructional
   Resources (AIR) Series and Approved Instruction Resources Professional
   (AIR-Pro) Series were created in 2014 and 2015, respectively, to address
   the need for curation of online educational content as well as a
   nationally available curriculum that meets individualized interactive
   instruction criteria. These two programs identify high-quality
   educational blog and podcast content using an expert-based approach.
   We summarize the accredited posts on respiratory emergencies that met
   our a priori determined quality criteria per evaluation by eight
   experienced faculty educators in emergency medicine.
ZS 0
Z8 0
ZR 0
ZA 0
TC 4
ZB 0
Z9 4
U1 0
U2 2
EI 2168-8184
UT WOS:000450941500088
PM 30116685
ER

PT J
AU Rehman, Rehana
   Siddiqi, Hasan Salman
   Alam, Faiza
TI Peer leader selection: A step forward for assisted peer learning at Aga
   Khan University
SO JOURNAL OF THE PAKISTAN MEDICAL ASSOCIATION
VL 68
IS 6
BP 936
EP 938
PD JUN 2018
PY 2018
AB To facilitate experiential learning with assistance from peers, fourteen
   consented first year AKUH MBBS students submitted an online application
   along with a written paragraph. Percentage in previous teaching module
   was also obtained. A training workshop was organized for all the
   consented students where after pretest and initial orientation, they
   were divided into two groups; A and B. Facilitators taught concepts of
   Physiology practical to PLs of Group A and of Pharmacology practical to
   PLs of Group B respectively. Then PLs of Group A taught PLs of Group B
   and vice versa with shuffling of students. Comprehension of concept was
   evaluated by a significant difference (p<0.05) in the pre and posttest
   results. Nine (64%) students labeled overall assessment of activity as
   excellent. Ten students were selected on the basis of paragraph writing,
   end of activity questionnaire and gain in knowledge as a result of
   comparison of pre and posttest results.
RI Alam, Faiza/AAG-5297-2022; Alam, Faiza/P-4978-2016; Rehman, Rehana/AAG-1473-2020; Alam, Faiza/AFK-6964-2022; Alam, Faiza/
OI Alam, Faiza/0000-0002-4131-129X
ZA 0
TC 1
Z8 0
ZR 0
ZB 1
ZS 0
Z9 1
U1 0
U2 1
SN 0030-9982
UT WOS:000432457500022
PM 30323362
ER

PT J
AU Little, William Brady
   Artemiou, Elpida
   Conan, Anne
   Sparks, Cathryn
TI Computer Assisted Learning: Assessment of the Veterinary Virtual Anatomy
   Education Software IVALA (TM)
SO VETERINARY SCIENCES
VL 5
IS 2
AR 58
DI 10.3390/vetsci5020058
PD JUN 2018
PY 2018
AB Although cadaveric dissection has historically been the cornerstone of
   anatomical education, it comes at the cost of some emotional, moral,
   safety, and environmental concerns. Computer assisted learning (CAL)
   programs are an increasingly common solution to these issues; however,
   research regarding the efficacy of high fidelity simulation is limited.
   The traditional first semester veterinary gross anatomy course
   curriculum at Ross University School of Veterinary Medicine (RUSVM) was
   supplemented with a web based virtual anatomy program, IVALA (TM)
   (www.ivalalearn.com). The purpose of this study was to assess the
   relationship between supplementary use of the IVALA (TM) program and
   student examination scores, and to measure student perception
   surrounding IVALA (TM). IVALA (TM) uses an interactive virtual canine
   specimen that enables students to identify, move, rotate, magnify, and
   remove individual anatomic structures while providing a text description
   of each selected anatomic point. Fifty-six first semester RUSVM students
   who supplemented their anatomic learning with the IVALA (TM) program
   performed significantly higher on examinations compared to students (n =
   123) that did not (p = 0.003). Students' overall perception toward IVALA
   (TM) was enjoyable (mean = 3.8 out of a 5-point Likert scale) and
   beneficial to their knowledge of anatomy (mean = 3.7); however, students
   did not support replacing cadaveric dissection with CAL (mean = 2.1).
   CAL can effectively supplement learning outcomes for veterinary anatomy.
RI Conan, Anne/AFH-1424-2022
OI Conan, Anne/0000-0001-6108-3346
ZS 0
Z8 0
TC 14
ZB 1
ZR 0
ZA 0
Z9 14
U1 0
U2 2
EI 2306-7381
UT WOS:000565907700027
PM 29921803
ER

PT J
AU Tavares, Paloma de Aro J.
   Hamamoto Filho, Pedro Tadao
   Ferreira, Ana Silvia S. B. S.
   Avila, Marla Andre G.
TI Construction and Validation of Educational Material for Children with
   Hydrocephalus and Their Informal Caregivers
SO WORLD NEUROSURGERY
VL 114
BP 381
EP 390
DI 10.1016/j.wneu.2018.03.082
PD JUN 2018
PY 2018
AB OBJECTIVE: To build and validate journal-type digital and printed
   educational material for informal caregivers (i.e., the parents who
   provide care) of children with hydrocephalus.
   METHODS: This is a methodologic study conducted in the children's
   neurosurgery outpatient clinic of a university hospital. The content
   validity index with a concordance of >= 0.78 was used for validation.
   Content was validated with the participation of 5 nurses and 3
   neurosurgeons, and appearance was validated with the participation of 9
   informal caregivers of children with hydrocephalus.
   RESULTS: A 21-page journal was created to address hydrocephalus and its
   treatment. The content and semantics of this material were validated
   with a universal content validity index of 0.90 and 0.98, respectively.
   CONCLUSIONS: Content and appearance of the educational material for
   informal caregivers of children with hydrocephalus were successfully
   validated and considered suitable and user-friendly for health
   education.
RI Ferreira, Ana Silvia Sartori Barraviera Seabra/AAE-9610-2021; de Avila, Marla Andreia Garcia/K-5195-2019; Hamamoto Filho, Pedro Tadao/D-2800-2012
OI Ferreira, Ana Silvia Sartori Barraviera Seabra/0000-0002-2035-7731; de
   Avila, Marla Andreia Garcia/0000-0002-6652-4427; Hamamoto Filho, Pedro
   Tadao/0000-0001-6436-9307
ZB 2
ZS 2
TC 10
ZA 0
ZR 0
Z8 0
Z9 10
U1 0
U2 4
SN 1878-8750
EI 1878-8769
UT WOS:000432959600231
PM 29567289
ER

PT J
AU Lee, Cody S.
   Ooi, Adrian S. H.
   Zenn, Michael R.
   Song, David H.
TI The Utility of a Master of Business Administration Degree in Plastic
   Surgery: Determining Motivations and Outcomes of a Formal Business
   Education Among Plastic Surgeons
SO PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN
VL 6
IS 6
AR e1796
DI 10.1097/GOX.0000000000001796
PD JUN 2018
PY 2018
AB Background: With the increasing complexity of health care, the knowledge
   of business in medicine is growing more valuable. Plastic surgeons in
   all practice settings are constantly forced to navigate endeavors that
   could be better faced with the leadership, management, and
   administrative skills honed through a formal business education. The
   purpose of this study was to gather data and draw conclusions related to
   the motivations and outcomes of plastic surgeons with a Master of
   Business Administration degree (MBA).
   Methods: An online survey was distributed to plastic surgeons in the
   United States who have earned an MBA. The survey was divided into 4 main
   sections: demographics, MBA program description, objective assessment,
   and subjective assessment.
   Results: The majority of plastic surgeons with an MBA are in practice at
   an academic medical center. The 2 most popular tracks of completing the
   degree are during medical school and after 5 years of practice. A large
   proportion of plastic surgeons with an MBA experienced changes in their
   existing career position, namely in patient care and business roles
   outside of clinical practice. The most important skills surgeons
   subjectively felt they had improved as a result of their business
   education were in the areas of leadership, management, and
   administration.
   Conclusions: Overall, all the plastic surgeons felt that their MBA
   experience met their expectations and would recommend the degree to
   fellow physicians. Prime motivations included adding a new dynamic to
   their existing career, satisfying entrepreneurial drive, and gaining
   credibility in business, with monetary gains being low on the list.
RI Ooi, Adrian/AAJ-8480-2021; Lee, Cody/
OI Lee, Cody/0000-0002-6362-5070
Z8 0
ZA 0
ZB 0
ZR 0
TC 14
ZS 0
Z9 14
U1 0
U2 1
SN 2169-7574
UT WOS:000439313800011
PM 30276045
ER

PT J
AU Leroy, Frederic
   Brengman, Malaika
   Ryckbosch, Wouter
   Scholliers, Peter
TI Meat in the post-truth era: Mass media discourses on health and disease
   in the attention economy
SO APPETITE
VL 125
BP 345
EP 355
DI 10.1016/j.appet.2018.02.028
PD JUN 1 2018
PY 2018
AB The debate on meat's role in health and disease is a rowdy and dissonant
   one. This study uses the health section of the online version of The
   Daily Mail as a case study to carry out a quantitative and qualitative
   reflection on the related discourses in mass media during the first
   fifteen years of the 21st century. This period ranged from the fall-out
   of the bovine spongiform encephalopathy (BSE) crisis and its associated
   food safety anxieties, over the Atkins diet-craze in 2003 and the avian
   flu episode in 2007, to the highly influential publication of the report
   on colon cancer by the International Agency for Research on Cancer
   (IARC) in 2015. A variety of conflicting news items was discernible,
   whereby moments of crisis, depicting the potential hazards of meat
   eating, seemed to generate reassuring counter-reactions stressing the
   benefits of meat as a rich source of nutrients. In contrast, when the
   popularity of meat-rich diets was on the rise due to diets stressing the
   role of protein in weight control, several warnings were issued. Meat's
   long-standing and semiotic connotations of vitality, strength, and
   fertility were either confirmed, rejected or inverted. Often this was
   achieved through scientification or medicalisation, with references to
   nutritional studies. The holistic role of meat within human diets and
   health was thus mostly reduced to a focus on specific food components
   and isolated biological mechanisms. The narratives were often histrionic
   and displayed serious contradictions. Since several interests were at
   play, involving a variety of input from dieticians, (health)
   authorities, the food industry, vegan or vegetarian movements, and
   celebrities, the overall discourse was highly heterogeneous. (C) 2018
   Elsevier Ltd. All rights reserved.
RI Scholliers, Peter/O-2864-2019; Leroy, Frédéric/D-2424-2009; Ryckbosch, Wouter/; Brengman, Malaika/
OI Scholliers, Peter/0000-0002-8308-2544; Leroy,
   Frédéric/0000-0001-8682-9626; Ryckbosch, Wouter/0000-0003-0269-4950;
   Brengman, Malaika/0000-0001-9860-7107
ZS 0
TC 25
ZB 10
ZA 0
ZR 0
Z8 0
Z9 25
U1 2
U2 57
SN 0195-6663
EI 1095-8304
UT WOS:000430777900039
PM 29486208
ER

PT J
AU Jacobs, Zachary G.
   Elnicki, D. Michael
   Perera, Subashan
   Weiner, Debra K.
TI An E-learning Module on Chronic Low Back Pain in Older Adults: Effect on
   Medical Resident Attitudes, Confidence, Knowledge, and Clinical Skills
SO PAIN MEDICINE
VL 19
IS 6
BP 1112
EP 1120
DI 10.1093/pm/pnx333
PD JUN 2018
PY 2018
AB Objective. To determine 1) the feasibility of implementing an e-learning
   module on chronic low back pain (CLBP) in an older adult into an
   existing internal medicine residency curriculum and 2) the impact of
   this module on resident attitudes, confidence, knowledge, and clinical
   skills relating to CLBP.
   Methods. Participants were assigned to complete either the online module
   (N=73) or the Yale Office-based curriculum on CLBP (N570). Attitudes,
   confidence, and knowledge were evaluated pre-and postintervention via
   survey. A retrospective blinded chart review of resident clinic
   encounters was conducted, wherein diagnosis codes and physical exam
   documentation were rated as basic or advanced.
   Results. There was no improvement in overall knowledge scores in either
   group (60% average on both metrics). There were tendencies for greater
   improvements in the intervention group compared with controls for
   confidence in managing fibromyalgia (2.4 to 2.9 vs 2.5 to 2.5, P=0.06)
   and leg length discrepancy (1.8 to 2.5 vs 1.5 to 1.9, P=0.05). Those
   exposed to the online module also showed an increase in the percentage
   of physical exam documentation rated as advanced following the
   intervention (13% to 32%, P=0.006), whereas the control group showed no
   change (14% to 12%, P=0.68).
   Conclusions. An online module on CLBP in the older adult was a feasible
   addition to an existing curriculum for internal medicine residents. The
   module positively and substantively impacted resident clinical
   behaviors, as evidenced by enhanced sophistication in physical exam
   documentation; it also was associated with improved confidence in
   certain aspects of chronic pain management
ZS 1
ZA 0
ZR 0
TC 2
ZB 0
Z8 0
Z9 3
U1 0
U2 5
SN 1526-2375
EI 1526-4637
UT WOS:000444270300003
PM 29315426
ER

PT J
AU DeCensi, Andrea
   Numico, Gianmauro
   Ballatori, Enzo
   Artioli, Fabrizio
   Clerico, Mario
   Fioretto, Luisa
   Livellara, Virginia
   Ruggeri, Benedetta
   Tomirotti, Maurizio
   Verusio, Claudio
   Roila, Fausto
CA Italian Coll Chief Med Oncologists
TI Conflict of interest among Italian medical oncologists: a national
   survey
SO BMJ OPEN
VL 8
IS 6
AR e020912
DI 10.1136/bmjopen-2017-020912
PD JUN 2018
PY 2018
AB Objectives To assess Italian medical oncologists' opinion on the
   implications of conflict of interest (COI) on medical education, care
   and research, and to evaluate their direct financial relationships.
   Design National cross-sectional survey conducted between March and April
   2017 among Italian oncologists.
   Setting Online survey sponsored by the Italian College of Medical
   Oncology Chiefs through its website.
   Participants Italian oncologists who filled out an anonymous
   questionnaire including 19 items and individual and working
   characteristics.
   Main outcome measure The proportion of medical oncologists perceiving
   COI as an outstanding issue and those receiving direct payments from
   industry.
   Results There were 321 respondents, representing 13% of Italian tenured
   medical oncologists. Overall, 62% declared direct payments from the
   pharmaceutical industry in the last 3 years. Sixty-eight per cent felt
   the majority of Italian oncologists have a COI with industry, but 59%
   suppose this is not greater than that of other specialties. Eighty-two
   per cent consider that most oncology education is supported by industry.
   More than 75% believe that current allocation of industry budget on
   marketing and promotion rather than research and development is unfair,
   but 75% consider it appropriate to receive travel and lodging
   hospitality from industry. A median net profit margin of 5000 per
   patient enrolled in an industry trial was considered appropriate for the
   employee institution. Sixty per cent agree to receive a personal fee for
   patients enrolled in industry trials, but 79% state this should be
   reported in the informed consent. Over 90% believe that scientific
   societies should publish a financial report of industry support.
   Finally, 79% disagree to being a coauthor of an article written by a
   medical writer when no substantial scientific contribution is made.
   Conclusions Among Italian oncologists COI is perceived as an important
   issue influencing costs, education, care and science. A more rigorous
   policy on COI should be implemented.
RI DeCensi, Andrea/AEF-2941-2022; Numico, Gianmauro/AAE-4489-2020
OI DeCensi, Andrea/0000-0003-2635-4491; Numico,
   Gianmauro/0000-0003-3253-2960
TC 3
ZB 1
Z8 0
ZA 0
ZS 0
ZR 0
Z9 3
U1 1
U2 5
SN 2044-6055
UT WOS:000442924700048
PM 29961019
ER

PT J
AU Lucarelli, Jennifer
   Welchons, Leah
   Sideridis, Georgios
   Sullivan, Nancy R.
   Chan, Eugenia
   Weissman, Laura
TI Development and Evaluation of an Educational Initiative to Improve
   Hospital Personnel Preparedness to Care for Children with Autism
   Spectrum Disorder
SO JOURNAL OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
VL 39
IS 5
BP 358
EP 364
DI 10.1097/DBP.0000000000000580
PD JUN 2018
PY 2018
AB Objective: To evaluate the effectiveness of a multimodal educational
   curriculum on increasing hospital personnel's awareness of successful
   strategies and comfort in caring for children with autism spectrum
   disorder (ASD). Methods: We developed a 3-part training for front-line
   staff (i.e., front desk, clinical assistants, and phlebotomists) in 8
   outpatient hospital departments frequented by patients with ASD.
   Following a needs assessment, participants completed an online
   educational module and then attended an in-person seminar tailored to
   each department. To evaluate training effectiveness, we administered
   pre-, immediate post-, and 1 month post-training surveys assessing
   personnel attitudes, comfort, perceived knowledge, and behaviors around
   caring for patients with ASD. Results: We trained 168 staff members from
   8 departments. On the needs assessment, participants (N = 129) reported
   a mean 2.5 behavioral incidents involving patients with ASD over the
   previous 3 months; 92% believed that the training would be helpful for
   their work. Across pre-, immediate- and 1-month post-training surveys,
   scores improved on all questions related to personnel attitudes about
   the importance of ASD-friendly care, comfort interacting with patients
   with ASD, perceived knowledge about ASD, and self-reported frequency of
   behaviors intended to help children with ASD adjust to the hospital
   setting (p < 0.05). There was no difference in baseline scores or change
   in scores between clinical and nonclinical personnel. On a program
   evaluation (N = 57), 81% rated the training as "very good" or
   "excellent," and 87% reported that they would be able to apply training
   material immediately to their role. Conclusion: This training initiative
   led to improvement in attitudes, comfort level, perceived knowledge, and
   self-reported behaviors of hospital personnel working with patients with
   ASD, which was maintained over 1 month.
ZA 0
ZR 0
ZB 5
ZS 0
TC 7
Z8 0
Z9 7
U1 0
U2 13
SN 0196-206X
EI 1536-7312
UT WOS:000441393000002
PM 29794887
ER

PT J
AU Tran, Elaine M.
   Scott, Ingrid U.
   Clark, Melissa A.
   Greenberg, Paul B.
TI Resident Wellness in US Ophthalmic Graduate Medical Education The
   Resident Perspective
SO JAMA OPHTHALMOLOGY
VL 136
IS 6
BP 695
EP 701
DI 10.1001/jamaophthalmol.2018.1383
PD JUN 2018
PY 2018
AB IMPORTA.NCE. Wellness programs have become important strategies to
   combat burnout and depression among residents. However, the resident
   perspective on wellness in ophthalmic graduate medical education has not
   been solicited on a national level.
   OBJECTIVES To report on residents' views of wellness initiatives in
   ophthalmic graduate medical education and identify potential strategies
   for promoting resident wellness.
   DESIGN, SETTING, AND PARTICIPANTS In this national survey of
   ophthalmology residents in the United States, conducted from September
   21 to November 3, 2017, all 1048 ophthalmology residents listed on the
   websites of ophthalmology residency programs accredited by the
   Accreditation Council for Graduate Medical Education were emailed an
   anonymous online survey consisting of 12 multiple-choice questions with
   options for free-text answers. Residents also received a mailed letter
   with a survey link and a $1 incentive, as well as 2 reminder emails.
   Survey responses were analyzed using descriptive statistics, and the
   free-text answers were categorized.
   MAIN OUTCOMES AND MEASURES Main outcomes include residents' reports
   regarding their personal experiences with wellness during residency,
   support systems provided by their programs, and opportunities for
   improving wellness in ophthalmic graduate medical education. RESULTS Of
   1048 residents, 241 (23.0%) responded to the survey. Most respondents
   (121 of 177 [68.4%]) reported that their programs faced an issue
   involving depression, burnout, or suicide among residents within the
   past year; 26.3% of respondents (61 of 232) reported being involved in a
   case when resident fatigue, burnout, or depression adversely affected a
   medical outcome or judgment. Fewer than half of the respondents (110 of
   241 [45.6%]) reported that their residency programs placed moderate or
   major emphasis on promoting a culture of resident wellness, and only
   26.7% (63 of 236) reported that their department had a formal resident
   wellness program. The most commonly cited barrier to resident wellness
   (59 of 236 [25.0%]) was a lack of time to attend wellness programs.
   CONCLUSIONS AND RELEVANCE These results suggest that there is a
   substantial burden of burnout and depression among US ophthalmology
   residents and that there are opportunities to boost wellness in
   ophthalmic graduate medical education by making wellness curricula more
   accessible to residents and ensuring that residents have time to attend
   wellness programs.
CT Annual Meeting of the
   Association-for-Research-in-Vision-and-Ophthalmology (ARVO)
CY APR 29-MAY 03, 2018
CL Honolulu, HI
SP Assoc Res Vis & Ophthalmol
OI Scott, Ingrid/0000-0002-3908-7153
ZR 0
ZA 0
ZS 0
ZB 0
Z8 0
TC 14
Z9 14
U1 0
U2 5
SN 2168-6165
EI 2168-6173
UT WOS:000435359100023
PM 29801087
ER

PT J
AU Sellens, Emily
   Norris, Jacqueline M.
   Dhand, Navneet K.
   Heller, Jane
   Hayes, Lynne
   Gidding, Heather F.
   Willaby, Harold
   Wood, Nicholas
   Bosward, Katrina L.
TI Willingness of veterinarians in Australia to recommend Q fever
   vaccination in veterinary personnel: Implications for workplace health
   and safety compliance
SO PLOS ONE
VL 13
IS 6
AR e0198421
DI 10.1371/journal.pone.0198421
PD JUN 1 2018
PY 2018
AB Q fever vaccine uptake among veterinary nurses in Australia is low,
   suggesting veterinarians are not recommending the vaccination to
   veterinary personnel. This study aimed to determine the willingness of
   veterinarians to recommend Q fever vaccination to veterinary personnel
   and to identify factors influencing Q fever vaccine uptake by veterinary
   nurses in Australia. An online cross sectional survey targeted
   veterinarians and veterinary nurses in Australia in 2014. Responses were
   analysed using multivariable logistic regression. Factors significantly
   (p<0.05) associated with a willingness to recommend the vaccination,
   expressed by 35% (95% CI 31-38%) of veterinarians (n = 828), were (1)
   being very concerned for colleagues regarding Coxiella burnetii (OR
   4.73), (2) disagreeing the vaccine is harmful (OR 3.80), (3) high Q
   fever knowledge (OR 2.27), (4) working within small animal practice (OR
   1.67), (5) disagreeing the vaccine is expensive (OR 1.55), and (6) age,
   with veterinarians under 39 years most likely to recommend vaccination.
   Of the veterinary nursing cohort who reported a known Q fever
   vaccination status (n = 688), 29% (95% CI 26-33%) had sought
   vaccination. This was significantly (p< 0.05) associated with (1)
   agreeing the vaccine is important (OR 8.34), (2) moderate/high Q fever
   knowledge (OR 5.51), (3) working in Queensland (OR 4.00), (4) working
   within livestock/mixed animal practice (OR 3.24), (5) disagreeing the
   vaccine is expensive (OR 1.86), (6) strong reliance on work culture for
   biosecurity information (OR 2.5), (7) perceiving personal exposure to
   Coxiella burnetii to be at least low/moderate (OR 2.14), and (8) both
   agreeing the vaccine is safe and working within a corporate practice
   structure (OR 4.28). The study identified the need for veterinarians to
   take greater responsibility for workplace health and safety promotion,
   and calls for better education of veterinary personnel to raise
   awareness of the potential for occupational exposure to C. burnetii and
   improve the perception of the Q fever vaccine as being important, safe
   and cost-effective.
RI Heller, Jane/H-9596-2016; Dhand, Navneet K/H-5762-2019; Bosward, Katrina/ABF-5091-2020; Hayes, Lynne/; Gidding, Heather/; Norris, Jacqueline/
OI Heller, Jane/0000-0003-3993-0160; Dhand, Navneet K/0000-0002-4362-3596;
   Bosward, Katrina/0000-0002-7561-2162; Hayes, Lynne/0000-0002-5172-0281;
   Gidding, Heather/0000-0001-7595-9281; Norris,
   Jacqueline/0000-0002-0003-6930
Z8 0
TC 4
ZB 3
ZS 0
ZR 0
ZA 0
Z9 4
U1 0
U2 8
SN 1932-6203
UT WOS:000433900800122
PM 29856835
ER

PT J
AU Ingersoll, Karen
   Frederick, Christina
   MacDonnell, Kirsten
   Ritterband, Lee
   Lord, Holly
   Jones, Brogan
   Truwit, Lauren
TI A Pilot RCT of an Internet Intervention to Reduce the Risk of
   Alcohol-Exposed Pregnancy
SO ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH
VL 42
IS 6
BP 1132
EP 1144
DI 10.1111/acer.13635
PD JUN 2018
PY 2018
AB BackgroundPreventing alcohol-exposed pregnancies (AEPs) could reduce the
   incidence of fetal alcohol spectrum disorders. Previous face-to-face
   interventions significantly reduced risk for AEP, but a scalable
   intervention is needed to reach more women at risk.
   MethodsThis study compared a 6 Core automated, interactive, and tailored
   Internet intervention, the Contraception and Alcohol Risk Reduction
   Internet Intervention (CARRII), to a static patient education (PE)
   website for its effect on AEP risk. Participants were recruited online
   to a pilot randomized clinical trial (RCT) with baseline, 9weeks
   posttreatment, and 6-month (6-M) follow-up assessments. Seventy-one
   women completed online questionnaires and telephone interviews and were
   randomized to CARRII (n=36) or PE (n=35). Primary outcomes were rates of
   risky drinking, unprotected sex episodes, and AEP risk, collected from
   online prospective diaries.
   ResultsCARRII participants showed significant reductions in rate of
   unprotected sex from pretreatment (88.9%) to posttreatment (70.6%)
   (p<0.04) and to 6-M follow-up (51.5%) (p=0.001); rate of risky drinking
   from pretreatment (75.0%) to posttreatment (50.0%) (p<0.02), but
   insignificant change from pretreatment to 6-M follow-up (57.6%)
   (p<0.09); and rate of AEP risk from pretreatment (66.7%) to
   posttreatment (32.4%) (p=0.001) and to 6-M follow-up (30.3%) (p=0.005).
   PE participants demonstrated no significant changes on all 3 variables
   across all time points. Intent-to-treat group-by-time tests were not
   significant, but power was limited by missing diaries. Over 72% of
   CARRII participants completed all 6 Cores. Exploratory analyses suggest
   that higher program utilization is related to change.
   ConclusionsThese data show that CARRII was acceptable, feasible,
   promising to reduce AEP risk, and merits further testing in a fully
   powered RCT.
RI Ingersoll, Karen S/A-9313-2009; Ritterband, Lee/G-7810-2011; Ingersoll, Karen/
OI Ritterband, Lee/0000-0001-7624-5213; Ingersoll,
   Karen/0000-0001-8115-2548
ZA 0
Z8 0
ZR 0
ZB 5
ZS 0
TC 12
Z9 12
U1 0
U2 4
SN 0145-6008
EI 1530-0277
UT WOS:000434037300016
PM 29741798
ER

PT J
AU Kucera, Kristen L.
   Lipscomb, Hester J.
   Roos, Karen G.
   Dement, John M.
   Hootman, Jennifer M.
TI Work-Related Injury and Management Strategies Among Certified Athletic
   Trainers
SO JOURNAL OF ATHLETIC TRAINING
VL 53
IS 6
BP 606
EP 618
DI 10.4085/1062-6050-232-17
PD JUN 2018
PY 2018
AB Context: Health care workers have high rates of musculoskeletal
   injuries, but many of these injuries go unreported to workers'
   compensation and national surveillance systems. Little is known
   regarding the work-related injuries of certified athletic trainers
   (ATs).
   Objective: To determine the 12-month incidence and prevalence of
   work-related injuries and describe injury-reporting and -management
   strategies.
   Design: Cross-sectional study.
   Setting: Population-based online survey.
   Patients or Other Participants: Of the 29 051 ATs currently certified by
   the Board of Certification, Inc, who "opted in'' to research studies, we
   randomly selected 10 000. Of these, 1826 (18.3%) ATs currently working
   in the clinical setting were eligible and participated in the baseline
   survey. Main Outcome Measure(s): An online survey was e-mailed in May of
   2012. We assessed self-reported work-related injuries in the previous 12
   months and management strategies including medical care, work
   limitations or modifications, and time off work. Statistics (frequencies
   and percentages) were calculated to describe injury rates per 200 000
   work hours, injury prevalence, injury characteristics, and
   injury-reporting and -management strategies.
   Results: A total of 247 ATs reported 419 work-related injuries during
   the previous 12 months, for an incidence rate of 21.6 per 200 000 hours
   (95% confidence interval 1/4 19.6, 23.7) and injury prevalence of 13.5%
   (95% confidence interval 1/4 12.0%, 15.1%). The low back (26%),
   hand/fingers (9%), and knee (9%) were frequently affected body sites.
   Injuries were most often caused by bodily motion/overexertion/repetition
   (52%), contact with objects/equipment/persons (24%), or slips/
   trips/falls (15%). More than half of injured ATs (55.5%) sought medical
   care, 25% missed work, and most (77%) did not file a workers'
   compensation claim for their injury. Half of injured ATs were limited at
   work (n 1/4 125), and 89% modified or changed their athletic training
   work as a result of the injury.
   Conclusions: More than half of AT work-related injuries required medical
   care or work limitations and were not reported for workers'
   compensation. Understanding how ATs care for and manage their
   work-related injuries is important given that few take time off work.
RI Dement, John/AAY-9758-2020
OI Dement, John/0000-0001-8106-6017
Z8 0
ZS 0
ZR 0
TC 0
ZB 0
ZA 0
Z9 0
U1 0
U2 4
SN 1062-6050
EI 1938-162X
UT WOS:000439722900011
PM 29897279
ER

PT J
AU von Niederhaeusern, Belinda
   Guyatt, Gordon H.
   Briel, Matthias
   Pauli-Magnus, Christiane
TI Academic response to improving value and reducing waste: A comprehensive
   framework for INcreasing QUality In patient-oriented academic clinical
   REsearch (INQUIRE)
SO PLOS MEDICINE
VL 15
IS 6
AR e1002580
DI 10.1371/journal.pmed.1002580
PD JUN 2018
PY 2018
AB Background
   Compelling evidence has demonstrated that a large proportion of
   investment in biomedical research is wasted; this waste is avoidable.
   Academic institutions have, thus far, shown limited response to
   recommendations for increasing value and reducing waste. We formulated
   an academic response by (i) achieving consensus across a wide range of
   stakeholder groups on a comprehensive framework for quality of
   patient-oriented clinical research and (ii) highlighting first
   successful examples of its operationalization to facilitate
   waste-reducing strategies at academic institutions.
   Methods and findings
   Based on a systematic review of quality definitions, concepts, and
   criteria in the medical literature (systematic MEDLINE search up to
   February 15, 2015, with independent and in duplicate article selection)
   and on stakeholder websites from 13 countries (Australia, Austria,
   Canada, France, Germany, Italy, Japan, Norway, Spain, Sweden,
   Switzerland, United Kingdom, and United States), we systematically
   developed a comprehensive framework for the quality of clinical
   research. We identified websites through personal contacts with experts
   in clinical research or public health who also suggested, for each
   country, websites of the following 7 stakeholder groups: patient
   organizations; academic research infrastructures; governmental bodies;
   regulatory agencies; ethics committees; the pharmaceutical industry; and
   funding agencies. In addition, we searched websites of inter-or
   supranational bodies involved in clinical research until no further
   insights emerged. After consolidation of the identified definitions,
   concepts, and criteria of quality in a basic framework structure, we
   conducted 4 rounds of an adapted online Delphi process among the same 7
   stakeholder groups from 16 countries. The Delphi process ultimately
   achieved consensus on structure and content. The framework addresses 5
   study stages (concept, planning and feasibility, conduct, analysis and
   interpretation, and reporting and knowledge translation) and includes
   the following dimensions: (i) protection of patient safety and rights,
   (ii) relevance/patient centeredness and involvement, (iii) minimization
   of bias (internal validity), (iv) precision, (v) transparency/access to
   data, and (vi) generalizability (external validity) of study results.
   These dimensions interact with 2 promoters-infrastructure and
   sustainability through education-that include a set of factors that may
   enhance all listed quality dimensions. Each quality dimension contains
   specific questions and explanatory items that guide quality assessment
   at each research stage from conceptualization of the research question
   through reporting and knowledge translation of study results. In the
   last survey round, Delphi participants from 9 countries (Austria,
   Australia, Canada, Germany, Italy, the Netherlands, Switzerland, UK, and
   US) agreed on the structure, content, and wording of the research
   stages, quality dimensions, specific questions, and descriptive examples
   of the final framework. In Switzerland, INQUIRE has resulted in a
   roadmap that guides initiatives to increase value within the Swiss
   Clinical Trial Organization network and through affiliated researchers.
   Conclusions
   We present a framework based on a consensus of different stakeholder
   groups guiding the practical assessment of clinical research quality at
   all stages of a research project. Operationalization of this common
   structure will support the increase of value by guiding academic
   institutions and researchers in developing quality enhancement
   initiatives, from posing the right research question to the transparent
   publication of results.
RI Briel, Matthias/AAT-9284-2021; Briel, Matthias/
OI Briel, Matthias/0000-0002-2070-5230
ZA 0
TC 12
ZB 2
Z8 0
ZR 0
ZS 0
Z9 12
U1 0
U2 5
SN 1549-1676
UT WOS:000437409600007
PM 29879117
ER

PT J
AU Zand, Hamid
   Pourvali, Katayoun
   Christides, Tatiana
TI Reconsidering Values in Biomedical Research
SO BIOESSAYS
VL 40
IS 6
AR 1800019
DI 10.1002/bies.201800019
PD JUN 2018
PY 2018
RI zand, hamid/AHE-7158-2022; Pourvali, Katayoun/AEX-5244-2022; ZAND, HAMID/AIB-4234-2022; Christides, Tatiana/
OI zand, hamid/0000-0001-7278-9125; Pourvali, Katayoun/0000-0003-1029-894X;
   ZAND, HAMID/0000-0001-7278-9125; Christides, Tatiana/0000-0002-3160-4857
ZA 0
ZS 0
TC 0
ZB 0
ZR 0
Z8 0
Z9 0
U1 0
U2 1
SN 0265-9247
EI 1521-1878
UT WOS:000434217300011
PM 29603300
ER

PT J
AU Sirisena, Dinesh
   Walter, Joy
   Ong, Joo Haw
   Probert, Joanne
TI Pilot single-centre cross-sectional study to determine emergency
   physicians' knowledge and management of sports concussion: an experience
   from Singapore
SO SINGAPORE MEDICAL JOURNAL
VL 59
IS 6
BP 322
EP 326
DI 10.11622/smedj.2017104
PD JUN 2018
PY 2018
AB INTRODUCTION Sports concussion remains challenging to manage despite
   changes to policy and practice since the 2012 International Consensus
   Conference on Concussion in Sport. Emergency physicians (EPs) are
   usually the first line of medical care for athletes in amateur and youth
   collision sports. This single-centre cross-sectional study aimed to
   establish EPs' understanding and management of concussion in Singapore.
   METHODS An anonymised, 17-item online questionnaire was sent to EPs
   requesting for information on their clinical experience, training,
   exposure to concussion cases in the emergency department (ED) and
   assessed knowledge of the condition.
   RESULTS Out of 65 EPs, 52 (80%) responded, 25 (48.1%) of whom were
   medical officers. Over 90% had not received formal training in
   concussion management, and 73.1% regularly assessed concussion. 40
   (76.9%) EPs recognised that loss of consciousness was not essential for
   diagnosis and only 24 (46.2%) knew the most common symptom. 26 (50.0%)
   incorrectly reported that they would perform brain imaging. Among those
   who indicated onward referral, 29 (55.8%) would refer concussed patients
   to neurosurgery. There were no significant differences between clinical
   grade or training in concussion and positive responses for definition,
   imaging modality or most common symptom of concussion.
   CONCLUSION Concussion is a common presentation to EDs in Singapore.
   However, understanding of the condition, its clinical diagnosis,
   investigation and onward management is limited. Although EPs reported
   training in concussion, it is likely to be insufficient. Commencing
   relevant education programmes for undergraduate and postgraduate medical
   students may enable progressive acquisition of knowledge and thereby
   improve patient management in the future.
OI Sirisena, Udawattage Dinesh Chaminda/0000-0003-3123-3221
TC 1
ZA 0
Z8 0
ZB 0
ZR 0
ZS 0
Z9 1
U1 1
U2 5
SN 0037-5675
UT WOS:000437023400007
PM 29167908
ER

PT J
AU Liu, Chieh-Hsing
   Liao, Li-Ling
   Cheng, Chi-Chia J.
   Chang, Tzu-Chau
TI Development and validation of the Taiwan Children's Health Literacy Test
SO GLOBAL HEALTH PROMOTION
VL 25
IS 2
BP 34
EP 46
DI 10.1177/1757975916656365
PD JUN 2018
PY 2018
AB Background: Currently, health literacy (HL) worldwide is measured
   primarily among adults from a medical perspective. A children's HL test
   from a health promotion perspective is needed. This study develops the
   Taiwan Children's Health Literacy Test (TCHL) targeted at Taiwanese
   sixth-graders.
   Methods: HL indicators were identified through interviews of sixth-grade
   teachers, primary caregivers, and sixth-graders. They were used to
   develop a 25-item online test, which was finalized after pretesting and
   administered to a stratified random sample of 671 students across 29
   sixth-grade classes.
   Results: The response rate was 87.2% (585 participants). Cronbach's was
   0.60-0.78 for the HL subtests and 0.79 for the overall HL test.
   Correlation coefficients among subtests ranged from 0.49 to 0.87. The
   average proportion correct was 0.80 for overall HL. In item response
   theory analysis, the difficulty level ranged from -2.77 to -0.40, while
   the degree of discrimination was 0.44-2.65. Item information peaked when
   the ability value was approximately -1.8. Furthermore, HL scores had a
   significant positive correlation with health behaviors.
   Conclusions: Overall, the test was found to be reliable and valid, with
   a low level of difficulty for basic HL ability. The present results can
   be used as a reference by government health education units to
   investigate national HL in children.
ZS 0
ZR 0
TC 1
ZA 0
ZB 0
Z8 0
Z9 1
U1 2
U2 7
SN 1757-9759
EI 1757-9767
UT WOS:000438571400005
PM 27466250
ER

PT J
AU Dooley, Laura M.
   Frankland, Sarah
   Boller, Elise
   Tudor, Elizabeth
TI Implementing the Flipped Classroom in a Veterinary Pre-clinical Science
   Course: Student Engagement, Performance, and Satisfaction
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 45
IS 2
BP 195
EP 203
DI 10.3138/jvme.1116-173r
PD SUM 2018
PY 2018
AB There has been a recent move toward active learning pedagogies in
   veterinary education, with increasing use of a blended approach that
   incorporates both online resources and live classroom sessions. In this
   study, an established veterinary pre-clinical course in introductory
   animal health was transitioned from a traditional didactic lecture
   delivery mode to a flipped classroom approach with core content
   delivered online. This study compared the experiences of two cohorts of
   students who studied the same course in the different formats in
   consecutive years. Online learning resources included short video
   segments and a variety of short problems and activities. Online
   materials were complemented with weekly small-group case-based learning
   classes facilitated by academic staff. A mixed methods evaluation
   strategy was applied using student grades, surveys, and focus groups to
   compare student academic performance, satisfaction, and engagement
   between the two cohorts. The flipped classroom cohort achieved
   significantly higher grades in the written answer section of the final
   examination. Student satisfaction with learning resources was also
   higher in this cohort. However, satisfaction with other aspects of the
   course was largely the same for both cohorts. This study revealed some
   of the challenges associated with achieving adequate student preparation
   for class using online resources. The outcomes of this study have
   implications for veterinary educators considering the design and
   development of new online learning resources.
OI Dooley, Laura/0000-0002-8639-4295
ZS 0
Z8 0
TC 36
ZB 1
ZR 0
ZA 0
Z9 36
U1 2
U2 49
SN 0748-321X
EI 1943-7218
UT WOS:000432285800007
ER

PT J
AU Cheung, Bonnie
   Wong, Camilla L.
   Gardhouse, Amanda
   Frank, Christopher
   Budd, Laura
TI #CGS2015: An Evaluation of Twitter Use at the Canadian Geriatrics
   Society Annual Scientific Meeting
SO CANADIAN GERIATRICS JOURNAL
VL 21
IS 2
BP 166
EP 172
DI 10.5770/cgj.21.302
PD JUN 2018
PY 2018
AB Background
   Twitter is a microblogging platform increasingly used in medicine to
   overcome geographic barriers and promote international connections.
   Tweets, the 280-character microblogs, are catalogued by hashtags (#).
   This study evaluates and describes the participation, content, and
   impact of Twitter at the 2015 Canadian Geriatrics Society (CGS) Annual
   Scientific Meeting, during which #CGS2015 was the official conference
   hashtag.
   Methods
   Twitter transcripts of #CGS2015 were obtained from Symplur to
   prospectively analyze tweets for content and quantitative metrics.
   TweetReach was used to retrospectively analyze tweets with the hashtag
   #CGS2014 from the 2014 meeting for growth analysis. The impact of
   Twitter on the conference experience was derived from questionnaires.
   Results
   There were 1,491 #CGS2015 tweets, 40% of which were original. Tweet
   content was categorized into conference sessions (38.8%), networking
   (29.2%), resource sharing (17.6%), and conference promotion (14.3%). Of
   the 279 participants, 60% were non-Canadian. The questionnaire data from
   86 respondents demonstrated generally positive experiences with Twitter,
   particularly with facilitating collegial interactions, resource sharing,
   and insight into sessions not attended live. The most cited drawback was
   divided attention when using personal devices. Analysis comparing
   #CGS2014 to #CGS2015 demonstrated increases in total participants (50 to
   279), number of tweets (434 to 1,491) and impressions (155,600 to
   943,825).
   Conclusions
   Twitter engagement at the CGS 2015 annual meeting enabled international
   participation in networking, resource sharing, and online discussions of
   sessions. Future conferences may benefit from a workshop on Twitter
   basics for attendees and presenters.
RI Wong, Camilla/J-6419-2019
OI Wong, Camilla/0000-0002-4430-2321
Z8 0
ZS 0
ZR 0
TC 14
ZB 1
ZA 0
Z9 15
U1 0
U2 0
SN 1925-8348
UT WOS:000438916600006
PM 29977432
ER

PT J
AU Evans, Randolph W.
   Ghosh, Kamalika
TI A Survey of Neurologists on Postconcussion Syndrome
SO HEADACHE
VL 58
IS 6
BP 836
EP 844
DI 10.1111/head.13272
PD JUN 2018
PY 2018
AB Background and ObjectivesPostconcussion syndrome (PCS) has been
   controversial for more than 150 years. As there have not been any
   surveys of PCS among neurologists in the United States since 1992,
   another was performed using most of the prior items to assess current
   opinions and practices and whether there have been any changes since
   1992.
   MethodsTwo hundred and eighty-nine neurologists attending the Texas
   Neurological Society 20th Annual Winter Conference continuing medical
   education meeting in 2017 were supplied the survey instrument with
   registration materials. The 25 item instrument (including 7 new items)
   contained items on demographics, definitions, causation, prognosis,
   medicolegal aspects, testing, and treatment. Forty percent of attendees
   completed the survey.
   ResultsThe majority of respondents agree with the following: PCS is a
   clearly defined syndrome with a solid basis for determining prognosis
   with an organic basis; accept the authenticity of patients' reports of
   symptoms; effective treatment is available for headaches lasting 3
   months or more; headaches persist in over 20% 1 year after injury; and
   cognitive rehabilitation is effective. The majority of the respondents
   do not agree with the following: symptoms improve in a relatively short
   period of time and quickly resolve once litigation is settled; effective
   treatment is available for PCS; and return to play guidelines are
   strongly evidence based. 68.4% disagree with the following: I would
   support my son or grandson (or if you do not have one, relative's or
   friend's) playing football. [Correction added on February 9, 2018, after
   first online publication: One year after injury deleted.]
   ConclusionsThere has been growing acceptance of the organicity of PCS
   among neurologists in the last 25 years. There is significant concern
   over the long-term sequelae of concussion as most respondents would not
   recommend that their son or grandson play football.
ZR 0
ZS 0
ZB 1
Z8 0
TC 2
ZA 0
Z9 2
U1 0
U2 3
SN 0017-8748
EI 1526-4610
UT WOS:000435779900005
PM 29411374
ER

PT J
AU Pruthi, Rishi
   Tonkin-Crine, Sarah
   Calestani, Melania
   Leydon, Geraldine
   Eyles, Caroline
   Oniscu, Gabriel C.
   Tomson, Charles
   Bradley, Andrew
   Forsythe, John L.
   Bradley, Clare
   Cairns, John
   Dudley, Christopher
   Watson, Christopher
   Draper, Heather
   Johnson, Rachel
   Metcalfe, Wendy
   Fogarty, Damian
   Ravanan, Rommel
   Roderick, Paul J.
CA ATTOM Investigators
TI Variation in Practice Patterns for Listing Patients for Renal
   Transplantation in the United Kingdom: A National Survey
SO TRANSPLANTATION
VL 102
IS 6
BP 961
EP 968
DI 10.1097/TP.0000000000002046
PD JUN 2018
PY 2018
AB Background. Despite the availability of guidelines for the evaluation of
   candidates for renal transplantation, variation in access to
   transplantation exists. This national survey investigates whether center
   variation exists in the assessment of patients for renal transplantation
   in the United Kingdom. Methods. An online survey, informed by
   qualitative interviews, was distributed to all UK renal centers. This
   survey examined center approaches to chronic kidney disease service
   provision, transplant recipient assessment. education provision, and
   waitlisting decision making processes. Center reevaluation policies for
   patients already listed and priorities for future development were also
   examined. Results. All 71 renal centers responded. Of these, 83%
   reviewed predialysis patients in a low clearance clinic. In 26% of the
   centers, transplantation was not discussed as a treatment option with
   patients. Fourteen centers reported having a dedicated transplant
   assessment clinic, whereas 28% did not have a formal assessment
   protocol. Age was an exclusion criterion for listing in 3 centers, all
   of which had a cutoff at 75 years. Eighty-three percent of the centers
   excluded patients with a high body mass index. Cardiac investigations
   were risk-stratified in 90% of centers. Surgical involvement varied with
   11% of centers listing patients without formal surgical review. There
   was no formal protocol in place to reevaluate listed patients in 62% of
   centers. Conclusions. There is wide variation in UK practice patterns
   for listing patients for renal transplantation, though its impact on
   access to transplantation is unclear. The extent to which
   center-specific and patient-specific factors affect access to
   transplantation requires further analysis in a prospective cohort of
   patients.
RI Oniscu, Gabriel/AAY-3200-2020; Johnson, Rachel/; Tonkin-Crine, Sarah/Q-1198-2016; Tomson, Charles/
OI Oniscu, Gabriel/0000-0003-1714-920X; Johnson,
   Rachel/0000-0001-9199-3455; Tonkin-Crine, Sarah/0000-0003-4470-1151;
   Tomson, Charles/0000-0002-0224-8726
ZS 0
ZA 0
Z8 0
ZR 0
ZB 2
TC 13
Z9 13
U1 0
U2 0
SN 0041-1337
EI 1534-6080
UT WOS:000433905600027
PM 29215463
ER

PT J
AU Meyerson, Beth E.
   Davis, Alissa
   Agley, Jon D.
   Shannon, David J.
   Lawrence, Carrie A.
   Ryder, Priscilla T.
   Ritchieg, Karleen
   Gassman, Ruth
TI Predicting pharmacy syringe sales to people who inject drugs: Policy,
   practice and perceptions
SO INTERNATIONAL JOURNAL OF DRUG POLICY
VL 56
BP 46
EP 53
DI 10.1016/j.drugpo.2018.02.024
PD JUN 2018
PY 2018
AB Background: Pharmacies have much to contribute to the health of people
   who inject drugs (PWID) and to community efforts in HIV and hepatitis C
   (HCV) prevention through syringe access. However, little is known about
   what predicts pharmacy syringe sales without a prescription.
   Objective: To identify factors predicting pharmacy syringes sales to
   PWID.
   Methods: A hybrid staggered online survey of 298 Indiana community
   pharmacists occurred from July September 2016 measuring pharmacy policy,
   practice, and pharmacist perceptions about syringe sales to PWID.
   Separate bivariate logistical regressions were followed by multivariable
   logistic regression to predict pharmacy syringe sales and pharmacist
   comfort dispensing syringes to PWID.
   Results: Half (50.5%) of Indiana pharmacies sold syringes without a
   prescription to PWID. Pharmacy syringe sales was strongly associated
   with pharmacist supportive beliefs about syringe access by PWID and
   their comfort level selling syringes to PWID. Notably, pharmacies
   located in communities with high rates of opioid overdose mortality were
   56% less likely to sell syringes without a prescription than those in
   communities with lower rates. Pharmacist comfort dispensing syringes was
   associated with being male, working at a pharmacy that sold syringes to
   PWID and one that stocked naloxone, having been asked about syringe
   access by medical providers, and agreement that PWID should be able to
   buy syringes without a prescription.
   Conclusions: As communities with high rates of opioid overdose mortality
   were less likely to have pharmacies that dispensed syringes to PWID, a
   concerted effort with these communities and their pharmacies should be
   made to understand opportunities to increase syringe access. Future
   studies should explore nuances between theoretical support for syringe
   access by PWID without a prescription and actual dispensing behaviors.
   Addressing potential policy conflicts and offering continuing education
   on non-prescription syringe distribution for pharmacists may improve
   comfort distributing syringes to PWID, and therefore increase pharmacy
   syringe sales.
RI Agley, Jon/AAA-6758-2021; Davis, Alissa/S-4525-2019; Agley, Jon/; Meyerson, Beth/; Davis, Alissa/
OI Agley, Jon/0000-0003-2345-8850; Meyerson, Beth/0000-0003-1762-7179;
   Davis, Alissa/0000-0003-2084-9741
ZS 0
TC 21
Z8 0
ZR 0
ZA 0
ZB 2
Z9 21
U1 0
U2 0
SN 0955-3959
EI 1873-4758
UT WOS:000436051400006
PM 29558701
ER

PT J
AU Hansberry, David R.
   Shah, Kush
   Agarwal, Nitin
   Kim, Sung M.
   Intenzo, Charles M.
TI Nuclear Medicine and Resources for Patients: How Complex Are Online
   Patient Educational Materials?
SO JOURNAL OF NUCLEAR MEDICINE TECHNOLOGY
VL 46
IS 2
BP 144
EP 146
DI 10.2967/jnmt.117.203380
PD JUN 1 2018
PY 2018
AB The Internet is a major source of health care information for patients.
   The American Medical Association and the National Institutes of Health
   recommend that consumer health care websites be written at a third-to
   seventh-grade level. The purpose of this study was to evaluate the level
   of readability of patient education websites pertaining to nuclear
   medicine. Methods: We searched for 10 terms on Google, collected the top
   10 links for each term, and analyzed their level of readability using 10
   well-established readability scales. Results: Collectively, the 99
   articles were written at a grade level of 11.8 (SD, 3.4). Only 5 of the
   99 articles were written at the third-to seventh-grade level recommended
   by the National Institutes of Health and the American Medical
   Association. Conclusion: There is a clear discordance between the
   readability level of nuclear medicine-related imaging terms and the
   National Institutes of Health and American Medical Association
   guidelines. This discordance may have a negative impact on patient
   understanding, contributing to poor health outcomes.
TC 0
ZA 0
ZB 0
ZS 0
Z8 0
ZR 0
Z9 0
U1 1
U2 2
SN 0091-4916
EI 1535-5675
UT WOS:000437689000016
PM 29438010
ER

PT J
AU Ng, Brendan J.
   Le Couteur, David G.
   Hilmer, Sarah N.
TI Deprescribing Benzodiazepines in Older Patients: Impact of Interventions
   Targeting Physicians, Pharmacists, and Patients
SO DRUGS & AGING
VL 35
IS 6
BP 493
EP 521
DI 10.1007/s40266-018-0544-4
PD JUN 2018
PY 2018
AB Benzodiazepines (BZDs; including the related Z-drugs) are frequently
   targets for deprescribing; long-term use in older people is harmful and
   often not beneficial. BZDs can result in significant harms, including
   falls, fractures, cognitive impairment, car crashes and a significant
   financial and legal burden to society. Deprescribing BZDs is problematic
   due to a complex interaction of drug, patient, physician and systematic
   barriers, including concern about a potentially distressing but rarely
   fatal withdrawal syndrome. Multiple studies have trialled interventions
   to deprescribe BZDs in older people and are discussed in this narrative
   review. Reported success rates of deprescribing BZD interventions range
   between 27 and 80%, and this variability can be attributed to
   heterogeneity of methodological approaches and limited generalisability
   to cognitively impaired patients. Interventions targeting the patient
   and/or carer include raising awareness (direct-to-consumer education,
   minimal interventions, and 'one-off' geriatrician counselling) and
   resourcing the patient (gradual dose reduction [GDR] with or without
   cognitive behavioural therapy, teaching relaxation techniques, and sleep
   hygiene). These are effective if the patient is motivated to cease and
   is not significantly cognitively impaired. Interventions targeted to
   physicians include prescribing interventions by audit, algorithm or
   medication review, and providing supervised GDR in combination with
   medication substitution. Pharmacists have less frequently been the
   targets for studies, but have key roles in several multifaceted
   interventions. Interventions are evaluated according to the Behaviour
   Change Wheel. Research supports trialling a stepwise approach in the
   cognitively intact older person, but having a low threshold to use
   less-consultative methods in patients with dementia. Several resources
   are available to support deprescribing of BZDs in clinical practice,
   including online protocols.
RI Hilmer, Sarah N/AAW-8554-2020; Hilmer, Sarah/
OI Hilmer, Sarah/0000-0002-5970-1501
Z8 1
ZA 0
ZR 0
ZB 5
TC 47
ZS 5
Z9 51
U1 0
U2 31
SN 1170-229X
EI 1179-1969
UT WOS:000435395500003
PM 29705831
ER

PT J
AU Yu, Catherine H.
   Lillie, Erin
   Mascarenhas-Johnson, Alekhya
   Casey, Carolyn Gall
   Straus, Sharon E.
TI Impact of the Canadian Diabetes Association guideline dissemination
   strategy on clinician knowledge and behaviour change outcomes
SO DIABETES RESEARCH AND CLINICAL PRACTICE
VL 140
BP 314
EP 323
DI 10.1016/j.diabres.2018.02.041
PD JUN 2018
PY 2018
AB Aim: Implementation of clinical practice guideline (CPG) into clinical
   practice remains limited. Using the Knowledge-To-Action framework, a
   guideline dissemination and implementation strategy for the Canadian
   Diabetes Association's 2013 CPG was developed and launched to clinicians
   and people with diabetes.
   Methods: The RE-AIM framework guided evaluation of this strategy
   clinician; we report here one aspect of the effectiveness dimension
   using mixed methods. We measured impact of the strategy on Clinican
   knowledge and behaviour change constructs using evaluation forms,
   national online survey and individual interviews.
   Results: After attending a lecture, clinician confidence (n = 915)
   increased (3.7(SD 0.7) to 4.5 (SD 0.6) on a 5-point scale (p < 0.001)),
   with 55% (n = 505) intending to make a practice change (e.g. clinical
   management regarding glycemic control). Ninety-four percent of survey
   respondents (n = 907) were aware of the guidelines, attributed to
   communications from professional associations, continuing professional
   development events, and colleagues Forty to 98% of respondents (total n
   462-185) were correct m their interpretation of CPG messages, and
   33-65%(total n 351-651) reported that they had made changes to their
   practice. Interviews with 28 clinicians revealed that organizational
   credibility, online access to tools, clarity of tool content, and
   education sessions facilitated uptake; lack of time, team-based
   consensus, and seamless integration into care and patient complexity
   were barriers.
   Conclusion: The complexity of diabetes care requires systemic adoption
   of organization of care interventions, including interprofessional
   collaboration and consensus. Augmenting our strategy to include scalable
   models for professional development, integration of guidelines into
   electronic medical records, and expansion of our target audience to
   include health care teams and patients, may optimize guideline uptake.
   (C) 2018 Elsevier B.V. All rights reserved.
Z8 0
ZB 4
ZS 0
ZR 0
ZA 0
TC 13
Z9 13
U1 0
U2 3
SN 0168-8227
EI 1872-8227
UT WOS:000434107600036
PM 29626591
ER

PT J
AU Stathakarou, Natalia
   Scully, Marcel Leon
   Kononowicz, Andrzej A.
   Henningsohn, Lars
   Zary, Nabil
   McGrath, Cormac
TI MOOC Learners' Engagement with Two Variants of Virtual Patients: A
   Randomised Trial
SO EDUCATION SCIENCES
VL 8
IS 2
AR 44
DI 10.3390/educsci8020044
PD JUN 2018
PY 2018
AB Introduction: Massive Open Online Courses (MOOCs) are an increasingly
   popular form of education in health professional education. VPs have
   been introduced in MOOCs to increase interactivity. There is a lack of
   research in understanding the reasons behind high dropout rates in
   MOOCs. We explored how learners interact with VPs and compared the
   significance of different VP designs on dropout rates. Methods: RCT of
   378 participants split into two groups to interact with two VPs using
   different design: branching and linear. Data on node progression and VP
   attempts was analysed using descriptive and quantitative analysis.
   Results: Eight groups of learner interaction patterns were identified.
   The majority of learners completed the VP in a linear path in one
   attempt. A significant number either completed the case in a loop path
   in one attempt, completed in a linear path in multiple attempts or
   dropped out without attempting the case. VP design has a significant
   effect on dropout rates of learners. There is a higher dropout rate from
   a branched VP compared to linear VP. Discussion: Prior research showed
   that branched VPs are more engaging and promote greater learning
   compared to linear VPs. However, our results indicate that branched VPs
   had greater dropout compared to VPs that require less time to be solved.
   Conclusions: We conclude that branching had a negative effect on
   completion of the VP activity in the MOOC. Moreover, we believe that
   more complex VPs require more effort on task and this might not be a
   design that facilitates the interaction in a MOOC audience, where the
   participants might wish to acquire the basic medical knowledge offered
   by the course.
RI Kononowicz, Andrzej A/ABG-8696-2020; McGrath, Cormac/H-8935-2019; Zary, Nabil/M-9432-2019
OI Kononowicz, Andrzej A/0000-0003-2956-2093; McGrath,
   Cormac/0000-0002-8215-3646; Zary, Nabil/0000-0001-8999-6999
TC 7
Z8 0
ZS 0
ZR 0
ZA 0
ZB 0
Z9 7
U1 0
U2 8
SN 2227-7102
UT WOS:000436493600006
ER

PT J
AU Robinson, June K.
   Jain, Namita
   Marghoob, Ashfaq A.
   McGaghie, William
   MacLean, Michael
   Gerami, Pedram
   Hultgren, Brittney
   Turrisi, Rob
   Mallett, Kimberly
   Martin, Gary J.
TI A Randomized Trial on the Efficacy of Mastery Learning for Primary Care
   Provider Melanoma Opportunistic Screening Skills and Practice
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 33
IS 6
BP 855
EP 862
DI 10.1007/s11606-018-4311-3
PD JUN 2018
PY 2018
AB Early detection of melanoma represents an opportunity to reduce the
   burden of disease among people at increased risk for melanoma.
   To develop and demonstrate the efficacy of online training.
   Randomized educational trial.
   Primary care providers (PCPs).
   Mastery learning course with visual and dermoscopic assessment,
   diagnosis and management, and deliberate practice with feedback to reach
   a minimum passing standard.
   Pre-test/post-test diagnostic accuracy. Referral of concerning lesions
   for 3 months before and after the educational intervention.
   Among the 89 PCPs, 89.8% were internal medicine physicians, and the
   remainder were physician assistants embedded in internists' practices.
   There were no differences between control and intervention groups
   regarding gender, age, race, or percentage of full-time PCPs. The
   control group had more PCPs who reported less than 5 years of practice
   (n = 18) than the intervention group (n = 6) (chi(2) [6, n = 89] =
   14.34, p = 0.03). PCPs in the intervention group answered more melanoma
   detection questions correctly on the post-test (M = 10.05, SE = 1.24)
   compared to control group PCPs (M = 7.11, SE = 0.24), and had fewer
   false-positive and no false-negative melanoma diagnoses (intervention, M
   = 1.09, SE = 0. 20; control, M = 3.1, SE = 0.23; ANCOVA, F[1,378]
   =27.86, p < 0.001; eta(p) (2) = 0.26). PCPs who underwent training
   referred fewer benign lesions, including nevi, seborrheic keratoses, and
   dermatofibromas, than control PCPs (F[1,79] = 72.89, p < 0.001; eta(p)
   (2) = 0.489; F[1,79] = 25.82, p < 0.001; eta(p) (2) = 0.246; F[1,79] =
   34.25, p < 0.001; eta(p) (2) = 0.302; respectively). Those receiving
   training referred significantly more melanomas than controls (F[1,79] =
   24.38, p < 0.001; eta(p) (2) = 0.236). Referred melanomas (0.8 +/- 0.07
   per month for intervention, 0.17 +/- 0.06 for control) were mostly
   located on the head and neck.
   Mastery learning improved PCPs' ability to detect melanoma on a
   standardized post-test and may improve referral of patients with
   suspected melanoma. Further studies are needed to confirm this finding.
   ClinicalTrials.gov NCT02385253.
OI Turrisi, Rob/0000-0002-7178-7205; Hultgren,
   Brittney/0000-0002-7181-5050; Mallett, Kimberly Anne/0000-0002-3787-4460
ZS 0
Z8 0
ZR 0
ZB 5
TC 16
ZA 0
Z9 16
U1 0
U2 3
SN 0884-8734
EI 1525-1497
UT WOS:000433497500022
PM 29404948
ER

PT J
AU Boyd, Lori
   Lawson, Celeste
   DiProspero, Lisa
   Tan, Kieng
   Matthews, Kristie
   Singh, Nabita
TI Use of Online Media for Professional Development Amongst Medical
   Radiation Practitioners in Australia and Canada
SO JOURNAL OF MEDICAL IMAGING AND RADIATION SCIENCES
VL 49
IS 2
BP 187
EP 193
DI 10.1016/j.jmir.2018.03.005
PD JUN 2018
PY 2018
AB Online media allows access to professional development (PD) regardless
   of geographical location and has the potential to provide equitable,
   immediate and quality PD. Online media includes online information and
   social media. The purpose of this mixed methods research study was to
   investigate the perceptions and use of online media for PD amongst
   medical radiation practitioners within Australia and Canada. An online
   survey was circulated to members of the Canadian Association of Medical
   Radiation Technologists (CAMRT) and the Australian Society of Medical
   Imaging and Radiation Therapy (ASMIRT). The survey collected data within
   three domains: current use, satisfaction of use, and future use. A four
   point Likert scale was used for both satisfaction with the online
   platform and frequency of use. Two hundred and thirty-nine responses
   were collected. Results indicated that the online mechanisms most
   frequently used by respondents for PD were Google, self-directed
   learning, and intranet. A correlating degree of satisfaction was
   indicated with the use of these platforms. The least used online media
   for PD were social media platforms including health related blogs,
   Linkedln, Twitter, health related and professional applications,
   Facebook, and online journal clubs. Online media is well suited to PD
   for medical radiation practitioners. The platforms that are preferred
   offer speed and ease of access regardless of geographical location or
   occupation. Whilst inherent risks and instances of unprofessional online
   behaviour are acknowledged, Australian and Canadian practitioners are
   keen to learn what social media PD opportunities exist. Findings
   indicate that radiation therapists are more receptive to explore new
   social media platforms and tools than are radiographers. There is an
   opportunity to incorporate formalPD for medical radiation practitioners
   within recognised social media platforms.
RI Singh, Nabita/H-2395-2015; Matthews, Kristie/; Lawson, Celeste/
OI Singh, Nabita/0000-0002-4166-2516; Matthews,
   Kristie/0000-0003-4598-2055; Lawson, Celeste/0000-0001-5903-6129
Z8 0
TC 4
ZS 0
ZA 0
ZB 0
ZR 0
Z9 4
U1 0
U2 5
SN 1939-8654
UT WOS:000436627000010
PM 32074037
ER

PT J
AU Koohestani, Hamid Reza
   Arabshahi, Seyed Kamran Soltani
   Ahmadi, Fazlollah
TI The Paradox of Acceptance and Rejection: the Perception of Healthcare
   Professional Students about Mobile Learning Acceptance in Iran
   University of Medical Sciences
SO QUALITATIVE RESEARCH IN EDUCATION
VL 7
IS 2
BP 144
EP 169
DI 10.17583/qre.2018.3341
PD JUN 2018
PY 2018
AB Objective: A qualitative study was conducted to explore the perception
   of healthcare professional students about mobile learning acceptance.
   Method: The study was performed using a conventional content analysis
   method. The subjects were the students of medical sciences in Iran
   University of Medical Science. Sampling was based on a purposeful
   sampling method. Twenty-three students took part in semi-structured
   interviews until data saturation was reached. Results: The main theme
   was "the paradox of acceptance and rejection" with three categories; (1)
   perceived attraction (sub-categories: learning with the excitement of
   entertainment, the attraction of multimedia learning environment and
   enthusiasm for electronic learning); (2) perceived ease (sub-categories:
   easy access to information anytime and anywhere and easy and effortless
   use); and (3) perceived conflict (sub-categories: teachers'
   contradictory behavioral patterns, contradiction about value of online
   information, friends' contradictory behavioral patterns, and digital gap
   between generations in family). Conclusion: The three categories found
   in the study placed the students in a dilemma of using or not using
   mobile learning. They had doubts about accepting mobile technology as a
   legitimate educational tool. Taking these factors into account and
   managing them can pave the way for mobile learning in the students.
RI Arabshahi, Seyed Kamran Soltani/AAY-2952-2020; Koohestani, Hamid Reza/B-7265-2017; Ahmadi, Fazlollah/AAD-3281-2019
OI Koohestani, Hamid Reza/0000-0003-1047-7294; 
ZS 0
ZR 0
Z8 0
ZA 0
TC 6
ZB 0
Z9 6
U1 0
U2 6
SN 2014-6418
UT WOS:000437054900002
ER

PT J
AU Chan, Teresa M.
   Jo, David
   Shih, Andrew W.
   Bhagirath, Vinai C.
   Castellucci, Lana A.
   Yeh, Calvin
   Thoma, Brent
   Tseng, Eric K.
   de Wit, Kerstin
TI The Massive Online Needs Assessment (MONA) to inform the development of
   an emergency haematology educational blog series
SO PERSPECTIVES ON MEDICAL EDUCATION
VL 7
IS 3
BP 219
EP 223
DI 10.1007/s40037-018-0406-0
PD JUN 2018
PY 2018
AB Online educational resources are criticized as being teacher-centred,
   failing to address learner's needs. Needs assessments are an important
   precursor to inform curriculum development, but these are often
   overlooked or skipped by developers of online educational resources due
   to cumbersome measurement tools. Novel methods are required to identify
   perceived and unperceived learning needs to allow targeted development
   of learner-centred curricula.
   To evaluate the feasibility of performing a novel technique dubbed the
   Massive Online Needs Assessment (MONA) for the purpose of emergency
   haematology online educational curricular planning, within an online
   learning community (affiliated with the Free Open Access Medical
   education movement).
   An online survey was launched on CanadiEM.org using an embedded Google
   Forms survey. Participants were recruited using the study website and a
   social media campaign (utilizing Twitter, Facebook, Blogs, and a poster)
   targeting a specific online community. Web analytics were used to
   monitor participation rates in addition to survey responses.
   The survey was open from 20 September to 10 December 2016 and received
   198 complete responses representing 6 medical specialties from 21
   countries. Most survey respondents identified themselves as staff
   physicians (naEuro= 109) and medical trainees (naEuro= 75). We
   identified 17 high-priority perceived needs, 17 prompted needs, and 10
   topics with unperceived needs through our MONA process.
   A MONA is a feasible, novel method for collecting data on perceived,
   prompted, and unperceived learning needs to inform an online emergency
   haematology educational blog. This methodology could be useful to the
   developers of other online education resources.
RI Chan, Teresa/T-6676-2017; Yeh, Calvin/AAA-1685-2019; Tseng, Eric/AAI-2512-2019; Thoma, Brent/ABI-2642-2020
OI Chan, Teresa/0000-0001-6104-462X; 
TC 10
ZR 0
ZB 0
ZS 0
Z8 0
ZA 0
Z9 10
U1 0
U2 4
SN 2212-2761
EI 2212-277X
UT WOS:000435447400012
PM 29488097
ER

PT J
AU Ludden-Schlatter, Alicia
   Wells, Jack
   Kruse, Robin L.
TI Perspectives on Procedure Importance: Residents, Faculty, and Community
   Practitioners
SO FAMILY MEDICINE
VL 50
IS 6
BP 450
EP 454
DI 10.22454/FamMed.2018.779054
PD JUN 2018
PY 2018
AB BACKGROUND AND OBJECTIVES: Procedural training is integral to family
   medicine residencies. Although accreditation bodies require that family
   medicine residency programs train residents in procedures relevant to
   their practices, there are no standards defining the scope of family
   medicine. We compared the perceived importance of 31 procedures by
   faculty, residents, and recent graduates of one institution.
   METHODS: An online survey was sent to current residents and faculty of a
   large academic family medicine residency, as well as community
   practitioners who had graduated from that residency within the past 5
   years. The survey asked participants to rate how important 31 procedures
   are for family medicine practices.
   RESULTS: The overall response rate was 37%. Most respondents provided
   outpatient care, and few provided or intended to provide obstetric care.
   Dermatologic and musculoskeletal procedures were rated as having high
   importance by all groups, whereas obstetric and inpatient procedures
   received lower ratings. Residents ascribed higher importance than
   faculty or recent graduates for nearly all procedures.
   CONCLUSIONS: Most residents, faculty, and community practitioners
   provided outpatient care and rated dermatologic and musculoskeletal
   procedures as important. Inpatient and obstetric care are less common
   career paths, and related procedures were rated as less important.
   Resident physicians ascribed greater importance than community
   practitioners for many procedures, which may be due misperceptions of
   their future practice needs or imposed requirements for graduation.
CT Conference of the
   University-of-Missouri-Department-of-Family-and-Community-Medicine
CY JUN 14, 2017
CL Columbia, MO
SP Univ Missouri, Dept Family & Community Med
ZA 0
ZR 0
TC 1
ZS 0
Z8 0
ZB 0
Z9 1
U1 0
U2 1
SN 0742-3225
EI 1938-3800
UT WOS:000434955200007
PM 29933445
ER

PT J
AU Mor, Siobhan M.
   Norris, Jacqueline M.
   Bosward, Katrina L.
   Toribio, Jenny-Ann L. M. L.
   Ward, Michael P.
   Gongora, Jaime
   Vost, Meg
   Higgins, Peter C.
   McGreevy, Paul D.
   White, Peter J.
   Zaki, Sanaa
TI One health in our backyard: Design and evaluation of an experiential
   learning experience for veterinary medical students
SO ONE HEALTH
VL 5
BP 57
EP 64
DI 10.1016/j.onehlt.2018.05.001
PD JUN 2018
PY 2018
AB Background: New educational approaches are needed to improve student
   understanding of the wider sociological and ecological determinants of
   health as well as professional responsibilities in related areas. Field
   trips allow students to observe interaction between plant, animal and
   human communities, making them an ideal tool for teaching One Health
   concepts.
   Methods: Veterinary medical students participated in a field trip to a
   local parklands area, frequented by humans, dogs, horses, and wildlife.
   Students rotated through 5 learning activities ('stations') that focused
   on: (1) response to exotic animal disease incursion (equine influenza);
   (2) impact of cultures and belief systems on professional practice; (3)
   management of dangerous dogs; (4) land use change, biodiversity and
   emerging infectious disease; and (5) management of
   environmentally-acquired zoonoses (botulism). Intended learning outcomes
   were for students to: evaluate the various roles and responsibilities of
   veterinarians in society; compare the benefits and risks associated with
   human-animal and animal-animal interactions; and evaluate the
   contributions made by various professionals in safeguarding the health
   and welfare of animals, humans and the environment. Following the field
   trip, students participated in a debrief exercise and completed an
   online survey on their experiences.
   Results: Feedback from students collected in 2016/2017 (n=211) was
   overwhelmingly positive. The learning experience at each station was
   rated as 4 ('Good') or 5 ('Very Good') out of 5 by 82-96% of students.
   Responses to closed- and open-ended questions - as well as outputs
   generated in the debrief session - indicated that students achieved the
   learning outcomes. Overall, 94% of students agreed or strongly agreed
   that they had a better understanding of One Health because of the field
   trip.
   Conclusions: Field trips to local parklands are effective in promoting
   learning about One Health and can be incorporated into the core
   curriculum to maximize student exposure at relatively low cost.
RI Ward, Michael/C-5758-2009; Bosward, Katrina/ABF-5091-2020; Ward, Michael Patrick/W-1897-2019; Toribio, Jenny-Ann LML/B-5032-2011; zaki, sanaa/AAY-2943-2020; White, Peter J/B-5208-2013; Gongora, Jaime/; White, Peter/; Mor, Siobhan/; Norris, Jacqueline/; Zaki, Sanaa/; McGreevy, Paul/
OI Ward, Michael/0000-0002-9921-4986; Bosward, Katrina/0000-0002-7561-2162;
   Gongora, Jaime/0000-0003-2215-656X; White, Peter/0000-0002-9742-4939;
   Mor, Siobhan/0000-0003-0121-2016; Norris,
   Jacqueline/0000-0002-0003-6930; Zaki, Sanaa/0000-0002-6393-6055;
   McGreevy, Paul/0000-0001-7220-8378
ZR 0
ZA 0
Z8 0
TC 11
ZS 0
ZB 3
Z9 11
U1 0
U2 13
EI 2352-7714
UT WOS:000432894900010
PM 29911166
ER

PT J
AU Wallbridge, Thomas
   Holden, Angela
   Picton, Aled
   Gupta, Janesh
TI Does medical students' gender affect their clinical learning of
   gynaecological examination? A retrospective cohort study
SO POSTGRADUATE MEDICAL JOURNAL
VL 94
IS 1112
BP 325
EP 329
DI 10.1136/postgradmedj-2017-135390
PD JUN 2018
PY 2018
AB Introduction Medical graduates should be competent in gynaecological
   examination as well as associated skills including speculum use and
   swabbing. Male and female medical students may have different
   opportunities to practise these skills in clinical environments,
   potentially impacting on confidence and competence. This study explores
   this further via reviewing students' learning experience in
   genitourinary medicine (GUM) and obstetrics and gynaecology (O&G)
   clinics.
   Methods Cross-sectional study of 759year 4 and year 5 University of
   Birmingham medical students via an online questionnaire. This explored
   degree of participation, impact of gender and self-reported confidence.
   Results Overall response rate was 31% (233/759). Students of either
   gender who observed an examination being performed by a clinician were
   more likely to perform the same examination. Female students reported
   more opportunities to practise gynaecological examination and associated
   skills. Female students were more likely to be granted consent to
   perform speculum examinations, vaginal swabbing and vaginal bimanual
   examinations. Sixty-five per cent of male students felt that their
   gender affected their learning experience with female patients. Despite
   this, there was no significant difference in self-reported confidence
   level in performing gynaecological examinations between genders at the
   end of placement.
   Conclusion The majority of male students perceived that their gender
   impacted their clinical experience in O&G and GUM. Self-reported
   confidence levels were unaffected, which could reflect varying
   approaches to competence between genders. The link between observing
   examinations and subsequent opportunities to practise is key. This could
   demonstrate students developing rapport and trust with patients, and
   clinicians' roles as gatekeepers.
RI Wallbridge, Thomas/K-6764-2019; Picton, Aled/
OI Picton, Aled/0000-0001-9990-2554
ZB 0
TC 1
ZS 0
Z8 0
ZR 0
ZA 0
Z9 1
U1 1
U2 5
SN 0032-5473
EI 1469-0756
UT WOS:000435457900004
PM 29695538
ER

PT J
AU Ramsauer, Babett
   Groning, Thilo
TI Online further training-from GynToGo to UniversityToGo
SO GYNAKOLOGE
VL 51
IS 6
BP 467
EP 471
DI 10.1007/s00129-018-4252-2
PD JUN 2018
PY 2018
AB The idea to expand further education in the field of gynecology and
   obstetrics by one component was initiated 8 years ago. The GynToGo was
   drafted, developed and went online in September 2011. The original idea
   was to give all assistants in continuing education the possibility to
   participate in advanced education, independent of financial barriers or
   personnel bottlenecks in hospitals. Currently, participants include
   specialist physicians, senior physicians, principal physicians, midwives
   and students from the whole German-speaking world. In a survey it could
   be ascertained that many of the audience were also from foreign
   countries (long-term foreign stay, visiting physicians, foreign
   stipendiaries and also vacation). For each event there are between 500
   and 1500 participants. Female doctors and also male colleagues can
   maintain an up to date state of knowledge despite parental leave. That
   brought about the further idea that the future should not only be for
   continuing and further education in the discipline of gynecology but
   also that an extension to other disciplines would be desirable.
   Theoretical components of practical courses can be provided via a
   Webinar, in order to construct the on-site course more effectively. The
   next step, the implementation of this format in addition to classical
   on-site events in further and advance education, is the logical
   continuation of this development.
ZA 0
ZR 0
TC 0
Z8 0
ZS 0
ZB 0
Z9 0
U1 0
U2 1
SN 0017-5994
EI 1433-0393
UT WOS:000434831300013
ER

PT J
AU Myran, Daniel T.
   Bardsley, Jillian
   El Hindi, Tania
   Whitehead, Kristine
TI Abortion education in Canadian family medicine residency programs
SO BMC MEDICAL EDUCATION
VL 18
AR 121
DI 10.1186/s12909-018-1237-8
PD JUN 1 2018
PY 2018
AB Background: Abortion has been decriminalized in Canada since 1988 and is
   considered an essential medical service. There is concern that
   decreasing numbers of abortion providers may impair access to abortion.
   This study examined the quantity of exposure and education that Canadian
   family medicine residents receive on abortion during training and their
   preparation to provide abortions. In addition, the study assessed
   residents' attitudes, intention and expressed competency to provide
   abortion in future practice and the association between medical training
   and changes in these factors.
   Methods: The authors developed a 21-item survey in consultation with
   experts in medical education. The survey was distributed online in 2016.
   A total of 1517 family medicine residents in their first, second and
   third year of training attending 8 English language schools across
   Canada were invited to participate. Associations between attitudes,
   education, exposure and intention were assessed using relative risks
   based on bivariate analysis of self-reported measures and odds ratios
   from ordered logistic regression.
   Results: The response rate was 28.7% (436/1517). The majority of
   residents, 79%, reported never observing or assisting with an abortion
   during training. Similarly, 80% of residents reported receiving less
   than 1 hour of formal education on abortion. Residents strongly
   supported receiving abortion education. Self reported exposure to a
   single abortion during training was associated with an increase in
   residents' intention (RR = 1.95, 95% CI 1.54-2.47) and self-rated
   competency to provide a medical abortion (RR = 2.16, 95% CI 1.60-2.93).
   Twenty five percent of residents were unaware of ethical and legal
   requirements towards abortion provision and referral.
   Conclusions: Canadian family medicine residents receive little education
   or exposure to abortion during training most do not feel competent to
   provide abortion services. Residents expressed strong support for
   receiving abortion training. The Canadian College of Family Physicians
   curriculum does not currently include abortion as a training objective.
   The authors argue there is a need for family medicine training programs
   to increase education and exposure to abortion during residency, while
   respecting residents' rights to opt out of such training. Failure to do
   so may impair future access to abortion provision.
RI Myran, Daniel/ABI-6839-2020; Myran, Daniel/
OI Myran, Daniel/0000-0002-8038-300X
ZR 0
ZB 0
Z8 0
TC 6
ZS 0
ZA 0
Z9 6
U1 0
U2 7
SN 1472-6920
UT WOS:000434076100001
PM 29859073
ER

PT J
AU Daniel Rosenthal, Victor
   Desse, Javier
   Marcelo Maurizi, Diego
   Jorge Chaparro, Gustavo
   Wenceslao Orellano, Pablo
   Chediack, Viviana
   Cabrera, Rafael
   Golschmid, Daniel
   Graciela Silva, Cristina
   Cesar Vimercati, Julio
   Pablo Stagnaro, Juan
   Perez, Ivanna
   Laura Spadaro, Maria
   Miriam Montanini, Adriana
   Pedersen, Dina
   Laura Paniccia, Teresa
   Rios Aguilera, Ana Maria
   Cermesoni, Raul
   Ignacio Mele, Juan
   Alda, Ernesto
   Edith Paldoro, Analia
   Roman Ortta, Agustin
   Cooke, Bettina
   Cecilia Garcia, Maria
   Nair Obed, Mora
   Veronica Dominguez, Cecilia
   Alejandro Saul, Pablo
   Cecilia Rodriguez del Valle, Maria
   Claudio Bianchi, Alberto
   Alvarez, Gustavo
   Perez, Ricardo
   Oyola, Carolina
TI Impact of the International Nosocomial Infection Control Consortium's
   multidimensional approach on rates of ventilator-associated pneumonia in
   14 intensive care units in 11 hospitals of 5 cities within Argentina
SO AMERICAN JOURNAL OF INFECTION CONTROL
VL 46
IS 6
BP 674
EP 679
DI 10.1016/j.ajic.2017.11.021
PD JUN 2018
PY 2018
AB Background: To analyze the impact of the International Nosocomial
   Infection Control Consortium (INICC) multidimensional approach (IMA) on
   ventilator-associated pneumonia (VAP) rates in 11 hospitals within 5
   cities of Argentina from January 2014-April 2017.
   Methods: A multicenter, prospective, before-after surveillance study was
   conducted through the use of International Nosocomial Infection Control
   Consortium Surveillance Online System. During baseline, we performed
   outcome surveillance of VAP applying the definitions of the Centers for
   Disease Control and Prevention's National Healthcare Safety Network.
   During intervention, we implemented the IMA, which included a bundle of
   infection prevention practice interventions, education, outcome
   surveillance, process surveillance, feedback on VAP rates and
   consequences, and performance feedback of process surveillance.
   Bivariate and multivariate regression analyses were performed using a
   logistic regression model to estimate the effect of the intervention.
   Results: We recorded 3,940 patients admitted to 14 intensive care units.
   At baseline, there were 19.9 VAPs per 1,000 mechanical ventilator
   (MV)-days-with 2,920 MV-days and 58 VAPs, which was reduced during
   intervention to 9.4 VAPs per 1,000 MV-days-with 9,261 MV-days and 103
   VAPs. This accounted for a 52% rate reduction (incidence density rate,
   0.48; 95% confidence interval, 0.3-0.7; P.001).
   Conclusions: Implementing the IMA was associated with significant
   reductions in VAP rates in intensive care units within Argentina. (c)
   2018 Association for Professionals in Infection Control and
   Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
OI ROSENTHAL, VICTOR DANIEL/0000-0001-9138-4801; Stagnaro, Juan
   Pablo/0000-0003-3836-9957
ZR 0
ZS 0
Z8 1
ZB 3
TC 7
ZA 0
Z9 8
U1 0
U2 7
SN 0196-6553
EI 1527-3296
UT WOS:000433064900015
PM 29329916
ER

PT J
AU Elledge, Ross
   Houlton, Samantha
   Hackett, Stephanie
   Evans, Martin J.
TI "Flipped classrooms" in training in maxillofacial surgery: preparation
   before the traditional didactic lecture?
SO BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY
VL 56
IS 5
BP 384
EP 387
DI 10.1016/j.bjoms.2018.04.006
PD JUN 2018
PY 2018
AB While virtual learning environments (VLE) can be used in medical
   education as stand-alone educational interventions, they can also be
   used in preparation for traditional "face-to-face" training sessions as
   part of a "flipped classroom" model. We sought to evaluate the
   introduction of this model in a single module on maxillofacial radiology
   from a course on trauma skills. Course delegates were randomised into
   two groups: one was given access to an e-learning resource (test group)
   and the other attended a traditional didactic lecture (control group).
   Knowledge and confidence were assessed before and after the course with
   a 20-question single-best-answer paper and a 10-situation 100 mm visual
   analogue scale (VAS) paper, respectively. All participants were then
   given free access to the VLE for 30 days and were invited to take part
   in an e-survey. Neither group showed improvements in the
   single-best-answer scores, but both groups showed comparable
   improvements in VAS (control: median (range) values improved from 40.8
   (17.7-82.5) mm to 62.8 (35.3-88.7) mm, p = 0.001; test group: from 47.7
   (10.9-58.1) mm to 60.5 (32.4-75.6) mm, p = 0.005). Half of the
   respondents stated that they preferred the "flipped classroom" approach,
   and 22/22 stated that they would be "likely" or "very likely" to use an
   e-learning resource with expanded content. The "flipped classroom"
   approach was well received and there were comparable improvements in
   confidence. As maxillofacial radiology lends itself to online
   instruction with its reliance on the recognition of patterns, and
   problem-based approach to learning, a piloted e-learning resource could
   be developed in this area. (C) 2018 The British Association of Oral and
   Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
OI Houlton, Samantha/0000-0002-8620-3428
TC 18
ZR 0
ZS 0
ZB 0
ZA 0
Z8 1
Z9 19
U1 1
U2 14
SN 0266-4356
EI 1532-1940
UT WOS:000434094100005
PM 29709383
ER

PT J
AU Hsueh, Wayne D.
   Bent, John P.
   Moskowitz, Howard S.
TI An app to enhance resident education in otolaryngology
SO LARYNGOSCOPE
VL 128
IS 6
BP 1340
EP 1345
DI 10.1002/lary.27040
PD JUN 2018
PY 2018
AB ObjectiveTechnological change is leading to an evolution in medical
   education. The objective of our study was to assess the impact of a
   medical knowledge app, called PulseQD, on resident education within our
   otolaryngology-head and neck surgery department at Montefiore Medical
   Center, Albert Einstein College of Medicine (Bronx, NY).
   MethodsA prospective cohort study was conducted within the Department of
   Otolaryngology-Head and Neck Surgery from July 2016 to June 2017. All
   faculty attendings and residents were asked to participate in the study
   and were included. A Web and mobile-based app, PulseQD, that allowed for
   collaborative learning was implemented. Questionnaires were given at the
   beginning and end of the academic year. Otolaryngology Training Exam
   (OTE) scores were collected
   ResultsA total of 20 residents and 13 faculty members participated in
   the study. Residents used online sources of medical information
   significantly more often than faculty (90% and 54%, respectively,
   P=0.0179). Residents and faculty felt that PulseQD offered a valuable
   perspective on clinically relevant medical information (P=0.0003), was a
   great way to test clinical and medical knowledge (P=0.0001), and
   improved the sharing and discussing of medical knowledge (P<0.0001).
   There was a statistically significant 5.8% improvement in OTE scores
   (P=0.0008) at the end of the academic year.
   ConclusionThe implementation of a novel mobile app, PulseQD, was well
   received by residents and faculty in the Department of
   Otolaryngology-Head and Neck Surgery. Preliminary data suggest that
   app-based learning may lead to improved performance on knowledge-based
   assessments.
   Level of EvidenceNA. Laryngoscope, 128:1340-1345, 2018
Z8 0
ZA 0
ZB 1
ZR 0
TC 11
ZS 0
Z9 11
U1 0
U2 3
SN 0023-852X
EI 1531-4995
UT WOS:000434179100022
PM 29214641
ER

PT J
AU Turban, Jack L.
   Winer, Joel
   Boulware, Susan
   VanDeusen, Timothy
   Encandela, John
TI Knowledge and attitudes toward transgender health
SO CLINICAL TEACHER
VL 15
IS 3
BP 203
EP 207
DI 10.1111/tct.12738
PD JUN 2018
PY 2018
AB Background: Hormonal interventions for transgender adolescents have
   become increasingly common; however, there is a paucity of research on
   medical student knowledge of, and attitudes toward, these interventions
   following didactic instruction. Furthermore, no studies have examined
   whether students can be aware of the literature on the mental health
   benefits of these treatments yet continue to find them unethical.
   Methods: An anonymous online survey was administered to students, from
   first to fourth year (n=407), who had received one or two lectures on
   the treatment of youths with gender dysphoria (GD).
   Results: Surveys were completed by 162 respondents (40%). A majority was
   able to correctly answer questions regarding psychiatric co-morbidities,
   diagnostic criteria, hormonal interventions, long-term benefits of
   interventions and terminology. There was some evidence that precision in
   the use of terminology waned over time. Many were unclear on the role of
   puberty blockers and the time requirement for a diagnosis of GD. A
   minority (14%) reported a belief that hormonal therapy is unethical,
   although these same individuals recognised that these treatments have
   mental health benefits.
   Discussion: Our results have implications for future instruction,
   including: the need to teach pharmacological and diagnostic issues more
   deliberately; providing refresher training on terminology; and relying
   on interactive discussion or patient visits, rather than didactic
   lectures alone, for ethically charged medical topics. Similar levels of
   knowledge among students who believe that hormonal therapy is ethical
   and unethical may indicate that imparting didactic knowledge about
   therapeutic benefits alone may not be sufficient to affect attitudes
   regarding endocrine care for transgender youth.
OI Encandela, John/0000-0003-4017-7161
ZB 0
ZA 0
TC 9
ZS 0
Z8 0
ZR 0
Z9 9
U1 1
U2 6
SN 1743-4971
EI 1743-498X
UT WOS:000433595700004
PM 29178596
ER

PT J
AU Micheal, Sowbhagya
   Marjadi, Brahmaputra
TI Blended learning to teach gender in medical school
SO CLINICAL TEACHER
VL 15
IS 3
BP 208
EP 213
DI 10.1111/tct.12778
PD JUN 2018
PY 2018
AB Background: Teaching gender and sexuality in medical school is critical
   to prepare students for future clinical practice. Yet curriculum gaps
   exist in teaching these topics in medical schools. To address this,
   medical schools are integrating gendered perspectives into their
   curricula.
   Context: Acknowledging the need to teach gender and sexuality, Western
   Sydney University School of Medicine introduced a lecture on "Gendered
   Perspectives on Health' in 2015. However, the delivery of the content
   took more time than anticipated, as some students lacked a basic
   understanding of gender and sexuality. Engagement with the didactic
   teaching method was low.
   Innovation: Using blended learning techniques, a flipped classroom
   workshop on gender and sexuality was developed in 2016. The workshop had
   online components that gave basic information on gender and sexuality,
   which students viewed prior to the face-to-face session. Students then
   discussed specific gender-related topics with expert facilitators using
   a timed multi-station approach during the face-to-face session. A
   plenary session provided students with the opportunity to address any
   remaining questions. Evaluation suggests that the workshop increased the
   students' self-reported knowledge on gender and sexual health topics and
   services. Students also found the workshop useful and engaging.
   Implications: The workshop provided an engaging and informative way for
   students to discuss gender and sexuality. The workshop also created a
   safe learning environment for students to clarify their perceptions of
   gender and sexuality. Increasing students' knowledge and understanding
   of gender and sexuality promoted a gender-sensitive approach to patient
   care, which can help students to avoid stereotyping and to provide
   comprehensive care to gender-diverse groups.
RI Marjadi, Brahmaputra/AAB-2578-2020; Marjadi, Brahmaputra/; Micheal, Sowbhagya/
OI Marjadi, Brahmaputra/0000-0003-0898-3737; Micheal,
   Sowbhagya/0000-0002-5351-2697
ZB 0
ZR 0
TC 11
ZS 1
Z8 0
ZA 0
Z9 12
U1 0
U2 10
SN 1743-4971
EI 1743-498X
UT WOS:000433595700005
PM 29696789
ER

PT J
AU Vance, Stanley R., Jr.
   Lasofsky, Brian
   Ozer, Elizabeth
   Buckelew, Sara M.
TI Teaching paediatric transgender care
SO CLINICAL TEACHER
VL 15
IS 3
BP 214
EP 220
DI 10.1111/tct.12780
PD JUN 2018
PY 2018
AB Background: We aimed to evaluate the effect of online modules - as
   stand-alone training - on paediatric transgender-related self-perceived
   knowledge, objective knowledge, and clinical self-efficacy of learners.
   We previously evaluated the online modules as part of a larger
   curriculum that included observation in a paediatric transgender clinic,
   and assessed change in self-perceived knowledge.
   Methods: Paediatric interns, psychiatry interns, fourth-year medical
   students and nurse practitioner students were administered assessments
   before and after the completion of six online modules focused on medical
   and psychosocial considerations for transgender youth. The assessments
   queried learner demographics and transgender clinical exposure. Nine
   items tested transgender-related objective knowledge. Twenty-four items
   asked learners to rate self-perceived transgender-specific knowledge (1,
   not at all knowledgeable; 5, completely knowledgeable). Thirteen
   self-efficacy items asked learners to rate confidence in their ability
   to evaluate and counsel these youth (0,not at all confident; 10,
   completely confident). Overall and subscores were calculated for each
   domain. Wilcoxon signed-rank tests were used to compare the pre- and
   post-module scores.
   Results: Thirty-six learners were eligible to join the study and 86%
   (n=31) participated. Among the participants, 90% (n=28) completed both
   assessments. The median number of transgender patients seen before the
   curriculum was one, and 10% had past experience in a transgender clinic.
   Comparing pre- and post-module scores, the overall objective knowledge
   scores increased from 22 to 56% (p<0.001), self-perceived knowledge
   scores increased from 1.8 to 3.8 (p<0.001) and self-efficacy scores
   increased from 3.5 to 7.0 (p<0.001).
   Discussion: This study suggests that e-learning was an effective
   stand-alone intervention to enhance transgender-related knowledge and
   self-efficacy in interdisciplinary learners.
OI Vance, Stanley/0000-0002-3322-6773
ZR 0
ZB 0
ZS 0
TC 7
Z8 0
ZA 0
Z9 7
U1 0
U2 4
SN 1743-4971
EI 1743-498X
UT WOS:000433595700006
PM 29573566
ER

PT J
AU Fuhs, Amy K.
   LaGrone, Lacey N.
   Moscoso Porras, Miguel. G.
   Rodriguez Castro, Manuel. J.
   Ecos Quispe, Rosa Lizbeth
   Mock, Charles N.
TI Assessment of Rehabilitation Infrastructure in Peru
SO ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
VL 99
IS 6
BP 1116
EP 1123
DI 10.1016/j.apmr.2017.10.020
PD JUN 2018
PY 2018
AB Objective: To assess rehabilitation infrastructure in Peru in terms of
   the World Health Organization (WHO) health systems building blocks.
   Design: Anonymous quantitative survey; questions were based on the WHO's
   Guidelines for Essential Trauma Care and rehabilitation professionals'
   input.
   Setting: Large public hospitals and referral centers and an online
   survey platform.
   Participants: Convenience sample of hospital personnel working in
   rehabilitation and neurology (N=239), recruited through existing
   contacts and professional societies.
   Interventions: Not applicable.
   Main Outcome Measures: Outcome measures were for 4 WHO domains: health
   workforce, health service delivery, essential medical products and
   technologies, and health information systems.
   Results: Regarding the domain of health workforce, 47% of physical
   therapists, 50% of occupational therapists, and 22% of physiatrists
   never see inpatients. Few reported rehabilitative nurses (15%) or
   prosthetist/orthotists (14%) at their hospitals. Even at the largest
   hospitals, most reported <= 3 occupational therapists (54%) and
   speech-language pathologists (70%). At hospitals without speech-language
   pathologists, physical therapists (49%) or nobody (34%) perform
   speech-language pathology roles. At hospitals without occupational
   therapists, physical therapists most commonly (59%) perform occupational
   therapy tasks. Alternate prosthetist/orthotist task performers are
   occupational therapists (26%), physical therapists (19%), and physicians
   (16%). Forty-four percent reported interdisciplinary collaboration.
   Regarding the domain of health services, the most frequent inpatient and
   outpatient rehabilitation barriers were referral delays (50%) and
   distance/transportation (39%), respectively. Regarding the domain of
   health information systems, 28% reported rehabilitation service data
   collection. Regarding the domain of essential medical products and
   technologies, electrophysical agents (88%), gyms (81%), and
   electromyography (76%) were most common; thickened liquids (19%),
   swallow studies (24%), and cognitive training tools (28%) were least
   frequent.
   Conclusions: Rehabilitation emphasis is on outpatient services, and
   there are comparatively adequate numbers of physical therapists and
   physiatrists relative to rehabilitation personnel. Financial barriers
   seem low for accessing existing services. There appear to be shortages
   of inpatient rehabilitation, specialized services, and interdisciplinary
   collaboration. These may be addressed by redistributing personnel and
   investing in education and equipment for specialized services. Further
   examination of task sharing's role in Peru's rehabilitation services is
   necessary to evaluate its potential to address deficiencies. (C) 2017 by
   the American Congress of Rehabilitation Medicine
RI Moscoso, Miguel/I-6582-2019; Unwin, Amy/
OI Moscoso, Miguel/0000-0001-9518-4241; Unwin, Amy/0000-0002-3465-7583
ZB 1
TC 4
ZA 0
Z8 0
ZS 0
ZR 0
Z9 4
U1 3
U2 20
SN 0003-9993
EI 1532-821X
UT WOS:000433381200011
PM 29162468
ER

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