﻿FN Clarivate Analytics Web of Science
VR 1.0
PT J
AU Gibbs, Jo
   Gkatzidou, Voula
   Tickle, Laura
   Manning, Sarah R.
   Tilakkumar, Tilna
   Hone, Kate
   Ashcroft, Richard E.
   Sonnenberg, Pam
   Sadiq, S. Tariq
   Estcourt, Claudia S.
TI 'Can you recommend any good STI apps?' A review of content, accuracy and
   comprehensiveness of current mobile medical applications for STIs and
   related genital infections
SO SEXUALLY TRANSMITTED INFECTIONS
VL 93
IS 4
BP 240
EP 246
DI 10.1136/sextrans-2016-052690
PD JUN 2017
PY 2017
AB Objective Seeking sexual health information online is common, and
   provision of mobile medical applications (apps) for STIs is increasing.
   Young people, inherently at higher risk of STIs, are avid users of
   technology, and apps could be appealing sources of information. We
   undertook a comprehensive review of content and accuracy of apps for
   people seeking information about STIs.
   Methods Search of Google Play and iTunes stores using general and
   specific search terms for apps regarding STIs and genital infections
   (except HIV), testing, diagnosis and management, 10 September 2014 to 16
   September 2014. We assessed eligible apps against (1) 19 modified Health
   on The Net (HON) Foundation principles; and (2) comprehensiveness and
   accuracy of information on STIs/genital infections, and their diagnosis
   and management, compared with corresponding National Health Service STI
   information webpage content.
   Results 144/6642 apps were eligible. 57 were excluded after downloading.
   87 were analysed. Only 29% of apps met >= 6 HON criteria. Content was
   highly variable: 34/87 (39%) covered one or two infections; 40 (46%)
   covered multiple STIs; 5 (6%) focused on accessing STI testing. 13 (15%)
   were fully, 46 (53%) mostly and 28 (32%) partially accurate. 25 (29%)
   contained >= 1 piece of potentially harmful information. Apps available
   on both iOS and Android were more accurate than single-platform apps.
   Only one app provided fully accurate and comprehensive information on
   chlamydia.
   Conclusions Marked variation in content, quality and accuracy of
   available apps combined with the nearly one-third containing potentially
   harmful information risks undermining potential benefits of an e-Health
   approach to sexual health and well-being.
RI Hone, Kate S/F-5462-2013; King, Carina/C-8883-2016; Sonnenberg, Pam/; Sadiq, S Tariq/
OI Hone, Kate S/0000-0001-5394-8354; Sonnenberg, Pam/0000-0002-1067-1583;
   Sadiq, S Tariq/0000-0002-0608-3818
ZA 0
ZR 1
Z8 0
ZS 2
TC 21
ZB 4
Z9 23
U1 0
U2 8
SN 1368-4973
EI 1472-3263
UT WOS:000402518000006
PM 27884965
ER

PT J
AU Vasco Ramirez, Mauricio
TI Training future anesthesiologists in obstetric care
SO CURRENT OPINION IN ANESTHESIOLOGY
VL 30
IS 3
BP 313
EP 318
DI 10.1097/ACO.0000000000000471
PD JUN 2017
PY 2017
AB Purpose of review
   In order for the obstetric anesthesiologist to become a true
   perioperative / peripartum physician, a change in formative programs and
   certification process in anesthesia are needed.
   Recent findings
   Anesthesia training programs are migrating to competency based medical
   education (CBME) worldwide. The traditional model of attending lectures,
   grand rounds, reading textbooks and journal papers should be
   complemented by virtual modalities such as massive open online courses
   or online teaching tools. The gold standard for assessment of procedural
   skills in anesthesia consists of a combination of global rating scales
   and previously validated checklists. Behaviors in the perioperative
   environment not directly related to the use of drugs, equipment or
   medical expertise are known as anesthesiologist nontechnical skills and
   trainees must learn and practice these skills; nontechnical skills can
   determine 50-80% of adverse events in high-risk professions, including
   medicine. Regular certification programs are also an important component
   of the new approach in medical education, in some high-income countries,
   the specialist anesthesiologist is undertaking regular certification but
   the impact of these programs on overall outcomes is still unknown.
   Summary
   The obstetric population is becoming a higher risk population, requiring
   an obstetric anesthesiologist taking on the role of a perioperative /
   peripartum physician. It is essential that anesthesia training programs
   migrate to CBME through simulation-based curriculum that allow the
   achievement of nontechnical skills and team work competencies. It is
   also essential that regular certification for specialist
   anesthesiologists occur throughout their entire career.
TC 2
ZR 0
ZA 0
ZS 0
Z8 0
ZB 0
Z9 2
U1 2
U2 8
SN 0952-7907
EI 1473-6500
UT WOS:000401191700008
PM 28306682
ER

PT J
AU Wright, Robin
   Casamassimo, Paul S.
TI Assessing attitudes and actions of pediatric dentists toward childhood
   obesity and sugar-sweetened beverages
SO JOURNAL OF PUBLIC HEALTH DENTISTRY
VL 77
BP S79
EP S87
DI 10.1111/jphd.12240
SU S1
PD SUM 2017
PY 2017
AB ObjectivesChildhood obesity is a major US health concern, and oral
   health professionals have opportunities to participate in an
   interprofessional effort to intervene owing to their access to young
   patients and their abilities in addressing obesity-related dietary
   habits like consumption of sugar-sweetened beverages (SSBs). This study
   determined attitudes, behaviors, future intentions, and perceived
   barriers of pediatric dentists regarding efforts to prevent childhood
   obesity and reduce children's consumption of SSBs.
   MethodsThe American Academy of Pediatric Dentistry conducted an online
   electronic survey with a convenience sample of approximately 7,450
   pediatric dentists and pediatric dental residents during spring 2016.
   ResultsOver 17 percent of pediatric dentists offer childhood obesity
   interventions. Of those not providing interventions, 67 percent were
   interested in offering obesity-prevention services. Nearly 94 percent of
   pediatric dentists offer information or other interventions on
   consumption of SSBs. Statistically significant barriers to providing
   healthy weight interventions were fear of offending parents, appearing
   judgmental, or creating parent dissatisfaction and a lack of parental
   acceptance of guidance about weight management from a dentist.
   Significant barriers to SSB interventions were sufficient time and
   health professional education.
   ConclusionsMore pediatric dentists stated they offer childhood obesity
   interventions than in previous surveys reporting 6 percent, but
   respondents suggested that a child's weight is seen as a medical rather
   than dental issue. Most pediatric dentists provide interventions related
   to consumption of SSBs, perceiving the issue as integral to their care
   of children.
ZS 0
TC 13
ZR 0
ZA 0
Z8 0
ZB 2
Z9 13
U1 0
U2 11
SN 0022-4006
EI 1752-7325
UT WOS:000407260000006
PM 28712110
ER

PT J
AU El Ansari, Walid
   Suominen, Sakari
   Draper, Steve
TI CORRELATES OF ACHIEVING THE GUIDELINES OF FOUR FORMS OF PHYSICAL
   ACTIVITY, AND THE RELATIONSHIP BETWEEN GUIDELINES ACHIEVEMENT AND
   ACADEMIC PERFORMANCE: UNDERGRADUATE STUDENTS IN FINLAND
SO CENTRAL EUROPEAN JOURNAL OF PUBLIC HEALTH
VL 25
IS 2
BP 87
EP 95
DI 10.21101/cejph.a4387
PD JUN 2017
PY 2017
AB Objectives: We surveyed and compared, by gender, the levels and
   correlates of achieving the international guidelines of four forms of
   physical activity (PA): moderate PA (MPA), vigorous PA (VPA), moderate
   or vigorous PA (MVPA), and muscle strengthening PA (MSPA). The study
   assessed the associations between achieving the guidelines of the four
   PA forms and a range of socio-demographic, health and academic
   performance variables.
   Methods: Data was collected across the seven faculties of the University
   of Turku (2013-2014 from a representative sample of 1,189
   undergraduates). An English language online self-administered
   questionnaire assessed frequency and duration of PA/week for each form
   of PA. We employed cut-offs for the guidelines in accordance with the
   American Heart Association. Chi-square statistic tested the differences
   in PA, socio-demographic variables and academic performance between
   males and females. Binary logistic regression examined the factors
   associated with achieving the four PA guidelines and linear regression
   examined the association between the frequency of PA and academic
   performance.
   Results: Achievement of PA guidelines was relatively low across the
   sample. Female students were less likely to achieve the VPA or MSPA
   guidelines, but were more health conscious and in generally exhibited
   better academic performace than males. High health awareness and
   excellent/very good self-rated health were the strongest predictors of
   achieving all forms of PA. Parents' education level was positively
   related to likelihood of achieving the VPA, MVPA and MSPA guidelines.
   Achieving the MPA guidelines (but not VPA or MSPA) was positively
   associated with subjective perceptions of better academic performance.
   Conclusions: Achievement of PA guidelines was generally low for this
   sample of Finnish students, and was associated with positive health
   status and high health awareness. Universities need a holistic approach
   to improve awareness of health and promote PA in students' lifestyles.
OI Suominen, Sakari B./0000-0001-6648-603X
ZS 0
ZA 0
Z8 0
ZB 2
TC 11
ZR 0
Z9 11
U1 0
U2 16
SN 1210-7778
EI 1803-1048
UT WOS:000405147400001
PM 28662318
ER

PT J
AU Strike, Carol
   Watson, Tara Marie
TI Relationships between needle and syringe programs and police: An
   exploratory analysis of the potential role of in-service training
SO DRUG AND ALCOHOL DEPENDENCE
VL 175
BP 51
EP 54
DI 10.1016/j.drugalcdep.2017.01.031
PD JUN 1 2017
PY 2017
AB Background: Training police on the public health benefits of needle and
   syringe programs (NSPs) is viewed as a best practice to facilitate more
   collaborative relationships between police and these programs. To date,
   while the limited published literature contains promising cases of harm
   reduction in-service training for police, evaluative evidence is
   preliminary.
   Methods: Using an online survey, we asked NSP managers across Canada
   about their programs and the quality of their NSP-police relationships.
   Results: We analyzed data from the responses of 75 program managers
   among whom 69% reported that their program had a "positive" or "mostly
   positive" relationship with the police. In-service training about topics
   such as needle-stick injury prevention and NSP effectiveness was
   provided by less than 50% of the programs surveyed. Seventy-five percent
   reported no established protocols to resolve conflicts between NSP staff
   and police. Four variables, all related to in-service training, were
   significantly related to positive NSP-police relationships, including
   training about: NSP program goals (OR 7.7; 95% CI 2.0, 33.1); needle
   stick injury prevention and basics of blood-borne virus transmission (OR
   4.0; 95% CI 1.1,15.34); the health and social concerns of people who use
   drugs (OR 3.9; 95% CI 1.1, 13.5); and evidence about the impact of
   injection equipment distribution (OR 3.9; 95% CI 1.1, 13.5).
   Conclusions: Development of in-service training for police that is
   focused on harm reduction goals and initiatives is a new and evolving
   area. We highly encourage NSPs to offer and evaluate any such in-service
   training programs. (C) 2017 Elsevier B.V. All rights reserved.
RI Strike, Carol/U-8317-2018
OI Strike, Carol/0000-0002-2716-3681
Z8 0
ZA 0
ZR 0
ZS 0
TC 8
ZB 0
Z9 8
U1 0
U2 4
SN 0376-8716
EI 1879-0046
UT WOS:000402218300006
PM 28391085
ER

PT J
AU Lee, Victor
   Graham, Ian S.
TI Intercollegiate conversations: Australian and New Zealand College of
   Anaesthetists
SO EMERGENCY MEDICINE AUSTRALASIA
VL 29
IS 3
BP 367
EP 369
DI 10.1111/1742-6723.12733
PD JUN 2017
PY 2017
AB In the first of a series of online interviews with other Australian and
   New Zealand Specialty Colleges about the developments and shared
   challenges with implementing competency-based medical education, I spoke
   with the current Dean of Education at the Australian and New Zealand
   College of Anaesthetists, Dr Ian Graham. Dr Graham is not an
   anaesthetist. He is a Fellow of the Royal Australasian College of
   Medical Administrators, educator and consultant in health management. He
   was appointed into the role of part-time Dean of Education at the
   Australian and New Zealand College of Anaesthetists in August 2014. The
   interview was conducted in person on 13 April 2016 at Austin Hospital in
   Heidelberg, Victoria, Australia, and subsequent changes were made to the
   manuscript through email by Dr Graham on 28 August 2016.
RI Lee, Victor/J-4984-2019
OI Lee, Victor/0000-0003-1816-8365
ZR 0
TC 0
Z8 0
ZB 0
ZA 0
ZS 0
Z9 0
U1 0
U2 0
SN 1742-6731
EI 1742-6723
UT WOS:000401849700021
PM 28118692
ER

PT J
AU Middleton, Anna
   Marks, Peter
   Bruce, Anita
   Protheroe-Davies, Liwsi K.
   King, Cath
   Claber, Oonagh
   Houghton, Catherine
   Giffney, Claire
   Macleod, Rhona
   Dolling, Claire
   Kenwrick, Sue
   Scotcher, Diana
   Hall, Georgina
   Patch, Christine
   Boyes, Laura
CA Assoc Genetic Nurses Counsellors
TI The role of genetic counsellors in genomic healthcare in the United
   Kingdom: a statement by the Association of Genetic Nurses and
   Counsellors
SO EUROPEAN JOURNAL OF HUMAN GENETICS
VL 25
IS 6
BP 659
EP 661
DI 10.1038/ejhg.2017.28
PD JUN 2017
PY 2017
AB In the United Kingdom, genetic counsellors work together with clinical
   geneticists and clinical scientist colleagues within specialist genetics
   services, but they also often work in multidisciplinary teams (MDTs)
   outside of such services. There, they contribute genetic knowledge
   together with expert understanding of how to communicate genetic
   information effectively. They can offer education and support to the
   MDT, while providing management advice for both affected patients and
   the extended at-risk family members. As genomic technologies are
   implemented across many disciplines within healthcare, genetic
   counsellors are playing a key role in enabling non-genetic health
   professionals learn, understand and integrate genomic data into their
   practice. They are also involved in curriculum development, workforce
   planning, research, regulation and policy creation -all with the aim of
   ensuring a robust evidence base from which to practise, together with
   clear guidelines on what constitutes competence and good practice. The
   Association of Genetic Nurses and Counsellors (AGNC) in The United
   Kingdom (UK) and Republic of Ireland is committed to supporting genetic
   counsellors, across all sectors of healthcare and research, as they help
   deliver genomic medicine for the patient, family and worldclass health
   services.
OI Middleton, Anna/0000-0003-3103-8098; Patch,
   Christine/0000-0002-4191-0663
ZA 0
Z8 1
TC 19
ZR 0
ZB 7
ZS 0
Z9 20
U1 0
U2 10
SN 1018-4813
EI 1476-5438
UT WOS:000402748700001
PM 28327572
ER

PT J
AU Baxter, Melanie
   Erby, Lori
   Roter, Debra
   Bernhardt, Barbara A.
   Terry, Peter
   Guttmacher, Alan
TI Health screening behaviors among adults with hereditary hemorrhagic
   telangiectasia in North America
SO GENETICS IN MEDICINE
VL 19
IS 6
BP 659
EP 666
DI 10.1038/gim.2016.161
PD JUN 2017
PY 2017
AB Purpose: This study aimed to identify factors that influence screening
   behaviors of adults with hereditary hemorrhagic telangiectasia (HHT).
   Methods: Participants with a self-reported diagnosis of HHT were
   recruited from the HHT Foundation International, Inc.; the "HHT
   Awareness" Facebook group; and six HHT clinics. A cross-sectional mixed
   methods survey was administered to investigate the relationships among
   the Health Belief model constructs, the domains of illness
   representations, and HHT-specific screening behaviors consistent with
   recommended guidelines.
   Results: A total of 320 participants reported rates of cerebral
   arteriovenous malformation (AVM) screenings, pulmonary AVM screenings,
   and HHT annual checkups that were 82.0, 67.1, and 56.5%, respectively.
   Logistical regression analysis showed that perceived barriers (beta =
   -0.114, P < 0.001), perceived susceptibility (beta = 0.117, P < 0.05),
   treatment control (beta = 0.078, P < 0.05), and emotional
   representations (beta = 0.067, P < 0.05) were significant predictors of
   HHT screening. Open-ended responses revealed perceived barriers to
   screening, including a lack of health-care providers (HCPs) familiar
   with and/or knowledgeable about HHT.
   Conclusion: Our results reveal suboptimal screening rates among adults
   with HHT and identify several factors influencing these behaviors. We
   suggest that there is a need for increased provider education regarding
   HHT as well as approaches that providers can use to improve screening
   adherence.
OI Bernhardt, Barbara/0000-0002-9096-8765
ZA 0
TC 2
Z8 1
ZR 0
ZS 0
ZB 1
Z9 3
U1 1
U2 4
SN 1098-3600
EI 1530-0366
UT WOS:000402517400008
PM 27735923
ER

PT J
AU Hansberry, David R.
   Agarwal, Nitin
   John, Elizabeth S.
   John, Ann M.
   Agarwal, Prateek
   Reynolds, James C.
   Baker, Stephen R.
TI Evaluation of internet-based patient education materials from internal
   medicine subspecialty organizations: will patients understand them?
SO INTERNAL AND EMERGENCY MEDICINE
VL 12
IS 4
BP 535
EP 543
DI 10.1007/s11739-017-1611-2
PD JUN 2017
PY 2017
AB The majority of Americans use the Internet daily, if not more often, and
   many search online for health information to better understand a
   diagnosis they have been given or to research treatment options. The
   average American reads at an eighth-grade level. The purpose of this
   study is to evaluate the readability of online patient education
   materials on the websites of 14 professional organizations representing
   the major internal medicine subspecialties. We used ten well-established
   quantitative readability scales to assess written text from patient
   education materials published on the websites of the major professional
   organizations representing the following subspecialty groups: allergy
   and immunology, cardiology, endocrinology, gastroenterology, geriatrics,
   hematology, hospice and palliative care, infectious disease, nephrology,
   oncology, pulmonology and critical care, rheumatology, sleep medicine,
   and sports medicine. Collectively the 540 articles analyzed were written
   at an 11th-grade level (SD 1.4 grade levels). The sleep medicine and
   nephrology websites had the most readable materials, written at an
   academic grade level of 8.5 +/- 1.5 and 9.0 +/- 0.2, respectively.
   Material at the infectious disease site was written at the most
   difficult level, with average readability corresponding to grades 13.9
   +/- 0.3. None of the patient education materials we reviewed conformed
   to the American Medical Association (AMA) and the National Institutes of
   Health (NIH) guidelines requiring that patient education articles be
   written at a third- to seventh-grade reading level. If these online
   resources were rewritten, it is likely that more patients would derive
   benefit from reading them.
Z8 0
ZS 0
ZB 4
ZR 0
ZA 0
TC 16
Z9 16
U1 0
U2 2
SN 1828-0447
EI 1970-9366
UT WOS:000401633900016
PM 28138915
ER

PT J
AU Tan, Andy S. L.
   Mello, Susan
   Sanders-Jackson, Ashley
   Bigman, Cabral A.
TI Knowledge about Chemicals in e-Cigarette Secondhand Vapor and Perceived
   Harms of Exposure among a National Sample of US Adults
SO RISK ANALYSIS
VL 37
IS 6
SI SI
BP 1170
EP 1180
DI 10.1111/risa.12676
PD JUN 2017
PY 2017
AB Potentially harmful chemicals are detectable in e-cigarette secondhand
   vapor (hereafter SHV), contrary to advertising and marketing claims that
   it contains only water vapor. We assessed public knowledge about the
   presence of chemicals in SHV and associations between knowledge and
   perceived harms of exposure to SHV. We conducted an online survey of a
   nationally representative sample of 1,449 U.S. adults (GfK's
   KnowledgePanel) from October to December 2013. Respondents were asked
   whether e-cigarette vapor contains only water vapor, contains tar, or
   contains formaldehyde (true/ false/ do not know). Responses to these
   three items were recoded (1 = incorrect, 2 = do not know, and 3 =
   correct) and averaged into a knowledge scale. They were also asked if
   they perceived breathing SHV to be harmful to one's health (two-item
   scale) and comparative harm of breathing SHV versus breathing secondhand
   smoke (SHS). Multiple regression analyses were weighted to the U.S.
   adult population and adjusted for potential confounders. Most
   respondents (58-75%) reported not knowing whether SHV contained only
   water vapor, if SHV contained tar, and if it contained formaldehyde.
   African-American respondents (vs. white) and current smokers (vs.
   nonsmokers) had lower levels of knowledge about chemicals in SHV.
   Adjusting for covariates, correct knowledge about chemicals in SHV was
   associated with higher perceived harms about SHV for one's health and
   perceived comparative harm of SHV versus SHS. These findings suggest a
   need to provide accurate information about the presence of chemicals in
   SHV (e.g., using product ingredient labels or public education).
OI Mello, Susan/0000-0003-3931-7075; Bigman, Cabral/0000-0002-4510-7878
ZA 0
Z8 0
ZS 0
TC 9
ZR 0
ZB 3
Z9 9
U1 1
U2 14
SN 0272-4332
EI 1539-6924
UT WOS:000405753000012
PM 27595498
ER

PT J
AU Degeling, C.
   Fawcett, A.
   Collins, T.
   Hazel, S.
   Johnson, J.
   Lloyd, J.
   Phillips, C. J. C.
   Stafford, K.
   Tzioumis, V.
   McGreevy, P.
TI Students' opinions on welfare and ethics issues for companion animals in
   Australian and New Zealand veterinary schools
SO AUSTRALIAN VETERINARY JOURNAL
VL 95
IS 6
BP 189
EP 193
DI 10.1111/avj.12590
PD JUN 2017
PY 2017
AB Objective To determine what veterinary students in Australia and New
   Zealand consider important competences in companion animal welfare and
   ethics (AWE) required on their first day of practice, and to explore how
   their priorities relate to gender and stage of study.
   Methods Undergraduate students at all veterinary schools in Australia
   and New Zealand were sent an online survey. A subset of questions
   required participants to rank the importance of preselected AWE topics
   pertaining to companion animals. Data were analysed to determine
   differences in the way students of different gender or academic stage
   prioritised each of these AWE topics.
   Results Of 3220 currently enrolled students, 851 participated in the
   survey: 79% were female, 17% male, 4% unspecified. Ranking of the AWE
   topics, from highest to lowest importance, was: neutering, companion
   animal husbandry, euthanasia, behaviour and training, animal breeding,
   over-servicing in relation to animal needs and cosmetic surgery. Female
   students consistently ranked competency in AWE issues surrounding
   neutering more highly than male students (P = 0.006). Students in senior
   years of study ranked the importance of competency in animal
   abuse/hoarding (P = 0.048), shelter medicine (P = 0.012) and animal
   breeding (P = 0.002) less highly than those in junior years.
   Conclusions Australasian veterinary students placed more importance on
   competency in AWE issues associated with clinical practice (such as
   neutering and euthanasia) than on professional behaviours (such as
   over-servicing and animal breeding). However, we consider that emphasis
   should still be placed on developing graduate competency in the latter
   categories to reflect growing societal concerns about companion animal
   over-supply and inappropriate professional conduct.
RI Degeling, Chris/ABE-2049-2020; Quain, Anne/J-4648-2019; Hazel, Susan J./D-3627-2014; Collins, Teresa/W-3306-2019; McGreevy, Paul/; Quain, Anne/
OI Degeling, Chris/0000-0003-4279-3443; Hazel, Susan
   J./0000-0002-1804-690X; Collins, Teresa/0000-0003-4597-0812; McGreevy,
   Paul/0000-0001-7220-8378; Quain, Anne/0000-0001-9159-4569
ZA 0
Z8 0
ZR 0
TC 16
ZB 2
ZS 1
Z9 16
U1 1
U2 36
SN 0005-0423
EI 1751-0813
UT WOS:000402820300020
PM 28555952
ER

PT J
AU Lopes, Renato Matos
   Garcia dos Santos de Faria, Daniel Jose
   Fidalgo-Neto, Antonio Augusto
   Mota, Fabio Batista
TI Facebook in educational research: a bibliometric analysis
SO SCIENTOMETRICS
VL 111
IS 3
BP 1591
EP 1621
DI 10.1007/s11192-017-2294-1
PD JUN 2017
PY 2017
AB Facebook has become the object of research in different areas. The
   present study presents a bibliometric analysis of the scientific
   literature related to the use of this social network in educational
   research. To this end, bibliometric techniques were applied in the
   analysis of scientific articles indexed at the Web of Science Core
   Collection, from Thomson Reuters, and linked to the research areas of
   Education/Educational Research. This resulted in the identification of,
   among others, developments in scientific production, the most important
   journals that publish papers on the topic, the main authors and the main
   articles published in the area. The results indicate the growth of
   scientific production in the area from 2008 onwards, pointing to
   Computers and Education as the most relevant journal by number of
   publications (22) and impact factor and indicate that authors from the
   United States, Australia, Taiwan, United Kingdom and South Africa stand
   out in the construction of knowledge on educational research applying
   Facebook. Moreover, the ego-network of the Educational Research area
   shows that this area coexists with other areas of knowledge in the use
   of social networking, such as Computer Science, Linguistics and Health
   Sciences, indicating an interdisciplinary and transversal nature in
   different areas of research.
RI Rosenstein, Maarika/AAE-5585-2019; Mota, Fabio Batista/G-3164-2015; Mota, Fabio Batista/AAQ-7019-2020
OI Mota, Fabio Batista/0000-0003-2401-7336; 
ZA 0
ZB 0
ZR 1
ZS 0
TC 12
Z8 0
Z9 13
U1 0
U2 58
SN 0138-9130
EI 1588-2861
UT WOS:000401747900018
ER

PT J
AU Freund, Ophir
   Reychav, Iris
   McHaney, Roger
   Goland, Ella
   Azuri, Joseph
TI The ability of older adults to use customized online medical databases
   to improve their health-related knowledge
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 102
BP 1
EP 11
DI 10.1016/j.ijmedinf.2017.02.012
PD JUN 2017
PY 2017
AB Introduction: Patient compliance with medical advice and recommended
   treatment depends on perception of health condition, medical knowledge,
   attitude, and self-efficacy. This study investigated how use of
   customized online medical databases, intended to improve knowledge in a
   variety of relevant medical topics, influenced senior adults'
   perceptions.
   Method: Seventy-nine older adults in residence homes completed a
   computerized, tablet-based questionnaire, with medical scenarios and
   related questions. Following an intervention, control group participants
   answered questions without online help while an experimental group
   received internet links that directed them to customized, online medical
   databases.
   Results: Medical knowledge and test scores among the experimental group
   significantly improved from pre-to post-intervention (p < 0.0001) and
   was higher in comparison with the control group ( p < 0.0001). No
   significant change occurred in the control group.
   Conclusion: Older adults improved their knowledge in desired medical
   topic areas using customized online medical databases. The study
   demonstrated how such databases help solve health-related questions
   among older adult population members, and that older patients appear
   willing to consider technology usage in information acquisition. (C)
   2017 Elsevier B.V. All rights reserved.
RI McHaney, Roger/AAP-6404-2020; Azuri, Joseph/ABD-5871-2021; Freund, Ophir/
OI McHaney, Roger/0000-0001-9501-3741; Azuri, Joseph/0000-0003-1049-9848;
   Freund, Ophir/0000-0002-7272-5284
ZA 0
TC 9
ZB 1
ZS 0
ZR 0
Z8 0
Z9 9
U1 6
U2 31
SN 1386-5056
EI 1872-8243
UT WOS:000405361900001
PM 28495336
ER

PT J
AU McArdle, P. D.
   Greenfield, S. M.
   Avery, A.
   Adams, G. G.
   Gill, P. S.
TI Dietitians' practice in giving carbohydrate advice in the management of
   type 2 diabetes: a mixed methods study
SO JOURNAL OF HUMAN NUTRITION AND DIETETICS
VL 30
IS 3
BP 385
EP 393
DI 10.1111/jhn.12436
PD JUN 2017
PY 2017
AB BackgroundCarbohydrate is accepted as the principal nutrient affecting
   blood glucose in diabetes; however, current guidelines are unable to
   specify the optimal quantity of carbohydrate for glycaemic control. No
   studies exist that describe current practice amongst healthcare
   professionals giving carbohydrate advice in type 2 diabetes. The present
   study aims to improve understanding of the degree of variation in the
   current practice of UK registered dietitians (RDs) by describing how RDs
   advise patients.
   MethodsUK RDs were contacted through national networks and asked to
   complete an online survey, which was analysed using stata, version 12
   (StataCorp, College Station, TX, USA). Three consultations between
   dietitians and patients with type 2 diabetes were observed, followed by
   semi-structured interviews with the dietitians.
   ResultsIn total, 320 complete survey responses were received.
   Dietitians' advice varied according to expertise, training and
   confidence, and the complexity of the patient's blood glucose treatment.
   Some 48% (n = 154) of respondents advised patients to restrict
   carbohydrate intake either occasionally or frequently, with 35.6% (n =
   114) considering 30-39% of total energy from carbohydrate to be a
   realistic expectation. The overall theme from the interviews was
   Conflicting Priorities', with three sub-themes: (i) how treatment
   decisions are made; (ii) the difference between empowerment and advice;
   and (iii) contradictory advice. A disparity existed between what was
   observed and interview data on how dietitians rationalise the type of
   carbohydrate advice provided.
   ConclusionsDietitians' advice varies for a number of reasons. Consensus
   exists in some areas (e.g. carbohydrate awareness advice); however,
   clear definitions of such terms are lacking. Clarification of
   interventions may improve the consistency of approach and improve
   patient outcomes.
RI Adams, Gary/ABG-2959-2020; McArdle, Paul/M-9343-2019; Avery, Anthony/
OI Adams, Gary/0000-0002-0335-2162; McArdle, Paul/0000-0003-1096-5546;
   Avery, Anthony/0000-0001-7591-4438
ZA 0
ZB 4
TC 12
ZS 0
ZR 0
Z8 0
Z9 12
U1 0
U2 10
SN 0952-3871
EI 1365-277X
UT WOS:000400608800014
PM 28276183
ER

PT J
AU Scott, A. J.
   Kahn, D.
TI Factors influencing medical students in pursuing a career in surgery: a
   cross-sectional survey
SO SOUTH AFRICAN JOURNAL OF SURGERY
VL 55
IS 2
BP 24
EP 29
PD JUN 2017
PY 2017
AB Background: Many factors play a role in the decision of a medical
   student to pursue a career in surgery. With a decline in numbers of
   applications into surgical programmes seen globally, the aim of this
   study was to determine the factors that influence medical students in
   pursuing a career in surgery.
   Methods: A descriptive, cross-sectional survey was distributed online to
   all medical students studying at a tertiary, academic institution.
   Survey items obtained data on demographics, surgical interest and
   training, as well as factors affecting a surgical career.
   Results: A total of 245 medical students responded, of which 56% were
   female. The majority (69%) stated they were interested in pursuing a
   career in surgery. Despite 75% of respondents stating South Africa was a
   good place for surgical training, females reported significantly higher
   levels of agreement that surgical training would be better overseas when
   compared to males (p = 0.027). Overall, 20% were undecided on what
   surgical specialty they would pursue. The largest proportion of
   respondents (33%) stated that ` Length of training' was the main barrier
   to pursuing a career in surgery. Thirtythree (13.5%) respondents
   reported 'Female-unfriendly' as a barrier, of whom all were female. The
   greatest motivator to pursuing a career in surgery was 'Hands-on work',
   stated by 36% of respondents.
   Conclusions: Though length of surgical training was deemed the principal
   barrier, the majority of students indicated they would pursue a career
   in surgery. Despite continued perceptions that surgery poses a
   female-unfriendly environment as a career, respondents held South
   African surgical training in high esteem, and were motivated by a
   clinically hands-on approach. These factors may play an important role
   in determining methods of improving numbers of surgical applications
   worldwide.
OI Scott, Alex/0000-0003-0647-607X
TC 6
ZB 0
ZR 0
ZA 0
Z8 0
ZS 0
Z9 6
U1 0
U2 0
SN 0038-2361
EI 2078-5151
UT WOS:000406126900004
PM 28876620
ER

PT J
AU Wright, Marc-Oliver
   Allen-Bridson, Katherine
   Hebden, Joan N.
TI Assessment of the accuracy and consistency in the application of
   standardized surveillance definitions: A summary of the American Journal
   of Infection Control and National Healthcare Safety Network case
   studies, 2010-2016
SO AMERICAN JOURNAL OF INFECTION CONTROL
VL 45
IS 6
BP 607
EP 611
DI 10.1016/j.ajic.2017.03.035
PD JUN 1 2017
PY 2017
AB Background: The Centers for Disease Control and Prevention (CDC)
   National Healthcare Safety Network (NHSN) surveillance definitions are
   the most widely used criteria for health care-associated infection (HAI)
   surveillance. NHSN participants agree to conduct surveillance in
   accordance with the NHSN protocol and criteria. To assess the
   application of these standardized surveillance specifications and offer
   infection preventionists (IPs) opportunities for ongoing education, a
   series of case studies, with questions related to NHSN definitions and
   criteria were published.
   Methods: Beginning in 2010, case studies with multiple-choice questions
   based on standard surveillance criteria and protocols were written and
   published in the American Journal of Infection Control with a link to an
   online survey. Participants anonymously submitted their responses before
   receiving the correct answers.
   Results: The 22 case studies had 7,950 respondents who provided 27,790
   responses to 75 questions during the first 6 years. Correct responses
   were selected 62.5% of the time (17,376 out of 27,290), but ranged
   widely (16%-87%). In a subset analysis, 93% of participants
   self-identified as IPs (3,387 out of 3,640), 4.5% were public health
   professionals (163 out of 3,640), and 2.5% were physicians (90 out of
   3,640). IPs responded correctly (62%) more often than physicians (55%)
   (P =.006).
   Conclusions: Among a cohort of voluntary participants, accurate
   application of surveillance criteria to case studies was suboptimal,
   highlighting the need for continuing education, competency development,
   and auditing. (C) 2017 Association for Professionals in Infection
   Control and Epidemiology, Inc. Published by Elsevier Inc. All rights
   reserved.
ZS 0
ZR 0
Z8 0
ZA 0
TC 8
ZB 6
Z9 8
U1 0
U2 1
SN 0196-6553
EI 1527-3296
UT WOS:000402491500008
PM 28549513
ER

PT J
AU Dokras, Anuja
   Saini, Shailly
   Gibson-Helm, Melanie
   Schulkin, Jay
   Cooney, Laura
   Teede, Helena
TI Gaps in knowledge among physicians regarding diagnostic criteria and
   management of polycystic ovary syndrome
SO FERTILITY AND STERILITY
VL 107
IS 6
BP 1380
EP +
DI 10.1016/j.fertnstert.2017.04.011
PD JUN 2017
PY 2017
AB Objective: To identify gaps in polycystic ovary syndrome (PCOS)
   knowledge and practice patterns among physicians in North America in
   response to significant dissatisfaction identified among women with PCOS
   regarding their diagnosis and treatment experience.
   Design: Online survey conducted via American College of Obstetrics and
   Gynecology of gynecologists (ObGyn) and American Society of Reproductive
   Medicine of reproductive endocrinologists (REI-ObGyn) in 2015- 16.
   Setting: Not applicable.
   Patient(s): None.
   Intervention(s): None.
   Main Outcome Measure(s): Diagnostic criteria used, key features of PCOS,
   management practices.
   Result(s): Of the 630 surveys completed, 70.2% were ObGyn and 64.4% were
   females. Overall 27.7% respondents did not know which PCOS diagnostic
   criteria they used. In a multivariable analysis including physician
   type, age, gender, and number of patients with PCOS seen annually,
   REI-ObGyn were less likely compared with ObGyn to report not knowing
   which criteria they used (adjusted odds ratio, 0.08; 95% confidence
   interval, 0.04, 0.16). REI-ObGyn were more likely to use the Rotterdam
   criteria (odds ratio, 2.26; 95% confidence interval, 1.33, 3.82). The
   majority of respondents recognized the clinical features associated with
   PCOS; however, over one-third associated ``cysts on ovaries'' with PCOS.
   The majority of responders (> 85%) were aware of cardiometabolic
   comorbidities; however, fewer ObGyn were aware of associated depression,
   anxiety disorders, and reduced quality of life. More REI- ObGyn
   recommended lifestyle changes compared with ObGyn (56.4% vs. 41.6%).
   Conclusion(s): Our large-scale PCOS survey, conducted in response to
   patient concerns regarding diagnosis and treatment, highlights
   opportunities for physician education. Focus areas include targeting
   knowledge of internationally accepted Rotterdam criteria and ensuring
   consistent care informed by evidence-based guidelines across the
   reproductive, metabolic, and psychological features of PCOS. (C)2017 by
   American Society for Reproductive Medicine.
OI Teede, Helena/0000-0001-7609-577X
ZB 34
ZS 1
Z8 2
ZA 0
TC 75
ZR 0
Z9 79
U1 1
U2 6
SN 0015-0282
EI 1556-5653
UT WOS:000405361500024
PM 28483503
ER

PT J
AU Tran, Bao Ngoc N.
   Singh, Mansher
   Lee, Bernard T.
   Rudd, Rima
   Singhal, Dhruv
TI Readability, complexity, and suitability analysis of online lymphedema
   resources
SO JOURNAL OF SURGICAL RESEARCH
VL 213
BP 251
EP 260
DI 10.1016/j.jss.2017.02.056
PD JUN 1 2017
PY 2017
AB Background: Over 72% of Americans use online health information to
   assist in health care decision-making. Previous studies of lymphedema
   literature have focused only on reading level of patient-oriented
   materials online. Findings indicate they are too advanced for most
   patients to comprehend. This, more comprehensive study, expands the
   previous analysis to include critical elements of health materials
   beyond readability using assessment tools to report on the complexity
   and density of data as well as text design, vocabulary, and
   organization.
   Methods: The top 10 highest ranked websites on lymphedema were
   identified using the most popular search engine (Google). Website
   content was analyzed for readability, complexity, and suitability using
   Simple Measure of Gobbledygook, PMOSE/iKIRSCH, and Suitability
   Assessment of Materials (SAM), respectively. PMOSE/iKIRSCH and SAM were
   performed by two independent raters. Fleiss' kappa score was calculated
   to ensure interrater reliability.
   Results: Online lymphedema literature had a reading grade level of 14.0
   (SMOG). Overall complexity score was 6.7 (PMOSE/iKIRSCH) corresponding
   to "low" complexity and requiring a 8th-12th grade education. Fleiss'
   kappa score was 80% (P = 0.04, "substantial" agreement). Overall
   suitability score was 45% (SAM) correlating to the lowest level of
   "adequate" suitability. Fleiss' kappa score was 76% (P = 0.06,
   "substantial" agreement).
   Conclusions: Online resources for lymphedema are above the recommended
   levels for readability and complexity. The suitability level is barely
   adequate for the intended audience. Overall, these materials are too
   sophisticated for the average American adult, whose literacy skills are
   well documented. Further efforts to revise these materials are needed to
   improve patient comprehension and understanding. (C) 2017 Elsevier Inc.
   All rights reserved.
CT Association-for-Academic-Surgery/Society-of-University-Surgeons 12th
   Annual Meeting of the Academic-Surgical-Congress (ASC)
CY FEB 07-09, 2017
CL Las Vegas, NV
SP Acad Surg Congress; Assoc Acad Surg; Soc Univ Surg
RI Lee, Bernard T./K-1106-2016
OI Lee, Bernard T./0000-0002-5533-3166
TC 12
ZS 0
ZA 0
Z8 0
ZR 0
ZB 0
Z9 12
U1 1
U2 7
SN 0022-4804
EI 1095-8673
UT WOS:000405363000033
PM 28601323
ER

PT J
AU Hinderer, Marc
   Boeker, Martin
   Wagner, Sebastian A.
   Binder, Harald
   Sckert, Frank
   Newe, Stephanie
   Huelsemann, Jan L.
   Neumaier, Michael
   Schade-Brittinger, Carmen
   Acker, Till
   Prokosch, Hans-Ulrich
   Sedlmayr, Brita
TI The experience of physicians in pharmacogenomic clinical decision
   support within eight German university hospitals
SO PHARMACOGENOMICS
VL 18
IS 8
BP 773
EP 785
DI 10.2217/pgs-2017-0027
PD JUN 2017
PY 2017
AB Aim: The aim of this study was to assess the physicians' attitude, their
   knowledge and their experience in pharmacogenomic clinical decision
   support in German hospitals. Materials & methods: We conducted an online
   survey to address physicians of 13 different medical specialties across
   eight German university hospitals. In total, 564 returned questionnaires
   were analyzed. Results: The remaining knowledge gap, the uncertainty of
   test reimbursement and the physicians' lack of awareness of existing
   pharmacogenomic clinical decision support systems (CDSS) are the major
   barriers for implementing pharmacogenomic CDSS into German hospitals.
   Furthermore, pharmacogenomic CDSS are most effective in the form of
   real-time decision support for internists. Conclusion: Physicians in
   German hospitals require additional education of both genetics and
   pharmacogenomics. They need to be provided with access to relevant
   pharmacogenomic CDSS.
RI Binder, Harald/C-7413-2009; Boeker, Martin/N-3854-2016; Acker, Till/
OI Binder, Harald/0000-0002-5666-8662; Boeker, Martin/0000-0003-2972-2042;
   Acker, Till/0000-0001-6357-7227
ZR 0
ZA 0
ZS 0
TC 4
ZB 2
Z8 0
Z9 4
U1 0
U2 8
SN 1462-2416
EI 1744-8042
UT WOS:000405490200006
PM 28593816
ER

PT J
AU Durand, Marie-Anne
   Yen, Renata
   Barr, Paul J.
   Cochran, Nan
   Aarts, Johanna
   Legare, France
   Reed, Malcolm
   O'Malley, A. James
   Scalia, Peter
   Guerard, Genevieve Painchaud
   Elwyn, Glyn
TI Assessing medical student knowledge and attitudes about shared decision
   making across the curriculum: protocol for an international online
   survey and stakeholder analysis
SO BMJ OPEN
VL 7
IS 6
AR e015945
DI 10.1136/bmjopen-2017-015945
PD JUN 2017
PY 2017
AB Introduction Shared decision making (SDM) is a goal of modern medicine;
   however, it is not currently embedded in routine care. Barriers include
   cliniciansa(sic)(TM) attitudes, lack of knowledge and training and time
   constraints. Our goal is to support the development and delivery of a
   robust SDM curriculum in medical education. Our objective is to assess
   undergraduate medical studentsa(sic)(TM) knowledge of and attitudes
   towards SDM in four countries.
   Methods and analysis The first phase of the study involves a web-based
   cross-sectional survey of undergraduate medical students from all years
   in selected schools across the United States (US), Canada and
   undergraduate and graduate students in the Netherlands. In the United
   Kingdom (UK), the survey will be circulated to all medical schools
   through the UK Medical School Council. We will sample students equally
   in all years of training and assess attitudes towards SDM, knowledge of
   SDM and participation in related training. Medical students of ages 18
   years and older in the four countries will be eligible. The second phase
   of the study will involve semistructured interviews with a subset of
   students from phase 1 and a convenience sample of medical school
   curriculum experts or stakeholders. Data will be analysed using
   multivariable analysis in phase 1 and thematic content analysis in phase
   2. Method, data source and investigator triangulation will be performed.
   Online survey data will be reported according to the Checklist for
   Reporting the Results of Internet E-Surveys. We will use the
   COnsolidated criteria for REporting Qualitative research for all
   qualitative data.
   Ethics and dissemination The study has been approved for dissemination
   in the US, the Netherlands, Canada and the UK. The study is voluntary
   with an informed consent process. The results will be published in a
   peer-reviewed journal and will help inform the inclusion of SDM-specific
   curriculum in medical education worldwide.
RI Elwyn, Glyn/B-4798-2009; Durand, Marie-Anne/Z-1747-2018; Aarts, Johanna WM/P-1244-2015; Reed, Malcolm Walter/AAG-9219-2020; Legare, France/; Durand, Marie-Anne/; Yen, Renata/
OI Elwyn, Glyn/0000-0002-0917-6286; Reed, Malcolm
   Walter/0000-0001-7442-2132; Legare, France/0000-0002-2296-6696; Durand,
   Marie-Anne/0000-0002-1127-9348; Yen, Renata/0000-0002-6856-7631
ZR 0
ZB 1
Z8 0
ZA 0
ZS 0
TC 9
Z9 9
U1 1
U2 7
SN 2044-6055
UT WOS:000406391200197
PM 28645974
ER

PT J
AU Hinton, Sharon
   Sheffield, Jeanie
   Sanders, Matthew R.
   Sofronoff, Kate
TI A randomized controlled trial of a telehealth parenting intervention: A
   mixed-disability trial
SO RESEARCH IN DEVELOPMENTAL DISABILITIES
VL 65
BP 74
EP 85
DI 10.1016/j.ridd.2017.04.005
PD JUN 2017
PY 2017
AB Background: The quality of parenting a child receives has a major impact
   on development, wellbeing and future life opportunities.
   Aims: This study examined the efficacy of Triple P Online Disability
   (TPOL-D) a telehealth intervention for parents of children with a
   disability.
   Methods: Ninety-eight parents and carers of children aged 2-12 years
   diagnosed with a range of developmental, intellectual and physical
   disabilities were randomly assigned to either the intervention (51) or
   treatment-as-usual (47) control group.
   Results: At post-intervention parents receiving the TPOL-D intervention
   demonstrated significant improvements in parenting practices and
   parenting self-efficacy, however a significant change in parent-reported
   child behavioral and emotional problems was not detected. At 3-month
   follow up intervention gains were maintained and/or enhanced. A
   significant decrease in parent reported child behavioral and emotional
   problems was also detected at this time.
   Conclusions: The results indicate that TPOL-D is a promising telehealth
   intervention for a mixed disability group.
RI Sanders, Matthew R/C-1941-2013
OI Sanders, Matthew R/0000-0003-3479-6337
ZS 1
ZB 3
ZA 0
ZR 0
Z8 0
TC 21
Z9 22
U1 1
U2 16
SN 0891-4222
UT WOS:000404695700007
PM 28458049
ER

PT J
AU Klein, R.
   Lefevre, S.
TI Study of declarative knowledge concerning anaphylaxis among general
   medical students in Alsace and Lorraine
SO REVUE FRANCAISE D ALLERGOLOGIE
VL 57
IS 4
BP 292
EP 297
DI 10.1016/j.reval.2016.12.001
PD JUN 2017
PY 2017
AB Introduction. The aim of this study was to assess the declarative
   knowledge of primary-care interns regarding the diagnosis and management
   of anaphylaxis.
   Methods. A descriptive observational study among 650 primary-care
   students via an online survey.
   Results. Sixty-six responses were obtained (10.2 % response rate). A
   percentage of 62.1 of primary care students considered training to be
   inadequate. Only 30.3 % of them were aware of the recommendations
   concerning the management of anaphylaxis. Concerning diagnosis, symptoms
   such as respiratory or digestive signs were not recognised as being
   evocative of anaphylaxis. Treatment was consistent with the
   recommendations for grades 1 and 3 on the Ring and Messmer
   classification, rather than grade 2. Regarding follow-up, 93.8 % of
   respondents referred their patients to an allergist.
   Conclusion. Our work suggests that training in the recognition and
   management of anaphylaxis requires improvement. The creation of a degree
   in allergology and the development of postgraduate education will help
   improve knowledge of this disease. (C) 2017 Elsevier Masson SAS. All
   rights reserved.
ZS 0
Z8 0
ZA 0
ZB 0
ZR 0
TC 1
Z9 1
U1 0
U2 3
SN 1877-0320
UT WOS:000406648400002
ER

PT J
AU Abdelaal, Fatima
   Ali, Hatem
   Baharani, Jyoti
TI Is replacement modality choice knowledge important in the non-renal
   multidisciplinary team? Experience from a single UK centre
SO CLINICAL MEDICINE
VL 17
IS 3
BP 198
EP 203
DI 10.7861/clinmedicine.17-3-198
PD JUN 2017
PY 2017
AB Dialysis remains the mainstay treatment for patients with end stage
   renal disease. In the UK, there has been a significant decline in home
   dialysis despite its benefits and cost effectiveness. Patients with
   chronic kidney disease (CKD) are often known to other specialties who
   they may continue to consult when approaching dialysis. We wished to
   assess the knowledge of the non-renal multidisciplinary team (MDT)
   regarding home dialysis and establish whether further education was
   warranted. This was assessed using an online survey sent to specialties
   likely to deal with CKD patients. In total, 364 questionnaires were sent
   out with a 26.4% response rate. According to the survey responses, 81.5%
   of non-renal MDTs lack confidence in discussing home dialysis options
   with patients and 74.55% feel that they need further education about
   home dialysis. Targeted education may increase home dialysis uptake by
   multimorbid CKD patients who have a consistent message delivered by all
   relevant healthcare teams about the benefits of home dialysis.
RI Ali, Hatem/ABB-4403-2020; Baharani, Jyoti/AAD-7757-2020
ZA 0
TC 1
ZR 0
Z8 0
ZS 0
ZB 0
Z9 1
U1 1
U2 3
SN 1470-2118
EI 1473-4893
UT WOS:000403033100003
PM 28572219
ER

PT J
AU Hansberry, David R.
   Patel, Sahil R.
   Agarwal, Prateek
   Agarwal, Nitin
   John, Elizabeth S.
   John, Ann M.
   Reynolds, James C.
TI A quantitative readability analysis of patient education resources from
   gastroenterology society websites
SO INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
VL 32
IS 6
BP 917
EP 920
DI 10.1007/s00384-016-2730-3
PD JUN 2017
PY 2017
AB The lay public frequently access and rely on online information as a
   source of their medical knowledge. Many medical societies are unaware of
   national patient education material guidelines and subsequently fail to
   meet them. The goal of the present study was to evaluate the readability
   of patient education materials within the medical field of
   gastroenterology.
   Two hundred fourteen articles pertaining to patient education materials
   were evaluated with ten well-established readability scales. The
   articles were available on the websites for the American College of
   Gastroenterology (ACG), the American Gastroenterological Association
   (AGA), the American Society of Gastrointestinal Endoscopy (ASGE), the
   British Society of Gastroenterology (BSG), and the NIH section National
   Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). One-way
   analysis of variance (ANOVA) and Tukey's honest significant difference
   (HSD) post hoc analysis were conducted to determine any differences in
   level of readability between websites.
   The 214 articles were written at an 11.8 +/- 2.1 grade level with a
   range of 8.0 to 16.0 grade level. A one-way ANOVA and Tukey's HSD post
   hoc analysis determined the ACG was written at a significantly (p <
   0.05) more difficult level when compared to the AGA, the BSG, and the
   NIDDK websites. No differences were noted when comparing the ASGE
   website.
   None of the patient education materials were written at a level that met
   national guidelines. If the materials are redrafted, the general
   American public will likely have a greater understanding of the
   gastroenterology content.
Z8 1
ZA 0
TC 6
ZB 1
ZR 0
ZS 0
Z9 7
U1 1
U2 3
SN 0179-1958
EI 1432-1262
UT WOS:000401438500019
PM 27924368
ER

PT J
AU Yu, Amy
   Morris, Erin
   Adams, Richard
   Fung, Mark K.
TI Obstetrics and gynecology physician knowledge of Rh immune globulin
   prophylaxis
SO TRANSFUSION
VL 57
IS 6
BP 1385
EP 1390
DI 10.1111/trf.14125
PD JUN 2017
PY 2017
AB BACKGROUNDPrevious studies have shown that more than 20% of laboratories
   would have recommended inaccurate doses of Rh immune globulin (RhIG) in
   hypothetical cases. Efforts have been made in educating laboratories in
   correct dosing calculations; however, obstetricians are most often
   responsible for ordering RhIG. The objective of this study was to assess
   knowledge of RhIG indications and dosing among obstetrics and gynecology
   (OB/GYN) physicians in the United States.
   STUDY DESIGN AND METHODSAn anonymous 17- question online survey was
   distributed to all OB/GYN resident and attending physicians affiliated
   with US residency training programs.
   RESULTSA total of 165 surveys were collected, with 139 fully completed.
   Ninety-two percent of respondents correctly recognized the need for RhIG
   in D- patients with negative antibody screens. In a scenario of a
   fetomaternal hemorrhage (FMH) of 45 mL, only 22% of respondents
   correctly chose the appropriate RhIG dosage. Of those who were correct,
   10% had correctly identified 30 mL as the amount of fetal whole blood
   covered by one dose of RhIG, while 48% incorrectly identified 15 mL
   (n=31). A total of 49.3% of respondents reported residency as the most
   recent formal training on RhIG dosing and 35% reported never (n=140).
   CONCLUSIONSOur study found that OB/GYN physicians are knowledgeable
   regarding indications for RhIG immunoprophylaxis but were insufficient
   at calculating dosages in cases of FMH. More standardized education and
   training among OB/GYN physicians may decrease the risk of maternal
   alloimmunization, in part because RhIG dosage recommendations from
   laboratories are not standard practice.
OI Fung, Mark/0000-0001-6081-4151
ZR 0
ZS 0
TC 2
ZB 2
Z8 0
ZA 0
Z9 2
U1 0
U2 1
SN 0041-1132
EI 1537-2995
UT WOS:000403023600011
PM 28419453
ER

PT J
AU Socransky, Steve
   Lang, Eddy
   Bryce, Rhonda
   Betz, Martin
TI Point-of-Care Ultrasound for Jugular Venous Pressure Assessment: Live
   and Online Learning Compared
SO CUREUS
VL 9
IS 6
AR e1324
DI 10.7759/cureus.1324
PD JUN 2017
PY 2017
AB Introduction
   Point-of-care ultrasound (POCUS) is a novel technique for the assessment
   of jugular venous pressure. Distance education may allow for efficient
   dissemination of this technique. We compared online learning to a live
   course for teaching ultrasonography jugular venous pressure (u-JVP) to
   determine if these teaching methods yielded different levels of comfort
   with and use of u-JVP.
   Methods
   This was an interventional trial of Canadian emergency physicians who
   had taken a basic POCUS course. The participants were in one of three
   Groups: online learning (Group OL), live teaching (Group LT), control
   (Group C). Group LT participants also took an advanced course prior to
   the study that included instruction in u-JVP. The participants who took
   the basic course were randomized to Group OL or Group C. Group OL was
   subject to the intervention, online learning. Group C only received an
   article citation regarding u-JVP. Questionnaires were completed before
   and after the intervention. The primary outcome was physician
   self-reported use and comfort with the technique of u-JVP after online
   learning compared to live teaching.
   Results
   Of the 287 advanced course participants, 42 completed the questionnaires
   (Group LT). Of the 3303 basic course participants, 47 who were assigned
   to Group OL completed the questionnaires and 47 from Group C completed
   the questionnaires. Use of u-JVP increased significantly in Group OL
   (from 15% to 55%) and Group C (from 21% to 47%) with the intervention.
   The comfort with use did not differ between Group LT and Group OL
   (p=0.14). The frequency of use remained higher in Group LT than Group OL
   (p=0.07).
   Conclusion
   Online learning increases the use and comfort with performing u-JVP for
   emergency physicians with prior POCUS experience. Although the comfort
   with use of u-JVP was similar in Groups LT and OL, online learning
   appears to yield levels of use that are less than those of a live
   course.
RI Lang, Eddy/AAS-2080-2020
ZB 0
ZA 0
TC 4
ZS 0
Z8 0
ZR 0
Z9 4
U1 0
U2 0
EI 2168-8184
UT WOS:000453622200024
PM 28690957
ER

PT J
AU Shapiro, A. J.
   Norris, J. M.
   Bosward, K. L.
   Heller, J.
TI Q Fever (Coxiella burnetii) Knowledge and Attitudes of Australian Cat
   Breeders and Their Husbandry Practices
SO ZOONOSES AND PUBLIC HEALTH
VL 64
IS 4
BP 252
EP 261
DI 10.1111/zph.12305
PD JUN 2017
PY 2017
AB A Q fever outbreak in a small animal veterinary hospital, associated
   with a cat caesarean section, initiated a cat seroprevalence study
   (n=712) that found circulating antibodies to Coxiella burnetii was
   highest in cattery-confined breeding cats (9.3%). These findings
   stimulated interest about potential sources of C.burnetii infection for
   cats and humans associated with cats. Cat breeders are potentially a
   group at increased risk of C.burnetii infection, and this study sought
   to identify potential risk factors. A cross-sectional online survey was
   conducted targeting all domestic cat breeders registered with an
   affiliate member body in Australia in 2015. Responses from 177 cat
   breeders across Australia were analysed. Forty per cent of responding
   cat breeders had not heard of Q fever. Raw meat was fed as an integral
   constituent of the diet by 89% of respondents. Eighty per cent of
   respondents allowed queens access to the home for parturition, and
   assistance of queens and resuscitation of kittens at the time of birth
   were reported by 97% of respondents. Respondents who perceived some
   level of exposure to Q fever through their breeding activities were
   three times less likely to perform mouth-to-snout resuscitation (OR 0.3
   95% CI 0.1-0.9; P=0.034) than those who did not perceive a risk of
   exposure. Similarly, respondents who perceived Q fever as a risk through
   breeding activities were close to eight times more likely to use
   personal protective equipment during parturition (OR 7.7 95% CI
   1.5-39.9; P=0.015) than those who did not. Husbandry practices of cat
   breeders that may increase the risk of C.burnetii transmission require
   further targeted investigations to assess the contribution of these risk
   factors to the acquisition of disease. Concurrent education forums are
   recommended to inform Australian cat breeders of the aetiopathogenesis
   of Q fever.
RI Heller, Jane/H-9596-2016; Bosward, Katrina/ABF-5091-2020; Norris, Jacqueline/
OI Heller, Jane/0000-0003-3993-0160; Bosward, Katrina/0000-0002-7561-2162;
   Norris, Jacqueline/0000-0002-0003-6930
TC 12
ZB 6
ZR 0
ZS 0
Z8 0
ZA 0
Z9 12
U1 0
U2 12
SN 1863-1959
EI 1863-2378
UT WOS:000400821900002
PM 27621095
ER

PT J
AU Widmer, R. Jay
   Allison, Thomas G.
   Lennon, Ryan
   Lopez-Jimenez, Francisco
   Lerman, Lilach O.
   Lerman, Amir
TI Digital health intervention during cardiac rehabilitation: A randomized
   controlled trial
SO AMERICAN HEART JOURNAL
VL 188
BP 65
EP 72
DI 10.1016/j.ahj.2017.02.016
PD JUN 2017
PY 2017
AB Background Digital health interventions (DHI) have been shown to improve
   intermediates of cardiovascular health, but their impact on
   cardiovascular (CV) outcomes has not been fully explored. The aim of
   this study was to determine whether DHI administered during cardiac
   rehabilitation (CR) would reduce CV-related emergency department (ED)
   visits and rehospitalizations in patients after percutaneous coronary
   intervention (PCI) for acute coronary syndrome (ACS).
   Methods We randomized patients undergoing CR following ACS and PCI to
   standard CR (n = 40) or CR + DHI (n = 40) for 3 months with 3 patients
   withdrawing from CR prior to initiation in the treatment arm and 6 in
   the control group. The DHI incorporated an online and smartphone-based
   CR platform asking the patients to report of dietary and exercise habits
   throughout CR as well as educational information toward patients'
   healthy lifestyles. We obtained data regarding ED visits and
   rehospitalizations at 180 days, as well as other metrics of secondary CV
   prevention at baseline and 90 days.
   Results Baseline demographics were similar between the groups. The DI-II
   + CR group had improved weight loss compared to the control group (-5.1
   6.5 kg vs. -0.8 +/- 3.8 kg, respectively, P = .02). Those in the DHI +
   CR group also showed a non-significant reduction in CV-related
   rehospitalizations plus ED visits compared to the control group at 180
   days (8.1% vs 26.6%; RR 0.30, 95% CI 0.08-1.10, P = .054).
   Conclusions The current study demonstrated that complementary DHI
   significantly improves weight loss, and might offer a method to reduce
   CV-related ED visits plus rehospitalizations in patients after ACS
   undergoing CR. The study suggests a role for DHI as an adjunct to CR to
   improve secondary prevention of CV disease.
RI Lerman, Lilach/M-4962-2017
ZR 0
Z8 5
ZA 0
ZB 12
TC 64
ZS 0
Z9 69
U1 0
U2 16
SN 0002-8703
EI 1097-6744
UT WOS:000403197800008
PM 28577682
ER

PT J
AU Koo, Kevin
   Ficko, Zita
   Gormley, E. Ann
TI Unprofessional content on Facebook accounts of US urology residency
   graduates
SO BJU INTERNATIONAL
VL 119
IS 6
BP 955
EP 960
DI 10.1111/bju.13846
PD JUN 2017
PY 2017
AB Objective
   To characterize unprofessional content on public Facebook accounts of
   contemporary US urology residency graduates.
   Methods
   Facebook was queried with the names of all urologists who graduated from
   US urology residency programmes in 2015 to identify publicly accessible
   profiles. Profiles were assessed for unprofessional or potentially
   objectionable content using a prospectively designed rubric, based on
   professionalism guidelines by the American Urological Association, the
   American Medical Association, and the Accreditation Council for Graduate
   Medical Education. Content authorship (self vs other) was determined,
   and profiles were reviewed for self-identification as a urologist.
   Results
   Of 281 graduates, 223 (79%) were men and 267 (95%) held MD degrees. A
   total of 201 graduates (72%) had publicly identifiable Facebook
   profiles. Of these, 80 profiles (40%) included unprofessional or
   potentially objectionable content, including 27 profiles (13%)
   reflecting explicitly unprofessional behaviour, such as depictions of
   intoxication, uncensored profanity, unlawful behaviour, and confidential
   patient information. When unprofessional content was found, the content
   was self-authored in 82% of categories. Among 85 graduates (42%) who
   self-identified as a urologist on social media, nearly half contained
   concerning content. No differences in content were found between men and
   women, MD and DO degree-holders, or those who did or did not identify as
   a urologist (all P > 0.05).
   Conclusion
   The majority of recent residency graduates had publicly accessible
   Facebook profiles, and a substantial proportion contained self-authored
   unprofessional content. Of those identifying as urologists on Facebook,
   approximately half violated published professionalism guidelines.
   Greater awareness of trainees' online identities is needed.
ZS 0
ZB 7
TC 36
ZR 0
Z8 0
ZA 0
Z9 36
U1 0
U2 4
SN 1464-4096
EI 1464-410X
UT WOS:000401802300021
PM 28393475
ER

PT J
AU Pietrosimone, Brian
   Blackburn, J. Troy
   Golightly, Yvonne M.
   Harkey, Matthew S.
   Luc, Brittney A.
   DeFreese, J. D.
   Padua, Darin A.
   Jordan, Joanne M.
   Bennell, Kim L.
TI Certified Athletic Trainers' Knowledge and Perceptions of Posttraumatic
   Osteoarthritis After Knee Injury
SO JOURNAL OF ATHLETIC TRAINING
VL 52
IS 6
BP 541
EP 559
DI 10.4085/1062-6050-51.2.13
PD JUN 2017
PY 2017
AB Context: Posttraumatic osteoarthritis (PTOA) is a specific phenotype of
   osteoarthritis (OA) that commonly develops after acute knee injury, such
   as anterior cruciate ligament (ACL) or meniscal injury (or both).
   Athletic trainers (ATs) are well positioned to educate patients and
   begin PTOA management during rehabilitation of the acute injury, yet it
   remains unknown if ATs currently prioritize long-term outcomes in
   patients with knee injury.
   Objective: To investigate ATs' knowledge and perceptions of OA and its
   treatment after ACL injury, ACL reconstruction, or meniscal injury or
   surgery.
   Design: Cross-sectional study.
   Patients or Other Participants: An online survey was administered to
   2000 randomly sampled certified ATs. We assessed participants'
   perceptions of knee OA, the risk of PTOA after ACL or meniscal injury or
   surgery, and therapeutic management of knee OA.
   Results: Of the 437 ATs who responded (21.9%), the majority (84.7%)
   correctly identified the definition of OA, and 60.3% indicated that they
   were aware of PTOA. A high percentage of ATs selected full meniscectomy
   (98.9%), meniscal tear (95.4%), ACL injury (90.2%), and partial
   meniscectomy (90.1%) as injuries that would increase the risk of
   developing OA. Athletic trainers rated undertaking strategies to prevent
   OA development in patients after ACL injury or reconstruction (73.8%) or
   meniscal injury or surgery (74.7%) as extremely or somewhat important.
   Explaining the risk of OA to patients with an ACL or meniscal injury was
   considered appropriate by 98.8% and 96.8% of respondents, respectively;
   yet a lower percentage reported that they actually explained these risks
   to patients after an ACL (70.8%) or meniscal injury (80.6%).
   Conclusions: Although 84.7% of ATs correctly identified the definition
   of OA, a lower percentage (60.3%) indicated awareness of PTOA. These
   results may reflect the need to guide ATs on how to educate patients
   regarding the long-term risks of ACL and meniscal injuries and how to
   implement strategies that may prevent PTOA.
RI DeFreese, Jonathan D/GVT-2609-2022; Harkey, Matthew/U-3966-2019; Padua, Darin/; Bennell, Kim/C-7022-2014; Golightly, Yvonne/; Luc, Bressollette/
OI Harkey, Matthew/0000-0002-3480-3173; Padua, Darin/0000-0002-9383-4236;
   Bennell, Kim/0000-0003-4982-5639; Golightly, Yvonne/0000-0003-1205-2759;
   Luc, Bressollette/0000-0002-8354-469X
ZB 1
ZR 0
ZA 0
TC 3
Z8 0
ZS 0
Z9 3
U1 0
U2 7
SN 1062-6050
EI 1938-162X
UT WOS:000404154700008
PM 27145097
ER

PT J
AU Siddhanamatha, Harish Rajashekarappa
   Heung, Eric
   Lopez-Olivo, Maria de los Angeles
   Abdel-Wahab, Noha
   Ojeda-Prias, Ana
   Willcockson, Irmgard
   Leong, Amye
   Suarez-Almazor, Maria Eugenia
TI Quality assessment of websites providing educational content for
   patients with rheumatoid arthritis
SO SEMINARS IN ARTHRITIS AND RHEUMATISM
VL 46
IS 6
BP 715
EP 723
DI 10.1016/j.semarthrit.2017.01.006
PD JUN 2017
PY 2017
AB Objective: We performed an environmental scan of currently available
   websites providing educational information about rheumatoid arthritis
   (RA) and evaluated the quality of these websites.
   Methods: We searched three separate search engines, Google, Bing, and
   Ask.com, on August 27, 2015, using two search terms, "arthritis" and
   "rheumatoid." Only patient education websites were included. Two
   independent investigators evaluated the accuracy, completeness,
   technical elements, design and esthetics, readability, usability, and
   accessibility of the websites. The navigation experience was also
   evaluated by an adult training expert.
   Results: We identified 46 websites. Nearly all websites (98%) provided
   accurate information. However, no website covered all essential RA
   topics. Common essential topics not covered included epidemiology,
   pathogenesis, treatment and disease monitoring, complications,
   self-management, risks and benefits of treatment, prognosis, treatment
   adherence, questions for patients to ask their doctors, and costs. For
   the technical elements, all websites disclosed their ownership, but the
   date that the content was last updated was mentioned in only 10
   websites, ranging from 2007 to 2015. The mean reading level was grade
   12.1 (standard deviation +/- 2.3). Most websites (78%) were easy to
   navigate but only 33% were friendly for people with visual and/or
   hearing impairments. The navigation experience was rated fair or poor in
   41% of the websites.
   Conclusion: Current patient information on the Internet does not
   comprehensively address all educational needs of patients with RA, and
   is often outdated. The findings from our study highlight potential areas
   for improvement in online education materials for patients with RA. (C)
   2017 Published by Elsevier Inc.
RI Lopez-Olivo, Maria/AAD-6510-2019
OI Lopez-Olivo, Maria/0000-0002-5165-8393
Z8 0
TC 11
ZB 4
ZA 0
ZR 0
ZS 0
Z9 11
U1 2
U2 14
SN 0049-0172
EI 1532-866X
UT WOS:000403197900005
PM 28258768
ER

PT J
AU Shatnawi, Aymen
   Latif, David A.
TI A qualitative assessment of West Virginia pharmacist activities and
   attitude in diabetes management
SO JOURNAL OF EVALUATION IN CLINICAL PRACTICE
VL 23
IS 3
BP 586
EP 592
DI 10.1111/jep.12677
PD JUN 2017
PY 2017
AB Aims and objectives The role of pharmacists in chronic disease state
   management has been shown to significantly improve patient health
   outcomes and reduce overall health care costs. The current study is
   designed to assess the roles and attitudes of West Virginia (WV)
   pharmacists toward diabetes, evaluate services provided, address
   pharmacist clinical understanding and training, and demonstrate the
   challenges that limit pharmacists ability to deliver an efficient
   disease state management.
   Methods We invited 435 preceptors affiliated with the University of
   Charleston School of Pharmacy to participate in the study using
   Qualtrics online survey software. The survey was divided into sections
   related to pharmacists, practice environment, pharmacist's roles in
   diabetes management, and challenges faced that limit their ability to
   deliver effective care to diabetic patients. Data were analyzed using
   1-way analysis of variance, and a P value <=.05 was considered
   statistically significant.
   Results Of all eligible invited preceptors, 104 accessed the online
   survey based on the Qualtrics tracking tool, while 58 participated in
   the survey with a 56% response rate. Generally, WV pharmacists have
   positive attitudes regarding the provision of primary activities related
   to drug use and its associated problems. However, we report that WV
   pharmacists are less involved in providing education or recommendations
   regarding diabetes-associated risk factors such as nephropathy,
   retinopathy, foot care, and gastroparesis. In addition, the majority of
   pharmacists indicated that they face many challenges related to patient
   and the practice site environment that limit their ability to provide
   optimum diabetes patient care services.
   Conclusion Despite the mounting evidence that pharmacists can improve
   diabetic patient outcomes while significantly reducing overall costs, WV
   pharmacists are less involved in providing education or counseling in a
   variety of areas related to disease state management. In addition,
   identifying pharmacist challenges provides significant information for
   future planning toward improving diabetic patient care.
RI shatnawi, Aymen/AAF-5661-2020
ZS 0
ZB 2
ZR 0
TC 7
Z8 0
ZA 0
Z9 7
U1 0
U2 8
SN 1356-1294
EI 1365-2753
UT WOS:000405212600017
PM 27882650
ER

PT J
AU Brown, Clare L.
   Reygate, Katie
   Slee, Ann
   Coleman, Jamie J.
   Pontefract, Sarah K.
   Bates, David W.
   Husband, Andrew K.
   Watson, Neil
   Slight, Sarah P.
TI A literature review of the training offered to qualified prescribers to
   use electronic prescribing systems: why is it so important?
SO INTERNATIONAL JOURNAL OF PHARMACY PRACTICE
VL 25
IS 3
SI SI
BP 195
EP 202
DI 10.1111/ijpp.12296
PD JUN 2017
PY 2017
AB Objectives A key element of the implementation and ongoing use of an
   electronic prescribing (ePrescribing) system is ensuring that users are,
   and remain, sufficiently trained to use the system. Studies have
   suggested that insufficient training is associated with suboptimal use.
   However, it is not clear from these studies how clinicians are trained
   to use ePrescribing systems or the effectiveness of different
   approaches. We sought to describe the various approaches used to train
   qualified prescribers on ePrescribing systems and to identify whether
   users were educated about the pitfalls and challenges of using these
   systems.
   Methods We performed a literature review, using a systematic approach
   across three large databases: Cumulative Index Nursing and Allied Health
   Literature, Embase and Medline were searched for relevant English
   language articles. Articles that explored the training of qualified
   prescribers on ePrescribing systems in a hospital setting were included.
   Key findings Our search of `all training' approaches returned 1155
   publications, of which seven were included. A separate search of
   `online' training found three relevant publications. Training methods in
   the `all training' category included clinical scenarios, demonstrations
   and assessments. Regarding `online' training approaches; a team at the
   University of Victoria in Canada developed a portal containing simulated
   versions of electronic health records, where individuals could prescribe
   for fictitious patients. Educating prescribers about the challenges and
   pitfalls of electronic systems was rarely discussed.
   Conclusions A number of methods are used to train prescribers; however,
   the lack of papers retrieved suggests a need for additional studies to
   inform training methods.
RI Bates, David/AAE-7283-2019; Husband, Andrew Kenneth/AAQ-1191-2020; Slight, Sarah P/; Watson, Neil/; Pontefract, Sarah Katie/; Coleman, Jamie/
OI Husband, Andrew Kenneth/0000-0001-8162-8278; Slight, Sarah
   P/0000-0002-0339-846X; Watson, Neil/0000-0002-5024-8456; Pontefract,
   Sarah Katie/0000-0002-0344-4075; Coleman, Jamie/0000-0002-7512-5153
ZB 0
TC 5
ZA 0
ZR 0
ZS 0
Z8 0
Z9 5
U1 0
U2 4
SN 0961-7671
EI 2042-7174
UT WOS:000405391400003
PM 27488258
ER

PT J
AU Rachman-Elbaum, Shelly
   Stark, Aliza H.
   Kachal, Josefa
   Johnson, Teresa W.
   Porat-Katz, Bat Sheva
TI A New System of Documentation to Improve Dietitian - Physician Crosstalk
SO ISRAEL MEDICAL ASSOCIATION JOURNAL
VL 19
IS 6
BP 360
EP 364
PD JUN 2017
PY 2017
AB Background: Standardization of the dietetic care process allows for
   early identification of malnutrition and metabolic disorders,,
   interdisciplinary collaboration among the medical team, and improved
   quality of patient care. Globally, dietitians are adopting a nutrition
   care model that integrates national regulations with professional scope
   of practice. Currently, Israel lacks a standardized dietetic care
   process and documentation terminology.
   Objectives: To assess the utilization of a novel sectoral documentation
   system for nutrition care in Israel.
   Methods: Seventy dietitians working in 63 geriatric facilities completed
   an Online training program presenting the proposed
   patient-sectoral-model. Training was followed by submission of sample
   case studies from clinical practice or Completion of a case simulation.
   Application of the proposed Model was assessed by measuring the
   frequency participants implemented different sections of the model and
   responses to an approval questionnaire.
   Results: Fifty-four participants (77%) provided completed cases. Over
   80% of participants reported each step of the proposed dietary care
   process with 100% reporting the "nutrition diagnosis". Fifty-one
   dietitians (72.8%) completed the approval survey with the section On
   nutrition diagnosis receiving a highly favorable response (95%),
   indicating that the new documentation system was beneficial. Over 80% of
   participants rated the model useful in clinical practice.
   Conclusions: A sectoral approach for documenting dietetic care may be
   the ideal model for dietitians working in specific patient populations
   with the potential for improving interdisciplinary collaboration in
   patient care.
TC 1
Z8 0
ZS 0
ZR 0
ZA 0
ZB 1
Z9 1
U1 0
U2 4
SN 1565-1088
UT WOS:000405255400007
PM 28647933
ER

PT J
AU Kostyrka-Allchorne, Katarzyna
   Cooper, Nicholas R.
   Simpson, Andrew
TI The relationship between television exposure and children's cognition
   and behaviour: A systematic review
SO DEVELOPMENTAL REVIEW
VL 44
BP 19
EP 58
DI 10.1016/j.dr.2016.12.002
PD JUN 2017
PY 2017
AB The aim of this article is to systematically review the literature
   studying the association between television viewing and children's
   executive function, academic performance, attention, language and play.
   Using keywords: television, children, infants, attention, language,
   education and cognition, five online databases were searched.
   Seventy-six studies that met all the inclusion criteria were reviewed.
   The findings suggest the relationship between television viewing and
   children's development is complex. First, the likely effects of
   television may depend on children's individual characteristics, family
   and social context. Second, the features of television, such as content
   and editing pace, and the type of exposure (foreground or background)
   may affect outcomes. Specifically, watching high-quality educational
   content during preschool years improves children's basic academic skills
   and predicts subsequent positive academic performance. Conversely,
   television viewing in infancy is disruptive to play; it reduces the
   quality and quantity of child-parent interactions and is associated with
   inattentive/hyperactive behaviours, lower executive functions, and
   language delay, at least in the short-term. It remains unclear whether
   these interactions between television and cognition are long lasting.
   Future research should focus on the systematic investigation of the
   pathways that link particular components of television and the type of
   exposure with individual and contextual factors, to investigate their
   potential unique and combined effects on development. Researchers must
   also address the challenge of investigating the diverse and rapidly
   changing technologies to which the current generation of children are
   exposed.(C) 2017 Elsevier Inc. All rights reserved.
OI Cooper, Nicholas/0000-0002-4315-3299
ZA 0
ZB 18
ZS 3
ZR 4
TC 96
Z8 0
Z9 100
U1 12
U2 194
SN 0273-2297
EI 1090-2406
UT WOS:000399864300002
ER

PT J
AU Mason, Rose A.
   Schnitz, Alana G.
   Wills, Howard P.
   Rosenbloom, Raia
   Kamps, Debra M.
   Bast, Darcey
TI Impact of a Teacher-as-Coach Model: Improving Paraprofessionals Fidelity
   of Implementation of Discrete Trial Training for Students with
   Moderate-to-Severe Developmental Disabilities
SO JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
VL 47
IS 6
BP 1696
EP 1707
DI 10.1007/s10803-017-3086-4
PD JUN 2017
PY 2017
AB Ensuring educational progress for students with moderate-to-severe
   developmental disabilities requires exposure to well executed
   evidence-based practices. This necessitates that the special education
   workforce, including paraprofessionals, be well-trained. Yet evidence
   regarding effective training mechanisms for paraprofessionals is
   limited. A multiple baseline design across five teachers was used to
   evaluate the impact of online instructional modules and a Practice-Based
   Coaching (PBC) model with teacher-as-coach on their paraprofessionals'
   fidelity of discrete trial training (DTT). Implementation of the
   instructional modules yielded little to no change in paraprofessionals'
   DTT fidelity, however, a clear functional relation between PBC and
   improvement in paraprofessionals' fidelity of implementation of DTT was
   demonstrated. Implications for future research and practice are
   discussed.
RI Mason, Rose A/P-7079-2017; Schnitz, Alana/
OI Mason, Rose A/0000-0002-6447-9407; Schnitz, Alana/0000-0003-2768-7431
ZR 0
Z8 0
ZS 0
TC 11
ZB 0
ZA 0
Z9 11
U1 1
U2 5
SN 0162-3257
EI 1573-3432
UT WOS:000401460700010
PM 28293754
ER

PT J
AU Souza Barroso Vieira, Teresa Cristina
   Nakamura, Mary Uchiyama
   da Silva, Ivaldo
   Torloni, Maria Regina
   Ribeiro, Meireluci Costa
   Scanavino, Marco de Tubino
   de Souza, Eduardo
TI Experience of an online course on sexuality during pregnancy for
   residents
SO SEXUAL & REPRODUCTIVE HEALTHCARE
VL 12
BP 76
EP 81
DI 10.1016/j.srhc.2017.03.004
PD JUN 2017
PY 2017
AB Objective: Many obstetrics and gynecology (Ob/Gyn) residents report
   insufficient knowledge about female sexuality and this has a negative
   impact on their capacity to manage their patients. The aim of this study
   was to describe an online course about sexuality during pregnancy for
   Brazilian Ob/Gyn residents and evaluate their knowledge acquisition.
   Methods: This longitudinal educational intervention study involved 219
   Brazilian Ob/Gyn residents. The online course lasted 24 h (10 video
   lectures and discussion chats). Upon enrollment, the participants
   answered a questionnaire in regard to their training, attitudes and
   practices about sexuality during pregnancy. Participants' knowledge
   acquisition was assessed using a pre-and post-course test about
   sexuality during pregnancy. At the end of the course, participants were
   asked to evaluate their educational experience. Student's t and
   chi-square tests were used to analyze the pre-and post-course test
   scores. P values < 0.05 were considered statistically significant.
   Results: A total of 143 Ob/Gyns (65.3% of those enrolled) completed the
   course. At baseline, most participants reported that they did not have
   any sexology classes as undergraduates (62.5%) or in their residency
   (52.1%), and that they lacked specific knowledge in this area to manage
   their patients. Mean test scores increased significantly at the end of
   the course: 4.4 (+/- 1.6) versus 6.0 (+/- 1.3) (out of a maximum score
   of 10), before and after the course, respectively (p < 0,0001). Most of
   the residents rated the overall quality of the course as "higher than
   expected".
   Conclusion: An online course for Ob/Gyn residents was associated with a
   significant increase in knowledge about sexuality during pregnancy. (C)
   2017 Elsevier B.V. All rights reserved.
RI Silva, Ivaldo/E-4143-2012; Scanavino, Marco D T/F-5087-2012; Ribeiro, Meireluci Costa/
OI Silva, Ivaldo/0000-0002-2370-943X; Scanavino, Marco D
   T/0000-0003-3485-3805; Ribeiro, Meireluci Costa/0000-0003-3326-2720
ZS 1
ZR 0
Z8 0
TC 5
ZA 0
ZB 0
Z9 5
U1 1
U2 13
SN 1877-5756
EI 1877-5764
UT WOS:000401884100013
PM 28477936
ER

PT J
AU Emmert, Martin
   Schlesinger, Mark
TI Hospital Quality Reporting in the United States: Does Report Card Design
   and Incorporation of Patient Narrative Comments Affect Hospital Choice?
SO HEALTH SERVICES RESEARCH
VL 52
IS 3
BP 933
EP 958
DI 10.1111/1475-6773.12519
PD JUN 2017
PY 2017
AB Objective. To explore the impact of hospital report card design and
   incorporation of patient narrative comments on consumers' choices of
   hospitals. Data Sources. Primary data collected from an online survey
   with 1,350 respondents in February, 2015.
   Study Design. A randomized 2 (narrative comments: yes, no) 9 3 (design:
   representation of clinical performance in textual, star, numerical
   formats) between-subject online-based cross-sectional experiment.
   Principal Findings. In 51 percent of all cases, respondents selected the
   hospital with the best clinical results. Report cards with a numerical
   design induced choices more focused on clinical ratings (56.0 percent
   chose the highest rated hospital) than those with textual information
   (48.1 percent) or star ratings (47.3 percent) (p < .001). Report cards
   without narrative comments (49.7 percent) and with narratives (51.4
   percent) were not associated with significant difference in selecting
   top-rated clinical hospitals (p = .376). But there were significant
   interactions affecting choice of hospitals among exposure to narratives,
   formatting of clinical performance, and respondents' education.
   Conclusions. Consumers have a difficult time synthesizing quality data
   in various formats. Hospital report cards continue to pose challenging
   choices, especially for those with limited education. Narrative comments
   in their earliest emerging forms do not seem to be altering hospital
   choice as much as the literature has suggested for other providers, but
   they may have consequential impact on the choices of certain subsets of
   consumers.
OI Emmert, Martin/0000-0002-0154-6641
Z8 0
ZA 0
ZR 0
TC 14
ZB 0
ZS 0
Z9 14
U1 1
U2 8
SN 0017-9124
EI 1475-6773
UT WOS:000404479400004
PM 27324087
ER

PT J
AU Kwok, Edmund S. H.
   Calder, Lisa A.
   Barlow-Krelina, Emily
   Mackie, Craig
   Seely, Andrew J. E.
   Cwinn, A. Adam
   Worthington, James R.
   Frank, Jason R.
TI Implementation of a structured hospital-wide morbidity and mortality
   rounds model
SO BMJ QUALITY & SAFETY
VL 26
IS 6
BP 439
EP 448
DI 10.1136/bmjqs-2016-005459
PD JUN 2017
PY 2017
AB Importance There is a paucity of literature on the quality and
   effectiveness of institutional morbidity & mortality (M&M) rounds
   processes.
   Objective We sought to implement and evaluate the effectiveness of a
   hospital-wide structured M&M rounds model at improving the quality of
   M&M rounds across multiple specialties.
   Design, setting, participants We conducted a prospective interventional
   study involving 24 clinical groups (1584 physicians) at a tertiary care
   teaching hospital from January 2013 to June 2015.
   Intervention We implemented the published Ottawa M&M Model (OM3):
   appropriate case selection, cognitive/system issues analyses,
   interprofessional participation, dissemination of lessons and effector
   mechanisms.
   Main outcomes and measures We created an OM3 scoring index reflecting
   these elements to measure the quality of M&M rounds. Secondary outcomes
   include explicit discussions of cognitive/system issues and resultant
   action items.
   Results OM3 scores for all participating groups improved significantly
   from a median of 12.0/24 (95% CI 10 to 14) to 20.0/24 (95% CI 18 to 21).
   An increased frequency of in-rounds discussion around cognitive biases
   (pre 154/417 (37%), post 256/466 (55%); p < 0.05) and system issues (pre
   175/417 (42%), post 259/466 (62%); p < 0.05) were reported by
   participants via online surveys postintervention, while in-person
   surveys throughout the intervention period demonstrated even higher
   frequencies (cognitive biases 1222/1437 (85%); system issues 1250/1437
   (87%)). We found 45 action items resulting directly from M&M rounds
   postintervention, compared with none preintervention.
   Conclusions and relevance Implementation of a structured model enhanced
   the quality of M&M rounds with demonstrable policy improvements hospital
   wide. The OM3 can be feasibly implemented at other hospitals to
   effectively improve quality of M&M rounds across different specialties.
OI Kwok, Edmund/0000-0003-2339-1019; Frank, Jason/0000-0002-6076-0146
TC 26
Z8 0
ZS 0
ZA 0
ZB 3
ZR 0
Z9 26
U1 0
U2 5
SN 2044-5415
EI 2044-5423
UT WOS:000403565800003
PM 27358230
ER

PT J
AU Dubosh, Nicole M.
   Fisher, Jonathan
   Lewis, Jason
   Ullman, Edward A.
TI FACULTY EVALUATIONS CORRELATE POORLY WITH MEDICAL STUDENT EXAMINATION
   PERFORMANCE IN A FOURTH-YEAR EMERGENCY MEDICINE CLERKSHIP
SO JOURNAL OF EMERGENCY MEDICINE
VL 52
IS 6
BP 850
EP 855
DI 10.1016/j.jemermed.2016.09.018
PD JUN 2017
PY 2017
AB Background: Clerkship directors routinely evaluate medical students
   using multiple modalities, including faculty assessment of clinical
   performance and written examinations. Both forms of evaluation often
   play a prominent role in final clerkship grade. The degree to which
   these modalities correlate in an emergency medicine ( EM) clerkship is
   unclear. Objective: We sought to correlate faculty clinical evaluations
   with medical student performance on a written, standardized EM
   examination of medical knowledge. Methods: This is a retrospective study
   of fourth-year medical students in a 4-week EM elective at one academic
   medical center. EM faculty performed end of shift evaluations of
   students via a blinded online system using a 5-point Likert scale for 8
   domains: data acquisition, data interpretation, medical knowledge base,
   professionalism, patient care and communication,
   initiative/reliability/dependability, procedural skills, and overall
   evaluation. All students completed the National EM M4 Examination in EM.
   Means, medians, and standard deviations for end of shift evaluation
   scores were calculated, and correlations with examination scores were
   assessed using a Spearman's rank correlation coefficient. Results:
   Thirty-nine medical students with 224 discrete faculty evaluations were
   included. The median number of evaluations completed per student was 6.
   The mean score (+/- SD) on the examination was 78.6% +/- 6.1%. The
   examination score correlated poorly with faculty evaluations across all
   domains (rho 0.074-0.316). Conclusion: Faculty evaluations ofmedical
   students across multiple domains of competency correlate poorly with
   written examination performance during an EM clerkship. Educators need
   to consider the limitations of examination score in assessing students'
   ability to provide quality patient clinical care. (C) 2016 Elsevier Inc.
   All rights reserved.
ZR 0
ZS 0
Z8 0
ZB 0
TC 3
ZA 0
Z9 3
U1 0
U2 2
SN 0736-4679
EI 1090-1280
UT WOS:000403570700023
PM 28341085
ER

PT J
AU John, Nadyah Janine
   Shelton, P. G.
   Lang, Michael C.
   Ingersoll, Jennifer
TI Training Psychiatry Residents in Professionalism in the Digital World
SO PSYCHIATRIC QUARTERLY
VL 88
IS 2
BP 263
EP 270
DI 10.1007/s11126-016-9473-8
PD JUN 2017
PY 2017
AB Professionalism is an abstract concept which makes it difficult to
   define, assess and teach. An additional layer of complexity is added
   when discussing professionalism in the context of digital technology,
   the internet and social media - the digital world. Current
   physicians-in-training (residents and fellows) are digital natives
   having been raised in a digital, media saturated world. Consequently,
   their use of digital technology and social media has been unconstrained
   - a reflection of it being integral to their social construct and
   identity. Cultivating the professional identity and therefore
   professionalism is the charge of residency training programs. Residents
   have shown negative and hostile attitudes to formalized professionalism
   curricula in training. Approaches to these curricula need to consider
   the learning style of Millennials and incorporate more active learning
   techniques that utilize technology. Reviewing landmark position papers,
   guidelines and scholarly work can therefore be augmented with use of
   vignettes and technology that are available to residency training
   programs for use with their Millennial learners.
Z8 0
ZS 0
ZA 0
TC 5
ZB 0
ZR 0
Z9 5
U1 0
U2 11
SN 0033-2720
EI 1573-6709
UT WOS:000400084200005
PM 27796921
ER

PT J
AU Pagano, Joshua
   Kyle, Brandon N.
   Johnson, Toni L.
   Saeed, Sy Atezaz
TI Training Psychiatry Residents in Psychotherapy: The Role of Manualized
   Treatments
SO PSYCHIATRIC QUARTERLY
VL 88
IS 2
BP 285
EP 294
DI 10.1007/s11126-016-9476-5
PD JUN 2017
PY 2017
AB Evidence-based treatment and manualized psychotherapy have a recent but
   rich history. As interest and research have progressed, defining the
   role of treatment manuals in resident training and clinical practice has
   become more important. Although there is not a universal definition of
   treatment manual, most clinicians and researchers agree that treatment
   manuals are an essential piece of evidence-based therapy, and that
   despite several limitations, they offer advantages in training residents
   in psychotherapy. Requirements for resident training in psychotherapy
   have changed over the years, and treatment manuals offer a simple and
   straightforward way to meet training requirements. In a search limited
   to only depression, two treatment manuals emerged with the support of
   research regarding both clinical practice and resident training. In
   looking toward the future, it will be important for clinicians to remain
   updated on further advances in evidence based manualized treatment as a
   tool for training residents in psychotherapy, including recent
   developments in online and smartphone based treatments.
OI Saeed, Sy/0000-0003-0217-8892
ZB 0
ZA 0
TC 3
ZR 0
ZS 0
Z8 0
Z9 3
U1 0
U2 6
SN 0033-2720
EI 1573-6709
UT WOS:000400084200007
PM 27785752
ER

PT J
AU Gottlieb, Michael
   Chan, Teresa M.
   Fredette, Jenna
   Messman, Anne
   Robinson, Daniel W.
   Cooney, Robert
   Boysen-Osborn, Megan
   Sherbino, Jonathan
TI Academic Primer Series: Five Key Papers about Study Designs in Medical
   Education
SO WESTERN JOURNAL OF EMERGENCY MEDICINE
VL 18
IS 4
BP 705
EP 712
DI 10.5811/westjem.2017.4.33906
PD JUN 2017
PY 2017
AB Introduction: A proper understanding of study design is essential to
   creating successful studies. This is also important when reading or peer
   reviewing publications. In this article, we aimed to identify and
   summarize key papers that would be helpful for faculty members
   interested in learning more about study design in medical education
   research.
   Methods: The online discussions of the 2016-2017 Academic Life in
   Emergency Medicine Faculty Incubator program included a robust and
   vigorous discussion about education study design, which highlighted a
   number of papers on that topic. We augmented this list of papers with
   further suggestions by expert mentors. Via this process, we created a
   list of 29 papers in total on the topic of medical education study
   design. After gathering these papers, our authorship group engaged in a
   modified Delphi approach to build consensus on the papers that were most
   valuable for the understanding of proper study design in medical
   education.
   Results: We selected the top five most highly rated papers on the topic
   domain of study design as determined by our study group. We subsequently
   summarized these papers with respect to their relevance to junior
   faculty members and to faculty developers.
   Conclusion: This article summarizes five key papers addressing study
   design in medical education with discussions and applications for junior
   faculty members and faculty developers. These papers provide a basis
   upon which junior faculty members might build for developing and
   analyzing studies.
RI Gottlieb, Michael/K-3804-2019; Chan, Teresa/T-6676-2017; Cooney, Robert/U-5368-2019; Cooney, Robert/
OI Gottlieb, Michael/0000-0003-3276-8375; Chan, Teresa/0000-0001-6104-462X;
   Cooney, Robert/0000-0003-0665-0154
TC 10
ZA 0
ZR 0
ZB 0
Z8 0
ZS 0
Z9 10
U1 1
U2 4
SN 1936-900X
EI 1936-9018
UT WOS:000412223200021
PM 28611892
ER

PT J
AU Cooney, Robert
   Chan, Teresa M.
   Gottlieb, Michael
   Abraham, Michael
   Alden, Sylvia
   Mongelluzzo, Jillian
   Pasirstein, Michael
   Sherbino, Jonathan
TI Academic Primer Series: Key Papers About Competency-Based Medical
   Education
SO WESTERN JOURNAL OF EMERGENCY MEDICINE
VL 18
IS 4
BP 713
EP 720
DI 10.5811/westjem.2017.3.33409
PD JUN 2017
PY 2017
AB Introduction: Competency-based medical education (CBME) presents a
   paradigm shift in medical training. This outcome-based education
   movement has triggered substantive changes across the globe. Since this
   transition is only beginning, many faculty members may not have
   experience with CBME nor a solid foundation in the grounding literature.
   We identify and summarize key papers to help faculty members learn more
   about CBME.
   Methods: Based on the online discussions of the 2016-2017 ALiEM Faculty
   Incubator program, a series of papers on the topic of CBME was
   developed. Augmenting this list with suggestions by a guest expert and
   by an open call on Twitter for other important papers, we were able to
   generate a list of 21 papers in total. Subsequently, we used a modified
   Delphi study methodology to narrow the list to key papers that describe
   the importance and significance for educators interested in learning
   about CBME. To determine the most impactful papers, the mixed junior and
   senior faculty authorship group used three-round voting methodology
   based upon the Delphi method.
   Results: Summaries of the five most highly rated papers on the topic of
   CBME, as determined by this modified Delphi approach, are presented in
   this paper. Major themes include a definition of core CBME themes, CBME
   principles to consider in the design of curricula, a history of the
   development of the CBME movement, and a rationale for changes to
   accreditation with CBME. The application of the study findings to junior
   faculty and faculty developers is discussed.
   Conclusion: We present five key papers on CBME that junior faculty
   members and faculty experts identified as essential to faculty
   development. These papers are a mix of foundational and explanatory
   papers that may provide a basis from which junior faculty members may
   build upon as they help to implement CBME programs.
RI Cooney, Robert/U-5368-2019; Chan, Teresa/T-6676-2017; Gottlieb, Michael/K-3804-2019; Cooney, Robert/
OI Chan, Teresa/0000-0001-6104-462X; Gottlieb, Michael/0000-0003-3276-8375;
   Cooney, Robert/0000-0003-0665-0154
TC 13
ZR 0
ZS 0
ZB 1
Z8 0
ZA 0
Z9 13
U1 0
U2 6
SN 1936-900X
EI 1936-9018
UT WOS:000412223200022
PM 28611893
ER

PT J
AU Yarris, Lalena M.
   Gottlieb, Michael
   Scott, Kevin
   Sampson, Christopher
   Rose, Emily
   Chan, Teresa M.
   Ilgen, Jonathan
TI Academic Primer Series: Key Papers About Peer Review
SO WESTERN JOURNAL OF EMERGENCY MEDICINE
VL 18
IS 4
BP 721
EP 728
DI 10.5811/westjem.2017.2.33430
PD JUN 2017
PY 2017
AB Introduction: Peer review, a cornerstone of academia, promotes rigor and
   relevance in scientific publishing. As educators are encouraged to adopt
   a more scholarly approach to medical education, peer review is becoming
   increasingly important. Junior educators both receive the reviews of
   their peers, and are also asked to participate as reviewers themselves.
   As such, it is imperative for junior clinician educators to be
   well-versed in the art of peer reviewing their colleagues' work. In this
   article, our goal was to identify and summarize key papers that may be
   helpful for faculty members interested in learning more about the
   peer-review process and how to improve their reviewing skills.
   Methods: The online discussions of the 2016-17 Academic Life in
   Emergency Medicine (ALiEM) Faculty Incubator program included a robust
   discussion about peer review, which highlighted a number of papers on
   that topic. We sought to augment this list with further suggestions by
   guest experts and by an open call on Twitter for other important papers.
   Via this process, we created a list of 24 total papers on the topic of
   peer review. After gathering these papers, our authorship group engaged
   in a consensus-building process incorporating Delphi methods to identify
   the papers that best described peer review, and also highlighted
   important tips for new reviewers.
   Results: We found and reviewed 24 papers. In our results section, we
   present our authorship group's top five most highly rated papers on the
   topic of peer review. We also summarize these papers with respect to
   their relevance to junior faculty members and to faculty developers.
   Conclusion: We present five key papers on peer review that can be used
   for faculty development for novice writers and reviewers. These papers
   represent a mix of foundational and explanatory papers that may provide
   some basis from which junior faculty members might build upon as they
   both undergo the peer-review process and act as reviewers in turn.
RI Gottlieb, Michael/K-3804-2019; Chan, Teresa/T-6676-2017; Scott, Kevin/ABE-5066-2020; Azer, Samy A./C-8485-2009
OI Gottlieb, Michael/0000-0003-3276-8375; Chan, Teresa/0000-0001-6104-462X;
   Azer, Samy A./0000-0001-5638-3256
Z8 0
ZR 0
ZA 0
ZB 1
TC 17
ZS 0
Z9 17
U1 0
U2 5
SN 1936-900X
EI 1936-9018
UT WOS:000412223200023
PM 28611894
ER

PT J
AU Boysen-Osborn, Megan
   Cooney, Robert
   Gottlieb, Michael
   Chan, Teresa M.
   Brown, Aaron
   King, Andrew
   Tobias, Adam
   Thoma, Brent
TI Academic Primer Series: Key Papers About Teaching with Technology
SO WESTERN JOURNAL OF EMERGENCY MEDICINE
VL 18
IS 4
BP 729
EP 736
DI 10.5811/westjem.2017.2.33076
PD JUN 2017
PY 2017
AB Introduction: Modern learners have immediate, unlimited access to a wide
   variety of online resources. To appeal to this current generation of
   learners, educators must embrace the use of technology. However,
   educators must balance newer, novel technologies with traditional
   methods to achieve the best learning outcomes. Therefore, we aimed to
   review several papers useful for faculty members wishing to incorporate
   technology into instructional design.
   Methods: We identified a broad list of papers relevant to teaching and
   lea rning with technology within the online discussions of the Academic
   Life in Emergency Medicine (ALiEM) Faculty Incubator. This list was
   augmented with suggestions by a guest expert (BT) and an open call on
   Twitter (tagged with the # meded and # FOAMed hashtags) yielding 24
   papers. We then conducted a modified three-round Delphi process within
   the autho rship group, including junior and senior faculty members, to
   identify the most impactful papers.
   Results: We pared the list of 24 papers to five that were most highly
   rate d. Two were research papers and three were commentaries or
   editorials. The authorship group reviewed and summarized these papers
   with specific consideration to their val ue to junior educators and
   faculty developers.
   Conclusion: This is a key reading list for junior faculty members and
   faculty developers interested in teaching with technology. The
   commentary contextualizes the importance of these papers for medical
   educators, to optimize use of technology in their teaching or
   incorporate into faculty development.
RI Chan, Teresa/T-6676-2017; Thoma, Brent/ABI-2642-2020; Cooney, Robert/U-5368-2019; Gottlieb, Michael/K-3804-2019; Cooney, Robert/
OI Chan, Teresa/0000-0001-6104-462X; Gottlieb, Michael/0000-0003-3276-8375;
   Cooney, Robert/0000-0003-0665-0154
ZR 0
ZS 0
ZA 0
ZB 0
TC 8
Z8 0
Z9 8
U1 1
U2 6
SN 1936-900X
EI 1936-9018
UT WOS:000412223200024
PM 28611895
ER

PT J
AU Keller, Eric J.
   Mcgee, Katherine A.
   Resnick, Scott A.
   Trerotola, Scott O.
   Valji, Karim
   Johnson, Matthew S.
   Collins, Jeremy D.
   Vogelzang, Robert L.
TI Who We Are and What We Can Become: An Analysis of Professional Identity
   Formation in IR
SO JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
VL 28
IS 6
BP 850
EP 856
DI 10.1016/j.jvir.2017.02.006
PD JUN 2017
PY 2017
AB Purpose: To characterize the unique experiences, values, and
   perspectives of interventional radiology (IR) fellows.
   Materials and Methods: Sixteen fellows from 4 US vascular and IR
   programs were interviewed within 2 months of beginning and 2-3 months
   following their 2015-2016 fellowships about patient interactions,
   training experiences, and views of IR and other specialties. Interviews
   were systematically analyzed for dominant themes by using constructivist
   grounded theory. Four interviews with 2015-2016 interventional
   cardiology fellows,. 16 interviews with IR attending physicians, and
   online descriptions of IR were also analyzed for context. Themes were
   compared qualitatively and quantitatively.
   Results: Interobserver agreement was good for interview themes (kappa =
   0.70; P < .0001). IR fellows' professional identity emerged primarily
   from radiologic and surgical interests, with distinct emphasis On-being
   "innovators," "thinking differently," and "needing to adapt and
   advertise abilities to survive." Fellows' descriptions of patient care
   were more clinically focused than past interviews-with attending
   physicians (P = .05), but clinical interests common in medical
   specialties were limited, and descriptions of "nonprocedural patient
   care" were primarily periprocedural (81%). Descriptions of the future of
   the field conveyed competing pressures, loose role definition, and
   disconnect between academic and private-practice IR.
   Conclusions: IR fellows share professional interests, views of their
   field and others, and descriptions of patient care, but there is
   uncertainty regarding future roles of the specialty and a need for more
   specific and unified definitions of nonprocedural patient care in TR.
OI Keller, Eric/0000-0003-4327-483X
ZA 0
TC 0
Z8 0
ZR 0
ZS 0
ZB 0
Z9 0
U1 0
U2 7
SN 1051-0443
EI 1535-7732
UT WOS:000403132500012
PM 28292636
ER

PT J
AU Martinez-Cayuelas, Elena
   Ibanez-Mico, Salvador
   Cean-Cabrera, Lourdes
   Domingo-Jimenez, Rosario
   Alarcon-Martinez, Helena
   Martinez-Salcedo, Eduardo
TI Level of training in autistic spectrum disorders among hospital
   paediatricians
SO ANALES DE PEDIATRIA
VL 86
IS 6
BP 329
EP 336
DI 10.1016/j.anpedi.2016.05.005
PD JUN 2017
PY 2017
AB Background: Training in autistic spectrum disorders is crucial in order
   to achieve an early diagnosis. However, the number of papers describing
   this training is limited. This study describes this level of knowledge
   among paediatricians from tertiary care hospitals in different regions
   of Spain and detects areas that need improvement.
   Material and method: A total of one hundred and fifty-seven (157)
   paediatricians working in tertiary healthcare hospitals located in three
   different regions in Spain consented to complete an online questionnaire
   divided in three sections (socio-demographic, knowledge about childhood
   autism, and opinion). Data were analysed using SPSS version 15.
   Results: The total mean score of participating paediatricians in the
   questionnaire was 20.34 (2.43 SD) out of a total possible score of 23.
   Approximately two-thirds (65%) of paediatricians scored more or equal to
   the mean score. The knowledge gap was found to be higher with symptoms
   of repetitive behaviour patterns, concept of autism, and comorbidity,
   with no statistical significance. There were no differences in
   paediatrician scores within different sociodemographic groups. Just
   under two-thirds (64%) of paediatricians subscribed to the opinion that
   their own knowledge about autism is limited, and there is a significant
   lack of knowledge about facilities in every region.
   Conclusions: There is a sufficient level of knowledge about autism among
   paediatricians in tertiary healthcare, although a lack of awareness
   about the management of these patients, with poor coordination between
   the different specialists that are involved in their treatment. Efforts
   should focus on achieving a better coordination between these
   specialists, and update the knowledge gaps identified. (C) 2016
   Asociacian Espanola de Pediatria. Published by Elsevier Espana, S.L.U.
   All rights reserved.
RI Cabrera, Lourdes Cean/AAK-8585-2021
OI Cabrera, Lourdes Cean/0000-0001-5648-0064
ZR 0
TC 1
ZB 0
Z8 0
ZA 0
ZS 0
Z9 1
U1 0
U2 6
SN 1695-4033
EI 1695-9531
UT WOS:000403131300006
PM 27325257
ER

PT J
AU Taylor, Elizabeth Johnston
   Mamier, Iris
   Ricci-Allegra, Patricia
   Foith, Joanne
TI Self-reported frequency of nurse-provided spiritual care
SO APPLIED NURSING RESEARCH
VL 35
BP 30
EP 35
DI 10.1016/j.apnr.2017.02.019
PD JUN 2017
PY 2017
AB Aim: To describe how frequently RNs provide 17 spiritual care
   therapeutics (or interventions) during a 72-80 h timeframe.
   Background: Plagued by conceptual muddiness as well as weak methods,
   research quantifying the frequency of spiritual care is not only
   methodologically limited, but also sparse.
   Methods: Secondary analysis of data from four studies that used the
   Nurse Spiritual Care Therapeutics Scale (NSCTS). Data from US American
   RNs who responded to online surveys about spiritual care were analyzed.
   The four studies included intensive care unit nurses in Ohio (n = 93),
   hospice and palliative care nurses across the US (n = 104), nurses
   employed in a Christian health care system (n = 554), and nurses
   responding to an invitation to participate found on a journal website (n
   = 279).
   Results: The NSCTS mean of 38 (with a range from 17 to 79 [of 85
   possible]) suggested respondents include spiritual care therapeutics
   infrequently in their nursing care. Particularly concerning is the
   finding that 17-33% (depending on NSCTS item) never completed a
   spiritual screening during the timeframe. "Remaining present just to
   show caring" was the most frequent therapeutic (3.4 on a 5-point scale);
   those who practiced presence at least 12 times during the timeframe
   provided other spiritual care therapeutics more frequently than those
   who offered presence less frequently.
   Conclusion: Findings affirm previous research that suggests nurses
   provide spiritual care infrequently. These findings likely provide the
   strongest evidence yet for the need to improve spiritual care education
   and support for nurses. (C) 2017 Elsevier Inc. All rights reserved.
RI Mamier, Iris/B-9469-2013
OI Mamier, Iris/0000-0002-4535-9717
Z8 0
ZS 1
ZA 0
TC 30
ZB 1
ZR 0
Z9 31
U1 0
U2 21
SN 0897-1897
EI 1532-8201
UT WOS:000402784500006
PM 28532723
ER

PT J
AU Lam, Austin S.
   Wise, Sarah K.
   Dedhia, Raj C.
TI Practice Patterns of Sleep Otolaryngologists at Training Institutions in
   the United States
SO OTOLARYNGOLOGY-HEAD AND NECK SURGERY
VL 156
IS 6
BP 1025
EP 1031
DI 10.1177/0194599816671699
PD JUN 2017
PY 2017
AB Objective To assess the practice characteristics of adult sleep
   otolaryngologists within US otolaryngology residency training programs.
   Study Design Cross-sectional online survey.
   Setting Otolaryngology residency training programs.
   Subjects and Methods Program directors from 106 otolaryngology training
   programs in the United States were contacted. Program directors were
   instructed to forward a survey to otolaryngologists within the
   institution who provided Accreditation Council for Graduate Medical
   Education (ACGME) Otolaryngology Milestone Project feedback in
   sleep-disordered breathing. The survey assessed demographics,
   nonsurgical practices, and surgical/procedural practices of adult sleep
   otolaryngologists. Data were collected and analyzed.
   Results Forty-six surveys met inclusion criteria, representing 40 of 106
   (38%) programs. Ninety-three percent of respondents reported that
   residents gained a significant portion of their sleep medicine training
   from themselves (ie, the respondents), yet only 36% of respondents spent
   50% of their time on sleep medicine/surgery. Forty-one percent reported
   being board certified in sleep, with 18% having completed an ACGME
   fellowship in sleep medicine. Respondents with board certification were
   more likely to spend greater portions of their practice on sleep
   medicine/surgery, (2)(3, n = 44) = 23.161 (P < .001), treat
   non-obstructive sleep apnea sleep disorders (13 of 18 vs 1 of 26, P <
   .001), interpret polysomnograms (13 of 17 vs 1 of 15, P < .001), and
   perform drug-induced sleep endoscopy, (2)(1, n = 43) = 5.43, (P = .02).
   A similar pattern was seen with stratification by ACGME sleep medicine
   fellowship.
   Conclusion This study highlights the variance in practice patterns among
   sleep otolaryngologists who instruct residents. Board certification and
   fellowship training in sleep medicine significantly influence breadth of
   trainee exposure to this field. The highly disparate trainee experiences
   to sleep otolaryngology across US programs require attention.
OI Lam, Austin/0000-0002-2297-6376
ZB 0
ZA 0
ZR 0
Z8 0
TC 4
ZS 0
Z9 4
U1 1
U2 1
SN 0194-5998
EI 1097-6817
UT WOS:000402632000011
PM 27677599
ER

PT J
AU Polacco, Marc A.
   Lally, Jack
   Walls, Andrew
   Harrold, Linnea R.
   Malekzadeh, Sonya
   Chen, Eunice Y.
TI Digging into Debt: The Financial Burden Associated with the
   Otolaryngology Match
SO OTOLARYNGOLOGY-HEAD AND NECK SURGERY
VL 156
IS 6
BP 1091
EP 1096
DI 10.1177/0194599816686538
PD JUN 2017
PY 2017
AB Objective To quantify the cost incurred during the match process for
   otolaryngology applicants, determine sources of expenditures, and
   highlight potential methods to alleviate financial burden of the match
   process.
   Study Design Cross-sectional.
   Study Setting Online survey.
   Subjects and Methods An electronic survey was sent via email to those
   who applied to the otolaryngology residency programs at
   Dartmouth-Hitchcock Medical Center and MedStar Georgetown University
   Hospital during the 2016 application cycle. Questions regarding
   demographics and experiences with the match were multiple choice, and
   questions regarding cost were open answer. Data were downloaded and
   analyzed on Excel and Minitab software.
   Results Twenty-eight percent of the total 370 applicants completed the
   survey. The mean cost of away rotations was $2500 (95% confidence
   interval [CI], $2224-$2776). With application fees and the cost of
   interviewing, the mean total cost of applying for the 2016
   otolaryngology match was $6400 (95% CI, $5710-$7090), with a total range
   of $1200 to $20,000. Twenty-eight percent of students did not have
   sufficient funds for applying and interviewing despite seeking out
   additional monetary resources.
   Conclusion In 2016, otolaryngology applicants spent a mean of $8900 (95%
   CI, $7935-$9865) on away rotations, applications, and interviewing. Half
   of the applicants obtained additional funding to cover this cost, while
   28% still did not have sufficient funding. Methods of decreasing cost
   may include instituting a cap on application number, videoconferencing
   interviews, regionalizing interviews, and adjusting the interview
   timeline.
RI Polacco, Marc/AAK-9975-2021
ZR 0
ZS 0
ZB 4
Z8 0
TC 17
ZA 0
Z9 17
U1 0
U2 0
SN 0194-5998
EI 1097-6817
UT WOS:000402632000025
PM 28116996
ER

PT J
AU Strelzow, Jason
   Petretta, Robert
   Broekhuyse, Henry M.
TI Factors affecting orthopedic residency selection: a cross-sectional
   survey
SO CANADIAN JOURNAL OF SURGERY
VL 60
IS 3
BP 186
EP 191
DI 10.1503/cjs.014915
PD JUN 2017
PY 2017
AB Background: Annually, orthopedic residency programs rank and recruit the
   best possible candidates. Little evidence exists identifying factors
   that potential candidates use to select their career paths. Recent
   literature from nonsurgical programs suggests hospital, social and
   program-based factors influence program selection. We sought to
   determine what factors influence the choice of an orthopedic career and
   a candidate's choice of orthopedic residency program.
   Methods: We surveyed medical student applicants to orthopedic programs
   and current Canadian orthopedic surgery residents (postgraduate year
   [PGY] 1-5). The confidential online survey focused on 3 broad categories
   of program selection: educational, program cohesion and noneducation
   factors. Questions were graded on a Likert Scale and tailed for mean
   scores.
   Results: In total, 139 residents from 11 of 17 Canadian orthopedic
   programs (49% response rate) and 23 medical student applicants (88%
   response rate) completed our survey. Orthopedic electives and mandatory
   rotations were reported by 71% of participants as somewhat or very
   important to their career choice. Collegiality among residents (4.70 +/-
   0.6), program being the "right fit" (4.65 +/- 0.53) and current resident
   satisfaction with their chosen program (4.63 +/- 0.66) were ranked with
   the highest mean scores on a 5-point Likert scale.
   Conclusion: There are several modifiable factors that residency programs
   may use to attract applicants, including early availability of clerkship
   rotations and a strong mentorship environment emphasizing both
   resident-resident and resident-staff cohesion. Desirable residency
   programs should develop early access to surgical and operative skills.
   These must be balanced with a continued emphasis on top-level orthopedic
   training.
RI Strelzow, Jason/H-8154-2019
OI Strelzow, Jason/0000-0002-1072-1595
TC 10
Z8 0
ZS 1
ZB 0
ZA 0
ZR 0
Z9 11
U1 0
U2 1
SN 0008-428X
EI 1488-2310
UT WOS:000402566800009
PM 28327273
ER

PT J
AU Arias Felipe, A.
   Domenech Garcia, J.
   Sanchez los Arcos, I.
   Luordo, D.
   Garcia Sanchez, F. J.
   Villanueva Martinez, J.
   Forero de la Sotilla, A.
   Villena Garrido, V.
   Torres Macho, J.
   de Casasola Sanchez, G. Garcia
TI Teaching the basics of echocardiography in the undergraduate: Students
   as mentors
SO REVISTA CLINICA ESPANOLA
VL 217
IS 5
BP 245
EP 251
DI 10.1016/j.rce.2017.02.006
PD JUN-JUL 2017
PY 2017
AB Objective: To analyse the ability of medical students to incorporate the
   practical teaching of basic echocardiography planes using a peer
   mentoring design.
   Methodology: Thirty-six medical students previously trained in obtaining
   echocardiography planes (mentors) taught the other 5th-year students (n
   = 126). The teaching methodology included three stages: theory (online
   course), basic training (three 15 h sessions of practical experience in
   ultrasound and at least 20 echocardiographic studies per mentor) and
   objective structured clinical assessment (OSCA), which scored the
   appropriateness of the basic ultrasound planes and the correct
   identification of 16 cardiac structures.
   Results: The students' weighted mean score in the OSCA was 8.66 +/- 1.98
   points (out of 10). Only 10 students (8.4%) scored less than 5, and 15
   (12.6%) scored less than 7. Fifty students (42%) scored 10 points. The
   most easily identified structure was the left ventricle in the short
   axis parasternal plane, with 89.9% of correct answers. The most poorly
   identified structure was the mitral valve in the subxiphoid plane, with
   69.7% of correct answers.
   Conclusions: Peer mentoring-based teaching achieves an appropriate level
   of training in obtaining basic echocardiography planes. The training
   period is relatively short. The peer mentoring system can facilitate the
   implementation of teaching on basic aspects of ultrasound to a large
   number of undergraduate students. (C) 2017 Elsevier Espana, S.L.U. and
   Sociedad Espanola de Medicina Interna (SEMI). All rights reserved.
OI Luordo, Davide/0000-0002-2198-8068; Villanueva Martinez,
   Javier/0000-0002-5370-5296; Garcia Sanchez, Francisco
   Javier/0000-0002-8591-9950
ZB 0
ZR 0
ZA 0
Z8 0
ZS 0
TC 4
Z9 4
U1 0
U2 7
SN 0014-2565
EI 1578-1860
UT WOS:000402445900001
PM 28318521
ER

PT J
AU Strong, Abigail
   Stoutenberg, Mark
   Hobson-Powell, Anita
   Hargreaves, Mark
   Beeler, Halle
   Stamatakis, Emmanuel
TI An evaluation of physical activity training in Australian medical school
   curricula
SO JOURNAL OF SCIENCE AND MEDICINE IN SPORT
VL 20
IS 6
BP 534
EP 538
DI 10.1016/j.jsams.2016.10.011
PD JUN 2017
PY 2017
AB Objectives: To evaluate the current level of physical activity (PA)
   training provided to Australian medical students.
   Design: Individual interviews were completed via phone interview or
   online survey from June-October 2015.
   Methods: Program leaders from Australian medical schools, who were
   knowledgeable about their curriculum content, were invited to
   participate in the study. The number of programs, hours of PA training
   instruction, institutional attitude towards offering PA, barriers
   experienced, and content areas in which PA training was offered, were
   explored.
   Results: Seventeen of the 19 (89%) Australian medical schools
   participated in the study. Among the responding schools, 15 (88.2%)
   reported providing specific PA training to medical students. Thirteen of
   these 15 schools (86.7%) taught the national aerobic guidelines while
   only seven (46.7%) taught the national strength training
   recommendations. Four, five, and six year programs reported providing an
   average of 6.6, 5.0, and 12.3 h of PA training, respectively, across
   their entire curriculum. Only 42.9% of the schools that had PA training
   reported that it was sufficient for their medical students. Nearly half
   (41.2%) of the respondents reported no barriers to implementing PA
   training into their medical curricula.
   Conclusions: Most Australian medical schools reported including some PA
   training in their medical curriculum. Key topics, such as the national
   strength recommendations, however, were not taught by most schools.
   Given the importance of PA for the prevention and treatment of numerous
   mental and physical health outcomes, it is unlikely that the attention
   it currently receives adequately prepares medical students to treat
   patients. (C) 2016 Published by Elsevier Ltd on behalf of Sports
   Medicine Australia.
RI Stamatakis, Emmanuel/C-4958-2009
OI Stamatakis, Emmanuel/0000-0001-7323-3225
ZS 2
ZR 0
ZA 0
ZB 2
TC 27
Z8 0
Z9 29
U1 0
U2 13
SN 1440-2440
EI 1878-1861
UT WOS:000402360100004
PM 28209318
ER

PT J
AU Niv, Noosha
   Bennett, Lauren
TI Veterans' Mental Health in Higher Education Settings: Services and
   Clinician Education Needs
SO PSYCHIATRIC SERVICES
VL 68
IS 6
BP 636
EP 639
DI 10.1176/appi.ps.201600065
PD JUN 1 2017
PY 2017
AB Objective: Utilization of the GI Bill and attendance at higher education
   institutions among student veterans have significantly increased since
   passage of the Post-9/11 GI Bill. Campus counseling centers should be
   prepared to meet the mental health needs of student veterans. This study
   identified the mental health resources and services that colleges
   provide student veterans and the education needs of clinical staff on
   how to serve student veterans.
   Methods: Directors of mental health services from 80 California colleges
   completed a semistructured phone interview.
   Results: Few schools track the number, demographic characteristics, or
   presenting needs of student veterans who utilize campus mental health
   services or offer priority access or special mental health services for
   veterans. Directors wanted centers to receive education for an average
   of 5.8 veteranrelated mental health topics and preferred workshops and
   lectures to handouts and online training.
   Conclusions: Significant training needs exist among clinical staff of
   campus mental health services to meet the needs of student veterans.
ZB 0
ZR 0
ZS 0
TC 2
Z8 0
ZA 0
Z9 2
U1 1
U2 12
SN 1075-2730
EI 1557-9700
UT WOS:000402490700020
PM 28245705
ER

PT J
AU Topf, Joel M.
   Sparks, Matthew A.
   Phelan, Paul J.
   Shah, Nikhil
   Lerma, Edgar V.
   Graham-Brown, Matthew P. M.
   Madariaga, Hector
   Iannuzzella, Francesco
   Rheault, Michelle N.
   Oates, Thomas
   Jhaveri, Kenar D.
   Hiremath, Swapnil
TI The Evolution of the Journal Club: From Osler to Twitter
SO AMERICAN JOURNAL OF KIDNEY DISEASES
VL 69
IS 6
BP 827
EP 836
DI 10.1053/j.ajkd.2016.12.012
PD JUN 2017
PY 2017
AB Journal clubs have typically been held within the walls of academic
   institutions and in medicine have served the dual purpose of fostering
   critical appraisal of literature and disseminating new findings. In the
   last decade and especially the last few years, online and virtual
   journal clubs have been started and are flourishing, especially those
   harnessing the advantages of social media tools and customs. This
   article reviews the history and recent innovations of journal clubs. In
   addition, the authors describe their experience developing and
   implementing NephJC, an online nephrology journal club conducted on
   Twitter. (C) 2017 by the National Kidney Foundation, Inc.
RI Lerma, Edgar/K-5970-2014; Sparks, Matthew/H-8865-2019; Graham-Brown, Matthew/ABB-5400-2020; Jhaveri, Kenar D./X-4851-2019; Hiremath, Swapnil/H-3492-2019; Shah, Nikhil/W-2668-2019; Graham-Brown, Matthew/; Rheault, Michelle N./; Oates, Thomas/; Topf, Joel/; Iannuzzella, Francesco/; Madariaga, Hector/
OI Lerma, Edgar/0000-0002-0976-5478; Sparks, Matthew/0000-0003-2075-2691;
   Hiremath, Swapnil/0000-0003-0010-3416; Shah, Nikhil/0000-0001-8199-2141;
   Graham-Brown, Matthew/0000-0002-6197-180X; Rheault, Michelle
   N./0000-0003-2494-3970; Oates, Thomas/0000-0003-2066-523X; Topf,
   Joel/0000-0002-4697-7787; Iannuzzella, Francesco/0000-0001-9948-0670;
   Madariaga, Hector/0000-0003-0166-6165
ZS 1
ZB 10
Z8 1
ZR 0
ZA 0
TC 88
Z9 89
U1 1
U2 23
SN 0272-6386
EI 1523-6838
UT WOS:000402027800017
PM 28233653
ER

PT J
AU Crosby, Richard A.
   Mena, Leandro
   Ricks, JaNelle M.
TI Correlates of sexual-risk behaviors among young black MSM: implications
   for clinic-based counseling programs
SO AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV
VL 29
IS 6
BP 718
EP 723
DI 10.1080/09540121.2016.1259449
PD JUN 2017
PY 2017
AB This study applied an 8-item index of recent sexual-risk behaviors to
   young Black men who have sex with men (YBMSM) and evaluated the
   distribution for normality. The distribution was tested for associations
   with possible antecedents of sexual risk. YBMSM (N=600), aged 16-29
   years, were recruited from a sexually transmitted infection clinic,
   located in the southern US. Men completed an extensive audio
   computer-assisted self-interview. Thirteen possible antecedents of
   sexual risk, as assessed by the index, were selected for analyses. The
   8-item index formed a normal distribution with a mean of 4.77 (SD=1.77).
   In adjusted analyses, not having completed education beyond high school
   was associated with less risk, as was having sex with females.
   Conversely, meeting sex partners online was associated with greater
   risk, as was reporting that sex partners were drunk during sex. The
   obtained normal distribution of sexual-risk behaviors suggests a
   corresponding need to target and tailor clinic-based counseling and
   prevention services for YBMSM. Avoiding sex when partners are
   intoxicated may be an especially valuable goal of counseling sessions.
ZR 0
ZA 0
ZB 1
Z8 1
ZS 0
TC 3
Z9 4
U1 0
U2 3
SN 0954-0121
EI 1360-0451
UT WOS:000399347400008
PM 27875903
ER

PT J
AU Heinio, Raija-Liisa
   Arvola, Anne
   Rusko, Elina
   Maaskant, Anna
   Kremer, Stefanie
TI Ready-made meal packaging - A survey of needs and wants among Finnish
   and Dutch 'current' and 'future' seniors
SO LWT-FOOD SCIENCE AND TECHNOLOGY
VL 79
BP 579
EP 585
DI 10.1016/j.lwt.2016.11.014
PD JUN 2017
PY 2017
AB For older populations, improved ready-made meal packaging may
   potentially contribute to adequate nutritional intakes, and in turn
   facilitate maintenance of independent living. Consequently, a deeper
   understanding of the features of ready-made meal packages important for
   older people is a step towards this goal.
   Features of ready-made meal packaging appreciated by 'current' (aged 65
   >= years) and 'future' (aged 55-64 years) seniors were studied as an
   internet survey in Finland (n = 764) and in the Netherlands (n = 457).
   Only minor significant differences were found between these two senior
   groups. The four packaging features most valued by both the Finnish and
   Dutch consumers were: easy readability, easy disposability and
   recyclability, visibility of the contents, and easy opening. These
   features were basically the same regardless of age group, gender or
   country. Older people did not show interest either in multi packages or
   in eating meals directly from the package. Future senior men frequently
   using ready-made meals were identified as a promising target segment for
   the development and marketing of novel readymade meals. More generally,
   special attention should be paid in package design to age-relevant
   features, such as easy opening and easy-to-read information, and the
   impact of culture-specific translation of the features into packaging
   design. (C) 2016 Elsevier Ltd. All rights reserved.
TC 5
Z8 0
ZB 0
ZS 0
ZA 0
ZR 0
Z9 5
U1 1
U2 20
SN 0023-6438
EI 1096-1127
UT WOS:000395603100071
ER

PT J
AU Van Hout, Marie Claire
   Collins, Claire
   Delargy, Ide
   Crowley, Des
TI Irish General Practitioner (GP) Perspectives Toward Decriminalisation,
   Legalisation and Cannabis for Therapeutic Purposes (CTP)
SO INTERNATIONAL JOURNAL OF MENTAL HEALTH AND ADDICTION
VL 15
IS 3
BP 670
EP 683
DI 10.1007/s11469-016-9710-2
PD JUN 2017
PY 2017
AB Cannabis is the most prevalent illicit drug used globally. Regulatory
   debate in Ireland on the decriminalisation of cannabis and legalisation
   for therapeutic purposes (CTP) is on-going. The study aimed to
   investigate Irish general practitioner (GP) attitudes toward
   decriminalisation of cannabis and assess levels of support for CTP. An
   online survey was administered to all GPs in the Irish College of
   General Practitioner (ICGP) database. A content analysis was conducted
   on open-ended survey questions, with five themes emerging. GPs were
   concerned around early onset of use and intergenerational impacts,
   vulnerabilities to drug induced psychosis, patient self-medication with
   cannabis and potential for misuse of prescribed cannabis. The study
   reflects concerns around the mental health consequences of cannabis use
   and potential for misuse in the event of legalisation, and the need for
   product regulation and an enhanced evidence base to support treatment
   decision making. Further research and medical education is warranted.
RI Collins, Claire/AFN-0839-2022
OI Collins, Claire/0000-0001-8967-5159
Z8 0
ZA 0
TC 2
ZR 0
ZB 0
ZS 0
Z9 2
U1 0
U2 20
SN 1557-1874
EI 1557-1882
UT WOS:000402166800018
ER

PT J
AU Pinto, Shanti M.
   Galang, Gary
TI Venous Thromboembolism as Predictor of Acute Care Hospital Transfer and
   Inpatient Rehabilitation Length of Stay
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 96
IS 6
BP 367
EP 373
DI 10.1097/PHM.0000000000000643
PD JUN 2017
PY 2017
AB Objective The aim of this study was to investigate the impact of venous
   thromboembolism (VTE) on rate of acute care hospital transfer, inpatient
   rehabilitation (IPR) length of stay (LOS), and functional outcomes.
   Design This was a retrospective cohort study of 2312 consecutive patient
   discharges from a single IPR facility over an 18-month period.
   Results When age, sex, reason for admission, and admission Functional
   Independence Measure (FIM) scores were controlled for, those with VTE
   had nearly 2 times greater odds for transfer to acute care hospital than
   did those without a diagnosis of VTE. Inpatient rehabilitation LOS was
   4.700 days (95% confidence interval [CI], 2.956-6.445 days) longer for
   those with a diagnosis of VTE prior to IPR admission and 2.287 days (95%
   CI, 1.026-3.547 days) longer for those with a diagnosis of VTE during
   IPR admission compared with those without a diagnosis of VTE. There was
   no difference in FIM change based on VTE diagnosis. Venous
   thromboembolism diagnosis during IPR was associated with a significant
   decrease in FIM efficiency (-0.358; 95% CI, -0.654 to -0.062) if
   diagnosed during IPR admission, but there was no difference in FIM
   efficiency if VTE was diagnosed prior to IPR.
   Conclusions Patients with a diagnosis of VTE were more likely to be
   transferred to the acute care hospital and have longer IPR LOS
   independent of admission FIM scores. It is important to prevent
   development of VTE.
OI Pinto, Shanti/0000-0002-8882-7533
TC 8
ZB 2
Z8 0
ZS 0
ZA 0
ZR 0
Z9 8
U1 0
U2 8
SN 0894-9115
EI 1537-7385
UT WOS:000401708800006
PM 27779488
ER

PT J
AU Perrin, Paul B.
   Stevens, Lillian F.
   Sutter, Megan
   Lequerica, Anthony H.
   Krch, Denise
   Kolakowsky-Hayner, Stephanie A.
   Carlos Arango-Lasprilla, Juan
TI Reciprocal Causation Between Functional Independence and Mental Health 1
   and 2 Years After Traumatic Brain Injury: A Cross-Lagged Panel
   Structural Equation Model
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 96
IS 6
BP 374
EP 380
DI 10.1097/PHM.0000000000000644
PD JUN 2017
PY 2017
AB Objective The research attempting to disentangle the directionality of
   relationships between mental health and functional outcomes after
   traumatic brain injury (TBI) is growing but has yielded equivocal
   findings or focused on isolated predictors or isolated outcomes. The
   purpose of the current study was to use cross-lagged panel and
   structural equation modeling (SEM) techniques to examine causality
   between comprehensive indices of mental health (depression, anxiety, and
   life satisfaction) and functional independence in a national sample of
   individuals with TBI over the first 2 years after injury.
   Design Participants were 4,674 individuals with TBI from the TBI Model
   Systems Database.
   Results The SEM, which yielded good fit indices, suggested that
   individuals with TBI with greater mental health problems at 1 and 2
   years after injury had lower functional independence at those same time
   points. The standardized path loadings for mental health problems and
   for functional independence over time were large, suggesting a high
   degree of consistency in mental health and functional independence
   across 1 and 2 years. In terms of cross-lag, mental health at Time 1 did
   not exert a unique effect on functional independence at Time 2, but
   functional independence at Time 1 exerted a statistically significant
   but quite small unique effect on mental health at Time 2.
   Conclusions This combination of results suggests that functional
   independence is only slightly more causal than mental health in the
   relationship between mental health and functional independence over the
   first 2 years post-TBI, and that instead, reciprocal causality is a more
   likely scenario.
RI Arango-Lasprilla, Juan Carlos/AAB-5407-2019; Kolakowsky-Hayner, Stephanie A./I-9858-2019; Sutter, Megan/L-9770-2019; Blanco, Leire/O-5114-2017; Perrin, Paul/L-5373-2015; Sutter, Megan/
OI Arango-Lasprilla, Juan Carlos/0000-0002-7184-8311; Kolakowsky-Hayner,
   Stephanie A./0000-0002-6228-9909; Perrin, Paul/0000-0003-2070-215X;
   Sutter, Megan/0000-0001-9816-9549
ZS 0
ZR 0
TC 9
ZA 0
ZB 4
Z8 0
Z9 9
U1 0
U2 10
SN 0894-9115
EI 1537-7385
UT WOS:000401708800007
PM 27754999
ER

PT J
AU Majeed, Ban A.
   Sterling, Kymberle L.
   Weaver, Scott R.
   Pechacek, Terry F.
   Eriksen, Michel P.
TI Prevalence and harm perceptions of hookah smoking among US adults,
   2014-2015
SO ADDICTIVE BEHAVIORS
VL 69
BP 78
EP 86
DI 10.1016/j.addbeh.2017.01.032
PD JUN 2017
PY 2017
AB This study aimed to determine the prevalence and factors associated with
   hookah smoking and perceptions of harm among U.S. adults. Data were
   pooled from the Tobacco Products and Risk Perceptions Surveys conducted
   separately in the summers of 2014 and 2015, among a probability sample
   selected from an online research panel. Descriptive, logistic
   regression, and multinomial logistic regression analyses were conducted.
   In 2014/2015, prevalence of ever and past 30-day hookah smoking among
   U.S. adults were 15.8% (95% Cl.: 15.0%, 16.7%) and 1.5% (95% CI.: 12%,
   1.8%), respectively. Adults who used other alternative tobacco products
   had a higher odds of hookah smoking than those who did not Adults with
   some college education (AOR, 153) and with a college degree or more
   (AOR, 2.21), those identified as non-Hispanic other (AOR, 138) were more
   likely to be ever hookah smokers. Being a young adult (AOR, 2.7),
   college-educated (AOR, 23), never smoker (AOR, 2.1), and an ever hookah
   smoker (AOR, 2.8) were associated with lower perceptions of harm.
   Findings suggest that young college students are at higher risk of
   smoking hookah and that hookah smoking is more prevalent among
   individuals who use other tobacco products, such as little cigars and
   cigarillos, traditional cigars, and e-rigarettes, indicating a distinct
   group of users of alternative tobacco products. Regarding potential harm
   of hookah, the study highlights a knowledge gap and misperception
   especially among young, college-educated, and never smokers. Public
   health interventions should target these subpopulations to provide them
   with accurate information on hookah smoking. (C) 2017 Elsevier Ltd. All
   rights reserved.
RI Sterling, Kymberle/AAA-2411-2021
OI Sterling, Kymberle/0000-0001-6305-5082
TC 44
Z8 0
ZB 15
ZA 0
ZR 0
ZS 1
Z9 45
U1 0
U2 18
SN 0306-4603
EI 1873-6327
UT WOS:000397372000012
PM 28161620
ER

PT J
AU Kotler, Dana H.
   Lynch, Meaghan
   Cushman, Daniel
   Hu, Jason
   Garner, Jocelyn
TI Dancers' Perceived and Actual Knowledge of Anatomy
SO JOURNAL OF DANCE MEDICINE & SCIENCE
VL 21
IS 2
BP 76
EP 81
DI 10.12678/1089-313X.21.2.76
PD JUN 2017
PY 2017
AB Dancers are highly susceptible to musculoskeletal injuries and
   frequently require interaction with medical professionals. While many
   dancers have a finely tuned awareness of their bodies, their knowledge
   of the fundamentals of human anatomy is not uniform. There is a paucity
   of literature on the benefits of human anatomy education in dancers,
   though it seems intuitive that there should be a relationship. The
   purpose of this study was to assess dancers' perceived and actual
   knowledge of basic musculoskeletal anatomy and its relationship to
   function. Adult dancers at the undergraduate, pre-professional, and
   professional levels were surveyed through an anonymous online
   questionnaire. Questions included demographic information, dance
   techniques studied, anatomy training, and injury history. Subjects rated
   their perceived knowledge of anatomy and were tested with 15
   multiple-choice questions on basic musculoskeletal anatomy. Four hundred
   seventy-five surveys were completed. Ordinal regression showed a
   correlation of perceived to actual knowledge of anatomy (p < 0.001).
   Factors that correlated with increases in both perceived and actual
   knowledge of anatomy included having taken an anatomy course of any type
   (p < 0.001) and increased age (p <= 0.001). Years of dance training and
   professional dancer status both significantly correlated with increased
   knowledge of anatomy (p < 0.001) but not perceived knowledge. Chi-square
   analysis showed that dancers with training in either modern or jazz
   dance had a significantly higher perceived, but not actual, knowledge
   when compared to those without training in those styles of dance (p <
   0.001 and p = 0.011, respectively). In conclusion, dancers generally
   scored well on questions pertaining to basic musculoskeletal anatomy,
   and their perception correlated with their actual knowledge of anatomy.
   Factors that contribute to dancers' knowledge of anatomy include age,
   years of experience, professional dancer status, and anatomy training.
OI Cushman, Daniel/0000-0002-4580-1173
ZA 0
ZR 0
ZS 1
Z8 0
TC 3
ZB 0
Z9 4
U1 0
U2 3
SN 1089-313X
EI 2374-8060
UT WOS:000461230800005
PM 28535851
ER

PT J
AU Cooper, Joseph J.
   Llesuy, Joan Roig
TI Catatonia Education: Needs Assessment and Brief Online Intervention
SO ACADEMIC PSYCHIATRY
VL 41
IS 3
BP 360
EP 363
DI 10.1007/s40596-016-0632-x
PD JUN 2017
PY 2017
AB There are no studies investigating physicians' knowledge of catatonia.
   The authors aimed to assess and increase physicians' awareness of
   catatonia.
   A survey with clinical questions about catatonia was administered,
   followed by a brief online teaching module about catatonia and a
   post-education survey.
   Twenty-one psychiatry residents (response rate, 70%) and 36 internal
   medicine residents (response rate, 34%) participated in the
   pre-education survey. Psychiatry residents identified 75% of the correct
   answers about catatonia, compared to 32% correct by internal medicine
   residents (p < 0.001). Twenty participants (response rate, 35%)
   completed the online education module and second survey, which resulted
   in a significant improvement in correct response rates from 60 to 83% in
   all the participants (p < 0.001).
   Residents' baseline knowledge of catatonia is low, particularly among
   internal medicine residents. A brief online module improved resident
   physicians' knowledge of catatonia. Educational strategies to improve
   recognition of catatonia should be implemented.
RI Cooper, Joseph J./AAK-7773-2020; Llesuy, Joan Roig/AAH-3321-2020
OI Cooper, Joseph J./0000-0001-7235-0999; Llesuy, Joan
   Roig/0000-0001-5298-1427
ZB 3
ZS 0
ZA 0
Z8 0
TC 10
ZR 0
Z9 10
U1 0
U2 2
SN 1042-9670
EI 1545-7230
UT WOS:000401444700012
PM 27837452
ER

PT J
AU Macko, Marek
   Szczepanski, Zbigniew
   Mikolajewska, Emilia
   Nowak, Joanna
   Mikolajewski, Dariusz
TI Repository of 3D images for education and everyday clinical practice
   purposes
SO BIO-ALGORITHMS AND MED-SYSTEMS
VL 13
IS 2
BP 111
EP 116
DI 10.1515/bams-2017-0007
PD JUN 2017
PY 2017
AB Novel, easy-automation technologies such as three-dimensional (3D)
   printing and reverse engineering can improve the training of medical and
   allied health professionals and everyday clinical practice. This paper
   aims at the presentation of its own concept of the repository of medical
   images for education and everyday clinical practice purposes. Presented
   concept of the repository constitutes a relatively novel solution, but
   its further development may lead to the novel family of commercial
   initiatives aiming at joining common efforts toward optimization of
   3D-based technologies in everyday clinical practice and online
   e-learning system.
RI Macko, Marek/I-8323-2015; Macko, Marek/ABE-3731-2021; Mikolajewski, Dariusz/; NOWAK, JOANNA/; Mikolajewska, Emilia/
OI Macko, Marek/0000-0002-8743-6602; Mikolajewski,
   Dariusz/0000-0003-4157-2796; NOWAK, JOANNA/0000-0002-8912-1508;
   Mikolajewska, Emilia/0000-0002-2769-3068
TC 3
Z8 0
ZB 0
ZS 0
ZA 0
ZR 0
Z9 3
U1 0
U2 5
SN 1895-9091
EI 1896-530X
UT WOS:000453253500007
ER

PT J
AU Falzon, Charles C.
   Balabanova, Anna
TI Phytotherapy An Introduction to Herbal Medicine
SO PRIMARY CARE
VL 44
IS 2
BP 217
EP +
DI 10.1016/j.pop.2017.02.001
PD JUN 2017
PY 2017
AB Herbal medications are commonly used in all medical settings, making it
   essential for primary care providers to learn about the products being
   used and resources they can access for continuing education.
   Understanding how herbal medicines are sourced, processed, and
   standardized can help providers guide patients who are trying to choose
   the most clinically effective and affordable treatments. Multiple herbs
   are often combined and sold as proprietary blends, which can increase
   the risk of allergies, adverse reactions, or cross-reactivity with other
   pharmaceuticals and supplements. Several textbooks, online point-of-care
   resources, and conferences are available for primary care providers to
   expand their knowledge of herbal medicines.
ZS 3
ZA 0
TC 48
Z8 0
ZR 0
ZB 21
Z9 51
U1 1
U2 21
SN 0095-4543
EI 1558-299X
UT WOS:000402228300004
PM 28501226
ER

PT J
AU Mosnaim, Giselle S.
   Akkoyun, Esra
   Eng, Joshua
   Shalowitz, Madeleine U.
TI Behavioral interventions to improve asthma outcomes: a systematic review
   of recent publications
SO CURRENT OPINION IN ALLERGY AND CLINICAL IMMUNOLOGY
VL 17
IS 3
BP 194
EP 200
DI 10.1097/ACI.0000000000000359
PD JUN 2017
PY 2017
AB Purpose of review
   Asthma outcomes are influenced by factors at multiple ecological levels:
   the individual and his/her family, home, medical care, and community.
   This systematic review describes recently published single-level and
   multilevel behavioral interventions to improve asthma outcomes.
   Recent findings
   Of the 23 total title/abstracts reviewed in the original systematic
   search of PubMed, Ovid, Scopus, PsychINFO, and CIHAHL reference review
   databases, six met inclusion criteria. Five of the studies focused on
   low-income and/or minority populations. Promising interventions include
   culturally tailored online asthma self-management programs and
   family-centered asthma education delivered at the bedside during
   hospitalization for an acute asthma exacerbation.
   Summary
   Culturally, tailored online self-management programs offer
   difficult-to-reach populations asthma support that can be completed at
   the time and pace most convenient for the individual user.
   Family-focused asthma education, delivered at the bedside during an
   acute asthma hospitalization by highly motivated lay volunteers, is an
   efficacious and low-cost approach to improving pediatric asthma
   self-management.
ZB 0
ZR 0
TC 8
ZA 0
Z8 0
ZS 0
Z9 8
U1 0
U2 11
SN 1528-4050
EI 1473-6322
UT WOS:000401284500005
PM 28362676
ER

PT J
AU Wagner, N.
   Fahim, C.
   Dunn, K.
   Reid, D.
   Sonnadara, R. R.
TI Otolaryngology residency education: a scoping review on the shift
   towards competency-based medical education
SO CLINICAL OTOLARYNGOLOGY
VL 42
IS 3
BP 564
EP 572
DI 10.1111/coa.12772
PD JUN 2017
PY 2017
AB BackgroundResidency training programmes worldwide are experiencing a
   shift from the traditional time-based curriculum to competency-based
   medical education (CBME), due to changes in the healthcare system that
   have impacted clinical learning opportunities. Otolaryngology-Head and
   Neck Surgery (OTL-HNS) programmes are one of the first North American
   surgical specialties to adopt the new CBME curriculum.
   Objective of reviewThe purpose of this scoping review is to examine the
   literature pertaining to CBME in OTL-HNS programmes worldwide, to
   identify the tools that have been developed and identify potential
   barriers to the implementation of CBME.
   Search strategyFour online databases, OVID MEDLINE (R) from 1946 to 5
   August 2015, EMBASE 1974 to 5 August 2015, Cochrane and CINAHL databases
   up to 5 August 2015, were searched using key words related to OTL-HNS
   and CBME.
   Evaluation methodTwo researchers independently reviewed the literature
   in a systematic manner and met to discuss and address any discrepancies
   at each step of the review process.
   ResultsOf the 207 publications identified in the initial search, 31 were
   included in this scoping review. Two key themes emerged from the
   literature: first, OTL-HNS programmes reported a need for new assessment
   tools that assess competency and also provide the learner with formative
   feedback. Second, although varieties of tools assessing both technical
   and non-technical skills have been developed, implementation of such
   tools has been met with some challenges. These challenges include a lack
   of faculty support, inadequate administrative support and a lack of
   knowledge on how to start the transition to CBME.
   ConclusionsThis scoping review suggests that task-specific checklists,
   entrustment scales, evaluation portfolios from multiple assessments and
   faculty training sessions are key aspects to incorporate as OTL-HNS
   training programmes shift towards a CBME curriculum.
RI Wagner, Natalie/AAB-9050-2020; Sonnadara, Ranil/AAT-4794-2021; Wagner, Natalie/AAI-8071-2021; Fahim, Christine/
OI Sonnadara, Ranil/0000-0001-8318-5714; Wagner,
   Natalie/0000-0003-0270-2164; Fahim, Christine/0000-0002-6809-7027
ZA 0
ZR 0
Z8 0
TC 30
ZS 0
ZB 6
Z9 30
U1 0
U2 8
SN 1749-4478
EI 1749-4486
UT WOS:000399941300010
PM 27754613
ER

PT J
AU Schneider, Melissa A.
   Howard, Katrina A.
TI Using Technology to Enhance Discharge Teaching and Improve Coping for
   Patients After Stroke
SO JOURNAL OF NEUROSCIENCE NURSING
VL 49
IS 3
BP 152
EP 156
DI 10.1097/JNN.0000000000000275
PD JUN 2017
PY 2017
AB Background: A diagnosis of stroke is a life-changing event. Effective
   discharge teaching after a stroke is crucial for recovery, but the
   overload of information can be overwhelming for patients and caregivers.
   Purpose: The purpose of this study was to examine differences in
   discharge readiness and postdischarge coping in patients admitted for
   stroke after the use of individualized postdischarge
   information/education provided via a technology package (including
   patient online portal access, e-mail/secure messaging) compared with
   current standard discharge teaching methods (verbal/written
   instructions). Methods: This study used a descriptive comparative design
   to evaluate the difference between the nonintervention group A and the
   intervention group B. Patients in group B received additional discharge
   information via secured e-mail messaging at postdischarge days 2, 6, and
   10. Two validated tools, Readiness for Hospital Discharge Form and
   Post-Discharge Coping Difficulty Scale, were used. Results: One hundred
   patients were recruited for the study, but the final number of complete
   data sets collected was 86-42 in group A and 44 in group B. There was no
   statistically significant difference between the groups in discharge
   readiness. There was a significant difference in coping scores between
   the 2 groups, with the technology group exhibiting higher coping.
   Conclusions: New technology affords new options to improve discharge
   readiness and contribute to positive patient coping after stroke. The
   researchers hope that this study will contribute to the growing body of
   evidence showing success using aspects of technology to enhance
   discharge teaching and follow-up after discharge.
Z8 1
ZS 0
ZR 0
ZB 0
ZA 0
TC 8
Z9 9
U1 3
U2 18
SN 0888-0395
EI 1945-2810
UT WOS:000400675200006
PM 28346312
ER

PT J
AU Albrechtsen, Nicolai J. Wewer
   Poulsen, Kristina W.
   Svensson, Laerke O.
   Jensen, Lasse
   Holst, Jens J.
   Torekov, Signe S.
TI Health care professionals from developing countries report educational
   benefits after an online diabetes course
SO BMC MEDICAL EDUCATION
VL 17
AR 97
DI 10.1186/s12909-017-0935-y
PD MAY 31 2017
PY 2017
AB Background: Medical education is a cornerstone in the global combat
   against diseases such as diabetes and obesity which together affect more
   than 500 million humans. Massive Open Online Courses (MOOCs) are
   educational tools for institutions to teach and share their research
   worldwide. Currently, millions of people have participated in
   evidence-based MOOCs, however educational and professional benefit(s)
   for course participants of such initiatives have not been addressed
   sufficiently. We therefore investigated if participation in a 6 week
   open online course in the prevention and treatment of diabetes and
   obesity had any impact on the knowledge, skills, and career of health
   care professionals contrasting participants from developing countries
   versus developed countries.
   Methods: 52.006 participants signed up and 29.469 participants were
   active in one of the three sessions (2014-2015) of Diabetes - a Global
   Challenge. Using an online based questionnaire (nine sections) software
   (Survey Monkey), email invitations were send out using a Coursera based
   database to the 29.469 course participants. Responses were analyzed and
   stratified, according to the United Nations stratification method, by
   developing and developed countries.
   Results: 1.303 (4.4%) of the 29.469 completed the questionnaire. 845 of
   the 1303 were defined as health care professionals, including medical
   doctors (34%), researchers (15%), nurses (11%) and medical students
   (8%). Over 80% of the health care participants report educational
   benefits, improved knowledge about the prevention and treatment
   therapies of diabetes and furthermore improved professional life and
   practice. Over 40% reported that their professional network expanded
   after course participation. Study participants who did not complete all
   modules of the course reported similar impact as the ones that completed
   the entire course(P = 0.9).
   Participants from developing countries gained more impact on their
   clinical practice (94%) compared to health care professionals from
   developed regions (88%) (Mean of differences = 6%, P = 0.03.
   Conclusions: Based on self-reports from course participants, MOOC based
   medical education seems promising with respect to providing accessible
   and free research-based education to health professionals in both
   developing and developed countries. Course participants from developing
   countries report more benefits from course participation than their
   counterparts in the developed world.
RI Jensen, Lasse X/AGM-4684-2022; Holst, Jens/AAA-8022-2022; Torekov, Signe/; Wewer Albrechtsen, Nicolai/; Holst, Jens Juul/
OI Jensen, Lasse X/0000-0002-0458-6534; Torekov, Signe/0000-0001-6779-0252;
   Wewer Albrechtsen, Nicolai/0000-0003-4230-5753; Holst, Jens
   Juul/0000-0001-6853-3805
ZA 0
ZB 2
ZR 0
TC 13
Z8 0
ZS 0
Z9 13
U1 2
U2 24
EI 1472-6920
UT WOS:000402638700001
PM 28566091
ER

PT J
AU Yang, Nathan
   Hosseini, Sarah
   Mascarella, Marco A.
   Young, Meredith
   Posel, Nancy
   Fung, Kevin
   Nguyen, Lily H. P.
TI Identifying high quality medical education websites in Otolaryngology: a
   guide for medical students and residents
SO JOURNAL OF OTOLARYNGOLOGY-HEAD & NECK SURGERY
VL 46
AR 42
DI 10.1186/s40463-017-0220-4
PD MAY 25 2017
PY 2017
AB Background: Learners often utilize online resources to supplement
   formalized curricula, and to appropriately support learning, these
   resources should be of high quality. Thus, the objectives of this study
   are to develop and provide validity evidence supporting an assessment
   tool designed to assess the quality of educational websites in
   Otolaryngology- Head & Neck Surgery (ORL-HNS), and identify those that
   could support effective web-based learning.
   Methods: After a literature review, the Modified Education in
   Otolaryngology Website (MEOW) assessment tool was designed by a panel of
   experts based on a previously validated website assessment tool. A
   search strategy using a Google-based search engine was used subsequently
   to identify websites. Those that were free of charge and in English were
   included. Websites were coded for whether their content targeted medical
   students or residents. Using the MEOW assessment tool, two independent
   raters scored the websites. Inter-rater and intra-rater reliability were
   evaluated, and scores were compared to recommendations from a content
   expert.
   Results: The MEOW assessment tool included a total of 20 items divided
   in 8 categories related to authorship, frequency of revision, content
   accuracy, interactivity, visual presentation, navigability, speed and
   recommended hyperlinks. A total of 43 out of 334 websites identified by
   the search met inclusion criteria. The scores generated by our tool
   appeared to differentiate higher quality websites from lower quality
   ones: websites that the expert "would recommend" scored 38.4 (out of 56;
   CI [34.4-42.4]) and "would not recommend" 27.0 (CI [23.2-30.9]).
   Inter-rater and intra-rater intraclass correlation coefficient were
   greater than 0.7.
   Conclusions: Using the MEOW assessment tool, high quality ORL-HNS
   educational websites were identified.
ZR 0
Z8 0
ZA 0
ZB 1
TC 4
ZS 0
Z9 4
U1 0
U2 2
SN 1916-0216
UT WOS:000402151200001
PM 28545569
ER

PT J
AU Tshibwabwa, Eli
   Mallin, Robert
   Fraser, Madeleine
   Tshibwabwa, Martin
   Sanii, Reza
   Rice, James
   Cannon, Jenifer
TI An Integrated Interactive-Spaced Education Radiology Curriculum for
   Preclinical Students
SO JOURNAL OF CLINICAL IMAGING SCIENCE
VL 7
BP 1
EP 7
DI 10.4103/jcis.JCIS_1_17
PD MAY 24 2017
PY 2017
AB Introduction: The objective of this study is to determine whether a
   radiology module, together with online spaced education, helps students
   of an integrated problem-based learning (PBL) curriculum increase their
   radiology knowledge and long-term retention. Materials and Methods:
   Second-year students at the American University of Antigua College of
   Medicine participated in small groups of ten students each into two 2 h
   of radiology laboratories. The study comprised two cohorts: winter and
   fall 2013 students (control group) and 2014 students (experimental
   group). Both groups used face-to-face PBL. The students of the
   experimental group received additional online-spaced education. The
   skills were assessed for both groups before the beginning of
   laboratories and 4 weeks and 7 months after laboratories. Results: There
   was no significant difference on pretest between the control and
   experimental groups. On completion of the radiology laboratories,
   comparison of test results before and after training showed net
   improvement for both groups. The corresponding difference for the
   experimental group was higher compared to the one for the control group
   (7.83 vs. 6.21, P < 0.001). The difference between the scores on delayed
   test and pretest showed that the students of both groups demonstrated
   average knowledge improvement even though their level of performance was
   slightly below the posttest. The corresponding difference for the
   experimental group did not differ much from the posttest (P > 0.05), and
   no significant difference of scores was observed 7 months later for
   either group. Further, a higher percentage of the students in the
   experimental group strongly agreed that their learning objectives were
   met (92% vs. 71%, P < 0.001), and this trend persisted throughout the
   study. Conclusion: Online spaced education combined to a face-to-face
   PBL enhances not only the student's knowledge of basic radiology along
   with his/her self-assessment skills but also the long-term retention of
   radiology material and satisfaction with the integrated interactive
   system-based module. Future research is needed to see if medical
   students in need of additional education support may benefit from spaced
   education in the field of remediation.
ZR 0
Z8 1
ZS 1
TC 7
ZA 0
ZB 0
Z9 9
U1 2
U2 6
SN 2156-7514
EI 2156-5597
UT WOS:000402827700001
PM 28584689
ER

PT J
AU Adeloye, Davies
   Jacobs, Wura
   Amuta, Ann O.
   Ogundipe, Oluwatomisin
   Mosaku, Oluwaseun
   Gadanya, Muktar A.
   Oni, Gbolahan
TI Coverage and determinants of childhood immunization in Nigeria: A
   systematic review and meta-analysis
SO VACCINE
VL 35
IS 22
BP 2871
EP 2881
DI 10.1016/j.vaccine.2017.04.034
PD MAY 19 2017
PY 2017
AB Introduction: The proportion of fully immunized children in Nigeria is
   reportedly low. There are concerns over national immunization data
   quality, with this possibly limiting country-wide response. We reviewed
   publicly available evidence on routine immunization across Nigeria to
   estimate national and zonal coverage of childhood immunization and
   associated determinants.
   Methods: A systematic search of Medline, EMBASE, Global Health and
   African Journals Online (AJOL) was conducted. We included
   population-based studies on childhood immunization in Nigeria. A random
   effects meta-analysis was conducted on extracted crude rates to arrive
   at national and zonal pooled estimates for the country.
   Results: Our search returned 646 hits. 21 studies covering 25 sites and
   26,960 children were selected. The estimated proportion of fully
   immunized children in Nigeria was 34.4% (95% confidence interval [CI]:
   27.0-41.9), with South-south zone having the highest at 51.5% (95% CI:
   20.5-82.6), and North-west the lowest at 9.5% (95% CI: 4.6-14.4).
   Mother's social engagements (OR = 4.0, 95% CI: 1.9-8.1) and vaccines
   unavailability (OR = 3.9, 95% CI: 1.2-12.3) were mostly reported for low
   coverage. Other leading determinants were vaccine safety concerns (OR =
   3.0, 95% CI: 0.9-9.4), mother's low education (OR = 2.5, 95% CI:
   1.8-3.6) and poor information (OR = 2.0, 95% CI: 0.8-4.7).
   Conclusion: Our study suggests a low coverage of childhood immunization
   in Nigeria. Due to the paucity of data in the Northern states, we are
   still uncertain of the quality of evidence presented. It is hoped that
   this study will prompt the needed research, public health and policy
   changes toward increased evenly spread coverage of childhood
   immunization in the country. (C) 2017 Elsevier Ltd. All rights reserved.
RI Adeloye, Davies/AAB-6302-2022; Adeloye, Davies/; Ogundipe, Oluwatomisin/; Jacobs, Wura/
OI Adeloye, Davies/0000-0003-1316-8139; Ogundipe,
   Oluwatomisin/0000-0002-6218-2650; Jacobs, Wura/0000-0002-4293-5635
Z8 0
TC 23
ZS 0
ZR 0
ZB 8
ZA 0
Z9 23
U1 1
U2 7
SN 0264-410X
EI 1873-2518
UT WOS:000401885700001
PM 28438406
ER

PT J
AU Mathews, Ben
   Yang, Chengwu
   Lehman, Erik B.
   Mincemoyer, Claudia
   Verdiglione, Nicole
   Levi, Benjamin H.
TI Educating early childhood care and education providers to improve
   knowledge and attitudes about reporting child maltreatment: A randomized
   controlled trial
SO PLOS ONE
VL 12
IS 5
AR e0177777
DI 10.1371/journal.pone.0177777
PD MAY 19 2017
PY 2017
AB Early childhood care and education providers (CCPs) work with over 7
   million young children. These children are vulnerable to physical,
   sexual and emotional abuse, and neglect. However, CCPs make less than 1%
   of all reports of suspected child abuse and neglect that are made to
   child protective services. CCPs are therefore an untapped resource in
   the public health response to child maltreatment. However, their
   knowledge and attitudes about duties to report child maltreatment are
   poorly understood. Moreover, no rigorous research has tested whether
   their knowledge and attitudes about reporting child maltreatment can be
   improved. These gaps in knowledge are important because knowledge of the
   duty and positive attitudes towards it produce more effective reporting,
   and little evidence exists about how to enhance cognitive and affective
   attributes. Using the CONSORT approach, we report a single-blind
   test-retest randomized controlled trial evaluating iLook Out for Child
   Abuse, a customized online educational intervention for CCPs to increase
   knowledge and attitudes towards the reporting duty. 762 participants
   were randomized with results analyzed for 741 participants (372 in the
   intervention group; 369 in the control). Knowledge of the reporting duty
   increased in the intervention group from 13.54 to 16.19 out of 21 (2.65
   increase, 95% CI: (2.37, 2.93); large effect size 0.95, p < 0.001); the
   control group remained stable, moving from 13.54 to 13.59 (0.05
   increase, 95% CI: (-0.12, 0.22); negligible effect size 0.03, p =
   0.684). Attitudes were enhanced on all 13 items for the intervention
   group, remaining stable in the control, with significant differences
   between groups on all items (p < 0.05). Gains were largely sustained at
   four month follow-up. Findings support education for CCPs and other
   professions. Future research should also explore effects of education on
   reporting behavior.
RI Yang, Chengwu/X-6178-2018; Mathews, Ben/A-9125-2012; Mathews, Ben/
OI Yang, Chengwu/0000-0003-0561-2340; Mathews, Ben/0000-0003-0421-0016
ZA 0
TC 22
ZS 0
Z8 0
ZB 2
ZR 0
Z9 22
U1 1
U2 13
SN 1932-6203
UT WOS:000401672600022
PM 28542285
ER

PT J
AU Rong, Honghui
   Cheng, Xin
   Garcia, Jose M.
   Zhang, Ling
   Lu, Lu
   Fang, Jian
   Le, Mingshan
   Hu, Peng
   Dong, Xinlu
   Yang, Junli
   Wang, Ya
   Luo, Ting
   Liu, Jun
   Chen, Jian
TI Survey of health literacy level and related influencing factors in
   military college students in Chongqing, China: A cross-sectional
   analysis
SO PLOS ONE
VL 12
IS 5
AR e0177776
DI 10.1371/journal.pone.0177776
PD MAY 17 2017
PY 2017
AB Health literacy (HL) has become an important public health issue and is
   receiving growing attention. However, the HL levels of military college
   students in China have never been analyzed. This study aimed to
   investigate the HL and related associate factors in military college
   students in Chongqing, China. Data was obtained with the "Chinese
   Citizen Health Literacy Questionnaire (2012 edition)" from 3183 military
   college students aged 16-28 years at Chongqing in December 2015. A total
   score of >= 80 points determined adequate HL, and HL level was defined
   as the proportion of students who had adequate HL out of the total
   number of participants. Multiple logistic regression analysis with a
   stepwise forward likelihood ratio (LR) method was used to determine the
   effects of sociodemographic characteristics, health-related behaviors,
   and family-related factors on HL level. The mean score of HL was 68.56,
   and the HL level of military college students was 21.05%; the overall
   knowledge rate was 71.33%. The independent factors that were associated
   with HL level were years in college, educational system, time playing
   online games, annual household income and father's education level.
   Senior (odds ratio [OR] = 1.229, 95% confidence interval [CI] 1.018
   similar to 1.484), undergraduate (OR = 1.509, 95% CI 1.151 similar to
   1.978), time played games more than 5 hours each week (OR = 0.638, 95%
   CI 0.486 similar to 0.837), annual household incomes more than 50,000
   yuan (OR = 1.231, 95% CI 1.027 similar to 1.476) and father's education
   level (high school: OR = 2.327, 95% CI 1.186 similar to 4.565;
   university: OR = 2.450, 95% CI 1.244 similar to 4.825), were
   independently associated with higher HL level. HL levels of military
   college students in Chongqing need to be improved across the board. Our
   data suggests that special emphasis should be placed on students in
   junior and those in the specialist educational system. School
   departments may also benefit from incorporating health literacy into
   their curricula and helping students manage the time they spend playing
   online games.
ZR 0
TC 12
ZB 2
ZA 0
Z8 1
ZS 1
Z9 13
U1 5
U2 41
SN 1932-6203
UT WOS:000401487700073
PM 28545133
ER

PT J
AU Tran, Bao Ngoc N.
   Singh, Mansher
   Singhal, Dhruv
   Rudd, Rima
   Lee, Bernard T.
TI Readability, complexity, and suitability of online resources for
   mastectomy and lumpectomy
SO JOURNAL OF SURGICAL RESEARCH
VL 212
BP 214
EP 221
DI 10.1016/j.jss.2017.01.012
PD MAY 15 2017
PY 2017
AB Background: Nearly half of American adults have low or marginal health
   literacy. This negatively affects patients' participation,
   decision-making, satisfaction, and overall outcomes especially when
   there is a mismatch between information provided and the skills of the
   intended audience. Recommendations that patient information be written
   below the sixth grade level have been made for over three decades. This
   study compares online resources for mastectomy versus lumpectomy using
   expanded metrics including readability level, complexity, and density of
   data and overall suitability for public consumption.
   Methods: The 10 highest ranked Web sites for mastectomy and lumpectomy
   were identified using the largest Internet engine (Google). Each Web
   site was assessed for readability (Simple Measure of Gobbledygook),
   complexity (PMOSE/iKIRSCH), and suitability (Suitability Assessment of
   Materials). Scores were analyzed by each Web site and overall.
   Results: Readability analysis showed a significant reading grade level
   difference between mastectomy and lumpectomy online information (15.4
   and 13.9, P = 0.04, respectively). Complexity analysis via PMOSE/
   iKIRSCH revealed a mean score of 6.5 for mastectomy materials
   corresponding to "low" complexity and eighth to 12th grade education.
   Lumpectomy literature had a lower PMOSE/iKIRSCH score of 5.8
   corresponding to a "very low" complexity and fourth to eighth grade
   education (P = 0.05). Suitability assessment showed mean values of 41%
   and 46% (P = 0.83) labeled as the lowest level of "adequacy" for
   mastectomy and lumpectomy materials, respectively. Inter-rater
   reliability was high for both complexity and suitability analysis.
   Conclusions: Online resources for the surgical treatment of breast
   cancer are above the recommended reading grade level. The suitability
   level is barely adequate indicating a need for revision. Online
   resources for mastectomy have a higher reading grade level than do
   materials for lumpectomy and tend to be more complex. (C) 2017 Elsevier
   Inc. All rights reserved.
RI Lee, Bernard T./K-1106-2016
OI Lee, Bernard T./0000-0002-5533-3166
Z8 0
ZA 0
ZR 0
ZS 0
ZB 1
TC 17
Z9 17
U1 0
U2 2
SN 0022-4804
EI 1095-8673
UT WOS:000405362700027
PM 28550909
ER

PT J
AU Smith, Benjamin E.
   Hendrick, Paul
   Bateman, Marcus
   Moffatt, Fiona
   Rathleff, Michael Skovdal
   Selfe, James
   Smith, Toby O.
   Logan, Pip
TI Current management strategies for patellofemoral pain: an online survey
   of 99 practising UK physiotherapists
SO BMC MUSCULOSKELETAL DISORDERS
VL 18
AR 181
DI 10.1186/s12891-017-1539-8
PD MAY 8 2017
PY 2017
AB Background: Patellofemoral pain (PFP) is considered one of the commonest
   forms of knee pain. This study aimed to identify how physiotherapists in
   the United Kingdom (UK) currently manage patellofemoral pain (PFP),
   particularly in relation to exercise prescription, and response to pain.
   Methods: An anonymous survey was designed with reference to previous
   surveys and recent systematic reviews. Practising UK physiotherapists
   who treat patients with PFP were invited to take part via an invitation
   email sent through professional networks, the 'interactive Chartered
   Society of Physiotherapy (iCSP)' message board, and social media
   (Twitter). Descriptive statistics were used to analyse the data.
   Results: A total of 99 surveys were completed. Responders reported a
   wide range of management strategies, including a broad selection of type
   and dose of exercise prescription. The five most common management
   strategies chosen were: closed chain strengthening exercises (98%);
   education and advice (96%); open chain strengthening exercises (76%);
   taping (70%) and stretches (65%). Physiotherapists with a special
   interest in treating PFP were statistically more likely to manage
   patients with orthotics (P = 0.02) and bracing (P = 0.01) compared to
   physiotherapists without a special interest. Approximately 55% would not
   prescribe an exercise if it was painful. Thirty-one percent of
   physiotherapists would advise patients not to continue with leisure
   and/or sporting activity if they experienced any pain.
   Conclusion: Current UK practice in the management strategies of PFP is
   variable. Further high quality research on which to inform physiotherapy
   practice is warranted for this troublesome musculoskeletal condition.
RI Bateman, Marcus/J-6460-2019; Smith, Benjamin/; Smith, Toby/; Rathleff, Michael Skovdal/
OI Bateman, Marcus/0000-0002-3203-506X; Smith,
   Benjamin/0000-0002-4723-0028; Smith, Toby/0000-0003-1673-2954; Rathleff,
   Michael Skovdal/0000-0003-1173-0335
ZB 1
ZA 0
ZR 0
Z8 0
ZS 0
TC 31
Z9 31
U1 1
U2 7
EI 1471-2474
UT WOS:000400793300001
PM 28482879
ER

PT J
AU Sabouni, Ammar
   Bdaiwi, Yamama
   Janoudi, Saad L.
   Namous, Lubaba O.
   Turk, Tarek
   Alkhatib, Mahmoud
   Abbas, Fatima
   Yafi, Ruba Zuhri
TI Multiple strategy peer-taught evidence-based medicine course in a poor
   resource setting
SO BMC MEDICAL EDUCATION
VL 17
AR 82
DI 10.1186/s12909-017-0924-1
PD MAY 4 2017
PY 2017
AB Background: Teaching Evidence Based Medicine (EBM) is becoming a
   priority in the healthcare process. For undergraduates, it has been
   proved that integrating multiple strategies in teaching EBM yields
   better results than a single, short-duration strategy. However, there is
   a lack of evidence on applying EBM educational interventions in
   developing countries. In this study, we aim to evaluate the
   effectiveness of a multiple strategy peer-taught online course in
   improving EBM awareness and skills among medical students in two
   developing countries, Syria and Egypt.
   Methods: We conducted a prospective study with pre- and post-course
   assessment of 84 medical students in three universities, using the
   Berlin questionnaire and a set of self-reported questions which studied
   the students' EBM knowledge, attitude and competencies. The educational
   intervention was a peer-taught online course consisting of six sessions
   (90 min each) presented over six weeks, and integrated with assignments,
   group discussions, and two workshops.
   Results: The mean score of pre- and post-course Berlin tests was 3.5
   (95% CI: 2.94-4.06) and 5.5 (95% CI: 4.74-6.26) respectively, increasing
   by 2 marks (95% CI: 1.112-2.888; p-value < 0.001), which indicates a
   statistically significant increase in students' EBM knowledge and skill,
   similar to a previous expert-taught face to face contact course.
   Self-reported confidences also increased significantly. However, our
   course did not have a major effect on students' attitudes toward EBM
   (1.9-10.8%; p-value: 0.12-0.99).
   Conclusion: In developing countries, multiple strategy peer-taught
   online courses may be an effective alternative to face to face
   expert-taught courses, especially in the short term.
RI abbas, fatima/W-8574-2019
OI abbas, fatima/0000-0002-5324-0812
Z8 0
TC 3
ZR 0
ZS 0
ZB 0
ZA 0
Z9 3
U1 0
U2 6
SN 1472-6920
UT WOS:000400583600001
PM 28472986
ER

PT J
AU Deligianni, Elena
   Corkery, John M.
   Schifano, Fabrizio
   Lione, Lisa A.
TI An international survey on the awareness, use, preference, and health
   perception of novel psychoactive substances (NPS)
SO HUMAN PSYCHOPHARMACOLOGY-CLINICAL AND EXPERIMENTAL
VL 32
IS 3
AR e2581
DI 10.1002/hup.2581
PD MAY 2017
PY 2017
AB ObjectiveThis survey investigated the level of public awareness,
   preference, and motivation of novel psychoactive substances (NPS) use as
   well as knowledge of potential associated health risks.
   MethodsA Bristol Online Survey was advertised through social media and a
   drug forum Bluelight between January 7 and February 7, 2015.
   ResultsResponses were received from 17 countries, mainly from Europe.
   Most responses (83%) came from university educated students. Two-thirds
   (65%) of the 168 respondents were aware of NPS. Awareness was
   significantly increased in those with bisexual or homosexual orientation
   (p<.05) and those in employment (p<.05). Fourteen percent of the 168
   respondents were users of NPS, and use was significantly affected by age
   and employment (p<.01) but unaffected by level of education (p>.05).
   Nearly half of the NPS users perceived NPS to carry either a low risk to
   health (20%) or did not know whether or not they posed a health risk
   (29%).
   ConclusionsThese survey data indicate that awareness of NPS and,
   importantly, perception of the potential health risks associated with
   NPS use is lacking. NPS awareness and use is higher in those in
   employment but is unaffected by level of education. This highlights the
   need for targeted drugs education intervention by policy-makers in
   schools and universities.
OI Corkery, John Martin/0000-0002-3849-817X; Lione,
   Lisa/0000-0001-6694-6956
ZA 0
TC 8
ZR 0
Z8 0
ZS 0
ZB 4
Z9 8
U1 0
U2 17
SN 0885-6222
EI 1099-1077
UT WOS:000404369000010
PM 28485125
ER

PT J
AU Guirguis, Amira
   Corkery, John Martin
   Stair, Jacqueline Leslie
   Kirton, Stewart Brian
   Zloh, Mire
   Schifano, Fabrizio
TI Intended and unintended use of cathinone mixtures
SO HUMAN PSYCHOPHARMACOLOGY-CLINICAL AND EXPERIMENTAL
VL 32
IS 3
AR e2598
DI 10.1002/hup.2598
PD MAY 2017
PY 2017
AB IntroductionCathinones are one of the most popular categories of new
   psychoactive substances (NPS) consumed. Cathinones have different
   pharmacological activities and receptor selectivity for monoamine
   transporters based on their chemical structures. They are incorporated
   into NPS mixtures and used with other NPS or traditional' drugs.
   Cathinone use represents significant health risks to individuals and is
   a public health burden.
   MethodsEvidence of poly-NPS use with cathinones, seizure information,
   and literature analyses results on NPS mixtures was systematically
   gathered from online database sources, including Google Scholar, Scopus,
   Bluelight, and Drugs-Forum.
   Results and discussionResults highlight the prevalence of NPS with low
   purity, incorporation of cathinones into NPS mixtures since 2008, and
   multiple members of the cathinone family being present in individual
   UK-seized samples. Cathinones were identified as adulterants in NPS
   marketed as being pure NPS, drugs of abuse, branded products, herbal
   blends, and products labelled not for human consumption. Toxicity
   resulting from cathinone mixtures is unpredictable because key
   attributes remain largely unknown. Symptoms of intoxication include
   neuro-psychological, psychiatric, and metabolic symptoms. Proposed
   treatment includes holistic approaches involving psychosocial,
   psychiatric and pharmacological interventions.
   ConclusionRaising awareness of NPS, education, and training of health
   care professionals are paramount in reducing harms related to cathinone
   use.
RI Kirton, Stewart B/AID-6427-2022; Kirton, Stewart B/U-2783-2019; Zloh, Mire/M-5597-2018; Corkery, John Martin/; Guirguis, Amira/; Stair, Jacqueline/
OI Kirton, Stewart B/0000-0002-1567-0061; Zloh, Mire/0000-0002-4848-2737;
   Corkery, John Martin/0000-0002-3849-817X; Guirguis,
   Amira/0000-0001-8255-0660; Stair, Jacqueline/0000-0001-8365-5894
ZS 0
Z8 0
TC 28
ZB 11
ZA 0
ZR 0
Z9 28
U1 0
U2 13
SN 0885-6222
EI 1099-1077
UT WOS:000404369000020
PM 28657191
ER

PT J
AU Anasuya, V.
TI Usage of Electronic Resources by the Medical, Dental and Paramedical
   Science Professionals in Karnataka
SO DESIDOC JOURNAL OF LIBRARY & INFORMATION TECHNOLOGY
VL 37
IS 3
BP 158
EP 164
DI 10.14429/djlit.37.3.10270
PD MAY 2017
PY 2017
AB Electronic resources are becoming an integral part of the modern life
   and of the educational prospect, especially the higher education
   prospect. Students of all age group, house wife's, technician and
   professionals of all community like academicians, business, medical
   professionals, lawyers, technicians are highly dependent on e-resources.
   Govt. of India is also playing key role in support of e-resources, with
   its special scheme of subsidised rates for subscribing e-resources and
   internet usage. Accessibility and use of e-resources by the medical,
   dental and paramedical science professionals in the state of Karnataka
   is studied. It includes use of e-resources, use of various types of
   e-resources, Frequency of access to internet, Information searching
   pattern, Use of e-databases subscribed by the library, Purpose of use,
   Problem faced while accessing information resources through online
   search mode.
RI Technology, DESIDOC Journal of Library and Information/AHA-3068-2022
ZB 0
ZR 0
Z8 0
ZA 0
ZS 0
TC 1
Z9 1
U1 0
U2 0
SN 0974-0643
EI 0976-4658
UT WOS:000425309000002
ER

PT J
AU Ceylan, Hasan Huseyin
   Gungoren, Nurdan
   Kucukdurmaz, Fatih
TI Tips and tricks for using the internet for professional purposes
SO EFORT OPEN REVIEWS
VL 2
IS 5
BP 126
EP 134
DI 10.1302/2058-5241.2.160066
PD MAY 2017
PY 2017
AB Online resources provide access to large amounts of information which is
   expanding every day. Using search engines for reaching the relevant,
   updated and complete literature that is indexed in various
   bibliographical databases has already become part of the medical
   professionals' everyday life.
   However, most researchers often fail to conduct a efficient literature
   search on the internet. The right techniques in literature search save
   time and improve the quality of the retrieved data.
   Efficient literature search is not a talent but a learnable skill, which
   should be a formal part of medical education.
   This review briefly outlines the commonly used bibliographic databases,
   namely Pubmed, Cochrane Library, Web of Science, Scopus, EMBASE, CINAHL
   and Google Scholar. Also the definition of grey literature and its
   features are summarised.
RI Güngören/AAL-3927-2020; Küçükdurmaz, Fatih/GLT-7855-2022
OI Güngören/0000-0001-9199-9304; Küçükdurmaz, Fatih/0000-0002-5557-8542
ZR 0
ZA 0
ZB 0
TC 0
ZS 0
Z8 0
Z9 0
U1 0
U2 5
SN 2396-7544
EI 2058-5241
UT WOS:000419975400003
PM 28630750
ER

PT J
AU Cox, Jacob T.
   Kironji, A. Gatebe
   Edwardson, Jill
   Moran, Dane
   Aluri, James
   Carroll, Bryn
   Warren, Nicole
   Chen, Chi Chiung Grace
TI Global Health Career Interest among Medical and Nursing Students: Survey
   and Analysis
SO ANNALS OF GLOBAL HEALTH
VL 83
IS 3-4
BP 588
EP 595
DI 10.1016/j.aogh.2017.07.002
PD MAY-AUG 2017
PY 2017
AB BACKGROUND Global health experiences undertaken in international
   settings (GHEs) are becoming an increasingly prevalent aspect of health
   professions education and, as such, merit comprehensive analysis of the
   impact they have on students and host communities.
   OBJECTIVE To assess the associations between demographic/experiential
   factors and the interest of health professions students in careers
   involving global health.
   METHODS A cross-sectional survey was administered online to a
   convenience sample of medical and nursing students at Johns Hopkins
   University. Questions addressed level of interest in a global health
   career, prior GHEs, and demographic information. Items were either
   Likert scale or multiple choice. Various regression analyses were
   performed.
   FINDINGS Of 510 respondents, 312 (61.2%) expressed interest in a global
   health career and 285 (55.9%) had prior GHEs. Multivariate logistic
   regression found female sex, age >= 27 years, household income <$
   100,000/y, and a prior research-related GHE independently associated
   with higher interest in global health careers. On subset analysis of
   participants with one or more prior GHEs: age >= 27 years, household
   income <$ 100,000/y, a prior research-related GHE, and having multiple
   GHEs were each independently associated with increased interest in a
   global health career.
   CONCLUSIONS Simply participating in a global health experience abroad is
   not significantly associated with interest in a global health career.
   However, sex, age, household income, and research-related GHEs are
   significantly associated with global health career interest. These
   findings may inform the development of global health programs at medical
   and nursing schools and can guide efforts to increase the number of
   health care professionals entering global health careers.
OI Carroll, Bryn/0000-0002-7579-5798; Warren, Nicole/0000-0001-5640-3843
TC 6
ZR 0
ZS 0
ZB 0
Z8 0
ZA 0
Z9 6
U1 0
U2 2
SN 2214-9996
UT WOS:000417209100021
PM 29221533
ER

PT J
AU Mattsson, Susanne
   Olsson, Erik Martin Gustaf
   Johansson, Birgitta
   Carlsson, Maria
TI Health-Related Internet Use in People With Cancer: Results From a
   Cross-Sectional Study in Two Outpatient Clinics in Sweden
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 19
IS 5
AR e163
DI 10.2196/jmir.6830
PD MAY 2017
PY 2017
AB Background: The access to various forms of support during the disease
   trajectory is crucial for people with cancer. The provision and use of
   Internet health services is increasing, and it is important to further
   investigate the preferences and demographical characteristics of its
   users. Investigating the uptake and perceived value of Internet health
   services is a prerequisite to be able to meet the needs in the targeted
   group.
   Objective: The objective of this study was to investigate health-related
   Internet use among people with cancer.
   Methods: The health online support questionnaire (HOSQ), examining the
   incentives for health-related Internet support use, was administered in
   two Swedish outpatient hospital clinics. Of the 350 copies of the
   questionnaire handed out, 285 (81.4%) were returned, answered by persons
   with cancer who had completed treatment or were under active
   surveillance or another medical treatment.
   Results: A total of 215 (76.2%, 215/282) participants reported Internet
   use since being diagnosed with cancer. Internet-users were younger
   (P<.001), more likely to have a partner (P=.03), and had a higher level
   of education than nonusers (P<.001). The most common health-related
   activity on the Internet was searching for information (77.2%, 166/215),
   and users searched significantly more immediately after diagnosis
   compared with later on (P<.001). Use of My Healthcare Contacts was
   considered the most valuable Internet activity. Having a university
   degree (P<.001) and being younger in age (P=.01) were associated with a
   significantly higher frequency of health-related Internet use.
   Conclusions: People with cancer turn to the Internet for informational
   support that enables them to influence their care and to stay in touch
   with friends and relatives. Demographical differences regarding the
   uptake of Web-based support remains. This indicates a need for research
   on how to bridge this digital gap. By learning more about the use of
   health-related support on the Web among people with cancer, adequate
   support can be offered and potential strain reduced.
RI Olsson, Erik/AAB-3790-2019; Longoria, Inés Alvarez Icaza/AAW-3137-2021; Mattsson, Susanne/; Johansson, Birgitta/
OI Olsson, Erik/0000-0002-1591-7407; Mattsson, Susanne/0000-0001-7322-0205;
   Johansson, Birgitta/0000-0001-6226-6849
Z8 0
ZR 0
ZA 0
ZS 0
TC 26
ZB 6
Z9 26
U1 0
U2 3
SN 1438-8871
UT WOS:000417023300001
PM 28506959
ER

PT J
AU Sattler, Sebastian
   Escande, Alice
   Racine, Eric
   Goritz, Anja S.
TI Public Stigma Toward People With Drug Addiction: A Factorial Survey
SO JOURNAL OF STUDIES ON ALCOHOL AND DRUGS
VL 78
IS 3
BP 415
EP 425
DI 10.15288/jsad.2017.78.415
PD MAY 2017
PY 2017
AB Objective: Stigmatizing attitudes toward people with a drug addiction
   have detrimental effects on the lives of these people. However, the
   factors that influence stigma toward people with a drug addiction have
   not yet been thoroughly investigated, compared with the stigma of other
   mental illnesses. Based on attribution theory, our experiment examined
   to what extent individual and contextual characteristics of people with
   a drug addiction influence stigmatizing attitudes toward people with a
   drug addiction. Moreover, we explored whether respondent characteristics
   indicative of familiarity with addiction decrease stigma toward people
   with a drug addiction. Method: We conducted a full factorial survey of
   2,857 respondents from a German online access panel who were from all
   walks of life. We experimentally varied vignettes (2(9)-design) that
   featured a fictional person with an addiction. Stigmatizing beliefs,
   such as blame or fear, were assessed using the Attribution Questionnaire
   (AQ-9). Results: Different attributes of people with a drug addiction
   and of the characteristics of their addiction modulated stigma in ways
   that are mostly consistent with attribution theory and related research.
   For example, female gender and younger age of people with a drug
   addiction diminished several stigmatizing attitudes; greater duration of
   addiction and social influence to use drugs increased them. Furthermore,
   characteristics of respondents modulated stigma: women, younger
   respondents, and those with higher education expressed less stigmatizing
   responses than others. Conclusions: The stigmatization of people with a
   drug addiction is influenced by several factors, including
   characteristics of the stigmatized person, the addiction, and the person
   holding stigmatizing attitudes. A better understanding of the underlying
   mechanisms of these effects is needed to develop evidence-based anti
   stigma measures.
RI Sattler, Sebastian/Y-3590-2018; Goritz, Anja/
OI Sattler, Sebastian/0000-0002-6491-0754; Goritz, Anja/0000-0002-4638-0489
ZS 0
ZA 0
ZR 0
Z8 1
ZB 4
TC 41
Z9 42
U1 1
U2 37
SN 1937-1888
EI 1938-4114
UT WOS:000401680600012
PM 28499109
ER

PT J
AU Modalsli, E. H.
   Asvold, B. O.
   Romundstad, P. R.
   Langhammer, A.
   Hoff, M.
   Forsmo, S.
   Naldi, L.
   Saunes, M.
TI Psoriasis, fracture risk and bone mineral density: the HUNT Study,
   Norway
SO BRITISH JOURNAL OF DERMATOLOGY
VL 176
IS 5
BP 1162
EP 1169
DI 10.1111/bjd.15123
PD MAY 2017
PY 2017
AB BackgroundAn association between psoriasis and osteoporosis has been
   reported.
   ObjectivesTo investigate, in a large prospective population-based
   Norwegian study, whether psoriasis is associated with increased risk of
   forearm or hip fracture; to investigate the cross-sectional association
   between psoriasis and bone mineral density (BMD) T-score in a
   subpopulation.
   MethodsHospital-derived fracture data from Nord-TrOndelag County
   (1995-2013) were linked to psoriasis information, BMD measurements and
   lifestyle factors from the third survey of the Nord-TrOndelag Health
   Study 2006-08 (HUNT3); socioeconomic data from the National Education
   Database; and use of medication from the Norwegian Prescription
   Database.
   ResultsAmong 48 194 participants in HUNT3, we found no increased risk of
   forearm or hip fracture in 2804 patients with self-reported psoriasis
   [overall age- and sex-adjusted hazard ratio 103, 95% confidence interval
   (CI) 082-131]. No clear association was found between psoriasis and mean
   BMD T-score; overall age- and sex-adjusted differences in total hip,
   femoral neck and lumbar spine BMD T-scores were 002 (95% CI -011 to
   014), 005 (95% CI -006 to 017) and 007 (95% CI -009 to 024),
   respectively. No clear association was found between psoriasis and
   prevalent osteoporosis in either total hip, femoral neck or lumbar
   spine; overall age- and sex-adjusted odds ratio was 077 (95% CI
   054-110). Associations did not change substantially after adjustment for
   education, smoking, systemic steroid use and body mass index.
   ConclusionsWe found no association between psoriasis and risk of
   fracture. The study did not indicate reduced BMD T-score or higher
   prevalence of osteoporosis among patients with psoriasis.
   What's already known about this topic?
   An association between psoriasis and osteoporosis has been reported.
   What does this study add?
   In this large population-based prospective study we found no increased
   risk of fracture among people with psoriasis. In the cross-sectional
   analyses, we found no convincing association between psoriasis and bone
   mineral density or osteoporosis.
   Respond to this article Linked Comment: Ramot. Br J Dermatol 2017;
   176:1117-1118 Plain language summary available online
RI Hoff, Mari/AAZ-7302-2021; Naldi, Luigi/K-6343-2016; Hoff, Mari/
OI Naldi, Luigi/0000-0002-3160-2835; Hoff, Mari/0000-0002-9992-8663
ZA 0
ZB 6
Z8 1
ZR 0
ZS 0
TC 19
Z9 20
U1 0
U2 2
SN 0007-0963
EI 1365-2133
UT WOS:000401338700057
PM 27718508
ER

PT J
AU Muriel Fernandez, Jorge
   Sanchez Ledesma, Maria Jose
   Lopez Millan, Manuel
   Garcia Cenador, Maria Begona
TI Study of the uses of Information and Communication Technologies by Pain
   Treatment Unit Physicians
SO JOURNAL OF MEDICAL SYSTEMS
VL 41
IS 5
AR 78
DI 10.1007/s10916-017-0726-3
PD MAY 2017
PY 2017
AB Adequate use of Information and Communication Technologies (ICTs) in
   health has been shown to save the patient and caregiver time, improve
   access to the health system, improve diagnosis and control of disease or
   treatment. All this results in cost savings, and more importantly, they
   help improve the quality of service and the lives of patients. The
   purpose of this study is to analyse the differences in the uses of this
   ICTs between those physicians that belong to Pain Treatment Units (PU)
   and other physicians that work in pain not linked to these PUs. An
   online survey, generated by Netquest online survey tool, was sent to
   both groups of professionals and the data collected was statistical
   analysed through a logistic regression methodology which is the Logit
   binomial model. Our results show that those physicians that belong to
   PUs use ICTs more frequently and consider it more relevant to their
   clinical practice.
RI Sanchez Ledesma, María José/L-8668-2017; Cenador, María Begoña García/CAI-2603-2022; Cenador, Begoña García/Q-9417-2018; López-Millán, José M./L-9188-2017
OI Sanchez Ledesma, María José/0000-0001-9146-2726; Cenador, María Begoña
   García/0000-0002-8950-8542; Cenador, Begoña García/0000-0002-8950-8542;
   López-Millán, José M./0000-0001-7999-2257
ZB 0
ZS 4
ZA 0
Z8 0
ZR 0
TC 0
Z9 4
U1 0
U2 4
SN 0148-5598
EI 1573-689X
UT WOS:000399825700009
PM 28349348
ER

PT J
AU Guilbault, Ryan William Raymond
   Vinson, Joseph Alexander
TI Clinical Medical Education in Rural and Underserved Areas and Eventual
   Practice Outcomes: A Systematic Review and Meta-analysis
SO EDUCATION FOR HEALTH
VL 30
IS 2
BP 146
EP 155
DI 10.4103/efh.EfH_226_16
PD MAY-AUG 2017
PY 2017
AB Background: Undergraduate medical students are enrolled in clinical
   education programs in rural and underserved urban areas to increase the
   likelihood that they will eventually practice in those areas and train
   in a primary care specialty to best serve those patient populations.
   Methods: MEDLINE and Cochrane Library online databases were searched to
   identify articles that provide a detailed description of the exposure
   and outcome of interest. A qualitative review of articles reporting
   outcome data without comparison or control groups was completed using
   the Medical Education Research Study Quality Instrument (MERSQI). A
   meta-analysis of articles reporting outcome data with comparison or
   control groups was completed with statistical and graphical summary
   estimates. Results: Seven hundred and nine articles were retrieved from
   the initial search and reviewed based on inclusion and exclusion
   criteria. Of those, ten articles were identified for qualitative
   analysis and five articles included control groups and thus were
   included in the quantitative analysis. Results indicated that medical
   students with clinical training in underserved areas are almost three
   times as likely to practice in underserved areas than students who do
   not train in those areas (relative risk [RR] = 2.94; 95% confidence
   interval [CI]: 2.17, 4.00). Furthermore, medical students training in
   underserved areas are about four times as likely to practice primary
   care in underserved areas than students who do not train in those
   locations (RR = 4.35; 95% CI: 1.56, 12.10). Discussion: These estimates
   may help guide medical school administrators and policymakers to expand
   underserved clinical training programs to help relieve some of the
   problems associated with access to medical care among underserved
   populations.
TC 9
ZB 0
Z8 0
ZA 0
ZS 1
ZR 0
Z9 10
U1 1
U2 5
SN 1357-6283
EI 1469-5804
UT WOS:000430801000008
PM 28928345
ER

PT J
AU Boyd, Sara Elizabeth
   Moore, Luke Stephen Prockter
   Gilchrist, Mark
   Costelloe, Ceire
   Castro-Sanchez, Enrique
   Franklin, Bryony Dean
   Holmes, Alison Helen
TI Obtaining antibiotics online from within the UK: a cross-sectional study
SO JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY
VL 72
IS 5
BP 1521
EP 1528
DI 10.1093/jac/dkx003
PD MAY 2017
PY 2017
AB Background: Improved antibiotic stewardship (AS) and reduced prescribing
   in primary care, with a parallel increase in personal internet use,
   could lead citizens to obtain antibiotics from alternative sources
   online.
   Objectives: A cross-sectional analysis was performed to: (i) determine
   the quality and legality of online pharmacies selling antibiotics to the
   UK public; (ii) describe processes for obtaining antibiotics online from
   within the UK; and (iii) identify resulting AS and patient safety
   issues.
   Methods: Searches were conducted for 'buy antibiotics online' using
   Google and Yahoo. For each search engine, data from the first 10 web
   sites with unique URL addresses were reviewed. Analysis was conducted on
   evidence of appropriate pharmacy registration, prescription requirement,
   whether antibiotic choice was 'prescriber-driven' or 'consumer-driven',
   and whether specific information was required (allergies, comorbidities,
   pregnancy) or given (adverse effects) prior to purchase.
   Results: Twenty unique URL addresses were analysed in detail. Online
   pharmacies evidencing their location in the UK (n = 5; 25%) required a
   prescription before antibiotic purchase, and were appropriately
   registered. Online pharmacies unclear about the location they were
   operating from (n = 10; 50%) had variable prescription requirements, and
   no evidence of appropriate registration. Nine (45%) online pharmacies
   did not require a prescription prior to purchase. For 16 (80%) online
   pharmacies, decisions were initially consumer-driven for antibiotic
   choice, dose and quantity.
   Conclusions: Wide variation exists among online pharmacies in relation
   to antibiotic practices, highlighting considerable patient safety and AS
   issues. Improved education, legislation, regulation and new best
   practice stewardship guidelines are urgently needed for online
   antibiotic suppliers.
RI Castro-Sanchez, Enrique/H-7893-2019; Moore, Luke S P/Q-1012-2018; Boyd, Sara/; Holmes, Alison/
OI Castro-Sanchez, Enrique/0000-0002-3351-9496; Moore, Luke S
   P/0000-0001-7095-7922; Boyd, Sara/0000-0001-9935-5263; Holmes,
   Alison/0000-0001-5554-5743
ZS 0
TC 23
ZB 9
ZA 0
ZR 0
Z8 0
Z9 23
U1 0
U2 11
SN 0305-7453
EI 1460-2091
UT WOS:000402632400039
PM 28333179
ER

PT J
AU Finlayson, Tracy L.
   Asgari, Padideh
   Hoffman, Lisa
   Palomo-Zerfas, Ana
   Gonzalez, Martha
   Stamm, Nannette
   Rocha, Maria-Isabel
   Nunez-Alvarez, Arcela
TI Formative Research: Using a Community-Based Participatory Research
   Approach to Develop an Oral Health Intervention for Migrant Mexican
   Families
SO HEALTH PROMOTION PRACTICE
VL 18
IS 3
BP 454
EP 465
DI 10.1177/1524839916680803
PD MAY 2017
PY 2017
AB Oral health is a leading unmet health need among migrant families. This
   article describes the 1-year, community-based participatory research
   (CBPR) approach employed to plan and develop a Lider Communitario (lay
   community health worker)-led educational intervention for Mexican
   migrant adult caregivers and their families in three underserved, remote
   communities in North San Diego County, California. Four partner
   organizations collaborated, reviewed existing oral health curricula, and
   sought extensive input on educational topics and research design from
   key informants, migrant caregivers, and Lideres Communitarios. Based on
   community stakeholder input, partners developed a logic model and
   drafted educational intervention materials. Key informants (n = 28),
   including several members from two community advisory boards, ranked
   program priorities and intervention subgroup population via online
   survey. Three focus groups were conducted with Lideres Communitarios (n
   = 22) and three with migrant families (n = 30) regarding the oral health
   program's design and content. Twelve Lideres Communitarios reviewed
   draft intervention materials during two focus groups to finalize the
   curriculum, and their recommended changes were incorporated. Formative
   research results indicated that community stakeholders preferred to
   focus on adult caregivers and their families. A 5-week educational
   intervention with hands on demonstrations and colorful visuals was
   developed, covering the following topics: bacteria and tooth decay, oral
   hygiene, nutrition, gum disease, and dental services. The CBPR process
   engaged multiple community stakeholders in all aspects of planning and
   developing the educational intervention.
ZB 0
ZS 0
Z8 0
TC 9
ZR 0
ZA 0
Z9 9
U1 0
U2 11
SN 1524-8399
EI 1552-6372
UT WOS:000399751100017
PM 27913659
ER

PT J
AU Victoria Salgado, M.
   Mejia, Raul M.
   Kaplan, Celia P.
   Perez-Stable, Eliseo J.
TI Smoking-Related Attitudes and Knowledge Among Medical Students and
   Recent Graduates in Argentina: A Cross-Sectional Study
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 32
IS 5
BP 549
EP 555
DI 10.1007/s11606-016-3890-0
PD MAY 2017
PY 2017
AB BACKGROUND: Physicians in Argentina smoke at rates similar to the
   general population, and do not have a clear role in tobacco control
   strategies.
   To describe the attitudes and knowledge of medical students and recent
   graduates towards smoking behavior in Argentina.
   Cross-sectional self-administered online survey conducted in 2011.
   Medical students and recent medical graduates from the University of
   Buenos Aires.
   Attitudes and knowledge were evaluated by responses to 16 statements
   regarding the effects of smoking cigarettes and the role of physicians
   in tobacco control. Rates of agreement with a full ban on indoor smoking
   in different public settings were assessed.
   The sample included 1659 participants (response rate: 35.1 %), 453 of
   whom (27.3 %) were current smokers. Only 52 % of participants agreed
   that doctors should set an example for their patients by not smoking,
   30.9 % thought that medical advice had little effect on patients'
   cessation behavior, and 19.4 % believed that physicians could decline to
   care for smoking patients who failed to quit. In adjusted logistic
   regression models, current smokers had less supportive attitudes about
   tobacco control and were less likely than non-smokers to agree with a
   full indoor smoking ban in hospitals (OR: 0.30; 95 % CI 0.16-0.58),
   universities (OR: 0.55; 95 % CI 0.41-0.73), workplaces (OR: 0.67; 95 %
   CI 0.50-0.88), restaurants (OR: 0.42; 95 % CI 0.33-0.53), cafes (OR:
   0.41; 95 % CI 0.33-0.51), nightclubs (OR: 0.32; 95 % CI 0.25-0.40), and
   bars (0.35; 95 % CI 0.28-0.45). Recent medical graduates had more
   accurate knowledge about cessation and were more likely to agree with a
   full smoking ban in recreational venues.
   Although most participants reported a strong anti-tobacco attitude, a
   proportion still failed to recognize the importance of their role as
   physicians in tobacco control strategies. Current smokers and current
   students were less likely to support indoor smoking bans. Specific
   educational curricula could address these factors.
RI Salgado, Maria Victoria/AAV-4228-2020; Mejia, Raul/
OI Salgado, Maria Victoria/0000-0003-3449-9703; Mejia,
   Raul/0000-0002-7782-0934
ZA 0
ZS 1
Z8 0
TC 10
ZR 0
ZB 2
Z9 11
U1 0
U2 10
SN 0884-8734
EI 1525-1497
UT WOS:000399833300011
PM 27730488
ER

PT J
AU Allen, Jacob E.
   Mansergh, Gordon
   Mimiaga, Matthew J.
   Holman, Jeremy
   Herbst, Jeffrey H.
TI Mobile Phone and Internet Use Mostly for Sex-Seeking and Associations
   With Sexually Transmitted Infections and Sample Characteristics Among
   Black/African American and Hispanic/Latino Men Who Have Sex With Men in
   3 US Cities
SO SEXUALLY TRANSMITTED DISEASES
VL 44
IS 5
BP 284
EP 289
DI 10.1097/OLQ.0000000000000590
PD MAY 2017
PY 2017
AB Background: Men who have sex withmen (MSM) have a relatively high
   prevalence of sexually transmitted infections (STIs). This study
   examines the association of self-reported STIs and use of mobile phones
   and/or computer-based Internet to meet sexual partners among black and
   Hispanic/Latino MSM in the United States.
   Methods: Black and Hispanic/Latino MSM (N = 853) were recruited from 3
   US cities (Chicago, IL; Kansas City, MO; and Fort Lauderdale, FL) via
   online and community outreach. Men completed a computer-assisted,
   self-interview assessment on demographics, use of mobile phones and
   computer-based Internet for sex-seeking, sexual risk behavior, and
   self-reported bacterial STIs in the past year. Multivariable logistic
   regression was used to model independent associations of STIs and use of
   these technologies to meet sexual partners.
   Results: Twenty-three percent of the sample reported having an STI in
   the past year; 29% reported using a mobile phone and 28% a
   computer-based Internet mostly for sex-seeking; and 22% reported using
   both. Number of male sexual partners (past year) was associated with any
   STI (adjusted odds ratio, 1.03; 95% confidence interval, 1.01-1.06).
   Adjusting for human immunodeficiency virus status, number of male sexual
   partners (past year), and demographic variables, men who reported use of
   both mobile phones and computer-based Internet for sex-seeking had
   increased odds of reporting an STI (adjusted odds ratio, 2.59; 95%
   confidence interval, 1.75-3.83), as well as with separate reports of
   chlamydia, gonorrhea, and syphilis (P's < 0.05).
   Conclusions: Enhanced community education regarding STI prevention,
   testing, and treatment options are necessary among this subpopulation of
   MSM who may benefit from messaging via Internet and mobile phone
   application sites.
ZA 0
ZB 4
ZS 0
Z8 1
ZR 0
TC 5
Z9 6
U1 0
U2 13
SN 0148-5717
EI 1537-4521
UT WOS:000399594000006
PM 28407644
ER

PT J
AU Seretis, Fotios
   Kaisari, Panagiota
   Wanigasooriya, Kasun
   Rawstorne, Edward
   Seretis, Charalampos
TI Institutional variations in nutritional aspects of enhanced recovery
   pathways after elective surgery for colon cancer
SO JOURNAL OF BUON
VL 22
IS 3
BP 692
EP 695
PD MAY-JUN 2017
PY 2017
AB Purpose: Perioperative nutritional optimisation is one of the key
   aspects of the Enhanced Recovery after Surgery (ERAS) pathway after
   elective colorectal cancer resections. Despite the general acceptance of
   ERAS as a safe and cost-effective perioperative care bundle, significant
   variations in terms of nutritional support exist among colorectal units.
   Methods: To assess these variations, we performed a cross-sectional
   online survey among colorectal surgical residents within a UK region.
   Results: Our survey of practice demonstrated that despite the
   international recommendations, a considerable percentage of colorectal
   units would still advocate prolonged fasting prior to surgery without
   routine use of carbohydrate loading, as well as delaying resumption of
   oral intake postoperatively. In addition, in almost one in five
   colorectal units, the patients would not be assessed by the specialist
   nutrition team for potential support during their hospitalisation.
   Conclusion: Therefore, we believe that further education of the medical
   and allied health professional staff is required regarding the correct
   implementation of ERAS pathway guidelines after elective surgery for
   colorectal cancer.
RI Wanigasooriya, Kasun/Q-3501-2019; Wanigasooriya, Kasun/
OI Wanigasooriya, Kasun/0000-0002-3683-1864
Z8 0
ZR 0
ZB 1
ZS 1
ZA 0
TC 3
Z9 4
U1 0
U2 6
SN 1107-0625
EI 2241-6293
UT WOS:000405961400019
PM 28730776
ER

PT J
AU Etnel, Jonathan R. G.
   van Dijk, Arie P. J.
   Kluin, Jolanda
   Bertels, Robin A.
   Utens, Elisabeth M. W. J.
   van Galen, Eugene
   The, Regina
   Bogers, Ad J. J. C.
   Takkenberg, Johanna J. M.
TI Development of an Online, Evidence-Based Patient Information Portal for
   Congenital Heart Disease: A Pilot Study
SO FRONTIERS IN CARDIOVASCULAR MEDICINE
VL 4
AR 25
DI 10.3389/fcvm.2017.00025
PD MAY 1 2017
PY 2017
AB Objectives: In response to an increased need for patient information on
   congenital heart disease in the Netherlands, we initiated a nationwide
   initiative to develop an online, evidence-based patient information
   portal, starting with a pilot project aimed at the subgroup of patients
   with congenital aortic and pulmonary valve disease.
   Methods and results: We developed an information portal that aims to (1)
   improve patient knowledge and involvement and to subsequently reduce
   anxiety and decisional conflict and improve mental quality of life and
   (2) to support physicians in informing and communicating with their
   patients. The information portal was developed according to the
   systematic International Patient Decision Aid Standards development
   process employing Delphi techniques by a multidisciplinary workgroup of
   pediatric and adult congenital cardiologists, a congenital
   cardiothoracic surgeon, a psychologist, an epidemiologist, a patient
   representative, and web and industrial design experts. First, patients
   and physicians were surveyed and interviewed to assess the current state
   of patient information and explore their preferences and needs to
   determine the focus for the development of the information portal. We
   found that patient knowledge and numeracy are limited, reliable
   information is scarce, physicians inform patients selectively and
   patient involvement is suboptimal, and there is a need for more
   reliable, tailored, and multi-faceted information. Based on the findings
   of these surveys and interviews, a patient tailored information portal
   was designed that presents evidence based disease and age-specific
   medical and psychosocial information about diagnosis, treatment,
   prognosis, and impact on daily life in a manner that is comprehensible
   and digestible for patients and that meets the needs expressed by both
   patients and physicians. The effect of the website on patient outcome is
   currently being assessed in a multicenter stepped-wedge implementation
   trial.
   Conclusion: The present pilot project succeeded in developing an online,
   evidence based information portal that is supported by both patients and
   physicians. The information portal will be further developed and
   expanded to include all other major forms of congenital heart disease,
   translations into other languages, and a public information portal to
   serve patients' relatives and the general public at large.
RI Bogers, Ad/; Kluin, Jolanda/; van Dijk, Arie/L-4272-2015; Etnel, Jonathan/
OI Bogers, Ad/0000-0001-6200-1998; Kluin, Jolanda/0000-0002-5942-4727; van
   Dijk, Arie/0000-0002-7843-8251; Etnel, Jonathan/0000-0002-3960-8035
Z8 0
ZS 1
ZB 0
ZR 0
TC 13
ZA 0
Z9 13
U1 1
U2 4
SN 2297-055X
UT WOS:000407056700001
PM 28507990
ER

PT J
AU Day, Kristopher M.
   Scott, Jillian K.
   Gao, Lani
   Lee, Tara M.
   Waldrop, Jimmy L.
   Sargent, Larry A.
   Kennedy, J. Woody
   Rehm, Jason P.
   Brzezienski, Mark A.
TI Progressive Surgical Autonomy in a Plastic Surgery Resident Clinic
SO PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN
VL 5
IS 5
AR e1318
DI 10.1097/GOX.0000000000001318
PD MAY 2017
PY 2017
AB Background: Resident clinics are thought to catalyze educational
   milestone achievement through opportunities for progressively autonomous
   surgical care, but studies are lacking for general plastic surgery
   resident clinics (PSRCs). We demonstrate the achievement of increased
   surgical autonomy and continuity of care in a PSRC.
   Methods: A retrospective review of all patients seen in a PSRC from
   October 1, 2010, to October 1, 2015, was conducted. Our PSRC is
   supervised by faculty plastic surgery attendings, though primarily run
   by chief residents in an accredited independent plastic surgery training
   program. Surgical autonomy was scored on a 5-point scale based on
   dictated operative reports. Graduated chief residents were additionally
   surveyed by anonymous online survey.
   Results: Thousand one hundred forty-four patients were seen in 3,390
   clinic visits. Six hundred fifty-three operations were performed by 23
   total residents, including 10 graduating chiefs. Senior resident
   autonomy averaged 3.5/5 (SD = 1.5), 3.6/5 (SD = 1.5), to 3.8/5 (SD =
   1.3) in postgraduate years 6, 7, and 8, respectively. A linear mixed
   model analysis demonstrated that training level had a significant impact
   on operative autonomy when comparing postgraduate years 6 and 8 (P =
   0.026). Graduated residents' survey responses (N = 10; 100% response
   rate) regarded PSRC as valuable for surgical experience (4.1/5),
   operative autonomy (4.4/5), medical knowledge development (4.7/5), and
   the practice of Accreditation Council of Graduate Medical Education core
   competencies (4.3/5). Preoperative or postoperative continuity of care
   was maintained in 93.5% of cases.
   Conclusion: The achievement of progressive surgical autonomy may be
   demonstrated within a PSRC model.
RI Day, Kristopher/P-3588-2019
OI Day, Kristopher/0000-0001-8202-3940
ZB 0
ZS 0
TC 11
ZR 0
ZA 0
Z8 0
Z9 11
U1 0
U2 1
SN 2169-7574
UT WOS:000405592000021
PM 28607848
ER

PT J
AU Yoshino, Koichi
   Suzuki, Seitaro
   Ishizuka, Yoichi
   Takayanagi, Atsushi
   Sugihara, Naoki
   Kamijyo, Hideyuki
TI Relationship between amount of overtime work and untreated decayed teeth
   in male financial workers in Japan
SO JOURNAL OF OCCUPATIONAL HEALTH
VL 59
IS 3
BP 280
EP 285
DI 10.1539/joh.16-0247-OA
PD MAY 2017
PY 2017
AB Objective: Continuous or frequent overtime work has been shown to have
   harmful effects on human health. Meanwhile, one of the main reasons for
   tooth loss is caries. The aim of this study was to assess the
   relationship between overtime work and untreated decayed teeth in male
   financial workers. Methods: The participants were recruited by applying
   screening procedures to a pool of Japanese registrants in an online
   database. Participants filled out a questionnaire about their oral
   health, behavior, and working conditions. Participants comprised a total
   of 951 financial male workers, aged 25-64 years. Results: The likelihood
   of tooth decay increased with amount of overtime work (p= 0.002). After
   adjusting for age, income, educational background, oral hygiene
   behavior, snacking behavior, regular dental visitation, bad
   interpersonal relationships at work, and smoking habit, a multiple
   logistic regression analysis found that participants with 45-80 h of
   overtime work (odds ratio [OR], 2.56; 95% confidence interval [CI],
   1.23-5.33) or over 80 h of overtime work (OR, 3.01; 95% CI, 1.13-7.97)
   were more likely to have untreated tooth decay. The percentage of
   participants who gave "too busy with work" as the reason for leaving
   decayed teeth untreated increased with amount of overtime (p< 0.001).
   Conclusion: These results indicate that overtime work is strongly
   related to untreated decayed teeth. In addition to oral health education
   and dental checkups, decreasing stress and decreasing the amount of
   overtime work may also have a positive effect on oral health in the
   workplace.
ZA 0
ZS 0
ZR 1
TC 7
Z8 0
ZB 1
Z9 8
U1 0
U2 5
SN 1341-9145
EI 1348-9585
UT WOS:000402452500008
PM 28367874
ER

PT J
AU Nagy, A.
   Dyson, S. J.
   Murray, J. K.
TI Veterinary problems of endurance horses in England and Wales
SO PREVENTIVE VETERINARY MEDICINE
VL 140
BP 45
EP 52
DI 10.1016/j.prevetmed.2017.02.018
PD MAY 1 2017
PY 2017
AB Several studies have shown that a considerable proportion of horses are
   eliminated from endurance rides due to lameness and metabolic problems.
   Limited information is available on specific veterinary issues in
   endurance horses and there are no descriptive data on veterinary
   problems in a large population of endurance horses. The aim of this
   study was to describe veterinary problems occurring in endurance horses
   in England and Wales, the regions of the United Kingdom where endurance
   rides are organised and regulated by Endurance Great Britain (Endurance
   GB). A comprehensive online self-completed questionnaire was used for
   data collection (30th December 2015-29th February 2016) All members of
   Endurance GB who were the main rider of one or more endurance horses
   were eligible to participate. From the target population of 1209 horses,
   190 questionnaires were completed by riders, resulting in a 15.7%
   response rate. The most common rider-reported veterinary problem was
   lameness, affecting 152/190 (80.0%) of endurance horses at some point
   during their careers and 101/190 (53.2%) of horses in the previous 12
   months. Detailed information on the most recent episode of lameness was
   available for 147 horses. Seventy-six percent of these lameness episodes
   (112/147) had been initially identified by a veterinarian, but only 52%
   of these lameness episodes were investigated further by a veterinarian,
   despite the high proportion of horses affected by lameness and the
   proportion of horses with recurrent lameness episodes. The second most
   common veterinary problem was thoracolumbar region pain, followed by
   non-specific cough, skin disease and colic. Education of endurance
   riders may improve the number, quality and timing of veterinary
   investigations, especially for lameness and thoracolumbar region pain.
   (C) 2017 Elsevier B.V. All rights reserved.
RI Nagy, Annamaria/AAD-5909-2019; Nagy, Annamaria/
OI Nagy, Annamaria/0000-0001-9650-1085
ZS 1
TC 9
ZR 0
ZB 4
ZA 0
Z8 0
Z9 9
U1 0
U2 12
SN 0167-5877
EI 1873-1716
UT WOS:000401686700006
PM 28460749
ER

PT J
AU Graber, Christopher J.
   Jones, Makoto M.
   Chou, Ann F.
   Zhang, Yue
   Goetz, Matthew Bidwell
   Madaras-Kelly, Karl
   Samore, Matthew H.
   Glassman, Peter A.
TI Association of Inpatient Antimicrobial Utilization Measures with
   Antimicrobial Stewardship Activities and Facility Characteristics of
   Veterans Affairs Medical Centers
SO JOURNAL OF HOSPITAL MEDICINE
VL 12
IS 5
BP 301
EP 309
DI 10.12788/jhm.2730
PD MAY 2017
PY 2017
AB BACKGROUND: Antimicrobial stewardship programs (ASPs) have been
   advocated to improve antimicrobial utilization, but program
   implementation is variable.
   OBJECTIVE: To determine associations between ASPs and facility
   characteristics, and inpatient antimicrobial utilization measures in the
   Veterans Affairs (VA) system in 2012.
   DESIGN: In 2012, VA administered a survey on antimicrobial stewardship
   practices to designated ASP contacts at VA acute care hospitals. From
   the survey, we identified 34 variables across 3 domains (evidence,
   organizational context, and facilitation) that were assessed using
   multivariable least absolute shrinkage and selection operator regression
   against 4 antimicrobial utilization measures from 2012: aggregate acute
   care antimicrobial use, antimicrobial use in patients with
   non-infectious primary discharge diagnoses, missed opportunities to
   convert from parenteral to oral antimicrobial therapy, and double
   anaerobic coverage.
   SETTING: All 130 VA facilities with acute care services.
   RESULTS: Variables associated with at least 3 favorable changes in
   antimicrobial utilization included presence of postgraduate
   physician/pharmacy training programs, number of antimicrobial-specific
   order sets, frequency of systematic de-escalation review, presence of
   pharmacists and/or infectious diseases (ID) attendings on acute care
   ward teams, and formal ID training of the lead ASP pharmacist. Variables
   associated with 2 unfavorable measures included bed size, the level of
   engagement with VA Antimicrobial Stewardship Task Force online
   resources, and utilization of antimicrobial stop orders.
   CONCLUSIONS: Formalization of ASP processes and presence of pharmacy and
   ID expertise are associated with favorable utilization. Systematic
   de-escalation review and order set establishment may be high-yield
   interventions. (C) 2017 Society of Hospital Medicine
RI Goetz, Matthew Bidwell/GPX-4090-2022; Goetz, Matthew/
OI Goetz, Matthew/0000-0003-4542-992X
ZB 3
TC 7
ZS 0
ZA 0
ZR 0
Z8 1
Z9 8
U1 0
U2 1
SN 1553-5592
EI 1553-5606
UT WOS:000400159900001
PM 28459897
ER

PT J
AU Russell, Kelly
   Ellis, Michael J.
   Bauman, Shannon
   Tator, Charles H.
TI Legislation for Youth Sport Concussion in Canada: Review, Conceptual
   Framework, and Recommendations
SO CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES
VL 44
IS 3
BP 225
EP 234
DI 10.1017/cjn.2016.423
PD MAY 2017
PY 2017
AB In this article, we conduct a review of introduced and enacted youth
   concussion legislation in Canada and present a conceptual framework and
   recommendations for future youth sport concussion laws. We conducted
   online searches of federal, provincial, and territorial legislatures to
   identify youth concussion bills that were introduced or successfully
   enacted into law. Internet searches were carried out from July 26 and
   27, 2016. Online searches identified six youth concussion bills that
   were introduced in provincial legislatures, including two in Ontario and
   Nova Scotia and one each in British Columbia and Quebec. One of these
   bills (Ontario Bill 149, Rowan's Law Advisory Committee Act, 2016) was
   enacted into provincial law; it is not actual concussion legislation,
   but rather a framework for possible enactment of legislation. Two bills
   have been introduced in federal parliament but neither bill has been
   enacted into law. At present, there is no provincial or federal
   concussion legislation that directly legislates concussion education,
   prevention, management, or policy in youth sports in Canada. The
   conceptual framework and recommendations presented here should be used
   to guide the design and implementation of future youth sport concussion
   laws in Canada.
OI Russell, Kelly/0000-0002-9159-9201
ZA 0
Z8 0
ZR 0
ZS 0
ZB 2
TC 10
Z9 10
U1 2
U2 12
SN 0317-1671
EI 2057-0155
UT WOS:000401287500001
PM 28069082
ER

PT J
AU Suzuki, Shinya
   Abbott, Rick
   Sakurai, Hiroomi
   Kawasumi, Kenji
   Johnson, Philip E.
   Tahara, Makoto
   Yamaguchi, Masakazu
   Saito, Shinichiro
   Yee, Gary C.
   Endo, Kazushi
TI Evaluation of community pharmacist ability to ensure the safe use of
   oral anticancer agents: a nationwide survey in Japan
SO JAPANESE JOURNAL OF CLINICAL ONCOLOGY
VL 47
IS 5
BP 413
EP 421
DI 10.1093/jjco/hyx015
PD MAY 2017
PY 2017
AB We conducted a nationwide survey of 583 community pharmacists in Japan
   and demonstrated a need for additional education and training in oral
   chemotherapy from a multivariate analysis.A recent study of community
   pharmacists in Canada reported that they required additional education.
   We conducted a survey of community pharmacists to evaluate the adequacy
   of education and training in oral anticancer agents in Japan.
   Between May and June 2014, community pharmacists were asked to complete
   a questionnaire by using two different survey strategies, one online and
   one via postal mail.
   Three hundred community pharmacists responded to an online survey and
   283 community pharmacists responded to a mailed survey. Only 6-10% of
   respondents felt that they had received adequate education in oncology
   or oral chemotherapy. Although 81% of Japanese pharmacists had attended
   at least one continuing education event related to oncology in the past
   2 years, only 54% felt comfortable dispensing oral anticancer agents and
   only 40% felt comfortable educating patients about oral chemotherapy. In
   a multivariate analysis, confidence in educating patients about oral
   chemotherapy was associated with an understanding of chemotherapy cycles
   and doses (odds ratio = 4.89, 95% confidence interval [2.53-9.45]) and
   the number of continuing education events they had attended (odds ratio
   = 1.67, 95% confidence interval [1.35-2.08]).
   This is the first report to evaluate whether community pharmacists are
   equipped to ensure the safe use of oral anticancer agents in Japan. The
   results are similar to those previously reported for Canadian
   pharmacists, namely a low rate of positive responses for education in
   oncology and oral chemotherapy, demonstrating a similar need for
   additional education and training in oral chemotherapy.
RI Suzuki, Shinya/A-1043-2011
OI Suzuki, Shinya/0000-0002-2134-887X
ZR 0
ZS 0
Z8 1
ZA 0
ZB 2
TC 10
Z9 11
U1 0
U2 5
SN 0368-2811
EI 1465-3621
UT WOS:000400907100007
PM 28184436
ER

PT J
AU Fox, Joshua
   Faber, David
   Pikarsky, Solomon
   Zhang, Chi
   Riley, Richard
   Mechaber, Alex
   O'Connell, Mark
   Kirsner, Robert S.
TI Development of a Flipped Medical School Dermatology Module
SO SOUTHERN MEDICAL JOURNAL
VL 110
IS 5
BP 319
EP 324
DI 10.14423/SMJ.0000000000000649
PD MAY 2017
PY 2017
AB Objectives The flipped classroom module incorporates independent study
   in advance of in-class instructional sessions. It is unproven whether
   this methodology is effective within a medical school second-year organ
   system module. We report the development, implementation, and
   effectiveness of the flipped classroom methodology in a second-year
   medical student dermatology module at the University of Miami Leonard M.
   Miller School of Medicine.
   Methods In a retrospective cohort analysis, we compared attitudinal
   survey data and mean scores for a 50-item multiple-choice final
   examination of the second-year medical students who participated in this
   1-week flipped course with those of the previous year's traditional,
   lecture-based course.
   Results Each group comprised nearly 200 students. Students' age, sex,
   Medical College Admission Test scores, and undergraduate grade point
   averages were comparable between the flipped and traditional classroom
   students. The flipped module students' mean final examination score of
   92.71% 5.03% was greater than that of the traditional module students'
   90.92% +/- 5.51% (P < 0.001) score. Three of the five most commonly
   missed questions were identical between the two cohorts. The majority of
   students preferred the flipped methodology to attending live lectures or
   watching previously recorded lectures.
   Conclusions The flipped classroom can be an effective instructional
   methodology for a medical school second-year organ system module.
RI Riley, Richard David/ABE-5877-2020
OI Riley, Richard David/0000-0001-8699-0735
Z8 0
ZB 3
TC 9
ZS 0
ZA 0
ZR 0
Z9 9
U1 1
U2 8
SN 0038-4348
EI 1541-8243
UT WOS:000400588300001
PM 28464171
ER

PT J
AU Giesen, Marie-Jeanne
   Keizer, Ellen
   van de Pol, Julia
   Knoben, Joris
   Wensing, Michel
   Giesen, Paul
TI The impact of demand management strategies on parents' decision-making
   for out-of-hours primary care: findings from a survey in The Netherlands
SO BMJ OPEN
VL 7
IS 5
AR e014605
DI 10.1136/bmjopen-2016-014605
PD MAY 2017
PY 2017
AB Objective To explore the potential impact of demand management
   strategies on patient decision-making in medically non-urgent and urgent
   scenarios during out-of-hours for children between the ages of 0 and 4
   years.
   Design and methods We conducted a cross-sectional survey with
   paper-based case scenarios. A survey was sent to all 797 parents of
   children aged between 0 and 4 years from four Dutch general practitioner
   (GP) practices. Four demand management strategies (copayment, online
   advice, overview medical cost and GP appointment next morning) were
   incorporated in two medically non-urgent and two urgent case scenarios.
   Combining the case scenarios with the demand management strategies
   resulted in 16 cases (four scenarios each with four demand management
   strategies). Each parent randomly received a questionnaire with three
   different case scenarios with three different demand strategies and a
   baseline case scenario without a demand management strategy.
   Results The response rate was 47.4%. The strategy online advice led to
   more medically appropriate decision-making for both non-urgent case
   scenarios (OR 0.26; 95% CI 0.11 to 0.58) and urgent case scenarios (OR
   0.16; 95% CI 0.08 to 0.32). Overview of medical cost (OR 0.59; 95% CI
   0.38 to 0.92) and a GP appointment planned the next morning (OR 0.57;
   95% CI 0.34 to 0.97) had some influence on patient decisions for urgent
   cases, but not for non-urgent cases. Copayment had no influence on
   patient decisions.
   Conclusion Online advice has the highest potential to reduce medically
   unnecessary use. Furthermore it enhanced safety of parents' decisions on
   seeking help for their young children during out-of-hours primary care.
   Valid online information on health symptoms for patients should be
   promoted.
RI Wensing, Michel/H-8113-2014; Giesen, P.H.J./L-4325-2015; Knoben, Joris/ABB-4605-2020; Knoben, Joris/B-4220-2008; Keizer, E/I-1902-2015
OI Wensing, Michel/0000-0001-6569-8137; Knoben, Joris/0000-0001-8603-8066;
   Knoben, Joris/0000-0001-8603-8066; Keizer, E/0000-0001-8244-741X
TC 4
ZB 0
ZR 0
Z8 0
ZS 0
ZA 0
Z9 4
U1 0
U2 2
SN 2044-6055
UT WOS:000402533300058
PM 28487458
ER

PT J
AU Evaniew, Nathan
   Adili, Anthony F.
   Ghert, Michelle
   Khan, Moin
   Madden, Kim
   Smith, Christopher
   Bhandari, Mohit
TI THE SCHOLARLY INFLUENCE OF ORTHOPAEDIC RESEARCH ACCORDING TO
   CONVENTIONAL AND ALTERNATIVE METRICS
SO JBJS REVIEWS
VL 5
IS 5
AR e5
DI 10.2106/JBJS.RVW.16.00059
PD MAY 2017
PY 2017
AB Background: Researchers are experiencing an innovative shift toward
   online distribution of their work, and metrics related to online
   scholarly influence are gaining importance. Our objectives were to
   determine which types of online activity are most prevalent in
   orthopaedics, to identify associated factors, and to explore a
   complementary approach to measuring overall scholarly influence using
   online activity and conventional citations.
   Methods: We performed a systematic review of randomized controlled
   trials of surgical or nonsurgical interventions in participants with, or
   at specific risk for, injuries and diseases of the musculoskeletal
   system. We collected data on online activity in social media, mainstream
   media, blogs, forums, and other sources from a commercial provider of
   alternative metric data for medical journals. We tested associations
   with use of negative binomial regression.
   Results: We identified 1,697 trials, published between 2011 and 2014,
   that had a total of 12,995 conventional citations and 15,068 online
   mentions. The median number of online mentions of each trial was 2
   (interquartile range, 0 to 5). Twitter (82%) and Facebook (13%) mentions
   were the most prevalent types of online activity. Counts of online
   mentions correlated with conventional citations (r = 0.11, p < 0.01) but
   accumulated more rapidly. Higher total counts of online mentions were
   consistently associated with longer time since publication, higher
   journal impact factor, higher author h-index values, and less risk of
   bias (p < 0.01 for each). We found the best model fit for a
   complementary approach by weighting citations and online mentions
   equally.
   Conclusions: Online activity in orthopaedics is dominated by activity on
   Twitter and Facebook and is associated with increasing time since
   publication, journal impact factor, and author h-index values, and less
   risk of bias. Institutions, publishers, funding agencies, and clinicians
   may consider a complementary approach to measuring scholarly influence
   that weights online mentions and conventional citations equally.
RI Ghert, Michelle/CAH-4578-2022; Madden, Kim/N-5761-2015; Ghert, Michelle/AAQ-1745-2021; Bhandari, Mohit/AAQ-1675-2021; Khan, Moin/AAQ-1680-2021
OI Ghert, Michelle/0000-0002-4778-4522; Madden, Kim/0000-0002-2861-9636;
   Khan, Moin/0000-0002-8237-8095
ZB 4
ZR 0
TC 21
ZA 0
Z8 0
ZS 0
Z9 21
U1 0
U2 6
SN 2329-9185
UT WOS:000404277100005
PM 28557819
ER

PT J
AU Cullinan, Shane
   O'Mahony, Denis
   Byrne, Stephen
TI Use of an e-Learning Educational Module to Better Equip Doctors to
   Prescribe for Older Patients: A Randomised Controlled Trial
SO DRUGS & AGING
VL 34
IS 5
BP 367
EP 374
DI 10.1007/s40266-017-0451-0
PD MAY 2017
PY 2017
AB Background The older patient population is significantly different from
   the younger adult population with regards to dose selection for a wide
   variety of drugs. Recent investigation of prescribing attitudes
   indicates that doctors feel there is insufficient distinction made
   between the two cohorts during their undergraduate education, and that
   doctors do not receive enough training in geriatric pharmacotherapy.
   Objectives The aim of this study was to determine if an online module,
   focused on geriatric pharmacotherapy, improves doctors' prescribing
   knowledge, as well as prescribing confidence, as applied to older
   patients.
   Methods The impact of an online educational module (SCRIPT) on hospital
   doctors' prescribing knowledge and confidence with regards to older
   patients was assessed by randomised controlled trial. Control and
   intervention groups completed assessments at baseline, 4 and 12 weeks.
   Primary outcome was difference in mean test scores. Student's t tests
   were used to analyse the data. Qualitative data on participant's
   confidence levels were also collected.
   Result Eighty participants completed the 12-week trial. The SCRIPT
   intervention resulted in a 22% difference in mean test scores between
   control and intervention groups at 4 weeks (23.12 marks versus 33.67
   marks; p < 0.0001; 95% CI 8.13-12.97). This significance was maintained
   at 12 weeks. Thirty-four percent of participants in the intervention
   group rated themselves as 'confident' with regards to prescribing for
   older patients post-intervention compared with 12% in the control group.
   Conclusion A short e-learning module focused on geriatric
   pharmacotherapy can significantly improve doctors' prescribing knowledge
   and confidence with regards to older patients.
RI Cullinan, Shane/K-2490-2013
OI Cullinan, Shane/0000-0003-0648-1477
ZB 2
Z8 0
ZA 0
TC 11
ZR 0
ZS 0
Z9 12
U1 0
U2 9
SN 1170-229X
EI 1179-1969
UT WOS:000400272500004
PM 28258537
ER

PT J
AU Moreno, Megan A.
TI Seeking Health Information Online
SO JAMA PEDIATRICS
VL 171
IS 5
BP 500
EP 500
DI 10.1001/jamapediatrics.2016.3109
PD MAY 2017
PY 2017
ZS 0
Z8 0
ZR 0
ZA 0
TC 7
ZB 0
Z9 7
U1 0
U2 7
SN 2168-6203
EI 2168-6211
UT WOS:000400384600031
PM 28460132
ER

PT J
AU Cunningham, Nicola
   Pham, Tony
   Kennedy, Briohny
   Gillard, Alexander
   Ibrahim, Joseph
TI A cross-sectional survey using electronic distribution of a
   questionnaire to subscribers of educational material written by
   clinicians, for clinicians, to evaluate whether practice change resulted
   from reading the Clinical Communique
SO BMJ OPEN
VL 7
IS 5
AR e014064
DI 10.1136/bmjopen-2016-014064
PD MAY 2017
PY 2017
AB Objective To explore whether subscribers reported clinical practice
   changes as a result of reading the Clinical Communiqu (CC). Secondarily,
   to compare the characteristics of subscribers who self-reported changes
   to clinical practice with those who did not, and to explore subscribers'
   perceptions of the educational value of the CC.
   Design, setting and participants Online cross-sectional survey between
   21 July 2015 and 18 August 2015 by subscribers of the CC (response
   rate=29.9%, 1008/3373), conducted by a team from Monash University,
   Australia.
   Main outcome measures Change in clinical practice as a result of reading
   the CC.
   Results 53.0% of respondents reported that their practice had changed
   after reading the CC. Respondents also found that the CC raised
   awareness (96.5%) and provided ideas about improving patient safety and
   care (94.1%) leading them to discuss cases with their colleagues (79.6%)
   and review their practice (75.7%). Multivariate analysis indicated that
   working in a residential aged care facility (p<0.05) and having taken
   part in an inquest (p<0.05) were significantly associated with practice
   change.
   Conclusion The design and content of the CC has generated a positive
   impact on the healthcare community. It is presented in a format that
   appears to be accessible and acceptable to readers and achieves its
   goals of promoting safer clinical care through greater awareness of the
   medico-legal context of practice.
RI Ibrahim, Joseph Elias/AGK-9867-2022; Pham, Tony/
OI Ibrahim, Joseph Elias/0000-0003-2828-9160; Pham,
   Tony/0000-0001-5448-3288
Z8 0
ZB 2
TC 5
ZA 0
ZR 0
ZS 0
Z9 5
U1 0
U2 4
SN 2044-6055
UT WOS:000402533300032
PM 28554912
ER

PT J
AU Jimenez-Linan, L. M.
   Edwards, L.
   Abhishek, A.
   Doherty, Michael
TI Adequacy of Online Patient Information Resources on Gout and Potentially
   Curative Urate-Lowering Treatment
SO ARTHRITIS CARE & RESEARCH
VL 69
IS 5
BP 748
EP 752
DI 10.1002/acr.22981
PD MAY 2017
PY 2017
AB ObjectiveTo assess the content and readability of online patient
   information resources against the current understanding of gout.
   MethodsAn online survey was undertaken using Google UK, USA, Australia,
   and Canada. Information was assessed for content and accuracy on 19 key
   points regarding core content for gout patient information resources.
   Readability was assessed using the Flesch-Kincaid Reading Ease score.
   Fifteen randomly selected websites were reviewed by a blinded second
   observer.
   ResultsA total of 85 websites were selected. More than 50% of the
   websites provided no information or had inaccuracies regarding the
   pathogenesis of gout. Most websites contained information on dietary and
   lifestyle modifications for treating gout and did not emphasize
   urate-lowering therapy (ULT) and its potential for cure. Over 75% of the
   websites had no/inaccurate information on the role of ULT or prophylaxis
   for preventing gout attacks on starting ULT. The majority of websites
   were difficult to read, with information in 68% of the websites rated at
   least fairly difficult.
   ConclusionOnly a few web-based patient information resources provide
   accurate and easy-to-read information on gout. This study will help
   physicians direct patients to currently reliable resources, but there is
   a need to improve many web-based patient information resources, which at
   present act as barriers to care.
OI Edwards, Laura/0000-0003-1392-2648; Doherty, Michael/0000-0002-5763-8326
TC 11
ZA 0
ZS 0
Z8 0
ZB 2
ZR 0
Z9 11
U1 0
U2 5
SN 2151-464X
EI 2151-4658
UT WOS:000400165500019
PM 27390083
ER

PT J
AU Wolin, Edward M.
   Leyden, John
   Goldstein, Grace
   Kolarova, Teodora
   Hollander, Ron
   Warner, Richard R. P.
TI Patient-Reported Experience of Diagnosis, Management, and Burden of
   Neuroendocrine Tumors Results From a Large Patient Survey in the United
   States
SO PANCREAS
VL 46
IS 5
BP 639
EP 647
DI 10.1097/MPA.0000000000000818
PD MAY-JUN 2017
PY 2017
AB Objectives: The aim of this survey was to examine the experience of
   patients with neuroendocrine tumors (NETs) to raise awareness of the
   NET-related burden and identify unmet needs. Here, we report data from
   patients in the United States.
   Methods: Patients with NETs participated in a 25-minute anonymous
   survey, conducted primarily online from February to May 2014. Survey
   questions captured information on sociodemographics, clinical
   characteristics, NET diagnostic experience, disease impact/management,
   interaction with medical teams, and NETs knowledge/awareness.
   Results: Of 1928 patients who participated globally, the largest
   percentage was from the United States (39%). Approximately 50% of US
   patients reported being diagnosed with other conditions before receiving
   their NET diagnosis, which for 34% took 5 years or more. Patients
   experienced many symptoms on a daily basis as a result of NETs, which
   had a substantial negative impact on their work and daily lives.
   Numerous improvements were suggested by patients, including better
   access to NET-specific treatments and medical teams/centers and better
   education for the management of disease-related and treatment-related
   symptoms.
   Conclusions: This survey demonstrated the significant burden of NETs on
   patients' lives and identified key areas for improvement in diagnosis
   and long-term management, including better access to NET-specific
   treatments and specialist medical teams/centers.
ZA 0
TC 26
ZS 0
ZR 0
Z8 0
ZB 13
Z9 26
U1 0
U2 2
SN 0885-3177
EI 1536-4828
UT WOS:000400144200008
PM 28328615
ER

PT J
AU Thompson, Andrew R.
   Lowrie, Donald J., Jr.
TI An Evaluation of Outcomes Following the Replacement of Traditional
   Histology Laboratories with Self-Study Modules
SO ANATOMICAL SCIENCES EDUCATION
VL 10
IS 3
BP 276
EP 285
DI 10.1002/ase.1659
PD MAY-JUN 2017
PY 2017
AB Changes in medical school curricula often require educators to develop
   teaching strategies that decrease contact hours while maintaining
   effective pedagogical methods. When faced with this challenge, faculty
   at the University of Cincinnati College of Medicine converted the
   majority of in-person histology laboratory sessions to self-study
   modules that utilize multiple audiovisual modalities and a virtual
   microscope platform. Outcomes related to this shift were investigated
   through performance on in-house examinations, results of the United
   States Medical Licensing Examination (R) (USMLE (R)) Step 1 Examination,
   and student feedback. Medical School College Admissions Test (R) (MCAT
   (R)) scores were used as a covariate when comparing in-house
   examinations. Results revealed no significant change in performance on
   in-house examinations when the content being assessed was controlled
   (F(2, 506) = 0.676, P=0.51). A significant improvement in overall
   practical examination grade averages was associated with the self-study
   modules (F(6, 1164) = 10.213, P<0.01), but gradual changes in
   examination content may explain this finding. The histology and cell
   biology portion of USMLE Step 1 Examination remained consistent
   throughout the time period that was investigated. Student feedback
   regarding the self-study modules was positive and suggested that
   features such as instructor narrated videos were an important component
   of the self-study modules because they helped recreate the experience of
   in-person laboratory sessions. Positive outcomes from the student
   perspective and no drop in examination performance suggests that
   utilizing self-study modules for histology laboratory content may be an
   option for educators faced with the challenge of reducing contact hours
   without eliminating content. (C) 2016 American Association of
   Anatomists.
ZR 0
Z8 0
TC 13
ZB 1
ZS 0
ZA 0
Z9 13
U1 1
U2 10
SN 1935-9772
EI 1935-9780
UT WOS:000402909300008
PM 27798818
ER

PT J
AU Lupu, Dale
   Salsberg, Ed
   Quigley, Leo
   Wu, Xiaoli
TI The 2015 Class of Hospice and Palliative Medicine Fellowsd-From Training
   to Practice: Implications for HPM Workforce Supply
SO JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
VL 53
IS 5
BP 944
EP 951
DI 10.1016/j.jpainsymman.2017.01.005
PD MAY 2017
PY 2017
AB Context. A relatively new specialty, hospice and palliative medicine
   (HPM), is unusual in that physicians can enter from 10 different
   specialties. This study sought to understand where HPM physicians were
   coming from, where they were going to practice, and the job market for
   HPM physicians.
   Objectives. Describe characteristics of the incoming supply of HPM
   physicians, their practice plans, and experience finding initial jobs.
   Methods. In October 2015, we conducted an online survey of physicians
   who completed accredited HPM fellowships the previous June. We had
   electronic mail addresses for 195 of the 243 graduating fellows.
   Results. About 112 HPM fellows responded (58% of those invited). The
   most common prior training was internal medicine (45%), followed by
   family medicine (23%), pediatrics (12%), and emergency medicine (10%).
   More than 40% had practiced medicine before their HPM training. After
   graduation, 97% were providing 20 or more hours per week of patient
   care, with most hours in palliative care. About 72% devoted more than 20
   hours per week to palliative care, whereas only 13% worked that much in
   hospice care. About 81% reported no difficulty finding a satisfactory
   practice position. About 98% said that they would recommend HPM to
   others, and 63% took the time to provide written comments that were
   highly positive about the specialty.
   Conclusion. New HPM physicians are finding satisfying jobs. They are
   enthusiastic in recommending the specialty to others. Most are going
   into palliative medicine, leaving questions about how the need for
   hospice physicians will be filled. Although jobs appear to be numerous,
   there are practice areas with more limited opportunities. J Pain Symptom
   Manage (C) 2017 American Academy of Hospice and Palliative Medicine.
   Published by Elsevier Inc. All rights reserved.
OI Lupu, Dale/0000-0002-3015-0187
ZR 0
Z8 0
ZS 0
TC 3
ZB 0
ZA 0
Z9 3
U1 0
U2 1
SN 0885-3924
EI 1873-6513
UT WOS:000402485900015
PM 28189768
ER

PT J
AU Saun, Tomas J.
   Odorizzi, Scott
   Yeung, Celine
   Johnson, Marjorie
   Bandiera, Glen
   Dev, Shelly P.
TI A Peer-Reviewed Instructional Video is as Effective as a Standard
   Recorded Didactic Lecture in Medical Trainees Performing Chest Tube
   Insertion: A Randomized Control Trial
SO JOURNAL OF SURGICAL EDUCATION
VL 74
IS 3
BP 437
EP 442
DI 10.1016/j.jsurg.2016.10.017
PD MAY-JUN 2017
PY 2017
AB OBJECTIVE: Online medical education resources are becoming an
   increasingly used modality and many studies have demonstrated their
   efficacy in procedural instruction. This study sought to determine
   whether a standardized online procedural video is as effective as a
   standard recorded didactic teaching session for chest tube insertion.
   DESIGN: A randomized control trial was conducted. Participants were
   taught how to insert a chest tube with either a recorded didactic
   teaching session, or a New England Journal of Medicine (NEJM) video.
   Participants filled out a questionnaire before and after performing the
   procedure on a cadaver, which was filmed and assessed by 2 blinded
   evaluators using a standardized tool.
   SETTING: Western University, London, Ontario. Level of clinical care:
   institutional.
   PARTICIPANTS: A total of 30 fourth-year medical students from 2
   graduating classes at the Schulich School of Medicine & Dentistry were
   screened for eligibility. Two students did not complete the study and
   were excluded. There were 13 students in the NEJM group, and 15 students
   in the didactic group.
   RESULTS: The NEJM group's average score was 45.2% (+/-9.56) on the
   prequestionnaire, 67.7% (+/-12.9) for the procedure, and 60.1% (+/-7.65)
   on the postquestionnaire. The didactic group's average score was 42.8%
   (+/-10.9) on the prequestionnaire, 73.7% (+/-9.90) for the procedure,
   and 46.5% (+/-7.46) on the postquestionnaire. There was no difference
   between the groups on the prequestionnaire (Delta + 2.4%; 95% CI: -5.16
   to 9.99), or the procedure (Delta -6.0%; 95% CI: -14.6 to 2.65). The
   NEJM group had better scores on the postquestionnaire (Delta + 11.15%;
   95% CI: 3.74-18.6).
   CONCLUSIONS: The NEJM video was as effective as video-recorded didactic
   training for teaching the knowledge and technical skills essential for
   chest tube insertion. Participants expressed high satisfaction with this
   modality. It may prove to be a helpful adjunct to standard instruction
   on the topic. ( 2017 Association of Program Directors in Surgery.
   Published by Elsevier Inc. All rights reserved.)
RI Saun, Tomas J./ABF-1630-2021
OI Saun, Tomas J./0000-0002-1053-0895
ZS 0
ZR 0
ZB 3
ZA 0
Z8 0
TC 12
Z9 12
U1 0
U2 10
SN 1931-7204
EI 1878-7452
UT WOS:000402027600010
PM 27979724
ER

PT J
AU Pitcher, Grayson S.
   Newton, Daniel H.
   Amendola, Michael F.
TI Common Femoral Artery Access on YouTube: What Practices are Being Shown
   and Who is Delivering the Message?
SO JOURNAL OF SURGICAL EDUCATION
VL 74
IS 3
BP 455
EP 458
DI 10.1016/j.jsurg.2016.11.012
PD MAY-JUN 2017
PY 2017
AB OBJECTIVES: Novice learners are increasingly turning to YouTube as a
   learning resource for surgical procedures. One example of such a
   procedure is common femoral artery puncture and sheath placement.
   Practitioners in several specialties perform this procedure to access
   the arterial system for angiography and intervention. We set forth to
   compare the techniques demonstrated on YouTube by the various
   specialists, as well as compare each specialty's prevalence on this
   website.
   METHODS: YouTube (www.youtube.com) was accessed in December 2015 at
   multiple time points with a cleared cache web browser for the keyword
   search categories: "femoral artery access," "femoral access," and
   "angiography access." The top 500 videos from each of these keyword
   searches were analyzed. Videos were categorized by practitioner
   specialty, technique, duration of video, age of video, and total views.
   Videos with clear demonstration of femoral artery access were included
   in the analysis. All industry videos were excluded from the analysis.
   Categorical variables were compared using Fisher's exact test, and
   continuous variables were compared with the Student's t-test.
   RESULTS: A total of 2460, 4680 and 1800 videos were found for each
   keyword search, respectively. Of these, 33 videos clearly demonstrated
   femoral artery access technique. Vascular specialists, compared to
   interventional cardiology and radiology, had fewer videos (n = 4 vs. 14)
   and older videos (3.5 +/- 2.1 y vs. 2.25 +/- 0.5 y, p < 0.05). The
   vascular specialists demonstrated ultrasound-guided access, while
   interventional cardiology predominantly demonstrated landmark-guided
   access (p < 0.05).
   CONCLUSIONS: Although YouTube and other online resources are being used
   by novice learners, vascular specialists are underrepresented for
   femoral artery access, a foundational vascular procedure. Other
   practitioners demonstrate videos with landmark-guided access and rarely
   demonstrate ultrasound use. As recognized vascular experts, vascular
   surgeons should improve their visibility in online learning resources.
   ((C) 2017 Association of Program Directors in Surgery Published by
   Elsevier Inc. All rights reserved.)
ZB 4
ZR 0
ZA 0
Z8 0
ZS 0
TC 15
Z9 15
U1 0
U2 3
SN 1931-7204
EI 1878-7452
UT WOS:000402027600013
PM 28011261
ER

PT J
AU Salem, Johannes
   Borgmann, Hendrik
   MacNeily, Andrew
   Boehm, Katharina
   Schmid, Marianne
   Groeben, Christer
   Baunacke, Martin
   Huber, Johannes
TI New Media for Educating Urology Residents: An Interview Study in Canada
   and Germany
SO JOURNAL OF SURGICAL EDUCATION
VL 74
IS 3
BP 495
EP 502
DI 10.1016/j.jsurg.2016.11.009
PD MAY-JUN 2017
PY 2017
AB OBJECTIVE: To investigate the usage and perceived usefulness of new
   media for educating urology residents in Canada and Germany.
   DESIGN: We designed an 11-item online survey to assess the use and
   perceived usefulness of new media for education. We performed a
   comparative analysis.
   SETTING: The survey was distributed via e-mail to 143 Canadian and 721
   German urology residents.
   PARTICIPANTS: The survey included 58 urology residents from Canada and
   170 from Germany.
   RESULTS: A total of 58 residents from Canada (41% response rate) and 170
   from Germany (24% response rate) responded to this survey. Residents
   spent 45% of their education time on new media. The Internet was used by
   91% (n = 208) of the residents for professional education purposes, with
   a median time of 270 minutes (interquartile range [IQR]: 114-540) per
   month. Apps were used by 54% (n = 118) of the residents, with a median
   time of 101 minutes (IQR: 45-293) per month. A total of 23% (n = 47) of
   the residents used social media (SoMe) for education, with a median time
   of 90 minutes (IQR: 53-80) per month. In all, 100% (n = 228) rated the
   Internet, 76% (n = 173) apps, and 43% (n = 97) SoMe as being useful for
   professional education purposes. A total of 90% (n = 205) watched
   medical videos for education, and 89% (n = 203) of these videos were on
   surgical procedures. Canadian urology residents used more new media
   sources for professional education than did the Germans (58% vs. 41%, p
   < 0.001). The time spent for education on new media was higher among
   Canadian residents for the Internet (p < 0.001), apps (p < 0.001), and
   SoMe (p = 0.033). Canadian residents reported more privacy concerns (p <
   0.001).
   CONCLUSIONS: New media play a dominant role in the education of urology
   residents. The primary source for personal education in urology is the
   Internet. Future studies and technological developments should
   investigate and improve new media tools to optimize education during
   residency. ((C) 2017 Association of Program Directors in Surgery.
   Published by Elsevier Inc. All rights reserved.)
RI Borgmann, Hendrik/F-4658-2015; Huber, Johannes/AAF-5514-2020
OI Borgmann, Hendrik/0000-0002-3955-564X; Huber,
   Johannes/0000-0001-7243-8958
TC 17
ZR 1
ZB 6
ZA 0
ZS 0
Z8 0
Z9 18
U1 0
U2 3
SN 1931-7204
EI 1878-7452
UT WOS:000402027600019
PM 28017704
ER

PT J
AU Kleynhans, A. C.
   Oosthuizen, A. H.
   van Hoving, D. J.
TI Emergency medicine educational resource use in Cape Town: modern or
   traditional?
SO POSTGRADUATE MEDICAL JOURNAL
VL 93
IS 1099
BP 250
EP 255
DI 10.1136/postgradmedj-2016-134135
PD MAY 2017
PY 2017
AB Background The integration of online resources and social media into
   higher education and continued professional development is an
   increasingly common phenomenon.
   Objective To describe the usage of various traditional and modern
   educational resources by members of the divisions of emergency medicine
   at Stellenbosch University and the University of Cape Town.
   Methods Members affiliated with the divisions during 2014 were invited
   to participate in an online survey. Participants were given 8 weeks to
   complete the questionnaire; with weekly reminders until they responded
   or the deadline expired. Summary statistics were used to describe the
   variables.
   Results Eighty-seven divisional members completed the survey (69.6%
   response rate). The resources most preferred were textbooks (n=78,
   89.7%), open access educational resources (n=77, 88.5%) and journals
   (n=76, 87.4%). Emergency medicine trainees (n=31, 92.1%) and respondents
   <= 30 years (n=17, 94.4%) were more inclined to use social media.
   International Emergency Medicine and Critical Care blogs are frequently
   being used by 71% of respondents. YouTube (35%) and podcasts (21%) were
   the most commonly used multimedia resources. Computers (desktop and
   laptop) were most frequently used to access educational resources except
   for social media where smart phones were preferred.
   Conclusions The use of modern and electronic resources is relatively
   common, but traditional educational resources are still preferred. This
   study illustrates an opportunity for greater integration of online
   resources and social media in educational activities to enhance
   multimodal and self-directed learning. Specific training in the use of
   these resources and how to appraise them may further improve their
   utility.
RI van Hoving, Daniël/AGE-4516-2022
OI van Hoving, Daniël/0000-0002-4300-0372
ZS 0
ZR 0
Z8 0
ZB 0
ZA 0
TC 8
Z9 8
U1 0
U2 5
SN 0032-5473
EI 1469-0756
UT WOS:000402125300004
PM 27566534
ER

PT J
AU Venkatesh, Soma
   Chandrasekaran, Venkatesh
   Dhandapany, Gunasekaran
   Palanisamy, Soundararajan
   Sadagopan, Srinivasan
TI A survey on internet usage and online learning behaviour among medical
   undergraduates
SO POSTGRADUATE MEDICAL JOURNAL
VL 93
IS 1099
BP 275
EP 279
DI 10.1136/postgradmedj-2016-134164
PD MAY 2017
PY 2017
AB Aim To determine the magnitude and pattern of internet usage by
   undergraduate medical students to retrieve medical information.
   Materials and methods A pretested questionnaire-based survey was
   conducted among undergraduate medical students who were willing to
   participate. The institute ethics committee approved the study. The
   responses of students to the questionnaire were analysed using
   VassarStats online statistical programme. Categorical variables were
   expressed as proportions. To determine the significance of the
   difference between proportions, the chi(2) test or Fisher's exact test
   was used. Log-linear analysis was performed for significance of
   association among interacting variables. A p value <0.05 was considered
   significant.
   Results A total of 115 undergraduate medical students participated in
   the survey. The response was 100% and involved mainly IX and VIII
   semester students. Internet usage was found to be 97.4%. Of the students
   interviewed, 35.7% were frequent internet users and 57.4% used their
   mobile phones to access the internet. The majority (60.9%) had their own
   portable 3G internet connection. Monthly expenditure for the majority
   (82.6%) was less than 1000 Indian Rupees per month. The most popular
   medical site accessed by students was Medscape, followed by Wikipedia
   and WebMD. Of the students studied, 8% had attended one or more online
   continuing medical education programmes. On log-linear analysis, a
   linear relationship was found for medical time and social time.
   Conclusions An encouraging trend is seen in the use of the internet by
   medical students to access medical information, but this has not
   translated into improved online learning behaviour.
RI Chakraborty, Soma Venkatesh/AAG-2991-2021; Chandrasekaran, Venkatesh/AAU-4872-2020; Gunasekaran, Dhandapany/
OI Chandrasekaran, Venkatesh/0000-0003-4409-6860; Gunasekaran,
   Dhandapany/0000-0003-1070-0070
ZB 0
Z8 0
ZR 0
ZS 0
ZA 0
TC 6
Z9 6
U1 1
U2 15
SN 0032-5473
EI 1469-0756
UT WOS:000402125300009
PM 27647926
ER

PT J
AU Jones, Christopher M.
   Griffiths, Peter C.
   Mellalieu, Stephen D.
TI Training Load and Fatigue Marker Associations with Injury and Illness: A
   Systematic Review of Longitudinal Studies
SO SPORTS MEDICINE
VL 47
IS 5
BP 943
EP 974
DI 10.1007/s40279-016-0619-5
PD MAY 2017
PY 2017
AB Background Coaches, sport scientists, clinicians and medical personnel
   face a constant challenge to prescribe sufficient training load to
   produce training adaption while minimising fatigue, performance
   inhibition and risk of injury/illness.
   Objective The aim of this review was to investigate the relationship
   between injury and illness and longitudinal training load and fatigue
   markers in sporting populations.
   Methods Systematic searches of the Web of Science and PubMed online
   databases to August 2015 were conducted for articles reporting
   relationships between training load/fatigue measures and injury/illness
   in athlete populations.
   Results From the initial 5943 articles identified, 2863 duplicates were
   removed, followed by a further 2833 articles from title and abstract
   selection. Manual searching of the reference lists of the remaining 247
   articles, together with use of the Google Scholar 'cited by' tool,
   yielded 205 extra articles deemed worthy of assessment. Sixty-eight
   studies were subsequently selected for inclusion in this study, of which
   45 investigated injury only, 17 investigated illness only, and 6
   investigated both injury and illness. This systematic review highlighted
   a number of key findings, including disparity within the literature
   regarding the use of various terminologies such as training load,
   fatigue, injury and illness. Athletes are at an increased risk of
   injury/illness at key stages in their training and competition,
   including periods of training load intensification and periods of
   accumulated training loads.
   Conclusions Further investigation of individual athlete characteristics
   is required due to their impact on internal training load and,
   therefore, susceptibility to injury/illness.
RI Mellalieu, Stephen/Y-5171-2019; Mellalieu, Stephen/
OI Mellalieu, Stephen/0000-0003-2868-3328
ZS 3
ZR 0
ZB 25
TC 152
ZA 0
Z8 3
Z9 156
U1 2
U2 39
SN 0112-1642
EI 1179-2035
UT WOS:000401945300010
PM 27677917
ER

PT J
AU Samson, M.
   Terrier, B.
   Mangin, O.
   Mouthon, L.
CA College Natl Enseignants Med Inter
TI Inventory of training of internal medicine in France: Results of a
   national survey
SO REVUE DE MEDECINE INTERNE
VL 38
IS 5
BP 300
EP 306
DI 10.1016/j.revmed.2016.10.385
PD MAY 2017
PY 2017
AB Objective. - To make an inventory of training of Internal Medicine in
   France.
   Method. - This study was conducted between May and September 2015 with
   coordinators (interviews of 45 minutes) of local Internal Medicine
   training and fellows (online questionnaire).
   Results. - All coordinators (n = 28) responded to the interviews. Local
   training of Internal Medicine exists in 86% of regions (3.1 +/- 3.1
   hours/month) and an interregional training in all interregions (34.7 +/-
   13.9 hours/year). When excluding Ile-de-France, no correlation between
   the number of teachers and the amount of lessons was noted (P= 0.61). Of
   the 550 fellows in Internal Medicine in 2014-2015, 223 (41%) responded
   to the online questionnaire. Mean level was 5.5 +/- 2.7 semesters. The
   rate of satisfaction (1 = very dissatisfied and 5 = very satisfied) was
   3.0 +/- 1.0 and 3.8 +/- 0.8 for regional and interregional teaching,
   respectively (P< 0.0001). Regional teaching satisfaction was correlated
   with the perceived expanse of diseases covered into the program (P<
   0.0001). In addition, 89% of fellows wish to evaluate themselves online,
   66% wish to have a practical evaluation at the bedside and 70% in
   simulation centers. Finally, 91% of fellows support the establishment of
   a national program for the training of Internal Medicine.
   Conclusion. - This survey states for the first time an inventory of
   training of Internal Medicine dedicated to fellows in France. This
   report highlights that fellows wish to have a national program, be
   further evaluated and have access to more interactive approach of
   teaching. (C) 2016 Societe Nationale Francaise de Medecine Interne
   (SNFMI). Published by Elsevier Masson SAS. All rights reserved.
RI Samson, Maxime/ABE-1461-2021
OI Samson, Maxime/0000-0002-6547-232X
ZR 0
ZA 0
Z8 0
TC 2
ZS 0
ZB 0
Z9 2
U1 0
U2 0
SN 0248-8663
UT WOS:000402210700003
PM 27889326
ER

PT J
AU Dai, Hongying
   Hao, Jianqiang
TI Mining social media data on marijuana use for Post Traumatic Stress
   Disorder
SO COMPUTERS IN HUMAN BEHAVIOR
VL 70
BP 282
EP 290
DI 10.1016/j.chb.2016.12.064
PD MAY 2017
PY 2017
AB Background: We seek to evaluate factors that could potentially impact
   the public's attitudes to PTSD related marijuana use on Twitter.
   Methods: We collected tweets that contained the "PTSD" and "Post Trauma
   Stress Disorder" from August 1, 2015 to April 15, 2016 (n = 1,253,872
   tweets). A Naive Bayes model was constructed to classify tweets into two
   opinion polarities (support vs. neutral/against marijuana use for PTSD).
   Results: The marijuana related tweets were predominated by the
   supporting opinions (89.6%). The public opinions about marijuana use for
   PTSD on Twitter were significantly associated with state-level
   legislation. States that legalized medical and recreational marijuana
   use had the highest prevalence of support tweets (1.3 +/- 0.6), followed
   by the states that legalized medical but not recreational use (0.5 +/-
   0.3) and the states that had no laws legalizing marijuana (0.2 +/- 0.1,
   p < 0.0001). A higher prevalence of support tweets was associated with
   states with a lower proportion of youth (r = -0.35, p = 0.01) and a
   higher education rate (r = 0.38, p = 0.006).
   Conclusion: Twitter data suggest a proliferation of supporting marijuana
   use for PTSD treatments, especially in the states that legalized medical
   and/or recreational use of marijuana. (C) 2017 Elsevier Ltd. All rights
   reserved.
OI Dai, Hongying/0000-0003-1395-7904
TC 9
ZB 0
ZR 0
Z8 0
ZS 0
ZA 0
Z9 9
U1 1
U2 33
SN 0747-5632
EI 1873-7692
UT WOS:000396949400031
ER

PT J
AU Cellini, Melissa M.
   Serwint, Janet R.
   Chaudron, Linda H.
   Baldwin, Constance D.
   Blumkin, Aaron K.
   Szilagyi, Peter G.
TI Availability of Emotional Support and Mental Health Care for Pediatric
   Residents
SO ACADEMIC PEDIATRICS
VL 17
IS 4
BP 424
EP 430
DI 10.1016/j.acap.2017.01.011
PD MAY-JUN 2017
PY 2017
AB OBJECTIVE: Resident mental health (MH) problems can be associated with
   reduced empathy and increased medical errors. The Accreditation Council
   for Graduate Medical Education mandates resident MH support services,
   but it is unknown if these services are accessible and meet resident
   needs. We sought to describe the prevalence of anxiety and depression in
   current pediatric residents in New York State (NYS), and their
   self-reported use of and barriers to support services.
   METHODS: We developed an online survey and distributed it to all
   categorical pediatric residents in 9 NYS programs. Items addressing
   self-concern for clinical anxiety and depression and use of MH services
   were pilot tested for content and construct validity. The validated
   Patient Health Questionnaire-2 (PHQ2) measured depressive symptoms.
   Analyses used descriptive and chi-square tests.
   RESULTS: Respondents included 227 residents (54% response rate)
   distributed across training levels and programs. Many reported "often"
   or "almost always" feeling stress (52%), physical exhaustion (41%), and
   mental exhaustion (35%); 11% had PHQ-2-defined depressive symptoms. Some
   thought that their stress levels raised concern for clinical depression
   (25%) or anxiety (28%); among these, only 44% and 39%, respectively, had
   sought care. More women reported physical exhaustion (P <.05). Only 45%
   of residents reported educational offerings on resident MH; 66% wanted
   to know more about available resources. Barriers to receipt of services
   included inflexible schedules (82%), guilt about burdening colleagues
   (65%), fear of confidentiality breach (46%), and difficulty identifying
   services (44%).
   CONCLUSIONS: Pediatric residents frequently experience MH symptoms, but
   many do not know about or use support services. Programs should enhance
   MH support by overcoming barriers and increasing resident awareness of
   services.
OI Cellini, Melissa/0000-0002-3593-8619
Z8 0
ZS 0
ZA 0
ZR 0
ZB 0
TC 3
Z9 3
U1 1
U2 5
SN 1876-2859
EI 1876-2867
UT WOS:000401298200013
PM 28137673
ER

PT J
AU Schwellnus, Martin Peter
TI Premarathon Evaluations: Is There a Role for Runner Prerace Medical
   Screening and Education to Reduce the Risk of Medical Complications?
SO CURRENT SPORTS MEDICINE REPORTS
VL 16
IS 3
BP 129
EP 136
DI 10.1249/JSR.0000000000000366
PD MAY-JUN 2017
PY 2017
AB There is irrefutable evidence that regular participation in physical
   activity has substantial health benefits, and as such participation in
   mass community-based sports events should be supported. However, with
   the promotion of physical activity comes the potential risk of medical
   complications during an acute exercise session, with this risk varying
   according to the risk factor profile of an individual and the nature of
   the event. The demographics of marathon race entrants changed over the
   past two to three decades, and currently about 50% of runners are older
   than 40 yr. A consolidated view of previously published research shows
   that in a marathon with a field of 50,000 runners for example, the
   medical staff will, on average, encounter a sudden death every 2 to 3
   yr, a sudden cardiac arrest every year, 25 runners that present with a
   serious medical complication requiring specialized management or
   hospitalization, and 1000 runners that require medical attention.
   Runners may have several intrinsic risk factors that can predispose them
   to serious acute cardiovascular or other serious noncardiac medical
   complications on race day. This intrinsic risk can be exacerbated by
   several extrinsic risk factors as well. As health care professionals, we
   are obliged to give the best medical advice to individuals who wish to
   participate in moderate-and high-intensity endurance activities, and at
   the same time reduce their risk of a medical complication during
   exercise. Preliminary data indicate that an online prerace medical
   screening and targeted educational intervention program can be
   successfully implemented and is effective in reducing the risk of acute
   medical complications during a race.
RI Schwellnus, Martin/E-6042-2010
OI Schwellnus, Martin/0000-0003-3647-0429
ZB 1
ZA 0
TC 9
ZS 0
ZR 0
Z8 0
Z9 9
U1 1
U2 19
SN 1537-890X
EI 1537-8918
UT WOS:000401174000008
PM 28498219
ER

PT J
AU van Dulmen, Sandra
   Driesenaar, Jeanine A.
   van Weert, Julia C. M.
   van Osch, Mara
   Noordman, Janneke
TI PatientVOICE: Development of a Preparatory, Pre-Chemotherapy Online
   Communication Tool for Older Patients With Cancer
SO JMIR RESEARCH PROTOCOLS
VL 6
IS 5
AR e85
DI 10.2196/resprot.6979
PD MAY 2017
PY 2017
AB Background: Good communication around cancer treatment is essential in
   helping patients cope with their disease and related care, especially
   when this information is tailored to one's needs. Despite its
   importance, communication is often complex, in particular in older
   patients (aged 65 years or older). In addition to the age-related
   deterioration in information and memory processing older patients
   experience, communication is also complicated by their required yet
   often unmet role of being an active, participatory patient. Older
   patients rarely express their informational needs and their
   contributions to consultations are often limited. Therefore, older
   patients with cancer need to be prepared to participate more actively in
   their care and treatment.
   Objective: The objective of this paper was to report the development of
   PatientVOICE, an online, preparatory tool with audio facility aimed to
   enhance the participation of older patients during educational nursing
   encounters preceding chemotherapy and to improve their information
   recall.
   Methods: PatientVOICE was developed by applying the following 6 steps of
   the intervention mapping framework that involved both patients and
   nurses: (1) needs assessment, (2) specifying determinants and change
   objectives, (3) reviewing and selecting theoretical methods and
   practical strategies, (4) developing intervention components, (5)
   designing adoption and implementation, and (6) making an evaluation
   plan.
   Results: A careful execution of these consecutive steps resulted in the
   ready-to-use preparatory website. PatientVOICE provides pre-visit
   information about chemotherapy (ie, medical information, side effects,
   and recommendations of dealing with side effects), information about the
   educational nursing visit preceding chemotherapy (ie, aim, structure,
   and recommendations for preparation), techniques to improve patients'
   communication skills using a question prompt sheet (QPS) and
   video-modeling examples showing "best practices", and the opportunity to
   upload and listen back to an audio recording of a patient's own nursing
   visit.
   Conclusions: The development process resulted in PatientVOICE, a
   multi-component online intervention targeted to older patients with
   cancer. PatientVOICE contains information about the treatment as well as
   information about the role of the patient during treatment. Using
   different methods (QPS and audio facility), we hope to support these
   patients during their treatment. In the future, the utility and
   usability of this complex intervention will be evaluated in a group of
   older patients who receive or have received chemotherapy.
RI van Dulmen, A.M./L-4287-2015; van Weert, Julia/; Driesenaar, Jeanine/
OI van Dulmen, A.M./0000-0002-1651-7544; van Weert,
   Julia/0000-0002-2259-5864; Driesenaar, Jeanine/0000-0003-4794-4423
ZA 0
ZR 0
TC 8
Z8 0
ZB 1
ZS 0
Z9 8
U1 0
U2 9
SN 1929-0748
UT WOS:000401440100008
PM 28490421
ER

PT J
AU Heim, N.
   Faron, A.
   Fuchs, J.
   Martini, M.
   Reich, R. H.
   Loeffler, K.
TI The Readability of online based patient Information in Ophthalmology
SO OPHTHALMOLOGE
VL 114
IS 5
BP 450
EP 456
DI 10.1007/s00347-016-0367-9
PD MAY 2017
PY 2017
AB Investigations have shown that the internet as a source of information
   in medical issues is increasing in importance. For most patients
   information delivered or supported by hospitals and universities is
   considered to be the most reliable, however, the comprehensibility of
   available information is often considered to be wanting.
   Comprehensibility scores are formulae allowing a quantitative value for
   the readability of a document to be calculated.
   The purpose of this study was to assess data by analyzing the
   comprehensibility of medical information published on the websites of
   departments for ophthalmology of German university hospitals. We
   investigated and analyzed medical information dealing with three eye
   diseases with potentially severe irreversible damage.
   The websites of 32 departments for ophthalmology of German university
   hospitals were investigated. Information regarding cataracts, glaucoma
   and retinal detachment (amotio retinae) were identified and analyzed.
   All information was systematically analyzed regarding comprehensibility
   by using the analysis program Text-Lab) by calculation of five
   readability scores: the Hohenheim comprehensibility index (HVI), the
   Amstad index, the simple measure of gobbledygook (G-SMOG) index, the
   Vienna non-fictional text formula (W-STX) and the readability index
   (LIX).
   In 59 cases (61.46 %) useful text information from the homepage of the
   institutions could be detected and analyzed. On average the
   comprehensibility of the information was identified as being poor (HVI
   7.91 +/- 3.94, Amstad index 35.45 +/- 11.85, Vienna formula 11.19 +/-
   1.93, GaEuroSMOG 9.77 +/- 1.42 and the LIX 54.53 +/- 6.67).
   In most of the cases patient information material was written far above
   the literacy level of the average population. It must be assumed that
   the presented information is difficult to read for the majority of the
   patients. A critical evaluation of accessible information material seems
   to be desirable and available texts should be amended.
OI Faron, Anton/0000-0002-5771-7235; Martini, Markus/0000-0001-5608-6980
ZA 0
ZR 0
TC 7
Z8 0
ZS 4
ZB 0
Z9 8
U1 0
U2 8
SN 0941-293X
EI 1433-0423
UT WOS:000400965300013
PM 27613545
ER

PT J
AU Rao, Sandhya K.
   Carballo, Victoria
   Cummings, Brian M.
   Millham, Frederick
   Jacobson, Joseph O.
TI Developing an Interdisciplinary, Team-Based Quality Improvement
   Leadership Training Program for Clinicians: The Partners Clinical
   Process Improvement Leadership Program
SO AMERICAN JOURNAL OF MEDICAL QUALITY
VL 32
IS 3
BP 271
EP 277
DI 10.1177/1062860616648773
PD MAY-JUN 2017
PY 2017
AB Although there has been tremendous progress in quality improvement (QI)
   education for students and trainees in recent years, much less has been
   published regarding the training of active clinicians in QI. The
   Partners Clinical Process Improvement Leadership Program (CPIP) is a
   6-day experiential program. Interdisciplinary teams complete a QI
   project framed by didactic sessions, interactive exercises, case-based
   problem sessions, and a final presentation. A total of 239 teams
   composed of 516 individuals have graduated CPIP. On completion,
   participant satisfaction scores average 4.52 (scale 1-5) and
   self-reported understanding of QI concepts improved. At 6 months after
   graduation, 66% of survey respondents reported sustained QI activity.
   Three opportunities to improve the program have been identified: (1)
   increasing faculty participation through online and tiered course
   offerings, (2) integrating the faculty-focused program with the trainee
   curriculum, and (3) developing a postgraduate curriculum to address the
   challenges of sustained improvement.
RI Cummings, Brian M/I-6601-2019
OI Cummings, Brian M/0000-0002-7701-9354
ZB 1
TC 15
Z8 0
ZS 0
ZR 0
ZA 0
Z9 15
U1 0
U2 4
SN 1062-8606
EI 1555-824X
UT WOS:000400681200005
PM 27259877
ER

PT J
AU Weber, Alan S.
   Turjoman, Rebal
   Shaheen, Yanal
   Al Sayyed, Farah
   Hwang, Mu Ji
   Malick, Faryal
TI Systematic thematic review of e-health research in the Gulf Cooperation
   Council (Arabian Gulf): Bahrain, Kuwait, Oman, Qatar, Saudi Arabia and
   United Arab Emirates
SO JOURNAL OF TELEMEDICINE AND TELECARE
VL 23
IS 4
BP 452
EP 459
DI 10.1177/1357633X16647894
PD MAY 2017
PY 2017
AB Introduction: The Gulf Cooperation Council (GCC or 'Arabian Gulf'),
   comprising Bahrain, Kuwait, Oman, Qatar, Saudi Arabia and United Arab
   Emirates, is a political organization sharing a common history and
   culture. All GCC nations have made substantial investments in
   telecommunications and electronic health infrastructure since 2000.
   Methods: We conducted a literature search in English and Arabic on
   peer-reviewed e-health research up to December 2014 originating in the
   GCC. The objective was to retrieve all research on e-health in the GCC
   and to categorize and analyse it qualitatively to reveal the current
   state of e-health research and development in the region. Inclusion
   criteria included peer-reviewed articles, books, book chapters,
   conference papers and graduate theses written on e-health in the GCC.
   Blogs, health websites and non-peer-reviewed literature were excluded.
   Results: Three hundred and six articles were retrieved, categorized and
   analysed qualitatively to reveal the state of e-health research in the
   GCC. Both country-specific and GCC-wide major themes were identified
   using NVivo 10.0 qualitative software and summarized. The most common
   type of study was an overview (35.0%), with common study designs of case
   studies (26.8%) and descriptive articles (46.4%). Significant themes
   were: prospective national benefits from e-health, implementation and
   satisfaction with electronic health records, online technologies in
   medical education, innovative systems (case studies), and information
   security and personal health information.
   Discussion: This is the first comprehensive analytical literature review
   of e-health in the GCC. Important research gaps were identified: few
   cost-benefit analyses, controlled interventional studies, or research
   targeting gender and religious issues were retrieved.
RI Weber, Alan/AAF-8192-2021
OI Weber, Alan/0000-0001-7121-0919
Z8 0
ZR 0
ZS 0
TC 14
ZA 0
ZB 1
Z9 14
U1 1
U2 12
SN 1357-633X
EI 1758-1109
UT WOS:000400914200002
PM 27236702
ER

PT J
AU Seite, S.
   del Marmol, V.
   Moyal, D.
   Friedman, A. J.
TI Public primary and secondary skin cancer prevention, perceptions and
   knowledge: an international cross-sectional survey
SO JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY
VL 31
IS 5
BP 815
EP 820
DI 10.1111/jdv.14104
PD MAY 2017
PY 2017
AB BackgroundThe incidence of melanoma and non-melanoma skin cancer is
   continuing to increase worldwide, with sun exposure serving as the
   primary external aetiologic force in its development. Despite noticeable
   public health efforts, there continue to be gaps in public awareness and
   primary and secondary prevention mechanisms. This survey study sought to
   investigate preventative behaviours regarding sun exposure and skin
   cancer detection at an international scale.
   MethodsA questionnaire was submitted, both online and by telephone, to a
   representative sample (based on official demographic statistics on
   gender, age and region) of people aged from 15 to 65 originating from 23
   countries. Questions dealt with demographics, sun exposure and
   protection, risk knowledge, self-examination, medical advice seeking.
   Data were then gathered and analysed at different levels.
   ResultsA total of 19 569 respondents were recruited. Overall, sunscreen
   and sunglasses were the most used measures for sun protection. There
   were however difference between countries and geographical areas. Some
   high-risk countries in terms of sun exposure (according to their
   location to Equator) exhibited higher rates of primary preventative
   behaviours, in particular Australia, Chile and Greece. There were also
   discrepancies between countries regarding secondary prevention through
   self-examination and medical advice seeking. Young people, men,
   individuals belonging to a lower socio-economic class or having a lower
   education level were all least likely to know or follow primary and
   secondary preventive measures.
   ConclusionWe found imperfections and geographical inequality both
   regarding primary and secondary prevention of skin cancer. Our study
   provides insights that could help to target populations more effectively
   through information campaigns embedded into the global needed endeavour
   aiming to reduce mid- and long-term development of skin cancer.
RI del marmol, veronique/AAZ-8117-2020
ZR 0
TC 34
ZS 3
ZA 0
ZB 8
Z8 0
Z9 35
U1 1
U2 7
SN 0926-9959
EI 1468-3083
UT WOS:000400188900037
PM 28045207
ER

PT J
AU Ong, Hui Lin
   Seow, Esmond
   Chua, Boon Yiang
   Xie, Huiting
   Wang, Jia
   Lau, Ying Wen
   Chong, Siow Ann
   Subramaniam, Mythily
TI Why is psychiatric nursing not the preferred option for nursing
   students: A cross-sectional study examining pre-nursing and nursing
   school factors
SO NURSE EDUCATION TODAY
VL 52
BP 95
EP 102
DI 10.1016/j.nedt.2017.02.014
PD MAY 2017
PY 2017
AB Background: There is a shortage of nurses working in the mental health
   field globally. The aim of the present study was to examine Singapore
   nursing students' attitudes towards specializing in psychiatric nursing
   by examining the pre-nursing and nursing school factors as well as
   attitudes towards psychiatry and personality traits.
   Methods: A cross-sectional online survey was conducted with 500 nursing
   students from four nursing institutions in Singapore. Students'
   attitudes towards psychiatry (ATP-18), perception of psychiatric nursing
   career aspects relative to other fields, and personality traits
   (mini-IPIP) were assessed. The main outcome measure was likelihood of
   specializing in psychiatric nursing. Logistic regression was used to
   examine the combined effect of factors upon the outcome.
   Results: Twenty-six students (5.2%) rated "definitely decided to do"
   psychiatric nursing. Pre-nursing school factors associated with choosing
   psychiatry included ethnicity, current education, parents' wishes,
   having personal/family experience of mental illness, prior work
   experience, interest in psychiatric nursing and psychology module taken
   prior to current school admission. Nursing school factors such as
   teaching methods and clinical exposure were not associated with choosing
   psychiatric nursing. Positive attitudes towards psychiatry, perception
   of better career aspects in psychiatric nursing relative to other
   fields, and the personality traits of extraversion and
   intellect/imagination were associated with likelihood of choosing
   psychiatric nursing. Logistic regression revealed Malay (OR: 1.90,
   1.14-3.16, p = 0.013) and Indian ethnicity (OR: 2.56,1.32-4.96, p =
   0.005), interest in psychiatry (OR: 22.56, 8.22-61.92, p < 0.001),
   psychology module prior to current school admission (OR: 2.31,
   1.28-4.17, p = 0.005), better perceived job prospects in psychiatric
   nursing than other fields (OR: 1.91,1.21-3.04, p = 0.006), extraversion
   (OR: 1.09, 1.02-1.17, p = 0.012) and positive attitude towards
   psychiatry (OR: 2.72, 1.75-4.23, p < 0.001) as factors associated with
   students choosing psychiatric nursing.
   Conclusions: The selection of psychiatry as a specialty by nursing
   students was affected by pre-nursing school factors. Taking these
   factors into consideration may improve recruitment and alleviate the
   shortages in the psychiatric nursing field. (C) 2017 The Authors.
   Published by Elsevier Ltd.
OI Lau, Ying Wen/0000-0001-5977-2038
Z8 0
ZB 1
TC 32
ZS 0
ZR 0
ZA 0
Z9 32
U1 2
U2 10
SN 0260-6917
EI 1532-2793
UT WOS:000400216200018
PM 28284147
ER

PT J
AU Chu, Michael W.
   Cook, Julia A.
   Tholpady, Sunil S.
   Schmalbach, Cecelia E.
   Momeni, Arash
TI Facial Plastic Surgery Patient Resources Exceed National Institute
   Recommendations
SO JOURNAL OF CRANIOFACIAL SURGERY
VL 28
IS 3
BP 759
EP 763
DI 10.1097/SCS.0000000000003435
PD MAY 2017
PY 2017
AB Patient education is essential in enhancing the physician-patient
   therapeutic alliance, patient satisfaction, and clinical outcomes. The
   American Medical Association and National Institute of Health recommend
   that information be written at a 6th-grade reading level, but online
   resources often exceed patient literacy. The purpose of this study is to
   assess readability of online material for facial plastics procedures
   presented on academic plastic surgery and otolaryngology websites.
   An Internet search was performed of all academic institutions that had
   both plastic surgery and otolaryngology training programs who offered
   patient information on facial plastic surgery procedures. National
   society websites for both plastic surgery and otolaryngology were also
   analyzed. All procedural information was compiled and readability
   analyses were performed. A 2-tailed Z-test was used to compare scores,
   and statistical significance was set at P < 0.05.
   Sixty-three programs were identified; 42 had educational material. The
   overall average readability for all information was at a 10th-grade
   reading level. The national plastic surgery website had a significantly
   higher word count and number of syllables per word compared to the
   national otolaryngology website (P < 0.001, P = 0.04).
   The complexity of written resources represents an obstacle to online
   patient education and efforts to improve readability could benefit
   patients seeking medical information online. Current online education
   materials are a potential hindrance to patient education, satisfaction,
   and decision making. Healthcare institutions should consider writing new
   materials with simpler language that would be accessible to patients.
RI Momeni, Arash/AAV-8300-2020; Cook, Julia/; Chu, Michael/; Tholpady, Sunil/G-5848-2016
OI Momeni, Arash/0000-0002-6452-751X; Cook, Julia/0000-0003-0212-937X; Chu,
   Michael/0000-0002-9872-399X; Tholpady, Sunil/0000-0003-0448-9942
ZA 0
ZR 0
ZB 1
Z8 0
ZS 0
TC 10
Z9 10
U1 0
U2 2
SN 1049-2275
EI 1536-3732
UT WOS:000400649800043
PM 28468160
ER

PT J
AU Chaves Amorimi, Rodrigo Balbino
   Vargas-Santos, Ana Beatriz
   Pereira, Leticia Rocha
   Freire Coutinho, Evandro Silva
   Castelar-Pinheiro, Geraldo da Rocha
TI Gout treatment: survey of Brazilian rheumatology residents
SO CLINICAL RHEUMATOLOGY
VL 36
IS 5
BP 1179
EP 1188
DI 10.1007/s10067-017-3543-7
PD MAY 2017
PY 2017
AB To assess the current practices in gout management among Brazilian
   rheumatology residents. We performed a cross-sectional online survey
   among all the rheumatology residents and those rheumatologists who had
   just completed their training (post-residency (PR)) regarding their
   approach to gout management. Results were compared with the 2012
   American College of Rheumatology (ACR) gout guidelines and with the
   responses of a previous survey with a representative sample of
   practicing Brazilian rheumatologists (RHE). We received 224 responses
   (83%) from 271 subjects. Among all respondents, the first-choice
   treatment for gout flares was the combination of a nonsteroidal
   anti-inflammatory drug + colchicine for otherwise healthy patients. A
   target serum urate < 6 mg/dL for patients without tophi was reported by
   > 75%. Less than 70% reported starting allopurinol at low doses (<= 100
   mg/day) for patients with normal renal function and < 50% reported
   maintaining urate-lowering therapy indefinitely for patients without
   tophi. Among residents and PR, the residency stage was the main
   predictor of concordance with the ACR guidelines, with PR achieving the
   greatest rates. Reported practices were commonly concordant with the
   2012 ACR gout guidelines, especially among PR. However, some important
   aspects of gout management need improvement. These results will guide
   the development of a physician education program to improve the
   management of gout patients in Brazil.
RI dos Santos, Ana Beatriz Vargas/S-4908-2019; Pinheiro, Geraldo/; Coutinho, Evandro/
OI dos Santos, Ana Beatriz Vargas/0000-0001-5307-0254; Pinheiro,
   Geraldo/0000-0002-7778-569X; Coutinho, Evandro/0000-0002-4649-7353
Z8 0
ZA 0
TC 2
ZS 0
ZB 2
ZR 0
Z9 2
U1 0
U2 0
SN 0770-3198
EI 1434-9949
UT WOS:000399879000026
PM 28101833
ER

PT J
AU Amini, Richard
   Wyman, Michael T.
   Hernandez, Nicholas C.
   Guisto, John A.
   Adhikari, Srikar
TI Use of Emergency Ultrasound in Arizona Community Emergency Departments
SO JOURNAL OF ULTRASOUND IN MEDICINE
VL 36
IS 5
BP 913
EP 921
DI 10.7863/ultra.16.05064
PD MAY 2017
PY 2017
AB ObjectivesDespite the increased educational exposure to point-of-care
   ultrasound (US) at all levels of medical training, there are utilization
   gaps between academic and nonacademic emergency department (ED)
   settings. The purpose of this study was to assess the current practices
   and potential barriers to the use of point-of-care US in nonacademic EDs
   throughout the state of Arizona.
   MethodsWe conducted a cross-sectional study. An online questionnaire was
   electronically sent to all nonacademic EDs in Arizona. The survey
   consisted of questions regarding demographics, current practice
   patterns, policies, interdepartmental agreements, and perceptions
   regarding the use of point-of-care US.
   ResultsSeventy nonacademic EDs were identified for inclusion in our
   study, and 58 EDs completed the survey, which represented an 83%
   response rate. Seventy-eight percent (95% confidence interval [CI],
   67%-89%) perform or interpret point-of-care US examinations for patient
   care. The 3 most common applications of point-of-care US reported by
   respondents were focused assessment with sonography for trauma, cardiac
   US examinations, and line placement, and 36% (95% CI, 22%-50%) bill for
   point-of-care US examinations. At 75% (95% CI, 62%-88%) of EDs, no one
   is specifically responsible for reviewing point-of-care US examinations
   for quality assurance, and at 50% (95% CI, 35%-65%), no mechanism exists
   to archive images. Eighty-three percent (95% CI, 72%-94%) of EDs think
   that their groups will benefit from the American College of Emergency
   Physicians Clinical Ultrasound Accreditation Program.
   ConclusionsUltrasound equipment is available in nearly all nonacademic
   EDs in Arizona. However, it appears that most providers lack US
   training, credentialing, quality assurance, and reimbursement
   mechanisms.
RI Amini, Richard/M-9964-2013; Wyman, michaelwyman/
OI Amini, Richard/0000-0002-9292-8206; Wyman,
   michaelwyman/0000-0001-7511-3390
Z8 1
TC 17
ZB 0
ZS 0
ZA 0
ZR 0
Z9 17
U1 0
U2 5
SN 0278-4297
EI 1550-9613
UT WOS:000399778500007
PM 28150328
ER

PT J
AU Wozney, Lori
   Chorney, Jill
   Huguet, Anna
   Song, Jin Soo
   Boss, Emily F.
   Hong, Paul
TI Online Tonsillectomy Resources: Are Parents Getting Consistent and
   Readable Recommendations?
SO OTOLARYNGOLOGY-HEAD AND NECK SURGERY
VL 156
IS 5
BP 844
EP 852
DI 10.1177/0194599817692529
PD MAY 2017
PY 2017
AB Objective Parents frequently refer to information on the Internet to
   confirm or broaden their understanding of surgical procedures and to
   research postoperative care practices. Our study evaluated the
   readability, comprehensiveness, and consistency around online
   recommendations directed at parents of children undergoing
   tonsillectomy.
   Study Design A cross-sectional study design was employed.
   Setting Thirty English-language Internet websites.
   Subjects and Methods Three validated measures of readability were
   applied and content analysis was employed to evaluate the
   comprehensiveness of information in domains of perioperative education.
   Frequency effect sizes and percentile ranks were calculated to measure
   dispersion of recommendations across sites.
   Results The mean readability level of all sites was above a grade 10
   level with fewer than half of the sites (n = 14, 47%) scoring at or
   below the eight-grade level. Provided information was often incomplete
   with a noted lack of psychosocial support and skills-training
   recommendations. Content analysis showed 67 unique recommendations
   spanning the full perioperative period. Most recommendations had low
   consensus, being reported in 5 or fewer sites (frequency effect size
   <16%).
   Conclusion Many online parent-focused resources do not meet readability
   recommendations, portray incomplete education about perioperative care
   and expectations, and provide recommendations with low levels of
   consensus. Up-to-date mapping of the research evidence around
   recommendations is needed as well as improved efforts to make online
   information easier to read.
RI Huguet, Anna/AAI-3244-2021; Hong, Paul/; Wozney, Lori/; Huguet, Anna/R-2666-2018
OI Hong, Paul/0000-0002-8766-3266; Wozney, Lori/0000-0003-4280-3322;
   Huguet, Anna/0000-0002-4002-8644
ZB 2
ZA 0
ZR 0
TC 18
ZS 2
Z8 0
Z9 18
U1 0
U2 2
SN 0194-5998
EI 1097-6817
UT WOS:000400502700011
PM 28195825
ER

PT J
AU Pickering, James D.
   Bickerdike, Suzanne R.
TI Medical Student Use of Facebook to Support Preparation for Anatomy
   Assessments
SO ANATOMICAL SCIENCES EDUCATION
VL 10
IS 3
BP 205
EP 214
DI 10.1002/ase.1663
PD MAY-JUN 2017
PY 2017
AB The use of Facebook to support students is an emerging area of
   educational research. This study explored how a Facebook Page could
   support Year 2 medical (MBChB) students in preparation for summative
   anatomy assessments and alleviate test anxiety. Overall, Facebook
   analytics revealed that in total 49 (19.8% of entire cohort) students
   posted a comment in preparation for either the first (33 students) or
   second (34) summative anatomy assessments. 18 students commented in
   preparation for both. In total, 155 comments were posted, with 83 for
   the first and 72 for the second. Of the 83 comments, 45 related to
   checking anatomical information, 30 were requiring assessment
   information and 8 wanted general course information. For the second
   assessment this was 52, 14 and 6, respectively. Student perceptions on
   usage, and impact on learning and assessment preparation were obtained
   via a five-point Likert-style questionnaire, with 119 students
   confirming they accessed the Page. Generally, students believed the Page
   was an effective way to support their learning, and provided information
   which supported their preparation with increases in perceived confidence
   and reductions in anxiety. There was no difference between gender,
   except for males who appeared to be significantly less likely to ask a
   question as they may be perceived to lack knowledge (P<0.05). This study
   suggests that Facebook can play an important role in supporting students
   in preparation for anatomy assessments. (C) 2016 American Association of
   Anatomists.
ZB 4
ZR 0
ZA 0
TC 37
ZS 0
Z8 0
Z9 37
U1 0
U2 27
SN 1935-9772
EI 1935-9780
UT WOS:000402909300001
PM 27806192
ER

PT J
AU Hauser, Leah J.
   Gebhard, Grant M.
   Blumhagen, Rachel
   Carlson, Nichole E.
   Cabrera-Muffly, Cristina
TI Applicant characteristics associated with successful matching into
   otolaryngology
SO LARYNGOSCOPE
VL 127
IS 5
BP 1052
EP 1057
DI 10.1002/lary.26236
PD MAY 2017
PY 2017
AB ObjectiveTo identify resident applicant characteristics that increase
   the odds of matching to otolaryngology residency.
   Study DesignCross-sectional analysis.
   MethodsResidency applications to our institution from 2009 through 2013
   were reviewed. The available data represented 81.1% of applicants to
   otolaryngology programs nationwide. Online public records were searched
   to determine whether an applicant matched to an otolaryngology residency
   position. Factors that were significantly associated with the odds of
   matching were determined using logistic regression.
   ResultsA total of 1,479 unique applications were analyzed. On univariate
   analysis, 27 demographic, academic, personal, medical school, prior
   training, and application-specific factors were associated with the odds
   of matching into otolaryngology. On multivariate analysis, indicators of
   academic achievement, such as Alpha Omega Alpha Honor Medical Society
   (AOA) status, whether applicant received awards, and publications, were
   significantly associated with the odds of matching (odds ratio [OR]
   2.03, 1.39, 1.66, respectively). The odds of matching increased with
   increasing step 1 scores (P < 0.001). Attending a medical school ranked
   by the U.S. News & World Report and being a U.S. citizen born in the
   United States significantly increased the odds of matching (OR 1.55 and
   2.04, respectively), whereas being a non-U.S. senior medical student
   significantly decreased the odds of matching (OR 0.33).
   ConclusionMultiple factors are associated with successfully matching
   into an otolaryngology residency. Although this information allows
   medical students to determine the strength of their application, these
   criteria have not been correlated with resident success. We urge
   selection committees to begin identifying applicant selection methods
   that reflect the values we want to cultivate in our future colleagues.
   Level of EvidenceN/A. Laryngoscope, 127:1052-1057, 2017
OI Cabrera-Muffly, Cristina/0000-0001-7697-8871
ZR 0
ZS 0
Z8 0
ZA 0
ZB 3
TC 17
Z9 17
U1 0
U2 1
SN 0023-852X
EI 1531-4995
UT WOS:000399637800015
PM 27767217
ER

PT J
AU Ruppel, Emily H.
   Karpman, Hannah E.
   Delk, Carolyn E.
   Merryman, Mallory
TI Online maternity information seeking among lesbian, bisexual, and queer
   women
SO MIDWIFERY
VL 48
BP 18
EP 23
DI 10.1016/j.midw.2017.02.011
PD MAY 2017
PY 2017
AB Objective: recent research has concluded that barriers to maternity
   health care exist for lesbian, bisexual, and queer women. This mixed
   methods study aims to understand patterns in seeking and sharing online
   health information for LBQ women attempting conception.
   Design: researchers performed a qualitative content analysis of 400
   discussions in lesbian-oriented Facebook groups, containing 1764 total
   instances of text. 400 discussions from heterosexual-oriented conception
   and parenting Facebook groups were examined for comparison purposes,
   though they will not be the focus of this analysis. This paper also
   presents descriptive statistics on posts observed.
   Setting: posts were drawn from a representative sample of
   lesbian-oriented conception, pregnancy, and parenting Facebook groups.
   Posts examined for comparison purposes were drawn from groups that
   appeared to primarily serve heterosexual women.
   Measurements and findings: many participants in lesbian-oriented
   Facebook groups sought and provided medical information. Their queries
   focused on the insemination process, and frequently related to posters'
   specific situations, while heterosexual women tended to seek general
   advice about the conception and pregnancy process. The accuracy of the
   content of responses varied, and group members seemed to view the
   prevalence of contradictory information as positive evidence of diverse
   perspectives. Even when information was technically correct, posters did
   not always apply it properly to the question at hand.
   Key conclusions: barriers to maternity care, or a lack of education and
   initiative among primary care providers, may drive lesbian, bisexual,
   and queer women to seek health information from peers on the Internet
   when trying to become pregnant. These exchanges may contribute to
   misinformation, which may negatively affect lesbian, bisexual, and queer
   women's fertility outcomes and overall health.
   Implications for practice: clinicians should be conscious of online
   health information seeking as both a symptom of and cause of
   sexuality-based disparities.
ZR 0
TC 16
ZB 3
ZS 1
ZA 0
Z8 0
Z9 16
U1 0
U2 30
SN 0266-6138
EI 1532-3099
UT WOS:000399485200003
PM 28314179
ER

PT J
AU Wolbrink, Traci A.
   Kissoon, Niranjan
   Mirza, Nabila
   Burns, Jeffrey P.
TI Building a Global, Online Community of Practice: The OPENPediatrics
   World Shared Practices Video Series
SO ACADEMIC MEDICINE
VL 92
IS 5
BP 676
EP 679
DI 10.1097/ACM.0000000000001467
PD MAY 2017
PY 2017
AB Problem
   Health care professionals are familiar with engaging in local
   communities of practice (CoPs) within their hospital, region, and/or
   country, but despite the availability of online technologies that
   facilitate online global collaboration, the health care sector has yet
   to fully embrace these tools.
   Approach
   In 2013, OPENPediatrics (an online social learning platform) launched
   the World Shared Practices video (WSP) series to engage and coalesce the
   global community of critical care clinicians. Each month, a 30- to
   45-minute video featuring a pediatric critical care medicine expert,
   interspersed with questions for the audience, is released. Viewers
   contribute to the community discussion by leaving comments that display
   alongside the video. Clinicians are encouraged to asynchronously host an
   educational conference so they can watch the videos and participate in
   the discussion together.
   Outcomes
   From March 2013-November 2015, 28 WSPs were launched on a variety of
   topics. They were viewed over 18,414 times by 1,864 viewers in 132
   countries and 760 hospitals; 1,155 comments were submitted. Attending
   physicians/consultants were the largest audience (36% [671/1,864]), and
   37% (30/81) of responding viewers that commented in WSPs watched in
   small groups. The WSP series was reported to add value to respondents'
   learning or teaching and to have had a positive impact on their
   knowledge or practice.
   Next Steps
   Future research will focus on further describing the context and
   structure of the CoP and on more deeply investigating its higher-level
   outcomes and impact. More work is needed to identify barriers and
   strategies that improve online community engagement.
RI Wolbrink, Traci/T-7211-2019; Burns, Jeffrey P/AAW-8474-2021; Kissoon, Niranjan/AAC-6140-2021; Kissoon, Niranjan/
OI Kissoon, Niranjan/0000-0001-8847-9973
ZR 0
ZS 0
ZA 0
ZB 2
TC 9
Z8 0
Z9 9
U1 1
U2 5
SN 1040-2446
EI 1938-808X
UT WOS:000401145100042
PM 28441677
ER

PT J
AU Atkinson, Lauren Z.
   Forrest, Alexandra
   Marriner, Leah
   Geddes, John
   Cipriani, Andrea
TI Implementing tools to support evidence-based practice: a survey and
   brief intervention study of the National Elf Service across Oxford
   Health NHS Foundation Trust
SO EVIDENCE-BASED MENTAL HEALTH
VL 20
IS 2
BP 41
EP 45
DI 10.1136/eb-2017-102665
PD MAY 2017
PY 2017
AB BACKGROUND Technology and the internet has enabled rapid access to
   research but most mental health professionals do not have time to keep
   up with the vast and growing scientific literature. Secondary
   information sources, such as the National Elf Service (NES), aim to
   summarise the most important and up-to-date research to improve mental
   health professionals' access to information to support evidence-based
   medicine (EBM).
   OBJECTIVE To explore mental health professionals' attitudes towards
   evidence-based practice and methods used to keep up-to-date with
   research. To promote use of a digital evidence-based platform (the
   National Elf Service), assess its use and explore its potential to
   impact clinical practice.
   METHODS Baseline and follow-up surveys were distributed among staff of 5
   adult mental health community teams and 2 early intervention services (n
   = 331) in Oxford Health Foundation Trust (OHFT) prior to and following
   an intervention raising awareness of the National Elf Service.
   FINDINGS Of 133 baseline survey responders, the majority of staff
   reported their clinical practice was informed by evidence, mostly using
   existing clinical guidelines and online resources. Few had used the
   National Elf Service. 122 staff members completed the follow-up survey.
   Postintervention, 42 staff members indicated they had used the National
   Elf Service (compared with 13 preintervention) and that it had improved
   access to research. Lack of time was most often the barrier restricting
   evidence-based practice.
   CONCLUSIONS Mental health professionals are engaged with EBM and those
   that used the National Elf Service felt it did, or could have the
   potential to impact on their clinical practice.
RI Cipriani, Andrea/P-6944-2015; Atkinson, Lauren/; Geddes, John/
OI Cipriani, Andrea/0000-0001-5179-8321; Atkinson,
   Lauren/0000-0001-5549-8721; Geddes, John/0000-0002-5281-5960
TC 1
ZS 1
ZA 0
ZR 0
ZB 0
Z8 0
Z9 2
U1 1
U2 4
SN 1362-0347
EI 1468-960X
UT WOS:000406470600007
PM 28363988
ER

PT J
AU Ullrich, Charlotte
   Mahler, Cornelia
   Forstner, Johanna
   Szecsenyi, Joachim
   Wensing, Michel
TI Teaching implementation science in a new Master of Science Program in
   Germany: a survey of stakeholder expectations
SO IMPLEMENTATION SCIENCE
VL 12
AR 55
DI 10.1186/s13012-017-0583-y
PD APR 27 2017
PY 2017
AB Background: Implementation science in healthcare is an evolving
   discipline in German-speaking countries. In 2015, the Medical Faculty of
   the University of Heidelberg, Germany, implemented a two-year full-time
   Master of Science program Health Services Research and Implementation
   Science. The curriculum introduces implementation science in the context
   of a broader program that also covers health services research,
   healthcare systems, research methods, and generic academic skills. Our
   aim was to assess the expectations of different stakeholder groups
   regarding the master's program.
   Methods: An online survey listing desired competencies of prospective
   graduates was developed and administered to four groups: national
   experts in the field (including potential employers of graduates),
   teaching staff, enrolled students, and prospective students (N = 169).
   Competencies were extracted from the curriculum's module handbook. A
   five-point Likert scale was used for the assessment of 42 specific
   items. Data were analyzed descriptively.
   Results: A total of 83 people participated in the survey (response rate
   49%). The online survey showed a strong agreement across the groups
   concerning the desired competencies of graduates. About two-thirds of
   the listed competencies (27 items) were felt to be crucial or very
   important by 80% or more of participants, with little difference between
   stakeholder groups. Of the eight items specifically related to
   implementation in practice, six were in this category. Knowledge of
   implementation strategies (90% very important), knowledge of barriers
   and enablers of implementation (89%), and knowledge of evidence-based
   practice (89%) were the top priorities.
   Conclusions: The master's program is largely orientated towards the
   desired competencies of graduates according to students, teaching staff,
   and national experts.
RI Wensing, Michel/H-8113-2014; Ullrich, Charlotte/
OI Wensing, Michel/0000-0001-6569-8137; Ullrich,
   Charlotte/0000-0002-9757-913X
ZR 0
ZS 0
Z8 0
TC 15
ZB 1
ZA 0
Z9 15
U1 1
U2 6
SN 1748-5908
UT WOS:000400608000002
PM 28449697
ER

PT J
AU Vasilevsky, Nicole A.
   Minnier, Jessica
   Haendel, Melissa A.
   Champieux, Robin E.
TI Reproducible and reusable research: are journal data sharing policies
   meeting the mark?
SO PEERJ
VL 5
AR e3208
DI 10.7717/peerj.3208
PD APR 25 2017
PY 2017
AB Background. There is wide agreement in the biomedical research community
   that research data sharing is a primary ingredient for ensuring that
   science is more transparent and reproducible. Publishers could play an
   important role in facilitating and enforcing data sharing; however, many
   journals have not yet implemented data sharing policies and the
   requirements vary widely across journals. This study set out to analyze
   the pervasiveness and quality of data sharing policies in the biomedical
   literature.
   Methods. The online author's instructions and editorial policies for 318
   biomedical journals were manually reviewed to analyze the journal's data
   sharing requirements and characteristics. The data sharing policies were
   ranked using a rubric to determine if data sharing was required,
   recommended, required only for omits data, or not addressed at all. The
   data sharing method and licensing recommendations were examined, as well
   any mention of reproducibility or similar concepts. The data was
   analyzed for patterns relating to publishing volume Journal Impact
   Factor, and the publishing model (open access or subscription) of each
   journal.
   Results. A total of 11.9% of journals analyzed explicitly stated that
   data sharing was required as a condition of publication. A total of 9.1%
   of journals required data haring, but did not state that it would affect
   publication decisions. 23.3% of journals had a statement encouraging
   authors to share their data but did not require it. A total of 9.1% of
   journals mentioned data sharing indirectly, and only 14.8% addressed
   protein, proteornic, and/or genomic data sharing. There was no mention
   of data sharing in 31.8% of journals. Impact factors were significantly
   higher for journals with the strongest data sharing policies compared to
   all other data sharing criteria. Open access journals were not more
   likely to require data sharing than subscription journals.
   Discussion. Our study confirmed earlier investigations which observed
   that only a minority of biomedical journals require data sharing, and a
   significant association between higher Impact Factors and journals with
   a data sharing requirement. Moreover, while 65.7% of the journals in our
   study that required data sharing addressed the concept of
   reproducibility, as with earlier investigations, we found that most data
   sharing policies did not provide specific guidance on the practices that
   ensure data is maximally available and reusable.
RI Minnier, Jessica/I-8788-2019; Vasilevsky, Nicole A/AAB-7589-2019; Haendel, Melissa/; Champieux, Robin/
OI Minnier, Jessica/0000-0002-3527-2757; Vasilevsky, Nicole
   A/0000-0001-5208-3432; Haendel, Melissa/0000-0001-9114-8737; Champieux,
   Robin/0000-0001-7023-9832
ZR 0
Z8 2
ZB 31
TC 61
ZS 1
ZA 0
Z9 61
U1 2
U2 30
SN 2167-8359
UT WOS:000400303800002
PM 28462024
ER

PT J
AU Bos-Bonnie, Linda H. A.
   van Bergen, Jan E. A. M.
   te Pas, Ellen
   Kijser, Michael A.
   van Dijk, Nynke
TI Effectiveness of an individual, online e-learning program about sexually
   transmitted infections: a prospective cohort study
SO BMC FAMILY PRACTICE
VL 18
AR 57
DI 10.1186/s12875-017-0625-1
PD APR 24 2017
PY 2017
AB Background: Primary health-care professionals play an important role in
   the treatment and prevention of Sexually Transmitted Infections (STI).
   Continuing Medical Education (CME)-courses can influence the knowledge
   and behavior of health-care professionals concerning STI. We performed a
   prospective cohort study to evaluate if the individual and online
   e-learning program "The STI-consultation", which uses the
   Commitment-to-Change (CtC)-method, is able to improve the knowledge,
   attitude and behavior of Dutch General Practitioners (GPs), concerning
   the STI-consultation. This e-learning program is an individual,
   accredited, online CME-program, which is freely available for all GPs
   and GP-trainees in the Netherlands.
   Methods: In total 2192 participants completed the questionnaire before
   completing the e-learning program and 249 participants completed the
   follow-up questionnaire after completing the e-learning program. The
   effect of the program on their knowledge, attitude and behavior
   concerning the STI-consultation was evaluated.
   Results: In total 193 participants formulated 601 learning points that
   matched the learning objectives of the program. The knowledge and
   attitude of the participants improved, which persisted up to two years
   after completing the program. Another 179 participants formulated a
   total of 261 intended changes concerning the sexual history taking,
   additional investigation and treatment of STI, 97.2% of these changes
   was partially or fully implemented in daily practice. Also, 114
   participants formulated a total of 180 "unintended" changes in daily
   practice. These changes concerned the attitude of participants towards
   STI and the working conditions concerning the STI-consultation.
   Conclusion: The individual, online e-learning program "The
   STI-consultation", which uses the CtC-method, has a small but lasting,
   positive effect on the knowledge, attitude, and behavior of GPs
   concerning the STI-consultation.
OI van Dijk, Nynke/0000-0001-7959-5649
ZB 0
ZA 0
TC 4
Z8 0
ZR 0
ZS 0
Z9 4
U1 1
U2 10
SN 1471-2296
UT WOS:000400129900001
PM 28438124
ER

PT J
AU Kartoglu, Umit
   Vesper, James
   Teras, Hanna
   Reeves, Thomas
TI Experiential and authentic learning approaches in vaccine management
SO VACCINE
VL 35
IS 17
BP 2243
EP 2251
DI 10.1016/j.vaccine.2016.11.104
PD APR 19 2017
PY 2017
AB A high level of concern is placed on the storage, handling,
   transportation, and distribution of vaccines and other pharmaceutical
   products, particularly those that are time and temperature sensitive.
   While active and passive cooling equipment and monitoring devices are
   important, it is the various personnel responsible for executing and
   writing procedures, designing and operating systems, and investigating
   problems and helping prevent them who are paramount in establishing and
   maintaining a "cold.chain" for time and temperature sensitive
   pharmaceutical products (TTSPPs). These professionals must possess the
   required competencies, knowledge, skills and abilities so they can
   effectively perform these activities with appropriate levels of
   expertise. These are complex tasks that require the development of
   higher cognitive skills that cannot be adequately addressed through
   professional development opportunities based on simple information
   delivery and content acquisition. This paper describes two unique
   learning solutions (one on a bus called the "wheels course" and the
   other online called "e-learning") that have been developed by WHO Global
   Learning Opportunities (WHO/GLO) to provide participants with
   opportunities not just to learn about cold chain systems or vaccine
   management, but, rather, to develop high levels of expertise in their
   respective fields through experiential and authentic learning
   activities. In these interactive learning environments, participants
   have opportunities to address real-life situations in contexts similar
   to what they may face in their own work environments and develop
   solutions and critical thinking skills they can apply when they return
   to their jobs. This paper further delineates the managerial and
   operational vaccine management functions encompassed in these two unique
   learning environments. The paper also describes the alignment of the
   objectives addressed in the "wheels course" and the e-learning version
   with effective vaccine management (EVM) criteria as prescribed by WHO.
   The paper concludes with an example of a real world product developed by
   course graduates (specifically a decision tree that is now used by some
   national programmes). These types of products, valuable in their own
   right, often emerge when learning environments based on authentic
   learning principles are designed and implemented as they were by
   WHO/GLO. (C) 2017 The Authors. Published by Elsevier Ltd.
ZB 1
ZS 0
ZA 0
Z8 0
ZR 0
TC 5
Z9 5
U1 1
U2 10
SN 0264-410X
EI 1873-2518
UT WOS:000400215000027
PM 28364938
ER

PT J
AU Clay, Michael R.
   Fisher, Kevin E.
TI Bioinformatics Education in Pathology Training: Current Scope and Future
   Direction
SO CANCER INFORMATICS
VL 16
AR 1176935117703389
DI 10.1177/1176935117703389
PD APR 10 2017
PY 2017
AB Training anatomic and clinical pathology residents in the principles of
   bioinformatics is a challenging endeavor. Most residents receive little
   to no formal exposure to bioinformatics during medical education, and
   most of the pathology training is spent interpreting histopathology
   slides using light microscopy or focused on laboratory regulation,
   management, and interpretation of discrete laboratory data. At a
   minimum, residents should be familiar with data structure, data
   pipelines, data manipulation, and data regulations within clinical
   laboratories. Fellowship-level training should incorporate advanced
   principles unique to each subspecialty. Barriers to bioinformatics
   education include the clinical apprenticeship training model,
   ill-defined educational milestones, inadequate faculty expertise, and
   limited exposure during medical training. Online educational resources,
   case-based learning, and incorporation into molecular genomics education
   could serve as effective educational strategies. Overall, pathology
   bioinformatics training can be incorporated into pathology resident
   curricula, provided there is motivation to incorporate, institutional
   support, educational resources, and adequate faculty expertise.
RI Clay, Michael R/N-3866-2018
OI Clay, Michael R/0000-0003-1659-8927
ZR 0
ZB 2
Z8 0
TC 3
ZA 0
ZS 0
Z9 3
U1 0
U2 3
SN 1176-9351
UT WOS:000398737800001
PM 28469393
ER

PT J
AU Stevens, Niall T.
   McDermott, Helene
   Boland, Fiona
   Pawlikowska, Teresa
   Humphreys, Hilary
TI A comparative study: do "clickers" increase student engagement in
   multidisciplinary clinical microbiology teaching?
SO BMC MEDICAL EDUCATION
VL 17
AR 70
DI 10.1186/s12909-017-0906-3
PD APR 8 2017
PY 2017
AB Background: Audience response devices, or "clickers", have been used in
   the education of future healthcare professionals for several years with
   varying success. They have been reported to improve the learning
   experience by promoting engagement and knowledge retention. In 2014, our
   department evaluated the use of "clickers" in a newly introduced
   multidisciplinary approach to teaching large groups of third year
   medical students clinical cases developed around a microbiology theme.
   Methods: Six multidisciplinary teaching sessions covering
   community-acquired pneumonia, tuberculosis, infective endocarditis,
   peritonitis, bloodstream infection with pyelonephritis and bacterial
   meningitis were included in the study. Three involved the use of the
   "clickers" and three did not. Consenting undergraduate students attended
   the designated classes and afterwards answered a short online quiz
   relating to the session. Students also answered a short questionnaire
   about the "clickers" to gauge their attitudes on the use of these
   devices.
   Results: Of 310 students, 294 (94.8%) agreed to participate in the
   study. Interestingly, the grades of online quizzes after a session where
   a "clicker" was used were slightly lower. Looking only at the grades of
   students who engaged completely with the process (n = 19), there was no
   statistical difference to suggest that the devices had a positive or
   negative impact on knowledge retention. However, student attitudes to
   using the devices were positive overall. Fifty-five percent strongly
   agreed and 27% agreed that teaching sessions where the "clickers" were
   used were more engaging. Thirty-four percent strongly agreed and 36%
   agreed that the "clickers" made important concepts more memorable and
   54% felt the device enhanced their understanding of the topic being
   covered.
   Conclusions: Overall, it appears that "clickers" help in improving
   student engagement in large classroom environments, enhance the learning
   experience, and are received positively by medical students but their
   impact on knowledge retention is variable.
OI Boland, Fiona/0000-0003-3228-0046; Humphreys,
   Hilary/0000-0002-9646-2183; Stevens, Niall/0000-0002-1296-0717
Z8 0
TC 12
ZS 0
ZA 0
ZR 0
ZB 1
Z9 12
U1 0
U2 14
SN 1472-6920
UT WOS:000398634600001
PM 28390400
ER

PT J
AU Baez, Marcos
   Far, Iman Khaghani
   Ibarra, Francisco
   Ferron, Michela
   Didino, Daniele
   Casati, Fabio
TI Effects of online group exercises for older adults on physical,
   psychological and social wellbeing: a randomized pilot trial
SO PEERJ
VL 5
AR e3150
DI 10.7717/peerj.3150
PD APR 5 2017
PY 2017
AB Background. Intervention programs to promote physical activity in older
   adults, either in group or home settings, have shown equivalent health
   outcomes but different results when considering adherence. Group-based
   interventions seem to achieve higher participation in the long-term.
   However, there are many factors that can make of group exercises a
   challenging setting for older adults. A major one, due to the
   heterogeneity of this particular population, is the difference in the
   level of skills. In this paper we report on the physical, psychological
   and social wellbeing outcomes of a technology-based intervention that
   enable online group exercises in older adults with different levels of
   skills.
   Methods. A total of 37 older adults between 65 and 87 years old followed
   a personalized exercise program based on the OTAGO program for fall
   prevention, for a period of eight weeks. Participants could join online
   group exercises using a tablet-based application. Participants were
   assigned either to the Control group, representing the traditional
   individual home-based training program, or the Social group,
   representing the online group exercising. Pre- and post- measurements
   were taken to analyze the physical, psychological and social wellbeing
   outcomes.
   Results. After the eight-weeks training program there were improvements
   in both the Social and Control groups in terms of physical outcomes,
   given the high level of adherence of both groups. Considering the
   baseline measures, however, the results suggest that while in the
   Control group fitter individuals tended to adhere more to the training,
   this was not the case for the Social group, where the initial level had
   no effect on adherence. For psychological outcomes there were
   improvements on both groups, regardless of the application used. There
   was no significant difference between groups in social wellbeing
   outcomes, both groups seeing a decrease in loneliness despite the
   presence of social features in the Social group. However, online social
   interactions have shown to be correlated to the decrease in loneliness
   in the Social group.
   Conclusion. The results indicate that technology-supported online
   group-exercising which conceals individual differences in physical
   skills is effective in motivating and enabling individuals who are less
   fit to train as much as fitter individuals. This not only indicates the
   feasibility of training together despite differences in physical skills
   but also suggests that online exercise might reduce the effect of skills
   on adherence in a social context. However, results from this pilot are
   limited to a small sample size and therefore are not conclusive. Longer
   term interventions with more participants are instead recommended to
   assess impacts on wellbeing and behavior change.
RI Didino, Daniele/R-2592-2019; Casati, Fabio/I-7952-2013; Ferron, Michela/AAA-5879-2020; Baez, Marcos/T-4656-2017
OI Didino, Daniele/0000-0002-8707-8155; Ferron,
   Michela/0000-0003-4840-3266; Baez, Marcos/0000-0003-1666-2474
ZA 0
ZR 0
ZS 0
TC 22
Z8 0
ZB 2
Z9 22
U1 8
U2 43
SN 2167-8359
UT WOS:000398662500003
PM 28392983
ER

PT J
AU Obuku, E. A.
   Lavis, J. N.
   Kinengyere, A.
   Mafigiri, D. K.
   Sengooba, F.
   Karamagi, C.
   Sewankambo, N. K.
TI Academic research productivity of postgraduate students at Makerere
   University College of Health Sciences, Uganda, from 1996 to 2010: a
   retrospective review
SO HEALTH RESEARCH POLICY AND SYSTEMS
VL 15
AR 30
DI 10.1186/s12961-017-0194-8
PD APR 4 2017
PY 2017
AB Background: Research is a core business of universities globally, and is
   crucial in the scientific process as a precursor for knowledge uptake
   and use. We aimed to assess the academic productivity of post-graduate
   students in a university located in a low-income country.
   Methods: This is an observational retrospective documentary analysis
   using hand searching archives, Google Scholar and PubMed electronic
   databases. The setting is Makerere University College of Health
   Sciences, Uganda. Records of post-graduate students (Masters) enrolled
   from 1996 to 2010, and followed to 2016 for outcomes were analysed. The
   outcome measures were publications (primary), citations, electronic
   dissertations found online or conference abstracts (secondary).
   Descriptive and multivariable logistic regression analyses were
   performed using Stata 14.1.
   Results: We found dissertations of 1172 Masters students over the
   20-year period of study. While half (590, 50%) had completed clinical
   graduate disciplines (surgery, internal medicine, paediatrics,
   obstetrics and gynaecology), Master of Public Health was the single most
   popular course, with 393 students (31%). Manuscripts from 209
   dissertations (18%; 95% CI, 16-20%) were published and approximately the
   same proportion was cited (196, 17%; 95% CI, 15-19%). Very few (4%)
   policy-related documents (technical reports and guidelines) cited these
   dissertations. Variables that remained statistically significant in the
   multivariable model were students' age at enrolment into the Masters
   programme (adjusted coefficient -0.12; 95% CI, -0.18 to -0.06; P <
   0.001) and type of research design (adjusted coefficient 0.22; 0.03 to
   0.40; P = 0.024). Cohort studies were more likely to be published
   compared to cross-sectional designs (adjusted coefficient 0.78; 95% CI,
   0.2 to 1.36; P = 0.008).
   Conclusions: The productivity and use of post-graduate students'
   research conducted at the College of Health Sciences Makerere University
   is considerably low in terms of peer-reviewed publications and citations
   in policy-related documents. The need for effective strategies to
   reverse this 'waste' is urgent if the College, decision-makers, funders
   and the Ugandan public are to enjoy the 'return on investment' from
   post-graduate students research.
RI Kinengyere, Alison Annet/ABC-2426-2020; Obuku, Ekwaro A./H-4988-2011; Mafigiri, David/
OI Kinengyere, Alison Annet/0000-0002-5341-3218; Mafigiri,
   David/0000-0002-2699-4248
ZS 2
ZR 0
TC 5
ZB 1
ZA 0
Z8 0
Z9 7
U1 1
U2 14
SN 1478-4505
UT WOS:000398217300001
PM 28376904
ER

PT J
AU Meadows, Angela
   Higgs, Suzanne
   Burke, Sara E.
   Dovidio, John F.
   van Ryn, Michelle
   Phelan, Sean M.
TI Social Dominance Orientation, Dispositional Empathy, and Need for
   Cognitive Closure Moderate the Impact of Empathy-Skills Training, but
   Not Patient Contact, on Medical Students' Negativ eAttitudes toward
   Higher-Weight Patients
SO FRONTIERS IN PSYCHOLOGY
VL 8
AR 504
DI 10.3389/fpsyg.2017.00504
PD APR 4 2017
PY 2017
AB Anti-fat bias in healthcare providers and medical students has serious
   implications for quality of care of higher-weight patients. Studies of
   interventions aimed at reducing anti-fat attitudes in medical students
   have generally been disappointing, with little enduring effect. It is
   possible that some students may be more receptive to prejudice-reducing
   influences than others, due to underlying differences in their personal
   characteristics. It is also possible that attitudes toward patients,
   specifically, may differ from anti-fat attitudes in general, and
   prejudice-reduction effectiveness on patient-specific attitudes has not
   yet been evaluated. The present study explored the effect on general and
   patient-specific anti-fat attitudes of (1) contact with higher-weight
   individuals prior to and during medical school; and (2) training
   designed to increase medical students' empathy toward patients by
   encouraging them to take the patient's perspective during clinical
   encounters. The moderating role of individual difference factors on
   effectiveness of contact and student-reported hours of empathy training
   on patient-specific attitudes was assessed. A total of 3,576 students
   enrolled across 49 US medical schools completed an online survey at the
   start of their first year of medical school and at the end of their
   fourth year. Favorable contact experience with higher-weight patients
   predicted improved attitudes toward heavier patients after 4 years of
   medical school, and appeared sufficient to partially offset the effects
   of dislike of higher-weight individuals at baseline. The impact of
   favorable contact on general anti-fat attitudes was less strong,
   highlighting the importance of using target-specific outcome measures.
   The positive effects of favorable contact on attitudes toward
   higher-weight patients did not differ based on students' baseline levels
   of social dominance orientation, dispositional empathy, or need for
   cognitive closure. In contrast, the effectiveness of training did vary
   by student characteristics, generally being more effective in students
   who were more egalitarian and empathic at baseline, with little effect,
   or even adverse effects in students low in these traits. Overall,
   however, perspective-taking training produced only small improvements in
   attitudes toward higher-weight patients.
RI Meadows, Angela/H-5872-2019; Higgs, Suzanne/A-9632-2008
OI Meadows, Angela/0000-0002-6273-7564; Higgs, Suzanne/0000-0002-9225-7692
Z8 0
ZB 3
ZR 0
TC 22
ZS 0
ZA 0
Z9 22
U1 1
U2 25
SN 1664-1078
UT WOS:000398175900001
PM 28421020
ER

PT J
AU Ansakorpi, Hanna
   Sumelahti, Marja-Liisa
   Kaasila, Raimo
TI Medical students' experience of emotions and success in neurological
   studies - What do they tell us?
SO BMC MEDICAL EDUCATION
VL 17
AR 68
DI 10.1186/s12909-017-0905-4
PD APR 4 2017
PY 2017
AB Background: There is a need to develop effective educational experience
   in neurology to improve the students' skills in diagnosing and managing
   patients with neurological symptoms or disease. The aim of this study
   was to investigate the medical students' attitudes and emotions towards
   neurology before and after the four week clinical course at two Finnish
   Universities in order to find elements to improve effective learning by
   decreasing the emotional stress in medical studies.
   Methods: In this two-stage study, 58 medical students participated in an
   internet survey with open-ended questions after completing a clinical
   neurology course. In the content analysis of this survey 20 students
   (35%) were identified with negative anticipation towards neurology
   before undertaking the clinical neurology course. In the second phase of
   the study, the narrative analysis method was used to analyse the
   face-to-face interviews. Two of these interviews are described in this
   paper and represent cases who expressed negative emotions in both online
   survey and narrative interview.
   Results: According to the content analysis, the principal emotions that
   were experienced at the beginning of the clinical neurology course were
   insecurity about personal performance (n = 19, 95%) anxiety (n = 9, 45%)
   and fear (n = 6, 30%). During the course the combined negative emotions
   (insecurity, anxiety, and fear) decreased in 80% of students (16/20
   cases), remained unchanged in 15% (3/20) and could not be evaluated in 1
   (5%) case. The main reasons for the observed negative anticipation were
   the complexity of neurology and challenges in the interpretation of
   clinical findings. Based on content analysis and narratives, elements
   that were evaluated as the most significant contributors in reducing
   this included small group teaching with real patients, teachers
   'expertise and the increase in self-confidence.
   Conclusion: Teaching with appropriate didactic methodology and feedback,
   and plenty of practical training can improve effective learning in
   neurology. We suggest that the pedagogic competence of the clinical
   teacher influences a student's motivation and proficiency and reduce
   stress in neurology-related learning tasks.
OI Kaasila, Raimo/0000-0003-3262-7185
ZS 1
ZR 0
Z8 0
TC 6
ZB 1
ZA 0
Z9 6
U1 2
U2 14
EI 1472-6920
UT WOS:000398230700003
PM 28376787
ER

PT J
AU Flahault, Antoine
   Geissbuhler, Antoine
   Guessous, Idris
   Guerin, Philippe J.
   Bolon, Isabelle
   Salathe, Marcel
   Escher, Gerard
TI Precision global health in the digital age
SO SWISS MEDICAL WEEKLY
VL 147
AR w14423
DI 10.4414/smw.2017.14423
PD APR 3 2017
PY 2017
AB Precision global health is an approach similar to precision medicine,
   which facilitates, through innovation and technology, better targeting
   of public health interventions on a global scale, for the purpose of
   maximising their effectiveness and relevance. Illustrative examples
   include: the use of remote sensing data to fight vector-borne diseases;
   large databases of genomic sequences of foodborne pathogens helping to
   identify origins of outbreaks; social networks and internet search
   engines for tracking communicable diseases; cell phone data in
   humanitarian actions; drones to deliver healthcare services in remote
   and secluded areas. Open science and data sharing platforms are proposed
   for fostering international research programmes under fair, ethical and
   respectful conditions. Innovative education, such as massive open online
   courses or serious games, can promote wider access to training in public
   health and improving health literacy. The world is moving towards
   learning healthcare systems. Professionals are equipped with data
   collection and decision support devices. They share information, which
   are complemented by external sources, and analysed in real time using
   machine learning techniques. They allow for the early detection of
   anomalies, and eventually guide appropriate public health interventions.
   This article shows how information- driven approaches, enabled by
   digital technologies, can help improving global health with greater
   equity.
RI Bolon, Isabelle/O-8676-2019; Guerin, Philippe/AAH-8873-2021; Salathe, Marcel/; Escher, Gerard/; Guerin, Philippe/
OI Bolon, Isabelle/0000-0001-5940-2731; Salathe,
   Marcel/0000-0002-5079-7797; Escher, Gerard/0000-0002-9515-4736; Guerin,
   Philippe/0000-0002-6008-2963
Z8 1
ZB 7
TC 20
ZA 0
ZR 0
ZS 0
Z9 21
U1 2
U2 37
SN 1424-7860
EI 1424-3997
UT WOS:000398660700003
PM 28421566
ER

PT J
AU Santhosh, Lekshmi
   Jain, Snigdha
   Brady, Anna
   Sharp, Michelle
   Carlos, W. Graham
TI Intensive Care Unit Educators: A Multicenter Evaluation of Behaviors
   Residents Value in Attending Physicians
SO ANNALS OF THE AMERICAN THORACIC SOCIETY
VL 14
IS 4
BP 513
EP 516
DI 10.1513/AnnalsATS.201612-996BC
PD APR 2017
PY 2017
AB Rationale: It is important for attending physicians to know which
   behaviors influence learner perceptions. To date, two studies focusing
   on general medicine attending physicians have been published addressing
   internal medicine residents' perceptions of attending physicians; there
   are no data on intensive care unit (ICU) attending physicians.
   Objectives: We sought to expand the evidence regarding this topic
   through a multicenter study at four geographically diverse academic
   medical centers. Our study focused on identifying the teaching behaviors
   of ICU physicians that learners observe in attending physicians who they
   value as effective educators.
   Methods: The study was conducted at Indiana University (Indianapolis,
   IN), Johns Hopkins University (Baltimore, MD), University of
   California-San Francisco (San Francisco, CA), and University of
   Washington (Seattle, WA). Internal medicine residents completed an
   anonymous online survey rating the importance of behaviors of ICU
   attending physician role models. We created a 37-item questionnaire
   derived from prior studies and from the Clinician Teaching Program from
   the Stanford Faculty Development Center for Medical Teachers. This
   questionnaire included behaviors, current and past, that residents
   observed in their ICU attending physicians.
   Results: A total of 260 of 605 residents responded to the survey
   (overall response rate of 43%). The five behaviors of attending
   physicians most commonly rated as "very important" to residents were:
   (1) enjoyment of teaching; (2) demonstrating empathy and compassion to
   patients and families; (3) ability to explain clinical reasoning and
   differential diagnoses; (4) treating nonphysician staff members
   respectfully; and (5) enthusiasm on rounds. Behaviors that trainees
   rated as less important were having numerous research publications,
   having served as chief resident, sharing personal life with residents,
   and organizing end-of-rotation social events.
   Conclusions: Our study provides new information to attending physicians
   striving to influence resident education. Although prior data
   demonstrated that learners valued attending physicians having served as
   chief resident and sharing personal information with learners, our study
   did not replicate this. We confirmed that learners appreciated teachers
   who are perceived to enjoy teaching. We discovered that behaviors, such
   as expression of empathy, explanation of clinical reasoning, and
   qualities of professionalism, were commonly seen in esteemed teaching
   attending physicians. Our study was limited by lack of correlation to
   objective performance metrics and a low response rate. Future work may
   include assessing the impact of faculty development on identified
   behaviors.
RI Santhosh, Lekshmi/AAW-9364-2020; Jain, Snigdha/
OI Santhosh, Lekshmi/0000-0002-9897-3462; Jain, Snigdha/0000-0003-1712-976X
Z8 0
ZS 0
ZA 0
TC 7
ZB 0
ZR 0
Z9 7
U1 0
U2 6
SN 1546-3222
EI 2325-6621
UT WOS:000419438400009
PM 28287827
ER

PT J
AU Alsaad, Ali A.
   Bhide, Vandana Y.
   Moss, Jimmy L., Jr.
   Silvers, Scott M.
   Johnson, Margaret M.
   Maniaci, Michael J.
TI Central Line Proficiency Test Outcomes after Simulation Training versus
   Traditional Training to Competence
SO ANNALS OF THE AMERICAN THORACIC SOCIETY
VL 14
IS 4
BP 550
EP 554
DI 10.1513/AnnalsATS.201612-987OC
PD APR 2017
PY 2017
AB Rationale: Studies have shown the importance of simulation-based
   training on the outcomes of central venous catheter (CVC) insertion by
   trainees.
   Objectives: To compare the performance of internal medicine trainees who
   underwent standardized simulation training of CVC insertion with that of
   internal medicine trainees who had traditional CVC training and were
   already deemed competent to perform the procedure during a proficiency
   evaluation using a trainingmannequin.
   Methods: Trainees who performCVCinsertion were enrolled in the
   institutionalCentral Line Workshop, which includes both an online and an
   experiential simulation component. The training is followed by a
   certification station proficiency assessment. Residents and fellows
   previously certified competent to perform CVC placement without
   supervision completed the online module, but they could opt out of the
   experiential component and proceed directly to the evaluation.
   Results: Forty-eight trainees participated in the study. Twenty-one
   (44%), 15 (31%), 6 (13%), 1 (2%), 2 (4%), and 3 (6%) were in
   postgraduate year 1 (PGY1), PGY2, PGY3, PGY4, PGY5, and PGY6,
   respectively. Twenty-nine completed the hands-on instruction, 28 (97%)
   of whom successfully passed the simulation-based assessment on their
   first attempt. Nineteen trainees previously credentialed to perform CVC
   placement without supervision opted out of the simulation-based
   experiential training. Of these, five (26%) failed in their first
   attempt (P = 0.02 vs. trainees who completed the simulation training).
   Conclusions: Standardized simulation-based training can improve CVC
   insertion proficiency, even among trainees with previous experience
   sufficient to have been deemed competent in the procedure. Improved
   performance at simulation-based testing may translate to improved
   outcomes of CVC placement by trainees.
RI Silvers, Scott/AAM-1234-2021; Michael, Maniaci/GPG-2061-2022
Z8 0
ZS 0
TC 12
ZB 2
ZA 0
ZR 0
Z9 12
U1 0
U2 2
SN 1546-3222
EI 2325-6621
UT WOS:000419438400015
PM 28145736
ER

PT J
AU Xiong, Peng
   Zhang, Jun
   Wang, Xiaohui
   Wu, Tat Leong
   Hall, Brian J.
TI Effects of a mixed media education intervention program on increasing
   knowledge, attitude, and compliance with standard precautions among
   nursing students: A randomized controlled trial
SO AMERICAN JOURNAL OF INFECTION CONTROL
VL 45
IS 4
BP 389
EP 395
DI 10.1016/j.ajic.2016.11.006
PD APR 1 2017
PY 2017
AB Background: Standard precautions (SPs) are considered fundamental
   protective measures to manage health care-associated infections and to
   reduce occupational health hazards. This study intended to assess the
   effectiveness of a mixed media education intervention to enhance nursing
   students' knowledge, attitude, and compliance with SPs.
   Method: A randomized controlled trial with 84 nursing students was
   conducted in a teaching hospital in Hubei, China. The intervention group
   (n = 42) attended 3 biweekly mixed media education sessions, consisting
   of lectures, videos, role-play, and feedback with 15-20 minutes of
   individual online supervision and feedback sessions following each
   class. The control group learned the same material through self-directed
   readings. Pre- and posttest assessments of knowledge, attitudes, and
   compliance were assessed with the Knowledge with Standard Precautions
   Questionnaire, Attitude with Standard Precautions Scale, and the
   Compliance with Standard Precautions Scale, respectively. The Standard
   Bacterial Colony Index was used to assess handwashing effectiveness.
   Results: At 6-week follow-up, performance on the Knowledge with Standard
   Precautions Questionnaire, Attitude with Standard Precautions Scale, and
   Compliance with Standard Precautions Scale were significantly improved
   in the intervention group compared with the control group (P < .01). The
   hand hygiene standard in the intervention group (38 passed) outperformed
   the control group (23 passed) (P < .01).
   Conclusions: A mixed media education intervention is effective in
   improving knowledge, attitude, and compliance with SPs. (C) 2017
   Association for Professionals in Infection Control and Epidemiology,
   Inc. Published by Elsevier Inc. All rights reserved.
RI Zhang, Jun/AAM-9914-2020; Xiong, Peng/AAD-8150-2022; Hall, Brian J./B-7694-2016
OI Zhang, Jun/0000-0002-1320-1886; Xiong, Peng/0000-0002-4092-8028; Hall,
   Brian J./0000-0001-9358-2377
ZS 1
ZA 0
Z8 0
ZR 0
TC 17
ZB 3
Z9 17
U1 0
U2 28
SN 0196-6553
EI 1527-3296
UT WOS:000400482100011
PM 27986296
ER

PT J
AU Wensley, A.
   Hughes, G. J.
   Campbell, H.
   Amirthalingam, G.
   Andrews, N.
   Young, N.
   Coole, L.
TI Risk factors for pertussis in adults and teenagers in England
SO EPIDEMIOLOGY AND INFECTION
VL 145
IS 5
BP 1025
EP 1036
DI 10.1017/S0950268816002983
PD APR 2017
PY 2017
AB Pertussis is a vaccine-preventable respiratory infection caused by
   Bordetella pertussis which can be fatal in infants. Although high
   vaccine coverage led to prolonged disease control in England, a national
   outbreak of pertussis in 2011 led to the largest increase in over two
   decades, including a marked increase in cases aged 515 years. A
   case-control study in four regions of England was undertaken to
   investigate risk factors for pertussis in adolescents and adults,
   specifically employment type and professional and household contact with
   children. Pertussis cases were laboratory-confirmed and aged 515 years.
   Controls were recruited through general practitioner nomination.
   Demographic and risk factor information were collected using an online
   survey. Multivariable logistic regression was used to estimate
   independent associations with outcome. Two hundred and thirty-one cases
   and 190 controls were recruited. None of the four employment variables
   (social care, education, health sector, patient contact) were
   significantly associated with pertussis. Professional contact with
   children aged < 1 year was associated with a significantly reduced odds
   of pertussis [odds ratio (OR) 0.25, 95% confidence interval (CI)
   0.08-0.78, P = 0.017]. Household contact with 51 child aged 10-14 years
   was associated with significantly increased odds of pertussis (OR 2.61,
   95% CI 1.47-4.64, P = 0.001). Occupational contact with very young
   children was associated with reduced odds of pertussis, probably due to
   immune boosting by low-level exposures to B. pertussis. Sharing a
   household with a young adolescent was a significant risk factor for
   pertussis in adults and older teenagers. The primary focus of the
   childhood pertussis vaccination programmes is to prevent infant disease.
   Although evidence is emerging that adolescent vaccination does not
   provide indirect protection to infants, our results highlight the
   importance of children aged 10-14 years in pertussis transmission to
   older adolescents and adults.
OI Hughes, Gwenda/0000-0003-2090-7702
ZR 1
ZB 4
ZA 0
ZS 0
TC 7
Z8 2
Z9 10
U1 2
U2 2
SN 0950-2688
EI 1469-4409
UT WOS:000398969700019
PM 28065204
ER

PT J
AU Xie, Jiang
   Xu, Junfu
   Nie, Celine
   Nie, Qing
TI MACHINE LEARNING OF SWIMMING DATA VIA WISDOM OF CROWD AND REGRESSION
   ANALYSIS
SO MATHEMATICAL BIOSCIENCES AND ENGINEERING
VL 14
IS 2
BP 511
EP 527
DI 10.3934/mbe.2017031
PD APR 2017
PY 2017
AB Every performance, in an officially sanctioned meet, by a registered USA
   swimmer is recorded into an online database with times dating back to
   1980. For the first time, statistical analysis and machine learning
   methods are systematically applied to 4,022,631 swim records. In this
   study, we investigate performance features for all strokes as a function
   of age and gender. The variances in performance of males and females for
   different ages and strokes were studied, and the correlations of
   performances for different ages were estimated using the Pearson
   correlation. Regression analysis show the performance trends for both
   males and females at different ages and suggest critical ages for peak
   training. Moreover, we assess twelve popular machine learning methods to
   predict or classify swimmer performance. Each method exhibited different
   strengths or weaknesses in different cases, indicating no one method
   could predict well for all strokes. To address this problem, we propose
   a new method by combining multiple inference methods to derive Wisdom of
   Crowd Classifier (WoCC). Our simulation experiments demonstrate that the
   WoCC is a consistent method with better overall prediction accuracy. Our
   study reveals several new age-dependent trends in swimming and provides
   an accurate method for classifying and predicting swimming times.
Z8 0
ZA 0
ZS 0
ZB 0
ZR 0
TC 3
Z9 3
U1 1
U2 254
SN 1547-1063
EI 1551-0018
UT WOS:000387009900009
PM 27879112
ER

PT J
AU Taylor, Carl
   Symon, Elizabeth B.
   Dabbs, Amy
   Way, Alexander
   Thompson, Olivia M.
TI Assessing a School Gardening Program as an Integrated Component of a
   Pilot Farm-to-school Initiative Based in South Carolina
SO HORTTECHNOLOGY
VL 27
IS 2
BP 228
EP 234
DI 10.21273/HORTTECH03543-16
PD APR 2017
PY 2017
AB South Carolina public schools consistently rank low in academic
   performance. In addition, 39% of elementary, 40% of middle, and 30% of
   high school students within the state are classified as overweight or
   obese. School gardenbased learning (GBL) is a low-cost and high-impact
   initiative that addresses both poor academic performance and childhood
   obesity. This study examined how school-based gardens, as part of a
   pilot farm-to-school (FtS) initiative, are administered and used within
   academic and cafeteria meal programs. An online survey was developed and
   sent to 102 educators who previously completed an online training course
   entitled School Gardening for South Carolina Educators during the
   2012-15 academic school years. Data were collected from 37 educators
   (36% response rate). Survey results indicate that the majority of these
   educators, although they completed the training course, were unaware
   that their garden was a component of an FtS program. Moreover, gardens
   were not integrated with school-wide programs, especially in the
   cafeteria: most gardens did not contribute food to the cafeteria and
   meals offered most often did not align with plants learned about in the
   gardens. Successes of the pilot program were that the majority of
   educators started and maintained their garden for over 1 year and they
   were able to use their gardens during the day for academic instruction
   in multiple disciplines, including math, science, and nutrition.
ZR 0
TC 3
ZS 0
ZB 2
ZA 0
Z8 0
Z9 3
U1 0
U2 21
SN 1063-0198
EI 1943-7714
UT WOS:000400897400013
ER

PT J
AU Chen, Jinying
   Yu, Hong
TI Unsupervised ensemble ranking of terms in electronic health record notes
   based on their importance to patients
SO JOURNAL OF BIOMEDICAL INFORMATICS
VL 68
BP 121
EP 131
DI 10.1016/j.jbi.2017.02.016
PD APR 2017
PY 2017
AB Background: Allowing patients to access their own electronic health
   record (EHR) notes through online patient portals has the potential to
   improve patient-centered care. However, EHR notes contain abundant
   medical jargon that can be difficult for patients to comprehend. One way
   to help patients is to reduce information overload and help them focus
   on medical terms that matter most to them. Targeted education can then
   be developed to improve patient EHR comprehension and the quality of
   care.
   Objective: The aim of this work was to develop FIT (Finding Important
   Terms for patients), an unsupervised natural language processing (NLP)
   system that ranks medical terms in EHR notes based on their importance
   to patients.
   Methods: We built FIT on a new unsupervised ensemble ranking model
   derived from the biased random walk algorithm to combine heterogeneous
   information resources for ranking candidate terms from each EHR note.
   Specifically, FIT integrates four single views (rankers) for term
   importance: patient use of medical concepts, document-level term
   salience, word co-occurrence based term relatedness, and topic
   coherence. It also incorporates partial information of term importance
   as conveyed by terms' unfamiliarity levels and semantic types. We
   evaluated FIT on 90 expert-annotated EHR notes and used the four
   single-view rankers as baselines. In addition, we implemented three
   benchmark unsupervised ensemble ranking methods as strong baselines.
   Results: FIT achieved 0.885 AUC-ROC for ranking candidate terms from EHR
   notes to identify important terms. When including term identification,
   the performance of FIT for identifying important terms from EHR notes
   was 0.813 AUC-ROC. Both performance scores significantly exceeded the
   corresponding scores from the four single rankers (P < 0.001). FIT also
   outperformed the three ensemble rankers for most metrics. Its
   performance is relatively insensitive to its parameter.
   Conclusions: FIT can automatically identify EHR terms important to
   patients. It may help develop future interventions to improve quality of
   care. By using unsupervised learning as well as a robust and flexible
   framework for information fusion, FIT can be readily applied to other
   domains and applications. (C) 2017 Elsevier Inc. All rights reserved.
OI Chen, Jinying/0000-0001-7259-4301
Z8 0
ZR 0
TC 13
ZB 2
ZS 0
ZA 0
Z9 13
U1 0
U2 9
SN 1532-0464
EI 1532-0480
UT WOS:000409396000011
PM 28267590
ER

PT J
AU Ravi, Rohit
   Gunjawate, Dhanshree R.
   Yerraguntla, Krishna
   Lewis, Leslie E.
   Rajashekhar, Bellur
TI A national survey of knowledge, attitude and practices among
   pediatricians towards newborn hearing screening in India
SO INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY
VL 95
BP 9
EP 14
DI 10.1016/j.ijporl.2017.01.032
PD APR 2017
PY 2017
AB Introduction: Pediatricians have a key role in ensuring that infant has
   undergone hearing screening and required follow-up. Attempts in various
   countries and centers have been made at exploring their knowledge,
   attitude and practices towards universal newborn hearing screening. In
   India, such a program is at its preliminary stage, and hence a need was
   felt to study this aspect in pediatricians working in India.
   Method: A cross-sectional online survey was carried out among 112
   pediatricians working in India. The questionnaire was framed after
   reviewing the existing questionnaires. Descriptive statistics was used
   to summarize the findings.
   Results: A response rate of 7.99% (112/1402) was obtained of which only
   20.5% reported of availability of screening program in their work
   set-up. The majority of the pediatricians (95%) were aware of the
   newborn hearing screening while 98.3% were affirmative about the
   importance of screening of all infants. Very few pediatricians reported
   of a screening program in their set-up or in their close locality.
   Overall the pediatricians were confident about their knowledge on this
   topic yet expressed a need to know more about several intricacies about
   hearing screening. The pediatricians also provided an input on the most
   preferred method of receiving more information.
   Summary and conclusion: The success of the universal newborn hearing
   screening program lies in the support and cooperation of health care
   providers such as pediatricians. The present study draws attention to
   the positive attitude and practices exhibited by them. It also sheds
   light on the knowledge gaps that are present and need the due attention
   of the policy makers. Further, it highlights the need for having more
   continuing medical education program and awareness drives for ensuring a
   better implementation of UNHS. (C) 2017 Elsevier B.V. All rights
   reserved.
RI Yerraguntla, Krishna/AFR-9358-2022; Ravi, Rohit/AAF-8926-2019; gunjawate, dhanshree/K-2768-2015; Lewis, Leslie/
OI Yerraguntla, Krishna/0000-0003-3185-5901; Ravi,
   Rohit/0000-0001-9585-2385; gunjawate, dhanshree/0000-0002-2464-2580;
   Lewis, Leslie/0000-0002-3467-6821
TC 7
ZS 2
ZB 2
ZR 0
ZA 0
Z8 1
Z9 8
U1 0
U2 3
SN 0165-5876
EI 1872-8464
UT WOS:000404317300003
PM 28576542
ER

PT J
AU Meeks, Natalie M.
   McGuire, April L.
   Carroll, Bryan T.
TI Electronic Collaboration in Dermatology Resident Training Through Social
   Networking
SO CUTIS
VL 99
IS 4
BP 253
EP 258
PD APR 2017
PY 2017
AB The use of online educational resources and professional social
   networking sites is increasing. The field of dermatology is currently
   underutilizing online social networking as a means of professional
   collaboration and sharing of training materials. In this study, we
   sought to assess the current structure of and satisfaction with
   dermatology resident education and gauge interest for a professional
   social networking site for educational collaboration. Two surveys-one
   for residents and one for faculty-were electronically distributed via
   the American Society for Dermatologic Surgery and Association of
   Professors of Dermatology (APD) listserves. The surveys confirmed that
   there is interest among dermatology residents and faculty in a
   dermatology professional networking site with the goal to enhance
   educational collaboration.
OI Carroll, Bryan T/0000-0001-5712-6307
Z8 0
ZS 0
ZR 0
ZB 0
TC 1
ZA 0
Z9 1
U1 1
U2 2
SN 0011-4162
EI 2326-6929
UT WOS:000410858500014
PM 28492592
ER

PT J
AU Jha, Ajeya
   Pandey, Jaya Rani
TI An Empirical Note on Health Information Digital Divide: A Study of
   Indian Patients
SO INTERNATIONAL JOURNAL OF ASIAN BUSINESS AND INFORMATION MANAGEMENT
VL 8
IS 2
BP 15
EP 34
DI 10.4018/IJABIM.2017040102
PD APR-JUN 2017
PY 2017
AB Availability of healthcare information on internet has made it possible
   for patients or their relatives to search for such information. This
   study was undertaken to find answers to such questions. In all 754
   respondents participated in the survey. The variables selected from
   literature survey and exploratory study are Health Information Digital
   Divide, Income, Having E-mail id, access to internet, geographical
   location, Education, family-type, age and gender. As the data is
   categorical the significance of difference has been calculated using
   Chi-square test. Later discriminant analysis was conducted to predict
   patients who make online health information search and the ones who do
   not. The result show that Income, Having E-mail id, access to internet,
   geographical location, Education and gender are significant factors that
   determine the propensity of people for online healthcare search. Age and
   family-type, however, were found to have no impact on such a behavior.
   Using discriminant analysis 94.5 percent patients who make online health
   information search could be correctly predicted.
RI Jha, Ajeya/AAT-7691-2020; Pandey, Jaya Rani/AAS-4927-2020; Jha, Ajeya/
OI Pandey, Jaya Rani/0000-0002-6235-9292; Jha, Ajeya/0000-0003-0491-5008
ZR 0
TC 2
ZS 0
Z8 0
ZB 0
ZA 0
Z9 2
U1 0
U2 10
SN 1947-9638
EI 1947-9646
UT WOS:000396697600002
ER

PT J
AU Fortin, Andreanne
   Rabasa-Lhoret, Remi
   Roy-Fleming, Amelie
   Desjardins, Katherine
   Brazeau, Anne-Sophie
   Ladouceur, Martin
   Gingras, Veronique
TI Practices, perceptions and expectations for carbohydrate counting in
   patients with type 1 diabetes - Results from an online survey
SO DIABETES RESEARCH AND CLINICAL PRACTICE
VL 126
BP 214
EP 221
DI 10.1016/j.diabres.2017.02.022
PD APR 2017
PY 2017
AB Aims: Characterize adult patients with diabetes on intensive insulin
   therapy in terms of: (a) practices and perceived difficulties relative
   to carbohydrate counting (CC) and diabetes treatment, and (b) their
   perceptions and expectations relative to CC.
   Methods: Participants completed a 30-question web-based questionnaire.
   Results: Participants with type 1 diabetes (T1D) and using CC as part of
   their treatment plan (n = 180) were included in this analysis.
   Participants were predominantly women (64%), aged 42 +/- 13 years old
   and had diabetes for 22 +/- 13 years. A large proportion of participants
   reported being confident in applying CC (78%) and considered precise CC
   as being important for glycemic control (91%), while only 17% reported
   finding CC difficult. Despite the low perceived difficulty associated
   with CC, many specific difficulties were encountered by patients such as
   the perception that glycemia fluctuates even with appropriate CC and
   that CC complicates the management of diabetes. A larger proportion of
   participants with a lower level of education (<university degree) and
   current or history of depression reported not feeling confident in
   applying CC. Most respondents believed that new technologies could
   facilitate CC (57%) and would be interested in such technology (62%).
   Conclusions: Although a majority of participant reported being confident
   in applying CC, many difficulties and constraints associated with CC
   have been identified. These results highlight that patients with a lower
   level of education and with a history or current depression could
   benefit from specific CC education strategies. Future studies should
   examine the efficacy of technology tools to facilitate CC. (C) 2017
   Elsevier B.V. All rights reserved.
OI Gingras, Veronique/0000-0003-4918-7534
ZR 0
ZB 2
TC 11
Z8 0
ZS 2
ZA 0
Z9 11
U1 1
U2 8
SN 0168-8227
EI 1872-8227
UT WOS:000402467800027
PM 28273644
ER

PT J
AU Hyams, J. H.
   Raidal, S. L.
   Hayes, L. M.
   Heller, J.
TI Demographic and preliminary employment data of the first two graduate
   cohorts from a rural veterinary school
SO AUSTRALIAN VETERINARY JOURNAL
VL 95
IS 4
BP 91
EP 100
DI 10.1111/avj.12571
PD APR 2017
PY 2017
AB Objective To report initial career experiences and graduate employment
   destinations 1 and 5 years following graduation of the 67 graduates from
   the first two graduating classes of the veterinary science program at
   Charles Sturt University.
   Design Online survey of graduates from the 2010 and 2011 cohorts
   undertaken 12 months following course completion and descriptive data on
   graduate practice locations 5 years post-graduation.
   Procedure Questions covered general demographic information, issues
   relating to work-life balance and factors influencing vocational
   choices. Descriptive statistics and qualitative responses are reported,
   with comparisons between continuous variables by two-sample t-test and
   between categories by Chi-square analyses. Significance was set at P <
   0.05. Graduates' locations 5 years after graduation were obtained from
   veterinary registration details and staff contact with graduates.
   Results Complete survey responses were received from 39 graduates of
   whom 34 were employed in regional areas, 1 in a very remote area, 3 in
   major cities and 1 overseas. Hours worked and salary received were
   consistent with other survey data, with new graduates working in
   regional practices earning slightly more than those working in
   metropolitan practices. At 5 years following graduation, the majority
   (56/61, 92%) remained in rural or regional Australian veterinary
   practices, with a further five graduates overseas and one lost to
   follow-up.
   Conclusion This study supported the selection criteria and educational
   approaches at CSU in establishing most of the new graduates in rural and
   regional mixed veterinary practice.
RI Heller, Jane/H-9596-2016; Hayes, Lynne/; Raidal, Sharanne/
OI Heller, Jane/0000-0003-3993-0160; Hayes, Lynne/0000-0002-5172-0281;
   Raidal, Sharanne/0000-0001-5558-3133
ZA 0
ZR 0
ZB 3
ZS 0
Z8 0
TC 5
Z9 5
U1 0
U2 12
SN 0005-0423
EI 1751-0813
UT WOS:000397857000016
PM 28346668
ER

PT J
AU Davidge-Pitts, Caroline
   Nippoldt, Todd B.
   Danoff, Ann
   Radziejewski, Lauren
   Natt, Neena
TI Transgender Health in Endocrinology: Current Status of Endocrinology
   Fellowship Programs and Practicing Clinicians
SO JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
VL 102
IS 4
BP 1286
EP 1290
DI 10.1210/jc.2016-3007
PD APR 1 2017
PY 2017
AB Context: The transgender population continues to face challenges in
   accessing appropriate health care. Adequate training of endocrinologists
   in this area is a priority.
   Objectives: Assess the status of transgender health care education in US
   endocrinology fellowship training programs and assess knowledge and
   practice of transgender health among practicing US endocrinologists.
   Design: Mayo Clinic and the Endocrine Society developed and administered
   a Web-based anonymous survey to 104 endocrinology fellowship program
   directors (PDs; members of the Association of Program Directors in
   Endocrinology, Diabetes and Metabolism) and 6992 US medical doctor
   members of Endocrine Society.
   Results: There were 54 total responses from 104 PDs (51.9%). Thirty-five
   of these 54 programs (72.2%) provide teaching on transgender health
   topics; however, 93.8% respondents indicated that fellowship training in
   this area is important. Barriers to provision of education included lack
   of faculty interest or experience. The most desired strategies to
   increase transgender-specific content included online training modules
   for trainees and faculty. Of 411 practicing clinician responders, almost
   80% have treated a transgender patient, but 80.6% have never received
   training on care of transgender patients. Clinicians were very or
   somewhat confident in terms of definitions (77.1%), taking a history
   (63.3%), and prescribing hormones (64.8%); however, low confidence was
   reported outside of the hormonal realm. The most requested methods of
   education included online training modules and presentation of
   transgender topics at meetings.
   Conclusions: Confidence and competence in transgender health needs to
   increase among endocrinologists. Strategies include the development of
   online training modules, expansion of formal transgender curricula in
   fellowship programs, and presentations at national and international
   meetings.
ZS 0
Z8 0
ZA 0
ZB 11
TC 37
ZR 0
Z9 37
U1 0
U2 4
SN 0021-972X
EI 1945-7197
UT WOS:000402195300022
PM 28324050
ER

PT J
AU Ji, Gong-Jun
   Yu, Yang
   Miao, Huan-Huan
   Wang, Zhong-Jin
   Tang, Ye-Lei
   Liao, Wei
TI Decreased Network Efficiency in Benign Epilepsy with Centrotemporal
   Spikes
SO RADIOLOGY
VL 283
IS 1
BP 186
EP 194
DI 10.1148/radiol.2016160422
PD APR 2017
PY 2017
AB Purpose: To investigate the functional connectome alterations in benign
   epilepsy with centrotemporal spikes with respect to the occurrence of
   interictal epileptic discharges (IEDs) during functional magnetic
   resonance (MR) imaging.
   Materials and Methods: This prospective study was approved by the local
   institutional review board and was HIPAA compliant. All participants
   were consecutively enrolled with written informed consent. Forty-three
   right-handed patients were classified into IED (n = 20, 13 girls and
   seven boys; mean age 6 standard deviation, 9.00 years +/- 1.95) and
   non-IED (n = 23, 11 girls and 12 boys; mean age, 10.22 years +/- 2.13)
   groups on the basis of electroencephalographic data simultaneously
   recorded during resting-state functional MR imaging at 3.0 T. The
   functional connectome features (estimated with graph theoretical
   analysis) in patient groups and control subjects who were matched for
   sex, age, and education level (n = 28, all right-handed, 13 girls and 15
   boys; mean age, 10.00 years +/- 2.31) were compared by using one-way
   analysis of variance.
   Results: Patients with IEDs and those without IEDs showed consistently
   abnormal global topology in their functional networks (ie, decreased
   global efficiency; P < .05) relative to that of control subjects, with
   no differences between the two patient groups (P > .05). Decreased
   regional efficiency and connectivity strength were observed in the
   patients with IEDs and those without (mainly in the peri-rolandic and
   frontal areas) relative to control subjects (P < .05). Moreover, the
   altered functional features significantly correlated with clinical
   characteristics (ie, disease duration and age at symptom onset, P <
   .05).
   Conclusion: These findings suggest that decreased global and regional
   efficiency are prominent functional deficits in children with benign
   epilepsy with centrotemporal spikes and can be readily identified with
   resting-state functional MR imaging, irrespective of IEDs. (C) RSNA,
   2016
OI Yu, Yang/0000-0002-3339-3205; JI, Gong-Jun/0000-0002-7073-5534
ZS 0
ZA 0
ZR 0
Z8 0
TC 46
ZB 26
Z9 46
U1 1
U2 32
SN 0033-8419
UT WOS:000401896700021
PM 27631414
ER

PT J
AU Ivy, Autumn S.
   Clark, Catherine L.
   Bahm, Sarah M.
   Van Meurs, Krisa P.
   Wusthoff, Courtney J.
TI Improving the Identification of Neonatal Encephalopathy: Utility of a
   Web-Based Video Tool
SO AMERICAN JOURNAL OF PERINATOLOGY
VL 34
IS 5
BP 520
EP 522
DI 10.1055/5-0036-1593846
PD APR 2017
PY 2017
AB Objective This study tested the effectiveness of a video teaching tool
   in improving identification and classification of encephalopathy in
   infants.
   Study Design We developed an innovative video teaching tool to help
   clinicians improve their skills in interpreting the neonatal
   neurological examination for grading encephalopathy. Pediatric residents
   were shown 1-minute video clips demonstrating exam findings in normal
   neonates and neonates with various degrees of encephalopathy. Findings
   from five domains were demonstrated: spontaneous activity, level of
   alertness, posture/tone, reflexes, and autonomic responses. After each
   clip, subjects were asked to identify whether the exam finding was
   normal or consistent with mild, moderate, or severe abnormality.
   Subjects were then directed to a web-based teaching toolkit, containing
   a compilation of videos demonstrating normal and abnormal findings on
   the neonatal neurological examination. Immediately after training,
   subjects underwent posttesting, again identifying exam findings as
   normal, mild, moderate, or severe abnormality.
   Results Residents improved in their overall ability to identify and
   classify neonatal encephalopathy after viewing the teaching tool. In
   particular, the identification of abnormal spontaneous activity,
   reflexes, and autonomic responses were most improved.
   Conclusion This pretest/posttest evaluation of an educational tool
   demonstrates that after viewing our toolkit, pediatric residents were
   able to improve their overall ability to detect neonatal encephalopathy.
OI Ivy, Autumn/0000-0003-1775-6253; Wusthoff, Courtney/0000-0002-1882-5567
Z8 0
ZA 0
ZR 0
ZB 0
ZS 0
TC 0
Z9 0
U1 1
U2 3
SN 0735-1631
EI 1098-8785
UT WOS:000398011100015
PM 27788536
ER

PT J
AU Clapp, Alison
TI An e-Learning Team's Life On and Offline: A Collaborative
   Self-Ethnography in Postgraduate Education Development
SO ELECTRONIC JOURNAL OF E-LEARNING
VL 15
IS 1
BP 33
EP 45
PD APR 2017
PY 2017
AB This paper primarily discusses the methodology of a case study into
   interactions and working practices of an e-learning team, on and
   offline. Although several ethnographies have been published on online
   learning, there are apparently none involving communities developing
   courses. This is a unique insight, bringing a new view of course and
   staff development. The e-learning team develops courses in the Faculty
   of Medical Sciences Graduate School in a UK higher education
   institution. Interactions occur online and offline, the team's workplace
   'setting'. The ethnography is to inform future staff development by
   analysing interaction outside the team with the subject specialists,
   generally time-poor clinicians and research scientists who have varied
   experience of e-learning, but are required to provide course content and
   to teach their subjects in online distance learning courses. Records
   kept by team members were enlarged upon via weekly interviews and
   collated by a team member who developed a narrative, subsequently coded
   into content themes. The main themes were technology, pedagogy and
   communication. Conversation analysis provided theories on methods useful
   in staff development for later action research. Consideration was also
   given to issues of power within the interactional relationships. The
   paper discusses challenges and strengths of this collaborative
   self-ethnography as a research methodology in this e-learning setting.
   It was concluded that collaborative self-ethnography is a highly
   suitable research methodology for this type of study.
RI Clapp, Alison/GSO-2841-2022
ZA 0
TC 1
ZS 0
ZB 0
Z8 0
ZR 0
Z9 1
U1 0
U2 5
SN 1479-4403
UT WOS:000399819500003
ER

PT J
AU Woldaregay, Ashenafi Zebene
   Walderhaug, Stale
   Hartvigsen, Gunnar
TI Telemedicine Services for the Arctic: A Systematic Review
SO JMIR MEDICAL INFORMATICS
VL 5
IS 2
BP 2
EP 16
AR e16
DI 10.2196/medinform.6323
PD APR-JUN 2017
PY 2017
AB Background: Telemedicine services have been successfully used in areas
   where there are adequate infrastructures such as reliable power and
   communication lines. However, despite the increasing number of merchants
   and seafarers, maritime and Arctic telemedicine have had limited
   success. This might be linked with various factors such as lack of good
   infrastructure, lack of trained onboard personnel, lack of
   Arctic-enhanced telemedicine equipment, extreme weather conditions,
   remoteness, and other geographical challenges.
   Objective: The purpose of this review was to assess and analyze the
   current status of telemedicine services in the context of maritime
   conditions, extreme weather (ie, Arctic weather), and remote accidents
   and emergencies. Moreover, the paper aimed to identify successfully
   implemented telemedicine services in the Arctic region and in maritime
   settings and remote emergency situations and present state of the art
   systems for these areas. Finally, we identified the status quo of
   telemedicine services in the context of search and rescue (SAR)
   scenarios in these extreme conditions.
   Methods: A rigorous literature search was conducted between September 7
   and October 28, 2015, through various online databases. Peer reviewed
   journals and articles were considered. Relevant articles were first
   identified by reviewing the title, keywords, and abstract for a
   preliminary filter with our selection criteria, and then we reviewed
   full-text articles that seemed relevant. Information from the selected
   literature was extracted based on asome predefined categories, which
   were defined based on previous research and further elaborated upon via
   iterative brainstorming.
   Results: The initial hits were vetted using the title, abstract, and
   keywords, and we retrieved a total of 471 papers. After removing
   duplicates from the list, 422 records remained. Then, we did an
   independent assessment of the articles and screening based on the
   inclusion and exclusion criteria, which eliminated another 219 papers,
   leaving 203 relevant papers. After a full-text assessment, 36 articles
   were left, which were critically analyzed. The inter-rater agreement was
   measured using Cohen Kappa test, and disagreements were resolved through
   discussion.
   Conclusions: Despite the increasing number of fishermen and other
   seafarers, Arctic and maritime working conditions are mainly
   characterized by an absence of access to health care facilities. The
   condition is further aggravated for fishermen and seafarers who are
   working in the Arctic regions. In spite of the existing barriers and
   challenges, some telemedicine services have recently been successfully
   delivered in these areas. These services include teleconsultation (9/37,
   24%), teleradiology (8/37, 22%), teledermatology and tele-education
   (3/37, 8%), telemonitoring and telecardiology (telesonography) (1/37,
   3%), and others (10/37, 27%). However, the use of telemedicine in
   relation to search and rescue (SAR) services is not yet fully exploited.
   Therefore, we foresee that these implemented and evaluated telemedicine
   services will serve as underlying models for the successful
   implementation of future search and rescue (SAR) services.
RI Woldaregay, Ashenafi Zebene/AAE-8266-2019; Hartvigsen, Gunnar/L-1646-2013; Walderhaug, Stale/
OI Woldaregay, Ashenafi Zebene/0000-0002-9464-3407; Hartvigsen,
   Gunnar/0000-0001-8771-9867; Walderhaug, Stale/0000-0002-8192-2060
TC 16
ZA 0
ZS 0
Z8 0
ZB 4
ZR 2
Z9 18
U1 1
U2 14
SN 2291-9694
UT WOS:000404931700001
PM 28659257
ER

PT J
AU Balls-Berry, Joyce E.
   Billings, Heather
   Ernste, Laura
   Soto, Miguel Valdez
   Frimannsdottir, Katrin
   Weavers, Karen
   Montori, Victor M.
   Patten, Christi A.
TI Development of a self-directed, online-learning curriculum to increase
   community-engaged research in clinical and translational science
SO JOURNAL OF CLINICAL AND TRANSLATIONAL SCIENCE
VL 1
IS 2
BP 135
EP 139
DI 10.1017/cts.2016.19
PD APR 2017
PY 2017
AB Background Medical research strives to improve health; community-engaged
   research (CEnR) supports translation to the community.
   Methods This article describes the use of andragogical theory to develop
   asynchronous CEnR training.
   Results A total of 43 researchers and community members completed at
   least one module. The majority (67%-100%) stated that training met their
   educational needs and noted a desire for more information.
   Conclusion The curriculum reinforced CEnR principles to enhance medical
   research.
OI Billings, Heather/0000-0002-8613-184X
ZA 0
ZB 1
ZR 0
Z8 0
ZS 0
TC 4
Z9 4
U1 0
U2 1
EI 2059-8661
UT WOS:000783902700010
PM 28649456
ER

PT J
AU Olson, Erin A.
   Mullen, Sean P.
   Raine, Lauren B.
   Kramer, Arthur F.
   Hillman, Charles H.
   McAuley, Edward
TI Integrated Social- and Neurocognitive Model of Physical Activity
   Behavior in Older Adults with Metabolic Disease
SO ANNALS OF BEHAVIORAL MEDICINE
VL 51
IS 2
BP 272
EP 281
DI 10.1007/s12160-016-9850-4
PD APR 2017
PY 2017
AB Despite the proven benefits of physical activity to treat and prevent
   metabolic diseases, such as diabetes (T2D) and metabolic syndrome
   (MetS), most individuals with metabolic disease do not meet physical
   activity (PA) recommendations. PA is a complex behavior requiring
   substantial motivational and cognitive resources. The purpose of this
   study was to examine social cognitive and neuropsychological
   determinants of PA behavior in older adults with T2D and MetS. The
   hypothesized model theorized that baseline self-regulatory strategy use
   and cognitive function would indirectly influence PA through
   self-efficacy.
   Older adults with T2D or MetS (M (age) = 61.8 +/- 6.4) completed either
   an 8-week physical activity intervention (n = 58) or an online metabolic
   health education course (n = 58) and a follow-up at 6 months. Measures
   included cognitive function, self-efficacy, self-regulatory strategy
   use, and PA.
   The data partially supported the hypothesized model (chi(2) =
   158.535(131), p > .05, comparative fit index = .96, root mean square
   error of approximation = .04, standardized root mean square residual =
   .06) with self-regulatory strategy use directly predicting self-efficacy
   (beta = .33, p < .05), which in turn predicted PA (beta = .21, p < .05).
   Performance on various cognitive function tasks predicted PA directly
   and indirectly via self-efficacy. Baseline physical activity (beta =
   .62, p < .01) and intervention group assignment via self-efficacy (beta
   = -.20, p < .05) predicted follow-up PA. The model accounted for 54.4 %
   of the variance in PA at month 6.
   Findings partially support the hypothesized model and indicate that
   select cognitive functions (i.e., working memory, inhibition, attention,
   and task-switching) predicted PA behavior 6 months later. Future
   research warrants the development of interventions targeting cognitive
   function, self-regulatory skill development, and self-efficacy
   enhancement.
   The trial was registered with the clinical trial number NCT01790724.
RI Hillman, Charles/AAD-4828-2019; Kramer, Arthur/AAB-2937-2019; Mullen, Sean Patrick/G-6453-2014; Kramer, Arthur/; Hillman, Charles/
OI Mullen, Sean Patrick/0000-0002-8200-4026; Kramer,
   Arthur/0000-0001-5870-2724; Hillman, Charles/0000-0002-3722-5612
Z8 0
ZA 0
ZB 0
ZS 0
TC 10
ZR 0
Z9 10
U1 2
U2 17
SN 0883-6612
EI 1532-4796
UT WOS:000398940700012
PM 27844326
ER

PT J
AU Ackerman, Ilana N.
   Bucknill, Andrew
   Page, Richard S.
   Broughton, Nigel S.
   Roberts, Carol
   Cavka, Bernarda
   Schoch, Peter
   Brand, Caroline A.
TI Preferences for Disease-Related Education and Support Among Younger
   People With Hip or Knee Osteoarthritis
SO ARTHRITIS CARE & RESEARCH
VL 69
IS 4
BP 499
EP 508
DI 10.1002/acr.22950
PD APR 2017
PY 2017
AB Objective. To explore the usefulness and accessibility of different
   delivery modes of disease-related education and support, as perceived by
   younger people with osteoarthritis (OA).
   Methods. People ages 20-55 years with hip or knee OA were recruited from
   3 major Australian public hospitals and the community (n = 147). Data
   were collected on use of disease-related education and support services,
   as well as perceived usefulness and accessibility of delivery modes
   including group-based programs, online resources, telephone helplines,
   mailed information, social media, and mobile applications (rated on
   visual analog scales from 1-10; higher scores indicate greater
   usefulness or accessibility).
   Results. Very few participants had used social media (5%), group
   self-management programs (3%), or telephone helplines (2%) to obtain OA
   information. Mailed information packs and online education programs were
   considered the most useful (median usefulness scores 8.0 and 7.0,
   respectively) and accessible methods (median accessibility scores 10.0
   and 9.0, respectively) for providing OA education and support. Social
   media was perceived as least useful (median usefulness score 2.0) and
   least accessible; 45% of participants considered it "not at all useful,"
   while 35% reported it would be " very difficult" to access OA education
   and support by this means. Less educational attainment was associated
   with greater perceived difficulty in accessing online/electronic
   delivery modes, while people in paid work perceived easier access.
   Conclusion. These data highlight the value of mailed information and
   online education to younger people with OA and can be used to develop
   targeted resources for individuals of working age. Social media was not
   a highly valued source of disease-related education and support.
RI Page, Richard/K-6327-2015; Ackerman, Ilana/
OI Page, Richard/0000-0002-2225-7144; Ackerman, Ilana/0000-0002-6028-1612
ZS 0
Z8 0
TC 6
ZB 2
ZA 0
ZR 0
Z9 6
U1 0
U2 4
SN 2151-464X
EI 2151-4658
UT WOS:000397988800007
PM 27273912
ER

PT J
AU Agarwal, Nitin
   Kommana, Sumana S.
   Hansberry, David R.
   Kashkoush, Ahmed I.
   Friedlander, Robert M.
   Lunsford, L. Dade
TI Accessibility, reliability, and usability of neurosurgical resources
SO JOURNAL OF NEUROSURGERY
VL 126
IS 4
BP 1263
EP 1268
DI 10.3171/2015.12.JNS151102
PD APR 2017
PY 2017
AB OBJECTIVE Closing the knowledge gap that exists between patients and
   health care providers is essential and is facilitated by easy access to
   patient education materials. Although such information has the potential
   to be an effective resource, it must be written in a user-friendly and
   understandable manner, especially when such material pertains to
   specialized and highly technical fields such as neurological surgery.
   The authors evaluated the accessibility, usability, and reliability of
   current educational resources provided by the American Association of
   Neurological Surgeons (AANS), Healthwise, and the National Institute for
   Neurological Disorders and Stroke (NINDS).
   METHODS Online neurosurgical patient education information provided by
   AANS, Healthwise, and NINDS was evaluated using the LIDA scale, a
   website quality assessment tool, by medical professionals and nonmedical
   professionals. A high achieving score is regarded as 90% or greater
   using the LIDA scale.
   RESULTS Accessibility scores were 76.7% (AANS), 83.3% (Healthwise), and
   75.0% (NINDS). Average usability scores for the AANS, Healthwise, and
   NINDS were 73.3%, 82.6%, and 82.9%, respectively, when evaluated by
   medical professionals and 78.5%, 80.7%, and 75.9%, respectively, for
   nonmedical professionals, respectively. Average reliability scores were
   58.5%, 53.3%, 72.6%, respectively, for medical professionals and 70.4%,
   66.7%, and 78.5%, respectively, for nonmedical professionals when
   evaluating the AANS, Healthwise, and NINDS websites.
   CONCLUSIONS Although organizations like AANS, Healthwise, and NINDS
   should be commended for their ongoing commitment to provide health care
   oriented materials, modification of this material is suggested to
   improve the patient education value.
RI Lunsford, L. Dade/AHI-7993-2022; friedlander, robert/A-2845-2016
OI friedlander, robert/0000-0003-4423-9219
ZB 0
Z8 0
TC 6
ZA 0
ZR 0
ZS 0
Z9 6
U1 0
U2 6
SN 0022-3085
EI 1933-0693
UT WOS:000397837900029
PM 27257833
ER

PT J
AU Langenau, Erik E.
   Lee, Robert
   Fults, Marci
TI Blended Learning Educational Format for Third-Year Pediatrics Clinical
   Rotation
SO JOURNAL OF THE AMERICAN OSTEOPATHIC ASSOCIATION
VL 117
IS 4
BP 234
EP 243
DI 10.7556/jaoa.2017.041
PD APR 2017
PY 2017
AB Context:Traditional medical education is shifting to incorporate
   learning technologies and online educational activities with traditional
   face-to-face clinical instruction to engage students, especially at
   remote clinical training sites.
   Objective: To describe and evaluate the effectiveness of the blended
   learning format (combining online and face-to-face instruction) for
   third-year osteopathic medical students during their pediatric rotation.
   Methods: Third-year medical students who completed the 4-week clerkship
   in pediatrics during the 2014-2015 academic year were divided into a
   standard learning group and a blended learning group with online
   activities (discussion boards, blogs, virtual patient encounters,
   narrated video presentations, and online training modules).
   Comprehensive Osteopathic Medical Achievement Test scores and final
   course grades were compared between the standard learning and blended
   learning groups. Students in the blended learning group completed a
   postsurvey regarding their experiences.
   Results: Of 264 third-year students who completed the 4-week clerkship
   in pediatrics during the 2014-2015 academic year, 78 (29.5%)
   participated in the blended learning supplement with online activities.
   Of 53 students who completed the postsurvey in the blended learning
   group, 44 (83.0%) agreed or strongly agreed that "The integration of
   e-learning and face-to-face learning helped me learn pediatrics."
   Open-ended comments supported this overall satisfaction with the course
   format; however, 26 of 100 comments reflected a desire to increase the
   amount of clinical exposure and face-to-face time with patients. No
   statistical differences were seen between the standard learning (n=186)
   and blended learning (n=78) groups with regard to Comprehensive
   Osteopathic Medical Achievement Test scores (P=.321). Compared with the
   standard learning group, more students in the blended learning group
   received a final course grade of honors (P=.015).
   Conclusion: Results of this study support the use of blended learning in
   a clinical training environment. As more medical educators use blended
   learning, it is important to investigate the best balance between
   learning with technology and learning in a face-to-face setting. Online
   activities may enhance but should never fully replace face-to-face
   learning with real patients.
OI Fults, Marci/0000-0003-3772-7249
ZB 1
TC 14
ZS 0
Z8 0
ZR 0
ZA 0
Z9 14
U1 1
U2 10
SN 0098-6151
EI 1945-1997
UT WOS:000402652200005
PM 28346604
ER

PT J
AU Trudeau, Kimberlee J.
   Hildebrand, Cristina
   Garg, Priyanka
   Chiauzzi, Emil
   Zacharoff, Kevin L.
TI A Randomized Controlled Trial of the Effects of Online Pain Management
   Education on Primary Care Providers
SO PAIN MEDICINE
VL 18
IS 4
BP 680
EP 692
DI 10.1093/pm/pnw271
PD APR 2017
PY 2017
AB Objective. To improve pain management practices, we developed an online
   interactive continuing education (CE) program for primary care providers
   (PCPs). This program follows the flow of clinical decisionmaking through
   simulated cases at critical pain treatment points along the pain
   treatment continuum.
   Design. A randomized controlled trial was conducted to test the efficacy
   of this program. Participants were randomized to either the experimental
   condition or the control condition (online, text-based CE program).
   Subjects. A total of 238 primary care providers were recruited through
   hospitals, professional newsletters, and pain conferences.
   Results. Participants in both conditions reported significantly improved
   scores on knowledge (KNOW-PAIN 50), attitudes (CAOS), and pain practice
   behaviors (PPBS) scales over the four-month study. The experimental
   condition showed significantly greater change over time on the
   tamper-resistant formulations (TRFs) of opioids and dosing CAOS subscale
   compared with the control condition. Post hoc comparisons suggested that
   participants in the experimental condition were less likely to endorse
   use of opioid TRFs over time compared with the control condition.
   Exploratory analyses for potential moderators indicated a significant
   three-way interaction with time, condition, and discipline (i.e.,
   physician vs other) for the impediments and concerns attitudes subscale
   and the early refill behaviors subscale. Post hoc comparisons indicated
   that physicians in the experimental condition exhibited the greatest
   change in attitudes and the nonphysicians exhibited the greatest change
   in reported behaviors in response to requests for early refills.
   Conclusions. Findings suggest online CE programs may positively impact
   PCPs' knowledge, attitudes, and pain practice behaviors but provide
   minimal evidence for the value of including interactivity.
Z8 0
TC 13
ZS 0
ZA 0
ZB 4
ZR 0
Z9 13
U1 2
U2 8
SN 1526-2375
EI 1526-4637
UT WOS:000400658200009
PM 28034967
ER

PT J
AU Bussieres, Annick
   Bouchard, Alexandre
   Simonyan, David
   Drolet, Sebastien
TI Family medicine residents' training in, knowledge about, and perceptions
   of digital rectal examination
SO CANADIAN FAMILY PHYSICIAN
VL 63
IS 4
BP E232
EP E237
PD APR 2017
PY 2017
AB Objective To evaluate family medicine residents' training in, knowledge
   about, and perceptions of digital rectal examination (DRE).
   Design Descriptive study, using an online survey that was available in
   French and English.
   Setting Quebec.
   Participants A total of 217 residents enrolled in a family medicine
   program.
   Main outcome measures Residents' demographic characteristics; the DRE
   teaching they received throughout their medical training; their reasons
   for omitting DRE; their recognition of DRE indications (strong vs weak)
   and application of DRE for 10 anorectal complaints; and their
   perceptions of the overall quality of the DRE training they received.
   Results Of the 879 residents contacted, 217 (25%) responded to the
   survey. Throughout their training, one-third of respondents did not
   receive any supervision for or feedback on DRE technique. Seventy-one
   percent of respondents expressed their inability to identify the nature
   of abnormal examination findings at least once during their training.
   The most frequently reported reasons to omit DRE were patient refusal,
   inadequate setting, and lack of time.
   Conclusion Most of the residents in this study had omitted DRE at least
   once in their clinical work despite recognizing its importance. There
   was discordance between recognition of a complaint requiring DRE and
   execution of this technique in a clinical setting. Family medicine
   education programs and continuing medical education committees should
   consider including DRE training.
ZB 2
TC 7
ZR 0
ZA 0
ZS 0
Z8 0
Z9 7
U1 0
U2 1
SN 0008-350X
EI 1715-5258
UT WOS:000402174100002
PM 28404721
ER

PT J
AU Hammer, Mark M.
   Kohlberg, Gavriel D.
TI Get the Diagnosis: an evidence-based medicine collaborative Wiki for
   diagnostic test accuracy
SO POSTGRADUATE MEDICAL JOURNAL
VL 93
IS 1098
BP 179
EP 185
DI 10.1136/postgradmedj-2015-133902
PD APR 2017
PY 2017
AB Background Despite widespread calls for its use, there are challenges to
   the implementation of evidence-based medicine (EBM) in clinical
   practice.
   Methods In response to the challenges of finding timely, pertinent
   information on diagnostic test accuracy, we developed an online,
   crowd-sourced Wiki on diagnostic test accuracy called Get the Diagnosis
   (GTD, http://www.getthediagnosis.org).
   Results Since its launch in November 2008 till October 2015, GTD has
   accumulated information on 300 diagnoses, with 1617 total diagnostic
   entries. There are a total of 1097 unique diagnostic tests with a mean
   of 5.4 tests (range 0-38) per diagnosis. 73% of entries (1182 of 1617)
   have an associated sensitivity and specificity and 89% of entries (1432
   of 1617) have associated peer-reviewed literature citations. Altogether,
   GTD contains 474 unique literature citations. For a sample of three
   diagnoses, the search precision (percentage of relevant results in the
   first 30 entries) in GTD was 100% as compared with a range of
   13.3%-63.3% for PubMed and between 6.7% and 76.7% for Google Scholar.
   Conclusion GTD offers a fast, precise and efficient way to look up
   diagnostic test accuracy. On three selected examples, GTD had a greater
   precision rate compared with PubMed and Google Scholar in identifying
   diagnostic test information. GTD is a free resource that complements
   other currently available resources.
RI Hammer, Mark/AAR-9625-2020; Kohlberg, Gavriel/AAF-2687-2020; Kohlberg, Gavriel/
OI Hammer, Mark/0000-0002-1700-7984; Kohlberg, Gavriel/0000-0002-7443-6646
ZR 0
ZA 0
ZB 0
ZS 0
TC 0
Z8 0
Z9 0
U1 0
U2 0
SN 0032-5473
EI 1469-0756
UT WOS:000402123700002
PM 27489373
ER

PT J
AU Chan, Michael H.
   Knoepke, Christopher E.
   Cole, Madeline L.
   McKinnon, James
   Matlock, Daniel D.
TI Colorado Medical Students' Attitudes and Beliefs About Marijuana
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 32
IS 4
BP 458
EP 463
DI 10.1007/s11606-016-3957-y
PD APR 2017
PY 2017
AB Over the past two decades, state and local governments across the U.S.
   have been increasingly reforming marijuana laws. Despite growing support
   for marijuana as a medical treatment, little is known about medical
   students' perceptions of marijuana use.
   To assess Colorado medical students' personal and professional opinions
   on current and future marijuana use in a healthcare setting.
   A voluntary, anonymous, online cross-sectional survey.
   Medical students (n = 624) at the University of Colorado School of
   Medicine between January and February 2014 were invited to participate.
   Numerical responses were quantified using counts and percentages, and
   Likert scale responses were collapsed for bivariate analysis. Items were
   gathered thematically and additively scored for each subscale. Internal
   consistency reliability statistics were calculated for each subscale to
   ensure that items were assessing similar constructs. Unadjusted t tests
   and one-way analysis of variance (ANOVA) were used to calculate mean
   differences in subscale scores between subgroups.
   We received 236 responses (37%). Students indicated support for
   marijuana legalization (64%), and few believed that physicians should be
   penalized for recommending marijuana to patients (6%). Nearly all (97%)
   believed that further marijuana research should be conducted, and
   believed marijuana could play a role in the treatment of various medical
   conditions. Seventy-seven percent reported that they believed marijuana
   use had the potential for psychological harm, and 68% indicated concern
   for potential physical harm. Only a minority of students would recommend
   marijuana to a patient under current law (29%), or if it were legally
   available (45%). Acceptability of marijuana for treatment of approved
   conditions was not correlated with age or gender, but was positively
   correlated with living in Colorado prior to medical school (p < 0.001)
   and with prior marijuana use (p < 0.001).
   Medical students support marijuana legal reform, medicinal uses of
   marijuana, and increased research, but have concerns regarding risks of
   marijuana use, and appear hesitant to recommend marijuana to patients.
OI Matlock, Dan/0000-0001-9597-9642
ZS 0
Z8 0
ZR 0
ZB 5
TC 47
ZA 0
Z9 47
U1 0
U2 12
SN 0884-8734
EI 1525-1497
UT WOS:000398848100018
PM 28097606
ER

PT J
AU Breakey, Vicky R.
   Harris, Lauren
   Davis, Omar
   Agarwal, Arnav
   Ouellette, Carley
   Akinnawo, Elizabeth
   Stinson, Jennifer
TI The quality of information about sickle cell disease on the Internet for
   youth
SO PEDIATRIC BLOOD & CANCER
VL 64
IS 4
AR e26309
DI 10.1002/pbc.26309
PD APR 2017
PY 2017
AB Background: Adolescence is a vulnerable time for teens with sickle cell
   disease (SCD). Although there is evidence to support the use of
   web-based education to promote self-management skills in patients with
   chronic illnesses, the quality of SCD-related information on the
   Internet has not been assessed.
   Procedure: A website review was conducted to appraise the quality,
   content, accuracy, readability, and desirability of online information
   for the adolescents with SCD. Relevant keywords were searched on the
   most popular search engines. Websites meeting predetermined criteria
   were reviewed. The quality of information was appraised using the
   validated DISCERN tool. Two physicians independently rated website
   completeness and accuracy. Readability of the sites was documented using
   the simple measure of gobbledygook (SMOG) scores and the Flesch Reading
   Ease (FRE). The website features considered desirable by youth were
   tracked.
   Results: Search results yielded > 600 websites with 25 unique hits
   meeting criteria. The overall quality of the information was "fair" and
   the average DISCERN rating score was 50.1 (+/- 9.3, range 31.0-67.5).
   Only 12 of 25 (48%) websites had scores > 50. The average completeness
   score was 20 of 29 (+/- 5, range 12-27). No errors were identified. The
   mean SMOG score was 13.04 (+/- 2.80, range 10.21-22.85) and the mean FRE
   score was 46.05 (+/- 11.47; range 17.50-66.10), suggesting that the
   material was written well beyond the acceptable reading level for
   patient education. The websites were text-heavy and lacked the features
   that appeal to youth (chat, games, videos, etc.).
   Conclusion: Given the paucity of high-quality health information
   available for the teenswith SCD, it is essential that additional online
   resources be developed.
RI Breakey, Vicky/AAS-3099-2021; Agarwal, Arnav/J-1553-2014
OI Breakey, Vicky/0000-0001-5168-0243; Agarwal, Arnav/0000-0002-0931-7851
ZS 0
ZA 0
TC 8
Z8 0
ZR 0
ZB 1
Z9 8
U1 0
U2 7
SN 1545-5009
EI 1545-5017
UT WOS:000397310800016
PM 27786409
ER

PT J
AU Jain, Shobhit
   Hegenbarth, Mary A.
   Humiston, Sharon G.
   Gunter, Erin
   Anson, Lynn
   Giovanni, Joan E.
TI Increasing ED Use of Jet Injection of Lidocaine for IV-Related Pain
   Management
SO PEDIATRICS
VL 139
IS 4
AR e20161697
DI 10.1542/peds.2016-1697
PD APR 2017
PY 2017
AB BACKGROUND AND OBJECTIVE: Venipuncture is a leading cause of procedural
   pain for children. Jet injection of lidocaine (JIL; J-Tip) has been
   demonstrated to be effective in controlling intravenous (IV)
   placement-related pain and, due to its rapid onset, is particularly
   suited to emergency department (ED) use. Our objective was to increase
   JIL use with IV placements in our ED from 11% at baseline to 50% within
   12 months.
   METHODS: We initiated the project at our urban, tertiary pediatric ED in
   July 2014. We surveyed medical and nursing teams to identify barriers to
   JIL use. We initiated changes at monthly intervals: (1) order set
   changes, (2) online education, (3) hands-on workshops, (4) improved
   accessibility, (5) standing order policy revision, and (6) reminders. We
   collected biweekly data on IV placements for all ED patients, except
   level 1 (critical) triage patients. We used standard quality improvement
   methodology and statistical process control for statistical analysis.
   RESULTS: JIL use with IV placement increased to 54% over 7 months and
   has remained > 50% for > 12 months. For all eligible IV placements (n =
   12 791), 76.4% of those where JIL was used were successful on the first
   attempt compared with 75.8% without JIL (chi(2) (1degrees of freedom) =
   0.33, P =.56), with no significant difference in the success at IV
   placement.
   CONCLUSIONS: We sustainably increased JIL use with IV placement. The use
   of JIL was not associated with a difference in first-attempt IV
   placement success rates. We are expanding the project to other parts of
   the institution.
ZA 0
Z8 0
TC 8
ZS 0
ZB 2
ZR 0
Z9 8
U1 0
U2 4
SN 0031-4005
EI 1098-4275
UT WOS:000398602400005
PM 28280209
ER

PT J
AU Truskowski, S.
   VanderMolen, J.
TI Outcomes and perceptions of annotated video feedback following
   psychomotor skill laboratories
SO JOURNAL OF COMPUTER ASSISTED LEARNING
VL 33
IS 2
BP 97
EP 105
DI 10.1111/jcal.12167
PD APR 2017
PY 2017
AB This study sought to explore the effectiveness of annotated video
   technology for providing feedback to occupational therapy students
   learning transfers, range of motion and manual muscle testing.
   Fifty-seven first-year occupational therapy students were split into two
   groups. One received annotated video feedback during a transfer lab and
   traditional feedback during an upper extremity assessment lab. The
   second group received the opposite forms of feedback during the same
   labs. Students completed an online survey regarding their perceptions of
   learning based on the type of feedback received, including both
   numerical and open-ended questions. Students receiving annotated
   feedback scored significantly higher on the transfer practical. There
   was no statistically significant difference in the outcomes of the upper
   extremity practical. Annotated video feedback appears to significantly
   improve student learning when video content and feedback matches the
   skill to be assessed. Despite these findings, students have mixed
   perceptions of this form of feedback.
ZB 0
ZA 0
ZR 0
Z8 0
TC 5
ZS 0
Z9 5
U1 0
U2 12
SN 0266-4909
EI 1365-2729
UT WOS:000395431100001
ER

PT J
AU Aulakh, Alex
   Tweed, Sam
   Moore, Jolene
   Graham, Wendy
TI Integrating global health with medical education
SO CLINICAL TEACHER
VL 14
IS 2
BP 119
EP 123
DI 10.1111/tct.12476
PD APR 2017
PY 2017
AB Background : Globalisation has implications for the next generation of
   doctors, and thus for medical education. Increasingly, global health is
   being taught in medical schools, although its incorporation into an
   already full curriculum presents challenges. Global health was
   introduced into the MBC hB curriculum at the University of Aberdeen
   through a student-selected component (SSC) as part of an existing
   medical humanities block. The Global Health and Humanities (GHH) module
   was fi rst delivered in the autumn of 2013 and will shortly enter its
   third year.
   Methods : This student-led study used quantitative and qualitative
   methods to assess the module's appropriateness and effectiveness for
   strengthening learning on global health, consisting of online surveys
   for course participants and semi-structured interviews with faculty
   members.
   Results : Integrating global health into the undergraduate medical
   curriculum by way of an SSC was regarded by teaching staff as an
   effective and realistic approach. A recognised strength of delivering
   global health as part of the medical humanities block was the
   opportunity to expose students to the social determinants of health
   through interdisciplinary teaching. Participating students all agreed
   that the learning approach strengthened both their knowledge of global
   health and a range of generic skills.
   Discussion : SSC s are, by definition, self-selecting, and will have a
   tendency to attract students already with an interest in a topic - here
   global health. A wide range of learning opportunities is needed to
   integrate global health throughout medical curricula, and to reach all
   students.
OI Moore, Jolene/0000-0003-2997-8371; Tweed, Sam/0000-0002-6395-8422;
   Graham, Wendy/0000-0003-1473-5342
TC 6
Z8 0
ZS 0
ZB 0
ZA 0
ZR 0
Z9 6
U1 1
U2 6
SN 1743-4971
EI 1743-498X
UT WOS:000401236100009
PM 26749111
ER

PT J
AU Vance, Stanley R., Jr.
   Deutsch, Madeline B.
   Rosenthal, Stephen M.
   Buckelew, Sara M.
TI Enhancing Pediatric Trainees' and Students' Knowledge in Providing Care
   to Transgender Youth
SO JOURNAL OF ADOLESCENT HEALTH
VL 60
IS 4
BP 425
EP 430
DI 10.1016/j.jadohealth.2016.11.020
PD APR 2017
PY 2017
AB Purpose: To enhance pediatric trainees' and students' knowledge of the
   psychosocial and medical issues facing transgender youth through a
   comprehensive curriculum.
   Methods: During the 2015-2016 academic year, we administered a
   transgender youth curriculum to fourth-year medical students, pediatric
   interns, psychiatry interns, and nurse practitioner students on their
   1-month adolescent and young adult medicine rotation. The curriculum
   included six interactive, online modules and an observational experience
   in a multidisciplinary pediatric gender clinic. The online modules had a
   primary care focus with topics of general transgender terminology,
   taking a gender history, taking a psychosocial history, performing a
   sensitive physical examination, and formulating an assessment,
   psychosocial plan, and medical plan. At the completion of the
   curriculum, learners completed an evaluation that assessed change in
   perceived awareness and knowledge of transgender-related issues and
   learner satisfaction with the curriculum.
   Results: Twenty learners participated in the curriculum with 100%
   completing the curriculum evaluations, 100% reporting completing all six
   online modules, and 90% attending the gender clinic. Learners
   demonstrated a statistically significant improvement in all pre-post
   knowledge/awareness measures. On a Likert scale where 5 indicated very
   satisfied, learners' mean rating of the quality of the curriculum was
   4.5 +/- .7; quality of the modules was 4.4 +/- .7; and satisfaction with
   the observational experience was 4.5 +/- .8.
   Conclusions: A comprehensive curriculum comprised interactive online
   modules and an observational experience in a pediatric gender clinic was
   effective at improving pediatric learners' perceived knowledge of the
   medical and psychosocial issues facing transgender youth. Learners also
   highly valued the curriculum. (C) 2016 Society for Adolescent Health and
   Medicine. All rights reserved.
OI Vance, Stanley/0000-0002-3322-6773
ZR 0
ZB 1
ZS 0
TC 33
ZA 0
Z8 0
Z9 33
U1 1
U2 11
SN 1054-139X
EI 1879-1972
UT WOS:000401108300011
PM 28065519
ER

PT J
AU Mears, Kim
   Bandy, Sandra L.
TI Investigating the need for scholarly communications positions in
   Association of Academic Health Sciences Libraries member institutions
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 105
IS 2
BP 145
EP 149
DI 10.5195/jmla.2017.208
PD APR 2017
PY 2017
AB Background: The role of health sciences librarians has expanded in the
   scholarly communications landscape as a result of the increase in
   federal public access mandates and the continued expansion of publishing
   avenues. This has created the need to investigate whether academic
   health sciences libraries should have scholarly communications positions
   to provide education and services exclusively related to scholarly
   communication topics.
   Methods: A nine-question online survey was distributed through the
   Association of Academic Health Sciences Libraries (AAHSL) email
   discussion list to gather preliminary findings from and opinions of
   directors of health sciences libraries on the need for scholarly
   communications positions.
   Results: The survey received a 38% response rate. The authors found that
   AAHSL members are currently providing scholarly communications services,
   and 46% of respondents expressed the need to devote a full-time position
   to this role.
   Discussion: Our survey reveals a juxtaposition occurring in AAHSL member
   libraries. While administrators acknowledge the need to provide
   scholarly communications services, they often experience budget
   challenges in providing a full-time position for these services.
RI Mears, Kim/H-7154-2019; Bandy, Sandra/
OI Mears, Kim/0000-0001-6461-9054; Bandy, Sandra/0000-0002-1243-8670
ZS 0
Z8 0
ZB 0
ZA 0
ZR 0
TC 3
Z9 3
U1 0
U2 10
SN 1536-5050
UT WOS:000401101100007
PM 28377677
ER

PT J
AU Kobak, Kenneth A.
   Wolitzky-Taylor, Kate
   Craske, Michelle G.
   Rose, Raphael D.
TI Therapist Training on Cognitive Behavior Therapy for Anxiety Disorders
   Using Internet-Based Technologies
SO COGNITIVE THERAPY AND RESEARCH
VL 41
IS 2
BP 252
EP 265
DI 10.1007/s10608-016-9819-4
PD APR 2017
PY 2017
AB This study investigated a technology-enhanced training protocol to
   facilitate dissemination of therapist training on cognitive behavior
   therapy (CBT) for anxiety disorders. Seventy community clinicians
   received an online tutorial followed by live remote observation of
   clinical skills via videoconference. Impact of training on patient
   outcomes was also assessed. Training resulted in a significant increase
   in both trainee knowledge of CBT concepts and techniques and therapist
   competence in applying these skills. Patients treated by trainees
   following training had significant reductions in anxiety and depression.
   Ratings of user satisfaction were high. Results provide support for the
   use of these technologies for therapist training in CBT.
ZB 4
TC 23
ZA 0
Z8 0
ZS 0
ZR 0
Z9 23
U1 1
U2 18
SN 0147-5916
EI 1573-2819
UT WOS:000396340600009
PM 28435174
ER

PT J
AU Kipperman, Barry S.
   Kass, Philip H.
   Rishniw, Mark
TI Factors that influence small animal veterinarians' opinions and actions
   regarding cost of care and effects of economic limitations on patient
   care and outcome and professional career satisfaction and burnout
SO JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION
VL 250
IS 7
BP 785
EP 794
DI 10.2460/javma.250.7.785
PD APR 1 2017
PY 2017
AB OBJECTIVE
   To determine small animal veterinarians' opinions and actions regarding
   costs of care, obstacles to client education about veterinary care
   costs, and effects of economic limitations on patient care and outcome
   and professional career satisfaction and burnout.
   DESIGN
   Cross-sectional survey.
   SAMPLE
   1,122 small animal practitioners in the United States and Canada.
   PROCEDURES
   An online survey was sent to 37,036 veterinarians. Respondents provided
   information regarding perceived effects of client awareness of costs and
   pet health insurance coverage on various aspects of practice, the
   influence of client economic limitations on professional satisfaction
   and burnout, and proposals for addressing those effects.
   RESULTS
   The majority (620/1,088 [57%]) of respondents indicated that client
   economic limitations affected their ability to provide the desired care
   for their patients on a daily basis. Approximately half (527/1,071
   [49%]) of respondents reported a moderate-to-substantial level of
   burnout, and many cited client economic limitations as an important
   contributing factor to burnout. Only 31% and 23% of respondents
   routinely discussed veterinary costs and pet insurance, respectively,
   with clients before pets became ill, and lack of time was cited as a
   reason for forgoing those discussions. Most respondents felt improved
   client awareness of veterinary costs and pet health insurance would
   positively affect patient care and client and veterinarian satisfaction.
   CONCLUSIONS AND CLINICAL RELEVANCE
   Results suggested most small animal practitioners believe the veterinary
   profession needs to take action at educational and organizational levels
   to inform pet owners and educate and train veterinary students and
   veterinarians about the costs of veterinary care.
OI Rishniw, Mark/0000-0002-0477-1780
ZR 0
Z8 0
ZA 0
ZS 1
TC 42
ZB 14
Z9 42
U1 3
U2 46
SN 0003-1488
EI 1943-569X
UT WOS:000397161600022
PM 28306486
ER

PT J
AU Gardair, Charlotte
   Bousquet, Guilhem
   de Bazelaire, Cedric
   Lehmann-Che, Jaqueline
   de Cremoux, Patricia
   Van Nhieu, Jeanne Tran
   Battistella, Maxime
   Sockeel, Marie
   Calvani, Julien
   Peuchmaur, Michel
   Molina, Thierry
   Gervais, Jocelyne
   Moenaert, Emilie
   Pottier, Yohann
   Prevaut, Laurent
   Sekri, Karima
   Bertheau, Philippe
TI Results of the Massive Open Online Course (MOOC) on cancer diagnosis and
   evaluation of its impact on the perception of the pathology specialty
SO ANNALES DE PATHOLOGIE
VL 37
IS 2
BP 144
EP 150
DI 10.1016/j.annpat.2017.02.001
PD APR 2017
PY 2017
AB The Massive Open Online Course (or MOOC) "Diagnostic Strategies
   Cancers", was hosted in autumn 2016 on the platform "France Universite
   Numerique" and had two levels of learners: students in the field of
   health and biology and the general public. Of the 5285 learners in 81
   different countries, 1237 (23%) were successfully certified. This MOOC
   was also integrated into the teaching program of medical students of
   Paris Diderot University and Paris 13 University. Using anonymous
   questionnaires before and after MOOC, it has been shown that pathology
   is less known than other medical specialties. Participation in this MOOC
   led to a marked improvement in participants' knowledge of the place and
   role of the pathologist in the diagnosis of cancers. Regarding the
   students who have followed the MOOC as part of their university course,
   their comments were very positive, but it is necessary to make
   substantial adjustments in the amounts and contents of the campus-based
   courses. (C) 2017 Elsevier Masson SAS. All rights reserved.
RI VAN NHIEU, Jeanne TRAN/R-5235-2018; Bousquet, Guilhem/O-2920-2015; Molina, Thierry/ABA-5214-2020; Battistella, Maxime/K-2949-2012; calvani, julien/; Lehmann-Che, jacqueline/
OI Molina, Thierry/0000-0002-3929-9754; Battistella,
   Maxime/0000-0002-7053-7431; calvani, julien/0000-0002-0829-837X;
   Lehmann-Che, jacqueline/0000-0001-6685-3354
ZB 0
ZA 0
ZR 0
Z8 0
ZS 0
TC 3
Z9 3
U1 0
U2 21
SN 0242-6498
UT WOS:000400634200002
PM 28318775
ER

PT J
AU Barry, Margot
   Kuijer-Siebelink, Wietske
   Nieuwenhuis, Loek
   Haan, Nynke Scherpbier-de
TI Communities of practice: A means to support occupational therapists'
   continuing professional development. A literature review
SO AUSTRALIAN OCCUPATIONAL THERAPY JOURNAL
VL 64
IS 2
BP 185
EP 193
DI 10.1111/1440-1630.12334
PD APR 2017
PY 2017
AB Background: This literature review investigates what research reports
   about the contribution that communities of practice (CoPs) can make in
   the continuing professional development (CPD) of qualified occupational
   therapists.
   Methods: Academic databases (CINAHL, MEDLINE and ERIC) were searched and
   articles were included based on pre-determined criteria. Five articles
   were included in the review.
   Results: The CoPs in the reviewed articles provided opportunities for
   knowledge sharing, knowledge translation, reflection on action and
   learning through boundary crossing. The presence of professionals with
   diverse perspectives was an important ingredient that facilitated CPD.
   Conclusion: Research into the use of CoPs in occupational therapy is
   sparse. CoPs could provide a CPD forum for occupational therapists
   whether online or face to face. Practitioners are encouraged to
   participate in CoPs. Further research into the use of CoPs is
   recommended.
RI Haan, Nynke D Scherpbier-de/L-4629-2015; Kuijer-Siebelink, Wietske/
OI Haan, Nynke D Scherpbier-de/0000-0002-4818-3382; Kuijer-Siebelink,
   Wietske/0000-0001-7009-3378
ZA 0
ZB 0
ZR 0
Z8 0
ZS 2
TC 10
Z9 11
U1 1
U2 16
SN 0045-0766
EI 1440-1630
UT WOS:000400602000010
PM 27704565
ER

PT J
AU Nahm, Eun-Shim
   Diblasi, Catherine
   Gonzales, Eva
   Silver, Kristi
   Zhu, Shijun
   Sagherian, Knar
   Kongs, Katherine
TI Patient-Centered Personal Health Record and Portal Implementation
   Toolkit for Ambulatory Clinics A Feasibility Study
SO CIN-COMPUTERS INFORMATICS NURSING
VL 35
IS 4
BP 176
EP 185
DI 10.1097/CIN.0000000000000318
PD APR 2017
PY 2017
AB Personal health records and patient portals have been shown to be
   effective in managing chronic illnesses. Despite recent nationwide
   implementation efforts, the personal health record and patient portal
   adoption rates among patients are low, and the lack of support for
   patients using the programs remains a critical gap in most
   implementation processes. In this study, we implemented the
   Patient-Centered Personal Health Record and Patient Portal
   Implementation Toolkit in a large diabetes/endocrinology center and
   assessed its preliminary impact on personal health record and patient
   portal knowledge, self-efficacy, patient-provider communication, and
   adherence to treatment plans. Patient-Centered Personal Health Record
   and Patient Portal Implementation Toolkit is composed of
   Patient-Centered Personal Health Record and Patient Portal
   Implementation Toolkit-General, clinic-level resources for clinicians,
   staff, and patients, and Patient-Centered Personal Health Record and
   Patient Portal Implementation Toolkit Plus, an optional 4-week online
   resource program for patients ("MyHealthPortal"). First,
   Patient-Centered Personal Health Record and Patient Portal
   Implementation Toolkit-General was implemented, and all clinicians and
   staff were educated about the center's personal health record and
   patient portal. Then general patient education was initiated, while a
   randomized controlled trial was conducted to test the preliminary
   effects of "MyHealthPortal" using a small sample (n = 74) with three
   observations (baseline and 4 and 12 weeks). The intervention group
   showed significantly greater improvement than the control group in
   patient-provider communication at 4 weeks (t(56) = 3.00, P =.004). For
   other variables, the intervention group tended to show greater
   improvement; however, the differences were not significant. In this
   preliminary study, Patient-Centered Personal Health Record and Patient
   Portal
ZS 0
ZR 0
TC 12
ZA 0
ZB 1
Z8 0
Z9 12
U1 0
U2 11
SN 1538-2931
EI 1538-9774
UT WOS:000399385600003
PM 28030374
ER

PT J
AU Fossum, Mariann
   Fruhling, Ann
   Moe, Carl Erik
   Thompson, Cheryl Bagley
TI Crossing Borders: An Online Interdisciplinary Course in Health
   Informatics for Students From Two Countries
SO CIN-COMPUTERS INFORMATICS NURSING
VL 35
IS 4
BP 186
EP 193
DI 10.1097/CIN.0000000000000323
PD APR 2017
PY 2017
AB A cross-countries and interprofessional novel approach for delivering an
   international interdisciplinary graduate health informatics course
   online is presented. Included in this discussion are the challenges,
   lessons learned, and pedagogical recommendations from the experiences of
   teaching the course. Four professors from three different fields and
   from three universities collaborated in offering an international health
   informatics course for an interdisciplinary group of 18 US and seven
   Norwegian students. Highly motivated students and professors, an online
   technology infrastructure that supported asynchronously communication
   and course delivery, the ability to adapt the curriculum to meet the
   pedagogy requirements at all universities, and the support of higher
   administration for international collaboration were enablers for
   success. This project demonstrated the feasibility and advantages of an
   interdisciplinary, interprofessional, and cross-countries approach in
   teaching health informatics online. Students were able to establish
   relationships and conduct professional conversations across disciplines
   and international boundaries using content management software. This
   graduate course can be used as a part of informatics, computer science,
   and/or health science programs.
RI CERVANTES, EMILY/R-6274-2018; Fossum, Mariann/M-8276-2019
OI Fossum, Mariann/0000-0003-4162-4277
ZB 1
ZS 0
ZR 0
TC 3
Z8 0
ZA 0
Z9 3
U1 0
U2 10
SN 1538-2931
EI 1538-9774
UT WOS:000399385600004
PM 28002116
ER

PT J
AU Bacchi, Stephen
   Licinio, Julio
TI Resilience and Psychological Distress in Psychology and Medical Students
SO ACADEMIC PSYCHIATRY
VL 41
IS 2
BP 185
EP 188
DI 10.1007/s40596-016-0488-0
PD APR 2017
PY 2017
AB Objective The authors investigated levels of resilience and
   psychological distress in medical and psychology students, factors that
   may affect these levels, the relationship between resilience and
   psychological distress, and student opinion on causes of stress and
   possible interventions.
   Methods A voluntary anonymous online survey was distributed to
   University of Adelaide medical and psychology students.
   Results Medical and psychology students (n = 560; response rate = 24.7%)
   had similar mean resilience and psychological distress scores, and 47.9%
   of medical students and 55.1% of psychology students were
   psychologically distressed. Higher levels of resilience were associated
   with lower levels of distress (p < 0.001). Students supported
   resilience-based interventions, greater financial support, clearer
   learning objectives and more continuous assessment as potential means to
   reduce the effects of stress.
   Conclusions Higher levels of resilience were associated with lower
   levels of psychological distress. Further studies are required to
   determine the efficacy of resilience-based interventions in these
   groups.
RI Licinio, Julio/L-4244-2013
OI Licinio, Julio/0000-0001-6905-5884
ZA 0
ZR 0
ZS 2
TC 49
Z8 0
ZB 6
Z9 49
U1 2
U2 33
SN 1042-9670
EI 1545-7230
UT WOS:000398707600006
PM 27060093
ER

PT J
AU Corines, Marina J.
   Hamilton, Jada G.
   Glogowski, Emily
   Anrig, Chris A.
   Goldberg, Rachael
   Niehaus, Kate
   Salo-Mullen, Erin
   Harlan, Megan
   Sheehan, Margaret R.
   Trottier, Magan
   Ahsraf, Asad
   Tran, Christina
   Jacobs, Lauren
   Rau-Murthy, Rohini
   Lincoln, Anne G.
   Robson, Mark E.
   Guillem, Jose G.
   Markowitz, Arnold J.
   Offit, Kenneth
   Stadler, Zsofia K.
TI Educational and Psychosocial Support Needs in Lynch Syndrome:
   Implementation and Assessment of an Educational Workshop and Support
   Group
SO JOURNAL OF GENETIC COUNSELING
VL 26
IS 2
BP 232
EP 243
DI 10.1007/s10897-016-0015-1
PD APR 2017
PY 2017
AB Few reports of educational and counseling support resources exist for
   Lynch syndrome (LS), a disorder requiring multi-organ cancer screening
   and specialized medical care throughout adult life. Here we describe the
   development and efficacy of two resources designed to address this need,
   the Memorial Sloan Kettering Cancer Center Clinical Genetics Service
   annual Lynch Syndrome Educational Workshop (LSEW), and a quarterly Lynch
   Syndrome Patient Advocacy Network (LSPAN) support group. The LSEW and
   LSPAN were implemented beginning in 2012. Participant survey data
   evaluating satisfaction, clarity, and unmet needs for each event were
   retrospectively analyzed and summarized using descriptive statistics.
   Annual LSEW attendance ranged from 53 to 75 total participants. LSEW
   year 1 participants indicated a need for a support group, and preferred
   in-person meetings at a frequency of every 3-6 months. For LSEW year 2-5
   participants, >96 % reported satisfaction with the LSEW, and >82 %
   expressed interest in secure online support. Common themes for
   improvement included increased time for question and answer sessions and
   additional introductory genetics education. Responding LSPAN
   participants (n = 57 total survey responses in 11 meetings) found the
   meetings helpful (100 %), information clear (91 %), and presence of a
   genetic counselor useful (67 %). Desired discussion topics included
   coping with stress and anxiety, development of a support network, family
   communication about LS, genetic testing decisions, and bereavement.
   Following genetic counseling, a need exists for ongoing educational and
   emotional support in LS. Implementation of resources such as the LSEW
   and LSPAN is feasible and perceived as helpful by participants.
RI Lincoln, Anne/ABE-7459-2021; Glogowski, Emily/; Lincoln, Anne/; Hamilton, Jada/
OI Glogowski, Emily/0000-0002-9996-4904; Lincoln, Anne/0000-0002-6441-1445;
   Hamilton, Jada/0000-0001-8377-4666
TC 9
Z8 0
ZB 5
ZA 0
ZR 0
ZS 0
Z9 9
U1 0
U2 5
SN 1059-7700
EI 1573-3599
UT WOS:000399163800005
PM 27734221
ER

PT J
AU Christ, Hildegard
   Franklin, Jeremy
   Griebenow, Reinhard
   Baethge, Christopher
TI An Analysis of 2.3 Million Participations in the Continuing Medical
   Education Program of a General Medical Journal: Suitability, User
   Characteristics, and Evaluation by Readers
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 19
IS 4
AR e49
DI 10.2196/jmir.6052
PD APR 2017
PY 2017
AB Background: Physicians frequently use continuing medical education (CME)
   in journals. However, little is known of the evaluation of journal CME
   by readers and also user and participation characteristics. Deutsches
   Arzteblatt, the journal of the German Medical Association, is
   distributed to every physician in Germany and regularly offers its
   readers CME articles. Therefore, it provides a unique opportunity to
   analyze a journal CME program directed at an entire population of
   physicians.
   Objective: The aim is to show key sociodemographic characteristics of
   participants, frequency and temporal distributions of participations,
   and to analyze whether the articles are suitable for a general medical
   audience, how physicians rate the CME articles, how successful they were
   in answering simple multiple-choice questions, and to detect distinct
   clusters of participants.
   Methods: Using obligatory online evaluation forms and multiple-choice
   questions, we analyzed all participations of the entire 142 CME articles
   published between September 2004 and February 2014. We compared
   demographic characteristics of participants with official figures on
   those characteristics as provided by the German Medical Association.
   Results: A total of 128,398 physicians and therapists (male: 54.64%,
   70,155/128,393; median age class 40 to 49 years) participated 2,339,802
   times (mean 16,478, SD 6436 participations/article). Depending on the
   year, between 12.33% (44,064/357,252) and 16.15% (50,259/311,230) of all
   physicians in the country participated at least once. The CME program
   was disproportionally popular with physicians in private practice, and
   many participations took place in the early mornings and evenings
   (4544.53%, 1,041,931/2,339,802) as well as over the weekend (28.70%,
   671,563/2,339,802). Participation by specialty (ranked in descending
   order) was internal medicine (18.25%, 23,434/128,392), general medicine
   (16.38%, 21,033/128,392), anesthesiology (10.00%, 12,840/128,392), and
   surgery (7.06%, 9059/128,392). Participants rated the CME articles as
   intelligible to a wider medical audience and filling clinically relevant
   knowledge gaps; 78.57% (1,838,358/2,339,781) of the sample gave the CME
   articles very good or good marks. Cluster analysis revealed three
   groups, one comprised of only women, with two-thirds working in private
   practice.
   Conclusions: The CME article series of Deutsches Arzteblatt is used on a
   regular basis by a considerable proportion of all physicians in Germany;
   its multidisciplinary articles are suitable to a broad spectrum of
   medical specialties. The program seems to be particularly attractive for
   physicians in private practice and those who want to participate from
   their homes and on weekends. Although many physicians emphasize that the
   articles address gaps in knowledge, it remains to be investigated how
   this impacts professional performance and patient outcomes.
OI Franklin, Jeremy/0000-0003-1536-0925; Christ,
   Hildegard/0000-0003-3235-2994
Z8 0
ZS 0
ZB 0
TC 1
ZR 0
ZA 0
Z9 1
U1 0
U2 8
SN 1438-8871
UT WOS:000399014000009
PM 28373156
ER

PT J
AU Phillips, Jane L.
   Heneka, Nicole
   Hickman, Louise
   Lam, Lawrence
   Shaw, Tim
TI Can A Complex Online Intervention Improve Cancer Nurses' Pain Screening
   and Assessment Practices? Results from a Multicenter, Pre-post Test
   Pilot Study
SO PAIN MANAGEMENT NURSING
VL 18
IS 2
BP 75
EP 89
DI 10.1016/j.pmn.2017.01.003
PD APR 2017
PY 2017
AB Unrelieved cancer pain has an adverse impact on quality of life. While
   routine screening and assessment forms the basis of effective cancer
   pain management, it is often poorly done, thus contributing to the
   burden of unrelieved cancer pain. The aim of this study was to test the
   impact of an online, complex, evidence-based educational intervention on
   cancer nurses' pain assessment capabilities and adherence to cancer pain
   screening and assessment guidelines. Specialist inpatient cancer nurses
   in five Australian acute care settings participated in an intervention
   combining an online spaced learning cancer pain assessment module with
   audit and feedback of pain assessment practices. Participants'
   self-perceived pain assessment competencies were measured at three time
   points. Prospective, consecutive chart audits were undertaken to
   appraise nurses' adherence with pain screening and assessment
   guidelines. The differences in documented pre-post pain assessment
   practices were benchmarked and fed back to all sites post intervention.
   Data were analyzed using inferential statistics. Participants who
   completed the intervention (n = 44) increased their pain assessment
   knowledge, assessment tool knowledge, and confidence undertaking a pain
   assessment (p < .001). The positive changes in nurses' pain assessment
   capabilities translated into a significant increasing linear trend in
   the proportion of documented pain assessments in patients' charts at the
   three time points (chi(2) trend = 18.28, df = 1, p < .001). There is
   evidence that learning content delivered using a spaced learning format,
   augmented with pain assessment audit and feedback data, improves
   inpatient cancer nurses' self perceived pain screening and assessment
   capabilities and strengthens cancer pain guideline adherence. (C) 2017
   by the American Society for Pain Management Nursing.
RI Hickman, Louise D/AAV-1449-2020; Phillips, Jane/A-7780-2015; Heneka, Nicole/AAP-1807-2021; Lam, Lawrence T./
OI Hickman, Louise D/0000-0002-5116-6559; Phillips,
   Jane/0000-0002-3691-8230; Heneka, Nicole/0000-0001-8102-1871; Lam,
   Lawrence T./0000-0001-6183-6854
ZS 0
ZR 0
ZA 0
ZB 0
Z8 1
TC 16
Z9 17
U1 2
U2 7
SN 1524-9042
EI 1532-8635
UT WOS:000398646400048
PM 28363326
ER

PT J
AU Meiser, Bettina
   Peate, Michelle
   Levitan, Charlene
   Mitchell, Philip B.
   Trevena, Lyndal
   Barlow-Stewart, Kristine
   Dobbins, Timothy
   Christensen, Helen
   Sherman, Kerry A.
   Dunlop, Kate
   Schofield, Peter R.
TI A Psycho-Educational Intervention for People with a Family History of
   Depression: Pilot Results
SO JOURNAL OF GENETIC COUNSELING
VL 26
IS 2
BP 312
EP 321
DI 10.1007/s10897-016-0011-5
PD APR 2017
PY 2017
AB We developed and pilot-tested the first online psycho-educational
   intervention that specifically targets people with a family history of
   depression ('LINKS'). LINKS provides genetic risk information and
   evidence-rated information on preventive strategies for depression and
   incorporates a risk assessment tool and several videos using
   professional actors. LINKS was pilot-tested in the general practitioner
   (GP) setting. The patient sample included people with a family history
   of at least one first-degree relative (FDR) with major depressive
   disorder (MDD) or bipolar disorder (BD). Patients attending
   participating GP practices were invited to enroll in the study by letter
   from their GP. Patients who self-identified as having at least one
   first-degree relative (FDR) with MDD or BD were eligible. Patients
   completed questionnaires, pre-post viewing LINKS, with measures
   assessing satisfaction, relevance, emotional impact and perceived
   improvement of understanding. Six GP practices participated, and 24
   patients completed both questionnaires. Of these, all reported that they
   were satisfied or very satisfied with LINKS, and 74 % reported that
   LINKS met their expectations, and 21 % that it exceeded their
   expectations. LINKS was judged highly acceptable by this sample of GP
   attendees, and results indicate that an assessment of its effectiveness
   in a larger controlled trial is warranted.
RI Meiser, Bettina/AAG-5480-2021; Barlow-Stewart, Kristine/AAW-9178-2020; Dobbins, Timothy/AAS-1422-2020; Christensen, Helen/F-5053-2012; Peate, Michelle/AAD-6245-2022; Trevena, Lyndal/; Schofield, Peter/C-9669-2011; Sherman, Kerry/; Peate, Michelle/
OI Dobbins, Timothy/0000-0003-1841-9056; Christensen,
   Helen/0000-0003-0435-2065; Trevena, Lyndal/0000-0003-1419-1832;
   Schofield, Peter/0000-0003-2967-9662; Sherman,
   Kerry/0000-0001-7780-6668; Peate, Michelle/0000-0003-2903-4688
TC 4
ZR 0
ZS 0
ZA 0
Z8 0
ZB 0
Z9 4
U1 0
U2 7
SN 1059-7700
EI 1573-3599
UT WOS:000399163800015
PM 27688164
ER

PT J
AU Dursun, Nigar
   Gokbel, Tugba
   Akarsu, Melike
   Dursun, Erbil
TI Randomized Controlled Trial on Effectiveness of Intermittent Serial
   Casting on Spastic Equinus Foot in Children with Cerebral Palsy After
   Botulinum Toxin-A Treatment
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 96
IS 4
BP 221
EP 225
DI 10.1097/PHM.0000000000000627
PD APR 2017
PY 2017
AB Objective: Physical therapy (PT) and botulinum toxin-A (BTX-A)
   injections are widely used in the treatment of spastic equinus foot due
   to cerebral palsy. The aim of this study was to show effects of
   intermittent serial casting (SC) in addition to standard treatment on
   spasticity, passive range of motion (PROM), and gait.
   Design: Fifty-one ambulatory patients, treated by BTX-A to plantar
   flexor muscles, were randomly assigned to casting or control groups in a
   2: 1 ratio. Both groups received PT for 3 weeks. Casting group
   additionally received intermittent SC during 3 consecutive weekends.
   Assessments included Modified Ashworth Scale (MAS), Tardieu Scale,
   Observational Gait Scale (OGS), and Physician Global Assessment at
   baseline and posttreatment weeks 4 and 12.
   Results: Significant improvements in PROM, MAS, Tardieu Scale, and OGS
   were recorded in both groups (P < 0.001 for all). Average changes in
   MAS, PROM, angle of catch, spasticity angle, and OGS of the casting
   group were significantly higher than those of the controls at week 4 (P
   = 0.006, P = 0.002, P < 0.001, P = 0.005, P = 0.011), and 12 (P = 0.013,
   P < 0.001, P < 0.001, P = 0.011, P < 0.001). Follow-up Physician Global
   Assessment also favored casting group (P < 0.001 for both).
   Conclusions: Combining intermittent SC with BTX-A injections and PT
   might provide additional benefits for spastic equinus foot.
RI Dursun, Nigar/F-8357-2018; Gokbel, Tugba/A-5004-2019
Z8 1
ZB 5
ZS 0
ZA 0
TC 20
ZR 0
Z9 21
U1 0
U2 10
SN 0894-9115
EI 1537-7385
UT WOS:000397583900008
PM 27631386
ER

PT J
AU Dyson, Kylie
   Bray, Janet E.
   Smith, Karen
   Bernard, Stephen
   Straney, Lahn
   Finn, Judith
TI Paramedic resuscitation competency: A survey of Australian and New
   Zealand emergency medical services
SO EMERGENCY MEDICINE AUSTRALASIA
VL 29
IS 2
BP 217
EP 222
DI 10.1111/1742-6723.12715
PD APR 2017
PY 2017
AB Objective: We have previously established that paramedic exposure to
   out-of-hospital cardiac arrest (OHCA) is relatively rare, therefore
   clinical exposure cannot be relied on to maintain resuscitation
   competency. We aimed to identify the current practices within emergency
   medical services (EMS) for developing and maintaining paramedic
   resuscitation competency.
   Methods: We developed and conducted an online cross-sectional survey of
   Australian and New Zealand EMS in 2015. The survey was piloted by one
   EMS and targeted at education managers.
   Results: A total of nine of the 10 EMS responded to the survey. All EMS
   reported that they provide resuscitation training to paramedics at the
   commencement of their employment (median 16 h, inter quartile range
   [IQR]: 7-80). With the exception of one EMS that did not provide any
   refresher training, a median of 4 h (IQR: 1-7) resuscitation training
   was provided to paramedics annually. All EMS used cardiac arrest
   simulations and skill stations to train paramedics. Paramedic exposure
   to OHCA was not taken into account to determine their training needs.
   Resuscitation competency was tested by EMS: annually (3/9), biennially
   (4/9) or not at all (2/9). Two EMS used CPR-feedback devices in clinical
   practice and only one EMS regularly performed formal debriefing after
   OHCA cases. Barriers to resuscitation competency included: difficulty
   removing paramedics from clinical duties for training and a lack of
   paramedic exposure to OHCA.
   Conclusion: All of the surveyed EMS provided initial resuscitation
   training to paramedics, but competency testing and refresher training
   practices varied between services. A lack of individual exposure to
   cardiac arrest and training time were identified as barriers to
   resuscitation competency.
RI Dyson, Kylie/AAA-5115-2019; Finn, Judith C/B-2678-2010; Smith, Karen/; Bray, Janet/H-7089-2014
OI Dyson, Kylie/0000-0002-0037-3195; Finn, Judith C/0000-0002-7307-7944;
   Smith, Karen/0000-0002-9057-0685; Bray, Janet/0000-0002-1559-5882
ZA 0
TC 7
Z8 0
ZS 0
ZR 0
ZB 0
Z9 7
U1 0
U2 8
SN 1742-6731
EI 1742-6723
UT WOS:000397212800014
PM 28093867
ER

PT J
AU Makai, Gretchen E.
   Schaeffer, Kathleen D.
   Sloan, Nancy L.
TI Independent Learning of Electrosurgery in Gynecology: A Randomized
   Controlled Trial
SO JOURNAL OF GYNECOLOGIC SURGERY
VL 33
IS 2
BP 51
EP 56
DI 10.1089/gyn.2016.0068
PD APR 2017
PY 2017
AB Objective: With limited time for gynecologist residents to learn
   essential topics, proponents of gynecology residency programs are
   increasingly advocating brief training programs. The effectiveness of
   two such programsindependent learning with conventional text review and
   viewing a web-based podcastwere compared for teaching gynecology
   residents electrosurgery principles. This research was the second
   randomized trial and one of few controlled studies to compare text
   review with web-based gynecologic electrosurgery learning.
   Materials and Methods: Of 38 obstetrics and gynecology residents in two
   large academic medical centers, 26 were available, consented to
   participate in the study, and were randomized according to baseline
   electrosurgery knowledge and residency levels to learn electrosurgery
   principles independently via chapter review or by viewing an online
   podcast. Learning of ten electrosurgery principles was assessed using 25
   validated multiple-choice questions; 5 included simulated operating-room
   photographs. Participants were tested before and immediately after the
   intervention, and 4 weeks later, and completed a satisfaction survey.
   The primary outcome, test-score improvement, was assessed by Student's
   t-tests and learner satisfaction was determined using (2) tests.
   Results: Among the participants, 26 residents took the pre-test, 25 took
   the post-test, and 23 completed the fourth-week post-test. Pre-test
   scores were similar (p=0.46). Immediately after the intervention,
   chapter participants answered 64.3% of the questions correctly and
   podcast participants answered 54.8% of the questions correctly (p=0.08).
   Both groups' scores fell at 4 weeks (-6.5% chapter versus -1.3% podcast;
   p=0.21). Most participants felt that they were more knowledgeable and
   that the training would influence their operating room work.
   Conclusions: The groups' score differences were not meaningful, and both
   groups' poor scores indicated that the kind of brief electrosurgery
   training currently promoted could have limited effect on educating
   residents. (J GYNECOL SURG 33:51)
ZS 0
ZA 0
ZB 0
ZR 0
Z8 0
TC 0
Z9 0
U1 0
U2 4
SN 1042-4067
EI 1557-7724
UT WOS:000398708300003
ER

PT J
AU Spooner, Kiara K.
   Salemi, Jason L.
   Salihu, Hamisu M.
   Zoorob, Roger J.
TI eHealth patient-provider communication in the United States: interest,
   inequalities, and predictors
SO JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
VL 24
IS E1
BP E18
EP E27
DI 10.1093/jamia/ocw087
PD APR 2017
PY 2017
AB Objective: Health-related Internet use and eHealth technologies,
   including online patient-provider communication (PPC), are continually
   being integrated into health care environments. This study aimed to
   describe sociodemographic and health-and Internet-related correlates
   that influence adult patients' interest in and electronic exchange of
   medical information with health care providers in the United States.
   Methods: Nationally representative cross-sectional data from the 2014
   Health Information National Trends Survey (N = 3677) were analyzed.
   Descriptive statistics and multivariable regression analyses were
   performed to examine associations between patient-level characteristics
   and online PPC behavior and interests.
   Results: Most respondents were Internet users (82.8%), and 61.5% of
   information seekers designated the Internet as their first source for
   health information. Younger respondents (<50 years), Hispanics, those
   from higherincome households, and those perceiving access to personal
   health information as important were more likely to be interested in
   online PPC. Despite varying levels of patient interest, 68.5% had no
   online PPC in the last year. However, Internet users (odds ratio, OR =
   2.87, 95% CI, 1.35-6.08), college graduates (OR = 2.92, 95% CI,
   1.42-5.99), and those with frequent provider visits (OR = 1.94, 95% CI,
   1.02-3.71) had a higher likelihood of online PPC via email or fax, while
   Hispanics and those from higher-income households were 2-3 times more
   likely to communicate via text messaging or phone/mobile apps.
   Conclusion: Patients' interest in and display of online PPC-related
   behaviors vary by age, race/ethnicity, education, income, Internet
   access/behaviors, and information type. These findings can inform
   efforts aimed at improving the use and adoption of eHealth technologies,
   which may contribute to a reduction in communication inequalities and
   health care disparities.
RI Salemi, Jason/N-9492-2013; Zoorob, Roger/
OI Salemi, Jason/0000-0002-0077-6023; Zoorob, Roger/0000-0001-7311-6723
TC 15
ZA 0
Z8 0
ZB 0
ZR 0
ZS 0
Z9 15
U1 0
U2 12
SN 1067-5027
EI 1527-974X
UT WOS:000397030400004
PM 27497797
ER

PT J
AU Wong, Kevin
   Levi, Jessica R.
TI Readability of pediatric otolaryngology information by children's
   hospitals and academic institutions
SO LARYNGOSCOPE
VL 127
IS 4
BP E138
EP E144
DI 10.1002/lary.26359
PD APR 2017
PY 2017
AB Objectives/HypothesisEvaluate the readability of pediatric
   otolaryngology-related patient education materials from leading online
   sources.
   Study DesignCross-sectional analysis.
   MethodsAll pediatric otolaryngology-related articles from the online
   patient health libraries of the top 10 US News & World Report-ranked
   children's hospitals, top 5 Doximity-ranked pediatric otolaryngology
   fellowships, and the American Academy of Otolaryngology-Head and Neck
   Surgery were collected. Each article was copied in plain text format
   into a blank document. Web page navigation, appointment information,
   references, author information, appointment information,
   acknowledgements, and disclaimers were removed. Follow-up editing was
   also performed to remove paragraph breaks, colons, semicolons, numbers,
   percentages, and bullets. Readability grade was calculated using the
   Flesch-Kincaid Grade Level, Flesch Reading Ease Score, Gunning-Fog
   Index, Coleman-Liau Index, Automated Readability Index, and Simple
   Measure of Gobbledygook. Intraobserver and interobserver reliability
   were assessed.
   ResultsA total of 502 articles were analyzed. Intraobserver and
   interobserver reliability were both excellent, with an intraclass
   correlation coefficient of 0.99 and 0.96, respectively. The average
   readability grade across all authorships and readability assessments
   exceeded the reading ability of the average American adult. Only 142
   articles (28.3%) were written at or below the reading ability of the
   average American adult, whereas the remaining 360 articles (71.7%) were
   written above the reading level of the average adult.
   ConclusionsCurrent online health information related to pediatric
   otolaryngology may be too difficult for the average reader to
   understand. Revisions may be necessary for current materials to benefit
   a larger readership.
   Level of EvidenceNA Laryngoscope, 127:E138-E144, 2017
TC 23
ZS 0
Z8 0
ZB 3
ZA 0
ZR 0
Z9 23
U1 0
U2 13
SN 0023-852X
EI 1531-4995
UT WOS:000397572700004
PM 27753115
ER

PT J
AU Krishnan, Keeth
   Thoma, Brent
   Trueger, N. Seth
   Lin, Michelle
   Chan, Teresa M.
TI Gestalt assessment of online educational resources may not be
   sufficiently reliable and consistent
SO PERSPECTIVES ON MEDICAL EDUCATION
VL 6
IS 2
BP 91
EP 98
DI 10.1007/s40037-017-0343-3
PD APR 2017
PY 2017
AB Purpose Online open educational resources are increasingly used in
   medical education, particularly blogs and podcasts. However, it is
   unclear whether these resources can be adequately appraised by
   end-users. Our goal was to determine whether gestalt-based
   recommendations are sufficient for emergency medicine trainees and
   attending physicians to reliably recommend online educational resources
   to others.
   Methods Raters (33 trainees and 21 attendings in emergency medicine from
   North America) were asked to rate 40 blog posts according to whether,
   based on their gestalt, they would recommend the resource to (1) a
   trainee or (2) an attending physician. The ratings' reliability was
   assessed using intraclass correlation coefficients (ICC). Associations
   between groups' mean scores were assessed using Pearson's r. A repeated
   measures analysis of variance (RM-ANOVA) was completed to determine the
   effect of the level of training on gestalt recommendation scale (i. e.
   trainee vs. attending).
   Results Trainees demonstrated poor reliability when recommending
   resources for other trainees (ICC = 0.21, 95% CI = 0.13-0.39) and
   attendings (ICC = 0.16, 95% CI = 0.09-0.30). Similarly, attendings had
   poor reliability when recommending resources for trainees (ICC = 0.27,
   95% CI = 0.18-0.41) and other attendings (ICC = 0.22, 95% CI =
   0.14-0.35). There were moderate correlations between the mean scores for
   each blog post when either trainees or attendings considered the same
   target audience. The RM-ANOVA also corroborated that there is a main
   effect of the proposed target audience on the ratings by both trainees
   and attendings.
   Conclusions A gestalt-based rating system is not sufficiently reliable
   when recommending online educational resources to trainees and
   attendings. Trainees' gestalt ratings for recommending resources for
   both groups were especially unreliable. Our findings suggest the need
   for structured rating systems to rate online educational resources.
RI Thoma, Brent/ABI-2642-2020; Chan, Teresa/T-6676-2017; Trueger, N. Seth/
OI Chan, Teresa/0000-0001-6104-462X; Trueger, N. Seth/0000-0001-8797-2192
ZS 0
Z8 0
ZA 0
ZB 1
TC 14
ZR 0
Z9 14
U1 0
U2 2
SN 2212-2761
EI 2212-277X
UT WOS:000443158700007
PM 28243948
ER

PT J
AU Abdool, Petal S.
   Nirula, Latika
   Bonato, Sarah
   Rajji, Tarek K.
   Silver, Ivan L.
TI Simulation in Undergraduate Psychiatry: Exploring the Depth of Learner
   Engagement
SO ACADEMIC PSYCHIATRY
VL 41
IS 2
BP 251
EP 261
DI 10.1007/s40596-016-0633-9
PD APR 2017
PY 2017
AB Objects Simulation-based methodologies are increasingly used in
   undergraduate medical education to expand students' exposure to complex
   clinical scenarios. Engagement of students in these simulation-based
   methodologies is a key determinant of their success in learning. Thus,
   the authors conducted a systematic review to (1) identify simulation
   methods in use within the undergraduate psychiatry curriculum and (2)
   assess learner engagement using these methods.
   Methods Following a PRISMA methodology, the authors searched MEDLINE,
   ERIC, and PsychINFO databases from 1977 to 2015. Studies applying
   simulation in undergraduate psychiatric education were reviewed. The
   depth of learner engagement was assessed using Kolb's four-stage
   learning cycle.
   Results Of 371 publications identified, 63 met all the inclusion
   criteria: 48 used standardized patients and 16 used online or virtual
   learning case modules. Only one study used high fidelity mannequins.
   Three studies satisfied multiple stages in Kolb's Learning Cycle,
   including a single study that addressed all four domains.
   conclusion Despite the varied uses of simulation across other health
   disciplines, there were few novel or innovative uses of simulation in
   undergraduate psychiatric education since the last review in 2008.
   Expanding on the use of simulation to improve communication, build
   empathy, and decrease stigma in psychiatry is essential given the
   relevance to all facets of medical practice. Given the complexity of
   psychiatry, simulation interventions should extend beyond communication
   scenarios. Medical students need more opportunities to reflect and
   debrief on simulation experiences and integrate learning into new
   contexts. Faculty development should focus on these novel approaches to
   simulation to deeply engage learners and enhance outcomes.
RI Rajji, Tarek K/K-1543-2015
ZS 0
ZB 1
TC 31
ZA 0
Z8 0
ZR 0
Z9 31
U1 0
U2 19
SN 1042-9670
EI 1545-7230
UT WOS:000398707600019
PM 27882523
ER

PT J
AU Thoma, Brent
   Paddock, Mike
   Purdy, Eve
   Sherbino, Jonathan
   Milne, William Ken
   Siemens, Marshall
   Petrusa, Emil
   Chan, Teresa
TI Leveraging a Virtual Community of Practice to Participate in a
   Survey-based Study: A Description of the METRIQ Study Methodology
SO AEM EDUCATION AND TRAINING
VL 1
IS 2
BP 110
EP 113
DI 10.1002/aet2.10013
PD APR 2017
PY 2017
AB Objectives: To power the METRIQ (Medical Education Translational
   Resources: Impact and Quality) Study adequately, we aimed to recruit >
   200 medical students, residents, and attendings to complete a 90- to
   120-minute survey by leveraging a virtual community of practice (vCoP).
   Methods: Participants were recruited using personal (conference campaign
   and e-mails) and online (a study website and social media campaign
   utilizing Twitter, Facebook, blogs, podcasts, an infographic, and a
   YouTube video) techniques that leveraged relationships within a virtual
   community or practice. Participants received weekly survey reminders for
   4 weeks and at the end of the rating period. Survey completion rates
   were calculated.
   Results: A total of 380 potential participants completed an intake form
   (139 medical students, 120 residents, 121 attendings), 330 consented to
   participate, and 309 (81.3% of interested and 93.9% of consenting
   participants) completed the full survey (121, 88, and 100,
   respectively). The required sample size was achieved.
   Conclusions: The METRIQ Study utilized a multimodal recruitment campaign
   that targeted a vCoP. It recruited large numbers of participants with
   high completion rates. Response rates could not be calculated given the
   uncertainty surrounding the number of individuals invited to
   participate.
RI Chan, Teresa/T-6676-2017; Purdy, Eve/
OI Chan, Teresa/0000-0001-6104-462X; Purdy, Eve/0000-0002-8098-5377
ZS 0
ZB 0
ZA 0
TC 24
Z8 0
ZR 0
Z9 24
U1 1
U2 1
EI 2472-5390
UT WOS:000770010600006
PM 30051018
ER

PT J
AU Ngoc Thuy Thi Thai
   De Wever, Bram
   Valcke, Martin
TI The impact of a flipped classroom design on learning performance in
   higher education: Looking for the best "blend" of lectures and guiding
   questions with feedback
SO COMPUTERS & EDUCATION
VL 107
BP 113
EP 126
DI 10.1016/j.compedu.2017.01.003
PD APR 2017
PY 2017
AB The present study examines the differential impact of studying in a
   Flipped Classroom (FC) setting, as compared to a Blended Learning (BL),
   a Traditional Learning (TL), and an E-Learning (EL) setting on learning
   performance, self-efficacy beliefs, intrinsic motivation, and perceived
   flexibility. Participants were second year undergraduate students (N =
   90), enrolled in the "Invertebrates" course in Can Tho University
   (Vietnam). Participants were randomly assigned to one of the four
   experimental conditions (TL n = 22, BL n = 22, FC n = 23, EL n = 23).
   Two instructional elements - (1) lectures and (2) guiding questions were
   presented through two different modes (online and face-to-face). In the
   blended conditions (BL and FC) the mode of these elements were altered.
   The results show that learning performance was superior in the FC
   setting as compared to other learning settings TL (Cohens' d = 1.58), EL
   (Cohens' d = 1.01) and BL (Cohens' d = 0.71). Students in the BL setting
   had a higher learning performance as compared to the EL setting. In
   addition, we observed that studying in a FC setting had a positive
   effect on self-efficacy beliefs and intrinsic motivation, but not on
   perceived flexibility. These findings suggest that the FC setting could
   be a promising way of enhancing students' learning performance. (C) 2017
   Elsevier Ltd. All rights reserved.
RI Thai, Ngoc Thuy/; Valcke, Martin/H-6693-2012
OI Thai, Ngoc Thuy/0000-0001-5606-3930; Valcke, Martin/0000-0001-9544-4197
ZA 3
TC 199
Z8 1
ZB 0
ZR 1
ZS 7
Z9 209
U1 14
U2 297
SN 0360-1315
EI 1873-782X
UT WOS:000394480100009
ER

PT J
AU Foad, Ayman F. A.
TI Comparing the use of virtual and conventional light microscopy in
   practical sessions: Virtual reality in Tabuk University
SO JOURNAL OF TAIBAH UNIVERSITY MEDICAL SCIENCES
VL 12
IS 2
BP 183
EP 186
DI 10.1016/j.jtumed.2016.10.015
PD APR 2017
PY 2017
AB Virtual microscopy has an established role in medical practice and
   education across all medical disciplines. It provides economical and
   pedagogical advantages, albeit with some shortcomings.
   We randomly assigned two groups of second-year medical students fromthe
   University of Tabuk in KSA to use either conventional light or virtual
   microscopy practical sessions. The students' perceptions were assessed
   by written and practical exams. Students in the virtual microscopy group
   performed better than those in the light microscopy group in both
   practical and written exams, as reflected by their more-uniform
   performance and less-scattered grades. The virtual microscopy group had
   the advantage of optional online off-campus access to study materials,
   which they spent an average of 2.5 h reviewing. Virtual microscopy is a
   valid educational tool that can augment conventional microscopy in
   pathology practical sessions, and its application is convenient for both
   students and staff.
ZA 0
TC 4
ZR 0
ZB 1
Z8 0
ZS 0
Z9 4
U1 1
U2 3
SN 1658-3612
UT WOS:000448382300015
PM 31435236
ER

PT J
AU Sunwoo, Hyun-Jung
   Noh, Dong-Hyun
   Kim, Kyung Mee
   Kim, Joo-Hyun
   Yoo, Hee Jeong
TI A Study on Practitioner's Perceptions on Early Screening of Autism
   Spectrum Disorder
SO JOURNAL OF THE KOREAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY
VL 28
IS 2
BP 96
EP 105
DI 10.5765/jkacap.2017.28.2.96
PD APR 2017
PY 2017
AB Objectives: The purpose of this study is to investigate the professional
   knowledge and perceptions of the early screening of Autism Spectrum
   Disorder (ASD) in practitioners who have contact with patients with ASD.
   Methods: A survey was carried out among 674 practitioners in total,
   where practitioners are defined as those who work at primary medical
   centers, public institutions, educational institutions and treatment
   institutions. The survey was carried out both online and offline, and it
   mainly focused on 1) knowledge about ASD symptoms, 2) knowledge about
   the early screening of ASD, 3) measures taken after ASD detection, 4)
   thoughts on the development of early screening tools for ASD, and 5) the
   current status of ASD treatment. The data collected were analyzed
   through descriptive statistics, analysis of frequency and cross
   tabulation analysis using SPSS WIN 22.0.
   Results: The results of this study suggest that the practitioners were
   not aware of the exact symptoms of ASD and their professional knowledge
   and the environment for early screening were insufficient. Furthermore,
   very few and inappropriate measures were taken after the detection of
   ASD. In addition, there was a high demand for early ASD screening tools
   to be used on site and, regarding treatment, the significance of the
   implementation of evidence based treatments as well as the continuity of
   relevant research came to the fore.
   Conclusion: It seems that there is a lack of knowledge and perception of
   the early screening of ASD and that education and training among
   practitioners is urgently required. This issue is discussed in more
   detail in the paper.
ZR 0
TC 2
ZA 0
Z8 0
ZB 1
ZS 0
Z9 2
U1 0
U2 0
SN 1225-729X
EI 2233-9183
UT WOS:000471954300006
ER

PT J
AU Muir, Fiona
   McConville, Kevin
   Robertson, Lois
   Campbell, Karen
   McKnight, Shona
   McKeown, Kenny
TI Medical Students' Child Health Experience in Primary Schools: "The Best
   Day of Her Life"
SO SAGE OPEN
VL 7
IS 1
AR 2158244017700461
DI 10.1177/2158244017700461
PD MAR 24 2017
PY 2017
AB This study was designed to explore medical students' and primary school
   teachers' experiences of a new community teaching project. Academic
   staff and students from the School of Medicine Dundee, National Health
   Service partners, local education department, and primary school
   teachers engaged in a collaborative project which has embedded community
   engagement in the curriculum while encouraging interprofessional
   education through multiagency working. Influenced by evaluative inquiry,
   this qualitative study used an online questionnaire, designed to give
   participants the freedom to respond, and give their own opinions, via
   free text responses. The results show the value of a real primary
   school-based situation, and the merit of experiential learning gained
   throughout the program, in which students interacted with children about
   health promotion in a meaningful way. The interprofessional and
   collaborative nature of the project enhanced the value of the experience
   for all participants in relation to the benefits of teamwork, dispelling
   the doctor authority and recognition of the roles of others. The
   experience was an interactive, enjoyable, and expressive way to
   facilitate learning, and has helped prepare the health care students for
   future practice.
RI McConville, Kevin/U-8978-2019
OI McConville, Kevin/0000-0002-2044-9775
ZS 0
ZB 0
ZR 0
ZA 0
TC 1
Z8 0
Z9 1
U1 0
U2 1
SN 2158-2440
UT WOS:000400278300001
ER

PT J
AU Paul, Christine L.
   Piterman, Leon
   Shaw, Jonathan E.
   Kirby, Catherine
   Forshaw, Kristy L.
   Robinson, Jennifer
   Thepwongsa, Isaraporn
   Sanson-Fisher, Robert W.
TI Poor uptake of an online intervention in a cluster randomised controlled
   trial of online diabetes education for rural general practitioners
SO TRIALS
VL 18
AR 137
DI 10.1186/s13063-017-1869-8
PD MAR 23 2017
PY 2017
AB Background: In Australia, rural and remote communities have high rates
   of diabetes-related death and hospitalisation. General practitioners
   (GPs) play a major role in diabetes detection and management. Education
   of GPs could optimise diabetes management and improve patient outcomes
   at a population level. The study aimed to describe the uptake of a
   continuing medical education intervention for rural GPs and its impact
   on the viability of a cluster randomised controlled trial of the effects
   of continuing medical education on whole-town diabetes monitoring and
   control.
   Method: Trial design: the cluster randomised controlled trial involved
   towns as the unit of allocation and analysis with outcomes assessed by
   de-identified pathology data (not reported here). The intervention
   programme consisted of an online active learning module, direct
   electronic access to specialist advice and performance feedback.
   Multiple rounds of invitation were used to engage GPs with the online
   intervention content. Evidence-based strategies (e.g. pre-notification,
   rewards, incentives) were incorporated into the invitations to enrol in
   the programme. Recruitment to the programme was electronically monitored
   through the hosting software package during the study intervention
   period.
   Results: Eleven matched pairs of towns were included in the study. There
   were 146 GPs in the 11 intervention towns, of whom 34 (23.3%) enrolled
   in the programme, and 8 (5.5%) completed the online learning module. No
   town had more than 10% of the resident GPs complete the learning module.
   There were no contacts made by GPs regarding requests for specialist
   advice. Consequently, the trial was discontinued.
   Conclusion: There is an ongoing need to engage primary care physicians
   in improving diabetes monitoring and management in rural areas. Online
   training options, while notionally attractive and accessible, are not
   likely to have high levels of uptake, even when evidence-based
   recruitment strategies are implemented.
OI Sanson-Fisher, Rob/0000-0001-6022-2949; Fakes,
   Kristy/0000-0002-7217-9578
TC 7
ZA 0
Z8 1
ZR 0
ZS 0
ZB 2
Z9 8
U1 0
U2 6
SN 1745-6215
UT WOS:000397465900001
PM 28335809
ER

PT J
AU Badiu, Corin
   Bonomi, Marco
   Borshchevsky, Ivan
   Cools, Martine
   Craen, Margarita
   Ghervan, Cristina
   Hauschild, Michael
   Hershkovitz, Eli
   Hrabovszky, Erik
   Juul, Anders
   Kim, Soo-Hyun
   Kumanov, Phillip
   Lecumberri, Beatriz
   Lemos, Manuel C.
   Neocleous, Vassos
   Niedziela, Marek
   Djurdjevic, Sandra Pekic
   Persani, Luca
   Phan-Hug, Franziska
   Pignatelli, Duarte
   Pitteloud, Nelly
   Popovic, Vera
   Quinton, Richard
   Skordis, Nicos
   Smith, Neil
   Stefanija, Magdalena Avbelj
   Xu, Cheng
   Young, Jacques
   Dwyer, Andrew A.
CA COST Action BM1105
TI Developing and evaluating rare disease educational materials co-created
   by expert clinicians and patients: the paradigm of congenital
   hypogonadotropic hypogonadism
SO ORPHANET JOURNAL OF RARE DISEASES
VL 12
AR 57
DI 10.1186/s13023-017-0608-2
PD MAR 20 2017
PY 2017
AB Background: Patients with rare diseases face health disparities and are
   often challenged to find accurate information about their condition. We
   aimed to use the best available evidence and community partnerships to
   produce patient education materials for congenital hypogonadotropic
   hypogonadism (CHH) and the olfacto-genital (Kallmann) syndrome (i.e.,
   CHH and defective sense of smell), and to evaluate end-user
   acceptability. Expert clinicians, researchers and patients co-created
   the materials in a multi-step process. Six validated algorithms were
   used to assess reading level of the final product. Comprehensibility and
   actionability were measured using the Patient Education Materials
   Assessment Tool via web-based data collection. Descriptive statistics
   were employed to summarize data and thematic analysis for analyzing
   open-ended responses. Subsequently, translation and cultural adaption
   were conducted by clinicians and patients who are native speakers.
   Results: Co-created patient education materials reached the target 6th
   grade reading level according to 2/6 (33%) algorithms (range: grade
   5.9-9.7). The online survey received 164 hits in 2 months and 63/159
   (40%) of eligible patients completed the evaluation. Patients ranged in
   age from 18 to 66 years (median 36, mean 39 +/- 11) and 52/63 (83%), had
   adequate health literacy. Patients scored understandability at 94.2% and
   actionability at 90.5%. The patient education materials were culturally
   adapted and translated into 20 languages (available in Additional file
   1).
   Conclusions: Partnering with patients enabled us to create patient
   education materials that met patient-identified needs as evidenced by
   high end-user acceptability, understandability and actionability. The
   web-based evaluation was effective for reaching dispersed rare disease
   patients. Combining dissemination via traditional healthcare
   professional platforms as well as patient-centric sites can facilitate
   broad uptake of culturally adapted translations. This process may serve
   as a roadmap for creating patient education materials for other rare
   diseases.
RI Kim, Soo Hyun/ABG-8773-2020; Hauschild, Michael/AAZ-6990-2021; Juul, Anders/F-5864-2013; Pignatelli, Duarte/AAG-8056-2021; Niedziela, Marek/A-1155-2011; Badiu, Corin/C-5783-2012; Dwyer, Andrew A./D-8099-2012; Badiu, Corin/AAC-6825-2022; Herskowitz, eli/F-1922-2012; Young, Jacques/N-5251-2019; Cools, Martine/J-4580-2012; Pignatelli, Duarte L/A-8892-2014; Persani, Luca/B-6543-2008; Young, Jacques/T-2976-2018; Hrabovszky, Erik/; Avbelj Stefanija, Magdalena/; Lemos, Manuel/D-9861-2013; Bonomi, Marco/T-6487-2019
OI Kim, Soo Hyun/0000-0002-9394-1437; Hauschild,
   Michael/0000-0002-1940-8730; Juul, Anders/0000-0002-0534-4350;
   Pignatelli, Duarte/0000-0002-5555-7004; Niedziela,
   Marek/0000-0001-8862-6937; Badiu, Corin/0000-0002-8087-8125; Dwyer,
   Andrew A./0000-0002-7023-6794; Herskowitz, eli/0000-0003-1624-1960;
   Young, Jacques/0000-0001-9286-5631; Cools, Martine/0000-0002-9552-4899;
   Persani, Luca/0000-0003-2068-9581; Young, Jacques/0000-0001-9286-5631;
   Hrabovszky, Erik/0000-0001-6927-0015; Avbelj Stefanija,
   Magdalena/0000-0002-0836-5114; Lemos, Manuel/0000-0001-9326-8900;
   Bonomi, Marco/0000-0001-5454-6074
Z8 0
ZR 0
ZB 8
ZA 0
TC 22
ZS 0
Z9 22
U1 2
U2 22
SN 1750-1172
UT WOS:000397669000002
PM 28320476
ER

PT J
AU Wijeratne, Chanaka
   Earl, Joanne K.
   Peisah, Carmelle
   Luscombe, Georgina M.
   Tibbertsma, Johanna
TI Professional and psychosocial factors affecting the intention to retire
   of Australian medical practitioners
SO MEDICAL JOURNAL OF AUSTRALIA
VL 206
IS 5
BP 209
EP 214
DI 10.5694/mja16.00883
PD MAR 20 2017
PY 2017
AB The known The number of doctors who work beyond the age of 65 is
   growing. Studies of retirement intention have focused on single factors,
   such as health and income, and have generally been limited to single
   specialties.
   The new 38% of doctors aged 55 or more were unsure about retiring or did
   not intend to retire. Both professional and broader psychosocial factors
   (including financial resources, work centrality, emotional resources,
   anxiety about ageing) influenced the intention to retire.
   The implications Education programs facilitating retirement planning are
   needed for late career doctors, including advice on financial planning
   and developing non-professional interests.
RI Earl, Joanne/AAR-6220-2020; Luscombe, Georgina/L-4460-2019
OI Earl, Joanne/0000-0002-0232-053X; Luscombe, Georgina/0000-0002-4767-5131
TC 14
ZR 0
ZB 0
ZS 0
Z8 0
ZA 0
Z9 14
U1 2
U2 11
SN 0025-729X
EI 1326-5377
UT WOS:000397181400012
PM 28301791
ER

PT J
AU Kogan, Lori R.
   Schoenfeld-Tacher, Regina M.
   Hellyer, Peter W.
   Rishniw, Mark
   Ruch-Gallie, Rebecca A.
TI Survey of attitudes toward and experiences with animal abuse encounters
   in a convenience sample of US veterinarians
SO JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION
VL 250
IS 6
BP 688
EP 696
DI 10.2460/javma.250.6.688
PD MAR 15 2017
PY 2017
AB OBJECTIVE
   To survey practicing veterinarians regarding their perceptions of and
   experiences with cases of suspected or confirmed animal abuse and
   related state laws.
   DESIGN
   Cross-sectional study. POPULATION Members of the Veterinary Information
   Network (VIN; n = 34,144) who were in veterinary practice at the time of
   the survey.
   PROCEDURES
   A survey was designed and distributed online to all VIN members from
   January 26 to February 28, 2015. Responses were compiled, and binary
   logistic regression analysis was performed to identify factors that
   influenced decisions or perceptions regarding animal abuse encounters
   and related legislation.
   RESULTS
   1,209 completed surveys were received (3.5% response rate); 1,155
   (95.5%) surveys were submitted by currently practicing veterinarians.
   One thousand five (87.0%) practicing veterinarians reported having
   encountered at least 1 case of animal abuse while in practice; 561
   (55.8%) of these veterinarians indicated that they had reported at least
   1 case. The most common reasons selected for reporting abuse were to
   protect the animal, ethical beliefs, and to protect other animals in the
   household. The most common reasons selected for not reporting the abuse
   were uncertainty that the animal had been abused, belief that client
   education would be better, and belief that the injury or illness was
   accidental versus intentional. Most respondents were unaware of the
   current status of laws in their state regarding animal abuse reporting.
   CONCLUSIONS AND CLINICAL RELEVANCE
   Results suggested a need for state and national veterinary and
   humane-law enforcement organizations to increase communication and
   education efforts on recognition and reporting by veterinarians of
   animal abuse and the related laws.
OI Rishniw, Mark/0000-0002-0477-1780
Z8 0
ZA 0
TC 15
ZB 3
ZS 0
ZR 0
Z9 15
U1 0
U2 20
SN 0003-1488
EI 1943-569X
UT WOS:000397160000032
PM 28263111
ER

PT J
AU Anand, Tarandeep
   Nitpolprasert, Chattiya
   Trachunthong, Deondara
   Kerr, Stephen J.
   Janyam, Surang
   Linjongrat, Danai
   Hightow-Weidman, Lisa B.
   Phanuphak, Praphan
   Ananworanich, Jintanat
   Phanuphak, Nittaya
CA Adam's Love Study Team
TI A novel Online-to-Offline (O2O) model for pre-exposure prophylaxis and
   HIV testing scale up
SO JOURNAL OF THE INTERNATIONAL AIDS SOCIETY
VL 20
AR 21326
DI 10.7448/IAS.20.1.21326
PD MAR 13 2017
PY 2017
AB Introduction: PrEP awareness and uptake among men who have sex with men
   (MSM) and transgender women (TG) in Thailand remains low. Finding ways
   to increase HIV testing and PrEP uptake among high-risk groups is a
   critical priority. This study evaluates the effect of a novel Adam's
   Love Online-to-Offline (O2O) model on PrEP and HIV testing uptake among
   Thai MSM and TG and identifies factors associated with PrEP uptake.
   Methods: The O2O model was piloted by Adam's Love (www.adamslove.org)
   HIV educational and counselling website. MSM and TG reached online by
   PrEP promotions and interested in free PrEP and/or HIV testing services
   contacted Adam's Love online staff, received real-time PrEP eCounseling,
   and completed online bookings for receiving services at one of the four
   sites in Bangkok based on their preference. Auto-generated site-and
   service-specific e-tickets and Quick Response (QR) codes were sent to
   their mobile devices enabling monitoring and check-in by offline site
   staff. Service uptake and participant's socio-demographic and risk
   behaviour characteristics were analyzed. Factors associated with PrEP
   uptake were assessed using multiple logistic regression.
   Results: Between January 10th and April 11th, 2016, Adam's Love reached
   272,568 people online via the PrEP O2O promotions. 425 MSM and TG
   received eCounseling and e-tickets. There were 325 (76.5%) MSM and TG
   who checked-in at clinics and received HIV testing. Nine (2.8%) were
   diagnosed with HIV infection. Median (IQR) time between receiving the
   e-ticket and checking-in was 3 (0-7) days. Of 316 HIV-negative MSM and
   TG, 168 (53.2%) started PrEP. In a multivariate model, higher education
   (OR 2.30, 95% CI 1.14-4.66; p = 0.02), seeking sex partners online (OR
   2.05, 95% CI 1.19-3.54; p = 0.009), being aware of sexual partners' HIV
   status (OR 2.37, 95% CI 1.29-4.35; p = 0.008), ever previously using
   post-exposure prophylaxis (PEP) (OR 2.46, 95% CI 1.19-5.09; p = 0.01),
   and enrolment at Adam's Love clinic compared to the other three sites
   (OR 3.79, 95% CI 2.06-6.95; p < 0.001) were independently associated
   with PrEP uptake.
   Conclusions: Adam's Love O2O model is highly effective in linking online
   at-risk MSM and TG to PrEP and HIV testing services, and has high
   potential to be replicated and scaled up in other settings with high
   Internet penetration among key populations.
RI Phanuphak, Nittaya/AAA-8579-2019; Ananworanich, Jintanat/AAC-6348-2021; Kerr, Stephen/J-6126-2012; Nitpolprasert, Chattiya/; Anand, Tarandeep/
OI Ananworanich, Jintanat/0000-0003-1369-3224; Kerr,
   Stephen/0000-0002-1919-4525; Nitpolprasert,
   Chattiya/0000-0002-1470-766X; Anand, Tarandeep/0000-0002-9471-5490
ZA 0
ZR 0
TC 36
Z8 0
ZB 14
ZS 0
Z9 36
U1 2
U2 29
EI 1758-2652
UT WOS:000397569300001
PM 28362062
ER

PT J
AU Azer, Samy A.
   AlOlayan, Thekra I.
   AlGhamdi, Malak A.
   AlSanea, Malak A.
TI Inflammatory bowel disease: An evaluation of health information on the
   internet
SO WORLD JOURNAL OF GASTROENTEROLOGY
VL 23
IS 9
BP 1676
EP 1696
DI 10.3748/wjg.v23.i9.1676
PD MAR 7 2017
PY 2017
AB AIM to evaluate the quality and accuracy of websites written to the
   public on inflammatory bowel disease (IBD) (Crohn's disease and
   ulcerative colitis) and assess their readability level.
   METHODS Google T, Bing T, and Yahoo T search engines were searched
   independently by three researchers in December 2014. Only
   English-language websites were selected on the basis of predetermined
   inclusion and exclusion criteria. Researchers independently evaluated
   the quality of each website by using the DISCERN and the HONcode
   instruments. The readability levels were calculated using two formulas;
   the Flesch-Kincaid Grade Level Index, and the Coleman-Liau Readability
   Index. The agreement between the evaluators was calculated using Cohen
   kappa coefficient.
   RESULTS eighty-four websites were finally identified. Scores varied from
   a minimum DISCERN score of 18 to a maximum of 68 [ mean +/- SD, 42.2 +/-
   10.7; median = 41.5, interquartile range, interquartile range (IQR) =
   15.8] and a minimum score of HONcode of 0.14 and a maximum of 0.95 (mean
   +/- SD, 0.16 +/- 0.19; median = 0.45, IQR = 0.29). Most of these
   websites were reviewed in 2014 and 2015 (n = 51). The creators of these
   websites were: universities and research centers (n = 25, 30%),
   foundations and associations (n = 15, 18%), commercial and
   pharmaceutical companies (n = 25, 30%), charities and volunteer work (n
   = 9, 10%), and non-university educational bodies (n = 10, 12%). The
   Flesch-Kincaid Grade Level readability score (mean +/- SD) was 11.9 +/-
   2.4 and the Coleman-Liau Readability Index score was 12.6 +/- 1.5.
   Significant correlation was found between the two readability scores
   (R-2 = 0.509, p = 0.001). The overall agreement between evaluators
   measured by Cohen kappa coefficient was in the range of 0.804-0.876;
   rated as "Good".
   CONCLUSION The DISCERN and the HONcode scores of websites varied and the
   readability levels of most websites were above the public readability
   level. The study highlights the areas that need further improvement and
   development in patient education online materials about IBD.
RI Al-Ghamdi, Mohammed Ibrahim/I-3651-2018; Azer, Samy A./C-8485-2009
OI Al-Ghamdi, Mohammed Ibrahim/0000-0002-9794-554X; Azer, Samy
   A./0000-0001-5638-3256
Z8 0
ZB 6
ZA 0
TC 19
ZR 0
ZS 0
Z9 20
U1 0
U2 5
SN 1007-9327
EI 2219-2840
UT WOS:000395824400017
PM 28321169
ER

PT J
AU Azer, Samy A.
   AlOlayan, Thekra I.
   AlGhamdi, Malak A.
   AlSanea, Malak A.
TI Inflammatory bowel disease: An evaluation of health information on the
   internet
SO WORLD JOURNAL OF GASTROENTEROLOGY
VL 23
IS 9
PD MAR 7 2017
PY 2017
AB AIM to evaluate the quality and accuracy of websites written to the
   public on inflammatory bowel disease (IBD) (Crohn's disease and
   ulcerative colitis) and assess their readability level.
   METHODS Google (TM), Bing (TM), and Yahoo (TM) search engines were
   searched independently by three researchers in December 2014. Only
   English-language websites were selected on the basis of predetermined
   inclusion and exclusion criteria. Researchers independently evaluated
   the quality of each website by using the DISCERN and the HONcode
   instruments. The readability levels were calculated using two formulas;
   the Flesch-Kincaid Grade Level Index, and the Coleman-Liau Readability
   Index. The agreement between the evaluators was calculated using Cohen
   kappa coefficient.
   RESULTS eighty-four websites were finally identified. Scores varied from
   a minimum DISCERN score of 18 to a maximum of 68 [mean +/- SD, 42.2 +/-
   10.7; median = 41.5, interquartile range, interquartile range (IQR) =
   15.8] and a minimum score of HONcode of 0.14 and a maximum of 0.95 (mean
   +/- SD, 0.16 +/- 0.19; median = 0.45, IQR = 0.29). Most of these
   websites were reviewed in 2014 and 2015 (n = 51). The creators of these
   websites were: universities and research centers (n = 25, 30%),
   foundations and associations (n = 15, 18%), commercial and
   pharmaceutical companies (n = 25, 30%), charities and volunteer work (n
   = 9, 10%), and non-university educational bodies (n = 10, 12%). The
   Flesch-Kincaid Grade Level readability score (mean +/- SD) was 11.9 +/-
   2.4 and the Coleman-Liau Readability Index score was 12.6 +/- 1.5.
   Significant correlation was found between the two readability scores (R2
   = 0.509, p = 0.001). The overall agreement between evaluators measured
   by Cohen kappa coefficient was in the range of 0.804-0.876; rated as ''
   Good ''.
   CONCLUSION The DISCERN and the HONcode scores of websites varied and the
   readability levels of most websites were above the public readability
   level. The study highlights the areas that need further improvement and
   development in patient education online materials about IBD.
RI Al-Ghamdi, Mohammed Ibrahim/I-3651-2018; Azer, Samy A./C-8485-2009
OI Al-Ghamdi, Mohammed Ibrahim/0000-0002-9794-554X; Azer, Samy
   A./0000-0001-5638-3256
TC 0
ZB 0
Z8 0
ZA 0
ZS 0
ZR 0
Z9 0
U1 1
U2 4
SN 1007-9327
EI 2219-2840
UT WOS:000395824400028
ER

PT J
AU Chang, Li-Chun
   Chen, Yu-Chi
   Liao, Li-Ling
   Wu, Fei Ling
   Hsieh, Pei-Lin
   Chen, Hsiao-Jung
TI Validation of the instrument of health literacy competencies for
   Chinese-speaking health professionals
SO PLOS ONE
VL 12
IS 3
AR e0172859
DI 10.1371/journal.pone.0172859
PD MAR 6 2017
PY 2017
AB The study aimed to illustrate the constructs and test the psychometric
   properties of an instrument of health literacy competencies (IOHLC) for
   health professionals. A multi-phase questionnaire development method was
   used to develop the scale. The categorization of the knowledge and
   practice domains achieved consensus through a modified Delphi process.
   To reduce the number of items, the 92-item IOHLC was psychometrically
   evaluated through internal consistency, Rasch modeling, and two-stage
   factor analysis. In total, 736 practitioners, including nurses, nurse
   practitioners, health educators, case managers, and dieticians completed
   the 92-item IOHLC online from May 2012 to January 2013. The final
   version of the IOHLC covered 9 knowledge items and 40 skill items
   containing 9 dimensions, with good model fit, and explaining 72% of
   total variance. All domains had acceptable internal consistency and
   discriminant validity. The tool in this study is the first to verify
   health literacy competencies rigorously. Moreover, through psychometric
   testing, the 49-item IOHLC demonstrates adequate reliability and
   validity. The IOHLC may serve as a reference for the theoretical and
   in-service training of Chinese-speaking individuals' health literacy
   competencies.
OI Chen, Yu-Chi/0000-0003-4144-3265
ZA 0
ZS 0
Z8 0
ZR 0
ZB 1
TC 4
Z9 4
U1 2
U2 13
SN 1932-6203
UT WOS:000396054300024
PM 28264036
ER

PT J
AU Reed, Richard L.
   McIntyre, Ellen
   Jackson-Bowers, Eleanor
   Kalucy, Libby
TI Pathways to research impact in primary healthcare: What do Australian
   primary healthcare researchers believe works best to facilitate the use
   of their research findings?
SO HEALTH RESEARCH POLICY AND SYSTEMS
VL 15
AR 17
DI 10.1186/s12961-017-0179-7
PD MAR 2 2017
PY 2017
AB Background: Primary healthcare researchers are under increasing pressure
   to demonstrate measurable and lasting improvement in clinical practice
   and healthcare policy as a result of their work. It is therefore
   important to understand the effectiveness of the research dissemination
   strategies used. The aim of this paper is to describe the pathways for
   research impact that have been achieved across several government-funded
   primary healthcare projects, and the effectiveness of these methods as
   perceived by their Chief Investigators.
   Methods: The project used an online survey to collect information about
   government-funded primary healthcare research projects. Chief
   Investigators were asked how they disseminated their findings and how
   this achieved impact in policy and practice. They were also asked to
   express their beliefs regarding the most effective means of achieving
   research impact and describe how this occurred.
   Results: Chief Investigators of 17 projects indicated that a number of
   dissemination strategies were used but that professional networks were
   the most effective means of promoting uptake of their research findings.
   Utilisation of research findings for clinical practice was most likely
   to occur in organisations or among individual practitioners who were
   most closely associated with the research team, or when research
   findings were included in educational programmes involving clinical
   practice. Uptake of both policy-and practice-related research was deemed
   most successful if intermediary organisations such as formal
   professional networks were engaged in the research. Successful primary
   healthcare researchers had developed critical relationships with
   intermediary organisations within primary healthcare before the
   initiation of the research and had also involved them in the design. The
   scale of research impact was influenced by the current policy
   environment, the type and significance of the results, and the
   endorsement (or lack thereof) of professional bodies.
   Conclusions: Chief Investigators believed that networks were the most
   effective means of research dissemination. Researchers who were embedded
   in professional, clinical or policy-focussed intermediary organisations,
   or had developed partnerships with clinical services, which had a vested
   interest in the research findings, were more able to describe a direct
   impact of their research. This suggests that development of these
   relationships and engagement of these stakeholders by primary healthcare
   researchers is a vital step for optimal research utilisation in the
   primary healthcare setting.
RI Reed, Richard/; mcintyre, ellen/E-5264-2015
OI Reed, Richard/0000-0002-5115-4726; mcintyre, ellen/0000-0002-2230-1619
ZA 0
ZB 1
ZS 0
TC 7
ZR 0
Z8 0
Z9 7
U1 0
U2 5
SN 1478-4505
UT WOS:000395920400001
PM 28253903
ER

PT J
AU Morean, Meghan E.
   Wedel, Amelia V.
TI Vaping to lose weight: Predictors of adult e-cigarette use for weight
   loss or control
SO ADDICTIVE BEHAVIORS
VL 66
BP 55
EP 59
DI 10.1016/j.addbeh.2016.10.022
PD MAR 2017
PY 2017
AB Introduction: Some traditional cigarette smokers are motivated to smoke
   to lose weight or control their weight. The current study evaluated
   whether a subset of adult e-cigarette users reported vaping to lose or
   control their weight and examined potential predictors of vaping for
   weight management.
   Methods: Adult e-cigarette users (n = 459) who reported wanting to lose
   weight or maintain their weight completed an anonymous online survey.
   Participants reported on demographics, vaping frequency, e-cigarette
   nicotine content, cigarette smoking status, preferred
   e-cigarette/e-liquid flavors, current weight status (i.e., overweight,
   underweight), use of dieting strategies associated with anorexia and
   bulimia, lifetime history of binge eating, self-discipline, and impulse
   control. Binary logistic regression was used to examine whether vaping
   for weight loss/control was associated with the aforementioned
   variables.
   Results: Participants who reported vaping for weight loss/control
   (13.5%) were more likely to vape frequently (adjOR = 1.15; 95% CI [1.00,
   1.31]); be overweight (adjOR = 2.80; [1.33, 5.90]); restrict calories
   (adjOR = 2.23; [1.13, 4.42]); have poor impulse cantrol (adjOR = 0.59;
   [0.41, 0.86]); and prefer coffee-(adjOR = 2.92; [1.47, 5.80]) or
   vanilla-flavored e-liquid (adjOR = 7.44; [1.56, 36.08]).
   Conclusions: A subset of adult e-cigarette users reported vaping for
   weight loss/control, raising concerns about expanded, scientifically
   unsubstantiated uses of e-cigarettes. Identifying where individuals
   obtain information about vaping for weight loss (e.g., e-cigarette ads,
   Internet) and whether weight-related motives promote e-cigarette
   initiation among e-cigarette na ve individuals is important to informing
   regulatory efforts. Further research also is needed to better understand
   the link between e-liquid flavors and weight loss motivations. (C) 2016
   Elsevier Ltd. All rights reserved.
RI Morean, Meghan/I-8272-2019; Wedel, Amelia/
OI Morean, Meghan/0000-0003-4865-1155; Wedel, Amelia/0000-0002-3616-3499
ZS 1
ZA 0
TC 51
ZB 18
Z8 0
ZR 0
Z9 51
U1 0
U2 27
SN 0306-4603
EI 1873-6327
UT WOS:000392684300009
PM 27875790
ER

PT J
AU Tunnecliff, Jacqueline
   Weiner, John
   Gaida, James E.
   Keating, Jennifer L.
   Morgan, Prue
   Ilic, Dragan
   Clearihan, Lyn
   Davies, David
   Sadasivan, Sivalal
   Mohanty, Patitapaban
   Ganesh, Shankar
   Reynolds, John
   Maloney, Stephen
TI Translating evidence to practice in the health professions: a randomized
   trial of Twitter vs Facebook
SO JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
VL 24
IS 2
BP 403
EP 408
DI 10.1093/jamia/ocw085
PD MAR 2017
PY 2017
AB Objective: Our objective was to compare the change in research informed
   knowledge of health professionals and their intended practice following
   exposure to research information delivered by either Twitter or
   Facebook.
   Methods: This open label comparative design study randomized health
   professional clinicians to receive "practice points" on tendinopathy
   management via Twitter or Facebook. Evaluated outcomes included
   knowledge change and self-reported changes to clinical practice.
   Results: Four hundred and ninety-four participants were randomized to 1
   of 2 groups and 317 responders analyzed. Both groups demonstrated
   improvements in knowledge and reported changes to clinical practice.
   There was no statistical difference between groups for the outcomes of
   knowledge change (P=.728), changes to clinical practice (P =.11) or the
   increased use of research information (P =.89). Practice points were
   shared more by the Twitter group (P<.001); attrition was lower in the
   Facebook group (P<.001).
   Conclusion: Research information delivered by either Twitter or Facebook
   can improve clinician knowledge and promote behavior change. No
   differences in these outcomes were observed between the Twitter and
   Facebook groups. Brief social media posts are as effective as longer
   posts for improving knowledge and promoting behavior change. Twitter may
   be more useful in publicizing information and Facebook for encouraging
   course completion.
RI Ganesh, Shankar/R-1013-2019; Gaida, Jamie E/A-6062-2011; Clearihan, Lyn E/P-5229-2015; SADASIVAN, SIVALAL/I-4106-2019; Reynolds, John/D-2591-2013; Maloney, Stephen/; Morgan, Prue/
OI Ganesh, Shankar/0000-0002-9264-2312; Gaida, Jamie E/0000-0002-4504-9188;
   Clearihan, Lyn E/0000-0001-6591-9411; SADASIVAN,
   SIVALAL/0000-0002-0181-5223; Reynolds, John/0000-0002-8825-8625;
   Maloney, Stephen/0000-0003-2612-5162; Morgan, Prue/0000-0002-2573-6562
ZB 1
Z8 0
ZR 0
ZA 0
TC 20
ZS 1
Z9 20
U1 1
U2 6
SN 1067-5027
EI 1527-974X
UT WOS:000397029100024
PM 27357833
ER

PT J
AU McHenry, Megan S.
   Abramson, Erika L.
   McKenna, Michael P.
   Li, Su-Ting T.
TI Research in Pediatric Residency: National Experience of Pediatric Chief
   Residents
SO ACADEMIC PEDIATRICS
VL 17
IS 2
BP 144
EP 148
PD MAR 2017
PY 2017
AB OBJECTIVE: To determine factors associated with increased research
   productivity, satisfaction, and perceived barriers to research within
   residency from the experience of pediatric chief residents.
   METHODS: An online cross-sectional survey was administered to academic
   year 2014-15 chief residents. Topics assessed included program
   demographic characteristics, career intentions, research productivity,
   satisfaction with research training and opportunities, and research
   barriers. Chi-square and Fisher exact tests were used for descriptive
   statistics. Multivariable logistic regression analysis was used to
   determine factors associated with productivity and research
   satisfaction.
   RESULTS: The response rate was 63% (165 of 261). Half (82 of 165) were
   productive in research. Most were satisfied with their quality of
   research training (55%; 90 of 165) and research opportunities (69%; 114
   of 165). Chiefs reporting interest in research were 5 times more likely
   to be productive than those who did not (odds ratio [OR] = 5.2; 95%
   confidence interval [CI], 2.3-11.8). Productive chiefs were more likely
   to report including research time in future careers (P = .003). Most
   (83%; 137 of 165) thought their programs were supportive of resident
   research, but lack of time was frequently cited as a major barrier.
   Those satisfied with research opportunities were less likely to find
   lack of training (OR = 0.3; 95% CI, 0.1-0.7) or faculty mentorship (OR =
   0.2; 95% CI, 0.0-0.9) as a major barrier.
   CONCLUSIONS: Pediatric chief resident interest in research is strongly
   associated with research productivity during residency, and research
   productivity is strongly associated with career plans including research
   time. By cultivating research interest through faculty mentorship,
   research training, and dedicated time, pediatric residency programs
   might help foster early research success and, potentially lead to
   continued engagement with research in trainees' future careers.
RI McHenry, Megan/ABE-7272-2020; McHenry, Megan/; Li, Su-Ting/
OI McHenry, Megan/0000-0001-6753-0928; Li, Su-Ting/0000-0002-9104-912X
ZS 0
Z8 0
ZR 0
ZA 0
ZB 2
TC 10
Z9 10
U1 0
U2 5
SN 1876-2859
EI 1876-2867
UT WOS:000395618700007
PM 28259335
ER

PT J
AU Chetlen, Alison L.
   Dell, Carol M.
   Solberg, Agnieszka O.
   Otero, Hansel J.
   Burton, Kirsteen R.
   Heller, Matthew T.
   Lakomkin, Nikita
   Desouches, Stephane L.
   Smith, Stacy E.
TI Another Time,Another Space: The Evolution of the Virtual Journal Club
SO ACADEMIC RADIOLOGY
VL 24
IS 3
BP 273
EP 285
DI 10.1016/j.acra.2016.08.030
PD MAR 2017
PY 2017
AB Virtual journal clubs (VJCs) provide a standardized, easily accessible
   forum for evidence-based discussion. The new virtual reality setting in
   which journal clubs and other online education events now take place
   offers great advantages and new opportunities for radiologists in
   academic medicine and private practice. VJCs continue to evolve, largely
   due to many emerging technologies and platforms. VJCs will continue to
   play an increasingly important role in medical education,
   interdisciplinary interaction, and multi-institutional collaboration. In
   this article, we discuss how to conduct and lead a critical review of
   medical literature in the setting of a virtual or traditional journal
   club. We discuss the current applications of VJCs in medical and
   graduate medical education and continued lifelong learning. We also
   explain the advantages and disadvantages of VJCs over traditional
   venues. Finally, the reader will be given the tools to successfully
   implement and run a VJC.
RI Otero, Hansel/AAF-9084-2020; Otero, Hansel/AAP-1200-2020; Chetlen, Alison/
OI Otero, Hansel/0000-0003-4626-0732; Chetlen, Alison/0000-0001-5304-2392
TC 20
ZS 0
ZB 2
Z8 0
ZA 0
ZR 0
Z9 20
U1 2
U2 12
SN 1076-6332
EI 1878-4046
UT WOS:000394727700004
PM 28193377
ER

PT J
AU Koo, Kevin
   Yap, Ronald L.
TI How Readable Is BPH Treatment Information on the Internet? Assessing
   Barriers to Literacy in Prostate Health
SO AMERICAN JOURNAL OF MENS HEALTH
VL 11
IS 2
BP 300
EP 307
DI 10.1177/1557988316680935
PD MAR 2017
PY 2017
AB Information about benign prostatic hyperplasia (BPH) has become
   increasingly accessible on the Internet. Though the ability to find such
   material is encouraging, its readability and impact on informing patient
   decision making are not known. To evaluate the readability of
   Internet-based information about BPH in the context of website ownership
   and Health on the Net certification, three search engines were queried
   daily for 1 month with BPH-related keywords. Website ownership data and
   Health on the Net certification status were verified. Three readability
   analyses were performed: SMOG test, Dale-Chall readability formula, and
   Fry readability graph. An adjusted SMOG calculation was performed to
   reduce overestimation from medical jargon. After a total of 270
   searches, 52 websites met inclusion criteria. Mean SMOG grade was 10.6
   (SD = 1.4) and 10.2 after adjustment. Mean Dale-Chall score was 9.1 (SD
   = 0.6), or Grades 13 to 15. Mean Fry graph coordinates (173 syllables,
   5.1 sentences) corresponded to Grade 15. Seven sites (13%) were at or
   below the average adult reading level based on SMOG; none of the sites
   qualified based on the other tests. Readability was significantly poorer
   for academic versus commercial sites and for Health on the Net-certified
   versus noncertified sites. In conclusion, online information about BPH
   treatment markedly exceeds the reading comprehension of most U.S.
   adults. Websites maintained by academic institutions and certified by
   the Health on the Net standard have more difficult readability. Efforts
   to improve literacy with respect to urological health should target
   content readability independent of reliability.
ZA 0
ZS 0
ZR 0
TC 15
Z8 0
ZB 4
Z9 15
U1 0
U2 5
SN 1557-9883
EI 1557-9891
UT WOS:000394775900013
PM 27903952
ER

PT J
AU Cass, Nathan
   Kominsky, Alan
   Cabrera-Muffly, Cristina
TI Otolaryngology sleep medicine curriculum objectives as determined by
   sleep experts
SO AMERICAN JOURNAL OF OTOLARYNGOLOGY
VL 38
IS 2
BP 139
EP 142
DI 10.1016/j.amjoto.2016.11.009
PD MAR-APR 2017
PY 2017
AB Purpose: (1) Ascertain the most important concepts and topics for
   otolaryngology resident education in sleep medicine and surgery, as
   determined by faculty who teach sleep medicine to otolaryngology
   residents. (2) Create learning objectives within the area of
   otolaryngologic sleep medicine in order to design a sleep medicine
   curriculum for otolaryngology residents.
   Materials and methods: Two web-based surveys were sent to 163 academic
   otolaryngologists who teach sleep medicine. The first survey determined
   the topics, and their relative importance, considered most vital to
   learn during otolaryngology training. Using the Delphi method, the
   second clarified questions regarding topics determined by the first
   survey. Sleep medicine learning objectives for residents were
   ascertained from responses.
   Results: The response rate of first and second surveys were 24.5% and
   19%, respectively. Topics ranked most important for resident education
   included upper airway anatomy, polysomnogram interpretation, and
   understanding the range of medical and surgical therapies used to treat
   sleep disorders. Respondents listed surgical therapy as the most
   critical topic that most residents do not understand well. The second
   survey clarified the specific anatomic features, surgical techniques,
   and polysomnography data points deemed most critical for resident
   learning.
   Conclusions: Academic otolaryngology sleep experts hold opinions
   regarding relative value of different topics for teaching sleep
   medicine, which is useful in creating a curriculum for otolaryngology
   residents. Otolaryngology learning objectives related to sleep medicine
   identified during this study are being used to create an online
   curriculum to supplement resident education. (C) 2016 Elsevier Inc. All
   rights reserved.
OI Cabrera-Muffly, Cristina/0000-0001-7697-8871
Z8 0
ZR 0
ZA 0
TC 2
ZS 0
ZB 0
Z9 2
U1 0
U2 0
SN 0196-0709
EI 1532-818X
UT WOS:000398333800006
PM 27913069
ER

PT J
AU Ajjawi, Rola
   Barton, Karen L.
   Dennis, Ashley A.
   Rees, Charlotte E.
TI Developing a national dental education research strategy: priorities,
   barriers and enablers
SO BMJ OPEN
VL 7
IS 3
AR e013129
DI 10.1136/bmjopen-2016-013129
PD MAR 2017
PY 2017
AB Objectives: This study aimed to identify national dental education
   research (DER) priorities for the next 3-5 years and to identify
   barriers and enablers to DER.
   Setting: Scotland.
   Participants: In this two-stage online questionnaire study, we collected
   data with multiple dental professions (eg, dentistry, dental nursing and
   dental hygiene) and stakeholder groups (eg, learners, clinicians,
   educators, managers, researchers and academics). Eighty-five
   participants completed the Stage 1 qualitative questionnaire and 649
   participants the Stage 2 quantitative questionnaire.
   Results: Eight themes were identified at Stage 1. Of the 24 DER
   priorities identified, the top three were: role of assessments in
   identifying competence; undergraduate curriculum prepares for practice
   and promoting teamwork. Following exploratory factor analysis, the 24
   items loaded onto four factors: teamwork and professionalism, measuring
   and enhancing performance, dental workforce issues and curriculum
   integration and innovation. Barriers and enablers existed at multiple
   levels: individual, interpersonal, institutional structures and cultures
   and technology.
   Conclusions: This priority setting exercise provides a necessary first
   step to developing a national DER strategy capturing multiple
   perspectives. Promoting DER requires improved resourcing alongside
   efforts to overcome peer stigma and lack of valuing and motivation.
OI Barton, Karen/0000-0003-2074-005X; Dennis, Ashley/0000-0002-2744-423X;
   Ajjawi, Rola/0000-0003-0651-3870; Rees, Charlotte/0000-0003-4828-1422
Z8 0
ZB 0
TC 8
ZR 0
ZS 1
ZA 0
Z9 8
U1 0
U2 11
SN 2044-6055
UT WOS:000398959400049
PM 28360237
ER

PT J
AU Currie, Geoff
   Woznitza, Nick
   Bolderston, Amanda
   Westerink, Adam
   Watson, Julia
   Beardmore, Charlotte
   Di Prospero, Lisa
   McCuaig, Carly
   Nightingale, Julie
TI Twitter Journal Club in Medical Radiation Science
SO JOURNAL OF MEDICAL IMAGING AND RADIATION SCIENCES
VL 48
IS 1
BP 83
EP 89
DI 10.1016/j.jmir.2016.09.001
PD MAR 2017
PY 2017
AB Introduction: Social media has emerged as a powerful platform for
   engagement and learning. There is a growing trend toward the use of
   social media among health care professionals and professional groups to
   disseminate and discuss knowledge. Twitter is one tool that may enhance
   continuing professional development (CPD) for the medical radiation
   technologist. To evaluate the potential benefits of Twitter to CPD among
   medical radiation technologists, this study explored the integration of
   Bloom's taxonomy with Twitter-based professional activities.
   Approach: In 2015, the Medical Radiation Journal Club
   (https://medradjclub.wordpress.com/) commenced a monthly Twitter-based
   journal club for medical radiation professionals. This study
   investigates the application of Bloom's taxonomy of the Twitter-based
   journal club for CPD purposes.
   Outcome: The Twitter-based journal club provides a valuable platform for
   CPD. The combination of journal articles, supplementary reading, online
   blog, and the one-hour Twitter discussion engages all levels of Bloom's
   taxonomy; remember, understand, apply, analyze, evaluate, and create. A
   deeper insight revealed that the Twitter journal club provides an
   authentic learning environment suitable for CPD in which participants
   consume, collaborate, and produce.
   Conclusions: This evaluation demonstrated that the Twitter journal club
   can provide an authentic learning environment with all the cognitive
   dimensions afforded in a formal classroom or face-to-face journal club.
   Indeed, in some ways, these cognitive dimensions are enhanced in the
   Twittersphere.
OI Bolderston, Amanda/0000-0003-4628-7900; Currie,
   Geoff/0000-0002-6180-8586; Woznitza, Nick/0000-0001-9598-189X
TC 13
ZB 0
ZA 0
Z8 0
ZR 0
ZS 0
Z9 13
U1 0
U2 1
SN 1939-8654
UT WOS:000416996200013
PM 31047215
ER

PT J
AU Ferster, Ashley P. O'Connell
   Hu, Amanda
TI Evaluating the quality and readability of Internet information sources
   regarding the treatment of swallowing disorders
SO ENT-EAR NOSE & THROAT JOURNAL
VL 96
IS 3
BP 128
EP +
DI 10.1177/014556131709600312
PD MAR 2017
PY 2017
AB The Internet has become a popular resource for patient education. The
   information it provides, however, is rarely peer-reviewed, and its
   quality may be a concern. Since the average American reads at an 8th
   grade level, the American Medical Association and the National
   Institutes of Health have recommended that health information be written
   at a 4th to 6th grade level. We performed a study to assess the quality
   and readability of online information regarding the treatment of
   swallowing disorders. A Google search for "swallowing treatment" was
   conducted. We studied the first 50 websites that appeared on the search
   engine's results with the use of the DISCERN quality index tool, the
   Flesch Ease of Reading Score (FRES), and the Flesch-Kincaid Grade Level
   (FKGL) readability test. DISCERN is a validated 16-item questionnaire
   used to assess the quality of written health information; FRES and FKGL
   are used to assess readability. We classified the websites as either
   patient-targeted or professional-targeted sites, as well as either major
   or minor. The overall DISCERN score was 1.61 +/- 0.61 (range: 1 to 5),
   the overall FRES was 39.1 +/- 19.0 (range: 1 to 100), and the overall
   FKGL was 11.8 +/- 3.4 (range: 3 to 12). As would be expected,
   patient-targeted websites had significantly higher FRES and
   significantly lower FKGL scores than did the professional-targeted
   websites (p = 0.01 and p = 0.04, respectively); there was no significant
   difference between the two in DISCERN scores. The major websites had
   significantly higher DISCERN scores than did the minor sites (p =
   0.002); there were no significant differences in FRES and FKGL scores.
   We conclude that online information sources regarding the treatment of
   swallowing disorders were of suboptimal quality in that information was
   written at a level too difficult for the average American to easily
   understand. Also, the patient-targeted websites were written at a lower
   reading level, and the major websites contained a higher quality of
   information
RI Hu, Amanda/AAL-7627-2020; Hu, Amanda/
OI Hu, Amanda/0000-0002-1292-1582
ZR 0
TC 17
ZB 4
ZS 0
Z8 0
ZA 0
Z9 17
U1 1
U2 1
SN 0145-5613
EI 1942-7522
UT WOS:000397172200010
PM 28346643
ER

PT J
AU Liu, Hui-Ching
   Liu, Shen-Ing
   Tjung, Jin-Jin
   Sun, Fang-Ju
   Huang, Hui-Chun
   Fang, Chun-Kai
TI Self-harm and its association with internet addiction and internet
   exposure to suicidal thought in adolescents
SO JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION
VL 116
IS 3
BP 153
EP 160
DI 10.1016/j.jfma.2016.03.010
PD MAR 2017
PY 2017
AB Background/purpose: Self-harm (SH) is a risk factor for suicide. We
   aimed to determine whether internet addiction and internet exposure to
   confided suicidal ideation are associated with SH in adolescents.
   Methods: This study was a cross-sectional survey of students who
   self-completed a series of online questionnaires including a
   sociodemographic information questionnaire, questionnaire for
   suicidality and SH, Chen Internet Addiction Scale (CIAS), Patient Health
   Questionnaire (PHQ-9), multi-dimensional support scale (MDSS), Rosenberg
   self-esteem scale (RSES), Alcohol Use Disorder Identification
   Test-Consumption (AUDIT-C), and questionnaire for substance abuse.
   Results: A total of 2479 students completed the questionnaires (response
   rate = 62.1%). They had a mean age of 15.44 years (range 14-19 years;
   standard deviation 0.61), and were mostly female (n = 1494; 60.3%). The
   prevalence of SH within the previous year was 10.1% (n = 250). Among the
   participants, 17.1% had internet addiction (n = 425) and 3.3% had been
   exposed to suicidal content on the internet (n = 82). In the
   hierarchical logistic regression analysis, internet addiction and
   internet exposure to suicidal thoughts were both significantly related
   to an increased risk of SH, after controlling for gender, family
   factors, exposure to suicidal thoughts in the real life, depression,
   alcohol/tobacco use, concurrent suicidality, and perceived social
   support. However, the association between internet addiction and
   weakened after adjusting for the level of self-esteem, while internet
   exposure to suicidal thoughts remained significantly related to an
   increased risk of SH (odds ratio Z 1.96; 95% confidence interval:
   1.06-3.64).
   Conclusion: Online experiences are associated with SH in adolescents.
   Preventive strategies may include education to increase social
   awareness, to identify the youths most at risk, and to provide prompt
   help. Copyright (C) 2016, Formosan Medical Association. Published by
   Elsevier Taiwan LLC. This is an open access article under the CC
   BY-NC-ND license (http:// creativecommons. org/licenses/bync-nd/4.0/).
OI Huang, Hui Chun/0000-0002-9695-0777
ZB 5
ZS 0
ZA 0
TC 27
ZR 0
Z8 2
Z9 29
U1 7
U2 35
SN 0929-6646
EI 1876-0821
UT WOS:000397265500004
PM 27146126
ER

PT J
AU Manyazewal, Tsegahun
   Marinucci, Francesco
   Belay, Getachew
   Tesfaye, Abraham
   Kebede, Amha
   Tadesse, Yewondwossen
   Lehman, Susan
   Temesgen, Zelalem
TI Implementation and Evaluation of a Blended Learning Course on
   Tuberculosis for Front-Line Health Care Professionals
SO AMERICAN JOURNAL OF CLINICAL PATHOLOGY
VL 147
IS 3
BP 285
EP 291
DI 10.1093/AJCP/AQX002
PD MAR 2017
PY 2017
AB Objectives: To implement and evaluate the effectiveness of a 10-module
   blended learning course on tuberculosis diagnosis for Ethiopian health
   care professionals.
   Methods: This implementation science research was conducted within the
   routine in-service training for health care professionals in Ethiopia. A
   combined web-based and face-to-face acid-fast bacilli microscopy course
   was designed and its applicability studied after 6 weeks of enrollment
   of 108 medical laboratory professionals. A survey was conducted to
   capture participants' feedback on the course.
   Results: Of 108 participants enrolled, 81 attended and 73 (90%)
   completed the course; 72 (94%) had no experience taking online courses.
   Mean percentages of quizzes, assignments/exercises, and hands-on scores
   were 88%, 70%, and 95%, respectively. No significant differences were
   found in scores between participants from public, private, and
   non-governmental health facilities (P = .386) or between higher and
   lower level facilities (P = .533). Participants' overall satisfaction
   with the course was 88%.
   Conclusions: Blended learning was an effective pedagogic approach for
   this category of professionals because of the crucial need for hands-on
   training for practicing and translating knowledge into skills. This
   approach also had the advantages of keeping the costs of the entire
   course low and reaching a greater number of participants, all without
   significant disruption of work schedules.
RI Manyazewal, Tsegahun/ABA-2390-2021
OI Manyazewal, Tsegahun/0000-0002-8360-7574
Z8 0
ZB 2
TC 9
ZS 1
ZR 0
ZA 0
Z9 10
U1 1
U2 14
SN 0002-9173
EI 1943-7722
UT WOS:000397109200005
PM 28395055
ER

PT J
AU Medina-Presentado, Julio C.
   Margolis, Alvaro
   Teixeira, Lucia
   Lorier, Leticia
   Gales, Ana C.
   Perez-Sartori, Graciela
   Oliveira, Maura S.
   Seija, Veronica
   Paciel, Daniela
   Vignoli, Rafael
   Guerra, Silvia
   Albornoz, Henry
   Arteta, Zaida
   Lopez-Arredondo, Antonio
   Garcia, Sofia
TI Online continuing interprofessional education on hospital-acquired
   infections for Latin America
SO BRAZILIAN JOURNAL OF INFECTIOUS DISEASES
VL 21
IS 2
BP 140
EP 147
DI 10.1016/j.bjid.2016.11.003
PD MAR-APR 2017
PY 2017
AB IntroductionLatin America is a large and diverse region, comprising more
   than 600 million inhabitants and one million physicians in over 20
   countries. Resistance to antibacterial drugs is particularly important
   in the region. This paper describes the design, implementation and
   results of an international bi-lingual (Spanish and Portuguese) online
   continuing interprofessional interactive educational program on
   hospital-acquired infections and antimicrobial resistance for Latin
   America, supported by the American Society for Microbiology.
   MethodsParticipation, satisfaction and knowledge gain (through pre and
   post tests) were used. Moreover, commitment to change statements were
   requested from participants at the end of the course and three months
   later.
   ResultsThere were 1169 participants from 19 Latin American countries who
   registered: 57% were physicians and 43% were other health care
   professionals. Of those, 1126 participated in the course, 46% received a
   certificate of completion and 54% a certificate of participation. There
   was a significant increase in knowledge between before and after the
   course. Of 535 participants who took both tests, the grade increased
   from 59 to 81%. Commitments to change were aligned with course
   objectives.
   DiscussionImplementation of this educational program showed the
   feasibility of a continent-wide interprofessional massive course on
   hospital acquired-infections in Latin America, in the two main languages
   spoken in the region. Next steps included a new edition of this course
   and a New Challenges course on hospital-acquired infections, which were
   successfully implemented in the second semester of 2015 by the same
   institutions. (C) 2016 Sociedade Brasileira de Infectologia. Published
   by Elsevier Editora Ltda. This is an open access article under the CC
   BY-NC-ND license.
RI Gales, Ana Cristina/C-8280-2013; Vignoli, Rafael/T-4010-2019; Teixeira, Lucia Martins/AAO-7988-2020; SEIJA, VERONICA/; Margolis, Alvaro/
OI Gales, Ana Cristina/0000-0003-0913-768X; Vignoli,
   Rafael/0000-0002-2098-9966; Teixeira, Lucia Martins/0000-0002-4017-7076;
   SEIJA, VERONICA/0000-0002-3585-9259; Margolis,
   Alvaro/0000-0002-2631-2323
TC 8
ZA 0
Z8 0
ZB 0
ZS 0
ZR 0
Z9 8
U1 0
U2 14
SN 1413-8670
EI 1678-4391
UT WOS:000397963900004
PM 27918888
ER

PT J
AU Haruna, Hussein
   Tshuma, Ndumiso
   Hu, Xiao
TI Health Information Needs and Reliability of Sources Among Nondegree
   Health Sciences Students: A Prerequisite for Designing eHealth Literacy
SO ANNALS OF GLOBAL HEALTH
VL 83
IS 2
BP 369
EP 379
DI 10.1016/j.aogh.2017.03.516
PD MAR-APR 2017
PY 2017
AB BACKGROUND Understanding health information needs and health-seeking
   behavior is a prerequisite for developing an electronic health
   information literacy (EHIL) or eHealth literacy program for nondegree
   health sciences students. At present, interest in researching health
   information needs and reliable sources paradigms has gained momentum in
   many countries. However, most studies focus on health professionals and
   students in higher education institutions.
   OBJECTIVE The present study was aimed at providing new insight and
   filling the existing gap by examining health information needs and
   reliability of sources among nondegree health sciences students in
   Tanzania.
   METHOD A cross-sectional study was conducted in 15 conveniently selected
   health training institutions, where 403 health sciences students were
   participated. Thirty health sciences students were both purposely and
   conveniently chosen from each health-training institution. The selected
   students were pursuing nursing and midwifery, clinical medicine,
   dentistry, environmental health sciences, pharmacy, and medical
   laboratory sciences courses. Involved students were either in their
   first year, second year, or third year of study.
   RESULTS Health sciences students' health information needs focus on
   their educational requirements, clinical practice, and personal
   information. They use print, human, and electronic health information.
   They lack eHealth research skills in navigating health information
   resources and have insufficient facilities for accessing eHealth
   information, a lack of specialists in health information, high costs for
   subscription electronic information, and unawareness of the availability
   of free Internet and other online health-related databases.
   CONCLUSION This study found that nondegree health sciences students have
   limited skills in EHIL. Thus, designing and incorporating EHIL skills
   programs into the curriculum of nondegree health sciences students is
   vital. EHIL is a requirement common to all health settings, learning
   environments, and levels of study. Our future intention is to design
   EHIL to support nondegree health sciences students to retrieve and use
   available health information resources on the Internet.
RI Hu, Xiao/A-7645-2013; Tshuma, Ndumiso/
OI Tshuma, Ndumiso/0000-0001-8689-9771
ZB 0
ZS 0
Z8 0
ZR 0
TC 2
ZA 0
Z9 2
U1 2
U2 30
SN 2214-9996
UT WOS:000406008800018
PM 28619414
ER

PT J
AU Shen, Nelson
   Yufe, Shira
   Saadatfard, Omid
   Sockalingam, Sanjeev
   Wiljer, David
TI Rebooting Kirkpatrick: Integrating Information System Theory Into the
   Evaluation of Web-based Continuing Professional Development
   Interventions for Interprofessional Education
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 37
IS 2
BP 137
EP 146
DI 10.1097/CEH.0000000000000154
PD SPR 2017
PY 2017
AB Introduction: Information system research has stressed the importance of
   theory in understanding how user perceptions can motivate the use and
   adoption of technology such as web-based continuing professional
   development programs for interprofessional education (WCPD-IPE). A
   systematic review was conducted to provide an information system
   perspective on the current state of WCPD-IPE program evaluation and how
   current evaluations capture essential theoretical constructs in
   promoting technology adoption.
   Methods: Six databases were searched to identify studies evaluating
   WCPD-IPE. Three investigators determined eligibility of the articles.
   Evaluation items extracted from the studies were assessed using the
   Kirkpatrick-Barr framework and mapped to the Benefits Evaluation
   Framework.
   Results: Thirty-seven eligible studies yielded 362 evaluation items for
   analysis. Most items (n = 252) were assessed as Kirkpatrick-Barr level 1
   (reaction) and were mainly focused on the quality (information, service,
   and quality) and satisfaction dimensions of the Benefits Evaluation.
   System quality was the least evaluated quality dimension, accounting for
   26 items across 13 studies. WCPD-IPE use was reported in 17 studies and
   its antecedent factors were evaluated in varying degrees of
   comprehensiveness.
   Discussion: Although user reactions were commonly evaluated, greater
   focus on user perceptions of system quality (ie, functionality and
   performance), usefulness, and usability of the web-based platform is
   required. Surprisingly, WCPD-IPE use was reported in less than half of
   the studies. This is problematic as use is a prerequisite to realizing
   any individual, organizational, or societal benefit of WCPD-IPE. This
   review proposes an integrated framework which accounts for these factors
   and provides a theoretically grounded guide for future evaluations.
RI Shen, Nelson/; Wiljer, David/; Saadatfard, Omid/; Sockalingam, Sanjeev/I-7212-2016
OI Shen, Nelson/0000-0003-1788-8176; Wiljer, David/0000-0002-2748-2658;
   Saadatfard, Omid/0000-0002-3506-0260; Sockalingam,
   Sanjeev/0000-0002-9626-1509
Z8 0
ZA 0
TC 8
ZS 0
ZR 0
ZB 0
Z9 8
U1 1
U2 7
SN 0894-1912
EI 1554-558X
UT WOS:000405489400011
PM 28562503
ER

PT J
AU Al Fayez, Reem Q.
   Joy, Mike
TI Using Linked Data for Integrating Educational Medical Web Databases
   Based on BioMedical Ontologies
SO COMPUTER JOURNAL
VL 60
IS 3
BP 369
EP 388
DI 10.1093/comjnl/bxw096
PD MAR 2017
PY 2017
AB Open data are playing a vital role in different communities, including
   governments, businesses and education. This revolution has had a high
   impact on the education field. Recently, Linked Data are being adopted
   for publishing and connecting data on the web by exposing and connecting
   data, which were not previously linked. In the context of education,
   applying Linked Data to the growing amount of open data used for
   learning is potentially highly beneficial. This paper proposes a system
   that tackles the challenges of data acquisition and integration from
   distributed web data sources into one linked data set. The application
   domain of this work is medical education, and the focus is on
   integrating educational content in the form of articles published in
   online educational libraries and Web 2.0 content that can be used for
   education. The process of integrating a collection of heterogeneous
   resources is to create links that connect the resources collected from
   distributed web data sources based on their semantics. The proposed
   system harvests metadata from distributed web sources and enriches it
   with concepts from biomedical ontologies, such as Systematized
   Nomenclature of Medicine-Clinical Terms (SNOMED CT), that enable its
   linking. The final result of building this system is a linked data set
   of more than 10 000 resources collected from PubMed Library, YouTube
   channels and Blogging platforms. The final linked data set is evaluated
   by developing information retrieval methods that exploit the SNOMED CT
   hierarchical relations for accessing and querying the data set.
   Ontology-based browsing method has been developed for exploring the data
   set, and the browsing results have been clustered to evaluate its
   linkages. Furthermore, ontology-based query searching method has been
   developed and tested to enhance the discoverability of the data. The
   results were promising and had shown that using SNOMED CT for
   integrating distributed resources on the web is beneficial.
RI Fayez, Reem Q. Al/V-2141-2019; Joy, Mike/D-2164-2011
OI Fayez, Reem Q. Al/0000-0002-5257-3973; Joy, Mike/0000-0001-9826-5928
Z8 0
ZB 0
ZR 0
ZS 0
ZA 0
TC 2
Z9 2
U1 1
U2 27
SN 0010-4620
EI 1460-2067
UT WOS:000397056700006
ER

PT J
AU Jacob, Rebekah R.
   Allen, Peg M.
   Ahrendt, Linda J.
   Brownson, Ross C.
TI Learning About and Using Research Evidence Among Public Health
   Practitioners
SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE
VL 52
IS 3
BP S304
EP S308
DI 10.1016/j.amepre.2016.10.010
SU 3
PD MAR 2017
PY 2017
AB Introduction: Funders and accreditation standards increasingly call on
   state and local public health agencies to use the best available
   science. Using research evidence is a key process in practicing
   evidence-based decision making (EBDM). This study explored preferences
   for and uses of research evidence, and examined correlates regarding
   frequency of use.
   Methods: In 2014, eligible staff from 12 state health departments and
   their partnering agencies were invited to complete an online self-report
   questionnaire and achieved an 82% response rate (1,237/1,509). The
   cross-sectional data analyzed in 2015 were baseline to a study on
   enhancing EBDM capacity and supports.
   Results: Webinars/workshops was the most frequently selected method to
   learn public health findings among those in state and local health
   departments, whereas academic journals was the top selection by those in
   universities and healthcare facilities (p <0.001). Several modifiable
   EBDM practices were associated with more frequent use of research
   evidence, including direct supervisor expectations for EBDM use and
   performance evaluation based partially on EBDM use (AOR=2.5, 95% CI=1.9,
   3.2 and AOR=2.5, 95% CI=2.1, 2.9, respectively). Increased numbers of
   EBDM practices were associated with higher odds of frequent research
   evidence use. Participant characteristics associated with higher
   research evidence use and adjusted for were job role, education
   attainment, and gender.
   Conclusions: To translate research into public health practice,
   researchers can tailor evidence on intervention implementation and
   effectiveness and disease burden to accessible and preferred formats for
   public health workers and partners. Management practices to support
   evidence-based disease prevention can be instituted and fostered in
   public health and partnering agencies. (C) 2016 American Journal of
   Preventive Medicine. Published by Elsevier Inc.
OI Jacob, Rebekah/0000-0003-2466-8809
ZR 0
ZB 4
ZA 0
Z8 0
TC 18
ZS 2
Z9 20
U1 2
U2 3
SN 0749-3797
EI 1873-2607
UT WOS:000400433600023
PM 28215386
ER

PT J
AU Wong, Kevin
   Levi, Jessica R.
TI Partial Tonsillectomy: Content and Readability of Online Health
   Information
SO ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY
VL 126
IS 3
BP 192
EP 198
DI 10.1177/0003489416681583
PD MAR 2017
PY 2017
AB Objectives: Evaluate the content and readability of health information
   regarding partial tonsillectomy.
   Methods: A web search was performed using the term partial tonsillectomy
   in Google, Yahoo!, and Bing. The first 50 websites from each search were
   evaluated using HONcode standards for quality and content. Readability
   was assessed using the Flesch-Kincaid Grade Level (FKGL), Flesch Reading
   Ease, Gunning-Fog Index, Coleman-Liau Index, Automated Readability
   Index, and SMOG score. The Freeman-Halton extension of Fisher's exact
   test was used to compare categorical differences between engines.
   Results: Less than half of the websites mentioned patient eligibility
   criteria (43.3%), referenced peer-reviewed literature (43.3%), or
   provided a procedure description (46.7%). Twenty-two websites (14.7%)
   were unrelated to partial tonsillectomy, and over half contained
   advertisements (52%). These finding were consistent across search
   engines and search terms. The mean FKGL was 11.6 +/- 0.11, Gunning-Fog
   Index was 15.1 +/- 0.13, Coleman-Liau Index was 14.6 +/- 0.11, ARI was
   12.9 +/- 0.13, and SMOG grade was 14.0 +/- 0.1. All readability levels
   exceeded the abilities of the average American adult.
   Conclusions: Current online information regarding partial tonsillectomy
   may not provide adequate information and may be written at a level too
   difficult for the average adult reader.
TC 8
ZS 1
ZR 0
ZA 0
Z8 1
ZB 1
Z9 9
U1 0
U2 8
SN 0003-4894
EI 1943-572X
UT WOS:000398081300004
PM 27932524
ER

PT J
AU Hobday, John V.
   Gaugler, Joseph E.
   Mittelman, Mary S.
TI Feasibility and Utility of Online Dementia Care Training for Hospital
   Staff The CARES (R) Dementia-Friendly Hospital (TM) Program
SO RESEARCH IN GERONTOLOGICAL NURSING
VL 10
IS 2
BP 58
EP +
DI 10.3928/19404921-20170131-01
PD MAR-APR 2017
PY 2017
AB The current project tested the feasibility and utility of the CARES (R)
   Dementia-Friendly Hospital (TM) (CDFH) program, a 4-module, online
   training program for nursing assistants (NAs) and allied hospital
   workers (AHWs) who provide care to individuals with dementia. A single
   group pretest/posttest design was used for 25 hospital NAs/AHWs, and
   quantitative and qualitative data were collected to determine whether
   NAs'/AHWs' knowledge of hospital-based dementia care significantly
   increased, and if CDFH was perceived as useful and acceptable. Dementia
   care knowledge increased significantly (p < 0.001). Open- and
   closed-ended data suggested that the delivery of online training to
   NAs/AHWs to enhance dementia care is feasible, useful, and efficient.
   Ongoing gaps in care exist for individuals with dementia in hospitals,
   and delivering robust training for NAs/AHWs may serve as an effective
   modality to enhance quality of dementia care in such settings.
OI Gaugler, Joseph/0000-0003-4797-485X; Mittelman, Mary/0000-0002-4074-8537
ZR 0
TC 13
ZS 0
ZB 3
Z8 0
ZA 0
Z9 13
U1 0
U2 17
SN 1940-4921
EI 1938-2464
UT WOS:000404266400002
PM 28152156
ER

PT J
AU Jurecki, E. R.
   Cederbaum, S.
   Kopesky, J.
   Perry, K.
   Rohr, F.
   Sanchez-Valle, A.
   Viau, K. S.
   Sheinin, M. Y.
   Cohen-Pfeffer, J. L.
TI Adherence to clinic recommendations among patients with phenylketonuria
   in the United States
SO MOLECULAR GENETICS AND METABOLISM
VL 120
IS 3
BP 190
EP 197
DI 10.1016/j.ymgme.2017.01.001
PD MAR 2017
PY 2017
AB Objective: Assess current management practices of phenylketonuria (PKU)
   clinics across the United States (US) based on the key treatment metrics
   of blood phenylalanine (Phe) concentrations and blood Phe testing
   frequency, as well as patient adherence to their clinic's management
   practice recommendations.
   Methods: An online survey was conducted with medical professionals from
   PKU clinics across the US from July to September 2015. Forty-four
   clinics participated in the survey and account for approximately half of
   PKU patients currently followed in clinics in the US (Berry et al.,
   2013).
   Results: The majority of PKU clinics recommended target blood Phe
   concentrations to be between 120 and 360 mu M for all patients; the
   upper threshold was relaxed by some clinics for adult patients (from 360
   to 600 mu M) and tightened for patients who are pregnant/planning to
   become pregnant (to 240 mu M). Patient adherence to these
   recommendations (percentage of patients with blood Phe below the upper
   recommended threshold) was age-dependent, decreasing from 88% in the 0-4
   years age group to 33% in adults 30 + years. Patient adherence to
   recommendations for blood testing frequency followed a similar trend.
   Higher staffing intensity (specialists per 100 PKU patients) was
   associated with better patient adherence to clinics' blood Phe
   concentrations recommendations.
   Conclusion: Clinic recommendations of target blood Phe concentrations in
   the US are now stricter compared to prior years, and largely reflect
   recent guidelines by the American College of Medical Genetics and
   Genomics (Vockley et al., 2014). Adherence to recommended Phe
   concentrations remains suboptimal, especially in older patients.
   However, despite remaining above the guidelines, actual blood Phe
   concentrations in adolescents and adults are lower than those reported
   in the past (Walter et al., 2002; Freehauf et al., 2013). Continued
   education and support for PKU patients by healthcare professionals,
   including adequate clinic staffing, are needed to improve adherence.
   Future research is needed to understand how to improve adherence to
   reduce the number of patients lost to follow-up, as the findings of this
   and similar surveys do not address how to keep patients in clinic. (C)
   2017 The Authors. Published by Elsevier Inc.
RI Sanchez-Valle, Amarilis/AAS-7075-2021
TC 73
ZR 0
ZA 0
Z8 1
ZB 36
ZS 3
Z9 76
U1 1
U2 5
SN 1096-7192
EI 1096-7206
UT WOS:000397080600004
PM 28162992
ER

PT J
AU Ramkumar, Prem N.
   La, Ton, Jr.
   Fisch, Evan
   Fabricant, Peter D.
   White, Alexander E.
   Jones, Kristofer J.
   Taylor, Samuel A.
TI Integrating Social Media and Anterior Cruciate Ligament Surgery: An
   Analysis of Patient, Surgeon, and Hospital Use
SO ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY
VL 33
IS 3
BP 579
EP 585
DI 10.1016/j.arthro.2016.08.021
PD MAR 2017
PY 2017
AB Purpose: The purpose of this observational study of social media in
   sports medicine was to investigate and analyze the presence and shared
   content of anterior cruciate ligament (ACL) patients, sports surgeons,
   and top orthopaedic hospitals on popular social media streams. Methods:
   A search of 2 public domains (Instagram and Twitter) was performed over
   a 6-month period. ACL surgery ("#aclsurgery") was selected for the
   Instagram-based patient analysis after exclusion of veterinary ACL
   operations. A binary scoring system was used for media format, time
   (preoperatively or postoperatively), perioperative period (within 1 week
   of surgery), tone (positive or negative), return-to-work reference,
   return-to-play reference, rehabilitation reference, surgical-site
   reference, satisfaction reference, and dissatisfaction reference;
   perspective of the media was noted as well. A sample of 97 National
   Football League team surgeons was used for analysis of physician use in
   social media outlets and quantified by the number of posts. Hospital
   analysis categorized a sample of the top 50 orthopaedic hospitals by
   average number of posts and monthly posting rates with regard to
   orthopaedics, research, education, and personnel focus. Results: In the
   patient analysis, 3,145 public posts of human subjects were shared on
   Instagram. Of these, 92% were personal recovery stories, with an
   emphasis on postoperative photographs (93%) with a positive tone (88%)
   more than 1 week after surgery (73%). Posts focused on surgical site
   (25%), return to play (30%), and postoperative rehabilitation (37%). Of
   the physicians, 16% had Twitter accounts, with an average of 94 posts
   per surgeon; none had Instagram accounts. Of the hospitals, 96% had
   Twitter accounts and 32% had Instagram accounts. Most of the
   hospital-based Instagram content in the sample was centered on patients
   or celebrities. Conclusions: Orthopaedic surgery has a large social
   media presence. Patients emphasize wound appearance, the rehabilitation
   process, and return to play. Ninety-six percent of hospitals are
   represented in social media outlets, whereas physicians are relatively
   under-represented.
OI Fabricant, Peter/0000-0002-8070-685X
ZS 0
ZR 0
ZA 0
Z8 0
TC 17
ZB 2
Z9 17
U1 1
U2 11
SN 0749-8063
EI 1526-3231
UT WOS:000398081800017
PM 27771170
ER

PT J
AU Abuelhia, Elfatih
TI Awareness of ionizing radiation exposure among junior doctors and senior
   medical students in radiological investigations
SO JOURNAL OF RADIOLOGICAL PROTECTION
VL 37
IS 1
BP 59
EP 67
DI 10.1088/1361-6498/37/1/59
PD MAR 2017
PY 2017
AB The awareness and knowledge of ionizing radiation exposure in
   radiological investigations among junior doctors and medical students
   were studied. The participants were year four to year six senior medical
   students enrolled at University of Dammam and interns in King Fahad
   University Hospital. The survey consisted of 22 questions designed
   online using the software 'QuestionPro' licensed to the University of
   Dammam. 100 hard copies were also distributed manually and collected. A
   total of 221 (88.5%) questionnaires were completed. 213 participants
   viewed, 151 started and 128 (84.7%) completed online. 93% of the
   distributed samples were completed. Overall knowledge was poor; 44% and
   19% of the respondents thought incorrectly that MRI and ultrasound emit
   ionizing radiation, respectively. Respondents (92%; n = 203)
   underestimated the dose of abdominal spiral computed tomography (CT) and
   4% thought no ionizing radiation involved in CT. 59% of respondents
   underestimated the radiation doses in nuclear medicine; bone scan 87%,
   PET/CT scan 67%, thyroid isotope scan 45% and PET scan 36%. 47% of the
   subjects had attended formal lectures, tutorials or workshops on
   radiation protection while 53% (n = 119) had not. For future education
   the majority stated they would prefer tutorials or workshops (42.3%) or
   problem-based learning/case studies (32.4%), while web-based modules
   would be their last choice (8.1%).
RI Abuelhia, Elfatih/AAP-9212-2020; Abuelhia, Elfatih I/A-6115-2015
OI Abuelhia, Elfatih/0000-0003-4793-8998; Abuelhia, Elfatih
   I/0000-0003-4793-8998
ZS 0
TC 9
ZA 0
Z8 1
ZB 0
ZR 0
Z9 10
U1 0
U2 20
SN 0952-4746
EI 1361-6498
UT WOS:000391285500001
PM 27958197
ER

PT J
AU Toomey, Traci L.
   Lenk, Kathleen M.
   Erickson, Darin J.
   Horvath, Keith J.
   Ecklund, Alexandra M.
   Nederhoff, Dawn M.
   Hunt, Shanda L.
   Nelson, Toben F.
TI Effects of a Hybrid Online and In-Person Training Program Designed to
   Reduce Alcohol Sales to Obviously Intoxicated Patrons
SO JOURNAL OF STUDIES ON ALCOHOL AND DRUGS
VL 78
IS 2
BP 268
EP 275
DI 10.15288/jsad.2017.78.268
PD MAR 2017
PY 2017
AB Objective: Overservice of alcohol (i.e., selling alcohol to intoxicated
   patrons) continues to be a problem at bars and restaurants, contributing
   to serious consequences such as traffic crashes and violence. We
   developed a training program for managers of bars and restaurants,
   eARMTm, focusing on preventing overservice of alcohol. The program
   included online and face-to-face components to help create and implement
   establishment-specific policies. Method: We conducted a large,
   randomized controlled trial in bars and restaurants in one metropolitan
   area in the midwestern United States to evaluate effects of the eARM
   program on the likelihood of selling alcohol to obviously intoxicated
   patrons. Our outcome measure was pseudo-intoxicated purchase attempts
   buyers acted out signs of intoxication while attempting to purchase
   alcohol conducted at baseline and then at 1 month, 3 months, and 6
   months after training. We conducted intention-to-treat analyses on
   changes in purchase attempts in intervention (n = 171) versus control (n
   = 163) bars/restaurants using a Time x Condition interaction, as well as
   planned contrasts between baseline and follow-up purchase attempts.
   Results: The overall Time x Condition interaction was not statistically
   significant. At 1 month after training, we observed a 6% relative
   reduction in likelihood of selling to obviously intoxicated patrons in
   intervention versus control bars/restaurants. At 3 months after
   training, this difference widened to a 12% relative reduction; however,
   at 6 months this difference dissipated. None of these specific contrasts
   were statistically significant (p =.05). Conclusions: The observed
   effects of this enhanced training program are consistent with prior
   research showing modest initial effects followed by a decay within 6
   months of the core training. Unless better training methods are
   identified, training programs are inadequate as the sole approach to
   reduce overservice of alcohol.
OI Toomey, Traci/0000-0003-1782-1342; Hunt, Shanda/0000-0002-4131-7333;
   Erickson, Darin/0000-0002-4980-5796; , Kathleen/0000-0003-3678-8322;
   Nelson, Toben/0000-0001-9934-7546
TC 9
ZA 0
ZB 5
ZR 0
ZS 0
Z8 0
Z9 9
U1 0
U2 2
SN 1937-1888
EI 1938-4114
UT WOS:000396806100013
PM 28317507
ER

PT J
AU Boelig, Rupsa C.
   Feltovich, Helen
   Spitz, Jean Lea
   Toland, Gregory
   Berghella, Vincenzo
   Iams, Jay D.
CA Perinatal Quality Fdn
TI Assessment of Transvaginal Ultrasound Cervical Length Image Quality
SO OBSTETRICS AND GYNECOLOGY
VL 129
IS 3
BP 536
EP 541
DI 10.1097/AOG.0000000000001820
PD MAR 2017
PY 2017
AB OBJECTIVE: To use data from the Cervical Length Education and Review
   program to evaluate the quality of transvaginal cervical length
   ultrasonography by trained imagers (ie, ultrasonographers, radiologists,
   perinatologists).
   METHODS: This is a retrospective observational study of data from the
   Cervical Length Education and Review program. Candidates underwent an
   online lecture series, examination, and submitted a batch of images for
   review. For a candidate's batch of images to pass, all images must meet
   at least seven of the nine criteria assessed, the overall batch score
   needs to be 80% or greater, correct caliper placement must be met for
   all images, and the same criterion cannot be consistently missed. We
   also examined a subset of these criteria-appropriate image acquisitions,
   defined as an image that demonstrated both internal and external os and
   visualization of the entire endocervical canal. Primary outcome was the
   overall initial candidate pass rate; secondary outcomes included
   distribution of criteria missed in images and percentage of images that
   was inadequately acquired.
   RESULTS: Six hundred eighty-seven candidates submitted 3,748 images
   between June 10, 2012, and August 18, 2016. Eighty-five percent of
   candidates were ultrasonographers. Of the 687 initial batches submitted,
   105 (15%) did not pass. Eight hundred thirty-seven images (22%) of all
   images failed at least one criterion; the most common image deficiencies
   were in "anterior width of cervix equals the posterior width" (33%),
   "failure to visualize" the internal or external os (29%), "cervix
   occupies 75% of image and bladder area visible" (33%), and incorrect
   caliper placement (24%). Two hundred fifty-six (7%) of all images failed
   to meet our criteria for adequate image acquisition.
   CONCLUSION: Fifteen percent of trained imagers failed to obtain
   appropriate cervical length imaging. This highlights the importance of a
   standardized cervical length training and certification program.
OI Boelig, Rupsa/0000-0002-3705-6943; Berghella,
   Vincenzo/0000-0003-2854-0239
ZS 0
Z8 1
TC 19
ZB 3
ZR 0
ZA 0
Z9 20
U1 0
U2 1
SN 0029-7844
UT WOS:000397994500025
PM 28178045
ER

PT J
AU Plaice, Caroline
   Lloyd, Jon
   Shaw, Pauline
TI Supporting the library and information needs of UWE health and social
   care students on placement
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 34
IS 1
BP 32
EP 44
DI 10.1111/hir.12171
PD MAR 2017
PY 2017
AB Objective: The aim of this research was to explore the library and
   information needs of health and social care students whilst on
   placement.
   Methods: Both desk and primary research were conducted and included an
   online questionnaire to students and semi-structured interviews.
   Results: The questionnaire was completed by 252 students from a variety
   of programmes, equivalent to a 10% response rate. The results indicate a
   wide range of factors impacting on the library and information
   experiences of students. Whilst differences in the availability of a
   physical library in hospital or community locations still exist, these
   are mitigated by technology and a preference for home study. A
   significant result is that 77% (n=193) of students on placement study at
   home, using a variety of Internet-connected devices. This highlights a
   marked change in practice and underlines the need for mobile-compliant
   e-resources and accessible at-a-distance services.
   Conclusion: As a result of this research, practical recommendations on
   how library support can be improved were developed including enhanced
   collaboration and learning with NHS colleagues, and knowledge sharing
   with other departments within the University who support our students.
Z8 0
ZA 0
ZS 0
ZR 0
ZB 0
TC 4
Z9 4
U1 0
U2 12
SN 1471-1834
EI 1471-1842
UT WOS:000395030900004
PM 28244256
ER

PT J
AU Khajuria, A.
   Cheng, K.
   Levy, J.
TI Effect of a national focused course on academic medicine for UK
   candidates applying for a Clinical Academic Programme
SO JOURNAL OF THE ROYAL COLLEGE OF PHYSICIANS OF EDINBURGH
VL 47
IS 1
BP 65
EP 69
DI 10.4997/JRCPE.2017.115
PD MAR 2017
PY 2017
AB Background Academic medicine is crucial for healthcare advancement.
   However, recruitment of junior doctors into academia remains an area of
   concern globally. In the UK, a national integrated clinical academic
   pathway was developed to address these issues, with the Academic
   Foundation Programme as the 'first opportunity for research'. We aimed
   to evaluate whether a focused course on academic medicine could enhance
   knowledge, confidence and preparedness of candidates wishing to apply
   for an academic programme.
   Methods UK medical students attended a national course conducted by
   current UK Academic Foundation Programme doctors that comprised lectures
   on academic medicine and various aspects of the Academic Foundation
   Programme. An online questionnaire-based cross-sectional study was
   conducted with participants rating measures including knowledge,
   preparedness and confidence related to Academic Foundation Programme
   applications. Outcomes were measured using Likert scales (1=low;
   5=high).
   Results In total, 103 out of 155 attendees from 11 different UK medical
   schools responded to the survey (66% response rate). Pre and post-course
   data showed increase in participants' knowledge (median score 2 vs 4, p
   < 0.0001), understanding of the application process (median score 2 vs
   4, p < 0.0001), confidence (median score 2 vs 4, p < 0.0001) and
   preparedness (median score 2 vs 4, p < 0.0001) in applying for the
   Academic Foundation Programme.
   Conclusion To our knowledge this is the first study in the available
   literature that demonstrates a focused course on academic medicine may
   enhance UK medical students' knowledge, confidence and preparedness in
   applying for a clinical academic programme. Further research will
   ascertain whether such courses can augment trainee numbers undertaking
   and remaining within academic medicine.
RI Khajuria, Ankur/AAB-5545-2020
OI Khajuria, Ankur/0000-0002-2321-9860
ZA 0
ZR 0
ZB 1
TC 9
ZS 0
Z8 0
Z9 9
U1 0
U2 0
SN 1478-2715
EI 2042-8189
UT WOS:000444218100016
PM 28569287
ER

PT J
AU Bartels, A.
   Voigt, K.
   Riemenschneider, H.
   Nitschke-Bertaud, M.
   Bergmann, A.
TI Preferred Medical Specialties of Medical Students in Contrast to the
   Need for General Practitioners in Saxony
SO GESUNDHEITSWESEN
VL 79
IS 3
BP 188
EP 194
DI 10.1055/s-0042-102339
PD MAR 2017
PY 2017
AB Aim of the study Especially in the rural areas of Germany, there are not
   enough general practitioners (GPs) for primary care. Preferred medical
   specialties of medical students can help get an estimate of the number
   of future GPs. This study compares this estimate to the current need for
   GPs in Saxony.
   Methods 587 medical students at the second, sixth and tenth semester
   were invited to take part in an anonymous cross-sectional study
   regarding their specialty preferences at the Technical University
   Dresden. Based on the data of the medical requirements for Saxony, 4
   model calculations were generated for comparison of the estimated
   numbers of future GPs and the current need for GPs.
   Results The most commonly preferred medical specialties were surgery
   (19.1 %), internal medicine (12.9 %), pediatrics (11.6 %) and general
   practice (9.9 %). A significant increase in specialist preference for GP
   was observed from the sixth (4.9 %) to the tenth semester (14.0 %). The
   model calculations show that approximately 29 % to 111 % of the open
   positions for GPs could be filled by the potential new GPs from Dresden.
   Conclusion Currently, medical students planning to become GPs cannot
   meet the corresponding need for GPs. Future studies should include the
   points of view of students, continuing education assistants, GPs and
   patients.
TC 4
Z8 0
ZB 0
ZA 0
ZS 0
ZR 0
Z9 4
U1 0
U2 1
SN 0941-3790
EI 1439-4421
UT WOS:000401534700014
PM 27077318
ER

PT J
AU Vallangeon, Bethany D.
   Hawley, Jeffrey S.
   Sloane, Richard
   Bean, Sarah M.
TI An Assessment of Pathology Resident Access to and Use of Technology A
   Nationwide Survey
SO ARCHIVES OF PATHOLOGY & LABORATORY MEDICINE
VL 141
IS 3
BP 431
EP 436
DI 10.5858/arpa.2016-0228-OA
PD MAR 2017
PY 2017
AB Context.-Current technologies including digital slide scanners and
   handheld devices can revolutionize clinical practice and pathology
   graduate medical education (GME). The extent to which these technologies
   are used in pathology GME is unknown.
   Objectives.-To determine the types of technologies used, usage amount,
   and how they are integrated into pathology residency/fellowship programs
   nationwide.
   Design.-A 40-question online survey for residents/fellows was developed
   and administered via the Research Electronic Data Capture System after
   institutional review board approval.
   Results.-Fifty-two program directors (37%) gave permission for
   participation. One-hundred seventy-one responses were received (18%
   response rate). Most respondents have access to personal technology
   (laptop = 78% [134 of 171]), smartphone = 81% [139 of 171], tablet = 49%
   [84 of 171]), and Web-based digital slide collections (82%, 141 of 171).
   Few residents are provided electronic devices by their programs (laptop
   = 22% [38 of 171], smartphone = 0.5% [1 of 171], and tablet = 12% [21 of
   171]). Fifty-nine percent have access to digital slide scanners, 33%
   have access to a program-created database of digitized slides, and 52%
   use telepathology. Fifteen percent have access to asynchronous learning.
   Of those with access to video-recorded conferences, 89% review them.
   Program size was significantly positively correlated with resident
   access to program-provided laptops (P = .02) and tablets (P < .001),
   digital slide scanners (P = .01), and telepathology (P = .001). Of all
   devices, program-provided laptops are used most for professional work
   (60.5% use this device for more than 5 hours per day).
   Conclusions.-Most residents report access to multiple types of
   innovative technology, but incorporation of these tools within pathology
   training programs is highly variable. Opportunities for incorporating
   innovative technologies exist and could be further explored.
RI Chen, Claudia/AAH-9561-2021
ZA 0
ZS 0
ZR 0
TC 2
Z8 1
ZB 1
Z9 3
U1 0
U2 3
SN 0003-9985
EI 1543-2165
UT WOS:000397135100013
PM 28157405
ER

PT J
AU Ryu, Won Hyung A.
   Chan, Sonny
   Sutherland, Garnette R.
TI Supplementary Educational Models in Canadian Neurosurgery Residency
   Programs
SO CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES
VL 44
IS 2
BP 177
EP 183
DI 10.1017/cjn.2016.315
PD MAR 2017
PY 2017
AB Background: The proposed implementation of work hour restrictions has
   presented a significant challenge of maintaining the quality of resident
   education and ensuring adequate hands-on experience that is essential
   for novice surgeons. To maintain the level of resident surgical
   competency, revision of the apprentice model of surgical education to
   include supplementary educational methods, such as laboratory and
   virtual reality (VR) simulations, have become frequent topics of
   discussion. We aimed to better understand the role of supplementary
   educational methods in Canadian neurosurgery residency training.
   Methods: An online survey was sent to program directors of all 14
   Canadian neurosurgical residency programs and active resident members of
   the Canadian Neurosurgical Society (N= 85). We asked 16 questions
   focusing on topics of surgeon perception, current implementation and
   barriers to supplementary educational models. Results: Of the 99 surveys
   sent, 8 out of 14 (57%) program directors and 37 out of 85 (44%)
   residents completed the survey. Of the 14 neurosurgery residency
   programs across Canada, 7 reported utilizing laboratory-based teaching
   within their educational plan, while only 3 programs reported using VR
   simulation as a supplementary teaching method. The biggest barriers to
   implementing supplementary educational methods were resident
   availability, lack of resources, and cost. Conclusions: Work-hour
   restrictions threaten to compromise the traditional apprentice model of
   surgical training. The potential value of supplementary educational
   methods for surgical education is evident, as reported by both program
   directors and residents across Canada. However, availability and
   utilization of laboratory and VR simulations are limited by numerous
   factors such as time constrains and lack of resources.
RI Ryu, Won H/AAU-6774-2020
Z8 0
ZB 1
TC 6
ZS 0
ZA 0
ZR 0
Z9 6
U1 1
U2 5
SN 0317-1671
EI 2057-0155
UT WOS:000396837300007
PM 27817764
ER

PT J
AU Eid, Joseph J.
   Macedo, Francisco Igor B.
   Negussie, Edsa
   Mittal, Vijay K.
TI Assessing surgical residents' imaging interpretation skills
SO AMERICAN JOURNAL OF SURGERY
VL 213
IS 3
BP 498
EP 501
DI 10.1016/j.amjsurg.2016.11.029
PD MAR 2017
PY 2017
AB Purpose: During general surgery (GS) training, residents are expected to
   accurately interpret radiologic images. Objective evidence evaluating
   residents' ability to provide accurate interpretation of imaging studies
   is currently lacking.
   Methods: A 30-item web-based test was developed using images from
   different radiologic modalities. Residents from 6 ACGME accredited GS
   programs participated. Residents from 1 radiology program served as a
   control group.
   Results: 74 GS residents (GSR) enrolled in the online test. The mean
   score for GSR was 75% (+/- 9) and 83% (+/- 6) for RR (p = 0.006).
   Residents correctly answered 63% x-rays, 74%, CT(head), 84% CT(body),
   69% ultrasound, and 88% tube/line localization questions. Senior
   residents were more proficient than junior residents at interpreting
   CT(body) and ultrasound images.
   Conclusion: GS residents were able to accurately interpret 75% of basic
   radiology images. In an effort to improve patient care, programs should
   consider integrating radiological education during surgical training.
   (C) 2016 Elsevier Inc. All rights reserved.
ZS 2
ZB 1
TC 3
ZA 0
ZR 0
Z8 0
Z9 5
U1 0
U2 2
SN 0002-9610
EI 1879-1883
UT WOS:000400473000014
PM 27890330
ER

PT J
AU Ens, Andrea
   Janzen, Katharine
   Palmert, Mark R.
TI Development of an Online Learning Module to Improve Pediatric Residents'
   Confidence and Knowledge of the Pubertal Examination
SO JOURNAL OF ADOLESCENT HEALTH
VL 60
IS 3
BP 292
EP 298
DI 10.1016/j.jadohealth.2016.10.006
PD MAR 2017
PY 2017
AB Purpose: Pediatric residents must know how to perform pubertal
   examinations. The initial objective of this study was to evaluate
   pediatric resident knowledge and comfort related to the pubertal
   examination and to determine whether and why these examinations are
   avoided. The subsequent objective was to develop and assess a learning
   module (LM) addressing identified education gaps.
   Methods: A learning needs assessment (LNA) was administered to residents
   in four Canadian pediatric training programs. Identified themes and
   knowledge gaps were used to develop an online, case-based LM. A
   randomized assessment of the LM was conducted among residents from nine
   training programs across Canada.
   Results: Sixty-four residents completed the LNA. About 52% reported
   discomfort introducing the pubertal examination, 50% reported a lack of
   confidence related to the examination, and 56% reported having avoided a
   warranted examination. Ninety-seven residents participated in the LM
   assessment. The baseline results were similar to those from the LNA in
   terms of discomfort, lack of confidence, and avoidance related to
   pubertal examinations. However, the intervention group showed
   improvement on a knowledge assessment compared with control group (p <
   .001). Confidence levels also improved in the intervention group LM (p <
   .01). Most residents (95%) stated they found the LM to be useful.
   Conclusions: Residents report being uncomfortable with and avoiding the
   pubertal examination and have significant knowledge gaps. The online,
   case-based LM used in this study improved the knowledge and confidence
   related to this aspect of pediatric care and may be an effective adjunct
   to pediatric training. (C) 2016 Society for Adolescent Health and
   Medicine. All rights reserved.
ZB 2
ZR 0
ZA 0
TC 9
ZS 0
Z8 0
Z9 10
U1 0
U2 5
SN 1054-139X
EI 1879-1972
UT WOS:000397270900011
PM 27986457
ER

PT J
AU Petersen, Cheryl L.
   Callahan, Margaret Faut
   McCarthy, Donna O.
   Hughes, Ronda G.
   White-Traut, Rosemary
   Bansal, Naveen K.
TI An Online Educational Program Improves Pediatric Oncology Nurses'
   Knowledge, Attitudes, and Spiritual Care Competence
SO JOURNAL OF PEDIATRIC ONCOLOGY NURSING
VL 34
IS 2
BP 130
EP 139
DI 10.1177/1043454216646542
PD MAR-APR 2017
PY 2017
AB This study evaluated the potential impact of an online spiritual care
   educational program on pediatric nurses' attitudes toward and knowledge
   of spiritual care and their competence to provide spiritual care to
   children with cancer at the end of life. It was hypothesized that the
   intervention would increase nurses' positive attitudes toward and
   knowledge of spiritual care and increase nurses' level of perceived
   spiritual care competence. A positive correlation was expected between
   change in nurses' perceived attitudes toward and knowledge of spiritual
   care and change in nurses' perceived spiritual care competence. A
   prospective, longitudinal design was employed, and analyses included
   one-way repeated-measures analysis of variance, linear regression, and
   partial correlation. Statistically significant differences were found in
   nurses' attitudes toward and knowledge of spiritual care and nurses'
   perceived spiritual care competence. There was a positive relationship
   between change scores in nurses' attitudes toward and knowledge of
   spiritual care and nurses' spiritual care competence. Online spiritual
   care educational programs may exert a lasting impact on nurses'
   attitudes toward and knowledge of spiritual care and their competence to
   provide spiritual care to children with cancer at the end of life.
   Additional studies are required to evaluate the direct effects of
   educational interventions patient outcomes.
ZS 0
ZR 0
Z8 3
ZB 1
ZA 0
TC 13
Z9 16
U1 4
U2 35
SN 1043-4542
EI 1532-8457
UT WOS:000400063700007
PM 27207992
ER

PT J
AU McDougall, S.
   Compton, C. W. R.
   Botha, N.
TI Factors influencing antimicrobial prescribing by veterinarians and usage
   by dairy farmers in New Zealand
SO NEW ZEALAND VETERINARY JOURNAL
VL 65
IS 2
BP 84
EP 92
DI 10.1080/00480169.2016.1246214
PD MAR 2017
PY 2017
AB AIMS: To determine the factors associated with the selection of
   antimicrobials by dairy veterinarians, and the attitudes of those
   veterinarians and dairy farmers to antimicrobial usage and
   resistance.METHODS: Facilitated focus groups of dairy farmers (n=22) and
   an anonymous online survey of dairy cattle veterinarians (n=206
   respondents) were used to determine prescribing behaviour, factors
   affecting prescribing of antimicrobials, and the attitudes of
   veterinarians and farmers to the use of antimicrobials and the risk of
   antimicrobial resistance (AMR).RESULTS: Amongst the 22 farmers, the most
   common primary reason for choosing an antimicrobial was veterinary
   advice (87%) followed by personal experience (68%). Farmers had limited
   knowledge or concern about the risk of AMR, particularly outside their
   farm, with only 47% and 26% agreeing or strongly agreeing that use of
   antimicrobials on their farm would increase the risk of resistance in
   their herd and in humans, respectively.Prescribing of antimicrobials by
   veterinarians was predominantly based on diagnosis (168/206; 82%), and
   response to previous therapy (134/206; 65%), while duration above the
   minimum inhibitory concentration (43/206; 21%) was also considered
   important. Non-clinical factors such as withholding period (52/206; 25%)
   and farmers' preferences (45/206; 22%) also influenced prescribing.
   Antimicrobial culture and susceptibility testing was not widely used,
   with 126/166 (76%) having culture results for less than four of the last
   10 clinical mastitis cases for which they prescribed antimicrobials.
   Attitudes about prescribing and AMR varied with years of practice,
   gender and employment status.CONCLUSIONS: Veterinarians primarily
   considered technical reasons when prescribing antimicrobials. However
   non-technical factors did influence prescribing, in particular client
   feedback about perceived efficacy and perceptions of cost/benefit.
   Farmers stated that veterinarians were the most credible source of
   advice for selection of antimicrobials, but that personal experience on
   their farm was also important.CLINICAL RELEVANCE: Farmers' perception of
   efficacy of antimicrobials, based on clinical outcomes, is an important
   determinant of their preferred choice of product. Hence, where changes
   in on-farm use patterns are required, clear communication by
   veterinarians about prudent antimicrobial choice and usage will require
   initial education around classes of antimicrobials and risk of
   resistance, as well as information around assessing efficacy of
   antimicrobial usage. Many veterinarians are in businesses that do not
   have practice prescribing policies. Such policies would likely lead to
   more consistent and judicious use of antimicrobials.
RI Compton, Chris/U-7237-2017; McDougall, Scott/E-4409-2017
OI Compton, Chris/0000-0002-0821-1537; McDougall, Scott/0000-0002-9865-0532
Z8 0
ZB 32
ZA 0
TC 56
ZS 1
ZR 0
Z9 56
U1 3
U2 54
SN 0048-0169
EI 1176-0710
UT WOS:000395094900006
PM 27748166
ER

PT J
AU Dickson, J.
   Liu, D.
   Bloomfield, D.
TI Training in Clinical Oncology and the Transition from Trainee to
   Consultant: Results of the Royal College of Radiologists' 2015
   Post-Certificate of Completion of Training Survey
SO CLINICAL ONCOLOGY
VL 29
IS 3
BP E64
EP E71
DI 10.1016/j.clon.2016.10.010
PD MAR 2017
PY 2017
AB Aims: To seek feedback from clinical oncologists as to their experiences
   of specialty training and, where applicable, the transition to working
   as a consultant in the National Health Service.
   Materials and methods: All clinical oncologists gaining a Certificate of
   Completion of Training between 1 July 2012 and 30 June 2014 were
   identified through records held by the Royal College of Radiologists and
   approached in May 2015 to take part in an online survey.
   Results: The survey was completed by 38 of 80 clinical oncologists
   invited to take part (48% response rate). Most respondents (> 87%)
   agreed that specialty training equipped them well with clinical skills
   in radiotherapy planning, systemic therapy and tumour site diagnosis and
   treatment. This fell to 58% with advanced radiotherapy techniques. Of
   the non-clinical skills, respondents felt training had equipped them
   less to deal with leadership and management (53%) and research (48%)
   than clinical governance (61%). Despite wanting to do so, 42% of
   respondents did not undertake any out-of-programme (OOP) activity to
   gain new skills. Most of those respondents who did undertake OOP
   activity agreed that it helped to prepare them for their first
   consultant post. There is broad support for the FRCR Examination. The
   First FRCR Examination modules in physics, pharmacology, tumour biology
   and radiobiology were seen to be very relevant to clinical practice by
   50% or more of respondents. The Final FRCR Examination was seen as
   essential in a technical specialty like clinical oncology by 92% of
   respondents. Working as a new consultant, the survey revealed a heavy
   workload for most respondents, with 69% always or almost always working
   beyond contracted hours. Other issues of concern identified were
   discrepancies in advertised consultant job plans and ineffectiveness of
   the job plan review process. The traine-econsultant transition is often
   a difficult time, yet only 19% of respondents were allocated a formal
   mentor. Most respondents had to rely on informal arrangements in seeking
   support and advice from medical colleagues.
   Conclusions: In general, respondents were satisfied with their specialty
   training and the transition from training to working as a new
   consultant. Areas for possible improvement have been identified for
   employers as well as those involved in organising specialty training.
   (C) 2016 The Royal College of Radiologists. Published by Elsevier Ltd.
   All rights reserved.
Z8 0
ZS 0
ZA 0
TC 10
ZR 0
ZB 1
Z9 10
U1 0
U2 3
SN 0936-6555
EI 1433-2981
UT WOS:000399001700003
PM 27839942
ER

PT J
AU Read, R.
   Moberly, N. J.
   Salter, D.
   Broome, M. R.
TI Concepts of Mental Disorders in Trainee Clinical Psychologists
SO CLINICAL PSYCHOLOGY & PSYCHOTHERAPY
VL 24
IS 2
BP 441
EP 450
DI 10.1002/cpp.2013
PD MAR-APR 2017
PY 2017
AB BackgroundThe models of mental disorders held by all mental health
   professionals are implicit in their attitudes and inform all aspects of
   theory and practice. The present study aims to explore the attitudes of
   trainee clinical psychologists towards mental disorders by building on a
   study conducted by Harland et al. () with psychiatrists. In so doing,
   the present study contributes to an evidence base that can inform the
   development of clinical training programs and multidisciplinary working.
   MethodsThe Maudsley Attitude Questionnaire was administered in an online
   survey of trainee clinical psychologists (n=289).
   ResultsAnalyses of variance revealed main effects of model, and of
   diagnostic category, and a significant interaction effect between model
   and diagnostic category. Principal component analysis revealed a
   biological-psychosocial continuum and cognitive/behavioural and
   psychodynamic/spiritual dimensions. Comparisons with Harland et al.'s ()
   psychiatrists revealed large differences, particularly in biological and
   social constructionist model endorsement.
   ConclusionResults suggest that the attitudes of psychologists and
   psychiatrists continue to sit at opposite ends of a
   biological-psychosocial continuum. However, an area of consensus
   regarding psychotherapeutic models was indicated. Training courses can
   be reassured that strong opinions tended to reflect the evidence base.
   Future research with similarly large representative samples from
   different disciplines would allow findings of the current study to be
   better contextualized. Copyright (c) 2016 John Wiley & Sons, Ltd.
RI Broome, Matthew Richard/AAA-2265-2020; Read, Rebecca/; Moberly, Nicholas/
OI Broome, Matthew Richard/0000-0002-6963-8884; Read,
   Rebecca/0000-0003-2314-2231; Moberly, Nicholas/0000-0001-8040-1418
TC 7
ZB 1
ZA 0
Z8 0
ZS 0
ZR 0
Z9 7
U1 0
U2 11
SN 1063-3995
EI 1099-0879
UT WOS:000399352800014
PM 26990803
ER

PT J
AU Gul, M.
   Kaynar, M.
TI Evaluating the content and quality of information about premature
   ejaculation on the Internet: what are men being exposed to ?
SO ANDROLOGIA
VL 49
IS 2
AR e12612
DI 10.1111/and.12612
PD MAR 2017
PY 2017
AB Premature ejaculation is one of the most common male sexual
   dysfunctions; however, only a few patients with premature ejaculation
   are seeking professional help or advice. Internet has become an
   important source of knowledge, and thus, more patients are looking
   online for health information. According to our best knowledge, no study
   has evaluated the content and quality of websites on premature
   ejaculation. We, therefore, aimed to evaluate the content and quality of
   currently available Internet-based information on premature ejaculation.
   A sample was obtained comprising the 50 top sites retrieved from Google,
   Bing and Yahoo search engines using the terms premature ejaculation'.
   Each site then was reviewed based on some predefined evaluation criteria
   to determine the general quality, condition-specific content quality,
   popularity index and ownership. The websites reviewed were differed
   highly in terms of quality and ownership. Only a few sites provided
   comprehensive medical and complete information on premature ejaculation.
   The online information available is often of uncertain calibre;
   therefore, men are being exposed to information about premature
   ejaculation with a highly variable degree quality. This fact should be
   considered both by health professionals and website owners, and better
   online resources should be provided for these patients.
RI Gül, Murat/X-5527-2018
OI Gül, Murat/0000-0002-6657-6227
ZS 0
Z8 0
ZR 0
TC 1
ZB 0
ZA 0
Z9 1
U1 0
U2 3
SN 0303-4569
EI 1439-0272
UT WOS:000394911800010
PM 27135776
ER

PT J
AU Ramlogan, Reva
   Niazi, Ahtsham U.
   Jin, Rongyu
   Johnson, James
   Chan, Vincent W.
   Perlas, Anahi
TI A Virtual Reality Simulation Model of Spinal Ultrasound Role in Teaching
   Spinal Sonoanatomy
SO REGIONAL ANESTHESIA AND PAIN MEDICINE
VL 42
IS 2
BP 217
EP 222
DI 10.1097/AAP.0000000000000537
PD MAR-APR 2017
PY 2017
AB Background and Objectives: Ultrasound assessment of the lumbar spine
   improves the success of spinal and epidural anesthesia, especially for
   patients with underlying difficult anatomy. To assist with the teaching
   and learning of ultrasound-guided neuraxial anesthesia, we have created
   an online interactive educational model (http://www.usra.ca/vspine.php
   and http://pie.med.utoronto.ca/vspine). The aim of the current study was
   to determine whether the virtual spine model improved the knowledge of
   neuraxial anatomy and sonoanatomy.
   Methods: After obtaining ethics board approval and written participant
   consent, 14 anesthesia trainees with no prior experience with spine
   ultrasound imaging were included in this study. Construct validity was
   assessed using a pretest/posttest design to measure the knowledge
   acquired from self-study of the virtual spine simulationmodules. Two
   tests (A and B) with 20 multiple-choice questions were used either for
   the pretest or posttest, at random in order to account for possible
   differences in difficulty between the 2 tests. These tests were
   administered immediately before and after a 1-hour training session
   using the spine ultrasound model.
   Results: Fourteen anesthesia trainees completed the study. Seven used
   test A as the pretest (group A), and 7 used test B as the pretest (group
   B). Both groups showed a statistically significant improvement (P <
   0.05) in test scores after a 1-hour session with the spine ultrasound
   model. The mean scores were 55% (SD, 11.2%) on the pretest and 77% (SD,
   8.7%) on the posttest.
   Conclusions: The study demonstrated that after 1 hour of self-study by
   the trainees on the spine ultrasound model test scores improved by 40%.
RI Chan, Vincent/AAY-3553-2020
ZA 0
ZR 0
ZB 0
TC 17
Z8 4
ZS 0
Z9 21
U1 0
U2 11
SN 1098-7339
EI 1532-8651
UT WOS:000394514600007
PM 28045758
ER

PT J
AU Ane, S.
   Phillips, J.
   Bourgeois, O.
   Didier, A.
TI List of educational tools to improve treatment compliance and control of
   asthma in children
SO REVUE FRANCAISE D ALLERGOLOGIE
VL 57
IS 2
BP 77
EP 82
DI 10.1016/j.reval.2016.12.004
PD MAR 2017
PY 2017
AB Therapeutic education has been shown to be effective in the management
   of asthma in adults and children. In asthmatic children, such education
   should be presented in a playful and interactive way. This is
   facilitated by the use of various tools that must be adapted to the age
   of the children in question, to the aims sought, and to the educational
   context. The principal aim of this study was to identify the educational
   tools available to improve treatment compliance and control of asthma in
   children. A documentary search in English and French using search
   engines was carried out in PubMed, EM Consulte, the French
   Medical-Surgical Encyclopaedia, Elsevier-Masson journals, the French
   university documentation system, Google Scholar, the French
   Inter-Medical Faculties Library, the French Higher Health Authority, the
   French National Institute for Health Education and Prevention,
   asthme-allergie.org, and ginasthma.org. This search identified 28 tools,
   16 of which may be used during consultations. These tools may be
   classified as follows: follow-up and evaluation tools, knowledge
   acquisition tools, multifunction tools, and online educational tools. We
   discuss the value and uses of these different tools. This list should
   facilitate access to the educational tools suitable for use during
   consultations for children with asthma, as well as enhancing their
   utilisation by caregivers. (C) 2017 Elsevier Masson SAS. All rights
   reserved.
ZS 0
ZR 0
ZB 0
ZA 0
Z8 0
TC 0
Z9 0
U1 0
U2 5
SN 1877-0320
UT WOS:000398754000004
ER

PT J
AU Poon, Charles
   Stevens, Shawn M.
   Golub, Justin S.
   Pensak, Myles L.
   Samy, Ravi N.
TI Pilot Study Evaluating the Impact of Otology Surgery Videos on
   Otolaryngology Resident Education
SO OTOLOGY & NEUROTOLOGY
VL 38
IS 3
BP 423
EP 428
DI 10.1097/MAO.0000000000001303
PD MAR 2017
PY 2017
AB Objectives: Use of videos as educational tools is not a novel concept;
   however, there is a paucity of high-quality video resources available to
   otolaryngology trainees. We hypothesized that residents would deem
   surgical-videos using a multimedia-style format more valuable as
   preparatory tools. Aims of this study: 1) develop portfolio of
   otology/neurotology videos overviewing key steps, anatomy, and pearls by
   a senior surgeon; 2) have residents rate the effectiveness of the videos
   as a preoperative tool.
   Study Design: Prospective study.
   Methods: A video-library of procedures at
   (https://www.youtube.com/user/cisurgeon) was formatted via time-stamping
   to coincide expert level narration with closed captioning, critical
   procedural steps, relevant instrumentation, radiographic pictures,
   orientation cues, and anatomical highlights. Otolaryngology trainees of
   postgraduate years 2 through 5 (n=13) watched a minimum of three videos
   and completed an assessment addressing: current resource
   identification/usefulness comparison, self-efficacy, impact on
   preparation time, and prioritization of resources.
   Results: The videos rated as highly useful compared with current
   resources (p=0.002) and capable of promoting self-efficacy. Residents
   reported moderate-high prioritization of our multi-media formatted
   resource (scores>6) among their current preoperative regimen.
   Conclusion: The varied videos were rated highly in terms of usefulness,
   promoting self-efficacy and as a high-priority for a resident's surgical
   preparation. Multimedia-formatted training videos should be further
   explored for this generation of electronic-learners. Future studies with
   a larger cohort, objective approaches, and multidisciplinary involvement
   are needed to determine the full impact of this education medium on
   surgical-training.
RI Golub, Justin S./AAC-1653-2019
OI Golub, Justin S./0000-0003-2432-5291
TC 11
ZS 0
ZB 0
Z8 0
ZR 0
ZA 0
Z9 11
U1 0
U2 3
SN 1531-7129
EI 1537-4505
UT WOS:000394366900018
PM 28192383
ER

PT J
AU Khurana, Seema R.
   Beranger, Alexandria G.
   Felix, Elizabeth R.
TI Perceived Exertion Is Lower When Using a Functional Electrical
   Stimulation Neuroprosthesis Compared With an Ankle-Foot Orthosis in
   Persons With Multiple Sclerosis A Preliminary Study
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 96
IS 3
BP 133
EP 139
DI 10.1097/PHM.0000000000000626
PD MAR 2017
PY 2017
AB Objective: This study investigates the direct comparison of energy cost,
   efficiency, and effort between an ankle-foot orthosis (AFO) and a
   functional electrical stimulation (FES) device for foot drop in
   ambulatory patients with multiple sclerosis.
   Design: Twenty adults (32-74 years old; 55% female) with a diagnosis of
   multiple sclerosis resulting in foot drop participated in a crossover,
   counterbalanced preliminary study. Each participant was tested on
   different days, with each session consisting of a separate walk trial
   per prosthetic device. Heart rate, oxygen consumption, speed, distance,
   and self-reported exertion were measured independently for each device
   walk trial. Repeated-measures analysis of variance with device and visit
   number as within-participants independent variables were run for the
   primary outcome variables of perceived exertion, energy, and metabolic
   efficiency.
   Results: A significant main effect of device was found for perceived
   exertion (P = 0.01), with participants reporting decreased exertion
   levels (Borg Scale) when using the FES compared with the AFO (mean
   difference, 1.63; 95% confidence interval, 0.49-2.76). Energy and
   efficiency did not significantly differ by device.
   Conclusion: Results suggest that further investigation of the potential
   advantages of FES devices over traditional AFO is warranted.
RI Felix, Elizabeth/AAD-6356-2021; Felix, Elizabeth/
OI Felix, Elizabeth/0000-0002-6239-715X
TC 4
Z8 0
ZR 0
ZA 0
ZB 2
ZS 0
Z9 4
U1 1
U2 22
SN 0894-9115
EI 1537-7385
UT WOS:000395005100006
PM 27680426
ER

PT J
AU Tse, Chung Sang
   Ellman, Matthew S.
TI Development, implementation and evaluation of a terminal and hospice
   care educational online module for preclinical students
SO BMJ SUPPORTIVE & PALLIATIVE CARE
VL 7
IS 1
BP 73
EP 80
DI 10.1136/bmjspcare-2015-000952
PD MAR 2017
PY 2017
AB Objectives To explore the application of an online learning tool to
   teach preclinical medical students terminal and hospice care in a
   blended curricula.
   Methods We created and evaluated a 30 min interactive online module at
   the Yale School of Medicine. Second-year medical students were randomly
   assigned to complete the online module or not (control group) prior to
   attending a required half-day hospice clinical experience. We assessed
   the students' knowledge and attitudes with a 23-item survey.
   Results 152 students (response rate 51%) participated in this study from
   2012 to 2014. 56% (n= 85) completed the online module, 37% (n= 56) did
   not and 7% (n= 11) did not indicate whether they had completed the
   module or not. Students who completed the online module prior to the
   hospice experience scored higher (p<0.05, two-way analysis of variance)
   on 5 out of 8 of the multiple choice questions pertaining to hospice and
   palliative care, but their attitudes were similar to those who did not
   complete the online module. Overall, the students felt somewhat
   uncomfortable caring for dying patients although they regarded it as a
   physician's duty and felt that palliative/hospice care education is
   important in medical school.
   Conclusions When combined with a mentored clinical hospice experience,
   an online module appears to enhance the teaching of the dying process
   and terminal care for preclinical medical students. This online module
   may prove useful for other institutions.
RI Tse, Chung Sang/AAK-6714-2020
Z8 0
ZR 0
ZS 0
ZA 0
ZB 0
TC 5
Z9 5
U1 0
U2 2
SN 2045-435X
EI 2045-4368
UT WOS:000395526500012
PM 27235393
ER

PT J
AU Zalewski, Kamil
   Lindemann, Kristina
   Halaska, Michael J.
   Zapardiel, Ignacio
   Laky, Rene
   Chereau, Elisabeth
   Lindquist, David
   Polterauer, Stephan
   Sukhin, Vladislav
   Dursun, Polat
TI A Call for New Communication Channels for Gynecological Oncology
   Trainees: A Survey on Social Media Use and Educational Needs by the
   European Network of Young Gynecological Oncologists
SO INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER
VL 27
IS 3
BP 620
EP 626
DI 10.1097/IGC.0000000000000917
PD MAR 2017
PY 2017
AB Objective: The aim of the study was to assess patterns in the use of
   social media (SM) platforms and to identify the training needs among
   European gynecologic oncology trainees.
   Methods: In 2014, a web-based survey was sent to 633 trainees from the
   European Network of Young Gynaecological Oncologists (ENYGO) database.
   The 14-item questionnaire (partially using a 1-to 5-point Likert scale)
   assessed respondents' use of SM and preference for workshop content and
   organization. Descriptive analysis was used to describe the mean scores
   reported for different items, and the internal reliability of the
   questionnaire was assessed by Cronbach alpha.
   Results: In total, 170 ENYGO members (27%) responded to the survey. Of
   those, 91% said that they use SM platforms, mostly for private purposes.
   Twenty-three percent used SM professionally and 43% indicated that they
   would consider SM to be a clinical discussion forum. The respondents
   said that they would like updates on conferences and professional
   activities to be shared on SM platforms. Complication management,
   surgical anatomy, and state of the art in gynecologic oncology were
   identified as preferred workshops topics. The most frequently indicated
   hands-on workshops were laparoscopic techniques and surgical anatomy.
   Consultants attached a higher level of importance to palliative care
   education and communication training than trainees. The mean duration of
   the workshop preferred was 2 days.
   Conclusions: This report highlights the significance of ENYGO trainees'
   attachment to SM platforms. Most respondents expect ENYGO to use these
   online channels for promoting educational activities and other updates.
   Using SM for clinical discussion will require specific guidelines to
   secure professional and also consumer integrity. This survey confirms
   surgical management and the state of the art as important knowledge
   gaps, and ENYGO has tailored its activities according to these results.
   Future activities will further direct attention and resources to
   education in palliative care and molecular tumor biology.
RI Halaska, Michael/AFR-7383-2022; Lindquist, David/AAM-3662-2020; Sukhin, Vladyslav/T-6723-2018; Zapardiel, Ignacio/A-6350-2015; Polterauer, Stephan/AAG-1331-2021; Lindemann, Kristina/
OI Lindquist, David/0000-0002-7507-937X; Sukhin,
   Vladyslav/0000-0002-4403-3707; Zapardiel, Ignacio/0000-0002-9175-7767;
   Polterauer, Stephan/0000-0002-9649-4505; Lindemann,
   Kristina/0000-0002-2162-0175
ZR 0
ZB 0
ZA 0
Z8 0
TC 1
ZS 0
Z9 1
U1 0
U2 10
SN 1048-891X
EI 1525-1438
UT WOS:000394574500031
PM 28187096
ER

PT J
AU Rayess, Hani
   Zuliani, Giancarlo F.
   Gupta, Amar
   Svider, Peter F.
   Folbe, Adam J.
   Eloy, Jean Anderson
   Carron, Michael A.
TI Critical Analysis of the Quality, Readability, and Technical Aspects of
   Online Information Provided for Neck-Lifts
SO JAMA FACIAL PLASTIC SURGERY
VL 19
IS 2
BP 115
EP 120
DI 10.1001/jamafacial.2016.1219
PD MAR-APR 2017
PY 2017
AB IMPORTANCE The number of patients using the internet to obtain health
   information is growing. This material is unregulated and heterogeneous
   and can influence patient decisions.
   OBJECTIVE To compare the quality, readability, and technical aspects of
   online information about neck-lifts provided by private practice
   websites vs academic medical centers and reference sources.
   DESIGN, SETTING, AND PARTICIPANTS In this cross-sectional analysis
   conducted between November 2015 and January 2016, a Google search of the
   term neck-lift was performed, and the first 45 websites were evaluated.
   The websites were categorized as private practice vs other. Private
   websites (PWs) included sites created by private practice physicians.
   Other websites (OWs) were created by academic medical centers or
   reference sources.
   MAIN OUTCOMES AND MEASURES Quality, readability, and technical aspects
   of online websites related to neck-lifts. Quality was assessed using the
   DISCERN criteria and the Health on the Net principles (HONcode).
   Readability was assessed using 7 validated and widely used criteria.
   Consensus US reading grade level readability was provided by a website
   (readabilityformulas. com). Twelve technical aspects were evaluated
   based on criteria specified by medical website creators.
   RESULTS Forty-five websites (8 OWs [18%] and 37 PWs [82%]) were
   analyzed. There was a significant difference in quality between OWs and
   PWs based on the DISCERN criteria and HONcode principles. The DISCERN
   overall mean (SD) scores were 2.3 (0.5) for OWs and 1.3 (0.3) for PWs (P
   < .001). Of a total possible score of 14 using the HONcode analysis, the
   mean (SD) was 8.6 (1.8) (range, 5-11) for OW, and the mean (SD) was 5.8
   (1.7) (range, 2-9) for PW. The mean (SD) readability consensus reading
   grade level scores were 11.7 (1.9) for OWs and 10.6 (1.9) for PWs. Of a
   total possible score of 12, the mean (SD) technical scores were 6.3
   (1.8) (range, 4-9) for OWs and 6.4 (1.5) (range, 3-9) for PWs.
   CONCLUSIONS AND RELEVANCE Compared with PWs, OWs had a significantly
   higher quality score based on both the DISCERN criteria and HONcode
   principles. The mean readability for OWs and PWs was grade 11 and grade
   10, respectively, significantly higher than the grade 7 level
   recommended by the National Institutes of Health. Assessment of
   technical criteria demonstrated room for improvement in providing links
   to social media and blogs and reducing advertisements. Improving the
   quality and readability of online information may result in increased
   patient understanding, more active patient involvement, and ultimately
   better outcomes. Enhancing the technical aspects of websitesmay increase
   website traffic and patient volume.
Z8 0
ZS 0
ZB 3
TC 18
ZR 0
ZA 0
Z9 18
U1 1
U2 9
SN 2168-6076
EI 2168-6092
UT WOS:000398106400009
PM 27812680
ER

PT J
AU Brahmi, Frances A.
   Kaplan, F. Thomas D.
TI Embedded Librarian as Research Team Member
SO JOURNAL OF HAND SURGERY-AMERICAN VOLUME
VL 42
IS 3
BP 210
EP 212
DI 10.1016/j.jhsa.2016.12.007
PD MAR 2017
PY 2017
AB Adding a librarian to an upper extremity surgical and therapy practice
   has many advantages (educational, research, remaining on the cutting
   edge of technology). As an embedded team member, the librarian at the
   Indiana Hand to Shoulder Center prepares literature reviews, creates
   Google Scholar Alerts for individual clinicians, and introduces
   developing technologies such as 3-dimensional printers, Smartphone Apps,
   and online access to nontraditional resources. With the librarian
   relieving clinicians of these responsibilities, surgeons can devote more
   time to clinical and research activities. Private practices unable to
   support their own librarian could share access to a librarian via Skype,
   Face Time, and video conferencing. Another small practice alternative is
   contracting services from a local medical school library that designates
   a librarian as its liaison. Copyright (C) 2017 by the American Society
   for Surgery of the Hand. All rights reserved.
RI Kaplan, F Thomas D/I-9810-2019
OI Kaplan, F Thomas D/0000-0002-0348-507X
ZB 1
ZS 1
Z8 0
ZR 0
TC 4
ZA 0
Z9 6
U1 1
U2 41
SN 0363-5023
EI 1531-6564
UT WOS:000396639600008
PM 28259277
ER

PT J
AU Vargas, Maria V.
   Moawad, Gaby
   Denny, Kathryn
   Happ, Lindsey
   Misa, Nana Yaa
   Margulies, Samantha
   Opoku-Anane, Jessica
   Khalil, Elias Abi
   Marfori, Cherie
TI Transferability of Virtual Reality, Simulation-Based, Robotic Suturing
   Skills to a Live Porcine Model in Novice Surgeons: A Single-Blind
   Randomized Controlled Trial
SO JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
VL 24
IS 3
BP 420
EP 425
DI 10.1016/j.jmig.2016.12.016
PD MAR-APR 2017
PY 2017
AB Study Objective: To assess whether a robotic simulation curriculum for
   novice surgeons can improve performance of a suturing task in a live
   porcine model.
   Design: Randomized controlled trial (Canadian Task Force classification
   I).
   Setting: Academic medical center.
   Patients: Thirty-five medical students without robotic surgical
   experience.
   Interventions: Participants were enrolled in an online session of
   training modules followed by an in-person orientation. Baseline
   performance testing on the Mimic Technologies da Vinci Surgical
   Simulator (dVSS) was also performed. Participants were then randomly
   assigned to the completion of 4 dVSS training tasks (camera clutching 1,
   suture sponge 1 and 2, and tubes) versus no further training. The
   intervention group performed each dVSS task until proficiency or up to
   10 times. A final suturing task was performed on a live porcine model,
   which was video recorded and blindly assessed by experienced surgeons.
   The primary outcomes were Global Evaluative Assessment of Robotic Skills
   (GEARS) scores and task time. The study had 90% power to detect a mean
   difference of 3 points on the GEARS scale, assuming a standard deviation
   (SD) of 2.65, and 80% power to detect a mean difference of 3 minutes,
   assuming an SD of 3 minutes.
   Measurements and Main Results: There were no differences in demographics
   and baseline skills between the 2 groups. No significant differences in
   task time in minutes or GEARS scores were seen for the final suturing
   task between the intervention and control groups, respectively (9.2
   [2.65] vs 9.9 [2.07] minutes, p = .406; and 15.37 [2.51] vs 15.25
   [3.38], p = .603). The 95% confidence interval for the difference in
   mean task times was 2.36 to .96 minutes and for mean GEARS scores 1.91
   to 2.15 points.
   Conclusions: Live suturing task performance was not improved with a
   proficiency-based virtual reality simulation suturing curriculum
   compared with standard orientation to the da Vinci robotic console in a
   group of novice surgeons.
CT 45th Annual Global Congress on Minimally Invasive Gynecology of the
   American-Association-of-Gynecologic-Laparoscopists (AAGL)
CY NOV 13-18, 2016
CL Orlando, FL
SP Amer Assoc Gynecol Laparoscopists
OI Opoku-Anane, Jessica/0000-0003-2252-1571; Marfori,
   Cherie/0000-0002-2158-723X
ZS 0
ZA 0
ZR 0
Z8 0
TC 11
ZB 1
Z9 11
U1 0
U2 6
SN 1553-4650
EI 1553-4669
UT WOS:000396807700013
PM 28027975
ER

PT J
AU Zayed, Mohamed A.
   Lilo, Emily A.
   Lee, Jason T.
TI Impact of an Interactive Vascular Surgery Web-Based Educational
   Curriculum on Surgical Trainee Knowledge and Interest
SO JOURNAL OF SURGICAL EDUCATION
VL 74
IS 2
BP 251
EP 257
DI 10.1016/j.jsurg.2016.09.003
PD MAR-APR 2017
PY 2017
AB OBJECTIVE: The surgical council on resident education developed an
   online competency-based self-study curriculum for general surgery
   residency trainees. Vascular surgery trainees are yet to have a
   similarly validated and readily accessible self-study curriculum. We
   sought to determine the effect of an interactive online vascular surgery
   curriculum on trainee knowledge and interest in vascular surgery.
   METHODS: Over 15 months, 53 trainees (36 medical students and 16
   surgical residents) performing a vascular surgery rotation were enrolled
   in a prospective, randomized, 2-cohort study. Before starting a 4-week
   rotation, trainee baseline demographics were collected, and a pretest
   was administered to evaluate baseline vascular surgery knowledge. During
   the same study period, 31 trainees (GROUP 1) were randomized to an
   interactive online curriculum with weekly reading assignments, and 21
   trainees (GROUP 2) did not have access to the online curriculum. At the
   conclusion, all trainees received a posttest and survey to evaluate any
   change in vascular surgery knowledge and interest.
   RESULTS: Although 26.8% of trainees predicted that online computer
   modules would be a beneficial learning tool, most of trainees indicated
   textbook reading and case discussions are preferred. Analysis of GROUPS
   1 and 2 revealed no significant differences in the average trainee age,
   training level, sex, or number of surgical cases observed during the
   rotation. Improvement in vascular surgery knowledge in GROUP 1 was
   significantly higher compared to GROUP 2 (average increase in posttest
   scores of 16.1% vs 6.6%, p = 0.009). New interest in vascular surgery
   was increased by 22.2% in GROUP 1, but was decreased by 40% in GROUP 2
   (p < 0.001).
   CONCLUSIONS: Basic vascular surgery principles can be efficiently
   introduced through an interactive online curriculum. This type of
   self-study can improve trainee knowledge, and foster interest in
   vascular surgery. As in other specialties, a standardized and validated
   online vascular surgery curriculum should be developed for emerging
   trainees. Published by Elsevier Inc on behalf of the Association of
   Program Directors in Surgery.
ZS 0
ZA 0
ZB 2
TC 7
Z8 0
ZR 0
Z9 7
U1 0
U2 1
SN 1931-7204
EI 1878-7452
UT WOS:000397836000011
PM 27727138
ER

PT J
AU Poot, Rianne
   de Kleijn, Renske A. M.
   van Rijen, Harold V. M.
   van Tartwijk, Jan
TI Students generate items for an online formative assessment: Is it
   motivating?
SO MEDICAL TEACHER
VL 39
IS 3
BP 315
EP 320
DI 10.1080/0142159X.2017.1270428
PD MAR 2017
PY 2017
AB Background: A reported problem with e-learning is sustaining students'
   motivation. We propose a framework explaining to what extent an
   e-learning task is motivating. This framework includes students'
   perceived Value of the task, Competence in executing the task, Autonomy
   over how to carry out the task, and Relatedness.Methods: To test this
   framework, students generated items in an online environment and
   answered questions developed by their fellow students. Motivation was
   measured by analyzing engagement with the task, with an open-ended
   questionnaire about engagement, and with the motivated strategies for
   learning questionnaire (MSLQ).Results: Students developed 59 questions
   and answered 1776 times on the questions. Differences between students
   who did or did not engage in the task are explained by the degree of
   self-regulation, time management, and effort regulation students report.
   There was a significant relationship between student engagement and
   achievement after controlling for previous academic
   achievement.Conclusions: This study proposes a way of explaining the
   motivational value of an e-learning task by looking at students'
   perceived competence, autonomy, value of the task, and relatedness.
   Student-generated items are considered of high task value, and help to
   perceive relatedness between students. With the right instruction,
   students feel competent to engage in the task.
OI van Rijen, Harold/0000-0001-6740-7428
Z8 0
ZA 0
ZB 1
TC 8
ZS 0
ZR 0
Z9 8
U1 1
U2 15
SN 0142-159X
EI 1466-187X
UT WOS:000395556200013
PM 28024432
ER

PT J
AU Rossler, Kelly L.
   Buelow, Janet R.
   Thompson, Anne W.
   Knofczynski, Greg
TI Effective Learning of Interprofessional Teamwork
SO NURSE EDUCATOR
VL 42
IS 2
BP 67
EP 71
DI 10.1097/NNE.0000000000000313
PD MAR-APR 2017
PY 2017
AB Educators are actively identifying optimal teaching-learning strategies
   that afford future health care professionals opportunities to acquire
   skills necessary to function as a member of an interprofessional team.
   This article describes the development of an interprofessional team
   learning experience consisting of students from 6 health professions
   programs within 1 college of health professions. Student achievement of
   interprofessional team competencies were evaluated in a pretest-posttest
   format. Essential components of a 7-week program, teaching
   methodologies, and course evaluations are presented.
OI Rossler, Kelly/0000-0003-3964-4535
TC 4
Z8 0
ZR 0
ZS 0
ZB 0
ZA 0
Z9 4
U1 0
U2 7
SN 0363-3624
EI 1538-9855
UT WOS:000394511700006
PM 27490314
ER

PT J
AU Zhou, A. Y.
   Aston, I.
   Agius, R. M.
TI What factors influenced trainees to choose occupational medicine?
SO OCCUPATIONAL MEDICINE-OXFORD
VL 67
IS 2
BP 155
EP 158
DI 10.1093/occmed/kqx004
PD MAR 2017
PY 2017
AB Background Occupational medicine (OM) is a varied speciality which
   ranges from clinical to preventive medicine and therefore offers a wide
   range of opportunities. However, OM recruitment rates have been
   variable, suggesting that trainees applying for speciality training may
   not be considering it as a career.
   Aims To examine the potential factors that influenced current trainees
   and recently accredited specialists to choose OM as a career.
   Methods An anonymous online survey distributed via the OM trainees
   Google group between 9 and 30 September 2016.
   Results A total of 34 trainees (41% of the total membership of the
   group) participated in the survey. Twentytwo trainees (65%) were aged
   between 36 and 45 and 20 (59%) were females. Trainees came from a wide
   range of backgrounds including general practice (13, 38%), medical
   specialities (8, 21%) and surgical specialities (6, 18%). Factors such
   as regular working hours (24, 73%) and dissatisfaction with other
   specialities (18, 55%) positively influenced trainees to choose OM.
   Influences from other occupational physicians (OPs; 15, 44%) also played
   a role in attracting trainees. Negative influences included lack of
   exposure to OM both at medical school (31, 92%) and at postgraduate
   level (26, 76%), lack of publicity about OM (25, 74%) as well as a
   reduction in salary (25, 74%).
   Conclusions Many factors influence the choice of a career in OM.
   Increasing awareness of OM in both undergraduate and postgraduate
   training, including involving OPs in such training, could influence more
   prospective trainees to consider OM as a lifelong career.
ZA 0
TC 0
ZB 0
ZR 0
Z8 0
ZS 0
Z9 0
U1 0
U2 1
SN 0962-7480
EI 1471-8405
UT WOS:000397059900014
PM 28187224
ER

PT J
AU Afifi, Ladan
   Shinkai, Kanade
TI Optimizing education on the inpatient dermatology consultative service
SO SEMINARS IN CUTANEOUS MEDICINE AND SURGERY
VL 36
IS 1
BP 28
EP 34
DI 10.12788/j.sder.2017.003
PD MAR 2017
PY 2017
AB A consultative dermatology service plays an important role in patient
   care and education in the hospital setting. Optimizing education in
   balance with high-quality dermatology consultative services is both a
   challenge and an opportunity for dermatology consultation teams.There is
   an emergence of new information about how dermatology can best be taught
   in the hospital, much of which relies on principles of workplace
   learning as well as the science of how learning and teaching best happen
   in work settings.These best practices are summarized in this narrative
   review with integrated discussion of concepts from outpatient
   dermatology education and lessons learned from other inpatient teaching
   models. In addition, consultative dermatology curricula should utilize a
   blended curriculum model comprised of patient care and active learning
   and self-study modalities. Specific educational methods will discuss 2
   strategies: (1) direct patient-care activities (ie, bedside teaching
   rounds) and (2) nonpatient care activities (ie, case presentations,
   didactic sessions, online modules, and reading lists).
ZR 0
TC 4
ZA 0
Z8 0
ZS 0
ZB 1
Z9 4
U1 0
U2 3
SN 1085-5629
EI 1558-0768
UT WOS:000396383800007
PM 28247873
ER

PT J
AU Hassall, Christopher
   Lewis, David I.
TI Institutional and technological barriers to the use of open educational
   resources (OERs) in physiology and medical education
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 41
IS 1
BP 77
EP 81
DI 10.1152/advan.00171.2016
PD MAR 2017
PY 2017
AB Open educational resources (OERs) are becoming increasingly common as a
   tool in education, particularly in medical and biomedical education.
   However, three key barriers have been identified to their use: 1) lack
   of awareness of OERs, 2) lack of motivation to use OERs, and 3) lack of
   training in the use of OERs. Here, we explore these three barriers with
   teachers of medical and biomedical science to establish how best to
   enhance the use of OERs to improve pedagogical outcomes. An online
   survey was completed by 209 educators, many of whom (68.4%) reported
   using OERs in their teaching and almost all (99.5%) showing awareness of
   at least one OER. The results suggest that key problems that prevent
   educators from adopting OERs in their teaching include suitability for
   particular classes, time, and copyright. Most (81.8%) educators were
   somewhat, very, or extremely comfortable with OERs so there is no innate
   motivational barrier to adoption. A lack of training was reported by
   13.9% of respondents, and 40% of respondents stated that there was
   little or no support from their institutions. OER users were no more
   comfortable with technology or better supported by departments but
   tended to be aware of a greater number of sources of OERs. Our study
   illustrates key opportunities for the expansion of OER use in physiology
   and medical teaching: increased breadth of awareness, increased
   institutional support (including time, training, and copyright support),
   and greater sharing of diverse OERs to suit the range of teaching
   challenges faced by staff in different subdisciplines.
RI Hassall, Christopher/H-2469-2013
OI Hassall, Christopher/0000-0002-3510-0728
ZA 0
ZS 1
Z8 0
TC 21
ZR 0
ZB 3
Z9 22
U1 1
U2 26
SN 1043-4046
EI 1522-1229
UT WOS:000397104700011
PM 28143826
ER

PT J
AU Berendsen, D.
   Neogi, T.
   Taylor, W. J.
   Dalbeth, N.
   Jansen, T. L.
TI Crystal identification of synovial fluid aspiration by polarized light
   microscopy. An online test suggesting that our traditional rheumatologic
   competence needs renewed attention and training
SO CLINICAL RHEUMATOLOGY
VL 36
IS 3
BP 641
EP 647
DI 10.1007/s10067-016-3461-0
PD MAR 2017
PY 2017
AB Testing a reading exercise for identification of several typical crystal
   such as the negatively birefringent needle-shaped crystals that are
   under polarized light microscopy is the gold standard for diagnosing
   gout. The objective of this study was to assess current performance of
   crystal identification by professionals involved in examining synovial
   fluid in routine care. Rheumatologists, trainees, lab technicians, and
   other physicians with an interest in crystal arthritis completed an
   online test. The test consisted of 30 images: 8 monosodium urate (MSU)
   crystals, 5 calcium pyrophosphate (CPP), 4 cholesterol, 2 depot
   methylprednisolone, 2 calcium oxalate, 2 rice bodies, 1 hydroxyapatite,
   1 liquid lipid, 1 fibrin, 1 Charcot-Leyden, and 5 different artifacts.
   Of the 22 non-MSU slides, a subset of 8 was pre-designated that were
   thought to be clinically important to be identified as non-MSU. The
   primary outcome was defined as the correct identification of all eight
   MSU slides plus the identification of all eight pre-defined non-MSU
   slides as non-MSU. The online test was completed by 110 participants.
   The primary outcome was achieved by 39%. Correct identification of all
   MSU images was achieved by 81%, correct identification of all 8
   pre-defined non-MSU, CPP images, and all 22 non-MSU images as non-MSU by
   68, 68, and 23%, respectively. MSU crystals were well identified, but
   incorrect identification of non-MSU crystals occurred frequently. This
   study suggests that there is room for improvement regarding crystal
   identification of particularly CPP and other non-MSU crystals even in
   this highly motivated group.
RI Neogi, Tuhina/AAM-1110-2020; Jansen, Tim/ABE-8812-2020; Neogi, Tuhina/
OI Neogi, Tuhina/0000-0002-9515-1711
ZS 0
TC 31
Z8 0
ZR 1
ZB 8
ZA 0
Z9 32
U1 0
U2 7
SN 0770-3198
EI 1434-9949
UT WOS:000394989700019
PM 27837341
ER

PT J
AU Chan, Vivian
   Curtis, Sarah
   Flaum, Theodore
   Terzella, Michael
   Yao, Sheldon C.
   Cheriyan, George
TI The role of ultrasound and preparation in first-year medical students'
   learning lumbar spine anatomy and diagnostic skills
SO INTERNATIONAL JOURNAL OF OSTEOPATHIC MEDICINE
VL 23
BP 51
EP 58
DI 10.1016/j.ijosm.2016.10.001
PD MAR 2017
PY 2017
AB Background: Ultrasound as an educational tool in preclinical medical
   education needs to be examined because of its broad and increasing use
   in medicine and its potential in enhancing students' anatomical
   knowledge and diagnostic skills. This study examines the role of
   ultrasound and preparation in first-year medical students' learning to
   identify and palpate lumbar spine landmarks. Methods: Surveys were
   collected from first-year medical students who attended the lumbar spine
   workshop. Students were randomly stratified into two groups: using
   ultrasound and not using ultrasound. Student-diagnosed lumbar spine
   somatic dysfunctions were assessed by two blinded physicians.
   Results: Three hundred and eighteen first-year students completed the
   survey. Sixty six percent (n = 104) of the students in the ultrasound
   group stated that ultrasound improved their physical examination skills.
   No significant difference existed between the ultrasound and
   non-ultrasound groups in confidence level in palpation, engagement level
   in workshop, nor accurately diagnosing lumbar somatic dysfunction. A
   significantly greater proportion of prepared students, compared to
   unprepared students, responded that the workshop helped with diagnosing
   and was engaging, and that ultrasound did or would improve physical
   examination skills (all p < 0.05). No significant difference was found
   between ultrasound and non-ultrasound groups, as well as between
   prepared and non-prepared groups, in physician assessment of student
   diagnosis.
   Conclusion: The study results can assist in the design of future studies
   and workshops on ultrasound in preclinical education. Our study suggests
   the need for further research exploring ultrasound's role in helping
   preclinical medical students acquire basic and advanced palpatory and
   diagnostic skills. (C) 2016 Elsevier Ltd. All rights reserved.
OI Chan, Vivian/0000-0003-2367-000X
ZS 0
ZB 0
Z8 0
ZR 0
TC 0
ZA 0
Z9 0
U1 0
U2 7
SN 1746-0689
EI 1878-0164
UT WOS:000396966700007
ER

PT J
AU Latham, Katherine
   Messing, Barbara
   Bidlack, Melissa
   Merritt, Samantha
   Zhou, Xian
   Akst, Lee M.
TI Vocal Health Education and Medical Resources for Graduate-Level Vocal
   Performance Students
SO JOURNAL OF VOICE
VL 31
IS 2
AR 251.e1
DI 10.1016/j.jvoice.2016.07.011
PD MAR 2017
PY 2017
AB Objective/Hypothesis. Most agree that education about vocal health and
   physiology can help singers avoid the development of vocal disorders.
   However, little is known about how this kind of education is provided to
   singers as part of their formal training. This study describes the
   amount of instruction in these topics provided through graduate-level
   curricula, who provides this instruction, and the kinds of affiliations
   such graduate singing programs have with medical professionals.
   Study Design. This is an online survey of music schools with graduate
   singing programs.
   Methods. Survey questions addressed demographics of the programs,
   general attitudes about vocal health instruction for singers, the amount
   of vocal health instruction provided and by whom it was taught,
   perceived barriers to including more vocal health instruction, and any
   affiliations the voice program might have with medical personnel.
   Results. Eighty-one survey responses were received. Instruction on vocal
   health was provided in 95% of the schools. In 55% of the schools, none
   of this instruction was given by a medical professional. Limited time in
   the curriculum, lack of financial support, and lack of availability of
   medical professional were the most frequently reported barriers to
   providing more instruction. When programs offered more hours of
   instruction, they were more likely to have some of that instruction
   given by a medical professional (P = 0.008) and to assess the amount of
   instruction provided positively (P = 0.001).
   Conclusion. There are several perceived barriers to incorporating vocal
   health education into graduate singing programs. Opportunity exists for
   more collaboration between vocal pedagogues and medical professionals in
   the education of singers about vocal health.
OI Akst, Lee/0000-0002-8925-0545
ZS 1
TC 4
Z8 0
ZA 0
ZB 0
ZR 0
Z9 4
U1 0
U2 4
SN 0892-1997
EI 1873-4588
UT WOS:000397918800044
PM 27567393
ER

PT J
AU Rosenberg, Casandra J.
   Nanos, Katherine N.
   Newcomer, Karen L.
TI The "Near-Peer" Approach to Teaching Musculoskeletal Physical
   Examination Skills Benefits Residents and Medical Students
SO PM&R
VL 9
IS 3
BP 251
EP 257
DI 10.1016/j.pmrj.2016.06.004
PD MAR 2017
PY 2017
AB Background: The musculoskeletal physical examination (MSK PE) is an
   essential part of medical student training, and it is best taught in a
   hands-on, longitudinal fashion. A barrier to this approach is faculty
   instructor availability. "Near-peer" teaching refers to
   physicians-in-training teaching their junior colleagues. It is unknown
   whether near-peer teaching is effective in teaching this important
   physical examination skill.
   Objective: To investigate attitudes of medical students and physical
   medicine and rehabilitation (PMEtR) residents regarding near peer
   teaching in an MSK PE curriculum.
   Design: Qualitative, anonymous paper and online surveys.
   Setting: Tertiary academic center with a medical school and PMEtR
   training program.
   Participants: Ninety-nine second- and third-year medical students and 13
   PM&R residents in their third or fourth postgraduate year.
   Methods: Attitudes of second- and third-year medical students were
   measured immediately after their MSK PE course. Resident attitudes were
   measured in a single cross-sectional sample.
   Main Outcome Measurements: Student attitudes were assessed via a
   questionnaire with 5-point Likert scales and a free-text comment
   section. The resident questionnaire included a combination of
   multiple-choice questions, rankings, free-text responses, and Likert
   scales.
   Results: All 99 students completed the questionnaire. The majority of
   students (n = 79 [80%]) reported that resident involvement as hands-on
   instructors of examination skills was "very useful," and 87 (88%)
   indicated that resident-led small discussion groups were "very helpful"
   or "somewhat helpful." Fifty-seven of 99 students (58%) reported that
   the resident-facilitated course was "much better" than courses without
   resident involvement. Twelve of 13 eligible residents completed the
   survey, and of those, 8 found teaching "very helpful" to their MSK
   knowledge, and 11 became "somewhat" or "much more confident" in clinical
   examination skills.
   Conclusions: Our study supports educational benefits to medical students
   and resident instructors in our MSK PE program. We recommend including
   near-peer teaching in medical student education, particularly for
   hands-on skills; we also recommend providing opportunities for PM&R
   residents to participate in formal near-peer education.
TC 12
Z8 0
ZR 0
ZS 0
ZB 0
ZA 0
Z9 12
U1 0
U2 12
SN 1934-1482
EI 1934-1563
UT WOS:000397554800004
PM 27292435
ER

PT J
AU Cicero, Mark Xavier
   Whitfill, Travis
   Overly, Frank
   Baird, Janette
   Walsh, Barbara
   Yarzebski, Jorge
   Riera, Antonio
   Adelgais, Kathleen
   Meckler, Garth D.
   Baum, Carl
   Cone, David Christopher
   Auerbach, Marc
TI Pediatric Disaster Triage: Multiple Simulation Curriculum Improves
   Prehospital Care Providers' Assessment Skills
SO PREHOSPITAL EMERGENCY CARE
VL 21
IS 2
BP 201
EP 208
DI 10.1080/10903127.2016.1235239
PD MAR-APR 2017
PY 2017
AB Objective: Paramedics and emergency medical technicians (EMTs) triage
   pediatric disaster victims infrequently. The objective of this study was
   to measure the effect of a multiple-patient, multiple-simulation
   curriculum on accuracy of pediatric disaster triage (PDT). Methods:
   Paramedics, paramedic students, and EMTs from three sites were enrolled.
   Triage accuracy was measured three times (Time 0, Time 1 [two weeks
   later], and Time 2 [6months later]) during a disaster simulation, in
   which high and low fidelity manikins and actors portrayed 10 victims.
   Accuracy was determined by participant triage decision concordance with
   predetermined expected triage level (RED [Immediate], YELLOW [Delayed],
   GREEN [Ambulatory], BLACK [Deceased]) for each victim. Between Time 0
   and Time 1, participants completed an interactive online module, and
   after each simulation there was an individual debriefing. Associations
   between participant level of training, years of experience, and
   enrollment site were determined, as were instances of the most dangerous
   mistriage, when RED and YELLOW victims were triaged BLACK. Results: The
   study enrolled 331 participants, and the analysis included 261 (78.9%)
   participants who completed the study, 123 from the Connecticut site, 83
   from Rhode Island, and 55 from Massachusetts. Triage accuracy improved
   significantly from Time 0 to Time 1, after the educational interventions
   (first simulation with debriefing, and an interactive online module),
   with a median 10% overall improvement (p < 0.001). Subgroup analyses
   showed between Time 0 and Time 1, paramedics and paramedic students
   improved more than EMTs (p = 0.002). Analysis of triage accuracy showed
   greatest improvement in overall accuracy for YELLOW triage patients
   (Time 0 50% accurate, Time1 100%), followed by RED patients (Time 0 80%,
   Time 1 100%). There was no significant difference in accuracy between
   Time 1 and Time 2 (p = 0.073). Conclusion: This study shows that the
   multiple-victim, multiple-simulation curriculum yields a durable 10%
   improvement in simulated triage accuracy. Future iterations of the
   curriculum can target greater improvements in EMT triage accuracy.
OI Meckler, Garth/0000-0002-6057-0465; Whitfill, Travis/0000-0002-3277-4380
ZR 0
Z8 1
TC 16
ZS 0
ZB 1
ZA 0
Z9 17
U1 0
U2 6
SN 1090-3127
EI 1545-0066
UT WOS:000395748100008
PM 27749145
ER

PT J
AU Dang, Timothy M.
   Maggio, Lauren A.
TI Supporting the Call to Action: A Review of Nutrition Educational
   Interventions in the Health Professions Literature and MedEdPORTAL
SO ACADEMIC MEDICINE
VL 92
IS 3
BP 403
EP 416
DI 10.1097/ACM.0000000000001532
PD MAR 2017
PY 2017
AB Purpose
   Despite calls to improve nutrition education, training for medical
   students is inadequate. This systematic review provides an overview of
   published educational interventions for undergraduate-level health
   professionals and makes recommendations for improving nutrition
   training.
   Method
   The authors conducted a systematic review of articles (through July 16,
   2015) and examined resources in MedEdPORTAL (through September 28, 2015)
   focused on materials published since January 2004 that describe
   nutrition educational interventions for undergraduate-level health
   professionals. The authors extracted data on pedagogical
   characteristics, content areas covered, study design, and study
   outcomes.
   Results
   Of 1,616 article citations, 32 met inclusion criteria. Most were
   designed at a single institution (n = 29) for medical students (n = 24).
   Of 51 MedEdPORTAL resources, 15 met inclusion criteria. Most were
   designed at a single institution (n = 12) for medical students (n = 15).
   Interventions spread across several countries, learner levels, and
   settings. Content areas covered included basic science nutrition,
   population health, counseling, and training framed by specific patient
   populations and organ systems. No clear trends were observed for
   intended learning outcomes, type of instructor, method of instruction,
   or duration.
   Conclusions
   The heterogeneity of interventions and the content areas covered
   highlight the lack of adopted curricular standards for teaching clinical
   nutrition. Recommendations that educators should consider include
   interprofessional education approaches, online learning, placing an
   emphasis on learners' personal health behaviors, and standardized and
   real patient interactions. Educators should continue to publish
   curricular materials and prioritize the evaluation and sharing of
   resources.
OI Maggio, Lauren/0000-0002-2997-6133
ZS 0
ZR 0
ZB 3
Z8 0
TC 15
ZA 0
Z9 15
U1 0
U2 6
SN 1040-2446
EI 1938-808X
UT WOS:000394497100036
PM 28225733
ER

PT J
AU de Visser, Marieke
   Fluit, Cornelia
   Fransen, Jaap
   Latijnhouwers, Mieke
   Cohen-Schotanus, Janke
   Laan, Roland
TI The effect of curriculum sample selection for medical school
SO ADVANCES IN HEALTH SCIENCES EDUCATION
VL 22
IS 1
BP 43
EP 56
DI 10.1007/s10459-016-9681-x
PD MAR 2017
PY 2017
AB In the Netherlands, students are admitted to medical school through (1)
   selection, (2) direct access by high pre-university Grade Point Average
   (pu-GPA), (3) lottery after being rejected in the selection procedure,
   or (4) lottery. At Radboud University Medical Center, 2010 was the first
   year we selected applicants. We designed a procedure based on tasks
   mimicking the reality of early medical school. Applicants took an online
   course followed by an on-site exam, resembling courses and exams in
   early medical school. Based on the exam scores, applicants were selected
   or rejected. The aim of our study is to determine whether curriculum
   sample selection explains performance in medical school and is
   preferable compared to selection based on performance in secondary
   school. We gathered data on the performance of students of three
   consecutive cohorts (2010-2012, N = 954). We compared medical school
   performance (course credits and grade points) of selected students to
   the three groups admitted in other ways, especially lottery admissions.
   In regression analyses, we controlled for out of context cognitive
   performance by adjusting for pu-GPA. Selection-admitted students
   outperformed lottery-admitted students on most outcome measures,
   unadjusted as well as adjusted for pu-GPA (p aecurrency 0.05). They had
   higher grade points than non-selected lottery students, both unadjusted
   and adjusted for pu-GPA (p aecurrency 0.025). Adjusted for pu-GPA,
   selection-admitted students and high-pu-GPA students performed equally.
   We recommend this selection procedure as it adds to secondary school
   cognitive performance for the general population of students, is
   efficient for large numbers of applicants and not labour-intensive.
RI de Visser, Marieke/C-9196-2018; Fluit, Cornelia/AAC-4924-2021; Laan, R.F.J.M./H-8064-2014; Fluit, Cornelia/AAF-6467-2019
OI de Visser, Marieke/0000-0002-7235-8584; Fluit,
   Cornelia/0000-0002-8714-9339; 
TC 16
Z8 0
ZR 1
ZB 3
ZS 0
ZA 0
Z9 17
U1 0
U2 12
SN 1382-4996
EI 1573-1677
UT WOS:000394365300004
PM 27107882
ER

PT J
AU Lussiez, Alisha D.
   Burdick, Stephanie
   Kodali, Sindhura
   Rubio, Gustavo
   Mack, Jacob A.
   Lin, Jules
   Chang, Andrew C.
   Reddy, Rishindra M.
TI Internet Usage Trends in Thoracic Surgery Patients and Their Caregivers
SO JOURNAL OF CANCER EDUCATION
VL 32
IS 1
BP 91
EP 96
DI 10.1007/s13187-015-0934-9
PD MAR 2017
PY 2017
AB With trends toward increasing patient involvement in medical
   decision-making, decreasing clinic times, and the availability of the
   Internet, patients and their caregivers are increasingly researching
   cancer diagnoses online. It is essential for physicians to understand
   patient Internet usage as it relates to their own health education.
   Internet usage trends have been studied in various areas, but not in
   thoracic diseases. This prospective cohort study surveyed 337 thoracic
   surgery patients and their caregivers with both cancer and non-cancer
   diagnoses to examine their Internet usage trends. Cancer subjects were
   more likely to research their condition online if they were younger, had
   a higher income, had a higher education level, and were currently
   employed. Only age and income level were predictive for non-cancer
   subjects. Separately, cancer subjects were more likely to trust
   information found on the Internet if they had a higher education.
   Subjects were most likely to conduct research on a hospital website than
   other websites. These data will be helpful to thoracic surgeons who want
   to appropriately educate patients and their caregivers and direct them
   to reliable Internet sources. These data also illustrate the importance
   of developing trustworthy hospital websites with disease-specific
   information.
RI Lin, Jules/AAK-3200-2021; Lin, Jules/; Chang, Andrew/
OI Lin, Jules/0000-0003-4733-0659; Chang, Andrew/0000-0001-9506-0425
Z8 0
ZR 0
ZB 1
ZA 0
TC 10
ZS 0
Z9 10
U1 0
U2 2
SN 0885-8195
EI 1543-0154
UT WOS:000394145000015
PM 26511536
ER

PT J
AU Jusela, Cheryl
   Struble, Laura
   Gallagher, Nancy Ambrose
   Redman, Richard W.
   Ziemba, Rosemary A.
TI Communication Between Acute Care Hospitals and Skilled Nursing
   Facilities During Care Transitions A Retrospective Chart Review
SO JOURNAL OF GERONTOLOGICAL NURSING
VL 43
IS 3
BP 19
EP 28
DI 10.3928/00989134-20161109-03
PD MAR 2017
PY 2017
AB The purpose of the current project was to (a) examine the type of
   information accompanying patients on transfer from acute care to skilled
   nursing facilities (SNFs), (b) discuss how these findings meet existing
   standards, and (c) make recommendations to improve transfer of essential
   information. The study was a retrospective convenience sample chart
   audit in one SNF. All patients admitted from an acute care hospital to
   the SNF were examined. The audit checklist was developed based on
   recommendations by local and national standards. One hundred fifty-five
   charts were reviewed. Transferring of physician contact information was
   missing in 65% of charts. The following information was also missing
   from charts: medication lists (1%), steroid tapering instructions (42%),
   antiarrhythmic instructions (38%), duration/indication of anticoagulant
   medications (25%), and antibiotic medications (22%). Findings support
   the need for improved transitional care models and better communication
   of information between care settings. Recommendations include
   designating accountability and chart audits comparing timeliness,
   completeness, and accuracy.
TC 5
ZS 0
ZB 1
ZA 0
Z8 0
ZR 0
Z9 5
U1 0
U2 6
SN 0098-9134
EI 1938-243X
UT WOS:000396544600004
PM 27845810
ER

PT J
AU Coombe, Jacqueline
   Harris, Melissa L.
   Loxton, Deborah
TI Who uses long-acting reversible contraception? Profile of LARC users in
   the CUPID cohort
SO SEXUAL & REPRODUCTIVE HEALTHCARE
VL 11
BP 19
EP 24
DI 10.1016/j.srhc.2016.09.003
PD MAR 2017
PY 2017
AB Objective: To explore the characteristics of long-acting reversible
   contraception (LARC) users in a nationally representative cohort of
   young Australian women aged 18-23.
   Methods: Data from 3155 women who responded to a question about their
   contraceptive use in the previous six months at the baseline
   Contraceptive Use, Pregnancy Intention and Decisions (CUPID) survey were
   included.
   Results: 726 (19.1%) women reported LARC use, with the Implanon being
   the most popular method (n = 478; 65.8%). A history of pregnancy was
   strongly associated with increased odds of LARC use in the multivariate
   model (OR = 2.67, 95% CI = 2.11, 3.34, p <= 0.001). Comparatively, using
   contraception for reasons other than pregnancy prevention was associated
   with decreased odds of LARC use in the multivariate model (period
   management: OR = 0.74, 95% CI = 0.60, 0.91, p = 0.004, body management:
   OR= 0.53, 95% CI = 0.37, 0.77, p = 0.001, medical condition: OR = 0.25,
   95% CI = 0.09, 0.66, p = 0.005). Highest education and Medicare card
   status also contributed to the final multivariate model, and were
   associated with decreased odds of LARC use.
   Conclusion: Reproductive history and reasons for contraceptive use are
   strong indications of method choice. Promoting LARC as highly effective
   may not be a sufficient incentive for young women to take up the method
   when pregnancy prevention may be equal or secondary to their desired
   non-contraceptive effects. (C) 2016 Elsevier B.V. All rights reserved.
OI Coombe, Jacqueline/0000-0002-9520-5724
ZA 0
ZS 0
ZB 1
TC 9
Z8 0
ZR 0
Z9 9
U1 0
U2 5
SN 1877-5756
EI 1877-5764
UT WOS:000394066700004
PM 28159123
ER

PT J
AU Elsey, Christopher
   Challinor, Alexander
   Monrouxe, Lynn V.
TI Patients embodied and as-a-body within bedside teaching encounters: a
   video ethnographic study
SO ADVANCES IN HEALTH SCIENCES EDUCATION
VL 22
IS 1
BP 123
EP 146
DI 10.1007/s10459-016-9688-3
PD MAR 2017
PY 2017
AB Bedside teaching encounters (BTEs) involve doctor-patient-student
   interactions, providing opportunities for students to learn with, from
   and about patients. How the differing concerns of patient care and
   student education are balanced in situ remains largely unknown and
   undefined. This video ethnographic study explores patient involvement
   during a largely student-centric activity: 'feedback sequences' where
   students learn clinical and practical skills. Drawing on a data subset
   from a multi-site study, we used Conversation Analysis to investigate
   verbal and non-verbal interactional practices to examine patients'
   inclusion and exclusion from teaching activities across 25 BTEs in
   General Practice and General Surgery and Medicine with 50 participants.
   Through analysis, we identified two representations of the patient: the
   patient embodied (where patients are actively involved) and the patient
   as-a-body (when they are used primarily as a prop for learning).
   Overall, patients were excluded more during physical examination than
   talk-based activities. Exclusion occurred through physical positioning
   of doctor-patient-student, and through doctors and students talking
   about, rather than to, patients using medical jargon and online
   commentaries. Patients' exclusion was visibly noticeable through eye
   gaze: patients' middle-distance gaze coincided with medical terminology
   or complex wording. Inclusory activities maintained the patient embodied
   during teaching activities through doctors' skilful embedding of
   teaching within their care: including vocalising clinical reasoning
   processes through students, providing patients with a 'warrant to
   listen', allocating turns-at-talk for them and eye-contact. This study
   uniquely demonstrates the visible nature patient exclusion, providing
   firm evidence of how this affects patient empowerment and engagement
   within educational activities for tomorrow's doctors.
RI Monrouxe, Lynn/AAG-9817-2019; Challinor, Alexander/; Monrouxe, Lynn Valerie/H-6770-2012
OI Challinor, Alexander/0000-0001-7305-0007; Monrouxe, Lynn
   Valerie/0000-0002-4895-1812
ZR 0
Z8 0
TC 13
ZS 0
ZB 1
ZA 0
Z9 13
U1 0
U2 7
SN 1382-4996
EI 1573-1677
UT WOS:000394365300009
PM 27246146
ER

PT J
AU Beckstead, Jason W.
   Boutis, Kathy
   Pecaric, Martin
   Pusic, Martin V.
TI Sequential dependencies in categorical judgments of radiographic images
SO ADVANCES IN HEALTH SCIENCES EDUCATION
VL 22
IS 1
BP 197
EP 207
DI 10.1007/s10459-016-9692-7
PD MAR 2017
PY 2017
AB Sequential context effects, the psychological interactions occurring
   between the events of successive trials when a sequence of similar
   stimuli are judged, have interested psychologists for decades. It has
   been well established that individuals exhibit sequential context
   effects in psychophysical experiments involving unidimensional stimuli.
   Recent evidence shows that these effects generalize to quantitative
   judgments of more complex multidimensional stimuli such as images of
   faces, chairs, and shoes. In this article, we test for the presence of
   sequential context effects by re-examining previously published data on
   categorical judgments of 234 complex radiographic images made by 20
   experienced physicians and 20 medical students engaged in an online
   training task. We found that medical students, but not experienced
   physicians, displayed evidence of sequential context effects. We also
   found evidence suggesting that as the students learned over blocks of
   trials, they tended to shift from relative comparisons between
   consecutive images toward more independent comparisons of each image
   against (strengthening) internalized standards.
OI Pusic, Martin/0000-0001-5236-6598
ZS 0
TC 2
ZB 0
ZA 0
ZR 0
Z8 0
Z9 2
U1 0
U2 3
SN 1382-4996
EI 1573-1677
UT WOS:000394365300013
PM 27272512
ER

PT J
AU Brennan, Michael J.
   Stanos, Steven P.
TI Strategies for Combating Opioid-Induced Constipation: Targeted
   Mechanisms to Maintain Pain Control Without Compromise
SO PM&R
VL 9
IS 3
BP 325
EP 325
DI 10.1016/j.pmrj.2017.01.003
PD MAR 2017
PY 2017
AB Opioid-induced constipation (01C) is a common side effect of opioid use
   and can occur from the outset of opioid therapy (Online access:
   http://courses.elseviercme.com/aapmr2016/638e). OIC has been reported to
   interfere with pain management, increase health care costs, decrease
   work productivity and daily activities, and significantly affect patient
   quality of life. It can also lead to bowel obstruction. Assessing and
   managing OIC is important for establishing maximum function for
   patients. Several pharmacologic approaches, with different mechanisms of
   action, are available or in development.
ZA 0
ZS 0
Z8 0
TC 0
ZR 0
ZB 0
Z9 0
U1 0
U2 0
SN 1934-1482
EI 1934-1563
UT WOS:000397554800015
PM 28143720
ER

PT J
AU Phelan, Nigel
   Davy, Shane
   O'Keeffe, Gerard W.
   Barry, Denis S.
TI Googling in anatomy education: Can google trends inform educators of
   national online search patterns of anatomical syllabi?
SO ANATOMICAL SCIENCES EDUCATION
VL 10
IS 2
BP 152
EP 159
DI 10.1002/ase.1641
PD MAR-APR 2017
PY 2017
AB The role of e-learning platforms in anatomy education continues to
   expand as self-directed learning is promoted in higher education.
   Although a wide range of e-learning resources are available, determining
   student use of non-academic internet resources requires novel
   approaches. One such approach that may be useful is the Google
   Trends((c)) web application. To determine the feasibility of Google
   Trends to gain insights into anatomy-related online searches, Google
   Trends data from the United States from January 2010 to December 2015
   were analyzed. Data collected were based on the recurrence of keywords
   related to head and neck anatomy generated from the American Association
   of Clinical Anatomists and the Anatomical Society suggested anatomy
   syllabi. Relative search volume (RSV) data were analyzed for seasonal
   periodicity and their overall temporal trends. Following exclusions due
   to insufficient search volume data, 29 out of 36 search terms were
   analyzed. Significant seasonal patterns occurred in 23 search terms.
   Thirty-nine seasonal peaks were identified, mainly in October and April,
   coinciding with teaching periods in anatomy curricula. A positive
   correlation of RSV with time over the 6-year study period occurred in 25
   out of 29 search terms. These data demonstrate how Google Trends may
   offer insights into the nature and timing of online search patterns of
   anatomical syllabi and may potentially inform the development and timing
   of targeted online supports to ensure that students of anatomy have the
   opportunity to engage with online content that is both accurate and fit
   for purpose. Anat Sci Educ 10: 152-159. (c) 2016 American Association of
   Anatomists.
OI O'Keeffe, Gerard/0000-0001-5149-0933
ZA 0
TC 8
Z8 0
ZR 0
ZB 1
ZS 0
Z9 8
U1 1
U2 15
SN 1935-9772
EI 1935-9780
UT WOS:000399316700006
PM 27547967
ER

PT J
AU Rossa-Roccor, Verena
   Malatskey, Lilach
   Frank, Erica
TI NextGenU.org's Free, Globally Available Online Training in Lifestyle
   Medicine
SO AMERICAN JOURNAL OF LIFESTYLE MEDICINE
VL 11
IS 2
BP 132
EP 133
DI 10.1177/1559827616682444
PD MAR-APR 2017
PY 2017
AB NextGenU.arg now uniquely offers a free, accredited, globally-available
   online training in Lifestyle Medicine. Courses such as Lifestyle
   Medicine for Primary Care Physicians, Prevention and Treatment of
   Alcohol Use Disorders/Tobacco Use, Substance Use Disorder Screening,
   Public Health Nutrition, and more are competency-based and include
   knowledge transfer, a web-based global peer community of practice, and
   local, skills-based mentorships. Trainings use existing, expert-created
   resources from governments, universities, and medical specialty
   societies thus ensuring their quality and simultaneously making them
   free of costs, advertisement, and geographic barriers. To offer free
   credits for these courses, NextGenU.org partners with universities and
   professional societies. NextGenU.org's comprehensive Lifestyle Medicine
   Curriculum will launch in early 2017.
OI Frank, Erica/0000-0001-7159-5417
ZS 0
ZB 0
ZR 0
TC 5
ZA 0
Z8 0
Z9 5
U1 0
U2 1
SN 1559-8276
EI 1559-8284
UT WOS:000446762000007
PM 30202325
ER

PT J
AU Barry, Parul
   Amsbaugh, Mark
   Ziegler, Craig
   Dragun, Anthony
TI Patterns of care with regard to whole-brain radiotherapy technique and
   delivery among academic centers in the United States
SO JOURNAL OF COMMUNITY AND SUPPORTIVE ONCOLOGY
VL 15
IS 2
BP 89
EP 94
DI 10.12788/jcso.0305
PD MAR 2017
PY 2017
AB Background Patterns of practice for whole-brain radiotherapy (WBRT) for
   the treatment of brain metastases are variable.
   Objective To assess patterns of care with regard to WBRT in academic
   centers in the United States.
   Methods A survey of 19 questions was sent to program coordinators at
   radiation oncology practices accredited by the Accreditation Council for
   Graduate Medical Education. Coordinators were instructed to send the
   online survey to resident and attending physicians. We received 95
   responses of which 87 were considered complete for analysis. We assessed
   for association between patterns of care and years in practice (0-5,
   6-10, 11-20, and >21 years).
   Results A majority of respondents were physicians in practice for <= 5
   years (70%). The most frequently used schema for WBRT was 30 Gy in 10
   fractions. A majority of patients with radioresistant tumors (52%) were
   treated with this schema. For radioresistant tumors, those in practice
   for longer periods more likely to use stereotactic radiosurgery (SRS)
   alone (P = .027). Younger practitioners ranked the status of
   extracranial disease for SRS alone as increasingly more important
   (linear trend, P = .010), and older practitioners ranked histopathology
   as increasingly more important (linear trend, P = .002). With regard to
   reirradiation, older practitioners placed more importance on tumor
   histology (P < .026).
   Limitation Contact information was available only for program
   coordinators.
   Conclusions With regard to WBRT, time in practice was the most
   significant predictor of treatment technique and delivery. Older
   practitioners placed more importance on tumor histopathology when
   considering brain irradiation.
OI Amsbaugh, Mark/0000-0003-1268-3569
ZR 0
ZB 0
ZS 0
TC 2
ZA 0
Z8 0
Z9 2
U1 0
U2 1
SN 2330-7749
EI 2330-7757
UT WOS:000431167800007
ER

PT J
AU Feijoo-Cid, Maria
   Morina, David
   Gomez-Ibanez, Rebeca
   Leyva-Moral, Juan M.
TI Expert patient illness narratives as a teaching methodology: A mixed
   method study of student nurses satisfaction
SO NURSE EDUCATION TODAY
VL 50
BP 1
EP 7
DI 10.1016/j.nedt.2016.11.029
PD MAR 2017
PY 2017
AB Objective: To evaluate nursing students' satisfaction with Expert
   Patient Illness Narratives as a teaching and learning methodology based
   on patient involvement.
   Methods and Design: Mixed methods were used in this study: online survey
   with quantitative and qualitative items designed by researchers.
   Settings and Participants: Sixty-four nursing students of the
   Universitat Autonoma de Barcelona, attending a Medical Anthropology
   elective course.
   Results: Women more frequently considered that the new learning
   methodology was useful in developing the competency "to reason to reason
   the presence of the triad Health-Illness-Care in all the groups,
   societies and historical moments" (p-value = 0.02) and in that it was
   consolidated as a learning outcome (p-value = 0.022). On the other hand,
   men considered that this methodology facilitated the development of
   critical thinking (p = 0.01) and the ability to identify normalized or
   deviant care situations (p = 0.007). Students recognized the value of
   Expert Patient Illness Narratives in their nursing training as a way to
   acquire new nursing skills and broaden previously acquired knowledge.
   This educational innovation improved nursing skills and provided a
   different and richer perspective of humanization of care.
   Conclusions: The results of the present study demonstrate that nursing
   students found Expert Patient Illness Narratives satisfactory as a
   learning and teaching methodology, and reported improvement in different
   areas of their training and also the integration of new knowledge,
   meaning, theory applicability, as well las critical and reflective
   thinking. Involvement of patients as storytellers also provides a new
   humanizing perspective of care. Nonetheless, further studies of Expert
   Patient Illness Narratives are needed in order to improve its benefits
   as a teaching and learning methodology. (C) 2016 Elsevier Ltd. All
   rights reserved.
RI Feijoo-Cid, Maria/AAL-3220-2020; Moriña, David/AAX-8427-2021; Leyva-Moral, Juan M./F-6865-2015
OI Feijoo-Cid, Maria/0000-0002-7010-373X; Moriña,
   David/0000-0001-5949-7443; Leyva-Moral, Juan M./0000-0003-4241-4992
TC 10
ZR 0
ZS 0
ZA 0
ZB 0
Z8 0
Z9 10
U1 4
U2 48
SN 0260-6917
EI 1532-2793
UT WOS:000393017300001
PM 27998806
ER

PT J
AU Young, Taryn
   Naude, Celeste
   Brodovcky, Tania
   Esterhuizen, Tonya
TI Building capacity in Clinical Epidemiology in Africa: experiences from
   Masters programmes
SO BMC MEDICAL EDUCATION
VL 17
AR 46
DI 10.1186/s12909-017-0885-4
PD FEB 27 2017
PY 2017
AB Background: To describe and contrast programmatic offering of Clinical
   Epidemiology Masters programmes in Africa, to evaluate experiences of
   graduates and faculty, and assess if graduates are playing roles in
   research, practice and teaching of Clinical Epidemiology.
   Methods: We searched and identified relevant programmes, reviewed
   programmatic documentation, interviewed convenors and surveyed
   graduates. Participants provided informed consent, interviews with
   faculty were recorded and transcribed for analysis purposes, and
   graduates participated in an online survey.
   Results: Five structured Masters programmes requiring health science
   professionals to complete modules and research projects were assessed.
   Demand for programmes was high. Graduates enjoyed the variety of
   modules, preferred blended teaching, and regarded assessments as fair.
   Graduates felt that career paths were not obvious after graduating.
   Despite this, some have gone on to promote and teach evidence-based
   health care, and conduct and disseminate research. Areas of concern
   raised by faculty were quality assurance; research project initiation,
   implementation and supervisory capacity; staff availability; funding to
   support implementation and lack of experiential learning.
   Conclusion: Although faced with challenges, these programmes build
   capacity of health professionals to practice in an evidence-informed
   way, and conduct rigorous research, which are central to advancing the
   practice of Clinical Epidemiology in Africa.
OI Naude, Celeste/0000-0002-9114-1452; Brodovcky,
   Tania/0000-0003-2364-2623; Young, Taryn/0000-0003-2406-081X
TC 3
ZA 0
Z8 0
ZR 0
ZS 0
ZB 0
Z9 3
U1 0
U2 3
SN 1472-6920
UT WOS:000397434300001
PM 28241762
ER

PT J
AU Kristiansen, Anne Mette
   Svanholm, Jette R.
   Schjodt, Inge
   Jensen, Karsten Molgaard
   Silen, Charlotte
   Karlgren, Klas
TI Patients with heart failure as co-designers of an educational website:
   implications for medical education
SO INTERNATIONAL JOURNAL OF MEDICAL EDUCATION
VL 8
BP 47
EP 58
DI 10.5116/ijme.5898.309e
PD FEB 25 2017
PY 2017
AB Objectives: To identify the learning needs of patients with heart
   failure between outpatients follow-up visits from their perspective and
   to ascertain what they emphasize as being important in the design of an
   educational website for them.
   Methods: We conducted a two-step qualitative study at Aarhus University
   Hospital, Denmark. Twenty patients with heart failure participated
   either in focus group interviews, diary writing, or video-recorded
   design sessions. Data on learning needs were collected in step 1 and
   analyses, therefore, helped develop the preliminary prototypes of a
   website. In step 2, patients worked on the prototypes in video-recorded
   design sessions, employing a think-aloud method. The interviews were
   transcribed and a content analysis was performed on the text and video
   data.
   Results: Patients' learning needs were multifaceted, driven by anxiety,
   arising from, and often influenced by, such daily situations and
   contexts as the medical condition, medication, challenges in daily life,
   and where to get support and how to manage their self-care. They
   emphasized different ways of adapting the design to the patient group to
   enable interaction with peers and professionals and specific interface
   issues.
   Conclusions: This study provided insights into the different learning
   needs of patients with heart failure, how managing daily situations is
   the starting point for these needs and how emotions play a part in
   patients' learning. Moreover, it showed how patient co-designers proved
   to be useful for understanding how to design a website that supports
   patients' learning: insights, which may become important in designing
   online learning tools for patients.
RI Karlgren, Klas/AAJ-8003-2020; Karlgren, Klas/J-5044-2013
OI Karlgren, Klas/0000-0003-1255-7650; Karlgren, Klas/0000-0003-1255-7650
ZR 0
Z8 0
ZA 0
ZB 1
TC 8
ZS 0
Z9 8
U1 0
U2 3
SN 2042-6372
UT WOS:000395041000001
PM 28237976
ER

PT J
AU Yang, Geliang
   Lee, Richard
   Zhang, Huiqing
   Gu, Wei
   Yang, Peiying
   Ling, Changquan
TI National survey of China's oncologists' knowledge, attitudes, and
   clinical practice patterns on complementary and alternative medicine
SO ONCOTARGET
VL 8
IS 8
BP 13440
EP 13449
DI 10.18632/oncotarget.14560
PD FEB 21 2017
PY 2017
AB It is common for cancer patients to use complementary and alternative
   medicine (CAM). This study was designed to explore China's oncologists'
   knowledge, attitudes and clinical practices regarding CAM use by their
   patients. An online survey was conducted of China's oncologists. Among
   11,270 participants who completed the online survey, 6,007 (53.3%) were
   identified as oncologists. Most were men (75.2%), with a mean age of
   33.4 (standard deviation: 6.5) years. The 6,007 oncologists discussed
   with 36.5% of their patients about CAM. Most of them (75.6%) did not
   want to initiate discussions due to lack of knowledge on CAM.
   Oncologists estimated that 40.0% of their patients used CAM treatments.
   Oncologists reported that 28.7% of their patients underwent anticancer
   therapy with the concurrent use of CAM. Four out of five of the
   responding oncologists self-reported inadequate knowledge and only 22.0%
   reported receiving professional education on CAM. Nearly half (44.9%) of
   the oncologists believed CAM treatment was effective for symptoms and
   treatment of cancer. Physician factors associated with initiating
   discussions with patients about CAM use included sex, age (>= 33 years),
   medical license for traditional Chinese medicine, enough knowledge and
   professional education experience. China's oncologists infrequently
   discussed with their patients about CAM due to lack of knowledge. Most
   of the oncologists did not encourage CAM use.
RI Lee, Richard/AAS-1416-2021; Lee, Richard/AAY-7798-2021; Yang, Geliang/AAB-1335-2020; Ling, Changquan/
OI Lee, Richard/0000-0001-9916-6155; Ling, Changquan/0000-0002-0037-4059
TC 8
Z8 0
ZS 0
ZR 0
ZB 0
ZA 0
Z9 8
U1 0
U2 5
EI 1949-2553
UT WOS:000395692000087
PM 28088780
ER

PT J
AU Ovseiko, Pavel V.
   Chapple, Alison
   Edmunds, Laurel D.
   Ziebland, Sue
TI Advancing gender equality through the Athena SWAN Charter for Women in
   Science: an exploratory study of women's and men's perceptions
SO HEALTH RESEARCH POLICY AND SYSTEMS
VL 15
AR 12
DI 10.1186/s12961-017-0177-9
PD FEB 21 2017
PY 2017
AB Background: While in the United Kingdom, Ireland, and Australia, higher
   education and research institutions are widely engaged with the Athena
   SWAN Charter for Women in Science to advance gender equality, empirical
   research on this process and its impact is rare. This study combined two
   data sets (free-text comments from a survey and qualitative interviews)
   to explore the range of experiences and perceptions of participation in
   Athena SWAN in medical science departments of a research-intensive
   university in Oxford, United Kingdom.
   Methods: The study is based on the secondary analysis of data from two
   projects: 59 respondents to an anonymous online survey (42 women, 17
   men) provided relevant free-text comments and, separately, 37 women
   participated in face-to-face narrative interviews. Free-text survey
   comments and narrative interviews were analysed thematically using
   constant comparison.
   Results: Both women and men said that participation in Athena SWAN had
   brought about important structural and cultural changes, including
   increased support for women's careers, greater appreciation of caring
   responsibilities, and efforts to challenge discrimination and bias. Many
   said that these positive changes would not have happened without linkage
   of Athena SWAN to government research funding, while others thought
   there were unintended consequences. Concerns about the programme design
   and implementation included a perception that Athena SWAN has limited
   ability to address longstanding and entrenched power and pay imbalances,
   persisting lack of work-life balance in academic medicine, questions
   about the sustainability of positive changes, belief that achieving the
   award could become an end in itself, resentment about perceived positive
   discrimination, and perceptions that further structural and cultural
   changes were needed in the university and wider society.
   Conclusions: The findings from this study suggest that Athena SWAN has a
   positive impact in advancing gender equality, but there may be limits to
   how much it can improve gender equality without wider institutional and
   societal changes. To address the fundamental causes of gender inequality
   would require cultural change and welfare state policies incentivising
   men to increase their participation in unpaid work in the family, which
   is beyond the scope of higher education and research policy.
RI Ovseiko, Pavel/E-1824-2013; Ziebland, Sue/
OI Ovseiko, Pavel/0000-0002-3504-2177; Ziebland, Sue/0000-0002-6496-4859
TC 82
ZB 11
ZA 0
ZR 0
ZS 0
Z8 0
Z9 82
U1 2
U2 47
SN 1478-4505
UT WOS:000395918900001
PM 28222735
ER

PT J
AU Schoonees, Anel
   Rohwer, Anke
   Young, Taryn
TI Evaluating evidence-based health care teaching and learning in the
   undergraduate human nutrition; occupational therapy; physiotherapy; and
   speech, language and hearing therapy programs at a sub-Saharan African
   academic institution
SO PLOS ONE
VL 12
IS 2
AR e0172199
DI 10.1371/journal.pone.0172199
PD FEB 16 2017
PY 2017
AB Background
   It is important that all undergraduate healthcare students are equipped
   with evidence-based health care (EBHC) knowledge and skills to encourage
   evidence-informed decision-making after graduation. We assessed EBHC
   teaching and learning in undergraduate human nutrition (HN);
   occupational therapy (OT); physiotherapy (PT); and speech, language and
   hearing therapy (SPLH) programs at a sub-Saharan African university.
   Methods
   We used methodological triangulation to obtain a comprehensive
   understanding of EBHC teaching and learning: (1) through a document
   review of module guides, we identified learning outcomes related to
   pre-specified EBHC competencies; we conducted (2) focus group
   discussions and interviews of lecturers to obtain their perspectives on
   EBHC and on EBHC teaching and learning; and we (3) invited final year
   students (2013) and 2012 graduates to complete an online survey on EBHC
   attitudes, self-perceived EBHC competence, and their experience of EBHC
   teaching and learning.
   Results
   We reviewed all module outlines (n = 89) from HN, PT and SLHT. The OT
   curriculum was being revised at that time and could not be included. Six
   lecturers each from HN and OT, and five lecturers each from PT and SLHT
   participated in the focus groups. Thirty percent (53/176) of invited
   students responded to the survey. EBHC competencies were addressed to
   varying degrees in the four programs, although EBHC teaching and
   learning mostly occurred implicitly. Learning outcomes referring to EBHC
   focused on enabling competencies (e.g., critical thinking,
   biostatistics, epidemiology) and were concentrated in theoretical
   modules. Key competencies (e.g., asking questions, searching databases,
   critical appraisal) were rarely addressed explicitly. Students felt that
   EBHC learning should be integrated throughout the four year study period
   to allow for repetition, consolidation and application of knowledge and
   skills. Lecturers highlighted several challenges to teaching and
   practising EBHC, including lack of evidence relevant to the African
   context and lack of time within curricula.
OI Schoonees, Anel/0000-0001-8989-6891; Young, Taryn/0000-0003-2406-081X
Z8 1
TC 10
ZR 0
ZA 0
ZB 1
ZS 2
Z9 12
U1 0
U2 15
SN 1932-6203
UT WOS:000394424500096
PM 28207842
ER

PT J
AU Painter, Julia E.
   Plaster, Ashley N.
   Tjersland, Dylan H.
   Jacobsen, Kathryn H.
TI Zika virus knowledge, attitudes, and vaccine interest among university
   students
SO VACCINE
VL 35
IS 6
BP 960
EP 965
DI 10.1016/j.vaccine.2016.12.050
PD FEB 7 2017
PY 2017
AB Background: Zika virus vaccine development is underway. We examined
   interest in receiving a Zika virus vaccine (after one becomes
   commercially available) among students at a large public university in
   Northern Virginia.
   Methods: An online survey of Zika virus-related knowledge, attitudes,
   and interest in receiving a Zika vaccine was completed by 619
   undergraduate students in April, 2016. Stepwise logistic regression with
   backward elimination was used to identify the variables most strongly
   associated with interest in being vaccinated against Zika virus.
   Results: More than half of participants (52.8%) reported that they would
   be likely or very likely to be vaccinated against Zika virus.
   Vaccination interest was significantly higher among participants who
   received an influenza vaccine in the past year (p = 0.002), had higher
   levels of knowledge about Zika virus (p = 0.046), reported knowing where
   to access information about Zika virus (p = 0.041), had higher perceived
   susceptibility to Zika virus (p < 0.001), and believed that the U.S.
   Government should prioritize actions to control Zika virus (p = 0.001).
   Conclusions: Communication and intervention strategies encouraging
   vaccine uptake may benefit from increasing knowledge of Zika virus,
   addressing perceived susceptibility, and reaching students, travelers,
   and others who may be seeking information about prevention of Zika virus
   and other emerging infectious diseases. (C) 2016 Elsevier Ltd. All
   rights reserved.
RI Jacobsen, Kathryn H./B-5857-2008
OI Jacobsen, Kathryn H./0000-0002-4198-6246
ZR 0
ZB 7
ZA 0
ZS 0
Z8 0
TC 22
Z9 22
U1 0
U2 24
SN 0264-410X
EI 1873-2518
UT WOS:000394196000017
PM 28069360
ER

PT J
AU Bauer, Michael
   Glenn, Tasha
   Monteith, Scott
   Bauer, Rita
   Whybrow, Peter C.
   Geddes, John
TI Ethical perspectives on recommending digital technology for patients
   with mental illness
SO INTERNATIONAL JOURNAL OF BIPOLAR DISORDERS
VL 5
AR 6
DI 10.1186/s40345-017-0073-9
PD FEB 7 2017
PY 2017
AB The digital revolution in medicine not only offers exciting new
   directions for the treatment of mental illness, but also presents
   challenges to patient privacy and security. Changes in medicine are part
   of the complex digital economy based on creating value from analysis of
   behavioral data acquired by the tracking of daily digital activities.
   Without an understanding of the digital economy, recommending the use of
   technology to patients with mental illness can inadvertently lead to
   harm. Behavioral data are sold in the secondary data market, combined
   with other data from many sources, and used in algorithms that
   automatically classify people. These classifications are used in
   commerce and government, may be discriminatory, and result in
   non-medical harm to patients with mental illness. There is also
   potential for medical harm related to poor quality online information,
   self-diagnosis and self-treatment, passive monitoring, and the use of
   unvalidated smartphone apps. The goal of this paper is to increase
   awareness and foster discussion of the new ethical issues. To maximize
   the potential of technology to help patients with mental illness,
   physicians need education about the digital economy, and patients need
   help understanding the appropriate use and limitations of online
   websites and smartphone apps.
OI Geddes, John/0000-0002-5281-5960
ZS 2
ZA 0
ZR 0
TC 54
Z8 0
ZB 8
Z9 56
U1 5
U2 40
SN 2194-7511
UT WOS:000396474800001
PM 28155206
ER

PT J
AU Kraft, Stephanie A.
   Constantine, Melissa
   Magnus, David
   Porter, Kathryn M.
   Lee, Sandra Soo-Jin
   Green, Michael
   Kass, Nancy E.
   Wilfond, Benjamin S.
   Cho, Mildred K.
TI A randomized study of multimedia informational aids for research on
   medical practices: Implications for informed consent
SO CLINICAL TRIALS
VL 14
IS 1
BP 94
EP 102
DI 10.1177/1740774516669352
PD FEB 2017
PY 2017
AB Background/Aims: Participant understanding is a key element of informed
   consent for enrollment in research. However, participants often do not
   understand the nature, risks, benefits, or design of the studies in
   which they take part. Research on medical practices, which studies
   standard interventions rather than new treatments, has the potential to
   be especially confusing to participants because it is embedded within
   usual clinical care. Our objective in this randomized study was to
   compare the ability of a range of multimedia informational aids to
   improve participant understanding in the context of research on medical
   practices.
   Methods: We administered a web-based survey to members of a proprietary
   online panel sample selected to match national US demographics.
   Respondents were randomized to one of five arms: four content-equivalent
   informational aids (animated videos, slideshows with voice-over, comics,
   and text) and one no-intervention control. We measured knowledge of
   research on medical practices using a summary knowledge score from 10
   questions based on the content of the informational aids. We used
   analysis of variance and paired t-tests to compare knowledge scores
   between arms.
   Results: There were 1500 completed surveys (300 in each arm). Mean
   knowledge scores were highest for the slideshows with voice-over
   (65.7%), followed by the animated videos (62.7%), comics (60.7%), text
   (57.2%), and control (50.3%). Differences between arms were
   statistically significant except between the slideshows with voice-over
   and animated videos and between the animated videos and comics.
   Informational aids that included an audio component (animated videos and
   slideshows with voice-over) had higher knowledge scores than those
   without an audio component (64.2% vs 59.0%, p<.0001). There was no
   difference between informational aids with a character-driven story
   component (animated videos and comics) and those without.
   Conclusion: Our results show that simple multimedia aids that use a
   dual-channel approach, such as voice-over with visual reinforcement, can
   improve participant knowledge more effectively than text alone. However,
   the relatively low knowledge scores suggest that targeted informational
   aids may be needed to teach some particularly challenging concepts.
   Nonetheless, our results demonstrate the potential to improve informed
   consent for research on medical practices using multimedia aids that
   include simplified language and visual metaphors.
RI Green, Martin A/H-7567-2012; Lee, Sandra Soo-Jin/; Green, Michael/
OI Green, Martin A/0000-0002-8860-396X; Lee, Sandra
   Soo-Jin/0000-0002-2312-9814; Green, Michael/0000-0002-4828-4749
TC 35
ZB 8
Z8 0
ZR 0
ZS 0
ZA 0
Z9 35
U1 1
U2 9
SN 1740-7745
EI 1740-7753
UT WOS:000394652700010
PM 27625314
ER

PT J
AU Lehavot, Keren
   Litz, Brett
   Millard, Steven P.
   Hamilton, Alison B.
   Sadler, Anne
   Simpson, Tracy
TI Study adaptation, design, and methods of a web-based PTSD intervention
   for women Veterans
SO CONTEMPORARY CLINICAL TRIALS
VL 53
BP 68
EP 79
DI 10.1016/j.cct.2016.12.002
PD FEB 2017
PY 2017
AB Women Veterans are a rapidly growing population with high risk of
   exposure to potentially traumatizing events and PTSD diagnoses. Despite
   the dissemination of evidence-based treatments for PTSD in the VA, most
   women Veteran VA users underutilize these treatments. Web-based PTSD
   treatment has the potential to reach and engage women Veterans with PTSD
   who do not receive treatment in VA settings. Our objective is to modify
   and evaluate Delivery of Self Training and Education for Stressful
   Situations (DESTRESSS), a web-based cognitive-behavioral intervention
   for PTSD, to target PTSD symptoms among women Veterans. The specific
   aims are to: (1) obtain feedback about DESTRESS, particularly on its
   relevance and sensitivity to women, using semi-structured interviews
   with expert clinicians and women Veterans with PTSD, and make
   modifications based on this feedback; (2) conduct a pilot study to
   finalize study procedures and make further refinements to the
   intervention; and (3) conduct a randomized clinical trial (RCT)
   evaluating a revised, telephone-assisted DESTRESS compared to telephone
   monitoring only. We describe the results from the first two aims, and
   the study design and procedures for the ongoing RCT. This line of
   research has the potential to result in a gender-sensitive, empirically
   based, online treatment option for women Veterans with PTSD. Published
   by Elsevier Inc.
OI Sadler, Anne/0000-0001-5020-3752; Litz, Brett/0000-0002-0479-8887
Z8 0
ZS 0
ZR 0
TC 10
ZB 0
ZA 0
Z9 10
U1 0
U2 10
SN 1551-7144
EI 1559-2030
UT WOS:000393725200009
PM 27940187
ER

PT J
AU Zemore, Sarah E.
   Kaskutas, Lee Ann
   Mericle, Amy
   Hemberg, Jordana
TI Comparison of 12-step groups to mutual help alternatives for AUD in a
   large, national study: Differences in membership characteristics and
   group participation, cohesion, and satisfaction
SO JOURNAL OF SUBSTANCE ABUSE TREATMENT
VL 73
BP 16
EP 26
DI 10.1016/j.jsat.2016.10.004
PD FEB 2017
PY 2017
AB Background: Many studies suggest that participation in 12-step groups
   contributes to better recovery outcomes, but people often object to such
   groups and most do not sustain regular involvement. Yet, research on
   alternatives to 12-step groups is very sparse. The present study aimed
   to extend the knowledge base on mutual help group alternatives for those
   with an alcohol use disorder (AUD), sampling from large, active,
   abstinence-focused groups including Women for Sobriety (WFS), LifeRing,
   and SMART Recovery (SMART). This paper presents a cross-sectional
   analysis of this longitudinal study, using baseline data to describe the
   profile and participation characteristics of attendees of these groups
   in comparison to 12-step members.
   Methods: Data from participants 18 and over with a lifetime AUD (N =
   651) were collected using Web-based surveys. Members of alternative
   12-step groups were recruited in collaboration with group directors, who
   helped publicize the study by emailing meeting conveners and attendees
   and posting announcements on social media. A comparison group of current
   (past-30-day) 12-step attendees was recruited from an online meeting hub
   for recovering persons. Interested parties were directed to a Webpage
   where they were screened, and eligible participants completed an online
   survey assessing demographic and clinical variables; in-person and
   online mutual help involvement; and group satisfaction and cohesion.
   Analyses involved comparing those identifying WFS, SMART, and LifeRing
   as their primary group to 12-step members on the above characteristics.
   Results: Compared to 12-step members, members of the mutual help
   alternatives were less religious and generally higher on education and
   income. WFS and LifeRing members were also older, more likely to be
   married, and lower on lifetime drug and psychiatric severity; meanwhile,
   LifeRing and SMART members were less likely to endorse the most
   stringent abstinence goal. Finally, despite lower levels of in-person
   meeting attendance, members of all the 12-step alternatives showed
   equivalent activity involvement and higher levels of satisfaction and
   cohesion, compared to 12-step members.
   Conclusions: Results suggest differences across 12-step groups and their
   alternatives that may be relevant when advising clients on a choice of
   mutual help group. Meanwhile, findings for high levels of participation,
   satisfaction, and cohesion among members of the mutual help alternatives
   suggest promise for these groups in addressing addiction problems. (C)
   2016 Elsevier Inc. All rights reserved.
OI Hemberg, Jordana/0000-0002-5958-4210
ZR 0
ZA 0
Z8 0
TC 22
ZS 0
ZB 4
Z9 22
U1 1
U2 21
SN 0740-5472
EI 1873-6483
UT WOS:000393267300003
PM 28017180
ER

PT J
AU Rabe, C.
   Ghadimi, M.
   Koenig, S.
TI Undergraduate Medical Students "On Call" to Assist in Theatre: Analysis
   of the Financial Aspects and a Mixed-Method Study Exploring Their
   Motives forWorking
SO ZENTRALBLATT FUR CHIRURGIE
VL 142
IS 1
BP 25
EP 31
DI 10.1055/s-0042-109560
PD FEB 2017
PY 2017
AB Background/Purpose Surgical patient care has grown in complexity, as
   hospital workload has continuously increased. We therefore established a
   pool of " undergraduate medical students on call" to assist in the
   theatre outside working hours. We aimed to recruit talented students to
   reduce the burden on physicians and to motivate students into entering
   surgery.
   Methods An exploratory mixed-method study was performed. In a
   qualitative study, guided interviews were conducted with five students
   about their reasons for working in the theatre and the results were used
   to construct an online questionnaire using EvaSys r. This was presented
   to 16 current and former students in a subsequent quantitative study.
   Furthermore, the cost of student employment was calculated and compared
   with physicians ' salaries.
   Results In 2013 and 2014, 8-9 students worked a total of 1063 and 1211
   hours in the theatre, respectively. The difference in salaries between
   the students and surgical residents was (sic)28.37 per hour. We
   calculated that the annual savings were approximately (sic)60,000. When
   questioned on their motives during the interview, only a few students
   emphasised the financial aspects, whereas the majority emphasised the
   gain in experience. The analysis was based on comparison of the mean
   values (online survey) with a 4-point Likert scale (1 = high acceptance;
   4 = no acceptance). We defined the motives with a mean <= 1.3 as
   primary. Based on this selection, gathering experience, fun/enjoyment,
   interest in surgery, and the change from studying were considered as
   distinct motives. In the interviews, students clearly pointed out that
   teaching and learning opportunities in the theatre were not commonly
   taken advantage of and that interaction with the surgeons should be
   improved.
   Conclusion Students actively chose to work as assistants in the theatre,
   for a variety of motives. The financial aspects were subordinate. The
   concept of students assisting in the theatre is favourable for both
   employers and students. However, the results also reveal that there is
   room for improvement in the implementation of the concept.
ZB 0
Z8 0
ZA 0
TC 4
ZS 0
ZR 0
Z9 4
U1 0
U2 3
SN 0044-409X
EI 1438-9592
UT WOS:000397231900004
PM 27327253
ER

PT J
AU Huber, T.
   Kirschniak, A.
   Johannink, J.
TI Survey of Training in Laparoscopic Skills in Germany
SO ZENTRALBLATT FUR CHIRURGIE
VL 142
IS 1
BP 67
EP 71
DI 10.1055/s-0042-116327
PD FEB 2017
PY 2017
AB Background Training in laparoscopic skills on simulators such as box-,
   POP-or VR-trainers improves intraoperative performance. Although this
   training is not mandatory in Germany at the moment, certified centres
   for minimally invasive surgery need to account for training
   opportunities. According to previous surveys, laparoscopic simulators
   are desired, yet not sufficiently available. The aim of the current
   project was a structured analysis of laparoscopic simulation sites in
   Germany.
   Materials and Methods An online survey was performed among members of
   the "Deutsche Gesellschaft fur Allgemein-und Viszeralchirurgie". This
   consisted of 16 questions on the availability, type, use and financing
   of a laparoscopic simulator. If more than one person in an institution
   completed the questionnaire, answers were pooled and an analysis of
   clinics as well as single persons was performed.
   Results Of 4605 persons, 422 participants (9.2%) from 265 different
   departments completed the survey. In 140 Institutions (52.8%) a
   simulator for laparoscopic training was present. No training possibility
   was available in 37.8% (n = 99) of the hospitals. A curriculum for
   laparoscopic training was obtained in 43.3% (n = 103) of the
   participants with laparoscopic training facilities. The use of available
   simulators by surgical residents increased when they were embedded in a
   mandatory training curriculum (at least monthly use: 33.3 vs. 57.1%).
   Conclusion Compared to previous surveys, the proportion of hospitals
   with simulators is increasing. Their use is currently very heterogenous.
   A mandatory basic curriculum may encourage acquisition of more
   simulators. A DGAV database is supposed to encourage cooperation between
   training centres and clinics without simulators.
RI Johannink, Jonas/AAE-6743-2022
ZB 0
ZS 0
ZA 0
ZR 0
TC 7
Z8 0
Z9 7
U1 0
U2 4
SN 0044-409X
EI 1438-9592
UT WOS:000397231900010
PM 27657675
ER

PT J
AU Goff, Debra A.
   Kullar, Ravina
   Goldstein, Ellie J. C.
   Gilchrist, Mark
   Nathwani, Dilip
   Cheng, Allen C.
   Cairns, Kelly A.
   Escandon-Vargas, Kevin
   Villegas, Maria Virginia
   Brink, Adrian
   van den Bergh, Dena
   Mendelson, Marc
TI A global call from five countries to collaborate in antibiotic
   stewardship: united we succeed, divided we might fail
SO LANCET INFECTIOUS DISEASES
VL 17
IS 2
BP E56
EP E63
DI 10.1016/S1473-3099(16)30386-3
PD FEB 2017
PY 2017
AB In February, 2016, WHO released a report for the development of national
   action plans to address the threat of antibiotic resistance, the
   catastrophic consequences of inaction, and the need for antibiotic
   stewardship. Antibiotic stewardship combined with infection prevention
   comprises a collaborative, multidisciplinary approach to optimise use of
   antibiotics. Efforts to mitigate overuse will be unsustainable without
   learning and coordinating activities globally. In this Personal View, we
   provide examples of international collaborations to address optimal
   prescribing, focusing on five countries that have developed different
   approaches to antibiotic stewardship-the USA, South Africa, Colombia,
   Australia, and the UK. Although each country's approach differed, when
   nurtured, individual efforts can positively affect local and national
   antimicrobial stewardship programmes. Government advocacy, national
   guidelines, collaborative research, online training programmes,
   mentoring programmes, and social media in stewardship all played a role.
   Personal relationships and willingness to learn from each other's
   successes and failures continues to foster collaboration. We recommend
   that antibiotic stewardship models need to evolve from infection
   specialist-based teams to develop and use cadres of health-care
   professionals, including pharmacists, nurses, and community health
   workers, to meet the needs of the global population. We also recommend
   that all health-care providers who prescribe antibiotics take ownership
   and understand the societal burden of suboptimal antibiotic use,
   providing examples of how countries can learn, act globally, and share
   best antibiotic stewardship practices.
RI Cairns, Kelly/P-4998-2018; Escandón, Kevin/P-5168-2015; Mendelson, Marc/
OI Cairns, Kelly/0000-0002-9969-3972; Escandón, Kevin/0000-0002-7173-7486;
   Mendelson, Marc/0000-0001-6668-3893
TC 119
ZB 58
Z8 0
ZS 3
ZR 0
ZA 0
Z9 121
U1 6
U2 35
SN 1473-3099
EI 1474-4457
UT WOS:000412365900004
PM 27866945
ER

PT J
AU Ginis, K. A. Martin
   Tomasone, J. R.
   Welsford, M.
   Ethans, K.
   Sinden, A. R.
   Longeway, M.
   Krassioukov, A.
TI Online training improves paramedics' knowledge of autonomic dysreflexia
   management guidelines
SO SPINAL CORD
VL 55
IS 2
BP 216
EP 222
DI 10.1038/sc.2016.116
PD FEB 2017
PY 2017
AB Study design: Single-group pre-/post-test with 3- and 6-month
   follow-ups.
   Objectives: To test the effects of the 'ABCs of AD' educational module
   on immediate and longer-term changes in paramedics' knowledge and
   beliefs about using the autonomic dysreflexia clinical practice
   guidelines (AD-CPGs).
   Setting: Canada.
   Methods: A total of 119 paramedics completed an AD knowledge test and
   measures of attitudes, perceived control, self-efficacy, social pressure
   from patients and health-care professionals, and intentions to use the
   AD-CPGs before and 1 week, 3 months and 6 months after viewing 'ABCs of
   AD'.
   Results: There were significant improvements in AD knowledge, attitudes
   and social pressure from patients to use the AD-CPGs from baseline to 1
   week, 3 months and 6 months post viewing (all P<0.001). Self-efficacy
   and intentions increased 1 week post viewing (P<0.001), but returned to
   baseline levels at 3 and 6 months (P>40.05). There was no change in
   perceived control or social pressure from health-care professionals. AD
   knowledge and beliefs explained 50-61% of the variance in intentions to
   use the AD-CPGs. Attitudes, social pressure from patients and perceived
   behavioural control were significant unique predictors of intentions at
   all time points (P<0.05); AD knowledge was a significant predictor at 6
   months only (P=0.048). No other predictors were significant.
   Conclusion: 'ABCs of AD' has immediate and sustained effects on
   paramedics' knowledge of attitudes toward and perceived pressure from
   patients to use the AD-CPGs. Updates to paramedic patient care
   guidelines and standards are needed to increase paramedics' perceived
   control and self-efficacy to implement the guidelines, and their
   intentions to use the AD-CPGs.
RI Krassioukov, Andrei V/K-3131-2017; Welsford, Michelle/H-5535-2017; MARTIN GINIS, KATHLEEN/
OI Welsford, Michelle/0000-0003-2682-641X; MARTIN GINIS,
   KATHLEEN/0000-0002-7076-3594
TC 1
ZR 0
ZB 0
Z8 1
ZA 0
ZS 0
Z9 2
U1 0
U2 4
SN 1362-4393
EI 1476-5624
UT WOS:000394277000019
PM 27618973
ER

PT J
AU Read, Paul
   Hughes, Jonathan D.
   Blagrove, Richard
   Jeffreys, Ian
   Edwards, Mike
   Turner, Anthony N.
TI Characteristics and experiences of interns in strength and conditioning
SO JOURNAL OF SPORTS SCIENCES
VL 35
IS 3
BP 269
EP 276
DI 10.1080/02640414.2016.1161220
PD FEB 2017
PY 2017
AB Student coaches undertake internships to develop practical skills and
   gain experience to improve employability prospects. The characteristics
   of the coaches who undertake these internships, their experiences and
   the nature of the work being performed are currently unknown. The
   purpose of this study was to report the characteristics of strength and
   conditioning (S&C) coaches who have undertaken internships and their
   experiences during their respective placements. A total of 113 men and 6
   women completed an online survey. Placements generally lasted 6-12months
   (66%), were unpaid (93%) and took place at professional teams (63%). All
   respondents had a standard of experience prior to commencement (82%); a
   higher-education degree (bachelor's degree 56%; master's degree 18%) and
   others were qualified S&C coaches (16%). Activities consisted largely of
   coaching (47%), data collection (22%) and equipment set-up (25%) but
   lacked provision of appropriate training. Mentors were allocated to
   interns; however, often developmental objectives were not discussed,
   meetings were rarely documented, and in some cases, no meetings took
   place. This study suggests that internships offer worthwhile experiences
   and assistance in skill development to progress in S&C. However, clearer
   guidelines are required to define the responsibilities of employers and
   interns, to maximise these experiential learning opportunities and avoid
   the exploitation of willing students.
OI Hughes, Jonathan/0000-0002-9905-8055
ZS 0
Z8 0
ZR 0
ZA 0
TC 8
ZB 1
Z9 8
U1 0
U2 15
SN 0264-0414
EI 1466-447X
UT WOS:000390848200009
PM 26986691
ER

PT J
AU Boyles, T. H.
   Naicker, V.
   Rawoot, N.
   Raubenheimer, P. J.
   Eick, B.
   Mendelson, M.
TI Sustained reduction in antibiotic consumption in a South African public
   sector hospital: Four-year outcomes from the Groote Schuur Hospital
   antibiotic stewardship programme
SO SAMJ SOUTH AFRICAN MEDICAL JOURNAL
VL 107
IS 2
BP 115
EP 118
DI 10.7196/SAMJ.2017.v107i2.12067
PD FEB 2017
PY 2017
AB Background. Overuse of antibiotics has driven global bacterial
   resistance to the extent that we have entered a post-antibiotic era,
   where infections that were once easily treatable are now becoming
   untreatable. Efforts to control consumption have focused on antibiotic
   stewardship programmes (ASPs), aimed at optiMising use.
   Objective. To report antibiotic consumption and cost over 4 years from a
   public hospital ASP in South Africa (SA).
   Methods. A comprehensive ASP comprising online education, a dedicated
   antibiotic prescription chart and weekly dedicated ward rounds was
   introduced at Groote Schuur Hospital, Cape Town, in 2012. Electronic
   records were used to collect data on volume and cost of antibiotics and
   related laboratory tests, and to determine inpatient mortality and
   30-day readmission rates. These data were compared with a control period
   before the intervention.
   Results. Total antibiotic consumption fell from 1 046 defined daily
   doses/1 000 patient days in 2011 (control period) to 868 by 2013 and
   remained at similar levels for the next 2 years. This was driven by
   reductions in intravenous antibiotic use, particularly ceftriaxone.
   Inflation-adjusted cost savings on antibiotics were ZAR3,2 million over
   4 years. Laboratory tests increased over the same period with a total
   increased cost of ZAR0.4 million. There was no significant change in
   mortality or 30-day readmission rates.
   Conclusions. The effects of a comprehensive ASP on medical inpatients at
   a public sector hospital in SA were durable over 4 years, leading to a
   reduction in total antibiotic consumption without adverse effect. When
   increased laboratory costs were offset there was a net cost saving of
   ZAR2.8 million.
RI Raubenheimer, Peter/L-6306-2019; Mendelson, Marc/; Boyles, Tom/
OI Raubenheimer, Peter/0000-0002-5416-1286; Mendelson,
   Marc/0000-0001-6668-3893; Boyles, Tom/0000-0002-5676-8081
ZA 0
ZR 0
TC 27
Z8 0
ZB 9
ZS 2
Z9 27
U1 0
U2 6
SN 0256-9574
EI 2078-5135
UT WOS:000398249200015
PM 28220735
ER

PT J
AU Yusuf, E.
   Ong, D. S. Y.
   Martin-Quiros, A.
   Skevaki, C.
   Cortez, J.
   Dedic, K.
   Maraolo, A. E.
   Dusek, D.
   Maver, P. J.
   Sanguinetti, M.
   Tacconelli, E.
CA ESCMID
TI A large survey among European trainees in clinical microbiology and
   infectious disease on training systems and training adequacy:
   identifying the gaps and suggesting improvements
SO EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES
VL 36
IS 2
BP 233
EP 242
DI 10.1007/s10096-016-2791-9
PD FEB 2017
PY 2017
AB The purpose of this investigation was to perform a survey among European
   clinical microbiology (CM) and infectious disease (ID) trainees on
   training satisfaction, training tools, and competency assessment. An
   online, anonymous survey in the English language was carried out between
   April and July 2015. There were 25 questions: seven in a 5-point Likert
   scale (1: worst scenario, 5: best scenario) and the remainder as closed
   multiple-choice questions in five areas (satisfaction, adequacy, system,
   mentorship, and evaluation of training). Included were 419 respondents
   (215 CM, 159 ID, and 45 combined CM/ID) from 31 European countries [mean
   age (standard deviation) 32.4 (5.3) years, 65.9 % women]. Regarding
   satisfaction on the training scheme, CM and ID scored 3.6 (0.9) and 3.2
   (1.0), respectively. These scores varied between countries, ranging from
   2.5 (1.0) for Italian ID to 4.3 (0.8) for Danish CM trainees. The
   majority of respondents considered training in management and health
   economics inadequate and e-learning and continuing medical education
   programs insufficient. Many trainees (65.3 % of CM and 62.9 % of ID)
   would like to have more opportunities to spend a part of their training
   abroad and expected their mentor to be more involved in helping with
   future career plans (63.5 % of CM and 53.4 % of ID) and practical skills
   (53.0 % of CM and 61.2 % of ID). Two-thirds of the respondents across
   the specialties agreed that a European exam should be developed, but
   half of them thought it should not be made mandatory. This survey shows
   high heterogeneity in training conditions in European countries,
   identifies perceived gaps in training, and suggests areas for
   improvements.
RI Sanguinetti, Maurizio/A-1453-2019; Tacconelli, Evelina/AAC-8200-2019; Dusek, Davorka/AAL-4013-2020; Martín-Quirós, Alejandro/H-9739-2019; Ong, David/; Maraolo, Alberto Enrico/K-3953-2018
OI Sanguinetti, Maurizio/0000-0002-9780-7059; Martín-Quirós,
   Alejandro/0000-0003-4630-7668; Ong, David/0000-0001-5688-6443; Maraolo,
   Alberto Enrico/0000-0002-7218-7762
ZS 0
Z8 0
TC 15
ZB 1
ZR 0
ZA 0
Z9 15
U1 1
U2 13
SN 0934-9723
EI 1435-4373
UT WOS:000393049000005
PM 27704297
ER

PT J
AU Santos, Glenn-Milo
   Makofane, Keletso
   Arreola, Sonya
   Do, Tri
   Ayala, George
TI Reductions in access to HIV prevention and care services are associated
   with arrest and convictions in a global survey of men who have sex with
   men
SO SEXUALLY TRANSMITTED INFECTIONS
VL 93
IS 1
BP 62
EP 64
DI 10.1136/sextrans-2015-052386
PD FEB 2017
PY 2017
AB Objectives Men who have sex with men (MSM) are disproportionately
   impacted by HIV. Criminalisation of homosexuality may impede access to
   HIV services. We evaluated the effect of the enforcement of laws
   criminalising homosexuality on access to services.
   Methods Using data from a 2012 global online survey that was published
   in a prior paper, we conducted a secondary analysis evaluating
   differences in perceived accessibility to health services (ie, 'how
   accessible are ____' services) between MSM who responded 'yes'/'no' to:
   'have you ever been arrested or convicted for being gay/MSM?'
   Results Of the 4020 participants who completed the study and were
   included in the analysis, 8% reported ever being arrested or convicted
   under laws relevant to being MSM. Arrests and convictions were most
   common in sub-Saharan Africa (23.6% (58/246)), Eastern Europe/Central
   Asia (18.1% (123/680)), the Caribbean (15% (15/100)), Middle East/North
   Africa (13.2% (10/76)) and Latin America (9.7% (58/599)). Those arrested
   or convicted had significantly lower access to sexually transmitted
   infection treatment (adjusted OR (aOR)= 0.81; 95% CI 0.67 to 0.97),
   condoms (aOR= 0.77; 95% CI 0.61 to 0.99) and medical care (aOR= 0.70;
   95% CI 0.54 to 0.90), compared with other MSM, while accounting for
   clustering by country and adjusting for age, HIV status, education and
   country-level income.
   Conclusions Arrests and convictions under laws relevant to being MSM
   have a strong negative association with access to HIV prevention and
   care services. Creating an enabling legal and policy environment, and
   increasing efforts to mitigate antihomosexuality stigma to ensure
   equitable access to HIV services are needed, along with
   decriminalisation of homosexuality, to effectively address the public
   health needs of this population.
RI Ayala, George/AAF-6035-2021; Santos, Glenn-Milo/; Makofane, Keletso/
OI Santos, Glenn-Milo/0000-0003-1009-5317; Makofane,
   Keletso/0000-0001-8493-4238
ZS 0
ZB 11
ZR 0
ZA 0
TC 24
Z8 0
Z9 24
U1 0
U2 8
SN 1368-4973
EI 1472-3263
UT WOS:000393197800017
PM 26944344
ER

PT J
AU Sader, Elie
   Yee, Philip
   Hodaie, Mojgan
TI Barriers to Neurosurgical Training in Sub-Saharan Africa: The Need for a
   Phased Approach to Global Surgery Efforts to Improve Neurosurgical Care
SO WORLD NEUROSURGERY
VL 98
BP 397
EP 402
DI 10.1016/j.wneu.2016.07.098
PD FEB 2017
PY 2017
AB BACKGROUND: Neurosurgery in low-income countries is faced with multiple
   challenges. Although the most common challenges include infrastructure
   and physical resource deficits, an underemphasized barrier relates to
   the methods and components of surgical training. The role of important
   aspects, including didactic surgical training, surgical decision-making,
   workshops, conferences, and assessment methods, has not been duly
   studied. Knowledge of these issues is a crucial step to move closer to
   strengthening surgical capacity in low-income countries.
   METHODS: We designed an online survey to assess self-perceived and
   objectively measured barriers to neurosurgical training in various
   Sub-Saharan African countries. Key outcomes included perception toward
   adequacy of neurosurgery training and barriers to neurosurgical training
   at each individual site.
   RESULTS: Only 37% of responders felt that their training program
   adequately prepared them for handling incoming neurosurgical cases. Top
   perceived limitations of neurosurgery training included lack of physical
   resources (25% of all responses), lack of practical workshops (22%),
   lack of program structure (18%), and lack of topic-specific lectures
   (10%).
   CONCLUSIONS: Our results show that most responders believe their
   training program is inadequate and are interested in improving it
   through international collaborations. This implies that activities
   directed at strengthening surgical capacity must address this important
   necessity. One important strategy is the use of online educational
   tools. In consideration of the observed limitations in care, resources,
   and training, we recommend a phased approach to neurosurgical growth in
   low-income settings.
TC 23
ZS 0
Z8 0
ZA 0
ZR 0
ZB 5
Z9 23
U1 1
U2 3
SN 1878-8750
EI 1878-8769
UT WOS:000397028300046
PM 27506407
ER

PT J
AU Haidari, Mehran
   Yared, Marwan
   Olano, Juan P.
   Alexander, C. Bruce
   Powell, Suzanne Z.
TI Attitudes and Beliefs of Pathology Residents Regarding the Subspecialty
   of Clinical Chemistry Results of a Survey
SO ARCHIVES OF PATHOLOGY & LABORATORY MEDICINE
VL 141
IS 2
BP 203
EP 208
DI 10.5858/arpa.2015-0547-OA
PD FEB 2017
PY 2017
AB Context.-Previous studies suggest that training in pathology residency
   programs does not adequately prepare pathology residents to become
   competent in clinical chemistry.
   Objectives.-To define the beliefs of pathology residents in the United
   States regarding their preparation for practicing clinical chemistry in
   their career, their attitude toward the discipline, and the
   attractiveness of clinical chemistry as a career.
   Design.-The residents of all pathology residency programs in the United
   States were given the opportunity to participate in an online survey.
   Results.-Three hundred thirty-six pathology residents responded to the
   survey. Analysis of the survey results indicates that pathology
   residents are more likely to believe that their income may be lower if
   they select a career that has a clinical chemistry focus and that their
   faculty do not value clinical chemistry as much as the anatomic
   pathology part of the residency. Residents also report that clinical
   chemistry is not as enjoyable as anatomic pathology rotations during
   residency or preferable as a sole career path. A large proportion of
   residents also believe that they will be slightly prepared or not
   prepared to practice clinical chemistry by the end of their residency
   and that they do not have enough background and/or time to learn
   clinical chemistry during their residency programs to be able to
   practice this specialty effectively post graduation.
   Conclusions.-Our survey results suggest that many pathology residents do
   not have a positive attitude toward clinical chemistry and do not
   experience a supportive learning environment with an expectation that
   they will become competent in clinical chemistry with a residency alone.
Z8 0
ZR 0
ZA 0
TC 5
ZB 1
ZS 0
Z9 5
U1 0
U2 0
SN 0003-9985
EI 1543-2165
UT WOS:000397133800010
PM 27681335
ER

PT J
AU Rodino, Iolanda S.
   Byrne, Susan M.
   Sanders, Katherine A.
TI Eating disorders in the context of preconception care: fertility
   specialists' knowledge, attitudes, and clinical practices
SO FERTILITY AND STERILITY
VL 107
IS 2
BP 494
EP 501
DI 10.1016/j.fertnstert.2016.10.036
PD FEB 2017
PY 2017
AB Objective(s): To gauge fertility specialists' knowledge, clinical
   practices, and training needs in regard to eating disorders.
   Design: Cross-sectional study.
   Settings: Fertility clinics.
   Participants: Eighty Australian and New Zealand fertility specialists
   who were members of the Fertility Society of Australia.
   Intervention(s): None.
   Main Outcome Measures(s): Responses to an anonymously completed online
   questionnaire.
   Result(s): Approximately 54% of doctors correctly identified the body
   mass index relevant to anorexia nervosa, and 30% identified menstrual
   disturbances for anorexia, while 63.8% of doctors incorrectly nominated
   maladaptive weight control behaviors as a characteristic of binge eating
   disorder. While clinicians (83.7%) agreed it was important to screen for
   eating disorders during preconception assessments, 35% routinely
   screened for eating disorders and 8.8% indicated that their clinics had
   clinical practice guidelines for management of eating disorders. A
   minority of participants (13.8%) felt satisfied with their level of
   university training in eating disorders, 37.5% of doctors felt confident
   in their ability to recognize symptoms of an eating disorder, and 96.2%
   indicated a need for further education and clinical guidelines. On most
   items examined, knowledge and clinical practices regarding eating
   disorders did not differ according to doctor gender or years of clinical
   experience working as a fertility specialist.
   Conclusion(s): Knowledge about eating disorders in the context of
   fertility treatment is important. This study highlights the uncertainty
   among fertility specialists in detecting features of eating disorders.
   The findings point to the importance of further education and training,
   including the development of clinical guidelines specific to fertility
   health care providers. (C) 2016 by American Society for Reproductive
   Medicine.
OI Rodino, Iolanda/0000-0001-8629-8570
Z8 0
ZR 1
ZA 0
TC 13
ZS 0
ZB 2
Z9 14
U1 1
U2 11
SN 0015-0282
EI 1556-5653
UT WOS:000396910200033
PM 27889099
ER

PT J
AU Bacon, Oliver
   Gonzalez, Rafael
   Andrew, Erin
   Potter, Michael B.
   Iniguez, James R.
   Cohen, Stephanie E.
   Liu, Albert Y.
   Fuchs, Jonathan D.
TI Informing Strategies to Build PrEP Capacity Among San Francisco Bay Area
   Clinicians
SO JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
VL 74
IS 2
BP 175
EP 179
DI 10.1097/QAI.0000000000001182
PD FEB 1 2017
PY 2017
AB A large pool of clinicians are needed to meet the growing demand for HIV
   preexposure prophylaxis. We surveyed a mixed group of HIV specialists
   and nonspecialists in the San Francisco Bay Area to determine their
   attitudes toward and training needs regarding prescribing preexposure
   prophylaxis to persons at increased risk of HIV infection. Willingness
   to prescribe was associated with experience in caring for HIV-infected
   patients (adjusted odds ratio 4.76, 95% confidence interval: 1.43 to
   15.76, P = 0.01). Desire for further training was associated with
   concerns about drug resistance (P = 0.04) and side effects (P = 0.04)
   and was more common among noninfectious disease specialists. Clinicians
   favored online and inperson training methods.
OI Potter, Michael/0000-0002-9930-392X
ZA 0
ZR 0
Z8 0
ZS 0
ZB 3
TC 28
Z9 28
U1 0
U2 3
SN 1525-4135
EI 1077-9450
UT WOS:000395997800013
PM 27654813
ER

PT J
AU Alotaibi, Naif M.
   Samuel, Nardin
   Wang, Justin
   Ahuja, Christopher S.
   Guha, Daipayan
   Ibrahim, George M.
   Schweizer, Tom A.
   Saposnik, Gustavo
   Macdonald, R. Loch
TI The Use of Social Media Communications in Brain Aneurysms and
   Subarachnoid Hemorrhage: A Mixed-Method Analysis
SO WORLD NEUROSURGERY
VL 98
BP 456
EP 462
DI 10.1016/j.wneu.2016.11.085
PD FEB 2017
PY 2017
AB BACKGROUND: The diagnosis of a ruptured or unruptured brain aneurysm has
   a significant impact on patients' quality of life and their psychosocial
   well-being. As a result, patients and caregivers may resort to social
   media platforms for support and education. The aim of this report is to
   evaluate the use of social media and the online communications regarding
   brain aneurysms.
   METHODS: Three social media platforms (Facebook, Twitter, and YouTube)
   were assessed for public content pertaining to brain aneurysms in March
   2016. We conducted a mixed-method analysis that includes a descriptive
   examination of cross-sectional data and a qualitative evaluation of
   online communications for thematic analysis. We assessed categorized
   data using nonparametric tests for statistical significance.
   RESULTS: Our analyses showed that Facebook was the most highly used
   social media platform, with 11 relevant pages and 83 groups. Facebook
   accounts were all nonprofit foundations or patient support groups. Most
   users in Facebook groups were joining private support groups as opposed
   to public (P < 0.05). The most frequently viewed category of YouTube
   videos was on treatment procedures (P < 0.001). Six prominent themes
   emerged from the coded data of posts and comments: inspiration and
   motivation (27.7%), providing and sharing information (26.3%),
   requesting information (14.4%), seeking emotional support (12.1%),
   admiration (8.3%), and loss and grief (8.3%).
   CONCLUSIONS: This study is the first to provide insight into
   characteristics and patterns of social media communications regarding
   brain aneurysms. These findings should serve to inform the treating
   physicians of the needs and expectations of individuals affected by
   brain aneurysms.
RI Guha, Daipayan/AAV-1008-2021; Saposnik, Gustavo/M-3937-2017; Alotaibi, Naif/
OI Guha, Daipayan/0000-0002-2052-4819; Saposnik,
   Gustavo/0000-0002-5950-9886; Alotaibi, Naif/0000-0002-8227-347X
Z8 0
ZR 0
TC 30
ZB 6
ZA 0
ZS 0
Z9 30
U1 0
U2 14
SN 1878-8750
EI 1878-8769
UT WOS:000397028300054
PM 27890750
ER

PT J
AU Holt, D. Q.
   Strauss, B. J.
   Moore, G. T.
TI Patients with inflammatory bowel disease and their treating clinicians
   have different views regarding diet
SO JOURNAL OF HUMAN NUTRITION AND DIETETICS
VL 30
IS 1
BP 66
EP 72
DI 10.1111/jhn.12400
PD FEB 2017
PY 2017
AB BackgroundDiet and body composition play unclear roles in the
   pathogenesis, activity and symptoms of inflammatory bowel disease (IBD).
   Evidence-based guidance regarding dietary modification in IBD is
   lacking. We aimed to determine the attitudes of IBD patients and
   clinicians to diet.
   MethodsThe present cross-sectional study comprised an online
   questionnaire distributed to members of a national IBD patient
   organisation, assessing demographics, anthropometry, disease phenotype
   and dietary beliefs. Dietitians, gastroenterologists and surgeons were
   targeted for a similar questionnaire as a result of membership of
   national professional bodies.
   ResultsNine hundred and twenty-eight patients (72.2% female; mean age
   39.5 years; age range 5-91 years) responded. Two-thirds of the patients
   had Crohn's disease. The mean reported body mass index was 24.9 kg m(-2)
   and was significantly skewed to the right. Patients who had taken >10
   courses of steroids were had a greater probability of being overweight
   or obese, independent of disease complications. Most patients (71%)
   assumed that their diet affected their IBD; 61% considered their IBD
   specialist disregarded the importance of diet. Of the 136 clinicians who
   responded, the majority felt that diet was a factor in symptoms and
   intestinal microbiota. More gastroenterologists (44%) than dietitians
   (17%) considered that diet had a role in the pathogenesis of IBD (P =
   0.003). Twenty-six percent of patients reported receiving dietary advice
   from their IBD specialist, whereas 98% of gastroenterologists reported
   advice provision. Patients received diverse advice. Half of the patients
   followed recommendations provided by a clinician.
   ConclusionsThe present study demonstrates that IBD patients consider
   diet to be important in their disease. IBD clinicians from different
   disciplines have diverse views of the role of diet. Advice given to
   patients is heterogeneous, often perceived as inadequate and poorly
   followed.
OI Holt, Darcy/0000-0001-7752-6279; Moore, Gregory Thomas
   Charles/0000-0002-3689-8858
ZS 0
TC 56
ZA 0
ZB 26
ZR 0
Z8 0
Z9 56
U1 1
U2 15
SN 0952-3871
EI 1365-277X
UT WOS:000393762100007
PM 27412965
ER

PT J
AU Terzopoulos, Aris R.
   Duncan, Lynne G.
   Wilson, Mark A. J.
   Niolaki, Georgia Z.
   Masterson, Jackie
TI HelexKids: A word frequency database for Greek and Cypriot primary
   school children
SO BEHAVIOR RESEARCH METHODS
VL 49
IS 1
BP 83
EP 96
DI 10.3758/s13428-015-0698-5
PD FEB 2017
PY 2017
AB In this article, we introduce HelexKids, an online written-word database
   for Greek-speaking children in primary education (Grades 1 to 6). The
   database is organized on a grade-by-grade basis, and on a cumulative
   basis by combining Grade 1 with Grades 2 to 6. It provides values for
   Zipf, frequency per million, dispersion, estimated word frequency per
   million, standard word frequency, contextual diversity, orthographic
   Levenshtein distance, and lemma frequency. These values are derived from
   116 textbooks used in primary education in Greece and Cyprus, producing
   a total of 68,692 different word types. HelexKids was developed to
   assist researchers in studying language development, educators in
   selecting age-appropriate items for teaching, as well as writers and
   authors of educational books for Greek/Cypriot children. The database is
   open access and can be searched online at www.helexkids.org.
RI TERZOPOULOS, ARIS/AAX-4292-2021; Duncan, Lynne/; Masterson, Jackie/; Niolaki, Georgia/
OI TERZOPOULOS, ARIS/0000-0003-3151-3805; Duncan,
   Lynne/0000-0003-3573-5288; Masterson, Jackie/0000-0003-2869-6612;
   Niolaki, Georgia/0000-0002-1825-141X
Z8 0
TC 3
ZR 0
ZB 0
ZS 0
ZA 0
Z9 3
U1 0
U2 8
SN 1554-351X
EI 1554-3528
UT WOS:000397198300008
PM 26822666
ER

PT J
AU Gibson-Helm, Melanie
   Teede, Helena
   Dunaif, Andrea
   Dokras, Anuja
TI Delayed Diagnosis and a Lack of Information Associated With
   Dissatisfaction in Women With Polycystic Ovary Syndrome
SO JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
VL 102
IS 2
BP 604
EP 612
DI 10.1210/jc.2016-2963
PD FEB 1 2017
PY 2017
AB Context: Polycystic ovary syndrome (PCOS) is a complex, chronic, and
   under-recognized disorder. Diagnosis experience may have lasting effects
   on well-being and self-management.
   Objective: To investigate PCOS diagnosis experiences, information
   provided, and concerns about PCOS.
   Design: Cross-sectional study using an online questionnaire.
   Setting: Recruitment via support group web sites in 2015 to 2016.
   Participants: There were 1385 women with a reported diagnosis of PCOS
   who were living in North America (53.0%), Europe (42.2%), or other world
   regions (4.9%); of these, 64.8% were 18 to 35 years of age.
   Main Outcome Measures: Satisfaction with PCOS diagnosis experience,
   satisfaction with PCOS information received at the time of diagnosis,
   and current concerns about PCOS.
   Results: One-third or more of women reported > 2 years (33.6%) and >= 3
   health professionals (47.1%) before a diagnosis was established. Few
   were satisfied with their diagnosis experience (35.2%) or with the
   information they received (15.6%). Satisfaction with information
   received was positively associated with diagnosis satisfaction [ odds
   ratio (OR), 7.0; 95% confidence interval (CI), 4.9 to 9.9]; seeing >= 5
   health professionals (OR, 0.5; 95% CI, 0.3 to 0.8) and longer time to
   diagnosis (> 2 years; OR, 0.4; 95% CI, 0.3 to 0.6) were negatively
   associated with diagnosis satisfaction (independent of time since
   diagnosis, age, and world region). Women's most common concerns were
   difficulty losing weight (53.6%), irregular menstrual cycles (50.8%),
   and infertility (44.5%).
   Conclusions: In the largest study of PCOS diagnosis experiences, many
   women reported delayed diagnosis and inadequate information. These gaps
   in early diagnosis, education, and support are clear opportunities for
   improving patient experience.
ZR 2
TC 140
ZB 61
ZA 0
ZS 0
Z8 1
Z9 146
U1 2
U2 14
SN 0021-972X
EI 1945-7197
UT WOS:000397240900033
PM 27906550
ER

PT J
AU Weller, J. M.
   Castanelli, D. J.
   Chen, Y.
   Jolly, B.
TI Making robust assessments of specialist trainees' workplace performance
SO BRITISH JOURNAL OF ANAESTHESIA
VL 118
IS 2
BP 207
EP 214
DI 10.1093/bja/aew412
PD FEB 2017
PY 2017
AB Background. Workplace-based assessments should provide a reliable
   measure of trainee performance, but have met with mixed success. We
   proposed that using an entrustability scale, where supervisors scored
   trainees on the level of supervision required for the case would improve
   the utility of compulsory mini-clinical evaluation exercise (CEX)
   assessments in a large anaesthesia training program.
   Methods. We analysed mini-CEX scores from all Australian and New Zealand
   College of Anaesthetists trainees submitted to an online database over a
   12-month period. Supervisors' scores were adjusted for the expected
   supervision requirement for the case for trainees at different stages of
   training. We used generalisability theory to determine score
   reliability.
   Results. 7808 assessments were available for analysis. Supervision
   requirements decreased significantly (P < 0.05) with increased duration
   and level of training, supporting validity. We found moderate
   reliability (G > 0.7) with a feasible number of assessments. Adjusting
   scores against the expected supervision requirement considerably
   improved reliability, with G > 0.8 achieved with only nine assessments.
   Three per cent of trainees generated averagemini-CEX scores below the
   expected standard.
   Conclusions. Using an entrustment scoring system, where supervisors
   score trainees on the level of supervision required, mini-CEX scores
   demonstrated moderate reliability within a feasible number of
   assessments, and evidence of validity. When scores were adjusted against
   an expected standard, underperforming trainees could be identified, and
   reliability much improved. Taken together with other evidence on trainee
   ability, the mini-CEX is of sufficient reliability for inclusion in high
   stakes decisions on trainee progression towards independent specialist
   practice.
RI Chen, Yan/X-3108-2018; Castanelli, Damian John/I-2491-2019; Castanelli, Damian/
OI Chen, Yan/0000-0002-1665-9294; Castanelli, Damian/0000-0002-5377-809X
ZA 0
TC 33
ZS 3
ZR 0
Z8 0
ZB 9
Z9 36
U1 2
U2 8
SN 0007-0912
EI 1471-6771
UT WOS:000395324500010
PM 28100524
ER

PT J
AU Haneveld, Johan Klein
TI Online refresher training proves successful
SO TIJDSCHRIFT VOOR DIERGENEESKUNDE
VL 142
IS 2
BP 40
EP 41
PD FEB 1 2017
PY 2017
Z8 0
ZB 0
ZR 0
TC 0
ZS 0
Z9 0
U1 0
U2 0
SN 0040-7453
UT WOS:000393738600018
ER

PT J
AU Kim, Bradford J.
   Valsangkar, Nakul P.
   Liang, Tiffany W.
   Murphy, Michael P.
   Zimmers, Teresa A.
   Bell, Teresa M.
   Davies, Mark G.
   Koniaris, Leonidas G.
TI Impact of Integrated Vascular Residencies on Academic Productivity
   within Vascular Surgery Divisions
SO ANNALS OF VASCULAR SURGERY
VL 39
BP 242
EP 249
DI 10.1016/j.avsg.2016.06.031
PD FEB 2017
PY 2017
AB Background: Changing training paradigms in vascular surgery have been
   introduced to reduce overall training time. Herein, we sought to examine
   how shortened training for vascular surgeons may have influenced overall
   divisional academic productivity.
   Methods: Faculty from the top 55 surgery departments were identified
   according to National Institutes of Health (NIH) funding. Academic
   metrics of 315 vascular surgery, 1,132 general surgery, and 2,403 other
   surgical specialties faculty were examined using institutional Web
   sites, Scopus, and NIH Research Portfolio Online Reporting Tools from
   September 1, 2014, to January 31, 2015. Individual-level and aggregate
   numbers of publications, citations, and NIH funding were determined.
   Results: The mean size of the vascular divisions was 5 faculty. There
   was no correlation between department size and academic productivity of
   individual faculty members (R-2 = 0.68, P = 0.2). Overall percentage of
   vascular surgery faculty with current or former NIH funding was 20%, of
   which 10.8% had major NIH grants (R01/U01/P01). Vascular surgery faculty
   associated with integrated vascular training programs demonstrated
   significantly greater academic productivity. Publications and citations
   were higher for vascular surgery faculty from institutions with both
   integrated and traditional training programs (48 of 1,051) compared to
   those from programs with integrated training alone (37 of 485) or
   traditional fellowships alone (26 of 439; P < 0.05).
   Conclusions: In this retrospective examination, academic productivity
   was improved within vascular surgery divisions with integrated training
   programs or both program types. These data suggest that the earlier
   specialization of integrated residencies in addition to increasing
   dedicated vascular training time may actually help promote research
   within the field of vascular surgery.
RI Zimmers, Teresa/AAD-5461-2019; Bell, Teresa Maria/Q-9271-2019; Kim, Bradford/; Liang, Tiffany/; Bell, Teresa/
OI Zimmers, Teresa/0000-0001-7872-0540; Kim, Bradford/0000-0002-1832-5298;
   Liang, Tiffany/0000-0002-3282-1757; Bell, Teresa/0000-0002-6519-4358
ZR 0
TC 0
ZA 0
ZS 0
ZB 0
Z8 0
Z9 0
U1 0
U2 1
SN 0890-5096
EI 1615-5947
UT WOS:000397010900027
PM 27671458
ER

PT J
AU Ewing, Gail
   Penfold, Clarissa
   Benson, John A.
   Mahadeva, Ravi
   Howson, Sophie
   Burkin, Julie
   Booth, Sara
   Lovick, Roberta
   Gilligan, David
   Todd, Christopher
   Farquhar, Morag
TI Clinicians' Views of Educational Interventions for Carers of Patients
   With Breathlessness Due to Advanced Disease: Findings From an Online
   Survey
SO JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
VL 53
IS 2
BP 265
EP 271
DI 10.1016/j.jpainsymman.2016.08.015
PD FEB 2017
PY 2017
AB Context. Carers' needs in advanced disease, and specifically in relation
   to breathlessness, are well evidenced. Publications on educational
   interventions for carers of patients with advanced disease that focus on
   symptoms are scarce and absent for breathlessness.
   Objectives. To establish current education provided by clinicians for
   carers of patients with breathlessness in advanced disease, views about
   educating carers about breathlessness, and relevant outcomes for a
   future randomized controlled trial of an educational intervention for
   carers.
   Methods. An online survey was completed by 365 clinicians: medical,
   nursing, and allied health professionals from primary care, hospital,
   and hospice. Descriptive statistics summarized respondent
   characteristics and survey responses, and the Chisquared test was
   applied. Content analysis of free-text comments was conducted.
   Results. Most clinicians reported educating carers by educating patients
   at clinical contacts with patients. Carer involvement was largely an `
   add-on'; an active carer education strategy, where all carers were
   invited to attend, was not currently apparent. Clinicians endorsed the
   importance of educating carers about breathlessness through increasing
   carer confidence and/ or control, helping patients' better self-manage
   breathlessness and potentially reducing admissions. Joint education with
   patients, giving practical advice, and strategies for helping patients
   were advised. To inform a future trial, clinicians identified
   improvement in patient outcomes, particularly patient quality of life as
   very important in enhancing clinician adoption of an educational
   intervention for carers.
   Conclusion. This survey revealed an appetite among clinicians for an
   educational intervention for carers of patients with breathlessness in
   advanced disease and provided important insights to underpin a future
   Phase II randomized controlled trial. Crown Copyright (C) 2016 Published
   by Elsevier Inc. on behalf of American Academy of Hospice and Palliative
   Medicine. All rights reserved.
RI Todd, Chris/AAD-8661-2022; Todd, Chris/A-7904-2010
OI Todd, Chris/0000-0001-6645-4505; Todd, Chris/0000-0001-6645-4505
ZR 0
ZB 1
ZA 0
Z8 0
TC 10
ZS 0
Z9 10
U1 0
U2 7
SN 0885-3924
EI 1873-6513
UT WOS:000397118300017
PM 27725250
ER

PT J
AU Galli, Federica
   Vignoli, Aglaia
   Canevini, Maria Paola
   Cerioli, Gabriele
   Vegni, Elena
TI Sudden unexpected death in epilepsy (SUDEP) disclosure in pediatric
   epilepsy: An Italian survey on "to tell or not to tell"
SO EPILEPSY & BEHAVIOR
VL 67
BP 33
EP 38
DI 10.1016/j.yebeh.2016.12.001
PD FEB 2017
PY 2017
AB Background and objectives: Although there has recently been significant
   debate regarding the importance of disclosing the risk of SUDEP,
   professional societies and clinical practice guidelines currently
   recommend that the risk of SUDEP be disclosed as part of a comprehensive
   epilepsy education program. Therefore, the primary aim of the present
   study was to examine whether healthcare providers treating pediatric
   patients with epilepsy in Italy would disclose the risk of SUDEP to the
   parents of children with epilepsy.
   Methods: The present study assessed data from a questionnaire that
   collected sociodemographic information and clinicians' attitudes towards
   SUDEP. The survey was available online from September to December 2015.
   Chisquared (chi(2)) tests and multivariate logistic regression analysis
   were performed when appropriate, and a qualitative content analysis of
   open-ended questions was performed.
   Findings: A total of 114 medical doctors (71 females and 43 males)
   completed the questionnaire. Of the respondents, 18 (16.2%) stated that
   all patients should be counseled about SUDEP, 22 (19.8%) thought that
   the majority should be, 58 (523%) said that only a minority should be,
   and 13 (11.7%) believed none should be. With respect to physicians'
   experience in counseling about SUDEP, only 2 (1.8%) counseled all their
   patients. A univariate logistic regression analysis showed that the
   factors associated with "not counseling about SUDEP at all" were the low
   number of patients with epilepsy they took care of (p < 0.01), fewer
   years of experience (p = 0.03), and the belief that it was safe from a
   legal point of view (p < 0.001), The main reasons for counseling about
   SUDEP were refractory course of epilepsy (79%) and if the parent/patient
   requested information (65%). Additionally, the findings of the
   qualitative analysis highlighted the emotional difficulties that
   neuropediatricians encounter when dealing with the disclosure of SUDEP.
   Conclusions: The present findings showed that a minority of
   neuropediatricians in Italy counseled all parents of their patients
   about SUDEP. Educational training may help physicians better communicate
   with the patient/parents regarding this difficult issue. (C) 2016
   Elsevier Inc. All rights reserved.
RI Galli, Federica/AAL-5452-2020; Galli, Federica/
OI Galli, Federica/0000-0003-0491-0338
TC 19
ZB 3
ZA 0
ZS 1
Z8 0
ZR 0
Z9 19
U1 2
U2 6
SN 1525-5050
EI 1525-5069
UT WOS:000395968000006
PM 28088049
ER

PT J
AU Maschke, J.
   Kruk, U.
   Kastrati, K.
   Kleeberg, J.
   Buchholz, D.
   Erickson, N.
   Huebner, J.
TI Nutritional care of cancer patients: a survey on patients' needs and
   medical care in reality
SO INTERNATIONAL JOURNAL OF CLINICAL ONCOLOGY
VL 22
IS 1
BP 200
EP 206
DI 10.1007/s10147-016-1025-6
PD FEB 2017
PY 2017
AB Purpose Cancer patients represent a patient group with a wide-range of
   nutrition related problems which are often under-recognized and
   undertreated. In order to assess the status quo of nutritional care in
   Germany, we conducted a survey among patients with different types of
   cancer.
   Methods A standardized questionnaire was distributed online by two
   national umbrella organizations for self-help groups.
   Results 1335 participants completed the questionnaire. 69 % of the
   participants reported having received information on nutrition and/or
   specific nutrition-related symptoms. Most often this information was
   derived from print media (68.5 %) or from within self-help groups (58.7
   %). 57.0 % of participants reported having had questions concerning
   nutrition and/or problems with food intake. most frequently named topics
   of interest were " healthy diet" (35.0 %) weakness/fatigue (24.3 %),
   dietary supplements (21.3 %) and taste changes (19.8 %). Nutrition
   information was most often provided by dietitians (38.7 %) followed by
   physicians (9.8 %). Women reported receiving nutrition counseling in the
   hospital nearly twice as often as men (12.5 % versus 5.7 %; p < 0.001).
   A quarter of the patients (24.1 %) reported using dietary supplements
   and patients who had received some sort of nutrition information more
   often reported using supplements (p < 0.001).
   Conclusion Nutrition is an essential element in cancer care and patients
   report a high interest and need: Yet, many patients do not have access
   to high quality nutrition therapy during and after cancer therapy.
   Implications for cancer survivors With respect to survival and quality
   of life, increasing the availability and resources for provision of
   evidence based nutrition information seems mandatory.
RI HÃbner, Jutta/AAY-5396-2020
Z8 1
ZB 10
ZS 1
ZR 0
TC 28
ZA 0
Z9 30
U1 1
U2 7
SN 1341-9625
EI 1437-7772
UT WOS:000393897400024
PM 27485457
ER

PT J
AU Marcu, Afrodita
   Black, Georgia
   Vedsted, Peter
   Lyratzopoulos, Georgios
   Whitaker, Katriina L.
TI Educational differences in responses to breast cancer symptoms:
   Aqualitative comparative study
SO BRITISH JOURNAL OF HEALTH PSYCHOLOGY
VL 22
IS 1
BP 26
EP 41
DI 10.1111/bjhp.12215
PD FEB 2017
PY 2017
AB Objective. Advanced stage at diagnosis for breast cancer is associated
   with lower socio-economic status (SES). Weexplored what factors in the
   patient interval (time from noticing a bodily change to first
   consultation with a health care professional) may contribute to this
   inequality.
   Design. Qualitative comparative study.
   Methods. Semi-structured interviews with a sample of women (>= 47 years)
   from higher (n = 15) and lower (n = 15) educational backgrounds, who had
   experienced at least one potential breast cancer symptom. Half the
   participants (n = 15) had sought medical help, half had not (n = 15).
   Without making breast cancer explicit, we elicited women's sensemaking
   around their symptoms and help-seeking decisions.
   Results. Containment of symptoms and confidence in acting upon symptoms
   emerged as two broad themes that differentiated lower and higher
   educational groups. Women from lower educational backgrounds tended to
   attribute their breast symptoms to trivial factors and were reticent in
   using the word 'cancer'. Despite 'knowing' that symptoms could be
   related to cancer, women with lower education invoked lack of medical
   knowledge -'I am not a doctor' -to express uncertainty about
   interpreting symptoms and accessing help. Women with higher education
   were confident about interpreting symptoms, seeking information online,
   and seeking medical help.
   Conclusions. Our findings suggest that knowledge of breast cancer alone
   may not explain socio-economic differences in how women respond to
   breast cancer symptoms as women with lower education had 'reasons' not
   to react. Research is needed on how to overcome a wider spectrum of
   psycho-social factors to reduce future inequality.
RI Whitaker, Katriina/AAA-6593-2020; Marcu, Afrodita/B-8498-2016; Lyratzopoulos, Georgios/O-8260-2019; Vedsted, Peter/C-2583-2008; Black, Georgia/
OI Whitaker, Katriina/0000-0002-0947-1840; Marcu,
   Afrodita/0000-0002-5918-3417; Lyratzopoulos,
   Georgios/0000-0002-2873-7421; Vedsted, Peter/0000-0003-2113-5599; Black,
   Georgia/0000-0003-2676-5071
ZB 1
TC 15
Z8 0
ZR 0
ZS 0
ZA 0
Z9 15
U1 0
U2 6
SN 1359-107X
EI 2044-8287
UT WOS:000397298800003
PM 27680898
ER

PT J
AU McGoldrick, D. M.
   Kielty, P.
   Cotter, C.
TI Quality of information about maxillofacial trauma on the Internet
SO BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY
VL 55
IS 2
BP 141
EP 144
DI 10.1016/j.bjoms.2016.09.020
PD FEB 2017
PY 2017
AB Patients increasingly search the Internet for information about health
   and potential treatments, but the content and accuracy of some websites
   are questionable. To evaluate the quality of information on
   maxillofacial trauma, we searched for the terms "jaw fracture" and
   "cheekbone fracture" on Google, Yahoo, and Bing. We assessed the first
   10 results of each search and excluded duplicates or those that were
   unrelated. We then used the DISCERN tool and the JAMA (Journal of the
   American Medical Association) benchmarks to assess those that remained.
   Of the original 60 found, 38 were excluded (29 duplicates, 9 unrelated).
   The mean (range) DISCERN score for each search was 38.5 (27-57) for jaw
   fracture and 41.9 (26-61) for cheekbone fracture. No website achieved an
   excellent score (more than 63), and over three-quarters were categorised
   as poor (27-38) or fair (39-50). None met all the JAMA benchmarks, but
   most adhered to at least two. The standard of online information on
   maxillofacial trauma varies, but is generally of poor quality. Patients
   should therefore be advised to be cautious of online sources and should
   be directed towards higher-quality websites. (C) 2016 The British
   Association of Oral and Maxillofacial Surgeons. Published by Elsevier
   Ltd. All rights reserved.
Z8 0
TC 13
ZA 0
ZB 1
ZR 0
ZS 0
Z9 13
U1 0
U2 1
SN 0266-4356
EI 1532-1940
UT WOS:000396998300005
PM 28029446
ER

PT J
AU Meillier, Andrew
   Patel, Shyam
TI Readability of Healthcare Literature for Gastroparesis and Evaluation of
   Medical Terminology in Reading Difficulty
SO GASTROENTEROLOGY RESEARCH
VL 10
IS 1
BP 1
EP 5
DI 10.14740/gr746w
PD FEB 2017
PY 2017
AB Background: Gastroparesis is a chronic condition that can be further
   enhanced with patient understanding. Patients' education resources on
   the Internet have become increasingly important in improving healthcare
   literacy. We evaluated the readability of online resources for
   gastroparesis and the influence by medical terminology.
   Methods: Google searches were performed for "gastroparesis",
   "gastroparesis patient education material" and "gastroparesis patient
   information". Following, all medical terminology was determined if
   included on Taber's Medical Dictionary 22nd Edition. The medical
   terminology was replaced independently with "help" and "helping". Web
   resources were analyzed with the Readability Studio Professional Edition
   (Oleander Solutions, Vandalia, OH) using 10 different readability
   scales.
   Results: The average of the 26 patient education resources was 12.7 +/-
   1.8 grade levels. The edited "help" group had 6.6 +/- 1.0 and "helping"
   group had 10.4 +/- 2.1 reading levels. In comparing the three groups,
   the "help" and "helping" groups had significantly lower readability
   levels (P < 0.001). The "help" group was significantly less than the
   "helping" group (P < 0.001).
   Conclusions: The web resources for gastroparesis were higher than the
   recommended reading level by the American Medical Association. Medical
   terminology was shown to be the cause for this elevated readability
   level with all, but four resources within the recommended grade levels
   following word replacement.
ZR 0
TC 5
ZS 0
Z8 0
ZA 0
ZB 0
Z9 5
U1 1
U2 5
SN 1918-2805
EI 1918-2813
UT WOS:000397223700001
PM 28270870
ER

PT J
AU Brandl, Katharina
   Mandel, Jess
   Winegarden, Babbi
TI Student evaluation team focus groups increase students' satisfaction
   with the overall course evaluation process
SO MEDICAL EDUCATION
VL 51
IS 2
BP 215
EP 227
DI 10.1111/medu.13104
PD FEB 2017
PY 2017
AB CONTEXT Most medical schools use online systems to gather student
   feedback on the quality of their educational programmes and services.
   Online data may be limiting, however, as the course directors cannot
   question the students about written comments, nor can students engage in
   mutual problem-solving dialogue with course directors. We describe the
   implementation of a student evaluation team (SET) process to permit
   course directors and students to gather shortly after courses end to
   engage in feedback and problem solving regarding the course and course
   elements.
   METHODS Approximately 16 students were randomly selected to participate
   in each SET meeting, along with the course director, academic deans and
   other faculty members involved in the design and delivery of the course.
   An objective expert facilitates the SET meetings. SETs are scheduled for
   each of the core courses and threads that occur within the first 2 years
   of medical school, resulting in approximately 29 SETs annually.
   SET-specific satisfaction surveys submitted by students (n = 76) and
   course directors (n = 16) in 2015 were used to evaluate the SET process
   itself. Survey data were collected from 885 students (2010-2015), which
   measured student satisfaction with the overall evaluation process before
   and after the implementation of SETs.
   RESULTS Students and course directors valued the SET process itself as a
   positive experience. Students felt that SETs allowed their voices to be
   heard, and that the SET increased the probability of suggested changes
   being implemented. Students' satisfaction with the overall evaluation
   process significantly improved after implementation of the SET process.
   CONCLUSIONS Our data suggest that the SET process is a valuable way to
   supplement online evaluation systems and to increase students' and
   faculty members' satisfaction with the evaluation process.
OI Mandel, Jess/0000-0002-2658-6025; Brandl, Katharina/0000-0001-5485-9206
TC 19
ZA 0
ZB 1
Z8 0
ZR 0
ZS 0
Z9 19
U1 2
U2 20
SN 0308-0110
EI 1365-2923
UT WOS:000396907200013
PM 27917517
ER

PT J
AU Tanaka, Pedro
   Merrell, Sylvia Bereknyei
   Walker, Kim
   Zocca, Jennifer
   Scotto, Lena
   Bogetz, Alyssa L.
   Macario, Alex
TI Implementation of a Needs-Based, Online Feedback Tool for Anesthesia
   Residents With Subsequent Mapping of the Feedback to the ACGME
   Milestones
SO ANESTHESIA AND ANALGESIA
VL 124
IS 2
BP 627
EP 635
DI 10.1213/ANE.0000000000001647
PD FEB 2017
PY 2017
AB BACKGROUND: Optimizing feedback that residents receive from faculty is
   important for learning. The goals of this study were to (1) conduct
   focus groups of anesthesia residents to define what constitutes optimal
   feedback; (2) develop, test, and implement a web-based feedback tool;
   and (3) then map the contents of the written comments collected on the
   feedback tool to the Accreditation Council for Graduate Medical
   Education (ACGME) anesthesiology milestones.
   METHODS: All 72 anesthesia residents in the program were invited to
   participate in 1 of 5 focus groups scheduled over a 2-month period.
   Thirty-seven (51%) participated in the focus groups and completed a
   written survey on previous feedback experiences. On the basis of the
   focus group input, an initial online feedback tool was pilot-tested with
   20 residents and 62 feedback sessions, and then a final feedback tool
   was deployed to the entire residency to facilitate the feedback process.
   The completed feedback written entries were mapped onto the 25 ACGME
   anesthesiology milestones.
   RESULTS: Focus groups revealed 3 major barriers to good feedback: (1)
   too late such as, for example, at the end of month-long clinical
   rotations, which was not useful because the feedback was delayed; (2)
   too general and not specific enough to immediately remedy behavior; and
   (3) too many in that the large number of evaluations that existed that
   were unhelpful such as those with unclear behavioral anchors compromised
   the overall feedback culture. Thirty residents (42% of 72 residents in
   the program) used the final online feedback tool with 121 feedback
   sessions with 61 attendings on 15 rotations at 3 hospital sites. The
   number of feedback tool uses per resident averaged 4.03 (standard
   deviation 5.08, median 2, range 1-21, 25th-75th % quartile 1-4).
   Feedback tool uses per faculty averaged 1.98 (standard deviation 3.2,
   median 1, range 1-25, 25th-75th % quartile 1-2). For the feedback
   question item "specific learning objective demonstrated well by the
   resident," this yielded 296 milestone-specific responses. The majority
   (71.3%) were related to the patient care competency, most commonly the
   anesthetic plan and conduct (35.8%) and airway management (11.1%)
   milestones; 10.5% were related to the interpersonal and communication
   skills competency, most commonly the milestones communication with other
   professionals (4.4%) or with patients and families (4.4%); and 8.4% were
   related to the practice-based learning and improvement competency, most
   commonly self directed learning (6.1%). For the feedback tool item
   "specific learning objective that resident may improve," 67.0% were
   related to patient care, most commonly anesthetic plan and conduct
   (33.5%) followed by use/interpretation of monitoring and equipment
   (8.5%) and airway management (8.5%); 10.2% were related to
   practice-based learning and improvement, most commonly self-directed
   learning (6.8%); and 9.7% were related to the systems-based practice
   competency.
   CONCLUSIONS: Resident focus groups recommended that feedback be timely
   and specific and be structured around a tool. A customized online
   feedback tool was developed and implemented. Mapping of the free-text
   feedback comments may assist in assessing milestones. Use of the
   feedback tool was lower than expected, which may indicate that it is
   just 1 of many implementation steps required for behavioral and culture
   change to support a learning environment with frequent and useful
   feedback.
RI Merrell, Sylvia Bereknyei/AAB-2813-2019; Macario, Alex/ABB-3771-2020; Tanaka, Pedro/
OI Merrell, Sylvia Bereknyei/0000-0002-5525-0379; Macario,
   Alex/0000-0002-2685-5256; Tanaka, Pedro/0000-0002-4723-3122
ZR 0
ZA 0
ZB 1
ZS 0
Z8 0
TC 11
Z9 11
U1 0
U2 9
SN 0003-2999
UT WOS:000392366200035
PM 28099326
ER

PT J
AU Wong, A.
   Stolbach, A.
   Dawson, A. H.
   Vohra, R.
TI The impact of online toxicology training on Fijian emergency doctors'
   knowledge: the Global Educational Toxicology Uniting Project (GETUP)
SO CLINICAL TOXICOLOGY
VL 55
IS 2
BP 161
EP 162
DI 10.1080/15563650.2016.1253848
PD FEB 2017
PY 2017
RI Dawson, Andrew H/U-8041-2019; Wong, Anselm/
OI Dawson, Andrew H/0000-0002-8047-397X; Wong, Anselm/0000-0002-6817-7289
ZR 0
ZA 0
Z8 0
ZS 0
TC 3
ZB 1
Z9 3
U1 0
U2 2
SN 1556-3650
EI 1556-9519
UT WOS:000393890500018
PM 27824267
ER

PT J
AU Funk, Marjorie
   Fennie, Kristopher P.
   Stephens, Kimberly E.
   May, Jeanine L.
   Winkler, Catherine G.
   Drew, Barbara J.
CA PULSE Site Investigators
TI Association of Implementation of Practice Standards for
   Electrocardiographic Monitoring With Nurses' Knowledge, Quality of Care,
   and Patient Outcomes Findings From the Practical Use of the Latest
   Standards of Electrocardiography (PULSE) Trial
SO CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES
VL 10
IS 2
AR e003132
DI 10.1161/CIRCOUTCOMES.116.003132
PD FEB 2017
PY 2017
AB Background-Although continuous electrocardiographic ( ECG) monitoring is
   ubiquitous in hospitals, monitoring practices are inconsistent. We
   evaluated implementation of American Heart Association practice
   standards for ECG monitoring on nurses' knowledge, quality of care, and
   patient outcomes.
   Methods and Results-The PULSE ( Practical Use of the Latest Standards of
   Electrocardiography) Trial was a 6-year multisite randomized clinical
   trial with crossover that took place in 65 cardiac units in 17
   hospitals. We measured outcomes at baseline, time 2 after group 1
   hospitals received the intervention, and time 3 after group 2 hospitals
   received the intervention. Measurement periods were 15 months apart. The
   2-part intervention consisted of an online ECG monitoring education
   program and strategies to implement and sustain change in practice.
   Nurses' knowledge ( N=3013 nurses) was measured by a validated 20-item
   online test, quality of care related to ECG monitoring ( N=4587
   patients) by on-site observation, and patient outcomes ( mortality,
   in-hospital myocardial infarction, and not surviving a cardiac arrest;
   N=95 884 hospital admissions) by review of administrative, laboratory,
   and medical record data. Nurses' knowledge improved significantly
   immediately after the intervention in both groups but was not sustained
   15 months later. For most measures of quality of care ( accurate
   electrode placement, accurate rhythm interpretation, appropriate
   monitoring, and ST-segment monitoring when indicated), the intervention
   was associated with significant improvement, which was sustained 15
   months later. Of the 3 patient outcomes, only in-hospital myocardial
   infarction declined significantly after the intervention and was
   sustained.
   Conclusions-Online ECG monitoring education and strategies to change
   practice can lead to improved nurses' knowledge, quality of care, and
   patient outcomes.
RI Drew, Barbara/AAQ-7480-2020; Stephens, Kimberly/AAK-5058-2021; Fennie, Kristopher/
OI Stephens, Kimberly/0000-0002-8822-0547; Fennie,
   Kristopher/0000-0001-8038-7679
ZA 0
ZR 0
ZB 2
ZS 0
TC 24
Z8 0
Z9 24
U1 1
U2 13
SN 1941-7705
EI 1941-7713
UT WOS:000394569400007
PM 28174175
ER

PT J
AU Luckett, Tim
   Spencer, Lucy
   Morton, Rachael L.
   Pollock, Carol A.
   Lam, Lawrence
   Silvester, William
   Sellars, Marcus
   Detering, Karen M.
   Butow, Phyllis N.
   Tong, Allison
   Clayton, Josephine M.
TI Advance care planning in chronic kidney disease: A survey of current
   practice in Australia
SO NEPHROLOGY
VL 22
IS 2
BP 139
EP 149
DI 10.1111/nep.12743
PD FEB 2017
PY 2017
AB AimAdvance care planning (ACP) in nephrology is widely advocated but not
   always implemented. The aims of this study were to describe current ACP
   practice and identify barriers/facilitators and perceived need for
   health professional education and chronic kidney disease (CKD)-specific
   approaches.
   MethodsAn anonymous cross-sectional survey was administered online.
   Nephrology health professionals in Australia and New Zealand were
   recruited via professional societies, email lists and nephrology
   conferences. Multiple regression explored the influence of respondents'
   attributes on extent of involvement in ACP and willingness to engage in
   future.
   ResultsA total of 375 respondents included nephrologists (23%), nurses
   (65%), social workers (4%) and others (8%) with 54% indicated that ACP
   at their workplace was performed ad hoc and 61% poorly. Perceived
   barriers included patient/family discomfort (84%), difficulty engaging
   families (83%), lack of clinician expertise (83%) and time (82%), health
   professional discomfort (72%), cultural/language barriers (65%), lack of
   private space (61%) and lack of formal policy/procedures (60%).
   Respondents overwhelmingly endorsed the need for more dialysis-specific
   ACP programs (96%) and education (95%). Whilst 85% thought ACP would be
   optimally performed by specially trained staff, comments emphasized that
   all clinicians should have a working proficiency. Respondents who were
   more willing to engage in future ACP tended to be non-physicians (odds
   ratio (OR) 4.96, 95% confidence intervals (CI) 1.74-14.07) and reported
   a greater need for CKD-specific ACP materials (OR 10.88, 95% CI
   2.38-49.79).
   ConclusionAdvance care planning in nephrology needs support through
   education and CKD-specific resources. Endorsement by nephrologists is
   important. A multidisciplinary approach with a gradient of ACP expertise
   is also recommended.
   Summary at a Glance This survey of nephrologists in Australia and New
   Zealand provides data on the current practice of advance care planning
   and highlights the need for CKD-specific educational tools and a
   multidisciplinary approach.
RI Morton, Rachael L/AAB-7420-2020; Tong, Allison/; Clayton, Josephine/; Luckett, Tim/; Lam, Lawrence T./
OI Morton, Rachael L/0000-0001-7834-0572; Tong,
   Allison/0000-0001-8973-9538; Clayton, Josephine/0000-0002-9856-5434;
   Luckett, Tim/0000-0001-6121-5409; Lam, Lawrence T./0000-0001-6183-6854
ZB 0
Z8 0
ZR 0
TC 21
ZA 0
ZS 0
Z9 21
U1 0
U2 18
SN 1320-5358
EI 1440-1797
UT WOS:000393694300007
PM 26860214
ER

PT J
AU McEvoy, Fintan J.
   Shen, Nicholas W.
   Nielsen, Dorte H.
   Buelund, Lene E.
   Holm, Peter
TI Online Radiology Reporting with Peer Review as a Learning and Feedback
   Tool in Radiology; Implementation, Validity, and Student Impressions
SO JOURNAL OF DIGITAL IMAGING
VL 30
IS 1
BP 78
EP 85
DI 10.1007/s10278-016-9905-x
PD FEB 2017
PY 2017
AB Communicating radiological reports to peers has pedagogical value.
   Students may be uneasy with the process due to a lack of communication
   and peer review skills or to their failure to see value in the process.
   We describe a communication exercise with peer review in an
   undergraduate veterinary radiology course. The computer code used to
   manage the course and deliver images online is reported, and we provide
   links to the executable files. We tested to see if undergraduate peer
   review of radiological reports has validity and describe student
   impressions of the learning process. Peer review scores for
   student-generated radiological reports were compared to scores obtained
   in the summative multiple choice (MCQ) examination for the course.
   Student satisfaction was measured using a bespoke questionnaire. There
   was a weak positive correlation (Pearson correlation coefficient = 0.32,
   p < 0.01) between peer review scores students received and the student
   scores obtained in the MCQ examination. The difference in peer review
   scores received by students grouped according to their level of course
   performance (high vs. low) was statistically significant (p < 0.05). No
   correlation was found between peer review scores awarded by the students
   and the scores they obtained in the MCQ examination (Pearson correlation
   coefficient = 0.17, p = 0.14). In conclusion, we have created a
   realistic radiology imaging exercise with readily available software.
   The peer review scores are valid in that to a limited degree they
   reflect student future performance in an examination. Students valued
   the process of learning to communicate radiological findings but do not
   fully appreciated the value of peer review.
OI Buelund, Lene Elisabeth/0000-0002-4730-4111; McEvoy,
   Fintan/0000-0003-4195-8816; Holm, Peter/0000-0003-0709-8939
ZB 0
ZA 0
ZS 0
Z8 0
TC 3
ZR 0
Z9 3
U1 1
U2 10
SN 0897-1889
EI 1618-727X
UT WOS:000393689700010
PM 27699520
ER

PT J
AU Carlini, Beatriz H.
   Garrett, Sharon B.
   Carter, Gregory T.
TI Medicinal Cannabis: A Survey Among Health Care Providers in Washington
   State
SO AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE
VL 34
IS 1
BP 85
EP 91
DI 10.1177/1049909115604669
PD FEB 2017
PY 2017
AB Introduction: Washington State allows marijuana use for medical (since
   1998) and recreational (since 2012) purposes. The benefits of medicinal
   cannabis (MC) can be maximized if clinicians educate patients about
   dosing, routes of administration, side effects, and plant composition.
   However, little is known about clinicians' knowledge and practices in
   Washington State.
   Methods: An anonymous online survey assessed providers' MC knowledge,
   beliefs, clinical practices, and training needs. The survey was
   disseminated through health care providers' professional organizations
   in Washington State. Descriptive analysis compared providers who had and
   had not authorized MC for patients. Survey results informed the approach
   and content of an online training on best clinical practices of MC.
   Results: Four hundred ninety-four health care providers responded to the
   survey. Approximately two-third were women, aged 30 to 60 years, and
   working in family or internal medicine. More than half of the
   respondents were legally allowed to write MC authorizations per
   Washington State law, and 27% of those had issued written MC
   authorizations. Overall, respondents reported low knowledge and comfort
   level related to recommending MC. Respondents rated MC knowledge as
   important and supported inclusion of MC training in medical/health
   provider curriculum. Most Washington State providers have not received
   education on scientific basis of MC or training on best clinical
   practices of MC. Clinicians who had issued MC authorizations were more
   likely to have received MC training than those who had not issued MC
   authorization.
   Discussion: The potential of MCs to benefit some patients is hindered by
   the lack of comfort of clinicians to recommend it. Training
   opportunities are badly needed to address these issues.
OI Garrett, Sharon/0000-0002-7076-3631; Carlini,
   Beatriz/0000-0001-8312-4137
ZR 0
ZB 18
Z8 0
ZS 0
TC 71
ZA 0
Z9 71
U1 1
U2 34
SN 1049-9091
EI 1938-2715
UT WOS:000392873300011
PM 26377551
ER

PT J
AU Sidalak, Daniel
   Purdy, Eve
   Luckett-Gatopoulos, S.
   Murray, Heather
   Thoma, Brent
   Chan, Teresa M.
TI Coached Peer Review: Developing the Next Generation of Authors
SO ACADEMIC MEDICINE
VL 92
IS 2
BP 201
EP 204
DI 10.1097/ACM.0000000000001224
PD FEB 2017
PY 2017
AB Problem
   Publishing in academic journals is challenging for learners. Those who
   pass the initial stages of internal review by an editor often find the
   anonymous peer review process harsh. Academic blogs offer alternate
   avenues for publishing medical education material. Many blogs, however,
   lack a peer review process, which some consumers argue compromises the
   quality of materials published.
   Approach
   CanadiEM (formerly BoringEM) is an academic educational emergency
   medicine blog dedicated to publishing high-quality materials produced by
   learners (i.e., residents and medical students). The editorial team has
   designed and implemented a collaborative "coached peer review" process
   that comprises an open exchange among the learner-author, editors, and
   reviewers. The goal of this process is to facilitate the publication of
   high-quality academic materials by learner-authors while providing
   focused feedback to help them develop academic writing skills.
   Outcomes
   The authors of this Innovation Report surveyed (February-June 2015)
   their blog's learner-authors and external expert "staff" reviewers who
   had participated in coached peer review for their reactions to the
   process. The survey results revealed that participants viewed the
   process positively compared with both traditional journal peer review
   and academic blog publication processes. Participants found the process
   friendly, easy, efficient, and transparent. Learner-authors also
   reported increased confidence in their published material. These
   outcomes met the goals of coached peer review.
   Next Steps
   CanadiEM aims to inspire continued participation in, exposure to, and
   high-quality production of academic writing by promoting the adoption of
   coached peer review for online educational resources produced by
   learners.
RI Purdy, Eve/K-4103-2019; Thoma, Brent/ABI-2642-2020; Thoma, Brent/AAS-8775-2020; Murray, Heather/GQY-8016-2022; Chan, Teresa/T-6676-2017; Purdy, Eve/; Murray, Heather/
OI Thoma, Brent/0000-0003-1124-5786; Chan, Teresa/0000-0001-6104-462X;
   Purdy, Eve/0000-0002-8098-5377; Murray, Heather/0000-0002-8448-2566
Z8 0
ZS 0
ZA 0
ZR 0
TC 31
ZB 0
Z9 31
U1 0
U2 5
SN 1040-2446
EI 1938-808X
UT WOS:000393677800023
PM 27191842
ER

PT J
AU Lockhart, Billy J.
   Capurso, Noah A.
   Chase, Isaiah
   Arbuckle, Melissa R.
   Travis, Michael J.
   Eisen, Jane
   Ross, David A.
TI The Use of a Small Private Online Course to Allow Educators to Share
   Teaching Resources Across Diverse Sites: The Future of Psychiatric Case
   Conferences?
SO ACADEMIC PSYCHIATRY
VL 41
IS 1
BP 81
EP 85
DI 10.1007/s40596-015-0460-4
PD FEB 2017
PY 2017
AB Objective The authors sought to demonstrate the feasibility of
   integrating small private online course (SPOC) technology with flipped
   classroom techniques in order to improve neuroscience education across
   diverse training sites.
   Methods Post-graduate medical educators used SPOC web conferencing
   software and video technology to implement an integrated case conference
   and in-depth neuroscience discussion.
   Results Ten psychiatry training programs from across the USA and from
   two international sites took part in the conference. Feedback from
   participants was largely positive.
   Conclusion This pilot demonstrated the feasibility of such a program and
   provided a diverse audience with the opportunity to engage in an
   interactive learning experience with expert faculty discussants. This
   may be a useful model for programs with limited local expertise to
   expand their teaching efforts in a wide range of topics.
RI Ross, David A/D-3430-2014
OI Ross, David A/0000-0001-7426-9561
ZA 0
TC 14
ZB 0
Z8 1
ZS 0
ZR 0
Z9 15
U1 2
U2 58
SN 1042-9670
EI 1545-7230
UT WOS:000392317100017
PM 26620806
ER

PT J
AU Hickey, Catherine Margaret
   McAleer, Sean
TI Designing and Developing an Online Module: A 10-Step Approach
SO ACADEMIC PSYCHIATRY
VL 41
IS 1
BP 106
EP 109
DI 10.1007/s40596-015-0457-z
PD FEB 2017
PY 2017
OI Hickey, Catherine/0000-0001-8057-1564
TC 6
ZS 0
Z8 0
ZR 0
ZB 0
ZA 0
Z9 6
U1 1
U2 4
SN 1042-9670
EI 1545-7230
UT WOS:000392317100021
PM 26687189
ER

PT J
AU Kim, Chang-Yong
   Lee, Jung-Sun
   Kim, Hyeong-Dong
TI Comparison of the Effect of Lateral and Backward Walking Training on
   Walking Function in Patients with Poststroke Hemiplegia A Pilot
   Randomized Controlled Trial
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 96
IS 2
BP 61
EP 67
DI 10.1097/PHM.0000000000000541
PD FEB 2017
PY 2017
AB Objectives: The purposes of the present study were to compare the
   effects of backward and lateral walking training and to identify whether
   additional backward or lateral walking training would be more effective
   in increasing the walking function of poststroke patients.
   Design: Fifty-one subjects with hemiplegic stroke were randomly
   allocated to 3 groups, each containing 17 subjects: the control group,
   the backward walking training group, and the lateral walking training
   group. The walking abilities of each group were assessed using a 10-m
   walk test and the GAITRite system for spatiotemporal gait.
   Results: The results show that there were significantly greater posttest
   increases in gait velocity (F = -12.09, P = 0.02) and stride length (F =
   -11.50, P = 0.02), decreases in the values of the 10-m walk test (F =
   -7.10, P = 0.03) (P < 0.05) and double-limb support period (F = 40.15, P
   = 0.000), and improvements in gait asymmetry (F = 13.88, P = 0.002) (P <
   0.01) in subjects in the lateral walking training group compared with
   those in the other 2 groups.
   Conclusions: These findings demonstrate that asymmetric gait patterns in
   poststroke patients could be improved by receiving additional lateral
   walking training therapy rather than backward walking training.
ZS 0
ZB 5
Z8 0
ZR 3
TC 14
ZA 0
Z9 17
U1 1
U2 10
SN 0894-9115
EI 1537-7385
UT WOS:000392424800008
PM 27323323
ER

PT J
AU Ambrogi, Vincenzo
   Mineo, Tommaso Claudio
TI Benefits of Comprehensive Rehabilitation Therapy in Thymectomy for
   Myasthenia Gravis A Propensity Score Matching Analysis
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 96
IS 2
BP 77
EP 83
DI 10.1097/PHM.0000000000000538
PD FEB 2017
PY 2017
AB Objective: To demonstrate the effectiveness of a comprehensive program
   of rehabilitation therapy in patients undergoing thymectomy for
   myasthenia gravis (MG).
   Design: From 2005 to 2010, 46 consecutive patients affected by MG
   underwent a rehabilitation program both before and after thymectomy. We
   matched each patient with a "control patient" who underwent thymectomy
   within the period 1999 to 2004 with no preoperative rehabilitation, who
   had the closest propensity score matching.
   Results: All patients but 2 were able to complete the intended program.
   Eighteen patients (41%) experienced mild fatigue (>25 at MG quantitative
   score). Propensity score selected a group of 17 patients for the
   matching process. The group of patients who underwent the rehabilitation
   program showed significant preoperative improvement associated with a
   reduced operative risk, a decreased early postoperative morbidity, a
   lower rate of postoperative intensive care unit needed (12% vs 35%; P =
   0.01) and a shorter hospital stay (3 vs 5 days; P = 0.04). After the
   expected perioperative decline, all major myasthenic outcomes
   demonstrated a significant faster recovery at 3 months. Complete stable
   remission did not reveal significant differences.
   Conclusions: Exercise is not necessarily a contraindication in MG, and
   rehabilitation can be safely performed before and after thymectomy,
   reducing operative risks and decreasing recovery time.
OI Ambrogi, Vincenzo/0000-0002-8947-3175
ZR 0
ZS 0
ZB 3
TC 10
ZA 0
Z8 0
Z9 10
U1 0
U2 14
SN 0894-9115
EI 1537-7385
UT WOS:000392424800010
PM 28099277
ER

PT J
AU Al Omran, Yasser
   Chandrakumar, Charmilie
   Jawad, Ali
   Ahmed, Shafi
   Ghanem, Ali M.
TI The impact of medical student surgical conferences
SO Clinical Teacher
VL 14
IS 1
BP 32
EP 36
DI 10.1111/tct.12480
PD FEB 2017
PY 2017
AB Background: Recent reports have shown that in the UK there has been a
   decrease in interest towards pursuing a surgical career, whereas early
   exposure to surgery may increase interest. We aimed to assess the effect
   of a 1-day medical school surgical conference in encouraging attendees
   to pursue a surgical career.
   Methods: All attendees of the 2014 Barts and The London National
   Undergraduate Surgical conference were invited to participate in an
   online survey. Data were collected and analysed to evaluate students'
   reasons for attending the conference, and attitudes to careers in
   surgery before and after the conference.
   Results: Of 229 students, 130 (56.8%) completed the survey. Year-12
   high-school and preclinical medical students showed a statistically
   significant difference in interest in pursuing a surgical career after
   the conference than before it (p = 0.0002 and p = 0.0027, respectively),
   but clinical medical students demonstrated no such change.
   Conclusion: Attendance at surgical conferences designed for medical
   students can significantly increase the desire of high-school students
   and preclinical medical students to pursue a surgical career, but may
   not have the same effect for clinical medical students. Surgical
   conferences may act as an effective means of recruiting students towards
   choosing a surgical career for a certain subset of students.
ZA 0
ZB 1
ZS 0
ZR 0
TC 9
Z8 0
Z9 9
U1 0
U2 1
SN 1743-4971
EI 1743-498X
UT WOS:000392740100006
PM 26749221
ER

PT J
AU Al-Hariri, Mohammed T.
   Al-Hattami, Abdulghani A.
TI Impact of students' use of technology on their learning achievements in
   physiology courses at the University of Dammam
SO JOURNAL OF TAIBAH UNIVERSITY MEDICAL SCIENCES
VL 12
IS 1
BP 82
EP 85
DI 10.1016/j.jtumed.2016.07.004
PD FEB 2017
PY 2017
AB Objective: This study was conducted to investigate the possible
   relationship between students' use of technology and their achievements
   in physiology courses at five health colleges of the University of
   Dammam.
   Methods: This study was conducted on 231 students studying physiology
   during their 2nd year at one of five health colleges (Medicine, Dental,
   Clinical Pharmacy, Applied Medical Sciences, and Nursing). An online
   survey was sent to the students regarding their use of technology and
   the devices they use. The Pearson correlation coefficient and
   descriptive statistics were implemented to study the frequency of, and
   relationship between, technology and learning achievement in physiology
   courses.
   Results: This study observed a significant relationship between
   students' use of technology and their achievements in health colleges.
   The study also demonstrated that the most-used devices are laptops (50%)
   and phones (42%) followed by tablets (7%) and desktop computers (0.5%).
   This paper reports on the results of the survey, documenting what was
   revealed regarding how technology is used among students at the health
   colleges, as well as the important benefits on their achievements during
   physiology courses.
   Conclusions: Technology usage might produce comparatively more
   significant increases in academic achievement than would non-usage.
   Further research is warranted to examine its effects.
RI Al-Hariri, Mohammed/AAC-7654-2019; Al-Hattami, Abdulghani/J-7654-2019
OI Al-Hariri, Mohammed/0000-0002-9807-4870; Al-Hattami,
   Abdulghani/0000-0003-1705-2117
ZB 0
TC 30
ZS 1
ZR 0
ZA 0
Z8 0
Z9 31
U1 0
U2 1
SN 1658-3612
UT WOS:000448381700013
PM 31435218
ER

PT J
AU Raimi, Kaitlin T.
   Stern, Paul C.
   Maki, Alexander
TI The Promise and Limitations of Using Analogies to Improve
   Decision-Relevant Understanding of Climate Change
SO PLOS ONE
VL 12
IS 1
AR e0171130
DI 10.1371/journal.pone.0171130
PD JAN 30 2017
PY 2017
AB To make informed choices about how to address climate change, members of
   the public must develop ways to consider established facts of climate
   science and the uncertainties about its future trajectories, in addition
   to the risks attendant to various responses, including non-response, to
   climate change. One method suggested for educating the public about
   these issues is the use of simple mental models, or analogies comparing
   climate change to familiar domains such as medical decision making,
   disaster preparedness, or courtroom trials. Two studies were conducted
   using online participants in the U.S.A. to test the use of analogies to
   highlight seven key decision-relevant elements of climate change,
   including uncertainties about when and where serious damage may occur,
   its unprecedented and progressive nature, and tradeoffs in limiting
   climate change. An internal meta-analysis was then conducted to estimate
   overall effect sizes across the two studies. Analogies were not found to
   inform knowledge about climate literacy facts. However, results
   suggested that people found the medical analogy helpful and that it led
   people-especially political conservatives-to better recognize several
   decision-relevant attributes of climate change. These effects were weak,
   perhaps reflecting a well-documented and overwhelming effect of
   political ideology on climate change communication and education efforts
   in the U.S.A. The potential of analogies and similar education tools to
   improve understanding and communication in a polarized political
   environment are discussed.
RI Raimi, Kaitlin T/N-1872-2013
OI Raimi, Kaitlin T/0000-0002-3301-9520
ZB 2
ZA 0
ZS 0
ZR 0
Z8 0
TC 12
Z9 12
U1 0
U2 15
SN 1932-6203
UT WOS:000396124700051
PM 28135337
ER

PT J
AU Perumal, Vivek
   Butson, Russell
   Blyth, Phil
   Daniel, Ben
TI Clinical anatomy e-cases: a five-year follow-up of learning analytics
SO NEW ZEALAND MEDICAL JOURNAL
VL 130
IS 1449
BP 22
EP 29
PD JAN 27 2017
PY 2017
AB AIM: This article explores the development and user experiences of a
   supplementary e-learning resource (clinical anatomy e-cases) for medical
   students, across a five-year teaching period.
   METHODS: A series of online supplementary e-learning resources (the
   clinical anatomy e-cases) were developed and introduced to the regional
   and clinical anatomy module of the medicine course. Usage analytics were
   collected online from a cohort of third-year medical students and
   analysed to gain a better understanding of how students utilised these
   resources.
   RESULTS: Key results showed that the students used the supplementary
   learning resource during and outside regular teaching hours that
   includes a significant access during holidays. Analysis also suggested
   that the resources were frequently accessed during examination periods
   and during subsequent clinical study years (fourth or fifth years of
   medicine course). Increasing interest and positive feedback from
   students has led to the development of a further series of e-cases.
   CONCLUSION: Tailor-made e-learning resources promote clinical anatomy
   learning outside classroom hours and make supplementary learning a 24/7
   task.
RI Butson, Russell/B-5620-2009; Perumal, Vivek/
OI Butson, Russell/0000-0003-4039-4035; Perumal, Vivek/0000-0002-9610-5813
ZA 0
ZR 0
ZB 0
Z8 0
ZS 0
TC 4
Z9 4
U1 0
U2 1
SN 0028-8446
EI 1175-8716
UT WOS:000408127200003
PM 28178726
ER

PT J
AU Faupel-Badger, Jessica M.
   Nelson, David E.
   Izmirlian, Grant
TI Career Satisfaction and Perceived Salary Competitiveness among
   Individuals Who Completed Postdoctoral Research Training in Cancer
   Prevention
SO PLOS ONE
VL 12
IS 1
AR e0169859
DI 10.1371/journal.pone.0169859
PD JAN 25 2017
PY 2017
AB Studies examining career satisfaction of biomedical scientists are
   limited, especially in the context of prior postdoctoral training. Here
   we focused on career satisfaction defined as sat-isfaction with one's
   career trajectory and perceived salary competitiveness among a
   predominantly Ph. D.-trained population of scientists who completed
   cancer prevention-related postdoctoral training between 1987-2011.
   National Cancer Institute (NCI) Cancer Preven-tion Fellowship Program
   (CPFP) alumni (n = 114), and previous recipients of NCI-spon-sored Ruth
   L. Kirschstein National Research Service Award (NRSA/F32) postdoctoral
   fellowships (n = 140) completed online surveys. Associations of career
   satisfaction and perception of salary competitiveness with demographic,
   training, and employment-related factors were examined using logistic
   regression. Overall, 61% reported high levels of satis-faction with
   their career trajectory to-date. Higher salary (odds ratio [OR] = 2.86,
   95% confidence interval [95% CI]: 1.07-7.69) and having more leadership
   roles (OR = 2.26, 95% CI: 1.04-4.90) were independently associated with
   higher career satisfaction. Persons with race/ethnicity other than white
   (OR = 0.40, 95% CI: 0.20-0.82) or age >= 50 (OR = 0.40, 95% CI:
   0.17-0.94) had lower career satisfaction levels. There were no
   statistically signifi-cant differences in career satisfaction levels by
   gender, scientific discipline, or employment sector. 74% perceived their
   current salary as competitive, but persons with 5-9, or >= 10 years in
   their current position reported lower levels (OR = 0.31, 95% CI:
   0.15-0.65; and OR = 0.37, 95% CI: 0.16-0.87, respectively), as did
   individuals in government positions (OR = 0.33, 95% CI: 0.11-0.98).
   These data add to the understanding of career satisfaction of those with
   advanced training in biomedical research by examining these measures in
   rela-tion to prior postdoctoral research training and across multiple
   career sectors.
OI Faupel-Badger, Jessica/0000-0001-9729-3660
ZR 0
ZA 0
ZB 1
ZS 0
TC 6
Z8 0
Z9 6
U1 1
U2 22
SN 1932-6203
UT WOS:000396167300063
PM 28121985
ER

PT J
AU Mahlknecht, Angelika
   Nestler, Nadja
   Bauer, Ulrike
   Schuessler, Nadine
   Schuler, Jochen
   Scharer, Sebastian
   Becker, Ralf
   Waltering, Isabel
   Hempel, Georg
   Schwalbe, Oliver
   Flamm, Maria
   Osterbrink, Juergen
TI Effect of training and structured medication review on medication
   appropriateness in nursing home residents and on cooperation between
   health care professionals: the InTherAKT study protocol
SO BMC GERIATRICS
VL 17
AR 24
DI 10.1186/s12877-017-0418-3
PD JAN 18 2017
PY 2017
AB Background: Pharmacotherapy in residents of nursing homes is critical
   due to the special vulnerability of this population. Medical care and
   interprofessional communication in nursing homes are often
   uncoordinated. As a consequence, polypharmacy and inappropriate
   medication use are common and may lead to hospitalizations and health
   hazards. The aim of this study is to optimize communication between the
   involved professional groups by specific training and by establishing a
   structured medication review process, and to improve medication
   appropriateness and patient-relevant health outcomes for residents of
   nursing homes.
   Methods/Design: The trial is designed as single- arm study. It involves
   300 nursing home residents aged = 65 years and the members of the
   different professional groups practising in nursing home care (15-20
   general practitioners, nurses, pharmacists). The intervention consists
   of interprofessional education on safe medication use in geriatric
   patients, and a systematic interprofessional therapy check (recording,
   reviewing and adapting the medication of the participating residents by
   means of a specific online platform). The intervention period is divided
   into two phases; total project period is 3 years.
   Primary outcome measure is the change in medication appropriateness
   according to the Medication Appropriateness Index. Secondary outcomes
   are cognitive performance, occurrence of delirium, agitation, tendency
   of falls, total number of drugs, number of potentially dangerous drug-
   drug interactions and appropriateness of recorded analgesic therapy
   regimens according to the Medication Appropriateness Index.
   Data are collected at t(0) (before the start of the intervention), t(1)
   (after the first intervention period) and t(2) (after the second
   intervention period). Cooperation and communication between the
   professional groups are investigated twice by qualitative interviews.
   Discussion: The project aims to establish a structured system for
   monitoring of drug therapy in nursing home residents. The newly
   developed online platform is designed to systematize and to improve the
   communication between the professional groups and, thus, to enhance
   quality and safety of drug therapy. Limitations of the study are the
   lack of a control group and the non- randomly recruited study sample.
OI Flamm, Maria/0000-0003-0816-6657
ZR 0
Z8 0
ZA 0
ZS 0
ZB 1
TC 11
Z9 11
U1 0
U2 16
SN 1471-2318
UT WOS:000396943700001
PM 28100176
ER

PT J
AU Lo, Kristin
   Curtis, Heather
   Keating, Jennifer L.
   Bearman, Margaret
TI Physiotherapy clinical educators' perceptions of student fitness to
   practise
SO BMC MEDICAL EDUCATION
VL 17
AR 16
DI 10.1186/s12909-016-0847-2
PD JAN 17 2017
PY 2017
AB Background: Health professional students are expected to maintain
   Fitness to Practise (FTP) including clinical competence, professional
   behaviour and freedom from impairment (physical/ mental health). FTP
   potentially affects students, clinicians and clients, yet the impact of
   supervising students across the spectrum of FTP issues remains
   relatively under-reported. This study describes clinical educators'
   perceptions of supporting students with FTP issues.
   Methods: Between November 2012 and January 2013 an online survey was
   emailed to physiotherapy clinical educators from 34 sites across eight
   health services in Australia. The self-developed survey contained both
   closed and open ended questions. Demographic data and Likert scale
   responses were summarised using descriptive statistics. The hypotheses
   that years of clinical experience increased clinical educator confidence
   and comfort in supporting specific student FTP issues were explored with
   correlational analysis. Open text questions were analysed based on
   thematic analysis.
   Results: Sixty-one percent of the 79 respondents reported supervising
   one or more students with FTP issues. Observed FTP concerns were
   clinical competence (76%), mental health (51%), professional behaviour
   (47%) and physical health (36%). Clinicians considered 52% (95% CI
   38-66) of these issues avoidable through early disclosure, student and
   clinician education, maximising student competency prior to commencing
   placements, and human resources. Clinicians were confident and
   comfortable supporting clinical competence, professional behaviour and
   physical health issues but not mental health issues. Experience
   significantly increased confidence to support all FTP issues but not
   comfort. Student FTP issues affects the clinical educator role with 83%
   (95% CI 75-92) of clinicians reporting that work satisfaction was
   affected due to time pressures, emotional impact, lack of appreciation
   of educator time, quality of care conflict and a mismatch in role
   perception. Educators also considered that FTP issues affect service
   delivery and impact on those seeking health care.
   Conclusions: Strategies to support student FTP have potential to
   positively impact on students, clinicians and clients. Collaboration
   between these stakeholders is required, particularly in supporting
   mental health. Universities are strategically placed to implement
   appropriate support such as communication support.
RI Bearman, Margaret/R-1191-2019; Bearman, Margaret/; Lo, Kristin/
OI Bearman, Margaret/0000-0002-6862-9871; Lo, Kristin/0000-0002-3360-2062
Z8 0
ZS 0
ZB 2
ZR 0
TC 14
ZA 0
Z9 14
U1 0
U2 13
SN 1472-6920
UT WOS:000392450900002
PM 28095836
ER

PT J
AU Aldebeyan, Sultan
   Sinno, Hani
   Makhdom, Asim
   Ouellet, Jean A.
   Saran, Neil
TI Impact of Living With Scoliosis: A Utility Outcome Score Assessment
SO SPINE
VL 42
IS 2
BP E93
EP E97
DI 10.1097/BRS.0000000000001708
PD JAN 15 2017
PY 2017
AB Study Design. Survey.
   Objective. The aim of this study was to objectify the burden of
   adolescent idiopathic scoliosis (AIS) to better advocate for scoliosis
   care in the future.
   Summary of Background Data. AIS is a common spinal deformity that can
   affect individuals on many levels. Patients with big curves usually seek
   medical advice for surgical correction of their deformity.
   Methods. Participants completed an online questionnaire to help measure
   the health burden of AIS. Three utility outcome measures were then
   calculated. These included the visual analog scale, time trade off, and
   standard gamble. Student t test and linear regression were used for
   statistical analysis.
   Results. One hundred and ten participants were included in the analysis.
   The mean visual analog scale, time trade off, and standard gamble scores
   for AIS were 0.77 +/- 0.16, 0.90 +/- 0.11, and 0.91 +/- 0.13,
   respectively. Factors such as age, sex, income, and level of education
   were dependent predictors of utility scores for AIS.
   Conclusion. Our participants demonstrated a significant perceived burden
   of AIS. If faced with AIS, participants were willing to sacrifice 3.6
   years of their lives and undergo a procedure with 9% mortality rate to
   gain perfect health. Such findings can guide future allocation of
   resources for better scoliosis care and management.
ZR 0
ZS 1
ZA 0
Z8 0
ZB 1
TC 4
Z9 5
U1 0
U2 12
SN 0362-2436
EI 1528-1159
UT WOS:000391849000005
PM 27213940
ER

PT J
AU Rahman, Aminur
   Nisha, Monjura Khatun
   Begum, Tahmina
   Ahmed, Sayem
   Alam, Nurul
   Anwar, Iqbal
TI Trends, determinants and inequities of 4(+) ANC utilisation in
   Bangladesh
SO JOURNAL OF HEALTH POPULATION AND NUTRITION
VL 36
AR 2
DI 10.1186/s41043-016-0078-5
PD JAN 13 2017
PY 2017
AB Background: The objectives of this study are to document the trend on
   utilisation of four or more (4(+)) antenatal care (ANC) over the last 22
   years period and to explore the determinants and inequity of 4(+) ANC
   utilisation as reported by the last two Bangladesh Demographic and
   Health surveys (BDHS) (2011 and 2014).
   Methods: The data related to ANC have been extracted from the BDHS data
   set which is available online as an open source. STATA 13 software was
   used for organising and analysing the data. The outcome variable
   considered for this study was utilisation of 4(+) ANC. Trends of 4(+)
   ANC were measured in percentage and predictors for 4(+) ANC were
   measured through bivariate and multivariable analysis. The concentration
   index was estimated for assessing inequity in 4(+) ANC utilisation.
   Results: Utilisation of 4(+) ANC has increased by about 26% between the
   year 1994 and 2014. Higher level of education, residing in urban region
   and richest wealth quintile were found to be significant predictors. The
   utilisation of 4(+) ANC has decreased with increasing parity and
   maternal age. The inequity indices showed consistent inequities in 4(+)
   ANC utilisation, and such inequities were increased between 2011 and
   2014.
   Conclusions: In Bangladesh, the utilisation of any ANC rose steadily
   between 1994 and 2014, but progress in terms of 4(+) ANC utilisation was
   much slower as the expectation was to achieve the national set target
   (50%: 4(+) ANC utilisation) by 2016. Socio-economic inequities were
   observed in groups that failed to attend a 4(+) ANC visit. Policymakers
   should pay special attention to increase the 4(+) ANC coverage where
   this study can facilitate to identify the target groups whom need to be
   intervened on priority basis.
RI Ahmed, Sayem/AAI-6500-2021; Ahmed, Sayem/G-1439-2015; Rahman, Aminur/AAG-5391-2020; Begum, Tahmina/AAD-5258-2021; Alam, Nurul/
OI Ahmed, Sayem/0000-0001-9499-1500; Ahmed, Sayem/0000-0001-9499-1500;
   Rahman, Aminur/0000-0003-1434-3883; Begum, Tahmina/0000-0001-8106-2454;
   Alam, Nurul/0000-0002-1202-4451
ZS 0
Z8 0
ZA 0
TC 40
ZB 13
ZR 0
Z9 40
U1 0
U2 3
SN 1606-0997
EI 2072-1315
UT WOS:000391896400001
PM 28086970
ER

PT J
AU Ambrose, Mark
   Murray, Linda
   Handoyo, Nicholas E.
   Tunggal, Deif
   Cooling, Nick
TI Learning global health: a pilot study of an online collaborative
   intercultural peer group activity involving medical students in
   Australia and Indonesia
SO BMC MEDICAL EDUCATION
VL 17
AR 10
DI 10.1186/s12909-016-0851-6
PD JAN 13 2017
PY 2017
AB Background: There is limited research to inform effective pedagogies for
   teaching global health to undergraduate medical students. Theoretically,
   using a combination of teaching pedagogies typically used in
   'international classrooms' may prove to be an effective way of learning
   global health. This pilot study aimed to explore the experiences of
   medical students in Australia and Indonesia who participated in a
   reciprocal intercultural participatory peer e-learning activity (RIPPLE)
   in global health.
   Methods: Seventy-one third year medical students (49 from Australia and
   22 from Indonesia) from the University of Tasmania (Australia) and the
   University of Nusa Cendana (Indonesia) participated in the RIPPLE
   activity. Participants were randomly distributed into 11 intercultural
   'virtual' groups. The groups collaborated online over two weeks to study
   a global health topic of their choice, and each group produced a
   structured research abstract. Pre- and post-RIPPLE questionnaires were
   used to capture students' experiences of the activity. Descriptive
   quantitative data were analysed with Microsoft Excel and qualitative
   data were thematically analysed.
   Results: Students' motivation to volunteer for this activity included:
   curiosity about the innovative approach to learning; wanting to expand
   knowledge of global health; hoping to build personal and professional
   relationships; and a desire to be part of an intercultural experience.
   Afer completing the RIPPLE program, participants reported on global
   health knowledge acquisition, the development of peer relationships, and
   insight into another culture. Barriers to achieving the learning
   outcomes associated with RIPPLE included problems with establishing
   consistent online communication, and effectively managing time to
   simultaneously complete RIPPLE and other curricula activities.
   Conclusions: Medical students from both countries found benefits in
   working together in small virtual groups to complement existing teaching
   in global health. However, our pilot study demonstrated that while
   intercultural collaborative peer learning activities like RIPPLE are
   feasible, they require robust logistical support and an awareness of the
   need to manage curriculum alignment in ways that facilitate more
   effective student engagement.
RI Murray, Linda/AAD-7634-2020; Handoyo, Nicholas E/D-9028-2014; Cooling, Nick/; Handoyo, Nicholas Edwin/; Murray, Linda/
OI Cooling, Nick/0000-0003-3211-1656; Handoyo, Nicholas
   Edwin/0000-0002-9191-518X; Murray, Linda/0000-0001-7066-656X
ZR 0
Z8 0
ZS 0
ZA 0
ZB 2
TC 28
Z9 28
U1 2
U2 42
EI 1472-6920
UT WOS:000392450600002
PM 28086875
ER

PT J
AU Andreassen, Cecilie Schou
   Pallesen, Stale
   Griffiths, Mark D.
TI The relationship between addictive use of social media, narcissism, and
   self-esteem: Findings from a large national survey
SO ADDICTIVE BEHAVIORS
VL 64
BP 287
EP 293
DI 10.1016/j.addbeh.2016.03.006
PD JAN 2017
PY 2017
AB Social media has become an increasingly popular leisure activity over
   the last decade. Although most people's social media use is
   non-problematic, a small number of users appear to engage in social
   media excessively and/or compulsively. The main objective of this study
   was to examine the associations between addictive use of social media,
   narcissism, and self-esteem. A cross-sectional convenient sample of
   23,532 Norwegians (M-age = 35.8 years; range = 16-88 years) completed an
   open web-based survey including the Bergen Social Media Addiction Scale
   (BSMAS), the Narcissistic Personality Inventory-16, and the Rosenberg
   Self-Esteem Scale. Results demonstrated that lower age, being a woman,
   not being in a relationship, being a student, lower education, lower
   income, lower self-esteem, and narcissism were associated with higher
   scores on the BSMAS, explaining a total of 17.5% of the variance.
   Although most effect sizes were relatively modest, the findings
   supported the notion of addictive social media use reflecting a need to
   feed the ego (i.e., narcissistic personality traits) and an attempt to
   inhibit a negative self-evaluation (i.e., self-esteem). The results were
   also consistent with demographic predictions and associations taken from
   central theories concerning "addiction", indicating that women may tend
   to develop more addictive use of activities involving social interaction
   than men. However, the cross-sectional study design makes inferences
   about directionality impossible. (C) 2016 Elsevier Ltd. All rights
   reserved.
RI Griffiths, Mark D./AAY-3546-2021; Andreassen, Cecilie S./
OI Griffiths, Mark D./0000-0001-8880-6524; Andreassen, Cecilie
   S./0000-0002-3511-2155
TC 372
ZB 41
Z8 5
ZA 9
ZR 2
ZS 4
Z9 391
U1 53
U2 753
SN 0306-4603
EI 1873-6327
UT WOS:000388048000047
PM 27072491
ER

PT J
AU Wise, Lauren A.
   Wesselink, Amelia K.
   Mikkelsen, Ellen M.
   Cueto, Heidi
   Hahn, Kristen A.
   Rothman, Kenneth J.
   Tucker, Katherine L.
   Sorensen, Henrik Toft
   Hatch, Elizabeth E.
TI Dairy intake and fecundability in 2 preconception cohort studies
SO AMERICAN JOURNAL OF CLINICAL NUTRITION
VL 105
IS 1
BP 100
EP 110
DI 10.3945/ajcn.116.138404
PD JAN 2017
PY 2017
AB Background: Animal studies have shown that a high intake of galactose, a
   breakdown product of lactose, increases ovarian toxicity. Few
   epidemiologic studies, to our knowledge, have examined the association
   between dairy intake and fertility, and they have had conflicting
   findings.
   Objective: We prospectively evaluated dairy intake in relation to
   fecundability among women who were planning for pregnancy.
   Design: Data were derived from preconception cohort studies in Denmark
   (Snart Foraeldre) and North America [PRESTO (Pregnancy Study Online)] in
   which women completed a validated food-frequency questionnaire 10 d
   after enrollment. The dietary intake of dairy foods and their
   constituents was calculated based on reported frequencies, mean serving
   sizes, and standard recipes for mixed foods. Outcome data were updated
   every 8 wk for 12 mo or until reported conception. Analyses were
   restricted to 2426 women attempting pregnancy for <= 6 cycles at study
   entry. Fecundability ratios (FRs) and 95% CIs were estimated with the
   use of proportional probabilities regression models adjusted for
   potential confounders.
   Results: FRs for total dairy intake (>= 18 compared with <7 servings/wk)
   were 1.37 (95% CI: 1.05, 1.78) among 1126 Snart Foraeldre participants
   and 1.04 (95% CI: 0.78, 1.38) among 1300 PRESTO participants (pooled FR:
   1.11; 95% CI: 0.94, 1.31). The elevated FR for total dairy intake among
   Snart Foraeldre participants was limited to milk consumption and found
   only among women aged <30 y. There was no clear association between
   low-or high-fat dairy intake and fecundability in either cohort.
   Although there was little evidence of an association between dietary
   intake of calcium, potassium, magnesium, or vitamin D and fecundability,
   a greater consumption of phosphorus and lactose was associated with
   slightly higher fecundability in both cohorts.
   Conclusions: Associations between dairy intake and fecundability were
   generally small and inconsistent across cohorts. Our findings do not
   support the hypotheses that a greater consumption of high-fat dairy
   improves fertility or that a greater consumption of lactose or low-fat
   dairy harms fertility.
RI Sorensen, Henrik Toft/Z-6181-2019; Wise, Lauren/; Tucker, Katherine/; Wesselink, Amelia/; Mikkelsen, Ellen Margrethe/
OI Sorensen, Henrik Toft/0000-0003-4299-7040; Wise,
   Lauren/0000-0003-2138-3752; Tucker, Katherine/0000-0001-7640-662X;
   Wesselink, Amelia/0000-0002-3929-4451; Mikkelsen, Ellen
   Margrethe/0000-0003-0158-7950
TC 27
ZR 0
ZA 0
ZB 13
ZS 0
Z8 1
Z9 28
U1 0
U2 11
SN 0002-9165
EI 1938-3207
UT WOS:000391344400013
PM 27903519
ER

PT J
AU Smohai, Mate
   Urban, Robert
   Griffiths, Mark D.
   Kiraly, Orsolya
   Mirnics, Zsuzsanna
   Vargha, Andras
   Demetrovics, Zsolt
TI Online and offline video game use in adolescents: measurement invariance
   and problem severity
SO AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE
VL 43
IS 1
BP 111
EP 116
DI 10.1080/00952990.2016.1240798
PD 2017
PY 2017
AB Background: Despite the increasing popularity of video game playing,
   little is known about the similarities and differences between online
   and offline video game players. Objectives: The aims of this study were
   (i) to test the applicability and the measurement invariance of the
   previously developed Problematic Online Gaming Questionnaire (POGQ) in
   both online and offline gamers and to (ii) examine the differences in
   these groups. Methods: Video game use habits and POGQ were assessed in a
   sample of 1,964 (71% male) adolescent videogame players. Those gamers
   who played at least sometimes in an online context were considered
   "online gamers," while those who played videogames exclusively offline
   were considered "offline gamers." Results: Confirmatory factor analysis
   supported the measurement invariance across online and offline videogame
   players. According to the multiple indicators multiple causes (MIMIC)
   model, online gamers were more likely to score higher on overuse,
   interpersonal conflict, and social isolation subscales of the POGQ.
   Conclusion: The results of the present study suggest that online and
   offline gaming can be assessed using the same psychometric instrument.
   These findings open the possibility for future research studies
   concerning problematic video gaming to include participants who
   exclusively play online or offline games, or both. However, the study
   also identified important structural features about how online and
   offline gaming might contribute differently to problematic use. These
   results provide important information that could be utilized in parental
   education and the prevention program about the possible detrimental
   consequences of online vs. offline video gaming.
RI Griffiths, Mark D./AAY-3546-2021; Vargha, Andras/L-9295-2017; Demetrovics, Zsolt/
OI Griffiths, Mark D./0000-0001-8880-6524; Demetrovics,
   Zsolt/0000-0001-5604-7551
ZA 0
Z8 1
ZS 0
TC 18
ZB 1
ZR 0
Z9 19
U1 2
U2 30
SN 0095-2990
EI 1097-9891
UT WOS:000393731400013
PM 27808562
ER

PT J
AU Karlsen, Anders
   Loeb, Mads Rohde
   Andersen, Kristine Bramsen
   Joergensen, Katrine Jeong
   Scheel, Frederik Ulrik
   Turtumoeygard, Ida Fanny
   Perez, Alberto Luis Rodrigues
   Kjaer, Michael
   Beyer, Nina
TI Improved Functional Performance in Geriatric Patients During Hospital
   Stay
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 96
IS 5
BP e78
EP e84
DI 10.1097/PHM.0000000000000671
PD 2017
PY 2017
AB Objective: The aim of this work was to evaluate the time course of
   changes in strength and functional performance in elderly hospitalized
   medical patients.
   Design: This was a prospective observational study in elderly medical
   patients of age 65 years or older at a geriatric department.
   Measurements were obtained on days 2 to 4, day 5 to 8, and days 9 to 13.
   Functional performance was measured with De Morton Mobility Index
   (DEMMI) test and a 30-second chair stand test (30-s CST). Muscular
   strength was measured with handgrip strength. Activity level was
   determined with accelerometry (ActivPAL).
   Results: Results in DEMMI and 30-s CST gradually improved (P < 0.05),
   whereas handgrip strength remained unchanged (P > 0.05). Larger
   functional improvements were observed in patients with high compared to
   low and moderate activity level (P < 0.05). Changes in DEMMI score
   correlated with changes in 30-s CST (P < 0.05); however, changes in
   DEMMI score and 30-s CST were more likely to occur in patients with a
   low versus high functional level, respectively.
   Conclusions: Functional performance of the lower extremities in
   geriatric patients improves moderately over the time of a hospital stay
   of less than 14 days, with larger improvements in patients with high
   activity level. The DEMMI test and the 30-s CST seem to be complementary
   to each other when evaluating functional changes in a geriatric hospital
   population.
RI Kjaer, Michael/W-6842-2019; Karlsen, Anders/S-6236-2019
OI Kjaer, Michael/0000-0002-4582-8755; Karlsen, Anders/0000-0002-9356-1346
ZR 0
ZB 10
Z8 0
ZS 0
TC 18
ZA 0
Z9 18
U1 0
U2 3
SN 0894-9115
EI 1537-7385
UT WOS:000399698900013
PM 28045706
ER

PT J
AU Bensman, Rachel S.
   Slusher, Tina M.
   Butteris, Sabrina M.
   Pitt, Michael B.
CA SUGAR PEARLS Investigators
TI Creating Online Training for Procedures in Global Health with PEARLS
   (Procedural Education for Adaptation to Resource-Limited Settings)
SO AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE
VL 97
IS 5
BP 1285
EP 1288
DI 10.4269/ajtmh.16-0936
PD 2017
PY 2017
AB The authors describe a multiinstitutional collaborative project to
   address a gap in global health training by creating a free online
   platform to share a curriculum for performing procedures in
   resource-limited settings. This curriculum called PEARLS (Procedural
   Education for Adaptation to Resource-Limited Settings) consists of
   peer-reviewed instructional and demonstration videos describing
   modifications for performing common pediatric procedures in
   resource-limited settings. Adaptations range from the creation of a
   low-cost spacer for inhaled medications to a suction chamber for
   continued evacuation of a chest tube. By describing the collaborative
   process, we provide a model for educators in other fields to collate and
   disseminate procedural modifications adapted for their own specialty and
   location, ideally expanding this crowd-sourced curriculum to reach a
   wide audience of trainees and providers in global health.
RI Kiragu, Andrew/G-1978-2019; Miller, Kathleen/; Pitt, Michael/
OI Kiragu, Andrew/0000-0002-1067-2922; Miller,
   Kathleen/0000-0001-9130-578X; Pitt, Michael/0000-0002-7123-2613
Z8 0
TC 14
ZA 0
ZB 6
ZR 0
ZS 0
Z9 14
U1 0
U2 0
SN 0002-9637
EI 1476-1645
UT WOS:000423222300004
PM 28820680
ER

PT J
AU Backhouse, Mark
   Fitzpatrick, Michael
   Hutchinson, Joseph
   Thandi, Charankumal S.
   Keenan, Iain D.
TI Improvements in Anatomy Knowledge When Utilizing a Novel Cyclical
   "Observe-Reflect-Draw-Edit-Repeat" Learning Process
SO ANATOMICAL SCIENCES EDUCATION
VL 10
IS 1
BP 7
EP 22
DI 10.1002/ase.1616
PD JAN-FEB 2017
PY 2017
AB Innovative educational strategies can provide variety and enhance
   student learning while addressing complex logistical and financial
   issues facing modern anatomy education. Observe-Reflect-Draw-Edit-Repeat
   (ORDER), a novel cyclical artistic process, has been designed based on
   cognitivist and constructivist learning theories, and on processes of
   critical observation, reflection and drawing in anatomy learning. ORDER
   was initially investigated in the context of a compulsory first year
   surface anatomy practical (ORDER-SAP) at a United Kingdom medical school
   in which a cross-over trial with pre-post anatomy knowledge testing was
   utilized and student perceptions were identified. Despite positive
   perceptions of ORDER-SAP, medical student (n5154) pre-post knowledge
   test scores were significantly greater (P < 0.001) with standard anatomy
   learning methods (3.26, SD = +/- 2.25) than with ORDER-SAP (2.17, +/-
   2.30). Based on these findings, ORDER was modified and evaluated in the
   context of an optional self-directed gross anatomy online interactive
   tutorial (ORDER-IT) for participating first year medical students (n =
   55). Student performance was significantly greater (P < 0.001) with
   ORDER-IT (2.71 +/- 2.17) when compared to a control tutorial (1.31 +/-
   2.03). Performances of students with visual and artistic preferences
   when using ORDER were not significantly different (P > 0.05) to those
   students without these characteristics. These findings will be of value
   to anatomy instructors seeking to engage students from diverse learning
   backgrounds in a research-led, innovative, time and cost-effective
   learning method, in the context of contrasting learning environments.
   Anat Sci Educ 10: 7-22. (C) 2016 American Association of Anatomists.
RI Keenan, Iain/H-6731-2019
OI Keenan, Iain/0000-0002-5923-1853
ZR 0
TC 29
ZB 7
Z8 1
ZS 0
ZA 0
Z9 30
U1 0
U2 15
SN 1935-9772
EI 1935-9780
UT WOS:000396506300002
PM 27164484
ER

PT J
AU Johnsson, Genevieve
   Kerslake, Rachel
   Crook, Sarah
   Cribb, Corinne
TI Investigation of training and support needs in rural and remote
   disability and mainstream service providers: implications for an online
   training model
SO AUSTRALIAN HEALTH REVIEW
VL 41
IS 6
BP 693
EP 697
DI 10.1071/AH16132
PD 2017
PY 2017
AB Objectives. It is known that there are difficulties in recruiting and
   retaining practitioners in rural and remote communities and that access
   to support and professional development can be key in breaking this
   cycle. Technology provides a possible solution not only for increasing
   access to these opportunities, but also in building community capacity
   to support children with autism. The aim of the present study was to
   investigate the current learning and support needs within rural and
   remote professionals prior to setting up a model of support.
   Methods. An online survey was used to gather information from service
   providers in rural and remote communities on their demographics, current
   skills and confidence in working with clients on the autism spectrum,
   current supervision and professional development, identified learning
   and support needs, and the availability and uptake of technology for
   accessing professional development.
   Results. Respondents reported below average levels of perceived
   confidence and skills when working with children with autism, most
   notably children with challenging behaviour. Half the respondents do not
   currently attend supervision sessions, with only 15% receiving regular
   supervision (fortnightly or more often), and 66% of respondents had
   travelled more than 3 h to access professional development workshops.
   The majority of participants had access to technology and over half had
   already used this for online training.
   Conclusion. Overall, service providers in rural and remote areas are
   generally not currently meeting their needs in terms of frequency of
   supervision and professional development. The present needs analysis
   identifies key areas for learning, the ideal frequency of support and
   the acceptability of using technology to deliver this support. This
   information will guide future researchers in the development of an
   evidence-based model that will be accessible and meaningful to its
   participants.
   What is known about the topic? It is known that there are difficulties
   in recruiting and retaining practitioners in rural and remote
   communities and that access to support and professional development can
   be key in breaking this cycle, which may be triggered by geographical
   isolation. Technology-delivered intervention and support, also known as
   eHealth or Telehealth, has been used successfully in the disability
   sector for medical rehabilitation, direct intervention, employment
   support and support groups, but there is little evidence as to how
   technology is received by and implemented with disability and mainstream
   service providers supporting children with autism living in remote
   regions.
   What does this paper add? This paper provides an insight into the
   current skills and confidence of a broad range of service providers,
   including educators, allied health therapists and therapy and community
   support workers, in working with children with autism. This paper also
   investigates the experience, feasibility and potential uptake of a
   technology-driven program of support and professional development in
   rural and remote Australia. Finally, this paper provides an insight into
   the desired frequency of training and support, as well as identified
   learning support needs.
   What are the implications for practitioners? These findings have and
   will continue to guide practitioners in the development of an
   evidence-based, technology-driven model of supporting rural and remote
   staff working with children with autism. Technology has the potential to
   provide practitioners in geographically isolated areas with access to
   more responsive, collaborative and individualised professional support
   and training. Such practice may improve the skills of practitioners and
   the level of support they can provide their clients with autism, with
   the added potential of increasing staff retention in rural and remote
   areas of Australia.
OI Johnsson, Genevieve/0000-0002-9237-0679
ZS 0
ZA 0
ZR 0
ZB 0
TC 5
Z8 0
Z9 5
U1 1
U2 12
SN 0156-5788
EI 1449-8944
UT WOS:000416794900013
PM 27890046
ER

PT J
AU Wong, Anselm
   Vohra, Rais
   Dawson, Andrew H.
   Stolbach, Andrew
TI Impact of online toxicology training on health professionals: the Global
   Educational Toxicology Uniting Project (GETUP)
SO CLINICAL TOXICOLOGY
VL 55
IS 9
BP 981
EP 985
DI 10.1080/15563650.2017.1330480
PD 2017
PY 2017
AB Objective: The Global Educational Toxicology Uniting Project (GETUP),
   supported by the American College of Medical Toxicology, links countries
   with and without toxicology services via distance education with the aim
   to improve education. Due to the lack of toxicology services in some
   countries there is a knowledge gap in the management of poisonings. We
   describe our experience with the worldwide delivery of an online
   introductory toxicology curriculum to emergency doctors and other health
   professionals treating poisoned patients.
   Methods: We delivered a 15-module introductory Internet-based toxicology
   curriculum to emergency doctors and health professionals, conducted from
   August to December 2016. This Internet-based curriculum was adapted from
   one used to teach emergency residents toxicology in the United States.
   Modules covered themes such as pharmaceutical (n = 8), toxidromes (n =
   2) and agrochemicals (n = 5) poisoning. Participants completed pre-test
   and post-test multiple choice questions (MCQs) before and after
   completing the online module, respectively, throughout the course. We
   collected information on participant demographics, education and
   training, and perception of relevance of the curriculum. Participants
   gave feedback on the course and how it affected their practice.
   Results: One hundred and thirty-six health professionals from 33
   countries participated in the course: 98 emergency doctors/medical
   officers, 25 physicians, eight pharmacists/poisons information
   specialists, two toxicologists, two medical students and one nurse.
   Median age of participants was 34 years. Median number of years
   postgraduate was seven. Ninety (65%) had access to either a poisons
   information centre over the phone or toxicologist and 48 (35%) did not.
   All participants expected the course to help improve their knowledge.
   Overall median pre-module MCQ scores were 56% (95%CI: 38, 75%) compared
   to post-module MCQ scores median 89% (95% CI: 67, 100%) (p < .0001).
   Conclusions: Our participants demonstrated an increase in medical
   knowledge based on performance on MCQs. An online toxicology curriculum
   is an effective way to deliver education to health professionals
   treating poisoned patients and can help to bridge the knowledge gap and
   change practice in developed and developing countries.
RI Dawson, Andrew H/U-8041-2019
OI Dawson, Andrew H/0000-0002-8047-397X
ZA 0
Z8 0
TC 5
ZR 0
ZS 0
ZB 1
Z9 5
U1 0
U2 11
SN 1556-3650
EI 1556-9519
UT WOS:000410940900006
PM 28617194
ER

PT J
AU Kew, Kayleigh M.
   Malik, Poonam
   Aniruddhan, Krishnan
   Normansell, Rebecca
TI Shared decision-making for people with asthma
SO COCHRANE DATABASE OF SYSTEMATIC REVIEWS
IS 10
AR CD012330
DI 10.1002/14651858.CD012330.pub2
PD 2017
PY 2017
AB Background
   Asthma is a chronic inflammatory disease that affects the airways and is
   common in both adults and children. It is characterised by symptoms
   including wheeze, shortness of breath, chest tightness, and cough.
   People with asthma may be helped to manage their condition through
   shared decision-making (SDM). SDM involves at least two participants
   (the medical practitioner and the patient) and mutual sharing of
   information, including the patient's values and preferences, to build
   consensus about favoured treatment that culminates in an agreed action.
   Effective self-management is particularly important for people with
   asthma, and SDM may improve clinical outcomes and quality of life by
   educating patients and empowering them to be actively involved in their
   own health.
   Objectives
   To assess benefits and potential harms of shared decision-making for
   adults and children with asthma.
   Search methods
   We searched the Cochrane Airways Trials Register, which contains studies
   identified in several sources including CENTRAL, MEDLINE, and Embase. We
   also searched clinical trials registries and checked the reference lists
   of included studies. We conducted the most recent searches on 29
   November 2016.
   Selection criteria
   We included studies of individual or cluster parallel randomised
   controlled design conducted to compare an SDM intervention for adults
   and children with asthma versus a control intervention. We included
   studies available as full-text reports, those published as abstracts
   only, and unpublished data, and we placed no restrictions on place,
   date, or language of publication. We included interventions targeting
   healthcare professionals or patients, their families or care-givers, or
   both. We included studies that compared the intervention versus usual
   care or a minimal control intervention, and those that compared an SDM
   intervention against another active intervention. We excluded studies of
   interventions that involved multiple components other than the SDM
   intervention unless the control group also received these interventions.
   Data collection and analysis
   Two review authors independently screened searches, extracted data from
   included studies, and assessed risk of bias. Primary outcomes were
   asthma-related quality of life, patient/parent satisfaction, and
   medication adherence. Secondary outcomes included exacerbations of
   asthma, asthma control, acceptability/feasibility from the perspective
   of healthcare professionals, and all adverse events. We graded and
   presented evidence in a 'Summary of findings' table.
   We were unable to pool any of the extracted outcome data owing to
   clinical and methodological heterogeneity but presented findings in
   forest plots when possible. We narratively described skewed data.
   Main results
   We included four studies that compared SDM versus control and included a
   total of 1342 participants. Three studies recruited children with asthma
   and their care-givers, and one recruited adults with asthma. Three
   studies took place in the United States, and one in the Netherlands.
   Trial duration was between 6 and 24 months. One trial delivered the SDM
   intervention to the medical practitioner, and three trials delivered the
   SDM intervention directly to the participant. Two paediatric studies
   involved use of an online portal, followed by face-to-face
   consultations. One study delivered an SDM intervention or a clinical
   decision-making intervention through a mixture of face-to-face
   consultations and telephone calls. The final study randomised paediatric
   general practice physicians to receive a seminar programme promoting
   application of SDM principles. All trials were open-label, although one
   study, which delivered the intervention to physicians, stated that
   participants were unaware of their physicians' involvement in the trial.
   We had concerns about selection and attrition bias and selective
   reporting, and we noted that one study substantially under-recruited
   participants. The four included studies used different approaches to
   measure fidelity/intervention adherence and to report study findings.
   One study involving adults with poorly controlled asthma reported
   improved quality of life (QOL) for the SDM group compared with the
   control group, using the Asthma Quality of Life Questionnaire (AQLQ) for
   assessment (mean difference (MD) 1.90, 95% confidence interval (CI) 1.24
   to 2.91), but two other trials did not identify a benefit.
   Patient/parent satisfaction with the performance of paediatricians was
   greater in the SDM group in one trial involving children. Medication
   adherence was better in the SDM group in two studies - one involving
   adults and one involving children (all medication adherence: MD 0.21,
   95% CI 0.11 to 0.31; mean number of controlled medication prescriptions
   over 26 weeks: 1.1 in the SDM group (n = 26) and 0.7 in the control
   group (n = 27)). In one study, asthma-related visit rates were lower in
   the SDM group than in the usual care group (1.0/y vs 1.4/y; P = 0.016),
   but two other studies did not report a difference in exacerbations nor
   in prescriptions for short courses of oral steroids. Finally, one study
   described better odds of reporting no asthma problems in the SDM group
   than in the usual care group (odds ratio (OR) 1.90, 95% CI 1.26 to
   2.87), although two other studies reporting asthma control did not
   identify a benefit with SDM. We found no information about acceptability
   of the intervention to the healthcare professional and no information on
   adverse events. Overall, our confidence in study results ranged from
   very low to moderate, and we downgraded outcomes owing to risk of bias,
   imprecision, and indirectness.
   Authors' conclusions
   Substantial differences between the four included randomised controlled
   trials (RCTs) indicate that we cannot provide meaningful overall
   conclusions. Individual studies demonstrated some benefits of SDM over
   control, in terms of quality of life; patient and parent satisfaction;
   adherence to prescribed medication; reduction in asthma-related
   healthcare visits; and improved asthma control. Our confidence in the
   findings of these individual studies ranges from moderate to very low,
   and it is important to note that studies did not measure or report
   adverse events.
   Future trials should be adequately powered and of sufficient duration to
   detect differences in patient-important outcomes such as exacerbations
   and hospitalisations. Use of core asthma outcomes and validated scales
   when possible would facilitate future meta-analysis. Studies conducted
   in lower-income settings and including an economic evaluation would be
   of interest. Investigators should systematically record adverse events,
   even if none are anticipated. Studies identified to date have not
   included adolescents; future trials should consider their inclusion.
   Measuring and reporting of intervention fidelity is also recommended.
RI Fortescue, Rebecca/; Malik, Poonam/A-1756-2008
OI Fortescue, Rebecca/0000-0001-9518-6474; Malik,
   Poonam/0000-0002-1733-722X
TC 29
ZA 0
ZB 2
ZS 0
Z8 0
ZR 0
Z9 29
U1 1
U2 31
SN 1469-493X
EI 1361-6137
UT WOS:000414391500029
PM 28972652
ER

PT J
AU Lynning, Marie
   Hanehoj, Kirsten
   Knudsen, Astrid Karnoe
   Skovgaard, Lasse
TI Self-Care Activities among People with Multiple Sclerosis in Denmark:
   Use and User Characteristics
SO COMPLEMENTARY MEDICINE RESEARCH
VL 24
IS 4
BP 240
EP 245
DI 10.1159/000478262
PD 2017
PY 2017
AB Background: People with multiple sclerosis (PwMS) are known to use a
   wide range of medical and non-medical treatments. This study aims at
   investigating the use of self-care activities within this patient group.
   Material and Methods: The study follows a descriptive cross-sectional
   design based on an online survey among members of the Danish Multiple
   Sclerosis Society's permanent respondent panel. Results: The results of
   the study indicate that the respondents carry out a wide variety of
   self-care activities. These activities comprise conventional activities
   as well as complementary and alternative medicine (CAM)-based
   activities. The self-care activities are mainly kept up for nonspecific
   and preventive purposes, with primarily personal or non-specific issues
   as the primary source of inspiration. Comparative analyses indicate that
   respondents with a low level of self-care more often are men, belong to
   the young age group and have a low level of education, a low level of
   self-assessed state of health, a low level of self-assessed quality of
   life (QoL), and an unknown subdiagnosis. Respondents with a high level
   of self-care are more often women and have a high level of self-assessed
   QoL. Conclusions: A wide variety of self-care activities are carried out
   by PwMS, comprising conventional as well as CAM-based activities. The
   purposes of such activities are manifold, but they are mainly of
   non-specific and preventive nature. Differences in background
   characteristics exist between groups of low and high levels of
   self-care. (C) 2017 S. Karger GmbH, Freiburg
ZA 0
ZR 0
ZS 0
ZB 0
Z8 0
TC 1
Z9 1
U1 1
U2 9
SN 2504-2092
EI 2504-2106
UT WOS:000408970400010
PM 28743104
ER

PT J
AU Nolte, Joanna L.
   Ataya, Ali
   Merrill, Hunter
   Childs, Mikala
   Brantly, Mark
TI Alpha(1)-antitrypsin Deficiency-Increased Knowledge and Diagnostic
   Testing after Viewing Short Instructional Video
SO COPD-JOURNAL OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE
VL 14
IS 1
BP 52
EP 55
DI 10.1080/15412555.2016.1245280
PD 2017
PY 2017
AB Many individuals with Alpha-1 Antitrypsin Deficiency (AATD) are unaware
   of their diagnosis. In the absence of an AATD diagnosis, irreversible
   damage continues, and incorrect care is provided. Research demonstrates
   low levels of knowledge about AATD among health care providers. To
   address this ongoing issue, a short educational video was developed for
   health care providers with the goal of increasing knowledge and testing
   for AATD. A five-question test on the video material was developed.
   Invitations to participate in the study were sent via email to providers
   at both public teaching hospitals and private practices across the
   country. Respondents completed three parts online: pre-test, video, and
   post-test. To confirm retention of knowledge gained, providers who
   completed all three were invited to take the same test 3-6 months later.
   There were 683 providers who responded, and 213 completed all three
   portions; 105 of those providers completed the 3-6-months of follow-up
   testing. The average pre-test score of the 213 providers was 54.6% (std.
   dev. = 26.2%). The average post-test score immediately following the
   video viewing was 74.7% (std. dev. = 27.7%). The average follow-up test
   score 3-6 months later was 63.2% (std. dev.= 22.0%). During the
   follow-up period, 11 providers reported testing for AATD for the first
   time. This short educational video demonstrated both immediate and
   sustained improvement in knowledge and an increase in testing for AATD.
   Short digital videos may provide an effective platform for the ongoing
   effort to identify individuals with AATD.
RI Brantly, Mark/AAH-2922-2020; Ataya, Ali/
OI Ataya, Ali/0000-0001-8505-1680
TC 2
ZS 0
Z8 0
ZB 0
ZA 0
ZR 0
Z9 2
U1 0
U2 3
SN 1541-2555
EI 1541-2563
UT WOS:000394508800008
PM 27819491
ER

PT J
AU Radu, Anamaria-Catalina
   Orzan, Mihai-Cristian
   Ceptureanu, Sebastian
   Stoica, Ivona
TI USER SATISFACTION REGARDING HEALTHCARE EDUCATION SERVICES FINANCED
   THROUGH THE EUROPEAN SOCIAL FUND
SO ECONOMIC COMPUTATION AND ECONOMIC CYBERNETICS STUDIES AND RESEARCH
VL 51
IS 1
BP 89
EP 102
PD 2017
PY 2017
AB Education is the most important component within a state, as it
   contributes to economic growth and to the overall development of the
   country. EU funded projects in this area offer beneficiaries the
   opportunity to specialize in a dfferent field, to collect new
   information from various areas of activity and acquire new skills that
   they can later apply effectively. In Romania, there are a number of
   projects financed under EU funds, aimed at the development of
   individuals and their specialization in various areas of activity.
   Projects developed in healthcare education area enables beneficiaries to
   gain new knowledge, both regarding their particular field of interest
   and in related areas as well. The purpose of this paper is to determine
   user satisfaction on the quality of services provided both in the
   traditional as well as the online environment. The work comprises two
   quantitative studies that have been conducted among project
   beneficiaries: "Professional training for implementing new technologies
   in healthcare system". Data resulted from the research were analysed
   using IBM SPSS Statistics 20.
RI Rapan, Ivona/N-2819-2015; Ceptureanu, Sebastian Ion/J-6069-2015
OI Rapan, Ivona/0000-0001-8436-9494; Ceptureanu, Sebastian
   Ion/0000-0001-8849-7960
ZA 0
ZR 0
Z8 0
ZS 0
ZB 0
TC 7
Z9 7
U1 0
U2 10
SN 0424-267X
EI 1842-3264
UT WOS:000398017300006
ER

PT J
AU Koivisto, Jaana-Maija
   Niemi, Hannele
   Multisilta, Jari
   Eriksson, Elina
TI Nursing students' experiential learning processes using an online 3D
   simulation game
SO EDUCATION AND INFORMATION TECHNOLOGIES
VL 22
IS 1
BP 383
EP 398
DI 10.1007/s10639-015-9453-x
PD JAN 2017
PY 2017
AB The growing use of game-based simulation in healthcare education
   reflects the opportunities afforded to learners by serious games, which
   simulate real-world situations and enable students to emulate the roles
   of healthcare professionals in a safe and engaging learning environment.
   As part of a design-based research project to design, test, and evaluate
   an online 3D simulation game for use in game-based simulation in
   healthcare education, the present study applied Kolb's experiential
   learning theory to investigate nursing students' experiential learning
   processes during a 3D simulation game. The data, collected from eight
   nursing students, comprised audio and video recordings from gaming
   sessions and focus group interviews. The results indicate that in 3D
   simulation game, patient-related experiences were supported by
   audiovisual authenticity, the authenticity of scenarios, and
   interactivity. Feedback triggered students to reflect on their own
   learning processes. Students conceptualised knowledge by applying
   nursing theory, and they internalised procedures that can be used in
   real life. They also had an opportunity to experiment by exploring and
   making decisions in the gaming environment. One of the main issues
   arising from these findings is that 3D simulation games used in
   game-based simulation should share familiar characteristics of leisure
   games to ensure an engaging learning experience.
RI Multisilta, Jari A/G-4345-2014; Niemi, Hannele/AAF-8762-2020
OI Multisilta, Jari A/0000-0002-5636-6365; Niemi,
   Hannele/0000-0003-0730-0674
Z8 0
ZA 0
ZB 0
ZS 0
ZR 0
TC 34
Z9 34
U1 2
U2 20
SN 1360-2357
EI 1573-7608
UT WOS:000410382500020
ER

PT J
AU Leach, Matthew J.
   Tucker, Basil
TI CURRENT UNDERSTANDINGS OF THE RESEARCH-PRACTICE GAP FROM THE VIEWPOINT
   OF COMPLEMENTARY MEDICINE ACADEMICS: A MIXED-METHOD INVESTIGATION
SO EXPLORE-THE JOURNAL OF SCIENCE AND HEALING
VL 13
IS 1
BP 53
EP 61
DI 10.1016/j.explore.2016.10.005
PD JAN-FEB 2017
PY 2017
AB Context: Research plays an important role in advancing health and
   healthcare. However, much research evidence is not reflected in
   contemporary complementary and alternative medicine (CAM) practice.
   Understanding and addressing the reasons for this research-practice gap
   may have positive implications for quality of care.
   Objective: To shed light on the gap between research and CAM practice.
   Design: Descriptive cross-sectional, mixed-method study.
   Sample and Setting: A total of 126 senior CAM academics across
   Australasia, Europe, UK, and North America.
   Outcome Measures: Participants completed a 30-item online survey and a
   semi-structured interview; both of which explored the research-practice
   gap in CAM.
   Results: A total of 43 (34%) academics completed the survey, with 29
   (67%) respondents undergoing an interview. There was general agreement
   among respondents that CAM research should be informed by practice, and
   practice informed by research; however, most agreed that this did not
   reflect the current situation. Translational issues were perceived to be
   the primary reason for the research-practice gap in CAM. Suggested
   strategies for closing the gap focussed mostly around improving CAM
   student/practitioner education and training, and researcher-practitioner
   engagement and collaboration.
   Conclusions: Study findings point toward the presence of a
   research-practice gap in CAM, with several factors likely to be
   instrumental in sustaining this gap. Attention now needs to focus on
   understanding the views of CAM clinicians on this issue. Insights gained
   from this research will help inform the development of a multi-modal
   strategy that will effectively target the barriers to change in order to
   bring CAM research and practice closer together.
RI Leach, Matthew J/A-2085-2008; Leach, Matthew J/ABD-7760-2021; TUCKER, Basil/F-3841-2013
OI Leach, Matthew J/0000-0003-3133-1913; TUCKER, Basil/0000-0002-1858-1590
ZS 0
ZR 0
ZA 0
TC 14
Z8 0
ZB 1
Z9 14
U1 0
U2 3
SN 1550-8307
EI 1878-7541
UT WOS:000393360500013
PM 27988241
ER

PT J
AU Radford, J.
TI A survey of strategies for increasing the number of medical learners in
   all Tasmanian general practices
SO FOCUS ON HEALTH PROFESSIONAL EDUCATION-A MULTIDISCIPLINARY JOURNAL
VL 18
IS 2
BP 76
EP 89
DI 10.11157/fohpe.v18i2.225
PD 2017
PY 2017
AB Introduction: Australia has a worsening workforce shortage of general
   practitioners and of doctors entering training in this specialty. This
   study aimed to explore the current capacity and enablers and barriers to
   increasing clinical placements for medical learners in the rural
   Australian state of Tasmania.
   Methods: A cross-sectional survey of all 559 general practitioners (GPs)
   and 151 practice managers in Tasmania in 2010 was conducted using online
   and postal delivery. Survey data were analysed quantitatively.
   Results: The response rate was 67% (376) for GPs and 40% (61) for
   practice managers. GP teaching rates within the previous 2 years were
   72% for medical students, 19% for junior doctors, 36% for registrars and
   23% for international medical graduates (IMGs). GPs agreed that they
   taught because of previous positive experiences (91%), enjoyment (85%),
   wanting to inspire learners to work in general practice (84%), because
   they considered it their professional duty (83%) and because they
   thought it kept them clinically up-to-date (80%). Only 15% taught
   because of remuneration. The reasons that GPs had not taught were lack
   of opportunity (45%), concern about negative impact on patient care
   (31%) and income (27%) and lack of self-confidence to teach (24%).
   Practice managers agreed enablers for teaching would be more GPs to
   teach (77%), better remuneration (71%), more room to house learners
   (64%), less "red-tape" to take on learners (62%) and more support from
   learners' organisations (64%). Sixty-one percent of GPs expressed
   interest in upskilling as a teacher/clinical supervisor.
   Conclusions: Tasmanian general practitioners and their practice
   organisations already deliver a lot of clinical teaching and supervision
   to medical learners. This is enjoyed by GPs, but increased funding to
   cover the cost of supervising learners, the provision of GP
   teacher/supervisor training and more efficient administrative support of
   GPs and their practices could lead to an increase in capacity to provide
   more clinical placement weeks than is currently the case.
RI Radford, Jan/I-1434-2014
OI Radford, Jan/0000-0002-5751-0488
ZS 0
TC 2
Z8 0
ZR 0
ZA 0
ZB 0
Z9 2
U1 0
U2 3
SN 1442-1100
EI 2204-7662
UT WOS:000407841600008
ER

PT C
AU Hucikova, Anezka
   Babic, Ankica
BE Mantas, J
   Hasman, A
   Gallos, P
   Househ, MS
TI Medical Informatics Idle YouTube Potential
SO INFORMATICS EMPOWERS HEALTHCARE TRANSFORMATION
SE Studies in Health Technology and Informatics
VL 238
BP 132
EP 135
DI 10.3233/978-1-61499-781-8-132
PD 2017
PY 2017
AB YouTube as an online video-sharing service in the context of Web 2.0
   goes beyond the bounds of pure fun, for which the platform was primarily
   established. Nowadays, commonly to other social media, it serves also
   educational, informational and last but not least, marketing purposes.
   The importance of video sharing is supported by several predictions
   about video reaching over 90% of global internet traffic by 2020. Using
   qualitative content analysis over selected YouTube videos, paper
   examines the current situation of the platform's marketing potential
   usage by medical informatics organizations, researches and other
   healthcare professionals. Results of the analysis demonstrate several
   ways in which YouTube is already used to inform, educate or promote
   above-mentioned medical institutions. However, their engagement in
   self-promo or spreading awareness of their research projects via YouTube
   is considered to be low.
CT 15th International Conference on Informatics, Management, and Technology
   in Healthcare (ICIMTH)
CY JUL 07-09, 2017
CL Athens, GREECE
ZA 0
ZR 0
Z8 0
TC 1
ZS 1
ZB 0
Z9 1
U1 0
U2 0
SN 0926-9630
EI 1879-8365
BN 978-1-61499-781-8; 978-1-61499-780-1
UT WOS:000452510200032
PM 28679905
ER

PT C
AU Murad, Abdulaziz
   Lederman, Reeva
   Bosua, Rachelle
   Chang, Shanton
   Wark, John D.
BE Ryan, A
   Schaper, LK
   Whetton, S
TI Enhancing General Practitioners Participation in a Virtual Community of
   Practice for Continuing Medical Education: An Exploratory Study
SO INTEGRATING AND CONNECTING CARE
SE Studies in Health Technology and Informatics
VL 239
BP 97
EP 103
DI 10.3233/978-1-61499-783-2-97
PD 2017
PY 2017
AB As sources of medical information grow online, Virtual Communities of
   Practice (VCoPs) have evolved into a potential tool that allows General
   Practitioners (GPs) to interact through the sharing of their experience
   and knowledge. However, literature reports that GPs are reluctant to
   participate in VCoPs especially for their continuing medical education
   (CME). Currently, no study has explored the design and structural
   aspects of VCoPs that may lead to enhancing GPs' participation in such
   online communities. Hence, this paper explores how GPs envisage the use
   of a VCoP for their CME and how to enhance their participation by
   conducting an exploratory qualitative study of two focus groups with 10
   GPs in each group, accompanied by a specialist and a nurse. Our
   empirical findings identified two key contributions: i) seven themes
   that need to be incorporated in the VCoP to enable and support GP's CME
   through the use of a VCoP; ii) three recommendations to take into
   consideration for researchers when evaluating VCoPs for CME.
CT 25th Australian National Health Informatics Conference (HIC)
CY AUG 06-09, 2017
CL Brisbane, AUSTRALIA
OI Wark, John/0000-0003-2431-7902; Murad, Abdulaziz/0000-0003-4252-1501;
   Lederman, Reeva/0000-0003-4005-329X
ZR 0
ZB 0
Z8 0
ZA 0
TC 3
ZS 0
Z9 3
U1 0
U2 2
SN 0926-9630
EI 1879-8365
BN 978-1-61499-783-2; 978-1-61499-782-5
UT WOS:000449172400015
PM 28756443
ER

PT J
AU Chen, Yuan
   Wong, Lena L. N.
TI Speech perception in Mandarin-speaking children with cochlear implants:
   A systematic review
SO INTERNATIONAL JOURNAL OF AUDIOLOGY
VL 56
BP S7
EP S16
DI 10.1080/14992027.2017.1300694
SU 2
PD 2017
PY 2017
AB Objective: This paper reviewed the literature on the trajectories and
   the factors significantly affecting post-implantation speech perception
   development in Mandarin-speaking children with cochlear implants (CIs).
   Design: A systematic literature search of textbooks and peer-reviewed
   published journal articles in online bibliographic databases was
   conducted. Study sample: PubMed, Scopus and Wiley online library were
   searched for eligible studies based on predefined inclusion and
   exclusion criteria. Results: A total of 14 journal articles were
   selected for this review. A number of consistent results were found.
   That is, children with CIs, as a group, exhibited steep improvement in
   early speech perception, from exhibiting few prelingual auditory
   behaviours before implantation to identifying sentences in noise after
   one year of CI use. After one to three years of CI use, children are
   expected to identify tones above chance and recognition of words in
   noise. In addition, early age at implantation, longer duration of CI use
   and higher maternal education level contributed to greater improvements
   in speech perception. Conclusions: Findings from this review will
   contribute to the establishment of appropriate short-term developmental
   goals for Mandarin-speaking children with CIs in mainland China and
   clinicians could use them to determine whether children have made
   appropriate progress with CIs.
OI CHEN, Yuan/0000-0001-6706-0962; Wong, Lena L N/0000-0003-2245-8592
Z8 2
ZA 0
ZB 9
TC 19
ZS 1
ZR 1
Z9 22
U1 2
U2 24
SN 1499-2027
EI 1708-8186
UT WOS:000416647000002
PM 28296526
ER

PT J
AU Lamsa, Elina
   Timonen, Johanna
   Mantyselka, Pekka
   Ahonen, Riitta
TI Pharmacy customers' experiences with the national online service for
   viewing electronic prescriptions in Finland
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 97
BP 221
EP 228
DI 10.1016/j.ijmedinf.2016.10.014
PD JAN 2017
PY 2017
AB Objectives: To investigate (1) Finnish pharmacy customers' familiarity
   with My Kanta, the national online service for viewing electronic
   prescriptions (ePrescriptions), (2) how commonly My Kanta is used, (3)
   who the typical users are, and (4) users' experiences of the usability
   of My Kanta.
   Method: A survey was conducted among pharmacy customers (aged >= 18)
   purchasing medicines for themselves. Questionnaires (N = 2915) were
   distributed from 18 community pharmacies across Finland in autumn 2015.
   The data obtained was stored in SPSS for Windows and subjected to
   descriptive analysis, chi-square tests and logistic regression analysis.
   Results: In total, 1288 respondents were included (response rate 44%).
   Most (62%) of the customers were familiar with My Kanta. The majority of
   them (78%) were using it to view their ePrescriptions. My Kanta was
   perceived as clear, easy to use and to provide a good overall picture of
   the prescribed medications. Familiarity with My Kanta was associated
   with a higher education than basic school, regular use of prescription
   medicines, and sufficient information received about ePrescriptions. Men
   used My Kanta more often than women. Respondents aged 75 or older were
   less likely to be familiar with and to use the service compared to 18-34
   year olds.
   Conclusions: Most of the Finnish pharmacy customers were familiar with
   the national online service, My Kanta, for viewing ePrescriptions.
   Service users perceived it as easy to use and beneficial in managing
   their overall medication. Customers under 75, those educated beyond
   basic school, those using prescription medicines regularly, and those
   who had obtained sufficient information about ePrescriptions were most
   likely to be familiar with My Kanta. Men and customers under 75 were the
   typical users of the service. Some customers, however, were unaware of
   the service, or unable or reluctant to use it. (C) 2016 Elsevier Ireland
   Ltd. All rights reserved.
ZA 0
ZS 0
ZR 0
Z8 0
TC 17
ZB 1
Z9 17
U1 0
U2 16
SN 1386-5056
EI 1872-8243
UT WOS:000390485500021
PM 27919380
ER

PT J
AU Cook, Julia A.
   Sasor, Sarah E.
   Deldar, Romina
   Poh, Melissa
   Momeni, Arash
   Gallagher, Sidhbh
   Tholpady, Sunil S.
   Chu, Michael W.
TI Complexity of online gender confirmation resources surpass patient
   literacy
SO INTERNATIONAL JOURNAL OF TRANSGENDERISM
VL 18
IS 4
BP 367
EP 371
DI 10.1080/15532739.2017.1347545
PD 2017
PY 2017
AB Background: Increasing transgender health care coverage has resulted in
   easier access to gender confirmation surgery. Patients considering
   surgery consistently access medical information online to improve
   knowledge regarding surgical options, complications, recovery, and life
   after transitioning. As a result, national health institutes recommend
   that patient educational materials be written at a sixth-grade-reading
   level. The purpose of this study is to assess the complexity of online
   gender confirmation surgery information.
   Methods: An Internet search was performed using the key phrase
   "transgender surgery". Health care and non-health care websites were
   evaluated for pertinent articles regarding gender confirmation surgery.
   Readability analyses were conducted using Flesch-Kincaid Grade Level,
   Gunning Fog Index, Coleman-Liau Index, Simple Measure of Gobbledygook
   Index, and Automated Readability Index. A two-tailed z test was used to
   compare means; significance was set at p <= 0.05.
   Results: A total of 108 articles from 87 websites were analyzed. The
   average readability for all online gender confirmation-surgery
   information was at an 11th-grade reading level. Materials written by
   health care entities were written at a 12th-grade-reading level compared
   to non-health care articles, which were written at a 10th-grade level (p
   < 0.001). Male-to-female surgery materials were written at a 12th-grade
   level, significantly higher than the 11th-grade reading level of
   female-to- male surgery materials (p = 0.04).
   Conclusion: Online information regarding gender confirmation surgery is
   written at a level that is too complex for patients to understand.
   Informational materials should be written at lower grade levels to
   improve patient education, informed consent, and outcomes.
RI Momeni, Arash/AAV-8300-2020; Tholpady, Sunil/G-5848-2016; Cook, Julia/; Chu, Michael/
OI Momeni, Arash/0000-0002-6452-751X; Tholpady, Sunil/0000-0003-0448-9942;
   Cook, Julia/0000-0003-0212-937X; Chu, Michael/0000-0002-9872-399X
ZS 0
ZB 0
Z8 0
ZA 0
TC 2
ZR 0
Z9 2
U1 0
U2 1
SN 1553-2739
EI 1434-4599
UT WOS:000423968400002
ER

PT J
AU Ritterband, Lee M.
   Thorndike, Frances P.
   Ingersoll, Karen S.
   Lord, Holly R.
   Gonder-Frederick, Linda
   Frederick, Christina
   Quigg, Mark S.
   Cohn, Wendy F.
   Morin, Charles M.
TI Effect of a Web-Based Cognitive Behavior Therapy for Insomnia
   Intervention With 1-Year Follow-up A Randomized Clinical Trial
SO JAMA PSYCHIATRY
VL 74
IS 1
BP 68
EP 75
DI 10.1001/jamapsychiatry.2016.3249
PD JAN 2017
PY 2017
AB IMPORTANCE Although cognitive behavior therapy for insomnia (CBT-I) has
   been established as the first-line recommendation for the millions of
   adults with chronic insomnia, there is a paucity of trained clinicians
   to deliver this much needed treatment. Internet-delivered CBT-I has
   shown promise as a method to overcome this obstacle; however, the
   long-term effectiveness has not been proven in a representative sample
   with chronic insomnia.
   OBJECTIVE To evaluate a web-based, automated CBT-I intervention to
   improve insomnia in the short term (9 weeks) and long term (1 year).
   DESIGN, SETTING, AND PARTICIPANTS A randomized clinical trial comparing
   the internet CBT-I with internet patient education at baseline, 9 weeks,
   6 months, and 1 year. Altogether, 303 adults with chronic insomnia
   self-referred to participate, of whom 151 (49.8%) reported at least 1
   medical or psychiatric comorbidity.
   INTERVENTIONS The internet CBT-I (Sleep Healthy Using the Internet
   [SHUTi]) was a 6-week fully automated, interactive, and tailored
   web-based program that incorporated the primary tenets of face-to-face
   CBT-I. The online patient education program provided nontailored and
   fixed online information about insomnia.
   MAIN OUTCOMES AND MEASURES The primary sleep outcomes were self-reported
   online ratings of insomnia severity (Insomnia Severity Index) and online
   sleep diary-derived values for sleep-onset latency and wake after sleep
   onset, collected prospectively for 10 days at each assessment period.
   The secondary sleep outcomes included sleep efficiency, number of
   awakenings, sleep quality, and total sleep time.
   RESULTS Among 303 participants, the mean (SD) age was 43.28 (11.59)
   years, and 71.9% (218 of 303) were female. Of these, 151 were randomized
   to the SHUTi group and 152 to the online patient education group.
   Results of the 3 primary sleep outcomes showed that the overall group x
   time interaction was significant for all variables, favoring the SHUTi
   group (Insomnia Severity Index [F-3,F-1063 = 20.65, P < .001],
   sleep-onset latency [F-3,F-1042 = 6.01, P < .001], and wake after sleep
   onset [F-3,F-1042 = 12.68, P < .001]). Within-group effect sizes
   demonstrated improvements from baseline to postassessment for the SHUTi
   participants (range, Cohen d = 0.79 [95% CI, 0.55-1.04] to d = 1.90 [95%
   CI, 1.62-2.18]). Treatment effects were maintained at the 1-year
   follow-up (SHUTi Insomnia Severity Index d = 2.32 [95% CI, 2.01-2.63],
   sleep-onset latency d = 1.41 [95% CI, 1.15-1.68], and wake after sleep
   onset d = 0.95 [95% CI, 0.70-1.21]), with 56.6%(69 of 122) achieving
   remission status and 69.7% (85 of 122) deemed treatment responders at 1
   year based on Insomnia Severity Index data. All secondary sleep
   outcomes, except total sleep time, also showed significant overall group
   x time interactions, favoring the SHUTi group.
   CONCLUSIONS AND RELEVANCE Given its efficacy and availability,
   internet-delivered CBT-I may have a key role in the dissemination of
   effective behavioral treatments for insomnia.
RI Morin, Charles M./A-4700-2008; Ingersoll, Karen S/A-9313-2009; Ritterband, Lee/G-7810-2011; Ingersoll, Karen/
OI Morin, Charles M./0000-0002-8649-8895; Ritterband,
   Lee/0000-0001-7624-5213; Ingersoll, Karen/0000-0001-8115-2548
Z8 5
ZB 42
ZR 0
ZS 0
TC 142
ZA 0
Z9 147
U1 3
U2 67
SN 2168-622X
EI 2168-6238
UT WOS:000392117300014
PM 27902836
ER

PT J
AU Vannucci, Anna
   Flannery, Kaitlin M.
   Ohannessian, Christine McCauley
TI Social media use and anxiety in emerging adults
SO JOURNAL OF AFFECTIVE DISORDERS
VL 207
BP 163
EP 166
DI 10.1016/j.jad.2016.08.040
PD JAN 1 2017
PY 2017
AB Introduction: Social media use is central to the lives of emerging
   adults, but the implications of social media use on psychological
   adjustment are not well understood. The current study aimed to examine
   the impact of time spent using social media on anxiety symptoms and
   severity in emerging adults.
   Methods: Using a web-based recruitment technique, we collected survey
   information on social media use and anxiety symptoms and related
   impairment in a nationally representative sample of 563 emerging adults
   from the U.S. (18-22 years-old; 50.2% female; 63.3% Non-Hispanic White).
   Participants self-reported the amount of time they spent using various
   social media sites on an average day, and responded to anxiety
   questionnaires
   Results: Hierarchical regression revealed that more time spent using
   social media was significantly associated with greater symptoms of
   dispositional anxiety (B=0.74, 95% CI=0.59-0.90, p < 0.001), but was
   unrelated to recent anxiety-related impairment (B=0.06, 95%
   CI=0.00-0.12, p=0.051), controlling for age, gender, race/ ethnicity,
   and education level. Logistic regression also revealed that more daily
   social media use was significantly associated with a greater likelihood
   of participants scoring above the anxiety severity clinical cut-off
   indicating a probable anxiety disorder (AOR=1.032, 95% CI=1.004-1.062,
   p=0.028).
   Limitations: Study limitations include the cross-sectional design and
   reliance on self-report questionnaires.
   Conclusions: Given the ubiquity of social media among emerging adults,
   who are also at high risk for anxiety disorders, the positive
   association between social media use and anxiety has important
   implications for clinicians. Gaining a more nuanced understanding of
   this relationship will help to inform novel approaches to anxiety
   treatment.
RI Vannucci, Anna/AAN-3902-2021
ZA 1
ZS 1
ZB 14
TC 165
Z8 1
ZR 2
Z9 169
U1 37
U2 222
SN 0165-0327
EI 1573-2517
UT WOS:000389088600024
PM 27723539
ER

PT J
AU Kemper, Kathi J.
TI Brief Online Mindfulness Training: Immediate Impact
SO JOURNAL OF EVIDENCE-BASED INTEGRATIVE MEDICINE
VL 22
IS 1
BP 75
EP 80
DI 10.1177/2156587216639199
PD JAN 2017
PY 2017
AB Background. Online training is feasible, but the impact of brief
   mindfulness training on health professionals needs to be better
   understood. Methods. We analyzed data from health professionals and
   trainees who completed self-reflection exercises embedded in online
   mindfulness training between May 2014 and September, 2015; their changes
   in mindfulness were measured using standardized scales. Results.
   Participants included nurses (34%), physicians (24%), social workers and
   psychologists (10%), dietitians (8%), and others (25%); 85% were women,
   and 20% were trainees. The most popular module was Introduction to
   Mindfulness (n = 161), followed by Mindfulness in Daily Life (n = 146),
   and Mindful Breathing and Walking (n = 129); most (68%) participants who
   took 1 module took all 3 modules. There were no differences in
   participation in any module by gender, trainee status, or profession.
   Completing modules was associated with small but significant
   improvements on the Cognitive and Affective Mindfulness Scale-Revised,
   the Mindful Attention Awareness Scale, and the Five Facet Mindfulness
   Questionnaire (P < 0.001 for all). Conclusion. Online training reaches
   diverse health professionals and is associated with immediate
   improvements in mindfulness. Additional research is warranted to compare
   the long-term cost-effectiveness of different doses of online and
   in-person mindfulness training on clinician burnout and quality of care.
ZA 0
ZB 3
Z8 1
TC 27
ZR 0
ZS 0
Z9 28
U1 2
U2 31
SN 2515-690X
UT WOS:000442694200012
PM 27002136
ER

PT J
AU Blackstock, Oni J.
   Moore, Brent A.
   Berkenblit, Gail V.
   Calabrese, Sarah K.
   Cunningham, Chinazo O.
   Fiellin, David A.
   Patel, Viraj V.
   Phillips, Karran A.
   Tetrault, Jeanette M.
   Shah, Minesh
   Edelman, E. Jennifer
TI A Cross-Sectional Online Survey of HIV Pre-Exposure Prophylaxis Adoption
   Among Primary Care Physicians
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 32
IS 1
BP 62
EP 70
DI 10.1007/s11606-016-3903-z
PD JAN 2017
PY 2017
AB Among health care providers, prescription of HIV pre-exposure
   prophylaxis (PrEP) has been low. Little is known specifically about
   primary care physicians (PCPs) with regard to PrEP awareness and
   adoption (i.e., prescription or referral), and factors associated with
   adoption.
   To assess PrEP awareness, PrEP adoption, and factors associated with
   adoption among PCPs.
   Cross-sectional online survey conducted in April and May 2015.
   Members of a national professional organization for academic primary
   care physicians (n = 266).
   PrEP awareness, PrEP adoption (ever prescribed or referred a patient for
   PrEP [yes/no]), provider and practice characteristics, and self-rated
   knowledge, attitudes, and beliefs associated with adoption.
   The survey response rate was 8.6 % (266/2093). Ninety-three percent of
   respondents reported prior awareness of PrEP. Of these, 34.9 % reported
   PrEP adoption. In multivariable analysis of provider and practice
   characteristics, compared with non-adopters, adopters were more likely
   to provide care to more than 50 HIV-positive patients (vs. 0, aOR =
   6.82, 95 % CI 2.06-22.52). Compared with non-adopters, adopters were
   also more likely to report excellent, very good, or good self-rated PrEP
   knowledge (15.1 %, 33.7 %, 30.2 % vs. 2.5 %, 18.1 %, 23.8 %,
   respectively; p < 0.001) and to perceive PrEP as extremely safe (35.1 %
   vs. 10.7 %; p = 0.002). Compared with non-adopters, adopters were less
   likely to perceive PrEP as being moderately likely to increase risk
   behaviors ("risk compensation") (12.8 % vs. 28.8 %, p = 0.02).
   While most respondents were aware of PrEP, only one-third of PrEP-aware
   PCPs reported adoption. Adopters were more likely to have experience
   providing HIV care and to perceive PrEP as extremely safe, and were less
   likely to perceive PrEP use as leading to risk compensation. To enhance
   PCP adoption of PrEP, educational efforts targeting PCPs without HIV
   care experience should be considered, as well as training those with HIV
   care experience to be PrEP "clinical champions". Concerns about safety
   and risk compensation must also be addressed.
RI Moore, Brent/O-4867-2015; Patel, Viraj V/; Fiellin, David/
OI Moore, Brent/0000-0003-0123-6616; Patel, Viraj V/0000-0002-5603-9823;
   Fiellin, David/0000-0002-4006-010X
TC 107
ZS 0
Z8 0
ZA 0
ZR 0
ZB 26
Z9 107
U1 0
U2 24
SN 0884-8734
EI 1525-1497
UT WOS:000392203200015
PM 27778215
ER

PT J
AU You, Peng
   Malik, Nauman
   Scott, Grace
   Fung, Kevin
TI Current state of interprofessional education in Canadian medical
   schools: Findings from a national survey
SO JOURNAL OF INTERPROFESSIONAL CARE
VL 31
IS 5
BP 670
EP 672
DI 10.1080/13561820.2017.1315060
PD 2017
PY 2017
AB Interprofessional education (IPE) is being increasingly recognised and
   prioritised in undergraduate medical education. While efforts are
   underway to integrate IPE into health professional curricula across
   Canada, the state of IPE in Canadian medical schools remains unclear.
   This study aims to assess the current practice of IPE in Canadian
   undergraduate medical curricula. An online survey was distributed to IPE
   directors (or designees) of all Canadian medical schools. The survey
   gathered details of the IPE experiences offered, curriculum structure,
   and perceived barriers to the programmes. The survey was completed by 12
   of 17 Canadian medical schools and revealed that IPE is generally well
   represented in Canadian undergraduate medical education curricula.
   Reported barriers to IPE efforts included scheduling and funding
   limitations. By comparison, student interest was one of the least
   commonly cited issues. It would appear that students and faculty are
   interested in advancing the state of IPE in undergraduate medical
   education. The results of this study are crucial as IPE continues to
   evolve as a component of undergraduate medical curricula across the
   globe.
OI You, Peng/0000-0001-6573-5735; Malik, Nauman/0000-0002-1435-5959
Z8 0
ZA 0
ZS 1
ZB 1
TC 5
ZR 0
Z9 5
U1 0
U2 0
SN 1356-1820
EI 1469-9567
UT WOS:000413764100018
PM 28481135
ER

PT J
AU Guo, Shanshan
   Guo, Xitong
   Fang, Yulin
   Vogel, Doug
TI How Doctors Gain Social and Economic Returns in Online Health-Care
   Communities: A Professional Capital Perspective
SO JOURNAL OF MANAGEMENT INFORMATION SYSTEMS
VL 34
IS 2
BP 487
EP 519
DI 10.1080/07421222.2017.1334480
PD 2017
PY 2017
AB An online health-care community (OHC) is a novel channel through which
   doctors share medical or health-care knowledge with patients. While the
   sustainable development of an OHC relies on doctors' participation, we
   have limited information on how doctors can gain benefits from OHCs. In
   attempting to close this knowledge gap, we examine the determinants of
   social and economic returns of doctors at OHCs by extending the social
   exchange theory into the professional domain. The notion of professional
   capital, as a set of renewable resources for social professionals
   developed by good education within a territory of social practice, is
   introduced to understand the unique resources available to doctors for
   social exchange. Specifically, we examine the effects of status capital
   and decisional capital (two dimensions of professional capital) on
   doctors' social and economic returns. Moreover, we explore how such
   effects differ across different doctor groups. The results show that, in
   addition to the widespread pursuit of celebrity doctors (who can be
   recognized by their high status capital) offline, the doctor's
   decisional capital is also an important professional component in
   maintaining exchange returns at OHCs. This study provides empirical
   evidence of the relationship between professional capital and the
   exchange returns, and extends prior research on OHCs through a
   professional capital perspective with implications for theory and
   practice.
RI Gomaa, Ahmed/I-6442-2017; Guo, Xitong/
OI Gomaa, Ahmed/0000-0003-0869-7888; Guo, Xitong/0000-0002-9569-0299
ZS 0
ZR 0
Z8 2
ZB 4
ZA 0
TC 133
Z9 135
U1 36
U2 312
SN 0742-1222
EI 1557-928X
UT WOS:000407928400009
ER

PT J
AU Buckarma, EeeLN H.
   Thiels, Cornelius A.
   Gas, Becca L.
   Cabrera, Daniel
   Bingener-Casey, Juliane
   Farley, David R.
TI Influence of Social Media on the Dissemination of a Traditional Surgical
   Research Article
SO JOURNAL OF SURGICAL EDUCATION
VL 74
IS 1
BP 79
EP 83
DI 10.1016/j.jsurg.2016.06.019
PD JAN-FEB 2017
PY 2017
AB OBJECTIVE: Many institutions use social media to share research with the
   general public. However, the influence of social media on the
   dissemination of a surgical research article itself is unknown. Our
   objective was to determine whether a blog post highlighting the findings
   of a surgical research article would lead to increased dissemination of
   the article itself.
   DESIGN: We prospectively followed the online page views of an article
   that was published online in Surgery in May 2015 and published in print
   in August 2015. The authors subsequently released a blog post in October
   2015 to promote the research. The number of article page views from the
   journal's website was obtained before and after the blog post, along
   with the page views from the blog post itself. Social media influence
   data were collected, including social activity in the form of mentions
   on social media sites, scholarly activity in online libraries, and
   scholarly commentary.
   RESULTS: The article's online activity peaked in the first month after
   online publication (475 page views). Online activity plateaued by 4
   months after publication, with 118 monthly page views, and a blog post
   was subsequently published. The blog post was viewed by 1566 readers,
   and readers spent a mean of 2.5 minutes on the page. When compared to
   the projected trend, the page views increased by 33% in the month after
   the blog post. The blog post resulted in a 9% increase in the social
   media influence score and a 5% absolute increase in total article page
   views.
   CONCLUSIONS: Social media is an important tool for sharing surgical
   research. Our data suggest that social media can increase distribution
   of an article's message and also potentially increase dissemination of
   the article itself. We believe that authors should consider using social
   media to increase the dissemination of traditionally published articles.
   (C) 2016 Association of Program Directors in Surgery. Published by
   Elsevier Inc. All rights reserved.
OI Cabrera, Daniel/0000-0002-5891-0459
ZA 0
ZR 0
ZS 1
Z8 1
ZB 7
TC 30
Z9 31
U1 0
U2 8
SN 1931-7204
EI 1878-7452
UT WOS:000392259200013
PM 27993626
ER

PT J
AU Qu, Jia
   Fung, Albert
   Kelly, Paul
   Tait, Gordon
   Greig, Paul D.
   Agur, Anne
   McGilvray, Ian D.
   Jenkinson, Jodie
TI Visualising a rare and complex case of advanced hilar cholangiocarcinoma
SO JOURNAL OF VISUAL COMMUNICATION IN MEDICINE
VL 40
IS 1
BP 26
EP 31
DI 10.1080/17453054.2017.1289060
PD 2017
PY 2017
AB The Toronto Video Atlas of Liver, Pancreas, Biliary, and Transplant
   Surgery (TVASurg) is a free online library of three-dimensional (3D)
   animation-enhanced surgical videos, designed to instruct surgical
   fellows in hepato-pancreato-biliary (HPB) and transplant procedures. The
   video ` Klatskin tumours: Extended left hepatectomy with complex portal
   vein reconstruction and in situ cold perfusion of the liver', which is
   available to watch at http://TVASurg. ca, is a unique and valuable
   visual resource for surgeons in training to assist them in learning this
   rare procedure. This paper describes the methodologies used in producing
   this 3D animation-enhanced surgical video.
OI Jenkinson, Jodie/0000-0002-4066-9732; McGilvray, Ian/0000-0003-4649-546X
ZA 0
TC 3
ZB 0
Z8 0
ZS 0
ZR 0
Z9 3
U1 0
U2 2
SN 1745-3054
EI 1745-3062
UT WOS:000406386900005
PM 28290711
ER

PT J
AU Hunt, Richard
   Ortiz-Hunt, Lauren
TI Entrepreneurial round-tripping The benefits of newness and smallness in
   multi-directional value creation
SO MANAGEMENT DECISION
VL 55
IS 3
BP 491
EP 511
DI 10.1108/MD-07-2016-0475
PD 2017
PY 2017
AB Purpose - The purpose of this paper is to develop and empirically test
   the theory that new industry entrants hold advantages over incumbents in
   the shift from unidirectional to multi-directional revenue streams.
   Design/methodology/approach - Using a Cobb-Douglas production function,
   modified to isolate returns to innovation, the authors examine data from
   three separate contexts: steamships on Western US rivers (1810-1860),
   satellite-based internet services (1962-2010) and food waste recycling
   (1995-2015).
   Findings - The results reveal that while incumbents often attempt to
   stretch existing technologies to fit emerging circumstances,
   entrepreneurial innovators achieve greater success by approaching
   multi-directional value creation as a distinct challenge, one requiring
   new technologies, organizational forms and business models. Existing
   theories have primarily attributed incumb ent inertia to a firm's
   inability perceive and pursue radical innovations, the results also
   suggest that existing firms are unwilling to pursue innovations that are
   likely to erode the marginal profitability of their respective business
   models. Ironically, rather than protecting incumbents' financial
   interests, the authors find that "marginal reasoning" can lead to
   diminished performance and even extinction.
   Research limitations/implications - The proposed framework and empirical
   findings have implications for numerous multi-directional frontiers,
   including: social networking, commercial space travel, distance
   education and medical treatments using nanoscale technologies.
   Practical implications - While incumbents often lament the destabilizing
   effects of multi-directionality, new and small firms enjoy a compelling
   array of entry points and opportunities.
   Originality/value - Scholars, incumbent firms and start-ups both benefit
   from insights stemming from the novel formulation of
   multi-directionality challenges and opportunities.
ZR 0
ZA 0
ZS 0
Z8 0
ZB 0
TC 16
Z9 16
U1 3
U2 32
SN 0025-1747
EI 1758-6070
UT WOS:000401123400003
ER

PT J
AU Pickering, James D.
   Henningsohn, Lars
   DeRuiter, Marco C.
   de Jong, Peter G. M.
   Reinders, Marlies E. J.
TI Twelve tips for developing and delivering a massive open online course
   in medical education
SO MEDICAL TEACHER
VL 39
IS 7
BP 691
EP 696
DI 10.1080/0142159X.2017.1322189
PD 2017
PY 2017
AB Massive open online courses (MOOCs) are a novel mode of online learning.
   They are typically based on higher education courses and can attract a
   high number of learners, often in the thousands. They are distinct from
   on-campus education and deliver the learning objectives through a series
   of short videos, recommended readings and discussion fora, alongside
   automated assessments. Within medical education the role of MOOCs
   remains unclear, with recent proposals including continuing professional
   development, interprofessional education or integration into
   campus-based blended learning curricula. In this twelve tips article, we
   aim to provide a framework for readers to use when developing,
   delivering and evaluating a MOOC within medical education based on the
   literature and our own experience. Practical advice is provided on how
   to design the appropriate curriculum, engage with learners on the
   platform, select suitable assessments, and comprehensively evaluate the
   impact of your course.
RI Reinders, Marlies/AAF-2710-2019; de Jong, Peter GM/; Henningsohn, Lars/; Reinders, Marlies/
OI de Jong, Peter GM/0000-0001-9038-3137; Henningsohn,
   Lars/0000-0002-5521-8934; Reinders, Marlies/0000-0001-9543-567X
ZA 0
ZB 5
TC 25
Z8 1
ZS 0
ZR 0
Z9 26
U1 3
U2 36
SN 0142-159X
EI 1466-187X
UT WOS:000404352900004
PM 28485629
ER

PT J
AU Staffaroni, Andrew
   Rush, Christina L.
   Graves, Kristi D.
   Hendrix, Kumudhnini
   Haramati, Aviad
   Harazduk, Nancy
TI Long-term follow-up of mind-body medicine practices among medical school
   graduates
SO MEDICAL TEACHER
VL 39
IS 12
BP 1275
EP 1283
DI 10.1080/0142159X.2017.1372562
PD 2017
PY 2017
AB Introduction: We sought to determine the long-term use of mind-body
   medicine (MBM) skills after graduation from medical school.Methods: An
   online survey was sent to Georgetown University School of Medicine
   (GUSOM) graduates who completed at least one semester of a MBM skills
   training course. Using a quantitative-qualitative mixed-methods
   approach, we assessed the personal and professional practices of
   graduates, and identified factors that may influence practice/training
   after graduation.Results: Current personal practices were positively
   related to the level of the course completed and amount of home practice
   during medical school (N=112). Over half the sample indicated they
   currently practice MBM and refer patients to MBM. Moreover, physician
   specialty and awareness of home institution MBM training was associated
   with MBM patient training and referral. Participants reported a dearth
   of MBM training at their home institutions, and provided qualitative
   insights about the personal and professional impact of MBM training as
   well as barriers to continued MBM practice.Conclusions: The results
   provide preliminary evidence that MBM training during medical school may
   be related over time to physician trainee self-care and patient care.
   Rigorous tests of these relationships should be conducted in future
   work.
RI Haramati, Aviad/ABB-1587-2020; Graves, Kristi D./ABB-7967-2020; Haramati, Aviad/
OI Haramati, Aviad/0000-0003-1145-5169
TC 5
ZA 0
ZR 0
ZB 0
Z8 0
ZS 0
Z9 5
U1 0
U2 2
SN 0142-159X
EI 1466-187X
UT WOS:000415964500010
PM 28933240
ER

PT J
AU Ferrer, R.
   Zaragoza, R.
   Llinares, P.
   Maseda, E.
   Rodriguez, A.
   Quindos, G.
CA EPICO Project Grp
TI Impact of a multifaceted educational intervention including serious
   games to improve the management of invasive candidiasis in critically
   ill patients
SO MEDICINA INTENSIVA
VL 41
IS 1
BP 3
EP 11
DI 10.1016/j.medin.2016.07.003
PD JAN-FEB 2017
PY 2017
AB Objectives: Infections caused by Candida species are common in
   critically ill patients and contribute to significant morbidity and
   mortality. The EPICO Project (Epico 1 and Epico 2.0 studies) recently
   used a Delphi approach to elaborate guidelines for the diagnosis and
   treatment of this condition in critically ill adult patients. We aimed
   to evaluate the impact of a multifaceted educational intervention based
   on the Epico 1 and Epico 2.0 recommendations.
   Design: Specialists anonymously responded to two online surveys before
   and after a multifaceted educational intervention consisting of 60 -min
   educational sessions, the distribution of slide kits and pocket guides
   with the recommendations, and an interactive virtual case presented at a
   teleconference and available for online consultation.
   Setting: A total of 74 Spanish hospitals.
   Participants: Specialists of the Intensive Care Units in the
   participating hospitals. Variables of interest: Specialist knowledge and
   reported practices evaluated using a survey. The McNemar test was used
   to compare the responses in the pre- and post -intervention surveys.
   Results: A total of 255 and 248 specialists completed both surveys, in
   both periods, respectively. The pre -intervention surveys showed many
   specialists to be unaware of the best approach for managing invasive
   candidiasis. After both educational interventions, specialist knowledge
   and reported practices were found to be more in line with nearly all the
   recommendations of the Epico 1 and Epico 2.0 guidelines, except as
   regards de-escalation from echinocandins to fiuconazole in Candida
   glabrata infections (p= 0.055), and the duration of antifungal treatment
   in both candidemia and peritoneal candidiasis.
   Conclusions: This multifaceted educational intervention based on the
   Epico Project recommendations improved specialist knowledge of the
   management of invasive candidiasis in critically ill patients. (C) 2016
   Elsevier Espana, S.L.U. y SEMICYUC. All rights reserved.
RI Zaragoza, Rafael/ABI-3840-2020; Quindós, Guillermo/I-2577-2015; Ferrer, Ricard/K-9022-2017; Maseda, Emilio/
OI Zaragoza, Rafael/0000-0002-6593-5486; Quindós,
   Guillermo/0000-0003-0438-2248; Ferrer, Ricard/0000-0002-4859-4747;
   Maseda, Emilio/0000-0003-2898-7073
ZB 0
ZS 0
ZA 0
TC 1
ZR 0
Z8 0
Z9 1
U1 0
U2 2
SN 0210-5691
EI 1578-6749
UT WOS:000393848000002
PM 27645566
ER

PT J
AU Bega, Danny
   Simuni, Tanya
   Okun, Michael S.
   Chen, Xinguang
   Schmidt, Peter
TI Medicinal Cannabis for Parkinson's Disease: Practices, Beliefs, and
   Attitudes Among Providers at National Parkinson Foundation Centers of
   Excellence
SO MOVEMENT DISORDERS CLINICAL PRACTICE
VL 4
IS 1
BP 90
EP 95
DI 10.1002/mdc3.12359
PD JAN-FEB 2017
PY 2017
AB Background: Legalization of the medical use of cannabis for Parkinson's
   disease (PD) has bypassed the traditional drug-approval process, leaving
   physicians with little evidence with which to guide patients.
   Objective: The goal of this study was to gather data on the
   cannabis-related prescribing practices and views regarding potential
   risks and benefits of cannabis among experts caring for patients with
   PD.
   Methods: An anonymous, 73-item online survey was conducted through an
   online service (SurveyMonkey) and included neurologists at all National
   Parkinson Foundation Centers of Excellence.
   Results: Fifty-six responders represented centers across 5 countries and
   14 states. 23% reported some formal education on cannabis. Eighty
   percent of responders had patients with PD who used cannabis, and 95%
   were asked to prescribe it. Fifty-two percent took a neutral position on
   cannabis use with their patients, 9% discouraged use, and 39% encouraged
   it. Most believed that the literature supported use of cannabis for
   nausea (87%; n = 48), anxiety (60%; n = 33), and pain (86%; n = 47), but
   responses were divided with regard to motor symptoms. Most respondents
   expected that cannabis would worsen motivation (59%; n = 32), sleepiness
   (60%; n = 31), and hallucinations (69%; n = 37). In addition, most
   feared negative effects on shortterm memory (75%; n = 42), long-term
   memory (55%; n = 31), executive functioning (79%; n = 44), and driving
   (96%; n = 54). Although many did not believe that cannabis should be
   recreational (50%; n = 28), most believed that it should be legalized
   for medicinal purposes (69.6%; n = 39).
   Conclusions: This study provides data on the cannabis-related practices,
   beliefs, and attitudes of expert PD physicians. There is a lack of
   consensus that likely reflects a general knowledge gap and paucity of
   data to guide clinical practice.
ZS 0
TC 20
ZA 0
Z8 0
ZR 0
ZB 6
Z9 20
U1 0
U2 40
SN 2330-1619
UT WOS:000396370400018
PM 30713951
ER

PT J
AU Webb, Lucy
   Clough, Jonathan
   O'Reilly, Declan
   Wilmott, Danita
   Witham, Gary
TI The utility and impact of information communication technology (ICT) for
   pre-registration nurse education: A narrative synthesis systematic
   review
SO NURSE EDUCATION TODAY
VL 48
BP 160
EP 171
DI 10.1016/j.nedt.2016.10.007
PD JAN 2017
PY 2017
AB Objectives: To evaluate and summarise the utility and impact of
   information communication technology (ICT) in enhancing student
   performance and the learning environment in pre-registration nursing.
   Design: A systematic review of empirical research across a range of
   themes in ICT health-related education.
   Data Sources: Science Direct, Cinahl, AMED, MEDLINE, PubMed, ASSIA, OVID
   and OVID SP (2008-2014). Further date parameters were imposed by theme.
   Review Methods: Evidence was reviewed by narrative synthesis, adopting
   Caldwell's appraisal framework and CASP for qualitative methods.
   Selection and inclusion was grounded in the PICOS structure, with
   language requirements (English), and further parameters were guided by
   theme appropriateness.
   Results: Fifty studies were selected for review across six domains:
   reusable learning objects, media, audience response systems,
   e-portfolios, computer-based assessment and faculty adoption of
   e-learning. Educational ICT was found to be non-inferior to traditional
   teaching, while offering benefits to teaching and learning efficiency.
   Where support is in place, ICT improves the learning environment for
   staff and students, but human and environmental barriers need to be
   addressed.
   Conclusion: This review illuminates more advantages for ICT in nurse
   training than previously. The key advantage of flexibility is supported,
   though with little evidence for effect on depth of learning. Crown
   Copyright (C) 2016 Published by Elsevier Ltd. All rights reserved.
RI Webb, Lucy/AAA-3078-2022
OI Webb, Lucy/0000-0003-2580-3654
ZB 0
ZR 0
TC 33
ZA 0
Z8 0
ZS 3
Z9 36
U1 3
U2 65
SN 0260-6917
EI 1532-2793
UT WOS:000389730600027
PM 27816862
ER

PT J
AU Rosenberg, Stephen A.
   Francis, David M.
   Hullet, Craig R.
   Morris, Zachary S.
   Brower, Jeffrey V.
   Anderson, Bethany M.
   Bradley, Kristin A.
   Bassetti, Michael F.
   Kimple, Randall J.
TI Online patient information from radiation oncology departments is too
   complex for the general population
SO PRACTICAL RADIATION ONCOLOGY
VL 7
IS 1
BP 57
EP 62
DI 10.1016/j.prro.2016.07.008
PD JAN-FEB 2017
PY 2017
AB Purpose: Nearly two-thirds of cancer patients seek information about
   their diagnosis online. We assessed the readability of online patient
   education materials found on academic radiation oncology department Web
   sites to determine whether they adhered to guidelines suggesting that
   information be presented at a sixth-grade reading level.
   Methods and materials: The Association of American Medical Colleges Web
   site was used to identify all academic radiation oncology departments in
   the United States. One-third of these department Web sites were selected
   for analysis using a random number generator. Both general information
   on radiation therapy and specific information regarding various
   radiation modalities were collected. To test the hypothesis that the
   readability of these online educational materials was written at the
   recommended grade level, a panel of 10 common readability tests was
   used. A composite grade level of readability was constructed using the 8
   readability measures that provide a single grade-level output.
   Results: A mean of 5605 words (range, 2058-12,837) from 30 department
   Web sites was collected. Using the composite grade level score, the
   overall mean readability level was determined to be 13.36 (12.83-13.89),
   corresponding to a collegiate reading level. This was significantly
   higher than the target sixth-grade reading level (middle school, t (29)
   = 27.41, P < .001).
   Conclusions: Online patient educational materials from academic
   radiation oncology Web sites are significantly more complex than
   recommended by the National Institutes of Health and the Department of
   Health and Human Services. To improve patients' comprehension of
   radiation therapy and its role in their treatment, our analysis suggests
   that the language used in online patient information should be
   simplified to communicate the information at a more appropriate level.
   (C) 2016 American Society for Radiation Oncology. Published by Elsevier
   Inc. All rights reserved.
RI Kimple, Randall/L-6460-2019
OI Kimple, Randall/0000-0001-8336-8000
ZR 0
TC 16
ZB 3
ZA 0
Z8 0
ZS 0
Z9 16
U1 0
U2 4
SN 1879-8500
UT WOS:000396396100025
PM 27663932
ER

PT J
AU Tsvetkova, Larisa A.
   Volkova, Elena N.
   Korzhova, Elena Yu.
   Miklyaeva, Anastasiya V.
TI Psychological Service Activities in Various Educational Institutions
SO RUSSIAN PSYCHOLOGICAL JOURNAL
VL 14
IS 4
BP 26
EP 48
DI 10.21702/rpj.2017.4.2
PD 2017
PY 2017
AB Introduction. Goals, aims, and main directions of psychological service
   activities in educational institutions need revising. Uniform standards
   for psychological service, meeting the new realities of modern
   education, should be developed. The present study reveals
   representations about the content of professional activities, its goals
   and types in educational psychologists currently working in various
   educational institutions.
   Materials and Methods. The study involved 2135 educational psychologists
   working in various educational institutions: (a) kindergartens, (b)
   schools, (c) psycho-pedagogical, medical, and social assistance centers,
   (d) boarding schools, (e) establishments of additional education, (f)
   and vocational schools. The study employed online survey for the
   collection of empirical data.
   Results. The findings showed that the educational psychologists'
   representations about goals and means of their own professional
   activities depended on characteristics of educational institutions where
   they worked (goals and objectives of an organization, features of its
   student body, organizational aspects of an educational psychologist's
   work, etc.). Regardless the field of activity, the educational
   psychologists implemented the following labour functions: (a)
   psychodiagnostics, (b) correctional developing and educational work, and
   (c) psychological counseling. The educational psychologists supported
   the implementation of educational programs and the expertise of the
   educational environment much less frequently.
   Discussion. The obtained data demonstrate heterogeneity in the
   educational psychologists' representations about goals of their
   professional activities at the present stage of the development of
   psychological service in educational institutions. Characteristics of
   educational service and also organizational conditions of professional
   activities affect the content of the representations. Future work will
   involve creating the concept of psychological service in education
   generalizing the needs of various educational institutions. The findings
   can be readily used for supplementing the Concept of the Development of
   Psychological Service in the Education System in the Russian Federation
   by 2025 by the variable models of educational psychologists'
   professional activities in various educational institutions.
RI Miklyaeva, Anastasiya V/D-4700-2017; Korjova, Elena/D-8594-2017; Tsvetkova, Larissa A/J-4513-2013; Volkova, Elena/G-8595-2015
OI Miklyaeva, Anastasiya V/0000-0001-8389-2275; Korjova,
   Elena/0000-0002-1128-1421; Tsvetkova, Larissa A/0000-0002-4080-7103;
   Volkova, Elena/0000-0001-9667-4752
ZB 0
TC 2
ZA 0
ZR 1
Z8 0
ZS 0
Z9 2
U1 1
U2 8
SN 1812-1853
EI 2411-5789
UT WOS:000432948900002
ER

PT J
AU Gomes, Alexandra W.
   Butera, Gisela
   Chretien, Katherine C.
   Kind, Terry
TI The Development and Impact of a Social Media and Professionalism Course
   for Medical Students
SO TEACHING AND LEARNING IN MEDICINE
VL 29
IS 3
BP 296
EP 303
DI 10.1080/10401334.2016.1275971
PD 2017
PY 2017
AB Problem: Inappropriate social media behavior can have detrimental
   effects on students' future opportunities, but medical students are
   given little opportunity to reflect upon ways of integrating their
   social media identities with their newly forming professional
   identities. Intervention: In 2012, a required educational session was
   developed for 1st-year medical students on social media and professional
   identity. Objectives include identifying professionalism issues and
   recognizing positive social media use. The 2-hour large-group session
   uses student-generated social media examples to stimulate discussion and
   concludes with an expert panel. Students complete a postsession
   reflection assignment. Context: The required social media session occurs
   early in the 1st year and is part of the Professionalism curriculum in
   The George Washington University School of Medicine. Reflection papers
   are graded for completion. Outcome: The study began in 2012 and ran
   through 2014; a total of 313/505 participants (62%) volunteered for the
   study. Assessment occurred through qualitative analysis of students'
   reflection assignments. Most students (65%, 203/313) reported
   considering changes in their social media presence due to the session.
   The analysis revealed themes relating to a broader understanding of
   online identity and opportunities to enhance careers. In a 6-month
   follow-up survey of 76 students in the 2014 cohort who completed the
   entire survey, 73 (94%) reported some increase in awareness, and 48
   (64%) made changes to their social media behavior due to the session
   (response rate = 76/165; 46%), reflecting the longer term impact.
   Lessons Learned: Opportunities for discussion and reflection are
   essential for transformational learning to occur, enabling understanding
   of other perspectives. Incorporating student-submitted social media
   examples heightened student interest and engagement. The social media
   environment is continually changing, so curricular approaches should
   remain adaptable to ensure timeliness and relevance. Including online
   professionalism curricula focused on implications and best practices
   helps medical students develop an awareness of their electronic
   professional identities.
RI Butera, Gisela/H-8039-2017; Kind, Terry/; Gomes, Alexandra/
OI Butera, Gisela/0000-0003-3976-0018; Kind, Terry/0000-0002-3017-5683;
   Gomes, Alexandra/0000-0003-1998-0291
ZA 0
ZR 0
ZS 0
ZB 2
Z8 0
TC 24
Z9 25
U1 1
U2 20
SN 1040-1334
EI 1532-8015
UT WOS:000406136800008
PM 28272900
ER

PT C
AU Malik, Haroon
   Tian, Zifeng
BE Shakshuki, E
TI A Framework for Collecting YouTube Meta-Data
SO 8TH INTERNATIONAL CONFERENCE ON EMERGING UBIQUITOUS SYSTEMS AND
   PERVASIVE NETWORKS (EUSPN 2017) / 7TH INTERNATIONAL CONFERENCE ON
   CURRENT AND FUTURE TRENDS OF INFORMATION AND COMMUNICATION TECHNOLOGIES
   IN HEALTHCARE (ICTH-2017) / AFFILIATED WORKSHOPS
SE Procedia Computer Science
VL 113
BP 194
EP 201
DI 10.1016/j.procs.2017.08.347
PD 2017
PY 2017
AB YouTube is currently the most popular and successful video sharing
   website. The videos on YouTube have become a treasure of data, which can
   be used in various fields of research ranging from STEM education to
   Medical science. However, all the previous research, studies, and
   analysis so far, are only conducted on very small volume of YouTube
   video data. To date, no mechanism exists to systematically and
   continuously collect, process and store the rich set of YouTube data. In
   this paper, we present a methodology to fill the gap, i.e.,
   systematically and continuously mine and store the YouTube data. The
   methodology has two modules, a video discovery and a video meta-data
   collection. Our methodology is robust, efficient and scalable. Over the
   period of two months, using our methodology, we discovered 16,000,000
   videos and mined the complete meta-data of more than 42,000 videos. (c)
   2017 The Authors. Published by Elsevier B.V.
CT 8th International Conference on Emerging Ubiquitous Systems and
   Pervasive Networks (EUSPN) / 7th International Conference on Current and
   Future Trends of Information and Communication Technologies in
   Healthcare (ICTH)
CY SEP 18-20, 2017
CL Lund, SWEDEN
ZB 1
Z8 0
TC 6
ZS 0
ZA 0
ZR 0
Z9 6
U1 0
U2 8
SN 1877-0509
BN *****************
UT WOS:000419236500024
ER

PT C
AU Koch, Sabine
   Hagglund, Maria
BE Gundlapalli, AV
   Jaulent, MC
   Zhao, D
TI Mutual Learning and Exchange of Health Informatics Experiences from
   Around the World - Evaluation of a Massive Open Online Course in eHealth
SO MEDINFO 2017: PRECISION HEALTHCARE THROUGH INFORMATICS
SE Studies in Health Technology and Informatics
VL 245
BP 753
EP 757
DI 10.3233/978-1-61499-830-3-753
PD 2017
PY 2017
AB We report our experiences from the Massive Open Online Course (MOOC),
   "eHealth - Opportunities and Challenges", run by Karolinska Institutet
   using the edx platform both as session-based and self-paced versions
   between 2015 and 2016. In total, 13,302 students from 162 different
   countries were enrolled in our courses during the two-year period
   whereof 573 completed them. 331 students answered an exit survey after
   finishing the course which was analysed using quantitative and
   qualitative methods. As positive outcomes of the course, students
   highlighted set-up and content of the course, the pedagogical approach
   and the consistent international focus. Students lacked more practical
   case studies, more interactive discussions and proposed advanced
   follow-up courses on certain topics. Faculty lacked better functions for
   management of the discussion forum. Major advantages of the MOOC were
   mutual learning and exchange of health informatics experiences from
   around the world that would have been difficult to achieve in
   traditional learning contexts.
CT 16th World Congress on Medical and Health Informatics (MEDINFO)
CY AUG 21-25, 2017
CL Int Med Informat Assoc, Xiamen, PEOPLES R CHINA
HO Int Med Informat Assoc
SP Chinese Med Informat Assoc
RI Koch, Sabine/F-8020-2010; Hägglund, Maria/K-2569-2012; Koch, Sabine/
OI Hägglund, Maria/0000-0002-6839-3651; Koch, Sabine/0000-0001-7144-8740
TC 6
ZA 0
ZS 0
ZR 0
ZB 1
Z8 1
Z9 7
U1 1
U2 5
SN 0926-9630
EI 1879-8365
BN 978-1-61499-830-3; 978-1-61499-829-7
UT WOS:000449471200157
PM 29295199
ER

PT C
AU Martin-Sanchez, Fernando
   Rowlands, David
   Schaper, Louise
   Hansen, David
BE Gundlapalli, AV
   Jaulent, MC
   Zhao, D
TI The Australian Health Informatics Competencies Framework and Its Role in
   the Certified Health Informatician Australasia (CHIA) Program
SO MEDINFO 2017: PRECISION HEALTHCARE THROUGH INFORMATICS
SE Studies in Health Technology and Informatics
VL 245
BP 783
EP 787
DI 10.3233/978-1-61499-830-3-783
PD 2017
PY 2017
AB The Certified Health Informatician Australasia (CHIA) program consists
   of an online exam, which aims to test whether a candidate has the
   knowledge and skills that are identified in the competencies framework
   to perform as a health informatics professional. The CHIA Health
   Informatics Competencies Framework provides the context in which the
   questions for the exam have been developed. The core competencies for
   health informatics that are tested in the exam have been developed-with
   reference to similar programs by the American Medical Informatics
   Association, the International Medical Informatics Association and
   COACH, Canada's Health Informatics Association, and builds on the
   previous work done by the Australian Health Informatics Education
   Council. This paper shows how the development of this competency
   framework is helping to raise the profile of health informaticians in
   Australasia, contributing to a wider recognition of the profession, and
   defining more clearly the body of knowledge underpinning this
   discipline. This framework can also be used as a set of guidelines for
   recruiting purposes, definitions of career pathways, or the design of
   educational and training activities. We discuss here the current status
   of the program, its results and prospects for the future.
CT 16th World Congress on Medical and Health Informatics (MEDINFO)
CY AUG 21-25, 2017
CL Int Med Informat Assoc, Xiamen, PEOPLES R CHINA
HO Int Med Informat Assoc
SP Chinese Med Informat Assoc
RI Martin-Sanchez, Fernando J/A-7587-2008
OI Martin-Sanchez, Fernando J/0000-0002-7312-5707
ZR 0
TC 7
ZB 2
ZS 0
Z8 0
ZA 0
Z9 7
U1 0
U2 2
SN 0926-9630
EI 1879-8365
BN 978-1-61499-830-3; 978-1-61499-829-7
UT WOS:000449471200163
PM 29295205
ER

PT J
AU Corvetto, M. A.
   Carmona, J.
   Vasquez, M. I.
   Salgueiro, C.
   Croston, J.
   Sosa, R.
   Folle, V.
   Altermatt, F. R.
TI Current practice in regional anaesthesia in South America: An online
   survey
SO REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION
VL 64
IS 1
BP 27
EP 31
DI 10.1016/j.redar.2016.05.001
PD JAN 2017
PY 2017
AB Objective: A survey was conducted in order to obtain a profile of the
   practice of regional anesthesia in South America, and determine the
   limitations of its use.
   Methods: After institutional ethics committee approval, a link to an
   online questionnaire was sent by e-mail to anaesthesiologists in
   Argentina, Bolivia, Chile, Colombia, Panama, Paraguay, Peru, and
   Uruguay. The questionnaire was processed anonymously.
   Results: A total of 1,260 completed questionnaires were received. The
   results showed that 97.6% of the anaesthesiologists that responded used
   regional anaesthesia in clinical practice, 66.9% performed peripheral
   nerve block (PNB) regularly, 21.6% used continuous PNB techniques, and
   4.6% used stimulating catheters. The primary source of training was
   residency programs. As regards PNB, the most common performed were
   interscalene (52.3%), axillary (45.1%), femoral (43.2%), and ankle block
   (43%). As regards the localisation technique employed, 16% used
   paraesthesia, 44.2% used a peripheral nerve stimulator, and 18.1%
   ultrasound guidance.
   Conclusions: Regional anaesthesia and PNB are commonly used among South
   American anaesthesiologists. Considering that each country has its own
   profile for use, this profile should guide training in clinical
   practice, especially in residency programs. (C) 2016 Sociedad Espanola
   de Anestesiologia, Reanimacion y Terapeutica del Dolor. Published by
   Elsevier Espana, S.L.U. All rights reserved.
ZS 0
TC 1
ZB 0
ZR 0
Z8 0
ZA 0
Z9 1
U1 0
U2 0
SN 0034-9356
EI 2340-3284
UT WOS:000449604100006
PM 27377713
ER

PT C
AU Li, Xin
   Verspoor, Karin
   Gray, Kathleen
   Barnett, Stephen
BE Ryan, A
   Schaper, LK
   Whetton, S
TI Understanding Health Professionals' Informal Learning in Online Social
   Networks: A Cross-Sectional Survey
SO INTEGRATING AND CONNECTING CARE
SE Studies in Health Technology and Informatics
VL 239
BP 77
EP 83
DI 10.3233/978-1-61499-783-2-77
PD 2017
PY 2017
AB Online social networks (OSNs) enable health professionals to learn
   informally, for example by sharing medical knowledge, or discussing
   practice management challenges and clinical issues. Understanding how
   learning occurs in OSNs is necessary to better support this type of
   learning. Through a cross-sectional survey, this study found that
   learning interaction in OSNs is low in general, with a small number of
   active users. Some health professionals actively used OSNs to support
   their practice, including sharing practical and experiential knowledge,
   benchmarking themselves, and to keep up-to-date on policy, advanced
   information and news in the field. These health professionals had an
   overall positive learning experience in OSNs.
CT 25th Australian National Health Informatics Conference (HIC)
CY AUG 06-09, 2017
CL Brisbane, AUSTRALIA
RI Verspoor, Karin/G-6034-2016; Li, Xin/
OI Verspoor, Karin/0000-0002-8661-1544; Li, Xin/0000-0003-2275-7277
ZR 0
ZS 0
ZA 0
TC 3
Z8 0
ZB 1
Z9 3
U1 0
U2 4
SN 0926-9630
EI 1879-8365
BN 978-1-61499-783-2; 978-1-61499-782-5
UT WOS:000449172400012
PM 28756440
ER

PT S
AU Sy, Wayne
   Lamb, Angela J.
BE Fortson, EA
   Feldman, SR
   Strowd, LC
TI Atopic Dermatitis Disease Education
SO MANAGEMENT OF ATOPIC DERMATITIS: METHODS AND CHALLENGES
SE Advances in Experimental Medicine and Biology
VL 1027
BP 179
EP 184
DI 10.1007/978-3-319-64804-0_14
PD 2017
PY 2017
AB Atopic dermatitis is a skin condition that is increasing burdensome to
   patient's lives. Patients require effective strategies to cope with the
   condition as well as the vast amount of new research that is coming to
   the forefront. This chapter discusses the patient education aspect of
   atopic dermatitis. We drew from various sources-such as peer-reviewed
   academic journals, online groups, and organizational websites-to provide
   a brief survey of the available types of patient educational resources.
   We discuss educational materials and interventions, such as workshops
   and support groups. In addition to the content of the workshops, we also
   explore the importance of their facilitators. We also review
   organizations in the US that pertain to atopic dermatitis and eczema
   care, such as the National Eczema Association and the American Academy
   of Dermatology. Lastly, we survey the role of technology-such as social
   media, web-based applications and teledermatology-in facilitating
   patient education. Despite the promising impacts of these technological
   interventions in the way patients consume educational materials, we also
   acknowledge that they are not widely used.
Z8 0
TC 7
ZR 1
ZA 0
ZS 1
ZB 2
Z9 8
U1 1
U2 5
SN 0065-2598
EI 2214-8019
BN 978-3-319-64804-0; 978-3-319-64803-3
UT WOS:000438282500015
PM 29063439
D2 10.1007/978-3-319-64804-0
ER

PT J
AU Carlson, Margaret
   Kamimura, Akiko
   Al-Obaydi, Sarah
   Ha Ngoc Trinh
   Franchek-Roa, Kathy
TI Background and Clinical Knowledge of Intimate Partner Violence: A Study
   of Primary Care Residents and Medical Students at a United States
   Medical School
SO HEALTH EQUITY
VL 1
IS 1
BP 77
EP 82
DI 10.1089/heq.2017.0008
PD JAN-DEC 2017
PY 2017
AB Purpose: Intimate partner violence (IPV) is a significant public health
   issue that affects the physical and mental health of victims. However,
   residents and medical students may not receive adequate training to
   effectively identify and intervene with patients who may be victims of
   IPV. The purpose of this study is to examine the background and clinical
   knowledge of IPV among primary care residents and medical students in
   the United States of America. Methods: Third and fourth year medial
   students (n=65) and primary care residents (n=60) participated in an
   online survey in 2013. Results: While the majority of the participants
   reported IPV was an important and relevant issue for their practice,
   approximately half of them had never talked about IPV with patients.
   Residents reported higher levels of background and knowledge of IPV than
   medical students. Knowing a victim of IPV, confidence about talking to
   patients about IPV, and talking to patients about IPV would be helpful
   to increase levels of background and knowledge of IPV. Conclusions: This
   study found that background and clinical knowledge of IPV can
   potentially affect physicians' approach with IPV victims. This study
   also demonstrated the need for future research in the development of
   effective programs and trainings to help bridge the gap between
   knowledge and implementation in medical practice.
OI Kamimura, Akiko/0000-0001-6528-5770
ZB 0
ZA 0
ZR 0
Z8 0
ZS 0
TC 7
Z9 7
U1 0
U2 1
EI 2473-1242
UT WOS:000617435600011
PM 30283836
ER

PT J
AU Hemmat, Shirin M.
   Wang, Steven J.
   Ryan, William R.
TI Neck Dissection Technique Commonality and Variance: A Survey on Neck
   Dissection Technique Preferences among Head and Neck Oncologic Surgeons
   in the American Head and Neck Society
SO INTERNATIONAL ARCHIVES OF OTORHINOLARYNGOLOGY
VL 21
IS 1
BP 8
EP 16
DI 10.1055/s-0036-1592153
PD JAN 2017
PY 2017
AB Introduction Neck dissection (ND) technique preferences are not well
   reported.
   Objective The objective of this study is to educate practitioners and
   trainees about surgical technique commonality and variance used by head
   and neck oncologic surgeons when performing a ND.
   Methods Online survey of surgeon members of the American Head and Neck
   Society (AHNS). Survey investigated respondents' demographic
   information, degree of surgical experience, ND technique preferences.
   Results In our study, 283 out of 1,010 (28%) AHNS surgeon members with a
   mean age of 50.3 years (range 32-77 years) completed surveys from 41
   states and 24 countries. We found that 205 (72.4%) had completed a
   fellowship in head and neck surgical oncology. Also, 225 (79.5%)
   respondents reported completing more than 25 NDs per year.
   ND technique commonalities (>66% respondents) included: preserving level
   5 (unless with suspicious lymph nodes (LN)), only excising the portion
   of sternocleidomastoid muscle involved with tumor, resecting lymphatic
   tissue en bloc, preservation of cervical sensory rootlets, not
   performing submandibular gland (SMG) transfer, placing one drain for
   unilateral selective NDs, and performing a ND after parotidectomy and
   thyroidectomy and before transcervical approaches to upper aerodigestive
   tract primary site. Variability existed in the sequence of LN levels
   excised, instrument preferences, criteria for drain removal, the timing
   of a ND with transoral upper aerodigestive tract primary site
   resections, and submandibular gland preservation. Results showed that
   122 (43.1%) surgeons reported that they preserve the submandibular gland
   during the level 1b portion of a ND.
   Conclusions The commonalities and variances reported for the ND
   technique may help put individual preferences into context.
ZR 0
ZB 2
Z8 0
ZS 0
ZA 0
TC 9
Z9 9
U1 0
U2 2
SN 1809-9777
EI 1809-4864
UT WOS:000444318300003
PM 28050201
ER

PT J
AU Callier, Shawneequa L.
   Hertelendy, Attila
   Butler, Joan
   Harter, Thomas D.
   Firmani, Marcia
   Goldstein, Melissa M.
TI Going Online: A Pedagogical Assessment of Bioethics Distance Education
   Courses for Health Sciences Professionals
SO INTERNATIONAL JOURNAL OF ONLINE PEDAGOGY AND COURSE DESIGN
VL 7
IS 1
BP 57
EP 70
DI 10.4018/IJOPCD.2017010105
PD JAN-MAR 2017
PY 2017
AB Health sciences professionals work on diverse health care teams and
   often face ethical dilemmas. Bioethics education in a distance-learning
   environment is one way that such individuals can obtain relevant, easily
   accessible, and academically rigorous instruction on ethical
   decision-making and behavior. Drawing on our expertise as distance
   educators in George Washington University's Health Sciences Programs, we
   discuss our experiences teaching bioethics online for health sciences
   professionals, assess the existing evidence of best practices in online
   bioethics education, and provide recommendations for future pedagogical
   research relevant to diverse health care professionals.
OI Callier, Shawneequa/0000-0002-1007-333X
ZR 0
ZS 0
Z8 0
ZB 0
ZA 0
TC 0
Z9 0
U1 2
U2 3
SN 2155-6873
EI 2155-6881
UT WOS:000444182800005
ER

PT J
AU Greenstein, Josh
   Hardy, Ross
   Chacko, Jerel
   Husain, Abbas
TI Demographics and Fellowship Training of Residency Leadership in EM: A
   Descriptive Analysis
   (http://westjem.com/originalresearch/demographics-and-fellowshiptraining
   -of-residency-leadership-in-em-adescriptive-analysis.html)
SO WESTERN JOURNAL OF EMERGENCY MEDICINE
VL 18
IS 1
DI 10.5811/WESTJEM.2016.10.31452
PD JAN 2017
PY 2017
AB Introduction
   Emergency medicine (EM) fellowships are becoming increasingly numerous,
   and there is a growing trend among EM residents to pursue postgraduate
   fellowship training. Scant data have been published on the prevalence of
   postgraduate training among emergency physicians. We aimed to describe
   the prevalence and regional variation of fellowships among EM residency
   leadership.
   Methods
   We conducted an online anonymous survey that was sent to the Council of
   EM Residency Directors (CORD) membership in October 2014. The survey was
   a brief questionnaire, which inquired about fellowship, secondary board
   certi cation, gender, and length in a leadership position of each member
   of its residency leadership. We separated the responses to the survey
   into four di erent geographic regions. The geographic regions were de
   ned by the same classi cation used by the National Resident Matching
   Program (NRMP). We de ned residency leadership as program director (PD),
   associate PD and assistant PD. Residencies that did not complete the
   survey were then individually contacted to encourage completion. The
   survey was initially piloted for ease of use and understanding of the
   questions with a select few EM PDs.
   Results
   We obtained responses from 145 of the 164 Accrediting Council for
   Graduate Medical Education-accredited EM residencies (88%). The
   fellowship prevalence among PDs, associate PDs, and assistant PDs was
   21.4%, 20.3%, and 24.9% respectively. The most common fellowship
   completed was a fellowship in toxicology. Secondary board certi cation
   among PDs, associate PDs, and assistant PDs was 9.7%, 4.8%, and 2.9%
   respectively. Eighty-two percent of PDs have at least ve years in
   residency leadership. Seventy-six percent of PDs were male, and there
   was a near-even split of gender among associate PDs and assistant PDs.
   The Western region had the highest percentage of fellowship and or
   secondary board certi cation among all levels of residency leadership.
   Conclusion
   There is a low prevalence of fellowship training and secondary board
   certi cation among EM residency leadership, with the most common being
   toxicology. Assistant PDs, the majority of whom had less than ve years
   residency leadership experience, had the highest percentage of
   fellowship training. There may be a regional variation in the percentage
   of residency leadership completing postgraduate training.
RI Husain, Abbas/AAB-8871-2019; Husain, Abbas/
OI Husain, Abbas/0000-0001-8750-2473
ZS 0
Z8 0
ZA 0
ZR 0
TC 8
ZB 0
Z9 8
U1 0
U2 0
SN 1936-900X
EI 1936-9018
UT WOS:000397630600016
PM 28116024
ER

PT J
AU Zhao, Zichen
   Niu, Pengfei
   Ji, Xiang
   Sweet, Robert M.
TI State of Simulation in Healthcare Education: An Initial Survey in
   Beijing
SO JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS
VL 21
IS 1
AR e2016.00090
DI 10.4293/JSLS.2016.00090
PD JAN-MAR 2017
PY 2017
AB Background and Objectives: In 2013, medical error was the third leading
   cause of death in the United States.(1) In China, as in the case with
   the United States, training and assessment are developing as a strategy
   to reduce the occurrence of such errors. The objective of this study was
   to assess the current state of the use of simulation-based training in
   Beijing and to explore the barriers to further development.
   Methods: This study included hospitals in Beijing accredited by the
   Standardized Residency Training (SRT) program. The questionnaire was
   designed online and distributed to the SRT management departments by
   e-mail or instant message.
   Results: Thirty hospitals were invited to participate in this survey,
   and 15 responses were completed and met the inclusion criteria. Task
   trainers (15/15), full-scale mannequins (14/15), standardized patients
   (12/15), and virtual reality workstations (11/15) were the most common
   types of simulation modalities available for use. Among the given
   specialties for SRT, the availability of simulation courses was 2/2 for
   pediatric internal medicine, 1/1 for pediatric surgery, 10/11 for
   surgery, 11/14 for internal medicine, 7/9 for anesthesiology, 6/8 for
   emergency medicine, and 3/9 for obstetrics/gynecology. Of the 13
   institutions with available simulation curricula, 12/13 had simulation
   focused on proficiency-based skill training, 11/13 had medical knowledge
   learning, 10/13 had skill competency assessment. The main targeted
   trainees in these hospitals were residents (or postgraduate residents)
   and medical students (or interns). The top 2 barriers were the shortage
   of sustainable financial resources (12/15) and advocacy from their
   institutional authorities (7/15).
   Conclusion: It is evident that there is a need for more development of
   training facilities, and for training the "trainers" and administrators.
   Financial funding, curricular design, and research seem to be crucial
   for building a long-term, sustainable, effective program.
TC 9
ZS 0
Z8 0
ZB 1
ZA 0
ZR 0
Z9 9
U1 1
U2 10
SN 1086-8089
UT WOS:000396708500002
PM 28144123
ER

PT J
AU Clark, Claire D.
TI Doctoring Undercover: updating the educational tradition of shadowing
SO MEDICAL EDUCATION ONLINE
VL 22
DI 10.1080/10872981.2017.1265848
PD 2017
PY 2017
AB Background: Premedical students are educated in basic biological and
   health sciences. As a complement to traditional premedical coursework,
   medical school applicants are encouraged to shadow practitioners, with
   the hope that observation will introduce students to the culture and
   practice of healthcare. Yet the shadowing experience varies widely
   across practitioners and institutions; resources that guide students'
   critical reflection and structure the experience are scarce.
   Development: A pilot experiential learning course, Doctoring Undercover:
   Shadowing and the Culture of Medicine, was developed to fill this gap.
   The course consisted of three parts: an introduction to medical culture
   through the disciplines of medical sociology, history, anthropology, and
   bioethics; a site placement in which students applied these fields'
   analytical techniques to the study of medical culture and practice; and
   the development of an online activity guide that other premedical
   students may adapt to their shadowing circumstances.
   Implementation: Students reported that they were exposed to new
   disciplinary perspectives and interprofessional environments that they
   would not traditionally encounter. Students' contributions to the
   shadowing guide encouraged active learning and reflection on the
   dynamics of effective patient-provider relationships and shadowing
   experiences.
   Future Directions: Locally, the class may be scaled for a larger group
   of premedical students and incorporated into a formal pathway program
   for premedical students; the content will also be integrated into the
   clinical medicine course for first-year medical students. Online, the
   guide will be promoted for use by other institutions and by individuals
   planning extracurricular shadowing experiences; feedback will be
   solicited. Tools for evaluating the short- and long- term impact of the
   course and guide will be developed and validated. Observational and
   experimental studies of the course's impact should be conducted.
   Abbreviations: ICM: Introduction to Clinical Medicine; SCE: Selective
   Clinical Experiences
ZS 0
TC 5
ZA 0
ZR 0
Z8 0
ZB 0
Z9 5
U1 0
U2 8
SN 1087-2981
UT WOS:000395929500001
PM 28178909
ER

PT J
AU Aungst, Timothy Dy
   Lahoz, Monina R.
   Evans, Paula J.
TI Digital health evaluation workshop for interprofessional healthcare
   students
SO DIGITAL HEALTH
VL 3
AR 2055207617740089
DI 10.1177/2055207617740089
PD JAN-DEC 2017
PY 2017
AB The use of online resources by patients for their daily health needs has
   escalated with the proliferation of mobile devices and mobile apps.
   While healthcare professionals can help their patients access quality
   online resources and tools, they may not have received the education and
   training to do this effectively. To meet this educational need, a
   daylong workshop was developed at a health sciences university that
   aimed to increase awareness of students in various health disciplines of
   mobile health-related apps and federally sponsored websites that provide
   patient-friendly medical information.
ZR 0
ZA 0
ZB 0
ZS 0
Z8 0
TC 1
Z9 1
U1 1
U2 3
SN 2055-2076
UT WOS:000442031000040
PM 29942618
ER

PT J
AU Curtis, Pamela
   Taylor, Gordon
   Riley, Ruth
   Pelly, Tom
   Harris, Michael
TI Written reflection in assessment and appraisal: GP and GP trainee views
SO EDUCATION FOR PRIMARY CARE
VL 28
IS 3
BP 141
EP 149
DI 10.1080/14739879.2016.1277168
PD 2017
PY 2017
AB Background: In the UK, evidence of written reflection is part of
   licensing and revalidation for general practitioners (GPs). However,
   there is little evidence of specific benefits compared to other forms of
   reflective practice. Aim: To seek GPs' and general practice (GP)
   trainees' views on the role of written reflection in learning and
   assessment. Design and setting: An online survey of 1005 GPs and GP
   trainees (GPTs) in the UK. Method: An anonymous questionnaire containing
   38 attitudinal items was administered. Descriptive statistics were used
   to analyse Likert scale responses, thematic analysis for free-text
   responses. Results: In total 544 GPs and 461 GPTs completed the survey,
   with 842 (83.8%) agreeing they find verbal reflection with a colleague
   more useful than written reflection. Three quarters disagreed that
   written reflection is a way of identifying poorly performing GPs. Over
   70% of respondents stated that summative, written reflection is a
   time-consuming, box-ticking exercise which distracts from other
   learning. They question its validity as part of assessment and state
   that its use may contribute to current difficulties with recruitment and
   retention to GP. Conclusions: For many GPs, written reflection is an
   onerous process rather than beneficial to their learning, indicating its
   continued use in assessment needs to be critically examined.
RI Riley, Ruth/ABA-7824-2021; Riley, Ruth/
OI Riley, Ruth/0000-0001-8774-5344
ZS 0
TC 13
ZA 0
ZR 0
Z8 0
ZB 1
Z9 13
U1 0
U2 3
SN 1473-9879
EI 1475-990X
UT WOS:000441840100004
PM 28077034
ER

PT J
AU Newbronner, Elizabeth
   Borthwick, Rachel
   Finn, Gabrielle
   Scales, Michael
   Pearson, David
TI Creating better doctors: exploring the value of learning medicine in
   primary care
SO EDUCATION FOR PRIMARY CARE
VL 28
IS 4
BP 201
EP 209
DI 10.1080/14739879.2016.1277789
PD 2017
PY 2017
AB Background: Across the UK, 13% of undergraduate medical education is
   undertaken in primary care (PC). Students value their experiences in
   this setting but uncertainty remains about the extent to which these
   placements influence their future practice. Aims: To explore the impact
   of PC based undergraduate medical education on the development of
   medical students and new doctors as clinicians, and on students'
   preparedness for practice. Methods: Mixed method study across two UK
   medical schools. Focus groups and individual interviews with Year 5
   medical students, Foundation Year 2 doctors and GP Specialty Trainees;
   online surveys of Year 5 medical students and Foundation Year 2 doctors.
   Results: PC placements play an important part in the development of all
   'apprentice' doctors, not just those wanting to become GPs. They provide
   a high quality learning environment, where students can: gradually take
   on responsibility; build confidence; develop empathy in their approach
   to patient care; and gain understanding of the social context of health
   and illness. Conclusions: The study suggests that for these results to
   be achieved, PC placements have to be high quality, with strong links
   between practice-based learning and teaching/assessment in medical
   school. GP tutors need to be enthusiastic and students actively involved
   in consultations.
RI Finn, Gabrielle Maria/AAL-6366-2020; Finn, Gabrielle/; Newbronner, Elizabeth/
OI Finn, Gabrielle/0000-0002-0419-694X; Newbronner,
   Elizabeth/0000-0003-2366-9981
ZA 0
ZR 0
Z8 0
TC 6
ZS 0
ZB 0
Z9 6
U1 0
U2 4
SN 1473-9879
EI 1475-990X
UT WOS:000441841200004
PM 28116971
ER

PT J
AU Groene, Oana R.
   Wills, Jane
   Crichton, Nicola
   Rowlands, Gill
   Rudd, Rima R.
TI The health literacy dyad: the contribution of future GPs in England
SO EDUCATION FOR PRIMARY CARE
VL 28
IS 5
BP 274
EP 281
DI 10.1080/14739879.2017.1327332
PD 2017
PY 2017
AB Background: Health literacy studies have primarily focused on the
   cognitive and social skills of individuals needed to gain access to,
   understand, and use health information. This area of study is undergoing
   a paradigm shift with increased attention being paid to the skills of
   practitioners and an examination of their contribution to the link
   between literacy and health outcomes. The aim of this study was to
   describe the health literacy related competencies of General Practice
   (GP) trainees who will soon be responsible for the clinical encounter.
   Methods: A cross-sectional survey of a convenience sample of 206 GP
   trainees was conducted online. Univariate and bivariate analysis methods
   were used to describe GP trainees' health literacy-related competencies.
   Results: GP trainees overestimated the numeracy and literacy levels of
   the English population and did not regard the improvement of patient
   health literacy as a GP responsibility. GP trainees rated their general
   communication skills highly but the skills that are important for
   patients in health decision-making such as coaching skills, explaining
   risk and using visual aids to clarify were rated low.
   Conclusion: This study demonstrates that health literacy is
   insufficiently addressed in the undergraduate and postgraduate medical
   education of GPs to enable them to fulfil the core competence which is
   part of building an effective partnership with patients.
OI Groene, Oana/0000-0002-6829-5365
Z8 0
ZB 0
ZR 0
ZA 0
TC 2
ZS 0
Z9 2
U1 1
U2 3
SN 1473-9879
EI 1475-990X
UT WOS:000441842600005
PM 28523960
ER

PT J
AU Al Subeh, Zeinab
   Alali, Feras
   Awaisu, Ahmed
TI Attitudes towards using smart devices and medical applications among
   pharmacy students, preceptors and faculty members in Jordan
SO PHARMACY EDUCATION
VL 17
IS 1
BP 308
EP 315
PD 2017
PY 2017
AB Objective: To determine the utilisation, purposes, barriers and
   attitudes towards the use of smart devices and medical applications
   among pharmacy students, preceptors, and faculty members at Jordan
   University of Science and Technology.
   Methods: A cross-sectional online survey was conducted at Jordan
   University of Science and Technology using a 28-item questionnaire.
   Results: A total of 618 students (25%), 24 preceptors (100%), and 28
   faculty members (50%) completed the survey. The vast majority of the
   respondents (98%) were using smart devices, however, only 69% were
   medical applications users. Using medical applications for academic
   purposes was more significant among students (p=0.013), while the usage
   in direct patient care was more significant among preceptors (p<0.001).
   The respondents generally indicated positive attitudes towards the use
   of medical applications, despite some barriers reported.
   Conclusion: Pharmacy students, preceptors, and faculty members generally
   recognise the value of medical applications in pharmacy education and
   practice. Educational and healthcare institutions should facilitate the
   use of these tools, which can promote evidence-based practice.
RI Awaisu, Ahmed/AAU-3959-2020
OI Awaisu, Ahmed/0000-0002-9029-8925
Z8 0
ZB 0
TC 7
ZR 0
ZS 0
ZA 0
Z9 7
U1 0
U2 0
SN 1560-2214
EI 1477-2701
UT WOS:000441764100018
ER

PT J
AU D'Agostino, Marcelo
   Medina Mejia, Felipe
   Marti, Myrna
   Novillo-Ortiz, David
   Hazrum, Flavio
   de Cosio, Federico G.
TI Infoxication in health. Health information overload on the Internet and
   the risk of important information becoming invisible
SO REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC
   HEALTH
VL 41
AR e115
PD 2017
PY 2017
AB Objective. The objectives of this study were to: 1) raise awareness of
   the volume of quality health information on the Internet; 2) explore
   perceptions of information professionals with regard to the use of
   qualified sources for health decision-making; and 3) make
   recommendations that facilitate strengthening health worker capacities
   and institutional competencies related to digital literacy.
   Methods. A non-experimental, descriptive cross-sectional study was
   conducted with a non-probability sample of 32 information professionals
   from nine countries. Internet information was compiled on the volume of
   content in Internet tools, social networks, and health information
   sources. Searches in English and Spanish were carried out using the
   keywords Ebola, Zika, dengue, chikungunya, safe food, health equity,
   safe sex, and obesity. Finally, information was obtained on
   opportunities for formal education on the subjects of digital literacy,
   information management, and other related topics.
   Results. Selecting only four diseases with a high impact on public
   health in May 2016 and averaging minimum review time for each
   information product, it would take more than 50 years without sleeping
   to consult everything that is published online about dengue, Zika,
   Ebola, and chikungunya.
   Conclusion. We conclude that public health would benefit from: health
   institutions implementing formal knowledge management strategies;
   academic health sciences institutions incorporating formal digital
   literacy programs; and having health workers who are professionally
   responsible and functional in the information society.
TC 3
ZA 0
ZS 0
Z8 0
ZB 1
ZR 0
Z9 3
U1 2
U2 13
SN 1020-4989
UT WOS:000441137900006
ER

PT J
AU Pujara, Shyam
   Solanki, Sandeep
TI Foundation year one training in neurosurgery: achieving competency a
   5-year review
SO BRITISH JOURNAL OF NEUROSURGERY
VL 31
IS 6
BP 718
EP 723
DI 10.1080/02688697.2017.1339225
PD 2017
PY 2017
AB Introduction: F1 doctors are a rare breed in Neurosurgery, featuring in
   only 4 out of 40 UK centres. It is widely perceived that Neurosurgery
   would only provide a highly specialised experience for F1s, limiting the
   opportunity to achieve the core practical and clinical competencies as
   highlighted by the United Kingdom Foundation Programme (UKFPO).
   Additionally, Health Education England have increased the number of
   community placements such as General Practice and Psychiatry further
   limiting F1 placements offered in specialities like Neurosurgery.
   Aims: We sought to acquire the views, experiences and true perspectives
   of training from F1 doctors in our neurosurgery centre. Importantly, we
   wanted to determine whether Neurosurgery provides sufficient
   opportunities to achieve mandatory core foundation competencies.
   Methods: We invited all F1s (27) to complete a secure-web based online
   questionnaire comprising nine domains of training. Responses: We had an
   overall response rate of 96%. Ninety-six per cent of our F1s valued this
   placement, gaining skills that could be transferred to other
   specialities. Eighty-eight per cent found the post to be of similar or
   greater value in comparison to their other F1 posts and 66% would
   recommend this post to others. Ninety-two per cent of F1s felt they were
   adequately supervised and regular informal feedback was offered in order
   to ensure acquisition of core competences. Fourty-four per cent of F1s
   were involved in post-graduate academia. All trainees attended their
   mandatory F1 teaching although attendance to additional departmental
   teaching was limited.
   Discussion: Trainees found that Neurosurgery provided a generalised
   exposure not a specialised one. Ninety-two per cent felt Neurosurgery
   had provided sufficient educational opportunities to achieve their
   required competencies. Importantly, all trainees managed to achieve
   their core generic competencies. F1 placements in Neurosurgery are
   highly beneficial to both trainee and service. The placement provides
   more than sufficient educational opportunities to help meet mandatory
   training requirements. F1 doctors also augment the number of junior
   doctors supporting the neurosurgical service.
ZS 0
TC 1
ZB 0
Z8 0
ZA 0
ZR 0
Z9 1
U1 0
U2 1
SN 0268-8697
EI 1360-046X
UT WOS:000423258800018
PM 28597704
ER

PT B
AU Zhang, Luqing
   Ding, Jiong
BE Strkalj, G
   Pather, N
TI COMMEMORATIONS AND MEMORIALS IN CHINESE BODY DONATION PROGRAMS
SO COMMEMORATIONS AND MEMORIALS: EXPLORING THE HUMAN FACE OF ANATOMY
BP 147
EP 156
PD 2017
PY 2017
AB Over the last 20 years, body donation programs have been initiated in a
   few large cities in China. Most of these while successful, have also met
   with difficulties. A major issue is that the number of donated bodies is
   far below what is needed for medical education in China. The reasons for
   the low number of bequests is multifactorial and due in part to the
   influence of traditional spiritual beliefs, poor legislation, low social
   recognition, poor collaboration between donor organisations, and the
   lack of effective processes for donation. Overcoming these obstacles
   will require that all sectors of the Chinese society cooperate. Various
   ways to commemorate cadaver donors have emerged and evolved in the
   regions where donation is successful. These are now being promoted
   gradually throughout the country. Donors are commemorated via body
   donation monuments, memorial parks, public memorial activities, online
   memorial platforms and memorial activities included as part of
   delivering anatomy teaching. These commemorations and memorials will
   actively help change traditional Chinese ideas, improve social
   recognition, forge a powerful bond of trust between the anatomists and
   medical students with the general community. It is envisaged that in the
   long term these practices will result in a greater awareness of
   humanistic side of medicine in students, reduce the tensions between
   doctors and patients and promote body donation programs in China.
RI Zhang, Luqing/GQZ-6203-2022
ZS 0
TC 6
ZA 0
Z8 0
ZB 1
ZR 0
Z9 6
U1 0
U2 0
BN 978-981-3143-14-2
UT WOS:000436397200011
D2 10.1142/10118
ER

PT J
AU Hughes, J. D. Matthew
   Azzi, Elise
   Rose, Gregory Walter
   Ramnanan, Christopher J.
   Khamisa, Karima
TI A survey of senior medical students' attitudes and awareness toward
   teaching and participation in a formal clinical teaching elective: a
   Canadian perspective
SO MEDICAL EDUCATION ONLINE
VL 22
AR 1270022
DI 10.1080/10872981.2016.1270022
PD 2017
PY 2017
AB Background: To prepare for careers in medicine, medical trainees must
   develop clinical teaching skills. It is unclear if Canadian medical
   students need or want to develop such skills. We sought to assess
   Canadian students' perceptions of clinical teaching, and their desire to
   pursue clinical teaching skills development via a clinical teaching
   elective (CTE) in their final year of medical school.
   Methods: We designed a descriptive cross-sectional study of Canadian
   senior medical students, using an online survey to gauge teaching
   experience, career goals, perceived areas of confidence, and interest in
   a CTE.
   Results: Students at 13 of 17 Canadian medical schools were invited to
   participate in the survey (4154 students). We collected 321 responses
   (7.8%). Most (75%) respondents expressed confidence in giving
   presentations, but fewer were confident providing bedside teaching
   (47%), teaching sensitive issues (42%), and presenting at journal clubs
   (42%). A total of 240 respondents (75%) expressed interest in
   participating in a CTE. The majority (61%) favored a two week elective,
   and preferred topics included bedside teaching (85%), teaching physical
   examination skills (71%), moderation of small group learning (63%), and
   mentorship in medicine (60%).
   Conclusion: Our study demonstrates that a large number of Canadian
   medical students are interested in teaching in a clinical setting, but
   lack confidence in skills specific to clinical teaching. Our respondents
   signaled interest in participating in an elective in clinical teaching,
   particularly if it is offered in a two-week format.
RI Ramnanan, Christopher Jerome/I-4552-2019; Khamisa, Karima/
OI Ramnanan, Christopher Jerome/0000-0002-9140-9439; Khamisa,
   Karima/0000-0002-0557-2898
Z8 0
ZS 1
ZA 0
TC 14
ZR 0
ZB 1
Z9 15
U1 0
U2 7
SN 1087-2981
UT WOS:000395928900001
PM 28178914
ER

PT J
AU Gulati, Rishabh
   Nawaz, Mohammad
   Lam, Linh
   Pyrsopoulos, Nikolaos T.
TI Comparative Readability Analysis of Online Patient Education Resources
   on Inflammatory Bowel Diseases
SO CANADIAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
VL 2017
AR UNSP 3681989
DI 10.1155/2017/3681989
PD 2017
PY 2017
AB Background. The National Institutes of Health recommend a readability
   grade level of less than 7th grade for patient directed information. In
   this study, we use validated readability metrics to analyze patient
   information from prominent websites pertaining to ulcerative colitis and
   Crohn's disease. Methods. The terms "Crohn's Disease," "Ulcerative
   Colitis," and " Inflammatory Bowel Disease" were queried on Google and
   Bing. Websites containing patient education material were saved as a
   text file and then modified through expungement of medical terminology
   that was described within the text. Modified text was then divided into
   subsections that were analyzed using six validated readability scales.
   Results. None of the websites analyzed in this study achieved an
   estimated reading grade level below the recommended 7th grade. The
   median readability grade level (after modification) was 11.5 grade
   levels for both Crohn's disease and ulcerative colitis. The treatment
   subsection required the highest level of education with amedian
   readability grade of 12th grade (range of 6.9 to 17). Conclusion.
   Readability of online patient educationmaterial from the analyzed
   popular websites far exceeds the recommended level of being less than
   7th grade. Patient education resources should be revised to achieve
   wider health literacy.
OI Lam, Linh/0000-0002-1068-0535
ZR 0
Z8 0
ZS 0
TC 5
ZA 0
ZB 1
Z9 5
U1 0
U2 3
SN 2291-2789
EI 2291-2797
UT WOS:000404289300001
PM 28740843
ER

PT J
AU Ajuwon, Grace A.
   Kamau, Nancy
   Kinyengyere, Alison
   Muziringa, Masimba
TI Consumer Health Information Literacy Promotion Program in Public and
   Community Libraries in Africa: Experience from Kenya, Nigeria, Uganda,
   and Zimbabwe
SO JOURNAL OF CONSUMER HEALTH ON THE INTERNET
VL 21
IS 4
BP 350
EP 368
DI 10.1080/15398285.2017.1376180
PD 2017
PY 2017
AB The aim of this project was to enhance the capacity of public and
   community librarians in four African countries (Kenya, Nigeria, Uganda,
   and Zimbabwe) in meeting the consumer health information (CHI) needs of
   their patrons. A total of 65 librarians from 34 public and community
   libraries were trained on how to access and use consumer health
   information resources by health sciences librarians in the selected
   countries. A needs assessment preceded the training that focused on
   health literacy, health information literacy, sources of health
   information, online information searching tools and search techniques,
   and how to search CHI resources, including Kidshealth.org,
   Womenshealth.gov, MedlinePlus, and Cancer-Net, among others. Each team
   of participating libraries received a seed grant to design and implement
   a consumer health activity. The trained public and community librarians
   in both Nigeria and Uganda conducted training on use of CHI resources to
   different categories of patrons. In Nigeria, high school students were
   trained on how to use their mobile phone to access CHI resources.
   Adolescents and other categories of library patrons were trained on
   information and communication technology (ICT) skills and accessing CHI
   resources in Uganda. In Kenya, the public librarian created a Consumer
   Health Information Corner and purchased CHI books for patrons to
   consult, while in Zimbabwe, the public library partnered with other
   non-governmental organizations to provide consumer health information
   materials to the library for patron use. It is possible for academic
   health sciences librarians to partner with public and community
   librarians in Africa to carry out a successful CHI project.
RI Kinengyere, Alison Annet/ABC-2426-2020; Ajuwon, Ada/ABC-3059-2020; Muziringa, Masimba/
OI Kinengyere, Alison Annet/0000-0002-5341-3218; Muziringa,
   Masimba/0000-0002-8182-9640
TC 7
ZS 0
ZR 0
ZB 0
Z8 0
ZA 0
Z9 7
U1 1
U2 37
SN 1539-8285
EI 1539-8293
UT WOS:000419836100003
ER

PT J
AU Gillum, Shalu
TI Evaluating Patient Education Resources of Popular Clinical Databases
SO JOURNAL OF CONSUMER HEALTH ON THE INTERNET
VL 21
IS 4
BP 417
EP 429
DI 10.1080/15398285.2017.1377531
PD 2017
PY 2017
AB Many library-subscribed clinical databases contain educational materials
   for physicians and librarians to share with patients. These materials
   are typically written in layperson language meant to be understood by
   the average, nonclinician person. However, the materials found in these
   online databases vary widely, and some are better than others. This
   article uses the Patient Education Materials Assessment Tool (PEMAT) to
   evaluate the patient education content of several popular clinical
   databases, including Access Medicine, Clinical Key, DynaMed Plus,
   Epocrates, and UpToDate. These databases are also evaluated on other,
   more basic criteria, including findability, content, printing to PDF,
   customizability, and available languages.
OI Gillum, Shalu/0000-0002-4285-8924
ZR 0
ZA 0
TC 0
ZB 0
ZS 0
Z8 0
Z9 0
U1 1
U2 2
SN 1539-8285
EI 1539-8293
UT WOS:000419836100008
ER

PT J
AU Sultana, Syeda Papia
   Rahman, Md. Sayedur
TI Dynamic online antimicrobial guideline with stewardship program: Impact
   on antimicrobial prescribing
SO BANGLADESH JOURNAL OF PHARMACOLOGY
VL 12
IS 4
BP 364
EP 370
DI 10.3329/bjp.v12i4.33209
PD 2017
PY 2017
AB Dynamic online antimicrobial guideline with stewardship program was
   attempted in Bangabandhu Sheikh Mujib Medical University (BSMMU) to
   improve the antimicrobial prescribing. The prescribing pattern was
   evaluated by retrospective prescription audit. Overall 59.4% of admitted
   patients of four selected departments received antimicrobials. Highest
   (81.9%) was in the Department of Obstetrics and Gynecology, followed by
   Surgery (78.5%), Internal Medicine (47.6%) and Pediatrics (46.7%). After
   launching of guideline, antimicrobial prescribing was significantly
   reduced in the Department of Internal Medicine (47.6% to 22.2%; p<0.01)
   and Pediatrics (50.0% to 40.0%; p<0.01). Significant (p<0.05 to p<0.001)
   change was observed with different antimicrobials in different
   departments. Consumption of cefixime (8.5 +/- 3.7 to 3.9 +/- 2.5;
   p<0.05) and ceftriaxone (6.9 +/- 3.4 to 3.1 +/- 2.2; p<0.005) was
   reduced significantly in Internal Medicine. The adherence to guideline
   was highest in the Department of Obstetrics and Gynecology (91.3%)
   followed by Pediatrics (86.3%) and Internal Medicine (81.2%).
OI Rahman, Md Sayedur/0000-0002-5960-0161; Sultana, Dr. Syeda
   Papia/0000-0003-0713-6552
ZA 0
Z8 0
ZB 3
ZS 0
ZR 0
TC 4
Z9 4
U1 0
U2 1
SN 1991-007X
EI 1991-0088
UT WOS:000416076900002
ER

PT J
AU Ahmad, Asad
   Khan, Mohammed Naved
   Rahman, Obaidur
TI Exploring the use of internet by university students for seeking health
   related information
SO INTERACTIVE TECHNOLOGY AND SMART EDUCATION
VL 14
IS 4
BP 279
EP 295
DI 10.1108/ITSE-04-2016-0008
PD 2017
PY 2017
AB Purpose - Internet is both a medium and a platform for information
   exchange. This characteristic of internet is gradually metamorphosing it
   into an e-learning enabler. A significant percentage of internet users
   access health-related information through the medium of internet, but
   little is known about the factors that determine such behaviour. This
   study aims to explore the factors that determine the behaviour of those
   seeking health-related information in the virtual world.
   Design/methodology/approach - The present study analyses the role of
   perceived ease of usefulness (PEOU), perceived usefulness (PU),
   self-efficacy (SE) and information quality (IQ) on the intention (IU) of
   the internet users to seek health-related information.
   Researcher-controlled sampling was used for data collection from 210
   university students. Exploratory factor analysis (EFA), t-test and
   correlation have been used for data analysis.
   Findings - The results of the study demonstrate that except SE, all
   other factors have a positive relationship with the intention of the
   users to seek health-related information. The findings suggest that PU
   and IQ overshadow PEOU in encouraging the users seeking such
   health-related information over the internet.
   Originality/value - The present study extends the understanding of
   e-learning adoption associated with seeking health-related information.
   The researchers propose an extended technology acceptance model (TAM)
   model to study the factors influencing the use of internet in seeking
   health- related information by the students enrolled in medical and
   non-medical courses.
RI Khan, Mohammed Naved/H-1946-2017
OI Khan, Mohammed Naved/0000-0003-0576-8927
Z8 0
ZS 0
ZA 0
ZR 0
TC 2
ZB 0
Z9 2
U1 1
U2 19
SN 1741-5659
EI 1758-8510
UT WOS:000417747600002
ER

PT J
AU Roy, Elise
   Cote, Richard J.
   Hamel, Denis
   Dube, Pierre-Andre
   Langlois, Eric
   Labesse, Maud Emmanuelle
   Thibault, Christiane
   Boulanger, Aline
TI Opioid Prescribing Practices and Training Needs of Quebec Family
   Physicians for Chronic Noncancer Pain
SO PAIN RESEARCH & MANAGEMENT
VL 2017
AR 1365910
DI 10.1155/2017/1365910
PD 2017
PY 2017
AB Aim. To examine medical practices and training needs of Quebec family
   physicians with respect to pain management and opioid prescription for
   chronic noncancer pain (CNCP). Methodology. An online survey was carried
   out in 2016. Results. Of 636 respondents (43.0% men; 54.3% >= 50 years
   old), 15.2% and 70.9% felt very or somewhat confident that they could
   properly prescribe opioids for CNCP. Concerns related to abuse (72.5%
   strongly/somewhat agree), dependence (73.2%), and lack of support
   (75.4%) were themain barriers reported. Only 19.7% always/often screened
   their patients for risks of abuse and dependence using a screening tool.
   About two-thirds of participants (65.7%) had recently (last five years)
   taken part in continuing education programs on opioid use forCNCP and
   73.4% onCNCPmanagement. Patient evaluation and differential diagnoses of
   chronic pain syndromes were rated as a top priority for further
   training. Conclusions. This study provides insights into Quebec family
   physicians' concerns, practices, and needs with respect to the
   management of CNCP. Physicians' difficulties around the application of
   strategies to mitigate the problem of opioid abuse and addiction are
   worrying. The need to better train physicians in the field of pain and
   addiction cannot be emphasized enough.
RI Dubé, Pierre-André/AAV-2665-2021
OI Dubé, Pierre-André/0000-0003-0114-7648
ZA 0
ZB 1
ZR 0
Z8 0
TC 15
ZS 1
Z9 16
U1 0
U2 4
SN 1203-6765
EI 1918-1523
UT WOS:000406604800001
PM 28831278
ER

PT J
AU Economou, Dorothy
   James, Bronwyn
TI A research writing tool: Designing an online resource for supervisors
   and students
SO INNOVATIONS IN EDUCATION AND TEACHING INTERNATIONAL
VL 54
IS 6
BP 590
EP 600
DI 10.1080/14703297.2017.1375421
PD 2017
PY 2017
AB This paper presents and discusses the key findings of a needs analysis,
   and its impact on the design for an innovative online Research Writing
   Tool, which aims to facilitate higher degree research writing
   development in medically related fields. Unlike other resources which
   target students only, this tool aims to support both supervisors and
   students to identify student writing needs and to facilitate dialogue,
   through annotations on successful student thesis excerpts and exemplary
   supervisor feedback on less successful drafts.
RI James, Bronwyn/W-4818-2019
OI James, Bronwyn/0000-0002-4439-3868
ZB 0
TC 1
ZR 0
ZS 0
ZA 0
Z8 0
Z9 1
U1 1
U2 6
SN 1470-3297
EI 1470-3300
UT WOS:000423282300009
ER

PT J
AU Graddy, Ryan
   Wright, Scott
TI Going the Extra Mile: Lessons Learned from Running Coaches Applied to
   Medicine
SO EDUCATION FOR HEALTH
VL 30
IS 1
BP 89
EP 92
DI 10.4103/1357-6283.210498
PD JAN-APR 2017
PY 2017
AB Master clinicians and successful long-distance runners have a lot in
   common. Both are dedicated to continuous improvement and are flexible in
   their approach, allowing for adaptation to meet unplanned challenges.
   Given these similarities and the important role of coaches in athletics,
   there is an opportunity for medical educators to learn from excellent
   running coaching. The authors spent time with three respected running
   coaches at different levels (high school, college, and postcollegiate
   online) and identified six principles employed by these coaches that
   seem to be particularly relevant for promoting skill development in
   medicine. Three of these may be considered foundational tenets for a
   successful coach: know your coachee; model the qualities you seek to
   instill; and communicate clearly and consistently. An additional three
   principles represent higher order coaching skills that enable superior
   coaches to develop others into truly outstanding performers: be a keen
   observer; purposefully build strong and interconnected teams; and
   inspire greatness. Longitudinal, individualized coaching predicated on
   these six tenets may be an effective means for optimizing professional
   development in medicine.
Z8 0
ZS 0
ZA 0
TC 2
ZB 0
ZR 0
Z9 2
U1 0
U2 1
SN 1357-6283
EI 1469-5804
UT WOS:000430800400016
PM 28707644
ER

PT J
AU Zheng, Huilong
   Adamo-Villani, Nicoletta
   McGraw, Tim
   Griggs, Rosanne
TI Using computer animation for emergency medicine education
SO INTERNATIONAL JOURNAL OF TECHNOLOGY ENHANCED LEARNING
VL 9
IS 4
BP 354
EP 368
DI 10.1504/IJTEL.2017.087798
PD 2017
PY 2017
AB An experiment was conducted to investigate the effectiveness of
   animation for emergency medicine education. Two groups of participants
   were assessed on their ability to respond to three medical emergency
   situations in simulated test scenarios. The control group received
   instruction in traditional lecture/demo format, whereas the experimental
   group received instruction from a computer animation. Participants'
   knowledge of the medical emergencies response procedures was assessed
   according to speed and accuracy of the treatment, and ability to
   complete every step and execute the steps in the correct order. Results
   revealed no statistically significant difference in procedural knowledge
   between the control and experimental groups.
ZA 0
ZB 0
Z8 0
ZS 1
TC 3
ZR 0
Z9 3
U1 1
U2 7
SN 1753-5255
EI 1753-5263
UT WOS:000418790900005
ER

PT J
AU Vaughan, Karolyn
   McMurray, Anne
   Sidebotham, Mary
   Gamble, Jennifer
TI Factors Influencing International Board Certified Lactation Consultants
   to Continue Advancing Practice Beyond Certification: A Multinational
   Study
SO INTERNATIONAL JOURNAL OF CHILDBIRTH
VL 7
IS 4
BP 227
EP 238
DI 10.1891/2156-5287.7.4.227
PD 2017
PY 2017
AB BACKGROUND: Certification as a lactation consultant is based on
   practitioners having achieved a standard of knowledge indicative of
   their competence to practice by passing a psychometric examination. The
   underpinning principle of recertification programs is to support
   clinicians to become lifelong learners by progressively enhancing and
   advancing their knowledge and skills in line with contemporary evidence.
   The aim of this study was to investigate the factors that influence
   International Board Certified Lactation Consultants (IBCLCs) to advance
   their practice.
   METHOD: A mixed-methods study was conducted in two phases. Phase 1
   included focus groups, interviews, and participants' demographic data.
   Phase 2 comprised of an online questionnaire to IBCLCs. This approach
   was designed to provide a comprehensive qualitative understanding of the
   IBCLCs' experiences, which was then triangulated with quantitative data
   from a significantly larger population of IBCLCs in Phase 2.
   RESULTS: The findings are described in themes and subthemes.
   Participants in phase 2 (n = 3,946) reported being intrinsically
   motivated (93.3%, n = 3,631) and committed to providing evidence-based
   guidance and optimal care to support breastfeeding mothers. They
   identified various sources of continuing education, although attendance
   at conferences, peer support, and reflective sessions were the most
   common approaches to enhancing knowledge. They recognized that it was
   through extension of knowledge that they were able to advance their
   practice.
   CONCLUSION: This article identifies strategies that the managers,
   educators, and certification bodies can adopt to support the IBCLCs in
   continuing to advance their practice, which will ultimately improve
   breastfeeding outcomes for mothers.
RI Sidebotham, Mary/AAQ-2911-2020; Gamble, Jenny/; McMurray, Anne/
OI Gamble, Jenny/0000-0002-3749-3473; McMurray, Anne/0000-0003-0178-1972
ZA 0
Z8 0
TC 1
ZB 0
ZS 0
ZR 0
Z9 1
U1 0
U2 4
SN 2156-5287
EI 2156-5295
UT WOS:000429452900005
ER

PT J
AU Nicholas, David B.
   Chahauver, Anu
TI Examining Computer Use by Hospitalized Children and Youth
SO JOURNAL OF TECHNOLOGY IN HUMAN SERVICES
VL 35
IS 4
BP 277
EP 291
DI 10.1080/15228835.2017.1366886
PD 2017
PY 2017
AB Hospitalized children and their families face information and support
   needs that may be augmented by Internet access. Using a qualitative
   description methodology, this study examined computer/technology use by
   hospitalized children. Thirteen pediatric patients who accessed
   hospital-based computers while hospitalized and 11 parents participated
   in qualitative interviews. Children used computers for gaming, chatting
   with peers, homework, social media, and general browsing. Benefits of
   computer use included distraction from unpleasant treatments, social
   support, and normalization of experience. Barriers to use included
   computer inaccessibility, lack of privacy, and technology-based
   challenges. Computer access appears to offer a constructive role in
   ameliorating pediatric hospitalization experiences.
ZB 0
TC 3
ZR 0
Z8 0
ZA 0
ZS 1
Z9 4
U1 1
U2 5
SN 1522-8835
EI 1522-8991
UT WOS:000416747300002
ER

PT J
AU Johnson, Kaprea F.
   Kalkbrenner, Michael T.
TI The Utilization of Technological Innovations to Support College Student
   Mental Health: Mobile Health Communication
SO JOURNAL OF TECHNOLOGY IN HUMAN SERVICES
VL 35
IS 4
BP 314
EP 339
DI 10.1080/15228835.2017.1368428
PD 2017
PY 2017
AB The purpose of this systematic review was to investigate the use of
   mobile health (mHealth) for communicating wellness-related resources and
   mental health interventions to college students. An extensive review was
   conducted of electronic databases and the annual reviews from randomly
   selected college counseling centers across the United States. Results
   revealed that mHealth is a promising resource for infusing technology
   into the delivery of mental health support services. Recommendations for
   integrating mHealth into the delivery of mental health support services
   on college campuses are provided.
OI Johnson, Kaprea/0000-0001-7127-3370
ZR 0
TC 22
Z8 0
ZA 0
ZB 2
ZS 1
Z9 22
U1 2
U2 13
SN 1522-8835
EI 1522-8991
UT WOS:000416747300004
ER

PT C
AU Theron, Maggie
   Redmond, Anne
   Borycki, Elizabeth M.
BE Lau, F
   BartleClar, J
   Bliss, G
   Borycki, E
   Courtney, K
   Kuo, A
TI Baccalaureate Nursing Students' Abilities in Critically Identifying and
   Evaluating the Quality of Online Health Information
SO BUILDING CAPACITY FOR HEALTH INFORMATICS IN THE FUTURE
SE Studies in Health Technology and Informatics
VL 234
BP 321
EP 327
DI 10.3233/978-1-61499-742-9-321
PD 2017
PY 2017
AB Both the Internet and social media have become important tools that
   patients and health professionals, including health professional
   students, use to obtain information and support their decision-making
   surrounding health care. Students in the health sciences require
   increased competence to select, appraise, and use online sources to
   adequately educate and support patients and advocate for patient needs
   and best practices. The purpose of this study was to ascertain if second
   year nursing students have the ability to critically identify and
   evaluate the quality of online health information through comparisons
   between student and expert assessments of selected online health
   information postings using an adapted Trust in Online Health Information
   scale. Interviews with experts provided understanding of how experts
   applied the selected criteria and what experts recommend for
   implementing nursing informatics literacy in curriculums. The difference
   between student and expert assessments of the quality of the online
   information is on average close to 40%. Themes from the interviews
   highlighted several possible factors that may influence informatics
   competency levels in students, specifically regarding the critical
   appraisal of the quality of online health information.
CT Conference on Information Technology and Communications in Health (ITCH)
CY FEB 16-19, 2017
CL Victoria, CANADA
ZB 0
ZS 0
TC 3
ZA 0
ZR 0
Z8 0
Z9 3
U1 0
U2 2
SN 0926-9630
EI 1879-8365
BN 978-1-61499-742-9; 978-1-61499-741-2
UT WOS:000428192000057
PM 28186062
ER

PT J
AU Epstein, Robert
   Ho, Megan
   Hyun, Seojin
   Le, Christopher
   Robertson, Ronald E.
   Stout, Dayna
TI A DSM-5-Based Online Mental Health Referral Inventory: A Large-Scale
   Validation Study
SO JOURNAL OF TECHNOLOGY IN HUMAN SERVICES
VL 35
IS 3
BP 231
EP 246
DI 10.1080/15228835.2017.1356800
PD 2017
PY 2017
AB In 2007, a comprehensive mental health referral inventory based on the
   4th edition of the Diagnostic and Statistical Manual of Mental Disorders
   (DSM-IV) was posted online as an alternative to the informal tests the
   public now uses to self-diagnose mental health problems. A validation
   study was published in 2011 (Epstein & Muzzatti, 2011). In 2013, a
   revision of that inventory that was consistent with the DSM-5 was
   posted. The present study evaluates the new inventory with a diverse
   sample of 201,625 people from 184 countries (mainly the United States,
   Canada, and the United Kingdom). The 63-item inventory screens for 21
   common problems and typically takes about 5 min to complete. Test scores
   proved to be good predictors of a variety of self-reported criterion
   measures, including happiness, personal and professional success,
   history of hospitalization, history of therapy, current participation in
   therapy, and employment. Females were found to have slightly more mental
   health problems than males, and effects were also found for education
   and race/ethnicity. The revised test is more accessible than the
   original, reducing the reading level from grade 10.2 to 6.6. It is not
   designed to diagnose; rather, its primary purpose is to refer people to
   mental health professionals for further evaluation. It can also be used
   in clinical settings for quick screening purposes.
ZA 0
ZS 0
Z8 0
ZB 0
ZR 0
TC 2
Z9 2
U1 0
U2 3
SN 1522-8835
EI 1522-8991
UT WOS:000416747100005
ER

PT C
AU Puente, S. T.
   Ubeda, A.
   Torres, F.
TI e-Health: Biomedical instrumentation with Arduino
SO IFAC PAPERSONLINE
VL 50
IS 1
BP 9156
EP 9161
DI 10.1016/j.ifacol.2017.08.1724
PD 2017
PY 2017
AB This contribution describes the planning and the development of
   laboratory activities for an introduction to biomedical system
   instrumentation, as well as some experiences and results obtained from
   them. The activities have been applied in the course "Systems and
   Instruments Foundations", during the academic year 2016-17. This course
   is scheduled in the second year of the novel Health Information
   Technology Degree offered by the University of Alicante. Teaching
   biomedical instrumentation from the point of view of engineering to
   students that have little medical and engineering background is a
   complex task. Laboratory practices proposed are presented in this paper,
   which is based on Arduino and e-Health shield to teach biomedical
   concepts. A project-based learning methodology is used in the laboratory
   sessions, where students have to accomplish a project at the end of the
   semester. (C) 2017, IFAC (International Federation of Automatic Control)
   Hosting by Elsevier Ltd. All rights reserved.
CT 20th World Congress of the International-Federation-of-Automatic-Control
   (IFAC)
CY JUL 09-14, 2017
CL Toulouse, FRANCE
SP Int Federat Automat Control; Continental Automot; Occitanie Reg;
   Toulouse Metropole; CNES; Univ Toulouse III; Paul Sabatier; Inria; CNRS;
   OPTITRACK; MDPI; ISAE Supaero; iCODE; EECI; Int Journal Automat & Comp;
   IEEE CAA Journal Automatica Sinica; Moveo
RI Torres, Fernando/L-1798-2014; Puente, Santiago/H-5060-2015; Ubeda, Andres/K-4883-2015
OI Torres, Fernando/0000-0002-6261-9939; Puente,
   Santiago/0000-0002-6175-600X; Ubeda, Andres/0000-0003-3223-025X
ZB 1
Z8 0
ZS 0
ZR 0
TC 8
ZA 0
Z9 8
U1 1
U2 3
SN 2405-8963
UT WOS:000423965100026
ER

PT J
AU Fuldeore, Mahesh J.
   Soliman, Ahmed M.
TI Prevalence and Symptomatic Burden of Diagnosed Endometriosis in the
   United States: National Estimates from a Cross-Sectional Survey of
   59,411 Women
SO GYNECOLOGIC AND OBSTETRIC INVESTIGATION
VL 82
IS 5
BP 453
EP 461
DI 10.1159/000452660
PD 2017
PY 2017
AB Background/Aims: To estimate the prevalence of diagnosed endometriosis
   (DE) in women in the United States and assess the associated symptomatic
   burden. Methods: An online, cross-sectional survey of women aged 18-49
   years was conducted from August 6, 2012, through November 14, 2012.
   Survey data (weighted by age, race, education, income, geographical
   distribution, and propensity score) were used to estimate the prevalence
   and symptomatic burden of DE in women in the United States. Weighted
   logistic regressions were used to assess differences in symptom burden
   between women with and without endometriosis. Results: The prevalence of
   DE was estimated at 6.1% (2,922 of 48,020 women surveyed); 52.7% of
   women were 18-29 years of age when they were diagnosed with
   endometriosis. Most (86.2%) women experienced symptoms before diagnosis.
   More women with (vs. without) DE had menstrual pelvic pain/ cramping
   (52.7 vs. 45.2%), non-menstrual pelvic pain/cramping (36.7 vs. 14.3%),
   infertility (11.6 vs. 3.4%), and dyspareunia (29.5 vs. 13.4%). Women
   with endometriosis were also more likely to report severe symptoms (OR
   (95% CI) 2.7 (2.3-3.1) for menstrual pelvic pain/cramping, 2.2 (1.7-2.9)
   for non-menstrual pelvic pain/cramping, and 2.4 (1.8-3.2) for
   dyspareunia). Conclusion: The prevalence of DE among US women is
   notable, and affected women experience a substantial symptom burden. (C)
   2016 S. Karger AG, Basel
ZS 2
ZR 0
Z8 0
ZA 0
TC 128
ZB 45
Z9 129
U1 0
U2 11
SN 0378-7346
EI 1423-002X
UT WOS:000410839900004
PM 27820938
ER

PT J
AU Inge, Katherine J.
   Graham, Carolyn W.
   McLaughlin, James W.
   Erickson, Doug
   Wehman, Paul
   Seward, Hannah E.
TI Evaluating the effectiveness of Facebook to impact the knowledge of
   evidence-based employment practices by individuals with traumatic brain
   injury: A knowledge translation random control study
SO WORK-A JOURNAL OF PREVENTION ASSESSMENT & REHABILITATION
VL 58
IS 1
BP 73
EP 81
DI 10.3233/WOR-172595
PD 2017
PY 2017
AB BACKGROUND: Individuals with traumatic brain injury (TBI) experience
   difficulty with obtaining and maintaining employment post-injury.
   Although vocational rehabilitation (VR) can be one option to provide
   individuals with TBI support and services to lead to successful
   employment outcomes, information about these services can be difficult
   and confusing to navigate. Providing information on evidence-based
   employment practices to individuals with TBI through social media could
   be an effective approach.
   OBJECTIVE: The objective of this study was to compare the effect of a
   knowledge translation (KT) strategy and the use of a secret Facebook
   group, on the knowledge of evidence-based employment research by
   individuals with traumatic brain injury (TBI).
   METHODS: The study used a randomized pretest-posttest control group
   design. Sixty individuals with TBI were recruited through clubhouse
   programs in the state where the authors resided as well as through
   support groups nationally for individuals with TBI, and were randomly
   assigned to one of two groups. Both groups received information on
   evidence-based employment practices for individuals with traumatic brain
   injury (TBI) over a three month period. One group received the
   information via participation in a secret Facebook group while the
   comparison group received information as an "e-news" email blast.
   Participants were assessed pre- and post-intervention with a
   Likert-scale instrument designed to measure knowledge of evidenced-based
   employment information for TBI.
   RESULTS: Both groups gained a significant amount of knowledge between
   baseline and post-intervention. However, there were no significant
   differences between groups in knowledge gained at post-intervention.
   CONCLUSION: While the study did not identify the most effective means of
   delivering information to individuals with TBI, it does provide some
   guidance for future KT research.
OI Seward, Hannah/0000-0002-7358-7274
TC 2
ZS 0
Z8 0
ZR 0
ZB 0
ZA 0
Z9 2
U1 0
U2 4
SN 1051-9815
EI 1875-9270
UT WOS:000412435600010
PM 28922174
ER

PT J
AU Dafsari, Hormos Salimi
   Herzig, Stefan
   Matthes, Jan
TI A multi-centre student survey on weighing disciplines in medical
   curricula - a pilot study
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 34
IS 2
AR Doc24
DI 10.3205/zma001101
PD 2017
PY 2017
AB Aim: Initiated by students, this pilot study examines how obtaining
   medical students' perspectives via a structured online survey may prove
   useful for curriculum deliberation.
   Methods: In 2012, 747 students of 32 medical faculties in Germany
   assessed disciplines specified in the Medical Licensure Act (AApprO)
   thereby concerning the allocation of teaching time, perceived usefulness
   regarding preparation for state examination and medical practice, their
   interest and motivation for studying as well as consideration for future
   work.
   Results: Internal medicine, surgery, paediatrics, gynaecology/obstetrics
   and general medicine rank amongst the upper third regarding allocation
   of teaching time and perceived usefulness for future medical practice.
   Concerning both preparation for state examination and medical practice
   internal medicine ranks second, while surgery only 22nd and 28th of 32,
   respectively. Some clinical-theoretical disciplines (e.g. pharmacology)
   are in the top ten regarding perceived preparation for state
   examination, too. Students who consider choosing internal medicine for
   future work rate associated disciplines significantly higher regarding
   usefulness for clinical practice (e.g. pharmacology) or motivation for
   studying (e.g. microbiology) than other students do.
   Conclusion: A simple survey reveals interesting data on students'
   perceptions and ideas of medical studies. Though the data are plausible,
   interpretations should be done with caution. Nonetheless, data like
   these should give rise to further questions and discussions, e.g. as
   part of curriculum deliberation.
RI Dafsari, Hormos/AAF-3740-2019; Matthes, Jan/AAF-1229-2020; Salimi Dafsari, Hormos/; Herzig, Stefan/
OI Matthes, Jan/0000-0003-2754-1555; Salimi Dafsari,
   Hormos/0000-0003-3483-5009; Herzig, Stefan/0000-0001-8107-5204
ZB 1
TC 5
ZA 0
ZR 0
Z8 0
ZS 0
Z9 5
U1 0
U2 2
SN 2366-5017
UT WOS:000423953300012
PM 28584872
ER

PT J
AU Hauser, Katarina
   Koerfer, Armin
   Niehaus, Mathilde
   Albus, Christian
   Herzig, Stefan
   Matthes, Jan
TI The prescription talk - an approach to teach patient-physician
   conversation about drug prescription to medical students
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 34
IS 2
AR Doc18
DI 10.3205/zma001095
PD 2017
PY 2017
AB Background: Medication communication from physicians to patients often
   is poor, by this among others enhancing the risk of non-adherence. In
   this context, a neglect regarding the prescription talk has been
   complained.
   Aim of the project: In a newly developed elective medical students work
   on physician-patient conversations dealing with drug prescription.
   Essential aspects related to an effective and safe drug treatment are
   combined with steps of shared decision-making. Together with a tutor,
   students develop a (model) conversation guide that might be tailored
   according to individual needs and views.
   Description/Methods: In a one-week course 3rd-5th year medical students
   treat a paper case according to problem-based learning. This is
   accompanied by a one-hour lecture and literature provided on an online
   learning platform (ILIAS). During a workshop, aspects of drug treatment
   and patient participation are integrated into a guide for a prescription
   talk. At the end of the week the students are invited to apply the (if
   need be individualized) guide in a simulated physician-patient
   communication with an actor. The conversation is evaluated using a
   checklist based upon the (model) conversation guide.
   Results: Informal and formalized feedback indicate high acceptance and
   satisfaction of participants with this elective. The checklist turned
   out to be of acceptable to good reliability with mostly selective items.
   Portfolio entries and written evaluation suggest that participants'
   positions and attitudes are influenced.
RI Albus, Christian/C-1701-2015; Matthes, Jan/AAF-1229-2020; Koerfer, armin/AAD-8327-2020; Herzig, Stefan/; Niehaus, Mathilde/
OI Matthes, Jan/0000-0003-2754-1555; Herzig, Stefan/0000-0001-8107-5204;
   Niehaus, Mathilde/0000-0002-4283-5407
Z8 0
ZR 0
ZS 0
ZB 3
ZA 0
TC 6
Z9 6
U1 1
U2 3
SN 2366-5017
UT WOS:000423953300006
PM 28584866
ER

PT J
AU Kleinsorgen, Christin
   Kankofer, Marta
   Gradzki, Zbigniew
   Mandoki, Mira
   Bartha, Tibor
   von Kockritz-Blickwede, Maren
   Naim, Hassan Y.
   Beyerbach, Martin
   Tipold, Andrea
   Ehlers, Jan P.
TI Utilization and acceptance of virtual patients in veterinary basic
   sciences - the vetVIP-project
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 34
IS 2
AR Doc19
DI 10.3205/zma001096
PD 2017
PY 2017
AB Context: In medical and veterinary medical education the use of
   problem-based and cased-based learning has steadily increased over time.
   At veterinary faculties, this development has mainly been evident in the
   clinical phase of the veterinary education. Therefore, a consortium of
   teachers of biochemistry and physiology together with technical and
   didactical experts launched the EU-funded project "vetVIP", to create
   and implement veterinary virtual patients and problems for basic science
   instruction. In this study the implementation and utilization of virtual
   patients occurred at the veterinary faculties in Budapest, Hannover and
   Lublin.
   Methods: This report describes the investigation of the utilization and
   acceptance of students studying veterinary basic sciences using optional
   online learning material concurrently to regular biochemistry and
   physiology didactic instruction. The reaction of students towards this
   offer of clinical case-based learning in basic sciences was analysed
   using quantitative and qualitative data. Quantitative data were
   collected automatically within the chosen software-system CASUS as
   user-logfiles. Responses regarding the quality of the virtual patients
   were obtained using an online questionnaire. Furthermore, subjective
   evaluation by authors was performed using a focus group discussion and
   an online questionnaire.
   Results: Implementation as well as usage and acceptance varied between
   the three participating locations. High approval was documented in
   Hannover and Lublin based upon the high proportion of voluntary students
   (>70%) using optional virtual patients. However, in Budapest the
   participation rate was below 1%. Due to utilization, students seem to
   prefer virtual patients and problems created in their native language
   and developed at their own university. In addition, the statement that
   assessment drives learning was supported by the observation that peak
   utilization was just prior to summative examinations.
   Conclusion: Veterinary virtual patients in basic sciences can be
   introduced and used for the presentation of integrative clinical case
   scenarios. Student post-course comments also supported the conclusion
   that overall the virtual cases increased their motivation for learning
   veterinary basic sciences.
RI Grądzki, Zbigniew/R-6589-2018; Kankofer, Marta/; Ehlers, Jan/R-5693-2016; Kleinsorgen, Christin/
OI Grądzki, Zbigniew/0000-0002-5390-3225; Kankofer,
   Marta/0000-0003-3053-0742; Ehlers, Jan/0000-0001-6306-4173; Kleinsorgen,
   Christin/0000-0003-1086-1691
Z8 0
TC 8
ZB 0
ZA 0
ZR 0
ZS 0
Z9 8
U1 1
U2 4
SN 2366-5017
UT WOS:000423953300007
PM 28584867
ER

PT J
AU Kuehl, Susanne J.
   Toberer, Matthias
   Keis, Oliver
   Tolks, Daniel
   Fischer, Martin R.
   Kuehl, Michael
TI Concept and benefits of the Inverted Classroom method for a
   competency-based biochemistry course in the pre-clinical stage of a
   human medicine course of studies
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 34
IS 3
AR Doc31
DI 10.3205/zma001108
PD 2017
PY 2017
AB Background: Medical students often have a problem recognising the
   relevance of basic science subjects for their later professional work in
   the pre-clinical stage of their studies. This can lead to a lower
   motivation to learn biochemical content and dissatisfaction in the
   courses amongst the students. Alternative teaching methods such as the
   Inverted Classroom (IC) method can address this deficiency. The goal of
   this study was:
   1. to analyse the motivation and satisfaction of the students in a
   biochemistry seminar through the use of the e-learning-based IC method,
   2. to investigate the acceptance against the IC teaching method in
   biochemistry, and
   3. to compare the learning success achieved using the IC approach with
   that of a traditional course.
   We also investigated how a biochemistry course in the pre-clinical stage
   of a human medicine course of studies can be successfully organised
   according to the IC method. Furthermore, we examined the benefits of the
   IC method over conventional teaching formats.
   Method: The IC method was implemented in accordance with the guidelines
   of the GMA committee "New Media" [30] in a biochemistry seminar for two
   student IC intervention groups with 42 students. A part of the factual
   knowledge from the on-site phase in the form of teaching videos together
   with self-learning control tasks were provided online before the seminar
   for both IC intervention groups. Exporting content to the self-learning
   phase creates new free time in the on-site phase, during which the
   content can be critically considered and processed and additional
   competency- based learning objectives can be taught. Identical
   biochemistry teaching content was taught in parallel control groups (14
   student groups with n=299 students), but no material was handed out
   beforehand for a self-learning phase. These students only received the
   materials after the on-site phase. Motivation and satisfaction as well
   as the acceptance for the teaching methods were recorded by
   questionnaires, the acquisition of knowledge by MC exams.
   Results: On a Likert scale from 1 (strongly disagree) to 6 (strongly
   agree), the students in the IC intervention groups could be seen to be
   much more motivated (5.53) than students in the control group (4.01).
   Students in the IC intervention groups also recognised the relevance of
   the learning content much more clearly (5.44) than students in the
   control group (4.01). Furthermore, the IC group also observed that
   additional competencies were trained in addition to the biochemistry
   content. In addition, the IC intervention group award the event a school
   grade of 1.53, the traditional control group a grade of 2.96. The
   teaching videos were rated very positively by both groups with an
   average school grade of 1.3 in each case. A qualitative analysis showed
   that the motivation and a positive attitude of the lecturers played a
   decisive role in the successful implementation of the IC method.
   Discussion and conclusion: Pre-clinical students display a high
   acceptance of the e-learning- based IC method. Teaching communication
   competencies in a biochemistry seminar was also rated very positively by
   the students. The quality of the teaching video and the motivation of
   the lecturers were shown to be a critical parameter for the successful
   performance of the IC method. What's more, the IC method can contribute
   to implementing a competence orientation in medical studies.
RI Tolks, Daniel/ABA-6183-2021
OI Tolks, Daniel/0000-0001-8597-5189
ZB 0
ZS 0
Z8 0
ZR 0
TC 17
ZA 0
Z9 17
U1 1
U2 9
SN 2366-5017
UT WOS:000423953400004
PM 28890922
ER

PT J
AU Matthes, Jan
   Giesler, Marianne
   Wagner-Menghin, Michaela
   Himmelbauer, Monika
   Preusche, Ingrid
   Schuettpelz-Brauns, Katrin
TI Publication activity in medical education research: A descriptive
   analysis of submissions to the GMS Zeitschrift fur Medizinische
   Ausbildung in 2007-2015
SO GMS JOURNAL FOR MEDICAL EDUCATION
VL 34
IS 3
AR Doc32
DI 10.3205/zma001109
PD 2017
PY 2017
AB Objectives: The significance of medical education research has increased
   internationally. In this context we investigated whether, and if so, how
   the quantity and quality of scientific papers reviewed and/or published
   by the GMS Zeitschrift fur Medizinische Ausbildung (GMS Z Med Ausbild)
   changed.
   Methods: The quantity and ratio of original papers, project reports and
   reviews submitted to or published in the GMS Z Med Ausbild were
   analysed. Published scientific articles were investigated in regard to
   the quality features "study type" and "mode of data collection" as well
   as the background (university affiliation) of the last authors. The
   citation frequency within the first five years after PubMed listing was
   compared to the one of BMC Medical Education in the corresponding
   period.
   Results: The number of submitted scientific manuscripts increased
   steadily. Most of the submissions and publications are original papers.
   For publications explorative studies and prospective data collection are
   most common. A shift over time is not observed. 16% of the published
   works come from one and 36% from four of the in total 39 universities
   represented by the last authors. The development of the citation
   frequency of articles published in GMS Z Med Ausbild is similar to that
   of BMC Medical Education.
   Conclusion: The rising number of submissions indicates an increasing
   significance of medical education research in German-speaking countries.
   The development of the number of citations reflects the growing
   appreciation of GMS Z Med Ausbild also indicated by the increasing
   number of online accesses. Our findings that study type and mode of data
   collection did not change has to be interpreted with caution since among
   other things choice and correct application of adequate methods are
   crucial regarding a scientific work's quality, too. These aspects,
   however, were not investigated in this paper.
RI Schüttpelz-Brauns, Katrin/AGD-6779-2022; Matthes, Jan/AAF-1229-2020; Preusche, Ingrid/
OI Schüttpelz-Brauns, Katrin/0000-0001-9004-0724; Matthes,
   Jan/0000-0003-2754-1555; Preusche, Ingrid/0000-0001-5306-8189
ZA 0
ZB 0
ZS 0
Z8 0
TC 0
ZR 0
Z9 0
U1 0
U2 0
SN 2366-5017
UT WOS:000423953400005
PM 28890923
ER

PT J
AU Fox, Alison
   Bird, Terese
TI #any use? What do we know about how teachers and doctors learn through
   social media use?
SO QWERTY
VL 12
IS 2
SI SI
BP 64
EP 87
PD 2017
PY 2017
AB This scoping literature review describes the landscape of recent
   publications (2007-2016) about how teachers and doctors learn through
   social media to identify whether learning was being considered and, if
   so, how evidence was collected (N=162). Sixty-seven percent (N=108) were
   teacher-related and thirty-three percent (N=54) doctor-related, covering
   empirical studies, literature reviews, position articles and letters to
   academic journals. Empirical studies were dominant - ninety-one percent
   (N=98) of teacher-related and sixty-one percent (N=33) of doctor-related
   - with both fields dominated by in-course evaluations and use/attitude
   studies. Although doctor-related articles focused on professional online
   behaviour, rather than professional learning, conference communication
   and information evaluation were interesting areas of enquiry. Despite
   professional interest in social media in these professions, there is a
   dearth of academic studies about their benefits for teacher and doctor
   learning.
RI Fox, Alison/ABG-8537-2020
OI Fox, Alison/0000-0001-9006-761X
ZA 0
ZB 0
Z8 0
ZR 0
ZS 0
TC 6
Z9 6
U1 0
U2 2
SN 2240-2950
UT WOS:000423939400005
ER

PT J
AU Borland, Emma
   Nagga, Katarina
   Nilsson, Peter M.
   Minthon, Lennart
   Nilsson, Erik D.
   Palmqvist, Sebastian
TI The Montreal Cognitive Assessment: Normative Data from a Large Swedish
   Population-Based Cohort
SO JOURNAL OF ALZHEIMERS DISEASE
VL 59
IS 3
BP 893
EP 901
DI 10.3233/JAD-170203
PD 2017
PY 2017
AB Background: The Montreal Cognitive Assessment (MoCA) has a high
   sensitivity for detecting cognitive dysfunction. Swedish normative data
   does not exist and international norms are often derived from
   populations where cognitive impairment has not been screened for and not
   been thoroughly assessed to exclude subjects with dementia or mild
   cognitive impairment.
   Objective: To establish norms for MoCA and develop a regression-based
   norm calculator based on a large, well-examined cohort.
   Methods: MoCA was administered on 860 randomly selected elderly people
   from a population-based cohort from the EPIC study. Cognitive
   dysfunction was screened for and further assessed at a memory clinic.
   After excluding cognitively impaired participants, normative data was
   derived from 758 people, aged 65-85.
   Results: MoCA cut-offs (-1 to -2 standard deviations) for cognitive
   impairment ranged from <25 to <21 for the lowest educated and <26 to <24
   for the highest educated, depending on age group. Significant predictors
   for MoCA score were age, sex and level of education.
   Conclusion: We present detailed normativeMoCAdata and cut-offs according
   to the DSM-5 criteria for cognitive impairment based on a large
   population-based cohort of elderly individuals, screened and thoroughly
   investigated to rule out cognitive impairment. Level of education, sex,
   and age should be taken in account when evaluating MoCA score, which is
   facilitated by our online regression-based calculator that provide
   percentile and z-score for a subject's MoCA score.
RI Palmqvist, Sebastian/AAU-1148-2021; Palmqvist, Sebastian/AFQ-9019-2022; Palmqvist, Sebastian/; Borland, Emma/; Nagga, Katarina/
OI Palmqvist, Sebastian/0000-0002-9267-1930; Borland,
   Emma/0000-0002-3822-9420; Nagga, Katarina/0000-0003-0194-8402
ZR 1
ZS 2
Z8 1
ZA 0
ZB 26
TC 92
Z9 96
U1 0
U2 16
SN 1387-2877
EI 1875-8908
UT WOS:000406926700008
PM 28697562
ER

PT J
AU Ancker, Jessica S.
   Send, Alexander
   Hafeez, Baria
   Osorio, Snezana N.
   Abramson, Erika
TI Health IT Usability Focus Section: Adapting EHR-Based Medication
   Instructions to Comply with Plain Language Guidance-A Randomized
   Experiment
SO APPLIED CLINICAL INFORMATICS
VL 8
IS 4
BP 1127
EP 1143
DI 10.4338/ACI-2017-06-RA-0111
PD 2017
PY 2017
AB Objective Patient instructions are generally written by clinicians.
   However, clinician-centered language is challenging for patients to
   understand; in the case of pediatric medication instructions,
   consequences can be serious. Using examples of clinician-written
   medication instructions from an electronic health record, we conducted
   an experiment to determine whether parental misinterpretations would be
   reduced by instructions that followed best practices for plain language.
   Methods We selected examples of dosing instructions from after-visit
   summaries in a commercial electronic health record. A demographically
   diverse sample of parents and adult caregivers was recruited from an
   online panel to participate in an English-language experiment, in which
   they received a comprehension questionnaire with either original
   after-visit summary instructions or instructions revised to comply with
   federal and other sources of plain-language guidance.
   Results Nine-hundred and fifty-one respondents completed the experiment;
   50% were women, the mean age was 36 years, and 38% had less than a
   4-year college education. The revisions were associated with an 8
   percentage point increase in correct answers overall (from 55% to 63%, p
   < 0.001), although revisions were not equally effective for all
   instructions. Health literacy and health numeracy were strong and
   independent predictors of comprehension. Overall, mistakes on
   comprehension questions were common, with respondents missing an average
   of 41% (6.1 of 15) of questions.
   Conclusion In this experimental study, a relatively simple intervention
   of revising text was associated with a modest reduction in frequency of
   misinterpretations of medication instructions. As a supplement to more
   intensive high-touch interventions, revising electronic health record
   output to replace complex language with patient-centered language in an
   automated fashion is a potentially scalable solution that could reduce
   medication administration errors by parents.
ZA 0
Z8 0
ZR 0
ZS 0
TC 5
ZB 1
Z9 5
U1 0
U2 2
SN 1869-0327
UT WOS:000423148000014
PM 29241250
ER

PT J
AU Christoph, J.
   Knell, C.
   Bosserhoff, A.
   Naschberger, E.
   Stuerzl, M.
   Ruebner, M.
   Seuss, H.
   Ruh, M.
   Prokosch, H. -U.
   Sedlmayr, B.
TI Usability and Suitability of the Omics-Integrating Analysis Platform
   tranSMART for Translational Research and Education
SO APPLIED CLINICAL INFORMATICS
VL 8
IS 4
BP 1173
EP 1183
DI 10.4338/ACI-2017-05-RA-0085
PD 2017
PY 2017
AB Background Platforms like tranSMART assist researchers in analyzing
   clinical and corresponding omics data. Usability is an important, yet
   often overlooked, factor affecting the adoption and meaningful use.
   Analyses on the specific needs of translational researchers and
   considerations about the application of such platforms for education are
   rare.
   Objectives The aim of this study was to test whether tranSMART can be
   used in education and how well medical students and professional
   researchers can handle it; to identify which kind of translational
   researchers-in terms of skills, experienced limitations, and available
   data-can take advantage of tranSMART; and to evaluate the usability and
   to generate recommendations for improvements.
   Methods An online-based test has been done by medical students (N = 109)
   and researchers (N = 26). The test comprised 13 tasks in the context of
   four typical research scenarios based on experimental and clinical data.
   A web questionnaire was provided to identify both the needs and the
   conditions of research as well as to evaluate the system's usability
   based on the "System Usability Scale" (SUS).
   Results Students and researchers were able to handle tranSMART well and
   coped with most scenarios: cohort identification, data exploration,
   hypothesis generation, and hypothesis validation were answered with a
   rate of correctness between 82 and 100%. Of the total, 72.2% of the
   teaching researchers considered tranSMART suitable for their lessons and
   84.6% of the researchers considered the platform useful for their daily
   work; 65.4% of the researchers named the nonavailability of a platform
   like tranSMART as a restriction on their research. The usability was
   rated "acceptable" with a SUS of 70.8.
   Conclusion tranSMART is potentially suitable for education purposes and
   fits most of the needs of translational researchers. Improvements are
   needed on the presentation of analysis results and on the guidance of
   users through the analysis, especially to ensure the compliance of the
   analysis with the requirements of statistical testing.
RI Naschberger, Elisabeth/AAV-5289-2021; Stürzl, Michael/B-3019-2015; Bosserhoff, Anja/GNH-4801-2022; Bosserhoff, Anja/; Seuss, Hannes/
OI Naschberger, Elisabeth/0000-0003-1291-622X; Stürzl,
   Michael/0000-0002-9276-2824; Bosserhoff, Anja/0000-0001-8147-394X;
   Seuss, Hannes/0000-0001-9429-6153
TC 7
ZS 0
Z8 0
ZA 0
ZB 1
ZR 0
Z9 7
U1 0
U2 7
SN 1869-0327
UT WOS:000423148000018
PM 29270954
ER

PT J
AU Ketelaars, Pleun J. W.
   Buskes, M. H. M.
   Bosgraaf, R. P.
   van Hamont, D.
   Prins, Judith B.
   Massuger, L. F. A. G.
   Melchers, Willem J. G.
   Bekkers, Ruud L. M.
TI The effect of video information on anxiety levels in women attending
   colposcopy: a randomized controlled trial
SO ACTA ONCOLOGICA
VL 56
IS 12
BP 1728
EP 1733
DI 10.1080/0284186X.2017.1355108
PD 2017
PY 2017
AB Objective: The aim was to investigate whether additional information, in
   video form, reduces anxiety, depression and pain levels in women
   referred for colposcopy.Material and methods: Between September 2012 and
   March 2015, 136 patients referred for colposcopy were randomized into
   two study arms. Group A received video information in addition to the
   regular information leaflet, and group B (control group) received only
   the regular information leaflet. The patients were requested to complete
   standardized online questionnaires. The first online questionnaire (T1)
   was pre-randomization, and was completed at home, 5 days prior to the
   appointment. The second online questionnaire (T2) was completed directly
   before the colposcopy appointment, and the last online questionnaire
   (T3) was completed directly following colposcopy at the out-patient
   clinic. The questionnaires included the Spielberger State-Trait Anxiety
   Inventory (STAI), the Hospital Anxiety and Depression Scale (HADS), and
   the Numeric Rating Scale (NRS) to assess pain.Results: The STAI state
   anxiety score was high (44.6), but there was no significant difference
   in STAI, HADS and NRS between the two groups at the three measuring
   points. A post hoc analysis showed that women with a generally higher
   baseline anxiety trait had significantly lower HADS anxiety levels
   following video information.Conclusions: Additional information (video)
   before colposcopy did not significantly reduce anxiety, depression, and
   expected or experienced pain, as measured by the STAI, HADS and NRS in
   patients attending their first colposcopy appointment. However, most
   patients positively appreciated the video information, which may reduce
   the anxiety of extremely anxious patients.
RI Massuger, Leon F.A.G./H-8072-2014; Melchers, Willem/C-8819-2015; Bekkers, Ruud/M-3866-2014; Prins, Judith B/C-8522-2013; Bekkers, Ruud/AAU-5319-2020
OI Melchers, Willem/0000-0002-5446-2230; Bekkers, Ruud/0000-0002-4577-8495;
   
ZA 0
ZS 0
ZR 0
ZB 1
Z8 1
TC 16
Z9 17
U1 0
U2 2
SN 0284-186X
EI 1651-226X
UT WOS:000418118800009
PM 28760058
ER

PT J
AU Zarobkiewicz, Michal Konrad
   Zimecka, Aleksandra
   Zuzak, Tomasz
   Cieslak, Dominika
   Rolinski, Jacek
   Grywalska, Ewelina
TI Vaccination among Polish university students. Knowledge, beliefs and
   anti-vaccination attitudes
SO HUMAN VACCINES & IMMUNOTHERAPEUTICS
VL 13
IS 11
BP 2654
EP 2658
DI 10.1080/21645515.2017.1365994
PD 2017
PY 2017
AB Anti-vaccination movement has existed as long as the vaccines
   themselves, but its mode of action and social influences evolved over
   time. Such attitude with no doubt has negative impact on vaccination
   rates and eradication of infectious diseases. In this study, we used an
   online survey to examine vaccination attitudes of Polish university
   students of various degree and specialties. A total of 1,386
   questionnaires were completed, among them 617 from students attending
   medical schools and 769 from students of non-medical schools. Up to
   95.24% (N = 1320) of the study subjects, among them 98.70% and 92.46% of
   students of medical and non-medical specialties, respectively, declared
   willingness to vaccinate their children. 47.19% (N = 654) of
   participants have a contact with anti-vaccination propaganda at least
   once in a lifetimes. 42.64% (N = 591) of respondents were aware of the
   existence of anti-vaccination movements; 45.35% (N = 414) of
   participants, including 306 (51.52%) and 108 (33.86%) students of
   medical and non-medical disciplines, respectively, considered such
   movements as a negative phenomenon. Vaccination attitudes of students
   from medical and non-medical universities differed considerably.
   Vaccination knowledge and awareness among the students from non-medical
   universities were rather poor, markedly lower than in the students of
   medical disciplines. Nevertheless, irrespective of their major, Polish
   students have considerable knowledge gaps with regards to vaccination
   and need additional education in this matter.
RI Zarobkiewicz, Michal/V-3183-2019; Rolinski, Jacek/; Cieslak, Dominika/; Grywalska, Ewelina/
OI Zarobkiewicz, Michal/0000-0003-0788-6353; Rolinski,
   Jacek/0000-0003-4841-6120; Cieslak, Dominika/0000-0002-2135-847X;
   Grywalska, Ewelina/0000-0002-0451-4741
ZA 0
ZB 11
ZR 0
TC 19
ZS 2
Z8 0
Z9 19
U1 0
U2 6
SN 2164-5515
EI 2164-554X
UT WOS:000417952400030
PM 28933660
ER

PT J
AU Armstrong-Heimsoth, Amy
   Johnson, Melissa L.
   McCulley, Aubrey
   Basinger, Marisa
   Maki, Kelly
   Davison, Dakota
TI Good Googling: A Consumer Health Literacy Program Empowering Parents to
   Find Quality Health Information Online
SO JOURNAL OF CONSUMER HEALTH ON THE INTERNET
VL 21
IS 2
BP 111
EP 124
DI 10.1080/15398285.2017.1308191
PD 2017
PY 2017
AB Only 12% of Americans possess adequate health literacy skills. Among the
   populations cited with the lowest health literacy are those who
   experience chronic health conditions. A pilot health information
   literacy program was designed for parents of children with complex
   medical needs to help improve low health literacy in this population.
   The program targeted finding and determining trustworthy information
   online and was evaluated using a pre-post survey design. After the
   program parents' confidence improved significantly in finding,
   interpreting, and judging quality online health information. These
   skills play an important role in promoting family-centered care and
   decreasing the burden on health care consumers.
ZB 2
ZA 0
ZS 0
Z8 0
TC 16
ZR 0
Z9 16
U1 2
U2 13
SN 1539-8285
EI 1539-8293
UT WOS:000419835400001
ER

PT J
AU Prilop, Valerie
   Justice, Adela V.
   Brackeen, Elizabeth
TI Recommended Resources for Cancer Patients: Transitioning from Paper
   Pathfinders to LibGuides
SO JOURNAL OF CONSUMER HEALTH ON THE INTERNET
VL 21
IS 2
BP 125
EP 136
DI 10.1080/15398285.2017.1309893
PD 2017
PY 2017
AB In 2015, The Learning Center, a consumer health library at MD Anderson
   Cancer Center, embarked on a project to translate paper pathfinders into
   online Recommended Resources in Springshare's LibGuides platform. This
   project was successfully undertaken by a small staff of librarians and
   health education specialists with a range of technical skills and
   allowed online access to resources available both online and in The
   Learning Center. This article briefly addresses the activities and
   decisions leading up to the adoption of LibGuides, outlines the process
   of creating more than 40 online Recommended Resources, and describes the
   outcomes to date.
RI Justice, Adela V./ABI-7836-2020
OI Justice, Adela V./0000-0002-3343-5401
ZB 0
Z8 0
ZR 0
ZS 0
ZA 0
TC 1
Z9 1
U1 1
U2 4
SN 1539-8285
EI 1539-8293
UT WOS:000419835400002
ER

PT J
AU Malone, Tara
   Jo, Phill
   Clifton, Shari
TI Perceived eHealth Literacy and Information Behavior of Older Adults
   Enrolled in a Health Information Outreach Program
SO JOURNAL OF CONSUMER HEALTH ON THE INTERNET
VL 21
IS 2
BP 137
EP 147
DI 10.1080/15398285.2017.1300040
PD 2017
PY 2017
AB In collaboration with a public library system, faculty from a health
   sciences center library offered a series of courses for older adults
   based on the NIHSeniorHealth Toolkit for Trainers. A mixed-methods
   survey was offered to all program attendees during the training
   sessions. The survey assessed participants' perceived eHealth literacy,
   which websites they searched for eHealth information, participants'
   most/least trusted sources of health information, and if/what barriers
   exist for older adults when searching for eHealth information. Results
   from this pilot program indicate that participants believe access to
   eHealth resources is important and useful, but are unsure what online
   resources are available, how to find them, or how to evaluate their
   quality.
RI Clifton, Shari C/D-4092-2013; Malone, Tara/
OI Clifton, Shari C/0000-0003-0743-8198; Malone, Tara/0000-0002-1998-3532
ZS 0
ZB 0
Z8 0
ZR 0
ZA 0
TC 10
Z9 10
U1 5
U2 21
SN 1539-8285
EI 1539-8293
UT WOS:000419835400003
ER

PT J
AU Askin, Nicole
TI Providing Access to Multilingual Patient Education Materials
SO JOURNAL OF CONSUMER HEALTH ON THE INTERNET
VL 21
IS 3
BP 305
EP 312
DI 10.1080/15398285.2017.1353289
PD 2017
PY 2017
AB Access to reliable yet readable health information is key for consumers
   making health decisions and participating in the management of their
   care. This presents a particular challenge for patients whose first
   language is not English. The language barrier makes it difficult for
   them to understand the counsel and direction of care providers or
   educational materials only available in English. Online reliable sources
   in their own language may be difficult to locate, particularly for those
   with additional literacy or technological barriers. This article will
   highlight a pilot project to collate online patient education materials
   in languages other than English for use by providers in primary care.
RI Askin, Nicole/P-5795-2015
OI Askin, Nicole/0000-0001-9211-4694
Z8 0
ZA 0
ZB 0
TC 0
ZS 0
ZR 0
Z9 0
U1 0
U2 4
SN 1539-8285
EI 1539-8293
UT WOS:000419835700008
ER

PT J
AU Pattison-Sharp, Ella
   Estrada, Robin Dawson
   Elio, Alice
   Prendergast, Melissa
   Carpenter, Delesha M.
TI School nurse experiences with prescription opioids in urban and rural
   schools: A cross-sectional survey
SO JOURNAL OF ADDICTIVE DISEASES
VL 36
IS 4
BP 236
EP 242
DI 10.1080/10550887.2017.1361725
PD 2017
PY 2017
AB Few studies have examined the use of prescription opioids in schools.
   The current study aimed to: (1) describe the context within which school
   nurses encounter student opioid prescriptions; (2) assess school nurses'
   preferences for training and student education; and (3) explore
   urban-rural differences in school nurses' experiences and training
   preferences. A convenience sample of school nurses (n = 633) from North
   Carolina and South Carolina participated in a brief, anonymous, online
   survey. Qualitative data were analyzed thematically and statistical
   tests (t-tests and Chi-square tests) were performed to investigate
   urban-rural differences. Many school nurses (40.3%) had encountered a
   student with an opioid prescription, but only 3.6% had naloxone
   available in case of an overdose. Most school nurses (69.9%), especially
   rural school nurses, believed students would benefit from opioid
   education (74.9 versus 66.6%, p = 0.03). The majority of school nurses
   (83.9%) were interested in opioid-related training. Many school nurses
   encounter students with prescription opioids and would like additional
   opioid-related training. The potential benefits of providing naloxone
   access to prevent opioid-related deaths at schools should be explored.
RI Carpenter, Delesha M/I-1286-2015
OI Carpenter, Delesha M/0000-0003-2025-8140
ZR 0
TC 4
ZB 0
ZA 0
ZS 0
Z8 0
Z9 4
U1 1
U2 5
SN 1055-0887
EI 1545-0848
UT WOS:000417488100006
PM 28786772
ER

PT J
AU Turcu, Diana Veronica
   Alexoaie, Stefana Cristina
   Salahoru, Paul
   Mihaescu, Traian
TI YOUNG DOCTORS FACING MEDICAL ERRORS, A POSSIBLE SOLUTION TO CONTROL THE
   INCIDENCE OF MISSED DIAGNOSTICS
SO INTERNATIONAL JOURNAL OF MEDICAL DENTISTRY
VL 21
IS 4
BP 261
EP 263
PD 2017
PY 2017
AB Introduction: Patient safety is fundamental for a qualitative medical
   system. Although the topic of medical errors has been in the spotlight
   for many years, they continue to be responsible for many deaths
   worldwide. Out of these, the highest morbidity is claimed by diagnostic
   errors. Cognition is the key factor responsible for this type of errors.
   The aim of this study was to evaluate how medical residents are taught
   to employ cognition in the process of clinical reasoning. Materials and
   methods: The study made use of a 14-items online questionnaire filled in
   by 51 male and female medical residents in Iasi, Romania, between July
   4th and September 4th 2017. Results and discussion: Most of the
   respondents (84.2%) have recognized the existence of cognitive biases
   during the diagnostic process. Almost half of the contributing residents
   (41.2%) think that the experience of older physicians is helping them
   commit less cognitive errors. The same percentage of respondents admits
   that they do not know how to reduce the incidence of diagnostic errors.
   Conclusions: The survey reveals the lack of information in preventing
   diagnostic errors and the need for education regarding clinical
   reasoning during residency training.
ZR 0
TC 0
ZA 0
ZB 0
ZS 0
Z8 0
Z9 0
U1 0
U2 1
SN 2066-6063
UT WOS:000419176000003
ER

PT J
AU Fazel, Maryam T.
   Fazel, Mohammad
   Bedrossian, Nora L.
   Picazo, Fernando
   Sobel, Julia D.
   Fazel, Mahdieh
   Te, Charisse
   Pendergrass, Merri L.
TI Impact of supplemental training programs on improving medical students'
   confidence in providing diabetes self-management education and support
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 8
BP 675
EP 680
DI 10.2147/AMEP.S141764
PD 2017
PY 2017
AB Background/purpose: The purpose of this study was to evaluate the
   effectiveness of supplemental diabetes-related training modalities and
   volunteer activities in increasing first-year medical students'
   knowledge/comfort in providing diabetes self-management education and
   support (DSMES) to patients.
   Methods: A group of medical students developed supplemental
   diabetes-related training/volunteer programs. The training modalities
   included an optional 7-session interprofessionally taught Diabetes
   Enrichment Elective and a 3-hour endocrinologist-led training session
   intended to prepare students for involvement in an inpatient DSMES
   volunteer program. The volunteer program provided the students with the
   opportunity to provide DSMES to patients with diabetes admitted to an
   academic medical center. Those participating in any of the stated
   programs were compared to those with no such training regarding
   confidence in providing DSMES using an optional online survey. The
   results were analyzed by using Mann-Whitney U test and descriptive
   analyses.
   Results: A total of 18 first-year medical students responded to the
   optional survey with a response rate of similar to 30% (10 of 33) among
   participants in any training/volunteer program. First-year medical
   students who attended any of the offered optional programs had
   statistically significant higher comfort level in 4 of the 6 areas
   assessed regarding providing DSMES compared with those with no such
   training (p<0.05), with medium to large effect size (r=0.48-0.59).
   Conclusion: This study suggests that the supplemental preclerkship
   diabetes-specific training modalities/volunteer programs can provide
   benefit in providing medical students with practical knowledge while
   improving their confidence in providing DSMES to patients with diabetes.
TC 2
ZA 0
ZS 0
ZR 0
Z8 0
ZB 0
Z9 2
U1 0
U2 5
SN 1179-7258
UT WOS:000412405900001
PM 29033623
ER

PT J
AU Malik, Bassit
   Ojha, Utkarsh
   Khan, Hassan
   Begum, Farzana
   Khan, Harun
   Malik, Qasim
TI Medical student involvement in health policy roles
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 8
BP 735
EP 743
DI 10.2147/AMEP.S147212
PD 2017
PY 2017
AB Objectives: A teaching curriculum in health policy may be well
   established in medical school; however, an emphasis on applying taught
   principles via participation in health policy roles is less defined. We
   undertook a study to explore medical student participation in health
   policy roles.
   Design and setting: An anonymous online survey via convenience sampling
   was conducted in the UK.
   Participants: A total of 112 students from six medical schools
   participated in the study.
   Outcome measures: The outcome measures were as follows: medical
   students' beliefs about their current knowledge of health policy and
   their desire to learn more; their current, past and future involvement
   in a health policy role, and perceived barriers to involvement.
   Results: Forty-seven percent of participants reported previous teaching
   on health policy, with the majority scoring themselves 2 out of 5 for
   knowledge about the topic (38%). Seventy-seven percent of participants
   expressed a desire to be taught health policy while 73% agreed with
   compulsory teaching. Ninety-six percent of participants reported no
   current or previous activity in a health policy role, with 61% willing
   to undertake a role in the future. The three main barriers to student
   involvement were: a lack of knowledge about health policy (57%), an
   unawareness of opportunities available (56%), and a lack of time (43%).
   Conclusion: In addition to already established teaching programs within
   medical school, implementation of community-based experiences could
   improve knowledge of health policy, while providing an opportunity for
   students to gain experience in health policy committee roles.
OI Malik, Bassit/0000-0002-9076-8675
TC 7
ZB 0
ZR 0
Z8 0
ZA 0
ZS 0
Z9 7
U1 0
U2 1
SN 1179-7258
UT WOS:000414455100001
PM 29138613
ER

PT J
AU Al Mohajer, Mayar
   Matthias, Kathryn R.
   Nix, David E.
TI Improving the knowledge of students and physicians regarding appropriate
   use of antibiotics for respiratory infections through an online
   educational module
SO AMERICAN JOURNAL OF INFECTION CONTROL
VL 45
IS 1
BP E15
EP E17
DI 10.1016/j.ajic.2016.09.027
PD JAN 1 2017
PY 2017
AB We developed an interactive online module to improve the knowledge of
   students and physicians regarding respiratory infections. Our study
   showed that the completion of this module was associated with
   substantial improvement in knowledge, with modest retention after 2
   months. (C) 2017 Association for Professionals in Infection Control and
   Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
RI Nix, David E./AFO-9851-2022; Nix, David E./AAD-5166-2022
ZR 0
ZB 1
ZS 0
ZA 0
TC 1
Z8 0
Z9 1
U1 0
U2 1
SN 0196-6553
EI 1527-3296
UT WOS:000392627200003
PM 27839751
ER

PT J
AU Spooner, S.
   Gibson, Jon
   Rigby, Dan
   Sutton, Matt
   Pearson, Emma
   Checkland, Kath
TI Stick or twist? Career decision-making during contractual uncertainty
   for NHS junior doctors
SO BMJ OPEN
VL 7
IS 1
AR e013756
DI 10.1136/bmjopen-2016-013756
PD JAN 2017
PY 2017
AB Objectives: To examine the extent, and nature, of impact on junior
   doctors' career decisions, of a proposed new contract and the
   uncertainty surrounding it.
   Design: Mixed methods. Online survey exploring: doctors' future training
   intentions; their preferred specialty training (ST) programmes; whether
   they intended to proceed immediately to ST; and other plans. Linked
   qualitative interviews to explore more fully how and why decisions were
   affected.
   Setting: Doctors (F2s) in second year of Foundation School (FS)
   Programmes in England.
   Participants Invitations sent by FSs. Open to all F2s November
   2015-February 2016. All FSs represented. Survey completed by 816 F2s.
   Sample characteristics broadly similar to national F2 cohort.
   Main outcome measures: Proportions of doctors intending to proceed to ST
   posts in the UK, to defer or to exit UK medicine. Proportion of doctors
   indicating changes in training and career plans as a result of the
   contract and/or resulting uncertainty. Distribution of changes across
   training programmes. Explanations of these intentions from interviews
   and free text comments.
   Results: Among the responding junior doctors, 20% indicated that issues
   related to the contract had prompted them to switch specialty and a
   further 20% had become uncertain about switching specialty. Switching
   specialty choice was more prevalent among those now choosing a
   community-based, rather than hospital-based specialty. 30% selecting
   general practice had switched choice because of the new contract.
   Interview data suggests that doctors felt they had become less valued or
   appreciated in the National Health Service and in society more broadly.
   Conclusions: Doctors reported that contract-related issues have affected
   their career plans. The most notable effect is a move away from acute to
   community-based specialities, with the former perceived as more
   negatively affected by the proposed changes. It is concerning that young
   doctors feel undervalued, and this requires further investigation.
RI Rigby, Dan/A-9606-2009; Gibson, Jon/; Sutton, Matt/; Checkland, Kath/G-8442-2014; Spooner, Sharon/
OI Rigby, Dan/0000-0003-0820-5740; Gibson, Jon/0000-0003-4177-8049; Sutton,
   Matt/0000-0002-6635-2127; Checkland, Kath/0000-0002-9961-5317; Spooner,
   Sharon/0000-0001-6965-3673
ZS 0
TC 19
ZA 0
Z8 0
ZB 0
ZR 0
Z9 19
U1 0
U2 9
SN 2044-6055
UT WOS:000395590300127
PM 28122834
ER

PT J
AU Zambrano, Sofa C.
   Chur-Hansen, Anna
   Crawford, Gregory B.
TI Attending patient funerals: Practices and attitudes of Australian
   medical practitioners
SO DEATH STUDIES
VL 41
IS 2
BP 78
EP 86
DI 10.1080/07481187.2016.1214631
PD 2017
PY 2017
AB The appropriateness of attending a patient's funeral is a medical
   dilemma. This article focuses on 437 doctors who participated in an
   online survey. Seventy-one percent of general practitioners, 67% of
   oncologists, 67% of psychiatrists, 63% of palliative medicine
   specialists, 52% of surgeons, and 22% of intensive care specialists had
   attended patient funerals. Significant differences in demographics and
   between specialties were identified in terms of barriers and benefits
   associated with attendance. Although attendance is a personal decision,
   there is a need for open discussions in medical education and
   professional development concerning death and the role of doctors after
   a patient dies.
RI Chur-Hansen, Anna/H-9947-2019; Crawford, Gregory/AAA-2653-2021; Zambrano Ramos, Sofia Carolina/
OI Chur-Hansen, Anna/0000-0002-2935-2689; Crawford,
   Gregory/0000-0001-7347-8855; Zambrano Ramos, Sofia
   Carolina/0000-0002-0918-9722
TC 6
ZR 0
ZS 0
ZA 0
ZB 2
Z8 0
Z9 6
U1 0
U2 2
SN 0748-1187
EI 1091-7683
UT WOS:000396940700002
PM 27611349
ER

PT J
AU Gallardo-Rincon, Hector
   Saucedo-Martinez, Rodrigo
   Mujica-Rosales, Ricardo
   Lee, Evan M.
   Israel, Amy
   Torres-Beltran, Braulio
   Quijano-Gonzalez, Ursula
   Rose Atkinson, Elena
   Kuri-Morales, Pablo
   Tapia-Conyer, Roberto
TI Online continuing medical education as a key link for successful
   noncommunicable disease self-management: the CASALUD (TM) Model
SO DIABETES METABOLIC SYNDROME AND OBESITY-TARGETS AND THERAPY
VL 10
BP 443
EP 455
DI 10.2147/DMSO.S137891
PD 2017
PY 2017
AB Purpose: The purpose of this study is to evaluate how the benefits of
   online continuing medical education (CME) provided to health care
   professionals traveled along a patient "educational chain". In this
   study, the educational chain begins with the influence that CME can have
   on the quality of health care, with subsequent influence on patient
   knowledge, disease self-management, and disease biomarkers.
   Methods: A total of 422 patients with at least one noncommunicable
   disease (NCD) treated in eight different Mexican public health clinics
   were followed over 3 years. All clinics were participants in the CASALUD
   Model, an NCD care model for primary care, where all clinic staff were
   offered CME. Data were collected through a questionnaire on health care,
   patient disease knowledge, and self-management behaviors; blood samples
   and anthropometric measurements were collected to measure patient
   disease biomarkers.
   Results: Between 2013 and 2015, the indexes measuring quality of health
   care, patient health knowledge, and diabetes self-management activities
   rose moderately but significantly (from 0.54 to 0.64, 0.80 to 0.84, and
   0.62 to 0.67, respectively). Performing self-care activities - including
   owning and using a glucometer and belonging to a disease support group -
   saw the highest increase (from 0.65 to 0.75). A1C levels increased
   between 2013 and 2015 from 7.95 to 8.41% (63-68 mmol/mol) (P<0.001), and
   blood pressure decreased between 2014 and 2015 from 143.7/76.8 to
   137.5/74.4 (systolic/diastolic reported in mmHg) (P<0.001). The mean
   levels of other disease biomarkers remained statistically unchanged,
   despite the improvements seen in the previous "links" of the educational
   chain.
   Conclusion: Online CME can effect certain changes in the educational
   chain linking quality of health care, patient knowledge, and
   self-management behaviors. However, in order to assure adequate NCD
   control, the entire health care system must be improved in tandem.
   Online CME programs, such as CASALUD's, are feasible strategies for
   impacting changes in disease self-management at a clinic level
   throughout a country.
OI Tapia-Conyer, Roberto/0000-0001-9425-7322; Gallardo-Rincon, Hector
   Jose/0000-0002-0811-4606
ZS 3
TC 3
ZB 0
Z8 0
ZR 0
ZA 0
Z9 6
U1 0
U2 9
SN 1178-7007
UT WOS:000416854800001
PM 29089779
ER

PT J
AU Chen, Yanni
   Peate, Michelle
   Kaur, Rajneesh
   Meiser, Bettina
   Wong, Tim
   Kirk, Judy
   Ward, Robyn L.
   Goodwin, Annabel
   Macrae, Finlay
   Hiller, Janet
   Trainer, Alison H.
   Mitchell, Gillian
TI Exploring clinicians' attitudes about using aspirin for risk reduction
   in people with Lynch Syndrome with no personal diagnosis of colorectal
   cancer
SO FAMILIAL CANCER
VL 16
IS 1
BP 99
EP 109
DI 10.1007/s10689-016-9933-1
PD JAN 2017
PY 2017
AB Recent research has shown that aspirin reduces the risk of cancers
   associated with Lynch Syndrome. However, uncertainty exists around the
   optimal dosage, treatment duration and whether the benefits of aspirin
   as a risk-reducing medication (RRM) outweigh adverse medication related
   side-effects. Little is known about clinicians' attitudes, current
   practice, and perceived barriers to recommending aspirin as a RRM. To
   explore the attitudes of clinicians who discuss risk management options
   with patients with Lynch Syndrome towards using aspirin as a RRM.
   Clinicians were invited through professional organisations to complete
   an online survey. Topics included their clinical experience with Lynch
   Syndrome, views and practice of recommending aspirin as a RRM, and
   knowledge about clinical risk management guidelines for Lynch Syndrome.
   Comparison of attitudes was made between three professional groups. 181
   respondents were included in the analysis: 59 genetics professionals
   (genetic counsellors and clinical geneticists, medical oncologists with
   specialist training in familial cancer), 49 gastroenterologists and 73
   colorectal surgeons. Most clinicians (76 %) considered aspirin to be an
   effective RRM and most (72 %) were confident about discussing it. In all
   professional categories, those who were confident about discussing
   aspirin with patients perceived it to be an effective RRM (OR = 2.8 [95
   % CI = 1.8-4.2], p < 0.001). Eighty percent (47/59) of genetics
   professionals reported having discussed the use of aspirin with Lynch
   Syndrome patients compared to 69 % of gastroenterologists and 68 % of
   colorectal surgeons. Those who considered aspirin as an effective RRM or
   who felt confident in their knowledge of the aspirin literature were
   more likely (OR = 10 [95 % CI = 1.5-65], p = 0.010, OR = 6 [95 % CI =
   2.2-16], p < 0.001, respectively) to discuss it with their patients than
   other professionals in the study. Similarly health professionals who
   felt confident in their knowledge of literature of aspirin/confident in
   discussing with the patients were more likely (OR = 6 [95 % CI =
   2.2-16], p < 0.001) to discuss with their patients. Health professionals
   who saw more than ten patients with Lynch Syndrome per year were more
   likely to be confident in their knowledge of the aspirin literature and
   discussing it with patients (OR = 4.1 [95 % CI = 1.6-10.2], p = 0.003).
   Explicit recommendations to take aspirin, was reported by 65/83 (78 %)
   of health professionals. Eighty-seven percent of health professionals
   reported a need for patient educational materials about aspirin.
   Continuing training is needed to increase clinicians' confidence in
   their knowledge of the literature on the use of aspirin as a RRM.
   Patient education materials may be helpful in improving consistency in
   patient care and facilitate communication between clinicians and people
   living with Lynch Syndrome.
RI Peate, Michelle/AAD-6245-2022; Hiller, Janet E./A-5633-2008; Meiser, Bettina/AAG-5480-2021; Kaur, Rajneesh/; Ward, Robyn/I-2313-2013; Goodwin, Annabel/; Peate, Michelle/
OI Hiller, Janet E./0000-0002-8532-4033; Kaur,
   Rajneesh/0000-0002-4406-4327; Ward, Robyn/0000-0002-6877-8906; Goodwin,
   Annabel/0000-0002-8859-9980; Peate, Michelle/0000-0003-2903-4688
ZA 0
TC 3
ZR 0
Z8 0
ZS 0
ZB 1
Z9 3
U1 0
U2 4
SN 1389-9600
EI 1573-7292
UT WOS:000392940700012
PM 27677266
ER

PT J
AU Coleman, Karen J.
   Hemmila, Tani
   Valenti, Mark D.
   Smith, Nasya
   Quarrell, Rachel
   Ruona, Lynnice K.
   Brandenfels, Emily
   Hann, Barbara
   Hinnenkamp, Todd
   Parra, Margarita D.
   Monkman, Jeyn
   Vos, Sue
   Rossom, Rebecca C.
TI Understanding the experience of care managers and relationship with
   patient outcomes: the COMPASS initiative
SO GENERAL HOSPITAL PSYCHIATRY
VL 44
BP 86
EP 90
DI 10.1016/j.genhosppsych.2016.03.003
PD JAN-FEB 2017
PY 2017
AB Objective: To understand how care managers implemented COMPASS and if
   this was related to patient health outcomes.
   Methods: A total of 96 COMPASS care managers were approached to
   participate in the online survey and 93 (97%) provided responses.
   Correlations were generated between key survey responses and the average
   number of care management contacts, patient depression, blood pressure
   and glycosylated hemoglobin outcomes.
   Results: Patients of care managers who reported spending more time on
   COMPASS-related tasks had higher rates of depression improvement
   (r=0.34; P=.002) and remission (r=0.27; P=.02) as well as higher rates
   of blood pressure control (r=0.29; P=.03).
   Conclusions: To improve the effectiveness of care management in
   collaborative care models, particularly for patients with comorbid
   conditions and complex nonmedical needs, care managers need the support
   of social work and administrative support staff. Care managers for this
   patient population would also benefit from more intensive training in
   nonpharmacological depression treatment, such as motivational
   interviewing and behavioral activation. Additionally, systems support is
   needed such as education for primary care teams and psychiatry on the
   value of collaborative care models and integration of population
   management tools into electronic medical records. (C) 2016 Elsevier Inc.
   All rights reserved.
RI Rossom, Rebecca/R-7103-2019; Rossom, Rebecca/
OI Rossom, Rebecca/0000-0002-9531-914X
ZA 0
ZS 0
ZB 2
ZR 0
TC 16
Z8 0
Z9 16
U1 0
U2 5
SN 0163-8343
EI 1873-7714
UT WOS:000392628700014
PM 27558105
ER

PT J
AU Gogovor, Amede
   Visca, Regina
   Auger, Clauding
   Bouvrette-Leblanc, Lucie
   Symeonidis, Iphigenia
   Poissant, Lise
   Ware, Mark A.
   Shir, Yoram
   Viens, Natacha
   Ahmed, Sara
TI Informing the development of an Internet-based chronic pain
   self-management program
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 97
BP 109
EP 119
DI 10.1016/j.ijmedinf.2016.10.005
PD JAN 2017
PY 2017
AB Background: Self-management can optimize health outcomes for individuals
   with chronic pain (CP), an increasing fiscal and social burden in
   Canada. However, self-management is rarely integrated into the regular
   care (team activities and medical treatment) patients receive. Health
   information technology offers an opportunity to provide regular
   monitoring and exchange of information between patient and care team.
   Objective: To identify information needs and gaps in chronic pain
   management as well as technology features to inform the development of
   an Internet-based self-management program.
   Methods: Two methods were used. First was a structured literature
   review: electronic databases were searched up to 2015 with combinations
   of MeSH terms and text-words such as chronic pain, self-management,
   self-efficacy, technology, Internet-based, patient portal, and e-health.
   A narrative synthesis of the characteristics and content of
   Internet-based pain management programs emerging from the literature
   review and how they relate to gaps in chronic pain management were
   completed. Second, four audiotaped focus group sessions were conducted
   with individuals with chronic pain and caregivers (n=9) and health
   professionals (n=7) recruited from three multidisciplinary tertiary and
   rehabilitation centres. A thematic analysis of the focus group
   transcripts was conducted.
   Results: Thirty-nine primary articles related to 20 patient-oriented
   Internet-based programs were selected. Gaps in CP management included
   lack of knowledge, limited access to health care, suboptimal care, and
   lack of self-management support. Overall, 14 themes related to
   information needs and gaps in care were identified by both health
   professionals and patients, three were exclusive to patients and five to
   health professionals. Common themes from the focus groups included
   patient education on chronic pain care, attitude-belief-culture,
   financial and legal issues, end-of-program crash, and motivational
   content.
   Conclusions: Internet-based programs contain automated, communication
   and decision support features that can address information and care gaps
   reported by patients and clinicians. However, focus groups identified
   functionalities not reported in the literature, non-medical and
   condition- and context-specific information, integration of personal
   health records, and the role of the different health professionals in
   chronic pain management were not identified. These gaps need to be
   considered in the future development of Internet-based programs. While
   the association between the mechanisms of Internet-based programs'
   features and outcomes is not clearly established, the results of this
   study indicate that interactivity, personalization and tailored
   messages, combined with therapist contact will maximize the
   effectiveness of an Internet-based chronic pain program in enhancing
   self-management. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
RI Gogovor, Amédé/AAM-6924-2020; Ware, Mark/
OI Gogovor, Amédé/0000-0001-5988-0442; Ware, Mark/0000-0002-1286-1719
ZS 0
TC 14
ZA 0
Z8 0
ZR 0
ZB 1
Z9 14
U1 1
U2 36
SN 1386-5056
EI 1872-8243
UT WOS:000390485500011
PM 27919369
ER

PT J
AU Watson, Shawna L.
   Hollis, Robert H.
   Oladeji, Lasun
   Xu, Shin
   Porterfield, John R.
   Ponce, Brent A.
TI The Burden of the Fellowship Interview Process on General Surgery
   Residents and Programs
SO JOURNAL OF SURGICAL EDUCATION
VL 74
IS 1
BP 167
EP 172
DI 10.1016/j.jsurg.2016.06.008
PD JAN-FEB 2017
PY 2017
AB OBJECTIVES: This study evaluated the effect of the fellowship interview
   process in a cohort of general surgery residents. We hypothesized that
   the interview process would be associated with significant clinical time
   lost, monetary expenses, and increased need for shift coverage.
   DESIGN: An online anonymous survey link was sent via email to general
   surgery program directors in June 2014. Program directors distributed an
   additional survey link to current residents in their program who had
   completed the fellowship interview process.
   SETTING: United States allopathic general surgery programs.
   PARTICIPANTS: Overall, 50 general surgery program directors; 72 general
   surgery residents.
   RESULTS: Program directors reported a fellowship application rate of
   74.4%. Residents most frequently attended 8 to 12 interviews (35.2%).
   Most (57.7%) of residents reported missing 7 or more days of clinical
   training to attend interviews; these shifts were largely covered by
   other residents. Most residents (62.3%) spent over $4000 on the
   interview process. Program directors rated fellowship burden as an
   average of 6.7 on a 1 to 10 scale of disruption, with 10 being a
   significant disruption. Most of the residents (57.3%) were in favor of
   change in the interview process. We identified potential areas for
   improvement including options for coordinated interviews and improved
   content on program websites.
   CONCLUSIONS: The surgical fellowship match is relatively burdensome to
   residents and programs alike, and merits critical assessment for
   potential improvement. (Published by Elsevier Inc on behalf of the
   Association of Program Directors in Surgery)
OI Oladeji, Lasun/0000-0002-6968-5568; Watson, Shawna/0000-0002-6010-1749
TC 49
Z8 0
ZR 0
ZA 0
ZB 7
ZS 0
Z9 49
U1 0
U2 0
SN 1931-7204
EI 1878-7452
UT WOS:000392259200025
PM 27425434
ER

PT J
AU Barefoot, K. N.
   Warren, J. C.
   Smalley, K. B.
TI Women's health care: the experiences and behaviors of rural and urban
   lesbians in the USA
SO RURAL AND REMOTE HEALTH
VL 17
IS 1
AR 3875
PD JAN-MAR 2017
PY 2017
AB Introduction: Previous research has consistently demonstrated that, in
   comparison to their cisgender heterosexual counterparts, lesbians face a
   multitude of women's healthcare-related disparities. However, very
   little research has been conducted that takes an intersectionality
   approach to examining the potential influences of rural-urban location
   on the health-related needs and experiences of lesbians. The purpose of
   this study was to quantitatively compare rural and urban lesbians'
   access to women's health care, experiences with women's healthcare
   providers (WHCPs), and preventive behavior using a large, diverse sample
   of lesbians from across the USA.
   Methods: A total of 895 (31.1% rural and 68.9% urban) lesbian-identified
   cisgender women (ie not transgender) from the USA participated in the
   current online study. As part of a larger parent study, participants
   were recruited from across the USA through email communication to
   lesbian, gay, bisexual, and transgender (LGBT)-focused organizations and
   online advertisements. Participants were asked to complete a series of
   questions related to their women's healthcare-related experiences and
   behaviors (ie access to care, experiences with WHCPs, and preventive
   behavior). A series of chi(2) analyses were utilized in order to examine
   rural-urban differences across dependent variables.
   Results: An examination of sexual risks revealed that relatively more
   rural lesbians reported at least one previous male sexual partner in
   comparison to the urban sample of lesbians (78.1% vs 69.1%, chi(2) (1,
   N=890)=7.56, p=0.006). A similarly low percentage of rural (42.4%) and
   urban (42.9%) lesbians reported that they have a WHCP that they see on a
   regular basis for preventive care. In terms of experiences with WHCP
   providers, relatively fewer rural lesbians indicated that their current
   WHCP had discussed/recommended the human papillomavirus (HPV)
   vaccination in comparison to urban lesbians (27.5% vs. 37.2%; chi(2) (1,
   N=796)=7.24, p=0.007). No other rural-urban differences in experiences
   with WHCPs emerged - few rural and urban lesbians had been asked about
   their sexual orientation by their WHCP (38.8% and 45.0%, respectively),
   been provided with appropriate safe-sex education by their WHCP (21.4%
   and 25.3%), had their last HIV/sexually transmitted infection screening
   instigated by their WHCP (if applicable; 15.7% and 19.5%), and reported
   that their WHCP seems knowledgeable about lesbian health concerns (56.5%
   vs 54.6%). In terms of preventive behavior, significantly fewer rural
   lesbians aged 40 years or more had received a mammogram in the past 3
   years (63.2% vs 83.2%; chi(2) (1, N= 163)=8.36, p=0.004) when compared
   to their urban counterparts. No other significant rural-urban
   differences in preventive behaviors emerged. A similarly low percentage
   of rural and urban lesbians indicated that they have received the HPV
   vaccination (22.8% and 29.0%, respectively) and/or have had a HIV/STI
   screening (43.0% and 47.8%), Pap test (62.0% and 64.5%) or breast exam
   (59.2% and 62.8%), in the past 3 years.
   Conclusions: The current findings highlight that rural lesbians in the
   USA, in comparison to urban lesbians, may experience elevated health
   risks related to being more likely to have at least one previous male
   sexual partner, less likely to be recommended the HPV vaccination by a
   WHCP, and, for those 40 or older, less likely to receive routine
   mammogram screenings. Furthermore, rural lesbians appear to engage in
   similarly low rates of HPV vaccination and regular HIV/STI screenings,
   Pap tests, and clinical breast exams as their urban counterparts. Given
   the increased cervical and breast cancer risks associated with rural
   living, the current findings underscore the dire need for health
   promotion efforts aimed at increasing rural lesbians' engagement in
   routine pelvic and breast exams.
ZR 0
Z8 0
ZS 0
ZB 4
ZA 0
TC 12
Z9 12
U1 1
U2 15
SN 1445-6354
UT WOS:000401945200007
PM 28248528
ER

PT J
AU Krishnamurthy, Vikram D.
   Gutnick, Jesse
   Slotcavage, Rachel
   Jin, Judy
   Berber, Eren
   Siperstein, Allan
   Shin, Joyce J.
TI Endocrine surgery fellowship graduates past, present, and future: 8
   years of early job market experiences and what program directors and
   trainees can expect
SO SURGERY
VL 161
IS 1
BP 289
EP 295
DI 10.1016/j.surg.2016.06.069
PD JAN 2017
PY 2017
AB Background. Given the increasing number of endocrine surgery fellowship
   graduates, we investigated if expectations and job opportunities changed
   over time.
   Methods. American Association of Endocrine Surgeons (AAES) fellowship
   graduates, surgery department chairs, and physician recruiters were
   surveyed. Univariate analysis was performed with JMP Pro 12 software.
   Results. We identified 141 graduates from 2008-2015; survey response
   rate was 72% (n = 101). Compared to earlier graduates, fewer academic
   opportunities were available for the recent graduates who intended to
   join them (P = .001). Unlike earlier graduates, recent graduates
   expected to also perform elective general surgery, which ultimately
   represented a greater percentage of their practices (both P < .05).
   Interview offers increased for recent graduates, but job offers
   decreased. Overall, 84% of graduates matched their intended practice
   type and 98 % reported being satisfied. Reponses from graduates,
   department chairs, and physician recruiters highlighted opportunities to
   improve mentor involvement, job search strategies, and online job board
   utilization.
   Conclusion. The endocrine surgery job market has diversified resulting
   in more graduates entering nonacademic practices and performing general
   surgery. This rapid evolution supports future analyses of the job market
   and opportunities for job creation. Almost every graduate reported job
   satisfaction, which encourages graduates to consider joining both
   academic and nonacademic practices equally.
OI Siperstein, Allan/0000-0003-4691-1080; Slotcavage, Rachel
   L./0000-0002-9742-5210
ZR 0
ZA 0
Z8 0
TC 15
ZS 0
ZB 4
Z9 15
U1 0
U2 2
SN 0039-6060
UT WOS:000390836000068
PM 27866719
ER

PT J
AU Seifert, Anna M.
   Stotz, Nicole
   Metz, Alexia E.
TI Apps in therapy: occupational therapists' use and opinions
SO DISABILITY AND REHABILITATION-ASSISTIVE TECHNOLOGY
VL 12
IS 8
BP 772
EP 779
DI 10.1080/17483107.2016.1262912
PD 2017
PY 2017
AB To gather information on occupational therapy practitioners' use and
   opinions of apps, an online survey was distributed to occupational
   therapy practitioners licensed in the state of Ohio. The survey sought
   information regarding clinical populations and skill areas for which
   apps are used, potential barriers to use of apps and preferred apps/app
   features. OTs working in medical and education-based settings and with
   clients of all ages responded to the survey. Over half (53%) reported
   not using apps in therapy, with "not having access to the technology at
   work" being the leading reason endorsed. Of practitioners who did report
   using apps, the majority used them with <= 25% of their case load and
   primarily used tablets to do so. Clinicians indicated that they use apps
   for a wide variety of reasons, including to promote skill building and
   to support the therapeutic process. Preferred features included the
   ability to grade difficulty up/down, multiple uses and accurate
   feedback. Recommendations from peers were the most commonly reported way
   respondents found new apps. The results suggest that occupational
   therapy practitioners employ clinical reasoning when implementing apps
   in therapy. Possible ways to improve access to apps for therapists who
   would like to implement them are discussed.
OI Metz, Alexia/0000-0003-3867-5110; Stotz, Nicole L./0000-0002-5307-7787
ZR 0
TC 8
Z8 1
ZA 0
ZS 0
ZB 0
Z9 9
U1 0
U2 4
SN 1748-3107
EI 1748-3115
UT WOS:000418495700002
PM 27982716
ER

PT J
AU Simoes de Lima, Vanderlei Corradini
   Mourao Junior, Carlos Alberto
   Malaguti, Carla
TI Occupational adjust by communication technologies in a patient with
   amyotrophic lateral sclerosis: a self-report
SO SCIENTIA MEDICA
VL 27
IS 4
AR 27984
DI 10.15448/1980-6108.2017.4.27984
PD 2017
PY 2017
AB AIMS: This self-report presents the case of a physician and university
   professor affected by amyotrophic lateral sclerosis, and his experience
   in adjusting his occupational activities through communication
   technologies, as a distance education lecturer. It is a personal
   communication written by the reported patient/professor.
   CASE DESCRIPTION: The Neurophysiology Subject at the Federal University
   of the Juiz de Fora Medical School includes clinical case discussions at
   an online teaching platform. The reported patient has been collaborating
   as a lecturer of this discipline following the amyotrophic lateral
   sclerosis diagnosis. His professional experience as a physician and
   personal experience as a patient with a neuromuscular disease enriches
   the virtual clinical discussions. Through distance education, the
   lecturer overcome the physical limitations imposed by his underlying
   condition. He is able to deepen the discussion, highlighting
   psychosocial aspects, doctor-patient relationship, and humanization in
   neurodegenerative diseases.
   CONCLUSIONS: The interaction with the students, through distance
   learning, of this neurophysiology lecturer suffering with advanced
   amyotrophic lateral sclerosis, resulted in greater interest, better
   commitment to patients' care, and better student performance in the
   subject. It also improved the professor's self-reported quality of life
   and satisfaction, as he overcame his physical and social limitations,
   "feeling useful" again.
RI Malaguti, Carla/AAZ-3331-2020; Mourao-Junior, Carlos Alberto/GLT-3294-2022
OI Malaguti, Carla/0000-0002-6619-136X; Mourao-Junior, Carlos
   Alberto/0000-0001-7199-5365
Z8 0
ZR 0
TC 0
ZA 0
ZB 0
ZS 0
Z9 0
U1 0
U2 6
SN 1806-5562
EI 1980-6108
UT WOS:000418467800006
ER

PT J
AU Greeno, Elizabeth J.
   Ting, Laura
   Pecukonis, Ed
   Hodorowicz, Mary
   Wade, Kevin
TI The role of empathy in training social work students in motivational
   interviewing
SO SOCIAL WORK EDUCATION
VL 36
IS 7
BP 794
EP 808
DI 10.1080/02615479.2017.1346071
PD 2017
PY 2017
AB Motivational interviewing (MI), an evidence-based approach with empathy
   as a key principle, effectively addresses client concerns found in the
   child welfare population. Training social workers in MI, and to be
   empathic, would increase the likelihood of better service delivery. Live
   supervision (LS) is a form of training that provides real-time feedback
   by clinical supervisors. This randomized comparison trial compared the
   effectiveness of LS or Teaching as Usual (TAU) on empathy in 54 MSW and
   BSW social work students. TAU involved students receiving online modules
   and assigned readings. Data were collected at baseline, after the
   interventions, and at five months follow-up. Differences in perceived
   empathy and empathic behaviors were measured by the Motivational
   Interviewing Treatment Integrity (MITI) and Toronto Empathy
   Questionnaire (TEQ). The study also assessed whether demographic
   variables or perceived empathy (TEQ) predicted empathic behaviors
   (MITI). Results indicate that, while both groups improved on empathy as
   measured by the MITI and TEQ, the LS group demonstrated more
   improvement. Demographic variables had no impact on empathy. The TEQ and
   MITI also did not demonstrate predictability suggesting the complexity
   of measuring empathy. The implications for social work education and
   future training are discussed.
ZB 0
Z8 0
ZR 0
ZS 0
TC 18
ZA 0
Z9 18
U1 0
U2 7
SN 0261-5479
EI 1470-1227
UT WOS:000418492300004
ER

PT J
AU Louw, Adriaan
   Puentedura, Emilio J.
   Zimney, Kory
   Cox, Terry
   Rico, Debbie
TI The clinical implementation of pain neuroscience education: A survey
   study
SO PHYSIOTHERAPY THEORY AND PRACTICE
VL 33
IS 11
BP 869
EP 879
DI 10.1080/09593985.2017.1359870
PD 2017
PY 2017
AB Pain neuroscience education (PNE) has gained considerable attention in
   research. Three systematic reviews have shown increasing efficacy of PNE
   decreasing pain, disability, pain catastrophization, movement
   restrictions, and healthcare utilization. In the development of any new
   therapeutic approach, it is proposed that there are three stages:
   development, validation, and implementation. To date, the development
   and validation of PNE have been well-established. The third stage,
   implementation, however, lacks when it comes to PNE. The purpose of this
   study was to survey physical therapists (PT) on their experience and
   implementation of PNE, following a 15-hour PNE class. Upon development
   and validation of a PT-PNE survey, a random sample of PTs was invited to
   take the online survey. Two hundred and eighty-six PTs (female 56%)
   completed the PNE questionnaire. Ninety-one percent of PTs reported not
   being taught PNE in PT school. PT's are applying PNE into clinical
   practice to a variety of patients, experience outcomes in line with the
   current best-evidence, but struggle establishing which patients are
   ideal for PNE. The same five patient characteristics associated with
   success were also associated with failure, albeit in a different ranking
   order. This finding highlight the need to further investigate the
   factors associated with success and failure of PNE.
RI Puentedura, Emilio J./AAG-7118-2020; Zimney, Kory/
OI Puentedura, Emilio J./0000-0003-4771-4732; Zimney,
   Kory/0000-0002-7513-2126
ZB 1
ZS 0
Z8 0
ZR 0
ZA 0
TC 14
Z9 14
U1 1
U2 11
SN 0959-3985
EI 1532-5040
UT WOS:000416504200005
PM 28820626
ER

PT J
AU Mitchell, Veronica Ann
TI DIFFRACTING REFLECTION: A MOVE BEYOND REFLECTIVE PRACTICE
SO EDUCATION AS CHANGE
VL 21
IS 2
BP 165
EP 186
DI 10.17159/1947-9417/2017/2023
PD 2017
PY 2017
AB Reflective practice has become a core component in higher education
   studies. In the health sciences, reflective tasks are required
   throughout the undergraduate programmes, yet many students struggle to
   find value in these tasks for their present and future professional
   practice. Benefits that can be derived from the process are undermined
   by this lack of motivation for reflective engagement. Concern around the
   static, contained, individualist nature of reflections that often face
   judgement through assessment can be addressed by opening up the process
   to generate new potentials. In this paper, I draw on new materialism and
   the Baradian (2007) philosophy of diffraction to move beyond the
   reflective practices of representation and sameness by affirmatively
   working with/through differences. I refer to data collected in an ethics
   approved research study at the University of Cape Town (UCT), South
   Africa, to explain a context of unjust practices in which students
   learn. I demonstrate how students' reflective texts shared online on the
   Google Drive platform can be productive and transformative material
   forces that enact new knowledge, valued by students. The apparatus of
   text-students-events is put to work creating new possibilities to enable
   a socially just pedagogy in medical education.
TC 8
Z8 0
ZA 0
ZR 0
ZS 0
ZB 1
Z9 8
U1 1
U2 4
SN 1682-3206
EI 1947-9417
UT WOS:000417406100010
ER

PT J
AU Sato, Takahiro
   Haegele, Justin A.
TI Professional development in adapted physical education with graduate
   web-based professional learning
SO PHYSICAL EDUCATION AND SPORT PEDAGOGY
VL 22
IS 6
BP 618
EP 631
DI 10.1080/17408989.2017.1310832
PD 2017
PY 2017
AB Background: The field of adapted physical education (APE) has long
   struggled to overcome significant and persistent personnel shortages
   [Healy, S., M. E. Block, and J. Judge. 2014. "Certified Adapted Physical
   Educator's Perceptions of Advantages and Disadvantages of Online Teacher
   Development." Palaestra 28 (4): 14-16]. Moreover, many PE teachers are
   inadequately prepared to provide support and accommodations needed in
   self-contained and/or inclusive classrooms [Erickson, A. L., P. M.
   Noonan, and Z. McCall. 2012. "Effectiveness of Online Professional
   Development for Rural Special Educators." Rural Special Education
   Quarterly 31 (1): 22-32. doi: 10.1038/vital1285]. Career long
   professional development in APE is limited in scope, can be ineffective
   or inappropriate [Armour, K. M. 2010. "The Physical Education Profession
   and Its Professional Responsibility. or. Why" 12 Weeks Paid Holiday
   "Will Never Be Enough." Physical Education and Sport Pedagogy 15: 1-13],
   and is conducted as one or two day workshops. However, scholars
   recommend that intensive programs where participants spend several
   months in a cohort together can produce better results. The purpose of
   this study was to investigate in-service PE teachers' professional
   development experiences during and after online APE graduate
   professional learning.
   Participant and setting: Eight participants were purposefully selected
   for this study. All participants were in-service PE teachers enrolled in
   a state-approved online graduate APE endorsement program at a Midwestern
   public university in the United States. The program included two online
   courses (three credit hours each and 45 contact hours) titled
   Introduction of APE and Practicum in APE. All students were required to
   complete one course each semester (15 weeks) and program completion took
   two semesters (30 weeks). Data collection included face-to-face
   interviews (during courses and follow-up), e-mail communication, and
   bulletin board discussion logs.
   Research Design: This study adopted a descriptive-qualitative
   methodology using an explanatory case study design [Yin, R. 2003. Case
   Study Research Design and Methods. 3rd ed. Thousand Oaks, CA: Sage].
   Qualitative studies typically focus 'in depth on relatively small
   samples, even a single case (n = 1), selected conveniently' ([Patton, Q.
   M. 2002. Qualitative Research and Evaluation Methods. 3rd ed. Thousand
   Oaks, CA: Sage], 169). The main principle of the case study method is to
   better understand complex educational and/or social phenomena while
   retaining the holistic and meaningful particularities of real-life
   circumstances [Yin, R. 2003. Case Study Research Design and Methods. 3rd
   ed. Thousand Oaks, CA: Sage].
   Data Analysis: A constant comparative method [Boeije, H. R. 2010.
   Analysis in Qualitative Research. London: Sage.] was used to interpret
   the data, and this allowed themes to emerge from the data as well as
   from the theoretical framework generated by researchers and peer
   debriefers. We defined andragogy theory concepts as overarching themes.
   The basic strategy of this analytical process was to do what its name
   implies - that is, constantly compare pieces of data.
   Findings: Explainable in the logic of andragogy theory [Knowles, M. S.
   1989. The Making of an Adult Educator. San Francisco, CA: Jossey-Bass],
   three interrelated themes emerged from the data. The first theme, role
   transformation, described how participants expanded their roles as
   physical educators, and were motivated to gain knowledge of medical
   conditions and intervention techniques, which could be embedded into PE
   lessons for students with disabilities. The second theme, professional
   community development - mentorship, explained experiences where
   participants, during and after completion of their courses, were
   assigned to serve as APE resource specialists to help their PE
   colleagues learn to teach, assess, and evaluate students with
   disabilities at their school district. The last theme, understanding the
   current status of PE, represented the participants' views that taking
   online APE professional development courses was the only opportunity to
   know about work conditions, APE resources, and policy of other school
   district.
OI Sato, Takahiro/0000-0003-3358-0809
ZA 0
Z8 0
ZR 0
ZS 0
ZB 0
TC 17
Z9 17
U1 4
U2 31
SN 1740-8989
EI 1742-5786
UT WOS:000417612500005
ER

PT J
AU Maxwell, Shane
   Renier, Colleen
   Sikka, Robby
   Widstrom, Luke
   Paulson, William
   Christensen, Trent
   Olson, David
   Nelson, Benjamin
TI Online pre-race education improves test scores for volunteers at a
   marathon
SO PHYSICIAN AND SPORTSMEDICINE
VL 45
IS 3
BP 265
EP 270
DI 10.1080/00913847.2017.1350083
PD 2017
PY 2017
AB Objectives: This study examined whether an online course would lead to
   increased knowledge about the medical issues volunteers encounter during
   a marathon.
   Materials and Methods: Health care professionals who volunteered to
   provide medical coverage for an annual marathon were eligible for the
   study. Demographic information about medical volunteers including
   profession, specialty, education level and number of marathons they had
   volunteered for was collected. A 15-question test about the most
   commonly encountered medical issues was created by the authors and
   administered before and after the volunteers took the online educational
   course and compared to a pilot study the previous year.
   Results: Seventy-four subjects completed the pre-test. Those who
   participated in the pilot study last year (N = 15) had pre-test scores
   that were an average of 2.4 points higher than those who did not (mean
   ranks: pilot study = 51.6 vs. non-pilot = 33.9, p = 0.004). Of the 74
   subjects who completed the pre-test, 54 also completed the post-test.
   The overall post-pre mean score difference was 3.8 +/- 2.7 (t = 10.5 df
   = 53 p < 0.001). While subjects with all levels of volunteer experience
   demonstrated improvement, only change among first time marathon
   volunteers was significantly different from the others. Subjects
   reporting all degree/certification levels demonstrated improvement, but
   no difference in improvement was found between degree/certification
   levels.
   Conclusion: In this follow-up to the previous year's pilot study, online
   education demonstrated a long-term (one-year) increase in test scores.
   Testing also continued to show short-term improvement in post-course
   test scores, compared to pre-course test scores. In general, marathon
   medical volunteers who had no volunteer experience demonstrated greater
   improvement than those who had prior volunteer experience.
OI Renier, Colleen/0000-0001-5083-5282
TC 0
ZS 0
ZB 0
ZA 0
Z8 0
ZR 0
Z9 0
U1 0
U2 6
SN 0091-3847
EI 2326-3660
UT WOS:000416502100008
PM 28679304
ER

PT J
AU Pavlovska, Amalie
   Miovsky, Michal
   Babor, Thomas F.
   Gabrhelik, Roman
TI Overview of the European university-based study programmes in the
   addictions field
SO DRUGS-EDUCATION PREVENTION AND POLICY
VL 24
IS 6
SI SI
BP 485
EP 491
DI 10.1080/09687637.2016.1223603
PD 2017
PY 2017
AB Aims: We mapped and described university study programmes in the
   addictions field (USPA) in Europe, according to degrees, professional
   backgrounds, titles, methods of delivery, duration, entrance
   requirements, fees, clinical practice requirements and courses offered.
   Methods: The study consisted of two parts: 1) a general mapping of USPA
   - utilising online databases of scientific literature, and subsequently
   the Google search engine and 2) a content analysis of the identified
   study programmes' websites according to a set of a priori research
   questions. Findings: A total of 34 USPA were located at 25 universities
   in eight different European countries. 43.6% (n=18) were master's, 15.4%
   (n=6) bachelor's and 12.8% (n=4) Ph.D. study programmes. Only the Czech
   Republic offers education across all three levels. The background of
   many USPA is built on medical (n=5), social (n=5) and psychological
   (n=4) foundations. Ten programmes are offered both full-time and
   part-time, and 62% charge tuition. Half of the programmes have clinical
   practice as a part of the degree requirement. Conclusions: In recent
   years, the number of specialised education programmes that aim to
   prepare a new professional workforce has been growing. The findings
   provide a basis for discussion and cooperation among programmes and
   universities.
RI Gabrhelik, Roman/C-7633-2017; Pavlovska, Amalie/C-8440-2017; Miovsky, Michal/N-5879-2017; Babor, Thomas/
OI Gabrhelik, Roman/0000-0002-7672-3753; Pavlovska,
   Amalie/0000-0002-4360-9356; Miovsky, Michal/0000-0001-8312-206X; Babor,
   Thomas/0000-0002-2580-0835
ZS 0
ZA 0
Z8 0
ZR 0
TC 11
ZB 3
Z9 11
U1 0
U2 11
SN 0968-7637
EI 1465-3370
UT WOS:000415717800008
ER

PT S
AU Tshiamo, Wananani. B.
   Kgositau, Mabedi
   Magowe, Mabel
BA Moahi, KH
   Bwalya, KJ
   Sebina, PM
TI Use of Information and Communication Technology by Health Care Providers
   for Continuing Professional Development in Botswana
SO HEALTH INFORMATION SYSTEMS AND THE ADVANCEMENT OF MEDICAL PRACTICE IN
   DEVELOPING COUNTRIES
SE Advances in Human Services and Public Health
BP 181
EP 192
DI 10.4018/978-1-5225-2262-1.ch011
PD 2017
PY 2017
AB The impact of Information and Communication Technology (ICT) in the
   social and economic lives of people including the area of education
   cannot be overemphasized. Continuing education is an important vehicle
   for maintaining and improving professional standards and keeping in
   synch with the latest trends in the profession, especially for health
   care providers. Hinged on literature review, document review and case
   study, this chapter aims to elaborate on the importance of continuing
   professional development (CPD) to health and medical care, and how ICTs
   can be used as a platform for CPD. Focusing on Botswana as a case study,
   the chapter explores challenges and issues faced by health care
   providers in using ICTs to access CPD and includes solutions and
   recommendations. Challenges identified included underdeveloped ICT
   infrastructure and limited use of available ICT resources by health care
   providers.
RI Tshiamo, Wananani/GLU-4522-2022; Tshiamo, Wananani B/
OI Tshiamo, Wananani B/0000-0002-2081-4170
ZA 0
Z8 0
ZS 0
TC 0
ZB 0
ZR 0
Z9 0
U1 0
U2 2
SN 2475-6571
EI 2475-658X
BN 978-1-5225-2263-8; 978-1-5225-2262-1
UT WOS:000411572800012
D2 10.4018/978-1-5225-2262-1
ER

PT J
AU Dobele, Angela
   Fry, Jane
   Rundle-Thiele, Sharyn
   Fry, Tim
TI Caring for baby: what sources of information do mothers use and trust?
SO JOURNAL OF SERVICES MARKETING
VL 31
IS 7
BP 677
EP 689
DI 10.1108/JSM-02-2015-0104
PD 2017
PY 2017
AB Purpose - A broad array of information channels exists for service
   customers. The purpose of this study is to better understand the
   relationship between the use of, and trust in, information channels, so
   that there is scope to increase the effectiveness of reliable
   information provision and, hence, to change behaviour.
   Design/methodology/approach - This study empirically explored whether
   customers use channels they trust, and trust what they use, and examined
   the association between individual (demographic) factors and that trust.
   A total of 472 mothers completed an online survey.
   Findings - The current study empirically explored channel trust and
   individual factors, finding that individual factors (such as education
   level) and trust warrant inclusion in traditional communication models
   such as Communication-Human Information Processing. The findings
   revealed that the more highly educated a customer is, the more likely it
   will be that a health professional is their most trusted channel, but
   the less likely it will be that they consider family the most trusted
   channel. Magazines are the least trusted information channel. Further,
   while informants' most trusted information channel was healthcare
   professionals, this was not the most common information channel used.
   Research limitations/implications - This study was limited to a female
   consumer sample focused upon one service (maternity and child health)
   and five key information channels, which limits the generalizability.
   Further, the data were collected via an internet survey, which have
   biased may the results on use and trust of the internet.
   Practical implications - The findings showcase the importance of
   demographic factors and the relationship between trust in information
   sources and use. The insights developed provide a useful research agenda
   for the future. This study was limited to a female consumer sample
   focused upon one service (maternity and child health) and five key
   information channels, which limits the generalizability of the findings.
   The data were collected via an internet survey, which may bias the
   results on use and trust of the internet. Additionally, the data were
   collected over five years ago, which may have some impact on factors
   such as the role and importance of internet usage. However, these
   limitations do not detract from the primary focus of this study and the
   main findings remain new and relevant.
   Originality/value - This study undertook an empirical exploration to
   examine information channel trust and individual factors, thereby
   extending the research focus beyond current traditional communication
   model approaches. Models such as Communication-Human Information
   Processing focus on individual cognitions and assume a staged sequence
   of decision-making following traditional decision-making models and
   ignoring channel attributes such as channel trust, thereby limiting
   understanding. The current study indicates that communication models
   will benefit from the addition of channel trust and additional
   individual factors (such as demographics) to extend understanding beyond
   individual cognitions.
RI Rundle-Thiele, Sharyn/S-5951-2019; Fry, Tim R.L./J-2438-2014; Fry, Jane/AAC-6981-2022; Rundle-Thiele, Sharyn/
OI Fry, Tim R.L./0000-0002-3763-5152; Fry, Jane/0000-0002-4745-7724;
   Rundle-Thiele, Sharyn/0000-0003-2536-3767
ZA 0
ZR 0
ZB 0
ZS 0
TC 5
Z8 0
Z9 5
U1 0
U2 10
SN 0887-6045
UT WOS:000415990900001
ER

PT J
AU Flamini, Thomas
   Matthews, Natasha R.
   Castle, George S.
   Jones-Williams, Elliot M.
TI Medical student and psychiatrist perceptions towards a psychiatric
   career
SO MENTAL HEALTH REVIEW JOURNAL
VL 22
IS 4
BP 315
EP 323
DI 10.1108/MHRJ-03-2017-0015
PD 2017
PY 2017
AB Purpose - The purpose of this paper is to investigate perceptions
   towards a career in psychiatry among medical students and psychiatrists
   and identify how recruitment into the specialty may be improved.
   Design/methodology/approach - This study locally compares medical
   student and psychiatric doctor responses to a structured online survey
   and structured interviews with key managerial figures in the Humber NHS
   Foundation Trust.
   Findings - Comparison across two main areas (pre-decision exposure to
   psychiatry and reasons for considering a psychiatric career) found that
   both students and doctors were influenced to make a choice about a
   career in psychiatry during medical school. Medical students found
   compatibility with family life to be more important when considering
   psychiatry, whereas doctors cited content-based reasons as significant
   pull factors. Stigma and fear of being harmed deterred some students
   from choosing a career in psychiatry. Structured interview responses
   reiterated the importance of pre-medical school and undergraduate
   mentorship in bolstering future recruitment to psychiatry.
   Practical implications - Medical students perceive certain career issues
   differently to their postgraduate counterparts. Widening the
   content-based appeal of psychiatry and optimising the medical school
   experience of the specialty via varied and high-quality placements may
   be a key step towards tackling the national shortfall in qualified
   psychiatrists.
   Originality/value - This is the first published study comparing medical
   student and psychiatric doctor perceptions of a career in psychiatry.
OI Castle, George/0000-0001-5616-3237
ZB 0
ZR 0
ZA 0
ZS 0
TC 0
Z8 0
Z9 0
U1 0
U2 1
SN 1361-9322
EI 2042-8758
UT WOS:000416123400004
ER

PT J
AU Llados-Masllorens, Josep
   Aibar, Eduard
   Meseguer-Artola, Antoni
   Minguillon, Julia
   Lerga, Maura
TI Explaining teaching uses of Wikipedia through faculty personal and
   contextual features
SO ONLINE INFORMATION REVIEW
VL 41
IS 5
BP 728
EP 743
DI 10.1108/OIR-10-2016-0298
PD 2017
PY 2017
AB Purpose - The purpose of this paper is to explore which personal and
   contextual factors affect the use of Wikipedia as a teaching resource in
   higher education institutions.
   Design/methodology/approach - This research question is approached by
   investigating faculty perceptions and attitudes in two large Spanish
   universities. For this purpose, a comprehensive empirical study has been
   employed, based on an online survey to faculty members and the inclusion
   of a decisionmaking model in the analysis.
   Findings - Data provide evidence that a combination of cultural, social
   and subjective factors influences the decision to use Wikipedia. This
   decision is not only associated with lecturers' individual
   characteristics, but mostly with surrounding influences. Teaching uses
   are more frequent when academics have close reference models and when
   they perceive that Wikipedia is being positively valued by their
   colleagues.
   Research limitations/implications - The present study provides a
   creative framework to analyze the main determining factors of Wikipedia
   usage by faculty. The inclusion of both internal and external factors in
   the decision process has proved to be a valuable novelty.
   Practical implications - The study detects the main factors affecting
   the negative or reluctant attitude toward Wikipedia and provides some
   recommendations to overcome these barriers.
   Originality/value - The study widens the scope of previous
   investigations supplying a new research framework and including, for the
   first time, a prominent online university in the analysis in order to
   discard the potential effects of digital and information illiteracy
   among students and faculty members.
RI Aibar, Eduard/AAC-1989-2021; Minguillón, Julià/N-2386-2014; Meseguer-Artola, Antoni/O-1071-2013; Llados-Masllorens, Josep/E-3650-2019; Llados-Masllorens, Josep/AAB-8336-2022; Lerga, Maura/
OI Aibar, Eduard/0000-0002-1727-1523; Minguillón,
   Julià/0000-0002-0080-846X; Meseguer-Artola, Antoni/0000-0002-7817-3695;
   Llados-Masllorens, Josep/0000-0002-6236-5166; Llados-Masllorens,
   Josep/0000-0002-6236-5166; Lerga, Maura/0000-0002-3516-0931
Z8 0
ZR 0
TC 6
ZA 0
ZB 0
ZS 0
Z9 6
U1 0
U2 14
SN 1468-4527
EI 1468-4535
UT WOS:000409315600010
ER

PT J
AU Merlo, Lisa J.
   Curran, John S.
   Watson, Robert
TI Gender differences in substance use and psychiatric distress among
   medical students: A comprehensive statewide evaluation
SO SUBSTANCE ABUSE
VL 38
IS 4
BP 401
EP 406
DI 10.1080/08897077.2017.1355871
PD 2017
PY 2017
AB Background: Medical student wellness has emerged as an important issue
   in medical education. The purpose of the present study was to obtain a
   comprehensive assessment of substance use, psychological distress, and
   help-seeking among male and female medical students in order to identify
   targets for continued intervention efforts. Methods: Medical students
   from all 9 medical schools in the state of Florida were invited via
   e-mail and/or announcements to complete an anonymous online
   questionnaire assessing their well-being. Of 5053 matriculating medical
   students, 1137 (57.1% female) responded to the questionnaire.
   Descriptive statistics, t tests, and chi-square analyses were computed
   using SPSS 20. Results: Over 70% of students acknowledged binge
   drinking, with men reporting higher frequency than women ((2) = 13.90, P
   = .003), and 22.7% (n = 201) reported marijuana use during medical
   school, with higher rates ((2) = 9.50, P = .02) among men (27.0%, n =
   99) than women (18.9%, n = 93). A significant minority of students
   reported nonmedical use of prescription stimulants and prescription
   opioids. In addition, 3.3% of male students (n = 12) compared with 0.6%
   of female students (n = 3) reported problematic drug use. Further,
   almost 2/3 of respondents reported decreased psychological health since
   beginning medical school, with women noting greater reductions ((2) =
   12.39, P = .05) and higher levels of stress ((2) = 16.30, P = .003).
   Over 10% of students (n = 102) endorsed thoughts of committing suicide
   during medical school, and 70.1% felt they would benefit from mental
   healthcare (79.3% of women vs. 59.6% of men; (2) = 41.94, P < .001),
   although only 39.8% accessed help. Conclusions: Despite efforts to
   address medical student wellness, students continue to report concerning
   levels of psychological distress, suicidal ideation, and substance use.
   More work is needed to effectively address medical student mental health
   and well-being.
RI Merlo, Lisa J./AAU-9179-2020
OI Merlo, Lisa J./0000-0003-3613-7853
ZR 0
TC 18
ZS 0
ZA 0
Z8 0
ZB 1
Z9 18
U1 1
U2 10
SN 0889-7077
EI 1547-0164
UT WOS:000415738200007
PM 28832279
ER

PT J
AU Lindsay, Dawn L.
   Hagle, Holly
   Lincoln, Piper
   Williams, Jessica
   Luongo, Peter F.
TI Exploring medical students' conceptions of substance use: A follow-up
   evaluation
SO SUBSTANCE ABUSE
VL 38
IS 4
BP 464
EP 467
DI 10.1080/08897077.2017.1342735
PD 2017
PY 2017
AB Background: Despite the devastating impact of alcohol and other drug
   involvement and misuse within society, medical students still receive
   very limited exposure to these issues. The Scaife Advanced Medical
   Student Fellowship in Alcohol and Other Drug Dependency, offered by the
   Institute for Research, Education and Training in Addictions for over
   10years, offers a unique, 3-week intensive educational experience,
   including didactic, observation, and experiential learning in these
   topics to first-year medical students. The goal of this project was to
   evaluate the impact of the Scaife Fellowship on medical students'
   attitudes toward patients with alcohol and other drug involvement 1 to
   5years after completion of the experience. Methods: Past Scaife students
   and individuals who applied but did not attend were located and
   recruited to participate in an online attitude survey. Results: Results
   indicated that Scaife Fellowship students largely retain their sense of
   role security around working with patients with alcohol and other drug
   involvement at the follow-up time point. Although therapeutic commitment
   or the motivation to work with these patients decreased for drug use,
   the decrease was smaller than that typically noted in the literature.
   The group of comparison students showed lower scores on both subscales
   at the evaluation time point compared with Scaife students. Conclusions:
   A three-week experiential program significantly improved medical
   students' Role Security and Therapeutic Commitment toward working with
   patients with substance use disorders. Moreover, the positive effects
   gained from the program were sustained over time.
TC 12
ZS 0
ZR 0
ZB 2
ZA 0
Z8 0
Z9 12
U1 0
U2 1
SN 0889-7077
EI 1547-0164
UT WOS:000415738200015
PM 28622136
ER

PT J
AU Kropp, Peter
   Meyer, Bianca
   Meyer, Wolfgang
   Dresler, Thomas
TI An update on behavioral treatments in migraine - current knowledge and
   future options
SO EXPERT REVIEW OF NEUROTHERAPEUTICS
VL 17
IS 11
BP 1059
EP 1068
DI 10.1080/14737175.2017.1377611
PD 2017
PY 2017
AB Introduction: Besides pharmacological and interventional treatments a
   variety of non-medical therapeutic options exist for migraine, which has
   largely been derived from behavioral therapy.Areas covered: For our
   update we collected available studies via PubMed searches. This review
   highlights that already consulting of the patient is able to reduce the
   frequency of migraine attacks. Relaxation techniques, especially
   progressive muscle relaxation, and various types of biofeedback are
   effective, as is the implementation of cognitive behavioral therapy.
   However, recent reviews also point to some existing inconsistencies and
   methodological limitations. The advent of modern information technology
   based approaches (e.g. online therapy, smartphone applications) further
   advanced the arsenal of behavioral treatment regimes. The combination of
   behavioral treatment options and the combination with pharmacotherapy
   lead to additive effects. In modern multidisciplinary treatment
   approaches, behavioral therapy is an indispensable component.Expert
   commentary: Behavioral treatment in prophylaxis of migraine is as
   effective as pharmacological treatment with additional effects when
   pharmacological and behavioral treatment is applied in combination.
   Novel treatment approaches using online technology and electronic
   devices offer interesting options that will spread more in the future.
ZB 0
ZS 0
ZA 0
Z8 0
TC 14
ZR 0
Z9 14
U1 0
U2 13
SN 1473-7175
EI 1744-8360
UT WOS:000414154300002
PM 28877611
ER

PT J
AU Kranenburg, Laura J. C.
   Reerds, Sam T. H.
   Cools, Martine
   Alderson, Julie
   Muscarella, Miriam
   Magrite, Ellie
   Kuiper, Martijn
   Abdelgaffar, Shereen
   Balsamo, Antonio
   Brauner, Raja
   Chanoine, Jean Pierre
   Deeb, Asma
   Fechner, Patricia
   German, Alina
   Holterhus, Paul Martin
   Juul, Anders
   Mendonca, Berenice B.
   Neville, Kristen
   Nordenstrom, Anna
   Oostdijk, Wilma
   Rey, Rodolfo A.
   Rutter, Meilan M.
   Shah, Nalini
   Luo, Xiaoping
   Grijpink, Kalinka
   Drop, Stenvert L. S.
TI Global Application of the Assessment of Communication Skills of
   Paediatric Endocrinology Fellows in the Management of Differences in Sex
   Development Using the ESPE E-Learning.Org Portal
SO HORMONE RESEARCH IN PAEDIATRICS
VL 88
IS 2
BP 127
EP 139
DI 10.1159/000475992
PD 2017
PY 2017
AB Background: Information sharing in chronic conditions such as disorders
   of/differences in sex development (DSD) is essential for a comprehensive
   understanding by parents and patients. We report on a qualitative
   analysis of communication skills of fellows undergoing training in
   paediatric endocrinology. Guidelines are created for the assessment of
   communication between health professionals and individuals with DSD and
   their parents. Methods: Paediatric endocrinology fellows worldwide were
   invited to study two interactive online cases (www.espe-elearning.org)
   and to describe a best practice communication with (i) the parents of a
   newborn with congenital adrenal hyperplasia and (ii) a young woman with
   46, XY gonadal dysgenesis. The replies were analysed regarding
   completeness, quality, and evidence of empathy. Guidelines for
   structured assessment of responses were developed by 22 senior
   paediatric endocrinologists worldwide who assessed 10 selected replies.
   Consensus of assessors was established and the evaluation guidelines
   were created. Results: The replies of the fellows showed considerable
   variation in completeness, quality of wording, and evidence of empathy.
   Many relevant aspects of competent clinical communication were not
   mentioned; 15% (case 1) and 17% (case 2) of the replies were considered
   poor/insufficient. There was also marked variation between 17 senior
   experts in the application of the guidelines to assess communication
   skills. The guidelines were then adjusted to a 3-level assessment with
   empathy as a separate key item to better reflect the qualitative
   differences in the replies and for simplicity of use by evaluators.
   Conclusions: E-learning can play an important role in assessing
   communication skills. A practical tool is provided to assess how
   information is shared with patients with DSD and their families and
   should be refined by all stakeholders, notably interdisciplinary health
   professionals and patient representatives. (C) 2017 S. Karger AG, Basel
RI Reerds, Sam/AAA-2272-2019; Rey, Rodolfo/E-5552-2012; Nordenström, Anna/ABC-6970-2021; Chanoine, Jean-Pierre/K-5026-2019; Cools, Martine/J-4580-2012; Balsamo, Antonio/I-8089-2012; Balsamo, Antonio/AAN-9917-2021; Mendonca, Berenice B/J-6917-2015; Mendonca, Berenice/AAS-3742-2021; Juul, Anders/F-5864-2013; Kuijper, T. Martijn/AAB-2627-2021; Nordenstrom, Anna/
OI Rey, Rodolfo/0000-0002-1100-3843; Chanoine,
   Jean-Pierre/0000-0002-5167-2064; Cools, Martine/0000-0002-9552-4899;
   Balsamo, Antonio/0000-0002-9313-263X; Mendonca, Berenice
   B/0000-0003-1762-1084; Mendonca, Berenice/0000-0003-1762-1084; Juul,
   Anders/0000-0002-0534-4350; Kuijper, T. Martijn/0000-0002-2834-5727;
   Nordenstrom, Anna/0000-0003-0405-3401
ZR 0
ZA 0
ZB 2
TC 7
Z8 0
ZS 0
Z9 7
U1 0
U2 8
SN 1663-2818
EI 1663-2826
UT WOS:000411496600002
PM 28689203
ER

PT J
AU Gallone, Maria Serena
   Gallone, Maria Filomena
   Cappelli, Maria Giovanna
   Fortunato, Francesca
   Martinelli, Domenico
   Quarto, Michele
   Prato, Rosa
   Tafuri, Silvio
TI Medical students' attitude toward influenza vaccination: Results of a
   survey in the University of Bari (Italy)
SO HUMAN VACCINES & IMMUNOTHERAPEUTICS
VL 13
IS 8
BP 1937
EP 1941
DI 10.1080/21645515.2017.1320462
PD 2017
PY 2017
AB Influenza vaccination is strongly recommended for Italian healthcare
   professionals, but vaccine coverage is low. Since 2012, vaccination is
   also offered to medical students as part of the National Immunization
   Plan; however, few Medical Schools has implemented the plan so far. To
   study determinants of vaccination compliance, we conducted a survey
   among medical students at the University of Bari, where influenza
   vaccination has been actively offered since 2013. Information was
   obtained by means of an online anonymous questionnaire administered in
   April 2014. We enrolled 669 students, 383 (57%) vaccinated; 54% were
   female and the average age was 23.9 +/- 4.9y. Determinants of getting
   vaccinated were analyzed in a multivariate logistic model. Receiving
   invitation from the University (aOR = 3.8; 95%CI = 1.2-12.3; p = 0.026),
   the opinion that vaccine is safe (aOR = 2.8; 95%CI = 1.5-5.0; p = 0.001)
   and useful (aOR = 3.4; 95%CI = 1.7-6.7; p<0.0001), a specific training
   about influenza vaccination during the course (aOR = 1.5; 95%CI =
   1.1-2.1; p = 0.043), and considering himself as at a major risk of
   influenza complication (aOR = 1.8; 95% CI = 1.1-2.9; p = 0.001) were
   significantly associated with vaccine acceptance. Active invitation and
   training are confirmed as key actions (as in children vaccination
   strategies) and, according to our results, they could be routinely used
   to promote vaccination in hard-to-reach groups such as healthcare
   workers.
OI Martinelli, Domenico/0000-0001-8028-3167; Gallone, Maria
   Filomena/0000-0003-4290-8239
TC 18
ZB 7
ZA 0
ZS 0
Z8 0
ZR 0
Z9 18
U1 0
U2 10
SN 2164-5515
EI 2164-554X
UT WOS:000407624200044
PM 28463582
ER

PT J
AU Trzeciak, Bartosz G.
   Siebert, Janusz
   Gutknecht, Piotr
   Molisz, Andrzej
   Filipiak, Krzysztof J.
   Wozakowska-Kaplon, Beata
TI CARDIOVASCULAR RISK FACTORS DETERMINED VIA THE INTERNET IN 2 PERIODS OF
   TIME: 2004-2009 AND 2010-2015 IN POLAND
SO INTERNATIONAL JOURNAL OF OCCUPATIONAL MEDICINE AND ENVIRONMENTAL HEALTH
VL 30
IS 3
BP 499
EP 510
DI 10.13075/ijomeh.1896.00835
PD 2017
PY 2017
AB Objectives: Web information systems may serve as a diagnostic tool for
   the Internet users and they also support the epidemiological work of
   doctors and health care providers. As part of this study, a system has
   been created for detecting and calculating cardiovascular risk. The aim
   of this study has been the comparison of cardiovascular risk factors and
   calculated fatal cardiovascular risk in 2 periods of time: 2004-2009 and
   2010-2015 in Poland, as determined via the Internet. Material and
   Methods: The "Ryzyko program" ("Risk program") is available on the
   website of the Medical University of Gdansk. To assess the
   cardiovascular death risk in a 10-year period, the algorithm of the
   SCORE (Systematic Coronary Risk Evaluation) project was used and 30 402
   results of the algorithm have been analyzed. Results: Over 30 402
   webpage visitors entered the required data and received the outcome.
   More than 78% of the Internet users who had entered the data, received a
   recommendation for medical check-up. Significant differences between the
   data collected in 2004-2009 and 2010-2015 were noticed.
   Hypercholesterolemia prevalence (67.3% vs. 70.8%; p < 0.001), mean total
   cholesterol concentration in blood (5.60 +/- 1.65 mml/l vs. 5.66 +/-
   1.35 mml/l; p < 0.001), prevalence of hypertension (36.6% vs. 35.3%; p =
   0.039), mean systolic blood pressure (131.5 +/- 20.3 mm Hg vs. 132.6 +/-
   18.0 mm Hg; p < 0.001), prevalence of declared smoking (30.7% vs. 26.5%;
   p < 0.001), declared diabetes mellitus (DM) (6.4% vs. 9.7%; p < 0.001),
   and declared coronary artery disease (CAD) (7.2% vs. 14.1%; p < 0.001),
   respectively. Conclusions: The prevalence of cardiovascular risk factors
   has changed during the observed period of time. Online automatic
   gathering of new data by "Ryzyko program" provides up-to-date
   observations.
RI Gutknecht, Piotr/S-8184-2018; Trzeciak, Bartosz G/U-1584-2018; Molisz, Andrzej/F-3464-2012; Siebert, Janusz/S-1751-2018
OI Gutknecht, Piotr/0000-0003-0227-3128; Trzeciak, Bartosz
   G/0000-0002-8316-9826; Molisz, Andrzej/0000-0003-3662-1581; Siebert,
   Janusz/0000-0002-7254-271X
ZB 1
ZS 0
TC 3
ZR 0
Z8 0
ZA 0
Z9 3
U1 0
U2 1
SN 1232-1087
EI 1896-494X
UT WOS:000404445400013
PM 28481381
ER

PT J
AU Looper, Philip
   George, David
   Johnson, Eric J.
   Conway, Susan E.
TI Student and faculty perceptions about mandatory influenza vaccinations
   on a health sciences campus
SO JOURNAL OF AMERICAN COLLEGE HEALTH
VL 65
IS 7
BP 513
EP 517
DI 10.1080/07448481.2017.1341899
PD 2017
PY 2017
AB Objective: To examine the perceptions among faculty and health
   professional students regarding mandatory vaccination policies on a
   health sciences campus. Participants: A total of 296 faculty and 244
   students completed surveys during Fall 2015. Methods: The online survey
   administered to individuals who received the influenza vaccine during
   the fall 2015 influenza vaccination clinic season included five items
   evaluating perceptions of employer mandatory vaccination requirements.
   Results: Chi-square analysis indicated that although faculty and
   students agree mandatory vaccinations in a health care environment are
   appropriate, faculty are more likely than students to get vaccinated in
   the absence of a mandate. Additionally, a small fraction of faculty
   would consider employment elsewhere when facing this mandate.
   Conclusions: Overall, faculty and students had favorable perceptions
   about mandatory influenza vaccine policies. Since students were less
   likely to be vaccinated in the absence of a mandate, education of
   students should be improved to support the importance of vaccinations in
   a health care environment.
TC 8
ZA 0
ZR 0
ZS 0
ZB 3
Z8 0
Z9 8
U1 0
U2 4
SN 0744-8481
EI 1940-3208
UT WOS:000413903700009
PM 28622121
ER

PT J
AU Shelgikar, Anita Valanju
   Priddy, Cindy
   Van Harrison, R.
TI Meeting ACGME and ABMS Quality Improvement Requirements in a Sleep
   Medicine Fellowship Program
SO JOURNAL OF CLINICAL SLEEP MEDICINE
VL 13
IS 10
BP 1177
EP 1183
DI 10.5664/jcsm.6766
PD 2017
PY 2017
AB Study Objectives: To describe a sustainable program of teaching and
   implementing quality improvement (QI) in a 12-month sleep medicine
   fellowship.
   Methods: We created a QI curriculum based on Accreditation Council for
   Graduate Medical Education (ACGME) and American Board of Medical
   Specialty (ABMS) Part IV Maintenance of Certification (MOC) requirements
   for QI. Two program faculty with prior QI training volunteered to mentor
   fellows. Our institution's central QI office houses QI experts who teach
   QI across the health system. One of these experts, referred to as the
   "QI consultant," helped us adapt QI teaching materials to include 4
   online modules and 5 group sessions. Fellows worked in teams to complete
   2 data-guided QI cycles.
   Results: The curriculum required 29 hours for fellows, 18 hours for
   faculty, and 55 hours for the QI consultant; now that teaching materials
   have been created, the QI consultant's involvement will decrease over
   time. Post-curriculum surveys showed that fellows' knowledge of QI
   concepts increased, as did their confidence performing QI activities.
   Fellows' QI projects objectively improved timeliness and quality of care
   for patients. Sleep medicine fellows and QI faculty mentors evaluated
   the curriculum positively. The curriculum met ACGME requirements for QI,
   and fellows and mentoring faculty received ABMS Part IV MOC credit upon
   completion of the curriculum.
   Conclusions: A QI curriculum can successfully be implemented into a
   12-month sleep medicine fellowship to increase sleep medicine fellows'
   QI knowledge and confidence, meet ACGME and MOC requirements, and
   contribute to care of patients with sleep disorders.
ZA 0
TC 2
ZR 0
ZB 0
ZS 0
Z8 0
Z9 2
U1 0
U2 0
SN 1550-9389
EI 1550-9397
UT WOS:000413053600010
PM 28859724
ER

PT J
AU Bryson, David
TI Can MOOCs meet your learning needs?
SO JOURNAL OF VISUAL COMMUNICATION IN MEDICINE
VL 40
IS 4
BP 170
EP 172
DI 10.1080/17453054.2017.1367253
PD 2017
PY 2017
AB This paper looks at the role of Massive Open Online Courses (MOOCs) in
   fulfilling your learning needs; from looking at what MOOCs are through
   to examples of courses from different Universities and advice for
   completing a course. The sequence of activities takes you from looking
   at your learning needs, to finding a course, thinking about how to plan
   and prepare for learning using a MOOC then writing a review or
   reflecting on the impact of your learning.
RI Bryson, David/H-5094-2019
OI Bryson, David/0000-0002-3086-7946
ZS 0
ZB 0
ZA 0
Z8 0
TC 2
ZR 0
Z9 2
U1 0
U2 15
SN 1745-3054
EI 1745-3062
UT WOS:000423918200008
PM 28925759
ER

PT C
AU Lajevardipour, Alireza
   Wood, Andrew
BE Liu, X
   Zhang, XC
TI Learning in depth with the bespoke rubric-supported online poster
   presentation
SO 14TH CONFERENCE ON EDUCATION AND TRAINING IN OPTICS AND PHOTONICS (ETOP
   2017)
SE Proceedings of SPIE
VL 10452
AR UNSP 104521R
DI 10.1117/12.2266475
PN 1
PD 2017
PY 2017
AB In our course of Biomedical Imaging, we introduced a research project as
   an assignment that included an online poster presentation. To assess the
   assignment, an adjusted criteria sheet was created, where it facilitated
   providing students with an effective feedback linked to particular
   criteria. Students are expected to produce a scientific poster to
   present the result of their investigation and upload it to an online
   discussion board. In addition, they are required to read their
   colleagues' works and provide peer-feedback by asking quality questions
   about principles and results, also on-line. Subtle distribution of marks
   in the rubric balances focus between preparing poster and providing
   peer-feedbacks.
CT 14th Conference on Education and Training in Optics and Photonics (ETOP)
CY MAY 29-31, 2017
CL Hangzhou, PEOPLES R CHINA
SP Int Commiss Opt; IEEE Photon Soc; Opt Soc; SPIE; Chinese Opt Soc;
   Chinese Natl Steering Comm Opt & Photon; Opt Soc Zhejiang Province;
   Zhejiang Univ, Fac Informat Technol; Zhejiang Univ, Coll Opt Sci & Engn;
   State Key Lab Modern Opt Instrumentat
RI Wood, Andrew/G-9596-2019; Lajevardipour, Alireza/D-2010-2011
OI Lajevardipour, Alireza/0000-0003-1925-6113
Z8 0
ZA 0
ZB 0
TC 0
ZS 0
ZR 0
Z9 0
U1 0
U2 1
SN 0277-786X
EI 1996-756X
BN 978-1-5106-1382-9; 978-1-5106-1381-2
UT WOS:000411458900049
ER

PT J
AU Aldossari, Khaled K.
   Al-Zahrani, Jamaan M.
TI Scope of Overweight/Obesity among Medical Participants
SO INTERNATIONAL JOURNAL OF MEDICAL RESEARCH & HEALTH SCIENCES
VL 6
IS 8
BP 35
EP 41
PD 2017
PY 2017
AB Background: Obesity and overweight occurrence in individuals is regarded
   to be the major concern in numerous countries. The study aimed to
   understand the scope and identify the factors that could associate with
   overweight/obesity among people from different countries. Methods: A
   cross-sectional study was adapted from the period of 1st October 2013 to
   30th November 2013. All male and female participants were considered for
   the study from different countries of the world through an online
   questionnaire. A self-administered questionnaire included questions
   about socio-demographic characteristics, medical history, life style
   items and academic performance. Both weight (in kg) and height (cm) were
   measured and body mass index was calculated. Results: 229 participants
   returned filled questionnaires giving a response rate of 85.5%. Most of
   the participants were overweight due to their lifestyle and the way of
   consuming junk food on daily basis. Conclusion: Almost half of the
   participants were overweight and obese. Higher academic level
   participants had a higher prevalence than others. Interventional
   educational programs are recommended with an involvement of
   psychologists.
RI Alzahrani, Jamaan/AGD-5939-2022; AL DOSSARI‬, Khaled/AHD-6215-2022
OI Alzahrani, Jamaan/0000-0002-4236-9389; 
ZS 0
Z8 0
ZA 0
ZR 0
ZB 0
TC 0
Z9 0
U1 0
U2 0
SN 2319-5886
UT WOS:000411356400005
ER

PT J
AU Straub, Christine
   Krueger, Marcus
   Bode, Sebastian
TI Interprofessional education in pediatrics-Child protection and family
   services as a teaching example
SO ANNALS OF ANATOMY-ANATOMISCHER ANZEIGER
VL 213
BP 62
EP 68
DI 10.1016/j.aanat.2017.04.003
PD 2017
PY 2017
AB Interprofessional collaboration between different professional groups in
   the health care system is essential to efficient and effective patient
   care. Especially in pediatrics, in the field of child protection, and
   family services it is mandatory to involve experts from different
   health-care professions to optimize support for children and their
   families. Interprofessional education in medical schools and
   specifically in pediatrics is rare in Germany, but is called for by the
   German National Competence Based Catalogue of Learning Objectives for
   Undergraduate Medical Education (NKLM).
   We developed an interprofessional course aimed at bringing medical
   students together with students of psychology, social work, clinical
   education, and educational science to learn from, about and with each
   other in the context of child protection and family services. This
   offers opportunities for all participants to understand
   profession-specific competencies, roles, attitudes, and limits of their
   professional roles. The course is led by an interprofessional teaching
   tandem (social scientist & physician); further input is provided by
   other health and social care professionals. After the students get a
   brief overview about the requirements for a successful interprofessional
   cooperation they solve case studies in interprofessional teams with
   online support by the teaching tandem. We assess the feasibility and
   acceptability of this interprofessional course and describe challenges
   encountered when conducting this kind of learning concept for health
   care professions.
   All conducted courses over five consecutive terms were evaluated with an
   arithmetic mean of AM = 1.32 on a 6-point scale (1= "excellent", 6 =
   "insufficient"), the teaching tandem was evaluated with AM =1.1. All
   participants (N = 85 complete evaluations) voted for the course to be
   continued in the following terms. Especially the opportunity to discuss
   cases with students from different degree programs was highly valued as
   were interprofessional discussions and more in-depth understanding of
   other professions' competencies and roles. (C) 2017 Elsevier GmbH. All
   rights reserved.
TC 6
ZR 0
Z8 0
ZS 0
ZB 0
ZA 0
Z9 6
U1 0
U2 7
SN 0940-9602
EI 1618-0402
UT WOS:000408183600008
PM 28552638
ER

PT J
AU Turner, Robert W.
   Lucas, Jeffery W.
   Margolis, Lewis H.
   Corwell, Brian N.
TI A preliminary study of youth sport concussions: Parents' health literacy
   and knowledge of return-to-play protocol criteria
SO BRAIN INJURY
VL 31
IS 8
BP 1124
EP 1130
DI 10.1080/02699052.2017.1298003
PD 2017
PY 2017
AB Primary objective: To preliminarily explore parents' health literacy and
   knowledge of youth sport league rules involving concussion education and
   training, and return-to-play protocols.
   Research design and methods: This study was guided by the Knowledge,
   Attitude and Prattice (KAP) model Of health knowledge to examine
   parents' concussion literacy, and understanding of concussion education
   and training, and return-to-play protocols in, youth sports. The
   mixed-method design involved 119 participants; that included in-person
   (n=8) and telephone (n=4) interviews, and web-based surveys administered
   through Mechanical Turk via Qualtrics (n=98).
   Main outcomes and results: Most respondents were not familiar with
   concussion protocols, but trusted coaches' knowledge in return-to-play
   rules. More than half of the respondents report that the return-to play
   concussion criteria have not been clearly explained to them. The
   majority of respondents were not familiar with the CDC's Heads Up'
   online concussion training programme, nor were they familiar with any
   other educational/training. tool. About one-fifth of the parents had
   conversations with a coach or medical staff about youth sport
   concussions.
   Conclusion: Parents have a general understanding of how to identify
   concussion symptoms, but lack knowledge of immediate steps to take
   following an incident other than seeking medical help.
OI Turner, Robert Winston/0000-0003-4229-7087
ZS 0
ZB 3
ZA 0
ZR 0
TC 14
Z8 0
Z9 14
U1 1
U2 14
SN 0269-9052
EI 1362-301X
UT WOS:000406734500013
PM 28506094
ER

PT J
AU Rucker, Sydney Y.
   Ozdogan, Zulfukar
   Al Achkar, Morhaf
TI Flipped classroom model for learning evidence-based medicine
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 8
BP 619
EP 625
DI 10.2147/AMEP.S142233
PD 2017
PY 2017
AB Journal club (JC), as a pedagogical strategy, has long been used in
   graduate medical education (GME). As evidence-based medicine (EBM)
   becomes a mainstay in GME, traditional models of JC present a number of
   insufficiencies and call for novel models of instruction. A flipped
   classroom model appears to be an ideal strategy to meet the demands to
   connect evidence to practice while creating engaged, culturally
   competent, and technologically literate physicians. In this article, we
   describe a novel model of flipped classroom in JC. We present the flow
   of learning activities during the online and face-to-face instruction,
   and then we highlight specific considerations for implementing a flipped
   classroom model. We show that implementing a flipped classroom model to
   teach EBM in a residency program not only is possible but also may
   constitute improved learning opportunity for residents. Follow-up work
   is needed to evaluate the effectiveness of this model on both learning
   and clinical practice.
RI Ozdogan, Zulfukar/ABF-4096-2020; Ozdogan, Zulfukar/AAL-3803-2020
OI Ozdogan, Zulfukar/0000-0002-3877-5165; 
ZS 0
Z8 0
TC 6
ZB 0
ZA 0
ZR 0
Z9 6
U1 1
U2 9
SN 1179-7258
UT WOS:000408765200001
PM 28919831
ER

PT J
AU Medina, Wilson L.
   Wilson, David
   de Salvo, Vera
   Vannucchi, Bruna
   de Souza, Erika Leonardo
   Lucena, Leandro
   Sarto, Hector Morillo
   Modrego-Alarcon, Marta
   Garcia-Campayo, Javier
   Demarzo, Marcelo
TI Effects of Mindfulness on Diabetes Mellitus: Rationale and Overview
SO CURRENT DIABETES REVIEWS
VL 13
IS 2
BP 141
EP 147
DI 10.2174/1573399812666160607074817
PD 2017
PY 2017
AB Diabetes mellitus (DM) is an emerging global healthcare problem and its
   prevalence is increasing at an alarming rate. Despite improvements in
   both medical and pharmacological therapies, a complex medical condition
   may demand a diversified approach, such as: drug therapy, healthy diet
   and exercises, diabetes education programs, adherence to medical
   treatment and active participation of the patients in their lifestyle
   changes, such as stress management. The concept of mindfulness is here
   defined as the awareness that unfolds from the intention to attentively
   observe the current experience in a non-judgmental and non-evaluative
   way. This state of awareness can be enhanced through the use of
   mindfulness-based interventions (MBIs), which have been associated to
   many physical and psychological health indicators. The aim of this
   overview is to offer the rationale and potential benefits of mindfulness
   in the control of DM and its complications. Methods: a narrative review
   of the current and updated literature available on online database and
   which came up using the terms "mindfulness" and "diabetes mellitus".
   Mindfulness-based Interventions (MBIs) can be seen as preventive and
   complementary interventions in DM, particularly for the relief of
   symptoms related to depression and anxiety in diabetic patients and also
   in the management of other factors, including mindful eating, physical
   exercises and treatment adherence. Although many studies only present
   research protocols, mindfulness seems to have beneficial effects on all
   aspects of diabetes, including incidence, control and complications.
   Furthermore, longer term and more carefully controlled trials are
   necessary in order to draw consistent conclusions on the beneficial role
   of MBIs on DM.
RI Demarzo, Marcelo/A-7021-2010; Lucena, Leandro Reis/G-7930-2018; Modrego, Marta/; Garcia-Campayo, Javier/
OI Demarzo, Marcelo/0000-0002-7447-1839; Lucena, Leandro
   Reis/0000-0002-7414-4926; Modrego, Marta/0000-0003-1575-7738;
   Garcia-Campayo, Javier/0000-0002-3797-4218
ZR 0
TC 10
ZA 0
Z8 0
ZB 2
ZS 0
Z9 10
U1 1
U2 28
SN 1573-3998
EI 1875-6417
UT WOS:000405107600004
PM 27280721
ER

PT J
AU Vaizgeliene, Egle
   Padaiga, Zilvinas
   Rastenyte, Daiva
   Tamelis, Algimantas
   Petrikonis, Kestutis
   Kregzdyte, Rima
   Fluit, Cornelia
TI Validation of the EFFECT questionnaire for competence-based clinical
   teaching in residency training in Lithuania
SO MEDICINA-LITHUANIA
VL 53
IS 3
BP 173
EP 178
DI 10.1016/j.medici.2017.05.001
PD 2017
PY 2017
AB Background and aim: In 2013, all residency programs at the Lithuanian
   University of Health Sciences were renewed into a competency-based
   medical education curriculum. To assess the quality of clinical teaching
   in residency training, we chose the EFFECT (evaluation and feedback for
   effective clinical teaching) questionnaire designed and validated at the
   Radboud University Medical Centre in the Netherlands. The aim of this
   study was to validate the EFFECT questionnaire for quality assessment of
   clinical teaching in residency training.
   Materials and methods: The research was conducted as an online survey
   using the questionnaire containing 58 items in 7 domains. The
   questionnaire was double-translated into Lithuanian. It was sent to 182
   residents of 7 residency programs (anesthesiology reanimathology,
   cardiology, dermatovenerology, emergency medicine, neurology, obstetrics
   and gynecology, physical medicine and rehabilitation). Overall, 333
   questionnaires about 146 clinical teachers were filled in. To determine
   the item characteristics and internal consistency (Cronbach's alpha),
   the item and reliability analyses were performed. Furthermore,
   confirmatory factor analysis (CFI) was performed using a model for
   maximum-likelihood estimation.
   Results: Cronbach's a within different domains ranged between 0.91 and
   0.97 and was comparable with the original version of the questionnaire.
   Confirmatory factor analysis demonstrated satisfactory model-fit with
   CFI of 0.841 and absolute model-fit RMSEA of 0.098.
   Conclusions: The results suggest that the Lithuanian version of the
   EFFECT maintains its original validity and may serve as a valid
   instrument for quality assessment of clinical teaching in
   competency-based residency training in Lithuania. (C) 2017 The
   Lithuanian University of Health Sciences. Production and hosting by
   Elsevier Sp. z o. o.
RI Fluit, Cornelia/AAC-4924-2021; Fluit, Cornelia/AAF-6467-2019
OI Fluit, Cornelia/0000-0002-8714-9339; 
Z8 1
ZB 0
ZS 2
TC 0
ZA 0
ZR 0
Z9 3
U1 0
U2 6
SN 1010-660X
UT WOS:000410671100005
PM 28596069
ER

PT J
AU Goldberg, Lynette R.
   Crocombe, Leonard A.
TI Advances in medical education and practice: role of massive open online
   courses
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 8
BP 603
EP 609
DI 10.2147/AMEP.S115321
PD 2017
PY 2017
AB Massive open online courses (MOOCs) are increasingly available in the
   area of health and medicine. These MOOCs are offered through various
   commercial and noncommercial online platforms. When offered through
   reputable institutions, they can provide valuable access to reliable
   information without the constraints of time, geographical location, or
   level of education. Most current courses appear introductory in nature.
   In its drive for quality health care, the National Academy of Medicine
   has prioritized a focus on known chronic care conditions. Many of these
   conditions are shared internationally. Among its initiatives, the
   academy encourages consumer and professional groups, patients,
   clinicians, health care organizations, and universities to work together
   to identify evidence-based care processes consistent with best
   practices, organize major prevention programs to target key associated
   health risk behaviors, and develop systems to measure and evaluate
   improvements in the provision of patient-and family-centered health
   care. Carefully designed and collaboratively developed MOOCs would
   appear a valuable resource to contribute to these initiatives. Such
   MOOCs can, 1) increase the health literacy of the public with regard to
   the prevention and treatment of known chronic care conditions, 2)
   provide ready access to continuing professional, and interprofessional,
   education, and 3) explore innovative teaching models for student
   learning focused on patient-and family-centered care. MOOCs would also
   appear helpful to facilitate effective communication among international
   communities of patients and clinicians, including student clinicians,
   with shared interests. Further, the accumulation of MOOC data through
   large-scale measurement and analysis, obtained nationally and
   internationally, has the potential to assist in greater understanding of
   the risk for diseases and their prevention, with this translating into
   medical education, and authentic, patient-and family-centered methods
   for student learning. This paper explores these issues.
RI Goldberg, Lynette R/J-7814-2014
OI Goldberg, Lynette R/0000-0002-8217-317X
ZS 0
Z8 5
TC 37
ZB 6
ZA 0
ZR 0
Z9 42
U1 3
U2 19
SN 1179-7258
UT WOS:000408103500001
PM 28860891
ER

PT J
AU Henning, Marcus A.
   Hawken, Susan
   MacDonald, Joanna
   McKimm, Judy
   Brown, Menna
   Moriarty, Helen
   Gasquoine, Sue
   Chan, Kwong
   Hilder, Jo
   Wilkinson, Tim
TI Exploring educational interventions to facilitate health professional
   students' professionally safe online presence
SO MEDICAL TEACHER
VL 39
IS 9
BP 959
EP 966
DI 10.1080/0142159X.2017.1332363
PD 2017
PY 2017
AB Objective: To establish the most effective approach and type of
   educational intervention for health professional students, to enable
   them to maintain a professionally safe online presence.Method: This was
   a qualitative, multinational, multi-institutional, multiprofessional
   study. Practical considerations (availability of participants) led us to
   use a combination of focus groups and individual interviews,
   strengthening our findings by triangulating our method of data
   collection. The study gathered data from 57 nursing, medical and
   paramedical students across four sites in three countries (Aotearoa/New
   Zealand, Australia and Wales). A content analysis was conducted to
   clarify how and why students used Facebook and what strategies they
   thought might be useful to ensure professional usage. A series of
   emergent codes were examined and a thematic analysis undertaken from
   which key themes were crystallized.Results: The results illuminated the
   ways in which students use social networking sites (SNS). The three key
   themes to emerge from the data analysis were negotiating identities,
   distancing and risks. Students expressed the wish to have material about
   professional safety on SNS taught to them by authoritative figures to
   explain the rules as well as by peers to assist with practicalities. Our
   interactive research method demonstrated the transformative capacity of
   the students working in groups.Conclusions: Our study supports the need
   for an educational intervention to assist health professional students
   to navigate SNS safely and in a manner appropriate to their future roles
   as health professionals. Because health professional students develop
   their professional identity throughout their training, we suggest that
   the most appropriate intervention incorporate small group interactive
   sessions from those in authority, and from peers, combined with group
   work that facilitates and enhances the students' development of a
   professional identity.
RI Hilder, Jo/AAL-5391-2021; McKimm, Judy/; Hilder, Jo/; Wilkinson, Tim/C-5515-2008; Brown, Menna/
OI McKimm, Judy/0000-0002-8949-5067; Hilder, Jo/0000-0003-4121-4390;
   Wilkinson, Tim/0000-0002-4080-4164; Brown, Menna/0000-0003-1427-1648
TC 13
ZS 0
ZA 0
ZB 0
Z8 0
ZR 0
Z9 13
U1 0
U2 10
SN 0142-159X
EI 1466-187X
UT WOS:000407793800010
PM 28562145
ER

PT J
AU Parotto, Matteo
   Hiansen, Joshua Qua
   AboTaiban, Ahmed
   Ioukhova, Svetlana
   Agzamov, Alisher
   Cooper, Richard
   O'Leary, Gerald
   Meineri, Massimiliano
TI Evaluation of a low-cost, 3D-printed model for bronchoscopy training
SO ANAESTHESIOLOGY INTENSIVE THERAPY
VL 49
IS 3
BP 189
EP 197
DI 10.5603/AIT.a2017.0035
PD 2017
PY 2017
AB Background: Flexible bronchoscopy is a fundamental procedure in
   anaesthesia and critical care medicine. Although learning this procedure
   is a complex task, the use of simulation-based training provides
   significant advantages, such as enhanced patient safety. Access to
   bronchoscopy simulators may be limited in low-resource settings. We have
   developed a low-cost 3D-printed bronchoscopy training model.
   Methods: A parametric airway model was obtained from an online medical
   model repository and fabricated using a low-cost 3D printer. The
   participating physicians had no prior bronchoscopy experience.
   Participants received a 30-minute lecture on flexible bronchoscopy and
   were administered a 15-item pre-test questionnaire on bronchoscopy.
   Afterwards, participants were instructed to perform a series of
   predetermined bronchoscopy tasks on the 3D printed simulator on 4
   consecutive occasions. The time needed to perform the tasks and the
   quality of task performance (identification of bronchial anatomy,
   technique, dexterity, lack of trauma) were recorded. Upon completion of
   the simulator tests, participants were administered the 15-item
   questionnaire (post-test) once again. Participant satisfaction data on
   the perceived usefulness and accuracy of the 3D model were collected. A
   statistical analysis was performed using the t-test. Data are reported
   as mean values (+/- standard deviation).
   Results: The time needed to complete all tasks was 152.9 +/- 71.5 sec on
   the 1st attempt vs. 98.7 +/- 40.3 sec on the 4th attempt (P = 0.03).
   Likewise, the quality of performance score improved from 8.3 +/- 6.7 to
   18.2 +/- 2.5 (P < 0.0001). The average number of correct answers in the
   questionnaire was 6.8 +/- 1.9 pre-test and 13.3 +/- 3.1 post-test (P <
   0.0001). Participants reported a high level of satisfaction with the
   perceived usefulness and accuracy of the model.
   Conclusions: We developed a 3D-printed model for bronchoscopy training.
   This model improved trainee performance and may represent a valid,
   low-cost bronchoscopy training tool.
ZR 0
ZS 2
Z8 1
ZA 0
ZB 3
TC 20
Z9 21
U1 0
U2 3
SN 1642-5758
EI 1731-2531
UT WOS:000407852300003
PM 28712105
ER

PT J
AU Negri, Elaine Cristina
   Mazzo, Alessandra
   Amado Martins, Jose Carlos
   Pereira Junior, Gerson Alves
   dos Santos Almeida, Rodrigo Guimaraes
   Pedersoli, Cesar Eduardo
TI Clinical simulation with dramatization: gains perceived by students and
   health professionals
SO REVISTA LATINO-AMERICANA DE ENFERMAGEM
VL 25
AR e2916
DI 10.1590/1518-8345.1807.2916
PD 2017
PY 2017
AB Objective: to identify in the literature the gains health students and
   professionals perceive when using clinical simulation with dramatization
   resources. Method: integrative literature review, using the method
   proposed by the Joanna Briggs Institute (JBI). A search was undertaken
   in the following databases: Latin American and Caribbean Health Sciences
   Literature, Web of Science, National Library of Medicine, Cumulative
   Index to Nursing and Allied Health Literature, The Cochrane Library,
   Scopus, Scientific Electronic Library Online. Results: 53 studies were
   analyzed, which complied with the established inclusion criteria. Among
   the different gains obtained, satisfaction, self-confidence, knowledge,
   empathy, realism, reduced level of anxiety, comfort, communication,
   motivation, capacity for reflection and critical thinking and teamwork
   stand out. Conclusion: the evidence demonstrates the great possibilities
   to use dramatization in the context of clinical simulation, with gains
   in the different health areas, as well as interprofessional gains.
RI NEGRI, ELAINE CRISTINA/ADU-2612-2022; Pereira, Gerson Alves/H-7514-2012; Mazzo, Alessandra/J-6415-2012
OI NEGRI, ELAINE CRISTINA/0000-0001-8665-1936; Pereira, Gerson
   Alves/0000-0003-3920-3000; Mazzo, Alessandra/0000-0001-5074-8939
ZA 0
ZS 21
TC 24
ZB 0
Z8 1
ZR 0
Z9 37
U1 1
U2 21
SN 1518-8345
UT WOS:000407429700001
PM 28793125
ER

PT J
AU Ohl, Alisha
   Sheff, Mira Grice
   Little, Sarah
   Nguyen, Jamie
   Paskor, Kelly
   Zanjirian, Aliza
TI Predictors of employment status among adults with Autism Spectrum
   Disorder
SO WORK-A JOURNAL OF PREVENTION ASSESSMENT & REHABILITATION
VL 56
IS 2
BP 345
EP 355
DI 10.3233/WOR-172492
PD 2017
PY 2017
AB BACKGROUND: In the United States, adults with Autism Spectrum Disorder
   (ASD) experience high rates of unemployment and underemployment in
   relation to adults with other disabilities and the general population.
   Yet there is little research examining their employment experiences and
   the predictors of employment status.
   OBJECTIVE: The purpose of this study was to examine the employment
   characteristics and histories of both employed and unemployed adults
   with ASD, and the factors that contributed to their employment status.
   METHODS: This cross-sectional study used an online survey and the Short
   Effort Reward Imbalance (ERI) Scale to gather data. Multivariate
   logistic regression analyses were used to examine predictors of
   employment status and self-reported health.
   RESULTS: Of the 254 adults withASDwho participated in this study, 61.42%
   were employed and 38.58% were unemployed. Over half of the participants
   reported job imbalance on the Short ERI Scale and the vast majority did
   not receive any job assistance. Participants who disclosed their ASD
   diagnosis to their employer were more than three times as likely to be
   employed than those who did not disclose. Education level was also a
   significant predictor of employment status.
   CONCLUSIONS: This study suggests disability disclosure and education
   level are factors that contribute to employment status.
RI Ohl, Alisha/AAU-9204-2021
ZA 0
ZB 10
ZR 0
ZS 0
Z8 0
TC 56
Z9 56
U1 0
U2 21
SN 1051-9815
EI 1875-9270
UT WOS:000396548900019
PM 28211841
ER

PT J
AU Bluteau, Patricia
   Clouder, Lynn
   Cureton, Debra
TI Developing interprofessional education online: An ecological systems
   theory analysis
SO JOURNAL OF INTERPROFESSIONAL CARE
VL 31
IS 4
BP 420
EP 428
DI 10.1080/13561820.2017.1307170
PD 2017
PY 2017
AB This article relates the findings of a discourse analysis of an online
   asynchronous interprofessional learning initiative involving two UK
   universities. The impact of the initiative is traced over three
   intensive periods of online interaction, each of several-weeks duration
   occurring over a three-year period, through an analysis of a random
   sample of discussion forum threads. The corpus of rich data drawn from
   the forums is interpreted using ecological systems theory, which
   highlights the complexity of interaction of individual, social and
   cultural elements. Ecological systems theory adopts a life course
   approach to understand how development occurs through processes of
   progressively more complex reciprocal interaction between people and
   their environment. This lens provides a novel approach for analysis and
   interpretation of findings with respect to the impact of
   pre-registration interprofessional education and the interaction between
   the individual and their social and cultural contexts as they progress
   through 3/4 years of their programmes. Development is mapped over time
   (the chronosystem) to highlight the complexity of interaction across
   microsystems (individual), mesosystems (curriculum and
   institutional/care settings), exosystems (community/wider local
   context), and macrosystems (national context and culture). This article
   illustrates the intricacies of students' interprofessional development
   over time and the interactive effects of social ecological components in
   terms of professional knowledge and understanding, wider appreciation of
   health and social care culture and identity work. The implications for
   contemporary pre-registration interprofessional education and the
   usefulness and applicability of ecological systems theory for future
   research and development are considered.
OI Bluteau, Patricia/0000-0003-3444-9204
ZB 2
ZR 0
TC 18
ZA 0
ZS 0
Z8 1
Z9 19
U1 9
U2 31
SN 1356-1820
EI 1469-9567
UT WOS:000407634600002
PM 28471258
ER

PT J
AU Brewer, Margo L.
   Flavell, Helen Louise
   Jordon, Joanne
TI Interprofessional team-based placements: The importance of space, place,
   and facilitation
SO JOURNAL OF INTERPROFESSIONAL CARE
VL 31
IS 4
BP 429
EP 437
DI 10.1080/13561820.2017.1308318
PD 2017
PY 2017
AB Interprofessional education in practice settings typically requires
   greater resource investment than in the classroom or online. Increased
   interest in return on investment means research on the outcomes of
   practice-based interprofessional education is needed. In this article,
   we report findings from a qualitative study involving a series of focus
   groups with health sciences' students during their interprofessional
   placements in three community health settings in Western Australia. An
   exploratory case study approach was adopted to determine students'
   perceptions of the placement and their learning. The
   presage-process-product (3P) model of learning and teaching was employed
   to illuminate to the nature of this interprofessional education
   experience. Verbatim transcripts were analysed by two researchers using
   an inductive approach to derive key themes. Findings illuminate a number
   of factors that strongly influenced student perceptions of their
   learning in interprofessional practice-based placements including a
   dedicated space to collaborate and learn; exposure to a wide range of
   professions in practice settings; the approach of the facilitators; and
   students' previous clinical experience, year level and the timing of the
   placement. Students reported that the placement enhanced their
   knowledge, professional communication, leadership, understanding of
   other health professions and collaboration. This study provides
   contemporary insight into key factors that influence student learning
   during practice-based interprofessional placements.
RI Brewer, Margo/K-4389-2016
OI Brewer, Margo/0000-0001-9580-0390
ZR 0
ZA 0
ZB 0
TC 26
ZS 0
Z8 0
Z9 26
U1 3
U2 9
SN 1356-1820
EI 1469-9567
UT WOS:000407634600003
PM 28467132
ER

PT J
AU Mospan, Cortney M.
   Hess, Rick
   Blackwelder, Reid
   Grover, Susan
   Dula, Chris
TI A two-year review of suicide ideation assessments among medical,
   nursing, and pharmacy students
SO JOURNAL OF INTERPROFESSIONAL CARE
VL 31
IS 4
BP 537
EP 539
DI 10.1080/13561820.2017.1301900
PD 2017
PY 2017
AB Suicide is the 10th leading cause of death in the U.S. and has increased
   in prevalence during the past 15 years. Patients who attempt suicide are
   more likely to have contact with their primary care provider than a
   mental health provider in the month before attempting suicide,
   highlighting the need for competency in suicide ideation (SI)
   assessment. The Communications Skills for Health Professionals is an
   interprofessional course involving first-year medical, nursing, and
   pharmacy students. Specific instruction regarding assessment of SI was
   delivered through an online module and later practiced by students with
   standardized patients (SP). A final Objective Structured Clinical
   Examination featured an SP with depression, but without SI, though an
   assessment of SI was indicated. Three hundred fifty six interviews were
   reviewed and 55.1% (196/356) of students assessed for SI. Across
   professions, 65.5% (93/142) of medical students, 52.5% (32/61) of
   nursing students, and 46.4% (71/153) of pharmacy students performed an
   assessment. Medical students' SI assessment was highest across the
   groups (p = 0.001), while pharmacy students' SI assessment was lowest (p
   = 0.004). Results suggest that additional educational strategies should
   be developed and implemented to increase SI assessment performance in
   all professions, but especially in pharmacy students.
TC 6
ZR 0
ZS 0
Z8 0
ZA 0
ZB 0
Z9 6
U1 0
U2 6
SN 1356-1820
EI 1469-9567
UT WOS:000407634600017
PM 28388295
ER

PT J
AU Patelarou, Athina E.
   Kyriakoulis, Konstantinos G.
   Stamou, Aliki A.
   Laliotis, Aggelos
   Sifaki-Pistolla, Dimitra
   Matalliotakis, Michail
   Prokopakis, Emmanuel
   Patelarou, Evridiki
TI Approaches to teach evidence-based practice among health professionals:
   an overview of the existing evidence
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 8
BP 455
EP 464
DI 10.2147/AMEP.S134475
PD 2017
PY 2017
AB Health care professionals' adoption of evidence-based practice (EBP)
   remains limited, although most health care professionals are familiar
   with EBP and believe in its value. This systematic review aimed to bring
   together the best methods used to teach EBP to health professionals. The
   authors conducted a systematic search for the period 2005-2015 (an
   update of the search took place in October 2016) using PubMed interface
   (Medline). MeSH terms as well as free-text keywords were used. Studies
   were analyzed and evaluated by title and abstract. Those studies which
   fulfilled the inclusion criteria were assessed by full text. References
   of articles were also taken into consideration for identifying relevant
   studies not found through algorithm search. Twenty articles were found
   to be relevant. The majority of the studies were conducted among nurses
   (n=7) and physicians (n=6), and only a few among professionals from
   mixed disciplines (n=5). Two studies were conducted among chiropractors
   (n=1) and faculty members from a naturopathic and classical Chinese
   medicine institution (n=1). Researchers used a variety of different
   approaches, which varied with respect to duration and organization. We
   divided interventions into two categories. Single interventions included
   either a workshop, or a journal club, or a conference, or a lecture, or
   online learning tools, whereas multiple interventions included a
   combination of these approaches. An increase in EBP competencies and
   attitudes was reported in nine studies. Teaching methods for optimizing
   EBP among health professionals could become a robust standardized
   procedure of the medical educational curricula and lifelong learning of
   health care professionals.
RI Patelarou, Evridiki/ABE-8373-2020; Patelarou, Athina/AAZ-5643-2020; Kyriakoulis, Konstantinos/AAL-4446-2021; mihalis, mihalis/AAE-4474-2019; MATALLIOTAKIS, MICHAIL/; Stamou, Aliki/; Sifaki-Pistolla, Dimitra/; Laliotis, Aggelos/
OI Patelarou, Athina/0000-0002-0300-0650; Kyriakoulis,
   Konstantinos/0000-0001-8986-2704; MATALLIOTAKIS,
   MICHAIL/0000-0002-2967-184X; Stamou, Aliki/0000-0002-2957-592X;
   Sifaki-Pistolla, Dimitra/0000-0001-9345-6266; Laliotis,
   Aggelos/0000-0003-0681-2053
ZR 0
ZA 0
ZS 1
Z8 0
ZB 0
TC 13
Z9 14
U1 0
U2 10
SN 1179-7258
UT WOS:000405632900001
PM 28740443
ER

PT J
AU Flores, Juan M.
   Santos, Glenn-Milo
   Makofane, Keletso
   Arreola, Sonya
   Ayala, George
TI Availability and Use of Substance Abuse Treatment Programs Among
   Substance-Using Men Who Have Sex With Men Worldwide
SO SUBSTANCE USE & MISUSE
VL 52
IS 5
BP 666
EP 673
DI 10.1080/10826084.2016.1253744
PD 2017
PY 2017
AB Background: Substance use is common among men who have sex with men
   (MSM) worldwide, and epidemiologic data suggest that
   alcohol/substance-using MSM are at greater risk for HIV. However, there
   are scarce data on substance abuse treatment programs (SATPs) for
   substance-using MSM. Objectives: We examined proportions of substance
   use as well as SATP availability and use. We used multivariable
   regression models, controlling for potential confounders, to examine
   behavioral and demographic correlates of SATP availability and use.
   Methods: This is a cross-sectional study of a multi-region, online
   sample of substance-using MSM. Results: In this sample, 75% were
   substance-using MSM of whom 36% reported at-least-weekly use. Substance
   use was most prevalent among respondents from Eastern Europe/Central
   Asia (86%) and Latin America (79%). Among substance-using MSM, 96% and
   33% reported alcohol intoxication and other substance use, respectively;
   11% reported having high SATP availability; and 5% reported using SATPs.
   Controlling for global region of origin and age, high SATP availability
   was associated with high access to HIV risk-reduction education (aOR =
   3.19; CI = 1.48-6.89), mental health services (aOR = 2.53; CI =
   1.32-4.83), and medical care (aOR = 2.32; CI = 1.12-4.80); less than
   college-level education (aOR = 0.32; CI = 0.18-0.54); and higher comfort
   levels with providers (aOR = 1.75; CI = 1.30-2.37). Controlling for
   substance use frequency and personal income additionally, using SATPs
   was associated with higher levels of connection to the gay community
   (aOR = 2.76; CI = 1.22-6.22). Conclusion: In this global sample of MSM,
   we found high alcohol intoxication and other substance use proportions.
   Few substance-using MSM report SATP availability, highlighting the need
   to develop novel substance use programs outside traditional treatment
   settings.
RI Ayala, George/AAF-6035-2021; Santos, Glenn-Milo/; Makofane, Keletso/
OI Santos, Glenn-Milo/0000-0003-1009-5317; Makofane,
   Keletso/0000-0001-8493-4238
ZA 0
ZB 1
ZS 0
ZR 0
TC 8
Z8 0
Z9 8
U1 0
U2 1
SN 1082-6084
EI 1532-2491
UT WOS:000396023800014
PM 28139146
ER

PT J
AU Hicks, Kristen K.
   Murano, Peter S.
TI Online nutrition and T2DM continuing medical education course launched
   on state-level medical association
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 8
BP 413
EP 418
DI 10.2147/AMEP.S138278
PD 2017
PY 2017
AB Objective: The purpose of this research study was to determine whether a
   1-hour online continuing medical education (CME) course focused on
   nutrition for type 2 diabetes would result in a gain in nutrition
   knowledge by practicing physicians.
   Methods: A practicing physician and dietitian collaborated to develop an
   online CME course (both webinar and self-study versions) on type 2
   diabetes. This 1-hour accredited course was launched through the
   state-level medical association's education library, available to all
   physicians.
   Results: Physicians (n=43) registered for the course, and of those, 31
   completed the course in its entirety. A gain in knowledge was found when
   comparing pre-versus post-test scores related to the online nutrition
   CME (P<0.0001).
   Conclusions: Online CME courses launched via state-level medical
   associations offer convenient continuing education to assist practicing
   physicians in addressing patient nutrition and lifestyle concerns
   related to chronic disease. The present diabetes CME one-credit course
   allowed physicians to develop basic nutrition care concepts on this
   topic to assist patients in a better way.
OI Roof, Kristen/0000-0001-7713-3037
ZA 0
ZR 0
ZB 0
TC 1
Z8 0
ZS 0
Z9 1
U1 0
U2 0
SN 1179-7258
UT WOS:000404109400002
PM 28721115
ER

PT J
AU Davies, Sharon
   Lorello, Gianni Roberto
   Downey, Kristi
   Friedman, Zeev
TI Effective learning environments - the process of creating and
   maintaining an online continuing education tool
SO ADVANCES IN MEDICAL EDUCATION AND PRACTICE
VL 8
BP 447
EP 452
DI 10.2147/AMEP.S136348
PD 2017
PY 2017
AB Continuing medical education (CME) is an indispensable part of
   maintaining physicians' competency. Since attending conferences requires
   clinical absenteeism and is not universally available, online learning
   has become popular. The purpose of this study is to conduct a
   retrospective analysis examining the creation process of an anesthesia
   website for adherence to the published guidelines and, in turn, provide
   an illustration of developing accredited online CME. Using Kern's guide
   to curriculum development, our website analysis confirmed each of the
   six steps was met. As well, the technical design features are consistent
   with the published literature on efficient online educational courses.
   Analysis of the database from 3937 modules and 1628 site evaluations
   reveals the site is being used extensively and is effective as
   demonstrated by the participants' examination results, content
   evaluations and reports of improvements in patient management. Utilizing
   technology to enable distant learning has become a priority for many
   educators. When creating accredited online CME programs, course
   developers should understand the educational principles and technical
   design characteristics that foster effective online programs. This study
   provides an illustration of incorporating these features. It also
   demonstrates significant participation in online CME by
   anesthesiologists and highlights the need for more accredited programs.
OI Lorello, Gianni/0000-0003-1387-1748
ZB 0
TC 8
ZR 0
ZS 0
ZA 0
Z8 0
Z9 8
U1 1
U2 5
SN 1179-7258
UT WOS:000405632000001
PM 28721120
ER

PT J
AU Norman, Marie K.
TI Twelve tips for reducing production time and increasing long-term
   usability of instructional video
SO MEDICAL TEACHER
VL 39
IS 8
BP 808
EP 812
DI 10.1080/0142159X.2017.1322190
PD 2017
PY 2017
AB The use of instructional video is increasing across all disciplines and
   levels of education. Although video has a number of distinct advantages
   for course delivery and student learning, it can also be time-consuming
   and resource-intensive to produce, which imposes a burden on busy
   faculty. With video poised to play a larger role in medical education,
   we need strategies for streamlining video production and ensuring that
   the video we produce is of lasting value. This article draws on learning
   research and best practices in educational technology, along with the
   author's experience in online education and video production. It offers
   12 practical tips for reducing the initial time investment in video
   production and creating video that can be reused long into the future.
   These tips can help faculty and departments create high-quality
   instructional video while using their time and resources more wisely.
ZS 0
Z8 0
ZA 0
ZR 0
ZB 2
TC 10
Z9 10
U1 3
U2 12
SN 0142-159X
EI 1466-187X
UT WOS:000405805100004
PM 28485662
ER

PT J
AU Chandran, Latha
   Gusic, Maryellen E.
   Lane, J. Lindsey
   Baldwin, Constance D.
TI Designing a National Longitudinal Faculty Development Curriculum Focused
   on Educational Scholarship: Process, Outcomes, and Lessons Learned
SO TEACHING AND LEARNING IN MEDICINE
VL 29
IS 3
BP 337
EP 350
DI 10.1080/10401334.2017.1282370
PD 2017
PY 2017
AB Problem: Clinical educators at U.S. academic health centers are
   frequently disadvantaged in the academic promotion system, lacking
   needed faculty development, mentoring, and networking support.
   Intervention: In 2006, we implemented the national Educational Scholars
   Program to offer faculty development in educational scholarship for
   early career educators in pediatrics. We aimed to provide them with
   skills, experience, and initial success in educational scholarship and
   dissemination. The 3-year curriculum is delivered in interactive
   sessions at the annual pediatric academic meetings and online
   intersession modules. Curriculum content progresses from educational
   scholarship and implementing scholarly projects to dissemination and
   professional networking. Intersession modules address project planning,
   building an educator portfolio, reviewing the literature, using
   technology, authorship, and peer review. Concurrently, all scholars must
   complete a mentored educational project and demonstrate national
   dissemination of a peer-reviewed product to obtain a Certificate of
   Excellence in Educational Scholarship. Context: The setting of this
   study was a national, longitudinal, cohort-based faculty development
   program built within the Academic Pediatric Association, a 2,000-member
   professional organization. Outcome: In 10years, the Educational Scholars
   Program has enrolled 172 scholars in 8 cohorts; 94 have graduated so
   far. We describe how formative evaluation guided curriculum refinement
   and process improvement. Summative evaluations show that faculty and
   scholars were satisfied with the program. Participant outcomes from
   Cohort 1, assessed at Kirkpatrick's four levels of evaluation,
   demonstrate increases in scholarly productivity, leadership activities,
   and academic promotions. Lessons Learned: Curriculum building is a
   dynamic process of ongoing evaluation and modification. Our program
   benefited from designing an integrated and focused curriculum,
   developing educational principles to guide program improvements,
   creating curricular tools to help learners organize and document their
   efforts, supporting project-based learning with expert mentoring, and
   facilitating peer and faculty networking and collaboration. A national,
   longitudinal faculty development program can support growth in academic
   knowledge and skills, promote professional networking, and thereby
   enrich educators' career opportunities.
Z8 0
ZB 0
ZR 0
ZA 0
TC 16
ZS 0
Z9 16
U1 1
U2 19
SN 1040-1334
EI 1532-8015
UT WOS:000406136800012
PM 28632010
ER

PT J
AU Sieben, Anna
   Oparka, Richard
   Erolin, Caroline
TI Histology in 3D: development of an online interactive student resource
   on epithelium
SO JOURNAL OF VISUAL COMMUNICATION IN MEDICINE
VL 40
IS 2
BP 58
EP 65
DI 10.1080/17453054.2017.1332480
PD 2017
PY 2017
AB Epithelium is an important and highly specialised tissue type that makes
   up the lining of inner and outer surfaces of the human body. It is
   proposed that a self-study tool adds to efficient learning and lecturing
   on this complicated topic in medical curricula. This paper describes the
   development and evaluation of an online interactive 3D resource on
   epithelium for undergraduate medical students. A first evaluation was
   carried out by means of an online survey (n = 37). The resource was
   evaluated positively on the website in general, its visual contents and
   its value and potential for the medical curriculum.
OI Erolin, Caroline/0000-0003-2707-5582
ZR 0
ZA 0
TC 4
ZB 1
ZS 0
Z8 0
Z9 4
U1 0
U2 4
SN 1745-3054
EI 1745-3062
UT WOS:000406388000002
PM 28595503
ER

PT J
AU Griebel, Lena
   Kolominsky-Rabas, Peter
   Schaller, Sandra
   Siudyka, Jakub
   Sierpinski, Radoslaw
   Papapavlou, Dimitrios
   Simeonidou, Aliki
   Prokosch, Hans-Ulrich
   Sedlmayr, Martin
TI Acceptance by laypersons and medical professionals of the personalized
   eHealth platform, eHealthMonitor
SO INFORMATICS FOR HEALTH & SOCIAL CARE
VL 42
IS 3
BP 232
EP 249
DI 10.1080/17538157.2016.1237953
PD 2017
PY 2017
AB Introduction and background: Often, eHealth services are not accepted
   because of factors such as eHealth literacy or trust. Within this study,
   eHealthMonitor was evaluated in three European countries (Germany,
   Greece, and Poland) by medical professionals and laypersons with respect
   to numerous acceptance factors. Methods: Questionnaires were created on
   the basis of factors from literature and with the help of scales which
   have already been validated. A qualitative survey was conducted in
   Germany, Poland, and Greece. Results: The eHealth literacy of all
   participants was medium/high. Laypersons mostly agreed that they could
   easily become skillful with eHealthMonitor and that other people thought
   that they should use eHealthMonitor. Amongst medical professionals, a
   large number were afraid that eHealthMonitor could violate their privacy
   or the privacy of their patients. Overall, the participants thought that
   eHealthMonitor was a good concept and that they would use it. Discussion
   and conclusion: The main hindrances to the use of eHealthMonitor were
   found in trust issues including data privacy. In the future, more
   research on the linkage of all measured factors is needed, for example,
   to address the question of whether highly educated people tend to
   mistrust eHealth information more than people with lower levels of
   education.
RI CERVANTES, EMILY/R-6274-2018; Sedlmayr, Martin/D-8828-2011; Sierpiński, Radosław/ABA-7673-2020; Kolominsky-Rabas, Peter/
OI Sedlmayr, Martin/0000-0002-9888-8460; Kolominsky-Rabas,
   Peter/0000-0002-7168-058X
ZA 0
ZS 0
Z8 0
ZB 1
TC 4
ZR 0
Z9 4
U1 3
U2 29
SN 1753-8157
EI 1753-8165
UT WOS:000402007600002
PM 27764580
ER

PT J
AU DeWitt, Dorothy
   Alias, Norlidah
   Siraj, Saedah
   Spector, Jonathan Michael
TI Wikis for a Collaborative Problem-Solving (CPS) Module for Secondary
   School Science
SO EDUCATIONAL TECHNOLOGY & SOCIETY
VL 20
IS 1
BP 144
EP 155
PD JAN 2017
PY 2017
AB Collaborative problem solving (CPS) can support online learning by
   enabling interactions for social and cognitive processes. Teachers may
   not have sufficient knowledge to support such interactions, so support
   needs to be designed into learning modules for this purpose. This study
   investigates to what extent an online module for teaching nutrition in
   secondary school science, using a wiki for CPS, enables interactions,
   and social and cognitive processes. The module was implemented with 31
   volunteer participants. Data collected from the online communications
   was analyzed for the types of interactions and processes based on the
   Community of Inquiry Framework. This was triangulated using transcripts
   of interviews with students. In addition, pretests and posttests were
   conducted to determine whether the learning outcomes were achieved.
   Analysis of the online communications showed that the interactions were
   mainly between learner and content (64.4%), with a large portion of
   cognitive processes (69.3%) but little social (4.0%), attitudes (9.9%),
   teaching processes (12.9%) and noise (5.9%). The findings suggest that
   the module could be used to improve outcomes of learning and encourage
   interactions for cognitive processes and online presences. The findings
   may provide insights in encouraging CPS for learning science online.
RI Siraj, Saedah/ABG-8662-2021; Alias, Norlidah/AAV-2153-2021; DeWitt, Dorothy/I-6782-2015; Spector, Jonathan M/B-1780-2014
OI Siraj, Saedah/0000-0002-7107-0829; Alias, Norlidah/0000-0002-8299-2669;
   DeWitt, Dorothy/0000-0003-3123-7150; Spector, Jonathan
   M/0000-0002-6270-3073
Z8 0
ZS 0
ZB 1
ZA 0
TC 4
ZR 0
Z9 4
U1 3
U2 27
SN 1176-3647
EI 1436-4522
UT WOS:000392040600013
ER

PT J
AU Saqr, Mohammed
   Fors, Uno
   Tedre, Matti
TI How learning analytics can early predict under-achieving students in a
   blended medical education course
SO MEDICAL TEACHER
VL 39
IS 7
BP 757
EP 767
DI 10.1080/0142159X.2017.1309376
PD 2017
PY 2017
AB Aim: Learning analytics (LA) is an emerging discipline that aims at
   analyzing students' online data in order to improve the learning process
   and optimize learning environments. It has yet un-explored potential in
   the field of medical education, which can be particularly helpful in the
   early prediction and identification of under-achieving students. The aim
   of this study was to identify quantitative markers collected from
   students' online activities that may correlate with students' final
   performance and to investigate the possibility of predicting the
   potential risk of a student failing or dropping out of a course.Methods:
   This study included 133 students enrolled in a blended medical course
   where they were free to use the learning management system at their
   will. We extracted their online activity data using database queries and
   Moodle plugins. Data included logins, views, forums, time, formative
   assessment, and communications at different points of time. Five
   engagement indicators were also calculated which would reflect
   self-regulation and engagement. Students who scored below 5% over the
   passing mark were considered to be potentially at risk of
   under-achieving.Results: At the end of the course, we were able to
   predict the final grade with 63.5% accuracy, and identify 53.9% of
   at-risk students. Using a binary logistic model improved prediction to
   80.8%. Using data recorded until the mid-course, prediction accuracy was
   42.3%. The most important predictors were factors reflecting engagement
   of the students and the consistency of using the online
   resources.Conclusions: The analysis of students' online activities in a
   blended medical education course by means of LA techniques can help
   early predict underachieving students, and can be used as an early
   warning sign for timely intervention.
RI Saqr, Mohammed/AAH-2520-2020
OI Saqr, Mohammed/0000-0001-5881-3109
TC 71
ZB 2
Z8 0
ZA 0
ZR 0
ZS 1
Z9 72
U1 2
U2 65
SN 0142-159X
EI 1466-187X
UT WOS:000404352900010
PM 28421894
ER

PT J
AU Evans, Sherryn Maree
   Ward, Catherine
   Reeves, Scott
TI An exploration of teaching presence in online interprofessional
   education facilitation
SO MEDICAL TEACHER
VL 39
IS 7
BP 773
EP 779
DI 10.1080/0142159X.2017.1297531
PD 2017
PY 2017
AB Background: Although the prevalence of online asynchronous
   interprofessional education (IPE) has increased in the last decade,
   little is known about the processes of facilitation in this environment.
   The teaching presence element of the Community of Inquiry Framework
   offers an approach to analyze the contributions of online facilitators,
   however, to date it has only been used on a limited basis in health
   professions education literature.Aim: Using an exploratory case study
   design, we explored the types of contributions made by IPE facilitators
   to asynchronous interprofessional team discussions by applying the
   notion of teaching presence.Methods: Using a purposeful sampling
   approach, we analyzed 14 facilitators' contributions to asynchronous
   team discussion boards in an online IPE course. We analyzed data using
   directed content analysis based on the key indicators of teaching
   presence.Results: The online IPE facilitators undertook the three
   critical pedagogical functions identified in teaching presence:
   facilitating discourse, direct instruction, and instructional design and
   organization. While our data fitted well with a number of key activities
   embedded in these three functions, further modification of the teaching
   presence concept was needed to describe our facilitators' teaching
   presence.Conclusions: This study provides an initial insight into the
   key elements of online asynchronous IPE facilitation. Further research
   is required to continue to illuminate the complexity of online
   asynchronous IPE facilitation.
OI Evans, Sherryn/0000-0001-8783-7564; Ward, Catherine/0000-0002-3317-3181;
   Reeves, Scott/0000-0002-0573-0622
ZR 0
ZA 0
ZB 0
TC 8
Z8 0
ZS 0
Z9 8
U1 1
U2 12
SN 0142-159X
EI 1466-187X
UT WOS:000404352900012
PM 28285564
ER

PT J
AU Venugopal, Usha
   Kasubhai, Moiz
   Paruchuri, Vikram
TI Introduction of a quality improvement curriculum in the Department of
   Internal Medicine, Lincoln Medical Center
SO JOURNAL OF COMMUNITY HOSPITAL INTERNAL MEDICINE PERSPECTIVES
VL 7
IS 1
DI 10.1080/20009666.2016.1265288
PD 2017
PY 2017
AB Community hospitals with limited resources struggle to engage physicians
   in Quality improvement initiatives. We introduced Quality Improvement
   (QI) curriculum for residents in response to ACGME requirements and
   surveyed the residents understanding of QI and their involvement in QI
   projects before and after the introduction of the curriculum. The
   current article describes our experiences with the process, the
   challenges and possible solutions to have a successful resident led QI
   initiative in a community hospital.
   Methods: A formal QI curriculum was introduced in the Department of
   Internal Medicine from September to October 2015 using the Model for
   Improvement from Institute for Health care Improvement (IHI). Learners
   were expected to read the online modules, discuss in small group
   sessions and later encouraged to draft their QI projects using the
   Charter form and PDSA form available on the HI website. Online surveys
   were conducted a week prior and 3 months after completion of the
   curriculum
   Results: 80% (100/117) of residents completed the pre-curriculum survey
   and 52% (61/117) completed the survey post curriculum. 96.7% of
   residents report that physicians should lead QI projects and training
   rather than the hospital administrators. Residents had 20% increase in
   understanding and confidence in leading quality improvement projects
   post curriculum once initiated. Most Residents (72%) feel QI should be
   taught during residency. Active involvement of residents with interest
   was seen after the initiation of Open School Institute of health
   improvement (IHI) curriculum as compared to Institutional led QI's. The
   resident interventions, pitfalls with change processes with an example
   of PDSA cycle are discussed.
   Conclusion: A Dedicated QI curriculum is necessary to prepare the
   physicians deliver quality care in an increasing complex health care
   delivery system. The strength of the curriculum is the ease of
   understanding the material, easily available to all, and can be easily
   replicated in a Community Hospital program with limited resources.
   Participation in QI by residents may promote constructive
   competitiveness among related hospitals in public system to improve
   delivery of safe care.
ZR 0
Z8 0
ZB 0
ZA 0
TC 2
ZS 0
Z9 2
U1 1
U2 2
SN 2000-9666
UT WOS:000398501500001
PM 28634517
ER

PT J
AU Harnett, Susan
TI Health Literacy Tool Shed: A Source for Validated Health Literacy
   Instruments
SO JOURNAL OF CONSUMER HEALTH ON THE INTERNET
VL 21
IS 1
BP 78
EP 86
DI 10.1080/15398285.2017.1280344
PD 2017
PY 2017
AB Assessing patients for health literacy levels can be an important tool
   in effective provider-patient communication and positive health care
   outcomes. A number of different assessment tools are available to health
   care providers and researchers. The Health Literacy Tool Shed is a
   convenient searchable database of validated health literacy instruments.
   Instruments can be searched by alphabetic title list, context, domain
   measured, and administration time, among others. Results include a
   description of the tool, references, and score validation criteria.
   Tools may be freely available online or may be requested from the
   creator of the evaluation instrument.
OI Harnett, Susan/0000-0002-6331-4504
ZR 0
Z8 0
ZB 1
TC 8
ZS 0
ZA 0
Z9 8
U1 0
U2 8
SN 1539-8285
EI 1539-8293
UT WOS:000396688600007
ER

PT J
AU Kim, Kyong-Jee
   Kang, Youngjoon
   Kim, Giwoon
TI The gap between medical faculty's perceptions and use of e-learning
   resources
SO MEDICAL EDUCATION ONLINE
VL 22
AR 1338504
DI 10.1080/10872981.2017.1338504
PD 2017
PY 2017
AB Background: e-Learning resources have become increasingly popular in
   medical education; however, there has been scant research on faculty
   perceptions and use of these resources.
   Objective: To investigate medical faculty's use of e-learning resources
   and to draw on practical implications for fostering their use of such
   resources.
   Design: Approximately 500 full-time faculty members in 35 medical
   schools across the nation in South Korea were invited to participate in
   a 30-item questionnaire on their perceptions and use of e-learning
   resources in medical education. The questionnaires were distributed in
   both online and paper formats. Descriptive analysis and reliability
   analysis were conducted of the data.
   Results: Eighty faculty members from 28 medical schools returned the
   questionnaires. Twenty-two percent of respondents were female and 78%
   were male, and their rank, disciplines, and years of teaching experience
   all varied. Participants had positive perceptions of e-learning
   resources in terms of usefulness for student learning and usability;
   still, only 39% of them incorporated those resources in their teaching.
   The most frequently selected reasons for not using e-learning resources
   in their teaching were 'lack of resources relevant to my lectures,'
   'lack of time to use them during lectures,' and 'was not aware of their
   availability.'
   Conclusions: Our study indicates a gap between medical faculty's
   positive perceptions of e-learning resources and their low use of such
   resources. Our findings highlight the needs for further study of
   individual and institutional barriers to faculty adoption of e-learning
   resources to bridge this gap.
RI Kim, Kyong-Jee/K-1278-2012
OI Kim, Kyong-Jee/0000-0002-1936-5128
ZB 2
ZS 0
ZA 0
TC 9
ZR 0
Z8 0
Z9 9
U1 0
U2 9
SN 1087-2981
UT WOS:000403369900001
PM 28621242
ER

PT J
AU Agnew, A.
   Sen Gupta, T.
   Quirk, F.
   Evans, R.
   Larkins, S.
TI The Master's Apprentice: How do Australian medical interns learn?
SO FOCUS ON HEALTH PROFESSIONAL EDUCATION-A MULTIDISCIPLINARY JOURNAL
VL 18
IS 1
BP 56
EP 66
PD 2017
PY 2017
AB Introduction: The 2015 Review of Medical Intern Training Discussion
   Paper (Australian Health Ministers' Advisory Council, 2015) questions
   the purpose and effectiveness of the current model of internship.
   However, there is limited literature describing how the medical
   internship functioned when first established in Australia, or how the
   educational model has changed over the years.
   Methods: A study with the aim of determining how interns currently learn
   and the degree to which learning still follows an apprenticeship model
   was conducted over a 2-year period in a large Australian regional
   hospital. Sixty interns entered learning reflections into a 4-step
   online survey. A descriptive analysis was undertaken on the extracted
   data using Microsoft Excel.
   Results: Results of the study indicate that interns still learn via the
   apprenticeship relationship they have with their supervisors (registrars
   and/or consultants) more than they do via self-directed means. Findings
   from this study suggest that learning in medicine is an iterative
   process; interns will learn via modelling from their supervisors, on the
   one hand, but will use self-directed learning when and where necessary.
   Interns indicated learning more content than they do tasks related to
   administration or professional identity. There are varying emphases of
   learning in each of the core terms of medicine, surgery and emergency
   medicine, which suggests that it is important for interns to continue to
   have learning opportunities in a variety of settings and disciplines.
   Conclusions: This study provides some insights into how and what interns
   learn, which should be considered when decisions are made about future
   models of medical intern training.
RI Larkins, Sarah/A-2319-2013; Quirk, Frances/
OI Larkins, Sarah/0000-0002-7561-3202; Quirk, Frances/0000-0002-4177-0461
ZR 0
Z8 0
ZS 0
TC 3
ZA 0
ZB 0
Z9 3
U1 0
U2 7
SN 1442-1100
EI 2204-7662
UT WOS:000403459700006
ER

PT J
AU Jean, Beth St.
   Taylor, Natalie Greene
   Kodama, Christie
   Subramaniam, Mega
TI Assessing the Digital Health Literacy Skills of Tween Participants in a
   School-Library-Based After-School Program
SO JOURNAL OF CONSUMER HEALTH ON THE INTERNET
VL 21
IS 1
BP 40
EP 61
DI 10.1080/15398285.2017.1279894
PD 2017
PY 2017
AB Although young people are increasingly turning to the Internet for
   health-related information, very little is known about the state of
   their digital health literacy skills. At the beginning of an
   after-school program (HackHealth) to assist middle school students (ages
   12-15) with their digital health literacy skills, a specially designed
   Digital Healthy Literacy Assessment Tool (DHLAT) was administered to 19
   participants. Results suggest that while tweens are familiar with search
   engines and have a rudimentary sense of how to use them, they often lack
   important knowledge and skills needed to be fully digitally health
   literate. More research is needed to develop more broadly applicable
   tools for assessing tweens' digital health literacy skills and to
   discover additional ways to work with youth to ensure they are equipped
   with the digital health literacy skills they need to successfully find,
   understand, assess, manage, and make use of online health information.
OI St. Jean, Beth/0000-0002-9856-2874
ZR 0
TC 11
ZB 0
ZS 0
Z8 0
ZA 0
Z9 11
U1 2
U2 45
SN 1539-8285
EI 1539-8293
UT WOS:000396688600004
ER

PT J
AU Knight, Stephen E.
   Ross, Andrew J.
   Mahomed, Ozayr
TI Developing primary health care and public health competencies in
   undergraduate medical students
SO SOUTH AFRICAN FAMILY PRACTICE
VL 59
IS 3
BP 103
EP 109
DI 10.1080/20786190.2016.1272229
PD 2017
PY 2017
AB Background: The Selective Programme (Selectives) at the University of
   KwaZulu-Natal (UKZN) is a three-year longitudinal, community-based
   programme within the undergraduate medical curriculum, which aims to
   develop primary health care (PHC) and public health competencies in
   students using the community-oriented primary care (COPC) approach.Aim:
   The aim of this research was to evaluate the Selectives against the
   Health Professions Council of South Africa (HPCSA) core' graduate
   competencies.Setting: This study was carried out among medical students
   concluding Selectives at UKZN in 2015.Methods: A cohort of 183 students
   concluded Selectives in 2015, and thereafter 70 (38%) completed a
   routine online evaluation of the programme based on the core graduate
   competencies.Results: Students reported substantial improvements in PHC
   clinical knowledge, improved understanding of a population perspective
   on health, and having gained public health knowledge and
   skills.Conclusion: Selectives is an effective way to use a decentralised
   PHC learning platform to enable medical students to address some of the
   HPCSA graduate competencies required for health care professionals and
   not necessarily covered by other medical disciplines.
RI Mahomed, Ozayr/L-7570-2019
OI Mahomed, Ozayr/0000-0001-8076-0453
ZR 0
TC 6
ZS 1
ZB 1
Z8 0
ZA 0
Z9 6
U1 0
U2 2
SN 2078-6190
EI 2078-6204
UT WOS:000402708600004
ER

PT J
AU Saeed, Fozia
   Anderson, Ian
TI Evaluating the Quality and Readability of Internet Information on
   Meningiomas
SO WORLD NEUROSURGERY
VL 97
BP 312
EP 316
DI 10.1016/j.wneu.2016.10.001
PD JAN 2017
PY 2017
AB BACKGROUND: The Internet is a highly powerful resource for patients and
   provides an extensive amount of information on medical conditions. It is
   therefore important that the information accessible is accurate, up to
   date, and at an appropriate comprehensive level for the general public.
   This article aims to evaluate the quality of patient information on
   meningiomas.
   METHODS: The term meningioma was searched using the following search
   engines: Google, Bing, Yahoo, Ask, and AOL. The top 100 meningioma Web
   sites were analyzed for readability using the Flesch Reading Ease score
   and the Flesch-Kincaid grade level. The quality of each Web page was
   assessed with the DISCERN instrument and the Centers for Disease Control
   and Prevention (CDC) Clear Communication Index (CCI).
   RESULTS: The quality of information on the Internet on meningiomas is
   highly variable. The overall mean Flesch Reading Ease score was 43.1
   (standard deviation = 13.3) and the mean Flesch-Kincaid grade of all the
   Web sites was 11.2 (standard deviation = 2.3). This finding suggests
   that the information is on average difficult to read. Only one Web site
   was at the recommended seventh-grade level and the remainder were above
   this grade. Only one third of the Web pages had Health On the Net Code
   of Conduct or The Information Standard certification and were found to
   be significantly of higher quality: DISCERN (P = 0.022) and CDC CCI (P =
   0.027). More than 50% of the Web sites had significantly poor or average
   DISCERN scores and only 2 Web sites fulfilled the CDC CCI criteria.
   CONCLUSIONS: It is recommended that clinicians personally research
   material for their patients to be able to guide them to reliable and
   accurate Web sites. It is also encouraged to become Health On the Net
   Code of Conduct/ The Information Standard certified because this may
   indicate information of high quality. In addition, it is also
   recommended that authors of existing information assess the quality of
   their online health information against the CDC CCI criteria.
ZR 0
ZS 0
TC 16
Z8 0
ZB 1
ZA 0
Z9 16
U1 0
U2 2
SN 1878-8750
EI 1878-8769
UT WOS:000396449400043
PM 27742505
ER

PT J
AU Frith, Janet
   Hubbard, Isobel
   James, Carole
   Warren-Forward, Helen
TI In the Driver's Seat: Development and Implementation of an e-Learning
   Module on Return-to-Driving After Stroke
SO OCCUPATIONAL THERAPY IN HEALTH CARE
VL 31
IS 2
BP 150
EP 161
DI 10.1080/07380577.2017.1307481
PD 2017
PY 2017
AB Gaps exist in the knowledge of return-to-driving guidelines, and
   education is needed for Australian health professionals working in the
   field of stroke. In this paper, authors evaluate the implementation of
   an e-learning module. A pre- and post-module knowledge test and survey
   were used to assess the e-module's success in achieving its learning
   objectives. Initially, 204 learners completed the module, with 68% of
   learners scoring 100% in the post-module knowledge test. Only 12
   learners completed the survey. The authors recommend that health
   professionals other than occupational therapists access this e-module,
   and a review on e-module structure is required to improve results of
   knowledge tests.
RI James, Carole L/G-7414-2013
OI James, Carole L/0000-0002-6321-9347
Z8 0
ZA 0
ZR 0
TC 3
ZS 0
ZB 0
Z9 3
U1 1
U2 4
SN 0738-0577
EI 1541-3098
UT WOS:000401737800004
PM 28436703
ER

PT J
AU Guenther, Frank
   Rudolph, Kai
   Frank, Uwe
   Mutters, Nico T.
TI Improvement of Hand Hygiene Quality and Compliance Using Bioburden
   Measurement and Online Feedback in Germany
SO INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
VL 38
IS 1
BP 119
EP 122
DI 10.1017/ice.2016.238
PD JAN 2017
PY 2017
AB To improve compliance with hand hygiene, a novel method with inclusion
   of an online reporting system was developed, comprising measurement of
   total hand bioburden, anonymous online feedback, and onsite training.
   The intervention significantly improved both compliance and quality of
   hand hygiene and reduced Staphylococcus aureus incidence.
RI Mutters, Nico/B-5287-2013; Gunther, Frank/
OI Mutters, Nico/0000-0002-0156-9595; Gunther, Frank/0000-0002-7424-0950
ZA 0
TC 5
ZR 0
ZS 0
ZB 2
Z8 0
Z9 5
U1 0
U2 4
SN 0899-823X
EI 1559-6834
UT WOS:000391243000020
PM 27817762
ER

PT J
AU Stone, Alanna
   Wamsley, Maria
   O'Sullivan, Patricia
   Satterfield, Jason
   Satre, Derek D.
   Julian, Katherine
TI Faculty development efforts to promote screening, brief intervention,
   and referral to treatment (SBIRT) in an internal medicine
   faculty-resident practice
SO SUBSTANCE ABUSE
VL 38
IS 1
BP 31
EP 34
DI 10.1080/08897077.2016.1264533
PD 2017
PY 2017
AB Background: Screening, brief intervention, and referral to treatment
   (SBIRT) is a practical means to address substance misuse in primary
   care. Important barriers to implementing SBIRT include adequacy of
   training and provider confidence as well as logistical hurdles and time
   constraints. A faculty development initiative aimed at increasing SBIRT
   knowledge and treatment of substance use disorders (SUDs) should lead to
   increased use of SBIRT by faculty and the residents they teach. This
   study examined how a faculty development program to promote SBIRT
   influenced faculty practice and resident teaching. Methods: This was a
   cross-sectional study of faculty exposed to multiple SBIRT educational
   interventions over a 5-year period in an academic faculty-resident
   general medicine practice. Participants completed a brief online survey
   followed by a semistructured interview. Quantitative responses were
   examined descriptively. Qualitative questions were reviewed to identify
   key themes. Results: Fifteen of 29 faculty (52%) completed the survey
   and 13 (45%) completed the interviews regarding faculty development
   interventions. Faculty thought that SBIRT was an important skill and had
   confidence in screening for substance use disorders, although confidence
   in making treatment referrals and prescribing pharmacotherapy were rated
   lower. Many faculty reported screening more frequently for SUDs after
   attending faculty development sessions. However, several reported that
   the training did not improve their SBIRT teaching to residents during
   clinic precepting sessions. To improve uptake of SBIRT, a majority of
   faculty recommended electronic health record (EHR) alerts. Conclusions:
   SBIRT is a highly valued set of skills, and training may enhance rates
   of screening for substance misuse. However, participants did not report
   a substantial change in SBIRT teaching as a result of faculty
   development. In the future, small, targeted faculty development
   sessions, potentially involving strategies for using the electronic
   health record (EHR), may be an effective way to enhance primary care
   SBIRT skills.
Z8 0
ZS 0
ZA 0
TC 4
ZR 0
ZB 0
Z9 4
U1 0
U2 3
SN 0889-7077
EI 1547-0164
UT WOS:000396601600009
PM 27897470
ER

PT J
AU Kear, Cynthia
   McKeithen, Tom
   Robertson, Sheila
TI ER/LA opioid REMS and accredited education: Survey results provide
   insight into clinical roles, educational needs, and learner preferences
SO SUBSTANCE ABUSE
VL 38
IS 2
BP 145
EP 149
DI 10.1080/08897077.2017.1303422
PD 2017
PY 2017
AB Background: The Collaborative for REMS (Risk Evaluation and Mitigation
   Strategy) Education (CO*RE) includes 13 organizations that provide REMS
   Program Companies (RPC) grant-supported accredited education on
   extended-release and long-acting (ER/LA) opioid therapy. This report
   summarizes results of a survey designed to investigate the impact of
   participant criteria and to better understand the roles and preferences
   of continuing medical education/continuing education (CME/CE)
   participants. Methods: In April 2015, the authors made an online survey
   available to an estimated 10,000 clinicians who had completed a CO*RE
   CME/CE activity since 2013. The purpose of the survey was to (1) examine
   possible reasons learners may underreport prescribing status, (2)
   investigate ways in which learners engage in nonprescribing roles
   relevant to reducing adverse patient outcomes, and (3) determine the
   acceptability of a potential test-based learning tool that allows
   participants with mastery to test out in lieu of participating in 2- to
   3-hour education. Results: Findings revealed that there was little
   confusion or reluctance by learners to answer questions about Drug
   Enforcement Administration (DEA) licensing and whether they prescribed
   opioids in the past year. REMS prescriber education covers opioid
   management responsibilities that are distributed among team members who
   play critical nonprescribing roles in reducing serious adverse outcomes
   from both ER/LA and immediate-release (IR) opioids. Seventy-three
   percent of study participants would favor a test-based learning tool
   should future circumstances warrant it. Conclusion: The authors
   concluded the likelihood of underreporting is small, but there is an
   opportunity to clarify license and prescribing questions; opioid
   management responsibilities are distributed among nonprescribing team
   members who play roles in reducing adverse outcomes from both ER/LA and
   IR opioids, who would therefore benefit from REMS education; and
   clinicians favor a test-based learning tool, should future circumstances
   warrant it. These findings could have implications for planning future
   ER/LA opioid REMS curriculum and for setting and interpreting training
   goals for the US Food and Drug Administration's (FDA) ER/LA opioid REMS
   program.
ZA 0
ZR 0
ZS 0
Z8 0
ZB 0
TC 3
Z9 3
U1 0
U2 3
SN 0889-7077
EI 1547-0164
UT WOS:000400999800007
PM 28418777
ER

PT J
AU Cooper, Emily
   Spilsbury, Karen
   McCaughan, Dorothy
   Thompson, Carl
   Butterworth, Tony
   Hanratty, Barbara
TI Priorities for the professional development of registered nurses in
   nursing homes: a Delphi study
SO AGE AND AGEING
VL 46
IS 1
BP 39
EP 45
DI 10.1093/ageing/afw160
PD JAN 2017
PY 2017
AB Objective: to establish a consensus on the care and professional
   development needs of registered nurses (RNs) employed by UK care homes.
   Design: two-stage, online modified Delphi study.
   Setting and participants: a panel (n = 352) of individuals with
   experience, expertise or interest in care home nursing: (i) care home
   nurses and managers; (ii) community healthcare professionals (including
   general practitioners, geriatricians, specialist and district nurses);
   and (iii) nurse educators in higher education.
   Results: RNs employed by nursing homes require particular skills,
   knowledge, competence and experience to provide highquality care for
   older residents. The most important responsibilities for the nursing
   home nurse were: promoting dignity, personhood and wellbeing, ensuring
   resident safety and enhancing quality of life. Continuing professional
   development priorities included personal care, dementia care and
   managing long-term conditions. The main barrier to professional
   development was staff shortages. Nursing degree programmes were
   perceived as inadequately preparing nurses for a nursing home role.
   Nursing homes could improve by providing supportive learning
   opportunities for students and fostering challenging and rewarding
   careers for newly RNs.
   Conclusion: if nurses employed by nursing homes are not fit for purpose,
   the consequences for the wider health and social-care system are
   significant. Nursing homes, the NHS, educational and local authorities
   need to work together to provide challenging and rewarding career paths
   for RNs and evaluate them. Without well-trained, motivated staff, a
   highquality care sector will remain merely an aspiration.
OI Thompson, Carl/0000-0002-9369-1204; Hanratty,
   Barbara/0000-0002-3122-7190; Spilsbury, Karen/0000-0002-6908-0032
TC 26
Z8 0
ZS 0
ZA 0
ZB 1
ZR 0
Z9 26
U1 2
U2 18
SN 0002-0729
EI 1468-2834
UT WOS:000398086600010
PM 28181630
ER

PT J
AU Hughes, Bonnie Olivia
   Moshabela, Mosa
   Owen, Jenni
   Gaede, Bernhard
TI The relevance and role of homestays in medical education: a scoping
   study
SO MEDICAL EDUCATION ONLINE
VL 22
AR 1320185
DI 10.1080/10872981.2017.1320185
PD 2017
PY 2017
AB Background: The community-based medical education curriculum is growing
   in popularity as a strategy to bring universal health coverage to
   underserved communities by providing medical students with hands-on
   training in primary health care. Accommodation and immersion of medical
   students within the community will become increasingly important to the
   success of community-based curricula. In the context of tourism,
   homestays, where local families host guests, have shown to provide an
   immersive accommodation experience.
   Objective: By exploring homestays in the educational context, this
   scoping study investigates their role in providing an immersive
   pedagogical experience for medical students.
   Design: A scoping review was performed using the online databases
   ScienceDirect and the Duke University Library Database, which searches
   Academic Search Complete, JSTOR, LexisNexis Academic, Web of Science,
   Proquest, PubMed and WorldCat. Using the inclusion term 'homestays' and
   excluding the term 'tourism', 181 results were returned. AClose
   assessment using inclusion criteria narrowed this to 14 relevant
   articles.
   Results: There is very little published research specific to the
   experience of medical students in community homestays, indicating a gap
   in the literature. However, the existing educational outcomes suggest
   homestays may have the potential to serve a significant role in medical
   education, especially as a component of decentralised or community-based
   programmes. The literature reveals that educational homestays influence
   language learning, cultural immersion, and the development of
   professional skills for health science careers. These outcomes relate to
   the level of engagement between students and hosts, including the
   catalytic role of community liaisons.
   Conclusions: Homestays offer a unique depth of experience that has the
   potential to enrich the education of participating students, and require
   further research, particularly in the context of distributed and
   decentralised training platforms for medical and health sciences
   students. Future studies should explore the potential for homestays as a
   pedagogical component of community-based medical curriculum.
RI Moshabela, Mosa/AAK-4418-2021
OI Moshabela, Mosa/0000-0002-9438-7095
TC 6
Z8 0
ZS 0
ZR 0
ZB 1
ZA 0
Z9 6
U1 2
U2 16
SN 1087-2981
UT WOS:000400620000001
PM 28460606
ER

PT J
AU Zamboni, Brian
   Bezek, Katelyn
TI Medical students' perceptions and preferences for sexual health
   education
SO SEX EDUCATION-SEXUALITY SOCIETY AND LEARNING
VL 17
IS 4
BP 371
EP 385
DI 10.1080/14681811.2017.1299703
PD 2017
PY 2017
AB Sexual health topics are not well-covered in US medical schools.
   Research has not typically asked medical students what sexual health
   topics they would like addressed and their preferred methods of sexual
   health education. This study attempted to address this deficit via an
   online survey of medical students at an institution where little sexual
   health education is offered. Participants reported receiving the most
   education in endocrinology and sexually transmitted infections, but they
   also saw the following topics as important: sexual development, child
   sexual abuse, healthy sexuality, male sexual dysfunction and female
   dysfunction. Participants were more confident in talking to adults about
   sexual health matters than children, and more uncomfortable talking to
   opposite sex patients. Perceived barriers to sexual health education in
   medical school included a busy curriculum, other topics being seen as
   more important, religious influences, discomfort with sexuality and
   unqualified teaching faculty. Participants favoured training strategies
   that included panels of experts, panels of patients and role-plays
   conducted by seasoned professionals in sexual health. To reduce the
   barriers to sexual health education in US medical schools, educators
   need to highlight the relevance and importance of sexual health topics
   to the future work of physicians.
TC 3
ZA 0
ZS 0
ZB 0
Z8 0
ZR 0
Z9 3
U1 1
U2 12
SN 1468-1811
EI 1472-0825
UT WOS:000400920300001
ER

PT J
AU Rahman, Aminur
   Akhter, Sadika
   Nisha, Monjura Khatun
   Islam, Syed Shariful
   Ashraf, Fatema
   Rahman, Monjur
   Begum, Nazneen
   Chowdhury, Mahbub Elahi
   Austin, Anne
   Anwar, Iqbal
TI Can mHealth improve access to safe blood for transfusion during
   obstetric emergency?
SO INTERNATIONAL JOURNAL OF WOMENS HEALTH
VL 9
BP 235
EP 243
DI 10.2147/IJWH.S120157
PD 2017
PY 2017
AB Purpose: Of the 99% maternal deaths that take place in developing
   countries, one-fourth is due to postpartum hemorrhage (PPH). PPH
   accounts for one-third of all blood transfusions in Bangladesh where the
   transfusion process is lengthy as most facilities do not have in-house
   blood bank facilities. In this context, the location where blood is
   obtained and the processes of obtaining blood products are not
   standardized, leading to preventable delays in collecting blood, when it
   is needed. This study evaluated the effectiveness of an online Blood
   Information Management Application (BIMA) system for reducing lag time
   in the blood transfusion process.
   Patients and methods: The study was conducted in a public medical
   college hospital in Dhaka, Bangladesh, and in two proximate, licensed
   blood banks between January 2014 and March 2015, using a before after
   design. A total of 310 women (143 before and 177 after), who needed
   emergency blood transfusion during their perinatal period, as determined
   by a medical professional, were included in the study. A median linear
   regression model was employed to assess the adjusted effect of BIMA on
   transfusion time.
   Results: After the introduction of BIMA, the median duration between the
   identified need for blood and blood transfusion reduced from 152 to 122
   minutes (P < 0.05). For PPH specifically, the reduction was from 175 to
   113 minutes (P < 0.05). After introducing BIMA and after adjusting for
   criteria such as maternal age, education, parity, duty roster of
   providers, and reasons for blood transfusion, a 24 minute reduction in
   the time was observed between the identified need for blood and
   transfusion (P < 0.001).
   Conclusion: BIMA was effective in reducing delays in blood transfusion
   for emergency obstetric patients. This pilot study suggests that
   implementing BIMA is one mechanism that has the potential to streamline
   blood transfusion systems in Bangladesh.
RI Rahman, Aminur/AAG-5391-2020; Rahman, Md Monjur/
OI Rahman, Aminur/0000-0003-1434-3883; Rahman, Md
   Monjur/0000-0002-7877-858X
ZR 0
Z8 0
ZB 0
ZA 0
TC 4
ZS 0
Z9 4
U1 0
U2 1
SN 1179-1411
UT WOS:000399777800002
PM 28461767
ER

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