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Moges Asressie Chanyalew, Mezgebu Yitayal, Asmamaw Atnafu, Binyam Tilahun
Assessment of data demand for informed-decisions among health facility and department heads in public health facilities of Amhara Region, northwest Ethiopia
2,023
Health research policy and systems
assess preliminary effect problembased learning care management skills quasiexperimental pre posttest conducted students attending bachelors degree nursing offered educational institution sample comprised 29 experimental group 74 control group students experimental group solved four scenarios problembased learning method 7 steps proposed mcmaster university care management program distance mode selfreporting instrument assessed pre posttest care management skills groups mean values obtained descriptive inferential statistics performed students paired linear regression experimental group obtained higher scores analytical actionrelated global skills control group p005 differences recorded interpersonal skills use information control presented significant differences usual teaching whereas differences fact reported experimental group p005 despite fact little evidence development nursing care management skills current study shows problembased learning effective significant method remote education
10.1186/s12961-023-01006-5
Greg Lee, Chase Allen, Jay Bolan, Wesley Nuffer
Optimizing optimization: A six-year quality improvement project focused on students' APPE preferences
2,023
Currents in pharmacy teaching & learning
assess prevalence associated factors neurocognitive disorder among people living hivaids south gondar primary hospitals northwest ethiopia 2023 institutionbased crosssectional study design south gondar primary hospitals northwest ethiopia 608 participants recruited using systematic random sampling technique data collected using intervieweradministered questionnaire medical chart reviews international hiv dementia scale used screen neurocognitive disorder data entered epidata v46 exported spss v21 statistical software analysis bivariable logistic regression analyses variables value p025 entered multivariable logistic regression analysis identify factors independently associated neurocognitive disorder statistical significance declared value p005 prevalence neurocognitive disorder among hivpositive participants 391 multivariable logistic regression lower level education adjusted aor294 95 ci 129 682 unemployment aor274 95 ci 129 684 comorbid medical illness aor180 95 ci 103 314 significantly associated neurocognitive disorder hivassociated neurocognitive problems affected third participants according current study comorbid medical conditions unemployment low educational attainment associated increased risk neurocognitive disorder therefore early detection treatment essential
10.1016/j.cptl.2023.06.013
Andrew Goodman, Ray Mahoney, Geoffrey Spurling, Sheleigh Lawler
Influencing Factors to mHealth Uptake With Indigenous Populations: Qualitative Systematic Review
2,023
JMIR mHealth and uHealth
assess prevalence factors associated poor selfrated health according respondents sex manaus brazil crosssectional populationbased study adults manaus 2019 adjusted prevalence ratios 95 confidence intervals 95ci calculated using poisson regression following hierarchical model poor selfrated health occurred 352 95ci 333372 2321 participants higher females pr 127 95ci 113143 general population among sexes poor selfrated health higher among oldest moderate severe food insecurity chronic diseases pvalue 005 among females poor health also higher among evangelical mild food insecurity among males selfrated health also poorer among retired education elementary level pvalue 0001 female sex poorest health rating influenced morbidity access food
10.2196/45162
Judit Fekete, Zsuzsanna Pótó, Eszter Varga, Dóra Hebling, Márton Herold, Noémi Albert, Borbála Pethő, Tamás Tényi, Róbert Herold
The effect of reading literary fiction on the theory of mind skills among persons with schizophrenia and normal controls
2,023
Frontiers in psychiatry
assess prevalence abuse neglect among population children identified function existing disability relate specific types disabilities specific types abuse determine effect abuse neglect academic achievement attendance rates children without disabilitiesan electronic merger school records central registry foster care review board police databases followed detailed record review circumstances maltreatmentanalyses circumstances maltreatment presence disabilities established 9 prevalence rate maltreatment nondisabled children 31 prevalence rate disabled children thus study established significant association presence educationally relevant disability maltreatmentchildren disabilities 34 times likely maltreated nondisabled peers school professionals need cognizant high base rate maltreatment among children serve disability status needs considered national incidence studies maltreatment
10.3389/fpsyt.2023.1197677
Ties Boerma, Oona M R Campbell, Agbessi Amouzou, Cauane Blumenberg, Hannah Blencowe, Allisyn Moran, Joy E Lawn, Gloria Ikilezi
Maternal mortality, stillbirths, and neonatal mortality: a transition model based on analyses of 151 countries
2,023
The Lancet. Global health
assess prevalence anemia among pregnant women across entire pregnancy factors affecting monitoring areas total 108351 pregnant women received antenatal health care delivered january 1 2016 december 31 2020 15 monitoring counties 8 provinces maternal newborn health monitoring program mnhmp national center women childrens health ncwch selected study subjects anemia status among subjects across first second third trimester pregnancy influencing factors analyzed 2016 2020 prevalence anemia stage pregnancy monitoring areas 4359 prevalence anemia among pregnant women across three trimesters 395 prevalence mild moderatetosevere anemia 104 290 respectively protective factors living northern area 0395 member ethnic minority 0632 risk factors residing rural areas 1207 junior high school education 1203 3 gravidities 1195 multiple fetuses 1478 although prevalence anemia among pregnant women across trimesters monitoring area low severity anemia high since prevalence anemia among pregnant women across entire pregnancy monitoring area affected many different factors attention paid pregnant women living rural areas low literacy 3 gravidities multiple fetuses early intervention
10.1016/S2214-109X(23)00195-X
Inmaculada Gomez-Rios, Esteban Egea-Lopez, Antonio José Ortiz Ruiz
ORIENTATE: automated machine learning classifiers for oral health prediction and research
2,023
BMC oral health
assess prevalence lizards presenting university teaching hospital iv catheter placed catheterization sites used complications arising placement catheter short long term retrospective study university teaching hospital twentyone lizards including inland bearded dragons pogona vitticeps 1521 green iguanas iguana iguana 421 veiled chameleons chamaeleo calyptratus 221 none 129 lizard consultations performed september 27 2018 september 27 2021 21 catheters placed resulting overall prevalence 163 reasons catheter placement included hospitalization fluid therapy 1021 476 anesthesia surgery hospitalization 721 333 computed tomography scan contrast 221 95 euthanasia 121 48 cpr 121 48 catheters placed ventral coccygeal vein via ventral approach sedation used 6 21 286 catheters placed seven catheters 35 used administration fluids 4 20 used administering drugsmedications 9 45 catheters administered fluids drugsmedications complications noticed lizards catheters placed short long term based retrospective evaluation medical records veterinary teaching hospital iv catheter placement lizards feasible including conscious animals roughly 1 consultation 6 resulting catheter placed frequent reason catheter placement administration fluids
10.1186/s12903-023-03112-w
Caroline Collins-Pisano, Michael Johnson, George Mois, Jessica Brooks, Amanda Myers, Deanna Mazina, Marianne Storm, Maggie Wright, Nancy Berger, Ann Kasper, Anthony Fox, Sandi MacDonald, Sarah Schultze, Andrew Bohm, Julia Hill, Karen Fortuna
Introduction to the Coproduction of Supervision Standards for Digital Peer Support: Qualitative Study
2,023
JMIR human factors
assess prevalence mental disorders second wave covid19 pandemic comparison baseline first wave pandemic identify disproportionally affected nonclinical subgroups used data three nationally representative crosssectional studies compared prevalence current mood anxiety disorders alcoholuse disorders baseline november 2017 n 3306 immediately first peak may 2020 n 3021 second peak november 2020 n 3000 covid19 czechia used mini international neuropsychiatric interview mini screening instrument calculated weighted prevalence 95 weighted confidence intervals 95 cis additionally examined prevalence disorders across different nonclinical population subgroups second wave pandemic proportion individuals experiencing least one mental disorder highest second wave pandemic 3294 95 ci 3114 3477 compared baseline november 2017 2002 95 ci 1864 2139 first wave may 2020 2963 95 ci 279 3137 younger adults students lost job forced leave elementary education displayed disproportionally high prevalence mental disorders findings suggest population mental health returned precovid19 levels seems mental health population subgroups young adults worse economically might affected disproportionately covid19 situation future studies identifying highrisk groups warranted
10.2196/40607
Maurice Henkel, Lily Belfi
Utilizing Learning Analytics in Radiology: A Pilot Study of an e-Learning Platform in Medical Student Education
2,024
Academic radiology
assess prevalence noncommunicable disease risk factors among nursing staff educate prevention nursing staff integral indian community healthcare systems recent studies report high prevalence noncommunicable diseases indian nursing staff therefore data prevalence noncommunicable disease risk factors among nursing staff crucial education prevention crosssectional digital surveybased study invited 4435 nursing staff attend online survey used customized questionnaire data collection including digitized version communitybased assessment checklist form score 4 considered high risk warranted screening among 682 nursing staff attended 70 never undergone screening noncommunicable diseases prevalence noncommunicable disease risk factors significantly higher male nursing staff addition logistic regression analysis showed age tobacco alcohol use increased waist circumference physical inactivity family history noncommunicable diseases significant risk factors among nursing staff study findings suggest nursing staff suboptimal selfhealth concerns noncommunicable diseases situation warrants continued medical education awareness campaigns adopting healthy lifestyle health promotion
10.1016/j.acra.2023.05.021
Ellen Wilkinson, Cristan Farmer, Evan Kleiman, Vanessa H Bal
Factor structure of the VABS-3 Comprehensive Parent/Caregiver form in autistic individuals: Poor fit of three-factor and unidimensional models
2,024
Autism : the international journal of research and practice
assess prevalence ocular morbidities associated factors among hearingimpaired hi students embangweni school deaf mzimba malawi institutional crosssectional study hi students embangweni school deaf series optometric audiometric tests performed results exported statistical package social science statistical analysis spss version 25 pearsons chisquare test used assess correlations associations variables pvalue less significance set p 005 total 147 children comprising 76 517 males 71 483 females participated study prevalence ocular conditions visual impairment 39 265 2 14 respectively prevalence eye disease significantly associated male sex p002 type hi p0031 allergic conjunctivitis 36 245 common ocular condition followed refractive error 28 19 prevalence ocular conditions among hi students significant associated sex regular school vision screening students hi highly advised reduce burden visual impairment
10.1177/13623613231179288
Bruno Gino, Samyah Siraj, Maria Peixoto, Andy Benson, Adam Dubrowski
Comparing Learning Outcomes in Cardiopulmonary Resuscitation (CPR) and/or Automated External Defibrillator (AED) Training for Laypeople in Face-to-Face, Online, and Mixed Training Methods: An Integrative Literature Review
2,023
Cureus
assess quality content readability accountability information glaucoma found online crosssectional study thirteen websites containing patient education materials glaucoma analyzed study online google search conducted using keyword glaucoma thirteen medical website results selected analysis website assessed 3 independent reviewers suitability readability accountability standardized suitability assessment materials sam tool used evaluate quality content information website flesch reading ease fre score fleschkincaid grade level fkgl colemanliau index cli simple measure gobbledygook smog index automated readability index ari linsear write formula lwf score used assess readability websites journal american medical association jama accountability benchmarks used evaluate websites accountability included sam fre fkgl cli smog index ari lwf scores well jama accountability benchmarks average sam score websites included study 18 points possible 34 points eyewikiorg lowestscoring website 117 06 points whereas aaoorg neinihgov highestscoring websites 260 10 points 260 26 points respectively three content graders study moderate agreement kappa statistic 050 average fre score among websites 470 95 confidence interval ci 393547 average reading grade score among websites 112 95 ci 100124 two 13 websites 154 satisfied 4 jama accountability criteria significant variation content quality freely available online glaucoma education material material generally either suitable adequate use websites reviewed written reading grade level higher recommended patient education materials
10.7759/cureus.38489
Charlotte C Poot, Eline Meijer, Marjolein Fokkema, Niels H Chavannes, Richard H Osborne, Lars Kayser
Translation, cultural adaptation and validity assessment of the Dutch version of the eHealth Literacy Questionnaire: a mixed-method approach
2,023
BMC public health
assess racial ethnic disparity prevalence complex chronic conditions ccc andor inhospital death among usborn low birth weight vlbw 1500 g infants retrospective crosssectional analysis discharge data kids inpatient database included vlbw infants born us hospitals 2009 2012 n 554825 weighted n 573693 exlcuding missing demographics main outcome ccc death multiple logistic regression modeling estimated association various characteristics ccc death considering race ethnicity heterogeneity association insurance status hospital region experiencing ccc death compared across races ethnicities infants races ethnicities higher odds ccc death operative procedure outborn birth weight 500 g 500 g 999 g compared 1000 g 1499 g nonhispanic black infants 500 g however highest odds ccc death compared 1000 g 1499 g adjusted odds ratio 672 95 confidence interval 486930 23 times higher odds nonhispanic white infants aor 232 95 confidence interval 157342 insurance region associated increased prevalence ccc death certain racial ethnic groups additionally nonhispanic black infants 500 g 23 times odds ccc death compared nonhispanic white infants relative infants 1000 g 1499 g additional investigation needed understand drivers disparities
10.1186/s12889-023-15869-4
Annie C Arnold, Richard Fleet, David Lim
Barriers and Facilitators to Point-of-Care Ultrasound Use in Rural Australia
2,023
International journal of environmental research and public health
assess racial sociodemographic distribution colorectal cancer crc screening uptake canada identify disparities evaluate potential predictors barriers crc screening data 2017 cycle canadian community health survey cchs analyzed focusing individuals aged 5074 years crc screening participation rates evaluated national provincial levels across various sociodemographic characteristics multivariable logistic regression models employed identify predictors barriers crc screening 56950 respondents 2017 cchs 417 n 23727 50 74 years age overall crc screening participation rate 598 provinces like alberta manitoba achieving rates 657 665 respectively significant disparities observed across socioeconomic geographical racial ethnic groups notably older adults aor 241 95 ci 206283 higher income earners aor 199 95 ci 177224 nonsmokers aor 176 95 ci 15520 higher odds screening immigrants minority ethnic groups especially southeast asians aor 048 95 ci 029078 south asians aor 065 95 ci 044095 lower odds date crc screening significant portion unscreened individuals cited healthcare providers perception test unnecessary promising progress crc screening participation rates across canada significant disparities persist addressing disparities crucial public health efforts focus enhancing public awareness facilitating accessibility ensuring cultural appropriateness crc screening initiatives
10.3390/ijerph20105821
R Avigad, J Ellis-Iversen, J Gibbens, R Hepple, A Paterson
Disease outbreak response: why epidemiology plays a central role
2,023
Revue scientifique et technique (International Office of Epizootics)
assess relationship selfperceived consultation time knowledge proposed treatment secondary data 2015 national survey health services peru analyzed selfperceived consultation time calculated asking long took entered consultation departed categorized low medium high five selfreported questions used construct knowledge prescribed treatment adjusted regression models poisson family models used evaluate relationship report adjusted prevalence ratios apr 95 confidence intervals 95ci total 9939 outpatients analyzed 58 women average age 44 years 454 higher education using low selfperceived consultation time references medium high consultation times associated understanding prescribed treatment apr117 95ci 104133 apr130 95ci 120140 respectively patients reported medium high selfperceived consultation time better understood prescribed treatment healthcare professionals strive maximize consultation time ensure effective communication improve patient knowledge treatments improving overall patient satisfaction health outcomes
10.20506/rst.42.3361
Shinji Inaba, Kazumichi Yamamoto, Tomohiro Kaga, Muhammad Wannous, Masatsugu Sakata, Osamu Yamaguchi, Toshi A Furukawa
Protocol for development of an assessment tool for competency of ECG interpretation: expert consensus by the RAND/UCLA appropriateness method and cross-sectional testing using multidimensional item response theory
2,023
BMJ open
assess relationship moderate late preterm birth 32073667 weeks longterm educational outcomes hypothesized moderate late preterm birth would associated adverse outcomes elementary school test linked vital statistics patient discharge data office statewide health planning development including birth outcomes 20152016 school year administrative data large urban school district n 72 316 compared relative risk moderate late preterm term infants later adverse neurocognitive behavioral outcomes kindergarten 12th grade adjusting socioeconomic status compared term birth moderate late preterm birth associated increased risk low performance mathematics english language arts chronic absenteeism suspension risks emerged kindergarten grade 2 remained grades 35 seemed wash later grades exception suspension remained grades 912 confirming hypothesis moderate late preterm birth associated adverse educational outcomes late elementary school indicating significant risk factor school districts could leverage targeting early intervention future studies need test relations geographically socioeconomically diverse school districts include wider variety outcomes consider early interventions moderate associations birth outcomes educational outcomes
10.1136/bmjopen-2023-072097
Doreen M Olvet, Kaveh Sadigh
Comparing the effectiveness of asynchronous e-modules and didactic lectures to teach electrocardiogram interpretation to first year US medical students
2,023
BMC medical education
assess risk developing pulmonary tuberculosis tb accordance prior history covid19 infection since advent covid19 pandemic much discussion possible role might play global efforts combat tb focusing pandemics impact health care systems capabilities manage tb cases mechanisms also proposed covid19 infection may directly affect individuals chance developing tb infection cases reported history covid19 infection preceding diagnosis tb evidencing possible role risk factor disease casecontrol study conducted enrolling patients diagnosed pulmonary tb absence major risk factors previous history tb hiv human immunodeficiency virus infection endstage renal disease organ transplants use immunosuppressive agents developing tb patient age sex matched one healthy control data regarding prior covid19 infection diabetes smoking status well use corticosteroids tocilizumab treatment covid19 infection obtained bivariate analysis conducted variables likely association tb status entered multivariate model bivariate analysis demonstrated significant relationship prior covid19 infection tb 95 confidence interval 11228 odds ratio 5 among variables severity covid19 infection found likely association tb status p 125 multivariate model prior covid19 infection per se found significantly associated tb p 12 45 seems association prior history covid19 future diagnosis tb partially linked severity disease findings current study may serve basis studies determine need efficacy measures followup covid19 patients increased risk developing tb
10.1186/s12909-023-04338-6
Tegan Cruwys, Georgina C Lee, Alysia M Robertson, Catherine Haslam, Nikola Sterling, Michael J Platow, Elyse Williams, S Alexander Haslam, Zoe C Walter
Therapists who foster social identification build stronger therapeutic working alliance and have better client outcomes
2,023
Comprehensive psychiatry
assess risk venous thromboembolism use combined oral contraceptives according progestogen type oestrogen dosenational historical registry based cohort studyfour registries denmarknonpregnant danish women aged 1549 history thrombotic disease followed january 2001 december 2009relative absolute risks first time venous thromboembolismwithin 8010290 women years observation 4307 first ever venous thromboembolic events recorded 4246 included among 2847 67 events confirmed certain compared nonusers hormonal contraception relative risk confirmed venous thromboembolism users oral contraceptives containing 3040 g ethinylestradiol levonorgestrel 29 95 confidence interval 22 38 desogestrel 66 56 78 gestodene 62 56 70 drospirenone 64 54 75 users oral contraceptives levonorgestrel reference adjusting length use rate ratio confirmed venous thromboembolism users oral contraceptives desogestrel 22 17 30 gestodene 21 16 28 drospirenone 21 16 28 risk confirmed venous thromboembolism increased use progestogen pills hormone releasing intrauterine devices oral contraceptives desogestrel gestodene drospirenone anticipated increase risk venous thromboembolism sixfold levonorgestrel threefold absolute risk venous thromboembolism current users former group average 10 per 10000 women years 2000 women would need shift using oral contraceptives desogestrel gestodene drospirenone levonorgestrel prevent one event venous thromboembolism one yearafter adjustment length use users oral contraceptives desogestrel gestodene drospirenone least twice risk venous thromboembolism compared users oral contraceptives levonorgestrel
10.1016/j.comppsych.2023.152394
Sinem Öcalan, Yeter Sinem Üzar-Özçetin
"I am in a Fight with My Brain": A Qualitative Study on Cancer-Related Ruminations of Individuals with Cancer
2,023
Seminars in oncology nursing
assess stability gross motor functional classification system gmfcs children cerebral palsy cp time preliminary diagnosis 2 years age time diagnosis 5 years age examine factors associated reclassification conducted longitudinal study using sample canadian cp registry stability analysed using percentage agreement timepoints weighted prevalence bias adjusted kappa statistic univariate multivariate logistic regressions performed identify variables associated reclassification study included 1670 children 857 males 713 females mean age 11 years 4 months sd 4 years range 3 years 5 months20 years 1 month time data extraction 3rd september 2019 1435 859 maintained stable gmfcs weighted kappa 091 95 confidence interval 089092 univariate logistic regression showed initial gmfcs level cp subtype presence cognitive impairment associated likelihood change gmfcs level p 01 multivariate analysis however likelihood associated initial gmfcs level odds ratio 710888 p 000 gmfcs good stability early childhood majority children predictive longterm motor function gross motor function classification system gmfcs rating early childhood stable time directionality reclassification gmfcs initial gmfcs level related likelihood change followup gmfcs level
10.1016/j.soncn.2023.151450
Gisele Francini Devetak, Roberta Castilhos Detanico Bohrer, Carla Rinaldin, André Luiz Felix Rodacki, Elisangela Ferretti Manffra
Time profile of kinematic synergies of stroke gait
2,023
Clinical biomechanics (Bristol, Avon)
assess suitability facilitators barriers using video clip teaching lactation physiology health students crosssectional study conducted online data collection higher education institution using assistive technology assessment instrument openended questions sample consisted 88 students video clip deemed suitable attributes facilitators identified included attractiveness musicality ease access barriers noted musics speed necessity prior knowledge video clip achieved adequate scores interactivity 171 purpose 177 relevance 164 clarity 177 overall average attributes 172 video clip serve effective learning strategy enhance hybrid education potentially contributing promotion support breastfeeding however barriers underscore importance prior knowledge complete understanding content
10.1016/j.clinbiomech.2023.105990
Ellen Wang, Thalia Otamendi, Linda C Li, Alison M Hoens, Linda Wilhelm, Vikram Bubber, Elliot PausJenssen, Annette McKinnon, Shanon McQuitty, Kelly English, Aline S Silva, Jenny Leese, Wasifa Zarin, Andrea C Tricco, Clayon B Hamilton
Researcher-patient partnership generated actionable recommendations, using quantitative evaluation and deliberative dialogue, to improve meaningful engagement
2,023
Journal of clinical epidemiology
assess time initiation antenatal care anc predictors among pregnant women ethiopia retrospective followup study using secondary data 2019 ethiopian minidemographic health survey 2933 women aged 1549 years anc visits current recent pregnancy within 5 years prior survey included study women attended prenatal appointments whose gestational age unknown first prenatal visit excluded study participants interviewed gestational age months made first anc visit multivariable mixedeffects survival regression fitted identify factors associated time initiation anc study estimated mean survival time pregnant women initiate first anc visit ethiopia found 68 months 95 ci 668 695 women whose last birth caesarean section adjusted acceleration factor aaf075 95 ci 061 093 women higher education aaf069 95 ci 050 095 shorter time initiate anc early first trimester pregnancy however grand multiparous aaf131 95 ci 105 163 previously union aaf147 95 ci 107 200 home birth aaf135 95 ci 113 161 living rural area aaf125 95 ci 103 152 impediments early anc initiation women study area sought initial anc far later recommended therefore healthcare providers collaborate community health workers provide homebased care order encourage prompt anc among hardtoreach populations rural residents giving birth home
10.1016/j.jclinepi.2023.05.004
Iago Gonçalves Ferreira, Camila Saraiva Almeida, Lucas Abascal Bulcão, Diego Gonçalves Ferreira, Magda Blessmann Weber, Renan Rangel Bonamigo
Hospital Dermatology: analysis of dermatological consultations in a tertiary teaching hospital
2,023
Anais brasileiros de dermatologia
assess transition status newly graduated nurses china identify influencing factors newly graduated nurses indispensable part nursing human resource successful transition clinical work crucial future career development however transition status new nurses china remains inadequately explored descriptive survey design employed study october 2022 january 2023 1261 newly graduated nurses surveyed online transition status scale newly graduated nurses description statistical analysis adopted evaluate transition status new nurses independentsamples ttest analysis variance multiple regression analysis used explore influencing factors transition status total mean score transition status scale newly graduated nurses 400 sd061 competence nursing work mean420 sd057 rated highest among five dimensions scale dimension balance work life mean365 sd089 rated lowest mentored senior nurses night shift attribute working hospital educational background interned department tertiary general hospital reasons choosing nursing working time affect transition status new nurses accounting 179 variance transition status r 0179 p0001 transition status newly graduated nurses china relatively high level especially dimension competence nursing work however newly graduated nurses relatively poor status worklife balance nurse educators managers need pay attention transitional training highly educated nursing talents optimization clinical transition training programs prevent talent loss experienced tutors allocated provide guidance newly graduated nurses
10.1016/j.abd.2022.08.010
Jingmin Yan, Jiangao Chen, Xuhu Mao, Qian Li
Improvements in skills and knowledge after a comprehensive ELISA teaching course for biotechnology undergraduates
2,023
Biochemistry and molecular biology education : a bimonthly publication of the International Union of Biochemistry and Molecular Biology
assess value early childhood education means increasing awareness knowledge sun related skin diseases childrens book promoting sun awareness protection developed next incorporated health education curriculum two thirdgrade classrooms n 82 students completed questionnaire immediately 6 weeks reading text student sun awareness knowledge compared using descriptive statistics paired ttests behaviors attitudes resulted overexposure suns ultraviolet light common among thirdgraders primary test areas included suns effect skin effective sunscreens skin type skin cancer test scores showed marked improvement 40 compared baseline knowledge sun protection posttests parents represented greatest source information children 28 82 study doctors teachers accounted 1 82 preventive measures childhood potential significantly reduce incidence sunrelated skin diseases however education date directed primarily presents study demonstrated educational book elementary school students effective tool increase sun awareness knowledge multifaceted approach prevention recommended similar highly successful dental care campaign consisting direct education children physicians teachers parents media
10.1002/bmb.21739
Malin Heiden, Camilla Bernild, Selina Kikkenborg Berg, Ilkay Dagyaran, Malene Missel, Signe Westh Christensen, Signe Stelling Risom, Ida Elisabeth Højskov
From expert to novice and back: a qualitative study of interprofessional collaboration and the experiences of frontline healthcare professionals during the first wave of COVID-19
2,023
BMC medical education
assess trajectories cardiometabolic markers among people type 1 type 2 diabetes varying health literacy levels survey data assessing selfreported health literacy among 1401 people type 1 diabetes 910 people type 2 diabetes linked prospective clinical data mixed effects modelling used identify impact three health literacy domains trajectories systolic blood pressure sbp lowdensity lipoprotein cholesterol ldlc glycated hemoglobin hba1c high health literacy scores domains associated attenuated hba1c trajectories associations ldlc sbp weak absent particularly among participants type 2 diabetes domain ability actively manage health strongest association hba1c p 0001 exponential changes time observed differences estimated progression cardiometabolic markers health literacy levels reach statistical significance low health literacy associated suboptimal glycaemic levels type 1 type 2 diabetes inconclusive evidence associations health literacy bp ldlc development cardiometabolic markers indicate faster diabetes progression among people low health literacy
10.1186/s12909-023-04262-9
Susanne G Barnett, Marina L Maes, Edward C Portillo, Shweta R Shah
Instrument development to determine student self-efficacy to present a patient to a pharmacy preceptor (4P)
2,023
Currents in pharmacy teaching & learning
assess us dental hygiene educators evidencebased practice ebp knowledge attitude access confidence determine whether correlation exists assessment scores level education length teaching teaching setting didactic clinical crosssectional survey conducted sample dental hygiene faculty 334 us dental hygiene schools anova pearson correlation coefficient statistical analysis utilized investigate relationships demographic variables application evidencebased principles patient care study involved nonprobability sample n124 since total faculty among us dental hygiene schools determined analysis demonstrated positive correlation ebp knowledge access confidence scores indicating knowledge scores increased confidence access scores r0313 p001 r0189 p005 respectively study findings also revealed faculty held advanced educational degrees scored significantly higher ebp knowledge f3120281 p004 confidence f3120726 p000 study suggests level ebp knowledge attitude access confidence increases additional education therefore ebp training may necessary faculty possess advanced education results study indicate incorporation ebp dental hygiene curricula may occur dental hygiene educators knowledge ebp increases turn could enhance students acquisition ebp skills application ebp principles toward patient care
10.1016/j.cptl.2023.04.019
Anne-Lene Sand-Svartrud, Gunnhild Berdal, Gerd Jenny Aanerud, Maryam Azimi, Anne Merete Bjørnerud, Turid Nygaard Dager, Cornelia H M Van den Ende, Inger Johansen, Helene Lindtvedt Valaas, Hanne Dagfinrud, Ingvild Kjeken
Delivery of a quality improvement program in team-based rehabilitation for patients with rheumatic and musculoskeletal diseases: a mixed methods study
2,024
Disability and rehabilitation
assess whether differences exist epidemiology treatment croup respect gender race income geographical location retrospective weighted analysis patients 19 admitted diagnosis croup subcohort patients requiring intubation diagnostic bronchoscopy national inpatient sample kids inpatient database 2003 2013 icd9 codes demographics analyzed cross tabulations linear regression modeling performed 2003 2013 202188 pediatric patients admitted diagnosis croup equivalent 1per100 pediatric admissions males likely admitted croup females 213 208217 incidence croup highest caucasians lowest asian africanamerican patients africanamerican children likely undergo diagnostic bronchoscopy require intubation 123 1081401 races higher rate subglottic stenosis seen africanamerican children required bronchoscopy expected 391 vs 267 controlling subglottic stenosis africanamerican patients longer likely undergo diagnostic bronchoscopy require intubation races 1129 0959133 africanamerican children admitted diagnosis croup appear increased rate intubation bronchoscopy may related high incidence subglottic stenosis population controlling subglottic stenosis difference intervention rates seen
10.1080/09638288.2023.2204247
April Garlejo, Jacob Bonner, Ashley Paddock, John Park, Nolan Lyda, Ahmed Zaky, Susan McMullan
Assessing and Improving Provider Knowledge for a Cardiothoracic Intensive Care Unit Electronic Dashboard Initiative
2,023
Healthcare (Basel, Switzerland)
assess whether eligibility agerelated universal pioneer generation pg subsidy incentivises dental attendance older singaporeans data collected 2018 2021 inperson interviews singaporean adults aged 6090 years using questionnaire clinical examination questionnaire included details age gender ethnicity education residential status socioeconomic status marital status eligibility subsidy community health assistancechas pg frequency dental attendance clinical examination recorded number teeth categorized edentulous 19 teeth1019 teeth 20 teeth estimate effect pg subsidy dental attendance pattern regression discontinuity rd analysis applied using age assignment variable total 1172 participants aged 6090 years 642 female recruited 498 43 eligible pg subsidy eligible pg subsidy higher proportion regular attenders irregular attenders 536 vs 464 age adjusted rd analysis eligible pg subsidy 16 95 ci 10 27 times likely report regular attendance pg noneligible counterparts association remained strong 21 95 ci 1137 even controlling demographics socioeconomic factors number teeth eligibility chas subsidy eligible pg subsidy substantially increased odds regular dental attendance
10.3390/healthcare11081136
Chris Brown, Rayiz Nazeer, Austin Gibbs, Pierre Le Page, Andrew Rj Mitchell
Breaking Bias: The Role of Artificial Intelligence in Improving Clinical Decision-Making
2,023
Cureus
assess compare efficacy anterior endoscopic cervical discectomy aecd anterior cervical discectomy fusion acdf major databases registries relevant material screened prospective trials directly comparing aecd acdf restrictions imposed metaanalysis conducted due high heterogeneity screening total 1339 articles 2 studies enrolling 225 patients included one randomizedcontrolled trial including 120 patients 14 lost followup showing statistically significant differences clinical outcomes according visual analogue scale vas neckarm north american spine society criteria regarding painneurological status radiological followup showed adjacentsegment disease groups presenting statistically nonsignificant progression preexisting adjacentdisc degeneration difference kyphosis recurrence registered 74 61 patients underwent aecd acdf respectively statistically apparent differences complications observed second cohort study including 135 patients 148 lost followup statistically significant difference found clinical outcomes assessed using vas neckarm neck disability index radiological data provided recurrence reported 4 2 patients aecd acdf group respectively remarkable differences complications reported studies reported surgical time statistically shorter aecd definitive conclusion cannot drawn singlelevel aecd seems results equivalent acdf presenting even benefits technical limitations combined required surgical skills experience considered recommend cautious employment anticipation future updates
10.7759/cureus.36415
Judy J Brown
Social Media Reflection Assignment: a Simple Classroom Intervention To Help Students Examine Scientific Claims in Social Media
2,023
Journal of microbiology & biology education
assist recruitment retention efforts influence need increased supply future rural pharmacists study examines perceptions key motivators pharmacy students chose participate rural pharmacy health certificate rphc program pursue pathways rural practice interviewed six rphc students prior shortly beginning first semester rphc program interview questions assessed applicants reasons pursuing rphc perceptions living providing healthcare rural small communities awareness barriers health disparities rural areas qualities needed successful rural pharmacist analyzed data sort sift think shift method common approach qualitative data analysis interest pursuing rural pharmacy grew growing rural area well desire serve help others students expected completing rphc would strengthen skillsets provide best care addressing barriers difficulty accessing care health literacy learner ones community primary quality identified necessary successful rural pharmacist study identified primary motivators perceptions led students pursue rural health program one us pharmacy school results used identify train good candidates rural pharmacy practice strengthening rural pharmacy workforce better meet communities needs
10.1128/jmbe.00155-22
Mary E Washburn, Ryan A Shanks, Melissa McCartney, Chuck L Robertson, Miriam Segura-Totten
Discussion of Annotated Research Articles Results in Increases in Scientific Literacy within a Cell Biology Course
2,023
Journal of microbiology & biology education
attract minority students others careers medical practice biomedical research prepare careers baylor college medicine conducts variety summer enrichment programs programs improve science presented students preprofessional years elementary grades college efforts aim increase number competitive candidates medical school particularly minority groups underrepresented medicine entail close collaboration baylor administration faculty texas public schools twoyear fouryear colleges universities authors discuss rationale programs comment need institutional commitments faculty financial support note programs investment future longitudinal assessment needed determine ultimate success
10.1128/jmbe.00154-22
Ying Zhao, Yuan Gao, XiLing Hao, FangFang Ren
Do inconsistent mental models impact performance? Moderating effects of managerial interpretation and practice sets
2,023
Frontiers in psychology
effective school health instruction taught health educators graduated accredited health education teacher education programs certified health education unfortunately nation failed ensure teach health schools well prepared states vary required coursework health teachers terms initial licensure continuing education licensure renewal elementary teachers required receive preparation health education health education physical education often viewed synonymous disciplines support inservice education health teachers often lacking research needed professional preparation development school health educators article provides call action five areas strengthen professional preparation professional development school health educators given education social determinant health public health educators must become stronger allies supporting school health promote health equity public health practitioners advocate state community school decision makers comprehensive school health education taught teachers appropriate professional preparation certification health education public health faculty educate students whole school whole community whole child framework effective strategies implementation seek rigorous professional preparation certification accreditation standards school teacher preparation programs national health education organizations call new leadership investments health education teacher preparation development brighter future
10.3389/fpsyg.2023.1110785
Alon Coret, Andrew Perrella, Glenn Regehr, Laura Farrell
Practicing Confidence: An Autoethnographic Exploration of the First Years as Physicians
2,024
Teaching and learning in medicine
benchmark university food environment explore students experiences food insecurity healthy eating order inform interventions improve access affordability healthy foods university students food environment audit conducted university campus using unifood tool april may 2022 comprised three main components university systems governance campus facilities environment food retail outlets qualitative study design also used conduct focus groups semistructured interviews students explore key themes regarding experiences food insecurity healthy eating macquarie university australia food environment audit 24 retail outlets campus qualitative component 29 domestic international students enrolled macquarie university university scored 27 total components food environment audit results showed need better governance leadership food environment qualitative component suggested main barriers accessing healthy foods related availability pricing knowledge healthy foods future intervention ideas included free fruits vegetables food relief discounts improved selfcatering facilities education increased healthy food outlets improving governance measures related healthy eating campus core priority strengthen food environment students identified pricing availability key issues findings inform effective feasible interventions improve food security healthy eating campus
10.1080/10401334.2023.2200766
Kevin D Hiatt, Jonathan C White, Kathleen A Marsh, Carol P Geer
Subinternship in Diagnostic Radiology: Bringing the Shadowers Out of the Shadows
2,023
Current problems in diagnostic radiology
best prepare students realworld research environment key skills including experimental design data analysis communication results critical thinking key components undergraduate science courses furthermore impact covid19 pandemic inperson teaching resulted need develop courses enable flexible learning paper details laboratory component seniorlevel toxicology class developed emphasize skills allow flexible learning aim laboratory class students determine curcumin protected acetaminopheninduced hepatoxicity stimulate critical thinking students required choose maximum four experiments six offer conducting experiment students stated hypothesis selected appropriate treatment groups experiment completed students given access complete dataset performed statistical analysis drew conclusions students unable attend laboratory session person able complete required prelab work access dataset following experiment students could write lab summary receive thorough feedback final assessment written manuscript findings well chance respond reviewer comments teaching approach prioritized critical thinking analysis experimental design aspects scientific research overall structure well received students could easily adapted use life science courses
10.1067/j.cpradiol.2023.03.008
Samantha C Vest, Brenda T Bradshaw, Marsha A Voelker, Ann M Bruhn, Tara L Newcomb, Sinjini Sikdar
Dental Hygiene and Dental Assistant Students' Simulated DVI Radiographic Match Accuracy: A pilot study
2,023
Journal of dental hygiene : JDH
better construct teaching resources enhance realtime interaction feedback teachers students class improve teaching quality parasitology team set wechat public account love parasitology data sources mainly original pictures multimedia materials different parasites collected produced team well related materials collected traditional publications digital media instant interactive platform course schedules corresponding teaching contents sent push notifications casebased learning carried 2way communication students teachers achieved teaching effectiveness assessed using selfevaluation questionnaire wechat public account suitable daily teaching parasitology established second recursion implementation learning resources allowed students conduct indepth reading get unrestricted access highquality resources public account addition contents digital forms made original resources reborn would make current future shortage physical teaching specimens moreover results questionnaire indicated actions encouraged students master theoretical knowledge improved abilities case analysis communication increased knowledge academic progress wechat public account provide excellent learning materials students good supplement routine education human parasitology
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Xin Han, Lei Wang, Jie He, Taeyeol Jung
Restorative perception of urban streets: Interpretation using deep learning and MGWR models
2,023
Frontiers in public health
better understand barriers accessing standardofcare radiation therapy rt breast cervical cancer subsaharan africa impact outcomes comprehensive literature search completed medical librarian articles screened title abstract full text included publications analyzed data describing barriers rt access available technology diseaserelated outcomes grouped subcategories graded according predefined criteria total 96 articles included 37 discussed breast cancer 51 discussed cervical cancer eight discussed financial access affected health care system payment models combined burdens treatmentrelated costs lost wages staffing technology shortages limit ability expand service locations andor increase capacity within existing centers patient factors including use traditional healers fear stigma low health literacy decrease likelihood early presentation completion therapies survival outcomes worse high middleincome countries affected many factors side effects similar regions findings limited poor documentation capabilities access palliative rt expeditious definitive management rt noted lead feelings burden lower selfesteem worsened quality life subsaharan africa represents diverse region barriers rt differ basis funding available technology staff community populations although longterm solutions must focus building capacity increasing number treatment machines providers shortterm improvements implemented interim housing traveling patients increased community education reduce latestage diagnoses use virtual visits avoid travel
10.3389/fpubh.2023.1141630
Eric Kawana, Benjamin Vachirakorntong, Vladislav Pavlovich Zhitny, Michael C Wajda, Luzviminda Alexander, Jake Patrick Young, Kyaw Min Tun, Omar Al-Taweel, Chowdhury Ahsan, Gyorgy Varsanyi, Aditi Singh
Cardiac Anesthesia Intraoperative Interpretation Accuracy of Transesophageal Echocardiograms: A Review of the Current Literature and Meta-Analysis
2,023
Vascular health and risk management
better understand gender gap science technology engineering math stem aspiration article examines critical role domainspecific motivation ie expectancy task values using longitudinal data 5th 6th grade 1112yearold students n 360 55 girls personoriented analyses applied understand gendered motivational profiles longitudinal influence achievement stem aspiration specifically aimed 1 derive motivational belief profiles regarding science mathematics language finnish 2 analyze stability change profiles 5th 6th grade 3 assess relationship motivational profiles achievement stem aspiration 4 test gender differences derived four motivational profiles years high motivation subjects 21 high mathematics motivation 46 low mathematics motivation 11 low motivation subjects 8 latent transition analysis revealed students remained profile throughout 2 years found evidence gendered differences motivational profiles chance transitioning profiles girls characterized low math motivation boys likely transition higher math motivation 6th grade motivational difference reflected achievement although strongly coupled stem aspiration findings suggest developmental stage finnish students developed strong association gendered stem aspiration domainspecific motivation although motivation may influenced achievement interpretation practical implications discussed
10.2147/VHRM.S400117
Gerald Knezek, David Gibson, Rhonda Christensen, Ottavia Trevisan, Morgan Carter
Assessing approaches to learning with nonparametric multidimensional scaling
2,023
British journal of educational technology : journal of the Council for Educational Technology
better understand institutionalization process child adolescent trial cardiovascular health catch intervention control schools 199 key informant interviews conducted school food service staff physical education teachers classroom teachers administrators four catchon field centers school personnel asked talk degree catch program implementation school school district instrumental promoting catch conditions facilitated impeded institutionalization catch activities philosophies catch physical education pe component appeared highest level institutionalization catch classroom curriculum family components appeared lowest levels institutionalization primary barriers expressed included low priority health promotion activities time constraints schools lack mechanisms training school staff lack sufficient funds materials equipment lower fat vendor products
10.1111/bjet.13275
N Oli, P Ms Pradhan, R A Sagtani, A Shrestha, L M Jaacks, B M Karmacharya, G Danaei, A Vaidya
Research Capacity for Prevention and Control of Non-communicable Diseases and their Risk Factors in Nepal: Findings of a Needs Assessment Study
2,022
Kathmandu University medical journal (KUMJ)
better understand latest developments global science technology engineering mathematics stem education research study collected stem education research materials sort development stem education whole get clearer path trend stem education development study conducted visualization quantitative analysis literature stem education research science citation index extended scie social science citation index ssci using citespace 58r3 tool first basic information stem education analyzed terms annual publication volume authors countries research institutions secondly main fields basic contents research hotspots research analyzed keyword cooccurrence keyword time zone mapping finally research frontiers development trends presented cocitation clustering highfrequency keyword bursts research hotspots focused engineering education teachers professional development gender differences research frontiers mainly related teacher professional development 21st century skills early childhood creativity gender differences study systematically analyzes latest developments global stem education research beneficial readers understand full picture stem education research researchers conduct indepth studies promote better development stem education number analyzed literature limited analyzed articles ssci scie databases articles written english addition analyzed literature lacked empirical studies findings literature
null
Heather Marriott, Renata Kabiljo, Ahmad Al Khleifat, Richard J Dobson, Ammar Al-Chalabi, Alfredo Iacoangeli
DNAscan2: a versatile, scalable, and user-friendly analysis pipeline for human next-generation sequencing data
2,023
Bioinformatics (Oxford, England)
better understand prevalence us valuebased payment arrangements vbas characteristics factors facilitate success act barriers implementation surveys administered convenience sample subject matter experts senior representatives payer organizations biopharmaceutical manufacturers data supplemented qualitative interviews subsample survey respondents descriptive statistics including percentages categorical values mean sd median interquartile range continuous variables assessed quantitative questions trained reviewers collated responses freetext survey questions qualitative interviews identify themes 25 respondents 1 manufacturer 4 payers reported explored negotiated vbas subsequently questionnaire results 11 biopharmaceutical manufacturers 9 payers experience vbas analyzed 70 vbas implemented 2014 2017 publicly disclosed furthermore although consideration vbas coverage payment tool increasing vba implementation relatively low manufacturers payers reporting approximately 33 60 early dialogues translate signed vba contracts respectively respondents reasoning vba negotiation process breakdowns generally differed sector reflected sectors respective priorities study reveals majority vbas publicly disclosed could underestimate true prevalence impact given effort required implement vba future arrangements would likely benefit framework evaluative tool help assess vba pursuit desirability guide negotiation implementation process
10.1093/bioinformatics/btad152
Abdullah Mousa Alzahrani, Ossamah S Alsowayan
Evaluating the construct validity of UroLift simulator through a virtual learning experience of urology residents
2,023
Urology annals
better understand specific influences early life longterm health wellbeing local aboriginal children alice springs highquality local longitudinal data required central australian aboriginal congress murdoch childrens research institute exploring feasibility establishing cohort study fill gap nested qualitative study conducted identify priority issues translated research questions answerable proposed cohort study semistructured interviews focus group discussions fgds conducted range key community stakeholders parents caregivers young aboriginal children alice springs northern territory 2020 2021 two aboriginal two nonaboriginal researchers conducted 27 interviews 3 fgds 42 participants three broad themes constructed reflexive thematic analysis representing areas focus community stakeholders parents want future research prioritise 1 social determinants health 2 building positive connections 3 making sure kids grow strong healthy priority setting future research driven aboriginal torres strait islander peoples order practical benefit community qualitative study found housing transport positive connections nurturing engaged parents important issues raised participants also wanted future research focus issues specific children nutrition hearing loss language development capacity learn findings guide future work led local aboriginal researchers codesign proposed cohort study
10.4103/ua.ua_124_21
Katherine P Wallerius, Semirra L Bayan, Michael F Armstrong, Chiamaka A Lebechi, Jacob K Dey, Diana M Orbelo
Visual Interpretation of Vocal Fold Paralysis in Flexible Laryngoscopy Using Eye Tracking Technology
2,023
Journal of voice : official journal of the Voice Foundation
broaden emphasize educational benefits research biology majors course setting developed assessed microbiologyfocused coursebased undergraduate research experience utilizes culturebased bacterial enumeration compare contamination present different ground beef sources conventional vs organic final 3 weeks quarter students learned practiced common microbiology techniques like dilution math selective differential mediabased identification statistical analysis evaluate data test hypotheses students assessed primarily via formal lab report lab practical focused evaluating process science quantitative reasoning skills majority students could write hypotheses describe variables challenged asked describe limitations experiments conducted part research project students could perform excelbased graphing test many could solve complex dilution math required project greatest barriers skills mastery represented microbiologyfocused concepts like understanding selective media biases nuances multistep viable counting procedures outcomes
10.1016/j.jvoice.2023.02.035
Suad S Abdi, Michelle De Haan, Fenella J Kirkham
Neuroimaging and Cognitive Function in Sickle Cell Disease: A Systematic Review
2,023
Children (Basel, Switzerland)
broaden currently limited reach genomic innovations research needed understand psychosocial cultural factors influence reactions genetic testing diverse subgroups cancer fatalism important cancer prevention deserves theoretical empirical attention context genomics behavior change current study employed data randomized controlled trial n 593 offering skin cancer genetic testing using melanocortin1 receptor mc1r gene primary care albuquerque new mexico usa examined interrelations cancer fatalism demographics general health beliefs perceived risk perceived control sun protection skin screening behaviors cancer worry skin cancer context stratified across hispanic versus nonhispanic ethnicity examined cancer fatalism moderator intervention effects study primary outcomes including 3month sun protection cancer worry perceived risk cancer fatalism significantly related perception control skin cancer risk behaviors ps 001 demographics ethnicity education health literacy ps 005 consistently related general health beliefs risk perception cancer fatalism moderate intervention effects primary outcomes except higher cancer fatalism randomized intervention higher levels 3month cancer worry p 0019 findings guide future work considering role cancer fatalism use genomic technologies general population work anticipates strategies required address cancer fatalism translational genomics becomes commonly available diverse general population subgroups
10.3390/children10030532
Margaret Mangion, Jasmin Antonia Riebel
Young Creators: Perceptions of Creativity by Primary School Students in Malta
2,023
Journal of Intelligence
build validate simulationbased education roadmap suicide prevention virtual environment methodological research subdivided development validation stage roadmap built using previously drafted template based international guidelines good clinical simulation practices scientific literature suicide prevention virtual environment validation roadmap validated experts selfapplication assessment form answers based adequate fair inadequate field suggestions descriptive statistics content validity index cvi08 used nine experts took part study majority nurses 667 female 556 average age 4222 years items roadmap met acceptance criteria cvi08 study provides useful roadmap teaching suicide prevention virtual environment 1 innovative study suicide prevention simulated teaching virtual environment 2 script validated experts available full simulated teaching 3 introduction prototype fictional virtual social network simulated practice 4 results indicated appropriateness construction good agreement analyses 5 script enhances professional training development mental health context
10.3390/jintelligence11030053
Laura Jones, Emma Danks, Benjamin Costello, Kate Jolly, Fiona Cross-Sudworth, Pallavi Latthe, Meg Fassam-Wright, Joanne Clarke, Alison Byrne, Julie Taylor
Views of female genital mutilation survivors, men and health-care professionals on timing of deinfibulation surgery and NHS service provision: qualitative FGM Sister Study
2,023
Health technology assessment (Winchester, England)
build complex digital skills capability required digitallydriven work environments must first understand nursing students baseline digital literacy educators develop fit purpose curriculum underpinned digital health technologies determine firstyear preregistration nursing students perceived baseline digital literacy first clinical placement prospective cohort study two universities australia 2020 students enrolled preregistration nursing programs bachelors masters level participants n 205 completed online 27item survey composed likerttype scale forcedchoice items openended questions data analyzed descriptive statistics participants engaged digital technology early life 4975 students using form digital technology ten years age students reported highest daily use technology search internet information 92 online social networking 683 watching videos 67 students expressed least confidence identifying different types portable storage devices 241 masters students 417 bachelors students describing advantages digital camera 393 masters students 483 bachelors students totaling numbers spreadsheets 228 masters students 483 bachelors students statistical differences observed two universities two cohorts terms perceived confidence using technology software applications support learning interestingly 247 participants expressed high confidence using electronic medical records without prior training may reflect positive attitude towards engaging unknown digital technologies nursing students frequent internet social media users however despite positive attitudes digital technology widespread presence digital technology students lives deficits students confidence using digital technology software required learning persist targeted digital literacy education interventions needed part foundational nursing studies improve nursing students baseline digital literacy commencing clinical placement scaffolded across program ensure effective transition nursing practice evolving digitallydriven healthcare environments
10.3310/JHWE4771
Lukas Weidener, Michael Fischer
Artificial Intelligence Teaching as Part of Medical Education: Qualitative Analysis of Expert Interviews
2,023
JMIR medical education
carry crossculture adaptation validation english version rheumatoid arthritis knowledge assessment scale rakas patients rheumatoid arthritis ra crosssectional study conducted 2 months 2 tertiary care hospitals karachi pakistan sample size calculated based itemsubject ratio translation carried using standard procedures translation crossculture adaptation validation process included estimation discrimination power item difficulty index factorial convergent construct known group validities reliability reliability scale estimated using kuderrichardson formula 20 value 2 06 acceptable spss v23 remark classic omr v6 software medcalc statistical software v1643 used analyze data study approved relevant ethics committee irbnov15 mean score 768 252 95 ci 731805 177 patients 2 0601 06 testretest reliability 753 p 05 average discrimination power 4727 average item difficulty index 0557 fit indices acceptable range established factorial validity average factor loading 07 established convergent validity significant association 2 33074 p 01 score interpretation previous counseling pharmacists established construct validity significant association 2 19113 p 05 score interpretation patient occupation established known group validity english version rakas deemed reliable validated tool measure knowledge disease pakistani patients ra
10.2196/46428
Diana Margot Rosenthal, Michelle Heys, Antoinette Schoenthaler, Andrew Hayward, Marcella Ucci, Celine Lewis
How did living in temporary accommodation during the COVID-19 pandemic affect children younger than 5 years' access to health care and health outcomes? A qualitative study of key professionals in a socially and ethnically diverse and deprived area of London
2,022
Lancet (London, England)
carry investigations bruner went clutter life home childs setting learning rather observing children contrived video laboratory bruner language learned using central use calls formats scriptlike interactions mother child short play games goes games rudimentary peekaboo hideandseek tell us much language acquisitionbut aids aspirant speaker attempt use language answer author postulates existence language acquisition support system frames interactions adult child way allow child proceed learning refer objects learning make request another human according bruner language acquisition support system helps child learn say also helps learn canonical obligatory valued among says short vehicle transmission culture
10.1016/S0140-6736(22)02285-1
Rachel Mairi Baker, Mohasin Ahmed, Marcello Bertotti, John Cassidy, Rejoice Chipuriro, Emma Clewett, Cam Donaldson, Andrew Elders, Lee Ann Fenge, Julie Fox, Karen Galway, Aideen Gildea, Aileen McGuinness, Jennifer McLean, Sarkis Manoukian, Helen Mason, Antony Morgan, Jill Mulholland, Liam O'Hare, Andrew Paterson, Sam Porter, Jack Rendall, Michael J Roy, Peter Seaman, Merron Simpson, Artur Steiner, Michael P Kelly
Common health assets protocol: a mixed-methods, realist evaluation and economic appraisal of how community-led organisations (CLOs) impact on the health and well-being of people living in deprived areas
2,023
BMJ open
characterise developmental milestones among young children living rural communities uganda crosssectional study igangamayuge health demographic surveillance site rural eastern uganda total 720 caregivers children aged 34 years old health demographic surveillance site rural eastern uganda recruited study caregivers reported childs developmental skills behaviours using 10item early childhood development index ecdi developed unicef childhood development characterised based ecdis four domains literacynumeracy learningcognition physical socioemotional development exploratory analysis implemented hierarchical agglomerative cluster analysis identify homogenous subgroups children based features assessed cluster analysis performed identify potential subgroups children may risk developmental problems november 2017 june 2018 720 caregivers children aged 34 years completed ecdi proportions children risk delay domain follows literacynumeracy 75 n538 socioemotional development 22 n157 physical 3 n22 cognitive 4 n32 cluster analysis revealed threecluster solution included 93 children assigned lowrisk group 4 assigned moderaterisk group 3 assigned highrisk group characterised low scores almost domains findings suggest high proportion children rural eastern uganda demonstrate poor literacynumeracy skills results underscore need improve populationbased screening intervention efforts improve early childhood developmental outcomes particularly literacy socioemotional domains lowincome middleincome countries uganda
10.1136/bmjopen-2022-069979
Cevin Zhang
A Literature Study of Medical Simulations for Non-Technical Skills Training in Emergency Medicine: Twenty Years of Progress, an Integrated Research Framework, and Future Research Avenues
2,023
International journal of environmental research and public health
characterize profile patients tumorrelated epilepsy presenting olfactory auras conducted monocentric retrospective study patients underwent surgery neurosurgery unit udine university hospital udine italy 1st january 2010 1st january 2019 primary brain tumors pbts involving temporal lobe insula patients affected tumorrelated epilepsy study group presented olfactory auras well collected neuroradiological neuropsychological neurophysiological data patients medical charts subtraction analysis mri data shows maximum lesion overlay left olfactory cortex left right hippocampus left amygdala right rolandic operculum right inferior frontal gyrus right middle temporal gyrus presence olfactory auras influence seizure outcome p 0500 tumor recurrence surgery p 0185 type auras elementary vs complex also influence seizure control p 0222 presence olfactory auras anterior mesial temporal regions mainly involved olfactory cortex amygdala anterior hippocampus together right rolandic operculum right inferior frontal gyrus right middle temporal gyrus suggesting possible role genesis olfactory auras postsurgical seizure outcome disease relapse influenced neither presence type olfactory auras olfactory auras rare event however may often underestimated patients underinvestigated clinicians even occurrence represent useful localizing tool
10.3390/ijerph20054487
Nicole Snowdon, Julaine Allan, Anthony Shakeshaft, Ryan J Courtney
"I didn't even know headspace had the drug thing until today": A socio-ecological analysis of access to drug and alcohol interventions in integrated youth health care services
2,023
Journal of substance use and addiction treatment
characterize adolescents sexual practices association sociodemographic variables sources information behavioral habits descriptive observational crosssectional study conducted 85 adolescents public elementary high schools city state paulo data collected structured selfadministered anonymous questionnaire statistical analysis performed using 2 test fishers test 212 started sexual life oral sex predominance females 944 selfreported brown color 550 practice vaginal sex reported 318 mean age initiation 145 years female sex predominant 770 selfreported brown color 400 practice anal sex detected 71 mean age 144 years prevalent females 833 selfreported black color 500 association alcohol drugs tobacco use sexual practices p005 diversity sexual practices associated substance use detected emphasizing importance nurses role planning carrying health education interventions adolescents families 1 analysis sequence time initiation sexual practices demonstrating diversity sexual activities performed adolescents 2 family context low openness dialogue correlation initiation adolescent sexual practices 3 behavioral habits association alcohol tobacco drug consumption adolescents sexual activities
10.1016/j.josat.2023.208959
Inés María Iglesias Rodríguez, Sachio Miura, Takuya Maeda, Kazuo Imai, Chris Smith, Clara Vasquez Velasquez, Sumihisa Honda, Kenji Hirayama
Analysis of the Chagas disease situation in Japan: a cross sectional study and cost-effectiveness analysis of a Chagas disease screening program
2,023
The Lancet regional health. Western Pacific
characterize clinical aspects evaluate diagnostic opportunity identify factors associated mortality patients hospitalized tuberculosis tb retrospective study patients admitted tb regional hospital chile 2011 2019 142 tb events required hospitalization period 382 total cases risk groups identified significant increase patients diabetes mellitus pulmonary location frequent 711 followed disseminated forms 162 sensitivity microscopy smear cases pulmonary tb isolated combined 788 lower cases bronchoalveolar lavage 583 pcr occasionally applied 10 sensitivity 100 sputum samples use increased progressively reached positivity 33 6 18 cases cases negative sputum staining median time symptom onset diagnosis prolonged 9 weeks 325 regional events diagnosed hospital dose adjustments 221 corticosteroid use 25 treatment interruptions frequent 11 lethality reached 19 multivariate analysis shock associated fatal outcome case series diagnosis tb cases delayed scarcely diagnosed molecular methods highly concentrated hospital level required admission large percentage cases high casefatality rate
10.1016/j.lanwpc.2022.100574
Minru Wu, Hua Huang, Yuanshu Fu, Xudong Zhang
The effect of anti-frustration ability on academic frustration among Chinese undergraduates: A moderated mediating model
2,023
Frontiers in psychology
characterize current lesbian gay bisexual transgender queer intersex lgbtqi healthrelated undergraduate medical education ume curricular content associated changes since 2011 study determine frequency extent institutional instruction 17 lgbtqi healthrelated topics strategies increasing lgbtqi healthrelated content faculty development opportunities deans medical education equivalent 214 allopathic osteopathic medical schools canada united states invited complete 36question webbased questionnaire june 2021 september 2022 main outcome measured reported hours lgbtqi healthrelated curricular content 214 schools 100 467 responded 85 850 fully completed questionnaire compared 5 median hours dedicated lgbtqi healthrelated 2011 study 2022 median reported time 11 h interquartile range iqr 616 h p 00001 two ume institutions 24 95 ci 0058 reported 0 h preclerkship phase 21 institutions 247 ci 155339 reported 0 h clerkship phase 1 institution 12 ci 035 reported 0 h across curriculum median us allopathic clerkship hours significantly different us osteopathic clerkship hours 4 h iqr 16 h versus 0 h iqr 00 h p 001 suggested strategies increase content included curricular material focusing lgbtqi health health disparities 55 schools 647 ci 546749 faculty willing able teach lgbtqi related content 49 schools 577 ci 471682 evidencebased research lgbtqi health health disparities 24 schools 282 ci 187378 compared 2011 study median reported time dedicated lgbtqi healthrelated topics 2022 increased across us canadian ume institutions breadth efficacy quality instruction continued vary substantially despite increased hours still falls short number hours based recommended lgbtqi health competencies association american medical colleges deans medical education reported institutions coverage lgbtqi health fair good good continues call ume leadership increase curricular content requires dedicated training faculty students
10.3389/fpsyg.2023.1033190
Hammad Fadlalmola, Ahmad Tubaishat, Mohammed Habiballa
The Impact of Training Program on Nurse's Knowledge and Skills of Myocardial Infarction Screening by Using Electrocardiogram
2,023
Critical care nursing quarterly
characterize early changes developmental ability language adaptive behaviour infants diagnosed tuberous sclerosis complex tsc determine whether clinical features epilepsy influence pathway prospective longitudinal data collected within early development tuberous sclerosis edits study track development infants tsc n 32 typically developing infants n 33 3 24 months age questionnaire observational measures used seven timepoints assess infants adaptive behaviour developmental ability language epilepsy significant group age interaction effect showed infants tsc lower adaptive functioning 18 24 months old intercept 8812 slope estimate 082 p 0001 lower developmental ability scores 10 months old intercept 8333 slope estimate 144 p 0001 compared typically developing infants early epilepsy severity significant predictor emerging developmental r2 035 p 0004 95 confidence interval ci 008 001 adaptive behaviour delays r2 034 p 0004 95 ci 005 001 lower vocabulary production intercept 125 slope 012 p 0001 comprehension scores intercept 239 slope estimate 005 p 0001 infants tsc 24 months old associated epilepsy severity divergence developmental ability adaptive functioning skills occur infants tsc 10 18 months respectively associations early epilepsy severity impaired development supports importance early intervention reduce seizure severity
10.1097/CNQ.0000000000000449
Tanner Coleman, Tracy Bensend, Rachel Mills, Lori A Orlando, Lauren Doyle
Critical components of genomic medicine practice for non-genetics healthcare professionals: Genetic counselors' perspectives and implications for medical education
2,023
Journal of genetic counseling
characterize factors associated parents trust messengers covid19 guidance determine whether trust doctors associated covid19 vaccination webbased mailed survey januaryjune 2022 maryland usa 567 parentscaregivers public elementary middle school students parents rated trust 9 messengers 4point scale 0 great deal 3 dichotomized low 01 vs high 23 reported health insurance income race ethnicity education sex urbanicity political affiliation covid19 vaccination anova ttests computed compare overall trust parent characteristics multivariable logistic regression run evaluate factors associated high trust messenger multivariable logistic regression used evaluate relationship trust doctors odds covid19 vaccination trusted messengers doctors 265 family members 187 schools 181 parents trust varied racial identity sex urbanicity health insurance political affiliation greater trust childs doctor associated greater odds child aor 297 95 ci 110 798 parent aor 330 95 ci 123 147 vaccination parent characteristics associated trust trust linked vaccination public health professionals anticipate variability trusted messengers optimize uptake public health guidance
10.1002/jgc4.1689
Julian Schröter, Tal Dattner, Jennifer Hüllein, Alejandra Jayme, Vincent Heuveline, Georg F Hoffmann, Stefan Kölker, Dominic Lenz, Thomas Opladen, Bernt Popp, Christian P Schaaf, Christian Staufner, Steffen Syrbe, Sebastian Uhrig, Daniel Hübschmann, Heiko Brennenstuhl
aRgus: Multilevel visualization of non-synonymous single nucleotide variants & advanced pathogenicity score modeling for genetic vulnerability assessment
2,023
Computational and structural biotechnology journal
characterize health literacy among individuals traumatic brain injury tbi least year postinjury explore relationship sociodemographic variables injury severity cognition community following discharge inpatient rehabilitation total 205 individuals complicated mild severe tbi completed followup part national longitudinal study tbi completed webbased health literacy measure multicenter crosssectional observational study health literacy assessment using talking touchscreen technology thirtyone percent sample demonstrated marginalinadequate health literacy 69 demonstrated adequate health literacy higher proportion nonhispanic white adults adequate health literacy nonhispanic black hispanic adults individuals greater high school education likely adequate health literacy high school education less better executive functioning performance related adequate health literacy better episodic memory performance related adequate health literacy complicated mild moderate injury substantial proportion individuals tbi marginalinadequate health literacy may impact understanding appreciation use healthrelated information recommendations low health literacy may preexisting directly related tbi combination screened considered professionals communicating persons tbi healthcare providers tailor communication approaches presentation health information particularly low health literacy
10.1016/j.csbj.2023.01.027
Farman Ullah, Najah Abed AbuAli, Asad Ullah, Rehmat Ullah, Uzma Abid Siddiqui, Afsah Abid Siddiqui
Fusion-Based Body-Worn IoT Sensor Platform for Gesture Recognition of Autism Spectrum Disorder Children
2,023
Sensors (Basel, Switzerland)
characterize patients primary health care services according demographic socioeconomic aspects habits lifestyle health condition demand health services medicines study part pesquisa nacional sobre acesso utilizao e promoo uso racional de medicamentos servios pnaum national survey access use promotion rational use medicines services crosssectional study carried 2014 2015 interviews conducted patients age 17 years standardized questionnaire primary health care services representative sample cities stratified regions brazil analysis performed complex samples weighted according population size region total 8676 patients interviewed 758 women aged 18 39 years 242 men aged 40 59 years 537 elementary school 505 reported mixed race ethnicity 397 white 78 black half patients classified class c 248 received bolsa familia benefit 98 health insurance higher proportion south lower north midwest proportion men consumed alcohol higher among women well smokers selfassessment health showed 57 believed good good lower proportion northeast prevalence chronic diseasesconditions hypertension 386 dyslipidemia 227 arthritisrheumatism 194 depression 185 diabetes 136 others higher patients among general population medicines predominantly sought health care service pharmacies brazilian unified health system possible characterize profile patients primary health care originality research national scope hinders comparison results official data articles
10.3390/s23031672
F Blavier, D Grobet, C Duflos, R Rayssiguier, N Ranisavljevic, M Duport Percier, A Rodriguez, C Blockeel, S Santos-Ribeiro, G Faron, L Gucciardo, F Fuchs
Usability, accuracy, and cost-effectiveness of a medical software for early pregnancies: a retrospective study
2,023
Human reproduction (Oxford, England)
characterize practice patterns low vision services among optometrists ghana nationwide crosssectional survey identified entities ghana optometrists association goa registry utilized semistructured questionnaire consolidate survey information comprises practitioners demographics available services diagnostic equipment barriers service provision utilization interventions 300 optometrists identified 213 surveyed 71 response rate fifty percent 526 private practice twothirds 77 provide low vision services 70 reported lack assistive devices basic eye care examination kits main barriers low vision service provision similarly practitioners reported unawareness presence low vision centres 761 high cost low vision aids 751 prime perceived barriers patients utilize low vision services continuous professional development public education 8990 suggested interventions improve uptake low vision services statistical adjustment private facility type adjusted odds ratio aor 035 p 0010 lack basic eye examination kits aor 032 p 0002 significantly associated reduced odds low vision service provision conversely 15 years work experience aor 637 p 0011 significantly associated increased odds low vision service provision overall results indicate inadequate low vision coverage service delivery government policies must directed towards equipping practitioners equipment subsidize patient cost treatment optimize low vision care
10.1093/humrep/dead025
Luigi Tesio, Antonio Caronni, Anna Simone, Dinesh Kumbhare, Stefano Scarano
Interpreting results from Rasch analysis 2. Advanced model applications and the data-model fit assessment
2,024
Disability and rehabilitation
characterize preschool school services children hard hearing chh described service setting amount configuration analyzed relationship service receipt student hearing levels language scores characteristics professionals providing services described used predict level comfort skills supporting listening spoken language amount provider communication childrens audiologists also investigated participants included parents chh preschool n 174 school n 155 professionals preschool n 133 school n 104 completed interviews questionnaires part longitudinal study childrens hearing speech language data collected annual testing analyzed relation service data majority 81 preschoolage chh received services children likely preschool children deaf hard hearing cdhh exceptional children general education preschool elementary school 70 received services nearly general education settings sessions averaged twice week total approximately 90 min children longer received services performed significantly better speechlanguage measures received services regardless service setting professionals primarily speechlanguage pathologists slps teachers cdhh slps reported significantly less comfort skills involving auditory development hearing technologies less frequent communication childs audiologists teachers cdhh overall communication audiologists frequent preschool years preschoolage chh transition school majority continue qualify services congruent national trends schoolage chh outcomes children hearing loss study often general education settings without specialized preprofessional postgraduate training slps teachers cdhh report comfort skills critical developing listening spoken language finding supports need increased implementation interprofessional practice among slps teachers cdhh well audiologists best meet needs unique population
10.1080/09638288.2023.2169772
Sousan Hamwi, Henrique Barros, Elsa Lorthe
Migrant-Native Disparities in Obstetric Neuraxial Analgesia Use: The Role of Host-Country Language Proficiency
2,023
Anesthesia and analgesia
characterize current state emergency medicine em requirements advancing em clinical practice education research china anonymous electronic survey conducted chinese society emergency medicine september october 2021 survey contained 30 questions divided 2 sections current state em development requirements em growth 722 hospitals included 487 level iii 235 level ii hospitals found 40 years development em established mature disciplinary system refined subspecialties including critical care cardiopulmonary resuscitation toxicology disaster emergency rescue level iii hospitals 708 eds standardized training centers em residents masters degree program doctor degree program postdoctoral degree program approved 378 84 29 eds respectively postgraduate curriculum available 14 eds 8 national provincial key laboratories addition advance clinical practice also high demand improve teaching research capacities mainly focusing literature review research design delivery paper writing residency training em built mature discipline system refined subspecialties china teaching research developed parallel clinical practice however still lack em masters doctoral programs research capacities need improved outstanding clinical academic training provided promote rapid growth em china
10.1213/ANE.0000000000006370
Belinda Judd, Jennie Brentnall, Justin Newton Scanlan, Kate Thomson, Felicity Blackstock, Allison Mandrusiak, Lucy Chipchase, Anna Phillips, Sue McAllister
Evaluating allied health students' readiness for placement learning
2,023
BMC medical education
characterize neuroophthalmology publishing trends top general clinical ophthalmology neurology journals report proportion articles neuroophthalmology focused ii correlation annual proportion neuroophthalmologyfocused articles annual proportion neuroophthalmologist journal editors retrospective database review articles top 5 general clinical ophthalmology neurology journals publications 2012 2021 retrieved embase classified teaching nonteaching articles based journal indexing duplicate screening conducted categorize articles either focused focused neuroophthalmology titles abstracts full texts 34660 articles reviewed total proportions nonteaching articles teaching articles focused neuroophthalmology 34 138 respectively neuroophthalmology contributions nonteaching teaching publications greater among ophthalmology journals 40 152 among neurology journals 26 133 clear trends annual proportion neuroophthalmologyfocused articles across 10year period annual proportion neuroophthalmologist journal editors positively correlated annual neuroophthalmology output teaching articles pearsons r 0541 p 0001 articles unrelated teaching pearsons r 0067 p 0598 study found lower prevalence neuroophthalmology papers highimpactfactor general clinical ophthalmology neurology journals last 10 years important good representation neuroophthalmology studies journals promote best neuroophthalmic practices among clinicians
10.1186/s12909-023-04005-w
Laura de Groot, Anna T van 't Noordende, Mathias Duck, Joshua Oraga, Sarju Sing Rai, Ruth M H Peters, Nienke Veldhuijzen
Meaningful Engagement of Persons Affected by Leprosy in Research: An Exploration of Its Interpretation, Barriers, and Opportunities
2,023
Tropical medicine and infectious disease
characterize neurodevelopmental profile patients phelanmcdermid syndrome pms describe nature trajectory regression retrospective monocentric study examining clinical developmental data 24 patients average age 25 years 6 months range 656 years n 13 males confirmed 22q133 terminal deletion carried centre human genetics university hospital leuven neurodevelopmental profile individuals pms examined combining crosssectional longitudinal data obtained systematic review digital medical records remarkable loss skills present 19 individuals affecting language motor skills first manifestations neurodevelopmental regression occurred average age 7 years 6 months range 511 years language skills active vocabulary primarily affected followed order loss psychosocial adaptability fine motor skills walking ability course regression characterized distinctive fourstage pattern first stage often occurred around midchildhood defined pronounced abrupt decline language skills stage generally followed second stage prolonged period stagnation regression seen third stage defined acute neuropsychiatric decline eg catatonia hallucinations psychosis acute events severe sickness hormonal shifts psychosocial stress frequently preceded fourth final stage characterized severe neuromotor degeneration neurodevelopmental regression considered key feature pms present fourstage model neurodevelopmental regression entailing language skills fine gross motor function psychosocial adaptation applied future practice research
10.3390/tropicalmed8010052
Patrick K Goh, Anjeli R Elkins, Pevitr S Bansal, Ashley G Eng, Michelle M Martel
Data-Driven Methods for Predicting ADHD Diagnosis and Related Impairment: The Potential of a Machine Learning Approach
2,023
Research on child and adolescent psychopathology
characterize prevalence inadequate health literacy among otolaryngology patients assess association individual patient factors inadequate health literacy crosssectional study tertiary academic medical center otolaryngology clinic adult patients presenting clinic recruited march june 2022 participants completed validated health literacy questionnaire waiting room data age sex race insurance county residence language extracted electronic medical record linked survey responses deidentified analysis logistic regression analyses assessed association inadequate health literacy patient factors 374 participants mean age 548 years sd 178 white 79 native english speakers 95 median health literacy score 145 q1q3 120150 43 participants 12 inadequate health literacy bivariate analysis showed odds inadequate health literacy 25 times greater public insurance 95 confidence interval ci 124520 p 011 35 times greater males 95 ci 175692 p 001 significantly different among race groups p 003 factors evaluated simultaneously multivariable regression sex p 001 race p 005 remained significant predictors inadequate health literacy significant associations health literacy age rurality inadequate health literacy associated sex race age rurality 12 patients inadequate health literacy may perpetuate disparities care necessitate interventions improve care delivery otolaryngology
10.1007/s10802-023-01022-7
Zhihong Gao, Lihua Lou, Meihao Wang, Zhen Sun, Xiaodong Chen, Xiang Zhang, Zhifang Pan, Haibin Hao, Yu Zhang, Shichao Quan, Shaobo Yin, Cai Lin, Xian Shen
Application of Machine Learning in Intelligent Medical Image Diagnosis and Construction of Intelligent Service Process
2,022
Computational intelligence and neuroscience
characterize sociodemographics comorbid medical psychiatric diagnoses patients general hospital diagnosed malingering conducted retrospective observational cohort study using data 2019 national inpatient sample allpayors database acute care general hospital discharges united states querying patients aged 18 older discharged diagnosis malingerer conscious simulation icd10 code z765 45645 hospitalizations 95 ci 43503 47787 study year included discharge diagnosis malingering 561 male patients median age 43 years iqr 33 54 black patients represented 268 patients discharge diagnosis malingering compared 149 patients sampled zip codes lowest household income quartile comprised 399 malingering diagnoses top categories primary discharge diagnoses hospitalizations included medical diabetes mellitus without complications psychiatric depressive disorders substance use alcoholrelated disorders disorders sepsis unspecified organism common primary diagnosis striking overrepresentation black patients hospitalizations diagnosis malingering raises concern roles implicit systemic biases assigning label disproportionate number patients low socioeconomic status suggestive bias disparity another potential contribution lower health literacy populations results limited knowledge traditional ways meet ones needs thus greater reliance malingered behavior alternative means accurate description patients sociodemographics comorbid medical psychiatric diagnoses reliable data large samples lead improved understanding malingering label applied ultimately better patient care
10.1155/2022/9152605
Romy Hume
Show Me the Real You: Enhanced Expression of Rogerian Conditions in Therapeutic Relationship Building with Autistic Adults
2,022
Autism in adulthood : challenges and management
clarify difficulties suicide prevention primary healthcare workers face based characteristics people suicide risk healthcare systems qualitative descriptive design semistructured interviews held 15 primary healthcare workers employed japanese municipality august october 2019 data subjected qualitative descriptive analysis performed accordance coreq guidelines analysis identified 11 subthemes three themes theme 1 failure connect support included subthemes obstacles communication refusal support theme 2 support cannot offer solution included subthemes dying suicide even receiving psychiatric treatment resolved dying theme 3 isolation included subthemes loneliness despite connected others lack community development relation difficulties based characteristics people suicide risk important aware unspoken views increase mental health literacy society overcoming difficulties relation primary healthcare system requires training continuing education professionals specializing mental health suicide prevention avoid isolating healthcare workers ensure need treatment access support systems established enable collaboration mental health specialists across organizations primary healthcare workers often first point contact people suicide risk play key role suicide prevention identified challenges face include difficulties connecting people suicide risk support sense helplessness people die even receiving treatment difficulties building communities prevent isolation findings contribute measures alleviating difficulties primary healthcare workers face reforming primary healthcare systems suicide prevention saving lives study primary healthcare workers working study area participated interviewees also confirmed truthfulness study results thereby ensuring rigour data analysis
10.1089/aut.2021.0065
José A Robles Arvizu, Lilli Mann-Jackson, Jorge Alonzo, Manuel Garcia, Lucero Refugio Aviles, Benjamin D Smart, Scott D Rhodes
Experiences of peer navigators implementing a bilingual multilevel intervention to address sexually transmitted infection and HIV disparities and social determinants of health
2,023
Health expectations : an international journal of public participation in health care and health policy
clarify conceptual structure cultural competence cc among japanese public health nurses phns enhance culturally appropriate support modified grounded theory approach mgta used total 11 municipal phns participated study data collected semistructured interviews interviews audiotaped transcribed comparative analysis performed using mgta five categories identified japanese phns supported foreign residents 1 maintaining sincere attitude curiosity humility toward others regarding cc 2 deepening realization issues arising awareness ones cultures 3 developing knowledge clients cultures surrounding environments 4 mastering skills building relationship clients creating supportive systems surrounding gained experience supporting foreign residents indicated categories cultural competence grew allowing 5 gain experience encountering individuals without holding stereotypes prejudice concepts cc emerged based cultural humility cultivated supportive activities concepts identified study serve educational guidelines health nurses care providers japan
10.1111/hex.13698
Brenda A Poku, Karl Michael Atkin, Sue Kirk
Self-management interventions for children and young people with sickle cell disease: A systematic review
2,023
Health expectations : an international journal of public participation in health care and health policy
clarify frequency musculoskeletal problems public elementary junior high school children determine advantages problems musculoskeletal examinations schoolbased crosssectional study nested cohort examined 41376 public elementary junior high school children aged 615 years miyazaki japan 2008 2014 participation voluntary participants received inschool primary musculoskeletal examination clinical examination check items questionnaire secondary examination orthopaedic outpatient clinic indicated estimated prevalence rates musculoskeletal problems calculated results examinations total estimated prevalence musculoskeletal problems 86 prevalence school grade ranged 32 137 estimated prevalence rates increased grade increased higher junior high school students elementary school students secondary examination identified musculoskeletal problems back 654 knee 81 ankle feet 73 elbow 54 referred secondary examination 444 reported musculoskeletal complaints initial questionnaire overall 698 problems diagnosed secondary examination previously undiagnosed schoolbased musculoskeletal examination enables early detection abnormal growth disorders locomotive organs expected support childrens musculoskeletal growth development recommend musculoskeletal examinations part school checkups japan findings suggest musculoskeletal examinations conducted students higher elementary school grades junior high school students evaluation include direct clinical examination questionnaires
10.1111/hex.13692
K M Sileo, R K Wanyenze, A Anecho, R Luttinen, C Semei, B Mukasa, W Musoke, S H Vermund, S L Dworkin, J F Dovidio, B S Taylor, T S Kershaw
Protocol for the pilot quasi-experimental controlled trial of a gender-responsive implementation strategy with providers to improve HIV outcomes in Uganda
2,022
Pilot and feasibility studies
cocreate strategies identify opportunities integrate eating disorder content within dietetics curricula one australian university stakeholders using design thinking approach pragmatic mixedmethods participatory design approach used online survey explored learning needs dietetic students recent graduates regarding eating disorders following survey oneday design thinking retreat held stakeholders identified research teams professional networks eating disorder dietitians learning experts dietetic students graduates lived experience asked identify strategies enhance students confidence competence provide care people living eating disorders quantitative data analysed using descriptive statistics qualitative data analysed using inductive coding reflexive thematic analysis sixtyfour students n 55 86 recent graduates n 9 14 completed online survey 26 response seventeen stakeholders attended retreat four themes identified 1 changing perceptions eating disorder care specialist core business 2 desiring advocating national change dietetics curricula 3 importance lived experience centre curriculum design delivery 4 collaborating codesign deliver eating disorder content university raising awareness upskilling students educators enhanced collaboration universities stakeholders inclusion lived experience key preparing students provide care people seeking support eating disorders research needed assess impact strategies dietetic students confidence competence
10.1186/s40814-022-01202-0
Timothy S Fallon, Carl A Germann, Robert S Anderson, Tania D Strout
The research escape hunt: An escape room-scavenger hunt for resident education
2,022
AEM education and training
cocreate evidencebased resource enable educators support students returning school concussion evaluate usability users satisfaction resource understand role resource supporting students return school describe changes concussion knowledge following concussion education training workshop survey concussion education training workshop holland bloorview kids rehabilitation hospital toronto ont york region district school board richmond hill ont fiftysix educators 64 teachers 11 school administrators 23 fulfilled roles eg child youth worker 2 fulfilled unspecified roles survey collected demographic information usability data via system usability scale satisfaction data thematic analysis used openended questions participants reported resource easy use 696 complex 625 felt confident using resource 839 participants indicated satisfied resource 732 would use future 875 found resource overwhelming recommended summarized reference guide participants found links videos classroom accommodations academic supports helpful schoolfirst evidencebased userdriven resource created educators support students returning school following concussion educators health care providers youth families collaborated developing schoolfirst improve students successful return school following concussion educators satisfied resource saw opportunities use support students
10.1002/aet2.10833
Barbara Scelsa
Fetal Neurology: From Prenatal Counseling to Postnatal Follow-Up
2,022
Diagnostics (Basel, Switzerland)
collaboratively develop hybrid virtual curriculum medical school surgery clerkship within emerging medical university vietnam hybrid virtual surgery clerkship curriculum collaboratively developed vietnamese american surgeons part international partnership respective universities set 25 virtual lectures associated materials created deployed tandem live inperson review skills sessions student quantitative qualitative evaluation methods developed deployed allow continuous iteration 6month course deployed develop surgical faculty effective teachers curriculum deployed vinuniversity college health sciences youngest medical university vietnam developed collaboration university pennsylvania perelman school medicine cohort 12 students surgical clerkship participate curriculum development hybrid surgical clerkship vietnam leveraged local resources expertise available remotely lessons learned directly applicable future collaborative curriculum development efforts emerging medical schools
10.3390/diagnostics12123083
Samantha L Thomas, Hannah Pitt, Melanie Randle, Sean Cowlishaw, Angela Rintoul, Sylvia Kairouz, Mike Daube
Convenient consumption: a critical qualitative inquiry into the gambling practices of younger women in Australia
2,022
Health promotion international
compare academic attainment age 12 years preterm children born 30 weeks gestation matched termborn peers using standardized nationwide wellvalidated school tests populationbased national cohort study performed linking perinatal data nationwide netherlands perinatal registry educational outcome data statistics netherlands included 4677 surviving preterm children born 25072967 weeks gestational age 366 561 controls born 40 weeks gestational age 20002007 first special education participation rate calculated subsequently preterm children academic attainment test data derived age 12 years matched termborn children using year month birth sex parity socioeconomic status maternal age total language mathematics test scores secondary school level advice compared 2 groups children 30 weeks gestation higher special education participation rate 102 vs 27 p 001 termborn peers preterm children lower total 037 sd 95 ci 042 031 language 021 sd 95 ci 027 015 mathematics 045 sd 95ci 051 038 z scores often prevocational secondary school level advice 62 vs 46 p 001 substantial proportion children born 30 weeks gestation need special education end elementary schooling children significant deficits measures academic attainment age 12 years especially mathematics compared matched termborn peers
10.1093/heapro/daac153
Ziyan Zhang, Qiongyin Hu, Chunyan Xu, Jianmin Zhou, Junhong Li
Medical teachers' affective domain teaching dilemma and path exploration: a cross-sectional study
2,022
BMC medical education
compare academic proficiency among children congenital diaphragmatic hernia cdh versus controls identify predictors academic performance among children cdh infants born cdh arkansas 20002005 identified arkansas reproductive health monitoring system case two controls selected birth certificate data matched hospital month birth sex raceethnicity data rehospitalization within first 5 years payer data collected arkansas hospital inpatient discharge database surviving cases controls linked arkansas department education database primary outcomes odds proficiency fourth grade literacy mathematics achievement tests multivariable logistic regression models evaluated association study characteristics academic proficiency final study cohort included 25 surviving cdh cases 31 controls linked education data adjusting differences characteristics 5min apgar score associated congenital anomalies cases controls statistically significant differences literacy 72 vs 84 p 93 mathematics 64 vs 81 p 98 test proficiency two groups multivariable analyses among cdh cases oxygen discharge medicaid payerlonger hospital stay associated worse fourth grade literacy mathematics proficiency respectively oxygen discharge medicaid payer longer hospital stay associated lower academic performance among cdh cases
10.1186/s12909-022-03870-1
T P Kerry, P G T Cudahy, H L Holst, A Ramsunder, N G McGrath
A doctor at a PHC clinic: A 'must-have' or 'nice-to-have'?
2,022
South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
compare characteristics patients without physical activity noted primary care electronic medical records used pancanadian family physician electronic medical record data canadian primary care sentinel surveillance network cpsssn compare patient provider characteristics one visit per patient selected random since patients nested providers univariate statistics explored multilevel model constructed dataset included 769185 patients 14828 19 physical activity information documented male patients aged 25349 comorbidities prior random visit date moderate elevated blood pressure risk categories prior random visit date least materially deprived quintile median body mass index normal category prior random visit date physical activity mentions 879 family physicians sample half 561 documented physical activity least across patients female physicians physicians practised academic sites documented physical activity twolevel logistic model predict physical activity documented randomly selected visit older mean patient age fewer comorbidities younger mean family physician age academic teaching sites electronic medical record systems statistically significant covariates work adds existing literature describing frequency patient family physician characteristics physical activity documentation canadian primary care context overall patient physical activity rarely documented electronic medical records
10.7196/SAMJ.2023.v113i1.16700
Nairn Scobie, Michael Duncan, Jennifer Gillespie, Neil Russell
Use of Lt Systems in Large Class Lab Delivery
2,023
Advances in experimental medicine and biology
compare fundus autofluorescence faf spectral domainoptical coherence tomography oct measurements geographic atrophy ga area analyze lesion area changes measured sdoct gather1 assessment reliability analysis using prospective randomized doublemasked phase 23 clinical trial data gather1 examined efficacy safety avacincaptad pegol acp ga treatment post hoc analysis performed identify correlations faf octbased measurements ga ga area measured bluelight faf images using semiautomatic segmentation software support oct near infrared imaging machinelearning enhanced multilayer segmentation oct scans reviewed human readers segmentation errors corrected needed ga area defined total rpe loss crosssectional b scans time points included months 0 6 12 18 additionally octbased gaarea changes acp sham analyzed strong correlation r093 faf oct ga area measurements persisted 18 months mean sd differences oct faf ga measurements negligeable 011 mm2 142 month 0 003 mm2 162 month 6 017 mm2 181 month 12 007 mm2 178 month 18 oct assessments ga growth revealed 30 27 reduction months 12 18 respectively acp sham replicating faf measurements gather1 strong correlation blue faf oct measurements ga area supports oct reliable method measure ga lesion area clinical trials
10.1007/978-3-031-17135-2_2
Jiamin Kang, Jiale Hu, Chunji Yan, Xueyan Xing, Shumin Tu, Fang Zhou
Development and applications of the anaesthetists' non-technical skills behavioural marker system: protocol for a systematic review
2,022
BMJ open
compare patientreported outcomes blackafrican american patients white patients participating ibd partners kids teens order identify possible racial healthcare disparities pediatric inflammatory bowel disease ibd future targets improvement crosssectional analysis comparing patientreported outcomes blackafrican american patients white patients aged 918 years ibd participating ibd partners kids teens cohort august 2013 april 2018 secondary outcomes included number ibdrelated hospitalizations surgeries current medication use disease activity included 401 patients crohns disease white 378 94 blackafrican american 23 6 children crohns disease blackafrican american patients compared white patients reported less anxiety 407 vs 475 p 001 fatigue 443 vs 484 p 047 despite frequently reported treatment biologics 91 vs 61 p 006 antibiotics 17 vs 5 p 03 history hospitalizations 81 vs 52 p 02 blackafrican american children crohns disease less likely report anxiety fatigue white patients despite apparent severe disease course reflected greater reported frequency treatment biologics antibiotics history hospitalizations
10.1136/bmjopen-2022-065519
Diane Wilson
Interdisciplinary collaboration: Data scientists and radiologists
2,022
Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association
compare psychiatric emergencies selfharm emergency departments eds 1 year pandemic early pandemic prepandemic examine changes characteristics selfharm presentations retrospective cohort study expanded pandemicrelated emergency psychiatric presentations prepkids study routine record data march april 2019 2020 2021 62 eds 25 countries included ed presentations made children adolescents mental health reasons analyzed altogether 8174 psychiatric presentations recorded 635 female mean sd age 143 26 years 3742 selfharm presentations rate psychiatric ed presentations march april 2021 twice high march april 2020 incidence rate ratio irr 193 95 ci 160233 50 higher march april 2019 irr 151 95 ci 125181 rate selfharm presentations doubled march april 2020 march april 2021 irr 198 95 ci 168234 overall 17 times higher march april 2019 irr 170 95 ci 144200 comparing selfharm characteristics march april 2021 march april 2019 selfharm contributed higher proportion psychiatric presentations odds ratio 130 95 ci 105162 whereas female representation selfharm presentations doubled 198 95 ci 145272 followup appointments offered 4 times often 446 95 ci 232858 increased pediatric ed visits selfharm psychiatric reasons observed suggesting potential deterioration child mental health selfharm girls possibly increased needs prioritized clinical services continue using followup appointments support discharge eds one authors paper selfidentifies member one historically underrepresented racial andor ethnic groups science actively worked promote inclusion historically underrepresented racial andor ethnic groups science author group citing references scientifically relevant work also actively worked promote inclusion historically underrepresented racial andor ethnic groups science reference list author list paper includes contributors location andor community research conducted participated data collection design analysis andor interpretation work
10.1111/vru.13170
Sandro Zacher, Birte Berger-Höger, Julia Lühnen, Anke Steckelberg
Development and Piloting of a Web-Based Tool to Teach Relative and Absolute Risk Reductions
2,022
International journal of environmental research and public health
compare rapid antigen test rat reverse transcription polymerase chain reaction rtpcr highly suspected covid19 patients determine diagnostic parameters hospitalbased descriptiveobservational study place duration study department medicinecovid complex medical teaching institutionlady reading hospital peshawar khyber pakhtunkhwa pakistan october 2021 april 2022 total 300 highly suspected cases covid19 either gender admitted covid complex hospital included data patients including rat rtpcr covid19 collected retrospectively rtpcr used reference test compared rat diagnostic statistics rat respective 95 confidence intervals calculated rat diagnosing covid19 significance p 005 among 300 patients 137 457 males 163 543 females mean age 5680 1372 years screening 138 46 patients tested positive 162 54 negative rat whereas 213 71 tested positive 87 29 negative rtpcr sensitivity specificity rat 545 95 ci 47526128 747 95 ci 64258342 respectively positive predicted value 841 95 ci 78268853 negative predictive value 401 95 ci 35634479 positive likelihood ratio 215 95 ci 147315 negative likelihoodratio 06195 ci 050074 overall accuracy 6033 95 ci 54556591 low sensitivity specificity rat covid19 overall accuracy 6033 compared rtpcr covid19 rapid antigen test sensitivity specificity rtpcr
10.3390/ijerph192316086
Yumi Dille, Lieven Lagae, Ann Swillen, Griet Van Buggenhout
Neurodevelopmental profile and stages of regression in Phelan-McDermid syndrome
2,023
Developmental medicine and child neurology
compare standalone multiple choice questions mcqs integrated clinicalscenario case cluster multiple choice questions csmcqs problembased learning pbl environment retrospective descriptive analysis mcq examinations conducted course integrates subspecialties anatomical pathology chemical pathology hematology immunology microbiology pharmacology mcq items analyzed reliability kuderrichardson20 kr20 level difficulty pi discrimination index di item distractors student performances statistical analysis results extracted integrity online itemanalysis programme results standard standalone cs multiple choice questions compared kr20 csmcqs standalone mcqs consistently high kr20 pi higher csmcqs significant difference csmcqs standalone mcqs pi di range difficulty levels found based blooms taxonomy mean scores class higher csmcq examination compilation csmcq examination challenging csmcqs compare favorably standalone mcqs provide opportunities integration subspecialties assessment keeping pbl assess students cognitive skills reliable practical different levels item difficulty promote multilogical critical thinking students scores higher csmcq examination may suggest better understanding material andor better question clarity scenarios flow logically increasing number scenarios ensures examination course content
10.1111/dmcn.15482
Nihaya Daoud, Ayelet Carmi, Robert Bolton, Ariadna Cerdán-Torregrosa, Anna Nielsen, Samira Alfayumi-Zeadna, Claire Edwards, Fiachra Ó Súilleabháin, Belén Sanz-Barbero, Carmen Vives-Cases, Mariano Salazar
Promoting Positive Masculinities to Address Violence Against Women: A Multicountry Concept Mapping Study
2,023
Journal of interpersonal violence
compare difference teaching satisfaction traditional classes smart classes adopting smart class design pharmacy administration 20 classes selected traditional class teaching smart class teaching respectively first 10 classes implemented using traditional teaching methods last 10 classes implemented using smart classes 10 classes tenpoint likert scale used measure teacher satisfaction course satisfaction mannwhitney u test performed mean value satisfaction mean standard deviation teacher satisfaction using traditional classes n 193 982 0471 mean standard deviation teacher satisfaction using smart classes n 199 985 0566 p 005 mean standard deviation course satisfaction using traditional classes n 193 968 0636 mean standard deviation course satisfaction using smart classes n 199 975 0649 p 005 using smart class teaching practice scores teacher satisfaction course satisfaction improved mean teacher satisfaction increased 003 points mean course satisfaction increased 007 points course satisfaction teacher satisfaction significant difference using traditional class smart class
10.1177/08862605221134641
Emmanuel Olal, Nasir Umar, Jennifer Anyanti, Zelee Hill, Tanya Marchant
How valid are women's reports of the antenatal health services they receive from Community Health Workers in Gombe State north-eastern Nigeria?
2,022
BMC pregnancy and childbirth
compare effectiveness administering inferior alveolar nerve blocks ianb first time without previous practical lesson using simple manufactured simulator study designed compare students first administration ianb anesthesia 2022 without previous practical lesson students randomized two groups experimental group attended theoretical lessons practical lesson simulator device control group attended theoretical lessons theoretical lesson included usual contents anatomy physiology technical maneuvers administering anesthesia tips complications practical lesson consisted administration anesthesia using simple manufactured simulator students applied first ianb efficacy answers questionnaire 5point likert scale recorded statistical analysis consisted chisquare test p 005 study recorded 60 anonymous surveys main difference observed instrument handing p 005 tendency ease recognition anatomical marks used techniquepterygomandibular raphe coronoid notch mandible p 008 011 respectively difference success observed p 005 selfconfidence personal feelings differ statistically students agreed strongly partially training simulator model helpful students used simple manufactured simulators achieved better outcomes instrument handling possibly identification anatomical landmarks received theoretical lessons
10.1186/s12884-022-05220-x
David Susič, Gregor Poglajen, Anton Gradišek
Identification of decompensation episodes in chronic heart failure patients based solely on heart sounds
2,022
Frontiers in cardiovascular medicine
compare effectiveness conventional gamebased teaching level knowledge practice regarding oral hygiene among 7 10yearold school children total 60 children aged 8 10 years randomly divided two groups groups b intervention started pretest evaluation knowledge regarding oral health estimation debris indexsimplified dis children group given oral health education flash cards daily 7 days children group b educated playway method ie connect dots game combined flash cards evaluations regarding oral hygiene dis recorded 8th day intervention followup score also recorded 1 3 months statistical analysis done using paired ttest chisquare test significant increase oral hygiene scores decrease debris scores compared baseline groups 1 week 1 month 3 months interval groups showed decrease oral hygiene scores baseline group b showing highly significant reduction mean increase knowledge score also significantly better group b p 005 connect dots game includes oral health guidelines including good dental hygiene dietary habits thus effective intervention aid teaching basic oral health concepts among school going children cite article kumar asokan john b gopalan effect conventional gamebased teaching oral health status children randomized controlled trial int j clin pediatr dent 201582123126
10.3389/fcvm.2022.1009821
Corianna E Sichel, Elizabeth H Connors
Measurement feedback system implementation in public youth mental health treatment services: a mixed methods analysis
2,022
Implementation science communications
compare effectiveness peytons fourstep approach teaching resuscitation skills alternative approaches systematic review followed picost format population intervention comparison outcome study design timeframe using peytons fourstep approach standard included studies analyzing skills training related resuscitation first aid educational setting eligible randomized controlled trials rcts nonrandomized studies nonrandomized controlled trials interrupted time series controlled beforeandafter studies cohort studies published conference abstracts case series n 5 excluded unpublished results eg trial protocols commentaries editorials reviews medline embase psycinfo eric cinahl cochrane searched inception november 10 2020 updated november 25 2022 publications languages long english abstract titles abstracts papers retrieved screened eligible publications analysed full text final set papers data extracted spreadsheet subsequently risk bias assessment performed using rob2 robinsi certainty evidence using grade paper assessed screening studies data extraction riskofbias assessment assessment certainty evidence performed two independent researchers review conducted adherence prisma standards registered prospero crd42023377398 overall search identified 2574 studies 17 included final analysis 14 rcts 3 nonrcts studies involved total 2906 participants various populations lay persons health care professionals analysed nine different resuscitation skills taught ranging chest compressions needle cricotomy alternative teaching approaches ranged twosteps fivesteps various modifications single steps high methodological clinical heterogeneity precluded metaanalysis conducted risk bias assessment showed considerable variation studies ranging low serious across studies certainty evidence rated low due imprecision inconsistency overall 14 17 studies showed difference skill acquisition retention comparing peytons four steps stepwise approaches low certainty evidence suggest peytons fourstep approach effective resuscitation skills training compared alternative approaches none
10.1186/s43058-022-00356-5
Naim Abdulmohdi, Andrew Mcvicar
Investigating the clinical decision-making of nursing students using high-fidelity simulation, observation and think aloud: A mixed methods research study
2,023
Journal of advanced nursing
compare efficacy directive visual motor intervention dvmi versus nondirective supportive intervention ndsi psychologicaladjustment selfesteem visuomotorintegration vmi skills mainstream elementary school kindergarten children total 168 poor vmi children low socioeconomic status attending regular kindergarten first grade randomly allocated receive 12 weeks dvmi ndsi treatment psychological adjustment selfesteem vmi skills evaluated intervention period kindergarten subset ndsi significantly improved vmi skills compared dvmi treatment firstgraders ndsi dvmi yielded similar significant improvement vmi compared treatment significant differences among ndsi dvmi control groups improvement psychologicaladjustment selfesteem study conducted socioeconomically disadvantaged population suggests kindergarten children poor vmi might benefit positive meaningful relationships inherent ndsi
10.1111/jan.15507
Zelhendri Zen, Reflianto, Syamsuar, Farida Ariani
Academic achievement: the effect of project-based online learning method and student engagement
2,022
Heliyon
compare extent cytopenias systemic immune inflammation index hospitalised coronavirus disease2019 patients first secondthird waves pandemic retrospective crosssectional study conducted october 2021 fatima memorial hospital lahore pakistan comprised data hospitalised coronavirus disease2019 patients regardless age gender may 2020 june 2021 data segregated first wave lasted may july 2020 second wave lasted early november middecember 2020 third wave ranged midmarch june 2021 comparison purposes data first wave group data second third waves pooled group b age gender comorbidities requirement ventilator support outcome patients noted inflammatory markers compared basis complete blood count systemic immuneinflammation index data data analysed using spss 25 202 patients 90445 group 112554 group b 108535 males 94465 females median age males 58 years interquartile range 21 years 56 years interquartile range 21 years females neutrophilia p0001 leukocytosis p0001 lymphocytopenia p0001 direct association increased systemic immuneinflammation raised systemic immuneinflammation also association increased requirement ventilator support p02 increased mortality p0001 females critical patients patients anaemia leukopenia lymphocytopenia thrombocytopenia group b compared group p005 need ventilator support mortality also higher group b compared group p005 indicators analysed worse second third waves coronavirus disease2019 compared first wave pandemic
10.1016/j.heliyon.2022.e11509
Tiebin Liu, Lijing Ouyang, William O Walker, John S Wiener, Jason Woodward, Jonathan Castillo, Hadley M Wood, Stacy T Tanaka, Richard Adams, Kathryn A Smith, Joseph O'Neil, Tonya R Williams, Elisabeth A Ward, Robin M Bowman, Catharine Riley
Education and employment as young adults living with spina bifida transition to adulthood in the USA: A study of the National Spina Bifida Patient Registry
2,023
Developmental medicine and child neurology
compare level fear death among students nursing pedagogy courses crosssectional study quantitative approach developed university students two courses one around health sciences around human sciences random sampling adopted calculations based principle power analysis 95 confidence interval cutoff point 100 relation overall score collettlester death fear scale analysis variables application scale data present related variables gender age presence children loss loved one showed association greater fear death groups statistical significance dimensions emmcl women presented higher score four dimensions emmcl groups statistically significant strong negative correlation identified age level fear death important create areas undergraduate courses whether around health sciences humanities enabling discussion thanatology students preparation dealing issues associated greatest fear death view natural process relevant everyone thus professional practice assist minimize emotional suffering patients family members
10.1111/dmcn.15456
Brenda T Bradshaw, Amber W Hunt, Emily Ludwig, Tara L Newcomb
Dental hygiene students' matching accuracy when comparing antemortem dental radiographs and oral photographs to simulated postmortem WinID3® odontograms
2,023
Journal of forensic sciences
compare medical image interpretations time conventional automated methods breast ultrasound patients breast lesions secondarily evaluate agreement two methods interobservers crosssectional study prospective data collection agreements degrees established relation breast lesionss ultrasound descriptors determine accuracy method biopsy suspicious lesions performed considering histopathological result diagnostic gold standard evaluated 27 women conventional ultrasound used average medical time 1077 minutes 255 greater average 738 minutes 206 automated ultrasound p0001 degrees agreement methods ranged 075 095 researcher 1 071 098 researcher 2 among researchers degrees agreement 063 1 automated ultrasound 068 1 conventional ultrasound area roc curve conventional method 067 p0003 researcher 1 072 p0001 researcher 2 area roc curve automated method 0 69 p0001 researcher 1 078 p0001 researcher 2 observed less time devoted physician automated ultrasound compared conventional ultrasound maintaining accuracy substantial strong perfect interobserver agreement substantial strong almost perfect agreement methods
10.1111/1556-4029.15174
Stefania Uccheddu, Ádám Miklósi, Sarolt Gintner, Márta Gácsi
Comparing Pears to Apples: Unlike Dogs, Cats Need Habituation before Lab Tests
2,022
Animals : an open access journal from MDPI
compare perception medical students usefulness interactive lectures casebased lectures structured interactive sessions sis teaching learning physiology crosssectional study carried january december 2012 bahria university medical dental college karachi qualitative quantitative aspects assessed self reported questionnaire focused group discussion fgd questionnaire distributed 100 medical students completion first year teaching mbbs physiology data analyzed using spss version 15 differences considered significant pvalues 005 application friedman test responses fgd analyzed teaching methodologies helped understanding precise learning objectives comprehension structure functions understanding difficult concepts made best possible sis p004 p001 sis enabled adult learning selfdirected learning peer learning critical reasoning teaching strategies p 001 sis involved students used reasoning skills power discussion group comprehend difficult concepts better understanding physiology compared interactive casebased lectures
10.3390/ani12213046
Vashist Motkur, Aniket Bharadwaj, Nimalesh Yogarajah
Is online objective structured clinical examination teaching an acceptable replacement in post-COVID-19 medical education in the United Kingdom?: a descriptive study
2,022
Journal of educational evaluation for health professions
compare performance interstitial glucose monitor igm versus portable blood glucose monitor pbgm sick juvenile dogs veterinary icu 16 clientowned dogs admitted university teaching hospital 1 year age systemic illness paired interstitial blood glucose samples collected third glucose measurement reference method obtained igm pbgm values clinically disparate analytical accuracy measured pearson correlation agreement statistics including mean absolute relative difference mard bias 95 limits agreement parkes consensus error grid analysis performed assess clinical accuracy 159 paired glucose measurements available analysis comparison igm readings pbgm measurements resulted mard 154 bias 26 95 limits agreement ranging 425 374 positive correlation igm pbgm pearson r 065 found consensus error grid analysis 100 pairs fell clinically acceptable zones 742 zone 258 zone b disparate igm pbgm readings compared laboratory reference standard n 13 methods resulted high mard wide limits agreement igm provides clinically acceptable glucose measurements compared pbgm monitor glucose levels juvenile dogs clinical setting clinical studies larger sample size particularly hypoglycemic range needed assess igm performance lower glucose range
10.3352/jeehp.2022.19.30
Siu-Cheung Kong, Cheuk-Nam Yuen
An analysis of the attitudes and behaviours of university students and perceived contextual factors in alternative assessment during the pandemic using the attitude-behaviour-context model
2,022
Heliyon
compare prevalence physically active adolescents living brazilian capitals using 2012 2015 national adolescent schoolbased health survey sample consisted 61145 2012 51192 2015 adolescents residents 27 brazilian capitals attending 9th year elementary school globally estimated physical activity indicator cutoff point 300 minutes per week used determine prevalence physically active adolescents surveys prevalence rates stratified sociodemographic characteristics gender age maternal schooling skin color capital residency descriptive statistics used comparisons considering 95 confidence intervals respective prevalence rates physically active adolescents observed 2012 210 95ci 203 217 2015 207 95ci 201 213 similar independently sociodemographic characteristics considering 27 capitals reduction prevalence physically active adolescents 2012 2015 observed belm overall changes prevalence physically active adolescents residing urban centers observed 2012 2015 findings evidence need new public policies order enhance promote practice physical activity among brazilian adolescents well expansion existing ones
10.1016/j.heliyon.2022.e11180
Catherine Redmond, Aiden Jayanth, Sarah Beresford, Lorraine Carroll, Amy N B Johnston
Development and validation of a script concordance test to assess biosciences clinical reasoning skills: A cross-sectional study of 1st year undergraduate nursing students
2,022
Nurse education today
compare results loop phonological working memory lpwm children without global learning alterations lower averagehigher arithmetic performance study conducted 30 children ages seven nine years old attended second third grade elementary school public network exclusion criteria children suggestive signs hearing loss neurological disorders poor performance reading comprehension test speech therapy children included study submitted subtest arithmetic academic achievement test division two groups g1 g2 g1 composed children low performance arithmetic g2 children averagehigher performance arithmetic children submitted pwm assessment repetition pseudowords test statistical analysis performed using mannwhitney test pvalue 005 considered significant study included 20 girls 10 boys mean age 87 years g1 composed 17 children g2 13 children statistically significant difference groups studied repetition pseudowords three four syllables results study provide support hypothesis changes phonological working memory related difficulties arithmetic tests
10.1016/j.nedt.2022.105615
Gaurav Sharma, Lisa Schlosser, Brett D M Jones, Daniel M Blumberger, David Gratzer, M Omair Husain, Benoit H Mulsant, Lance Rappaport, Vicky Stergiopoulos, Muhammad Ishrat Husain
Brief App-Based Cognitive Behavioral Therapy for Anxiety Symptoms in Psychiatric Inpatients: Feasibility Randomized Controlled Trial
2,022
JMIR formative research
compare serum concentrations adipokines resistin chemerin children adolescents eutrophic overweight evaluate relationship anthropometric biochemical blood pressure variables crosssectional epidemiological study conducted 234 students enrolled public elementary schools city juiz de fora mg anthropometric evaluation biochemistry blood pressure measurement performed statistical analyzes included studentt mannwhitney tests pearson spearman correlation used according distribution variables linear regression analysis means evaluation effect independent variables serum levels chemerin resistin adjusted age sex data analysis spss software version 210 stata version 101 used assuming significance level 5 concentrations chemerin higher eutrophic individuals excess weight p 005 contrast levels resistin higher young excess weight eutrophic ones p 005 multiple linear regression analysis levels chemerin associated values resistin systolic diastolic blood pressure resistance levels maintained association bmi chemerin values adipokines analyzed presented distinct profile groups children adolescents eutrophic overweight
10.2196/38460
Julia Košinár, Anna Laros
The genesis of the teacher habitus-a longitudinal study with Swiss primary teacher students
2,022
Zeitschrift fur bildungsforschung
compare trainees perception educational environment ee two parallel postgraduate training programs md fcps pediatric medicine quantitative crosssectional study carried department medical education uol department pediatric medicine kemu february december 2021 data perception ee collected pediatric medicine trainees purposive sampling using 40 items pheem inventory inventory three perception domains role autonomy teaching social support addition mean scores inventory also gives interpretation according score ranges fcps md trainees genders years training across institutions punjab approached using google forms spss v 230 used descriptive analytic statistics total 327 trainees responses included188 575 fcps 139 425 md trainees mean overall score 92197 fcsp 9388215 md trainees pvalue 041 interpretation overall score positive negative room improvement 673 subscales role autonomy teaching social support perception positive 71 80 45 trainees respectively except three individual items mean scores subscales individual items statistically different two groups pediatric medicine trainees perception educational environment fcps md groups comparable overall three domains individual item analysis showed almost similar areas improvement programs
10.1007/s35834-022-00350-w
Magda Eriksson-Liebon, Johan Lundgren, Patrik Rytterström, Peter Johansson, Ghassan Mourad
Experience of internet-delivered cognitive behavioural therapy among patients with non-cardiac chest pain
2,023
Journal of clinical nursing
complement hard variables generally used assessment different treatments cancer chronic diseases developed hardened succinct quantitative index measure quality life qlindex survivors designed use physicians five items range scores 010 used pretests validation tests 150 physicians rate 879 patients median completion time one minute fiftynine percent physicians reported least confident accuracy scores established predetermined criteria validity field work commenced evaluated index using convergent discriminant approaches construct validity well content validity qlindex convergent discriminant content validity among cancer patients patients chronic physical diseases assessment internal consistency demonstrated high coefficient cronbachs 0775 interrater spearman rank correlation high statistically significant rho 081 p 0001 independent scores two physicians compared doctors ratings compared selfratings patients rho 061 p 0001 aim provide new measure help physicians assess relative benefits risks various treatments serious illness supportive programs palliative care hospice service qlindex however suitable measuring classifying quality life ostensibly healthy people
10.1111/jocn.16565
Wilbrod Mwanje, Muatsim Ahmed Mohammed, Erasmus Gidimadjor, Eva Mertens, Barbara Maria Bürkin, Axel Hoffmann
Containment of a fatal and highly infectious disease outbreak
2,021
The Pan African medical journal
comprehend perception body image adolescence qualitative study conducted eight focus groups 96 students sexes attending four public elementary school institutions city rio de janeiro southeastern brazil 2013 interview guide questions adolescents feelings relation bodies standards idealized beauty practice physical exercise sociocultural influences selfimage data analysis sought understand interpret meanings contradictions narratives understanding subjects context reasons internal logic group three thematic categories identified influence media body image showed difficulty achieving perfect body viewed suspicion face standards beauty broadcast importance healthy body observed standards beauty good looks closely linked good physical condition result healthy body relationship standard beauty prejudice people considered attractive small physical imperfections discriminated rejected even excluded society standard perfect body propagated media influences adolescents selfimage consequently selfesteem considered unattainable goal corresponding standard beauty described artificial unreal however causes great suffering discrimination feel attractive lead health problems resulting low selfesteem
10.11604/pamj.supp.2021.40.2.30897
Sophie Pils, Jana Mlakar, Mario Poljak, Grega Gimpelj Domjanič, Ulrike Kaufmann, Stephanie Springer, Andreas Salat, Eva Langthaler, Elmar A Joura
HPV screening in the urine of transpeople - A prevalence study
2,022
EClinicalMedicine
comprehensively characterize clinical presentation course care concussion among 5 11yearold children identifying preinjury injury factors potentially influencing clinical outcomes singleinstitution retrospective cohort study using electronic health record data children ages 5 11 years concussion july 1 2014 june 30 2015 electronic health record data abstracted 20 random sample 292 patients threefourths patients 743 presenting concussion care standardized visiovestibular assessment performed almost eventually sought specialty care 929 also assessment 429 patients initially seen emergency department urgent care examined manner assessed 627 n 136 demonstrated deficits children ages 911 years frequently exhibiting deficits younger counterparts 679 vs 532 p 03 almost patients 959 reported least 1 somatic symptom eg headache dizziness onehalf twothirds reported problems sleep 541 visiovestibular symptoms 661 116 children referred rehabilitation therapies less onehalf concussed patients 438 provided letter recommending school accommodations somatic symptoms sleep problems visiovestibular deficits common elementary schoolaged children concussion specific visiovestibular clinical assessments often performed particularly emergency department setting recommendations school accommodations often provided time concussion diagnosis incorporating standardized visiovestibular assessment practice could facilitate early targeted school accommodations thereby improve return learning elementary schoolaged children concussion
10.1016/j.eclinm.2022.101702
Jin Bo, Frantzy Acluche, Patricia C Lasutschinkow, Alyssa Augustiniak, Noelle Ditchfield, Renee Lajiness-O'Neill
Motor networks in children with autism spectrum disorder: a systematic review on EEG studies
2,022
Experimental brain research
comprehensively synthesise evidence regarding validity reliability anaesthetists nontechnical skills ants behavioural marker system application tool training assessment nontechnical skills improve patient safety systematic review employed citation search strategy scopus web science databases searched articles published 2002 may 2022 englishlanguage publications applied ants system meaningful way including use guide data collection analysis reporting study screening data extraction quality assessment performed two independent reviewers appraised quality included studies using joanna briggs institute critical appraisal checklists framework analysis approach used summarise synthesise included articles 54 studies identified ants system applied across wide variety study objectives settings units analysis methods used studies varied included quantitative n42 mixed n8 qualitative n4 approaches studies n47 used ants system guide data collection commonly reported reliability statistic interrater reliability n35 validity evidence reported 51 94 studies qualitative application outcomes ants system provided reference analysis generation new theories across disciplines results suggest ants system used wide range studies effective tool assessing nontechnical skills investigating methods ants system evaluated implemented training within clinical environments anticipated significantly enhance ongoing enhancements staff performance patient safety crd42022297773
10.1007/s00221-022-06483-8
Sachiko Kita, Kiyoko Kamibeppu, Denise Saint Arnault
"Knitting Together the Lines Broken Apart": Recovery Process to Integration among Japanese Survivors of Intimate Partner Violence
2,022
International journal of environmental research and public health
conduct scoping review systematically examines body research social media undergraduate teaching learning order identify key issues trends gaps needs objectives include determining methods commonly used study social media undergraduate teaching learning synthesise insights published research findings within fields higher education educational technology scholarship teaching learning use social media technologies postsecondary environments increasing time especially following shift remote teaching learning covid19 pandemic growth continued review addresses need analyse understand body research use social media across undergraduate contexts teaching learning scoping review includes peerreviewed journal articles social media undergraduate teaching learning context published time english addition including concepts terms related social media broadly based global social media usage include within search commonly used social media platforms excluded items grey literature reports dissertations theses studies focus groups outside undergraduate population interest eg elementary secondary graduate settings etc systematic searching conducted relevant subject multidisciplinary databases education database education research complete eric british education index australian education index academic search complete scopus records deduplicated screened using covidence software record independently reviewed two researchers rounds screening titles abstracts first round fulltext articles second researchers meet discuss discrepancies make decisions using consensus model third researcher independently tasked resolving conflicts data extraction also use two independent researchers review article
10.3390/ijerph191912504
Edward Dieterle, Chris Dede, Michael Walker
The cyclical ethical effects of using artificial intelligence in education
2,022
AI & society
conduct systematic review appraise review evidence impact simulationbased education undergraduateprelicensure nursing students using existing reviews literature umbrella review review reviews cumulative index nursing allied health literature cinahlplus pubmed google scholar reviews literature conducted 2010 2015 regarding simulationbased education prelicensure nursing students joanna briggs institute methodology conduct umbrella review used inform review process twentyfive systematic reviews literature included 14 recent 20132015 described level evidence component studies mix experimental quasiexperimental designs reviews measured around 14 different main outcome variables thus limiting number primary studies individual review could pool appraise many reviews agreed key learning outcome knowledge acquisition although overall quantitative effect derived three four highquality reviews found simulation supported psychomotor development fourth found high quality studies make statistical comparison simulation statistically improved selfefficacy pretestposttest studies experimental designs selfefficacy superior teaching methods lower level research designs limiting comparison reviews commonly reported strong student satisfaction simulation education reported improved confidence andor critical thinking umbrella review took global view 25 reviews simulation research nursing education comprising 700 primary studies discern overall outcomes across reviews statistical comparison quantitative results effect size must key comparator simulationbased education contributes students learning number ways integrated prelicensure nursing curricula overall use constellation instruments lack high quality study designs mean still gaps evidence effects need addressed
10.1007/s00146-022-01497-w
Alexa Colgrove Curtis, Courtney Keeler
Interpretive Methodologies in Qualitative Nursing Research
2,022
The American journal of nursing
conduct systematic review explore therapeutic effect transcatheter arterial chemoembolisation tace combined portal vein embolisation pve patients hepatocellular carcinoma hcc chinese english databases pubmed web science cochrane library china national knowledge infrastructure wanfang database vip database searched database inception 15 august 2023 studies comparing tace combined pve versus tace alone patients hcc included degree heterogeneity assessed using i2 statistics qtest effect size represented risk ratio rr mean difference md effect size range estimated using 95 confidence interval ci eight eligible studies included systematic review involving 689 participants results showed future liver residual flr patients treated tace combined pve significantly higher treated pve alone md399 95ci 103694 furthermore compared pve alone tace combined pve positive effect diseasefree survival odds ratio or216 95ci 120388 recurrence rate or079 95ci 007942 complications or053 95ci 030096 statistically significant impact mortality tace combined pve treatment combination tace pve significantly reduce flr patients hcc higher diseasefree survival lower recurrence rate fewer complications
10.1097/01.NAJ.0000890224.65902.0a
Isabelle Dautriche, Louise Goupil, Kenny Smith, Hugh Rabagliati
Two-Year-Olds' Eye Movements Reflect Confidence in Their Understanding of Words
2,022
Psychological science
conduct umbrella review effectiveness using highfidelity simulation nursing student teaching thereby supporting continuous improvement teaching practitioners implementation highfidelity simulation intervention strategies several systematic reviews investigated effectiveness highfidelity simulation nursing student teaching recent years however conclusions vary systematic assessment lacking review encompasses umbrella review search pubmed embase cochrane library web science ovid databases conducted retrieve data umbrella review highfidelity simulation effectiveness nursing student teaching database inception november 2023 quality included systematic reviews independently assessed two reviewers using amstar 2 prisma scales outcome indicators included systematic reviews graded using grade system twelve systematic reviews focusing highfidelity simulation effectiveness nursing student teaching included notably 12 systematic reviews exhibited verylow methodological quality 9 exhibiting degree reporting deficiencies 2 exhibiting severe information deficiencies 1 reporting relatively complete information total 22 outcome indicators 53 pieces evidence included results revealed 15 pieces lowquality evidence 38 pieces verylowquality evidence mounting evidence suggests highfidelity simulation teaching effectively enhances nursing students theoretical performance practical skills various clinical comprehensive abilities highlighting positive teaching effect however validation highquality largesample studies warranted overall evidence quality current systematic reviews evaluating highfidelity simulation effectiveness nursing student teaching low additionally methodological quality degree reporting standardization require improvement therefore highquality largesample randomized controlled trials essential substantiating highfidelity simulation effectiveness nursing student teaching
10.1177/09567976221105208
L Hannah Gould, Stephanie E Farquhar, Sophia Greer, Madeline Travers, Lisa Ramadhar, L Tantay, Danielle Gurr, María Baquero, Ayanna Vasquez
Data for Equity: Creating an Antiracist, Intersectional Approach to Data in a Local Health Department
2,023
Journal of public health management and practice : JPHMP
conduct scientometric studies phd doctor philosophy theses ie doctoral theses researchers able access theses aimed explore obtain list full text defended phd theses medical schools croatia 30 years beginning 1992 end 2021 tried obtain information croatian bureau statistics national university library zagreb nsk universities medical schools online repositories could find single list source phd theses based 4 different sources website university zagreb medical school rijeka school administrator split library catalog osijek gathered information beginning 1992 end 2021 2955 phd theses defended medical schools croatia 357 osijek 550 rijeka 337 split 1711 zagreb may 2022 online croatian digital dissertations repository contained 631 22 fulltext theses portable document format pdf university zagreb school medicine repository holds full text 834 49 phd theses one three phd programs university split school medicine namely translational research biomedicine tribe published full texts phd theses defended program website nsk held 2650 90 theses printed version extremely challenging access list full texts doctoral theses defended croatia making phd theses publicly available would ensure transparency enable analyses improve scientific policy
10.1097/PHH.0000000000001579
Carmel Bouclaous, Luna Joe Azar, Nour Barmo, Ralph Daher, Jana Tabaja, Ghida El Hout, Lina Berika
Levels and Correlates of Numeracy Skills in Lebanese Adults with Diabetes: A Cross-Sectional Study
2,022
International journal of environmental research and public health
construct risk assessment model forecasting likelihood myopia elementary school students crosssectional study study utilized convenient sampling questionnaire survey collect data eligible elementary students parents coronavirus disease 2019 covid19 pandemic period march december 2020 data divided training testing sets 73 ratio lasso regression employed screen variables inclusion model establish generalized linear model nomogram model final result study included 1139 elementary students comprising 545 male 455 female participants total 37 variables obtained analyzed using lasso regression crossvalidation revealed best lambda value 004201788 five variables affecting myopia identified three risk two protective factors three risk factors student age 132 family location urban vs rural 233 parents occupation compared farmer worker 203 teacher 162 medical worker 564 selfemployed 178 civil servant 165 company employee 145 service industries 338 others 320 two protective factors eye distance score 083 eye health exercise score 095 model verified showed good accuracy auc 0778 brier score 0122 addition satisfactory clinical effects model effectively predicted risk myopia elementary school students covid19 pandemic using model highrisk groups identified provide foundation early intervention followup thereby reducing incidence myopia population
10.3390/ijerph191710557
Sophie Charlotte Niestroj, Sarah Steden, Maren Boecker, Edward Stuart Brodkin, Kerstin Konrad
The Development and Validation of the First German Open Scale of Social Information Processing
2,023
Psychopathology
construct validate best predictive model 28day death risk patients septic shock based different supervised machine learning algorithms patients septic shock meeting sepsis3 criteria selected medical information mart intensive careiv v20 mimiciv v20 according principle random allocation 70 patients used training set 30 validation set relevant predictive variables extracted three aspects demographic characteristics basic vital signs serum indicators within 24 hours intensive care unit icu admission complications possibly affecting indicators functional scoring advanced life support predictive efficacy models constructed using five mainstream machine learning algorithms including decision tree classification regression tree cart random forest rf support vector machine svm linear regression lr super learner sl combined cart rf extreme gradient boosting xgboost 28day death patients septic shock compared best algorithm model selected optimal predictive variables determined intersecting results lasso regression rf xgboost algorithms predictive model constructed predictive efficacy model validated drawing receiver operator characteristic curve roc curve accuracy model assessed using calibration curves practicality model verified decision curve analysis dca total 3 295 patients septic shock included 2 164 surviving 1 131 dying within 28 days resulting mortality 3432 2 307 training set 792 deaths within 28 days mortality 3433 988 validation set 339 deaths within 28 days mortality 3431 five machine learning models established based training set data including variables three aspects area roc curve auc rf svm lr machine learning algorithm models predicting 28day death septic shock patients validation set 0823 95 confidence interval 95ci 07950849 0823 95ci 07960849 0810 95ci 07820838 respectively higher cart algorithm model auc 0750 95ci 07170782 sl algorithm model auc 0756 95ci 07240789 thus three algorithm models determined best algorithm models integrating variables three aspects 16 optimal predictive variables identified intersection lasso regression rf xgboost algorithms including highest ph value highest albumin alb highest body temperature lowest lactic acid lac highest lac highest serum creatinine scr highest ca2 lowest hemoglobin hb lowest white blood cell count wbc age simplified acute physiology score iii saps iii highest wbc acute physiology score iii aps iii lowest na body mass index bmi shortest activated partial thromboplastin time aptt within 24 hours icu admission roc curve analysis showed logistic regression model constructed 16 optimal predictive variables best predictive model auc 0806 95ci 07780835 validation set calibration curve dca curve showed model high accuracy highest net benefit could reach 03 significantly outperforming traditional models based single functional score aps iii score saps iii score sequential organ failure assessment sofa score auc 95ci 0746 07150778 0765 07340796 0625 05890661 respectively logistic regression model constructed using 16 optimal predictive variables including ph value alb body temperature lac scr ca2 hb wbc saps iii score aps iii score na bmi aptt identified best predictive model 28day death risk patients septic shock performance stable high discriminative ability accuracy
10.1159/000525950
Luana Conte, Roberto Lupo, Chiara Mazzarella, Antonino Calabrò, Laura Vaglio, Sandro Chirizzi, Carmen Donadio, Maicol Carvello, Alessandra Marsella, Giovanna Artioli, Elsa Vitale
Autism Spectrum Disorders and inclusion attitudes in the Italian school environments: teachers' knowledge, attitudes, perceptions and their necessity to consult a healthcare multidisciplinary team
2,022
Acta bio-medica : Atenei Parmensis
construct underlying value structure shared decision making sdm models included previously identified sdm models n 40 15 additional ones using thematic analysis coded data using schwartzs value theory define values sdm investigate value relations identified defined eight values developed three themes based relations shared control safe supportive environment decisions tailored patients constructed value structure based value relations themes interplay healthcare professionals hcps patients skills achievement support patient benevolence good relationship hcp patient security facilitate patients autonomy selfdirection values enable balanced relationship hcp patient tailored decision making universalism sdm realized interplay values values benevolence security deserve explicit attention may especially increase vulnerable patients selfdirection value structure enables comparison values underlying sdm specific populations facilitating incorporation patients values treatment decision making may also inform development sdm measures interventions education programs hcps practicing
10.23750/abm.v93i4.12938