2,221 research outputs found

    Facilitation: It’s not as easy as you think - A novel approach to teaching handling skills, in neurology, to undergraduate physiotherapy students

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    This paper discusses a learning intervention designed to help second year students bridge the practice/ theory gap as a basis for developing clinical reasoning skills in movement re-education. Physiotherapists working in neurology aim to re-education movement dysfunction, often through the use a ‘hands on’ approach to facilitate muscle activity. This involves a high level of clinical reasoning requiring analysis ‘of’ and reflection ‘on’ the effects of handling based on theoretical principles, an area students’ find challenging. The intervention consisted of students randomly selecting and facilitating a movement task. No communication of any kind was allowed whilst the task was being facilitated, and only the facilitator was aware of the task selected. The findings suggest that the exercise contributed to an improvement in students’ confidence in clinical reasoning and that the link between theoretical knowledge and practical application was clearer. Student engagement in learning was enhanced, suggesting that this approach is an effective way of promoting clinical reasoning skills in regard to re-education of movement

    Applying Translational Principles to Data Science Curriculum Development

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    This paper reports on a curriculum mapping study that examined job descriptions and advertisements for three data curation focused positions: Data Librarian, Data Steward / Curator, and Data Archivist. We present a transferable methodological approach for curriculum development and the findings from our evaluation of employer requirements for these positions. This paper presents " model pathways " for these data curation roles and reflects on opportunities for iSchools to adopt translational data science principles to frame and extend their curriculum to prepare their students for data-driven career opportunities

    The Effect of Food Insecurity Training on Knowledge, Awareness, Screening, and Intervention Practices within Two Pediatric Wards at an Academic Medical Center

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    Background and Introduction ‱ Food insecurity is a major driver of preventable disease. Providers can screen to identify patients at risk for food insecurity using a two-question survey tool called “The Hunger Vital Sign”. Screening barriers identified in the literature include lack of provider knowledge, comfort, and capacity for effective intervention. Addressing this provider knowledge gap through training is essential for implementing robust and sustainable clinical food insecurity screening practices. ‱ This study aims to evaluate the effect of food insecurity education on providers’ knowledge and awareness of food insecurity and their likelihood to screen and make referrals for at-risk patients, as well as to encourage healthcare providers to foster a culture of food insecurity screening and intervention in their practices. Objectives 1. To determine providers’ knowledge of food insecurity and awareness of referral practices and resources to help patients experiencing food insecurity. 2. To determine if providers’ participation in formal food insecurity training influences their likelihood of incorporating food insecurity screening into their patient interviews. 3. To determine if providers’ action following a positive screen is affected by participating in food insecurity training.https://scholarworks.uvm.edu/comphp_gallery/1285/thumbnail.jp

    Obesity and diabetes genetic variants associated with gestational weight gain

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    To determine whether genetic variants associated with diabetes and obesity predict gestational weight gain

    Pathways to diagnosis of non-small cell lung cancer: a descriptive cohort study

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    Little has been published on the diagnostic and referral pathway for lung cancer in Australia. This study set out to quantify general practitioner (GP) and lung specialist attendance and diagnostic imaging in the lead-up to a diagnosis of non-small cell lung cancer (NSCLC) and identify common pathways to diagnosis in New South Wales (NSW), Australia. We used linked health data for participants of the 45 and Up Study (a NSW population-based cohort study) diagnosed with NSCLC between 2006 and 2012. Our main outcome measures were GP and specialist attendances, X-rays and computed tomography (CT) scans of the chest and lung cancer-related hospital admissions. Among our study cohort (N = 894), 60% (n = 536) had ≄4 GP attendances in the 3 months prior to diagnosis of NSCLC, 56% (n = 505) had GP-ordered imaging (chest X-ray or CT scan), 39% (N = 349) attended a respiratory physician and 11% (N = 102) attended a cardiothoracic surgeon. The two most common pathways to diagnosis, accounting for one in three people, included GP and lung specialist (respiratory physician or cardiothoracic surgeon) involvement. Overall, 25% of people (n = 223) had an emergency hospital admission. For 14% of people (N = 129), an emergency hospital admission was the only event identified on the pathway to diagnosis. We found little effect of remoteness of residence on access to services. This study identified a substantial proportion of people with NSCLC being diagnosed in an emergency setting. Further research is needed to establish whether there were barriers to the timely diagnosis of these cases

    Pathways to diagnosis of non-small cell lung cancer : a descriptive cohort study

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    Little has been published on the diagnostic and referral pathway for lung cancer in Australia. This study set out to quantify general practitioner (GP) and lung specialist attendance and diagnostic imaging in the lead-up to a diagnosis of non-small cell lung cancer (NSCLC) and identify common pathways to diagnosis in New South Wales (NSW), Australia. We used linked health data for participants of the 45 and Up Study (a NSW population-based cohort study) diagnosed with NSCLC between 2006 and 2012. Our main outcome measures were GP and specialist attendances, X-rays and computed tomography (CT) scans of the chest and lung cancer-related hospital admissions. Among our study cohort (N = 894), 60% (n = 536) had ≄4 GP attendances in the 3 months prior to diagnosis of NSCLC, 56% (n = 505) had GP-ordered imaging (chest X-ray or CT scan), 39% (N = 349) attended a respiratory physician and 11% (N = 102) attended a cardiothoracic surgeon. The two most common pathways to diagnosis, accounting for one in three people, included GP and lung specialist (respiratory physician or cardiothoracic surgeon) involvement. Overall, 25% of people (n = 223) had an emergency hospital admission. For 14% of people (N = 129), an emergency hospital admission was the only event identified on the pathway to diagnosis. We found little effect of remoteness of residence on access to services. This study identified a substantial proportion of people with NSCLC being diagnosed in an emergency setting. Further research is needed to establish whether there were barriers to the timely diagnosis of these cases

    Developing a robust tool: advancing the multiple mini interview in pre-registration student midwife selection in a UK setting

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    Background: Published research has shown the multiple mini interview (MMI) to be a reliable assessment instrument in medical and nursing student selection internationally. Objectives: To develop, pilot and examine the reliability of MMIs in pre-registration student midwife selection in one Higher Education Institution a UK setting. Design and setting: BSc (Hons) Midwifery Studies students at a Higher Education Institution in the UK volunteered to participate in ‘mock’ MMI circuits during the first week of their programme. DeVellis’s framework for questionnaire development underpinned the generation of interview scenarios. Participants’ responses to scenario questions were rated on a 7 point scale. Internal consistency was calculated for each station. Results: An eight station model was piloted. Communication skills were assessed at each station as a generic attribute. Station specific attributes assessed included compassion and empathy, respect for difference and diversity, honesty and integrity, intellectual curiosity and reflective nature, advocacy, respect for privacy and dignity, team working and initiative, the role of the midwife and motivation to become a midwife. Cronbach’s alpha scores for each station ranged from 0.91 – 0.97. Conclusion: The systematic development of the MMI model and scenarios resulted in ‘excellent’ reliability across all stations. These findings endorse the MMI technique as a reliable alternative to the personal interview in informing final decisions in pre-registration student midwife selection

    2013 Wild Blueberry Project Reports

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    The 2013 edition of the Wild Blueberry Project Reports was prepared for the Wild Blueberry Commission of Maine and the Wild Blueberry Advisory Committee by researchers at the University of Maine, Orono. Projects in this report include: 1. Development of effective intervention measures to maintain and improve food safety for wild blueberries 2. Do wild blueberries alleviate risk factors related to the Metabolic Syndrome? 3. Wild Blueberry consumption and exercise-induced Oxidative Stress: Inflammatory Response and DNA damage 4. Control tactics for blueberry pest insects, 2013 5. Pesticide residues on wild blueberry, 2013 6. Biology of pest insects and IPM, 2013 7. Biology of blueberry, beneficial insects, and blueberry pollination 8. Biology of spotted wing drosophila, 2013 9. Maine wild blueberry –mummy berry research and extension 10. Evaluation of fungicides for control of mummy berry on lowbush blueberry (2013) 11. Wild blueberry Extension Education Program in 2013 INPUT SYSTEMS STUDY: 12. Systems approach to improving the sustainability of wild blueberry production, Year Four of a four-year study – experimental design 13. Food safety- Prevalence study of Escherichia coli O157:H7, Listeria monocytogenes and Salmonella spp. on lowbush blueberries (Vaccinium angustifolium) 14. Agronomic input effects on sensory quality and chemical composition of wild Maine blueberries 15. Systems approach to improving the sustainability of wild blueberry production, Year four of a four-year study – reports from Frank Drummond 16. Systems approach to improving the sustainability of wild blueberry production, Year 4 of a four-year study, disease management results 17. Systems approach to improving the sustainability of wild blueberry production, Year Four of a four-year study, weed management results 18. Phosphorus and organic matter interactions on short-range ordered minerals in acidic barren soils 19. Systems approach to improving the sustainability of wild blueberry production, preliminary economic comparison for 2012-13 20. Ancillary projects in disease research (ancillary study) 21. Systems approach to improving the sustainability of wild blueberry production – Ancillary land-leveling study, Year Three of a four-year study (ancillary study) 22. Pre-emergent combinations of herbicides for weed control in wild blueberry fields – 2013 results from the 2012 trial (ancillary study) 23. Evaluation of herbicides for 2012 prune year control of fineleaf sheep fescue in wild blueberries – 2013 crop year results (ancillary study) 24. 2012 pre-emergence application timing and rate of Alion and Sandea in combination with Velpar or Sinbar – 2013 yields (ancillary study) 25. Pre-emergence Sinbar combinations for weed control in a non-crop wild blueberry field – 2012-2014 (ancillary study) 26. Evaluation of three pre-emergence herbicides alone and in combination with Velpar or Sinbar for effects on wild blueberry productivity and weed control (ancillary study) 27. Post-harvest control of red sorrel in a non-crop blueberry field, 2012-2014 (ancillary study) 28. Compost and mulch effects on soil health and nutrient dynamics in wild blueberry (ancillary study) 29. Evaluation of conventional and organic fertilizers on blueberry growth and yield (ancillary study
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