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An evidence-based synthesis of instructional reading and spelling procedures using telepractice: A rapid review in the context of COVID-19.

Int J Lang Commun Disord 2021 Apr 12. Epub 2021 Apr 12.

Discipline of Speech Pathology, School of Allied Health, College of Science, Health and Engineering, La Trobe University, Bundoora, Melbourne, VIC, Australia.

Background: Due to COVID-19, many educators and allied health practitioners are facing the challenge of rapidly transitioning to telepractice delivery of instructional reading and spelling procedures without being fully informed of the evidence.

Aims: A rapid review was conducted to provide educators, allied health practitioners and policymakers with a synthesis of valid, relevant and actionable evidence relating to telepractice delivery of instructional reading and spelling procedures. The aim was to investigate the nature and outcomes of studies examining instructional reading and spelling procedures delivered via telepractice to school-aged students. Read More

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Teaching non-technical skills: the patient centered approach.

J Thorac Dis 2021 Mar;13(3):2044-2053

Service of Thoracic Surgery, University Hospital of Salamanca, Salamanca, Spain.

The surgical setting is a highly complex environment where, in ideal conditions, everything should be under control to ensure a positive outcome. However, the existing complexity opens the possibility for multiple failures along the process and many of those failures are related to what is call the non-technical skills of the members of the team. We cannot eradicate human error, but we can try to avoid future mistakes in our daily practice introducing the awareness for providing a high-quality care in which patient safety is crucial. Read More

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Template for a program tailored ACS/APDS phase 1 curriculum: From needs assessment to implementation.

Am J Surg 2021 Mar 27. Epub 2021 Mar 27.

Department of General Surgery, Houston Methodist Hospital, Houston, TX, USA; Methodist Institute for Technology, Innovation and Education, Houston, TX, USA; Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA. Electronic address:

Background: The Phase 1 ACS/APDS skills curriculum standardizes intern training. Despite this, institutional implementation varies and is nationally low. We aimed to use Kern's six-steps to tailor this to our program, providing a framework to improve implementation. Read More

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Children living with long-term conditions illness: A meta-aggregation of parental experiences of partnership nursing.

J Clin Nurs 2021 Apr 7. Epub 2021 Apr 7.

School of Nursing, Midwifery and Public Health, University of Canberra, Bruce, ACT, Australia.

Aim: To explore how parents of children with long-term conditions experience partnership in paediatric and neonatal nursing care and to identify existing partnership barriers and facilitators.

Background: Parent-nurse partnership is fundamental to paediatric and neonatal nursing. Partnership is characterised by five attributes: parental participation, negotiation, mutual trust and respect, shared roles and decision-making, and communication. Read More

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Implementing care coordination in a large dental care organization in the United States by upskilling front office personnel.

Hum Resour Health 2021 Apr 7;19(1):48. Epub 2021 Apr 7.

Department of Preventive and Restorative Dental Sciences, School of Dentistry, University of California, San Francisco, 490 Illinois Street, Floor 11, Box 1242, San Francisco, CA, 94143, United States of America.

Background: Care coordination is a key strategy used to improve health outcomes and efficiency, yet there are limited examples in dentistry. A large dental accountable care organization piloted care coordination by retraining existing administrative staff to coordinate the care of high-risk patients. Following the pilot's success, a formal "dental care advocate" (DCA) role was integrated system-wide. Read More

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Association of vitamin D metabolites with cognitive function and brain atrophy in elderly individuals - the Austrian stroke prevention study.

Aging (Albany NY) 2021 Apr 7;13. Epub 2021 Apr 7.

Clinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Austria.

Background: Vitamin D is a well-established regulator of calcium and phosphate metabolism that has neurotrophic and neuroprotective properties. Deficiency of vitamin D has been proposed to promote cognitive dysfunction and brain atrophy. However, existing studies provide inconsistent results. Read More

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Communicative competencies anchored longitudinally - the curriculum "personal and professional development" in the model study programme in undergraduate medical education at the University of Witten/Herdecke.

GMS J Med Educ 2021 15;38(3):Doc57. Epub 2021 Mar 15.

Universität Witten/Herdecke, Fakultät für Gesundheit, Department für Humanmedizin, Witten, Germany.

In October 2018, the University of Witten/Herdecke (UW/H) launched the new reformed medical education programme called Medicine 2018+. A major innovation compared to the existing model programme was the introduction of thematic focuses. A longitudinal communication skills curriculum was integrated into the new thematic focus "professional and personal development - inner work" (IAP). Read More

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Pilot implementation of the national longitudinal communication curriculum: experiences from four German faculties.

GMS J Med Educ 2021 15;38(3):Doc52. Epub 2021 Mar 15.

Institut für Medizinische und Pharmazeutische Prüfungsfragen (IMPP), Mainz, Germany.

The German national longitudinal communication curriculum provides medical faculties with orientation for the content of their communication teaching. But its implementation also requires changes in the organization of teaching. However, due to a lack of reports and studies on experiences with the development and implementation of communication curricula, recommendations on the procedure and the use of suitable instruments cannot be provided. Read More

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"The SOFTVETS Competence Model" - a preliminary project report.

GMS J Med Educ 2021 15;38(3):Doc50. Epub 2021 Mar 15.

University of Zagreb, Faculty of Veterinary Medicine, Zagreb, Croatia.

Recent developments measured using statistics and surveys among veterinarians show that integrating key competence training into veterinary education is becoming increasingly important. This article describes the collaborative development process of the first work package within the SOFTVETS project. The SOFTVETS project aims to create a competence model and an ideal version of a soft skills curriculum that can be implemented in veterinary higher education throughout Europe. Read More

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Development of a Psychological Intervention to Promote Meaningful Activity in People Living With Mild Dementia: An Intervention Mapping Approach.

Gerontologist 2021 Apr 5. Epub 2021 Apr 5.

Division of Psychiatry, University College London, London, United Kingdom.

Background And Objectives: Despite the importance of meaningful activity in mild dementia, only limited data are available on the development of interventions supporting people with mild dementia to engage in meaningful activity. In this paper we describe the development of an intervention that responds to this need.

Research Design And Methods: Intervention Mapping (IM), an evidence-based approach, was used to develop STAYING ACTIVE (STAYing well and active - schedulINg meaninGful and enjoyAble aCTIvities to promote Vitality and wEll-being in mild dementia). Read More

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Tu'Washindi na PrEP: Working With Young Women and Service Providers to Design an Intervention for PrEP Uptake and Adherence in the Context of Gender-Based Violence.

AIDS Educ Prev 2021 Apr;33(2):103-119

Women's Global Health Imperative, RTI International, Berkeley, California.

HIV pre-exposure prophylaxis (PrEP) reduces HIV acquisition among adolescent girls and young women (AGYW). Existing evidence suggests that uptake and adherence are low among AGYW and that relationship factors such as gender-based violence (GBV) are important barriers. Through a community-based participatory research (CBPR) process, a youth advisory board (YAB), service providers (SP), and a study team developed the Tu'Washindi na PrEP intervention to support AGYW PrEP use in the context of GBV. Read More

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Protocol for a systematic review on the role of the gut microbiome in paediatric neurological disorders.

Acta Neuropsychiatr 2021 Apr 5:1-13. Epub 2021 Apr 5.

Division of Gastroenterology & Nutrition, Department of Paediatrics, McMaster University, Hamilton, Canada.

Introduction: The gut-brain axis refers to the bidirectional communication that occurs between the intestinal tract and central nervous system. Through a series of neural, immune, endocrine and metabolic signalling pathways, commensal microbiota are able to influence central nervous system development and neurological function. Alterations in gut microbiota have been implicated in various neuropathologies. Read More

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Rising to the Occasion of This COVID-19-Impacted Nation: Development, Implementation, and Feasibility of the Brief Assessment-Informed Skills Intervention for COVID-19 (BASIC).

Cogn Behav Pract 2021 Mar 26. Epub 2021 Mar 26.

University of Texas at Austin.

The COVID-19 pandemic has had a profound impact on the global economy, physical health, and mental health. This pandemic, like previous viral outbreaks, has resulted in spikes in anxiety, depression, and stress. Even though millions of individuals face the physical health consequences of infection by COVID-19, even more individuals are confronted with the mental health consequences of this pandemic. Read More

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Implementation evaluation of an interprofessional programme (Siscare) for supporting patients with type 2 diabetes in a Swiss primary care setting.

Res Social Adm Pharm 2021 Mar 16. Epub 2021 Mar 16.

Community Pharmacy, Centre for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland. Electronic address:

Background: In 2016, the Swiss government decided to back the implementation of an interprofessional patient support programme to redefine and extent the pharmacist's role in primary care. The programme, called Siscare, includes regular motivational interviews by pharmacists; medication adherence, patient-reported, and clinical outcomes monitoring; and pharmacist-physician interactions.

Objective: To assess, from a pharmacy team's perspective, the implementation of Siscare for patients with type 2 diabetes taking at least one oral antidiabetic treatment, followed for 15 months, in a primary care setting of the French-speaking part of Switzerland. Read More

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Rural disability workforce perspective on effective inter-disciplinary training-A qualitative pilot study.

Aust J Rural Health 2021 Apr 3. Epub 2021 Apr 3.

Flinders Rural Health SA, College of Medicine & Public Health, Flinders University, South Australia, Australia.

Objective: Inter-professional education is a growing area of importance that enables training of health care professionals and students to develop skills in collaborative clinical practice, a critical aspect of disability care. However, research is limited on appropriate on-site inter-professional training for the rural and remote disability workforce. This paper aims to explore the features of an effective inter-professional training approach for rural disability workforce. Read More

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The Integration of Psychosocial Care into National Dementia Strategies across Europe: Evidence from the Skills in DEmentia Care (SiDECar) Project.

Int J Environ Res Public Health 2021 Mar 25;18(7). Epub 2021 Mar 25.

Department of Psychology, University of Bologna, 40126 Bologna, Italy.

There is evidence supporting the use of psychosocial interventions in dementia care. Due to the role of policy in clinical practice, the present study investigates whether and how the issue of psychosocial care and interventions has been addressed in the national dementia plans and strategies across Europe. A total of 26 national documents were found. Read More

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Virtual reality simulations in nurse education: A systematic mapping review.

Nurse Educ Today 2021 Mar 23;101:104868. Epub 2021 Mar 23.

University of Freiburg, Faculty of Medicine, Institute of Nursing Science, Freiburg, Germany.

Objectives: Simulation-based learning is widely used in nurse education, including virtual reality (VR) methods which have experienced a major growth lately. Virtual reality offers risk free and contactless learning. Currently, little is known about what topics of nursing are adopted for VR simulations and how their design meets various educational goals. Read More

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Collaborative improvement in Scottish GP clusters after the Quality and Outcomes Framework: a qualitative study.

Br J Gen Pract 2021 Apr 1. Epub 2021 Apr 1.

College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, United Kingdom.

Background: Scotland abolished the Quality and Outcomes Framework (QOF) in April 2016, prior to implementing a new Scottish GP contract in April 2018. Since 2016, groups of practices (GP clusters) have been incentivised to meet regularly, to plan and organise quality improvement (QI) as part of this new direction in primary care policy.

Aim: To understand the organisation and perceived impact of GP clusters, including how they use quantitative data for improvement. Read More

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Resequencing of Microbial Isolates: A Lab Module to Introduce Novices to Command-Line Bioinformatics.

Front Microbiol 2021 16;12:578859. Epub 2021 Mar 16.

Division of Biological Sciences, University of California, San Diego, La Jolla, CA, United States.

Familiarity with genome-scale data and the bioinformatic skills to analyze it have become essential for understanding and advancing modern biology and human health, yet many undergraduate biology majors are never exposed to hands-on bioinformatics. This paper presents a module that introduces students to applied bioinformatic analysis within the context of a research-based microbiology lab course. One of the most commonly used genomic analyses in biology is resequencing: determining the sequence of DNA bases in a derived strain of some organism, and comparing it to the known ancestral genome of that organism to better understand the phenotypic differences between them. Read More

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Does engagement with frontline health workers improve maternal and child healthcare utilisation and outcomes in India?

Hum Resour Health 2021 Apr 1;19(1):45. Epub 2021 Apr 1.

UNICEF National Centre of Excellence and Advanced Research on Diets, Lady Irwin College, University of Delhi, New Delhi, India.

Background: Poor Maternal and Child Health (MCH) outcomes pose challenges to India's ability to attain Goal-3 of the Sustainable Development Goals (SDGs). The government of India strengthened the existing network of frontline health workers (FHWs), under its National Rural Health Mission in 2005 and subsequent National Urban Health Mission in 2013 as a strategy to mitigate the shortage of skilled health workers and to provide affordable healthcare services. However, there is a lack of robust national-level empirical analysis on the role of maternal engagement with FHWs in influencing the level of maternal and child health care utilisation and child health outcomes in India. Read More

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Affective and cognitive components of students' attitudes towards communication learning - validation of the Communication Skills Attitude Scale in a cohort of polish medical students.

BMC Med Educ 2021 Apr 1;21(1):190. Epub 2021 Apr 1.

Chair and Department of Medical Education, Poznan University of Medical Sciences, 7 Rokietnicka St, 60-806, Poznan, Poland.

Background: The Communication Skills Attitude Scale (CSAS) is a recognized tool for assessment of attitudes towards communication learning. In the original version, it consists of 26 items divided on theoretical assumptions into two subscales: Positive and Negative Attitudes Scales. However, the evidence for its structure seems unsatisfactory, and a simple division into positive and negative attitudes may be insufficient to describe attitudes of medical students towards communication learning. Read More

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The role of non-technical skills in community pharmacy practice: an exploratory review of the literature.

Int J Pharm Pract 2021 Feb 1. Epub 2021 Feb 1.

Division of Pharmacy and Optometry, School of Health Sciences, Faculty of Biology, Medicine and Health, University The University of Manchester, Manchester, United Kingdom.

Background: Non-technical skills (NTS) are the cognitive and social skills that complement technical skills in safe and efficient practice, and include leadership, teamwork, task management, decision-making and situation awareness. Other areas within healthcare have heavily invested in producing taxonomies to aid training and assessment of NTS within their disciplines, and have found them to be essential for improving patient safety. In pharmacy, no validated taxonomy has been produced, nor has the existing literature been appraised to aid the future development of a validated taxonomy. Read More

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February 2021

Mapping Evidence of Neonatal Resuscitation Training on the Practices of Unskilled Birth Attendants in Low-Resource Countries: Protocol for a Scoping Review.

JMIR Res Protoc 2021 Mar 31;10(3):e18935. Epub 2021 Mar 31.

School of Nursing and Public Health, College of Health Sciences, University of Kwazulu-Natal, Durban, South Africa.

Background: Competence in neonatal resuscitation of the newborn is very critical to ensure the safety and well-being of newborn infants. The acquisition of neonatal resuscitation skills by birth attendants improves self-efficacy, thereby reducing neonatal mortality as a result of asphyxia. Approximately one-quarter of all neonatal deaths globally are caused by birth asphyxia. Read More

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Quality improvement report: setting up a hospital at night service, limitations of bleep filtering and using an electronic task management system.

BMJ Open Qual 2021 Mar;10(1)

Specialist Medicine Directorate, Medway Maritime Hospital, Gillingham, UK.

The 'hospital at night' concept was developed at a joint conference of the London Deanery and Clinical Staff in 2002, as an issue for education and service provision. At the start of the project, our trust had issues with both the structure of the hospital at night handover and the working practices overnight. The vision was to improve team working out of hours, expedite review of sick patients and reorganise care to seek a reduction in bleeps to medical junior doctors overnight in a way that all patients had access to the right person with the right skills for their needs at the right time. Read More

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Medical Spanish in US Medical Schools: a National Survey to Examine Existing Programs.

J Gen Intern Med 2021 Mar 29. Epub 2021 Mar 29.

Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Background: Most medical schools offer medical Spanish education to teach patient-physician communication skills with the growing Spanish-speaking population. Medical Spanish courses that lack basic standards of curricular structure, faculty educators, learner assessment, and institutional credit may increase student confidence without sufficiently improving skills, inadvertently exacerbating communication problems with linguistic minority patients.

Objective: To conduct a national environmental scan of US medical schools' medical Spanish educational efforts, examine to what extent existing efforts meet basic standards, and identify next steps in improving the quality of medical Spanish education. Read More

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Systematic review of ambient temperature exposure during pregnancy and stillbirth: methods and evidence.

Environ Res 2021 Mar 26:111037. Epub 2021 Mar 26.

University of Queensland, Brisbane, Australia.

Background: Associations between ambient temperature exposure during pregnancy and stillbirth have been reviewed and described in the literature. However, there is no existing review of environmental and epidemiologic methods applied to measure stillbirths resulting from exposure to ambient temperatures during pregnancy. The objective of this study is to systematically review published methods, data sources, and data linkage practices to characterize associations between ambient temperature and stillbirth to inform stillbirth prevention and risk management strategies. Read More

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Digital Mental Health Challenges and the Horizon Ahead for Solutions.

JMIR Ment Health 2021 Mar 29;8(3):e26811. Epub 2021 Mar 29.

Australian Institute for Suicide Research and Prevention, Griffith University, Brisbane, Australia.

The demand outstripping supply of mental health resources during the COVID-19 pandemic presents opportunities for digital technology tools to fill this new gap and, in the process, demonstrate capabilities to increase their effectiveness and efficiency. However, technology-enabled services have faced challenges in being sustainably implemented despite showing promising outcomes in efficacy trials since the early 2000s. The ongoing failure of these implementations has been addressed in reconceptualized models and frameworks, along with various efforts to branch out among disparate developers and clinical researchers to provide them with a key for furthering evaluative research. Read More

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