65,485 results match your criteria exploratory study

A Meaningful and Actionable Professionalism Assessment: Validity Evidence for the Professionalism Mini-Evaluation Exercise (P-MEX) Across 8 Years.

Acad Med 2021 Aug 3. Epub 2021 Aug 3.

N.M. Bajwa is residency program director, Department of General Pediatrics, Children's Hospital, Geneva University Hospitals, and faculty member, Unit of Development and Research in Medical Education (UDREM), Faculty of Medicine, University of Geneva, Geneva, Switzerland; ORCID: http://orcid.org/0000-0002-1445-4594. M.R. Nendaz is professor and director, Unit of Development and Research in Medical Education (UDREM), Faculty of Medicine, University of Geneva, and attending physician, Division of General Internal Medicine, University Hospitals of Geneva, Geneva, Switzerland; ORCID: http://orcid.org/0000-0003-3795-3254. K.M. Posfay-Barbe is professor and chairperson, Department of General Pediatrics, Children's Hospital, Geneva University Hospitals, Geneva, Switzerland; ORCID: https://orcid.org/0000-0001-9464-5704. R. Yudkowsky is professor, Department of Medical Education, College of Medicine at the University of Illinois at Chicago, Chicago, Illinois; ORCID: https://orcid.org/0000-0002-2145-7582. Y.S. Park is associate professor, Harvard Medical School, and director of health professions education research, Massachusetts General Hospital, Boston, Massachusetts; ORCID: http://orcid.org/0000-0001-8583-4335.

Purpose: With the growing importance of professionalism in medical education, it is imperative to develop professionalism assessments that demonstrate robust validity evidence. The Professionalism Mini-Evaluation Exercise (P-MEX) is an assessment that has demonstrated validity evidence in the authentic clinical setting. Identifying the factorial structure of professionalism assessments determines professionalism constructs that can be used to provide diagnostic and actionable feedback. Read More

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Person-Centred Dementia Care in an Acute Hospital: Experiences from Nurses Working in a Specialized Dementia Unit.

Dement Geriatr Cogn Disord 2021 Aug 4:1-8. Epub 2021 Aug 4.

Department of Geriatric Medicine, Khoo Teck Puat Hospital, Singapore, Singapore.

Background: Person-centred care (PCC) is synonymous with best practice in the care of persons with dementia. However, the research focus has been in long-term care settings with less attention in acute hospitals. We aimed to study the perspectives and experiences of nurses implementing PCC in an acute hospital dementia unit (Care for Acute Mentally Infirm Elders [CAMIE]). Read More

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Development and preliminary validation of the Adolescent Food Parenting Questionnaire: Parent and adolescent version.

Appetite 2021 Aug 1:105618. Epub 2021 Aug 1.

Behavioural Science Institute, Radboud University, Nijmegen, the Netherlands. Electronic address:

Suitable instruments for measuring Food Parenting Practices (FPP) among adolescents and their parents that also measure the perception of adolescents about their parent's FPP are rare. The current study describes the development and preliminary testing of a short 16-item Adolescent Food Parenting Questionnaire (AFPQ) for parents (AFPQ-p) and adolescents (AFPQ-a) that may enable future large-scale research on potentially eminent parent-child FPP discrepancy. Participants included 381 parents (73. Read More

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Surgical treatment of uterine neoplasia in 13 production size pigs with a comparison to pot-bellied pigs.

Vet Surg 2021 Aug 4. Epub 2021 Aug 4.

Department of Clinical Sciences, Cornell University, Ithaca, New York, USA.

Objectives: The primary objective of this study was to describe the clinical management and surgical treatment of production size pigs (PrdP) with uterine neoplasia. A secondary objective was to compare tumor diagnoses as well as short- and long-term survival between PrdP and a published report of pot-bellied pigs (PBP) following surgical intervention.

Study Design: Retrospective clinical study. Read More

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An Intracranial EEG Study of Visual Language Encoding: The Contribution of the Precentral Gyrus to Silent Reading.

J Cogn Neurosci 2021 Jul 29:1-18. Epub 2021 Jul 29.

University of California San Diego.

Models of reading emphasize that visual (orthographic) processing provides input to phonological as well as lexical-semantic processing. Neurobiological models of reading have mapped these processes to distributed regions across occipital-temporal, temporal-parietal, and frontal cortices. However, the role of the precentral gyrus in these models is ambiguous. Read More

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Psychometric Properties of the Safety Climate Survey in Austrian Acute Care: Factor Structure, Reliability, and Usability.

J Patient Saf 2021 Aug 2. Epub 2021 Aug 2.

From the Paracelsus Medical University, Institute of Nursing Science and Practice, Salzburg, Austria.

Background: Hospitals are complex organizations with a potential for medical errors that can be influenced by safety culture. Safety climate, as measurable element of safety culture, illustrates the perception of safety-relevant aspects of health care staff at a certain time. The Safety Climate Survey is applied internationally to measure safety climate. Read More

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Neighborhood Walkability and Mortality in a Prospective Cohort of Women.

Epidemiology 2021 Aug 3. Epub 2021 Aug 3.

Division of Epidemiology, Department of Population Health, NYU Grossman School of Medicine, 180 Madison Avenue, 5 Fl., New York, NY, 10016, USA Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 West 168th Street, New York, NY 10032 USA Columbia Population Research Center, Columbia University Division of Biostatistics, Department of Population Health, NYU Grossman School of Medicine, 180 Madison Avenue, 5 Fl., New York, NY, 10016, USA Department of Environmental Medicine, NYU Grossman School of Medicine, New York, NY, USA.

Background: There is a paucity of prospective cohort studies evaluating neighborhood walkability in relation to the risk of death.

Methods: We geocoded baseline residential addresses of 13,832 women in the New York University Women's Health Study (NYUWHS) and estimated the Built Environment and Health Neighborhood Walkability Index (BEH-NWI) for each participant circa 1990. The participants were recruited from 1985 to 1991 in New York City and followed for an average of 27 years. Read More

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A Variable Selection Algorithm for Creating Replicable Factor Structures.

Multivariate Behav Res 2021 Aug 4:1-23. Epub 2021 Aug 4.

University of Texas at San Antonio.

Exploratory and confirmatory factor analyses are commonly employed to identify and explore underlying factor structures. Unfortunately, when variable selection is involved, results often fluctuate across studies making it difficult to determine the "best" and most replicable factor structure. This study proposes a new factor analysis variable selection algorithm called the (RFAS) that incorporates sound statistical and psychometric practices when selecting the final factor structure, while simultaneously examining the observed variables and factor structures replicability. Read More

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Proxy evaluation of dignity expectations and satisfaction of older patients with dementia by family members and nurses.

Nurs Open 2021 Aug 4. Epub 2021 Aug 4.

Tohto University, Numazu, Shizuoka, Japan.

Aim: Develop a proxy evaluation questionnaire for patients' family members and nurses to evaluate dignity expectations and satisfaction of patients with dementia.

Design: Cross-sectional study.

Method: A proxy questionnaire draft was prepared with 30 items on expectations for dignity and 23 items on satisfaction with dignity. Read More

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The nursing team work process in Children and Adolescents Psychosocial Care Centers.

Rev Esc Enferm USP 2021 30;55:e03775. Epub 2021 Jul 30.

Universidade Estadual de Campinas, Faculdade de Enfermagem, Campinas, SP, Brasil.

Objective: To know the nursing team work process in Children and Adolescents Psychosocial Care Centers in a city of the state of São Paulo.

Method: This is a qualitative, descriptive, and exploratory study, based on the approach of historical and dialectical materialism, carried out with the nursing team through participant observation and semi-structured interviews.

Results: Eleven subjects from the nursing team participated in the study. Read More

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Effectiveness of the speech language intervention on the communicative behavior in groups of individuals diagnosed with schizophrenia.

Codas 2021 2;33(4):e20200088. Epub 2021 Aug 2.

Departamento de Enfermagem Psiquiátrica e Ciências Humanas - DEPCH, Escola de Enfermagem de Ribeirão Preto - EERP, Universidade de São Paulo - USP - Ribeirão Preto (SP), Brasil.

Purpose: To verify the effectiveness of the speech language intervention in the communicative behavior in group of individuals diagnosed with schizophrenia.

Methods: This is a semi-experimental, quantitative analytical-exploratory study. Users of a Psychosocial Care Center III (CAPS III) with a diagnosis of schizophrenia were included, divided into 2 groups: Experimental Group (EG), comprising the Speech Therapy Intervention Group (STIG) and Control Group (CG). Read More

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Perspective of nursing students about active learning and insertion in the job market.

Rev Bras Enferm 2021 30;74(6):e20190168. Epub 2021 Jul 30.

Faculdade de Medicina de Marília. Marília, São Paulo, Brazil.

Objective: to understand the perception of alumni from a nursing course which uses active learning methods about their insertion in the job market.

Methods: descriptive and exploratory study with a qualitative approach, carried out through 17 interviews with alumni from 2012 and 2014. The analysis took place using Dialectic Hermeneutics, as subsidized by the theoretical framework of the Theory of Complexity. Read More

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Development of interprofessional healthcare teamwork skills: mapping students' process of learning.

J Interprof Care 2021 Aug 4:1-10. Epub 2021 Aug 4.

School of Interprofessional Studies, Auckland University of Technology, Auckland, New Zealand.

Higher education institutions commonly prepare future healthcare workers to engage in increasingly complex, interprofessional healthcare environments through interprofessional education. Development of appropriate teamwork skills is complex and takes time. However, much of the research on student engagement with teamwork in higher education has been focused on the end goal of teamwork. Read More

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Screening of biomarkers for prediction of multisite artery disease in patients with recent myocardial infarction.

Scand J Clin Lab Invest 2021 Aug 4:1-8. Epub 2021 Aug 4.

Department of Medical Sciences, Clinical Chemistry, Uppsala, Sweden.

A few studies have examined biomarkers in patients with myocardial infarction (MI) and peripheral artery disease (PAD), i.e. multisite artery disease (MSAD). Read More

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Latent Factor Analysis of the PROMIS and Single Assessment Numeric Evaluation in Patients Undergoing Shoulder Surgery.

Mil Med 2021 Aug 4. Epub 2021 Aug 4.

Department of Surgery Division of Orthopaedics, USU-Walter Reed National Military Medical Center, Bethesda, MD 20889, USA.

Introduction: Patient-reported outcomes (PROs) are reporting tools that quantify patients' perceptions of their mental and physical health. Many PROs may inadvertently measure the same or overlapping theoretical constructs (e.g. Read More

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Defining Familial Interactions and Networks: An Exploratory Qualitative Study on Family Networks and Surrogate Decision-Making.

Crit Care Explor 2021 Aug 29;3(8):e0504. Epub 2021 Jul 29.

Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

To characterize patient preferences for medical surrogate decision-makers in the ICU to capture the complexity of decision-making preferences and highlight potential conflicts between patients' preferences and clinicians' surrogate decision-maker identification in usual clinical practice.

Design: Prospective qualitative cross-sectional study.

Setting: Two ICUs in a quaternary referral center in the eastern United States. Read More

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Developing and feasibility testing of the Indonesian computer-based game prototype for children with attention deficit/hyperactivity disorder.

Heliyon 2021 Jul 13;7(7):e07571. Epub 2021 Jul 13.

Kummara Game Design Studio, Bandung, West Java, Indonesia.

The aim of this study was to develop an Indonesian computer-based game prototype, including feasibility testing, targeted on attention deficit/hypersensitivity disorder (ADHD) clinical symptoms and executive function. The study comprised five steps. The first to third steps used an exploratory qualitative research design. Read More

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Establishing the impact of COVID-19 on the health outcomes of domiciliary care workers in Wales using routine data: a protocol for the OSCAR study.

Int J Popul Data Sci 2020 14;5(4):1656. Epub 2021 Jul 14.

Centre for Trials Research, Cardiff University, Cardiff, CF14 4YS.

Introduction: Domiciliary care workers (DCWs) continued providing social care to adults in their own homes throughout the COVID-19 pandemic. Evidence of the impact of COVID-19 on health outcomes of DCWs is currently mixed, probably reflecting methodological limitations of existing studies. The risk of COVID-19 to workers providing care in people's homes remains unknown. Read More

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mHealth in hyper-connected Hong Kong: examining attitudes and access to mobile devices and health information among older Chinese residents.

Mhealth 2021 20;7:43. Epub 2021 Jul 20.

International Research Centre for the Advancement of Health Communication, The Hong Kong Polytechnic University, Hong Kong, China.

Background: Hong Kong Special Administrative Region is one of the most technologically advanced and interconnected cities in the world in terms of ownership of internet-enabled mobile devices. mHealth programs that make use of mobile devices such as smart phones and tablets to maximise access to health information, have been identified as having great potential for ageing communities for the management of health and social care needs. This paper reports the findings of a two-stage exploratory research project which examined the experiences and perceptions of Hong Kong residents aged over 60 years in relation to mHealth technologies and health literacy. Read More

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Psychometric study of the Awareness of Age-Related Change (AARC) Short Scale translated to Portuguese, applied to Brazilian older adults.

Dement Neuropsychol 2021 Apr-Jun;15(2):230-238

Graduate Program of Gerontology, School of Medical Sciences, Universidade Estadual de Campinas - Campinas, SP, Brazil.

The concept Awareness of Age-Related Change (AARC) is defined as a person's awareness that their behavior, level of physical, cognitive and social performance, and ways of experiencing life have changed as a consequence of having grown older, and not because of disease.

Objective: A psychometric study investigating evidence of construct validity and internal consistency of the Portuguese version of the AARC Short Scale was carried out.

Method: A convenience sample of 387 individuals aged≥60 years with no deficit suggestive of dementia were recruited at venues frequented by older persons and at households. Read More

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October 2020

Legal, Social, and Occupational Problems in Persons with Alcohol Use Disorder: An Exploratory Study.

Indian J Psychol Med 2021 May 23;43(3):234-240. Epub 2020 Nov 23.

Dept. of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.

Background: Very few studies have examined the extent and nature of legal, social, and occupational problems among persons who have SUDs. This study was aimed at studying the prevalence and patterns of the aforementioned problems among individuals with alcohol use disorders (AUDs) and their relationship with the quantity of alcohol consumed and other variables.

Methods: We conducted a cross-sectional study of adult patients with a diagnosis of AUDs admitted to the deaddiction unit of a tertiary care facility in India, using a semistructured questionnaire prepared for this study. Read More

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Effectiveness of an Integrated Intervention Program for Alcoholism: Electrophysiological Findings.

Indian J Psychol Med 2021 May 27;43(3):223-233. Epub 2020 Jul 27.

Dept. of Biostatistics, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India.

Background: Neuroelectrophysiological measures such as electroencephalograms (EEGs) in resting state and event-related potentials (ERPs) provide valuable information about the vulnerability and treatment-related changes in persons with alcoholism. This study examined the effectiveness of an Integrated Intervention Program for Alcoholism (IIPA) using electrophysiological measures.

Methods: Fifty individuals with early onset of alcohol dependence participated. Read More

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Response Processes to Looming Appetitive and Aversive Cues in Euthymic Bipolar Patients and Their First-Degree Relatives: An Exploratory Study.

Indian J Psychol Med 2021 May 28;43(3):209-216. Epub 2020 Dec 28.

Dept. of Biochemistry, Central Institute of Psychiatry, Ranchi, Jharkhand, India.

Background: Patients with bipolar disorder demonstrate increased sensitivity to appetitive/rewarding stimuli even during euthymia. On presentation of arousing pictures, they show a peculiar response, suggesting heightened vigilance. While responding to looming arousing cues, studies show subjects with anxiety spectrum disorders exhibit increased reaction time (RT), explained by the "looming-vulnerability model. Read More

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Probing an Ixodes ricinus salivary gland yeast surface display with tick-exposed human sera to identify novel candidates for an anti-tick vaccine.

Sci Rep 2021 Aug 3;11(1):15745. Epub 2021 Aug 3.

Center for Experimental and Molecular Medicine, Amsterdam Multidisciplinary Lyme Borreliosis Center, Amsterdam UMC, Location Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

In Europe, Ixodes ricinus is the most important vector of human infectious diseases, most notably Lyme borreliosis and tick-borne encephalitis virus. Multiple non-natural hosts of I. ricinus have shown to develop immunity after repeated tick bites. Read More

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Chemical tools for epichaperome-mediated interactome dysfunctions of the central nervous system.

Nat Commun 2021 Aug 3;12(1):4669. Epub 2021 Aug 3.

Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Diseases are a manifestation of how thousands of proteins interact. In several diseases, such as cancer and Alzheimer's disease, proteome-wide disturbances in protein-protein interactions are caused by alterations to chaperome scaffolds termed epichaperomes. Epichaperome-directed chemical probes may be useful for detecting and reversing defective chaperomes. Read More

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Perceptions and experiences of healthcare providers during COVID-19 pandemic in Karachi, Pakistan: an exploratory qualitative study.

BMJ Open 2021 08 3;11(8):e048984. Epub 2021 Aug 3.

Department of Community Health Sciences, Aga Khan University, Karachi, Sindh, Pakistan.

Objective: To explore healthcare provider's perspectives and experiences of the barriers and facilitators to treat and manage COVID-19 cases.

Design And Setting: We conducted an exploratory qualitative study using a purposive sampling approach, at a private tertiary care teaching hospital in Karachi, Pakistan. Study data were analysed manually using the conventional content analysis technique. Read More

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Development of the external and internal shame scale: Japanese version.

BMC Res Notes 2021 Aug 3;14(1):297. Epub 2021 Aug 3.

University of Coimbra, Faculty of Psychology and Educational Sciences, Center for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC), Rua do Colégio Novo 3000-115 Coimbra, Portugal.

Objective: Shame contains external and internal aspects. However, a Japanese language scale for simultaneously assessing both aspects of shame has not been developed to date. This study aimed to standardize the Japanese version of the External and Internal Shame Scale (EISS-J). Read More

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Green tea intake and its effect on laboratory parameters and disease symptoms in hospitalised patients with Covid 19: a structured protocol for a randomized controlled trial.

Trials 2021 Aug 3;22(1):514. Epub 2021 Aug 3.

Assistant Professor of Nutrition, Department of Nutrition, School of Health and nutrition, Yasuj University of Medical Sciences, Yasuj, Iran.

Objectives: The current randomized controlled trial (RCT) will be conducted to assess the effect of green tea intake on disease symptoms and laboratory parameters including C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), and complete blood count (CBC) in patients with mild-to-moderate Covid-19 infection.

Trial Design: Randomized, double-blinded, parallel (1:1 ratio) clinical trial exploratory study PARTICIPANTS: We will recruit patients with COVID-19 infection admitted to Yasuj Shahid Jalil Hospital in Yasuj City, Kohgiluyeh and Boyer-Ahmad Province, Iran. Participants' inclusion criteria are as follows: Inclusion Criteria Patients aged ≥18 years COVID-19 diagnosis according to real-time polymerase chain reaction (RT-PCR) Exclusion Criteria Pregnancy or lactation Disseminated intravascular coagulation or any other types of coagulopathy Severe congestive kidney failure Having a history of participating in a clinical trial during the last 30 days INTERVENTION AND COMPARATOR: Intervention: Two capsules containing 450 mg green tea extract along with routine treatment for COVID-19 patients in the intervention group. Read More

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Translating and validating a Japanese version of the Patient Care Ownership Scale: a multicenter cross-sectional study.

BMC Med Educ 2021 Aug 3;21(1):415. Epub 2021 Aug 3.

Department of Medical Education Studies, Graduate School of Medicine, International Research Center for Medical Education, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-0033, Tokyo, Japan.

Background: Patient care ownership (PCO) is an essential component in medical professionalism and is crucial for delivering high-quality care. The 15-item PCO Scale (PCOS) is a validated questionnaire for quantifying PCO in residents; however, no corresponding tool for assessing PCO in Japan exists. This study aimed to develop a Japanese version of the PCOS (J-PCOS) and validate it among Japanese medical trainees. Read More

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[A Short Version of the Body Experience Questionnaire (FBeK): Results of Clinical and Non-Clinical Samples].

Psychother Psychosom Med Psychol 2021 Aug 3. Epub 2021 Aug 3.

Institut für Psychosoziale Medizin, Psychotherapie und Psychoonkologie, Universitätsklinikum Jena, Deutschland.

Objectives: The aim of this study was the development and evaluation of a short (9-item) version of the body experience questionnaire (FBeK-9).

Method: Based upon a representative survey from 1996, a 15-item version of the FBeK was constructed which was then evaluated in another representative sample (n=2510) as well as three clinical groups, namely patients with depressive disorders (n=106), patients with eating disorders (N=107), and patients suffering from pain (N=90). Depressive and anxiety symptoms and pain disability (PHQ-9, PHQ-4, PDI) were also assessed. Read More

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