1,357 results match your criteria humanistic medicine


Surreal Becomes Real: Ethical Dilemmas Related to the COVID-19 Pandemic and Professional Identity Formation of Health Professionals.

J Contin Educ Health Prof 2021 Apr 2. Epub 2021 Apr 2.

Dr. Wald: Clinical Professor of Family Medicine, Warren Alpert Medical School of Brown University, Providence, RI; and Dr. Ruddy: Vice President for Academic Affairs, the Wright Center for Graduate Medical Education, Minneapolis, MN.

Fundamental quandaries of clinical and biomedical ethics for health care professionals, committees, and systems have been raised into stark relief by the COVID-19 pandemic. The nature and extent of critical issues raised by this ongoing crisis, including challenging ethical dilemmas for the health care profession, is likely to have an indelible impact on the professional identity formation (PIF) of learners and practitioners across the trajectory of the professional lifecycle. The lifelong process of PIF for health care practitioners, from learner through independent practice, is supported in medical education by intentional reflection, relationships within community of practice include guidance from mentoring, as well as resilience, both emotional and moral. Read More

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A systematic literature review of the disease burden in patients with recessive dystrophic epidermolysis bullosa.

Orphanet J Rare Dis 2021 Apr 13;16(1):175. Epub 2021 Apr 13.

Abeona Therapeutics Inc, 1330 Avenue of the Americas, New York, NY, 10019, USA.

Background/objective: Recessive dystrophic epidermolysis bullosa (RDEB) is a genetic collagen disorder characterized by skin fragility leading to blistering, wounds, and scarring. There are currently no approved curative therapies. The objective of this manuscript is to provide a comprehensive literature review of the disease burden caused by RDEB. Read More

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How Are the Arts and Humanities Used in Medical Education? Results of a Scoping Review.

Acad Med 2021 Apr 6. Epub 2021 Apr 6.

T. Moniz is associate professor, Department of Communication Studies, Mount Saint Vincent University, Halifax, Nova Scotia, Canada; ORCID: https://orcid.org/0000-0002-5078-4611. M. Golafshani is a second-year medical student, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. C.M. Gaspar is a PhD candidate, Faculty of Health, Dalhousie University, Halifax, Nova Scotia, Canada; ORCID: https://orcid.org/0000-0003-0412-5495. N.E. Adams is associate librarian and assistant dean of foundational sciences, Penn State College of Medicine, Hershey, Pennsylvania; ORCID: https://orcid.org/0000-0003-0534-6716. P. Haidet is director of medical education research, Woodward Center for Excellence in Health Sciences Education, Penn State College of Medicine, Hershey, Pennsylvania. J. Sukhera is associate professor, Departments of Psychiatry and Paediatrics, and scientist, Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada; ORCID: https://orcid.org/0000-0001-8146-4947. R.L. Volpe is associate professor and vice chair for education, Department of Humanities, Penn State College of Medicine, and director, Clinical Ethics Consultation Service, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania; ORCID: https://orcid.org/0000-0003-3406-9498. C. de Boer is director, Doctors Kienle Center for Humanistic Medicine, and founding director, Center Stage Arts in Health, Penn State College of Medicine and Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania. She is president, National Organization for Arts in Health, San Diego, California. L. Lingard is professor, Department of Medicine, and scientist, Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.

Purpose: Although focused reviews have characterized subsets of the literature on the arts and humanities in medical education, a large-scale overview of the field is needed to inform efforts to strengthen these approaches in medicine.

Method: The authors conducted a scoping review in 2019 to identify how the arts and humanities are used to educate physicians and interprofessional learners across the continuum of medical education in Canada and the United States. A search strategy involving 7 databases identified 21,985 citations. Read More

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Strengthening healthcare providers' capacity for safe abortion and post-abortion care services in humanitarian settings: lessons learned from the clinical outreach refresher training model (S-CORT) in Uganda, Nigeria, and the Democratic Republic of Congo.

Confl Health 2021 Apr 6;15(1):20. Epub 2021 Apr 6.

Ipas, P.O. Box 9990, Chapel Hill, NC, 27515, USA.

Background: Fragile and crisis-affected countries account for most maternal deaths worldwide, with unsafe abortion being one of its leading causes. This case study aims to describe the Clinical Outreach Refresher Training strategy for sexual and reproductive health (S-CORT) designed to update health providers' competencies on uterine evacuation using both medications and manual vacuum aspiration. The paper also explores stakeholders' experiences, recommendations for improvement, and lessons learned. Read More

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Clinical and economic burden of nonalcoholic steatohepatitis in Saudi Arabia, United Arab Emirates and Kuwait.

Hepatol Int 2021 Apr 6. Epub 2021 Apr 6.

Therapeutic Affairs Deputyship, Ministry of Health, Riyadh, Saudi Arabia.

Background And Aims: The Middle East (ME) has a high prevalence of nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH), driven by obesity and type-2 diabetes mellitus (T2DM). Studies in Saudi Arabia (KSA) and United Arab Emirates (UAE) predict an escalating impact of NAFLD/NASH, particularly advanced fibrosis due to NASH (AF-NASH), increasing cases of cirrhosis, liver cancer and death. The scale of this burden in other ME countries is unknown with no reports of NAFLD/NASH healthcare resource utilization (HCRU) or costs. Read More

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[Divergent approaches to medicine: a bioethical reflection].

Cuad Bioet 2021 Jan-Apr;32(104):15-22

Departamento de Bioética. Facultad de Medicina. Universidad de La Sabana, Colombia. ResearcherID: E-8803-2016.

Based on the elements that constitute the bases of Western Medicine and a distinction made by Pedro Laín Entralgo from Homeric work, two possible approaches to medical practice are reflected, which could be characterized as ″palliative″ medicine and ″medicine without palliative″. The relationships that these two approaches may have with Philosophy, Ethics and Bioethics are mentioned; the main characteristics and some of the dangers of each one. It shows how the presence, in clinical practice, of palliative care in itself leaves several lessons on the two approaches. Read More

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Medicine, Machines, and Medical Education.

Authors:
Steven A Wartman

Acad Med 2021 Mar 30. Epub 2021 Mar 30.

S.A. Wartman is president emeritus, Association of Academic Health Centers, Washington, DC.

While advances in science and technology continue to be at the forefront of the evolution of medical practice, the 21st century is also undergoing a unique and profound cultural shift that is changing the very nature of what it means to be a medical professional, namely humankind's transition to an information-based internet society. Medical care will increasingly depend on computer-generated probabilities guided and supported by a growing variety of health care-related professions, including statisticians, technologists, and information managers. Perhaps the biggest challenge to the profession will come from the erosion of professional autonomy, driven by smart machines, social networks, and internet search engines. Read More

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A spiritual care intervention for chaplains in home-based palliative care: design of a mixed-methods study investigating effects on patients' spiritual wellbeing.

J Health Care Chaplain 2021 Mar 23:1-14. Epub 2021 Mar 23.

Department of Practical Theology and Religious Studies, Tilburg School of Catholic Theology, Tilburg University, Tilburg/Utrecht, The Netherlands.

Recently, the call for chaplains to become 'research literate' has been recognized by various scholars as well as by practitioners in the field. However, papers that present and discuss the study design and provide guidance on the methodology of chaplaincy research are scarce. The aim of this study is to present the design of a mixed-methods study that investigates the impact of a spiritual care intervention on patients' spiritual wellbeing in palliative, home-based care. Read More

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The association between control level and self-reported treatment adherence across different treatment types in Japanese asthma patients.

Respir Investig 2021 Mar 16. Epub 2021 Mar 16.

Biomedical Data Science, GlaxoSmithKline K.K., Akasaka Intercity AIR, 1-8-1 Akasaka, Minato-ku, Tokyo, 107-0052, Japan.

Background: Poor control of asthma symptoms is associated with a higher asthma disease burden, and asthma medication adherence is a known predictor for a better control status. This study sought to describe the current asthma control status, self-reported treatment adherence, and the association between them, as well as to describe how control level and better adherence impact the health outcomes of asthma patients.

Methods: This study used cross-sectional data from the 2018 Japan National Health and Wellness Survey (NHWS). Read More

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Transfusion medicine and blood banking education and training for blood establishment laboratory staff: A review of selected countries in Africa.

Transfusion 2021 Mar 19. Epub 2021 Mar 19.

South African National Blood Service, Roodepoort, South Africa.

Background: Avoidable human error is a significant cause of transfusion adverse events. Adequately trained, laboratory staff in blood establishments and blood banks, collectively blood facilities, are key in ensuring high-quality transfusion medicine (TM) services. Gaps in TM education and training of laboratory staff exist in most African countries. Read More

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Survey of the triple-mentoring program for students at a religious medical school.

BMC Med Educ 2021 Mar 16;21(1):159. Epub 2021 Mar 16.

Institute of Education, Tzu Chi University, Hualien, Taiwan.

Background: Tzu Chi University in Taiwan offers a unique mentoring program. This program differs from others as it comprises triple mentorship, namely, faculty mentors, Tzu Cheng/Yi De (TC/YD; senior volunteers), and school counselors. This study aimed to survey the role functions of the mentors from the perspective of medical students. Read More

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The impact of vaso-occlusive crises and disease severity on quality of life and productivity among patients with sickle cell disease in the US.

Curr Med Res Opin 2021 Mar 27:1-19. Epub 2021 Mar 27.

Hematology, Duke University School of Medicine, Durham, NC, USA.

Aim: Sickle cell disease (SCD) is a lifelong blood disorder affecting approximately 100,000 individuals in the United States (US). A number of new treatments have recently become available to improve SCD clinical outcomes, but it is unclear how treatment innovations that reduce disease severity could affect patients' humanistic and economic outcomes.

Methods And Materials: To answer this question, an online survey of US adult residents with a self-reported SCD diagnosis was conducted. Read More

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Alternative approaches for clinical clerkship during the COVID-19 pandemic: online simulated clinical practice for inpatients and outpatients-A mixed method.

BMC Med Educ 2021 Mar 8;21(1):149. Epub 2021 Mar 8.

Health Professional Development Center, Chiba University Hospital, Chiba, Japan.

Background: The COVID-19 pandemic has created a need for educational materials and methods that can replace clinical clerkships (CCs) for online simulated clinical practice (online-sCP). This study evaluates the impact of using simulated electronic health records (sEHR) for inpatients, and electronic problem-based learning (e-PBL) and online virtual medical interviews (online-VMI) for outpatients, for an online-sCP using a learning management system (LMS) and online meeting system facilitated by a supervising physician.

Methods: The sEHR was reviewed by medical students and subsequently discussed with a supervising physician using an online meeting system. Read More

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Pilot Testing and Psychometric Validation of the Nijmegen Professionalism Scale for Spanish Nursing.

Res Theory Nurs Pract 2021 Mar 5. Epub 2021 Mar 5.

Faculty of Health Sciences, Universidad de Zaragoza, Zaragoza, Zaragoza

Background And Purpose: Professional commitment is frequently used as a humanistic care indicator. Thus, it is important to design and validate a tool which is able to measure professional commitment of nurses in Spain. In this study we aimed to analyze the psychometric properties of the Nijmegen Professionalism Scale for Spanish (NPS-S) nursing in order to verify its validity and reliability. Read More

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Potential linkage between Toxoplasma gondii infection and physical education scores of college students.

PLoS One 2021 3;16(3):e0241653. Epub 2021 Mar 3.

College of Life Sciences, Anhui Medical University, Hefei, Anhui, P. R China.

Objective: Toxoplasma gondii is a worldwide protozoan parasite that could infect virtually all warm-blooded animals, including humans. Our study aimed to investigate the prevalence of T. gondii infection in college students at Anhui province, China and to assess risk factors for T. Read More

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Psychosocial risk factors for postpartum depression in Chinese women: a meta-analysis.

BMC Pregnancy Childbirth 2021 Mar 2;21(1):174. Epub 2021 Mar 2.

Department of Clinical Humanistic Care and Nursing Research Center, School of Nursing, Hebei Medical University, Dr. 361 East Zhongshan Road, Shijiazhuang, 050017, Hebei Province, China.

Background: Postpartum depression (PPD) has been identified as a recognized public health problem that may adversely affect mothers, infants, and family units. Recent studies have identified risk factors for PPD in Westerners; however, societal and cultural differences between China and the West could, potentially, lead to differences in risk factors for PPD. No comprehensive study has been conducted to collect all the evidence to provide estimates of psychological and social risk factors in China. Read More

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[Comments on Relationships with Artificial Emotional Intelligence - from "Here and Now" to "There and Then"].

Authors:
Wolfgang Jordan

Psychiatr Prax 2021 Mar 2;48(S 01):S51-S57. Epub 2021 Mar 2.

Klinik für Psychiatrie und Psychotherapie, Klinikum Magdeburg gemeinnützige GmbH.

The structure of relationships in the past, the present and the future is shaped by the idea of humanism. Based on this construct, the article illuminates various aspects and configurations of humanism on a timeline from "here and now" to "there and then". The current reality of care goes hand in hand with an emotional alienation of relationships. Read More

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Epidemiology, economic and humanistic burdens of Ocular Surface Chemical Injury: A narrative review.

Ocul Surf 2021 Feb 27;20:199-211. Epub 2021 Feb 27.

Department of Ophthalmology, Royal Victoria Infirmary, Newcastle Upon Tyne, UK; Biosciences Institute, Newcastle University, Newcastle Upon Tyne, UK. Electronic address:

Ocular surface chemical injury (OSCI) is a common type of ocular emergency that can potentially cause significant and permanent visual impairment. However, the global prevalence, demographic factors, socioeconomic burden, and psychological impact of OSCI have not been well investigated or reported. This review aims to provide a comprehensive overview of these aspects, highlight gaps in the literature, and advocate key strategies in reducing the incidence of OSCI. Read More

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February 2021

Narrative Review of Infection Control Knowledge and Attitude among Healthcare Workers.

J Epidemiol Glob Health 2021 03 9;11(1):20-25. Epub 2020 Nov 9.

Research Center, Dr Sulaiman Al Habib Medical Group, Saudi Arabia.

Background: Infection is one of the major threats to Healthcare Workers (HCW) worldwide. It exposes HCW to more than 20 kinds of blood-borne pathogen infections, especially the most severe cases, namely Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), and Human Immunodeficiency Virus (HIV). The impact of infection about HCWs' health, clinical burden, national economic burden, and humanistic burden suggests the importance of further investigation and discussion on this topic. Read More

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Addressing Microaggressions in Academic Health: A Workshop for Inclusive Excellence.

MedEdPORTAL 2021 02 11;17:11103. Epub 2021 Feb 11.

Junior Specialist, Center for a Diverse Healthcare Workforce, University of California, Davis, School of Medicine.

Introduction: Health profession schools have acknowledged the need for a diverse workforce by increasing diversity in recruitment, but little has been done to build inclusive excellence in learning environments. Microaggressions and other forms of mistreatment can increase stress levels and depression and negatively impact academic performance. To increase student performance, retention, and wellness, mitigating microaggressions is needed to promote an inclusive culture. Read More

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February 2021

Ambient air pollution exposure and risk of chronic kidney disease: A systematic review of the literature and meta-analysis.

Environ Res 2021 Apr 11;195:110867. Epub 2021 Feb 11.

Department of Humanistic Medicine, School of Humanistic Medicine, Anhui Medical University, 81 Meishan Road, Hefei, 230032, China; Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, 81 Meishan Road, Hefei, 230032, China. Electronic address:

Ambient air pollution has been identified as one of the leading causes of global burden of disease. The relationship between ambient air pollution exposure and risk of chronic kidney disease (CKD) has stimulated increasing scientific interest in the past few years. However, evidence from human epidemiological studies is still limited and inconsistent. Read More

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Adherence to dietary guidelines is associated with better physical and mental quality of life: results from a cross-sectional survey among 728 Dutch MS patients.

Nutr Neurosci 2021 Feb 12:1-8. Epub 2021 Feb 12.

Department of Neurology, St. Elisabeth-Tweesteden Hospital, Tilburg, Netherlands.

Background: A healthy diet has been associated with less symptoms or progression of disease in multiple sclerosis (MS). However, whether specific diets are needed, or general healthy diet recommendations are sufficient is unknown.

Objective: To investigate the association between diet quality, use of diets, and quality of life (QoL) in men and women with MS. Read More

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February 2021

Moral Disengagement, Empathy, and Cybervictim's Representation as Predictive Factors of Cyberbullying among Italian Adolescents.

Int J Environ Res Public Health 2021 01 31;18(3). Epub 2021 Jan 31.

Department of Pedagogy, Psychology, Philosophy, Faculty of Humanistic Studies, University of Cagliari, 09123 Cagliari, Italy.

This study aimed to evaluate which aspects of moral disengagement (MD), empathy, and representations of the victim's experience (VER) could be predictors of cyberbullying (CB). One hundred and eight-nine students (11-17 years old) completed 3 self-report questionnaires: An MD scale, an empathy scale, and a CB questionnaire. In relation to the personal experience of CB, four groups were identified: Victim, bully, bully/victim, and no experience with CB. Read More

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January 2021

Cognitive-behavioral correlates of pupil control ideology.

PLoS One 2021 10;16(2):e0246787. Epub 2021 Feb 10.

Department of Psychology, West University of Timisoara, Timisoara, Romania.

Teacher's pupil control ideology is a central feature for the quality of the teacher-student relationship, which, in turn, impacts the teacher's level of well-being. The pupil control ideology refers to a teacher's belief system along a continuum from humanistic to custodial views. Teachers with humanistic orientation view students as responsible and, therefore, they exert a lower degree of control to manage students' classroom behaviors. Read More

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February 2021

Warnings regarding the potential coronavirus disease 2019 (COVID-19) transmission risk: Vaccination is not enough.

Infect Control Hosp Epidemiol 2021 Feb 10. Epub 2021 Feb 10.

Internal Medicine, AMITA Health Saint Joseph Hospital Chicago, Chicago, Illinois, United States.

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February 2021

Communication Experiences in Primary Healthcare with Refugees and Asylum Seekers: A Literature Review and Narrative Synthesis.

Int J Environ Res Public Health 2021 Feb 4;18(4). Epub 2021 Feb 4.

Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2006, Australia.

Refugee and asylum seeker population numbers are rising in Western countries. Understanding the communication experiences, within healthcare encounters, for this population is important for providing better care and health outcomes. This review summarizes the literature on health consultation communication experiences of refugees and asylum seekers living in Western countries. Read More

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February 2021

Hearts above water: Palliative care during a pandemic.

Soc Work Health Care 2021 7;60(1):93-105. Epub 2021 Feb 7.

Colorado State University School of Social Work, Fort Collins, Colorado, USA.

Social workers and nurses, as members of interprofessional palliative medicine teams, faced unfamiliar challenges and opportunities as they endeavored to provide humanistic care to patients and families during the coronavirus (COVID-19) pandemic. Typical methods for engaging patients and families in medical decision-making became thwarted by visitation restrictions and patients' dramatic health declines. This paper presents an innovative social work and nursing intervention aimed at enhancing humanistic patient/family care and advanced directive dialogs. Read More

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Smoking and risk of negative outcomes among COVID-19 patients: A systematic review and meta-analysis.

Tob Induc Dis 2021 4;19:09. Epub 2021 Feb 4.

School of Pharmaceutical Sciences, University of Phayao, Phayao, Thailand.

Introduction: COVID-19 has major effects on the clinical, humanistic and economic outcomes among patients, producing severe symptoms and death. Smoking has been reported as one of the factors that increases severity and mortality rate among COVID-19 patients. However, the effect of smoking on such medical outcomes is still controversial. Read More

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February 2021

The impact of palliative care education and training program on the resident physicians.

Ann Palliat Med 2021 Mar 7;10(3):2758-2765. Epub 2021 Feb 7.

Department of Internal Medicine, Beijing Chao-yang Hospital, Capital Medical University, Beijing, China.

Background: Due to the advancements in medicine coupled with the aging population, palliative care has become widely needed. In many countries, medical students are trained in palliative care in their postgraduate courses. However, palliative care education is not available as an independent course or standardized training for residents in China. Read More

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