27,838 results match your criteria learning standards

Effects of general anaesthesia during pregnancy on neurocognitive development of the fetus: a systematic review and meta-analysis.

Br J Anaesth 2021 Apr 6. Epub 2021 Apr 6.

Department of Anaesthesiology, UZ Leuven, Leuven, Belgium; Department of Cardiovascular Sciences, Group Biomedical Sciences, KU Leuven, Leuven, Belgium. Electronic address:

Background: The US Food and Drug Administration warned that exposure of pregnant women to general anaesthetics may impair fetal brain development. This review systematically evaluates the evidence underlying this warning.

Methods: PubMed, EMBASE, and Web of Science were searched from inception until April 3, 2020. Read More

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Challenges and Strategies for Current Classifications of Depressive Disorders: Proposal for Future Diagnostic Standards.

Adv Exp Med Biol 2021 ;1305:103-116

Department of Psychiatry, Korea University Ansan Hospital, College of Medicine, Ansan, Republic of Korea.

The Diagnostic and Statistical Manual of Mental Disorder, Fourth Edition (DSM-IV) was revised based on a combination of a categorical and a dimensional approach such that in the DSM, Fifth Edition (DSM-5), depressive disorders have been separated as a distinctive disease entity from bipolar disorders, consistent with the deconstruction of Kraepelinian dualism. Additionally, the diagnostic thresholds of depressive disorders may be reduced due to the addition of "hopelessness" to the subjective descriptors of depressed mood and the removal of the "bereavement exclusion." Manic/hypomanic, psychotic, and anxious symptoms in major depressive disorder (MDD) and other depressive disorders are described using the transdiagnostic specifiers of "with mixed features," "with psychotic features," and "with anxious distress," respectively. Read More

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January 2021

Prepared and motivated to work in midwifery continuity of care? A descriptive analysis of midwifery students' perspectives.

Women Birth 2021 Apr 5. Epub 2021 Apr 5.

School of Nursing and Midwifery, Griffith University, Logan Campus, 68 University Dr, Meadowbrook, Queensland 4131, Australia; Transforming Maternity Care Collaborative, Australia.

Background: Internationally, midwifery education and maternity services are evolving to promote midwifery continuity of care. It is unclear whether current Australian midwifery education programs are graduating a midwifery workforce prepared and motivated to work in this way.

Aim: To discover how well midwifery students in Australia feel they have been prepared and motivated to work in midwifery continuity of care when they enter practice. Read More

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[Application and Progress of Convolutional Neural Network-based Pathological Diagnosis of Gastric Cancer].

Sichuan Da Xue Xue Bao Yi Xue Ban 2021 Mar;52(2):166-169

Department of Pathology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100000, China.

The incidence of gastric cancer is the highest among all kinds of malignant tumors in China. Because gastric cancer is very hard to identify in its early stage, the early diagnosis rate of gastric cancer in China is relatively low. At present, the pathological diagnosis of gastric cancer mainly depends on the diagnosis of pathologists. Read More

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Diagnostic accuracy of deep learning in medical imaging: a systematic review and meta-analysis.

NPJ Digit Med 2021 Apr 7;4(1):65. Epub 2021 Apr 7.

Institute of Global Health Innovation, Imperial College London, London, UK.

Deep learning (DL) has the potential to transform medical diagnostics. However, the diagnostic accuracy of DL is uncertain. Our aim was to evaluate the diagnostic accuracy of DL algorithms to identify pathology in medical imaging. Read More

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Developing health and wellbeing in prisons: an analysis of prison inspection reports in Scotland.

BMC Health Serv Res 2021 Apr 7;21(1):314. Epub 2021 Apr 7.

School of Health and Community Studies, Leeds Beckett University, Leeds, UK.

Background: The Scottish Prison Service (SPS) has been long regarded for its progressive policy approach to health promotion in prison. It is one of the few countries with a strategic plan for health promotion implementation. Given the paucity of understanding in relation to the concept of a health promoting prison, this study assessed routinely collected prison inspection data to understand and distil learning in regard the practical implementation of health-promoting prisons. Read More

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Deep-Learning-Based Diagnosis of Bedside Chest X-ray in Intensive Care and Emergency Medicine.

Invest Radiol 2021 Mar 5. Epub 2021 Mar 5.

From the Department of Radiology, Charité, Berlin Department of Radiology, Berlin Institute of Health (BIH), Charité, Berlin Institute of Oral and Maxillofacial Surgery, Charité, Berlin Department of Diagnostic and Interventional Radiology, Technical Universtity of Munich, School of Medicine, Munich, Germany.

Objectives: Validation of deep learning models should separately consider bedside chest radiographs (CXRs) as they are the most challenging to interpret, while at the same time the resulting diagnoses are important for managing critically ill patients. Therefore, we aimed to develop and evaluate deep learning models for the identification of clinically relevant abnormalities in bedside CXRs, using reference standards established by computed tomography (CT) and multiple radiologists.

Materials And Methods: In this retrospective study, a dataset consisting of 18,361 bedside CXRs of patients treated at a level 1 medical center between January 2009 and March 2019 was used. Read More

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UCT Human Skeletal Repository: Its stewardship, history, composition and educational use.

Homo 2021 Apr 6. Epub 2021 Apr 6.

Division of Clinical Anatomy and Biological Anthropology, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, South Africa.

The University of Cape Town (UCT) Human Skeletal Repository began in 1913 and its composition a century later reflects the history of biological anthropology at the University, in South Africa and internationally. It consists of 1059 skeletons from archaeological (472; 44%), cadaveric (372; 36%) and forensic contexts (160; 14%). They are used for educational and research purposes to provide engaged scholarship and experiential learning for undergraduate and postgraduate students from a variety of disciplines including health professionals. Read More

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The 3 P's model enhancing patient safety during the COVID-19 pandemic.

Oral Surg 2021 Feb 17. Epub 2021 Feb 17.

Dental and Maxillofacial Department East Surrey Hospital Redhill UK.

Aim: The Local Safety Standards for Invasive Procedures must now consider additional features to address patient and staff safety in light of COVID19.

Material And Methods: The 3 P's model encompasses an evidence-based approach to preparation, protection and prevention, for safety of patients and healthcare staff. A literature review was performed (keywords 'dental' or 'dentistry' and 'COVID19' or 'Coronavirus' and 'LocSSIPs' or 'Local Safety Standards for Invasive Procedures'). Read More

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February 2021

Infectious Complications in Injection Drug Use.

MedEdPORTAL 2021 Mar 23;17:11124. Epub 2021 Mar 23.

Associate Residency Program Director and Assistant Professor, Section of Infectious Diseases, Department of Medicine, Boston University School of Medicine.

Introduction: The prevalence of opioid use disorder has increased steadily over the last decade (from 2.2 million in 2010 to 10.2 million in 2018) and with it, a surge in infectious complications associated with injection drug use (IDU). Read More

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Slacklining: An explanatory multi-dimensional model considering classical mechanics, biopsychosocial health and time.

World J Orthop 2021 Mar 18;12(3):102-118. Epub 2021 Mar 18.

School of Health Professions, Institute of Health Sciences, Zurich University of Applied Sciences, Winterthur 8400, Switzerland.

This paper aims to overcome slacklining's limited formulated explanatory models. Slacklining is an activity with increasing recreational use, but also has progressive adoption into prehabilitation and rehabilitation. Slacklining is achieved through self-learned strategies that optimize energy expenditure without conceding dynamic stability, during the neuromechanical action of balance retention on a tightened band. Read More

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Footballer Action Tracking and Intervention Using Deep Learning Algorithm.

J Healthc Eng 2021 15;2021:5518806. Epub 2021 Mar 15.

School of Basic Sciences for Aviation, Naval Aviation University, Yantai, Shandong 264001, China.

Fédération Internationale de Football Association is the governing body of the football world cup. The international tournament of football requires extensive training of all football players and athletes. In the training process of footballers, players and coaches recognize the training actions completed by footballers. Read More

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Understanding the Global Challenges to Accessing Appropriate Wheelchairs: Position Paper.

Int J Environ Res Public Health 2021 Mar 24;18(7). Epub 2021 Mar 24.

Department of Rehabilitation Sciences & Technology, University of Pittsburgh & International Society of Wheelchair Professionals, Pittsburgh, PA 15206, USA.

Appropriate wheelchairs are often essential for the health and wellbeing of people with mobility impairments to enhance fundamental freedoms and equal opportunity. To date, provision has mainly focused on just delivering the wheelchair instead of following an evidence-based wheelchair service delivery process. In addition, many governments have not committed to a national wheelchair provision policy. Read More

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Psychological Well-Being in Nursing Students: A Multicentric, Cross-Sectional Study.

Int J Environ Res Public Health 2021 Mar 15;18(6). Epub 2021 Mar 15.

Departament d'Infermeria, Facultat d'Infermeria, Universitat Rovira i Virgili, Avinguda Catalunya, 35, 43002 Tarragona, Spain.

In addition to complying with strict academic standards, nursing students must acquire relevant knowledge and skills, and learn how to carry themselves in different and often stressful professional settings. These obligations could severely affect their mental health. The purpose of this study was to examine the mental health status of undergraduate nursing students and related factors. Read More

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Are Regulations Safe? Reflections From Developing a Digital Cancer Decision-Support Tool.

JCO Clin Cancer Inform 2021 Mar;5:353-363

School of Computing, University of Leeds, Leeds, United Kingdom.

Purpose: Informatics solutions to early diagnosis of cancer in primary care are increasingly prevalent, but it is not clear whether existing and planned standards and regulations sufficiently address patients' safety nor whether these standards are fit for purpose. We use a patient safety perspective to reflect on the development of a computerized cancer risk assessment tool embedded within a UK primary care electronic health record system.

Methods: We developed a computerized version of the CAncer Prevention in ExetER studies risk assessment tool, in compliance with the European Union's Medical Device Regulations. Read More

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Bugs in the Bed: Addressing the Contradictions of Embedded Science with Agile Implementation Research.

Glob Health Sci Pract 2021 Apr 1;9(1):55-77. Epub 2021 Apr 1.

Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY, USA.

Implementation research often fails to have its intended impact on what programs actually do. Embedding research within target organizational systems represents an effective response to this problem. However, contradictions associated with the approach often prevent its application. Read More

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Student perceptions of co-curricular activities on pharmacy education: A review.

Curr Pharm Teach Learn 2021 May 24;13(5):576-584. Epub 2021 Feb 24.

The University of Texas at Tyler, Ben and Maytee Fisch College of Pharmacy, 3900 University Boulevard, Tyler, Tx 75799, United States. Electronic address:

Background: The Accreditation Council for Pharmacy Education Standards 2016 emphasize the incorporation of a co-curriculum in pharmacy education. However, how students perceive the value of these activities is still unclear. The objectives of this study were to (1) describe how students perceive co-curricular involvement, (2) identify barriers that impede student engagement in co-curricular activities, and (3) assess the influence of co-curricular activities on academic performance. Read More

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How can community engagement in health research be strengthened for infectious disease outbreaks in Sub-Saharan Africa? A scoping review of the literature.

BMC Public Health 2021 Apr 1;21(1):633. Epub 2021 Apr 1.

KEMRI Wellcome Trust Programme, Nairobi, Kenya.

Background: Community engagement (CE) is a well-established practical and scholarly field, recognised as core to the science and ethics of health research, for which researchers and practitioners have increasingly asked questions about desired standards and evaluation. In infectious disease outbreak contexts, questions may be more complex. However, it is unclear what body of knowledge has been developed for CE specifically as it applies to emerging infectious diseases. Read More

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Randomised controlled trial of students access to resources in an examination.

Med Educ 2021 Apr 1. Epub 2021 Apr 1.

University of Otago, Christchurch, New Zealand.

Introduction: Assessment of healthcare professionals should be authentic to clinical practice. As clinicians regularly use resources in practice, similar resources should be available to those sitting assessment. There is limited information on the impacts of open-book (resource) assessments on standard setting for use in high-stakes assessments. Read More

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Radiomic and Genomic Machine Learning Method Performance for Prostate Cancer Diagnosis: Systematic Literature Review.

J Med Internet Res 2021 Apr 1;23(4):e22394. Epub 2021 Apr 1.

IRCCS SDN, Naples, Italy.

Background: Machine learning algorithms have been drawing attention at the joining of pathology and radiology in prostate cancer research. However, due to their algorithmic learning complexity and the variability of their architecture, there is an ongoing need to analyze their performance.

Objective: This study assesses the source of heterogeneity and the performance of machine learning applied to radiomic, genomic, and clinical biomarkers for the diagnosis of prostate cancer. Read More

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[A Project to Improve the Ability of Hemodialysis Staff to Respond to Fire Emergencies].

Hu Li Za Zhi 2021 Apr;68(2):65-74

PhD, RN, Associate Professor, Department of Nursing, Tzu Chi University of Science and Technology, Taiwan, ROC.

Background & Problems: In case of fire in the hemodialysis room, it is necessary to help patients get away from dialysis machines smoothly and safely and evacuate the room rapidly. Our unit is located on a higher floor. An investigation showed that the accuracy rate for fire response awareness among the staffs in our unit was only 57. Read More

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Predictive Models May Complement or Provide an Alternative to Existing Strategies for Assessing the Enteric Pathogen Contamination Status of Northeastern Streams Used to Provide Water for Produce Production.

Front Sustain Food Syst 2020 Oct 6;4. Epub 2020 Oct 6.

Department of Food Science, Cornell University, Ithaca, NY, United States.

While the Food Safety Modernization Act established standards for the use of surface water for produce production, water quality is known to vary over space and time. Targeted approaches for identifying hazards in water that account for this variation may improve growers' ability to address pre-harvest food safety risks. Models that utilize publicly-available data (e. Read More

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October 2020

[Application of "process management and evaluation" in resident standardization training plan in acupuncture-moxibustion department of hospital for postgraduates of non-acupuncture- moxibustion speciality].

Zhongguo Zhen Jiu 2021 Feb;41(2):213-6

Department of Acupuncture and Moxibustion, Third Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210012, Jiangsu Province, China.

The teaching effect of "process management and evaluation" was assessed in resident standardization training plan in acupuncture-moxibustion department of hospital for postgraduates of non-acupuncture-moxibustion speciality. A total of 120 postgraduates of non-acupuncture-moxibustion speciality participating in resident standardization training were randomized into an observation group (60 cases) and a control group (60 cases, 1 case dropped off). In the control group, the conventional training mode was used. Read More

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February 2021

The prediction of preeclampsia: the way forward.

Leslie Myatt

Am J Obstet Gynecol 2020 Nov 19. Epub 2020 Nov 19.

Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, OR. Electronic address:

Despite intensive investigation, we still cannot adequately predict, treat, or prevent preeclampsia. We have gained awareness that preeclampsia is a syndrome not a disease and is heterogeneous in its presentation and pathophysiology, which may indicate differing underlying phenotypes, and that the impact extends beyond pregnancy per se. Effects on the fetus and mother extend many years after pregnancy, as evidenced by fetal programming of adult disease and increased risk of the development of maternal cardiovascular disease. Read More

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November 2020

Young people's moral attitudes and motivations towards direct-to-consumer genetic testing for inherited risk of Alzheimer disease.

Eur J Med Genet 2021 Mar 26:104180. Epub 2021 Mar 26.

Department of Psychiatry and University of Oxford; Wellcome Centre for Ethics and Humanities(,) University of Oxford.

Purpose: Since the U.S. Food and Drug Administration approved sales of genetic tests for late-onset Alzheimer's disease (LOAD) risk, a heated debate has arisen over whether these tests should indeed be offered online and direct-to-consumer (DTC). Read More

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Cardiopulmonary resuscitation (CPR) training strategies in the times of COVID-19: a systematic literature review comparing different training methodologies.

Scand J Trauma Resusc Emerg Med 2021 Mar 29;29(1):53. Epub 2021 Mar 29.

Centre of Excellence Trauma and Emergencies, Aga Khan University, Karachi, Pakistan.

Background: Traditional, instructor led, in-person training of CPR skills has become more challenging due to COVID-19 pandemic. We compared the learning outcomes of standard in-person CPR training (ST) with alternative methods of training such as hybrid or online-only training (AT) on CPR performance, quality, and knowledge among laypersons with no previous CPR training.

Methods: We searched PubMed and Google Scholar for relevant articles from January 1995 to May 2020. Read More

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Machine Learning Approaches to Determine Feature Importance for Predicting Infant Autopsy Outcome.

Pediatr Dev Pathol 2021 Mar 30:10935266211001644. Epub 2021 Mar 30.

Great Ormond Street Hospital, Great Ormond Street Hospital Institute of Child Health and NIHR GOSH BRC, London, UK.

Introduction: Sudden unexpected death in infancy (SUDI) represents the commonest presentation of postneonatal death. We explored whether machine learning could be used to derive data driven insights for prediction of infant autopsy outcome.

Methods: A paediatric autopsy database containing >7,000 cases, with >300 variables, was analysed by examination stage and autopsy outcome classified as 'explained (medical cause of death identified)' or 'unexplained'. Read More

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A Faculty Development Workshop for Planning and Implementing Interactive Virtual Case-Based Teaching.

MedEdPORTAL 2021 03 17;17:11126. Epub 2021 Mar 17.

Fellow, Department of Medicine, Division of Hematology, University of Ottawa Faculty of Medicine.

Introduction: The virtual learning environment has become increasingly important due to physical distance requirements put in place during the COVID-19 pandemic. The transition to a virtual format has been challenging for case-based teaching sessions, which involve substantial audience participation. We developed a faculty development workshop aimed at teaching health professions educators how to use various interactive virtual tools within videoconferencing platforms to facilitate virtual case-based sessions. Read More

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Navigate the Challenges of Simulation for Assessment: A Faculty Development Workshop.

MedEdPORTAL 2021 03 4;17:11114. Epub 2021 Mar 4.

Instructor in Medicine, Harvard Medical School and Division of Pulmonary, Critical Care and Sleep Medicine, Beth Israel Deaconess Medical Center; Director of Simulation Research, Carl J. Shapiro Center for Education and Research, Beth Israel Deaconess Medical Center.

Introduction: Given barriers to learner assessment in the authentic clinical environment, simulated patient encounters are gaining attention as a valuable opportunity for competency assessment across the health professions. Simulation-based assessments offer advantages over traditional methods by providing realistic clinical scenarios through which a range of technical, analytical, and communication skills can be demonstrated. However, simulation for the purpose of assessment represents a paradigm shift with unique challenges, including preservation of a safe learning environment, standardization across learners, and application of valid assessment tools. Read More

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Employing serious game for assessing knowledge of blood transfusion procedure among nurses: A qualitative evaluation and feedback improvement study.

Nurse Educ Today 2021 Mar 20;101:104873. Epub 2021 Mar 20.

Nursing Division (Nursing Quality, Research & Innovation), Singapore General Hospital, Singapore.

Background: Employing serious game for assessing nurses' blood transfusion knowledge and skill competency has gained interest among nurse educators worldwide. However, its acceptance by nurses has not been fully explored.

Aim: To explore the registered nurses' experiences using serious game for nursing skills competency and gather feedback to improve the quality of learning using serious game. Read More

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