Journal articles on the topic 'Expanding Knowledge in the Medical and Health Sciences'
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Hannestad, Lance M., Vlado Dančík, Meera Godden, Imelda W. Suen, Kenneth C. Huellas-Bruskiewicz, Benjamin M. Good, Christopher J. Mungall, and Richard M. Bruskiewich. "Knowledge Beacons: Web services for data harvesting of distributed biomedical knowledge." PLOS ONE 16, no. 3 (March 23, 2021): e0231916. http://dx.doi.org/10.1371/journal.pone.0231916.
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The continually expanding distributed global compendium of biomedical knowledge is diffuse, heterogeneous and huge, posing a serious challenge for biomedical researchers in knowledge harvesting: accessing, compiling, integrating and interpreting data, information and knowledge. In order to accelerate research towards effective medical treatments and optimizing health, it is critical that efficient and automated tools for identifying key research concepts and their experimentally discovered interrelationships are developed. As an activity within the feasibility phase of a project called “Translator” (https://ncats.nih.gov/translator) funded by the National Center for Advancing Translational Sciences (NCATS) to develop a biomedical science knowledge management platform, we designed a Representational State Transfer (REST) web services Application Programming Interface (API) specification, which we call a Knowledge Beacon. Knowledge Beacons provide a standardized basic API for the discovery of concepts, their relationships and associated supporting evidence from distributed online repositories of biomedical knowledge. This specification also enforces the annotation of knowledge concepts and statements to the NCATS endorsed the Biolink Model data model and semantic encoding standards (https://biolink.github.io/biolink-model/). Implementation of this API on top of diverse knowledge sources potentially enables their uniform integration behind client software which will facilitate research access and integration of biomedical knowledge. Availability The API and associated software is open source and currently available for access at https://github.com/NCATS-Tangerine/translator-knowledge-beacon.
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Ray, Moira K., Sherril B. Gelmon, Matthew DiVeronica, and Kimberly Lepin. "Faculty Development in Improvement Science: Building Capacity and Expanding Curricula Across an Academic Health Center." Journal of Graduate Medical Education 11, no. 6 (December 1, 2019): 678–84. http://dx.doi.org/10.4300/jgme-d-19-00287.1.
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ABSTRACT Background The ability of health professions faculty to design, teach, evaluate, and improve relevant curricula is vital for teaching improvement science (IS) skills to trainees. Objective We launched a Foundational Improvement Science Curriculum (FISC) to build faculty competence in IS teaching and scholarship, and to develop, expand, and standardize IS curricula across one institution. Methods FISC consisted of 9 full or half-day sessions over 10 months in 2015–2016 and 2016–2017 academic years. Each session required pre-work, including readings, Institute for Healthcare Improvement Open School modules, and personal improvement projects. Sessions included brief didactics, group activities, planning, and feedback on curriculum development. An evaluation strategy was employed, including pre- and post-program self-assessment, competency mapping, evaluations of didactics and overall program, and participant satisfaction. Results Forty individuals from 23 academic programs voluntarily completed FISC, representing 20% of graduate medical education (GME) programs and 50% of primary GME programs in addition to undergraduate medical education (UME) and nursing programs. Median self-assessed competency scores (mid versus final score; scale 1–9, 9 high; P < .05 for all comparisons) improved over the course for all competencies for knowledge (3 versus 7), application (2 versus 7), curriculum design (2 versus 7), and scholarship (2 versus 5). Eighteen new or revised IS curricula were developed across GME, UME, and nursing programs. Conclusions FISC offers a feasible model to enhance and support faculty development in IS and IS curriculum design.
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Chakraborty, Ashok, Smita Guha, and Prabir Patra. "Nanotechnology and Global Applications: Bench to Community." Journal of Biology and Life Science 11, no. 2 (September 28, 2020): 181. http://dx.doi.org/10.5296/jbls.v11i2.17617.
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Advances in nanotechnology has become enormously promising in the field of health science, in developing many medical equipment. The possible effects of novel nanomedical technology significantly improve the diagnosis and therapeutic aspects of many diseases. Nanomaterials are being applied in operation, disease diagnosis as well as therapy, molecular imaging, implant technology, tissue engineering, as well as a device for efficient drug delivery, protein and gene release. In this review we discussed the utility of nanoscience in health issues, and the knowledge from there how can be disseminated to the educators and parents for expanding STEM (Science, Technology, Engineering and Math) programs.
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Jose, P. "Nursing education in future perspective." Journal of Universal College of Medical Sciences 2, no. 1 (May 25, 2014): 41–44. http://dx.doi.org/10.3126/jucms.v2i1.10492.
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Trends in health care suggest changes in nursing practice and implications for nursing education. Changing demographics, emphasis on health promotion, health care costs, movement toward community-based care, and expanding technology are factors that shape the health care system of the future and educational preparation of nurses. Faculties are faced with preparing students for future practice that will be more complex and specialized than it is now; will be provided in multiple settings; and will require extensive knowledge, critical thinking and other cognitive skills, technologic and psychomotor skills, and a value system for making ethical decisions. Outcomes of nursing education program include learning to learn, handling ambiguity, thinking like a professional, and accepting responsibility for decisions made in practice. For nursing to assume a central role in the health care system of tomorrow, reform in nursing education is needed today. DOI: http://dx.doi.org/10.3126/jucms.v2i1.10492 Journal of Universal College of Medical Sciences (2014) Vol.2(1): 41-44
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Hesse, Bradford William. "Role of the Internet in Solving the Last Mile Problem in Medicine." Journal of Medical Internet Research 21, no. 10 (October 28, 2019): e16385. http://dx.doi.org/10.2196/16385.
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Internet-augmented medicine has a strong role to play in ensuring that all populations benefit equally from discoveries in the medical sciences. Yet, data from the Centers for Disease Control and Prevention collected from 1999 to 2014 suggested that during the first phase of internet diffusion, progress against mortality has stalled, and in some cases, receded in rural areas that are traditionally underserved by medical and broadband resources. This problem of failing to extend the benefits of extant medical knowledge equitably to all populations regardless of geography can be framed as the “last mile problem in health care.” In theory, the internet should help solve the last mile problem by making the best knowledge in the world available to everyone worldwide at a low cost and no delay. In practice, the antiquated supply chains of industrial age medicine have been slow to yield to the accelerative forces of evolving internet capacity. This failure is exacerbated by the expanding digital divide, preventing residents of isolated, geographically distant communities from taking full advantage of the digital health revolution. The result, according to the Federal Communications Commission’s (FCC’s) Connect2Health Task Force, is the unanticipated emergence of “double burden counties,” ie, counties for which the mortality burden is high while broadband access is low. The good news is that a convergence of trends in internet-enabled health care is putting medicine within striking distance of solving the last mile problem both in the United States and globally. Specific trends to monitor over the next 25 years include (1) using community-driven approaches to bridge the digital divide, (2) addressing structural disconnects in care through P4 Medicine, (3) meeting patients at “point-of-need,” (4) ensuring that no one is left behind through population management, and (5) self-correcting cybernetically through the learning health care system.
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Ndayishimiye, Costase, Christoph Sowada, Patrycja Dyjach, Agnieszka Stasiak, John Middleton, Henrique Lopes, and Katarzyna Dubas-Jakóbczyk. "Associations between the COVID-19 Pandemic and Hospital Infrastructure Adaptation and Planning—A Scoping Review." International Journal of Environmental Research and Public Health 19, no. 13 (July 4, 2022): 8195. http://dx.doi.org/10.3390/ijerph19138195.
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The SARS-CoV-2 pandemic has put unprecedented pressure on the hospital sector around the world. It has shown the importance of preparing and planning in the future for an outbreak that overwhelms every aspect of a hospital on a rapidly expanding scale. We conducted a scoping review to identify, map, and systemize existing knowledge about the relationships between COVID-19 and hospital infrastructure adaptation and capacity planning worldwide. We searched the Web of Science, Scopus, and PubMed and hand-searched gray papers published in English between December 2019 and December 2021. A total of 106 papers were included: 102 empirical studies and four technical reports. Empirical studies entailed five reviews, 40 studies focusing on hospital infrastructure adaptation and planning during the pandemics, and 57 studies on modeling the hospital capacity needed, measured mostly by the number of beds. The majority of studies were conducted in high-income countries and published within the first year of the pandemic. The strategies adopted by hospitals can be classified into short-term (repurposing medical and non-medical buildings, remote adjustments, and establishment of de novo structures) and long-term (architectural and engineering modifications, hospital networks, and digital approaches). More research is needed, focusing on specific strategies and the quality assessment of the evidence.
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McPherson, Susan. "War of conscience: antivaccination and the battle for medical freedom during World War I." Medical Humanities 47, no. 3 (May 24, 2021): e7-e7. http://dx.doi.org/10.1136/medhum-2020-012069.
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The nineteenth century British antivaccination movement attracted popular and parliamentary support and ultimately saw the 1853 law which had made smallpox vaccination compulsory nullified by the 1898 ‘conscientious objector’ clause. In keeping with popular public health discourse of the time, the movement had employed rhetoric associated with sanitary science and liberalism. In the early twentieth century new discoveries in bacteriology were fuelling advances in vaccination and the medical establishment was increasingly pushing for public health to move towards more interventionist medical approaches. With the onset of war in 1914, the medical establishment hoped to persuade the government to introduce compulsory typhoid inoculation for soldiers. This article analyses antivaccination literature, mainstream newspapers and medical press along with parliamentary debates to examine how the British antivaccination movement engaged with this new threat of compulsion by expanding the rhetoric of ‘conscience’ and emphasising medical freedom while also asserting scientific critique concerning the effectiveness of vaccines and the new laboratory based diagnostic practices. In spite of ‘conscience’ fitting well with an emerging public health discourse of individual subjectivity, the mainstream press ridiculed the idea of working-class soldiers having a conscience, coalescing around the idea that ‘conscientious objection’ be reserved for spiritual, philosophical and educated men who objected to military service. Moreover, in spite of engaging in reasoned scientific critique, parliament and press consorted in the demarcation of scientific knowledge as exclusive to medical scientists, reflecting a growing allegiance between the state and the medical establishment during the war. Any scientific arguments critical of medical orthodoxy were subjugated, labelled as ‘crank’ or ‘faddist’ as well as unpatriotic. The antivaccination narratives around conscience contributed to or were part of an evolving discourse on consent and ethics in medicine. Potential parallels are drawn with current and likely future debates around vaccination and counterhegemonic scientific approaches.
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Oh, Sunyoung, Minkyung Gu, and Sohyune Sok. "A Concept Analysis of Nurses’ Clinical Decision Making: Implications for Korea." International Journal of Environmental Research and Public Health 19, no. 6 (March 18, 2022): 3596. http://dx.doi.org/10.3390/ijerph19063596.
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The study’s purpose was to identify the meaning and the attributes of Korean nurses’ clinical decision making. A sequential and systematic literature review with reflection according to the conceptual analysis method of Walker and Avant was used in this study. Data sources included the National Assembly Library, the National Digital Science Library, ProQuest, PubMed, MEDLINE, and CINAHL. Finally, twenty-six articles were included in this concept analysis. The concept of Korean nurses’ clinical decision making consisted of the following attributes: clinical reasoning, choosing and applying challenging alternatives, and professional assessment and resetting. Antecedents consisted of: recognizing complex and diverse patient situations with high uncertainty, the need to solve problems according to priority, prior experience in clinical decision making, and interrelationships with fellow medical staff. Consequences consisted of: providing high-quality nursing services, improving the patient’s safety, and increased satisfaction with clinical decision making. Based on these results, the conceptual attributes of Korean nurses’ clinical decision making had slightly different characteristics but were organically interrelated. The results of analyzing the concept of Korean nurses’ clinical decision making provide a better understanding of it and contribute to expanding nursing knowledge and developing a valid and reliable measurement.
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Mueller, Amy E., Anna M. Georgiopoulos, Kim L. Reno, Christine M. Roach, Christopher M. Kvam, Alexandra L. Quittner, Paula Lomas, Beth A. Smith, and Stephanie S. Filigno. "Introduction to Cystic Fibrosis for Mental Health Care Coordinators and Providers: Collaborating to Promote Wellness." Health & Social Work 45, no. 3 (May 8, 2020): 202–10. http://dx.doi.org/10.1093/hsw/hlaa009.
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Abstract To maximize health, individuals with cystic fibrosis (CF) follow a complex, burdensome daily care regimen. Managing CF is associated with a range of significant biopsychosocial challenges and places individuals with CF, and their caregivers, at greater risk for developing anxiety and depression. To promote wellness and address the potential barriers that affect management of this complex chronic illness, many individuals would benefit from treatment from a behavioral health provider. Social workers within multidisciplinary CF care teams are well positioned to respond to this need, and an expanding number of social workers serving as behavioral health providers in the community will be sought as a resource to provide treatment to this population. This article serves as a primer for social workers to maximize knowledge of the psychosocial and potential behavioral health needs of individuals with CF across the life span. To best support individuals with CF, authors describe the disease-specific manifestations and outline the numerous potential clinical targets for social work to promote wellness. The article concludes by highlighting the importance of communication with the medical team and considerations for effective collaborative care.
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Ahmad Rajion, Zainul. "Introduction to IJOHS." IIUM Journal of Orofacial and Health Sciences 1, no. 1 (February 1, 2020): 3. http://dx.doi.org/10.31436/ijohs.v1i1.19.
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It gives me great pleasure to write the foreword for the inaugural issue of the International Journal of Orofacial and Health Sciences (IJOHS). The field of orofacial and health sciences is not static and the demand for studies addressing the large variety of current issues continues to grow. As an example, in medicine and dentistry, the planning and evaluation of maxillofacial surgery are dependent on advances in biomedical imaging for defining the underlying bony structures and their relationship to overlying soft tissue. Recently, the availability of state-of-the-art computed tomography (CT) has altered our approach to the analysis of complex craniofacial anomalies. Furthermore, the sophistication of medical imaging of the head and neck has advance significantly as a result of the marriage of computers and radiology and their close research collaboration between researchers and scientist, engineers and clinicians. In view of this demand and the fact that numerous research findings published, there is a need for this journal, aims to bring together dentist, doctors and scientists, and other disciplines including computer expert and engineers to work together. Therefore, this journal hopes to create a medium for sharing ideas and importantly to provide a springboard for the application of multi-disciplinary and trans-disciplinary approaches with the common interest to share their knowledge and experience in many aspects of orofacial and health sciences. In addition to recognize, nurture and encourage scientific thinking that is required for the development and application of expanding biomedical knowledge and to foster scholarly interaction between them therefore contributing to the creation and improvement of sciences.IJOHS is proud to launch its inaugural issue to keep informed of the activities and progress made. The editorial team believed that IJOHS will become the important source for the continuous research and commentary by offering an exceptional forum for the ongoing activities of the above professionals and to keep abreast of current trend and future developments. We look forward to working together to achieve this important goal. May I also take this opportunity to extend my grateful thanks to the Dean of the Kulliyyah of Dentistry, Dr. Salwana Supa’at for electing me as Chief Editor.
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DaSilva, A. F., M. A. Robinson, W. Shi, and L. K. McCauley. "The Forefront of Dentistry—Promising Tech-Innovations and New Treatments." JDR Clinical & Translational Research 7, no. 1_suppl (September 19, 2022): 16S—24S. http://dx.doi.org/10.1177/23800844221116850.
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Change in our world is happening quickly. For dentistry, this is no exception, and now is the time to foster new opportunities. Advances in the foundational science of dental, oral, and craniofacial health are expanding and enabling personalized care built on strong discoveries in the fields of microbiology, immunology, and neuroscience. Digital communication through electronic health records, patient portals, and teledentistry is emerging as vital new armamentarium for contemporary dental practice. Wearables linked with smartphone apps are trending to monitor pain levels, postoperative symptoms, wound healing, and home oral health habits. Oral fluid diagnostics are rapidly surfacing for use in diagnostics, drug testing, and hormone detection. Manipulation of the oral microbiome is under investigation for caries management and for potential impact on systemic conditions. Resolving mediators of inflammation are promising for addressing the chronic inflammation that plagues periodontal patients. New imaging modalities paired with digital approaches and 3-dimensional printing are formulating disruptions in the technical aspects of dentistry. Augmented reality and virtual reality are providing great potential as teaching tools for dental students and bear promise for lifelong learning for providers. Optimization of information technology and the incorporation of data science partnered with artificial intelligence and machine learning to improve patient care in a learning health care system approach will benefit large numbers of patients. These are exciting times for our profession, yet we need to navigate these paths carefully. Technology needs to significantly and positively change the experience of those involved (patients, dentists, staff, payors). New technologies need to be backed with solid research and implementation science. Automation should focus on improving care with attention to expanding care to the underserved and not lose the critical human connection that our patients need. There is great potential in the emerging innovations yet also great responsibility to ensure they are evidence based on rigorous science and deployable with equity and sensitivity. Knowledge Transfer Statement: This article discusses innovations in technology and treatments that have enormous potential to revolutionize our dental care, including novel concepts in electronic health records, communication between dentists and patients, biologics around diagnosis and treatment, digital dentistry, and, finally, the real-time optimization of information technology. The early implementation and validation of these innovations can drive down their costs and provide better dental and medical services to all members of our society.
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Dimitrova, Margarita, Teodora Todorova, and Vasil Dimitrov. "The Role of the Interactive Binary Lesson in Teaching Bulgarian as a Second Languagе." Bulgarski Ezik i Literatura-Bulgarian Language and Literature 63, no. 6 (December 9, 2021): 669–81. http://dx.doi.org/10.53656/bel2021-6-7.bg/for.
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The conducting of an experiment on the role of the binary interactive lesson with the participation of a research associate from the Bulgarian Academy of Sciences (BAS) has an extremely important part in the learning process. The lesson is about getting to know the role of the natural products in our health. The main objectives of this interactive binary lesson are: expanding and improving of the grammatical knowledge and development of specialized language skills in Bulgarian of our medical students by including them in innovative formats to increase their communicative competence; introduction of pseudo-communicative tasks with particular speech actions, repetition of phrases and creation of own short dialogues, communicative exercises for building complete and bigger dialogues and narrative texts; utilizing teamwork for creating situational compositions, transformations and psychological testing for measuring the parameters of readiness for working in a team, mutual respect, trust, mutual assistance, responsibility in a multicultural environment. In this manuscript we offer the specifics of an interactive lesson about the role of natural products and health realized with foreign students. We specify the opportunities for language acquisition orally and in writing in accordance with the indicated levels of competence of the European Language Framework. We take into account the possibilities for the application of interactive in parallel with the traditional methods and tools of work, so as to achieve the development of creative thinking in a foreign language for students, as well as the improvement of communicative skills for professional realization.
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Brown, Ian L. "Applications and Uses of Resistant Starch." Journal of AOAC INTERNATIONAL 87, no. 3 (May 1, 2004): 727–32. http://dx.doi.org/10.1093/jaoac/87.3.727.
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Abstract For the past 30 years there has been a steady increase in our knowledge of the sources, uses and physiological effects of resistant starch. However, it has only been in the past decade that the use of ingredients with a high resistant starch content has occurred in foods, initially in Australia but now throughout the world. Foods containing these resistant starch-rich ingredients include not only staple foods, such as bread and breakfast cereals, but also foods designed for those with special physiological or medical needs, such as celiac sensitivity and ulcerative colitis, or for individuals who are seeking to manage energy intake and control weight. Resistant starch has other benefits when compared with traditional sources of dietary fiber in that the preparation and design of foods with additional health benefits have the appearance, taste, and texture characteristics that encourage people to consume these “better for you” foods. As our knowledge of the range of physiological effects that occur through the consumption of resistant starch increases, more applications will be found for their inclusion in an expanding range of foods around the world.
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Kazanjian, Arminée, Carolyn J. Green, Ken Bassett, and Fern Brunger. "BONE MINERAL DENSITY TESTING IN SOCIAL CONTEXT." International Journal of Technology Assessment in Health Care 15, no. 4 (October 1999): 679–85. http://dx.doi.org/10.1017/s0266462399015470.
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Bone mineral density (BMD) testing of healthy women continues to increase, despite widespread discrediting of this test as a valid means to predict fracture risk. To find an explanation for this expanding utilization, we turn to the literature of sociology and political science. Two interdisciplinary approaches proved particularly useful in critical examination of technologies related to women and aging: feminist analysis and cross-cultural analysis. BMD testing has grown because it is marketed in ways that draw upon and perpetuate two trends in western popular culture: a) the medical model of the aging female body; and b) the fear of aging, with its associated disability, dependency, and immobility. The feedback loop between popular and scientific knowledge has created and perpetuated the notion that the aging female body is a diseased body. The trend toward defining osteoporosis entirely on the basis of BMD diagnostic criteria has resulted in the transformation of a risk factor into a disease entity. As the onus for managing risk falls increasingly on women as individuals, and as they strive to reach the preferred ideal of normality, the area that defines normality on the continuum is shrinking, while that defining abnormality is increasing. The power relations and private interests served by this altered continuum remain largely unexamined. The effect, however, is to encourage the demand for screening and diagnostic technologies, giving rise to the rapid diffusion of such technologies, even where the research evidence does not support their use.
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Diekema, Anne R., Elizabeth (Betsy) S. Hopkins, Brandon Patterson, and Nena Schvaneveldt. "Using Information Practices of Nurses to Reform Information Literacy Instruction in Baccalaureate Nursing Programs." Evidence Based Library and Information Practice 14, no. 4 (December 13, 2019): 72–102. http://dx.doi.org/10.18438/eblip29588.
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Abstract
Objective - Seeking information is a key element of evidence based practice and successful healthcare delivery. Significant literature exists on both the information seeking behaviour of professional nurses and information literacy teaching methods, but scarce evidence connects nurses’ information behaviour and environments with their education. This study sought to use data from nursing alumni to answer the following research questions: What are the current information practices of professional bachelor’s-prepared nurses? How do recently-graduated nurses suggest that their education could have better prepared them to find and evaluate information in the workplace?
Methods - The researchers conducted a descriptive study using a 59-item survey instrument with a variety of question formats including short-answer, multiple choice, Likert, and open response. The researchers distributed the survey to baccalaureate nursing alumni who graduated in 2012-2017 from four universities in the state of Utah in the United States.
Results - Nurses seek practical information primarily to provide informed patient care, while also clarifying medical situations and expanding their health care knowledge. They frequently consult nursing colleagues and physicians when seeking information. The majority of nurses consult electronic health records daily. Respondents described time as the biggest barrier to accessing information. They requested authentic, clinically-focused scenarios, training on freely-accessible resources, and more explicit teaching of lifelong learning skills, such as critical thinking.
Conclusion - Information literacy education should prepare student nurses for the fast-paced information environment they will face in the workplace. This means incorporating more patient-focused scenarios, freely available quality resources, and time-based activities in their education. The researchers suggest areas to prepare nurses for information seeking, including problem-based clinical scenarios, building guides with databases accessible for free or little cost, and added emphasis on critical thinking and self-motivated learning.
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O’Dell, Nicole L., Eric Fredericksen, and Sarah Peyre. "2358 Expanding our educational reach: Development of a massive open online course (MOOC)." Journal of Clinical and Translational Science 2, S1 (June 2018): 55–56. http://dx.doi.org/10.1017/cts.2018.210.
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OBJECTIVES/SPECIFIC AIMS: Translational Science 101 aims to: (1) Orient the public to the field of clinical and translational science; (2) Provide a brief overview of each phase of translation (T0-T4); (3) Provide real-world examples of clinical and translational researchers and research projects that have directly impacted patients; (4) Provide learners with information on how they can become involved in clinical and translational science through many different avenues (study volunteer, student, faculty member, or study coordinator). METHODS/STUDY POPULATION: The primary audience for Translational Science 101 is the general public and media outlets who are interested in learning more about clinical and translational science and how this research is improving population health. The University of Rochester Clinical and Translational Science Institute created the course in order inform the public about the field of clinical and translational science, orient the public to the types of research that fall under the translational science umbrella, and demonstrate how translational research impacts populations. The Coursera Massive Open Online Course (MOOC) platform was selected to host the course in order promote the greatest level of exposure and also to expand the educational reach of the UR-CTSI to new external audiences. The course was constructed from scratch utilizing the Community of Inquiry (CoI) framework, an approach that is often utilized to guide the design and construction of asynchronous online coursework. CoI highlights the elements of social presence, cognitive presence and teaching presence as key factors impacting the educational experience learners have when enrolled in an online course. Discussion boards, embedded quizzes, and end of module quizzes were integrated in to the course design to promote learner engagement, collaborative learning, and interactions among learners. The “storytelling” instructional strategy is the backbone of the Introduction to Clinical Science modules, with various researchers from the University of Rochester Medical Center explaining their lines of research and how the research impacts patients and communities. Educational research has shown that there are many benefits to including storytelling in instruction (Green, 2004; Geanellos, 1996), including: (1) Stories create interest: The narrative structure increases learner interest and engagement as they are drawn in to a good story. (2) Stories create a more personal link between the learner and the content: Storytelling allows exploration of shared lived experiences without the demands of practice and allows students to make connections between the shared experiences and their own previous experiences and knowledge. (3) Stories provide a structure for remembering course materials: The inclusion of stories facilitates remembering because it is easier to remember a story rather than a list of disparate facts, and stories evoke vivid mental images which are an excellent cue for recall. (4) Stories are a familiar and accessible form of sharing information: Storytelling aids in overall learner understanding as it is a nonthreatening way of sharing information. Storytelling can also enhance course discussions as students feel more at ease discussing a story than discussing abstract or new concepts that they are still in the process of mastering. RESULTS/ANTICIPATED RESULTS: Introduction to Translational Science was launched on October 16, 2017, and is automatically scheduled to begin a new session every 3 weeks. To date the course has reported the following analytics: (1) 2308 learners have visited the course page, (a)476 learners have enrolled in the course; (b) 244 learners are currently active in the course; (c) 11 learners have completed all of the requirements of the course. (2)Learners by Continent, (a) North America 31%; (b) Asia 30%; (c) Europe 23%; (d) Africa 9%;(e) South America 5%; (f) Oceania 2%. (2) Learners by Country: Learners have come from 84 different countries from around the world. The 15 highest enrollment numbers are: (a) USA 25%, (b) India 11%, (c) Egypt 3.7%, (d) United Kingdom 3.4%, (e) Mexico 3.2%, (f) Brazil 2.8%, (g) China 2.8%, (h) Saudi Arabia 2.2%, (i) Spain 2.2%, (j) Germany 1.7%, (k) Russian Federation 1.7%, (l) Malaysia 1.5%, (m) Turkey 1.5%, (n) Italy 1.5%, and (o) Canada 1.5%. (3) Gender: 48% women and 50% men. (4) Age: (a) 13–17: 0.72%, (b) 18–24: 19.6%, (c) 25–34: 44%, (d) 35–44: 14.4%, (e) 45–54: 8.6%, (f) 55–64: 7.2%, (g) 65+: 3.6%. (5)Highest Education Level o Doctorate Degree: 17%; (a) Professional School Degree: 14%; (b) Master’s Degree: 31%; (c) Bachelor’s Degree: 27%; (d) Associate’s Degree: 2.3%; (e) Some College But No Degree: 4.5%; (f) High School Diploma: 3.8%; (g) Some High School: 0.75%. DISCUSSION/SIGNIFICANCE OF IMPACT: The Massive Open Online Course (MOOC) platform offers new, exciting opportunities for CTSA institutions to create courses and trainings that are accessible by learners all over the world. This greatly expands the educational reach that the CTSA education programs can have, moving beyond hub-focused or consortium-focused education to a much broader audience. The expansion of educational reach can promote increased visibility of the CTSA program, encourage collaborations amongst researchers at different institutions, and also inform the public about clinical and translational science, potentially fostering advancement opportunities.
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Musbahi, Omar, Labib Syed, Peter Le Feuvre, Justin Cobb, and Gareth Jones. "Public patient views of artificial intelligence in healthcare: A nominal group technique study." DIGITAL HEALTH 7 (January 2021): 205520762110636. http://dx.doi.org/10.1177/20552076211063682.
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Objectives The beliefs of laypeople and medical professionals often diverge with regards to disease, and technology has had a positive impact on how research is conducted. Surprisingly, given the expanding worldwide funding and research into Artificial Intelligence (AI) applications in healthcare, there is a paucity of research exploring the public patient perspective on this technology. Our study sets out to address this knowledge gap, by applying the Nominal Group Technique (NGT) to explore patient public views on AI. Methods A Nominal Group Technique (NGT) was used involving four study groups with seven participants in each group. This started with a silent generation of ideas regarding the benefits and concerns of AI in Healthcare. Then a group discussion and round-robin process were conducted until no new ideas were generated. Participants ranked their top five benefits and top five concerns regarding the use of AI in healthcare. A final group consensus was reached. Results Twenty-Eight participants were recruited with the mean age of 47 years. The top five benefits were: Faster health services, Greater accuracy in management, AI systems available 24/7, reducing workforce burden, and equality in healthcare decision making. The top five concerns were: Data cybersecurity, bias and quality of AI data, less human interaction, algorithm errors and responsibility, and limitation in technology. Conclusion This is the first formal qualitative study exploring patient public views on the use of AI in healthcare, and highlights that there is a clear understanding of the potential benefits delivered by this technology. Greater patient public group involvement, and a strong regulatory framework is recommended.
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Manchikanti, Laxmaiah. "Guidelines Warfare Over Interventional Techniques: Is There a Lack of Discourse or Straw Man?" Pain Physician 1;15, no. 1;1 (January 14, 2012): E1—E26. http://dx.doi.org/10.36076/ppj.2012/15/e1.
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Guideline development seems to have lost some of its grounding as a medical science. At their best, guidelines should be a constructive response to assist practicing physicians in applying the exponentially expanding body of medical knowledge. In fact, guideline development seems to be evolving into a cottage industry with multiple, frequently discordant guidance on the same subject. Evidence Based Medicine does not always provide for conclusive opinions. With competing interests of payers, practitioners, health policy makers, and third parties benefiting from development of the guidelines as cost saving measures, guideline preparation has been described as based on pre-possession, vagary, rationalization, or congeniality of conclusion. Beyond legitimate differences in opinions regarding the evidence that could yield different guidelines there are potentials for conflicts of interest and various other issues play a major role in guideline development. As is always the case, conflicts of interest in guideline preparation must be evaluated and considered. Following the development of American Pain Society (APS) guidelines there has been an uproar in interventional pain management communities on various issues related to not only the evidence synthesis, but conflicts of interest. A recent manuscript published by Chou et al, in addition to previous publications appear to have limited clinician involvement in the development of APS guidelines, demonstrates some of these challenges clearly. This manuscript illustrates the deficiencies of Chou et al’s criticisms, and demonstrates their significant conflicts of interest, and use a lack of appropriate evaluations in interventional pain management as a straw man to support their argument. Further, this review will attempt to demonstrate that excessive focus on this straw man has inhibited critique of what we believe to be flaws in the approach. Key words: Guidelines, interventional pain management, professionalism, discourse, disclosure, conflicts of interest, evidence-based medicine, comparative effectiveness research, Patient-Centered Outcomes Research Institute
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Nikolaev, V. A. "Telerehabilitation of post-stroke patients: current trends in the Russian healthcare system." Manager Zdravoochranenia, no. 2 (February 1, 2022): 65–75. http://dx.doi.org/10.21045/1811-0185-2022-2-65-75.
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With age, the risk of stroke increases significantly, but at the same time, there are tendencies for an increase in its prevalence in young and middle-aged people, which determines the urgency of the problem of rehabilitation treatment after stroke both in the world and in Russia. The use of digital technologies in neurorehabilitation can be very multifaceted and extensive. Telerehabilitation as an innovative direction of telemedicine is an important aspect within the framework of the national project «Healthcare» and the program «Digital Economy of the Russian Federation». P u r p o s e of the study is to analysis of the Russian experience of organizing and conducting telerehabilitation of post-stroke period in the context of the digital transformation of the healthcare system in Russia. M a t e r i a l s a n d m e t h o d s . The article used technologies for searching and selecting information using search engines (www.google.ru, www.yandex.ru), specialized and bibliographic databases (PubMed, eLIBRARY.RU), methods of analysis and synthesis, analytical data processing. R e s u l t s . The study showed that telerehabilitation has a high clinical value of adherence to the treatment of patients of post-stroke period and is not a separate type of medical activity, but an innovative therapeutic and prophylactic method that expands the possibilities of therapy and improves the process of interaction in the «doctor-patient» and «doctor-doctor» communication systems. This technology of restorative telemedicine makes it possible to increase the level of scientific knowledge, skills and abilities of healthcare organizers and medical workers in order to strengthen the national healthcare system of Russia, as well as to rationally use the scientific and practical potential of digital solutions in interdisciplinary interaction of specialists dealing with medical neurorehabilitation, significantly expanding the coverage of the population telerehabilitation services after a stroke. F i n d i n g s . Despite the positive experience of some medical organizations in Russia in the use of telerehabilitation, this direction is still in its infancy and is likely to develop in the coming years for the rehabilitation of many stroke patients, which will help healthcare organizers, doctors and patients and other interdisciplinary specialists effectively and interact seamlessly in the digital health ecosystem in the context of the development of patient-centered medicine.
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Irizarry-Ramírez, Margarita, Rubén García García, Edgardo Rosado Santiago, Lizbelle De Jesus-Ojeda, Efrain Flores Rivera, Juan C. Soto Santiago, and Maribel Campos n Rivera. "32097 Title V Medical Sciences Campus Project (TVMSC) : Clinical and Translational Research (CTR) with an Interdisciplinary/Entrepreneurship (IE) approach for Students and Faculty (UgS, UgF) from Undergraduate Programs (UgP) in Puerto Rico: an initiative for an early jumpstart in CTR and Scientific Entrepreneurship (SE) in a virtual scenario 2020-25." Journal of Clinical and Translational Science 5, s1 (March 2021): 58–59. http://dx.doi.org/10.1017/cts.2021.554.
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ABSTRACT IMPACT: This presentation highlights an integrated curriculum in CTR and a scientific entrepreneurship approach to entice and support students and faculty in HP programs into CTR and SE thus expanding the pool of new minority CTR researchers. OBJECTIVES/GOALS: To present the TVMSC as a hub for trainings, mentoring programs, courses, entrepreneurship and support activities for health professionals(HP) and HP students :graduate (GS) and UgS and UgF. Responding to the need for CTR minority researchers, in a virtual setting due to COVID-19 crisis. METHODS/STUDY POPULATION: TVMSC will offer an educational program based in the Center for Research,Entrepreneurship and Scientific Collaboration (CRESCO) with on line courses and workshops in CTR and SE, for HP and students and a continued education curriculum for HP and clinician scientists toward a certification in CTR. Two hands-on experiences: a) a Pilot project program(PiP) with teams composed of an F, that previously completed training cycles and a research experience from a previous project in CTR as PI, with a research mentor and students or an established researcher as a PI with UgS and UgF, and b) participation in a SE team which will engage in training and submission of an SE project proposal. RESULTS/ANTICIPATED RESULTS: By the end of the five-year period the project will have had 200 UgS, 200 GS and 200 F that received online assistance in CTR skills, statistics and SE; 48 UgS and 48 GS with the skills in SEFL. In curricular development the project expects to have 6 online tutorials created, one FLSE online course and 18 modules in CTR content areas available for continued education of HP. Certifications in CTR will be completed by 160F/HPs. The expected participation in CTR on-hands experiences is 32 F, 64 students and 32 established researchers. PiP teams will publish at least 8 scientific papers and SEFL teams will submit at least 5 SE project proposals and 100% increase in CRESCO web based resources DISCUSSION/SIGNIFICANCE OF FINDINGS: This Project and its expected results will provide students and faculty members island-wide with the knowledge, skills and experiences in CTR with IE approach to foster the expansion of a cadre of Hispanic minority CTR researchers in direct benefit of the health of the people of Puerto Rico.
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Nikiforov, Andrey I. "Integrated systems in the world aquaculture: the experience of millennia for the benefit of the whole world." Rybovodstvo i rybnoe hozjajstvo (Fish Breeding and Fisheries), no. 4 (April 15, 2022): 232–42. http://dx.doi.org/10.33920/sel-09-2204-01.
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The article reveals the meaning and essence of the concept of multitrophic systems in aquaculture; provides an overview of historical information on ancient integrated agro-aquatic systems; considers examples of multitrophic agro-aquatic systems in the UNESCO World Heritage List and in the Globally Important Agricultural Heritage Systems (GIAHS). Current issues and current ways of preserving unique agro-aquatic systems in different regions of the world are discussed; the main principles and current options of polyculture application in hydrobionts breeding, as well as the importance of multitrophic technologies in world aquaculture are discussed. It is concluded that the development of multitrophic agro-aquatic systems is one of the most promising options for the interaction of water management and the agricultural sector. At the same time, the implementation of this concept of environmental management is fully consistent with the international principles of the green economy, the tasks of resource conservation, ensuring stable growth of food production and creating conditions for sustainable development. In general, this direction ensures the achievement of at least nine of the seventeen UN declared Sustainable Development Goals, in particular, such SDGs as: hunger eradication, good health and well-being, affordable and clean energy, decent work and economic growth, industrialization, innovation and infrastructure, responsible consumption and production, conservation of marine ecosystems, conservation of terrestrial ecosystems, partnership for sustainable development [16]. The support and development of multitrophic agro-aquatic systems affect not only the overall efficiency of environmental management, but also have an impact on the socio-economic sphere — in particular, through the activation of international tourism. In turn, tourism, in addition to expanding the service sector, ensures the preservation of accumulated knowledge about unique technologies of environmental management and makes a significant contribution to the preservation of these systems by increasing people’s awareness of the traditions of various cultures.
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Chuang, Elizabeth. "Expanding Medical Student and Resident Knowledge of Health Economics, Policy, and Management." Academic Medicine 86, no. 11 (November 2011): e1. http://dx.doi.org/10.1097/acm.0b013e318231e122.
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Vekemans, Johan, Mateusz Hasso-Agopsowicz, Gagandeep Kang, William P. Hausdorff, Anthony Fiore, Elizabeth Tayler, Elizabeth J. Klemm, et al. "Leveraging Vaccines to Reduce Antibiotic Use and Prevent Antimicrobial Resistance: A World Health Organization Action Framework." Clinical Infectious Diseases 73, no. 4 (January 25, 2021): e1011-e1017. http://dx.doi.org/10.1093/cid/ciab062.
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This Action Framework identifies priority actions to prevent antimicrobial-resistant (AMR) through expanding the use of licensed vaccines, developing new vaccines that contribute to the prevention and control of AMR, and expanding knowledge about the impact of vaccines on AMR.
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Long, Theodore, Krisda H. Chaiyachati, Ali Khan, Trishul Siddharthan, Emily Meyer, and Rebecca Brienza. "Expanding Health Policy and Advocacy Education for Graduate Trainees." Journal of Graduate Medical Education 6, no. 3 (September 1, 2014): 547–50. http://dx.doi.org/10.4300/jgme-d-13-00363.1.
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Abstract Background Education in health policy and advocacy is recognized as an important component of health professional training. To date, curricula have only been assessed at the medical school level. Objective We sought to address the gap in these curricula for residents and other health professionals in primary care. Innovation We created a health policy and advocacy curriculum for the VA Connecticut Healthcare System, Center of Excellence in Primary Care Education, an interprofessional, ambulatory-based, training program that includes internal medicine residents, nurse practitioner fellows, health psychology fellows, and pharmacy residents. The policy module focuses on health care finance and delivery, and the advocacy module emphasizes negotiation skills and opinion-based writing. Trainee attitudes were surveyed before and after the course, and using the Wilcoxon signed rank test, relative change was determined. Knowledge acquisition was evaluated with precourse and postcourse examinations using a paired sample t test. Results From July 2011 through June 2013, 16 trainees completed the course. In the postcourse survey, trainees demonstrated improved comfort with understanding health law and the American health care system (Likert mean increased from 2.1 to 3.0, P = .01), as well as with associated advocacy skills (Likert mean increased from 2.0 to 2.9, P = .04). Knowledge-based test scores also showed significant improvement (increasing from 55% to 78% correct, P ≤ .001). Conclusions Our curriculum integrating core health policy knowledge with advocacy skills represents a novel approach in postgraduate health professional education and resulted in sustained improvement in knowledge and comfort with health policy and advocacy.
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Stefanelli, M. "Knowledge Management In Health Care Organizations." Yearbook of Medical Informatics 13, no. 01 (August 2004): 144–55. http://dx.doi.org/10.1055/s-0038-1638198.
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Abstract:This review article analyzes theories, methods, and technologies that can be effective in building a socio-technical environment within a health care organization that is able to facilitate the collaboration between individuals in the management of patient care and in expanding scientific and professional knowledge. The article is organized as follows. In section 2, I discuss the nature of knowledge in general and with a particular attention to medical knowledge. The future of health information systems (HIS) is discussed in section 3, which provides also an overview of theories for designing and developing such systems. Section 4 describes different types of collaboration, and reviews the methods and information and communication technologies (ICT), which can be exploited for knowledge creation and interaction management. The potential of workflow management technology for building innovative components within HIS is analyzed in section 5. Finally, section 6 presents the conclusions.
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Farmer, Janet E. "Expanding the Paradigm of Rehabilitation Sciences." Journal of the International Neuropsychological Society 11, no. 4 (July 2005): 501–2. http://dx.doi.org/10.1017/s1355617705230497.
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Cognitive and Behavioral Rehabilitation: From Neurobiology to Clinical Practice. Jennie Ponsford (Ed.). 2004. New York: Guilford Press. 366 pp., $50.00 (HB).The World Health Organization estimates that approximately 90 million people, or 1.5% of the world population, are in need of rehabilitation services at any given point in time (WHO, 2003). Many of these individuals are at risk for long-term disability due to brain injury and disease. They range from the young, who increasingly survive early brain insults, to older adults, whose independence and every day functioning may be threatened by the onset of neurologic impairments. As medical advances improve survival rates and longevity, the number of those in need of cognitive and behavioral rehabilitation services to enhance functioning is likely to grow. This situation raises pressing questions, such as, who will get better with what rehabilitation treatment, and why?
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Donnellan, Anne M. "Invented Knowledge and Autism: Highlighting Our Strengths and Expanding the Conversation." Journal of the Association for Persons with Severe Handicaps 24, no. 3 (September 1999): 230–36. http://dx.doi.org/10.2511/rpsd.24.3.230.
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Winterbauer, Nancy L., Betty Bekemeier, Lisa VanRaemdonck, and Anna G. Hoover. "Applying Community-Based Participatory Research Partnership Principles to Public Health Practice-Based Research Networks." SAGE Open 6, no. 4 (October 2016): 215824401667921. http://dx.doi.org/10.1177/2158244016679211.
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With real-world relevance and translatability as important goals, applied methodological approaches have arisen along the participatory continuum that value context and empower stakeholders to partner actively with academics throughout the research process. Community-based participatory research (CBPR) provides the gold standard for equitable, partnered research in traditional communities. Practice-based research networks (PBRNs) also have developed, coalescing communities of practice and of academics to identify, study, and answer practice-relevant questions. To optimize PBRN potential for expanding scientific knowledge, while bridging divides across knowledge production, dissemination, and implementation, we elucidate how PBRN partnerships can be strengthened by applying CBPR principles to build and maintain research collaboratives that empower practice partners. Examining the applicability of CBPR partnership principles to public health (PH) PBRNs, we conclude that PH-PBRNs can serve as authentic, sustainable CBPR partnerships, ensuring the co-production of new knowledge, while also improving and expanding the implementation and impact of research findings in real-world settings.
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McAuliffe, Donna. "Claiming and Expanding Social Work Knowledge in the International Space." Australian Social Work 74, no. 4 (September 8, 2021): 391–93. http://dx.doi.org/10.1080/0312407x.2021.1945731.
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Moist, Louise M., William F. Clark, Luca Segantini, Sandrine Damster, Laurent Le Bellego, Germaine Wong, and Marcello Tonelli. "International Society of Nephrology-Hydration and Kidney Health Initiative - Expanding Research and Knowledge." Annals of Nutrition and Metabolism 68, Suppl. 2 (2016): 32–34. http://dx.doi.org/10.1159/000446222.
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The purpose of this manuscript is to describe a collaborative research initiative to explore the role of hydration in kidney health. Our understanding of the effects of hydration in health and disease is surprisingly limited, particularly when we consider the vital role of hydration in basic human physiology. Recent initiatives and research outcomes have challenged the global medical community to expand our knowledge about hydration, including the differences between water, sugared beverages and other consumables. Identification of the potential mechanisms contributing to the benefits of hydration has stimulated the global nephrology community to advance research regarding hydration for kidney health. Hydration and kidney health has been a focus of research for several research centers with a rapidly expanding world literature and knowledge. The International Society of Nephrology has collaborated with Danone Nutricia Research to promote development of kidney research initiatives, which focus on the role of hydration in kidney health and the global translation of this new information. This initiative supports the use of existing data in different regions and countries to expand dialogue among experts in the field of hydration and health, and to increase scientific interaction and productivity with the ultimate goal of improving kidney health.
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Jeeves, Malcolm A. "Why Science and Faith Belong Together: Stories of Mutual Enrichment." Perspectives on Science and Christian Faith 74, no. 1 (March 2022): 58–59. http://dx.doi.org/10.56315/pscf3-22jeeves.
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WHY SCIENCE AND FAITH BELONG TOGETHER: Stories of Mutual Enrichment by Malcolm A. Jeeves. Eugene, OR: Cascade Books, 2021. 294 pages. Paperback; $35.00. ISBN: 9781725286191. *Many sense tension between modern science and Christian faith. Malcolm Jeeves, however, intends to show how the two are quite complementary. As Emeritus Professor (University of St. Andrews), past-President of the Royal Society of Edinburgh, Fellow of both the Academy of Medical Sciences and the British Psychological Society, and a prolific author in the arena of science and faith, he is supremely qualified to write this book. *The Preface reveals his motives: emails from distraught students despairing over a faith that seems incompatible with modern science, and polls showing the mass exodus of young people from faith for the same reason. The emails come from those appealing desperately to believing experts for help to hang on to faith, while the polls represent those making the opposite choice by voting with their feet. Scripture has much longer roots than modern science: the written texts go back two or three millennia, and the oral traditions underlying them another several millennia, whereas modern science is very new. So, when these two divinely inspired searches for truth seem to come into conflict, the tendency for some is to favor the tried-and-true, whereas others feel it necessary to favor what is seen as the "new-and-improved." Jeeves's goal is to show how these two books actually complement one another even when they appear to conflict. *The book is divided into three sections. The first looks at how science and cultural changes seem to keep shrinking and changing God, while introducing new alternative gods. God had long been the explanation for many previously unanswerable questions (the origin of the universe and of life, for example), but as modern science made more and more discoveries and filled in knowledge gaps, God grew smaller and smaller. At the same time, changes in societal values prompted some to re-define God to conform to more modern thinking. Essentially, we started making God in our own image using insights gleaned through science (psychology, psychoanalysis [pp. 35–38]) and theology (Augustine, Aquinas, Jonathan Edwards, Karl Rahner [pp. 38–41]). A plethora of substitute gods came into view, chief of which is technology. Social media and the internet seemed to facilitate the erosion of belief. However, Jeeves closes out this section looking at how science and technology can also expand our view of God. From studies of the very small (including DNA and the genetic code) to the very large (the known universe expanding from an estimated radius of 100,000 light years in 1917 to the present day estimate of 46 billion light years), there is now greater reason to be in awe of the Creator God. *The second section explores five major questions: (1) human origins; (2) human nature; (3) miracles of nature; (4) healing miracles; and (5) the nature of faith. For each, there is a pair of chapters: one subtitled "evidence from scripture," and a complementary chapter subtitled "evidence from science." Those subtitles might be misconstrued to imply that evidence would be proffered to explain or answer the question. Sometimes, that is the case. More often, distinct lines of evidence are cited to raise thought-provoking questions, provide divergent perspectives, add a bit of color or fill gaps, and call for more careful nuancing of the data. They serve more to stimulate questions and reflection than to provide an overview or explanation. I eventually came to see that the two sources of human evidence, when brought together within the mind of the reader, become a three-dimensional stereoscopic hologram. *In chapters 4 and 5, on human origins, Jeeves opens with the challenge, voiced by other secular scientists, that genetics does not explain everything about humanity, such as the emergence of personhood and consciousness, our moral values and ethical sense, and language. Therefore, standard evolutionary theory is too limited in scope and needs a "re-think." Equally true, however, theological explanations of these also need a "re-think." The scientific data clearly shows that humans are not starkly different from other animals, and in fact that it is almost certain that we evolved from them. We humans are, though, much more than genes, tissues, and organs. *In chapters 6 and 7, on human nature, nonscholars (both believing and not) are in nearly unanimous agreement that Christianity is critically tied to substance dualism--the idea that humans comprise a material body and an immaterial soul/spirit. In contrast, many scholars, across the spectra of belief (belief/nonbelief) and knowledge (science/theology/philosophy), see major problems with such dualism. Can science explain the soul? Is the case of a child with nearly normal cognitive abilities but lacking a major proportion of brain mass, evidence for a nonmaterial soul (p. 101)? Does Libet's experiment say anything about free will (p. 102)? If humans do not exhibit categorical differences from animals, how are we created in the image of God? *In chapters 8 and 9 (on miracles of nature), Jeeves asks a number of questions. Do miracle claims constitute proof of God? Is God a divine upholder, or occasional gap filler? Do attempts to explain miracles "[explain] them away" (pp. 140–41)? What exactly do we mean by words such as "miracle" and "supernatural"? What does the Bible mean by "signs" and "wonders"? Is there merit in trying to normalize biblical phenomena that appear to be miraculous, using modern scientific explanations? Or do such attempts only raise other problems? *Chapter 10 addresses healing miracles. If someone claims an experience/event which can be shown to have a probability of one-in-a-million, is that a miracle ... given that those odds predict that roughly 7,500 such events will occur within the present global human population? Do religious people tend to live healthier or longer lives than their secular counterparts? Studies that look at cognitive variables (depression; optimism) might suggest "yes," while those that look at biological variables (cancers; cardiovascular events) say "no" (p. 171). Do prayers become cosmic-vending machines? Do miracle claims stand up to medical/scientific scrutiny? Do they need to? *Chapters 11 and 12 concern the multifaceted nature of faith. Jeeves describes faith as involving "credulity," "intellectual assent," and "the psychological processes involved in the act of believing" (p. 178), and then compares faith with belief, doubt, trust, certainty, action, and discipleship (pp. 178–82). Jeeves recounts fascinating evidence from patients suffering various forms of brain disease (Alzheimer's, Parkinson's), discussing how such biological injuries degrade their enjoyment of faith because they rob them of the ability to focus attention, feel emotion, or keep track of a sermon or a passage of scripture (which, Jeeves points out, is another argument against substance dualism). He also looks at how brain dysfunction affected many well-known people of faith, including Martin Luther, John Bunyan, John Wesley, William Cowper, Gerard Manley Hopkins, Lord Shaftesbury, and Christina Rossetti. *The third section focusses on a central theme in this book: that of God interacting with creation in general, and humans in particular. God does this by creating all things, including humans, in his image (as the divine creator), by constantly upholding that creation through natural laws which he has set in place to maintain it (as the divine sustainer), and by putting off his divinity and embodying himself within creation (divine self-emptying or kenosis). Here, Jeeves unpacks divine kenosis, as well as the evolutionary origins and emergence of kenotic behavior in his creatures (otherwise commonly known as altruism, love, compassion, and empathy). *The book concludes with a valuable resource for self-reflection and group study. For each of the thirteen chapters, he provides a few relevant scripture passages, a variety of short paragraphs to review and reflect upon, a number of specific questions for discussion, and suggestions for further readings (books, articles, web-links). *The book is written at the level of a well-read and informed lay-person. No formal training in science or religion is needed, although a keen interest in both is essential. Overall, I found the book very useful, and I highly recommend it. But actions speak louder than words. My first thought upon reading it was to suggest it to my own church pastor for a small group book study; he read the book, then promptly and convincingly made the sales pitch to our church leaders. *Reviewed by Luke Janssen, Emeritus Professor in the Faculty of Health Sciences, McMaster University, Hamilton, ON.
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Kamulegeya, Adriane, Alex Nninda Kizito, and Hannington Balidawa. "Ugandan medical and health sciences interns’ infection control knowledge and practices." Journal of Infection in Developing Countries 7, no. 10 (October 15, 2013): 726–33. http://dx.doi.org/10.3855/jidc.2486.
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Background: We assessed the level of knowledge, attitudes, and practices of recent graduates of clinical health sciences who started their one-year internship in Uganda. Methodology: This was a cross-sectional survey responded to by 209 (response rate of 70%) new interns who started their internships in August 2011 in different Ugandan hospitals. Validated self-administered questionnaires with knowledge, attitude, and practices questions were distributed to the participants during a two-day internship orientation organized by the national internship committee. Results: Out of 299 subjects approached, the survey was completed and returned by 209 (70%). More nurses (51.4%) failed the questions on odds of HIV transmission after a needle stick injury compared to 23.0% and 36.4% of medical and dental graduates, respectively(χ2 = 24.06 p = 0.001). There was no difference in proportions of those who re-sheath needles. Respondents who had an encounter with positive tuberculosis history when taking clinical notes while unprotected were not more motivated to use masks (χ2 = 7.06; p = 0.07). Nurses and dentists reported more regular hand washing before and after patient contact compared to medical doctors. Conclusion: Overall, the knowledge of infection control was not impressive and the attitudes and practices appeared to be heavily influenced by the lack of an enabling environment in training hospitals and internship hospitals. There is little likelihood of change due to internship experience except for those who go to missionary hospitals that have stricter infection control protocols. More effort must be made in teaching hospitals to encourage better infection control.
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Soltis, Denise, and Schwanda K. Flowers. "Expanding Experiential Opportunities Through Patient Care Services." Journal of Pharmacy Practice 23, no. 6 (September 14, 2010): 575–78. http://dx.doi.org/10.1177/0897190010378752.
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A new set of standards, ACPE Standards 2007, adopted by the Accreditation Council for Pharmacy Education (ACPE), required all pharmacy programs to include introductory pharmacy practice experiences (IPPEs) to represent 5% of the curriculum and advance pharmacy practice experiences (APPEs) to represent 25% of the curriculum. This required many pharmacy programs to revise their curriculum to meet these requirements. The challenge of satisfying the increased accreditation requirements along with the increased number of new pharmacy programs in the United States has resulted in increased competition for experiential sites. Drake University College of Pharmacy and Health Sciences and the University of Arkansas for Medical Sciences (UAMS) College of Pharmacy utilized innovative immunization services to help meet the ACPE Standards 2007. Drake utilized P2 and P3 students who were trained to give immunizations in an IPPE patient care elective in order to help experiential sites in their immunization efforts. Senior pharmacy students at UAMS were involved in expanding APPE opportunities by developing immunization clinics and providing immunizations at their experiential sites. Both pharmacy programs were successful in expanding experiential opportunities by focusing on immunizations. Students, preceptors, and patients all benefit from utilizing student pharmacist at experiential sites to provide patient care services.
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Szkodny, Dominika, Ewa Wróblewska-Czajka, and Edward Wylęgała. "Knowledge and Attitudes toward Cornea Donation among Different Social Groups in Poland." Journal of Clinical Medicine 10, no. 21 (October 28, 2021): 5031. http://dx.doi.org/10.3390/jcm10215031.
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Background: Limited access to corneal tissue for transplantation remains a challenge in many parts of the world. To date, little attention has been paid to the problem of the cornea donor shortage in Poland, where the number of waiting patients exceeds the number of transplants performed three-fold. The aim of this study was to assess the knowledge and willingness towards participating in corneal donation among different social groups in Poland. Methods: This prospective, cross-sectional study was conducted among health professionals, medical students, clerics, teachers, journalists, employees and patients of the District Railway Hospital in Katowice. Online and paper questionnaires were used to collect socio-demographic data and information regarding awareness of, knowledge about and attitudes toward corneal donation. For health professionals and medical students, the questionnaires contained additional questions concerning knowledge and solutions for expanding the donor pool. Descriptive analysis and associations were evaluated using the chi2 test. Results: In the survey, 1026 participants took part, including 370 (36.06%, group 1) health professionals and 656 (63.94%, group 2) participants from a non-medical field. A total of 330 (89.18%) from group 1 and 528 (80.49%) respondents from group 2 expressed willingness to donate their corneas. The main reason for refusal of donation in both groups was a lack of knowledge concerning eye donation (7.8%). A social campaign (64.6%) was the most frequently chosen solution for increasing the number of potential donors by health professionals and medical students. In the group of doctors, not knowing how to report a potential donor was chosen as the greatest source of difficulty in donor reporting (40%). Conclusions: In the present study, the willingness to donate one’s eyes was substantial in both groups. Social campaigns and improving knowledge concerning the donor reporting process among health professionals might be beneficial in expanding the donor pool.
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Barnett, Molly C., and Molly W. Keener. "Expanding medical library support in response to the National Institutes of Health Public Access Policy." Journal of the Medical Library Association : JMLA 95, no. 4 (October 2007): 450–53. http://dx.doi.org/10.3163/1536-5050.95.4.450.
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Furrow, Barry R. "Quality Control in Health Care: Developments in the Law of Medical Malpractice." Journal of Law, Medicine & Ethics 21, no. 2 (1993): 173–92. http://dx.doi.org/10.1111/j.1748-720x.1993.tb01241.x.
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Physicians and institutional providers face expanding liability exposure today, in spite of state tort reform legislation and public awareness of the costs of malpractice for providers. Standards of practice are evolving rapidly; new medical technologies are being introduced at a rapid rate; information is proliferating as to treatment efficacy, patient risk, and diseases generally. Tort standards mirror this change. As medical standards of care evolve, they provide a benchmark against which to measure provider failure. The liability exposure of physicians is affected by (1) the generation of data, including outcomes data usable to profile physician practice, and statistical data that allows for predictions as to treatment efficacy, and patient prognosis; (2) obligations to inform patients and third parties of risk created by contagious disease and other sources of harm; (3) obligations of physicians to disclose risks that the provider creates for the patient; (4) obligations to disclose conflicts of interest arising out of the practice setting; and (5) duties arising from new epidemiological knowledge.
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Manning, Patrick. "The Life Sciences, 1900–2000: Analysis and Social Welfare from Mendel and Koch to Biotech and Conservation." Asian Review of World Histories 6, no. 1 (January 30, 2018): 185–208. http://dx.doi.org/10.1163/22879811-12340030.
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Abstract The life sciences underwent a dramatic transformation during the twentieth century, with an expansion in fundamental knowledge of the process of evolution and its molecular basis, through advances in health care that greatly extended human life, and by the combination of these advances to address the problem of conserving the many forms of life threatened by expanding human society. The essay highlights the worldwide emphasis on social welfare in the years 1945–1980 and the expanding role of international collaboration, especially in the International Biological Program and its advances in ecology and the notion of the biosphere, and in the emergence of molecular biology. This was also the era of the Cold War, yet military confrontation had fewer implications for life sciences than for the natural sciences in that era. After 1980, deregulation and neoliberalism weakened programs for social welfare, yet links among the varying strands of life sciences continued to grow, bringing the development of genomics and its many implications, expanding epidemiology to include reliance on social sciences, and deepening ecological studies as the Anthropocene became more and more prevalent. In sum, the experience of the life sciences should make it clear to world historians that scientific advance goes beyond the achievements of brilliant but isolated researchers: those same advances rely substantially on social movements, migration, and the exchange of knowledge across intellectual and physical boundaries.
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Elder, W. G., Carol Hustedde, Dave Rakel, and Jennifer Joyce. "CAM Curriculum Activities to Enhance Professionalism Training in Medical Schools." Complementary health practice review 13, no. 2 (April 2008): 127–33. http://dx.doi.org/10.1177/1533210107313917.
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Enhancing the professionalism of graduates is a major objective of most health care education institutions today. Educating conventional health care providers about complementary and alternative medicine (CAM) may directly and indirectly improve trainee professionalism by expanding trainees' knowledge and appreciation of diverse health care beliefs and practices, improving physician—patient communication, enhancing self-care, and increasing sense of competence and job satisfaction. A survey based on professional competencies proposed by the Consortium of Academic Health Centers for Integrative Medicine was administered to the grantees of the National Institutes of Health, National Center for Complementary and Alternative Medicine R-25 CAM education project initiative. The survey's aim was to identify project activities that taught professionalism skills. All projects reported curricular features that enhanced trainee professionalism, with substantial percentages of project effort directed toward professionalism-related activities.
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Al-lela, S. K. "PNS168 PHARMACOVIGILANCE KNOWLEDGE AND PERCEPTIONS AMONG MEDICAL SCIENCES STUDENTS IN AL-MUSTANSARIA UNIVERSITY." Value in Health 23 (May 2020): S314. http://dx.doi.org/10.1016/j.jval.2020.04.1163.
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Alarcão, Violeta, and Sónia Pintassilgo. "Old and New Actors and Phenomena in the Three-M Processes of Life and Society: Medicalization, Moralization and Misinformation." Societies 13, no. 1 (January 12, 2023): 17. http://dx.doi.org/10.3390/soc13010017.
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van Bemmel, Jan H. "Knowledge for Medicine and Health Care." Methods of Information in Medicine 44, no. 04 (2005): 596–600. http://dx.doi.org/10.1055/s-0038-1634012.
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SummaryDr. Donald A. B. Lindberg, Director of the U.S. National Library of Medicine, received an honorary doctorate from UMIT, the University for Health Sciences, Medical Informatics and Technology in Innsbruck, Tyrol. The celebration took place on September 28, 2004 at an academic event during a conference of the Austrian, German, and Swiss Societies of Medical Informatics, GMDS2004. Dr. Lindberg has been a pioneer in the field of computers in health care from the early 1960s onwards. In 1984 he became the Director of the National Library of Medicine in Bethesda, the world’s largest fully computerized biomedical library. Dr. Lind-berg has been involved in the early activities of the International Medical Informatics Association (IMIA), among others being the chair of the Organizing Committee for MEDINFO 86 in Washington D.C. He was elected the first president of the American Medical Informatics Association (AMIA), and served as an editor of Methods of Information in Medicine.
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Müller, Alexandra, and Sarah Crawford-Browne. "Challenging medical knowledge at the source – attempting critical teaching in the health sciences." Agenda 27, no. 4 (November 11, 2013): 25–34. http://dx.doi.org/10.1080/10130950.2013.855527.
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Olaoye, Olumide Ayoola, Anne A. I. Emechete, Ayodele Teslim Onigbinde, and Chidozie Emmanuel Mbada. "Awareness and Knowledge of Occupational Therapy among Nigerian Medical and Health Sciences Undergraduates." Hong Kong Journal of Occupational Therapy 27, no. 1 (June 2016): 1–6. http://dx.doi.org/10.1016/j.hkjot.2016.02.001.
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Hassan, Radwa, Omaima Kamel Elsalamony, Shaimaa Abdel-Aziz, Mohammed Fathelbab, and Hend Aly Sabry. "Digital Health Usage and Awareness among MedicalStudents: A Survey Study." Open Access Macedonian Journal of Medical Sciences 9, E (September 9, 2021): 867–71. http://dx.doi.org/10.3889/oamjms.2021.7007.
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BACKGROUND: In the era of increasingly expanding digital ecosystem, health misinformation became highly risky, especially the information sources which are non-evidence based. This problem is magnified due to the vulnerability of most internet users, especially the adolescents information seekers who lack health literacy. AIM: The aim of this study is to explore the pattern of digital health usage among medical university students and their level of awareness towards choosing online health information (OHI). METHODS: A cross-sectional study of 480 medical students from 1st, 2nd, and 3rd academic years, at the Faculty of Medicine, Helwan University, between October 2019 and October 2020. Students took an online structured questionnaire on google forms. RESULTS: Mobile smartphones were the most widely used technological devices by participants. Almost all participants used Internet daily 98.8%, with the highest preference to social media 72.5% and text messaging 74.8%. Seeking health information was a common practice for personal health-related purpose of using Internet 87.1%, despite the lack in checking the reliability of messages and quality of provider. Knowledge about advantages and disadvantages of digital tools was also deficient among participant medical students. CONCLUSION: Despite the high technology adoption among the university medical students, they lack the needed knowledge and skills for proper search, choosing, and evaluation of OHI.
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Botkin, Jeffrey R., and Maxwell J. Mehlman. "Wrongful Birth: Medical, Legal, and Philosophical Issues." Journal of Law, Medicine & Ethics 22, no. 1 (1994): 21–28. http://dx.doi.org/10.1111/j.1748-720x.1994.tb01271.x.
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“Wrongful birth” is a controversial malpractice action, which has arisen in the past two decades, secondary to an expanding knowledge of human genetics and the constitutionally protected access to abortion. Under the wrongful birth claim, parents of a child with a congenital illness or abnormality may bring suit against a physician who allegedly failed to provide appropriate prenatal counseling or information. Typically, the parents claim that they were inadequately warned of a potential problem in their child, and that this paucity of timely information prevented them from avoiding the pregnancy or from obtaining an abortion. While these cases have arisen in a variety of clinical circumstances, a characteristic example is the obstetrician who fails to offer amniocentesis to a woman of advanced maternal age who subsequently gives birth to a child with Down syndrome. Since the parents were prevented from learning of the abnormality and therefore exercising the option to terminate the pregnancy, they may claim damages for themselves for the wrongful birth of the infant.
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Zimmermann, Bettina Maria, Steffen Kolb, Fabian Zimmermann, Bernice Simone Elger, and David Shaw. "Influence of content, events and culture on the public discourse about medical genetics in Switzerland – A quantitative media content analysis." Communication and Medicine 16, no. 1 (September 15, 2020): 92–106. http://dx.doi.org/10.1558/cam.34832.
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Medical genetics is a broad and expanding field with many important implications for society, but knowledge about media coverage of this topic from recent years is lacking. This study aims to identify topics in medical genetics emerging in print media coverage in Switzerland by quantitatively analysing their occurrence in the public media discourse and assessing culturally conditioned differences between two Swiss language regions. We conducted a quantitative media content screening of print media and news agencies in the German- and French-speaking regions of Switzerland, and eight topics were identified. They demonstrate the large variety of topics in medical genetics present in public discourse. Coverage was dominated by legislative voting on genetics issues and by the preventive surgeries of the Hollywood actress Angelina Jolie. We found only small differences between the language regions, and coverage was strikingly similar for most variables.
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Meex, Ruth C. R., Patrick Schrauwen, and Matthijs K. C. Hesselink. "Modulation of myocellular fat stores: lipid droplet dynamics in health and disease." American Journal of Physiology-Regulatory, Integrative and Comparative Physiology 297, no. 4 (October 2009): R913—R924. http://dx.doi.org/10.1152/ajpregu.91053.2008.
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Storage of fatty acids as triacylglycerol (TAG) occurs in almost all mammalian tissues. Whereas adipose tissue is by far the largest storage site of fatty acids as TAG, subcellular TAG-containing structures—referred to as lipid droplets (LD)—are also present in other tissues. Until recently, LD were considered inert storage sites of energy dense fats. Nowadays, however, LD are increasingly considered dynamic functional organelles involved in many intracellular processes like lipid metabolism, vesicle trafficking, and cell signaling. Next to TAG, LD also contain other neutral lipids such as diacylglycerol. Furthermore, LD are coated by a monolayer of phospholipids decorated with a variety of proteins regulating the delicate balance between LD synthesis, growth, and degradation. Disturbances in LD-coating proteins may result in disequilibrium of TAG synthesis and degradation, giving rise to insulin-desensitizing lipid intermediates, especially in insulin-responsive tissues like skeletal muscle. For a proper and detailed understanding, more information on processes and players involved in LD synthesis and degradation is necessary. This, however, is hampered by the fact that research on LD dynamics in (human) muscle is still in its infancy. A rapidly expanding body of knowledge on LD dynamics originates from studies in other tissues and other species. Here, we aim to review the involvement of LD-coating proteins in LD formation and degradation (LD dynamics) and to extrapolate this knowledge to human skeletal muscle and to explore the role of LD dynamics in myocellular insulin sensitivity.
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Ling, Xiao, Luanfeng Wang, Yuxi Pan, and Yanchao Feng. "The Impact of Financial Literacy on Household Health Investment: Empirical Evidence from China." International Journal of Environmental Research and Public Health 20, no. 3 (January 26, 2023): 2229. http://dx.doi.org/10.3390/ijerph20032229.
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Based on the 2019 China Household Finance Survey (CHFS) data, this paper used factor analysis to measure the level of financial literacy of surveyed householders and used the Probit model and the negative binomial model to test the impact of financial literacy (FL) on household health investment (HHI). The results show that: (1) FL is an essential influencing factor in increasing participation in HHI, and householders with a higher level of FL are also more willing to pay for diversified investments. (2) We split the FL level from the two dimensions of knowledge and ability. We found that the primary FL (including financial knowledge, computing ability, and correct recognition of investment product risk) plays a more critical role in the investment decision process. (3) When information sources, health knowledge, and family income are used as mediating variables, FL can influence the decisions of HHI in three ways: expanding information sources, enriching health knowledge, and alleviating income constraints. (4) By analyzing the heterogeneity of household heads in different regions and with different personal characteristics, we found that the medical level of the household location and the life and work experience of the householders played a moderating role.
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Glenn, Zandra M., Soheyla L. Mahdavian, and Todd J. Woodard. "Preparing to Provide MTM Services." Journal of Pharmacy Practice 28, no. 1 (December 26, 2014): 6–9. http://dx.doi.org/10.1177/0897190014562349.
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Medication Therapy Management (MTM) has been a way for pharmacist to enhance their position as an integral member of the health care team as the need for improved clinical and economic outcomes in relation to the US health care system became apparent. MTM Certificate training programs are provided by numerous organizations. Collaboration Practice Agreements (CPA) are gaining significance as the role of the pharmacist is expanding in the care of patients as part of a multidisciplinary health care team. One major hurdle that many pharmacists are faced with is receiving reimbursement for the services provided. The Medicare Modernization Act of 2003 recognized that pharmacists play an important role in the management of patient care and that pharmacists bring an expertise and knowledge that will help to identify and resolve patient medication therapy problems.
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Gurung, Meenakshi, Sudha Sen Malla, Bipul Rajbhandari, and Barsha Bajracharya. "Knowledge, Attitude and Practice (KAP) on Oral Health among students of Nepalese Army Institute of Health Sciences." Medical Journal of Shree Birendra Hospital 21, no. 1 (July 7, 2022): 81–86. http://dx.doi.org/10.3126/mjsbh.v21i1.39856.
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Background: Oral health plays an important role in the overall health of the individual. Both medical and nursing students are expected to possess good oral health awareness and work together for public health promotion especially in developing countries like Nepal. The aim of the study is to assess and compare Knowledge, Attitude and Practice (KAP) on Oral Health among students of Nepalese Army Institute of Health Sciences (NAIHS) Methods: This is a cross sectional questionnaire based study conducted at Nepalese Army Institute of Health Sciences, from 2020.10.15 to 2021.04.15. A total of fourteen standard structured close ended questionnaire was sent to all the medical and nursing students in g- mail to assess and compare KAP on Oral Health. Result: Among 200 MBBS students, 157, 184, 200 had knowledge about sugar, bacteria and not brushing respectively which causes dental caries and 163 had knowledge about benefits of fluoride on dental health. On the other hand out of 200 nursing students 147, 178, 200 had knowledge about sugar, bacteria and not brushing respectively which causes dental caries and 152 had knowledge about benefits of fluoride on dental health. On an average 88% of MBBS students had good knowledge about dental caries whereas 84.62% of nursing students had good knowledge about dental caries. More of nursing students had attitude of visiting dentist in a year than medical students whereas more of medical students had never visited a dentist. Among 200 MBBS students 143 (71.5%) were found brushing twice daily, 121 (60.5%) brushes after every meal (i.e. morning and night), 35 (17.5%) followed proper vertical tooth brushing technique and as for the duration of brushing 104 (52%) brushed for 2 min. On the other hand, among 200 nursing students 152 (76%) were found brushing twice daily, 132 (66%) brushes after every meal, 43 (21.5%) followed proper vertical tooth brushing technique and as for the duration of brushing 116 (58%) brushed for 2 min. Conclusion: Based on the present study the total knowledge on dental caries was found to be significantly higher in MBBS students than nursing students however nursing students had more positive attitudes towards oral health. Oral health practice of nursing students in terms of frequency of brushing, times, method and duration of brushing was also found to be comparatively better than MBBS students. With proper knowledge of oral health behavior, medical and nursing students can play an important role in the oral health education of individuals and groups and act as role models for patients, friends, families and the community at large.