Continuing Professional Development: Reflections on a Lifelong Learning Process
Publication date: Available online 25 June 2019Source: Psychiatric Clinics of North AmericaAuthor(s): Kenneth P. Drude, Marlene Maheu, Donald M. Hilty (Source: Psychiatric Clinics of North America)
Source: Psychiatric Clinics of North America - June 25, 2019 Category: Psychiatry Source Type: research

Automatic Assessment of Full Left Ventricular Coverage in Cardiac Cine Magnetic Resonance Imaging With Fisher-Discriminative 3-D CNN
Cardiac magnetic resonance (CMR) images play a growing role in the diagnostic imaging of cardiovascular diseases. Full coverage of the left ventricle (LV), from base to apex, is a basic criterion for CMR image quality and is necessary for accurate measurement of cardiac volume and functional assessment. Incomplete coverage of the LV is identified through visual inspection, which is time consuming and usually done retrospectively in the assessment of large imaging cohorts. This paper proposes a novel automatic method for determining LV coverage from CMR images by using Fisher-discriminative three-dimensional (FD3D) convolut...
Source: IEEE Transactions on Biomedical Engineering - June 25, 2019 Category: Biomedical Engineering Source Type: research

Millimeter-Wave Adaptive Glucose Concentration Estimation With Complex-Valued Neural Networks
In this paper, we propose an adaptive glucose concentration estimation system. The system estimates glucose concentration values non-invasively by making full use of transmission magnitude and phase data. Debye relaxation model indicates that, in millimeter wave frequency range, we can acquire both a high sensitivity and a sufficient penetration depth. Based on the physical model, we choose 60–80 GHz frequency band millimeter wave. We build a single output-neuron complex-valued neural network (CVNN) for adaptive concentration estimation. Glucose water solution samples ranging from 0 to 300 mg/dL are measure...
Source: IEEE Transactions on Biomedical Engineering - June 25, 2019 Category: Biomedical Engineering Source Type: research

Augmented Reality to Improve Surgical Simulation: Lessons Learned Towards the Design of a Hybrid Laparoscopic Simulator for Cholecystectomy
In conclusion, the proposed AR simulator satisfies all the initial specifications in terms of anatomical appearance, modularity, reusability, minimization of spare parts cost, and ability to record surgical errors and to track in real-time the Calot's triangle and the laparoscope. Thus, the proposed system could be an effective training tool for learning the task of identification and isolation of Calot's triangle in laparoscopic cholecystectomy. Moreover, the presented strategy could be applied to simulate other surgical procedures involving the task of identification and isolation of generic tubular structu...
Source: IEEE Transactions on Biomedical Engineering - June 25, 2019 Category: Biomedical Engineering Source Type: research

Deep-Learning-Based Multi-Modal Fusion for Fast MR Reconstruction
T1-weighted image (T1WI) and T2-weighted image (T2WI) are the two routinely acquired magnetic resonance (MR) modalities that can provide complementary information for clinical and research usages. However, the relatively long acquisition time makes the acquired image vulnerable to motion artifacts. To speed up the imaging process, various algorithms have been proposed to reconstruct high-quality images from under-sampled k-space data. However, most of the existing algorithms only rely on mono-modality acquisition for the image reconstruction. In this paper, we propose to combine complementary MR acquisitions (i.e., T1WI an...
Source: IEEE Transactions on Biomedical Engineering - June 25, 2019 Category: Biomedical Engineering Source Type: research

High multiplicity of infection following transplantation of hepatitis C virus–positive organs
Highly effective direct-acting antivirals against hepatitis C virus (HCV) have created an opportunity to transplant organs from HCV-positive individuals into HCV-negative recipients, since de novo infection can be routinely cured. As this procedure is performed more widely, it becomes increasingly important to understand the biological underpinnings of virus transmission, especially the multiplicity of infection. Here, we used single genome sequencing of plasma virus in 4 genotype 1a HCV-positive organ donors and their 7 organ recipients to assess the genetic bottleneck associated with HCV transmission following renal and ...
Source: Journal of Clinical Investigation - June 25, 2019 Category: Biomedical Science Authors: Muhammad N. Zahid, Shuyi Wang, Gerald H. Learn, Peter L. Abt, Emily A. Blumberg, Peter P. Reese, David S. Goldberg, George M. Shaw, Katharine J. Bar Source Type: research

Development and Testing of an Accelerometer-Based Positional Monitoring System
To collect human data to train a machine learning algorithm that determines an individual ’s body position while laying, reclining, sitting, standing, and walking to help inform care. (Source: Archives of Physical Medicine and Rehabilitation)
Source: Archives of Physical Medicine and Rehabilitation - June 25, 2019 Category: Rehabilitation Authors: Sarah Moninger, Chandra Throckmorton, Leighanne Jarvis, Juliessa Pavon, Kevin Caves Source Type: research

Transformative Dialogic Literature Teaching fosters adolescents’ insight into human nature and motivation
Publication date: October 2019Source: Learning and Instruction, Volume 63Author(s): Marloes Schrijvers, Tanja Janssen, Olivia Fialho, Sven de Maeyer, Gert RijlaarsdamAbstractThis quasi-experimental study assessed the effects of the newly developed Transformative Dialogic Literature Teaching (TDLT) intervention on 15-year-old students' insight into human nature, eudaimonic reasons for reading, use of reading strategies, and motivation for literature education. Six TDLT units centered around short stories about “justice and injustice”. Students were stimulated to engage in internal dialogues with stories and in e...
Source: Learning and Instruction - June 25, 2019 Category: Psychiatry & Psychology Source Type: research

The use of sublaminar bands in treatment of spinal deformity: an operative technique
Conclusions: This novel surgical technique of sublaminar band utilization offers a user-friendly procedure with a short learning curve. This technique, if applied in the correct surgical candidates, has been proven to be a successful method of spinal deformity correction in pediatric spinal fusions. Level of Evidence: Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - June 25, 2019 Category: Orthopaedics Tags: Innovations in Practice Source Type: research

Noradrenergic dysfunction accelerates LPS-elicited inflammation-related ascending sequential neurodegeneration and deficits in non-motor/motor functions
Publication date: Available online 24 June 2019Source: Brain, Behavior, and ImmunityAuthor(s): Sheng Song, Qingshan Wang, Lulu Jiang, Esteban Oyarzabal, Natallia V. Riddick, Belinda Wilson, Sheryl S. Moy, Yen-Yu Ian Shih, Jau-Shyong HongAbstractThe loss of central norepinephrine (NE) released by neurons of the locus coeruleus (LC) occurs with aging, and is thought to be an important factor in producing the many of the nonmotor symptoms and exacerbating the degenerative process in animal models of Parkinson’s disease (PD). We hypothesize that selectively depleting noradrenergic LC neurons prior to the induction of chr...
Source: Brain, Behavior, and Immunity - June 25, 2019 Category: Neurology Source Type: research

Analysis of Perceptual Expertise in Radiology – Current Knowledge and a New Perspective
Radiologists rely principally on visual inspection to detect, describe, and classify findings in medical images. As most interpretive errors in radiology are perceptual in nature, understanding the path to radiologic expertise during image analysis is essential to educate future generations of radiologists. We review the perceptual tasks and challenges in radiologic diagnosis, discuss models of radiologic image perception, consider the application of perceptual learning methods in medical training, and suggest a new approach to understanding perceptional expertise. Specific principled enhancements to educational practices ...
Source: Frontiers in Human Neuroscience - June 25, 2019 Category: Neuroscience Source Type: research

Sensors, Vol. 19, Pages 2828: An Evaluation Method of Safe Driving for Senior Adults Using ECG Signals
Lee The elderly are more susceptible to stress than younger people. In particular, heart palpitations are one of the causes of heart failure, which can lead to serious accidents. To prevent heart palpitations, we have devised the Safe Driving Intensity (SDI) and Cardiac Reaction Time (CRT) as new methods of estimating the correlations between effects on the driver’s heart and the movement of a vehicle. In SDI measurement, recommended acceleration value of vehicle for safe driving is inferred from the suggested correlation algorithm using machine learning. A higher SDI value than other people means less pr...
Source: Sensors - June 25, 2019 Category: Biotechnology Authors: Dong-Woo Koh Sang-Goog Lee Tags: Article Source Type: research

IJERPH, Vol. 16, Pages 2231: Relationship between Parental Socialization, Emotional Symptoms, and Academic Performance during Adolescence: The Influence of Parents ’ and Teenagers’ Gender
This study is considered a starting point for a theoretical model predicting academic performance and psychological and school maladjustment among teenagers. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - June 25, 2019 Category: Environmental Health Authors: Paola Bully Joana Jaureguizar Elena Bernaras Iratxe Redondo Tags: Article Source Type: research

Spectral signatures of serotonergic psychedelics and glutamatergic dissociatives
Publication date: Available online 24 June 2019Source: NeuroImageAuthor(s): Carla Pallavicini, Martina G. Vilas, Mirta Villarreal, Federico Zamberlan, Suresh Muthukumaraswamy, David Nutt, Robin Carhart-Harris, Enzo TagliazucchiAbstractClassic serotonergic psychedelics are remarkable for their capacity to induce reversible alterations in consciousness of the self and the surroundings, mediated by agonism at serotonin 5-HT2A receptors. The subjective effects elicited by dissociative drugs acting as N-methyl-D-aspartate (NMDA) antagonists (e.g. ketamine and phencyclidine) overlap in certain domains with those of serotonergic ...
Source: NeuroImage - June 24, 2019 Category: Neuroscience Source Type: research

Addressing intimate partner violence with clients
Professional clinical counselors are charged with learning how to spot red flags and then carefully respond to a complicated and emotionally charged issue that is present in an uncomfortably large percentage of intimate relationships. The post Addressing intimate partner violence with clients appeared first on Counseling Today. (Source: Counseling Today)
Source: Counseling Today - June 24, 2019 Category: Psychiatry & Psychology Authors: By Bethany Bray Tags: Counseling Today Cover Stories Couples domestic violence sexual abuse shame trauma Source Type: research

3D-CNN based Discrimination of Schizophrenia using Resting-state fMRI
This study reports a framework to discriminate patients with schizophrenia and normal healthy control subjects, based on magnetic resonance imaging (MRI) of the brain. Resting-state functional MRI data from a total of 144 subjects (72 patients with schizophrenia and 72 healthy controls) was obtained from a publicly available dataset using a three-dimensional convolution neural network 3D-CNN based deep learning classification framework and ICA based features.ResultsWe achieved 98.09 ± 1.01% ten-fold cross-validated classification accuracy with a p-value
Source: Artificial Intelligence in Medicine - June 24, 2019 Category: Bioinformatics Source Type: research

Robust biomarker discovery for microbiome-wide association studies
Publication date: Available online 22 June 2019Source: MethodsAuthor(s): Qiang Zhu, Bojing Li, Tingting He, Guangrong Li, Xingpeng JiangAbstractAccording to the advances of high-throughput sequencing technology, massive microbiome data accumulated from environmental investigations to human studies. The microbiome-wide association studies are to study the relationship between the microbiome and human health or environment. Recently, Deep Neural Networks (DNNs) are encouraging due to their layer-wise learning ability for representation learning. However, DNNs are considered as black boxes and they require a large amount of t...
Source: Methods - June 24, 2019 Category: Molecular Biology Source Type: research

Process Intensification by Applying Chemical Looping in Natural Gas to Dimethyl Ether Conversion Process – Implications for Process Design Education
Publication date: Available online 22 June 2019Source: Chemical Engineering and Processing - Process IntensificationAuthor(s): Fanhe Kong, David TomaskoAbstractProcess intensification (PI) is an important concept in the profession of chemical engineering. In this article, we use the chemical looping reforming for dimethylether synthesis (CLR-DME) as an example to explain five aspects of PI and how they can be achieved by utilizing chemical looping to replace the conventional autothermal reforming (ATR-DME) process. Two CLR-DME process configurations, one with single reducer and the other with modular reducers, are modeled ...
Source: Chemical Engineering and Processing: Process Intensification - June 24, 2019 Category: Chemistry Source Type: research

Improving the safety of atrial fibrillation monitoring systems through human verification
Publication date: October 2019Source: Safety Science, Volume 118Author(s): Oliver Faust, Edward J. Ciaccio, Arshad Majid, U. Rajendra AcharyaAbstractIn this paper we propose a hybrid decision-making process for medical diagnosis. The hypothesis tested is that a deep learning system can provide real-time monitoring of Atrial Fibrillation (AF), a prevalent heart arrhythmia, and a human cardiologist will then verify the results and reach a diagnosis. The verification step adds the necessary checks and balances to increase the safety of the computer-based diagnostic process.In order to test hybrid-decision making, we created a...
Source: Safety Science - June 24, 2019 Category: Occupational Health Source Type: research

Deep CNN models for pulmonary nodule classification: model modification, model integration, and transfer learning.
CONCLUSIONS: Model modification, model integration, and transfer learning can play important roles to identify and generate optimal deep CNN models in classifying pulmonary nodules based on CT images efficiently. Transfer learning is preferred when applying deep learning to medical imaging applications. PMID: 31227682 [PubMed - as supplied by publisher] (Source: Journal of X-Ray Science and Technology)
Source: Journal of X-Ray Science and Technology - June 24, 2019 Category: Radiology Tags: J Xray Sci Technol Source Type: research

Few-view CT image reconstruction using improved total variation regularization.
In this study, we proposed and tested a new algorithm that combines penalized weighted least-squares using total generalized variation (PWLS-TGV) and dictionary learning (DL), named PWLS-TGV-DL to address this challenge. We first presented and tested this new algorithm and evaluated it through both data simulation and physical experiments. We then analyzed experimental data in terms of image qualitative and quantitative measures, such as the structural similarity index (SSIM) and the root mean square error (RMSE). The experiments and data analysis indicated that applying the new algorithm to CT data recovered images more e...
Source: Journal of X-Ray Science and Technology - June 24, 2019 Category: Radiology Tags: J Xray Sci Technol Source Type: research

Effectiveness of a self-directed learning program using blended coaching among nursing students in clinical practice: a quasi-experimental research design
New educational approaches may be necessary to enhance competency in the new generation of students. Self-directed learning and blended coaching have been effective strategies to meet this challenge. However, ... (Source: BMC Medical Education)
Source: BMC Medical Education - June 24, 2019 Category: Universities & Medical Training Authors: Gie-Ok Noh and Dong Hee Kim Tags: Research article Source Type: research

Is hybrid-PBL advancing teaching in biomedicine? A systematic review
The impact of instructional guidance on learning outcomes in higher biomedical education is subject of intense debate. There is the teacher-centered or traditional way of teaching (TT) and, on the other side, ... (Source: BMC Medical Education)
Source: BMC Medical Education - June 24, 2019 Category: Universities & Medical Training Authors: Rodrigo Jim énez-Saiz and Domenico Rosace Tags: Research article Source Type: research

Exercise-induced enhancement of synaptic function triggered by the inverse BAR protein, Mtss1L
Exercise is a potent enhancer of learning and memory, yet we know little of the underlying mechanisms that likely include alterations in synaptic efficacy in the hippocampus. To address this issue, we exposed mice to a single episode of voluntary exercise, and permanently marked activated mature hippocampal dentate granule cells using conditional Fos-TRAP mice. Exercise-activated neurons (Fos-TRAPed) showed an input-selective increase in dendritic spines and excitatory postsynaptic currents at 3 days post-exercise, indicative of exercise-induced structural plasticity. Laser-capture microdissection and RNASeq of activated n...
Source: eLife - June 24, 2019 Category: Biomedical Science Tags: Neuroscience Source Type: research

A N400 ERP Study in letter recognition after passive tactile stimulation training in blind children and sighted controls.
CONCLUSIONS: Blind children learn to recognize SSD-delivered letters better than seeing controls and had greater N400 amplitude in the occipital region. To the best of our knowledge, our results provide the first published example of standard letter recognition (not Braille) by children with blindness using a tactile delivery system. PMID: 31227674 [PubMed - in process] (Source: Restorative Neurology and Neuroscience)
Source: Restorative Neurology and Neuroscience - June 24, 2019 Category: Neurology Tags: Restor Neurol Neurosci Source Type: research

The effects of five sessions of continuous theta burst stimulation over contralesional sensorimotor cortex paired with paretic skilled motor practice in people with chronic stroke.
CONCLUSIONS: Multiple sessions of STT practice can improve paretic arm function and decrease TCI bilaterally, with no additional benefit of prior cTBS. Our results suggest that improvement in STT practice following M1c cTBS scaled with change in paretic arm function in some individuals. Our results highlight the need for a better understanding of the mechanisms of cTBS to effectively identify who may benefit from this form of brain stimulation. PMID: 31227676 [PubMed - in process] (Source: Restorative Neurology and Neuroscience)
Source: Restorative Neurology and Neuroscience - June 24, 2019 Category: Neurology Tags: Restor Neurol Neurosci Source Type: research

Learning to use past evidence in a sophisticated world model
by Sanjeevan Ahilan, Rebecca B. Solomon, Yannick-Andr é Breton, Kent Conover, Ritwik K. Niyogi, Peter Shizgal, Peter Dayan Humans and other animals are able to discover underlying statistical structure in their environments and exploit it to achieve efficient and effective performance. However, such structure is often difficult to learn and use because it is obscure, involving long-range temporal dependencies. Here, w e analysed behavioural data from an extended experiment with rats, showing that the subjects learned the underlying statistical structure, albeit suffering at times from immediate inferential imperfec...
Source: PLoS Computational Biology - June 24, 2019 Category: Biology Authors: Sanjeevan Ahilan Source Type: research

Involving Older Adults in Developing Physical Activity Interventions to Promote Engagement: a Literature Review
AbstractPhysical activity (PA) is associated with health benefits, with policy across the world focussing on increasing participation. Yet uptake and adherence to PA amongst older adults remains below the recommended 150  min/week. This review aims to identify how older adults have been involved in the design, delivery, implementation and promotion of interventions to promote PA uptake and adherence, and whether there are any recorded benefits of this involvement. Systematic searches of CINAHL, Embase, HMIC, MEDLIN E, PsychINFO, Social Policy and Practice and the SSCI were undertaken. Inclusion/exclusion criteria were...
Source: Journal of Population Ageing - June 24, 2019 Category: International Medicine & Public Health Source Type: research

Quality and Data Science
Applications of data science technologies including machine learning and artificial intelligence (AI) for the radiologic sciences are rapidly proliferating. Although image analysis has captured much of our attention, AI and advanced data analytics tools to improve quality, workflow, and patient experience are gaining importance [1,2]. The Triple Aim for health care in  the United States [3], later modified to the Quadruple Aim [4,5], proposes four areas for performance improvement in medicine: improving the overall health of the population, improving the individual experience of care, improving the work life of health...
Source: Journal of the American College of Radiology : JACR - June 24, 2019 Category: Radiology Authors: Bibb Allen, Tessa S. Cook, Jacqueline A. Bello Tags: Introduction to the special issue Source Type: research

The role of feedback in training psychiatrists
The Journal of Mental Health Training, Education and Practice, Ahead of Print. Purpose Feedback is a tool that informs students about their learning process and facilitates necessary changes. It looks for the students ’ own perceptions of their performance and how to improve it, developing permanent learning skills vital for autonomous practice. It is useful for improving one’s performance, clinical skills, communication and treatment of patients. If carried out improperly, it causes a lack of motivation and a collapse in the teacher–student relationship. The purpose of this paper is to analyze the percep...
Source: The Journal of Mental Health Training, Education and Practice - June 24, 2019 Category: Psychiatry & Psychology Source Type: research

Lifelong learning A higher order of consciousness and a construct for faculty development
Learning is an element of human personal and professional development that occurs throughout life in a variety of informal and formal contexts. Meaning making, a process in which people construct meaning of events and experiences that are part of and shape our existence, represents an informal context of learning in that thinking and reflection is all that is required to accomplish this type of learning. Our meaning making equates to informal learning that develops through a lens in which we create meaning of our experiences. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - June 24, 2019 Category: ENT & OMF Authors: Eric R. Carlson Source Type: research

Cadaveric simulation training in cardiothoracic surgery: A systematic review
This article is protected by copyright. All rights reserved. (Source: Anatomical Sciences Education)
Source: Anatomical Sciences Education - June 24, 2019 Category: Anatomy Authors: Davida A. Robinson, Diane T. Piekut, Linda Hasman, Peter A. Knight Tags: Relevant Review Source Type: research

Creating Guardians of Physiologic Birth: The Development of an Educational Initiative for Student Midwives in the Netherlands
AbstractWomen want positive birth experiences with high quality maternity care that is neither too much, too soon, nor too little, too late. Research confirms the effectiveness of midwifery care, and the midwifery approach to birth as physiologic may counter the upward trend of the unnecessary medicalization of birth. The role of guardian of physiologic birth is seen as central to midwifery practice; however, medical hegemony has led to the subordination of midwives, which inhibits them in fulfilling the role as guardian of physiologic birth. Learning to become powerful advocates of physiologic birth creates midwives able ...
Source: Journal of Midwifery and Women's Health - June 24, 2019 Category: Midwifery Authors: Suzanne M. Thompson, Marianne J. Nieuwenhuijze, Lisa Kane Low, Raymond Vries Tags: Brief Report Source Type: research

Sensors, Vol. 19, Pages 2811: A Low-Cost, Wireless, 3-D-Printed Custom Armband for sEMG Hand Gesture Recognition
ette Benoit Gosselin Wearable technology can be employed to elevate the abilities of humans to perform demanding and complex tasks more efficiently. Armbands capable of surface electromyography (sEMG) are attractive and noninvasive devices from which human intent can be derived by leveraging machine learning. However, the sEMG acquisition systems currently available tend to be prohibitively costly for personal use or sacrifice wearability or signal quality to be more affordable. This work introduces the 3DC Armband designed by the Biomedical Microsystems Laboratory in Laval University; a wireless, 10-channel, 1000 sp...
Source: Sensors - June 24, 2019 Category: Biotechnology Authors: Ulysse C ôté-Allard Gabriel Gagnon-Turcotte Fran çois Laviolette Benoit Gosselin Tags: Article Source Type: research

Sensors, Vol. 19, Pages 2817: A Secure and Efficient Digital-Data-Sharing System for Cloud Environments
This study addressed these challenges to create a system that preserves the benefits of combining digital sharing systems and cloud computing. A cloud-based and learner-centered access control mechanism suitable for multi-user digital sharing was developed. The proposed mechanism resolves the problems concerning multi-user access requests in cloud environments and dynamic updating in digital-sharing systems, thereby reducing the complexity of security management. (Source: Sensors)
Source: Sensors - June 24, 2019 Category: Biotechnology Authors: Zhen-Yu Wu Tags: Article Source Type: research

Perceptions of organizational readiness for training and implementation of clinic-based community health workers
Journal of Health Organization and Management, Ahead of Print. Purpose The purpose of this paper is to assess perceptions of organizational readiness to integrate clinic-based community health workers (cCHWs) between traditional CHWs and potential cCHW employers and their staff in order to inform training and implementation models. Design/methodology/approach A cross-sectional mixed-methods approach evaluated readiness to change perceptions of traditional CHWs and potential employers and their staff. Quantitative methods included a printed survey for CHWs and online surveys in Qualtrics for employers/staff. Data were analy...
Source: Journal of Health, Organisation and Management - June 24, 2019 Category: Health Management Source Type: research

Paediatric Colonoscopy Direct Observation of Procedural Skills: Evidence of Validity and Competency Development
Introduction: The paediatric series of direct observation of procedural skills (DOPS) were introduced into the UK national endoscopy training curriculum in 2016, but lack validity evidence. We aimed to present validity evidence for paediatric colonoscopy DOPS and study competency development in a national trainee cohort. Methods: This prospective UK-wide study analysed formative paediatric colonoscopy DOPS which were submitted to the e-Portfolio between 2016 and 2018. Item, domain, and average DOPS scores were correlated with the overall DOPS rating to evidence internal structure validity. Overall DOPS ratings were co...
Source: Journal of Pediatric Gastroenterology and Nutrition - June 23, 2019 Category: Gastroenterology Tags: Original Articles: Gastroenterology Source Type: research

Artificial intelligence and machine learning for predicting acute kidney injury in severely burned patients: A proof of concept
ConclusionsThe performance of UOP and creatinine for predicting AKI could be enhanced by with a ML algorithm using a k-NN approach when NGAL is not available. Additional studies are needed to verify performance of ML for burn-related AKI. (Source: Burns)
Source: Burns - June 23, 2019 Category: Dermatology Source Type: research

Nonviral Injection-Related Injuries in Persons Who Inject Drugs: Skin and Soft Tissue Infection, Vascular Damage, and Wounds
GENERAL PURPOSE To explore skin and soft-tissue infections and vascular damage in persons who inject drugs and relate these changes to wound development and care. TARGET AUDIENCE This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES After participating in this educational activity, the participant should be better able to: 1. Review the issues surrounding wound infections in persons who inject drugs. 2. Describe the risk factors and manifestations of wound infections in persons who ...
Source: Advances in Skin and Wound Care - June 23, 2019 Category: Dermatology Tags: FEATURES: CLINICAL MANAGEMENT EXTRA Source Type: research

Electroacupuncture Mitigates Hippocampal Cognitive Impairments by Reducing BACE1 Deposition and Activating PKA in APP/PS1 Double Transgenic Mice.
This study examined the effects of electroacupuncture (EA) stimulation on BACE1, APP, and p-PKA protein levels in hippocampal tissue samples. Memory and learning abilities were assessed using the Morris water maze test after EA intervention. Immunofluorescence, immunohistochemistry, and western blot were employed to assess the distribution patterns and expression levels of BACE1, APP, and p-PKA, respectively. The results showed the downregulation of BACE1 and APP and the activation of PKA by EA. In summary, EA treatment might reduce BACE1 deposition in APP/PS1 transgenic mice and regulate PKA and its associated substrates,...
Source: Neural Plasticity - June 23, 2019 Category: Neurology Authors: Tang Y, Shao S, Guo Y, Zhou Y, Cao J, Xu A, Wu J, Li Z, Xiang D Tags: Neural Plast Source Type: research

The Surgeon as Educator
Surgical education in 2019 faces may challenges to maintain the high standards of excellence achieved in prior generations of learners and trainers in cardiothoracic surgery. This compendium hopes to review the current and future strategies in surgical education. The topics include the adult learner, assessing competence, providing formative feedback, developing strategies to minimize implicit bias, optimizing education in the operating room, effective classroom teaching, the future of e-learning, the alternative curriculum, teaching mentorship and coaching, deliberate practice and simulation, faculty development, the pote...
Source: Thoracic Surgery Clinics - June 23, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Edward D. Verrier Source Type: research

How Does the Adult Surgeon Learn?
Both the breadth of knowledge and range of technical skills that residents are now expected to master prior to graduation have grown exponentially. A unique challenge that sets surgical education apart from medical education is that surgery as a specialty requires not only the mastery of complex physiology, anatomy, and disease processes but also the ability to interpret and apply that knowledge in the operating room. To be effective educators, it is imperative to understand the theoretic foundation of how adults learn. (Source: Thoracic Surgery Clinics)
Source: Thoracic Surgery Clinics - June 23, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kathleen Berfield Source Type: research

Flipping the Classroom
Classic classroom education emphasizes the teacher imparting knowledge, experience, or wisdom (pedagogy). Adult educational theory indicates learning is optimized in an experiential setting, where the learner prepares, the session is case based, and the responsibility of the educator is to teach what the learner does not know. This is referred to as “flipping the classroom.” Flipping the classroom is not simple, as the historical educational culture often changes; and, at least early in the transition process, different expectations, preparation, or training are essential for both the learner and educator for t...
Source: Thoracic Surgery Clinics - June 23, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Joshua L. Hermsen, Nahush A. Mokadam, Edward D. Verrier Source Type: research

Speech difficulties at school entry are a significant risk factor for later reading difficulties
This study examined the relationship between speech difficulties at school entry and problems learning to read. We test the hypothesis that phonological skills explain the relationship between speech and reading difficulties. Speech skills were assessed in a large (N = 569) unselected sample of 5-year old children just after school entry. Children also completed a wide range of tasks measuring oral language (expressive vocabulary, receptive grammar and listening comprehension), reading and reading-related skills (single word reading, letter-sound knowledge, phoneme awareness, rapid automatized naming) and non-verbal IQ...
Source: Early Childhood Research Quarterly - June 23, 2019 Category: Child Development Source Type: research

IJERPH, Vol. 16, Pages 2218: Associations between Profiles of Self-Esteem and Achievement Goals and the Protection of Self-Worth in University Students
acute;ñez Bibiana Regueiro The high demands of academia and the fear of failure lead some university students to prioritize defending their personal worth through the use of complex strategies such as self-handicapping or defensive pessimism. Adopting a person-centered approach, this study established two objectives: First, to analyze the conformation of different motivational profiles based on the combination of self-esteem and achievement goals (learning, performance approach, and performance avoidance); and second, to determine if the identified profiles differ from one another in the use of self-handicappi...
Source: International Journal of Environmental Research and Public Health - June 23, 2019 Category: Environmental Health Authors: Mar ía del Mar Ferradás Carlos Freire Jos é Carlos Núñez Bibiana Regueiro Tags: Article Source Type: research

Sensors, Vol. 19, Pages 2809: A Literature Review: Geometric Methods and Their Applications in Human-Related Analysis
ang Faming Gong Geometric features, such as the topological and manifold properties, are utilized to extract geometric properties. Geometric methods that exploit the applications of geometrics, e.g., geometric features, are widely used in computer graphics and computer vision problems. This review presents a literature review on geometric concepts, geometric methods, and their applications in human-related analysis, e.g., human shape analysis, human pose analysis, and human action analysis. This review proposes to categorize geometric methods based on the scope of the geometric properties that are extracted: object-o...
Source: Sensors - June 23, 2019 Category: Biotechnology Authors: Wenjuan Gong Bin Zhang Chaoqi Wang Hanbing Yue Chuantao Li Linjie Xing Yu Qiao Weishan Zhang Faming Gong Tags: Article Source Type: research

Effect of stress on learning and motivation-relevance to autism spectrum disorder.
Authors: Theoharides TC, Kavalioti M Abstract Learning and motivation are critical in the development of children, and to their acquisition of knowledge and skills. A case in point is autism spectrum disorder (ASD), a neurodevelopmental condition characterized by impaired social interactions and communication, as well as by stereotypic movements. Maternal stress has been strongly associated with increased risk of developing ASD. Children experience multiple stressors such as separation anxiety, fear of the unknown, physical and/or emotional trauma, bullying, as well as environmental exposures. Stress is well known ...
Source: International Journal of Immunopathology and Pharmacology - June 22, 2019 Category: Allergy & Immunology Tags: Int J Immunopathol Pharmacol Source Type: research

Eight wonders of the human brain
Publication date: 22 June 2019Source: New Scientist, Volume 242, Issue 3235Author(s): New ScientistThe more we learn about our command centre, the more mysteries arise. New Scientist goes in search of the biggest (Source: New Scientist)
Source: New Scientist - June 22, 2019 Category: Science Source Type: research

Aquatic exercise for health: probing the depths of hiit for cardiometabolic training
Apply It! Learn how to integrate aquatic activities as part of a well-rounded program for patients or clients who could benefit from immersion and/or exercise in water.Advocate for a shallow water aquatic interval exercise Rx to clients who aim to expand their volume and intensity of activities without increased risk for injury.Use water’s properties within the context of safe training principles to prescribe a water-specific exercise prescription that can effectively offer clients a “gateway” to adopting a fun alternative to traditional land-based training options (Source: ACSMs Health and Fitness Journal)
Source: ACSMs Health and Fitness Journal - June 22, 2019 Category: Sports Medicine Tags: Features Source Type: research

Early History of Amnesia.
Authors: Langer KG Abstract Memory and forgetfulness have been viewed since antiquity from perspectives of physical, emotional, and spiritual states of well-being, and conceptualized philosophically. Numerous discussions of memory loss, or case reports, existed, but a fundamental advance in conceptualization of memory loss as a pathological clinical phenomenon originated when Sauvages classified "amnesia" as a medical disorder, in 1763. Originally, amnesia was recognized as a weakening or dissolution of memory, according to a taxonomy that ascribed known causes to the disorder. Etiologic factors included ...
Source: Frontiers of Neurology and Neuroscience - June 22, 2019 Category: Neuroscience Tags: Front Neurol Neurosci Source Type: research