Computed Tomography –Based Differentiation of Benign and Malignant Craniofacial Lesions in Neurofibromatosis Type I Patients: A Machine Learning Approach
Conclusion: The Keras-based machine learning technique showed the potential of robust diagnostic performance in the differentiation of craniofacial MPNSTs and benign neurofibromas in NF1 patients using CT images. However, the model has limited generalizability when applied to other body areas. With more clinical data accumulating in the model, this system may support clinical doctors in the primary screening of true MPNSTs from benign lesions in NF1 patients. (Source: Frontiers in Oncology)
Source: Frontiers in Oncology - July 31, 2020 Category: Cancer & Oncology Source Type: research

Laparoscopic Approach to Rectal Cancer —The New Standard?
Minimally invasive surgery has revolutionized the way surgeons perform colorectal surgery, and new technologies continually upend the way surgeons view and operate within the deep pelvis. Among other benefits, it is associated with decreased lengths of stay, wound and surgical site infections, pain scores, and has an overall lower complication rate vs. open surgery (1). Recently, however, the role of minimally invasive surgery has been called into question in the effective and safe treatment of rectal cancer. This manuscript will outline the history of minimally invasive rectal cancer surgery, examine evidence detailing it...
Source: Frontiers in Oncology - July 31, 2020 Category: Cancer & Oncology Source Type: research

Learning From Artemisia ’s Lucretia: Embodied Suffering and Interoception in Suicide
In the painting “Lucretia,” Artemisia Gentileschi, one of the major painters of the 17th century, depicts Lucretia’s suicide. This artwork empathic vision offers the spectator the apprehension of a unique phenomenon where psychological pain is transformed into self-aggression. To understand why the body becomes an object to attack, it is important to study the role of interoception and self-awareness in the suicidal process. This essay discusses how bodily representations are crucial for interacting efficiently and safely with the outside world and for establishing the sense of self. It presents some of t...
Source: Frontiers in Psychiatry - July 31, 2020 Category: Psychiatry Source Type: research

Sensors, Vol. 20, Pages 4291: An Edge Based Multi-Agent Auto Communication Method for Traffic Light Control
gguo Zhou With smart city infrastructures growing, the Internet of Things (IoT) has been widely used in the intelligent transportation systems (ITS). The traditional adaptive traffic signal control method based on reinforcement learning (RL) has expanded from one intersection to multiple intersections. In this paper, we propose a multi-agent auto communication (MAAC) algorithm, which is an innovative adaptive global traffic light control method based on multi-agent reinforcement learning (MARL) and an auto communication protocol in edge computing architecture. The MAAC algorithm combines multi-agent auto communication ...
Source: Sensors - July 31, 2020 Category: Biotechnology Authors: Qiang Wu Jianqing Wu Jun Shen Binbin Yong Qingguo Zhou Tags: Article Source Type: research

Sensors, Vol. 20, Pages 4271: Deep Transfer Learning for Time Series Data Based on Sensor Modality Classification
Marcin Grzegorzek The scarcity of labelled time-series data can hinder a proper training of deep learning models. This is especially relevant for the growing field of ubiquitous computing, where data coming from wearable devices have to be analysed using pattern recognition techniques to provide meaningful applications. To address this problem, we propose a transfer learning method based on attributing sensor modality labels to a large amount of time-series data collected from various application fields. Using these data, our method firstly trains a Deep Neural Network (DNN) that can learn general characteristics of...
Source: Sensors - July 31, 2020 Category: Biotechnology Authors: Fr édéric Li Kimiaki Shirahama Muhammad Adeel Nisar Xinyu Huang Marcin Grzegorzek Tags: Article Source Type: research

Molecules, Vol. 25, Pages 3486: A Novel Hybrid Model Based on a Feedforward Neural Network and One Step Secant Algorithm for Prediction of Load-Bearing Capacity of Rectangular Concrete-Filled Steel Tube Columns
In this study, a novel hybrid surrogate machine learning model based on a feedforward neural network (FNN) and one step secant algorithm (OSS) was developed to predict the load-bearing capacity of concrete-filled steel tube columns (CFST), whereas the OSS was used to optimize the weights and bias of the FNN for developing a hybrid model (FNN-OSS). For achieving this goal, an experimental database containing 422 instances was firstly gathered from the literature and used to develop the FNN-OSS algorithm. The input variables in the database contained the geometrical characteristics of CFST columns, and the mechanical propert...
Source: Molecules - July 31, 2020 Category: Chemistry Authors: Quang Hung Nguyen Hai-Bang Ly Van Quan Tran Thuy-Anh Nguyen Viet-Hung Phan Tien-Thinh Le Binh Thai Pham Tags: Article Source Type: research

A revolution in biochemistry and molecular biology education informed by basic research to meet the demands of 21st century career paths [Methods and Resources]
The National Science Foundation estimates that 80% of the jobs available during the next decade will require math and science skills, dictating that programs in biochemistry and molecular biology must be transformative and use new pedagogical approaches and experiential learning for careers in industry, research, education, engineering, health-care professions, and other interdisciplinary fields. These efforts require an environment that values the individual student and integrates recent advances from the primary literature in the discipline, experimentally directed research, data collection and analysis, and scientific w...
Source: Journal of Biological Chemistry - July 31, 2020 Category: Chemistry Authors: Paul N. Black Tags: ASBMB Award Articles Source Type: research

Using Deductive Reasoning to Identify Unhappy Communities
AbstractThe complex interplay between media and population sentiment is a well-known, yet hard to model, phenomenon. The extrema of individual sentiment (euphoria and depression) are known to be correlated with people ’s social interaction, including activity in forums and social-media sites. Yet causality direction of this correlation still requires scrutiny and scientific analysis. The difficulty of such analysis comes, first and foremost, from the complexity of sentiment quantification. It is even more diffi cult to measure a shared sentiment of a community, due to the echo chamber effect. In addition, media analy...
Source: Social Indicators Research - July 31, 2020 Category: International Medicine & Public Health Source Type: research

Augmented reality for inner ear procedures: visualization of the cochlear central axis in microscopic videos
ConclusionWe developed an augmented reality system to visualize the cochlear axis in intraoperative videos. The system yielded millimetric accuracy and remained stable throughout the experimental study despite camera movements throughout the procedure in experimental conditions. (Source: International Journal of Computer Assisted Radiology and Surgery)
Source: International Journal of Computer Assisted Radiology and Surgery - July 31, 2020 Category: Intensive Care Source Type: research

IJERPH, Vol. 17, Pages 5531: A Study Protocol to Determine Heat-Related Health Impacts among Primary Schoolchildren in South Africa
hirinde Climate models predict that the global average temperature of Earth will rise in the future. Studies show that high classroom temperatures can affect the ability of the student to learn and function. It is important to understand the impact that heat will have on the health, wellbeing, and academic performance of learners, as they spend a significant amount of time in classrooms compared to any other environment. A follow-up panel study among 20 public primary schools in the Gauteng province (South Africa) will be carried out, in which Grade 4 learners will be selected to complete an hourly heat-health symptom ...
Source: International Journal of Environmental Research and Public Health - July 31, 2020 Category: Environmental Health Authors: Shalin Bidassey-Manilal Caradee Yael Wright Thandi Kapwata Joyce Shirinde Tags: Protocol Source Type: research

Early Prediction of Clinical Response to Etanercept Treatment in Juvenile Idiopathic Arthritis Using Machine Learning
ConclusionA pre-administration model with good prediction performance for etanercept response in JIA was developed using advanced machine learning algorithms. Clinicians and pharmacists can use this simple and accurate model to predict etanercept response of JIA early and avoid treatment failure or adverse effects. (Source: Frontiers in Pharmacology)
Source: Frontiers in Pharmacology - July 31, 2020 Category: Drugs & Pharmacology Source Type: research

EARLI title page
Publication date: October 2020Source: Learning and Instruction, Volume 69Author(s): (Source: Learning and Instruction)
Source: Learning and Instruction - July 30, 2020 Category: Psychiatry & Psychology Source Type: research

EARLI Association News
Publication date: October 2020Source: Learning and Instruction, Volume 69Author(s): (Source: Learning and Instruction)
Source: Learning and Instruction - July 30, 2020 Category: Psychiatry & Psychology Source Type: research

Editorial board/Publication information
Publication date: October 2020Source: Learning and Instruction, Volume 69Author(s): (Source: Learning and Instruction)
Source: Learning and Instruction - July 30, 2020 Category: Psychiatry & Psychology Source Type: research

Coffee in the Collaboratory: A Collegial Club for Nursing Faculty.
Discussions are spontaneous and fun in this relaxed and friendly environment. A "Coffee in the Collaboratory" meeting can be beneficial in both academic and clinical settings by providing time and space for nurse educators to get together and explore innovative teaching strategies. [J Contin Educ Nurs. 2020;51(8):387-388.]. PMID: 32722817 [PubMed - in process] (Source: Journal of Continuing Education in Nursing)
Source: Journal of Continuing Education in Nursing - July 30, 2020 Category: Nursing Authors: Roche CC, Jennings M, Wingo NP Tags: J Contin Educ Nurs Source Type: research

[Quality criteria for university-based practical learning in nursing: Results of a Delphi method].
CONCLUSION: The criteria developed should be a tool to leverage quality, that is to improve the practical learning part of the nursing study programs. The addressees include representatives of universities and healthcare institutions taking take part in the fundamental academic qualification in nursing care. The results provide guidance for the selection and the design of strategic and operational cooperation. Furthermore, the criteria can be used as a basis for the certification of academic teaching institutions. PMID: 32718883 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Quali...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - July 30, 2020 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

A one- and two-phased model of aimed movement with eye-hand incompatibility.
Abstract Aimed movement is ubiquitous and has been extensively investigated. However, little research exists when the hand movements are incompatible with eye movements such as when viewing through a mirror or when performing laparoscopic surgery. An experiment was designed to investigate how individuals perform under one-dimensional and two-dimensional inversion with direct viewing as a reference condition. Twenty-four right-handed university students participated in this experiment and completed all aimed movements with a full-factorial design of movement amplitude at three levels and index of difficulty at 10-l...
Source: Human Movement Science - July 30, 2020 Category: Neurology Authors: Wang Y, Goonetilleke RS Tags: Hum Mov Sci Source Type: research

A test of optimal theory on young adolescents' standing long jump performance and motivation.
We examined how integrating an EF into EE and AS interventions would impact young adolescents' standing long jump performance and self-efficacy, perceived competence, task effort, task importance and positive affect. Forty-eight participants completed 3 jumps in a baseline, EF (focus on jumping towards the cone), EE-EF (positive social-comparative feedback/high success probability) and AS-EF (self-definition of success) conditions. Both the EF and AS-EF conditions (but not the EE-EF condition) improved jump performance from baseline. The EF, EE-EF and AS-EF conditions improved young adolescents' self-efficacy, perceived co...
Source: Human Movement Science - July 30, 2020 Category: Neurology Authors: Simpson T, Cronin L, Ellison P, Carnegie E, Marchant D Tags: Hum Mov Sci Source Type: research

The impact of graphomotor demands on letter-like shapes recognition: A comparison between hampered and normal handwriting.
Abstract Recent research suggests that graphic motor programs acquired through writing are part of letter representations and contribute to their recognition. Indeed, learning new letter-like shapes through handwriting gave rise to better recognition than learning through methods suppressing the graphomotor activity (e.g., typing or viewing). The present study aimed at further assessing the role of the graphic motor programs in letter-like shape recognition by disturbing the graphomotor activity during learning. We compared recognition performance following normal handwriting to recognition performance following h...
Source: Human Movement Science - July 30, 2020 Category: Neurology Authors: Seyll L, Content A Tags: Hum Mov Sci Source Type: research

Estradiol induces synaptic rearrangements.
Abstract 17β-Estradiol (E2) is a potent steroid hormone of both gonadal and neuronal origin that exerts profound effects on neuroplasticity in several brain regions. Dendritic spine and synapse formation and rearrangements are modulated and mediated by estrogens. In this chapter, we highlighted the essential background concerning the effects of E2 on synaptic rearrangements accompanied by synaptic plasticity in E2-sensitive brain regions that mediate learning and memory, i.e., cortex and hippocampus. We also address details of the molecular mechanisms underlying E2 regulation of spine dynamics. The proposed m...
Source: Vitamins and Hormones - July 30, 2020 Category: Endocrinology Authors: Grković I, Mitrović N Tags: Vitam Horm Source Type: research

Brain insulin resistance impairs hippocampal plasticity.
Abstract Nutrient-related signals have been demonstrated to influence brain development and cognitive functions. In particular, insulin signaling has been shown to impact on molecular cascades underlying hippocampal plasticity, learning and memory. Alteration of brain insulin signaling interferes with the maintenance of neural stem cell niche and neuronal activity in the hippocampus. Brain insulin resistance is also emerging as key factor causing the cognitive impairment observed in metabolic and neurodegenerative diseases. Here, we review the molecular mechanisms involved in the insulin modulation of both adult n...
Source: Vitamins and Hormones - July 30, 2020 Category: Endocrinology Authors: Spinelli M, Fusco S, Grassi C Tags: Vitam Horm Source Type: research

Do social features help in video-centric online learning platforms? A presence perspective
Publication date: Available online 29 July 2020Source: Computers in Human BehaviorAuthor(s): Stephanie A. Andel, Triparna de Vreede, Paul E. Spector, Balaji Padmanabhan, Vivek K. Singh, Gert-Jan de Vreede (Source: Computers in Human Behavior)
Source: Computers in Human Behavior - July 30, 2020 Category: Information Technology Source Type: research

Technical Description and Microsurgical Outcomes in Phalloplasty Using the Deep Inferior Epigastric Artery and Locoregional Veins
Conclusion: After an initial learning curve, the combination of deep inferior epigastric artery, deep inferior epigastric vein, and great saphenous vein combined with specific technical modifications such as targeted coagulation of the vasa nervorum of the clitoral nerve has proven to be a reliable technique. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 30, 2020 Category: Cosmetic Surgery Tags: Reconstructive: Trunk: Original Articles Source Type: research

Management of Congenital Auricular Anomalies
Learning Objectives: After studying this article, the participant should be able to: 1. Describe normal ear anatomy and development, and evaluate the patient’s ears for differences in shape, size, prominence, and symmetry. 2. Identify common congenital ear deformities, including prominent ear, macrotia, Stahl ear, cryptotia, constricted ear, and lobule anomalies. 3. Describe both early nonoperative management and operative techniques for correction of these ear deformities. 4. Be aware of advantages and disadvantages of common and emerging techniques for correction of pediatric ear deformities. Summary: Whereas ...
Source: Plastic and Reconstructive Surgery - July 30, 2020 Category: Cosmetic Surgery Tags: CME Source Type: research

Doing interprofessional research in the COVID-19 era: a discussion paper.
Authors: Sy M, O'Leary N, Nagraj S, El-Awaisi A, O'Carroll V, Xyrichis A Abstract The COVID-19 pandemic, and ensuing physical distancing measures, poses challenges for researchers in the field of interprofessional care. Pandemic management has highlighted the centrality of interprofessional working to effective healthcare delivery during crises. It is essential to find ways to maintain interprofessional research that has commenced, while also designing research to capture important learning from pandemic management and response. However, it also creates opportunities for new research projects and novel research des...
Source: Journal of Interprofessional Care - July 30, 2020 Category: Health Management Tags: J Interprof Care Source Type: research

An Expert Patient Program as a Tool to Empower People With Multiple Sclerosis
CONCLUSION: The needs and demands of people with MS focused on enhancing knowledge about all aspects of the disease and on acquiring skills to promote self-management, autonomy, and empowerment. Program design and content were identified enabling determination of the characteristics needed to resolve these issues and develop an expert patient program for people with MS in Spain. (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - July 30, 2020 Category: Neuroscience Tags: Article Source Type: research

Music Interventions for Disorders of Consciousness: A Systematic Review and Meta-analysis
CONCLUSION: This quantitative meta-analysis indicated that music might play a critical role on the functional scale, general physical indexes, and favorable outcomes for DOC patients. Music therapy can easily be provided at the bedside by nurses working with DOC patients. (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - July 30, 2020 Category: Neuroscience Tags: Article Source Type: research

[Artificial intelligence and smartphone program applications (Apps) : Relevance for dermatological practice].
Authors: Blum A, Bosch S, Haenssle HA, Fink C, Hofmann-Wellenhof R, Zalaudek I, Kittler H, Tschandl P Abstract ADVANTAGES OF ARTIFICIAL INTELLIGENCE (AI): With responsible, safe and successful use of artificial intelligence (AI), possible advantages in the field of dermato-oncology include the following: (1) medical work can focus on skin cancer patients, (2) patients can be more quickly and effectively treated despite the increasing incidence of skin cancer and the decreasing number of actively working dermatologists and (3) users can learn from the AI results. POTENTIAL DISADVANTAGES AND RISKS OF AI USE: (1) Lack...
Source: Der Hautarzt: Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete - July 30, 2020 Category: Dermatology Tags: Hautarzt Source Type: research

[Epidemic emergencies and social stigma. Which lessons should we learn from SARS and Ebola epidemics for the current CoViD-19 pandemics?]
Authors: Lasalvia A Abstract Scientific literature produced during the most recent international epidemic emergencies, such as SARS and Ebola, highlights that infected persons are often labeled, rejected, discriminated and subjected to loss of status due to their perceived link with the disease. Such experiences of discrimination may have detrimental effects on both patients, their family members, friends and communities. It is also possible that those who have been infected with COVD-19 may experience shame, guilt and sense of isolation arising from social stigma. It is therefore important to take full advantage o...
Source: Rivista di Psichiatria - July 30, 2020 Category: Psychiatry Tags: Riv Psichiatr Source Type: research

Detecting asthma exacerbations using daily home monitoring and machine learning.
Conclusion: Asthma exacerbations may be detected using machine learning algorithms applied to daily self-monitoring of peak expiratory flow and asthma symptoms. PMID: 32718193 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - July 30, 2020 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Student Preclass Preparation by Both Reading the Textbook and Watching Videos Online Improves Exam Performance in a Partially Flipped Course.
Abstract The flipped classroom has the potential to improve student performance. Because flipping involves both preclass preparation and problem solving in the classroom, the means by which increased learning occurs and whether the method of delivering content matters is of interest. In a partially flipped cell biology course, students were assigned online videos before the flipped class and textbook reading before lectures. Low-stakes assessments were used to incentivize both types of preclass preparation. We hypothesized that more students would watch the videos than read the textbook and that both types of prep...
Source: CBE Life Sciences Education - July 30, 2020 Category: Cytology Authors: Bassett K, Olbricht GR, Shannon KB Tags: CBE Life Sci Educ Source Type: research

Parallel Representation Learning for the Classification of Pathological Speech: Studies on Parkinson’s Disease and Cleft Lip and Palate
Publication date: Available online 29 July 2020Source: Speech CommunicationAuthor(s): J.C. Vasquez-Correa, T. Arias-Vergara, M. Schuster, J.R. Orozco-Arroyave, E. Nöth (Source: Speech Communication)
Source: Speech Communication - July 30, 2020 Category: Speech-Language Pathology Source Type: research

Factors Facilitating or Hindering Use of Evidence-Based Diabetes Interventions Among Local Health Departments
Conclusions: These findings can inform future strategies to support uptake of EBPPs in diabetes and chronic disease control in LHDs. LHDs have a good understanding of EBPPs, but subtle differences in perception of EBPPs and needs exist between directors and practitioners. Investment in capacity building and fostering an organizational culture supportive of EBDM were key implications for practice. By investing in employee skill development, LHDs may increase agency capacity. Researchers should use preferred channels and targeted messaging to disseminate findings. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - July 30, 2020 Category: Health Management Tags: Research Reports Source Type: research

Building Capacity of Evidence-Based Public Health Practice at King Saud University: Perceived Challenges and Opportunities
Conclusion: Although systematic training in EBPH through postgraduate programs is effective in providing the future manpower with the needed skill and knowledge to practice EBPH, organizational and cultural barriers remain toward practicing EBPH. Reaching out to those in leadership positions and communicating with other public health professionals may facilitate spreading the culture of EBPH. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - July 30, 2020 Category: Health Management Tags: Research Reports Source Type: research

Events Associated With Changes in Reliance on the Veterans Health Administration Among Medicare-eligible Veterans
Objectives: We can learn something about how Veterans value the Veterans Health Administration (VHA) versus community providers by observing Veterans’ choices between VHA and Medicare providers after they turn 65. For a cohort of Veterans who were newly age-eligible for Medicare, we estimated the change in VHA reliance (VHA outpatient visits divided by total VHA and Medicare visits) associated with specific events: receiving a life-threatening diagnosis, having a Medicare-paid hospitalization, or moving further from the VHA. Research Design: A longitudinal cohort study of VHA and Medicare administrative data. S...
Source: Medical Care - July 30, 2020 Category: Health Management Tags: Original Articles Source Type: research

Changes in functional connectivity after theta-burst transcranial magnetic stimulation for post-traumatic stress disorder: a machine-learning study.
Authors: Zandvakili A, Swearingen HR, Philip NS Abstract Intermittent theta burst stimulation (iTBS) is a novel treatment approach for post-traumatic stress disorder (PTSD), and recent neuroimaging work indicates that functional connectivity profiles may be able to identify those most likely to respond. However, prior work has relied on functional magnetic resonance imaging, which is expensive and difficult to scale. Alternatively, electroencephalography (EEG) represents a different approach that may be easier to implement in clinical practice. To this end, we acquired an 8-channel resting-state EEG signal on parti...
Source: European Archives of Psychiatry and Clinical Neuroscience - July 30, 2020 Category: Psychiatry Tags: Eur Arch Psychiatry Clin Neurosci Source Type: research

Evaluating and dismantling an intervention aimed at increasing white people's knowledge and understanding of racial justice issues.
In this study, we built upon prejudice reduction interventions research (primarily in social psychology) and ally development investigations (primarily in applied psychology). We aimed to develop an intervention to foster knowledge and attitude change identified in both areas as central to reducing prejudice and increasing intentions to promote racial justice. Specifically, we aimed to determine whether online imaginal and psychoeducational interventions could contribute to White people's needed understandings to engage in racial justice work. Additionally, if some interventions were successful, we aimed to determine which...
Source: The American Journal of Orthopsychiatry - July 30, 2020 Category: Psychiatry Tags: Am J Orthopsychiatry Source Type: research

When Bad Things Happen: Training Medical Students to Anticipate the Aftermath of Medical Errors.
Discussions were facilitated by local physicians, who delivered content and shared personal anecdotes. Surveys using a 5-point Likert scale were conducted before and after the session. RESULTS: Pre- and post-test surveys resulted in 91 responses in 2016 and 174 in 2017. In 2016, results showed significant change in student responses by 0.34 units (SD 0.35 units; p
Source: The Journal of American Association of Directors of Psychiatric Residency Training - July 30, 2020 Category: Psychiatry Tags: Acad Psychiatry Source Type: research

Creating a “Quarantine Curriculum” to Enhance Teaching and Learning During the COVID-19 Pandemic
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - July 30, 2020 Category: Universities & Medical Training Tags: Letters to the Editor Source Type: research

Innovation in Response to the COVID-19 Pandemic Crisis
The COVID-19 pandemic has disrupted all aspects of academic medical center missions. The number and rapidity of innovative responses to the crisis are extraordinary. When the pandemic has subsided, the world of academic medicine will have changed. The author of this Invited Commentary anticipates that at least some of these innovations will become part of academic medicine’s everyday clinical and educational operations. Here, he considers the implications of exemplary innovations—virtual care, hospital at home, advances in diagnosis and therapy, virtual learning, and virtual clinical learning—for regulato...
Source: Academic Medicine - July 30, 2020 Category: Universities & Medical Training Tags: Invited Commentaries Source Type: research

Medical Training and Errors: Competence, Culture, Caring, and Character
Medical trainees will inevitably make errors as they learn. Errors should be minimized by a stronger focus on competence through better supervision and increased opportunities for simulation, as well as by reinforcing a culture that supports open identification of errors, disclosing errors to patients and families, and that focuses on prevention through quality improvement. Yet, errors are also opportunities for education and remediation. Medicine’s duty of care includes care for those harmed through errors and should also include care for those who have made the error. Errors that cause harm to patients challenge tr...
Source: Academic Medicine - July 30, 2020 Category: Universities & Medical Training Tags: Invited Commentaries Source Type: research

Developing Health Care Organizations That Pursue Learning and Exploration of Diagnostic Excellence: An Action Plan
Reducing errors in diagnosis is the next big challenge for patient safety. Diagnostic safety improvement efforts should become a priority for health care organizations, payers, and accrediting bodies; however, external incentives, policies, and practical guidance to develop these efforts are largely absent. In this Perspective, the authors highlight ways in which health care organizations can pursue learning and exploration of diagnostic excellence (LEDE). Building on current evidence and their recent experiences in developing such a learning organization at Geisinger, the authors propose a 5-point action plan and correspo...
Source: Academic Medicine - July 30, 2020 Category: Universities & Medical Training Tags: Perspectives Source Type: research

The Compassionate Clinical Examination
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - July 30, 2020 Category: Universities & Medical Training Tags: Teaching and Learning Moments Source Type: research

The Management Script: A Practical Tool for Teaching Management Reasoning
Management reasoning, a component of clinical reasoning, has become an important area for medical education research given its inherent complexity, role in medical decision making, and association with high-value care. Teaching management reasoning requires characterizing its core concepts and identifying strategies to teach them. In this Perspective, the authors propose the term “management script” to describe the mental schema that clinicians develop and use in medical decision making. Management scripts are high-level, precompiled, conceptual knowledge structures of the courses of action that a clinician may...
Source: Academic Medicine - July 30, 2020 Category: Universities & Medical Training Tags: Perspectives Source Type: research

Medical Education Empowered by Theater (MEET)
The medical education community acknowledges the importance of including the humanities in general, and the liberal arts in particular, in the education of health professionals. Among the liberal arts, theater is especially helpful for educators wanting to bring experiences that are both real and challenging to the learning encounter in an interactive, engaging, and reflective way. In this Perspective, the authors share what they have learned after working together with a company of actors for 8 years (2012–2019) in different obligatory and elective curricular activities. Influenced by Freire’s Pedagogy of the ...
Source: Academic Medicine - July 30, 2020 Category: Universities & Medical Training Tags: Perspectives Source Type: research

It Hurts Whether You Fail or Not
No abstract available (Source: Academic Medicine)
Source: Academic Medicine - July 30, 2020 Category: Universities & Medical Training Tags: Teaching and Learning Moments Source Type: research

Interprofessional Improv: Using Theater Techniques to Teach Health Professions Students Empathy in Teams
Problem Health professionals need to learn how to relate to one another to ensure high-quality patient care and to create collaborative and supportive teams in the clinical environment. One method for addressing both of these goals is teaching empathy during professional training to foster connection and commonality across differences. The authors describe a pilot improvisational theater (improv) course and present the preliminary outcomes showing its impact on interprofessional empathy. Approach In 2016–2017, the authors piloted a 15-hour course to teach interprofessional empathy to health professions students ...
Source: Academic Medicine - July 30, 2020 Category: Universities & Medical Training Tags: Innovation Reports Source Type: research

How Teachers Meet in Interdisciplinary Teams: Hangouts, Distribution Centers, and Melting Pots
Conclusions Successful interdisciplinary teacher teams are represented by an integrated approach with high-level team learning behavior and the best course evaluations. Therefore, health professions education management should actively encourage and facilitate integrated teacher teamwork. (Source: Academic Medicine)
Source: Academic Medicine - July 30, 2020 Category: Universities & Medical Training Tags: Research Reports Source Type: research

Artificial intelligence and organ transplantation: challenges and expectations
Purpose of review Classifiers based on artificial intelligence have emerged in all areas of medicine. Although very subtle, many decisions in organ transplantation can now be addressed in a more concisely manner with the support of these classifiers. Recent findings Any aspect of organ transplantation (image processing, prediction of results, diagnostic proposals, therapeutic algorithms or precision treatments) consists of a set of input variables and a set of output variables. Artificial intelligence classifiers differ in the way they establish relationships between the input variables, how they select the data group...
Source: Current Opinion in Organ Transplantation - July 30, 2020 Category: Surgery Tags: ARTIFICIAL INTELLIGENCE IN TRANSPLANTATION: Edited by Javier Briceño Source Type: research

Machine-learning algorithms for predicting results in liver transplantation: the problem of donor–recipient matching
Purpose of review Classifiers based on artificial intelligence can be useful to solve decision problems related to the inclusion or removal of possible liver transplant candidates, and assisting in the heterogeneous field of donor–recipient (D-R) matching. Recent findings Artificial intelligence models can show a great advantage by being able to handle a multitude of variables, be objective and help in cases of similar probabilities. In the field of liver transplantation, the most commonly used classifiers have been artificial neural networks (ANNs) and random forest classifiers. ANNs are excellent tools for fin...
Source: Current Opinion in Organ Transplantation - July 30, 2020 Category: Surgery Tags: ARTIFICIAL INTELLIGENCE IN TRANSPLANTATION: Edited by Javier Briceño Source Type: research