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Learning Language, Un/Learning Empathy in Medical School
This article considers the ways in which empathy for patients and related solidarity with communities may be trained out of medical students during medical school. The article focuses especially on the pre-clinical years of medical school, those that begin with orientation and initiation events such as the White Coat Ceremony. The ethnographic data for the article come from field notes and recordings from my own medical training as well as hundreds of hours of observant participation and interviews with medical students over the past several years. Exploring the framework of language socialization, I argue that learning th...
Source: Culture, Medicine and Psychiatry - September 19, 2023 Category: Psychiatry Authors: Seth M Holmes Source Type: research

Promoting alcohol treatment engagement post-hospitalization with brief intervention, medications and CBT4CBT: protocol for a randomized clinical trial in a diverse patient population
CONCLUSIONS: Project ENHANCE is expected to generate novel findings to inform future hospital-based efforts to promote AUD treatment engagement among diverse patient populations, including those most impacted by AUD.CLINICAL TRIAL REGISTRATION: Clinicaltrials.gov identifier: NCT05338151.PMID:37726823 | PMC:PMC10510167 | DOI:10.1186/s13722-023-00407-9
Source: Addiction Science and Clinical Practice - September 19, 2023 Category: Addiction Authors: E Jennifer Edelman Oscar F Rojas-Perez Charla Nich Joanne Corvino Tami Frankforter Derrick Gordon Ayana Jordan Manuel Paris Melissa B Weimer Brian T Yates Emily C Williams Brian D Kiluk Source Type: research

Smell and Taste Disorders in Primary Care
Am Fam Physician. 2023 Sep;108(3):240-248.ABSTRACTDisorders of smell and taste are reported by approximately one-fifth of people 40 years and older, and one-third of people 80 years and older. These disorders affect quality of life and the ability to identify smoke and toxins. Smell and taste disorders can be early signs of dementia or Parkinson disease and are associated with increased mortality. Dysfunction may be apparent or may develop insidiously. Screening questionnaires are available, but many patients are unaware of their disorder. Most smell and taste disorders are due to sinonasal disease but also could be caused...
Source: American Family Physician - September 19, 2023 Category: Primary Care Authors: Dillon J Savard Francesca G Ursua Heidi L Gaddey Source Type: research

Training models and simulators for endoscopic transsphenoidal surgery: a systematic review
AbstractEndoscopic transsphenoidal surgery is a novel surgical technique requiring specific training. Different models and simulators have been recently suggested for it, but no systematic review is available. To provide a systematic and critical literature review and up-to-date description of the training models or simulators dedicated to endoscopic transsphenoidal surgery. A search was performed on PubMed and Scopus databases for articles published until February 2023; Google was also searched to document commercially available. For each model, the following features were recorded: training performed, tumor/arachnoid rep...
Source: Neurosurgical Review - September 19, 2023 Category: Neurosurgery Source Type: research

Ensuring Fairness in Medical Education Assessment
This study takes a first step in centering the margins as we as medical educators grow our understanding of the dynamics of promoting fairness in assessment. Future studies should explore feedback with intentional inclusion and involvement of diverse students, teachers, and researchers at every stage of the research process from conceptualization through dissemination and application of the new learning. We thank our participants for their time and candor discussing this sensitive topic and the Group on Educational Affairs for funding our work. Thank you for your time and attention and the focus that you’ll put on th...
Source: Academic Medicine Blog - September 18, 2023 Category: Universities & Medical Training Authors: amrounds Tags: AM Podcast AM Podcast Transcript Academic Medicine podcast assessment equity Macy Foundation medical education Source Type: blogs

General practice as a place to receive help for domestic abuse during the COVID-19 pandemic: a qualitative interview study in England and Wales
CONCLUSION: Perspectives of patients and their families affected by DVA should be prioritised in general practice service planning, including during periods of transition and change.PMID:37722856 | DOI:10.3399/BJGP.2022.0528
Source: The British Journal of General Practice - September 18, 2023 Category: Primary Care Authors: Elizabeth Emsley Caroline Coope Emma Williamson Estela Capelas Barbosa Gene Feder Eszter Szilassy Source Type: research

Clinical Significance of Apurinic/Apyrimidinic Endodeoxyribonuclease 1 and MicroRNA Axis in Hepatocellular Carcinoma
CONCLUSIONS: APE1 regulates specific miRNAs having prognostic value in HCC.PMID:37719963 | PMC:PMC10500290 | DOI:10.14218/JCTH.2022.00179
Source: Cancer Control - September 18, 2023 Category: Cancer & Oncology Authors: Giovanna Mangiapane Devis Pascut Emiliano Dalla Giulia Antoniali Monica Degrassi Lory Saveria Croc รจ Veronica De Sanctis Silvano Piazza Giulia Canarutto Claudio Tiribelli Gianluca Tell Source Type: research

Implementation of Esophageal Screening in an Outpatient Hospital-Based Setting: A Quality Improvement Project
CONCLUSIONS: The results of this QIP show that focusing on assessment of dysfunction and interplay across the swallowing continuum can substantially improve patient care by expediting and specifying next steps of the multidisciplinary dysphagia care team.PMID:37722389 | DOI:10.1044/2023_AJSLP-23-00069
Source: American Journal of Speech-Language Pathology - September 18, 2023 Category: Speech-Language Pathology Authors: Jessica W Gregor Stephanie A Watts Source Type: research

Promoting intercultural competencies in the healthcare sector through further education and training
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2023 Sep 18. doi: 10.1007/s00103-023-03768-3. Online ahead of print.ABSTRACTAcceptance of cultural diversity and the recognition and appreciation of facets of "otherness" such as gender, age, occupational or disease-related group, religion, sociocultural background, and migration history are basic requirements for adequate communication and interaction in healthcare. The term intercultural competence is multidimensional and includes a range of qualities and skills with emotional and cognitive elements with influence on the behavioral level. In the present paper...
Source: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz - September 18, 2023 Category: International Medicine & Public Health Authors: Desislava Dimitrova Jalid Sehouli Source Type: research

Assessment of professionalism in a chiropractic college: A design and implementation of a rubric
CONCLUSION: In training chiropractic students on expected behaviors related to professionalism, a rubric assessment of professionalism guided communications between the clinical educator and students to discuss professionalism and remediate unprofessional behaviors. A rubric defining expected classroom behaviors aligns with educational best practices to use assessment methods to develop professionalism in health care students.PMID:37721396 | DOI:10.7899/JCE-22-21
Source: The Journal of Chiropractic Education - September 18, 2023 Category: Complementary Medicine Authors: Jeana L Voorhies Source Type: research

Effectiveness of Device-Guided Breathing in Chronic Coronary Syndrome: A Randomized Controlled Study
CONCLUSIONS: An 8-week long program of short-term respiratory muscle training provided positive gains in exercise capacity and angina severity in CCS patients with angina. The effects of long-term training programs on CCS patients should be investigated clinically because of the possibility of helping to decrease the need for invasive treatments.PMID:37720408 | PMC:PMC10499964 | DOI:10.6515/ACS.202309_39(5).20230306E
Source: Atherosclerosis - September 18, 2023 Category: Cardiology Authors: Oguz Akkus Irem Huzmeli Taner Seker Ozkan Bekler Fatih Sen Onur Kaypakli Aysel Yildiz Ozer Fatih Yalcin Source Type: research

Peritoneal Dialysis Patient Training Program to Enhance independence and Prevent Complications: A Scoping Review
CONCLUSION: There are a variety of strategies for dialysis training concerning duration, session length, patient-to-trainer ratio, timing, methods, location, compliance, and the need for retraining. More evidence is needed to assess the impact of PD patient training programs on self-care capabilities and peritonitis incidence. Future studies should investigate the effects of training programs on compliance, self-efficacy, and patient and nurse perspectives.PMID:37720493 | PMC:PMC10505035 | DOI:10.2147/IJNRD.S414447
Source: International Journal of Nephrology and Renovascular Disease - September 18, 2023 Category: Urology & Nephrology Authors: Toni Rahmat Jaelani Kusman Ibrahim Jonny Jonny Sri Hartati Pratiwi Hartiah Haroen Nursiswati Nursiswati Bunga Pinandhita Ramadhani Source Type: research

Disentangling accelerated cognitive decline from the normal aging process and unraveling its genetic components: A neuroimaging-based deep learning approach
Conclusion Our deep learning model was demonstrated effective on extracting relevant neuroimaging features and predicting individual cognitive decline. We reported a novel variant (rs144614292) within the NELL1 gene. Our approach has the potential to disentangle accelerated cognitive decline from the normal aging process and to determine its related genetic factors, leveraging opportunities for early intervention.PMID:37720047 | PMC:PMC10503860 | DOI:10.21203/rs.3.rs-3328861/v1
Source: Cell Research - September 18, 2023 Category: Cytology Authors: Yulin Dai Yu-Chun Hsu Brisa S Fernandes Kai Zhang Xiaoyang Li Nitesh Enduru Andi Liu Astrid M Manuel Xiaoqian Jiang Zhongming Zhao Source Type: research

Attitudes and Practices Surrounding Opioid Prescriptions following Open Reduction Internal Fixation of Distal Radius and Ankle Fractures: A Survey of the Canadian Orthopaedic Association Membership
CONCLUSIONS: The principle finding of this study is the lack of a standardized approach to postoperative prescribing in distal radius and ankle fractures, illustrated by the wide range in number of opioids prescribed by Canadian orthopaedic surgeons. Our data suggest a trend towards overprescription among respondents following distal radius and ankle ORIF. Future studies should aim to rationalize interventions targeted at reducing postoperative opioid prescribing for common orthopaedic trauma procedures.PMID:37719667 | PMC:PMC10501842 | DOI:10.1155/2023/9968219
Source: Adv Data - September 18, 2023 Category: Epidemiology Authors: Jihad A Abouali Evan D Curd Xin Y Mei Ujash Sheth Moin Khan Darren de Sa Vehniah K Tjong Jesleen Rana Source Type: research

The Status of School Water, Sanitation, and Hygiene Services in Addis Ababa, Ethiopia: Progress Towards Achieving the SDG 6
CONCLUSIONS: The provision of WASH facilities and services in schools was inadequate and not on track to meet the targets of SDG 6. Training, WASH education program, and stakeholder commitment and cooperation at all levels are required to achieve the goal.PMID:37720702 | PMC:PMC10503287 | DOI:10.1177/11786302231199003
Source: Environmental Health Insights - September 18, 2023 Category: Environmental Health Authors: Abayneh Melaku Bezatu Mengistie Taffere Addis Source Type: research