Thank you for the insightful discussion. Mobile technology offers great promise to enhance learning when implemented thoughtfully. Its impact will depend on how well resources address real needs and how support helps build skills and change habits over time.
The document summarizes the CBS tools, which are image processing algorithms designed for high resolution brain data up to 7T. The tools are built as plug-ins for the MIPAV and JIST software and provide functions such as segmentation of cortical and sub-cortical structures, cortical surface extraction and normalization to MNI space. MIPAV is a medical image processing software developed at NIH, while JIST provides a pipeline interface and has been developed collaboratively. The tools have been tested and validated in studies comparing scan-rescan data, and are freely available online along with documentation and user support.
Este documento es una nota de aliento que contiene consejos y buenos deseos. Le recuerda al lector que Dios nunca lo abandonará durante las pruebas, que los desafíos se pueden superar siendo valiente, y que debe mantener la cabeza en alto y seguir adelante hacia su meta a pesar de las dificultades. Le desea un feliz día lleno de felicidad.
The document discusses the calculation and components of full economic costs (fEC) based on the Transparent Approach to Costing (TRAC) methodology in the UK. It outlines the definitions and classification of direct costs, including directly incurred (DI) and directly allocated (DA) costs. It also discusses the calculation of indirect costs using a cost driver model and charge-out rates. Exceptions to the fEC calculation include equipment over £50k and student stipends and tuition fees for project studentships.
The document summarizes plans to improve library facilities at Maastricht University. It notes that the current library has 13,000 students, 1.5 million print items, and 1,140 study seats. It proposes adding 100 computers and 200 additional study spaces to the inner city library. Other plans include introducing a library cafe, closing certain labs and desks, opening the garden, and addressing bicycle storage issues. The university also aims to increase research revenue, staff/faculty, and campus space significantly in the coming years to support its growing student population.
Editorial calendars can increase productivity and efficiency for all team members. This 10 minute presentation covers the What, Why, Organization, Disciplines, and Tools.
This document contains a survey for teachers to rate their level of agreement with various statements about assigning homework. The survey includes 18 statements about teachers' beliefs regarding whether homework increases learning, whether certain subjects deserve more homework than others, and policies around completing and grading homework. Teachers are asked to rate their agreement with each statement on a scale of 1 to 5.
A student finds a toy doll speaking to them at a garage sale. The doll tells the student to follow it to a nearby abandoned house. When the student enters the house, they discover it is filled with antique toys that have come to life. The toys welcome the student and invite them to play.
This document contains notes from a math class on solving inequalities involving multiplication and division. It includes examples of multiplying or dividing inequalities by negative numbers, with the conclusion that this flips the inequality sign. The rest of the document provides practice problems solving various inequalities algebraically and graphing their solutions, with checks provided. It concludes by assigning related homework problems.
The document summarizes the CBS tools, which are image processing algorithms designed for high resolution brain data up to 7T. The tools are built as plug-ins for the MIPAV and JIST software and provide functions such as segmentation of cortical and sub-cortical structures, cortical surface extraction and normalization to MNI space. MIPAV is a medical image processing software developed at NIH, while JIST provides a pipeline interface and has been developed collaboratively. The tools have been tested and validated in studies comparing scan-rescan data, and are freely available online along with documentation and user support.
Este documento es una nota de aliento que contiene consejos y buenos deseos. Le recuerda al lector que Dios nunca lo abandonará durante las pruebas, que los desafíos se pueden superar siendo valiente, y que debe mantener la cabeza en alto y seguir adelante hacia su meta a pesar de las dificultades. Le desea un feliz día lleno de felicidad.
The document discusses the calculation and components of full economic costs (fEC) based on the Transparent Approach to Costing (TRAC) methodology in the UK. It outlines the definitions and classification of direct costs, including directly incurred (DI) and directly allocated (DA) costs. It also discusses the calculation of indirect costs using a cost driver model and charge-out rates. Exceptions to the fEC calculation include equipment over £50k and student stipends and tuition fees for project studentships.
The document summarizes plans to improve library facilities at Maastricht University. It notes that the current library has 13,000 students, 1.5 million print items, and 1,140 study seats. It proposes adding 100 computers and 200 additional study spaces to the inner city library. Other plans include introducing a library cafe, closing certain labs and desks, opening the garden, and addressing bicycle storage issues. The university also aims to increase research revenue, staff/faculty, and campus space significantly in the coming years to support its growing student population.
Editorial calendars can increase productivity and efficiency for all team members. This 10 minute presentation covers the What, Why, Organization, Disciplines, and Tools.
This document contains a survey for teachers to rate their level of agreement with various statements about assigning homework. The survey includes 18 statements about teachers' beliefs regarding whether homework increases learning, whether certain subjects deserve more homework than others, and policies around completing and grading homework. Teachers are asked to rate their agreement with each statement on a scale of 1 to 5.
A student finds a toy doll speaking to them at a garage sale. The doll tells the student to follow it to a nearby abandoned house. When the student enters the house, they discover it is filled with antique toys that have come to life. The toys welcome the student and invite them to play.
This document contains notes from a math class on solving inequalities involving multiplication and division. It includes examples of multiplying or dividing inequalities by negative numbers, with the conclusion that this flips the inequality sign. The rest of the document provides practice problems solving various inequalities algebraically and graphing their solutions, with checks provided. It concludes by assigning related homework problems.
This document discusses a study conducted at Brighton & Sussex Medical School (BSMS) on the impact of providing mobile devices and resources to medical students. BSMS was the first UK medical school to loan PDAs to approximately 350 students in years 3-5, along with clinical reference apps. The study found that students used the resources frequently, especially the British National Formulary and Oxford Handbook of Clinical Medicine. Students reported that mobile access improved their ability to quickly look up information and reinforce knowledge. However, some students found it difficult to carry two devices. The study also identified initial resistance among some students to changing their approach, but most became accustomed to having references on their mobile devices. As smartphone capabilities increased after 2005, the study explored
The document discusses the history of evidence-based medicine and the need for its development. It describes how clinical practice was often not aligned with the best available research evidence, resulting in unnecessary harm to patients. The development of systematic reviews helped bridge the gap between research and practice by synthesizing the highest quality studies. The story of the drug flecainide illustrates how initial research focused on mechanisms of action rather than patient outcomes, leading to widespread use of a drug that actually increased mortality. This highlighted the importance of basing treatment decisions on empirical evidence about what works in actual clinical practice.
Librarians' story of the PDA Service at the University of Queensland Rural Cl...NSWHLF2007
Kaye Lasserre, William Chun and Lisa Kruesi
University of Queensland
The University of Queensland Library and the School of Medicine conducted the first major Australian trial of Personal Digital Assistants' (PDAs) use by medical students at the Rural Clinical Schoolduring 2003 and 2004. The trial became an ongoing PDA Service from 2005, and its role in enhancing medical education has been demonstrated by continued funding and senior management support.
The PDA Service has helped to provide key health information resources for students on rural placements. Adoption of the Service has addressed some of the equity issues caused by inadequate Information Communication and Technology (ICT) infrastructure beyond urban centres. Rural students' use of information at the point of care facilitates learning and establishes good practice for future clinical decision making.
This presentation will discuss the Rural Clinical School Librarians' story about the implementation of the PDA Service, the lessons learnt and why it was a component of "An Integrated Package of Innovative Rural Medical Education:Enhancing Student Outcomes and Increasing the Rural Medical Workforce", 2006 Carrick Award Winner for Australian University Teaching.
Librarians' story of the PDA Service at the University of Queensland Rural Cl...NSWHLF2007
Kaye Lasserre, William Chun and Lisa Kruesi
University of Queensland
The University of Queensland Library and the School of Medicine conducted the first major Australian trial of Personal Digital Assistants' (PDAs) use by medical students at the Rural Clinical Schoolduring 2003 and 2004. The trial became an ongoing PDA Service from 2005, and its role in enhancing medical education has been demonstrated by continued funding and senior management support.
The PDA Service has helped to provide key health information resources for students on rural placements. Adoption of the Service has addressed some of the equity issues caused by inadequate Information Communication and Technology (ICT) infrastructure beyond urban centres. Rural students' use of information at the point of care facilitates learning and establishes good practice for future clinical decision making.
This presentation will discuss the Rural Clinical School Librarians' story about the implementation of the PDA Service, the lessons learnt and why it was a component of "An Integrated Package of Innovative Rural Medical Education:Enhancing Student Outcomes and Increasing the Rural Medical Workforce", 2006 Carrick Award Winner for Australian University Teaching.
59 minutes agoLuke Powell Initial post - Luke PowellCOLLAP.docxtroutmanboris
59 minutes ago
Luke Powell
Initial post - Luke Powell
COLLAPSE
Top of Form
Introduction
As nurses, we are guided by evidence-based practice to ensure that the care we deliver is safe and appropriate for our patients. During nursing school, we are encouraged to seek out scientific research to support why we do what we do and are taught to continue to do so even after we leave the classroom. We make decisions based from sources including coursework, our textbooks, and clinical experience (Polit & Beck, 2017). However, I have caught myself asking “what does the research say?” especially when completing cares. In particular, do sequential compression devices (SCD) actually contribute to the prevention of deep venous thrombosis (DVT). Nursing research is conducted to answer questions or solve problems (Polit & Beck, 2017). As I have began to ask my coworkers as to why we use SCDs, the answer is always that this is what we have always done. According to Polit and Beck (2017), this is described as unit culture, and these interventions are based on tradition rather than sound evidence.
PICOT Question
Many of the patients that I see in the intensive care unit (ICU) can expect to be there for at least three days. Most are too sick to be able to get out of bed and move around the room. This inactivity can potentially put them at risk for developing a DVT. To help prevent this from happening, knee high SCDs are utilized. However, the organization that I work for does not have the evidence they found listed anywhere to support the use of SCDs. In fact, when looking at unit council notes from years ago, the same question was brought up and it was noted that there is no evidence to support their use in the ICU. When conducting research for evidence-based practice (EBP), it is important to create a clinical question that can be answered with research evidence (Polit & Beck, 2017). My PICOT question is “In patients admitted to the ICU, does the utilization of SCDs reduce the risk of DVTs as compared to the use of low dose subcutaneous heparin during a three day admission?” My background questions include: what is a DVT, and what is its pathophysiology? Using PICOT, I can turn this research question into search terms that help to prevent my search from being too broad (Walden Student Center for Success, 2012).
Adoption of Evidence-Based Practices
Overall, I do believe that my organization is willing to change processes or procedures, if the evidence is there to support such a change. The only problem that I can identify with making those changes is that they must be presented to a committee who reviews our current policies and procedures every two years. Unless there is a strong need to make changes, it could take some time before the specific policy or procedure is up for review. As for my coworkers, we are constantly reevaluating and questioning why we do what we do. It is not that we are trying to find faults within our organization rather that we are try.
This document provides an overview of a presentation about providing consumer health information services at libraries. It discusses the needs of library patrons for health information, challenges in reference interviews, importance of health literacy, planning a consumer health service, collection development, evaluating online health resources, marketing services, and collaborating with health partners. Key topics include the impact of health literacy on individuals and society, ethics and privacy in consumer health, and resources for librarians.
This document summarizes a presentation about technology-enhanced nursing and patient-centered care. It discusses how emerging technologies can help achieve patient-centered care if guided by nursing's goals of protecting health and optimizing care. It outlines three policy areas where academic nursing could provide input: personal health records, technical infrastructure, and quality indicators reported by patients. Finally, it proposes strategies for leveraging existing nursing education to create technology-enhanced practice, such as integrating technologies into curricula and leveraging partnerships across disciplines.
This document provides an introduction to evidence-based medicine (EBM). EBM is defined as integrating the best research evidence with clinical expertise and patient values to achieve the best possible patient management. The goal of EBM is to improve the quality of information used to make clinical decisions. EBM uses a series of steps including formulating an answerable clinical question, tracking down the best available evidence, critically appraising the evidence, applying the evidence to integrate with clinical expertise and patient values, and evaluating the effectiveness of the process.
Complete Akron Childrens Hospital Case. Answer the fo.docxfathwaitewalter
Complete Akron Children's Hospital Case.
Answer the following questions:
1. Develop a focus group discussion guide for the research described in Part A
a. What topics should be discussed in what order?
b. What pre-tasking exercises might be relevant?
c. What exercises might you use during the focus group?
2. Evaluate the use of the telephone as the method for the survey.
3. Evaluate the questionnaire used for the telephone survey. Make sure to discuss scale type, question working, question number topic order, transitions, and interviewer directions.
4. Interviewers screened potential participants for whether they were the health care decision maker in the household and whether children were in the household. Identify other criteria that might have been used for screening and offer reasons for its inclusion or exclusion.
5. Evaluate the sampling decisions:
a. Was this an appropriate sample size?
b. What parameters might have been used in structuring this sample?
Akron Children's Hospital Case Study A
Q1: What is the management-research questions hierarchy for Akron Children's Hospital?
Management question: A way for Akron Children to differentiate itself with the powerhouse health care institutions such as the Cleveland Clinic that ventured into the care segment of children.
Research question: How parents decide on where to take their children when acute care is necessary?
Investigative questions: The consumer’s hospital-choice decision process and the index perceptions that is associated with a hospital in the market
Q2: What are the advantages/disadvantages of an observation study for this research?
Besides collecting data visually, observation involves listening, reading, smelling, and touching. Behavioral scientists define observation in terms of animal or human behavior, but this too is limiting (Cooper, D., & Schlindler, P. 2013, p. 172).
Directness: Observation in the study provides direct access to the social phenomenon that is considered. Instead of asking people questions, observation can be used to observe and record the behavior in every situation. In essence, it avoids the wide range of setbacks encountered with self-report. In the Akron study parents, physicians, and child patients were observed through the diagnosis, testing, and the treatment.
Diversity, Flexibility and Applicability: Observation takes diverse forms from unstructured and informal approaches through tightly structured procedures that are standardized to yield associated types of data both quantitative and qualitative.
First-hand information: The researchers watched listened and recorded first-hand information on emotional and first physical reactions and heart-wrenching conversations. For instance, Joanne Kim, creative director and Marcus Thomas partner shared the way they watched how doctors talk to children about the health-associated problems rather than talking to parents thus getting the first-h.
TEDMED Great Challenge Medical Communication: John Cox Q4 ResponseTEDMED
Given the short time for medical appointments, effective communication between doctors and patients is challenging. Visible Health aims to address this by encouraging ongoing collaboration between doctors and patients using mobile apps and digital content. Their approach involves providing preparatory information to patients before visits, discussing personalized digital materials during visits to enhance understanding, and allowing patients access to shared information after visits to facilitate adherence and follow up questions. The goal is to improve medical communication both within and beyond the constraints of brief appointment times through technology-enabled engagement at all stages of care.
Better Knowledge. Better Health? Making Research Relevant, Accessible, and P...Marie Ennis-O'Connor
This document discusses making research more relevant, accessible, and prioritized to patient needs through systematic reviews and knowledge translation. It emphasizes:
1) Involving patients throughout the research process to ensure the questions asked and outcomes measured are truly important to patients.
2) Ensuring research findings are disseminated through various channels in a timely, accessible, and understandable manner so they can inform healthcare decisions.
3) The importance of validity, relevance, and translating research into practical applications to benefit patients.
The document discusses how Joseph Wolpe developed systematic desensitization to help clients overcome phobias more quickly than psychodynamic therapy. Wolpe's hypothesis was that combining a fear with relaxation would eventually eradicate the phobia. The summary provides background on Wolpe's work developing systematic desensitization but does not include any details about his specific techniques or how he tested his hypothesis.
Test Bank For Clinical Nursing Skills and Techniques 10th Edition (1).pdfDonc Test
Test Bank For Clinical Nursing Skills and Techniques 10th Edition
Test Bank For Clinical Nursing Skills and Techniques 10th Edition
Test Bank For Clinical Nursing Skills and Techniques 10th Edition
This document discusses a mobile learning programme for medical students at the School of Medicine. It implemented a programme where Year 4 and 5 students were provided iPhones to use as learning tools. The programme aimed to allow learning anytime, anywhere through mobile access to medical resources, assessments, and opportunities for feedback from clinical practice. Benefits included retaining learning in clinical settings and timely access to information. Evaluations found students and clinicians saw benefits when used appropriately, though some issues around unprofessional use in front of patients were noted. Overall the programme supported innovative blended learning and improved preparation of lifelong learning skills.
A brief overview of the panel discussion for the 2015 South by Southwest Edu conference. Panel participants are Sheryl Abshire, Ph.D., Adam Hall, and Steve Miller, Ph.D.
Evidence-based practice (EBP) aims to help healthcare organizations meet the Quadruple Aim of improving patient experience, population health, costs, and provider work life. EBP integrates research evidence, clinical expertise, and patient values into decision-making. It can help enhance patient experience through better care, improve population health by generating insight into health characteristics, reduce costs by improving value and seamless data tracking, and improve provider work life by identifying stressors and easing burdens. Overall, EBP provides an approach for organizations to consider when aiming to achieve the balanced objectives of the Quadruple Aim.
Justify Your Conclusions
Hiv Aids Conclusions
Essay on Hypothesis and Conclusion
Sampling Methods Essay
Conclusion Of Solar Energy
Titanium Essay
Research Methods Essay
Dental Hygienist Conclusion
Conclusion Of Globalization
The document discusses evidence-based healthcare and the role of the Cochrane Collaboration. It describes how the Cochrane Collaboration conducts systematic reviews of healthcare interventions to help people make informed healthcare decisions. It has over 15,000 contributors globally who produce reviews and summaries to reduce bias and provide reliable information to healthcare providers, policymakers, and the public. The Collaboration aims to bridge the gap between research evidence and practice through disseminating its findings widely.
This concept can be applied to the wisdom of clinicians inside healthcare institutions. By gathering and sharing course content and tools between care facilities, hospitals can be connected to more than just the technical cloud. They can be connected to the wisdom of the cloud.
The document provides an overview of Geoff Rutledge's career path from medicine to computer science and clinical informatics. It discusses his background in medicine, academia, and industry. Some key points:
1) Rutledge has a background in both medicine and computer science, obtaining degrees in both fields. He worked as a physician before pursuing a career in clinical informatics.
2) He discusses different career paths in biomedical informatics, including academic, health systems, corporate research, and starting his own companies.
3) Rutledge shares lessons from his time in academia and industry, emphasizing the importance of choosing research topics that match your next career goal and maintaining perspective when working at a startup.
This session will demystify (generative) AI by exploring its workings as an advanced statistical modelling tool (suitable for any level of technical knowledge). Not only will this session explain the technological underpinnings of AI, it will also address concerns and (long-term) requirements around ethical and practical usage of AI. This includes data preparation and cleaning, data ownership, and the value of data-generated - but not owned - by libraries. It will also discuss the potentials for (hypothetical) use cases of AI in collections environments and making collections data AI-ready; providing examples of AI capabilities and applications beyond chatbots.
CATH DISHMAN, CENYU SHEN,
KATHERINE STEPHAN
Although scholarly communications has become more open, problems with predatory and problematic publishers remain. There are commercial providers of lists, start-up/renegade Internet lists of good/bad and the researchers, publishers and assessors that try to understand and process what being on/off a list means to themselves, their careers and their institutions. Still, these problems persist and leaves many asking: where is the list?
This document discusses a study conducted at Brighton & Sussex Medical School (BSMS) on the impact of providing mobile devices and resources to medical students. BSMS was the first UK medical school to loan PDAs to approximately 350 students in years 3-5, along with clinical reference apps. The study found that students used the resources frequently, especially the British National Formulary and Oxford Handbook of Clinical Medicine. Students reported that mobile access improved their ability to quickly look up information and reinforce knowledge. However, some students found it difficult to carry two devices. The study also identified initial resistance among some students to changing their approach, but most became accustomed to having references on their mobile devices. As smartphone capabilities increased after 2005, the study explored
The document discusses the history of evidence-based medicine and the need for its development. It describes how clinical practice was often not aligned with the best available research evidence, resulting in unnecessary harm to patients. The development of systematic reviews helped bridge the gap between research and practice by synthesizing the highest quality studies. The story of the drug flecainide illustrates how initial research focused on mechanisms of action rather than patient outcomes, leading to widespread use of a drug that actually increased mortality. This highlighted the importance of basing treatment decisions on empirical evidence about what works in actual clinical practice.
Librarians' story of the PDA Service at the University of Queensland Rural Cl...NSWHLF2007
Kaye Lasserre, William Chun and Lisa Kruesi
University of Queensland
The University of Queensland Library and the School of Medicine conducted the first major Australian trial of Personal Digital Assistants' (PDAs) use by medical students at the Rural Clinical Schoolduring 2003 and 2004. The trial became an ongoing PDA Service from 2005, and its role in enhancing medical education has been demonstrated by continued funding and senior management support.
The PDA Service has helped to provide key health information resources for students on rural placements. Adoption of the Service has addressed some of the equity issues caused by inadequate Information Communication and Technology (ICT) infrastructure beyond urban centres. Rural students' use of information at the point of care facilitates learning and establishes good practice for future clinical decision making.
This presentation will discuss the Rural Clinical School Librarians' story about the implementation of the PDA Service, the lessons learnt and why it was a component of "An Integrated Package of Innovative Rural Medical Education:Enhancing Student Outcomes and Increasing the Rural Medical Workforce", 2006 Carrick Award Winner for Australian University Teaching.
Librarians' story of the PDA Service at the University of Queensland Rural Cl...NSWHLF2007
Kaye Lasserre, William Chun and Lisa Kruesi
University of Queensland
The University of Queensland Library and the School of Medicine conducted the first major Australian trial of Personal Digital Assistants' (PDAs) use by medical students at the Rural Clinical Schoolduring 2003 and 2004. The trial became an ongoing PDA Service from 2005, and its role in enhancing medical education has been demonstrated by continued funding and senior management support.
The PDA Service has helped to provide key health information resources for students on rural placements. Adoption of the Service has addressed some of the equity issues caused by inadequate Information Communication and Technology (ICT) infrastructure beyond urban centres. Rural students' use of information at the point of care facilitates learning and establishes good practice for future clinical decision making.
This presentation will discuss the Rural Clinical School Librarians' story about the implementation of the PDA Service, the lessons learnt and why it was a component of "An Integrated Package of Innovative Rural Medical Education:Enhancing Student Outcomes and Increasing the Rural Medical Workforce", 2006 Carrick Award Winner for Australian University Teaching.
59 minutes agoLuke Powell Initial post - Luke PowellCOLLAP.docxtroutmanboris
59 minutes ago
Luke Powell
Initial post - Luke Powell
COLLAPSE
Top of Form
Introduction
As nurses, we are guided by evidence-based practice to ensure that the care we deliver is safe and appropriate for our patients. During nursing school, we are encouraged to seek out scientific research to support why we do what we do and are taught to continue to do so even after we leave the classroom. We make decisions based from sources including coursework, our textbooks, and clinical experience (Polit & Beck, 2017). However, I have caught myself asking “what does the research say?” especially when completing cares. In particular, do sequential compression devices (SCD) actually contribute to the prevention of deep venous thrombosis (DVT). Nursing research is conducted to answer questions or solve problems (Polit & Beck, 2017). As I have began to ask my coworkers as to why we use SCDs, the answer is always that this is what we have always done. According to Polit and Beck (2017), this is described as unit culture, and these interventions are based on tradition rather than sound evidence.
PICOT Question
Many of the patients that I see in the intensive care unit (ICU) can expect to be there for at least three days. Most are too sick to be able to get out of bed and move around the room. This inactivity can potentially put them at risk for developing a DVT. To help prevent this from happening, knee high SCDs are utilized. However, the organization that I work for does not have the evidence they found listed anywhere to support the use of SCDs. In fact, when looking at unit council notes from years ago, the same question was brought up and it was noted that there is no evidence to support their use in the ICU. When conducting research for evidence-based practice (EBP), it is important to create a clinical question that can be answered with research evidence (Polit & Beck, 2017). My PICOT question is “In patients admitted to the ICU, does the utilization of SCDs reduce the risk of DVTs as compared to the use of low dose subcutaneous heparin during a three day admission?” My background questions include: what is a DVT, and what is its pathophysiology? Using PICOT, I can turn this research question into search terms that help to prevent my search from being too broad (Walden Student Center for Success, 2012).
Adoption of Evidence-Based Practices
Overall, I do believe that my organization is willing to change processes or procedures, if the evidence is there to support such a change. The only problem that I can identify with making those changes is that they must be presented to a committee who reviews our current policies and procedures every two years. Unless there is a strong need to make changes, it could take some time before the specific policy or procedure is up for review. As for my coworkers, we are constantly reevaluating and questioning why we do what we do. It is not that we are trying to find faults within our organization rather that we are try.
This document provides an overview of a presentation about providing consumer health information services at libraries. It discusses the needs of library patrons for health information, challenges in reference interviews, importance of health literacy, planning a consumer health service, collection development, evaluating online health resources, marketing services, and collaborating with health partners. Key topics include the impact of health literacy on individuals and society, ethics and privacy in consumer health, and resources for librarians.
This document summarizes a presentation about technology-enhanced nursing and patient-centered care. It discusses how emerging technologies can help achieve patient-centered care if guided by nursing's goals of protecting health and optimizing care. It outlines three policy areas where academic nursing could provide input: personal health records, technical infrastructure, and quality indicators reported by patients. Finally, it proposes strategies for leveraging existing nursing education to create technology-enhanced practice, such as integrating technologies into curricula and leveraging partnerships across disciplines.
This document provides an introduction to evidence-based medicine (EBM). EBM is defined as integrating the best research evidence with clinical expertise and patient values to achieve the best possible patient management. The goal of EBM is to improve the quality of information used to make clinical decisions. EBM uses a series of steps including formulating an answerable clinical question, tracking down the best available evidence, critically appraising the evidence, applying the evidence to integrate with clinical expertise and patient values, and evaluating the effectiveness of the process.
Complete Akron Childrens Hospital Case. Answer the fo.docxfathwaitewalter
Complete Akron Children's Hospital Case.
Answer the following questions:
1. Develop a focus group discussion guide for the research described in Part A
a. What topics should be discussed in what order?
b. What pre-tasking exercises might be relevant?
c. What exercises might you use during the focus group?
2. Evaluate the use of the telephone as the method for the survey.
3. Evaluate the questionnaire used for the telephone survey. Make sure to discuss scale type, question working, question number topic order, transitions, and interviewer directions.
4. Interviewers screened potential participants for whether they were the health care decision maker in the household and whether children were in the household. Identify other criteria that might have been used for screening and offer reasons for its inclusion or exclusion.
5. Evaluate the sampling decisions:
a. Was this an appropriate sample size?
b. What parameters might have been used in structuring this sample?
Akron Children's Hospital Case Study A
Q1: What is the management-research questions hierarchy for Akron Children's Hospital?
Management question: A way for Akron Children to differentiate itself with the powerhouse health care institutions such as the Cleveland Clinic that ventured into the care segment of children.
Research question: How parents decide on where to take their children when acute care is necessary?
Investigative questions: The consumer’s hospital-choice decision process and the index perceptions that is associated with a hospital in the market
Q2: What are the advantages/disadvantages of an observation study for this research?
Besides collecting data visually, observation involves listening, reading, smelling, and touching. Behavioral scientists define observation in terms of animal or human behavior, but this too is limiting (Cooper, D., & Schlindler, P. 2013, p. 172).
Directness: Observation in the study provides direct access to the social phenomenon that is considered. Instead of asking people questions, observation can be used to observe and record the behavior in every situation. In essence, it avoids the wide range of setbacks encountered with self-report. In the Akron study parents, physicians, and child patients were observed through the diagnosis, testing, and the treatment.
Diversity, Flexibility and Applicability: Observation takes diverse forms from unstructured and informal approaches through tightly structured procedures that are standardized to yield associated types of data both quantitative and qualitative.
First-hand information: The researchers watched listened and recorded first-hand information on emotional and first physical reactions and heart-wrenching conversations. For instance, Joanne Kim, creative director and Marcus Thomas partner shared the way they watched how doctors talk to children about the health-associated problems rather than talking to parents thus getting the first-h.
TEDMED Great Challenge Medical Communication: John Cox Q4 ResponseTEDMED
Given the short time for medical appointments, effective communication between doctors and patients is challenging. Visible Health aims to address this by encouraging ongoing collaboration between doctors and patients using mobile apps and digital content. Their approach involves providing preparatory information to patients before visits, discussing personalized digital materials during visits to enhance understanding, and allowing patients access to shared information after visits to facilitate adherence and follow up questions. The goal is to improve medical communication both within and beyond the constraints of brief appointment times through technology-enabled engagement at all stages of care.
Better Knowledge. Better Health? Making Research Relevant, Accessible, and P...Marie Ennis-O'Connor
This document discusses making research more relevant, accessible, and prioritized to patient needs through systematic reviews and knowledge translation. It emphasizes:
1) Involving patients throughout the research process to ensure the questions asked and outcomes measured are truly important to patients.
2) Ensuring research findings are disseminated through various channels in a timely, accessible, and understandable manner so they can inform healthcare decisions.
3) The importance of validity, relevance, and translating research into practical applications to benefit patients.
The document discusses how Joseph Wolpe developed systematic desensitization to help clients overcome phobias more quickly than psychodynamic therapy. Wolpe's hypothesis was that combining a fear with relaxation would eventually eradicate the phobia. The summary provides background on Wolpe's work developing systematic desensitization but does not include any details about his specific techniques or how he tested his hypothesis.
Test Bank For Clinical Nursing Skills and Techniques 10th Edition (1).pdfDonc Test
Test Bank For Clinical Nursing Skills and Techniques 10th Edition
Test Bank For Clinical Nursing Skills and Techniques 10th Edition
Test Bank For Clinical Nursing Skills and Techniques 10th Edition
This document discusses a mobile learning programme for medical students at the School of Medicine. It implemented a programme where Year 4 and 5 students were provided iPhones to use as learning tools. The programme aimed to allow learning anytime, anywhere through mobile access to medical resources, assessments, and opportunities for feedback from clinical practice. Benefits included retaining learning in clinical settings and timely access to information. Evaluations found students and clinicians saw benefits when used appropriately, though some issues around unprofessional use in front of patients were noted. Overall the programme supported innovative blended learning and improved preparation of lifelong learning skills.
A brief overview of the panel discussion for the 2015 South by Southwest Edu conference. Panel participants are Sheryl Abshire, Ph.D., Adam Hall, and Steve Miller, Ph.D.
Evidence-based practice (EBP) aims to help healthcare organizations meet the Quadruple Aim of improving patient experience, population health, costs, and provider work life. EBP integrates research evidence, clinical expertise, and patient values into decision-making. It can help enhance patient experience through better care, improve population health by generating insight into health characteristics, reduce costs by improving value and seamless data tracking, and improve provider work life by identifying stressors and easing burdens. Overall, EBP provides an approach for organizations to consider when aiming to achieve the balanced objectives of the Quadruple Aim.
Justify Your Conclusions
Hiv Aids Conclusions
Essay on Hypothesis and Conclusion
Sampling Methods Essay
Conclusion Of Solar Energy
Titanium Essay
Research Methods Essay
Dental Hygienist Conclusion
Conclusion Of Globalization
The document discusses evidence-based healthcare and the role of the Cochrane Collaboration. It describes how the Cochrane Collaboration conducts systematic reviews of healthcare interventions to help people make informed healthcare decisions. It has over 15,000 contributors globally who produce reviews and summaries to reduce bias and provide reliable information to healthcare providers, policymakers, and the public. The Collaboration aims to bridge the gap between research evidence and practice through disseminating its findings widely.
This concept can be applied to the wisdom of clinicians inside healthcare institutions. By gathering and sharing course content and tools between care facilities, hospitals can be connected to more than just the technical cloud. They can be connected to the wisdom of the cloud.
The document provides an overview of Geoff Rutledge's career path from medicine to computer science and clinical informatics. It discusses his background in medicine, academia, and industry. Some key points:
1) Rutledge has a background in both medicine and computer science, obtaining degrees in both fields. He worked as a physician before pursuing a career in clinical informatics.
2) He discusses different career paths in biomedical informatics, including academic, health systems, corporate research, and starting his own companies.
3) Rutledge shares lessons from his time in academia and industry, emphasizing the importance of choosing research topics that match your next career goal and maintaining perspective when working at a startup.
Similar to 1115 wed morar fairclough & vincent (20)
This session will demystify (generative) AI by exploring its workings as an advanced statistical modelling tool (suitable for any level of technical knowledge). Not only will this session explain the technological underpinnings of AI, it will also address concerns and (long-term) requirements around ethical and practical usage of AI. This includes data preparation and cleaning, data ownership, and the value of data-generated - but not owned - by libraries. It will also discuss the potentials for (hypothetical) use cases of AI in collections environments and making collections data AI-ready; providing examples of AI capabilities and applications beyond chatbots.
CATH DISHMAN, CENYU SHEN,
KATHERINE STEPHAN
Although scholarly communications has become more open, problems with predatory and problematic publishers remain. There are commercial providers of lists, start-up/renegade Internet lists of good/bad and the researchers, publishers and assessors that try to understand and process what being on/off a list means to themselves, their careers and their institutions. Still, these problems persist and leaves many asking: where is the list?
Christina Dinh Nguyen, University of Toronto Mississauga Library
In the world of digital literacies, liaison and instructional librarians are increasingly coming to terms with a new term: algorithmic literacy. No matter the liaison or instruction subjects – computer science, sociology, language and literature, chemistry, physics, economics, or other – students are grappling with assignments that demand a critical understanding, or even use, of algorithms. Over the course of this session, we’ll discuss the term ‘algorithmic literacies,’ explore how it fits into other digital literacies, and see why it as a curriculum might belong at your library. We’ll also look at some examples of practical pedagogical methods you can implement right away, depending on what types of AL lessons you want to teach, and who your patrons are. Lastly, we’ll discuss how librarians should view themselves as co-learners when working with AL skills. This session seeks to bring together participants from across the different libraries, with diverse missions/vision/mandates, to explore ways we can all benefit from teaching AL. If time permits, we may discuss how text and data librarians (functional specialists) can support the development of this curriculum.
David Pride, The Open University
In this paper, we present CORE-GPT, a novel question- answering platform that combines GPT-based language models and more than 32 million full-text open access scientific articles from CORE. We first demonstrate that GPT3.5 and GPT4 cannot be relied upon to provide references or citations for generated text. We then introduce CORE-GPT which delivers evidence-based answers to questions, along with citations and links to the cited papers, greatly increasing the trustworthiness of the answers and reducing the risk of hallucinations.
Cath Dishman, Cenyu Shen, Katherine Stephan
Although scholarly communications has become more open, problems with predatory and problematic publishers remain. There are commercial providers of lists, start-up/renegade Internet lists of good/bad and the researchers, publishers and assessors that try to understand and process what being on/off a list means to themselves, their careers and their institutions. Still, these problems persist and leaves many asking: where is the list?
This plenary panel will discuss the problems of “predatory” publishing and what, if anything, publishers, our community and researchers can do to try and help minimise their abundancy/impact.
eth Montague-Hellen, Francis Crick Institute, Katie Fraser, University of Nottingham
Open Access is a foundational topic in Scholarly Communications. However, when information professionals and publishers talk about its future, it is nearly always Gold open access we discuss. Green was seen as the big solution for providing access to those who couldn’t afford it. However, publishers have protested that Green destroys their business models. How true is this, and are we even all talking the same language when we talk about Green?
Chris Banks, Imperial College London, Caren Milloy, Jisc,
Transitional agreements were developed in response to funder policy and institutional demand to constrain costs and facilitate funder compliance. They have since become the dominant model by which UK research outputs are made open access. In January 2023, Jisc instigated a critical review of TAs and the OA landscape to provide an evidence base to inform a conversation on the desired future state of research dissemination. This session will discuss the key findings of the review and its impact on a sector-wide consultation and concrete actions in the UK and beyond.
Michael Levine-Clark, University of Denver, Jason Price, SCELC Library Consortium
As transformative agreements emerge as a new standard, it is critical for libraries, consortia, publishers, and vendors to have consistent and comprehensive data – yet data around publication profiles, authorship, and readership has been shown to be highly variable in availability and accuracy. Building on prior research around frameworks for assessing the combined value of open publishing and comprehensive read access that these deals provide, we will address multi-dimensional perspectives to the challenges that the industry faces with the dissemination, collection, and analysis of data about authorship, readership, and value.
Hylke Koers, STM Solutions
Get Full Text Research (GetFTR) launched in 2020 with the objective of streamlining discovery and access of scholarly content in the many tools that researchers use today, such as Dimensions, Semantic Scholar, Mendeley, and many others. It works equally well for open access content as it does for subscription-based content, providing researchers with recognizable buttons and indicators to get them to the most up-to-date version of content with minimal effort. Currently, around 30,000 OA articles are accessed every day via GetFTR links.
Gareth Cole, Loughborough University, Adrian Clark, Figshare
Researchers face more pressure to share their research data than ever before. Owing to a rise in funder policies and momentum towards more openness across the research landscape. Although policies for data sharing are in place, engagement work is undertaken by librarians in order to ensure repository uptake and compliance.
We will discuss a particular strategy implemented at Loughborough University that involved the application of conceptual messaging frameworks to engagement activities in order to promote and encourage use of our Figshare-powered repository. We will showcase the rationale behind the adoption of messaging frameworks for library outreach and some practical examples.
Mark Lester, Cardiff Metropolitan University
This talk will outline how a completely accidental occurrence led to brand new avenues for open research advocacy and reasons for being. This advocacy has occurred within student communities such as trainee teachers, student psychologists and (especially) those soon losing access to subscription-based library content. Alongside these new forms of advocacy, these ethical example of AI use cases has begun to form a cornerstone of directly connecting the work of the library to new technology.
Simon Bell, Bristol University Press
The UN SDG Publishers Compact, launched in 2020, was set up to inspire action among publishers to accelerate progress to achieve the Sustainable Development Goals by 2030, asking signatories to develop sustainable practices, act as champions and publish books and journals that will “inform, develop and inspire action in that direction”.
This Lightning Talk will discuss how our new Bristol University Press Digital has been developed as part of our mission to contribute a meaningful and impactful response to this call to action as well as the global social challenges we face.
Using thematic tagging to create uniquely curated themed eBook collections around the Global Social Challenges, Bristol University Press Digital responds directly to the need to provide the scholarly community access to a comprehensive range SDG focussed content while minimising time and resource at the institution end in collating content and maintaining collection relevance to rapidly evolving themes
Jenni Adams, University of Sheffield, Ric Campbell, University of Sheffield
Academic researchers are becoming increasingly aware of the need to make data and software FAIR in order to support the sharing and reuse of non-publication outputs. Currently there is still a lack of concise and practical guidance on how to achieve this in the context of specific data types and disciplines.
This presentation details recent and ongoing work at the University of Sheffield to bridge this gap. It will explore the development of a FAIR resource with specialist guidance for a range of data types and will examine the planned development of this project during the period 2023-25
TASHA MELLINS-COHEN
COUNTER & Mellins-Cohen Consulting, JOANNA BALL
DOAJ, YVONNE CAMPFENS
OA Switchboard,
ADAM DER, Max Planck Digital Library
Community-led organizations like DOAJ (Directory of Open Access Journals), COUNTER (the standard for usage metrics) and OA Switchboard (information exchange for OA publications) are committed to providing reliable, not-for-profit services and standards essential for a well-functioning global research ecosystem. These organizations operate behind the scenes, with low budgets and limited staffing – no salespeople, marketing teams, travel budgets, or in-house technology support. They collaborate with one another and with bigger infrastructure bodies like Crossref and ORCID, creating the foundations on which much scholarly infrastructure relies.
These organizations deliver value through open infrastructure, data and standards, and naturally services and tools have been built by commercial and not-for-profit groups that capitalize on their open, interoperable data and services – many of which you are likely to recognize and may use on a regular basis.
Hear from the Directors of COUNTER, DOAJ and OA Switchboard, as well as a library leader, on the role of these organizations, the challenges they face and why support from the community is essential to their sustainability.
CAMILLE LEMIEUX
Springer Nature
What is the current state of diversity, equity, and inclusion in the scholarly publishing community? It's time to take a thorough look at the 2023 global Workplace Equity (WE) Survey results. The C4DISC coalition conducted the WE Survey to capture perceptions, experiences, and demographics of colleagues working at publishers, associations, libraries, and many more types of organizations in the global community. Four key themes emerged from the 2023 results, which will be compared to the findings from the first WE Survey conducted in 2018. Recommendations for actions organisations can consider within their contexts will be proposed and discussed.
Rob Johnson, Research Consulting
Angela Cochran, American Society of Clinical Oncology
Gaynor Redvers-Mutton, Biochemical Society
Since 2015, the number of self-published learned societies in the UK has decreased by over a third, with the remaining societies experiencing real-term revenue declines. All around the world, society publishers are struggling with increased competition from commercial publishers and the rise of open access business models that reward quantity over quality. We will delve into the distinctive position of societies in research, examine the challenges confronting UK and US learned society publishers, and explore actionable steps for libraries and policymakers to support the continued relevance of learned society publishers in the evolving scholarly landscape.
Simon Bell, Clare Hooper, Katharine Horton, Ian Morgan
Over the last few years we have witnessed a seismic shift in the scholarly ecosystem. Three years since outset of the COVID pandemic and the establishment UN Publishers Compact, this is discussion-led presentation will look at how four UK Universities Presses have adopted a consultative and collaborative approach on projects to support their institutional missions, engage with the wider scholarly community while building on a commitment to make a meaningful difference to society.
This panel discussion will combine the perspectives of four UK based university presses, all with distinct identities and varied publishing programs drawn from humanities, arts and social sciences, yet with a shared recognition and value of the importance to collaborate and co-operate on a shared vision to support accessibility and inclusivity within the wider scholarly community and maintain a rich bibliodiversity.
While research support teams are generally small and specialist in nature, an increased demand of its service has been observed across the sector. This is particularly true for teaching-intensive institutions. As a pilot to expand research support across ARU library, the library graduate trainee was seconded to the research services team for a month. This dialogue between the former trainee and manager will discuss what the experience and outcomes of the secondment were from different perspectives. The conversation will also explore the exposure Library and Information Studies students have to research services throughout their degree.
TIM FELLOWS & EMILY WILD, Jisc
Octopus.ac is a UKRI funded research publishing model, designed to promote best practice. Intended to sit alongside journals, Octopus provides a space for researcher collaboration, recording work in detail, and receiving feedback from others, allowing journals to focus on narrative.
The platform removes existing barriers to publishing. It’s an entirely free, open space for researchers, without editorial and pre-publication peer review processes. The only requirement for authors is a valid ORCiD ID. Without barriers, Octopus must provide feedback mechanisms to ensure the community can self-moderate. During this session, we’ll explore Octopus’ aims to foster a collaborative environment and incentivise quality.
David Parker, Publisher and Founder, Lived Places Publishing
Dr. Kadian Pow, Lecturer in Sociology and Black Studies & LPP Author, Birmingham City University
Natasha Edmonds, Director, Publisher and Industry Strategy, Clarivate
Library patrons want to search for and locate authors by particular identity markers, such as gender identification, country of origin, sexual orientation, nature of disability, and the many intersectional points that allow an author to express a point-of-view. Artificial Intelligence, skilled web researchers, and data scientists in general struggle to achieve accuracy on single identity markers, such as gender. And what right does anybody have to affix identity metadata to an author other than the author theirselves? And what of the risks in disseminating author identity metadata in electronic distribution platforms and in library catalog systems? Can a "fully informed" author even imagine all the possible misuses of their identity metadata?
More from UKSG: connecting the knowledge community (20)
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Discover the benefits of homeopathic medicine for irregular periods with our guide on 5 common remedies. Learn how these natural treatments can help regulate menstrual cycles and improve overall menstrual health.
Visit Us: https://drdeepikashomeopathy.com/service/irregular-periods-treatment/
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort.
The biomechanics of running involves the study of the mechanical principles underlying running movements. It includes the analysis of the running gait cycle, which consists of the stance phase (foot contact to push-off) and the swing phase (foot lift-off to next contact). Key aspects include kinematics (joint angles and movements, stride length and frequency) and kinetics (forces involved in running, including ground reaction and muscle forces). Understanding these factors helps in improving running performance, optimizing technique, and preventing injuries.
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
PGx Analysis in VarSeq: A User’s PerspectiveGolden Helix
Since our release of the PGx capabilities in VarSeq, we’ve had a few months to gather some insights from various use cases. Some users approach PGx workflows by means of array genotyping or what seems to be a growing trend of adding the star allele calling to the existing NGS pipeline for whole genome data. Luckily, both approaches are supported with the VarSeq software platform. The genotyping method being used will also dictate what the scope of the tertiary analysis will be. For example, are your PGx reports a standalone pipeline or would your lab’s goal be to handle a dual-purpose workflow and report on PGx + Diagnostic findings.
The purpose of this webcast is to:
Discuss and demonstrate the approaches with array and NGS genotyping methods for star allele calling to prep for downstream analysis.
Following genotyping, explore alternative tertiary workflow concepts in VarSeq to handle PGx reporting.
Moreover, we will include insights users will need to consider when validating their PGx workflow for all possible star alleles and options you have for automating your PGx analysis for large number of samples. Please join us for a session dedicated to the application of star allele genotyping and subsequent PGx workflows in our VarSeq software.
Giloy in Ayurveda - Classical Categorization and SynonymsPlanet Ayurveda
Giloy, also known as Guduchi or Amrita in classical Ayurvedic texts, is a revered herb renowned for its myriad health benefits. It is categorized as a Rasayana, meaning it has rejuvenating properties that enhance vitality and longevity. Giloy is celebrated for its ability to boost the immune system, detoxify the body, and promote overall wellness. Its anti-inflammatory, antipyretic, and antioxidant properties make it a staple in managing conditions like fever, diabetes, and stress. The versatility and efficacy of Giloy in supporting health naturally highlight its importance in Ayurveda. At Planet Ayurveda, we provide a comprehensive range of health services and 100% herbal supplements that harness the power of natural ingredients like Giloy. Our products are globally available and affordable, ensuring that everyone can benefit from the ancient wisdom of Ayurveda. If you or your loved ones are dealing with health issues, contact Planet Ayurveda at 01725214040 to book an online video consultation with our professional doctors. Let us help you achieve optimal health and wellness naturally.
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
Are you looking for a long-lasting solution to your missing tooth?
Dental implants are the most common type of method for replacing the missing tooth. Unlike dentures or bridges, implants are surgically placed in the jawbone. In layman’s terms, a dental implant is similar to the natural root of the tooth. It offers a stable foundation for the artificial tooth giving it the look, feel, and function similar to the natural tooth.
Ageing, the Elderly, Gerontology and Public Health
1115 wed morar fairclough & vincent
1. Mobile Medical Education (MoMEd):
What is the impact of putting digital
mobile resources in the hands of medical
students?
Tim Vincent, Learning Technologist
Jil Fairclough, Medical School Librarian
3. In 2005, BSMS became the first UK medical school to
introduce the widespread use of mobile devices to its
students
Offered to all Year 3, 4, and 5
students (approx. 350 students)
Loaned PDA and software for free
5. Resources on the Dr Companion card
British National Formulary Oxford Concise Medical
Dictionary
Chemical Laboratory
References Oxford Handbook of
Emergency Medicine
Classification of Surgical
Operations & Procedures Oxford Handbook of
Clinical & Lab Investigation
Clinical Evidence
Oxford Handbook of
Cochrane Abstracts
Clinical Medicine
DSM IV
Oxford Handbook of
ICD 10 Clinical Surgery
NICE Compilation Oxford Handbook of
Guidance Practical Drug Therapy
Netter Atlas of Human Oxford Handbook of
Anatomy General Practice
Evidence Based Medicine Oxford Handbook of
Medical Sciences
Patient Organizations
6. Supporting set-up, roll-out, maintenance, and
training
Dir. of Undergraduate Studies Divisional assistant
Everyone!
IT Manager IT Technicians x2
Librarian
Learning Technologist
Clinical Research Fellow
7. Useful mobile technology in the clinical setting
The CCU consultant asks you
“What evidence is there for the
use of ACE inhibitors in
secondary prevention post MI?”
“And what dose is the SHO
writing up?”
8. Why mobile technology in medical training?
The future of education lies in BSMS, as a new medical
the adoption of technology, school, wants students to
such as mobile and wireless, become familiar with mobile
that connects people, unifies technology and take
the education process and advantage of the technology
enhances learning. to explore innovative
approaches to teaching and
learning.
Dr John D. Halamka, Associate Dean,
Harvard Medical School, 2002
Prof Jon Cohen, Dean of BSMS, 2003
9. GMC‟s: Tomorrow‟s Doctors (2009) expects
doctors to be able to “use information effectively in
a medical context”
“Access information sources and use
the information in relation to patient
care, health promotion, advice and
information to patients, and research
and education”
“Make effective use of computers
and other information systems,
including storing and retrieving
information.”
10. What is the impact of putting digital mobile
resources in the hands of medical students?
How much do medical What are the advantages
student really use mobile and disadvantages of
devices to access learning mobile devices in the
resources? clinical setting
What is the impact on
students’ learning?
12. Results: Amount of use over 10 month period
Questionnaire Tracking
Daily 101 – 1 – 10
Hardly 200
ever
Once a
week 51 –
Once a 100 11 – 50
month
13. Results: Most popular resource
Questionnaire Tracking
Choose 3 most No. of
Votes Most popular resource
popular resources uses
BNF 91 OH Clinical Medicine 3,385
OH Clinical Medicine 89 BNF 3,137
Medical dictionary 22 Medical dictionary 1,867
Netter‟s anatomy 19 OH General Practice 791
OH Clinical Surgery 884
14. Analysis: Three major themes identified
Access to Consolidation Need for
knowledge of knowledge change
Mobile Medical Education (MoMEd) - how mobile information resources contribute to learning for
undergraduate clinical students: a mixed methods study. Bethany S Davies, Jethin Rafique, Tim R
Vincent, Jil Fairclough, Mark H Packer, Richard Vincent and Inam Haq.
BMC Medical Education 2012, 12:1 doi:10.1186/1472-6920-12-1
http://www.biomedcentral.com/1472-6920/12/1/abstract
15. Theme 1: Access to knowledge
Mobility Speed of access
Immediacy Two devices
16. Theme 1: Access to knowledge
Mobility Speed of access
Immediacy Two devices
“The only thing is, you don‟t have
that many pockets. I would have
my wallet in one pocket, my
phone in another. I found it quite
hard to carry [the PDA] around
with me all the time.”
“The whole two devices thing is
my major gripe.”
17. Theme 2: Consolidation of knowledge
Quick reference information
Repetition
Better use of „wasted‟ time
18. Theme 2: Consolidation of knowledge
Quick reference information
“It has enhanced [my knowledge]
Repetition by reinforcing key points at point-
Better use of „wasted‟ time of-need. If you want to know
then-and-there, you can find it
then-and-there. It‟s just the
memory jog you need to reinforce
the point a bit more. It doesn‟t
mean you‟re relying on the PDA
– it just helps to reinforce and
consolidate the knowledge a bit
better.”
19. Theme 2: Consolidation of knowledge
Quick reference information
“The more repetition I get, the
Repetition more I‟m able to look at
Better use of „wasted‟ time something quickly – when I need
to - the more it‟s likely to stick.
Because you can look and say
„oh ok, that‟s what it is again‟”
“Initially, you may look at it three
times and then after that you will
become more confident in saying
„yes I know this now‟”
20. Theme 2: Consolidation of knowledge
Quick reference information
“One of the drivers for me of
Repetition using it might be more general is
Better use of „wasted‟ time just my dislike of wasted time
particularly during the day.”
“I agree. Actually, that‟s one of the
reasons I have started to use it a
lot more. There and then when
there isn‟t anything to do you can
make use of time.”
22. Theme 3: Change
Attitude, behaviour, approach
“…if you remember to take it
Resistance to change with you”
Establishing change “I think it‟s about adopting a
different mentality.”
“I‟m worried that the nurses or
patients will think I am texting
or emailing”
23. Theme 3: Change
Attitude, behaviour, approach
“What changed your mind?”
Resistance to change “Finding I did use the PDA
Establishing change and it did come in handy
several times. It just makes
life a bit easier.”
“...I have definitely got used
to having that type of
reference at my fingertips. I
would definitely look into ways
of continuing that.”
24. Questions
1. What could you/your organisation contribute to a mobile
initiative in an HEI (any subject)?
(New/different apps? Types of resource? Usage tracking?)
2. If you were in charge of MoMEd, what models would you
choose for the next three years?
Give hardware with/without software? Don‟t provide anything??
3. What do you think is the impact on student learning
(particularly in a practice-based setting) of mobile
initiatives such as MoMEd?
(Is it improving retention of knowledge? Or creating over-reliance? How
will you feel if your doctor looks everything up on electronic devices? )
27. The emergence of smartphones
BSMS becomes the first UK Apple announces sales Apple becomes
medical school to introduce of 4.7m iPhones largest smartphone
the widespread use of PDAs vendor
to its students First Android phone
(G1) launches Smartphone
sales make
Steve Jobs unveils Apple up 31% of
the iPhone launches 1.8bn devices
iPad sold globally
2005 2006 2007 2008 2009 2010 2011 2012 2013
28. What do the students want?
Nothing
Smartphone + PDA +
DrCompanion DrCompanion
Own
smartphone +
DrCompanion
29. iPhone pilot
4 month trial (Nov 2011-Feb 2012)
48 students with own iOS device
Novel logging to track usage
Contract to recording usage and
research participation
30. Changing the model to
information over technology
Offered to all students in years
3-5 with their own device
31. Thanks
Dr Inam Haq – Director of Undergraduate Studies
Dr Anna Jones, Dr Bethany Davies, Dr Jethin Rafique – Clinical Research
Fellows
Mark Packer – BSMS IT Manager
Jil Fairclough – BSMS Librarian
Tim Vincent – BSMs Learning Technologist
Tim Lambert – IT Technician
Editor's Notes
In 2005, BSMS became the first UK medical school to introduce the widespread use of PDAs to its students.(Pilot: Group of year 2 students, 2004)1st release (autumn 2005): All year 3, 4 and 5 studentsloaned a PDA and the Dr Companion card for length of theircourse.Worked with MedHand International (already had architecture and content in mobile form) to provide an SD card with Dr Companiontm software, which contained a suite of carefully selected medical texts [listed later]. Provided core reference material to students ‘at the point of need’.[Information delivers value – technology only enables]What did we provide?
What we gave them(PDA = personal digital assistant)Portable,convenient method of conveying and exchanging information – now old technology but was advanced in early 2000s!Functionality including diary, calculator, email, games, file storageProvided Dr Companion software and also the module handbooks.3. The software also viewable on the PC. It had to be synchronised manually by plugging it into a PC in order for students to receive updates and us to receive usage data.
How do you establish an initiative like this?Set-up:Strategic meetings between all stakeholdersContracts and financeProcurement or hardware and softwareRoll-out:Notification talks in advanceDistribution sessions (hardware, software, contracts)Practical training sessions (syncho cards, using resources, charging)Educational training sessionsOngoing support:Weekly surgeries for technical supportEmail support[A]And then research supportWho does this?[A] Team of 7 people (3 CRFs)
Just give student PDAs and expect them to know how to use them? Use them effectively?Ran specific training sessions on how the devices could be usedE.g:Answer?[A]EBM:CardiovascularSecondary prevention of ischaemic cardiac eventsReduce mortality and cardiovascular eventsEvidence summariesACE inhibitors BNF:Index – ramiprilCheck indicationsCheck dose2.5mg bd started 3-10 days post infarct
Why mobile technology? How did mobile technology come on to the agenda at BSMS?“PDAs will be as common as the stethoscope”
What were our objectives?How much do medical students really use mobile devices to access learning resources? They might use them for social and personal use but to access/read medical reference texts? Big assumption.What are the pros and cons of accessing mobile information resources in the real-life clinical setting? Complex psychosocial factors could impact use of mobile devices in a significant wayUltimately, what is the impact on their learning?Provide a learning opportunity of gaining experience of using mobile devices and resources (cf Tomorrow’s Doctors)Direct students to high quality learning resources
Focus groups Four held with different studentsFeasibility study 181 respondentsInterim survey 9.6% (12/125)Post-study survey 57.4% (140 / 244)Usage tracking 124 students
Tracking:124/387 students, 10 month period
Dictionary use so high because the search tool is character accurate – won’t give near answers as modern search engines tend to do – so had to be exact spelling
Thematic analysis of the focus groups identified three major themes:Access to knowledgeConsolidation of knowledgeNeed for changeSee article in BMC Medical Education open access
Practicalityof using the devices for learning:Pros:Mobility – highly portable, can take in it into clinical areas and on transportImmediacy – Relevant at the point of need, just prior, during, or just after the real clinical encounter. Also, (once in to the book) finding info is only a few clicks away, hyperlinks to connected info, or cross search all the infoCons:Speed of access – although sometimes quick, the operating system was felt to be slow[A]
Two devices – was a significant problem [A]
How students use the device and information:Quick reference information – not long / primary exposure but short facts relevant to situation immediately prior, during, or postRepetition – used it multiple timesBetter use of ‘wasted’ time – waiting in clinical areas / travelling
[A]Quick reference information – not long / primary exposure but short facts relevant to situation immediately prior, during, or post exposure to trigger
[A]Repetition – used it multiple times
[A] Better use of ‘wasted’ time – waiting in clinical areas / travelling
Attitudinal and psychosocial domain on part of the students, healthcare staff, patients
[A] Attitude, behaviour, approach – learning curveResistance to change – psychosocial factors of multimedia devices in clinical settings
[A]
There are a few questions that we have:[A] Resources:Students have an increasing number of medical education apps available to them, and research shows they are willing to pay for them. Do we have to provide anything? Do we enter in some sort of validation? What if they are not bundled into one single app – can’t cross search[A] Technology:Ebook readers: Kindle – if these are static resources, should students just have a (cheaper) ebook reader?Tablets: iPads, Galaxy tab, RIM Playbook, Kindle Fire – more on the screen and could become better interface for interactive media e.g. medical imaging(January: Apple announce iBooks Author)(2010: University of Central Florida College of Medicine, Florida, provide iPads for all their students)[A] End the initiative?Is it an effective use of resources for the impact on training modern doctors? They have the information available in paper and electronically anyway… Consign it to the history books as valid and useful research but not where we want to invest…?[A] Impact on information retrievalWhat is the impact of encouraging medical students to look information up? Become reliant to the detriment of recall without the device?
So, in what direction should we continue with mobile provision in this climate of reduced budgets, increasing expectations, changing technologies?
Technology has moved on at an incredible pace, with significant developments affecting the way that information is stored and retrieved.Jan 2007: Steve Jobs unveils the iPhoneOctober 2008: Apple announces sales of 4.7m iPhones (13% of smartphone market)Nov 2008: First android phone, the G1 launches. May 2010: iPad launched in UKApril 2011: Apple becomes the largest smartphone vendor
Asked the students:BSMS do not provide students with any mobile learning devices nor resources to accompany themBSMS continue to provide a basic PDA and DrCompanion resourcesStudents use their own smartphone and BSMS provide resources compatible with those phonesBSMS provide students with a smartphone and DrCompanion resources for the duration of the course
4 month trial (Nov 2011 – Feb 2012)Invited year 3-5 students with own iOS device (iPhone/iPodTouch/iPad); 48 students agreed to participate.Worked with MedHand to develop novel logging to track usage (using ‘push’ tech) – more detailed and reliable than manual PDA version.Contract to provide data for research:Weekly diary usageParticipate in at least 1 focus groupPre and post study questionnaireStill analyzing the data but has been v helpful in honing the effectiveness of the app, esp novel data collection process.(Reduced set of resources (based on most commonly used in PDA research vs cost):)BNF 60OH Clinical Medicine OH General PracticeOH Clinical SurgeryOH Emergency MedicineOH Clinical Examination and Practical SkillsHarrison´s Manual of Medicine
Where do we go next?(Still analysing the data but has been very insightful and helpful in helping decide what our future direction should be)Both our research and the significant change in technology since we started, has led us to move to a new model of focussing solely on the provision of the resources rather than trying to provide the devices as well. Much easier, popular, and cost effective! We focus on providing the resources and let the student decide on the technology.Make suite of key resources available via the Dr Companion app on iPhone or Android operating systemsOffered to all students in years 3-5 with a smartphone can obtain the resourcesPDAs for those without (until next academic year)Blackberry? Windows mobile? Have the opportunity to go in this direction if we want to
[Information delivers value – technology only enables]For the moment, we are confident that this an effective tool that supports learning but it is an ever-changing world so we will need to be aware of this each step of the way.