6501 research outputs found
Sort by
Carbon Footprint of Inhaled Anesthetics – Do the Risks Outweigh the Benefits?
Get PDFGlobal warming presents many challenges to the healthcare system. Not only does the increasing global temperature have detrimental health effects itself, but the healthcare sector is also a huge contributor to global warming. One big contributor to global warming is the use of inhaled anesthetics, which possess global warming potentials up to 2,000 times greater than carbon dioxide. Recent proposals, such as a prospective ban of desflurane in 2026 by the European Commission, demonstrate the need to reevaluate many of the common practices within anesthesiology. This review looks to investigate the environmental impact, cost, and clinical efficacy of various anesthetic agents. 17 articles from PubMed were retrieved and thoroughly examined. Findings show that intravenous (IV) anesthetics such as propofol significantly reduce carbon emissions and postoperative complications when compared to their inhaled counterparts. Additionally, strategies like low-flow anesthesia, use of renewable energy, and reusable equipment further reduce the detrimental environmental effects of anesthesia. A shift toward IV anesthetics, combined with institutional efforts such as carbon pricing and clinician education, may result in both ecological and economic benefits. Further research is essential to achieve more environmentally friendly and effective anesthesia care
Interprofessional Education: A Geriatric Immersion Experiential
Get PDFThe Geriatric Interprofessional Education Immersion (GIPEI) course was developed using a mixed methods design guided by the Knowledge-to-Action (KTA) Framework and embedded data-driven decision-making (DDDM). The eight-week, tri-weekly immersion integrates Experiential and Adult Learning Theories, the 4Ms Framework, IPEC competencies, and TeamSTEPPS to foster age-friendly clinical decision-making. Quantitative and qualitative data, including pre/post-tests, rubrics, observations, and student interviews, inform iterative improvement. The somato-psycho-socio-semiotic model of health further anchors student reflection and care planning. Findings aim to demonstrate improved learner ability to recognize and apply age-friendly care, while supporting evidence-informed curriculum refinement. The course is funded by the geriatric workforce enhancement program (GWEP)
Optimize your study techniques in medical school using AI
Get PDFElevate your medical studies with our advanced library workshop tailored for biomedical and medical students! Discover how to craft personalized study plans using ClaudeAI that incorporate your LASSI results and individual learning style. Learn to generate USMLE and COMLEX-style practice questions using Bing Copilot, and hone your critical thinking skills with AI-generated free-response questions based on your specific course materials. We\u27ll also cover efficient information management strategies using Google Notebook, essential for organizing the vast amount of medical knowledge you\u27ll encounter. This workshop is designed to optimize your study techniques, enhance your exam preparation, and ultimately improve your performance in your rigorous biomedical and medical courses
Spontaneous Distal Middle Cerebral Artery Aneurysm in a Young Male with Full Mutation of the Fragile X Syndrome with a High-Functioning Phenotype: Illustrative Case
Get PDFBACKGROUND: Fragile X syndrome (FXS) is a genetic disorder that typically presents with neurodevelopmental abnormalities. Patients with FXS can present with signs and symptoms of connective tissue disorder (CTD) and occasionally with vascular disease. However, cerebrovascular disease is not well documented in these patients, and it is unknown whether there is a direct link between abnormal levels of fragile X protein (FMRP) and its mRNA.
OBSERVATIONS: Here, the authors present a rare case of an adult male with full mutation FXS of a high-functioning phenotype who presented with syncope, and on further evaluation, a fusiform dissecting aneurysm of the distal middle cerebral artery was identified. The patient was treated for the aneurysm and recovered successfully.
LESSONS: Previous clinical evidence suggests that there might be an association between FMRP and increased mRNA levels on CTD and vascular pathologies in patients with FXS. This leads the authors to believe that their patient\u27s previous FXS diagnosis might have played a role in the spontaneous aneurysm and presents a novel area of inquiry in the clinical and pathological manifestations of this disease. Therefore, screening for underlying FXS genetic abnormalities in patients with CNS aneurysms and screening for aneurysms in those with these mutations might need to be considered. https://thejns.org/doi/10.3171/CASE24889
Evaluation of the Feasibility and Effectiveness of Trauma-Focused Cognitive Behavioural Therapy for Children and Youth in Ukraine During the War
No full textBACKGROUND: The large-scale Russian invasion of Ukraine in early 2022 resulted in a humanitarian crisis with hundreds of thousands of children exposed to traumatic events. To date, trauma-focused evidence-based treatments (EBTs) for children and youth have not been systematically evaluated and implemented in Ukraine. This study aims at evaluating 1) the feasibility of a training program for Ukrainian therapists on Trauma-Focused Cognitive Behavioural Therapy (TF-CBT) and 2) the feasibility and effectiveness of the treatment for children, youth, and their families in and from Ukraine during the ongoing war.
METHODS: The project TF-CBT Ukraine was implemented between March 2022 and May 2024, in close collaboration with local and international partners. Therapists completed questionnaires before/after the training, and patients were asked to complete a measure on PTSD before and after treatment.
RESULTS: Altogether 138 therapists started the training program and 44.9% were certified as TF-CBT therapists. The program completers reported overall high satisfaction with the training program, a positive change in their attitude towards EBTs and trauma-related knowledge gain. The patients (age 3-21, 37% male) reported significant improvement in symptoms of PTSD at the end of treatment with large pre-post effect sizes for DSM-5 PTSD (
CONCLUSIONS: The results of this study are promising in regard to the general implementation of trauma-focused EBTs in active conflict areas. Future studies need to replicate these findings in a randomized controlled study design
EXPLORING ADJUNCT FACULITY MEMBER ACCEPTANCE TO LEARNING MANAGEMENT SYSTEMS WHEN TRANSITIONING TO ONLINE COURSE INSTRUCTION: A TRADITIONAL CASE STUDY
No full textIn recent years, the typical college student wearing a university sweatshirt and holding a backpack has evolved to include a rising population of adult learners returning to college (Morris, 2020). According to the Educational Advisory Board, adult learners are defined as students aged 25 and older (Morris, 2020). Of the approximately 20 million students enrolled in a degree-earning program in 2019, nearly 6.5 million were adult learners (Morris, 2020). The purpose of this qualitative case study is to understand adjunct faculty members\u27 experiences, which led to positive intentions to use and actual usage of the LMS when assigned to instruct an online course at a higher education institution located in the Mid-Atlantic region of the United States. Due to tenured faculty resistance to online course instruction, this research is essential to recognize the necessity of providing proper support to prepare adjunct faculty members as they transition to instructing online courses using Learning Management System (LMS) technology. The results of this study will serve as a basis for providing the best support to facilitate the acceptance and actual usage of LMS technology among adjunct faculty members, which may positively impact their retention
ADAPTING A PERSONALIZED NORMATIVE FEEDBACK INTERVENTION FOR GRADUATE STUDENT DRINKERS
No full textOn average, graduate students consume eight drinks per week, meeting criteria for heavy drinking and highlighting the need for a cost-effective intervention. The current study examined the efficacy of personalized normative feedback (PNF) for reducing heavy drinking in graduate students. Study 1 examined the feasibility and acceptability of the intervention content to inform a randomized controlled trial (RCT) of the intervention. Results from qualitative interviews with 13 graduate students who interacted with the intervention content preferred to receive feedback about peers enrolled in the same type of degree program. Study 2 was an RCT using PNF from peers with the same gender and type of degree program to examine (1) the efficacy of the PNF intervention, (2) whether descriptive norms at follow-up mediated the effect of intervention condition on drinks per week and alcohol-related consequences, and (3) whether gender and baseline drinking moderated intervention efficacy. Eligible participants completed baseline drinking measures, were randomly assigned to the PNF feedback group or the control group and completed follow-up measures one month after baseline. We used negative binomial regressions to evaluate the aims of Study 2, and found that there was no significant reduction in drinks per week or alcohol-related consequences for participants in the intervention versus control condition. There were no significant mediation or moderation effects. Future studies should explore how to make normative data more salient and enhance cognitive dissonance during the intervention
THE IMPACT OF INTERACTIVE READ-ALOUDS ON STUDENTS’ LITERACY DEVELOPMENT
No full textThis thesis examined how multicultural interactive read-alouds support first-graders’ literacy skills and cultural awareness. Multicultural literature was used to conduct interactive read-alouds to first-grade students. A look across all data sources suggested three main themes that occur throughout the research study. These themes included student engagement and questioning, making connections by experiencing culture through an authentic lens, and developing cultural awareness and empathy for those who are different. It was evident that incorporating multicultural literature into classroom instruction had a positive impact on students’ literacy development and cultural awareness. The data suggested that these multicultural texts supported the students’ development of critical thinking and empathy. This study emphasized the need to take into account the short time frame allotted to collect data
Ethics Committees in Outpatient Medical Practice: a Scoping Review
No full textIntroduction: This scoping review consolidates existing research on outpatient ethics committees (OECs). While inpatient or hospital ethics committees are well-researched and established, OECs are scarce in number and have received less attention from scholars, ethicists, and physicians, despite the increase in outpatient care utilization over the past two decades.
Methods: We conducted a scoping review following the JBI Manual for Evidence Synthesis. Key information sources included MEDLINE PubMed, Embase, and Academic Search Complete. Gray literature searching was conducted through Web of Science Database, keyword searching in Google Scholar, and backward citation searching was utilized. Relevant articles were screened through the software Rayyan, and EndNote was used to manage references.
Results: 38 papers were identified that analyzed OECs. Most commonly these papers either advocated for the creation of OECs (16/38) or offered suggestions for their formation (8/38). Of these 38 studies, 14 studies analyzed the outcomes of existing OECs, concluding that they benefit practitioners by facilitating timely ethical decision making, quality improvement, and easing the burden of individual decisions.
Conclusion: Our review indicates that there is desire for, and benefits to, establishing OECs. The authors seem to agree that OECs empower staff, providers, and families during ethical decision-making. The authors note the benefit of a multidisciplinary approach to OECs by incorporating a diverse team of providers and staff. OECs can be utilized in ethics training, case study reviews, policy reviews, guideline development, and research. This review underscores the need for more support and exploration into OECs