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Perception Exam

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141. The sensitivity and specificity of the neurological examination in polyneuropathy patients with clinical and electrophysiological correlations. Full Text available with Trip Pro

subjects with no symptoms or electrophysiological findings suggestive for polyneuropathy, served as controls.The total cohort included 312 polyneuropathy patients, with a mean age of 60±14 years. Abnormal examination was found in 95%, most commonly sensory findings (86%). The most common abnormal examination components were impaired ankle reflexes (74%), vibration (73%), and pinprick (72%) sensation. Combining ankle reflex examination with vibration or pinprick perception had the highest sensitivity (...) , of 88%. The specificities of individual examination component were generally high, excluding ankle reflexes (62%), and vibration perception (77%). Abnormal examination findings were correlated with symptomatic weakness and worse electrophysiological parameters.The neurological examination is a valid, sensitive and specific tool for diagnosing polyneuropathy, and findings correlate with polyneuropathy severity. Ankle reflex examination combined with either vibration or pinprick sensory testing

2017 PLoS ONE

142. Papacarie is More Effective in Removing Caries in the Primary Dentition and Results in Less Pain Perception by the Patient

Papacarie is More Effective in Removing Caries in the Primary Dentition and Results in Less Pain Perception by the Patient UTCAT3323, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Papacarie is More Effective in Removing Caries in the Primary Dentition and Results in Less Pain Perception by the Patient Clinical Question In children with primary dental caries, is the use of Papacarie, as compared to traditional methods (...) , more effective in caries removal with less anxiety during treatment? Clinical Bottom Line In children with primary dentition carious lesions, Papacarie use for caries removal has shown a reduction in bacteria in infected dentine, and less pain perception. However, it took more time for application. This is supported by a systematic review and meta-analysis, as well as a Randomized clinical study. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year

2018 UTHSCSA Dental School CAT Library

143. What are the attitudes and perceptions of patients with pulmonary fibrosis and their carers towards use of oxygen therapy?

able to adapt and accept their new lives with oxygen. Appraisal summary The longitudinal aspect allows examination firstly of patients perceptions and then actual experience of oxygen therapy over time. However, patient sample size is small considering the recruitment strategy from across the US, furthermore, structured telephone interviews may limit responses. What are the attitudes and perceptions of patients with pulmonary fibrosis and their carers towards use of oxygen therapy? Table 1 (...) What are the attitudes and perceptions of patients with pulmonary fibrosis and their carers towards use of oxygen therapy? Review Methods Search Strategy: A systematic search was conducted across a wide-ranging set of databases: Ovid Medline, including In-Process & Other Non-Indexed Citations, Ovid Embase, Ebsco CINAHL Clarivate Analytics, Web of Science and Cochrane Library. The preliminary search strategy was developed on Ovid Medline using both text words and Medical subject headings from

2018 Palliative Care Evidence Review Service (PaCERS)

144. Evaluation of a course to prepare international students for the United States Medical Licensing Examination step 2 clinical skills exam Full Text available with Trip Pro

Evaluation of a course to prepare international students for the United States Medical Licensing Examination step 2 clinical skills exam United States (US) and Canadian citizens attending medical school abroad often desire to return to the US for residency, and therefore must pass US licensing exams. We describe a 2-day United States Medical Licensing Examination (USMLE) step 2 clinical skills (CS) preparation course for students in the Technion American Medical School program (Haifa, Israel (...) ) between 2012 and 2016.Students completed pre- and post-course questionnaires. The paired t-test was used to measure students' perceptions of knowledge, preparation, confidence, and competence in CS pre- and post-course. To test for differences by gender or country of birth, analysis of variance was used. We compared USMLE step 2 CS pass rates between the 5 years prior to the course and the 5 years during which the course was offered.Ninety students took the course between 2012 and 2016. Course

2017 Journal of educational evaluation for health professions

145. Screening Pelvic Examination in Adult Women

, Peters R . Perception, attitude and practices of women towards pelvic examination and Pap smear in Jamaica. N Am J Med Sci 2010 2 478 86 Hesselius I , Lisper HO , Nordström A , Anshelm-Olson B , Odlund B . Comparison between participants and non-participants at a gynaecological mass screening. Scand J Soc Med 1975 3 129 38 Wijma B , Gullberg M , Kjessler B . Attitudes towards pelvic examination in a random sample of Swedish women. Acta Obstet Gynecol Scand 1998 77 422 8 Armstrong L , Zabel E (...) , Beydoun HA . Evaluation of the usefulness of the ‘hormones with optional pelvic exam' programme offered at a family planning clinic. Eur J Contracept Reprod Health Care 2012 17 307 13 Osofsky HJ . Women's reactions to pelvic examination. Obstet Gynecol 1967 30 146 51 Hoyo C , Yarnall KS , Skinner CS , Moorman PG , Sellers D , Reid L . Pain predicts non-adherence to pap smear screening among middle-aged African American women. Prev Med 2005 41 439 45 Taylor VM , Yasui Y , Burke N , Nguyen T , Acorda E

2014 American College of Physicians

146. The Grass Isn’t Always Greener: Perceptions of and Performance on Open-Note Exams Full Text available with Trip Pro

The Grass Isn’t Always Greener: Perceptions of and Performance on Open-Note Exams Undergraduate biology education is often viewed as being focused on memorization rather than development of students' critical-thinking abilities. We speculated that open-note testing would be an easily implemented change that would emphasize higher-order thinking. As open-note testing is not commonly used in the biological sciences and the literature on its effects in biology education is sparse, we performed (...) a comprehensive analysis of this intervention on a primary literature-based exam across three large-enrollment laboratory courses. Although students believed open-note testing would impact exam scores, we found no effect on performance, either overall or on questions of nearly all Bloom's levels. Open-note testing also produced no advantage when examined under a variety of parameters, including research experience, grade point average, course grade, prior exposure to primary literature-focused laboratory

2015 CBE life sciences education

147. Voluntary peer-led exam preparation course for international first year students: Tutees’ perceptions Full Text available with Trip Pro

Voluntary peer-led exam preparation course for international first year students: Tutees’ perceptions While the number of international students has increased over the last decade, such students face diverse challenges due to language and cultural barriers. International medical students suffer from personal distress and a lack of support. Their performance is significantly lower than non-international peers in clinical examinations. We investigated whether international students benefit from (...) a peer-led exam preparation course.An exam preparation course was designed, and relevant learning objectives were defined. Two evaluations were undertaken: Using a qualitative approach, tutees (N = 10) were asked for their thoughts and comments in a semi-structured interview at the end of the semester. From a quantitative perspective, all participants (N = 22) were asked to complete questionnaires at the end of each course session.International students reported a range of significant benefits from

2015 BMC medical education

148. Overseas exams - Perception of audience in a conference symposium: A survey Full Text available with Trip Pro

Overseas exams - Perception of audience in a conference symposium: A survey 25969648 2015 05 13 2018 11 13 0971-3026 25 2 2015 Apr-Jun The Indian journal of radiology & imaging Indian J Radiol Imaging Overseas exams - Perception of audience in a conference symposium: A survey. 206-7 10.4103/0971-3026.155883 Therakathu Jacob J Department of Radiodiagnosis, Christian Medical College, Vellore, Tamil Nadu, India E-mail: jacobther@yahoo.co.in. Keshava Shyamkumar N SN Department of Radiodiagnosis

2015 The Indian journal of radiology & imaging

149. Canadian Youth Perceptions on Cannabis

makers, prevention specialists and researchers in developing evidence-informed prevention efforts for youth. This study builds on previous research completed by the Canadian Centre on Substance Abuse (CCSA) (Porath-Waller, Brown, Frigon, & Clark, 2013) that examined Canadian youth’s perceptions on cannabis. The current study is based on additional focus groups conducted with youth from jurisdictions that were not included in the last study with the goal of verifying past research and uncovering (...) show that cannabis is the most common illegal substance used by young drivers (Beirness, Beasley, & McClafferty, 2015). Unfortunately, research suggests that youth are not often aware of these harms, especially in comparison to their awareness of the harms of tobacco use or alcohol use. Instead, youth are better able to list what they consider are the benefits of cannabis (Roditis & Halpern-Felsher, 2015). International Studies of Youth Perceptions Previous studies have examined youth perceptions

2017 Canadian Centre on Substance Abuse

150. CAEP GeMES | Residents’ Perception of Direct Observation in a Clinical Setting

CAEP GeMES | Residents’ Perception of Direct Observation in a Clinical Setting CAEP GeMES | Residents' Perception of Direct Observation in a Clinical Setting - CanadiEM CAEP GeMES | Residents’ Perception of Direct Observation in a Clinical Setting In by Allison McConnell November 10, 2017 Audrey is a 2nd year EM resident who is on her 3rd shift with Dr. Stewart, an EM staff physician. In the middle of the shift, Dr. Stewart tells Audrey that he would like to observe her as she assesses her next (...) patient. Audrey is concerned that his decision to observe her is due to mistakes made in her previous assessment where she did not consider PE as an alternative diagnosis. As a result, Audrey lengthens her standard history and exam, taking 20 minutes to conduct a more thorough assessment. Direct observation of a resident by a staff physician can lead to useful feedback for the resident, but can also be a source of anxiety. This “Great Evidence in Medical education Summary” (GEMeS – pronounced “gems

2017 CandiEM

151. Evaluation of Speech Perception via the Use of Hearing Loops and Telecoils. Full Text available with Trip Pro

Evaluation of Speech Perception via the Use of Hearing Loops and Telecoils. A cross-sectional, experimental, and randomized repeated-measures design study was used to examine the objective and subjective value of telecoil and hearing loop systems. Word recognition and speech perception were tested in 12 older adult hearing aid users using the telecoil and microphone inputs in quiet and noise conditions. Participants were asked to subjectively rate cognitive listening effort and self-confidence (...) for each condition. Significant improvement in speech perception with the telecoil over microphone input in both quiet and noise was found along with significantly less reported cognitive listening effort and high self-confidence. The use of telecoils with hearing aids should be recommended for older adults with hearing loss.

2019 Gerontology & geriatric medicine Controlled trial quality: uncertain

152. The Veterans Choice Act: A Qualitative Examination of Rapid Policy Implementation in the Department of Veterans Affairs. (Abstract)

of community providers across different specialties of care or distinct geographic areas, including rural areas of the country.To examine VCA policy implementation across a sampling of Veterans Health Administration (VHA) Medical Centers.We conducted a qualitative study of 43 VHA staff and providers by conducting in-person interviews at 5 VA medical centers in the West, South, and Midwest United States. Interview questions focused on perceptions and experiences with VCA and challenges related (...) The Veterans Choice Act: A Qualitative Examination of Rapid Policy Implementation in the Department of Veterans Affairs. Congress enacted the Veterans Access, Choice, and Accountability Act of 2014 [Veterans Choice Act (VCA)] to improve access to timely, high-quality health care for Veterans. Although Congress mandated that VCA must begin within 90 days of passage of the legislation, no guidelines were provided in the legislation to ensure that Veterans had access to an adequate number

2017 Medical Care

153. Coaching From the Sidelines: Examining the Impact of Teledebriefing in Simulation-Based Training. (Abstract)

Coaching From the Sidelines: Examining the Impact of Teledebriefing in Simulation-Based Training. Although simulation facilities are available at most teaching institutions, the number of qualified instructors and/or content experts that facilitate postsimulation debriefing is inadequate at many institutions. There remains a paucity of evidence-based data regarding several aspects of debriefing, including debriefing with a facilitator present versus teledebriefing, in which participants undergo (...) was resident perception of debriefing effectiveness, as measured by the Debriefing Assessment for Simulation in Healthcare-Student Version (See Appendix, Supplemental Digital Content 1, http://links.lww.com/SIH/A282) completed at the end of every simulation session.A total of 44 debriefings occurred during the study period with a total number of 246 Debriefing Assessment for Simulation in Healthcare-Student Version completed. The data revealed a statistically significant difference between

2017 Simulation in healthcare : journal of the Society for Simulation in Healthcare Controlled trial quality: uncertain

154. Examining Racial and SocioEconomic Disparities (ERASED) in Chronic Low Back Pain Study

Examining Racial and SocioEconomic Disparities (ERASED) in Chronic Low Back Pain Study Examining Racial and SocioEconomic Disparities (ERASED) in Chronic Low Back Pain Study - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies (...) before adding more. Examining Racial and SocioEconomic Disparities (ERASED) in Chronic Low Back Pain Study (ERASED) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03338192 Recruitment Status : Recruiting First Posted

2017 Clinical Trials

155. Peer feedback for examiner quality assurance on MRCGP International South Asia: a mixed methods study Full Text available with Trip Pro

feedback for examiner quality assurance with regard to factors affecting the implementation and acceptance of the method.A sequential mixed methods approach was used based on focus group discussions with examiners (n = 12) and clinical examination convenors who acted as peer reviewers (n = 4). A questionnaire based on emerging themes and literature review was then completed by 20 examiners at the subsequent OSCE exam. Qualitative data were analysed using an iterative reflexive process. Quantitative (...) . Interpersonal dynamics, hierarchy and perception of validity of feedback were major factors influencing acceptance of feedback. Examiners desired increased transparency, accountability and the opportunity for equal partnership within the process. The process was stressful for examiners and reviewers; however acceptance increased with increasing exposure to receiving feedback. The process could be refined to improve acceptability through scrupulous attention to training and selection of those giving feedback

2017 BMC medical education

156. Situational awareness within objective structured clinical examination stations in undergraduate medical training - a literature search Full Text available with Trip Pro

the assessment of SA using OSCEs among undergraduate medical students. Key search terms included "objective structured clinical examination", "objective structured clinical assessment" or "OSCE" and "non-technical skills", "sense-making", "clinical reasoning", "perception", "comprehension", "projection", "situation awareness", "situational awareness" and "situation assessment". Boolean operators (AND, OR) were used as conjunctions to narrow the search strategy, resulting in the limitation of papers relevant (...) Situational awareness within objective structured clinical examination stations in undergraduate medical training - a literature search Medical students may not be able to identify the essential elements of situational awareness (SA) necessary for clinical reasoning. Recent studies suggest that students have little insight into cognitive processing and SA in clinical scenarios. Objective Structured Clinical Examinations (OSCEs) could be used to assess certain elements of situational awareness

2017 BMC medical education

157. Hospice, She Yelped: Examining the Quantity and Quality of Decision Support Available to Patient and Families Considering Hospice. Full Text available with Trip Pro

Hospice, She Yelped: Examining the Quantity and Quality of Decision Support Available to Patient and Families Considering Hospice. Whether to engage hospice is one of the most difficult medical decisions patients and families make. Meanwhile, misperceptions about hospice persist. Within this context, the breadth and depth of patient decision support materials for hospice are unknown.The objective of this study was to identify available patient decision aids (PtDAs) relating information about (...) hospice care and compare that information with the informational needs expressed by real-world health care consumers.First, the research team conducted an environmental scan of available PtDAs that included hospice as a treatment option and met six basic criteria defined by the International Patient Decision Aid Standards. Second, laypersons conducted an organic Web search for information regarding hospice, followed by a semi-structured interview eliciting perceptions of the available information

2017 Journal of pain and symptom management

158. Subjective neighborhood assessment and physical inactivity: An examination of neighborhood-level variance. Full Text available with Trip Pro

Subjective neighborhood assessment and physical inactivity: An examination of neighborhood-level variance. Research suggests a linkage between perceptions of neighborhood quality and the likelihood of engaging in leisure-time physical activity. Often in these studies, intra-neighborhood variance is viewed as something to be controlled for statistically. However, we hypothesized that intra-neighborhood variance in perceptions of neighborhood quality may be contextually relevant. We examined (...) the relationship between intra-neighborhood variance of subjective neighborhood quality and neighborhood-level reported physical inactivity across 48 neighborhoods within a medium-sized city, Texas City, Texas using survey data from 2706 residents collected between 2004 and 2006. Neighborhoods where the aggregated perception of neighborhood quality was poor also had a larger proportion of residents reporting being physically inactive. However, higher degrees of disagreement among residents within neighborhoods

2017 Preventive Medicine

159. Examining influences on speaking up among critical care healthcare providers in the United Arab Emirates. Full Text available with Trip Pro

Examining influences on speaking up among critical care healthcare providers in the United Arab Emirates. Assess perceived barriers to speaking up and to provide recommendations for reducing barriers to reporting adverse events and near misses.A six-item survey was administered to critical care providers in 19 Intensive Care Units in Abu Dhabi as part of an organizational safety and quality improvement effort.Questions elicited perspectives about influences on reporting, perceived barriers (...) the most influence on their decisions to report (81%; 74%). 29.5% of respondents cited fear of repercussion as a barrier, and 21.3% of respondents indicated no barriers to reporting. Barriers included perceptions of a culture of blame and issues with reporting procedures. Recommendations to establish patient safety as an organizational priority included creating supportive environments to discuss errors, hiring staff to advocate for patient safety, and implementing policies to standardize clinical

2017 International Journal for Quality in Health Care

160. Use of Accessible Examination Tables in the Primary Care Setting: A Survey of Physical Evaluations and Patient Attitudes. Full Text available with Trip Pro

-adjustable examination tables, we compared the frequency and variation in physical evaluations on examination tables and patients' perceptions of quality care.Survey administered to patients at two primary care clinics in Rochester, MN, in 2015. One clinic had height-adjustable examination tables in every exam room; the other clinic had none.A total of 399 English-speaking adult primary care patients (61% participation).Participants were asked whether they were physically evaluated on a table during (...) their clinical encounter. In addition, they completed two subscales of the Patient Perception of Quality of Care survey: Perceptions of Provider's Bedside Manner and Perceptions of Provider's Work.Overall, there were no differences between clinics in the likelihood of patients being examined on an exam table or in their perceptions of quality of care. Across both clinics, patients who reported a disability were 27% less likely to be examined on a table, were less likely to rate their provider's bedside

2017 Journal of General Internal Medicine

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