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Расширение профессиональной подготовки и ухода за миеломой в Западной Кении на основе модели ECHO: экспериментальный этап.

Множество миэломы (ММ) в сельской местности на западе Кении характеризуется тем, что диагностика проводится с опозданием и с плохими долгосрочными результатами. Отчасти в этом виновата нехватка квалифицированных медицинских бригад в сельской местности. Модель " Расширение возможностей для получения результатов в области здравоохранения на уровне общин " (EHO) направлена на устранение этого разрыва в квалификации путем установления связей между сельскими группами первичной/средней медико-санитарной помощи (говорят) и экспертами по миеломе в третичном центре (хуб) в рамках программы пр

Совпадение в аннотации оригинала
PurposeMultiple myeloma (MM) in rural western Kenya is characterized by under and late diagnosis with poor long-term outcomes. Inadequate sk … assembled and spoke sites were recruited from rural health care facilities across western Kenya. A curriculum was developed by incorporating input from spokes on their perceived skills gaps in myeloma. Participants joined sessions remotely through virtual meeting technology. ECHO sessions consisted of a spoke-led case presentation with guided discussion fol …

Learning to PERSEVERE: A pilot study of peer mentor support and caregiver education in Lewy body dementia.

BACKGROUND: Lewy Body Disease (LBD) is the second most common neurodegenerative disorder. Despite high family caregiver strain and adverse patient and caregiver outcomes, few interventions exist for LBD family caregivers. Based on a successful peer mentoring pilot study in advanced Parkinson's Disease, we revised the curriculum of this peer-led educational intervention incorporating LBD caregiver input. OBJECTIVE: We assessed feasibility of a peer mentor-led educational intervention and its impact on LBD family caregivers' knowledge, dementia attitudes, and mastery. METHODS: Using community-…

Adapting an evidence-based mindfulness-based intervention for sheltered youth experiencing homelessness.

OBJECTIVES: Youth experiencing homelessness (YEH) face challenges that impact their physical, mental, and social wellbeing, emotion regulati … youth working group sessions (n = 10) identified needed modifications. RESULTS: Adaptations to the curriculum and delivery modality were made to approximate the average length of stay in the shelter; integrate trauma-informed care approaches; increase diversity of images by race, ethnicity, age, sexual orientation, and gender identity; and increase the rele …

Testicular torsion treatment: the horns of a dilemma?

INTRODUCTION: Testicular torsion treatment rests on the horns of a dilemma, with widespread national variation in whether the responsible surgical specialty is general surgery or urology, even in hospitals with both general surgery and urology emergency service assets. This study aimed to quantify higher surgical trainee operative experience and confidence in managing suspected testicular torsion in a single UK deanery (Wales). MATERIALS AND METHODS: Anonymised logbook data were obtained via the Intercollegiate Surgical Curriculum Programme version 10 using the head of school report function …

Endoscopy Simulators.

Endoscopic simulators allow trainees and practicing endoscopists to learn new skills in a safe environment, at their own pace. Four types of simulators are described: mechanical, ex vivo, in vivo, and virtual reality simulators. Mechanical simulators are the most commonly used type as they are simple to prepare and least expensive. Ex vivo and in vivo simulators use animal organs and live animals, respectively. They have better tissue feedback but are more difficult to prepare as they involve animals. Every simulator needs a curriculum to be more effective. The simulation-based mastery learnin…

Expert Clinical Panel Member for a Research Study: A Role for the Advanced Practice Registered Nurse.

The role of advanced practice nurses (APRNs) continues to evolve, meeting the complex needs of today's healthcare systems while shaping the … es in guiding the development of a bariatric mannequin simulation system and associated educational curriculum.

Preventing HIV in the Adolescent Population with PrEP: The Role of the Nurse Practitioner.

Preexposure prophylaxis (PrEP) uptake remains low among adolescents and young adults at high risk due to various barriers, such as decreased access to care, human immunodeficiency virus (HIV) stigma, and misinformation. The barriers to the uptake of PrEP among adolescents and young adults are multifaceted and require comprehensive mitigation strategies. Presented is the epidemiology of HIV, pathophysiology, and complications of HIV in adolescents, history of PrEP research, "How to End the HIV Epidemic in the U.S." plan, reviewing and eliminating barriers to PrEP care, PrEP curriculum opportuni…

The dermatologic oral examination: Navigating the Oral Dermatoses Map.

Traditionally, dermatological education emphasizes hair, skin, and nails in its curriculum. There is a practice gap with regard to knowledge of normal oral mucosa variants, performance of the oral examination, and competence in diagnosing and treating oral mucosal disorders. The oral mucosa falls within the purview of dermatology. It is the responsibility of dermatologists, along with oral medicine specialists, to help bridge this practice gap. The purpose of this Part II manuscript is to provide differential diagnoses for common oral mucosal conditions based on sites of involvement. We have p…

12 Tips for Including Disability Awareness within Undergraduate Medical Education Curricula.

Disability is extremely common, and there is a need for high quality medical school curricula on working with persons with disabilities. The goal of disability training is to provide the proper knowledge and skills to address the unique needs of persons with disability (PWD), mitigate health disparities, and help shape more compassionate and informed physicians. This article presents 12 tips to incorporate disability training into undergraduate medical education. These tips emphasize the inclusion of PWD in all stages of the curriculum, interprofessional education, experiential learning, and e…

Tooth eruption clock: A novel learning aid.

Chronology of tooth eruption is the most preliminary and crucial topic which is covered in the undergraduate syllabus of the dental curriculum. Eruption of permanent and primary teeth follows a particular time sequence. Both maxillary and mandibular arch has similar number of teeth, beginning from central incisors to molars. The pattern of eruption differs slightly between maxillary and mandibular arch. Remembering the years or months in a numerical manner is the usual way by which a student learns the eruption chronology. Eruption clock is a specially designed learning aid, which makes this t…

Trans-esophageal endobronchial ultrasound-guided needle aspiration (EUS-B-NA): A road map for the chest physician.

The endobronchial ultrasound (EBUS) scope has been increasingly used in the gastrointestinal tract (EUS-B). Scientific data proves its efficacy and safety to provide a complete lung cancer staging, when combined with EBUS-TBNA, and in the diagnosis of para-esophageal lesions. There are multiple barriers to start performing EUS-B but probably the most important ones are related to knowledge and training, so new operators should follow a structured training curriculum. This review aims to reflect the best current knowledge regarding EUS-B and provide a road map to assist those who are incorporat…

A practical approach to children failing in school.

The most likely causes of failure in school in otherwise capable children who come from homes in which they are loved and cared for are lear … vention. When this type of medical management is combined with constructive counseling and suitable curriculum adjustments, the child can attain his or her maximum education potential and become a productive and contributing adult member of society.

Virtual Reality in Medical Education: A Concept Analysis.

Virtual reality (VR) remains inconsistently defined in medical education, with the term being applied to heterogeneous immersive and nonimmersive technologies. This inconsistency may hinder intervention classification, evidence synthesis, curriculum planning, and technology selection. This study aimed to analyze and clarify the concept of VR in medical education. A concept analysis was conducted using the eight stages of Walker and Avant's framework. A scoping review following the Joanna Briggs Institute methodology provided the original documentary basis. A complementary concept-directed, non…

Perspective of Undergraduate Dental Students on Horizontal and Vertical Integrations in Prosthodontics Education: A Mixed-Methods Approach.

OBJECTIVES: Curricular integration in dental education is essential for bridging basic sciences into clinical practices. This study aimed to evaluate dental students' perceptions of the current prosthodontic curriculum structure in a Thai undergraduate dental program, regarding horizontal and vertical integration, by applying a mixed-methods approach to examine possible connections among courses. MATERIALS AND METHODS: A mixed-methods approach was employed. A quantitative questionnaire was distributed to fifth- and sixth-year undergraduate dental students and recent graduates (n = 286), askin…

Development and Execution of a Pediatric Hospice and Palliative Medicine Fellowship in Latin America.

BACKGROUND: Pediatric hospice and palliative medicine (PHPM) is a growing subspecialty worldwide; however, formal graduate medical education … nd the University of Utah developed and implemented a PHPM fellowship program in Latin America. The curriculum emphasizes culturally responsive training and ACGME International (ACGME-I) core competencies. Program outcomes, feasibility, and acceptability were assessed using mixed methods. Quantitative data were collected via anonymous ACGME-I program evaluat …

Gaps in obesity education - thematic narrative analysis from healthcare graduates: findings from the Erasmus Mundus EMINENT project.

BACKGROUND: Obesity is a complex, chronic disease with significant global health implications, yet its management remains underrepresented in medical and allied health education. Despite recommendations for structured obesity education, healthcare professionals (HCPs) report inadequate training, contributing to gaps in knowledge, competency, and clinical preparedness. This study explores the perspectives of newly qualified HCPs regarding their training in obesity management, aiming to identify educational deficiencies and inform future curriculum improvements. METHODS: A qualitative study was …

The relationship between parental perceptions of transition practices, school readiness and mental health in Chinese children: the moderating effects of sociodemographic factors.

OBJECTIVE: Transitioning from kindergarten to primary school (K-P) represents a pivotal milestone in children's development. This study exam … es. RESULTS: Mothers reported higher school readiness scores than fathers. Parental perceptions of curriculum- and administration-focused transition practices were positively associated with multiple school readiness subscales, whereas home-school collaboration practices were linked only to self-management. Emotional and behavioral development emerged as th …

How to PERSEVERE: Study protocol for a national, virtual, randomized controlled trial of a peer mentor-supported educational intervention for family caregivers of people with Lewy body dementia.

BACKGROUND: Family caregivers of people living with Lewy body dementia (PLBD) experience significant strain and adverse health outcomes that … ed 1:1 in cohorts of 100 to (1) the Mentee group receiving weekly Mentor calls covering a novel LBD curriculum focused on symptom management, future planning, and caregiver support, or (2) the attention-control group receiving pre-existing resources for self-directed learning. Primary outcomes include change from baseline in caregiver knowledge and attitudes …

A Global Health Immersion Program for Nursing and Public Health Students.

Background: The University of San Francisco, California (USFCA) and the Lesotho-Boston Health Alliance (LeBoHA) collaborated in designing and implementing an intensive, interprofessional global health immersion program for nursing and public health students from the United States. The program focused on health systems strengthening in Lesotho. This article reports on the curriculum development process, learning outcomes, and lessons learned from implementing the program. Methods: USFCA and LeBoHA began collaborating in March 2023. The partners codeveloped curriculum with the goal of introducin…

Supporting and Uplifting New and Diverse Scientists in HIV Research (San Diego SUN): A Research Education and Training Program to Promote the Success of Black, Indigenous, and People of Color Predoctoral and Postdoctoral Fellows.

BACKGROUND: We implemented a mentored research education and training program for underrepresented minorities (URMs) and Black, Indigenous, … n February 2022, fellows supported by a mentoring team completed ten 3-hour training sessions (core curriculum) and a mentored research project. The curriculum included seminars on building skills for a productive academic research career and reflective discussions around issues uniquely faced by URM/BIPOC investigators. Standardized measures developed for C …