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Pharmacists are initiators in palliative care for patients with rare diseases.

The World Health Organization supports early delivery of palliative care as it reduces unnecessary hospital admissions and the inappropriate use of health care services. A community pharmacist can play a key role in advocating timely access to palliative care. Medication reconciliation must alert them to start communicating with the patient and/or his relatives about refocusing treatment and care as part of palliative and terminal care. Pharmaceutical activities for these patients include dispensing of devices and medicinal products, compounding personalized medication and participating as a m

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… Many schools of pharmacy have included palliative care in their curriculum what was not the case several years ago. Fig. 1 Ars Moriendi (1475) Published by Nicolaus Gotz. Woodcut Table 1 End-of-Life and Palliative Care Topics Covered in the Curriculum of US Pharmacy Schools in 2012 (Dickinson GE. …

Kidney care in patients with cancer: perspectives from the onconephrology committee of the Brazilian Society of Nephrology.

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… Although onconephrology fellowships are still lacking in South America and other regions of the globe, the inclusion of onconephrology rotations and a dedicated education program have been included as core curriculum in general nephrology fellowships, such as the Nephrology Fellowship Program from the … Dalkin AC Electrolyte disorders associated with cancer Adv Chronic Kidney Dis 2014 21 1 7 17 10.1053/j.ackd.2013.05.005 24359982 13 Guise TA Wysolmerski JJ Cancer-associated hypercalcemia N Engl J Med 2022 386 15 1443 1451 10.1056/NEJMcp2113128 35417639 14 Yarandi N Shirali AC Onconephrology: core curriculum …

2023 Scientific Session of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), Montréal, Canada, 19 March–April 1 2023: Posters

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School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18.

BACKGROUND: The World Health Organization (WHO) estimates that 1.9 million deaths worldwide are attributable to physical inactivity and at l … pulse rate. At a minimum, a combination of printed educational materials and changes to the school curriculum that promote physical activity resulted in positive effects.In this update, given the addition of three new inclusion criteria (randomized design, all school-attending children invited to participate, minimum 12-week intervention) 12 of the original …

Revisiting Early Palliative Care for Patients With Hematologic Malignancies and Bone Marrow Transplant: Why the Delay?

Palliative care has been defined as specialized care for patients facing serious illnesses. Despite advancements in the field and studies documenting the effectiveness of early palliative care (PC) interventions in seriously ill patients, the fields of hematologic malignancies and bone marrow transplant still lag behind of a comprehensive framework for early and effective interventions. The aim of this literature review is to analyze and discuss the possible barriers to care and delayed referrals for hematologic malignancies and bone marrow transplant patients. Using the EBSCO and PubMed datab

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… The development of a specific PC curriculum engrained in students’ curricula is a goal that needs to be achieved. … A possible solution to the lack of knowledge about PC among physicians could be to incorporate this subspecialty into the curriculum of residency programs, especially in primary care specialties such as Internal Medicine, Family Medicine, and Pediatrics. …

The NUTRIENT Trial (NUTRitional Intervention among myEloproliferative Neoplasms): Results from a Randomized Phase I Pilot Study for Feasibility and Adherence.

PurposeChronic inflammation is integral to myeloproliferative neoplasm (MPN) pathogenesis. JAK inhibitors reduce cytokine levels, but not without significant side effects. Nutrition is a low-risk approach to reduce inflammation and ameliorate symptoms in MPN. We performed a randomized, parallel-arm study to determine the feasibility of an education-focused Mediterranean diet intervention among patients with MPN.Experimental designWe randomly assigned patients with MPN to either a Mediterranean diet or standard U.S. Dietary Guidelines for Americans (USDA). Groups received equal but separate edu

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… This demonstrates that patients with MPN can adopt a Mediterranean diet eating pattern with dietician counseling and written curriculum. … We are currently developing a multi-modality Mediterranean diet curriculum structured as a course, including online lectures, knowledge checks, recipes and meal plans, group classes, and one on one dietician counseling to be used in subsequent trials. …

Poster Presentation

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… Understanding the existing level of knowledge and attitude among students in the care of such patients can facilitate planning a need based curriculum. … Majority (83.4%) of the students opined that palliative care teaching can be included in their curriculum. Conclusion: The findings stress the need for filling the knowledge gaps by incorporating palliative care education in undergraduate curriculum. …

Ассоциация гинекологов-преподавателей в области медицинского образования - обзор скопирования.

Экзамен по фону Pelvic является ядром, но в то же время вызывающим тревогу, клиническим навыком в высшем медицинском образовании. Традиционные подходы к преподаванию - зачастую оппортунистические или основанные на моделировании - подвергались критике за лишение технических навыков от реляционной и этической практики. В качестве альтернативной модели появились специально подготовленные педагоги, которые используют свои собственные тела для обучения и предоставления олицетворенной обратной связи. Цель этого аналитического обзора состояла в том, чтобы составить карту того, что известно о ПГС, чьи

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… Several authors argue that this reduction in anatomical and experiential diversity may undermine the programme's original purpose, promoting a hidden curriculum of ‘normality’ and limiting student exposure to real‐world variation (G48, G26, G42). … As Bleakley and colleagues argue, medical education has historically prioritised professional and institutional perspectives, often positioning patients more as educational resources than as active contributors to knowledge production and curriculum evaluation [ 24 ]. …

Качественное изучение преференций в области физических упражнений среди испаноязычных взрослых с множественным склерозом.

Цель этого исследования состояла в том, чтобы определить компоненты идеальной программы тренировки для испаноязычных лиц с множественным склерозом (МС), культурными изменениями и способами распространения информации среди этой группы населения. В онлайновом режиме были проведены полуструктурированные собеседования с 27 взрослыми людьми, которые, как было установлено, являются испаноязычными. Для оценки необходимых и желаемых компонентов программы учений использовался подход, основанный на дедуктивном анализе содержания. Участники высказали предпочтения в отношении "что", "когда", "где" и "кто"

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… 25 The cross-sectional study indicated that level of disability (i.e., impediments), exercise planning, and exercise self-efficacy were associated with current exercise behaviors among 153 Hispanics with MS. 25 Those factors should be considered in creating an SCT-based exercise training curriculum … groups for eliciting benefits of exercise such as symptom management and overall health. 38 Project GEMS: Guidelines for Exercise in Multiple Sclerosis created a home-based exercise training program to help persons with MS meet the physical activity guidelines through an SCT-based behavior change curriculum …

Meeting the challenge of cancer survivorship in public health: results from the evaluation of the chronic disease self-management program for cancer survivors.

IntroductionSelf-management has been identified as an important opportunity to improve health outcomes among cancer survivors. However, few evidence-based interventions are available to meet this need.MethodsThe effectiveness of an adapted version of the Chronic Disease Self-Management Program for cancer survivors called Cancer Thriving and Surviving was evaluated in a randomized trial. Outcomes were assessed at baseline and 6-months post program via written survey among 244 participants in Colorado. Repeated measures analysis was used to analyze pre/post program change.ResultsStatistically si

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… Sessions follow a standardized curriculum detailed in a program manual to promote fidelity to the following program elements: brainstorming, action plan formulation, action plan feedback, problem solving, and decision making ( 10 ). … The resultant CTS curriculum was initially developed by Macmillan Cancer support in the U.K and subsequently modified by the Stanford Patient Education Center to incorporate language more common to the U.S. …

Pathology Competencies in Medical Education and Educational Cases: Update 2023.

Pathology is a core component of medical school curricula because understanding the pathogenesis of the disease is foundational both for diagnostic efficiency and optimal use of ancillary resources in patient care. The Pathology Competencies for Medical Education (PCME) were developed as a national resource of expectations of pathology knowledge for medical students. The PCME are composed of three competencies: disease mechanisms and processes, organ system pathology, and diagnostic pathology and therapeutic pathology. The learning goals and learning objectives of the PCME that were first publ

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… Sixteen (34%) of responders indicated that the PMCE were useful in other ways, such as to negotiate for more time with institutional leadership, to develop 4th year electives, to map curriculum, to re-affirm what pathology course directors are teaching, and to add diagnostic medicine to the curriculum … While relevant to a comprehensive pathology curriculum, we acknowledge that not all learning objectives need to be taught by pathologists. …

Более широкие соображения в отношении интеграции медицинских и стоматологических данных

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… Finally (Ferullo et al. 2010 ) surveyed allopathic and osteopathic schools of medicine and found that 69.3% reported offering less than 5 h of oral health curriculum, while 10.2% offered no curriculum at all. …

Effects of continuing medical education on emergency trainees' rare disease knowledge and attitude: a single-center study.

BackgroundRare diseases (RDs) affect 10% of the global population but have inadequate medical resources. Early detection and treatment are crucial, yet many emergency physicians lack awareness of RDs. This study aims to evaluate the effects of continuing medical education (CME) on the knowledge and attitude of emergency physicians.MethodsThis retrospective study was conducted from April to June 2023, involving 218 Chinese emergency physicians. The online questionnaire consisted of four groups and 30 questions, covering demographic data, knowledge, and attitudes regarding RDs. Respondents were

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… It integrates a comprehensive curriculum with lectures, case discussions, bedside teaching, and multidisciplinary consultations, ensuring thorough training in theory and practice. … The rare disease research scholars program: A training curriculum for clinical researchers with mixed methods evaluation study. Translational Sci Rare Dis. 2022;6(1–2):1–11. 31. Berger A, Grimm KL, Noll R, Wagner TO. …

Updates on C3 Glomerulopathy in Kidney Transplantation: Pathogenesis and Treatment Options.

C3 glomerulopathy is a rare disease, characterized by an abnormal activation of the complement's alternative pathway that leads to the accumulation of the C3 component in the kidney. The disease recurs in more than half of kidney transplant recipients, with a significant impact on graft survival. Recurrence of the primary disease represents the second cause of graft loss after organ rejection. In C3 glomerulopathy, there are several risk factors which can promote a recurrence during transplantation, such as delayed graft function, infection and monoclonal gammopathy. All these events can trigg

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… Despite these efforts, neither the latest core curriculum of the management of kidney transplant recipients (2019) [ 87 ] nor the KDIGO guidelines give guidance on how to treat relapsed or de novo C3GN in transplant patients. … Management of Kidney Transplant Recipients by General Nephrologists: Core Curriculum 2019 Am. J. Kidney Dis. Off. J. Natl. Kidney Found. 2019 73 866 879 10.1053/j.ajkd.2019.01.031 30981567 88. Obata S. Vaz de Castro P.A.S. Riella L.V. …

It is time to consider the climate crisis in haematology.

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… Education on this subject is fundamental and should be incorporated into all levels of the medical curriculum to ensure future physicians promote sustainable medical practices. …

Centre-based early education interventions for improving school readiness: A systematic review.

BACKGROUND: Globally, children are legally obliged to attend school at a certain age (ranging from 4 to 7 years old). Developmental differen … y education interventions with no treatment controls. Twenty-two trials compared an enriched school curriculum to treatment as usual (TAU). Children were aged between 3 and 7 years old (mean age 4.4 years), 51.7% were boys and at least 70% were from a racial/ethnic minority group. Most studies were conducted in the USA and mainly located in areas of high soc …

A regional analysis of payer and provider views on cholesterol management: PCSK9 inhibitors as an illustrative alignment model.

BACKGROUND: Multiple barriers exist for appropriate use of the proprotein convertase subtilisin/kexin type 9 enzyme inhibitors (PCSK9i) in p … e American College of Cardiology (Guest Editor; Associate Editor), K2P (Co-Chair, interdisciplinary curriculum), Level Ex, Medtelligence/ReachMD (CME steering committees), MJH Life Sciences, Population Health Research Institute (for the COMPASS operations committee, publications committee, steering committee, and USA national co-leader, funded by Bayer), Sla …

Ten tips for an onco-nephrology clinic.

An increasing number of cancer patients are benefiting from long term cancer-directed therapy with an ever-expanding arsenal of novel agents from monoclonal antibodies to small molecules and cellular therapies in addition to the mainstay cytotoxic chemotherapy. All these therapies are accompanied by a unique array of adverse events, which include kidney toxicity. In this context, the need for onco-nephrology expertise continues to grow. Oncologists and hematologists collaborate closely with onco-nephrologists to determine: (i) treatment options for special populations based on accurate assessm

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… Measurement and estimation of GFR for use in clinical practice: core curriculum 2021. Am J Kidney Dis 2021;78:736–49. 10.1053/j.ajkd.2021.04.016 9. Levey A, Inker L. Assessment of glomerular filtration rate in health and disease: a state of the art review. Clin Pharmacol Ther 2017;102:405–19. 10. … Onconephrology: core curriculum 2023. Am J Kidney Dis 2023;82:743–61. 10.1053/j.ajkd.2023.04.014 53. Eremina V, Jefferson JA, Kowalewska J et al. VEGF inhibition and renal thrombotic microangiopathy. N Engl J Med 2008;358:1129–36. 10.1056/NEJMoa0707330 54. Feliers D, Chen X, Akis N et al. …

Оказание высококачественной комплексной помощи в области склероза в Германии: проблемы и региональные модели.

Множественная склерозовая (МС) помощь в Германии вступила в стадию, когда терапевтический прогресс все больше сдерживается возможностями родовспоможения. Более ранняя диагностика, более широкий доступ к высокоэффективным методам лечения заболеваний (ДМТ) и более совершенные стратегии мониторинга расширили возможности для достижения благоприятных долгосрочных результатов. В то же время эти достижения усилили потребность в специализированных экспертных знаниях, инфильтрации и инфраструктуре мониторинга, оперативном доступе к изображениям, структурированных процедурах обеспечения безопасности и м

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… Hub-and-spoke shared-care agreements with defined roles, monitoring, escalation rules High Workforce in spokes; MS-centres + office-based neurology Medium (1–3 yrs) Monitoring burden Adherence to safety-lab schedule; missed visit rate Task delegation to trained non-physician staff; competency tiers Medium Curriculum … The curriculum is organised into six modules including theoretical principles, clinical and diagnostic aspects, studies and statistics, DMTs, symptomatic therapy and rehabilitation, and monitoring and documentation, complemented by a master’s thesis, and combines lectures, tutorials, case conferences …

Resuscitating Patient Rights during the Pandemic: COVID-19 and the Risk of Resurgent Paternalism.

The COVID-19 Pandemic a stress test for clinical medicine and medical ethics, with a confluence over questions of the proportionality of resuscitation. Drawing upon his experience as a clinical ethicist during the surge in New York City during the Spring of 2020, the author considers how attitudes regarding resuscitation have evolved since the inception of do-not-resuscitate (DNR) orders decades ago. Sharing a personal narrative about a DNR quandry he encountered as a medical intern, the author considers the balance of patient rights versus clinical discretion, warning about the risk of resurg

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… I had not studied bioethics—indeed, I dropped out of a bioethics class while a student at Wesleyan—and it had not been part of the curriculum while I was a medical student at Cornell. …