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[PMID]:29381762
[Au] Autor:Villaseñor-Derbez JC; Faro C; Wright M; Martínez J; Fitzgerald S; Fulton S; Mancha-Cisneros MDM; McDonald G; Micheli F; Suárez A; Torre J; Costello C
[Ad] Endereço:Bren School of Environmental Science and Management, University of California Santa Barbara, Santa Barbara, California, United States of America.
[Ti] Título:A user-friendly tool to evaluate the effectiveness of no-take marine reserves.
[So] Source:PLoS One;13(1):e0191821, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Marine reserves are implemented to achieve a variety of objectives, but are seldom rigorously evaluated to determine whether those objectives are met. In the rare cases when evaluations do take place, they typically focus on ecological indicators and ignore other relevant objectives such as socioeconomics and governance. And regardless of the objectives, the diversity of locations, monitoring protocols, and analysis approaches hinder the ability to compare results across case studies. Moreover, analysis and evaluation of reserves is generally conducted by outside researchers, not the reserve managers or users, plausibly thereby hindering effective local management and rapid response to change. We present a framework and tool, called "MAREA", to overcome these challenges. Its purpose is to evaluate the extent to which any given reserve has achieved its stated objectives. MAREA provides specific guidance on data collection and formatting, and then conducts rigorous causal inference analysis based on data input by the user, providing real-time outputs about the effectiveness of the reserve. MAREA's ease of use, standardization of state-of-the-art inference methods, and ability to analyze marine reserve effectiveness across ecological, socioeconomic, and governance objectives could dramatically further our understanding and support of effective marine reserve management.
[Mh] Termos MeSH primário: Conservação dos Recursos Naturais/métodos
Água do Mar
[Mh] Termos MeSH secundário: Animais
Biodiversidade
Estudos de Avaliação como Assunto
Biologia Marinha
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180131
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191821


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[PMID]:29406657
[Au] Autor:Ivey J
[Ti] Título:Evaluation: What Is All the Fuss About?
[So] Source:Pediatr Nurs;42(6):293, 2016 Nov-Dec.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Bullying/prevenção & controle
Estudos de Avaliação como Assunto
Recursos Humanos de Enfermagem/educação
Recursos Humanos de Enfermagem/psicologia
Serviços de Enfermagem Escolar/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Florida
Seres Humanos
Meia-Idade
Estudos Retrospectivos
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


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[PMID]:29233288
[Au] Autor:Kubli K; McBane S; Hirsch JD; Lorentz S
[Ad] Endereço:University of California, San Diego, Skaggs School of Pharmacy and Pharmaceutical Sciences, La Jolla, CA. Electronic address: kak267@cornell.edu.
[Ti] Título:Student pharmacists' perceptions of immunizations.
[So] Source:Curr Pharm Teach Learn;9(3):479-485, 2017 May.
[Is] ISSN:1877-1300
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The primary aim of this study was to explore changes in knowledge level, perceived importance and apprehension of immunizations by first year pharmacy students pre- vs. post-immunization education and training. EDUCATIONAL ACTIVITY: First year pharmacy students at the University of California San Diego Skaggs School of Pharmacy and Pharmaceutical Sciences (UC San Diego SSPPS) completed a pre- and post-immunization training course questionnaire. Knowledge base and perceived importance level of immunizations including hepatitis B, influenza, measles, mumps, rubella (MMR), varicella, tetanus, diphtheria, pertussis (Tdap), meningococcal and human papilloma virus (HPV) were assessed. In addition, apprehension of needle administration and fears regarding safety and efficacy were evaluated. FINDINGS: Of 120 students, 85 (71%) completed pre- and post-course questionnaires for this study. Mean knowledge test scores increased from 56% pre-course to 83% post-course. Pre-course, 73% of participants considered immunizations as very important in preventing future disease outbreaks. Post-course, this percentage climbed to 94%. Prior to taking the course, 52% of students were apprehensive about administering injections; however, after completing the course this percentage declined to 33%. The majority of students who had been fearful prior to the course retained their fears of receiving needle injections. The proportion of students believing immunizations should be a personal choice, not mandatory, did not significantly change from pre-course (49%) to post-course (44%). SUMMARY: The UC San Diego SSPPS immunization course increased student knowledge of immunization facts and the perceived importance of immunizations. However, a substantial portion of students retained apprehension about administering and receiving needle injections and the proportion believing immunizations should be a personal choice, almost half, did not change appreciably.
[Mh] Termos MeSH primário: Educação em Farmácia
Conhecimentos, Atitudes e Prática em Saúde
Estudantes de Farmácia/psicologia
Vacinação
[Mh] Termos MeSH secundário: Estudos de Avaliação como Assunto
Medo
Feminino
Seres Humanos
Injeções
Masculino
Percepção
Autoeficácia
Inquéritos e Questionários
Vacinas/administração & dosagem
Vacinas/efeitos adversos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Vaccines)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


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[PMID]:25816387
[Au] Autor:Bazuin D; Martinez J; Harper K; Okland K; Bergquist P; Kumar S
[Ad] Endereço:Herman Miller, Inc., Holland, MI, USA doug_bazuin@hermanmiller.com.
[Ti] Título:If I were a band-aid, where would I be? Researching the use and location of supplies on two patient units.
[So] Source:HERD;8(2):110-22, 2015.
[Is] ISSN:1937-5867
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The purpose of this study was to gain insight into the use and storage of supplies in the neonatal intensive care and women's health units of Parkland Hospital in Dallas, Texas. BACKGROUND: Construction of a new Parkland Hospital is underway, with completion of the 862-bed, 2.5-million square feet hospital in 2014. Leaders from the hospital and representatives from one of its major vendors collaborated on a research study to evaluate the hospital's current supply management system and develop criteria to create an improved system to be implemented at the new hospital. METHOD: Approach includes qualitative and quantitative methods, that is, written survey, researcher observations, focus groups, and evaluation of hospital supply reports. RESULTS: Approaching the ideal location of supplies can be best approached by defining a nurse's activity at the point of care. Determining an optimal supply management system must be approached by understanding the "what" of caregivers' activities and then determining the "where" of the supplies that support those activities. CONCLUSIONS: An ideal supply management system locates supplies as close as possible to the point of use, is organized by activity, and is standardized within and across units.
[Mh] Termos MeSH primário: Equipamentos e Provisões Hospitalares
Unidades de Terapia Intensiva Neonatal/organização & administração
Decoração de Interiores e Mobiliário/normas
Administração de Materiais no Hospital/normas
Recursos Humanos de Enfermagem no Hospital/organização & administração
Serviços de Saúde da Mulher/organização & administração
[Mh] Termos MeSH secundário: Eficiência Organizacional
Estudos de Avaliação como Assunto
Grupos Focais
Pesquisas sobre Serviços de Saúde
Pesquisa sobre Serviços de Saúde/métodos
Pesquisa sobre Serviços de Saúde/organização & administração
Unidades Hospitalares/organização & administração
Seres Humanos
Decoração de Interiores e Mobiliário/métodos
Administração de Materiais no Hospital/métodos
Recursos Humanos de Enfermagem no Hospital/psicologia
Pesquisa Qualitativa
Texas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180126
[Lr] Data última revisão:
180126
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150328
[St] Status:MEDLINE
[do] DOI:10.1177/1937586714566409


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[PMID]:28464850
[Au] Autor:Vermandere H; Galle A; Griffin S; de Melo M; Machaieie L; Van Braeckel D; Degomme O
[Ad] Endereço:International Centre for Reproductive Health, Ghent University, De Pintelaan 185, Post: UZP114, 9000, Gent, Belgium. Heleen.vermandere@ugent.be.
[Ti] Título:The impact of facility audits, evaluation reports and incentives on motivation and supply management among family planning service providers: an interventional study in two districts in Maputo Province, Mozambique.
[So] Source:BMC Health Serv Res;17(1):313, 2017 05 02.
[Is] ISSN:1472-6963
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKRGOUND: Good progress is being made towards universal access to contraceptives, however stock-outs still jeopardize progress. A seldom considered but important building block in optimizing supply management is the degree to which health workers feel motivated and responsible for monitoring supply. We explored how and to what extent motivation can be improved, and the impact this can have on avoiding stock-outs. METHODS: Fifteen health facilities in Maputo Province, Mozambique, were divided into 3 groups (2 intervention groups and 1 control), and 10 monthly audits were implemented in each of these 15 facilities to collect data through examination of stock cards and stock-counts of 6 contraceptives. Based on these audits, the 2 intervention groups received a monthly evaluation report reflecting the quality of their supply management. One of these 2 groups was also awarded material incentives conditional on their performance. A Wilcoxon-Mann Whitney test was used to detect differences between the groups in the average number of stocked-out centres, while changes over time were verified through applying a Friedman test. Additionally, staff motivation was measured through interviewing health care providers of all centres at baseline, and after 5 and 10 months. To detect differences between the groups and changes over time, a Kruskal Wallis and a Wilcoxon signed-rank test were applied, respectively. RESULTS: Motivation reported by providers (n = 55, n = 40 and n = 39 at baseline, 1st and 2nd follow-up respectively) was high in all groups, during all rounds, and did not change over time. Facilities in the intervention groups had better supply management results (including less stock-outs) during the entire intervention period compared with those in the control group, but the difference was only significant for the group receiving both material incentives and a monthly evaluation. However, our data also suggest that supply management also improved in control facilities, receiving only a monthly audit. During this study, more stock-outs occurred for family planning methods with lower demand, but the number of stock-outs per family planning method in the intervention groups was only significantly lower, compared with the control group, for female condoms. CONCLUSIONS: While a rise in motivation was not measurable, stock management was enhanced possibly as a result of the monthly audits. This activity was primarily for data collection, but was described as motivating and supportive, indicating the importance of feedback on health workers' accomplishments. More research is needed to quantify the additional impact of the interventions (distribution of evaluation reports and material incentives) on staff motivation and supply management. Special attention should be paid to supply management of less frequently used contraceptive methods.
[Mh] Termos MeSH primário: Auditoria Clínica
Anticoncepcionais/provisão & distribuição
Serviços de Planejamento Familiar/organização & administração
Administração de Instituições de Saúde
Pessoal de Saúde
Motivação
[Mh] Termos MeSH secundário: Equipamentos e Provisões
Estudos de Avaliação como Assunto
Feminino
Pesquisa sobre Serviços de Saúde
Seres Humanos
Moçambique
Qualidade da Assistência à Saúde
Estatísticas não Paramétricas
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Contraceptive Agents)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180117
[Lr] Data última revisão:
180117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1186/s12913-017-2222-3


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[PMID]:29257015
[Au] Autor:Lazaro LE; Nawabi DH; Klinger CE; Sculco PK; van der List JP; Dyke JP; Helfet DL; Kelly BT; Lorich DG
[Ad] Endereço:Sports Medicine Service (D.H.N. and B.T.K.), Orthopaedic Trauma Service (C.E.K, D.L.H., and D.G.L.), Adult Reconstruction and Joint Replacement Service (P.K.S.), and Center for Hip Preservation (D.H.N., D.L.H., B.T.K., and D.G.L.), Hospital for Special Surgery and New York Presbyterian Hospital (L.E
[Ti] Título:Quantitative Assessment of Femoral Head Perfusion Following Arthroscopic Femoral Osteochondroplasty: A Cadaveric Study.
[So] Source:J Bone Joint Surg Am;99(24):2094-2102, 2017 Dec 20.
[Is] ISSN:1535-1386
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Disruption of the arterial supply to the femoral head, and subsequent development of femoral head osteonecrosis, is of serious concern with intracapsular hip procedures. However, the effect of arthroscopic femoral osteochondroplasty on femoral head perfusion is unknown. We aimed to quantify the effects of both standard and posterosuperior extension of arthroscopic femoral osteochondroplasty on femoral head vascularity. We hypothesized that extension of the superior resection zone posteriorly would negatively affect femoral head perfusion. METHODS: In 12 cadaveric pelvic specimens, we cannulated the medial femoral circumflex artery (MFCA). One hip per pelvis was randomly selected to be in 1 of 2 experimental groups based on the superior extent of the osteochondroplasty: standard resection (resection anterior to the 12 o'clock [0° of 360°] position) or extended resection (resection extended posterior to the 12 o'clock position). Computed tomography (CT) scans were obtained prior to and following arthroscopic resection to delineate the resection margins. Gadolinium enhancement on magnetic resonance imaging (MRI) was quantified in the femoral head by volumetric analysis using custom software. A polyurethane compound was injected and gross dissection of the vasculature was performed. RESULTS: Extension of the osteochondroplasty posteriorly (the extended-resection group), to a mean of 41.3° (range, 34° to 47°) posterior to the 12 o'clock position, decreased femoral head perfusion by a mean of 28% (range, 18% to 38%). The standard-resection group demonstrated a mean decrease in femoral head perfusion of 7% (range, 4% to 11%). Correlation analysis demonstrated a significant negative correlation (correlation coefficient, -0.877; p < 0.001; R = 0.747). For every 1° that the superior resection margin extended posteriorly, a corresponding 0.88% decrease in femoral head perfusion was found. CONCLUSIONS: Femoral head perfusion is almost fully maintained with arthroscopic osteochondroplasty when the superior resection margin is anterior to the 12 o'clock position. Perfusion is also well maintained if the superior resection margin is extended no more than 10° posterior to 12 o'clock. Further posterior extension correlated with greater decreases in femoral head perfusion. CLINICAL RELEVANCE: Our study provides previously unreported quantitative MRI data on femoral head perfusion following arthroscopic femoral osteochondroplasty for the treatment of cam-type femoroacetabular impingement.
[Mh] Termos MeSH primário: Artroscopia/métodos
Cabeça do Fêmur/irrigação sanguínea
Cabeça do Fêmur/cirurgia
Articulação do Quadril/diagnóstico por imagem
Articulação do Quadril/cirurgia
[Mh] Termos MeSH secundário: Idoso
Cadáver
Estudos de Avaliação como Assunto
Feminino
Seres Humanos
Imagem por Ressonância Magnética/métodos
Masculino
Meia-Idade
Perfusão/métodos
Fluxo Sanguíneo Regional/fisiologia
Estatísticas não Paramétricas
Tomografia Computadorizada por Raios X/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171227
[Lr] Data última revisão:
171227
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171220
[St] Status:MEDLINE
[do] DOI:10.2106/JBJS.16.01556


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[PMID]:29176406
[Au] Autor:Bertrand K; Raymond MH; Miller WC; Martin Ginis KA; Demers L
[Ad] Endereço:From the Université de Montréal, Faculty of Medicine, School of Rehabilitation, Montreal, Quebec, Canada (KB, M-HR, LD); Rehabilitation Research Program, Vancouver Coastal Health Research Institute, Vancouver, British Columbia, Canada (WCM); Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada (WCM); School of Health and Exercise Sciences, Faculty of Health and Social Development, University of British Columbia Okanagan, Kelowna, British Columbia, Canada (KAMG); and Research Centre, Institut Universitaire de gériatrie de Montréal, CIUSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, Quebec, Canada (LD).
[Ti] Título:Walking Aids for Enabling Activity and Participation: A Systematic Review.
[So] Source:Am J Phys Med Rehabil;96(12):894-903, 2017 Dec.
[Is] ISSN:1537-7385
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In this systematic literature review, we examined whether and how walking aids (i.e., canes, crutches, walkers, and rollators) enable activity and participation among adults with physical disabilities. Medline, Embase, all EBM reviews, PsychInfo, CINAHL, and Web of Science databases were used to identify studies published since 2008. Quantitative and qualitative designs were included. Data regarding participants, assistive device use, outcome measures, and domains of participation were extracted. Two reviewers independently rated the level of evidence and methodological quality of the studies. Outcomes were categorized per types of walking aids and activity and participation domains. Thirteen studies were included. Two studies involved canes, four pertained to rollators, and seven dealt with multiple types of walking aids. Mobility was the most frequently examined domain of activity and participation. Both negative and positive results were found. Negative outcomes were linked to the physical characteristics of the device, the use, environment, and personal reluctance. When incorporated in daily life, walking aids were found to enable several domains of activity and participation. Whether walking aids facilitate activity and participation may depend on the user's ability to overcome obstacles and integrate them in daily life. More high-quality research is needed to draw conclusions about their effectiveness.
[Mh] Termos MeSH primário: Pessoas com Deficiência/reabilitação
Equipamentos Ortopédicos/utilização
Qualidade de Vida
Equipamentos de Autoajuda/utilização
Caminhada/fisiologia
[Mh] Termos MeSH secundário: Bengala/utilização
Muletas/utilização
Avaliação da Deficiência
Estudos de Avaliação como Assunto
Feminino
Seres Humanos
Masculino
Resultado do Tratamento
Andadores/utilização
Caminhada/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171211
[Lr] Data última revisão:
171211
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE
[do] DOI:10.1097/PHM.0000000000000836


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Texto completo SciELO Brasil
[PMID]:28977205
[Au] Autor:Lorscheitter J; Stein C; Plentz RDM
[Ad] Endereço:Graduate Program in Health Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil.
[Ti] Título:Methodological Quality of Randomized Clinical Trials of Respiratory Physiotherapy in Coronary Artery Bypass Grafting Patients in the Intensive Care Unit: a Systematic Review.
[So] Source:Braz J Cardiovasc Surg;32(4):318-337, 2017 Jul-Aug.
[Is] ISSN:1678-9741
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To assess methodological quality of the randomized controlled trials of physiotherapy in patients undergoing coronary artery bypass grafting in the intensive care unit. METHODS: The studies published until May 2015, in MEDLINE, Cochrane and PEDro were included. The primary outcome extracted was proper filling of the Cochrane Collaboration's tool's items and the secondary was suitability to the requirements of the CONSORT Statement and its extension. RESULTS: From 807 studies identified, 39 were included. Most at CONSORT items showed a better adequacy after the statement's publication. Studies with positive outcomes presented better methodological quality. CONCLUSION: The methodological quality of the studies has been improving over the years. However, many aspects can still be better designed.
[Mh] Termos MeSH primário: Ponte de Artéria Coronária/reabilitação
Estudos de Avaliação como Assunto
Modalidades de Fisioterapia/organização & administração
Ensaios Clínicos Controlados Aleatórios como Assunto/métodos
[Mh] Termos MeSH secundário: Seres Humanos
Unidades de Terapia Intensiva/estatística & dados numéricos
Modalidades de Fisioterapia/estatística & dados numéricos
Cuidados Pós-Operatórios/métodos
Ensaios Clínicos Controlados Aleatórios como Assunto/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171005
[St] Status:MEDLINE


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[PMID]:28854791
[Au] Autor:Ferese R; Scorzolini L; Campopiano R; Albano V; Griguoli AM; Giardina E; Scala S; Ryskalin L; D'Alessio C; Zampatti S; Fantozzi R; Storto M; Fornai F; Gambardella S
[Ti] Título:PCR-based approach for qualitative molecular analysis of six neurotropic pathogens.
[So] Source:Acta Virol;61(3):273-279, 2017.
[Is] ISSN:0001-723X
[Cp] País de publicação:Slovakia
[La] Idioma:eng
[Ab] Resumo:In the last few years, polymerase chain reaction analysis is frequently required to improve the detection of pathogen infections in central nervous system as a potential cause of neurological disorders and neuropsychiatric symptoms. The goal of this paper is to set up a fast, cheap and reliable molecular approach for qualitative detection of six neurotropic pathogens. A method based on PCR has been designed and implemented to guarantee the qualitative DNA detection of herpes simplex virus types 1 and 2 (HSVI/II), Epstein-Barr virus (EBV), cytomegalovirus (CMV), varicella-zoster virus (VZV), rubella virus (RUBV) and Toxoplasma gondii in the cerebrospinal fluid, where otherwise they are barely detectable. Each PCR assay was tested using dilutions of positive controls, which demonstrated a sensitivity allowing to detect up to 102 copies/ml in PCR and 10 copies/ml in real-time PCR for each pathogen. Once been set up, the protocol was applied to evaluate the cerebrospinal fluid from 100 patients with suspected infectious diseases of the central nervous system and 50 patients without any infection. The method allowed to identify 17 positive cerebrospinal fluid with polymerase chain reaction and 22 with real-time PCR (RT-PCR), respectively. Therefore, application of RT PCR allows a fast and sensitive evaluation of neurotropic DNA pathogens in the course of diagnostic routine within neurological units.
[Mh] Termos MeSH primário: Infecções do Sistema Nervoso Central/virologia
Sistema Nervoso Central/virologia
Viroses/virologia
[Mh] Termos MeSH secundário: Estudos de Avaliação como Assunto
Seres Humanos
Reação em Cadeia da Polimerase em Tempo Real/métodos
Vírus/genética
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171103
[Lr] Data última revisão:
171103
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170901
[St] Status:MEDLINE
[do] DOI:10.4149/av_2017_305


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[PMID]:28796773
[Au] Autor:Grainger B; Yielder J; Reid P; Bagg W
[Ad] Endereço:Clinical Medical Education Fellow in Medical Programme Directorate, Faculty of Medical and Health Sciences, University of Auckland, Auckland.
[Ti] Título:Predictors of medical student remediation and their underlying causes: early lessons from a curriculum change in the University of Auckland Medical Programme.
[So] Source:N Z Med J;130(1460):73-82, 2017 Aug 11.
[Is] ISSN:1175-8716
[Cp] País de publicação:New Zealand
[La] Idioma:eng
[Ab] Resumo:AIMS: The purpose of this study was to identify predictors of remediation in a medical programme and assess the underlying causes and the quality of remediation provided within the context of a recent curriculum change. METHODS: A mixed methods study incorporating a retrospective cohort analysis of demographic predictors of remediation during 2013 and 2014, combined with thematic qualitative analysis of educator perspectives derived by interview on factors underlying remediation and the quality of that currently provided by the faculty. RESULTS: 17.7% of all students required some form of remedial assistance and 93% of all students offered remediation passed their year of study. Multivariate analysis showed international students (OR 4.59 95% CI 2.62-7.98) and students admitted via the Maori and Pacific Admission Scheme (OR 3.43 2.29-5.15) were significantly more likely to require remediation. Male students were also slightly more likely than their female classmates to require assistance. No effect was observed for rural origin students, completion of a prior degree or completion of clinical placement in a peripheral hospital. Knowledge application and information synthesis were the most frequently identified underlying problems. Most faculty believed remediation was successful, however, flexibility in the programme structure, improved diagnostics and improved access to dedicated teaching staff were cited as areas for improvement. CONCLUSIONS: Remediation is required by nearly a fifth of University of Auckland medical students, with MAPAS and international students being particularly vulnerable groups. Remediation is largely successful, however, interventions addressing reasoning and knowledge application may improve its effectiveness.
[Mh] Termos MeSH primário: Competência Clínica/normas
Educação Médica/métodos
Ensino de Recuperação/normas
Estudantes de Medicina/estatística & dados numéricos
[Mh] Termos MeSH secundário: Logro
Currículo
Estudos de Avaliação como Assunto
Feminino
Seres Humanos
Masculino
Análise Multivariada
Nova Zelândia
Estudos Retrospectivos
Fatores Sexuais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170811
[St] Status:MEDLINE



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