bluuebunny/crossref_metadata_2025_split huggingface dataset:
Electronic Health Record (EHR) Training in Undergraduate Medical Education: Theory-Informed Development of a Longitudinal Curriculum for Empowering Patient- and Relationship-Centered Care in the Computerized Setting
Authors: Sharpless Joanna J , George Paul , Reis Shnuel P , Scott Taylor Julie , Wald Hedy S 
Published: September 2017

Objectives: While electronic health record (EHR) use is becoming state-of-the-art, formal teaching of Health Care Information Technology (HCIT) competencies is not keeping pace with burgeoning use. Medical students require training to become skilled users of HCIT but formal pedagogy is sparse. Fundamental challenges include preserving and fostering effective health care provider-patient communication skills in the computerized setting to preserve patient and relationship-centered care and facilitate reciprocity within whole person care. Thus, curriculum innovation with overarching goal of empowering undergraduate medical students’ patient- and relationship-centered interviewing skills, information mastery, electronic documentation skills, and HCIT-supported patient education is needed.Methods: The authors describe innovative, systematic curriculum development for EHR training within a series of clinical skills courses at their institution, informed by Kern et al.’s framework, narrative medicine, and reflective practice. Initially, a didactic and an observed standardized patient encounter were piloted in Year 3. Subsequent surveys of participating faculty both validated the session’s educational value and identified the need for additional practice opportunities.Results: In addition to the existing presentation and individualized practice, second iteration revisions include reflective readings and exercises, relevant “introductory” skills presented in grid format, and opportunities for direct observation of and by mentor physicians in clinical settings. The behavior grid was then expanded to include “advanced” Year 4 skills, i.e. patient participation for chart building, patient education/information sharing, shared decision-making, and sending information to the interprofessional health care team.Conclusions: Effective triangulation of physician-patient-computer may be optimized with medical education curriculum developing competencies of effective EHR use preserving patient-and relationship-centered care, reflection, and narrative medicine. Systematic, longitudinal monitoring of learners' skill development by faculty, standardized patient, self-assessment, and reflective writing will inform our innovative multi-faceted, longitudinal, transferable curriculum presented herein. Further research is needed on formal pedagogy for EHR use by learners.
Attitudinal Changes of Health Sciences Students Participating in an Interprofessional Education (IPE) Course Enriched with Complementary and Alternative Medicine (CAM) Education and CAM Fair – A Two Year Study
Authors: Kutt Anastasia , Vohra Sunita 
Published: September 2017

Objectives: Whole person care is ideally provided by a high functioning team, knowledgeable about all the therapies a patient has available to them (conventional or complementary), who coordinates efforts to efficiently meet all of a patient’s health care needs. Therefore, health sciences students at Canadian universities require team skills, and basic knowledge about complementary and alternative medicine (CAM). This project evaluates the attitudinal changes of health sciences students participating in a teaching intervention combining interprofessional education (IPE) and complementary and alternative medicine (CAM) education.Methods: At our university, “IntD410 Interprofessional Health Team Development” is a mandatory 10-week, 30-hour IPE course for all undergraduate health sciences students including medicine, nursing, pharmacy, physical therapy, and occupational therapy. The CAM-stream was developed by adding: (i) several didactic lectures; (ii) large group learning provided by CAM providers (i.e. Qi Gong, Mindfulness Meditation); (iii) small group work solving discovery-style cases; and (iv) the CAM Fair, providing one-on-one interactions with CAM providers. The CAM-stream was offered in 2012 (N=71) and 2013(N=120). Quantitative data was collected via pre/post validated questionnaires testing student attitudes towards CAM, interprofessional learning, and collaboration. Qualitative feedback was collected via reflective assignments and course evaluations.Results: Quantitative assessment revealed that the CAM-stream’s CAM beliefs increased, as did their recognition of the need for interprofessional learning. Qualitatively, initial reflections revealed that many students did not know what each other’s professions entailed, and they had misconceptions about CAM. Final reflections revealed the students felt more comfortable evaluating CAM practices, and recognized the value in collaboration. The CAM Fair was cited as the most impactful part of the curriculum.Conclusions: IPE and CAM education are urgently needed in Canadian universities to overcome biases and misconceptions, to develop team skills, and to provide coordinated whole person care. They are effectively taught concurrently.
The Information Senses of Whole Person Care: A PatientsLikeMe.com Case Study
Authors: Douglas Ferguson Robert 
Published: September 2017

Objectives: Whole Person Care (WPC) situates the act of curing within a larger framework of healing, in which meeting psychological and social needs of patients during times of illness are also considered integral to patient outcomes and wellbeing. That is, WPC entails greater attention to how information behaviors can balance competing biological, psychological, and social dimensions of patient care within the therapeutic relationship (Hutchinson, 2011; Kaslow et al., 2007; Donadio, 2005, Mount, 2003). But what role does documentation play in patient-provider communication and meeting the biopsychosocial needs of patients via WPC? This poster visually represents a content analysis of data collected from PatientsLikeMe.com using Marchionini’s (2010) Information Sense Framework to reflect upon the role of personal health information management in WPC.Methods: Over an 8-month period starting in September 2010, the researcher engaged in participant-observation within PLM’s Mood Disorder Community, a social networking site and research platform for patients. Grounded Theory (Charmez, 2006; Strauss and Corbin, 1987) was used to analyze site members’ virtual interactions and evaluate the subjective impact of maintaining and sharing a public personal health record (PHR) with off-website care providers.Results: Observations confirm Information Senses is viable for interpreting the WPC functions of PHR. Site members described online PHR as effective self-management tools, by helping patients visualize, track, and understand changes in their health between visits; and enhancing the subjective quality of provider-patient relationships and communication during visits.Conclusions: Maximizing potential benefits entails reconceptualization of medical documentation beyond diagnostic, care-coordination, and audit functions for care providers exclusively. PHR also serve communicative and reminding functions that are underexploited. Leveraging documentation to enhance the quality of communication and trust between patients and care providers, through patient-accessibility health records for example, offers a viable route towards the realization of WPC and meeting biopsychosocial needs efficiently.
Spirituality in Medicine
Authors: Aung Steven 
Published: September 2017

Objectives: Spirituality is a vital component of whole person care; healing always involves body, mind, and spirit. We can anticipate the resolution of health problems holistically by providing correct physical, mental, and spiritual alignment to our dear patients. Alignment is accomplished both through the patients’ awareness of relaxation and self-care, and the harmonization and purification of the healing energy of the practitioner. Therefore, the patient and practitioner engage upon a healing journey through spiritual connection that vitalizes the process of medicine.Methods: Traditional Chinese Medicine has employed a physical, mental, and spiritual approach for thousands of years. Enhancing spirituality in medicine involved strengthening exercises of the body, mind, and spirit. Patients are encouraged to increase their awareness of themselves on each level. Practitioners should learn to cultivate positive healing energy that will enhance their medical practice. Qi Gong posture, breathing, phonation, and visualization exercises will be demonstrated to introduce Traditional Chinese Medical philosophy and practice.Results: Session participants will receive a general orientation to Traditional Chinese Medicine and learn specific skills in Qi Gong. Patients will learn greater attention to physical, mental, and spiritual alignment. Practitioners will learn to engage themselves for whole person healing, by understanding the relationship between patient and the practitioner.Conclusions: Spirituality is vitally important in medicine to enhance the quality of both its preventive and healing aspects. Treatment is a two way relationship. Practitioners must treat patients with good intentions. Patients must prepare for a healing process that engages them on the physical, mental, and spiritual levels. Practitioners and patients, therefore, must work hand in hand, heart to heart, towards the goal of health and well-being.
On Teaching the Sum While Paying Attention to the Parts: Whole Person Care through Ethnography in Medical Education
Authors: Rahimzadeh Vasiliki Nataly , Lessard David , Nugus Peter 
Published: September 2017

Objective—This article provides a reflection on medical teaching opportunities for whole person care based on our experiences mentoring 2nd-year medical students through an Ethnography Practicum at a Canadian university. Background—The Ethnography Practicum is a new addition to the Family Medicine Transition to Clinical Practice (TCP) curriculum introduced in the second year of medical school at McGill University. It involves 30 hours of instruction (6 hours in lectures with an instructor, and 24 hours in small-group tutorials with the authors), and 9 hours of fieldwork observations in various community health settings across Montreal, QC. The primary aims of the Practicum converge with those of the TCP generally in two important ways: to inculcate in students the concepts of patient centered care, and to promote family medicine as both an academic discipline and career option. Results and Discussion— Our experiences illustrate two tensions that shape students’ expectations and experiences throughout their involvement in the Practicum and, in turn, highlight the implications for teaching whole-person care. First, ethnography as a combination of different methods has itself been the locus of tensions between positivist and critical traditions in the three last decades. Second, the Practicum is situated precisely at the crossroads of key moments on the professional identity formation continuum for our students. Such a crossroads is disruptive to the status quo of medical traineeship characteristic of the first two years in medical school, and thus reorients professional identity formation. The above tensions reveal how ethnography is not only a revered research tradition in the humanities, but can also be a conduit to whole person care-inspired clinical practice.Conclusion—As instructors and mentors involved in this Ethnography Practicum, we are continually forging a new relevance for organizational ethnography in medical training, where medical students can reflect and act on competencies beyond clinical ones. The Practicum provides a space for students to wrestle with alternative epistemologies to understanding the social world in which medicine is embedded. We lastly provide pragmatic ways to better address these tensions in an effort to support students as they proceed through the (multifaceted) development of their professional identities as future physicians.
An Evaluation of the Protein Digestibility of Flours and Derived Protein Rich Product of Three Varieties of Mucuna Pruriens (L.) From Rats (Rattus Norvegicus) Males in Growth
Authors: Théopihile Maoudombaye , Ali Mahamat Seid , Doloum Gomoung , Josiane Ngatchic Metsagang Therese , Ndoutamia G. 
Published: September 2017

The objective of the present study is to evaluate the proteinaceous digestibility of crude flours and derived protein rich product of three varieties of Mucuna pruriens of the male albino rats in growth. 48 rats have been taken randomly split up into 8 groups where 6 each according to their formulated feedings; those foods are: foods without protein (RSP), foods with casein (RC), food with the black macuna derived protein rich product (RMNc), food with the scratch macuna derived protein rich product (RMRc), food with the white macuna derived protein rich product (RMBc), food with the black macuna crude flours (RMNf), food with the scratch macuna crude flours (RMRf) et food with the white macuna crude flours (RMBf). All those foods content the same quantity of azote excepted foods without protein. Rats have been isolated in the semi metabolic cages which allow gathering the remaining of the foods supplied and the faeces to determine the parameter values of consumption. The experiment has taken 28 days. The apparent and reel protein digestibilities obtained in each food are respectively : RC (76,63±0,36% ; 95,86±0,06%), RMNc (71,20±0,77% ; 91,60±0,99%), RMRc (73,68±0,23% ; 93,49±0,85%), RMBc (71,16±0,59% ; 92,03±0,70%), RMNf (33,25±1,91% ; 53,881±1,70%), RMRf (31,3±2,40% ; 52,12±2,22%) and RMBf (31,12±4,00% ; 51,92±3,8%). The results show that derived protein rich product have ameliorated the protein digestibility and could be the alternative for the use of seeds of Mucuna pruriens to feed human beings and animals.Int. J. Appl. Sci. Biotechnol. Vol 5(3): 284-292
Study of Fermentation Kinetics of Palm Sap from Cocos nucifera
Authors: Shetty Premalatha , D’Souza Avila , Poojari Sangeetha , Narayana Jayadurgi , Rajeeva Priya 
Published: September 2017

Palm wine plays an important role as an alcoholic beverage in traditional practices. It is important to study the biochemical characteristics and microbiological aspects to understand the fermentation kinetics of palm saps. In the present investigation an elaborate study was carried out to study the fermentation kinetics of coconut palm sap. Total sugar, reducing sugar content and glucose concentration was estimated periodically during fermentation for 16h. Microbial load and invertase assay results were related to the changes in sugar concentration. Initial predominance of lactic acid bacteria was followed by dominance of yeasts. Hydrolysis of non reducing sugar occured at a faster rate between 3-9h of fermentation. During this period, the multiplication of yeasts began and reached its peak at 11h fermentation. Ethanol concentration was around 4.0 and 4.1% at 11h and 13h of fermentation respectively.Int. J. Appl. Sci. Biotechnol. Vol 5(3): 375-381
Caged for Protection: Exploring the Paradoxes of Protecting New Zealand's
Dactylanthus taylorii
Authors: Hølleland Herdis 
Published: September 2017

Abstract

Emerging from an ethnographic encounter with the conservation efforts to save an enclave of
Dactylanthus taylorii
in Tongariro National Park, the article discusses some of the paradoxes of conservation management by interdisciplinary tracing of the research and conservation history of the plant. First, the article examines how our efforts to protect native species contribute to transforming the very environment of which they are part. Furthermore, by tracing the plant's history of decline and the following rise of conservation, the article addresses the role of native species in relation to notions of belonging and the creation and maintenance of a national heritage.
Radioiodine therapy of benign thyroid-disorders
Authors: Hartmann Tobias , Vach Werner , Frings Lars , Mix Michael , Meyer Philipp Tobias , Ruf Juri 
Published: September 2017

SummaryAim: In radioiodine therapy (RIT) of benign thyroid-disorders empirical half-lives (HLemp) may be used to calculate therapeutic dose. In this study the effective half-life (HLf as well as potential influence factors were retrospectively determined in order to better estimate HLemp.Methods: Data from patients undergoing RIT from 01/09 to 04/14 were analysed (empirically estimated HLeff stratified by metabolic state and diagnosis). Inclusion criteria were: Benign thyroid-disorders, singular capsule administration and ≥ 6 dosimetry time-points (i. e. > 72 h inpatient stay). The effects of metabolic state, previous thy- reostatic medication and sex on HLeff were assessed by non-parametric ANOVA. The effects of target-volume and patient-age were assessed by regression analysis and nonparametric correlation (Spearman).Results: Data of 1,498 patients were analyzed: Graves’ Disease (GD), n = 286; multinodular goiter/disseminated autonomy (AMG/DA), n = 751; autonomous thyroid nodules (ATN), n = 421; euthyroid goiter (EG), n = 40. Mean HLeff (days ± SD) was 5.4 ± 1.5 in GD, 6.6 ± 1.2 in AMG/DA, 5.5 ± 1.6 in ATN and 6.9 ± 0.7 in EG. HLeff differed by metabolic state in GD, AMG/DA, and ATN, whereas neither thyreos- tatic medication nor sex were relevant. Moreover, target-volume (all diagnoses) and age (ATN and GD only) were associated with HLeft although the effect was small (R2 < 3.8%).Conclusion: When using standard HLeff for RIT, diagnosis and metabolic state should be considered for dose-calculations in RIT. Despite partial significance, the effects of target-volume and patient-age are small and a correction of HLeff, for these factors doesn’t appear to be necessary in a routine setting.
Impact of age and sex on the quality of life following radioactive iodine ablation in patients with thyroid cancer
Authors: Shin Seunghyeon , Kim Keunyoung , Kim Bum Soo , Kim Seong Jang , Cha Wonjae , Jang Jeon Yeob , Lee Byung Joo , Jeon Yun Kyung , Kim Sang Soo , Kim Bo Hyun , Pak Kyoungjune , Kim So Jung , Kim In Joo 
Published: September 2017

SummaryPurpose: We assessed patient discomfort and identified factors predictive of discomfort while receiving radioactive iodine (RAI) ablation.Methods: Between August 2015 and April 2016, 52 patients with differentiated thyroid cancer were enrolled in this study. All patients received recombinant human thyroid stimulating hormone (rhTSH) aided RAI ablation using 3.7 GBq or 5.55 GBq of RAI. Discomfort during their stay for RAI ablation was evaluated using a symptom questionnaire. We analyzed the relationship between the patient’s clinical data and the scores for the 15 items of the symptom questionnaire. We compared scores of questionnaires between male and female, under 45 years old and 45 and older, RAI activity of 3.7 GBq and 5.55 GBq. Also, scores of daily questionnaires were tested for differences.Results: Most patients did not have severe discomfort, but some patients had mild discomfort during their stay for RAI ablation, despite using rhTSH. Important determinants of discomfort were sex and age. Female patients reported more symptoms of fatigue, facial edema, cold intolerance, and nausea. Older patients (45 and older) complained of insomnia more often. However, the dose of RAI ablation (3.7 GBq vs 5.55 GBq) did not affect the scores of questionnaires.Conclusions: Sex and age were important predictors of patient’s discomfort during RAI ablation. Clinicians need to explain more about treatment and predicted discomforts to such patients before RAI ablation.
NEOWISE Reactivation Mission Year Three: Asteroid Diameters and Albedos
Authors: Masiero Joseph R. , Nugent C. , Mainzer A. K. , Wright E. L. , Bauer J. M. , Cutri R. M. , Grav T. , Kramer E. , Sonnett S. 
Published: September 2017

Abstract
The Near-Earth Object
Wide-field Infrared Survey Explorer (NEOWISE) reactivation mission has completed its third year of surveying the sky in the thermal infrared for near-Earth asteroids and comets. NEOWISE collects simultaneous observations at 3.4 and 4.6 μm of solar system objects passing through its field of regard. These data allow for the determination of total thermal emission from bodies in the inner solar system, and thus the sizes of these objects. In this paper, we present thermal model fits of asteroid diameters for 170 NEOs and 6110 Main Belt asteroids (MBAs) detected during the third year of the survey, as well as the associated optical geometric albedos. We compare our results with previous thermal model results from NEOWISE for overlapping sample sets, as well as diameters determined through other independent methods, and find that our diameter measurements for NEOs agree to within 26% (1σ) of previously measured values. Diameters for the MBAs are within 17% (1σ). This brings the total number of unique near-Earth objects characterized by the NEOWISE survey to 541, surpassing the number observed during the fully cryogenic mission in 2010.
Evidence for Field-parallel Electron Acceleration in Solar Flares
Authors: Haerendel G. 
Published: September 2017

Abstract
It is proposed that the coincidence of higher brightness and upward electric current observed by Janvier et al. during a flare indicates electron acceleration by field-parallel potential drops sustained by extremely strong field-aligned currents of the order of 104 A m−2. A consequence of this is the concentration of the currents in sheets with widths of the order of 1 m. The high current density suggests that the field-parallel potential drops are maintained by current-driven anomalous resistivity. The origin of these currents remains a strong challenge for theorists.
Red Supergiants as Cosmic Abundance Probes: Massive Star Clusters in M83 and the Mass–Metallicity Relation of Nearby Galaxies
Authors: Davies Ben , Kudritzki Rolf-Peter , Lardo Carmela , Bergemann Maria , Beasor Emma , Plez Bertrand , Evans Chris , Bastian Nate , Patrick Lee R. 
Published: September 2017

Abstract
We present an abundance analysis of seven super star clusters in the disk of M83. The near-infrared spectra of these clusters are dominated by red supergiants, and the spectral similarity in the J-band of such stars at uniform metallicity means that the integrated light from the clusters may be analyzed using the same tools as those applied to single stars. Using data from VLT/KMOS, we estimate metallicities for each cluster in the sample. We find that the abundance gradient in the inner regions of M83 is flat, with a central metallicity of

relative to a solar value of Z
⊙ = 0.014, which is in excellent agreement with the results from an analysis of luminous hot stars in the same regions. Compiling this latest study with our other recent work, we construct a mass–metallicity relation for nearby galaxies based entirely on the analysis of RSGs. We find excellent agreement with the other stellar-based technique—that of blue supergiants—as well as with temperature-sensitive (“auroral” or “direct”) H ii-region studies. Of all the H ii-region strong-line calibrations, those that are empirically calibrated to direct-method studies (N2 and O3N2) provide the most consistent results.