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The Role of Reflection for Continuing Professional Development of In-Service Health Care Professionals: A Narrative Inquiry in Four Health Professions.
J Contin Educ Health Prof
January 2025
Dr. Fernandez: Associate Professor, Department of Family Medicine and Emergency Medicine, Faculty of Medicine Université de Montréal, Centre-ville Montréal, Québec, Canada.
Introduction: Health care providers (HCPs) use reflection to intervene in complex, ambiguous clinical situations. Yet, there is scant evidence about the circumstances when HCPs use reflection and how they perceive reflection within their continuing professional development. We selected a narrative inquiry approach to study how HCPs perceive reflection's role in learning in four health professions.
View Article and Find Full Text PDFObstetric Sonar, Media Archaeology, Feminist Critique.
J Med Humanit
January 2025
Pratt Institute, Brooklyn, NY, USA.
The snub-nosed, reclining, and serene image of the fetus is commonplace in cultural representations and analyses of obstetric ultrasound. Yet following the provocation of various feminist scholars, taking the fetal sonogram as the automatic object of concern vis-à-vis ultrasound cedes ground to anti-abortionists, who deploy fetal images to argue that life begins at conception and that the unborn are rights bearing subjects who must be protected. How might feminists escape this analytical trap, where discussions of ultrasonics must always be engaged in the act of debunking? This article orients away from the problem of fetal representation by employing a method which may appear to be wildly unsuitable: media archaeology.
View Article and Find Full Text PDFEffectiveness of behavior change techniques to address barriers to follow-up colonoscopy: results from an online survey and randomized factorial experiment.
Ann Behav Med
January 2025
Department of Behavioural Science and Health, University College London, London, United Kingdom.
Background: Nonattendance at colonoscopy is associated with reduced colorectal cancer (CRC) survival.
Purpose: The aim of this research was to quantify barriers to colonoscopy and test the effectiveness of behavior change techniques (BCTs) to address them.
Methods: Two studies were conducted.
Cervical ripening at home or in hospital during induction of labour: the CHOICE prospective cohort study, process evaluation and economic analysis.
Health Technol Assess
December 2024
Usher Institute, University of Edinburgh, Edinburgh, UK.
Background: Around one in three pregnant women undergoes induction of labour in the United Kingdom, usually preceded by in-hospital cervical ripening to soften and open the cervix.
Objectives: This study set out to determine whether cervical ripening at home is within an acceptable safety margin of cervical ripening in hospital, is effective, acceptable and cost-effective from both National Health Service and service user perspectives.
Design: The CHOICE study comprised a prospective multicentre observational cohort study using routinely collected data (CHOICE cohort), a process evaluation comprising a survey and nested case studies (qCHOICE) and a cost-effectiveness analysis.
Association Between Sociodemographic Factors and Self-Reported Diabetic Retinopathy: A Cross-sectional, Population-Based Analysis.
Am J Ophthalmol
November 2024
Department of Ophthalmology and Vision Sciences (M.P., P.J.K., R.H.M., R.P.K.), University of Toronto, Toronto, Ontario, Canada; John and Liz Tory Eye Centre (P.J.K., R.P.K.), Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. Electronic address:
Purpose: This study aimed to investigate the relationship between sociodemographic and healthcare access factors with self-reported diabetic retinopathy (DR) prevalence in a nationally representative sample of the United States.
Design: This is a population based, cross-sectional analysis.
Methods: Data from those who answered the question, "Have you ever been told by a doctor or other health professional that you had diabetic retinopathy?" from the 2017 National Health Interview Survey (NHIS) was analyzed through logistic regression to examine the association between DR prevalence and social determinants of health (SDH).
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