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Child standardized patients in pediatric OSCEs: a feasibility study for otoscope examination among undergraduate students in Rwanda.
BMC Med Educ
December 2024
Department of Pediatrics, University of Global Health Equity, Butaro, Rwanda.
Background: Otoscope examinations are a fundamental skill in pediatric care, crucial for diagnosing and managing ear conditions such as otitis media. Traditional training methods for pediatric otoscopic examination often rely on adult standardized patients (SPs) or simulated models, which may not be adequate for pediatric examinations.
Objectives: This study evaluates the feasibility and effectiveness of use of children as SPs in Objective Structured Clinical Examinations (OSCEs) to assess medical students' competency in pediatric otoscopy.
Temporal trend and characteristics of notifications of self-inflicted and interpersonal violence in the transgender population in Brazilian municipalities, 2015-2022.
Epidemiol Serv Saude
December 2024
Fundação Oswaldo Cruz, Departamento de Direitos Humanos, Saúde e Diversidade Cultural, Rio de Janeiro, RJ, Brazil.
Objective: To analyze the temporal trend and characteristics of notifications of violence among the transgender population from 2015 to 2022 in Brazilian municipalities.
Methods: This was a repeated panel epidemiological study, based on violence incidents reported among the transgender population aged 20 to 59 years, available in the Notifiable Health Conditions Information System. An annual temporal trend analysis was performed by means of generalized linear regression, using the Prais-Winsten method and spatial distribution of notifying municipalities in Brazil.
Navigating 'deterioration in mental state' - from recognition to response in general hospitals to satisfy 'National Standards': a discussion paper.
Contemp Nurse
December 2024
Mental Health Liaison Nursing, Prince of Wales Hospital, Sydney, Australia.
Background: The Australian Commission on Safety and Quality in Health Care 'National Standards' require general hospitals to have systems for clinicians to recognise and respond to patients' deteriorating mental state. The lack of an evidence-based operational definition and clear guidance challenges this requirement.
Objective: To review governance mechanisms and assessment processes for deteriorating mental state in a metropolitan general hospital and propose an organisational framework.
The use and impact of surveillance-based technology initiatives in inpatient and acute mental health settings: a systematic review.
BMC Med
November 2024
Department of Health Service and Population Research (HSPR), NIHR Policy Research Unit in Mental Health (MHPRU), Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Background: The use of surveillance technologies is becoming increasingly common in inpatient mental health settings, commonly justified as efforts to improve safety and cost-effectiveness. However, their use has been questioned in light of limited research conducted and the sensitivities, ethical concerns and potential harms of surveillance. This systematic review aims to (1) map how surveillance technologies have been employed in inpatient mental health settings, (2) explore how they are experienced by patients, staff and carers and (3) examine evidence regarding their impact.
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