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Background: Reflection is one of the main components of the medical sciences curriculum. It is one of the learner-centered educational strategies, leading to deep learning, and is necessary to attain professional capabilities. A pertinent challenge is how to assess reflection. This study was conducted to design and assess psychometric characteristics of medical sciences students' reflection skills self-assessment questionnaire (RSSAQ) in Persian.
Materials And Methods: This is a methodological explorative study conducted at our University of Medical Sciences. First, an item pool was collected from both the literature review (previously designed questionnaires and existent models of reflection) and experts' and researchers' perspectives. Then the initial version of the questionnaire was presented to 19 experts and 50 students to assess the face and content validity. To assess the reliability, 48 students filled out the questionnaire twice at a one-week interval. To assess the construct validity, exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were done. For doing so, 151 students filled out the questionnaire. The data was analyzed using IBM SPSS (Statistical Package for the Social Sciences) Statistics for Windows version 16 and Analysis of Moment Structures (AMOS).
Results: The content validity index (CVI), content validity ratio (CVR), and impact score (IS) for the questionnaire came out to be 0.91, 0.75, and 4.68, respectively. Regarding the reliability, Cronbach's alpha and intraclass correlation coefficient (ICC) were, respectively, 0.75 and 0.8 (with a 95 percent confidence interval). Regarding the construct validity, three factors were extracted, labeled as "readiness to reflect" (RTR), "reflection in action" (RIA), and "reflection on action" (ROA). It became clear that this questionnaire can predict 36.8 percent of variations in reflective behavior or process in students. CFA determined that there is a positive and significant correlation between RIA and ROA factors. However, the RTR factor has a negative correlation with the other factors and vice versa.
Conclusion: The questionnaire designed in this study for reflection self-assessment had acceptable psychometric characteristics and can be applied in curriculum planning, educational evaluations, and designing educational interventions.
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http://dx.doi.org/10.4103/jehp.jehp_141_24 | DOI Listing |
Thromb Res
September 2025
Center for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg University, Mainz, Germany. Electronic address:
Warfarin is a widely used vitamin K antagonist (VKA) with known pleiotropic effects beyond anticoagulation. Preclinical and case-control evidence suggests that warfarin may affect hematopoiesis, but longitudinal human evidence is lacking. To explore this potential effect, we conducted a post-hoc analysis of participants in the Hokusai-VTE and ENGAGE AF-TIMI 48 trials, which randomized patients to warfarin or the direct oral anticoagulant edoxaban with routine laboratory testing at predefined follow-up visits.
View Article and Find Full Text PDFInt J Orthop Trauma Nurs
August 2025
Autoimmune Diseases Research Center, Kashan University of Medical Sciences, Kashan, Iran. Electronic address:
Background: Knee osteoarthritis (KOA) is a prevalent degenerative joint disorder that significantly impairs physical function and daily activities. While conventional treatments focus on symptom management, complementary therapies such as aromatherapy massage have gained attention for their potential benefits.
Objective: This study evaluates the effects of peppermint oil aromatherapy massage on functional impairments in KOA patients.
Brain Dev
September 2025
Institute of Medical Science, Gyeongsang National University College of Medicine, Jinju, Republic of Korea; Department of Neurology, Gyeongsang National University Hospital, Jinju, Republic of Korea.
Objective: To compare parenting stress between parents of children with autism spectrum disorder (ASD) and other developmental disabilities (DDs) and to examine ASD's influence on parenting stress through mediation analysis.
Methods: We retrospectively analyzed 48 children with ASD (ASD group) and 77 with non-ASD DDs (non-ASD group), along with one of their parents, at the Gyeongsang National University Hospital between May 2021 and August 2024. All underwent developmental assessments and completed the Korean version of the Parenting Stress Index-4 and the Child Interactive Behavior Test (CIBT).
Am J Emerg Med
September 2025
Department of Surgical Education, Orlando Regional Medical Center, Orlando, FL, USA; Department of Surgery, Division of Trauma and Surgical Critical Care, Orlando Regional Medical Center, Orlando, FL, USA. Electronic address:
Background: There is conflicting literature regarding mortality outcomes associated with REBOA usage in patients with severe thoracic or abdominal trauma. Our study aims to assess the benefits and negative implications of REBOA use in adult trauma patients in hemorrhagic shock with severe thoracic or abdominal injuries.
Methods: This retrospective cohort analysis utilized the American College of Surgeons Trauma Quality Improvement Program Participant Use File (ACS-TQIP-PUF) database from 2017 to 2023 to evaluate adult patients with severe isolated thoracic or abdominal trauma undergoing REBOA placement.
Am J Emerg Med
September 2025
University of Toronto, Rotman School of Management, Canada.
Study Objective: Accurately predicting which Emergency Department (ED) patients are at high risk of leaving without being seen (LWBS) could enable targeted interventions aimed at reducing LWBS rates. Machine Learning (ML) models that dynamically update these risk predictions as patients experience more time waiting were developed and validated, in order to improve the prediction accuracy and correctly identify more patients who LWBS.
Methods: The study was deemed quality improvement by the institutional review board, and collected all patient visits to the ED of a large academic medical campus over 24 months.