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SAGE Open Medicine

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https://www.readbyqxmd.com/read/27994872/air-bubbles-are-released-by-thoracic-endograft-deployment-an-in-vitro-experimental-study
#1
Kamuran Inci, Giasemi Koutouzi, Valery Chernoray, Anders Jeppsson, Håkan Nilsson, Mårten Falkenberg
PURPOSE: Embolic stroke is a dreaded complication of thoracic endovascular aortic repair. The prevailing theory about its cause is that particulate debris from atherosclerotic lesions in the aortic wall are dislodged by endovascular instruments and embolize to the brain. An alternative source of embolism might be air trapped in the endograft delivery system. The aim of this experimental study was to determine whether air is released during deployment of a thoracic endograft. METHODS: In an experimental benchtop study, eight thoracic endografts (five Medtronic Valiant Thoracic and three Gore TAG) were deployed in a water-filled transparent container drained from air...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27974969/a-novel-technique-of-needle-setting-for-curvilinear-endobronchial-ultrasound-improved-efficiency-with-no-cost
#2
Nikhil Meena, Ayoub Innabi, Bashar Alzghoul, Thaddeus Bartter
BACKGROUND: Standard instructions for biopsy using the convex curvilinear endobronchial ultrasound scope include visualization and adjustment of the sheath housing the biopsy needle before every puncture. In our practice, we pre-set this relationship before inserting the endobronchial ultrasound scope and leave it fixed for every puncture. OBJECTIVE: We postulated that this approach is more efficient than repeated re-adjustment and aimed to show that it would not increase the frequency of endobronchial ultrasound scope damage...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27928502/improving-cardiovascular-outcomes-among-aboriginal-australians-lessons-from-research-for-primary-care
#3
Sandra C Thompson, Emma Haynes, John A Woods, Dawn C Bessarab, Lynette A Dimer, Marianne M Wood, Frank M Sanfilippo, Sandra J Hamilton, Judith M Katzenellenbogen
BACKGROUND: The Aboriginal people of Australia have much poorer health and social indicators and a substantial life expectancy gap compared to other Australians, with premature cardiovascular disease a major contributor to poorer health. This article draws on research undertaken to examine cardiovascular disparities and focuses on ways in which primary care practitioners can contribute to reducing cardiovascular disparities and improving Aboriginal health. METHODS: The overall research utilised mixed methods and included data analysis, interviews and group processes which included Aboriginal people, service providers and policymakers...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27928501/patient-prioritization-of-comorbid-chronic-conditions-in-the-veteran-population-implications-for-patient-centered-care
#4
Lorilei M Richardson, Jennifer N Hill, Bridget M Smith, Erica Bauer, Frances M Weaver, Howard S Gordon, Kevin T Stroupe, Timothy P Hogan
OBJECTIVE: Patients with comorbid chronic conditions may prioritize some conditions over others; however, our understanding of factors influencing those prioritizations is limited. In this study, we sought to identify and elaborate a range of factors that influence how and why patients with comorbid chronic conditions prioritize their conditions. METHODS: We conducted semi-structured, one-on-one interviews with 33 patients with comorbidities recruited from a single Veterans Health Administration Medical Center...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27895915/care-practices-of-older-people-with-dementia-in-the-surgical-ward-a-questionnaire-survey
#5
Nina Hynninen, Reetta Saarnio, Satu Elo
OBJECTIVES: The objective of this study was to describe the care practices of nursing staff caring older people with dementia in a surgical ward. METHODS: The data were collected from nursing staff (n = 191) working in surgical wards in one district area in Finland during October to November 2015. Data were collected using a structured questionnaire and analyzed statistically. The instrument consists of a total number of 141 items and four dimensions. The dimensions were as follows: background information (12 of items), specific characteristics of older people with dementia in a surgical ward (24 of items), specific characteristics of their care in a surgical ward (66 of items) and use of physical restraints and alternative models for use of restraints for people with dementia (39 of items)...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27895914/revisiting-the-internal-consistency-and-factorial-validity-of-the-8-item-morisky-medication-adherence-scale
#6
Arsène Zongo, Line Guénette, Jocelyne Moisan, Laurence Guillaumie, Sophie Lauzier, Jean-Pierre Grégoire
OBJECTIVE: To assess the internal consistency and factorial validity of the adapted French 8-item Morisky Medication Adherence Scale in assessing adherence to noninsulin antidiabetic drug treatment. STUDY DESIGN AND SETTING: In a cross-sectional web survey of individuals with type 2 diabetes of the Canadian province of Quebec, self-reported adherence to the antidiabetes drug treatment was measured using the Morisky Medication Adherence Scale-8. We assessed the internal consistency of the Morisky Medication Adherence Scale-8 with Cronbach's alpha, and factorial validity was assessed by identifying the underlying factors using exploratory factor analyses...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27867519/force-plate-analyses-of-balance-following-a-balance-exercise-program-during-acute-post-operative-phase-in-individuals-with-total-hip-and-knee-arthroplasty-a-randomized-clinical-trial
#7
Pankaj Jogi, Aleksandra Zecevic, Tom J Overend, Sandi J Spaulding, John F Kramer
OBJECTIVES: Typical rehabilitation programs following total hip arthroplasty and total knee arthroplasty include joint range of motion and muscle-strengthening exercises. Balance and balance exercises following total hip arthroplasty and total knee arthroplasty have not received much attention. The purpose of this study was to determine whether an intervention of balance exercises added to a typical rehabilitation program positively affects patients' balance. METHODS: A total of 63 patients were provided with outpatient physical therapy at their home...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27826447/experience-of-dolutegravir-in-hiv-infected-treatment-naive-patients-from-a-tertiary-care-university-hospital-in-ireland
#8
Sarmad Waqas, Mairead O'Connor, Ciara Levey, Paddy Mallon, Gerard Sheehan, Anjali Patel, Gordana Avramovic, John S Lambert
OBJECTIVE: Dolutegravir, an HIV integrase inhibitor, is a relatively new treatment option. To assess the tolerability, side effects, and time to viral decline to non-detectable in patients newly started on dolutegravir. METHODS: Retrospective health care record of 61 consecutive HIV treatment-naive patients started on dolutegravir was reviewed and analysed on SPSS. RESULTS: The mean initial viral load was 160826.05 copies/mL (range, 79-1,126,617 copies/mL)...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27826446/poorly-recognized-age-related-downward-deviation-of-the-inguinal-ligament
#9
Yassir Nawaz, Mihir Barvalia, Gurinder Rana, M Zain Khakwani, Khizr Azim, Rahul Patel, Sohira Idrees, Gail Baker, Marc Cohen, Najam Wasty
OBJECTIVE: To determine factors affecting actual inguinal ligament course in live human subjects. INTRODUCTION AND HYPOTHESIS: Although the expected inguinal ligament course is supposedly a straight line extending from anterior superior iliac spine to pubic tubercle, the actual inguinal ligament course is frequently depicted a priori by a downward bowing dotted line. There are no studies in a live subject supporting this assumption. We hypothesized this assumption is indeed valid and is related to among other factors a lifelong effect of gravity and lax abdominal musculature on the inguinal ligament course...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27803809/experiences-of-hand-hygiene-among-acute-care-nurses-an-interpretative-phenomenological-analysis
#10
Sheryl L Chatfield, Rachael Nolan, Hannah Crawford, Jeffrey S Hallam
OBJECTIVE: Occurrences of healthcare-associated infections are associated with substantial direct and indirect costs. Improvement in hand hygiene among acute care nurses has potential to reduce incidence of healthcare-associated infections. Findings from reviews of intervention research have not conclusively identified components that are more or less efficient or effective. Much prior qualitative research has focused on descriptive analysis of policies and practices rather than providing interpretive explorations of how individuals' perceptions of hygiene might drive practices...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27803808/perioperative-physical-exercise-interventions-for-patients-undergoing-lung-cancer-surgery-what-is-the-evidence
#11
REVIEW
Carlotta Mainini, Patrícia Fs Rebelo, Roberta Bardelli, Besa Kopliku, Sara Tenconi, Stefania Costi, Claudio Tedeschi, Stefania Fugazzaro
Surgical resection appears to be the most effective treatment for early-stage non-small cell lung cancer. Recent studies suggest that perioperative pulmonary rehabilitation improves functional capacity, reduces mortality and postoperative complications and enhances recovery and quality of life in operated patients. Our aim is to analyse and identify the most recent evidence-based physical exercise interventions, performed before or after surgery. We searched in MEDLINE, EMBASE, CINAHL, Cochrane Library and PsycINFO...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27790373/techcare-mobile-assessment-and-therapy-for-psychosis-an-intervention-for-clients-in-the-early-intervention-service-a-feasibility-study-protocol
#12
Nusrat Husain, Nadeem Gire, James Kelly, Joy Duxbury, Mick McKeown, Miv Riley, Christopher Dj Taylor, Peter J Taylor, Richard Emsley, Saeed Farooq, Neil Caton, Farooq Naeem, David Kingdon, Imran Chaudhry
OBJECTIVES: Technological advances in healthcare have shown promise when delivering interventions for mental health problems such as psychosis. The aim of this project is to develop a mobile phone intervention for people with psychosis and to conduct a feasibility study of the TechCare App. METHODS: The TechCare App will assess participant's symptoms and respond with a personalised guided self-help-based psychological intervention with the aim of exploring feasibility and acceptability...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27781097/understanding-the-relationship-transitions-and-associated-end-of-life-clinical-needs-of-young-adults-with-life-limiting-illnesses-a-triangulated-longitudinal-qualitative-study
#13
Bridget Johnston, Divya Jindal-Snape, Jan Pringle, Libby Gold, Jayne Grant, Raymond Dempsey, Ros Scott, Pat Carragher
BACKGROUND: Care of young adults with life-limiting illnesses can often be complex due to the fact that they are growing and developing within the continuing presence of their illness. There is little research conducted nationally and internationally, which has examined the life issues of young adults or taken a longitudinal approach to understand such issues over a period of time. AIM: To gain clear understanding of one particular and pertinent life issue-relationship transition-occurring in the context of being a young adult with a life-limiting illness and the clinical needs arising from this...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27781096/abortion-substance-abuse-and-mental-health-in-early-adulthood-thirteen-year-longitudinal-evidence-from-the-united-states
#14
Donald Paul Sullins
OBJECTIVE: To examine the links between pregnancy outcomes (birth, abortion, or involuntary pregnancy loss) and mental health outcomes for US women during the transition into adulthood to determine the extent of increased risk, if any, associated with exposure to induced abortion. METHOD: Panel data on pregnancy history and mental health history for a nationally representative cohort of 8005 women at (average) ages 15, 22, and 28 years from the National Longitudinal Study of Adolescent to Adult Health were examined for risk of depression, anxiety, suicidal ideation, alcohol abuse, drug abuse, cannabis abuse, and nicotine dependence by pregnancy outcome (birth, abortion, and involuntary pregnancy loss)...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27757231/emergency-department-crowding-in-singapore-insights-from-a-systems-thinking-approach
#15
Lukas K Schoenenberger, Steffen Bayer, John P Ansah, David B Matchar, Rajagopal L Mohanavalli, Sean Sw Lam, Marcus Eh Ong
OBJECTIVES: Emergency Department crowding is a serious and international health care problem that seems to be resistant to most well intended but often reductionist policy approaches. In this study, we examine Emergency Department crowding in Singapore from a systems thinking perspective using causal loop diagramming to visualize the systemic structure underlying this complex phenomenon. Furthermore, we evaluate the relative impact of three different policies in reducing Emergency Department crowding in Singapore: introduction of geriatric emergency medicine, expansion of emergency medicine training, and implementation of enhanced primary care...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27757230/sf-36-total-score-as-a-single-measure-of-health-related-quality-of-life-scoping-review
#16
Liliane Lins, Fernando Martins Carvalho
According to the 36-Item Short Form Health Survey questionnaire developers, a global measure of health-related quality of life such as the "SF-36 Total/Global/Overall Score" cannot be generated from the questionnaire. However, studies keep on reporting such measure. This study aimed to evaluate the frequency and to describe some characteristics of articles reporting the SF-36 Total/Global/Overall Score in the scientific literature. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses method was adapted to a scoping review...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27757229/risk-of-cardiovascular-events-after-initiation-of-long-acting-bronchodilators-in-patients-with-chronic-obstructive-lung-disease-a-population-based-study
#17
Almotasembellah Aljaafareh, Jose Ruben Valle, Yu-Li Lin, Yong-Fang Kuo, Gulshan Sharma
OBJECTIVES: Long-acting bronchodilators are mainstay treatment for moderate to severe chronic obstructive pulmonary disease. A growing body of evidence indicates an increased risk of cardiovascular events upon initiation of these medications. We hypothesize that this risk is higher in patients with chronic obstructive pulmonary disease who had a preexisting cardiovascular disease regardless of receipt of any cardiovascular medication. METHODS: A retrospective cohort of patients with a diagnosis of chronic obstructive pulmonary disease based on two outpatient visits or one inpatient visit for chronic obstructive pulmonary disease (International Classification of Diseases, 9th Edition, Clinical Modification codes 491...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27757228/telehealth-acceptability-clinical-interventions-and-quality-of-life-in-peritoneal-dialysis
#18
Vishal Dey, Audrey Jones, Elaine M Spalding
INTRODUCTION: Telehealth technologies are being widely adopted across the globe for management of long-term conditions. There are limited data on its use, effectiveness and patient experience in end-stage renal disease. The aim of this pilot project was to explore patient acceptability of technology and evaluate its effect on clinical interventions and quality of life in patients undergoing peritoneal dialysis. METHODS: Peritoneal dialysis patients were provided with computer tablets (PODs)...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27746913/cultural-adaptation-and-validation-of-stroke-impact-scale-3-0-version-in-uganda-a-small-scale-study
#19
Julius T Kamwesiga, Lena von Koch, Anders Kottorp, Susanne Guidetti
BACKGROUND: Knowledge is scarce about the impact of stroke in Uganda, and culturally adapted, psychometrically tested patient-reported outcome measures are lacking. The Stroke Impact Scale 3.0 is recommended, but it has not been culturally adapted and validated in Uganda. OBJECTIVE: To culturally adapt and determine the psychometric properties of the Stroke Impact Scale 3.0 in the Ugandan context on a small scale. METHOD: The Stroke Impact Scale 3...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27733904/opioid-use-disorder-patients-perceptions-of-healthcare-delivery-platforms
#20
Uros Rakita, Peter Giacobbe, Chris Cavacuiti
OBJECTIVES: To assess the acceptability and quality of web-based videoconferencing telemedicine consultation platform in the treatment of opioid use disorder at TrueNorth Medical Centre. METHODS: We conducted an interview based quality improvement initiative using an investigator-designed questionnaire. The questionnaire consisted of 17 Agree/Disagree questions, measured on a 7-point Likert scale and 2 questions where patients had the ability to elaborate qualitatively on their perceptions and experiences with their telemedicine service...
2016: SAGE Open Medicine
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