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https://www.readbyqxmd.com/read/27899532/long-term-management-for-ventilator-assisted-children-in-hong-kong-2-decades-experience
#1
Shuk-Kuen Chau, Ada Wing-Yan Yung, So-Lun Lee
BACKGROUND: The population of children receiving long-term mechanical ventilation is growing worldwide, but only limited data exist in Asian regions. The objective of the study was to review the management of these children in Hong Kong over the past 2 decades. METHODS: This was a retrospective cohort study. Hospital records from subjects receiving mechanical ventilation for >3 months were retrieved. Demographic characteristics and medical information of subjects (≤21 y old) under the care of the ventilator program at the Duchess of Kent Children's Hospital between 1997 and 2015 were reviewed...
November 29, 2016: Respiratory Care
https://www.readbyqxmd.com/read/27880969/the-prevalence-of-cruciate-ligament-and-meniscus-knee-injury-in-young-adults-and-associations-with-gender-body-mass-index-and-height-a-large-cross-sectional-study
#2
Ran Thein, Oded Hershkovich, Barak Gordon, Gideon Burstein, Shay Tenebaum, Estela Derazne, Dorit Tzur, Ari Shamis, Arnon Afek, Yitshak Kreiss
Anterior cruciate ligament and meniscal injuries are associated with secondary osteoarthrosis which may lead to functional impairment and economic burden. The prevalence of knee injury has not been studied in depth. Our purpose was to report the prevalence of knee ligament and meniscal injuries and their associations with gender, body mass index (BMI), and height in young adults and to characterize individuals with meniscal injuries who gained full recovery. A cross-sectional, population-based study was conducted...
November 23, 2016: Journal of Knee Surgery
https://www.readbyqxmd.com/read/27880790/integrating-maternal-and-children-s-oral-health-promotion-into-nursing-and-midwifery-practice-a-systematic-review
#3
Reham Abou El Fadl, Mitch Blair, Sondus Hassounah
BACKGROUND: Globally, oral diseases contribute to major disease problems and oral health disparities persistently exist amongst vulnerable population groups. Two contributory factors to these challenges are the shortage of dental practitioners and the characteristic separation between the medical and dental professions. Nurses and midwives, in particular, are in a potentially excellent position to assist in basic oral health services such as dental health education and intraoral screening...
2016: PloS One
https://www.readbyqxmd.com/read/27865754/perinatal-nurse-home-visiting-referral-patterns-among-women-with-diabetes-and-hypertension-in-philadelphia
#4
Joan R Bloch, Susan Zupan, Amy E McKeever, Jennifer L Barkin
OBJECTIVE: To examine access to perinatal nurse home visiting services for high-risk pregnant women who have diabetes or hypertension. DESIGN: Secondary data analysis. SETTING: Philadelphia, PA. PARTICIPANTS: Pregnant women who had a live birth during 2012 and those referred to a community-based agency for perinatal nurse home visiting because of their diagnosis of diabetes or hypertension. METHODS: Access to services was measured by examining referral information (dosage, diagnosis, gestational age at time of referral, and insurance type) retrieved from administrative logs of the community-based organization that provides perinatal home visiting to high-risk pregnant women...
November 16, 2016: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/27835964/a-systematic-review-on-current-status-of-health-technology-reassessment-insights-for-south-korea
#5
REVIEW
Hyun-Ju Seo, Ji Jeong Park, Seon Heui Lee
BACKGROUND: To systematically investigate the current status and methodology of health technology reassessment (HTR) in various countries to draw insights for the healthcare system in South Korea. METHODS: A systematic literature search was conducted on the articles published between January 2000 and February 2015 on Medline, EMBASE, the Cochrane Library, CINAHL, and PubMed. The titles and abstracts of retrieved records were screened and selected by two independent reviewers...
November 11, 2016: Health Research Policy and Systems
https://www.readbyqxmd.com/read/27833248/genital-prolapse-a-5-year-review-at-federal-medical-centre-umuahia-southeastern-nigeria
#6
Obinna Izuchukwu Oraekwe, Maduabuchi Amagh Udensi, Kelechi Chiemela Nwachukwu, Uka Kalu Okali
BACKGROUND: Genital prolapse is an important cause of morbidity among postmenopausal and multiparous women especially in our environment where a high premium is placed on large family size. This study was done to determine the prevalence, risk factors, clinical presentation, and management options of genital prolapse. PATIENTS AND METHODS: Data of those diagnosed with genital prolapse were retrieved from records in the clinic, wards, theater, and from patients' folders in the medical records department...
September 2016: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/27780740/comparative-performance-assessment-of-commercially-available-automatic-external-defibrillators-a-simulation-and-real-life-measurement-study-of-hands-off-time
#7
Simone Savastano, Vincenzo Vanni, Roman Burkart, Maurizio Raimondi, Fabrizio Canevari, Simone Molinari, Enrico Baldi, Aurora I Danza, Maria Luce Caputo, Romano Mauri, Francois Regoli, Giulio Conte, Claudio Benvenuti, Angelo Auricchio
PURPOSE: Early and good quality cardiopulmonary resuscitation (CPR) and the use of automated external defibrillators (AEDs) improve cardiac arrest patients' survival. However, AED peri- and post-shock/analysis pauses may reduce CPR effectiveness. METHODS: The time performance of 12 different commercially available AEDs was tested in a manikin based scenario; then the AEDs recordings from the same tested models following the clinical use both in Pavia and Ticino were analyzed to evaluate the post-shock and post-analysis time...
October 22, 2016: Resuscitation
https://www.readbyqxmd.com/read/27754161/pl-03-2-remote-blood-pressure-monitoring-in-hypertension-care-practice-of-hypertension-by-teletransmission-of-home-blood-pressure
#8
Yutaka Imai
It has been confirmed that clinical significance of home blood pressure measurements (HBPM) is higher than clinic BP measurements and ambulatory BP monitoring. However, several drawbacks of HBPM have also been mentioned, e.g. selection and reporting biases, difficulties of calculation of multiple measurements, difficulties of onsite judgement of numerous recordings, etc. Recent devices for HBPM incorporate memory function. This function can overcome such drawbacks of HBPM. These memorized data can transmit, storage, retrieve, be arithmetic and control, be judged based on algorithm and be got feedback...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27696173/implementation-of-a-novel-electronic-health-record-embedded-physician-orders-for-life-sustaining-treatment-system
#9
Dana M Zive, Jennifer Cook, Charissa Yang, David Sibell, Susan W Tolle, Michael Lieberman
In April 2015, Oregon Health & Science University (OHSU) deployed a web-based, electronic medical record-embedded application created by third party vendor Vynca Inc. to allow real-time education, and completion of Physician Orders for Life Sustaining Treatment (POLST). Forms are automatically linked to the Epic Systems™ electronic health record (EHR) patient header and submitted to a state Registry, improving efficiency, accuracy, and rapid access to and retrieval of these important medical orders. POLST Forms, implemented in Oregon in 1992, are standardized portable medical orders used to document patient treatment goals for end-of-life care...
November 2016: Journal of Medical Systems
https://www.readbyqxmd.com/read/27643116/pl-03-2-remote-blood-pressure-monitoring-in-hypertension-care-practice-of-hypertension-by-teletransmission-of-home-blood-pressure
#10
Yutaka Imai
It has been confirmed that clinical significance of home blood pressure measurements (HBPM) is higher than clinic BP measurements and ambulatory BP monitoring. However, several drawbacks of HBPM have also been mentioned, e.g. selection and reporting biases, difficulties of calculation of multiple measurements, difficulties of onsite judgement of numerous recordings, etc. Recent devices for HBPM incorporate memory function. This function can overcome such drawbacks of HBPM. These memorized data can transmit, storage, retrieve, be arithmetic and control, be judged based on algorithm and be got feedback...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27616013/antenatal-care-visits-absenteeism-at-a-secondary-care-medical-facility-in-southwest-nigeria
#11
Olakunle Oloko, Olayinka Oladunjoye Ogunbode, Olumuyiwa Roberts, Ayodele Olatunji Arowojolu
Antenatal care (ANC) is a specialised pattern of care organised for pregnant women with the goal of maintaining good health and promoting safe delivery of healthy infants. It is an indispensable part of effective maternity care services. This study identified the factors responsible for absenteeism from ANC follow-up visits. It was a hospital-based prospective cross-sectional descriptive study conducted at a faith based secondary healthcare facility in Ibadan, Nigeria. Relevant data were retrieved using interviewer-administered structured questionnaires and antenatal health record cards...
September 10, 2016: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/27605006/what-do-general-practitioners-know-about-adhd-attitudes-and-knowledge-among-first-contact-gatekeepers-systematic-narrative-review
#12
Mimi Tatlow-Golden, Lucia Prihodova, Blanaid Gavin, Walter Cullen, Fiona McNicholas
BACKGROUND: Attention Deficit Hyperactivity Disorder (ADHD) is a common childhood disorder with international prevalence estimates of 5 % in childhood, yet significant evidence exists that far fewer children receive ADHD services. In many countries, ADHD is assessed and diagnosed in specialist mental health or neuro-developmental paediatric clinics, to which referral by General (Family) Practitioners (GPs) is required. In such 'gatekeeper' settings, where GPs act as a filter to diagnosis and treatment, GPs may either not recognise potential ADHD cases, or may be reluctant to refer...
2016: BMC Family Practice
https://www.readbyqxmd.com/read/27575736/journal-club-radiologists-online-identities-what-patients-find-when-they-search-radiologists-by-name
#13
Arvind Vijayasarathi, Thomas Loehfelm, Richard Duszak, C Matthew Hawkins
OBJECTIVE: Patients are increasingly seeking online information regarding their health and their health care providers. Concurrently, more patients are accessing their electronic medical records, including their radiology reports, via online portals. Thus, this study aims to characterize what patients find when they search for radiologists online. MATERIALS AND METHODS: All Medicare-participating U.S. radiologists were identified using the Physician Compare National Downloadable File dataset obtained from the Centers for Medicare & Medicaid Services (CMS)...
November 2016: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/27538558/antihypertensive-use-prescription-patterns-and-cost-of-medications-in-a-teaching-hospital-in-lagos-nigeria
#14
O Q Bakare, M R Akinyinka, O Goodman, Y A Kuyinu, O K Wright, A Adeniran, O O Odusanya, A Osibogun
INTRODUCTION: Hypertension has been reported as the strongest modifiable risk factor for cardiovascular morbidity and mortality. AIMS: The aim of the study was to identify the most prescribed antihypertensive drugs, its patterns, comorbidities, cost of medications, and laboratory investigations. SETTINGS AND DESIGN: This study was a cross-sectional, descriptive study of hypertensive patients conducted at the Lagos State University Teaching Hospital, Ikeja...
September 2016: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/27440623/comparison-of-medication-safety-systems-in-critical-access-hospitals-combined-analysis-of-two-studies
#15
Gary L Cochran, Ryan S Barrett, Susan D Horn
PURPOSE: The role of pharmacist transcription, onsite pharmacist dispensing, use of automated dispensing cabinets (ADCs), nurse-nurse double checks, or barcode-assisted medication administration (BCMA) in reducing medication error rates in critical access hospitals (CAHs) was evaluated. METHODS: Investigators used the practice-based evidence methodology to identify predictors of medication errors in 12 Nebraska CAHs. Detailed information about each medication administered was recorded through direct observation...
August 1, 2016: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/27405706/codeine-versus-placebo-for-chronic-cough-in-children
#16
REVIEW
Samantha J Gardiner, Anne B Chang, Julie M Marchant, Helen L Petsky
BACKGROUND: Cough in children is a commonly experienced symptom that is associated with increased health service utilisation and burden to parents. The presence of chronic (equal to or more than four weeks) cough in children may indicate a serious underlying condition such as inhaled foreign body or bronchiectasis. Codeine (and derivative)-based medications are sometimes used to treat cough due to their antitussive properties. However, there are inherent risks associated with the use of these medications such as respiratory drive suppression, anaesthetic-induced anaphylaxis, and addiction...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27268720/mobile-electronic-medical-records-promote-workflow-physicians-perspective-from-a-survey
#17
Julian Duhm, Robert Fleischmann, Sein Schmidt, Hagen Hupperts, Stephan A Brandt
BACKGROUND: As a result of demographic changes, physicians are required to deliver needed services with limited resources. Research suggests that tablet PCs with access to patient data may streamline clinical workflow. A recent study found tablets with mobile electronic medical records (EMRs) can facilitate data retrieval and produce time savings across the clinical routine within hospital settings. However, the reasons for these time savings, including details on how tablets were being used, remain unclear...
2016: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/27206472/outpatient-treatment-of-acute-poisoning-by-substances-of-abuse-a-prospective-observational-cohort-study
#18
Odd Martin Vallersnes, Dag Jacobsen, Øivind Ekeberg, Mette Brekke
BACKGROUND: Procedures for the clinical assessment of acute poisoning by substances of abuse should identify patients in need of hospital admission and avoid hazardous discharges, while keeping the observation time short. We assess the safety of a systematic procedure developed at the Oslo Accident and Emergency Outpatient Clinic (OAEOC). METHODS: All patients 12 years and older treated for acute poisoning by substances of abuse at the OAEOC were included consecutively from October 2011 to September 2012...
2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/27149464/strobe-long-term-exposure-to-ambient-fine-particulate-air-pollution-and-hospitalization-due-to-peptic-ulcers
#19
Chit-Ming Wong, Hilda Tsang, Hak-Kan Lai, Thuan-Quoc Thach, G Neil Thomas, King-Pan Chan, Siu-Yin Lee, Jon G Ayres, Tai-Hing Lam, Wai K Leung
Little is known about the effect of air pollution on the gastrointestinal (GI) system. We investigated the association between long-term exposures to outdoor fine particles (PM2.5) and hospitalization for peptic ulcer diseases (PUDs) in a large cohort of Hong Kong Chinese elderly.A total of 66,820 subjects aged ≥65 years who were enrolled in all 18 Government Elderly Health Service centers of Hong Kong participated in the study voluntarily between 1998 and 2001. They were prospectively followed up for more than 10 years...
May 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26830673/hepatitis-b-and-c-prevalence-among-hemodialysis-patients-in-the-west-bank-hospitals-palestine
#20
Hamzeh Al Zabadi, Hani Rahal, Rasha Fuqaha
BACKGROUND: Hepatitis B and C virus infection is a lead cause of morbidity and mortality among hemodialysis patients. Yet, little research has focused on the morbidity measures of these serious disorders in low and middle income countries. The study aims to estimate the prevalence of hepatitis B and C among hemodialysis patients in the West Bank hospitals in Palestine. METHODS: A retrospective medical records review design was performed for all governmental and private hospitals in the West Bank which provide hemodialysis services for the patients...
2016: BMC Infectious Diseases
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