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https://www.readbyqxmd.com/read/27886968/defining-communication-improvement-needs-in-general-surgery-an-analysis-of-pages-communications-patterns-and-content%C3%A2
#1
Julie Hallet, David Wallace, Abraham El-Sedfy, Najma Ahmed, Andrew J Smith, Avery B Nathens, Lesley Gotlib Conn, Natalie G Coburn
OBJECTIVE: To describe patterns of pages communication to general surgery (GS) residents, identify the need for and develop strategies to improve interprofessional communication. DESIGN: Retrospective cohort study. SETTING: General surgery (GS) service at a tertiary care academic institution, Sunnybrook Health Sciences Centre, in Toronto, Ontario, Canada. PARTICIPANTS: All pages sent to GS residents over 4 weeks at an academic institution...
November 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27885658/early-skin-to-skin-contact-for-mothers-and-their-healthy-newborn-infants
#2
REVIEW
Elizabeth R Moore, Nils Bergman, Gene C Anderson, Nancy Medley
BACKGROUND: Mother-infant separation post birth is common. In standard hospital care, newborn infants are held wrapped or dressed in their mother's arms, placed in open cribs or under radiant warmers. Skin-to-skin contact (SSC) begins ideally at birth and should last continually until the end of the first breastfeeding. SSC involves placing the dried, naked baby prone on the mother's bare chest, often covered with a warm blanket. According to mammalian neuroscience, the intimate contact inherent in this place (habitat) evokes neuro-behaviors ensuring fulfillment of basic biological needs...
November 25, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27873423/the-power-of-the-pen-how-to-make-physicians-more-friendly-and-patients-more-attractive
#3
Nurith Epstein, Thomas Brendel, Inga Hege, Diana L Ouellette, Ralf Schmidmaier, Jan Kiesewetter
CONTEXT: Studies have shown that patients' subjective perceptions of physicians' competence and friendliness are relevant aspects of a successful treatment, influencing patients' well-being and trust in the physician. Psychological research has repeatedly shown that unconsciously contracting muscles that are usually used to smile can intensify and even elicit positive feelings (known as facial feedback). Empirical evidence also suggests that a smiling person is favourably judged by others with respect to attractiveness and trustworthiness...
December 2016: Medical Education
https://www.readbyqxmd.com/read/27697247/effect-of-cataract-surgery-training-on%C3%A2-operating-room-productivity-how%C3%A2-long%C3%A2-trainees-take
#4
Dong Young Park, Andrew Walkden, Timothy A De Klerk
PURPOSE: To determine the effect of specialty training on cataract operation times and operating room efficiency. SETTING: Manchester Royal Eye Hospital, Manchester, United Kingdom. DESIGN: Retrospective consecutive case series. METHODS: Specialty training and consultant case times with preparation times were recorded between August 2014 and May 2015. Cases with posterior capsule rupture requiring anterior vitrectomy or iris hook insertion were analyzed...
September 2016: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/27580822/wait-and-consult-times-for-primary-healthcare-services-in-central-mozambique-a-time-motion-study
#5
Bradley H Wagenaar, Sarah Gimbel, Roxanne Hoek, James Pfeiffer, Cathy Michel, Fatima Cuembelo, Titos Quembo, Pires Afonso, Stephen Gloyd, Barrot H Lambdin, Mark A Micek, Victoria Porthé, Kenneth Sherr
BACKGROUND: We describe wait and consult times across public-sector clinics and identify health facility determinants of wait and consult times. DESIGN: We observed 8,102 patient arrivals and departures from clinical service areas across 12 public-sector clinics in Sofala and Manica Provinces between January and April 2011. Negative binomial generalized estimating equations were used to model associated health facility factors. RESULTS: Mean wait times (in minutes) were: 26...
2016: Global Health Action
https://www.readbyqxmd.com/read/27496265/benign-joint-hypermobility-minimally-impacts-autonomic-abnormalities-in-pediatric-subjects-with-chronic-functional-pain-disorders
#6
Gisela Chelimsky, Katja Kovacic, Pippa Simpson, Melodee Nugent, Donald Basel, Julie Banda, Thomas Chelimsky
OBJECTIVE: To determine if children with benign joint hypermobility (BJH) syndrome and chronic functional pain disorders have more autonomic dysfunction. STUDY DESIGN: Retrospective chart review study of pediatric patients seen in the pediatric neurogastroenterology and autonomic clinic who underwent autonomic testing and had either a Beighton score of ≥6 and met Brighton criteria for BJH (with BJH) or a score of ≤2 (no BJH). RESULTS: Twenty-one female subjects (10 without BJH) met inclusion criteria; 64% of BJH had diagnosis confirmed by genetics consultation...
October 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27476378/-efficacy-of-hyperbaric-oxygen-therapy-in-the-treatment-of-ischemic-toe-ulcer-in-a-patient-presenting-systemic-sclerosis
#7
E Poirier, H Wind, N Cordel
BACKGROUND: The medical treatment of ischemic ulcers in patients with systemic sclerosis remains difficult. Despite the major help provided by vasodilator treatments, the risk of spontaneous or surgical amputation remains high. OBSERVATION: A 48-year-old female patient from Guadeloupe was treated in our department for diffuse systemic sclerosis present for 15 years complicated by lung, joint and digestive involvement, and associated with severe Raynaud's phenomenon...
July 28, 2016: Annales de Dermatologie et de Vénéréologie
https://www.readbyqxmd.com/read/27473424/-one-way-street-streamlined-admission-of-critically-ill-trauma-patients-reduces-emergency-department-length-of-stay
#8
Eva Fuentes, Jean-Francois Shields, Nandan Chirumamilla, Myriam Martinez, Haytham Kaafarani, Daniel Dante Yeh, Benjamin White, Michael Filbin, Christopher DePesa, George Velmahos, Jarone Lee
Emergency department (ED) overcrowding remains a significant problem in many hospitals, and results in multiple negative effects on patient care outcomes and operational metrics. We sought to test whether implementing a quality improvement project could decrease ED LOS for trauma patients requiring an ICU admission from the ED, specifically by directly admitting critically ill trauma patients from the ED CT scanner to an ICU bed. This was a retrospective study comparing patients during the intervention period (2013-2014) to historical controls (2011-2013)...
July 29, 2016: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/27460675/behavioural-intervention-to-increase-physical-activity-in-adults-with-coronary-heart-disease-in-jordan
#9
Eman Alsaleh, Richard Windle, Holly Blake
BACKGROUND: Patients with coronary heart disease often do not follow prescribed physical activity recommendations. The aim of this study was to assess the efficacy of a behavioural intervention to increase physical activity in patients with coronary heart disease not attending structured cardiac rehabilitation programmes. METHODS: Parallel randomised controlled trial comparing 6-month multi-component behavioural change intervention (n = 71) with usual care (n = 85) was conducted in two hospitals in Jordan, Middle East...
2016: BMC Public Health
https://www.readbyqxmd.com/read/27445632/finding-ways-to-lift-barriers-to-care-for-chronic-pain-patients-outcomes-of-using-internet-based-self-management-activities-to-reduce-pain-and-improve-quality-of-life
#10
Kevin Rod
Background. Chronic pain is prevalent, disabling, costly, and undertreated. There is clearly a need to improve patient understanding of ways to manage their pain. Internet-based programs are continually being developed to facilitate mental health improvement, providing tailored content for patients to manage their pain, anxiety, and depression. Objective. To evaluate the impact of Internet-based patient self-management education and activities on patients' pain, anxiety, and quality of life in patients who could not access multidisciplinary pain management...
2016: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/27400740/practice-related-factors-that-may-impact-on-postpartum-care-for-mothers-and-infants-in-australian-general-practice-a-cross-sectional-survey
#11
Wendy E Brodribb, Benjamin L Mitchell, Mieke L van Driel
BACKGROUND: While there is a significant focus on the health and well-being of women during pregnancy, labour and birth, much less emphasis is placed on the care of postpartum women and their infants in primary care following the birth. Some studies have investigated the role of GPs in postpartum care, and others examined facilitators and barriers to mothers accessing care. However there is little information available to investigate the effect of practice related factors on access to care of mothers and infants at this time...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27276820/-cystectasy-and-rehabilitation-training-for-treatment-of-neurogenic-bladder-dysfunction-with-hyperreflexia
#12
Luping Li, Yingzhong Fan, Hao Li, Qian Zhang, Li Gou
OBJECTIVE: To investigate the effectiveness of ileal mucosal seromuscular patch for bladder expansion combined with rehabilitation training for treating neurogenic bladder dysfunction (NBD) with hyperreflexia. METHODS: A retrospective study was performed on the clinical data of 61 patients with NBD and hyperreflexia who were treated and followed up between July 2008 and June 2013. There were 36 males and 25 females, aged 6-23 years (mean, 10 years). The reasons included meningomyelocele operation (43 patients),surgery for lipoma in lumbar vertebra (4 patients), operation of thoracolubar teratoma (2 patients), and lumbosacral spina B3ifida (12 patients)...
February 2016: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/27159757/evaluation-of-an-electronic-consultation-service-in-obstetrics-and-gynecology-in-ontario
#13
Fady Shehata, Glenn Posner, Amir Afkham, Clare Liddy, Erin Keely
OBJECTIVE: To describe the effectiveness of an electronic consultation (eConsult) service by examining the number of traditional referrals that were avoided as a result of the service, to characterize the type and content of the clinical questions being asked, and to describe the time required for the specialist to complete each eConsult. METHODS: This is a retrospective electronic chart review study. All eConsults directed to obstetrics and gynecology from July 2011 to January 2015 were reviewed...
June 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27149449/a-cross-sectional-study-of-current-doctors-performance-in-a-modified-version-of-a-medical-school-admission-aptitude-test-the-ukcat
#14
James P Blackmur, Nazir I Lone, Oliver D Stone, David J Webb, Neeraj Dhaun
The 2-hour long United Kingdom Clinical Aptitude Test (UKCAT) is used by many universities in the United Kingdom as part of their selection process for undergraduate medical and dentistry degrees. We aimed to compare the performance of senior doctors in primary and secondary care and across a range of specialties, in a modified version of the medical school entrance examination-the mUKCAT. Lay people were also included in the study. Despite its widespread use, this is the first study that examines the performance of senior clinicians in the UKCAT...
May 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27148898/screening-for-intimacy-concerns-in-a-palliative-care-population-findings-from-a-pilot-study
#15
Anne Kelemen, John Cagle, Hunter Groninger
BACKGROUND: Intimacy is an important component of the palliative care (PC) assessment. Evaluation of patient concerns related to intimacy should be included in a comprehensive PC consultation. The concerns are rarely assessed for hospitalized PC patients, yet there is evidence to support that patients want to talk about intimacy. OBJECTIVE: We wanted to understand (1) if intimacy was an important issue for hospitalized PC patients; (2) how intimacy was impacted by illness; and, (3) if intimacy concerns were present, what those concerns involved...
May 5, 2016: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/27106936/ask-the-econsultant-improving-access-to-haematology-expertise-using-an-asynchronous-econsult-system
#16
Adam Fogel, Karima Khamisa, Amir Afkham, Clare Liddy, Erin Keely
INTRODUCTION: The Champlain BASE (Building Access to Specialists through eConsultation) eConsultation service was designed to address the limited access to specialist care in Canada, which can lead to long waiting times and, subsequently, negative patient outcomes. Our primary objective was to perform an in-depth analysis of the use, content, and perceived value of haematology electronic consults (eConsults) submitted by primary care providers (PCPs) to the eConsult service. METHODS: We conducted a cross-sectional study using descriptive statistics to examine post-eConsult surveys for PCPs and other collected data including PCP designation, time for specialist to complete the eConsult, specialist response time, perceived value of the eConsult by the PCP, and the need for a face-to-face referral following the eConsult...
April 22, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27105025/environmental-characterization-of-a-coffee-processing-workplace-with-obliterative-bronchiolitis-in-former-workers
#17
Matthew G Duling, Ryan F LeBouf, Jean M Cox-Ganser, Kathleen Kreiss, Stephen B Martin, Rachel L Bailey
Obliterative bronchiolitis in five former coffee processing employees at a single workplace prompted an exposure study of current workers. Exposure characterization was performed by observing processes, assessing the ventilation system and pressure relationships, analyzing headspace of flavoring samples, and collecting and analyzing personal breathing zone and area air samples for diacetyl and 2,3-pentanedione vapors and total inhalable dust by work area and job title. Mean airborne concentrations were calculated using the minimum variance unbiased estimator of the arithmetic mean...
October 2, 2016: Journal of Occupational and Environmental Hygiene
https://www.readbyqxmd.com/read/27096388/asthma-in-asia-physician-perspectives-on-control-inhaler-use-and-patient-communications
#18
David Price, Aileen David-Wang, Sang-Heon Cho, James Chung-Man Ho, Jae-Won Jeong, Chong-Kin Liam, Jiangtao Lin, Abdul Razak Muttalif, Diahn-Warng Perng, Tze-Lee Tan, Faisal Yunus, Glenn Neira
OBJECTIVE: We examined the physician perspectives on asthma management in Asia. METHODS: An online/face-to-face, questionnaire-based survey of respiratory specialists and primary care physicians from eight Asian countries/region was carried out. The survey explored asthma control, inhaler selection, technique and use; physician-patient communications and asthma education. Inclusion criteria were >50% of practice time spent on direct patient care; and treated >30 patients with asthma per month, of which >60% were aged >12 years...
September 2016: Journal of Asthma: Official Journal of the Association for the Care of Asthma
https://www.readbyqxmd.com/read/27027480/brief-educational-strategies-for-improving-contraception-use-in-young-people
#19
REVIEW
Laureen M Lopez, Thomas W Grey, Elizabeth E Tolley, Mario Chen
BACKGROUND: Global high rates of unplanned pregnancy and abortion among young women demonstrate the need for increased access to modern contraceptive services. In sub-Saharan Africa, the birth rate for those aged 15 to 19 years is 121 per 1000. In the USA, 6% of teens aged 15 to 19 years became pregnant in 2010. Most pregnancies among young women to age 25 are unintended. OBJECTIVES: The aim was to identify brief educational interventions for improving contraceptive use among young people that are feasible for implementing in a clinic or similar setting with limited resources...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26998781/using-social-media-for-community-consultation-and-public-disclosure-in-exception-from-informed-consent-trials
#20
Shannon W Stephens, Carolyn Williams, Randal Gray, Jeffrey D Kerby, Henry E Wang, Patrick L Bosarge
BACKGROUND: The US Food and Drug Administration and the Department of Health and Human Services outline regulations allowing an exception from informed consent (EFIC) for research conducted in an emergency setting. Acute care clinical trials using EFIC must include community consultation and public disclosure (CC/PD) activities. We describe our experience using social media to facilitate the CC/PD process in two trauma resuscitation clinical trials. METHODS: We conducted local CC/PD activities for two multicenter trauma clinical trials, Pragmatic, Randomized Optimal Platelet and Plasma Ratios (PROPPR) and Prehospital Tranexamic Acid Use for Traumatic Brain Injury (ROC-TXA)...
June 2016: Journal of Trauma and Acute Care Surgery
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