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https://www.readbyqxmd.com/read/29474212/a-different-perspective-anesthesia-for-extreme-premature-infants-is-there-an-age-limitation-or-how-low-should-we-go
#1
Per-Arne Lönnqvist
PURPOSE OF REVIEW: To put in perspective, the various challenges that faces pediatric anesthesiologists because of the recently lowered limits with regards to the viability of a fetus. Both medical and ethical considerations will be highlighted. RECENT FINDINGS: Issues related to: who should anesthetize these tiny babies; can we provide adequate and legal monitoring during the anesthetic; does these immature babies need hypnosis and amnesia and the moral/ethical implications associated with being involved with care of doubtful long-term outcome are reviewed...
February 22, 2018: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/29473938/shared-decision-making-for-prostate-cancer-screening-and-treatment-a-systematic-review-of-randomised-controlled-trials
#2
Nahara Anani Martínez-González, Andreas Plate, Oliver Senn, Stefan Markun, Thomas Rosemann, Stefan Neuner-Jehle
INTRODUCTION: Men facing prostate cancer screening and treatment need to make critical and highly preference-sensitive decisions that involve a variety of potential benefits and risks. Shared decision-making (SDM) is considered fundamental for "preference-sensitive" medical decisions and it is guideline-recommended. There is no single definition of SDM however. We systematically reviewed the extent of SDM implementation in interventions to facilitate SDM for prostate cancer screening and treatment...
February 23, 2018: Swiss Medical Weekly
https://www.readbyqxmd.com/read/29473775/stereotactic-radiosurgery-for-tremor-systematic-review
#3
Nuria E Martínez-Moreno, Arjun Sahgal, Antonio De Salles, Motohiro Hayashi, Marc Levivier, Lijun Ma, Ian Paddick, Jean Régis, Sam Ryu, Ben J Slotman, Roberto Martínez-Álvarez
OBJECTIVE The aim of this systematic review is to offer an objective summary of the published literature relating to stereotactic radiosurgery (SRS) for tremor and consensus guideline recommendations. METHODS This systematic review was performed up to December 2016. Article selection was performed by searching the MEDLINE (PubMed) and EMBASE electronic bibliographic databases. The following key words were used: "radiosurgery" and "tremor" or "Parkinson's disease" or "multiple sclerosis" or "essential tremor" or "thalamotomy" or "pallidotomy...
February 23, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29473696/developing-and-testing-a-brief-clinic-based-lung-cancer-screening-decision-aid-for-primary-care-settings
#4
Karen Kane McDonnell, Scott M Strayer, Erica Sercy, Callie Campbell, Daniela B Friedman, Kathleen B Cartmell, Jan M Eberth
BACKGROUND: Cancer screening-related decisions require patients to evaluate complex medical information in short time frames, often with primary care providers (PCPs) they do not know. PCPs play an essential role in facilitating comprehensive shared decision making (SDM). OBJECTIVE: To develop and test a decision aid (DA) and SDM strategy for PCPs and high-risk patients. DESIGN: The DA was tested with 20 dyads. Each dyad consisted of one PCP and one patient eligible for screening...
February 23, 2018: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/29473423/implementation-of-proton-pump-inhibitor-deprescription-protocol-in-geriatric-residents
#5
Ovadyah Avraham, Michael Biglow
BACKGROUND: Deprescribing is a recommended intervention to reduce morbidity and mortality caused by polypharmacy in older residents. However, a lack of definite deprescription guidelines and evidence of clinically meaningful outcomes complicates or precludes the practicality of such an approach. OBJECTIVE: The objective of the present pilot study is to establish and implement a stepwise taper protocol that can potentially minimize overuse of proton pump inhibitors in a safe, effective, and feasible manner in the nursing home...
February 1, 2018: Annals of Pharmacotherapy
https://www.readbyqxmd.com/read/29473015/molecular-analysis-of-integrons-and-antimicrobial-resistance-profile-in-shigella-spp-isolated-from-acute-pediatric-diarrhea-patients
#6
Mohammad Mehdi Soltan Dallal, Sajjad Omidi, Masoumeh Douraghi, Mohammad Taghi Haghi Ashtiani, Mohammad Kazem Sharifi Yazdi, Arash Okazi
Introduction: Shigella spp. is a growing global health concern due to increasing multiple drug resistance, commonly resulting in therapeutic failure. Integrons are gene expression systems run by integrase genes. The aims of this study were detection of class I, II and III integrons and assessment of antimicrobial resistance in Shigella spp. isolated from acute pediatric diarrhea patients. Materials and methods: From January to December 2015, 16 Shigella spp. were isolated from 310 non-duplicative diarrheal stool samples in Children's Medical Center, Tehran, Iran...
2018: GMS Hygiene and Infection Control
https://www.readbyqxmd.com/read/29472966/a-preliminary-study-of-the-attitudes-and-barriers-of-family-physicians-to-prescribing-hiv-preexposure-prophylaxis
#7
Nicholas Ojile, Donna Sweet, K James Kallail
Introduction: Attitudes of individuals who provide HIV care towards prescribing Preexposure Prophylaxis (PrEP) to at-risk populations have been studied, but few studies indicate if family physicians would be willing to prescribe PrEP as most family physicians do not specialize in HIV medicine. Few data exist on the perceived barriers preventing family physicians from prescribing PrEP. The purpose of this project was to assess the attitudes and perceived barriers of family physicians in Kansas towards prescribing PrEP to high risk patient populations...
May 2017: Kansas Journal of Medicine
https://www.readbyqxmd.com/read/29472511/development-and-implementation-of-an-antimicrobial-lock-therapy-guideline-in-a-pediatric-hospital
#8
Tracy N Zembles, Linda S Flannery, Anna R Huppler
PURPOSE: The development and implementation of an antimicrobial lock therapy guideline at a large pediatric hospital are described. SUMMARY: Central venous access devices (CVADs) are essential in the medical management of patients requiring long-term total parenteral nutrition, chemotherapy, or hemodialysis. However, the use of a CVAD carries a significant risk of the development of central line-associated bloodstream infection (CLABSI). Antimicrobial lock therapy is indicated for patients with CLABSIs who have no signs of exit site or tunnel infection and for whom catheter salvage is a goal...
March 1, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29472301/revenue-increase-following-2017-multiple-procedures-payment-reduction-modification-differential-impact-on-neuroradiology-report-from-an-academic-medical-center
#9
B B Noveiry, F N Varzaneh, D M Yousem
BACKGROUND AND PURPOSE: The Centers for Medicare and Medicaid Services imposed a 25% professional component multiple procedure payment reduction for the professional component of advanced diagnostic imaging modalities in January 2012. In 2017, the Centers for Medicare and Medicaid Services rolled back the multiple procedure payment reduction to 5% for subsequent imaging. To evaluate the effect of this change, we analyzed 5 months of Centers for Medicare and Medicaid Services procedures at Johns Hopkins Medical Institution...
February 22, 2018: AJNR. American Journal of Neuroradiology
https://www.readbyqxmd.com/read/29472195/acid-suppressants-for-managing-gastro-oesophageal-reflux-and-gastro-oesophageal-reflux-disease-in-infants-a-national-survey
#10
Jane C Bell, Francisco J Schneuer, Christopher Harrison, Lyndal Trevena, Harriet Hiscock, Adam G Elshaug, Natasha Nassar
OBJECTIVES: To evaluate the diagnosis and management of reflux and gastro-oesophageal reflux disease (GORD) in infants aged <1 year presenting to general practitioners (GPs). DESIGN, SETTING AND PARTICIPANTS: A nationally representative, prospective, cross-sectional survey of GP activity in Australia, 2006-2016 (Bettering the Evaluation And Care of Health Study). Annually, a random sample of around 1000 GPs recorded details for 100 consecutive visits with consenting, unidentified patients...
February 22, 2018: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/29471951/contemporary-patterns-of-early-coronary-angiography-use-in-patients-with-non-st-segment-elevation-myocardial-infarction-in-the-united-states-insights-from-the-national-cardiovascular-data-registry-acute-coronary-treatment-and-intervention-outcomes-network-registry
#11
Carolina Malta Hansen, Tracy Y Wang, Anita Y Chen, Karen Chiswell, Deepak L Bhatt, Jonathan R Enriquez, Timothy Henry, Matthew T Roe
OBJECTIVES: The study sought to characterize patient- and hospital-level variation in early angiography use among non-ST-segment elevation myocardial infarction (NSTEMI) patients. BACKGROUND: Contemporary implementation of guideline recommendations for early angiography use in NSTEMI patients in the United States have not been described. METHODS: The study analyzed NSTEMI patients included in ACTION (Acute Coronary Treatment and Intervention Outcomes Network) registry (2012 to 2014) who underwent in-hospital angiography...
February 26, 2018: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/29471882/the-use-of-latin-terminology-in-medical-case-reports-quantitative-structural-and-thematic-analysis
#12
Yuliia V Lysanets, Olena M Bieliaieva
BACKGROUND: This paper focuses on the prevalence of Latin terms and terminological collocations in the issues of Journal of Medical Case Reports (February 2007-August 2017) and discusses the role of Latin terminology in the contemporary process of writing medical case reports. METHODS: The objective of the research is to study the frequency of using Latin terminology in English-language medical case reports, thus providing relevant guidelines for medical professionals who deal with this genre and drawing their attention to the peculiarities of using Latin in case reports...
February 23, 2018: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29471817/health-care-quality-measures-for-children-and-adolescents-in-foster-care-feasibility-testing-in-electronic-records
#13
Katherine J Deans, Peter C Minneci, Kristine M Nacion, Karen Leonhart, Jennifer N Cooper, Sarah Hudson Scholle, Kelly J Kelleher
BACKGROUND: Preventive quality measures for the foster care population are largely untested. The objective of the study is to identify healthcare quality measures for young children and adolescents in foster care and to test whether the data required to calculate these measures can be feasibly extracted and interpreted within an electronic health records or within the Statewide Automated Child Welfare Information System. METHODS: The AAP Recommendations for Preventive Pediatric Health Care served as the guideline for determining quality measures...
February 22, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/29471572/-cardiovascular-medication-in-elderly-patients
#14
Robert H G Schwinger
Elderly people show increased probability to develop atherosclerotic diseases; in consequence heart failure - most often following coronary heart disease - as well as atrial fibrillation is more common. Following guidelines may lead to polypharmacy, i. e. use of more than 5 drugs daily. Thus, drug interactions as well as side effects become more likely; especially in elderly patients reduced kidney function has to be taken into account. Only drugs which have shown to prolong life or to reduce symptoms in controlled clinical trials should be used...
February 2018: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/29470475/putting-action-into-the-revised-australian-medical-council-standards-on-aboriginal-and-torres-strait-islander-and-m%C3%A4-ori-health
#15
Shannon Springer, Suzanne Pitama, Kate Leslie, Shaun Ewen
Since 2006 the Australian Medical Council (AMC) accreditation standards have required medical schools to comprehensively address issues related to the health of Aboriginal and Torres Strait Islander peoples in Australia, and Māori in New Zealand. This has spanned areas of staff expertise, staff and student recruitment, curriculum and institutional leadership. These Indigenous specific standards have, until now, been absent for specialist medical college accreditation. The AMC revised its accreditation standards for specialist medical colleges in 2015, and for the first time included Indigenous specific standards...
February 23, 2018: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29470343/acog-practice-bulletin-no-193-tubal-ectopic-pregnancy
#16
(no author information available yet)
Ectopic pregnancy is defined as a pregnancy that occurs outside of the uterine cavity. The most common site of ectopic pregnancy is the fallopian tube. Most cases of tubal ectopic pregnancy that are detected early can be treated successfully either with minimally invasive surgery or with medical management using methotrexate. However, tubal ectopic pregnancy in an unstable patient is a medical emergency that requires prompt surgical intervention. The purpose of this document is to review information on the current understanding of tubal ectopic pregnancy and to provide guidelines for timely diagnosis and management that are consistent with the best available scientific evidence...
March 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29470339/acog-practice-bulletin-no-193-summary-tubal-ectopic-pregnancy
#17
(no author information available yet)
Ectopic pregnancy is defined as a pregnancy that occurs outside of the uterine cavity. The most common site of ectopic pregnancy is the fallopian tube. Most cases of tubal ectopic pregnancy that are detected early can be treated successfully either with minimally invasive surgery or with medical management using methotrexate. However, tubal ectopic pregnancy in an unstable patient is a medical emergency that requires prompt surgical intervention. The purpose of this document is to review information on the current understanding of tubal ectopic pregnancy and to provide guidelines for timely diagnosis and management that are consistent with the best available scientific evidence...
March 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29470105/diabetes-mellitus-m-health-applications-a-systematic-review-of-features-and-fundamentals
#18
Ericles Andrei Bellei, Daiana Biduski, Nathália Pinto Cechetti, Ana Carolina Bertoletti De Marchi
BACKGROUND: The increasing number of diabetes mellitus (DM) m-health applications (apps) reveals a panorama of different approaches to the subject, demonstrating dynamism and heterogeneity. Available applications have various functions, capabilities, and data collection techniques. OBJECTIVE: We systematically reviewed the literature to identify and analyze studies regarding the diversity of applications aimed at DM monitoring and treatment. We aimed to investigate app functionalities, the basis for their design, and how they were tested...
February 22, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29469935/are-children-with-chronic-illnesses-requiring-dietary-therapy-at-risk-for-disordered-eating-or-eating-disorders-a-systematic-review
#19
REVIEW
Jenny H Conviser, Sheehan D Fisher, Susanna A McColley
OBJECTIVE: Pediatric chronic illnesses (CI) can affect a child's mental health. Chronic illnesses with treatment regimens that specify a therapeutic diet may place the child at increased risk for disordered eating and specific eating disorders (ED). The aim of this review is to examine the relation between diet-treated CI and disordered eating and to determine the order of onset to infer directionality. Diet-treated CI is hypothesized to precede and to be associated with disordered eating...
February 22, 2018: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/29469715/assessment-of-risk-and-use-of-prophylaxis-for-glucocorticoidinduced-osteoporosis-among-dermatologists-in-the-pacific-northwest-a-survey-study
#20
Eliza Notaro, Nicole Fett, Michi M Shinohara
OBJECTIVE: Exposure to even physiologic doses of glucocorticoids can reduce one's bone mass and increase risk for osteoporotic fracture. There currently exists a wide variation in clinician approach to the assessment and management of glucocorticoid-induced osteoporosis (GIO). Our objectives were to characterize Pacific Northwest dermatology providers' general practices, assessment of risk for GIO, and preferred GIO prophylaxis measures by way of survey. To identify whether knowledge deficits exist with respect to preventing and managing GIO in dermatology patients...
September 15, 2017: Dermatology Online Journal
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