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https://www.readbyqxmd.com/read/29932875/perceptions-of-rehabilitation-and-return-to-sport-among-high-school-athletes-with-acl-reconstruction-a-qualitative-research-study
#1
Justin DiSanti, Caroline Lisee, Karl Erickson, David Bell, Michael Shingles, Christopher Kuenze
Study Design Phenomenographic, cross-sectional. Background Adolescent athletes struggle to return to sport (RTS) following ACL reconstruction (ACLR) for a number of physical and psychosocial reasons. The ability to incorporate contextual evidence obtained directly from patients with the growing body of quantitative rehabilitation research may aid clinicians in taking an evidence-based approach to rehabilitation and return to sports within the adolescent population.. Objectives To assess perceived barriers to RTS as well as positive and negative factors influencing recovery among high school athletes with recent history of ACLR...
June 22, 2018: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/29932570/the-patient-centered-medical-home-model-and-diabetes-outcomes-an-integrative-literature-review
#2
Glenmore Hendricks, Andrew P Corr, Annie P Odell, Joy R Goebel
The purpose of this integrative review was to synthesize the existing evidence on diabetes care within a Patient-Centered Medical Home (PCMH) model to evaluate its effectiveness on quality outcomes. Literature published in English between 2005 and 2015 was searched using thefollowing keywords: PCMH and diabetes, comprehensive care, care coordination, patient-centered care, quality and safety, and accessible care. The following databases were searched: Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, Cochrane Review, Academic Premier (EBSCO), and Psych INFO...
July 2017: Journal of National Black Nurses' Association: JNBNA
https://www.readbyqxmd.com/read/29931579/hypoglycemia-among-patients-with-type-2-diabetes-epidemiology-risk-factors-and-prevention-strategies
#3
REVIEW
Richard Silbert, Alejandro Salcido-Montenegro, Rene Rodriguez-Gutierrez, Abdulrahman Katabi, Rozalina G McCoy
PURPOSE OF REVIEW: Hypoglycemia is the most common and often treatment-limiting serious adverse effect of diabetes therapy. Despite being potentially preventable, hypoglycemia in type 2 diabetes incurs substantial personal and societal burden. We review the epidemiology of hypoglycemia in type 2 diabetes, discuss key risk factors, and introduce potential prevention strategies. RECENT FINDINGS: Reported rates of hypoglycemia in type 2 diabetes vary widely as there is marked heterogeneity in how hypoglycemia is defined, measured, and reported...
June 21, 2018: Current Diabetes Reports
https://www.readbyqxmd.com/read/29930967/integrating-social-determinants-of-health-into-primary-care-clinical-and-informational-workflow-during-care-transitions
#4
Sharon Hewner, Sabrina Casucci, Suzanne Sullivan, Francine Mistretta, Yuqing Xue, Barbara Johnson, Rebekah Pratt, Li Lin, Chester Fox
Context: Care continuity during transitions between the hospital and home requires reliable communication between providers and settings and an understanding of social determinants that influence recovery. Case Description: The coordinating transitions intervention uses real time alerts, delivered directly to the primary care practice for complex chronically ill patients discharged from an acute care setting, to facilitate nurse care coordinator led telephone outreach...
July 4, 2017: EGEMS
https://www.readbyqxmd.com/read/29929949/considerations-for-the-development-of-mobile-phone-apps-to-support-diabetes-self-management-systematic-review
#5
REVIEW
Mary D Adu, Usman H Malabu, Emily J Callander, Aduli Eo Malau-Aduli, Bunmi S Malau-Aduli
BACKGROUND: There is increased research interest in the use of mobile phone apps to support diabetes management. However, there are divergent views on what constitute the minimum standards for inclusion in the development of mobile phone apps. Mobile phone apps require an evidence-based approach to development which will consequently impact on their effectiveness. Therefore, comprehensive information on developmental considerations could help designers and researchers to develop innovative and effective patient-centered self-management mobile phone apps for diabetes patients...
June 21, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29929853/-minimally-invasive-research-use-of-the-electronic-health-record-to-facilitate-research-in-pediatric-urology
#6
REVIEW
Vijaya M Vemulakonda, Ruth A Bush, Michael G Kahn
BACKGROUND: The electronic health record (EHR) was designed as a clinical and administrative tool to improve clinical patient care. Electronic healthcare systems have been successfully adopted across the world through use of government mandates and incentives. METHODS: Using electronic health record, health information system, electronic medical record, health information systems, research, outcomes, pediatric, surgery, and urology as initial search terms, the literature focusing on clinical documentation data capture and the EHR as a potential resource for research related to clinical outcomes, quality improvement, and comparative effectiveness was reviewed...
June 9, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29928006/the-long-term-costs-for-treating-multiple-sclerosis-in-a-16-year-retrospective-cohort-study-in-brazil
#7
Isabela Maia Diniz, Augusto Afonso Guerra, Livia Lovato Pires de Lemos, Kathiaja M Souza, Brian Godman, Marion Bennie, Björn Wettermark, Francisco de Assis Acurcio, Juliana Alvares, Eli Iola Gurgel Andrade, Mariangela Leal Cherchiglia, Vânia Eloisa de Araújo
BACKGROUND: Multiple Sclerosis (MS) is a disease that appreciably impacts on the quality of life of patients and is associated with high expenditure. MS is a chronic multifactorial disease, characterized by inflammation, demyelination and axonal loss. The Brazilian public health system provides pharmacological treatment as well as hospital and outpatient care for patients with relapsing-remitting and secondary progressive multiple sclerosis. However, we are not aware of any previous publications assessing total direct medical costs in patients with a long follow-up within the Brazilian healthcare system...
2018: PloS One
https://www.readbyqxmd.com/read/29927661/patient-and-provider-perspectives-on-uptake-of-a-shared-decision-making-intervention-for-asthma-in-primary-care-practices
#8
Madelyn Welch, Tom Ludden, Kathleen Mottus, Paul Bray, Lori Hendrickson, Jennifer Rees, Jacqueline Halladay, Hazel Tapp
OBJECTIVE: Poor outcomes and health disparities related to asthma result in part from difficulty disseminating new evidence such as shared decision making (SDM) into clinical practice. As part of a three-arm cluster randomized dissemination study, evaluation of the impact of different dissemination methods was studied. Here we evaluate themes from patient and provider focus groups to assess the impact of a facilitated, traditional dissemination approach, or no intervention, on patient and provider perspectives of asthma care...
June 21, 2018: Journal of Asthma: Official Journal of the Association for the Care of Asthma
https://www.readbyqxmd.com/read/29926944/periodontal-health-and-gingival-diseases-and-conditions-on-an-intact-and-a-reduced-periodontium-consensus-report-of-workgroup-1-of-the-2017-world-workshop-on-the-classification-of-periodontal-and-peri-implant-diseases-and-conditions
#9
Iain L C Chapple, Brian L Mealey, Thomas E Van Dyke, P Mark Bartold, Henrik Dommisch, Peter Eickholz, Maria L Geisinger, Robert J Genco, Michael Glogauer, Moshe Goldstein, Terrence J Griffin, Palle Holmstrup, Georgia K Johnson, Yvonne Kapila, Niklaus P Lang, Joerg Meyle, Shinya Murakami, Jacqueline Plemons, Giuseppe A Romito, Lior Shapira, Dimitris N Tatakis, Wim Teughels, Leonardo Trombelli, Clemens Walter, Gernot Wimmer, Pinelopi Xenoudi, Hiromasa Yoshie
Periodontal health is defined by absence of clinically detectable inflammation. There is a biological level of immune surveillance that is consistent with clinical gingival health and homeostasis. Clinical gingival health may be found in a periodontium that is intact, i.e. without clinical attachment loss or bone loss, and on a reduced periodontium in either a non-periodontitis patient (e.g. in patients with some form of gingival recession or following crown lengthening surgery) or in a patient with a history of periodontitis who is currently periodontally stable...
June 2018: Journal of Periodontology
https://www.readbyqxmd.com/read/29926740/the-role-of-social-media-and-internet-search-engines-in-information-provision-and-dissemination-to-patients-with-kidney-stone-disease-ksd-a-systematic-review-from-eau-young-academic-urologists-yau
#10
Enakshee Jamnadass, Omar Aboumarzouk, Panagiotis Kallidonis, Esteban Emiliani, Thomas Tailly, Stephan Hruby, Francesco Sanguedolce, Gokhan Atis, Mehmet Özsoy, Francesco Greco, Bhaskar K Somani
INTRODUCTION: Kidney stone disease (KSD) affects millions of people worldwide and has an increasing incidence. Social media (SoMe) and search engines are both gaining in usage, whilst also being used by patients to research their conditions and aid in managing them. With this in mind, many authors have expressed the belief that SoMe and search engines can be used by patients and healthcare professionals to improve treatment compliance, and to help counselling and management of conditions such as KSD...
June 21, 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29926499/periodontal-health-and-gingival-diseases-and-conditions-on-an-intact-and-a-reduced-periodontium-consensus-report-of-workgroup-1-of-the-2017-world-workshop-on-the-classification-of-periodontal-and-peri-implant-diseases-and-conditions
#11
Iain L C Chapple, Brian L Mealey, Thomas E Van Dyke, P Mark Bartold, Henrik Dommisch, Peter Eickholz, Maria L Geisinger, Robert J Genco, Michael Glogauer, Moshe Goldstein, Terrence J Griffin, Palle Holmstrup, Georgia K Johnson, Yvonne Kapila, Niklaus P Lang, Joerg Meyle, Shinya Murakami, Jacqueline Plemons, Giuseppe A Romito, Lior Shapira, Dimitris N Tatakis, Wim Teughels, Leonardo Trombelli, Clemens Walter, Gernot Wimmer, Pinelopi Xenoudi, Hiromasa Yoshie
Periodontal health is defined by absence of clinically detectable inflammation. There is a biological level of immune surveillance that is consistent with clinical gingival health and homeostasis. Clinical gingival health may be found in a periodontium that is intact, i.e. without clinical attachment loss or bone loss, and on a reduced periodontium in either a non-periodontitis patient (e.g. in patients with some form of gingival recession or following crown lengthening surgery) or in a patient with a history of periodontitis who is currently periodontally stable...
June 2018: Journal of Clinical Periodontology
https://www.readbyqxmd.com/read/29925244/examining-interventions-designed-to-support-shared-decision-making-and-subsequent-patient-outcomes-in-palliative-care-a-systematic-review-of-the-literature
#12
Dawon Baik, Hwayoung Cho, Ruth M Masterson Creber
BACKGROUND: Shared decision making (SDM) is a key attribute of patient-centered care, which empowers palliative care patients to be able to make optimal medical decisions about end-of-life treatments based on their own values and preferences. AIM: The aim of this systematic literature review is to detail and compare interventions supporting SDM over the last 10 years (January 2008 to December 2017) and to analyze patient/caregiver outcomes at the end of life. METHODS: This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines...
January 1, 2018: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/29925098/design-and-testing-of-a-smartphone-application-for-real-time-self-tracking-diabetes-self-management-behaviors
#13
Danielle Groat, Hiral Soni, Maria Adela Grando, Bithika Thompson, David Kaufman, Curtiss B Cook
BACKGROUND:  Type 1 diabetes (T1D) care requires multiple daily self-management behaviors (SMBs). Preliminary studies on SMBs rely mainly on self-reported survey and interview data. There is little information on adult T1D SMBs, along with corresponding compensation techniques (CTs), gathered in real-time. OBJECTIVE:  The article aims to use a patient-centered approach to design iDECIDE, a smartphone application that gathers daily diabetes SMBs and CTs related to meal and alcohol intake and exercise in real-time, and contrast patients' actual behaviors against those self-reported with the app...
April 2018: Applied Clinical Informatics
https://www.readbyqxmd.com/read/29924639/the-provider-s-body-in-the-therapeutic-relationship-how-complementary-and-alternative-medicine-providers-describe-their-work-as-healers
#14
Vinita Agarwal
Although the body is central to health outcomes, the provider's body has been largely absent in the provider-patient relationship. Drawing upon semi-structured interviews with complementary and alternative medicine (CAM) providers (N = 17), this study examines how CAM providers use their body to characterize their work as healers. The findings suggest the provider's self-reflexive awareness of their own body's illness and faith experiences informs their understanding of the patients' experience of health and disease...
June 20, 2018: Health Communication
https://www.readbyqxmd.com/read/29924256/multidrug-resistant-tuberculosis-in-the-end-tuberculosis-eramultidrug-resistant-tuberculosis-in-the-end-tuberculosis-era
#15
J Peter Cegielski
Multidrug-resistant (MDR) tuberculosis (TB) emerged shortly after introduction of rifamycins in the 1960s; isoniazid resistance had already emerged by the mid-1950s. Without these two drugs, tuberculosis is very difficult and costly to treat, with unacceptably high rates of treatment failure, death, loss to follow-up, and no known preventive treatment. Global attention first focused on MDR TB in the early 1990s when nosocomial outbreaks with high case fatality rates were reported in many countries. Prevalence data for MDR TB on a global scale first became available in 1997...
January 2018: Revista Peruana de Medicina Experimental y Salud Pública
https://www.readbyqxmd.com/read/29923845/how-do-innovative-primary-care-practices-achieve-the-quadruple-aim
#16
Edward H Wagner, Lisa LeRoy, Judith Schaefer, Michael Bailit, Katie Coleman, Chunliu Zhan, David Meyers
The Patient-Centered Medical Home (PCMH) now defines excellent primary care. Recent literature has begun to elucidate the components of PCMHs that improve care and reduce costs, but there is little empiric evidence that helps practices, payers, or policy makers understand how high-performing practices have improved outcomes. We report the findings from 38 such practices that fill this gap. We describe how they execute 8 functions that collectively meet patient needs. They include managing populations, providing self-management support coaching, providing integrated behavioral health care, and managing referrals...
June 19, 2018: Journal of Ambulatory Care Management
https://www.readbyqxmd.com/read/29922866/new-and-emerging-patient-centered-ct-imaging-and-image-guided-treatment-paradigms-for-maxillofacial-trauma
#17
David Dreizin, Arthur J Nam, Jeffrey Hirsch, Mark P Bernstein
This article reviews the conceptual framework, available evidence, and practical considerations pertaining to nascent and emerging advances in patient-centered CT-imaging and CT-guided surgery for maxillofacial trauma. These include cinematic rendering-a novel method for advanced 3D visualization, incorporation of quantitative CT imaging into the assessment of orbital fractures, low-dose CT imaging protocols made possible with contemporary scanners and reconstruction techniques, the rapidly growing use of cone-beam CT, virtual fracture reduction with design software for surgical pre-planning, the use of 3D printing for fabricating models and implants, and new avenues in CT-guided computer-aided surgery...
June 20, 2018: Emergency Radiology
https://www.readbyqxmd.com/read/29922555/does-sensory-retraining-improve-subjective-rating-of-sensory-impairment-after-bilateral-sagittal-split-osteotomy
#18
Yea-Ling Yang, Ellen Wen-Ching Ko, Yu-Ray Chen, Chiung Shing Huang
Background: Sensory retraining could ameliorate neurosensory disturbance (NSD) resulting from the injury of the inferior alveolar nerve after a bilateral sagittal split osteotomy (BSSO). The aim of this study was to measure the effects of sensory retraining on NSD. Methods: A randomized, prospective, single-blinded clinical trial was conducted on consecutive patients with NSD resulting from a BSSO to correct skeletal class III malocclusion. The outcome measurement of sensory recovery was performed using a patient-centered survey assessed by the total score of questionnaire (TSQ) and visual analogue scale (VAS) at preoperation (T0), 1 week after surgery (T1), each month from 1 to 6 months after surgery (T2-T7), and 1 year after surgery (T8)...
May 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29920157/utilizing-community-health-needs-assessments-chnas-in-nonprofit-hospitals-to-guide-population-centered-outcomes-research-for-pediatric-patients-new-recommendations-for-chna-reporting
#19
Joshua B Gruber, Weize Wang, Alexandra Quittner, Daria Salyakina, Jennifer McCafferty-Fernandez
Currently, Community Health Needs Assessment (CHNA) reports lack a standard structure, making it difficult to derive meaningful information. However, they have the potential to be a useful tool for analyzing pediatric outcomes, guiding resource allocation, and linking to Patient-Centered Outcomes Research Institute priorities. The objective was to evaluate the utility of CHNA for informing future pediatric, patient-centered outcomes research. The authors analyzed CHNA documents, published before July 1, 2016 by 61 nonprofit hospitals, focusing on 4 metropolitan areas in Florida: Miami, Orlando, Tampa, and Jacksonville...
June 19, 2018: Population Health Management
https://www.readbyqxmd.com/read/29920148/the-impact-of-the-patient-centered-medical-home-on-health-care-disparities-exploring-stakeholder-perspectives-on-current-standards-and-future-directions
#20
Emilia H De Marchis, Kirti Doekhie, Rachel Willard-Grace, J Nwando Olayiwola
Over the past decade, the Patient-Centered Medical Home (PCMH) has become a preeminent model for primary care delivery. Simultaneously, health care disparities have gained increasing attention. There has been limited research on whether and how the PCMH can or should affect health care disparities. The authors conducted qualitative interviews with key stakeholders and experts on the PCMH model and health care disparities, including grant and policy makers, accreditors, researchers, patient advocates, primary care practices, practice transformation organizations, and payers, to assess perspectives on the role of the PCMH in addressing health care disparities...
June 19, 2018: Population Health Management
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