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https://www.readbyqxmd.com/read/29691248/understanding-influences-on-the-uptake-of-pulmonary-rehabilitation-in-the-east-of-england-an-inclusive-design-mixed-methods-study-protocol
#1
Yuanyuan Liu, Terry Dickerson, Frances Early, Jonathan Fuld, P John Clarkson
INTRODUCTION: 1.2 million people in the UK have chronic obstructive pulmonary disease (COPD) that causes breathlessness, difficulty with daily activities, infections and hospitalisation. Pulmonary rehabilitation (PR), a programme of supervised exercise and education, is recommended for patients with COPD. However, only 1 in 10 of those who need it receive PR. Also, the UK National COPD Audit Programme concluded that the COPD treatment might not be accessible to people with disabilities...
April 24, 2018: BMJ Open
https://www.readbyqxmd.com/read/29689237/dutch-lung-surgery-audit-a-national-audit-comprising-lung-and-thoracic-surgery-patients
#2
Martijn Ten Berge, Naomi Beck, David Jonathan Heineman, Ronald Damhuis, Willem Hans Steup, Pieter Jan van Huijstee, Jan Peter Eerenberg, Eelco Veen, Alexander Maat, Michel Versteegh, Thomas van Brakel, Wilhemina Hendrika Schreurs, Michel Wilhelmus Wouters
BACKGROUND: The nationwide Dutch Lung Surgery Audit (DLSA) started in 2012 to monitor and evaluate the quality of lung surgery in the Netherlands as an improvement tool. This outline describes the establishment, structure and organization of the audit by the Dutch Society of Lung Surgeons (NVvL) and the Dutch Society of Cardiothoracic Surgeons (NVT), in collaboration with the Dutch Institute for Clinical Auditing (DICA). In addition, first four-year results are presented. METHODS: The NVvL and NVT initiated a web-based registration including weekly updated online feedback for participating hospitals...
April 21, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29687753/cleaning-up-the-paper-trail-our-clinical-notes-in-open-view
#3
Gerard Lambe, Niall Linnane, Ian Callanan, Marcus W Butler
Purpose Ireland's physicians have a legal and an ethical duty to protect confidential patient information. Most healthcare records in Ireland remain paper based, so the purpose of this paper is to: assess the protection afforded to paper records; log highest risk records; note the variations that occurred during the working week; and observe the varying protection that occurred when staff, students and public members were present. Design/methodology/approach A customised audit tool was created using Sphinx software...
April 16, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29686526/-alert-audit-act-assessment-of-surveillance-and-response-strategy-for-malaria-elimination-in-three-low-endemic-settings-of-myanmar-in-2016
#4
Aye Mon Mon Kyaw, Soundappan Kathirvel, Mrinalini Das, Badri Thapa, Nay Yi Yi Linn, Thae Maung Maung, Zaw Lin, Aung Thi
Background: Myanmar, a malaria endemic country of Southeast Asia, adopted surveillance and response strategy similar to "1-3-7" Chinese strategy to achieve sub-national elimination in six low-endemic region/states of the country. Among these, Yangon, Bago-East, and Mon region/states have implemented this malaria surveillance and response strategy with modification in 2016. The current study was conducted to assess the case notification, investigation, classification, and response strategy (NICR) in these three states...
2018: Tropical Medicine and Health
https://www.readbyqxmd.com/read/29672910/ontario-racehorse-death-registry-2003-2015-descriptive-analysis-and-rates-of-mortality
#5
P W Physick-Sheard, A Avison, E Chappell, M MacIver
BACKGROUND: The Province of Ontario maintains a registry of racehorse deaths occurring within 60 days of a race or trial entry that provides insight into mortality rates and costs of competition. OBJECTIVES: To characterise and quantify mortality and identify breed differences. STUDY DESIGN: Retrospective annualised cohort study. METHODS: The Ontario Death Registry for 2003-2015, containing 1713 cases, was audited and information on the relationship between death and official work added...
April 19, 2018: Equine Veterinary Journal
https://www.readbyqxmd.com/read/29668495/developing-and-implementing-a-quality-assurance-strategy-for-electroconvulsive-therapy
#6
Jessa Hollingsworth, Beverly Baliko, Selina McKinney, Peter Rosenquist
BACKGROUND: The literature provides scant guidance in effective quality assurance strategies concerning the use of electroconvulsive therapy (ECT) for the treatment of psychiatric conditions. Numerous guidelines are published that provide guidance in the delivery of care; however, little has been done to determine how a program or facility might ensure compliance to best practice for safety, tolerability, and efficacy in performing ECT. OBJECTIVE: The objective of this project was to create a quality assurance strategy specific to ECT...
April 17, 2018: Journal of ECT
https://www.readbyqxmd.com/read/29667895/delivery-of-standardized-patient-instructions-in-the-after-visit-summary-reduces-telephone-calls-between-clinic-visits
#7
Stefanie Deeds, Stephanie Carr, Michelle Garrison, Tyra Fainstad
Telephone calls from patients can be a large source of between-visit work in outpatient clinics. A baseline audit at the study clinic identified medication refills and test results as the most common preventable calls. The authors created a dot phrase with standardized text detailing methods for refilling medications and reviewing test results and instructed providers to use it in the after-visit summary (AVS). After implementation of the AVS dot phrase, telephone calls for medications and results had an adjusted absolute decrease of 23...
April 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29666033/antidiabetics-usage-in-type-2-diabetes-mellitus-are-prescribing-guidelines-adhered-to-a-single-centre-study
#8
Viviane Khalil, Christy Sajan, Tiffany Tsai, David Ma
AIM: The primary aim of this study was to examine the prescribing patterns of antidiabetic agents (AA) in this hospital according to current prescribing contraindications (PCI). The secondary aims are to assess factors affecting the prescribing of AA and to evaluate the pharmacist impact on their prescribing. METHOD: A retrospective cross sectional study was performed to review all prescribed AA over a 3 month period. Data extracted from medical records included: patients' demographics, management and pharmacists' interventions...
April 11, 2018: Diabetes & Metabolic Syndrome
https://www.readbyqxmd.com/read/29664359/stroke-care-in-africa-a-systematic-review-of-the-literature
#9
Gerard Urimubenshi, Dominique A Cadilhac, Jeanne N Kagwiza, Olivia Wu, Peter Langhorne
Background Appropriate systems of stroke care are important to manage the increasing death and disability associated with stroke in Africa. Information on existing stroke services in African countries is limited. Aim To describe the status of stroke care in Africa. Summary of review We undertook a systematic search of the published literature to identify recent (1 January 2006-20 June 2017) publications that described stroke care in any African country. Our initial search yielded 838 potential papers, of which 38 publications were eligible representing 14/54 African countries...
January 1, 2018: International Journal of Stroke: Official Journal of the International Stroke Society
https://www.readbyqxmd.com/read/29661612/hearing-self-motion-perception-mobility-and-aging
#10
REVIEW
Jennifer Campos, Robert Ramkhalawansingh, M Kathleen Pichora-Fuller
Hearing helps us know where we are relative to important events and objects in our environment and it allows us to track our changing position dynamically over space and time. Auditory cues are used in combination with other sensory inputs (visual, vestibular, proprioceptive) to help us perceive our own movements through space, known as self-motion perception. Whether we are maintaining standing balance, walking, or driving, audition can provide unique and important information to help optimize self-motion perception, and consequently to support safe mobility...
March 31, 2018: Hearing Research
https://www.readbyqxmd.com/read/29661247/informing-implementation-of-quality-improvement-in-australian-primary-care
#11
Charlotte Hespe, Lucie Rychetnik, David Peiris, Mark Harris
BACKGROUND: Quality Improvement (QI) initiatives in primary care are effective at improving uptake of evidence based guidelines, but are difficult to implement and sustain. In Australia meso-level health organisations such as Primary health care Organisations (PHCO) offer new opportunities to implement area-wide QI programs. This study sought to identify enablers and barriers to implementation of an existing Australian QI program and to identify strategic directions that PHCOs can use in the ongoing development of QI in this environment...
April 16, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29660998/annals-express-the-challenge-of-improving-the-diagnostic-yield-from-metanephrine-testing-in-suspected-phaeochromocytoma-and-paraganglioma
#12
Intan Nureslyna Samsudin, Michael M Page, Kirsten Hoad, Paul Chubb, Melissa Gillett, Paul Glendenning, Samuel Vasikaran
BACKGROUND: Plasma free metanephrines (PFM) or urinary fractionated metanephrines (UFM) are the preferred biochemical tests for the diagnosis of phaeochromocytoma and paraganglioma (PPGL). Borderline increased results should be followed up to either exclude or confirm diagnosis. METHODS: We extracted all PFM and UFM results reported by our laboratory over a 6-month period from the laboratory information system. We categorised patients with borderline increased results according to whether follow-up testing had been performed as suggested in the initial laboratory report...
January 1, 2018: Annals of Clinical Biochemistry
https://www.readbyqxmd.com/read/29653352/online-molecular-image-repository-and-analysis-system-a-multicenter-collaborative-open-source-infrastructure-for-molecular-imaging-research-and-application
#13
Mahabubur Rahman, Hiroshi Watabe
Molecular imaging serves as an important tool for researchers and clinicians to visualize and investigate complex biochemical phenomena using specialized instruments; these instruments are either used individually or in combination with targeted imaging agents to obtain images related to specific diseases with high sensitivity, specificity, and signal-to-noise ratios. However, molecular imaging, which is a multidisciplinary research field, faces several challenges, including the integration of imaging informatics with bioinformatics and medical informatics, requirement of reliable and robust image analysis algorithms, effective quality control of imaging facilities, and those related to individualized disease mapping, data sharing, software architecture, and knowledge management...
April 4, 2018: Computers in Biology and Medicine
https://www.readbyqxmd.com/read/29643159/role-of-iodine-containing-multivitamins-during-pregnancy-for-children-s-brain-function-protocol-of-an-ongoing-randomised-controlled-trial-the-swiddich-study
#14
Sofia Manousou, Birgitta Johansson, Anna Chmielewska, Janna Eriksson, Kerstin Gutefeldt, Carl-Johan Tornhage, Robert Eggertsen, Helge Malmgren, Lena Hulthen, Magnus Domellöf, Helena Nystrom Filipsson
INTRODUCTION: Iodine is essential for normal brain development. Moderate and severe fetal iodine deficiency results in substantial to serious developmental delay in children. Mild iodine deficiency in pregnancy is associated with neurodevelopmental deficits in the offspring, but evidence from randomised trials is lacking. The aim of the Swedish Iodine in Pregnancy and Development in Children study is to determine the effect of daily supplementation with 150 µg iodine during pregnancy on the offspring's neuropsychological development up to 14 years of age...
April 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/29630148/representation-and-treatment-allocation-of-racial-groups-in-dermatologic-therapy-trials-a-2-year-review-of-the-literature
#15
Christina K Park, Raed Alhusayen
Although most investigators would agree that including minority races in clinical trials is important, recruitment and retention may differ among these populations. The objective of this review was to perform an audit of phase III dermatologic therapy trials to determine representation for minority groups and to explore the possibility of racial allocation bias. In this review of 11 dermatology or general medicine journals in 2015-16, we did not find evidence of systemic racial allocation bias. We did however note variation in the proportion of minority races included in studies; whereas some trials had high success in recruiting minorities, many did not...
February 15, 2018: Dermatology Online Journal
https://www.readbyqxmd.com/read/29625745/evaluation-of-a-single-pass-with-biphasic-intravenous-contrast-medium-injection-ct-protocol-for-the-assessment-of-complications-post-simultaneous-pancreas-kidney-transplant
#16
D Y-F Chung, E M Anderson
AIM: To evaluate the use of a single-pass with biphasic intravenous contrast medium injection computed tomography (CT) protocol to provide diagnostic quality CT studies for the assessment of complications post-simultaneous pancreas-kidney transplant (SPK). MATERIALS AND METHODS: This was an audit of practice and the need for informed consent was waived. The protocol was used in consecutive patients undergoing CT to exclude intra-abdominal sepsis post-SPK between June and December 2015...
April 3, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29623345/lp-pla-2-activity-is-associated-with-increased-risk-of-diabetic-retinopathy-a-longitudinal-disease-progression-study
#17
Moneeza K Siddiqui, Gwen Kennedy, Fiona Carr, Alexander S F Doney, Ewan R Pearson, Andrew D Morris, Toby Johnson, Megan M McLaughlin, Rachel E Williams, Colin N A Palmer
AIMS/HYPOTHESIS: The aim of the study was to examine the association between lipoprotein-associated phospholipase A2 (Lp-PLA2 ) activity levels and incident diabetic retinopathy and change in retinopathy grade. METHODS: This was a cohort study of diabetic participants with serum collected at baseline and routinely collected diabetic retinal screening data. Participants with type 2 diabetes from the GoDARTS (Genetics of Diabetes Audit and Research in Tayside Scotland) cohort were used...
April 6, 2018: Diabetologia
https://www.readbyqxmd.com/read/29620991/improving-the-quality-and-speed-of-access-to-operation-notes
#18
Matthew Howard, Hammad Parwaiz, Emily Cassels, Natalie Smith, Lucy Howard
INTRODUCTION: Operation notes are often poorly completed, potentially compromising patient care. This project was undertaken to improve the quantity, quality and clarity of information included in operation notes, and make them easier to locate within a set of patient notes. METHODS: Operation notes were audited against standards laid out in national guidelines. The time taken for staff to locate an operation note, and information within it, was then measured. The layout was re-designed, followed by a re-audit...
April 2, 2018: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/29618484/evaluating-the-process-and-outcomes-of-child-death-review-in-the-solomon-islands
#19
Mathew Sandakabatu, Titus Nasi, Carol Titiulu, Trevor Duke
While maternal and perinatal mortality auditing has been strongly promoted by the World Health Organization (WHO), there has been very limited promotion or evaluation of child death auditing in low/middle-income settings. In 2017, a standardised child death review process was introduced in the paediatric department of the National Hospital in Honiara, Solomon Islands. We evaluated the process and outcomes of child death reviews. The child death auditing process was assessed through systematic observations made at each of the weekly meetings using the following standards for evaluation: (1) adapted WHO tools for paediatric auditing; (2) the five stages of the audit cycle; (3) published principles of paediatric audit; and (4) WHO and Solomon Islands national clinical standards of Hospital Care for Children...
April 4, 2018: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/29616982/a-fast-intracortical-brain-machine-interface-with-patterned-optogenetic-feedback
#20
Aamir Abbasi, Dorian Goueytes, Daniel E Shulz, Valerie Ego-Stengel, Luc Estebanez
OBJECTIVE: The development of brain-machine interfaces (BMIs) brings a new perspective to patients with a loss of autonomy. By combining online recordings of brain activity with a decoding algorithm, patients can learn to control a robotic arm in order to perform simple actions. However, in contrast to the vast amounts of somatosensory information channeled by limbs to the brain, current BMIs are devoid of touch and force sensors. Patients must therefore rely solely on vision and audition, which are maladapted to the control of a prosthesis...
April 4, 2018: Journal of Neural Engineering
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