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https://www.readbyqxmd.com/read/29683014/older-adults-perspectives-on-the-process-of-becoming-users-of-assistive-technology-a-qualitative-systematic-review-and-meta-synthesis
#1
Stina Meyer Larsen, Rikke Falgreen Mortensen, Hanne Kaae Kristensen, Lise Hounsgaard
PURPOSE: To identify, synthesize, and evaluate existing literature concerning the process of becoming a user of assistive technology (AT). METHOD: A systematic review and meta-synthesis were carried out. Five bibliographic databases (MEDLINE via PubMed, CINAHL, Web of Science, PsycINFO and SocINDEX) were systematically searched up to 13th of March 2017, using two sets of search terms: (i) elderly and synonyms and (ii) assistive technology and similar words, and combined with a qualitative research filter...
April 22, 2018: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29682463/reasons-for-conversion-during-vats-lobectomy-what-happens-with-increased-experience
#2
REVIEW
Dario Amore, Davide Di Natale, Roberto Scaramuzzi, Carlo Curcio
Although controlled studies have demonstrated the benefits of a minimally invasive approach for pulmonary lobectomy over thoracotomy, reports have also documented that significant complications can occur during thoracoscopic lobectomy and sometimes require planned or emergent conversion to open surgery. Several authors have identified and reported causes and implications of intraoperative conversion to thoracotomy using different types of classification. The aim of this single centre retrospective review is to evaluate how the reasons for conversion change with increased experience, dividing patients who were converted to thoracotomy during video-assisted thoracic surgery (VATS) lobectomy, between 2011 and 2017, in two groups: those treated during learning curve (LC group) and those treated after learning curve (ALC group)...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29681081/what-makes-a-word-so-attractive-disclosing-the-urge-to-read-while-bisecting
#3
Luisa Girelli, Paola Previtali, Lisa S Arduino
Expert readers have been repeatedly reported to misperceive the centre of visual stimuli, shifting systematically to the left the bisection of any lines (pseudoneglect) while showing a cross-over effect while bisecting different types of orthographic strings (Arduino et al., 2010, Neuropsychologia, 48, 2140). This difference has been attributed to asymmetrical allocation of attention that visuo-verbal material receives when lexical access occurs (e.g., Fischer, 2004, Cognitive Brain Research, 4, 163). The aim of this study was to further examine which visual features guide recognition of potentially orthographic materials...
April 22, 2018: British Journal of Psychology
https://www.readbyqxmd.com/read/29680811/does-the-age-of-acute-care-physicians-impact-their-1-crisis-management-performance-and-2-learning-after-simulation-based-education-a-protocol-for-a-multicentre-prospective-cohort-study-in-toronto-and-ottawa-canada
#4
Fahad Alam, Vicki R LeBlanc, Alan Baxter, Jordan Tarshis, Dominique Piquette, Yuqi Gu, Caroline Filipkowska, Ashley Krywenky, Nicole Kester-Greene, Pierre Cardinal, Shelly Au, Sandy Lam, Sylvain Boet, Perioperative Anesthesia Clinical Trials Group
INTRODUCTION: The proportion of older acute care physicians (ACPs) has been steadily increasing. Ageing is associated with physiological changes and prospective research investigating how such age-related physiological changes affect clinical performance, including crisis resource management (CRM) skills, is lacking. There is a gap in the literature on whether physician's age influences baseline CRM performance and also learning from simulation. We aim to investigate whether ageing is associated with baseline CRM skills of ACPs (emergency, critical care and anaesthesia) using simulated crisis scenarios and to assess whether ageing influences learning from simulation-based education...
April 21, 2018: BMJ Open
https://www.readbyqxmd.com/read/29680750/complete-resection-of-hypervascularised-extraventricular-neurocytoma-after-preoperative-embolisation
#5
Majed Katati, Isabel García, Clara Isabel Chamorro, Ángel Horcajadas, Alicia Hurtado, Carlos Sánchez, Benjamín Iañez, Enrique Saura, Ernesto García, Heriberto Busquier
A 13-year-old female arrived at the Emergency Department with a two-week history of headache, and bilateral papilloedema on examination. The initial study with CT and MRI showed a large multicystic left frontal mass with calcification surrounded by peripheral oedema, subacute intralesional bleeding and association of multiple large vessels. She was initially operated on in another centre where a subacute haematoma was found, evacuating to multiple vessels and arteriolised veins. Despite the earlier neuroimaging findings, arteriovenous malformation (AVM) was suspected, so she was referred to our centre for further treatment...
April 18, 2018: Neurocirugía
https://www.readbyqxmd.com/read/29679231/did-malpractice-claims-for-failed-dental-implants-decrease-after-introduction-of-cbct-in-finland
#6
Magdalena Marinescu Gava, Anni Suomalainen, Tapio Vehmas, Irja Ventä
OBJECTIVES: To examine the role of cone beam computed tomography (CBCT) in preventing failures in implant treatment. We hypothesize that the number of malpractice claims related to dental implant treatment would decrease after the first CBCT device came available in 2002 in Finland. MATERIAL AND METHODS: Data concerning malpractice claims related to dental implant treatment during the years 1997-2011 were collected from the Finnish Patient Insurance Centre (N = 330 subjects)...
April 20, 2018: Clinical Oral Investigations
https://www.readbyqxmd.com/read/29677983/the-importance-of-data-quality-and-context-information-in-indicator-production-proof-of-concept-in-a-metropolitan-paediatric-emergency-department
#7
João Viana, Almeida Santos, Alberto Freitas
In the Paediatric emergency department scenario there were considerable efforts developing indicators over the past decade, specially referring to process, e.g. timeliness. Nevertheless, to fully characterize quality in Paediatric emergency department, indicators are developed but require further assessment and a more complete validation. This paper's aim is to emphasise the importance of data quality, data cleaning and the indicator choice in indicator production. The dataset provided for this analysis is from the São João Hospital Centre's information system and is composed by records of all the visits to the paediatrics emergency department from the 1st of January of 2014 to the 31st of December 2016...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29676604/is-diabetes-a-marker-of-higher-risk-after-carotid-revascularization-experience-from-a-single-centre
#8
Renato Casana, Chiara Malloggi, Andrea Odero, Valerio Tolva, Richard Bulbulia, Alison Halliday, Vincenzo Silani
PURPOSE: This single centre study investigates the influence of diabetes mellitus on outcomes following carotid artery endarterectomy or stenting. METHODS: In total, 752 carotid revascularizations (58.2% carotid artery stenting and 41.8% carotid endarterectomy) were performed in 221 (29.4%) patients with diabetes and 532 (70.6%) patients without diabetes. The study outcomes were death, disabling and non-disabling stroke, transient ischaemic attack and restenosis within 36 months after the procedure...
April 1, 2018: Diabetes & Vascular Disease Research
https://www.readbyqxmd.com/read/29676281/risk-thresholds-for-alcohol-consumption-combined-analysis-of-individual-participant-data-for-599-912-current-drinkers-in-83-prospective-studies
#9
Angela M Wood, Stephen Kaptoge, Adam S Butterworth, Peter Willeit, Samantha Warnakula, Thomas Bolton, Ellie Paige, Dirk S Paul, Michael Sweeting, Stephen Burgess, Steven Bell, William Astle, David Stevens, Albert Koulman, Randi M Selmer, W M Monique Verschuren, Shinichi Sato, Inger Njølstad, Mark Woodward, Veikko Salomaa, Børge G Nordestgaard, Bu B Yeap, Astrid Fletcher, Olle Melander, Lewis H Kuller, Beverley Balkau, Michael Marmot, Wolfgang Koenig, Edoardo Casiglia, Cyrus Cooper, Volker Arndt, Oscar H Franco, Patrik Wennberg, John Gallacher, Agustín Gómez de la Cámara, Henry Völzke, Christina C Dahm, Caroline E Dale, Manuela M Bergmann, Carlos J Crespo, Yvonne T van der Schouw, Rudolf Kaaks, Leon A Simons, Pagona Lagiou, Josje D Schoufour, Jolanda M A Boer, Timothy J Key, Beatriz Rodriguez, Conchi Moreno-Iribas, Karina W Davidson, James O Taylor, Carlotta Sacerdote, Robert B Wallace, J Ramon Quiros, Rosario Tumino, Dan G Blazer, Allan Linneberg, Makoto Daimon, Salvatore Panico, Barbara Howard, Guri Skeie, Timo Strandberg, Elisabete Weiderpass, Paul J Nietert, Bruce M Psaty, Daan Kromhout, Elena Salamanca-Fernandez, Stefan Kiechl, Harlan M Krumholz, Sara Grioni, Domenico Palli, José M Huerta, Jackie Price, Johan Sundström, Larraitz Arriola, Hisatomi Arima, Ruth C Travis, Demosthenes B Panagiotakos, Anna Karakatsani, Antonia Trichopoulou, Tilman Kühn, Diederick E Grobbee, Elizabeth Barrett-Connor, Natasja van Schoor, Heiner Boeing, Kim Overvad, Jussi Kauhanen, Nick Wareham, Claudia Langenberg, Nita Forouhi, Maria Wennberg, Jean-Pierre Després, Mary Cushman, Jackie A Cooper, Carlos J Rodriguez, Masaru Sakurai, Jonathan E Shaw, Matthew Knuiman, Trudy Voortman, Christa Meisinger, Anne Tjønneland, Hermann Brenner, Luigi Palmieri, Jean Dallongeville, Eric J Brunner, Gerd Assmann, Maurizio Trevisan, Richard F Gillum, Ian Ford, Naveed Sattar, Mariana Lazo, Simon G Thompson, Pietro Ferrari, David A Leon, George Davey Smith, Richard Peto, Rod Jackson, Emily Banks, Emanuele Di Angelantonio, John Danesh
BACKGROUND: Low-risk limits recommended for alcohol consumption vary substantially across different national guidelines. To define thresholds associated with lowest risk for all-cause mortality and cardiovascular disease, we studied individual-participant data from 599 912 current drinkers without previous cardiovascular disease. METHODS: We did a combined analysis of individual-participant data from three large-scale data sources in 19 high-income countries (the Emerging Risk Factors Collaboration, EPIC-CVD, and the UK Biobank)...
April 14, 2018: Lancet
https://www.readbyqxmd.com/read/29674366/can-interprofessional-teamwork-reduce-patient-throughput-times-a-longitudinal-single-centre-study-of-three-different-triage-processes-at-a-swedish-emergency-department
#10
Jenny Liu, Italo Masiello, Sari Ponzer, Nasim Farrokhnia
OBJECTIVE: To determine the impact on emergency department (ED) throughput times and proportion of patients who leave without being seen by a physician (LWBS) of two triage interventions, where comprehensive nurse-led triage was first replaced by senior physician-led triage and then by interprofessional teamwork. DESIGN: Single-centre before-and-after study. SETTING: Adult ED of a Swedish urban hospital. PARTICIPANTS: Patients arriving on weekdays 08:00 to 21:00 during three 1-year periods in the interval May 2012 to November 2015...
April 19, 2018: BMJ Open
https://www.readbyqxmd.com/read/29674017/the-complex-challenge-of-providing-patient-centred-perinatal-healthcare-in-rural-uganda-a-qualitative-enquiry
#11
Nandini D P Sarkar, Joske Bunders-Aelen, Bart Criel
RATIONALE: Increasing research and reflections on quality of healthcare across the perinatal period slowly propels the global community to lobby for improved standards of quality perinatal healthcare, especially in low- and middle-income countries. OBJECTIVE: The purpose of this qualitative study was to obtain a deeper understanding of how interpersonal dimensions of the quality of care relate to real-life experiences of perinatal care, in a resource-constrained local health system...
March 21, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29673918/-day-hospital-in-internal-medicine-a-chance-for-ambulatory-care
#12
A Grasland, E Mortier
INTRODUCTION: Internal medicine is an in-hospital speciality. Along with its expertise in rare diseases, it shares with general medicine the global care of patients but its place in the ambulatory shift has yet to be defined. The objective of our work was to evaluate the benefits of an internal medicine day-hospital devoted to general medicine. METHODS: Named "Centre Vi'TAL" to underline the link between the city and the hospital, this novel activity was implemented in order to respond quickly to general practitioners having difficulties to synthesize their complex patients or facing diagnostic or therapeutic problems...
April 16, 2018: La Revue de Médecine Interne
https://www.readbyqxmd.com/read/29673386/risk-factors-and-short-term-outcomes-of-postoperative-pulmonary-complications-after-vats-lobectomy
#13
Paula J Agostini, Sebastian T Lugg, Kerry Adams, Tom Smith, Maninder S Kalkat, Pala B Rajesh, Richard S Steyn, Babu Naidu, Alison Rushton, Ehab Bishay
BACKGROUND: Postoperative pulmonary complications (PPCs) are associated with poor outcomes following thoracotomy and lung resection. Video-assisted thoracoscopic surgery (VATS) for lobectomy is now frequently utilised as an alternative to thoracotomy, however patients remain at risk for development of PPC. There is little known of the short-term outcome associated with PPC following VATS lobectomy and if there are any potential risk factors that could be modified to prevent PPC development; our study aimed to investigate this...
April 12, 2018: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29665992/role-of-intralesional-bleomycin-and-intralesional-triamcinolone-therapy-in-residual-haemangioma-following-propranolol
#14
V Pandey, P Tiwari, S P Sharma, R Kumar, O P Singh
With the emergence of propranolol as the first choice of treatment for problematic infantile haemangioma at many centres, the number of patients with a partial or non-response to propranolol has also been growing. This study investigated the role of intralesional bleomycin and triamcinolone in patients with residual disease following propranolol therapy for infantile haemangioma. Sixty-seven patients with residual haemangioma were assigned randomly to receive either intralesional bleomycin (group A, n=36) or intralesional triamcinolone (group B, n=31)...
April 14, 2018: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29665094/newborn-screening-a-disease-changing-intervention-for-glutaric-aciduria-type-1
#15
Nikolas Boy, Katharina Mengler, Eva Thimm, Katharina A Schiergens, Thorsten Marquardt, Natalie Weinhold, Iris Marquardt, Anibh M Das, Peter Freisinger, Sarah C Grünert, Judith Vossbeck, Robert Steinfeld, Matthias R Baumgartner, Skadi Beblo, Andrea Dieckmann, Andrea Näke, Martin Lindner, Jana Heringer, Georg F Hoffmann, Chris Mühlhausen, Esther M Maier, Regina Ensenauer, Sven F Garbade, Stefan Kölker
OBJECTIVE: Untreated individuals with glutaric aciduria type 1 (GA1) commonly present with a complex, predominantly dystonic movement disorder (MD) following acute or insidious onset striatal damage. Implementation of GA1 into newborn screening (NBS) programmes has improved the short-term outcome. It remains unclear, however, whether NBS changes the long-term outcome and which variables are predictive. METHODS: This prospective, observational, multi-centre study includes 87 patients identified by NBS, four patients missed by NBS and three women with GA1 identified by positive NBS results of their unaffected children...
April 17, 2018: Annals of Neurology
https://www.readbyqxmd.com/read/29664169/improving-quality-of-care-for-patients-with-iron-deficiency-anemia-presenting-to-the-emergency-department
#16
Fatima Khadadah, Jeannie Callum, Dominick Shelton, Yulia Lin
BACKGROUND: Patients presenting to the emergency department (ED) with iron deficiency anemia (IDA) are underrecognized, undertreated with iron, and overtransfused. A 3-month audit of red blood cell (RBC) transfusions at the Sunnybrook Health Sciences Centre ED in 2013 showed that only 53% of transfusions for IDA were appropriate. The aim of this quality improvement project was to increase the rate of appropriate transfusion to greater than 80%. STUDY DESIGN AND METHODS: Since November 2013, several quality improvement interventions have been implemented, including educational presentations, development of an algorithm on IDA management in the ED, and development of an ED IDA toolkit...
April 17, 2018: Transfusion
https://www.readbyqxmd.com/read/29662604/fr%C3%A3-quence-et-d%C3%A3-terminants-de-la-d%C3%A3-nutrition-post-op%C3%A3-ratoire-en-chirurgie-visc%C3%A3-rale-au-centre-national-hospitalier-et-universitaire-koutoucou-hubert-maga-cotonou-frequency-and-determinants-of-post-operative-undernutrition-in-patients-undergoing-visceral
#17
Adébayo Cossi Alassani, Adrien Montcho Hodonou, Albert Comlan Dovonou, Gaspard Dansou Gbessi, Séraphin Ahoui, Francis Moïse Dossou, Delphin Kouassi Mêhinto
This study aims to determine the frequency and identify the factors associated with undernutrition among patients undergoing visceral surgery in 2014. We conducted a cross-sectional, descriptive and analytical study over the period September 11, 2014-December 11, 2014. The study population comprised patients who had undergone visceral surgery at the National University Hospital Centre Koutoucou Hubert MAGA, Cotonou. Undernutrition is defined as a body mass index less than 18.5 kg/m2 . A total of 90 patients were included in the study, 57,78% (52 patients) were male...
2018: Pan African Medical Journal
https://www.readbyqxmd.com/read/29661170/-people-look-and-ask-lots-of-questions-caregivers-perceptions-of-healthcare-provision-and-support-for-children-born-with-cleft-lip-and-palate
#18
Phumzile Hlongwa, Laetitia C Rispel
BACKGROUND: Clefting of the lip and/or palate (CL/P) is amongst the five most common birth defects reported in South Africa. The emotional impact on parents at the birth of their new-born with CL/P could affect parent-child relationships. In light of insufficient scholarly attention parental experiences and perceptions, this study reports on caregivers' perceptions of health service provision and support for children born with cleft lip and palate in South Africa. METHODS: The study setting consisted of 11 academic hospital centres situated in six of South Africa's nine provinces...
April 16, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29661098/predicting-emergence-from-a-disorder-of-consciousness-using-the-coma-recovery-scale-revised
#19
Janette A Hamilton, Paul B Perrin, Thomas A Campbell, Steven J Danish, Alissa L Goldstein
This study explored the utility of the Coma Recovery Scale-Revised (CRS-R) in predicting emergence from a disorder of consciousness, using a sample of veterans who were treated at one of the five Veterans Affairs (VA) polytrauma rehabilitation centre sites in an Emerging Consciousness programme. Participants (N = 70) included both combat and non-combat active duty military personnel and veterans who sustained either a severe traumatic brain injury, or anoxic brain injury and were considered to have a disorder of consciousness at the time of admission...
April 16, 2018: Neuropsychological Rehabilitation
https://www.readbyqxmd.com/read/29659858/zaaps-programme-results-for-2016-an-activity-and-spectrum-analysis-of-linezolid-using-clinical-isolates-from-medical-centres-in-42-countries
#20
Rodrigo E Mendes, Lalitagauri Deshpande, Jennifer M Streit, Helio S Sader, Mariana Castanheira, Patricia A Hogan, Robert K Flamm
Objectives: To report the linezolid activity, resistance mechanisms and epidemiological typing of selected isolates observed during the 2016 Zyvox® Annual Appraisal of Potency and Spectrum (ZAAPS) programme. Methods: A total of 8325 organisms were consecutively collected from 76 centres in 42 countries (excluding the USA). Broth microdilution susceptibility testing was performed and isolates displaying linezolid MICs of ≥4 mg/L were molecularly characterized...
April 6, 2018: Journal of Antimicrobial Chemotherapy
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