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https://www.readbyqxmd.com/read/29740592/narrative-medicine-educational-project-to-improve-the-care-of-patients-with-chronic-obstructive-pulmonary-disease
#1
Antonietta Cappuccio, Alessandro Sanduzzi Zamparelli, Massimo Verga, Stefano Nardini, Alessandro Policreti, Pasquale Alberto Porpiglia, Silvia Napolitano, Maria Giulia Marini
Chronic obstructive pulmonary disease (COPD) is characterised by a progressive loss of pulmonary function. Often patients do not adhere to inhaled therapies and this leads clinicians to switch treatments in order to improve control of the symptoms. Narrative medicine is a useful approach that helps healthcare professionals to think over the doctor-patient relationship and how patients live with their disease. The aim of this training project was to teach pulmonologists the basics of narrative medicine: to carefully listen to patients and to practice reflective writing in their relationship with them...
April 2018: ERJ Open Research
https://www.readbyqxmd.com/read/29704167/context-and-clinical-reasoning-understanding-the-medical-student-perspective
#2
Elexis McBee, Temple Ratcliffe, Lambert Schuwirth, Daniel O'Neill, Holly Meyer, Shelby J Madden, Steven J Durning
INTRODUCTION: Studies have shown that a physician's clinical reasoning performance can be influenced by contextual factors. We explored how the clinical reasoning performance of medical students was impacted by contextual factors in order to expand upon previous findings in resident and board certified physicians. Using situated cognition as the theoretical framework, our aim was to evaluate the verbalized clinical reasoning processes of medical students in order to describe what impact the presence of contextual factors has on their reasoning performance...
April 27, 2018: Perspectives on Medical Education
https://www.readbyqxmd.com/read/29687081/public-and-patient-involvement-in-child-health-research-and-service-improvements-a-survey-of-hospital-doctors
#3
Rachel Winch, Martin Patrick McColgan, Emma Sparrow, Neena Modi, Anne Greenough
Objectives: To determine whether paediatricians are supported by their organisations to encourage patient and public involvement (PPI) in research activities and clinical improvement work, the challenges they face and how they think these could be addressed by the Royal College of Paediatrics and Child Health (RCPCH). Design: A survey. Setting: UK consultant paediatricians and staff associate specialist and specialty (SAS) doctors who are members of RCPCH...
2018: BMJ Paediatrics Open
https://www.readbyqxmd.com/read/29609534/negative-cancer-beliefs-recognition-of-cancer-symptoms-and-anticipated-time-to-help-seeking-an-international-cancer-benchmarking-partnership-icbp-study
#4
Anette Fischer Pedersen, Lindsay Forbes, Kate Brain, Line Hvidberg, Christian Nielsen Wulff, Magdalena Lagerlund, Senada Hajdarevic, Samantha L Quaife, Peter Vedsted
BACKGROUND: Understanding what influences people to seek help can inform interventions to promote earlier diagnosis of cancer, and ultimately better cancer survival. We aimed to examine relationships between negative cancer beliefs, recognition of cancer symptoms and how long people think they would take to go to the doctor with possible cancer symptoms (anticipated patient intervals). METHODS: Telephone interviews of 20,814 individuals (50+) in the United Kingdom, Australia, Canada, Denmark, Norway and Sweden were carried out using the Awareness and Beliefs about Cancer Measure (ABC)...
April 2, 2018: BMC Cancer
https://www.readbyqxmd.com/read/29590422/veteran-experiences-seeking-non-pharmacologic-approaches-for-pain
#5
Karleen Giannitrapani, Matthew McCaa, Marie Haverfield, Robert D Kerns, Christine Timko, Steven Dobscha, Karl Lorenz
Introduction: Pain is a longstanding and growing concern among US military veterans. Although many individuals rely on medications, a growing body of literature supports the use of complementary non-pharmacologic approaches when treating pain. Our objective is to characterize veteran experiences with and barriers to accessing alternatives to medication (e.g., non-pharmacologic treatments or non-pharmacologic approaches) for pain in primary care. Materials and Methods: Data for this qualitative analysis were collected as part of the Effective Screening for Pain (ESP) study (2012-2017), a national randomized controlled trial of pain screening and assessment methods...
March 26, 2018: Military Medicine
https://www.readbyqxmd.com/read/29574503/evidence-emotion-and-eminence-a-qualitative-and-evaluative-analysis-of-doctors-skills-in-macroallocation
#6
Siun Gallagher, Miles Little, Claire Hooker
In this analysis of the ethical dimensions of doctors' participation in macroallocation we set out to understand the skills they use, how they are acquired, and how they influence performance of the role. Using the principles of grounded moral analysis, we conducted a semi-structured interview study with Australian doctors engaged in macroallocation. We found that they performed expertise as argument, bringing together phronetic and rhetorical skills founded on communication, strategic thinking, finance, and health data...
March 24, 2018: Health Care Analysis: HCA: Journal of Health Philosophy and Policy
https://www.readbyqxmd.com/read/29466899/kristeller-maneuvers-or-fundal-pressure-and-maternal-neonatal-morbidity-obstetric-and-judicial-literature-review
#7
Antonio Malvasi, Simona Zaami, Andrea Tinelli, Giuseppe Trojano, Gianluca Montanari Vergallo, Enrico Marinelli
AIM: A significant amount of data concerning maternal-fetal damage arising from the exertion of Kristeller maneuvers (KMs) or fundal pressure (FP) go unreleased due to medicolegal implications. MATERIALS AND METHODS: For this reason, the paper gathers information as to the real magnitude of litigation related to FP-induced damages and injuries. The authors have undertaken a research in order to include general search engines (PubMed-Medline, Cochrane, Embase, Google, GyneWeb) and legal databases (De Jure, Italian database of jurisprudence daily update; Westlaw, Thomson Reuters, American ruling database and Bailii, UK Court Ruling Database)...
February 21, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29437291/much-ado-about-flu-a-mixed-methods-study-of-parental-perceptions-trust-and-information-seeking-in-a-pandemic
#8
Catherine L King, Maria Y K Chow, Kerrie E Wiley, Julie Leask
BACKGROUND: Effective public health messaging is essential in both the planning phase and duration of a pandemic. OBJECTIVES: This study aimed to gain an understanding of parental information seeking, trusted sources and needs in relation to pandemic influenza A 2009 (pH1N1) to inform future policy planning and resource development. PATIENTS/METHODS: We conducted a mixed methods study; parents from 16 childcare centres in Sydney, Australia, were surveyed between 16 November and 9 December 2009, and interviews were conducted with participants from six childcare centres between June 2009 and May 2011...
February 13, 2018: Influenza and Other Respiratory Viruses
https://www.readbyqxmd.com/read/29402398/-can-medical-oncologists-talk-about-cure-to-their-patient-after-localized-breast-cancer-treatment
#9
Cecile Torregrosa, Louis-Philippe Coutu-Nadeau, Manuel Jorge Rodrigues, Marie-France Mamzer-Bruneel
INTRODUCTION: Despite ongoing therapeutic advances in oncology, the use of the term cure in front of patients remains controversial. The word remission is often preferred in clinical practice. The purpose of this research is to explore how oncologists vary in their usage and definition of the word cure when talking to patients. METHODS: Qualitative and exploratory pilot study conducted by semi structured interviews with a group of French oncologists about a clinical vignette of localized breast cancer treated by surgery and complete adjuvant treatment...
March 2018: Bulletin du Cancer
https://www.readbyqxmd.com/read/29371311/books-how-doctors-think-clinical-judgment-and-the-practice-of-medicine-the-importance-of-anecdote
#10
David Jeffrey
No abstract text is available yet for this article.
February 2018: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29349892/-can-the-patient-speak-postcolonialism-and-patient-involvement-in-undergraduate-and-postgraduate-medical-education
#11
Malika Sharma
CONTEXT: Patients are increasingly being engaged in providing feedback and consultation to health care institutions, and in the training of health care professionals. Such involvement has the potential to disrupt traditional doctor-patient power dynamics in significant ways that have not been theorised in the medical literature. Critical theories can help us understand how power flows when patients are engaged in the training of medical students. METHODS: This paper applies postcolonial theory to the involvement of patients in the development and delivery of medical education...
January 19, 2018: Medical Education
https://www.readbyqxmd.com/read/29261541/the-medical-school-admissions-process-and-meeting-the-public-s-health-care-needs-never-the-twain-shall-meet
#12
Jennifer Cleland
Medical schools typically assess how good their selection process is using metrics such as students' assessment performance and the academic success of alumni on later indicators of academic ability and clinical competence, such as Royal College of Physicians or specialty board examinations. To address global issues with the maldistribution of doctors and increasing numbers of new medical school graduates choosing not to work in a clinical context requires different measurements of medical school admissions processes, like those related to graduates' career outcomes (e...
December 19, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29248011/what-are-they-thinking-facilitating-clinical-reasoning-through-longitudinal-patient-exposure-in-rural-practice
#13
David Campbell, Lucie Walters, Ian Couper, Jane Greacen
INTRODUCTION:   This article reports the findings from an international research workshop, held over 2 days in October 2014 in Bairnsdale, Australia, which brought together 19 clinician teachers and medical educators who work in rural primary care. The objectives of the workshop were to clarify and identify the key aspects of the development of clinical reasoning in students and junior doctors, particularly as a result of longitudinal immersion in rural community practice...
December 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/29183265/when-general-practitioners-meet-new-evidence-an-exploratory-ethnographic-study
#14
Ole Olsen
OBJECTIVE: To explore how general practitioners (GPs) think and act when presented with new evidence in relation to planned home birth and a proposal to change information practices. DESIGN: Exploratory ethnographic study of GPs. The GPs were encountered one or more times during a two-year period, 2011-2013, while the author tried to set up formal focus group interviews. Dialogues about the evidence, personal experiences, values and other issues unavoidably occurred...
December 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/29069693/-the-image-of-doctors-in-europe-a-comparison-of-countries
#15
Andreas Heinz, Jean Philippe Décieux
Study objective Patients expect a lot from doctors. They expect doctors to be trustworthy and competent, to discuss all treatment options with them, to inform them about mistakes made during the treatment and to put their interests before their own interests. This paper examines how the population of Europe assesses doctors in this respect and whether there are countries where the assessments are similar. Methods In the "International Social Survey Programme - ISSP" the population in 32 countries was asked to assess the doctors in their respective countries...
October 25, 2017: Das Gesundheitswesen
https://www.readbyqxmd.com/read/29062529/priority-setting-in-research-user-led-mental-health-research
#16
Marjorie Ghisoni, Christine Ann Wilson, Karen Morgan, Bethan Edwards, Natalie Simon, Emma Langley, Helen Rees, Amanda Wells, Philip John Tyson, Phil Thomas, Allen Meudell, Frank Kitt, Brian Mitchell, Alan Bowen, Jason Celia
PLAIN ENGLISH SUMMARY: Involving people in health research is increasingly recognised as being important to make sure that research is focused more on the needs of people who use health services. At present, ideas about what should be researched most often comes from researchers and/or health professionals like doctors and nurses rather than people with a lived experience of mental illness. In this study, we will talk with this group of people from across Wales to explore what they think research into their health services should focus on...
2017: Research involvement and engagement
https://www.readbyqxmd.com/read/29019476/parenting-a-child-with-juvenile-idiopathic-arthritis-orofacial-pain-and-dysfunction-a-qualitative-study
#17
Eva Leksell, Ulrika Hallberg, AnnaCarin Horne, Malin Ernberg, Britt Hedenberg-Magnusson
AIMS: To deepen knowledge of how parents of children diagnosed with juvenile idiopathic arthritis (JIA) perceive the orofacial manifestations of the disease, its treatments, and their encounters with dental care providers. METHODS: A total of 15 interviews with parents of JIA patients (3 to 16 years old) with orofacial pain were analyzed according to classic grounded theory. RESULTS: The main problem was identified as controlling an unpredictable life situation that includes a child with JIA...
2017: Journal of Oral & Facial Pain and Headache
https://www.readbyqxmd.com/read/28932581/catch-me-if-you-can-how-to-make-the-best-use-of-pleural-effusion
#18
Lianjun Lin, Qian Han, Zhonghui Liu, Huiying Xu, Yanping Wu, Jixin Zhang, Xinmin Liu
Etiology diagnosis of pleural effusion is a commonly encountered yet challenging problem. How to make the best use of pleural effusion evokes thinking. Myelomatous pleural effusion (MPE) is a rare condition and has been reported sporadically. We report an extremely rare case of multiple myeloma (MM) [IgD-lambda (λ) type, stage III B] with MPE as initial presentation and complicated with massive pericardial effusions during the progression of the disease. Cytological identification of malignant plasma cells in pleural effusion is the most direct method to diagnose MPE...
August 2017: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28924688/the-barrier-to-informed-choice-in-cancer-screening-statistical-illiteracy-in-physicians-and-patients
#19
Odette Wegwarth, Gerd Gigerenzer
An efficient health care requires both informed doctors and patients. Our current healthcare system falls short on both counts. Most doctors and patients do not understand the available medical evidence. To illustrate the extent of the problem in the setting of cancer screening: In a representative sample of some 5000 women in nine European countries, 92% overestimated the reduction of breast cancer mortality by mammography by a factor of 10-200, or did not know. For a similar sample of about 5000 men with respect to PSA screening, this number was 89%...
2018: Recent Results in Cancer Research
https://www.readbyqxmd.com/read/28869501/the-use-of-a-virtual-online-debating-platform-to-facilitate-student-discussion-of-potentially-polarising-topics
#20
Paul D McGreevy, Vicky Tzioumis, Chris Degeling, Jane Johnson, Robert Brown, Mike Sands, Melissa J Starling, Clive J C Phillips
The merits of students exchanging views through the so-called human continuum exercise (HCE) are well established. The current article describes the creation of the virtual human continuum (VHC), an online platform that facilitates the same teaching exercise. It also reports feedback on the VHC from veterinary science students (n = 38). First-year Doctor of Veterinary Medicine students at the University of Sydney, Australia, trialed the platform and provided feedback. Most students agreed or strongly agreed that the VHC offered: a non-threatening environment for discussing emotive and challenging issues; and an opportunity to see how other people form ideas...
September 2, 2017: Animals: An Open Access Journal From MDPI
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