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https://www.readbyqxmd.com/read/29680402/respiratory-rate-of-clinically-healthy-cats-measured-in-veterinary-consultation-rooms
#1
E Dijkstra, E Teske, V Szatmári
Respiratory rate is commonly recorded during physical examinations. However, reference intervals are only available for resting and sleeping respiratory rates in cats at home. This observational study aimed to establish reference intervals for the respiratory rate in clinically healthy adult cats at primary-care veterinary clinics. Respiratory rates were recorded from 131 cats, in 6 primary-care veterinary clinics, by observation under four circumstances: by the investigator in the consultation room prior to and during a physical examination, by the owner at home when the cat was resting or sleeping, and by the investigator when watching a video-film of the cat recorded by the owner at home...
April 2018: Veterinary Journal
https://www.readbyqxmd.com/read/29664159/reading-aids-for-adults-with-low-vision
#2
REVIEW
Gianni Virgili, Ruthy Acosta, Sharon A Bentley, Giovanni Giacomelli, Claire Allcock, Jennifer R Evans
BACKGROUND: The purpose of low-vision rehabilitation is to allow people to resume or to continue to perform daily living tasks, with reading being one of the most important. This is achieved by providing appropriate optical devices and special training in the use of residual-vision and low-vision aids, which range from simple optical magnifiers to high-magnification video magnifiers. OBJECTIVES: To assess the effects of different visual reading aids for adults with low vision...
April 17, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29662525/video-conferencing-telehealth-linkage-attempts-to-schools-to-facilitate-mental-health-consultation
#3
John D McLennan
Objective: Telehealth to schools may be a strategic approach to expand child mental health service delivery, however, there are only a few published examples. This report describes video-conferencing telehealth linkage attempts to schools to facilitate mental health consultation. Methods: A series of synchronous video-conferencing linkage strategies were attempted to connect a mental health consultation service to multiple schools in a Canadian setting. Consultation to support the implementation of the Daily Report Card, for students with attentional and behavioural problems, was the core content of this pilot linkage attempt...
April 2018: Journal of the Canadian Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29629206/enhanced-recovery-pathways-in-thoracic-surgery-the-quebec-experience
#4
Julien Hubert, Etienne Bourdages-Pageau, Charles Antoine Paradis Garneau, Catherine Labbé, Paula A Ugalde
Background: Canada has a universal public health system where all resources must be allocated to optimize cost-effectiveness. Rapid diagnostic assessment programs (DAPs) and enhanced recovery protocols (ERPs) may improve timeliness of care and postoperative outcomes and thus reduce costs. The use of DAPs and ERPs in lung cancer patients who undergo lobectomy via video-assisted thoracoscopic surgery (VATS) is still controversial. This study measured the time between preoperative workup and treatment with a DAP and evaluated the impact of an ERP postoperatively in patients with early-stage non-small cell lung cancer (NSCLC) who received a VATS lobectomy...
March 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29625956/video-outpatient-consultations-a-case-study-of-real-world-implementation-at-macro-meso-and-micro-level
#5
Trish Greenhalgh, Sara Shaw, Joseph Wherton, Shanti Vijayaraghavan, Joanne Morris, Satya Bhattacharya, Philippa Hanson, Desirée Campbell-Richards, Seendy Ramoutar, Anna Collard, Isabel Hodkinson
BACKGROUND: There is much interest in virtual consultations using video technology. Randomized controlled trials have shown video consultations to be acceptable, safe, and effective in selected conditions and circumstances. But this model has rarely been mainstreamed and sustained in real-world settings. OBJECTIVE: The study sought to (1) define good practice and inform implementation of video outpatient consultations and (2) generate transferable knowledge about challenges to scaling up and routinizing this service model...
February 19, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29609529/video-recording-consultations-for-educational-purposes-in-out-of-hours-primary-care-patients-and-physicians-are-willing-to-participate
#6
Bertwin Krug, Annelies Colliers, Jan Matthys, Sibyl Anthierens, Hilde Philips, Jorn Damen, Samuel Coenen, Roy Remmen
Background Video-recordings of consultations are used by general practitioner (GP) trainees to enable reflection on aspects of knowledge, skills and attitudes. Typically, these recordings are made during office hours in general practice, but little is known about using video-recording during out of hours (OOH) care, which is an important and distinct part of a GP's work. To be able to record consultations during OOH care (i.e. at the emergency department (ED) and at the General Practitioner Cooperative (GPC)), patients must be willing to cooperate and give informed consent...
April 2, 2018: Acta Clinica Belgica
https://www.readbyqxmd.com/read/29601087/construct-and-criterion-validity-testing-of-the-non-technical-skills-for-surgeons-notss-behaviour-assessment-tool-using-videos-of-simulated-operations
#7
S Yule, A Gupta, D Gazarian, A Geraghty, D S Smink, J Beard, T Sundt, G Youngson, C McIlhenny, S Paterson-Brown
BACKGROUND: Surgeons' non-technical skills are an important part of surgical performance and surgical education. The most widely adopted assessment tool is the Non-Technical Skills for Surgeons (NOTSS) behaviour rating system. Psychometric analysis of this tool to date has focused on inter-rater reliability and feasibility rather than validation. METHODS: NOTSS assessments were collected from two groups of consultant/attending surgeons in the UK and USA, who rated behaviours of the lead surgeon during a video-based simulated crisis scenario after either online or classroom instruction...
March 30, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29596350/recurrent-renal-colic-in-a-patient-with-munchausen-syndrome
#8
Francesco Miconi, Valentina Rapaccini, Emanuela Savarese, Gabriele Cabiati, Augusto Pasini, Giovanni Miconi, Nicola Principi, Susanna Esposito
BACKGROUND: In most of the cases regarding children, factitious disorders (FDs) are intentionally produced by parents. Less attention is paid to FDs in which a child or adolescent intentionally induces or falsifies the disease to attain a patient's role. CASE PRESENTATION: A 13-year-old immigrated and adopted boy previously underwent an operation for renal joint syndrome and was affected by recurrent episodes of renal colic. The boy was admitted reporting acute left flank pain with scars on the mucous face of his prepuce and had a recent previous hospitalization for the same reason...
March 29, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29588975/a-comparison-of-waiting-times-for-assessment-and-epilepsy-surgery-between-a-canadian-and-a-mexican-referral-center
#9
Iris E Martínez-Juárez, Bianca Funes, Julio C Moreno-Castellanos, Elisa Bribiesca-Contreras, Verónica Martínez-Bustos, Lizeth Zertuche-Ortuño, Laura E Hernández-Vanegas, Lizbeth Hernandez Ronquillo, Syed Rizvi, Wu Adam, Jose F Tellez-Zenteno
Objective: To provide a comprehensive transnational overview of wait times for epilepsy surgery in Canada and Mexico. Methods: We reviewed all cases referred for epilepsy surgery between 2007 and 2015 at the Saskatchewan Epilepsy Program Royal University Hospital (SEP) (n = 70; Saskatoon, Canada) and the National Institute of Neurology and Neurosurgery (NINN) (n = 76; Mexico City, Mexico) and compared wait times, calculated as the time from diagnosis of epilepsy on assessment at an epilepsy center to epilepsy surgery...
December 2017: Epilepsia Open
https://www.readbyqxmd.com/read/29576126/investigation-into-the-visual-perceptive-ability-of-anaesthetists-during-ultrasound-guided-interscalene-and-femoral-blocks-conducted-on-soft-embalmed-cadavers-a-randomised-single-blind-study
#10
A Mustafa, J Seeley, S Munirama, M Columb, M McKendrick, A Schwab, G Corner, R Eisma, G Mcleod
BACKGROUND: Errors may occur during regional anaesthesia whilst searching for nerves, needle tips, and test doses. Poor visual search impacts on decision making, clinical intervention, and patient safety. METHODS: We conducted a randomised single-blind study in a single university hospital. Twenty trainees and two consultants examined the paired B-mode and fused B-mode and elastography video recordings of 24 interscalene and 24 femoral blocks conducted on two soft embalmed cadavers...
April 2018: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29575484/shared-decision-making-in-tinnitus-care-an-exploration-of-clinical-encounters
#11
Helen Pryce, Amanda Hall, Elizabeth Marks, Beth-Anne Culhane, Sarah Swift, Jean Straus, Rachel L Shaw
OBJECTIVES: This study examined clinical encounters between clinicians and patients to determine current practice for the diagnosis and treatment of tinnitus. The objective was to develop an understanding of the ideal clinical encounter that would facilitate genuine shared decision-making. DESIGN: Video ethnography was used to examine clinical encounters for the diagnosis and treatment of tinnitus. METHODS: Clinical encounters were video-recorded...
March 25, 2018: British Journal of Health Psychology
https://www.readbyqxmd.com/read/29572130/-i-was-really-sceptical-but-it-worked-really-well-a-qualitative-study-of-patient-perceptions-of-telephone-delivered-exercise-therapy-by-physiotherapists-for-people-with-knee-osteoarthritis
#12
Belinda J Lawford, Clare Delany, Kim L Bennell, Rana S Hinman
OBJECTIVE: Physiotherapists typically prescribe exercise therapy for people with osteoarthritis (OA) via face-to-face consultations. This study aimed to explore peoples' perceptions of exercise therapy delivered by physiotherapists via telephone for their knee OA. DESIGN: A qualitative study (based on interpretivist methodology) embedded within a randomised controlled trial. Semi-structured individual interviews were conducted with 20 people with knee OA who had received exercise advice and support from one of eight physiotherapists via telephone over six months...
March 20, 2018: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/29558756/evaluation-and-exploration-on-the-effect-of-the-management-of-chronic-obstructive-pulmonary-disease-in-rural-areas-through-internet-based-network-consulting-room-br-br
#13
Yan Yan, Li Liu, Jing Zeng, Liang Zhang
OBJECTIVE: This study aims to improve the management quality of chronic obstructive pulmonary disease (COPD) in rural areas. METHODS: Two hundred forty discharged COPD patients were divided into an intervention group and a control group. In the intervention group, 120 patients established contact with doctors through the network consulting room, namely doctor's mobile platform, and were managed through video, voice, and text by the doctors, and kept in close contact with the doctors after discharge (education, consultation), and received electronic prescriptions, and drugs were sent to the door by online retailers...
March 20, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/29543356/vital-change-for-mums-a-feasibility-study-investigating-tailored-nutrition-and-exercise-care-delivered-by-video-consultations-for-women-3-12-months-postpartum
#14
L Vincze, M E Rollo, M J Hutchesson, R Callister, C E Collins
BACKGROUND: A tailored approach to nutrition and physical activity advice can support women following childbirth in managing barriers (i.e. time and childcare) to making healthy lifestyle changes. The aim of the present study was to evaluate the implementation, acceptability and preliminary efficacy of a personally tailored nutrition and exercise programme for postpartum women delivered via video-consultations by an accredited practising dietitian (APD) and accredited exercise physiologist (AEP)...
March 15, 2018: Journal of Human Nutrition and Dietetics: the Official Journal of the British Dietetic Association
https://www.readbyqxmd.com/read/29531103/multimorbidity-and-socioeconomic-deprivation-in-primary-care-consultations
#15
Stewart W Mercer, Yuefang Zhou, Gerry M Humphris, Alex McConnachie, Andisheh Bakhshi, Annemieke Bikker, Maria Higgins, Paul Little, Bridie Fitzpatrick, Graham C M Watt
PURPOSE: The influence of multimorbidity on the clinical encounter is poorly understood, especially in areas of high socioeconomic deprivation where burdensome multimorbidity is concentrated. The aim of the current study was to examine the effect of multimorbidity on general practice consultations, in areas of high and low deprivation. METHODS: We conducted secondary analyses of 659 video-recorded routine consultations involving 25 general practitioners (GPs) in deprived areas and 22 in affluent areas of Scotland...
March 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29514547/managing-professional-knowledge-boundaries-during-echo-telementoring-consultations-in-two-veterans-affairs-specialty-care-liver-clinics-a-theme-oriented-discourse-analysis
#16
Christopher J Koenig, Matthew Wenger, Glenn D Graham, Steven Asch, Catherine Rongey
Introduction Consultations are the traditional method of communication between generalist and specialist providers managing patients with specialty care needs. Traditional written consultations have limitations, including inadequate clinical information and inappropriate, or unclear consultation questions. Teleconsultations minimize these limitations through real-time communication between generalist and specialist providers to actively manage professional knowledge boundaries about specialty care problems...
January 1, 2018: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/29513910/a-couple-in-love-entangled-in-enigmatic-episodes-a-semantic-analysis
#17
Valeria Ugazio, Stella Guarnieri
The article presents a semantic analysis inspired by the theory of family semantic polarities developed by Ugazio (, ) applying two versions of a coding system, the Family Semantic Grid (FSG), to a couple session with Tom Andersen as a consultant. One version (FSG II) detects the narrated semantic polarities (NSPs) emerging during the session from the transcript, whereas the other (FSG III) identifies the interactive semantic polarities (ISPs) from the video recording. Both the NSPs and the ISPs are classified according to four sets of meaning called the semantic of freedom, goodness, power, and belonging...
March 7, 2018: Journal of Marital and Family Therapy
https://www.readbyqxmd.com/read/29502855/interactive-online-learning-on-perioperative-management-of-elderly-patients
#18
Ekin Ozturk, Marianne van Iersel, Karsten van Loon, Corry den Rooijen, Eric van Dongen, Rob de Lind van Wijngaarden, Joost Klaase, Harry van Goor
INTRODUCTION: Surgical specialists and residents lack knowledge to adequately manage frail older patients. This study aims to evaluate the effects of an interactive online course regarding attitude, self-confidence and knowledge in perioperative management of the elderly patient. METHODS: The six-weeks course consisted of expert videos, literature readings, quizzes and forum discussions. Surgical consultants with geriatric expertise and geriatricians moderated online discussions and stimulated interaction...
February 10, 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29500503/-management-of-acute-vertigo-and-dizziness-patients-in-emergency-departments-in-germany
#19
J Löhler, D Eßer, B Wollenberg, L E Walther
BACKGROUND: Dizziness and vertigo are some of the most common reasons for seeking medical help. Acute dizziness and vertigo require interdisciplinary cooperation. New diagnostic methods (the video head impulse test) and modern algorithms (HINTS: head impulse test/nystagmus [direction changing]/test-of-skew) are increasingly used in case of the acute vestibular syndrome in emergency care. METHODS: In a survey on the management and participation of the ENT specialist area, the authors interviewed 168 German ENT clinics during the spring of 2017 using an online survey...
March 2, 2018: HNO
https://www.readbyqxmd.com/read/29499178/the-development-of-an-in-situ-thoracic-surgery-crisis-simulation-focused-on-non-technical-skill-training
#20
Joel Bierer, Eustatiu Memu, Robert Leeper, Dalilah Fortin, Eric Fréchette, Richard Inculet, Richard Malthaner
BACKGROUND: Our vision was to develop an inexpensive training simulation in a functional operating room (in-situ) that included surgical trainees, nursing and anesthesia staff to focus on effective interprofessional communication and teamwork skills. METHODS: The simulation scenario revolved around a post-pneumonectomy airway obstruction by residual tumor. This model included our thoracic operating room with patient status displayed by an open access vital sign simulator and a reversibly modified Laerdal® airway mannequin...
February 27, 2018: Annals of Thoracic Surgery
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