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https://www.readbyqxmd.com/read/29762759/measuring-the-impact-of-delayed-cerebral-ischemia-on-neuropsychological-outcome-after-aneurysmal-subarachnoid-hemorrhage-protocol-of-a-swiss-nationwide-observational-study-moca-dci-study
#1
Martin N Stienen, Christian Fung, Philippe Bijlenga, Daniel W Zumofen, Rodolfo Maduri, Thomas Robert, Martin A Seule, Serge Marbacher, Olivia Geisseler, Peter Brugger, Klemens Gutbrod, Christian Chicherio, Andreas U Monsch, Valérie Beaud, Stefania Rossi, Severin Früh, Nicole Schmid, Nicolas R Smoll, Emanuela Keller, Luca Regli
BACKGROUND: The exact relationship between delayed cerebral ischemia (DCI) following aneurysmal subarachnoid hemorrhage (aSAH) and neuropsychological impairment remains unknown, as previous studies lacked a baseline examination after aneurysm occlusion but before the DCI-period. Neuropsychological evaluation of acutely ill patients is often applied in a busy intensive care unit (ICU), where distraction represents a bias to the obtained results. OBJECTIVE: To evaluate the relationship between DCI and neuropsychological outcome after aSAH by comparing the Montreal Cognitive Assessment (MoCA) results in aSAH patients with and without DCI at 3 mo with a baseline examination before the DCI-period (part 1)...
May 11, 2018: Neurosurgery
https://www.readbyqxmd.com/read/29741664/estimation-of-adult-patient-doses-for-chest-x-ray-examinations-and-comparison-with-diagnostic-reference-levels-drls
#2
H Bas Mor, N Altinsoy, I Söyler
The aim of this study was to evaluate the radiation doses to patient during chest (posterior anterior/and lateral) examinations. The study was performed in three public hospitals of İstanbul province with a total of 300 adult patients. Entrance surface dose (ESD) measurements were conducted on computed radiography, digital radiography and screen film system. ESD was estimated by using International Atomic Energy Agency (IAEA) model and Davies model which are the common indirect models. Results were compared with diagnostic reference levels from the European Commission, IAEA and National Radiological Protection Board...
May 8, 2018: Radiation Protection Dosimetry
https://www.readbyqxmd.com/read/29710082/accuracy-of-skin-cancer-diagnosis-by-physician-assistants-compared-with-dermatologists-in-a-large-health-care-system
#3
Alyce M Anderson, Martha Matsumoto, Melissa I Saul, Aaron M Secrest, Laura K Ferris
Importance: Physician assistants (PAs) are increasingly used in dermatology practices to diagnose skin cancers, although, to date, their diagnostic accuracy compared with board-certified dermatologists has not been well studied. Objective: To compare diagnostic accuracy for skin cancer of PAs with that of dermatologists. Design, Setting, and Participants: Medical record review of 33 647 skin cancer screening examinations in 20 270 unique patients who underwent screening at University of Pittsburgh Medical Center-affiliated dermatology offices from January 1, 2011, to December 31, 2015...
April 18, 2018: JAMA Dermatology
https://www.readbyqxmd.com/read/29685300/validation-studies-in-forensic-odontology-part-1-accuracy-of-radiographic-matching
#4
Mark Page, Russell Lain, Richard Kemp, Jane Taylor
As part of a series of studies aimed at validating techniques in forensic odontology, this study aimed to validate the accuracy of ante-mortem (AM)/postmortem (PM) radiographic matching by dentists and forensic odontologists. This study used a web-based interface with 50 pairs of AM and PM radiographs from real casework, at varying degrees of difficulty. Participants were shown both radiographs as a pair and initially asked to decide if they represented the same individual using a yes/no binary choice forced-decision...
May 2018: Science & Justice: Journal of the Forensic Science Society
https://www.readbyqxmd.com/read/29668784/double-nursing-degree-potentialities-and-challenges-of-an-international-student-academic-experience
#5
Carlise Rigon Dalla Nora, Rafaela Schaefer, Mariana Cabral Schveitzer, Elma Lourdes Campos Pavone Zoboli, Margarida Maria Vieira
Objective To share the experience of a Double Nursing degree promoted between the Nursing School of the Universidade de São Paulo and the Health Sciences Institute of the Universidade Católica Portuguesa, reflecting on the potentialities and challenges of this opportunity for graduate students. Method This is an experience report presented in chronological order and of a descriptive nature. The double degree in Nursing was accomplished over a period of 6 months in a different institution from the institution of origin...
2018: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/29611611/benzodiazepine-prescriptions-on-merchant-ships-without-a-doctor-on-board-analysis-from-medical-records-of-centro-internazionale-radio-medico-cirm
#6
Giulio Nittari, Graziano Pallotta, Marzio Di Canio, Enea Traini, Francesco Amenta
BACKGROUND: Benzodiazepines are drugs widely used for the treatment of anxiety and insomnia. The present study has analysed the prescriptions of this class of drugs among sailing seafarers, to evaluate the appropriateness of prescribed therapies. MATERIALS AND METHODS: This study assessed the benzodiazepine prescriptions made by Centro Internazionale Radio Medico (CIRM) doctors from 2011 to 2015. A total of 17,844 medical records were examined. Analysis considered the prescriptions of benzodiazepines in monotherapy, or in association with other drugs...
2018: International Maritime Health
https://www.readbyqxmd.com/read/29602744/description-and-comparison-of-medication-diversion-in-pharmacies-by-pharmacists-interns-and-pharmacy-technicians
#7
Juanita A Draime, Douglas C Anderson, Timothy S Anderson
OBJECTIVES: 1) To describe reported medication diversion within the practice of pharmacy; and 2) to compare diversion by employee type. DESIGN: Retrospective study. SETTING: A sample of state board of pharmacy records was examined from 9 states. Disciplinary actions were obtained from the records for the time period of May 2008 to May 2013. PARTICIPANTS: Pharmacy employees (pharmacist, technician, interns). INTERVENTION: Not applicable...
March 27, 2018: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29596081/relationships-between-the-acgme-resident-and-faculty-surveys-and-program-pass-rates-on-the-abim-internal-medicine-certification-examination
#8
Kathleen D Holt, Rebecca S Miller, Jerry Vasilias, Lauren M Byrne, Christian Cable, Louis Grosso, Lisa M Bellini, Furman S McDonald
PURPOSE: The Accreditation Council for Graduate Medical Education (ACGME) has surveyed residents since 2003, and faculty since 2012. Surveys are designed to assess program functioning and specify areas for improvement. The purpose of this study was to assess the association of the ACGME's resident and faculty surveys with residency program specific performance on the American Board of Internal Medicine (ABIM) certification exam. METHOD: Data were available from residents and faculty in 375 U...
March 27, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29595659/change-in-radial-artery-pulse-wave-in-stroke-hemiplegic-patients-protocol-for-a-case-control-study
#9
Jaeuk U Kim, Jae Kyoun Kim, Jae-Young Shin, Boncho Ku, Jang-Han Bae, Seungryong Yeom, Sangkwan Lee
INTRODUCTION: About 55% to 75% of stroke survivors have motor disorders and problems that affect their quality of life. The prevention of secondary neurological damages through relapse prevention and the rehabilitation of stroke patients suffering from morbidities are crucial to improve the prognosis of patients with stroke. Pulse examinations can be used to determine the stroke progression. This study will investigate the differences and changes in radial artery pressure-pulse waves during the treatment of hemiplegia caused by stroke...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29590380/screening-for-moral-injury-the-moral-injury-symptom-scale-military-version-short-form
#10
Harold G Koenig, Donna Ames, Nagy A Youssef, John P Oliver, Fred Volk, Ellen J Teng, Kerry Haynes, Zachary D Erickson, Irina Arnold, Keisha O'Garo, Michelle Pearce
Introduction: To develop a short form (SF) of the 45-item multidimensional Moral Injury Symptom Scale - Military Version (MISS-M) to use when screening for moral injury and monitoring treatment response in veterans and active duty military with PTSD. Methods: A total of 427 veterans and active duty military with PTSD symptoms were recruited from VA Medical Centers in Augusta, GA; Los Angeles, CA; Durham, NC; Houston, TX; and San Antonio, TX; and from Liberty University, Lynchburg, Virginia...
March 26, 2018: Military Medicine
https://www.readbyqxmd.com/read/29582953/-to-be-a-resident-in-the-department-of-medicine
#11
Matan Fischer, Zahi Abu Ghosh, Limor Rubin, Fadi Kharouf, Oshrat Ayalon, Danna Dror, Batla Falah, Dror Mevorach
Sir William Osler is considered to be one of the fathers of modern medicine who pioneered the practice of bedside teaching of clinical medicine for medical students and residents. Osler was well known as a diagnostician and outstanding therapist with a humanized approach and rare didactic capabilities. Medical training at Hadassah is built on the central tenets of Osler's approach, incorporating the tremendous advances in science and medicine. Training for residents in Internal Medicine is designed to develop a broad base of medical and, if possible, scientific knowledge, as well as skills and competencies to deliver a high standard of patient care...
March 2018: Harefuah
https://www.readbyqxmd.com/read/29574547/hip-capsular-thickness-correlates-with-range-of-motion-limitations-in-femoroacetabular-impingement
#12
Kailai Zhang, Darren de Sa, Hang Yu, Hema Nalini Choudur, Nicole Simunovic, Olufemi Rolland Ayeni
PURPOSE: Femoroacetabular impingement (FAI) is a clinical entity of the hip causing derangements in range of motion, pain, gait, and function. Computer-assisted modeling and clinical studies suggest that patients with FAI have increased capsular thickness compared to those without.A retrospective chart review was performed to assess relationships between capsular thickness, hip range of motion, and demographic factors in patients with FAI. METHODS: Local Research Ethics Board approval was obtained to extract electronic medical records for 188 patients at a single institution who had undergone hip arthroscopy...
March 24, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29574445/health-outcomes-of-patients-with-chronic-disease-managed-with-a-healthcare-kiosk-in-primary-care-protocol-for-a-pilot-randomised-controlled-trial
#13
Grace Ng, Sze Wee Tan, Ngiap Chuan Tan
INTRODUCTION: The rising prevalence of chronic disease is leading to an increase in the demand for primary care services and a shortage of primary care physicians globally. Addressing these challenges calls for innovations in the healthcare delivery model with greater use of healthcare technology tools. We previously examined the feasibility of using an automated healthcare kiosk for the management of patients with stable chronic disease in the primary care setting. The aim of this follow-up study is to evaluate the health outcomes of patients with chronic disease who are on kiosk management compared with patients who are on routine management by nurse clinicians...
March 23, 2018: BMJ Open
https://www.readbyqxmd.com/read/29572008/what-ct-characteristics-of-lepidic-predominant-pattern-lung-adenocarcinomas-correlate-with-invasiveness-on-pathology
#14
Emily A Aherne, Andrew J Plodkowski, Joseph Montecalvo, Sumar Hayan, Junting Zheng, Marinela Capanu, Prasad S Adusumilli, William D Travis, Michelle S Ginsberg
OBJECTIVES: The International Association for the Study of Lung Cancer, American Thoracic Society and European Respiratory Society lung adenocarcinoma classification in 2011 defined three lepidic predominant patterns including adenocarcinoma in situ, minimally invasive adenocarcinoma and lepidic predominant adenocarcinoma. We sought to correlate the radiology and pathology findings and identify any computed tomography (CT) features which can be associated with invasive growth. MATERIALS AND METHODS: An institutional review board approved, retrospective study was conducted evaluating 63 patients with resected, pathologically confirmed, adenocarcinomas with predominant lepidic patterns...
April 2018: Lung Cancer: Journal of the International Association for the Study of Lung Cancer
https://www.readbyqxmd.com/read/29556447/towards-a-meaningful-analysis-of-behavior-analyst-preparation-programs
#15
Collin Shepley, R Allan Allday, Sally B Shepley
Numerous universities and colleges offer coursework approved by the Behavior Analyst Certification Board. Despite uniform requirements for approval, many differences exist among programs. To provide the field of behavior analysis with information about these differences, we conducted an initial analysis of programmatic variables and their relationship to pass rates on the Board Certified Behavior Analyst examination.Given the variety of preparation programs currently approved by the certification board, behavior analysts from different programs will likely differ with regard to their training and experiences...
March 2018: Behavior Analysis in Practice
https://www.readbyqxmd.com/read/29547934/developing-a-measure-to-assess-emotions-associated-with-never-being-deployed
#16
Rachel A Hoopsick, D Lynn Homish, Paul T Bartone, Gregory G Homish
Background: Much research has focused on stress related to deployments; however, a substantial proportion of soldiers never deploy. In a study of 1.3 million veterans, suicide risk was higher among veterans who had never deployed. Thus, not being deployed may have an impact on soldiers' well-being; however, no measures exist to assess emotions regarding non-deployment. We aimed to develop and test an original measure of non-deployment emotions. Methods: We examined the Non-Deployment Emotions (NDE) questionnaire, a novel four-item measure of guilt, unit value, unit camaraderie, and unit connectedness in a sample of never-deployed male and female US Army Reserve/National Guard (USAR/NG) soldiers (N = 174)...
March 14, 2018: Military Medicine
https://www.readbyqxmd.com/read/29518702/governing-the-quality-and-safety-of-healthcare-a-conceptual-framework
#17
Alison Brown, Helen Dickinson, Margaret Kelaher
Recent research has advanced understanding of corporate governance of healthcare quality, highlighting the need for future empirical work to develop beyond a focus on board composition to a more detailed exploration of the internal workings of governance that influence board engagement and activities. This paper proposes a conceptual framework to guide empirical research examining the work of board and senior management in governing healthcare quality. To generate this framework, existing conceptual approaches and key constructs influencing effectiveness are identified in the governance literature...
April 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29516388/the-american-board-of-internal-medicine-maintenance-of-certification-examination-and-state-medical-board-disciplinary-actions-a-population-cohort-study
#18
Furman S McDonald, Lauren M Duhigg, Gerald K Arnold, Ruth M Hafer, Rebecca S Lipner
BACKGROUND: Some have questioned whether successful performance in the American Board of Internal Medicine (ABIM) Maintenance of Certification (MOC) program is meaningful. The association of the ABIM Internal Medicine (IM) MOC examination with state medical board disciplinary actions is unknown. OBJECTIVE: To assess risk of disciplinary actions among general internists who did and did not pass the MOC examination within 10 years of initial certification. DESIGN: Historical population cohort study...
March 7, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29510972/adapting-the-wii-fit-balance-board-to-enable-active-video-game-play-by-wheelchair-users-user-centered-design-and-usability-evaluation
#19
Mohanraj Thirumalai, William B Kirkland, Samuel R Misko, Sangeetha Padalabalanarayanan, Laurie A Malone
BACKGROUND: Active video game (AVG) playing, also known as "exergaming," is increasingly employed to promote physical activity across all age groups. The Wii Fit Balance Board is a popular gaming controller for AVGs and is used in a variety of settings. However, the commercial off-the-shelf (OTS) design poses several limitations. It is inaccessible to wheelchair users, does not support the use of stabilization assistive devices, and requires the ability to shift the center of balance (COB) in all directions to fully engage in game play...
March 6, 2018: JMIR Rehabilitation and Assistive Technologies
https://www.readbyqxmd.com/read/29500199/realist-evaluation-of-a-complex-integrated-care-programme-protocol-for-a-mixed-methods-study
#20
Milawaty Nurjono, Pami Shrestha, Alice Lee, Xin Ya Lim, Farah Shiraz, Shermin Tan, Shing Hei Wong, Kah Mun Foo, Thomas Wee, Sue-Anne Toh, Joanne Yoong, Hubertus Johannes Maria Vrijhoef
INTRODUCTION: The lack of understanding of how complex integrated care programmes achieve their outcomes due to the lack of acceptable methods leads to difficulties in the development, implementation, adaptation and scaling up of similar interventions. In this study, we evaluate an integrated care network, the National University Health System (NUHS) Regional Health System (RHS), consisting of acute hospitals, step down care, primary care providers, social services and community partners using a theory-driven realist evaluation approach...
March 1, 2018: BMJ Open
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