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https://www.readbyqxmd.com/read/28193288/accreditation-in-general-practice-in-denmark-study-protocol-for-a-cluster-randomized-controlled-trial
#1
Merethe K Andersen, Line B Pedersen, Volkert Siersma, Flemming Bro, Susanne Reventlow, Jens Søndergaard, Marius Brostrøm Kousgaard, Frans B Waldorff
BACKGROUND: Accreditation is used increasingly in health systems worldwide. However, there is a lack of evidence on the effects of accreditation, particularly in general practice. In 2016 a mandatory accreditation scheme was initiated in Denmark, and during a 3-year period all practices, as default, should undergo accreditation according to the Danish Healthcare Quality Program. The aim of this study is primarily to evaluate the effects of a mandatory accreditation scheme. METHODS/DESIGN: The study is conducted as a cluster-randomized controlled trial among 1252 practices (clusters) with 2211 general practitioners in Denmark...
February 13, 2017: Trials
https://www.readbyqxmd.com/read/28110390/operative-treatment-of-lateral-ligament-instability
#2
REVIEW
Rachel J Shakked, Sydney Karnovsky, Mark C Drakos
PURPOSE OF REVIEW: Ankle sprains, which account for 40% of sports injuries in the USA, can lead to chronic ankle instability. Chronic ankle instability can be classified as functional, mechanical, or a combination of both and is diagnosed using a combination of a physical exam, an MRI, and stress radiographs. This review focuses on different approaches to treatment, including non-operative and operative techniques, of chronic ankle instability, including reviewing traditional procedures as well as more novel and newer techniques...
January 21, 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28089126/the-all-inside-arthroscopic-brostr%C3%A3-m-procedure-augmented-with-a-proximal-suture-anchor-an-innovative-technique
#3
James M Cottom, Phillip E Richardson
Arthroscopic treatments of chronic lateral ankle stability have been reported in the literature. The authors report on an innovative technique augmenting the "All- Inside" Arthroscopic Broström procedure with an additional suture anchor.
January 6, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28060086/sex-specific-associations-between-self-reported-sleep-duration-cardiovascular-disease-hypertension-and-mortality-in-an-elderly-population
#4
Anders Broström, Ake Wahlin, Urban Alehagen, Martin Ulander, Peter Johansson
BACKGROUND: Both short and long sleep durations have been associated to increased mortality. Knowledge about sex-specific differences among elderly regarding associations between sleep duration, cardiovascular health, and mortality is sparse. OBJECTIVE: The aims of this study are to examine the association between self-reported sleep duration and mortality and to investigate whether this association is sex specific and/or moderated by cardiovascular morbidity, and also to explore potential mediators of sleep duration effects on mortality...
January 5, 2017: Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/28031028/enablers-and-barriers-to-implementing-collaborative-care-for-anxiety-and-depression-a-systematic-qualitative-review
#5
REVIEW
Gritt Overbeck, Annette Sofie Davidsen, Marius Brostrøm Kousgaard
BACKGROUND: Collaborative care is an increasingly popular approach for improving quality of care for people with mental health problems through an intensified and structured collaboration between primary care providers and health professionals with specialized psychiatric expertise. Trials have shown significant positive effects for patients suffering from depression, but since collaborative care is a complex intervention, it is important to understand the factors which affect its implementation...
December 28, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/28004259/can-a-multifaceted-intervention-including-motivational-interviewing-improve-medication-adherence-quality-of-life-and-mortality-rates-in-older-patients-undergoing-coronary-artery-bypass-surgery-a-multicenter-randomized-controlled-trial-with-18-month-follow-up
#6
Chung-Ying Lin, Mehdi Yaseri, Amir H Pakpour, Dan Malm, Anders Broström, Bengt Fridlund, Andrea Burri, Thomas L Webb
BACKGROUND: Patients undergoing coronary artery bypass graft (CABG) surgery are required to take a complex regimen of medications for extended periods, and they may have negative outcomes because they struggle to adhere to this regimen. Designing effective interventions to promote medication adherence in this patient group is therefore important. OBJECTIVE: The present study aimed to evaluate the long-term effects of a multifaceted intervention (psycho-education, motivational interviewing, and short message services) on medication adherence, quality of life (QoL), and mortality rates in older patients undergoing CABG surgery...
December 21, 2016: Drugs & Aging
https://www.readbyqxmd.com/read/27989342/comparison-of-suture-based-anchors-and-traditional-bioabsorbable-anchors-in-foot-and-ankle-surgery
#7
W Chad Hembree, Michael A Tsai, Brent G Parks, Stuart D Miller
We compared the pullout strength of a suture-based anchor versus a bioabsorbable anchor in the distal fibula and calcaneus and evaluated the relationship between bone mineral density and peak load to failure. Eight paired cadaveric specimens underwent a modified Broström procedure and Achilles tendon reattachment. The fibula and calcaneus in the paired specimens received either a suture-based anchor or a bioabsorbable suture anchor. The fibular and calcaneal specimens were loaded to failure, defined as a substantial decrease in the applied load or pullout from the bone...
January 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27923217/effect-of-direct-ligament-repair-and-tenodesis-reconstruction-on-simulated-subtalar-joint-instability
#8
Julie Choisne, Matthew C Hoch, Ian Alexander, Stacie I Ringleb
BACKGROUND: Subtalar instability is associated with up to 80% of patients presenting with chronic ankle instability but is often not considered in the diagnosis or treatment. Operative procedures to repair ankle instability have shown good clinical results, but the effects of these reconstruction procedures on isolated subtalar instability are not well understood. The goal of this study was to investigate the effect of the Gould modification of the Broström procedure and a new tenodesis reconstruction procedure on ankle and subtalar joint kinematics after simulating a subtalar injury...
November 14, 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27709036/modified-arthroscopic-brostrom-procedure-with-bone-tunnels
#9
Tun Hing Lui
The open anatomic repair of the anterior talofibular and calcaneofibular ligaments (modified Brostrom procedure) is widely accepted as the standard surgical stabilization procedure for lateral ankle instability that does not respond to conservative measures. Arthroscopic Brostrom procedures with a suture anchor have been reported to achieve both anatomic repair of the lateral ankle ligaments and management of the associated intra-articular lesions. However, the complication rates are higher than open Brostom procedures...
August 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27685080/communication-between-patients-with-obstructive-sleep-apnoea-syndrome-and-healthcare-personnel-during-the-initial-visit-to-a-continuous-positive-airway-pressure-clinic
#10
Anders Broström, Bengt Fridlund, Berith Hedberg, Per Nilsen, Martin Ulander
AIMS AND OBJECTIVES: To describe facilitators and barriers from a patient perspective in communications between patients with obstructive sleep apnoea syndrome and healthcare personnel during the first meeting when continuous positive airway pressure is initiated. BACKGROUND: Adherence to continuous positive airway pressure treatment tends to be poor, especially at the initial phase of treatment. Communication between the patient and healthcare personnel has not been studied from the patient perspective, as either a barrier or facilitator for adherence...
February 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27659277/caring-through-web-based-communication-a-qualitative-evaluation-of-a-nursing-intervention-to-create-holistic-well-being-among-patients-with-hematological-disease
#11
Karin M Högberg, Lars Sandman, Maria Nyström, Dick Stockelberg, Anders Broström
PURPOSE: To examine how written communication between patients with hematological diseases and a nurse within a web-based communication service can be caring. DESIGN: The study is based on qualitative deductive content analysis of 109 written messages between 10 patients and a responding nurse. The evaluated nursing intervention is a web-based communication service where patients could request support from a responding nurse during 2 months of use. A structured theoretical matrix based on Swanson's theory of caring including compassion, competence, and upholding trust is used for the analysis...
September 22, 2016: Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association
https://www.readbyqxmd.com/read/27638269/the-all-inside-arthroscopic-brostr%C3%A3-m-procedure-with-additional-suture-anchor-augmentation-a-prospective-study-of-45-consecutive-patients
#12
James M Cottom, Joseph S Baker, Phillip E Richardson
Lateral ankle sprains are a common injury that typically respond well to nonoperative therapy. When nonoperative therapy fails and patients develop chronic lateral ankle instability, they become candidates for surgical repair. The present study examined 45 consecutive patients (45 ankles) with chronic lateral ankle instability who underwent arthroscopic Broström repair using a double-row suture anchor construct. The 45 patients (27 females and 18 males) were followed up for a mean of 14 (range 12 to 20) months...
November 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27623732/comparison-of-all-inside-arthroscopic-and-open-techniques-for-the-modified-brostr%C3%A3-m-procedure-for-ankle-instability
#13
Eui Dong Yeo, Kyung-Tai Lee, Il-Hoon Sung, Sun Geun Lee, Young Koo Lee
BACKGROUND: No reported study has compared clinical and radiologic outcomes between an all-inside arthroscopic modified Broström operation (MBO) and an open MBO. The purpose of this study was to compare clinical and radiologic outcomes of all-inside arthroscopic and open MBOs. METHODS: From August 2012 to July 2014, 48 patients were included. They were divided into 2 groups: all-inside arthroscopic MBO (25 patients) and open MBO (23 patients). The American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score, visual analog scale (VAS) score, and Karlsson score were used to evaluate clinical outcomes...
October 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27614823/a-biomechanical-comparison-of-3-different-arthroscopic-lateral-ankle-stabilization-techniques-in-36-cadaveric-ankles
#14
James M Cottom, Joseph S Baker, Phillip E Richardson, Jared M Maker
Arthroscopic lateral ankle stabilization has become an increasingly popular option among foot and ankle surgeons to address lateral ankle instability, because it combines a modified Broström-Gould procedure with the ability to address any intra-articular pathologic findings at the same session. The present study evaluated 3 different constructs in a cadaveric model. Thirty-six fresh frozen cadaver limbs were used, and the anterior talofibular ligament was identified and sectioned. The specimens were then placed into 1 of 3 groups...
November 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27602349/treatment-of-chronic-lateral-ankle-instability-using-the-brostr%C3%A3-m-gould-procedure-in-athletes-long-term-results
#15
Adriano Russo, Paolo Giacchè, Enrico Marcantoni, Annalisa Arrighi, Luigi Molfetta
PURPOSE: this study was conducted to evaluate long-term results following treatment of chronic lateral ankle instability using the Broström-Gould technique in athletes. METHODS: eighteen athletes involved in competitive sports at different levels, who suffered from chronic lateral ankle instability, underwent Broström-Gould ligamentoplasty between 2000 and 2005. The results of the surgery were evaluated using the American Orthopaedic Foot and Ankle Society (AOFAS) scale...
April 2016: Joints
https://www.readbyqxmd.com/read/27585527/almost-half-of-the-danish-general-practitioners-have-negative-a-priori-attitudes-towards-a-mandatory-accreditation-programme
#16
Frans Boch Waldorff, Dagný Rós Nicolaisdóttir, Marius Brostrøm Kousgaard, Susanne Reventlow, Jens Søndergaard, Thorkil Thorsen, Merethe Kirstine Andersen, Line Bjørnskov Pedersen, Louise Bisgaard, Cecilie Lybeck Hutters, Flemming Bro
INTRODUCTION: The objective of this study was to analyse Danish general practitioners' (GPs) a priori attitudes and expectations towards a nationwide mandatory accreditation programme. METHODS: This study is based on a nationwide electronic survey comprising all Danish GPs (n = 3,403). RESULTS: A total of 1,906 (56%) GPs completed the questionnaire. In all, 861 (45%) had a negative attitude towards accreditation, whereas 429 (21%) were very positive or posi-tive...
September 2016: Danish Medical Journal
https://www.readbyqxmd.com/read/27528610/comparison-of-the-modified-brostr%C3%A3-m-procedure-for-chronic-lateral-ankle-instability-with-and-without-subfibular-ossicle
#17
Hyeon-Wook Ahn, Keun-Bae Lee
BACKGROUND: Subfibular ossicles are frequently found in patients with chronic lateral ankle instability (CLAI). However, there is a lack of consensus about the optimal surgical treatment for CLAI with subfibular ossicle. PURPOSE: To evaluate the clinical and radiographic outcomes of the modified Broström procedure with subfibular ossicle excision compared with the same procedure for CLAI without subfibular ossicle. STUDY DESIGN: Cohort study; Level of evidence, 3...
December 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27496909/modified-brostr%C3%A3-m-procedure-for-chronic-lateral-ankle-instability-in-patients-with-generalized-joint-laxity
#18
He-Xing Xu, Keun-Bae Lee
BACKGROUND: Generalized joint laxity (GJL) has been considered a risk factor for late failure of ligament reconstruction in the knee; however, it is not known whether GJL is the cause of recurrent instability after the modified Broström procedure for chronic lateral ankle instability. PURPOSE: To compare the clinical results of the modified Broström procedure for chronic lateral ankle instability in patients with or without GJL. STUDY DESIGN: Cohort study; Level of evidence, 3...
December 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27472271/use-of-complementary-and-alternative-medicine-in-swedish-patients-with-inflammatory-bowel-disease-a-controlled-study
#19
Lena Oxelmark, Annelie Lindberg, Robert Löfberg, Berit Sternby, Anders Eriksson, Sven Almer, Ragnar Befrits, Bjöörn Fossum, Per Karlén, Olle Broström, Curt Tysk
BACKGROUND: There is an increasing interest in complementary and alternative medicine (CAM) in patients with chronic diseases, including those with inflammatory bowel disease (IBD). Patients may turn to CAM when conventional therapies are inadequate or associated with side effects for symptomatic relief or to regain control over their disease. The objectives were to explore CAM use and perceived effects in IBD patients in comparison with a control group. METHODS: A cross-sectional, multicenter, controlled study was carried out...
November 2016: European Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/27436196/deficits-in-functional-performance-and-gait-one-year-after-total-knee-arthroplasty-despite-improved-self-reported-function
#20
Josefine E Naili, Maura D Iversen, Anna-Clara Esbjörnsson, Margareta Hedström, Michael H Schwartz, Charlotte K Häger, Eva W Broström
PURPOSE: The current literature lacks sufficient information about improvements in gait patterns and function after total knee arthroplasty (TKA) and whether patients return to full function. This study evaluated change in gait, performance-based function, and self-reported function 1 year after TKA in patients with symptomatic knee osteoarthritis and how these aspects interrelate. METHODS: A total of 28 patients (64 % female) with knee osteoarthritis, with a mean age of 66 (±7) years, and 25 age- and gender-matched controls participated in this prospective cohort study...
July 19, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
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