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https://www.readbyqxmd.com/read/28212056/parenting-intentions-among-transgender-individuals
#1
Samantha L Tornello, Henny Bos
PURPOSE: We know very little about how transgender people create their families and the issues involved in these decisions. This qualitative study explored the parenting intentions and desires of 32 self-identified transgender individuals who want to become parents in the future. METHODS: Data were collected using an open-ended survey with 32 transgender men and transgender women regarding when and how they want to become parents in the future. RESULTS: We found that transgender individuals expressed specific desires for parenthood, such as biological relatedness and barriers to parenthood, such as physical limitations or lack of legal protections, which influence how transgender individuals choose to become parents in the future...
February 17, 2017: LGBT Health
https://www.readbyqxmd.com/read/28203535/the-state-of-robotic-cardiac-surgery-in-europe
#2
Matteo Pettinari, Emiliano Navarra, Philippe Noirhomme, Herbert Gutermann
BACKGROUND: In the past two decades, the introduction of robotic technology has facilitated minimally invasive cardiac surgery, allowing surgeons to operate endoscopically rather than through a median sternotomy. This approach has facilitated procedures for several structural heart conditions, including mitral valve repair, atrial septal defect closure and multivessel minimally invasive coronary artery bypass grafting. In this rapidly evolving field, we review the status of robotic cardiac surgery in Europe with a focus on mitral valve surgery and coronary revascularization...
January 2017: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/28198962/myocardial-revascularization-factors-intervening-in-the-reference-and-counter-reference-in-primary-health-care
#3
Kamylla Santos da Cunha, Giovana Dorneles Callegaro Higashi, Alacoque Lorenzini Erdmann, Carolina Kahl, Cintia Koerich, Betina Hörner Schlindwein Meirelles
OBJECTIVE: Understanding the factors that influence the reference and counter-reference process of people indicated/submitted to Myocardial Revascularization surgery in the Primary Health Care scenario. METHOD: A qualitative research anchored in the Grounded Theory, totaling 41 participants subdivided into three groups (patients, health professionals and managers) in the Metropolitan and West Region of Santa Catarina. RESULTS: Two categories elucidate the intervening factors found, contrasting the potentialities and obstacles in (creating) the bond between people affected by cardiovascular diseases and primary health care for the reference process, highlighting weaknesses in the primary health care services provided, with failures in the counter-reference for people submitted to myocardial revascularization surgery...
November 2016: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/28197150/curcumin-attenuates-titanium-particle-induced-inflammation-by-regulating-macrophage-polarization-in-vitro-and-in-vivo
#4
Bin Li, Yan Hu, Yaochao Zhao, Mengqi Cheng, Hui Qin, Tao Cheng, Qiaojie Wang, Xiaochun Peng, Xianlong Zhang
Periprosthetic inflammatory osteolysis and subsequent aseptic loosening are commonly observed in total joint arthroplasty. Other than revision surgery, few approved treatments are available for this complication. Wear particle-induced inflammation and macrophage polarization state play critical roles in periprosthetic osteolysis. We investigated the effects of curcumin, a polyphenol extracted from Curcuma longa, on titanium (Ti) particle-induced inflammation and macrophage polarization in vitro using the murine cell line RAW 264...
2017: Frontiers in Immunology
https://www.readbyqxmd.com/read/28188153/what-are-the-decision-making-preferences-of-patients-in-vascular-surgery-a-mixed-methods-study
#5
T B Katrien Santema, E Anniek Stoffer, Marleen Kunneman, Mark J W Koelemay, Dirk T Ubbink
OBJECTIVES: Shared decision-making (SDM) has been advocated as the preferred method of choosing a suitable treatment option. However, patient involvement in treatment decision-making is not yet common practice in the field of vascular surgery. The aim of this mixed-methods study was to explore patients' decision-making preferences and to investigate which facilitators and barriers patients perceive as important for the application of SDM in vascular surgery. DESIGN AND SETTING: Patients were invited to participate after visiting the vascular surgical outpatient clinic of an Academic Medical Center in the Netherlands...
February 10, 2017: BMJ Open
https://www.readbyqxmd.com/read/28186346/variations-in-outcomes-for-indigenous-women-with-breast-cancer-in-australia-a-systematic-review
#6
REVIEW
P Dasgupta, P D Baade, D R Youlden, G Garvey, J F Aitken, I Wallington, J Chynoweth, H Zorbas, D Roder, P H Youl
This systematic review examines variations in outcomes along the breast cancer continuum for Australian women by Indigenous status. Multiple databases were systematically searched for peer-reviewed articles published from 1 January 1990 to 1 March 2015 focussing on adult female breast cancer patients in Australia and assessing survival, patient and tumour characteristics, diagnosis and treatment by Indigenous status. Sixteen quantitative studies were included with 12 rated high, 3 moderate and 1 as low quality...
February 10, 2017: European Journal of Cancer Care
https://www.readbyqxmd.com/read/28185646/a-prospective-cohort-study-on-posttraumatic-stress-disorder-in-liver-transplantation-recipients-before-and-after-transplantation-prevalence-symptom-occurrence-and-intrusive-memories
#7
Coby Annema, Gerda Drent, Petrie F Roodbol, Herold J Metselaar, Bart Van Hoek, Robert J Porte, Maya J Schroevers, Adelita V Ranchor
OBJECTIVE: This study aimed at increasing the understanding of posttraumatic stress disorder (PTSD) in liver transplant patients by describing the course of PTSD, symptom occurrence, psychological co-morbidity, and the nature of re-experiencing symptoms. METHODS: A prospective cohort study was performed among 95 liver transplant recipients from before transplantation up until one year post-transplantation. Respondents filled out a questionnaire regarding psychological functioning (PTSD, anxiety, and depression) before, and at 3, 6, and 12months post-transplantation...
February 2, 2017: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/28181822/oncogenic-osteomalacia-role-of-ga-68-dotanoc-pet-ct-scan-in-identifying-the-culprit-lesion-and-its-management
#8
Deepa Singh, Mudalsha Ravina, Narvesh Kumar, Veeresh Dube, Utham Kumar K, Manish Dixit, Sanjay Gambhir
OBJECTIVES: The aim of this study was to evaluate role of (68)Ga-DOTANOC PET/CT scan in localization of culprit lesion for biopsy and required intervention (surgical excision/radiofrequency ablation) in patients with long standing oncogenic osteomalacia (OOM)/tumor induced osteomalacia (TIO). METHODS: 17 patients (08 male & 09 female) underwent (68)Ga-DOTANOC PET/CT scan. The patients referred with clinical and biochemical evidence of hypophosphatemia and raised Fibroblast Growth Factor-23 (FGF-23)...
February 9, 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/28180963/-18-f-fdg-pet-reveals-unique-features-of-large-vessel-inflammation-in-patients-with-takayasu-s-arteritis
#9
Elena Incerti, Enrico Tombetti, Federico Fallanca, Elena M Baldissera, Pierpaolo Alongi, Elisabetta Tombolini, Silvia Sartorelli, Maria Grazia Sabbadini, Maurizio Papa, Francesco De Cobelli, Justin C Mason, Luigi Gianolli, Angelo A Manfredi, Maria Picchio
PURPOSE: The object of this study was to assess whether (18)F-fluorodeoxyglucose PET/CT (FDG PET/CT) provides novel information in patients with Takayasu's arteritis (TA) in addition to that provided by current activity assessment, to analyse the effects of possible confounders, such as arterial grafts, and to verify whether PET/CT could be informative in lesions <4 mm thick. METHODS: We studied 30 patients with TA, evaluated from October 2010 to April 2014 by both PET/CT and magnetic resonance imaging (MRI)...
February 8, 2017: European Journal of Nuclear Medicine and Molecular Imaging
https://www.readbyqxmd.com/read/28176206/the-association-between-prognosis-of-breast-cancer-and-first-degree-family-history-of-breast-or-ovarian-cancer-a-systematic-review-and-meta-analysis
#10
REVIEW
Jun-Long Song, Chuang Chen, Jing-Ping Yuan, Sheng-Rong Sun
Whether a positive family history of breast cancer or ovarian cancer (FHBOC) would affect the prognosis of breast cancer is still up for debate and further study. This meta-analysis was performed to clarify this issue. We reviewed two databases (PubMed and CNKI) for research articles published at any time from the inception of these databases to April 1, 2016 for articles detecting the impact of FHBOC on the prognosis of breast cancer. A meta-analysis was conducted to generated combined hazard ratios (HR) with 95% confidence intervals (CI) for overall survival (OS) and breast cancer-specific survival (BCSS)...
February 7, 2017: Familial Cancer
https://www.readbyqxmd.com/read/28175225/no002-decision-making-about-emergency-and-planned-stoma-surgery-for-ibd-a-qualitative-exploration-of-patient-and-clinician-perspectives
#11
L Dibley, W Czuber-Dochan, J Duncan, M Artom, J Burch, T Wade, A Verjee, D Cann, J Warusavitarne, C Norton
No abstract text is available yet for this article.
February 1, 2017: Journal of Crohn's & Colitis
https://www.readbyqxmd.com/read/28168570/early-enteral-nutrition-in-critically-ill-patients-esicm-clinical-practice-guidelines
#12
REVIEW
Annika Reintam Blaser, Joel Starkopf, Waleed Alhazzani, Mette M Berger, Michael P Casaer, Adam M Deane, Sonja Fruhwald, Michael Hiesmayr, Carole Ichai, Stephan M Jakob, Cecilia I Loudet, Manu L N G Malbrain, Juan C Montejo González, Catherine Paugam-Burtz, Martijn Poeze, Jean-Charles Preiser, Pierre Singer, Arthur R H van Zanten, Jan De Waele, Julia Wendon, Jan Wernerman, Tony Whitehouse, Alexander Wilmer, Heleen M Oudemans-van Straaten
PURPOSE: To provide evidence-based guidelines for early enteral nutrition (EEN) during critical illness. METHODS: We aimed to compare EEN vs. early parenteral nutrition (PN) and vs. delayed EN. We defined "early" EN as EN started within 48 h independent of type or amount. We listed, a priori, conditions in which EN is often delayed, and performed systematic reviews in 24 such subtopics. If sufficient evidence was available, we performed meta-analyses; if not, we qualitatively summarized the evidence and based our recommendations on expert opinion...
February 6, 2017: Intensive Care Medicine
https://www.readbyqxmd.com/read/28167617/the-medical-reshaping-of-disabled-bodies-as-a-response-to-stigma-and-a-route-to-normality
#13
Janice McLaughlin
Disabled people are said to experience stigma because their embodied presence in the world does not fit with how others interact and use their bodies to be social participants. In response they can turn to medical procedures, such as surgery or physiotherapy, in order to reshape their bodies to more closely approximate norms of social interaction and embodiment. This paper explores how medicine plays a role in attempts to be recognised by others as normal and acceptable by minimising disability. It will do so via a focus on disabled young people, in order to explore how their emerging identities and aspirations for the future influence how they think about their bodies, what normality means and their participation in multiple activities that work on their bodies...
February 6, 2017: Medical Humanities
https://www.readbyqxmd.com/read/28167013/intermediate-outcomes-of-a-transcutaneous-bone-conduction-hearing-device-in-a-paediatric-population
#14
Panagiotis A Dimitriadis, Suzanne Carrick, Jaydip Ray
OBJECTIVE: The aim of this study was to review the outcomes of Bone Anchored Hearing Aid (BAHA(®)) Attract implantation in a cohort of paediatric patients. METHODS: Prospective data collection and case review were undertaken in a paediatric tertiary referral centre. We have included patients under the age of 16 years with unilateral or bilateral hearing loss that met the criteria for BAHA(®) Attract implantation. The main outcome measures were surgical complications and Patient Reported Outcomes including the 'Speech, Spatial and Qualities of Hearing scale' (SSQ-12) and 'Qualitative Feedback for BAHA(®) 5 Hearing Aids'...
March 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28154440/case-report-using-a-remote-presence-robot-to-improve-access-to-physical-therapy-for-people-with-chronic-back-disorders-in-an-underserved-community
#15
Stacey Lovo Grona, Brenna Bath, Luis Bustamante, Ivar Mendez
Purpose: The purpose of this case study was to evaluate the delivery of an inter-professional (IP) spinal triage management approach to chronic back disorders using remote presence robotic technology as an innovative form of telerehabilitation in a northern Saskatchewan community. Methods: The IP team, consisting of a local nurse practitioner (NP) and a physical therapist in an urban centre, completed a comprehensive neuromusculoskeletal assessment of, and one follow-up visit with, a post-surgical spinal patient...
2017: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/28152963/kaiser-permanente-georgia-colon-cancer-care-through-the-science-of-performance-improvement
#16
(no author information available yet)
: 250 Background: While our patients reported high satisfaction with the care they received, Kaiser Permanente Georgia's baseline assessment found variation in the way our colon cancer patients were diagnosed and received care. This variation also effects the cycle time from diagnosis to initiation of treatment (surgery or first infusion). METHODS: Using Kaiser Permanente's Performance Improvement methodology and interdisciplinary cooperation, this project launched in January of 2014...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28152777/understanding-the-patient-experience-with-soft-tissue-sarcoma-a-systematic-review-of-the-literature
#17
Randall Winnette, Steven Nicol, Datchen Fritz Tai, Kati Copley-Merriman
: 61 Background: Soft tissue sarcomas (STS) are a heterogenous group of rare tumors that involve the connective tissue in the body. As with many rare tumors, little is known about the impact of STS on patient well-being. The objective of this review was to understand patient experience and quality of life (QOL) following diagnosis of STS. METHODS: This was a systematic review of English language articles published between 2005-2015 in PubMed/Medline, Embase, PsychINFO, and Evidence-Based Medicine...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28152208/participation-in-pediatric-perioperative-care-what-it-means-for-parents
#18
Carina Sjöberg, Petra Svedberg, Jens M Nygren, Ing-Marie Carlsson
AIM AND OBJECTIVES: To explore what it means for parents to participate in their children's pediatric perioperative care. BACKGROUND: Allowing parents to participate in pediatric perioperative care can make a major difference for children in terms of their well-being; a decreased need for painkillers, fewer sleeping disorders and a more positive experience for both parties. The nurse anaesthetist should have a holistic view and develop a shared vision for the child, the parents and for themselves in order to perform successful pediatric perioperative care...
February 2, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28150417/the-ethics-of-postoperative-pain-management-mapping-nurses-views
#19
Maria Dolores Cano Romero, Maria Teresa Muñoz Sastre, Bruno Quintard, Paul C Sorum, Etienne Mullet
AIM: We explored the positions of nurses working in hospitals regarding the acceptability of refusing to give a repeat dose of painkiller to a postoperative patient who requested it. These positions were compared with that of lay people, physicians, and other health professionals. DESIGN AND METHODS: Factorial design was used to assess the impact of 6 situational factors: the patient's age, the current level of pain as assessed by the nurse, the number of requests, the level of risk associated with the administration of a repeat dose, the outcome of surgery, and the giving of alternative mild analgesics...
February 1, 2017: International Journal of Nursing Practice
https://www.readbyqxmd.com/read/28146230/a-framework-to-improve-surgeon-communication-in-high-stakes-surgical-decisions-best-case-worst-case
#20
Lauren J Taylor, Michael J Nabozny, Nicole M Steffens, Jennifer L Tucholka, Karen J Brasel, Sara K Johnson, Amy Zelenski, Paul J Rathouz, Qianqian Zhao, Kristine L Kwekkeboom, Toby C Campbell, Margaret L Schwarze
Importance: Although many older adults prefer to avoid burdensome interventions with limited ability to preserve their functional status, aggressive treatments, including surgery, are common near the end of life. Shared decision making is critical to achieve value-concordant treatment decisions and minimize unwanted care. However, communication in the acute inpatient setting is challenging. Objective: To evaluate the proof of concept of an intervention to teach surgeons to use the Best Case/Worst Case framework as a strategy to change surgeon communication and promote shared decision making during high-stakes surgical decisions...
February 1, 2017: JAMA Surgery
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