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https://www.readbyqxmd.com/read/29932046/chronic-headache-due-to-overuse-of-analgesics-and-anti-migraine-agents
#1
Hans-Christoph Diener, Dagny Holle, Thomas Dresler, Charly Gaul
BACKGROUND: The frequent or regular use of analgesics and anti-migraine drugs can make headache more frequent and induce the transformation of episodic to chronic headache. Chronic headache due to medication overuse is defined as headache that is present on ≥ 15 days per month for at least three months in a patient who previously suffered from primary headaches, and who takes analgesics on ≥ 15 days per month or anti-migraine drugs (triptans or ergot alkaloids), opioid drugs, or combined analgesics on ≥ 10 days per month...
June 1, 2018: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29931383/-herniasurge-international-guidelines-on-treatment-of-inguinal-hernia-in-adults-comments-of-the-surgical-working-group-hernia-cah-dgav-and-the-german-hernia-society-dhg-on-the-most-important-recommendations
#2
D Weyhe, J Conze, A Kuthe, F Köckerling, B J Lammers, R Lorenz, H Niebuhr, W Reinpold, K Zarras, R Bittner
SURGICAL TECHNIQUES: The HerniaSurge guidelines have the highest evidence with respect to a strong recommendation for mesh-based surgical techniques. This evidence is equally valid for the Lichtenstein procedure as for the minimally invasive procedures TEP/TAPP. In the case of discrete symptomatic or asymptomatic inguinal hernias, watchful waiting can be an option, taking into account health status and social circumstances. Femoral hernias, on the other hand, should be treated promptly with mesh insertion...
June 21, 2018: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/29931376/medication-compliance-in-singaporean-patients-with-alzheimer-s-disease
#3
Zheng Kang Lum, Ma Serrie P Suministrado, N Venketasubramanian, M Kamran Ikram, Christopher Chen
INTRODUCTION: Singapore has a rapidly ageing population and an increasing prevalence of Alzheimer's disease (AD). Compliance to AD medications is associated with treatment effectiveness. We investigated compliance to acetylcholinesterase inhibitors (AChEIs) and N-methyl-D-aspartate (NMDA) receptor antagonist and treatment persistence among patients seen at the General Memory Clinic of National University Hospital, Singapore. We also identified the reasons for non-compliance. METHODS: Patients seen at the General Memory Clinic between 1 January 2013 and 31 December 2014, who were prescribed AChEIs and NMDA receptor antagonist, were included in this retrospective cohort study...
June 22, 2018: Singapore Medical Journal
https://www.readbyqxmd.com/read/29931352/a-phytophototoxic-injury-at-a-burns-unit-the-ungraceful-after-effects-of-the-common-rue-plant
#4
Ishan Radotra, Sonya Gardiner, David Barnes
Phytophototoxic burn injuries refer to dermal loss after contact with light-sensitizing plants and subsequent exposure to sunlight, which can at their most severe result in full-thickness burns. Phytophototoxic injuries secondary to the Herb of Grace, otherwise known as Ruta Graveolens or the "Common rue" plant, are very rare. The authors report the first case to have been referred directly and solely managed in a specialist burns unit along with a review of the literature. The authors report a case of a 50-year-old gentleman who suffered a phytophototoxic burn injury to his hand 2 days after contact with the "common rue...
December 5, 2017: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29924011/clinical-inertia-in-the-pharmacological-management-of-hypertension-a-systematic-review-and-meta-analysis
#5
Tal Milman, Raed A Joundi, Naif M Alotaibi, Gustavo Saposnik
BACKGROUND: Clinical Inertia is defined as "failure of health care providers to initiate or intensify therapy according to current guidelines". This phenomenon is gaining increasing attention as a major cause of clinicians' failure to adequately manage hypertension, thus leading to an increased incidence of cardiovascular events. We performed a systematic review and meta-analysis of randomized controlled trials to determine whether interventions aimed at reducing clinical inertia in the pharmacological treatment of hypertension improve blood pressure (BP) control...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29923694/current-approaches-to-hiv-prevention-treatment-and-care
#6
David Thomas Evans, Mark Dukes
Acquired immune deficiency syndrome (AIDS) was first labelled as a new illness in 1981; it took two more years to discover a causative virus, which was named human immunodeficiency virus (HIV) in 1985. Nurses who practised during those times may recall the fear, panic, stigma, ethical dilemmas and refusals to care that were associated with the pandemic. Four decades later, HIV can be considered a long-term condition rather than a life-limiting disease, as a result of developments in treatment. However, the UK has the highest number of people living with the virus since the pandemic was first identified, and there remains a need to challenge stigma and prejudice in relation to HIV and AIDS, to ensure that people receive timely access to HIV testing, treatment and preventive measures...
June 20, 2018: Nursing Standard
https://www.readbyqxmd.com/read/29922696/a-comparative-study-on-the-function-and-structure-of-medical-development-education-office-in-world-s-top-universities
#7
Soleiman Ahmady, Shahram Yazdani, Fakhrolsadat Hosseini, Mohammad Mehdi Forouzanfar, Ali Tabibi, Fatemeh Ahmadinia, Hoda Ahmari Tehran, Noushin Kohan, Heidar Mohammadi
PURPOSE: It is essential to adjust the responsibilities and function of medical education offices (MEOs) in regard to the current societal requirements. Therefore, it is a good idea to learn lessons from the experiences about the establishment and function of these offices around the world. The aim of the present study was to carry out a comparative study to investigate the function and structure of MEOs at some of the medical universities from America, Europe, and Asia. SUBJECTS AND METHODS: This is a comparative, descriptive study that was conducted in 2015...
2018: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/29920745/evaluation-of-the-effectiveness-of-an-interactive-avatar-based-education-application-for-improving-heart-failure-patients-knowledge-and-self-care-behaviors-a-pragmatic-randomized-controlled-trial-protocol
#8
Parichat Wonggom, Huiyun DU, Robyn A Clark
AIM: The aim of this study is to evaluate the effectiveness of an avatar-based education application for improving knowledge and self-care behavior in patients with heart failure. BACKGROUND: Avatar-based technologies for supporting education are an innovative approach for patients with low literacy, low health literacy and English as a second language. The use of avatar technologies for patient education has shown benefits in improving knowledge, self-care behaviors and quality of life in chronic diseases such as cancer, diabetes and depression...
June 19, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29917255/an-avatar-based-education-application-to-improve-patients-knowledge-of-and-response-to-heart-attack-symptoms-a-pragmatic-randomized-controlled-trial-protocol
#9
Jintana Tongpeth, Huiyun Du, Robyn Clark
AIM: To evaluate the effectiveness of an interactive, avatar based education application to improve knowledge of and response to heart attack symptoms in people who are at risk of a heart attack. BACKGROUND: Poor knowledge of heart attack symptoms is recognised as a significant barrier to timely medical treatment. Numerous studies have demonstrated that technology can assist in patient education to improve knowledge and self-care. DESIGN: A single-center, non-blinded, two parallel groups, pragmatic randomized controlled trial...
June 19, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29916741/combined-sglt1-and-sglt2-inhibitors-and-their-role-in-diabetes-care
#10
Thomas Danne, Torben Biester, Olga Kordonouri
The sodium-glucose cotransporter type 1 (SGLT1) is the primary transporter for absorption of glucose and galactose in the gastrointestinal tract. Inhibition blunts and delays postprandial glucose (PPG) excursion. Sodium-glucose cotransporter type 2 (SGLT2) is expressed in the kidney, where it reabsorbs 90% of filtered glucose. Thus, a dual SGLT1 and SGLT2 inhibition (compared with selective SGLT2 inhibition) could result in lower PPG and robust A1c reduction even in patients with reduced kidney function. Sotagliflozin is an oral potent dual inhibitor of the insulin-independent SGLT1 and SGLT2...
June 2018: Diabetes Technology & Therapeutics
https://www.readbyqxmd.com/read/29915484/evidence-based-clinical-practice-points-for-the-management-of-venous-ulcers
#11
REVIEW
Ravul Jindal, D B Dekiwadia, Pinjala Rama Krishna, Ajay K Khanna, Malay D Patel, Shoaib Padaria, Roy Varghese
Venous ulcer is an extremely common aetiology of lower extremity ulceration, which affects approximately 1% population in most of the countries, and the incidence rate increases with age and female gender. Proper assessment and diagnosis of both the patient and ulcer are inevitable in order to differentiate venous ulcers from other lower extremity ulceration and to frame an adequate and individualised management plan. Venous ulcers generally persist for weeks to many years and are typically recurrent in nature...
April 2018: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29914598/interventions-to-improve-adherence-to-tuberculosis-treatment-systematic-review-and-meta-analysis
#12
A M Müller, C S Osório, D R Silva, G Sbruzzi, P de Tarso, Roth Dalcin
SETTING: One of the most serious problems in tuberculosis (TB) control is non-adherence to treatment. Several strategies have been developed to improve adherence and increase the cure rate. OBJECTIVE: To systematically review interventions to improve adherence to anti-tuberculosis treatment. DESIGN: We performed a systematic review and meta-analysis of 22 randomised clinical trials (RCTs) to ascertain whether providing directly observed treatment, short-course (DOTS), financial incentives, food incentives and/or patient education/counselling improved adherence to anti-tuberculosis treatment...
July 1, 2018: International Journal of Tuberculosis and Lung Disease
https://www.readbyqxmd.com/read/29914484/comparative-impact-of-two-continuing-education-activities-targeted-at-copd-educators-on-educational-outcomes-protocol-for-a-non-randomized-controlled-study-using-mixed-methods
#13
Myriam Gagné, Jocelyne Moisan, Sophie Lauzier, Christine Hamel, Patricia Côté, Jean Bourbeau, Louis-Philippe Boulet
BACKGROUND: Therapeutic patient education (TPE) improves quality of life and reduces health care utilization among patients with chronic obstructive pulmonary disease (COPD). However, benefits from TPE might depend on the performance of the educators and training is needed to ensure the effective delivery of TPE interventions. Based on the framework by Moore et al. (J Contin Educ Health Prof 29:1-15, 2009), we will compare the impact of two continuing education (CE) activities on TPE in regard to the following educational outcomes: (1) learning, (2) self-report of competence, (3) performance of the educators, and (4) outcomes of COPD patients who will meet the newly trained educators for TPE...
June 18, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29913889/the-association-between-physicians-attitudes-to-psychosocial-aspects-of-low-back-pain-and-reported-clinical-behaviour-a-complex-issue
#14
Anna L Valjakka, Sanna Salanterä, Aarno Laitila, Juhani Julkunen, Nora M Hagelberg
Background and aim Physicians' attitudes predict clinical decision making and treatment choices, but the association between attitudes and behaviour is complex. Treatment guidelines for non-specific low back pain (LBP) include recommendations of early assessment of psychosocial risk factors forchronic pain, patient education and reassurance. Implication of these principles is demanding, and many patients are not referred for appropriate treatments due to a lack of systematic screening of psychosocial risk factors for chronic pain...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29910140/cystic-fibrosis-related-education-are-we-meeting-patient-and-caregiver-expectations
#15
Kevin P Lonabaugh, Katherine S O'Neal, Heather McIntosh, Michelle Condren
OBJECTIVE: The purpose of this study was to improve patient education in clinic by evaluating patient perceptions of education provided, as well as patient self-confidence related to topics within cystic fibrosis (CF). The study assessed whether self-confidence matched knowledge and defined patient-specific goals for education timing and information sources. METHODS: Age specific questionnaires were distributed over four months to patients 11 years of age and older and caregivers of patients of all ages at a single CF Foundation accredited care center...
June 9, 2018: Patient Education and Counseling
https://www.readbyqxmd.com/read/29909797/a-review-of-integrated-heart-failure-care
#16
Julie MacInnes, Liz Williams
AimThe aim of this integrative review is to determine the effectiveness of integrated heart failure (HF) care in terms of patient-, service- and resource-related outcomes, and to determine what model or characteristics of integrated care work best, for whom and in what contexts. BACKGROUND: Integration of health and social care services is a significant driver in the development of better and more cost-effective health and social care systems in Europe and developed countries. As high users of health and social care services, considerable attention has been paid to the care of people with long-term conditions...
June 18, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29908875/managing-aesthetic-referrals-in-nhs-scotland-outcomes-from-1122-patients-in-the-east-of-scotland
#17
Abdulla Ibrahim, Mahmoud K Nassar, Daniel J Jordan, Manish Sinha, Fiona J Hogg
The Adult Exceptional Aesthetic Referral Protocol (AEARP) encompasses a series of aesthetic procedures which, as they do not treat an underlying disease process, are not routinely available within the National Health Service. Provision of these services can only be provided on an exceptional basis. In this prospective study, we evaluated the referral process and outcomes of 1122 patients referred under the AEARP over a 3.5-year period. Referrals were screened by a vetting panel comprising of a plastic surgeon, clinical nurse specialist, and clinical psychologist...
May 22, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29908763/acceptability-and-feasibility-of-naloxone-prescribing-in-primary-care-settings-a-systematic-review
#18
REVIEW
Emily Behar, Rita Bagnulo, Phillip O Coffin
Naloxone access through established healthcare settings is critical to responding to the opioid crisis. We conducted a systematic review to assess the acceptability and feasibility of prescribing naloxone to patients in primary care. We queried PubMed, EmBase and CINAHL for US-based, peer-reviewed, full-length, original articles relating to acceptability or feasibility of prescribing naloxone in primary care. Searches yielded 270 unduplicated articles; one analyst reviewed all titles and abstracts. Two analysts independently reviewed eligible articles for study design, study outcome, and acceptability and/or feasibility...
June 14, 2018: Preventive Medicine
https://www.readbyqxmd.com/read/29906287/a-combination-of-quantitative-and-qualitative-methods-in-investigating-risk-factors-for-lost-to-follow-up-for-tuberculosis-treatment-in-japan-are-physicians-and-nurses-at-a-particular-risk
#19
Lisa Kawatsu, Kazuhiro Uchimura, Akihiro Ohkado, Seiya Kato
BACKGROUND: The treatment success rate of pulmonary tuberculosis (PTB) patients aged 64 years and below in Japan, a tuberculosis (TB) middle-burden country with a notification of 13.9 per 100,000 populations in 2016, has been fluctuating around 70% for some years. In order to improve treatment outcome, it is critical to address those lost to follow-up (LTFU). The objective of the study therefore was to describe the characteristics of, and analyze the risk factors for those LTFU among pulmonary TB patients aged between 15 and 64, and discuss policy implications...
2018: PloS One
https://www.readbyqxmd.com/read/29905508/prospective-validation-of-a-molecular-prognostication-panel-for-clival-chordoma
#20
Georgios A Zenonos, Debraj Mukherjee, Yue-Fang Chang, Klea Panayidou, Carl H Snyderman, Juan C Fernandez-Miranda, Eric W Wang, Raja R Seethala, Paul A Gardner
OBJECTIVE There are currently no reliable means to predict the wide variability in behavior of clival chordoma so as to guide clinical decision-making and patient education. Furthermore, there is no method of predicting a tumor's response to radiation therapy. METHODS A molecular prognostication panel, consisting of fluorescence in situ hybridization (FISH) of the chromosomal loci 1p36 and 9p21, as well as immunohistochemistry for Ki-67, was prospectively evaluated in 105 clival chordoma samples from November 2007 to April 2016...
June 15, 2018: Journal of Neurosurgery
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