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https://www.readbyqxmd.com/read/28432757/headache-patients-satisfaction-with-telemedicine-a-12-month-follow-up-randomized-non-inferiority-trial
#1
K I Müller, K B Alstadhaug, S I Bekkelund
BACKGROUND AND PURPOSE: We investigated non-acute headache patients' long-term satisfaction with a telemedicine consultation and consultation preferences in northern Norway. We hypothesized that patients were not less satisfied with telemedicine than traditional consultations. We also examined the influence of gender, age and education on satisfaction. METHODS: For 2.5 years, patients were consecutively screened, recruited and randomly assigned to telemedicine or traditional visits with a consultation at a neurological outpatient department...
April 21, 2017: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/28427416/shoulder-ultrasonography-performed-by-orthopedic-surgeons-increases-efficiency-in-diagnosis-of-rotator-cuff-tears
#2
Chih-Hao Chiu, Poyu Chen, Alvin Chao-Yu Chen, Kuo-Yao Hsu, Shih-Sheng Chang, Yi-Sheng Chan, Yeung-Jen Chen
BACKGROUND: Rotator cuff tears are very common and their incidence increases with age. Shoulder ultrasonography has recently gained popularity in detecting rotator cuff tears because of its efficiency, cost-effectiveness, time-saving, and real-time nature of the procedure. Well-trained orthopedic surgeons may utilize shoulder ultrasonography to diagnose rotator cuff tears. The wait time of patients planned to have shoulder MRI (magnetic resonance imaging) to rule in rotator cuff tears may decrease after orthopedic surgeon start doing shoulder ultrasonography as a screening tool for that...
April 20, 2017: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/28427111/-in-vitro-activity-of-mecillinam-against-urine-isolates-of-escherichia-coli-from-outpatient-departments-in-germany
#3
Michael Kresken, Barbara Körber-Irrgang, Kurt G Naber
National and international guidelines recommend fosfomycin trometamol, nitrofurantoin, nitroxoline, and pivmecillinam as first-line agents for the treatment of acute uncomplicated cystitis. Escherichia coli is by far the leading cause of community-acquired urinary tract infections. Pivmecillinam (X-SYSTO(®)) is an oral prodrug of mecillinam, a penicillin derivative that was reintroduced to the German market in March 2016. This study aimed to investigate the proportion of mecillinam-resistant strains among E...
April 20, 2017: Aktuelle Urologie
https://www.readbyqxmd.com/read/28422083/nasopharyngeal-carriage-and-antimicrobial-susceptibility-patterns-of-streptococcus-pneumoniae-among-children-under-five-in-southwest-ethiopia
#4
Tiglu Gebre, Mulualem Tadesse, Dossegnaw Aragaw, Dagne Feye, Habtamu Bedimo Beyene, Dinberu Seyoum, Mekidim Mekonnen
Nasopharyngeal carriage of Streptococcus pneumoniae is found to play an important role in the development and transmission of pneumococcal diseases. In this study, we assessed the nasopharyngeal carriage, antimicrobial susceptibility patterns and associated risk factors of S. pneumoniae among children under five. A total of 361 children under five attending the outpatient department of Shanan Gibe Hospital in Jimma, Southwest Ethiopia were enrolled from June to September 2014. Nasopharyngeal specimens were collected using sterile plastic applicator rayon tipped swab and inoculated on tryptone soy agar supplemented with 5% sheep blood and 5 µg/mL gentamycin...
April 19, 2017: Children
https://www.readbyqxmd.com/read/28413173/25-hydroxyvitamin-d-serum-level-in-hashimoto-s-thyroiditis-but-not-graves-disease-is-relatively-deficient
#5
Wencai Ke, Tiange Sun, Yanan Zhang, Leqi He, Qiang Wu, Jun Liu, Bingbing Zha
Vitamin D is a modulator of both the innate and adaptive immune system. As vitamin D deficiency was a risk factor for some autoimmune diseases, we aimed to evaluate the serum vitamin D levels in autoimmune thyroid diseases (AITD) including Graves’ disease (GD) and Hashimoto’s thyroiditis (HT) and investigated the association between serum vitamin D levels and AITD. 175 AITD patients including 51 GD, 61 euthyroid HT (mild HT), 63 euthyroid HT patients with hypothyroidism receiving hormone therapy (treated HT) were recruited from the outpatient department...
April 11, 2017: Endocrine Journal
https://www.readbyqxmd.com/read/28405158/patient-experience-with-intravenous-biologic-therapies-for-ankylosing-spondylitis-crohn-s-disease-psoriatic-arthritis-psoriasis-rheumatoid-arthritis-and-ulcerative-colitis
#6
Susan C Bolge, Helen M Eldridge, Jennifer H Lofland, Caitlin Ravin, Philip J Hart, Michael P Ingham
OBJECTIVE: The objective of this study was to describe patient experience with intravenous (IV) biologics for ankylosing spondylitis, Crohn's disease, psoriatic arthritis, psoriasis, rheumatoid arthritis, or ulcerative colitis. METHODS: Semi-structured telephone interviews were conducted in 405 patients with these autoimmune diseases who were receiving an IV biologic to treat their disease. RESULTS: On a 7-point scale (1= not at all satisfied; 7= very satisfied), mean satisfaction with IV medication was rated 6...
2017: Patient Preference and Adherence
https://www.readbyqxmd.com/read/28400051/frailty-and-vulnerability-as-predictors-of-radiotoxicity-in-older-adults-a-longitudinal-study-in-peru
#7
Fernando M Runzer-Colmenares, Diego Urrunaga-Pastor, Luis G Aguirre, C Mahony Reategui-Rivera, José F Parodi, Alvaro Taype-Rondan
BACKGROUND AND OBJECTIVE: To assess the association between frailty/vulnerability and the development of radiotoxicity in older adults at a hospital in Peru. MATERIAL AND METHODS: Cohort study that included patients with cancer with medical recommendation of radiotherapy, who attended the outpatient department of geriatrics at Naval Medical Center (Lima, Peru) between 2013 and 2015. Before receiving radiation therapy sessions, we measured frailty using Fried phenotype, and vulnerability using VES-13 and G-8 scales...
April 8, 2017: Medicina Clínica
https://www.readbyqxmd.com/read/28397521/improving-access-to-health-care-in-a-rural-regional-hospital-in-south-africa-why-do-patients-miss-their-appointments
#8
Lucy Frost, Louis S Jenkins, Benjamin Emmink
BACKGROUND: Access to health services is one of the Batho Pele ('people first') values and principles of the South African government since 1997. This necessitated some changes around public service systems, procedures, attitudes and behaviour. The challenges of providing health care to rural geographically spread populations include variations in socio-economic status, transport opportunities, access to appointment information and patient perceptions of costs and benefits of seeking health care...
March 30, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28395491/-the-significance-of-directional-preponderance-in-the-evaluation-of-vestibular-function-in-patients-with-vertigo
#9
J Wang, Y J Zhou, J Yu, J Gu
Objective: To analyze the relationship between directional preponderance (DP), spontaneous nystagmus(SN) and vestibular disorders, and to investigate the significance of DP in directing peripheral vestibular function in patients with vertigo. Methods: This was a retrospective analysis of 394 cases diagnosed with peripheral vestibular disease accompanied by vertigo from March 2012 to June 2014 in the Outpatient Department of the Eye & ENT Hospital of Fudan University. Results of static and dynamic posture equilibrium tests, SN, unilateral weakness(UW), and DP in videonystagmography(VNG) were analyzed and compared...
March 7, 2017: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/28394596/exceptionally-small-statistical-variations-in-the-transport-properties-of-metal-molecule-metal-junctions-composed-of-80-oligophenylene-dithiol-molecules
#10
Zuoti Xie, Ioan Bâldea, Abel T Demissie, Christopher E Smith, Yanfei Wu, Greg Haugstad, C Daniel Frisbie
Strong stochastic fluctuations witnessed as very broad resistance (R) histograms with widths comparable to or even larger than the most probable values characterize many measurements in the field of molecular electronics, particularly those measurements based on single molecule junctions at room temperature. Here we show that molecular junctions containing 80 oligophenylene dithiol molecules (OPDn, 1 ≤ n ≤ 4) connected in parallel display small relative statistical deviations-δR/R ≈ 25% after only ∼200 independent measurements-and we analyze the sources of these deviations quantitatively...
April 14, 2017: Journal of the American Chemical Society
https://www.readbyqxmd.com/read/28384955/a-comparative-study-of-pituitary-volume-variations-in-mri-in-acute-onset-of-psychiatric-conditions
#11
Brijesh Kumar Soni, Upendra Kumar Joish, Hirdesh Sahni, Raju A George, Rajeev Sivasankar, Rohit Aggarwal
INTRODUCTION: The growing belief that endocrine abnormalities may underlie many mental conditions has led to increased use of imaging and hormonal assays in patients attending to psychiatric OPDs. People who are in an acute phase of a psychiatric disorder show Hypothalamic Pituitary Adrenal (HPA) axis hyperactivity, but the precise underlying central mechanisms are unclear. AIM: To assess the pituitary gland volume variations in patients presenting with new onset acute psychiatric illness in comparison with age and gender matched controls by using MRI...
February 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28384911/occurrence-of-anxiety-and-depression-among-stable-copd-patients-and-its-impact-on-functional-capability
#12
Debabani Biswas, Subhasis Mukherjee, Rajarshi Chakroborty, Somsubhra Chatterjee, Subrata Rath, Runa Das, Shabana Begum
INTRODUCTION: Anxiety and depression are important but often under-diagnosed co-morbid conditions in patients with Chronic Obstructive Pulmonary Disease (COPD) which may affect the functional capacity of the patients. AIM: To find out the proportion of depression and anxiety among stable COPD patients using a validated questionnaire suitable for use in clinic and the factors affecting their reduced functional capability as assessed by six-minute walk test. MATERIALS AND METHODS: This was a descriptive cross-sectional study...
February 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28379647/awareness-and-knowledge-of-glaucoma-in-central-india-a-hospital-based-study
#13
Prafulla K Maharana, Vaishali G Rai, Rajesh Pattebahadur, Shipra Singhi, Ashish K Chauhan
PURPOSE: To assess the awareness and knowledge of glaucoma among people attending the ophthalmology outpatient department at a tertiary care hospital in central India. DESIGN: A prospective observational study. METHODS: A questionnaire-based study was conducted, involving persons aged 18 and above attending the ophthalmology outpatient department from October 2014 to September 2015. Data on awareness and knowledge of glaucoma was collected through a face-to-face interview...
March 29, 2017: Asia-Pacific Journal of Ophthalmology
https://www.readbyqxmd.com/read/28378139/efficacy-of-flippits-to-reduce-pain-in-children-during-venipuncture-a-randomized-controlled-trial
#14
Larishisha Risaw, Kavita Narang, J S Thakur, Sandhya Ghai, Sukhwinder Kaur, Bhavneet Bharti
OBJECTIVES: To investigate the efficacy of distraction by flippits/distraction cards in relieving pain associated with pediatric venipuncture process in young children. METHODS: This study was a prospective, non-blinded, randomized controlled trial. The sample consisted of 210 children aged 4 to 6 y undergoing phlebotomy in the sampling room of the Advanced Pediatric Center outpatient department and were randomly assigned to control and intervention groups. Latter were exposed to distraction using flippits/distraction cards during the procedure...
April 5, 2017: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/28375695/outpatient-treatment-patterns-of-pediatric-obsessive-compulsive-disorder
#15
Joseph L Smith, Nicole M McBride, Eric A Storch
INTRODUCTION: Little is known about community physician treatment practices for children with obsessive-compulsive disorder (OCD). This study is the first to describe the treatment of pediatric OCD in office-based and outpatient department-based physicians in the United States. METHODS: Data from the 2003-2011 National Ambulatory Medical Care Survey and the National Hospital Ambulatory Medical Care Survey were used. We provided descriptive statistics for sample characteristics and treatments administered during the visit, and examined differences in treatment by comorbid conditions and settings using logistic regression...
April 4, 2017: Journal of Child and Adolescent Psychopharmacology
https://www.readbyqxmd.com/read/28375113/antibacterial-activity-of-crude-methanolic-extract-and-various-fractions-of-vitex-agnus-castus-and-myrsine-africana-against-clinical-isolates-of-methicillin-resistant-staphylococcus-aureus
#16
Bashir Ahmad, Nabia Hafeez, Gulshan Ara, Sadiq Azam, Shumaila Bashir, Ibrar Khan
Staphylococcus aureus is a nosocomial pathogen that resides in the soft tissues causing many diseases. The current study was conducted to determine the prevalence of Methicillin Resistant S. aureus (MRSA) in ear discharge and pus of patients and antibacterial activity of crude methanolic extract (Cr. MeOH Ext.) and various fractions of M. Africana and V. agnus castus against clinical isolates of MRSA. A total of 40 samples were collected from ear, nose and throat (ENT) outpatient department and wards of Khyber Teaching Hospital (KTH), Peshawar...
November 2016: Pakistan Journal of Pharmaceutical Sciences
https://www.readbyqxmd.com/read/28375108/efficacy-of-gingocap-as-compared-to-pyridoxine-in-the-treatment-of-nausea-and-vomiting-during-pregnancy
#17
Lala Rukh, Halima Nazar, Khan Usmanghani
Nausea and vomiting is the common problem disturbing almost 80% of the females in initial three months of conception and later sometime throughout pregnancy. To find out the efficacy and safety of herbal coded test drug Gingocap in comparison with the control drug Pyridoxine, a randomized clinical case control study was conducted at the OPD of Yusra Medical Centre, Karachi and Amir Habib Medical Center and Maternity Home, Karachi. After administration of test and control drug the frequency of nausea and vomiting was noted after every 2 weeks on 2nd, 4th, 6th and 8th weeks during 60 days of the course of study...
November 2016: Pakistan Journal of Pharmaceutical Sciences
https://www.readbyqxmd.com/read/28371484/awareness-of-risk-of-cross-infection-and-infection-control-measures-among-patients-attending-university-dental-hospital-peradeniya-sri-lanka
#18
Dilini Ratnayake, Sumudu Medawela, Ruwan Jayasinghe, Sumedha Jayathilake, Dileep de Silva, Mohaideen Sitheeque
AIM: The aim of the present study was to assess awareness of the risk of cross-infection and infection-control measures practiced in dental clinics for patients attending the outpatient dental department (OPD) at University Dental Hospital, Peradeniya, Sri Lanka. METHODS: A descriptive cross-sectional study was carried out among 427 patients who attended the OPD clinics at University Dental Hospital. An interviewer-administered questionnaire was used to collect data, and chi-squared-test of association was applied where appropriate...
March 31, 2017: Journal of Investigative and Clinical Dentistry
https://www.readbyqxmd.com/read/28371000/uncertainty-and-depression-in-people-with-parkinson-s-disease-a-cross-sectional-study
#19
Sangwoo Ahn, JuHee Lee, Sang Hui Chu, Young H Sohn
Adults with chronic disease may experience uncertainty and depression when coping with their illness. This study identifies degrees of uncertainty and depression, as well as factors associated with depression in people with Parkinson's disease. The 120 participants included patients who visited the neurology outpatient department of a tertiary hospital in Seoul and individuals who attended public events managed by the Korean Parkinson's Disease Association. The mean age of the sample was 65.01 and 50.8% of patients were men...
March 29, 2017: Nursing & Health Sciences
https://www.readbyqxmd.com/read/28369817/giant-leiomyoma-with-extensive-myxoid-degeneration-in-mayer-rokitansky-k%C3%A3-ster-hauser-syndrome
#20
Richa Sharma, Kiran Guleria, Amita Suneja, Sruthi Bhaskaran, Nadeem Tanveer
Fibroids and fibroid degeneration are common among women with a normal uterus. However, the present report describes a rare case of fibroids arising from a rudimentary horn and degenerations in a patient with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. The patient provided consent for publication. A woman with MRKH syndrome aged 45 years presented at the gynecology outpatient department at University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India, with complaints of an abdominopelvic mass and pain for the previous 2 years...
March 31, 2017: International Journal of Gynaecology and Obstetrics
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