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https://www.readbyqxmd.com/read/28527637/the-state-of-shared-decision-making-in-malaysia
#1
Yew Kong Lee, Chirk Jenn Ng
Shared decision making (SDM) activities in Malaysia began around 2010. Although the concept is not widespread, there are opportunities to implement SDM in both the public and private healthcare sectors. Malaysia has a multicultural society and cultural components (such as language differences, medical paternalism, strong family involvement, religious beliefs and complementary medicine) influence medical decision making. In terms of policy, the Ministry of Health has increasingly mentioned patient-centered care as a component of healthcare delivery while the Malaysian Medical Council's guidelines on doctors' duties mentioned collaborative partnerships as a goal of doctor-patient relationships...
May 17, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28527613/no-344-opportunistic-salpingectomy-and-other-methods-of-risk-reduction-for-ovarian-fallopian-tube-peritoneal-cancer-in-the-general-population
#2
Shannon Salvador, Stephanie Scott, Julie Ann Francis, Anita Agrawal, Christopher Giede
OBJECTIVE: This guideline reviews the potential benefits of opportunistic salpingectomy to prevent the development of high grade serous cancers (HGSC) of the ovary/fallopian tube/peritoneum based on current evidence supporting the fallopian tube origin of disease. INTENDED USERS: Gynaecologists, obstetricians, family doctors, registered nurses, nurse practitioners, residents, and health care providers. TARGET POPULATION: Adult women (18 and older): OPTIONS: Women considering hysterectomy who wish to retain their ovaries in situ have traditionally also retained their fallopian tubes...
June 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/28526721/health-care-resource-utilization-and-associated-costs-among-metastatic-cutaneous-melanoma-patients-treated-with-ipilimumab-intuition-study
#3
Grant A McArthur, Peter Mohr, Paolo Antonio Ascierto, Ana Arance, Ana Banos Hernaez, Peter Kaskel, Michael Weichenthal, Reshma Shinde, Kendall Stevinson
BACKGROUND: There are limited real-world data on health care resource utilization (HCRU) among advanced melanoma patients. The objective of this study was to describe HCRU and health care costs associated with the management of advanced melanoma patients receiving ipilimumab. METHODS: This retrospective multinational, observational study included advanced melanoma patients from Australia, Germany, Italy, and Spain who had received at least 1 dose of ipilimumab. Data extracted from medical charts included inpatient admissions, outpatient visits, surgical procedures, laboratory investigations, radiation therapy, imaging studies, and concomitant medications...
May 19, 2017: Oncologist
https://www.readbyqxmd.com/read/28526083/improving-local-health-workers-knowledge-of-malaria-in-the-elimination-phase-determinants-and-strategies-a-cross-sectional-study-in-rural-china
#4
Ruoxi Wang, Shangfeng Tang, Jun Yang, Tian Shao, Piaopiao Shao, Chunyan Liu, Da Feng, Hang Fu, Xiaoyu Chen, Tao Hu, Zhanchun Feng
BACKGROUND: The current stage of malaria elimination in China requires experienced local health workers with sufficient knowledge of malaria who help to keep the public health system vigilant about a possible resurgence. However, the influencing factors of local health workers' knowledge level are not fully comprehended. This study aims to explore the factors with heavy impact on local health worker's knowledge of malaria and propose corresponding suggestions. METHODS: Underpinned by stratified sampling method, a cross-sectional survey was carried out between November 2014 and April 2016...
May 19, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28526035/microblogging-violent-attacks-on-medical-staff%C3%A2-in-china-a-case-study-of-the-longmen-county-people-s-hospital-incident
#5
Jia Tian, Li Du
BACKGROUND: A violent attack on medical staff in Guangdong Province, in which a female doctor at Longmen County People's Hospital (LCPH) was severely injured by a knife-wielding patient, has drawn significant public attention to the phenomenon of hospital violence and initiated discussions on how to resolve violence in hospitals. Social networking sites, such as Sina Weibo, a Chinese version of Twitter, have played a role in this public debate. The incident at LCPH provides an opportunity to examine how Weibo has been used in the debate about violence against medical staff in China...
May 19, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28525991/correcting-for-day-of-the-week-and-public-holiday-effects-improving-a-national-daily-syndromic-surveillance-service-for-detecting-public-health-threats
#6
Elizabeth Buckingham-Jeffery, Roger Morbey, Thomas House, Alex J Elliot, Sally Harcourt, Gillian E Smith
BACKGROUND: As service provision and patient behaviour varies by day, healthcare data used for public health surveillance can exhibit large day of the week effects. These regular effects are further complicated by the impact of public holidays. Real-time syndromic surveillance requires the daily analysis of a range of healthcare data sources, including family doctor consultations (called general practitioners, or GPs, in the UK). Failure to adjust for such reporting biases during analysis of syndromic GP surveillance data could lead to misinterpretations including false alarms or delays in the detection of outbreaks...
May 19, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28524711/the-will-to-live-breast-cancer-patients-perceptions-of-palliative-chemotherapy
#7
Jenny Bergqvist, Peter Strang
BACKGROUND: For women with metastatic breast cancer, late lines of chemotherapy might be beneficial but also harmful. Ongoing chemotherapy late in life increase the risk of late or absent discussions of palliative care and access to symptom relief by other options than chemotherapy. Our aim was, therefore, to investigate breast cancer patients' motives, perceptions, and experiences of late lines of palliative oncologic treatment. MATERIAL AND METHODS: A qualitative study with semi-guided face-to-face interviews with 20 women on at least their second line of palliative chemotherapy (second-eighth line)...
May 19, 2017: Acta Oncologica
https://www.readbyqxmd.com/read/28523265/prevalence-and-associated-factors-of-erectile-dysfunction-among-married-men-in-vietnam
#8
Thang Van Vo, Hue Dinh Hoang, Nhan Phuc Thanh Nguyen
BACKGROUND: Sexuality is an essential part of life; however, erectile dysfunction (ED) has been one of the most common complaints among men with sexual health issues all over the world. ED includes dysfunction in erection and penile erectile pain. In Vietnam, ED is a subject a not readily discussed. Thus, relatively little is known about ED among Vietnamese men. AIMS: To identify the prevalence of ED and its associated variables and the need for treatment of ED among married men in Vietnam...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28523019/use-of-the-internet-related-to-infertility-by-infertile-women-and-men-in-turkey
#9
Duygu Gulec Satir, Oya Kavlak
OBJECTIVE: To determine differences in use of the Internet related to infertility between infertile women and men, whether they benefit or are negatively affected from information on the Internet, and share this information with health professional. METHODS: This cross-sectional study was carried out with 285 infertile women and 158 men between December 2015 and February 2016. Data were collected by a survey Form which included questions related to sociodemographic characteristics, related to infertility (duration of treatment, type of treatment) and questions about use of the Internet...
March 2017: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/28522582/online-health-searching-can-help-doctor-patient-relationship-study-finds
#10
Jacqui Wise
No abstract text is available yet for this article.
May 17, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28521830/evidence-based-policy-responses-to-strengthen-health-community-and-legislative-systems-that-care-for-women-in-australia-with-female-genital-mutilation-cutting
#11
REVIEW
Nesrin Varol, John J Hall, Kirsten Black, Sabera Turkmani, Angela Dawson
BACKGROUND: The physical and psychological impact of female genital mutilation / cutting (FGM/C) can be substantial, long term, and irreversible. Parts of the health sector in Australia have developed guidelines in the management of FGM/C, but large gaps exist in community and professional knowledge of the consequences and treatment of FGM/C. The prevalence of FGM/C amongst Australian women is unknown. Our article reviews the literature on research on FGM/C in Australia, which focuses on health system response to women and girls with FGM/C...
May 18, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28521559/the-effectiveness-of-the-internship-in-meeting-established-learning-objectives-a-qualitative-study
#12
Susannah Ahern, Katharine Reid, Meredith Temple-Smith, Geoffrey J McColl
OBJECTIVE: To identify and explore variations in intern (Postgraduate Year 1 doctors) exposure to clinical activities defined by an established early postgraduate curriculum within the contemporary health service environment. METHODS: A mixed methods study was undertaken in seven health services comprising (1) a questionnaire regarding interns' exposure to a range of clinical activities within a two-year early post-graduate curriculum and (2) group interviews with intern supervisors and managers to explore barriers and facilitators of interns' clinical exposure...
May 18, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28520804/inpatient-z-drug-use-commonly-exceeds-safe-dosing-recommendations
#13
Todd C Lee, André Bonnici, Robyn Tamblyn, Emily G McDonald
IMPORTANCE: In 2016 recommendations for safer prescribing practices were circulated to all doctors in one of Canada's largest provinces, by the college of physicians, following a coroner's inquest into a vehicular death related to Z-drug use. We sought to determine how frequently Z-drug prescriptions in our institution were not adhering to these recommendations. DESIGN: Retrospective cohort study. SETTING: McGill University Health Centre, an 832-bed tertiary care institution in Montréal, Canada...
2017: PloS One
https://www.readbyqxmd.com/read/28520706/quickstats-percentage-of-adults-aged-%C3%A2-65-years-who-saw-selected-types-of-health-professionals-%C3%A2-in-the-past-12-months-by-diagnosed-diabetes-status-%C3%A2-national-health-interview-survey-2015
#14
(no author information available yet)
In 2015, adults aged ≥65 years with diagnosed diabetes were more likely than adults without diagnosed diabetes to report seeing general doctors (92.3% compared with 86.7%); eye doctors (66.9% compared with 56.6%); physician specialists (51.5% compared with 45.5%); foot doctors (29.9% compared with 13.0%) and mental health professionals (6.3% compared with 4.5%) in the past 12 months. Those with diabetes were less likely than those without diabetes to report seeing a dentist or dental hygienist in the past 12 months (54...
May 19, 2017: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/28518009/aeromedical-evacuation-using-extra-corporeal-life-support-after-resuscitated-cardiac-arrest
#15
David Gerard, Hervé Raffin, Guillaume Lebreton
BACKGROUND: Extra corporeal life support (ECLS) is presently first line therapy for refractory cardiogenic shock. Mobile circulatory support teams implant ECLS or extra corporeal membrane oxygenation (ECMO) in patients in the hospital without circulatory support. These patients are then transported to specialized centers. Here we report a case of sending a mobile circulatory support team abroad, followed by air ambulance evacuation, which, to our knowledge, has never been used as part of medical assistance abroad...
April 1, 2017: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/28516820/blogging-in-infectious-diseases-and-clinical-microbiology-assessment-of-blogosphere-content
#16
Gabriel Birgand, Rachael Troughton, Luke S P Moore, Esmita Charani, Timothy M Rawson, Enrique Castro-Sánchez, Alison H Holmes
OBJECTIVE To analyze influential infectious diseases, antimicrobial stewardship, infection control, or medical microbiology blogs and bloggers SETTING World wide web DESIGN We conducted a systematic search for blogs in accordance with the PRISMA guidelines in September 2015. METHODS A snowball sampling approach was applied to identify blogs using various search engines. Blogs were eligible if they (1) focused on infectious diseases, antimicrobial stewardship, infection control, or medical microbiology; (2) were intended for health professionals; and (3) were written in English and (4) were updated regularly...
May 18, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28515187/reducing-social-isolation-and-loneliness-in-older-people-a-systematic-review-protocol
#17
Filipa Landeiro, Paige Barrows, Ellen Nuttall Musson, Alastair M Gray, José Leal
INTRODUCTION: Social isolation and loneliness affect approximately one-third to one-half of the elderly population and have a negative impact on their physical and mental health. Group-based interventions where facilitators are well trained and where the elderly are actively engaged in their development seem to be more effective, but conclusions have been limited by weak study designs. We aim to conduct a systematic review to assess the effectiveness of health promotion interventions on social isolation or loneliness in older people...
May 17, 2017: BMJ Open
https://www.readbyqxmd.com/read/28513769/the-situation-of-nursing-education-in-latin-america-and-the-caribbean-towards-universal-health
#18
Silvia Helena De Bortoli Cassiani, Lynda Law Wilson, Sabrina de Souza Elias Mikael, Laura Morán Peña, Rosa Amarilis Zarate Grajales, Linda L McCreary, Lisa Theus, Maria Del Carmen Gutierrez Agudelo, Adriana da Silva Felix, Jacqueline Molina de Uriza, Nathaly Rozo Gutierrez
Objective: to assess the situation of nursing education and to analyze the extent to which baccalaureate level nursing education programs in Latin America and the Caribbean are preparing graduates to contribute to the achievement of Universal Health. Method: quantitative, descriptive/exploratory, cross-sectional study carried out in 25 countries. Results: a total of 246 nursing schools participated in the study. Faculty with doctoral level degrees totaled 31...
May 11, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28512276/osteoporosis-knowledge-and-related-health-behavior-among-women-in-jazan-region-kingdom-of-saudi-arabia
#19
Ismail A Darout, Abdelwhab Alamir, Sameena Sultana
INTRODUCTION: Osteoporosis is a systemic bone disease that can be prevented to some extent by awareness of its risk factors and related health behavior. The aim of this study was to collect information about knowledge and awareness of osteoporosis among women living in Jazan and to describe the type of food habits, sociodemographic characteristics, and other osteoporosis-related health behavior. MATERIALS AND METHODS: Self-administered questionnaires were used for data collection...
May 1, 2017: Journal of Contemporary Dental Practice
https://www.readbyqxmd.com/read/28511787/comparative-and-cost-effectiveness-research-competencies-opportunities-and-training-for-nurse-scientists
#20
Patricia W Stone, Catherine Cohen, Harold Alan Pincus
BACKGROUND: Comparative and cost-effectiveness research develops knowledge on the everyday effectiveness and value of treatments and care delivery models. PURPOSE: To describe comparative and cost-effectiveness research; identify needed competencies for this research; identify federal funding; and describe current training opportunities. METHODS: Published recommended competencies were reviewed. Current federal funding and training opportunities were identified...
April 20, 2017: Nursing Outlook
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