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https://www.readbyqxmd.com/read/29793130/anxiety-memories-and-coping-in-patients-undergoing-intracranial-tumor-surgery
#1
Tom J van Ark, Markus Klimek, Peter de Smalen, Arnaud J P E Vincent, Robert Jan Stolker
OBJECTIVES: The diagnosis and the surgical removal of a brain tumor can have serious impact on the quality of life of a patient. The question rises, whether having more or just less memories of the procedure is better for coping with such an event. Furthermore, for preoperative information of future patients it is important to know how patients process their emotions and memories. The primary objective of this study was to investigate the link between preoperative anxiety, the perioperative experience and the quantity and quality of postoperative memories in patients who underwent intracranial tumor surgery...
May 17, 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29792839/patient-choice-of-adjunctive-non-pharmacologic-pain-management-during-first-trimester-abortion-a-randomized-controlled-trial
#2
Mary Tschann, Jennifer Salcedo, Reni Soon, Bliss Kaneshiro
OBJECTIVE: To determine if offering patients a choice of adjunctive non-pharmacologic pain management during first-trimester aspiration abortion results in lower pain scores than seen without offering these additional measures. STUDY DESIGN: We enrolled women receiving first-trimester aspiration abortion at the University of Hawai'i. We randomized patients to standard care (control), or standard care plus a choice of non-pharmacologic pain management options (intervention)...
May 21, 2018: Contraception
https://www.readbyqxmd.com/read/29792834/improvement-of-esthetic-functional-and-social-well-being-after-orthognathic-surgical-intervention-a-sampling-of-postsurgical-patients-over-a-10-year-period-from-2007-to-2017
#3
Farhad Ghorbani, Hamed Gheibollahi, Saeid Tavanafar, Hamid Reza Eftekharian
PURPOSE: The objectives of this study were to evaluate the effect of orthognathic surgery on the long-term quality of life of patients who received this treatment and to delineate the common reasons for dissatisfaction. MATERIALS AND METHODS: In this retrospective cohort study, patients who underwent orthognathic surgery were studied. One hundred thirty-two patients who had undergone orthognathic surgery from 2007 to 2017 in the oral and maxillofacial surgery department participated in this study...
May 9, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29792257/a-critique-of-the-shannon-weaver-theory-of-communication-and-its-implications-for-nursing
#4
Debra J Gillespie, Rachel Schiffman
With the Joint Commission's revelation that as much as 65%-70% of the time miscommunication has been discovered to be the root cause of many sentinel events, it may be time to examine a communication theory to support practice improvement efforts. Effective communication has been shown to decrease medical errors, improve patient satisfaction, and increase adherence to treatment plans leading to better health outcomes; yet very few studies have examined communication theories and their applicability to practice...
May 1, 2018: Research and Theory for Nursing Practice
https://www.readbyqxmd.com/read/29791437/a-randomized-controlled-trial-on-the-effect-of-a-silver-carboxymethylcellulose-dressing-on-surgical-site-infections-after-breast-cancer-surgery
#5
Gerson M Struik, Wietske W Vrijland, Erwin Birnie, Taco M A L Klem
BACKGROUND: The incidence of surgical site infections (SSIs) after breast cancer surgery is relatively high; ranging from 3 to 19%. The role of wound dressings in the prevention of SSI after breast cancer surgery is unclear. This study compares a silver carboxymethylcellulose dressing (AQUACEL Ag Surgical (Aquacel) with standard wound dressing in SSI rate after breast cancer surgery. PATIENTS AND METHODS: A single-centre randomized controlled trial among women ≥18 years, diagnosed with breast cancer, undergoing breast conserving or ablative surgery, was conducted in a combined in and outpatient setting...
2018: PloS One
https://www.readbyqxmd.com/read/29790660/drama-to-promote-non-verbal-communication-skills
#6
Martina Kelly, Lara Nixon, Kirsten Broadfoot, Marianna Hofmeister, Tim Dornan
BACKGROUND: Non-verbal communication skills (NVCS) help physicians to deliver relationship-centred care, and the effective use of NVCS is associated with improved patient satisfaction, better use of health services and high-quality clinical care. In contrast to verbal communication skills, NVCS training is under developed in communication curricula for the health care professions. One of the challenges teaching NVCS is their tacit nature. In this study, we evaluated drama exercises to raise awareness of NVCS by making familiar activities 'strange'...
May 23, 2018: Clinical Teacher
https://www.readbyqxmd.com/read/29790445/a-study-of-deficiencies-in-teamwork-skills-among-jordan-caregivers
#7
Omar Al-Araidah, Nader Al Theeb, Mariam Bader, Nabeel Mandahawi
Purpose The purpose of this paper is to present the deficiencies in teamwork skills at Jordan hospitals as seen by team members. The study aims to identify training needs to improve teamwork-related soft skills of caregivers to enhance staff satisfaction and improve quality of care. Moreover, the paper provides a methodology to identify the training needs in any healthcare workplace by repeating the same questionnaire. Design/methodology/approach A self-administrated questionnaire was designed to study deficiencies in teamwork and team leadership at Jordan hospitals as seen by team members...
May 14, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29790443/improvement-of-laboratory-turnaround-time-using-lean-methodology
#8
Shradha Gupta, Sahil Kapil, Monica Sharma
Purpose The purpose of this paper is to discuss the implementation of lean methodology to reduce the turnaround time (TAT) of a clinical laboratory in a super speciality hospital. Delays in report delivery lead to delayed diagnosis increased waiting time and decreased customer satisfaction. The reduction in TAT will lead to increased patient satisfaction, quality of care, employee satisfaction and ultimately the hospital's revenue. Design/methodology/approach The generic causes resulting in increasing TAT of clinical laboratories were identified using lean tools and techniques such as value stream mapping (VSM), Gemba, Pareto Analysis and Root Cause Analysis...
May 14, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29790278/the-split-dose-4-l-polyethylene-glycol-regimen-for-patients-with-previous-colorectal-surgery-in-bowel-preparation-before-colonoscopy-a-randomized-controlled-single-blind-study
#9
Zhu Liu, Yue-Yue Li, Xue-Ting Luo, Chuan-Guo Guo, Ming-Ming Zhang, Zhen Li, Li-Xiang Li, Yan Zhang, Yan-Qing Li
AIM: In some Asian countries, guidelines recommend 2-L polyethylene glycol (PEG) without any additions as the standard bowel preparation (BP) regimen before colonoscopy, which is not sufficient for patients with previous colorectal surgery. The objective of this study was to investigate the efficacy of the split-dose 4-L PEG regimen on the quality of BP in Asian patients with previous colorectal surgery. METHODS: This was a single-center, prospective, randomized-controlled, endoscopist-blinded study...
May 22, 2018: Journal of Digestive Diseases
https://www.readbyqxmd.com/read/29789919/biomarkers-of-muscle-damage-increased-in-anterolateral-compared-to-direct-lateral-approach-to-the-hip-in-hemiarthroplasty-no-correlation-with-clinical-outcome-short-term-analysis-of-secondary-outcomes-from-a-randomized-clinical-trial-in-patients-with-a-displaced
#10
T O Ugland, G Haugeberg, S Svenningsen, S H Ugland, Ø H Berg, A H Pripp, L Nordsletten
In this study, we found elevated levels of serum CK in the anterolateral approach to the hip compared to the direct lateral approach in patients with a displaced femoral neck fracture. No correlation was found between levels of CK and functional outcomes. INTRODUCTION: To compare increase in serum creatine kinase (CK) and its association with functional outcome between the muscle-sparing anterolateral approach and the direct lateral approach to the hip in patients with displaced femoral neck fracture (FNF)...
May 22, 2018: Osteoporosis International
https://www.readbyqxmd.com/read/29789705/the-short-term-effect-of-ultrasound-and-peripheral-nerve-stimulator-guided-femoral-nerve-block-with-phenol-on-the-outcomes-of-patients-with-traumatic-spinal-cord-injury
#11
Yasin Demir, Ayça Uran Şan, Serdar Kesikburun, Evren Yaşar, Bilge Yılmaz
STUDY DESIGN: A pre-post descriptive study. OBJECTIVES: To examine the immediate effects of ultrasound-guided femoral nerve block with phenol (UGFNBwP) in managing the lower limb spasticity of individuals with traumatic spinal cord injury (SCI). SETTING: Ankara, Turkey. METHODS: Nineteen patients with traumatic SCI presenting with lower extremity spasticity were treated with UGFNBwP. Modified Ashworth Scale of hip flexion and knee extension, functional independence measure motor subscale, difficulty of catheterization, hygiene score, spasm frequency, sleep quality, and patient satisfaction (PS) were measured in all patients prior to treatment, in the first week and second month...
May 22, 2018: Spinal Cord
https://www.readbyqxmd.com/read/29789272/psodisk-is-a-reliable-intuitive-instrument-for-the-evaluation-of-psychological-distress-which-strongly-correlates-with-dlqi-a-preliminary-study
#12
Emanuele Cozzani, Dennis Linder, Martina Burlando, Fabio Gallo, Francesca Sampogna, Marco Bruzzone, Carlotta Tacchino, Francesco Drago, Aurora Parodi
BACKGROUND: PSOdisk is a 10-item visual instrument, aimed at assessing the burden of disease in patients with psoriasis. OBJECTIVES: To compare PSOdisk with a scientifically validated questionnaire, the Dermatology Life Quality Index (DLQI), and asses both tools in relation to Psoriasis Severity Index (PASI) and patient acceptance. MATERIALS & METHODS: Fifty patients with cutaneous (PSO) and/or arthritic psoriasis (PSA) were recruited...
May 23, 2018: European Journal of Dermatology: EJD
https://www.readbyqxmd.com/read/29789249/the-relationship-of-femoral-tunnel-positioning-in-medial-patellofemoral-ligament-reconstruction-on-clinical-outcome-and-postoperative-complications
#13
Philippe M Tscholl, Lukas Ernstbrunner, Linda Pedrazzoli, Sandro F Fucentese
PURPOSE: To analyze the relation of the femoral tunnel (FT) positioning on clinical outcome. METHODS: Patients with recurrent patellar dislocation who underwent medial patellofemoral ligament (MPFL) reconstruction with or without tibial tubercle osteotomy between 1998 and 2012 were included in this retrospective study. Strict postoperative lateral radiographs were mandatory. Knees with previous osseous stabilization surgery, fixed lateral patellar dislocation, valgus knee (>5°), or open growth plates were excluded...
May 19, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29788682/immediate-breast-reconstruction-following-nipple-sparing-mastectomy-in-an-asian-population-aesthetic-outcomes-and-mitigating-nipple-areolar-complex-necrosis
#14
Wan-Sze Pek, Bien-Keem Tan, Yvonne Ying Ru Ng, Veronique Kiak Mien Tan, Mohamed Zulfikar Rasheed, Benita Kiat Tee Tan, Kong Wee Ong, Yee Siang Ong
BACKGROUND: Nipple-sparing mastectomies (NSMs) are increasingly performed to obtain the best aesthetic and psychological outcomes in breast cancer treatment. However, merely preserving the nipple-areolar complex (NAC) does not guarantee a good outcome. Darkly pigmented NACs and a tendency for poor scarring outcomes are particular challenges when treating Asian patients. Herein, we review the reconstructive outcomes following NSM at Singapore General Hospital. METHODS: All breasts reconstructed following NSM over an 11-year period from 2005 to 2015 were reviewed...
May 2018: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29788287/provider-and-patient-satisfaction-with-the-integration-of-ambulatory-and-hospital-ehr-systems
#15
Chad D Meyerhoefer, Susan A Sherer, Mary E Deily, Shin-Yi Chou, Xiaohui Guo, Jie Chen, Michael Sheinberg, Donald Levick
Objective: The installation of EHR systems can disrupt operations at clinical practice sites, but also lead to improvements in information availability. We examined how the installation of an ambulatory EHR at OB/GYN practices and its subsequent interface with an inpatient perinatal EHR affected providers' satisfaction with the transmission of clinical information and patients' ratings of their care experience. Methods: We collected data on provider satisfaction through 4 survey rounds during the phased implementation of the EHR...
May 16, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29788145/long-term-outcome-of-spinal-cord-stimulation-in-failed-back-surgery-syndrome-20-years-of-experience-with-224-consecutive-patients
#16
Mette Nissen, Tiina-Mari Ikäheimo, Jukka Huttunen, Ville Leinonen, Mikael von Und Zu Fraunberg
BACKGROUND: Failed back surgery syndrome (FBSS) is a challenging condition that lacks a curative treatment. In selected patients, spinal cord stimulation (SCS) has provided a satisfactory outcome. OBJECTIVE: To evaluate the long-term outcome of SCS in FBSS, as measured by (1) the explantation rate, (2) complications, and (3) patient satisfaction with the global perceived effect (GPE). METHODS: We studied 224 consecutive FBSS patients who underwent an SCS trial with surgically implanted leads at our hospital between January 1996 and December 2014...
May 21, 2018: Neurosurgery
https://www.readbyqxmd.com/read/29786830/blue-light-filtering-intraocular-lenses-iols-for-protecting-macular-health
#17
REVIEW
Laura E Downie, Ljoudmila Busija, Peter R Keller
BACKGROUND: An intraocular lens (IOL) is a synthetic lens that is surgically implanted within the eye following removal of the crystalline lens, during cataract surgery. While all modern IOLs attenuate the transmission of ultra-violet (UV) light, some IOLs, called blue-blocking or blue-light filtering IOLs, also reduce short-wavelength visible light transmission. The rationale for blue-light filtering IOLs derives primarily from cell culture and animal studies, which suggest that short-wavelength visible light can induce retinal photoxicity...
May 22, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29786041/fixation-versus-excision-of-osteochondral-fractures-after-patellar-dislocations-in-adolescent-patients-a-retrospective-cohort-study
#18
Hui Kang, Jian Li, Xu-Xu Chen, Tao Wang, Shi-Chang Liu, Hong-Chuan Li
Background: Patellar dislocation is one of the most common knee injuries in the adolescent population. It is often combined with osteochondral fracture. The purpose of this study was to compare the outcomes between fixation and excision of osteochondral fractures not involving the bearing surface in adolescent patients with patellar dislocations. Methods: Patients who underwent surgery for osteochondral fracture following patellar dislocation in our institution from 2007 to 2014 were retrospectively evaluated...
June 5, 2018: Chinese Medical Journal
https://www.readbyqxmd.com/read/29785721/heeding-humanity-in-an-age-of-electronic-health-records-heidegger-levinas-and-healthcare
#19
Casey Rentmeester
The American Recovery and Reinvestment Act of 2009 (ARRA) required healthcare providers in the United States to adopt and demonstrate meaningful use of electronic health records (EHRs) by January 1, 2014. In many ways, EHRs mark a notable improvement over paper medical records as they are more easily accessible and allow for electronic searching and sharing of medical history. However, as EHRs have become mandated by ARRA, many nurses now rely upon computers far more heavily during nurse-patient interactions, thereby decreasing the level of direct interpersonal communication between the two...
May 21, 2018: Nursing Philosophy: An International Journal for Healthcare Professionals
https://www.readbyqxmd.com/read/29785683/targeted-therapies-and-adverse-drug-reactions-in-oncology-the-role-of-clinical-pharmacist-in-pharmacovigilance
#20
G Fornasier, M Taborelli, S Francescon, J Polesel, M Aliberti, P De Paoli, P Baldo
Background The majority of adverse drug reactions (ADRs) reported in the summary of product characteristics (SPCs) are based on pivotal clinical trials, performed under controlled conditions and with selected patients. Objectives (1) to observe ADRs in the real-world setting and to evaluate if the supervision of the pharmacist impacts on the management of ADRs and on the satisfaction of patients; (2) to sensitise health professionals and patients on the need to increase the reporting of ADRs, in compliance with Pharmacovigilance...
May 21, 2018: International Journal of Clinical Pharmacy
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