keyword
https://read.qxmd.com/read/38609805/effectiveness-of-a-teach-back-education-program-on-perioperative-pain-in-patients-with-lung-cancer-an-intervention-study-using-behavior-change-wheel
#21
JOURNAL ARTICLE
Peng Wang, Qian Zhang, Gui-Ping Li, Ning Xu, Zhuo Wang, Yan-Hong Zhao, Yi-Yan Zou, Yuan-Fei Liu, Li-Mei Wang
OBJECTIVE: To assess the effect of a teach-back educational intervention using Behavior Change Wheel (BCW) framework on perioperative pain among patients with lung cancer. METHODS: A prospective quasi-experimental study was conducted in 88 patients with lung cancer from a tertiary hospital in China. According to the order of admission, they were allocated to either control group or intervention group, with 44 patients in each group. Patients in the control group received routine nursing care, while patients in the intervention group were given a teach-back education program based on BCW framework...
April 11, 2024: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
https://read.qxmd.com/read/38608844/worse-patient-reported-outcomes-and-spino-pelvic-parameters-after-total-hip-arthroplasty-for-rapidly-progressive-osteoarthritis-of-the-hip-compared-to-osteoarthritis-a-propensity-matched-cohort-study
#22
JOURNAL ARTICLE
Yoshinori Okamoto, Hitoshi Wakama, Kaito Nakamura, Takashi Ishitani, Shuhei Otsuki, Masashi Neo
BACKGROUND: This study aimed to assess the association between the disease process of hip osteoarthritis and total hip arthroplasty (THA) outcomes; this is a critical issue, as rapid progression has been postulated to be responsible for patient dissatisfaction post-THA. METHODS: This retrospective case-control study included 255 patients who underwent THA and completed a mean follow-up duration of 42.1 months (range, 24.0 to 77.0). We classified patients into those who had (n = 26) and did not have (n = 229) rapidly progressive osteoarthritis of the hip (RPOA), defined as a narrowing rate of joint space ≥ 2 mm yearly or a ≥ 50% loss within 12 months, excluding any other cause of a destructive arthropathy...
April 10, 2024: Journal of Arthroplasty
https://read.qxmd.com/read/38608832/generative-deep-learning-approaches-for-the-design-of-dental-restorations-a-narrative-review
#23
REVIEW
Alexander Broll, Markus Goldhacker, Sebastian Hahnel, Martin Rosentritt
OBJECTIVES: This study aims to explore and discuss recent advancements in tooth reconstruction utilizing deep learning (DL) techniques. A review on new DL methodologies in partial and full tooth reconstruction is conducted. DATA/SOURCES: PubMed, Google Scholar, and IEEE Xplore databases were searched for articles from 2003 to 2023. STUDY SELECTION: The review includes 9 articles published from 2018 to 2023. The selected articles showcase novel DL approaches for tooth reconstruction, while those concentrating solely on the application or review of DL methods are excluded...
April 10, 2024: Journal of Dentistry
https://read.qxmd.com/read/38608531/the-efficacy-and-safety-of-ciprofol-and-propofol-in-patients-undergoing-colonoscopy-a-double-blind-randomized-controlled-trial
#24
JOURNAL ARTICLE
Shi-Hui Gao, Qian-Qian Tang, Chang-Ming Wang, Zhan-Ying Guan, Ling-Ling Wang, Jing Zhang, Zeng-Long Yan
STUDY OBJECTIVE: Propofol is a commonly utilized anesthetic for painless colonoscopy, but its usage is occasionally limited due to its potential side effects, including cardiopulmonary suppression and injection pain. To address this limitation, the novel compound ciprofol has been proposed as a possible alternative for propofol. This study sought to determine whether there are any differences in the safety and efficacy of propofol and ciprofol for painless colonoscopy. DESIGN: Randomized clinical trial...
April 11, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38608519/management-of-cutaneous-tuberculosis-in-hand-rare-and-disabling-a-case-report
#25
Hardisiswo Soedjana, Betha Egih Riestiano, Lisa Y Hasibuan, Selvy Harianti
INTRODUCTION AND IMPORTANCE: Cutaneous Tuberculosis (CTB), elicited by the Mycobacterium tuberculosis complex, manifests dermatologically. The scarcity of bacilli within CTB lesions renders their detection challenging. This study presents a case of CTB, underscoring its rarity and the potential for severe complications that can deteriorate patient quality of life. It aims to highlight the importance of CTB identification in dermatological diagnoses due to its capacity to cause considerable morbidity and affect patients' psychosocial health...
April 5, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38608079/-internet-plus-continuous-nursing-for-patients-with-advanced-bladder-cancer-a-retrospective-observational-study
#26
JOURNAL ARTICLE
Meiyu Zhang, Shuzhen Guo, Sujin Gan, Qiaoli Xu
The "Internet Plus" system has made continuous nursing intervention much more feasible to implement, especially in terms of malignant tumors. We aimed to evaluate continuous nursing based on "Internet Plus" for patients diagnosed with bladder cancer with hematuria being treated by drug-eluting bead embolization. This retrospective study included 43 patients, diagnosed with bladder cancer with hemorrhages, who had undergone transcatheter bladder arterial chemoembolization by drug-eluting bead embolization at our hospital between January 2017 and January 2023...
April 12, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38607355/analysis-of-satisfaction-levels-in-completely-edentulous-patients-treated-with-different-configurations-of-implant-supported-rosthesis
#27
JOURNAL ARTICLE
Esin Demir, Gülsüm Özel, Özgür İnan, Doğan Dolanmaz
PURPOSE: The aim of this study is to evaluate and compare patient satisfaction levels in edentulous patients treated with different configurations of implant supported prosthesis. Also, the effect of previous prosthesis experience before implant treatment on patient satisfaction was investigated. MATERIALS AND METHODS: A study population of 142 patients was identified. Patients seperated into four treatment types. Group 1 comprised 43 patients treated with implant supported overdenture for mandible and conventional complete denture for maxilla while group 2 comprised 32 patients treated with implant supported overdentures for maxilla and mandible...
April 5, 2024: International Journal of Oral & Maxillofacial Implants
https://read.qxmd.com/read/38607217/application-effect-of-graded-emergency-nursing-in-patients-with-acute-pancreatitis
#28
JOURNAL ARTICLE
Yan Zhang, Rui Liu, Lan Qin
BACKGROUND: Acute pancreatitis poses a significant threat in the emergency department due to its rapid and dangerous progression. Without timely and effective treatment measures, there is a heightened risk of advancing to multiple organ failure, posing a serious threat to the life safety of patients. OBJECTIVE: This study aims to investigate the impact of graded emergency nursing on patients with acute pancreatitis. DESIGN: A randomized controlled experiment was conducted to assess the effectiveness of graded emergency nursing...
April 12, 2024: Alternative Therapies in Health and Medicine
https://read.qxmd.com/read/38607216/impact-of-continuous-nursing-on-quality-of-life-and-psychological-well-being-in-advanced-lung-cancer-patients
#29
JOURNAL ARTICLE
Rui Lu, Qianli Yu
OBJECTIVES: This study aimed to analyze the psychological status and quality of life (QoL) of patients with advanced lung cancer and assess the impact of continuous nursing intervention on these parameters. METHODS: A total of 160 advanced lung cancer patients were randomly assigned to a control group or a study group, with 80 patients in each. The control group received the routine nursing intervention, while the study group received the continuous nursing intervention, including health record establishment, regular follow-ups, diet guidance, health knowledge education, psychological counseling, and work and rest guidance...
April 12, 2024: Alternative Therapies in Health and Medicine
https://read.qxmd.com/read/38607205/impact-of-fmea-based-nursing-on-postoperative-condition-of-appendicitis-patients
#30
JOURNAL ARTICLE
Yang Yang
BACKGROUNDS: Appendicitis (AP) is a prevalent and sudden disease, and although surgery can be effective in treating it, post-surgical care is of great importance in improving the patient's recovery. OBJECTIVE: To analyze the impact of Failure Mode and Effect Analysis (FMEA)-based nursing on patients with AP after surgery. METHODS: A total of 104 patients with AP who received treatment in Fuyang Shi Hospital of TCM from December 2021 to February 2023 were enrolled and randomly divided into a control group (n = 52) who received routine nursing and a research group (n = 52) who receive FMEA-based nursing...
April 12, 2024: Alternative Therapies in Health and Medicine
https://read.qxmd.com/read/38607204/significance-analysis-of-the-improvement-in-postoperative-recovery-of-cardiac-surgery-patients-based-on-the-graded-management-established-using-the-delirium-prediction-model
#31
JOURNAL ARTICLE
Hao Zhang, Qiuyu Wang, Ping Feng
OBJECTIVE: To investigate the impact of graded management based on delirium prediction modeling on the improvement of recovery of cardiac surgery patients. METHODS: Three hundred and twenty patients admitted to the Department of Critical Care Medicine of Nanjing Hospital affiliated with Nanjing Medical University from June 2021 to December 2023 after Type A aortic coarctation were selected as study subjects. They were grouped according to the randomized scale method and divided into 160 cases in each the control group and the observation group...
April 12, 2024: Alternative Therapies in Health and Medicine
https://read.qxmd.com/read/38606679/closing-the-care-gap-combining-enhanced-recovery-with-minimally-invasive-valve-surgery
#32
JOURNAL ARTICLE
Alexander J Gregory, William D T Kent, Corey Adams, Rakesh C Arora
PURPOSE OF REVIEW: Patients with advanced age and frailty require interventions for structural heart disease at an increasing rate. These patients typically experience higher rates of postoperative morbidity, mortality and prolonged hospital length of stay, loss of independence as well as associated increased costs to the healthcare system. Therefore, it is becoming critically important to raise awareness and develop strategies to improve clinical outcomes in the contemporary, high-risk patient population undergoing cardiacprocedures...
April 9, 2024: Current Opinion in Cardiology
https://read.qxmd.com/read/38606331/the-role-of%C3%A2-iliopsoas-fractional-lengthening-in%C3%A2-hip-arthroscopy-a-systematic-review
#33
REVIEW
Alexander Baur, Wesley Lemons, James Satalich, Alexander Vap, Robert O'Connell
Arthroscopic iliopsoas fractional lengthening (IFL) is a surgical option for the treatment of internal snapping hip syndrome (ISHS) after failing conservative management. Systematic review. A search of PubMed central, National Library of Medicine (MEDLINE) and Scopus databases were performed by two individuals from the date of inception to April 2023. Inclusion criteria were ISHS treated with arthroscopy. Sample size, patient-reported outcomes and complications were recorded for 24 selected papers. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed and registered on PROSPERO database for systematic reviews (CRD42023427466)...
January 2024: Journal of Hip Preservation Surgery
https://read.qxmd.com/read/38606262/self-shielding-gyroscopic-radiosurgery-a-prospective-experience-and-analysis-of-the-first-100-patients
#34
JOURNAL ARTICLE
Felix Ehret, Nadja Kohlhase, Dochka Eftimova, Theresa Hofmann, Christoph Fürweger, Alfred Haidenberger, Markus Kufeld, Alexander Muacevic, Antonio Santacroce
Background Stereotactic radiosurgery is a well-established treatment option for the management of various benign and malignant brain tumors. It can be delivered with several treatment platforms, usually requiring shielded radiation vaults to meet regulatory safety requirements. Recent technical advances have led to the first self-shielding platform enabling the delivery of gyroscopic radiosurgery (GRS). Given the limited number of GRS treatment platforms, the novelty of its characteristics, and the lack of available data, we report our prospective experience with the first 100 patients treated with GRS...
March 2024: Curēus
https://read.qxmd.com/read/38606027/appraisal-of-clinical-improvement-with-total-knee-arthroplasty-in-valgus-knee-deformities-a-case-series
#35
JOURNAL ARTICLE
Alok Kv, Garipalli Ramesh, Arjun S Chakrapani, Sanyam Akheja
Introduction This case series explores the efficacy of unassisted total knee arthroplasty (TKA) in addressing valgus knee deformity secondary to osteoarthritis. The study aims to evaluate functional outcomes pre- and post-surgery using the Knee Society Score (KSS) and radiological assessments in short-term follow-up. Six patients underwent TKA and were evaluated retrospectively. Statistical analysis revealed significant improvements in the angle of deformity, KSS, and range of motion postoperatively. The study underscores the success of TKA in correcting valgus deformity, improving knee function, and enhancing patient satisfaction...
April 2024: Curēus
https://read.qxmd.com/read/38605837/bounded-rationality-in-healthcare-unraveling-the-psychological-factors-behind-patient-satisfaction-in-china
#36
JOURNAL ARTICLE
Yu Qian, Xiaohe Wang, Xianhong Huang, Jinwen Li, Chen Jin, Jie Chen, MengYi Sha
INTRODUCTION: Patient satisfaction is a crucial metric to gauge the quality of medical services, but the psychological factors influencing patient satisfaction remain insufficiently explored. METHODS: This study examines these psychological factors by applying the theory of bounded rationality to 1,442 inpatients in Hangzhou, China, whose data were collected using a questionnaire. One-way ANOVA, correlation analysis, and hierarchical regression were used to analyze patient satisfaction and its associated factors...
2024: Frontiers in Psychology
https://read.qxmd.com/read/38604567/economic-impact-of-outpatient-follow-up-using-telemedicine-vs-in-person-visits-for-patients-in-general-surgery-a-secondary-analysis-of-a-randomized-clinical-trial
#37
JOURNAL ARTICLE
Georgina Ferret, Manel Cremades, Lídia Cornejo, Francesc Guillem-López, Ramon Farrés, David Parés, Joan-Francesc Julian
INTRODUCTION: Innovation in internet connectivity and the Covid 19 pandemic have caused a dramatic change in the management of patients in the medical field, boosting the use of telemedicine. A comparison of clinical outcomes and satisfaction between conventional face-to-face and telemedicine follow-up in general surgery, an economic evaluation is mandatory. The aim of the present study was to compare the differences in economic costs between these two outpatient approaches in a designed randomized controlled trial (RCT)...
April 9, 2024: Cirugia española
https://read.qxmd.com/read/38604475/impact-of-outpatient-pharmacist-dispensing-in-an-opioid-use-disorder-clinic
#38
JOURNAL ARTICLE
Emma Piehl, Stevie Veach, Amanda Powers, Rachel Otting, Jess Smith, Linnea A Polgreen, Kaley Wolff, Matthew J Witry
BACKGROUND: Medications for opioid use disorder (MOUD) are effective in reducing opioid deaths, but access can be an issue. Relocating an outpatient pharmacist for weekly buprenorphine dispensing in an outpatient clinic may facilitate coverage for buprenorphine and mitigate access and counseling barriers. OBJECTIVES: To evaluate if staffing an outpatient resident pharmacist to dispense in the buprenorphine clinic had a positive impact on 1) mean cost-per-prescription charged to charity care and 2) basic elements of patient satisfaction with the on-site pharmacist...
April 9, 2024: Journal of the American Pharmacists Association: JAPhA
https://read.qxmd.com/read/38604283/staged-bilateral-total-knee-arthroplasty-differing-results-comparing-the-first-and-second-knees
#39
JOURNAL ARTICLE
Logan Radtke, Derek Matheson, Mia Woychik, Brenna E Blackburn, Lucas A Anderson, Jeremy M Gililland, Christopher L Peters
INTRODUCTION: Patients often prefer one knee over the other following staged bilateral total knee arthroplasty (BTKA). Our study compared patient-reported outcomes scores (PROs) of each knee following BTKA and identified factors that may contribute to the identified discrepancies. METHODS: All patients who underwent staged BTKA between July 2014 and August 2022 were identified. The PROs were collected pre-operatively, at 2-weeks, 6-weeks, 1-year, and 2-years postoperatively...
April 9, 2024: Journal of Arthroplasty
https://read.qxmd.com/read/38604048/comparative-evaluation-of-nebulized-versus-intravenous-dexmedetomidine-on-intubating-conditions-during-awake-fiberoptic-nasotracheal-intubation
#40
JOURNAL ARTICLE
Anju Romina Bhalotra, Mona Arya, Rahil Singh, Shweta Dhiman
BACKGROUND: There is a search for an ideal agent to facilitate awake fiberoptic intubation (AFOI). Dexmedetomidine is a selective α2 agonist which can be administered through intravenous, intramuscular, buccal, intranasal & inhalational routes. It provides good intubation conditions without oxygen desaturation but may cause hypotension and bradycardia when administered intravenously. Hence, alternative routes of administering dexmedetomidine which may improve its safety profile are worth exploring...
April 10, 2024: Journal of Clinical Anesthesia
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