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Therapeutic education

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https://www.readbyqxmd.com/read/29907178/-the-challenges-of-time-in-therapeutic-education
#1
REVIEW
Christelle Dupuy
The notion of temporality is particularly important in the management of a chronic disease. Therapeutic education of the patient represents a holistic care approach in which his life history plays a role. Establishing a context favourable to personalised support requires one to consider one's cultural interactions. Adapted communication will favour an adjustment of behaviour and the improvement of one's quality of life.
June 2018: Revue de L'infirmière
https://www.readbyqxmd.com/read/29905543/importance-of-isolated-gestational-hypothyroxinemia-in-the-development-of-obstetric-and-somatic-pathologies
#2
N Morchiladze, B Tkeshelashvili, T Gagua, D Gagua
The isolated hypothyroxinemia of pregnancy (IHP) has gained specific attention in the specialized literature during the recent years as the possible factor impeding the intellectual development of fetus and increasing the risk of complications related with pregnancy, delivery and perinatal period. Aim of the study was to define the importance of isolated hypothyroxinemia in the development of obstetric and somatic pathologies in outpatient population of pregnant females. The study of prospective design was performed at the base of "David Gagua Clinic" Ltd...
May 2018: Georgian Medical News
https://www.readbyqxmd.com/read/29904903/nurse-s-contribution-to-alleviate-non-adherence-to-hypertension-treatment
#3
REVIEW
G Georgiopoulos, Z Kollia, V Katsi, D Oikonomou, C Tsioufis, D Tousoulis
PURPOSE OF REVIEW: Hypertension consists a major risk factor for cardiovascular events. Despite the proven effectiveness of antihypertensive treatment, approximately half of hypertensive patients have inadequate blood pressure control. Non-adherence to medication has been shown to be an important barrier to achieving adequate blood pressure control and nurse interventions can substantially improve therapeutic compliance. We sought to evaluate the role of nurse interventions in alleviating non-adherence to medication in patients with hypertension by performing a systematic review of the literature for all relevant articles...
June 15, 2018: Current Hypertension Reports
https://www.readbyqxmd.com/read/29904575/recent-advances-in-transfusions-in-neonates-infants
#4
REVIEW
Ruchika Goel, Cassandra D Josephson
Transfusions of red blood cells (RBCs), platelets, and plasma are critical therapies for infants and neonates (particularly preterm neonates) in the neonatal intensive care unit, who are the most frequently transfused subpopulation across all ages. Although traditionally a significant gap has existed between the blood utilization and the evidence base essential to adequately guide transfusion practices in infants and neonates, pediatric transfusion medicine is evolving from infancy and gradually coming of age...
2018: F1000Research
https://www.readbyqxmd.com/read/29901628/3d-printing-of-intracranial-aneurysm-based-on-intracranial-digital-subtraction-angiography-and-its-clinical-application
#5
Jian-Li Wang, Zi-Gang Yuan, Guo-Liang Qian, Wu-Qiao Bao, Guo-Liang Jin
The study aimed to develop simulation models including intracranial aneurysmal and parent vessel geometries, as well as vascular branches, through 3D printing technology. The simulation models focused on the benefits of aneurysmal treatments and clinical education. This prospective study included 13 consecutive patients who suffered from intracranial aneurysms confirmed by digital subtraction angiography (DSA) in the Neurosurgery Department of Shaoxing People's Hospital. The original 3D-DSA image data were extracted through the picture archiving and communication system and imported into Mimics...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29898237/effective-treatment-of-pediatric-eating-disorders
#6
Ashley Ariail, Elizabeth Carpenter, Twyala Smith, Briana Sacco
Eating disorders are prevalent in the pediatric population yet underdiagnosed by pediatric health care professionals. The gold standard of care consists of a multidisciplinary team approach including a therapist, registered dietitian nutritionist (RDN), and psychiatrist, combined with family-centered treatment. Although families do not cause eating disorders, they are essential to a child's recovery from an eating disorder. Psychoeducation, supportive limit setting, processing relational dynamics, and externalizing the eating disorder are therapeutic interventions used in the treatment of an eating disorder...
June 1, 2018: Pediatric Annals
https://www.readbyqxmd.com/read/29898191/satisfaction-and-burden-of-mental-health-personnel-data-from-healthcare-services-for-substance-users-and-their-families
#7
Juliana B Hilgert, Augusto B Bidinotto, Mayra P Pachado, Letícia S Fara, Lisia von Diemen, Raquel B De Boni, Mary C Bozzetti, Flávio Pechansky
OBJECTIVE: To evaluate satisfaction and burden of mental health personnel providing mental health services for substance users and their families. METHOD: Five hundred twenty-seven mental health workers who provide treatment for substance users in five Brazilian states were interviewed. Data on sociodemographic characteristics and measures of satisfaction (SATIS-BR) and burden of mental health personnel (IMPACTO-BR) were collected. RESULTS: Type of mental health service and educational attainment were associated with degree of satisfaction and burden...
June 11, 2018: Revista Brasileira de Psiquiatria
https://www.readbyqxmd.com/read/29893860/is-it-time-for-a-paradigm-shift-in-drug-research-and-development-in-endometriosis-adenomyosis
#8
Sun-Wei Guo, Patrick G Groothuis
BACKGROUND: The drug research and development (R&D) for endometriosis/adenomyosis has been painfully slow. Most completed clinical trials on endometriosis did not publish their results, and presumably failed. While few published trials did report how they foundered, the reasons why they failed are often completely unclear. Surprisingly, there has been no open discussion on why these trials failed. If the causes for these failed trials remain unelucidated, mistakes made in these failed trials may be repeated in the future...
June 11, 2018: Human Reproduction Update
https://www.readbyqxmd.com/read/29890934/arash-a-social-robot-buddy-to-support-children-with-cancer-in-a-hospital-environment
#9
Ali Meghdari, Azadeh Shariati, Minoo Alemi, Gholamreza R Vossoughi, Abdollah Eydi, Ehsan Ahmadi, Behrad Mozafari, Ali Amoozandeh Nobaveh, Reza Tahami
This article presents the thorough design procedure, specifications, and performance of a mobile social robot friend Arash for educational and therapeutic involvement of children with cancer based on their interests and needs. Our research focuses on employing Arash in a pediatric hospital environment to entertain, assist, and educate children with cancer who suffer from physical pain caused by both the disease and its treatment process. Since cancer treatment causes emotional distress, which can reduce the efficiency of medications, using social robots to interact with children with cancer in a hospital environment could decrease this distress, thereby improving the effectiveness of their treatment...
June 2018: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
https://www.readbyqxmd.com/read/29889973/ether-anesthesia-in-the-austere-environment-an-exposure-and-education
#10
L Brad Morgans, Nicholas Graham
Medical services in the austere and limited environment often require therapeutics and practices uncommon in modern times due to a lack of availability, affordability, or expertise in remote areas. In this setting, diethyl ether, or simply ether anesthesia, still serves a role today as an effective inhalation agent. An understanding of ether as an anesthetic not only illustrates the evolution in surgical anesthesia but also demonstrates ether's surviving function and durable use as a practical agent in developing nations...
2018: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/29889703/val-holly-teaching-empathy-through-an-evolving-case-study
#11
Cheryl Leiningen, Laura Kelly
With the demand for learning required technical skills continuing to increase, nurse educators must not lose sight of the importance of assisting undergraduate nursing students to develop skills essential for creating a trusting therapeutic relationship. Teaching empathy through a semester-long family care project presented as an unfolding case study can help students understand what it is like for a patient and family to struggle with the multiple issues associated with having a chronic disease.
June 9, 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29889599/pain-management-using-a-multimodal-physiotherapy-program-including-a-biobehavioral-approach-for-chronic-nonspecific-neck-pain-a-randomized-controlled-trial
#12
Ibai López-de-Uralde-Villanueva, Hector Beltran-Alacreu, Josué Fernández-Carnero, Roy La Touche
OBJECTIVE: To determine the effectiveness of a therapeutic patient education (TPE) intervention based on a biobehavioral approach combined with manual therapy (MT) to reduce pain in patients with chronic nonspecific neck pain (CNSNP). In addition, this study intended to assess the effectiveness of a multimodal physiotherapy program including TPE to reduce pain in patients with CNSNP. DESIGN: Single-blind randomized controlled trial. INTERVENTIONS: A total of 47 patients with CNSNP were randomized into three groups: (1) MT (control group); (2) MT plus TPE based on a biobehavioral approach (Exp1); and (3) MT plus TPE based on a biobehavioral approach, and therapeutic exercise (Exp2)...
June 11, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29886487/transition-of-care-from-childhood-to-adulthood-congenital-adrenal-hyperplasia
#13
Anne Bachelot
Deficiency of the 21-hydroxylase enzyme is the most common form of congenital adrenal hyperplasia (CAH), accounting for more than 95% of the cases. With the advent of newborn screening and hormone replacement therapy, most children with CAH survive into adulthood. Adolescents and adults with CAH experience a number of complications, including short stature, obesity, infertility, impaired bone mineral density, and reduced quality of life. Transition from pediatric to adult care and management of long-term complications are challenging for both patients and practitioners...
2018: Endocrine Development
https://www.readbyqxmd.com/read/29886280/review-fantastic-medical-implications-of-3d-printing-in-liver-surgeries-liver-regeneration-liver-transplantation-and-drug-hepatotoxicity-testing-a-review
#14
REVIEW
Jing-Zhang Wang, Nan-Yan Xiong, Li-Zhen Zhao L Z Zhao, Jin-Tian Hu, De-Cheng Kong, Jiang-Yong Yuan
The epidemiological trend in liver diseases becomes more serious worldwide. Several recent articles published by International Journal of Surgery in 2018 particularly emphasized the encouraging clinical benefits of hepatectomy, liver regeneration and liver transplantation, however, there are still many technical bottlenecks underlying these therapeutic approaches. Remarkably, a few preliminary studies have shown some clues to the role of three-dimensional (3D) printing in improving traditional therapy for liver diseases...
June 7, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29876753/age-level-vs-grade-level-for-the-diagnosis-of-adhd-and-neurodevelopmental-disorders
#15
Maurizio Bonati, Massimo Cartabia, Michele Zanetti, Laura Reale, Anna Didoni, Maria Antonella Costantino
A number of worldwide studies have demonstrated that children born later in the school year are more likely to receive an ADHD diagnosis than their same school-year peers. There is, however, variation in findings between countries. We aimed to confirm whether relative age is associated with ADHD diagnosis, with or without comorbidities, and to investigate whether relative age is associated with ADHD type and severity, and if this age relationship is in common with other neurodevelopmental disorder. We used the Lombardy Region's ADHD registry...
June 6, 2018: European Child & Adolescent Psychiatry
https://www.readbyqxmd.com/read/29876024/the-heart-valve-clinic-at-the-heart-hospital-in-doha-qatar-an-evidence-based-standard-of-care
#16
Alessandro Salustri, Salah El Badri, Abdul Haleem Shawky, Hakam Alzaeem
The incidence of degenerative heart valve disease is rising in developing countries and diagnosis, assessment and management are becoming increasingly complex. The availability of new interventional procedures has further expanded the therapeutic armamentarium, but at the same time, it has increased the proportion of high-risk patients, in whom risk-benefit analysis and the choice of the most appropriate therapy are particularly difficult. Accordingly, international societies have recommended dedicated heart valve clinics (HVCs) to meet these needs...
January 2018: Heart Views: the Official Journal of the Gulf Heart Association
https://www.readbyqxmd.com/read/29875916/-obstetric-fistulas-among-people-living-in-northern-katanga-province-democratic-republic-of-the-congo-about-242-cases
#17
Joseph Bulanda Nsambi, Olivier Mukuku, Jean-de-Dieu Foma Yunga, Xavier Kinenkinda, Prosper Kakudji, Justin Kizonde, Jean-Baptiste Kakoma
Obstetric fistulas are a major public health problem in poor countries. This study aimed to describe the epidemiological, clinical and therapeutic features of obstetric fistulas in northern Katanga province, Democratic Republic of the Congo. We conducted a descriptive cross-sectional study of 242 patients with obstetric fistula living in northern Katanga province from September 2009 to December 2013. The parameters studied included maternal sociodemographic data, obstetric and neonatal parameters, specific features of the fistula as well as management approach and outcome...
2018: Pan African Medical Journal
https://www.readbyqxmd.com/read/29872275/treatment-satisfaction-and-quality-of-life-in-patients-treated-with-fingolimod
#18
Claude Mékiès, Olivier Heinzlef, Béatrice Jenny, Anne-Laure Ramelli, Pierre Clavelou
Background: The development of oral treatments for relapsing-remitting multiple sclerosis (RRMS) may alter patient satisfaction and quality of life (QoL). The aim of this survey was to evaluate treatment satisfaction and QoL in patients treated with fingolimod in everyday clinical practice in France. Methods: Neurologists treating MS in France were invited to participate in the survey by telephone. Each physician was expected to recruit up to six patients with RRMS currently being treated with fingolimod...
2018: Patient Preference and Adherence
https://www.readbyqxmd.com/read/29871699/evaluation-of-virtual-patient-cases-for-teaching-diagnostic-and-management-skills-in-internal-medicine-a-mixed-methods-study
#19
Samira Jeimy, Jenny Yujing Wang, Lisa Richardson
OBJECTIVE: The virtual patient (VP) is a computer program that simulates real-life clinical scenarios and allows learners to make diagnostic and therapeutic decisions in a safe environment. Although many VP cases are available, few focus on junior trainees as their target audience. In addition, there is wide variability in trainees' clinical rotation experiences, based on local practice and referral patterns, duty hour restrictions, and competing educational requirements. In order to standardize clinical exposure and improve trainees' knowledge and perceived preparedness to manage core internal medicine cases, we developed a pool of VP cases to simulate common internal medicine presentations...
June 5, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29871473/functional-gastrointestinal-disorders-in-newborns-nutritional-perspectives
#20
Roberto Bellù, Manuela Condò
Functional gastrointestinal disorders (FGIDs) definition in children has changed over the years trying to facilitate clinicians, because the diagnostic process is complicated by the interpretation variability of symptoms described by children or by their caregivers for newborns and toddlers. This review refers to the Rome IV classification system, drafted in 2016. FGIDs pathophysiology is multifactorial and still poor understood, with limitations for the therapeutic process, which results often in unnecessary and alternative treatments trying to reduce the relevant caregiver distress, but with increased costs for families and for the National Health Service...
May 23, 2018: La Pediatria Medica e Chirurgica: Medical and Surgical Pediatrics
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