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https://www.readbyqxmd.com/read/29917325/introduction-of-the-colorectal-cancer-screening-program-results-from-a-single-centre-study
#1
Nina C A Vermeer, Renu R Bahadoer, Esther Bastiaannet, Fabian A Holman, Elma Meershoek-Klein Kranenbarg, Gerrit-Jan Liefers, Cornelis J H van de Velde, Koen C M J Peeters
AIM: In 2014, a national colorectal cancer (CRC) screening program was launched in the Netherlands. It is difficult to assess for the individual CRC patient whether the oncological benefits of surgery will outweigh the morbidity of the procedure, especially in early lesions. This study compares patient and tumour characteristics between screen-detected and non-screen-detected patients. Secondly, we present an overview of treatment options and clinical dilemmas when treating patients with early stage colorectal disease...
June 19, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29916949/central-line-in-long-term-parenteral-nutrition-in-children-a-european-survey
#2
Iva Hojsak, Florence Lacaille, Girish L Gupte, Jutta Köglmeier
BACKGROUND AND AIMS: The guidelines for the insertion and maintenance of the central venous catheter (CVC) in children on long-term parenteral nutrition (PN) were published 12 years ago and studies evaluating the outcomes are limited. Therefore, the aim of this study was to perform a survey about criteria for CVC insertion and maintenance in intestinal failure/rehabilitation centres treating children on home PN. METHODS: An on-line cross-sectional survey based on previous European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) PN guidelines was distributed electronically to the members of the ESPGHAN networking group, Network for Intestinal Failure and Transplantation in Europe (NITE) and tertiary paediatric gastroenterology centres in Europe...
June 18, 2018: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/29916448/clinical-profile-and-risk-factors-associated-with-severe-scrub-typhus-infection-among-non-icu-patients-in-semi-urban-south-india
#3
Sarah S Premraj, K Mayilananthi, Durga Krishnan, K Padmanabhan, D Rajasekaran
Background & objectives: Scrub typhus is as an emerging infectious disease that generally causes acute febrile illness, with disease spectrum ranging from mild illness to multiorgan dysfunction. This study was aimed to report the clinical profile, complications and risk factors associated with severe illness in patients with scrub typhus, outside the intensive care setting. Methods: It was a prospective study, which involved recruitment of patients with acute febrile illness and diagnosed to have scrub typhus, who were admitted to the general medical wards of a tertiary care centre in Kanchipuram district, in semi-urban south India, over a 12 month period between June 2015 and May 2016...
January 2018: Journal of Vector Borne Diseases
https://www.readbyqxmd.com/read/29915941/cell-surface-signatures-of-immune-dysfunction-risk-stratify-critically-ill-patients-infect-study
#4
Andrew Conway Morris, Deepankar Datta, Manu Shankar-Hari, Jacqueline Stephen, Christopher J Weir, Jillian Rennie, Jean Antonelli, Anthony Bateman, Noel Warner, Kevin Judge, Jim Keenan, Alice Wang, Tony Burpee, K Alun Brown, Sion M Lewis, Tracey Mare, Alistair I Roy, Gillian Hulme, Ian Dimmick, Adriano G Rossi, A John Simpson, Timothy S Walsh
PURPOSE: Cellular immune dysfunctions, which are common in intensive care patients, predict a number of significant complications. In order to effectively target treatments, clinically applicable measures need to be developed to detect dysfunction. The objective was to confirm the ability of cellular markers associated with immune dysfunction to stratify risk of secondary infection in critically ill patients. METHODS: Multi-centre, prospective observational cohort study of critically ill patients in four UK intensive care units...
May 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29915738/failure-to-achieve-goal-blood-pressure-and-its-associated-factors-among-hypertensive-patients-registered-in-a-primary-health-centre-in-south-india
#5
Bharathnag Nagappa, Pruthu Thekkur, Marie Gilbert Majella, Divya Nair, Gomathi Ramaswamy, Palanivel Chinnakali
Introduction: Uncontrolled blood pressure (BP) among hypertensive patients leads to life-threatening complications, hospitalization, and premature mortality. Knowledge on the burden of uncontrolled BP and its correlates will help in devising strategies to achieve goal BP. We aimed to determine the proportion who have not achieved goal BP and its associated factors among hypertensive patients in a Primary Health Centre (PHC). Materials and Methods: A facility-based cross-sectional analytical study was conducted among the hypertensive patients attending chronic disease clinic of PHC at Ramanathapuram, Puducherry...
January 2018: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29914858/telemedicine-use-among-caregivers-of-cancer-patients-systematic-review
#6
REVIEW
Chiara Marzorati, Chiara Renzi, Samuel William Russell-Edu, Gabriella Pravettoni
BACKGROUND: The number of published studies and systematic reviews examining different telehealth interventions targeting patients and their effects on patients' well-being and quality of life have grown in recent decades. However, the use of telemedicine tools aimed at the family members and caregivers of adult cancer patients is less defined. OBJECTIVE: We aimed to conduct a systematic review to provide a more complete picture regarding telemedicine tools for informal caregivers (usually family members or close friends) implemented in all phases of cancer care...
June 18, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29914745/tracheal-bronchus-diagnosed-in-children-undergoing-flexible-bronchoscopy
#7
REVIEW
Estela Pérez Ruiz, Pilar Caro Aguilera, Ana Isabel Valdivielso, Sonia Sanchís Cárdenas, Yazmina Martínez García, Javier Pérez Frías
This paper describes the clinical features of paediatric patients with tracheal bronchus (TB) identified with flexible bronchoscopy (FB) in a tertiary care hospital. A retrospective review of every FB with diagnosis of TB carried out in our centre since 1990 was performed which considered specifically: age at diagnosis, gender, semiology, somatic anomalies, tracheal bronchus type, other bronchoscopic findings and clinical progress. Out of 1665 FB in 1337 patients, TB was found in 26 (1.9%). The median age was 15 months (age range 1 month-13 years), with no gender differences...
May 19, 2018: Paediatric Respiratory Reviews
https://www.readbyqxmd.com/read/29914607/tuberculosis-tobacco-integration-in-the-south-east-asia-region-policy-analysis-and-implementation-framework
#8
M K A Hyder, J P Tripathy, J Kaur, P P Mandal, R Sharma, A M V Kumar, T Thamarangsi, R J Singh
SETTING: Despite overwhelming evidence for the association between tuberculosis (TB) and tobacco use, it remains neglected in the context of policy, planning and practice. There is limited evidence about the extent of integration of TB and tobacco control programmes in South-East Asia Region (SEAR) countries. OBJECTIVE: To assess the level of TB-tobacco integration in 11 SEAR countries. DESIGN: Cross-sectional study using a structured questionnaire addressed to TB and tobacco focal points at the World Health Organization Country Offices...
July 1, 2018: International Journal of Tuberculosis and Lung Disease
https://www.readbyqxmd.com/read/29914494/development-of-an-exercise-intervention-for-the-prevention-of-musculoskeletal-shoulder-problems-after-breast-cancer-treatment-the-prevention-of-shoulder-problems-trial-uk-prosper
#9
Helen Richmond, Clare Lait, Cynthia Srikesavan, Esther Williamson, Jane Moser, Meredith Newman, Lauren Betteley, Beth Fordham, Sophie Rees, Sarah E Lamb, Julie Bruce
BACKGROUND: Musculoskeletal shoulder problems are common after breast cancer treatment. There is some evidence to suggest that early postoperative exercise is safe and may improve shoulder function. We describe the development and delivery of a complex intervention for evaluation within a randomised controlled trial (RCT), designed to target prevention of musculoskeletal shoulder problems after breast cancer surgery (The Prevention of Shoulder Problems Trial; PROSPER). METHODS: A pragmatic, multicentre RCT to compare the clinical and cost-effectiveness of best practice usual care versus a physiotherapy-led exercise and behavioural support intervention in women at high risk of shoulder problems after breast cancer treatment...
June 18, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29913711/some-practical-treatment-methods-of-dealing-with-pain-disabilities-in-rural-ghana
#10
Desmond Ayim-Aboagye, T Gordh
Background and aims The investigation was conducted among six practitioners and twenty-two patients in rural Ghana, where both practitioners and patients, were asked to unveil effective methods of treating pain and pain disabilities. Methods The investigation utilised strictly observational methods in acquiring data from two communities. Both patients and practitioners were later interviewed in a manner that elicited certain information needed to provide accurate understanding concerning these treatments methods they give to patients...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29913656/suicide-attempts-in-chronic-pain-patients-a-register-based-study
#11
Elsebeth Stenager, Erik Christiansen, Gitte Handberg, Børge Jensen
Background There are several studies about the relationship between depression and chronic non-malignant pain. These studies have shown that up to 50% of chronic pain patients are suffering from depression. It is, therefore, reasonable to expect that pain patients would also have an increased risk of suicidal behaviour. This problem is not well studied. Since 1990 the Centre for Suicide Research, Odense, Denmark has registered all suicide attempts in patients residing in the Region of Funen, Denmark. The Pain Clinic, Odense University Hospital receives patients with chronic pain from the entire Region of Southern Denmark...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29913348/from-linear-care-plan-through-concept-map-to-concepto-plan-the-creation-of-an-innovative-and-holistic-care-plan
#12
M Sherry McDonald, Melanie Neumeier, Mark E Olver
Linear care plans have traditionally been used in nursing education to support nursing students in identifying potential and actual health care problems, and to follow up on those issues with nursing interventions. However, the linear care plan does not support the nursing student with learning in-depth critical thinking, clinical reasoning, creative thinking, and other ways of thinking. Concept mapping was introduced as a way to support the nursing student to improve upon critical thinking and clinical reasoning and to identify relationships among the patient's health care problems...
May 26, 2018: Nurse Education in Practice
https://www.readbyqxmd.com/read/29912659/adolescents-perspectives-on-everyday-life-with-obesity-a-qualitative-study
#13
Gudbjørg Øen, Bente Kvilhaugsvik, Kari Eldal, Anne-Grethe Halding
PURPOSE: This study aimed to gain an in-depth understanding of the perspectives and life experiences of adolescents living with obesity. METHODS: Five adolescents living with obesity were involved in repeated interviews, and qualitative content analysis was performed. RESULTS: Three themes emerged: obesity as a multi-faceted and difficult to solve condition; obesity as a shameful and vulnerable subject; and bullying and fragile social relationships...
December 2018: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/29911893/effects-of-an-intensive-long-term-prevention-programme-after-myocardial-infarction-a-randomized-trial
#14
Harm Wienbergen, Andreas Fach, Sven Meyer, Jochen Meyer, Janina Stehmeier, Tina Backhaus, Stephan Michel, Kirsten Krämer, Rico Osteresch, Johannes Schmucker, Henning Haase, Tobias Härle, Albrecht Elsässer, Rainer Hambrecht
Background Long-term risk factor control after myocardial infarction (MI) is currently inadequate and there is an unmet need for effective secondary prevention programmes. Design and methods It was the aim of the study to compare a 12-month intensive prevention programme (IPP), coordinated by prevention assistants and including education sessions, telephone visits and telemetric risk factor control, with usual care after MI. Three hundred and ten patients were randomized to IPP vs. usual care one month after hospital discharge for MI in two German heart centres...
January 1, 2018: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/29911595/the-influence-of-personality-traits-on-perception-of-pain-in-older-adults-findings-from-the-swedish-national-study-on-aging-and-care-blekinge-study
#15
Lena Sandin Wranker, Mikael Rennemark, Sölve Elmståhl, Johan Berglund
Background and aims The experience of pain may vary in accordance with personality traits and individual characteristics. Neuroticism is demonstrated to constitute a vulnerability factor among younger and middle-aged pain patients. The combination of openness and neuroticism is associated with high anxiety/depression scores among adult individuals with chronic conditions. The aim of this study was to investigate possible associations between pain and the personality dimensions of neuroticism, extroversion, openness, agreeableness and conscientiousness among persons aged 60 years and older...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29911510/mixed-adenoneuroendocrine-carcinoma-of-the-colon-and-rectum
#16
S Qiu, G Pellino, O J Warren, S Mills, R Goldin, C Kontovounisios, P P Tekkis
Mixed adenoneuroendocrine carcinoma (MANEC) are rare cancers of the gastrointestinal (GI) and pancreatobiliary tract. They are characterized by the presence of a combination of epithelial and neuroendocrine elements, where each component represents at least 30% of the tumour. Review of literature and consolidation of clinicopathological data. Sixty-one cases of colorectal MANEC have been reported in literature and one seen in this centre. The median age of the patients affected was 61.9 ± 12.4 years (20-94 years)...
June 17, 2018: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/29910835/supportive-care-needs-of-multicultural-patients-with-cancer-in-the-united-arab-emirates
#17
Satish Chandrasekhar Nair, Hassan Jaafar, Mohamed Jaloudi, Khaled Qawasmeh, Afra AlMarar, Halah Ibrahim
Despite the high prevalence of cancer in the Middle East, there is limited published data reporting the needs of cancer patients in this region of the world. The purpose of this study is to assess the unmet supportive care needs of oncology patients in the United Arab Emirates (UAE). From December 2014 to December 2016, a cross-sectional survey of cancer patients was conducted at a large tertiary care hospital and an oncology referral centre in the UAE, using a validated Arabic translation of the supportive care needs survey--short form (SCNS-SF34-A), assessing cancer-specific perceived needs across five domains: psychological, health system information, patient care and support, physical and daily living and sexuality...
2018: Ecancermedicalscience
https://www.readbyqxmd.com/read/29910497/study-of-the-impact-of-training-of-registered-nurses-in-cardiopulmonary-resuscitation-in-a-tertiary-care-centre-on-patient-mortality
#18
Mayureshkumar Pareek, Vandana Parmar, Jigisha Badheka, Nirmalyo Lodh
Background and Aims: Nurses should have cardiopulmonary resuscitation (CPR) knowledge and skills to be able to implement effective interventions during in-hospital cardiac arrest. The aim of this descriptive study was to assess mortality impact after nurses' CPR training with pre-CPR training data at our institute. Methods: Training regarding CPR was given to nurses, and CPR mortality 1-year before basic life support (BLS) and advanced cardiac life support (ACLS) training were collected and compared with post-training 1-year CPR mortality...
May 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/29910042/belimumab-in-kidney-transplantation-an-experimental-medicine-randomised-placebo-controlled-phase-2-trial
#19
Gemma D Banham, Shaun M Flint, Nicholas Torpey, Paul A Lyons, Don N Shanahan, Adele Gibson, Christopher J E Watson, Ann-Marie O'Sullivan, Joseph A Chadwick, Katie E Foster, Rachel B Jones, Luke R Devey, Anna Richards, Lars-Peter Erwig, Caroline O Savage, Kenneth G C Smith, Robert B Henderson, Menna R Clatworthy
BACKGROUND: B cells produce alloantibodies and activate alloreactive T cells, negatively affecting kidney transplant survival. By contrast, regulatory B cells are associated with transplant tolerance. Immunotherapies are needed that inhibit B-cell effector function, including antibody secretion, while sparing regulators and minimising infection risk. B lymphocyte stimulator (BLyS) is a cytokine that promotes B-cell activation and has not previously been targeted in kidney transplant recipients...
June 14, 2018: Lancet
https://www.readbyqxmd.com/read/29909798/an-exploration-of-the-attitudes-and-views-of-general-practitioners-on-the-use-of-video-consultations-in-a-primary-healthcare-setting-a-qualitative-pilot-study
#20
Ratan S Randhawa, Joht S Chandan, Tom Thomas, Surinder Singh
BACKGROUND: In 2014, in the United Kingdom, the government made a commitment to spend £3.6 million on the introduction of Skype video calling consultations in general practice, however the efficacy of such technology has not yet been explored fully.AimThe study aimed to explore the views and attitudes of General Practitioners (GPs) towards video consultation in primary care; specifically, in three broad areas ∙The benefits of video consultations to patients and healthcare professionals...
June 18, 2018: Primary Health Care Research & Development
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