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https://www.readbyqxmd.com/read/30321219/consultations-on-driving-in-people-with-cognitive-impairment-in-primary-care-a-scoping-review-of-the-evidence
#1
Carol Sinnott, Tony Foley, Justin Forsyth, Kathleen McLoughlin, Linda Horgan, Colin P Bradley
OBJECTIVES: To review the empirical evidence on approaches used by Primary Care Physicians (PCPs) in fitness to drive (FtD) consultations with people living with cognitive impairment. DESIGN: Scoping review of empirical literature focused on primary studies of any design. SETTING: Primary care practice. PARTICIPANTS: PCPs or their equivalent and/ or individuals with cognitive impairment across the spectrum of mild cognitive impairment to dementia...
2018: PloS One
https://www.readbyqxmd.com/read/30301471/the-knowledge-and-attitudes-of-general-practitioners-to-the-assessment-and-management-of-pain-in-people-with-dementia
#2
Aisling A Jennings, Maura Linehan, Tony Foley
BACKGROUND: Pain in people with dementia is underdiagnosed and undertreated. General practitioners (GPs) play a pivotal role in dementia care but their perspectives on pain in people with dementia remains under-researched. The aim of this study was to explore GPs' knowledge and attitudes towards pain assessment and management in people with dementia. METHODS: This was a descriptive cross-sectional study. A questionnaire was adapted from a previous study and piloted with 5 GPs...
October 10, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/30289328/hematologic-and-serum-chemistry-values-of-endangered-san-joaquin-kit-foxes-vulpes-macrotis-mutica-with-sarcoptic-mange
#3
Jaime Rudd, Deana Clifford, Don Richardson, Brian Cypher, Tory Westall, Erica Kelly, Janet Foley
A fatal outbreak of sarcoptic mange caused by Sarcoptes scabiei in San Joaquin kit foxes ( Vulpes macrotis mutica) in Bakersfield, California, USA is causing the once-stable population to decline. Given the fatality of the disease in this already-endangered species experiencing continued population declines, city-wide interventions are underway. To optimize medical management of mange-infested kit foxes, we documented serum biochemistry and hematology values for 11 kit foxes with mange collected from January-May 2015 and compared them to historical data from 18 healthy Bakersfield kit foxes...
October 5, 2018: Journal of Wildlife Diseases
https://www.readbyqxmd.com/read/30282437/new-economical-and-simple-device-for-intraoperative-expansion-on-small-and-medium-sized-soft-tissue-defects
#4
Jun Won Lee, Seong Hoon Park, Seong Joo Lee, Seong Hwan Kim, Hii Sun Jeong, In Suck Suh
Intraoperative expansion has been used to cover small to large defects without disadvantages of the conventional tissue expanders. Various materials, for example, expanders and Foley catheters are being used. We introduce a new, convenient and economical device immediately available in the operating room, according to the defect size for intraoperative expansion, with latex gloves or balloons. The retrospective study was done with 20 patients who presented with skin and soft tissue defects. During the operation, expansion was done with latex gloves or balloons inflated with saline through an intravenous line and a three-way stopcock...
September 2018: Archives of Craniofacial Surgery
https://www.readbyqxmd.com/read/30275785/successful-treatment-of-cesarean-scar-pregnancy-with-suction-curettage-our-experiences-in-early-pregnancy
#5
Ayşe Karahasanoglu, Işıl Uzun, Ayşegül Deregözü, Mucize Ozdemir
Background: Cesarean scar pregnancy is an ectopic pregnancy embedded in the myometrium of a cesarean scar. Several types of conservative treatment have been used to treat cesarean scar pregnancy, but no management protocol has been established for this rare, life-threatening condition. The purpose of this study was to evaluate the feasibility of suction curettage as a first-line treatment in early cesarean scar pregnancy. Methods: During a 4-year period, 19 cases of cesarean scar pregnancy were diagnosed at Süleymaniye Maternity Hospital in Istanbul, Turkey...
2018: Ochsner Journal
https://www.readbyqxmd.com/read/30264506/respiratory-health-inequality-starts-early-the-impact-of-social-determinants-on-the-aetiology-and-severity-of-bronchiolitis-in-infancy
#6
David Foley, Elspeth Best, Nicholas Reid, Max Mary J Berry
AIM: To define the impact of demographics on the incidence, aetiology and clinical course of viral bronchiolitis in infants younger than 2 years of age. METHODS: Retrospective case review of all viral bronchiolitis admissions for patients aged younger than 2 years old from January 1 2014 to 31 December 2015 at Wellington Regional Hospital, New Zealand. Demographic data, second-hand smoke exposure (SHSE) and presence of predisposing conditions were collected, along with outcome data including use of respiratory support and intensive care unit (ICU) admission...
September 27, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/30256135/white-paper-for-global-palliative-care-advocacy-recommendations-from-a-pal-life-expert-advisory-group-of-the-pontifical-academy-for-life-vatican-city
#7
Carlos Centeno, Thomas Sitte, Liliana de Lima, Sami Alsirafy, Eduardo Bruera, Mary Callaway, Kathleen Foley, Emmanuel Luyirika, Daniela Mosoiu, Katherine Pettus, Christina Puchalski, M R Rajagopal, Julianna Yong, Eduardo Garralda, John Y Rhee, Nunziata Comoretto
BACKGROUND: The Pontifical Academy for Life (PAV) is an academic institution of the Holy See (Vatican), which aims to develop and promote Catholic teachings on questions of biomedical ethics. Palliative care (PC) experts from around the world professing different faiths were invited by the PAV to develop strategic recommendations for the global development of PC ("PAL-LIFE group"). DESIGN: Thirteen experts in PC advocacy participated in an online Delphi process...
October 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/30251050/a-new-urethral-catheterisation-device-ucd-to-manage-difficult-urethral-catheterisation
#8
S Bugeja, K Mistry, I H W Yim, A Tamimi, N Roberts, A R Mundy
The cost of urethral catheterisation injury (UCI) is significant, but the true incidence of patient care error is difficult to establish in the absence of specific hospital codes recording difficult urethral catheterisation (DUC) and UCI. For many years urologists are familiar passing a non-traumatic hydrophilic guidewire blindly into the bladder to aid urethral catheter insertion in difficult circumstances. However, so far, no purpose-built regulated medical device was available on the market and clinicians had to improvise...
September 24, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/30225419/family-help-with-medication-management-a-predictive-marker-for-early-readmission
#9
Magali P Disdier Moulder, Jenna M Larock, Adrian Garofoli, David A Foley
Objectives: To identify aspects of medication management that are associated with a greater risk of hospital readmission. Patients and Methods: We conducted a prospective cohort study, with a thorough medication history and reconciliation performed at admission and discharge. Patients 18 years or older (N=258) were prospectively enrolled on admission to a cardiology service at a tertiary care hospital from September 1, 2011, through July 31, 2012. All patients received their hospital and outpatient care within our institution, which minimized loss to follow-up...
December 2017: Mayo Clinic proceedings. Innovations, quality & outcomes
https://www.readbyqxmd.com/read/30221820/bacterial-infections-in-pediatric-patients-during-early-post-liver-transplant-period-a-prospective-study-in-iran
#10
Gholamreza Pouladfar, Zahra Jafarpour, Seyed Ali Malek Hosseini, Mohammad Firoozifar, Razieh Rasekh, Leila Khosravifard
BACKGROUND: Bacterial infection in early period after liver transplant (LT) is the main cause of morbidity and mortality; however, data on children is limited. METHODS: To investigate the frequency, characteristics, and the associated factors of bacterial infection during hospitalization after LT, we prospectively enrolled all consecutive children with LT for a one-year, case-control study at the unique referral center of pediatric LT in Iran. RESULTS: Eighty-five events of bacterial infection were detected among 51 out of 94 LT recipients (54...
September 17, 2018: Transplant Infectious Disease: An Official Journal of the Transplantation Society
https://www.readbyqxmd.com/read/30217710/length-of-stay-following-thoracic-endovascular-aortic-repair-tevar-depends-on-indication-and-acuity
#11
Nathan Belkin, Benjamin M Jackson, Paul J Foley, Scott M Damrauer, Venkat Kalapatapu, Michael A Golden, Ronald M Fairman, Rachel R Kelz, Grace J Wang
BACKGROUND: Length of stay (LOS) is a commonly used metric to optimize value in medical care. While pathways have been developed for some procedures in vascular surgery to reduce length of stay (LOS), they do not yet exist for TEVAR. The purpose of this study is to identify and define the risk factors for prolonged LOS in patients undergoing TEVAR to facilitate pathway development. METHODS: We included TEVAR patients in the National Surgical Quality Improvement Program (ACS-NSQIP) database from 2005-2015...
September 11, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/30208864/risk-factors-for-multidrug-resistant-tuberculosis-among-tuberculosis-patients-in-serbia-a-case-control-study
#12
Maja Stosic, Dejana Vukovic, Dragan Babic, Gordana Antonijevic, Kristie L Foley, Isidora Vujcic, Sandra Sipetic Grujicic
BACKGROUND: Multidrug resistant (MDR) tuberculosis (TB) represents TB which is simultaneous resistant to at least rifampicin (R) and isoniazid (H). Identifying inadequate therapy as the main cause of this form of the disease and explaining the factors leading to its occurrence, numerous social determinants that affect the risk of developing resistance are highlighted. The objectives of the study was to identify independent factors of MDR-TB among tuberculosis patients. METHODS: Case-control study was conducted from 1st September 2009 to 1st June 2014 in 31 healthcare institutions in Serbia where MDR-TB and TB patients were treated...
September 12, 2018: BMC Public Health
https://www.readbyqxmd.com/read/30199732/a-foreign-body-in-inguinal-canal-a-case-report
#13
Amer Hashim Al Ani, Mohammad Bakri Hammami, Obaidah M Mukhles Adi
INTRODUCTION: Inguinal bladder hernias are rare incidents accounting for 1-3% of all inguinal hernia. Most of those cases are discovered intraoperatively accounting for the high incidence of bladder injuries during the repair. Symptoms can be variable depending on the size of the herniated bladder. PRESENTATION OF CASE: We present here a 70 years old obese male patient, with history of CVA & on regular Aspirin ingestion. He presented to the ER as a case of intestinal obstruction due to suspicion of strangulated inguinal hernia based on an unclear Ultrasound picture...
August 19, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/30186012/role-of-intra-abdominal-pressure-in-early-acute-kidney-injury-a-prospective-cohort-study-in-critically-ill-obstetric-patients
#14
Asha Tyagi, Shubham Lahan, Gaurav Verma, Shukla Das, Mahendra Kumar
Aims: This prospective cohort study evaluated intra-abdominal pressure (IAP) and its role in causing acute kidney injury (AKI) in critically ill obstetric patients and utility of urinary neutrophil gelatinase-associated lipocalin (NGAL) to predict AKI. Methods: A total of 50 eligible obstetric patients admitted to our Intensive Care Unit were enrolled and daily IAP measured using indwelling Foley catheter. Early AKI was diagnosed as per the KDIGO criteria and urine assessed for NGAL using ELISA...
August 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/30166430/comparison-of-advanced-imaging-resources-radiology-workforce-and-payment-methodologies-between-the-united-states-and-canada
#15
H A Valand, S Chu, R Bhala, R Foley, J A Hirsch, R K Tu
The purpose of this Practice Perspectives was to review the United States and Canadian approaches to health care access and payment for advanced imaging. The historical background, governmental role, workforce, coding, payment, radiologic challenges, cost, resource intensity, and overall outcomes in longevity are reviewed.
August 30, 2018: AJNR. American Journal of Neuroradiology
https://www.readbyqxmd.com/read/30136044/lower-endoscopic-diagnostic-yields-observed-in-non-hematemesis-gastrointestinal-bleeding-patients
#16
Salmaan Jawaid, Neil Marya, Bilal Gondal, Louise Maranda, Christopher Marshall, Joseph Charpentier, Abbas Rupawala, Muhammad Al-Sayid, Anupam Singh, Anne Foley, Gregory Volturo, David Cave
BACKGROUND: Location of bleeding can present a diagnostic challenge in patients without hematemesis more so than those with hematemesis. AIM: To describe endoscopic diagnostic yields in both hematemesis and non-hematemesis gastrointestinal bleeding patient populations. METHODS: A retrospective analysis on a cohort of 343 consecutively identified gastrointestinal bleeding patients admitted to a tertiary care center emergency department with hematemesis and non-hematemesis over a 12-month period...
August 22, 2018: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/30135759/the-development-and-evaluation-of-an-online-dementia-resource-for-primary-care-based-health-professionals
#17
Aisling A Jennings, Siobhán Boyle, Tony Foley
Background: Primary care based health professionals struggle with many aspects of dementia care. General practitioners (GPs) find providing post-diagnosis information on services and supports particularly challenging. Likewise, people with dementia and their family caregivers feel they need more support from their GPs in this post-diagnosis period. Objective: This study aimed to develop and evaluate an online educational resource for primary care health professionals that included a dementia specific services and supports directory...
March 2018: Internet Interventions: the Application of Information Technology in Mental and Behavioural Health
https://www.readbyqxmd.com/read/30124956/the-stroke-navigator-meaningful-use-of-the-electronic-health-record-to-efficiently-report-inpatient-stroke-care-quality
#18
Jay K Nathan, Jenevra Foley, Tiffany Hoang, Jim Hiner, Stephanie Brooks, Julian L Gendreau, William J Meurer, Aditya S Pandey, Eric E Adelman
To facilitate high-quality inpatient care for stroke patients, we built a system within our electronic health record (EHR) to identify stroke patients while they are in the hospital; capture necessary data in the EHR to minimize the burden of manual abstraction for stroke performance measures, decreasing daily time requirement from 2 hours to 15 minutes; generate reports using an automated process; and electronically transmit data to third parties. Provider champions and support from the EHR development team ensured that we balanced the needs of the hospital with those of frontline providers...
August 16, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/30112225/extreme-and-cyclical-blood-pressure-elevation-in-a-pheochromocytoma-hypertensive-crisis
#19
V Larouche, N Garfield, E Mitmaker
Pheochromocytomas are rare adrenal neoplasms characterized by excess secretion of catecholamines. We describe the case of a 65-year-old man, known for hypertension, with no family history of hereditary pheochromocytoma syndromes. He reported a two-year history of flushing, systolic blood pressure surges to 200 mmHg, headaches, tremors, and syncope. His initial workup revealed elevated 24h urine catecholamines and metanephrines. An adrenal MRI in March 2017 showed a large 7.6 cm heterogeneous right adrenal lesion...
2018: Case Reports in Endocrinology
https://www.readbyqxmd.com/read/30094830/higher-quality-lower-cost-with-an-innovative-geriatrics-consultation-service
#20
Juliana M Bernstein, Peter Graven, Kathleen Drago, Konrad Dobbertin, Elizabeth Eckstrom
OBJECTIVES: To design a value-driven, interprofessional inpatient geriatric consultation program coordinated with systems-level changes and studied outcomes and costs. DESIGN: Propensity-matched case-control study of older adults hospitalized at an academic medical center (AMC) who did or did not receive geriatric consultation. SETTING: Single tertiary-care AMC in Portland, Oregon. PARTICIPANTS: Adults aged 70 and older who received an inpatient geriatric consultation (n=464) and propensity-matched controls admitted before development of the consultation program (n=2,381)...
September 2018: Journal of the American Geriatrics Society
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