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medical communications

A Michael Donoghue, James C Wesdock
BACKGROUND: Lobar pneumonia is an occupational disease of welders. This is the first report of global deployment of a pneumococcal vaccination program for welders within a multi-national corporation. METHODS: Global webinars were conducted to introduce the program. Communication packages translated into all location languages were deployed. All employee welders who had not previously been vaccinated were offered a free single dose of pneumococcal polysaccharide vaccine (PPV23) by on-site location medical centers during normal working hours...
December 10, 2018: American Journal of Industrial Medicine
Johanna E Bellon, Andrew Bilderback, Namita S Ahuja-Yende, Cindy Wilson, Stefanie C Altieri Dunn, Deborah Brodine, Michael L Boninger
OBJECTIVES: To compare rates of 30- and 90-day hospital readmissions and observation or emergency department (ED) returns of older adults using the University of Pittsburgh Medical Center (UPMC) Health Plan Home Transitions (HT) with those of Medicare fee-for-service (FFS) controls without HT. DESIGN: Retrospective cohort study. SETTING: Analysis of home health and hospital records from 8 UPMC hospitals in Allegheny County, Pennsylvania, from July 1, 2015, to April 30, 2017...
December 8, 2018: Journal of the American Geriatrics Society
Janice B Schwartz, Kenneth E Schmader, Joseph T Hanlon, Darrell R Abernethy, Shelly Gray, Jacqueline Dunbar-Jacob, Holly M Holmes, Michael D Murray, Robert Roberts, Michael Joyner, Josh Peterson, David Lindeman, Ming Tai-Seale, Laura Downey, Michael W Rich
OBJECTIVES: To identify the top priority areas for research to optimize pharmacotherapy in older adults with cardiovascular disease (CVD). DESIGN: Consensus meeting. SETTING: Multidisciplinary workshop supported by the National Institute on Aging, the American College of Cardiology, and the American Geriatrics Society, February 6-7, 2017. PARTICIPANTS: Leaders in the Cardiology and Geriatrics communities, (officers in professional societies, journal editors, clinical trialists, Division chiefs), representatives from the NIA; National Heart, Lung, and Blood Institute; Food and Drug Administration; Centers for Medicare and Medicaid Services, Alliance for Academic Internal Medicine, Patient-Centered Outcomes Research Institute, Agency for Healthcare Research and Quality, pharmaceutical industry, and trainees and early career faculty with interests in geriatric cardiology...
December 7, 2018: Journal of the American Geriatrics Society
Muzi Chen, Martha A Rueter, Kayla N Anderson, Jennifer J Connor
Parents who experienced infertility have increasingly used medically assisted reproduction (MAR) to add children to their families over the past few decades. These parents will need to decide if they will tell their children about being conceived using MAR. Although MAR information sharing operates within family contexts, little is known about the role of conversation orientation-one family contextual factor-in child outcomes associated with MAR information sharing in middle childhood. Derived from the Family Communication Patterns Theory, this study proposes that conversation orientation moderates the associations between MAR information sharing and children's psychosocial adjustment...
December 10, 2018: Family Process
Stephanie L Harrison, Monica Cations, Tiffany Jessop, Sarah N Hilmer, Mouna Sawan, Henry Brodaty
Psychotropic medications have a high risk of serious adverse events and small effect size for changed behaviours for people with dementia. Non-pharmacological approaches are recommended as first-line treatment for changed behaviours, yet psychotropic medications remain highly prevalent in long-term aged care settings. This narrative review describes the current evidence regarding deprescribing psychotropic medications for people with dementia in long-term care. Deprescribing psychotropic medications can be achieved without harm to the person with dementia, and most people experience no withdrawal symptoms...
December 11, 2018: Drugs & Aging
Yingying Tang, Nori Williams, Barbara A Sampson
Postmortem genetic testing is a diagnostic tool that is becoming increasingly utilized. The benefits and limitations of genetic testing in cases of sudden, unexpected death in the young (≤ 40 years old) are reviewed from the perspective of the Office of Chief Medical Examiner of the City of New York, whose Molecular Genetics Laboratory, accredited by College of American Pathologists, has had 15 years of postmortem testing experience. Challenges to the interpretation and communication of testing results are highlighted, and opportunities for improving testing yield are discussed for age groups across the lifespan, from infancy to adulthood...
December 7, 2018: Forensic Science, Medicine, and Pathology
Mohammadali Akkafi, Haniye Sadat Sajadi, Zainab Sadat Sajadi, Edward Krupat
Understanding patient-physician relationships in mental care services is an indispensable element to improve the quality of mental care, yet little is known about it in Iran. This study measured the attitudes of the patients' family and personal caregivers (FPCs) and psychiatrists toward patient-centered care. A sample of 88 FPCs of mental patients and 29 psychiatrists in four teaching hospitals of Isfahan city, Iran, providing mental care, were asked to complete the patient-practitioner orientation scale (PPOS)...
December 10, 2018: Community Mental Health Journal
Nicholas A Rattray, Mindy E Flanagan, Laura G Militello, Paul Barach, Zamal Franks, Patricia Ebright, Shakaib U Rehman, Howard S Gordon, Richard M Frankel
BACKGROUND: Poor communication during end-of-shift transfers of care (handoffs) is associated with safety risks and patient harm. Despite the common perception that handoffs are largely a one-way transfer of information, researchers have documented that they are complex interactions, guided by implicit social norms and mental frameworks. OBJECTIVES: We investigated communication strategies that resident physicians report deploying to tailor information during face-to-face handoffs that are often based on their implicit inferences about the perceived information needs and potential harm to patients...
December 10, 2018: Journal of General Internal Medicine
Nathan I Wood
"Code-switching"-the mixing of languages, dialects, tones, or lexicons within a single conversation-is a prevalent linguistic phenomenon that has been described thoroughly in the social science literature. However, it is relatively unknown to the medical community despite its clear implications for clinicians as they navigate their role in the physician-patient relationship. As multilingualism and other forms of mixed speech become increasingly common in the urban and globally minded populations of America's modern cities, physicians must be cognizant of how they use their language skills-such as code-switching-to communicate with their patients in an ethical, supportive, and non-offensive manner...
December 10, 2018: Journal of General Internal Medicine
Pau Xiberta, Imma Boada
The use of e-learning tools for medical teaching is a common practice, but similar tools do not exist for veterinary teaching. In this paper we present a fully web-based e-learning platform, denoted Interactive Veterinary Education Tool (IVET), which is designed to support teaching and learning in veterinary science. To make content creation easier, it provides theory, exercise, and image editors with functionalities to prepare exercises and theoretical content including two-dimensional (2D) images, three-dimensional (3D) models, and Digital Imaging and Communications in Medicine (DICOM) files, which can be manipulated by the users...
December 10, 2018: Journal of Animal Science
Daisy J M Ermers, Karin J H van Bussel, Marieke Perry, Yvonne Engels, Henk J Schers
Background: Advance care planning (ACP) is a crucial element of palliative care. It improves the quality of end-of-life care and reduces aggressive and needless life-prolonging medical interventions. However, little is known about its application in daily practice. This study aims to examine the application of ACP for patients with cancer in general practice. Methods: We performed a retrospective cohort study in 11 general practices in the Netherlands. Electronic patient records (EPRs) of deceased patients with colorectal or lung cancer were analysed...
December 10, 2018: Family Practice
Yogarabindranath Swarna Nantha, Shamsul Haque, Hemanath Swarna Nantha
Background: There has been a shift in worldwide disease burden from infections to non-communicable diseases, especially type 2 diabetes (T2D). Behavioural change and self-management are key to optimal T2D control. Several universal models of diabetic care have been proposed to help explain the dimensions of T2D self-care such as medication adherence, physical activity, diet and patient-doctor interaction. These models do not allow an objective and quantifiable measurement of the problems faced by patients in terms of medication compliance...
December 10, 2018: Family Practice
Humberto Reyes B
Medical journals are fundamental elements in medical education, in professional life, in research and in academic careers. They communicate new scientific and clinical findings, legitimate and give credibility to biomedical and clinical investigation, are guarantors of the authors' intellectual property, are a useful forum for the discussion of relevant topics, distribute selected information to readers and are archives of their publications. Out of the numerous medical journals appeared before and during the XIXth Century, only 24 of them remain active until today and Revista Médica de Chile appears as number 20 in the list...
August 2018: Revista Médica de Chile
Tasleem Arif, Konchok Dorjay
Nicolau syndrome (NS) is a type of adverse skin reaction occurring after parenteral drug injection. In certain conditions, it can cause ischemic necrosis of the skin and the underlying adipose tissue. The actual cause of NS is not clear though inflammation, vasospasm, and thromboembolic occlusion of blood vessels have been proposed. In this case presentation, we report an interesting case of a 30-year-old man who turned out be human immunodeficiency virus (HIV) positive on investigations, developed extensive purpuric lesions of his skin on left buttock and then spread to the trunk and shoulders after receiving intramuscular injection of paracetamol...
July 2018: Journal of Cutaneous and Aesthetic Surgery
Rachel J Lew, Wen-Yang Tsai, Wei-Kung Wang
The four serotypes of dengue virus (DENV) cause the most important and common arthropod-borne viral diseases in humans. There have been three major dengue outbreaks in Hawai'i since 1946. The most recent and largest outbreak occurred on Hawai'i Island in 2015-2016. This article reviews the public health response to dengue outbreaks over the period 2001-2016, as well as scientific literature on dengue outbreaks in Hawai'i. As summarized in the assessment by the Centers for Disease Control and Prevention in 2015, Hawaii's response to the dengue outbreak was timely, appropriate, and well-coordinated...
December 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
Markus D Herrmann, David A Clunie, Andriy Fedorov, Sean W Doyle, Steven Pieper, Veronica Klepeis, Long P Le, George L Mutter, David S Milstone, Thomas J Schultz, Ron Kikinis, Gopal K Kotecha, David H Hwang, Katherine P Andriole, A John Iafrate, James A Brink, Giles W Boland, Keith J Dreyer, Mark Michalski, Jeffrey A Golden, David N Louis, Jochen K Lennerz
Background: Digital Imaging and Communications in Medicine (DICOM® ) is the standard for the representation, storage, and communication of medical images and related information. A DICOM file format and communication protocol for pathology have been defined; however, adoption by vendors and in the field is pending. Here, we implemented the essential aspects of the standard and assessed its capabilities and limitations in a multisite, multivendor healthcare network. Methods: We selected relevant DICOM attributes, developed a program that extracts pixel data and pixel-related metadata, integrated patient and specimen-related metadata, populated and encoded DICOM attributes, and stored DICOM files...
2018: Journal of Pathology Informatics
Armando Mansilla-Olivares, José Ignacio Santos-Preciado, Ricardo Plancarte-Sánchez, Fernando Meneses-González, Fermín Valenzuela-Gómez-Gallardo, Joaquín López-Bárcena, Gilberto Felipe Vázquez-De Anda
In Mexico there is a proliferation of "centers for aesthetic medicine" that offer different treatments with laser beam, mesotherapy and hyaluronic acid and botulinum toxin injections. In numerous centers of this type, offered and performed by medical personnel that are neither trained or certified to ensure the quality of services. The National Academy of Medicine of Mexico and the National Normative Council for Medical Specialties (CONACEM) communicate their posture on this matter.
2018: Gaceta Médica de México
Khodayar Goshtasbi, Brandon M Lehrich, Omid Moshtaghi, Mehdi Abouzari, Ronald Sahyouni, Kian Bagheri, Afsheen Moshtaghi, Sarah D Tajran, Lauren Lee, Harrison W Lin, Hamid R Djalilian
OBJECTIVES: To assess and characterize patients' online ratings and comments of neurotologists and determine factors that correlate with higher ratings. METHODS: All the American Neurotology Society members were queried on Healthgrades, Vitals, RateMDs, Yelp, and Google from March to June 2018. All ratings were normalized for comparison on a five-point Likert scale. All comments were categorized based on context and for positive/negative aspect. RESULTS: Of the 560 American Neurotology Society members, 465 (83%) were rated on at least one online platform...
January 2019: Otology & Neurotology
Gregory E Holt, Kenneth W Goodman, Stephen E Olvey, Daniel Kett
PURPOSE OF REVIEW: Tattoos and medallions are examples of nonstandard do-not-resuscitate (DNR) orders that some people use to convey end-of-life wishes. These DNR orders are neither universally accepted nor understood for reasons discussed within this manuscript. RECENT FINDINGS: Studies show both providers and patients confuse the meaning and implication of DNR orders. In the United States, out-of-hospital DNR orders are legislated at the state level. Most states standardized out-of-hospital DNR orders so caregivers can immediately recognize and accept the order and act on its behalf...
December 6, 2018: Current Opinion in Anaesthesiology
Elizabeth G Clement, Sarah Horvath, Arden McAllister, Nathanael C Koelper, Mary D Sammel, Courtney A Schreiber
OBJECTIVE: To document the terminology patients hear during the treatment course for a nonviable pregnancy and to ask patients their perceived clarity and preference of terminology to identify a patient-centered lexicon. METHODS: We performed a preplanned substudy survey of English-speaking participants in New York, Pennsylvania, and California at the time of enrollment in a randomized multisite trial of medical management of first-trimester early pregnancy loss...
December 4, 2018: Obstetrics and Gynecology
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