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Rieky E G Dikmans, Tim C van de Grift, Mark-Bram Bouman, Andrea L Pusic, Margriet G Mullender
While sexual health is an important aspect of quality of life, sexual issues usually go unaddressed during patient-provider communication. Breast cancer treatments and specifically breast surgery impact women's sexual well-being. However, women do not receive adequate information on this subject. Women who underwent prophylactic mastectomy and breast reconstruction invariably reported that they had underestimated the impact of mastectomy and reconstruction on their sexuality, and expressed a need for information and creating realistic expectations pertaining to sexuality...
December 6, 2018: Breast: Official Journal of the European Society of Mastology
Sarah C Shepherd, Belinda Hacking, Louise M Wallace, Sarah E Murdoch, Jeff Belkora
OBJECTIVE: UK healthcare policy for improving cancer outcomes supports participation of patients in care decisions with clinicians. Consultation Planning, Recording and Summarising (CPRS) has shown evidence of increasing patient decision self-efficacy, reducing uncertainty and regret of decisions. This is the first trial of CPRS within the colorectal cancer population and delivered over serial medical consultations. METHODS: This Randomised Controlled Trial compared usual care to the addition of CPRS over consecutive oncology consultations with newly diagnosed Colorectal Cancer (CRC) patients in Edinburgh, Scotland...
December 13, 2018: Psycho-oncology
John E Barkley, Andrea McCall, Andréa L Maslow, Beata A Skudlarska, Xu Chen
BACKGROUND: Inpatient palliative care consultation (PCC) may reduce 30-day readmissions and inpatient mortality among seriously ill patients. OBJECTIVE: To evaluate the impact of timing of PCC on 30-day readmissions and inpatient mortality. DESIGN: Retrospective, observational study comparing risk-adjusted, observed-to-expected (O/E) 30-day readmissions and inpatient mortality among patients receiving inpatient PCC to all other inpatients...
December 14, 2018: Journal of Palliative Medicine
E Bouza, J Cobo, B Almirante
OBJECTIVE: Clostridium difficile infections have a high recurrence rate, which can complicate the prognosis of affected patients. It is therefore important to establish an early detection and an appropriate therapeutic strategy. The objective of this manuscript was to gather the opinion of an expert group about the predictive factors of poor progression, as well as when to use fidaxomicin in different groups of high-risk patients. METHODS: A scientific committee of three experts in infectious diseases reviewed the most recent literature on the management of C...
December 13, 2018: Revista Española de Quimioterapia: Publicación Oficial de la Sociedad Española de Quimioterapia
E Linton, A Walkden, L R Steeples, A Bhargava, C Williams, C Bailey, F M Quhill, S P Kelly
OBJECTIVE: To explore self-inflicted retinal burns from laser pointers in children. METHODS: Literature review of laser pointer retinal injuries in childhood and online survey of UK Consultant Ophthalmologists. A cohort of local children with self-inflicted injury is described. The matter is topical. We review progress in recent legislation and policy change in the UK. RESULTS: Four of 77 case reports of laser burns in childhood analysed reported psychological or behavioural issues...
December 13, 2018: Eye
Hildi Hagedorn, Marie Kenny, Adam J Gordon, Princess E Ackland, Siamak Noorbaloochi, Wei Yu, Alex H S Harris
BACKGROUND: In the US, emergency room visits and overdoses related to prescription opioids have soared and the rates of illicit opioid use, including heroin and fentanyl, are increasing. Opioid use disorder (OUD) is associated with higher morbidity and mortality, higher HIV and HCV infection rates, and criminal behavior. Opioid agonist therapy (OAT; methadone and buprenorphine) is proven to be effective in treating OUD and decreasing its negative consequences. While the efficacy of OAT has been established, too few providers prescribe OAT to patients with OUD due to patient, provider, or system factors...
December 13, 2018: Addiction Science & Clinical Practice
Regina Molnár, Zoltán Sági, Zsuzsanna Fejes, Kálmán Törőcsik, Béla Köves, Edit Paulik
INTRODUCTION: Nowadays doctor-patient consultation is not limited to personal appointments, there are new technical possibilities to keep contact. AIM: The aim of our study was to examine the way in which the doctor and patient interact with each other between two personal consultations and how the patients would like to reach their physicians when needed. METHOD: Questionnaire survey was done among waiting patients in an outpatient clinic in Budapest...
December 2018: Orvosi Hetilap
(no author information available yet)
OBJECTIVESince 2007, a continuous neurosurgery emergency service has been available in the International Security Assistance Force (ISAF) field hospital in Mazar-e-Sharif (MeS), Afghanistan. The object of this study was to assess the number and range of surgical procedures performed on the spine in the period from 2007 to 2014.METHODSThis is a retrospective analysis of the annual neurosurgical caseload statistics from July 2007 to October 2014 (92 months). The distribution of surgical urgency (emergency, delayed urgency, or elective), patient origin (ISAF, Afghan National Army, or civilian population), and underlying causes of diseases and injuries (penetrating injury, blunt injury/fracture, or degenerative disease) was analyzed...
December 1, 2018: Neurosurgical Focus
Vinaya Manchaiah, Monica L Bellon-Harn, Ashley L Dockens, Jamie H Azios, William E Harn
BACKGROUND: Communication during clinical consultations is an important factor that facilitates decision-making by patients and family members. For clinicians, these interactions are opportunities to build rapport and to facilitate appropriate decision-making. PURPOSE: This article presents the literature review of studies focusing on communication between audiologist, patients, and their family members during initial audiology consultations and rehabilitation planning sessions...
November 29, 2018: Journal of the American Academy of Audiology
Tessa Latchmore, C J Schuster-Wallace, Dan Roronhiakewen Longboat, Sarah E Dickson-Anderson, Anna Majury
Indigenous communities in Canada are over-represented with respect to poor water quality and water advisories. To date, approaches to solve this water crisis have been founded in the Western Science (WS) context with little to no consultation or dialogue with those communities most impacted, and without regard for culture. A literature review was undertaken to: (i) document Indigenous Knowledge (IK), and perspectives regarding water and (ii) to identify current local water security tools utilized by Indigenous communities...
December 2018: Journal of Water and Health
Anjali V Desai, Virginia M Klimek, Kimberly Chow, Andrew S Epstein, Camila Bernal, Kelly Anderson, Molly Okpako, Robin Rawlins-Duell, Dana Kramer, Danielle Romano, Jessica I Goldberg, Judith E Nelson
BACKGROUND: Prior work to integrate early palliative care in oncology has focused on patients with advanced cancer and primarily on palliative care consultation. We developed this outpatient clinic initiative for newly diagnosed patients at any stage, emphasizing primary (nonspecialist) palliative care by oncology teams, with enhanced access to palliative care specialists. METHODS: We piloted the project in two medical oncology specialty clinics (for patients with myelodysplastic syndrome and GI cancer, respectively) to establish feasibility...
December 2018: Journal of Oncology Practice
Mashael Almuhlafi, Khalil Abu Jamilah, Adel F Almutairi, Mahmoud Salam
Background: Obesity and disordered eating (DE) behaviors are serious health concerns, regularly observed among female adolescents, which could progress to adverse psychological and nutritional sequels. Aim: The aim of this study was to determine the prevalence of obesity and the self-reported DE behaviors among high school female students and to evaluate their self-perception of body image, peer pressures, and need for dietary consultation. Methods: This is a school-based cross-sectional study conducted in 2018...
2018: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy
S Lambat Emery, A Kalovidouri, E David-Montefiore
Mondor's disease can be a challenging diagnosis. The case we present is of a 29 year-old Brazilian woman, under combined hormonal contraception, who consulted for a painful lump on her right breast. She presented a complete resolution after a local treatment of heparinoid cream and a non-steroidal anti-inflammatory oral treatment, but relapsed 18 months later. Oral combined hormonal contraception was the only "risk factor" found, in this case, and the modification of the latter helped resolve the relapse clinical symptoms...
September 19, 2018: Breast Disease
Aglae Sousa, Andrea A Cardoso, Monia Kayo, Guilherme Gregorio, Jair de Jesus Mari, Denise Razzouk
BACKGROUND: There is a scarcity of tested instruments for measuring mental health services and costs. The Client Sociodemographic Service Receipt Inventory (CSSRI) is the most used tool in economic evaluation in mental health in Europe; it was translated into five languages, and it was mainly used to evaluate deinstitutionalisation process in mental health system reform. AIMS OF THE STUDY: To translate and adapt to the Brazilian healthcare system, and to test its inter-rater reliability, validity and its feasibility in a deinstitutionalized sample of psychiatric hospital living in residential facilities...
September 1, 2018: Journal of Mental Health Policy and Economics
Matthew Horrocks, Maria Michail, Aimee Aubeeluck, Nicola Wright, Richard Morriss
BACKGROUND: Suicide is a global public health concern, but it is preventable. Increased contact with primary care before the suicide or attempted suicide raises opportunities for intervention and prevention. However, suicide assessment and management are areas that many general practitioners (GPs) find particularly challenging. Previous research has indicated significant variability in how GPs understand, operationalize, and assess suicide risk, which subsequently has an impact on clinical decision making...
December 7, 2018: JMIR Research Protocols
Cali E Johnson, Miguel F Manzur, Todd A Wilson, Niquelle Brown Wadé, Fred A Weaver
OBJECTIVE: Vascular surgeons provide assistance to other surgical specialties through planned and unplanned joint operative cases. The financial impact to the hospital of vascular surgeons as consultants in this context has yet to be quantified. We sought to quantify the financial value of services provided by consulting vascular surgeons in the performance of joint operative procedures, both planned and unplanned. METHODS: Hospital financial data were reviewed for all inpatient operative cases during a 3-year period (2013-2015)...
October 24, 2018: Journal of Vascular Surgery
John A Harvin, Jeanette M Podbielski, Laura E Vincent, Mike K Liang, Lillian S Kao, Charles E Wade, John B Holcomb
BACKGROUND: Exception from informed consent (EFIC) allows clinician scientists to perform much needed emergency research. Obtaining this exception, however, requires many meetings with community groups for consultation, which can make the process time-consuming and expensive. We aim to determine the impact of using social media in lieu of some community meetings in an effort to obtain an EFIC. MATERIALS AND METHODS: An economic analysis of four randomized clinical trials was performed...
February 2019: Journal of Surgical Research
Noor Niyar N Ladhani, Megan E Fockler, Louise Stephens, Jon F R Barrett, Alexander E P Heazell
OBJECTIF: L'objectif principal de la présente déclaration de consensus est d'élaborer des énoncés de consensus qui guideront la pratique clinique et des recommandations pour les soins prénataux et les soins intrapartum, et les considérations psychosociales dont il faut tenir compte pour prendre soin des femmes enceintes ayant des antécédents de mortinaissance. UTILISATEURS CIBLES: Les cliniciens participant à la prise en charge obstétrique des femmes ayant des antécédents de mortinaissance ou d'autres formes de décès périnatal...
December 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Noor Niyar N Ladhani, Megan E Fockler, Louise Stephens, Jon F R Barrett, Alexander E P Heazell
OBJECTIVE: The primary objective of this consensus statement is to develop consensus statements to guide clinical practice and recommendations for antenatal care, intrapartum care, and the psychosocial considerations necessary in the care of pregnant women with a history of stillbirth. INTENDED USERS: Clinicians involved in the obstetric management of women with a history of stillbirth or other causes of perinatal loss TARGET POPULATION: Women and families presenting for care following a pregnancy affected by stillbirth or other causes perinatal loss EVIDENCE: This document presents a summary of the literature and a general consensus on the management of pregnancies subsequent to stillbirth and perinatal loss...
December 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
(no author information available yet)
The Award for Distinguished Professional Contributions to Independent Practice is intended to recognize outstanding independent practitioners in psychology. The award is given to a psychologist working in an area of clinical specialization, health services provision, or consulting, and services provided to any patient population or professional clientele in an independent setting. The 2018 recipient is Paula E. Hartman-Stein, "for her exceptional leadership in the field, and for making an impact that has led to positive outcomes in the health and well-being of older adults...
December 2018: American Psychologist
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