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https://www.readbyqxmd.com/read/29351142/worldwide-end-of-life-practice-for-patients-in-icus
#1
Wai-Tat Wong, Jason Phua, Gavin M Joynt
PURPOSE OF REVIEW: Published data and practice recommendations on end-of-life (EOL) generally reflect Western practice frameworks. Understanding worldwide practices is important because improving economic conditions are promoting rapid expansion of intensive care services in many previously disadvantaged regions, and increasing migration has promoted a new cultural diversity previously predominantly unicultural societies. This review explores current knowledge of similarities and differences in EOL practice between regions and possible causes and implications of these differences...
January 18, 2018: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/29350514/hospitalized-patients-and-family-members-preferences-for-real-time-transparent-access-to-their-hospital-records
#2
Michael J Waxman, Kurt Lozier, Lana Vasiljevic, Kira Novakofski, James Desemone, John O'Kane, Elizabeth M Dufort, David Wood, Ashar Ata, Louis Filhour, Richard J Blinkhorn
OBJECTIVES: To better understand patient satisfaction and perceived engagement with traditional hospital-based communication and to elicit patient preferences for health information technologies that would lead to improved satisfaction and engagement. STUDY DESIGN: We performed a mixed-methods study involving qualitative interviews followed by a survey of hospitalized patients and their family members at a single large academic medical center. METHODS: We conducted semi-structured interviews with 41 patients and surveyed 267 patients or family members to elicit their perspectives on satisfaction with traditional hospital communication methods, information needed to more fully engage in the patients' medical care, and potential solutions for improved hospital-based communication...
January 1, 2018: American Journal of Managed Care
https://www.readbyqxmd.com/read/29350510/electronic-sharing-of-diagnostic-information-and-patient-outcomes
#3
Darwyyn Deyo, Amir Khaliq, David Mitchell, Danny R Hughes
OBJECTIVES: Hospital sharing of electronic health record (EHR) diagnostic data has the potential to improve communication across providers and improve patient outcomes. However, implementing EHR systems can be difficult for hospitals. This study uses Hospital Compare (HC) and American Hospital Association (AHA) Annual Information Technology Survey data to estimate the association between sharing EHR data and patient outcomes. STUDY DESIGN: Descriptive and multivariate linear regression analyses...
January 2018: American Journal of Managed Care
https://www.readbyqxmd.com/read/29350508/the-health-information-technology-special-issue-has-it-become-a-mandatory-part-of-health-and-healthcare
#4
Jacob Reider
The 7th annual Health Information Technology (IT) issue provides a window into how health IT tools are working well, how they may not be working as intended, and what we can do to continue making progress toward optimal use of technology to accomplish our shared goals: better health, better care experience, and lower per capita cost.
January 2018: American Journal of Managed Care
https://www.readbyqxmd.com/read/29349654/the-role-of-mentors-in-early-intervention-referrals-overlooked-views-of-pediatric-residency-training-directors
#5
Nicole Megan Edwards
Objectives There continues to be a pressing need to increase referrals to family-centered early intervention (EI) for more eligible infants and toddlers with inadequate consideration for the role of senior, mentoring professionals. Methods To address a dearth in our understanding, a subset of Pediatric Residency Training Directors shared views on EI, referral, and relevant training efforts. Results Participating directors primarily reported limited understanding of EI. Greater knowledge of family-focused EI correlated with its perceived helpfulness (r = ...
January 18, 2018: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/29348512/ca1-and-ca3-differentially-support-spontaneous-retrieval-of-episodic-contexts-within-human-hippocampal-subfields
#6
Halle R Dimsdale-Zucker, Maureen Ritchey, Arne D Ekstrom, Andrew P Yonelinas, Charan Ranganath
The hippocampus plays a critical role in spatial and episodic memory. Mechanistic models predict that hippocampal subfields have computational specializations that differentially support memory. However, there is little empirical evidence suggesting differences between the subfields, particularly in humans. To clarify how hippocampal subfields support human spatial and episodic memory, we developed a virtual reality paradigm where participants passively navigated through houses (spatial contexts) across a series of videos (episodic contexts)...
January 18, 2018: Nature Communications
https://www.readbyqxmd.com/read/29348272/use-of-computer-technology-during-family-centered-rounds-a-qualitative-study-of-parent-perspectives
#7
Jeremy Kern, Priti Bhansali
OBJECTIVES: Physicians often use computer technologies to assist in work activities, including family-centered rounds (FCR), but little is known about the attitudes of families on the use of these technologies. We aimed to describe these perceptions on the presence and use of computer technologies during FCR. METHODS: We conducted observations of FCR from a parent's visual perspective to "see what they see." This was followed by in-depth interviews with the families of patients admitted to the hospitalist service at our institution to describe their experience with the use of computer technology by the medical team during FCR...
January 18, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29348056/achieving-local-and-global-shared-realities-distance-guides-alignment-to-specific-or-general-social-influences
#8
REVIEW
Alison Ledgerwood, Y Andre Wang
Humans routinely navigate a multitude of potential social influences, ranging from specific individual's opinions to general social norms and group values. Whereas specific social influences afford opportunities to achieve shared inner states with particular individuals, general social influences afford opportunities to achieve shared inner states with broader groups. We review recent theory and evidence examining how people tune into different kinds of social influence in the service of shared reality. We argue that the distance of an attitude object (e...
January 8, 2018: Current Opinion in Psychology
https://www.readbyqxmd.com/read/29348040/negative-valence-in-autism-spectrum-disorder-the-relationship-between-amygdala-activity-selective-attention-and-co-occurring-anxiety
#9
John D Herrington, Brenna B Maddox, Alana J McVey, Martin E Franklin, Benjamin E Yerys, Judith S Miller, Robert T Schultz
BACKGROUND: A critical agenda of the National Institutes of Health Research Domain Criteria (RDoC) initiative is establishing whether domains within the RDoC matrix are truly transdiagnostic. Rates of anxiety disorders are elevated in autism spectrum disorder (ASD), but it is unclear whether the same mechanisms contribute to anxiety in individuals with and without ASD. As changes in selective attention are a hallmark of anxiety disorders in non-ASD samples, the identification of these changes in ASD would support the transdiagnostic nature of anxiety...
September 2017: Biological Psychiatry: Cognitive Neuroscience and Neuroimaging
https://www.readbyqxmd.com/read/29346616/racial-differences-in-family-health-history-knowledge-of-type-2-diabetes-exploring-the-role-of-interpersonal-mechanisms
#10
Jielu Lin, Christopher S Marcum, Melanie F Myers, Laura M Koehly
Collecting complete and accurate family health history is critical to preventing type 2 diabetes. Whether there are any racial difference in family health history knowledge of type 2 diabetes and whether such differences are related to interpersonal mechanisms remain unclear. We seek to identify the interpersonal mechanisms that give rise to discrepancies in family health history knowledge of type 2 diabetes in families of different racial backgrounds. We analyze informant-dyad consensus with respect to shared family history of type 2 diabetes in 127 informants of 45 families in the greater Cincinnati area (white: 28 families, 78 informants; black/African-American: 17 families, 49 informants)...
January 16, 2018: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/29346547/how-to-do-or-not-to-do-%C3%A2-a-health-financing-incidence-analysis
#11
John E Ataguba, Augustine D Asante, Supon Limwattananon, Virginia Wiseman
Financing incidence analysis (FIA) assesses how the burden of health financing is distributed in relation to household ability to pay (ATP). In a progressive financing system, poorer households contribute a smaller proportion of their ATP to finance health services compared to richer households. A system is regressive when the poor contribute proportionately more. Equitable health financing is often associated with progressivity. To conduct a comprehensive FIA, detailed household survey data containing reliable information on both a cardinal measure of household ATP and variables for extracting contributions to health services via taxes, health insurance and out-of-pocket (OOP) payments are required...
January 15, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29346137/guidance-provided-to-authors-on-citing-and-formatting-references-in-nursing-journals
#12
Leslie H Nicoll, Marilyn H Oermann, Peggy L Chinn, Jamie L Conklin, Sathya Amarasekara, Midori McCarty
Reference citations should be accurate, complete, and presented in a consistent format. This study analyzed information provided to authors on preparing citations and references for manuscripts submitted to nursing journals (n = 209). Half of the journals used the American Psychological Association reference style. Slightly more than half provided examples of how to cite articles and books; there were fewer examples of citing websites and online journals. Suggestions on improving accuracy of references are discussed...
January 18, 2018: Journal for Nurses in Professional Development
https://www.readbyqxmd.com/read/29346041/post-treatment-mortality-after-surgery-and-stereotactic-body-radiotherapy-for-early-stage-non-small-cell-lung-cancer
#13
William A Stokes, Michael R Bronsert, Robert A Meguid, Matthew G Blum, Bernard L Jones, Matthew Koshy, David J Sher, Alexander V Louie, David A Palma, Suresh Senan, Laurie E Gaspar, Brian D Kavanagh, Chad G Rusthoven
Purpose In early-stage non-small cell lung cancer (NSCLC), post-treatment mortality may influence the comparative effectiveness of surgery and stereotactic body radiotherapy (SBRT), with implications for shared decision making among high-risk surgical candidates. We analyzed early mortality after these interventions using the National Cancer Database. Patients and Methods We abstracted patients with cT1-T2a, N0, M0 NSCLC diagnosed between 2004 and 2013 undergoing either surgery or SBRT. Thirty-day and 90-day post-treatment mortality rates were calculated and compared using Cox regression and propensity score-matched analyses...
January 18, 2018: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/29345256/caregiver-perspectives-on-communication-during-hospitalization-at-an-academic-pediatric-institution-a-qualitative-study
#14
Lauren G Solan, Andrew F Beck, Stephanie A Shardo, Hadley S Sauers-Ford, Jeffrey M Simmons, Samir S Shah, Susan N Sherman
OBJECTIVE: Communication among those involved in a child's care during hospitalization can mitigate or exacerbate family stress and confusion. As part of a broader qualitative study, we present an in-depth understanding of communication issues experienced by families during their child's hospitalization and during the transition to home. METHODS: Focus groups and individual interviews stratified by socioeconomic status included caregivers of children recently discharged from a children's hospital after acute illnesses...
January 18, 2018: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29345224/therapy-interventions-for-children-with-neurodisabilities-a-qualitative-scoping-study
#15
Bryony Beresford, Susan Clarke, Jane Maddison
BACKGROUND: Therapy interventions emerged four times in the top 10 research priorities in a James Lind Alliance research prioritisation exercise for children with neurodisabilities (Morris C, Simkiss D, Busk M, Morris M, Allard A, Denness J, et al. Setting research priorities to improve the health of children and young people with neurodisability: a British Academy of Childhood Disability-James Lind Alliance Research Priority Setting Partnership. BMJ Open 2015;5:e006233). The National Institute for Health Research (NIHR) commissioned this study as part of an information-gathering exercise in response to this...
January 2018: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/29345222/development-and-implementation-of-multilocus-sequence-typing-to-study-the-diversity-of-the-yeast-kluyveromyces-marxianus-in-italian-cheeses
#16
Fabrizia Tittarelli, Javier A Varela, Loughlin Gethins, Catherine Stanton, R P Ross, Giovanna Suzzi, Luigi Grazia, Rosanna Tofalo, John P Morrissey
The yeast Kluyveromyces marxianus possesses advantageous traits like rapid growth, GRAS (generally regarded as safe) status and thermotolerance that make it very suitable for diverse biotechnological applications. Although physiological studies demonstrate wide phenotypic variation within the species, there is only limited information available on the genetic diversity of K. marxianus. The aim of this work was to develop a multilocus sequence typing (MLST) method for K. marxianus to improve strain classification and selection...
January 18, 2018: Microbial Genomics
https://www.readbyqxmd.com/read/29344801/toxoplasma-gondii-in-sympatric-domestic-and-wild-ungulates-in-the-mediterranean-ecosystem
#17
S Almería, O Cabezón, J Paniagua, D Cano-Terriza, S Jiménez-Ruiz, A Arenas-Montes, J P Dubey, I García-Bocanegra
Toxoplasma gondii is a zoonotic protozoan of worldwide distribution. The present study provides information on risk factors affecting T. gondii infection in domestic and free-ranging wild ungulates sharing habitats in Mediterranean ecosystems in Spain. Serum samples from 482 extensively reared domestic ruminants and 2351 wild ungulates were tested for T. gondii antibodies using the modified agglutination test (MAT, cut-off 1:25). Toxoplasma gondii seroprevalence was 41.2% of 194 sheep, 18.6% of 199 cattle and 5...
January 17, 2018: Parasitology Research
https://www.readbyqxmd.com/read/29343963/physical-factors-that-influence-patients-privacy-perception-toward-a-psychiatric-behavioral-monitoring-system-a-qualitative-study
#18
Nasriah Zakaria, Rusyaizila Ramli
Background: Psychiatric patients have privacy concerns when it comes to technology intervention in the hospital setting. In this paper, we present scenarios for psychiatric behavioral monitoring systems to be placed in psychiatric wards to understand patients' perception regarding privacy. Psychiatric behavioral monitoring refers to systems that are deemed useful in measuring clinical outcomes, but little research has been done on how these systems will impact patients' privacy. Methods: We conducted a case study in one teaching hospital in Malaysia...
2018: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/29343215/women-s-decision-making-processes-and-the-influences-on-their-mode-of-birth-following-a-previous-caesarean-section-in-taiwan-a-qualitative-study
#19
Shu-Wen Chen, Alison M Hutchinson, Cate Nagle, Tracey K Bucknall
BACKGROUND: Vaginal birth after caesarean (VBAC) is an alternative option for women who have had a previous caesarean section (CS); however, uptake is limited because of concern about the risks of uterine rupture. The aim of this study was to explore women's decision-making processes and the influences on their mode of birth following a previous CS. METHODS: A qualitative approach was used. The research comprised three stages. Stage I consisted of naturalistic observation at 33-34 weeks' gestation...
January 17, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29343168/assessment-of-goals-and-priorities-in-patients-with-a-chronic-condition-a-secondary-quantitative-analysis-of-determinants-across-11-countries
#20
Neeltje P C A Vermunt, Gert P Westert, Marcel G M Olde Rikkert, Marjan J Faber
OBJECTIVE: To assess the impact of patient characteristics, patient-professional engagement, communication and context on the probability that healthcare professionals will discuss goals or priorities with older patients. DESIGN: Secondary analysis of cross-sectional data from the 2014 Commonwealth Fund International Health Policy Survey of Older Adults. SETTING: 11 western countries. SUBJECTS: Community-dwelling adults, aged 55 or older...
January 18, 2018: Scandinavian Journal of Primary Health Care
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