keyword
https://read.qxmd.com/read/38532328/tools-to-measure-barriers-to-medication-management-capacity-in-older-adults-a-scoping-review
#1
JOURNAL ARTICLE
Bincy Baby, Annette McKinnon, Kirk Patterson, Hawa Patel, Rishabh Sharma, Caitlin Carter, Ryan Griffin, Catherine Burns, Feng Chang, Sara Jt Guilcher, Linda Lee, Sara Abu Fadaleh, Tejal Patel
BACKGROUND: Medication management capacity is a crucial component of medication adherence, particularly among older adults. Various factors, including physical abilities, cognitive functions, sensory capabilities, motivational, and environmental factors, influence older adults' ability to manage medications. It is, therefore, crucial to identify appropriate tools that allow clinicians to determine which factors may impact medication management capacity and, consequently, nonadherence to medications...
March 27, 2024: BMC Geriatrics
https://read.qxmd.com/read/38522886/management-of-non-curative-endoscopic-resection-of-t1-colon-cancer
#2
REVIEW
Linn Bernklev, Jens Aksel Nilsen, Knut Magne Augestad, Øyvind Holme, Nastazja Dagny Pilonis
Endoscopic resection techniques enable en-bloc resection of T1 colon cancers. A complete removal of T1 colon cancer can be considered curative when histologic examination of the specimens shows none of the high-risk factors for lymph nodes metastases. Criteria predicting lymph nodes metastases include deep submucosal invasion, poor differentiation, lymphovascular invasion, and high-grade tumor budding. In these cases, complete (R0), local endoscopic resection is considered sufficient as negligible risk of lymph nodes metastases does not outweigh morbidity and mortality associated with surgical resection...
February 2024: Best Practice & Research. Clinical Gastroenterology
https://read.qxmd.com/read/38473125/how-successful-are-veterinary-weight-management-plans-for-canine-patients-experiencing-poor-welfare-due-to-being-overweight-and-obese
#3
JOURNAL ARTICLE
Kim K Haddad
Overweight and obesity is one of the most significant health and welfare issues affecting companion animals and are linked to several serious medical conditions, reduced welfare, and shortened lifespan. The number of overweight and obese pets increases every year. Overweight and obesity are associated with multiple chronic diseases. Underlying causes include human-related and animal-related factors. Veterinarians encounter overweight and obese canine patients in daily practice and they play an important role in weight management...
February 27, 2024: Animals: An Open Access Journal From MDPI
https://read.qxmd.com/read/38466266/pragmatic-implementation-of-online-obesity-treatment-and-maintenance-interventions-in-primary-care-a-randomized-clinical-trial
#4
JOURNAL ARTICLE
J Graham Thomas, Emily Panza, Carly M Goldstein, Jacqueline F Hayes, Noah Benedict, Kevin O'Leary, Rena R Wing
IMPORTANCE: Behavioral weight loss interventions have achieved success in primary care; however, to our knowledge, pragmatic implementation of a fully automated treatment that requires little researcher oversight has not been tested. Moreover, weight loss maintenance remains a challenge. OBJECTIVE: To evaluate the long-term effectiveness of an automated, online, behavioral obesity treatment program (Rx Weight Loss [RxWL]) at 12 months (primary end point) and 24 months when delivered pragmatically in primary care and to compare the effectiveness of 3 weight loss maintenance approaches...
March 11, 2024: JAMA Internal Medicine
https://read.qxmd.com/read/38387132/transition-readiness-of-adolescents-with-cancer-a-cross-sectional-study-based-on-self-determination-theory
#5
JOURNAL ARTICLE
Jun Ma, Siqi Zhou, Xiangtian Bai, Jun Lei, Honghong Wang
PURPOSE: This study aimed to assess the transition readiness of adolescents with cancer in central China and to explore the paths associated with transition readiness based on self-determination theory (SDT). METHODS: Self-management and transition to adulthood with Rx = treatment questionnaire, patient activation measure, perceived social support scale and general self-efficacy scale were used to measure transition readiness as well as constructs pertaining to SDT (competence, relatedness and autonomy)...
February 14, 2024: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
https://read.qxmd.com/read/38369388/medication-based-comorbidity-measures-and-prostate-cancer-treatment-selection
#6
JOURNAL ARTICLE
Tenaw Tiruye, Michael O'Callaghan, Liesel M FitzGerald, Kim Moretti, Alex Jay, Braden Higgs, Ganessan Kichenadasse, Gillian Caughey, David Roder, Kerri Beckmann
INTRODUCTION: We aimed to assess the association between comorbidities and prostate cancer management. PATIENTS AND METHODS: We studied 12,603 South Australian men diagnosed with prostate cancer between 2003 and 2019. Comorbidity was measured one year prior to prostate cancer diagnosis using a medication-based comorbidity index (Rx-Risk). Binomial logistic regression analyses were used to assess the association between comorbidities and primary treatment selection (active surveillance, radical prostatectomy (RP), external beam radiotherapy (EBRT) with or without androgen deprivation therapy (ADT), brachytherapy, ADT alone, and watchful waiting (WW))...
February 1, 2024: Clinical Genitourinary Cancer
https://read.qxmd.com/read/38359543/psychological-separation-health-locus-of-control-and-transition-readiness-in-adolescents-and-young-adults-with-type-i-diabetes
#7
JOURNAL ARTICLE
Nuri Kang, Sunhee Lee
PURPOSE: The purpose of this study was to examine the effects of psychological separation and health locus of control on the health care transition readiness of adolescents and young adults (AYAs) with type 1 diabetes. METHODS: Data were collected between December 2020 and October 2021. One hundred twelve AYAs with type 1 diabetes treated at a tertiary hospital and under follow-up observation as well as AYAs with type 1 diabetes nationwide who were part of the type 1 diabetes internet community were enrolled...
February 14, 2024: Journal of Pediatric Nursing
https://read.qxmd.com/read/38322505/self-care-and-minor-ailments-the-view-from-canada
#8
JOURNAL ARTICLE
Nardine Nakhla, Jeff Taylor
This manuscript offers a glimpse into the Canadian healthcare system, emphasizing the prevalence and management of minor ailments through self-care practices. The first section outlines the strengths and challenges of the healthcare system, including access issues and escalating costs. The second section explores self-care in Canada, outlines the Self-Care Readiness Index, and Canadians' proactive management of common conditions through self-care activities, including the use of over-the-counter (OTC) medicines...
March 2024: Explor Res Clin Soc Pharm
https://read.qxmd.com/read/38319395/the-value-of-the-first-postoperative-diagnostic-i-131-scan-in-patients-with-papillary-thyroid-carcinoma
#9
JOURNAL ARTICLE
Bingyu Ran, Jingjie Shang, Yong Chen, Miaoli Zhou, Huihu Li, Wenjun He, Yingxin Li, Qijun Cai, Bin Guo, Jian Gong, Hao Xu
OBJECTIVE: To explore the feasibility of the postoperative diagnostic 131 I whole-body planar scans (Dx-WBS) in papillary thyroid cancer (PTC) patients, and to clarify its value for accurate staging, risk stratification, and postoperative radioactive iodine (RAI) treatment management. DESIGN: Retrospective study from 2015 to 2021. SETTING: A total of 1294 PTC patients in the tertiary referral hospital. PARTICIPANTS: Patients with differentiated thyroid cancer who underwent total/subtotal thyroidectomy were included...
February 6, 2024: Journal of Cancer Research and Clinical Oncology
https://read.qxmd.com/read/38304447/bedside-clinical-hand-held-ultrasound-in-an-internal-medicine-department-the-bed-med-us-experience-of-codogno-and-its-clinical-utility-in-the-management-of-diagnosis-and-therapy-in-1007-patients
#10
JOURNAL ARTICLE
Francesco Giangregorio, Emilio Mosconi, Maria Grazia Debellis, Eliana Palermo, Stella Provini, Manuela Mendozza, Laura Ricevuti, Ciro Esposito
Purpose Handheld ultrasound (HH-US) answers simple clinical questions in emergencies. We performed conventional US with HH-US at the patient's bedside (BED) during a medical visit (MED) (BED MED-US). The purpose of this prospective study is to estimate BED MED-US reliability, its clinical impact in helping the clinician to formulate correct diagnoses, and its ability to save time and money. Materials and Methods 1007 patients (519 M; age:76.42) were assessed (from March 2021 to November 2022) in one or more districts...
January 5, 2024: Ultrasound International Open
https://read.qxmd.com/read/38283509/paroxysmal-atrial-fibrillation-pfa-detection-with-cardiac-monitoring-devices-implanted-by-neurologists-in-patients-with-embolic-strokes-of-undetermined-source-esus
#11
JOURNAL ARTICLE
Patricio S Espinosa, Patricio H Espinosa Del Pozo, Nicolas F Andrade, Kettia Alusma-Hibbert
Introduction Ischemic stroke is among the leading causes of death and disability. Approximately 50% of cryptogenic strokes are embolic strokes of undetermined source (ESUS). The most common cause of ESUS is atrial fibrillation. Therefore, the detection of atrial fibrillation with long-term implantable devices is needed. Neurologists are directly involved with acute and post-acute stroke care and have direct access to the management of stroke patients. Therefore, there is a need for neurologists to recommend, implant, and monitor cardiac implantable devices in patients with ESUS...
December 2023: Curēus
https://read.qxmd.com/read/38278703/real-world-data-and-evidence-to-support-a-switch-in-status-from-prescription-drug-to-over-the-counter-drug-as-applied-by-the-ema-the-us-fda-the-mhra-and-the-bfarm
#12
JOURNAL ARTICLE
Thomas C Kühler, Aritz Ateka, Zeineb Lassoued, François-Xavier Routhier, Souha Mékary-Sawaya
PURPOSE: We studied under which circumstances and to what extent Real-World Data (RWD) and Real-World Evidence (RWE) were used in regulatory decisions when switching products from Prescription-only (Rx) to Over-the-Counter (OTC) status with the aim of extracting learnings that could be applied in future switches. METHODS: Sanofi commissioned Clarivate Analytics to identify switches from Rx to OTC in the European Union (centrally by the European Medicines Agency [EMA] and in Germany by the Bundesinstitut für Arzneimittel und Medizinprodukte [BfArM]), in the United States by the Food and Drug Administration (FDA), and in the United Kingdom by the Medicines and Healthcare products Regulatory Agency (MHRA) as far back as data were available in the public domain, mainly Health Authority webpages...
January 25, 2024: Clinical Therapeutics
https://read.qxmd.com/read/38255070/implementing-a-food-prescription-program-during-covid-19-benefits-and-barriers
#13
JOURNAL ARTICLE
David Himmelgreen, Nancy Romero-Daza, William Alex Webb, Jacquelyn N Heuer, Deven Gray, Gabrielle R Lehigh
Food prescription programs (Food Rx) have the potential to improve management of diet-related chronic diseases or underlying conditions such as type 2 diabetes (T2D), hypertension, and high body mass index (BMI) among food-insecure patients. The purpose of this study was to examine the effectiveness of a Food Rx program implemented in two community-based clinics in Florida. Data were collected through researcher-administered surveys (food insecurity, demographics, and socio-economic variables) and biometric data (HbA1c, blood pressure, and BMI)...
January 12, 2024: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/37999967/a-miniaturized-low-frequency-magnetoelectric-wireless-power-transfer-system-for-powering-biomedical-implants
#14
JOURNAL ARTICLE
Dibyajyoti Mukherjee, Simran Kaur Rainu, Neetu Singh, Dhiman Mallick
This work experimentally demonstrates the operation of a miniaturized magnetoelectric (ME) wireless power transfer (WPT) system by incorporating a ME transducer and a suitable interface power management circuit (PMC) for potentially powering implantable medical devices (IMD) wirelessly. A ME heterostructure is micromachined to obtain desired device dimensions of 3.5×5 mm 2 and to restrict the operating frequency at a clinically approved frequency of 50 kHz. The proposed work also aims to address the trade-off between the device miniaturization, power attenuation and limiting the specific absorption rate (SAR) in the human tissue...
November 24, 2023: IEEE Transactions on Biomedical Circuits and Systems
https://read.qxmd.com/read/37914400/endoscopic-full-thickness-resection-for-gastric-submucosal-tumors-a-japanese-multicenter-prospective-study
#15
JOURNAL ARTICLE
Satoki Shichijo, Noriya Uedo, Atsushi Sawada, Kingo Hirasawa, Hirohisa Takeuchi, Nobutsugu Abe, Masaki Miyaoka, Kenshi Yao, Akira Dobashi, Kazuki Sumiyama, Tsukasa Ishida, Yoshinori Morita, Hiroyuki Ono
OBJECTIVES: Early gastric cancer endoscopic resection (ER) is prominent in Japan. However, evidence regarding ER of gastric submucosal tumors (SMT) is limited. This prospective multicenter phase II study investigated the efficacy and safety of endoscopic full-thickness resection (EFTR) for gastric SMT. METHODS: EFTR indication for gastric SMT was a size 11-30 mm, histologically proven or clinically suspicious (irregular margin, increasing size, or internal heterogeneity) gastrointestinal stromal tumors (GIST), with no ulceration and intraluminal growth type...
November 1, 2023: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://read.qxmd.com/read/37581435/environmental-factors-influencing-stem-rot-development-in-peanut-predictors-and-action-thresholds-for-disease-management
#16
JOURNAL ARTICLE
Santosh Sanjel, James Colee, Rebecca Barocco, Nicholas S Dufault, Barry L Tillman, Zamir K Punja, Ramdeo Seepaul, Ian Malcolm Small
Peanuts grown in tropical, subtropical, and temperate regions are susceptible to stem rot, which is a soil-borne disease caused by Athelia rolfsii . Due to the lack of reliable environmental-based scheduling recommendations, stem rot control relies heavily on fungicides that are applied at predetermined intervals. We conducted inoculated field experiments for six site-years in North Florida, USA, to examine the relationship between germination of A. rolfsii sclerotia: the inoculum, stem rot symptom development in the peanut crop, and environmental factors such as soil temperature (ST), soil moisture, relative humidity (RH), precipitation, evapotranspiration, and solar radiation...
August 15, 2023: Phytopathology
https://read.qxmd.com/read/37571682/adherence-and-the-diabetic-foot-high-tech-meets-high-touch
#17
REVIEW
Hadia Srass, J Karim Ead, David G Armstrong
Diabetic foot ulcers, which are a common complication of diabetes, can have a negative impact on a person's physical and mental health, including an increased risk of depression. Patients suffering from depression are less likely to keep up with diabetic foot care, thus increasing the risk of developing ulcers. However, with the use of artificial intelligence (AI), at-home patient care has become easier, which increases adherence. To better understand how new technologies, including machine learning algorithms and wearable sensors, might improve patient adherence and outcomes, we conducted a literature review of several sensor technologies, including SmartMat© and Siren Care© socks for temperature, SurroSense Rx/Orpyx© for pressure, and Orthotimer© for adherence...
August 3, 2023: Sensors
https://read.qxmd.com/read/37489476/case-series-of-mri-and-ct-assessment-of-acquired-hepato-biliary-and-pancreatic-transdiaphragmatic-fistulae
#18
JOURNAL ARTICLE
Stefano Giusto Picchi, Giulia Lassandro, Rosita Comune, Filomena Pezzullo, Valeria Fiorini, Francesco Lassandro, Michele Tonerini, Salvatore Masala, Fabio Tamburro, Mariano Scaglione, Stefania Tamburrini
Transdiaphragmatic fistulae are rare conditions characterized by pathological communication between two epithelium-lined surfaces. Hepato-thoracic fistula consists of abnormal communication between the liver and/or the biliary system and the thorax; while the pancreaticopleural fistula consists of abnormal communication between the pancreas and the thorax, the pleuro-biliary fistula represents the more common type. Clinical symptoms and laboratory findings are generally non-specific (e.g., thoracic and abdominal pain, dyspnea, cough, neutrophilia, elevated CPR, and bilirubin values) and initially, first-level investigations, such as chest RX and abdominal ultrasound, are generally inconclusive for the diagnosis...
July 12, 2023: Tomography: a Journal for Imaging Research
https://read.qxmd.com/read/37432148/impact-of-enhanced-pharmacy-services-on-adherence-for-patients-with-hypertension
#19
JOURNAL ARTICLE
Paloma Garcia, Ashwini Zolekar, Andrew Donnelly, Anitha Nagelli
DISCLAIMER: In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. PURPOSE: To evaluate the impact of UI TEAM RX, a pharmacy-based enhanced services and care model, on adherence in patients with hypertension and prescribed a renin angiotensin system antagonist (RASA)...
July 11, 2023: American Journal of Health-system Pharmacy: AJHP
https://read.qxmd.com/read/37312265/disposition-kinetics-of-robenacoxib-following-intravenous-and-oral-administration-in-geese-anser-anser-domesticus
#20
JOURNAL ARTICLE
Charbel Fadel, Beata Łebkowska-Wieruszewska, Andrzej Lisowski, Seavchou Laut, Amnart Poapolathep, Mario Giorgi
Robenacoxib (RX) is a veterinary cyclooxygenase-2 selective inhibitor drug. It has never been tested on birds and is only labelled for use in cats and dogs. The purpose of this study was to assess its pharmacokinetics in geese after single intravenous (IV) and oral (PO) administrations. Four-month healthy female geese (n = 8) were used. Geese were subjected to a two-phase, single-dose (2 mg/kg IV, 4 mg/kg PO), open, longitudinal study design with a four-month washout period between the IV and the PO phases...
June 13, 2023: Journal of Veterinary Pharmacology and Therapeutics
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