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https://www.readbyqxmd.com/read/27913628/kinect-system-in-home-based-cardiovascular-rehabilitation
#1
Ágata Vieira, Joaquim Gabriel, Cristina Melo, Jorge Machado
Cardiovascular diseases lead to a high consumption of financial resources. An important part of the recovery process is the cardiovascular rehabilitation. This study aimed to present a new cardiovascular rehabilitation system to 11 outpatients with coronary artery disease from a Hospital in Porto, Portugal, later collecting their opinions. This system is based on a virtual reality game system, using the Kinect sensor while performing an exercise protocol which is integrated in a home-based cardiovascular rehabilitation programme, with a duration of 6 months and at the maintenance phase...
December 1, 2016: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
https://www.readbyqxmd.com/read/27909252/nurses-as-antibiotic-brokers-institutionalized-praxis-in-the-hospital
#2
Alex Broom, Jennifer Broom, Emma Kirby, Graham Scambler
We are likely moving rapidly toward a post-antibiotic era, as a result of escalating antimicrobial resistance, rapidly declining antibiotic production and profligate overuse. Hitherto research has almost exclusively focused on doctors' prescribing, with nurses' roles in antibiotic use remaining virtually invisible. Drawing on interviews with 30 nurses, we focus on nurses as brokers of doctors' antibiotic decisions, nursing capacity to challenge doctors' decisions, and, "back stage" strategies for circumnavigating organizational constraints...
November 30, 2016: Qualitative Health Research
https://www.readbyqxmd.com/read/27906757/effect-of-an-immersive-preoperative-virtual-reality-experience-on-patient-reported-outcomes-a-randomized-controlled-trial
#3
Kimon Bekelis, Daniel Calnan, Nathan Simmons, Todd A MacKenzie, George Kakoulides
OBJECTIVE: To investigate the effect of exposure to a virtual reality (VR) environment preoperatively on patient-reported outcomes for surgical operations. BACKGROUND: There is a scarcity of well-developed quality improvement initiatives targeting patient satisfaction. METHODS: We performed a randomized controlled trial of patients undergoing cranial and spinal operations in a tertiary referral center. Patients underwent a 1:1 randomization to an immersive preoperative VR experience or standard preoperative experience stratified on type of operation...
November 30, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27905167/preoperative-surgical-simulation-and-validation-of-the-line-of-resection-in-anterolateral-craniofacial-resection-of-advanced-sinonasal-sinus-carcinoma
#4
Naoki Nishio, Masazumi Fujii, Yuichiro Hayashi, Mariko Hiramatsu, Takashi Maruo, Kenichiro Iwami, Yuzuru Kamei, Shunjiro Yagi, Keisuke Takanari, Yasushi Fujimoto
BACKGROUND: The purpose of this study was to assess the usefulness and accuracy of preoperative 3D virtual simulation of anterolateral craniofacial resection in cases of advanced sinonasal sinus carcinoma. METHODS: Seven patients with advanced (T4 classification) sinonasal sinus carcinoma who underwent anterolateral craniofacial resection in our hospital between 2011 and 2013 were included in this study. Postsimulation CT images were fused with postoperative CT images and differences between the planned and actual osteotomy were measured in 3 regions of the skull base...
December 1, 2016: Head & Neck
https://www.readbyqxmd.com/read/27904638/virtual-reality-and-anxiety-in-primiparous-women-during-episiotomy-repair
#5
Nahid Jahani Shourab, Samira Ebrahimzadeh Zagami, Nahid Golmakhani, Seyed Reza Mazlom, Ali Nahvi, Ferial Pabarja, Mahdi Talebi, Sohaiela Mohamadi Rizi
BACKGROUND: In recent studies, using virtual reality (VR) has been proposed as a nonpharmacological method for anxiety reduction, but until this time, its effects have not been assessed on anxiety during episiotomy repair. This study aimed to determine the effect of audiovisual distraction (VR) on anxiety in primiparous women during episiotomy repair. MATERIALS AND METHODS: This clinical trial was conducted on 30 primigravida from May to July 2012 in the maternity unit of the Omolbanin Hospital, Mashhad city, Iran...
September 2016: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/27897023/-current-knowledge-about-hpv-infection
#6
A Mladěnka, A Kubečková, J Sláma
OBJECTIVE: Overview of current data on HPV infection. DESIGN: Review article. SETTING: Clinic of Gynecology and Obstetrics, University Hospital in Ostrava, Clinic of Obstetrics and Gynecology, University Hospital in Hradec Králové, Clinic of Gynecology and Obstetrics, General University Hospital in Prague. METHODS AND RESULTS: Human papillomavirus is a sexually transmitted pathogen that causes anogenital disorders...
2016: Ceská Gynekologie
https://www.readbyqxmd.com/read/27895100/virtual-environments-in-cancer-care-pilot-testing-a-three-dimensional-web-based-platform-as-a-tool-for-support-in-young-cancer-patients
#7
Mette Terp Høybye, Pia Riis Olsen, Helena Eva Hansson, David Spiegel, Henrik Bennetsen, Ewen Cheslack-Postava
Bringing virtual environments into cancer support may offer a particular potential to engage patients and increase adherence to treatment. Developing and pilot-testing an online real-time multi-user three-dimensional platform, this study tested the use of an early prototype of the platform among adolescent and young adult cancer patients. Data were collected with an online questionnaire and using ethnographic methods of participant observation. The adolescent and young adult patients tested basic features of the virtual environment and some conducted brief in-world interactions with fellow patients during hospitalization...
November 28, 2016: Health Informatics Journal
https://www.readbyqxmd.com/read/27893375/liver-segmentation-on-ct-and-mr-using-laplacian-mesh-optimization
#8
Gabriel Chartrand, Thierry Cresson, Ramnada Chav, Akshat Gotra, An Tang, Jacques A de Guise
OBJECTIVE: The purpose of this paper is to describe a semi-automated segmentation method for the liver and evaluate its performance on CT-scan and MR images. METHODS: First, an approximate 3D model of the liver is initialized from a few usergenerated contours to globally outline the liver shape. The model is then automatically deformed by a Laplacian mesh optimization scheme until it precisely delineates the patient's liver. A correction tool was implemented to allow the user to improve the segmentation until satisfaction...
November 21, 2016: IEEE Transactions on Bio-medical Engineering
https://www.readbyqxmd.com/read/27887961/clinical-perspective-creating-an-effective-practice-peer-review-process-a-primer
#9
Manisha Gandhi, Frances S Louis, Shae H Wilson, Steven L Clark
Peer review serves as an important adjunct to other hospital quality and safety programs. Despite its importance, the available literature contains virtually no guidance regarding the structure and function of effective peer review committees. This Clinical Perspective provides a summary of the purposes, structure, and functioning of effective peer review committees. We also discuss important legal considerations that are a necessary component of such processes. This discussion includes useful templates for case selection and review...
November 22, 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27884677/mastery-based-virtual-reality-robotic-simulation-curriculum-the-first-step-toward-operative-robotic-proficiency
#10
Melissa E Hogg, Vernissia Tam, Mazen Zenati, Stephanie Novak, Jennifer Miller, Amer H Zureikat, Herbert J Zeh
OBJECTIVE: Hepatobiliary surgery is a highly complex, low-volume specialty with long learning curves necessary to achieve optimal outcomes. This creates significant challenges in both training and measuring surgical proficiency. We hypothesize that a virtual reality curriculum with mastery-based simulation is a valid tool to train fellows toward operative proficiency. This study evaluates the content and predictive validity of robotic simulation curriculum as a first step toward developing a comprehensive, proficiency-based pathway...
November 21, 2016: Journal of Surgical Education
https://www.readbyqxmd.com/read/27878638/evolution-of-ds-1-like-g1p-8-double-gene-reassortant-rotavirus-a-strains-causing-gastroenteritis-in-children-in-vietnam-in-2012-2013
#11
Toyoko Nakagomi, Minh Quang Nguyen, Punita Gauchan, Chantal Ama Agbemabiese, Miho Kaneko, Loan Phuong Do, Thiem Dinh Vu, Osamu Nakagomi
Rotavirus A (RVA) strains, a leading cause of severe gastroenteritis in children worldwide, commonly possess the Wa or DS-1 genotype constellations. During a hospital-based study conducted in Hanoi, Vietnam, in the 2012-2013 rotavirus season, G1P[8] strains with a virtually identical short RNA migration pattern were detected in 20 (14%) of 141 rotavirus-positive samples. Two representatives of these strains were shown by whole-genome sequencing to be double-gene reassortants possessing the genotype constellation of G1-P[8]-I2-R2-C2-M2-A2-N2-T2-E2-H2...
November 23, 2016: Archives of Virology
https://www.readbyqxmd.com/read/27873414/virtual-sorting-hat-%C3%A2-technology-for-the-matching-of-candidates-to-residency-training-programs
#12
Pishoy Gouda, Martin Cormican
BACKGROUND: The matching of medical students and trainees to appropriate training programmes poses many challenges, including financial cost and applicant stress. There are few studies that have examined alternatives to the current process of matching candidates to specialist training. Case reports from Hogwarts School of Witchcraft and Wizardry(™) have suggested that wearable technology may be used to assign individuals with particular sets of skills and virtues to an appropriate house...
December 2016: Medical Education
https://www.readbyqxmd.com/read/27842539/a-randomized-wait-list-control-trial-to-evaluate-the-impact-of-a-mobile-application-to-improve-self-management-of-individuals-with-type-2-diabetes-a-study-protocol
#13
Laura Desveaux, Payal Agarwal, Jay Shaw, Jennifer M Hensel, Geetha Mukerji, Nike Onabajo, Husayn Marani, Trevor Jamieson, Onil Bhattacharyya, Danielle Martin, Muhammad Mamdani, Lianne Jeffs, Walter P Wodchis, Noah M Ivers, R Sacha Bhatia
BACKGROUND: Management of diabetes through improved glycemic control and risk factor modification can help prevent long-term complications. Much diabetes management is self-management, in which healthcare providers play a supporting role. Well-designed e-Health solutions targeting behavior change can improve a range of measures, including glycemic control, perceived health, and a reduction in hospitalizations. METHODS: The primary objective of this study is to evaluate if a mobile application designed to improve self-management among patients with type 2 diabetes (T2DM) improves glycemic control compared to usual care...
November 15, 2016: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/27837359/emergency-department-visits-and-hospitalizations-for-the-uninsured-in-illinois-before-and-after-affordable-care-act-insurance-expansion
#14
Aabha I Sharma, Scott M Dresden, Emilie S Powell, Raymond Kang, Joe Feinglass
We describe changes in emergency department (ED) visits and the proportion of patients with hospitalizations through the ED classified as Ambulatory Care Sensitive Hospitalization (ACSH) for the uninsured before (2011-2013) and after (2014-2015) Affordable Care Act (ACA) health insurance expansion in Illinois. Hospital administrative data from 201 non-federal Illinois hospitals for patients age 18-64 were used to analyze ED visits and hospitalizations through the ED. ACSH was defined using Agency for Healthcare Research and Quality (AHRQ) Prevention Quality Indicators (PQIs)...
November 12, 2016: Journal of Community Health
https://www.readbyqxmd.com/read/27837264/study-of-the-mandibular-incisive-canal-anatomy-using-cone-beam-computed-tomography
#15
Sergey Lvovich Kabak, Natallia Victorovna Zhuravleva, Yuliya Michailovna Melnichenko, Nina Alexandrovna Savrasova
PURPOSE: The aim of this study was to identify the range of individual variability in dimensions and topography of the mandibular incisive canal (MIC) in vivo. METHODS: One hundred cone beam computed tomography (CBCT) scans of patients from dental outpatient hospitals of Minsk, Belarus were performed on Galileos GAX5 using standard exposure and patient positioning protocol. Reformatted panoramic and sagittal CBCT images were analyzed. RESULTS: The MIC was visualized in 92% of CBCT images...
November 11, 2016: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/27832773/assessment-of-drug-use-patterns-in-terms-of-the-who-patient-care-and-facility-indicators-at-four-hospitals-in-southern-ethiopia-a-cross-sectional-study
#16
Kassa Daka Gidebo, Temesgen Sidamo Summoro, Zewde Zema Kanche, Eskinder Wolka Woticha
BACKGROUND: Patient-centered care is now the goal for virtually all healthcare systems. The aim of this research was to evaluate the patient care quality in regard to drug dispensing in four hospitals in southern Ethiopia namely Wolaita Sodo University teaching and referral hospital (WSUTRH), Tercha zonal hospital (TZH), Sodo Christian hospital (SCH) and Dubo St. Mary's Catholic primary hospital (DSMCPH). METHODS: A cross sectional study was conducted by using the WHO patient care and facility indicators between September 10 and October 20, 2014...
November 10, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27822112/danish-pancreatic-cancer-database
#17
REVIEW
Claus Fristrup, Sönke Detlefsen, Carsten Palnæs Hansen, Morten Ladekarl
AIM OF DATABASE: The Danish Pancreatic Cancer Database aims to prospectively register the epidemiology, diagnostic workup, diagnosis, treatment, and outcome of patients with pancreatic cancer in Denmark at an institutional and national level. STUDY POPULATION: Since May 1, 2011, all patients with microscopically verified ductal adenocarcinoma of the pancreas have been registered in the database. As of June 30, 2014, the total number of patients registered was 2,217...
2016: Clinical Epidemiology
https://www.readbyqxmd.com/read/27815798/relevance-of-ehealth-standards-for-big-data-interoperability-in-radiology-and-beyond
#18
Paolo Marcheschi
The aim of this paper is to report on the implementation of radiology and related information technology standards to feed big data repositories and so to be able to create a solid substrate on which to operate with analysis software. Digital Imaging and Communications in Medicine (DICOM) and Health Level 7 (HL7) are the major standards for radiology and medical information technology. They define formats and protocols to transmit medical images, signals, and patient data inside and outside hospital facilities...
November 4, 2016: La Radiologia Medica
https://www.readbyqxmd.com/read/27809956/the-effectiveness-cost-effectiveness-and-acceptability-of-community-versus-hospital-eye-service-follow-up-for-patients-with-neovascular-age-related-macular-degeneration-with-quiescent-disease-echoes-a-virtual-randomised-balanced-incomplete-block-trial
#19
Barnaby C Reeves, Lauren J Scott, Jodi Taylor, Ruth Hogg, Chris A Rogers, Sarah Wordsworth, Daisy Townsend, Alyson Muldrew, Tunde Peto, Mara Violato, Helen Dakin, Heike Cappel-Porter, Nicola Mills, Dermot O'Reilly, Simon P Harding, Usha Chakravarthy
BACKGROUND: Patients with neovascular age-related macular degeneration (nAMD) usually attend regular reviews, even when the disease is quiescent. Reviews are burdensome to health services, patients and carers. OBJECTIVES: To compare the proportion of correct lesion classifications made by community-based optometrists and ophthalmologists from vignettes of patients; to estimate the cost-effectiveness of community follow-up by optometrists compared with follow-up by ophthalmologists in the Hospital Eye Service (HES); to ascertain views of patients, their representatives, optometrists, ophthalmologists and clinical commissioners on the proposed shared care model...
October 2016: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/27800007/comparison-of-dementia-recorded-in-routinely-collected-hospital-admission-data-in-england-with-dementia-recorded-in-primary-care
#20
Anna Brown, Oksana Kirichek, Angela Balkwill, Gillian Reeves, Valerie Beral, Cathie Sudlow, John Gallacher, Jane Green
BACKGROUND: Electronic linkage of UK cohorts to routinely collected National Health Service (NHS) records provides virtually complete follow-up for cause-specific hospital admissions and deaths. The reliability of dementia diagnoses recorded in NHS hospital data is not well documented. METHODS: For a sample of Million Women Study participants in England we compared dementia recorded in routinely collected NHS hospital data (Hospital Episode Statistics: HES) with dementia recorded in two separate sources of primary care information: a primary care database [Clinical Practice Research Datalink (CPRD), n = 340] and a survey of study participants' General Practitioners (GPs, n = 244)...
2016: Emerging Themes in Epidemiology
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