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https://www.readbyqxmd.com/read/28108068/challenges-training-left-handed-surgeons
#1
Maia Anderson, Erica Carballo, David Hughes, Christopher Behrer, Rishindra M Reddy
BACKGROUND: Being left-handed (LH) is considered a disadvantage in surgical training. We sought to understand the perspectives of LH trainees and surgical educators on the challenges and modifications in training LH surgeons. METHODS: A survey was distributed to surgeons, surgical residents, and medical students about challenges teaching and learning surgical technique. RESULTS: 25 LH surgeons, 65 right-handed (RH) surgeons, and 39 LH trainees completed the survey...
December 31, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/28108046/rules-of-performance-in-the-nursing-home-a-grounded-theory-of-nurse-cna-communication
#2
Connie Madden, Margaret Clayton, Heather Canary, Gail Towsley, Kristin Cloyes, Dale Lund
This study offers an initial theoretical understanding of nurse-CNA communication processes from the perspectives of nurses and CNAs who are providing direct care to residents in nursing homes. A grounded theory approach provided an understanding of nurse-CNA communication process within the complexities of the nursing home setting. Four themes (maintaining information flow, following procedure, fostering collegiality, and showing respect) describe the "rules of performance" that intertwine in nuanced relationships to guide nurse-CNA communication processes...
January 17, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28107876/a-survey-exploring-factors-associated-with-2890-companion-rabbit-owners-knowledge-of-rabbit-care-and-the-neuter-status-of-their-companion-rabbit
#3
Tasha Welch, Jason B Coe, Lee Niel, Emily McCobb
Pet owners' knowledge of pet care has been shown to affect the human-animal relationship and the welfare of companion animals. With rabbits being the third most common companion animal in many regions, and evidence of owners' lack of awareness for the standards of care required to care for companion rabbits, it is important to understand the knowledge level of rabbit owners and determine how companion rabbits are being cared for. The purpose of this study was to survey rabbit owners in order to explore factors associated with their knowledge of rabbit care, and the neuter status of their companion rabbit...
February 1, 2017: Preventive Veterinary Medicine
https://www.readbyqxmd.com/read/28106656/pessary-education-for-residents
#4
Aisling A Clancy, Dante Pascali, Hisham Khalil
No abstract text is available yet for this article.
January 18, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28106647/estimation-of-uterine-size-how-accurate-are-we
#5
Tanya P Hoke, Babak Vakili
OBJECTIVE: To evaluate the accuracy of gynecologic surgeons at estimating uterine dimensions and weight. METHODS: Six model uteri of various sizes were created to simulate the size and consistency of a uterus and displayed at 3 stations. The visual station (VS) comprised 2 specimens placed on an unmarked table. The laparoscopic station (LS) consisted of 2 model uteri, each placed in a separate simulated abdomen with a 0 degree laparoscope and 2 operative trocars with standard instruments...
January 18, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28104806/reducing-unnecessary-testing-an-intervention-to-improve-resident-ordering-practices
#6
Jose Melendez-Rosado, Kristine M Thompson, Jed C Cowdell, Catalina Sanchez Alvarez, Ryan L Ung, Armando Villanueva, Kayin B Jeffers, Jaafer S Imam, Mario V Mitkov, Tasneem A Kaleem, Lewis Jacob, Nancy L Dawson
PURPOSE OF THE STUDY: To reduce the number of unnecessary laboratory tests ordered through a measurement of effects of education and cost awareness on laboratory ordering behaviour by internal medicine residents for common tests, including complete blood cell count (CBC) and renal profile (RP), and to evaluate effects of cost awareness on hospitalisation, 30-day readmission rate and mortality rate. STUDY DESIGN: 567 patients admitted during February, March and April 2014 were reviewed as the control group...
January 19, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28104570/high-risk-injecting-behaviour-among-people-who-inject-pharmaceutical-opioids-in-australia
#7
Jenny Iversen, George Dertadian, Louise Geddes, Lisa Maher
BACKGROUND: Use of opioid analgesic medicines has doubled globally over the past decade, with a concomitant increase in prevalence of injection of pharmaceutical opioids (PO), including in Australia. This study investigates types of PO injected, methods used to prepare PO for injection and correlates of recent (last 6 months) PO injection among a large national sample of people who inject drugs (PWID). METHODS: The Australian NSP Survey (ANSPS), conducted annually at ∼50 NSP services across Australia, consists of a brief self-administered questionnaire and provision of a capillary dried blood spot for HIV and hepatitis C antibody testing...
January 16, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/28104488/satisfaction-with-communication-in-primary-care-for-spanish-speaking-and-english-speaking-parents
#8
Kori B Flower, Asheley C Skinner, H Shonna Yin, Russell L Rothman, Lee M Sanders, Alan Delamater, Eliana M Perrin
BACKGROUND AND OBJECTIVE: Effective communication with primary care physicians is important yet incompletely understood for Spanish-speaking parents. We predicted lower satisfaction among Spanish-speaking compared with English-speaking Latino and non-Latino parents. METHODS: Cross-sectional analysis at 2-month well visits within the Greenlight study at 4 pediatric resident clinics. Parents reported satisfaction with 14 physician communication items using the validated Communication Assessment Tool (CAT)...
January 16, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/28103935/a-pragmatic-examination-of-active-and-passive-recruitment-methods-to-improve-the-reach-of-community-lifestyle-programs-the-talking-health-trial
#9
Paul Estabrooks, Wen You, Valisa Hedrick, Margaret Reinholt, Erin Dohm, Jamie Zoellner
BACKGROUND: A primary challenge for behavior change strategies is ensuring that interventions can be effective while also attracting a broad and representative sample of the target population. The purpose of this case-study was to report on (1) the reach of a randomized controlled trial targeting reduced sugary beverages, (2) potential participant characteristic differences based on active versus passive recruitment strategies, and (3) recruitment strategy cost. METHODS: Demographic and recruitment information was obtained for 8 counties and for individuals screened for participation...
January 19, 2017: International Journal of Behavioral Nutrition and Physical Activity
https://www.readbyqxmd.com/read/28103856/relationship-between-the-presence-of-baccalaureate-educated-rns-and-quality-of-care-a-cross-sectional-study-in-dutch-long-term-care-facilities
#10
Ramona Backhaus, Erik van Rossum, Hilde Verbeek, Ruud J G Halfens, Frans E S Tan, Elizabeth Capezuti, Jan P H Hamers
BACKGROUND: Recent evidence suggests that an increase in baccalaureate-educated registered nurses (BRNs) leads to better quality of care in hospitals. For geriatric long-term care facilities such as nursing homes, this relationship is less clear. Most studies assessing the relationship between nurse staffing and quality of care in long-term care facilities are US-based, and only a few have focused on the unique contribution of registered nurses. In this study, we focus on BRNs, as they are expected to serve as role models and change agents, while little is known about their unique contribution to quality of care in long-term care facilities...
January 19, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28103828/housing-materials-as-predictors-of-under-five-mortality-in-nigeria-evidence-from-2013-demographic-and-health-survey
#11
Stephen Ayo Adebowale, Oyewale Mayowa Morakinyo, Godson Rowland Ana
BACKGROUND: Nigeria is among countries with high Under-Five Mortality (U5M) rates worldwide. Both maternal and childhood factors have been linked to U5M in the country. However, despite the growing global recognition of the association between housing and quality of life, the role of housing materials as predictors of U5M remain largely unexplored in Nigeria. This study, therefore, investigated the relationship between housing materials and U5M in Nigeria. METHODS: The study utilised the 2013 Nigeria Demographic and Health Survey data...
January 19, 2017: BMC Pediatrics
https://www.readbyqxmd.com/read/28103729/strategies-to-promote-resilience-empathy-and-well-being-in-the-health-professions-insights-from-the-2015-centile-conference
#12
Aviad Haramati, Sian Cotton, Jamie S Padmore, Hedy S Wald, Peggy A Weissinger
The high prevalence of physician burnout is of great concern and may begin with observed declines in empathy and increases in stress and burnout in medical and health professions students. While underlying causes have been described, there is less certainty on how to create effective interventions in curricula and workplace. In October 2015, The Center for Innovation and Leadership in Education (CENTILE) at Georgetown University, together with MedStar Health, Georgetown's clinical partner, and six academic institutions sponsored a conference in Washington, DC...
January 20, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28103456/health-inequalities-in-diabetes-mellitus-and-hypertension-a-parish-level-study-in-the-northern-region-of-portugal
#13
Teresa Leao, Julian Perelman, Manuela Felício, Vasco Machado, Graça Lima
INTRODUCTION: Diabetes and hypertension are highly prevalent conditions in Portugal. Little is known about the geographical and social patterning of these diseases, which precludes the design of targeted health policies. This study aimed to measure the geographical and socioeconomic distribution of type 2 diabetes and hypertension prevalence in the population resident in the Northern region of Portugal, for the year 2013. MATERIAL AND METHODS: An ecological correlation study analyzed the 2,028 parishes of the region...
October 2016: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28102434/low-muscle-mass-and-risk-of-type-2-diabetes-in-middle-aged-and-older-adults-findings-from-the-koges
#14
Jang Won Son, Seong Su Lee, Sung Rae Kim, Soon Jib Yoo, Bong Yun Cha, Ho Young Son, Nam H Cho
AIMS/HYPOTHESIS: Asians have a propensity to develop type 2 diabetes with a lower BMI than Western populations. This discrepancy may be due to differences in body fat and muscle mass for a given BMI. However, unlike adiposity, it is unclear whether muscle mass affects the risk of type 2 diabetes in Asian populations. METHODS: We conducted a 2-yearly prospective assessment of 6895 participants who were free of diabetes at the baseline examination as part of the Korean Genome Epidemiology Study...
January 19, 2017: Diabetologia
https://www.readbyqxmd.com/read/28101833/gout-treatment-survey-of-brazilian-rheumatology-residents
#15
REVIEW
Rodrigo Balbino Chaves Amorim, Ana Beatriz Vargas-Santos, Leticia Rocha Pereira, Evandro Silva Freire Coutinho, Geraldo da Rocha Castelar-Pinheiro
To assess the current practices in gout management among Brazilian rheumatology residents. We performed a cross-sectional online survey among all the rheumatology residents and those rheumatologists who had just completed their training (post-residency (PR)) regarding their approach to gout management. Results were compared with the 2012 American College of Rheumatology (ACR) gout guidelines and with the responses of a previous survey with a representative sample of practicing Brazilian rheumatologists (RHE)...
January 19, 2017: Clinical Rheumatology
https://www.readbyqxmd.com/read/28101115/marital-satisfaction-and-its-influencing-factors-in-fertile-and-infertile-women
#16
Mohammad Amiri, Zakieh Sadeqi, Mohammad Hassan Hoseinpoor, Ahmad Khosravi
Objective: To determine marital satisfaction and its influencing factors among fertile and infertile women in Shahroud. Materials and methods: In this comparative study, 1528 participants (511 infertile and1017 fertile women) were evaluated using Enrich Marital Satisfaction Scale. Data were analyzed using chi-square and t-test. Results: A total of 1402 participants (78.7%) had high marital satisfaction. The results show that no significant differences exist between marital satisfaction, marital communication, conflict resolution and idealistic distortion in fertile and infertile women...
September 2016: Journal of Family & Reproductive Health
https://www.readbyqxmd.com/read/28100376/-related-factors-for-severe-liver-fibrosis-in-chronic-hepatitis-c-patients-with-remunerated-blood-donation-history-in-jurong-of-jiangsu-province
#17
Y N Yao, P Huang, H B Chen, L Zhang, M Z Chen, R B Yu
Objective: The incidence of liver fibrosis in patients with chronic hepatitis C is high. Without effective treatment, it would lead to liver cirrhosis. This study is to identify the related factors for the incidence of liver fibrosis in patients with chronic hepatitis C in order to make early intervention treatment and reduce the case fatality rate. Methods: This cross-sectional survey was conducted in adults aged ≥50 years with local residence for more than 5 years in Jurong of Jiangsu province from March to May in 2015, the patients infected with hepatitis C virus through remunerated blood donation were screened and included in the analysis...
January 10, 2017: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
https://www.readbyqxmd.com/read/28100226/multidimensional-poverty-and-catastrophic-health-spending-in-the-mountainous-regions-of-myanmar-nepal-and-india
#18
Sanjay K Mohanty, Nand Kishor Agrawal, Bidhubhusan Mahapatra, Dhrupad Choudhury, Sabarnee Tuladhar, E Valdemar Holmgren
BACKGROUND: Economic burden to households due to out-of-pocket expenditure (OOPE) is large in many Asian countries. Though studies suggest increasing household poverty due to high OOPE in developing countries, studies on association of multidimensional poverty and household health spending is limited. This paper tests the hypothesis that the multidimensionally poor are more likely to incur catastrophic health spending cutting across countries. DATA AND METHODS: Data from the Poverty and Vulnerability Assessment (PVA) Survey carried out by the International Center for Integrated Mountain Development (ICIMOD) has been used in the analyses...
January 18, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28100200/prevalence-and-factors-associated-with-anaemia-among-children-aged-6-to-59%C3%A2-months-in-namutumba-district-uganda-a-cross-sectional-study
#19
Fiona Kuziga, Yeka Adoke, Rhoda K Wanyenze
BACKGROUND: Anaemia is one of the major causes of death among children under five years in Africa, with a prevalence of 64.6% among pre-school children. In 2014, we conducted a cross-sectional study in Namutumba district in East-central Uganda to determine the prevalence and factors associated with anaemia among children aged 6 to 59 months. METHODS: We conducted a household survey in 376 randomly selected households. One child aged 6 to 59 months was randomly sampled from each selected household...
January 18, 2017: BMC Pediatrics
https://www.readbyqxmd.com/read/28100176/effect-of-training-and-structured-medication-review-on-medication-appropriateness-in-nursing-home-residents-and-on-cooperation-between-health-care-professionals-the-intherakt-study-protocol
#20
Angelika Mahlknecht, Nadja Nestler, Ulrike Bauer, Nadine Schüßler, Jochen Schuler, Sebastian Scharer, Ralf Becker, Isabel Waltering, Georg Hempel, Oliver Schwalbe, Maria Flamm, Jürgen Osterbrink
BACKGROUND: Pharmacotherapy in residents of nursing homes is critical due to the special vulnerability of this population. Medical care and interprofessional communication in nursing homes are often uncoordinated. As a consequence, polypharmacy and inappropriate medication use are common and may lead to hospitalizations and health hazards. The aim of this study is to optimize communication between the involved professional groups by specific training and by establishing a structured medication review process, and to improve medication appropriateness and patient-relevant health outcomes for residents of nursing homes...
January 18, 2017: BMC Geriatrics
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