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https://www.readbyqxmd.com/read/29240509/mild-bleeding-disorders-what-every-clinician-should-know
#1
H K Hussein, Plr Nicolson, K Fordwor, G C Lowe
Patients with mild bleeding disorders are under-recognized and frequently present to general physicians. The underlying reasons for bleeding are multifactorial. There is little evidence to guide diagnostic and management decision making in patients with mild bleeding disorders. This article outlines different types of mild bleeding disorders, with a particular focus on bleeding associated with low levels of von Willebrand factor and mild platelet defects. It gives practical, evidence-based advice on the investigation and management of patients with a suspected or known mild bleeding disorder, considering the scenarios of an acute bleed, stable outpatient, peri-surgical management and thrombosis...
December 2, 2017: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/29235364/patient-reported-safety-incidents-as-a-new-source-of-patient-safety-data-an-exploratory-comparative-study-in-an-acute-hospital-in-england
#2
Gerry Armitage, Sally Moore, Caroline Reynolds, Pierre-Antoine Laloë, Claire Coulson, Rosie McEachan, Rebecca Lawton, Ian Watt, John Wright, Jane O'Hara
Objectives To compare a new co-designed, patient incident reporting tool with three established methods of detecting patient safety incidents and identify if the same incidents are recorded across methods. Method Trained research staff collected data from inpatients in nine wards in one university teaching hospital during their stay. Those classified as patient safety incidents were retained. We then searched for patient safety incidents in the corresponding patient case notes, staff incident reports and reports to the Patient Advice and Liaison Service specific to the study wards...
January 1, 2017: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29234512/new-models-of-care-a-liaison-psychiatry-service-for-medically-unexplained-symptoms-and-frequent-attenders-in-primary-care
#3
Janine Bestall, Najma Siddiqi, Suzanne Heywood-Everett, Charlotte Freeman, Paul Carder, Mick James, Brendan Kennedy, Angela Moulson, Allan House
Aims and method This paper describes the process of setting up and the early results from a new liaison psychiatry service in primary care for people identified as frequent general practice attenders with long-term conditions or medically unexplained symptoms. Using a rapid evidence synthesis, we identified existing service models, mechanisms to identify and refer patients, and outcomes for the service. Considering this evidence, with local contingencies we defined options and resources. We agreed a model to set up a service in three diverse general practices...
December 2017: BJPsych Bulletin
https://www.readbyqxmd.com/read/29232456/susceptibility-to-measles-in-migrant-population-implication-for-policy-makers
#4
Giancarlo Ceccarelli, Serena Vita, Elisabetta Riva, Eleonora Cella, Maurizio Lopalco, Francesca Antonelli, Marina De Cesaris, Marta Fogolari, Giordano Dicuonzo, Massimo Ciccozzi, Silvia Angeletti
Background: Despite a large measles outbreak is taking place in WHO European region, currently no data are available on measles immunization coverage in the asylum seeker and migrants hosted in this area. Methods: Two hundred and fifty-six migrants upon their arrival in Italy on March, April and May 2016 were screened for measles virus IgG antibodies by chemiluminescence immunoassay (Liaison XL analyzer, Diasorin, Italy). The virus susceptibility in this cohort, the differences between the official country reported and the observed measles immunization coverage and the impact of current measles outbreak on the asylum seekers hosted in the largest Asylum Seeker centres of Italy, were evaluated...
January 1, 2018: Journal of Travel Medicine
https://www.readbyqxmd.com/read/29230540/preventing-future-fractures-effectiveness-of-an-orthogeriatric-fracture-liaison-service-compared-to-an-outpatient-fracture-liaison-service-and-the-standard-management-in-patients-with-hip-fracture
#5
Antonio Naranjo, Sonia Fernández-Conde, Soledad Ojeda, Laura Torres-Hernández, Carolina Hernández-Carballo, Idoia Bernardos, Sinforiano Rodríguez, Pedro Laynez
An observational study was carried out in two hospitals in patients > 65 years admitted for hip fracture. At 6 months, 15% of patients in the hospital with orthogeriatric standard care and 75% in the hospital with fracture liaison service were receiving bisphosphonates. PURPOSE: Many patients with fractures are discharged without preventive therapy against further fractures. We sought to compare the effectiveness of an orthogeriatric fracture liaison service (FLS), outpatient FLS, and the standard care after hip fractures in prevention of future fractures...
December 11, 2017: Archives of Osteoporosis
https://www.readbyqxmd.com/read/29224695/fragility-fractures-their-impact-on-older-people
#6
REVIEW
Lídia Sànchez-Riera, Nicholas Wilson
Osteoporotic fractures, in particular hip and vertebral, are a major health burden worldwide. The majority of these fractures occur in the elderly population, resulting in one of the most important causes of mortality and disability in older ages. Their cost for societies is enormous and is forecast to steadily increase over the coming decades globally. Low bone mineral density (BMD) remains a key preventable risk factor for fractures. Screening and treatment of individuals with high risk of fracture is cost-effective...
April 2017: Best Practice & Research. Clinical Rheumatology
https://www.readbyqxmd.com/read/29220616/interventions-to-improve-or-maintain-lower-limb-function-among-ambulatory-adolescents-with-cerebral-palsy-a-cross-sectional-survey-of-current-practice-in-the-uk
#7
Gerasimos Taflampas, Cherry Kilbride, Wendy Levin, Grace Lavelle, Jennifer M Ryan
OBJECTIVES: To describe physiotherapy management to improve or maintain lower-limb function among adolescents with cerebral palsy, classified in Gross Motor Function Classification System levels I-III, in the United Kingdom (UK). METHODS: A list of interventions was identified using a nominal group technique and developed into a survey, which was distributed to approximately 2,100 pediatric physiotherapists in the UK through the Association of Pediatric Chartered Physiotherapists and a private physiotherapy clinic in London between April and June 2015...
December 8, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/29219257/evaluation-of-a-mental-health-liaison-team-part-2-the-themes-and-their-effect-on-practice
#8
Alex McClimens, Shona Kelly, Mubarak Ismail, Jeff Breckon
Hospitals and emergency departments (EDs) are caring for increasing numbers of patients who present with underlying mental health issues. Managing these patients can be challenging for clinical staff who often lack the specialist knowledge and skills required to provide appropriate care. This article, part two of two on the evaluation of a newly formed mental health liaison team (MHLT) working in a general hospital, focuses on the perceptions and experiences of the MHLT participants, and explores three sub-themes derived from the interview data...
December 8, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/29210462/vocational-rehabilitation-for-enhancing-return-to-work-in-workers-with-traumatic-upper-limb-injuries
#9
REVIEW
Wen-Hsuan Hou, Ching-Chi Chi, Heng-Lien Lo, Yun-Yun Chou, Ken N Kuo, Hung-Yi Chuang
BACKGROUND: Traumatic upper limb injury is a leading cause of work-related disability. After return-to-work (RTW), many survivors of injuries are able to regain a quality of life (QoL) comparable with the normal population. Since RTW plays an important role in economic productivity and regaining health-related QoL, enhancing RTW in workers with traumatic limb injuries is the primary goal of rehabilitation. Vocational rehabilitation has been commonly employed in the field of occupational safety and health to increase the number of injured people returning to the labour market, prevent illness, increase well-being, and reduce disability...
December 6, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29203082/training-tomorrow-s-doctors-to-explain-medically-unexplained-physical-symptoms-an-examination-of-uk-medical-educators-views-of-barriers-and-solutions
#10
Emmeline Joyce, Jennifer Cowing, Candice Lazarus, Charlotte Smith, Victoria Zenzuck, Sarah Peters
OBJECTIVE: Co-occuring physical symptoms, unexplained by organic pathology (known as Functional Syndromes, FS), are common and disabling presentations. However, FS is absent or inconsistently taught within undergraduate medical training. This study investigates the reasons for this and identifies potential solutions to improved implementation. METHODS: Twenty-eight medical educators from thirteen different UK medical schools participated in semi-structured interviews...
November 28, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/29202084/the-market-for-reproductive-tourism-an-analysis-with-special-reference-to-greece
#11
Anastasia Paraskou, Babu P George
Background: For many people, the need for parenthood remains unfulfilled due to biological reasons and a remedy for these individuals is assisted reproduction (AR). Because of widely differing and sometimes incompatible legislations around the world related to AR, there is considerable confusion across national borders. Within Europe, Greece seems to be in a comparatively favorable position because of lower restrictions and the availability of decent quality specialized medical facilities...
2017: Global Health Research and Policy
https://www.readbyqxmd.com/read/29200525/mental-health-care-during-the-ebola-virus-disease-outbreak-in-sierra-leone
#12
Stania Kamara, Anna Walder, Jennifer Duncan, Antoinet Kabbedijk, Peter Hughes, Andrew Muana
Problem: Reported levels of mental health and psychosocial problems rose during the 2014-2015 Ebola virus disease outbreak in Sierra Leone. Approach: As part of the emergency response, existing plans to create mental health units within the existing hospital framework were brought forward. A nurse-led mental health and psychosocial support service, with an inpatient liaison service and an outpatient clinic, was set up at the largest government hospital in the country...
December 1, 2017: Bulletin of the World Health Organization
https://www.readbyqxmd.com/read/29198371/comparison-of-abbott-architect%C3%A2-siemens-immulite%C3%A2-and-diasorin-liaison%C3%A2-for-determination-of-epstein-barr-virus-serological-diagnosis
#13
Catherine François, Christine Segard, Maryline Bouvier, Martine Stefanski, Christine Pannier, Patricia Zawadzki, Catherine Roussel, Denise Hecquet, Gilles Duverlie, Etienne Brochot, Sandrine Castelain
This study compared the performance of 3 automated immunoassays, Architect® (Abbott), Immulite® (Siemens) and Liaison® (Diasorin), for Epstein-Barr virus (EBV) serology. Ninety-one serum samples collected in Amiens University Hospital were analyzed for the presence of Viral Capsid Antigen (VCA) IgG and IgM and Epstein-Barr Nuclear Antigen (EBNA) IgG. The agreement between the 3 assays was calculated for each marker individually and for determination of the EBV profile, based on interpretation of the combination of these 3 EBV markers...
November 7, 2017: Diagnostic Microbiology and Infectious Disease
https://www.readbyqxmd.com/read/29197305/internal-medicine-hospitalists-perceived-barriers-and-recommendations-for-optimizing-secondary-prevention-of-osteoporotic-hip-fractures
#14
Eng Keong Tan, Kah Poh Loh, Sarah L Goff
OBJECTIVES: Osteoporosis is a major public health concern affecting an estimated 10 million people in the United States. To the best of our knowledge, no qualitative study has explored barriers perceived by medicine hospitalists to secondary prevention of osteoporotic hip fractures. We aimed to describe these perceived barriers and recommendations regarding how to optimize secondary prevention of osteoporotic hip fracture. METHODS: In-depth, semistructured interviews were performed with 15 internal medicine hospitalists in a tertiary-care referral medical center...
December 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29196438/hbv-infection-and-hcc-the-dangerous-liaisons
#15
EDITORIAL
Antonio Bertoletti, Patrick T F Kennedy, David Durantel
No abstract text is available yet for this article.
December 1, 2017: Gut
https://www.readbyqxmd.com/read/29189620/nurse-practitioner-fracture-liaison-role-a-concept-analysis
#16
Sharon Chow
BACKGROUND: With the worldwide growing aging population, the high prevalence of osteoporosis-related fractures is associated with high morbidity and mortality. Healthcare costs for treating fractures and subsequent complications will increase to $25 billion by 2025. PURPOSE: This article articulates a comprehensive concept analysis of the nurse practitioner fracture liaison (NPFL) role to provide new insights into the role of nurse practitioner in osteoporosis care coordination...
November 2017: Orthopaedic Nursing
https://www.readbyqxmd.com/read/29187767/triads-in-equine-assisted-social-work-enhance-therapeutic-relationships-with-self-harming-adolescents
#17
Catharina Carlsson
Despite an increasing number of studies, there is still a lack of knowledge about the unique features that underlie the process in equine assisted social work (EASW). This study aimed to reveal, through qualitative methods, the dyads within the triad that become stronger during the process of EASW, as well as the effect of the participation of the horse on the relationship between the counselor and client. Data were collected through in-depth interviews with nine female self-harming clients aged 15-21 years and eight staff members...
2017: Clinical Social Work Journal
https://www.readbyqxmd.com/read/29186971/reactive-oxygen-species-and-oncoprotein-signaling-a-dangerous-liaison
#18
Stephen Jun Fei Chong, Jolin Xiao Hui Lai, Jie Qing Eu, Gregory Bellot, Shazib Pervaiz
SIGNIFICANCE: There is evidence to implicate reactive oxygen species (ROS) in tumorigenesis and its progression. This has been associated with the interplay between ROS and oncoproteins, resulting in enhanced cellular proliferation and survival. Recent Advances: To date, studies have investigated specific contributions of the crosstalk between ROS and signaling networks in cancer initiation and progression. These investigations have challenged the established dogma of ROS as agents of cell death by demonstrating a secondary function that fuels cell proliferation and survival...
November 30, 2017: Antioxidants & Redox Signaling
https://www.readbyqxmd.com/read/29180266/heart-kidney-and-fgf23-les-liaisons-dangereuses
#19
EDITORIAL
Giuseppe Vergaro, Alberto Aimo, Claudio Passino, Michele Emdin
No abstract text is available yet for this article.
November 22, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/29179830/categorising-patients-mental-illness-by-medical-surgical-nurses-in-the-general-hospital-ward-a-focus-group-study
#20
REVIEW
Scott Brunero, Niels Buus, Sandra West
AIM: To gain insight into medical surgical nurses' process(es) of categorising mental illness in general hospitals. BACKGROUND: Categorising patients is a daily social practice that helps medical surgical nurses understand their work and actions. Medical surgical nurses' categorising of mentally ill patients in general hospitals is a means in which they articulate their understanding of mental illness and perform their clinical practice. How medical surgical nurses categorise, and the impact that categorising can have on their work practices is poorly understood...
December 2017: Archives of Psychiatric Nursing
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