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https://www.readbyqxmd.com/read/28527613/no-344-opportunistic-salpingectomy-and-other-methods-of-risk-reduction-for-ovarian-fallopian-tube-peritoneal-cancer-in-the-general-population
#1
Shannon Salvador, Stephanie Scott, Julie Ann Francis, Anita Agrawal, Christopher Giede
OBJECTIVE: This guideline reviews the potential benefits of opportunistic salpingectomy to prevent the development of high grade serous cancers (HGSC) of the ovary/fallopian tube/peritoneum based on current evidence supporting the fallopian tube origin of disease. INTENDED USERS: Gynaecologists, obstetricians, family doctors, registered nurses, nurse practitioners, residents, and health care providers. TARGET POPULATION: Adult women (18 and older): OPTIONS: Women considering hysterectomy who wish to retain their ovaries in situ have traditionally also retained their fallopian tubes...
June 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/28526972/patient-experiences-attitudes-and-expectations-towards-receiving-information-about-anti-tnf-medication-a-quantitative-study
#2
Jon Packham, Paul Arkell, Tom Sheeran, Ann Brownfield, Anthony Cadwgan, Sarah Ryan
The objective of the study was to measure patient attitudes and experience of information received during drug counselling for rheumatoid arthritis (RA) medications. This is a cross-sectional UK postal questionnaire study. Three RA patient groups-disease-modifying antirheumatic drugs (DMARDs) only, first anti-tumour necrosis factor (anti-TNF) and failed anti-TNF-were sent postal questionnaires. Data on patient history/demographics, drug counselling experience, knowledge of drug side effects, attitudes to vaccinations, cancer screening and blood borne virus testing was collected; 264/679 (39%) patients responded (median age 65 years, 66% female, median disease duration 15 years)...
May 19, 2017: Clinical Rheumatology
https://www.readbyqxmd.com/read/28515187/reducing-social-isolation-and-loneliness-in-older-people-a-systematic-review-protocol
#3
Filipa Landeiro, Paige Barrows, Ellen Nuttall Musson, Alastair M Gray, José Leal
INTRODUCTION: Social isolation and loneliness affect approximately one-third to one-half of the elderly population and have a negative impact on their physical and mental health. Group-based interventions where facilitators are well trained and where the elderly are actively engaged in their development seem to be more effective, but conclusions have been limited by weak study designs. We aim to conduct a systematic review to assess the effectiveness of health promotion interventions on social isolation or loneliness in older people...
May 17, 2017: BMJ Open
https://www.readbyqxmd.com/read/28513769/the-situation-of-nursing-education-in-latin-america-and-the-caribbean-towards-universal-health
#4
Silvia Helena De Bortoli Cassiani, Lynda Law Wilson, Sabrina de Souza Elias Mikael, Laura Morán Peña, Rosa Amarilis Zarate Grajales, Linda L McCreary, Lisa Theus, Maria Del Carmen Gutierrez Agudelo, Adriana da Silva Felix, Jacqueline Molina de Uriza, Nathaly Rozo Gutierrez
Objective: to assess the situation of nursing education and to analyze the extent to which baccalaureate level nursing education programs in Latin America and the Caribbean are preparing graduates to contribute to the achievement of Universal Health. Method: quantitative, descriptive/exploratory, cross-sectional study carried out in 25 countries. Results: a total of 246 nursing schools participated in the study. Faculty with doctoral level degrees totaled 31...
May 11, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/28511787/comparative-and-cost-effectiveness-research-competencies-opportunities-and-training-for-nurse-scientists
#5
Patricia W Stone, Catherine Cohen, Harold Alan Pincus
BACKGROUND: Comparative and cost-effectiveness research develops knowledge on the everyday effectiveness and value of treatments and care delivery models. PURPOSE: To describe comparative and cost-effectiveness research; identify needed competencies for this research; identify federal funding; and describe current training opportunities. METHODS: Published recommended competencies were reviewed. Current federal funding and training opportunities were identified...
April 20, 2017: Nursing Outlook
https://www.readbyqxmd.com/read/28506783/the-professional-status-of-infectious-disease-physicians-in-china-a-nationwide-cross-sectional-survey
#6
Chenlu Zhang, Sujuan Li, Jinru Ji, Ping Shen, Chaoqun Ying, Lanjuan Li, Yonghong Xiao
OBJECTIVES: The evolution of infectious diseases (IDs) poses a challenge to many ID physicians, who must either adapt or transition to another career track. This national cross-sectional study assessed the current working conditions and problems faced by ID professionals in China. METHODS: A national questionnaire survey of ID physicians and their facilities throughout China was performed in May- June 2016 using stratified random sampling. RESULTS: A total of 156/300 (52...
May 12, 2017: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/28501031/-analysis-of-the-cochrane-review-non-medical-prescribing-versus-medical-prescribing-for-acute-and-chronic-disease-management-in-primary-and-secondary-care-cochrane-database-syst-rev-2016-11-cd011227
#7
Gonçalo Silva Duarte, Ricardo Martins Delgado, João Costa, António Vaz-Carneiro
In countries with diverse socioeconomic levels, in order to address the health care demands, the consideration of a wide array of strategies is needed; among these, non-medical prescription can be included. The objective of this revision was to ascertain whether non-medical prescription results in comparable clinical and patient-related outcomes to medical prescription. This systematic review was conducted in compliance with the standard Cochrane methodology. Clinical outcomes were compared between prescription carried out by non-medical health professionals and doctors, provided that the non-medical health professional prescribed with a high degree of autonomy, both in hospital and community practice, in countries with low, medium and high socioeconomic level...
January 31, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28499320/-costs-of-medial-care-of-mrsa-patients-at-the-end-of-life-in-a-geriatric-ward
#8
Thomas Adelhardt, Stefanie Hessemer, Katrin Docter, Cornel Sieber, Christoph Ostgathe, Oliver Schöffski
Objective The present study addresses the financial effects of incidences of MRSA in the geriatric ward of a German hospital on patients receiving end-of-life care. The main cost drivers will be identified and the costs calculated. Methodology A retrospective analysis for a period of one year was conducted for the geriatric ward of a German hospital. In addition to the duration of the patient's stay and the total costs of his/her case, individual cost categories such as personnel and material costs were also examined...
May 12, 2017: Das Gesundheitswesen
https://www.readbyqxmd.com/read/28497862/association-between-fear-of-childbirth-and-maternal-acceptance-of-pregnancy
#9
D Coşkuner Potur, R Mamuk, N H Şahin, N Demirci, Y Hamlaci
AIM: This descriptive study aimed to explore the associations between fear of childbirth, acceptance of pregnancy and identification with the motherhood role among primipara women. BACKGROUND: Women who have difficulty accepting their pregnancy have a harder time adapting to pregnancy and motherhood and experience more fears related to childbirth. The number of studies conducted on this topic is limited. METHODS: This study involved 310 pregnant women admitted to a public hospital in Istanbul between January and June of 2013...
May 12, 2017: International Nursing Review
https://www.readbyqxmd.com/read/28495339/user-experience-analysis-of-an-ehealth-system-for-tuberculosis-in-resource-constrained-settings-a-nine-country-comparison
#10
Niranjan Konduri, L Gustavo V Bastos, Kelly Sawyer, L Fernando A Reciolino
BACKGROUND: e-TB Manager, a web-based eHealth system has been successfully institutionalized in 10 resource-constrained countries that account for one-third of the world's tuberculosis (TB) burden, but user experience has never been evaluated. METHODS: A cross-sectional, anonymous survey in eight unique languages based on the targeted countries. e-TB Manager users included nurses, doctors, pharmacists, statisticians/data officers, laboratory professionals/assistants, health workers, and administrators...
June 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/28493635/the-double-edged-experience-of-healthcare-encounters-among-women-with-endometriosis-a-qualitative-study
#11
Hanna Grundström, Siw Alehagen, Preben Kjølhede, Carina Berterö
AIMS AND OBJECTIVES: to identify and describe the experience of healthcare encounters among women with endometriosis. BACKGROUND: Endometriosis is a "hidden" chronic gynecological disease appearing in every 10(th) woman of fertile age. Different manifestations of pain are the main symptoms, often leading to impaired physical and mental health, and lower quality of life. Previous research on healthcare experiences among women with endometriosis has focused on diagnostic delay and experiences of encountering general practitioners...
May 11, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28490416/development-and-assessment-of-an-e-learning-course-on-pediatric-cardiology-basics
#12
Ana Cristina Oliveira, Sandra Mattos, Miguel Coimbra
BACKGROUND: Early detection of congenital heart disease is a worldwide problem. This is more critical in developing countries, where shortage of professional specialists and structural health care problems are a constant. E-learning has the potential to improve capacity, by overcoming distance barriers and by its ability to adapt to the reduced time of health professionals. OBJECTIVE: The study aimed to develop an e-learning pediatric cardiology basics course and evaluate its pedagogical impact and user satisfaction...
May 10, 2017: JMIR Medical Education
https://www.readbyqxmd.com/read/28490412/improving-community-access-to-terminal-phase-medicines-in-australia-identification-of-the-key-considerations-for-the-implementation-of-a-core-medicines-list
#13
Paul A Tait, Weng Hou Cheung, Michael Wiese, Kirsten Staff
During the terminal phase, access to medicines is critical for people wishing to spend their last days of life at home. Yet, access to medicines can be problematic. The aim of this study was to report the perspectives of specialist and generalist health professionals (HPs) on the issues of community access to medicines for this vulnerable group. A qualitative descriptive study design investigated the views of HPs working in palliative care roles in South Australia. Nurses, doctors and pharmacists described their experiences of accessing medicines for management of terminal phase symptoms during semi-structured focus group discussions...
May 11, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28488368/a-cluster-of-adenovirus-type-b55-infection-in-a-neurosurgical-inpatient-department-of-a-general-hospital-in-guangdong-china
#14
Lina Yi, LiRong Zou, Jing Lu, Min Kang, Yingchao Song, Juan Su, Xin Zhang, LiJun Liang, HanZhong Ni, Changwen Ke, Jie Wu
BACKGROUND: Human adenovirus type 55 is a re-emerging human respiratory pathogen that is associated with several respiratory infections outbreaks in military and school populations. In this study, we describe the first HAdV55-associated hospital outbreak documented in Guangdong, China. METHODS: Active surveillance was conducted in the involved neurosurgical inpatient department. All staff and patients in the involved neurosurgical department were surveyed for any symptoms of fever (≥38°C) and enlarged tonsils during the outbreak period...
May 10, 2017: Influenza and Other Respiratory Viruses
https://www.readbyqxmd.com/read/28488353/effectiveness-of-a-shared-team-approach-between-nurses-and-doctors-for-improved-risk-factor-management-in-survivors-of-stroke-a-cluster-randomized-controlled-trial
#15
M T Olaiya, J Kim, M R Nelson, V K Srikanth, C F Bladin, R P Gerraty, S M Fitzgerald, T Phan, J Frayne, D A Cadilhac, A G Thrift
BACKGROUND AND PURPOSE: Limited evidence exists on the benefits of organized care for improving risk factor control in patients with stroke or transient ischaemic attack. The effectiveness of an individualized management programme in reducing absolute cardiovascular disease risk in this high-risk population was determined. METHODS: This was a prospective, multicentre, cluster-randomized controlled trial with blinded assessment of outcomes and intention-to-treat analysis...
May 10, 2017: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/28486898/patient-and-community-attitudes-toward-perioperative-biobanking-and-genomic-research
#16
J Liddell, C Bain, P S Myles
We surveyed hospital patients and clinicians to ascertain their attitudes to the establishment of a perioperative biobank for future genomics research, and whether the requirements for an opt-out approach to consent can be met. We enrolled hospital patients (n=187), patient spouse/family members (n=64), ethics committee members (n=14), and clinical staff (doctors and nurses [n=67]), and unspecified community members (n=10). They were asked to rate and describe their views on medical research and biobanking, the need for individual consent, and the importance of confidentiality...
May 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28485908/-the-written-nursing-reports-of-the-asylum-paolo-pini-of-milan-from-1944-to-1947
#17
Marina Negri, Vanna Marchesini, Silvio De Valerio, Emiliana Soro
INTRODUCTION: The work provides the analysis of the nursing reports written by the nursing staff on duty at the asylum "Paolo Pini" from 1944 to 1947. OBJECTIVE: description of the nursing report evolution, analyses of the quantitative and qualitative matters. Study of the evolution of the records: enhancement of the description of the patient, integration between medical and nursing assistance, assumption of responsi- bility (for instance through the signature)...
January 2017: Professioni Infermieristiche
https://www.readbyqxmd.com/read/28485237/staff-shortage-raises-pressure-on-services
#18
(no author information available yet)
A serious shortfall in the numbers of children's nurses and doctors is putting 'dangerous pressure' on overstretched services, a new report warns.
May 9, 2017: Nursing Children and Young People
https://www.readbyqxmd.com/read/28483809/a-failure-to-communicate-doctors-and-nurses-in-american-hospitals
#19
Lucie Michel
This essay showcases the realities and challenges of teamwork in American hospitals based on the in situ comparison with France. Drawing on observation of nurse-physician interactions in hospitals in the two nations, this article highlights a troubling conflict between teamwork rhetoric and realities on the ward. Although the use of informatics systems such as electronic health records is supposed to increase cooperation, the observations presented here show that on the contrary, it inhibits communication that is becoming mainly virtual...
May 8, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28483444/critical-care-clinician-perceptions-of-factors-leading-to-medical-emergency-team-review
#20
Judy Currey, Josh Allen, Daryl Jones
BACKGROUND: The introduction of rapid response systems has reduced the incidence of in-hospital cardiac arrest; however, many instances of clinical deterioration are unrecognised. Afferent limb failure is common and may be associated with unplanned intensive care admissions, heightened mortality and prolonged length of stay. Patients reviewed by a Medical Emergency Team are inherently vulnerable with a high in-hospital mortality. OBJECTIVE: To explore perceptions of intensive care unit (ICU) staff who attend deteriorating acute care ward patients regarding current problems, barriers and potential solutions to recognising and responding to clinical deterioration that culminates in a Medical Emergency Team review...
May 5, 2017: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
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