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https://www.readbyqxmd.com/read/29773257/-a-senate-report-in-favour-of-an-emergency-nursing-speciality
#1
Christophe Debout, Laurence Cohen, René-Paul Savary
In July 2017, an information report written by three senators highlighted the difficulties encountered by emergency departments in France and attempted to pinpoint the causes. In addition, the recommendations of this report suggest reinforcing the nursing contribution within the multi-disciplinary emergency department team, by creating an emergency nurse speciality.
May 2018: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/29770297/current-status-and-future-perspectives-of-the-pumpkin-trial
#2
REVIEW
Iki Adachi
Similar to the adult experience, the use of continuous-flow ventricular assist devices (VADs) has been increasing in the pediatric population. According to the PediMACS registry, continuous-flow VAD currently accounts for >60% of the durable device implantations in the U.S. Nonetheless, the continuous-flow VADs currently in use are designed for adults; this inevitably causes the patient-device size mismatch issue, especially when applied for small children. Pulsatile VADs, therefore, represent the only practical option for this group of patients despite the known risk profile of pulsatile VADs...
April 2018: Translational Pediatrics
https://www.readbyqxmd.com/read/29768401/near-real-time-forecasting-for-cholera-decision-making-in-haiti-after-hurricane-matthew
#3
Damiano Pasetto, Flavio Finger, Anton Camacho, Francesco Grandesso, Sandra Cohuet, Joseph C Lemaitre, Andrew S Azman, Francisco J Luquero, Enrico Bertuzzo, Andrea Rinaldo
Computational models of cholera transmission can provide objective insights into the course of an ongoing epidemic and aid decision making on allocation of health care resources. However, models are typically designed, calibrated and interpreted post-hoc. Here, we report the efforts of a team from academia, field research and humanitarian organizations to model in near real-time the Haitian cholera outbreak after Hurricane Matthew in October 2016, to assess risk and to quantitatively estimate the efficacy of a then ongoing vaccination campaign...
May 16, 2018: PLoS Computational Biology
https://www.readbyqxmd.com/read/29768181/description-of-hot-debriefings-after-in-hospital-cardiac-arrests-in-an-international-pediatric-quality-improvement-collaborative
#4
Todd Sweberg, Anita I Sen, Paul C Mullan, Adam Cheng, Lynda Knight, Jimena Del Castillo, Takanari Ikeyama, Roopa Seshadri, Mary Fran Hazinski, Tia Raymond, Dana E Niles, Vinay Nadkarni, Heather Wolfe
BACKGROUND: The American Heart Association recommends debriefing after attempted resuscitation from in-hospital cardiac arrest (IHCA) to improve resuscitation quality and outcomes. This is the first published study detailing the utilization, process and content of hot debriefings after pediatric IHCA. METHODS: Using prospective data from the Pediatric Resuscitation Quality Collaborative (pediRES-Q), we analyzed data from 227 arrests occurring between February 1, 2016, and August 31, 2017...
May 13, 2018: Resuscitation
https://www.readbyqxmd.com/read/29764206/management-of-incidental-aneurysms-comparison-of-single-centre-multi-disciplinary-team-decision-making-with-the-unruptured-incidental-aneurysm-treatment-score
#5
Alex Smedley, Nate Yusupov, Alaa Almousa, Thomas Solbach, Ahmed K Toma, Joan P Grieve
OBJECTIVE: To compare multidisciplinary team (MDT) decision making at our centre with the suggested management from the recently published Unruptured Intracranial Aneurysm Treatment Score (UIATS), with particular focus on disagreements between the two bodies of expert opinion. DESIGN: A retrospective audit of local practice. SUBJECTS: Adult patients with incidental cerebral saccular aneurysms referred to The National Hospital for Neurology and Neurosurgery Neurovascular MDT...
May 15, 2018: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29756579/recent-changes-in-the-management-of-patients-with-food-allergy-in-a-tertiary-referral-centre-a-dietitian-s-perspective
#6
Rachel de Boer, Ruth Chalmers
It is has been suggested that the prevalence of food allergy has increased over the last few decades with estimates now suggesting between 3.9-8% of children are food allergic (Kattan, 2016). Studies also suggest that rates of food allergy resolution are slowing, meaning more children are remaining allergic for longer (Sicherer et al, 2014). The mainstay of food allergy management is dietary exclusion of known food allergen/s. Exclusion diets are frequently difficult for patients and their families to manage and the literature highlights that they impact negatively on quality of life (Valentine et al, 2011) ...
May 14, 2018: Current Pediatric Reviews
https://www.readbyqxmd.com/read/29756277/delays-to-diagnosis-and-treatment-of-lung-cancer-in-australia-health-care-professional-perceptions-of-actual-versus-acceptable-timeframes
#7
Ashanya Malalasekera, Haryana M Dhillon, Prunella L Blinman, Steven C Kao, Janette L Vardy
OBJECTIVE: We examined Australian Health Care Professionals' (HCP) perceptions of timeliness of pathways to diagnosis and treatment for people with lung cancer, compared against timeframe guidelines. METHODS: A 21-item survey of HCPs evaluating patient waiting times to diagnosis and treatment of lung cancer was distributed via two Australian conferences, a national Multi-Disciplinary Team directory and email. Main outcome measures were HCP estimates of actual and acceptable waiting times in their practice, and factors contributing to perceived delays...
May 14, 2018: Internal Medicine Journal
https://www.readbyqxmd.com/read/29754114/the-value-of-continuing-professional-development-a-realistic-evaluation-of-a-multi-disciplinary-workshop-for-health-visitors-dealing-with-children-with-complex-needs
#8
Alison Steven, Valerie Larkin, Jane Stewart, Belinda Bateman
BACKGROUND: Continuing Professional Development is important for maintaining and developing knowledge and skills. Evidence regarding direct impact on practice is limited. Existing literature often lacks sufficient detail regarding the initiative or its evaluation, making transferability problematic. OBJECTIVE: To explore the impact and perceived value of multi-disciplinary Continuing Professional Development workshops for Health Visitors who support families with children with complex health needs...
April 21, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29753761/grand-rounds-alcoholic-hepatitis
#9
REVIEW
Ashwani K Singal, Alexandre Louvet, Vijay H Shah, Patrick S Kamath
Alcoholic hepatitis presents with acute on chronic liver failure among patients with chronic and active heavy use of alcohol, with high short-term mortality. These patients suffer from two problems, namely hepatic dysfunction and alcohol use disorder. Short-term outcome is impacted by liver failure and the long-term outcome by alcoholism and relapse to alcohol use. Clearly, these patients need integrated and coordinated management from the beginning by multi-disciplinary team. Herein, we describe a clinical vignette on a 33 year old male patient who survived the first episode of alcoholic hepatitis with this integrated management approach...
May 10, 2018: Journal of Hepatology
https://www.readbyqxmd.com/read/29736157/intra-cardiac-embolism-of-a-large-bone-cement-material-after-percutaneous-vertebroplasty-removed-through-a-combination-of-an-endovascular-procedure-and-an-inferior-vena-cava-exploration-a-case-report
#10
Jin-Sung Park, Jaedong Kim, Yonggu Lee, Jun-Gyo Gwon, Ye-Soo Park
Percutaneous vertebroplasty (PVP) is a minimally invasive surgical treatment for patients with osteoporotic vertebral compression fracture (OVCF) and can rapidly alleviate pain, improve mobility, and stabilize the vertebrae. However, it has the potential to cause complications such as cement embolism. A 55-year-old female presented with pain in the lumbar region as a chief complaint. PVP was performed after diagnosis of acute OVCFs at L4 and L5. No abnormal symptoms were reported after surgery, but a large cement embolism was observed in her right atrium and ventricle...
May 7, 2018: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/29725942/exploring-the-potential-routine-use-of-electronic-healthcare-record-data-to-strengthen-early-signal-assessment-in-uk-medicines-regulation-proof-of-concept-study
#11
Katherine Donegan, Rebecca Owen, Helena Bird, Brian Burch, Alex Smith, Phil Tregunno
INTRODUCTION: Electronic healthcare record (EHR) databases are used within pharmacoepidemiology studies to confirm or refute safety signals arising from spontaneous adverse event reports. However, there has been limited routine use of such data earlier in the signal management process, to help rapidly contextualise signals and strengthen preliminary assessment or to inform decisions regarding action including the need for further studies. This study explores the value of EHR used in this way within a regulatory environment via an automated analysis platform...
May 3, 2018: Drug Safety: An International Journal of Medical Toxicology and Drug Experience
https://www.readbyqxmd.com/read/29725753/availability-and-feasibility-of-structured-routine-collection-of-comorbidity-data-in-a-colorectal-cancer-multi-disciplinary-team-mdt-setting
#12
A A Abukar, A Ramsanahie, K Martin-Lumbard, E R Herrington, V Winslow, S Wong, S Ahmed, M A Thaha
PURPOSE: Availability of comorbidity assessment at multi-disciplinary team (MDT) discussions is cornerstone in making the MDT process more robust and decisive in optimising treatment and improving quality of survivorship. Comorbidity assessments using tools, such as the ACE-27 questionnaire would aid in optimising the decision-making process at MDTs so that treatment decisions can be made without delay. This study determined the availability of comorbidity data in a CRC MDT and the feasibility of routine comorbidity data collection using the validated ACE-27 questionnaire...
May 3, 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29721765/a-survey-of-perceptions-attitudes-knowledge-and-practices-of-medical-oncologists-about-cancer-pain-management-in-spain
#13
Jesús García-Mata, Cecilio Álamo, Javier de Castro, Jorge Contreras, Rafael Gálvez, Carlos Jara, Antonio Llombart, Concepción Pérez, Pedro Sánchez, Susana Traseira, Juan-Jesús Cruz
PURPOSE: To monitor oncologists' perspective on cancer pain management. METHODS: An anonymized survey was conducted in two waves. First, over a convenience sample of oncologists known to be particularly concerned with the management of pain. Second, using a random sample of oncologists. RESULTS: In total, 73 and 82 oncologists participated in the first and second wave, respectively. Many oncologists reported to have good knowledge of analgesic drugs (95...
May 2, 2018: Clinical & Translational Oncology
https://www.readbyqxmd.com/read/29709387/the-fork-in-the-road-a-laryngeal-filter-airway-foreign-body
#14
Jacob E Kuperstock, J Pieter Noordzij
OBJECTIVE: Upper aero-digestive tract foreign body management can be complicated and life threatening in both adult and pediatric populations. The variation seen with foreign bodies including shape, material, and duration of ingestion can impact clinical decision making and management. The objective of this report is to demonstrate a complicated case of upper airway obstruction by a plastic fork. METHOD: This case report presents an adult with ingestion of an intact plastic fork with acute laryngeal and cervical esophageal obstruction...
April 18, 2018: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29699595/skills-and-core-competencies-of-pharmacists-in-humanitarian-assistance
#15
Hamaspyur Vardanyan, Gabriela Bittencourt Gonzalez Mosegui, Elaine Silva Miranda
BACKGROUND: Pharmacists' participation in health care within multi-disciplinary teams in Humanitarian Assistance (HA) shall be encouraged. Limited literature exists on their role in the humanitarian context. The objective of this paper is to evidence the skill-specific, comprehensive core competencies that pharmacists must demonstrate working in humanitarian interventions. METHODS: The literature search laid the groundwork for the development of interview guides and further analysis of the data...
April 27, 2018: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/29697044/international-emergency-medical-teams-training-workshop-special-report
#16
Anthony Albina, Laura Archer, Marlène Boivin, Hilarie Cranmer, Kirsten Johnson, Gautham Krishnaraj, Anali Maneshi, Lisa Oddy, Lynda Redwood-Campbell, Rebecca Russell
The World Health Organization's (WHO; Geneva, Switzerland) Emergency Medical Team (EMT) Initiative created guidelines which define the basic procedures to be followed by personnel and teams, as well as the critical points to discuss before deploying a field hospital. However, to date, there is no formal standardized training program established for EMTs before deployment. Recognizing that the World Association of Disaster and Emergency Medicine (WADEM; Madison, Wisconsin USA) Congress brings together a diverse group of key stakeholders, a pre-Congress workshop was organized to seek out collective expertise and to identify key EMT training competencies for the future development of training programs and protocols...
April 26, 2018: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/29694715/evolution-of-pituitary-surgery-in-a-tertiary-centre
#17
Katherine J McNamara, Thomas F C Saunders, Adnan Darr, Sonia Kumar, Simon Shaw, Natarajan Saravanappa
BACKGROUND: Endoscopic trans-sphenoidal hypophysectomy is now widely recognised as being the chosen method of resecting pituitary gland tumours. There have been a number of advances both in technology and management of this group of patients over the years from the introduction of a multi disciplinary team (MDT) to the use of computed tomography (CT) navigation system for operative guidance. OBJECTIVE OF REVIEW: This study reviews one UK centre's experience of pituitary tumour resection over a period of 26 years and identifies how management of these cases has changed over this time...
April 25, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29687531/data-managers-a-survey-of-the-european-society-of-breast-cancer-specialists-in-certified-multi-disciplinary-breast-centers
#18
Gabriele Schnapper, Lorenza Marotti, Denise Casella, Maria P Mano, Robert E Mansel, Antonio Ponti
The European Society of Breast Cancer Specialists (EUSOMA) requires that the breast centers' core team includes a trained person responsible for data collection and analysis. We addressed a questionnaire to the data managers of the EUSOMA breast centers network in order to acquire information with regard to their education, training, role, activity, recognition, and satisfaction. Breast centers' data managers are highly educated individuals with a variety of backgrounds carrying out, more frequently part-time and as temporary employees, a job for which they received little specific training...
April 23, 2018: Breast Journal
https://www.readbyqxmd.com/read/29686734/reflections-on-integrated-care-from-those-working-in-and-leading-integrated-respiratory-teams
#19
Nicola J Roberts, Mike Ward, Irem Patel, Janelle Yorke, Martyn R Partridge
The concept of integrated care has been advocated for many years to address some of the challenges faced by the NHS. This report examines the experiences of respiratory healthcare specialists working in an integrated role. Twelve qualitative telephone interviews were undertaken with a range of integrated respiratory specialists and their teams working in both hospitals and the community. A descriptive and thematic approach to data analysis was adopted. Participants were very enthusiastic about their roles and saw themselves as ambassadors for this new way of working...
March 2018: London Journal of Primary Care
https://www.readbyqxmd.com/read/29683726/shaping-core-health-messages-rural-low-income-mothers-speak-through-participatory-action-research
#20
Sheila Mammen, Yoshie Sano, Bonnie Braun, Elisabeth Fost Maring
Rural, low-income families are disproportionately impacted by health problems owing to structural barriers (e.g., transportation, health insurance coverage) and personal barriers (e.g., health literacy). This paper presents a Participatory Action Research (PAR) model of co-created Core Health Messages (CHMs) in the areas of dental health, food security, health insurance, and physical activity. The research project engaged a multi-disciplinary team of experts to design initial health messages; rural, low-income mothers to respond to, and co-create, health messages; and stakeholders who work with families to share their insights...
April 23, 2018: Health Communication
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