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https://www.readbyqxmd.com/read/29933341/evaluation-of-key-factors-impacting-feeding-safety-in-the-neonatal-intensive-care-unit-a-systematic-review
#1
Bethany A Matus, Kayla M Bridges, John V Logomarsino
BACKGROUND: Individualized feeding care plans and safe handling of milk (human or formula) are critical in promoting growth, immune function, and neurodevelopment in the preterm infant. Feeding errors and disruptions or limitations to feeding processes in the neonatal intensive care unit (NICU) are associated with negative safety events. Feeding errors include contamination of milk and delivery of incorrect or expired milk and may result in adverse gastrointestinal illnesses. PURPOSE: The purpose of this review was to evaluate the effect(s) of centralized milk preparation, use of trained technicians, use of bar code-scanning software, and collaboration between registered dietitians and registered nurses on feeding safety in the NICU...
June 21, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/29933327/mobile-apps-for-individuals-with-rheumatoid-arthritis-a-systematic-review
#2
Dee Luo, Penny Wang, Fengxin Lu, Josephine Elias, Jeffrey A Sparks, Yvonne C Lee
BACKGROUND: Mobile health applications (apps) have the potential to help individuals with chronic illnesses learn about, monitor, and manage their condition, but these apps are largely unexamined, with the state and direction of development unclear. OBJECTIVE: We performed a systematic review of publicly available apps, directed toward individuals with rheumatoid arthritis (RA); described their current features; and determined areas of unmet need. METHODS: We searched the iTunes and Google Play App Stores for the term "arthritis" and reviewed the descriptions of these apps for specific mentions of RA...
June 21, 2018: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/29933308/hopelessness-death-anxiety-and-social-support-of-hospitalized-patients-with-gynecologic-cancer-and-their-caregivers
#3
Fatma Uslu-Sahan, Fusun Terzioglu, Gulten Koc
BACKGROUND: Gynecologic cancer can create hopelessness and death anxiety and alter the lifestyle of the affected women and their caregivers. Perceived social support may facilitate coping with this illness. OBJECTIVE: The aim of this study was to determine whether hospitalized patients with gynecologic cancer and their caregivers differ in feelings of hopelessness and death anxiety and how those conditions may be related to their social support. METHODS: Two hundred patients with gynecologic cancer and their 200 caregivers from 1 university hospital were enrolled in this descriptive correlational study...
June 22, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29933306/managing-cancer-experiences-an-interpretive-description-study-of-internet-information-use
#4
Kristen R Haase, Wendy Gifford, Lorraine Holtslander, Roanne Thomas
BACKGROUND: People with cancer increasingly use the Internet to find information about their illness. However, little is known regarding people's use of cancer-related Internet information (CRII) to manage their patient experience, defined as patients' cumulative perceptions of interactions with the healthcare system during their illness. OBJECTIVE: The purpose of this study was to create an understanding of CRII use by people newly diagnosed with cancer and how it shapes their patient experience and informs their interactions with healthcare professionals and healthcare services...
June 22, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29933288/diagnostic-criteria-and-treatment-algorithm-for-susac-syndrome
#5
Robert A Egan
BACKGROUND: Susac syndrome (SS) classically presents with the clinical triad of retinal artery occlusion, sensorineural hearing loss, and encephalopathy and the neuroimaging triad of white matter lesions, deep gray matter lesions, and leptomeningeal disease. However, patients can present with an incomplete clinical or neuroimaging triads making diagnosis difficult in certain situations. A standard treatment paradigm also is lacking in this illness. It is important for neuro-ophthalmologists to recognize clinical and radiographic findings that are pathognomonic for this syndrome and have a basic understanding of the available treatment options...
June 21, 2018: Journal of Neuro-ophthalmology: the Official Journal of the North American Neuro-Ophthalmology Society
https://www.readbyqxmd.com/read/29933269/high-fidelity-simulation-nurse-training-reduces-unplanned-interruption-of-continuous-renal-replacement-therapy-sessions-in-critically-ill-patients-the-simher-randomized-controlled-trial
#6
Pierre Lemarie, Solenne Husser Vidal, Soizic Gergaud, Xavier Verger, Emmanuel Rineau, Jerome Berton, Elsa Parot-Schinkel, Jean-François Hamel, Sigismond Lasocki
BACKGROUND: Although continuous renal replacement therapy (CRRT) is common, unplanned interruptions (UI) often limit its usefulness. In many units, nurses are responsible for CRRT management. We hypothesized that a nurse training program based on high-fidelity simulation would reduce the rate of interrupted sessions. METHODS: We performed a 2-phase (training and evaluation), randomized, single-center, open study: During the training phase, intensive care unit nurses underwent a 6-hour training program and were randomized to receive (intervention) or not (control) an additional high-fidelity simulation training (6 hours)...
June 20, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29933206/the-pattern-of-pharmacological-treatment-of-bipolar-patients-discharged-from-psychiatric-units-in-poland
#7
Jan Jaracz, Edyta Tetera- Rudnicka, Magdalena Bierejszyk, Kaja Witczyk, Agnieszka Raczyńska, Wojciech Nowak, Anna Pisarczyk, Krzysztof Woźniak, Wojciech Czernaś, Adam Moniakowski, Krystyna Jaracz
BACKGROUND: The concomitant use of two or more mood stabilisers (MS), second-generation antipsychotics (SGA), lamotrigine as well as antidepressants, is frequently reported in the treatment of bipolar patients The aim of this study was to investigate the pattern of pharmacological treatment with special regard to polypharmacy defined as two or more psychiatric drugs taken at the same time in the same patients with bipolar disorder discharged from psychiatric units in Poland. METHOD: Pharmacotherapy of 127 consecutive patients (57 females and 70 males) with an ICD-10 diagnosis of bipolar disorder (BP) at the point of discharge from five psychiatric regional hospitals/units in Poland, was evaluated in 2015/2016 on the basis of medical files...
February 5, 2018: Pharmacological Reports: PR
https://www.readbyqxmd.com/read/29932888/pericardial-window-for-methicillin-resistant-staphylococcus-aureus-pericarditis
#8
Hiroaki Oizumi, Hideomi Ichinokawa, Hironobu Hoshino, Jun Shitara, Kenji Suzuki
A 58-year-old man presented with tamponade, and he underwent an emergency pericardiocentesis. We made the diagnosis of methicillin-resistant Staphylococcus aureus (MRSA) pericarditis based on culture results, and treated the patient with pericardial drainage and antibiotics as the first-line therapy. After temporary relief, reaccumulation of effusion developed. We successfully created a pericardial window using thoracotomy, and the postoperative course was uneventful. MRSA pericarditis is an extremely rare and life-threatening illness...
June 19, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29932569/health-coaching-strategy-to-improve-glycemic-control-in-african-american-adults-with-type-2-diabetes-an-integrative-review
#9
Larider Ruffin
Diabetes is a complex, chronic illness requiring continuous medical care with multifactorial risk-reduction strategies for appropriate glycemic control. Type 2 diabetes remains a global epidemic secondary to increases in physical inactivity and obesity. While many populations are at risk, African-Americans bear a disproportionate burden from diabetes and its complications. Diabetes self-management education (DSME) is essential to successful diabetes treatment and complication prevention. However, diabetes management requires daily patient involvement and skills...
July 2017: Journal of National Black Nurses' Association: JNBNA
https://www.readbyqxmd.com/read/29932307/surgically-resected-t1-and-t2-stage-esophageal-squamous-cell-carcinoma-t-and-n-staging-performance-of-eus-and-pet-ct
#10
Dong Young Jeong, Min Yeong Kim, Kyung Soo Lee, Joon Young Choi, Soo Jeong Kim, Myung Jin Chung, Yang Won Min, Hong Kwan Kim, Jae Ill Zo, Young Mog Shim, Jong-Mu Sun
This study aimed to evaluate the frequency of nodal metastases and to disclose the diagnostic performance of endoscopic ultrasonography (EUS) and PET/CT in T and N staging in surgically resected early-stage esophageal squamous cell carcinomas (eSCCs). Institutional review board approved this retrospective study with waiver of informed consent for reviewing medical record. We included 435 patients with an early T-stage (Tis or T1a [≤T1a], T1b and T2) eSCC. The rates of metastatic lymphadenopathy were calculated...
June 22, 2018: Cancer Medicine
https://www.readbyqxmd.com/read/29932207/effect-of-requiring-a-general-practitioner-at-scenes-of-serious-injury-a-systematic-review
#11
REVIEW
G S H Straumann, A Austvoll-Dahlgren, H H Holte, T Wisborg
BACKGROUND: In Norway, each municipality is responsible for providing first line emergency healthcare, and it is mandatory to have a primary care physician/general practitioner on call continuously. This mandate ensures that a physician can assist patients and ambulance personnel at the site of severe injuries or illnesses. The compulsory presence of the general practitioner at the scene could affect different parts of patient treatment, and it might save resources by obviating resources from secondary healthcare, like pre-hospital anaesthesiologists and other specialized resources...
June 22, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/29932084/day-on-day-off-emtricitabine-tenofovir-disoproxil-fumarate-and-efavirenz-single-tablet-regimen-dodo-as-maintenance-therapy-in-hiv-infected-patients
#12
Andrea Costantini, Chiara Tontini, Monia Rocchi, Matteo Martini, Luca Butini
Reduced dose schedules may be feasible options to simplify antiretroviral therapy (ART) in selected HIV-1-infected individuals. Efficacy and safety of a Day-on, Day-off (DODO) schedule of tenofovir disoproxil fumarate, emtricitabine and efavirenz (FTC/TDF/EFV) single tablet regimen (STR) was assessed. Twenty-seven patients were prescribed the DODO schedule and were monitored for 48 weeks. Switching criteria were: no previous ART failure, no AIDS-defining illnesses, T CD4 cell nadir >200/mmc, and HIV-RNA below detection limit (40 copies/mL) for at least six months...
June 1, 2018: Le Infezioni in Medicina
https://www.readbyqxmd.com/read/29931705/the-impact-of-maryland-s-global-budget-payment-reform-on-emergency-department-admission-rates-in-a-single-health-system
#13
Jessica E Galarraga, William J Frohna, Jesse M Pines
BACKGROUND: In 2014, the state of Maryland moved away from fee-for-service payments and into a global budget revenue (GBR) structure where hospitals have a fixed revenue target, independent of patient volume or services provided. We assess the effects of GBR adoption on emergency department (ED) admission decisions among adult encounters. METHODS: We used hospital medical record and billing data from adult ED encounters from January 1, 2011 through December 31, 2015, with four Maryland (MD) hospitals and two District of Columbia (DC) hospitals within the same health system...
June 22, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29931576/recent-advances-in-the-understanding-and-treatment-of-health-anxiety
#14
REVIEW
Peter Tyrer
PURPOSE OF REVIEW: To examine the diagnosis of health anxiety, its prevalence in different settings, public health significance, treatment, and outcome. RECENT FINDINGS: Health anxiety is similar to hypochondriasis but is characterized by fear of, rather than conviction of, illness. Lifetime prevalence rates are 6% in the population and as high as 20% in hospital out-patients, leading to greater costs to health services through unnecessary medical contacts. Its prevalence may be increasing because of excessive internet browsing (cyberchondria)...
June 22, 2018: Current Psychiatry Reports
https://www.readbyqxmd.com/read/29931466/hiv-hcv-co-infection-burden-of-disease-and-care-strategies-in-appalachia
#15
REVIEW
Jonathan P Moorman, Matthew R Krolikowski, Stephanie M Mathis, Robert P Pack
PURPOSE OF REVIEW: The purpose of this review is to address infection with HIV and hepatitis C in the Appalachian region of the USA and the driving forces underlying this epidemic. We seek to discuss epidemiology of disease and the possible interventions to reduce incidence and burden of disease in this resource-limited area. RECENT FINDINGS: The rise of the opioid crisis has fueled a rise in new hepatitis C infection, and a rise in new HIV infection is expected to follow...
June 21, 2018: Current HIV/AIDS Reports
https://www.readbyqxmd.com/read/29931376/medication-compliance-in-singaporean-patients-with-alzheimer-s-disease
#16
Zheng Kang Lum, Ma Serrie P Suministrado, N Venketasubramanian, M Kamran Ikram, Christopher Chen
INTRODUCTION: Singapore has a rapidly ageing population and an increasing prevalence of Alzheimer's disease (AD). Compliance to AD medications is associated with treatment effectiveness. We investigated compliance to acetylcholinesterase inhibitors (AChEIs) and N-methyl-D-aspartate (NMDA) receptor antagonist and treatment persistence among patients seen at the General Memory Clinic of National University Hospital, Singapore. We also identified the reasons for non-compliance. METHODS: Patients seen at the General Memory Clinic between 1 January 2013 and 31 December 2014, who were prescribed AChEIs and NMDA receptor antagonist, were included in this retrospective cohort study...
June 22, 2018: Singapore Medical Journal
https://www.readbyqxmd.com/read/29931338/severe-coagulopathy-secondary-to-fulminant-herpes-simplex-virus-hepatitis-in-a-severely-burned-patient-a-case-report-and-review-of-the-literature
#17
Gregory Cook, Sonali Patel, Rachael Williams, Juvonda Hodge, Walter Ingram, Rita Gayed
Fulminant hepatic failure secondary to herpes simplex virus (HSV) is a rare complication that is associated with high mortality. Here, we describe the case of a critically ill patient with severe burns and inhalation injury who developed severe coagulopathy during her hospital stay, which was later found to be caused by HSV hepatitis. In addition, we review the current literature on HSV hepatitis. Only three prior reports document liver involvement of HSV in patients with burn. Clinical symptoms, diagnostic factors, and management of HSV hepatitis in patients with burn are presented...
December 5, 2017: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29931223/renal-replacement-therapy-in-severe-burns-a-multicenter-observational-study
#18
Kevin K Chung, Elsa C Coates, William L Hickerson, Angela L Arnold-Ross, Daniel M Caruso, Marlene Albrecht, Brett D Arnoldo, Christina Howard, Laura S Johnson, Melissa M McLawhorn, Bruce Friedman, Amy M Sprague, Michael J Mosier, Peggie F Conrad, David J Smith, Rachel A Karlnoski, James K Aden, Elizabeth A Mann-Salinas, Steven E Wolf
Acute kidney injury (AKI) after severe burns is historically associated with a high mortality. Over the past two decades, various modes of renal replacement therapy (RRT) have been utilized in this population. The purpose of this multicenter study was to evaluate demographic, treatment and outcomes data among severe burn patients treated with RRT collectively at various burn centers around the United States. After institutional review board approval, a multicenter observational study was conducted. All adult patients 18 or older, admitted with severe burns who were placed on RRT for acute indications but not randomized into a concurrently enrolling interventional trial were included...
June 20, 2018: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/29930967/integrating-social-determinants-of-health-into-primary-care-clinical-and-informational-workflow-during-care-transitions
#19
Sharon Hewner, Sabrina Casucci, Suzanne Sullivan, Francine Mistretta, Yuqing Xue, Barbara Johnson, Rebekah Pratt, Li Lin, Chester Fox
Context: Care continuity during transitions between the hospital and home requires reliable communication between providers and settings and an understanding of social determinants that influence recovery. Case Description: The coordinating transitions intervention uses real time alerts, delivered directly to the primary care practice for complex chronically ill patients discharged from an acute care setting, to facilitate nurse care coordinator led telephone outreach...
July 4, 2017: EGEMS
https://www.readbyqxmd.com/read/29930550/neuroimmunology-of-behavioral-comorbidities-associated-with-cancer-and-cancer-treatments
#20
REVIEW
Jessica C Santos, Leah M Pyter
Behavioral comorbidities (depression, anxiety, fatigue, cognitive disturbances, and neuropathic pain) are prevalent in cancer patients and survivors. These mental and neurological health issues reduce quality-of-life, which is a significant societal concern given the increasing rates of long-term survival after various cancers. Hypothesized causes of behavioral comorbidities with cancer include tumor biology, stress associated with the cancer experience, and cancer treatments. A relatively recent leading mechanism by which these causes contribute to changes in neurobiology that underlie behavior is inflammation...
2018: Frontiers in Immunology
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