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https://www.readbyqxmd.com/read/29693473/getting-intouch-outcomes-of-a-knowledge-translation-intervention-for-tactile-assessment-knowledge-barriers-and-practice-in-paediatric-therapists-working-with-children-with-cerebral-palsy
#1
Megan L Auld, Leanne M Johnston
BACKGROUND: Tactile impairments are common in children with cerebral palsy (CP), however assessment is not routinely carried out by therapists. We investigated a multi-faceted Knowledge Translation intervention to improve Knowledge, remove Barriers and enhance Practice of tactile assessments by paediatric therapists. METHOD: Twelve therapists from a state-wide service for children with CP (seven physiotherapists, five occupational therapists; 12 female) received: written information, demonstration videos, a face-to-face workshop, equipment provision, and on-call mentoring...
April 25, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29689035/-biosimilars-italian-medicines-agency-takes-position
#2
Antonio Addis
The Italian Medicines Agency issued a new position paper on biosimilars that clarified several points regarding their correct use. This is a document that has the intent to promote the correct use and prescription of these medicines by answering some of the frequent questions coming from patients and prescribers. The debate surrounding the use of biosimilars is far from being concluded. However, some aspects, such as those regarding the quality, the safety and the efficacy of biosimilars, as well as the possibility of prescribe biosimilars not only to naïve patients naïve, it seems to be well supported...
April 2018: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/29684942/reanalysis-of-the-trotter-tibia-quandary-and-its-continued-effect-on-stature-estimation-of-past-conflict-service-members
#3
Jeffrey James Lynch, Carrie Brown, Andrea Palmiotto, Heli Maijanen, Franklin Damann
Forensic casework from past-conflicts relies on the corrected historical Trotter data for stature estimation in Fordisc. For roughly 10 years', stature estimation using this data has produced point estimates for the tibia that are on average 1.25 inches less than the other long bones. This issue was identified after applying the equations derived from Fordisc to the USS Oklahoma commingled assemblage. Reevaluation of Fordisc revealed that a correction factor of 20 mm, instead of 10 mm, was mistakenly applied to the Trotter tibia data...
April 23, 2018: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/29682567/corrigendum-to-what-do-the-hospital-pharmacists-think-about-the-quality-of-pharmaceutical-care-services-in-a-pakistani-province-a-mixed-methodology-study
#4
Ghulam Murtaza, Rozina Kousar, Saira Azhar, Shujaat Ali Khan, Qaisar Mahmood
[This corrects the article DOI: 10.1155/2015/756180.].
2018: BioMed Research International
https://www.readbyqxmd.com/read/29682315/insulin-therapy-for-type-2-diabetes-are-we-there-yet-the-d-nav%C3%A2-story
#5
I Hodish
Insulin replacement therapy is mostly used by patients with type 2 diabetes who become insulin deficient and have failed other therapeutic options. They comprise about a quarter of those with diabetes, endures the majority of the complications and consumes the majority of the resources. Adequate insulin replacement therapy can prevent complications and reduce expenses, as long as therapy goals are achieved and maintained. Sadly, these therapy goals are seldom achieved and outcomes have not improved for decades despite advances in pharmacotherapy and technology...
2018: Clinical Diabetes and Endocrinology
https://www.readbyqxmd.com/read/29681508/diagnosis-of-ovarian-torsion-is-it-time-to-forget-about-doppler
#6
Gilat L Grunau, Alison Harris, Jean Buckley, Nicole J Todd
OBJECTIVE: Accuracy of ultrasound in diagnosis of ovarian torsion remains controversial, with some studies reporting correct diagnosis in only 23% to 66% of cases. Normal Doppler flow does not necessarily exclude an ovarian torsion; in fact, it may lead to missing the diagnosis and has been show to delay management. The objective of our study was to assess sensitivity and specificity of ultrasound diagnosis of ovarian torsion and to analyze the factors contributing to correct and incorrect diagnosis...
April 19, 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29679265/focus-groups-and-in-depth-interviews-to-guide-the-development-of-lung-cancer-screening-informational-materials
#7
Anushree Sharma, Richard O'Connor, Paula Celestino, Samantha Killion, Laurie Griswold-Krupski, Maansi Bansal-Travers
Lung cancer is one of the most lethal cancers in the USA. In 2013, new guidelines issued by the United States Preventive Services Task Force recommended lung cancer screening using low-dose computed tomography among a selected group of high-risk individuals. Specifically, lung cancer screening is recommended for heavy smokers between the ages of 55 to 79, with at least 30 pack-year smoking exposure. Former smokers who meet these guidelines and stopped smoking ≤ 15 years ago are also eligible. There is a need to promote lung cancer screening to increase early diagnosis rates and treatment options, thereby decreasing disease-specific mortality...
April 20, 2018: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/29678441/acute-lymphoblastic-leukemia-lymphoma-of-the-oral-and-maxillofacial-region
#8
Celeste Sánchez-Romero, Hélder Antônio Rebelo Pontes, Flávia Sirotheau Corrêa Pontes, André Caroli Rocha, Román Carlos, Javier C Rendón, Oslei Paes de Almeida, Felipe Paiva Fonseca
OBJECTIVE: Our objective was to describe the clinicopathologic and immunohistochemical features of acute lymphoblastic leukemia/lymphoma (ALL/LBL) of the oral and maxillofacial region (OMF). STUDY DESIGN: Cases diagnosed as ALL/LBL of the OMF region were retrieved from the files of 2 Brazilian and 1 Guatemalan oral pathology services from 2005 to 2017. Microscopic and immunohistochemical features of each case were reviewed and fully described, and clinical data were retrieved from the pathology reports...
January 31, 2018: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
https://www.readbyqxmd.com/read/29672095/concurrent-validity-of-the-personality-assessment-screener-in-a-large-sample-of-offenders
#9
Shannon E Kelley, John F Edens, Kevin S Douglas
Mental health problems are disproportionately prevalent in forensic and correctional settings, and there have been numerous attempts to develop screening tools to evaluate individuals in such contexts. This study investigates the clinical utility of the Personality Assessment Screener (PAS; Morey, 1997), a brief self-report measure of risk for emotional and behavioral dysfunction, in a large mixed-gender offender sample (N = 1,658). The PAS is a 22-item measure derived from the Personality Assessment Inventory (PAI; Morey, 1991, 2007), a more comprehensive self-report instrument widely used to assess for psychological disturbances among forensic and correctional populations...
April 2018: Law and Human Behavior
https://www.readbyqxmd.com/read/29671046/digeorge-syndrome-relevance-of-psychiatric-symptoms-in-undiagnosed-adult-patients
#10
Christoph Kraus, Thomas Vanicek, Ana Weidenauer, Tav Khanaqa, Mara Stamenkovic, Rupert Lanzenberger, Matthäus Willeit, Siegfried Kasper
DiGeorge syndrome or 22q11.2 deletion syndrome is one of the most common genetic microdeletion syndromes in humans. In addition to physical manifestations, DiGeorge syndrome is associated with a high prevalence of psychiatric disorders, such as intellectual disability, schizophrenia and attention-deficit/hyperactivity disorder. Usually, the diagnosis of DiGeorge syndrome is made in early childhood. This article reports on the late diagnosis of a patient with panic disorder and comorbid major depression at the age of 51...
April 18, 2018: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29669000/impact-of-patients-access-to-medical-records-in-occupational-medicine
#11
A Krakov, N Kabaha, J Azuri, S Moshe
Background: Information technologies offer new ways to engage with patients regarding their health, but no studies have been done in occupational health services (OHS). Aims: To examine the advantages and disadvantages of providing written and oral medical information to patients in OHS. Methods: In this cross-sectional study, data were retrieved from patients visiting four different OHS during 2014-15 for a fitness for work evaluation. We built a semi-quantitative satisfaction questionnaire, with responses ranging on a Likert scale of 1-5 from very dissatisfied (1) to very satisfied (5)...
April 14, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/29668761/correction-stroke-survivors-and-informal-caregivers-experiences-of-primary-care-and-community-healthcare-services-a-systematic-review-and-meta-ethnography
#12
Dominika M Pindus, Ricky Mullis, Lisa Lim, Ian Wellwood, A Viona Rundell, Noor Azah Abd Aziz, Jonathan Mant
[This corrects the article DOI: 10.1371/journal.pone.0192533.].
2018: PloS One
https://www.readbyqxmd.com/read/29666880/-influence-of-staffing-levels-on-conflicts-in-inpatient-psychiatric-care
#13
A Nienaber, A Heinz, M A Rapp, F Bermpohl, M Schulz, J Behrens, M Löhr
Acute psychiatric wards are an important element in the mental healthcare of people at risk for acute harm to others or self-harm. Unfortunately, aggression, violence (conflict) and the use of coercion (containment) are still part of psychiatric care. The decisive factor for the correct handling of these situations is the quantity as well as the quality of the employees. Therefore, the present study dealt with the care situation on acute psychiatric wards. The hypothesis is that both the number of beds on the acute psychiatric ward and the number of caregivers have an impact on the occurrence of conflict and containment...
April 17, 2018: Der Nervenarzt
https://www.readbyqxmd.com/read/29665241/the-effects-of-medication-adherence-and-health-literacy-on-health-related-quality-of-life-in-older-people-with-hypertension
#14
Nam Hee Park, Mi Sook Song, So Young Shin, Ji-Hye Jeong, Hyo Young Lee
AIM AND OBJECTIVE: This study investigated the effects of medication adherence and health literacy on health-related quality of life in vulnerable older people with hypertension. BACKGROUND: Health literacy is particularly critical for providing accurate information regarding correct medication intake to improve medication adherence. Additionally, health-related quality of life is directly related to impairment from chronic disease. DESIGN: A descriptive, cross-sectional study design was used...
April 17, 2018: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/29664833/effect-of-pre-hospital-red-blood-cell-transfusion-on-mortality-and-time-of-death-in-civilian-trauma-patients
#15
Marius Rehn, Anne Weaver, Karim Brohi, Sarah Eshelby, Laura Green, Jo Røislien, David J Lockey
BACKGROUND: Current management principles of haemorrhagic shock after trauma emphasize earlier transfusion therapy to prevent dilution of clotting factors and correct coagulopathy. London's air ambulance (LAA) was the first UK civilian pre-hospital service to routinely offer pre-hospital red blood cell (RBC) transfusion (phRTx). We investigated the effect of phRTx on mortality. METHODS: Retrospective trauma database study comparing mortality before-implementation with after-implementation of phRTx in exsanguinating trauma patients...
April 16, 2018: Shock
https://www.readbyqxmd.com/read/29663909/diagnosing-developmental-defects-of-enamel-pilot-study-of-online-training-and-accuracy
#16
Darya Dabiri, George J Eckert, Yihong Li, Kim Seow, Robert J Schroth, John Warren, J Timothy Wright, Shi Zhao, Margherita Fontana
PURPOSE: The purpose of this study was to assess dentists' ability to correctly identify and classify development defects of enamel (DDE). METHODS: The modified DDE (MDDE) index was used to classify enamel defects into two types: (1) enamel hypoplasia-pitted, grooved, or missing enamel; or (2) enamel opacity-translucency of enamel not caused by dental caries or fluorosis (can be either demarcated or diffuse). A panel of six experts selected and scored 36 images using the MDDE, and the consensus score was used as the gold standard score in the evaluation of survey respondents...
March 15, 2018: Pediatric Dentistry
https://www.readbyqxmd.com/read/29662688/distribution-and-determinants-of-pneumonia-diagnosis-using-integrated-management-of-childhood-illness-guidelines-a-nationally-representative-study-in-malawi
#17
Omolara T Uwemedimo, Todd P Lewis, Elsie A Essien, Grace J Chan, Humphreys Nsona, Margaret E Kruk, Hannah H Leslie
Background: Pneumonia remains the leading cause of child mortality in sub-Saharan Africa. The Integrated Management of Childhood Illness (IMCI) strategy was developed to standardise care in low-income and middle-income countries for major childhood illnesses and can effectively improve healthcare worker performance. Suboptimal clinical evaluation can result in missed diagnoses and excess morbidity and mortality. We estimate the sensitivity of pneumonia diagnosis and investigate its determinants among children in Malawi...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29662299/clinical-characteristics-and-causes-of-visual-impairment-in-a-low-vision-clinic-in-northern-jordan
#18
May M Bakkar, Eman A Alzghoul, Mera F Haddad
Aim: The aim of the study was to identify causes of visual impairment among patients attending a low vision clinic in the north of Jordan and to study the relevant demographic characteristics of these patients. Subjects and methods: The retrospective study was conducted through a review of clinical records of 135 patients who attended a low vision clinic in Irbid. Clinical characteristics of the patients were collected, including age, gender, primary cause of low vision, best corrected visual acuity, and current prescribed low vision aids...
2018: Clinical Ophthalmology
https://www.readbyqxmd.com/read/29661072/using-information-communication-technology-to-identify-deficits-in-rural-health-care-a-mixed-methods-evaluation-from-guatemala
#19
Katharina Wahedi, Walter Flores, Claudia Beiersmann, Kayvan Bozorgmehr, Albrecht Jahn
BACKGROUND: In August 2014, the Centre for the Studies of Equity and Governance in Health Systems (CEGSS) in Guatemala launched an online platform, which facilitates complaints about health services via text messages. The aim is to collect, systemise and forward such complaints to relevant institutions, and to create a data pool on perceived deficits of health care in rural Guatemala. OBJECTIVE: To evaluate if the online platform is an accepted, user-friendly and efficient medium to engage citizens in the reporting of health care deficiencies in Guatemala...
2018: Global Health Action
https://www.readbyqxmd.com/read/29659994/resident-and-staff-satisfaction-of-pediatric-graduate-medical-education-training-on-transition-to-adult-care-of-medically-complex-patients
#20
Matthew Weeks, Brandon Cole, Eric Flake, Daniel Roy
Introduction: This study aims to describe the quantity and satisfaction current residents and experienced pediatricians have with graduate medical education on transitioning medically complex patients to adult care. There is an increasing need for transitioning medically complex adolescents to adult care. Over 90% now live into adulthood and require transition to adult healthcare providers. The 2010 National Survey of Children with Special Health Care Needs found that only 40% of youth 12-17 yr receive the necessary services to appropriately transition to adult care...
April 11, 2018: Military Medicine
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