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https://www.readbyqxmd.com/read/28218936/a-national-cera-study-of-the-use-of-laborists-in-family-medicine-residency-training
#1
Robert A Baldor, Christine Chang Pecci, Gerardo Moreno, Virginia Van Duyne, Stacy E Potts
BACKGROUND AND OBJECTIVES: Little is known about the impact of laborists (which we defined as "clinicians dedicated to providing L&D care services in the hospital environment for pregnant patients, regardless of who provided the prenatal care" for this survey) on family medicine residency training. We surveyed family medicine residency directors to assess characteristics about laborist services and their involvement in family medicine residency teaching. METHODS: Questions were included in the 2015 Council of Academic Family Medicine Educational Research Alliance (CERA) survey of family medicine residency directors...
February 2017: Family Medicine
https://www.readbyqxmd.com/read/28216908/role-of-progenitor-cell-producing-normal-vagina-by-metaplasia-in-laparoscopic-peritoneal-vaginoplasty
#2
Pravin N Mhatre, Hemraj R Narkhede, P Amol Pawar, P Jyoti Mhatre, Das Dhanjit Kumar
CONTEXT: Host of vaginoplasty techniques have been described. None has been successful in developing normal vagina. Laparoscopic peritoneal vaginoplasty (LPV) is performed in Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) culminating in normal vagina. AIMS: This study aims to confirm normal development of neovagina by anatomical and functional parameters of histology, cytology, and ultrasonography (USG) in LPV. To identify peritoneal progenitor cell by OCT4/SOX2 markers...
October 2016: Journal of Human Reproductive Sciences
https://www.readbyqxmd.com/read/28202189/does-the-presence-of-a-urinary-catheter-predict-severe-sepsis-in-a-bacteraemic-cohort
#3
M Melzer, C Welch
BACKGROUND: Sepsis is a major cause of mortality with an estimated 37,000 deaths in the UK each year. This study aimed to determine host factors that can predict severe sepsis in a bacteraemic cohort. METHODS: From December 2012 to November 2013, demographic, clinical and microbiological data were collected on consecutive patients with bacteraemia at a London teaching hospital. These data were used to categorize patients as having severe or non-severe sepsis. Multi-variate logistic regression was used to determine the association between host factors and severe sepsis...
January 16, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28196993/personality-disorders-and-its-association-with-anxiety-and-depression-among-patients-of-severe-acne-a-cross-sectional-study-from-eastern-india
#4
Sharmila Sarkar, Paramita Patra, Kakali Mridha, Sudip Kumar Ghosh, Asish Mukhopadhyay, Rajarshi Guha Thakurta
BACKGROUND: In many patients, emotional stress may exacerbate acne. Psychological problems such as social phobias, low self-esteem, or depression may also occur as a result of acne. The presence of acne may have some negative effect on the quality of life, self-esteem, and mood of the affected patients. While some studies have been undertaken about anxiety, depression, and personality patterns in patients with acne, only a few studies have been done to identify specific personality disorders in patients with acne...
October 2016: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/28182108/assessment-of-the-usefulness-of-multiplex-real-time-pcr-tests-in-the-diagnostic-and-therapeutic-process-of-pneumonia-in-hospitalized-children-a-single-center-experience
#5
Ewelina Gowin, Alicja Bartkowska-Śniatkowska, Katarzyna Jończyk-Potoczna, Joanna Wysocka-Leszczyńska, Waldemar Bobkowski, Piotr Fichna, Paulina Sobkowiak, Katarzyna Mazur-Melewska, Anna Bręborowicz, Jacek Wysocki, Danuta Januszkiewicz-Lewandowska
The aim of the study was assessment of the usefulness of multiplex real-time PCR tests in the diagnostic and therapeutic process in children hospitalized due to pneumonia and burdened with comorbidities. Methods. The study group included 97 children hospitalized due to pneumonia at the Karol Jonscher Teaching Hospital in Poznań, in whom multiplex real-time PCR tests (FTD respiratory pathogens 33; fast-track diagnostics) were used. Results. Positive test results of the test were achieved in 74 patients (76...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28178935/pneumococcal-carriage-among-hiv-infected-children-in-accra-ghana
#6
Eric S Donkor, Jennifer A Annan, Ebenezer V Badoe, Nicholas T K D Dayie, Appiah-Korang Labi, Hans-Christian Slotved
BACKGROUND: Pneumococcal carriage is the precursor for development of pneumococcal disease, and is also responsible for transmission of the organism from person-to-person. In Africa, little is known about the pneumococcus in relation to people with HIV infection. The aim of the study was to investigate the epidemiology of pneumococcal carriage among HIV infected children visiting a tertiary hospital in Ghana, including the carriage prevalence, risk factors and serotype distribution. METHOD: This was a cross sectional study carried out from February to May, 2015 at the HIV Paediatric Clinic of the Korle-Bu Teaching Hospital in Accra, Ghana...
February 8, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28169512/nurses-can-play-an-active-role-in-the-early-diagnosis-of-exposure-keratopathy-in-intensive-care-patients
#7
Elem Kocaçal Güler, İsmet Eşer, Sait Eğrilmez
AIM: This study was conducted in order to determine nurses' ability to diagnose exposure keratopathy reliably in the early stage in intensive care patients. METHODS: This methodological and descriptive study was carried out between 2011 and 2012 in the Neurology and Anesthesiology and Reanimation Intensive Care Units of a teaching hospital in western Turkey. The sample consisted of 4354 ocular assessments in 156 corneas of 78 patients. A patient identification form and a fluorescein test patient tracking chart were used in the data collection...
February 7, 2017: Japan Journal of Nursing Science: JJNS
https://www.readbyqxmd.com/read/28166379/reference-values-for-rotational-thromboelastometry-rotem-in-clinically-healthy-cats
#8
Charlotte Marly-Voquer, Barbara Riond, Rahel Jud Schefer, Annette P N Kutter
OBJECTIVE: To establish reference intervals for rotational thromboelastometry (ROTEM) using feline blood. DESIGN: Prospective study. SETTING: University teaching hospital. ANIMALS: Twenty-three clinically healthy cats between 1 and 15 years. INTERVENTION: For each cat, whole blood was collected via jugular or medial saphenous venipuncture, and blood was placed into a serum tube, a tube containing potassium-EDTA, and tubes containing 3...
February 6, 2017: Journal of Veterinary Emergency and Critical Care
https://www.readbyqxmd.com/read/28161793/frankfurt-microsurgery-course-the-first-175-trainees
#9
G Perez-Abadia, M Janko, L Pindur, M Sauerbier, J H Barker, I Joshua, I Marzi, J Frank
INTRODUCTION: Microsurgery courses, taught external to surgical training programs, are essential for acquiring the high level of technical skill required for clinical proficiency. METHODS: The Frankfurt microsurgery course is a 5-day, intensive course that teaches arterial and venous anastomosis using end-to-end, end-to-side, one-way-up, continuous-suture, and vessel graft techniques. During the course, the instructor records the level of skill (in-course data) achieved by each trainee by assessing anastomosis completion and patency...
February 4, 2017: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/28161348/mindfulness-based-laboratory-reduction-reducing-utilization-through-trainee-led-daily-time-outs
#10
Emily G McDonald, Ramy R Saleh, Todd C Lee
BACKGROUND: Overuse of laboratory investigations is widely prevalent in hospitalized patients, leads to discomfort, and increases direct and indirect costs. OBJECTIVE: We implemented a simple, inexpensive, mindfulness strategy on our inpatient medical clinical teaching unit to reduce unnecessary laboratory orders through education, a forcing function, and daily structured laboratory "time outs". METHODS: On a 26-bed unit in an academic hospital centre, the per-period laboratory costs per patient were compared pre- and post-intervention using segmented regression analysis of an interrupted time-series...
February 1, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28156471/relationship-between-pain-and-depression-among-patients-with-cancer-at-a-community-teaching-hospital
#11
Damoun Safarpour, Khin N Aung, Neil Pasco, Benjamin Levron, Amy Fung, Atefah Kalantary, Mario Hernandez, Byron Cary, Ratesh Khillan, Kalpana Panigrahi, Madhumati R Kalavar
: 81 Background: While depression is often under-diagnosed in the general population, the rate of under-diagnosis among patients with cancer may be far higher. The American Cancer Society reports that a quarter of all patients with cancer may suffer from depression. We seek to identify a link between pain and depression among patients with cancer which may signal an enhanced need both for the involvement of mental health services and for more effective pain management. METHODS: This is an observational cross-sectional study evaluating depression among patients with cancer in an outpatient setting...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28155317/the-pattern-and-correlates-of-intimate-partner-violence-among-women-in-kano-nigeria
#12
Tanko S Tanimu, Stephen Yohanna, Suleiman Y Omeiza
BACKGROUND: Intimate partner violence (IPV) has been increasingly recognised as a major public health and human rights problem that cuts across all populations, irrespective of social, economic, religious or cultural groups. OBJECTIVES: The objectives of this study were to determine the prevalence, pattern and correlates of IPV among women attending the General Out Patient Clinic of Aminu Kano Teaching Hospital, Kano, Nigeria. It was also designed to determine the pattern of health complications associated with IPV as well as the perception of women on intimate partner violence...
November 29, 2016: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28150382/making-models-to-simulate-testicular-swellings
#13
Piyush B Sarmah, Bhupendra D Sarmah, Husam Ibrahim, Jonathan Panting
BACKGROUND: Testicular examination and the recognition of common scrotal swellings is a key clinical skill that is difficult to teach undergraduates because of its intimate nature. A novel approach for this topic was prompted by the description of handmade models in the medical literature to teach anatomical knowledge and clinical skills. METHODS: Affordable low-cost materials were purchased and assembled to form six models replicating key scrotal pathologies: epididymal cyst, epididymitis, hydrocoele, inguinoscrotal hernia, testicular tumour and varicocoele...
February 2, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28145799/-it-takes-longer-but-when-it-hits-you-it-hits-you-videos-about-marijuana-edibles-on-youtube
#14
Melissa J Krauss, Shaina J Sowles, Haley E Stelzer-Monahan, Tatiana Bierut, Patricia A Cavazos-Rehg
BACKGROUND: Interest in marijuana edibles has increased as perceptions of harm from marijuana have decreased. Media and peer influences impact youth substance use, and YouTube is the most popular video-sharing website. No studies have examined the content and accessibility of YouTube videos related to marijuana edibles. OBJECTIVES: To describe the messages conveyed to viewers in YouTube videos about edibles and determine their accessibility to youth. METHODS: On June 12, 2015, we searched YouTube for videos about marijuana/cannabis/weed edibles...
February 1, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28143942/bridging-the-education-action-gap-a-near-peer-case-based-undergraduate-ethics-teaching-programme
#15
Wing May Kong, Selena Knight
Undergraduate ethics teaching has made significant progress in the past decade, with evidence showing that students and trainee doctors feel more confident in identifying and analysing ethical issues. There is general consensus that ethics education should enable students and doctors to take ethically appropriate actions, and nurture moral integrity. However, the literature reports that doctors continue to find it difficult to take action when faced with perceived unethical behaviour. This has been evident in recent healthcare scandals, in which care has fallen below acceptable ethical standards, despite the presence of professional ethical guidelines and competencies...
January 31, 2017: Journal of Medical Ethics
https://www.readbyqxmd.com/read/28135724/allocation-of-internal-medicine-resident-time-in-a-swiss-hospital-a-time-and-motion-study-of-day-and-evening-shifts
#16
Nathalie Wenger, Marie Méan, Julien Castioni, Pedro Marques-Vidal, Gérard Waeber, Antoine Garnier
Background: Little current evidence documents how internal medicine residents spend their time at work, particularly with regard to the proportions of time spent in direct patient care versus using computers. Objective: To describe how residents allocate their time during day and evening hospital shifts. Design: Time and motion study. Setting: Internal medicine residency at a university hospital in Switzerland, May to July 2015...
January 31, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/28130687/fluid-administration-in-severe-sepsis-and-septic-shock-patterns-and-outcomes-an-analysis-of-a-large-national-database
#17
Paul E Marik, Walter T Linde-Zwirble, Edward A Bittner, Jennifer Sahatjian, Douglas Hansell
PURPOSE: The optimal strategy of fluid resuscitation in the early hours of severe sepsis and septic shock is controversial, with both an aggressive and conservative approach being recommended. METHODS: We used the 2013 Premier Hospital Discharge database to analyse the administration of fluids on the first ICU day, in 23,513 patients with severe sepsis and septic shock, who were admitted to an ICU from the emergency department. Day 1 fluid was grouped into categories 1 L wide, starting with 1-1...
January 27, 2017: Intensive Care Medicine
https://www.readbyqxmd.com/read/28130573/-school-re-integration-after-child-brain-dislocation-the-trauma-surgeon-s-role
#18
A Gänsslen, T Neubauer, C Hartl, N Moser, E Rickels, H Lüngen, M Nerlich, W Krutsch
Concussion injury of the brain is still a frequently underestimated injury, which can be associated with long-lasting consequences. Compared to adults, the recovery phase is often prolonged in childhood. Primary treatment consists of symptom-dependent physical and mental activities. Re-integration into daily life is crucial. In childhood, the primary focus is therefore on returning to school. New symptoms, or an increased presence of symptoms must be detected, to avoid prolonged recovery courses. School restrictions have to be minimized...
January 27, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/28127768/developing-physician-migration-estimates-for-workforce-models
#19
George M Holmes, Erin P Fraher
OBJECTIVE: To understand factors affecting specialty heterogeneity in physician migration. DATA SOURCES/STUDY SETTING: Physicians in the 2009 American Medical Association Masterfile data were matched to those in the 2013 file. Office locations were geocoded in both years to one of 293 areas of the country. Estimated utilization, calculated for each specialty, was used as the primary predictor of migration. Physician characteristics (e.g., specialty, age, sex) were obtained from the 2009 file...
February 2017: Health Services Research
https://www.readbyqxmd.com/read/28127715/the-optimal-treatment-of-patients-with-mild-and-moderate-acute-cholecystitis-time-for-a-revision-of-the-tokyo-guidelines
#20
Charlotte S Loozen, Maaike M Blessing, Bert van Ramshorst, Hjalmar C van Santvoort, Djamila Boerma
INTRODUCTION: According to the Tokyo Guidelines, severity of acute cholecystitis is divided into three grades based on the degree of inflammation and the presence of organ dysfunction. These guidelines recommend grade I (mild) acute cholecystitis to be treated with early laparoscopic cholecystectomy and grade II (moderate) acute cholecystitis with delayed cholecystectomy. Yet, several studies have shown that, for acute cholecystitis in general, early cholecystectomy is superior to delayed cholecystectomy in terms of complication rate, duration of hospital stay and costs...
January 26, 2017: Surgical Endoscopy
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