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https://www.readbyqxmd.com/read/28505658/annals-consult-guys-the-adult-survivor-of-hodgkin-disease-falling-through-the-cracks
#1
Geno J Merli, Howard H Weitz
No abstract text is available yet for this article.
May 16, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/28466623/timing-of-orchidopexy-for-undescended-testis-in-israel-a-quality-of-care-study
#2
REVIEW
Guy Hidas, Jacob Ben Chaim, Refael Udassin, Mary Graeb, Ofer N Gofrit, Rachel Yaffa Zisk-Rony, Dov Pode, Mordechai Duvdevani, Vladimir Yutkin, Amos Neheman, Amos Fruman, Dan Arbel, Vadim Kopuler, Yaron Armon, Ezekiel H Landau
BACKGROUND: Strong evidence suggests that in order to prevent irreversible testicular damage surgical correction (orchidopexy) for undescended testis (UDT) should be performed before the age of 1 year. OBJECTIVES: To evaluate whether orchidopexy is delayed in our medical system, and if so, to explore the pattern of referral for orchidopexy as a possible contributing factor in such delays. METHODS: We conducted a retrospective chart review of all children who underwent orchidopexy for UDT between 2003 and 2013 in our institution...
November 2016: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/28427405/ceiling-effect-in-emr-system-assimilation-a-multiple-case-study-in-primary-care-family-practices
#3
Marie-Claude Trudel, Josianne Marsan, Guy Paré, Louis Raymond, Ana Ortiz de Guinea, Éric Maillet, Thomas Micheneau
BACKGROUND: There has been indisputable growth in adoption of electronic medical record (EMR) systems in the recent years. However, physicians' progress in using these systems has stagnated when measured with maturity scales. While this so-called ceiling effect has been observed and its consequences described in previous studies, there is a paucity of research on the elements that could explain such an outcome. We first suggest that in the context of EMR systems we are in presence of a "tiered ceiling effect" and then we show why such phenomenon occurs...
April 20, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28418560/annals-consult-guys-like-pulling-teeth-antiplatelet-therapy-in-the-dental-office
#4
Geno J Merli, Howard H Weitz
No abstract text is available yet for this article.
April 18, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/28162827/infectious-diseases-specialist-management-improves-outcomes-for-outpatients-diagnosed-with-cellulitis-in-the-emergency-department-a-double-cohort-study
#5
Shilpa R Jain, Seyed M Hosseini-Moghaddam, Philip Dwek, Kaveri Gupta, Sameer Elsayed, Guy W Thompson, Robert Dagnone, Kelly Hutt, Michael Silverman
Three hospital emergency rooms (ERs) routinely referred all cases of cellulitis requiring outpatient intravenous antibiotics, to a central ER-staffed cellulitis clinic. We performed a retrospective cohort study of all patients seen by the ER clinic in the last 4months preceding a policy change (ER management cohort [ERMC]) (n=149) and all those seen in the first 3months of a new policy of automatic referral to an infectious disease (ID) specialist-supervised cellulitis clinic (ID management cohort [IDMC]) (n=136)...
April 2017: Diagnostic Microbiology and Infectious Disease
https://www.readbyqxmd.com/read/28143813/the-use-of-history-to-identify-anterior-cruciate-ligament-injuries-in-the-acute-trauma-setting-the-limp-index
#6
Colin Ayre, Maryann Hardy, Andrew Scally, Graham Radcliffe, Ram Venkatesh, Jon Smith, Stephen Guy
OBJECTIVE: To identify the injury history features reported by patients with anterior cruciate ligament (ACL) injuries and determine whether history may be used to identify patients requiring follow-up appointments from acute trauma services. METHODS: Multisite cross-sectional service evaluation using a survey questionnaire design conducted in the UK. The four injury history features investigated were 'leg giving way at the time of injury', 'inability to continue activity immediately following injury', 'marked effusion' and 'pop (heard or felt) at the time of injury'(LIMP)...
January 31, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28120132/three-trocars-laparoscopic-total-gastrectomy-d2-lymphadenectomy-with-intracorporeal-manual-esojejunostomy
#7
Giovanni Dapri, Maria Galdon Gomez, Guy-Bernard Cadière, Han-Kwang Yang
BACKGROUND: Minimally invasive surgery (MIS) is proved to be feasible and safe oncologically. In the past decade, a new philosophy of MIS, reducing abdominal trauma and improving the cosmetic results, has been popularized. (1-3) The authors report a three trocars laparoscopic total gastrectomy + D2 lymphadenectomy for lesser curvature gastric adenocarcinoma. VIDEO: A 52-year-old woman presenting a nondifferentiated gastric adenocarcinoma at the incisura angularis was admitted at consultation...
January 24, 2017: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/28068362/conflict-of-interest-policies-at-french-medical-schools-starting-from-the-bottom
#8
Paul Scheffer, Christian Guy-Coichard, David Outh-Gauer, Zoéline Calet-Froissart, Mathilde Boursier, Barbara Mintzes, Jean-Sébastien Borde
BACKGROUND: Medical faculties have a role in ensuring that their students are protected from undue commercial influence during their training, and are educated about professional-industry interactions. In North America, many medical faculties have introduced more stringent conflict of interest (COI) policies during the last decade. We asked whether similar steps had been taken in France. We hypothesized that such policies may have been introduced following a 2009-2010 drug safety scandal (benfluorex, Mediator) in which COIs in medicine received prominent press attention...
2017: PloS One
https://www.readbyqxmd.com/read/27924638/understanding-sarcomas-and-other-rare-tumors-an-interview-with-robin-l-jones
#9
Robin L Jones
Robin L Jones speaks to Jade Parker, Commissioning Editor: Robin Jones is a medical oncologist specializing in the treatment of bone and soft tissue sarcomas and Head of the Sarcoma Unit at The Royal Marsden. He completed his medical training at Guy's and St Thomas' Hospital, and his oncology training at The Royal Marsden. His postgraduate research degree, with Professor Dowsett at the Institute of Cancer Research (ICR), evaluated potential predictive and prognostic factors in breast cancer patients treated with neoadjuvant chemotherapy...
February 2017: Future Oncology
https://www.readbyqxmd.com/read/27871597/variability-in-anesthesiologists-approach-to-the-preoperative-management-of-asthmatic-children
#10
Keren Armoni Domany, Guy Gut, Bat-El Yakir, Yakov Sivan
OBJECTIVE: No consensus guidelines exist for the preoperative treatment of asthmatic children referred for elective surgery. We investigated the attitude of pediatric anesthesiologists to this issue. DESIGN: A questionnaire survey was conducted. SETTING: National survey. SUBJECTS: Certified Israeli pediatric anesthesiologists from all 24 general hospitals in Israel. MEASUREMENT: Twenty-one questions regarding the approach to preoperative management of asthmatic children including 6 case scenarios with a variety of clinical situations and treatments of asthmatic children...
December 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27852708/choice-of-moisturiser-for-eczema-treatment-comet-feasibility-study-of-a-randomised-controlled-parallel-group-trial-in-children-recruited-from-primary-care
#11
Matthew J Ridd, Kirsty Garfield, Daisy M Gaunt, Sandra Hollinghurst, Niamh M Redmond, Kingsley Powell, Victoria Wilson, Richard H Guy, Nicola Ball, Lindsay Shaw, Sarah Purdy, Chris Metcalfe
OBJECTIVES: To determine the feasibility of a randomised controlled trial of 'leave on' emollients for children with eczema. DESIGN: Single-centre, pragmatic, 4-arm, observer-blinded, parallel, randomised feasibility trial. SETTING: General practices in the UK. PARTICIPANTS: Children with eczema aged 1 month to <5 years. OUTCOME MEASURES: Primary outcome-proportion of parents who reported use of the allocated study emollient every day for the duration of follow-up (12 weeks)...
November 16, 2016: BMJ Open
https://www.readbyqxmd.com/read/27789779/what-works-for-wellbeing-in-culture-and-sport-report-of-a-delphi-process-to-support-coproduction-and-establish-principles-and-parameters-of-an-evidence-review
#12
REVIEW
Norma Daykin, Louise Mansfield, Annette Payne, Tess Kay, Catherine Meads, Giorgia D'Innocenzo, Adele Burnett, Paul Dolan, Guy Julier, Louise Longworth, Alan Tomlinson, Stefano Testoni, Christina Victor
AIMS: There is a growing recognition of the ways in which culture and sport can contribute to wellbeing. A strong evidence base is needed to support innovative service development and a 3-year research programme is being undertaken to capture best evidence of wellbeing impacts and outcomes of cultural and sporting activities in order to inform UK policy and practice. This article provides an overview of methods and findings from an initial coproduction process with key stakeholders that sought to explore and agree principles and parameters of the evidence review for culture, sport and wellbeing (CSW)...
October 27, 2016: Perspectives in Public Health
https://www.readbyqxmd.com/read/27784994/patient-centeredness-and-quality-management-in-dutch-diabetes-care-organizations-after-a-1-year-intervention
#13
Marjo Je Campmans-Kuijpers, Lidwien C Lemmens, Caroline A Baan, Guy Ehm Rutten
BACKGROUND: More focus on patient-centeredness in care for patients with type 2 diabetes requests increasing attention to diabetes quality management processes on patient-centeredness by managers in primary care groups and outpatient clinics. Although patient-centered care is ultimately determined by the quality of interactions between patients and clinicians at the practice level, it should be facilitated at organizational level too. This nationwide study aimed to assess the state of diabetes quality management on patient-centeredness at organizational level and its possibilities to improve after a tailored intervention...
2016: Patient Preference and Adherence
https://www.readbyqxmd.com/read/27756297/implementation-of-the-quebec-mental-health-reform-2005-2015
#14
Marie-Josée Fleury, Guy Grenier, Catherine Vallée, Denise Aubé, Lambert Farand, Jean-Marie Bamvita, Geneviève Cyr
BACKGROUND: This study evaluates implementation of the Quebec Mental Health (MH) Reform (2005-2015) which aimed to improve accessibility, quality and continuity of care by developing primary care and optimizing integrated service networks. Implementation of MH primary care teams, clinical strategies for consolidating primary care, integration strategies to improve collaboration between primary care and specialized services, and facilitators and barriers related to these measures were examined...
October 18, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27750329/the-consult-guys-is-a-bridge-needed-along-this-road
#15
Geno J Merli, Howard H Weitz
No abstract text is available yet for this article.
October 18, 2016: Annals of Internal Medicine
https://www.readbyqxmd.com/read/27743537/analysing-uk-clinicians-understanding-of-cognitive-symptoms-in-major-depression-a-survey-of-primary-care-physicians-and-psychiatrists
#16
R Hamish McAllister-Williams, Kate Bones, Guy M Goodwin, John Harrison, Cornelius Katona, Jill Rasmussen, Sarah Strong, Allan H Young
BACKGROUND: Cognitive dysfunction occurs in depression and can persist into remission. It impacts on patient functioning but remains largely unrecognised, unmonitored and untreated. We explored understanding of cognitive dysfunction in depression among UK clinicians. METHODS: A multi-step consultation process. Step 1: a multi-stakeholder steering committee identified key themes of burden, detection and management of cognitive dysfunction in depression, and developed statements on each to explore understanding and degree of agreement among clinicians...
September 28, 2016: Journal of Affective Disorders
https://www.readbyqxmd.com/read/27658799/factors-affecting-whether-or-not-cancer-patients-consider-using-acupuncture
#17
Byeongsang Oh, Thomas Eade, Andrew Kneebone, Nick Pavlakis, Stephen Clarke, Guy Eslick, Jo River, Michael Back
OBJECTIVE: To explore the factors associated with utilisation of an acupuncture service in a tertiary oncology setting in an Australian public hospital. METHOD: Cancer patients attending oncology clinics at a university teaching hospital were invited to participate in the evaluation of acupuncture services from June 2014 to May 2015. Patients had a prior diagnosis of cancer (albeit at different stages) and were planning to receive, or were already receiving, systemic and/or radiation cancer treatment...
September 22, 2016: Acupuncture in Medicine: Journal of the British Medical Acupuncture Society
https://www.readbyqxmd.com/read/27624835/can-preventive-care-activities-in-general-practice-be-sustained-when-financial-incentives-and-external-audit-plus-feedback-are-removed-accept-able-a-cluster-randomised-controlled-trial-protocol
#18
Jane S Hocking, Meredith Temple-Smith, Mieke van Driel, Matthew Law, Rebecca Guy, Liliana Bulfone, Anna Wood, Nicola Low, Basil Donovan, Christopher K Fairley, John Kaldor, Jane Gunn
BACKGROUND: Financial incentives and audit plus feedback on performance are two strategies commonly used by governments to motivate general practitioners (GP) to undertake specific healthcare activities. However, in recent years, governments have reduced or removed incentive payments without evidence of the potential impact on GP behaviour and patient outcomes. This trial (known as ACCEPt-able) aims to determine whether preventive care activities in general practice are sustained when financial incentives and/or external audit plus feedback on preventive care activities are removed...
2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27591189/a-cross-sectional-study-of-hiv-and-stis-among-male-sex-workers-attending-australian-sexual-health-clinics
#19
Denton Callander, Phillip Read, Garrett Prestage, Victor Minichiello, Eric P F Chow, David A Lewis, Anna McNulty, Hammad Ali, Margaret Hellard, Rebecca Guy, Basil Donovan
OBJECTIVES: Although sex work is frequently characterised as a practice with high risk for HIV and other STIs, little is known about the epidemiology of these infections among men who sell sex in Australia. This study reports the prevalence of chlamydia, gonorrhoea, infectious syphilis and HIV among men who have sex with men attending Australian publicly funded sexual health clinics and compares prevalence between sex workers and non-sex workers. METHODS: From 2011 to 2014, de-identified patient data were extracted from 40 sexual health clinics in four Australian jurisdictions...
September 2, 2016: Sexually Transmitted Infections
https://www.readbyqxmd.com/read/27567304/-prostate-cancer-of-elderly-patients-place-and-role-of-geriatric-assessment
#20
B Méry, A Vallard, S Espenel, N Badie, M Thiermant, V Lambert, V Soulier, S Piqueres, K Del Santo, M Ben Mrad, G Wang, P Diao, J Langrand-Escure, R Rivoirard, J-B Guy, A Guillot, A-F Chanelière, R Gonthier, E Achour, P Fournel, N Magné
INTRODUCTION: The aim of this study was to appreciate the place and role of geriatric assessment in elderly patients with prostate cancer. MATERIALS AND METHODS: We performed a retrospective analysis of prostate cancer patients who underwent geriatric assessment during the therapeutic management from 2008 to 2014. Patient, tumor, treatment characteristics and their associated toxicity as well as the parameters of geriatric assessment were studied. The occurrence of geriatric assessment within the 3 months preceding a therapeutic decision was reviewed...
September 2016: Progrès en Urologie
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