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https://www.readbyqxmd.com/read/27687285/interpreter-training-for-medical-students-pilot-implementation-and-assessment-in-a-student-run-clinic
#1
Jennifer E L Diaz, Nydia Ekasumara, Nikhil R Menon, Edwin Homan, Prashanth Rajarajan, Andrés Ramírez Zamudio, Annie J Kim, Jason Gruener, Edward Poliandro, David C Thomas, Yasmin S Meah, Rainier P Soriano
BACKGROUND: Trained medical interpreters are instrumental to patient satisfaction and quality of care. They are especially important in student-run clinics, where many patients have limited English proficiency. Because student-run clinics have ties to their medical schools, they have access to bilingual students who may volunteer to interpret, but are not necessarily formally trained. METHODS: To study the feasibility and efficacy of leveraging medical student volunteers to improve interpretation services, we performed a pilot study at the student-run clinic at the Icahn School of Medicine at Mount Sinai...
September 29, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27639514/voices-emerging-from-the-shadows-radiologic-practitioners-experiences-of-challenging-conversations
#2
Elaine C Meyer, Giulia Lamiani, Donna Luff, Stephen D Brown
OBJECTIVE: Traditionally, radiologists have practiced their profession behind the scenes. Today, radiologic practitioners face mounting expectations to communicate more directly with patients. However, their experiences with patient communication are not well understood. The aim of this study was to describe the challenges of radiologic practitioners when communicating with patients. METHODS: Twelve day-long interprofessional communication skills workshops for radiologic clinicians were held at Boston Children's Hospital...
July 30, 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/27578484/review-at-a-multidisciplinary-tumor-board-impacts-critical-management-decisions-of-pediatric-patients-with-cancer
#3
Arun Thenappan, Ihab Halaweish, Rajen J Mody, Ethan A Smith, James D Geiger, Peter F Ehrlich, Rama Jasty Rao, Raymond Hutchinson, Gregory Yanik, Raja M Rabah, Amer Heider, Tammy Stoll, Erika A Newman
BACKGROUND: Optimal cancer care requires a multidisciplinary approach. The purpose of the current study was to evaluate the impact of a multidisciplinary tumor board on the treatment plans of children with solid tumors. PROCEDURES: The records of 158 consecutive patients discussed at a formal multidisciplinary pediatric tumor board between July 2012 and April 2014 were reviewed. Treatment plans were based on clinical practice guidelines and on current Children's Oncology Group protocols...
August 31, 2016: Pediatric Blood & Cancer
https://www.readbyqxmd.com/read/27527798/developmental-screening-of-refugees-a-qualitative-study
#4
Abigail L H Kroening, Jessica A Moore, Therese R Welch, Jill S Halterman, Susan L Hyman
BACKGROUND AND OBJECTIVES: Refugee children are at high developmental risk due to dislocation and deprivation. Standardized developmental screening in this diverse population is challenging. We used the Health Belief Model to guide key-informant interviews and focus groups with medical interpreters, health care providers, community collaborators, and refugee parents to explore key elements needed for developmental screening. Cultural and community-specific values and practices related to child development and barriers and facilitators to screening were examined...
September 2016: Pediatrics
https://www.readbyqxmd.com/read/27447408/using-google-translate%C3%A2-in-the-hospital-a-case-report
#5
Fernando Ochoa Leite, Catarina Cochat, Henrique Salgado, Mariana Pinto da Costa, Marta Queirós, Olga Campos, Paulo Carvalho
INTRODUCTION: Doctor-patient communication is essential to the establishment of a therapeutic relationship and to the clinical improvement of the patient. Medical Interpreter Services (MIS) allow the doctors to communicate with patients that do not speak the same language of the clinical staff. However, MIS are not always available and when that happens it is of the upmost importance to find alternatives. OBJECTIVES AND METHODS: Presentation of a clinical case in which Google Translate© (GT©) was used as a translation tool to communicate with a patient...
July 15, 2016: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/27423178/clinicians-strategies-for-managing-their-emotions-during-difficult-healthcare-conversations
#6
Donna Luff, Elliott B Martin, Kelsey Mills, Natalia M Mazzola, Sigall K Bell, Elaine C Meyer
OBJECTIVES: To examine strategies employed by clinicians from different disciplines to manage their emotions during difficult healthcare conversations. METHODS: Self-report questionnaires were collected prior to simulation-based Program to Enhance Relational and Communication Skills (PERCS) workshops for professionals representing a range of experience and specialties at a tertiary pediatric hospital. In response to an open-ended prompt, clinicians qualitatively described their own strategies for managing their emotions during difficult healthcare conversations...
September 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/27388503/retinal-image-enhancement-using-robust-inverse-diffusion-equation-and-self-similarity-filtering
#7
Lu Wang, Guohua Liu, Shujun Fu, Lingzhong Xu, Kun Zhao, Caiming Zhang
As a common ocular complication for diabetic patients, diabetic retinopathy has become an important public health problem in the world. Early diagnosis and early treatment with the help of fundus imaging technology is an effective control method. In this paper, a robust inverse diffusion equation combining a self-similarity filtering is presented to detect and evaluate diabetic retinopathy using retinal image enhancement. A flux corrected transport technique is used to control diffusion flux adaptively, which eliminates overshoots inherent in the Laplacian operation...
2016: PloS One
https://www.readbyqxmd.com/read/27196822/coping-and-resiliency-enhancement-program-care-a-pilot-study-for-interpreters-in-cancer-care
#8
Elyse R Park, Jan E Mutchler, Giselle Perez, Roberta E Goldman, Halsey Niles, Vivian Haime, Cheyenne Fox Tree-McGrath, Mai See Yang, Daniel Woolridge, July Suarez, Karen Donelan, William F Pirl
OBJECTIVE: There is a growing demand for interpreters in the cancer setting. Interpreters, the link to quality care for limited English proficiency patients, face many psychosocial stressors in their work. This project assessed interpreters' experiences of stress and piloted a resiliency program to help interpreters cope with stressors. METHODS: From 2013 to 2014, we pilot tested a targeted resiliency program with interpreters from three Boston-based hospitals. In Phase 1, we conducted five focus groups (n = 31) to identify interpreters' psychosocial needs...
May 16, 2016: Psycho-oncology
https://www.readbyqxmd.com/read/27040047/factors-complicating-the-diabetes-management-of-visitors-to-japan-advices-from-a-japanese-national-center-for-overseas-medical-staff
#9
Miyako Kishimoto, Mitsuhiko Noda
Linguistic, cultural, and geographical differences might challenge the management of diabetes patients travelling in a culturally and linguistically homogeneous country. This article presents an instructive case and identifies various factors that can help in effective diabetes management of such cases. A Russian female patient aged 23 came to Japan and visited our hospital for a second opinion regarding glycemic control. She was diagnosed with type 1 diabetes at age three and started insulin injections and diet therapy with carbohydrate counting methods...
2016: Journal of Medical Investigation: JMI
https://www.readbyqxmd.com/read/26796067/the-challenge-of-tetradic-relationships-in-medically-interpreted-pediatric-primary-care-visits-a-descriptive-study-of-communication-practices
#10
C A Pope, M Escobar-Gomez, B H Davis, J R Roberts, E S O'Brien, E Hinton, P M Darden
OBJECTIVE: To examine spoken interactions between pediatricians and community-based interpreters speaking with adolescents and parents with Limited English proficiency (LEP) in primary care to identify the challenges of interpreting in a four-person or tetradic visit, its sources of co-constructed errors, and specific practices for educational intervention. METHODS: As part of a larger study of vaccine decision-making at six clinical sites in two states, this descriptive study used discourse analysis to examine 20 routine primary care visits in a Latino Clinic in interactions between adolescents, parents, community-based interpreters, and pediatricians...
April 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/26772613/perspectives-and-experiences-of-new-migrants-on-health-screening-in-sweden
#11
Faustine Kyungu Nkulu Kalengayi, Anna-Karin Hurtig, Annika Nordstrand, Clas Ahlm, Beth Maina Ahlberg
BACKGROUND: In Sweden, migrants from countries considered to have a high burden of certain infectious diseases are offered health screening to prevent the spread of these diseases, but also identify their health needs. However, very little is known about their experiences and perceptions about the screening process. This study aimed at exploring these perceptions and experiences in order to inform policy and clinical practice. METHOD: Using an interpretive description framework, 26 new migrants were interviewed between April and June 2013 in four Swedish counties...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/26746205/healthcare-communication-barriers-and-self-rated-health-in-older-chinese-american-immigrants
#12
Janice Y Tsoh, Tetine Sentell, Ginny Gildengorin, Gem M Le, Elaine Chan, Lei-Chun Fung, Rena J Pasick, Susan Stewart, Ching Wong, Kent Woo, Adam Burke, Jun Wang, Stephen J McPhee, Tung T Nguyen
Older Chinese immigrants are a growing population in the United States who experience multiple healthcare communication barriers such as limited English proficiency and low health literacy. Each of these obstacles has been associated with poor health outcomes but less is known about their effects in combination. This study examined the association between healthcare communication barriers and self-rated health among older Chinese immigrants. Cross-sectional survey data were obtained from 705 Chinese American immigrants ages 50-75 living in San Francisco, California...
August 2016: Journal of Community Health
https://www.readbyqxmd.com/read/26726861/patient-perspectives-on-the-need-for-and-barriers-to-professional-medical-interpretation
#13
Katherine Brooks, Bianca Stifani, Haiyan Ramírez Batlle, Maria Aguilera Nunez, Matthew Erlich, Joseph Diaz
BACKGROUND: Individuals with limited English proficiency (LEP) constitute an increasing share of the patient population in American healthcare settings. Few studies have described the patient's perspective on barriers to medical interpretation and experiences in the clinical setting. METHODS: We conducted focus groups with 22 LEP Spanish-speaking adults. Focus groups were transcribed and analyzed in their original Spanish. RESULTS: LEP patients face significant challenges when accessing health care services due to inadequate or insufficient access to professional interpreters...
January 4, 2016: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/26716407/validated-computed-cleansing-score-for-video-capsule-endoscopy
#14
Amir Klein, Moshe Gizbar, Michael J Bourke, Golo Ahlenstiel
BACKGROUND AND AIM: Diagnostic yield of video capsule endoscopy may be hampered by intestinal content or air bubbles. A major limitation in video capsule-related study is the lack of a validated objective score for bowel preparation quality. We aimed to design and validate a computed small bowel preparation score for research and clinical use. METHODS: Two experienced physicians reached a consensus regarding bowel preparation quality based on known criteria used in previous studies and their confidence of an accurate medical interpretation of the procedure...
July 2016: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/26660484/conceptualizing-the-pathways-and-processes-between-language-barriers-and-health-disparities-review-synthesis-and-extension
#15
Sachiko Terui
While many may view language barriers in healthcare settings (LBHS) as a simple, practical problem, they present unique challenges to theoretical development and practice implications in healthcare delivery, especially when one considers the implications and impacts of specific contextual factors. By exploring the differences of contextual factors in the US and Japan, this review explores and highlights how such differences may entail different impacts on patients' quality of care and require different solutions...
December 12, 2015: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/26646415/toward-cognitive-pipelines-of-medical-assistance-algorithms
#16
Patrick Philipp, Maria Maleshkova, Darko Katic, Christian Weber, Michael Götz, Achim Rettinger, Stefanie Speidel, Benedikt Kämpgen, Marco Nolden, Anna-Laura Wekerle, Rüdiger Dillmann, Hannes Kenngott, Beat Müller, Rudi Studer
PURPOSE: Assistance algorithms for medical tasks have great potential to support physicians with their daily work. However, medicine is also one of the most demanding domains for computer-based support systems, since medical assistance tasks are complex and the practical experience of the physician is crucial. Recent developments in the area of cognitive computing appear to be well suited to tackle medicine as an application domain. METHODS: We propose a system based on the idea of cognitive computing and consisting of auto-configurable medical assistance algorithms and their self-adapting combination...
September 2016: International Journal of Computer Assisted Radiology and Surgery
https://www.readbyqxmd.com/read/26549596/interpreting-at-the-end-of-life-a-systematic-review-of-the-impact-of-interpreters-on-the-delivery-of-palliative-care-services-to-cancer-patients-with-limited-english-proficiency
#17
REVIEW
Milagros D Silva, Margaux Genoff, Alexandra Zaballa, Sarah Jewell, Stacy Stabler, Francesca M Gany, Lisa C Diamond
CONTEXT: Language barriers can influence the health quality and outcomes of limited English proficiency (LEP) patients at end of life, including symptom assessment and utilization of hospice services. OBJECTIVES: To determine how professional medical interpreters influence the delivery of palliative care services to LEP patients. METHODS: We conducted a systematic review of the literature in all available languages of six databases from 1960 to 2014...
March 2016: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/26465121/inaccurate-language-interpretation-and-its-clinical-significance-in-the-medical-encounters-of-spanish-speaking-latinos
#18
Anna M Nápoles, Jasmine Santoyo-Olsson, Leah S Karliner, Steven E Gregorich, Eliseo J Pérez-Stable
BACKGROUND: Limited English-proficient patients suffer poorer quality of care and outcomes. Interpreters can ameliorate these disparities; however, evidence is lacking on the quality of different interpretation modes. OBJECTIVE: Compare accuracy of interpretation for in-person (IP) professional, professional videoconferencing (VC), and ad hoc (AH) interpretation. DESIGN: A cross-sectional study of transcribed audiotaped primary care visits...
November 2015: Medical Care
https://www.readbyqxmd.com/read/26312658/medical-interpreters-and-bilingual-school-staff-potential-disaster-information-conduits
#19
Brooke R Ike, Rebecca Calhoun, Antoinette S Angulo, Hendrika Meischke, Kirsten D Senturia
OBJECTIVES: Dissemination of trusted disaster information to limited English proficient (LEP) communities may mitigate the negative effects these higher risk communities experience in disasters. For immigrant communities, disaster messages may be perceived with skepticism, and fear of public officials may affect compliance with disaster messages. This study explores whether medical interpreters (MIs) and bilingual school staff (BSS) are already informal information sources for LEP communities, and could their connection to both public service organizations and LEP communities make them ideal efficient, trusted disaster information conduits for LEP communities...
July 2015: Journal of Emergency Management: JEM
https://www.readbyqxmd.com/read/26286871/enhancing-the-prediction-of-30-day-readmission-after-percutaneous-coronary-intervention-using-data-extracted-by-querying-of-the-electronic-health-record
#20
MULTICENTER STUDY
Jason H Wasfy, Gaurav Singal, Cashel O'Brien, Daniel M Blumenthal, Kevin F Kennedy, Jordan B Strom, John A Spertus, Laura Mauri, Sharon-Lise T Normand, Robert W Yeh
BACKGROUND: Early readmission after percutaneous coronary intervention is an important quality metric, but prediction models from registry data have only moderate discrimination. We aimed to improve ability to predict 30-day readmission after percutaneous coronary intervention from a previously validated registry-based model. METHODS AND RESULTS: We matched readmitted to non-readmitted patients in a 1:2 ratio by risk of readmission, and extracted unstructured and unconventional structured data from the electronic medical record, including need for medical interpretation, albumin level, medical nonadherence, previous number of emergency department visits, atrial fibrillation/flutter, syncope/presyncope, end-stage liver disease, malignancy, and anxiety...
September 2015: Circulation. Cardiovascular Quality and Outcomes
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