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https://www.readbyqxmd.com/read/29749861/portero-versus-portador-spanish-interpretation-of-genomic-terminology-during-whole-exome-sequencing-results-disclosure
#1
Amanda M Gutierrez, Jill O Robinson, Emily E Statham, Sarah Scollon, Katie L Bergstrom, Melody J Slashinski, Donald W Parsons, Sharon E Plon, Amy L McGuire, Richard L Street
AIM: Describe modifications to technical genomic terminology made by interpreters during disclosure of whole exome sequencing (WES) results. PATIENTS & METHODS: Using discourse analysis, we identified and categorized interpretations of genomic terminology in 42 disclosure sessions where Spanish-speaking parents received their child's WES results either from a clinician using a medical interpreter, or directly from a bilingual physician. RESULTS: Overall, 76% of genomic terms were interpreted accordantly, 11% were misinterpreted and 13% were omitted...
November 2017: Personalized Medicine
https://www.readbyqxmd.com/read/29582083/hemoptysis-or-hematemesis-the-importance-of-professional-medical-interpretation-a-teachable-moment
#2
Jason H Maley
No abstract text is available yet for this article.
March 26, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/29561830/use-of-the-ion-pgm-and-the-genereader-ngs-systems-in-daily-routine-practice-for-advanced-lung-adenocarcinoma-patients-a-practical-point-of-view-reporting-a-comparative-study-and-assessment-of-90-patients
#3
Simon Heeke, Véronique Hofman, Elodie Long-Mira, Virginie Lespinet, Salomé Lalvée, Olivier Bordone, Camille Ribeyre, Virginie Tanga, Jonathan Benzaquen, Sylvie Leroy, Charlotte Cohen, Jérôme Mouroux, Charles Hugo Marquette, Marius Ilié, Paul Hofman
Background : With the integration of various targeted therapies into the clinical management of patients with advanced lung adenocarcinoma, next-generation sequencing (NGS) has become the technology of choice and has led to an increase in simultaneously interrogated genes. However, the broader adoption of NGS for routine clinical practice is still hampered by sophisticated workflows, complex bioinformatics analysis and medical interpretation. Therefore, the performance of the novel QIAGEN GeneReader NGS system was compared to an in-house ISO-15189 certified Ion PGM NGS platform...
March 21, 2018: Cancers
https://www.readbyqxmd.com/read/29466058/consensus-statement-by-the-american-association-of-clinical-endocrinologists-and-american-college-of-endocrinology-on-the-quality-of-dxa-scans-and-reports
#4
Angelo A Licata, Neil Binkley, Steven M Petak, Pauline M Camacho
OBJECTIVE: High-quality dual-energy X-ray absorptiometry (DXA) scans are necessary for accurate diagnosis of osteoporosis and monitoring of therapy; however, DXA scan reports may contain errors that cause confusion about diagnosis and treatment. This American Association of Clinical Endocrinologists/American College of Endocrinology consensus statement was generated to draw attention to many common technical problems affecting DXA report conclusions and provide guidance on how to address them to ensure that patients receive appropriate osteoporosis care...
February 2018: Endocrine Practice
https://www.readbyqxmd.com/read/29351735/assessing-the-effect-of-a-partly-unobserved-exogenous-binary-time-dependent-covariate-on-survival-probabilities-using-generalised-pseudo-values
#5
Ulrike Pötschger, Harald Heinzl, Maria Grazia Valsecchi, Martina Mittlböck
BACKGROUND: Investigating the impact of a time-dependent intervention on the probability of long-term survival is statistically challenging. A typical example is stem-cell transplantation performed after successful donor identification from registered donors. Here, a suggested simple analysis based on the exogenous donor availability status according to registered donors would allow the estimation and comparison of survival probabilities. As donor search is usually ceased after a patient's event, donor availability status is incompletely observed, so that this simple comparison is not possible and the waiting time to donor identification needs to be addressed in the analysis to avoid bias...
January 19, 2018: BMC Medical Research Methodology
https://www.readbyqxmd.com/read/29311179/medical-interpreters-in-outpatient-practice
#6
Barb Jacobs, Anne M Ryan, Katherine S Henrichs, Barry D Weiss
This article provides an overview of the federal requirements related to providing interpreter services for non-English-speaking patients in outpatient practice. Antidiscrimination provisions in federal law require health programs and clinicians receiving federal financial assistance to take reasonable steps to provide meaningful access to individuals with limited English proficiency who are eligible for or likely to be encountered in their health programs or activities. Federal financial assistance includes grants, contracts, loans, tax credits and subsidies, as well as payments through Medicaid, the Children's Health Insurance Program, and most Medicare programs...
January 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29273576/opinion-redefining-the-role-of-the-physician-in-laboratory-medicine-in-the-context-of-emerging-technologies-personalised-medicine-and-patient-autonomy-4p-medicine
#7
REVIEW
Matthias Orth, Maria Averina, Stylianos Chatzipanagiotou, Gilbert Faure, Alexander Haushofer, Vesna Kusec, Augusto Machado, Siraj A Misbah, Wytze Oosterhuis, Kari Pulkki, Patrick J Twomey, Eberhard Wieland
The role of clinical pathologists or laboratory-based physicians is being challenged on several fronts-exponential advances in technology, increasing patient autonomy exercised in the right to directly request tests and the use of non-medical specialists as substitutes. In response, clinical pathologists have focused their energies on the pre-analytical and postanalytical phases of Laboratory Medicine thus emphasising their essential role in individualised medical interpretation of complex laboratory results...
December 22, 2017: Journal of Clinical Pathology
https://www.readbyqxmd.com/read/29249778/-the-need-for-medical-interpreters-a-questionnaire-survey-of-municipal-hospitals-in-japan
#8
Taeko Hamai, Ayako Nagata, Hiroaki Nishikawa
Objectives This study aimed to investigate the need for medical interpreters, in relation to hospital size, the number of foreign patients accepting, and risk management in municipal hospitals in Japan.Methods In 2016, we conducted a questionnaire survey at 894 municipal hospitals in Japan. The questionnaire included hospital characteristics, the number of foreign patients, the need for medical interpreters, and the respondents' background. We used the incident classification of the Safety Management Council of National University Hospitals (0-5 levels and others)...
2017: [Nihon Kōshū Eisei Zasshi] Japanese Journal of Public Health
https://www.readbyqxmd.com/read/29239850/small-bowel-capsule-endoscopy-may-we-delegate-it-to-nurses
#9
Johann Dreanic, Maximilien Barret, Marion Dhooge, Marianne Gaudric, Sarah Leblanc, Vered Abitbol, Frederic Prat, Stanislas Chaussade, Romain Coriat
AIM: Small bowel capsule endoscopy (CE) is a non-invasive and validated technique allowing the visualization of the small intestine mucosa. It generated more than 40,000 images per examination and induced a long median time of medical reading that may exceed 1 hour. In a transfer of skills' program, the CE reading might be transferred to nurses. We herein evaluate and present a feasibility study of the CE to nurses. METHODS: Nurses experienced in endoscopy were trained for small bowel CE reading, selection and interpretation of pathological images...
November 24, 2017: Clinics and Research in Hepatology and Gastroenterology
https://www.readbyqxmd.com/read/29210557/improving-patient-safety-improving-communication
#10
REVIEW
Heather Bittner-Fagan, Joshua Davis, Margot Savoy
Communication among physicians, staff, and patients is a critical element in patient safety. Effective communication skills can be taught and improved through training and awareness. The practice of family medicine allows for long-term relationships with patients, which affords opportunities for ongoing, high-quality communication. There are many barriers to effective communication, including patient factors, clinician factors, and system factors, but tools and strategies exist to address these barriers, improve communication, and engage patients in their care...
December 2017: FP Essentials
https://www.readbyqxmd.com/read/29197036/cancer-genetic-counseling-communication-with-low-income-chinese-immigrants
#11
Janice Ka Yan Cheng, Claudia Guerra, Rena J Pasick, Dean Schillinger, Judith Luce, Galen Joseph
As genetics and genomics become part of mainstream medicine, these advances have the potential to either reduce or exacerbate health disparities. Relatively, little research has explored the quality of genetic counseling communication experienced by limited English proficiency patients, especially Chinese Americans. We observed and audio recorded genetic counseling appointments (n = 40) of low-income, limited English-proficient Chinese patients (n = 25) and conducted post-visit interviews (n = 17) using stimulated recall to examine patient understanding of the communication...
December 1, 2017: Journal of Community Genetics
https://www.readbyqxmd.com/read/28982158/-it-s-the-difference-between-life-and-death-the-views-of-professional-medical-interpreters-on-their-role-in-the-delivery-of-safe-care-to-patients-with-limited-english-proficiency
#12
Margaret Siyu Wu, Shail Rawal
BACKGROUND: Patients with limited English proficiency (LEP) experience poorer quality care and more adverse events in hospital. Consequently, there is interest in understanding the role of professional medical interpreters in efforts to improve patient safety. OBJECTIVE: To describe the views of professional medical interpreters on their role in the delivery of safe patient care. DESIGN: Qualitative analysis of in-depth semi-structured interviews...
2017: PloS One
https://www.readbyqxmd.com/read/28942494/working-with-the-hmong-population-in-a-genetics-setting-an-interpreter-perspective
#13
Meghan Krieger, Aime Agather, Kathryn Douglass, Catherine A Reiser, Elizabeth M Petty
The aim of this pilot qualitative study was to describe the experiences and beliefs of medical interpreters when working with genetic counselors and other genetic providers caring for Hmong patients who are not native English speakers. Specific goals were to identify interpreters' thoughts and perceptions on (a) their roles during sessions, (b) unique challenges in a genetics session, (c) knowledge genetics providers need when working with Hmong patients and interpreters, and (d) supports and training needed to effectively interpret in a genetics setting...
September 24, 2017: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/28935679/professional-medical-interpreters-influence-the-quality-of-acute-ischemic-stroke-care-for-patients-who-speak-languages-other-than-english
#14
Betty M Luan Erfe, Khawja A Siddiqui, Lee H Schwamm, Chris Kirwan, Anabela Nunes, Nicte I Mejia
BACKGROUND: The inability to communicate effectively in a common language can jeopardize clinicians' efforts to provide quality patient care. Professional medical interpreters (PMIs) can help provide linguistically appropriate health care, in particular for the >25 million Americans who identify speaking English less than very well. We aimed to evaluate the relationship between use of PMIs and quality of acute ischemic stroke care received by patients who preferred to have their medical care in languages other than English...
September 21, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28791541/cancer-counseling-of-low-income-limited-english-proficient-latina-women-using-medical-interpreters-implications-for-shared-decision-making
#15
Daniella Kamara, Jon Weil, Janey Youngblom, Claudia Guerra, Galen Joseph
In cancer genetic counseling (CGC), communication across language and culture challenges the model of practice based on shared decision-making. To date, little research has examined the decision-making process of low-income, limited English proficiency (LEP) patients in CGC. This study identified communication patterns in CGC sessions with this population and assessed how these patterns facilitate or inhibit the decision-making process during the sessions. We analyzed 24 audio recordings of CGC sessions conducted in Spanish via telephone interpreters at two public hospitals...
February 2018: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/28777199/alterations-in-spanish-language-interpretation-during-pediatric-critical-care-family-meetings
#16
Carolyn S Sinow, Irene Corso, Javier Lorenzo, Kiley A Lawrence, David C Magnus, Alisa C Van Cleave
OBJECTIVES: To characterize alterations in Spanish language medical interpretation during pediatric critical care family meetings. DESIGN: Descriptive, observational study using verbatim transcripts of nine PICU family meetings conducted with in-person, hospital-employed interpreters. SETTING: A single, university-based, tertiary children's hospital. SUBJECTS: Medical staff, family members, ancillary staff, and interpreters...
November 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/28736840/issop-position-statement-on-migrant-child-health
#17
REVIEW
(no author information available yet)
Greater numbers of children are on the move than ever before. In 2015, the number of forcibly displaced people across the globe reached 65.3 million. Of the more than 1 million migrants, asylum seekers, and refugees who arrived in Europe in 2015, nearly one third were children, and 90,000 of these children were unaccompanied. Child migrants are among the most vulnerable, even after arriving at their destination. The health of migrant children is related to their health status before their journey, the conditions during their journey and at their destination, and the physical and mental health of their caregivers...
January 2018: Child: Care, Health and Development
https://www.readbyqxmd.com/read/28660354/working-with-the-hmong-population-in-a-genetics-setting-genetic-counselor-perspectives
#18
Aime Agather, Jennifer Rietzler, Catherine A Reiser, Elizabeth M Petty
The Hmong language lacks words for many familiar Western medical genetic concepts which may impact genetic counseling sessions with individuals of Hmong ancestry who have limited English proficiency. To study this interaction, a qualitative, semi-structured interview was designed to address genetic counselors' experiences of genetic counseling sessions working with individuals with Hmong ancestry. Genetic counselors in the three states with the largest population of Hmong individuals (California, Minnesota and Wisconsin) were invited via email to participate in a telephone interview...
December 2017: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/28571051/a-comparison-of-the-use-of-interpreters-in-new-zealand-and-the-us
#19
Ben Gray, Eric J Hardt
Cultural competency in medicine is not possible unless language differences are addressed effectively. Many disparities that appear to be based on cultural, socioeconomic, demographic and other differences can be reduced or eliminated with the use of qualified medical interpretation and translation in multilingual situations. The development of this precious resource varies from country to country around the world as most developed countries face increasingly diverse groups of immigrants and refugees as well as inclusion of more indigenous groups of patients...
June 2, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28496276/using-patient-case-video-vignettes-to-improve-students-understanding-of-cross-cultural-communication
#20
Sally Arif, Brian Cryder, Jennifer Mazan, Ana Quiñones-Boex, Angelika Cyganska
Objective. To develop, implement, and assess whether simulated patient case videos improve students' understanding of and attitudes toward cross-cultural communication in health care. Design. Third-year pharmacy students (N=159) in a health care communications course participated in a one-hour lecture and two-hour workshop on the topic of cross-cultural communication. Three simulated pharmacist-patient case vignettes highlighting cross-cultural communication barriers, the role of active listening, appropriate use of medical interpreters, and useful models to overcome communication barriers were viewed and discussed in groups of 20 students during the workshop...
April 2017: American Journal of Pharmaceutical Education
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