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https://www.readbyqxmd.com/read/29475110/pathological-fracture-risk-assessment-in-patients-with-femoral-metastases-using-ct-based-finite-element-methods-a-retrospective-clinical-study
#1
Amir Sternheim, Ornit Giladi, Yair Gortzak, MIchael Drexler, Moshe Salai, Nir Trabelsi, Charles Milgrom, Zohar Yosibash
Physician recommendation for prophylactic surgical fixation of a femur with metastatic bone disease (MBD) is usually based on Mirels' criteria and clinical experience, both of which suffer from poor specificity. This may result in a significant number of these health compromised patients undergoing unnecessary surgery. CT-based finite element analyses (CTFEA) have been shown to accurately predict strength in femurs with metastatic tumors in an ex-vivo study. In order to assess the utility of CTFEA as a clinical tool to determine the need for fixation of patients with MBD of the femur, an ad hoc CTFEA was performed on a retrospective cohort of fifty patients...
February 20, 2018: Bone
https://www.readbyqxmd.com/read/29474657/a-comprehensive-framework-identifying-readmission-risk-factors-using-the-chaid-algorithm-a-prospective-cohort-study
#2
SiDiKA Kaya, Gulay Sain Guven, Seda Aydan, Onur Toka
Objective: To identify frequency of readmission after discharge from internal-medicine wards, readmission risk factors, and reasons and costs of readmission. Design: Prospective cohort study. Setting: A tertiary-care hospital in Turkey. Participants: 2622 adult patients discharged from internal-medicine wards of the hospital between 1 February 2015 and 31 January 2016. Main outcome measures: Thirty day all-cause readmission rates, reasons and costs of readmission...
February 21, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29474410/factor-structure-and-measurement-invariance-across-various-demographic-groups-and-over-time-for-the-phq-9-in-primary-care-patients-in-spain
#3
César González-Blanch, Leonardo Adrián Medrano, Roger Muñoz-Navarro, Paloma Ruíz-Rodríguez, Juan Antonio Moriana, Joaquín T Limonero, Florian Schmitz, Antonio Cano-Vindel
The Patient Health Questionnaire (PHQ-9) is a widely-used screening tool for depression in primary care settings. The purpose of the present study is to identify the factor structure of the PHQ-9 and to examine the measurement invariance of this instrument across different sociodemographic groups and over time in a sample of primary care patients in Spain. Data came from 836 primary care patients enrolled in a randomized controlled trial (PsicAP study) and a subsample of 218 patients who participated in a follow-up assessment at 3 months...
2018: PloS One
https://www.readbyqxmd.com/read/29473486/striving-for-the-best-wonca-global-standards-for-continuing-professional-development-for-family-doctors
#4
Victor Ng, Allyn Walsh, Nandani de Silva, Eleni Politi, Heather Grusauskas
While all physicians must continue to learn new knowledge through their careers, their post-training continuing professional development (CPD) has received less attention. Problems include lack of support for physicians, frequent deviations from best practices such as mandatory participation, focus on community need, and clear conflicts of interest amongst providers. Additionally, specialists from other disciplines catering to different patient populations often provide CPD for family doctors. The Working Party on Education of the World Organisation of Family Doctors (WONCA) sought to develop global standards in CPD for family doctors...
February 23, 2018: Education for Primary Care
https://www.readbyqxmd.com/read/29473247/double-blind-placebo-controlled-multicenter-phase-ii-trial-to-evaluate-d-methionine-in-preventing-reducing-oral-mucositis-induced-by-radiation-and-chemotherapy-for-head-and-neck-cancer
#5
Daniel A Hamstra, Kuei C Lee, Avraham Eisbruch, Prasad Sunkara, Sudhir Borgonha, Babu Phillip, Kathleen C M Campbell, Brian D Ross, Alnawaz Rehemtulla
BACKGROUND: The purpose of this study was to test if oral D-methionine (D-met) reduced mucositis during chemoradiotherapy. METHODS: We conducted a placebo-controlled double-blind randomized phase II trial of D-met (100 mg/kg p.o. b.i.d.) testing the rate of severe (grades 3-4) mucositis. RESULTS: Sixty patients were randomized. Grade 2 + oral pain was higher with placebo (79% vs 45%; P = .0165), whereas grade 2 + body odor was greater with D-met (3% vs 41%; P = ...
February 23, 2018: Head & Neck
https://www.readbyqxmd.com/read/29472977/rural-kansas-family-physician-satisfaction-with-caring-for-spanish-speaking-only-patients
#6
Theresia Neill, Gretchen Irwin, C Scott Owings, William Cathcart-Rake
BACKGROUND: Patient satisfaction with the care they receive can be influenced negatively by a language barrier between the physician and patient. However, there is a paucity of information regarding the consequences of a language barrier on physician satisfaction, although this barrier has the potential to decrease physician wellness. This study sought to determine if a language barrier is a source of professional dissatisfaction in family medicine physicians in rural Kansas. METHODS: In a cross-sectional study, members of the Kansas Academy of Family Physicians who practiced in the rural Kansas counties with the highest percentage of Hispanic residents were surveyed...
November 2017: Kansas Journal of Medicine
https://www.readbyqxmd.com/read/29472707/concern-for-mortality-in-the-neonatal-intensive-care-unit-nicu-parent-and-physician-perspectives
#7
Jaclyn Boulais, Teresa Vente, Mary Daley, Saradha Ramesh, Jennifer McGuirl, Bonnie Arzuaga
OBJECTIVE: The objectives of this study are as follows: (1) to determine the incidence of parental concern for mortality (PCM) and any potential predictors for it among parents of infants admitted to the Neonatal Intensive Care Unit (NICU), and (2) to explore physicians' perspectives with respect to PCM in the NICU and to examine current practices of addressing it. STUDY DESIGN: Separate questionnaires were distributed to members of the AAP Section on Perinatal-Neonatal Medicine District I and to NICU parents post discharge, to gather perspectives from each group...
February 22, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29472277/documenting-stage-1-and-2-meaningful-use-criteria-a-comparison-of-clinical-pharmacists-with-other-healthcare-providers
#8
Osamah M Alfayez, Sandra Leal, Terri Warholak
PURPOSE: Documentation of Stage 1 and Stage 2 Meaningful Use (MU) criteria for patients with type 2 diabetes mellitus between clinical pharmacists and other healthcare providers was compared. METHODS: Patients seen at 8 clinics in a federally qualified health center who had type 2 diabetes mellitus and were seen by clinical pharmacists or other healthcare providers were randomly selected for inclusion in this retrospective study. Approximately half of the encounters were evaluated for Stage 1 MU compliance (encounters from October through December 2014), and half were evaluated for Stage 2 MU compliance (encounters from January through March 2015)...
March 1, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29472275/comparison-of-clinical-pharmacy-specialists-and-primary-care-physicians-in-treatment-of-type-2-diabetes-mellitus-in-rural-veterans-affairs-facilities
#9
Katelyn Wassell, Josh Sullivan, Bryan Paul Jett, Jeffrey Zuber
PURPOSE: Results of a study to compare the impact of clinical pharmacy specialist (CPS) interventions with primary care physician (PCP) interventions in veterans with type 2 diabetes mellitus (T2D) in a rural setting are presented. METHODS: A retrospective analysis was performed examining veterans diagnosed with T2D with a glycosylated hemoglobin (HbA1c ) of ≥8% receiving treatment at a rural community-based outpatient clinic associated with the Memphis Veterans Affairs Medical Center...
March 1, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29472261/development-and-validation-of-the-swedish-national-stroke-register-riksstroke-s-questionnaires-in-patients-at-3-and-12-months-after-stroke-a-qualitative-study
#10
Susanne Palmcrantz, Disa K Sommerfeld
OBJECTIVES: Because healthcare and community organisations and treatment methods are always changing, continuous changes might also be needed in questionnaires that register patient-reported outcomes (PRO) and patient-reported experiences (PRE) of healthcare interventions and community support. Thus, the aim of this study was to test the content and face validity, including the readability, of two questionnaires used by the Swedish national stroke register Riksstroke to register PRO and PRE at 3 and 12 months poststroke...
February 22, 2018: BMJ Open
https://www.readbyqxmd.com/read/29471828/a-delphi-study-and-ranking-exercise-to-support-commissioning-services-future-delivery-of-thrombectomy-services-in-england
#11
Kristoffer Halvorsrud, Darren Flynn, Gary A Ford, Peter McMeekin, Ajay Bhalla, Joyce Balami, Dawn Craig, Phil White
BACKGROUND: Intra-arterial thrombectomy is the gold standard treatment for large artery occlusive stroke. However, the evidence of its benefits is almost entirely based on trials delivered by experienced neurointerventionists working in established teams in neuroscience centres. Those responsible for the design and prospective reconfiguration of services need access to a comprehensive and complementary array of information on which to base their decisions. This will help to ensure the demonstrated effects from trials may be realised in practice and account for regional/local variations in resources and skill-sets...
February 22, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29471821/decision-making-at-the-limit-of-viability-differing-perceptions-and-opinions-between-neonatal-physicians-and-nurses
#12
Hans Ulrich Bucher, Sabine D Klein, Manya J Hendriks, Ruth Baumann-Hölzle, Thomas M Berger, Jürg C Streuli, Jean-Claude Fauchère
BACKGROUND: In the last 20 years, the chances for intact survival for extremely preterm infants have increased in high income countries. Decisions about withholding or withdrawing intensive care remain a major challenge in infants born at the limits of viability. Shared decision-making regarding these fragile infants between health care professionals and parents has become the preferred model today. However, there is an ongoing ethical debate on how decisions regarding life-sustaining treatment should be reached and who should have the final word when health care professionals and parents do not agree...
February 22, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/29471744/injury-related-gaining-momentum-as-external-causes-of-deaths-in-ethiopian-health-and-demographic-surveillance-sites-evidence-from-verbal-autopsy-study
#13
Kassahun Alemu Gelaye, Fasil Tessema, Befikadu Tariku, Semaw Ferede Abera, Alemseged Aregay Gebru, Nega Assefa, Desalew Zelalem, Melkamu Dedefo, Mekdes Kondal, Mesfin Kote, Mitike Molla Sisay, Wubegzier Mekonnen, Mamo Wubshet Terefe, Gashaw Andargie Biks, Firehywot Eshetu, Mulumebet Abera, Yoseph Fekadu, Gessessew Bugssa Hailu, Etsehiwot Tilahun, Yihunie Lakew
BACKGROUND: In Ethiopia, though all kinds of mortality due to external causes are an important component of overall mortality often not counted or documented on an individual basis. OBJECTIVE: The aim of this study was to describe the patterns of mortality from external causes using verbal autopsy (VA) method at the Ethiopian HDSS Network sites. METHODS: All deaths at Ethiopian HDSS sites were routinely registered and followed up with VA interviews...
2018: Global Health Action
https://www.readbyqxmd.com/read/29471438/development-of-a-health-assessment-instrument-for-people-with-intellectual-disabilities-a-delphi-study
#14
Esther J Bakker-van Gijssel, Peter L B J Lucassen, Tim C Olde Hartman, Willem J J Assendelft, Henny M J van Schrojenstein Lantman-de Valk
Background: People with intellectual disabilities (IDs) experience health inequalities. Applying health assessments is one way of diminishing these inequalities. A health assessment instrument can support general practitioners (GPs) in providing better medical care to people with ID. Objectives: The aim of this study was to determine which items should be part of a health assessment instrument for people with ID to be used in primary care. Methods: This Delphi consensus study was conducted among 24 GP experts and 21 ID physicians...
February 17, 2018: Family Practice
https://www.readbyqxmd.com/read/29471330/converging-and-diverging-needs-between-patients-and-providers-who-are-collecting-and-using-patient-generated-health-data-an-integrative-review
#15
Meghan J Reading, Jacqueline A Merrill
Objective: This integrative review identifies convergent and divergent areas of need for collecting and using patient-generated health data (PGHD) identified by patients and providers (i.e., physicians, nurses, advanced practice nurses, physician assistants, and dietitians). Methods: A systematic search of 9 scholarly databases targeted peer-reviewed studies published after 2010 that reported patients' and/or providers' needs for incorporating PGHD in clinical care...
February 17, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29470115/older-adults-social-relationships-and-health-care-utilization-a-systematic-review
#16
Nicole K Valtorta, Danielle Collingridge Moore, Lynn Barron, Daniel Stow, Barbara Hanratty
BACKGROUND: Deficiencies in older people's social relationships (including loneliness, social isolation, and low social support) have been implicated as a cause of premature mortality and increased morbidity. Whether they affect service use is unclear. OBJECTIVES: To determine whether social relationships are associated with older adults' use of health services, independently of health-related needs. SEARCH METHODS: We searched 8 electronic databases (MEDLINE, Embase, CINAHL, Web of Science, PsycINFO, Scopus, the Cochrane Library, and the Centre for Reviews and Dissemination) for data published between 1983 and 2016...
February 22, 2018: American Journal of Public Health
https://www.readbyqxmd.com/read/29470113/local-level-adult-influenza-and-pneumococcal-vaccination-disparities-chicago-illinois-2015-2016
#17
Michelle M Hughes, Nazia S Saiyed, Tiffany S Chen
OBJECTIVES: To investigate local-level adult influenza and pneumococcal vaccination disparities to inform targeted interventions. METHODS: Questions on influenza and pneumococcal vaccination uptake were included in a door-to-door community-based representative survey conducted in 10 Chicago, Illinois, neighborhoods in 2015 and 2016. A total of 1543 adults completed the survey, including 172 adults aged 65 years or older. We calculated adult influenza (≥ 18 years) and pneumococcal (≥ 65 years) vaccination coverage by community area and respondent characteristics...
February 22, 2018: American Journal of Public Health
https://www.readbyqxmd.com/read/29468920/training-medical-students-for-the-twenty-first-century-rationale-and-development-of-the-utrecht-curriculum-cru
#18
Olle Ten Cate, Jan Borleffs, Marijke van Dijk, Tineke Westerveld
AIM: The aim of this report, written for the 40th anniversary issue of Medical Teacher, is to document 20 years of development of the Utrecht undergraduate medical curriculum, as both to exhibit accountability and to inform the community of the process and choices that can be made in long-term curriculum development. METHODS: We used the SPICES model, created by Medical Teacher's Editor Ronald Harden and colleagues in 1984. RESULTS: The Utrecht six-year program, now called "CRU+", has many distinct features that were introduced, most of which are well documented...
February 22, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29468669/racial-ethnic-differential-effects-of-medicaid-expansion-on-health-care-access
#19
Dahai Yue, Petra W Rasmussen, Ninez A Ponce
OBJECTIVE: To assess racial/ethnic differential impacts of the ACA's Medicaid expansion on low-income, nonelderly adults' access to primary care. DATA SOURCES: Behavioral Risk Factor Surveillance System, State Physicians Workforce Data Book, and Bureau of Labor Statistics, in 2013 and 2015. STUDY DESIGN: Quasi-experimental design with difference-in-differences analyses. Outcomes included health insurance coverage, having personal doctor(s), being unable to see doctors because of cost, and receiving a flu shot...
February 22, 2018: Health Services Research
https://www.readbyqxmd.com/read/29468566/pediatric-psychologists-collaboration-in-a-national-pediatric-obesity-initiative-a-case-study-in-interprofessional-collaboration
#20
REVIEW
Wendy L Ward, Laura A Shaffer, Elizabeth Getzoff Testa
Health Care reform calls for collaborative team-based care; psychologists must therefore strengthen their competencies for work in interprofessional clinical care settings. Toward that end, a group of psychologists participated with physicians, dieticians, physical activity specialists, nurses, and others in a national interprofessional workgroup focused on pediatric obesity. The interprofessional group was designed to identify areas in need of national advocacy, key assessment and treatment concerns, and gaps in internal policies and procedures in children's hospitals...
February 21, 2018: Journal of Clinical Psychology in Medical Settings
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