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https://www.readbyqxmd.com/read/28918409/qualitative-interview-study-of-parents-perspectives-concerns-and-experiences-of-the-management-of-lower-respiratory-tract-infections-in-children-in-primary-care
#1
Amy Halls, Catherine Van't Hoff, Paul Little, Theo Verheij, Geraldine M Leydon
OBJECTIVE: To explore parents' perspectives, concerns and experiences of the management of lower respiratory tract infections (LRTIs) in children in primary care. DESIGN: Qualitative semistructured interview study. SETTING: UK primary care. PARTICIPANTS: 23 parents of children aged 6 months to 10 years presenting with LRTI in primary care. METHOD: Thematic analysis of semistructured interviews (either in person or by telephone) conducted with parents to explore their experiences and views on their children being prescribed antibiotics for LRTI...
September 15, 2017: BMJ Open
https://www.readbyqxmd.com/read/28918180/-reason-for-consultation-weight-loss
#2
M Martín Asenjo, J M Martín Guerra, C Rodríguez Martín, L A Sánchez Muñoz, M Martín-Luquero Ibáñez, J M Prieto de Paula
BACKGROUND AND OBJECTIVE: Unintentional weight loss is frequent reason to visit a doctor and it has multiple diagnostic possibilities. The objective of this study is to examine the background of the patients who seek consultation for weight loss and to establish the relationship between weight loss and neoplasia. METHOD: An analysis was performed on the demographic data, quantified weight loss, accompanying symptomatology, and diagnosis of patients who sought medical advice for unintentional weight loss during the year 2015...
September 13, 2017: Semergen
https://www.readbyqxmd.com/read/28914878/-pineal-cyst
#3
I T Abramov, D I Pitskhelauri, N K Serova
A pineal cyst (PC) is a benign neoplasm in the pineal region, or more precisely in the pineal body. Most cysts are incidental findings and are not associated with symptoms typical of patients seeking medical advice. Symptomatic cysts are discovered less often and, depending on the clinical picture, require different treatment approaches. MATERIAL AND METHODS: We analyzed the literature data about the clinical picture, diagnosis, and treatment of PCs for more than a century (1914-2016)...
2017: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
https://www.readbyqxmd.com/read/28912290/achieving-high-quality-care-a-view-from-nice
#4
REVIEW
Gillian Leng, Gemma Partridge
The National Institute for Health and Care Excellence (NICE) was established in 1999 to provide evidence-based guidance. The task of producing guidance by reviewing primary research data and using an advisory committee to develop evidence-based recommendations, is not straightforward. Guidance production is, however, less challenging than the task of putting evidence-based recommendations into practice.NICE is very sensitive to this challenge as, since 1999, over 1500 pieces of NICE guidance have been published...
September 14, 2017: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/28904900/advance-male-sling
#5
REVIEW
Amanda S J Chung, Oscar A Suarez, Kurt A McCammon
The AdVance sling (American Medical Systems, Minnetonka, MN, United States of America) is a synthetic transobturator sling, which is a safe and effective minimally invasive treatment for mild to moderate stress urinary incontinence (SUI) in male patients. This article provides a step-by-step description of our technique for placement of the AdVance male sling, including details and nuances gained from surgical experience, advice for avoidance of complications and discussion on management of complications and sling failures...
August 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28903769/specific-barriers-to-the-conduct-of-randomised-clinical-trials-on-medical-devices
#6
REVIEW
Edmund A M Neugebauer, Ana Rath, Sunya-Lee Antoine, Michaela Eikermann, Doerthe Seidel, Carsten Koenen, Esther Jacobs, Dawid Pieper, Martine Laville, Séverine Pitel, Cecilia Martinho, Snezana Djurisic, Jacques Demotes-Mainard, Christine Kubiak, Vittorio Bertele, Janus C Jakobsen, Silvio Garattini, Christian Gluud
BACKGROUND: Medical devices play an important role in the diagnosis, prevention, treatment and care of diseases. However, compared to pharmaceuticals, there is no rigorous formal regulation for demonstration of benefits and exclusion of harms to patients. The medical device industry argues that the classical evidence hierarchy cannot be applied for medical devices, as randomised clinical trials are impossible to perform. This article aims to identify the barriers for randomised clinical trials on medical devices...
September 13, 2017: Trials
https://www.readbyqxmd.com/read/28901704/audit-of-the-dietetic-care-of-patients-with-type-1-diabetes-at-a-large-australian-paediatric-tertiary-hospital-and-comparison-with-the-international-society-for-paediatric-and-adolescent-diabetes-nutrition-guidelines
#7
Rachel Battersby, Annabel Sweeney, Sarah Toome, Janice Fairchild, Jacqueline Miller
AIM: Optimal glycaemic control is important in children and adolescents with type 1 diabetes (T1D) to reduce the risk of developing microvascular complications. Modest reductions in HbA1c translate to significant risk reductions of these complications. Research indicates that targeted dietetic care using evidence-based guidelines improves HbA1c levels. The aim of this study was to audit the dietetic care provided to patients with T1D at the Women's and Children's Hospital (WCH) and compare the service provided to the International Society for Paediatric and Adolescent Diabetes (ISPAD) nutrition guidelines...
September 2017: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
https://www.readbyqxmd.com/read/28894502/use-of-smoking-cessation-products-a-survey-of-patients-in-community-pharmacies
#8
Alan Phung, Lauren Luo, Noor Breik, Silvia Alessi-Severini
OBJECTIVES: At 17.3%, smoking rates in Manitoba continue to exceed the national average. In this province, a total health care spending of more than $200 million per year has been attributed to smoking. This study examined the use of smoking cessation agents, including nicotine replacement products and prescription medications, in a sample of smokers in the city of Winnipeg. METHODS: A simple multiple-choice questionnaire was administered to willing individuals attending 2 community pharmacies in Winnipeg, Manitoba...
September 2017: Canadian Pharmacists Journal: CPJ, Revue des Pharmaciens du Canada: RPC
https://www.readbyqxmd.com/read/28892596/peyronie-s-disease-watch-out-for-the-bend
#9
Christopher Love, Darren J Katz, Eric Chung, Ohad Shoshany
BACKGROUND: Peyronie's disease is a relatively common condition in urological practice, but is still poorly identified and understood in the wider medical community and by most of the public. Identifying the condition and appropriate referral for expert opinion can significantly lessen the physical and psychological effect on patients. OBJECTIVE: The objective of this article is to provide general practitioners with a concise and updated review of Peyronie's disease, with the aim of helping them to provide appropriate advice to their patients...
September 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28891185/complementary-medicine-products-interpreting-the-evidence-base
#10
Marc Cohen, Jennifer Hunter
Many patients use complementary medicine (CM) products, such as vitamins, minerals and herbs as part of self-care without professional advice or disclosure to their doctors. While use of CM products is gaining awareness by the medical community and there is mounting evidence for their safety, efficacy and cost-effectiveness, there is also the potential for adverse events from inappropriate use and/or withdrawal, as well as interactions with other medicines. Due to the unique and complex properties of many CM products, research evidence is specific to individual preparations and this can lead to confusion when assessing label claims and interpreting the results of clinical trials and systematic reviews...
September 2017: Internal Medicine Journal
https://www.readbyqxmd.com/read/28891060/a-survey-of-acute-pain-services-in-the-uk
#11
M Rockett, R Vanstone, J Chand, D Waeland
The organisational state of inpatient pain management in UK hospitals is difficult to determine. We sent an electronic questionnaire to 209 acute pain service leads throughout the UK. Questions were about staffing and service provision. We received 141 responses (67%); 47% of all UK hospitals. Each service was responsible for a median (IQR [range]) of 566 (400-839 [120-2800]) beds. Each acute pain specialist nurse was responsible for 299 (238-534 [70-1923]) beds. The mean (SD) number of consultant hours per week was 5...
October 2017: Anaesthesia
https://www.readbyqxmd.com/read/28883469/characteristics-of-newly-diagnosed-copd-patients-treated-with-triple-inhaled-therapy-by-general-practitioners-a-real-world-italian-study
#12
Fabiano Di Marco, Pierachille Santus, Silvia Terraneo, Elena Peruzzi, Elisa Muscianisi, Claudio Ripellino, Valeria Pegoraro
Factors predicting prescriptions of triple therapy were investigated in a large group of general practitioners in Italy. In the population treated by identified general practitioners, a cohort of newly diagnosed chronic obstructive pulmonary disease patients was extracted from IMS Health Longitudinal Database during the period 2010-2013. From the diagnosis, 1-year follow-up was evaluated. Thirty-two thousand forty-six newly diagnosed chronic obstructive pulmonary disease patients were evaluated (57.7% male, mean age 67 years)...
September 7, 2017: NPJ Primary Care Respiratory Medicine
https://www.readbyqxmd.com/read/28881073/parental-professional-help-seeking-for-infant-sleep
#13
Pei-Wen Hsu, Wei-Wen Wu, Yi-Ching Tung, Karen A Thomas, Shao-Yu Tsai
AIMS: To explore the perceptions and experiences of parental professional help-seeking for infant sleep and sleep-related concerns. BACKGROUND: Infant sleep is a frequent concern for parents. However, very little is known about the reasons parents seek, do not seek, or delay seeking professional attention about their concerns related to infant sleep. DESIGN AND METHODS: A qualitative study design was used. Twenty audiotaped interviews with parents of healthy 12-month-old infants were conducted at a university-affiliated hospital or parents' homes depending on where parents felt more comfortable discussing their personal views and medical help-seeking experiences...
September 7, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28880394/an-assessment-of-pregnant-women-s-knowledge-and-use-of-the-internet-for-medication-safety-information-and-purchase
#14
Marlene Sinclair, B M Lagan, Helen Dolk, Julie E M McCullough
AIM: The aim of this study was to assess pregnant women's Internet searching activity about medication safety, knowledge and perceptions of medication risk and willingness to take prescribed and non-prescribed medication or make online medication purchases. BACKGROUND: Online medication advice for pregnant women is complex. The quality and veracity of this data is increasingly important as more midwives report women are bringing retrieved online information to clinical appointments...
September 7, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28879173/integrating-public-health-and-health-promotion-practice-in-the-medical-curriculum-a-self-directed-team-based-project-approach
#15
Geraldine Kershaw, Michal Grivna, Iffat Elbarazi, Souheila AliHassan, Faisal Aziz, Aysha Ibrahim Al Dhaheri
Preparing health professionals in health promotion (HP) and disease prevention is essential for improvement of population health, community HP, and better health care for individuals. The aim of this article is to describe an HP project in the form of a major self-directed project-based learning task integrated within the curriculum in the second year of the medical degree program at United Arab Emirates University. The project introduces students to public health and HP practice and develops students' literature searching, writing, presentation skills, and team work...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28874124/telephone-counselling-by-nurses-in-norwegian-primary-care-out-of-hours-services-a-cross-sectional-study
#16
Vivian Midtbø, Guttorm Raknes, Steinar Hunskaar
BACKGROUND: The primary care out-of-hours (OOH) services in Norway are characterized by high contact rates by telephone. The telephone contacts are handled by local emergency medical communication centres (LEMCs), mainly staffed by registered nurses. When assessment by a medical doctor is not required, the nurse often handles the contact solely by nurse telephone counselling. Little is known about this group of contacts. Thus, the aim of this study was to investigate characteristics of encounters with the OOH services that are handled solely by nurse telephone counselling...
September 6, 2017: BMC Family Practice
https://www.readbyqxmd.com/read/28869391/expanding-collaborative-care-integrating-the-role-of-dietitians-and-nutrition-interventions-in-services-for-people-with-mental-illness
#17
Scott B Teasdale, Geogina Latimer, Annette Byron, Vanessa Schuldt, Josephine Pizzinga, Janice Plain, Kerryn Buttenshaw, Adrienne Forsyth, Elizabeth Parker, Nerissa Soh
OBJECTIVE: This article aims to draw mental health clinicians' attention to the connections between nutrition and mental health, and the roles that Accredited Practising Dietitians play in improving mental and physical health through dietary change. METHODS: Selective narrative review. RESULTS: Unhealthy dietary practices are common in high prevalence and severe mental illness. Epidemiological evidence demonstrates that nutrients and dietary patterns impact on mental health...
September 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28868663/coping-and-help-seeking-behaviors-for-management-of-urinary-incontinence
#18
Dilek Bilgic, Nezihe Kizilkaya Beji, Ayfer Ozbas, Ikbal Cavdar, Ergul Aslan, Onay Yalcin
OBJECTIVES: To describe the coping strategies and help-seeking behaviors of women and men with urinary incontinence (UI). METHODS: In cross-sectional study, 156 women and 106 men Turkish with UI were interviewed using a questionnaire covering 29 questions. RESULTS: It was determined that 50.6% of women and 34.0% of men seek help in first for treatment of UI. Forty eight percent of men consulted a physician in the first 6 months after the UI occurred, 44...
September 2017: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28868599/diving-with-pre-existing-medical-conditions
#19
John Lippmann, David McD Taylor, Christopher Stevenson, Jo Williams, Simon J Mitchell
INTRODUCTION: This is the second report based on a survey of Divers Alert Network Asia-Pacific (DAN AP) members who dive with cardiovascular and respiratory conditions and diabetes. It examines the medical management of the divers' conditions, any diving modifications used to mitigate the risk and outcomes. METHODOLOGY: An online cross-sectional survey was sent to 833 divers who had declared a targeted medical condition when applying for DAN AP membership between July 2009 and August 2013...
September 2017: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
https://www.readbyqxmd.com/read/28864788/oral-health-education-for-medical-students-malaysian-and-australian-students-perceptions-of-educational-experience-and-needs
#20
Mas S Ahmad, Menaka A Abuzar, Ishak A Razak, Sabariah A Rahman, Gelsomina L Borromeo
Education in oral health is important to prepare future medical professionals for collaborative roles in maintaining patients' oral health, an important component of general health and well-being. The aims of this study were to determine the perceptions of medical students in Malaysia and Australia of the quality of their training in oral health care and their perceptions of their professional role in maintaining the oral health of their patients. A survey was administered in the classroom with final-year Malaysian (n=527; response rate=79...
September 2017: Journal of Dental Education
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