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https://www.readbyqxmd.com/read/29453469/demographic-and-clinical-profile-in-patients-with-liver-cirrhosis-in-a-tertiary-care-hospital-in-central-nepal
#1
Subash Bhattarai, Merina Gyawali, Khus Raj Dewan, Gaurav Shrestha
INTRODUCTION: Liver cirrhosis is an important health problem worldwide and is a common disease in Nepal. The profile of cirrhosis may vary due to different factors. This study was undertaken to see the demographic and clinical profiles of patients with cirrhosis of liver attending a tertiary care hospital in Central Nepal. METHODS: Six hundred patients with clinical features, laboratory and sonological findings suggestive of chronic liver dysfunction and endoscopic evidence of portal hypertension were included in the study...
October 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/29449200/mhealth-technology-and-nurse-health-coaching-to-improve-health-in-diabetes-protocol-for-a-randomized-controlled-trial
#2
Sheridan Miyamoto, Madan Dharmar, Sarina Fazio, Yajarayma Tang-Feldman, Heather M Young
BACKGROUND: Chronic diseases, including diabetes mellitus, are the leading cause of mortality and disability in the United States. Current solutions focus primarily on diagnosis and pharmacological treatment, yet there is increasing evidence that patient-centered models of care are more successful in improving and addressing chronic disease outcomes. OBJECTIVE: The objective of this clinical trial is to evaluate the impact of a mobile health (mHealth) enabled nurse health coaching intervention on self-efficacy among adults with type-2 diabetes mellitus...
February 15, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29444767/patient-reported-measures-for-person-centered-coordinated-care-a-comparative-domain-map-and-web-based-compendium-for-supporting-policy-development-and-implementation
#3
Helen Lloyd, Hannah Wheat, Jane Horrell, Thavapriya Sugavanam, Benjamin Fosh, Jose M Valderas, James Close
BACKGROUND: Patient-reported measure (PRM) questionnaires were originally used in research to measure outcomes of intervention studies. They have now evolved into a diverse family of tools measuring a range of constructs including quality of life and experiences of care. Current health and social care policy increasingly advocates their use for embedding the patient voice into service redesign through new models of care such as person-centered coordinated care (P3C). If chosen carefully and used efficiently, these tools can help improve care delivery through a variety of novel ways, including system-level feedback for health care management and commissioning...
February 14, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29444256/dose-effect-of-patient-care-team-communication-via-secure-portal-messaging-on-glucose-and-blood-pressure-control
#4
Eboni G Price-Haywood, Qingyang Luo, Dominique Monlezun
Objectives: Organizational strategies for implementing eHealth tools influence patient and provider use of portal technology. This study examines whether the intensity of bidirectional secure portal messaging is associated with improved clinical outcomes. Material and Methods: This is a retrospective cohort analysis of 101 019 patients with diabetes or hypertension (11 138 active portal users) who received primary care within the Ochsner Health System between 2012 and 2014...
February 9, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29425621/the-influence-of-patient-portals-on-users-decision-making-is-insufficiently-investigated-a-systematic-methodological-review
#5
REVIEW
Paolo Fraccaro, Markel Vigo, Panagiotis Balatsoukas, Iain E Buchan, Niels Peek, Sabine N van der Veer
BACKGROUND: Patient portals are considered valuable conduits for supporting patients' self-management. However, it is unknown why they often fail to impact on health care processes and outcomes. This may be due to a scarcity of robust studies focusing on the steps that are required to induce improvement: users need to effectively interact with the portal (step 1) in order to receive information (step 2), which might influence their decision-making (step 3). We aimed to explore this potential knowledge gap by investigating to what extent each step has been investigated for patient portals, and explore the methodological approaches used...
March 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29416975/all-inside-arthroscopic-meniscal-repair-technique-using-a-midbody-accessory-portal
#6
S Tal Hendrix, Adam Kwapisz, Douglas J Wyland
Treatment of symptomatic meniscal tears continues to evolve as we improve our understanding of the biomechanical role of the meniscus and its long-term importance to the health of the knee joint. Suture repair of meniscal tears is challenging, yet the incidence of repairs among our colleagues continues to rise as we aim to preserve meniscal tissue. Many elements of performing a repair are tedious and difficult, including proper meniscal preparation, reduction, mattress suture placement, and fixation. The tear pattern and location present another layer of difficulty...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29415799/healthpathways-improving-access-to-care
#7
Stephen D Gill, Sarah Mansfield, Margie McLeod, Kathryn von Treuer, Matthew Dunn, Frances Quirk
Objective HealthPathways (HPW) is an international web-based information portal that provides health practitioners with guidelines and referral pathways to specialists and services. The present study explored usage of HPW by general practitioners (GPs) in the Barwon region, south-west Victoria, and any benefits and barriers to its use.Methods Approximately 421 GPs provide services in 86 clinics across the Barwon region, south-west Victoria and Barwon Health is the public health service providing acute, subacute, residential aged care and community health services to approximately 350000 people...
February 8, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29411948/challenges-of-identifying-unpublished-data-from-clinical-trials-getting-the-best-out-of-clinical-trials-registers-and-other-novel-sources
#8
Jaana Isojarvi, Hannah Wood, Carol Lefebvre, Julie Glanville
Clinical trial data are essential for assessments of the effectiveness of healthcare interventions. Information about ongoing or completed, but not yet formally published, trials has been more difficult to identify until the development of clinical trials registers and portals. This paper summarises research evidence on identifying sources of trial data, how and when to search those sources and which future developments may enhance access to and retrieval of unpublished trial evidence. We conducted a literature search for relevant studies and provide a narrative review of the evidence from these studies...
February 7, 2018: Research Synthesis Methods
https://www.readbyqxmd.com/read/29410386/patterns-in-patient-access-and-utilization-of-online-medical-records-analysis-of-mychart
#9
Donald A Redelmeier, Nicole C Kraus
BACKGROUND: Electronic patient portals provide a new method for sharing personal medical information with individual patients. OBJECTIVE: Our aim was to review utilization patterns of the largest online patient portal in Canada's largest city. METHODS: We conducted a 4-year time-trend analysis of aggregated anonymous utilization data of the MyChart patient portal at Sunnybrook Health Sciences Centre in Ontario, Canada, from January 1, 2012, through December 31, 2015...
February 6, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29404526/incidence-and-cost-analysis-of-hospital-admission-and-30-day-readmission-among-patients-with-cirrhosis
#10
Sakkarin Chirapongsathorn, Chayakrit Krittanawong, Felicity T Enders, Richard Pendegraft, Kristin C Mara, Bijan J Borah, Sue L Visscher, Conor G Loftus, Vijay H Shah, Jayant A Talwalkar, Patrick S Kamath
We examined risks for first hospitalization and the rate, risk factors, costs, and 1-year outcome of 30-day readmission among patients admitted for complications of cirrhosis. Data were retrospectively analyzed for adult patients with cirrhosis residing in Minnesota, Iowa, or Wisconsin and admitted from 2010 through 2013 at both campuses of the Mayo Clinic Hospital in Rochester, MN. Readmission was captured at the two hospitals as well as at community hospitals in the tristate area within the Mayo Clinic Health System...
February 2018: Hepatology communications
https://www.readbyqxmd.com/read/29398152/radiotherapy-for-prostate-cancer-does-daily-image-guidance-with-tighter-margins-improve-patient-reported-outcomes-compared-to-weekly-orthogonal-verified-irradiation-results-from-a-randomized-controlled-trial
#11
Hanne Tøndel, Jo-Åsmund Lund, Stian Lydersen, Anne D Wanderås, Bjørg Aksnessæther, Christer Andre Jensen, Stein Kaasa, Arne Solberg
BACKGROUND: Novel cancer drugs are subject to strict scientific evaluation of safety and efficacy and usually undergo a cost effectiveness analysis before approval for use in clinical practice. For new techniques in radiotherapy (RT) such as image-guided radiotherapy (IGRT), this is often not the case. We performed a randomized controlled trial to compare daily cone beam computer tomography (CBCT) IGRT with reduced planning target volume (PTV) margins vs weekly orthogonal portal imaging with conventional PTV margins...
February 2, 2018: Radiotherapy and Oncology: Journal of the European Society for Therapeutic Radiology and Oncology
https://www.readbyqxmd.com/read/29397343/addressing-meaningful-use-and-maintaining-an-accurate-medication-list-in-primary-care
#12
Anne Ottney, Renee Koski
OBJECTIVES: The primary objective of this project was to determine the difference in medication list accuracy between an initial and follow-up medication reconciliation visit in a primary care office. Secondary objectives were to identify the difference in medication-related problems most commonly encountered during the visits, factors that may influence patient understanding of their medication regimen, and physician perceptions of the medication review visit. SETTING: Quasi-experimental study part of a larger pilot project to address the ability of how health information technology can be used to maintain an active medication list...
January 31, 2018: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29396389/mobile-diabetes-intervention-study-of-patient-engagement-and-impact-on-blood-glucose-mixed-methods-analysis
#13
Charlene Connolly Quinn, Erin C Butler, Krystal K Swasey, Michelle D Shardell, Michael D Terrin, Erik A Barr, Ann L Gruber-Baldini
BACKGROUND: Successful treatment of diabetes includes patient self-management behaviors to prevent or delay complications and comorbid diseases. On the basis of findings from large clinical trials and professional guidelines, diabetes education programs and health providers prescribe daily regimens of glucose monitoring, healthy eating, stress management, medication adherence, and physical activity. Consistent, long-term commitment to regimens is challenging. Mobile health is increasingly being used to assist patients with lifestyle changes and self-management behaviors between provider visits...
February 2, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29395012/understanding-patients-oral-health-information-needs-findings-of-a-survey-on-use-of-patient-portals-in-dentistry
#14
Neel Shimpi, Kelsey Schwei, Sara Cooper, Po-Huang Chyou, Amit Acharya
BACKGROUND: Patient engagement through web-based patient health portals (PHP) can offer important benefits to patients and provider organizations by improving both quality and access to care. The authors studied the most relevant, patient-identified, oral health information available in the PHP to inform their assessment of patient-centered care. METHODS: The authors distributed a 17-question, paper-based survey to patients aged 18 through 80 years in the waiting rooms of 8 dental centers in Wisconsin...
January 22, 2018: Journal of the American Dental Association
https://www.readbyqxmd.com/read/29393961/measuring-and-managing-population-health
#15
William M Tierney, Justin F Rousseau, Anjum Khurshid
Health care delivery and health promotion require timely, accurate, and useful information. Nowhere are useful data more needed than population health management. Although mountains of health-related data exist, useful information is often diffuse, poorly organized, and often inaccurate and incomplete, and doesn't serve those providing health care to individual patients, managing care for groups of patients, or promoting health for communities. Information and communication technologies are rapidly evolving to enhance population health management...
February 1, 2018: Texas Medicine
https://www.readbyqxmd.com/read/29393769/patterns-and-correlates-of-internet-use-cell-phone-use-and-attitudes-toward-patient-portals-among-a-predominantly-mexican-american-clinic-population
#16
Meredith Trubitt, Ogechika Alozie, Gurjeet Shokar, Silvia Flores, Navkiran K Shokar
OBJECTIVES: The purpose of this study was to describe access and health-related use of the Internet and cell phones, and attitudes toward patient portals among a predominantly Hispanic patient population residing along the U.S.-Mexico border. METHODS: A bilingual cross-sectional survey was conducted in two clinics to describe use and attitudes toward use of Web 2.0 technology for health-related activities. Univariate and multivariable analyses were conducted to identify factors associated with past Web 2...
February 2, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29393511/primaquine-or-other-8-aminoquinolines-for-reducing-plasmodium-falciparum-transmission
#17
REVIEW
Patricia M Graves, Leslie Choi, Hellen Gelband, Paul Garner
BACKGROUND: The 8-aminoquinoline (8AQ) drugs act on Plasmodium falciparum gametocytes, which transmit malaria from infected people to mosquitoes. In 2012, the World Health Organization (WHO) recommended a single dose of 0.25 mg/kg primaquine (PQ) be added to malaria treatment schedules in low-transmission areas or those with artemisinin resistance. This replaced the previous recommendation of 0.75 mg/kg, aiming to reduce haemolysis risk in people with glucose-6-phosphate dehydrogenase deficiency, common in people living in malarious areas...
February 2, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29388198/individualised-gonadotropin-dose-selection-using-markers-of-ovarian-reserve-for-women-undergoing-in-vitro-fertilisation-plus-intracytoplasmic-sperm-injection-ivf-icsi
#18
REVIEW
Sarah F Lensen, Jack Wilkinson, Jori A Leijdekkers, Antonio La Marca, Ben Willem J Mol, Jane Marjoribanks, Helen Torrance, Frank J Broekmans
BACKGROUND: During a cycle of in vitro fertilisation plus intracytoplasmic sperm injection (IVF/ICSI), women receive daily doses of gonadotropin follicle-stimulating hormone (FSH) to induce multifollicular development in the ovaries. Generally, the dose of FSH is associated with the number of eggs retrieved. A normal response to stimulation is often considered desirable, for example the retrieval of 5 to 15 oocytes. Both poor and hyper-response are associated with increased chance of cycle cancellation...
February 1, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29385750/design-and-evaluation-of-a-pervasive-coaching-and-gamification-platform-for-young-diabetes-patients
#19
Randy Klaassen, Kim C M Bul, Rieks Op den Akker, Gert Jan van der Burg, Pamela M Kato, Pierpaolo Di Bitonto
Self monitoring, personal goal-setting and coaching, education and social support are strategies to help patients with chronic conditions in their daily care. Various tools have been developed, e.g., mobile digital coaching systems connected with wearable sensors, serious games and patient web portals to personal health records, that aim to support patients with chronic conditions and their caregivers in realizing the ideal of self-management. We describe a platform that integrates these tools to support young patients in diabetes self-management through educational game playing, monitoring and motivational feedback...
January 30, 2018: Sensors
https://www.readbyqxmd.com/read/29383550/improving-rates-of-outpatient-influenza-vaccination-through-ehr-portal-messages-and-interactive-automated-calls-a-randomized-controlled-trial
#20
Sarah L Cutrona, Jessica G Golden, Sarah L Goff, Jessica Ogarek, Bruce Barton, Lloyd Fisher, Peggy Preusse, Devi Sundaresan, Lawrence Garber, Kathleen M Mazor
BACKGROUND: Patient reminders for influenza vaccination, delivered via electronic health record (EHR) patient portal messages and interactive voice response (IVR) calls, offer an innovative approach to improving patient care. OBJECTIVE: To test the effectiveness of portal and IVR outreach in improving rates of influenza vaccination. DESIGN: Randomized controlled trial of EHR portal messages and IVR calls promoting influenza vaccination. PARTICIPANTS: Adults with no documented influenza vaccination 2 months after the start of influenza season (2014-2015)...
January 30, 2018: Journal of General Internal Medicine
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