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https://www.readbyqxmd.com/read/29691755/my-patient-has-received-fluid-how-to-assess-its-efficacy-and-side-effects
#1
REVIEW
Xavier Monnet, Jean-Louis Teboul
Many efforts have been made to predict, before giving fluid, whether it will increase cardiac output. Nevertheless, after fluid administration, it is also essential to assess the therapeutic efficacy and to look for possible adverse effects. Like for any drug, this step should not be missed. Basically, volume expansion is aimed at improving tissue oxygenation and organ function. To assess this final result, clinical signs are often unhelpful. The increase in urine output in case of acute kidney injury is a poor marker of the kidney perfusion improvement...
April 24, 2018: Annals of Intensive Care
https://www.readbyqxmd.com/read/29691167/press-ganey-outpatient-medical-practice-survey-scores-do-not-correlate-with-patient-reported-outcomes-after-primary-joint-arthroplasty
#2
Jessica M Kohring, Christopher E Pelt, Mike B Anderson, Christopher L Peters, Jeremy M Gililland
BACKGROUND: Patient delivery of care satisfaction surveys have emerged as instruments to assess the quality of health care at both the hospital and provider levels. We evaluated the correlation between these care satisfaction surveys and patient-reported outcomes (PROs). METHODS: We reviewed secondary data on 540 patients with 540 random visits who underwent primary total joint arthroplasty between January 2014 and February 2017. The Press Ganey Outpatient Medical Practice Survey was collected from outpatient clinical encounters to measure patient satisfaction with their experience and matched to PRO measures from the same encounter...
March 27, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29691097/remote-monitoring-of-cardiac-implantable-electronic-devices
#3
Christopher C Cheung, Marc W Deyell
Over the past decade, technological advancements have transformed the delivery of care for arrhythmia patients. From early transtelephonic monitoring to new devices capable of wireless and cellular transmission, remote monitoring has revolutionized device care. In this article, we review the current evolution and evidence for remote monitoring in patients with cardiac implantable electronic devices. From passive transmission of device diagnostics, to active transmission of patient- and device-triggered alerts, remote monitoring can shorten the time to diagnosis and treatment...
January 8, 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29690941/could-local-integration-of-health-and-social-care-finally-overcome-the-pull-to-the-centre
#4
Anna Dixon
There are several advantages of Bevan's design, such as progressive funding through taxation and equity of access regardless of income, that we must not lose sight of as we celebrate the NHS's (National Health Service) 70th birthday. However, there remain historical fault-lines dividing health and social care. The challenge is how to preserve equity if a more radical reform were implemented to fully integrate both the funding and delivery of health and social care. Funding from national taxation with defined entitlements could preserve both equity in funding and geographical equity...
April 25, 2018: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/29690902/use-of-family-planning-and-child-health-services-in-the-private-sector-an-equity-analysis-of-12-dhs-surveys
#5
Nirali M Chakraborty, Andrea Sprockett
BACKGROUND: A key component of universal health coverage is the ability to access quality healthcare without financial hardship. Poorer individuals are less likely to receive care than wealthier individuals, leading to important differences in health outcomes, and a needed focus on equity. To improve access to healthcare while minimizing financial hardships or inequitable service delivery we need to understand where individuals of different wealth seek care. To ensure progress toward SDG 3, we need to specifically understand where individuals seek reproductive, maternal, and child health services...
April 24, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29690873/insecticide-treated-nets-mass-distribution-campaign-benefits-and-lessons-in-zambia
#6
REVIEW
Freddie Masaninga, Nawa Mukumbuta, Ketty Ndhlovu, Busiku Hamainza, Pauline Wamulume, Emmanuel Chanda, John Banda, Mercy Mwanza-Ingwe, John M Miller, Birkinesh Ameneshewa, Abraham Mnzava, Elizabeth Kawesha-Chizema
BACKGROUND: Zambia was an early adopter of insecticide-treated nets strategy in 2001, and policy for mass distribution with long-lasting insecticidal nets (LLINs) in 2005. Since then, the country has implemented mass distribution supplemented with routine delivery through antenatal care and under five clinics in health facilities. The national targets of universal (100%) coverage and 80% utilization of LLINs have not been attained. Free mass LLIN distribution campaign in Zambia offers important lessons to inform future campaigns in the African region...
April 24, 2018: Malaria Journal
https://www.readbyqxmd.com/read/29690782/multicentered-study-evaluating-pharmacy-students-perception-of-palliative-care-and-clinical-reasoning-using-script-concordance-testing
#7
Rabia S Atayee, Kashelle Lockman, Cara Brock, Daniel T Abazia, Tracy L Brooks, Jayne Pawasauskas, Kyle P Edmonds, Christopher M Herndon
INTRODUCTION: As the role of the pharmacist on the transdisciplinary palliative care team grows, the need for adequate instruction on palliative care and clinical reasoning skills in schools of pharmacy grows accordingly. METHODS: This study evaluates second- and third-year pharmacy students from 6 accredited schools of pharmacy that participated in surveys before and after the delivery of a didactic palliative care elective. The survey collected student demographics, perceptions of the importance of and student skill level in palliative care topics...
January 1, 2018: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/29690755/perioperative-surgical-home-a-new-scope-for-future-anesthesiology
#8
Min A Kwon
The health care system is changing from 'pay for volume' to 'pay for value.' These changes are turning health care delivery into a more cost-effective and coordinated care setup that drives hospitals to lower costs and greater quality gains. The present perioperative care service in Korea has proven to be costly, fragmented, and neither evidence-based nor patient- centered. Recently, a new concept of a perioperative care model termed perioperative surgical home (PSH) has been proposed. The PSH is a patient-centered, team-based, and coordinated perioperative care setup, composed of the head anesthesiologist-perioperativist in tandem with dedicated nurse practitioners and other PSH team doctors...
April 25, 2018: Korean Journal of Anesthesiology
https://www.readbyqxmd.com/read/29689737/improving-outcome-in-congenital-diaphragmatic-hernia-experience-of-a-tertiary-center-without-ecmo
#9
J Pimenta, P Vaz Silva, C Pinto, A Dinis, L Carvalho, O de Castro, F Neves
BACKGROUND: Congenital diaphragmatic hernia (CDH) has a high mortality rate, representing a therapeutic challenge. Prenatal diagnosis (PND) is essential in defining optimal perinatal strategy, particularly delivery planning. Hospital Pediátrico de Coimbra is the referral centre for all neonatal surgery, particularly CDH, for the central region of Portugal. The aim was to evaluate clinical management and outcome of newborns with CDH. METHODS: An exploratory retrospective study made up of newborns admitted to PICU with CDH was undertaken between January 1995 and December 2014...
2018: Journal of Neonatal-perinatal Medicine
https://www.readbyqxmd.com/read/29689578/peripartum-morbidity-after-cesarean-delivery-for-arrest-of-dilation-at-4-to-5-cm-compared-with-6-to-10-cm
#10
Joshua D Dahlke, Jeffrey D Sperling, Phinnara Has, Todd R Lovgren, Brendan D Connealy, Dwight J Rouse
OBJECTIVE:  Given that recent consensus guidelines established to decrease cesarean delivery (CD) rates use 6 cm to define the onset of the active phase of labor, our objective was to evaluate maternal and neonatal outcomes after CD for the indication of arrest of dilation at 4 to 5 cm compared with ≥ 6 cm. STUDY DESIGN:  We performed a secondary analysis using data from the Maternal Fetal-Medicine Units Network Cesarean Registry. We included nulliparous women with term, singleton, vertex gestations who underwent primary CD for arrest of dilation...
April 24, 2018: American Journal of Perinatology
https://www.readbyqxmd.com/read/29689323/appropriate-use-criteria-in-dermatopathology-initial-recommendations-from-the-american-society-of-dermatopathology
#11
Claudia I Vidal, Eric A Armbrect, Aleodor A Andea, Angela K Bohlke, Nneka I Comfere, Sarah R Hughes, Jinah Kim, Jessica A Kozel, Jason B Lee, Konstantinos Linos, Brandon R Litzner, Tricia A Missall, Roberto A Novoa, Uma Sundram, Brian L Swick, M Yadira Hurley, Murad Alam, Zsolt Argenyi, Lyn M Duncan, Dirk M Elston, Patrick O Emanuel, Tammie Ferringer, Maxwell A Fung, Gregory A Hosler, Alexander J Lazar, Lori Lowe, Jose A Plaza, Victor G Prieto, June K Robinson, Andras Schaffer, Antonio Subtil, Wei-Lien Wang
BACKGROUND: Appropriate use criteria (AUC) provide physicians guidance in test selection, can affect health care delivery, reimbursement policy, and physician decision-making. OBJECTIVES: The American Society of Dermatopathology (ASDP), with input from the American Academy of Dermatology (AAD) and the College of American Pathologists (CAP), sought to develop AUC in dermatopathology. METHODS: The RAND/UCLA appropriateness methodology, which combines evidence-based medicine, clinical experience and expert judgment, was used to develop AUC in dermatopathology...
April 21, 2018: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/29689054/community-health-worker-interventions-to-promote-psychosocial-outcomes-among-people-living-with-hiv-a-systematic-review
#12
Hae-Ra Han, Kyounghae Kim, Jeanne Murphy, Joycelyn Cudjoe, Patty Wilson, Phyllis Sharps, Jason E Farley
BACKGROUND: Community health worker (CHW) interventions are a successful strategy to promote health among HIV-negative and persons living with HIV (PLWH). Psychosocial factors are critical dimensions of HIV/AIDS care contributing to prognosis of the disease, yet it is unclear how CHW interventions improve psychosocial outcomes in PLWH. The purpose of this study was to critically appraise the types, scope, and nature of CHW interventions designed to address psychosocial outcomes in PLWH...
2018: PloS One
https://www.readbyqxmd.com/read/29688843/cost-of-medical-care-of-patients-with-advanced-serious-illness-in-singapore-compass-prospective-cohort-study-protocol
#13
Irene Teo, Ratna Singh, Chetna Malhotra, Semra Ozdemir, Rebecca A Dent, Nesaretnam Barr Kumarakulasinghe, Wee Lee Yeo, Yin Bun Cheung, Rahul Malhotra, Ravindran Kanesvaran, Alethea Chung Pheng Yee, Noreen Chan, Huei Yaw Wu, Soh Mun Chin, Hum Yin Mei Allyn, Grace Meijuan Yang, Patricia Soek Hui Neo, Nivedita V Nadkarni, Richard Harding, Eric A Finkelstein
BACKGROUND: Advanced cancer significantly impacts quality of life of patients and families as they cope with symptom burden, treatment decision-making, uncertainty and costs of treatment. In Singapore, information about the experiences of advanced cancer patients and families and the financial cost they incur for end-of-life care is lacking. Understanding of this information is needed to inform practice and policy to ensure continuity and affordability of care at the end of life. The primary objectives of the Cost of Medical Care of Patients with Advanced Serious Illness in Singapore (COMPASS) cohort study are to describe changes in quality of life and to quantify healthcare utilization and costs of patients with advanced cancer at the end of life...
April 23, 2018: BMC Cancer
https://www.readbyqxmd.com/read/29688823/analysis-of-a-pediatric-telemedicine-program
#14
Shayan Vyas, Joanne Murren-Boezem, Patricia Solo-Josephson
BACKGROUND: Telemedicine serves millions of patients and is transforming healthcare delivery worldwide. In October of 2015, Nemours Children's Health System began offering direct-to-consumer (DTC) pediatric telemedicine on the Nemours CareConnect (NCC) platform. INTRODUCTION: Currently, there are no descriptive data available on pediatric-specific DTC 24/7 programs. This is the first article to our knowledge that provides data on such a program. MATERIALS AND METHODS: A retrospective data analysis of the first 1,000 visits was conducted...
April 24, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29688458/preterm-infants-have-distinct-microbiomes-not-explained-by-mode-of-delivery-breastfeeding-duration-or-antibiotic-exposure
#15
Cecilie Dahl, Hein Stigum, Jørgen Valeur, Nina Iszatt, Virissa Lenters, Shyamal Peddada, Jørgen V Bjørnholt, Tore Midtvedt, Siddhartha Mandal, Merete Eggesbø
Background: Preterm infants have low gut microbial diversity and few anaerobes. It is unclear whether the low diversity pertains to prematurity itself or is due to differences in delivery mode, feeding mode or exposure to antibiotics. Methods: The Norwegian Microbiota Study (NoMIC) was established to examine the colonization of the infant gut and health outcomes. 16S rRNA gene Illumina amplicon-sequenced samples from 519 children (160 preterms), collected at 10 days, 4 months and 1 year postnatally, were used to calculate alpha diversity...
April 20, 2018: International Journal of Epidemiology
https://www.readbyqxmd.com/read/29688133/decomposing-the-gap-in-missed-opportunities-for-vaccination-between-poor-and-non-poor-in-sub-saharan-africa-a-multicountry-analyses
#16
Duduzile Ndwandwe, Olalekan A Uthman, Abdu Adamu, Evanson Z Sambala, Alison B Wiyeh, Tawa Olukade, Ghose Bishwajit, Sanni Yaya, Jean-Marie Okwo-Bele, Charles S Wiysonge
Understanding the gaps in missed opportunities for vaccination (MOV) between poor and non-poor in sub-Saharan Africa (SSA) would enable an understanding of factors associated with interventions for improving immunisation coverage to achieving universal childhood immunisation. We aimed to conduct a multicountry analyses to decompose the gap in MOV between poor and non-poor in SSA. We used cross-sectional data from 35 Demographic and Health Surveys in SSA conducted between 2007 and 2016. Descriptive statistics used to understand the gap in MOV between the urban poor and non-poor, and across the selected covariates...
April 24, 2018: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/29687759/improving-tanzanian-childbirth-service-quality
#17
Jennie Jaribu, Suzanne Penfold, Cathy Green, Fatuma Manzi, Joanna Schellenberg
Purpose The purpose of this paper is to describe a quality improvement (QI) intervention in primary health facilities providing childbirth care in rural Southern Tanzania. Design/methodology/approach A QI collaborative model involving district managers and health facility staff was piloted for 6 months in 4 health facilities in Mtwara Rural district and implemented for 18 months in 23 primary health facilities in Ruangwa district. The model brings together healthcare providers from different health facilities in interactive workshops by: applying QI methods to generate and test change ideas in their own facilities; using local data to monitor improvement and decision making; and health facility supervision visits by project and district mentors...
April 16, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29686982/maternal-death-in-rural-ghana-a-case-study-in-the-upper-east-region-of-ghana
#18
Paschal Awingura Apanga, John Koku Awoonor-Williams
Maternal mortality remains a challenge in providing quality maternal and other reproductive healthcare services in Ghana. This is a case investigation of a maternal death in rural Ghana that seeks to unravel the circumstances that lead to her death. We conducted three in-depth interviews with healthcare staff as well as a focused group discussion comprising of six relatives of the deceased, including her husband. The investigation revealed that lack of logistics, medical, and laboratory equipment, inadequate knowledge about the benefits of antenatal care services as well as non-adherence of healthcare workers to treatment protocols and standard operating procedures were found as major setbacks to the provision of effective and quality maternal healthcare services in Ghana...
2018: Frontiers in Public Health
https://www.readbyqxmd.com/read/29686977/a-prototype-exercise-empowerment-mobile-video-game-for-children-with-cancer-and-its-usability-assessment-developing-digital-empowerment-interventions-for-pediatric-diseases
#19
Carol S Bruggers, Sabrina Baranowski, Mathew Beseris, Rachel Leonard, Derek Long, Elizabeth Schulte, Ashton Shorter, Rowan Stigner, Clinton C Mason, Alisa Bedrov, Ian Pascual, Grzegorz Bulaj
Background: Medical advances continue to improve morbidity and mortality of serious pediatric diseases, including cancer, driving research addressing diminished physical and psychological quality of life in children with these chronic conditions. Empowerment enhances resilience and positively influences health, disease, and therapy understanding. We describe the development and usability assessment of a prototype Empower Stars! mobile video game grounded in behavioral and exercise theories with the purpose of coupling physical exercise with empowerment over disease in children with cancer...
2018: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/29685873/using-plain-language-and-adding-communication-technology-to-an-existing-health-related-questionnaire-to-help-generate-accurate-information-qualitative-study
#20
Marlies Welbie, Harriet Wittink, Marjan J Westerman, Ilse Topper, Josca Snoei, Walter Ljm Devillé
BACKGROUND: Low-educated patients are disadvantaged in using questionnaires within the health care setting because most health-related questionnaires do not take the educational background of patients into account. The Dutch Talking Touch Screen Questionnaire (DTTSQ) was developed in an attempt to meet the needs of low-educated patients by using plain language and adding communication technology to an existing paper-based questionnaire. For physical therapists to use the DTTSQ as part of their intake procedure, it needs to generate accurate information from all of their patients, independent of educational level...
April 23, 2018: Journal of Medical Internet Research
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