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https://www.readbyqxmd.com/read/29133321/can-physical-assessment-techniques-aid-diagnosis-in-people-with-chronic-fatigue-syndrome-myalgic-encephalomyelitis-a-diagnostic-accuracy-study
#1
Lucy Hives, Alice Bradley, Jim Richards, Chris Sutton, James Selfe, Bhaskar Basu, Kerry Maguire, Gail Sumner, Tarek Gaber, Annice Mukherjee, Raymond N Perrin
OBJECTIVE: To assess five physical signs to see whether they can assist in the screening of patients with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) and potentially lead to quicker treatment. METHODS: This was a diagnostic accuracy study with inter-rater agreement assessment. Participants recruited from two National Health Service hospitals, local CFS/ME support groups and the community were examined by three practitioners on the same day in a randomised order...
November 13, 2017: BMJ Open
https://www.readbyqxmd.com/read/29113532/the-grounded-theory-of-trust-building
#2
Monir Ramezani, Fazlollah Ahmadi, Eesa Mohammadi, Anoshirvan Kazemnejad
BACKGROUND: Despite the growing importance of spiritual care, the delivery of spiritual care is still an area of disagreement among healthcare providers. OBJECTIVE: To develop a grounded theory about spiritual care delivery based on Iranian nurses' perceptions and experiences. A grounded theory approach: A qualitative study using the grounded theory approach. Participants and research context: Data were collected through holding 27 interviews with 25 participants (17 staff nurses, 3 physicians, 3 patients, 1 family member, and 1 nurse assistant)...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/29112522/implementing-the-national-institute-for-health-and-clinical-excellence-head-injury-2014-guidelines-in-a-major-children-s-hospital-emergency-department
#3
Natalie Ramjeeawon, Fiona Lecky, Derek P Burke, Shammi Ramlakhan
OBJECTIVES AND BACKGROUND: Head injury is a common paediatric emergency department presentation. The National Institute for Health and Clinical Excellence updated its guidance in January 2014 regarding imaging required for adults and children following a head injury (CG176). This study looked at the rates of computed tomography (CT) head scans performed and adherence rates to CG176. PATIENTS AND METHODS: A single-centre audit was carried out, examining imaging practice in children with head injuries...
November 6, 2017: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/29103313/how-effective-are-patient-education-materials-in-educating-patients
#4
Ayla Keçeci, Sadiye Toprak, Seçil Kiliç
The aim of this research was to evaluate the patient education materials prepared and published by nurses and physicians in terms of the qualitative properties of these materials, including readability, understandability, and actionability. A total of 38 patient education materials prepared by nurses and physicians in a university hospital in Turkey were evaluated. The readability of the materials was assessed using the formulas proposed by Atesman and Cetinkaya. The Patient Education Materials Assessment Tool (PEMAT) form was used for estimating the understandability and actionability...
November 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/29091930/self-administered-vitamin-d-status-predictor-older-adults-are-able-to-use-a-self-questionnaire-for-evaluating-their-vitamin-d-status
#5
Cedric Annweiler, Anastasiia Kabeshova, Alix Callens, Marie-Liesse Paty, Guillaume T Duval, Michael F Holick
BACKGROUND: The 16-item Vitamin D Status Predictor (VDSP) questionnaire helps to identify, without resorting to a blood test, older adults with low vitamin D concentrations. Our objective was to determine whether a self-administered VDSP was concordant with the VDSP administered by a physician, and to examine the concordance of every single item of the VDSP. METHODS: A total of 349 older in- and outpatients (mean, 83.2±7.2years; 59% female) were consecutively recruited in the geriatric ward of the University Hospital of Angers, France...
2017: PloS One
https://www.readbyqxmd.com/read/29073982/drug-policy-in-hungary
#6
András Inotai, Marcell Csanádi, András Harsányi, Bertalan Németh
We present a brief overview of the health care system in Hungary, focusing particularly on the pricing and reimbursement procedures of medicines. The National Institute of Health Insurance Fund Management is responsible for the administration of the health insurance system and public reimbursement of health technologies. There are two major types of reimbursement techniques in the outpatient care: the normative reimbursement is applied to all physicians and may be used for all indications listed in the Summary of Product Characteristics, and the indication-linked reimbursement is applied only to specialists who are authorized to prescribe the drug...
September 2017: Value in Health Regional Issues
https://www.readbyqxmd.com/read/29059693/-ethics-consultation-on-the-icu-the-clinically-oriented-method-of-counselling
#7
Gerald Neitzke
When ethical conflicts arise on the ICU, an ethics case consultation is useful. The aim of this consult is a qualified reflection of the moral values, convictions and assumptions involved in the case. The "clinically oriented method of counselling" provides an adequate structure for case consultations on the ICU. The moral assumptions and estimations contained in medical indications, prognosis, therapeutic aims, risk-benefit assessment and issues of quality of life are discussed and a consensus is sought for...
October 23, 2017: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/29052231/audit-of-appropriate-use-of-platelet-transfusions-validation-of-adjudication-criteria
#8
M Etchells, J Spradbrow, R Cohen, Y Lin, C Armali, L Lieberman, C Cserti-Gazdewich, J Pendergrast, J Callum
BACKGROUND AND OBJECTIVES: Platelet (PLT) transfusions must be used appropriately, as they are in chronic short supply, costly and risky to patients. The goals of this audit were to: (1) validate preset adjudication criteria through an audit of appropriateness at four large academic hospitals; (2) identify variability in appropriateness across medical services, physician specialties or hospital locations; and (3) inform logistical or educational interventions that may reduce inappropriate use...
October 19, 2017: Vox Sanguinis
https://www.readbyqxmd.com/read/29050979/comparison-of-3-risk-estimators-to-guide-initiation-of-statin-therapy-for-primary-prevention-of-cardiovascular-disease
#9
Sandra Ofori, Sotonye Dodiyi-Manuel, Maclean R Akpa
BACKGROUND: Among high-risk individuals, statins are beneficial for primary prevention of cardiovascular disease (CVD). In Nigeria, currently, there are no CVD prevention guidelines, so the use of CVD risk estimation to guide statin therapy is left to the discretion of the physician. OBJECTIVE: The objective of the study was to compare 3 CVD risk estimation tools in the evaluation of patients presenting to a tertiary hospital in Nigeria. METHODS: Cross-sectional study involving 295 patients with any CVD risk factors but not taking statins...
October 3, 2017: Journal of Clinical Lipidology
https://www.readbyqxmd.com/read/29018525/concordance-of-opinions-between-patients-and-physicians-and-their-relationship-with-symptomatic-control-and-future-risk-in-patients-with-moderate-severe-asthma
#10
Astrid Crespo-Lessmann, Vicente Plaza, Francisco-Javier González-Barcala, Toni Fernández-Sánchez, Joaquín Sastre
INTRODUCTION: Differences between the opinions of patients and physicians on the impact of asthma are common. We hypothesised that patient-physician discordance may negatively affect asthma outcome. METHODS: A total of 2902 patients (61% women, mean age 47 years) with moderate-severe asthma and 231 physicians participated in a prospective study. At the baseline visit, data on demographics, clinical variables, degree of asthma control according to the Asthma Control Test (ACT), basic spirometry and the Hospital Anxiety and Depression Scale (HADS) were collected and an ad hoc questionnaire was completed that allowed the degree of concordance between doctors and patients to be assessed...
2017: BMJ Open Respiratory Research
https://www.readbyqxmd.com/read/29017549/enhanced-hospital-based-learning-at-a-medical-school-through-application-of-management-principles-a-case-study
#11
Anna Kiessling, Martin Roll, Peter Henriksson
BACKGROUND: A hospital with all its brimming activity constitutes a unique learning environment for medical students. However, to organise high-quality education within this context is a task of great complexity. This paper describes a teaching hospital case, where management principles were applied to enhance the learning quality of medical education. METHODS: Traditional attempts from the faculty had been unsuccessful in improving learning among medical students at a teaching hospital...
October 10, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28954040/alcohol-dependence-in-gastroenterolog-youtpatient-on-a-public-hospital
#12
Mariana de Andrade Pranke, Gabriela Perdomo Coral
BACKGROUND: Alcoholism and alcoholic liver disease are both considered worldwide health problems. OBJECTIVE: The prevalence of alcohol dependence, the associated risk factors and the concordance between the prevalence found and the data collected during the medical visit were evaluated. METHODS: A prospective study evaluating gastroenterology outpatients at a public tertiary hospital was conducted. Two specific questionnaires to assess alcohol dependence were applied: Cut down, Annoyed by criticism, Guilty, Eye-opener (CAGE) and The Alcohol Use Disorder Identification Test (AUDIT)...
September 21, 2017: Arquivos de Gastroenterologia
https://www.readbyqxmd.com/read/28952660/medical-emergencies-on-large-passenger-ships-without-doctors-the-oslo-kiel-oslo-ferry-experience
#13
Thor-Erik Holt, Agnar Tveten, Eilif Dahl
BACKGROUND: The Oslo-Kiel-Oslo route is currently the only direct ferry crossing between Norway and Germany, covered by 2 cruise-and-cars ferries carrying about 2,600 passengers each and sailing every day (20 h at sea, 4 h in port). Unlike most ocean going cruise vessels, they are not required to carry a physician but an on-board paramedic handles medical emergencies. The aim of the study was to provide data on medical emergencies leading to helicopter evacuations (helivacs) or other urgent transfers to facilities ashore from the two ferries during a 3-year period...
2017: International Maritime Health
https://www.readbyqxmd.com/read/28935832/an-electronic-trigger-based-on-care-escalation-to-identify-preventable-adverse-events-in-hospitalised-patients
#14
Viraj Bhise, Dean F Sittig, Viralkumar Vaghani, Li Wei, Jessica Baldwin, Hardeep Singh
BACKGROUND: Methods to identify preventable adverse events typically have low yield and efficiency. We refined the methods of Institute of Healthcare Improvement's Global Trigger Tool (GTT) application and leveraged electronic health record (EHR) data to improve detection of preventable adverse events, including diagnostic errors. METHODS: We queried the EHR data repository of a large health system to identify an 'index hospitalization' associated with care escalation (defined as transfer to the intensive care unit (ICU) or initiation of rapid response team (RRT) within 15 days of admission) between March 2010 and August 2015...
September 21, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28893677/accuracy-of-self-reported-heart-failure-the-atherosclerosis-risk-in-communities-aric-study
#15
Ricky Camplain, Anna Kucharska-Newton, Laura Loehr, Thomas C Keyserling, J Bradley Layton, Lisa Wruck, Aaron R Folsom, Alain G Bertoni, Gerardo Heiss
OBJECTIVE: The aim of this work was to estimate agreement of self-reported heart failure (HF) with physician-diagnosed HF and compare the prevalence of HF according to method of ascertainment. METHODS AND RESULTS: ARIC cohort members (60-83 years of age) were asked annually whether a physician indicated that they have HF. For those self-reporting HF, physicians were asked to confirm their patients' HF status. Physician-diagnosed HF included surveillance of hospitalized HF and hospitalized and outpatient HF identified in administrative claims databases...
November 2017: Journal of Cardiac Failure
https://www.readbyqxmd.com/read/28887349/population-health-management-an-independent-physician-organization-approach
#16
Jeanette L Altavela, Kathryn M Dorward, Thomas A Sorrento, Katherine M Diehl, Cori A Wyman
PURPOSE: The role of clinical pharmacists and their impact on population health and value-based contracts within a multidisciplinary care management team are described. SUMMARY: The Greater Rochester Independent Practice Association (GRIPA) has promoted high-quality, value-based care since its foundation 20 years ago. One of several ways that GRIPA enables its physicians to succeed in shared-savings agreements is by providing a community-based multidisciplinary care management team...
September 15, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28869148/estimation-of-critically-ill-patients-complaints-by-the-nurse-the-physician-and-the-patient-s-family-a-prospective-comparative-study
#17
Sylvain Langlume, Guylaine Labro, Marc Puyraveau, Gilles Capellier, Gaël Piton
OBJECTIVES: To evaluate the ability of the families of critically ill patients and of the intensive care team caring for the patient to communicate and accurately identify patients' complaints. DESIGN: The complaints of critically ill patients were evaluated by a psychologist using a list of 12 items. The same day as the patient interview, the psychologist collected an estimation of the patient's complaints from the family, the nurse and the physician. SETTING: 20-bed Intensive Care Unit in a large University Hospital...
August 28, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28860269/diagnostic-accuracy-of-a-clinical-diagnosis-of-idiopathic-pulmonary-fibrosis-an-international-case-cohort-study
#18
Simon L F Walsh, Toby M Maher, Martin Kolb, Venerino Poletti, Richard Nusser, Luca Richeldi, Carlo Vancheri, Margaret L Wilsher, Katerina M Antoniou, Jüergen Behr, Elisabeth Bendstrup, Kevin Brown, Lucio Calandriello, Tamera J Corte, Vincent Cottin, Bruno Crestani, Kevin Flaherty, Ian Glaspole, Jan Grutters, Yoshikazu Inoue, Maria Kokosi, Yasuhiro Kondoh, Vasileios Kouranos, Michael Kreuter, Kerri Johannson, Eoin Judge, Brett Ley, George Margaritopoulos, Fernando J Martinez, Maria Molina-Molina, António Morais, Hilario Nunes, Ganesh Raghu, Christopher J Ryerson, Moises Selman, Paolo Spagnolo, Hiroyuki Taniguchi, Sara Tomassetti, Dominique Valeyre, Marlies Wijsenbeek, Wim Wuyts, David Hansell, Athol Wells
We conducted an international study of idiopathic pulmonary fibrosis (IPF) diagnosis among a large group of physicians and compared their diagnostic performance to a panel of IPF experts.A total of 1141 respiratory physicians and 34 IPF experts participated. Participants evaluated 60 cases of interstitial lung disease (ILD) without interdisciplinary consultation. Diagnostic agreement was measured using the weighted kappa coefficient (κw). Prognostic discrimination between IPF and other ILDs was used to validate diagnostic accuracy for first-choice diagnoses of IPF and were compared using the C-index...
August 2017: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
https://www.readbyqxmd.com/read/28833213/the-clinical-impact-of-bedside-fiberoptic-laryngoscopic-recording-on-a-tertiary-consult-service
#19
Kirkland N Lozada, Kathryn Morton, Katelyn Stepan, Joseph Capo, Raymond L Chai
OBJECTIVES/HYPOTHESIS: Fiberoptic laryngoscopy is dependent on accurate descriptions of examination findings. Traditional recording methods can be impractical for inpatient consults. Therefore, we aim to determine the utility of a smartphone-coupled portable recording system with flexible laryngoscopy for transmitting information between resident and attending physicians in a real-time setting. STUDY DESIGN: Pilot prospective study in a tertiary academic hospital...
August 22, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28809636/-arthroscopic-finding-of-knee-joint-in-relation-to-age-and-its-comparison-with-pre-operative-clinical-finding-a-retrospective-study
#20
P Látal, K Šimeček, M Kloub
PURPOSE OF THE STUDY In the retrospective study of two South Bohemian centres we present the comparison of pre-operative anamnestic clinical signs in relation to the arthroscopic intraoperative finding. The obtained data is used also to evaluate the arthroscopic finding in relation to age and sex. MATERIAL AND METHODS The arthroscopic findings of patients who underwent surgery in 2013-2014 period (1.1.2013-31.12.2014) at the Department of Trauma Surgery of České Budějovice Hospital, a.s. and in 2014 (1.1...
2017: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
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