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https://www.readbyqxmd.com/read/29031127/patients-perceptions-and-experiences-of-living-with-a-surgical-wound-healing-by-secondary-intention-a-qualitative-study
#1
Dorothy McCaughan, Laura Sheard, Nicky Cullum, Jo Dumville, Ian Chetter
BACKGROUND: Most surgical wounds heal by primary intention, that is to say, the edges of the wound are brought together with sutures, staples, adhesive glue or clips. However, some wounds may be left open to heal (if there is a risk of infection, or if there has been significant tissue loss), and are known as 'surgical wounds healing by secondary intention'. They are estimated to comprise approximately 28% of all surgical wounds and are frequently complex to manage. However, they are under researched and little is known of their impact on patients' lives...
September 28, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29025823/standing-collaboration-a-study-protocol-for-developing-clinical-standards
#2
Louise K Wiles, Peter D Hibbert, Jacqueline H Stephens, Enrico Coiera, Johanna Westbrook, Jeffrey Braithwaite, Ric O Day, Ken M Hillman, William B Runciman
INTRODUCTION: Despite widespread availability of clinical practice guidelines (CPGs), considerable gaps continue between the care that is recommended ('appropriate care') and the care provided. Problems with current CPGs are commonly cited as barriers to providing 'appropriate care'.Our study aims to develop and test an alternative method to keep CPGs accessible and up to date. This method aims to mitigate existing problems by using a single process to develop clinical standards (embodied in clinical indicators) collaboratively with researchers, healthcare professionals, patients and consumers...
October 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/29019810/management-of-patients-who-receive-an-organ-transplant-abroad-and-return-home-for-follow-up-care-recommendations-from-the-declaration-of-istanbul-custodian-group
#3
Beatriz Domínguez-Gil, Gabriel Danovitch, Dominique E Martin, Marta López-Fraga, Kristof Van Assche, Michele L Morris, Jacob Lavee, Gilad Erlich, Riadh Fadhil, Mirela Busic, Glynn Rankin, Mona Al-Rukhaimi, Philip O Connell, Jacqueline Chin, Triona Norman, Pablo Massari, Refaat Kamel, Francis L Delmonico
Eradicating transplant tourism depends upon complex solutions that include efforts to progress towards self-sufficiency in transplantation. Meanwhile, professionals and authorities are faced with medical, legal, and ethical problems raised by patients who return home after receiving an organ transplant abroad, particularly when the organ has been obtained through illegitimate means. In 2016, the Declaration of Istanbul Custodian Group convened an international, multidisciplinary workshop in Madrid, Spain, to address these challenges and provide recommendations for the management of these patients, which are presented in this paper...
October 11, 2017: Transplantation
https://www.readbyqxmd.com/read/29018824/leadership-and-bullying-in-the-forestry-organization-of-turkey
#4
Mahmut M Bayramoğlu, Devlet Toksoy
It is observed that the importance of executive-employee relationships is continuously increasing in today's professional life in addition to the importance of leadership types of managers along with the efficiency of employees as well as the sufficiency of these people in their social relations. Communication of employees with one another and with their manager, along with their social relations, is among the most important factors that sustain an organization. Bullying is a kind of psychological terror that takes place in the form of repeated attacks among workers, as well as by the manager on the employees, aiming to instill stress, job dissatisfaction, and exhaustion on the employees...
2017: BioMed Research International
https://www.readbyqxmd.com/read/29018075/prospective-investigation-of-pesticide-applicators-health-pipah-study-a-cohort-study-of-professional-pesticide-users-in-great-britain
#5
Anne-Helen Harding, David Fox, Yiqun Chen, Neil Pearce, David Fishwick, Gillian Frost
PURPOSE: The purpose of the study is to monitor the exposure and health of workers in Great Britain who use pesticides as a part of their job, and to gain a better understanding of the relationship between long-term exposure to pesticides and health. PARTICIPANTS: Study participants are professional pesticide users who are certified in the safe use of pesticides or who were born before 1965 and apply pesticides under 'grandfather rights'. Overall response rate was 20%; participants are mostly male (98%) and the average age is 54 years, ranging from 17 to over 80 years...
October 10, 2017: BMJ Open
https://www.readbyqxmd.com/read/29017755/self-medication-and-non-prescription-drug-counseling-illustrating-profession-uncertainty-within-turkish-pharmacy-practice
#6
Afonso Miguel Cavaco, Bilge Sozen-Sahne, Elif Ulutas-Deniz, Selen Yegenoglu
BACKGROUND: Recommending effective minor ailment treatments and using non-prescription or over-the-counter (OTC) medicines is a pharmacist's duty. Although common in most European countries, self-medication counseling practices may differ from country to country. OBJECTIVES: This study explored Turkish community pharmacists' attitudes concerning the present self-medication market, professional responsibilities toward patients' self-care, and the usefulness of e-learning for patients' counseling education...
September 29, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29017521/an-integrative-review-of-e-learning-in-the-delivery-of-self-management-support-training-for-health-professionals
#7
Sharon Lawn, Xiaojuan Zhi, Andrea Morello
BACKGROUND: E-learning involves delivery of education through Information and Communication Technology (ITC) using a wide variety of instructional designs, including synchronous and asynchronous formats. It can be as effective as face-to-face training for many aspects of health professional training. There are, however, particular practices and skills needed in providing patient self-management support, such as partnering with patients in goal-setting, which may challenge conventional practice norms...
October 10, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29016886/a-proposed-framework-of-supportive-and-palliative-care-for-people-with-high-grade-glioma
#8
Jennifer Philip, Anna Collins, Caroline Brand, Vijaya Sundararajan, Carrie Lethborg, Michelle Gold, Rosalind Lau, Gaye Moore, Michael Murphy
Background: Patients with high-grade malignant glioma (HGG) have significant supportive and palliative care needs yet few tailored guidelines exist to inform practice. This study sought to develop a HGG framework of supportive and palliative care informed by patient, family and health care professional (HCP) reported needs. Methods: This study integrates a mixed-methods research program involving: (1) Qualitative study: exploring experiences through systematic literature review and qualitative study (10 patients, 23 carers and 36 HCPs); (2) Epidemiological cohort study (N=1,821) describing care of cases of HGG in Victoria, Australia using linked hospital datasets...
July 27, 2017: Neuro-oncology
https://www.readbyqxmd.com/read/28992658/-the-pl%C3%A3-ner-model-for-the-school-entry-screening-is-a-role-model-for-the-future
#9
Josef Weigl
Background The Plöner Model is a stepwise-selective model, similar to the one practised in all of Bavaria since 2008. It was already developed in 2002/2003 for the school entry screening and has been in use since then. Such models are intermittently criticized since not each child is seen by a doctor. Methods The procedure and data of the Plöner Model are analyzed and put into a wider context within Germany and beyond. The current programs in place are therefore categorized into 3 groups and compared with regard to public heath ethics criteria...
October 9, 2017: Das Gesundheitswesen
https://www.readbyqxmd.com/read/28992203/music-therapy-practice-status-and-trends-worldwide-an-international-survey-study
#10
Petra Kern, Daniel B Tague
Background: The field of music therapy is growing worldwide. While there is a wealth of country-specific information available, only a few have databased workforce censuses. Currently, little to no descriptive data exists about the global development of the profession. Objectives: The purpose of this study was to obtain descriptive data about current demographics, practice status, and clinical trends to inform worldwide advocacy efforts, training needs, and the sustainable development of the field...
September 11, 2017: Journal of Music Therapy
https://www.readbyqxmd.com/read/28991846/a-multi-institutional-longitudinal-faculty-development-program-in-humanism-supports-the-professional-development-of-faculty-teachers
#11
William T Branch, Richard M Frankel, Janet P Hafler, Amy B Weil, MaryAnn C Gilligan, Debra K Litzelman, Margaret Plews-Ogan, Elizabeth A Rider, Lars G Osterberg, Dana Dunne, Natalie B May, Arthur R Derse
The authors describe the first 11 academic years (2005-2006 through 2016-2017) of a longitudinal, small-group faculty development program for strengthening humanistic teaching and role modeling at 30 U.S. and Canadian medical schools that continues today. During the yearlong program, small groups of participating faculty met twice monthly with a local facilitator for exercises in humanistic teaching, role modeling, and related topics that combined narrative reflection with skills training using experiential learning techniques...
October 3, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28991417/continuing-professional-development
#12
(no author information available yet)
No abstract text is available yet for this article.
September 2017: Clinical & Experimental Ophthalmology
https://www.readbyqxmd.com/read/28991203/pharmacy-practice-and-education-in-the-czech-republic
#13
Petr Nachtigal, Tomáš Šimůnek, Jeffrey Atkinson
The PHARMINE ("Pharmacy Education in Europe") project studied the organisation of pharmacy education, practice and legislation in the European Union (EU) with the objectives of evaluating to what degree harmonisation had taken place with the EU, and producing documents on each individual EU member state. Part of this work was in the form of a survey of pharmacy education, practice, and legislation in the various member states. We will publish the individual member state surveys as reference documents. This paper presents the results of the PHARMINE survey on pharmacy education, training, and practice in the Czech Republic...
October 9, 2017: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/28991184/from-delivery-to-adoption-of-physical-activity-guidelines-realist-synthesis
#14
REVIEW
Liliana Leone, Caterina Pesce
BACKGROUND: Evidence-based guidelines published by health authorities for the promotion of health-enhancing physical activity (PA), continue to be implemented unsuccessfully and demonstrate a gap between evidence and policies. This review synthesizes evidence on factors influencing delivery, adoption and implementation of PA promotion guidelines within different policy sectors (e.g., health, transport, urban planning, sport, education). METHODS: Published literature was initially searched using PubMed, EBSCO, Google Scholar and continued through an iterative snowball technique...
October 8, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28990454/perceived-risks-and-use-of-psychotherapy-via-telemedicine-for-patients-at-risk-for-suicide
#15
Amanda K Gilmore, Erin F Ward-Ciesielski
Introduction Suicide is a major public health problem and its human, emotional, and economic costs are significant. Individuals in rural areas are at highest risk for suicide. However, telemedicine services are typically not rendered to individuals who are actively suicidal. The goals of the current study were to identify the risks of using telemedicine for mental healthcare from the perspective of licensed mental health providers and to determine factors associated with the use of telemedicine with patients who are at high risk for suicide...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28990367/continuing-professional-development
#16
(no author information available yet)
No abstract text is available yet for this article.
October 2017: Journal of Medical Imaging and Radiation Oncology
https://www.readbyqxmd.com/read/28986215/the-ethics-of-maternal-fetal-surgery
#17
REVIEW
Frank A Chervenak, Laurence B McCullough
Maternal-fetal surgery is performed on two patients, the pregnant patient and the fetal patient. Ethics is therefore an essential dimension of maternal-fetal surgery. From its beginnings in only a few centers, various procedures have become available in highly specialized centers in developed countries. Innovation and research have played an indispensable role in the development of maternal-fetal surgery and will continue to do so. In this article we present ethically justified criteria, based on the ethical concept of the fetus as a patient, for clinical innovation and research of maternal-fetal surgery and for the professionally responsible transition from innovation and research into clinical practice...
October 3, 2017: Seminars in Fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28986140/barriers-to-and-facilitators-of-independent-non-medical-prescribing-in-clinical-practice-a-mixed-methods-systematic-review
#18
Timothy Noblet, John Marriott, Emma Graham-Clarke, Alison Rushton
QUESTION: What are the factors that affect the implementation or utilisation of independent non-medical prescribing (iNMP)? DESIGN: Mixed-methods systematic review. Two reviewers independently completed searches, eligibility and quality assessments. DATA SOURCES: Pre-defined search terms were utilised to search electronic databases. Reference lists, key journals and grey literature were searched alongside consultation with authors/experts...
October 2017: Journal of Physiotherapy
https://www.readbyqxmd.com/read/28984728/incidence-of-wrong-site-surgery-list-errors-for-a-2-year-period-in-a-single-national-health-service-board
#19
Alistair Geraghty, Lorna Ferguson, Craig McIlhenny, Paul Bowie
INTRODUCTION: Wrong-site/side surgical "never events" continue to cause considerable harm to patients, healthcare professionals, and organizations within the United Kingdom. Incidence has remained static despite the mandatory introduction of surgical checklists. Operating theater list errors have been identified as a regular contributor to these never events. The aims of the study were to identify and to learn from the incidence of wrong-site/side list errors in a single National Health Service board...
October 4, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28984375/context-matters-when-striving-to-promote-active-and-lifelong-learning-in-medical-education
#20
Joris J Berkhout, Esther Helmich, Pim W Teunissen, Cees P M van der Vleuten, A Debbie C Jaarsma
WHERE DO WE STAND NOW?: In the 30 years that have passed since The Edinburgh Declaration on Medical Education, we have made tremendous progress in research on fostering 'self-directed and independent study' as propagated in this declaration, of which one prime example is research carried out on problem-based learning. However, a large portion of medical education happens outside of classrooms, in authentic clinical contexts. Therefore, this article discusses recent developments in research regarding fostering active learning in clinical contexts...
October 6, 2017: Medical Education
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