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https://www.readbyqxmd.com/read/28089913/physicians-perception-of-alternative-displays-of-clinical-research-evidence-for-clinical-decision-support-a-study-with-case-vignettes
#1
Stacey L Slager, Charlene R Weir, Heejun Kim, Javed Mostafa, Guilherme Del Fiol
OBJECTIVE: To design alternate information displays that present summaries of clinical trial results to clinicians to support decision-making; and to compare the displays according to efficacy and acceptability. METHODS: A 6-between (information display presentation order) by 3-within (display type) factorial design. Two alternate displays were designed based on Information Foraging theory: a narrative summary that reduces the content to a few sentences; and a table format that structures the display according to the PICO (Population, Intervention, Comparison, Outcome) framework...
January 13, 2017: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/28077452/does-it-matter-if-we-disagree-the-impact-of-incongruent-care-preferences-on-persons-with-dementia-and-their-care-partners
#2
Evan G Shelton, Silvia Orsulic-Jeras, Carol J Whitlatch, Sarah M Szabo
PURPOSE: To gain a better understanding of how actual and perceived incongruence of care preferences affects the psychosocial well-being of persons with dementia and their family caregiver. DESIGN AND METHODS: In-depth interviews were conducted with 128 dyads each consisting of a person with dementia and a family caregiver. Baseline data from an intervention study were used to examine the relationship between the caregiver's care-related preferences, the person with dementia's care-related preferences, and the caregiver's perception of the person with dementia's preferences...
January 10, 2017: Gerontologist
https://www.readbyqxmd.com/read/28077034/written-reflection-in-assessment-and-appraisal-gp-and-gp-trainee-views
#3
Pamela Curtis, Gordon Taylor, Ruth Riley, Tom Pelly, Michael Harris
BACKGROUND: In the UK, evidence of written reflection is part of licensing and revalidation for general practitioners (GPs). However, there is little evidence of specific benefits compared to other forms of reflective practice. AIM: To seek GPs' and general practice (GP) trainees' views on the role of written reflection in learning and assessment. DESIGN AND SETTING: An online survey of 1005 GPs and GP trainees (GPTs) in the UK. METHOD: An anonymous questionnaire containing 38 attitudinal items was administered...
January 12, 2017: Education for Primary Care
https://www.readbyqxmd.com/read/28074589/on-patient-well-being-and-professional-authority
#4
Mildred Z Solomon
Two papers in this issue address the limits of surrogates' authority when making life-and-death decisions for dying family members or friends. Using palliative sedation as an example, Jeffrey Berger offers a conceptual argument for bounding surrogate authority. Since freedom from pain is an essential interest, when imminently dying, cognitively incapacitated patients are in duress and their symptoms are not manageable in any other way, clinicians should be free to offer palliative sedation without surrogate consent, although assent should be sought and every effort made to work with surrogates as harmoniously as possible...
January 2017: Hastings Center Report
https://www.readbyqxmd.com/read/28072798/reliability-and-safety-of-contra-lateral-oblique-view-for-interlaminar-epidural-needle-placement
#5
Richard Derby, Irina Melnik, Jongwoo Choi, Sang-Hoon Lee, Jeong-Eun Lee
Cord trauma is a risk with a cervical and thoracic interlaminar epidural approach to the epidural space. Intermittent lateral fluoroscopic imaging to detect needle depth is often cumbersome and may be difficult to interpret. In comparison, the contra-lateral oblique (CLO) fluoroscopic view is efficient and easy to interpret. However, the in vivo reliability and safety of this technique has not been formally investigated.The senior author collected fluoroscopic images on 278 consecutive patients undergoing an interlaminar epidural block at the T1-T2 level performed using a 17 gauge Tuohy needle...
January 2017: Pain Physician
https://www.readbyqxmd.com/read/28070905/dentists-perspective-about-dental-amalgam-current-use-and-future-direction
#6
Eman Bakhurji, Thayer Scott, Thomas Mangione, Woosung Sohn
OBJECTIVES: In 2013, the United Nations Environment Programme (UNEP) reached a binding agreement - a.k.a. the Minamata treaty - to decrease dental amalgam use. This study aims to investigate US dentists' current practice and opinions about amalgam use, and to determine factors affecting their amalgam use and opinions. METHODS: A total of 45,557 general dentists and 5,101 pediatric dentists were invited to participate in a pre-tested electronic survey. The survey consisted of 12 close-ended questions using a 5-point Likert Scale...
January 10, 2017: Journal of Public Health Dentistry
https://www.readbyqxmd.com/read/28069540/multi-modal-analysis-of-functional-connectivity-and-cerebral-blood-flow-reveals-shared-and-unique-effects-of-propofol-in-large-scale-brain-networks
#7
Maolin Qiu, Dustin Scheinost, Ramachandran Ramani, R Todd Constable
Anesthesia-induced changes in functional connectivity and cerebral blow flow (CBF) in large-scale brain networks have emerged as key markers of reduced consciousness. However, studies of functional connectivity disagree on which large-scale networks are altered or preserved during anesthesia, making it difficult to find a consensus amount studies. Additionally, pharmacological alterations in CBF could amplify or occlude changes in connectivity due to the shared variance between CBF and connectivity. Here, we used data-driven connectivity methods and multi-modal imaging to investigate shared and unique neural correlates of reduced consciousness for connectivity in large-scale brain networks...
January 6, 2017: NeuroImage
https://www.readbyqxmd.com/read/28069322/development-and-evaluation-of-a-patient-education-video-promoting-pneumococcal-vaccination
#8
Tiffany Brown, Shira N Goldman, Stephen D Persell, Ji Young Lee, Crystal T Doan, Quinn Stephens, David W Baker, Kenzie A Cameron
OBJECTIVE: This study aimed to develop and refine a patient education video about pneumococcal polysaccharide vaccination (PPSV23) and to assess patient perceptions regarding video content and receipt of video during a clinic visit. METHODS: Focus groups were conducted to obtain patient feedback on a brief video focusing on personal susceptibility to pneumonia and highlighting the importance of both childhood and adult vaccines. Subsequently, interviews were conducted with patients ages 65 and 66 who were shown the revised video at an office visit...
December 28, 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/28068977/alcohol-management-plans-in-aboriginal-and-torres-strait-islander-indigenous-australian-communities-in-queensland-community-residents-have-experienced-favourable-impacts-but-also-suffered-unfavourable-ones
#9
Alan R Clough, Stephen A Margolis, Adrian Miller, Anthony Shakeshaft, Christopher M Doran, Robyn McDermott, Robert Sanson-Fisher, Valmae Ypinazar, David Martin, Jan A Robertson, Michelle S Fitts, Katrina Bird, Bronwyn Honorato, Simon Towle, Caryn West
BACKGROUND: In Australia, 'Alcohol Management Plans' (AMPs) provide the policy infrastructure for State and Commonwealth Governments to address problematic alcohol use among Aboriginal and Torres Strait Islanders. We report community residents' experiences of AMPs in 10 of Queensland's 15 remote Indigenous communities. METHODS: This cross-sectional study used a two-stage sampling strategy: N = 1211; 588 (48%) males, 623 (52%) females aged ≥18 years in 10 communities...
January 10, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28064834/use-of-hyaluronidase-in-the-comparison-between-manual-and-automated-hematology-analysis-with-the-advia-120-to-improve-analysis-of-feline-body-cavity-effusions
#10
Sei Ming Lee, Kenneth Williamson, William Weir, Lisa Hulme-Moir, Hayley Haining
Classification of body cavity effusions is an important step in the investigation and diagnosis of disease in cats. Feline inflammatory effusions are often highly proteinaceous and viscous, which can cause clumping of white cells and subsequently inaccurate nucleated cell counts (NCCs) using automated and manual methods. Microscopic assessment of cellularity can also be difficult given the variable thickness of smears and cell clumping, which skews white cell distribution. The ADVIA 120 uses 2 white cell-counting channels, the basophil/lobularity (WBC/baso) and differential/peroxidase channels, which can provide quite different results in highly viscous feline samples and often disagree with smear assessment of cellularity...
January 1, 2017: Journal of Veterinary Diagnostic Investigation
https://www.readbyqxmd.com/read/28063275/a-survey-of-sleep-medicine-physician-perceptions-on-the-surgical-treatment-of-obstructive-sleep-apnea
#11
Jonathan J Swope, Marcus A Couey, James W Wilson, Jonathon S Jundt
PURPOSE: Surgical treatment for obstructive sleep apnea (OSA) varies by specialty. Our survey sought to answer 3 principal questions: 1) To which surgical specialists are sleep physicians referring patients for upper airway surgery? 2) Which surgical treatment do sleep specialists find to be most effective in treating OSA? 3) Do sleep medicine physicians believe that maxillomandibular advancement (MMA) is worthwhile to patients who are surgical candidates? MATERIALS AND METHODS: We formulated a cross-sectional survey...
December 18, 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28058427/the-electronic-character-of-ptcda-thin-films-in-comparison-to-other-perylene-based-organic-semi-conductors-ab-initio-td-dft-and-semi-empirical-computations-of-the-opto-electronic-properties-of-large-aggregates
#12
Daniel Bellinger, Jens Pflaum, Christoph Brüning, Volker Engel, Bernd Engels
Perylene-based compounds are promising materials for opto-electronic thin film devices but despite intense investigations, important details of their electronic structure are still under debate. For perylene-3,4,9,10-tetracarboxylic dianhydrid (PTCDA), the theoretical models predict a different relative energetic order of Frenkel and Charge Transfer (CT) states. Additionally, while one model indicates strong differences between PTCDA on one hand and other perylene-based compounds on the other, recent ab initio computations indicate electronic properties of all perylene-based compounds to resemble each other...
January 6, 2017: Physical Chemistry Chemical Physics: PCCP
https://www.readbyqxmd.com/read/28056797/comparative-proteomic-analysis-reveals-a-dynamic-pollen-plasma-membrane-protein-map-and-the-membrane-landscape-of-receptor-like-kinases-and-transporters-important-for-pollen-tube-growth-and-interaction-with-pistils-in-rice
#13
Ning Yang, Tai Wang
BACKGROUND: The coordination of pollen tube (PT) growth, guidance and timely growth arrest and rupture mediated by PT-pistil interaction is crucial for the PT to transport sperm cells into ovules for double fertilization. The plasma membrane (PM) represents an important interface for cell-cell interaction, and PM proteins of PTs are pioneers for mediating PT integrity and interaction with pistils. Thus, understanding the mechanisms underlying these events is important for proteomics. RESULTS: Using the efficient aqueous polymer two-phase system and alkali buffer treatment, we prepared high-purity PM from mature and germinated pollen of rice...
January 5, 2017: BMC Plant Biology
https://www.readbyqxmd.com/read/28050503/the-oro-facial-investment-scale-ofis-a-novel-outcomes-and-evaluation-measure-for-self-appraised-oro-facial-behavioural-and-aesthetic-constructs-among-professional-healthcare-students-of-belagavi-a-cross-sectional-study
#14
Vaibhav Kumar, Anil V Ankola, Sagar G Jalihal
INTRODUCTION: Several studies have shown that self perceived dental appearance is an important determinant in the decision to seek treatment. AIM: The aim of the present study was to assess the self-perceived oral health knowledge, attitude, practice, behaviour and perception among 18-20 year old students of professional healthcare institutions in Belagavi city, Karnataka. MATERIALS AND METHODS: The novel 21 item Oro-Facial Investment Scale (OFIS) formulated for this study was distributed to 600 students of professional healthcare institutions (200 each from Medical, Physiotherapy and Ayurveda specialties respectively)...
November 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28048857/su-f-t-684-analysis-of-cherenkov-excitation-in-tissue-and-the-feasibility-of-cherenkov-excited-photodynamic-therapy
#15
Sara L Saunders, Adam K Glaser, Jacqueline M Andreozzi, Brian W Pogue
PURPOSE: The irradiation of photodynamic agents with radiotherapy beams has been demonstrated to enhance tumor killing in various studies, and one proposed mechanism is the optical fluence of Cherenkov emission activating the photosensitizer. This mechanism is explored in Monte Carlo simulations of fluence as well as laboratory measurements of fluence and radical oxygen species. METHODS: Simulations were completed using GAMOS/GEANT4 with a 6 MV photon beam in tissue...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047434/su-f-j-28-development-of-a-new-imaging-filter-to-remove-the-shadows-from-the-carbon-fiber-grid-table-top
#16
W Maehana, T Nagao
PURPOSE: For the image guided radiation therapy (IGRT), the shadows caused by the construction of the treatment couch top adversely affect the visual evaluation. Therefore, we developed the new imaging filter in order to remove the shadows. The performance of the new filter was evaluated using the clinical images. METHODS: The new filter was composed of the band-pass filter (BPF) weighted by the k factor and the low-pass filter (LPF). In the frequency region, the stop bandwidth were 8...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28045651/pharmacotherapy-follow-up-of-patients-under-treatment-with-biologic-agents-for-chronic-inflammatory-systemic-conditions-an-agreement-among-hospital-pharmacists-for-the-standardized-collection-of-a-minimum-set-of-data
#17
Miguel Ángel Calleja Hernández, Alicia Herrero Ambrosio, María Jesús Lamas Díaz, Julio Martínez Cutillas, Jose Luis Poveda Andrés, Belén Aragón
BACKGROUND AND OBJECTIVE: The objective of this study was to reach a consensus on the minimum set of data that would allow to optimize the pharmacotherapy follow-up of patients on biologic agents for chronic systemic inflammatory conditions, through structured and standardized collection with an electronic tool in the hospital pharmacy. MATERIALS AND METHOD: A scientific committee was formed (n = 5 hospital pharmacists). The Delphi Technique was used, 2 rounds of consultation by e-mail for hospital pharmacists...
January 1, 2017: Farmacia Hospitalaria
https://www.readbyqxmd.com/read/28043548/discordance-between-genexpert-assay-and-conventional-drug-susceptibility-testing-in-detecting-rifampicin-resistant-tuberculosis-a-perspective-of-the-line-probe-assay
#18
Ruqaya M Ali, Ahmed A Alsudani
BACKGROUND: Early detection for tuberculosis (TB) and rifampicin-resistant TB (RRTB) is crucial for proper control of this disease. WHO recommended the use of the GeneXpert assay at district level to cover these two public health demands? A study evaluated the diagnostic impact of the GeneXpert assay in detecting TB and RRTB. Odd results were observed in this study in the form of discordance between the GeneXpert assay and the conventional culture and drug-susceptibility testing (DST)...
December 2016: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/28042365/variations-in-strategies-to-prevent-ventriculostomy-related-infections-a-practice-survey
#19
Ariane Lewis, Barry M Czeisler, Aaron S Lord
BACKGROUND AND PURPOSE: The ideal strategy to prevent infections in patients with external ventricular drains (EVDs) is unclear. METHODS: We conducted a cross-sectional survey of members of the Neurocritical Care Society on infection prevention practices for patients with EVDs between April and July 2015. RESULTS: The survey was completed by 52 individuals (5% response rate). Catheter selection, use of prolonged prophylactic systemic antibiotics (PPSAs), cerebrospinal fluid (CSF) collection policies, location of EVD placement, and performance of routine EVD exchanges varied...
January 2017: Neurohospitalist
https://www.readbyqxmd.com/read/28034438/objective-assessment-of-plaster-cast-quality-in-pediatric-distal-forearm-fractures-is-there-an-optimal-index
#20
Pedro José Labronici, Leonardo Termis Ferreira, Fernando Claudino Dos Santos Filho, Robinson Esteves Santos Pires, Davi Coutinho Fonseca Fernandes Gomes, Luiz Henrique Penteado da Silva, Vinicius Schott Gameiro
BACKGROUND: Several so-called casting indices are available for objective evaluation of plaster cast quality. The present study sought to investigate four of these indices (gap index, padding index, Canterbury index, and three-point index) as compared to a reference standard (cast index) for evaluation of plaster cast quality after closed reduction of pediatric displaced distal forearm fractures. METHODS: Forty-three radiographs from patients with displaced distal forearm fractures requiring manipulation were reviewed...
December 21, 2016: Injury
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