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Giovannella Baggio
OBJECTIVES: From1995 (Beijing Conference) the World Health Organization strongly did call the attention on the need of great attention to women health and on the lack of studies on the differences in medicine between men and women. From the women health attention we arrived to gender medicine that is a transversal dimension of medicine which describes the differences within the same disease of symptoms, clinical evolution, drug therapy as well as prevention between men and women. METHODS: From some real life examples in this article we wish to make it clear that gender medicine is not a separated medical specialty but a dimension which pass through all specialties...
November 2017: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
Jarno Gauffin, Tiina Hankama, Hannu Kautiainen, Marja Arkela-Kautiainen, Pekka Hannonen, Maija Haanpää
Background and purpose Fibromyalgia (FM) is a chronic pain syndrome, which affects up to 5% of the general population. The aetiology of FM is unclear. The lack of specific diagnostic laboratory tests or imaging options combined with the severe burden on both patients and society caused by the FM syndrome demands the development of valid instruments able to measure the current health status of the FM patients. The Fibromyalgia Impact Questionnaire (FIQ) is the most widely used of these instruments. Our objective was to translate the Fibromyalgia Impact Questionnaire (FIQ) into Finnish and evaluate its validity in Finnish speaking FM patients...
December 29, 2017: Scandinavian Journal of Pain
Alexandra B Columbus, Manuel Castillo-Angeles, William R Berry, Adil H Haider, Ali Salim, Joaquim M Havens
BACKGROUND: Emergency general surgery (EGS) is characterized by high rates of morbidity and mortality. Though checklists and associated communication-based huddle strategies have improved outcomes, these tools have never been specifically examined in EGS. We hypothesized that use of an evidence-based communication tool aimed to trigger intraoperative discussion could improve communication in the EGS operating room (OR). MATERIALS AND METHODS: We designed a set of discussion prompts based on modifiable factors identified from previously published studies aimed to encourage all team members to speak up and to centralize awareness of patient disposition and intraoperative transfusion practices...
August 2018: Journal of Surgical Research
Steven C Martino, Marc N Elliott, Joshua S Mallett, Nate Orr, Sarah Gaillot, Amelia M Haviland
BACKGROUND: Disparities in clinical process-of-care and patient experiences are well documented for Medicare beneficiaries with ≥1 social risk factors. If such patients are less willing to express disagreement with their doctors or change doctors when dissatisfied, these behaviors may play a role in observed disparities. OBJECTIVE: To investigate the association between social risk factors and self-reported likelihood of disagreeing with or changing doctors if dissatisfied among the Medicare fee-for-service population...
June 12, 2018: Medical Care
Yann Auxéméry
BACKGROUND: People who witness a horrific event are at risk of suffering from acute psychological disorders, potentially leading to chronic post-traumatic symptoms and severe medico-psycho-social complications. Traumatised individuals suffer from psychological damage that is initially indescribable: they are often unable to ask for care in the immediate aftermath of an event. Afterwards, traumatic events and their post-traumatic consequences are still often hidden or minimised by patients for reasons linked to the disorder itself (inexpressibility, shame, depressive thoughts, fear of stigmatisation, etc...
June 7, 2018: L'Encéphale
E Jane Blowers
BACKGROUND: Acting with integrity is a central part of nursing practice. However, literature shows that professional integrity can be absent and where this is present it can face challenges. Governmental Inquiries have revealed deficits in the expression of nursing values which underpin professional integrity, in particular caring, compassionate and competent practice that maintains the dignity of patients. Evidence also suggests that it cannot be taken for granted that pre-registration education will have a positive impact on student nurses' ability to practice with integrity...
June 1, 2018: Nurse Education Today
Uri Kartoun
To accelerate the adoption of a new method with a high potential to replace or extend an existing, presumably less accurate, medical scoring system, evaluation should begin days after the new concept is presented publicly, not years or even decades later. Metaphorically speaking, as chameleons capable of quickly changing colors to help their bodies adjust to changes in temperature or light, health-care decision makers should be capable of more quickly evaluating new data-driven insights and tools and should integrate the highest performing ones into national and international care systems...
June 7, 2018: Medicine, Health Care, and Philosophy
Katherine J Briant, Janeth I Sanchez, Genoveva Ibarra, Monica Escareño, Nora E Gonzalez, Virginia Jimenez Gonzalez, Nathan Marchello, Stephanie Louie, Beti Thompson
BACKGROUND: Disparities in colorectal cancer (CRC) incidence and mortality rates exist among racial/ethnic minorities, especially those living in rural areas. There is an urgent need to implement interventions to improve CRC screening behaviors among such groups, particularly those living in rural areas in the US. METHODS: From a rural community of Hispanics, we recruited participants to attend home-based promotor(a)-led "home health parties" in which participants were taught about CRC screening; participants aged 50 and older were given a free fecal occult blood test (FOBT) kit to complete on their own...
June 5, 2018: Cancer Epidemiology, Biomarkers & Prevention
Christina Valle, Anja Hirschmüller, Marcus Schmitt-Sody, Bernhard Haller, Matthias Keller, Wolfgang Schoch, Helmut Hoffman, Philipp Minzlaff
INTRODUCTION:  Rehabilitation protocols following anterior cruciate ligament (ACL) reconstruction often differ among orthopaedic surgeons. The primary aim of this study was to investigate which follow-up treatment is recommended by "AGA instructors" certified by the German-speaking Association for Arthroscopic and Open Joint Surgery (AGA). The secondary aim was to compare these findings with the current literature. MATERIAL AND METHODS:  A structured anonymous online survey was performed with "AGA instructors" specialised in knee or ACL surgery...
June 2018: Sportverletzung Sportschaden: Organ der Gesellschaft Für Orthopädisch-Traumatologische Sportmedizin
Charles R Doarn, Stephanie Zacharias, Casey Stewart Keck, Meredith Tabangin, Alessandro DeAlarcon, Lisa Kelchner
PURPOSE: This article describes the design and implementation of a web-based portal developed to provide supported home practice between weekly voice therapy sessions delivered through telehealth to children with voice disorders. This in-between care consisted of supported home practice that was remotely monitored by speech-language pathologists (SLPs). METHODS: A web-based voice therapy portal (VTP) was developed as a platform so participants could complete voice therapy home practice by an interdisciplinary team of SLPs (specialized in pediatric voice therapy), telehealth specialists, biomedical informaticians, and interface designers...
June 5, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Charlotte Grinberg
A resident physician explores the pressing issue of harassment in medicine, which can come from the patients providers serve.
June 2018: Health Affairs
Mieko Omura, Teresa E Stone, Jane Maguire, Tracy Levett-Jones
BACKGROUND: The hierarchical nature of healthcare environments presents a key risk factor for effective interprofessional communication. Power differentials evident in traditional healthcare cultures can make it difficult for healthcare professionals to raise concerns and be assertive when they have concerns about patient safety. This issue is of particular concern in Japan where inherent cultural and social norms discourage assertive communication. AIM: The aim of this study was to (a) explore nurses' perceptions of the relevance and use of assertive communication in Japanese healthcare environments; and (b) identify the factors that facilitate or impede assertive communication by Japanese nurses...
May 19, 2018: Nurse Education Today
Shahnaz Klouche, Johannes M Giesinger, El-Hadi Sariali
NTRODUCTION: The ability to "forget" a joint implant in everyday life is considered to be the ultimate objective in arthroplasty. Recently, a scoring system, the Forgotten Joint Score (FJS-12), was published based on a self-administered questionnaire comprising 12 questions assessing how far patients had been able to forget their hip or knee prosthesis. The main objective of the present study was to translate, adapt and assess a French-language version of the FJS-12 in total hip arthroplasty (THA) patients PATIENTS AND METHODS: The questionnaire was translated by 2 orthopedic surgeons and a medical physician, all bilingual, then back-translated into English by two native English-speaking translators unacquainted with the original...
May 28, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Hedaiat Moradpoor, Fatemeh Salari, Behnaz Ebadian, Sahar Raissi, Mohammadjavad Shirani
BACKGROUND: The occlusion of choice is a controversial topic in conventional complete denture (CCD) treatment. OBJECTIVES: This study aimed to compare patient satisfaction with CCD with partially group-function occlusion (PGFO), fully bilateral balanced occlusion (FBBO), buccalized occlusion (BO), lingualized occlusion (LO) and the entire balanced group. METHODS: Participants received new CCDs with PGFO. All steps of patient enrolment, denture fabrication, assessments during the follow-up period, and data collection were done exactly the same as part 1 of this research project...
May 31, 2018: Journal of Oral Rehabilitation
Sankalp Mittal, Manoj Agarwal, Debopriya Chatterjee
Prosthetic rehabilitation of atrophic maxilla and large maxillary defects can be done successfully by zygomatic implant-supported prosthesis. Zygomatic implants are an avant-garde to complex and invasive-free vascularised osteocutaneous flaps, distraction osteogenesis, and the solution to flap failures. A treated case of tuberculous osteomyelitis, with a class II (Aramany's classification) maxillary defect, reported to oral maxillofacial department, Government Dental College (RUHS-CODS). The defect in this group was unilateral, retaining the anterior teeth...
2018: Case Reports in Dentistry
Sylvia J Hysong, Kristen Smitham, Richard SoRelle, Amber Amspoker, Ashley M Hughes, Paul Haidet
BACKGROUND: Audit and feedback has been shown to be instrumental in improving quality of care, particularly in outpatient settings. The mental model individuals and organizations hold regarding audit and feedback can moderate its effectiveness, yet this has received limited study in the quality improvement literature. In this study we sought to uncover patterns in mental models of current feedback practices within high- and low-performing healthcare facilities. METHODS: We purposively sampled 16 geographically dispersed VA hospitals based on high and low performance on a set of chronic and preventive care measures...
May 30, 2018: Implementation Science: IS
Bolette Daniels Beck, Steen Teis Lund, Ulf Søgaard, Erik Simonsen, Thomas Christian Tellier, Torben Oluf Cordtz, Gunnar Hellmund Laier, Torben Moe
BACKGROUND: Meta-analyses of studies on psychological treatment of refugees describe highly varying outcomes, and research on multi-facetted and personalized treatment of refugees with post-traumatic stress disorder (PTSD) is needed. Music therapy has been found to affect arousal regulation and emotional processing, and a pilot study on the music therapy method Trauma-focused Music and Imagery (TMI) with traumatized refugees resulted in significant changes of trauma symptoms, well-being and sleep quality...
May 30, 2018: Trials
Nicole Hall, Valerie Klein, Kristen Betts, Joseph DeRanieri
No abstract text is available yet for this article.
June 2018: Nursing Management
Pierre H M Péchon, Katherine Butler, George Murphy, Gian C Singer
INTRODUCTION: The Oxford Hip Score (OHS) is a commonly used patient-reported outcome measure (PROM), comprising 12 questions. We present the incidental finding that one of the 12 questions is ambiguous. MATERIALS AND METHODS: As part of a 10-year follow-up of patients treated with hip resurfacing the OHS was posted to 148 patients; 135 (91%) replied. Scores were read by 2 orthopaedic surgery trainees and entered into a database. It was noted that Question 5 was frequently mis-interpreted...
May 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Ana Aires, Tiago Gomes, Paulo Linhares, Filipe Cunha, Maria José Rosas, Rui Vaz
Meige Syndrome (MS) is a disabling movement disorder which impairs daily routines such as eating and speaking and, when not responsive to best medical treatment, deep brain stimulation (DBS) of the globus pallidus interna (GPi) has been considered. Previous evidence has shown a significant improvement in motor dysfunction with DBS, however its benefit on disease-specific disability and quality of life has not been thoroughly studied. We describe two patients with severe MS submitted to GPi-DBS. Patient improvement was assessed preoperatively and 24 months after the surgery by applying the movement subscore of the Burke-Fahn-Marsden Dystonia Rating Scale (BFMRS) and Jankovic Rating Scale (JRS) for motor function and the BFMRS disability subscore and Blepharospasm Disability Scale (BDS) for disability...
May 25, 2018: Clinical Neurology and Neurosurgery
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