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https://www.readbyqxmd.com/read/29025270/design-of-a-randomized-clinical-trial-of-a-colorectal-cancer-screening-decision-aid-to-promote-appropriate-screening-in-community-dwelling-older-adults
#1
Christine E Kistler, Carol Golin, Carolyn Morris, Alexandra F Dalton, Russell P Harris, Rowena Dolor, Renée M Ferrari, Noel T Brewer, Carmen L Lewis
BACKGROUND: Appropriate colorectal cancer screening in older adults should be aligned with the likelihood of net benefit. In general, patient decision aids improve knowledge and values clarity, but in older adults, they may also help patients identify their individual likelihood of benefit and foster individualized decision-making. We report on the design of a randomized clinical trial to understand the effects of a patient decision aid on appropriate colorectal cancer screening. This report includes a description of the baseline characteristics of participants...
August 1, 2017: Clinical Trials: Journal of the Society for Clinical Trials
https://www.readbyqxmd.com/read/28988438/long-term-results-of-amatsu-tracheoesophageal-shunt-follow-up-of-more-than-5-years
#2
Hidetoshi Matsui, Shigemichi Iwae, Yuji Hirayama, Koichiro Yonezawa, Jun Shigeji
BACKGROUND/OBJECTIVE: The Amatsu tracheoesophageal shunt (ATES) represents a nonprosthesis surgical option for voice restoration in laryngectomized patients. However, data regarding the long-term efficacy of ATES are lacking. STUDY DESIGN: Retrospective, single-institution study. METHODS: Between 2001 and 2010, 16 patients with laryngeal cancer underwent total laryngectomy with ATES at the Hyogo Cancer Center (Akashi, Hyogo, Japan). Of these, 11 achieved long-term tracheoesophageal speech that was maintained for a follow-up exceeding 5 years (range 75-161 months; median 95 months)...
October 8, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28984805/a-follow-up-study-on-music-and-lexical-tone-perception-in-adult-mandarin-speaking-cochlear-implant-users
#3
Xin Gu, Bo Liu, Ziye Liu, Beier Qi, Shuo Wang, Ruijuan Dong, Xueqing Chen, Qian Zhou
OBJECTIVE: The aim was to evaluate the development of music and lexical tone perception in Mandarin-speaking adult cochlear implant (CI) users over a period of 1 year. STUDY DESIGN: Prospective patient series. SETTING: Tertiary hospital and research institute. PATIENTS: Twenty five adult CI users, with ages ranging from 19 to 75 years old, participated in a year-long follow-up evaluation. There were also 40 normal hearing adult subjects who participated as a control group to provide the normal value range...
October 4, 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28982158/-it-s-the-difference-between-life-and-death-the-views-of-professional-medical-interpreters-on-their-role-in-the-delivery-of-safe-care-to-patients-with-limited-english-proficiency
#4
Margaret Siyu Wu, Shail Rawal
BACKGROUND: Patients with limited English proficiency (LEP) experience poorer quality care and more adverse events in hospital. Consequently, there is interest in understanding the role of professional medical interpreters in efforts to improve patient safety. OBJECTIVE: To describe the views of professional medical interpreters on their role in the delivery of safe patient care. DESIGN: Qualitative analysis of in-depth semi-structured interviews...
2017: PloS One
https://www.readbyqxmd.com/read/28976482/it-s-in-your-hands-an-educational-initiative-to-improve-parent-family-hand-hygiene-compliance
#5
Celeste J Chandonnet, Kristan M Boutwell, Nadine Spigel, Judith Carter, Michele DeGrazia, Al Ozonoff, Kathleen Flaherty
BACKGROUND: Health care-associated infections contribute to increased morbidity and mortality, increased resource use, higher costs, and extended hospitalizations. Proper hand hygiene (HH) is essential to health care-associated infection prevention. Low compliance among parents in our neonatal intensive care unit (NICU) was identified and prompted development of an HH initiative. OBJECTIVE: The objective of this quality improvement project was to improve parent HH practices with the ultimate goal of achieving 100% compliance with parent HH...
November 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28975473/why-are-there-so-few-ethics-consults-in-children-s-hospitals
#6
Brian Carter, Manuel Brockman, Jeremy Garrett, Angie Knackstedt, John Lantos
In most children's hospitals, there are very few ethics consultations, even though there are many ethically complex cases. We hypothesize that the reason for this may be that hospitals develop different mechanisms to address ethical issues and that many of these mechanisms are closer in spirit to the goals of the pioneers of clinical ethics than is the mechanism of a formal ethics consultation. To show how this is true, we first review the history of collaboration between philosophers and physicians about clinical dilemmas...
October 3, 2017: HEC Forum: An Interdisciplinary Journal on Hospitals' Ethical and Legal Issues
https://www.readbyqxmd.com/read/28971216/-does-annual-simulation-training-influence-the-safety-climate-of-a-university-hospital-prospective-5%C3%A2-year-investigation-using-dimensions-of-the-safety-attitude-questionnaire
#7
M St Pierre, C Gall, G Breuer, J Schüttler
BACKGROUND: Simulation-based training with a focus on non-technical skills can have a positive influence on safety relevant attitudes of participants. If an organization succeeds in training sufficient staff, it may experience a positive change in the safety climate. As the effects of a single training are of a transient nature, annual training sessions may lead to an incremental improvement of safety relevant attitudes of employees over time. In spring 2012 the Department of Anesthesia at the University Hospital of Erlangen established an annual simulation-based training for staff members (e...
October 2, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28968302/a-conversation-about-hormone-therapy-is-there-an-appropriate-dose-route-and-duration-of-use
#8
(no author information available yet)
The North American Menopause Society (NAMS) held the 3rd Utian Translational Symposium on October 4, 2016, in Orlando, Florida, to answer questions about the benefits and risks of hormone therapy (HT) for postmenopausal women. This report is a record of the proceedings of that symposium.The maxim about HT for the past 15 years since the publication of the initial results of the Women's Health Initiative (WHI) has been to prescribe the "lowest dose for the shortest period of time." With new clinical trials, observational data, and further analysis of the WHI and the cumulative 13 years' follow-up, it was time to hold a conversation about the state of the evidence and recommendations for HT dose, route, and duration of use...
October 2, 2017: Menopause: the Journal of the North American Menopause Society
https://www.readbyqxmd.com/read/28965648/nurse-practitioner-led-pain-management-the-day-after-caesarean-section-a-randomised-controlled-trial-and-follow-up-study
#9
Anthony Schoenwald, Carol Windsor, Edward Gosden, Clint Douglas
BACKGROUND: Pain on the day after caesarean section is often treated with controlled-release oxycodone to supplement the decline in analgesia from intrathecal opioids. Evidence suggests that caesarean birth is a biopsychosocial experience where a comprehensive approach is needed that promotes control and participation in pain management. OBJECTIVES: This study compared immediate-release oxycodone integrated with supportive educational strategies to controlled-release oxycodone...
September 1, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28964979/the-effectiveness-of-assertiveness-communication-training-programs-for-healthcare-professionals-and-students-a-systematic-review
#10
REVIEW
Mieko Omura, Jane Maguire, Tracy Levett-Jones, Teresa Elizabeth Stone
BACKGROUND: Communication errors have a negative impact on patient safety. It is therefore essential that healthcare professionals have the skills and confidence to speak up assertively when patient safety is at risk. Although the facilitators to and barriers of assertive communication have been the subject of previous reviews, evidence regarding the effectiveness of interventions designed to enhance assertive communication is lacking. Thus, this paper reports the findings from a systematic review of the effectiveness of assertiveness communication training programs for healthcare professionals and students...
September 5, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28964384/prevention-and-treatment-of-cancer-associated-thrombosis-in-france-a-national-survey-among-vascular-disease-and-supportive-care-specialists
#11
I Mahé, F Scotté, J-B Rey, I Elalamy, A Lamblin, D Mayeur, G Pernod
BACKGROUND/AIM: Long-term use of low-molecular-weight heparins (LMWH) for the treatment of cancer-associated thrombosis (CAT) has been well-established. Conversely, the use of thromboprophylaxis in patients with cancer remains controversial in the absence of homogeneous guidelines. Our aim was to assess the awareness of treatment guidelines and the management of patients with CAT in daily clinical practice. METHODS: A national survey based on an open questionnaire developed by a panel of health professionals including specialists in vascular medicine, oncology, supportive care and pharmacy, was proposed on line to 2104 specialists experts in the management of CAT with the objective to collect at least 400 answers...
October 2017: J Med Vasc
https://www.readbyqxmd.com/read/28963583/long-term-oncological-outcomes-in-robotic-gastrectomy-versus-laparoscopic-gastrectomy-for-gastric-cancer-a-meta-analysis
#12
Jing-Hua Pan, Hong Zhou, Xiao-Xu Zhao, Hui Ding, Li Qin, Yun-Long Pan
BACKGROUND: Robotic gastrectomy (RG) has been a new technical alternative for gastric cancer. However, the long-term oncological outcomes of RG still should be further evaluated. In this meta-analysis, the long-term oncological outcomes of RG and laparoscopic gastrectomy (LG) are compared. METHODS: Comprehensive searches from various databases are compared in February 2017 to identify that the oncological outcomes of RG and LG are evaluated in gastric cancer patients...
September 29, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28961626/interservice-physician-assistant-program-educators-for-an-expanding-profession
#13
Douglas M Brock, Scott A Orrahood, Christopher K Cooper, John J Alvitre, William Tozier
PURPOSE: The number of physician assistant (PA) programs has increased exponentially across the past decade, and the demand for PAs will likely remain strong through 2025. Because of this rapid growth, both new and established PA programs face significant challenges in recruiting experienced educators. We describe the value of using PAs trained through the Interservice Physician Assistant Program (IPAP) as civilian PA educators. METHODS: The literature on IPAP and its graduates proved too limited to conduct a formal systematic review...
October 2017: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/28958315/a-communication-training-program-to-encourage-speaking-up-behavior-in-surgical-oncology
#14
Thomas A D'Agostino, Philip A Bialer, Chasity B Walters, Aileen R Killen, Hrafn O Sigurdsson, Patricia A Parker
Patient safety in the OR depends on effective communication. We developed and tested a communication training program for surgical oncology staff members to increase communication about patient safety concerns. In phase one, 34 staff members participated in focus groups to identify and rank factors that affect speaking-up behavior. We compiled ranked items into thematic categories that included role relations and hierarchy, staff rapport, perceived competence, perceived efficacy of speaking up, staff personality, fear of retaliation, institutional regulations, and time pressure...
October 2017: AORN Journal
https://www.readbyqxmd.com/read/28953794/art-as-a-means-of-accessing-ourselves-using-art-in-psychotherapy
#15
Immacolata d'Errico
Using art in psychotherapy could become an interesting instrument for the cure and the prevention of psychological and psychiatric problems. This belongs to that trend that sees the mediation of art as having big potential to go beyond the spoken word. Everybody knows that our emotions, thoughts, feelings, and so on, are living in the body and speaking through the body, in fact the symbolic dimension (art, music, dance, painting and so on) reconfigures the experience of living. In this form of therapy we use Art as a means of accessing ourselves and opening ourselves up to the world...
September 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28951109/validation-of-a-questionnaire-measuring-transitional-patient-safety-climate-indicated-differences-in-transitional-patient-safety-climate-between-primary-and-secondary-care
#16
Marije A van Melle, Henk F van Stel, Judith M Poldervaart, Niek J de Wit, Dorien Lm Zwart
BACKGROUND: This study describes the development and validation of the TRAnsitional patient safety Climate Evaluation (TRACE) questionnaire, measuring transitional patient safety climate from the perspective of general practitioners and hospital physicians. Patient safety climate reflects the professionals' perception of the organizational patient safety culture. STUDY DESIGN AND SETTINGS: In the development of the TRACE we adjusted existing questionnaires on patient safety culture...
September 22, 2017: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/28944260/post-treatment-survivorship-care-needs-of-spanish-speaking-latinas-with-breast-cancer
#17
Anna María Nápoles, Carmen Ortiz, Jasmine Santoyo-Olsson, Anita L Stewart, Howard E Lee, Ysabel Duron, Niharika Dixit, Judith Luce, Diana J Flores
BACKGROUND: A comprehensive assessment of Spanish-speaking breast cancer survivors' (SSBCS) survivorship needs is lacking. OBJECTIVE: Assess SSBCS' post-treatment symptom management, psychosocial, and informational needs. METHODS: 118 telephone surveys and 25 in-person semi-structured interviews with SSBCS, and semi-structured interviews with 5 support providers and 4 physicians who serve SSBCS from 5 Northern California counties. RESULTS: Surveys identified the most bothersome (bothered by it in the past month "somewhat/quite a bit/a lot") physical symptoms as: joint pain, fatigue, hot flashes, numbness in hands/feet, and vaginal dryness...
2017: Journal of Community and Supportive Oncology
https://www.readbyqxmd.com/read/28937709/young-surgeons-speak-up-stringent-or-attire-restrictions-decrease-morale-without-improving-outcomes
#18
Jacob Moalem, Adnan A Alseidi, Joshua Broghammer, James Suliburk, Daniel D Klaristenfeld, Joseph V Sakran, Michael J Sutherland, Patricia L Turner
No abstract text is available yet for this article.
October 2016: Bulletin of the American College of Surgeons
https://www.readbyqxmd.com/read/28935285/is-the-pelvic-examination-still-crucial-in-patients-presenting-to-the-emergency-department-with%C3%A2-vaginal-bleeding-or-abdominal-pain-when-an-intrauterine-pregnancy-is-identified-on-ultrasonography-a-randomized-controlled-trial
#19
Judith A Linden, Benjamin Grimmnitz, Laura Hagopian, Alan H Breaud, Breanne K Langlois, Kerrie P Nelson, Lauren L Hart, James A Feldman, Jeremy Brown, Marc Reid, Elise Desormeau, Patricia M Mitchell
STUDY OBJECTIVE: We determine whether omitting the pelvic examination in emergency department (ED) evaluation of vaginal bleeding or lower abdominal pain in ultrasonographically confirmed early intrauterine pregnancy is equivalent to performing the examination. METHODS: We conducted a prospective, open-label, randomized, equivalence trial in pregnant patients presenting to the ED from February 2011 to November 2015. Patients were randomized to no pelvic examination versus pelvic examination...
September 19, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28934026/hope-distress-and-later-quality-of-life-among-adolescent-and-young-adults-with-cancer
#20
Abby R Rosenberg, Miranda C Bradford, Kira Bona, Michele L Shaffer, Joanne Wolfe, K Scott Baker, Nancy Lau, Joyce Yi-Frazier
We aimed to explore the predictive value of screening for distress alone, hope alone, or a combination of both. In a multi-center prospective study, 37 English-speaking Adolescents and Young Adults (AYAs) with cancer and 40 parents completed validated instruments at diagnosis ("baseline") and 3-6 months later ("follow-up"). Correlated regression models described associations. Within each instrument, baseline and follow-up scores were associated. However, only a composite hope/distress score predicted all three patient-centered outcomes...
September 21, 2017: Journal of Psychosocial Oncology
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