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Qualitative secondary analysis

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https://www.readbyqxmd.com/read/28318318/non-guideline-recommended-prescribing-of-proton-pump-inhibitors-in-the-general-population
#1
Emma Mares-García, Antonio Palazón-Bru, Álvaro Martínez-Martín, David Manuel Folgado-de la Rosa, Avelino Pereira-Expósito, Vicente Francisco Gil-Guillén
OBJECTIVES: To determine the magnitude of non-guideline-recommended prescribing (NGRP) of proton pump inhibitors (PPIs) in the general population, its associated factors and expense. METHODS: We undertook a cross-sectional observational study in three community pharmacies in a Spanish region in 2013 involving a total of 302 patients with a prescription for PPIs. The main variable was the NGRP of PPIs. Secondary variables were: gender, age, antidepressants, osteoporosis, osteoarthritis, prescription cost per month and total number of chronic diseases...
March 20, 2017: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/28303624/effect-of-eplerenone-in-patients-with-heart-failure-and-reduced-ejection-fraction-potential-effect-modification-by-abdominal-obesity-insight-from-the-emphasis-hf-trial
#2
Arnaud Olivier, Bertram Pitt, Nicolas Girerd, Zohra Lamiral, Jean-Loup Machu, John J V McMurray, Karl Swedberg, Dirk J van Veldhuisen, Timothy J Collier, Stuart J Pocock, Patrick Rossignol, Faiez Zannad, Anne Pizard
AIMS: An excessive production of aldosterone influences outcome in patients with heart failure (HF) and in obese patients. Findings from laboratory studies suggest that chronic aldosterone blockade maybe more beneficial in abdominally obese HF-prone rats. In the current study, we investigated if the clinical response to a mineralocorticoid receptor antagonist in mildly symptomatic HF patients varied by abdominal obesity. METHODS AND RESULTS: A total of 2587 NYHA class II, reduced ejection fraction HF (HFrEF) patients enrolled in the EMPHASIS-HF trial were randomly assigned to eplerenone and placebo...
March 16, 2017: European Journal of Heart Failure
https://www.readbyqxmd.com/read/28296525/learning-experiences-and-strategies-of-parents-of-young-children-with-developmental-disabilities-implications-for-rehabilitation-professionals
#3
Karen Hurtubise, Christine Carpenter
AIM: To better understand the learning experiences of parents of children with developmental disabilities and the strategies they develop to support their caregiving role. METHODS: A qualitative secondary analysis of in-depth interviews with parents of children with developmental disability was conducted to better understand parents' learning experiences and the strategies they developed to use this learning in supporting their children. A foundational thematic analysis process was used to identify the main themes, and the interpretive process was influenced by adult education theories...
March 15, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/28295783/physician-cooperation-in-outpatient-cancer-care-an-amplified-secondary-analysis-of-qualitative-interview-data
#4
J Engler, C Güthlin, A Dahlhaus, E Kojima, J Müller-Nordhorn, L Weißbach, C Holmberg
The importance of outpatient cancer care services is increasing due to the growing number of patients having or having had cancer. However, little is known about cooperation among physicians in outpatient settings. To understand what inter- and multidisciplinary care means in community settings, we conducted an amplified secondary analysis that combined qualitative interview data with 42 general practitioners (GPs), 21 oncologists and 21 urologists that mainly worked in medical practices in Germany. We compared their perspectives on cooperation relationships in cancer care...
March 14, 2017: European Journal of Cancer Care
https://www.readbyqxmd.com/read/28295643/prophylaxis-of-lymphocele-formation-after-kidney-transplantation-via-peritoneal-fenestration-a-systematic-review
#5
André Leopold Mihaljevic, Patrick Heger, Sepehr Abbasi Dezfouli, Mohammad Golriz, Arianeb Mehrabi
BACKGROUND: Lymphocele formation after kidney transplantation is a frequent complication which causes pain, secondary graft loss, rehospitalisations and reoperations. Therefore prophylaxis of lymphocele formation is of utmost importance. OBJECTIVE: To assess the effectiveness of peritoneal fenestration in renal transplantation to prevent lymphocele development METHODS: A systematic literature search was conducted combined with hand-searches on lymphocele prevention following renal transplantation using peritoneal fenestration...
March 14, 2017: Transplant International: Official Journal of the European Society for Organ Transplantation
https://www.readbyqxmd.com/read/28295476/the-interpersonal-work-of-dental-conscious-sedation-a-qualitative-analysis
#6
Stephen M Woolley, Barbara Chadwick, Lesley Pugsley
AIMS: Whilst there is a considerable body of literature examining the pharmacology of conscious sedation, the social tasks required to successfully provide conscious sedation have not been reported. This paper discusses data regarding the interpersonal work integral to effective conscious sedation provision, from a larger qualitative study exploring how patients and clinicians engage with secondary care conscious sedation provided within the UK. METHOD: Semi-structured interviews were conducted with 13 conscious sedation providers and nine patients within UK-based secondary care sedation settings...
March 14, 2017: Community Dentistry and Oral Epidemiology
https://www.readbyqxmd.com/read/28291849/vertical-ridge-augmentation-in-the-atrophic-mandible-a-systematic-review-and-meta-analysis
#7
Basel Elnayef, Alberto Monje, Jordi Gargallo-Albiol, Pablo Galindo-Moreno, Hom-Lay Wang, Federico Hernández-Alfaro
PURPOSE: To systematically appraise the effectiveness/reliability of vertical ridge augmentation (VRA) in the atrophic mandible. Articles that addressed any one of the following four areas were included in this study: amount of VRA, implant survival (ISR) and success rates (SSR) in the area of newly regenerated bone, complication rate during the bone augmentation procedure, and bone resorption. MATERIALS AND METHODS: An electronic literature search was conducted by two independent reviewers in several databases, including MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, and Cochrane Oral Health Group Trials Register databases for articles reporting VRA in the atrophic mandible via distraction osteogenesis (DO), inlay block grafting (IBG), onlay block grafting (OBG), and guided bone regeneration (GBR)...
March 2017: International Journal of Oral & Maxillofacial Implants
https://www.readbyqxmd.com/read/28288637/exploring-implementation-practices-in-results-based-financing-the-case-of-the-verification-in-benin
#8
Matthieu Antony, Maria Paola Bertone, Olivier Barthes
BACKGROUND: Results-based financing (RBF) has been introduced in many countries across Africa and a growing literature is building around the assessment of their impact. These studies are usually quantitative and often silent on the paths and processes through which results are achieved and on the wider health system effects of RBF. To address this gap, our study aims at exploring the implementation of an RBF pilot in Benin, focusing on the verification of results. METHODS: The study is based on action research carried out by authors involved in the pilot as part of the agency supporting the RBF implementation in Benin...
March 14, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28283490/implementation-of-goals-of-patient-care-medical-treatment-orders-in-residential-aged-care-facilities-protocol-for-a-randomised-controlled-trial
#9
Ruth S Martin, Barbara J Hayes, Anastasia Hutchinson, Paul Yates, Wen Kwang Lim
INTRODUCTION: Systematic reviews demonstrate that advance care planning (ACP) has many positive effects for residents of aged care facilities, including decreased hospitalisation. The proposed Residential Aged Care Facility (RACF) 'Goals of Patient Care' (GOPC) form incorporates a resident's prior advance care plan into medical treatment orders. Where none exists, it captures residents' preferences. This documentation helps guide healthcare decisions made at times of acute clinical deterioration...
March 10, 2017: BMJ Open
https://www.readbyqxmd.com/read/28283306/-if-no-one-stops-me-i-ll-make-the-mistake-again-changing-prescribing-behaviours-through-feedback-a-perceptual-control-theory-perspective
#10
Jane Ferguson, Chris Keyworth, Mary P Tully
BACKGROUND: Doctors at all levels make prescribing errors which can prolong patients' hospital stay, increase the risk of death, and place a significant financial burden on the health system. Doctors have previously reported receiving little or no feedback on their prescribing errors. The effectiveness of feedback in modifying future practice varies widely, depending on how feedback is delivered. To date there is little evidence about why and how feedback interventions do or do not work...
March 2, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/28282222/a-life-course-theory-approach-to-understanding-eritrean-refugees-perceptions-of-preventive-health-care-in-the-united-states
#11
Heidi J Worabo
Thousands of Eritreans flee their homes each month, embarking on dangerous journeys. With these extreme life experiences in mind, this qualitative study aimed to better understand Eritrean resettled refugees' perceptions of United States (US) preventive health care through the lens of the Life Course Theory. Through secondary thematic analysis of narrative data, two over-arching themes emerged: 1) a thirst for information, understanding and affordable health care and 2) attitudes of gratitude and hope despite lack of information and funding...
March 10, 2017: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/28281051/online-support-groups-for-young-women-with-breast-cancer-a-proof-of-concept-study
#12
Joanne Stephen, Adina Rojubally, Wolfgang Linden, Lihong Zhong, Gina Mackenzie, Sahar Mahmoud, Janine Giese-Davis
OBJECTIVE: This initial study examined a therapist-led, synchronous, online support group (OSG) with psycho-education (OSG + E) compared to self-help psycho-education (E). The study aims were to examine proof of concept-feasibility, acceptability, and usefulness-and to hone methods for a formal RCT. METHODS: One hundred five young breast cancer survivors (<50 years) post-treatment were randomized either to OSG + E or E. OSG + E received a therapist-led 10-week synchronous online intervention...
March 9, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/28267681/pressure-ulcer-risk-and-prevention-practices-in-pediatric-patients-a-secondary-analysis-of-data-from-the-national-database-of-nursing-quality-indicators%C3%A2
#13
Ivy Razmus, Sandra Bergquist-Beringer
Little is known about pressure ulcer prevention practice among pediatric patients. To describe the frequency of pressure ulcer risk assessment in pediatric patients and pressure ulcer prevention intervention use overall and by hospital unit type, a descriptive secondary analysis was performed of data submitted to the National Database for Nursing Quality Indicators® (NDNQI®) for at least 3 of the 4 quarters in 2012. Relevant data on pressure ulcer risk from 271 hospitals across the United States extracted from the NDNQI database included patient skin and pressure ulcer risk assessment on admission, time since the last pressure ulcer risk assessment, method used to assess pressure ulcer risk, and risk status...
January 2017: Ostomy/wound Management
https://www.readbyqxmd.com/read/28266019/quality-control-of-hypericum-perforatum-l-analytical-challenges-and-recent-progress
#14
REVIEW
Anastasia Agapouda, Anthony Booker, Tivadar Kiss, Judit Hohmann, Michael Heinrich, Dezső Csupor
OBJECTIVES: The most widely applied qualitative and quantitative analytical methods in the quality control of Hypericum perforatum extracts will be reviewed, including routine analytical tools and most modern approaches. KEY FINDINGS: Biologically active components of H. perforatum are chemically diverse; therefore, different chromatographic and detection methods are required for the comprehensive analysis of St. John's wort extracts. Naphthodianthrones, phloroglucinols and flavonoids are the most widely analysed metabolites of this plant...
March 7, 2017: Journal of Pharmacy and Pharmacology
https://www.readbyqxmd.com/read/28265717/the-importance-of-physical-function-to-people-with-osteoporosis
#15
C Kerr, C Bottomley, S Shingler, L Giangregorio, H M de Freitas, C Patel, S Randall, D T Gold
There is increasing need to understand patient outcomes in osteoporosis. This article discusses that fracture in osteoporosis can lead to a cycle of impairment, driven by complex psychosocial factors, having a profound impact on physical function/activity which accumulates over time. More information is required on how treatments impact physical function. INTRODUCTION: There is increasing need to understand patient-centred outcomes in osteoporosis (OP) clinical research and management...
March 6, 2017: Osteoporosis International
https://www.readbyqxmd.com/read/28264822/understanding-clinician-influences-and-patient-perspectives-on-outpatient-discharge-decisions-a-qualitative-study
#16
N A Harun, A Y Finlay, V Piguet, S Salek
OBJECTIVE: To observe the influences on clinicians when discharging patients, to explore patients' perspectives concerning their discharge or follow-up decision and to identify what patients think is important for clinicians to consider when taking a discharge decision. DESIGN: Qualitative study involving observations of consultations and semistructured interviews with outpatients. SETTING: National Health Service outpatient clinics at a university hospital secondary referral centre...
March 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/28263724/resilience-in-mothers-of-very-low-birth-weight-infants-hospitalized-in-the-nicu
#17
Beverly Rossman, Michelle M Greene, Amanda L Kratovil, Paula P Meier
OBJECTIVE: To develop the theme of Resilience of mothers of very-low-birth-weight infants in the NICU from a qualitative study on maternal role attainment. DESIGN: Secondary analysis using retrospective interpretation, that is, the further development and refinement of content related to resilience that was identified in the original data. SETTING: A tertiary NICU in Chicago. PARTICIPANTS: Twenty-three English-speaking, predominantly single (74%), minority (Black [57%], Hispanic [17%]), low-income (78%), primiparous (78%) mothers of very-low-birth-weight infants...
March 2, 2017: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/28261676/efficacy-of-phosphodiesterase-type-5-inhibitors-for-the-treatment-of-distal-ureteral-calculi-a-systematic-review-and-meta-analysis
#18
Carlos Eduardo Montes Cardona, Herney Andrés García-Perdomo
PURPOSE: To determine the efficacy of phosphodiesterase type 5 inhibitors (PDE5i) as medical expulsive therapy (MET) for the treatment of distal ureteral calculi. MATERIALS AND METHODS: A search strategy was conducted in the MEDLINE, CENTRAL, and Embase databases. Searches were also conducted in other databases and unpublished literature. Clinical trials were included without language restrictions. The risk of bias was evaluated with the Cochrane Collaboration's tool...
March 2017: Investigative and Clinical Urology
https://www.readbyqxmd.com/read/28259522/intensive-care-nurses-experiences-and-perceptions-of-delirium-and-delirium-care
#19
Katarzyna Zamoscik, Rosemary Godbold, Pauline Freeman
OBJECTIVE: To explore nurses' experiences and perceptions of delirium, managing delirious patients, and screening for delirium, five years after introduction of the Confusion Assessment Method for Intensive Care into standard practice. RESEARCH DESIGN AND SETTING: Twelve nurses from a medical-surgical intensive care unit in a large teaching hospital attended two focus group sessions. The collected qualitative data was thematically analysed using Braun and Clarke's framework (2006)...
March 1, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28256919/efficacy-and-side-effects-profile-of-the-ethinylestradiol-and-etonogestrel-contraceptive-vaginal-ring-a-systematic-review-and-meta-analysis
#20
Amanda López-Picado, Oihane Lapuente, Iñaki Lete
OBJECTIVE: To assess the efficacy and tolerability (side-effects profile), and compliance of the combined contraceptive vaginal ring (CCVR) compared with combined oral hormonal contraceptives (COC). DATA SOURCES: The PubMed, Embase, POPLINE, Cochrane Central Register of Controlled Trials (CENTRAL), LILACS, ClinicalTrials.gov, Clinical Trials Registry Platform (ICTRP) and CINAHL databases were searched. METHODS OF STUDY SELECTION: Electronic databases were searched for randomised clinical trials comparing the CCVR with COC with a duration of at least 3 months between 01 December and 15 December 2015...
April 2017: European Journal of Contraception & Reproductive Health Care
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