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https://www.readbyqxmd.com/read/29450205/revision-surgery-after-cartilage-repair-data-from-the-german-cartilage-registry-knorpelregister-dgou
#1
Jan M Pestka, Nam H Luu, Norbert P Südkamp, Peter Angele, Gunther Spahn, Wolfgang Zinser, Philipp Niemeyer
Background: Various operative strategies have been introduced to restore the integrity of articular cartilage when injured. The frequency of revision surgery after cartilage regenerative surgery remains incompletely understood. Purpose/Hypothesis: The purpose of this study was to identify the reasons for revision surgery after cartilage regenerative surgery of the knee. We hypothesized that in a large patient cohort, revision rates would differ from those in the current literature...
February 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29448941/traditional-healing-practices-in-rural-bangladesh-a-qualitative-investigation
#2
Md Imdadul Haque, A B M Alauddin Chowdhury, Md Shahjahan, Md Golam Dostogir Harun
BACKGROUND: Traditional healing practice is an important and integral part of healthcare systems in almost all countries of the world. Very few studies have addressed the holistic scenario of traditional healing practices in Bangladesh, although these serve around 80% of the ailing people. This study explored distinctive forms of traditional healing practices in rural Bangladesh. METHODS: During July to October 2007, the study team conducted 64 unstructured interviews, and 18 key informant interviews with traditional healers and patients from Bhabanipur and Jobra, two adjacent villages in Chittagong district, Bangladesh...
February 15, 2018: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/29447356/barriers-to-the-availability-and-accessibility-of-controlled-medicines-for-chronic-pain-in-africa
#3
Elmang Nchako, Scottie Bussell, Carlos Nesbeth, Chisom Odoh
Africans endure a high burden of pain and suffering from HIV/AIDS and cancer, yet receive a meager amount of the world's pain medication. This tragedy occurs needlessly, given that inexpensive, effective and easily administered interventions are available. WHO has a 'three-step analgesic ladder' framework for managing cancer pain. This widely adopted clinical practice guideline is an integral part of palliative care programs and has also been applied to non-cancer pain. However, untreated pain is a major public health problem due to the discordance between scientific evidence and public policy...
February 13, 2018: International Health
https://www.readbyqxmd.com/read/29447259/medical-professionalism-of-foreign-born-and-foreign-trained-physicians-under-close-scrutiny-a-qualitative-study-with-stakeholders-in-germany
#4
Corinna Klingler, Fatiha Ismail, Georg Marckmann, Katja Kuehlmeyer
Hospitals in Germany employ increasing numbers of foreign-born and foreign-trained (FB&FT) physicians. Studies have investigated how FB&FT physicians experience their professional integration into the German healthcare system, however, the perspectives of stakeholders working with and shaping the work experiences of FB&FT physicians in German hospitals have so far been neglected. This study explores relevant stakeholders' opinions and attitudes towards FB&FT physicians-which likely influence how these physicians settle in-and how these opinions were formed...
2018: PloS One
https://www.readbyqxmd.com/read/29446758/localized-thin-section-ct-with-radiomics-feature-extraction-and-machine-learning-to-classify-early-detected-pulmonary-nodules-from-lung-cancer-screening
#5
Shu-Ju Tu, Chih-Wei Wang, Kuang-Tse Pan, Yi-Cheng Wu, Chen-Te Wu
Lung cancer screening aims to detect small pulmonary nodules and decrease the mortality rate. However, studies from large-scale clinical trials of lung cancer screening showed false-positive rate is high and positive predictive value is low. To address these problems, it is highly needed to have a technical approach for accurate malignancy differentiation among these early-detected nodules. We studied the clinical feasibility of an additional protocol of localized thin-section CT for further assessment on these recalled patients from lung cancer screening tests...
February 15, 2018: Physics in Medicine and Biology
https://www.readbyqxmd.com/read/29445976/an-equivalence-study-of-interview-platform-does-videoconference-technology-impact-medical-school-acceptance-rates-of-different-groups
#6
Marlene P Ballejos, Scott Oglesbee, Jennifer Hettema, Robert Sapien
Web-based interviewing may be an effective element of a medical school's larger approach to promotion of holistic review, as recommended by the Association of American Medical Colleges, by facilitating the feasibility of including rural and community physicians in the interview process. Only 10% of medical schools offer videoconference interviews to applicants and little is known about the impact of this interview modality on the admissions process. This study investigated the impact of overall acceptance rates using videoconference interviews and face-to-face interviews in the medical school selection process using an equivalence trial design...
February 14, 2018: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/29445304/prevalence-of-medication-errors-in-primary-health-care-at-bahrain-defence-force-hospital-prescription-based-study
#7
Fatema Aljasmi, Fatema Almalood, Ahmed Al Ansari
Background: One of the important activities that physicians - particularly general practitioners - perform is prescribing. It occurs in most health care facilities and especially in primary health care (PHC) settings. Objectives: This study aims to determine what types of prescribing errors are made in PHC at Bahrain Defence Force (BDF) Hospital, and how common they are. Methods: This was a retrospective study of data from PHC at BDF Hospital...
2018: Drug, Healthcare and Patient Safety
https://www.readbyqxmd.com/read/29444389/anatomy-integration-effective-change-or-change-of-affect
#8
Rebecca S Hartley, Gary A Smith, Martina J Rosenberg
Anatomy is fundamental to clinical practice, is considered a rite of passage in becoming a physician and is key to professional identity formation. The anatomy course that began the medical curriculum at the University of New Mexico School of Medicine was recently dissolved to address content and process gaps in the pre-clinical curriculum. Anatomy was integrated into the organ system blocks to make room for new courses to address content gaps. Previous reports of anatomy integration document more positive attitudes and perceptions to teaching anatomy in context, as compared to an independent course...
February 14, 2018: Anatomical Sciences Education
https://www.readbyqxmd.com/read/29443434/expanding-the-abortion-provider-workforce-a-qualitative-study-of-organizations-implementing-a-new-california-policy
#9
Molly Frances Battistelli, Sara Magnusson, M Antonia Biggs, Lori Freedman
CONTEXT: Access to abortion care in the United States varies according to multiple factors, including location, state regulation and provider availability. In 2013, California enacted a law that authorized nurse practitioners (NPs), certified nurse-midwives (CNMs) and physician assistants (PAs) to provide first-trimester aspiration abortions; little is known about organizations' experiences in implementing this policy change. METHODS: Beginning 10 and 24 months after implementation of the new law, semistructured interviews were conducted with 20 administrators whose five organizations trained and employed NPs, CNMs and PAs as providers of aspiration abortions...
February 14, 2018: Perspectives on Sexual and Reproductive Health
https://www.readbyqxmd.com/read/29441596/responding-to-intimate-partner-violence-healthcare-providers-current-practices-and-views-on-integrating-a-safety-decision-aid-into-primary-care-settings
#10
Carmen Alvarez, Katrina Debnam, Amber Clough, Kamila Alexander, Nancy E Glass
Supportive care for survivors of intimate partner violence (IPV) remains limited in primary care settings. Low-income and Spanish-speaking survivors of IPV are even more disadvantaged, given the dearth of linguistically and culturally appropriate interventions for IPV. We conducted semi-structured individual interviews with 17 healthcare workers, including physicians, nurses, and social workers, to describe how healthcare workers serving primarily low-income, Latina populations are currently screening and responding to IPV disclosure, and to explore the acceptability of integrating an interactive, personalized safety decision aid application-myPlan app-into the clinic setting...
February 14, 2018: Research in Nursing & Health
https://www.readbyqxmd.com/read/29439892/a-human-bite-on-the-scrotum-case-report-and-review-of-management-in-the-emergency-department
#11
Dorothy Ng, Thomas Chan, Sohil Pothiawala
BACKGROUND: Human bites involving the genitalia rarely present to the emergency department (ED). They have the potential to cause life-threatening secondary infections as well as serious physical and functional damage. CASE REPORT: We report a case of an adult male who sustained a human bite to the scrotum, resulting in a ragged laceration on the anterior scrotum, with a devascularized flap and necrotic edges overlying the wound. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Human bites to the scrotum are rare and, hence, the experience of emergency physicians treating patients presenting with these injuries may be minimal...
February 10, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29439403/improving-health-care-management-in-primary-care-for-homeless-people-a-literature-review
#12
REVIEW
Maeva Jego, Julien Abcaya, Diana-Elena Ștefan, Céline Calvet-Montredon, Stéphanie Gentile
BACKGROUND: Homeless people have poorer health status than the general population. They need complex care management, because of associated medical troubles (somatic and psychiatric) and social difficulties. We aimed to describe the main characteristics of the primary care programs that take care of homeless people, and to identify which could be most relevant. METHODS: We performed a literature review that included articles which described and evaluated primary care programs for homeless people...
February 10, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29438143/identifying-pain-and-effects-on-quality-of-life-from-chronic-wounds-secondary-to-lower-extremity-vascular-disease-an-integrative-review
#13
Stacy Newbern
GENERAL PURPOSE: To provide information to enable better assessment and management of patients with lower extremity vascular disease (LEVD) chronic wound pain. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you will be able to: ABSTRACT: A lack of wound pain validation and provider understanding about the effect of pain on quality of life are the biggest barriers to pain management for patients with chronic wound pain...
March 2018: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/29437181/quality-of-motivational-interviewing-matters-the-effect-on-participation-in-health-promotion-activities-in-a-cluster-randomized-controlled-trial
#14
Tessa A Kouwenhoven-Pasmooij, Suzan Jw Robroek, Daan Nieboer, Pieter H Helmhout, Machteld F Wery, Myriam Hunink, Alex Burdorf
Objectives This study aims to evaluate the effectiveness of a "blended" workplace health-promotion intervention, alongside identification of key components beneficial for future implementation strategies. Methods Within a cluster randomized controlled trial, 491 employees at increased risk of cardiovascular disease were allocated to the limited (N=217; 9 clusters) or extensive (N=274; 8 clusters) intervention. The extensive intervention consisted of motivational interviewing (MI) within the framework of a web-based health risk assessment (HRA), a blended care approach...
February 13, 2018: Scandinavian Journal of Work, Environment & Health
https://www.readbyqxmd.com/read/29436279/integrated-palliative-care-is-about-professional-networking-rather-than-standardisation-of-care-a-qualitative-study-with-healthcare-professionals-in-19-integrated-palliative-care-initiatives-in-five-european-countries
#15
Marlieke den Herder-van der Eerden, Jeroen van Wijngaarden, Sheila Payne, Nancy Preston, Lisa Linge-Dahl, Lukas Radbruch, Karen Van Beek, Johan Menten, Csilla Busa, Agnes Csikos, Kris Vissers, Jelle van Gurp, Jeroen Hasselaar
BACKGROUND: Integrated palliative care aims at improving coordination of palliative care services around patients' anticipated needs. However, international comparisons of how integrated palliative care is implemented across four key domains of integrated care (content of care, patient flow, information logistics and availability of (human) resources and material) are lacking. AIM: To examine how integrated palliative care takes shape in practice across abovementioned key domains within several integrated palliative care initiatives in Europe...
February 1, 2018: Palliative Medicine
https://www.readbyqxmd.com/read/29434476/interest-of-supportive-and-barrier-protective-skin-care-products-in-the-daily-prevention-and-treatment-of-cutaneous-toxicity-during-radiotherapy-for-breast-cancer
#16
Antoine Berger, Carlos Regueiro, Tarek Hijal, David Pasquier, Cristina De La Fuente, Florence Le Tinier, Bernard Coche-Dequeant, Eric Lartigau, Dominique Moyal, Sophie Seité, René-Jean Bensadoun
Purpose: As many as 50% of patients with cancer develop acute skin reactions to some degree with radiotherapy. Proactive skin care is often recommended to minimise these skin reactions and maintain the integrity of the epidermal barrier; nevertheless, no consensual guidelines are systematically used. This multicentre, observational, prospective study evaluated the tolerability and benefit of supportive and barrier protective skin care products in preventing radiotherapy-induced skin reactions in 253 women initiating radiotherapy (exclusive or adjuvant) for breast cancer...
2018: Breast Cancer: Basic and Clinical Research
https://www.readbyqxmd.com/read/29433128/-the-new-national-immunization-program-2017-2019-and-the-essential-care-levels-what-is-going-to-change
#17
Chiara De Waure, Leuconoe Grazia Sisti, Andrea Poscia, Walter Ricciardi
Italy is witnessing relevant challenges in the field of prevention and control of vaccine-preventable diseases. The worrying and growing phenomenon of "vaccine-hesitancy" has contributed to the reduction of vaccination coverage, undermining goals reached thanks to vaccines introduction. The new Italian National Immunization Plan (NIP) 2017-2019 and the update of the list of Essential Care Levels (LEA), approved in the current year, extend the vaccination offer based on the latest scientific evidence with the introduction of new vaccines and the enlargement of target population...
September 2017: Igiene e Sanità Pubblica
https://www.readbyqxmd.com/read/29432357/perspectives-of-oncology-nurses-on-complementary-and-alternative-medicine-in-turkey-a-cross-sectional-survey
#18
Zehra Gok Metin, Nur Izgu, Canan Karadas, Ayse Arikan Donmez
In Turkey, between 22.1% and 84.1% of patients with cancer use complementary and alternative medicine (CAM). However, few CAM-related studies have focused on the perspective of oncology nurses. This study aimed to determine the knowledge, attitudes, and practices of Turkish oncology nurses regarding CAM. A descriptive cross-sectional survey of 127 participants was conducted in Ankara, Turkey. A semistructured questionnaire including characteristics, knowledge, attitudes, and practices of oncology nurses toward CAM was administered to participants...
March 2018: Holistic Nursing Practice
https://www.readbyqxmd.com/read/29431985/tremor-sorting-through-the-differential-diagnosis
#19
Paul Crawford, Ethan E Zimmerman
Tremor is an involuntary, rhythmic, oscillatory movement of a body part. It is the most common movement disorder encountered in primary care. The diagnosis of tremor is based on clinical information obtained from the history and physical examination. The most common tremors in patients presenting to primary care physicians are enhanced physiologic tremor, essential tremor, and parkinsonian tremor. All persons have low-amplitude, high-frequency physiologic tremors at rest and during action that are not reported as symptomatic, but can be enhanced by anxiety, medication use, caffeine intake, or fatigue...
February 1, 2018: American Family Physician
https://www.readbyqxmd.com/read/29431974/childhood-bullying-implications-for-physicians
#20
Mary M Stephens, Hazel T Cook-Fasano, Katherine Sibbaluca
Childhood bullying is common and can lead to serious adverse physical and mental health effects for both the victim and the bully. In teenagers, risk factors for becoming a victim of bullying include being lesbian, gay, bisexual, or transgender; having a disability or medical condition such as asthma, diabetes mellitus, a skin condition, or food allergy; or being an outlier in weight and stature. An estimated 20% of youth have been bullied on school property, and 16% have been bullied electronically in the past year...
February 1, 2018: American Family Physician
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