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https://www.readbyqxmd.com/read/29928455/end-of-life-in-copd-patients-time-for-a-change
#1
EDITORIAL
Cristina Braço Forte, Susana Sousa
End-of-life decision-making is as important in COPD as in cancer, and doctor-patient communication is key to it http://ow.ly/NKcX30ghoUi.
December 2017: Breathe
https://www.readbyqxmd.com/read/29927721/exploring-patients-consultation-behaviors-in-the-online-health-community-the-role-of-disease-risk
#2
Fei Liu, Yingying Li, Xiaofeng Ju
INTRODUCTION: An online health community (OHC) is a unique social network that provides a platform for sharing healthcare information, communicating about health and offering health services. While many researchers have examined OHCs, the impact of patient reviews on patient consultation behavior in the OHCs has rarely been discussed in the existing literature. METHODS: A computer program was developed to download the required information. This process was conducted monthly to capture the variation in the dependent variable...
June 21, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29916589/-the-multidimensional-concept-of-health-and-the-gender-category-theoretical-and-practical-perspectives
#3
Rita Biancheri
OBJECTIVES: This paper will examine the difficulties encountered in the bio-medical approach adopted to understand the psycho-social needs present in the clinical observation of a diseased body to the treatment of the person. METHODS: Traditional interpretation tools are not sufficient to comprehend the complexity of the factors involved in prevention processes, and the risk is that the introduction of new approaches will be delayed. Knowledge is an interactive, communicative and social process, meaning our focus shifts from the things we see to the way we see them, only to see what we don't normally see...
November 2017: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
https://www.readbyqxmd.com/read/29908705/high-levels-of-socioeconomic-deprivation-do-not-inhibit-patients-communication-of-concerns-in-head-and-neck-cancer-review-clinics
#4
S Allen, R Harris, S L Brown, G Humphris, Y Zhou, S N Rogers
To examine associations between socioeconomic status and the extent to which patients with cancer of the head and neck expressed concerns to surgeons during routine follow-up clinics, we analysed audio recordings of 110 consultations with one consultant. We used the Verona Coding Definitions of Emotional Sequences (VRCoDES) to measure communication between the doctor and the patient, and grouped the English indices of multiple deprivation (IMD) 2015 scores into deciles to compare the VRCoDES with socioeconomic status...
June 13, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29908128/swedish-adaptation-of-the-general-medical-council-s-multisource-feedback-questionnaires-a-qualitative-study
#5
Jan-Eric Olsson, Solvig Ekblad, Bo Christer Bertilson, Eva Toth-Pal
Objectives: to explore potential users' opinions of a translated and culturally adapted Swedish version of the General Medical Council's MultiSource Feedback Questionnaires. Methods: In this qualitative study, we used content analysis on semi-structured interviews from 44 resident doctors, 29 medical colleagues and 28 patients to analyse their opinions of the Swedish adapted version, created through translation and expert review. Transcribed interview data concerning the informants' general thoughts about the tool were coded manually by three independent coders into categories, compiled as themes, and exemplified by citations...
June 15, 2018: International Journal of Medical Education
https://www.readbyqxmd.com/read/29898487/-renal-replacement-procedure-information-education-documentation
#6
Jan Galle, Jana Reitlinger
In renal replacement therapy, different methods are available: hemodialysis (HD), peritoneal dialysis (PD), and kidney transplantation (KTx). In addition, variants can be used: HD as a home HD or center HD, PD as a conventional PD or automated (cycler) PD, KTx as a potentially short-term predictable living donation or conventional donor kidney donation. The patient and his familiar or caring environment must be informed accordingly. This means first of all: information about which procedures of kidney replacement therapy are possible and can be offered...
June 2018: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/29896327/assessment-of-patient-safety-culture-in-an-adult-oncology-department-in-saudi-arabia
#7
Waleed Alharbi, Jennifer Cleland, Zoe Morrison
Objectives: We sought to evaluate patient safety culture across different healthcare professionals from different countries of origin working in an adult oncology department in a medical facility in Saudi Arabia. Methods: This cross-sectional survey of 130 healthcare staff (doctors, pharmacists, nurses) was conducted in February 2017. We used the Hospital Survey of Patient Safety Culture (HSOPSC) to examine healthcare staff perceptions of safety culture. Results: A total of 127 questionnaires were returned, yielding a response rate of 97...
May 2018: Oman Medical Journal
https://www.readbyqxmd.com/read/29895658/improving-the-use-of-treatment-escalation-plans-a-quality-improvement-study
#8
Meelad Sayma, George Nowell, Aedamar O'Connor, Gemma Clark, Andrew Gaukroger, Dominic Proctor, Jamie Walsh, Brian Rigney, Storm Norman, Andrew Adedeji, David Wilson, Darren O'hagan, Victoria Cook, Robbie Carrington, Preshgena Sekaran, Maya Wehbe, Duncan Paterson, Sophie Welchman, Jay Over, Sheila Payne
OBJECTIVES: Treatment escalation plans (TEPs) are vital in communicating a ceiling of care. However, many patients still deteriorate and die without a pre-established ceiling of care for attending clinicians to rely on. We aimed to increase the proportion of suitable patients that have TEPs in place in a rural district general hospital. METHODS: We undertook three 'Plan-Do-Study-Act' (PDSA) cycles between 1 December 2016 and 9 June 2017. These cycles aimed to assess the problem, implement a solution and monitor its sustainability...
June 12, 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29895594/images-as-catalysts-for-meaning-making-in-medical-pain-encounters-a-multidisciplinary-analysis
#9
Deborah Padfield, Helen Omand, Elena Semino, Amanda C de C Williams, Joanna M Zakrzewska
The challenge for those treating or witnessing pain is to find a way of crossing the chasm of meaning between them and the person living with pain. This paper proposes that images can strengthen agency in the person with pain, particularly but not only in the clinical setting, and can create a shared space within which to negotiate meaning. It draws on multidisciplinary analyses of unique material resulting from two fine art/medical collaborations in London, UK, in which the invisible experience of pain was made visible in the form of co-created photographic images, which were then made available to other patients as a resource to use in specialist consultations...
June 12, 2018: Medical Humanities
https://www.readbyqxmd.com/read/29895170/don-t-shoot-the-messenger-experiences-of-delivering-prognostic-information-in-the-context-of-advanced-cancer
#10
Melissa P Masterson, Allison J Applebaum, Kara Buda, Sally Reisch, Barry Rosenfeld
The study of prognostic understanding is imperative as the trend toward individualized medicine continues. However, without guidelines for discussing prognosis, palliative care clinicians face challenges presenting prognostic information in a way that optimizes patient understanding, psychological adjustment, and decision-making. The present study draws on the experiences of experts in the field of palliative care in order to examine the communication of prognostic information. Fifteen oncology, psycho-oncology, and palliative care professionals with expertise in doctor-patient communication participated in semi-structured interviews that focused on identifying the breadth of factors underlying prognostic understanding, as well as methods to identify and quantify this understanding...
January 1, 2018: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/29894313/functional-impairments-associated-with-patient-activation-among-community-dwelling-older-adults
#11
Ling Na, Pui L Kwong, Dawei Xie, Liliana E Pezzin, Jibby E Kurichi, Joel E Streim
OBJECTIVES: Activity of Daily Living (ADL) stages and Instrumental Activity of Daily Living (IADL) stages demonstrated ordered associations with mortality, risk of hospitalization, and receipt of recommended care. This paper explores the associations of stages with three dimensions of patient activation: self-care efficacy, patient-doctor communication and health-information seeking. We hypothesized that higher ADL and IADL stages (greater limitation) are associated with a lower level of patient activation...
June 11, 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29891103/which-patient-and-doctor-behaviours-make-a-medical-consultation-more-effective-from-a-patient-point-of-view-results-from-a-european-multicentre-study-in-31-countries
#12
Maria Angela Mazzi, Michela Rimondini, Egbert van der Zee, Wienke Boerma, Christa Zimmermann, Jozien Bensing
OBJECTIVE: To assess European patients' preferences regarding seven aspects of doctor-patient communication. METHODS: 6049 patients from 31 European countries evaluated 21 doctor and 12 patient behaviours, through a patient-generated questionnaire (PCVq). Multilevel models explored the effects of patient characteristics, contextual and cultural dimensions on preferences. RESULTS: Patients attributed more responsibility to doctors, by giving greater importance to doctor than to patient factors, in particular to Treating the patient as a partner and as a person and Continuity of care...
May 30, 2018: Patient Education and Counseling
https://www.readbyqxmd.com/read/29885118/-implementation-of-wearable-terminal-used-for-dynamic-ecg-real-time-monitoring-based-on-internet-of-things
#13
Ming Tang, Jian Yao, Zekuan Chen, Hai Huang, Chenge Geng
Electrocardiogram (ECG) detection is a routine and effective cardiac problem detection project. Traditional electrocardiogram detection has limitations in cardiac arrhythmia and other heart disease detection and diagnosis, such as effectiveness, real-time and so on. Based on the advanced mobile networking and wearable design concept, this paper designs and implements a dynamic ECG real-time monitoring system with low power embedded system and Bluetooth 4.0 wireless communication. Its main functions include 24-hour dynamic ECG signal real-time acquisition, processing, wireless communication, display and storage, real-time analysis of typical arrhythmia, recording and alarm, professional doctors real-time reading and diagnosis, dynamic ECG sharing and cloud platform automatic analysis and diagnosis...
May 30, 2018: Zhongguo Yi Liao Qi Xie za Zhi, Chinese Journal of Medical Instrumentation
https://www.readbyqxmd.com/read/29882790/wearable-sensors-integrated-with-internet-of-things-for-advancing-ehealth-care
#14
Jose-Luis Bayo-Monton, Antonio Martinez-Millana, Weisi Han, Carlos Fernandez-Llatas, Yan Sun, Vicente Traver
Health and sociological indicators alert that life expectancy is increasing, hence so are the years that patients have to live with chronic diseases and co-morbidities. With the advancement in ICT, new tools and paradigms are been explored to provide effective and efficient health care. Telemedicine and health sensors stand as indispensable tools for promoting patient engagement, self-management of diseases and assist doctors to remotely follow up patients. In this paper, we evaluate a rapid prototyping solution for information merging based on five health sensors and two low-cost ubiquitous computing components: Arduino and Raspberry Pi...
June 6, 2018: Sensors
https://www.readbyqxmd.com/read/29875585/medical-leadership-an-important-and-required-competency-for-medical-students
#15
REVIEW
Tsung-Ying Chen
Good medical leadership is the key to building high-quality healthcare. However, in the development of medical careers, the teaching of leadership has traditionally not equaled that of technical and academic competencies. As a result of changes in personal standards, the quality of medical leadership has led to variations between different organizations, as well as occasional catastrophic failure in the standard of care provided for patients. Leaders in the medical profession have called for reform in healthcare in response to challenges in the system and improvements in public health...
April 2018: Ci Ji Yi Xue za Zhi, Tzu-chi Medical Journal
https://www.readbyqxmd.com/read/29872656/development-and-clinical-application-of-a-novel-autonomic-transient-response-based-screening-system-for-major-depressive-disorder-using-a-fingertip-photoplethysmographic-sensor
#16
Sumiyakhand Dagdanpurev, Guanghao Sun, Toshikazu Shinba, Mai Kobayashi, Nobutoshi Kariya, Lodoiravsal Choimaa, Suvdaa Batsuuri, Seokjin Kim, Satoshi Suzuki, Takemi Matsui
Over 350 million people across the world suffer from major depressive disorder (MDD). More than 10% of MDD patients have suicide intent, while it has been reported that more than 40% patients did not consult their doctors for MDD. In order to increase consultation rate of potential MDD patients, we developed a novel MDD screening system which can be used at home without help of health-care professionals. Using a fingertip photoplethysmograph (PPG) sensor as a substitute of electrocardiograph (ECG), the system discriminates MDD patients from healthy subjects using autonomic nerve transient responses induced by a mental task (random number generation) via logistic regression analysis...
2018: Frontiers in Bioengineering and Biotechnology
https://www.readbyqxmd.com/read/29871701/reconsidering-the-role-of-language-in-medicine
#17
Berkeley Franz, John W Murphy
BACKGROUND: Despite an expansive literature on communication in medicine, the role of language is dealt with mostly indirectly. Recently, narrative medicine has emerged as a strategy to improve doctor-patient communication and integrate patient perspectives. However, even in this field which is predicated on language use, scholars have not specifically reflected on how language functions in medicine. METHODS: In this theoretical paper, the authors consider how different models of language use, which have been proposed in the philosophical literature, might be applied to communication in medicine...
June 5, 2018: Philosophy, Ethics, and Humanities in Medicine: PEHM
https://www.readbyqxmd.com/read/29868138/psychometric-properties-of-the-romanian-version-of-the-hospital-survey-on-patient-safety-culture-hsops
#18
Carmen Tereanu, Scott Alan Smith, Mugurel Stefan Ghelase, Giuseppe Sampietro, Adrian Molnar, Antoaneta Dragoescu, Florentina Ligia Furtunescu, Camelia Stanescu, Olguta Alice Gavrila, Anca Patrascu, Andreea Loredana Golli, Manuela Dragomir
Objective: To explore psychometrics of the Romanian version of the Hospital Survey on Patient Safety Culture (HSOPS) released by the US Agency for Healthcare Research and Quality in 2004. Material and methods: The original US survey with 12 composites and 42 items was translated (back translation method), pre-tested on a few staff and then minimally adjusted. A qualitative cross-sectional study was carried out in units from six hospitals in four Romanian regions, based on the census of medical and non-medical staff (n...
March 2018: Mædica
https://www.readbyqxmd.com/read/29860320/patient-satisfaction-and-experience-of-primary-care-in-saudi-arabia-a-systematic-review
#19
Mohammed Senitan, Ali Hassan Alhaiti, James Gillespie
Purpose: This systematic review aims to explore patient satisfaction (PS) among patients who used Ministry of Health (MoH) primary care centres in Saudi Arabia, with a focus on their communication with physicians. Data sources: Medline, CINAHL, Embase, Global Health, the Saudi Medical Journal, Annals of Saudi Medicine, the Journal of Family and Community Medicine and Google Scholar. Study selection/Data extraction: The review focused on studies concerning PS in Saudi MoH primary care centres published between 2005 and 2017...
May 10, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29851982/social-autopsy-for-identifying-causes-of-adult-mortality
#20
Mamta Gupta, Manmeet Kaur, P V M Lakshmi, Shankar Prinja, Tarundeep Singh, Titiksha Sirari, Rajesh Kumar
Verbal autopsy methods have been developed to determine medical causes of deathforprioritizing disease control programs. Additional information on social causesmay facilitate designing of more appropriate prevention strategies. Use of social autopsy in investigations of causes of adult deaths has been limited. Therefore, acommunity-based study was conducted in NandpurKalour Block of Fatehgarh Sahib District in Punjab (India)for finding social causes of adult deaths. An integrated verbal and social autopsy toolwas developed and verbal autopsies of 600 adult deaths, occurring over a reference period of one year, were conducted in 2014...
2018: PloS One
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