keyword
https://read.qxmd.com/read/38466575/-consenso-del-grupo-de-trabajo-de-los-trastornos-de-la-conducta-alimentaria-de-senpe-gttca-senpe-evaluaci%C3%A3-n-y-tratamiento-m%C3%A3-dico-nutricional-en-la-anorexia-nerviosa-actualizaci%C3%A3-n-2023
#21
JOURNAL ARTICLE
Rocío Campos Del Portillo, Samara Palma Milla, Pilar Matía Martín, Viviana Loria-Kohen, Miguel Ángel Martínez Olmos, María Teresa Mories Álvarez, María José Castro Alija, María Ángela Martín Palmero, Elena Carrillo Lozano, Marlhyn Valero-Pérez, María Isabel Campos Del Portillo, Alejandro Esteban Sirvent Segovia, Pilar Plaza Blázquez, Diana Monserrat de la Cruz López, Francisco Pita
Anorexia nervosa (AN) is a multifactorial disorder. A possible role of the social network and the gut microbiota in pathogenesis has been added. Exogenous shocks such as the COVID19 pandemic have had a negative impact on patients with AN. The potential medical and nutritional impact of malnutrition and/or compensatory behaviors gives rise to a complex disease with a wide range of severity, the management of which requires a multidisciplinary team with a high level of subject matter expertise. Coordination between levels of care is necessary as well as understanding how to transition the patient from pediatric to adult care is essential...
February 6, 2024: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://read.qxmd.com/read/38466514/paediatric-rheumatology-fails-to-meet-current-benchmarks-a-call-for-health-equity-for-children-living-with-juvenile-idiopathic-arthritis-using-digital-health-technologies
#22
REVIEW
Sonia Butler, Dean Sculley, Derek Santos, Xavier Girones, Davinder Singh-Grewal, Andrea Coda
PURPOSE OF REVIEW: This critical review begins by presenting the history of Juvenile Idiopathic Arthritis (JIA) management. To move the conversation forward in addressing the current shortcomings that exist in the clinical management of children living with JIA, we argue that to date, the advancement of successful treatments for JIA has been historically slow. Factors implicated in this situation include a lack of rigorous research, JIA being considered a rare disease, and JIA's idiopathic and complex pathophysiology...
March 11, 2024: Current Rheumatology Reports
https://read.qxmd.com/read/38466482/a-skin-inspired-self-adaptive-system-for-temperature-control-during-dynamic-wound-healing
#23
JOURNAL ARTICLE
Yaqi Geng, Guoyin Chen, Ran Cao, Hongmei Dai, Zexu Hu, Senlong Yu, Le Wang, Liping Zhu, Hengxue Xiang, Meifang Zhu
The thermoregulating function of skin that is capable of maintaining body temperature within a thermostatic state is critical. However, patients suffering from skin damage are struggling with the surrounding scene and situational awareness. Here, we report an interactive self-regulation electronic system by mimicking the human thermos-reception system. The skin-inspired self-adaptive system is composed of two highly sensitive thermistors (thermal-response composite materials), and a low-power temperature control unit (Laser-induced graphene array)...
March 11, 2024: Nano-Micro Letters
https://read.qxmd.com/read/38465163/performance-of-artificial-intelligence-ai-powered-chatbots-in-the-assessment-of-medical-case-reports-qualitative-insights-from-simulated-scenarios
#24
JOURNAL ARTICLE
Florian Reis, Christian Lenz
Introduction With the expanding awareness and use of AI-powered chatbots, it seems possible that an increasing number of people could use them to assess and evaluate their medical symptoms. If chatbots are used for this purpose, that have not previously undergone a thorough medical evaluation for this specific use, various risks might arise. The aim of this study is to analyze and compare the performance of popular chatbots in differentiating between severe and less critical medical symptoms described from a patient's perspective and to examine the variations in substantive medical assessment accuracy and empathetic communication style among the chatbots' responses...
February 2024: Curēus
https://read.qxmd.com/read/38464842/a-wolf-in-sheep-s-clothing-aortic-stenosis-and-cardiac-amyloidosis-raise-ing-awareness-in-clinical-practice
#25
JOURNAL ARTICLE
H Sabbour, K Al-Humood, Z Al Taha, I Romany, H Haddadin, D Mohty
Aesop's fable of the wolf in sheep's clothing encourages us to look beneath the exterior appearance of a situation and evaluate the truth that lies beneath. This concept should be applied when managing older patients with severe aortic stenosis. This population of patients is increasingly being identified as having concomitant cardiac amyloidosis, which is an underrecognized cause of common cardiac conditions. The presence of cardiac amyloidosis negatively affects the outcome of patients with aortic stenosis, these patients undergo transcatheter aortic valve replacement (TAVR) with increasing frequency and have a significantly higher overall mortality rate than patients with aortic stenosis alone...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38463128/intimomedial-mucoid-degeneration-resulting-in-a-dissecting-infrarenal-abdominal-aortic-aneurysm-in-a-young-middle-eastern-male-a-case-report
#26
Omar Hariri, Omar Al Laham, Lina Haffar, Mohammad Ghannam, Ammar Mohammad
INTRODUCTION AND IMPORTANCE: Intimomedial mucoid degeneration is a rare vascular disorder first depicted in 1977. It involves mucin deposition in arterial layers. This will cause elastic tissue degeneration and aneurysm formation. This pathology predominantly affects the aorta. However, it could involve other smaller vessels. Surgical treatment could become complicated by a bleeding diathesis. Therefore, a precise surgical technique is necessary to avoid the ensuing complications. CASE PRESENTATION: We present the case of a previously healthy 27-year-old Middle Eastern male who presented to our surgical clinic following the incidental discovery of an infrarenal abdominal aortic aneurysm following a blunt trauma to the left flank incurred during a fall...
March 2024: Annals of Medicine and Surgery
https://read.qxmd.com/read/38460610/environmental-considerations-along-the-life-cycle-of-pharmaceuticals-interview-study-on-views-regarding-environmental-challenges-concerns-strategies-and-prospects-within-the-pharmaceutical-industry
#27
JOURNAL ARTICLE
Sanja Riikonen, Johanna Timonen, Tiina Sikanen
Environmental impacts of medicines arise throughout their entire life cycle. The pharmaceutical industry has a key role in reducing these impacts in early production phases, but currently has limited possibilities to reduce the environmental exposure arising from drug consumption and end-of-life. The aim of this interview study was to explore the current environmental actions within the industry, as well as the views and attitudes toward the strategies to address the environmental challenges and concerns. Semi-structured interviews were conducted among representatives (n=15) from twelve pharmaceutical companies operating in Finland in February-May 2021...
March 7, 2024: European Journal of Pharmaceutical Sciences
https://read.qxmd.com/read/38459480/training-students-to-become-responsive-therapists-implications-from-a-sequential-mixed-methods-study-on-situations-that-therapists-find-challenging
#28
JOURNAL ARTICLE
Signe Hjelen Stige, Marion Hernes Torrissen, Yngvild Sørebø Danielsen, Reidar Jakobsen, Katharina Teresa Enehaug Morken, Ingrid Dundas
OBJECTIVE: To draw implications for training of therapist responsiveness from a sequential mixed-methods study on challenging clinical situations. METHOD: Study 1: online survey mapping frequency and perceived difficulty of 15 clinical situations in a representative sample of psychologists. Study 2: online survey mapping frequency and perceived difficulty of 19 clinical situations among therapists in child and adolescent psychiatry. Study 3: focus group study exploring the situations identified through study 1 and 2...
March 8, 2024: BMC Medical Education
https://read.qxmd.com/read/38459074/ordered-weighted-evaluation-method-of-lifting-operation-safety-risks-considering-coupling-effect
#29
JOURNAL ARTICLE
Kesheng Yan, Lianghai Jin, Xiaoyun Yu
In order to accurately evaluate the safety risk degree of lifting operations and improve the safety control level of lifting operations, firstly, Work Breakdown Structure (WBS) is used to decompose the construction process of lifting operations, Risk Breakdown Structure (RBS) is used to decompose the safety risk, 16 safety risk factors of lifting operations are identified, and the risk evaluation system is constructed. Then, the safety risk assessment model of lifting operations is constructed by integrating risk coupling theory, joint ordered weighting operators, and an interaction matrix to identify key risk factors and safety risk levels...
March 9, 2024: Scientific Reports
https://read.qxmd.com/read/38458856/listening-to-the-voices-of-mothers-in-indonesia-qualitative-content-analysis-of-experiences-in-parenting-children-with-down-syndrome
#30
JOURNAL ARTICLE
Muhammad Arsyad Subu, Erika Lubis, Tri Mustikowati, Siswani Marianna, Aliana Dewi, Syintia Hasnah Dewi, Imam Waluyo, Aan Sutandi, Richard Mottershead, Fatma Refaat Ahmed, Jacqueline Maria Dias, Nabeel Al Yateem
INTRODUCTION: Generally, mothers provide the majority of caring for children who have Down syndrome. They pose challenges not only with regard to the acceptability of the child situation but also with regard to the provision of care for children with DS. AIM: To explore the experiences of mothers parenting children with DS in Indonesia, to give a better understanding of their needs, which is necessary for the delivery of treatment. METHODS: A descriptive qualitative research with content analysis was used...
March 7, 2024: Journal of Pediatric Nursing
https://read.qxmd.com/read/38458401/the-dynamics-in-food-selection-stemming-from-price-awareness-and-perceived-income-adequacy-a-cross-sectional-study-using-1-year-loyalty-card-data
#31
JOURNAL ARTICLE
Mikael Fogelholm, Henna Vepsäläinen, Jelena Meinilä, Cameron McRae, Hannu Saarijärvi, Maijaliisa Erkkola, Jaakko Nevalainen
BACKGROUND: Higher cost of healthy foods may explain unhealthy dietary patterns in lower income households. Unfortunately, combining food selection and nutrient intake data to price and expenditure is challenging. Food retailer's customer loyalty card data, linked to nutrient composition database, is a novel method for simultaneous exploration of food purchases, price, and nutrition. OBJECTIVES: We studied the associations between Perceived Income Adequacy (PIA) as a grouping variable with price (per kg or MJ) and the volume of purchases (% of expenditure or energy) simultaneously as outcome variables for 17 most purchased food groups...
March 6, 2024: American Journal of Clinical Nutrition
https://read.qxmd.com/read/38457404/parental-decision-making-about-safer-sleep-practices-a-qualitative-study-of-the-perspectives-of-families-with-additional-health-and-social-care-needs
#32
JOURNAL ARTICLE
Simon Barrett, Jane Barlow, Hannah Cann, Anna Pease, Kate Shiells, Jenny Woodman, Ruth McGovern
INTRODUCTION: Despite a decline in Sudden Unexpected Death in Infancy in the UK since 2004, inequalities have widened with higher rates among families from deprived backgrounds and those known to child protection services. Almost all cases involve parents who had engaged in unsafe sleeping practices despite awareness of safer sleeping advice. OBJECTIVE: To understand the perspectives surrounding safer sleep of families supported by statutory child protection agencies, and use behavior change theory to inform how approaches to providing safer sleep advice to these families may be modified...
2024: PloS One
https://read.qxmd.com/read/38456229/perioperative-knowledge-self-efficacy-and-clinical-practices-related-to-postoperative-delirium-care-in-older-people-across-geographical-regions-in-australia
#33
JOURNAL ARTICLE
Ezinne O Igwe, Jessica Nealon, Pauline O'Shaughnessy, Callum Ormonde, Victoria Traynor
INTRODUCTION: In older people undergoing surgery, there is a lower tolerance for complications. This highlights the need for documented clinical practices on proper prevention, pre-screening and management of complications such as postoperative delirium (POD). Evidence-based clinical practice guidelines exist for delirium management; however, the management of delirium in clinical settings differs widely. OBJECTIVE: This study aims to develop an understanding of the knowledge, components of self-efficacy (confidence/competence), and clinical practice related to POD care among preoperative and recovery nurses across different types of geographical locations in Australia...
March 8, 2024: Australian Journal of Rural Health
https://read.qxmd.com/read/38453142/lost-in-translation-a-national-cross-sectional-study-on-medical-interpreter-use-by-pediatric-residents
#34
JOURNAL ARTICLE
Sarah Peters, Erin Peebles, Matthew Carwana
BACKGROUND: Lack of communication in a family's preferred language is inequitable and results in inferior care. Pediatric residents provide care to many families with non-English or French language preferences (NEFLP). There is no data available about how Canadian pediatric residents use interpreters, making it difficult to develop targeted interventions to improve patient experience. OBJECTIVES: Our purpose was to assess translation services in pediatric training centers and evaluate resident perception of their clinical skills when working with NEFLP patients and families...
March 7, 2024: Postgraduate Medical Journal
https://read.qxmd.com/read/38452454/nowcasting-and-forecasting-the-2022-u-s-mpox-outbreak-support-for-public-health-decision-making-and-lessons-learned
#35
JOURNAL ARTICLE
Kelly Charniga, Zachary J Madewell, Nina B Masters, Jason Asher, Yoshinori Nakazawa, Ian H Spicknall
In June of 2022, the U.S. Centers for Disease Control and Prevention (CDC) Mpox Response wanted timely answers to important epidemiological questions which can now be answered more effectively through infectious disease modeling. Infectious disease models have shown to be valuable tools for decision making during outbreaks; however, model complexity often makes communicating the results and limitations of models to decision makers difficult. We performed nowcasting and forecasting for the 2022 mpox outbreak in the United States using the R package EpiNow2...
March 2, 2024: Epidemics
https://read.qxmd.com/read/38449944/diagnosis-and-current-treatment-of-aneurysmal-bone-cysts
#36
REVIEW
Khalid A Bakarman
The purpose of this review is to increase awareness about the evolution and development of current trends in the diagnosis and treatment of aneurysmal bone cysts (ABCs). ABCs are benign, but locally aggressive bone tumors that mainly affect children. ABCs comprise 1% of all primary bone tumors and occur most frequently during the first two decades of life. The diagnosis is made using a variety of imaging modalities and has the characteristic features of an expansile, radiolucent lesion that is often seen in the metaphyseal region of the bone and has fluid-fluid levels that are apparent on MRI...
February 2024: Curēus
https://read.qxmd.com/read/38449831/clinical-experience-of-nurses-in-a-consultative-hospice-palliative-care-service
#37
JOURNAL ARTICLE
Sinyoung Kwon, Jinyee Byun
PURPOSE: The purpose of this qualitative study was to employ Colaizzi's phenomenological research method to elucidate and understand the essence of practical experiences among consultative hospice palliative care nurses working in hospice institutions. METHODS: The participants in the study were 15 consultative hospice palliative care nurses with over 1 year of work experience in institutions located in S City, I City, and K Province in South Korea. Data were collected from 23 in-depth interviews and analyzed using Colaizzi's phenomenological qualitative method...
March 1, 2024: J Hosp Palliat Care
https://read.qxmd.com/read/38449805/self-medication-with-antibiotics-in-georgian-population
#38
JOURNAL ARTICLE
Marina Darakhvelidze, Iagor Kalandadze, Nino Mirzikashvili, David Tsereteli, Natalia Zakareishvili, Ivane Ketchakmadze
Background: Self-medication with antibiotics is a global phenomenon and a potential contributor to human pathogen resistance to antibiotics. It involves obtaining medication without a prescription, taking medicines based on the advice of friends and relatives, or previous treatment experience. Self-medication is common in both developed and developing countries; however, the prevalence of self-medication is higher in developing countries. The aim of this study was to determine the characteristics of antimicrobial self-medication in Georgia and its potential to influence the overall situation regarding antimicrobial consumption in the country...
2024: Frontiers in Pharmacology
https://read.qxmd.com/read/38449565/editorial-cyber-security-in-the-wake-of-fourth-industrial-revolution-opportunities-and-challenges
#39
EDITORIAL
Elochukwu Ukwandu, Chaminda Hewage, Hanan Hindy
No abstract text is available yet for this article.
2024: Frontiers in big data
https://read.qxmd.com/read/38446641/athletic-trainer-s-beliefs-regarding-professionalism
#40
JOURNAL ARTICLE
Jamie L Mansell, Dani M Moffit, Sydnee Miller, Scott Burns, Elizabeth R Neil
CONTEXT: Limited research exists regarding the perceptions of professionalism of athletic trainers. OBJECTIVE: The purpose of this study was to explore the lived experiences of athletic trainers on their perceptions of professionalism. DESIGN: Qualitative Study. SETTING: Participants were athletic trainers who completed a semi-structured interview protocol via audio-only recording conferencing. PATIENTS OR OTHER PARTICIPANTS: 17 participants (age 33±8 years, range 25-56 years) who were certified athletic trainers with an average of 10 years of experience (SD: ±8, Range 1-33 years) participated in the interview...
March 6, 2024: Journal of Athletic Training
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