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https://www.readbyqxmd.com/read/28383334/advancing-nursing-practice-management-of-neuropathic-pain-with-capsaicin-8-without-physician-supervision
#1
Joanne O'Brien, Joseph Keaveny, Valerie Pollard, Linda Elizabeth Nugent
PURPOSE/AIMS: The purpose of this study was to examine the management of patient's neuropathic pain with capsaicin 8% in a nurse-led clinic when administered by 1 registered advanced nurse practitioner without physician supervision. DESIGN: A longitudinal, single-group, descriptive research design was used to assess pain scores and quality of life 3 times over 3 months after treatment. METHODS: Patients with a diagnosis of neuropathic pain were assessed and treated with capsaicin 8% by 1 advanced nurse practitioner with prescriptive authority in a nurse-led clinic...
May 2017: Clinical Nurse Specialist CNS
https://www.readbyqxmd.com/read/28247529/the-kaempf-periviability-guidelines-return-of-the-god-committee
#2
Patrick J Marmion
Not all births are happy occasions. As an obstetrician, I have helped many families as they experienced stillbirths and untimely deliveries over the last thirty years. During the last ten years I have witnessed a disturbing phenomenon: preterm babies dying needlessly because they are being denied life-sustaining interventions. I remember the families who were simply told their 23-week newborns would die because "all of them do". I remember the families who were told "we do not recommend intensive care for babies born at 24 weeks because when they survive their outcomes are bleak"...
March 1, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28219097/-work-anxieties-and-their-treatment-in-medical-rehabilitation-hand-tools-for-capacity-training-and-psychotherapy
#3
B Muschalla
Work-anxieties are often going along with workplace problems and long-term sick leave. Psychopathologically, different qualities of work anxiety can be distinguished: worrying, phobic anxiety, health-related anxiety, anxiety of insufficiency. An evaluation of a work-anxiety treatment showed that confronting patients with the topic work during medical rehabilitation leads to a better course. In work-oriented capacity trainings or behavior therapy groups, coping with everyday phenomena at work may be trained (self-presentation, social rules, work organization and problem solving, coping with chronic illness and impairment conditions)...
February 2017: Die Rehabilitation
https://www.readbyqxmd.com/read/27872021/hypoactive-sexual-desire-disorder-a-review-of-epidemiology-biopsychology-diagnosis-and-treatment
#4
REVIEW
Sharon J Parish, Steven R Hahn
INTRODUCTION: Hypoactive Sexual Desire Disorder (HSDD) is defined in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Revised (DSM-IV-TR) as persistent deficient sexual fantasies and desire for sexual activity that causes marked distress or interpersonal difficulty. In the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), HSDD has been subsumed by Female Sexual Interest/Arousal Disorder. However, decades of research based on DSM-IV-TR HSDD criteria form the foundation of our understanding of the essential symptom of distressing low sexual desire, its epidemiology, clinical management, and treatment...
April 2016: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/27790421/a-study-to-assess-the-validity-of-estimation-of-serum-ostase-level-in-hyperthyroid-and-hypothyroid-cases
#5
Polina Boruah, Arup Jyoti Baruah, Ranendra Hajong, Chandan Kumar Nath, Bhupen Barman, Happy Chutia, Kalyan Sarma
INTRODUCTION: One of the more specific assessments of the metabolic status of bone in normal and in disease conditions is the measurement of bone specific alkaline phosphatase or ostase. The measurement of serum ostase has several advantages over the measurements of other bone parameter. Because of its relatively long half-life, in-vivo (1 to 3days), it is relatively unaffected by diurnal variation. AIM: To find the correlation of serum ostase level in hyper and hypothyroid cases and also to study the validity of routine estimation of serum ostase in hyper and hypothyroid cases so as to monitor the base level bone health on presentation...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27701371/burnout-syndrome-and-wellbeing-in-anesthesiologists-the-importance-of-emotion-regulation-strategies
#6
Teresa A Lapa, Filipa M Madeira, Joaquim S Viana, José Pinto-Gouveia
Anesthesiologists face stressful working conditions that can culminate in burnout syndrome. Despite various studies and protective measures which have attempted to prevent this situation, burnout continues to be a problem within the profession, impacting negatively on physicians' lives and their performance. In this review article mechanisms and consequences of burnout are described in addition to individual strategies for stress management and burnout reduction with potential impact on health care quality and wellbeing in anesthesiologists...
February 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/27692828/happy-feet-application-for-the-management-of-diabetic-foot-osteomyelitis
#7
S Fiquet, F Desbiez, I Tauveron, N Mrozek, M Vidal, O Lesens
OBJECTIVE: We aimed to develop and implement an application that could improve the management of patients presenting with diabetic foot osteomyelitis. PATIENTS AND METHODS: Physicians from the multidisciplinary diabetic foot infection team and a software engineer first assessed the needs required for the infection management and application. An experimental version was then designed and progressively improved. A final version was implemented in clinical practice in 2013 by the multidisciplinary diabetic foot infection team of our university hospital...
December 2016: Médecine et Maladies Infectieuses
https://www.readbyqxmd.com/read/27685758/physician-driven-variation-in-the-care-of-children-with-spinal-muscular-atrophy-type-1
#8
Maryam Oskoui, Pamela Ng, Stephen Liben, David Zielinski
BACKGROUND: Increasing numbers of families are requesting active supportive management for their child with spinal muscular atrophy type 1 (SMA1), leading to longer survival and greater prevalence of affected children. Strong opinions exist among physicians for and against the provision of care measures prolonging life. OBJECTIVE: To describe current practice in the care of SMA1 in Canada, and explore the factors underlying inter-physician variability. METHODS: A cross-sectional survey of Canadian hospital-based pediatric neurologists and pediatric respirologists was performed in 2015...
May 2017: Pediatric Pulmonology
https://www.readbyqxmd.com/read/27634550/does-bipolar-disorder-have-a-benign-course
#9
Osvaldo P Almeida
Written records have been describing extreme states of emotions since ancient Greece (Angst and Marneros, 2001), but Aretaeus of Cappadocia (which is geographically located in modern Turkey) was probably the first to outline the close relationship between depression and mania nearly 2000 years ago: "I think that melancholia is the beginning and a part of mania. . . The development of mania is really a worsening of the disease rather than a change into another disease. . . In most of them the sadness became better after various lengths of time and changed into happiness; the patients then developed a mania" (Angst and Marneros, 2001)...
September 16, 2016: International Psychogeriatrics
https://www.readbyqxmd.com/read/27609695/levels-of-depression-and-satisfaction-with-life-as-indicators-of-health-services-consumption
#10
Roi Sagy, Maya Amitai, Abraham Weizman, Dov Aizenberg
OBJECTIVE: To evaluate the correlation between depression, satisfaction with life, and primary healthcare services consumption. METHODS: A random sample of primary healthcare clinic patients agreed to complete self-report questionnaires on demographics and physical activity, the Geriatric Depression Scale (GDS), Satisfaction with Life Scale and the Visual Analog Scale for Happiness. Treating physicians completed the Cumulative Illness Rating Scale (CIRS) for each patient...
November 2016: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/27516814/fecal-microbiota-therapy-for-clostridium-difficile-infection-a-health-technology-assessment
#11
REVIEW
(no author information available yet)
BACKGROUND: Fecal microbiota therapy is increasingly being used to treat patients with Clostridium difficile infection. This health technology assessment primarily evaluated the effectiveness and cost-effectiveness of fecal microbiota therapy compared with the usual treatment (antibiotic therapy). METHODS: We performed a literature search using Ovid MEDLINE, Embase, Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects, CRD Health Technology Assessment Database, Cochrane Central Register of Controlled Trials, and NHS Economic Evaluation Database...
2016: Ontario Health Technology Assessment Series
https://www.readbyqxmd.com/read/27513756/ingenol-mebutate-500-%C3%A2%C2%B5g-on-the-cheekbones-with-concomitant-conjunctivitis
#12
Olivier Gaide, Vincent Cattin
Ingenol mebutate induces strong inflammation after a single application already. This must be taken into account when prescribing the drug, as mistakes in the application may results in severe side effects. Here, we report the case of a 72-year-old woman who applied ingenol mebutate on the cheekbones and developed a pronounced conjunctivitis, needing topical corticosteroids. The treatment was intended for the actinic keratosis she had on the chest, and the regimen of 2 consecutive once daily applications of ingenol mebutate at 500 µg/g had been prescribed as registered...
2016: Dermatology: International Journal for Clinical and Investigative Dermatology
https://www.readbyqxmd.com/read/27485261/role-of-physician-perception-of-patient-smile-on-pretest-probability-assessment-for-acute-pulmonary-embolism
#13
MULTICENTER STUDY
Jeffrey A Kline, Dawn Neumann, Cassandra L Hall, Jacob Capito
BACKGROUND: Many clinicians use a global visual interpretation of patient appearance to decide if a patient looks sick or not. For patients with suspected acute pulmonary embolism (PE), we tested the relationship between visual appearance of a happy patient facial affect and probability of PE+ on CT pulmonary angiography (CTPA). METHODS: Eligible patients were selected by usual care to undergo CTPA, the criterion standard for PE+ or PE-. Prior to CTPA result, trained study personnel obtained physician pretest probability using the gestalt method (visual analogue scale, 0%-100%), the Wells score (0-12) and physicians' impression of whether the patient smiled during the initial examination (smile+)...
February 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/27389607/bolstering-the-pipeline-for-primary-care-a-proposal-from-stakeholders-in-medical-education
#14
Hanyuan Shi, Kevin C Lee
The Association of American Medical Colleges reports an impending shortage of over 90,000 primary care physicians by the year 2025. An aging and increasingly insured population demands a larger provider workforce. Unfortunately, the supply of US-trained medical students entering primary care residencies is also dwindling, and without a redesign in this country's undergraduate and graduate medical education structure, there will be significant problems in the coming decades. As an institution producing fewer and fewer trainees in primary care for one of the poorest states in the United States, we propose this curriculum to tackle the issue of the national primary care physician shortage...
2016: Medical Education Online
https://www.readbyqxmd.com/read/27378604/interventional-cardiology-where-real-life-and-science-do-not-necessarily-meet
#15
REVIEW
Bernhard Meier
Evidence-based diagnosis, decision-making, and therapy appear a must these days. Generating and publishing evidence is a tedious job according to ever new and tightened research practice regulations. Rules will never prevent the typical human behaviour from showing the new thing to be shinier and the old thing dustier than they really are. The medical community is solicited to concoct a meal that is gullible for patients, authorities, and third-party payers out of the available evidence (after applying some conversion factors correcting the common bias of the researchers), anticipation of what will be the evidence tomorrow, common sense, and digested experience...
July 7, 2016: European Heart Journal
https://www.readbyqxmd.com/read/27043800/relation-between-physicians-work-lives-and-happiness
#16
Jodie Eckleberry-Hunt, Heather Kirkpatrick, Kanako Taku, Ronald Hunt, Rashmi Vasappa
OBJECTIVES: Although we know much about work-related physician burnout and the subsequent negative effects, we do not fully understand work-related physician wellness. Likewise, the relation of wellness and burnout to physician happiness is unclear. The purpose of this study was to examine how physician burnout and wellness contribute to happiness. METHODS: We sampled 2000 full-time physician members of the American Academy of Family Physicians. Respondents completed a demographics questionnaire, questions about workload, the Physician Wellness Inventory, the Maslach Burnout Inventory, and the Subjective Happiness Scale...
April 2016: Southern Medical Journal
https://www.readbyqxmd.com/read/26922808/advance-meta-directives-for-patients-with-dementia-who-appear-content-learning-from-a-nationwide-survey
#17
Bettina Schoene-Seifert, Anna Lena Uerpmann, Joachim Gerß, David Herr
OBJECTIVES: Whether health care professionals should respect a properly executed advance directive (AD) refusing life support in late-stage dementia even if the patient seems contented, is an ethically contested issue. We undertook a nationwide survey to assess this problem and to test a practical solution. DESIGN: Nationwide survey using a questionnaire among 4 stakeholder groups. SETTING: Germany. PARTICIPANTS: Adult Germans (n = 735), among them: dementia-experienced physicians (n = 161), dementia-experienced nurses (n = 191), next of kin (n = 197), and dementia-inexperienced adults (n = 186)...
April 1, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/26896873/a-qualitative-study-of-infectious-diseases-fellowships-in-japan
#18
Kentaro Iwata, Asako Doi
OBJECTIVE: The purpose of this research is to elucidate the actual status of Infectious Diseases (ID) Fellowship programs in Japan to improve them further. METHODS: We conducted qualitative interviews with infectious diseases fellows and his/her faculty consultants from 10 institutions providing ID Fellowships in Japan. We qualitatively analysed the data to delineate the actual status of each program and the fellowship program policies overall, and to identify measures for further improvement...
2016: International Journal of Medical Education
https://www.readbyqxmd.com/read/26863827/psychostimulants-concerns-over-long-term-adverse-side-effects
#19
EDITORIAL
James Gray Adams
The personal rewards are substantial for the healthcare provider who can make teachers and parents happy. There are evolving, alternative methods of dealing with ADHD, but PS are relatively cheap and quick when they work (roughly 70% of the time) and readily accessible. We have no social or educational structures currently to deal with the extreme ADHD cases. In cases of less dramatic, attention problems, poor grades, where PS boost attention, physicians are unlikely to abandon their patients willingly, unless compelled to sacrifice short-term goals over the unanswered questions about what is best in the long run...
November 2015: Journal of the Mississippi State Medical Association
https://www.readbyqxmd.com/read/26765623/a-defining-moment-in-a-life-long-journey-with-dialysis
#20
Judy Weintraub
BACKGROUND: The author seeks to address the issue of lack of communication between the physician and the patients as one of the possibilities for continued poor outcomes despite technical advances in dialysis. The failure to relate to patients as 'people' leads to a failure to individualize treatment and deal with atypical problems presented by some patients, which, in turn, leads to less than optimal outcomes. SUMMARY: Statistical statements of life expectancy for dialysis patients are misleading...
2016: Blood Purification
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