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Continual medical education type 2

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https://www.readbyqxmd.com/read/27879606/improving-outcomes-in-tendon-repair-a-critical-look-at-the-evidence-for-flexor-tendon-repair-and-rehabilitation
#1
Wee S Khor, Martin F Langer, Richard Wong, Rui Zhou, Fiona Peck, Jason K F Wong
LEARNING OBJECTIVES: After reading this article, the participant should be able to: 1. Appreciate the variation and evolution of flexor tendon management 2. Know how to assess the patient who presents with a flexor tendon laceration. 3. Understand the biology of repairing flexor tendon lacerations. 4. Appreciate the technical challenges in flexor tendon repair relating to different zones. 5. Understand the rationale of postoperative hand therapy. 6. Have an overview of the types of secondary tendon surgery...
December 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27852516/changes-in-the-management-of-type-2-diabetic-patients-in-family-medicine-practices-in-the-bursa-region
#2
Olgun Göktaş, Özen Öz Gül, Erdinç Ertürk
AIM: The aim of the study was to investigate the treatment and monitoring patterns of type 2 diabetes patients in the Bursa region over the last 5 years since the implementation of family practice in Turkey in 2010. METHODS: A total of 216 volunteer family doctors working in family health centers took part in this study. The records of 44,819 diabetic patients who visited these doctors between January 1, 2010 and December 31, 2014 were inspected retrospectively...
November 13, 2016: Primary Care Diabetes
https://www.readbyqxmd.com/read/27845810/communication-between-acute-care-hospitals-and-skilled-nursing-facilities-during-care-transitions-a-retrospective-chart-review
#3
Cheryl Jusela, Laura Struble, Nancy Ambrose Gallagher, Richard W Redman, Rosemary A Ziemba
HOW TO OBTAIN CONTACT HOURS BY READING THIS ARTICLE INSTRUCTIONS XX contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded once you register, pay the registration fee, and complete the evaluation form online at http://goo...
November 15, 2016: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/27843274/reasons-for-patronage-of-traditional-bone-setters
#4
Innocent Egbeji Abang, Joseph Asuquo, N E Ngim, Ikpeme Asanye Ikpeme, P Agweye, S E Urom, C Anisi, E Mpama
AIMS AND OBJECTIVES: The objectives of this study were to analyze the different reasons why patients with fractures patronize traditional bone setters (TBS) and their impression of the outcome of the treatment by the TBS. MATERIALS AND METHODS: A 24 month prospective observational study was conducted from February 2012 to January 2014. All the patients were recruited from the orthopedics outpatient clinic. The demographic data of each patient, the type of injury, presentation to hospital or not, reasons for leaving the hospital, reasons for patronage of the TBS and their impression of the outcome of TBS' treatment, effect of educational background on patronage of TBS and reason for presenting to hospital for orthodox treatment...
July 2016: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
https://www.readbyqxmd.com/read/27830436/improved-compliance-with-reporting-standards-a-retrospective-analysis-of-intersocietal-accreditation-commission-nuclear-cardiology-laboratories
#5
P Tim Maddux, Mary Beth Farrell, Joseph A Ewing, Peter L Tilkemeier
BACKGROUND: In 2011, Tilkemeier et al reported significant nuclear cardiology laboratory noncompliance with reporting standards. The aim of this study was to identify and examine noncompliant reporting elements with the Intersocietal Accreditation Commission Nuclear/PET (IAC) Reporting Standards and to compare compliance between 2008 and 2014. METHODS: This was a retrospective study of compliance with 18 reporting elements utilizing accreditation findings from all laboratories applying for accreditation in 2008 and 2014...
November 9, 2016: Journal of Nuclear Cardiology: Official Publication of the American Society of Nuclear Cardiology
https://www.readbyqxmd.com/read/27790855/determinants-of-hemoglobin-a1c-level-in-patients-with-type-2-diabetes-after-in-hospital-diabetes-education-a-study-based-on-continuous-glucose-monitoring
#6
Keiichi Torimoto, Yosuke Okada, Sachiko Sugino, Yoshiya Tanaka
AIMS/INTRODUCTION: We investigated the relationship between blood glucose profile at hospital discharge, evaluated by continuous glucose monitoring (CGM), and hemoglobin A1c (HbA1c) level at 12 weeks after discharge in patients with type 2 diabetes who received inpatient diabetes education. MATERIALS AND METHODS: This was a retrospective study. The subjects were 54 patients with type 2 diabetes who did not change their medication after discharge. The mean blood glucose (MBG), standard deviation (SD), coefficient of variation, mean postprandial glucose excursion, maximum blood glucose, minimum blood glucose, percentage of time with blood glucose at ≥180 mg/dL (Time at ≧180), percentage of time with blood glucose at ≥140 mg/dL, and percentage of time with blood glucose at <70 mg/dL were measured at admission and discharge using CGM...
October 27, 2016: Journal of Diabetes Investigation
https://www.readbyqxmd.com/read/27749721/pediatric-type-1-diabetes-reducing-admission-rates-for-diabetes-ketoacidosis
#7
Jeniece Trast Ilkowitz, Steven Choi, Michael L Rinke, Kathy Vandervoot, Rubina A Heptulla
BACKGROUND: Diabetes ketoacidosis (DKA) is a life-threatening complication of type 1 diabetes mellitus (T1DM). Reducing DKA admissions in children with T1DM requires a coordinated, comprehensive management plan. We aimed to decrease DKA admissions, 30-day readmissions, and length of stay (LOS) for DKA admissions. METHODS: A multipronged intervention was designed in 2011 to reach all patients: (1) increase insulin pump use and basal-bolus regimen versus sliding scales, (2) transform educational program, (3) increased access to medical providers, and (4) support for patients and families...
October 2016: Quality Management in Health Care
https://www.readbyqxmd.com/read/27745552/does-mode-of-follow-up-influence-contraceptive-use-after-medical-abortion-in-a-low-resource-setting-secondary-outcome-analysis-of-a-non-inferiority-randomized-controlled-trial
#8
Mandira Paul, Sharad D Iyengar, Birgitta Essén, Kristina Gemzell-Danielsson, Kirti Iyengar, Johan Bring, Marie Klingberg-Allvin
BACKGROUND: Post-abortion contraceptive use in India is low and the use of modern methods of contraception is rare, especially in rural areas. This study primarily compares contraceptive use among women whose abortion outcome was assessed in-clinic with women who assessed their abortion outcome at home, in a low-resource, primary health care setting. Moreover, it investigates how background characteristics and abortion service provision influences contraceptive use post-abortion. METHODS: A randomized controlled, non-inferiority, trial (RCT) compared clinic follow-up with home-assessment of abortion outcome at 2 weeks post-abortion...
October 17, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27641781/continuous-glucose-monitoring-for-patients-with-type-1-diabetes-and-impaired-awareness-of-hypoglycaemia-in-control-a-randomised-open-label-crossover-trial
#9
Cornelis A J van Beers, J Hans DeVries, Susanne J Kleijer, Mark M Smits, Petronella H Geelhoed-Duijvestijn, Mark H H Kramer, Michaela Diamant, Frank J Snoek, Erik H Serné
BACKGROUND: Patients with type 1 diabetes who have impaired awareness of hypoglycaemia have a three to six times increased risk of severe hypoglycaemia. We aimed to assess whether continuous glucose monitoring (CGM) improves glycaemia and prevents severe hypoglycaemia compared with self-monitoring of blood glucose (SMBG) in this high-risk population. METHODS: We did a randomised, open-label, crossover trial (IN CONTROL) at two medical centres in the Netherlands...
November 2016: Lancet Diabetes & Endocrinology
https://www.readbyqxmd.com/read/27565735/effect-of-a-newly-devised-nutritional-guide-based-on-self-efficacy-for-patients-with-type-2-diabetes-in-japan-over-2-years-1-year-intervention-and-1-year-follow-up-studies
#10
Takuya Yamamoto, Shota Moyama, Hideki Yano
AIMS/INTRODUCTION: We devised a new system called the "Educational Guidance" (E-Guide) for nutritional education based on self-efficacy. The present study aimed to examine the effects of E-Guide use on glycemic control among patients with type 2 diabetes (T2DM). MATERIALS AND METHODS: We conducted an interventional and observational study that included 74 patients with T2DM. The extent of glycemic control in the 39 patients who received guidance via the E-Guide (E-Guide group) was compared with that of 35 patients who received conventional nutritional guidance (control group)...
August 27, 2016: Journal of Diabetes Investigation
https://www.readbyqxmd.com/read/27536800/the-effectiveness-of-patient-navigation-programs-for-adult-cancer-patients-undergoing-treatment-a-systematic-review
#11
Poh Chi Tho, Emily Ang
BACKGROUND: Advancements in technology and medical treatment have made cancer care treatment more complex. With the current trend of sub-specialization in health care, cancer patients commonly receive care from multiple specialists and have wider treatment options. In view of this, there is a need to coordinate care and integrate information to enhance care and quality of outcomes for patients. Since the successful implementation of programs for increasing the survival rate of breast cancer patients at Harlem Hospital Center, New York, USA, patient navigation programs have been widely introduced in healthcare settings...
February 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27497797/ehealth-patient-provider-communication-in-the-united-states-interest-inequalities-and-predictors
#12
Kiara K Spooner, Jason L Salemi, Hamisu M Salihu, Roger J Zoorob
OBJECTIVE: Health-related Internet use and eHealth technologies, including online patient-provider communication (PPC), are continually being integrated into health care environments. This study aimed to describe sociodemographic and health- and Internet-related correlates that influence adult patients' interest in and electronic exchange of medical information with health care providers in the United States. METHODS: Nationally representative cross-sectional data from the 2014 Health Information National Trends Survey (N = 3677) were analyzed...
August 7, 2016: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/27492933/-headache-tools-to-stay-in-school-assessment-development-and-implementation-of-an-educational-guide-for-school-nurses
#13
Lori Lazdowsky, Jonathan Rabner, Alessandra Caruso, Karen Kaczynski, Sarah Gottlieb, Elyse Mahoney, Alyssa LeBel
BACKGROUND: Headache is the most common type of pain reported in the pediatric population, and chronic headache is an increasingly prevalent and debilitating pain condition in children and adolescents. With large numbers of students experiencing acute headaches and more students with chronic headache reentering typical school settings, greater availability of tailored evidence-based practice guidelines for school nurses is imperative. METHODS: A 2-armed study was developed to assess the need for and evaluate the use and favorability of a headache-driven school nurse guide...
September 2016: Journal of School Health
https://www.readbyqxmd.com/read/27484821/patient-education-for-consumer-mediated-hie-a-pilot-randomized-controlled-trial-of-the-department-of-veterans-affairs-blue-button
#14
Carolyn L Turvey, Dawn M Klein, Matthew Witry, J Stacey Klutts, Elaine L Hill, Bruce Alexander, Kim M Nazi
OBJECTIVES: Consumer-mediated health information exchange (HIE) is one of the three types of HIE designated by the Office of the National Coordinator. HIE is intended to improve the quality of care while reducing cost, yet empirical support for this claim is mixed. Future research should identify the contexts whereby HIE is most effective. METHODS: This study was conducted as a pilot two-arm randomized controlled trial. In the intervention arm, 27 veterans were taught how to generate a Continuity of Care Document (CCD) within the Blue Button feature of their VA patient portal and were then asked to share it with their community non-VA provider...
August 3, 2016: Applied Clinical Informatics
https://www.readbyqxmd.com/read/27469152/promotion-of-kidney-care-in-countries-with-limited-resources-how-does-the-national-kidney-foundation-of-south-africa-fare
#15
Anthony M Meyers
INTRODUCTION: An often-quoted remark is to present problems as challenges, which invariably end up in the "in-box", eventually to be swept under the carpet. The chronic kidney disease burden in the South African black population poses a challenging crisis requiring immediate intervention even in a country with limited resources. Aims, materials, and methods: The National Kidney Foundation of South Africa (NKFSA) reports on 3 major projects. The schools project is aimed at prevention, early diagnosis, and appropriate management of chronic kidney disease (CKD) on a national basis...
2016: Clinical Nephrology
https://www.readbyqxmd.com/read/27457114/metabolic-screening-in-patients-with-polycystic-ovary%C3%A2-syndrome-is-largely-underutilized-among-obstetrician-gynecologists
#16
Amy S Dhesi, Katie L Murtough, Jonathan K Lim, Jay Schulkin, Peter G McGovern, Michael L Power, Sara S Morelli
Women with polycystic ovary syndrome have substantially higher rates of insulin resistance, impaired glucose tolerance, type 2 diabetes, dyslipidemia, and metabolic syndrome when compared with women without the disease. Given the high prevalence of these comorbidities, guidelines issued by the American College of Obstetricians and Gynecologists and the Endocrine Society recommend that all women with polycystic ovary syndrome undergo screening for impaired glucose tolerance and dyslipidemia with a 2 hour 75 g oral glucose tolerance test and fasting lipid profile upon diagnosis and also undergo repeat screening every 2-5 years and every 2 years, respectively...
November 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27434597/treatments-for-the-prevention-of-sudden-unexpected-death-in-epilepsy-sudep
#17
REVIEW
Melissa J Maguire, Cerian F Jackson, Anthony G Marson, Sarah J Nolan
BACKGROUND: Sudden Unexpected Death in Epilepsy (SUDEP) is defined as sudden, unexpected, witnessed or unwitnessed, non-traumatic or non-drowning death of people with epilepsy, with or without evidence of a seizure, excluding documented status epilepticus and in whom postmortem examination does not reveal a structural or toxicological cause for death. SUDEP has a reported incidence of 1 to 2 per 1000 patient years and represents the most common epilepsy-related cause of death. The presence and frequency of generalised tonic-clonic seizures (GTCS), male sex, early age of seizure onset, duration of epilepsy, and polytherapy are all predictors of risk of SUDEP...
July 19, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27385874/profiles-and-factors-associated-with-poor-glycemic-control-among-inpatients-with-diabetes-mellitus-type-2-as-a-primary-diagnosis-in-a-teaching-hospital
#18
Aniza Ismail, Leny Suzana Suddin, Saperi Sulong, Zafar Ahmed, Nor Azmi Kamaruddin, Norlela Sukor
CONTEXT: Diabetes mellitus is a growing health problem in most countries. In Malaysia, there was an increase in prevalence over the years. This makes diabetes also a growing concern in Malaysia, which warrants strengthening of the prevention and control programme. AIMS: This paper aims to describe the profiles of diabetes mellitus type 2 in tertiary setting and to identify the risk factors for high level of HbA1c among the study population. The findings will give a glimpse on current status of diabetes in our country and may reflect the achievement of the country in combating this disease...
July 2016: Indian Journal of Community Medicine
https://www.readbyqxmd.com/read/27327062/an-academic-healthcare-twitter-account-the-mayo-clinic-experience
#19
R Jay Widmer, Nicole B Engler, Jeffrey B Geske, Kyle W Klarich, Farris K Timimi
With more than 300 million monthly active users, Twitter is a powerful social media tool in healthcare, yet the characterization of an academic healthcare Twitter account remains poor to date. We assessed basic gender and geographic data on the account's "followers," as well as categorization of each tweet based on content type. We analyzed the impressions, engagements, retweets, favorites, replies, hashtag clicks, and detail expansions using both Sprinklr and Twitter Analytics. Over a period of 12 months, the account amassed 1,235 followers, with 54 percent being male and 68 percent residing in the United States...
June 2016: Cyberpsychology, Behavior and Social Networking
https://www.readbyqxmd.com/read/27275787/variation-in-postpartum-glycemic-screening-in-women-with-a-history-of-gestational-diabetes-mellitus
#20
Emma Morton Eggleston, Robert Franklin LeCates, Fang Zhang, James Franklin Wharam, Dennis Ross-Degnan, Emily Oken
OBJECTIVE: To assess patterns and predictors of postpartum diabetes screening in a commercially insured, geographically and sociodemographically diverse sample of women with gestational diabetes mellitus. METHODS: Using commercial insurance claims (2000-2012) from all 50 states, we conducted a retrospective cohort study in 447,556 women with at least one delivery and continuous enrollment 1 year before and after delivery. We identified women with a gestational diabetes mellitus pregnancy and examined postpartum diabetes screening type and timing and performed logistic regression to identify screening predictors...
July 2016: Obstetrics and Gynecology
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