keyword
https://read.qxmd.com/read/38041103/a-patient-s-perspective-on-care-decisions-a-qualitative-interview-study
#1
JOURNAL ARTICLE
S Briedé, O N Brandwijk, T C van Charldorp, H A H Kaasjager
BACKGROUND AND OBJECTIVES: Discussing treatment wishes and limitations during medical consultations aims to enable patients to define goals and preferences for future care. Patients and physicians, however, face multiple barriers, resulting in postponing or avoiding the conversation. The aim of this study was to explore an internal medicine outpatient clinic population's perception on (discussing) treatment wishes and limitations. METHODS: Semi-structured interviews were conducted in two rounds with 44 internal medicine outpatient clinic patients at the University Medical Centre Utrecht, a tertiary care teaching medical centre in the Netherlands...
December 1, 2023: BMC Health Services Research
https://read.qxmd.com/read/38021871/integration-of-telehealth-in-routine-perinatal-care-a-model-of-care-for-primary-healthcare-clinics-in-saudi-arabia
#2
REVIEW
Razaz Wali
This study aims to introduce a new model of antenatal/postnatal care that integrates virtual clinics with the current model of care, including a discussion on the current model, pre-existing barriers, and prenatal framework, and the need for transition to telehealth beyond the pandemic. In antenatal primary health care centers, such as King Abdulaziz Medical City (KAMC), low-risk antenatal/postnatal care receives clinical care through complete physical attendance in antenatal/postnatal clinics in primary care clinics for pregnancy follow-up and in tertiary hospitals for fetal ultrasound and invasive procedures if needed...
October 2023: Curēus
https://read.qxmd.com/read/37936183/becoming-a-physician-for-older-patients-exploring-the-professional-identity-formation-of-medical-students-during-a-nursing-home-clerkship-a-qualitative-study
#3
JOURNAL ARTICLE
Annemarie Moll-Jongerius, Kirsten Langeveld, Esther Helmich, Tahir Masud, Anneke W M Kramer, Wilco P Achterberg
BACKGROUND: To prepare medical students for the growing population of older patients, an appropriate professional identity formation is desirable. The community of practice of medical school is primarily hospital-based and disease-oriented which will lead to the development of a physician who is mainly focused on cure. This focus alone however is not always appropriate for older persons' health care. The aim of this study is to explore the influence of participating in a nursing home community of practice on the professional identity formation of medical students...
November 7, 2023: BMC Medical Education
https://read.qxmd.com/read/37134109/when-can-cancer-patient-treatment-nonadherence-be-considered-intentional-or-unintentional-a-scoping-review
#4
JOURNAL ARTICLE
Leon Wreyford, Raj Gururajan, Xujuan Zhou
BACKGROUND: Treatment nonadherence in cancer patients remains high with most interventions having had limited success. Most studies omit the multi-factorial aspects of treatment adherence and refer to medication adherence. The behaviour is rarely defined as intentional or unintentional. AIM: The aim of this Scoping Review is to increase understanding of modifiable factors in treatment nonadherence through the relationships that physicians have with their patients...
2023: PloS One
https://read.qxmd.com/read/36350019/-optimizing-the-therapeutic-adherence-in-ambulatory-care-the-link-between-patients-home-care-nurses-pharmacists-and-physicans
#5
JOURNAL ARTICLE
Aurélie Bongard, Blandine Strub, Jérôme Berger, Alexandre Gouveia
The World Health Organization (WHO) considers medication safety as one of the main areas for improvement in patient safety. Treatment adherence, as a dynamic process that evolves through time or life circumstances, is of paramount importance, since it depends on a number of factors that health care professionals need to approach comprehensively during patient follow-up. In this article, we describe the tools available to general practitioners or specialist physicians, in collaboration with pharmacists and home care nurses, to optimize medication adherence in an ambulatory setting...
November 9, 2022: Revue Médicale Suisse
https://read.qxmd.com/read/35870372/physican-a-device-for-automatic-cpm-exercises-implementation-over-canines-design-and-analysis
#6
JOURNAL ARTICLE
A Erazo, S Cisneros, R Esparza, M Jumbo, Y Choi, S Ko
Continuous Passive Motion (CPM) devices have been used to assist physicians conducting human rehabilitation; however, similar machines specific for canine rehabilitation have not been found in the reviewed literature. This research performed a physical analysis of the hind limb of dogs to design a device for implementing automated CPM exercises. The device proved to comply with the guidelines to perform CPM exercises, allowing a proper setting of parameters to generate rehabilitation routines customized for different rehabilitation requirements...
July 11, 2022: Research in Veterinary Science
https://read.qxmd.com/read/35461701/opportunities-to-enhance-parental-well-being-during-prenatal-counseling-for-congenital-heart-disease
#7
JOURNAL ARTICLE
Theresa A Tacy, Nadine A Kasparian, Ruchika Karnik, Miwa Geiger, Erica Sood
Prenatal diagnosis of congenital heart disease (CHD) can be a life-altering and traumatic event for expectant parents. Parental anxiety, depression, and traumatic stress are common following a prenatal cardiac diagnosis and if untreated, symptoms often persist long-term. During prenatal counseling, parents must try to manage psychological distress, navigate uncertainty, process complex medical information, and make high-stakes medical decisions for their unborn child and their family. Physicians must deliver the diagnosis, describe the expected perinatal management plan, discuss short and long-term prognoses and introduce elements of uncertainty that may exist for the particular diagnosis...
March 13, 2022: Seminars in Perinatology
https://read.qxmd.com/read/34927212/are-there-different-viewpoints-about-the-management-of-type-2-diabetes-mellitus-and-comorbidities-a-multidisciplinary-spanish-qualitative-research
#8
JOURNAL ARTICLE
Francesc-Xavier Cos, Ricardo Gómez-Huelgas, Fernando Gomez-Peralta
INTRODUCTION: The aim of this study was to explore the vision of a large multidisciplinary group of physicians treating type 2 diabetes mellitus (T2DM) in Spain, with a special focus on controversial management aspects. The perceptions of primary care (PC) physicians and hospital care (HC) specialists were compared. METHODS: This was a mixed survey that included Delphi-like statements and opinion, attitude and behaviour (OAB) questions. The Delphi-like statements were assessed on the basis of the degree of agreement among respondents, and a descriptive analysis was performed on the answers to the OAB questions...
January 2022: Diabetes Therapy: Research, Treatment and Education of Diabetes and related Disorders
https://read.qxmd.com/read/34917546/morbidity-and-mortality-in-patients-with-acute-coronary-syndrome-with-and-without-chronic-kidney-disease-and-physicans-atitude-regarding-theraphy-in-the-two-groups
#9
JOURNAL ARTICLE
Mădălina Ioana Moisi, Cosmin Mihai Vesa, Larisa Roșan, Otilia Țica, Carmen Dana Zaha, Adriana Ardelean, Babeș Katalin, Mircea Ioachim Popescu
No abstract text is available yet for this article.
August 2021: Iranian Journal of Public Health
https://read.qxmd.com/read/34916057/pneumothorax-with-bullous-lesions-as-a-late-complication-of-covid-19-pneumonia-a-report-on-two-clinical-cases
#10
JOURNAL ARTICLE
Martin Schiller, Andreas Wunsch, Juergen Fisahn, Andreas Gschwendtner, Ute Huebner, Wolfgang Kick
BACKGROUND: Coronavirus-19 disease (COVID-19) primarily affects the respiratory tract, causing viral pneumonia with fever, hypoxemia, and cough. Commonly observed complications include acute respiratory failure, liver or kidney injury, and cardiovascular or neurologic symptoms. In some patients, inflammatory damage results in long-term complications, such as pulmonary fibrosis, chronic pulmonary thrombotic microangiopathy, or neurologic symptoms. The development of spontaneous pneumothorax is reported as a rare complication mainly in consequence to mechanic ventilation in the criticall ill...
November 2021: Journal of Emergency Medicine
https://read.qxmd.com/read/34891205/-the-gastroenterology-during-the-first-and-second-wave-of-corona-pandemic-two-surveys-by-the-working-group-of-the-guiding-gastroenterologic-clinicians-algk
#11
JOURNAL ARTICLE
Thomas Frieling, Angelika Behrens, Joachim Labenz, Ludger Leifeld, Ahmed Madisch, Dieter Schilling, Birgit Terjung
BACKGROUND: An evaluation of the non-university hospitals in Germany with regard to the actual and follow-up working condition, alterations and perspectives during the Corona-crisis is missing. The working group of the guiding gastroenterologic clinicians (ALGK) comprises more than 70% of the head physicians of gastroenterological units leading to representative informations. METHODS: The ALGK conducted two surveys among its members in 2020 during the first and 2021 during the second Corona-wave...
December 2021: Zeitschrift Für Gastroenterologie
https://read.qxmd.com/read/34826544/mitigating-end-of-life-burden-parallel-perspectives-of-physician-patients-family-caregivers
#12
JOURNAL ARTICLE
Jonathan J Suen, Emily Vo, Catherine A Clair, Marie T Nolan, Joseph J Gallo, Martha Abshire Saylor
CONTEXT: Patients and family caregivers perceive burden in care at the end of life differently even when the patient is a physican. OBJECTIVES: We describe how older adult physicians as prospective patients (hereafter "physician-patients") and family caregivers of physician-patients view burden in care at the end of life. METHODS: Interviews with physician-patients (n = 28) and family caregivers (n = 26) of physician-patients who had died were conducted as part of a shared decision-making study...
April 2022: Journal of Pain and Symptom Management
https://read.qxmd.com/read/33831032/prevalence-of-sars-cov-2-positivity-in-516-german-intensive-care-and-emergency-physicians-studied-by-seroprevalence-of-antibodies-national-covid-survey-germany-nat-cov-surv
#13
JOURNAL ARTICLE
Detlef Kindgen-Milles, Timo Brandenburger, Julian F W Braun, Corvin Cleff, Kian Moussazadeh, Ingo Mrosewski, Jörg Timm, Dietmar Wetzchewald
Healthcare personnel are at risk to aquire the corona virus disease 2019 (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We evaluated the prevalence of SARS-CoV-2 antibodies and positive nasopharyngeal reverse transcriptase polymerase-chain reaction (RT-PCR) tests in German intensive care and emergency physicians. Physicians attending intensive care and emergency medicine training courses between June 16th and July 2nd 2020 answered a questionnaire and were screened for SARS-CoV-2 antibodies via automated electrochemiluminiscence immunoassay...
2021: PloS One
https://read.qxmd.com/read/33533563/covid-19-related-masks-increase-severity-of-both-acne-maskne-and-rosacea-mask-rosacea-multi-center-real-life-telemedical-and-observational-prospective-study
#14
JOURNAL ARTICLE
Giovanni Damiani, Laura C Gironi, Ayman Grada, Khalaf Kridin, Renata Finelli, Alessandra Buja, Nicola L Bragazzi, Paolo D M Pigatto, Paola Savoia
Masks are essential for COVID-19 prevention, but recently they were suggested to modify cutaneous facial microenvironment and trigger facial dermatoses. To evaluate mask-related rosacea and acne (maskne) in untreated patients during lockdown. In this multi-center, real-life, observational prospective study, we enrolled stable, untreated acne and rosacea patients that wore masks during lockdown at least 6 h/day. They underwent two teledermatological consultations, at the baseline and after 6 weeks. Clinical, pharmacological, and psychological data were recorded...
March 2021: Dermatologic Therapy
https://read.qxmd.com/read/33509063/hiv-aids-treatment-funding-system-to-support-the-people-affected-by-hiv-aids-in-surakarta-indonesia
#15
JOURNAL ARTICLE
Argyo Demartoto, Bhisma Murti, Siti Zunariyah
People Living with HIV/AIDS (PLWHA's) quality of life (QoL) is determined by the lifetime treatment sustainability. Republic of Indonesia Minister of Health's Decree Number 328 of 2003 stated that government subsidies the PLWHA's medication and treatment, despite not covering entire medication and treatment cost. The objective of research was to analyse the cost assumed by PLWHA in accessing HIV/AIDS treatment service in Surakarta, Indonesia. The target group in this case study was PLWHAs, and related stakeholders of medical treatment in one of Public Health Centers and a Public Hospital in Surakarta; AIDS Commission of Surakarta City; Solo Plus Peer Support Group and AIDS-Care NGO selected purposively...
December 2021: SAHARA J: Journal of Social Aspects of HIV/AIDS Research Alliance
https://read.qxmd.com/read/33011924/adherence-to-the-national-guidelines-for-follow-up-protocol-in-subjects-with-type-2-diabetes-mellitus-in-greece-the-glance-study
#16
JOURNAL ARTICLE
Nikolaos Papanas, Moses Elisaf, Kalliopi Kotsa, Andreas Melidonis, Stavros Bousboulas, Alexandra Bargiota, Emmanouel Pagkalos, John Doupis, Ioannis Ioannidis, Iakovos Avramidis, Angelos C Pappas, Gerasimos Karousos, Eleni Arvaniti, Magdalini Bristianou, Katerina Pietri, Eugenia Karamousouli, Bernd Voss, Ilias Migdalis, Nikolaos Tentolouris
INTRODUCTION: Physician adherence, or lack therefore, to diabetes care and follow-up guidelines may be linked to the rates of achieving suboptimal glycaemic, blood pressure and lipid targets in people with type 2 diabetes mellitus (T2DM). In this cross-sectional study we evaluated physician adherence to the patient follow-up protocol (PFP) of the 2017 Hellenic Diabetes Association (HDA) guidelines and also assessed glycated haemoglobin (HbA1c ), blood pressure and lipid control achievement rates in the routine care setting in Greece...
December 2020: Diabetes Therapy: Research, Treatment and Education of Diabetes and related Disorders
https://read.qxmd.com/read/32987224/cognitive-bias-impact-on-management-of-postoperative-complications-medical-error-and-standard-of-care
#17
JOURNAL ARTICLE
Anthony C Antonacci, Samuel P Dechario, Caroline Antonacci, Gregg Husk, Vihas Patel, Jeffrey Nicastro, Gene Coppa, Mark Jarrett
BACKGROUND: Cognitive bias (CB) is increasingly recognized as an important source of medical error and up to 75% of errors in internal medicine are thought to be cognitive in origin (O'Sullivan ED, Schofield SJ. Cognitive bias in clinical medicine. J R Coll Physicans Edinb. 2018;48;225-232). However, primary data regarding the true incidence of bias is lacking. A prospective evaluation of CB in the management of surgical cases with complications has not been reported. This study reports the incidence and distribution of various types of CBs, and evaluates their impact on management errors and standard of care (SOC)...
February 2021: Journal of Surgical Research
https://read.qxmd.com/read/32926681/a-case-report-co-presenting-covid-19-infection-and-acute-drug-intoxication
#18
JOURNAL ARTICLE
Jeremy Riekena, Irene Lee, Anita Lui, Marion-Vincent Mempin
BACKGROUND: Coronavirus disease 2019 (COVID-19) has spread throughout the world since late 2019. Symptoms appear after a two-week incubation period and commonly include fever, cough, myalgia or fatigue, and shortness of breath. CASE REPORT: A 32-year-old male with a history of opiate abuse presented to the emergency department with altered mental status. The patient was lethargic and hypoxic with improvement from naloxone. Official chest radiograph was read as normal; however, the treating clinicians noted bilateral interstitial opacities, raising concern for underlying infectious etiology...
August 2020: Clinical Practice and Cases in Emergency Medicine
https://read.qxmd.com/read/32571276/physician-preferences-for-non-metastatic-castration-resistant-prostate-cancer-treatment
#19
JOURNAL ARTICLE
Sandy Srinivas, Ateesha F Mohamed, Sreevalsa Appukkuttan, Marc Botteman, Xinyi Ng, Namita Joshi, Erica Horodniceanu, A Reginald Waldeck, Stacey J Simmons
BACKGROUND: Recent approvals of second-generation androgen receptor inhibitors (SGARIs) have changed the treatment landscape for non-metastatic castration-resistant prostate cancer (nmCRPC). These SGARIs have similar efficacy but differ in safety profiles. We used a discrete choice experiment to explore how United States physicians make treatment decisions between adverse events (AEs) and survival gains in nmCRPC, a largely asymptomatic disease. METHODS: Treating physicians (n = 149) participated in an online survey that included 14 treatment choice questions, each comparing 2 hypothetical treatment profiles, which varied in terms of 5 safety and 2 efficacy attributes...
June 22, 2020: BMC Urology
https://read.qxmd.com/read/31523727/well-prepared-outpatient-visits-satisfy-patient-and-physican
#20
JOURNAL ARTICLE
Marian Smeulers, Myrte Dikmans, Michèle van Vugt
No abstract text is available yet for this article.
2019: BMJ Open Quality
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