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https://www.readbyqxmd.com/read/27888946/difficult-doctors-difficult-patients-building-empathy
#1
Patricia F Anderson, Elise Wescom, Ruth C Carlos
Effective doctor-patient communication facilitates the therapeutic relationship, promotes patient physical and mental health, and improves physician satisfaction. Methods of teaching effective communication use a range of techniques, typically combining didactic instruction with simulated communication encounters and reflective discussion. Rarely are patients and physicians exposed to these instructions as colearners. The evidence for the utility of graphic stories, comics, and cartoons to improve patient comprehension and self-regulation is small but encouraging...
December 2016: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/27884908/books-the-frayed-consultation-model-for-doctors-dealing-with-unreasonable-demands-from-difficult-patients-a-communication-skills-guide-for-stressed-gps-on-how-to-survive-doctor-patient-conflict-to-yield-or-not-to-yield
#2
Shazia Khan
No abstract text is available yet for this article.
December 2016: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/27874846/communications-and-relationships-between-patient-and-nurse-in-intensive-care-unit-knowledge-knowledge-of-the-work-knowledge-of-the-emotional-state
#3
Chiara Foà, Lisa Cavalli, Alessia Maltoni, Nicoletta Tosello, Chiara Sangilles, Ilaria Maron, Marina Borghini, Giovanna Artioli
BACKGROUND AND AIM: In an Intensive Care Unit (ICU) the communication between nurse and patient, the core of the care, is often hindered by patient's cognitive alterations and critical situation, by devices employed for the mechanical ventilation, and by the clinical and care-giving setting. How to overcome these barriers? How is the relational and communicative approach between nurse and patient unable to express him or herself to be managed? The available literature reveals that studies on communication with difficult patients, such as those treated in ICU are currently scarce...
November 22, 2016: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/27777876/transanal-total-mesorectal-excision-myths-and-reality
#4
Nicolas C Buchs, Marta Penna, Alexander L Bloemendaal, Roel Hompes
Transanal total mesorectal excision (TaTME) is a new and promising approach for the treatment of rectal cancer. Whilst the experience is still limited, there are growing evidences that this approach might overcome the limits of standard low anterior resection. TaTME might help to decrease the conversion rate especially in difficult patients, and to improve the pathological results, while preserving the urogenital function. Evaluation of data from large registries and randomized studies should help to draw firmer conclusions...
October 10, 2016: World Journal of Clinical Oncology
https://www.readbyqxmd.com/read/27772554/what-s-difficult-a-multi-stage-qualitative-analysis-of-secondary-care-specialists-experiences-with-medically-unexplained-symptoms
#5
Anke Maatz, Megan Wainwright, Andrew J Russell, Jane Macnaughton, Yan Yiannakou
BACKGROUND: The term 'difficult' is pervasively used in relation to medically unexplained symptoms (MUS) and patients with MUS. This article scrutinises the use of the term by analysing interview data from a study of secondary care specialists' experiences with and attitudes towards patients suffering from MUS. DESIGN: Qualitative design employing semi-structured open-ended interviews systematically analysed in three stages: first, data were analysed according to the principles of content analysis...
November 2016: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/27728916/lobar-collapse-therapy-using-endobronchial-valves-as-a-new-complementary-approach-to-treat-cavities-in-multidrug-resistant-tuberculosis-and-difficult-to-treat-tuberculosis-a-case-series
#6
Lorenzo Corbetta, Ariela Tofani, Flavio Montinaro, Lucio Michieletto, Loris Ceron, Chiara Moroni, Pier Giorgio Rogasi
BACKGROUND: The poor treatment outcomes of multidrug-resistant tuberculosis (TB) and the emergence of extensively drug-resistant TB and extremely and totally drug-resistant TB highlight the urgent need for new antituberculous drugs and other adjuvant treatment approaches. OBJECTIVES: We have treated cavitary tuberculosis by the application of endobronchial one-way valves (Zephyr®; Pulmonx Inc., Redwood City, Calif., USA) to induce lobar volume reduction as an adjunct to drug treatment...
2016: Respiration; International Review of Thoracic Diseases
https://www.readbyqxmd.com/read/27726880/non-crosslinked-porcine-acellular-dermal-matrix-in-pediatric-abdominal-wall-reconstruction-a-case-series
#7
Richard W Siy, Rachel E Pferdehirt, Shayan A Izaddoost
INTRODUCTION: The use of biologic mesh where native tissue deficiencies limit reconstructive options has been well documented in the adult population, with increasing use to address the special requirements of complex abdominal wall reconstruction. There is, however, little documented evidence as to the safety and efficacy of these products in the pediatric population. METHODS: This retrospective case series details 5 pediatric cases of complicated abdominal hernia repair with Strattice®, a non-crosslinked porcine acellular dermal matrix...
September 23, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27707512/pulmonary-artery-catheter-placement-using-transesophageal-echocardiography
#8
Brett Cronin, Robin Robbins, Timothy Maus
OBJECTIVE: To assess the feasibility of pulmonary artery catheter placement using transesophageal echocardiography inclusive of a description of the technique. DESIGN: A prospective, proof-of-concept study. SETTING: Single university hospital. PARTICIPANTS: Twenty patients with chronic thromboembolic pulmonary hypertension scheduled for pulmonary thromboendarterectomy. INTERVENTIONS: Pulmonary artery catheters were placed in 20 patients solely by transesophageal echocardiographic guidance...
July 12, 2016: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/27683196/chronic-intestinal-pseudo-obstruction-in-children-and-adults-diagnosis-and-therapeutic-options
#9
G Di Nardo, C Di Lorenzo, A Lauro, V Stanghellini, N Thapar, T B Karunaratne, U Volta, R De Giorgio
BACKGROUND: Chronic intestinal pseudo-obstruction (CIPO) represents the most severe form of gastrointestinal dysmotility with debilitating and potentially lethal consequences. Symptoms can be non-specific, and result in this condition being diagnosed incorrectly or too late with consequences for morbidity and even mortality. PURPOSE: The present article aims to provide pediatric and adult gastroenterologists with an up to date review about clinical features, diagnosis and therapeutic options for CIPO...
September 29, 2016: Neurogastroenterology and Motility: the Official Journal of the European Gastrointestinal Motility Society
https://www.readbyqxmd.com/read/27578852/doctor-patient-relationship-between-individuals-with-fibromyalgia-and-rheumatologists-in-public-and-private-health-care-in-mexico
#10
Tirsa Colmenares-Roa, Gabriela Huerta-Sil, Claudia Infante-Castañeda, Leticia Lino-Pérez, Everardo Alvarez-Hernández, Ingris Peláez-Ballestas
The aim of this article was to describe and analyze the doctor-patient relationship between fibromyalgia patients and rheumatologists in public and private health care contexts within the Mexican health care system. This medical anthropological study drew on hospital ethnography and patients' illness narratives, as well as the experiences of rheumatologists from both types of health care services. The findings show how each type of medical care subsystem shape different relationships between patients and doctors...
October 2016: Qualitative Health Research
https://www.readbyqxmd.com/read/27439272/pain-part-8-burning-mouth-syndrome
#11
Kiran Beneng, Tara Renton
Burning mouth syndrome (BMS) is a rare but impactful condition affecting mainly post-menopausal women resulting in constant pain and significant difficulty with eating, drinking and daily function. The aetiology of BMS remains an enigma. Recent evidence suggests it likely to be neuropathic in origin, the cause of which remains unknown. There is no cure for this condition and the unfortunate patients remain managed on a variety of neuropathic pain medication, salivary substitutes and other non-medical interventions that help the patient 'get through the day'...
April 2016: Dental Update
https://www.readbyqxmd.com/read/27432055/ultrasonographic-identification-of-the-cricothyroid-membrane-best-evidence-techniques-and-clinical-impact
#12
M S Kristensen, W H Teoh, S S Rudolph
Inability to identify the cricothyroid membrane by inspection and palpation contributes substantially to the high failure rate of cricothyrotomy. This narrative review summarizes the current evidence for application of airway ultrasonography for identification of the cricothyroid membrane compared with the clinical techniques. We identified the best-documented techniques for bedside use, their success rates, and the necessary training for airway-ultrasound-naïve clinicians. After a short but structured training, the cricothyroid membrane can be identified using ultrasound in difficult patients by previously airway-ultrasound naïve anaesthetists with double the success rate of palpation...
September 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/27389519/outcomes-of-preoperative-chemoradiotherapy-followed-by-surgery-in-patients-with-unresectable-locally-advanced-sigmoid-colon-cancer
#13
Bo Qiu, Pei-Rong Ding, Ling Cai, Wei-Wei Xiao, Zhi-Fan Zeng, Gong Chen, Zhen-Hai Lu, Li-Ren Li, Xiao-Jun Wu, Rene-Olivier Mirimanoff, Zhi-Zhong Pan, Rui-Hua Xu, Yuan-Hong Gao
BACKGROUND: Complete resection of locally advanced sigmoid colon cancer (LASCC) is sometimes difficult. Patients with LASCC have a dismal prognosis and poor quality of life, which has encouraged the evaluation of alternative multimodality treatments. This prospective study aimed to assess the feasibility and efficacy of neoadjuvant chemoradiotherapy (neoCRT) followed by surgery as treatment of selected patients with unresectable LASCC. METHODS: We studied the patients with unresectable LASCC who received neoCRT followed by surgery between October 2010 and December 2012...
2016: Chinese Journal of Cancer
https://www.readbyqxmd.com/read/27296150/the-diagnostic-accuracy-of-urine-based-tests-for-bladder-cancer-varies-greatly-by-patient
#14
Ajay Gopalakrishna, Thomas A Longo, Joseph J Fantony, Richmond Owusu, Wen-Chi Foo, Rajesh Dash, Brant A Inman
BACKGROUND: Spectrum effects refer to the phenomenon that test performance varies across subgroups of a population. When spectrum effects occur during diagnostic testing for cancer, difficult patient misdiagnoses can occur. Our objective was to evaluate the effect of test indication, age, gender, race, and smoking status on the performance characteristics of two commonly used diagnostic tests for bladder cancer, urine cytology and fluorescence in situ hybridization (FISH). METHODS: We assessed all subjects who underwent cystoscopy, cytology, and FISH at our institution from 2003 to 2012...
2016: BMC Urology
https://www.readbyqxmd.com/read/27264853/evidence-based-dentistry-and-its-role-in-caring-for-special-needs-patients
#15
REVIEW
Alan N Queen
Evidence-based dentistry is a concept ideally suited and applicable to special needs dentistry. As the special needs of patients varies according to the individual, so should the way we evaluate our patient, prescribe a course of treatment, and implement that treatment plan. Future generations of dental students and residents should be trained in these concepts not just for patients with special needs, but also for the general patient population. It is imperative that the dental community not retreat in the face of what many deem to be "difficult" patients with special needs...
July 2016: Dental Clinics of North America
https://www.readbyqxmd.com/read/27258180/successful-treatment-of-refractory-hypoxemia-secondary-to-disseminated-histoplasmosis-using-extracorporeal-membrane-oxygenation-support
#16
Brendan T Wanta, Harmony L Tyner, John K Bohman, Larry M Baddour
Refractory hypoxemia secondary to acute respiratory distress syndrome (ARDS) is associated with high mortality. Extracorporeal membraneoxygenation (ECMO) is an accepted strategy for treating refractory hypoxemia in patients with ARDS but is relatively contraindicated in the setting of systemic infections. We present a case of successful ECMO use in a host with refractory hypoxemia secondary to disseminated histoplasmosis with fungemia and discuss our management approach to this difficult patient.
June 1, 2016: A & A Case Reports
https://www.readbyqxmd.com/read/27158978/pancreatic-cancer
#17
Jorg Kleeff, Murray Korc, Minoti Apte, Carlo La Vecchia, Colin D Johnson, Andrew V Biankin, Rachel E Neale, Margaret Tempero, David A Tuveson, Ralph H Hruban, John P Neoptolemos
Pancreatic cancer is a major cause of cancer-associated mortality, with a dismal overall prognosis that has remained virtually unchanged for many decades. Currently, prevention or early diagnosis at a curable stage is exceedingly difficult; patients rarely exhibit symptoms and tumours do not display sensitive and specific markers to aid detection. Pancreatic cancers also have few prevalent genetic mutations; the most commonly mutated genes are KRAS, CDKN2A (encoding p16), TP53 and SMAD4 - none of which are currently druggable...
2016: Nature Reviews. Disease Primers
https://www.readbyqxmd.com/read/27037981/a-randomised-cross-over-comparison-of-the-transverse-and-longitudinal-techniques-for-ultrasound-guided-identification-of-the-cricothyroid-membrane-in-morbidly-obese-subjects
#18
M S Kristensen, W H Teoh, S S Rudolph, R Hesselfeldt, J Børglum, M F Tvede
We compared the transverse and longitudinal approaches to ultrasound-guided identification of the cricothyroid membrane, to determine which was faster and more successful. Forty-two anaesthetists received a one-hour structured training programme consisting of e-learning, a lecture and hands-on training, and then applied both techniques in a randomised, cross-over sequence to obese females with body mass index 39.0 - 43.9 kg.m(-2) . The mean (SD) time to identify the cricothyroid membrane was 24.0 (12.4) s using the transverse technique compared with 37...
June 2016: Anaesthesia
https://www.readbyqxmd.com/read/27027166/-difficult-patients-distract-doctors-from-correct-diagnoses
#19
(no author information available yet)
Patients regarded as 'difficult' by doctors are more likely to have conditions misdiagnosed, irrespective of the time spent or the complexity of the case, a new study suggests.
March 30, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27018181/anti-interleukin-12-23-blockade-offers-novel-therapeutic-opportunities-for-the-difficult-patient-with-crohn-s-disease
#20
Jesus Rivera-Nieves, Giorgos Bamias
No abstract text is available yet for this article.
May 2016: Gastroenterology
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