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https://www.readbyqxmd.com/read/29933487/dementia-and-hearing-loss-interrelationships-and-treatment-considerations
#1
H Isabel Hubbard, Sara K Mamo, Tammy Hopper
Hearing loss is common among typically aging older adults and those with dementia. In recent years, there has been a renewed interest in the relationship between hearing and cognition among older adults, and in hearing loss as a modifiable risk factor for dementia. However, relatively less attention has been focused on the management of hearing loss among individuals with dementia and the key roles of speech-language pathologists and audiologists in providing such care. In this article, the authors review the literature on hearing loss and dementia, and analyze the research evidence for treatment of hearing loss in the context of major neurocognitive disorders, such as Alzheimer's disease...
July 2018: Seminars in Speech and Language
https://www.readbyqxmd.com/read/29933481/-outpatient-drain-management-in-patients-with-clinically-relevant-postoperative-pancreatic-fistula-cr-popf-current-status-in-germany
#2
Sebastian Hempel, Pamela Püttmann, Christoph Kahlert, Lena Seifert, Sören Torge Mees, Thilo Welsch, Jürgen Weitz, Marius Distler
INTRODUCTION: Postoperative pancreatic fistula (POPF) is a common complication after pancreatic surgery and is associated with extended hospitalisation, increased medical costs, and reduced quality of life. The aim of the present study was to assess the treatment of POPF in Germany, with a special focus on outpatient drain management in patients with clinically relevant POPF (CR-POPF). METHODS: A questionnaire evaluating postoperative management once a CR-POPF is diagnosed - especially focusing on ambulatory drain management - was developed and sent to 211 German hospitals performing > 12 pancreatic operations per year...
June 2018: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/29933427/vascular-access-complications-in-patients-undergoing-percutaneous-procedures-in-hemodynamics-a-scoping-review
#3
Rejane Reich, Eneida Rejane Rabelo-Silva, Simone Marques Dos Santos, Miriam de Abreu Almeida
OBJECTIVE: To map the production of knowledge on vascular access complications in patients undergoing percutaneous procedures in hemodynamic laboratories. METHODS: Scoping review study. The search strategy was developed in three stages, considering the period from July 2005 to July 2015 in the PubMed, CINAHL, Scopus, and LILACS databases. The collected data were analyzed and summarized in a narrative form. RESULTS: One-hundred twenty-eight publications that made it possible to map the contexts of study of complications, occurrence according to access routes, as well as an understanding of diagnosis and clinical management, were included...
June 7, 2018: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/29933425/dehospitalisation-at-a-general-hospital-in-minas-gerais-challenges-and-prospects
#4
Kênia Lara Silva, Roseni Rosângela de Sena, Wesley Souza Castro
OBJECTIVE: To analyse the dehospitalisation process at a general public hospital in Minas Gerais, Brazil, from the perspective of managers, health workers, users and their families. METHODS: This is a qualitative, exploratory, descriptive study based on the principles of methodological and theoretical dialectics. The participants were 24 hospital health workers and 15 companions of users going through the process of dehospitalisation. Data were collected from April to June 2015 using semi-structured interviews and a field journal records and subsequently subjected to content analysis...
June 7, 2018: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/29933365/traditions-of-research-in-community-mental-health-care-planning-and-care-coordination-a-systematic-meta-narrative-review-of-the-literature
#5
Aled Jones, Ben Hannigan, Michael Coffey, Alan Simpson
CONTEXT: In response to political and social factors over the last sixty years mental health systems internationally have endeavoured to transfer the delivery of care from hospitals into community settings. As a result, there has been increased emphasis on the need for better quality care planning and care coordination between hospital services, community services and patients and their informal carers. The aim of this systematic review of international research is to explore which interventions have proved more or less effective in promoting personalized, recovery oriented care planning and coordination for community mental health service users...
2018: PloS One
https://www.readbyqxmd.com/read/29933327/mobile-apps-for-individuals-with-rheumatoid-arthritis-a-systematic-review
#6
Dee Luo, Penny Wang, Fengxin Lu, Josephine Elias, Jeffrey A Sparks, Yvonne C Lee
BACKGROUND: Mobile health applications (apps) have the potential to help individuals with chronic illnesses learn about, monitor, and manage their condition, but these apps are largely unexamined, with the state and direction of development unclear. OBJECTIVE: We performed a systematic review of publicly available apps, directed toward individuals with rheumatoid arthritis (RA); described their current features; and determined areas of unmet need. METHODS: We searched the iTunes and Google Play App Stores for the term "arthritis" and reviewed the descriptions of these apps for specific mentions of RA...
June 21, 2018: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/29933307/impact-of-comorbidity-on-symptoms-and-quality-of-life-among-patients-being-treated-for-breast-cancer
#7
Horng-Shiuann Wu, Jean E Davis, Ling Chen
BACKGROUND: Cancer patients often have other noncancer medical conditions. Presence of comorbidities negatively affects cancer survival. OBJECTIVE: The aim of this study was to investigate comorbidity, risk factors for comorbidity, and how comorbidity was associated with symptoms and quality of life in patients being treated for breast cancer. METHODS: One hundred and one breast cancer chemotherapy outpatients completed this study. Comorbid conditions, weight, height, and smoking status were identified by chart review...
June 22, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29933306/managing-cancer-experiences-an-interpretive-description-study-of-internet-information-use
#8
Kristen R Haase, Wendy Gifford, Lorraine Holtslander, Roanne Thomas
BACKGROUND: People with cancer increasingly use the Internet to find information about their illness. However, little is known regarding people's use of cancer-related Internet information (CRII) to manage their patient experience, defined as patients' cumulative perceptions of interactions with the healthcare system during their illness. OBJECTIVE: The purpose of this study was to create an understanding of CRII use by people newly diagnosed with cancer and how it shapes their patient experience and informs their interactions with healthcare professionals and healthcare services...
June 22, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29933305/presurgery-and-postsurgery-quality-of-life-and-associated-factors-in-patients-with-malignant-neoplasms-of-the-head-and-neck-a-6-month-follow-up-study
#9
Zhiping Hu, Xiaoling Zhou, Weiwei Duan, Wenge Lei, Min Zhang, Lingxia Zeng
BACKGROUND: Maintenance of good functional status and improvement of quality of life (QOL) in patients with head and neck cancer help to determine the efficacy of anticancer therapies. OBJECTIVE: The aims of this study were to describe the profile of QOL changing over time and evaluate the correlation between anxiety, pain severity, and shoulder and neck function with QOL in patients. METHODS: A prospective cohort study was conducted. Quality of life, neck and shoulder function, anxiety, and pain were assessed at the time of presurgery, 1 week, and 3 and 6 months postsurgery...
June 22, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29933304/development-of-a-prehabilitation-multimodal-supportive-care-interventions-for-men-and-their-partners-before-radical-prostatectomy-for-localized-prostate-cancer
#10
Catherine Paterson, Charlotte Primeau, Irene Pullar, Ghulam Nabi
BACKGROUND: An important question revolves around when the most opportune time is to introduce recovery-optimizing behaviors for men opting for radical prostatectomy (RP) for localized prostate cancer (PCa). An emerging field of research describes the role of preoperative strategies to improve treatment tolerance and overall physical and psychological recovery. OBJECTIVE: The aim of this study was to explore the perceptions of a multimodal prehabilitation intervention for men and their partners before RP for localized PCa...
June 22, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29933269/high-fidelity-simulation-nurse-training-reduces-unplanned-interruption-of-continuous-renal-replacement-therapy-sessions-in-critically-ill-patients-the-simher-randomized-controlled-trial
#11
Pierre Lemarie, Solenne Husser Vidal, Soizic Gergaud, Xavier Verger, Emmanuel Rineau, Jerome Berton, Elsa Parot-Schinkel, Jean-François Hamel, Sigismond Lasocki
BACKGROUND: Although continuous renal replacement therapy (CRRT) is common, unplanned interruptions (UI) often limit its usefulness. In many units, nurses are responsible for CRRT management. We hypothesized that a nurse training program based on high-fidelity simulation would reduce the rate of interrupted sessions. METHODS: We performed a 2-phase (training and evaluation), randomized, single-center, open study: During the training phase, intensive care unit nurses underwent a 6-hour training program and were randomized to receive (intervention) or not (control) an additional high-fidelity simulation training (6 hours)...
June 20, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29933267/perioperative-management-in-hepatic-resections-comparative-effectiveness-of-neuraxial-anesthesia-and-disparity-of-care-patterns
#12
Jeron Zerillo, Parul Agarwal, Jashvant Poeran, Nicole Zubizarreta, George Poultsides, Myron Schwartz, Stavros Memtsoudis, Madhu Mazumdar, Samuel DeMaria
BACKGROUND: Complication rates after hepatic resection can be affected by management decisions of the hospital care team and/or disparities in care. This is true in many other surgical populations, but little study has been done regarding patients undergoing hepatectomy. METHODS: Data from the claims-based national Premier Perspective database were used for 2006 to 2014. The analytical sample consisted of adults undergoing partial hepatectomy and total hepatic lobectomy with anesthesia care consisting of general anesthesia (GA) only or neuraxial and GA (n = 9442)...
June 20, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29933172/diagnosis-and-surgical-therapy-of-the-retroperitoneal-ectopic-pregnancy-a-case-report
#13
Yizhuo Yang, Zhongyu Liu, Lei Song, Hui Liu, Lian Li, Yuanguang Meng
INTRODUCTION: Retroperitoneal ectopic pregnancy (REP) is a rare type of gestation that is difficult to diagnose and treat. To date, only several published cases are available and no specific guideline has been developed to manage this disease. As the lesions are located closely to the large retroperitoneal blood vessels, surgical resection of the gestational tissue might incur risks such as associated hemorrhage, injury of blood vessels or nerves. On the other hand, the therapeutic effect of conservative treatment using methotrexate is not satisfactory...
June 9, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29933147/i-care-randomized-clinical-trial-integrating-depression-and-acute-coronary-syndrome-care-in-low-resource-hospitals-in-china-design-and-rationale
#14
Shenshen Li, James A Blumenthal, Chuan Shi, Danielle Millican, Xian Li, Xin Du, Anushka Patel, Pei Gao, Elizabeth Delong, Pallab K Maulik, Runlin Gao, Xin Yu, Yangfeng Wu
Depression and acute coronary syndromes (ACS) are both common public health challenges. Patients with ACS often develop depression, which in turn adversely affects prognosis. Low-cost, sustainable, and effective service models that integrate depression care into the management of ACS patients to reduce depression and improve ACS outcomes are critically needed. Integrating Depression Care in ACS patients in Low Resource Hospitals in China (I-CARE) is a multicenter, randomized controlled trial to evaluate the efficacy of an 11-month integrated care (IC) intervention compared to usual care (UC) in management of ACS patients...
May 21, 2018: American Heart Journal
https://www.readbyqxmd.com/read/29932939/nonsurgical-management-of-medication-related-osteonecrosis-of-the-jaws-using-local-wound-care
#15
Danny Hadaya, Akrivoula Soundia, Earl Freymiller, Tristan Grogan, David Elashoff, Sotirios Tetradis, Tara L Aghaloo
PURPOSE: Medication-related osteonecrosis of the jaws (MRONJ) is a known complication of antiresorptive medications with surgical and nonsurgical treatment options. The aim of this study was to evaluate the effectiveness of nonsurgical therapy using local wound care on management of MRONJ lesions. MATERIALS AND METHODS: The authors conducted a retrospective cohort study of patients who presented to the University of California-Los Angeles School of Dentistry Oral and Maxillofacial Surgery Clinic for evaluation and treatment of MRONJ...
May 29, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29932849/problems-in-continuity-of-medication-management-upon-transition-between-primary-and-secondary-care-patients-and-professionals-experiences
#16
Veerle Foulon, Joke Wuyts, Franciska Desplenter, Anne Spinewine, Valérie Lacour, Dominique Paulus, Jan De Lepeleire
Background and objectives Patients often experience drug-related problems at admission or after discharge from hospital. The objective of this study was to identify the main problems in medication management at transition between settings of care, as experienced by health care professionals (HCPs) and patients. Methods Focus group discussions were organised between December 2009 and February 2010; nine focus groups with primary and secondary care HCPs and patients and two with stakeholders. Focus group discussions were audiotaped and observation files were constructed...
June 22, 2018: Acta Clinica Belgica
https://www.readbyqxmd.com/read/29932790/concerns-related-to-the-accurate-identification-of-anterior-derangement-syndrome-in-mechanical-diagnosis-and-therapy-for-low-back-pain-a-case-report
#17
Hiroshi Takasaki, Stephen May
BACKGROUND: In Mechanical Diagnosis and Therapy (MDT), patients with low back pain (LBP) are classified into subgroups to guide a management strategy. A common subgroup where symptoms improve with lumbar extension is labeled posterior derangement syndrome. A less common subgroup where symptoms improve with lumbar flexion is labeled anterior derangement syndrome. CASE PRESENTATION: The patient was a 23-year-old woman with intermittent LBP and discomfort over the left lower extremity was initially diagnosis with posterior derangement syndrome...
June 22, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29932780/over-the-counter-medication-availability-could-augment-self-management-of-male-lower-urinary-tract-symptoms
#18
Claus G Roehrborn, Martin M Miner, Richard Sadovsky
In this review, we focus on current trends in the management of male lower urinary tract symptoms (LUTS), defined here as LUTS, namely, storage, voiding, and post-micturition symptoms presumed secondary to benign prostatic hyperplasia (BPH), and discuss possible novel approaches toward better care. According to results of a PubMed database search covering the last 10 years and using keywords pertaining to male LUTS, this condition continues to be globally undiagnosed or diagnosed late, partly because of men's hesitation to seek help for perceived embarrassing problems or problems considered a normal part of aging...
June 22, 2018: Postgraduate Medicine
https://www.readbyqxmd.com/read/29932762/spectrum-of-pitfalls-pseudolesions-and-misdiagnoses-in-noncirrhotic-liver
#19
Khaled M Elsayes, Christine O Menias, Ali I Morshid, Akram M Shaaban, Kathryn J Fowler, An Tang, Victoria Chernyak, Janio Szklaruk, Mustafa R Bashir
OBJECTIVE: The purpose of this article is to illustrate the various pitfalls, mimics, and atypical features that can lead to inaccurate diagnosis of focal lesions in a noncirrhotic liver. The content includes relevant pathogenesis and background as well as specific clues that can be used to reach an accurate diagnosis. CONCLUSION: When assessing focal hepatic lesions, it is important to avoid pitfalls and misdiagnoses that can alter the management plan. Helpful strategies for avoiding pitfalls include paying close attention to the clinical history of the patient, carefully evaluating all of the available imaging studies, and being aware of the various radiologic mimics...
July 2018: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29932735/internet-versus-virtual-reality-settings-for-genomics-information-provision
#20
Susan Persky, William D Kistler, William M P Klein, Rebecca A Ferrer
Current models of genomic information provision will be unable to handle large-scale clinical integration of genomic information, as may occur in primary care settings. Therefore, adoption of digital tools for genetic and genomic information provision is anticipated, primarily using Internet-based, distributed approaches. The emerging consumer communication platform of virtual reality (VR) is another potential intermediate approach between face-to-face and distributed Internet platforms to engage in genomics education and information provision...
June 22, 2018: Cyberpsychology, Behavior and Social Networking
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