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https://www.readbyqxmd.com/read/29690755/perioperative-surgical-home-a-new-scope-for-future-anesthesiology
#1
Min A Kwon
The health care system is changing from 'pay for volume' to 'pay for value.' These changes are turning health care delivery into a more cost-effective and coordinated care setup that drives hospitals to lower costs and greater quality gains. The present perioperative care service in Korea has proven to be costly, fragmented, and neither evidence-based nor patient- centered. Recently, a new concept of a perioperative care model termed perioperative surgical home (PSH) has been proposed. The PSH is a patient-centered, team-based, and coordinated perioperative care setup, composed of the head anesthesiologist-perioperativist in tandem with dedicated nurse practitioners and other PSH team doctors...
April 25, 2018: Korean Journal of Anesthesiology
https://www.readbyqxmd.com/read/29684645/challenges-in-pediatric-neuroimaging
#2
REVIEW
Matthew J Barkovich, Yi Li, Rahul S Desikan, A James Barkovich, Duan Xu
Pediatric neuroimaging is challenging due the rapid structural, metabolic, and functional changes that occur in the developing brain. A specially trained team is needed to produce high quality diagnostic images in children, due to their small physical size and immaturity. Patient motion, cooperation and medical condition dictate the methods and equipment used. A customized approach tailored to each child's age and functional status with the appropriate combination of dedicated staff, imaging hardware, and software is key; these range from low-tech techniques, such as feed and swaddle, to specialized small bore MRI scanners, MRI compatible incubators and neonatal head coils...
April 20, 2018: NeuroImage
https://www.readbyqxmd.com/read/29660181/descriptive-versus-mechanistic-scientific-approach-to-study-wound-healing-and-its-inhibition-is-there-a-value-of-translational-research-involving-human-subjects
#3
REVIEW
Irena Pastar, Lulu Lu Wong, Andjela N Egger, Marjana Tomic-Canic
The clinical field of wound healing is challenged by numerous hurdles. Not only are wound healing disorders complex and multifactorial, but the corresponding patient population is diverse, often elderly and burdened by multiple comorbidities such as diabetes, cardiovascular disease, etc. The care of such patients requires a dedicated, multi-disciplinary team of physicians, surgeons, nurses, and scientists. In spite of the critical clinical need, it has been over 15 years since a treatment received approval for efficacy by the FDA in the United States...
April 16, 2018: Experimental Dermatology
https://www.readbyqxmd.com/read/29658828/sustainable-telemedicine-designing-and-building-infrastructure-to-support-a-comprehensive-telemedicine-practice
#4
Beth L H Kreofsky, R Nicole Blegen, Troy G Lokken, Susan M Kapraun, Matthew S Bushman, Bart M Demaerschalk
BACKGROUND: Telemedicine services in medical institutions are often developed in isolation of one another and not as part of a comprehensive telemedicine program. The Center for Connected Care is the administrative home for a broad range of telehealth services at Mayo Clinic. This article speaks of real-time video services, referenced as telemedicine throughout. INTRODUCTION: This article discusses how a large healthcare system designed and built the infrastructure to support a comprehensive telemedicine practice...
April 16, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29655810/a-review-of-interventions-to-increase-vena-cava-filter-retrieval-rates
#5
REVIEW
Amie Goodin, Qiong Han, Driss Raissi, Joshua D Brown
OBJECTIVE: Inferior vena cava filters (IVCFs) are indicated for therapeutic and prophylactic treatment of venous thromboembolism in patients where anti-coagulation has failed or is contraindicated. Retrievable IVCFs are not always retrieved despite clinical recommendations. The purpose of this review is to compare results in the literature regarding interventions to improve IVCF retrieval rates. METHODS: Articles were identified via the search terms "vena cava filters" and "inferior vena cava filters" in conjunction with "retrieval...
April 12, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29649354/cpr-blitzkrieg-training-500-high-school-students-in-less-than-48-hours
#6
David P Fitzgerald, Daniel M Bingham, Margo Bushmiaer, Spencer W Hansen, Elise F Howser, Daniel A Smith, James G Williams, Stephen M Schexnayder
BACKGROUND Many states, including Arkansas, require CPR training before high school graduation. METHODS We modified the American Heart Association's CPR in Schools curriculum to deliver CPR and AED training with maximal individual practice. RESULTS 520 students were trained over a two-day period at Little Rock Central High School. Three students were unable to effectively participate due to physical limitations. The model was later applied at the five other district public high schools. CONCLUSIONS Training large numbers of students in a time-compressed formal is feasible with a highly dedicated, practiced instructor team...
June 2017: Journal of the Arkansas Medical Society
https://www.readbyqxmd.com/read/29648901/training-health-professions-preceptors-in-rural-practices-a-challenge-for-interprofessional-practice-and-education
#7
Molly L Osborne, Virginia P Tilden, Elizabeth Eckstrom
The ever-increasing mandate for interprofessional practice and education (IPE) faces challenges in rural settings. Oregon Health & Science University (OHSU) launched a preceptor development program as part of its commitment to training interprofessional student groups in rural settings. The objectives of the program were to (1) encourage preceptors to exemplify team behaviors; (2) characterize contemporary learners and learning styles of trainees; (3) encourage interprofessional precepting skills, and (4) apply practical teaching tools in the clinical setting...
April 12, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29626939/the-3m-approach-to-cardiovascular-infections-multimodality-multitracers-and-multidisciplinary
#8
REVIEW
Martina Sollini, Raffaella Berchiolli, Roberto C Delgado Bolton, Alexia Rossi, Margarita Kirienko, Roberto Boni, Elena Lazzeri, Riemer Slart, Paola Anna Erba
Cardiovascular infections are associated with high morbidity and mortality. Early diagnosis is crucial for adequate patient management, as early treatment improves the prognosis. The diagnosis cannot be made on the basis of a single symptom, sign, or diagnostic test. Rather, the diagnosis requires a multidisciplinary discussion in addition to the integration of clinical signs, microbiology data, and imaging data. The application of multimodality imaging, including molecular imaging techniques, has improved the sensitivity to detect infections involving heart valves and vessels and implanted cardiovascular devices while also allowing for early detection of septic emboli and metastatic infections before these become clinically apparent...
May 2018: Seminars in Nuclear Medicine
https://www.readbyqxmd.com/read/29624584/the-impact-of-passive-case-detection-on-the-transmission-dynamics-of-gambiense-human-african-trypanosomiasis
#9
Francesco Checchi, Sebastian Funk, Daniel Chandramohan, François Chappuis, Daniel T Haydon
Gambiense Human African Trypanosomiasis (HAT), or sleeping sickness, is a vector-borne disease affecting largely rural populations in Western and Central Africa. The main method for detecting and treating cases of gambiense HAT are active screening through mobile teams and passive detection through self-referral of patients to dedicated treatment centres or hospitals. Strategies based on active case finding and treatment have drastically reduced the global incidence of the disease over recent decades. However, little is known about the coverage and transmission impact of passive case detection...
April 6, 2018: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/29624577/a-decade-of-the-world-register-of-marine-species-general-insights-and-experiences-from-the-data-management-team-where-are-we-what-have-we-learned-and-how-can-we-continue
#10
Leen Vandepitte, Bart Vanhoorne, Wim Decock, Sofie Vranken, Thomas Lanssens, Stefanie Dekeyzer, Kevin Verfaille, Tammy Horton, Andreas Kroh, Francisco Hernandez, Jan Mees
The World Register of Marine Species (WoRMS) celebrated its 10th anniversary in 2017. WoRMS is a unique database: there is no comparable global database for marine species, which is driven by a large, global expert community, is supported by a Data Management Team and can rely on a permanent host institute, dedicated to keeping WoRMS online. Over the past ten years, the content of WoRMS has grown steadily, and the system currently contains more than 242,000 accepted marine species. WoRMS has not yet reached completeness: approximately 2,000 newly described species per year are added, and editors also enter the remaining missing older names-both accepted and unaccepted-an effort amounting to approximately 20,000 taxon name additions per year...
2018: PloS One
https://www.readbyqxmd.com/read/29621556/from-fear-to-confidence-changing-providers-attitudes-about-pediatric-palliative-and-hospice-care
#11
Tamara Vesel, Christiana Beveridge
CONTEXT: Children have limited access to hospice care: few existing hospice programs have dedicated pediatric teams, and adult hospice providers feel inadequately trained to care for children. OBJECTIVES: The aim of this study is to increase access to pediatric hospice care by empowering adult hospice providers to care for children through a comprehensive education program. Education empowers providers by changing their attitudes from inadequacy to confidence. METHODS: The authors developed a two-day education program to train interdisciplinary teams of adult hospice providers in pediatric care...
April 2, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29617181/examination-of-the-british-columbia-influenza-prevention-policy-for-healthcare-workers-phase-1-qualitative-case-study
#12
Charmaine M McPherson, Donna M Halperin, Bonnie Henry, Antonia Di Castri, Jeffrey C Kwong
In August 2012, British Columbia became the first Canadian province to implement a province-wide Influenza Prevention Policy requiring all healthcare workers (HCWs) in residential and acute care facilities to either be immunized against influenza, or wear masks in patient care areas during the influenza season. This qualitative case study sought to understand the key facilitators and barriers involved in developing and implementing British Columbia's Influenza Prevention Policy. An explanatory qualitative case study approach was selected for this project...
April 4, 2018: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/29609603/pharmacists-in-general-practice-a-qualitative-interview-case-study-of-stakeholders-experiences-in-a-west-london-gp-federation
#13
Kath Ryan, Nilesh Patel, Wing Man Lau, Hamza Abu-Elmagd, Graham Stretch, Helen Pinney
BACKGROUND: Increased patient demand for healthcare services coupled with a shortage of general practitioners necessitates changes in professional roles and service delivery. In 2016, NHS England began a 3-year- pilot study of pharmacists in general practice, however, this is not an entirely new initiative. There is limited, current, evidence-based, UK research to inform the pilot so studies of pre-existing services must suffice until findings from a formal national evaluation are available...
April 2, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29603828/does-an-interdisciplinary-outpatient-atrial-fibrillation-af-clinic-affect-the-number-of-acute-af-admissions-a-retrospective-cohort-study
#14
Vivi Skibdal Frydensberg, Axel Brandes
AIMS AND OBJECTIVES: To investigate the impact of a multidisciplinary outpatient clinic for patients with atrial fibrillation (AF-clinic) on the number of acute hospitalizations for atrial fibrillation compared with usual outpatient care for this condition before the establishment of the AF-clinic. BACKGROUND: Guidelines recommend a structured outpatient clinic follow-up in multidisciplinary teams for patients with atrial fibrillation due to fewer hospitalizations and death...
March 31, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29594120/the-safety-and-efficacy-of-the-continuous-peripheral-nerve-block-in-postoperative-analgesia-of-pediatric-patients
#15
REVIEW
Dušica Simić, Marija Stević, Zorana Stanković, Irena Simić, Siniša Dučić, Ivana Petrov, Miodrag Milenović
Postoperative analgesia is imperative in the youngest patients. Pain, especially if experienced during childhood, has numerous adverse effects-from psychological, through complications of the underlying disease (prolonged treatment, hospital stay, and increased costs of the treatment) to an increase in the incidence of death due to the onset of the systemic inflammatory response. Peripheral blocks provide analgesia for 12-16 h, and are safer due to rare side effects that are easier to treat. The continuous peripheral block (CPNB) has been increasingly used in recent years for complete and prolonged analgesia of pediatric patients, as well as a part of multidisciplinary treatment of complex regional pain syndrome...
2018: Frontiers in Medicine
https://www.readbyqxmd.com/read/29589174/asking-a-variety-of-questions-on-walk-rounds-a-pilot-study
#16
Helen M Shields, Stephen R Pelletier, Christopher L Roy, James P Honan
BACKGROUND: Morning walk rounds have lost some of their engagement while remaining a useful and valued practice. AIM: We created a pilot study to evaluate the impact on rounds of learning to asking a variety of different questions. SETTING: One-hour intervention sessions were voluntarily offered to members of the Department of Medicine and taught by an expert in the question, listen, and respond method. PARTICIPANTS: Participants included attendings and residents in Internal Medicine on medical teams...
March 27, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29588886/endoscopic-endonasal-transplanum-transtuberculum-approach-for-the-resection-of-a-large-suprasellar-craniopharyngioma
#17
João Mangussi-Gomes, Eduardo A Vellutini, Huy Q Truong, Felix H Pahl, Aldo C Stamm
Objectives  To demonstrate an endoscopic endonasal transplanum transtuberculum approach for the resection of a large suprasellar craniopharyngioma. Design  Single-case-based operative video. Setting  Tertiary center with dedicated skull base team. Participants  A 72-year-old male patient diagnosed with a suprasellar craniopharyngioma. Main Outcomes Measured  Surgical resection of the tumor and preservation of the normal surrounding neurovascular structures. Results  A 72-year-old male patient presented with a 1-year history of progressive bitemporal visual loss...
April 2018: Journal of Neurological Surgery. Part B, Skull Base
https://www.readbyqxmd.com/read/29582964/-the-nephrology-outpatient-triage-an-organizational-model-for-the-ambulatory-care-of-patients-with-advanced-renal-disease
#18
Giorgio Soragna, Francesca Bermond, Laura Fabbrini, Amelia Rodofili, Aldo Soragna, Maggiorina Bauducco, Aspasia Panunzi, Ada Ramondetti, Cristiana Cerri, Corrado Vitale
The clinical course of outpatients with advanced chronic kidney disease requires a close monitoring by the nephrology team, in order to identify emerging clinical problems promptly and prevent subsequent complications. With the aim of improving the outpatient management in our clinic dedicated to advanced renal failure, we implemented the "Nephrology Clinic Triage" (NCT). This organizational model is coordinated by the nephrologist and supported by nurses. In case the outpatients, or their caregivers, have clinical problems or need advice, they can easily get in touch with a nephrology nurse by a dedicated telephone line...
March 2018: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
https://www.readbyqxmd.com/read/29578403/patient-reported-outcomes-pros-argue-against-the-limited-use-of-peritoneal-dialysis-in-end-stage-renal-disease
#19
Carola W H de Fijter, Anouk T N van Diepen, Fariba Amiri, Friedo W Dekker, Ray T Krediet
AIM: Approximately 40% of dialysis patients are durably treated with peritoneal dialysis (PD) in our teaching hospital. Patients' perspectives were studied by patient-reported outcome measurements (PROMs) to find possible explanations for why the generally-reported decline in the use of PD hardly occurred in our facility. MATERIALS AND METHODS: All 75 prevalent adult dialysis patients hemodialysis (HD) duration 27, PD 16 months) were included. All had received predialysis care and education for > 6 month...
March 26, 2018: Clinical Nephrology
https://www.readbyqxmd.com/read/29572314/pharmacy-informatics-in-multihospital-health-systems-opportunities-and-challenges
#20
Jeffrey Chalmers, Mark Siska, Trinh Le, Scott Knoer
PURPOSE: Challenges and opportunities in managing pharmacy-related technology in a multihospital health system are reviewed. SUMMARY: With electronic medical record (EMR) implementations, pharmacy technology deployments, and increased numbers of hospitals merging into single health systems, opportunities and challenges for pharmacy informatics (PI) teams have grown. Pharmacy leaders must consider the implications of using technology in a multihospital health-system environment, as well as the impact of the health system's organizational structures on technology implementations and dedicated support teams...
April 1, 2018: American Journal of Health-system Pharmacy: AJHP
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