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https://www.readbyqxmd.com/read/29206884/rapid-research-and-implementation-priority-setting-for-wound-care-uncertainties
#1
Trish A Gray, Jo C Dumville, Janice Christie, Nicky A Cullum
INTRODUCTION: People with complex wounds are more likely to be elderly, living with multimorbidity and wound related symptoms. A variety of products are available for managing complex wounds and a range of healthcare professionals are involved in wound care, yet there is a lack of good evidence to guide practice and services. These factors create uncertainty for those who deliver and those who manage wound care. Formal priority setting for research and implementation topics is needed to more accurately target the gaps in treatment and services...
2017: PloS One
https://www.readbyqxmd.com/read/29205299/key-learning-outcomes-for-clinical-pharmacology-and-therapeutics-education-in-europe-a-modified-delphi-study
#2
D J Brinkman, J Tichelaar, L B Mokkink, T Christiaens, R Likic, R Maciulaitis, J Costa, E J Sanz, S R Maxwell, M C Richir, M A van Agtmael
Harmonizing clinical pharmacology and therapeutics (CPT) education in Europe is necessary to ensure that the prescribing competency of future doctors is of an uniform high standard. As there are currently no uniform requirements, our aim was to achieve consensus on key learning outcomes for undergraduate CPT education in Europe. We used a modified Delphi method consisting of three questionnaire rounds and a panel meeting. 129 experts from 27 European countries were asked to rate 307 learning outcomes. 92 experts (71%) completed all three questionnaire rounds, and 33 experts (26%) attended the meeting...
December 5, 2017: Clinical Pharmacology and Therapeutics
https://www.readbyqxmd.com/read/29190306/letter-to-the-editor-the-authors-reply-what-can-be-done-to-maintain-positive-patient-experience-and-improve-residents-satisfaction-and-vstandardized-attending-rounds-to-improve-the-patient-experience-a-pragmatic-cluster-randomized-controlled-trial
#3
Bradley Monash, Margaret C Fang, James Harrison
We thank Talrai et al. for their comments in response to our randomized controlled trial evaluating the impact of standardized rounds on patient, attending, and trainee satisfaction. We agree that many factors beyond rounding structure contribute to resident satisfaction, including those highlighted by the authors, and would enthusiastically welcome additional research in this realm.
September 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29190305/letter-to-the-editor-what-can-be-done-to-maintain-positive-patient-experience-and-improve-residents-satisfaction-in-reference-to-standardized-attending-rounds-to-improve-the-patient-experience-a-pragmatic-cluster-randomized-controlled-trial
#4
Goutham Talari, Aibek E Mirrakhimov, Preetham Talari, Romil Chadha, Saurabh Parasramka
We read the article by Monash et al. published in the March 2017 issue with great interest. This randomized study showed a discrepancy between patients' and residents' satisfaction with standardized rounds; for example, residents reported less autonomy, efficiency, teaching, and longer time of rounds.
September 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29188579/sauna-bathing-health-and-quality-of-life-among-octogenarian-men-the-helsinki-businessmen-study
#5
Timo E Strandberg, Arto Strandberg, Kaisu Pitkälä, Athanase Benetos
BACKGROUND AND AIM: Sauna-type bathing has increased worldwide, and it has been related to both harmful and beneficial effects. There are few studies of bathing in sauna in very old age. METHODS: The series consists of 524 mostly home-living survivors of the Helsinki Businessmen Study (HBS, mean age 86 years, range 80-95), who in 2015 responded to a questionnaire survey about lifestyle (including sauna bathing), prevalent diseases, and health-related quality of life (HRQoL, RAND-36)...
November 29, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/29186461/advancing-the-evaluation-of-cervical-cancer-screening-development-and-application-of-a-longitudinal-adherence-metric
#6
Kine Pedersen, Emily A Burger, Suzanne Campbell, Mari Nygård, Eline Aas, Stefan Lönnberg
Background: Attendance to routine cancer screening at repeated intervals is essential for reducing morbidity and mortality of targeted cancers, yet currently defined quality-assurance metrics evaluate coverage within a defined period of time (e.g. 3.5 years). Methods: We developed a longitudinal adherence metric that captures attendance to cancer screening at repeated intervals, and applied the metric to population-based data from the Cancer Registry of Norway that captures two decades of organised cervical cancer screening, including all screening tests and cervical cancer diagnoses for women living in Norway at any time during years 1992-2013 and eligible for at least two screening rounds (1 round = 3...
December 1, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/29186070/psychology-of-the-embrace-how-body-rhythms-communicate-the-need-to-indulge-or-separate
#7
Sabine C Koch, Helena Rautner
In the context of embodiment research, there has been a growing interest in phenomena of interpersonal resonance. Given that haptic communication is particularly under-researched, we focused on the phenomenon of embracing. When we embrace a dear friend to say good-bye at the end of a great evening, we typically first employ smooth and yielding movements with round transitions between muscular tensing and relaxing (smooth, indulging rhythms), and when the embrace is getting too long, we start to use slight patting (sharp, fighting rhythms with sharp transitions) on the back or the shoulders of the partner in order to indicate that we now want to end the embrace...
November 29, 2017: Behavioral Sciences
https://www.readbyqxmd.com/read/29183735/meningococcal-carriage-among-a-university-student-population-united-states-2015
#8
Lucy Breakwell, Melissa Whaley, Unab I Khan, Utpala Bandy, Nicole Alexander-Scott, Lynn Dupont, Cindy Vanner, How-Yi Chang, Jeni T Vuong, Stacey Martin, Jessica R MacNeil, Xin Wang, Sarah A Meyer
OBJECTIVES: Several outbreaks of serogroup B meningococcal disease have occurred among university students in recent years. In the setting of high coverage of the quadrivalent meningococcal conjugate vaccine and prior to widespread use of serogroup B meningococcal vaccines among adolescents, we conducted surveys to characterize the prevalence and molecular characteristics of meningococcal carriage among university students. METHODS: Two cross-sectional oropharyngeal carriage surveys were conducted among undergraduates at a Rhode Island university...
November 25, 2017: Vaccine
https://www.readbyqxmd.com/read/29174727/evaluation-of-a-multidisciplinary-burn-care-journal-club-lessons-learned
#9
T Carta, J P Gawaziuk, N Cristall, L Forbes, S Logsetty
BACKGROUND: Journal clubs allow discussion of the quality and findings of recent publications. However, journal clubs have not historically been multidisciplinary. Burn care is recognized as a true collaborative care model, including regular multidisciplinary rounds. Since 2011 we have offered a multidisciplinary burn journal club at our institution. We present an evaluation of the factors that have made the sessions successful to facilitate others to commence their own club. METHODS: At the end of each journal club session participants anonymously completed a structured evaluation...
November 22, 2017: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29170346/49%C3%A2-paediatric-traumatic-cardiac-arrest-the-development-of-a-treatment-algorithm
#10
James Vassallo, Tim Nutbeam, Annette Rickard, Mark Lyttle, Jason Smith
INTRODUCTION: Paediatric Traumatic Cardiac Arrest (TCA) is a high acuity, low frequency event with fewer than 15 cases reported per year to the Trauma Audit Research Network (TARN). Traditionally survival from TCA has been reported as low, with some believing resuscitation is futile. Within the adult population there is growing evidence to suggest that with early and aggressive correction of reversible causes, survival from TCA may be comparable to that seen from medical out-of-hospital cardiac arrests...
December 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29159555/use-of-a-hands-free-instantaneous-closed-loop-communication-device-improves-perception-of-communication-and-workflow-integration-in-an-academic-teaching-hospital-a-pilot-study
#11
Daniel Z Fang, Teja Patil, Ilana Belitskaya-Levy, Marianne Yeung, Keith Posley, Nazima Allaudeen
Efficient and effective communication between providers is critical to quality patient care within a hospital system. Hands free communication devices (HFCD) allow instantaneous, closed-loop communication between physicians and other members of a multidisciplinary team, providing a communication advantage over traditional pager systems. HFCD have been shown to decrease emergency room interruptions, improve nursing communication, improve speed of information flow, and eliminate health care waste. We evaluated the integration of an HFCD with an existing alphanumeric paging system on an acute inpatient medicine service...
November 17, 2017: Journal of Medical Systems
https://www.readbyqxmd.com/read/29150405/cirrhosis-with-ascites-in-the-last-year-of-life-a-nationwide-analysis-of-factors-shaping-costs-health-care-use-and-place-of-death-in-england
#12
Benjamin Hudson, Jeff Round, Brendan Georgeson, Andrew Pring, Karen Forbes, Catherine Anne McCune, Julia Verne
BACKGROUND: Liver disease mortality increased by 400% in the UK between 1970 and 2010, resulting in rising pressures on acute hospital services, and an increasing need for end-of-life care. We aimed to assess the effect of demographic, clinical, and health-care factors on costs, patterns of health-care use, and place of death in a national cohort of patients with cirrhosis and ascites in their last year of life. METHODS: We did a retrospective, nationwide analysis of all patients who died from cirrhosis in England between 2013 and 2015, who required large-volume paracentesis in their last year of life...
November 14, 2017: Lancet. Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/29121870/trends-in-newborn-umbilical-cord-care-practices-in-sokoto-and-bauchi-states-of-nigeria-the-where-who-how-what-and-the-ubiquitous-role-of-traditional-birth-attendants-a-lot-quality-assurance-sampling-survey
#13
Dele Abegunde, Nosa Orobaton, Katherine Beal, Amos Bassi, Moyosola Bamidele, Toyin Akomolafe, Francis Ohanyido, Olayinka Umar-Farouk, Saba'atu Danladi
BACKGROUND: Neonatal infections caused by unsafe umbilical cord practices account for the majority of neonatal deaths in Nigeria. We examined the trends in umbilical cord care practices between 2012 and 2015 that coincided with the introduction of chlorhexidine digluconate 7.1% gel in Bauchi and Sokoto States. METHODS: We obtained data from three rounds of lot quality assurance samples (LQAS) surveys conducted in 2012, 2013 and 2015. Households were randomly sampled in each round that totaled 1140 and 1311 households in Bauchi and Sokoto States respectively...
November 9, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29103335/nummular-headache-an-update-and-future-prospects
#14
María Luz Cuadrado, Pedro López-Ruiz, Ángel L Guerrero
Nummular headache (NH) is characterized by continuous or intermittent head pain, which remains confined to a round or oval shaped area of the scalp, generally 1 to 6 cm in diameter. Usually mild or moderate in intensity, some patients suffer severe acute exacerbations or continuous disabling pain. Areas covered: This article reviews epidemiological and clinical features of NH, the most recently proposed pathophysiological mechanisms, and state-of-the-art management according to the literature. Expert commentary: Information regarding true incidence and prevalence is lacking, but NH is a fairly common disorder in patients attending a headache clinic...
November 9, 2017: Expert Review of Neurotherapeutics
https://www.readbyqxmd.com/read/29094620/tele-attending-can-emulate-and-even-improve-bedside-teaching-and-learning
#15
Robert J Adams
Telemedicine can be used for education as well as clinical care. Wearable platforms now allow a remote student to "tele-present" cases to "Tele-Attending" elsewhere in real time. Most of the features that medical students rate as important can be accommodated in this paradigm. Augmenting the bedside case presentation with teaching material from on-line sources may even improve bedside rounds. Tele-attending should be explored in particular to meet needs of students at Regional Medical Centers.
November 2, 2017: Medical Teacher
https://www.readbyqxmd.com/read/29091976/what-s-the-purpose-of-rounds-a-qualitative-study-examining-the-perceptions-of-faculty-and-students
#16
Oliver Hulland, Jeanne Farnan, Raphael Rabinowitz, Lisa Kearns, Michele Long, Bradley Monash, Priti Bhansali, H Barrett Fromme
BACKGROUND: Rounds are a critical activity on any inpatient service, but there is little literature describing the purpose of rounds from the perspective of faculty and trainees in teaching hospitals. OBJECTIVE: To evaluate and compare the perceptions of pediatric and internal medicine attendings and medical students regarding the purpose of inpatient attending rounds. METHODS: The authors conducted 10 semistructured focus groups with attendings and medical students in the spring of 2014 at 4 teaching hospitals...
November 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29079111/cross-institutional-evaluation-of-a-mastoidectomy-assessment-instrument
#17
Thomas Kerwin, Brad Hittle, Don Stredney, Paul De Boeck, Gregory Wiet
OBJECTIVE: The objective of this work is to obtain validity evidence for an evaluation instrument used to assess the performance level of a mastoidectomy. The instrument has been previously described and had been formulated by a multi-institutional consortium. DESIGN: Mastoidectomies were performed on a virtual temporal bone system and then rated by experts using a previously described 15 element task-based checklist. Based on the results, a second, similar checklist was created and a second round of rating was performed...
October 24, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29061133/factors-associated-with-population-coverage-of-targeted-malaria-elimination-tme-in-southern-savannakhet-province-lao-pdr
#18
Bipin Adhikari, Koukeo Phommasone, Tiengkham Pongvongsa, Palingnaphone Kommarasy, Xayaphone Soundala, Gisela Henriques, Nicholas J White, Nicholas P J Day, Arjen M Dondorp, Lorenz von Seidlein, Phaik Yeong Cheah, Christopher Pell, Mayfong Mayxay
BACKGROUND: Targeted malaria elimination (TME) in Lao PDR (Laos) included three rounds of mass drug administrations (MDA) against malaria followed by quarterly blood surveys in two villages in Nong District at Savannakhet Province. The success of MDA largely depends upon the efficacy of the anti-malarial drug regimen, local malaria epidemiology and the population coverage. In order to explore the reasons for participation in TME, a quantitative survey was conducted after the completion of the three rounds of MDA...
October 23, 2017: Malaria Journal
https://www.readbyqxmd.com/read/29059669/clinical-investigation-of-the-nucleus-slim-modiolar-electrode
#19
Antje Aschendorff, Robert Briggs, Goetz Brademann, Silke Helbig, Joachim Hornung, Thomas Lenarz, Mathieu Marx, Angel Ramos, Timo Stöver, Bernard Escudé, Chris J James
AIMS: The Nucleus CI532 cochlear implant incorporates a new precurved electrode array, i.e., the Slim Modiolar electrode (SME), which is designed to bring electrode contacts close to the medial wall of the cochlea while avoiding trauma due to scalar dislocation or contact with the lateral wall during insertion. The primary aim of this prospective study was to determine the final position of the electrode array in clinical cases as evaluated using flat-panel volume computed tomography...
2017: Audiology & Neuro-otology
https://www.readbyqxmd.com/read/29039216/breast-cancer-screening-and-migrants-exploring-targeted-messages-for-moroccan-migrant-women-in-brussels
#20
Wanda Monika Johanna Van Hemelrijck, L Suzanne Suggs, Alessandra Agnese Grossi, Peter Schröder-Bäck, Katarzyna Czabanowska
OBJECTIVES: This study explored views of Moroccan migrant women on barriers and facilitators to the organized breast cancer screening program in Brussels (Belgium), and the potential of targeted printed invitations to increase this population's attendance to the program. METHODS: We conducted one expert interview with the breast cancer screening program coordinator on current practices and challenges with regards to inviting Moroccan migrant women in Brussels for screening...
October 17, 2017: Ethnicity & Health
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