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https://www.readbyqxmd.com/read/28802756/feasibility-of-using-global-system-for-mobile-communication-gsm-based-tracking-for-vaccinators-to-improve-oral-poliomyelitis-vaccine-campaign-coverage-in-rural-pakistan
#1
Subhash Chandir, Vijay Kumar Dharma, Danya Arif Siddiqi, Aamir Javed Khan
Despite multiple rounds of immunization campaigns, it has not been possible to achieve optimum immunization coverage for poliovirus in Pakistan. Supplementary activities to improve coverage of immunization, such as door-to-door campaigns are constrained by several factors including inaccurate hand-drawn maps and a lack of means to objectively monitor field teams in real time, resulting in suboptimal vaccine coverage during campaigns. Global System for Mobile Communications (GSM) - based tracking of mobile subscriber identity modules (SIMs) of vaccinators provides a low-cost solution to identify missed areas and ensure effective immunization coverage...
August 9, 2017: Vaccine
https://www.readbyqxmd.com/read/28799475/can-staff-be-supported-to-deliver-compassionate-care-through-implementing-schwartz-rounds-in-community-and-mental-health-services
#2
Michelle Farr, Rhiannon Barker
Schwartz Rounds are evidence-based interdisciplinary discussions where health care staff can share experiences of the emotional and social aspects of care, to support improvements in patient care. Developed in acute services, they are now being implemented in various settings including U.K. community and mental health services where their implementation has not been researched. Realist evaluation was used to analyze three community and mental health case studies of Round implementation, involving Round observations ( n = 5), staff interviews ( n = 22), and post-Round evaluation sheets ( n = 206)...
September 2017: Qualitative Health Research
https://www.readbyqxmd.com/read/28771651/bedside-rounds-valued-but-not-preferred-perceptions-of-internal-medicine-residents-and-attending-physicians-in-a-diverse-academic-training-program
#3
Naseema B Merchant, Daniel G Federman
OBJECTIVES: Bedside rounds/rounding (BDR) is an important tool for patient-centered care and trainee education. This study aimed at understanding the attitudes toward BDR among residents and attending physicians. METHODS: A survey was conducted using the Qualtrics survey tool. Responses were measured using a five-point Likert scale. RESULTS: The survey was sent to 301 attending physicians and 195 residents. Attending physicians conducted BDR 19% of the time...
August 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28768680/improving-specialist-palliative-care-in-residential-care-for-older-people-a-checklist-to-guide-practice
#4
Liz Forbat, Michael Chapman, Clare Lovell, Wai-Man Liu, Nikki Johnston
OBJECTIVES: Palliative care needs rounds are triage meetings that have been introduced in residential care for older adults to help identify and prioritise care for people most at risk for unplanned dying with inadequately controlled symptoms. This study sought to generate an evidence-based checklist in order to support specialist palliative care clinicians integrate care in residential nursing homes for older people. METHODS: A grounded theory ethnographic study, involving non-participant observation and qualitative interviews...
August 2, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28764734/development-of-a-core-outcome-set-for-clinical-trials-in-facial-aging-study-protocol-for-a-systematic-review-of-the-literature-and-identification-of-a-core-outcome-set-using-a-delphi-survey
#5
Daniel I Schlessinger, Sanjana Iyengar, Arianna F Yanes, Jill K Henley, Hovik J Ashchyan, Anastasia O Kurta, Payal M Patel, Umar A Sheikh, Matthew J Franklin, Courtney C Hanna, Brian R Chen, Sarah G Chiren, Jochen Schmitt, Stefanie Deckert, Karina C Furlan, Emily Poon, Ian A Maher, Todd V Cartee, Joseph F Sobanko, Murad Alam
BACKGROUND: Facial aging is a concern for many patients. Wrinkles, loss of volume, and discoloration are common physical manifestations of aging skin. Genetic heritage, prior ultraviolet light exposure, and Fitzpatrick skin type may be associated with the rate and type of facial aging. Although many clinical trials assess the correlates of skin aging, there is heterogeneity in the outcomes assessed, which limits the quality of evaluation and comparison of treatment modalities. To address the inconsistency in outcomes, in this project we will develop a core set of outcomes that are to be evaluated in all clinical trials relevant to facial aging...
August 1, 2017: Trials
https://www.readbyqxmd.com/read/28757830/a-feasibility-study-to-assess-vallecula-and-pyriform-sinus-using-protocol-based-ultrasonic-evaluation-of-floor-of-mouth-and-upper-airway
#6
Kulvinder Singh, Saru Singh, Ruchi Gupta, Chiranjeev Gathwal, Pranav Bansal, Manjeet Singh
PURPOSE: The current study aimed to systematically evaluate the sonoanatomy of floor of the mouth and upper airway using protocol-based ultrasonography (USG); and to assess the feasibility of imaging the valleculae and pyriform fossae. MATERIALS AND METHODS: An institutional prospective observational study was planned on fifty volunteers of all ages and both sexes, attending outpatient department for nonairway-related diseases. Protocol for ultrasonographic systemic evaluation was designed before starting the trial...
July 2017: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/28699945/contextual-influences-of-trainee-characteristics-and-daily-workload-on-trainee-learning-preferences
#7
Brita Roy, Nidhi Huff, Carlos Estrada, Analia Castiglioni, Lisa Willett, Robert Centor
We previously defined teaching domains necessary for successful inpatient medicine attending rounds from the trainees' perspective in Role Modeling, Learning Environment, Teaching Process and Team Management. We sought to understand whether trainee characteristics and daily fluctuations in workload influence the prioritization of these domains. We conducted a prospective observational study in general medicine inpatient wards at a university, Veterans Affairs, and a county hospital affiliated with one academic institution over the course of 6 months...
July 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28693066/-fifth-chinese-national-consensus-report-on-the-management-of-helicobacter-pylori-infection
#8
G Liu, J Xie, Z R Lu, L Y Cheng, Y Zeng, J B Zhou, Y J Chen, N H Wang, Yiqi Du, Nonghua Lyu
The fifth national consensus conference on the management of Helicobacter pylori (H.pylori) infection organized by Chinese Medical Association, Chinese Society of Gastroenterology, H. pylori and Peptic Ulcer Study Group was held at Hangzhou, Zhejiang Province on December 15-16, 2016.More than 80 members of the study group and experts in the field of H. pylori research and gastroenterology attended the meeting.Consensus preparatory group was established to draft the related statements.The quality of evidence and strength of recommendation were evaluated by GRADE system...
July 1, 2017: Zhonghua Nei Ke za Zhi [Chinese Journal of Internal Medicine]
https://www.readbyqxmd.com/read/28674126/healthcare-professional-perceptions-of-family-centred-rounds-in-french-nicus-a-cross-sectional-study
#9
Véronique Thébaud, Marion Lecorguillé, Jean-Michel Roué, Jacques Sizun
OBJECTIVE: To assess the perceptions of healthcare professionals (HCPs) regarding parental presence at medical rounds in French neonatal intensive care units (NICUs). We hypothesised that HCPs would perceive barriers against allowing parental participation in round discussions. METHODS: This cross-sectional study approached 304 HCPs from three groups; group 1: French professionals that attended an annual French-speaking meeting of the Neonatal Individualized Developmental Care and Assessment Program (NIDCAP); group 2: NICU professionals from a tertiary care academic hospital in western France; and group 3: paediatric residents from six French universities...
July 2, 2017: BMJ Open
https://www.readbyqxmd.com/read/28669224/development-and-field-testing-of-a-smartphone-app-for-tinnitus-management
#10
James A Henry, Emily Thielman, Tara Zaugg, Christine Kaelin, Christie Choma, Bill Chang, Shira Hahn, Bret Fuller
OBJECTIVE: This study's objective was to develop and test a smartphone app that supports learning and using coping skills for managing tinnitus. DESIGN: The app's content was based on coping skills that are taught as a part of progressive tinnitus management (PTM). The study involved three phases: (1) develop a prototype app and conduct usability testing; (2) conduct two focus groups to obtain initial feedback from individuals representing potential users; and (3) conduct a field study to evaluate the app, with three successive groups of participants...
July 2, 2017: International Journal of Audiology
https://www.readbyqxmd.com/read/28618076/priorities-for-methodological-research-on-patient-and-public-involvement-in-clinical-trials-a-modified-delphi-process
#11
Anna Kearney, Paula Williamson, Bridget Young, Heather Bagley, Carrol Gamble, Simon Denegri, Delia Muir, Natalie A Simon, Stephen Thomas, Jim T Elliot, Helen Bulbeck, Joanna C Crocker, Claire Planner, Claire Vale, Mike Clarke, Tim Sprosen, Kerry Woolfall
BACKGROUND: Despite increasing international interest, there is a lack of evidence about the most efficient, effective and acceptable ways to implement patient and public involvement (PPI) in clinical trials. OBJECTIVE: To identify the priorities of UK PPI stakeholders for methodological research to help resolve uncertainties about PPI in clinical trials. DESIGN: A modified Delphi process including a two round online survey and a stakeholder consensus meeting...
June 15, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/28599621/the-comparative-effectiveness-and-efficiency-of-cognitive-behaviour-therapy-and-generic-counselling-in-the-treatment-of-depression-evidence-from-the-2-nd-uk-national-audit-of-psychological-therapies
#12
Jo Pybis, David Saxon, Andy Hill, Michael Barkham
BACKGROUND: Cognitive Behaviour Therapy (CBT) is the front-line psychological intervention for step 3 within UK psychological therapy services. Counselling is recommended only when other interventions have failed and its effectiveness has been questioned. METHOD: A secondary data analysis was conducted of data collected from 33,243 patients across 103 Improving Access to Psychological Therapies (IAPT) services as part of the second round of the National Audit of Psychological Therapies (NAPT)...
June 9, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28599229/round-ligament-varicosities-diagnosed-as-inguinal-hernia-during-pregnancy-a-case-report-and-series-from-two-regional-hospitals-in-japan
#13
Yuka Mine, Susumu Eguchi, Akihito Enjouji, Masayoshi Fukuda, Junzo Yamaguchi, Yusuke Inoue, Fumihiko Fujita, Ohzora Tsukamoto, Hideaki Masuzaki
INTRODUCTION: Round ligament varicosities (RLV) are not well-known and they are usually caused by pregnancy. Although the groin swelling of RLV mimics an inguinal hernia, it is difficult to distinguish between them through clinical examination alone, and there have been few published reports on this topic, especially from Asia. CASE PRESENTATION: A 37-year-old Japanese woman complained of left groin swelling for 2 weeks at her 28th week of gestation of her first pregnancy...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28596445/development-of-a-new-care-model-for-hospitalized-children-with-medical-complexity
#14
Christine M White, Joanna E Thomson, Angela M Statile, Katherine A Auger, Ndidi Unaka, Matthew Carroll, Karen Tucker, Derek Fletcher, David E Hall, Jeffrey M Simmons, Patrick W Brady
Children with medical complexity are a rapidly growing inpatient population with frequent, lengthy, and costly hospitalizations. During hospitalization, these patients require care coordination among multiple subspecialties and their outpatient medical homes. At a large freestanding children's hospital, a new inpatient model of care was developed in an effort to consistently provide coordinated, family-centered, and efficient care. In addition to expanding the multidisciplinary team to include a pharmacist, dietician, and social worker, the team redesign included: (1) medication reconciliation rounds, (2) care coordination rounds, and (3) multidisciplinary weekly handoff with outpatient providers...
June 8, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28592237/labour-management-guidelines-for-a-tanzanian-referral-hospital-the-participatory-development-process-and-birth-attendants-perceptions
#15
Nanna Maaløe, Natasha Housseine, Jos van Roosmalen, Ib Christian Bygbjerg, Britt Pinkowski Tersbøl, Rashid Saleh Khamis, Birgitte Bruun Nielsen, Tarek Meguid
BACKGROUND: While international guidelines for intrapartum care appear to have increased rapidly since 2000, literature suggests that it has only in few instances been matched with reviews of local modifications, use, and impact at the targeted low resource facilities. At a Tanzanian referral hospital, this paper describes the development process of locally achievable, partograph-associated, and peer-reviewed labour management guidelines, and it presents an assessment of professional birth attendants' perceptions...
June 7, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28588940/wealth-education-and-urban-rural-inequality-and-maternal-healthcare-service-usage-in-malawi
#16
Sanni Yaya, Ghose Bishwajit, Vaibhav Shah
BACKGROUND: Malawi is among the 5 sub-Saharan African countries presenting with very high maternal mortality rates, which remain a challenge. This study aims to examine the impact of wealth inequality and area of residence (urban vs rural) and education on selected indicators of maternal healthcare services (MHS) usage in Malawi. METHODS: This study was based on data from the 5th round of Multiple Indicator Cluster Surveys (MICS) conducted in 2013-2014 in Malawi...
August 2016: BMJ Global Health
https://www.readbyqxmd.com/read/28578544/effects-of-minimal-versus-intensive-intervention-to-enhance-motivational-interviewing-in-hiv-care
#17
Mary Catherine Beach, M Barton Laws, Gary Rose, Debra Roter, Yoojin Lee, Geetanjali Chander, Tanita Woodson, Richard D Moore, William Rogers, Ira B Wilson
We conducted a randomized trial comparing the effect of two different levels of motivational interviewing training on clinician communication behaviors and patient experiences. We enrolled 12 HIV clinicians who attended a one-day MI workshop focusing on behavior change counseling skills. We then randomized clinicians to receive (or not) 3-5 rounds of personalized feedback from the MI trainer. We compared outcomes before and after the interventions and between the intervention groups. We tested time-by-study arm interactions to determine if one group improved more than the other...
June 3, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28574867/breast-cancer-screening-effectiveness-in-portugal-central-region
#18
Joana Bastos, Vitor Rodrigues, Ellen Paap, Mireille Broeders, Miguel Pina, Dário Cruz, Branca Carrito, Manuel António Silva
The central region of Portugal is covered by an organized population-based breast cancer screening programme. We designed a case-referent study to investigate the association of overall mortality with mammographic screening attendance. The study population (SP) included women aged 50-69 years who received at least one invitation to the breast cancer screening programme. A case was defined as a woman from the SP diagnosed with breast cancer between 2000 and 2006 who died before 1 August 2015. Index invitation (IV) was defined as the most recent invitation before diagnosis of the case...
June 1, 2017: European Journal of Cancer Prevention
https://www.readbyqxmd.com/read/28574531/do-hcahps-doctor-communication-scores-reflect-the-communication-skills-of-the-attending-on-record-a-cautionary-tale-from-a-tertiary-care-medical-service
#19
Vicente J Velez, Roop Kaw, Bo Hu, Richard M Frankel, Amy K Windover, Dan Bokar, Julie M Rish, Michael B Rothberg
BACKGROUND: Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores measure patient satisfaction with hospital care. It is not known if these reflect the communication skills of the attending physician on record. The Four Habits Coding Scheme (4HCS) is a validated instrument that measures bedside physician communication skills according to 4 habits, namely: investing in the beginning, eliciting the patient's perspective, demonstrating empathy, and investing in the end...
June 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28566045/inpatient-rounding-practices-in-otolaryngology-residency-programs
#20
Mofiyinfolu Sokoya, Paul D Judge, Cristina Cabrera-Muffly, Peter M Vila
Inpatient rounding is an agelong tradition in the field of medicine. Among recent changes in health care, rounding is understudied as an area of research. The purpose of this study was to assess current methods of inpatient rounding in otolaryngology residency programs and assess satisfaction with current practices. Survey questions were designed by members of the resident committee of the Society of University Otolaryngologists. Surveys were sent to all 450 members, and we obtained a 32% response rate. Sixty-four percent of attendings perform bedside rounds; 44% of subjects reported that attending physicians participate in rounds at least once a week; and 21% reported daily participation...
June 2017: Otolaryngology—Head and Neck Surgery
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