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https://www.readbyqxmd.com/read/29149309/a-comparable-yardstick-adjusting-for-education-bias-in-south-african-health-system-responsiveness-ratings
#1
Laura Rossouw, Anja Smith
Health-system responsiveness (HSR) measures the experience of health-system users in terms of the non-clinical aspects of the health system. This has been operationalized as a measurable construct in multiple surveys and studies. According to the literature, reporting behaviour may vary systematically across socio-demographic characteristics. In this study we explore the association between education levels and reporting behaviour in terms of HSR in South Africa using data from the World Health Organization Study on Global Ageing and Adult Health for South Africa (WHO SAGE) conducted in 2007 and 2008...
November 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29141458/the-selection-of-death-place-among-patients-receiving-hospital-based-palliative-care-service-in-taiwan
#2
Ching-Sung Ho
INTRODUCTION: To analyze the selection of a place to die and its related factors in patients who received hospice shared care service in Taiwan. METHODS: This study included patients who received hospice shared care service in a metropolitan hospital as the research participants. A total of 172 questionnaires were collected, and 146 of them were used as valid samples for analysis. This study applied the multivariate logistic regression analysis to assess the significance of independent variables associated with the selection of place of death...
January 1, 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/29130976/discontinued-information-and-communication-technology-usage-among-older-adults-in-continuing-care-retirement-communities-in-the-united-states
#3
R V Rikard, Ronald W Berkowsky, Shelia R Cotten
BACKGROUND: Older adults are increasingly using information and communication technologies (ICTs). Recent studies show beneficial effects of using ICTs for older adults, particularly in terms of reducing loneliness and depression. However, little is known about the factors that may prevent discontinued ICT use in populations that may be at greater risk, such as those in continuing care retirement communities (CCRCs). OBJECTIVES: The purpose of this study is to examine a range of factors that may influence discontinued (1) ICT use, (2) searching for health information, and (3) searching for general information over time among CCRC residents...
November 9, 2017: Gerontology
https://www.readbyqxmd.com/read/29114971/patient-and-public-perspectives-of-community-pharmacies-in-the-united-kingdom-a-systematic-review
#4
REVIEW
Ali M K Hindi, Ellen I Schafheutle, Sally Jacobs
BACKGROUND: The United Kingdom has been at the forefront of enhancing pharmacist roles and community pharmacy services, particularly over the past decade. However, patient and public awareness of community pharmacy services has been limited. OBJECTIVE: To identify and synthesize the research literature pertaining to patient and public perspectives on: existing community pharmacy services, extended pharmacist roles and strategies to raise awareness of community pharmacy services...
November 8, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/29113532/the-grounded-theory-of-trust-building
#5
Monir Ramezani, Fazlollah Ahmadi, Eesa Mohammadi, Anoshirvan Kazemnejad
BACKGROUND: Despite the growing importance of spiritual care, the delivery of spiritual care is still an area of disagreement among healthcare providers. OBJECTIVE: To develop a grounded theory about spiritual care delivery based on Iranian nurses' perceptions and experiences. A grounded theory approach: A qualitative study using the grounded theory approach. Participants and research context: Data were collected through holding 27 interviews with 25 participants (17 staff nurses, 3 physicians, 3 patients, 1 family member, and 1 nurse assistant)...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/29112031/how-differences-between-manager-and-clinician-perceptions-of-safety-culture-impact-hospital-processes-of-care
#6
Jason Richter, Olena Mazurenko, Abby Swanson Kazley, Eric W Ford
OBJECTIVE: Evidenced-based processes of care improve patient outcomes, yet universal compliance is lacking, and perceptions of the quality of care are highly variable. The purpose of this study is to examine how differences in clinician and management perceptions on teamwork and communication relate to adherence to hospital processes of care. METHODS: Hospitals submitted identifiable data for the 2012 Hospital Survey on Patient Safety Culture and the Centers for Medicare and Medicaid Services' Hospital Compare...
November 4, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/29108121/hepatitis-c-and-human-immunodeficiency-virus-co-infection-in-the-era-of-direct-acting-antiviral-agents-no-longer-a-difficult-to-treat-population
#7
Cameron Sikavi, Phillip H Chen, Alex D Lee, Elena G Saab, Gina Choi, Sammy Saab
BACKGROUND: The treatment of chronic hepatitis C (HCV) in human immunodeficiency virus 1 (HIV) infected individuals has been historically marked by low sustained virologic response (SVR) rates in comparison to those without HIV infection, resulting in the Food and Drug Administration (FDA) labeling those coinfected as a "special population with an unmet medical need." OBJECTIVES: We systematically reviewed the treatment of chronic HCV infection in those infected with HIV...
November 6, 2017: Hepatology: Official Journal of the American Association for the Study of Liver Diseases
https://www.readbyqxmd.com/read/29104839/thoracic-spinal-cord-glioblastoma-mimicking-epidural-abscess-case-report-and-literature-review
#8
Rudy Marciano, Zubair Ahammad, Victor Awuor
Spinal cord glioblastoma (SG) accounts for 1.5% of all spinal tumors and has a poor prognosis with survival ranging from 2 to 26 months from presentation. A 57-year-old male presented with one week of paraparesis and contrasted magnetic resonance imaging (MRI) findings of an epidural enhancing thoracic mass suspicious for an epidural abscess. Intraoperative and pathologic findings revealed SG. Spinal cord tumors can mimic epidural abscess on MRI. When planning to address extradural spinal pathologies, one should be cognizant of the potential for either isolated or concurrent intradural pathologies...
August 31, 2017: Curēus
https://www.readbyqxmd.com/read/29103128/extreme-proximal-junctional-kyphosis-a-complication-of-delayed-lambdoid-suture-closure-in-hajdu-cheney-syndrome-a-case-report-and-literature-review
#9
Colin Y L Woon, Steven M Mardjetko
PURPOSE: To describe the manifestations, surgical treatment, and potential complications of Hajdu-Cheney syndrome (HCS), and the management of these complications. METHODS: The clinical presentation, management and outcome of HCS with severe osteoporosis and open skull sutures is presented, together with a literature review. RESULTS: A 20-year-old female with HCS underwent posterior occipitocervical fusion for symptoms of progressive basilar invagination...
November 4, 2017: European Spine Journal
https://www.readbyqxmd.com/read/29096172/%C3%AE-lactamase-inhibitors-what-you-really-need-to-know
#10
REVIEW
Paul G Ambrose, Olga Lomovskaya, David C Griffith, Michael N Dudley, Brian VanScoy
The world is awash in antibiotic-resistant bacteria. The usefulness of nearly every antibacterial agent available in our hospital pharmacies has been compromised. About half of the recently approved antimicrobial agents for gram-negative pathogens, those pending approval, and those entering clinical development are β-lactam-β-lactamase inhibitor combinations. Thus, we are betting heavily on the efficacy and durability of these agents. However, one needs to be cognizant that poor dose regimen design can result in suboptimal efficacy, on-therapy resistance development, and resistance selection that may harm the activity of all β-lactam-β-lactamase inhibitor combinations...
October 27, 2017: Current Opinion in Pharmacology
https://www.readbyqxmd.com/read/29090090/surgeons-views-on-preoperative-medical-evaluation-a-qualitative-study
#11
Kevin R Riggs, Zackary D Berger, Martin A Makary, Eric B Bass, Geetanjali Chander
BACKGROUND: There is substantial variation in the practice of preoperative medical evaluation (PME) and limited evidence for its benefit, which raises concerns about overuse. Surgeons have a unique role in this multidisciplinary practice. The objective of this qualitative study was to explore surgeons' practices and their beliefs about PME. METHODS: We conducted of semi-structured interviews with 18 surgeons in Baltimore, Maryland. Surgeons were purposively sampled to maximize diversity in terms of practice type (academic vs...
2017: Perioperative Medicine
https://www.readbyqxmd.com/read/29089715/stop-suturing-like-cobbler
#12
Kamal Kataria, Piyush Ranjan, Anurag Srivastava
Suturing is the joining of tissues with needle and thread so that the tissues will bind together and that healing occurs by primary intention with least scarring. Professionals like tailor and cobbler are also involved with suturing. Although both professions are involved with suturing, they are not dealing with live tissue, so there are no problems like poor healing, ischemia and wound edge necrosis. These complications, which are common with live tissue, may finally lead to wound dehiscence and increased risk of surgical site infection, and ugly scar...
October 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29081653/drug-utilization-and-therapy-provision-patterns-by-prescriber-types-among-patients-with-systemic-lupus-erythematosus-in-korea
#13
Sooyoung Shin
BACKGROUND: Systemic lupus erythematosus (SLE) poses a growing challenge for healthcare systems, affecting an increasing number of people in Korea. This study aimed to investigate the prescribing patterns of SLE therapies and to compare common drug regimens prescribed by provider types. METHODS: Sampled national health insurance claims data in 2015 were used to select eligible SLE patients. Frequency analyses were carried out regarding patient characteristics related to relevant SLE prescriptions...
2017: Patient Preference and Adherence
https://www.readbyqxmd.com/read/29070156/born-into-addiction-neonatal-abstinence-syndrome-and-pediatric-dentistry
#14
Jennifer L Cully
Drug overdose and opioid-involved deaths continue to increase across the United States. An end-condition related to opioid abuse is neonatal abstinence syndrome (NAS). The implications for pregnant or post-partum women using an opioid, whether prescribed or illicit, can have significant effects on their infant. First described in the 1970s, NAS is defined as a postnatal drug withdrawal syndrome that primarily occurs in opioid-exposed infants. There are no nationally accepted, evidence-based treatment protocols for these infants...
September 15, 2017: Pediatric Dentistry
https://www.readbyqxmd.com/read/29064976/considerations-when-treating-cosmetic-concerns-in-men-of-color
#15
REVIEW
Olabola Awosika, Cheryl M Burgess, Pearl E Grimes
BACKGROUND: Men of color include a diverse population encompassing individuals with Fitzpatrick skin Types IV through VI. Yet, there is a paucity of data describing the cosmetic concerns of this population. OBJECTIVE: To review the basic science of advantages and disadvantages of skin of color and pathophysiology, incidence, and treatment of disorders of cosmetic concern in men of color. METHODS: A MEDLINE search was performed for publications on sex and racial differences in basic science of skin, common disorders in men of color, and evidence-based treatments...
November 2017: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/29064013/ocular-auricular-and-oral-manifestations-of-inflammatory-bowel-disease
#16
REVIEW
Sean Fine, Judy Nee, Pranjal Thakuria, Brian Duff, Francis A Farraye, Samir A Shah
Inflammatory bowel disease (IBD) is primarily a disease of the gastrointestinal tract, though it can often affect other organ systems. These extraintestinal manifestations occur in a quarter to one-third of patients with Crohn's disease and ulcerative colitis. While musculoskeletal and dermatologic manifestations are the most common, it is also important to be cognizant of head, eye, ear, nose, and throat (HEENT) manifestations and educate IBD patients about them. Here we review the ocular manifestations in conjunction with the lesser-known but increasingly recognized ENT manifestations...
October 24, 2017: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/29045317/the-relationships-between-height-arm-length-and-leg-length-on-the-mechanics-of-the-conventional-and-high-handle-hexagonal-bar-deadlift
#17
Robert G Lockie, Matthew R Moreno, Ashley J Orjalo, Adrina Lazar, Tricia M Liu, Alyssa A Stage, Samantha A Birmingham-Babauta, John J Stokes, Dominic V Giuliano, Fabrice G Risso, DeShaun L Davis, Samuel J Callaghan
The study investigated relationships between arm (AL) and leg length (LL) and conventional deadlift (CD) and high-handle hexagonal bar deadlift (HHBD) mechanics. Twenty-three resistance-trained subjects (14 males, 9 females) completed a one-repetition maximum (1RM) CD and HHBD. A linear position transducer was used to measure: lift distance and duration; peak and mean power, velocity, and force; time to peak power and velocity; and work. Right AL and LL were measured, and AL-to-LL ratio (AL:LL) was also calculated...
October 16, 2017: Journal of Strength and Conditioning Research
https://www.readbyqxmd.com/read/29040634/implementation-of-acute-care-patient-portals-recommendations-on-utility-and-use-from-six-early-adopters
#18
Lisa V Grossman, Sung W Choi, Sarah Collins, Patricia C Dykes, Kevin J O'Leary, Milisa Rizer, Philip Strong, Po-Yin Yen, David K Vawdrey
Objective: To provide recommendations on how to most effectively implement advanced features of acute care patient portals, including: (1) patient-provider communication, (2) care plan information, (3) clinical data viewing, (4) patient education, (5) patient safety, (6) caregiver access, and (7) hospital amenities. Recommendations: We summarize the experiences of 6 organizations that have implemented acute care portals, representing a variety of settings and technologies...
September 4, 2017: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29040036/septic-thrombosis-of-cavernous-sinus-extended-to-the-ipsilateral-internal-jugular-vein-and-transversal-sinus-with-favorable-outcome-clinical-and-radiological-features-of-a-lemierre-syndrome
#19
Arnaud Martel
An 86-year-old patient was hospitalized for fever and left acute orbital syndrome (red eye with moderate visual impairment, chemosis, ophthalmoplegia without proptosis, or any fundus involvement). CT scan showed superior ophthalmic vein and cavernous sinus enlargement complicating ipsilateral sphenoidal sinusitis. Magnetic resonance imaging (MRI) demonstrated the left cavernous sinus thrombosis extended to the ipsilateral jugular vein and transversal sinus (Lemierre syndrome). Intravenous broad-spectrum antibiotics and curative anticoagulation were prescribed...
October 17, 2017: Orbit
https://www.readbyqxmd.com/read/29032308/comparison-of-mode-of-failure-between-primary-and-revision-total-knee-arthroplasties
#20
H Liang, J K Bae, C H Park, K I Kim, D K Bae, S J Song
INTRODUCTION: Cognizance of common reasons for failure in primary and revision TKA, together with their time course, facilitates prevention. However, there have been few reports specifically comparing modes of failure for primary vs. revision TKA using a single prosthesis. The goal of the study was to compare the survival rates, modes of failure, and time periods associated with each mode of failure, of primary vs. revision TKA. HYPOTHESIS: The survival rates, modes of failure, time period for each mode of failure, and risk factors would differ between primary and revision TKA...
October 12, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
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