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https://www.readbyqxmd.com/read/28743150/-anesthesiology-and-outcome-impact-of-the-perioperative-process
#1
Jörg Zieger, Helene A Häberle
In recent years, the role of the anesthesiologist has turned tremendously from the "anaesthesia doctor" into a perioperative physician and risk specialist. Patients are older, multimorbid, and are called up for more and more extensive surgery and interventions. Socioeconomic aspects have grown in importance. The anesthesiologist, paving the way for a good outcome, is involved in nearly all perioperative processes: preoperative evaluation, definition and optimization of preoperative and intraoperative conditions, management of modern intraoperative anesthesia as well as postoperative medically indicated, effective and efficient treatment of partially highly complex patients...
July 2017: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/28742698/survival-benefit-of-neoadjuvant-treatment-in-clinical-t3n0m0-esophageal-cancer-results-from-a-retrospective-multicenter-european-study
#2
Styliani Mantziari, Caroline Gronnier, Florence Renaud, Alain Duhamel, Jérémie Théreaux, Cécile Brigand, Nicolas Carrère, Jérémie H Lefevre, Arnaud Pasquer, Nicolas Demartines, Denis Collet, Bernard Meunier, Christophe Mariette
BACKGROUND: Based on current guidelines, clinical T3N0M0 esophageal tumors may or may not receive neoadjuvant treatment, according to their perception as locally advanced (cT3) or early-stage tumors (stage II). The study aim was to assess the impact of neoadjuvant treatment upon survival for cT3N0M0 esophageal cancer patients, with subgroup analyses by histological type (squamous cell carcinoma vs adenocarcinoma) and type of neoadjuvant treatment (chemotherapy vs radiochemotherapy). METHODS: Data from patients operated on for esophageal cancer in 30 European centers were collected...
July 24, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28742633/stable-longitudinal-performance-of-adult-cochlear-implant-users-for-more-than-10-years
#3
Kristen Rak, Sebastian P Schraven, Philipp Schendzielorz, Anja Kurz, Wafaa Shehata-Dieler, Rudolf Hagen, Andreas Radeloff
OBJECTIVE: To analyze the long-term performance of cochlear implant patients. STUDY DESIGN: Retrospective longitudinal study. SETTING: Tertiary referral center with a large cochlear implant program. MAIN OUTCOME MEASURE: Speech perception scores in quiet and in background noise in the short-term (1.12 ± 0.15 yr) and long-term (12.61 ± 2.34 yr) after implantation. PATIENTS: Fifty-eight implanted ears from 55 patients with a mean age of 51...
July 24, 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28742287/quality-of-life-of-intermittent-urinary-catheterization-users-and-their-caregivers-a-scoping-review
#4
Laís Fumincelli, Alessandra Mazzo, José Carlos Amado Martins, Fernando Manuel Dias Henriques, Daniela Cardoso, Manuel Alves Rodrigues
AIMS: This study aimed to examine and map the scientific evidences regarding quality of life in neurogenic bladder patients and consequently their caregivers by means of a scoping review. DESIGN: This is a scoping review proposal of the Joanna Briggs Institute. METHODS: It was conducted to examine and map the scientific evidences about quality of life (QoL) in neurogenic bladder patients and their caregivers, to identify the meanings attributed to QoL and its relation with intermittent urinary catheterization...
August 2017: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/28742044/multipolar-field-shaping-in-a-suprachoroidal-visual-prosthesis
#5
Calvin D Eiber, Socrates Dokos, Nigel H Lovell, Gregg J Suaning
Visual prostheses are now an available mobility aid for patients blinded by degenerative retinal diseases. However, the spatial resolution of existing devices is still insufficient to deliver normal levels of mobility vision without stimulation strategies which enable existing devices to deliver several different percepts per stimulation site. A stimulation strategy in which field shaping is achieved by incorporating multipolar (bipolar and tripolar) stimulation could convey additional information to a user of a visual prosthesis, as compared to monopolar stimulation, is investigated...
July 24, 2017: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://www.readbyqxmd.com/read/28741801/attitudes-toward-suicidal-behavior-and-associated-factors-among-nursing-professionals-a-quantitative-study
#6
Kelly Graziani Giacchero Vedana, Daniel Fernando Magrini, Ana Carolina Guidorizzi Zanetti, Adriana Inocenti Miasso, Tatiana Longo Borges, Manoel Antônio Dos Santos
BACKGROUND: The attitudes toward suicide of emergency nurses may affect the care provided. However, the factors associated with these attitudes remain unclear. OBJECTIVE: To investigate attitudes toward suicidal behavior and associated factors among nursing professionals working in emergency settings. METHODS: A cross-sectional observational study including 28 nurses and 118 were nursing assistants employed at two emergency services in Brazil was conducted...
July 25, 2017: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/28741283/caring-for-young-children-with-asthma-perspectives-from-urban-community-health-centers
#7
Ellen Childs, Margaret A Laws, Mari-Lynn Drainoni, Anjali Nath, Margaret J Reid, Megan Sandel, Robyn T Cohen
Asthma disproportionately affects low-income, minority youth, with notable disparities among children <5 years of age. Understanding the perceptions of urban community health centers (CHCs) regarding treating young children with asthma could improve care for these patients. This study uses data from semi-structured focus groups with staff from eight urban CHCs. Themes emerged in three domains. Within the parent/family domain, providers noted low rates of follow-up visits, low health literacy, and-for young children specifically-misunderstanding about the diagnosis...
July 24, 2017: Journal of Urban Health: Bulletin of the New York Academy of Medicine
https://www.readbyqxmd.com/read/28741010/perception-of-a-single-session-pre-in-vitro-fertilisation-counselling-service-and-attitudes-towards-support-group-a-survey-of-patients-in-singapore
#8
Gaik Suan Lim, Reshmi Karayan Kayanoth, Birit Fp Broekman, Cornelia Yi Chee
INTRODUCTION: This study aimed to investigate patients' evaluation of a compulsory pre-in vitro fertilisation (IVF) counselling session in Singapore and determine their attitudes towards attending a support group during IVF treatment. METHODS: 464 patients due to undergo their first IVF treatment were recruited at the Clinic for Human Reproduction, National University Hospital, Singapore. All patients attended a counselling session conducted by a clinical psychologist trained in infertility counselling prior to IVF treatment...
July 25, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28739063/patients-opinions-of-or-nurses-and-environments-in-the-postoperative-period
#9
Vesile Eskici, Nadiye Özer
PURPOSE: To determine patients' opinions of operating room (OR) nurses and environments in the postoperative period. DESIGN: A descriptive study. METHODS: The data were collected by using researcher developed forms that defined patients' opinions of OR nurses and environments and were given to the patients on the first postoperative day. FINDING: The final sample consisted of a total of 208 patients who underwent surgery with regional anesthesia...
August 2017: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/28738816/disease-activity-resilience-and-health-related-quality-of-life-in-chinese-patients-with-rheumatoid-arthritis-a-multi-center-cross-sectional-study
#10
Li Liu, Xin Xu, Neili Xu, Lie Wang
BACKGROUND: Positive psychological constructs that can moderate or mediate the negative impact of disease activity on health-related quality of life (HRQOL) in patients with rheumatoid arthritis (RA) have not been explored widely. This study aimed to assess the associations of disease activity, resilience with HRQOL and the moderating and mediating roles of resilience among Chinese RA patients. METHODS: A multi-center, cross-sectional study was conducted in RA inpatients in northeast of China...
July 24, 2017: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/28738809/surgical-frailty-assessment-a-missed-opportunity
#11
Gilgamesh Eamer, Jennifer A Gibson, Chelsia Gillis, Amy T Hsu, Marian Krawczyk, Emily MacDonald, Reid Whitlock, Rachel G Khadaroo
BACKGROUND: Preoperative frailty predicts adverse postoperative outcomes. Despite the advantages of incorporating frailty assessment into surgical settings, there is limited research on surgical healthcare professionals' use of frailty assessment for perioperative care. METHODS: Healthcare professionals caring for patients enrolled at a Canadian teaching hospital were surveyed to assess their perceptions of frailty, as well as attitudes towards and practices for frail patients...
July 24, 2017: BMC Anesthesiology
https://www.readbyqxmd.com/read/28738434/-perception-of-the-liver-allocation-system-by-different-stakeholders
#12
Christine Englschalk, Markus Guba
The German Transplant Law is the legal basis of the liver allocation system in Germany and is specified by the guidelines of the German Medical Association. These guidelines are based on current medical knowledge. The procedure of developing these guidelines was formalised and made transparent.This survey with 502 participants examines how four current aspects of the allocation system are perceived by different stakeholders (medical staff, patients on the liver transplant list or already transplanted, medical students and non-medical university personnel and students)...
July 24, 2017: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/28738341/unmet-care-needs-in-the-oldest-old-primary-care-patients-with-cognitive-disorders-results-of-the-agecode-and-agequalide-study
#13
Janine Stein, Alexander Pabst, Tobias Luck, Dagmar Lühmann, Kathrin Heser, Frank Jessen, Horst Bickel, Edelgard Mösch, Michael Pentzek, Angela Fuchs, Birgitt Wiese, Silke Mamone, Hans-Helmut König, Christian Brettschneider, Jochen Werle, Martin Scherer, Wolfgang Maier, Siegfried Weyerer, Steffi G Riedel-Heller
BACKGROUND: In the future, an increase in health care needs in the elderly is expected. Reports on unmet care needs of the oldest old with cognitive disorders are pending. This study aims at exploring unmet needs in the oldest old primary care patients with mild cognitive impairment (MCI) and dementia. Furthermore, the association between sociodemographic and clinical factors and unmet needs ought to be analyzed. METHODS: Based on the study "Needs, Health Service Use, Costs and Health-Related Quality of Life in a Large Sample of Oldest-Old Primary Care Patients (85+)" (AgeQualiDe), 749 patients (unimpaired, MCI, and dementia) aged 85 years and older, their relatives (n = 421), and general practitioners (GPs) (n = 607) were assessed...
July 25, 2017: Dementia and Geriatric Cognitive Disorders
https://www.readbyqxmd.com/read/28738105/psychosocial-and-behavioral-aspects-of-pain-and-perception-of-oral-health
#14
Miriane Lucindo Zucoloto, João Maroco, Juliana Alvares Campos
AIMS: To evaluate the contribution of the psychosocial and behavioral aspects of pain to the perception of oral health in a sample of Brazilian dental patients. METHODS: This cross-sectional study involved 436 patients who sought dental care in the School of Dentistry of São Paulo State University and who reported some type of orofacial pain. The study group's mean age (± standard deviation [SD]) was 39.9 ± 13.6 years, and the sample was 74.5% female. The Portuguese version of the Oral Health Impact Profile Short Form (OHIP-14) and the Multidimensional Pain Inventory (MPI) were used...
July 2017: Journal of Oral & Facial Pain and Headache
https://www.readbyqxmd.com/read/28738029/confronting-compassion-fatigue-assessment-and-intervention-in-inpatient-oncology%C3%A2
#15
Lisa M Zajac, Katherine J Moran, Carla J Groh
BACKGROUND: A notable variation among patient satisfaction scores with nursing care was identified. Contributing factors were examined and revealed significant negative correlations between the unit death rate and surviving patients' satisfaction scores. Compassion fatigue (CF) was hypothesized to be a major contributing factor.
. OBJECTIVES: The objective was to address CF in RNs and oncology care associates (assistive personnel) by developing an intervention to provide bereavement support to staff after patient deaths...
August 1, 2017: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/28737978/risk-of-violence-among-patients-in-psychiatric-treatment-results-from-a-national-census
#16
Solveig Osborg Ose, Solfrid Lilleeng, Ivar Pettersen, Torleif Ruud, Jaap van Weeghel
BACKGROUND: Adverse media coverage of isolated incidents affects the public perception of the risk of violent behavior among people with mental illness. However, the risk of violence is studied most frequently among inpatients, which falsely exaggerates the prevalence of people with mental illness because the majority of individuals receive treatment as outpatients. AIM: To estimate the prevalence of the risk of violence among inpatients and outpatients in psychiatric treatment, as well as the associations with gender, age, socio-economic status and co-morbid substance use disorders in all major diagnostic categories...
July 24, 2017: Nordic Journal of Psychiatry
https://www.readbyqxmd.com/read/28737362/-ethnography-of-the-determinants-of-eating-behaviour-in-diabetic-schooolchildren-in-yaounde
#17
Mathilde Matchika Megaptché, André Wamba
Objective: Failure to comply with dietary recommendations exposes young insulin-dependent diabetics to a risk of acute complications of diabetes and is a subject of major concern for health care professionals, who expected young diabetics to effectively adopt the recommended eating behaviour based on the revised diet. However, the revised diet initiated by health care professionals in Cameroon has been shown to have a limited efficacy. The objective of this study was to elucidate the motivations underlying poor compliance young diabetics with dietary recommendations and which simultaneously determine their eating behaviour...
July 10, 2017: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/28737261/does-prolonged-grief-treatment-foster-posttraumatic-growth-secondary-results-from-a-treatment-study-with-long-term-follow-up-and-mediation-analysis
#18
Helga Bartl, Maria Hagl, Michaela Kotoučová, Gabriele Pfoh, Rita Rosner
OBJECTIVES: Prolonged grief disorder (PGD) is a persistent and disabling kind of grief reaction that can be treated effectively with psychotherapeutic interventions. There has been limited investigation of whether these interventions can also enhance positive outcomes of bereavement, such as posttraumatic growth or benefit finding. DESIGN: As part of secondary analyses in a randomized controlled trial evaluating integrative cognitive-behavioural therapy for PGD (PG-CBT), the posttraumatic growth trajectories in 51 outpatients with clinically relevant prolonged grief symptoms were followed up from baseline up to 1...
July 24, 2017: Psychology and Psychotherapy
https://www.readbyqxmd.com/read/28737242/customers-perceptions-of-and-satisfaction-with-medicine-retail-outlet-services-in-addis-ababa-ethiopia-a-cross-sectional-study
#19
Dawit T Gebregeorgise, Tofik A Mohammed, Zebiba S Redi, Sofia Kälvemark Sporrong
OBJECTIVES: The aim of this study was to assess customers' perceptions of and satisfaction with MRO services in Addis Ababa and to explore factors associated with their satisfaction and reasons for visits. METHODS: A cross-sectional survey was conducted among customers selected from 28 MROs in Addis Ababa, using multi-stage sampling techniques. Simple descriptive statistics and multivariable logistic regression at 95% confidence interval were used for the analysis...
July 24, 2017: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/28737203/pain-insensitivity-in-a-child-with-a-de-novo-interstitial-deletion-of-the-long-arm-of-the-chromosome-4-case-report
#20
Marco Cascella, María Rosaria Muzio
Terminal and interstitial deletions of the distal segment of the long arm of chromosome 4 (Cr4q del) are not common genetic disorders. The severity of the phenotype is correlated with the size of the deletion because small deletions have little clinical impact, whereas large deletions are usually associated with multiple congenital anomalies, postnatal growth failure, and moderate to severe intellectual disability. Alteration in pain tolerance has not been included among these features, also in case of large deletions...
June 2017: Revista Chilena de Pediatría
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