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https://www.readbyqxmd.com/read/29046039/topical-review-transitional-services-for-teens-and-young-adults-with-attention-deficit-hyperactivity-disorder-a-process-map-and-proposed-model-to-overcoming-barriers-to-care
#1
Jason M Fogler, David Burke, James Lynch, William J Barbaresi, Eugenia Chan
Objective: To provide a topical review of the personal vulnerabilities and systemic barriers facing transitional age young adults with attention-deficit hyperactivity disorder (ADHD), followed by a proposed model for overcoming those barriers. Methods: Drawing from a growing, but limited, literature on the topic, we outline a process map for identifying and troubleshooting barriers to care in this at-risk population. Results: Young adults with ADHD frequently lack the organizational skills, time management, prioritization, and persistence to manage their health care at an expected level of adult independence...
November 1, 2017: Journal of Pediatric Psychology
https://www.readbyqxmd.com/read/29045973/-application-of-three-dimensional-reconstruction-of-the-enhanced-ct-with-iplan-cmf-software-in-head-and-neck-neoplasms
#2
Y Yu, W B Zhang, Y Wang, X J Liu, C B Guo, G Y Yu, X Peng
OBJECTIVE: Three-dimensional reconstruction of the enhanced CT is increasingly becoming a valuable tool in head and neck neoplasms. The aim of this study is to reconstruct three-dimensional imaging of tumor and its surrounding important anatomical structure using iPlan CMF software, and to investigate the application of three-dimensional tumor mapping technique for the diagnosis and treatment of the head and neck neoplasms. METHODS: In the study, 13 cases with head and neck tumors in Department of Oral and Maxilloficial Surgery, Peking University School and Hospital of Stomatology from June 2014 to June 2015 were studied using spiral CT scanning technology based on the same scanning condition...
October 18, 2017: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/29045728/how-do-primary-care-doctors-in-england-and-wales-code-and-manage-people-with-chronic-kidney-disease-results-from-the-national-chronic-kidney-disease-audit
#3
Lois G Kim, Faye Cleary, David C Wheeler, Ben Caplin, Dorothea Nitsch, Sally A Hull
Background: In the UK, primary care records are electronic and require doctors to ascribe disease codes to direct care plans and facilitate safe prescribing. We investigated factors associated with coding of chronic kidney disease (CKD) in patients with reduced kidney function and the impact this has on patient management. Methods: We identified patients meeting biochemical criteria for CKD (two estimated glomerular filtration rates <60 mL/min/1.73 m2 taken >90 days apart) from 1039 general practitioner (GP) practices in a UK audit...
October 16, 2017: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/29040335/is-patient-empowerment-the-key-to-promote-adherence-a-systematic-review-of-the-relationship-between-self-efficacy-health-locus-of-control-and-medication-adherence
#4
Lilla Náfrádi, Kent Nakamoto, Peter J Schulz
BACKGROUND: Current health policies emphasize the need for an equitable doctor-patient relationship, and this requires a certain level of patient empowerment. However, a systematic review of the empirical evidence on how empowerment affects medication adherence-the extent to which patients follow the physician's prescription of medication intake-is still missing. The goal of this systematic review is to sum up current state-of-the-art knowledge concerning the relationship between patient empowerment and medication adherence across medical conditions...
2017: PloS One
https://www.readbyqxmd.com/read/29031925/attributes-of-excellent-surgical-trainers-an-analysis-of-outstanding-trainers
#5
EDITORIAL
P A Sutton, A J Beamish, S Rashid, E Elsey, H M Mohan, D O'Regan
Excellent surgical trainers play a key role in teaching, mentoring and inspiring the next generation of trainee surgeons. Although there are differences in approach, personality and technique among trainers, common themes exist for those that truly shine as examples of good training. The good surgical trainer has long been the "unsung hero" of patient safety, inspiring and imparting wisdom and skill in trainee surgeons, and instilling a sense of confidence and compassion. In order to recognise exceptional trainers, the Association of Surgeons in Training (ASiT) introduced the Silver Scalpel Award in 2000...
October 11, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/29029686/online-written-consultation-telephone-consultation-and-offline-appointment-an-examination-of-the-channel-effect-in-online-health-communities
#6
Hong Wu, Naiji Lu
INTRODUCTION: The emergence of online health communities broadens and diversifies channels for patient-doctor interaction. Given limited medical resources, online health communities aim to provide better treatment by decreasing medical costs, making full use of available resources and providing more diverse channels for patients. OBJECTIVES: This research examines how online channel usage affects offline channels, i.e., "Online Booking, Service in Hospitals" (OBSH), and how the channel effects change with doctors' online and offline reputation...
November 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29029048/general-practitioners-perception-of-being-a-doctor-in-urban-vs-rural-regions-in-germany-a-focus-group-study
#7
Nadine J Pohontsch, Heike Hansen, Ingmar Schäfer, Martin Scherer
Background: Inadequate recruitment numbers for GPs in rural regions give cause for concern. Working in rural regions is less attractive among medical students because of strong associations concerning a higher workload, restriction of privacy and demands exceeding their competences. We aimed to explore perceptions of GPs working in urban versus rural regions to contrast these prejudices. Methods: We conducted nine focus groups with GPs [female = 21, male = 44] from urban and rural regions, using a semi-structured guideline...
September 23, 2017: Family Practice
https://www.readbyqxmd.com/read/29020758/high-level-physical-activity-and-prevalence-of-cardiovascular-disease-using-the-korea-national-health-and-nutrition-examination-survey-data-2007-2013
#8
Kyounghoon Park, Byung-Joo Park
Objectives: The purpose of our study was to evaluate the association between the intensity of physical activity (PA) and prevalence of cardiovascular disease (CVD) using Korean representative data. Methods: We analyzed 39 804 participant data from the Korea National Health and Nutrition Examination Survey, 2007-2013. Exposure variable was three levels of PA (low, medium, and high) in a week, and outcome variable was prevalence of CVD based on patient self-recognition and doctor's diagnosis...
September 2017: Journal of Preventive Medicine and Public Health, Yebang Ŭihakhoe Chi
https://www.readbyqxmd.com/read/29018525/concordance-of-opinions-between-patients-and-physicians-and-their-relationship-with-symptomatic-control-and-future-risk-in-patients-with-moderate-severe-asthma
#9
Astrid Crespo-Lessmann, Vicente Plaza, Francisco-Javier González-Barcala, Toni Fernández-Sánchez, Joaquín Sastre
INTRODUCTION: Differences between the opinions of patients and physicians on the impact of asthma are common. We hypothesised that patient-physician discordance may negatively affect asthma outcome. METHODS: A total of 2902 patients (61% women, mean age 47 years) with moderate-severe asthma and 231 physicians participated in a prospective study. At the baseline visit, data on demographics, clinical variables, degree of asthma control according to the Asthma Control Test (ACT), basic spirometry and the Hospital Anxiety and Depression Scale (HADS) were collected and an ad hoc questionnaire was completed that allowed the degree of concordance between doctors and patients to be assessed...
2017: BMJ Open Respiratory Research
https://www.readbyqxmd.com/read/29016846/impact-of-empathy-in-the-patient-doctor-relationship-on-chronic-pain-relief-and-quality-of-life-a-prospective-study-in-spanish-pain-clinics
#10
Luz Cánovas, Antonio-José Carrascosa, Modesto García, Mariano Fernández, Almudena Calvo, Vicente Monsalve, José-Francisco Soriano
Objective: To assess the impact of the empathy of physicians, perceived by patients with chronic pain, regarding pain relief and health-related quality of life (HR-QoL). Methods: A prospective noninterventional study was conducted in 2,898 patients with moderate to severe chronic pain who were referred to pain clinics. The same physician visited each patient at baseline and after one and three months. Study questionnaires included the Jefferson Scale of Patient Perceptions of Physician Empathy (JSPPPE), the Life Orientation Test-Revised (LOT-R), the Pain Coping Questionnaire (CAD-R), the Brief Pain Inventory Short Form (BPI-SF), and the EuroQol-5D (EQ-5D)...
July 13, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/28993379/knowledge-attitudes-perceptions-and-habits-towards-antibiotics-dispensed-without-medical-prescription-a-qualitative-study-of-spanish-pharmacists
#11
Juan Vazquez-Lago, Cristian Gonzalez-Gonzalez, Maruxa Zapata-Cachafeiro, Paula Lopez-Vazquez, Margarita Taracido, Ana López, Adolfo Figueiras
OBJECTIVE: To investigate community pharmacists' knowledge, attitudes, perceptions and habits with regard to antibiotic dispensing without medical prescription in Spain. METHODS: A qualitative research using focus group method (FG) in Galicia (north-west Spain). FG sessions were conducted in the presence of a moderator. A topic script was developed to lead the discussions, which were audiorecorded to facilitate data interpretation and transcription. Proceedings were transcribed by an independent researcher and interpreted by two researchers working independently...
October 8, 2017: BMJ Open
https://www.readbyqxmd.com/read/28992145/burnout-syndrome-among-non-consultant-hospital-doctors-in-ireland-relationship-with-self-reported-patient-care
#12
Che Fatehah Che Sulaiman, Patrick Henn, Simon Smith, Colm M P O'Tuathaigh
Objective: Intensive workload and limited training opportunities for Irish non-consultant hospital doctors (NCHDs) has a negative effect on their health and well-being, and can result in burnout. Burnout affects physician performance and can lead to medical errors. This study examined the prevalence of burnout syndrome among Irish NCHDs and its association with self-reported medical error and poor quality of patient care. Methods: A cross-sectional quantitative survey-based design...
October 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28990400/-trust-me-i-m-a-doctor-a-qualitative-study-of-the-role-of-paternalism-and-older-people-in-decision-making-when-they-have-lost-their-capacity
#13
Joanne Cole, Oleg Kiriaev, Phillipa Malpas, Gary Cheung
OBJECTIVE: The objective of this study was to explore whether older people want their doctors to make treatment decisions on their behalf when they no longer have capacity to do so, and their reasons for these preferences. METHOD: A convenience sample of older people from two retirement villages were interviewed and asked to respond to a hypothetical vignette. Their responses were analysed using qualitative thematic methodology. RESULTS: Thirty-seven people (56...
October 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28988776/prevalence-of-influenza-vaccine-hesitancy-at-a-tertiary-care-hospital-in-riyadh-saudi-arabia
#14
Abdullah A Alabbad, Abdulaziz K Alsaad, Mohamed A Al Shaalan, Sulaiman Alola, Esam A Albanyan
BACKGROUND: Influenza vaccine hesitancy is a major problem worldwide, with significant public health consequences. We aimed to determine the prevalence of influenza vaccine hesitancy and the effect of vaccine awareness campaigns on vaccine acceptance among three groups (parents, adult patients, and healthcare workers [HCWs]) at King Abdulaziz Medical City, a tertiary care hospital in Riyadh, Saudi Arabia. METHODS: The study was conducted during the 2015-2016 winter season...
October 5, 2017: Journal of Infection and Public Health
https://www.readbyqxmd.com/read/28987077/remission-of-schizoaffective-disorder-using-homeopathic-medicine-2-case-reports
#15
Diane E Grise, Tara Peyman, Jeffrey Langland
Context • Research on the schizophrenia spectrum is primarily focused on pharmaceutical interventions, although alternative treatments have been gaining increasing popularity in recent years because patients are seeking treatments that are effective and have reduced side effects. A significant body of evidence already exists supporting the effectiveness of homeopathy to treat a wide array of illnesses. Objective • The research team intended to demonstrate the need for using both alternative and conventional treatments to improve clinical outcomes in the treatment of schizoaffective disorder...
October 2, 2017: Alternative Therapies in Health and Medicine
https://www.readbyqxmd.com/read/28984633/homeopathy-as-boundary-object-and-distributed-therapeutic-agency-a-discussion-on-the-homeopathic-placebo-response
#16
Cosima Rughiniş, Alexandra Ciocănel, Sorina Vasile
BACKGROUND: We discuss homeopathy's placebo effect as the result of a distributed therapeutic agency involving humans, objects, and texts. Homeopathy has been involved in controversies for centuries, and the dispute whether it is therapy or quackery is as lively as ever. Still, homeopathy has retained significant popularity and acceptance within the medical establishment. AREAS OF UNCERTAINTY: We bracket the issue of biochemical effectiveness of homeopathic remedies as we only discuss homeopathy's potential to elicit a placebo response within its therapeutic alliance, in virtue of its social, symbolic, and material features...
September 27, 2017: American Journal of Therapeutics
https://www.readbyqxmd.com/read/28981666/challenges-to-healthcare-reform-in-china-profit-oriented-medical-practices-patients-choice-of-care-and-guanxi-culture-in-zhejiang-province
#17
Dan Wu, Tai Pong Lam, Kwok Fai Lam, Xu Dong Zhou, Kai Sing Sun
Doctors' profit-oriented practices in public institutions were widespread in China. Two major targets of the healthcare reform launched in 2009 were to curb the profit-making practices in public institutions and to encourage the citizens to use primary care. After 6 years, the status of profit-orientation of public institutions remains unknown. Compared with hospitals, there is no trend of increasing use of primary care. Our study aimed to explore the status of profit-orientation of public institutions and patients' utilization preference...
November 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28981246/-drug-therapy-misunderstanding-and-omission-in-patientdoctor-communication
#18
S Mokrane, M Bujold
Patient-doctor communication is fraught with misunderstanding and omission, especially around the drug therapy. In this article we mobilize health anthropology to illustrate this phenomenon. Beyond the biomedical effect, the drug is also an object of meaning: it objectifies the disease and is appealing but also raising uncertainities. It simultaneously promises a certain autonomy and a dependency on the doctor. Drug prescription also serves as a communication tool between the suffering patient and the caring doctor...
2017: Revue Médicale de Bruxelles
https://www.readbyqxmd.com/read/28976401/-sexual-life-in-elderly-patients-with-cardiovascular-disease
#19
Hakan Karpuz
Sexual activity is an important component of patient and partner quality of life for men and women with cardiovascular disease, including many elderly patients. Older adults desire sexual intimacy when there is a partner and a health status that allows sexual relationships. Older individuals desire to love and enjoy sexual activity in relation to personal circumstances, and when health status allows them to experience close relations, most often within marriage especially in our country. Normal changes occur in the phases of sexual cycle with aging, male erectile dysfunction and female sexual dysfunction increase with age...
September 2017: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
https://www.readbyqxmd.com/read/28975045/huntington-disease-the-complexities-of-making-and-disclosing-a-clinical-diagnosis-after-premanifest-genetic-testing
#20
Elizabeth A McCusker, Clement T Loy
The management of patients and families affected by Huntington disease (HD) is complicated by several factors, both practical and ethical. It can be difficult to determine the onset of clinically manifest HD (mHD). In addition, it can be challenging to decide when to disclose the diagnosis to the affected individual. Firstly, the features of HD, an incurable, inherited, neurocognitive disorder that often manifests in young adulthood, influence how the person presents and accepts a diagnosis. Secondly, a positive genetic test for HD may result in a genetic diagnosis, sometimes years before the development of clinical features and the diagnosis of mHD...
2017: Tremor and Other Hyperkinetic Movements
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