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https://www.readbyqxmd.com/read/29667640/-the-efficiency-of-the-application-of-the-modern-computed-technologies-in-the-clinical-practice-and-the-prospects-for-the-further-use-of-the-biomechanical-3d-models-in-forensic-medicine
#1
I Yu Makarov, A V Svetlakov, A V Sotin, S V Shigeev, A A Gusarov, S A Smirenin, V V Emelin, V B Stragis, V A Fetisov
To-day, the computer-assisted 3D-technologies for the mathematical simulation of the engineering facilities are extensively used for the purpose of technical calculations in all branches of industry and building. The positive experience gained with the application of the 3D-models finds wide application in the joined investigations on the topical problems of the prosthetic and surgical treatment of bones, teeth, joints, cardiac valves, blood vessels, etc. The objective of the present study was the analysis of the positive experience with the involvement of the specialists in the design and practical application of 3D-models for the solution of problems facing the medical prosthetics and the management of various pathological conditions...
2018: Sudebno-meditsinskaia Ekspertiza
https://www.readbyqxmd.com/read/29666161/implementation-of-the-sepsis-risk-calculator-at-an-academic-birth-hospital
#2
Miren B Dhudasia, Sagori Mukhopadhyay, Karen M Puopolo
BACKGROUND: Multivariate predictive models for estimating the risk of neonatal early-onset sepsis (EOS) are available as a Web-based sepsis risk calculator (SRC) and may reduce the proportion of newborns empirically treated with antibiotics after birth. EOS risk assessment based on such models would require workflow changes at most birth hospitals. METHODS: A multidisciplinary team of obstetric, neonatal, and information technology staff at a large, academic, birth hospital collaborated to implement the SRC...
April 17, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29665756/photoprotection-awareness-and-practices-among-patients-with-systemic-lupus-erythematosus-and-its-association-with-disease-activity-and-severity
#3
W D Abdul Kadir, A Jamil, S Sazliyana Shaharir, N Md Nor, A H Abdul Gafor
Objective The objective of this paper is to determine photoprotection awareness, knowledge, practices, and its relationship with disease activity and damage in patients with systemic lupus erythematosus (SLE). Methods A cross-sectional study was performed. Data were acquired from in-person interviews and medical records. Results A total of 199 (89.6%) females and 23 (10.4%) males were recruited. Median age was 39.00 (interquartile range (IQR) 18) years, disease duration 12.12 (IQR 8) years, Fitzpatrick skin phototype III 119 (53...
January 1, 2018: Lupus
https://www.readbyqxmd.com/read/29665703/culturally-safe-health-initiatives-for-indigenous-peoples-in-canada-a-scoping-review
#4
Lauren Brooks-Cleator, Breanna Phillipps, Audrey Giles
Background Cultural safety has the potential to improve the health disparities between Indigenous and non-Indigenous Canadians, yet practical applications of the concept are lacking in the literature. Purpose This study aims to identify the key components of culturally safe health initiatives for the Indigenous population of Canada to refine its application in health-care settings. Methods We conducted a scoping review of the literature pertaining to culturally safe health promotion programs, initiatives, services, or care for the Indigenous population in Canada...
January 1, 2018: Canadian Journal of Nursing Research, Revue Canadienne de Recherche en Sciences Infirmières
https://www.readbyqxmd.com/read/29665572/diagnostic-and-treatment-practices-for-psychogenic-nonepileptic-and-epileptic-seizures-in-namibia
#5
Anina du Toit, Chrisma Pretorius
PURPOSE: Information about existing healthcare resources for the management of seizures in developing countries is lacking. These countries are often poorly equipped to deal with the immense burden of costs, mortality, stigma, seizure-related disability, and comorbidities presented by seizure disorders. This study aimed to contribute to the goals of the International League Against Epilepsy (ILAE) by investigating the resources available for patients with seizure in Namibia. METHODS: Two separate surveys on the diagnostic and treatment practices for epileptic seizures (ES) and psychogenic nonepileptic seizures (PNES) were administered to private healthcare practitioners (HCPs) in Namibia...
April 13, 2018: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29665570/from-resilience-thinking-to-resilience-planning-lessons-from-practice
#6
M M Sellberg, P Ryan, S T Borgström, A V Norström, G D Peterson
Resilience thinking has frequently been proposed as an alternative to conventional natural resource management, but there are few studies of its applications in real-world settings. To address this gap, we synthesized experiences from practitioners that have applied a resilience thinking approach to strategic planning, called Resilience Planning, in regional natural resource management organizations in Australia. This case represents one of the most extensive and long-term applications of resilience thinking in the world today...
April 14, 2018: Journal of Environmental Management
https://www.readbyqxmd.com/read/29664758/redeveloping-the-jbi-model-of-evidence-based-healthcare
#7
Zoe Jordan, Craig Lockwood, Zachary Munn, Edoardo Aromataris
BACKGROUND: In 2005, Pearson et al. presented a developmental framework of evidence-based practice that sought to situate healthcare evidence and its role and use within the complexity of practice settings globally. A decade later, it was deemed timely to re-examine the Model and its component parts to determine whether they remain relevant and a true and accurate reflection of where the evidence-based movement is today. METHODS: A two-phase process was employed for this project...
April 16, 2018: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/29664672/primary-care-physicians-can-comprehensively-manage-sleep-apnea-patients-a-non-inferiority-randomized-controlled-trial
#8
M Ángeles Sánchez-Quiroga, Jaime Corral, Francisco J Gómez-de-Terreros, Carmen Carmona-Bernal, M Isabel Asensio-Cruz, Marta Cabello, M Ángeles Martínez-Martínez, Carlos J Egea, Estrella Ordax, Ferran Barbe, Javier Barca, Juan F Masa
RATIONALE: General practitioners play a passive role in obstructive sleep apnea (OSA) management. Simplification of the diagnosis and use of a semi-automatic algorithm for treatment can facilitate the integration of general practitioners, which has cost advantages. OBJECTIVE: To determine differences in effectiveness between primary healthcare area (PHA) and in-hospital specialized management protocols during six months of follow-up. METHOD: A multicenter, non-inferiority, randomized, controlled trial with two open parallel arms and a cost-effectiveness analysis was performed in six tertiary hospitals in Spain...
April 17, 2018: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/29664530/-clinical-practice-guidelines-for-smoking-cessation
#9
María Paz Corvalán B, Leonardo Véjar M, Claudia Bambs S, Juana Pavié G, Mónica Zagolin B, Jaime Cerda L
Considering that a high proportion of the Chilean general population smokes, the Chilean Society of Respiratory Diseases in collaboration with the Chilean Societies of Cardiology and, Endocrinology and Diabetes, formed an interdisciplinary group, who issued a set of recommendations for the treatment of the smoker, methodologically advised by experts. These interventions should be prioritized in high-risk groups. Methods The panel elaborated and graded the recommendations following the GRADE methodology. To assess the effect of each intervention, systematic reviews and randomized clinical trials were identified...
November 2017: Revista Médica de Chile
https://www.readbyqxmd.com/read/29661544/renal-cell-carcinoma-for-the-nephrologist
#10
REVIEW
Mark A Perazella, Robert Dreicer, Mitchell H Rosner
Renal cell carcinoma (RCC), a malignancy whose incidence is increasing, is frequently encountered in general nephrology practice when acute and chronic kidney disease occurs in the course of disease. Importantly, when kidney disease develops in the setting of RCC, mortality is significantly increased with patients often dying of a non-cancer-related complication of kidney disease. As such, practicing nephrologists need to have a working knowledge of this cancer's biology, treatment, and complications. Nephrologists should be involved in all aspects of the care of patients with RCC including in the acute setting prior to nephrectomy and in the chronic setting for patients with post-nephrectomy chronic kidney disease and those receiving potentially nephrotoxic anti-cancer agents...
April 13, 2018: Kidney International
https://www.readbyqxmd.com/read/29661247/informing-implementation-of-quality-improvement-in-australian-primary-care
#11
Charlotte Hespe, Lucie Rychetnik, David Peiris, Mark Harris
BACKGROUND: Quality Improvement (QI) initiatives in primary care are effective at improving uptake of evidence based guidelines, but are difficult to implement and sustain. In Australia meso-level health organisations such as Primary health care Organisations (PHCO) offer new opportunities to implement area-wide QI programs. This study sought to identify enablers and barriers to implementation of an existing Australian QI program and to identify strategic directions that PHCOs can use in the ongoing development of QI in this environment...
April 16, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29661168/working-to-improve-the-management-of-sarcoma-patients-across-europe-a-policy-checklist
#12
Bernd Kasper, Estelle Lecointe-Artzner, Suzanne Wait, Shannon Boldon, Roger Wilson, Alessandro Gronchi, Claudia Valverde, Mikael Eriksson, Sarah Dumont, Nora Drove, Athanasia Kanli, Markus Wartenberg
BACKGROUND: The Sarcoma Policy Checklist was created by a multidisciplinary expert group to provide policymakers with priority areas to improve care for sarcoma patients. MAIN BODY: This paper draws on this research, by looking more closely at how France, Germany, Italy, Spain, Sweden and the United Kingdom are addressing each of these priority areas. It aims to highlight key gaps in research, policy and practice, as well as ongoing initiatives that may impact the future care of sarcoma patients in different European countries...
April 16, 2018: BMC Cancer
https://www.readbyqxmd.com/read/29660129/midwives-and-women-s-views-on-accessing-dental-care-during-pregnancy-an-australian-qualitative-study
#13
Shao Yin Madeleine Lim, Elisha Riggs, Ramini Shankumar, Parul Marwaha, Nicky Kilpatrick
BACKGROUND: Maternal behaviours during pregnancy are likely to play a significant role in the development of dental caries in children. Although midwives are well placed to discuss oral health and provide information to women, dental attendance by women during pregnancy is minimal. This study aimed to explore midwives' experience of facilitating pregnant women's access to dental care and to document women's experience of receiving dental information and care during pregnancy. METHODS: Focus groups with midwives and telephone interviews with women, who were referred to Monash Health Dental Services, were conducted to explore their perspectives and experiences...
April 16, 2018: Australian Dental Journal
https://www.readbyqxmd.com/read/29659207/trajectories-of-acute-antidepressant-efficacy-how-long-to-wait-for-response-a-systematic-review-and-meta-analysis-of-long-term-placebo-controlled-acute-treatment-trials
#14
Jonathan Henssler, Mona Kurschus, Jeremy Franklin, Tom Bschor, Christopher Baethge
BACKGROUND: In patients who are not responding to antidepressant pharmacotherapy, information regarding the future probability of response with the same treatment is scarce. Specifically, it is unclear at what point in time the probability to respond or remit ceases to increase, because few studies report data on response or remission at repeated time points beyond 4 or 8 weeks of treatment. Consequently, treatment recommendations in clinical practice guidelines differ widely. DATA SOURCES: We systematically searched MEDLINE, Embase, PsycINFO, and CENTRAL databases through March 2014 using generic terms for depressive or affective disorders, individual drug names, and placebo (Prospero Registration: CRD42014010105)...
April 3, 2018: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/29659188/dissecting-through-barriers-a-follow-up-study-on-the-long-term-effects-of-interprofessional-education-in-a-dissection-course-with-healthcare-professional-students
#15
Yu Hang Eric Zheng, Andrew Palombella, Jenn Salfi, Bruce Wainman
Several studies have shown significant improvements in the attitudes and perceptions of healthcare professional students toward interprofessional education (IPE) immediately following intervention with IPE courses. However, there remains little evidence on the lasting effects of IPE courses and the long-term influences of these IPE experiences are poorly documented. The purpose of this study is to assess the long-term effects of an intensive, ten-week interprofessional gross anatomy dissection course at McMaster University...
April 16, 2018: Anatomical Sciences Education
https://www.readbyqxmd.com/read/29659009/state-of-the-science-interprofessional-approaches-to-aging-dementia-and-mental-health
#16
Timothy W Farrell, Marilyn K Luptak, Katherine P Supiano, James T Pacala, Rosalind De Lisser
Interprofessional education (IPE) is essential to develop the healthcare workforce of the future. Geriatrics healthcare professionals have long championed innovations in IPE and patient care, but there is increased urgency to address challenges in aging, dementia, and geriatric mental health in America. In 2010, the Partnership for Health in Aging multidisciplinary competencies and a related position statement in the Journal of the American Geriatrics Society addressed interdisciplinary team (IDT) training in geriatrics...
April 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29658849/suicide-prevention-for-school-communities-an-educational-initiative-for-student-safety
#17
Diane Cody Roberts, Mary Ellen Taylor, Audrey D'Ann Pyle
A knowledge gap exists in school communities regarding suicide prevention and means reduction education. The article highlights two core interrelated topics: school nurse engagement in dialogue with students' families and the implementation of an innovative, community-based suicide prevention educational program at a suburban public school district. The authors provide an overview of the public health problem of suicide for students, current student challenges, role of the school nurse in suicide prevention, and a key gap in current school nursing practice...
May 2018: NASN School Nurse
https://www.readbyqxmd.com/read/29658798/mock-echo-a-simulation-based-medical-education-method
#18
Rebecca C Fowler, Joanna G Katzman, George D Comerci, Brian M Shelley, Daniel Duhigg, Cynthia Olivas, Thomas Arnold, Summers Kalishman, Rebecca Monnette, Sanjeev Arora
PROBLEM: This study was designed to develop a deeper understanding of the learning and social processes that take place during the simulation-based medical education for practicing providers as part of the Project ECHO® model, known as Mock ECHO training. The ECHO model is utilized to expand access to care of common and complex diseases by supporting the education of primary care providers with an interprofessional team of specialists via videoconferencing networks. INTERVENTION: Mock ECHO trainings are conducted through a train the trainer model targeted at leaders replicating the ECHO model at their organizations...
April 16, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29658794/views-of-general-practitioners-toward-physiotherapy-management-of-osteoarthritis-a-qualitative-study
#19
Andrew Okwera, Stephen May
BACKGROUND: Osteoarthritis (OA) is a major cause of pain and physical disability, and general practitioners (GPs) are usually the first point of contact for patients. Physiotherapy has been shown as effective in the management of lower-limb OA. The aim was to explore the beliefs of GPs on the physiotherapy management of lower-limb OA in primary care. METHODS: This is a qualitative study evaluating GP views about physiotherapy in Sheffield, South Yorkshire, UK. Participating GPs were recruited by systematic sampling, and invitation was given to GPs in 10 practices in the four localities in Sheffield...
April 16, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29657859/a-survey-of-practices-for-the-use-of-electronic-health-records-to-support-research-recruitment
#20
Jihad S Obeid, Laura M Beskow, Marie Rape, Ramkiran Gouripeddi, R Anthony Black, James J Cimino, Peter J Embi, Chunhua Weng, Rebecca Marnocha, John B Buse
Electronic health records (EHRs) provide great promise for identifying cohorts and enhancing research recruitment. Such approaches are sorely needed, but there are few descriptions in the literature of prevailing practices to guide their use. A multidisciplinary workgroup was formed to examine current practices in the use of EHRs in recruitment and to propose future directions. The group surveyed consortium members regarding current practices. Over 98% of the Clinical and Translational Science Award Consortium responded to the survey...
August 2017: Journal of Clinical and Translational Science
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