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https://www.readbyqxmd.com/read/29231870/improving-the-care-and-treatment-of-monkeypox-patients-in-low-resource-settings-applying-evidence-from-contemporary-biomedical-and-smallpox-biodefense-research
#1
REVIEW
Mary G Reynolds, Andrea M McCollum, Beatrice Nguete, Robert Shongo Lushima, Brett W Petersen
Monkeypox is a smallpox-like illness that can be accompanied by a range of significant medical complications. To date there are no standard or optimized guidelines for the clinical management of monkeypox (MPX) patients, particularly in low-resource settings. Consequently, patients can experience protracted illness and poor outcomes. Improving care necessitates developing a better understanding of the range of clinical manifestations-including complications and sequelae-as well as of features of illness that may be predictive of illness severity and poor outcomes...
December 12, 2017: Viruses
https://www.readbyqxmd.com/read/29225922/using-participatory-learning-action-pla-research-techniques-for-inter-stakeholder-dialogue-in-primary-healthcare-an-analysis-of-stakeholders-experiences
#2
T de Brún, M O'Reilly-de Brún, E Van Weel-Baumgarten, N Burns, C Dowrick, C Lionis, C O'Donnell, F S Mair, M Papadakaki, A Saridaki, W Spiegel, C Van Weel, M Van den Muijsenbergh, A MacFarlane
Plain English summary: It is important for health care workers to know the needs and expectations of their patients. Therefore, service users have to be involved in research. To achieve a meaningful dialogue between service users, healthcare workers and researchers, participatory methods are needed. This paper describes how the application of a specific participatory methodology, Participatory Learning and Action (PLA) can lead to such a meaningful dialogue. In PLA all stakeholders are regarded as equal partners and collaborators in research...
2017: Research Involvement and Engagement
https://www.readbyqxmd.com/read/29223990/myeloid-growth-factors-version-2-2017-nccn-clinical-practice-guidelines-in-oncology
#3
Jeffrey Crawford, Pamela Sue Becker, James O Armitage, Douglas W Blayney, Julio Chavez, Peter Curtin, Shira Dinner, Thomas Fynan, Ivana Gojo, Elizabeth A Griffiths, Shannon Hough, Dwight D Kloth, David J Kuter, Gary H Lyman, Mary Mably, Sudipto Mukherjee, Shiven Patel, Lia E Perez, Adam Poust, Raajit Rampal, Vivek Roy, Hope S Rugo, Ayman A Saad, Lee S Schwartzberg, Sepideh Shayani, Mahsa Talbott, Saroj Vadhan-Raj, Sumithira Vasu, Martha Wadleigh, Peter Westervelt, Jennifer L Burns, Lenora Pluchino
Myeloid growth factors (MGFs) are given as supportive care to patients receiving myelosuppressive chemotherapy to reduce the incidence of neutropenia. This selection from the NCCN Guidelines for MGFs focuses on the evaluation of regimen- and patient-specific risk factors for the development of febrile neutropenia (FN), the prophylactic use of MGFs for the prevention of chemotherapy-induced FN, and assessing the risks and benefits of MGF use in clinical practice.
December 2017: Journal of the National Comprehensive Cancer Network: JNCCN
https://www.readbyqxmd.com/read/29219905/systems-addressing-frail-elder-care-description-of-a-successful-model
#4
Lianna Zaven Ansryan, Harriet Udin Aronow, Jeff Edward Borenstein, Viola Mena, Flora Haus, Katherine Palmer, Ellen Chan, Jane W Swanson, Sharon Mass, Bradley Rosen, Glenn David Braunstein, Linda Burnes Bolton
OBJECTIVE: The aim of this article is to describe the Systems Addressing Frail Elder (SAFE) Care model, features of the interprofessional team and reengineered workflow, and details of the intervention. BACKGROUND: Older inpatients are vulnerable to adverse events related to frailty. SAFE Care, an interprofessional team-based program, was developed and evaluated in a cluster randomized controlled trial (C-RCT). Results found reduced length of stay and complications...
January 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29218277/effect-of-multimedia-self-care-education-on-quality-of-life-in-burn-patients
#5
Fatemeh Mohaddes Ardebili, Tahereh Najafi Ghezeljeh, Mehri Bozorgnejad, Mohammadreza Zarei, Hooman Ghorbani, Farzad Manafi
BACKGROUND: Burn injuries can have adverse effects on quality of life of patients and can disturb their physiological, psychological, social and spiritual well-being. This study aimed to investigate the effect of multimedia self-care program on quality of life in burn patients. METHODS: This Randomized controlled clinical trial was conducted from November 2015 to December 2016. The samples were hospitalized burn patients with 10% to 45% of 1st, 2nd and 3rd degree burns of total body surface area (TBSA)...
September 2017: World Journal of Plastic Surgery
https://www.readbyqxmd.com/read/29211657/open-to-air-is-a-viable-option-for-initial-wound-care-in-necrotizing-soft-tissue-infection-that-allows-early-detection-of-recurrence-without-need-for-painful-dressing-changes-or-return-to-operating-room
#6
Derek Yang, April Davies, Bailey Burge, Phillip Watkins, Sharmila Dissanaike
BACKGROUND: The standard treatment of necrotizing soft tissue infection (NSTI) includes extensive surgical debridement. Care of these debridements is challenging because of the size of the wound and associated pain. A potential solution is to leave the wounds open-to-air in the period after the initial debridement, allowing for regular inspection at bedside while reducing pain associated with frequent dressing changes. We evaluated the feasibility of this approach from a pain control standpoint...
December 6, 2017: Surgical Infections
https://www.readbyqxmd.com/read/29210927/pediatric-critical-care-medicine-training-2004-2016
#7
Meredith G van der Velden, Megan K Barrett, Gretchen A Sampadian, Richard J Brilli, Jeffrey P Burns
OBJECTIVES: To describe growth trends in the number of programs, positions, and applicants in pediatric critical care medicine fellowship training as part of the Pediatric Critical Care Medicine Training Study. DESIGN: Descriptive study. SETTINGS: Available archived Match data through the National Resident Matching Program and training data from the Accreditation Council for Graduate Medical Education. PATIENTS: None...
November 28, 2017: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29207887/burn-care-and-rehabilitation-in-australia-health-professionals-perspectives
#8
Rachel Kornhaber, Greg Rickard, Loyola McLean, Rick Wiechula, Violeta Lopez, Michelle Cleary
OBJECTIVE: To understand health professionals' perspectives of burn care and rehabilitation. DESIGN: Qualitative and semi-structured interviews. SETTING: Australian burn and rehabilitation units. PARTICIPANTS: Twenty-two clinicians working in burns units across disciplines and healthcare settings. RESULTS: The data portrayed the health professionals' perspectives of burn care and rehabilitation in Australia...
December 5, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29202605/toxic-epidermal-necrolysis-spectrum-management-at-sunnybrook-health-sciences-centre-our-multidisciplinary-approach-after-review-of-the-current-evidence
#9
Alexandra Mereniuk, Alejandra Jaque, Marc G Jeschke, Neil H Shear
Toxic epidermal necrolysis spectrum (TENS) is a rare yet severe adverse drug reaction associated with a high mortality rate. Beyond supportive care, there is still no established therapy for TENS, although recent meta-analyses and UK guideline recommendations have attempted to offer a review of relevant literature on this difficult topic. As most directed treatments lack clear consensual evidence, care centres often resort to establishing their own strategies. As Canada's largest adult burn centre and the provincial reference centre for most burn patients in Ontario, our team at the Ross Tilley Burn Centre, in collaboration with the Department of Dermatology at Sunnybrook Health Sciences Centre, Toronto, Canada, has managed over 60 confirmed cases of TENS over the past 2 decades...
December 1, 2017: Journal of Cutaneous Medicine and Surgery
https://www.readbyqxmd.com/read/29202152/subacute-loss-of-vision-in-one-eye-%C3%A2-rash-on-hands-and-feet-%C3%A2-plaques-with-scaling-on-genitals-%C3%A2-dx
#10
Abigail Nunn, Jeffrey M Sturek, Joshua E Reuss, Michael F Rein, Scott K Heysell
A 67-year-old man presented to the hospital with subacute loss of vision in his left eye. The visual changes began 2 weeks earlier, with a central area of visual loss that had since progressed to near complete vision loss in the left eye. Physical examination revealed patchy alopecia, a scaling and hyperkeratotic rash of his hands and feet, and blanching, erythematous plaques with associated scaling on the scrotum and glans penis. Ophthalmologic examination revealed 1/200 vision in his left eye with a large plaque occupying a substantial portion of the superior quadrant, smaller perifoveal plaques in both of his eyes, and a small infiltrate above the left optic nerve head...
December 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/29201634/innovative-chest-physiotherapy-techniques-the-metaneb%C3%A2-system-in-the-intubated-child-with-extensive-burns
#11
Alexandra Ferguson, Sarah Wright
Introduction: The Metaneb® is a new generation Intrapulmonary Percussive Ventilation device utilised by the physiotherapist to assist airway clearance by providing calibrated oscillations during inspiration up to 3.8Hz. Predominantly used in the adult chronic respiratory patient, with anecdotal evidence in intubated patients, it was also proven to be safe in a paediatric lung model lab study. This case report outlines the first use of the Metaneb® with an intubated child in Australia...
2017: Respiratory Medicine Case Reports
https://www.readbyqxmd.com/read/29196079/burnout-moral-distress-work-life-balance-and-career-satisfaction-among-hematopoietic-cell-transplantation-professionals
#12
Joyce L Neumann, Lih-Wen Mau, Sanya Virani, Ellen M Denzen, Deborah A Boyle, Nancy J Boyle, Jane Dabney, Alexandra De KeselLofthus, Marion Kalbacker, Tippu Khan, Navneet S Majhail, Elizabeth A Murphy, Pamela Paplham, Leslie Parran, Miguel-Angel Perales, Todd H Rockwood, Kim Schmit-Pokorny, Tait D Shanafelt, Elaine Stenstrup, William A Wood, Linda J Burns
BACKGROUND: A projected shortage of hematopoietic cell transplantation (HCT) health professionals was identified as a major issue during the National Marrow Donor Program (NMDP)/Be The Match System Capacity Initiative. Work-related distress and work-life balance were noted to be potential barriers to recruitment/retention. This study examined these barriers and their association with career satisfaction across HCT disciplines. METHODS: A cross-sectional, 90-item, web-based survey was administered to advanced practice providers (APP), nurses, physicians, pharmacists, and social workers in 2015...
November 28, 2017: Biology of Blood and Marrow Transplantation
https://www.readbyqxmd.com/read/29192816/erratum-care-of-the-critically-ill-burn-patient-an-overview-from-the-perspective-of-optimizing-palliative-care
#13
(no author information available yet)
No abstract text is available yet for this article.
December 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/29190735/subgroup-analysis-of-continuous-renal-replacement-therapy-in-severely-burned-patients
#14
Jaechul Yoon, Youngmin Kim, Dohern Kym, Jun Hur, Haejun Yim, Yong-Suk Cho, Wook Chun
Continuous renal replacement therapy (CRRT) is administered to critically ill patients with renal injuries as renal replacement or renal support. We aimed to identify predictors of mortality among burn patients receiving CRRT, and to investigate clinical differences according to acute kidney injury (AKI) status. This retrospective observational study evaluated 216 Korean burn patients who received CRRT at a burn intensive care unit. Patients were categorized by AKI status. Data were collected regarding arterial pH, laboratory results, ratio of arterial oxygen partial pressure to fractional inspired oxygen (PF ratio), and urine production...
2017: PloS One
https://www.readbyqxmd.com/read/29186834/urinary-phthalate-concentrations-in-mothers-and-their-children-in-ireland-results-of-the-democophes-human-biomonitoring-study
#15
Elizabeth Cullen, David Evans, Chris Griffin, Padraig Burke, Rory Mannion, Damien Burns, Andrew Flanagan, Ann Kellegher, Greet Schoeters, Eva Govarts, Pierre Biot, Ludwine Casteleyn, Argelia Castaño, Marike Kolossa-Gehring, Marta Esteban, Gerda Schwedler, Holger M Koch, Jürgen Angerer, Lisbeth E Knudsen, Reinhard Joas, Anke Joas, Birgit Dumez, Ovnair Sepai, Karen Exley, Dominique Aerts
Background: Phthalates are chemicals which are widespread in the environment. Although the impacts on health of such exposure are unclear, there is evidence of a possible impact on the incidence of a diverse range of diseases. Monitoring of human exposure to phthalates is therefore important. This study aimed to determine the extent of phthalate exposure among mothers and their children in both rural and urban areas in Ireland, and to identify factors associated with elevated concentrations. It formed part of the 'Demonstration of a study to Co-ordinate and Perform Human Biomonitoring on a European Scale' (DEMOCOPHES) pilot biomonitoring study...
November 25, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29185976/moving-on-up-in-the-c-suite
#16
Joseph Burns
David Hanekom, MD, and Steven Udvarhelyi, MD, are two former medical directors who became CEOs. Their new job means really understanding the business side of health care, the need for healthy members, and a healthy bottom line. But it also means watching costs and keeping stakeholders - which can include stockholders - happy.
November 2017: Managed Care
https://www.readbyqxmd.com/read/29183752/a-1-year-comparison-of-a-community-based-exercise-program-versus-a-day-hospital-based-exercise-program-on-quality-of-life-and-mental-health-in-severely-burned-children
#17
Raquel Peña, Oscar E Suman, Marta Rosenberg, Clark R Andersen, David N Herndon, Walter J Meyer
OBJECTIVE: To compare the effects of long term psychosocial functioning and mental health of a "Day-Hospital" Based Exercise Program (DAYEX) versus a Community Based Exercise Program (COMBEX). DESIGN: This was a prospective design that consisted of two groups (DAYEX and COMBEX). SETTING: A children's hospital specialized in burn care (Shriner's Hospitals for Children, Inc., Galveston, Texas) PARTICIPANTS: A total of 18 patients, (n=9 DAYEX and n=9 COMBEX) were assessed at Intensive Care Unit (ICU) discharge and up to 1 year post burn...
November 25, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29180925/marjolin-s-ulcer-in-chronic-wounds-review-of-available-literature
#18
REVIEW
Dariusz Bazaliński, Joanna Przybek-Mita, Beata Barańska, Paweł Więch
Marjolin's ulcer is a rare, aggressive skin cancer developing in scar tissue, chronic ulcers and areas affected by inflammations. Its incidence is estimated to range from 1% to 2% of all burn scars. It most frequently takes the form of squamous cell carcinoma which sometimes is diagnosed during examination of lesions developing in scars and hard-to-heal chronic wounds (pressure sores, leg ulcers). Therapeutic management of Marjolin's ulcer requires well-designed treatment plan to ensure optimal medical care and good quality of life for the patient...
2017: Contemporary Oncology Współczesna Onkologia
https://www.readbyqxmd.com/read/29179650/statin-related-adverse-effects-and-patient-education-a-study-from-resource-limited-settings
#19
Rubina Mulchandani, Tanica Lyngdoh, Praloy Chakraborty, Ashish Kumar Kakkar
BACKGROUND: Statins are the most widely prescribed class of drugs for coronary artery disease (CAD) patients and yet literature on the prevalence of statin related adverse effects (AEs) and gaps in patient education is quite limited especially in resource-limited settings of developing world. OBJECTIVES: The present study was conducted to determine the prevalence of myopathy (muscle ailments) and other statin associated adverse effects among CAD patients on statin therapy...
November 27, 2017: Acta Cardiologica
https://www.readbyqxmd.com/read/29174849/-the-advantages-in-using-cyanoacrylate-glue-over-skin-staples-as-a-method-of-skin-graft-fixation-in-the-pediatric-burns-population
#20
P Curings, P-L Vincent, R Viard, P Gir, J-P Comparin, D Voulliaume
INTRODUCTION: Local postoperative care and burn wound management can present with a certain degree of difficulty in the pediatric population. While the use of skin staples as a method of skin graft fixation is a well-known, rapid and simple method, their removal can be painful and may necessitate some sedation or even general anesthesia. We studied in this article the advantages and economic value of using the cyanoacrylate glue as a fixation method for skin grafts. MATERIALS AND METHODS: A comparative study was carried out from 2012 to 2016...
November 23, 2017: Annales de Chirurgie Plastique et Esthétique
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