keyword
https://read.qxmd.com/read/38532673/-establishment-of-administrative-core-competencies-and-evaluation-indicators-for-head-nurses
#21
JOURNAL ARTICLE
Hsueh-Ming Kuo, Fang-Ru Yueh, Pei-Mei Chan, Shih-Hsin Liang, Ying-Ju Chang
BACKGROUND: The increasing complexity of the healthcare environment in recent years highlights the importance of cultivating in head nurses the leadership and management competencies necessary to effectively handle complicated administrative tasks and lead nurses in facing various challenges. Identifying the core administrative management competencies required of head nurses and evaluating competency level using behavioral indicators are fundamental to evaluating related training outcomes...
April 2023: Hu Li za Zhi the Journal of Nursing
https://read.qxmd.com/read/38532672/-the-future-of-nursing-education-necessary-elements-and-implementation-strategies-for-learning-artificial-intelligence
#22
JOURNAL ARTICLE
Cheng-Pei Lin, Yu-Chi Chen, Lu-Yen Anny Chen
As populations age, average life expectancy increases and the complexity of diseases rises, leading to nursing care and healthcare systems facing severe challenges related to inadequate resources. Artificial intelligence (AI), including elements such as investigation, integration, learning, prediction, and decision-making, holds significant potential for application in clinical care not only to enhance care quality but also to help guide the future direction of healthcare. AI applications are already being increasingly utilized to improve the quality of clinical care and to streamline workflows...
April 2024: Hu Li za Zhi the Journal of Nursing
https://read.qxmd.com/read/38532646/the-current-state-of-knowledge-on-care-for-co-occurring-chronic-pain-and-opioid-use-disorder-a-scoping-review
#23
REVIEW
Léonie Archambault, Karine Bertrand, Marc O Martel, Mélanie Bérubé, Salima Belhouari, Michel Perreault
BACKGROUND AND AIMS: Opioid use disorder often co-occurs with chronic pain but assessment and treatment of these co-occurring disorders is complex. This review aims to identify current treatments and delivery models for co-occurring chronic pain and opioid use disorder (OUD) documented in the scientific literature. DESIGN: Scoping review. METHODS: The review was conducted in six databases in June 2022 (no time limit): CINAHL, PsycINFO, Web of Science, Cochrane, PubMed and Embase...
March 26, 2024: Journal of Clinical Nursing
https://read.qxmd.com/read/38532541/case-report-of-overlapping-pyloric-obstruction-due-to-dichlorvos-poisoning-and-cholelithiasis-with-choledocholithiasis
#24
JOURNAL ARTICLE
Jie Peng, Yalu Zhang, Qin Ling, Liang Zhu, Hanhui Yao
BACKGROUND Pyloric obstruction after dichlorvos poisoning causes repeated vomiting and inability to eat. Choledocholithiasis and cholelithiasis are the common digestive diseases, with high morbidity and relapse in elderly patients. However, the complex situation of these diseases' coexistence is a clinically intractable problem, and literature on selecting optimal surgical planning is scarce. CASE REPORT A thin 79-year-old woman took dichlorvos due to family conflicts. She improved after being urgently sent to local hospital for gastric lavage and detoxification...
March 27, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38532490/precision-computerised-cognitive-behavioural-therapy-ccbt-for-adolescents-with-depression-a-pilot-and-feasibility-randomised-controlled-trial-protocol-for-sparx-uk
#25
JOURNAL ARTICLE
K Khan, C L Hall, C Babbage, S Dodzo, C Greenhalgh, M Lucassen, S Merry, K Sayal, K Sprange, K Stasiak, C R Tench, E Townsend, P Stallard, C Hollis
BACKGROUND: A serious game called SPARX (Smart, Positive, Active, Realistic, X-factor thoughts), originally developed in New Zealand and incorporating cognitive behavioural therapy (CBT) principles, has been shown to help reduce symptoms of depression and anxiety in adolescents with mild to moderate depression in studies undertaken in Australasia. However, SPARX has never been trialled in the United Kingdom (UK), and there have been issues relating to low engagement when it has been used in a real-world context...
March 26, 2024: Pilot and Feasibility Studies
https://read.qxmd.com/read/38532450/lymphangioleiomyomatosis-in-patients-with-tuberous-sclerosis-a-national-centre-audit
#26
JOURNAL ARTICLE
Jan Johnson, Wendy Somerfield, Simon R Johnson
BACKGROUND: Lymphangioleiomyomatosis (LAM) is common in tuberous sclerosis complex (TSC) yet under recognised with management mostly based upon evidence obtained from patients with sporadic LAM. We performed a prospective audit of patients with TSC-LAM attending a national referral centre to inform management guidelines. METHODS: The UK LAM Centre was established in 2011 and conducts a prospective audit of pre-defined quality outcomes for all subjects. Audit data are reported on all patients with TSC-LAM and a comparator population of patients with sporadic LAM...
March 26, 2024: Orphanet Journal of Rare Diseases
https://read.qxmd.com/read/38532357/profile-of-non-tuberculous-mycobacteria-amongst-tuberculosis-presumptive-people-in-cameroon
#27
JOURNAL ARTICLE
Valerie Flore Donkeng Donfack, Thierry Anicet Zemo Fokou, Lazare Eric Noche Wadje, Yves Le Grand Napa Tchuedji, Yvonne Josiane Djieugoue, Sorelle Nguimfack Teagho, Brenda Shile Takong, Yannick Patrick Assolo, Suzanne Magloire Ongboulal, Yannick Willy Kamdem Simo, Stanley Nkemnji Awungafac, Sara Eyangoh
BACKGROUND: Cameroon is a tuberculosis (TB) burden country with a 12% positivity among TB presumptive cases. Of the presumptive cases with a negative TB test, some are infected with Non-tuberculous Mycobacteria (NTM). However, the diagnosis of NTM infections remains difficult due to the lack of tools in many laboratories, particularly in resource limited laboratories and remote setting. The present study was undertaken to determine NTM profile and associated comorbidities among TB presumptive people...
March 26, 2024: BMC Microbiology
https://read.qxmd.com/read/38532308/optimizing-triage-practice-in-pediatric-trauma-lessons-from-under-triage-and-over-triage-rates-and-risk-factors
#28
JOURNAL ARTICLE
Lisa C Ngo, Hayley M Carroll, Stephanie Salgueiro Massimilian, Nikitha Garapaty, Kelsey Palladino, Shenae K Samuels, Oliver B Lao, Joshua P Parreco, Tamar Levene
BACKGROUND: Triage accuracy is essential for delivering effective trauma care, especially in the pediatric population where unique challenges exist. The purpose of this study was to investigate risk factors contributing to under-triage and over-triage in an urban pediatric trauma center. METHODS: This retrospective cohort study included all trauma activations at an urban level 1 trauma center between January 1, 2021, and July 31, 2023 (patients <18 years old...
March 26, 2024: American Surgeon
https://read.qxmd.com/read/38532266/a-gastroenterologist-s-guide-to-drug-interactions-of-small-molecules-for-inflammatory-bowel-disease
#29
REVIEW
Sivan Harnik, Bella Ungar, Ronen Loebstein, Shomron Ben-Horin
Small molecule drugs are becoming increasingly used in the treatment of inflammatory bowel diseases (IBD). However, unlike monoclonal antibody drugs, which have few interactions with other medications, the pharmacokinetics of small molecule drugs are complex and may be influenced by a myriad of drug-drug interactions (DDI) as well as by patient characteristics and food intake. This review aims to provide a concise practical guide to small molecule drug interactions for the use of IBD physicians. It starts with a brief overview of the main metabolizing enzymes and transporters involved in drug interactions and the Food and Drug Administration's (FDA) approach to determining drug-interaction hazard thresholds...
March 26, 2024: United European Gastroenterology Journal
https://read.qxmd.com/read/38532187/a-mixed-methods-study-exploring-colombian-adolescents-access-to-sexual-and-reproductive-health-services-the-need-for-a-relational-autonomy-approach
#30
JOURNAL ARTICLE
J Brisson, V Ravitsky, B Williams-Jones
This study's objective was to understand Colombian adolescents' experiences and preferences regarding access to sexual and reproductive health services (SRHS), either alone or accompanied. A mixed-method approach was used, involving a survey of 812 participants aged eleven to twenty-four years old and forty-five semi-structured interviews with participants aged fourteen to twenty-three. Previous research shows that adolescents prefer privacy when accessing SRHS and often do not want their parents involved. Such findings align with the longstanding tendency to frame the ethical principle of autonomy as based on independence in decision-making...
March 26, 2024: Journal of Bioethical Inquiry
https://read.qxmd.com/read/38532056/inter-coat-protein-loading-of-active-ingredients-into-tobacco-mild-green-mosaic-virus-through-partial-dissociation-and-reassembly-of-the-virion
#31
JOURNAL ARTICLE
Ivonne González-Gamboa, Adam A Caparco, Justin McCaskill, Paulina Fuenlabrada-Velázquez, Samuel S Hays, Zhicheng Jin, Jesse V Jokerst, Jonathan K Pokorski, Nicole F Steinmetz
Chemical pesticide delivery is a fundamental aspect of agriculture. However, the extensive use of pesticides severely endangers the ecosystem because they accumulate on crops, in soil, as well as in drinking and groundwater. New frontiers in nano-engineering have opened the door for precision agriculture. We introduced Tobacco mild green mosaic virus (TMGMV) as a viable delivery platform with a high aspect ratio and favorable soil mobility. In this work, we assess the use of TMGMV as a chemical nanocarrier for agriculturally relevant cargo...
March 26, 2024: Scientific Reports
https://read.qxmd.com/read/38532010/serotonin-effects-on-human-ipsc-derived-neural-cell-functions-from-mitochondria-to-depression
#32
JOURNAL ARTICLE
Iseline Cardon, Sonja Grobecker, Frederike Jenne, Tatjana Jahner, Rainer Rupprecht, Vladimir M Milenkovic, Christian H Wetzel
Depression's link to serotonin dysregulation is well-known. The monoamine theory posits that depression results from impaired serotonin activity, leading to the development of antidepressants targeting serotonin levels. However, their limited efficacy suggests a more complex cause. Recent studies highlight mitochondria as key players in depression's pathophysiology. Mounting evidence indicates that mitochondrial dysfunction significantly correlates with major depressive disorder (MDD), underscoring its pivotal role in depression...
March 26, 2024: Molecular Psychiatry
https://read.qxmd.com/read/38531827/the-association-between-social-determinants-of-health-risk-factors-job-performance-and-healthcare-costs-in-an-employed-population
#33
JOURNAL ARTICLE
Wayne N Burton, Alyssa B Schultz, Martha E Shepherd, David Hines
OBJECTIVE: To compare employees of a US school district based on their social determinants of health (SDoH). METHODS: Employees (N = 5006) were categorized into low, medium, or high need SDoH tiers. Of them, N = 2469 also participated in a health risk appraisal in 2019. Subjects' average healthcare costs, health risk factors, and self-rated job performance were compared by SDoH tier and race. RESULTS: Significant differences were observed among the SDoH comparison groups regarding age, gender, race, and marital status...
March 27, 2024: Journal of Occupational and Environmental Medicine
https://read.qxmd.com/read/38531765/osteoporosis-management-in-patients-with-chronic-kidney-disease-ercos-study-a-challenge-in-nephrological-care
#34
JOURNAL ARTICLE
Jordi Bover, Carlos Gómez-Alonso, Enrique Casado, Minerva Rodríguez-García, María Jesús Lloret, Cristina Castro-Alonso, Laia Gifre, Fernando Henríquez-Palop, Águeda Prior-Español, Virginia López de la Manzanara, Ana María Láiz, Àngels Martínez-Ferrer, Josep Vicens Torregrosa, Secundino Cigarrán, José Luis Górriz, Marco Montomoli, Nayara Panizo, Ester Costa, Daniel Martínez-Laguna, Mariano Rodríguez, Juan F Navarro-González
Fracture risk assessment in patients with chronic kidney disease (CKD) has been included in the CKD-MBD ("Chronic Kidney Disease-Mineral and Bone Disorders") complex in international and national nephrology guidelines, suggesting for the first time the assessment of bone mineral density (BMD) if the results can influence therapeutic decision-making. However, there is very little information on actual clinical practice in this population. The main objective of the ERCOS (ERC-Osteoporosis) study is to describe the profile of patients with CKD G3-5D with osteoporosis (OP) and/or fragility fractures treated in specialized nephrology, rheumatology and internal medicine clinics in Spain...
March 25, 2024: Nefrología
https://read.qxmd.com/read/38531721/effect-of-trauma-quality-improvement-initiatives-on-outcomes-and-costs-at-community-hospitals-a-scoping-review
#35
JOURNAL ARTICLE
Reba McIver, Mete Erdogan, Robin Parker, Allyson Evans, Robert Green, David Gomez, Tyler Johnston
BACKGROUND: Due to complex geography and resource constraints, trauma patients are often initially transported to community or rural facilities rather than a larger Level I or II trauma center. The objective of this scoping review was to synthesize evidence on interventions that improved the quality of trauma care and/or reduced healthcare costs at non-Level I or II facilities. METHODS: A scoping review was performed to identify studies implementing a Quality Improvement (QI) initiative at a non-major trauma center (i...
March 11, 2024: Injury
https://read.qxmd.com/read/38531709/palliative-care-in-the-cardiovascular-intensive-care-unit-a-systematic-review-of-current-literature
#36
REVIEW
Agastya D Belur, Aryan Mehta, Mridul Bansal, Patrick M Wieruszewski, Rachna Kataria, Marwan Saad, Annaliese Clancy, Daniel J Levine, Neel R Sodha, Douglas M Burtt, Gregory S Rachu, J Dawn Abbott, Saraschandra Vallabhajosyula
BACKGROUND: There has been an evolution in the disease severity and complexity of patients presenting to the cardiac intensive care unit (CICU). There are limited data evaluating the role of palliative care in contemporary CICU practice. METHODS: PubMed Central, CINAHL, EMBASE, Medline, Cochrane Library, Scopus, and Web of Science databases were evaluated for studies on palliative care in adults (≥18 years) admitted with acute cardiovascular conditions - acute myocardial infarction, cardiogenic shock, cardiac arrest, advanced heart failure, post-cardiac surgery, spontaneous coronary artery dissection, Takotsubo cardiomyopathy, and pulmonary embolism - admitted to the CICU, coronary care unit or cardiovascular intensive care unit from 1/1/2000 to 8/8/2022...
March 24, 2024: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://read.qxmd.com/read/38531578/exploring-factors-associated-with-healthcare-professionals-subjective-perceptions-of-complex-issues-in-primary-care-in-japan-a-self-administered-survey-study-on-confidence-satisfaction-and-burden-levels
#37
JOURNAL ARTICLE
Junji Haruta, Ryohei Goto
OBJECTIVE: The aim of this study was to explore factors associated with healthcare professionals' subjective perceptions of complex issues in primary care settings in Japan. DESIGN: Cross-sectional survey conducted through a self-administered web-based questionnaire. SETTING: Japan, from June to October 2020. PARTICIPANTS: Healthcare professionals recruited via an email list from the Japan Primary Care Association. MEASURES: The questionnaire assessed subjective perception of satisfaction, confidence and burden regarding complex issues using a 100 mm Visual Analogue Scale (VAS)...
March 25, 2024: BMJ Open
https://read.qxmd.com/read/38531562/clinical-practice-guideline-recommendations-to-improve-the-mental-health-of-adult-trauma-patients-protocol-for-a-systematic-review
#38
JOURNAL ARTICLE
Mélanie Bérubé, Nori Bradley, Meaghan O'Donnell, Henry Thomas Stelfox, Naisan Garraway, Helen-Maria Vasiliadis, Valerie Turcotte, Michel Perreault, Matthew Menear, Léonie Archambault, Juanita Haagsma, Hélène Provencher, Christine Genest, Marc-Aurèle Gagnon, Laurence Bourque, Alexandra Lapierre, Amal Khalfi, William Panenka
INTRODUCTION: Mental disorders are common in adult patients with traumatic injuries. To limit the burden of poor psychological well-being in this population, recognised authorities have issued recommendations through clinical practice guidelines (CPGs). However, the uptake of evidence-based recommendations to improve the mental health of trauma patients has been low until recently. This may be explained by the complexity of optimising mental health practices and interpretating CGPs scope and quality...
March 25, 2024: BMJ Open
https://read.qxmd.com/read/38531394/integration-of-extracorporeal-membrane-oxygenation-into-the-management-of-high-risk-pulmonary-embolism-an-overview-of-current-evidence
#39
JOURNAL ARTICLE
Romain Chopard, Raquel Morillo, Nicolas Meneveau, David Jiménez
High-risk pulmonary embolism (PE) refers to a large embolic burden causing right ventricular failure and hemodynamic instability. It accounts for approximately 5% of all cases of PE but contributes significantly to overall PE mortality. Systemic thrombolysis is the first-line revascularization therapy in high-risk PE. Surgical embolectomy or catheter-directed therapy is recommended in patients with an absolute contraindication to systemic thrombolysis. Extracorporeal membrane oxygenation (ECMO) provides respiratory and hemodynamic support for the most critically ill PE patients with refractory cardiogenic shock or cardiac arrest...
March 26, 2024: Hämostaseologie
https://read.qxmd.com/read/38531386/complications-and-psychological-impact-of-pressure-ulcers-on-patients-and-caregivers
#40
JOURNAL ARTICLE
Li Qian, Song Yan, Shen Ting Ting, Zhang Meng Han, Tian Qi
Pressure ulcers are persistent skin lesions that have substantial detrimental effects on the physical well-being of patients. Moreover, their psychological ramifications for both patients and their caregivers are becoming more widely acknowledged. This research was conducted to examine the psychological ramifications of pressure ulcers and ascertain efficacious approaches to mitigate these effects and improve overall well-being. A cross-sectional study was conducted from March 2022 to December 2023 across tertiary care centres located in Beijing...
April 2024: International Wound Journal
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