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https://www.readbyqxmd.com/read/28502637/bathing-hospitalized-dependent-patients-with-prepackaged-disposable-washcloths-instead-of-traditional-bath-basins-a-case-crossover-study
#1
Emily Toth Martin, Samran Haider, Maria Palleschi, Sommer Eagle, Delfin V Crisostomo, Pamela Haddox, Laura Harmon, Robin Mazur, Judy Moshos, Dror Marchaim, Keith S Kaye
BACKGROUND: Basins used for patient bathing have been shown to be contaminated with multidrug-resistant organisms (MDROs) and have prompted the evaluation of alternatives to soap and water bathing methods. METHODS: We conducted a prospective, randomized, open-label interventional crossover study to assess the impact of replacing traditional bath basins with prepackaged washcloths on the incidence of hospital-associated infections (HAIs), MDROs, and secondarily, rates of skin deterioration...
May 11, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28494795/a-bio-behavioral-intervention-to-decrease-intravaginal-practices-and-bacterial-vaginosis-among-hiv-infected-zambian-women-a-randomized-pilot-study
#2
Maria L Alcaide, Maureen Chisembele, Emeria Malupande, Violeta J Rodriguez, Margaret A Fischl, Kristopher Arheart, Deborah L Jones
BACKGROUND: Intravaginal practices (IVP) (cleansing or introducing products inside the vagina for hygiene, health or to please sexual partners) are common among women with HIV. IVP increase the risk of developing bacterial Vaginosis (BV), the most common genital infection associated with transmission of sexually transmitted infections and HIV. This study tested a pilot intervention to reduce IVP and BV in HIV infected women in Zambia. METHODS: One hundred twenty-eight HIV infected women engaging in IVP were randomized to two conditions: enhanced standard of care (n = 70) and experimental (n = 58) from May 1, 2013 to February 28, 2014...
May 12, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28460807/diagnostic-approach-to-constipation-impacts-pediatric-emergency-department-disposition
#3
Corrie E Chumpitazi, Chris A Rees, Elizabeth A Camp, Erin B Henkel, Karina L Valdez, Bruno P Chumpitazi
OBJECTIVES: Constipation is a common cause of abdominal pain in children presenting to the emergency department (ED). The objectives of this study were to determine the diagnostic evaluation undertaken for constipation and to assess the association of the evaluation with final ED disposition. METHODS: A retrospective chart review of children presenting to the pediatric ED of a quaternary care children's hospital with abdominal pain that received a soap suds enema therapy...
April 26, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28425889/soap-methodology-in-general-practice-family-medicine-teaching-in-practical-context
#4
Luiz Miguel Santiago, Isabel Neto
INTRODUCTION: Medical records in General Practice/Family Medicine are an essential information support on the health status of the patient and a communication document between health professionals. The development of competencies in General Practice/Family Medicine during pre-graduation must include the ability to make adequate medical records in practical context. As of 2012, medicine students at the University of Beira Interior have been performing visits using the Subjective, Objective, Assessment and Plan - SOAP methodology, with a performance evaluation of the visit, with the aim to check on which Subjective, Objective, Assessment and Plan - SOAP aspects students reveal the most difficulties in order to define improvement techniques and to correlate patient grade with tutor evaluation...
December 30, 2016: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28415972/community-based-survey-during-rabies-outbreaks-in-rangjung-town-trashigang-eastern-bhutan-2016
#5
Tenzin Tenzin, Jamyang Namgyal, Sangay Letho
BACKGROUND: Rabies is a highly fatal disease transmitted through the bite of a rabid animal. Human deaths can be prevented by prompt administering of rabies vaccine and rabies immunoglobulin following the exposure. An assessment of community knowledge, awareness and practices on rabies is important during outbreak to understand their preparedness and target educational messages and response activities by the rapid response team. METHODS: A rabies outbreak has occurred in Rangjung town, eastern Bhutan on 4 October 2016...
April 17, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28365042/racial-disparities-in-the-impact-of-chronic-pruritus-a-cross-sectional-study-on-quality-of-life-and-resource-utilization-in-united-states-veterans
#6
Fiona M Shaw, Kevin Man Hin Luk, Kuang-Ho Chen, Glenda Wrenn, Suephy C Chen
BACKGROUND: Chronic pruritus has a lifetime prevalence of up to 26% in the worldwide population. Research has shown that the incidence and quality of life (QoL) impact of chronic pruritus varies by race. OBJECTIVE: We sought to explore the effects of race on specific pruritus-related QoL factors and resource utilization. METHODS: We performed a cross-sectional, national telephone survey of 6000 US Veterans randomly sampled from the Veterans Hospital Patient Database...
March 29, 2017: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/28329482/prevention-of-poison-ivy-dermatitis-with-oral-homeopathic-rhus-toxicodendron
#7
Robert Joseph Signore
Acute allergic contact dermatitis to poison ivy is acommon and miserable dermatosis which affectsmillions of Americans each year. Preventativemeasures, such as avoidance, protective clothing,barrier creams, soaps, and solvents often fail despiteour patients' best attempts. Severe allergic reactionsto poison ivy are a significant source of decreasedemployee productivity owing to inability to work anda major health care expenditure. Patients may haveto leave their jobs and discontinue favorite outdoorrecreational activities as a result of severe urushiolsensitivity...
January 15, 2017: Dermatology Online Journal
https://www.readbyqxmd.com/read/28290915/knowledge-attitudes-and-practices-regarding-rabies-risk-in-community-members-and-healthcare-professionals-p%C3%A3-tionville-haiti-2013
#8
N Fenelon, P Dely, M A Katz, N D Schaad, A Dismer, D Moran, F Laraque, R M Wallace
Haiti has the highest human rabies burden in the Western Hemisphere. There is no published literature describing the public's perceptions of rabies in Haiti, information that is critical to developing effective interventions and government policies. We conducted a knowledge, attitudes and practices survey of 550 community members and 116 health professionals in Pétionville, Haiti in 2013 to understand the perception of rabies in these populations. The majority of respondents (85%) knew that dogs were the primary reservoir for rabies, yet only 1% were aware that bats and mongooses could transmit rabies...
June 2017: Epidemiology and Infection
https://www.readbyqxmd.com/read/28277734/death-anxiety-and-its-relationship-with-obsessive-compulsive-disorder
#9
Rachel E Menzies, Ilan Dar-Nimrod
The studies presented in this article explored the relevance of death fears to Obsessive Compulsive Disorder (OCD). In Study 1, the relationships between death anxiety and a variety of markers of psychopathology were examined in 171 treatment-seeking participants with OCD. Moderate to large correlations between Collett-Lester Fear of Death scale scores, taken at initial assessment, and clinical ratings of OCD severity, number of hospitalizations, number of medications, and total number of lifetime anxiety-related diagnoses identified in structured diagnostic interviews were obtained...
May 2017: Journal of Abnormal Psychology
https://www.readbyqxmd.com/read/28271359/a-prospective-study-on-predicting-local-recurrence-of-giant-cell-tumour-of-bone-by-evaluating-preoperative-imaging-features-of-the-tumour-around-the-knee-joint
#10
Yifeng He, Jun Wang, Ji Zhang, Fei Yuan, Xiaoyi Ding
PURPOSE: To evaluate the role of medical imaging in predicting local recurrence of giant cell tumour of bone (GCTB) by assessing the preoperative imaging features of GCTB around the knee. METHODS: Forty-eight consecutive GCTBs in the proximal tibia and distal femur treated with curettage were prospectively enrolled. Patients were grouped in terms of their imaging features on radiography, computed tomography (CT) and magnetic resonance imaging (MRI). All patients were followed up for at least two years after surgery...
March 7, 2017: La Radiologia Medica
https://www.readbyqxmd.com/read/28241931/text-mining-approach-to-predict-hospital-admissions-using-early-medical-records-from-the-emergency-department
#11
Filipe R Lucini, Flavio S Fogliatto, Giovani J C da Silveira, Jeruza L Neyeloff, Michel J Anzanello, Ricardo de S Kuchenbecker, Beatriz D Schaan
OBJECTIVE: Emergency department (ED) overcrowding is a serious issue for hospitals. Early information on short-term inward bed demand from patients receiving care at the ED may reduce the overcrowding problem, and optimize the use of hospital resources. In this study, we use text mining methods to process data from early ED patient records using the SOAP framework, and predict future hospitalizations and discharges. DESIGN: We try different approaches for pre-processing of text records and to predict hospitalization...
April 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/28183638/electrospinning-of-silk-fibroin-from-all-aqueous-solution-at-low-concentration
#12
Yuki Kishimoto, Hideaki Morikawa, Shigeru Yamanaka, Yasushi Tamada
Non-woven mats of Bombyx mori silk fibroin were fabricated using electrospinning with an all aqueous solution at <10wt% without any co-existing water soluble polymer such as PEO. The fibroin aqueous solution electrospinnability was affected by the fibroin molecular weight and the spinning solution pH. Hot-water treatment without any alkaline reagent or soap produced higher molecular weight fibroin than the typical degumming process did. The higher molecular weight fibroin provided good electrospinnability...
April 1, 2017: Materials Science & Engineering. C, Materials for Biological Applications
https://www.readbyqxmd.com/read/28179713/thinking-clinically-from-the-beginning-early-introduction-of-the-pharmacists-patient-care-process
#13
Anastasia Rivkin
Objective. To describe a student-centered teaching method used to introduce a pharmacist patient care process (PPCP) during the first year of a doctor of pharmacy (PharmD) program. Design. In the fall of 2014, a cohort of students (n=85) began an integrated pharmacotherapy (IPT) course sequence in the first semester of pharmacy school. The first course in this sequence laid the foundation for the delivery of care, focusing on the individual components of a PPCP. Faculty member used a variety of teaching methods in the course to introduce medication history taking, identification of drug-related problems, identifying components of a patient case, and learning/beginning to write subjective, objective, assessment, plan (SOAP) notes...
December 25, 2016: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/27938986/reduction-in-hospital-associated-methicillin-resistant-staphylococcus-aureus-and-vancomycin-resistant-enterococcus-with-daily-chlorhexidine-gluconate-bathing-for-medical-inpatients
#14
Christopher F Lowe, Elisa Lloyd-Smith, Baljinder Sidhu, Gordon Ritchie, Azra Sharma, Willson Jang, Anna Wong, Jennifer Bilawka, Danielle Richards, Thomas Kind, David Puddicombe, Sylvie Champagne, Victor Leung, Marc G Romney
BACKGROUND: Daily bathing with chlorhexidine gluconate (CHG) is increasingly used in intensive care units to prevent hospital-associated infections, but limited evidence exists for noncritical care settings. METHODS: A prospective crossover study was conducted on 4 medical inpatient units in an urban, academic Canadian hospital from May 1, 2014-August 10, 2015. Intervention units used CHG over a 7-month period, including a 1-month wash-in phase, while control units used nonmedicated soap and water bathing...
December 8, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27755208/cutaneous-metastasis-from-sacral-chordoma
#15
Kristyna Gleghorn, Brandon Goodwin, Ramon Sanchez
Chordoma is a rare primary bone malignancy of notochord origin, representing 1-4% of malignant bone tumors., Typically, chordomas follow a slow progressive course with aggressive local extension, multiple recurrences, and metastases. Of particular interest to this case, cutaneous metastasis is exceedingly rare. Diagnosis of this entity can be a challenge due to the rarity of chordoma, as well as the infrequent presentation of distant cutaneous metastasis and non-specific clinical skin findings. We report a case of a 61-year-old male with a history of sacral chordoma treated by wide local excision 8 years prior to presentation developed a nodule on his scalp for 6 weeks...
April 2017: American Journal of Dermatopathology
https://www.readbyqxmd.com/read/27585555/microbicidal-effects-of-plain-soap-vs-triclocarban-based-antibacterial-soap
#16
S A Kim, M S Rhee
The aim of this study was to determine the bactericidal effects of plain and antibacterial soap. The bactericidal effects of plain and antibacterial soap containing 0.3% triclocarban were examined against 10 Gram-positive and 10 Gram-negative bacterial strains after exposure at 22°C and 40°C for 20 s. Gram-negative bacteria were more susceptible to both soaps than Gram-positive bacteria. However, with one exception (Enterococcus faecalis ATCC 19433 at 40°C), there was no significant difference between the effects of medicated and non-medicated soap at either temperature...
November 2016: Journal of Hospital Infection
https://www.readbyqxmd.com/read/27428384/effect-of-chlorhexidine-bathing-every-other-day-on-prevention-of-hospital-acquired-infections-in-the-surgical-icu-a-single-center-randomized-controlled-trial
#17
RANDOMIZED CONTROLLED TRIAL
Joshua T Swan, Carol M Ashton, Lan N Bui, Vy P Pham, Beverly A Shirkey, Jolene E Blackshear, Jimmy B Bersamin, Rubie May L Pomer, Michael L Johnson, Audrey D Magtoto, Michelle O Butler, Shirley K Tran, Leah R Sanchez, Jessica G Patel, Robert A Ochoa, Shaikh A Hai, Karen I Denison, Edward A Graviss, Nelda P Wray
OBJECTIVE: To test the hypothesis that compared with daily soap and water bathing, 2% chlorhexidine gluconate bathing every other day for up to 28 days decreases the risk of hospital-acquired catheter-associated urinary tract infection, ventilator-associated pneumonia, incisional surgical site infection, and primary bloodstream infection in surgical ICU patients. DESIGN: This was a single-center, pragmatic, randomized trial. Patients and clinicians were aware of treatment-group assignment; investigators who determined outcomes were blinded...
October 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27387755/molecular-characterization-of-cryptosporidium-species-and-giardia-duodenalis-from-symptomatic-cambodian-children
#18
Catrin E Moore, Kristin Elwin, Nget Phot, Chanthou Seng, Saroeun Mao, Kuong Suy, Varun Kumar, Johanna Nader, Rachel Bousfield, Sanuki Perera, J Wendi Bailey, Nicholas J Beeching, Nicholas P J Day, Christopher M Parry, Rachel M Chalmers
BACKGROUND: In a prospective study, 498 single faecal samples from children aged under 16 years attending an outpatient clinic in the Angkor Hospital for Children, northwest Cambodia, were examined for Cryptosporidium oocysts and Giardia cysts using microscopy and molecular assays. METHODOLOGY/PRINCIPAL FINDINGS: Cryptosporidium oocysts were detected in 2.2% (11/498) of samples using microscopy and in 7.7% (38/498) with molecular tests. Giardia duodenalis cysts were detected in 18...
July 2016: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/27365294/a-randomized-clinical-trial-of-preadmission-chlorhexidine-skin-preparation-for-lower-extremity-total-joint-arthroplasty
#19
Bhaveen H Kapadia, Randa K Elmallah, Michael A Mont
BACKGROUND: Periprosthetic infections are devastating postoperative complications of total joint arthroplasty (TJA), with native skin flora commonly identified as causative organisms. We compared 2% chlorhexidine gluconate-impregnated cloths to standard-of-care antiseptic bathing in patients before TJA, to evaluate periprosthetic infection risk at 1-year follow-up. METHODS: This was a prospective, randomized, controlled trial at a single institution of patients undergoing hip or knee arthroplasty...
May 31, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27357695/community-perceptions-of-pre-eclampsia-and-eclampsia-in-ogun-state-nigeria-a-qualitative-study
#20
David O Akeju, Marianne Vidler, Olufemi T Oladapo, Diane Sawchuck, Rahat Qureshi, Peter von Dadelszen, Olalekan O Adetoro, Olukayode A Dada
BACKGROUND: Pre-eclampsia is a complication of pregnancy responsible for high rates of morbidity and mortality, particularly in sub-Saharan Africa. When undetected or poorly managed, it may progress to eclampsia which further worsens the prognosis. While most studies examining pre-eclampsia have used a bio-medical model, this study recognizes the role of the socio-cultural environment, in order to understand perceptions of pre-eclampsia within the community. METHODS: The study was conducted in Ogun State, Nigeria in 2011-2012...
June 8, 2016: Reproductive Health
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