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https://www.readbyqxmd.com/read/28425889/soap-methodology-in-general-practice-family-medicine-teaching-in-practical-context
#1
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
#2
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
#3
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
#4
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
#5
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...
March 14, 2017: Epidemiology and Infection
https://www.readbyqxmd.com/read/28277734/death-anxiety-and-its-relationship-with-obsessive-compulsive-disorder
#6
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...
March 9, 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
#7
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
#8
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
#9
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
#10
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/28130870/analysis-of-inedible-substance-ingestion-at-a-japanese-psychiatric-hospital
#11
So Yayama, Chie Tanimoto, Shunji Suto, Kei Matoba, Tomomi Kajiwara, Masue Inoue, Yoshimi Endo, Miyae Yamakawa, Kiyoko Makimoto
BACKGROUND: Inedible substance ingestion increases the risk of ileus, poisoning, and suffocation. Prevention is especially important in a psychiatric setting. This study aimed to analyze the incidence of inedible substance ingestion in a Japanese psychiatric hospital. METHODS: Inedible substance ingestion incidents were extracted from an incident report database spanning 2000-2012 at a 400-bed psychiatric hospital in Japan. We tabulated the frequencies of incidents in accordance with major diagnosis, ingested materials, incident levels, and time of occurrence...
January 27, 2017: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
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
#12
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
#13
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
#14
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/27447107/randomized-controlled-trial-of-antiseptic-hand-hygiene-methods-in-an-outpatient-surgery-clinic
#15
Paul J Therattil, Janet H Yueh, Anthony M Kordahi, Deepa V Cherla, Edward S Lee, Mark S Granick
INTRODUCTION: Outpatient wound care plays an integral part in any plastic surgery practice. However, compliance with hand hygiene measures has shown to be low, due to skin irritation and lack of time. The objective of this trial was to determine whether single-use, long-acting antiseptics can be as effective as standard multiple-use hand hygiene methods in an outpatient surgical setting. MATERIALS AND METHODS: A prospective, randomized controlled trial was performed in the authors' outpatient plastic surgery clinic at Rutgers New Jersey Medical School, Newark, NJ to compare the efficacy of an ethyl alcohol-based sanitizer (Avagard D Instant Hand Aniseptic, 3M Health Care, St...
December 2015: Wounds: a Compendium of Clinical Research and Practice
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
#16
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
#17
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
#18
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
#19
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
https://www.readbyqxmd.com/read/27350113/routine-chlorhexidine-gluconate-use-onboard-navy-surface-vessels-to-reduce-infection-a-cluster-randomized-controlled-trial
#20
Lior Feldman, Eran Galili, Yuval Cohen, Michael Hartal, Nirit Yavnai, Itamar Netzer
BACKGROUND: Hand disinfection with chlorhexidine gluconate (CHG) is commonly used for preventing the spread of infection in medical institutions and the community, but studies on its use in military settings have been inconclusive. We examined the effects of CHG on morbidity in Israeli Navy ships. METHODS: This was a controlled, cluster randomized study that took place at a major naval base in Israel. Ships were randomly selected into the study (347 sailors) and primary control (350 sailors) groups...
December 1, 2016: American Journal of Infection Control
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