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https://www.readbyqxmd.com/read/29352594/systematic-review-of-uterine-artery-embolisation-practice-guidelines-are-all-the-guidelines-on-the-same-page
#1
H T Chen, S Athreya
AIM: To evaluate the degree of concordance amongst the currently available guidelines informing the use of uterine artery embolisation (UAE), and identify any inconsistencies present. MATERIALS AND METHODS: Standards of practice and quality improvement guidelines were retrieved through a search of PubMed and EMBASE. Additional sets of guidelines were retrieved directly from the websites of known obstetrics and gynaecology and radiological associations. RESULTS: Eleven guidelines were retrieved from organisations located in Europe, North America, and Australia...
January 15, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29347929/the-hiv-self-testing-debate-where-do-we-stand
#2
REVIEW
Marilou Gagnon, Martin French, Yamilee Hébert
BACKGROUND: Emphasis on HIV testing as a gateway to prevention, treatment and care has grown tremendously over the past decade. In turn, this emphasis on testing has created a demand for new policies, programs, and technologies that can potentially increase access to and uptake of HIV testing. HIV self-testing (HST) technologies have gained important momentum following the approval of the over-the-counter self-tests in the United States, the UK, and France. While the renewed interest in HST has given rise to a number of high quality reviews of empirical studies conducted on this topic, we have yet to find an article that captures the extent of the debate on HST...
January 18, 2018: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/29347403/influence-of-periodic-external-fields-in-multiagent-models-with-language-dynamics
#3
Filippo Palombi, Stefano Ferriani, Simona Toti
We investigate large-scale effects induced by external fields, phenomenologically interpreted as mass media, in multiagent models evolving with the microscopic dynamics of the binary naming game. In particular, we show that a single external field, broadcasting information at regular time intervals, can reverse the majority opinion of the population, provided the frequency and the effectiveness of the sent messages lie above well-defined thresholds. We study the phase structure of the model in the mean field approximation and in numerical simulations with several network topologies...
December 2017: Physical Review. E
https://www.readbyqxmd.com/read/29344338/current-best-practice-in-the-management-of-turner-syndrome
#4
REVIEW
Roopa Kanakatti Shankar, Philippe F Backeljauw
Turner syndrome (TS) is characterized by partial or complete loss of the second X-chromosome in phenotypic females resulting in a constellation of clinical findings that may include lymphedema, cardiac anomalies, short stature, primary ovarian failure and neurocognitive difficulties. Optimizing health care delivery is important to enable these individuals achieve their full potential. We review the current best practice management recommendations for individuals with TS focusing on the latest consensus opinion in regard to genetic diagnosis, treatment of short stature, estrogen supplementation, addressing psychosocial issues, as well screening for other comorbidities...
January 2018: Therapeutic Advances in Endocrinology and Metabolism
https://www.readbyqxmd.com/read/29321547/polycythemia-vera-treatment-algorithm-2018
#5
REVIEW
Ayalew Tefferi, Alessandro M Vannucchi, Tiziano Barbui
Recently reported mature survival data have confirmed the favorable prognosis in polycythemia vera (PV), with an estimated median survival of 24 years, in patients younger than age 60 years old. Currently available drugs for PV have not been shown to prolong survival or alter the natural history of the disease and are instead indicated primarily for prevention of thrombosis. Unfortunately, study endpoints that are being utilized in currently ongoing clinical trials in PV do not necessarily target clinically or biologically relevant outcomes, such as thrombosis, survival, or morphologic remission, and are instead focused on components of disease palliation...
January 10, 2018: Blood Cancer Journal
https://www.readbyqxmd.com/read/29319437/backlash-or-a-positive-response-public-opinion-of-lgb-issues-after-obergefell-v-hodges
#6
Emily Kazyak, Mathew Stange
Following Obergefell v. Hodges, same-sex marriage remains controversial and anti-LGBT state legislation has been passed, which raises questions about whether the Supreme Court's ruling may have created a backlash. We use data from two waves of a general population survey of Nebraskans conducted before and after the decision to answer three questions. First, we test three theories of how the Court decision influenced public opinion. We find that support for same-sex marriage was significantly higher following the ruling, suggesting that there was not a backlash to it...
January 10, 2018: Journal of Homosexuality
https://www.readbyqxmd.com/read/29315454/patients-opinions-on-outcomes-following-critical-illness
#7
H K Nedergaard, T Haberlandt, P D Reichmann, P Toft, H I Jensen
BACKGROUND: Our aim was to explore which outcomes are most important to patients following ICU-discharge, and to explore whether intensive care unit (ICU)-nurses and anesthesiologists are aware of patients' priorities. METHODS: First, interviews with adult ICU-survivors were conducted until data saturation was achieved (10 interviews), and six areas with 36 items were identified. Second, interviews with another eight ICU-survivors were conducted, narrowing the list to 20...
January 7, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/29304181/public-opinion-towards-castration-without-anaesthesia-and-lack-of-access-to-pasture-in-beef-cattle-production
#8
Dayane Lemos Teixeira, Rafael Larraín, Oscar Melo, María José Hötzel
Recent publications have shown that citizens in developing nations are gaining interest in farm animal welfare. The aims of this study were to assess the opinion of Chilean citizens about surgical castration without anaesthesia and lack of access to pasture in beef cattle production, to investigate how involvement in livestock production influences opinions, and to evaluate if different types of information would affect their opinion towards these management practices. The study was carried out in the Metropolitan Region of Santiago, Chile, and consisted of two surveys with 400 participants in each study...
2018: PloS One
https://www.readbyqxmd.com/read/29303932/the-clinicopathological-study-of-21-cases-with-uterine-smooth-muscle-tumors-of-uncertain-malignant-potential-centralized-review-can-purify-the-diagnosis
#9
Derman Basaran, Alp Usubutun, Mehmet Coskun Salman, Mehmet Ali Narin, Gokhan Boyraz, Osman Turkmen, Gunsu Comert Kimyon, Alper Karalok, Dilek Bulbul, Taner Turan, Nejat Ozgul, Kunter Yuce
OBJECTIVE: The objective of this study was to investigate the clinicopathological features and factors associated with recurrence in patients with uterine smooth muscle tumor of uncertain malignant potential (STUMP). METHODS: Forty-six cases diagnosed between 2000 and 2014 from 2 tertiary centers underwent blind slide review. Initial diagnosis included smooth muscle tumors with equivocal diagnosis, STUMPs, and cases that were named as leiomyosarcomas (LMS) or low-grade LMS despite not fulfilling the Stanford criteria...
January 4, 2018: International Journal of Gynecological Cancer
https://www.readbyqxmd.com/read/29298965/stigmatization-of-psychiatrists-by-pedagogues
#10
Andrzej Witusik
Psychiatrists, as well as their patients, are the objects of the stigmatization process. The question arises as to whether stigmatization of psychiatrists is a phenomenon that occurs among the pedagogues. Answering this question has an important social dimension because it is the teacher and the pedagogue who shapes the attitudes of young people. AIM: Aim of the study was preliminary, pilot assessment of the severity of stigmatization of psychiatrists by teachers and educators who do not have everyday contact with mentally ill patients...
December 22, 2017: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/29276836/patient-reported-experiences-on-supportive-care-strategies-following-the-introduction-of-the-first-swedish-national-cancer-strategy-and-in-accordance-with-the-new-patient-act
#11
Bodil Westman, Lily Kirkpatrick, Fereshte Ebrahim, Roger Henriksson, Lena Sharp
INTRODUCTION: Several supportive care strategies are described in Swedish legislation and policy documents, such as the National Cancer Strategy and the Patient act. No previous systematic evaluation from a patient perspective has been performed. The aim of this study was to evaluate how these supportive care strategies are experienced by patients treated for cancer in the Stockholm-Gotland region. MATERIAL AND METHODS: In this cross-sectional study, we identified patients (diagnosed with gynaecological, haematological, upper gastrointestinal and head and neck cancer during 2014) from the Swedish Cancer Register...
December 25, 2017: Acta Oncologica
https://www.readbyqxmd.com/read/29276756/cost-effectiveness-of-medical-devices-to-diagnose-pre-eclampsia-in-low-resource-settings
#12
Zoë M McLaren, Alana Sharp, John P Hessburg, Amir Sabet Sarvestani, Ethan Parker, James Akazili, Timothy R B Johnson, Kathleen H Sienko
Background: Maternal mortality remains a major health challenge facing developing countries, with pre-eclampsia accounting for up to 17 percent of maternal deaths. Diagnosis requires skilled health providers and devices that are appropriate for low-resource settings. This study presents the first cost-effectiveness analysis of multiple medical devices used to diagnose pre-eclampsia in low- and middle-income countries (LMICs). Methods: Blood pressure and proteinuria measurement devices, identified from compendia for LMICs, were included...
2017: Development Engineering
https://www.readbyqxmd.com/read/29276499/usability-of-videogame-based-dexterity-training-in-the-early-rehabilitation-phase-of-stroke-patients-a-pilot-study
#13
Tim Vanbellingen, Suzanne J Filius, Thomas Nyffeler, Erwin E H van Wegen
Background: Approximately 70-80% of stroke survivors have limited activities of daily living, mainly due to dexterous problems. Videogame-based training (VBT) along with virtual reality seems to be beneficial to train upper limb function. Objective: To evaluate the usability of VBT using the Leap Motion Controller (LMC) to train fine manual dexterity in the early rehabilitation phase of stroke patients as an add-on to conventional therapy. Additionally, this study aimed to estimate the feasibility and potential efficacy of the VBT...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/29273045/doctors-opinion-on-the-contribution-of-coordination-mechanisms-to-improving-clinical-coordination-between-primary-and-outpatient-secondary-care-in-the-catalan-national-health-system
#14
Marta-Beatriz Aller, Ingrid Vargas, Jordi Coderch, Maria-Luisa Vázquez
BACKGROUND: Clinical coordination is considered a health policy priority as its absence can lead to poor quality of care and inefficiency. A key challenge is to identify which strategies should be implemented to improve coordination. The aim is to analyse doctors' opinions on the contribution of mechanisms to improving clinical coordination between primary and outpatient secondary care and the factors influencing their use. METHODS: A qualitative descriptive study in three healthcare networks of the Catalan national health system...
December 22, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29273032/self-sampling-for-human-papillomavirus-dna-detection-a-preliminary-study-of-compliance-and-feasibility-in-bolivia
#15
Pedro Surriabre, Gustavo Allende, Marcela Prado, Leyddy Cáceres, Diego Bellot, Andrea Torrico, Karina Ustariz, Shirley Rojas, Jaime Barriga, Pamela Calle, Ligia Villarroel, Rosse Mary Yañez, Marc Baay, Patricia Rodriguez, Véronique Fontaine
BACKGROUND: Cervical cancer incidence and mortality rates in Bolivia are among the highest in Latin America. This investigation aims to evaluate the possibility of using simple devices, e.g. a cotton swab and a glass slide, for self-sampling in order to detect human papillomavirus (HPV) DNA by PCR in cervico-vaginal cells. METHODS: In the first phase of our study we evaluated the use of a glass slide as a transport medium for cervical cells. A physician took paired-cervical samples from 235 women...
December 22, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/29258975/public-perceptions-regarding-use-of-virtual-reality-in-health-care-a-social-media-content-analysis-using-facebook
#16
Michelle Sophie Keller, Hannah J Park, Maria Elena Cunningham, Joshua Eleazar Fouladian, Michelle Chen, Brennan Mason Ross Spiegel
BACKGROUND: Virtual reality (VR) technology provides an immersive environment that enables users to have modified experiences of reality. VR is increasingly used to manage patients with pain, disability, obesity, neurologic dysfunction, anxiety, and depression. However, public opinion regarding the use of VR in health care has not been explored. Understanding public opinion of VR is critical to ensuring effective implementation of this emerging technology. OBJECTIVE: This study aimed to examine public opinion about health care VR using social listening, a method that allows for the exploration of unfiltered views of topics discussed on social media and online forums...
December 19, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29258679/role-of-androgen-receptor-variants-in-prostate-cancer-report-from-the-2017-mission-androgen-receptor-variants-meeting
#17
Jun Luo, Gerhardt Attard, Steven P Balk, Charlotte Bevan, Kerry Burnstein, Laura Cato, Artem Cherkasov, Johann S De Bono, Yan Dong, Allen C Gao, Martin Gleave, Hannelore Heemers, Mayuko Kanayama, Ralf Kittler, Joshua M Lang, Richard J Lee, Christopher J Logothetis, Robert Matusik, Stephen Plymate, Charles L Sawyers, Luke A Selth, Howard Soule, Wayne Tilley, Nancy L Weigel, Amina Zoubeidi, Scott M Dehm, Ganesh V Raj
CONTEXT: Although a number of studies have demonstrated the importance of constitutively active androgen receptor variants (AR-Vs) in prostate cancer, questions still remain about the precise role of AR-Vs in the progression of castration-resistant prostate cancer (CRPC). OBJECTIVE: Key stakeholders and opinion leaders in prostate cancer convened on May 11, 2017 in Boston to establish the current state of the field of AR-Vs. EVIDENCE ACQUISITION: The meeting "Mission Androgen Receptor Variants" was the second of its kind sponsored by the Prostate Cancer Foundation (PCF)...
December 16, 2017: European Urology
https://www.readbyqxmd.com/read/29250106/update-on-the-management-of-barrett-s-esophagus-in-austria
#18
M Riegler, I Kristo, M Nikolic, E Rieder, S F Schoppmann
Background: Barrett's esophagus (BE) is the premalignant manifestation of gastroesophageal reflux disease (GERD). Radiofrequency ablation (RFA) with and without endoscopic resection (ER) is a novel treatment for BE. Methods: Here we present a single-center update of the recommendations of a recent (June 2015) interdisciplinary expert panel meeting on the management of BE with dysplasia as well as cancer-positive and cancer-negative BE. We conducted a PubMed search of studies published in 2016 and 2017 on the topic of BE and RFA...
2017: European Surgery: ACA: Acta Chirurgica Austriaca
https://www.readbyqxmd.com/read/29248898/confidence-in-palliative-care-issues-by-medical-students-and-internal-medicine-residents
#19
Ana Carolina Montouro Storarri, Giovana Dalmedico de Castro, Lilian Castiglioni, Patricia Maluf Cury
BACKGROUND: Palliative care (PC) is a relatively new field in Brazil, but this knowledge is of great importance in medical practice. OBJECTIVE: To evaluate the degree of confidence among medical students and first-year and second-year internal medicine residents in addressing issues of death and terminal illness with patients and their families. METHOD: A modified version of the Self-Efficacy in Palliative Care Scale was applied to 293 students in their first year to sixth year at the School of Medicine of São José do Rio Preto and to 43 residents in their first year or second year of medical practice at the same institution in Brazil, in 2015...
December 16, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/29246705/a-randomized-controlled-trial-evaluating-the-impact-of-web-based-information-on-breast-cancer-patients-knowledge-of-surgical-treatment-options
#20
Jennifer L Tucholka, Dou-Yan Yang, Jordan G Bruce, Nicole M Steffens, Jessica R Schumacher, Caprice C Greenberg, Lee G Wilke, Jennifer Steiman, Heather B Neuman
BACKGROUND: Prior research suggests that providing women newly diagnosed with breast cancer information during the gap between cancer diagnosis and their first surgeon consultation may support decision making. Our objective was to compare patients' knowledge after the pre-consultation delivery of standard websites versus a web-based decision aid (DA). STUDY DESIGN: We randomized women with stage 0-III breast cancer within an academic and community breast clinic to be emailed a link to selected standard websites (National Cancer Institute, American Cancer Society, Breastcancer...
November 13, 2017: Journal of the American College of Surgeons
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