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https://www.readbyqxmd.com/read/29132667/complementary-and-alternative-medicine-for-treatment-of-food-allergy
#1
REVIEW
Xiu-Min Li
The prevalence of food allergy is increasing. Food allergy can be life threatening and there is no approved treatment available. Allergen avoidance and rescue medication remain the sole management tools. Complementary and alternative medicine (CAM) use is common in the United States. However, research into safety and efficacy for food allergy is limited. Continued scientific research into food allergy herbal formula 2 (FAHF-2), refined methods of formulation, purified compounds, and other modalities are needed...
February 2018: Immunology and Allergy Clinics of North America
https://www.readbyqxmd.com/read/29120539/-hypertension-diabetes-hyperlipidemia-what-are-the-treatment-goals-for-the-elderly
#2
Martial Coutaz
Will my patient actually benefit from the medication that I've prescribed? Faced with an elderly, frail patient, the family doctor is often confronted by this dilemma. This article reviews the evidence that can assist clinicians in determining the best approach to treating diabetes, hypertension and hyperlipidemia in elderly patients, by defining treatment goals specific to each patients' functional and cognitive capacities. Avoiding hypoglycemia and hypotension, with all of their consequences, must remain the highest priority driving objectives for optimal management of diabetes and hypertension in the geriatric population...
November 8, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/29116323/factors-influencing-patients-hospital-rating-after-total-joint-arthroplasty
#3
Jaydev B Mistry, Chukwuweike U Gwam, Morad Chughtai, Anton Khlopas, Prem Ramkumar, Nicolas S Piuzzi, George Muschler, Steven F Harwin, Michael A Mont, Ronald E Delanois
Patient satisfaction assessments, such as the Press Ganey surveys, have been adopted by the Centers for Medicare & Medicaid Services to help determine reimbursements. It is uncertain what facets most affect survey scores among patients who have received total joint arthroplasty (TJA). This study explored which factors guide scores for TJA patients. Specifically, the authors assessed (1) which Press Ganey survey features affected the patients' overall hospital rating and (2) whether survey scores were disparate between patients who did and patient who did not have complications...
November 1, 2017: Orthopedics
https://www.readbyqxmd.com/read/29102062/do-doctors-attachment-styles-and-emotional-intelligence-influence-patients-emotional-expressions-in-primary-care-consultations-an-exploratory-study-using-multilevel-analysis
#4
M Gemma Cherry, Ian Fletcher, Damon Berridge, Helen O'Sullivan
OBJECTIVE: To investigate whether and how doctors' attachment styles and emotional intelligence (EI) might influence patients' emotional expressions in general practice consultations. METHODS: Video recordings of 26 junior doctors consulting with 173 patients were coded using the Verona Coding Definition of Emotional Sequences (VR-CoDES). Doctors' attachment style was scored across two dimensions, avoidance and anxiety, using the Experiences in Close Relationships: Short Form questionnaire...
October 26, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/29078772/canadian-men-s-perspectives-about-active-surveillance-in-prostate-cancer-need-for-guidance-and-resources
#5
Margaret Fitch, Kittie Pang, Veronique Ouellet, Carmen Loiselle, Shabbir Alibhai, Simone Chevalier, Darrel E Drachenberg, Antonio Finelli, Jean-Baptiste Lattouf, Simon Sutcliffe, Alan So, Simon Tanguay, Fred Saad, Anne-Marie Mes-Masson
BACKGROUND: In prostate cancer, men diagnosed with low risk disease may be monitored through an active surveillance. This research explored the perspectives of men with prostate cancer regarding their decision-making process for active surveillance to identify factors that influence their decision and assist health professionals in having conversations about this option. METHODS: Focus group interviews (n = 7) were held in several Canadian cities with men (N = 52) diagnosed with prostate cancer and eligible for active surveillance...
October 27, 2017: BMC Urology
https://www.readbyqxmd.com/read/29076407/erectile-dysfunction-in-brazilian-primary-health-care-dealing-with-medicalization
#6
Antônio Augusto Dall'Agnol Modesto, Marcia Thereza Couto
Erectile dysfunction (ED) is a common sexual problem and has been attracting growing interest from the field of medicine. The pharmaceutical industry works together with medical associations to popularize the theme, emphasizing individual enhancement and medication, besides reinforcing an idea of a male sexuality defined by the ability to have an erection and penetrate. Patients worried about erection problems search for general practitioners (GPs), frequently without a clear complaint, and a comprehensive primary health care (PHC) must be capable of dealing with these issues considering medicalization and disease mongering...
October 1, 2017: American Journal of Men's Health
https://www.readbyqxmd.com/read/29075993/grid-mapping-a-novel-method-of-signal-quality-evaluation-on-a-single-lead-electrocardiogram
#7
Yanjun Li, Xiaoying Tang
Diagnosis of long-term electrocardiogram (ECG) calls for automatic and accurate methods of ECG signal quality estimation, not only to lighten the burden of the doctors but also to avoid misdiagnoses. In this paper, a novel waveform-based method of phase-space reconstruction for signal quality estimation on a single lead ECG was proposed by projecting the amplitude of the ECG and its first order difference into grid cells. The waveform of a single lead ECG was divided into non-overlapping episodes (Ts = 10, 20, 30 s), and the number of grids in both the width and the height of each map are in the range [20, 100] (NX = NY = 20, 30, 40, … 90, 100)...
October 26, 2017: Australasian Physical & Engineering Sciences in Medicine
https://www.readbyqxmd.com/read/29072544/a-narrative-review-of-the-safety-concerns-of-deprescribing-in-older-adults-and-strategies-to-mitigate-potential-harms
#8
Emily Reeve, Frank Moriarty, Rayan Nahas, Justin P Turner, Lisa Kouladjian O'Donnell, Sarah N Hilmer
As with prescribing or continuing medications, deprescribing brings with it the potential for harm as well as benefit. Uncertainty and avoidance of harm has been reported as a barrier to deprescribing in practice and may contribute to continuation of inappropriate medications. Areas covered: This narrative review covers four main safety concerns/potential harms of deprescribing in older adults: adverse drug withdrawal events, return of medical condition(s), reversal of drug-drug interactions and damage to the doctor-patient relationship...
October 26, 2017: Expert Opinion on Drug Safety
https://www.readbyqxmd.com/read/29055811/access-to-treatment-with-controlled-medicines-rationale-and-recommendations-for-neutral-precise-and-respectful-language
#9
REVIEW
W Scholten, O Simon, I Maremmani, C Wells, J F Kelly, R Hämmig, L Radbruch
The European Pain Federation EFIC, the International Association for Hospice and Palliative Care, International Doctors for Healthier Drug Policies, the Swiss Romandy College for Addiction Medicine, the Swiss Society of Addiction Medicine, and the World Federation for the Treatment of Opioid Dependence called on medical journals to ensure that authors always use terminology that is neutral, precise, and respectful in relation to the use of psychoactive substances. It has been shown that language can propagate stigma, and that stigma can prevent people from seeking help and influence the effectiveness of social and public-health policies...
October 19, 2017: Public Health
https://www.readbyqxmd.com/read/29045978/-clinicopathologic-features-of-infant-dysembryoplastic-neuroepithelial-tumor-a-case-report-and-literature-review
#10
H Wang, J T Ye, H X Yao, D Li, Y Dong
Dysembryoplastic neuroepithelial tumor (DNT) has traditionally been viewed as rare benign tumors that present with seizure widely considered curable with surgery alone. Most DNTs occur in childhood and young adults. However, rare reported cases occur in infants. This paper reported an infant case of DNT and its diagnosis, differential diagnosis, treatment, molecular features and prognosis based on the review of current literatures. The age onset of this patient was only 11 months old. The clinical manifestations were partial seizures and the imaging data untypical; CT and MRI were all supportive of astrocytoma...
October 18, 2017: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/29045973/-application-of-three-dimensional-reconstruction-of-the-enhanced-ct-with-iplan-cmf-software-in-head-and-neck-neoplasms
#11
Y Yu, W B Zhang, Y Wang, X J Liu, C B Guo, G Y Yu, X Peng
OBJECTIVE: Three-dimensional reconstruction of the enhanced CT is increasingly becoming a valuable tool in head and neck neoplasms. The aim of this study is to reconstruct three-dimensional imaging of tumor and its surrounding important anatomical structure using iPlan CMF software, and to investigate the application of three-dimensional tumor mapping technique for the diagnosis and treatment of the head and neck neoplasms. METHODS: In the study, 13 cases with head and neck tumors in Department of Oral and Maxilloficial Surgery, Peking University School and Hospital of Stomatology from June 2014 to June 2015 were studied using spiral CT scanning technology based on the same scanning condition...
October 18, 2017: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/29024092/pharmaceutical-opioid-use-and-harm-in-australia-the-need-for-proactive-and-preventative-responses
#12
Briony Larance, Louisa Degenhardt, Amy Peacock, Natasa Gisev, Richard Mattick, Samantha Colledge, Gabrielle Campbell
There are parallels between the North American experience of escalating pharmaceutical opioid utilisation and harm and the trends being observed in Australia. In Australia, opioid utilisation has increased dramatically over the past two decades. There have been significant shifts away from the predominant prescribing of 'weak' and short-acting opioids, to 'strong' and long-acting opioids, for an increasing range of chronic pain indications. In concordance with escalating use, Australia is experiencing increases in opioid-related hospital admissions and overdose, as well as opioid dependence and treatment seeking...
October 12, 2017: Drug and Alcohol Review
https://www.readbyqxmd.com/read/28994647/factors-influencing-the-initiation-of-smokeless-tobacco-consumption-among-low-socioeconomic-community-in-bangladesh-a-qualitative-investigation
#13
Md Shahjahan, Md Golam Dostogir Harun, A B M Alauddin Chowdhury, Kapil Ahmed, Hafiz T A Khan
This study explored factors influencing the initiation of smokeless tobacco (SLT) consumption in a low socioeconomic urban community in Bangladesh. The study conducted four focus group discussions among 33 informants involves school teachers, community leaders, women, and betel-nut shops owners. The results were prepared by thematic analysis of the transcripts where informants mean age was 30 ( SD ± 6.8) years with varying level of education. Tradition of hospitality, curiosity, offer from an elderly person, and avoiding nausea during pregnancy and at time of quitting smoking were key factors for the initiation of SLT consumption...
January 1, 2017: International Quarterly of Community Health Education
https://www.readbyqxmd.com/read/28994634/the-eu-project-united4health-results-and-experiences-from-automatic-health-status-assessment-in-a-norwegian-telemedicine-trial-system
#14
Martin Gerdes, Frode Gallefoss, Rune Werner Fensli
Introduction Patients with chronic obstructive pulmonary disease require help in daily life situations to increase their individual perception of security, especially under worsened medical conditions. Unnecessary hospital (re-)admissions and home visits by doctors or nurses shall be avoided. This study evaluates the results from a two-year telemedicine field trial for automatic health status assessment based on remote monitoring and analysis of a long time series of vital signs data from patients at home over periods of weeks or months...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28992624/how-to-train-to-discharge-a-dermatology-outpatient-a-review
#15
A Harun, Andrew Y Finlay, M Sam Salek, Vincent Piguet
BACKGROUND/AIMS: The decision to discharge is a critical and common outpatient consultation event. However, little guidance exists over how discharge decision-making can be taught. We aimed to provide educational recommendations concerning outpatient discharge decision-making. METHODS: Recommendations were drawn from prior interviews with 40 consultant dermatologists and 56 dermatology outpatients, and from the "traffic light" design discharge information checklist, developed using the Delphi technique...
October 10, 2017: Dermatology: International Journal for Clinical and Investigative Dermatology
https://www.readbyqxmd.com/read/28988275/risk-factors-and-preventative-measures-of-early-and-persistent-dysphagia-after-anterior-cervical-spine-surgery-a-systematic-review
#16
REVIEW
Jingwei Liu, Yong Hai, Nan Kang, Xiaolong Chen, Yangpu Zhang
PURPOSE: To conduct a systematic review of literature to determine risk factors and preventative measures of early and persistent dysphagia after anterior cervical spine surgery (ACSS). METHODS: On March 2017, we searched the database PubMed, Medline, EMBASE, the Cochrane library, Clinical key, Springer link and Wiley Online Library without time restriction using the term 'dysphagia', 'swallowing disorders', and 'anterior cervical spine surgery'. Selected papers were examined for the level of evidence by published guidelines as level I, level II, level III, level IV studies...
October 7, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28981247/-the-general-practitioner-confronted-with-aggressive-patients
#17
M Schetgen
The general practitioner is regularly confronted with aggressive patients. He will have to spot the very first signs in order to manage as quickly as possible such a situation. The ideal is to remain calm, to listen actively and to try to understand the cause of the aggressiveness, knowing that it is not always directed against the doctor. Putting limits is also important to avoid situations that could degenerate. The generalist must also be able to share his difficult experiences with his colleagues, among others in the framework of a Balint group...
2017: Revue Médicale de Bruxelles
https://www.readbyqxmd.com/read/28978204/a-simple-novel-technique-for-fixing-penrose-drains-in-minor-surgeries-with-advantages-for-remote-outpatient-clinics-a-retrospective-comparison-with-conventional-drain-fixation-in-north-ibaraki-japan
#18
Yoichiro Shibuya, Go Matsumoto, Masahiro Sasaki, Kaoru Sasaki, Koji Adachi, Mitsuru Sekido
INTRODUCTON: In rural areas with few doctors, Penrose drains in minor surgeries for soft tissue trauma or small subcutaneous tumors are sometimes avoided, even though the drain would prevent hematoma, because of the limited availability of professional postsurgical care. The authors developed a simple fixation method for Penrose drains that can be used even in remote areas where a doctor is not present to remove the drain. A retrospective study was conducted to compare this new method of fixing Penrose drains with instances in which the Penrose drain was fixed to skin by conventional suturing...
October 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28975045/huntington-disease-the-complexities-of-making-and-disclosing-a-clinical-diagnosis-after-premanifest-genetic-testing
#19
Elizabeth A McCusker, Clement T Loy
The management of patients and families affected by Huntington disease (HD) is complicated by several factors, both practical and ethical. It can be difficult to determine the onset of clinically manifest HD (mHD). In addition, it can be challenging to decide when to disclose the diagnosis to the affected individual. Firstly, the features of HD, an incurable, inherited, neurocognitive disorder that often manifests in young adulthood, influence how the person presents and accepts a diagnosis. Secondly, a positive genetic test for HD may result in a genetic diagnosis, sometimes years before the development of clinical features and the diagnosis of mHD...
2017: Tremor and Other Hyperkinetic Movements
https://www.readbyqxmd.com/read/28965896/could-musculo-skeletal-radiograph-interpretation-by-radiographers-be%C3%A2-a-source-of-support-to-australian-medical-interns-a-quantitative-evaluation
#20
J R McConnell, M A Baird
INTRODUCTION: Public expectations regarding access to the emergency department (ED) challenges providers and policy makers with finite resources being stretched beyond capacity. To enable education of a greater numbers of doctors the format of the medical internship in Australia has changed and assumes that sufficient supervision is provided to interns to enable image interpretation skills development. Furthermore this assumes that appropriate foundational skills are established during undergraduate education...
November 2017: Radiography
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