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https://www.readbyqxmd.com/read/29773308/collaboration-between-hospital-and-community-pharmacists-to-address-drug-related-problems-the-homecome-program
#1
Hendrik T Ensing, Ellen S Koster, Dasha J Dubero, Ad A van Dooren, Marcel L Bouvy
BACKGROUND: Hospital discharge poses a significant threat to the continuity of medication therapy and frequently results in drug-related problems post-discharge. Therefore, establishing continuity of care by realizing optimal collaboration between hospital and community pharmacists is of utmost importance. OBJECTIVE: To evaluate the collaboration between hospital and community pharmacists on addressing drug-related problems after hospital discharge. METHODS: A prospective follow-up study was conducted between November 2013-December 2014 in a general hospital and all affiliated community pharmacies...
May 8, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29772676/three-dimensional-terahertz-coded-aperture-imaging-based-on-geometric-measures
#2
Shuo Chen, Xiaoqiang Hua, Hongqiang Wang, Chenggao Luo, Yongqiang Cheng, Bin Deng
For synthetic aperture radars, it is difficult to achieve forward-looking and staring imaging with high resolution. Fortunately, terahertz coded-aperture imaging (TCAI), an advanced radar imaging technology, can solve this problem by producing various irradiation patterns with coded apertures. However, three-dimensional (3D) TCAI has two problems, including a heavy computational burden caused by a large-scale reference signal matrix, and poor resolving ability at low signal-to-noise ratios (SNRs). This paper proposes a 3D imaging method based on geometric measures (GMs), which can reduce the computational burden and achieve high-resolution imaging for low SNR targets...
May 16, 2018: Sensors
https://www.readbyqxmd.com/read/29766133/trauma-transitional-care-coordination-protecting-the-most-vulnerable-trauma-patients-from-hospital-readmission
#3
Erin C Hall, Rebecca Tyrrell, Thomas M Scalea, Deborah M Stein
Background: Unplanned hospital readmissions increase healthcare costs and patient morbidity. We hypothesized that a program designed to reduce trauma readmissions would be effective. Methods: A Trauma Transitional Care Coordination (TTCC) program was created to support patients at high risk for readmission. TTCC interventions included call to patient (or caregiver) within 72 hours of discharge to identify barriers to care, complete medication reconciliation, coordination of appointments, and individualized problem solving...
2018: Trauma surgery & acute care open
https://www.readbyqxmd.com/read/29765260/attitude-and-perception-of-undergraduate-medical-students-toward-the-problem-based-learning-in-chitwan-medical-college-nepal
#4
Ram Lochan Yadav, Rano Mal Piryani, Gopendra Prasad Deo, Dev Kumar Shah, Laxmi Kumari Yadav, Md Nazrul Islam
Background: Problem-based learning (PBL) was introduced into Basic Medical Sciences early in the 1980s at Tribhuvan University (TU), Nepal, followed by other universities where didactic lecture method was still followed as the main teaching strategy. Despite gaining its popularity worldwide as integrated teaching learning method, PBL is not given importance in Nepal. This study aimed to assess the attitude and perceptions of undergraduate medical students regarding learning outcomes of PBL and to know their views about role and qualities of effective tutors for its successful implementation...
2018: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/29764557/-development-and-application-of-disposable-constant-volume-and-negative-pressure-drainage-device
#5
Dongzhi Liu
The common negative pressure drainage bottle used in the vacuum sealing drainage (VSD) cannot quantitative and automatically cut off. Excessive drainage damages the negative pressure source, causes drainage interruption, so once drainage was continuously performed, medical staff need to closely observe drainage bottle calibration. It was also important to known whether there was a large amount of fresh blood sucked out during continuous drainage because it could lose too much blood. To solve these two problems, we designed a kind of negative pressure drainage device, which volume was constant, with the function of automatic cutting off continuous drainage...
May 2018: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://www.readbyqxmd.com/read/29760363/-education-of-physiology-in-nursing-school-common-issues-and-measures-with-pharmacology
#6
Yuka Saeki
Anatomy, physiology or pharmacology is the important subject in nursing education. Nursing education is established in a law since 1951. Although the law is revised many times according to social situation, the subjects like physiology have been positioned as a basic specialized subject in the law now. Physiology is educated at 1st grade in most nursing school. However, there are some problems in educating physiology. First, academic ability in nursing students tend to decline recently. For example, there are some students who cannot solve simple arithmetic...
2018: Nihon Yakurigaku Zasshi. Folia Pharmacologica Japonica
https://www.readbyqxmd.com/read/29759085/telepathology-consultation-for-frozen-section-diagnosis-in-china
#7
Yingxin Huang, Yan Lei, Qi Wang, Dazhou Li, Lili Ma, Lili Guo, Minshan Tang, Guanglong Liu, Qianwen Yan, Lan Shen, Guihui Tong, Zhiliang Jing, Yan Zhang, Yongjian Deng
BACKGROUND: Telepathology (TP) provides remote pathology services for primary diagnosis practices, including intraoperative consultation of surgical pathology; it has not been widely implemented in China. In this study, the results of an implementation were reported, which lasted for two and a half years, and demonstrated the experience of the diagnosis of the intraoperative frozen sections by using TP consultation platform of Southern Medical University and Guangzhou Huayin Medical Laboratory Center (SMU-HUAYIN TP) in China...
May 14, 2018: Diagnostic Pathology
https://www.readbyqxmd.com/read/29753333/3d-treatment-planning-systems
#8
REVIEW
Cheng B Saw, Sicong Li
Three-dimensional (3D) treatment planning systems have evolved and become crucial components of modern radiation therapy. The systems are computer-aided designing or planning softwares that speed up the treatment planning processes to arrive at the best dose plans for the patients undergoing radiation therapy. Furthermore, the systems provide new technology to solve problems that would not have been considered without the use of computers such as conformal radiation therapy (CRT), intensity-modulated radiation therapy (IMRT), and volumetric modulated arc therapy (VMAT)...
July 2018: Medical Dosimetry: Official Journal of the American Association of Medical Dosimetrists
https://www.readbyqxmd.com/read/29747709/polimedication-applicability-of-a-computer-tool-to-reduce-polypharmacy-in-nursing-homes
#9
Tomás M García-Caballero, Juan Lojo, Carlos Menéndez, Roberto Fernández-Álvarez, Raimundo Mateos, Alejandro Garcia-Caballero
ABSTRACTBackground:The risks of polypharmacy can be far greater than the benefits, especially in the elderly. Comorbidity makes polypharmacy very prevalent in this population; thus, increasing the occurrence of adverse effects. To solve this problem, the most common strategy is to use lists of potentially inappropriate medications. However, this strategy is time consuming. METHODS: In order to minimize the expenditure of time, our group devised a pilot computer tool (Polimedication) that automatically processes lists of medication providing the corresponding Screening Tool of Older Persons' potentially inappropriate Prescriptions alerts and facilitating standardized reports...
May 11, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29736874/a-bargaining-approach-for-resolving-the-tradeoff-between-beneficial-and-harmful-drug-responses
#10
Andrey Garnaev, Wade Trappe
In medical treatments, a fundamental dilemma often arises: on the one hand, an increase in a drug's dose could lead to a stronger, therapeutic treatment response, but on the other hand this could also lead to increased toxicity risks. In this paper, we propose to solve this dilemma using a Nash bargaining approach. To do so, we reformulate the tradeoff problem in an equivalent form as a dilemma between a drug's beneficial response and the drug's safety, where the dilemma then becomes a two-objective problem with safety and response as the objectives...
May 7, 2018: Journal of Mathematical Biology
https://www.readbyqxmd.com/read/29732677/creation-and-implementation-of-a-flipped-jigsaw-activity-to-stimulate-interest-in-biochemistry-among-medical-students
#11
Charlene Williams, Susan Perlis, John Gaughan, Sangita Phadtare
Learner-centered pedagogical methods that are based on clinical application of basic science concepts through active learning and problem solving are shown to be effective for improving knowledge retention. As the clinical relevance of biochemistry is not always apparent to health-profession students, effective teaching of medical biochemistry should highlight the implications of biochemical concepts in pathology, minimize memorization, and make the concepts memorable for long-term retention. Here, we report the creation and successful implementation of a flipped jigsaw activity that was developed to stimulate interest in learning biochemistry among medical students...
May 6, 2018: Biochemistry and Molecular Biology Education
https://www.readbyqxmd.com/read/29730958/undergraduate-medical-students-perspectives-of-skills-uses-and-preferences-of-information-technology-in-medical-education-a-cross-sectional-study-in-a-saudi-medical-college
#12
Nehal Khamis, Rawabi Aljumaiah, Alla Alhumaid, Hiba Alraheem, Dalal Alkadi, Cristina Koppel, Hamza Mohammad Abdulghani
BACKGROUND: Information technology (IT) is widely used in medical education. However, there are not enough studies about IT uses and preferences among traditional and problem-based learning (PBL) medical students. AIM: To compare IT skills, uses and preferences for education between traditional and PBL medical students'. METHOD: A cross-sectional study; a modified Educause Center for Analysis and Research online survey was sent to traditional curriculum 5th and PBL 4th year medical students of King Saud University...
May 7, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29725894/a-study-on-the-impact-of-prioritising-emergency-department-arrivals-on-the-patient-waiting-time
#13
Ellen Van Bockstal, Broos Maenhout
In the past decade, the crowding of the emergency department has gained considerable attention of researchers as the number of medical service providers is typically insufficient to fulfil the demand for emergency care. In this paper, we solve the stochastic emergency department workforce planning problem and consider the planning of nurses and physicians simultaneously for a real-life case study in Belgium. We study the patient arrival pattern of the emergency department in depth and consider different patient acuity classes by disaggregating the arrival pattern...
May 3, 2018: Health Care Management Science
https://www.readbyqxmd.com/read/29725559/trapped-as-a-group-escape-as-a-team-applying-gamification-to-incorporate-team-building-skills-through-an-escape-room-experience
#14
Xiao Chi Zhang, Hyunjoo Lee, Carlos Rodriguez, Joshua Rudner, Teresa M Chan, Dimitrios Papanagnou
Teamwork, a skill critical for quality patient care, is recognized as a core competency by the Accreditation Council for Graduate Medical Education (ACGME). To date, there is no consensus on how to effectively teach these skills in a forum that engages learners, immerses members in life-like activities, and builds both trust and rapport. Recreational 'Escape Rooms' have gained popularity in creating a life-like environment that rewards players for working together, solving puzzles, and completing successions of mind-bending tasks in order to effectively 'escape the room' in the time allotted...
March 2, 2018: Curēus
https://www.readbyqxmd.com/read/29724428/acr-appropriateness-criteria-%C3%A2-first-trimester-vaginal-bleeding
#15
Douglas L Brown, Ann Packard, Katherine E Maturen, Sandeep Prakash Deshmukh, Kika M Dudiak, Tara L Henrichsen, Benjamin J Meyer, Liina Poder, Elizabeth A Sadowski, Thomas D Shipp, Lynn Simpson, Therese M Weber, Carolyn M Zelop, Phyllis Glanc
Vaginal bleeding is not uncommon in the first trimester of pregnancy. The majority of such patients will have a normal intrauterine pregnancy (IUP), a nonviable IUP, or an ectopic pregnancy. Ultrasound (US) is the primary imaging modality in evaluation of these patients. US, along with clinical observations and serum human chorionic gonadotropin levels, can usually distinguish these causes. Although it is important to diagnose ectopic pregnancies and nonviable IUPs, one should also guard against injury to normal pregnancies due to inappropriate treatment with methotrexate or surgical intervention...
May 2018: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29724422/acr-appropriateness-criteria-%C3%A2-staging-and-follow-up-of-ovarian-cancer
#16
Stella K Kang, Caroline Reinhold, Mostafa Atri, Carol B Benson, Priyadarshani R Bhosale, Anuja Jhingran, Yulia Lakhman, Katherine E Maturen, Refky Nicola, Pari V Pandharipande, Gloria M Salazar, Thomas D Shipp, Lynn Simpson, William Small, Betsy L Sussman, Jennifer W Uyeda, Darci J Wall, Bradford P Whitcomb, Carolyn M Zelop, Phyllis Glanc
In the management of epithelial ovarian cancers, imaging is used for cancer detection and staging, both before and after initial treatment. The decision of whether to pursue initial cytoreductive surgery for ovarian cancer depends in part on accurate staging. Contrast-enhanced CT of the abdomen and pelvis (and chest where indicated) is the current imaging modality of choice for the initial staging evaluation of ovarian cancer. Fluorine-18-2-fluoro-2-deoxy-d-glucose PET/CT and MRI may be appropriate for problem-solving purposes, particularly when lesions are present on CT but considered indeterminate...
May 2018: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29723730/target-oriented-photofunctional-nanoparticles-topfns-for-selective-photodynamic-inactivation-of-methicillin-resistant-staphylococcus-aureus-mrsa
#17
Kang-Kyun Wang, Eon Pil Shin, Hye-Jin Lee, Seung-Jin Jung, Jeong-Wook Hwang, Il Heo, Jong-Ho Kim, Min-Kyu Oh, Yong-Rok Kim
To inactivate methicillin-resistant Staphylococcus aureus (MRSA) with minimum damage to host cells and tissue, target-oriented photofunctional nanoparticles (TOPFNs) were fabricated and characterized. MRSA is a predominant infective pathogen even in hospital and non-hospital environments due to its ability to develop high levels of resistance to several classes of antibiotics through various pathways. To solve this major problem, photodynamic inactivation (PDI) method applies to treat antibiotic-resistant bacteria...
April 24, 2018: Journal of Photochemistry and Photobiology. B, Biology
https://www.readbyqxmd.com/read/29723481/the-potential-for-machine-learning-algorithms-to-improve-and-reduce-the-cost-of-3-dimensional-printing-for-surgical-planning
#18
Trevor J Huff, Parker E Ludwig, Jorge M Zuniga
3D-printed anatomical models play an important role in medical and research settings. The recent successes of 3D anatomical models in healthcare have led many institutions to adopt the technology. However, there remain several issues that must be addressed before it can become more wide-spread. Of importance are the problems of cost and time of manufacturing. Machine learning (ML) could be utilized to solve these issues by streamlining the 3D modeling process through rapid medical image segmentation and improved patient selection and image acquisition...
May 3, 2018: Expert Review of Medical Devices
https://www.readbyqxmd.com/read/29721738/patient-pharmacist-communication-during-a-post-discharge-pharmacist-home-visit
#19
Hendrik T Ensing, Marcia Vervloet, Ad A van Dooren, Marcel L Bouvy, Ellen S Koster
Background With the shifting role of community pharmacists towards patient education and counselling, they are well-positioned to conduct a post-discharge home visit which could prevent or solve drug-related problems. Gaining insight into the communication during these home visits could be valuable for optimizing and consequently improving patient safety at readmission to primary care. Objective To assess patient-pharmacist communication during a post-discharge home visit. Setting The homes of patients recently discharged from a single general hospital in the Netherlands...
May 2, 2018: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29721676/enhanced-hypocrellin-production-via-coexpression-of-alpha-amylase-and-hemoglobin-genes-in-shiraia-bambusicola
#20
Ruijie Gao, Huaxiang Deng, Zhengbing Guan, Xiangru Liao, Yujie Cai
Shiraia bambusicola is an important and valuable macrofungus and hypocrellins are its main secondary metabolites which have been widely applied in many medical fields. However, during SSF process of this filamentous fungus, use ratio of corn substrate and dissolved oxygen supply are two main limiting factors, which influence production cost, yield and product quality. To solve these problems, overexpressions of amy365-1 and vgb in S. bambusicola were investigated and three overexpression transformants were constructed...
May 2, 2018: AMB Express
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