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https://www.readbyqxmd.com/read/29346698/procedural-knowledge-and-skills-of-residents-entering-canadian-family-medicine-programs-in-alberta
#1
Juan Antonio Garcia-Rodriguez, James A Dickinson, Grace Perez, David Ross, Lilian Au, Shelley Ross, Oksana Babenko, Ian Johnston
BACKGROUND AND OBJECTIVES: Incoming family medicine (FM) residents start residency with different levels of procedural training. Understanding their baseline skill level is necessary to plan the educational experiences and teaching methods that will provide the desired knowledge, skills, and attitudes related to performing medical procedures. METHODS: A survey of 69 procedures based on the core list issued by the College of Family Physicians of Canada was administered to incoming residents in Alberta (Calgary and Edmonton FM programs)...
January 2018: Family Medicine
https://www.readbyqxmd.com/read/29344766/patient-reported-symptoms-before-palliative-radiotherapy-predict-survival-differences
#2
Carsten Nieder, Thomas A Kämpe, Adam Pawinski, Astrid Dalhaug
BACKGROUND: Widely used prognostic scores, e. g., for brain or bone metastases, are based on disease- and patient-related factors such as extent of metastases, age and performance status, which were available in the databases used to develop the scores. Few groups were able to include patient-reported symptoms. In our department, all patients were assessed with the Edmonton Symptom Assessment System (ESAS, a one-sheet questionnaire addressing 11 major symptoms and wellbeing on a numeric scale of 0-10) at the time of treatment planning since 2012...
January 17, 2018: Strahlentherapie und Onkologie: Organ der Deutschen Röntgengesellschaft ... [et Al]
https://www.readbyqxmd.com/read/29317008/patients-with-advanced-cancer-and-depression-report-a-significantly-higher-symptom-burden-than-non-depressed-patients
#3
Kjersti Støen Grotmol, Hanne C Lie, Jon Håvard Loge, Nina Aass, Dagny Faksvåg Haugen, Patrick C Stone, Stein Kaasa, Marianne Jensen Hjermstad
OBJECTIVE: Clinical observations indicate that patients with advanced cancer and depression report higher symptom burden than nondepressed patients. This is rarely examined empirically. Study aim was to investigate the association between self-reported depression disorder (DD) and symptoms in patients with advanced cancer controlled for prognostic factors. METHOD: The sample included 935 patients, mean age 62, 52% males, from an international multicentre observational study (European Palliative Care Research Collaborative - Computerised Symptom Assessment and Classification of Pain, Depression and Physical Function)...
January 10, 2018: Palliative & Supportive Care
https://www.readbyqxmd.com/read/29313283/edmonton-obesity-staging-system-among-pediatric-patients-a-validation-and-obesogenic-risk-factor-analysis
#4
M G Grammatikopoulou, M Chourdakis, K Gkiouras, P Roumeli, D Poulimeneas, E Apostolidou, I Chountalas, I Tirodimos, O Filippou, S Papadakou-Lagogianni, T Dardavessis
PURPOSE: The Edmonton Obesity Staging System for Pediatrics (EOSS-P) is a useful tool, delineating different obesity severity tiers associated with distinct treatment barriers. The aim of the study was to apply the EOSS-P on a Greek pediatric cohort and assess risk factors associated with each stage, compared to normal weight controls. METHODS: A total of 361 children (2-14 years old), outpatients of an Athenian hospital, participated in this case-control study by forming two groups: the obese (n = 203) and the normoweight controls (n = 158)...
January 8, 2018: Journal of Endocrinological Investigation
https://www.readbyqxmd.com/read/29299785/investigation-into-complementary-and-integrative-health-approaches-for-turkish-patients-with-gastrointestinal-cancer
#5
Seda Pehlivan, Ali Süner, Yasemin Yıldırım, Çiçek Fadıloğlu
The study was conducted to determine the levels of usage of complementary and integrative health (CIH) approaches and the symptoms experienced by Turkish patients with gastrointestinal cancer. A descriptive study was conducted on 81 patients with gastrointestinal cancer attending the medical oncology department of an oncology hospital. In the data collection stage, the patient description form that prepared by the researchers and the "Edmonton Symptom Assessment Scale" were used. Data were evaluated via Chi-square and student t test...
January 3, 2018: Journal of Religion and Health
https://www.readbyqxmd.com/read/29287009/adherence-to-the-gluten-free-diet-and-health-related-quality-of-life-in-an-ethnically-diverse-pediatric-population-with-celiac-disease
#6
Diana Mager, Margaret Marcon, Herbert Brill, Amanda Liu, Kristin Radmanovich, Heather Mileski, Roseann Nasser, Abeer Alzaben, Matthew W Carroll, Jason Yap, Rabin Persad, Justine M Turner
OBJECTIVES: Celiac disease (CD) is an autoimmune disease that requires life-long adherence to a gluten-free diet (GFD). Adherence to the GFD in childhood may be poor and adversely influence health related quality of life (HRQOL). The study purpose was to determine socio-demographic and socio-economic factors influencing adherence to the GFD and HRQOL in a multi-ethnic cohort of youth with CD. METHODS: A multi-site (Edmonton, Hamilton, Toronto) study examining child-parent HRQOL in youth with CD (n=243) and /or mild gastrointestinal complaints (GI-CON; n = 148) was conducted...
January 8, 2018: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/29274934/perspectives-of-immigrant-women-on-the-gender-of-provider-during-childbirth
#7
Christa Aubrey, Zubia Mumtaz, Patrick Patterson, Radha Chari, B F Peter Mitchell
OBJECTIVE: This study sought to gain an understanding of the importance and effect of provider gender for immigrant women accessing obstetrical care. METHODS: A focused ethnography was conducted using purposive sampling of 38 immigrant women from one hospital in Edmonton, Alberta. Data collection consisted of semistructured interviews conducted antenatally (n = 38); an attempt was made to conduct interviews postpartum (n = 21), and intrapartum observations were made (n = 17)...
December 21, 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29246332/parent-recommendations-to-enhance-enrollment-in-multidisciplinary-clinical-care-for-pediatric-weight-management
#8
Arnaldo J Perez, Maryam Kebbe, Nicholas L Holt, Rebecca Gokiert, Jean-Pierre Chanoine, Laurent Legault, Katherine M Morrison, Arya M Sharma, Geoff D C Ball
OBJECTIVE: To explore parents' recommendations to enhance enrollment in multidisciplinary clinical care for managing pediatric obesity. STUDY DESIGN: Data for this interpretative description study were collected through individual, semistructured interviews that were audiorecorded, transcribed verbatim, and analyzed thematically. Parents (n = 79) were recruited from 4 multidisciplinary weight management clinics in Canada located in Edmonton, Hamilton, Montreal, and Vancouver...
January 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29238587/bacterial-infections-in-acute-variceal-hemorrhage-despite-antibiotics-a-multicenter-study-of-predictors-and-clinical-impact
#9
Stephen Lee, Lynora Saxinger, Mang Ma, Verónica Prado, Joaquin Fernández, Deepali Kumar, Juan Gonzalez-Abraldes, Adam Keough, Ravin Bastiampillai, Michelle Carbonneau, Javier Fernandez, Puneeta Tandon
Background and aims: Current guidelines recommend antibiotic prophylaxis in all patients presenting with cirrhosis and acute variceal hemorrhage (AVH). We aimed to evaluate the characteristics and clinical impact of "early" infections (developing within 14 days) of AVH in a real-world setting. Methods: We analyzed retrospective data from a cohort of 371 adult patients with cirrhosis and AVH all of whom had received antibiotic prophylaxis (74% men; mean age 56 years), admitted to tertiary care hospitals in Edmonton, Alberta, Canada, and Barcelona, Spain...
December 2017: United European Gastroenterology Journal
https://www.readbyqxmd.com/read/29231962/symptoms-reported-by-frail-elderly-adults-independently-predict-30-day-hospital-readmission-or-emergency-department-care
#10
Lynn S Borkenhagen, Rozalina G McCoy, Rachel D Havyer, Stephanie M Peterson, James M Naessens, Paul Y Takahashi
OBJECTIVES: To assess the degree to which self-reported symptoms predict unplanned readmission or emergency department (ED) care within 30 days of high-risk, elderly adults enrolled in a posthospitalization care transition program (CTP). DESIGN: Retrospective cohort study. SETTING: Posthospitalization CTP at Mayo Clinic, Rochester, Minnesota, from January 1, 2013, through March 3, 2015. PARTICIPANTS: Frail, elderly adults (N = 230; mean age 83...
December 12, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29229106/cardiovascular-benefits-from-standard-pulmonary-rehabilitation-are-related-to-baseline-exercise-tolerance-levels-in-chronic-obstructive-pulmonary-disease
#11
Linn E Moore, Bradley W Byers, Desi P Fuhr, Eric Wong, Mohit Bhutani, Michael K Stickland
BACKGROUND: Heightened arterial stiffness is a marker of cardiovascular risk and is elevated in chronic obstructive pulmonary disease (COPD). Physical activity has been shown to reduce arterial stiffness, and our previous work has shown that arterial stiffness is related to physical activity and exercise tolerance in COPD. The purpose of this study was to evaluate whether baseline physical activity and exercise tolerance influence the cardiovascular benefits associated with standard COPD outpatient pulmonary rehabilitation (PR)...
November 2017: Respiratory Medicine
https://www.readbyqxmd.com/read/29219096/meeting-new-canadian-24-hour-movement-guidelines-for-the-early-years-and-associations-with-adiposity-among-toddlers-living-in-edmonton-canada
#12
Eun-Young Lee, Kylie D Hesketh, Stephen Hunter, Nicholas Kuzik, Ryan E Rhodes, Christina M Rinaldi, John C Spence, Valerie Carson
BACKGROUND: Canada has recently released guidelines that include toddler-specific recommendations for physical activity, screen-based sedentary behaviour, and sleep. This study examined the proportions of toddlers meeting the new Canadian 24-Hour Movement Guidelines for the Early Years (0-4 years) and associations with body mass index (BMI) z-scores in a sample from Edmonton, Canada. METHODS: Participants included 151 toddlers (aged 19.0 ± 1.9 months) for whom there was complete objectively measured physical activity data from the Parents' Role in Establishing healthy Physical activity and Sedentary behaviour habits (PREPS) project...
November 20, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29202254/incidence-correlates-and-outcomes-associated-with-falls-in-the-intensive-care-unit-a-retrospective-cohort-study
#13
Drayton Trumble, Michael A Meier, Maryellen Doody, Xiaoming Wang, Sean M Bagshaw
BACKGROUND: Falls among hospitalised patients contribute to avoidable morbidity and prolonged hospital stay. We aimed to describe the incidence, circumstances and outcomes associated with patient falls occurring in intensive care units. METHODS: Retrospective cohort study of adult admissions to an academic, tertiary ICU in Edmonton, Canada between 1 January 2013 and 30 April 2016. Fall events were ascertained by interrogation of an electronic health record. Each fall was independently adjudicated by two intensivists to confirm that a fall did occur, and to determine if the fall was potentially avoidable...
December 2017: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://www.readbyqxmd.com/read/29198674/external-validation-of-the-newly-developed-beta-2-scoring-system-for-pancreatic-islet-graft-function-assessment
#14
J Gołębiewska, J Solomina, M R Kijek, A Kotukhov, L Basto, K Gołąb, P J Bachul, E Konsur, K Ciepły, N Fillman, L-J Wang, C C Thomas, L H Philipson, M Tibudan, A Krenc, A Dębska-Ślizień, J Fung, P Witkowski
BACKGROUND: BETA-2 score using a single fasting blood sample was developed to estimate beta-cell function after islet transplantation (ITx) and was validated internally by a high ITx volume center (Edmonton). The goal was to validate BETA-2 externally, in our center. METHODS: Areas under receiver operating characteristic curves (AUROCs) were obtained to see if beta score or BETA-2 would better detect insulin independence and glucose intolerance. RESULTS: We analyzed values from 48 mixed meal tolerance tests (MMTTs) in 4 ITx recipients with a long-term follow-up to 140 months (LT group) and from 54 MMTTs in 13 short-term group patients (ST group)...
December 2017: Transplantation Proceedings
https://www.readbyqxmd.com/read/29191598/prospective-analysis-of-patient-reported-symptoms-and-quality-of-life-in-patients-with-incurable-lung-cancer-treated-in-a-rapid-access-clinic
#15
Shilo Lefresne, Robert Olson, Rosemary Cashman, Paula Kostuik, Wei Ning Jiang, Karen Levy, Michael R Mckenzie, Ann Hulstyn, Mitchell Liu, Jonn Wu, Eric Berthelet
INTRODUCTION: The Vancouver Rapid Access (VARA) clinic was designed to provide palliative radiotherapy and holistic care to patients with incurable lung cancer. Analysis of the pilot phase demonstrated improved radiotherapy wait-times and access to supportive services compared to standard practice. This study aims to prospectively assess the impact of the clinic on patient reported symptoms and quality of life. MATERIALS AND METHODS: Patient assessments are completed at baseline and by a telephone follow up four-weeks later using Likert scales adapted from the Edmonton Symptom Assessment System (scale 0-10) and European Organization for Research and Treatment of Cancer questionnaires (scale 1-4)...
October 2017: Lung Cancer: Journal of the International Association for the Study of Lung Cancer
https://www.readbyqxmd.com/read/29189610/early-childhood-neurodevelopmental-outcomes-in-infants-exposed-to-infectious-syphilis-in-utero
#16
Valsan P Verghese, Leonora Hendson, Ameeta Singh, Tamara Guenette, Jennifer Gratrix, Joan L Robinson
BACKGROUND: There are minimal neurodevelopmental follow-up data for infants exposed to syphilis in-utero. METHODS: This is an inception cohort study of infants exposed to syphilis in utero. We reviewed women with reactive syphilis serology in pregnancy or at delivery in Edmonton (Canada), 2002 through 2010 and describe the neurodevelopmental outcomes of children with and without congenital syphilis. RESULTS: There were 39 births to women with reactive syphilis serology, 9 of whom had late latent syphilis (n=4), stillbirths (n=2) or early neonatal deaths (n=3), leaving 30 survivors of which 11 with and 7 without congenital syphilis had neurodevelopmental assessment...
November 15, 2017: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/29186983/the-accuracy-of-the-edmonton-symptom-assessment-system-for-the-assessment-of-depression-in-patients-with-cancer-a-systematic-review-and-meta-analysis
#17
Sorawit Boonyathee, Kittiphon Nagaviroj, Thunyarat Anothaisintawee
BACKGROUND: Depression is a common health problem among patients with cancer. The Edmonton Symptom Assessment System (ESAS) is one of many tools that have been used to evaluate depression in these patients. Nevertheless, the diagnostic performance and the appropriate cutoff point of the ESAS for the assessment of depression in these patients have varied in the studies. PURPOSE: To determine the diagnostic accuracy and the optimal cutoff point for the ESAS for the assessment of depression in patients with cancer...
January 1, 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/29182363/interdisciplinarity-and-adapted-physical-activity
#18
Rick Szostak
The purpose of the paper was to draw lessons for the field of adapted physical activity from the interrelated literatures on interdisciplinarity, creativity, and team research. In each of these literatures, strategies have been identified that have been found to be useful by previous researchers. Lack of familiarity with these strategies can result in unsuccessful research projects or in the devotion of scarce resources to the reinvention of such strategies. The first section in the paper in particular addresses questions that arose at the 2016 North American Federation of Adapted Physical Activity symposium in Edmonton, Alberta...
November 28, 2017: Adapted Physical Activity Quarterly: APAQ
https://www.readbyqxmd.com/read/29171838/frailty-is-thy-name%C3%A2-universal-evolving-challenges-of-managing-effectively-treated-older-people-living-with-hiv
#19
Julian Falutz
The increased survival of treated people living with HIV (PLWH) represents a tremendous accomplishment. However, this has not been accompanied by uniform improvements in quality of life. Many PLWH prematurely develop age-related complications and traditional geriatric syndromes, including frailty. This is a potentially reversible state of vulnerability to adverse outcomes. Its operationalization remains challenging. The most commonly used tools, the frailty phenotype and the frailty index, have their advantages and limitations, but predict similar poor outcomes...
November 24, 2017: Antiviral Therapy
https://www.readbyqxmd.com/read/29166451/factors-associated-with-frailty-in-a-community-dwelling-population-of-older-adults
#20
Danielle Teles da Cruz, Marcel de Toledo Vieira, Ronaldo Rocha Bastos, Isabel Cristina Gonçalves Leite
OBJECTIVE: To analyze if demographic and socioeconomic factors and factors related to health and health services are associated with frailty in community-dwelling older adults. METHODS: This is a cross-sectional study with 339 older adults (60 years old or more) living in Juiz de Fora, State of Minas Gerais, Brazil, in 2015. A household survey was carried out and frailty was evaluated using the Edmonton Frail Scale. For the analysis of the factors associated with outcome, a theoretical model of determination was constructed with three hierarchical blocks: block 1 with demographic and socioeconomic characteristics, block 2 with the health of the older adult (divided into three sub-levels: 2...
2017: Revista de Saúde Pública
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