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Ami Schattner
We review the prevalence, predictability, prognosis, and preventability of atrial fibrillation and associated cardiogenic brain embolism, focusing on 'silent' subclinical atrial fibrillation (SCAF) which is very common in the elderly, and associated with significantly increased risk of stroke and cardiovascular mortality. The current paradigm treats atrial fibrillation once discovered by its symptoms, complications (stroke) or by chance, and screening recommendations are limited to opportunistic pulse palpation...
June 18, 2018: QJM: Monthly Journal of the Association of Physicians
Iheukwumere Duru, Maria Napier, Abdus Samad Ansari, Sinead Coyle, Srikandan Kamalarajah, Stephen White, A Jonathan Jackson
PURPOSE: The purpose of this study is to establish an up-to-date baseline of the profile of patients using the National Artificial Eye Service in Northern Ireland and to understand key areas of service provision, to contribute to patient and health-care provider education, and thus to improve patient outcomes for future researchers. METHODS: A prospective audit of artificial eye wearers attending the Northern Ireland National Artificial Eye Service between May 18, 2015 and June 26, 2015 was conducted...
June 19, 2018: Ophthalmic Epidemiology
Robin Snel, Ellen Van De Maele, Constantinus Politis, Reinhilde Jacobs
OBJECTIVES: The aim of this study is to analyse the use of digital dental radiology in Belgium, by focussing on the use of extraoral and intraoral radiographic techniques, digitalisation and image communication. METHODS: A nationwide survey has been performed amongst Belgian general dentists and dental specialists. Questionnaires were distributed digitally via mailings lists and manually on multiple refresher courses and congresses throughout the country. The overall response rate was 30%...
June 19, 2018: Dento Maxillo Facial Radiology
Giuseppe Taino, Nicoletta Cornaggia, Barbara Fioramonti, Marcello Imbriani
OBJECTIVES: The Legislative Decree n. 151 of 14 September 2015 lays down new provisions concerning the DPR 1124/65. The major developments occur with Article 53 of Presidential Decree 1124/65, which transfer the obligation to send the medical certificate, attached to the report of accident and occupational disease, from the employer to the physician - "every physician lends immediate assistance to an injured worker or to a worker that suffers from an occupational disease" - using telematic systems, either directly or through the health facilities...
November 2017: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
Alberto Renzoni, Antonia Pirrera, Francesco Novello, Alessandra Lepri, Paolo Cammarata, Cristiano Tarantino, Fortunato D'Ancona, Alberto Perra
BACKGROUND: In recent years, Italy has seen a constant upward trend in the practice of tattooing. The Italian National Health Institute has conducted a national survey to determine the prevalence of tattooed people in Italy and to study related features of the phenomenon. AIM: Establish the prevalence and characteristics of the tattooed population and evaluate awareness of the risks associated with tattoos, which can contribute to consumer health protection. METHODS: Computer-assisted telephone interviews and computer-assisted web interviews were completed by a sample of the general population; 7608 people aged between 12 and 75+...
April 2018: Annali Dell'Istituto Superiore di Sanità
Jennifer Hackel, Jacqueline Fawcett
The purpose of this paper is to discuss the influence of applying Orem's self-care framework practice methodology on the content and comprehensiveness of a case study about a woman who denied having self-care deficits. The discussion begins with presentation of the case as it might have been found in a classroom or health professions journal and contrasts this with application of Orem's self-care framework practice methodology to illustrate how much more comprehensive the content of the case study is and how well it highlights the role of the primary care nurse practitioner in complex geriatric care...
July 2018: Nursing Science Quarterly
Steve den Hollander, Ben Jones, Michael Lambert, Sharief Hendricks
BACKGROUND: Video analysis is a common tool used in rugby union research to describe match performance. Studies using video analysis range from broad statistical studies of commercial databases to in-depth case-studies of specific match events. The range of types of studies using video analysis in rugby union, and how different studies apply the methodology, can make it difficult to compare the results of studies and translate the findings to a real-world setting. In attempt to consolidate the information on video analysis in rugby, a critical review of the literature was performed...
June 18, 2018: Sports Medicine—Open
Laila A AlBishi, Kousalya Prabahar, Yara M Albalawi, Shahad A Albalawi, Ashwaq A Abosalem, Wjdan A Alqarni, Salha A Almarhapi, Maram M Albalawi
OBJECTIVES: To understand the knowledge, attitude, and practice of healthcare practitioners in Saudi Arabia, with regard to vitamin D supplementation. METHODS: A cross-sectional survey was conducted among healthcare practitioners in the Tabuk region of Saudi Arabia between January 2015 and December 2016. A questionnaire assessing knowledge, attitude and practice with regard to prevention of vitamin D deficiency was distributed to 100 healthcare practitioners. RESULTS: There was a good understanding of the importance of vitamin D deficiency; and overall practices were good...
June 2018: Saudi Medical Journal
Vishnu Teja Obulareddy, Sreenivas Nagarakanti, Vijay Kumar Chava
Introduction: Increased risk of periodontal disease has been associated with diabetes mellitus (DM) and also periodontitis is considered as the sixth complication of DM. Medical physicians may have an advantageous position compared to the dentists to provide early patient counseling about oral health because patients attend medical offices more often than to dental offices and are more likely to be affiliated to medical than to dental insurance. Hence, the medical practitioners should have sufficient knowledge in this regard...
January 2018: Journal of Family Medicine and Primary Care
Norbert Král, Bohumil Seifert, Jan Kovář, Cyril Mucha, Jana Vojtíšková, Jáchym Bednár, Seifert Martin
Introduction: Although informal meetings of healthcare professionals in smaller groups are common in the area of primary care in the Czech Republic, the method of quality circles is not in wide use. The aim of our project is to use this method to help new general practitioners (GPs) when they take over a medical practice and to suggest measures to improve the organization and overall attractiveness of new practices, as well as patient satisfaction. Materials and Methods: For the purposes of this observation, an already existing informal group formed by healthcare professionals and their trainees was used...
January 2018: Journal of Family Medicine and Primary Care
Scott A Rivkees, Valerie Opipari
No abstract text is available yet for this article.
June 18, 2018: Pediatric Research
Ronald L Koretz
Probiotic usage has become popular with both medical practitioners and the community in general; patients commonly seek advice regarding what, if any, such preparation would be useful for their own diseases. Since such advice should be evidence-based, identified randomized clinical trials (RCTs) for a number of gastrointestinal conditions were reviewed; the data were organized by individual probiotic genera/species. Only trials in adults were considered. Most of the identified RCTs were small and low-quality, so any conclusions to be drawn will be limited at least by methodologic problems...
June 19, 2018: American Journal of Gastroenterology
Mickaël Henry, Guy Rodet
In recent years, conservation biologists have raised awareness about the risk of ecological interference between massively introduced managed honeybees and the native wild bee fauna in protected natural areas. In this study, we surveyed wild bees and quantified their nectar and pollen foraging success in a rosemary Mediterranean scrubland in southern France, under different conditions of apiary size and proximity. We found that high-density beekeeping triggers foraging competition which depresses not only the occurrence (-55%) and nectar foraging success (-50%) of local wild bees but also nectar (-44%) and pollen (-36%) harvesting by the honeybees themselves...
June 18, 2018: Scientific Reports
Richard Tjahjono, Ronald Yoon-Kong Chin, Peter Flynn
OBJECTIVE: To evaluate the outcomes of tracheobronchial stenting in patients with malignant central airway obstruction and assist practitioners in palliative settings in understanding the indications, contraindications and management of tracheobronchial stents. METHODS: This retrospective study involved a consecutive case series of palliative patients with central airway obstruction secondary to inoperable cancers who underwent tracheobronchial stenting at a single institution...
June 18, 2018: BMJ Supportive & Palliative Care
Richard K Shields, Shauna Dudley-Javoroski
QUESTIONS: What is the economic value of a physiotherapy career relative to other healthcare professions? Is the graduate debt reported for physiotherapy manageable according to recommended salary-weighted debt service ratio benchmarks? DESIGN: Net present value (NPV) is an economic modelling approach that compares costs and benefits of an investment such as healthcare education. An economic analysis using the NPV approach was conducted and reported in US dollars for the Doctor of Physical Therapy degree...
June 15, 2018: Journal of Physiotherapy
Benjamin M Nowotny, Erwin Loh, Katherine Lorenz, Euan M Wallace
Learning from medical errors to prevent their recurrence is an important component of any healthcare system's quality and safety improvement functions. Traditionally, this been achieved principally from review of adverse clinical outcomes. The opportunity to learn systematically and in a system manner from patient complaints and litigation has been less well harnessed. Herein we describe the pathways and processes for both patient complaints and medicolegal claims in Victoria, and Australia more broadly, and assess the potential for these to be used for system improvement...
June 19, 2018: Australian Health Review: a Publication of the Australian Hospital Association
Melanie Haith-Cooper, Catherine Waskett, Jane Montague, Maria Horne
BACKGROUND: Many asylum seekers have complex mental health needs which can be exacerbated by the challenging circumstances in which they live and difficulties accessing health services. Regular moderate physical activity can improve mental health and would be a useful strategy to achieve this. Evidence suggests there are barriers to engaging black and minority ethnic groups in physical activity, but there is little research around asylum seekers to address the key barriers and facilitators in this group...
June 19, 2018: BMC Public Health
Mark Wilberforce, Eric Batten, David Challis, Linda Davies, Michael P Kelly, Chris Roberts
BACKGROUND: The patient experience is a crucial part of the measurement of service quality. However, instruments to evaluate experiential quality in the community mental health care of older adults are lacking. Before designing a new instrument, clarity is needed about what is to be measured, and how care experiences are articulated by patients. The study aimed to construct a framework to describe older patients' experience of community mental health and social care. METHODS: Concept mapping blends structured qualitative data collection with quantitative analysis in a mixed method approach...
June 18, 2018: BMC Health Services Research
Rosa U Greasley, Rebecca Turner, Karen Collins, Janet Brown, Liam Bourke, Derek J Rosario
BACKGROUND: This study aimed to explore the opinions of healthcare professionals regarding the management of men with advanced prostate cancer with particular emphasis on treatment timing and sequencing; treatment adverse-effects and exercise a supportive therapy. METHODS: Semi-structured interviews with a purposively selected group of healthcare professionals involved in prostate cancer care within the NHS, conducted over the phone or face to face. A total of 37 healthcare professionals participated in the interviews including urologists, clinical oncologists, medical oncologists, clinical nurse specialists, general practitioners, physiotherapists, exercise specialists, service managers, clinical commissioners and primary care physicians...
June 19, 2018: BMC Cancer
Kate Sitnikova, Rinske Pret-Oskam, Sandra M A Dijkstra-Kersten, Stephanie S Leone, Harm W J van Marwijk, Henriëtte E van der Horst, Johannes C van der Wouden
BACKGROUND: In 2013 the Dutch guideline for management of medically unexplained symptoms (MUS) was published. The aim of this study is to assess medical care for patients with persistent MUS as recorded in their electronic medical records, to investigate if this is in line with the national guideline for persistent MUS and whether there are changes in care over time. METHODS: We conducted an observational study of adult primary care patients with MUS. Routinely recorded health care data were extracted from electronic medical records of patients participating in an ongoing randomised controlled trial in 30 general practices in the Netherlands...
June 18, 2018: BMC Family Practice
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