keyword
https://read.qxmd.com/read/38465290/the-impact-of-a-preoperative-evaluation-process-on-weight-reduction-and-glycemic-control-in-patients-undergoing-bariatric-and-metabolic-surgery
#21
JOURNAL ARTICLE
Jennifer Tempany, Andrew Collier, Abdulmajid Ali
INTRODUCTION: Metabolic surgery is a sustainable intervention for obesity and type 2 diabetes. Preoperative education optimizes weight loss and glycemic control outcomes. OBJECTIVE: This study aimed to determine the effect of a generalized preoperative evaluation process (PEP) in patients who underwent bariatric surgery on weight loss and glycemic control pre- and post-surgery. METHODS: Data were retrospectively collected and analyzed for patients with type 2 diabetes who underwent bariatric surgery between 2010 and 2016...
April 2024: Obesity Science & Practice
https://read.qxmd.com/read/38465194/an-evaluation-of-medical-students-perceptions-knowledge-and-attitudes-about-people-with-disability-after-attending-the-learning-session-on-disability-competency-a-cross-sectional-study
#22
JOURNAL ARTICLE
Manoj K Saurabh, Amit Ranjan, Tejas K Patel
Background and objective The Medical Council of India [now replaced by the National Medical Commission (NMC)] has implemented a new competency-based curriculum for medical education. Eight competencies in the curriculum are related to the principles of disability-inclusive compassionate care. This study aimed to evaluate the knowledge, perceptions, and attitudes among undergraduate medical students about people with disability after attending learning sessions on disability competency. Materials and methods After they attended the learning session during the foundation course, participants were evaluated by using a questionnaire involving 26 questions, of which 17 were based on the Likert scale to assess general perceptions towards the person with a disability, while three questions aimed to assess attitudes, and six closed-ended questions tried to assess knowledge about disability...
February 2024: Curēus
https://read.qxmd.com/read/38465158/enhancing-postoperative-cochlear-implant-care-with-chatgpt-4-a-study-on-artificial-intelligence-ai-assisted-patient-education-and-support
#23
JOURNAL ARTICLE
Aynur Aliyeva, Elif Sari, Elvin Alaskarov, Rauf Nasirov
BACKGROUND: Cochlear implantation is a critical surgical intervention for patients with severe hearing loss. Postoperative care is essential for successful rehabilitation, yet access to timely medical advice can be challenging, especially in remote or resource-limited settings. Integrating advanced artificial intelligence (AI) tools like Chat Generative Pre-trained Transformer (ChatGPT)-4 in post-surgical care could bridge the patient education and support gap. AIM: This study aimed to assess the effectiveness of ChatGPT-4 as a supplementary information resource for postoperative cochlear implant patients...
February 2024: Curēus
https://read.qxmd.com/read/38465133/exploring-care-and-recovery-for-individuals-with-post-traumatic-stress-disorder-a-scoping-review
#24
REVIEW
Jennifer R Smith, Kyle J Drouillard, Angel M Foster
Most people experience trauma at some point in their lives. The sources of trauma can include accidents, natural disasters, physical or sexual assault, combat, torture, or the death of a loved one. Experiencing or witnessing any of these, or other terrifying events, may make one susceptible to developing post-traumatic stress disorder (PTSD), a trauma- and stressor-related mental health condition. The common symptoms and consequences of PTSD include intrusive and distressing thoughts, memories, or flashbacks related to the traumatic event; avoidance of situations, people, or activities that remind one of the traumatic event; irritability, sleep difficulties, or hypervigilance; feelings of guilt, shame, or fear; substance use; strains on relationships; and suicidal thoughts and behaviors...
February 2024: Curēus
https://read.qxmd.com/read/38463412/using-virtual-reality-for-perioperative-nursing-education-in-complex-neurosurgical-surgeries-a-feasibility-and-acceptance-study
#25
JOURNAL ARTICLE
Linda Nguyen, Martina Bordini, Clyde Matava
Background Operating room (OR) nurses' training for surgical fields such as neurosurgery is often inconsistent and overly lengthy due to the lack of consistently scheduled procedures and the nature of procedures being for the most part emergencies. Virtual reality (VR) simulation has been explored for nurses training in various contexts with positive results. Objectives To develop a VR simulation that could replicate a pediatric neurosurgery craniotomy procedure reflecting a real OR scenario and the surgical procedural sequence of a craniotomy; and to assess OR nurses' confidence in assisting craniotomy procedures as scrub nurses before and after the VR simulation...
March 2024: Curēus
https://read.qxmd.com/read/38463129/response-to-apheretic-platelet-transfusion-in-children-of-acute-lymphoblastic-leukemia-receiving-induction-chemotherapy-a-cross-sectional-study-from-bangladesh
#26
JOURNAL ARTICLE
Sushanta Kumar Basak, Mohammad Azmain Iktidar, Romana Chowdhury, Ayesha Khatun, Atiar Rahman, Sonia Shormin Miah, Sheikh Saiful Islam Shaheen, Sudeshna Mazumder
BACKGROUND: Disease and therapy-related hypoproliferative thrombocytopenia is a significant barrier to managing acute lymphoblastic leukaemia (ALL) patients. To reduce the risk of haemorrhage, apheretic platelet transfusion is a modern, effective, and expensive option. Since most ALL patients in Bangladesh have financial constraints, this study can shed light on the magnitude of benefit regarding the effectiveness of apheretic platelet prophylactically and therapeutically in children of ALL receiving induction chemotherapy...
March 2024: Annals of Medicine and Surgery
https://read.qxmd.com/read/38463090/synchronized-cardioversion-resolving-refractory-supraventricular-tachycardia-in-a-neonate-a-case-report-with-comprehensive-analysis
#27
Neelam Kumari, Tek Nath Yogi, Amrit Bhusal, Niraj Paudel
INTRODUCTION AND IMPORTANCE: Neonatal supraventricular tachycardia (SVT) poses unique challenges in diagnosis and management, with refractory cases requiring synchronized cardioversion being exceptionally rare. This case report explores the presentation and management of refractory SVT in a neonate, emphasizing the significance of sharing such clinical scenarios. CASE PRESENTATION: A 16-day-old neonate, born via emergency caesarean section, presented with respiratory distress, poor feeding, and vomiting...
March 2024: Annals of Medicine and Surgery
https://read.qxmd.com/read/38462760/sexual-behaviour-and-stis-among-msm-living-with-hiv-in-the-prep-era-the-french-anrs-primo-cohort-study
#28
JOURNAL ARTICLE
Virginie Baltes, Paul de Boissieu, Karen Champenois, Louise Luan, Rémonie Seng, Asma Essat, Sophie Novelli, Bruno Spire, Jean-Michel Molina, Cécile Goujard, Laurence Meyer
INTRODUCTION: In a context of declining condom use and high sexually transmitted infection (STI) incidence, the diffusion of "treatment as prevention" (Tasp) and more recently pre-exposure prophylaxis (PrEP) may have changed the sexual behaviour of newly diagnosed men who have sex with men (MSM) with HIV. METHODS: Six hundred and nine MSM were enrolled and followed annually between 2014 and 2021 in the ANRS PRIMO Cohort (ClinicalTrials.gov:NCT03148964) from the time of HIV seroconversion...
March 2024: Journal of the International AIDS Society
https://read.qxmd.com/read/38456089/association-of-plasma-high-density-lipoprotein-cholesterol-level-with-risk-of-incident-dementia-a-cohort-study-of-healthy-older-adults
#29
JOURNAL ARTICLE
Sultana Monira Hussain, Catherine Robb, Andrew M Tonkin, Paul Lacaze, Trevor T-J Chong, Lawrence J Beilin, Chenglong Yu, Gerald F Watts, Joanne Ryan, Michael E Ernst, Zhen Zhou, Johannes T Neumann, John J McNeil
BACKGROUND: Recent studies have reported associations between high plasma high-density lipoprotein cholesterol (HDL-C) levels and risk of all-cause mortality, age-related macular degeneration, sepsis and fractures, but associations with dementia risk remain unclear. To determine whether high plasma HDL-C levels are associated with increased incident dementia risk in initially-healthy older people. METHODS: We conducted a post-hoc analysis of the Aspirin in Reducing Events in the Elderly (ASPREE) trial; a double-blind, randomized, placebo-controlled trial of daily low-dose aspirin in healthy older people...
February 2024: The Lancet Regional Health. Western Pacific
https://read.qxmd.com/read/38455826/introduction-to-tobacco-cessation-and-motivational-interviewing-evaluation-of-a-lecture-and-case-based-learning-activity-for-medical-students
#30
JOURNAL ARTICLE
Daniel J Berger, Sarah Nickolich, Munima Nasir
Introduction Despite the fact that tobacco use continues to have significant public health impacts, most healthcare providers are not adequately trained to counsel patients on their tobacco use or to provide cessation resources. Although all healthcare providers have a role in providing tobacco cessation assistance, physicians and advanced practice providers are generally the only practitioners able to furnish tobacco cessation medications and bill insurance for their cessation services. Therefore, ensuring these practitioners are properly trained to offer tobacco cessation to their patients is critical to addressing this public health threat...
February 2024: Curēus
https://read.qxmd.com/read/38453404/video-training-of-nursing-home-healthcare-workers-in-palliative-care
#31
JOURNAL ARTICLE
Yujun Lim, Ezekiel Toh, Laurence Tan, Perry Lee, James Alvin Yiew Hock Low
OBJECTIVES: The provision of palliative care in nursing homes (NHs) is of paramount importance, a realism underscored by the frailty and medical complexity of the residents. However, palliative care (PC) education tends to be resource-intensive both for educators and healthcare workers (HCWs). The aim of this study was to investigate how PowerFacts, a video animation series that taught basic PC to NH HCWs in Singapore impacted their knowledge, attitudes and confidence. METHODS: A cohort study design was adopted for the study...
March 7, 2024: BMJ Supportive & Palliative Care
https://read.qxmd.com/read/38449096/avascular-necrosis-in-kidney-transplant-recipients-is-associated-with-an-increased-risk-of-patient-death
#32
JOURNAL ARTICLE
Sonam Dolma, Fauzia Osman, Emily Zona, Angelie Santos, Fahad Aziz, Neetika Garg, Maha Mohamed, Didier Mandelbrot, Sandesh Parajuli
Introduction: Avascular necrosis is a debilitating osseous complication in transplant recipients. Project Aim: This program evaluation sought to describe risk factors and adverse outcomes of avascular necrosis in kidney transplant recipients. Design: This was a retrospective evaluation of all recipients of kidneys and simultaneous pancreas and kidneys between 2001 and 2018 from a single center. Controls were selected based on the incidence density, sampling at a 1:3 ratio based on the post-transplant interval...
March 6, 2024: Progress in Transplantation
https://read.qxmd.com/read/38448066/cyberbullying-and-cyber-victimisation-among-higher-secondary-school-adolescents-in-an-urban-city-of-nepal-a-cross-sectional-study
#33
JOURNAL ARTICLE
Surakshya Kunwar, Sudim Sharma, Sabina Marasini, Anjali Joshi, Ashish Adhikari, Anushka Ranjit, Ishwori Byanju Shrestha, Archana Shrestha, Akina Koju Shrestha, Biraj Man Karmacharya
OBJECTIVE: To assess the prevalence and factors associated with cyberbullying and cyber-victimisation among high school adolescents of Pokhara Metropolitan City, Nepal. DESIGN: A cross-sectional study. SETTING: Pokhara Metropolitan City, Nepal. PARTICIPANTS: We used convenient sampling to enrol 450 adolescents aged 16-19 years from four distinct higher secondary schools in Pokhara Metropolitan City. OUTCOME MEASURES: We administered the Cyberbullying and an Online Aggression Survey to determine the prevalence of cyberbullying and cyber-victimisation...
March 5, 2024: BMJ Open
https://read.qxmd.com/read/38439074/association-of-pre-migration-socioeconomic-status-and-post-migration-mental-health-in-syrian-refugees-in-lebanon-a-descriptive-sex-stratified-cross-sectional-analysis
#34
JOURNAL ARTICLE
Saskia Lange, Toivo Glatz, Andreas Halgreen Eiset
BACKGROUND: Refugee populations present with high levels of psychological distress, which may vary among sociodemographic characteristics. Understanding the distribution across these characteristics is crucial to subsequently provide more tailored support to the most affected according to their specific healthcare needs. This study therefore seeks to investigate the association between pre-migration socioeconomic status (SES) and post-migration mental health separately for male and female Syrian refugees in Lebanon...
March 4, 2024: Global Health Research and Policy
https://read.qxmd.com/read/38435200/improving-and-sustaining-resident-physician-handover
#35
JOURNAL ARTICLE
Devin Reilly, Shaefali Shandilya, Blair Streater, Bettina Aprile, Justen M Aprile
Background Handoffs serve a critical patient safety function in the transition between caregivers. In 2006, the Joint Commission on Accreditation of Healthcare Organizations strongly recommended the implementation of "a standardized approach to 'handoff' communications, including an opportunity to ask and respond to questions." Numerous studies have investigated the quality and efficacy of patient handoffs and the utility of structured handoff curriculums, particularly in the context of patient safety and outcomes...
February 2024: Curēus
https://read.qxmd.com/read/38435135/implementation-and-evaluation-of-a-pilot-narrative-medicine-curriculum-for-internal-medicine-residents
#36
JOURNAL ARTICLE
Rebecca K Tsevat, Peter Young, Eunice Zhang, Samuel Baugh, Antonio M Pessegueiro
Background Narrative medicine has been integrated into medical training to enhance competencies such as observation, reflection, and self-care. However, few studies have assessed the impact of a single narrative medicine session using a pre- and post-test study design. The authors of this study sought to implement a pilot narrative medicine curriculum into a large internal medicine residency program and to evaluate its feasibility and impact. Methodology The curriculum consisted of a one-hour reading and writing workshop held during ambulatory academic half-days from 2021 to 2022...
February 2024: Curēus
https://read.qxmd.com/read/38432803/effects-of-pilates-method-on-quality-of-life-fatigue-and-sleep-quality-among-breast-cancer-women-receiving-hormone-therapy-two-arm-randomized-clinical-trial
#37
JOURNAL ARTICLE
Bruna Leite, Luiza Andreatta Denig, Leonessa Boing, Tatiana de Bem Fretta, Adriana Coutinho de Azevedo Guimarães
OBJECTIVE: To analyze the effect of the Pilates method on the quality of life, fatigue, and sleep quality of patients undergoing adjuvant clinical treatment with hormone therapy for breast cancer. METHODS: A randomized two-arm clinical trial with 34 breast cancer women that were randomized into two groups: a) Intervention group, who performed 16 weeks of mat Pilates; b) Control group, who maintained their daily routine activities and received three educational sessions...
January 2024: Journal of Bodywork and Movement Therapies
https://read.qxmd.com/read/38429063/improving-inpatient-hyperglycaemia-in-non-critically-ill-adults-in-resident-wards-through-audit-and-feedback
#38
JOURNAL ARTICLE
Chelsea Chang, Alcibiades Fleires, Alfarooq Alshaikhli, Hector Arredondo, Diana Gavilanes, Francisco J Cabral-Amador, Jonathon Cantu, Daniela Bazan, Kathryn Oliveira Oliveira, Rene Verduzco, Lina Pedraza
Inpatient hyperglycaemia is associated with an increase in morbidity and mortality, number of rehospitalisations and length of hospitalisation. Although the advantages of proper glycaemic control in hospitalised patients with diabetes are well established, a variety of barriers limit accomplishment of blood glucose targets. Our primary aim was to decrease the number of glucose values above 180 mg/dL in non-critical care hospitalised patients using an audit and feedback intervention with pharmacy and internal medicine residents...
March 1, 2024: BMJ Open Quality
https://read.qxmd.com/read/38427414/examining-the-feasibility-acceptability-and-effectiveness-of-remote-training-on-community-based-participatory-research-single-arm-pre-post-pilot-study
#39
JOURNAL ARTICLE
Karen Fortuna, Andrew Bohm, Stephanie Lebby, Kisha Holden, Branka Agic, Theodore D Cosco, Robert Walker
BACKGROUND: Over the past decade, a growing body of scientific evidence has demonstrated that community engagement in research leads to more relevant research, enhances the uptake of research findings, and improves clinical outcomes. Despite the increasing need for the integration of community engagement methodologies into the scientific inquiry, doctoral and master's level competencies in the field of psychiatry often lack dedicated training or coursework on community engagement methodologies...
March 1, 2024: Journal of Participatory Medicine
https://read.qxmd.com/read/38426778/a-combined-strategies-intervention-on-the-world-health-organization-prescribing-indicators-a-quasi-randomised-trial
#40
JOURNAL ARTICLE
Nondumiso B Q Ncube, Tawanda Chivese, Ferdinand C Mukumbang, Hazel A Bradley, Helen Schneider, Richard Laing
BACKGROUND: Irrational medicine use is a global problem that may potentiate antimicrobial resistance. AIM: This study aims to assess prescribing practices and the effect of a prescription audit and feedback coupled with small-group education intervention on prescribing indicators. SETTING: The study was conducted in public-sector healthcare facilities in Eswatini. METHODS: A cluster quasi-randomised controlled study was conducted from 2016 to 2019 using the World Health Organization/ International Network for Rational Use of Drugs (WHO/INRUD) prescribing indicators at baseline, post-intervention and post-follow-up...
February 28, 2024: African Journal of Primary Health Care & Family Medicine
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