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https://www.readbyqxmd.com/read/29050055/-polytrauma-management-treatment-of-severely-injured-patients-in-er-and-or
#1
Christian von Rüden, Volker Bühren, Mario Perl
The adequate treatment of severely injured patients is challenging and can only be successfully executed when it starts at the accident site and is continued in all treatment phases including the early rehabilitation phase. Treatment should be performed by an interdisciplinary team guided by a trauma surgeon in order to adequately manage the severe injuries some of which are life-threatening. Treatment of polytrauma patients is a key task of certified trauma centers and must follow standardized guidelines. For a successful therapy of severely injured patients lifetime training at regular intervals in well-established polytrauma concepts is a mandatory requirement...
October 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/29040715/the-integrated-pain-team-a-mixed-methods-evaluation-of-the-impact-of-an-embedded-interdisciplinary-pain-care-intervention-on-primary-care-team-satisfaction-confidence-and-perceptions-of-care-effectiveness
#2
Natalie Purcell, Kara Zamora, Jenny Tighe, Yongmei Li, Mathew Douraghi, Karen Seal
OBJECTIVE:  To evaluate the impact of the Integrated Pain Team (IPT)-an interdisciplinary chronic pain care intervention embedded in primary care at a large Veterans Affairs health care system. Outcomes evaluated included IPT's impact on the perceived effectiveness of chronic pain care; provider self-confidence; and primary care team satisfaction, stress, and burnout. METHOD:  This mixed-methods quality-improvement study employed: 1) qualitative semistructured interviews of 61 primary care providers, other primary care team members, and organizational stakeholders; and 2) a supplementary quantitative survey of 65 providers, comparing those who had referred patients to IPT with those who had not...
October 12, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29038936/current-practice-and-opinions-of-hospital-pharmacists-regarding-their-role-in-the-screening-prevention-and-treatment-of-delirium
#3
Gizat M Kassie, Lisa M Kalisch Ellett, Tuan A Nguyen, Elizabeth E Roughead
Background An interdisciplinary approach is fundamental for effective prevention and treatment of delirium. Pharmacists could play a role in identifying and resolving medication-related delirium. However, little is known about their role in delirium care. Objective The main purpose of this survey was to assess the current practice and opinions of pharmacists concerning their involvement in screening, prevention and treatment of delirium. Setting Pharmacists in public and private hospitals in Australia. Method A cross-sectional survey was conducted using a pilot tested web-based questionnaire which was distributed primarily via a link in the electronic newsletter of the Society of Hospital Pharmacists of Australia...
October 16, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29038098/tackling-regional-public-health-issues-using-mobile-health-technology-event-report-of-an-mhealth-hackathon-in-thailand
#4
Atipong Pathanasethpong, Chitsutha Soomlek, Katharine Morley, Michael Morley, Pattarawit Polpinit, Alon Dagan, James W Weis, Leo Anthony Celi
Hackathons are intense, short, collaborative events focusing on solving real world problems through interdisciplinary teams. This is a report of the mHealth hackathon hosted by Khon Kaen University in collaboration with MIT Sana and faculty members from Harvard Medical School with the aim to improve health care delivery in the Northeast region of Thailand. Key health challenges, such as improving population health literacy, tracking disease trajectory and outcomes among rural communities, and supporting the workflow of overburdened frontline providers, were addressed using mHealth...
October 16, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29036751/-diagnosis-and-management-of-vestibular-schwannomas-an-interdisciplinary-challenge
#5
Steffen Rosahl, Christopher Bohr, Michael Lell, Klaus Hamm, Heinrich Iro
Vestibular schwannomas expand slowly in the internal auditory canal, in the cerebellopontine angle, inside the cochlear and the labyrinth. Larger tumors can displace and compress the brainstem. With an annual incidence of 1:100 000 vestibular schwannoma represent 6-7% of all intracranial tumors. In the cerebellopontine angle they are by far the most neoplasm with 90% of all lesions located in this region. Magnetic resonance imaging (MRI), audiometry, and vestibular diagnostics are the mainstays of the clinical workup for patients harboring tumors...
April 2017: Laryngo- Rhino- Otologie
https://www.readbyqxmd.com/read/29034253/risk-factors-for-adverse-outcome-for-elderly-patients-undergoing-curative-oncological-resection-for-gastrointestinal-malignancies
#6
REVIEW
Yukai K Lim, Christopher Jackson, Emilia L Dauway, Konrad Klaus Richter
BACKGROUND: The incidence of gastrointestinal cancer increases with age, with approximately 20% of these cases in people over 80 years of age. Due to pre-existing comorbidities, this onco-geriatric population often presents diagnostic and therapeutic challenges. METHODS: A systematic review of articles on PubMed was performed to determine the predictive ability of screening tools and their components regarding the occurrence of adverse outcomes in elderly onco-surgical patients with gastrointestinal malignancies...
August 2017: Visceral Medicine
https://www.readbyqxmd.com/read/29030128/expansion-of-diabetes-education-in-a-united-states-mexico-border-community-expanding-services-for-patients-to-acquire-new-skills-set-goals-and-improve-overall-knowledge
#7
Melissa Carrillo, Jeri Sias, Jacquelyn P Navarrete, Sam Aboud, Enrique Valenzuela
OBJECTIVES: To describe the process used by a pharmacy team at a community health center to coordinate and expand diabetes education services (English and Spanish) for a predominantly Hispanic, Spanish-speaking population. SETTING: The project was implemented at 2 clinics in a federally qualified community health center system based in a low-income southwest U.S.-Mexico border community. PRACTICE INNOVATION: This project enhanced accessibility to diabetes education to improve knowledge, skills, and goal setting through existing pharmacy services at the primary clinic and 1 rural satellite clinic...
October 10, 2017: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29029132/general-practitioners-strategies-in-consultations-with-immigrants-in-norway-practice-based-shared-reflections-among-participants-in-focus-groups
#8
Stefán Hjörleifsson, Elise Hammer, Esperanza Díaz
Background: Immigrants comprise 16.8% of the population in Norway and meet General Practitioners (GPs) as their first point of contact with most health care services as do others in Norway. While Norwegian GPs are not trained in cultural competence, little is known about the extent to which they see good care for immigrants as relying on specific strategies. Objectives: To explore the thoughts of GPs in Norway about strategies they might use with immigrant patients...
September 28, 2017: Family Practice
https://www.readbyqxmd.com/read/29028120/rethinking-the-way-we-do-research-the-benefits-of-community-engaged-citizen-science-approaches-and-nontraditional-collaborators
#9
REVIEW
Danielle M Dick
There is tremendous opportunity for basic scientists to enhance the impact of our research by engaging more deeply with nontraditional partners and expanding the way we think about interdisciplinary research teams. These efforts can include more deeply engaging our participants, and the broader public, in our research; working with individuals from other fields to take a more active role in the dissemination and translation of our research; and working with collaborators from the arts and communication sciences to make our research more engaging and understandable...
October 13, 2017: Alcoholism, Clinical and Experimental Research
https://www.readbyqxmd.com/read/29025453/interprofessional-communication-in-organ-transplantation-in-gauteng-province-south-africa
#10
Harriet Rosanne Etheredge, Claire Penn, Jennifer Watermeyer
BACKGROUND: Communication is essential to the transplant process, but it is challenging in South Africa (SA) because of the complexity of the country and the health system, the nature of transplantation as a technical procedure with inherent psychological considerations, and the large number of professionals involved. Transplant communication has not been explored in SA, and this study was the first to use health communication methods to generate empirical evidence relating to it. OBJECTIVE: To explore communication in transplant settings in Gauteng Province, SA...
June 30, 2017: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/29025350/the-patient-with-a-complex-chronic-respiratory-disease-a-specialist-of-his-own-life
#11
Sarah Houben-Wilke, Ingrid Ml Augustin, Birgit Bref Wouters, Rosita Stevens, Daisy J A Janssen, Martijn A Spruit, Lowie Egw Vanfleteren, Frits Me Franssen, Emiel Fm Wouters
The independent and central role of the patient with a complex chronic respiratory disease in targeted, personalized disease management strategies is becoming increasingly important. Patients are the ones living with the disease and are finally responsible for their lives underlining their role as essential members of the interdisciplinary treatment team. Areas covered: The present paper narratively reviews existing research and discusses the special, as well as specialized, role of the patient with a complex chronic respiratory disease in the healthcare system and highlights fundamental elements of the (future) relationship between patient and healthcare professionals...
October 13, 2017: Expert Review of Respiratory Medicine
https://www.readbyqxmd.com/read/29025070/interdisciplinary-family-conferences-to-improve-patient-experience-in-the-neonatal-intensive-care-unit
#12
Jennifer A Trujillo, Yesenia Fernandez, Lyla Ghafoori, Kristina Lok, Arwin Valencia
Parents play a significant role in the development of their neonate. They can affect the length of stay in a neonatal intensive care unit (NICU) and are seen as an integral part of the team. Parents are often put in positions where difficult decision making is required of them in the care of their critically ill child. Studies suggest that one way to improve the family's experience and to encourage their involvement is by establishing a formal and focused family conference. Therefore, the NICU social workers and the interdisciplinary team collaborated to formulate strategies to improve communication that would enhance current practice...
September 15, 2017: Health & Social Work
https://www.readbyqxmd.com/read/29023874/multidisciplinary-studies-of-wildlife-trade-in-primates-challenges-and-priorities
#13
Mary E Blair, Minh D Le, Eleanor J Sterling
Wildlife trade is increasingly recognized as an unsustainable threat to primate populations and informing its management is a growing focus and application of primatological research. However, management policies based on ecological research alone cannot address complex socioeconomic or cultural contexts as drivers of wildlife trade. Multidisciplinary research is required to understand trade complexity and identify sustainable management strategies. Here, we define multidisciplinary research as research that combines more than one academic discipline, and highlight how the articles in this issue combine methods and approaches to fill key gaps and offer a more comprehensive understanding of underlying drivers of wildlife trade including consumer demand, enforcement patterns, source population status, and accessibility of targeted species...
October 11, 2017: American Journal of Primatology
https://www.readbyqxmd.com/read/29023194/factors-that-drive-youth-specialization
#14
Ajay S Padaki, Charles A Popkin, Justin L Hodgins, David Kovacevic, Thomas Sean Lynch, Christopher S Ahmad
BACKGROUND: Specialization in young athletes has been linked to overuse injuries, burnout, and decreased satisfaction. Despite continued opposition from the medical community, epidemiological studies suggest the frequency is increasing. HYPOTHESIS: Extrinsic pressures in addition to individual aspirations drive this national trend in sports specialization. STUDY DESIGN: Descriptive epidemiology study. LEVEL OF EVIDENCE: Level 3...
October 1, 2017: Sports Health
https://www.readbyqxmd.com/read/29022766/a-solution-focused-approach-to-understanding-patient-motivation-in-diabetes-self-management-gender-differences-and-implications-for-primary-care
#15
Tajudaullah Bhaloo, Michael Juma, Christine Criscuolo-Higgins
Objective Healthcare providers often neglect to recognize the role they play in motivating patients with diabetes to perform self-management. Our aims were to understand what motivates patients with diabetes to implement recommended self-management practices and understand the role of the primary care team in patient motivation. Methods We use a solution-focused qualitative approach, supplemented with a quantitative scale. We used a purposive sampling strategy to invite patients with uncontrolled diabetes. Semi-structured telephone interviews were conducted and analyzed using content and thematic analysis...
January 1, 2017: Chronic Illness
https://www.readbyqxmd.com/read/29021378/outcomes-of-a-specialized-interdisciplinary-approach-for-patients-with-cancer-with-aberrant-opioid-related-behavior
#16
Joseph Arthur, Tonya Edwards, Suresh Reddy, Kristy Nguyen, David Hui, Sriram Yennu, Minjeong Park, Diane Liu, Eduardo Bruera
BACKGROUND: Data on the development and outcomes of effective interventions to address aberrant opioid-related behavior (AB) in patients with cancer are lacking. Our outpatient supportive care clinic developed and implemented a specialized interdisciplinary team approach to manage patients with AB. The purpose of this study was to report clinical outcomes of this novel intervention. MATERIALS AND METHODS: The medical records of 30 consecutive patients with evidence of AB who received the intervention and a random control group of 70 patients without evidence of AB between January 1, 2015, and August 31, 2016, were reviewed...
October 11, 2017: Oncologist
https://www.readbyqxmd.com/read/29020891/biologic-joint-repair-strategies-the-mizzou-biojoint-story
#17
Keiichi Kuroki, Aaron M Stoker, James P Stannard, Chantelle C Bozynski, Cristi R Cook, Ferris M Pfeiffer, James L Cook
Because articular cartilage has very limited healing potential, most symptomatic cartilage injuries eventually result in end-stage osteoarthritis and are treated with artificial joint replacement. Our interdisciplinary, comparative orthopedic research performed by a team of DVMs, MDs, engineers, and basic scientists has yielded marked progress toward effective biologic joint restoration strategies by bringing bench-side ideas to fruition in bedside applications in both canine and human patients. This mini-review summarizes the progress of biologic joint restoration strategies at our center...
January 1, 2017: Toxicologic Pathology
https://www.readbyqxmd.com/read/29017337/promoting-face-to-face-dialogue-for-community-engagement-in-a-digital-age
#18
Lynn S Scruby, Mary K Canales, Evelyn Ferguson, David Gregory
Background Health researchers in urban centers recognize the need to engage with inner-city community-based organizations. Funding for face-to-face engagement is often limited because most work done by agencies and academics now focuses on the use of digital technology. Purpose This article presents reflections from a grant project aimed at establishing community engagement between academic health researchers and interdisciplinary inner-city community health and social service providers. Method This study utilized a community-based participatory action approach...
January 1, 2017: Canadian Journal of Nursing Research, Revue Canadienne de Recherche en Sciences Infirmières
https://www.readbyqxmd.com/read/28989526/scabies-outbreak-among-healthcare-workers-in-a-german-acute-care-hospital
#19
Rasmus Leistner, Dirk Buchwald, Marc Beyer, Sandra Philipp
BACKGROUND: This article reports on a scabies outbreak among healthcare workers (HCW) in an acute care hospital. The outbreak was associated with a patient suffering from a chronic skin disease that was later diagnosed as crusted scabies. OBJECTIVE: The objective was to determine the outbreak drivers and define a prevention strategy against future outbreaks. METHODS: All staff that had contact with the patient were treated with 5% permethrin ointment...
July 2017: Journal of Infection Prevention
https://www.readbyqxmd.com/read/28989264/killer-apps-developing-novel-applications-that-enhance-team-coordination-communication-and-effectiveness
#20
Claudia Buengeler, Florian Klonek, Nale Lehmann-Willenbrock, Louis-Philippe Morency, Ronald Poppe
As part of the Lorentz workshop, "Interdisciplinary Insights into Group and Team Dynamics," held in Leiden, Netherlands, this article describes how Geeks and Groupies (computer and social scientists) may benefit from interdisciplinary collaboration toward the development of killer apps in team contexts that are meaningful and challenging for both. First, we discuss interaction processes during team meetings as a research topic for both Groupies and Geeks. Second, we highlight teamwork in health care settings as an interdisciplinary research challenge...
October 2017: Small Group Research
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