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https://www.readbyqxmd.com/read/29679089/general-practitioner-s-attitudes-and-confidence-in-managing-patients-with-dementia-in-singapore
#1
Mythily Subramaniam, Hui Lin Ong, Edimansyah Abdin, Boon Yiang Chua, Saleha Shafie, Fiona Devi Siva Kumar, Sophia Foo, Li Ling Ng, Alvin Lum, Janhavi A Vaingankar, Siow Ann Chong
The number of people living with dementia is increasing globally as a result of an ageing population. General practitioners (GPs), as the front-line care providers in communities, are important stakeholders in the system of care for people with dementia. This commentary describes a study conducted to understand GPs' attitudes and self-perceived competencies when dealing with patients with dementia and their caregivers in Singapore. A set of study information sheet and survey questionnaires were mailed to selected GP clinics in Singapore...
March 2018: Annals of the Academy of Medicine, Singapore
https://www.readbyqxmd.com/read/29678488/medicolegal-considerations-involving-iatrogenic-lingual-nerve-damage
#2
REVIEW
Roberto Pippi, Andrea Spota, Marcello Santoro
The aim of this review is to improve risk management strategies through analysis of the anatomic, semeiotic, and medicolegal aspects that characterize iatrogenic lingual nerve damage (LND) and its legal consequences in the case of legal proceedings for a claim for compensation. In dental practice, LND can be caused by local or general anesthesia or by mechanical, chemical, or thermal mechanisms. A certain postoperative identification of LND etiopathogenesis is often very challenging because it can be difficult to show at what time the damage occurred and which mechanism actually caused it...
March 27, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29671655/knowledge-and-agency-in-interprofessional-care-how-nurses-contribute-to-the-case-construction-in-an-intensive-care-unit
#3
Letizia Caronia, Marzia Saglietti
This paper focuses on the epistemic and interactional resources displayed by nurses participating in medical case construction and the ways through which they make a difference in the unfolding of this activity. This paper draws on an ethnographic research in an Italian Intensive Care Unit (ICU) selected according to a purposeful sampling approach out of a national sample of 40 ICUs participating in a larger research project. Our dataset, collected over a period of six months of ethnographic observations, consisted of the observers' field notes and log-books, audio and video-recordings of morning briefings, in-depth interviews, informal conversations and shadowing of bedside practices...
April 19, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29669819/survey-of-kidney-biopsy-clinical-practice-and-training-in-the-united-states
#4
Christina M Yuan, Robert Nee, Dustin J Little, Rajeev Narayan, John M Childs, Lisa K Prince, Rajeev Raghavan, James D Oliver
BACKGROUND AND OBJECTIVES: Practicing clinical nephrologists are performing fewer diagnostic kidney biopsies. Requiring biopsy procedural competence for graduating nephrology fellows is controversial. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: An anonymous, on-line survey of all Walter Reed training program graduates ( n =82; 1985-2017) and all United States nephrology program directors ( n =149; August to October of 2017), regarding kidney biopsy practice and training, was undertaken...
April 18, 2018: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/29668498/development-of-the-canadian-nurse-informatics-competency-assessment-scale-and-evaluation-of-alberta-s-registered-nurses-self-perceived-informatics-competencies
#5
Manal Kleib, Lynn Nagle
In today's digitally enabled healthcare environment, it is vitally important to assess Canadian nurses' competency in informatics. The researchers developed the Canadian Nurse Informatics Competency Assessment Scale, a 21-item comprehensive measure based on entry-to-practice informatics competencies for registered nurses, to facilitate assessment of informatics competencies and consequent, planning of formal and continuing education in informatics. The Canadian Nurse Informatics Competency Assessment Scale was used in a cross-sectional survey to determine self-perceived informatics competencies for Alberta's practicing nurses...
April 18, 2018: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/29662692/strengthening-health-district-management-competencies-in-ghana-tanzania-and-uganda-lessons-from-using-action-research-to-improve-health-workforce-performance
#6
Tim Martineau, Joanna Raven, Moses Aikins, Alvaro Alonso-Garbayo, Sebastian Baine, Reinhard Huss, Stephen Maluka, Kaspar Wyss
Background: To achieve Universal Health Coverage (UHC), more health workers are needed; also critical is supporting optimal performance of existing staff. Integrated human resource management (HRM) strategies, complemented by other health systems strategies, are needed to improve health workforce performance, which is possible at district level in decentralised contexts. To strengthen the capacity of district management teams to develop and implement workplans containing integrated strategies for workforce performance improvement, we introduced an action-research-based management strengthening intervention (MSI)...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29659667/exploration-of-older-people-s-perceptions-of-behavioural-factors-associated-with-falls
#7
Kristy Robson, Julia Coyle, Rodney Pope
Background: falls rates in older people continue to rise despite concerted efforts to manage falls risks. As more effective strategies to reduce falls in older people may arise from better understanding their perspectives on falls risk, this study aimed to explore perceptions and behavioural decisions that may affect risk of falling among older people living in regional Australia. Method: this qualitative research, informed by hermeneutics, explored older people's perspectives on decisions they made that could affect their falls risk...
April 12, 2018: Age and Ageing
https://www.readbyqxmd.com/read/29626399/empirical-study-of-nova-scotia-nurses-adoption-of-healthcare-information-systems-implications-for-management-and-policy-making
#8
Princely Ifinedo
BACKGROUND: This paper used the Theory of Planned Behavior (TPB), which was extended, to investigate nurses' adoption of healthcare information systems (HIS) in Nova Scotia, Canada. METHODS: Data was collected from 197 nurses in a survey and data analysis was carried out using the partial least squares (PLS) technique. RESULTS: In contrast to findings in prior studies that used TPB to investigate clinicians' adoption of technologies in Canada and elsewhere, this study found no statistical significance for the relationships between attitude and subjective norm in relation to nurses' intention to use HIS...
August 13, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/29625615/to-fill-or-not-to-fill-a-qualitative-cross-country-study-on-dentists-decisions-in-managing-non-cavitated-proximal-caries-lesions
#9
F Schwendicke, L A Foster Page, L A Smith, M Fontana, W M Thomson, S R Baker
BACKGROUND: This study aimed to identify barriers and enablers for dentists managing non-cavitated proximal caries lesions using non- or micro-invasive (NI/MI) approaches rather than invasive and restorative methods in New Zealand, Germany and the USA. METHODS: Semi-structured interviews were conducted, focusing on non-cavitated proximal caries lesions (radiographically confined to enamel or the outer dentine). Twelve dentists from New Zealand, 12 from Germany and 20 from the state of Michigan (USA) were interviewed...
April 6, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29625562/development-and-testing-of-an-online-community-care-platform-for-frail-older-adults-in-the-netherlands-a-user-centred-design
#10
Sarah Willard, Ger Cremers, Yan Ping Man, Erik van Rossum, Marieke Spreeuwenberg, Luc de Witte
BACKGROUND: Recent transitions in long-term care in the Netherlands have major consequences for community-dwelling older adults. A new paradigm expects them to manage and arrange their own care and support as much as possible. Technology can support this shift. A study has been conducted to explore the needs of community-dwelling frail older adults with regard to an online platform. An existing platform was subsequently modified, based upon these needs, resulting in an online community care platform (OCC-platform) comprising of care, health, and communication functions...
April 7, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29622693/stratification-by-interferon-%C3%AE-release-assay-level-predicts-risk-of-incident-tb
#11
Brita Askeland Winje, Richard White, Heidi Syre, Dag Harald Skutlaberg, Fredrik Oftung, Anne Torunn Mengshoel, Hege Salvesen Blix, Arne Broch Brantsæter, Ellen Kristine Holter, Nina Handal, Gunnar Skov Simonsen, Jan Egil Afset, Anne Marte Bakken Kran
INTRODUCTION: Targeted testing and treatment of latent TB infection (LTBI) are priorities on the global health agenda, but LTBI management remains challenging. We aimed to evaluate the prognostic value of the QuantiFERON TB-Gold (QFT) test for incident TB, focusing on the interferon (IFN)-γ level, when applied in routine practice in a low TB incidence setting. METHODS: In this large population-based prospective cohort, we linked QFT results in Norway (1 January 2009-30 June 2014) with national registry data (Norwegian Surveillance System for Infectious Diseases, Norwegian Prescription Database, Norwegian Patient Registry and Statistics Norway) to assess the prognostic value of QFT for incident TB...
April 5, 2018: Thorax
https://www.readbyqxmd.com/read/29622020/benefits-barriers-and-opinions-on-multidisciplinary-team-meetings-a-survey-in-swedish-cancer-care
#12
Linn Rosell, Nathalie Alexandersson, Oskar Hagberg, Mef Nilbert
BACKGROUND: Case review and discussion at multidisciplinary team meetings (MDTMs) have evolved into standard practice in cancer care with the aim to provide evidence-based treatment recommendations. As a basis for work to optimize the MDTMs, we investigated participants' views on the meeting function, including perceived benefits and barriers. METHODS: In a cross-sectional study design, 244 health professionals from south Sweden rated MDTM meeting structure and function, benefits from these meetings and barriers to reach a treatment recommendation...
April 5, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29618364/exploring-attitudes-toward-physician-assisted-death-in-patients-with-life-limiting-illnesses-with-varying-experiences-of-palliative-care-a-pilot-study
#13
Patricia Hizo-Abes, Lauren Siegel, Gil Schreier
BACKGROUND: On February 6th, 2015, the Supreme Court of Canada ruled that competent adults suffering intolerably from a grievous and irremediable medical condition have the right to the assistance of a physician in ending their own lives, an act known as physician-assisted death, and later defined as medical assistance in dying, allowing for provision by a physician or a nurse practitioner. As of June 6th, 2016, this is no longer illegal across Canada. There is strong support amongst the general population for physician-assisted death, however there is no recent data on the attitudes of terminally ill patients...
April 4, 2018: BMC Palliative Care
https://www.readbyqxmd.com/read/29609651/the-use-of-standardized-management-protocols-for-critically-ill-patients-with-non-traumatic-subarachnoid-hemorrhage-a-protocol-of-a-systematic-review-and-meta-analysis
#14
Shaurya Taran, Vatsal Trivedi, Jeffrey M Singh, Shane W English, Victoria A McCredie
BACKGROUND: Caring for patients with subarachnoid hemorrhage (SAH) presents unique challenges, due in part to the severity of the underlying insult, competing systemic injuries, and unpredictable clinical course. Even when management occurs in dedicated critical care settings, treatment uncertainty often persists, and morbidity and mortality from the condition remain high. Complex decisions in SAH care may be simplified with the use of standardized management protocols (SMPs). SMPs incorporate evidence-based guidelines into a practical framework for decision-making, thereby providing clinicians with an algorithm for organizing treatments...
April 2, 2018: Systematic Reviews
https://www.readbyqxmd.com/read/29606595/-informative-predation-towards-a-new-species-concept
#15
Philippe Lherminier
We distinguish two types of predations: the predation of matter-energy equals the food chain, and the informative predation is the capture of the information brought by the sexual partners. The cell or parent consumes energy and matter to grow, multiply and produce offspring. A fixed amount of resources is divided by the number of organisms, so individual growth and numerical multiplication are limited by depletion resources of the environment. Inversely, fertilization does not destroy information, but instead produces news...
March 29, 2018: Comptes Rendus Biologies
https://www.readbyqxmd.com/read/29603840/dental-participation-in-geriatric-interprofessional-education-courses-a-systematic-review
#16
A E Kossioni, L Marchini, C Childs
INTRODUCTION: Although the interdisciplinary management of the ageing individual is highly stressed, there is limited information on the outcomes of interprofessional education (IPE) activities of dental students in geriatrics. This systematic review aimed to identify studies with dentists participating in formal IPE courses in geriatrics and assess the outcomes reported. MATERIAL AND METHODS: Electronic databases (PubMed, EMBASE, CINAHL and Scopus), reference lists from relevant studies and cited papers were investigated...
March 30, 2018: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://www.readbyqxmd.com/read/29601341/informant-report-of-financial-capacity-for-individuals-with-chronic-acquired-brain-injury-an-assessment-of-informant-accuracy
#17
Preeti Sunderaraman, Stephanie Cosentino, Karen Lindgren, Angela James, Maria Schultheis
OBJECTIVE: Primarily, to investigate the association between informant report and objective performance on specific financial capacity (FC) tasks by adults with chronic, moderate to severe acquired brain injury, and to examine the nature of misestimates by the informants. DESIGN: Cross-sectional design. SETTING: A postacute, community-based rehabilitation center. PARTICIPANTS: Data were obtained from 22 chronic acquired brain injury (CABI) adults, mean age of 46...
March 29, 2018: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/29599593/the-top-10-ethical-challenges-in-dental-practice-in-indian-scenario-dentist-perspective
#18
Vanishree M Kemparaj, Ganesh Shenoy Panchmal, Umashankar Gangadaraiah Kadalur
Aim: This exploratory qualitative research is an attempt to assess the health care ethical challenges in dental practice in an Indian scenario. Methodology: Qualitative indepth interview was conducted on 20 dental professionals to assess the ethical challenges prevailing in dental practice in Indian scenario. After obtaining the responses the verbatims were categorized into categories and finally 36 themes emerged. Later from two group of 6 panellists each after conducting focus group discussion the themes of ethical issues occurring in dental practice were ranked based on order of significance impact on the practice, patient and society using Delphi method...
January 2018: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/29599394/improving-quality-and-safety-in-nursing-homes-and-home-care-the-study-protocol-of-a-mixed-methods-research-design-to-implement-a-leadership-intervention
#19
Siri Wiig, Eline Ree, Terese Johannessen, Torunn Strømme, Marianne Storm, Ingunn Aase, Berit Ullebust, Elisabeth Holen-Rabbersvik, Line Hurup Thomsen, Anne Torhild Sandvik Pedersen, Hester van de Bovenkamp, Roland Bal, Karina Aase
INTRODUCTION: Nursing homes and home care face challenges across different countries as people are living longer, often with chronic conditions. There is a lack of knowledge regarding implementation and impact of quality and safety interventions as most research evidence so far is generated in hospitals. Additionally, there is a lack of effective leadership tools for quality and safety improvement work in this context. METHODS AND ANALYSIS: The aim of the 'Improving Quality and Safety in Primary Care-Implementing a Leadership Intervention in Nursing Homes and Homecare' (SAFE-LEAD) study is to develop and evaluate a research-based leadership guide for managers to increase quality and safety competence...
March 28, 2018: BMJ Open
https://www.readbyqxmd.com/read/29596068/factors-associated-with-canadian-nurses-informatics-competency
#20
Manal Kleib, Lynn Nagle
As digital innovations continue to transform health systems in Canada, it is important to examine registered nurses' preparedness in informatics, and factors associated with informatics competency. An exploratory, descriptive, cross-sectional survey was used to determine self-perceived informatics competencies, and factors associated with competency, among practicing nurses in Alberta. Results from 2844 completed surveys showed that nurses' self-perceived informatics competency was slightly above the mark of competent...
March 28, 2018: Computers, Informatics, Nursing: CIN
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