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https://www.readbyqxmd.com/read/28179270/is-there-a-role-for-clowns-in-paediatric-intensive-care-units
#1
REVIEW
Guillaume Mortamet, Nadia Roumeliotis, Florence Vinit, Caroline Simonds, Laurent Dupic, Philippe Hubert
Hospital clowning is a programme in healthcare facilities involving visits from specially trained actors. In the paediatric intensive care unit (PICU), clowning may appear inappropriate and less intuitive. The patient could appear too ill and/or sedated, the environment too crowded or chaotic and the parents too stressed. Relying on our experience with professionally trained clowns both in France and Canada, the purpose of this article is to offer a model for hospital clowning and to suggest standards of practice for the implementation of clowning in PICUs...
February 8, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28124383/-there-s-something-in-their-eyes-child-health-services-nurses-experiences-of-identifying-signs-of-postpartum-depression-in-non-swedish-speaking-immigrant-mothers
#2
Malin Skoog, Inger Hallström, Vanja Berggren
BACKGROUND: Due to the current world situation, Sweden has one of the highest asylum applications within the European Union. Immigrant mothers, specifically those who have immigrated during the last ten years and do not speak the language of the new country, are found to be at particular risk of being effected by postpartum depression. AIM: In this study, we elucidate Swedish Child Health Services nurses' experiences of identifying signs of postpartum depression in non-Swedish-speaking immigrant mothers...
January 25, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/28122614/clinical-decision-making-in-the-recognition-of-dying-a-qualitative-interview-study
#3
Paul Taylor, Dawn Dowding, Miriam Johnson
BACKGROUND: Recognising dying is an essential clinical skill for general and palliative care professionals alike. Despite the high importance, both identification and good clinical care of the dying patient remains extremely difficult and often controversial in clinical practice. This study aimed to answer the question: "What factors influence medical and nursing staff when recognising dying in end-stage cancer and heart failure patients?" METHODS: This study used a descriptive approach to decision-making theory...
January 25, 2017: BMC Palliative Care
https://www.readbyqxmd.com/read/28113668/presentation-of-3d-scenes-through-video-example
#4
Andrea Baldacci, Fabio Ganovelli, Massimiliano Corsini, Roberto Scopigno
Using synthetic videos to present a 3D scene is a common requirement for architects, designers, engineers or Cultural Heritage professionals however it is usually time consuming and, in order to obtain high quality results, the support of a film maker/computer animation expert is necessary. We introduce an alternative approach that takes the 3D scene of interest and an example video as input, and automatically produces a video of the input scene that resembles the given video example. In other words, our algorithm allows the user to "replicate" an existing video, on a different 3D scene...
September 13, 2016: IEEE Transactions on Visualization and Computer Graphics
https://www.readbyqxmd.com/read/28044334/monitoring-the-anaesthetist-in-the-operating-theatre-professional-competence-and-patient-safety
#5
REVIEW
J Larsson
This article about competence and patient safety in anaesthesia was inspired by a statement in the 2015 AAGBI guidelines on monitoring during anaesthesia: 'the presence of an appropriately trained and experienced anaesthetist is important for patient safety during anaesthesia'. The review starts with a structured description of competence, presenting five dimensions of it; the first two dimensions are identical with the two classical attributes of competence, practical skills and theoretical knowledge. Concerning skills, the value of aiming for a high level of proficiency early in a traning programme is pointed out, and deliberate practice is given as an example of a pedagogical model where aiming for excellence is a core idea...
January 2017: Anaesthesia
https://www.readbyqxmd.com/read/28035912/effectiveness-of-therapeutic-ultrasound-with-or-without-thumb-spica-splint-in-the-management-of-de-quervain-s-disease
#6
Waqar Ahmed Awan, Muhammad Naveed Babur, Tahir Masood
BACKGROUND: The management of De Quervain's disease is determined more by Intuition than scientific data. The choice of first line conservative option for the management of De Quervain's disease is still a topic of debate. AIM: To evaluate the effectiveness of therapeutic ultrasound with or without spica splint in the management of De Quervain's disease (DQD). DESIGN: Randomized controlled trial (RCT). SETTING: Outpatient department of Al-Nafees Medical College Hospital, Islamabad, Pakistan...
December 23, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/27996189/-canaries-in-the-mine-parents-of-adult-children-with-schizophrenia-an-integrative-review-of-the-literature
#7
REVIEW
Debra Klages, Kim Usher, Debra Jackson
The purpose of this integrative review was to evaluate the current state of knowledge of parents who have adult children diagnosed with schizophrenia and their relationship with mental health professionals. Findings indicated that parents (primarily mothers) believed they intuitively knew when their adult children were becoming unwell and that they doggedly pursued connections with mental health care providers. Five themes were evident in the literature: trusting your instincts, feeling dismissed and devalued, making connections and making concessions, living with distress and sorrow, and becoming your own health-care provider...
December 20, 2016: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/27938368/psychiatrists-experiences-of-suicide-assessment
#8
Margda Waern, Niclas Kaiser, Ellinor Salander Renberg
BACKGROUND: Clinical guidelines for suicide prevention often stress the identification of risk and protective factors as well as the evaluation of suicidal intent. However, we know very little about what psychiatrists actually do when they make these assessments. The aim was to investigate psychiatrists' own accounts of suicide assessment consultations, with a focus on their behaviors, attitudes and emotions. METHOD: Semi-structured in depth interviews were carried out with a purposive selection of 15 psychiatrists...
December 9, 2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27862757/easy-read-and-accessible-information-for-people-with-intellectual-disabilities-is-it-worth-it-a-meta-narrative-literature-review
#9
REVIEW
Deborah Chinn, Claire Homeyard
BACKGROUND: The proliferation of "accessible information" for people with intellectual disabilities in UK health care has accelerated in recent years, underpinned by policy guidance alongside the recent introduction of mandatory standards. However, questions have been raised as to the impact of such resources as a means of enhancing involvement in health care and addressing health inequalities. OBJECTIVE: To review and synthesize the evidence from different approaches used to evaluate the impact of accessible information for people with intellectual disabilities using a meta-narrative approach...
November 16, 2016: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/27858402/toward-an-international-classification-of-functioning-disability-and-health-clinical-data-collection-tool-the-italian-experience-of-developing-simple-intuitive-descriptions-of-the-rehabilitation-set-categories
#10
Melissa Selb, Francesca Gimigliano, Birgit Prodinger, Gerold Stucki, Germano Pestelli, Maurizio Iocco, Paolo Boldrini
BACKGROUND: As part of international efforts to develop and implement national models including the specification of ICF-based clinical data collection tools, the Italian rehabilitation community initiated a project to develop simple, intuitive descriptions of the ICF Rehabilitation Set, highlighting the core concept of each category in user-friendly language. AIM: This paper outlines the Italian experience in developing simple, intuitive descriptions of the ICF Rehabilitation Set as an ICF-based clinical data collection tool for Italy...
November 18, 2016: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27836253/bi-manual-proximal-external-aortic-compression-after-major-abdominal-pelvic-trauma-and-during-ambulance-transfer-a-simulation-study
#11
M J Douma, D O'Dochartaigh, P G Brindley
BACKGROUND: Applying manual pressure after hemorrhage is intuitive, cost-free, and logistically-simple. When direct abdominal-pelvic compression fails, clinicians can attempt indirect proximal-external-aortic-compression (PEAC), while expediting transfer and definitive rescue. This study quantifies the sustainability of simulated bi-manual PEAC both immediately on scene and during subsequent ambulance transfer. The goal is to understand when bi-manual PEAC might be clinically-useful, and when to prioritize compression-devices or endovascular-occlusion...
January 2017: Injury
https://www.readbyqxmd.com/read/27834281/factors-that-impact-on-emergency-nurses-ethical-decision-making-ability
#12
Barbara Alba
BACKGROUND: Reliance on moral principles and professional codes has given nurses direction for ethical decision-making. However, rational models do not capture the emotion and reality of human choice. Intuitive response must be considered. RESEARCH PURPOSE: Supporting intuition as an important ethical decision-making tool for nurses, the aim of this study was to determine relationships between intuition, years of worked nursing experience, and perceived ethical decision-making ability...
November 10, 2016: Nursing Ethics
https://www.readbyqxmd.com/read/27821118/the-intensive-care-lifeboat-a-survey-of-lay-attitudes-to-rationing-dilemmas-in-neonatal-intensive-care
#13
C Arora, J Savulescu, H Maslen, M Selgelid, D Wilkinson
BACKGROUND: Resuscitation and treatment of critically ill newborn infants is associated with relatively high mortality, morbidity and cost. Guidelines relating to resuscitation have traditionally focused on the best interests of infants. There are, however, limited resources available in the neonatal intensive care unit (NICU), meaning that difficult decisions sometimes need to be made. This study explores the intuitions of lay people (non-health professionals) regarding resource allocation decisions in the NICU...
November 8, 2016: BMC Medical Ethics
https://www.readbyqxmd.com/read/27804316/the-existential-dimension-in-general-practice-identifying-understandings-and-experiences-of-general-practitioners-in-denmark
#14
Elisabeth Assing Hvidt, Jens Søndergaard, Jette Ammentorp, Lars Bjerrum, Dorte Gilså Hansen, Frede Olesen, Susanne S Pedersen, Helle Timm, Connie Timmermann, Niels Christian Hvidt
OBJECTIVE: The objective of this study is to identify points of agreement and disagreements among general practitioners (GPs) in Denmark concerning how the existential dimension is understood, and when and how it is integrated in the GP-patient encounter. DESIGN: A qualitative methodology with semi-structured focus group interviews was employed. SETTING: General practice setting in Denmark. SUBJECTS: Thirty-one GPs from two Danish regions between 38 and 68 years of age participated in seven focus group interviews...
December 2016: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/27780256/quality-traceability-system-of-traditional-chinese-medicine-based-on-two-dimensional-barcode-using-mobile-intelligent-technology
#15
Yong Cai, Xiwen Li, Runmiao Wang, Qing Yang, Peng Li, Hao Hu
Currently, the chemical fingerprint comparison and analysis is mainly based on professional equipment and software, it's expensive and inconvenient. This study aims to integrate QR (Quick Response) code with quality data and mobile intelligent technology to develop a convenient query terminal for tracing quality in the whole industrial chain of TCM (traditional Chinese medicine). Three herbal medicines were randomly selected and their chemical two-dimensional barcode (2D) barcodes fingerprints were constructed...
2016: PloS One
https://www.readbyqxmd.com/read/27726221/development-and-evaluation-of-an-online-educational-resource-about-cancer-survivorship-for-cancer-nurses-a-mixed-methods-sequential-study
#16
T Shaw, P Yates, B Moore, K Ash, L Nolte, M Krishnasamy, J Nicholson, M Rynderman, J Avery, M Jefford
Cancer survivorship is recognised globally as a key issue. In spite of the key role played by nurses in survivorship care, there is an identified gap in nurse's knowledge in this area. This study reports on the development and evaluation of an educational resource for nurses working with people affected by cancer. The resource was designed using adult learning principles and includes a variety of learning materials and point of care resources. A mixed-methods sequential exploratory design was used to undertake an evaluation of the programme...
October 10, 2016: European Journal of Cancer Care
https://www.readbyqxmd.com/read/27711938/the-effect-of-medical-education-on-attitudes-towards-schizophrenia-a-five-year-follow-up-study
#17
Ayşen Esen Danacı, Kuzeymen Balıkçı, Orkun Aydın, Cengiz Cengisiz, A Burak Uykur
OBJECTIVE: It has been widely acknowledged that the community and health professionals hold negative attitudes toward patients with impaired mental health. This constitutes a majör obstacle for those patients in coping with their disease, managing their care, and hence regulating their lives. Although studies carried out in Turkey document the presence of stigma, they provide limited information about the ways for solving this problem. Drawing on the litrature, the present study investigated the effect of medical education on stigmatization...
2016: Türk Psikiyatri Dergisi, Turkish Journal of Psychiatry
https://www.readbyqxmd.com/read/27671523/women-s-and-clinicians-perspectives-of-presentation-with-reduced-fetal-movements-a-qualitative-study
#18
R M D Smyth, W Taylor, A E Heazell, C Furber, M Whitworth, T Lavender
BACKGROUND: Worldwide maternal perception of fetal movements has been used for many years to evaluate fetal wellbeing. It is intuitively regarded as an expression of fetal well-being as pregnancies in which women consistently report regular fetal movements have very low morbidity and mortality. Conversely, maternal perception of reduced fetal movements is associated with adverse pregnancy outcomes. We sought to gain insight into pregnant women's and clinicians views and experiences of reduced movements...
September 26, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27663085/evidence-based-pathology-in-its-second-decade-toward-probabilistic-cognitive-computing
#19
Alberto M Marchevsky, Ann E Walts, Mark R Wick
Evidence-based pathology (EBP) advocates using a combination of best available data ("evidence") from the literature and personal experience for the diagnosis, estimation of prognosis and assessment of other variables that impact individual patient care. EBP relies on systematic reviews of the literature, evaluation of the quality of evidence as categorized by evidence levels and statistical tools such as meta-analyses, estimates of probabilities and odds, and others. However, it is well known that previously "statistically significant" information usually does not accurately forecast the future for individual patients...
September 20, 2016: Human Pathology
https://www.readbyqxmd.com/read/27646418/do-radiographic-parameters-of-dysplasia-improve-to-normal-ranges-after-bernese-periacetabular-osteotomy
#20
Eduardo N Novais, Stephen Duncan, Jeffrey Nepple, Gail Pashos, Perry L Schoenecker, John C Clohisy
BACKGROUND: The goal of periacetabular osteotomy (PAO) is to improve the insufficient coverage of the femoral head and achieve joint stability without creating secondary femoroacetabular impingement. However, the complex tridimensional morphology of the dysplastic acetabulum presents a challenge to restoration of normal radiographic parameters. Accurate acetabular correction is important to achieve long-term function and pain improvement. There are limited data about the proportion of patients who have normal radiographic parameters restored after PAO and the factors associated with under- and overcorrection...
September 19, 2016: Clinical Orthopaedics and related Research
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