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https://www.readbyqxmd.com/read/29136009/early-resumption-of-sexual-activity-following-voluntary-medical-male-circumcision-in-botswana-a-qualitative-study
#1
Jenny H Ledikwe, Nankie M Ramabu, Lisa P Spees, Scott Barnhart, Conrad Ntsuape, Bazghina-Werq Semo, Kathleen E Wirth
Unprotected sexual intercourse after undergoing voluntary medical male circumcision but prior to complete wound healing can lead to major adverse events including HIV acquisition. To better understand perceptions related to early resumption of sex prior to wound healing, 27 focus group discussions were conducted among 238 adult men, women, and community leaders in Botswana. Median age among all participants was 31 years of whom 60% were male and 51% were either employed and receiving salary or self-employed...
2017: PloS One
https://www.readbyqxmd.com/read/29131234/the-role-of-triangular-vertebral-canal-shape-in-surgical-management-of-patients-with-lumbar-spinal-stenosis-a-cross-sectional-study
#2
Huseyin Bozkurt, İsmail Kaya, Bilge Oztoprak
AIM: We assessed the role of triangular vertebral canal shape (VCS) in pain severity, pain-related findings, and postoperative satisfaction in patients with lumbar spinal stenosis (LSS) who had undergone decompressive surgery. MATERIAL AND METHODS: This cross-sectional study conducted at a single center included 61 consecutive patients who had undergone surgical treatment for LSS. By comparing pre- and postoperative data, the role of triangular VCS in pain severity [assessed using a visual analog scale (VAS)], pain-related findings, and postoperative satisfaction of patients was examined...
October 18, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/29123344/parents-knowledge-and-attitude-regarding-their-child-s-cancer-and-effectiveness-of-initial-disease-counseling-in-pediatric-oncology-patients
#3
Manjusha Nair, Lidiya T Paul, P T Latha, Kusumakumary Parukkutty
Objective: To examine parent's knowledge, attitude and psychosocial response regarding their child's cancer and treatment after initial disease counseling by doctor. Materials and Methods: Structured questionnaire based study of 43 mothers of newly diagnosed pediatric cancer patients undergoing treatment in pediatric oncology division. Mothers received initial counseling regarding their child's cancer and treatment from the doctor. Questionnaire was administered 2-6 months after initial counseling and mothers self-reported their responses...
October 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/29121852/an-informatics-approach-to-interprofessional-management-of-low-back-pain-a-feasibility-study-using-the-omaha-system
#4
Robin R Austin, Karen A Monsen, Craig Schulz
BACKGROUND: Low back pain (LBP) is a complex health care issue that often involves multiple providers across various care settings. Health information technology (HIT) holds promise to improve care delivery by providing infrastructure for communication, clinical documentation, and management of patient data. Standardized terminology is essential for interoperability and enables evaluation of clinical data generated by documentation in an electronic health record (EHR). OBJECTIVE: The purpose of this study was to demonstrate the feasibility of mapping evidence-based practice for conservative management of low back pain to the Omaha System and foster inter-professional communication and collaboration among diverse practitioners and patients...
October 6, 2017: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/29109880/an-unusual-subcutaneous-mass-in-an-otherwise-healthy-patient-a-case-report-of-localized-histoplasmosis-diagnosed-on-excisional-biopsy
#5
Brendon M Esquibel, Christine J Waller, William A Agger
Patients are commonly referred to general surgery clinics for evaluation of soft-tissue masses of the trunk and extremities. The primary goal of surgical referral is to confirm the presence of a mass, to assess the need for additional imaging and/or testing, and to gauge amenability to surgical biopsy, whether incisional or excisional. This is a case of a 67-year-old woman who was referred to surgery clinic for a small soft-tissue mass near her left elbow that had increased in size and pain over the past year...
2017: Case Reports in Infectious Diseases
https://www.readbyqxmd.com/read/29108976/orgasmic-dysfunction-following-radical-prostatectomy-review-of-current-literature
#6
REVIEW
Jonathan Clavell-Hernández, Clay Martin, Run Wang
INTRODUCTION: The sexual problem after radical prostatectomy (RP) that has received the most focus in the current literature is erectile dysfunction. However, there are orgasmic complications that encompass orgasm-associated urinary incontinence (climacturia), anorgasmia, changes in orgasmic sensation, and painful orgasm (dysorgasmia). Although the body of research is still growing, there remains a need for physician and patient awareness of these potentially problematic complications...
November 3, 2017: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/29108895/changes-in-bowel-habits-and-patient-scored-symptoms-after-roux-en-y-gastric-bypass-and-biliopancreatic-diversion-with-duodenal-switch
#7
Khalid Elias, Zakaria Bekhali, Jakob Hedberg, Wilhelm Graf, Magnus Sundbom
BACKGROUND: Bariatric procedures are increasingly being used, but data on bowel habits are scarce. OBJECTIVES: To assess changes in gastrointestinal function and patient-scored symptoms after Roux-en-Y gastric bypass (RYGB) and biliopancreatic diversion with duodenal switch (BPD/DS). SETTING: University hospital in Sweden. METHODS: We recruited 268 adult patients (mean age of 42.5 yr, body mass index 44.8, 67.9% female) listed for RYGB and BPD/DS...
September 28, 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/29103318/prospective-parents-perspectives-on-antenatal-decision-making-for-the-anticipated-birth-of-a-periviable-infant
#8
Brownsyne Tucker Edmonds, Teresa A Savage, Robert E Kimura, Sarah J Kilpatrick, Miriam Kuppermann, William Grobman, Karen Kavanaugh
OBJECTIVE: To examine prospective parents' perceptions of management options and outcomes in the context of threatened periviable delivery, and the values they apply in making antenatal decisions during this period. STUDY DESIGN: Qualitative analysis of 46 antenatal interviews conducted at three tertiary-care hospitals with 54 prospective parents (40 pregnant women, 14 partners) who had received counseling for threatened periviable delivery (40 cases). RESULTS: Participants most often recalled being involved in resuscitation, cerclage, and delivery mode decisions...
November 5, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29102332/conservative-treatment-of-children-with-chronic-diffuse-sclerosing-osteomyelitis-tendoperiostitis-of-the-mandible
#9
Marieke M van de Meent, Hamid Meshkini, Marta Fiocco, Miranda J M Wetselaar-Glas, Natasha M Appelman-Dijkstra, J P Richard van Merkesteyn
Chronic diffuse sclerosing osteomyelitis (DSO) of the mandible is a rare disease of unknown aetiology. It has been suggested that overuse of the masticatory muscles, tendoperiostitis (TP), is a contributing factor for DSO. Therefore, we tested this hypothesis by treating consecutive children with conservative therapy. All patients were treated with conservative therapy, comprising occlusal splint therapy, physiotherapy, and/or disease counselling. Pain intensity on a visual analogue scale (VAS) and pain frequency in number of days per 3 months were recorded before the start of treatment, and at 3, 6, and 12 months after treatment initiation...
October 3, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29102008/editorial-commentary-the-long-head-of-the-biceps-brachii-tendon-the-shoulder-surgeon-s-conundrum
#10
EDITORIAL
Michael G Ciccotti
The long head of the biceps tendon can be a significant pain generator in the setting of rotator cuff tearing. Surgeons who encounter long head of biceps tendon pathology at the time of rotator cuff repair can be confident in a high likelihood of statistically significant clinical improvement with concomitant long head of biceps surgery. Patients can be reliably counseled preoperatively that if they have both clinically apparent long head of biceps tendon pathology and rotator cuff tearing, and if they undergo long head of biceps tendon surgery with rotator cuff repair, they can expect comparable or better outcomes than isolated rotator cuff repair...
November 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29097180/student-veterans-reintegrating-from-the-military-to-the-university-with-traumatic-injuries-how-does-service-use-relate-to-health-status
#11
Christine A Elnitsky, Cara Blevins, Jan Warren Findlow, Tabitha Alverio, Dennis Wiese
OBJECTIVE: To examine the effects of campus services on the health of veterans with traumatic injuries and comorbidities as they return from military service and enter college. DESIGN: Cross-sectional internet survey using a mixed-methods analysis approach. SETTING: A four-year urban research university in the southeastern United States. PARTICIPANTS: We conducted a survey of 127 veterans returning from active military duty...
October 30, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29080723/no-351-transvaginal-mesh-procedures-for-pelvic-organ-prolapse
#12
Maryse Larouche, Roxana Geoffrion, Jens-Erik Walter
OBJECTIVE: This guideline reviews the evidence related to the risks and benefits of using transvaginal mesh in pelvic organ prolapse repairs in order to update recommendations initially made in 2011. INTENDED USERS: Gynaecologists, residents, urologists, urogynaecologists, and other health care providers who assess, counsel, and care for women with pelvic organ prolapse. TARGET POPULATION: Adult women with symptomatic pelvic organ prolapse considering surgery and those who have previously undergone transvaginal mesh procedures for the treatment of pelvic organ prolapse...
November 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29080696/women-s-experiences-with-immediate-postpartum-intrauterine-device-insertion-a-mixed-methods-study
#13
Shannon L Carr, Rameet H Singh, Andrew L Sussman, Rebecca G Rogers, Brenda Pereda, Eve Espey
OBJECTIVE: To describe women's pain and experiences with immediate postpartum intrauterine device (IUD) insertion (IPPI) following vaginal delivery using a ring forceps insertion technique. STUDY DESIGN: This observational mixed methods study included women who underwent successful IPPI using ring forceps, with and without epidural analgesia. To describe women's pain during the procedure, we recruited women during antenatal care and at the time of admission for delivery until we collected at least 30 sets of pain scores at two time points (pre-procedure and immediately post-procedure) in both groups using two instruments; 100mm visual analogue scale (VAS) and a 4-point Likert verbal rating scale (VRS) (0=none, 1=mild, 2=moderate, 3=severe)...
October 25, 2017: Contraception
https://www.readbyqxmd.com/read/29075388/delivery-and-measurement-of-high-value-care-in-standardized-patient-encounters
#14
Jennifer DeLuca Baldwin, Jaclyn Cox, Zhao Helen Wu, Anne Kenny, Steven Angus
BACKGROUND : Residencies have incorporated high-value care (HVC) training to contain health care expenditures. Assessment methods of HVC curricula are limited. OBJECTIVE : In our clinical skills laboratory, we evaluated the effectiveness of HVC curricula using standardized patients (SPs) to determine if there is a correlation with performance in counseling, history and physical, HVC knowledge, and demographics. METHODS : Through ambulatory cases, SPs evaluated postgraduate year 2 (PGY-2) residents using checklists to determine if they obtained the chief complaint, medical and social history, focused physical examination, and conveyed information regarding patient management...
October 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29065721/the-safety-of-treatments-used-in-pyoderma-gangrenosum
#15
Steve R Feldman, Frank A Lacy, William W Huang
Pyoderma gangrenosum (PG) is a severe ulcerating orphan dermatosis characterized by painful and rapidly progressive skin ulcers often associated with underlying inflammatory disease. Areas covered: In this article, we review and analyze the literature regarding treatment options for patients with PG, with particular attention to the efficacy and safety of therapies. Despite the significance of this problem, there are few studies devoted to the efficacy or safety of therapeutics in PG. We aim to present and evaluate existing studies and reports, and to make treatment recommendations based on the efficacy and safety data reviewed...
October 25, 2017: Expert Opinion on Drug Safety
https://www.readbyqxmd.com/read/29054790/narratives-of-life-with-long-term-low-back-pain-a-follow-up-interview-study
#16
Sanne Angel, Lone Donbæk Jensen, Thomas Maribo, Birgitte Krøis Gonge, Niels Buus
BACKGROUND: Long-term low back pain is associated with multiple challenges to a person's identity and social position. Despite efforts to understand the challenges of low back pain, recovery remains a major problem both personally and socially. This indicate a need for a different approach. Although personal stories have been used to extend knowledge of issues that relate to low back pain, they also make it possible to learn about how people understand themselves and their lives. As such, analysis of narratives may provide further insights into people's coping processes and novel insights about how best to support them...
October 17, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29041947/the-fear-reduction-exercised-early-free-approach-to-low-back-pain-study-protocol-for-a-randomised-controlled-trial
#17
Ben Darlow, James Stanley, Sarah Dean, J Haxby Abbott, Sue Garrett, Fiona Mathieson, Anthony Dowell
BACKGROUND: Low back pain (LBP) is a major health issue associated with considerable health loss and societal costs. General practitioners (GPs) play an important role in the management of LBP; however, GP care has not been shown to be the most cost-effective approach unless exercise and behavioural counselling are added to usual care. The Fear Reduction Exercised Early (FREE) approach to LBP has been developed to assist GPs to manage LBP by empowering exploration and management of psychosocial barriers to recovery and provision of evidence-based care and information...
October 17, 2017: Trials
https://www.readbyqxmd.com/read/29039871/superior-capsular-reconstruction
#18
Robert U Hartzler, Stephen S Burkhart
Superior capsular reconstruction (SCR) of the shoulder has recently gained popularity as an option for joint-preserving shoulder surgery for patients with an irreparable rotator cuff tear. In the absence of glenohumeral arthritis, rotator cuff tear irreparability should only be diagnosed for most patients after a careful diagnostic arthroscopy. Superior capsular reconstruction adds biological, passive, superior constraint to the glenohumeral joint, thereby optimizing the rotator cuff force couples and improving joint kinematics...
October 1, 2017: Orthopedics
https://www.readbyqxmd.com/read/29017385/patient-satisfaction-in-the-long-term-effects-of-eustachian-tube-balloon-dilation-is-encouraging
#19
Veera Luukkainen, Matej Vnencak, Antti A Aarnisalo, Jussi Jero, Saku T Sinkkonen
OBJECT: To investigate the long-term effects of balloon Eustachian tuboplasty (BET) from patient's perspective and to discover which symptoms of Eustachian tube dysfunction (ETD) benefit the most from BET. METHOD: We designed a retrospective postal questionnaire based on the seven-item ETD questionnaire (ETDQ-7). Our questionnaire covered the severity of present ETD symptoms in comparison with the preoperative situation, the severity of current overall ear symptoms, and possible surgical interventions after BET...
October 10, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29017382/which-factors-are-associated-with-the-recurrence-of-endometrioma-after-cystectomy
#20
Mehmet Küçükbaş, Meryem Kurek Eken, Gülşah İlhan, Taylan Şenol, Dilşad Herkiloğlu, Bilge Kapudere
Endometrioma is the most common form of endometriosis and is a sign of wide-spread disease in symptomatic patients. Medical treatment options can be successful in endometrioma smaller than 1 cm, but ineffective for growing and symptomatic endometriomas. Conservative surgical interventions that preserve fertility, such as laparoscopic removal or destruction of endometriotic tissue or aspiration of cystic content are typically used to treat the condition. One of the most frustrating aspects of endometrioma treatment is disease recurrence...
October 10, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
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