keyword
https://read.qxmd.com/read/38534269/patient-satisfaction-with-the-quality-of-oral-rehabilitation-dental-services-a-comparison-between-the-public-and-private-health-system
#1
JOURNAL ARTICLE
Cosmin Ionuț Lixandru, Ionela Maniu, Maria Mihaela Cernușcă-Mițariu, Mihai Iulian Făgețan, Ioan Sebastian Cernușcă-Mițariu, Horațiu Paul Domnariu, Magdalena Lixandru, Carmen Daniela Domnariu
Measuring satisfaction can help us understand patients' expectations and adopt individualized treatment according to their expectations. In the current study, we applied the DPQ (Dental Practice Questionnaire) to analyze the degree of patient satisfaction regarding medical services in the public and private sector in a Romanian city from the central region. A group of 200 patients, 100 patients from the public sector and 100 patients from the private sector, participated in the survey. The results showed significant differences in response when patients were stratified by age, gender, visit frequency and length of time attending the same practice...
February 21, 2024: Dentistry Journal
https://read.qxmd.com/read/38531893/high-capacity-data-hiding-for-medical-images-based-on-the-mask-rcnn-model
#2
JOURNAL ARTICLE
Hadjer Saidi, Okba Tibermacine, Ahmed Elhadad
This study introduces a novel approach for integrating sensitive patient information within medical images with minimal impact on their diagnostic quality. Utilizing the mask region-based convolutional neural network for identifying regions of minimal medical significance, the method embeds information using discrete cosine transform-based steganography. The focus is on embedding within "insignificant areas", determined by deep learning models, to ensure image quality and confidentiality are maintained. The methodology comprises three main steps: neural network training for area identification, an embedding process for data concealment, and an extraction process for retrieving embedded information...
March 26, 2024: Scientific Reports
https://read.qxmd.com/read/38530701/training-the-next-generation-of-data-monitoring-committee-members-an-initiative-of-the-heart%C3%A2-failure-collaboratory
#3
REVIEW
Thomas R Fleming, Janet Wittes, Mona Fiuzat, Michael R Bristow, Frank W Rockhold, Jason T Connor, Benjamin R Saville, Brian Claggett, Isabella Cavagna, William T Abraham, Thomas D Cook, JoAnn Lindenfeld, Christopher O'Connor, David L DeMets
Clinical trials are vital for assessing therapeutic interventions. The associated data monitoring committees (DMCs) safeguard patient interests and enhance trial integrity, thus promoting timely, reliable evaluations of those interventions. We face an urgent need to recruit and train new DMC members. The Heart Failure Collaboratory (HFC), a multidisciplinary public-private consortium of academics, trialists, patients, industry representatives, and government agencies, is working to improve the clinical trial ecosystem...
March 23, 2024: JACC. Heart Failure
https://read.qxmd.com/read/38526807/secure-cloud-based-electronic-health-records-cross-patient-block-level-deduplication-with-blockchain-auditing
#4
JOURNAL ARTICLE
K Vivekrabinson, K Ragavan, P Jothi Thilaga, J Bharath Singh
In today's data-driven world, the exponential growth of digital information poses significant challenges in data management. In recent years, the adoption of cloud-based Electronic Health Records (EHR) sharing schemes has yielded numerous advantages like improved accessibility, availability, and enhanced interoperability. However, the centralized nature of cloud storage presents challenges in terms of information storage, privacy protection, and security. Despite several approaches that have been presented to ensure secure deduplication of similar EHRs, the validation of data integrity without a third-party auditor (TPA) remains a persistent task...
March 25, 2024: Journal of Medical Systems
https://read.qxmd.com/read/38525113/investigation-of-gender-based-needs-in-academic-otolaryngology
#5
JOURNAL ARTICLE
Pratyusha Yalamanchi, Janet Dombrowski, Melissa A Pynnonen, Kelly M Malloy, Mark E Prince, Robbi A Kupfer
OBJECTIVE: Gaps in gender-based equity persist in academic otolaryngology. Here we present a needs-based assessment of otolaryngology faculty and trainees regarding facilitators and barriers to professional satisfaction and career development in academic medicine. METHODS: A qualitative study of otolaryngology faculty, trainees, and administrators who identify as women at an academic tertiary care center was performed from 2020 to 2021 using focus groups and semi-structured interviews...
April 2024: Laryngoscope Investigative Otolaryngology
https://read.qxmd.com/read/38521535/return-of-participant-level-clinical-trial-results-to-participants-pilot-of-a-simplified-centralised-approach
#6
JOURNAL ARTICLE
Eric Hoffman, Suzanne Gaglianone, Rahel Ketema, Wangshu Tu, Holly Peay, Paula Clemens, Utkarsh Dang, Laurie Conklin
OBJECTIVES: Public access databases such as clinicaltrials.gov achieve dissemination of clinical trial design and aggregated study results. However, return of participant-level data is rarely done. A key barrier includes the proprietary ownership of data by the sponsor. Additionally, investigators may not have access to centralised data, and per International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) Good Clinical Practice, must maintain the confidentiality of participants...
March 23, 2024: BMJ Open
https://read.qxmd.com/read/38520939/a-nationwide-survey-of-facial-onset-sensory-and-motor-neuronopathy-in-japan
#7
JOURNAL ARTICLE
Senri Ko, Ryo Yamasaki, Tasuku Okui, Wataru Shiraishi, Mitsuru Watanabe, Yu Hashimoto, Yuko Kobayakawa, Susumu Kusunoki, Jun-Ichi Kira, Noriko Isobe
The epidemiology and etiology of facial onset sensory and motor neuronopathy (FOSMN), a rare syndrome that initiates with facial sensory disturbances followed by bulbar symptoms, remain unknown. To estimate the prevalence of FOSMN in Japan and establish the characteristics of this disease, we conducted a nationwide epidemiological survey. In the primary survey, we received answers from 604 facilities (49.8%), leading to an estimated number of 35.8 (95% confidential interval: 21.5-50.2) FOSMN cases in Japan...
March 11, 2024: Journal of the Neurological Sciences
https://read.qxmd.com/read/38518184/the-right-dose-results-of-a-patient-advocate-led-survey-of-individuals-with-metastatic-breast-cancer-regarding-treatment-related-side-effects-and-views-about-dosage-assessment-to-optimize-quality-of-life
#8
JOURNAL ARTICLE
Anne Loeser, Janice S Kim, Jeffrey Peppercorn, Mark E Burkard, Andrzej Niemierko, Dejan Juric, Kevin Kalinsky, Hope Rugo, Lesley Glenn, Christine Hodgdon, Julia Maues, Sheila Johnson, Natalia Padron, Kimberly Parekh, Maryam Lustberg, Aditya Bardia
PURPOSE: Although patients with metastatic breast cancer (MBC) have been living longer with the advent of more effective treatments such as targeted therapy and immunotherapy, the disease remains incurable, and most patients will undergo therapy indefinitely. When beginning therapy, patients are typically prescribed dose often based upon the maximum tolerated dose identified in phase I clinical trials. However, patients' perspectives about tolerability and willingness to discuss individualized dosing of drugs upon initiation of a new regimen and throughout the course of treatment have not been comprehensively evaluated...
March 22, 2024: JCO oncology practice
https://read.qxmd.com/read/38512041/the-perception-of-dignity-in-the-hospitalized-patient-a-meta-synthesis-ensure-consistency-with-authors-details-e-g-name-affiliation-city-and-country-minor-comments-below
#9
REVIEW
Amarilda Mema, Valentina Bressan, Simone Stevanin, Lucia Cadorin
Dignity is a value inherent to all human beings, guaranteed to every individual from birth, and influenced by culture and society. It is protected by various laws and declarations, and represents one of the fundamental human rights. Preserving human dignity is an essential aspect of nursing practice and a central element of care. Dignity is a highly subjective and personal concept; there may be variations in the way that patients perceive it and in the ways that nurses can guarantee it. A systematic review of the qualitative literature was conducted to obtain a comprehensive understanding of adult patients' perceptions of dignity in a hospital setting...
March 21, 2024: Nursing Ethics
https://read.qxmd.com/read/38504145/the-perceived-helpfulness-and-acceptability-of-a-bespoke-psychological-therapy-service-for-registered-nurses-experiencing-psychological-distress-a-qualitative-study
#10
JOURNAL ARTICLE
Dean Whybrow, Bethan Jones, Eunice Temeng, Carys Dale, Chris Bundy, Tessa Watts
AIM: To understand the perceived helpfulness and acceptability of a bespoke psychological therapy service for registered nurses. The service provided a free and confidential specialist mental health service to all healthcare professionals, including nurses and nursing students. DESIGN: An exploratory study using a descriptive qualitative approach. METHODS: A purposive sample of 20 registered nurses accessing a bespoke psychological therapy service in Wales participated in audio-recorded semi-structured interviews in January 2022...
March 19, 2024: Journal of Advanced Nursing
https://read.qxmd.com/read/38500191/the-improve-trial-study-protocol-for-a-pragmatic-cluster-randomised-controlled-trial-to-assess-the-effectiveness-of-using-lay-health-workers-to-improve-uptake-and-completion-of-pulmonary-rehabilitation-in-patients-with-chronic-obstructive-pulmonary-disease
#11
JOURNAL ARTICLE
Gill Gilworth, Katherine Harris, Toby L Morgan, Salma Ayis, Julia Fox-Rushby, Emma Godfrey, Nicholas S Hopkinson, Simon Lewin, Ka Keat Lim, Arietta Spinou, Stephanie J C Taylor, Patrick White
BACKGROUND: Pulmonary rehabilitation (PR) is a programme of exercise and education and the most effective treatment for the symptoms and disability associated with chronic obstructive pulmonary disease. However, the benefits of PR are limited by poor uptake and completion. This trial will determine whether using trained volunteer lay health workers, called "PR buddies," improves uptake and completion of PR and is cost-effective. This trial protocol outlines the methods for evaluating effectiveness, cost-effectiveness, and acceptability...
March 19, 2024: Trials
https://read.qxmd.com/read/38496364/navigating-confidentiality-dilemmas-in-student-support-an-institutional-ethnography-informed-study
#12
JOURNAL ARTICLE
Emmanuel Tan, Grainne P Kearney, Jennifer Cleland, Erik Driessen, Janneke Frambach
INTRODUCTION: School-level student support programmes provide students with pastoral care and support for academic, wellbeing and other issues often via a personal tutor (PT). PT work is a balancing act between respecting the confidential information divulged by students and doing what is expected in terms of accountability and duty of care. We aimed to explore how tutors manage this tension, with the aim of advancing understanding of student support programmes. METHODS: This qualitative study was informed by an Institutional Ethnography approach...
2024: Perspectives on Medical Education
https://read.qxmd.com/read/38496189/the-role-of-mobile-health-technology-in-perioperative-spinal-care-a-systematic-scoping-review-and-narrative-synthesis
#13
REVIEW
Jafar Hayat, Mohammed Ramadhan, Ahmed R Gonnah, Alwaleed Alfadhli, Abdulrahman O Al-Naseem
Smartphone applications play a crucial role in contemporary healthcare by aiming to enhance patient care through technology. Mobile health (mHealth) applications have proven to have transformative potential in enhancing patients' outcomes in candidates undergoing orthopedic and spinal surgery. In the context of the pervasive use of smartphones and the exponential growth of mHealth apps, totaling over 99,000 in 2021, the applications had a significant impact on lifestyle management, supporting initiatives like smoking cessation with motivational reminders and progress tracking...
February 2024: Curēus
https://read.qxmd.com/read/38491560/nursing-students-attitude-toward-euthanasia-following-its-legalization-in-spain
#14
JOURNAL ARTICLE
Antonia Arreciado Marañón, Rosa García-Sierra, Xavier Busquet-Duran, Gloria Tort-Nasarre, Maria Feijoo-Cid
BACKGROUND: Euthanasia is a controversial practice in many countries. Since Spain's Euthanasia Law came into effect on March 24, 2021, healthcare providers have faced a new challenge since they must inform patients, provide care, accompany them, and implement the law. It also represents a new stumbling block at universities, which must adapt to regulatory changes and educate future professionals accordingly. Little is known about the attitude of nursing students in Spain toward euthanasia since this law was implemented...
March 15, 2024: Nursing Ethics
https://read.qxmd.com/read/38487721/capacity-building-for-pediatric-neuro-oncology-in-pakistan-a-project-by-my-child-matters-program-of-foundation-s
#15
JOURNAL ARTICLE
Naureen Mushtaq, Bilal Mazhar Qureshi, Gohar Javed, Nabeel Ashfaque Sheikh, Saqib Kamran Bakhshi, Altaf Ali Laghari, Syed Ather Enam, Shayan Sirat Maheen Anwar, Kiran Hilal, Arsalan Kabir, Alia Ahmad, Amber Goraya, Anum Salman Mistry, Aqeela Rashid, Ata Ur Rehman Maaz, Muhammad Atif Munawar, Atiq Ahmed Khan, Farrah Bashir, Hina Hashmi, Kamran Saeed, Kumail Khandwala, Lal Rehman, Michael C Dewan, Muhammad Saghir Khan, Muneeb Uddin Karim, Najma Shaheen, Nida Zia, Nuzhat Yasmeen, Raheela Mahmood, Riaz Ahmed Raja Memon, Salman Kirmani, Shahzadi Resham, Shazia Kadri, Shazia Riaz, Syed Ahmer Hamid, Tariq Ghafoor, Uzma Imam, Yaseen Rauf Mushtaq, Zulfiqar Ali Rana, Eric Bouffet, Khurram Minhas
INTRODUCTION: Initiated in June 2019, this collaborative effort involved 15 public and private sector hospitals in Pakistan. The primary objective was to enhance the capacity for pediatric neuro-oncology (PNO) care, supported by a My Child Matters/Foundation S grant. METHODS: We aimed to establish and operate Multidisciplinary Tumor Boards (MTBs) on a national scale, covering 76% of the population (185.7 million people). In response to the COVID-19 pandemic, MTBs transitioned to videoconferencing...
2024: Frontiers in Oncology
https://read.qxmd.com/read/38485787/patient-comfort-with-before-and-after-photography-at-plastic-surgery-offices
#16
JOURNAL ARTICLE
Allan A Weidman, Lauren Valentine, Stephen A Stearns, Angelica Hernandez Alvarez, Jose Foppiani, Emily Long, Samuel J Lin
BACKGROUND: Before and after (B&A) photographs are a sensitive part of patients' medical records, and the use of smartphones may pose risks to confidentiality and comfort. The purpose of this study was to assess patient comfort depending on the circumstances under which these photographs being taken. METHODS: Amazon's Mechanical Turk crowdsourcing service and REDCap's survey manager were used to recruit survey participants. An anonymous survey was distributed to ascertain demographics and comfort in various B&A scenarios using a five-point Likert scale...
March 14, 2024: Aesthetic Plastic Surgery
https://read.qxmd.com/read/38481521/privacy-and-confidentiality-of-emergency-department-patient-information-contemporary-considerations-and-challenges
#17
JOURNAL ARTICLE
Jay M Brenner, Michele Y Delpier, Jeremy R Simon, Joel M Geiderman, Catherine A Marco, John C Moskop
This article provides a brief review of moral and legal duties to respect confidentiality in emergency medicine. The article considers current challenges to confidentiality in emergency departments and proposes strategies to address them. It is offered as an update of the two-part review of confidentiality in emergency medicine in 2005 by Moskop et al published in 2005 in Annals of Emergency Medicine .
April 2024: Journal of the American College of Emergency Physicians open
https://read.qxmd.com/read/38479573/a-systematic-review-and-meta-analysis-of-antibiotic-loaded-bone-cement-for-prevention-of-deep-surgical-site-infections-following-primary-total-joint-replacement
#18
JOURNAL ARTICLE
Hideo Kato, Yukihiro Hamada, Shotaro Takano, Shinsuke Ikeda, Yoshinori Seto, Kazuhiko Matsushita, Koji Yamada, Katsufumi Uchiyama
BACKGROUND: The use of antibiotic-loaded bone cement (ALBC) as a mean for preventing deep surgical site infections (SSI) after total joint replacement is controversial. Therefore, we have conducted a meta-analysis to evaluate the prophylactic effect of ALBC for SSI prevention in patients undergoing arthroplasty. This study was conducted to revise treatment guidelines for MRSA infections in Japan. METHODS: PubMed (Medline), Scopus, Embase, Web of Science and Cochrane library were searched for relevant articles comparing preventive effect of ALBC for patients undergoing primary total joint arthroplasty by August 2022...
March 12, 2024: Journal of Infection and Chemotherapy: Official Journal of the Japan Society of Chemotherapy
https://read.qxmd.com/read/38479053/relationship-between-ultra-short-heart-rate-variability-and-short-term-mortality-in-hospitalized-covid-19-patients
#19
JOURNAL ARTICLE
Baoying Lin, Lingdan Jin, Lingjia Li, Jiaxing Ke, Jinxiu Lin
OBJECTIVE: To assess the association between ultra-short heart rate variability (US-HRV) and short-term mortality in patients with COVID-19 and develop prognostic prediction models to identify high-risk patients as early as possible. METHODS: A retrospective cohort study was performed on 488 patients diagnosed with COVID-19 and hospitalized in the First Affiliated Hospital of Fujian Medical University from December 2022 to January 2023. 10-s electrocardiogram (ECG) data were available for these patients...
March 7, 2024: Journal of Electrocardiology
https://read.qxmd.com/read/38476037/ethical-issues-in-research-with-second-victims-a-scoping-review
#20
REVIEW
Lucía Catalán, María Kappes, Gabriela Morgado, Déborah Oliveira
BACKGROUND: Second victim is the name given to the healthcare personnel-most often a nursing professional-involved with the error that led to the adverse event to a patient and who, as a result, have experienced negative psychological effects. Research with second victims has increased over the years, however concerns exist with regards to the ethical risks imposed upon these individuals. AIM: To explore the extent to which research with second victims of adverse events in healthcare settings adhere to ethical requirements...
March 13, 2024: Nursing Ethics
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