keyword
https://read.qxmd.com/read/38530509/health-related-quality-of-life-impacts-associated-with-transfusion-dependent-%C3%AE-thalassemia-in-the-usa-and-uk-a-qualitative-assessment
#21
JOURNAL ARTICLE
Jennifer Drahos, Adriana Boateng-Kuffour, Melanie Calvert, Laurice Levine, Neelam Dongha, Nanxin Li, Zahra Pakbaz, Farrukh Shah, Antony P Martin
BACKGROUND: Individuals living with transfusion-dependent β-thalassemia (TDT) experience reduced health-related quality of life due to fatigue and chronic pain, which cause disruptions to daily life. Currently, limited qualitative data exist that describe these impacts. OBJECTIVE: This study aimed to examine the ways in which symptoms and current treatments of TDT impact health-related quality of life, to holistically describe the humanistic burden of TDT, and to identify the unmet needs of individuals living with TDT...
March 26, 2024: Patient
https://read.qxmd.com/read/38530352/wait-times-for-scheduling-appointments-for-prevention-of-macrovascular-and-microvascular-complications-of-diabetes-cross-sectional-descriptive-study
#22
JOURNAL ARTICLE
Corey H Basch, Grace C Hillyer, Charles E Basch
BACKGROUND: Diabetes is a chronic disease that requires lifelong management and care, affecting around 422 million people worldwide and roughly 37 million in the United States. Patients newly diagnosed with diabetes must work with health care providers to formulate a management plan, including lifestyle modifications and regular office visits, to improve metabolic control, prevent or delay complications, optimize quality of life, and promote well-being. OBJECTIVE: Our aim is to investigate one component of system-wide access to timely health care for people with diabetes in New York City (NYC), namely the length of time for someone with newly diagnosed diabetes to obtain an appointment with 3 diabetes care specialists: a cardiologist, an endocrinologist, and an ophthalmologist, respectively...
March 26, 2024: Journal of Medical Internet Research
https://read.qxmd.com/read/38530349/equity-centered-postdischarge-support-for-medicaid-insured-people-protocol-for-a-type-1-hybrid-effectiveness-implementation-stepped-wedge-cluster-randomized-controlled-trial
#23
JOURNAL ARTICLE
J Margo Brooks Carthon, Heather Brom, Marsha Grantham-Murrillo, Kathy Sliwinski, Aleigha Mason, Mindi Roeser, Donna Miles, Dianne Garcia, Jovan Bennett, Michael O Harhay, Emilia Flores, Kelvin Amenyedor, Rebecca Clark
BACKGROUND: Disparities in posthospitalization outcomes for people with chronic medical conditions and insured by Medicaid are well documented, yet interventions that mitigate them are lacking. Prevailing transitional care interventions narrowly target people aged 65 years and older, with specific disease processes, or limitedly focus on individual-level behavioral change such as self-care or symptom management, thus failing to adequately provide a holistic approach to ensure an optimal posthospital care continuum...
March 26, 2024: JMIR Research Protocols
https://read.qxmd.com/read/38530330/comparison-of-spontaneous-pushing-and-directed-pushing-during-the-second-stage-of-labor-among-chinese-women-without-epidural-analgesia-protocol-for-a-noninferior-feasibility-study
#24
JOURNAL ARTICLE
Jiasi Yao, Heike Roth, Debra Anderson, Hong Lu, Huijuan Rong, Kathleen Baird
BACKGROUND: Maternal pushing during the second stage of labor could influence labor progress and maternal-neonatal outcomes. Although the image of health care providers directing the laboring women to push during the second stage of labor could be commonly observed globally, this practice is not sufficiently researched and is questioned regarding its effectiveness and outcomes on the mother and baby. Meanwhile, a strategy referred to as "spontaneous pushing," which supports women to push by following their bodily urges, has been evaluated in several trials...
March 26, 2024: JMIR Research Protocols
https://read.qxmd.com/read/38530329/effects-of-electronic-nicotine-delivery-systems-substitution-on-body-weight-status-protocol-for-a-systematic-review-and-meta-analysis
#25
JOURNAL ARTICLE
Giusy Rita Maria La Rosa, Maria Ahmed Qureshi, Lucia Frittitta, Erika Anastasi, Riccardo Polosa
BACKGROUND: Weight gain following smoking cessation is a well-documented concern, often attributed to the absence of nicotine's metabolic influence. The adoption of Electronic Nicotine Delivery Systems (ENDS) has been used to achieve smoking cessation, with claims of aiding weight control. However, existing reviews present conflicting conclusions on ENDS' impact on weight status, necessitating a rigorous evaluation. OBJECTIVE: We aim to conduct a systematic review with meta-analysis to assess the actual impact of ENDS on weight status in individuals who have ceased or reduced conventional smoking...
March 26, 2024: JMIR Research Protocols
https://read.qxmd.com/read/38529958/a-nurse-practitioner-driven-palliative-and-supportive-care-service-in-nursing-homes-evaluation-of-a-quality-improvement-project
#26
JOURNAL ARTICLE
Joan G Carpenter, Julianne Murthi, Molly Langford, Ruth Palan Lopez
This article describes a quality improvement project implemented by a national postacute long-term care organization aimed at enhancing the provision of palliative care to nursing home residents. The project focused on improving advance care planning, end-of-life care, symptom management, and care of people living with serious illness. Both generalist and specialist palliative care training were provided to nurse practitioners in addition to implementing a system to identify residents most likely to benefit from a palliative approach to care...
March 26, 2024: Journal of Hospice and Palliative Nursing: JHPN
https://read.qxmd.com/read/38529511/carfreeme%C3%A2-dementia-potential-benefits-of-a-driving-retirement-intervention-supporting-persons-with-dementia-and-their-families
#27
JOURNAL ARTICLE
Colleen M Peterson, Stephanie Ingvalson, Robyn W Birkeland, Katie W Louwagie, Theresa L Scott, Nancy A Pachana, Jacki Liddle, Louise Gustafsson, Joseph E Gaugler
BACKGROUND AND OBJECTIVES: Driving retirement can be a necessary but challenging and emotionally complex transition, especially for people living with dementia. This pilot study evaluated the utility of CarFreeMe™-Dementia (CFM™-D), a telehealth intervention providing tailored education and social support to those living with dementia and their care partners, as they prepare for or adjust to driving retirement. Delivered by empathetic health professionals, CFM™-D is a person-centric, flexible program tailored to address challenges specific to the participants' driving retirement stage and individualized contexts...
2024: Innovation in Aging
https://read.qxmd.com/read/38529458/improving-the-quality-of-operative-notes-in-vascular-surgery-a-retrospective-analysis
#28
JOURNAL ARTICLE
Munzir Akasha, Ahmmad Alfatih, Mohamedali Mohamed, Yogesh Acharya, Mahmoud Alawy
Background and objective Missing information or mistakes in patients' medical records, including those related to intraoperative and postoperative information, in an operative note can have profound clinical, ethical, and medicolegal implications. Operative notes should be informative, clear, and inclusive of the necessary data and should be collated immediately following surgery. In this study, we aimed to determine the ways to improve the quality of operative notes in the field of vascular surgery. Methods In this retrospective analysis, we compared the operative notes of 32 patients in the Department of Vascular and Endovascular Surgery, University Hospital Galway, against the standard set by the Royal College of Surgeons in Ireland (RCSI) (Code of Practice for Surgeons RCSI, 2018) and presented the results to our departmental staff...
February 2024: Curēus
https://read.qxmd.com/read/38529347/association-of-patient-reported-outcome-measures-with-lung-function-and-mortality-in-fibrotic-interstitial-lung-disease-a-prospective-cohort-study
#29
JOURNAL ARTICLE
Jennifer D Duke, Madison Roy, Shannon Daley, Johanna Hoult, Roberto Benzo, Teng Moua
BACKGROUND: Patient-reported outcome measures (PROMs) may provide clinicians and researchers with direct insights into disease impact and patient well-being. We assessed whether selected PROMs and their domains are associated with baseline and longitudinal changes in lung function and can predict mortality in patients with fibrotic interstitial lung disease (f-ILD). METHODS: A single-centre prospective study of adult patients with f-ILD enrolled over 3 years was conducted assessing baseline and short-term changes in PROMs...
March 2024: ERJ Open Research
https://read.qxmd.com/read/38528619/the-aria-trial-protocol-a-randomised-controlled-trial-to-assess-the-clinical-technical-and-cost-effectiveness-of-a-cloud-based-artificially-intelligent-image-fusion-system-in-comparison-to-standard-treatment-to-guide-endovascular-aortic-aneurysm-repair
#30
JOURNAL ARTICLE
James Budge, Tom Carrell, Medeah Yaqub, Hatem Wafa, Matt Waltham, Izabela Pilecka, Joanna Kelly, Caroline Murphy, Stephen Palmer, Yanzhong Wang, Rachel E Clough
BACKGROUND: Endovascular repair of aortic aneurysmal disease is established due to perceived advantages in patient survival, reduced postoperative complications, and shorter hospital lengths of stay. High spatial and contrast resolution 3D CT angiography images are used to plan the procedures and inform device selection and manufacture, but in standard care, the surgery is performed using image-guidance from 2D X-ray fluoroscopy with injection of nephrotoxic contrast material to visualise the blood vessels...
March 25, 2024: Trials
https://read.qxmd.com/read/38528487/caries-in-orphan-children-prevalence-and-determinants-a-systematic-review-and-meta-analysis
#31
Ayat Gamal-AbdelNaser, Mennat Allah Ashraf A Elsabour, Nagwa Mohamed Ali Khattab
BACKGROUND: Orphan children represent a category of children who lost their family support. Their health status is poorer when compared to their parented counterparts. As the most prevalent disease in the world, dental caries is expected to affect orphans greatly. Being vulnerable, health status of orphan children must be monitored and studied; so that health improvement plans would be formulated. Therefore, this systematic review focuses on the extent of the dental caries problem among institutionalized orphan children and its determinants...
March 25, 2024: BMC Oral Health
https://read.qxmd.com/read/38527961/advances-in-hernia-care-state-of-the-art
#32
JOURNAL ARTICLE
William W Hope
The field of hernia surgery has seen many recent advances and continues to evolve. Care of the hernia patient begins preoperatively by ensuring adequate preparation for surgery with surgeons now having the opportunity to accurately predict risk which can aid with informed consent. Imaging studies can now help surgeons diagnose and plan hernia surgery on an individual level based on hernia characteristics as well as abdominal wall musculature. In the operating room, new technology and surgical techniques have allowed surgeons to become increasingly sophisticated with goals of reducing tension on midline closures, utilizing minimally invasive and robotic techniques, and availability of new and varied mesh prosthetics...
March 25, 2024: American Surgeon
https://read.qxmd.com/read/38527384/integrating-spatial-temporal-soundscape-mapping-with-landscape-indicators-for-effective-conservation-management-and-planning-of-a-protected-area
#33
JOURNAL ARTICLE
Xiaoqing Xu, Caner Baydur, Jingjie Feng, Chengzhao Wu
Protected areas (PAs) possess generous biodiversity, making them great potential for human and wildlife well-being. Nevertheless, rising anthropogenic sounds may pose a serious challenge and threat to the habitats. Therefore, understanding the acoustic environments of PAs and implementing proper conservation strategies are essential for maintaining species richness within the territory. In this study, we investigate the spatial-temporal variations of soundscape distribution in the Dashanbao Protected Area (DPA) of China, ultimately discussing the planning and management strategies...
March 24, 2024: Journal of Environmental Management
https://read.qxmd.com/read/38527109/understanding-the-training-mentorship-and-professional-development-priorities-of-early-career-embedded-researchers
#34
JOURNAL ARTICLE
Otuto Amarauche Chukwu, Jessica Nadigel, Bahar Kasaai, Rhonda Boateng, Richard H Glazier, Meghan McMahon
INTRODUCTION: Health systems are constantly evolving in response to existing and emerging health challenges and are increasingly adopting the Quintuple Aim to guide transformation and improvement efforts. Addressing health challenges and achieving the Quintuple Aim (enhancing patient experience, improving healthcare provider experience, promoting population health, optimising the value of healthcare services, and advancing health equity) may be enhanced with the use of a Learning Health Systems approach that fosters the real-time use of data and evidence to inform improvement efforts and harnesses embedded researchers to co-produce timely, relevant evidence to address priorities...
March 25, 2024: International Journal of Health Planning and Management
https://read.qxmd.com/read/38527031/-integrating-ethics-and-equity-with-economics-and-effectiveness-for-newborn-screening-in-the-genomic-age-a-qualitative-study-protocol-of-stakeholder-perspectives
#35
JOURNAL ARTICLE
Didu S Kariyawasam, Joanne Scarfe, Christian Meagher, Michelle A Farrar, Kaustav Bhattacharya, Stacy M Carter, Ainsley J Newson, Margaret Otlowski, Jo Watson, Nicole Millis, Sarah Norris
BACKGROUND: Newborn bloodspot screening is a well-established population health initiative that detects serious, childhood-onset, treatable conditions to improve health outcomes. With genomic technologies advancing rapidly, many countries are actively discussing the introduction of genomic assays into newborn screening programs. While adding genomic testing to Australia's newborn screening program could improve outcomes for infants and families, it must be considered against potential harms, ethical, legal, equity and social implications, and economic and health system impacts...
2024: PloS One
https://read.qxmd.com/read/38526358/-shared-decision-making-in-metaclinical-medicine-from-informed-consent-to-shared-probability
#36
JOURNAL ARTICLE
Franco Cosmi, Barbara Tarquini, Beatrice Mariottoni, Deborah Cosmi
At the dawn of "metaclinical medicine" era, shared decision-making represents the overcoming of modern medicine guidelines and classical medicine experience. The patient's life plan, the doctor's health plan, the scientist's evidence-based plan, the administrator's plan and the beliefs of the society for healthcare options should be integrated into the shared decision-making process to avoid patient's unrealistic expectations, doctor's self-referential and defensive medicine, the science without compassion of the scientist, the administered medicine of the politician, the herd mentality of artificial intelligence...
April 2024: Giornale Italiano di Cardiologia
https://read.qxmd.com/read/38526000/well-being-of-undergraduate-dental-students-questionnaire-design-findings-and-future-directions
#37
JOURNAL ARTICLE
Charlotte Cheuk Kwan Chan, Elise Hoi Wan Fok, Yan Ting Rosealeen Lo, Wing Yan Ng, Michael George Botelho
INTRODUCTION: The recent pandemic has highlighted the importance of addressing well-being in the overall health of students. There is a need for support systems within dental schools to help students demonstrate resilience, adapt to learning environments and thrive in their professional careers. OBJECTIVES: The main aim of the study was to evaluate Bachelor of Dental Surgery (BDS) students' understanding and experience of well-being. The objectives were to create a suitable survey to assess students' well-being, investigate the factors affecting dental students' well-being and develop a student well-being action plan based on the analysis of the survey...
March 25, 2024: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://read.qxmd.com/read/38525314/measuring-decision-aid-effectiveness-for-end-of-life-care-a-systematic-review
#38
JOURNAL ARTICLE
M Courtney Hughes, Erin Vernon, Chinenye Egwuonwu, Oluwatoyosi Afolabi
OBJECTIVE: To systematically review research analyzing the effectiveness of decision aids for end-of-life care, including how researchers specifically measure decision aid success. METHODS: We conducted a systematic review synthesizing quantitative, qualitative, and mixed-methods study results using Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Four databases were searched through February 18, 2023. Inclusion criteria required articles to evaluate end-of-life care decision aids...
December 2024: PEC Innov
https://read.qxmd.com/read/38524910/health-facilities-readiness-and-determinants-to-manage-cardiovascular-disease-in-afghanistan-bangladesh-and-nepal-evidence-from-the-national-service-provision-assessment-survey
#39
JOURNAL ARTICLE
Md Durrul Huda, Mosiur Rahman, Md Golam Mostofa, Prosannajid Sarkar, Md Jahirul Islam, Izzeldin Fadl Adam, Nguyen Huu Chau Duc, Saber Al-Sobaihi
BACKGROUND: In South Asia, cardiovascular diseases (CVDs) are an increasing public health concern. One strategy for dealing with the growing CVDs epidemic is to make health facilities more ready to provide CVDs services. The study's objectives were to: (1) assess healthcare facilities' readiness to offer CVDs services; and (2) identify the variables that influence such readiness. METHODS: This study employed data from the Afghanistan Service Provision Assessment Survey 2018-2019, Bangladesh Health Facility Survey 2017, and Nepal Health Facility Survey 2021 that were cross-sectional and nationally representative...
2024: Global Heart
https://read.qxmd.com/read/38524680/a-rare-complication-in-percutaneous-nephrolithotomy-clinical-case-and-implications
#40
Saleh Abdelkerim Nedjim, Hissein Hagguir Berdé, Adil Kbirou, Amine Moataz, Mohamed Dakir, Adil Debbagh, Rachid Aboutaieb
Percutaneous nephrolithotomy has become the standard procedure for the management of large kidney stones. Compared with other endo-urological techniques, it has a better fragmentation rate in a single session for kidney stones over 20 mm. It is therefore the recommended first-line treatment modality for large kidney stones. Bleeding is a well-known complication of this procedure, often requiring transfusion. In 0.8% of cases, bleeding can be severe, requiring surgical intervention to control hemostasis...
March 2024: Journal of Surgical Case Reports
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