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https://www.readbyqxmd.com/read/29224411/change-in-quantitative-eeg-theta-cordance-as-a-potential-predictor-of-repetitive-transcranial-magnetic-stimulation-clinical-outcome-in-major-depressive-disorder
#1
Aimee M Hunter, Thien X Nghiem, Ian A Cook, David E Krantz, Michael J Minzenberg, Andrew F Leuchter
Repetitive transcranial magnetic stimulation (rTMS) has demonstrated efficacy in major depressive disorder (MDD), although clinical outcome is variable. Change in the resting-state quantitative electroencephalogram (qEEG), particularly in theta cordance early in the course of treatment, has been linked to antidepressant medication outcomes but has not been examined extensively in clinical rTMS. This study examined change in theta cordance over the first week of clinical rTMS and sought to identify a biomarker that would predict outcome at the end of 6 weeks of treatment...
November 1, 2017: Clinical EEG and Neuroscience: Official Journal of the EEG and Clinical Neuroscience Society (ENCS)
https://www.readbyqxmd.com/read/29207864/long-term-cosmesis-following-a-novel-schedule-of-accelerated-partial-breast-radiation-in-selected-early-stage-breast-cancer-result-of-a-prospective-clinical-trial
#2
Mutlay Sayan, Daphne Hard, Karen Wilson, Carl Nelson, Havaleh Gagne, Deborah Rubin, Ruth Heimann
Purpose: There is controversy regarding the cosmetic outcome after accelerated partial breast radiation (APBR). We report the cosmetic outcome from a single-arm prospective clinical trial of APBR delivered using intensity-modulated radiation therapy (IMRT) in elderly patients with stage I breast cancer (BC), using a novel fractionation schedule. Materials and Methods: Forty-two patients aged ≥65, with Stage I BC who underwent breast-conserving surgery were enrolled in a phase I/II study evaluating a 2-week course of APBR...
December 15, 2017: Radiation Oncology Journal
https://www.readbyqxmd.com/read/29205262/perceptions-on-the-value-of-bodily-functions-in-multiple-sclerosis
#3
C Heesen, R Haase, S Melzig, J Poettgen, M Berghoff, P Friedemann, U Zettl, M Marziniak, K Angstwurm, R Kern, T Ziemssen, J P Stellmann
BACKGROUND: In neurological diseases presenting with a plethora of symptoms, the value of bodily functions for a given patient might be a guide for clinical management. Multiple sclerosis (MS) is paradigmatic in this respect, and little is known about the value of different bodily functions of patients and their physicians' perceptions. METHODS: In a multicenter study, 171 patients with relapsing-remitting multiple sclerosis (RRMS), 61% with a clinically active disease within the last 2 years were followed over up to 3 years and yearly patients and their study physician rated on the perceived value of 13 bodily functions via a priority list...
December 3, 2017: Acta Neurologica Scandinavica
https://www.readbyqxmd.com/read/29196785/improvement-in-physician-pain-perception-with-using-pain-scales
#4
Umut Cakir, Yildiray Cete, Ozlem Yigit, Mehmet Nuri Bozdemir
BACKGROUND AND AIMS: Acute pain is the most common reason for visits to the emergency department (ED). The underuse of analgesics occurs in a large proportion of ED patients. The physician's accurate assessment of patients' pain is a key element to improved pain management. The purpose of this study was to assess if physicians' perception of pain can improve with looking at the pain score of the patient marked on VAS. STUDY DESIGN: This was a single-center, cross-sectional prospective observational study, that took place in an academic ED...
December 1, 2017: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/29153463/late-normal-tissue-effects-in-the-arm-and-shoulder-following-lymphatic-radiotherapy-results-from-the-uk-start-standardisation-of-breast-radiotherapy-trials
#5
Joanne S Haviland, Mariella Mannino, Clare Griffin, Nuria Porta, Mark Sydenham, Judith M Bliss, John R Yarnold
BACKGROUND AND PURPOSE: Adjuvant lymphatic radiotherapy (LNRT) is recommended for selected axillary node positive women with early breast cancer. We investigated whether hypofractionated LNRT is safe combined with similarly-hypofractionated breast/chest wall radiotherapy (RT). MATERIAL AND METHODS: The Standardisation of Breast Radiotherapy (START) pilot, A and B trials randomised women with early breast cancer to schedules of 2.67-3.3 Gy versus 2.0 Gy fractions (control)...
November 15, 2017: Radiotherapy and Oncology: Journal of the European Society for Therapeutic Radiology and Oncology
https://www.readbyqxmd.com/read/29140955/on-line-ratings-of-spine-surgeons-analysis-of-208-surgeons
#6
Jun Zhang, Adan Omar, Addisu Mesfin
STUDY DESIGN: Observational study OBJECTIVE.: To evaluate the online ratings of spine surgeons and variables that may affect online ratings. SUMMARY OF BACKGROUND DATA: Physician review websites (PRW) are rapidly growing for-profit businesses. Most Orthopaedic surgeons are rated on at least one PRW as are other surgical specialists. To date the online ratings of spine surgeons have not been evaluated. METHODS: Cervical Spine Research Society (CSRS) surgeon ratings on 5 physician rating websites were performed in April 2016: 'healthgrade...
November 14, 2017: Spine
https://www.readbyqxmd.com/read/29131384/extent-and-consequences-of-inadequate-disease-control-among-adults-with-a-history-of-moderate-to-severe-atopic-dermatitis
#7
Wenhui Wei, Peter Anderson, Abhijit Gadkari, Stuart Blackburn, Rachel Moon, James Piercy, Shashank Shinde, Jorge Gomez, Eric Ghorayeb
Since control of atopic dermatitis (AD) remains challenging but has not been adequately characterized, the objective of this study was to characterize disease control among patients with a history of moderate to severe AD. Data were from the 2014 Adelphi US AD Disease Specific Programme, a cross-sectional survey of physicians (n = 202) and their patients with history of moderate to severe AD (n = 1064, 54% female, 75% white, mean age 40 years). Inadequately controlled AD as rated by the physician was defined as currently flaring; deteriorating/changeable AD; or physician dissatisfaction with current control...
November 13, 2017: Journal of Dermatology
https://www.readbyqxmd.com/read/29122739/public-awareness-and-use-of-german-physician-ratings-websites-cross-sectional-survey-of-four-north-german-cities
#8
Stuart McLennan, Daniel Strech, Andrea Meyer, Hannes Kahrass
BACKGROUND: Physician rating websites (PRWs) allow patients to rate, comment, and discuss physicians' quality. The ability of PRWs to influence patient decision making and health care quality is dependent, in part, on sufficient awareness and usage of PRWs. However, previous studies have found relatively low levels of awareness and usage of PRWs, which has raised concerns about the representativeness and validity of information on PRWs. OBJECTIVE: The objectives of this study were to examine (1) participants' awareness, use, and contribution of ratings on PRWs and how this compares with other rating websites; (2) factors that predict awareness, use, and contribution of ratings on PRWs; and (3) participants' attitudes toward PRWs in relation to selecting a physician...
November 9, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29121897/differences-between-medical-student-and-faculty-perceptions-of-the-competencies-needed-for-the-first-year-of-residency
#9
Sophie Fürstenberg, Sigrid Harendza
BACKGROUND: Different guidelines and frameworks like the CanMEDs model or entrustable professional activities (EPAs) describe competencies required for successful and professional work of residents. Not all competencies are of equal importance for graduates when they start their residency. The aim of this study was to evaluate the relevance of different competencies for a first year resident from the perspective of physicians and medical students. METHODS: In an online study, 178 of 475 surgeons and internists including residents and attendings and 102 of 728 first and last year undergraduate medical students from the University Medical Center Hamburg-Eppendorf ranked 25 competencies according to their relevance for entrustment decisions in first year residents...
November 9, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29112009/communication-about-chronic-pain-and-opioids-in-primary-care-impact-on-patient-and-physician-visit-experience
#10
Stephen G Henry, Robert A Bell, Joshua J Fenton, Richard L Kravitz
Patients and physicians report that communication about chronic pain and opioids is often challenging, but there is little empirical research on whether patient-physician communication about pain affects patient and physician visit experience. This study video recorded 86 primary care visits involving 49 physicians and 86 patients taking long-term opioids for chronic musculoskeletal pain, systematically coded all pain-related utterances during these visits using a custom-designed coding system, and administered pre- and post-visit questionnaires...
November 3, 2017: Pain
https://www.readbyqxmd.com/read/29080696/women-s-experiences-with-immediate-postpartum-intrauterine-device-insertion-a-mixed-methods-study
#11
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 (preprocedure and immediately postprocedure) in both groups using two instruments: 100-mm visual analogue scale (VAS) and a 4-point Likert verbal rating scale (VRS) (0=none, 1=mild, 2=moderate, 3=severe)...
October 26, 2017: Contraception
https://www.readbyqxmd.com/read/29068794/results-from-a-drug-utilization-study-of-extended-release-quetiapine-fumarate-prescribed-by-psychiatrists-as-treatment-for-major-depressive-disorder-in-selected-countries-in-the-european-union
#12
Robert S Brody, Charles L Liss, Heather Wray, Kari Kastango, Allison Bryant, Alban Fabre, Anneli Thuresson
This multicenter, observational drug utilization (DU) study (NCT01594996) investigated the profile of patients and specialist providers who prescribed extended release quetiapine fumarate (quetiapine XR) for treatment of major depressive disorder (MDD) across five European countries (Germany, Italy, Romania, Spain, and Sweden). A DU data abstraction form captured information on the characteristics of physicians, patients, and drugs utilized in the medical management of depressive episodes in MDD, where the therapeutic regimen included quetiapine XR...
October 24, 2017: International Clinical Psychopharmacology
https://www.readbyqxmd.com/read/29065808/childhood-abuse-in-adults-in-primary-care-empirical-findings-and-clinical-implications
#13
John H Porcerelli, John R Jones, Rachel Klamo, Rebecca Heeney
In the healthcare setting, adult patients with histories of childhood abuse are of significant concern and are frequently encountered in the primary care setting. However, there is a dearth of studies investigating the relationships between psychopathology, overall health, healthcare utilization, physician ratings of patient difficulty, and childhood abuse. The present study examines these relationships in primary care patients with (N = 45) and without (N = 129) histories of childhood abuse (physical, sexual, and both)...
May 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29034518/analysis-of-treatment-goal-alignment-between-japanese-psoriasis-patients-and-their-paired-treating-physicians
#14
Y Okubo, D Tsuruta, A C Tang, S Inoue, H Torisu-Itakura, T Hanada, M Ohtsuki
BACKGROUND: Appropriate goal-oriented treatment strategies are important for optimal treatment outcomes and may prevent under-treatment. As treatment goals vary by patient, a study to examine treatment goals is more meaningful when patients and their physicians are paired. There has not been any study that examines alignment between paired psoriasis patients and physicians in real-world clinical practice using skin clearance as a treatment goal indicator. OBJECTIVES: To evaluate treatment goal alignment between psoriasis patients and their paired physicians, and to quantitatively identify factors associated with goal misalignment...
October 16, 2017: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/29025145/online-physician-ratings-fail-to-predict-actual-performance-on-measures-of-quality-value-and-peer-review
#15
Timothy J Daskivich, Justin Houman, Garth Fuller, Jeanne T Black, Hyung L Kim, Brennan Spiegel
Objective: Patients use online consumer ratings to identify high-performing physicians, but it is unclear if ratings are valid measures of clinical performance. We sought to determine whether online ratings of specialist physicians from 5 platforms predict quality of care, value of care, and peer-assessed physician performance. Materials and Methods: We conducted an observational study of 78 physicians representing 8 medical and surgical specialties. We assessed the association of consumer ratings with specialty-specific performance scores (metrics including adherence to Choosing Wisely measures, 30-day readmissions, length of stay, and adjusted cost of care), primary care physician peer-review scores, and administrator peer-review scores...
September 8, 2017: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29020012/wearable-sensors-objectively-measure-gait-parameters-in-parkinson-s-disease
#16
Johannes C M Schlachetzki, Jens Barth, Franz Marxreiter, Julia Gossler, Zacharias Kohl, Samuel Reinfelder, Heiko Gassner, Kamiar Aminian, Bjoern M Eskofier, Jürgen Winkler, Jochen Klucken
Distinct gait characteristics like short steps and shuffling gait are prototypical signs commonly observed in Parkinson's disease. Routinely assessed by observation through clinicians, gait is rated as part of categorical clinical scores. There is an increasing need to provide quantitative measurements of gait, e.g. to provide detailed information about disease progression. Recently, we developed a wearable sensor-based gait analysis system as diagnostic tool that objectively assesses gait parameter in Parkinson's disease without the need of having a specialized gait laboratory...
2017: PloS One
https://www.readbyqxmd.com/read/29019803/the-spot-gradetm-a-new-method-for-reproducibly-quantifying-surgical-wound-bleeding
#17
William D Spotnitz, Dirk Zielske, Valerie Centis, Rachel Hoffman, Daniel L Gillen, Catherine Wittmann, Vincent Guyot, Doris M Campos, Patricia Forest, Alan Pearson, Paul C McAfee
STUDY DESIGN: Benchtop model with prospective surgeon video testing. OBJECTIVE: To create a surface bleeding severity scale, the SPOT GRADE (SG), for quantitative assessment of target bleeding site (TBS) blood loss. This is of particular interest for spinal surgery due to epidural bleeding and an inability to use diathermy and radiofrequency cautery close to nerve roots. SUMMARY OF BACKGROUND DATA: A novel apparatus perfusable at known flow rates and simulating different sized wounds was used to create movies to educate surgeons on specific degrees of bleeding...
October 10, 2017: Spine
https://www.readbyqxmd.com/read/28991512/the-use-of-the-social-cognition-and-object-relations-scale-in-a-primary-care-setting
#18
Laura A Richardson, John H Porcerelli, V Barry Dauphin, Pierre Morris, William Murdoch
Research has indicated that as many as 10% to 15% of primary care patients have symptoms that are not well explained medically. These patients could be labeled as "somatizers." This study assessed the extent to which underlying psychological characteristics contribute to a person's level of somatization and service utilization. The Social Cognition and Object Relations Scale-Global Rating Method (SCORS-G; Stein, Hilsenroth, Slavin-Mulford, & Pinsker, 2011; Westen, 1995) was used to rate early memory narratives of 100 patients in a suburban primary care setting...
October 9, 2017: Journal of Personality Assessment
https://www.readbyqxmd.com/read/28968415/county-community-health-associations-of-net-voting-shift-in-the-2016-u-s-presidential-election
#19
Jason H Wasfy, Charles Stewart, Vijeta Bhambhani
IMPORTANCE: In the U.S. presidential election of 2016, substantial shift in voting patterns occurred relative to previous elections. Although this shift has been associated with both education and race, the extent to which this shift was related to public health status is unclear. OBJECTIVE: To determine the extent to which county community health was associated with changes in voting between the presidential elections of 2016 and 2012. DESIGN: Ecological study with principal component analysis (PCA) using principal axis method to extract the components, then generalized linear regression...
2017: PloS One
https://www.readbyqxmd.com/read/28965802/healthcare-professionals-views-on-parental-participation-in-the-neonatal-intensive-care-units
#20
Anna Kjellsdotter, Björn Lantz, Cornelia Ottosson
PURPOSE: To examine the associations between age, gender, and profession in relation to the perceived importance of parental participation in Neonatal Intensive Care Units. DESIGN AND METHODS: A quantitative cross-sectional design was used. Participants were recruited consecutively from all 40 existing NICU units in Sweden. A total of 443 healthcare professionals (372 nurses and 71 physicians) participated in the study. Participants completed the Swedish version of the Empowerment of Parents in the Intensive Care-Neonatology (EMPATHIC-N) questionnaire...
September 28, 2017: Journal of Pediatric Nursing
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