keyword
https://read.qxmd.com/read/38493442/impact-of-a-quality-improvement-initiative-and-monthly-multidisciplinary-meetings-on-outcomes-after-posterior-spinal-fusion-for-adolescent-idiopathic-scoliosis
#1
JOURNAL ARTICLE
Astrid C Hengartner, Aladine A Elsamadicy, Anshu Jonnalagadda, Samuel Craft, Josiah J Z Sherman, Benjamin C Reeves, Tiana Fernandez, Joshua Hobbs, Andrew B Koo, Michael DiLuna, Dominick A Tuason
INTRODUCTION: Several studies have demonstrated the benefits of enhanced recovery after surgery (ERAS) protocols for patients with adolescent idiopathic scoliosis (AIS) undergoing posterior spinal instrumented fusion (PSIF). However, there are relatively few studies investigating the effect of regular multidisciplinary team meetings on level selection, surgical performance parameters, and patient outcomes after PSIF for AIS. The aim of this study was to assess changes in intra- and postoperative outcomes following multidisciplinary team meeting implementation for patients undergoing PSIF for AIS...
March 17, 2024: Spine Deformity
https://read.qxmd.com/read/38493346/incorporating-network-diffusion-and-peak-location-information-for-better-single-cell-atac-seq-data-analysis
#2
JOURNAL ARTICLE
Jiating Yu, Jiacheng Leng, Zhichao Hou, Duanchen Sun, Ling-Yun Wu
Single-cell assay for transposase-accessible chromatin using sequencing (scATAC-seq) data provided new insights into the understanding of epigenetic heterogeneity and transcriptional regulation. With the increasing abundance of dataset resources, there is an urgent need to extract more useful information through high-quality data analysis methods specifically designed for scATAC-seq. However, analyzing scATAC-seq data poses challenges due to its near binarization, high sparsity and ultra-high dimensionality properties...
January 22, 2024: Briefings in Bioinformatics
https://read.qxmd.com/read/38493338/effective-multi-modal-clustering-method-via-skip-aggregation-network-for-parallel-scrna-seq-and-scatac-seq-data
#3
JOURNAL ARTICLE
Dayu Hu, Ke Liang, Zhibin Dong, Jun Wang, Yawei Zhao, Kunlun He
In recent years, there has been a growing trend in the realm of parallel clustering analysis for single-cell RNA-seq (scRNA) and single-cell Assay of Transposase Accessible Chromatin (scATAC) data. However, prevailing methods often treat these two data modalities as equals, neglecting the fact that the scRNA mode holds significantly richer information compared to the scATAC. This disregard hinders the model benefits from the insights derived from multiple modalities, compromising the overall clustering performance...
January 22, 2024: Briefings in Bioinformatics
https://read.qxmd.com/read/38493336/genetics-providers-perspectives-on-the-use-of-digital-tools-in-clinical-practice
#4
JOURNAL ARTICLE
Whiwon Lee, Daena Hirjikaka, Sonya Grewal, Angela Shaw, Stephanie Luca, Marc Clausen, Yvonne Bombard, Robin Z Hayeems
BACKGROUND: Digital tools are increasingly incorporated into genetics practice to address challenges with the current model of care. Yet, genetics providers' perspectives on digital tool use are not well characterized. METHODS: Genetics providers across Canada were recruited. Semi-structured interviews were conducted to ascertain their perspectives on digital tool use and the clinical practice factors that might inform digital tool integration. A qualitative interpretive description approach was used for analysis...
March 13, 2024: Genetics in Medicine: Official Journal of the American College of Medical Genetics
https://read.qxmd.com/read/38493290/satisfaction-with-clinical-pathway-implementation-versus-job-performance-of-clinicians-empirical-evidence-on-the-mediating-role-of-work-engagement-from-public-hospitals-in-sichuan-china
#5
JOURNAL ARTICLE
Junlong Li, Lu Ao, Jay Pan
BACKGROUND: The job performance of clinicians is a clear indicator of both hospital capacity and the level of hospital service. It plays a crucial role in maintaining the effectiveness and quality of medical care. Clinical pathways are a systematic method of quality improvement successfully recommended by broader healthcare systems. Since clinicians play a key role in implementing clinical pathways in public hospitals, this study aims to investigate the effect of the satisfaction of clinicians in public hospitals with clinical pathway implementation on their job performance...
March 16, 2024: BMC Health Services Research
https://read.qxmd.com/read/38493140/optimization-of-the-selection-of-suitable-harvesting-periods-for-medicinal-plants-taking-dendrobium-officinale-as-an-example
#6
JOURNAL ARTICLE
Peiyuan Li, Tao Shen, Li Li, Yuanzhong Wang
BACKGROUND: Dendrobium officinale is a medicinal plant with high commercial value. The Dendrobium officinale market in Yunnan is affected by the standardization of medicinal material quality control and the increase in market demand, mainly due to the inappropriate harvest time, which puts it under increasing resource pressure. In this study, considering the high polysaccharide content of Dendrobium leaves and its contribution to today's medical industry, (Fourier Transform Infrared Spectrometer) FTIR combined with chemometrics was used to combine the yields of both stem and leaf parts of Dendrobium officinale to identify the different harvesting periods and to predict the dry matter content for the selection of the optimal harvesting period...
March 16, 2024: Plant Methods
https://read.qxmd.com/read/38493077/the-past-present-and-future-of-medical-education-in-cambodia
#7
Sengkhoun Lim, Sambath Cheab, Laura N Goldman, Ponndara Ith, Youttiroung Bounchan
This paper describes the past, present, and future of medical education in Cambodia. Although doctor training began in 1902, the first medical school was not founded until 1946. Since the colonial era, the curriculum and teaching strategies have been strongly influenced by the French system, dominated by didactic lectures and the apprenticeship model. Three chronic issues have plagued medical education in the country following the Khmer Rouge regime: a shortage of doctors, poor-quality training, and lack of relevance to the current and future population needs...
March 16, 2024: Medical Teacher
https://read.qxmd.com/read/38493016/assessing-and-improving-the-effectiveness-of-online-patient-education-materials-on-essential-vocal-tremor-a-comprehensive-evaluation
#8
JOURNAL ARTICLE
Bethany Ho, Ellen M Hong, Brian E Benson
INTRODUCTION: Health literacy, a strong indicator of health outcomes, is an important aspect of good patient care. With an increasing reliance on the Internet for health information, online patient materials should be easily understood by the average reader. The American Medical Association (AMA) and National Institutes of Health (NIH) recommend that patient education materials be written at a sixth-grade level. Creating effective digital information requires careful consideration of not only word choice, but also many other factors including actionability, comprehensiveness, evidence, and visual organization...
March 15, 2024: Journal of Voice
https://read.qxmd.com/read/38492623/a-review-regarding-the-article-supervised-exercise-training-in-heart-failure-with-preserved-ejection-fraction-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#9
REVIEW
Ping Zhang, Yunfei Ling
Heart failure is a clinical syndrome with different etiologies and phenotypes. For all forms, supervised exercise training and individual physical activity are class IA recommendations in current guidelines. Over the past two decades it has become recognized that physical deconditioning may play a key role in the progression of symptoms and poor outcomes. A number of prior studies have assessed the ability of exercise training to improve functional capacity in patients with HF. Most of these previous studies showed positive effects of exercise training on exercise capacity, quality of life, and biomarkers and observed relatively few complications during training...
March 14, 2024: Current Problems in Cardiology
https://read.qxmd.com/read/38492566/-the-significance-of-chronic-fatigue-in-the-post-covid-consultation-and-its-consequences-for-outpatient-rehabilitation-in-the-context-of-statutory-accident-insurance
#10
JOURNAL ARTICLE
Stefan Dalichau, Henrike Kordy, Janna Klüver, Wibke Brinkmeier, Nadine Rathmann, Lacy Yorke, Jesko Kleefmann, Torsten Möller
OBJECTIVE: The post-COVID consultation (PCC) is offered as part of a comprehensive range of treatment services provided by the statutory accident insurance for post-COVID patients to determine individual recommendations for further care. The aim of the study was to record the main symptoms and the associated restrictions on social and occupational participation in order to derive consequences for outpatient rehabilitation. METHOD: In addition to a medical examination and a psychological consil, numerous assessments were carried out to evaluate the biopsychosocial state of health...
March 16, 2024: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://read.qxmd.com/read/38492453/selector-heterogeneous-graph-network-with-convolutional-masked-autoencoder-for-multimodal-robust-prediction-of-cancer-survival
#11
JOURNAL ARTICLE
Liangrui Pan, Yijun Peng, Yan Li, Xiang Wang, Wenjuan Liu, Liwen Xu, Qingchun Liang, Shaoliang Peng
Accurately predicting the survival rate of cancer patients is crucial for aiding clinicians in planning appropriate treatment, reducing cancer-related medical expenses, and significantly enhancing patients' quality of life. Multimodal prediction of cancer patient survival offers a more comprehensive and precise approach. However, existing methods still grapple with challenges related to missing multimodal data and information interaction within modalities. This paper introduces SELECTOR, a heterogeneous graph-aware network based on convolutional mask encoders for robust multimodal prediction of cancer patient survival...
March 15, 2024: Computers in Biology and Medicine
https://read.qxmd.com/read/38492231/co-design-of-an-intervention-to-improve-patient-participation-in-discharge-medication-communication
#12
JOURNAL ARTICLE
Georgia Tobiano, Sharon Latimer, Elizabeth Manias, Andrea P Marshall, Megan Rattray, Kim Jenkinson, Trudy Teasdale, Kellie Wren, Wendy Chaboyer
Patients can experience medication-related harm and hospital readmission because they do not understand or adhere to post-hospital medication instructions. Increasing patient medication literacy and, in turn, participation in medication conversations could be a solution. The purposes of this study were to co-design and test an intervention to enhance patient participation in hospital discharge medication communication. In terms of methods, co-design, a collaborative approach where stakeholders design solutions to problems, was used to develop a prototype medication communication intervention...
March 16, 2024: International Journal for Quality in Health Care
https://read.qxmd.com/read/38492168/residents-satisfaction-and-suggestions-to-improve-nephrology-residency-in-italy-and-comparison-with-the-organization-in-other-european-countries
#13
JOURNAL ARTICLE
Adolfo Marco Perrotta, Silverio Rotondi, Maria Amicone, Irene Cirella, Rossella Siligato, Simone Fontana, Carmen Sivo, Anna Rita Vestri, Giovanni Gambaro, Giorgina Barbara Piccoli, Sandro Mazzaferro
BACKGROUND: In Italy, nephrology residency is available in twenty-one nephrology schools, each with its own strengths and weaknesses. The present study is aimed at exploring the residents' satisfaction with their training programs. METHODS: Between April 20th and May 19th, 2021, a questionnaire on residency satisfaction consisting of 49 items was sent to 586 residents and 175 recently certified specialists (qualified to practice as nephrologists in 2019 and 2020), with a response rate of 81% and 51%, respectively...
March 16, 2024: Journal of Nephrology
https://read.qxmd.com/read/38492098/impact-of-reimbursement-systems-on-patient-care-a-systematic-review-of-systematic-reviews
#14
REVIEW
Eva Wagenschieber, Dominik Blunck
BACKGROUND: There is not yet sufficient scientific evidence to answer the question of the extent to which different reimbursement systems influence patient care and treatment quality. Due to the asymmetry of information between physicians, health insurers and patients, market-based mechanisms are necessary to ensure the best possible patient care. The aim of this study is to investigate how reimbursement systems influence multiple areas of patient care in form of structure, process and outcome indicators...
March 16, 2024: Health Economics Review
https://read.qxmd.com/read/38492093/association-of-mediterranean-diet-adherence-with-disease-progression-quality-of-life-and-physical-activity-sociodemographic-and-anthropometric-parameters-and-serum-biomarkers-in-community-dwelling-older-adults-with-multiple-sclerosis-a-cross-sectional-study
#15
JOURNAL ARTICLE
Christina Tryfonos, Maria Chrysafi, Sousana K Papadopoulou, Konstantinos Vadikolias, Maria Spanoudaki, Maria Mentzelou, Dimitrios Fotiou, Eleni Pavlidou, Georgios Gkouvas, Theofanis Vorvolakos, Apostolos Michailidis, Alexia Bisbinas, Olga Alexatou, Constantinos Giaginis
BACKGROUND: Multiple sclerosis (MS) constitutes a chronic inflammatory and degenerative demyelinating disease, which can progressively lead to a broad range of sensorimotor, cognitive, visual, and autonomic function symptoms, independently of patient' age. However, the clinical studies that examine the role of dietary patterns against disease progression and symptomatology remain extremely scarce, especially concerning Mediterranean diet (MD) in the subgroup age of older adults with MS...
March 16, 2024: Aging Clinical and Experimental Research
https://read.qxmd.com/read/38491971/the-association-of-circulating-lipoprotein-lipids-and-apolipoproteins-with-risk-of-endometriosis-a-mendelian-randomization-study
#16
JOURNAL ARTICLE
Xiwen He, Shengyu Xie, Yi Liu
BACKGROUND: Endometriosis is a poorly understood disease that affects up to 196 million women worldwide and imposes high costs in terms of economic burden and quality of life of women. Traits of circulating lipids have been related to the onset and progression of endometriosis in previous observational studies but the results have remained contradictory. METHODS: We performed univariable and multivariable Mendelian randomization (MR) analyses using instrument variables to genetically predict the associations of low-density lipoprotein (LDL) and high-density lipoprotein (HDL) cholesterol, triglycerides, and apolipoprotein (apo) A-I and B from the UK Biobank with endometriosis (consisting of 8288 cases and 68 969 controls from the FinnGen consortium)...
March 16, 2024: Postgraduate Medical Journal
https://read.qxmd.com/read/38491840/home-versus-hospital-rehabilitation-of-older-adults-following-hip-fracture-yields-similar-patient-reported-outcome-measures
#17
JOURNAL ARTICLE
Hanna S Schroeder, Avi Israeli, Meir Iri Liebergall, Omer Or, Wiessam Abu Ahmed, Ora Paltiel, Dan Justo, Eyal Zimlichman
The increase in hip fractures (HF) due to aging of the population and the rise in attractiveness of services provided at home following the COVID-19 pandemic, emphasize the need to compare outcomes of home versus hospital HF rehabilitation. To date, studies comparing the 2 services have focused primarily on clinical outcomes rather than patient-reported outcomes (PROs). This longitudinal observational study evaluated PROs of older adults with HF in the 2 settings. The SF36 questionnaire was used to measure PROs 3 times after surgery...
2024: Inquiry: a Journal of Medical Care Organization, Provision and Financing
https://read.qxmd.com/read/38491743/an-update-on-clinical-trials-for-cutaneous-lupus-erythematosus
#18
REVIEW
Lillian Xie, Lais Lopes Almeida Gomes, Caroline J Stone, Daniella Forman Faden, Victoria P Werth
Cutaneous lupus erythematosus (CLE) comprises dermatologic manifestations that may occur independently or with systemic lupus erythematosus (SLE). Despite advancements in refining CLE classification, establishing precise subtype criteria remains challenging due to overlapping presentations and difficulty in distinguishing morphology. Current treatments encompass preventive measures, topical therapies, and systemic approaches. Hydroxychloroquine and glucocorticoids are the sole US Food and Drug Administration (FDA)-approved medications for CLE, with numerous off-label treatments available...
March 15, 2024: Journal of Dermatology
https://read.qxmd.com/read/38491476/cultivating-compassion-in-medicine-a-toolkit-for-medical-students-to-improve-self-kindness-and-enhance-clinical-care
#19
JOURNAL ARTICLE
Krisha K Mehta, Shafkat Salam, Austin Hake, Rebecca Jennings, Afra Rahman, Stephen G Post
BACKGROUND: Compassionate care lies at the foundation of good patient care and is a quality that patients and providers continue to value in the fast-paced setting of contemporary medicine. Compassion is often discussed superficially in medical school curricula, but the practical aspect of learning this skill is often not taught using a formal framework. In the present work, the authors present an 8-session curriculum with a mindfulness-based approach to compassion that addresses this need...
March 15, 2024: BMC Medical Education
https://read.qxmd.com/read/38491411/one-year-follow-up-of-the-effectiveness-and-mediators-of-cognitive-behavioural-therapy-among-adults-with-attention-deficit-hyperactivity-disorder-secondary-outcomes-of-a-randomised-controlled-trial
#20
JOURNAL ARTICLE
Mei-Rong Pan, Min Dong, Shi-Yu Zhang, Lu Liu, Hai-Mei Li, Yu-Feng Wang, Qiu-Jin Qian
BACKGROUND: The long-term effectiveness of cognitive behavioural therapy (CBT) in medicated attention-deficit/hyperactivity disorder (ADHD) adults with residual symptoms needs to be verified across multiple dimensions, especially with respect to maladaptive cognitions and psychological quality of life (QoL). An exploration of the mechanisms underlying the additive benefits of CBT on QoL in clinical samples may be helpful for a better understanding of the CBT conceptual model and how CBT works in medicated ADHD...
March 16, 2024: BMC Psychiatry
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