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Ramya Pham, Daniel Forsberg, Donna Plecha
The aim of this study was to perform an operational improvement project targeted at the breast imaging reading workflow of mammography examinations at an academic medical center with its associated breast centers and satellite sites. Through careful analysis of the current workflow, two major issues were identified: stockpiling of paperwork and multiple worklists. Both issues were considered to cause significant delays to the start of interpreting screening mammograms. Four workflow changes were suggested (scanning of paperwork, worklist consolidation, use of chat functionality, and tracking of case distribution among trainees) and implemented in July 2015...
October 20, 2016: Journal of Digital Imaging: the Official Journal of the Society for Computer Applications in Radiology
Elizabeth A Goodwin, Linda Burhansstipanov, Mark Dignan, Katherine L Jones, Judith Salmon Kaur
BACKGROUND: American Indian and Alaska Native (AI/AN) breast cancer survivors experience disparities in breast cancer incidence and age-adjusted mortality compared with non-Hispanic white (NHW) breast cancer survivors. In addition, mortality-to-incidence rates indicate that AI/ANs continue to have the poorest survival from breast cancer compared with other racial groups. "Native American Cancer Education for Survivors" (NACES) is a cultural education and support intervention for AI/AN patients with cancer that collects data from voluntary participants through the NACES quality-of-life (QOL) survey regarding their cancer experience and survivor journey...
October 20, 2016: Cancer
Jack B Fu, Melissa P Osborn, Julie K Silver, Benedict S Konzen, An Ngo-Huang, Rajesh Yadav, Eduardo Bruera
Because of their expertise, physiatrists provide disability insurance assistance for cancer survivors. In this brief report, we perform a descriptive retrospective analysis of all new (354) outpatient physiatry consultations from January 1, 2009, to December 31, 2013, at a National Cancer Institute Comprehensive Cancer Center. Disability and/or work accommodations were brought up at some point with the physiatrist during the duration of their care for 131 (37%) of 354 patients. More than 90% of the discussions took place during the first visit...
October 6, 2016: American Journal of Physical Medicine & Rehabilitation
Kara M Whitaker, Andrew O Odegaard, David R Jacobs, Stephen Sidney, Mark A Pereira
PURPOSE: We examined whether sedentary lifestyle habits and physical activity level are associated with abdominal visceral adipose tissue (VAT), subcutaneous adipose tissue (SAT), intermuscular adipose tissue (IMAT), and liver attenuation, independently of each other and potential confounders. METHODS: Analysis of 3,010 African American and Caucasian men and women, aged 42-59 years, from the Coronary Artery Risk Development in Young Adults (CARDIA) study who completed multiple-slice abdominal computed tomography (CT) in 2010-2011...
October 3, 2016: Medicine and Science in Sports and Exercise
Rachel Locke, Gail Alexander, Richard Mann, Sharon Kibble, Samantha Scallan
BACKGROUND: Looking beyond dyslexia as an individual doctor's issue requires adjusting a working environment to better serve the needs of doctors with dyslexia. With an increasing number of doctors disclosing dyslexia at medical school, how can educators best provide this support? Our research looks at the impact of dyslexia on clinical practice and the coping strategies used by doctors to minimise the effect. METHODS: Qualitative data were collected from 14 doctors with dyslexia using semi-structured interviews and by survey...
October 6, 2016: Clinical Teacher
Rasmus Borup, Susanne Kaae, Timo Minssen, Janine Traulsen
BACKGROUND: Many areas of pharmaceutical legislation in the European Union (EU) are harmonised in order to promote the internal market and protect public health. Ideally, harmonisation leads to less fragmented regulation and cross-border complexities. This study, however, focuses on an increasingly harmonised legislative area that is subject to increases in requirements and complexities: the distribution of medicines. This study compared Danish legislation governing the distribution of medicines before and after Denmark joined the EU in order to assess the impact of EU harmonisation, as well as to evaluate whether the drastic increases in requirements mandated by the Falsified Medicines Directive of 2011 correspond to a new approach to governing the pharmaceutical supply chain...
2016: Journal of Pharmaceutical Policy and Practice
Desmond Patton, Aparna Sodhi, Steven Affinati, Jooyoung Lee, Marie Crandall
The purpose of this study was to understand the post-discharge needs of violently injured patients and their families to improve health outcomes and reduce the impact of gun violence. We recruited 10 patients from the trauma registry of a Midwestern university hospital with a Level 1 Trauma Center (L1TC). After obtaining the informed consent, semi-structured, face-to-face, in-depth interviews were conducted. Discussions focused on post-discharge needs and resources to facilitate the recovery and rehabilitation process, and aid in community reintegration...
September 15, 2016: Journal of Interpersonal Violence
Maxine Stitzer, Donald Calsyn, Timothy Matheson, James Sorensen, Lauren Gooden, Lisa Metsch
Contingency management (CM) interventions generally target a single behavior such as attendance or drug use. However, disease outcomes are mediated by complex chains of both healthy and interfering behaviors enacted over extended periods of time. This paper describes a novel multi-target contingency management (CM) program developed for use with HIV positive substance users enrolled in a CTN multi-site study (0049 Project HOPE). Participants were randomly assigned to usual care (referral to health care and SUD treatment) or 6-months strength-based patient navigation interventions with (PN+CM) or without (PN only) the CM program...
August 28, 2016: Journal of Substance Abuse Treatment
LiJie Gong, Yan He, Peng Tian, Yan Yan
OBJECTIVE: To determine the effect of elastic strain rate ratio method and virtual touch tissue quantification (VTQ) on the diagnosis of breast masses.
 METHODS: Sixty female patients with breast cancer, who received surgical treatment in Daqing Oilfield General Hospital, were enrolled. All patients signed the informed consent paperwork and they were treated by routine ultrasound examination, compression elastography (CE) examination, and VTQ examination in turn...
July 2016: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
D Musil, J Stehlík, K Abrman, M Held, P Sadovský
UNLABELLED: PURPOSE OF THE STUDY The aim of this prospective study was to evaluate, at one year of follow-up, radiographic and clinical results of total knee arthroplasty (TKA) performed with use of Zimmer® Patient Specific Instruments (PSIs) which allow for planning and customising each patient's TKA. MATERIAL AND METHODS Of the patients with knee arthritis who were eligible for joint replacement, 23 were randomly selected and included in this study. There were 11 men and 12 women, with 11 right and 12 left knee joints...
2016: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
Sandra Eales
No abstract text is available yet for this article.
April 2016: Queensland Nurse
Michelle T Martin, Elena Telebak, Paige A Taylor, Olga Volozhina
PURPOSE: The project in which a clinical pharmacist enlisted the help of pharmacy students to create a team responsible for prior-authorization (PA) paperwork associated with hepatitis C virus (HCV) infection treatment is described. SUMMARY: Many insurance companies require completion of a time-consuming PA process for approval of high-cost specialty medications, such as those used in the treatment of HCV infection. A clinical pharmacist at an urban academic medical center recruited pharmacy students to assist with and streamline the HCV medication PA process...
August 1, 2016: American Journal of Health-system Pharmacy: AJHP
Alexander R Willis, Joseph A Ippolito, Francis R Patterson, Joseph Benevenia, Kathleen S Beebe
BACKGROUND: Customizable orthopaedic implants are often needed for patients with primary malignant bone tumors due to unique anatomy or complex mechanical problems. Currently, obtaining customizable orthopaedic implants for orthopaedic oncology patients can be an arduous task involving submitting approval requests to the Institutional Review Board (IRB) and the Food and Drug Administration (FDA). There is great potential for the delay of a patient's surgery and unnecessary paperwork if the submission pathways are misunderstood or a streamlined protocol is not in place...
2016: SpringerPlus
Emily J Guerard, Ginah Nightingale, Keith Bellizzi, Peggy Burhenn, Ashley Rosko, Andrew S Artz, Beatriz Korc-Grodzicki, Beverly Canin, William Dale, Betty Ferrell
Older adult cancer survivors currently account for almost 60% of all cancer survivors. The number of older cancer survivors will continue to increase as the population ages and as patients' live longer after a cancer diagnosis. As part of cancer center accreditation, the American College of Surgeons Commission on Cancer® (CoC) has placed great importance on survivorship care planning. While the CoC has set standards for general survivorship care, there is sparse evidence on how to best care for older adult cancer survivors...
July 2016: Journal of Geriatric Oncology
J Ellis, J Warden, A Molassiotis, P Mackereth, M Lloyd-Williams, C Bailey, K Burns, J Yorke
This paper reports finding from a nested qualitative study designed to elicit the views and perceptions of those who participated in a randomised controlled feasibility trial testing a non-pharmacological intervention, Respiratory Distress Symptom Intervention (RDSI), for the management of the breathlessness-cough-fatigue symptom cluster in lung cancer. Semi-structured interviews were conducted with 11 lung cancer patients, three caregivers and seven researchers involved in recruitment, consent, RDSI training and delivery and participant follow-up...
July 8, 2016: European Journal of Cancer Care
Georgina O'Reilly-Foley
During a shift on a ward, it is easy to get overwhelmed with paperwork, checklists and practices such as infection control. These exist to keep patients and staff safe, but sometimes patients just need human contact to take them through what can be a traumatic time.
June 29, 2016: Nursing Standard
Amanda Anderson
A required debriefing after an unexplained loss transcends its purposes.
July 2016: American Journal of Nursing
Stephanie Edgar
No abstract text is available yet for this article.
April 2016: Journal of the Mississippi State Medical Association
Jessica L Gören, Adam J Rose, Ryann L Engle, Eric G Smith, Melissa L D Christopher, Nathaniel M Rickles, Todd P Semla, Megan B McCullough
OBJECTIVE: Twenty to thirty percent of patients with schizophrenia experience treatment resistance. Clozapine is the only medication proven effective for treatment-resistant schizophrenia. However, in most settings less than 25% of patients with treatment-resistant schizophrenia receive clozapine. This study was conducted to identify facilitators of and barriers to clozapine use to inform development of interventions to maximize appropriate clozapine utilization. METHODS: Seventy semistructured phone interviews were conducted with key informants of clozapine processes at U...
June 15, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
Brooke E Starkoff, Elizabeth K Lenz, Lauren Lieberman, John Foley
BACKGROUND: Specific sedentary behaviors (SB) are associated with risk factors for preventable chronic health conditions in adults, yet time participating in SB has increased over the years. OBJECTIVE: To explore the SB habits of individuals with visual impairments (VI) and the relationship with self-reported visual acuity (VA). METHODS: Individuals participated in this cross-sectional study by completing the Patient-centered Assessment & Counseling for Exercise (PACE+) Sedentary Behavior Questionnaire (SBQ) for adults to assess estimated time spent in nine SB...
October 2016: Disability and Health Journal
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