keyword
https://read.qxmd.com/read/38492641/postpartum-care-in-a-cardio-obstetric-clinic-after-preterm-preeclampsia-patient-and-healthcare-provider-perspectives
#1
JOURNAL ARTICLE
Alexandria C Kraus, Johanna Quist-Nelson, Stanthia Ryan, Alison Stuebe, Omar M Young, Elizabeth Volz, Catalina Montiel, Lauren Fiel, Idil Aktan, Kristin P Tully
BACKGROUND: Despite the significant disruption and health implications of preterm preeclampsia with severe features for birthing people, little is known about how the system of postpartum care might be strengthened for affected families. Multidisciplinary cardio-obstetric clinics are emerging; however, there is limited research on patient and healthcare provider perspectives. OBJECTIVE: To describe patient and healthcare provider perspectives of services in a cardio-obstetric clinic following preterm preeclampsia with severe features...
March 14, 2024: American journal of obstetrics & gynecology MFM
https://read.qxmd.com/read/38487186/healthcare-use-according-to-deprivation-among-french-alzheimer-s-disease-and-related-diseases-subjects-a-national-cross-sectional-descriptive-study-based-on-the-fra-dem-cohort
#2
JOURNAL ARTICLE
Anaïs Couret, Maryse Lapeyre-Mestre, Axel Renoux, Virginie Gardette
INTRODUCTION: Pluriprofessional and coordinated healthcare use is recommended for Alzheimer's Disease and Related Diseases (ADRD). Despite a protective health system, France is characterized by persistent and significant social inequalities in health. Although social health inequalities are well documented, less is known about social disparities in healthcare use in ADRD, especially in France. Therefore, this study aimed to describe healthcare use according to socioeconomic deprivation among ADRD subjects and the possible potentiating role of deprivation by age...
2024: Frontiers in Public Health
https://read.qxmd.com/read/38483356/local-anesthetic-systemic-toxicity-ensuring-sustained-nursing-knowledge-in-a-high-volume-outpatient-surgery-center
#3
JOURNAL ARTICLE
Alicia White, Cia Rougeau, Tabatha Gilbert, Elaine Hughes
PURPOSE: Local anesthetic systemic toxicity (LAST) is a low-frequency, high-risk event that can occur within minutes of a patient receiving a local anesthetic. The goals of this project were to standardize LAST care management across an academic medical center and sustain an improvement in nurses' knowledge of how to recognize signs and symptoms of LAST and how to competently manage a LAST scenario. DESIGN: We used a quantitative design to accomplish the goals of the project...
March 13, 2024: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/38477892/electronic-patient-reported-symptoms-after-ambulatory-cancer-surgery
#4
JOURNAL ARTICLE
Jennifer R Cracchiolo, Amy L Tin, Melissa Assel, Taylor M McCready, Cara Stabile, Brett Simon, Sigrid V Carlsson, Andrew J Vickers, Vincent Laudone
IMPORTANCE: Complex cancer procedures are now performed in the ambulatory surgery setting. Remote symptom monitoring (RSM) with electronic patient-reported outcomes (ePROs) can identify patients at risk for acute hospital encounters. Defining normal recovery is needed to set patient expectations and optimize clinical team responses to manage evolving problems in real time. OBJECTIVE: To describe the patterns of postoperative recovery among patients undergoing ambulatory cancer surgery with RSM using an ePRO platform-the Recovery Tracker...
March 13, 2024: JAMA Surgery
https://read.qxmd.com/read/38467178/school-readiness-persistent-challenges-and-new-opportunities
#5
REVIEW
Reem M Ghandour, Kristin A Moore, Katherine Paschall, Ashley H Hirai, Michael D Kogan
No abstract text is available yet for this article.
March 9, 2024: Academic Pediatrics
https://read.qxmd.com/read/38463067/effectiveness-of-perineural-administration-of-dexamethasone-with-lidocaine-on-onset-time-of-sensory-block-and-early-postoperative-analgesia-in-axillary-brachial-plexus-block-a-prospective-cohort-study-ethiopia
#6
JOURNAL ARTICLE
Simeneh Mola, Betelihem Girma
INTRODUCTION: The axillary brachial plexus block is a popular nerve block for forearm, wrist, and hand surgery. The aim of this study was to assess the effectiveness of perineural administration of dexamethasone as an adjunct to lidocaine with adrenaline on the onset of sensory block and early postoperative analgesia in trans-arterial axillary brachial plexus block. METHODOLOGY: This single-centered prospective cohort study recruited 68 adult patients, 34 in each groups...
March 2024: Annals of Medicine and Surgery
https://read.qxmd.com/read/38457760/virtual-follow-up-in-patients-initiating-antineoplastic-treatment-in-the-ambulatory-setting
#7
JOURNAL ARTICLE
Lauren J Chew, Danielle S Urman, Kevin Maxwell, Archana Ajmera, Frederick Millard, Rana R McKay
PURPOSE: Initiating antineoplastic therapy can be distressful and affect patient retention of treatment-related side effects and safety protocols. Return visits can range from 8 to 28 days after treatment, during which patients may develop treatment-related questions and toxicities. This study's objective is to evaluate how implementing a follow-up phone call 24-48 hours after initial antineoplastic infusion, compared with standard pretreatment education, affects patient satisfaction and education retention...
March 8, 2024: JCO oncology practice
https://read.qxmd.com/read/38454991/severe-pain-management-in-the-emergency-department-patient-pathway-as-a-new-factor-associated-with-iv-morphine-prescription
#8
JOURNAL ARTICLE
Virginie E Lvovschi, Florence Carrouel, Karl Hermann, Frédéric Lapostolle, Luc-Marie Joly, Marie-Pierre Tavolacci
BACKGROUND: Across the world, 25-29% of the population suffer from pain. Pain is the most frequent reason for an emergency department (ED) visit. This symptom is involved in approximately 70% of all ED visits. The effective management of acute pain with adequate analgesia remains a challenge, especially for severe pain. Intravenous (IV) morphine protocols are currently indicated. These protocols are based on patient-reported scores, most often after an immediate evaluation of pain intensity at triage...
2024: Frontiers in Public Health
https://read.qxmd.com/read/38447819/school-readiness-among-u-s-children-results-from-the-2022-national-survey-of-children-s-health
#9
JOURNAL ARTICLE
Reem M Ghandour, Ashley H Hirai, Kristin A Moore, Katherine Paschall, Doré R LaForett, Elizabeth Reddington, Michael D Kogan
OBJECTIVE: Provide the latest national and state estimates, and correlates of the proportion of young children who are Healthy and Ready to Learn (HRTL) using a revised measure from the National Survey of Children's Health (NSCH). METHODS: Data were analyzed for 11,121 children ages 3-5 years from the 2022 NSCH, an address-based, parent-completed survey on the health and well-being of children in the US. A total of 27 items across 5 domains (Early Learning Skills, Social Emotional Development, Self-Regulation, Motor Development and Health) were used to calculate domain-specific assessments scored as 'On Track', 'Emerging', or 'Needs Support' according to age-appropriate developmental expectations...
March 4, 2024: Academic Pediatrics
https://read.qxmd.com/read/38445493/social-determinants-of-health-and-dialysis-modality-selection-in-patients-with-advanced-chronic-kidney-disease-a-retrospective-cohort-study
#10
JOURNAL ARTICLE
Susan J Thanabalasingam, Ayub Akbari, Manish M Sood, Pierre A Brown, Christine A White, Danielle Moorman, Maria Salman, Sriram Sriperumbuduri, Gregory L Hundemer
BACKGROUND: Social determinants of health are non-medical factors that impact health. For patients with chronic kidney disease (CKD) progressing to kidney failure, the influence of social determinants of health on dialysis modality selection (haemodialysis vs. peritoneal dialysis (PD)) is incompletely understood. METHODS: Retrospective cohort study of 981 consecutive patients with advanced CKD referred to the Ottawa Hospital Multi-Care Kidney Clinic (Canada) who progressed to dialysis from 2010 to 2021...
March 6, 2024: Peritoneal Dialysis International
https://read.qxmd.com/read/38444892/therapeutic-inertia
#11
REVIEW
Tim Usherwood
Therapeutic inertia, sometimes referred to as clinical inertia, has been defined as failure to initiate or intensify therapy when therapeutic goals are not reached. Lack of initiation or intensification of treatment according to clinical guidelines has been linked to suboptimal control of a range of chronic conditions. Clinician factors contributing to therapeutic inertia include knowledge gaps; discomfort with uncertainty about the diagnosis, therapeutic target, or evidence; concerns about the safety of treatment intensification; and time constraints...
February 2024: Australian Prescriber
https://read.qxmd.com/read/38442397/nursing-students-and-nurse-preceptors-perspectives-of-an-ambulatory-dedicated-education-unit-in-primary-care-and-general-internal-medicine
#12
JOURNAL ARTICLE
Linnea Benike, Lindsay Hammer Bartley, Heather Huffman, Alison M Nelson, Josh Ojeikhodion, Kaitlyn E Olson
BACKGROUND: The sustainability of prelicensure nursing clinical learning models within ambulatory care is dependent on strong partnership and the availability of ambulatory nurse preceptors. Evaluation of preceptor and student satisfaction with ambulatory clinical experiences is necessary to identify program strengths and opportunities. METHOD: Nursing students' and nurse preceptors' perceptions of an ambulatory dedicated education unit (DEU) in primary care and general internal medicine practices were measured from 2021 to 2023...
March 2024: Journal of Nursing Education
https://read.qxmd.com/read/38437987/carbohydrate-counting-knowledge-and-ambulatory-glucose-profile-in-persons-living-with-type-1-diabetes
#13
JOURNAL ARTICLE
Sopio Tatulashvili, Bleuenn Dreves, Laurent Meyer, Emmanuel Cosson, Michael Joubert
UNLABELLED: Context The amount of consumed carbohydrates is the strongest factor influencing glucose levels during the four hours following a meal. Our aim was to evaluate the association between carbohydrate counting knowledge and continuous glucose monitoring (CGM) parameters in patients with type 1 diabetes (T1D) using different insulin regimens. METHOD: In this multicenter prospective study, the GluciQuizz questionnaire was used to evaluate carbohydrate knowledge...
March 2, 2024: Diabetes Research and Clinical Practice
https://read.qxmd.com/read/38435135/implementation-and-evaluation-of-a-pilot-narrative-medicine-curriculum-for-internal-medicine-residents
#14
JOURNAL ARTICLE
Rebecca K Tsevat, Peter Young, Eunice Zhang, Samuel Baugh, Antonio M Pessegueiro
Background Narrative medicine has been integrated into medical training to enhance competencies such as observation, reflection, and self-care. However, few studies have assessed the impact of a single narrative medicine session using a pre- and post-test study design. The authors of this study sought to implement a pilot narrative medicine curriculum into a large internal medicine residency program and to evaluate its feasibility and impact. Methodology The curriculum consisted of a one-hour reading and writing workshop held during ambulatory academic half-days from 2021 to 2022...
February 2024: Curēus
https://read.qxmd.com/read/38433738/management-of-sleep-disordered-breathing-in-a-spinal-cord-injury-rehabilitation-center-model-of-care-adaptation-and-implementation
#15
JOURNAL ARTICLE
Marnie Graco, Gerard Weber, Krisha Saravanan, Jacqueline Curran, Nicole Whitehead, Jacqueline Ross, Charito DelaCruz, Samritti Sood, Roxana E Heriseanu, Ching Li Chai-Coetzer, David J Berlowitz, David Joffe
BACKGROUND: Obstructive sleep apnea (OSA) is highly prevalent and poorly managed in spinal cord injury (SCI). Alternative management models are urgently needed to improve access to care. We previously described the unique models of three SCI rehabilitation centers that independently manage uncomplicated OSA. OBJECTIVES: The primary objective was to adapt and implement a similar rehabilitation-led model of managing OSA in an SCI rehabilitation center in Australia...
2024: Topics in Spinal Cord Injury Rehabilitation
https://read.qxmd.com/read/38433555/implementation-and-faculty-perception-of-outpatient-medical-student-workplace-based-assessments
#16
JOURNAL ARTICLE
Marguerite Costich, Suzanne Friedman, Victoria Robinson, Marina Catallozzi
BACKGROUND: There is growing interest in use of entrustable professional activity (EPA)-grounded workplace-based assessments (WBAs) to assess medical students through direct observation in the clinical setting. However, there has been very little reflection on how these tools are received by the faculty using them to deliver feedback. Faculty acceptance of WBAs is fundamentally important to sustained utilisation in the clinical setting, and understanding faculty perceptions of the WBA as an adjunct for giving targeted feedback is necessary to guide future faculty development in this area...
March 3, 2024: Clinical Teacher
https://read.qxmd.com/read/38432515/valuable-papers-a-year-in-re-view-from-the-appd
#17
JOURNAL ARTICLE
Megan Aylor, Patricia Poitevien, Michael B Pitt
Academic Pediatrics has been the official journal of the Association of Pediatric Program Directors (APPD) since 2009. The View from the APPD section of the journal is an important destination to highlight APPD members' scholarship regarding issues impacting residency and fellowship training. Since 2020, the annual commentary (Re)View from the APPD summarizes articles published in View over the past year, including their alignment with the overall APPD mission, values, and organizational priorities. This year's (Re)View summarizes the articles published over the past year, with commentary on how the scholarship aligns with APPD values...
March 1, 2024: Academic Pediatrics
https://read.qxmd.com/read/38432514/leading-from-the-middle-important-skills-for-clinician-educators-to-bring-out-the-best-in-their-teams
#18
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
March 1, 2024: Academic Pediatrics
https://read.qxmd.com/read/38429782/analysis-of-a-nurse-provided-on-call-peritoneal-dialysis-support-in-an-outpatient-reference-care-centre
#19
JOURNAL ARTICLE
Annemarie Albert, Stefan Richter, Philipp Kalk, Philipp Stieger, Rainer Peter Woitas, Rüdiger C Braun-Dullaeus, Christian Albert
BACKGROUND: To analyse the nature of medical or technical emergency issues of ambulatory peritoneal dialysis (PD) patients calling a nurse-provided emergency PD support service of a reference centre that is provided all year in the after-hours. METHODS: We retrospectively analysed patients' chief complaint, urgency, resolution of and association to current PD treatment and modality directed to an on-call nurse-provided PD support service from 2015-2021 based on routinely collected health data...
March 1, 2024: BMC Nursing
https://read.qxmd.com/read/38416498/resident-burnout-wellness-professional-development-and-engagement-before-and-after-new-training-schedule-implementation
#20
JOURNAL ARTICLE
Daniel Heppe, Amiran Baduashvili, Julia E Limes, Katie Suddarth, Adrienne Mann, Emily Gottenborg, Yasmin Sacro, Lisa Davis, Karen Chacko, Geoffrey Connors
IMPORTANCE: Burnout is a work-related syndrome of depersonalization (DP), emotional exhaustion (EE), and low personal achievement (PA) that is prevalent among internal medicine resident trainees. Prior interventions have had modest effects on resident burnout. The association of a new 4 + 4 block schedule (4 inpatient weeks plus 4 outpatient weeks) with resident burnout has not previously been evaluated. OBJECTIVE: To evaluate the association of a 4 + 4 block schedule, compared with a 4 + 1 schedule, with burnout, wellness, and self-reported professional engagement and clinical preparedness among resident physicians...
February 5, 2024: JAMA Network Open
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