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https://www.readbyqxmd.com/read/27905371/-management-of-locally-advanced-colon-cancer-with-duodenal-invasion
#1
V I Pomazkin
AIM: To present 7 cases of radical surgical treatment of colon cancer with duodenal invasion. MATERIAL AND METHODS: Mean age of patients was 72.3 years. 1 patient underwent pancreatoduodenectomy with right-sided hemicolectomy en bloc. In 6 patients right-sided hemicolectomy with atypical duodenectomy were performed. Herewith, the defect was sutured in 1 case. In 5 patients the defect was closed by duodenojejunostomy with initial intestinal loop. RESULTS: There was no postoperative mortality...
2016: Khirurgiia
https://www.readbyqxmd.com/read/27893296/evaluation-of-visual-field-test-parameters-after-artificial-tear-administration-in-patients-with-glaucoma-and-dry-eye
#2
Pelin Özyol, Erhan Özyol, Aylin Karalezli
PURPOSE: To examine the effect of a single dose of artificial tear administration on automated visual field (VF) testing in patients with glaucoma and dry eye syndrome. MATERIAL AND METHODS: A total of 35 patients with primary open-angle glaucoma experienced in VF testing with symptoms of dry eye were enrolled in this study. At the first visit, standard VF testing was performed. At the second and third visits with an interval of one week, while the left eyes served as control, one drop of artificial tear was administered to each patient's right eye, and then VF testing was performed again...
November 28, 2016: Seminars in Ophthalmology
https://www.readbyqxmd.com/read/27889081/complaints-in-long-term-care-facilities-for-older-persons-why-residents-do-not-give-free-advice
#3
Manja Bomhoff, Roland Friele
In health care policies, the right to complain is presented as a key patient right. Complaints are also seen as a potential vehicle for quality improvement. However, in long-term care facilities for older persons in the Netherlands, relatively few complaints are registered. An explorative qualitative study was performed at three long-term care facilities to examine the ways in which different relevant actors define and relate to complaints. We conducted observations and semi-structured interviews with 76 persons: residents, their family members, nurses, volunteers, middle (facility) and upper (institutional) managers and complaint handling personnel...
November 14, 2016: Health Policy
https://www.readbyqxmd.com/read/27884614/robotic-major-hepatectomy-is%C3%A2-there-a-learning-curve
#4
Po-Da Chen, Chao-Yin Wu, Rey-Heng Hu, Chiung-Nien Chen, Ray-Hwang Yuan, Jin-Tung Liang, Hong-Shiee Lai, Yao-Ming Wu
BACKGROUND: Robotic hepatectomy has been suggested as a safe and effective management of liver disease. However, no large case series have documented the learning curve for robotic major hepatectomy. METHOD: We conducted a retrospective study for robotic major hepatectomy performed by the same operative team between January 2012 and October 2015 and evaluated the learning curve for operation time using the cumulative sum method, presented as cumulative sumoperation time...
November 21, 2016: Surgery
https://www.readbyqxmd.com/read/27883307/informed-consent-in-the-medical-care-of-transgender-and-gender-nonconforming-patients
#5
Timothy Cavanaugh, Ruben Hopwood, Cei Lambert
Informed consent as a model of care has evolved as an alternative to the standard model of care recommended by the World Professional Association for Transgender Health's Standards of Care, version 7, which emphasizes the importance of mental health professionals' role in diagnosing gender dysphoria and in assessing the appropriateness and readiness for gender-affirming medical treatments. By contrast, the informed consent model for gender-affirming treatment seeks to acknowledge and better support the patient's right to, and capability for, personal autonomy in choosing care options without the required involvement of a mental health professional...
November 1, 2016: AMA Journal of Ethics
https://www.readbyqxmd.com/read/27875649/competence-in-plain-english
#6
Tom Tomlinson
Like many other bioethicists, I often give talks on clinical topics that may touch on the patient's right of autonomy with regard to medical treatment and, from there, may move to questions about whether said patient has the capacity to exercise said right. When I get to that subject, I might ask, "Is this person competent to refuse treatment?" A stunned silence falls over the room, until finally a hand shoots up. "'Competent' is a legal term," I am instructed. "Don't you mean to ask whether he has the capacity to make decisions for himself?" The tone suggests that I'm being helped to make a very important distinction...
November 2016: Hastings Center Report
https://www.readbyqxmd.com/read/27867564/psychological-impact-of-revealing-a-diagnosis-of-lung-cancer-to-patients-in-china
#7
Huimin Qian, Lili Hou
BACKGROUND: In conventional Chinese culture, awareness of a malignant disease is believed to increase a patient's psychological pressure, leading to anxiety or depression. But this notion is in conflict with the patient's right to receive information about their own disease. METHODS: This study is to investigate whether disclosure of diagnosis increases the level of anxiety or depression in patients diagnosed with lung cancer. Seventy patients who underwent lung resection and diagnosed with lung cancer postoperatively were divided into two groups-the disclosed group (n=35) and the undisclosed group (n=35), depending on the awareness of their diagnosis, as decided by their consigned family members...
October 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27855949/-general-and-ethical-considerations-for-the-informed-consent-process-guidelines-from-the-francophone-society-of-bone-marrow-transplantation-and-cellular-therapy-sfgm-tc
#8
Jean-Baptiste Thibert, Alice Polomeni, Ibrahim Yakoub-Agha, Dominique Bordessoule
Informed consent is not restricted to clinical research and must be applied to high-risk care such as hematopoietic stem cell transplantation. If standardized informed consent might improve inequalities in medical practices between different transplantation centers, it is strongly recommended that it be adapted with an honest dialogue between physicians and patients and physicians and donors. In an attempt to harmonize clinical practices among French hematopoietic stem cell transplantation centers, the Francophone Society of Bone Marrow Transplantation and Cellular Therapy (SFGM-TC) held its sixth annual workshop series in September 2015 in Lille...
November 2016: Bulletin du Cancer
https://www.readbyqxmd.com/read/27855582/clinical-research-nurse-interns-the-future-research-workforce
#9
Karen Roberts, Sophie Gelder, Helen Wild
To ensure that patient care is continuously improved, it is essential that research becomes an integral aspect of clinical care and the NHS Constitution for England ( Department of Health 2012 ) sets out the patients' right to be involved in research as a treatment option.
November 18, 2016: Nurse Researcher
https://www.readbyqxmd.com/read/27826777/impact-of-routine-recurrent-laryngeal-nerve-monitoring-in-prone-esophagectomy-with-mediastinal-lymph-node-dissection
#10
Makoto Hikage, Takashi Kamei, Toru Nakano, Shigeo Abe, Kazunori Katsura, Yusuke Taniyama, Tadashi Sakurai, Jin Teshima, Soichi Ito, Nobuchika Niizuma, Hiroshi Okamoto, Toshiaki Fukutomi, Masato Yamada, Shota Maruyama, Noriaki Ohuchi
BACKGROUND: The problem of recurrent laryngeal nerve (RLN) paralysis (RLNP) after radical esophagectomy remains unresolved. Several studies have confirmed that intraoperative nerve monitoring (IONM) of the RLN during thyroid surgery substantially decreases the incidence of RLN damage. This study tried to determine the feasibility and effectiveness of IONM of the RLN during thoracoscopic esophagectomy in the prone position for esophageal cancer. METHODS: All 108 patients who underwent prone esophagectomy at Tohoku University Hospital between July 2012 and March 2015 were included in this study...
November 8, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27806542/patient-right-bill-observance-rate-in-training-hospitals-affiliated-to-ahvaz-jundishapur-university-of-medical-sciences-from-nurses-point-of-view
#11
Farzad Faraji Khiavi, Rezvan Dashti, Zahra Kishizadeh
BACKGROUND & AIM: Patient right compliance plays a crucial role to improve and set the relationship between providers and clients in health system. Thus, it is very essential in health system management. This study aimed to determine Patient right bill observance rate in training hospitals affiliated to Ahvaz Jundishapur University of Medical Sciences from nurses' point of view. METHOD: This was a descriptive-analytical and cross-sectional study. The research population included all nurses who worked at training hospitals of Ahvaz Jundishapur University of Medical Sciences...
August 10, 2016: Global Journal of Health Science
https://www.readbyqxmd.com/read/27799231/electrophysiology-study-for-complex-supraventricular-tachycardia-in-congenital-heart-disease-patients-with-single-ventricle-physiology
#12
Shuenn-Nan Chiu, Jou-Kou Wang, Chun-Wei Lu, Kun-Lang Wu, Wei-Chieh Tseng, Mei-Hwan Wu
BACKGROUND: Supraventricular tachycardia (SVT) is common in complex congenital heart disease (CCHD) patients with single-ventricle physiology and may cause hemodynamic deterioration. We reported the outcomes of catheter ablation for such complex SVT in these single-ventricle CCHD patients. METHODS AND RESULTS: Patients with single-ventricle physiology (defined as CCHD patients) who received electrophysiology studies and catheter ablation between 1995 and 2015 were studied...
October 31, 2016: Journal of the American Heart Association
https://www.readbyqxmd.com/read/27792827/evaluation-of-transiently-evoked-otoacoustic-emissions-and-auditory-brainstem-responses-in-patients-with-multiple-sclerosis
#13
Emre Kaytancı, O Ilkay Ozdamar, Gul Ozbilen Acar, Muhammet Tekin
Multiple sclerosis (MS) is an inflammatory and demyelinating disease of the central nervous system. This prospective study was planned to evaluate these changes through brainstem evoked response audiometry (BERA) latency abnormalities and otoacoustic emissions (OAE). This study was performed between September 2009 and May 2010. A total of 160 recordings of BERA and OAE were examined, which were obtained from 80 ears of 40 participants. Twenty of these were MS patients and 20 were healthy volunteers in the control group...
October 2016: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/27774259/prognostic-implication-of-right-ventricular-involvement-in-peripartum-cardiomyopathy-a-cardiovascular-magnetic-resonance-study
#14
Arash Haghikia, Philipp Röntgen, Jens Vogel-Claussen, Johannes Schwab, Ralf Westenfeld, Philipp Ehlermann, Dominik Berliner, Edith Podewski, Denise Hilfiker-Kleiner, Johann Bauersachs
AIMS: Peripartum cardiomyopathy (PPCM) is a major cause of acute heart failure in the peripartum period and considered potentially life threatening. While many aspects of its clinical profiles have been frequently reported, functional analysis, in particular of the right ventricle, and tissue characterization by cardiovascular magnetic resonance (CMR) imaging have been only sporadically described. The aim of the present study was to analyse pathological alterations and their prognostic relevance found in CMR imaging of patients newly diagnosed with PPCM...
December 2015: ESC Heart Failure
https://www.readbyqxmd.com/read/27768664/bridging-the-gap-hybrid-cardiac-echo-in-the-critically-ill
#15
Jacob J Glaser, Cassandra Cardarelli, Samuel Galvagno, Thomas M Scalea, Sarah B Murthi
BACKGROUND: Point-of-care ultrasound often includes cardiac ultrasound. It is commonly used to evaluate cardiac function in critically ill patients but lacks the specific quantitative anatomic assessment afforded by standard transthoracic echocardiography (TTE). We developed the Focused Rapid Echocardiographic Examination (FREE), a hybrid between a cardiac ultrasound and TTE that places an emphasis on cardiac function rather than anatomy. We hypothesized that data obtained from FREE correlate well with TTE while providing actionable information for clinical decision making...
November 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27764835/effect-of-verbal-empathy-and-touch-on-anxiety-relief-in-patients-undergoing-flexible-bronchoscopy-can-empathy-reduce-patients-anxiety
#16
Sun Mi Choi, Jinwoo Lee, Young Sik Park, Chang-Hoon Lee, Sang-Min Lee, Jae-Joon Yim
BACKGROUND: Patients undergoing flexible bronchoscopy usually experience anxiety before and during the procedure. OBJECTIVES: We performed this study to investigate whether verbal empathy and intentional touch from a bronchoscopist could reduce anxiety in patients undergoing flexible bronchoscopy. METHODS: We conducted a prospective randomized trial in a university-affiliated hospital. Participants were randomly assigned to one of the following groups: a control group, a verbal empathy group, or a verbal empathy and touch group...
2016: Respiration; International Review of Thoracic Diseases
https://www.readbyqxmd.com/read/27763391/voluntary-stopping-of-eating-and-drinking-a-patient-s-right-to-choose-or-an-act-of-suicide
#17
Wendy Kohlhase
No abstract text is available yet for this article.
2016: Narrative Inquiry in Bioethics
https://www.readbyqxmd.com/read/27750160/ictal-bradyarrhythmias-and-asystole-requiring-pacemaker-implantation-combined-eeg-ecg-analysis-of-5-cases
#18
Roisin Bartlam, Rajiv Mohanraj
BACKGROUND: Seizures can lead to cardiac arrhythmias by a number of mechanisms including activation/inhibition of cortical autonomic centers, increase in vagal tone through activation of brainstem reflex centers, and respiratory failure. Ictal asystole (IA) is a potential mechanism underlying sudden unexpected death in epilepsy (SUDEP). We analyzed the clinical features of 5 patients who developed IA requiring pacemaker implantation. METHODS: Patients with ictal arrhythmias were identified from the video-telemetry and ambulatory EEG database at Greater Manchester Neurosciences Centre, as well as an independent epilepsy residential care facility...
November 2016: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/27717250/right-patient-right-treatment-right-time-biosignatures-and-precision-medicine-in-depression
#19
Madhukar H Trivedi
No abstract text is available yet for this article.
October 2016: World Psychiatry: Official Journal of the World Psychiatric Association (WPA)
https://www.readbyqxmd.com/read/27694679/operationalization-of-the-ghanaian-patients-charter-in-a-peri-urban-public-hospital-voices-of-healthcare-workers-and-patients
#20
Lily Yarney, Thomas Buabeng, Diana Baidoo, Justice Nyigmah Bawole
BACKGROUND: Health is a basic human right necessary for the exercise of other human rights. Every human being is, therefore, entitled to the highest possible standard of health necessary to living a life of dignity. Establishment of patients' Charter is a step towards protecting the rights and responsibilities of patients, but violation of patients' rights is common in healthcare institutions, especially in the developing world. This study which was conducted between May 2013 and May 2014, assessed the operationalization of Ghana's Patients Charter in a peri-urban public hospital...
April 23, 2016: International Journal of Health Policy and Management
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