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Patient Narratives

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https://www.readbyqxmd.com/read/29678967/development-and-evaluation-of-an-algorithm-based-tool-for-medication-management-in-nursing-homes-the-amber-study-protocol
#1
Susanne Erzkamp, Olaf Rose
BACKGROUND: Residents of nursing homes are susceptible to risks from medication. Medication Reviews (MR) can increase clinical outcomes and the quality of medication therapy. Limited resources and barriers between healthcare practitioners are potential obstructions to performing MR in nursing homes. Focusing on frequent and relevant problems can support pharmacists in the provision of pharmaceutical care services. This study aims to develop and evaluate an algorithm-based tool that facilitates the provision of Medication Management in clinical practice...
April 20, 2018: BMJ Open
https://www.readbyqxmd.com/read/29678413/patient-access-to-medicines-in-two-countries-with-similar-health-systems-and-differing-medicines-policies-implications-from-a-comprehensive-literature-review
#2
REVIEW
Zaheer-Ud-Din Babar, Todd Gammie, Ali Seyfoddin, Syed Shahzad Hasan, Louise E Curley
BACKGROUND: Countries with similar health systems but different medicines policies might result in substantial medicines usage differences and resultant outcomes. The literature is sparse in this area. OBJECTIVE: To review pharmaceutical policy research in New Zealand and Australia and discuss differences between the two countries and the impact these differences may have on subsequent medicine access. METHODS: A review of the literature (2008-2016) was performed to identify relevant, peer-reviewed articles...
April 13, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29678056/improving-layman-readability-of-clinical-narratives-with-unsupervised-synonym-replacement
#3
Hans Moen, Laura-Maria Peltonen, Mikko Koivumäki, Henry Suhonen, Tapio Salakoski, Filip Ginter, Sanna Salanterä
We report on the development and evaluation of a prototype tool aimed to assist laymen/patients in understanding the content of clinical narratives. The tool relies largely on unsupervised machine learning applied to two large corpora of unlabeled text - a clinical corpus and a general domain corpus. A joint semantic word-space model is created for the purpose of extracting easier to understand alternatives for words considered difficult to understand by laymen. Two domain experts evaluate the tool and inter-rater agreement is calculated...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29678053/automatic-annotation-of-french-medical-narratives-with-snomed-ct-concepts
#4
Christophe Gaudet-Blavignac, Vasiliki Foufi, Eric Wehrli, Christian Lovis
Medical data is multimodal. In particular, it is composed of both structured data and narrative data (free text). Narrative data is a type of unstructured data that, although containing valuable semantic and conceptual information, is rarely reused. In order to assure interoperability of medical data, automatic annotation of free text with SNOMED CT concepts via Natural Language Processing (NLP) tools is proposed. This task is performed using a hybrid multilingual syntactic parser. A preliminary evaluation of the annotation shows encouraging results and confirms that semantic enrichment of patient-related narratives can be accomplished by hybrid NLP systems, heavily based on syntax and lexicosemantic resources...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29678009/from-narratives-to-numbers-data-work-and-patient-generated-health-data-in-consultations
#5
Tomas Lindroth, Anna Sigridur Islind, Gunnar Steineck, Johan Lundin
This article presents preliminary findings on how the introduction of patient-generated health data (PGHD) triggers changes during patient-nurse consultations. This article builds on a two-year case study, examining the work practice at a cancer rehabilitation clinic at a Swedish Hospital using PGHD. The study focuses on how nurses' use data, gathered by patients with a mobile phone app, during consultations. The use of PGHD introduce a change in the translation work, the work of turning rich patient descriptions and transform them into data, during the consultation for documentation and clinical decision-making...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29676363/lymphomatoid-granulomatosis-a-case-series-from-south-india
#6
Elanthenral Sigamani, Jagan Chandramohan, Sheila Nair, Geeta Chacko, Meera Thomas, Leni Grace Mathew, Susanne Pulimood, Marie Therese Manipadam
Context: Lymphomatoid granulomatosis (LYG) is a rare B-lymphoproliferative disorder characterised by an angiocentric and angiodestructive pattern along with Epstein - Barr virus (EBV) association. It is one of the diagnostic challenges in lymphoma pathology. Deregulation of EBV immune surveillance is one of the narrated hypotheses in the literature. Extrapulmonary manifestations are rare with LYG. Morphological grading is done based on the number of EBV-positive B cells, which is useful to strategize treatment protocol...
April 2018: Indian Journal of Pathology & Microbiology
https://www.readbyqxmd.com/read/29673601/decision-support-system-for-triage-management-a-hybrid-approach-using-rule-based-reasoning-and-fuzzy-logic
#7
Mahsa Dehghani Soufi, Taha Samad-Soltani, Samad Shams Vahdati, Peyman Rezaei-Hachesu
OBJECTIVES: Fast and accurate patient triage for the response process is a critical first step in emergency situations. This process is often performed using a paper-based mode, which intensifies workload and difficulty, wastes time, and is at risk of human errors. This study aims to design and evaluate a decision support system (DSS) to determine the triage level. METHODS: A combination of the Rule-Based Reasoning (RBR) and Fuzzy Logic Classifier (FLC) approaches were used to predict the triage level of patients according to the triage specialist's opinions and Emergency Severity Index (ESI) guidelines...
June 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29672937/see-reflect-learn-more-qualitative-analysis-of-breaking-bad-news-reflective-narratives
#8
Orit Karnieli-Miller, Michal Palombo, Dafna Meitar
CONTEXT: Breaking bad news (BBN) is a challenge that requires multiple professional competencies. BBN teaching often includes didactic and group role-playing sessions. Both are useful and important, but exclude another critical component of students' learning: day-to-day role-model observation in the clinics. Given the importance of observation and the potential benefit of reflective writing in teaching, we have incorporated reflective writing into our BBN course. The aim of this study was to enhance our understanding of the learning potential in reflective writing about BBN encounters and the ability to identify components that inhibit this learning...
May 2018: Medical Education
https://www.readbyqxmd.com/read/29672878/quality-of-life-in-patients-with-adrenal-disease-a-systematic-review
#9
Winnie Ho, Maralyn Druce
BACKGROUND: Evaluating the patient with adrenal disease is challenging due to the lack of precise clinical and biochemical parameters for disease control. Quality of Life (QOL) evaluation aims to measure the patient's subjective experience. OBJECTIVE: to describe how QOL is defined and measured in adrenal disease, critically appraise the use of QOL tools in published literature, discuss the implications of these findings and provide direction for further research in this field...
April 19, 2018: Clinical Endocrinology
https://www.readbyqxmd.com/read/29672768/microsurgical-resection-of-a-meningioma-at-the-entrance-of-dorello-s-canal-causing-vi-cranial-nerve-compression-2-dimensional-operative-video
#10
Abdulrahman Alturki, Alejandro Enriquez-Marulanda, Raghav Gupta, Ajith J Thomas, Christopher S Ogilvy
We describe the case of a 73-yr-old female patient with a 2-yr history of diplopia that has progressively become worse. Physical examination revealed a right VI cranial nerve (CN) palsy. Magnetic resonance imaging and angiography showed a dolichoectatic basilar artery near the VI CN. A suboccipital craniectomy was performed, initially with the intention to perform a microvascular decompression; however, a red mass was encountered at the entrance of the right Dorello's canal that was compressing the VI CN. Complete resection of the lesion was done and decompression of the nerve was accomplished...
April 17, 2018: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29672712/perspectives-on-symptom-experiences-and-symptom-reporting-among-individuals-on-hemodialysis
#11
Jennifer E Flythe, Adeline Dorough, Julia H Narendra, Derek Forfang, Lori Hartwell, Emaad Abdel-Rahman
Background: Individuals on hemodialysis bear substantial symptom burdens, but providers often underappreciate patient symptoms. In general, standardized, patient-reported symptom data are not captured during routine dialysis care. We undertook this study to better understand patient experiences with symptoms and symptom reporting. In exploratory interviews, we sought to describe hemodialysis nurse and patient care technician perspectives on symptoms and symptom reporting. Methods: We conducted semi-structured interviews with 42 US hemodialysis patients and 13 hemodialysis clinic personnel...
April 16, 2018: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/29672608/psychosocial-interventions-for-rehabilitation-and-reintegration-into-daily-life-of-pediatric-cancer-survivors-and-their-families-a-systematic-review
#12
Mona Leandra Peikert, Laura Inhestern, Corinna Bergelt
BACKGROUND: The survival rate of childhood cancer patients increased over the past decades. However, even after successful treatment the transition back to normalcy is often a major challenge for the whole family. Therefore, this study aims to provide an overview of psychosocial interventions for childhood cancer survivors and their families in the first years after the end of cancer treatment. METHODS: We conducted a systematic review following the PRISMA Checklist (Preferred Reporting Items for Systematic Reviews and Meta-Analyses; PROSPERO registration number: CRD42017059782)...
2018: PloS One
https://www.readbyqxmd.com/read/29672540/the-impact-of-attachment-distress-on-affect-centered-mentalization-an-experimental-study-in-psychosomatic-patients-and-healthy-adults
#13
Anna S Herrmann, Manfred E Beutel, Katharina Gerzymisch, Richard D Lane, Janine Pastore-Molitor, Jörg Wiltink, Rüdiger Zwerenz, Mita Banerjee, Claudia Subic-Wrana
INTRODUCTION: We investigated the impact of attachment distress on affect-centered mentalization in a clinical and a non-clinical sample, comparing mentalization in a baseline condition to mentalization under a condition of attachment distress. METHODS: The sample consisted of 127 adults who underwent inpatient psychosomatic treatment, and 34 mentally healthy adults. Affect-centered mentalization was assessed by analyzing participants' narratives on interpersonal situations in a baseline condition with the Levels of Emotional Awareness Scale (LEAS), and an experimental condition inducing attachment distress with the Adult Attachment Projective Picture System (AAP)...
2018: PloS One
https://www.readbyqxmd.com/read/29669656/-i-m-here-the-words-that-started-a-movement
#14
Marcus Engel
The ability to be fully present with patients is a cornerstone of effective caregiving. Time constraints, a health care system in flux, and political agendas, combined with the stress of overwork and high-pressure work environments of health care professionals, can lead to compassion fatigue, mistakes, and burnout. Narrative nursing is a field created by the author to teach nurses therapeutic journaling and perspective as tools to address and prevent these issues.
April 1, 2018: Creative Nursing
https://www.readbyqxmd.com/read/29669455/third-year-nursing-students-lived-experience-of-caring-for-the-dying-a-hermeneutic-phenomenological-approach
#15
Kristen Ranse, Jamie Ranse, Mikayla Pelkowitz
BACKGROUND: In preparation for practice as a Registered Nurse, it is essential that students are equipped to care for the dying patient and their family. AIM: To explore nursing students' lived experience of caring for a dying patient and their family. DESIGN: Hermeneutic phenomenology. METHODS: Students who had cared for a dying patient in their final year of study were invited to participate in an interview. Participants' narratives (n = 6) were thematically analysed...
April 18, 2018: Contemporary Nurse
https://www.readbyqxmd.com/read/29667270/dimensional-measure-of-self-and-interpersonal-functioning-comparisons-with-treatment-alliance-and-readiness-for-inpatient-psychotherapy
#16
Greg Haggerty, Michelle Stein, Caleb Siefert, Jennifer Zodan, Ashwin Mehra, Kelechi Ogbuji, Jaspreet Sangha, Michael Habib, Samuel J Sinclair, Mark A Blais
The social cognition and object relations scale-global rating method is a clinical rating system assessing 8 domains of self and interpersonal functioning. It can be applied to score numerous forms of narrative data. In this study, we investigate the SCORS-G relationship to measures of alliance and readiness for psychotherapy with an adolescent inpatient sample. Seventy-two psychiatrically hospitalized adolescents were consented and subsequently rated by their individual and group therapist using the SCORS-G...
April 17, 2018: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/29666897/-fixed-cervical-high-grade-kyphosis-chin-on-chest-deformity-treatment-plan
#17
REVIEW
H Koller, S Hartmann
BACKGROUND: Surgical correction of severe and rigid cervical kyphosis with chin-on-chest deformity poses significant challenges to both the patient and surgeon once surgery is considered as the treatment of choice. OBJECTIVES: This article presents the current concepts of corrective surgery for patients with severe and rigid cervical kyphosis. MATERIAL AND METHODS: Narrative review and report of clinical experience. RESULTS: The treatment of severe cervical kyphosis indicates a dedicated deformity assessment, the analysis of regional and global imbalance, the identification of spinal sagittal plane compensation mechanisms, detailed radiographic and clinical planning of corrective surgery, and the meticulous performance of surgical correction...
April 17, 2018: Der Orthopäde
https://www.readbyqxmd.com/read/29666816/surgical-approach-in-oligometastatic-non-small-cell-lung-cancer
#18
REVIEW
Davide Patrini, Nikolaos Panagiotopoulos, Benedetta Bedetti, Sofoklis Mitsos, Roberto Crisci, Piergiorgio Solli, Luca Bertolaccini, Marco Scarci
The vast majority of lung cancer (80%) are non-small cell lung cancer (NSCLC) presenting in huge proportion of patients in a metastatic stage at the time of diagnosis with an overall survival (OS) of only 6 months. Standard treatment at this stage involves systemic platinum based chemotherapy improving the OS for only few months. For the vast majority of patients disease progression occurs and cure cannot achieved. An exception to this general rule is represented by patients with a limited number of metastasis (approximately 7% of patients with metastatic NSCLC): in 1995 Hellman and Weichselbaum introduced the term "oligometastatic" for a selected group of patients with metastatic disease...
March 2018: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29666578/individual-experiences-in-four-cancer-patients-following-psilocybin-assisted-psychotherapy
#19
Tara C Malone, Sarah E Mennenga, Jeffrey Guss, Samantha K Podrebarac, Lindsey T Owens, Anthony P Bossis, Alexander B Belser, Gabrielle Agin-Liebes, Michael P Bogenschutz, Stephen Ross
A growing body of evidence shows that existential and spiritual well-being in cancer patients is associated with better medical outcomes, improved quality of life, and serves as a buffer against depression, hopelessness, and desire for hastened death. Historical and recent research suggests a role for psilocybin-assisted psychotherapy in treating cancer-related anxiety and depression. A double-blind controlled trial was performed, where 29 patients with cancer-related anxiety and depression were randomly assigned to treatment with single-dose psilocybin (0...
2018: Frontiers in Pharmacology
https://www.readbyqxmd.com/read/29666432/genetic-validation-of-bipolar-disorder-identified-by-automated-phenotyping-using-electronic-health-records
#20
Chia-Yen Chen, Phil H Lee, Victor M Castro, Jessica Minnier, Alexander W Charney, Eli A Stahl, Douglas M Ruderfer, Shawn N Murphy, Vivian Gainer, Tianxi Cai, Ian Jones, Carlos N Pato, Michele T Pato, Mikael Landén, Pamela Sklar, Roy H Perlis, Jordan W Smoller
Bipolar disorder (BD) is a heritable mood disorder characterized by episodes of mania and depression. Although genomewide association studies (GWAS) have successfully identified genetic loci contributing to BD risk, sample size has become a rate-limiting obstacle to genetic discovery. Electronic health records (EHRs) represent a vast but relatively untapped resource for high-throughput phenotyping. As part of the International Cohort Collection for Bipolar Disorder (ICCBD), we previously validated automated EHR-based phenotyping algorithms for BD against in-person diagnostic interviews (Castro et al...
April 18, 2018: Translational Psychiatry
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