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Private Duty Care

Hassan Suliman Halawany, Abdullah Salman Binassfour, Waleed Khalid AlHassan, Rami Ayed Alhejaily, Nassr Al Maflehi, Vimal Jacob, Nimmi Biju Abraham
OBJECTIVE: The purpose of this study was to investigate evolving trends in dental post graduate specialty preferences and career aspirations among final year dental students in Saudi Arabia. MATERIALS AND METHODS: A cross sectional survey using a self-administered questionnaire was conducted among final year dental students from seventeen universities in Saudi Arabia. The questionnaire enquired about socio-demographic details and the ranking of three of their best preferences among the list of specialties/general dentistry and career options...
January 2017: Saudi Dental Journal
Jonathan M Fanaroff
Minor-aged patients are often brought to the pediatrician for nonurgent acute medical care, physical examinations, or health supervision visits by someone other than their legally authorized representative, which, in most situations, is a parent. These surrogates or proxies can be members of the child's extended family, such as a grandparent, adult sibling, or aunt/uncle; a noncustodial parent or stepparent in cases of divorce and remarriage; an adult who lives in the home but is not biologically or legally related to the child; or even a child care provider (eg, au pair, nanny, private-duty nurse/nurse's aide, group home supervisor)...
January 23, 2017: Pediatrics
Michele Levinson, Amber Mills, Jonathan Barrett, Gaya Sritharan, Anthea Gellie
Objective The aim of the present study was to understand the reasons for the delivery of non-beneficial cardiopulmonary resuscitation (CPR) attempts in a tertiary private hospital over 12 months. We determined doctors' expectations of survival after CPR for their patient, whether they had considered a not-for-resuscitation (NFR) order and the barriers to completion of NFR orders.Methods Anonymous questionnaires were sent to the doctors primarily responsible for a given patient's care in the hospital within 2 weeks of the unsuccessful CPR attempt...
December 16, 2016: Australian Health Review: a Publication of the Australian Hospital Association
Malvina Eydelman, Gene Hilmantel, Michelle E Tarver, Elizabeth M Hofmeister, Jeanine May, Keri Hammel, Ron D Hays, Frederick Ferris
Importance: Patient-reported outcomes should be collected using validated questionnaires prior to and following laser in situ keratomileusis (LASIK) surgery. Objective: To report the frequency of patient-reported visual symptoms, dry eye symptoms, satisfaction with vision, and satisfaction with LASIK surgery in the Patient-Reported Outcomes With LASIK (PROWL) studies. Design, Setting, and Participants: The PROWL-1 and PROWL-2 studies were prospective, observational studies conducted from September 13, 2011, to June 27, 2014...
January 1, 2017: JAMA Ophthalmology
Robyna Irshad Khan
Pakistan is a developing country of South East Asia, with all the incumbent difficulties currently being faced by the region. Insufficient public healthcare facilities, poorly regulated private health sector, low budgetary allocation for health, improper priority setting while allocating limited resources, have resulted essentially in an absence of palliative care from the healthcare scene. Almost 90% of healthcare expenditure is out of the patient's pocket with more than 45% of population living below the poverty line...
November 11, 2016: Indian Journal of Medical Ethics
Neeraj Nagpal
Physicians and Internists in India have tended to brush under the carpet legal issues affecting their profession. Of concern to all Physicians is the judgment in a recent case where the NCDRC has stated that if MD Medicine Physicians write Physician & Cardiologist on their letterhead it is Quackery. What is MD Medicine degree holder in India qualified and trained to treat ? These are issues which need debate and that can only be initiated once we recognize that there is a problem. Either an MD Medicine is a cardiologist or he is not...
February 2016: Journal of the Association of Physicians of India
Julia Hamonet-Torny
OPINION/FEEDBACK: INTRODUCTION: Despite of the politique for social inclusion leaded since the last decade, many specialized institutions for disabled children remained in France. This institutional field is varied and heterogenous, so difficult to understand from the exterior, particularly from the healthcare sector. The aim of this study was to evaluate the needs of the children accompanied within the Motor Education Institute of Couzeix in order to identify more precise indications to the placement...
September 2016: Annals of Physical and Rehabilitation Medicine
Brian R Edlin
Sound health policy puts patients first. Antiviral regimens approved in 2014 revolutionised treatment of hepatitis C virus (HCV) infection. Most patients can now be cured. These new regimens, however, were priced at US$83 320-150 000 for a 3-month course. Public and private payers in the USA responded by limiting coverage to patients with advanced fibrosis or cirrhosis, keeping the drugs from being used to prevent those stages. These restrictions defy medical guidelines, lack scientific justification, and undermine public health efforts to stem transmission...
September 2016: Lancet Infectious Diseases
İlknur Kahriman, Havva Öztürk
AIMS AND OBJECTIVES: The aim of this study was to determine whether the nurses committed medical errors and to identify the types of and reasons for the medical errors. BACKGROUND: Medical errors have recently emerged as a significant issue both in Turkey and around the world because they result in the death and disability of a number of people each year. DESIGN: This study was a descriptive study. METHOD: The study was conducted with 1092 nurses working at a university hospital, 12 public hospitals and a private hospital in Trabzon...
October 2016: Journal of Clinical Nursing
G M Grimsby, R Burgess, S Culver, B J Schlomer, M A Jacobs
INTRODUCTION: 'Transition' not only involves finding an adult healthcare provider, but also includes the process of developing the patient's ability to care for him/herself. Recent literature states that 40% of young adults with special healthcare needs are receiving the tools needed for transition. Pediatric urologists treating patients with complex anomalies, such as spina bifida, often anticipate poor outcomes for patients who are ill equipped for transition to adult care. The goal of this study was to identify potential barriers for young adults with neurogenic bladder when transitioning to independent care...
August 2016: Journal of Pediatric Urology
Brendan Parent
Recent debate on whether physicians should discuss gun ownership with their patients has centered on determining whether gun injuries are an issue of health or safety, and on protecting patient privacy. Yet, physicians' duties span personal health, public health, and safety spheres, and they often must address private patient matters. To prioritize gun safety and reduce gun injuries, the primary policy-driving question should be: will physician counseling on gun ownership effectively reduce gun-related injuries without interfering with the physician's other treatment obligations or compromising the physician-patient relationship? Existing data on physician-initiated conversations with patients about guns support a positive prevention effect...
October 2016: Journal of General Internal Medicine
Caroline M Angel
As part of the "Joining Forces" Initiative ("JFI"), the White House and nursing leaders announced nurses' commitment to recognize symptoms, provide care, and refer veterans and active duty military members for post-traumatic stress disorder ("PTSD"). The JFI is positioned to save lives through nursing education and raising PTSD awareness. Nurses should also be educated to recognize resilience (stable trajectory of healthy functioning across time following a traumatic event) and assess for post-traumatic growth ("PTG") (positive meaning making) alongside PTSD...
December 2016: Nurse Education Today
Laurent Letrilliart, Pauline Rigault-Fossier, Benoit Fossier, Nadir Kellou, Françoise Paumier, Christophe Bois, Stéphanie Polazzi, Anne-Marie Schott, Yves Zerbib
BACKGROUND: As the medicine practiced in hospital settings has become more specialized, training in primary care is becoming increasingly essential for medical students, especially for future general practitioners (GPs). Only a few limited studies have investigated the representativeness of medical practices delivering this training. The aim of this study was to assess the representativeness of French GP trainers in terms of socio-demographics, patients and activities. METHODS: We conducted a cross-sectional study covering all private GPs practicing in the Rhône-Alpes region of France in 2011...
April 27, 2016: BMC Medical Education
Anthony K Mbonye, Esther Buregyeya, Elizeus Rutebemberwa, Siân E Clarke, Sham Lal, Kristian S Hansen, Pascal Magnussen, Philip LaRussa
BACKGROUND: Malaria in pregnancy is a major public health problem in Uganda; and it is the leading cause of anaemia among pregnant women and low birth weight in infants. Previous studies have noted poor quality of care in the private sector. Thus there is need to explore ways of improving quality of care in the private sector that provides almost a half of health services in Uganda. METHODS: A survey was conducted from August to October 2014 within 57 parishes in Mukono district, central Uganda...
April 14, 2016: Malaria Journal
Jay G Berry, Matt Hall, Helene Dumas, Edwin Simpser, Kathleen Whitford, Karen M Wilson, Margaret O'Neill, Vineeta Mittal, Rishi Agrawal, Michael Dribbon, Christopher J Haines, Christine Traul, Michelle Marks, Jane O'Brien
IMPORTANCE: Acute care hospitals are challenged to provide efficient, high-quality care to children who have medically complex conditions and may require weeks or months for recovery. Although the use of home health care (HHC) and facility-based postacute care (PAC) after discharge is well documented for adults, to our knowledge, little is known for children. OBJECTIVE: To assess the national prevalence of, characteristics of children discharged to, and variation in use across states of HHC and PAC for children...
April 2016: JAMA Pediatrics
Nele Kettler, Regine Chenot, A Rainer Jordan
BACKGROUND: Statutory health insurance dentists working in private practice have a duty to maintain and improve the quality of dental care. An individual practice's approach to quality management (QM) can be made to reflect the practice's philosophy on quality and standards and can be adapted to the specific requirements of the practice setting they are meant to serve. This study set out to collect data on the subjective perceptions of quality that exist among German dentists, and to canvass their views on the process and benefits of implementing QM systems...
2015: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
George Hess, M Nils Peterson
Many global challenges, including obesity, health care costs, and climate change, could be addressed in part by increasing the use of bicycles for transportation. Concern about the safety of bicycling on roadways is frequently cited as a deterrent to increasing bicycle use in the USA. The use of effective signage along roadways might help alleviate these concerns by increasing knowledge about the rights and duties of bicyclists and motorists, ideally reducing crashes. We administered a web-based survey, using Twitter for recruitment, to examine how well three US traffic control devices communicated the message that bicyclists are permitted in the center of the travel lane and do not have to "get out of the way" to allow motorists to pass without changing lanes: "Bicycles May Use Full Lane" and "Share the Road" signage, and Shared Lane Markings on the pavement...
2015: PloS One
P Mucheto, F Makoni, L Mahachi, L Mahomva, T A Z Rusike, A Masiiwa, R Kumbawa
OBJECTIVE: To assess the role of Zimbabwean dental practitioners in Provider Initiated HIV Counseling and Testing (PITC). DESIGN: A cross-sectional analytic study was conducted. A structured interviewer administered questionnaire was used to collect data from participants. SETTING: Harare private and public dental practices. SUBJECTS: Forty dental practitioners practicing in Harare and two hundred and ninety three patients attending dental practices in Harare were interviewed...
September 2012: Central African Journal of Medicine
Marjan Beigi, Somaye Bahreini, Mahboubeh Valiani, Mojtaba Rahimi, Azar Danesh-Shahraki
BACKGROUND: Many maternal deaths caused are due to preventable causes during pregnancy and childbirth. Therefore, the detailed analysis of the root causes provides developing a plan and appropriate interventions to prevent these deaths occurring in the health system. This study aims to determine the causes of maternal mortality using root cause analysis (RCA) method. MATERIALS AND METHODS: This research is a descriptive explorative study. The data were collected from the files in the maternal health center and the interviews conducted with relevant personnel...
May 2015: Iranian Journal of Nursing and Midwifery Research
Hikmet Ismayilov, Shahin Qadimov, Kamil Muslumov, Khanbaba Huseynov, Fariz Babayev
OBJECTIVES: There is a saying that, to evaluate the level of medicine in a country, one should pay attention to its level of uronephrology service - specifically, the level of renal replacement therapy, hemodialysis, peritoneal dialysis, and transplant. With the increasing number of patients requiring renal replacement therapy, it is the utmost duty of modern medicine to structure and organize it. Since its establishment in 2000, MedServis Private Medical Centre has dedicated its main services to hemodialysis, renal replacement therapy, health care in other branches of medicine, follow-ups, and preparing patients for transplant...
April 2015: Experimental and Clinical Transplantation
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