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https://www.readbyqxmd.com/read/29161805/robot-assisted-radical-cystectomy-with-totally-intracorporeal-urinary-diversion-initial-single-surgeon-s-experience-after-a-modified-modular-training
#1
Angelo Porreca, Francesco Chessa, Daniele Romagnoli, Antonio Salvaggio, Angelo Cafarelli, Marco Borghesi, Lorenzo Bianchi, Matteo Dandrea, Daniele D'Agostino, Donato Dente, Emanuele Cappa, Peter Wiklund, Eugenio Brunocilla, Riccardo Schiavina
BACKGROUND: To report the perioperative and early functional outcomes of patients undergoing Robot-assisted radical cystectomy (RARC) with totally intracorporeal urinary diversion performed by a single surgeon after a modified modular training. METHODS: The surgeon (A.P.) attained a 30-days modified modular training at a referring Centre mentored by a worldwide-recognized robotic surgeon (P.W.). The training program consisted of: a) e-learning based on 10 hours of theoretical lessons made by the mentor; b) video-session concerning the different steps of the procedure, c) step-by-step in vivo modular training...
November 21, 2017: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
https://www.readbyqxmd.com/read/29161715/management-of-biochemical-recurrence-after-primary-curative-treatment-for-prostate-cancer-a-review
#2
Walter Artibani, Antonio Benito Porcaro, Vincenzo De Marco, Maria A Cerruto, Salvatore Siracusano
How to manage patients with prostate cancer (PCa) with biochemical recurrence (BCR) following primary curative treatment is a controversial issue. Importantly, this prostate-specific antigen (PSA)-only recurrence is a surrogate neither of PCa-specific survival nor of overall survival. Physicians are therefore challenged with preventing or delaying the onset of clinical progression in those deemed at risk, while avoiding over-treating patients whose disease may never progress beyond PSA-only recurrence. Adjuvant therapy for radical prostatectomy (RP) or local radiotherapy (RT) has a role in certain at-risk patients, although it is not recommended in low-risk PCa owing to the significant side-effects associated with RT and androgen deprivation therapy (ADT)...
November 21, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/29161399/global-lessons-developing-military-trauma-care-and-lessons-for-civilian-practice
#3
T Woolley, J A Round, M Ingram
The wars in Iraq and Afghanistan have helped to shape the modern Defence Medical Services. Many lessons were learnt including the need for rapid haemorrhage control, senior decision-making and the evolution of deployed transfusion support. These changes were implemented simultaneously with a coherent, end-to-end medical plan from point of wounding through to rehabilitation. Implementation of the medical plan is harmonious with the NHS trauma pathway, and is key to ensuring effective delivery. Military anaesthetists have a long pre-deployment training pathway starting with a Certificate of Completion of Training (CCT) in anaesthesia and/or critical care, and with an emphasis on military skills related to their specific role...
December 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29161397/abdominal-aortic-aneurysm-repair-in-the-united-kingdom-an-exemplar-for-the-role-of-anaesthetists-in-perioperative-medicine
#4
S J Howell
The past two decades have seen an increasing recognition that the delivery of safe surgery with low complication rates and good long-term outcomes is a team endeavour embracing the whole patient care pathway. The key role of the anaesthetist in managing the patient through the surgical process is widely understood and has driven the emergence of perioperative medicine. In parallel with these developments there has been a sea change in the organisation of the care of patients presenting for elective abdominal aortic aneurysm (AAA) repair...
December 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29161394/managing-anaesthetic-provision-for-global-disasters
#5
R M Craven
The numbers of people affected by large-scale disasters has increased in recent decades. Disasters produce a huge burden of surgical morbidity at a time when the affected country is least able to respond. For this reason an international disaster response is often required. For many years this disaster response was not coordinated. The response consisted of what was available not what was needed and standards of care varied widely producing a healthcare lottery for the affected population. In recent years the World Health organisation has initiated the Emergency Medical Team programme to coordinate the response to disasters and set minimum standards for responding teams...
December 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29161256/hiv-pre-exposure-prophylaxis-and-early-antiretroviral-treatment-among-female-sex-workers-in-south-africa-results-from-a-prospective-observational-demonstration-project
#6
Robyn Eakle, Gabriela B Gomez, Niven Naicker, Rutendo Bothma, Judie Mbogua, Maria A Cabrera Escobar, Elaine Saayman, Michelle Moorhouse, W D Francois Venter, Helen Rees
BACKGROUND: Operational research is required to design delivery of pre-exposure prophylaxis (PrEP) and early antiretroviral treatment (ART). This paper presents the primary analysis of programmatic data, as well as demographic, behavioural, and clinical data, from the TAPS Demonstration Project, which offered both interventions to female sex workers (FSWs) at 2 urban clinic sites in South Africa. METHODS AND FINDINGS: The TAPS study was conducted between 30 March 2015 and 30 June 2017, with the enrolment period ending on 31 July 2016...
November 2017: PLoS Medicine
https://www.readbyqxmd.com/read/29161225/from-sexual-desire-discrepancies-to-desirable-sex-creating-the-optimal-connection
#7
Peggy J Kleinplatz, Maxime Charest, Shannon Lawless, Marlene Neufeld, Robert Neufeld, Danielle Pratt, A Dana Ménard, Bogdan Buduru, Lianne Rosen
Beginning in 2005, our team conducted a series of studies on optimal sexual experiences. We have applied our findings to develop a group therapy intervention for couples presenting with low sexual desire/frequency and sexual desire discrepancy. The goal was to improve the quality of erotic intimacy by focusing on such elements as being fully embodied during sex, increasing authenticity, trustworthiness and vulnerability. Twenty-eight heterosexual individuals (14 couples) were seen in 16 hours of couples group therapy...
November 21, 2017: Journal of Sex & Marital Therapy
https://www.readbyqxmd.com/read/29161164/health-science-students-attitudes-towards-healthcare-teams-a-comparison-between-two-universities
#8
Takatoshi Makino, Bumsuk Lee, Hiroki Matsui, Yoshiharu Tokita, Hiromitsu Shinozaki, Shiomi Kanaizumi, Yumiko Abe, Takayuki Saitoh, Fusae Tozato, Ayako Igarashi, Mika Sato, Shigeki Ohtake, Noriko Tabuchi, Michiko Inagaki, Akinori Kama, Hideomi Watanabe
There have been few studies comparing the attitudes towards healthcare teams between different universities. This study analysed the differences in attitudes towards healthcare teams between health science students at Gunma University, Japan, which implements a comprehensive interprofessional education (IPE) programme, and Kanazawa University, a similar national university. Study populations were first- and third-year students at the Gunma University School of Health Sciences and the Kanazawa University School of Health Sciences...
November 21, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29160826/the-communication-awareness-relationships-and-empowerment-c-a-r-e-model-an-effective-tool-for-engaging-urban-communities-in-community-based-participatory-research
#9
Joniqua Ceasar, Marlene H Peters-Lawrence, Valerie Mitchell, Tiffany M Powell-Wiley
Little is known about recruitment methods for racial/ethnic minority populations from resource-limited areas for community-based health and needs assessments, particularly assessments that incorporate mobile health (mHealth) technology for characterizing physical activity and dietary intake. We examined whether the Communication, Awareness, Relationships and Empowerment (C.A.R.E.) model could reduce challenges recruiting and retaining participants from faith-based organizations in predominantly African American Washington, D...
November 21, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29160680/don-t-fear-conflict-within-your-team
#10
(no author information available yet)
No abstract text is available yet for this article.
November 2017: Family Practice Management
https://www.readbyqxmd.com/read/29160599/models-of-care-for-chronic-kidney-disease-a-systematic-review
#11
REVIEW
Ruairidh Nicoll, Lynn Robertson, Elliot Gemmell, Pawana Sharma, Corri Black, Angharad Marks
Chronic kidney disease (CKD) is common and presents an increasing burden to patients and health services. However, the optimal model of care for patients with CKD is unclear. We systematically reviewed the clinical effectiveness of different models of care for the management of CKD. A comprehensive search of eight databases was undertaken for articles published from 1992 to 2016. We included randomised controlled trials which assessed any model of care in the management of adults with pre-dialysis CKD, reporting renal, cardiovascular, mortality and other outcomes...
November 21, 2017: Nephrology
https://www.readbyqxmd.com/read/29160493/neonatal-appendicitis-a-survival-case-study
#12
Izabela Linha Secco, Taine Costa, Etiene Letícia Leone de Moraes, Márcia Helena de Souza Freire, Mitzy Tannia Reichembach Danski, Regina Paula Guimarães Vieira Cavalcante
OBJECTIVE: To report a case of neonatal appendicitis in a children's hospital in southern Brazil, demonstrating the impact on neonatal survival. METHOD: Case study with data collection from medical records, approved by the Institution and Ethics Committee for Research with Human Beings. RESULTS: The clinical picture is initially characterized by food intolerance, evolving to hypoactivity, alteration of vital signs and septicemia due to intestinal perforation...
November 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29160490/care-management-and-nursing-governance-in-a-maternity-ward-grounded-theory
#13
Fernanda Hannah da Silva Copelli, Roberta Juliane Tono de Oliveira, José Luís Guedes Dos Santos, Aline Lima Pestana Magalhães, Vitória Regina Petters Gregório, Alacoque Lorenzini Erdmann
ETJECTIVE: To understand the care management strategies used by nurses in the governance of nursing practice in a maternity ward. METHOD: Qualitative study based on grounded theory conducted with 27 participants, partitioned into four sample groups. The data were collected through semi-structured interviews and analyzed through open, axial, and selective coding. RESULT: The care management strategies used by the nurses were: planning professional practice, leading the nursing team, search for scientific knowledge, and training inthe best practices in obstetric care...
November 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29160488/profile-of-intimate-partner-violence-in-family-health-units
#14
Ricardo de Mattos Russo Rafael, Anna Tereza Miranda Soares de Moura, Jeane Marques Cunha Tavares, Renata Evelin Moreno Ferreira, Glauce Gomes da Silva Camilo, Mercedes Neto
OBJECTIVE: To estimate the profile of intimate partner violence involving women in a scenario of Family Health Strategy in the municipality of Nova Iguaçu (Rio de Janeiro). METHOD: A transversal study was conducted in four units with a sample of 640 women between the ages of 25 to 64. The phenomena of violence was determined using the tool Revised Conflict Tactics Scales, validated for Brazil. Statistical analysis took into consideration an estimation of prevalence in the calculation of the p values...
November 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29160487/educational-practices-of-nursing-in-the-puerperium-social-representations-of-puerperal-mothers
#15
Hilana Dayana Dodou, Tamires Daianny Araújo de Oliveira, Mônica Oliveira Batista Oriá, Dafne Paiva Rodrigues, Patrícia Neyva da Costa Pinheiro, Izaildo Tavares Luna
OBJECTIVE: To understand the social representations of puerperal women regarding the contents of the educational practices carried out by nursing in the puerperium. METHOD: Descriptive and qualitative study, carried out from June to September 2014, in Fortaleza, Ceará State, Brazil. Nineteen puerperal women were administered a semi-structured interview. The Theory of Social Representations was used as a theoretical reference. Lexical analysis was performed with ALCESTE (version 2012) software...
November 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29160481/stimulus-response-time-to-alarms-of-the-intra-aortic-balloon-pump-safe-care-practices
#16
Andrezza Serpa Franco, Adriana Carla Bridi, Monica de Almeida Karam, Ana Paula Amorim Moreira, Karla Biancha Silva de Andrade, Roberto Carlos Lyra da Silva
OBJECTIVE: To characterize the sound alarms of the Intra-Aortic Balloon Pump (IABP) during aortic counterpulsation therapy; to measure the stimulus-response time of the team to these; and to discuss the implications of increasing this time for patient safety from the alarm fatigue perspective. METHOD: This is an observational and descriptive study with quantitative and qualitative approach, case study type, carried out in a Cardiac Surgical Intensive Care Unit. RESULTS: The most audible IABP alarm was the one of high priority increased-reduced diastolic blood pressure...
November 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29160454/pharmaceutical-care-in-brazil-s-primary-health-care
#17
Patricia Sodré Araújo, Ediná Alves Costa, Augusto Afonso Guerra, Francisco de Assis Acurcio, Ione Aquemi Guibu, Juliana Álvares, Karen Sarmento Costa, Margô Gomes de Oliveira Karnikowski, Orlando Mario Soeiro, Silvana Nair Leite
OBJECTIVE: To characterize the activities of clinical nature developed by pharmacists in basic health units and their participation in educational activities aiming at health promotion. METHODS: This article is part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos - Serviços, 2015 (PNAUM - National Survey on Access, Use and Promotion of Rational Use of Medicines - Services, 2015), a cross-sectional and exploratory study, of evaluative nature, consisting of a survey of information in a representative sample of cities, stratified by the Brazilian regions that constitute domains of study, and a subsample of primary health care services...
November 13, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/29160167/an-innovative-long-final-year-assistantship-in-general-practice-description-and-evaluation
#18
Robert K McKinley, M Bartlett, S P Gay, S Gibson, A Panesar, M Webb
We describe and evaluate an innovative immersive 15 week final year assistantship in general practice. Evaluation data was taken from five years of routinely collected School data and available national comparative data. The assistantship aims to enable students to consolidate knowledge and hone their skills through central participation in the care of large numbers of patients with acute and long term conditions. We estimate that most students consulted with over 450 patients during the assistantship. Students report that they became useful to their practice teams, had multiple episodes of feedback on their performance which they found useful and, in the school exit survey, reported that they were highly prepared for practice...
November 21, 2017: Education for Primary Care
https://www.readbyqxmd.com/read/29160166/scope-of-practice-and-supervision-of-orthodontic-therapists-in-the-united-kingdom-part-2-a-national-cross-sectional-survey-of-orthodontists
#19
Charlotte A Dugdale, Farooq Ahmed, David Waring, Ovais H Malik
OBJECTIVE: Since the introduction of orthodontic therapists (OTs), there has been little research on the scope of practice and the level of supervision they receive. This study investigates how OTs are being utilised and supervised, and how this compares with current recommendations. METHODS AND PARTICIPANTS: A postal cross-sectional survey was mailed to all UK General Dental Council (GDC) registered specialist orthodontists. RESULTS: A 59...
November 21, 2017: Journal of Orthodontics
https://www.readbyqxmd.com/read/29160089/a-comparison-of-multi-component-systems-approaches-to-suicide-prevention
#20
Simon Te Baker, Jennifer Nicholas, Fiona Shand, Rachel Green, Helen Christensen
OBJECTIVE: To describe the new Australian approach to suicide prevention, LifeSpan, and compare it to other multi-component intervention models. METHOD: The components, implementation strategies and effectiveness of three multi-component intervention models are described and compared in a narrative review. RESULTS: The LifeSpan, European Alliance Against Depression (EAAD), and Zero Suicide models emphasise the provision of evidence-based interventions and continuity of care...
November 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
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