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https://www.readbyqxmd.com/read/28091758/-deaths-from-propofol-abuse-survey-of-institutes-of-forensic-medicine-in-germany-austria-and-switzerland
#1
C Maier, J Iwunna, M Tsokos, F Mußhoff
Previous references suggesting a high mortality of propofol addiction in medical personnel were mostly based on surveys of the heads of medical departments or case reports; therefore, a questionnaire was sent to 48 forensic medicine departments in Germany, Austria and Switzerland concerning the number of autopsies carried out between 2002-2112 on medical personnel with the suspicion of abuse of propofol or other analgesics. The response rate was 67%. In 16 out of the 32 responding departments 39 deaths (27 males) were observed with previous connections to anesthesiology, intensive care or emergency departments of which 22 were physicians, 13 nurses, 2 other personnel and 2 were unknown...
January 13, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28056457/personalised-medicine-a-new-approach-to-improving-health-in-indigenous-australian-populations
#2
Kym M Rae, Steve Grimson, Kirsty G Pringle
Personalised medicine is a newly emerging field with much to offer to all populations in improved clinical treatment options. Since the 1970s, clinicians and researchers have all been working towards improving the health of Indigenous Australians. However, there has been little research on the impact of genetics on Indigenous health, how genetic and environmental factors interact to contribute to poor health in Indigenous people, and how genetic factors specific to Indigenous people affect their responses to particular treatments...
January 6, 2017: Public Health Genomics
https://www.readbyqxmd.com/read/28049673/dental-students-reflections-on-quality-of-periodontal-care-in-dental-school-clinics
#3
Sangeetha Chandrasekaran, Charles Powell, Laurice De la Rosa, Anuj Mittal, Lonnie Johnson
The aim of this study was to analyze dental students' descriptions of and reflections on the periodontal care they provided for their patients in dental school clinics. All students enrolled in the final year of the DDS program in 2011-14 at the University of Colorado School of Dental Medicine were required to complete a self-assessment of the periodontal care they provided for patients. Assessments from 263 students were compiled and qualitatively analyzed. The key reasons given for not providing good care were identified and then stratified as student/school-dependent or patient-dependent factors...
January 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28028269/-promoting-appropriate-pharmacotherapy-for-home-care-patients-coordination-between-regional-comprehensive-support-centers-and-pharmacies
#4
Yasunori Ohno, Takashi Heima, Takao Ishikawa, Tomoko Kuramitsu, Hitomi Yamakage, Masayoshi Hirohara, Kazuki Kushida
Japan is rapidly developing into an aged society, and its construction of a regional comprehensive care system is urgently needed for the baby boomer generation, who will reach 75 years of age in 2025. As part of providing medical care and longterm caregiving in a regional comprehensive care system, ordinary citizens will be supported in their local neighborhoods by multidisciplinary care, team medicine, and information sharing. However, pharmacists visit only once or twice per month; therefore, it can be difficult for them to grasp the overall status of patients' lifestyles...
December 2016: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/27974919/brief-report-serial-capillary-lactate-measurement-predict-the-evolution-of-early-sepsis
#5
REVIEW
A Purcarea, A Bourgarit, A Sovaila, C Ghiura, P Diemunsch, E Andres
OBJECTIVE: In intensive care settings, blood lactate level measurement proved to be an excellent predictor of outcomes. In patients requiring less urgent treatment, the arterial blood lactate is less sensitive and its usefulness remains to be proven. Capillary blood lactate dosing, an emergent point-of-care technique readily available should be more sensitive to changes in these settings. METHOD: prospective, observational, monocentric study conducted in a polyvalent internal medicine ward in a French University Hospital...
January 2016: Journal of Medicine and Life
https://www.readbyqxmd.com/read/27955991/antibiotic-prescription-patterns-for-upper-respiratory-tract-infections-in-the-outpatient-qatari-population-in-the-private-sector
#6
Adeel Ajwad Butt, Cristina S Navasero, Bright Thomas, Salih Al Marri, Huda Al Katheeri, Asmaa Al Thani, Abdullatif Al Khal, Tasnim Khan, Abdul-Badi Abou-Samra
BACKGROUND: Antibiotics are often inappropriately prescribed for upper respiratory tract infections (URTIs) in developed countries. Data on the proportion of inappropriate prescriptions are lacking from the Middle East and other developing countries. METHODS: Health insurance claims for all antibiotics prescribed for URTIs in the private sector in the State of Qatar between May 2014 and December 2015 were retrieved. During the study period, health insurance was limited to Qatari nationals...
December 9, 2016: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/27903834/saliva-diagnostics-current-views-and-directions
#7
Karolina Elżbieta Kaczor-Urbanowicz, Carmen Martin Carreras-Presas, Katri Aro, Michael Tu, Franklin Garcia-Godoy, David Tw Wong
In this review, we provide an update on the current and future applications of saliva for diagnostic purposes. There are many advantages of using saliva as a biofluid. Its collection is fast, easy, inexpensive, and non-invasive. In addition, saliva, as a "mirror of the body," can reflect the physiological and pathological state of the body. Therefore, it serves as a diagnostic and monitoring tool in many fields of science such as medicine, dentistry, and pharmacotherapy. Introduced in 2008, the term "Salivaomics" aimed to highlight the rapid development of knowledge about various "omics" constituents of saliva, including: proteome, transcriptome, micro-RNA, metabolome, and microbiome...
November 29, 2016: Experimental Biology and Medicine
https://www.readbyqxmd.com/read/27894308/capacity-evaluation-for-general-practitioners-in-pudong-new-area-of-shanghai-an-empirical-study
#8
Ming Li, Zhiqun Shu, Xuan Huang, Zhaohui Du, Jun Wu, Qingshi Xia, Kun Liu, Jiquan Lou, Limei Jing
BACKGROUND: Building highly qualified General Practitioners (GPs) is key to the development of primary health care. It's therefore urgent to ensure the GPs' quality service under the background of the new round of health care system reforms in China. A new model of GP qualification examination was originally implemented in Pudong New Area of Shanghai, China, which aimed to empirically evaluate the GPs' capability in terms of clinical performance and social recognition. In the current study, an analysis was made of the first two years (2014-2015) of such theoretical and practical examinations on the GPs there with a view to getting a deep insight into the GP community so as to identify the barriers to such a form of GP qualification examination...
November 28, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27873083/the-cost-and-threshold-analysis-of-retention-in-care-ric-a-multi-site-national-hiv-care-program
#9
Catherine Maulsby, Kriti M Jain, Brian W Weir, Blessing Enobun, Maura Riordan, Vignetta E Charles, David R Holtgrave
Persons diagnosed with HIV but not retained in HIV medical care accounted for the majority of HIV transmissions in 2009 in the United States (US). There is an urgent need to implement and disseminate HIV retention in care programs; however little is known about the costs associated with implementing retention in care programs. We assessed the costs and cost-saving thresholds for seven Retention in Care (RiC) programs implemented in the US using standard methods recommended by the US Panel on Cost-effectiveness in Health and Medicine...
November 21, 2016: AIDS and Behavior
https://www.readbyqxmd.com/read/27855773/email-communication-in-a-developing-country-different-family-physician-and-patient-perspectives
#10
Nisrine N Makarem, Jumana Antoun
BACKGROUND: Email communication between physicians and patients could improve access to and delivery of health care. Most of the literature studies about email communication between physicians and patients have been conducted in developing countries. Therefore, this study aims to analyze the practices, attitudes, and barriers of both physicians' and patients' use of email within the same health care setting of a developing country. METHODS: A cross-sectional paper-based survey was conducted among 39 physicians and 500 patients at the Family Medicine clinics of the American University of Beirut, a tertiary academic medical center...
2016: Libyan Journal of Medicine
https://www.readbyqxmd.com/read/27829651/professional-competencies-of-cuban-specialists-in-intensive-care-and-emergency-medicine
#11
Pedro L Véliz-Martínez, Ana R Jorna-Calixto, René Oramas-González
INTRODUCTION The quality of medical training and practice reflects the competency level of the professionals involved. The intensive care and emergency medicine specialty in Cuba has not defined its competencies. OBJECTIVE Identify the competencies required for specialty practice in intensive care and emergency medicine. METHODS The study was conducted from January 2014 to December 2015, using qualitative techniques; 48 professionals participated. We undertook functional occupational analysis, based on functions defined in a previous study...
October 2016: MEDICC Review
https://www.readbyqxmd.com/read/27824309/-personalized-medicine-in-psychiatry-nightmare-of-the-industry
#12
Judit Lazary, Monika Elemery, Iren Csala, Gabor Faludi
Personalized medicine is a hot topic in the literature of the psychiatric field but it seems that regular clinical application of valid tests are awaited. Urgent requirement of objective tools for screening high-risk patients is postulated by prominent authors because long-term set up time, serious side effects or ineffectiveness of psychiatric agents mean a great challenge for clinicians to find optimal therapy on time. Unwanted suffering from inaccurate medicine, progression of the disorder and mistrust or in adherence of the patients are dramatic consequences of the delay of adequate therapy which is linked with irreversible health and mental damages and financial loss...
September 2016: Neuropsychopharmacologia Hungarica
https://www.readbyqxmd.com/read/27793759/objective-measurement-of-free-living-physical-activity-performance-in-lumbar-spinal-stenosis-are-physical-activity-guidelines-being-met
#13
Justin Norden, Matthew Smuck, Aman Sinha, Richard Hu, Christy Tomkins-Lane
BACKGROUND: Research suggests that people with lumbar spinal stenosis (LSS) would benefit from increased physical activity. Yet, to date, we do not have disease-specific activity guidelines for LSS, and the nature of free-living physical activity (performance) in LSS remains unknown. LSS care providers could endorse the 2008 United States Physical Activity Guidelines; however, we do not know if this is realistic. The goal of the present study was to determine the proportion of individuals with LSS meeting the 2008 Guidelines...
January 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27776575/understanding-the-use-of-emergency-department-and-urgent-care-services-by-diabetic-patients-of-a-family-medicine-health-team-a-retrospective-observational-study
#14
Matthew Ward
: Aim To understand the frequency, urgency, and rationale of emergency department and urgent care (ED/UC) use by diabetic patients of a Family Medicine Health Team (FHT). METHODS: A retrospective, observational study with comparison control groups was conducted from 1 January 2013 to 31 December 2014. A total of 693 diabetic patients were compared with two, age-standardized non-diabetic groups: one with a higher disease burden based on International Classification of Diseases 9 diagnoses and the other from a randomized patient pool...
October 25, 2016: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/27776512/complementary-and-alternative-medicine-cam-as-part-of-primary-health-care-in-germany-comparison-of-patients-consulting-general-practitioners-and-cam-practitioners-a-cross-sectional-study
#15
Katja Krug, Katharina I Kraus, Kathrin Herrmann, Stefanie Joos
BACKGROUND: In Germany, complementary and alternative medicine (CAM) in primary health care is offered by general practitioners (GPs) and by natural health practitioners, so called 'Heilpraktiker' (HPs). Considering the steadily growing number of unregulated HPs, the aim of the study was to assess characteristics of patients consulting HPs in comparison to patients consulting GPs. METHODS: In a cross-sectional study, patients of randomly selected GPs and HPs were asked to complete a questionnaire about their health care status, health care behavior, and symptoms rated on the Measure Yourself Medical Outcome Profile (MYMOP-D)...
October 24, 2016: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/27739018/community-based-art-programs-sustaining-adherence-and-follow-up
#16
REVIEW
Joia S Mukherjee, Danika Barry, Robert D Weatherford, Ishaan K Desai, Paul E Farmer
The advent of antiretroviral therapy (ART) in 1996 brought with it an urgent need to develop models of health care delivery that could enable its effective and equitable delivery, especially to patients living in poverty. Community-based care, which stretches from patient homes and communities-where chronic infectious diseases are often best managed-to modern health centers and hospitals, offers such a model, providing access to proximate HIV care and minimizing structural barriers to retention. We first review the recent literature on community-based ART programs in low- and low-to-middle-income country settings and document two key principles that guide effective programs: decentralization of ART services and long-term retention of patients in care...
December 2016: Current HIV/AIDS Reports
https://www.readbyqxmd.com/read/27738922/a-short-review-of-drug-food-interactions-of-medicines-treating-overactive-bladder-syndrome
#17
Paweł Paśko, Tomasz Rodacki, Renata Domagała-Rodacka, Danuta Owczarek
Background Overactive bladder syndrome is a condition where one or more of the symptoms such as pollakiuria, urgent need to urinate, nocturia and urinary incontinence is observed. Its prevalence ranges between 7 and 27 % in men and 9-43 % in women. The role of a pharmacist is to educate the patient on medications administration scheme, and drug interactions with particular food or food components. Aim of the review To assess a potential impact of food and fruit juice on the pharmacokinetic and therapeutic effects of medications used in treating overactive bladder syndrome...
December 2016: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/27732785/noninvasive-prenatal-dna-testing-the-vanguard-of-genomic-medicine
#18
Lisa Hui, Diana W Bianchi
Noninvasive prenatal DNA testing is the vanguard of genomic medicine. In only four years, this screening test has revolutionized prenatal care globally and opened up new prospects for personalized medicine for the fetus. There are widespread implications for increasing the scope of human genetic variation that can be detected before birth, and for discovering more about maternofetal and placental biology. These include an urgent need to develop pretest education for all pregnant women and consistent post-test management recommendations for those with discordant test results...
January 14, 2017: Annual Review of Medicine
https://www.readbyqxmd.com/read/27695316/what-else-should-we-know-about-experiencing-copd-a-narrative-review-in-search-of-patients-psychological-burden-alleviation
#19
Marta Rzadkiewicz, Ola Bråtas, Geir Arild Espnes
The present paper is a narrative review focusing on the psychological impact, identification of protective factors, and interventions minimizing the psychological burdens of chronic obstructive pulmonary disease (COPD). The research reviews studies on neurocognitive functions, personality, emotional problems, and health-related quality of life. This is done with regard to resources as well as activities enabling or enhancing a patient's adaptation. PubMed and PsychArticles databases were searched for relevant medical (eg, CODP, emphysema), psychopathology (eg, depression), and psychological (eg, personality) keywords, followed by hand search...
2016: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/27694072/inter-regional-medical-cooperation-in-the-caribbean%C3%A2-a-major-asset-for-the-influence-of-the-french-medicine
#20
D Resiere
Martinique was accepted as an associate member by the Council of Ministers of the Organization of Eastern Caribbean State since February 2015. This membership constitutes a major asset in bringing Martiniquais closer to the other Caribbean populations and should play a key role as it relates to regional cooperation especially in the domain of healthcare. Martinique and several Caribbean countries share common health issues such as; dengue, chikungunya virus, Zika Virus leptospirosis, snakebite, severe cardiovascular diseases (CVD), HTLV-1, sickle cell diseases and so on...
August 1, 2016: Médecine et Santé Tropicales
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