keyword
https://read.qxmd.com/read/38523064/physicians-know-thy-patient
#21
JOURNAL ARTICLE
Isaac Ks Ng
Person-centered care is presently the standard healthcare model, which emphases shared clinical decision-making, patient autonomy and empowerment. However, many aspects of the modern-day clinical practice such as the increased reliance on medical technologies, artificial intelligence, and teleconsultation have significantly altered the quality of patient-physician communications. Moreover, many countries are facing an aging population with longer life expectancies but increasingly complex medical comorbidities, which, coupled with medical subspecialization and competing health systems, often lead to fragmentation of clinical care...
March 24, 2024: Journal of the Royal College of Physicians of Edinburgh
https://read.qxmd.com/read/38522976/nomogram-for-personalized-prognostic-assessment-of-children-with-favorable-histology-wilms-tumor-a-retrospective-analysis
#22
JOURNAL ARTICLE
Zihong Wang, Jiayi Li, Pei Liu, Xianghui Xie, Hongcheng Song, Weiping Zhang
OBJECTIVE: This retrospective study aimed to construct and validate a nomogram for personalized prognostic assessment of favorable histology Wilms tumor (FHWT) based on clinical and pathological variables. METHODS AND MATERIALS: This was a retrospective study collected data from patients who underwent surgery for FHWT between March 2007 and November 2022 at Beijing Children's Hospital. Univariate and multivariate Cox proportional hazards regression analyses were conducted to determine the significance variables and constructed the nomogram in predicting event-free survival (EFS) in FHWT patients...
March 23, 2024: Urologic Oncology
https://read.qxmd.com/read/38522125/new-technology-psychiatry-and-the-law-panic-prudence-possibility
#23
JOURNAL ARTICLE
Brendan D Kelly
Throughout human history, all new technology has been met with surprise, anxiety, panic, and - eventually - prudent adoption of certain aspects of specific technological advances. This pattern is evident in the histories of most technologies, ranging from steam power in the nineteenth century, to television in the twentieth century, and - now - 'artificial intelligence' (AI) in the twenty-first century. Each generation believes that the technological advances of its era are quantitatively and qualitatively different to those of previous generations, but the underlying phenomenon is the same: the shock of the new, followed by more gradual adjustment to (and of) new technology...
March 23, 2024: International Journal of Law and Psychiatry
https://read.qxmd.com/read/38521660/longitudinal-tumor-informed-circulating-tumor-dna-status-predicts-disease-upstaging-and-poor-prognosis-for-patients-undergoing-radical-cystectomy
#24
JOURNAL ARTICLE
Reuben Ben-David, Neeraja Tillu, Shivaram Cumarasamy, Parissa Alerasool, Jordan M Rich, Basil Kaufmann, Yuval Elkun, Kyrollis Attalla, Reza Mehrazin, Peter Wiklund, John P Sfakianos
BACKGROUND AND OBJECTIVE: Decision-making on the use of neoadjuvant and adjuvant treatment for patients with bladder cancer undergoing radical cystectomy (RC) currently depends on assessment of clinical and pathological features, which lack sensitivity. Circulating tumor DNA (ctDNA) has emerged as a possible novel prognostic biomarker in the field. Our aim was to assess whether ctDNA status before RC is predictive of pathological and oncological outcomes. We also evaluated the dynamic changes in ctDNA status after RC in relation to recurrence-free survival (RFS)...
March 22, 2024: European Urology Oncology
https://read.qxmd.com/read/38520934/a-numerical-study-on-the-siphonic-effect-of-enhanced-external-counterpulsation-at-lower-extremities-with-a-coupled-0d-1d-closed-loop-personalized-hemodynamics-model
#25
JOURNAL ARTICLE
Qi Zhang, Ya-Hui Zhang, Li-Ling Hao, Xuan-Hao Xu, Gui-Fu Wu, Ling Lin, Xiu-Li Xu, Lin Qi, Shuai Tian
Enhanced external counterpulsation (EECP) is a treatment and rehabilitation approach for ischemic diseases, including coronary artery disease. Its therapeutic benefits are primarily attributed to the improved blood circulation achieved through sequential mechanical compression of the lower extremities. However, despite the crucial role that hemodynamic effects in the lower extremity arteries play in determining the effectiveness of EECP treatment, most studies have focused on the diastole phase and ignored the systolic phase...
March 19, 2024: Journal of Biomechanics
https://read.qxmd.com/read/38520571/adjuvant-re-irradiation-vs-no-early-re-irradiation-of-resected-recurrent-glioblastoma-pooled-comparative-cohort-analysis-from-two-tertiary-centers
#26
JOURNAL ARTICLE
Christoph Straube, Stephanie E Combs, Denise Bernhardt, Jens Gempt, Bernhard Meyer, Claus Zimmer, Friederike Schmidt-Graf, Peter Vajkoczy, Arne Grün, Felix Ehret, Daniel Zips, David Kaul
BACKGROUND: The optimal management strategy for recurrent glioblastoma (rGBM) remains uncertain, and the impact of re-irradiation (Re-RT) on overall survival (OS) is still a matter of debate. This study included patients who achieved gross total resection (GTR) after a second surgery after recurrence, following the GlioCave criteria. METHODS: Inclusion criteria include being 18 years or older, having histologically confirmed locally recurrent IDHwt or IDH unknown GBM, achieving MRI-proven GTR after the second surgery, having a Karnofsky performance status of at least 60% after the second surgery, having a minimum interval of 6 months between the first radiotherapy and the second surgery, and a maximum of 8 weeks from second surgery to the start of Re-RT...
March 23, 2024: Journal of Neuro-oncology
https://read.qxmd.com/read/38520497/-we-want-to-change-the-system-a-qualitative-study-on-emergency-medicine-physician-leadership
#27
JOURNAL ARTICLE
J Stempien, M Gibson, A Harrison
OBJECTIVE: The significance of physician leadership to help transform the healthcare system has been increasingly discussed. This study looked at the qualities of emergency medicine (EM) physicians that support or inhibit their work as healthcare leaders. METHODS: Through an iterative process of semi-structured interviews and then focus groups, we examined why EM physicians pursue leadership roles, the strengths they bring and the frustrations they encounter. Thematic analysis identified factors that facilitate and inhibit the work of EM physicians as they enter leadership roles...
March 23, 2024: CJEM
https://read.qxmd.com/read/38520171/effect-of-a-person-centred-goals-of-care-form-and-clinical-communication-training-on-shared-decision-making-and-outcomes-in-an-acute-hospital-a-prospective-longitudinal-interventional-study
#28
JOURNAL ARTICLE
Andrew P Tierney, Sharyn Milnes, Anita Phillips, Nicholas Simpson, Michael Bailey, Charlie Corke, Neil R Orford
BACKGROUND: Patients with a life-limiting illness (LLI) requiring hospitalisation have a high likelihood of deterioration and 12-month mortality. To avoid non-aligned care, we need to understand our patients' goals and values. AIM: To describe the association between the implementation of a shared decision-making (SDM) programme and documentation of goals of care (GoC) for hospitalised patients with LLI. METHODS: A prospective longitudinal interventional study of patients admitted to acute general medicine wards in an Australian tertiary hospital over 5 years was conducted...
March 23, 2024: Internal Medicine Journal
https://read.qxmd.com/read/38519947/machine-learning-models-for-predicting-the-onset-of-chronic-kidney-disease-after-surgery-in-patients-with-renal-cell-carcinoma
#29
JOURNAL ARTICLE
Seol Whan Oh, Seok-Soo Byun, Jung Kwon Kim, Chang Wook Jeong, Cheol Kwak, Eu Chang Hwang, Seok Ho Kang, Jinsoo Chung, Yong-June Kim, Yun-Sok Ha, Sung-Hoo Hong
BACKGROUND: Patients with renal cell carcinoma (RCC) have an elevated risk of chronic kidney disease (CKD) following nephrectomy. Therefore, continuous monitoring and subsequent interventions are necessary. It is recommended to evaluate renal function postoperatively. Therefore, a tool to predict CKD onset is essential for postoperative follow-up and management. METHODS: We constructed a cohort using data from eight tertiary hospitals from the Korean Renal Cell Carcinoma (KORCC) database...
March 22, 2024: BMC Medical Informatics and Decision Making
https://read.qxmd.com/read/38517461/low-fidelity-prototype-of-a-sensor-dependent-interaction-platform-formative-evaluation-with-informal-caregivers-of-older-adults-with-cognitive-impairment
#30
JOURNAL ARTICLE
Nikita Sharma, Karen Grotenhuijs, J E W C van Gemert-Pijnen, Harri Oinas-Kukkonen, L M A Braakman-Jansen
BACKGROUND: Unobtrusive sensing technologies developed for monitoring deviant behaviors in older adult care require integration with an interaction platform to facilitate the flow of information between older adults and their caregivers. However, the continuous monitoring capabilities generate a considerable amount of data that must be interpreted, filtered, and personalized before being communicated to the informal caregivers based on their specific care needs and requirements. OBJECTIVE: For the effective implementation of unobtrusive sensing solutions (USSs) in the care of older adults with cognitive impairment, we aimed to explore the expectations and preconditions regarding the implementation of USSs from the perspective of informal caregivers...
March 22, 2024: JMIR Formative Research
https://read.qxmd.com/read/38516256/oh-the-places-you-ll-go-a-qualitative-study-of-resident-career-decisions-in-emergency-medicine
#31
JOURNAL ARTICLE
Jaime Jordan, Jack Buckanavage, Jonathan Ilgen, Michael Gottlieb, Laura R Hopson, Adam Janicki, Mark Curato, Anne K Chipman, Samuel O Clarke
OBJECTIVES: Postresidency career choices are complex decisions that involve personal, professional, and financial preferences and may be influenced by training programs. It is unknown how residents navigate these decisions during emergency medicine (EM) residency. We explored EM residents' perspectives on career decision making and how residency programs can support career planning. METHODS: We conducted semistructured interviews at seven accredited EM residency programs from diverse locations and training formats...
April 2024: AEM Education and Training
https://read.qxmd.com/read/38516110/socio-economic-and-gender-dynamics-influence-on-the-parental-decision-making-process-for-children-s-orthodontic-care-a-study-in-madinah-saudi-arabia
#32
JOURNAL ARTICLE
Asim A Almarhoumi
OBJECTIVES: To investigate the socio-economic and personal factors that impact parental decisions regarding orthodontic treatment for their children in Madinah, Saudi Arabia. MATERIALS AND METHODS: A digital self-administered questionnaire was employed to collect data from 414 parents, focusing on their motivations and barriers that influence their decision-making process regarding orthodontic treatment. RESULTS: Income level was the most significant factor in orthodontic decisions...
2024: Journal of Orthodontic Science
https://read.qxmd.com/read/38514999/clinical-context-and-communication-in-shared-decision-making-about-major-surgery-findings-from-a-qualitative-study-with-colorectal-orthopaedic-and-cardiac-patients
#33
JOURNAL ARTICLE
Gemma Hughes, Timothy J Stephens, Lucas M Seuren, Rupert M Pearse, Sara E Shaw
Increasing numbers of older people undergo major surgery in the United Kingdom (UK), with many at high risk of complications due to age, co-morbidities or frailty. This article reports on a study of such patients and their clinicians engaged in shared decision-making. Shared decision-making is a collaborative approach that seeks to value and centre patients' preferences, potentially addressing asymmetries of knowledge and power between clinicians and patients by countering medical authority with greater patient empowerment...
March 21, 2024: Health (London)
https://read.qxmd.com/read/38514477/what-attributes-of-integrated-health-care-for-mental-health-are-the-most-important-to-potential-consumers-a-relative-ranking-study
#34
JOURNAL ARTICLE
Joseph H Hammer, Valerie P A Verty, Andrew Hauber, Nayeon Kim
Integrated health care (IHC) is efficacious, cost-effective, and more attractive to some consumers than traditional standalone psychotherapy, but the specific characteristics of IHC that drive this enhanced attraction have yet to be explored among potential future mental health consumers. As such, this brief report documents the results of a survey of 428 US adults who were asked to rank order the relative personal importance of seven characteristics (e.g., self-stigma mitigation, prompt appointment, saving money)...
March 21, 2024: Journal of Behavioral Health Services & Research
https://read.qxmd.com/read/38514387/practical-strategies-to-manage-obesity-in-type-2-diabetes
#35
REVIEW
Helena W Rodbard, Katharine Barnard-Kelly, Andreas F H Pfeiffer, Carina Mauersberger, Oliver Schnell, Francesco Giorgino
The rising phenomenon of obesity, a major risk factor for the development and progression of type 2 diabetes, is a complex and multifaceted issue that requires a comprehensive and coordinated approach to be prevented and managed. Although novel pharmacological measures to combat obesity have achieved unprecedented efficacy, a healthy lifestyle remains essential for the long-term success of any therapeutic intervention. However, this requires a high level of intrinsic motivation and continued behavioural changes in the face of multiple metabolic, psychological and environmental factors promoting weight gain, particularly in the context of type 2 diabetes...
March 21, 2024: Diabetes, Obesity & Metabolism
https://read.qxmd.com/read/38514141/identifying-provider-patient-and-practice-factors-that-shape-long-term-opioid-prescribing-for-cancer-pain-a-qualitative-study-of-american-and-australian-providers
#36
JOURNAL ARTICLE
Soraya Fereydooni, Karl Lorenz, Azin Azarfar, Tim Luckett, Jane L Phillips, William Becker, Karleen Giannitrapani
INTRODUCTION: Prescribing long-term opioid therapy is a nuanced clinical decision requiring careful consideration of risks versus benefits. Our goal is to understand patient, provider and context factors that impact the decision to prescribe opioids in patients with cancer. METHODS: We conducted a secondary analysis of the raw semistructured interview data gathered from 42 prescribers who participated in one of two aligned concurrent qualitative studies in the USA and Australia...
March 21, 2024: BMJ Open
https://read.qxmd.com/read/38514034/triglyceride-glucose-index-and-prognosis-of-patients-with-subarachnoid-hemorrhage
#37
JOURNAL ARTICLE
Zhijie Xie, Jun Wang, Suijun Zhu, Min Zhang, Xuan Lv
OBJECTIVE: The triglyceride glucose index (TyG) is regarded as a reliable alternative indicator for measuring insulin resistance. We investigated the association between the prognosis of SAH patients and the TyG, explored the potential of the TyG as a new biomarker for forecasting the outcomes of SAH patients, explored independent risk factors for predicting the condition of SAH patients. METHOD: A retrospective analysis was carried out to look into the patients who were admitted to the first Linping District People's Hospital because of subarachnoid hemorrhage from January 1, 2021 to December 1, 2023...
March 19, 2024: World Neurosurgery
https://read.qxmd.com/read/38514022/quality-of-outpatient-pediatric-palliative-care-telehealth-a-retrospective-chart-review
#38
JOURNAL ARTICLE
Elisa Williams, Catrina White, Ankona Banerjee, Melody Hellsten, Kenneth J Nobleza, Duc T Nguyen, Jessica Casas, Jill Ann Jarrell
CONTEXT: Studies suggest the feasibility and acceptability of telehealth in outpatient pediatric palliative care. However, there is a need for data that describes the implementation and quality of telehealth, relying on objective and validated measures. OBJECTIVE: We sought to compare the provision of pediatric palliative care by delivery method. METHODS: We conducted a retrospective electronic health record review of patients seen by our outpatient palliative care team over a two-year period...
March 19, 2024: Journal of Pain and Symptom Management
https://read.qxmd.com/read/38513850/a-large-scale-survey-of-urinary-parabens-and-triclocarban-in-the-chinese-population-as-well-as-the-influencing-factors-and-health-risks
#39
JOURNAL ARTICLE
Senyuan Huang, Zenghua Qi, Hongli Liu, Chaoyang Long, Lei Fang, Lei Tan, Yingxin Yu
Parabens and triclocarban are widely applied as antimicrobial preservatives in foodstuffs, pharmaceuticals, cosmetics, and personal care products. However, few studies have been conducted on large-scale biomonitoring of parabens and triclocarban in the Chinese general population. In the present study, there were 1157 urine samples collected from 26 Chinese provincial capitals for parabens and triclocarban measurement to evaluate the exposure levels, spatial distribution, and influencing factors, as well as associated health risks in the Chinese population...
March 19, 2024: Science of the Total Environment
https://read.qxmd.com/read/38513562/-nobody-has-written-the-book-about-what-non-binary-people-should-put-forward-in-relationships-exploring-gender-equity-in-relationships-of-queer-trans-and-non-monogamous-young-women-and-non-binary-youth-in-british-columbia-canada
#40
JOURNAL ARTICLE
Kalysha Closson, Gem Y Lee, Zoë Osborne, Colby Hangle, Tadiwa Nemutambwe, Anita Raj, Ivan Leonce, Angela Kaida
Understanding the unique ways in which queer, trans, and non-monogamous young women and non-binary youth navigate and negotiate equitable intimate relationships is a first step toward strong research, programs/resources, and policies to support healthy relationship dynamics across the life course. Using a youth-engaged collaborative Reflexive Thematic Analysis, we aimed to explore how youth of diverse genders and relationship experiences understand gender equity in their relationships. Thirty cis- and transgender inclusive young women (46...
March 10, 2024: Social Science & Medicine
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