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https://www.readbyqxmd.com/read/29773480/must-i-respond-if-my-health-is-at-risk
#1
Kenneth V Iserson
BACKGROUND: Widespread epidemics, pandemics, and other risk-prone disasters occur with disturbing regularity. When such events occur, how should, and will, clinicians respond? The moral backbone of medical professionals-a duty to put the needs of patients first-may be sorely tested. DISCUSSION: It is incumbent on health care professionals to ask what we must do and what we should do if a dangerous health care situation threatens both ourselves and our community...
May 14, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29764342/barriers-to-and-facilitators-of-employment-for-people-with-psychiatric-disabilities-in-africa-a-scoping-review
#2
I D Ebuenyi, E V Syurina, J F G Bunders, B J Regeer
BACKGROUND: Despite the importance of inclusive employment, described in Goal 8 of the Sustainable Development Goals (SDGs), employment of persons with psychiatric disabilities in Africa is lower than among the general population. OBJECTIVE: The aim of this scoping review is to explore evidence related to the barriers to and facilitators of employment of persons with psychiatric disabilities in Africa. METHODS: A literature search was conducted using six relevant electronic databases of articles published between 1990 and 2017...
2018: Global Health Action
https://www.readbyqxmd.com/read/29746528/potential-travel-cost-saving-in-urban-public-transport-networks-using-smartphone-guidance
#3
Cuiying Song, Wei Guan, Jihui Ma
Public transport (PT) is a key element in most major cities around the world. With the development of smartphones, available journey planning information is becoming an integral part of the PT system. Each traveler has specific preferences when undertaking a trip, and these preferences can also be reflected on the smartphone. This paper considers transit assignment in urban public-transport networks in which the passengers receive smartphone-based information containing elements that might influence the travel decisions in relation to line loads, as well as passenger benefits, and the paper discusses the transition from the current widespread choosing approach to a personalized decision-making approach based on smartphone information...
2018: PloS One
https://www.readbyqxmd.com/read/29736867/development-of-a-simplified-multivariable-model-to-predict-neutropenic-complications-in-cancer-patients-undergoing-chemotherapy
#4
Abolfazl Razzaghdoust, Bahram Mofid, Maryam Moghadam
PURPOSE: Neutropenic complications remain the major dose-limiting toxicities of cancer chemotherapy. The aim of this study was to develop and internally validate a comprehensive and easily measurable scoring system for prediction of severe or febrile neutropenia in the first chemotherapy cycle of patients with solid tumors or lymphoma. METHODS: This prospective cohort study included consecutive patients at a tertiary referral hospital. Many clinical and laboratory-independent variables were measured at baseline...
May 7, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29724694/the-supreme-court-of-india-on-euthanasia-too-little-too-late
#5
Sunita Vs Bandewar, Leni Chaudhuri, Lubna Duggal, Sanjay Nagral
On Friday, March 9, 2018 the five-judge Constitution Bench (CB) of the Supreme Court of India (SCI) chaired by Dipak Misra, the Chief Justice of India, pronounced its judgment (1) (henceforth CC judgment) granting, for the first time in India, legal recognition to "advanced medical directives" or "living wills", ie, a person's decision communicated in advance on withdrawal of life-saving treatment under certain conditions, which should be respected by the treating doctor/s and the hospital...
April 2018: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/29669573/medical-specialty-selection-criteria-of-israeli-medical-students-early-in-their-clinical-experience-subgroups
#6
Alexander Avidan, Charles Weissman, Uriel Elchalal, Howard Tandeter, Rachel Yaffa Zisk-Rony
BACKGROUND: Israeli medical school classes include a number of student subgroups. Therefore, interventions aimed at recruiting medical students to the various specialties should to be tailored to each subgroup. METHODS: Questionnaires, distributed to 6 consecutive 5th-year classes of the Hebrew University - Hadassah School of Medicine, elicited information on criteria for choosing a career specialty, criteria for choosing a residency program and the importance of finding a specialty interesting and challenging when choosing a residency...
April 18, 2018: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29616420/poor-prognostic-factors-in-patients-with-malignant-pleural-mesothelioma-classified-as-pathological-stage-ib-according-to-the-eighth-edition-tnm-classification
#7
Teruhisa Takuwa, Masaki Hashimoto, Ayumi Kuroda, Akifumi Nakamura, Toru Nakamichi, Akihiro Fukuda, Seiji Matsumoto, Nobuyuki Kondo, Seiki Hasegawa
INTRODUCTION: The change in TNM classification of malignant pleural mesothelioma (MPM) between the seventh and eighth edition classifications has resulted in the downstaging of many advanced-stage patients into pathological stage IB. Many mesotheliomas without lymph node metastasis have been classified as stage IB in the eighth edition classification. Stage IB mesotheliomas comprised a heterogeneous group with different prognosis. It is necessary to clarify the prognostic factors in this group...
April 3, 2018: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/29556742/percutaneous-creation-of-a-central-iliac-arteriovenous-anastomosis-for-the-treatment-of-arterial-hypertension
#8
REVIEW
Stefan C Bertog, Nathan A Sobotka, Paul A Sobotka, Melvin D Lobo, Kolja Sievert, Laura Vaskelyte, Horst Sievert, Roland E Schmieder
PURPOSE OF REVIEW: Provision of a summary on the physiologic effects of arteriovenous fistula creation and description of previously published human data on the efficacy of a percutaneously implanted device creating an arteriovenous fistula. Though antihypertensive therapy is effective, some patient's blood pressure remains poorly controlled despite adherence to optimal medical therapy. Moreover, some patients are not compliant with recommended medical therapy due to side effects or personal decision...
March 19, 2018: Current Hypertension Reports
https://www.readbyqxmd.com/read/29556256/spinal-muscular-atrophy-type-i-and-the-dual-role-of-viruses-an-interview-with-professor-basil-t-darras-professor-of-neurology-pediatrics-at-harvard-medical-school
#9
Ioannis N Mammas, Demetrios A Spandidos
According to Professor Basil T. Darras, Professor of Neurology (Pediatrics) at Harvard Medical School and Director of the Spinal Muscular Atrophy (SMA) Program at Boston Children's Hospital in Boston (MA, USA), the diagnosis of SMA type I is clinical and is based on detailed general physical and neurological examinations. SMA type I remains the most common genetic disease resulting in death in infancy and is really devastating for the child, the parents, as well as the medical professionals with the privilege of caring for patients with SMA and their parents...
April 2018: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/29556119/deep-reinforcement-learning-for-dynamic-treatment-regimes-on-medical-registry-data
#10
Ying Liu, Brent Logan, Ning Liu, Zhiyuan Xu, Jian Tang, Yanzhi Wang
In this paper, we propose the first deep reinforcement learning framework to estimate the optimal Dynamic Treatment Regimes from observational medical data. This framework is more flexible and adaptive for high dimensional action and state spaces than existing reinforcement learning methods to model real life complexity in heterogeneous disease progression and treatment choices, with the goal to provide doctor and patients the data-driven personalized decision recommendations. The proposed deep reinforcement learning framework contains a supervised learning step to predict the most possible expert actions; and a deep reinforcement learning step to estimate the long term value function of Dynamic Treatment Regimes...
August 2017: Healthcare Informatics: the Business Magazine for Information and Communication Systems
https://www.readbyqxmd.com/read/29543610/decision-making-and-outcome-of-pregnancies-in-female-patients-with-inflammatory-bowel-disease-findings-from-a-community-based-practice
#11
Jildou Hoekstra, Aafke H C van Roon, Frank C Bekkering, Antonie J P van Tilburg, Rachel L West
INTRODUCTION: The aim of this study was to evaluate information provided on pregnancy, personal decision making, disease course, and outcome of pregnancy from a patient's perspective in a population of patients with inflammatory bowel disease (IBD) attending two general hospitals. PATIENTS AND METHODS: A questionnaire was sent to all female patients with IBD in two general hospitals in the Netherlands. The questionnaire comprised four sections: (i) demographic data and medication use (ii) details on previous pregnancies and reasons for not becoming pregnant, (iii) outcome of pregnancies before IBD diagnosis, and (iv) outcome of pregnancies after IBD diagnosis...
March 14, 2018: European Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/29523047/introducing-consumer-directed-care-in-residential-care-settings-for-older-people-in-australia-views-of-a-citizens-jury
#12
Kate Laver, Emmanuel Gnanamanickam, Craig Whitehead, Susan Kurrle, Megan Corlis, Julie Ratcliffe, Wendy Shulver, Maria Crotty
Objectives Health services worldwide are increasingly adopting consumer directed care approaches. Traditionally, consumer directed care models have been implemented in home care services and there is little guidance as to how to implement them in residential care. This study used a citizens' jury to elicit views of members of the public regarding consumer directed care in residential care. Methods A citizens' jury involving 12 members of the public was held over two days in July 2016, exploring the question: For people with dementia living in residential care facilities, how do we enable increased personal decision making to ensure that care is based on their needs and preferences? Jury members were recruited through a market research company and selected to be broadly representative of the general public...
January 1, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29499103/precision-medicine-in-diabetes-prevention-classification-and-management
#13
REVIEW
Fangying Xie, Juliana Cn Chan, Ronald Cw Ma
Diabetes has become a major burden of healthcare expenditure. Diabetes management following a uniform treatment algorithm is often associated with progressive treatment failure and development of diabetic complications. Recent advances in our understanding of the genomic architecture of diabetes and its complications have provided the framework for development of precision medicine to personalize diabetes prevention and management. In the present review, we summarized recent advances in the understanding of the genetic basis of diabetes and its complications...
March 2, 2018: Journal of Diabetes Investigation
https://www.readbyqxmd.com/read/29470267/pregnancy-after-solid-organ-transplantation
#14
Jane M Kurz
PURPOSE: To explore the reproductive decision-making process with women who were organ transplant recipients (renal, lung, & heart transplants). STUDY DESIGN AND METHODS: Grounded theory guided data collection and analyses. Mixed methods with audiotaped telephone interviews and a written survey measuring social support were used. As social support is critical for women who are organ transplant recipients considering pregnancy, a search for disconfirming evidence for social support via a survey and interviews was included...
March 2018: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/29429283/-advantages-and-disadvantages-of-femtosecond-laser-assisted-lasik-and-smile
#15
F J Zhang, M S Sun
With the development of excimer laser and femtosecond laser equipment, application of diversified and customized surgical decision in modern corneal refractive surgery has been an inevitable trend. However, how to make a personalized decision with an accurate surgical design to achieve better visual quality becomes the main focus in clinical applications. Small-incision lenticule extraction (SMILE) and femtosecond assisted laser in situ keratomileusis (FS-LASIK) have been commonly acknowledged as the mainstream of corneal refractive surgery for ametropia correction nowadays...
January 11, 2018: [Zhonghua Yan Ke za Zhi] Chinese Journal of Ophthalmology
https://www.readbyqxmd.com/read/29416030/crosstalk-in-concurrent-repeated-games-impedes-direct-reciprocity-and-requires-stronger-levels-of-forgiveness
#16
Johannes G Reiter, Christian Hilbe, David G Rand, Krishnendu Chatterjee, Martin A Nowak
Direct reciprocity is a mechanism for cooperation among humans. Many of our daily interactions are repeated. We interact repeatedly with our family, friends, colleagues, members of the local and even global community. In the theory of repeated games, it is a tacit assumption that the various games that a person plays simultaneously have no effect on each other. Here we introduce a general framework that allows us to analyze "crosstalk" between a player's concurrent games. In the presence of crosstalk, the action a person experiences in one game can alter the person's decision in another...
February 7, 2018: Nature Communications
https://www.readbyqxmd.com/read/29382626/web-based-decision-aid-to-assist-help-seeking-choices-for-young-people-who-self-harm-outcomes-from-a-randomized-controlled-feasibility-trial
#17
Sarah L Rowe, Krisna Patel, Rebecca S French, Claire Henderson, Dennis Ougrin, Mike Slade, Paul Moran
BACKGROUND: Adolescents who self-harm are often unsure how or where to get help. We developed a Web-based personalized decision aid (DA) designed to support young people in decision making about seeking help for their self-harm. OBJECTIVE: The aim of this study was to evaluate the feasibility and acceptability of the DA intervention and the randomized controlled trial (RCT) in a school setting. METHODS: We conducted a two-group, single blind, randomized controlled feasibility trial in a school setting...
January 30, 2018: JMIR Mental Health
https://www.readbyqxmd.com/read/29372486/usability-and-acceptance-evaluation-of-aceso-a-web-based-breast-cancer-survivorship-tool
#18
Akshat Kapoor, Priya Nambisan
PURPOSE: The specific objective of this research is to design and develop a personalized Web application to support breast cancer survivors after treatment, as they deal with post-treatment challenges, such as comorbidities and side effects of treatment. METHODOLOGY: A mixed-methods approach, utilizing a combination of think-aloud analysis, personal interviews, and surveys, was adopted for user acceptance and usability testing among a group of breast cancer survivors...
January 25, 2018: Journal of Cancer Survivorship: Research and Practice
https://www.readbyqxmd.com/read/29324557/factors-influencing-participation-in-fecal-occult-blood-testing-to-screen-for-colorectal-cancer-in-australia-a-scoping-review-protocol
#19
Simone Lee, Andrea Miller
The objective of this scoping review is to examine and map the evidence on the range of factors influencing a person's decision to screen or not screen for colorectal cancer using a fecal occult blood test (FOBT) in Australia, with the view to identifying gaps in the research and informing appropriate questions for future systematic reviews.The question of this review is: what evidence is available around the barriers and facilitators that influence an individual's decision to screen or not screen for colorectal cancer using a fecal occult blood test in Australia?...
January 2018: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29315116/minimally-invasive-spine-surgery-analyzing-internet-based-education-material
#20
Jessica Bryant, Rohith Mohan, Brian Koottappillil, Kevin Wong, Paul H Yi
STUDY DESIGN: This is a cross-sectional study. OBJECTIVE: The purpose of this study is to evaluate the content of information available on the Internet regarding minimally invasive spine surgery (MISS). SUMMARY OF BACKGROUND DATA: Patients look to the Internet for quick and accessible information on orthopedic procedures to help guide their personal decision making process regarding the care they receive. However, the quality of internet-based orthopedic education material varies significantly with respect to accuracy and readability...
April 2018: Clinical Spine Surgery
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