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https://www.readbyqxmd.com/read/28576289/psychological-counseling-as-an-adjunct-to-stuttering-treatment-clients-experiences-and-perceptions
#1
Alanna Lindsay, Marilyn Langevin
PURPOSE: Stuttering can trigger anxiety and other psychological and emotional reactions, and limit participation in society. It is possible that psychological counseling could enhance stuttering treatment outcomes; however, little is known about how clients view such counseling. The purpose of this study was to gain an understanding of clients' experiences with, and perceptions of, a psychological counseling service that was offered as an optional adjunct to speech therapy for stuttering...
June 2017: Journal of Fluency Disorders
https://www.readbyqxmd.com/read/28571666/including-values-in-evidence-based-policy-making-for-breast-screening-an-empirically-grounded-tool-to-assist-expert-decision-makers
#2
Lisa Parker
Values are an important part of evidence-based decision making for health policy: they guide the type of evidence that is collected, how it is interpreted, and how important the conclusions are considered to be. Experts in breast screening (including clinicians, researchers, consumer advocates and senior administrators) hold differing values in relation to what is important in breast screening policy and practice, and committees may find it difficult to incorporate the complexity and variety of values into policy decisions...
March 18, 2017: Health Policy
https://www.readbyqxmd.com/read/28462425/handgun-acquisitions-in-california-after-two-mass-shootings
#3
David M Studdert, Yifan Zhang, Jonathan A Rodden, Rob J Hyndman, Garen J Wintemute
Background: Mass shootings are common in the United States. They are the most visible form of firearm violence. Their effect on personal decisions to purchase firearms is not well-understood. Objective: To determine changes in handgun acquisition patterns after the mass shootings in Newtown, Connecticut, in 2012 and San Bernardino, California, in 2015. Design: Time-series analysis using seasonal autoregressive integrated moving-average (SARIMA) models...
May 16, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/28459336/an-official-american-thoracic-society-european-society-of-intensive-care-medicine-society-of-critical-care-medicine-clinical-practice-guideline-mechanical-ventilation-in-adult-patients-with-acute-respiratory-distress-syndrome
#4
Eddy Fan, Lorenzo Del Sorbo, Ewan C Goligher, Carol L Hodgson, Laveena Munshi, Allan J Walkey, Neill K J Adhikari, Marcelo B P Amato, Richard Branson, Roy G Brower, Niall D Ferguson, Ognjen Gajic, Luciano Gattinoni, Dean Hess, Jordi Mancebo, Maureen O Meade, Daniel F McAuley, Antonio Pesenti, V Marco Ranieri, Gordon D Rubenfeld, Eileen Rubin, Maureen Seckel, Arthur S Slutsky, Daniel Talmor, B Taylor Thompson, Hannah Wunsch, Elizabeth Uleryk, Jan Brozek, Laurent J Brochard
BACKGROUND: This document provides evidence-based clinical practice guidelines on the use of mechanical ventilation in adult patients with acute respiratory distress syndrome (ARDS). METHODS: A multidisciplinary panel conducted systematic reviews and metaanalyses of the relevant research and applied Grading of Recommendations, Assessment, Development, and Evaluation methodology for clinical recommendations. RESULTS: For all patients with ARDS, the recommendation is strong for mechanical ventilation using lower tidal volumes (4-8 ml/kg predicted body weight) and lower inspiratory pressures (plateau pressure < 30 cm H2O) (moderate confidence in effect estimates)...
May 1, 2017: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/28412781/molecular-testing-to-optimize-and-personalize-decision-making-in-the-management-of-colorectal-cancer
#5
REVIEW
Marwan Al-Hajeili, Anthony F Shields, Jimmy J Hwang, Raymond C Wadlow, John L Marshall
Recent improvements in our understanding of the biology of colorectal cancer have led to the identification of several important prognostic and predictive markers of disease-associated risk and treatment response for the individual patient. Proper utilization of these biomarkers can enable physicians to tailor therapeutic strategies to maximize the likelihood of response and minimize treatment toxicity. In the management of colorectal cancer, tremendous progress has been made in the development of strategies for immune checkpoint inhibition; in refinement of agents and approaches used in targeted therapy; and in techniques for molecular subtyping of tumor samples that have identified patient subgroups with clinically relevant cellular differences potentially affecting clinical management and treatment outcome...
April 15, 2017: Oncology (Williston Park, NY)
https://www.readbyqxmd.com/read/28344507/patients-experience-of-using-primary-care-services-in-the-context-of-indonesian-universal-health-coverage-reforms
#6
Fitriana Murriya Ekawati, Mora Claramita, Krishna Hort, John Furler, Sharon Licqurish, Jane Gunn
BACKGROUND: The World Health Organization (WHO) recommendation on universal coverage has been implemented in Indonesia as Jaminan Kesehatan Nasional (JKN). It was designed to provide people with equitable and high-quality health care by strengthening primary care as the gate-keeper to hospitals. However, during its first year of implementation, recruitment of JKN members was slow, and the referral rates from primary to secondary care remained high. Little is known about how the public views the introduction of JKN or the factors that influence their decision to enroll in JKN...
2017: Asia Pacific Family Medicine
https://www.readbyqxmd.com/read/28330753/rationale-and-study-protocol-for-the-patient-centered-outcome-aid-pcoa-randomized-controlled-trial-a-personalized-decision-tool-for-newly-diagnosed-ovarian-cancer-patients
#7
L Wenzel, D Mukamel, K Osann, L Havrilesky, L Sparks, J Lipscomb, A A Wright, J Walker, R Alvarez, L Van Le, K Robison, R Bristow, R Morgan, B J Rimel, H Ladd, S Hsieh, A Wahi, D Cohn
No abstract text is available yet for this article.
June 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/28219292/a-manner-of-being-body-languages-of-socio-economic-development
#8
Alexandra Antohin
This article proposes to move forward analytical work on the human aspect of socio-economic development, by featuring how personal decisions about physical appearance in effect negotiate socio-ethnic positions and desired economic aims that arise from new technologies of living. By envisioning how the body can serve as a conduit of consciousness-making, tattoos work as one cultural practice that produces an interplay between traditional precedents and contemporary trends and permits reflecting on how the categorizations of rural/urban can behave as a dialectical medium for internal anxieties and debates regarding social transformation...
July 2016: New Bioethics: a Multidisciplinary Journal of Biotechnology and the Body
https://www.readbyqxmd.com/read/28212121/identification-and-evaluation-of-clinically-significant-prostate-cancer-a-step-towards-personalized-diagnosis
#9
Adnan Ali, Alexander Hoyle, Esther Baena, Noel W Clarke
PURPOSE OF REVIEW: Prostate cancer (PCa) diagnostics are evolving rapidly. The quest to differentiate 'clinically significant' from 'clinically insignificant' disease has gathered momentum, leading to substantial change in traditional diagnostic approaches. Herein, we review the relevant information on currently available biomarkers and assess their ability to help physicians and patients in making a shared and personalized decision based on their individual risk of harbouring clinically significant disease...
May 2017: Current Opinion in Urology
https://www.readbyqxmd.com/read/27997483/familial-creutzfeldt-jakob-disease-cluster-among-an-african-american-family
#10
Matthew G Johnson, Kristy K Bradley, Rebecca L Coffman, Ermias D Belay
Familial Creutzfeldt-Jakob disease (fCJD) results from inheritance of mutations in the prion protein gene. Confirming fCJD diagnosis is essential for informing persons of their potential hereditary risk and for genetic counseling to support personal decisions for genetic testing and family planning. We describe a case of fCJD that was linked to a large cluster of African Americans with fCJD identified through a public health investigation, including 8 confirmed cases and 13 suspected cases involving 7 generations in 1 family...
December 16, 2016: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/27922795/breast-cancer-risk-reduction-decisions-of-the-brca-positive-patient-an-observational-study-at-a-single-institution
#11
Dana Johns, Jay Agarwal, Layla Anderson, Jian Ying, Wendy Kohlmann
BACKGROUND: BRCA1 and BRCA2 gene mutations carry with them a 50%-80% risk of developing breast cancer. The best choice for managing breast cancer risk in patients with a BRCA1/2 mutation is a highly personal decision. Options for risk management include surveillance with multiple modalities or prophylactic surgical intervention. The goal of this study was to gain a better understanding of contributing factors affecting the decision for managing breast cancer risk made by patients who are BRCA mutation positive and cancer free...
June 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/27913758/timing-of-most-recent-health-care-visit-by-older-people-living-with-and-without-hiv-findings-from-the-sage-well-being-of-older-people-study-in-uganda
#12
Joseph O Mugisha, Enid J Schatz, Joel Negin, Paul Mwaniki, Paul Kowal, Janet Seeley
The objective of this article is to document factors associated with the recency of health-care service utilization by people aged 50 years and over living with and without HIV in Uganda. A survey was conducted with 510 Ugandans aged 50 and older, living with and without HIV. The survey included information on sociodemographic characteristics, health state, self-reported chronic conditions, and timing of most recent visit to a health-care facility (time since last visit [TSLV]). We use ordinal logistic regression to identify independent factors associated TSLV...
December 2, 2016: International Journal of Aging & Human Development
https://www.readbyqxmd.com/read/27908850/we-should-replace-conventional-mental-health-law-with-capacity-based-law
#13
George Szmukler, Brendan D Kelly
As general medicine moves away from 'paternalism' and places an increasing emphasis on patient choice and autonomy, George Szmukler and Brendan D. Kelly debate whether conventional mental health legislation should be replaced with a model that focuses on the person's decision-making capabilities.
December 2016: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/27828774/ethical-analysis-for-physicians-considering-the-provision-of-life-ending-medication-in-compliance-with-the-california-end-of-life-option-act
#14
D Malcolm Shaner
The End of Life Option Act in California, effective June 9, 2016, permits physicians to prescribe lethal medication to patients confirmed to be terminally ill and capable of independently making and carrying out a decision to ingest deadly medication. Medicine has traditionally excluded the provision of deadly medication from proper practice. Physicians reasonably may hold to that limit. However, honoring a repeated request from a capable, terminally ill patient to receive life-ending medication still can be considered to be a moral and permissible approach to relieve suffering...
2016: Permanente Journal
https://www.readbyqxmd.com/read/27819843/impact-of-functional-deficits-in-instrumental-activities-of-daily-living-in-mild-cognitive-impairment-a-clinical-algorithm-to-predict-progression-to-dementia
#15
Davangere P Devanand, Xinhua Liu, Patrick J Brown
BACKGROUND: The utility of functional deficits in patients with mild cognitive impairment is not established. MATERIALS AND METHODS: In 3886 individuals with mild cognitive impairment evaluated and followed at 34 National Alzheimer Coordinating Center sites, informant-reported Pfeffer Functional Activities Questionnaire (FAQ) items associated with progression to dementia were derived in a training set (n=1943) and tested in the validation set (n=1943). RESULTS: In the training set, the optimal combination comprised 6 FAQ items (FAQ6): difficulties with finances (2 items), remembering events/appointments, playing games of skill, current events, and travel...
January 2017: Alzheimer Disease and Associated Disorders
https://www.readbyqxmd.com/read/27687535/impact-of-provider-patient-communication-on-cancer-screening-adherence-a-systematic-review
#16
REVIEW
Emily B Peterson, Jamie S Ostroff, Katherine N DuHamel, Thomas A D'Agostino, Marisol Hernandez, Mollie R Canzona, Carma L Bylund
Cancer screening is critical for early detection and a lack of screening is associated with late-stage diagnosis and lower survival rates. The goal of this review was to analyze studies that focused on the role of provider-patient communication in screening behavior for cervical, breast, and colorectal cancer. A comprehensive search was conducted in four online databases between 1992 and 2016. Studies were included when the provider being studied was a primary care provider and the communication was face-to-face...
December 2016: Preventive Medicine
https://www.readbyqxmd.com/read/27627195/machine-learning-approaches-to-personalize-early-prediction-of-asthma-exacerbations
#17
Joseph Finkelstein, In Cheol Jeong
Patient telemonitoring results in an aggregation of significant amounts of information about patient disease trajectory. However, the potential use of this information for early prediction of exacerbations in adult asthma patients has not been systematically evaluated. The aim of this study was to explore the utility of telemonitoring data for building machine learning algorithms that predict asthma exacerbations before they occur. The study dataset comprised daily self-monitoring reports consisting of 7001 records submitted by adult asthma patients during home telemonitoring...
January 2017: Annals of the New York Academy of Sciences
https://www.readbyqxmd.com/read/27611349/attending-patient-funerals-practices-and-attitudes-of-australian-medical-practitioners
#18
Sofia C Zambrano, Anna Chur-Hansen, Gregory B Crawford
The appropriateness of attending a patient's funeral is a medical dilemma. This paper focuses on 437 doctors who participated in an online survey. Seventy-one percent of GPs, 67% of oncologists, 67% of psychiatrists, 63% of palliative medicine specialists, 52% of surgeons, and 22% of intensive care specialists had attended patient funerals. Significant differences in demographics and between specialties were identified in terms of barriers and benefits associated with attendance. While attendance is a personal decision, there is a need for open discussions in medical education and professional development concerning death and the role of doctors after a patient dies...
September 9, 2016: Death Studies
https://www.readbyqxmd.com/read/27584610/reproductive-planning-in-times-of-zika-getting-pregnant-or-delaying-plans-the-opinion-of-the-brazilian-society-of-assisted-reproduction-committee-a-basis-for-a-bioethical-discussion
#19
Bruno R de Carvalho, Paulo F Taitson, Karina S A G Brandão, Rui Alberto Ferriani, Hitomi M Nakagawa, Adelino A Silva, Joaquim R C Lopes
Although the causality between Zika virus, microcephaly, and other central nervous system disorders has been taken for granted by the scientific community, many uncertainties remain. The gap of knowledge at the moment is large enough to remove part of the confidence physicians have on the advice given to patients - and infertile women in particular - on their reproductive plans. Pretreatment serologic screening is a possible strategy to offer more confidence for individuals choosing to bear children regardless of the Zika virus, but the tests currently available do not seem to be sufficiently adequate...
August 1, 2016: JBRA Assisted Reproduction
https://www.readbyqxmd.com/read/27583821/drug-use-and-misuse-in-the-mountains-a-uiaa-medcom-consensus-guide-for-medical-professionals
#20
Enrico Donegani, Peter Paal, Thomas Küpper, Urs Hefti, Buddha Basnyat, Anna Carceller, Pierre Bouzat, Rianne van der Spek, David Hillebrandt
Donegani, Enrico, Peter Paal, Thomas Küpper, Urs Hefti, Buddha Basnyat, Anna Carceller, Pierre Bouzat, Rianne van der Spek, and David Hillebrandt. Drug use and misuse in the mountains: a UIAA MedCom consensus guide for medical professionals. High Alt Med Biol. 17:157-184, 2016.-Aims: The aim of this review is to inform mountaineers about drugs commonly used in mountains. For many years, drugs have been used to enhance performance in mountaineering. It is the UIAA (International Climbing and Mountaineering Federation-Union International des Associations d'Alpinisme) Medcom's duty to protect mountaineers from possible harm caused by uninformed drug use...
September 2016: High Altitude Medicine & Biology
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