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https://www.readbyqxmd.com/read/28103722/accreditation-of-medical-schools-in-saudi-arabia-a-qualitative-study
#1
S A Alrebish, B C Jolly, E K Molloy
CONTEXT: The accreditation of undergraduate medical education is a universal undertaking. Despite the widespread adoption of accreditation processes and an increasing focus on accreditation as a mechanism to ensure minimum standards are met in various fields, there is little evidence to support the effectiveness of accreditation. Traditionally, accreditation has worked toward achieving two ends: assuring and improving quality. Many recent articles emphasize the need for continuous quality improvement mechanisms to work, as well as the quality assurance role of accreditation...
January 20, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28096255/sheppheartcabg-trial-comprehensive-early-rehabilitation-after-coronary-artery-bypass-grafting-a-protocol-for-a-randomised-clinical-trial
#2
Ida Elisabeth Højskov, Philip Moons, Niels Viggo Hansen, Søren La Cour, Peter Skov Olsen, Christian Gluud, Per Winkel, Jane Lindschou, Lau Caspar Thygesen, Ingrid Egerod, Selina Kikkenborg Berg
INTRODUCTION: Patients undergoing coronary artery bypass graft surgery often experience a range of symptoms. Studies indicate that non-pharmacological interventions such as exercise training and psychoeducation have a positive physiological and psychological effect in early outpatient rehabilitation. The SheppHeartCABG trial will investigate the effect of early comprehensive rehabilitation in early phase rehabilitation versus usual care. The aim of this paper is to present the protocol for the SheppHeartCABG trial...
January 17, 2017: BMJ Open
https://www.readbyqxmd.com/read/28095032/the-trajectories-of-overall-disability-in-the-first-5-years-after-moderate-and-severe-traumatic-brain-injury
#3
Marit V Forslund, Cecilie Roe, Paul B Perrin, Solrun Sigurdardottir, Juan Lu, Svein Berntsen, Nada Andelic
PRIMARY OBJECTIVES: To assess longitudinal trajectories of overall disability after moderate-to-severe traumatic brain injury (TBI) and to examine whether those trajectories could be predicted by socio-demographic and injury characteristics. METHODS: Demographics and injury characteristics of 105 individuals with moderate-to-severe TBI were extracted from medical records. At the 1-, 2-, and 5-year follow-ups, TBI-related disability was assessed by the GOSE. A hierarchical linear model (HLM) was used to examine functional outcomes up to 5 years following injury and whether those outcomes could be predicted by: time, gender, age, relationship, education, employment pre-injury, occupation, GCS, cause of injury, length of post-traumatic amnesia (PTA), CT findings and injury severity score, as well as the interactions between each of these predictors and time...
January 17, 2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28076586/predictors-of-readiness-for-oral-rapid-hiv-testing-by-chilean-health-care-providers
#4
Lisette P Irarrázabal, Judith A Levy, Kathleen F Norr, Rosina Cianelli, L Michele Issel, Carlos M Pérez, Anna Hotton
Objective: This study identified the personal characteristics that affect Chilean health care providers' readiness to adopt HIV Oral Rapid Testing (ORT) in Chile as a new clinical evidence-based practice (EBP). Methods: Using a cross-sectional research design, the study sampled 150 nurses, midwives, and physicians employed at four clinics within the Pontifícia Universidad Católica de Chile Health Network in Santiago. Participants completed a self-administered survey asking about their demographic background, EBP attitudes and experience, personal beliefs related to HIV, the importance of HIV testing, and perceived self-comfort in performing a rapid HIV test...
November 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28069654/reduced-chance-of-hearing-loss-associated-with-therapeutic-drug-monitoring-of-aminoglycosides-in-the-treatment-of-multidrug-resistant-tuberculosis
#5
R van Altena, J A Dijkstra, M E van der Meer, J F Borjas Howard, J G W Kosterink, D van Soolingen, T S van der Werf, J W C Alffenaar
Hearing loss and nephrotoxicity are associated with prolonged treatment duration and higher dosage of amikacin and kanamycin. In our Tuberculosis Center, we have employed therapeutic drug monitoring (TDM) targeting pre-set pharmacokinetic/pharmacodynamic (PK/PD) surrogate endpoints in an attempt to maintain efficacy while preventing (oto-)toxicity. To evaluate this strategy, we retrospectively evaluated medical charts of TB patients treated with amikacin or kanamycin in the period 2000 - 2012.Patients with culture-confirmed multi- or extensively drug resistant tuberculosis (MDR/XDR-TB) receiving amikacin or kanamycin as part of their TB treatment for at least 3 days were eligible for inclusion in this retrospective study...
January 9, 2017: Antimicrobial Agents and Chemotherapy
https://www.readbyqxmd.com/read/28065484/predictors-of-favourable-outcome-in-young-people-with-a-first-episode-psychosis-without-antipsychotic-medication
#6
Philippe Conus, Sue M Cotton, Shona M Francey, Brian O'Donoghue, Benno G Schimmelmann, Patrick D McGorry, Martin Lambert
INTRODUCTION: Data from the literature suggests that some first episode psychosis (FEP) patients may recover without antipsychotic medication. There is however no reliable way to identify them. In a previous paper we found, in a cohort of 584 FEP patients, that those consistently refusing medication had poorer pre-morbid functioning, less insight, higher rate of substance use and poorer outcome. However, some medication refusers, had a favourable outcome. The study aim was to identify predictors of good short term outcome despite non-exposure to medication...
January 5, 2017: Schizophrenia Research
https://www.readbyqxmd.com/read/28048745/tu-d-brc-01-novel-applications-for-current-epid-technology
#7
J Rottmann
There has been increased deployment of gantry-mounted linacs with onboard kilovoltage x-ray imagers. Despite this trend, most clinics still employ beam's-eye-view (BEV) imaging using flat panel electronic portal imaging devices (EPIDs) as a highly useful means of verifying geometric localization pre- and post-delivery. In recent years, there has been increased interest in the use of EPIDs for a variety of clinical and investigational applications ranging from megavoltage cone-beam CT, in vivo dosimetry, patient-specific QA to real-time target localization for dynamic MLC-based tumor tracking...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048087/tu-d-brc-02-free-information-epid-based-in-vivo-dosimetry
#8
P Greer
There has been increased deployment of gantry-mounted linacs with onboard kilovoltage x-ray imagers. Despite this trend, most clinics still employ beam's-eye-view (BEV) imaging using flat panel electronic portal imaging devices (EPIDs) as a highly useful means of verifying geometric localization pre- and post-delivery. In recent years, there has been increased interest in the use of EPIDs for a variety of clinical and investigational applications ranging from megavoltage cone-beam CT, in vivo dosimetry, patient-specific QA to real-time target localization for dynamic MLC-based tumor tracking...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046690/tu-d-brc-00-the-epid-strikes-back
#9
Amit Sawant
There has been increased deployment of gantry-mounted linacs with onboard kilovoltage x-ray imagers. Despite this trend, most clinics still employ beam's-eye-view (BEV) imaging using flat panel electronic portal imaging devices (EPIDs) as a highly useful means of verifying geometric localization pre- and post-delivery. In recent years, there has been increased interest in the use of EPIDs for a variety of clinical and investigational applications ranging from megavoltage cone-beam CT, in vivo dosimetry, patient-specific QA to real-time target localization for dynamic MLC-based tumor tracking...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046599/tu-d-brc-03-future-epid-technology-and-applications
#10
L Antonuk
There has been increased deployment of gantry-mounted linacs with onboard kilovoltage x-ray imagers. Despite this trend, most clinics still employ beam's-eye-view (BEV) imaging using flat panel electronic portal imaging devices (EPIDs) as a highly useful means of verifying geometric localization pre- and post-delivery. In recent years, there has been increased interest in the use of EPIDs for a variety of clinical and investigational applications ranging from megavoltage cone-beam CT, in vivo dosimetry, patient-specific QA to real-time target localization for dynamic MLC-based tumor tracking...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28025923/progression-to-uncontrolled-severe-asthma-a-novel-risk-equation
#11
Julian Casciano, Jerry Krishnan, Mary Buatti Small, Chenghui Li, Zenobia Dotiwala, Bradley C Martin
BACKGROUND: Recently published asthma guidelines by the European Respiratory Society and the American Thoracic Society (ERS-ATS) define severe disease based on medication use and control level. These guidelines also emphasize that asthma severity involves certain biomarker phenotypes, one of them being eosinophilic phenotype. The quantification of the influence of eosinophil level toward predicting disease severity can help decision makers manage therapy better earlier. OBJECTIVE: To develop a risk-scoring algorithm to identify patients at greater risk of developing uncontrolled severe asthma as defined by ERS-ATS guidelines...
January 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/28009395/seeking-specialist-advice-in-the-context-of-the-pre-employment-medical-examination-getting-the-right-answer-to-the-right-question
#12
Suzanne Louise Stannard
No abstract text is available yet for this article.
2016: International Maritime Health
https://www.readbyqxmd.com/read/28009390/knowledge-attitudes-and-related-practices-of-filipino-seafarers-regarding-cardiovascular-diseases
#13
Ernesto Ramos Gregorio, Jun Kobayashi, John Robert Carabeo Medina, Nymia Pimentel Simbulan
BACKGROUND: Globally, cardiovascular diseases (CVD) remain the leading cause of mortality. Due to the nature of their work and lifestyle on board, Filipino seafarers have a high propensity towards acquiring CVD. This study aimed to determine the knowledge, attitudes, and practices related to CVD of Filipino seafarers. MATERIALS AND METHODS: This study utilised a descriptive cross-sectional study design. Self-administered questionnaires were distributed among 136 male seafarers who went into a private general hospital for their pre-employment medical examination...
2016: International Maritime Health
https://www.readbyqxmd.com/read/27974003/the-mental-health-parity-and-addiction-equity-act-mhpaea-evaluation-study-impact-on-quantitative-treatment-limits
#14
Amber Gayle Thalmayer, Sarah A Friedman, Francisca Azocar, Jessica M Harwood, Susan L Ettner
OBJECTIVE: The Mental Health Parity and Addiction Equity Act (MHPAEA) significantly changed regulations governing behavioral health benefits for large, commercially insured employers. Pre-MHPAEA, many plans covered only a specific number of behavioral health treatment days or visits; post-MHPAEA, such quantitative treatment limits (QTLs) were allowed only if they were "at parity" with medical-surgical limits. This study assessed MHPAEA's effect on the prevalence of behavioral health QTLs...
December 15, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27965860/behavioural-activation-written-self-help-to-improve-mood-wellbeing-and-quality-of-life-in-people-with-dementia-supported-by-informal-carers-promote-a-study-protocol-for-a-single-arm-feasibility-study
#15
Paul Farrand, Joanne Woodford, David Llewellyn, Martin Anderson, Shanker Venkatasubramanian, Obioha C Ukoumunne, Anna Adlam, Chris Dickens
BACKGROUND: Increases in life expectancy have resulted in a global rise in dementia prevalence. Dementia is associated with poor wellbeing, low quality of life and increased incidence of mental health difficulties such as low mood or depression. However, currently, there is limited access to evidence-based psychological interventions for people with dementia experiencing low mood and poor wellbeing. Behavioural activation-based self-help, supported by informal carers and guided by mental health professionals, may represent an effective and acceptable solution...
2016: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/27941740/assessing-the-rehabilitation-of-achilles-tendon-ruptures-using-modified-teuffer-and-lindholm-technique
#16
M Alinoor, N K Datta, K P Das, S K Sen, M S Rahman, M M Goni, M R Islam, J U Ahmad, M S Alam
The aim of this study is to assess the optimum rehabilitation and the functional outcome of open repaired Achilles tendon ruptures. This study was conducted for the 18 consecutive patients of complete ruptures at Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from 2012 to 2013. Two groups were considered during 6 to 18 months post-operative observation and each group consist 9 patients. In the Group I, modified Teuffer's and in Group II, Lindholm operative methods were employed for the open repair of Achille tendon...
October 2016: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/27903290/assessing-the-burden-of-intestinal-parasites-affecting-newly-arrived-immigrants-in-qatar
#17
Marawan A Abu-Madi, Jerzy M Behnke, Ahmed Ismail, Sonia Boughattas
BACKGROUND: In the last decades, the enormous influx of immigrants to industrialized countries has led to outbreaks of parasitic diseases, with enteric infections being amongst the most frequently encountered. In its strategy to control such infection, Qatar has established the Pre-Employment Certificate (PEC) program which requires medical inspection before arrival in Qatar and which is mandatory for immigrant workers travelling to the country. To assess the reliability of the PEC, we conducted a survey of intestinal parasites, based on examination of stool samples provided by immigrant workers (n = 2,486) recently arrived in Qatar...
December 1, 2016: Parasites & Vectors
https://www.readbyqxmd.com/read/27896407/mixed-methods-assessment-of-trauma-and-acute-care-surgical-quality-improvement-programs-in-peru
#18
Lacey N LaGrone, Amy K Fuhs, Eduardo Huaman Egoavil, Manuel J A Rodriguez Castro, Roberto Valderrama, Leah N Isquith-Dicker, Jaime Herrera-Matta, Charles N Mock
BACKGROUND: Evidence for the positive impact of quality improvement (QI) programs on morbidity, mortality, patient satisfaction, and cost is strong. Data regarding the status of QI programs in low- and middle-income countries, as well as in-depth examination of barriers and facilitators to their implementation, are limited. METHODS: This cross-sectional, descriptive study employed a mixed-methods design, including distribution of an anonymous quantitative survey and individual interviews with healthcare providers who participate in the care of the injured at ten large hospitals in Lima, Peru...
November 28, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27882840/a-comparison-of-health-care-resource-utilization-and-costs-for-patients-with-allergic-rhinitis-on-single-product-or-free-combination-therapy-of-intranasal-steroids-and-intranasal-antihistamines
#19
Brooke Harrow, Ahmad R Sedaghat, Amanda Caldwell-Tarr, Robert Dufour
BACKGROUND: Allergic rhinitis (AR) is a common condition that can be treated with a number of different therapies. Treatments such as intranasal antihistamines (INAs) and intranasal steroids (INSs) are widely used by AR patients. For some allergy sufferers, a combination of therapies, specifically an INA and an INS, is required to address their symptoms. A new treatment, the formulation of azelastine hydrochloride and fluticasone pro-pionate used as a single spray (MP-AzeFlu), has become available for AR patients who need both types of treatment...
December 2016: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/27882804/a-comparison-of-high-frequency-chest-wall-oscillation-and-intrapulmonary-percussive-ventilation-for-airway-clearance-in-pediatric-patients-with-tracheostomy
#20
Aneela Bidiwala, Linda Volpe, Claudia Halaby, Melissa Fazzari, Christina Valsamis, Melodi Pirzada
OBJECTIVES: The aim of this study was to compare two modes of airway clearance, the intrapulmonary percussive ventilation system (IPV) to high frequency chest wall oscillation system (HFCWO) in medically complex pediatric patients with tracheostomy requiring long term care. METHODS: This was a single center, retrospective study comparing the number of respiratory illnesses, lower respiratory tract infections (LRTI), utilization of bronchodilator and systemic steroids, and respiratory illnesses requiring acute care hospitalizations...
December 11, 2016: Postgraduate Medicine
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