keyword
https://read.qxmd.com/read/38206106/medical-aid-in-dying-the-role-of-the-nurse-practitioner
#21
JOURNAL ARTICLE
Kathryn A Harrawood
Medical aid in dying (MAID) is a practice that has been expanding in the United States over the past few decades. As it becomes a viable option for a growing portion of the American population, nurse practitioners (NPs) need to be prepared to engage in conversation with patients about the practice. Although historically only physicians were able to participate in MAID, the role has recently expanded to include additional advanced practice providers, including NPs. Reviewing the history of MAID and examining how current legislation affects clinical practice can support the NP's ability to educate and counsel patients about the option...
January 11, 2024: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/38163032/relationship-of-age-and-mobility-levels-during-physical-rehabilitation-with-clinical-outcomes-in-critical-illness
#22
JOURNAL ARTICLE
Kirby P Mayer, Susan Silva, Amanda Beaty, Anne Davenport, Melissa Minniti, Sara Uribe Dorn, Lane S White, Valerie K Sabol, Amy M Pastva
OBJECTIVE: To determine whether age, mobility level, and change in mobility level across the first 3 physical rehabilitation sessions associate with clinical outcomes of patients who are critically ill. DESIGN: Retrospective, observational cohort study. SETTING: Medical Intensive Care Unit (MICU). PARTICIPANTS: Hospitalized adults (n = 132) who received 3 or more, consecutive rehabilitation sessions in the MICU...
December 2023: Archives of rehabilitation research and clinical translation
https://read.qxmd.com/read/38150434/-i-hope-i-die-that-is-what-i-hope-for-qualitative-study-of-lived-experiences-of-mental-health-of-indian-women-living-with-hiv-experiencing-intersectional-stigma
#23
JOURNAL ARTICLE
Reshmi Mukerji, Jenevieve Mannell, David Osrin
Poor mental health due to stigma and discrimination has been well documented among women living with HIV. Although they often have other marginalized and stigmatized identities, little is known about their mental health as a result of experiencing multiple stigmas. Current narratives of mental health as a result of HIV-related stigma center on common mental health disorders such as anxiety and depression. However, biomedical diagnostic categories may not be as well known in all cultural and social contexts, and people may choose to express their distress in their own language...
2023: PLOS Glob Public Health
https://read.qxmd.com/read/38088616/ethics-and-medical-aid-in-dying-physicians-perspectives-on-disclosure-presence-and-eligibility
#24
JOURNAL ARTICLE
Matthew DeCamp, Julie Ressalam, Hillary D Lum, Elizabeth R Kessler, Dragana Bolcic-Jankovic, Vinay Kini, Eric G Campbell
Medical aid in dying (MAiD), despite being legal in many jurisdictions, remains controversial ethically. Existing surveys of physicians' perceptions of MAiD tend to focus on the legal or moral permissibility of MAiD in general. Using a novel sampling strategy, we surveyed physicians likely to have engaged in MAiD-related activities in Colorado to assess their attitudes toward contemporary ethical issues in MAiD.
2023: Journal of Law, Medicine & Ethics: a Journal of the American Society of Law, Medicine & Ethics
https://read.qxmd.com/read/38078663/optimal-management-of-severe-mpox-in-patients-with-uncontrolled-human-immunodeficiency-virus
#25
REVIEW
Akira A Shishido, Stacy Street
In May 2022, a cluster of nontravel-related cases of human mpox were reported in the United Kingdom. The outbreak has since spread worldwide infecting over 85 000 patients and causing over 100 deaths. Recent data clearly suggest that patients infected with human immunodeficiency virus (HIV) with CD4 counts less than 200 cells per mm 3 suffer significantly worse outcomes than immunocompetent patients. The available countermeasures lack robust clinical data and are deployed based on in vitro and animal studies as well as extrapolations from use against other poxviruses...
December 2023: Journal of Medical Virology
https://read.qxmd.com/read/38075989/effect-of-cardiac-surgery-on-survival-in-patients-with-trisomy-18-a-single-center-experience
#26
JOURNAL ARTICLE
Mehmet Çelik, Mahmut Gökdemir, Nimet Cındık, Asım Çağrı Günaydın
BACKGROUND: In this study, we aimed to compare the results of operated patients diagnosed with trisomy 18 with those who were followed with medical treatment alone. METHODS: Between May 2014 and January 2022, a total of 18 patients (6 males, 12 females; median age: 39 days; range, 32 to 79 days) diagnosed with trisomy 18 were retrospectively analyzed. Patient data were obtained from the pediatric cardiovascular surgery digital database. The patients were divided into two groups: those who underwent surgery (n=10) and those who were followed with medical treatment (n=8)...
October 2023: Türk Göğüs Kalp Damar Cerrahisi Dergisi
https://read.qxmd.com/read/38064126/management-of-melanoma-can-we-use-gene-expression-profiling-to-help-guide-treatment-and-surveillance
#27
REVIEW
Jonathan S Zager, David M Hyams
Although the incidence of cutaneous melanoma (CM) has been increasing annually, the mortality rate has been decreasing, likely due to better prevention, earlier detection, improved surveillance, and the development of new therapies. Current clinical management guidelines by the National Comprehensive Cancer Network (NCCN) are based on patient risk assignment using staging criteria established by the American Joint Committee on Cancer (AJCC). However, some patients with localized disease (stage I-II), generally considered to have a good prognosis, will develop metastatic disease and die, whereas some patients with later stage disease (stage III-IV) will be cured by surgery, adjuvant therapy, and/or systemic therapy...
December 8, 2023: Clinical & Experimental Metastasis
https://read.qxmd.com/read/38046790/low-voltage-electrical-injuries-and-the-electrocardiogram-is-a-normal-electrocardiogram-sufficient-for-safe-discharge-from-care-a-systematic-review
#28
JOURNAL ARTICLE
Simon Corrall, Samantha Laws, Alan Rice
INTRODUCTION: The current Joint Royal Colleges Ambulance Liaison Committee guidelines in the United Kingdom provide clear national guidance for low-voltage electrical injury patients. While patients can be considered safe to discharge with an apparently 'normal' initial electrocardiogram (ECG), some evidence questions the safety profile of these patients with a risk of a 'delayed arrhythmia'. This review aims to examine this as well as identifying the frequency and common arrhythmias that require patients to be conveyed to hospital for further monitoring post electrical injury...
December 1, 2023: British paramedic journal
https://read.qxmd.com/read/38021370/when-the-cause-of-death-does-not-exist-time-for-the-who-to-close-the-icd-classification-gap-for-medical-aid-in-dying
#29
REVIEW
Uwe Güth, Rolf Weitkunat, Shaun McMillan, Andres R Schneeberger, Edouard Battegay
UNLABELLED: Medical aid in dying (MAID) is a highly controversial ethical issue in the global medical community. Unfortunately, the International Classification of Diseases (ICD) of the World Health Organization (WHO) lacks coding for MAID. Therefore, no robust data adequately monitors worldwide trends that include information on diseases and conditions underlying the patients' request for assisted dying ("MAID gap"). Countries with legalised MAID observe substantial increases in cases, and likely additional countries will allow MAID in the near future...
November 2023: EClinicalMedicine
https://read.qxmd.com/read/37987528/evaluation-of-the-effects-of-digital-manufacturing-preparation-taper-cement-type-and-aging-on-the-color-stability-of-anterior-provisional-crowns-using-colorimetry
#30
JOURNAL ARTICLE
Mohammed E Sayed, Honey Lunkad, Khurshid Mattoo, Hossam F Jokhadar, Saad Saleh AlResayes, Nasser M Alqahtani, Abdullah Hasan Alshehri, Mohammad Alamri, Sultan Altowairqi, Muhannad Muaddi, Halah Mohammed Huthan, Safeyah Abdulrahman Baeshen, Khalid Motlaq, Amal M Masmali
BACKGROUND Replicating the 3-dimensional (3D) color of natural teeth in artificial substitutes is challenging. Fixed dental prosthodontics require aesthetic, color-stable provisional restorations. Recent milling and 3D printing digital manufacturing techniques offer improved outcomes. This study assesses color stability in various digital manufacturing methods, tapers, and aging effects on anterior provisional resin restorations. MATERIAL AND METHODS Two all-ceramic tooth preparations on typodont teeth with 10° and 20° tapers were converted into experimental dies...
November 20, 2023: Medical Science Monitor Basic Research
https://read.qxmd.com/read/37976138/outcome-of-hiv-aids-admissions-in-the-medical-wards-of-a-tertiary-health-facility-south-east-nigeria-a-10-year-review
#31
M O Nkpozi, E C Iwuoha, K O Ngwogu
INTRODUCTION: About 9% of all persons living with HIV infection (PLWH) the world over were resident in Nigeria as of 2014 and Nigeria had the second largest HIV disease burden in the world after South Africa. Despite the introduction of antiretroviral therapy (ART) for the treatment of HIV infection, PLWH was frequently admitted to the medical wards on account of opportunistic infections, advanced HIV disease, and other complications. OBJECTIVE: The objective of this study was to determine the HIV/AIDS treatment outcome in the medical wards of the only teaching hospital in Abia State, which in 2019, had a disease prevalence of 2% behind Akwa Ibom, Benue, and Rivers States in Nigeria...
November 10, 2023: West African Journal of Medicine
https://read.qxmd.com/read/37957690/early-prediction-of-in-hospital-mortality-utilizing-multivariate-predictive-modelling-of-electronic-medical-records-and-socio-determinants-of-health-of-the-first-day-of-hospitalization
#32
JOURNAL ARTICLE
Daniel Stoessel, Rui Fa, Svetlana Artemova, Ursula von Schenck, Hadiseh Nowparast Rostami, Pierre-Ephrem Madiot, Caroline Landelle, Fréderic Olive, Alison Foote, Alexandre Moreau-Gaudry, Jean-Luc Bosson
BACKGROUND: In France an average of 4% of hospitalized patients die during their hospital stay. To aid medical decision making and the attribution of resources, within a few days of admission the identification of patients at high risk of dying in hospital is essential. METHODS: We used de-identified routine patient data available in the first 2 days of hospitalization in a French University Hospital (between 2016 and 2018) to build models predicting in-hospital mortality (at ≥ 2 and ≤ 30 days after admission)...
November 13, 2023: BMC Medical Informatics and Decision Making
https://read.qxmd.com/read/37949647/is-medical-aid-in-dying-discriminatory
#33
JOURNAL ARTICLE
Christopher A Riddle
No abstract text is available yet for this article.
November 10, 2023: Journal of Medical Ethics
https://read.qxmd.com/read/37928223/hiv-and-aids-related-knowledge-hiv-risk-perception-uptake-of-hiv-testing-and-its-predictors-among-prison-inmates-in-bauchi-state-nigeria-a-cross-sectional-study
#34
JOURNAL ARTICLE
Peter Okpeh Amede, Chukwuma David Umeokonkwo, Elizabeth Adedire, Muhammad Shakir Balogun, Sulaiman Saidu Bashir, Aisha Ahmed Abubakar
INTRODUCTION: globally, HIV infection among prison inmates is significantly higher than in the general population. Therefore, it is important to identify inmates-living-with-HIV, through HIV-testing, in keeping with the target of UNAIDS vision 90-90-90. We assessed HIV/AIDS-related knowledge, HIV-risk perception and predictors of HIV-testing-uptake in Bauchi Prison. METHODS: we conducted a cross-sectional study among 310 inmates selected with 2 stage sampling. Data was collected using a pretested, structured, interviewer-administered questionnaire...
2023: Pan African Medical Journal
https://read.qxmd.com/read/37927189/increased-carotid-intima-media-thickness-is-associated-with-higher-odds-of-unfavorable-outcomes-in-adults-without-advanced-vascular-diseases-presenting-with-non-severe-covid-19-pneumonia-a-nested-case-control-study
#35
JOURNAL ARTICLE
Miljenko Crnjaković, Sabina Deveđija, Gorana Vukorepa, Stela Rutović, Davor Sporiš, Vladimir Trkulja
AIM: To evaluate the association between carotid intima-media thickness (CIMT) at hospital admission and unfavorable outcomes in adults without advanced vascular diseases presenting with non-severe COVID-19 pneumonia to assess the feasibility of evaluating CIMT as a risk stratification aid in this setting. METHODS: This proof-of-concept nested case-control study enrolled consecutive non-vaccinated adults free of advanced vascular diseases presenting with verified non-severe COVID-19 pneumonia between December 2020 and June 2021...
October 31, 2023: Croatian Medical Journal
https://read.qxmd.com/read/37926622/-ensuring-patient-safety-is-one-of-our-primary-responsibilities-results-of-a-qualitative-study-on-maintaining-safety-in-ventilation-associated-technical-aid-supply
#36
JOURNAL ARTICLE
Susanne Stark, Yvonne Lehmann
BACKGROUND: Maintaining safety is critical in home mechanical ventilation (HMV). It is co-determined by the availability of reliable technical aids and their correct application. Ensuring safe aid supply is part of the aid providers'́ legal mandate. However, whether and how this is achieved is largely unknown. Therefore, the tasks of technical aid providers, associated requirements and challenges with special regards to educational and safety aspects were investigated. METHODS: For this purpose, episodic interviews were conducted between July and December 2020 with a purposive sample of field representatives of eleven technical aid providers...
November 3, 2023: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://read.qxmd.com/read/37918432/-update-lung-carcinoma-what-does-the-new-guideline-entail
#37
JOURNAL ARTICLE
Miriam Möller, Marcus Krüger, Wolfgang Schütte
Lung carcinoma is still one of the most common forms of cancer in both sexes in Germany and the most common cause of cancer-related death. However, we are in the midst of a revolution in the treatment of lung cancer. Above all, the new immune and target therapies as well as the possible combinations of the individual therapy components have expanded the spectrum of drug therapy for lung cancer in recent years.Great progress has also been made in other fields. Be it in the context of early detection, where low-dose CT screening will soon be established for patients at risk, or in the context of molecular diagnostics with the identification of a large number of targets that can be specifically treated with tyrosine kinase inhibitors...
November 2023: Deutsche Medizinische Wochenschrift
https://read.qxmd.com/read/37914305/cohort-profile-recruitment-and-retention-in-a-prospective-cohort-of-canadian-healthcare-workers-during-the-covid-19-pandemic
#38
JOURNAL ARTICLE
Nicola Cherry, Anil Adisesh, Igor Burstyn, Quentin Durand-Moreau, Jean-Michel Galarneau, France Labrèche, Shannon M Ruzycki, Tanis Zadunayski
PURPOSE: Healthcare workers were recruited early in 2020 to chart effects on their health as the COVID-19 pandemic evolved. The aim was to identify modifiable workplace risk factors for infection and mental ill health. PARTICIPANTS: Participants were recruited from four Canadian provinces, physicians (medical doctors, MDs) in Alberta, British Columbia, Ontario and Quebec, registered nurses (RNs), licensed practical nurses (LPNs) and healthcare aides (HCAs) in Alberta and personal support workers (PSWs) in Ontario...
November 1, 2023: BMJ Open
https://read.qxmd.com/read/37901789/unique-characteristics-of-end-of-life-hospitalizations-in-parkinson-disease
#39
JOURNAL ARTICLE
Whitley W Aamodt, Nabila Dahodwala, Warren B Bilker, John T Farrar, Allison W Willis
INTRODUCTION: Persons with Parkinson disease (PD) are hospitalized at higher rates, have longer lengths of stay, and are more likely to die in the hospital than age-matched peers. Although prior studies have compared inpatient outcomes between persons with and without PD, little is known about inpatient outcomes across the PD trajectory, or whether hospitalizations occurring in the last 6 months of life differ from earlier hospitalizations. METHODS: This cross-sectional study compared Medicare Part A and B beneficiaries aged 65 and older with a qualifying PD diagnosis who were hospitalized in 2017: decedents who died between 7/1/2017 and 12/31/2017 from all causes and were hospitalized at least once in their last 6 months of life, and non-decedents who were hospitalized between 1/1/2017 and 6/30/2017 and lived 6 or more months after discharge...
2023: Frontiers in Aging Neuroscience
https://read.qxmd.com/read/37892099/association-between-red-cell-distribution-width-and-outcomes-of-nonagenarians-admitted-to-the-intensive-care-unit-a-retrospective-cohort-study
#40
JOURNAL ARTICLE
Pauline Theile, Jakob Müller, Rikus Daniels, Stefan Kluge, Kevin Roedl
The red cell distribution width (RDW) measures the heterogeneity of the erythrocyte volume. Different clinical conditions are associated with increased RDW, and high levels (>14.5%) have been described as a predictive marker for unfavorable outcomes and mortality in critically ill patients. However, there is a lack of data on very elderly critically ill patients. Therefore, we aimed to investigate the association of RDW with outcomes in critically ill patients ≥ 90 years. A retrospective analysis was conducted for all consecutive critically ill patients ≥ 90 years who were admitted to the Department of Intensive Care Medicine of the Medical University Centre Hamburg-Eppendorf (Hamburg, Germany) with available RDW on admission...
October 23, 2023: Diagnostics
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