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https://www.readbyqxmd.com/read/29776444/mediastinal-staging-of-non-small-cell-lung-cancer-by-endobronchial-and-endoscopic-ultrasonography-with-or-without-additional-surgical-mediastinoscopy-mediastrial-study-protocol-of-a-multicenter-randomised-controlled-trial
#1
Jelle E Bousema, Marcel G W Dijkgraaf, Nicole E Papen-Botterhuis, Hermien W Schreurs, Jos G Maessen, Erik H van der Heijden, Willem H Steup, Jerry Braun, Valentin J J M Noyez, Fieke Hoeijmakers, Naomi Beck, Martijn van Dorp, Niels J M Claessens, Birgitta I Hiddinga, Johannes M A Daniels, David J Heineman, Harmen R Zandbergen, Ad F T M Verhagen, Paul E van Schil, Jouke T Annema, Frank J C van den Broek
BACKGROUND: In case of suspicious lymph nodes on computed tomography (CT) or fluorodeoxyglucose positron emission tomography (FDG-PET), advanced tumour size or central tumour location in patients with suspected non-small cell lung cancer (NSCLC), Dutch and European guidelines recommend mediastinal staging by endosonography (endobronchial ultrasound (EBUS) and endoscopic ultrasound (EUS)) with sampling of mediastinal lymph nodes. If biopsy results from endosonography turn out negative, additional surgical staging of the mediastinum by mediastinoscopy is advised to prevent unnecessary lung resection due to false negative endosonography findings...
May 18, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29776383/escalate-adaptive-treatment-approach-for-adolescents-and-adults-with-adhd-study-protocol-for-a-randomized-controlled-trial
#2
Toivo Zinnow, Tobias Banaschewski, Andreas J Fallgatter, Carolin Jenkner, Florence Philipp-Wiegmann, Alexandra Philipsen, Wolfgang Retz, Esther Sobanski, Johannes Thome, Michael Rösler
BACKGROUND: Over the last decade, a wide range of attention-deficit/hyperactivity disorder (ADHD) treatment approaches for adults, including both pharmacological interventions and psychosocial treatments, have been proposed and observed to be efficient. In practice, individual treatment concepts are based on results of clinical studies as well as international guidelines (NICE Guidelines) that recommend a step-by-step treatment approach. Since the evidence supporting this approach is limited, the aim of the present study is to determine an optimal intervention regarding severity levels of ADHD symptomatology conducting a randomized controlled trial...
May 18, 2018: Trials
https://www.readbyqxmd.com/read/29773075/does-multidisciplinary-rehabilitation-of-tortured-refugees-represent-value-for-money-a-follow-up-of-a-danish-case-study
#3
Line Bager, Kristian Schultz Hansen, Carit Jacques Andersen, Shr-Jie Sharlenna Wang
BACKGROUND: The recent surge of asylum seekers in the European Union (EU) is raising questions about the EU's ability to integrate newcomers into the economy and into society; particularly those who need specialized services for the treatment of severe trauma. This study investigated whether rehabilitating traumatised refugees represents 'value-for-money' (VfM) in terms of intervention cost per health gain and in a long-term and societal perspective. METHODS: The economic evaluation comprised a cost-utility analysis (CUA) and a partial cost-benefit analysis (CBA)...
May 18, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29771869/performance-of-the-atlas-rapid-test-for-chlamydia-trachomatis-and-women-s-attitudes-toward-point-of-care-testing
#4
Lea E Widdice, Yu-Hsiang Hsieh, Barbara Silver, Mathilda Barnes, Perry Barnes, Charlotte A Gaydos
PURPOSE: This study compared performance of Atlas io® diagnostic platform, a point-of-care (POC) PCR assay for Chlamydia trachomatis (CT), to Aptima Combo 2, a standard of care laboratory-based nucleic acid amplification assay (NAAT), and evaluated patient attitudes toward POC testing. METHODS: Women ≥14 years undergoing CT screening/testing were recruited from an urban adolescent primary care practice (Teen Health Center, THC) and a sexually transmitted disease (STD) clinic...
May 1, 2018: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/29767462/soluble-fiber-use-in-pediatric-short-bowel-syndrome-a-survey-on-prevailing-practices
#5
Meredith Linley Harvie, Margaret Alyssa Tucker Norris, Wednesday Marie A Sevilla
BACKGROUND: In pediatric short bowel syndrome (SBS), adding fiber to enteral feedings is 1 treatment method to manage increased stool output. However, there are no standardized recommendations on the use of fiber in this setting, including type, dosage, titration strategies, etc. OBJECTIVE: The aim of this study is to determine current prevailing practices on the use of fiber in the treatment of chronic high stool output in the pediatric SBS population. METHODS: An anonymous electronic survey with 13 questions was sent through health professional electronic mailing lists...
May 16, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29760581/educational-program-for-middle-level-public-health-nurses-to-develop-new-health-services-regarding-community-health-needs-protocol-for-a-randomized-controlled-trial
#6
Kyoko Yoshioka-Maeda, Takafumi Katayama, Misa Shiomi, Noriko Hosoya
Background: Developing health services is a key strategy for improving the community health provided by public health nurses. However, an effective educational program for improving their skills in planning such services has not been developed. To describe our program and its evaluation protocol for the education of middle-level public health nurses to improve their skills in developing new health services to fulfil community health needs in Japan. Methods: In this randomized control trial, eligible participants in Japan will be randomly allocated to an intervention group and a control wait-list group...
2018: BMC Nursing
https://www.readbyqxmd.com/read/29760023/improving-prediction-of-dementia-in-primary-care
#7
Susan Jongstra, Willem A van Gool, Eric P Moll van Charante, Jan-Willem van Dalen, Lisa S M Eurelings, Edo Richard, Suzanne A Ligthart
PURPOSE: The Mini-Mental State Examination (MMSE) is one of the most widely used instruments to screen for cognitive deficits; however, this instrument alone is not sensitive enough to detect early symptoms of dementia. We aimed to investigate whether additionally using the Visual Association Test (VAT) improves the predictive value of the MMSE score for development of dementia. METHODS: Analyses were based on data from 2,690 primary care patients aged 70 to 78 years who participated in the Prevention of Dementia by Intensive Vascular Care (preDIVA) trial...
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29757802/assessing-unwanted-variations-in-rheumatology-clinic-previsit-rooming
#8
Edmond Ramly, Brad Stroik, Diane R Lauver, Heather M Johnson, Patrick McBride, Kristin Steffen Lewicki, Jon Arnason, Christie M Bartels
BACKGROUND: Rheumatologists face time pressures similar to primary care but have not generally benefitted from optimized team-based rooming during the time from the waiting room until the rheumatologist enters the room. OBJECTIVE: The aim of this study was to assess current capacity for population management in rheumatology clinics; we aimed to measure the tasks performed by rheumatology clinic staff (medical assistants or nurses) during rooming. METHODS: We performed a cross-sectional time-study and work-system analysis to measure rooming workflows at 3 rheumatology clinics in an academic multispecialty practice during 2014-2015...
May 11, 2018: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/29756277/delays-to-diagnosis-and-treatment-of-lung-cancer-in-australia-health-care-professional-perceptions-of-actual-versus-acceptable-timeframes
#9
Ashanya Malalasekera, Haryana M Dhillon, Prunella L Blinman, Steven C Kao, Janette L Vardy
OBJECTIVE: We examined Australian Health Care Professionals' (HCP) perceptions of timeliness of pathways to diagnosis and treatment for people with lung cancer, compared against timeframe guidelines. METHODS: A 21-item survey of HCPs evaluating patient waiting times to diagnosis and treatment of lung cancer was distributed via two Australian conferences, a national Multi-Disciplinary Team directory and email. Main outcome measures were HCP estimates of actual and acceptable waiting times in their practice, and factors contributing to perceived delays...
May 14, 2018: Internal Medicine Journal
https://www.readbyqxmd.com/read/29746210/specialist-perspectives-on-ontario-provincial-electronic-consultation-services
#10
Erin Keely, Rob Williams, Gilad Epstein, Amir Afkham, Clare Liddy
BACKGROUND: Wait times to access specialist care remain a huge frustration for patients and providers. In Ontario, two electronic consultation (eConsult) services provide prompt, secure access to specialist advice: The Champlain Building Access to Specialists through eConsultation (BASE™) eConsult-managed service, and the Ontario Telemedicine Network (OTN). INTRODUCTION: To gain a broader understanding of specialists' perspectives providing eConsult services, we surveyed all specialists actively participating in either platform...
May 10, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29731096/causes-of-ineligibility-for-recipients-in-living-kidney-transplantation
#11
N Masaki, K Iwadoh, A Kondo, I Koyama, I Nakajima, S Fuchinoue
BACKGROUND: Even if a living donor candidate exists, there are some cases that do not result in kidney transplantation (KTx) due to problems on the recipient side. The aim of this study was to clarify causes of ineligibility for KTx in these cases, so as to make RTx more applicable for patients. METHODS: We targeted 470 patients with end-stage renal disease who applied for the primary kidney KTx from 2010 to 2012. Then we selected those who were not applicable for KTx and investigated recipient causes of ineligibility for KTx or not receiving KTx...
May 2018: Transplantation Proceedings
https://www.readbyqxmd.com/read/29719220/access-to-us-primary-care-physicians-for-new-patients-concerned-about-smoking-or-weight
#12
Sarah E Tinkler, Rajiv L Sharma, Raven R H Susu-Mago, Sudeshna Pal, Miron Stano
Tobacco smoking and obesity are leading causes of preventable morbidity and mortality in the US, and primary care physicians are the main source of preventive care. However, it is not known whether access for new patients is affected by an expression of interest in preventive care. In a 2015 audit, we called US primary care physicians' offices to request appointment information regarding new patient physicals for simulated patients. Simulated patients were differentiated by smoking concerns (N = 907), weight concerns (N = 867), or no health concerns ("healthy" patients; N = 3561)...
April 29, 2018: Preventive Medicine
https://www.readbyqxmd.com/read/29716660/a-blended-psychosocial-support-program-for-partners-of-patients-with-amyotrophic-lateral-sclerosis-and-progressive-muscular-atrophy-protocol-of-a-randomized-controlled-trial
#13
Jessica de Wit, Anita Beelen, Constance H C Drossaert, Ruud Kolijn, Leonard H van den Berg, Johanna M A Visser-Meily, Carin D Schröder
BACKGROUND: Informal caregivers of patients with Amyotrophic Lateral Sclerosis (ALS) or Progressive Muscular Atrophy (PMA) face stressful demands due to severe impairments and prospect of early death of the patients they care for. Caregivers often experience feelings of psychological distress and caregiver burden, but supportive interventions are lacking. The objective of this study is to investigate the effectiveness of a psychosocial support program aimed at enhancing feelings of control over caregiving tasks and reducing psychological distress...
May 2, 2018: BMC Psychology
https://www.readbyqxmd.com/read/29716580/cost-effectiveness-of-the-mobile-application-tcapp-combined-with-face-to-face-cbt-treatment-compared-to-face-to-face-cbt-treatment-alone-for-patients-with-an-eating-disorder-study-protocol-of-a-multi-centre-randomised-controlled-trial
#14
Dimitra Anastasiadou, Francisco Lupiañez-Villanueva, Clara Faulí, Jordina Arcal Cunillera, Eduardo Serrano-Troncoso
BACKGROUND: The clinical utility of the existing apps for people with eating disorders (EDs) is not clear. The TCApp has been specifically developed for people with EDs, is based on the principles of Cognitive Behavioural Treatment (CBT) and allows a bidirectional link between the patient and the therapist. The objectives of the study are, first, to assess the clinical efficacy of a combined intervention for Eating Disorders (EDs) that includes an online intervention through the TCApp plus standard face-to-face CBT in comparison to standard face-to-face CBT alone, and second, to examine the cost-effectiveness of the TCApp and identify potential predicting, moderating and mediating variables that promote or hinder the implementation of the TCApp in ED units in Spain...
May 2, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29710183/an-update-on-the-management-of-neonatal-brachial-plexus-palsy-replacing-old-paradigms-a-review
#15
Brandon W Smith, Alecia K Daunter, Lynda J-S Yang, Thomas J Wilson
Importance: Neonatal brachial plexus palsy (NBPP) can result in persistent deficits for those who develop it. Advances in surgical technique have resulted in the availability of safe, reliable options for treatment. Prevailing paradigms include, "all neonatal brachial plexus palsy recovers," "wait a year to see if recovery occurs," and "don't move the arm." Practicing by these principles places these patients at a disadvantage. Thus, the importance of this review is to provide an update on the management of NBPP to replace old beliefs with new paradigms...
April 30, 2018: JAMA Pediatrics
https://www.readbyqxmd.com/read/29702039/communication-and-healthcare-self-reports-of-people-with-hearing-loss-in-primary-care-settings
#16
Madelyn N Stevens, Judy R Dubno, Margaret I Wallhagen, Debara L Tucci
OBJECTIVES: To assess the experiences of people with hearing loss in healthcare environments to characterize miscommunication and unmet needs, and guide recommendations for improving outcomes and access. METHODS: Anonymous survey developed by subject-matter experts was posted on a large national hearing-loss consumer and advocacy organization website and email listserv. Data were collected and managed via RedCAP. RESULTS: Responses were received from 1581 individuals...
March 20, 2018: Clinical Gerontologist
https://www.readbyqxmd.com/read/29699717/-effectiveness-of-a-new-model-of-telephone-derivation-shared-between-primary-care-and-hospital-care
#17
Luis Miguel Azogil-López, Juan José Pérez-Lázaro, Patricia Ávila-Pecci, Esther María Medrano-Sánchez, María Valle Coronado-Vázquez
AIM: The purpose of this study is to find out whether telephone referral from Primary Health Care to Internal Medicine Consult manages to reduce waiting days as compared to traditional referral. This study also aims to know how acceptable is the telephone referral to general practitioners and their patients. DESIGN: No blind randomized controlled clinical trial. SETTING: Northern Huelva Health District. PARTICIPANTS: 154 patients...
April 23, 2018: Atencion Primaria
https://www.readbyqxmd.com/read/29698902/patient-outcomes-associated-with-primary-care-behavioral-health-services-a-systematic-review
#18
REVIEW
Kyle Possemato, Emily M Johnson, Gregory P Beehler, Robyn L Shepardson, Paul King, Christina L Vair, Jennifer S Funderburk, Stephen A Maisto, Laura O Wray
OBJECTIVE: This systematic review focused on Primary Care Behavioral Health (PCBH) services delivered under normal clinic conditions that included the patient outcomes of: 1) access/utilization of behavioral health services, 2) health status, and 3) satisfaction. METHOD: Following PRISMA guidelines, comprehensive database searches and rigorous coding procedures rendered 36 articles meeting inclusion criteria. The principle summary measures of odd ratios or Cohen's d effect sizes were reported...
April 18, 2018: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29697038/tree-analysis-modeling-of-the-associations-between-phq-9-depressive-symptoms-and-doctor-diagnosis-of-depression-in-primary-care
#19
Weng-Yee Chin, Eric Yuk Fai Wan, Christopher Dowrick, Bruce Arroll, Cindy Lo Kuen Lam
BACKGROUND: The aim of this study was to explore the relationship between patient self-reported Patient Health Questionnaire-9 (PHQ-9) symptoms and doctor diagnosis of depression using a tree analysis approach. METHODS: This was a secondary analysis on a dataset obtained from 10 179 adult primary care patients and 59 primary care physicians (PCPs) across Hong Kong. Patients completed a waiting room survey collecting data on socio-demographics and the PHQ-9. Blinded doctors documented whether they thought the patient had depression...
April 26, 2018: Psychological Medicine
https://www.readbyqxmd.com/read/29694726/treatment-and-management-options-for-the-hepatitis-c-virus-infected-kidney-transplant-candidate
#20
REVIEW
Adriana Dejman, Marco A Ladino, David Roth
A substantial body of literature has unequivocally established that prevalent hepatitis C virus infection in chronic kidney disease (CKD), end stage renal disease (ESRD) and kidney transplant recipients is associated with a negative impact on patient survival. As a consequence of remarkable work that explained the details of the hepatitis C virus (HCV) genome, a class of drugs referred to as the direct-acting antiviral (DAA) agents were developed that targeted specific key sites in viral replication. Large clinical trials in the HCV-infected general population followed soon after that demonstrated cure rates exceeding 95%...
April 2018: Hemodialysis International
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