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https://www.readbyqxmd.com/read/28076529/relationships-between-oncohematopediatrics-mothers-and-children-in-communicating-bad-news
#1
Selene Beviláqua Chaves Afonso, Maria Cecília de Souza Minayo
We present a study about the relations between pediatric oncological haematologists, mothers, and children in sharing bad news (BN) in a public hospital in Rio de Janeiro. The text emphasizes the intertwining of technique and emotions for the treatment of children with diagnoses in which the fatal outcome is always a probability. We used a qualitative approach, privileging participant observation and open interviews with oncologists (at this service all professionals were female) and mothers. We sought to understand the importance of communication which includes expressions and control of emotions; bioethical issues that require sensitivity, serenity, and truth about approaching the end of life; and how the professionals balance proximity to children and families and objectivity in their activity...
January 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28064525/healthy-children-strong-families-2-a-randomized-controlled-trial-of-a-healthy-lifestyle-intervention-for-american-indian-families-designed-using-community-based-approaches
#2
Emily J Tomayko, Ronald J Prince, Kate A Cronin, Tassy Parker, Kyungmann Kim, Vernon M Grant, Judith N Sheche, Alexandra K Adams
Background/Aims Few obesity prevention trials have focused on young children and their families in the home environment, particularly in underserved communities. Healthy Children, Strong Families 2 is a randomized controlled trial of a healthy lifestyle intervention for American Indian children and their families, a group at very high risk of obesity. The study design resulted from our long-standing engagement with American Indian communities, and few collaborations of this type resulting in the development and implementation of a randomized clinical trial have been described...
January 1, 2017: Clinical Trials: Journal of the Society for Clinical Trials
https://www.readbyqxmd.com/read/28056712/neonatal-head-and-torso-vibration-exposure-during-inter-hospital-transfer
#3
Laurence Blaxter, Mildrid Yeo, Donal McNally, John Crowe, Caroline Henry, Sarah Hill, Neil Mansfield, Andrew Leslie, Don Sharkey
Inter-hospital transport of premature infants is increasingly common, given the centralisation of neonatal intensive care. However, it is known to be associated with anomalously increased morbidity, most notably brain injury, and with increased mortality from multifactorial causes. Surprisingly, there have been relatively few previous studies investigating the levels of mechanical shock and vibration hazard present during this vehicular transport pathway. Using a custom inertial datalogger, and analysis software, we quantify vibration and linear head acceleration...
December 1, 2016: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
https://www.readbyqxmd.com/read/28043201/physiological-ripples-associated-with-sleep-spindles-differ-in-waveform-morphology-from-epileptic-ripples
#4
Jonas C Bruder, Matthias Dümpelmann, Daniel Lachner Piza, Malenka Mader, Andreas Schulze-Bonhage, Julia Jacobs-Le Van
High frequency oscillations (HFOs, 80-500[Formula: see text]Hz) serve as novel electroencephalography (EEG) markers of epileptic tissue. The differentiation of physiological and epileptic HFO is an important challenge and is complicated by the fact that both types are generated in mesiotemporal structures. This study aimed to identify oscillation features that serve to distinguish physiological ripples associated with sleep spindles and epileptic ripples. We studied 19 patients with chronic intracranial EEG(iEEG) with mesiotemporal implantation and simultaneous scalp EEG...
November 2, 2016: International Journal of Neural Systems
https://www.readbyqxmd.com/read/28032947/controversies-in-the-management-of-caustic-ingestion-injury-an-evidence-based-review
#5
J H Bird, S Kumar, C Paul, J D Ramsden
BACKGROUND: Caustic ingestion of acid or alkaline substances can cause damage to the upper respiratory and upper digestive tract. Initial presentation following caustic ingestion can include oropharyngeal pain, dysphagia and stridor. Due to this clinical presentation that the resident otolaryngologist is consulted to review and examine these patients to assess for airway compromise and commence initial management and care until airway concern has passed. OBJECTIVE OF REVIEW: This review aims to provide evidence based guidance in the management of those presenting with acute ingestion injury so that informed initial medical therapy can be commenced and appropriate investigations arranged to optimise patient outcome...
December 29, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28031028/enablers-and-barriers-to-implementing-collaborative-care-for-anxiety-and-depression-a-systematic-qualitative-review
#6
REVIEW
Gritt Overbeck, Annette Sofie Davidsen, Marius Brostrøm Kousgaard
BACKGROUND: Collaborative care is an increasingly popular approach for improving quality of care for people with mental health problems through an intensified and structured collaboration between primary care providers and health professionals with specialized psychiatric expertise. Trials have shown significant positive effects for patients suffering from depression, but since collaborative care is a complex intervention, it is important to understand the factors which affect its implementation...
December 28, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27992154/revised-medical-criteria-for-evaluating-human-immunodeficiency-virus-hiv-infection-and-for-evaluating-functional-limitations-in-immune-system-disorders-final-rule
#7
(no author information available yet)
We are revising the criteria in the Listing of Impairments (listings) that we use to evaluate claims involving human immunodeficiency virus (HIV) infection in adults and children under titles II and XVI of the Social Security Act (Act). We also are revising the introductory text of the listings that we use to evaluate functional limitations resulting from immune system disorders. The revisions reflect our program experience, advances in medical knowledge, our adjudicative experience, recommendations from a commissioned report, and comments from medical experts and the public...
2, 2016: Federal Register
https://www.readbyqxmd.com/read/27926934/public-health-interventions-for-aedes-control-in-the-time-of-zikavirus-a-meta-review-on-effectiveness-of-vector-control-strategies
#8
Maha Bouzid, Julii Brainard, Lee Hooper, Paul R Hunter
BACKGROUND: There is renewed interest in effective measures to control Zika and dengue vectors. A synthesis of published literature with a focus on the quality of evidence is warranted to determine the effectiveness of vector control strategies. METHODOLOGY: We conducted a meta-review assessing the effectiveness of any Aedes control measure. We searched Scopus and Medline for relevant reviews through to May 2016. Titles, abstracts and full texts were assessed independently for inclusion by two authors...
December 2016: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/27905227/a-practical-guide-to-forensic-nursing-amar-angela-f-and-sekula-l-kathleen-a-practical-guide-to-forensic-nursing-392pp-%C3%A2-38-85-sigma-theta-tau-international-kindle-edition-9781940446349-1940446341-formula-see-text
#9
(no author information available yet)
This fascinating publication describes in depth the roles and responsibilities of forensic nurses in the US, who are often involved in the scientific investigation of violent and sexual crimes. However, these duties differ from those of nurses in forensic or secure settings in the UK, who work primarily with offenders who have mental health problems and who are in hospital, prison or police cells.
December 1, 2016: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/27904216/scapholunate-ligament-reconstruction-using-the-palmaris-longus-tendon-and-suture-anchor-fixation-in-chronic-scapholunate-instability
#10
Maulik Jagdish Gandhi, Timothy Paul Knight, Peter John Ratcliffe
BACKGROUND: Multiple reconstruction techniques have been described in the management of chronic scapholunate (SL) instability, either based on the capsulodesis or tenodesis principle. It is uncertain which surgical method produces the best patient outcomes. We describe results of a technique using palmaris longus (PL) tendon for surgical reconstruction of the SL ligament and provide functional outcomes scores. MATERIALS AND METHODS: We surgically reconstructed the SL ligament using a PL tendon graft secured with Mitek(®) bone anchors...
November 2016: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/27876689/survey-email-scheduling-and-monitoring-in-ercts-sesame-a-digital-tool-to-improve-data-collection-in-randomized-controlled-clinical-trials
#11
Trygve Skonnord, Finn Steen, Holgeir Skjeie, Arne Fetveit, Mette Brekke, Atle Klovning
BACKGROUND: Electronic questionnaires can ease data collection in randomized controlled trials (RCTs) in clinical practice. We found no existing software that could automate the sending of emails to participants enrolled into an RCT at different study participant inclusion time points. OBJECTIVE: Our aim was to develop suitable software to facilitate data collection in an ongoing multicenter RCT of low back pain (the Acuback study). For the Acuback study, we determined that we would need to send a total of 5130 emails to 270 patients recruited at different centers and at 19 different time points...
November 22, 2016: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/27857824/medical-image-encryption-an-application-for-improved-padding-based-ggh-encryption-algorithm
#12
Massoud Sokouti, Ali Zakerolhosseini, Babak Sokouti
Medical images are regarded as important and sensitive data in the medical informatics systems. For transferring medical images over an insecure network, developing a secure encryption algorithm is necessary. Among the three main properties of security services ( i.e. , confidentiality, integrity, and availability), the confidentiality is the most essential feature for exchanging medical images among physicians. The Goldreich Goldwasser Halevi (GGH) algorithm can be a good choice for encrypting medical images as both the algorithm and sensitive data are represented by numeric matrices...
2016: Open Medical Informatics Journal
https://www.readbyqxmd.com/read/27855685/understanding-the-barriers-to-successful-adoption-and-use-of-a-mobile-health-information-system-in-a-community-health-center-in-s%C3%A3-o-paulo-brazil-a-cohort-study
#13
Jayant V Rajan, Juliana Moura, Gato Gourley, Karina Kiso, Alexandre Sizilio, Ana Maria Cortez, Lee W Riley, Maria Amelia Veras, Urmimala Sarkar
BACKGROUND: Mobile technology to support community health has surged in popularity, yet few studies have systematically examined usability of mobile platforms for this setting. METHODS: We conducted a mixed-methods study of 14 community healthcare workers at a public healthcare clinic in São Paulo, Brazil. We held focus groups with community healthcare workers to elicit their ideas about a mobile health application and used this input to build a prototype app. A pre-use test survey was administered to all participants, who subsequently use-tested the app on three different devices (iPhone, iPad mini, iPad Air)...
November 17, 2016: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/27849476/perspective-of-the-graduating-medical-student-the-ideal-curriculum-for-the-fourth-year-of-undergraduate-medical-education
#14
Mary A Andrews, Nathalie D Paolino, Kent J DeZee, Brian Hemann
OBJECTIVE: To explore medical students' perspective regarding the fourth year of medical school and common educational activities thereof. METHODS: The authors surveyed students graduating in 2012 with a military service obligation about the importance of common fourth-year activities, the proportion of the fourth year devoted to these activities, and important considerations for the fourth-year curriculum. The authors calculated mean importance scores for educational activities and mean proportions of the fourth year that should be devoted to certain activities...
November 2016: Military Medicine
https://www.readbyqxmd.com/read/27847350/design-considerations-in-development-of-a-mobile-health-intervention-program-the-text-me-and-textmeds-experience
#15
Jay Thakkar, Tony Barry, Aravinda Thiagalingam, Julie Redfern, Alistair L McEwan, Anthony Rodgers, Clara K Chow
BACKGROUND: Mobile health (mHealth) has huge potential to deliver preventative health services. However, there is paucity of literature on theoretical constructs, technical, practical, and regulatory considerations that enable delivery of such services. OBJECTIVES: The objective of this study was to outline the key considerations in the development of a text message-based mHealth program; thus providing broad recommendations and guidance to future researchers designing similar programs...
November 15, 2016: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/27830617/a-practical-guide-to-forensic-nursing-amar-angela-f-and-sekula-l-kathleen-a-practical-guide-to-forensic-nursing-392pp-%C3%A2-38-85-sigma-theta-tau-international-kindle-edition-9781940446349-1940446341-formula-see-text
#16
(no author information available yet)
This fascinating publication describes in depth the roles and responsibilities of forensic nurses in the US, who are often involved in the scientific investigation of violent and sexual crimes. However, these duties differ from those of nurses in forensic or secure settings in the UK, who work primarily with offenders who have mental health problems and who are in hospital, prison or police cells.
November 10, 2016: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/27830254/clinical-research-informatics-contributions-from-2015
#17
C Daniel, R Choquet
OBJECTIVES: To summarize key contributions to current research in the field of Clinical Research Informatics (CRI) and to select best papers published in 2015. METHOD: A bibliographic search using a combination of MeSH and free terms search over PubMed on Clinical Research Informatics (CRI) was performed followed by a double-blind review in order to select a list of candidate best papers to be then peer-reviewed by external reviewers. A consensus meeting between the two section editors and the editorial team was finally organized to conclude on the selection of best papers...
November 10, 2016: Yearbook of Medical Informatics
https://www.readbyqxmd.com/read/27806508/security-challenges-in-healthcare-cloud-computing-a-systematic-review
#18
Esmaeil Mehraeen, Marjan Ghazisaeedi, Jebraeil Farzi, Saghar Mirshekari
BACKGROUND: Healthcare data are very sensitive records that should not be made available to unauthorized people in order for protecting patient's information security. However, in progressed technologies as cloud computing which are vulnerable to cyber gaps that pose an adverse impact on the security and privacy of patients' electronic health records and in these situations, security challenges of the wireless networks need to be carefully understood and considered. Recently, security concerns in cloud computing environment are a matter of challenge with rising importance...
July 12, 2016: Global Journal of Health Science
https://www.readbyqxmd.com/read/27762251/disorders-induced-by-direct-occupational-exposure-to-noise-systematic-review
#19
Andrea Domingo-Pueyo, Javier Sanz-Valero, Carmina Wanden-Berghe
BACKGROUND: To review the available scientific literature about the effects on health by occupational exposure to noise. MATERIALS AND METHODS: A systematic review of the retrieved scientific literature from the databases MEDLINE (via PubMed), ISI-Web of Knowledge (Institute for Scientific Information), Cochrane Library Plus, SCOPUS, and SciELO (collection of scientific journals) was conducted. The following terms were used as descriptors and were searched in free text: "Noise, Occupational," "Occupational Exposure," and "Occupational Disease...
September 2016: Noise & Health
https://www.readbyqxmd.com/read/27722978/an-improvement-to-a-multi-client-searchable-encryption-scheme-for-boolean-queries
#20
Han Jiang, Xue Li, Qiuliang Xu
The migration of e-health systems to the cloud computing brings huge benefits, as same as some security risks. Searchable Encryption(SE) is a cryptography encryption scheme that can protect the confidentiality of data and utilize the encrypted data at the same time. The SE scheme proposed by Cash et al. in Crypto2013 and its follow-up work in CCS2013 are most practical SE Scheme that support Boolean queries at present. In their scheme, the data user has to generate the search tokens by the counter number one by one and interact with server repeatedly, until he meets the correct one, or goes through plenty of tokens to illustrate that there is no search result...
December 2016: Journal of Medical Systems
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