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https://www.readbyqxmd.com/read/28715537/antinuclear-antibody-and-subserology-testing-in-the-evaluation-of-fibromyalgia-a-teachable-moment
#1
Nivedita Arora, Arjun Gupta, Swathi B Reddy
No abstract text is available yet for this article.
July 17, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28710339/impact-of-low-dose-ct-screening-on-smoking-cessation-among-high-risk-participants-in-the-uk-lung-cancer-screening-trial
#2
Kate Brain, Ben Carter, Kate J Lifford, Olivia Burke, Anand Devaraj, David R Baldwin, Stephen Duffy, John K Field
BACKGROUND: Smoking cessation was examined among a subset of current smokers who were high-risk participants in the UK Lung Cancer Screening (UKLS) pilot trial of low-dose CT screening. METHODS: High-risk individuals aged 50-75 years who completed baseline questionnaires were randomised to CT screening (intervention) or usual care (no screening control). Smoking habit was determined at baseline using self-report. Smokers were asked whether they had quit smoking since joining UKLS at short-term follow-up (2 weeks after baseline scan results or control assignment) and longer-term follow-up (up to 2 years after recruitment)...
July 14, 2017: Thorax
https://www.readbyqxmd.com/read/28699825/engaging-end-users-in-intervention-research-study-design
#3
Molly A Martin, Valerie G Press, Kim Erwin, Helen Margellos-Anast, Stacy Ignoffo, Kate Sheridan McMahon, Giselle Mosnaim, Jessica Ramsay, S Margaret Paik
OBJECTIVE: Coordinated Healthcare Interventions for Childhood Asthma Gaps in Outcomes (CHICAGO Plan) is a 3-arm multicenter pragmatic trial to evaluate asthma interventions in high-risk Chicago children presenting to Emergency Departments (ED) with asthma. A formative evaluation with end-users to provide input into the trial design and outcome instruments was conducted prior to trial initiation. METHODS: A multi-level data gathering framework from the field of design and standard qualitative methods were employed...
July 12, 2017: Journal of Asthma: Official Journal of the Association for the Care of Asthma
https://www.readbyqxmd.com/read/28678000/implantable-cardioverter-defibrillator-knowledge-and-end-of-life-device-deactivation-a-cross-sectional-survey
#4
Samantha M McEvedy, Jan Cameron, Eugene Lugg, Jennifer Miller, Chris Haedtke, Muna Hammash, Martha J Biddle, Kyoung Suk Lee, Justin A Mariani, Chantal F Ski, David R Thompson, Misook Lee Chung, Debra K Moser
BACKGROUND: End-of-life implantable cardioverter defibrillator deactivation discussions should commence before device implantation and be ongoing, yet many implantable cardioverter defibrillators remain active in patients' last days. AIM: To examine associations among implantable cardioverter defibrillator knowledge, patient characteristics and attitudes to implantable cardioverter defibrillator deactivation. DESIGN: Cross-sectional survey using the Experiences, Attitudes and Knowledge of End-of-Life Issues in Implantable Cardioverter Defibrillator Patients Questionnaire...
June 1, 2017: Palliative Medicine
https://www.readbyqxmd.com/read/28652316/the-modified-jo-burg-technique-for-securing-intercostal-chest-drains
#5
Daniel J Ablett, L Navaratne, D Chua, C G Streets, N R M Tai
Insertion of an intercostal chest drain (ICD) is a common intervention in the management of either blunt or penetrating thoracic trauma. It is frequently performed by junior medical personnel as an emergency procedure during the initial resuscitation period and often within a stressful environment. Approximately one-fifth of all ICD insertions are associated with complications. In a retrospective review of over 1000 ICD insertions, 7% of the complications observed were due to inadequate fixation, resulting in dislodgement...
June 26, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28628709/maximizing-benefits-and-minimizing-harms-of-lung-cancer-screening-a-teachable-moment
#6
Jason N Mansoori, Nathaniel Little, Stephen P Malkoski
No abstract text is available yet for this article.
June 19, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28586816/thrombophilia-testing-in-provoked-venous-thromboembolism-a-teachable-moment
#7
Arjun Gupta, Ravi Sarode, Srikanth Nagalla
No abstract text is available yet for this article.
June 5, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28577475/needle-guided-ultrasound-technique-for-axillary-artery-catheter-placement-in-critically-ill-patients-a-case-series-and-technique-description
#8
Natalie Htet, Jessica Vaughn, Sasikanth Adigopula, Erin Hennessey, Frederick Mihm
PURPOSE: Axillary arterial cannulation for blood pressure monitoring has been reported in adults since 1973. Reported failure rates using palpation landmarks are high. This report describes a needle-guided ultrasound technique for axillary arterial line placement in critically ill patients. METHODS: A retrospective review of all patients requiring axillary arterial cannulation attempts with ultrasound-assisted needle guidance for hemodynamic monitoring was performed from July 2010 to June 2016 at a single institution...
May 25, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/28558102/the-troponin-cascade-a-teachable-moment
#9
Timothy J Judson, Leila Y Beach, Krishan Soni
No abstract text is available yet for this article.
May 30, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28541177/when-teachable-moments-become-ethically-problematic
#10
Elizabeth Dzeng
There is frequently tension in medical education between teaching moments that provide skills and knowledge for medical trainees, and instrumentalizing patients for the purpose of teaching. In this commentary, I question the ethical acceptability of the practice of providing cardiopulmonary resuscitation (CPR) and advanced cardiac life support (ACLS) to dying patients who would be unlikely to survive resuscitation, as a teaching opportunity for medical trainees. This practice violates the principle of informed consent, as the patient agreed to resuscitation for the purpose of potentially prolonging life rather than to futile resuscitation as a teaching opportunity...
July 2017: Cambridge Quarterly of Healthcare Ethics: CQ: the International Journal of Healthcare Ethics Committees
https://www.readbyqxmd.com/read/28505250/treating-the-symptom-but-not-the-underlying-disease-in-infective-endocarditis-a-teachable-moment
#11
David P Serota, Colleen S Kraft, Melissa B Weimer
No abstract text is available yet for this article.
July 1, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28490203/c-safe-a-computer-delivered-sexual-health-promotion-program-for-latinas
#12
Charles H Klein, Tamara Kuhn, Midori Altamirano, Carmela Lomonaco
This article describes the development and evaluation of C-SAFE (Sexual Awareness for Everyone), a computer-delivered sexual health promotion program for Latinas. We first describe the process of adapting an evidence-based, group-level intervention into an individually administered computer-delivered program. We then present the methods and results of a randomized control trial with 321 Latinas in California and Florida to test C-SAFE's preliminary efficacy in reducing sexual health risk. We found no statistically significant differences between the two conditions at a six-month follow-up in terms of sexual behaviors or attitudes toward sexually transmitted infections and condoms, although C-SAFE women reported fewer days in the past month when their mental health was not good (p = ...
May 1, 2017: Health Promotion Practice
https://www.readbyqxmd.com/read/28475657/missed-opportunities-for-deprescription-a-teachable-moment
#13
Ismail A Raslan, Emily G McDonald, Todd C Lee
No abstract text is available yet for this article.
July 1, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28437544/polypharmacy-in-the-elderly-when-good-drugs-lead-to-bad-outcomes-a-teachable-moment
#14
Casey Carroll, Ahmed Hassanin
No abstract text is available yet for this article.
June 1, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28437212/the-impact-of-communication-skills-training-on-cardiology-fellows-and-attending-physicians-perceived-comfort-with-difficult-conversations
#15
Kathryn Berlacher, Robert M Arnold, Eva Reitschuler-Cross, Jeffrey Teuteberg, Winifred Teuteberg
BACKGROUND: Cardiologists need to decide which treatments are appropriate for seriously ill patients and whether they align with patient goals. Reconciling medical options with patients' wishes requires skilled communication. Although there is evidence that communication is teachable, few cardiologists receive formal training. OBJECTIVE: To demonstrate that providing communication skills training to cardiologists is feasible and improves their perceived preparedness (PP) for leading difficult conversations...
July 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28418446/anticoagulation-reversal-for-supratherapeutic-international-normalized-ratio-a-teachable-moment
#16
Sri Lekha Tummalapalli, Yue Qiu, Hyung J Cho
No abstract text is available yet for this article.
June 1, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28418117/articulating-the-ideal-50-years-of-interprofessional-collaboration-in-medical-education
#17
Elise Paradis, Mandy Pipher, Carrie Cartmill, J Cristian Rangel, Cynthia R Whitehead
CONTEXT: Health care delivery and the education of clinicians have changed immensely since the creation of the journal Medical Education. In this project, we seek to answer the following three questions: How has the concept of collaboration changed over the past 50 years in Medical Education? Have the participants involved in collaboration shifted over time? Has the idea of collaboration itself been transformed over the past 50 years? METHODS: Starting from a constructionist view of scientific discourse, we used directed content analysis to sample, code and analyse 144 collaboration-related articles over the 50-year life span of Medical Education...
April 18, 2017: Medical Education
https://www.readbyqxmd.com/read/28374335/preventive-health-behaviors-among-low-income-african-american-and-hispanic-populations-can-colonoscopy-screening-serve-as-a-teachable-moment
#18
Pathu Sriphanlop, Lina Jandorf, Hayley Thompson, Heiddis Valdimarsdottir, William Redd, Rachel C Shelton
INTRODUCTION: Teachable moments (TMs) are situations with potential for promoting health behavior change. Little is known as to whether colonoscopy screening itself may serve as a TM, particularly among low-income or minority populations. Research in this area is needed to inform efforts to address the disproportionate burden of colorectal cancer (CRC) experienced by minorities. AIMS: This study aims to describe attitudes related to physical activity (PA) and healthy eating among a low-income Hispanic and African American sample, assess whether colonoscopy completion may encourage changes in dietary behavior or PA, and determine the type of interventions minority participants would prefer to promote preventive behaviors...
April 3, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28315181/update-on-the-management-of-chronic-total-occlusions-in-coronary-artery-disease
#19
REVIEW
Kathleen Kearney, Ravi S Hira, Robert F Riley, Arun Kalyanasundaram, William L Lombardi
PURPOSE OF THE REVIEW: Chronic total occlusions (CTOs) are found in about a third of patients with coronary artery disease (CAD) and can pose a significant challenge during percutaneous revascularization. However, advances in CTO percutaneous coronary intervention (PCI) strategies, devices, and algorithms have led to significant improvements in successful treatment of CTOs. This review summarizes current management of CTOs in the context of modern PCI techniques and current evidence. RECENT FINDINGS: The hybrid algorithm now provides a standardized, teachable approach to CTO PCI, and success rates are approximately 90% in experienced hands...
April 2017: Current Atherosclerosis Reports
https://www.readbyqxmd.com/read/28222077/association-of-smoking-in-the-home-with-lung-cancer-worry-perceived-risk-and-synergistic-risk
#20
Karen M Butler, Mary Kay Rayens, Amanda T Wiggins, Kathy B Rademacher, Ellen J Hahn
PURPOSE/OBJECTIVES: To examine the association of smoking in the home with lung cancer worry, perceived risk, and synergistic risk, controlling for sociodemographics, family history of lung cancer, and health-related self-concept. The hypothesis is that participants with smoking in the home would have higher scores for lung cancer worry, perceived risk, and synergistic risk.
. DESIGN: Cross-sectional baseline survey. 
. SETTING: Participants recruited from an outpatient clinic and pharmacy at University of Kentucky HealthCare, an academic medical center...
March 1, 2017: Oncology Nursing Forum
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