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good doctors

Lena Petersson, Gudbjörg Erlingsdóttir
BACKGROUND: This is the second of two papers presenting the results from a study of the implementation of patient online access to their electronic health records (here referred to as Open Notes) in adult psychiatric care in Sweden. The study contributes an important understanding of both the expectations and concerns that existed among health care professionals before the introduction of the Open Notes Service in psychiatry and the perceived impact of the technology on their own work and patient behavior after the implementation...
June 21, 2018: JMIR Mental Health
Fei Liu, Yingying Li, Xiaofeng Ju
INTRODUCTION: An online health community (OHC) is a unique social network that provides a platform for sharing healthcare information, communicating about health and offering health services. While many researchers have examined OHCs, the impact of patient reviews on patient consultation behavior in the OHCs has rarely been discussed in the existing literature. METHODS: A computer program was developed to download the required information. This process was conducted monthly to capture the variation in the dependent variable...
June 21, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
T H Lam, K H Wong, K Kl Chan, M Cm Chan, D Vk Chao, A Ny Cheung, C Ym Fan, J Ho, E P Hui, K O Lam, C K Law, W L Law, H Hf Loong, R Kc Ngan, T Hf Tsang, M Cs Wong, R Mw Yeung, A Ch Ying, R Ching
In Hong Kong, breast cancer is the most common cancer among women and poses a significant health care burden. The Cancer Expert Working Group on Cancer Prevention and Screening (CEWG) was set up in 2002 by the Cancer Coordinating Committee to review and assess local and international scientific evidence, and to formulate recommendations for cancer prevention and screening. After considering the local epidemiology, emerging scientific evidence, and local and overseas screening practices, the CEWG concluded that it was unclear whether population-based breast cancer screening did more harm than good in local asymptomatic women at average risk...
June 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
Gillian Marion Scanlan, Jennifer Cleland, Kim Walker, Peter Johnston
INTRODUCTION: The wish to quit or take time out of medical training appears to be related, at least in part, to a strong desire for supportive working and learning environments. However, we do not have a good understanding of what a supportive culture means to early career doctors, and how perceptions of support may influence career decision making. Our aim was to explore this in UK Foundation doctors. METHODS: This was a qualitative study using semistructured interviews incorporating a narrative inquiry approach for data collection...
June 19, 2018: BMJ Open
Mary Halter, Carly Wheeler, Ferruccio Pelone, Heather Gage, Simon de Lusignan, Jim Parle, Robert Grant, Jonathan Gabe, Laura Nice, Vari M Drennan
OBJECTIVE: To appraise and synthesise research on the impact of physician assistants/associates (PA) in secondary care, specifically acute internal medicine, care of the elderly, emergency medicine, trauma and orthopaedics, and mental health. DESIGN: Systematic review. SETTING: Electronic databases (Medline, Embase, ASSIA, CINAHL, SCOPUS, PsycINFO, Social Policy and Practice, EconLit and Cochrane), reference lists and related articles. INCLUDED ARTICLES: Peer-reviewed articles of any study design, published in English, 1995-2017...
June 19, 2018: BMJ Open
Floriana Caccamo, Simona Ghedin, Cristina Marogna
OBJECTIVES: Health workers, particularly those working in palliative care, are confronted daily with situations that increase stress and emotional fatigue, since constantly exposed to the disease and the death of patients. The proximity to the pain and the feelings of psychological suffering of patients submits them to a very intense emotional charge, making them susceptible to burnout. The skills required for those involved in this type of assistance are very specific and it is therefore necessary training that is aimed at providing the healthcare professional knowledge and basic skills, both professional and empathic, because the service is of good quality...
December 2017: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
Norbert Král, Bohumil Seifert, Jan Kovář, Cyril Mucha, Jana Vojtíšková, Jáchym Bednár, Seifert Martin
Introduction: Although informal meetings of healthcare professionals in smaller groups are common in the area of primary care in the Czech Republic, the method of quality circles is not in wide use. The aim of our project is to use this method to help new general practitioners (GPs) when they take over a medical practice and to suggest measures to improve the organization and overall attractiveness of new practices, as well as patient satisfaction. Materials and Methods: For the purposes of this observation, an already existing informal group formed by healthcare professionals and their trainees was used...
January 2018: Journal of Family Medicine and Primary Care
Richard K Shields, Shauna Dudley-Javoroski
QUESTIONS: What is the economic value of a physiotherapy career relative to other healthcare professions? Is the graduate debt reported for physiotherapy manageable according to recommended salary-weighted debt service ratio benchmarks? DESIGN: Net present value (NPV) is an economic modelling approach that compares costs and benefits of an investment such as healthcare education. An economic analysis using the NPV approach was conducted and reported in US dollars for the Doctor of Physical Therapy degree...
June 15, 2018: Journal of Physiotherapy
Christian Wong, Johanna Hall, Kasper Gosvig
Background Vertebral rotation in straight spines or in spines with small scoliosis may potentially affect measurement of radiological parameters in both the frontal and sagittal plane. This is important, since it could lead to potential misdiagnosis of scoliosis and other clinical consequences, and until now, this has not been examined. Purpose To examine the effect of axial vertebral rotation of the spine on measurement of common radiological parameters. Material and Methods Reconstructions from computed tomography scans of 40 consecutive included and anonymized patients with straight spines or small scoliosis...
January 1, 2018: Acta Radiologica
Feiwei Qin, Nannan Gao, Yong Peng, Zizhao Wu, Shuying Shen, Artur Grudtsin
BACKGROUND AND OBJECTIVE: Leukocyte classification and cytometry have wide applications in medical domain, previous researches usually exploit machine learning techniques to classify leukocytes automatically. However, constrained by the past development of machine learning techniques, for example, extracting distinctive features from raw microscopic images are difficult, the widely used SVM classifier only has relative few parameters to tune, these methods cannot efficiently handle fine-grained classification cases when the white blood cells have up to 40 categories...
August 2018: Computer Methods and Programs in Biomedicine
Andreas Møllerløkken
Norway has a long tradition of quality research within the field of baromedicine. With the discovery of oil in the North Sea, it became important to establish scientific research facilities to overcome immediate challenges, but also to work towards long-term goals. For the diving community, an understanding of the pathophysiology of decompression sickness (DCS) has been one of the major forces to maintain focus on the importance of scientific research in this field. In addition to oil, the aquaculture and fish farming industries are increasing in size and are Norway's second biggest export industry today...
June 30, 2018: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
Magdalena A Lazarewicz, Dorota Wlodarczyk, Joanna Chylinska, Mariusz Jaworski, Marta Rzadkiewicz, Miroslawa Adamus, GØrill Haugan, Monica Lillefjell, Geir A Espnes
AIMS: Patients' attitude towards treatment and health (ATH) is crucial for compliance at all stages of treatment. This study examined the psychometric properties of the developed PRACTA Attitude Towards Treatment and Health questionnaire, designed to measure ATH as perceived by seniors (PRACTA-ATH) and doctors (PRACTA-ATH-D) in primary health care. METHODS: The data were collected in two waves of the Polish-Norwegian PRACTA project. Exploratory factor analyses (EFAs) were conducted on wave 1 data from senior patients ( n = 3392) and their general practitioners ( n = 491)...
June 1, 2018: Scandinavian Journal of Public Health
Anatoliy G Goncharuk
This paper aims to identify the true motivators (needs) of medical staff, compare them with the current labor incentives, and detect possible differences in motivators for main groups of medical staff. Observing personnel of 5 hospitals and students of the medical institute by special questionnaires, the author confirmed the hypothesis of different motivators for groups of medical staff with different ages, professions, and gender. The author used special questionnaires to collect the data. Study results confirmed the hypothesis of different motivators for groups of medical staff with different ages, professions, and gender...
June 8, 2018: International Journal of Health Planning and Management
Tsung-Ying Chen
Good medical leadership is the key to building high-quality healthcare. However, in the development of medical careers, the teaching of leadership has traditionally not equaled that of technical and academic competencies. As a result of changes in personal standards, the quality of medical leadership has led to variations between different organizations, as well as occasional catastrophic failure in the standard of care provided for patients. Leaders in the medical profession have called for reform in healthcare in response to challenges in the system and improvements in public health...
April 2018: Ci Ji Yi Xue za Zhi, Tzu-chi Medical Journal
Ikumi Sugiyama, Kenzo Kudo, Yasuyuki Sadzuka
 Cancer chemotherapy-induced stomatitis may spread throughout a patient's entire oral cavity and decrease the patient's QOL. The therapy for stomatitis at Iwate Medical University Hospital (IMUH) includes dental treatment before chemotherapy, in addition to oral rinses or cryotherapy as a preventative measure. However, in our survey of doctors and nurses, the responses of patients "satisfied" with the present approach for stomatitis treatment reached only 5.1%. Therefore, we attempted treatment using an indomethacin spray, prepared as a hospital preparation, with pre-approval of the ethics committee and based on a previous report of its positive effect on patients at another hospital...
2018: Yakugaku Zasshi: Journal of the Pharmaceutical Society of Japan
Anna M Hedman, Tong Gong, Cecilia Lundholm, Elin Dahlén, Vilhelmina Ullemar, Bronwyn K Brew, Catarina Almqvist
PURPOSE: Risk factors and consequences of asthma can be studied by using validated questionnaires. The overall objective of this study was to assess the agreement of parental-reported asthma-related questions regarding their children against Swedish health care registers. METHODS: We linked a population-based twin cohort of 27 055 children aged 9 to 12 years to the Swedish Prescribed Drug Register, National Patient Register, and the primary care register. Parent-reported asthma was obtained from questionnaires, and diagnoses and medication were retrieved from the registers...
June 3, 2018: Pharmacoepidemiology and Drug Safety
Marie Gisselsson-Solen
OBJECTIVES: The insertion of grommets is one of the most commonly performed surgical procedures in children. The underlying reason might be otitis media with effusion (OME) with concomitant hearing loss, recurrent acute otitis media (rAOM) or a combination of the two. Sweden has a national quality register for children receiving grommets with the purpose of evaluating how treatment guidelines are followed, and if surgery confers good quality health care. The purpose of this study was to investigate the circumstances during which Swedish children receive grommets and to examine how doctors follow the guidelines for grommet surgery...
July 2018: International Journal of Pediatric Otorhinolaryngology
Tomoo Fujii, Manako Hanya, Masanori Kishi, Yuki Kondo, Marshall E Cates, Hiroyuki Kamei
Stigma associated with psychiatric disorders tends to be manifested as negative attitudes or behavior toward the mentally ill. It has negative influences, such as leading to difficulty in establishing trust-based relationships and interfering with medical treatment. In order to reduce such stigma, it is necessary to clarify its extent and characteristics in healthcare professionals. Considering this, an Internet-based questionnaire survey was conducted, involving doctors (n = 186), nurses (n = 161), and pharmacists (n = 192) in comparison with the general public (n = 331), and using the Whatley Social Distance Scale (WSDS) and Index of Attitudes toward the Mentally Ill (IATM) as stigma-related indices...
May 28, 2018: Asian Journal of Psychiatry
Till-Ansgar Neubert, Martin Dusch, Matthias Karst, Florian Beissner
BACKGROUND: Symptom drawings are widely used as a qualitative and quantitative method of assessing pain symptoms for both clinical and research purposes. As electronic drawings offer many advantages over classical pen-and-paper drawings, the last years have seen a shift toward tablet-based acquisition of symptom drawings. However, software that is used in clinical care requires special attention to usability aspects and design to provide easy access for physically impaired or elderly patients...
May 30, 2018: JMIR MHealth and UHealth
Ute Kühn-Velten, Christian Hohmann, Tim Strauss, Oleg Heizmann, Günter Klöppel
HISTORY AND CLINICAL FINDINGS:  A 73-year-old woman was admitted to hospital early in the morning by an emergency doctor in initially unclear comatose conditions with a blood glucose of 24 mg/dl. There were no important previous diseases requiring any medication. She was in good physical state. EXAMINATIONS:  Except for a lowered breath sound on the right side of the chest the physical findings were normal. Endocrinologic tests, diagnostic imaging (Chest-x-ray, ultrasonography of abdomen and pleura, abdominal and thoracic CT) and fine needle biopsy suggested a non-islet-cell-tumor on the right side of the pleura as cause of hypoglycemia...
June 2018: Deutsche Medizinische Wochenschrift
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