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https://www.readbyqxmd.com/read/28631046/adherence-of-rheumatoid-arthritis-patients-to-biologic-disease-modifying-antirheumatic-drugs-a-cross-sectional-study
#1
Natalia Mena-Vazquez, Sara Manrique-Arija, Lucía Yunquera-Romero, Inmaculada Ureña-Garnica, Marta Rojas-Gimenez, Carla Domic, Francisco Gabriel Jimenez-Nuñez, Antonio Fernandez-Nebro
The aims of this study were to evaluate adherence of rheumatoid arthritis (RA) patients to biological disease-modifying antirheumatic drugs (bDMARDs), identify potential risk factors, and analyze the discriminative ability of the Morisky-Green test (MGT) to detect bDMARD nonadherence. One hundred and seventy-eight adult RA patients treated with bDMARDs were included. Adherence was measured using the medication possession ratio (MPR) of the previous 6 months. An MPR >80% was considered good adherence. Patient demographics, clinical characteristics, and MGT scores were assessed through a standardized clinical interview at the cross-sectional date...
June 19, 2017: Rheumatology International
https://www.readbyqxmd.com/read/28626336/rehabilitation-in-a-convalescent-rehabilitation-ward-following-an-acute-ward-improves-functional-recovery-and-mortality-for-hip-fracture-patients-a-sequence-in-a-single-hospital
#2
Tomohiro Yoshizawa, Tomofumi Nishino, Hajime Mishima, Takeshi Ainoya, Masashi Yamazaki
[Purpose] The convalescent rehabilitation ward (CRW) plays an important role for hip fracture patients in Japanese super-aged society. The purpose of this study is to clarify the usefulness of the CRW concomitant with acute wards in a single hospital. [Subjects and Methods] 110 hip fracture patients were evaluated; 63 patients were moved from acute wards to the CRW in the same hospital (Group C) and 47 patients were treated in acute wards only (Group A). Patient selection was determined by each attending doctor...
June 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28622379/end-of-life-care-for-people-with-dementia-the-views-of-health-professionals-social-care-service-managers-and-frontline-staff-on-key-requirements-for-good-practice
#3
Richard Philip Lee, Claire Bamford, Marie Poole, Emma McLellan, Catherine Exley, Louise Robinson
BACKGROUND: Evidence consistently shows that people with advanced dementia experience suboptimal end of life care compared to those with cancer; with increased hospitalisation, inadequate pain control and fewer palliative care interventions. Understanding the views of those service managers and frontline staff who organise and provide care is crucial in order to develop better end of life care for people with dementia. METHODS AND FINDINGS: Qualitative interviews and focus groups were conducted from 2013 to 2015 with 33 service managers and 54 staff involved in frontline care, including doctors, nurses, nursing and care home managers, service development leads, senior managers/directors, care assistants and senior care assistants/team leads...
2017: PloS One
https://www.readbyqxmd.com/read/28615014/are-physicians-aware-enough-of-patient-radiation-protection-results-from-a-survey-among-physicians-of-pavia-district-italy
#4
Francesca Campanella, Laura Rossi, Elio Giroletti, Piero Micheletti, Fabio Buzzi, Simona Villani
BACKGROUND: Radiological practices are the first anthropic sources of ionizing radiation exposure of the population. However, a review of recent publications underlines inadequate doctors' knowledge about doses imparted in medical practices and about patient protection that might explain unnecessary radiological prescriptions. We investigated the knowledge of the physicians of Pavia District (Italy) on the risk of radiation exposure. METHODS: A cross sectional study was performed involving the Medical Association of Pavia District...
June 14, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28612509/acceptability-of-peer-clinical-observation-by-faculty-members
#5
Joshua Borus, Sarah Pitts, Holly Gooding
BACKGROUND: Most doctors are not observed in the actual practice of medicine after they complete training. Direct observation and feedback are seen as invaluable in learning in most other professions, at formative stages of medical training and in other aspects of academic medicine, yet are not performed at the level of the independently practicing clinician. Creating an opportunity for faculty member development based on observation of clinical practice is needed for continued growth and competence as a clinician...
June 14, 2017: Clinical Teacher
https://www.readbyqxmd.com/read/28609698/clinical-screening-of-paraquat-in-plasma-samples-using-capillary-electrophoresis-with-contactless-conductivity-detection-towards-rapid-diagnosis-and-therapeutic-treatment-of-acute-paraquat-poisoning-in-vietnam
#6
Anh Phuong Vu, Thi Ngan Nguyen, Thi Trang Do, Thu Ha Doan, Tran Hung Ha, Thi Thao Ta, Hung Long Nguyen, Peter C Hauser, Thi Anh Huong Nguyen, Thanh Duc Mai
The employment of a purpose-made capillary electrophoresis (CE) instrument with capacitively coupled contactless conductivity detection (C(4)D) as a simple and cost-effective solution for clinical screening of paraquat in plasma samples for early-stage diagnosis of acute herbicide poisoning is reported. Paraquat was determined using an electrolyte composed of 10mM histidine adjusted to pH 4 with acetic acid. A detection limit of 0.5mg/L was achieved. Good agreement between results from CE-C(4)D and the confirmation method (HPLC-UV) was obtained, with relative errors for the two pairs of data better than 20% for 31 samples taken from paraquat-intoxicated patients...
June 10, 2017: Journal of Chromatography. B, Analytical Technologies in the Biomedical and Life Sciences
https://www.readbyqxmd.com/read/28604575/my-child-my-patient
#7
Rashmi Kumar
Many times, we make decisions in our lives that have unanticipated impacts. Decisions made can change our careers and outlook toward life. As a younger doctor, I considered illness and disease abstractions, and good management with optimal outcomes for the patient was our focus, as we strive toward our professional goals. But having experienced the real pain and helplessness that patients and their parents undergo during critical illnesses, the importance of empathy together with the knowledge and skills needed to treat a child should never be undervalued...
June 9, 2017: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/28602394/reputational-concerns-with-altruistic-providers
#8
Pau Olivella, Luigi Siciliani
We study a model of reputational concerns when doctors differ in their degree of altruism and they can signal their altruism by their (observable) quality. When reputational concerns are high, following the introduction or enhancement of public reporting, the less altruistic (bad) doctor mimics the more altruistic (good) doctor. Otherwise, either a separating or a semi-separating equilibrium arises: the bad doctor mimics the good doctor with probability less than one. Pay-for-performance incentive schemes are unlikely to induce crowding out, unless some dimensions of quality are unobservable...
June 1, 2017: Journal of Health Economics
https://www.readbyqxmd.com/read/28601216/usefulness-of-ct-value-in-acute-respiratory-infections-caused-by-respiratory-syncytial-virus-a-and-b-and-influenza-virus-a-h1n1-pdm09-a-h3n2-and-b
#9
Jordi Reina, Carmen Morales, María Busquets, Cristina Norte
INTRODUCTION: Acute respiratory infections of viral cause are very frequent entities. The difficulty in evaluating the detection of a virus in these entities could be solved by determining the viral load. METHODS: A prospective study on the mean Ct value (cycle threshold value) detected against RSV-A, RSV-B and influenza A (H1N1)pdm09, A (H3N2) and B viruses in patients of different origin and age was performed. Detection was performed using a commercial molecular amplification (RT-PCR) technique...
June 7, 2017: Enfermedades Infecciosas y Microbiología Clínica
https://www.readbyqxmd.com/read/28597863/perinatal-care-practices-in-home-deliveries-in-rural-bangalore-india-a-community-based-cross-sectional-survey
#10
N Ramakrishna Reddy, C T Sreeramareddy
Background A slowing in the decline in neonatal mortality in India has hindered progress made in reducing overall child mortality. The persisting use of unsafe home deliveries and harmful neonatal care practices may contribute to this stagnation in neonatal mortality rates. Methods A community-based cross-sectional study of mothers residing in rural Bangalore, India, who had given birth within 42 days of the day of home visit was done during 2013-2014. Trained health workers interviewed women who delivered at home about perinatal care practices...
April 2017: WHO South-East Asia Journal of Public Health
https://www.readbyqxmd.com/read/28595475/a-novel-ent-ibook-what-do-junior-doctors-think
#11
Ali Al-Hussaini, Alun Tomkinson
Exposure to the specialty of Otolaryngology is limited. It may be consolidated by the use of an iBook as a self-study tool. The purpose of this study was to ascertain the perceptions of junior doctors on the clinical relevance of this novel educational resource. Three focus groups were formed each consisting of five junior doctors (eight female: seven male, median age 27 years). The iBook was found to be clinically relevant to the work of junior doctors, have a clear layout, with adequate interactivity and a good range of integrated multimedia elements...
April 2017: Journal of Visual Communication in Medicine
https://www.readbyqxmd.com/read/28594130/maintaining-good-mirnas-in-the-body-keeps-the-doctor-away-perspectives-on-the-relationship-between-food-derived-natural-products-and-micrornas-in-relation-to-exosomes-extracellular-vesicles
#12
REVIEW
Kurataka Otsuka, Yusuke Yamamoto, Ryosuke Matsuoka, Takahiro Ochiya
During the last decade, it has been uncovered that microRNAs (miRNAs), a class of small non-coding RNAs, are related to many diseases including cancers. With an increase in reports describing the dysregulation of miRNAs in various tumor types, it has become abundantly clear that miRNAs play significant roles in the formation and progression of cancers. Intriguingly, miRNAs are present in body fluids because they are packed in exosomes/extracellular vesicles and released from all types of cells. The miRNAs in the fluids are measured in a relatively simple way and the profile of miRNAs is likely to be an indicator of health condition...
June 8, 2017: Molecular Nutrition & Food Research
https://www.readbyqxmd.com/read/28592380/good-practices-of-publishing-ayush-research-a-practical-checklist-for-authors
#13
Kishor Patwardhan, Girish Tillu, Priyanka M Jadhav
Since its inception, Journal of Ayurveda and Integrative Medicine (J-AIM) has been constantly striving to create an environment that inculcates and strengthens "Good Publication Practices (GPP)" amongst students, practitioners and researchers in AYUSH community. The Journal of Ayurveda and Integrative Medicine has been doing this in the form of conducting workshops on scientific writing and research methods on different platforms. This article is based on our experiences and varied discussions that we have had with students, teachers, practitioners and researchers during these interactive sessions, and is intended at addressing the gap that prevails in the domain...
June 4, 2017: Journal of Ayurveda and Integrative Medicine
https://www.readbyqxmd.com/read/28591906/improving-patient-information-are-the-new-media-already-requested-a-questionnaire-study-at-a-gastroenterology-outpatient-clinic
#14
Benjamin M Walter, Roland M Schmid, Stefan von Delius
Background Information provided for patients is an essential factor for communication between patients and health-care professionals. To analyze the most used sources of medical information and requested media for patient information, a questionnaire study was initiated. Methods A single-center questionnaire study at an outpatient clinic at a tertiary care hospital. Two hundred participating patients, average age 54.4 years (1:1.5 m:f). Results were displayed in total and as count per participant (i. e...
June 2017: Zeitschrift Für Gastroenterologie
https://www.readbyqxmd.com/read/28587603/vienna-summer-school-on-oncology-how-to-teach-clinical-decision-making-in-a-multidisciplinary-environment
#15
Carola Lütgendorf-Caucig, Philipp A Kaiser, Alexandra Machacek, Cora Waldstein, Richard Pötter, Henriette Löffler-Stastka
BACKGROUND: Clinical decision making in oncology is based on both inter- and multidisciplinary approach. Hence teaching future doctors involved in oncology or general health practice is crucial. The aim of the Vienna Summer School on Oncology (VSSO) as an international, integrated, undergraduate oncology course is to teach medical students interdisciplinary team communication and application of treatment concepts/algorithms in a multidisciplinary setting. METHOD: The teaching is based on an inter- and multidisciplinary faculty and a multimodal education approach to address different learning styles...
June 6, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28587376/clinical-progress-of-human-papillomavirus-genotypes-and-their-persistent-infection-in-subjects-with-atypical-squamous-cells-of-undetermined-significance-cytology-statistical-and-latent-dirichlet-allocation-analysis
#16
Yee Suk Kim, Sungin Lee, Nansu Zong, Jimin Kahng
The present study aimed to investigate differences in prognosis based on human papillomavirus (HPV) infection, persistent infection and genotype variations for patients exhibiting atypical squamous cells of undetermined significance (ASCUS) in their initial Papanicolaou (PAP) test results. A latent Dirichlet allocation (LDA)-based tool was developed that may offer a facilitated means of communication to be employed during patient-doctor consultations. The present study assessed 491 patients (139 HPV-positive and 352 HPV-negative cases) with a PAP test result of ASCUS with a follow-up period ≥2 years...
June 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/28586941/-patients-are-satisfied-with-the-physician-patient-communication-a-pilot-study-applying-the-individual-clinician-feedback-questionnaire
#17
Peggy Prengel, Nina Kotte, Sunya-Lee Antoine, Michaela Eikermann, Edmund A M Neugebauer, Katja Stahl, Dawid Pieper
Aim of the study Patient-centeredness as an essential aspect of quality of patient care is becoming increasingly important. The aim of the pilot study is to gain insight into the physician-patient communication from the patient's perspective. A German questionnaire in a maximum care hospital was tested. Methods The German "Individual Clinician Feedback" questionnaire (ICF) was tested in a pilot study in the special consultation in a voluntary cohort of surgeons. In the survey period from June to August 2015, the questionnaire was given to the patient...
June 6, 2017: Das Gesundheitswesen
https://www.readbyqxmd.com/read/28585884/conveying-hope-in-consultations-with-patients-with-life-threatening-diseases-the-balance-between-supporting-and-challenging-the-patient
#18
Anne Werner, Sissel Steihaug
OBJECTIVE: There is limited knowledge about the communication of hope and denial in consultations with patients with life-threatening diseases on a practical level. In this study, we explored a real-life medical consultation between a doctor and a patient with incurable cancer, focusing on conveying hope. DESIGN AND METHODS: We found one consultation especially suited for illustrating how a physician can convey and reinforce hope without attaching it to curative treatment...
June 6, 2017: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/28583719/weak-links-in-the-early-chain-of-care-of-acute-lower-limb-ischaemia-in-terms-of-recognition-and-emergency-management
#19
M Langenskiöld, K Smidfelt, A Karlsson, C Bohm, J Herlitz, J Nordanstig
OBJECTIVES: Acute lower limb ischaemia (ALLI) is a potentially fatal, limb threatening medical emergency. Early treatment is essential for a good outcome. The aim was to describe the early chain of care in ALLI focusing on lead times and emergency management in order to identify weak links for improvement. METHODS: This was a retrospective, descriptive case study. This study analysed the medical records of all patients with a main discharge diagnosis of ALLI between January 2009 and December 2014...
June 2, 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28579710/assessment-of-knowledge-of-acute-kidney-injury-among-non-nephrology-doctors-in-two-government-hospitals-in-ondo-city-southwest-nigeria
#20
Oluseyi Adejumo, Ayodeji Akinbodewa, Oladimeji Alli, Pirisola Olufemi, Abolarin Olatunji
BACKGROUND: Adequate knowledge of acute kidney injury (AKI) among doctors is essential for its prevention, early diagnosis and management. Assessing knowledge of AKI among doctors is necessary to identify areas of deficiencies and key areas to be emphasized when organizing educational programs aimed at improving AKI care. This study determined the knowledge of AKI among non-nephrology doctors in Ondo City, Southwest Nigeria. MATERIALS AND METHODS: This was a cross-sectional descriptive study carried out in two government hospitals in Ondo City using a self-administered pretested questionnaire that assessed knowledge of AKI among non-nephrology doctors...
March 2017: Ethiopian Journal of Health Sciences
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