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Advanced practitioner

Patricia Gellasch
INTRODUCTION: Researchers have found that many primary care providers are not following developmental screening recommendations. Few studies exist on the screening behaviors of advanced practice nurses. METHODS: A qualitative descriptive study explored the screening behaviors, skills, and environmental facilitators/constraints of 24 family nurse practitioners (FNPs) who cared for pediatric patients from birth to 5years of age in primary care settings. An inductive approach to content analysis was used to interpret the data...
March 13, 2019: Journal of Pediatric Health Care
Amanika Kumar, Katherine M Nesbitt, Jamie N Bakkum-Gamez
Quality improvement in healthcare has accelerated over the past two decades, including in gynecologic oncology. Improvements have been made on a practice, institution, system and national scale, and efforts have focused on improving safety, efficiency, and cost of care. Gynecologic oncology practitioners ought to engage in this work to improve patient outcomes, comply with federal regulation, and continue to meet required educational requirements of training programs. In gynecologic oncology there are already many examples of successful quality improvement initiatives that have resulted in improved patient care, including the implementation of enhanced recovery after surgery programs, reduction in blood transfusion, and increases in guideline adherent cancer care...
March 2019: Gynecologic Oncology
David Roofeh, Sara Jaafar, Dharshan Vummidi, Dinesh Khanna
PURPOSE OF REVIEW: To review the recently published data and provide a practical overview for management of systemic sclerosis-interstitial lung disease (SSc-ILD). RECENT FINDINGS: Published evidence shows considerable practitioner variability in screening patients for ILD. Recent published data support use of cyclophosphamide or mycophenolate mofetil as first-line treatment of SSc-ILD. For patients not responding to first-line therapies, consideration is given to rituximab as rescue therapy...
March 5, 2019: Current Opinion in Rheumatology
Manuel Muñoz, Jakob Stensballe, Anne-Sophie Ducloy-Bouthors, Marie-Pierre Bonnet, Edoardo De Robertis, Ino Fornet, François Goffinet, Stefan Hofer, Wolfgang Holzgreve, Susana Manrique, Jacky Nizard, François Christory, Charles-Marc Samama, Jean-François Hardy
Patient blood management (PBM) is the timely application of evidence-informed medical and surgical concepts designed to maintain haemoglobin concentration, optimise haemostasis, and minimise blood loss in an effort to improve patient outcomes. The aim of this consensus statement is to provide recommendations on the prevention and treatment of postpartum haemorrhage as part of PBM in obstetrics. A multidisciplinary panel of physicians with expertise in obstetrics, anaesthesia, haematology, and transfusion medicine was convened by the Network for the Advancement of Patient Blood Management, Haemostasis and Thrombosis (NATA) in collaboration with the International Federation of Gynaecology and Obstetrics (FIGO), the European Board and College of Obstetrics and Gynaecology (EBCOG), and the European Society of Anaesthesiology (ESA)...
February 6, 2019: Blood Transfusion, Trasfusione del Sangue
Kumar Prabhash, Suresh H Advani, Ullas Batra, Bivas Biswas, Anuradha Chougule, Mithua Ghosh, Vamshi Krishna Muddu, T P Sahoo, Ashok K Vaid
Novel molecular targets and promising targeted therapies have reshaped diagnostics in patients with advanced non-small cell lung cancer (NSCLC). Despite this progress, the implementation of molecular screening to identify predictive biomarkers in Indian clinical and pathology settings has been challenging due to operational and logistical constraints. This consensus guideline brings together medical oncologists, molecular pathologists and pathologists from India to provide a quick and competent reference for biomarker testing in NSCLC...
March 12, 2019: Advances in Therapy
Siqing Lian, Qi Chen, Mi Yao, Chunhua Chi, Michael D Fetters
BACKGROUND AND OBJECTIVES: To achieve the goal of 300,000 general practitioners by 2020-an increase of 215,200 in a decade-China is utilizing multiple training pathways. To comprehensively illustrate general practitioner training strategies in China, this article introduces and describes these pathways. METHODS: We used descriptive policy analysis. This involved taking an inventory of existing literature and source documents and developing a model to illustrate pathways for training general practice physicians...
March 2019: Family Medicine
Divya Jayakumar Nair, Flavien Gilles, Sai Chand, Neeraj Saxena, Vinayak Dixit
Road traffic congestion continues to manifest and propagate in cities around the world. The recent technological advancements in intelligent traveler information have a strong influence on the route choice behavior of drivers by enabling them to be more flexible in selecting their routes. Measuring traffic congestion in a city, understanding its spatial dispersion, and investigating whether the congestion patterns are stable (temporally, such as on a day-to-day basis) are critical to developing effective traffic management strategies...
2019: PloS One
Tara Officer, Jackie Cumming, Karen McBride-Henry
PURPOSE: The purpose of this paper is to lay out how advanced practitioner development occurs in New Zealand primary health care settings. The paper specifically focuses on mechanisms occurring across policy creation and in practice leading to successful role development. DESIGN/METHODOLOGY/APPROACH: The authors applied a realist approach involving interviews, document review and field log observations to create refined theories explaining how successful development occurs...
March 18, 2019: Journal of Health Organization and Management
Lisa Dann, Jaime Doody, Ruth Howard, Carol Blackburn, John Russell, Michael Barrett
BACKGROUND: Nasal foreign body(-ies) (FB) cause local irritation, inflammation, and mucosal erosion and carry a potential risk of aspiration. The aim is to describe the management of nasal FBs in our Emergency Department (ED). METHOD: A retrospective study of 100 sequential suspected nasal FB presentations to a tertiary paediatric ED. Patient age, gender, FB typology, doctor/nurse seniority, sedation/analgesia usage, removal method, ENT referral rate, extraction time and disposition were collected...
March 11, 2019: Irish Journal of Medical Science
Wendy Gifford, Roanne Thomas, Gwen Barton, Ian D Graham
Background: Cancer among Indigenous people is increasing faster than overall Canadian rates. Lack of survivorship support, including screening and follow-up for recurrences, contributes to poor health outcomes and low 5-year survival rates. Historical trauma from colonization and lack of culturally safe and responsive healthcare has negatively affected Indigenous peoples' access to survivorship supports. Nurses are typically the sole practitioners of health services in rural and remote Indigenous communities and can enhance the development, implementation, and delivery of culturally safe survivorship supports...
2019: Pilot and Feasibility Studies
Kira Kretzschmar, Holly Tyroll, Gabriela Pavarini, Arianna Manzini, Ilina Singh
Over the last decade, there has been an explosion of digital interventions that aim to either supplement or replace face-to-face mental health services. More recently, a number of automated conversational agents have also been made available, which respond to users in ways that mirror a real-life interaction. What are the social and ethical concerns that arise from these advances? In this article, we discuss, from a young person's perspective, the strengths and limitations of using chatbots in mental health support...
2019: Biomedical Informatics Insights
Vishrawas Gopalakrishnan, Kishlay Jha, Wei Jin, Aidong Zhang
Literature Based Discovery (LBD) refers to the problem of inferring new and interesting knowledge by logically connecting independent fragments of information units through explicit or implicit means. This area of research, which incorporates techniques from Natural Language Processing (NLP), Information Retrieval and Artificial Intelligence, has significant potential to reduce discovery time in biomedical research fields. Formally introduced in 1986, LBD has grown to be a significant and a core task for text mining practitioners in the biomedical domain...
March 8, 2019: Journal of Biomedical Informatics
Rogério M Pinto, Anya Y Spector, Rahbel Rahman
Research-based practices-psychosocial, behavioral, and public health interventions-have been demonstrated to be effective and often cost-saving treatments, but they can take up to two decades to reach practitioners within the health and human services workforce worldwide. Practitioners often rely on anecdotal evidence and their "practice wisdom" rather than on research, and may thus unintentionally provide less effective or ineffective services. Worldwide, community engagement in research is recommended, particularly in low-resource contexts...
March 9, 2019: International Journal of Environmental Research and Public Health
Zoltán Janka
Depending on the personal attitude toward a given style and performance, music can influence mental activities such as emotion, mood, motivation, psychomotor tempo and possibly cognition. Experimental data indicate that music can alter physiological parameters of somatic functions (blood pressure, heart rhythm, peripheral blood flow, respiration). However, efforts are taken in medicine and neuroscience to decipher brain physiological and morphological correlates in processing or performing music. Modern imaging techniques brought a significant advance in this respect...
March 2019: Orvosi Hetilap
Deborah Dumphy, Carolynn DeSandre, Julie Thompson
BACKGROUND: Utilizing skills identified in previous research on successful role transition, this study evaluated the relationship between a strategically designed practicum course and the readiness for role transition to family nurse practitioner (FNP) in graduate nursing students. METHODS: A mixed methods approach evaluated pre- and post-participation survey data for the FNP role preparedness in graduate nursing students in a strategically designed practicum course...
March 10, 2019: Nursing Forum
Sharana Mahomed, Nesri Padayatchi, Jerome Singh, Kogieleum Naidoo
Human genomic mapping has advanced molecular medicine health care and created a transformative paradigm shift towards Precision Medicine. In 2015, President Obama launched the PM initiative, encapsulated as "unique individualized data-driven treatments". Since then, this field is rapidly advancing both curative treatment and disease prevention by accounting for both individual and environmental variability. While a substantial evidence for accelerating adoption of Precision Medicine in other spheres of medicine exists, application of Precision Medicine in infectious diseases is far more complex...
March 5, 2019: Journal of Infection
Laura Munson, Matthew F Funk, Terence A Perrault
Objective: The purpose of this report is to describe the evaluation and treatment of a patient initially presenting for chiropractic care of neck pain (NP) who was subsequently diagnosed with retropharyngeal calcific tendonitis (RCT). Clinical Features: A 53-year-old woman presented to a chiropractic office with severe idiopathic NP, loss of cervical mobility, and intermittent painful swallowing. She had a motor vehicle accident 6 months before with NP that resolved within a week without treatment...
December 2018: Journal of Chiropractic Medicine
Laura Freedman
No abstract text is available yet for this article.
February 27, 2019: Practical Radiation Oncology
Carrie M Dillon, Christopher S Ennen, Kathleen J Bailey, Andrew S Thagard
Advanced maternal age, historically defined as ages 35 years and older, is used to describe the later years in the female reproductive life span when rates of adverse pregnancy outcomes increase. The preconception period represents an opportunity to ensure the use of safe medications and optimize care for medical comorbidities. Routine prenatal care should be augmented with counseling on fetal aneuploidy with a detailed anatomic survey. Surveillance for preterm labor and preeclampsia is recommended. Growth assessment and antepartum testing for specific women is advised, particularly those ages 40 years and older and those with select medical problems...
February 27, 2019: Nursing for Women's Health
Ralf E Harskamp, Simone C Laeven, Jelle Cl Himmelreich, Wim A M Lucassen, Henk C P M van Weert
OBJECTIVE: To identify and assess the performance of clinical decision rules (CDR) for chest pain in general practice. DESIGN: Systematic review of diagnostic studies. DATA SOURCES: Medline/Pubmed, Embase/Ovid, CINAHL/EBSCO and Google Scholar up to October 2018. STUDY SELECTION: Studies that assessed CDRs for intermittent-type chest pain and for rule out of acute coronary syndrome (ACS) applicable in general practice, thus not relying on advanced laboratory, computer or diagnostic testing...
February 27, 2019: BMJ Open
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