keyword
https://read.qxmd.com/read/38536117/concordance-in-spouses-intention-to-move-after-retirement-among-korean-middle-aged-couples
#1
JOURNAL ARTICLE
Eunju Lee, Kyungmin Kim
This study examined the concordance in spouses' intention to move after retirement among midlife couples and its association with couples' marital characteristics (i.e., marital satisfaction and dyadic coping). Using a sample of 1,285 middle-aged couples in Korea (aged 49-64), we conducted logistic/multinomial regression controlling for individual and household characteristics. The majority of couples (83%) were concordant in their moving desires-by either agreeing to move (29%) or to stay (54%), whereas 17% of couples were not in agreement-either only husband (9%) or wife (8%) desires to move...
March 27, 2024: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://read.qxmd.com/read/38534910/educational-approach-application-of-swot-analysis-for-assessing-entrepreneurial-goals-in-senior-dental-students
#2
JOURNAL ARTICLE
Maria Antoniadou, Antonia Kanellopoulou
The SWOT (strengths, weaknesses, opportunities, and threats) analysis is a framework used to evaluate a company's competitive position and to develop strategic planning. In the competitive dental sector, it can aid dentists in identifying and analyzing internal strengths and weaknesses, as well as external opportunities and threats. This study focuses on senior dental students of the Department of Dentistry at the National and Kapodistrian University of Athens, Greece, aiming to scrutinize their use of SWOT analysis and assess its application as a tool for evaluating entrepreneurial goals and making career decisions in dental entrepreneurship...
March 20, 2024: European journal of investigation in health, psychology and education
https://read.qxmd.com/read/38534117/psychometric-properties-of-entrustable-professional-activity-based-objective-structured-clinical-examinations-during-transition-from-undergraduate-to-graduate-medical-education-a-generalizability-study
#3
JOURNAL ARTICLE
Manish Suneja, Kate DuChene Hanrahan, Clarence Kreiter, Jane Rowat
PURPOSE: The objective structured clinical examination (OSCE) assesses clinical competence in health sciences education. There is little research regarding the reliability and validity of using an OSCE during the transition from undergraduate to graduate medical education. The goal of this study was to measure the reliability of a unique 2-rater entrustable professional activity (EPA)-based OSCE format for transition to internship using generalizability theory for estimating reliability...
March 26, 2024: Academic Medicine
https://read.qxmd.com/read/38533871/-not-available
#4
JOURNAL ARTICLE
Christina Annette Bjerre, Jeanette Dupont Rønlev, Ann Søegaard Knop
Adjuvant and neoadjuvant therapy of early breast cancer reduces the risk of relapse and breast cancer mortality. Treatment modalities include chemotherapy, endocrine therapy, human epidermal growth factor receptor 2-targeted agents, bisphosphonates, immunotherapy, cyclin-dependent kinase inhibitors 4/6- and poly-ADP-ribose polymerase inhibitors. All cases are reviewed at multidisciplinary breast cancer tumour boards. An individualized risk stratification model is applied in this review to optimize the risk-benefit ratio for each patient, and shared decision-making is an integrated part of (neo)adjuvant therapy...
March 18, 2024: Ugeskrift for Laeger
https://read.qxmd.com/read/38533866/-not-available
#5
JOURNAL ARTICLE
Emil Dariush Lichscheidt, Zitta Barrella Harboe, Thea Kølsen Fischer, Carsten Schade Larsen
Respiratory syncytial virus (RSV is) a common respiratory virus responsible for considerable morbidity and mortality among infants, elderly with comorbidity, and immunocompromised adults. Two vaccines, Abrysvo and Arexvy, have been approved for prevention of severe RSV infection in adults ≥ 60 years of age. In addition, Abrysvo is approved for use during pregnancy to protect infants from RSV-associated lower respiratory tract infection. Currently, there is no national recommendation for the use of the vaccines, but vaccination of elderly at highest risk of severe RSV infection should be considered in a shared clinical decision making...
March 11, 2024: Ugeskrift for Laeger
https://read.qxmd.com/read/38533775/impact-of-a-nationwide-medication-history-sharing-program-on-the-care-process-and-end-user-experience-in-a-tertiary-teaching-hospital-cohort-study-and-cross-sectional-study
#6
JOURNAL ARTICLE
Jungwon Cho, Sooyoung Yoo, Eunkyung Euni Lee, Ho-Young Lee
BACKGROUND: Timely and comprehensive collection of a patient's medication history in the emergency department (ED) is crucial for optimizing health care delivery. The implementation of a medication history sharing program, titled "Patient's In-home Medications at a Glance," in a tertiary teaching hospital aimed to efficiently collect and display nationwide medication histories for patients' initial hospital visits. OBJECTIVE: As an evaluation was necessary to provide a balanced picture of the program, we aimed to evaluate both care process outcomes and humanistic outcomes encompassing end-user experience of physicians and pharmacists...
March 20, 2024: JMIR Medical Informatics
https://read.qxmd.com/read/38533189/implementation-of-streamlining-measures-in-selecting-and-prioritising-complex-cases-for-the-cancer-multidisciplinary-team-meeting-a-mini-review-of-the-recent-developments
#7
REVIEW
Tarek Al-Hammouri, Ricardo Almeida-Magana, Tayana Soukup, Benjamin Lamb
In January 2020, NHS England and NHS Improvement, in the United Kingdom, issued a permissive framework for streamlining cancer multidisciplinary (MDT) meetings. Streamlining is defined as a process whereby complex cases are prioritized for full discussion by an MDT in an MDT meeting (MDM), while the management of straightforward cases is expedited using Standards of Care (SoC). SoC are points in the pathway of patient management where there are recognized guidelines and clear clinical consensus on the options for management and should be regionally agreed and uniformly applied by regional Cancer Alliances...
2024: Front Health Serv
https://read.qxmd.com/read/38532187/a-mixed-methods-study-exploring-colombian-adolescents-access-to-sexual-and-reproductive-health-services-the-need-for-a-relational-autonomy-approach
#8
JOURNAL ARTICLE
J Brisson, V Ravitsky, B Williams-Jones
This study's objective was to understand Colombian adolescents' experiences and preferences regarding access to sexual and reproductive health services (SRHS), either alone or accompanied. A mixed-method approach was used, involving a survey of 812 participants aged eleven to twenty-four years old and forty-five semi-structured interviews with participants aged fourteen to twenty-three. Previous research shows that adolescents prefer privacy when accessing SRHS and often do not want their parents involved. Such findings align with the longstanding tendency to frame the ethical principle of autonomy as based on independence in decision-making...
March 26, 2024: Journal of Bioethical Inquiry
https://read.qxmd.com/read/38531228/mobilizing-data-during-a-crisis-building-rapid-evidence-pipelines-using-multi-institutional-real-world-data
#9
JOURNAL ARTICLE
Jayson S Marwaha, Maren Downing, John Halamka, Amy Abernethy, Joseph B Franklin, Brian Anderson, Isaac Kohane, Kavishwar Wagholikar, John Brownstein, Melissa Haendel, Gabriel A Brat
The COVID-19 pandemic generated tremendous interest in using real world data (RWD). Many consortia across the public and private sectors formed in 2020 with the goal of rapidly producing high-quality evidence from RWD to guide medical decision-making, public health priorities, and more. Experiences were gathered from five large consortia on rapid multi-institutional evidence generation during the COVID-19 pandemic. Insights have been compiled across five dimensions: consortium composition, governance structure and alignment of priorities, data sharing, data analysis, and evidence dissemination...
March 25, 2024: Healthcare
https://read.qxmd.com/read/38530311/shared-decision-making-in-cardiovascular-risk-factor-management-a-systematic-review-and-meta-analysis
#10
JOURNAL ARTICLE
Sabrina Elias, Yuling Chen, Xiaoyue Liu, Sarah Slone, Ruth-Alma Turkson-Ocran, Bunmi Ogungbe, Sabena Thomas, Samuel Byiringiro, Binu Koirala, Reiko Asano, Diana-Lyn Baptiste, Nicole L Mollenkopf, Nwakaego Nmezi, Yvonne Commodore-Mensah, Cheryl R Dennison Himmelfarb
IMPORTANCE: The effect of shared decision-making (SDM) and the extent of its use in interventions to improve cardiovascular risk remain unclear. OBJECTIVE: To assess the extent to which SDM is used in interventions aimed to enhance the management of cardiovascular risk factors and to explore the association of SDM with decisional outcomes, cardiovascular risk factors, and health behaviors. DATA SOURCES: For this systematic review and meta-analysis, a literature search was conducted in the Medline, CINAHL, Embase, Cochrane, Web of Science, Scopus, and ClinicalTrials...
March 4, 2024: JAMA Network Open
https://read.qxmd.com/read/38529048/perceptions-and-experiences-of-living-with-and-providing-care-for-multimorbidity-a-qualitative-interview-study
#11
JOURNAL ARTICLE
Glenn Simpson, Leanne Morrison, Miriam Santer, Marisza Hijryana, Andrew Farmer, Hajira Dambha-Miller
BACKGROUND: Experiences of living with and seeking care for multimorbidity is a relatively under-researched field. By analysing experiences of people with multimorbidity, caregivers and care professionals, we can better understand the complex care needs of those with multimorbidity and identify improvements to care management. This paper reports findings from research that elicited the views of key stakeholders to inform future care practice and policy. AIM: To elicit care recipient and care provider views to understand the care needs of those living with and seeking care for multimorbidity...
2024: J Multimorb Comorb
https://read.qxmd.com/read/38528439/-we-had-conversations-we-wouldn-t-have-had-otherwise-exploring-home-dwelling-people-with-dementia-and-family-members-experiences-of-deliberating-on-ethical-issues-in-a-literature-based-intervention
#12
JOURNAL ARTICLE
Sofie Smedegaard Skov, Marie Eva Berg, Josefine Ranfelt Andersen, Frederik Schou-Juul, Anja M B Jensen, Anna Paldam Folker, Sigurd Lauridsen
AIM: To explore home-dwelling people with dementia and family members' perceptions of the feasibility and acceptability of an intervention using dementia-related literature excerpts to facilitate conversations on ethical issues related to living with dementia. BACKGROUND: Ethical issues in dementia care emerge throughout the illness. In the early stages, they may involve decisions about disclosing the illness to the family, shifting roles and responsibilities, and considerations of transitioning to a nursing home...
March 25, 2024: Journal of Clinical Nursing
https://read.qxmd.com/read/38528053/secondary-use-of-genomic-data-patients-decisions-at-point-of-testing-and-perspectives-to-inform-international-data-sharing
#13
JOURNAL ARTICLE
Melissa Martyn, Emily Forbes, Ling Lee, Anaita Kanga-Parabia, Rona Weerasuriya, Elly Lynch, Penny Gleeson, Clara Gaff
International sharing of genomic data files arising from clinical testing of patients is essential to further improve genomic medicine. Whilst the general public are reluctant to donate DNA for research, the choices patients actually make about sharing their clinical genomic data for future re-use (research or clinical) are unknown. We ascertained the data-sharing choices of 1515 patients having genomic testing for inherited conditions or cancer treatment from clinical consent forms. To understand the experiences and preferences of these patients, surveys were administered after test consent (RR 73%)...
March 25, 2024: European Journal of Human Genetics: EJHG
https://read.qxmd.com/read/38527820/challenges-addressing-lung-cancer-screening-for-patients-with-multimorbidity-in-primary-care-a-qualitative-study
#14
JOURNAL ARTICLE
Minal S Kale, Orly Morgan, Juan Wisnivesky, Julie Schnur, Michael A Diefenbach
PURPOSE: Many individuals who are eligible for lung cancer screening have comorbid conditions complicating their shared decision-making conversations with physicians. The goal of our study was to better understand how primary care physicians (PCPs) factor comorbidities into their evaluation of the risks and benefits of lung cancer screening and into their shared decision-making conversations with patients. METHODS: We conducted semistructured interviews by videoconference with 15 PCPs to assess the extent of shared decision-making practices and explore their understanding of the intersection of comorbidities and lung cancer screening, and how that understanding informed their clinical approach to this population...
2024: Annals of Family Medicine
https://read.qxmd.com/read/38527813/-it-can-t-hurt-why-many-patients-with-limited-life-expectancy-decide-to-accept-lung-cancer-screening
#15
JOURNAL ARTICLE
Eduardo R Núñez, Rendelle E Bolton, Jacqueline H Boudreau, Samantha K Sliwinski, Abigail N Herbst, Lauren E Kearney, Tanner J Caverly, Renda Soylemez Wiener
PURPOSE: Lung cancer screening (LCS) has less benefit and greater potential for iatrogenic harm among people with multiple comorbidities and limited life expectancy. Yet, such individuals are more likely to undergo screening than healthier LCS-eligible people. We sought to understand how patients with marginal LCS benefit conceptualize their health and make decisions regarding LCS. METHODS: We interviewed 40 people with multimorbidity and limited life expectancy, as determined by high Care Assessment Need scores, which predict 1-year risk of hospitalization or death...
2024: Annals of Family Medicine
https://read.qxmd.com/read/38527787/fostering-relational-autonomy-in-end-of-life-care-a-procedural-approach-and-three-dimensional-decision-making-model
#16
JOURNAL ARTICLE
Kar-Fai Foo, Ya-Ping Lin, Cheng-Pei Lin, Yu-Chun Chen
Respect for patient autonomy is paramount in resolving ethical tensions in end-of-life care. The concept of relational autonomy has contributed to this debate; however, scholars often use this concept in a fragmented manner. This leads to partial answers on ascertaining patients' true wishes, meaningfully engaging patients' significant others, balancing interests among patients and significant others, and determining clinicians' obligations to change patients' unconventional convictions to enhance patient autonomy...
March 25, 2024: Journal of Medical Ethics
https://read.qxmd.com/read/38526928/an-overview-of-the-methodology-used-to-develop-clinical-practice-guidelines-for-the-management-of-acute-and-intraoperative-spinal-cord-injury
#17
JOURNAL ARTICLE
Lindsay A Tetreault, Andrea C Skelly, Mohammed Ali Alvi, Brian K Kwon, Nathan Evaniew, Michael G Fehlings
STUDY DESIGN: An overview of the methods used to develop clinical practice guidelines (CPGs). OBJECTIVES: Acute spinal cord injury (SCI) and intraoperative SCI (ISCI) can have devastating physical and psychological consequences for patients and their families. To date, there are several studies that have discussed the diagnostic and management strategies for both SCI and ISCI. CPGs in SCI help to distill and translate the current evidence into actionable recommendations, standardize care across centers, optimize patient outcomes, and reduce costs and unnecessary interventions...
March 2024: Global Spine Journal
https://read.qxmd.com/read/38526681/reinforcement-learning-for-intensive-care-medicine-actionable-clinical-insights-from-novel-approaches-to-reward-shaping-and-off-policy-model-evaluation
#18
JOURNAL ARTICLE
Luca F Roggeveen, Ali El Hassouni, Harm-Jan de Grooth, Armand R J Girbes, Mark Hoogendoorn, Paul W G Elbers
BACKGROUND: Reinforcement learning (RL) holds great promise for intensive care medicine given the abundant availability of data and frequent sequential decision-making. But despite the emergence of promising algorithms, RL driven bedside clinical decision support is still far from reality. Major challenges include trust and safety. To help address these issues, we introduce cross off-policy evaluation and policy restriction and show how detailed policy analysis may increase clinical interpretability...
March 25, 2024: Intensive Care Medicine Experimental
https://read.qxmd.com/read/38526526/safety-in-teletriage-by-nurses-and-physicians-in-the-united-states-and-israel-narrative-review-and-qualitative-study
#19
JOURNAL ARTICLE
Motti Haimi, Sheila Quilter Wheeler
BACKGROUND: The safety of telemedicine in general and telephone triage (teletriage) safety in particular have been a focus of concern since the 1970s. Today, telehealth, now subsuming teletriage, has a basic structure and process intended to promote safety. However, inadequate telehealth systems may also compromise patient safety. The COVID-19 pandemic accelerated rapid but uneven telehealth growth, both technologically and professionally. Within 5-10 years, the field will likely be more technologically advanced; however, these advances may still outpace professional standards...
March 25, 2024: JMIR Human Factors
https://read.qxmd.com/read/38526480/differences-in-donor-heart-acceptance-by-race-and-gender-of-patients-on-the-transplant-waiting-list
#20
JOURNAL ARTICLE
Khadijah Breathett, Shannon M Knapp, Sabra C Lewsey, Selma F Mohammed, Sula Mazimba, Shannon M Dunlay, Albert Hicks, Onyedika J Ilonze, Alanna A Morris, Ryan J Tedford, Monica M Colvin, Richard C Daly
IMPORTANCE: Barriers to heart transplant must be overcome prior to listing. It is unclear why Black men and women remain less likely to receive a heart transplant after listing than White men and women. OBJECTIVE: To evaluate whether race or gender of a heart transplant candidate (ie, patient on the transplant waiting list) is associated with the probability of a donor heart being accepted by the transplant center team with each offer. DESIGN, SETTING, AND PARTICIPANTS: This cohort study used the United Network for Organ Sharing datasets to identify organ acceptance with each offer for US non-Hispanic Black (hereafter, Black) and non-Hispanic White (hereafter, White) adults listed for heart transplant from October 18, 2018, through March 31, 2023...
March 25, 2024: JAMA
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