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out patient medical problems

Jesús Martín-Vaquero, Ascensión Hernández Encinas, Araceli Queiruga-Dios, Juan José Bullón, Alfonso Martínez-Nova, Jose Torreblanca González, Cristina Bullón-Carbajo
One of the diseases that could affect diabetic patients is the diabetic foot problem. Unnoticed minor injuries and subsequent infection can lead to ischemic ulceration, and may end in a foot amputation. Preliminary studies have shown that there is a positive relationship between increased skin temperature and the pre⁻ulceration phase. Hence, we have carried out a review on wearables, medical devices, and sensors used specifically for collecting vital data. In particular, we are interested in the measure of the foot⁻temperature...
February 14, 2019: Sensors
Sanjay Kalra, Gagan Priya, Emmy Grewal, Than Than Aye, B K Waraich, Tint SweLatt, Touch Khun, Menh Phanvarine, Sun Sutta, Uditha Kaush, Manilka, Sundeep Ruder, Bharti Kalra
From its earliest days, Buddhism has been closely intertwined with the practice of medicine, both being concerned in their own way in the alleviation and prevention of human suffering. However, while the connection between Buddhism and healthcare has long been noted, there is scarce literature on how Buddhist philosophy can guide health-care practitioners in their professional as well as personal lives. In the sutras, we find analogies that describe the Buddha as a doctor, knowledge of Dharma as the treatment, and all lay people as patients...
November 2018: Indian Journal of Endocrinology and Metabolism
Iman A Basheti, Shahnaz Mohammed Ayasrah, Muayyad Ahmad
Background: Stroke is a major cause of disability and one of the leading causes of death among the elderly. Treatment related problems can lead to undesirable consequences. The Medication Management Review (MMR) service is aimed at identifying, resolving and preventing TRPs, subsiding the undesirable outcomes associated with TRPs. Objectives: To explore the types, frequencies and severity of TRPs amongst post-stroke patients recruited through hospitals via conducting the MMR service by clinical pharmacists in Jordan...
February 2019: Saudi Pharmaceutical Journal: SPJ: the Official Publication of the Saudi Pharmaceutical Society
M H Hoque, F I Kabir, J Arzu, M R Amin, S M Zaman, S M Ear-E-Mahabub, A I Joarder, C K Singha, R S Banerjee
Ischaemic cardiomyopathy (ICM) remains a major health problem, both in developed and developing countries like Bangladesh where it causes a significant number of morbidity and mortality. The treatment and outcome of ICM chiefly depends on the presence and extent of hibernating myocardium. In this regard addressing anginal symptoms is the key to patients' comfort as well to achieving the goal of treatment. Glyceryl trinitrate (GTN) and trimetazidine (TMZ) are two widely used drugs for relieving angina. This pilot study was designed to answer some of the confusions and controversies regarding their use and to bring precision in decision making in the treatment of ICM...
January 2019: Mymensingh Medical Journal: MMJ
Solveig Carmienke, Anne-Kathrin Geier, Tobias Deutsch, Franz Maximilian Rasche, Thomas Frese
BACKGROUND AND AIMS: Comprehensive geriatric assessments are established tools for the identification of health problems in the elderly. So far, little is known about tailoring and targeting to facilitate their application. As a starting point for a tailored assessment of patients with diabetes, a highly prevalent health condition, we aimed to assess if the Standardized Assessment of Elderly People (STEP) is able to identify relevant differences in self-reported health problems between diabetic and non-diabetic patients...
February 12, 2019: Experimental and Clinical Endocrinology & Diabetes
Michela Goffredo, Eleonora Guanziroli, Sanaz Pournajaf, Marina Gaffuri, Giulio Gasperini, Serena Filoni, Silvano Baratta, Carlo Damiani, Marco Franceschini, Franco Molteni
BACKGROUND: Wearable powered exoskeletons provide intensive overground gait training with patient's active participation: these features promote a successful active motor relearning of ambulation in stroke survivors. AIM: To investigate the feasibility and the clinical effects of an Overground Exoskeleton-Assisted Gait Training (OEAGT) in subacute stroke patients. DESIGN: Prospective, pilot pre-post, open label, non-randomized experimental study...
February 4, 2019: European Journal of Physical and Rehabilitation Medicine
P J Sarmiento Medina, V A Díaz Prada, N C Rodriguez
The objective of this work was to identify the role of family physicians in the care of patients and their families in the approach to the end of life. Nowadays, with the increase in the demand for care of patients with terminal illnesses, there is also evidence on the lack of physicians with the profile and skills to fulfil this coverage deficit. A review of the literature was carried out in five databases from January 2015 to May 2018, and concluded that family doctors, based on their professional skills, ability to engage with the patients, their families, and their performance in the coordination of medical resources, are in an ideal position to attend and solve complex problems of patients at the end of life...
February 1, 2019: Semergen
J F Ebert, L Huibers, B Christensen, M B Christensen, F K Lippert
OBJECTIVE: Acute out-of-hours (OOH) healthcare is challenged by potentially long waiting time for callers in acute need of medical aid. OOH callers must usually wait in line, even when contacting for highly urgent or life-threatening conditions. We tested an emergency access button (EAB), which allowed OOH callers to bypass the waiting line if they perceived their health problem as severe. We aimed to investigate EAB use and patient characteristics associated with this use. DESIGN: Comparative intervention study...
February 2, 2019: Scandinavian Journal of Primary Health Care
Uta Herden, Enke Grabhorn, René Santer, Jun Li, Silvio Nadalin, Xavier Rogiers, Marcus N Scherer, Felix Braun, Jan Beime, Henning Lenhartz, Ania C Muntau, Lutz Fischer
Liver transplantation (LT) has been shown to be a feasible treatment in patients with severe forms of maple syrup urine disease (MSUD). Due to a sufficient extrahepatic enzyme activity in non-MSUD individuals, the organ of MSUD patients can be used as domino graft. We performed a retrospective data collection of all LTs for MSUD carried out at the University Medical Center Hamburg-Eppendorf (2016-2018). Moreover, data from all consecutive domino LT of the MSUD grafts either transplanted at our institution or allocated to other transplant centers were analyzed...
February 3, 2019: Liver Transplantation
Holly Wagoner, Barry Seltz
Phenomenon: Academic health centers face significant challenges trying to improve medical education while meeting patient care needs. In response to problems with traditional forms of didactic education, many residency programs have transitioned to Academic Half Day (AHD), a curricular model in which learning is condensed into half-day blocks. In this model, trainees have protected educational time free from clinical responsibilities. However, an understanding of the impact on attending physicians and patient care when residents depart clinical sites for learning activities has not been well described...
February 1, 2019: Teaching and Learning in Medicine
M Wohlmannstetter
BACKGROUND: In recent years "overtreatment" and "overdiagnosis" have become well discussed problems in medicine. OBJECTIVES: Similar to medicine, could some nursing interventions be classified as "overtreatment in nursing"? METHODS: The available literature was evaluated and the different kinds of "overtreatment in nursing" are described. Ritualised nursing interventions are critically reflected upon...
January 31, 2019: Medizinische Klinik, Intensivmedizin und Notfallmedizin
Pedro N Figueiredo, Isabel N Figueiredo, Luís Pinto, Sunil Kumar, Yen-Hsi Richard Tsai, Alexander V Mamonov
Background and study aims  Detection of polyps during colonoscopy is essential for screening colorectal cancer and computer-aided-diagnosis (CAD) could be helpful for this objective. The goal of this study was to assess the efficacy of CAD in detection of polyps in video colonoscopy by using three methods we have proposed and applied for diagnosis of polyps in wireless capsule colonoscopy. Patients and methods  Forty-two patients were included in the study, each one bearing one polyp. A dataset was generated with a total of 1680 polyp instances and 1360 frames of normal mucosa...
February 2019: Endoscopy International Open
Heba Kamal Meky, Mohamed Mokhtar Shaaban, Magdy Refaat Ahmed, Tamer Yahia Mohammed
PURPOSE: To explore the prevalence of postpartum depression (PPD), as well as the relationship between delivery mode and postpartum depression among postnatal women utilizing the Arabic validated version of the Edinburgh Postnatal Depression Scale (EPDS). MATERIALS AND METHODS: 412 women with singleton gestation during their 3rd trimester without medical or psychological problems preceding or during pregnancy were included. All pregnant women were asked to fill out the Arabic version of Edinburgh Postnatal Depression Scale...
January 31, 2019: Journal of Maternal-fetal & Neonatal Medicine
V P Sergiev, A M Baranova, G M Kozhevnikova, A K Tokmalayev, D V Chernyshov, V B Chentsov, D M Kouassi
AIM: To study the causes of falciparum malaria deaths in Russian Federation and to optimize therapy for severe forms of the disease. MATERIALS AND METHODS: The analysis of falciparum malaria cases with deaths recorded in Russian Federation from 2013 to 2017 was conducted. The results of optimization of pathogenetic therapy of severe forms of falciparum malaria for the prevention of adverse outcomes in the intensive care unit of the Infectious Clinical Hospital №2 of Moscow in 44 patients with severe course are presented...
November 21, 2018: Terapevticheskiĭ Arkhiv
Daniel Freeman, Rachel Lister, Felicity Waite, Ly-Mee Yu, Mel Slater, Graham Dunn, David Clark
BACKGROUND: Persecutory delusions are a major psychiatric problem and are associated with a wide range of adverse outcomes. Our theoretical model views these delusions as unfounded threat beliefs which persist due to defence behaviours (e.g. avoidance) that prevent disconfirmatory evidence being processed. The treatment implications are that patients need to (1) go into feared situations and (2) not use defence behaviours. This enables relearning of safety and hence paranoia diminution...
January 29, 2019: Trials
L Garcia-Munoz, J D Carrillo-Ruiz, J Favila-Bojorquez, J C Lopez-Valdes, F Jimenez-Ponce
INTRODUCTION: Since, under certain circumstances, defensive or attacking behaviours display a pattern of motor dominance, as observed in subjects who participate in contact or fighting sports, aggressive behaviour was considered to have a dominant motor pattern. With the aim of preventing the functional problems reported with bilateral lesion procedures involving both the central nucleus of the amygdala and the posteromedial hypothalamus, the decision was made to combine them; thus, an amygdalotomy of the central nucleus of the amygdala and a posteromedial hypothalamotomy were to be performed simultaneously and unilaterally, on the basis of the motor dominance of the patient determined by means of the Edinburgh test...
February 1, 2019: Revista de Neurologia
Andrea L Nevedal, Todd H Wagner, Laura S Ellerbe, Steven M Asch, Christopher J Koenig
BACKGROUND: The Veterans Access, Choice and Accountability Act (hereafter, Choice Program) seeks to improve access to care by enabling eligible Veterans to receive care from community providers. Veterans Affairs (VA) primary care providers (PCPs) play a key role in making referrals to community specialists, but their frontline experiences with referrals are not well understood. OBJECTIVE: To understand VA PCPs' experiences referring patients to community specialists while VA works to expand and refine the implementation of the Choice Program...
January 25, 2019: Journal of General Internal Medicine
Takenori Matsumoto, Seung Jin Chung
This paper intends to examine the realities of modern hygiene and medical institutions making their appearance in the rural Honam Plain (often called the "rice basket") of colonial Korea in terms of organizing local units and spreading colonial 'sanitary discipline' throughout the region. In the Honam area, modern medical staff and facilities tended to concentrate on the cities in plain region (Kunsan, Jeonju, and Iri), while in the counties in mountainous region they were placed in the township where head office of each county was located...
December 2018: Ŭi Sahak
N J Parten, G D Taylor, C C Currie, J Durham, C R Vernazza
BACKGROUND: Medical Emergency Departments (MED) are under increasing pressure in the UK with suggestions that unnecessary attendances to MED, which may include dental problems, are to blame. OBJECTIVES: The aim of this cross-sectional study was to examine the period prevalence of under 16-year-olds attendance to Medical Emergency Departments (MED) with oral and dental problems over a 5-year period and investigate reason for attendance. This cross-sectional study was carried out as part of a service evaluation at the Newcastle upon Tyne Hospitals NHS Foundation Trust...
January 21, 2019: Journal of Oral Rehabilitation
Sanjay Kumar Gupta, Fahd Khaleefah Al Khaleefah, Ibrahim Saifi Al Harbi, Fiaz Ahmed, Sinimol Jabar, Marilou Andal Torre, Sunitha Lorin Mathias
Introduction: Healthcare-associated infections (HAIs) are an infection that patients acquire during receiving treatment and care for the medical or surgical problem. Objective: The objective of this study is to find the patterns of HAIs cases in the hospital and to know the impact of the intervention on prevention and control of health care associated infection. Methodology: This was prospective interventional study. Results: The majority of cases of HAIs was reported from intensive care unit 47%...
December 2018: Indian Journal of Critical Care Medicine
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