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https://read.qxmd.com/read/30746667/patient-satisfaction-in-a-tertiary-care-center-tunisia-2015-2016
#1
Imen Zemni, Mouna Safer, Mohamed Khelil, Meriem Kacem, Chokri Zoghlami, Ahmed Ben Abdelaziz
INTRODUCTION: Patient satisfaction is one of the most commonly used indicators in healthcare service quality evaluation. The aim of the study was to measure overall and specific patient satisfaction rates and to identify determinants of satisfactionin Sahloul University hospital during 2015 and 2016. METHODS: This is a cross-sectional study which included a random sample of patients hospitalized in Sahloul University Hospital between 2015 and 2016. The survey was conducted through an original self-administered questionnaire...
October 2018: La Tunisie Médicale
https://read.qxmd.com/read/30688008/low-incidence-of-acute-rejection-within-6-months-of-kidney-transplantation-in-hiv-infected-recipients-treated-with-raltegravir-the-agence-nationale-de-recherche-sur-le-sida-et-les-h%C3%A3-patites-virales-anrs-153-treve-trial
#2
M Matignon, J-D Lelièvre, A Lahiani, K Abbassi, D Desvaux, A Diallo, M-N Peraldi, A-M Taburet, J Saillard, C Delaugerre, D Costagliola, L Assoumou, P Grimbert
OBJECTIVES: High rates of clinical acute rejection after kidney transplantation have been reported in people living with HIV (PLHIV), probably as a consequence of drug interactions. We therefore investigated the incidence of acute rejection within 6 months of transplantation in HIV-infected recipients treated with a protease-inhibitor-free raltegravir-based regimen. METHODS: The Agence Nationale de Recherche sur le Sida et les Hépatites Virales (ANRS) 153 TREVE (NCT01453192) study was a prospective multicentre single-arm trial in adult PLHIV awaiting kidney transplantation, with viral load < 50 HIV-1 RNA copies/mL, CD4 T-cell count > 200 cells/μL, and HIV-1 strains sensitive to raltegravir, aiming to demonstrate 6-month clinical acute rejection rates < 30%...
January 27, 2019: HIV Medicine
https://read.qxmd.com/read/30614136/effects-of-cognitive-behavioral-therapy-on-verbal-learning-and-memory-in-major-depression-results-of-a-randomized-controlled-trial
#3
Katharina Dannehl, Winfried Rief, Frank Euteneuer
Major depression (MD) is often accompanied by deficits in cognitive functioning. Cognitive behavioral therapy (CBT) has beneficial effects on MD. The aim of this study was to examine whether cognitive behavioral therapy affects verbal learning and memory in patients with MD and whether CBT that emphasizes exercise during behavioral activation has additional effects on verbal performance. Ninety-eight patients with MD were randomly assigned to CBT emphasizing either exercise during behavioral activation (CBT-E) or CBT emphasizing pleasurable low-energy activities (CBT-C)...
January 4, 2019: Clinical Psychology & Psychotherapy
https://read.qxmd.com/read/30589338/two-year-impact-of-a-universal-social-emotional-learning-curriculum-group-differences-from-developmentally-sensitive-trends-over-time
#4
Sabina Low, Keith Smolkowski, Clayton Cook, Danielle Desfosses
This study examined the impact of a commonly adopted elementary universal social-emotional learning program, Second Step, on student social-emotional and academic outcomes following 2 years of implementation. The cluster-randomized wait-list control trial included 61 schools, 321 teachers, and 8,941 early elementary students across 2 states, with assessments collected in the fall and spring across 2 years. We developed 8 theoretically derived growth patterns that potentially described the intervention and counterfactual conditions, and then selected the model with the greatest support from the data for each outcome with an information-theoretic approach...
December 27, 2018: Developmental Psychology
https://read.qxmd.com/read/30572173/blurring-boundaries-interviews-with-pgt-couples-about-comprehensive-chromosome-screening
#5
Maryse Bonduelle, Christine De Die-Smulders, Inge Liebaers, Kristien Hens
OBJECTIVE: Comprehensive chromosome examination is a promising approach to Preimplantation Genetic Testing (PGT). Next to testing of specific chromosomes, such as in the case of reduced fertility due to chromosomal translocations, it allows testing of all chromosomes. Hence it potentially reduces the time to pregnancy and the risk of miscarriage. But comprehensive testing also introduces some ethical issues. For example, what is the role of the professional in the decision making regarding embryos with chromosomal abnormalities that are potentially viable? Which chromosomal abnormalities should be communicated to people undergoing fertility treatment? With this paper we wanted to explore the ethical issues related to comprehensive chromosome screening in Preimplantation Genetic Testing...
December 17, 2018: European Journal of Medical Genetics
https://read.qxmd.com/read/30518008/-application-of-the-five-level-pediatric-emergency-triage-system-a-single-center-study
#6
H X Shi, J Z Wu, G B Chen, B Z Zhu, W Y Yan, L Chen, Y J Xiao, L Y Zhang
Objective: To assess the effectiveness in optimizing resources and shortening critical children's waiting time in pediatric emergency department (PED) with five-level pediatric emergency triage system (PETS). Methods: This retrospective study was conducted in the First Affiliated Hospital of Xiamen University after PETS was applied. The data of patients who visited the pediatric emergency department from January 2015 to December 2017 were collected and analyzed, including age, sex, diseases, visiting time, triage rate and destination...
December 2, 2018: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://read.qxmd.com/read/30509274/area-deprivation-and-attachment-to-a-general-practitioner-through-centralized-waiting-lists-a-cross-sectional-study-in-quebec-canada
#7
Mélanie Ann Smithman, Astrid Brousselle, Nassera Touati, Antoine Boivin, Kareen Nour, Carl-Ardy Dubois, Christine Loignon, Djamal Berbiche, Mylaine Breton
BACKGROUND: Access to primary healthcare is an important social determinant of health and having a regular general practitioner (GP) has been shown to improve access. In Canada, socio-economically disadvantaged patients are more likely to be unattached (i.e. not have a regular GP). In the province of Quebec, where over 30% of the population is unattached, centralized waiting lists were implemented to help patients find a GP. Our objectives were to examine the association between social and material deprivation and 1) likelihood of attachment, and 2) wait time for attachment to a GP through centralized waiting lists...
December 4, 2018: International Journal for Equity in Health
https://read.qxmd.com/read/30502228/effect-of-hip-fracture-surgery-within-24-hours-on-short-term-mobility
#8
Takahisa Ogawa, Takuya Aoki, Shinichi Shirasawa
BACKGROUND: Hip fracture constitutes a high-mortality injury in elderly patients. In addition, caregiver burden is also a relevant issue, as patients after hip fracture surgery lose ambulation and require support in the perioperative period and after discharge. Early surgery is recommended to improve mortality. However the positive effect of early surgery on the short-term postoperative ambulatory function is unknown. The objective of this study was to determine whether a shorter waiting time for hip fracture surgery improves short-term postoperative mobility in elderly patients...
November 28, 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://read.qxmd.com/read/30489493/evaluating-for-racial-differences-in-pain-management-of-long-bone-fractures-in-a-pediatric-rural-population
#9
Lucia Liao, Lilia Reyes
OBJECTIVES: The aim of this study was to determine if a racial disparity exists in the administration of an analgesic, time to receiving analgesic, and type of analgesic administered to children with long-bone fractures. Prior studies have reported the existence of racial disparity but were mostly in adult and urban populations. METHODS: This is a retrospective chart review of 727 pediatric patients (aged 2-17 years) with International Classification of Diseases, Ninth Revision (or 10th revision) codes for long-one fractures in an emergency department that cares for a suburban and rural population between January 2013 and January 2016...
November 26, 2018: Pediatric Emergency Care
https://read.qxmd.com/read/30481236/patient-preferences-in-office-based-orthopedic-care-a-prospective-evaluation
#10
Eric J Cotter, Charles P Hannon, Tori A Edmiston, Sean Kearns, Kyle Petersen, Brett R Levine
Patient satisfaction has become a topic of interest within orthopedics as the landscape of provider reimbursement continues to evolve to reward value of care. Online internet physician rating sites are becoming increasingly popular ways for patients to subjectively express their provider experience. Understanding what patients value during their episode of care is important in the modern healthcare environment. The purpose of this study is to determine what preferences, if any, patients have when selecting their physician and how they experience care in an outpatient orthopedic setting...
October 2018: American Journal of Orthopedics
https://read.qxmd.com/read/30348065/a-field-evaluation-of-a-rapid-dual-immunoassay-for-human-immunodeficiency-virus-and-syphilis-antibodies-hanoi-vietnam
#11
Keenan Withers, Clare Bristow, Minh Nguyen, Chrysovalantis Stafylis, Le M Giang, Jeffrey D Klausner
The SD BIOLINE HIV/Syphilis Duo (SD BIOLINE DUO) rapid test is a dual rapid lateral flow immunoassay that detects antibodies to both human immunodeficiency virus (HIV) and Treponema pallidum (TP) 'syphilis' via fingerprick whole blood. We evaluated the field performance of the SD BIOLINE HIV/Syphilis Duo test among two populations in Hanoi, Vietnam - men who have sex with men (MSM) and pregnant women. We also surveyed factors that influence participants' willingness to test for HIV and syphilis. This test has the potential to increase HIV and syphilis screening in low-resource settings...
October 23, 2018: International Journal of STD & AIDS
https://read.qxmd.com/read/30345811/relationship-of-duration-of-wait-for-surgery-and-postoperative-patient-reported-outcomes-for-hallux-valgus-surgery
#12
Jason M Sutherland, Kevin Wing, Alastair Younger, Murray Penner, Andrea Veljkovic, Guiping Liu, Trafford Crump
BACKGROUND: Little is known about the effect of delayed access to bunion correction (hallux valgus) surgery on patient-reported outcomes. The objective of this study was to measure the association between preoperative wait time for bunion correction surgery and postoperative patient-reported outcomes. METHODS: This study prospectively recruited patients to complete preoperative patient-reported outcomes measuring depression, pain, and foot and ankle health, including the Patient Health Questionnaire-9 (PHQ-9); the pain intensity (P), interference with enjoyment (E) of life and general (G) instrument (ie, PEG); and the Foot and Ankle Outcome Score (FAOS), a condition-specific instrument...
October 21, 2018: Foot & Ankle International
https://read.qxmd.com/read/30343704/pbc-transplantation-and-disease-recurrence
#13
REVIEW
Frederik Nevens
Despite near universal use of ursodeoxycholic acid (UDCA) several patients with PBC still progress to liver transplant (LT) or death. Pruritus and fatigue are the most common symptoms. Liver transplantation for pruritus is highly effective but fatigue will not disappear in the majority of the patients. In contrast to other liver diseases, portal hypertension may develop in pre-cirrhotic patients with PBC. Patients with PBC have an incidence rate of 3.4 hepatocellular carcinoma cases for every 1000 patient-years and risk factors are advanced stage of the disease and male sex...
June 2018: Best Practice & Research. Clinical Gastroenterology
https://read.qxmd.com/read/30332875/-accordion-operation-for-the-bone-transport-in-treating-tibial-bone-defect
#14
Rui-Jian Peng, Yong-Hong Zhang, Xiao-Hui Li, Hua-Nan Shi, Yan-Jun Lu, Qi Yang
OBJECTIVE: To discuss clinical outcomes of accordion operation for the Ilizarov technique in treating tibial bone defects. METHODS: From January 2014 to June 2016, 22 patients with tibial bone defects were treated by Ilizarov bone-transport technique, including 19 males and 3 females with an average age of 44.04 years old ranging from 23 to 60 years old;the length of the bone defects before the bone transport was 5 to 11 cm with an average 7.68 cm; Cause of injury invlved traffic accidents in 14 cases, fall injury in 3, smashing injury in 4, high drop injury in 1; 6 cases were on the left and 16 cases were on the right...
September 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://read.qxmd.com/read/30296323/time-to-surgery-for-definitive-fixation-of-hip-fractures-a-look-at-outcomes-based-upon-delay
#15
Hasham M Alvi, Rachel M Thompson, Varun Krishnan, Mary J Kwasny, Matthew D Beal, David W Manning
The morbidity and mortality after hip fracture in the elderly are influenced by non-modifiable comorbidities. Time-to-surgery is a modifiable factor that may play a role in postoperative morbidity. This study investigates the outcomes and complications in the elderly hip fracture surgery as a function of time-to-surgery. Using the American College of Surgeons-National Surgical Quality Improvement Program data from 2011 to 2012, a study population was generated using the Current Procedural Terminology codes for percutaneous or open treatment of femoral neck fractures (27235, 27236) and fixation with a screw and side plate or intramedullary fixation (27244, 27245) for peritrochanteric fractures...
September 2018: American Journal of Orthopedics
https://read.qxmd.com/read/30222861/does-using-applied-muscle-tension-at-strategic-time-points-during-donation-reduce-phlebotomist-and-donor-reported-vasovagal-reaction-rates-a-three-armed-randomized-controlled-trial
#16
Amanda Thijsen, Carley N Gemelli, Tanya E Davison, Justine O'Donovan, Barbara Bell, Barbara Masser
BACKGROUND: Vasovagal reactions (VVRs) have a negative impact on donor safety and return. Applied muscle tension (AMT) increases blood pressure temporarily and has been suggested as a way to reduce donors' risk of VVRs. This study evaluated whether using AMT at three different time points during the donation procedure reduces the VVR symptoms reported by donors and the VVR reactions recorded by phlebotomists. STUDY DESIGN AND METHODS: A three-arm, multicenter, open-label randomized controlled trial was used to compare VVR symptoms and reaction rates between those practicing AMT during the entire donation (n = 244) to practicing AMT at VVR high-risk time points (n = 250) to a standard blood donation control group (n = 240)...
October 2018: Transfusion
https://read.qxmd.com/read/30214333/satisfied-patients-and-pediatricians-a-cross-sectional-analysis
#17
Isha Patel, Travis Chapman, Fabian Camacho, Shameen Shrestha, Jongwha Chang, Rajesh Balkrishnan, Steven R Feldman
Background: There is a lack of research in the USA comparing patient satisfaction with pediatricians and other primary care physicians (PCPs). We examined and compared patient satisfaction toward their pediatricians and PCPs and characterized factors associated with higher patient satisfaction in these two groups. Methods: A random coefficient model with random slope and intercept was fit to the data, with patient satisfaction as a function of pediatrician/PCP, covariates, and physician random effects...
2018: Patient related Outcome Measures
https://read.qxmd.com/read/30198549/prognostic-factors-and-primary-treatment-for-waldenstr%C3%A3-m-macroglobulinemia-a-swedish-lymphoma-registry-study
#18
Lena Brandefors, Beatrice Melin, Jack Lindh, Kristina Lundqvist, Eva Kimby
We present a nationwide prospective Swedish registry-based study of Waldenström macroglobulinaemia (WM), that focuses on incidence and survival in relation to clinical prognostic factors and primary systemic therapies. A total of 1511 patients with WM and lymphoplasmocytic lymphoma (LPL) were registered in the Swedish Lymphoma Registry (SLR) between 1 January 2000 and 31 December 2014. The age-adjusted incidence of WM/LPL was 11·5 per million persons per year, three times higher than the reported incidence worldwide...
September 10, 2018: British Journal of Haematology
https://read.qxmd.com/read/30165854/clinical-significance-of-radiological-pleuroparenchymal-fibroelastosis-pattern-in-interstitial-lung-disease-patients-registered-for-lung-transplantation-a-retrospective-cohort-study
#19
Kiminobu Tanizawa, Tomohiro Handa, Takeshi Kubo, Toyofumi F Chen-Yoshikawa, Akihiro Aoyama, Hideki Motoyama, Kyoko Hijiya, Akihiko Yoshizawa, Yohei Oshima, Kohei Ikezoe, Shinsaku Tokuda, Yoshinari Nakatsuka, Yuko Murase, Sonoko Nagai, Shigeo Muro, Toru Oga, Kazuo Chin, Toyohiro Hirai, Hiroshi Date
BACKGROUND: Radiological pleuroparenchymal fibroelastosis (PPFE) lesion is characterized by pleural thickening with associated signs of subpleural fibrosis on high-resolution computed tomography (HRCT). This study evaluated the clinical significance of radiological PPFE as an isolated finding or associated with other interstitial lung diseases (ILDs) in patients having fibrotic ILDs and registered for cadaveric lung transplantation (LT). METHODS: This retrospective study included 118 fibrotic ILD patients registered for LT...
August 30, 2018: Respiratory Research
https://read.qxmd.com/read/30161111/healthcare-seeking-behaviour-of-people-with-sexually-transmitted-infection-symptoms-attending-a-sexual-health-clinic-in-new-zealand
#20
Hayley J Denison, Lisa Woods, Collette Bromhead, Jane Kennedy, Rebecca Grainger, Annemarie Jutel, Elaine M Dennison
AIMS: Untreated sexually transmitted infections (STIs) can lead to serious health complications and may be transmitted to uninfected individuals. Therefore, the early detection and subsequent management of STIs is crucial to control efforts. Time to presentation for STI symptoms and risk of transmission in this period has not been assessed in New Zealand to date. METHODS: All new clients presenting to an urban sexual health clinic (SHC) were invited to complete a questionnaire, which included demographic information, sexual health history, and details about the clinic visit...
August 31, 2018: New Zealand Medical Journal
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