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https://read.qxmd.com/read/30771625/mediastinal-retroperitoneal-and-subcutaneous-emphysema-due-to-sigmoid-colon-penetration-a-case-report-and-literature-review
#1
Tomohiro Muronoi, Akihiko Kidani, Eiji Hira, Kayo Takeda, Shunsuke Kuramoto, Kazuyuki Oka, Yoshihide Shimojo, Hiroaki Watanabe
INTRODUCTION: Mediastinal and subcutaneous emphysema usually result from spontaneous rupture of the alveolar wall. We present an extremely rare case of massive mediastinal, retroperitoneal, and subcutaneous emphysema due to the penetration of the colon into the mesentery. PRESENTATION OF CASE: A 57-year-old man presented to our institution with a history of chest pain. The patient's medical history included malignant rheumatoid arthritis during the use of steroids and an immunosuppressive agent...
February 10, 2019: International Journal of Surgery Case Reports
https://read.qxmd.com/read/30771606/mobile-obstetric-and-neonatal-simulation-based-skills-training-in-india
#2
Arunaz Kumar, Tarundeep Singh, Utkarsh Bansal, Jaivir Singh, Stacey Davie, Atul Malhotra
BACKGROUND: The developing world has a significantly high risk of women and babies dying during childbirth. Interprofessional simulation training has improved birth practices and outcomes by impacting clinical and non-technical skills like communication, teamwork, leadership and effective use of resources. While these programs have become a training requirement in many high-income countries, they have not been widely introduced in the low-income, low-resource settings. QUESTION: To explore the use of a structured obstetric and neonatal emergency simulation training program in India...
February 7, 2019: Midwifery
https://read.qxmd.com/read/30770207/goals-of-care-conversations-for-older-adults-with-serious-illness-in-the-emergency-department-challenges-and-opportunities
#3
Kei Ouchi, Naomi George, Jeremiah D Schuur, Emily L Aaronson, Charlotta Lindvall, Edward Bernstein, Rebecca L Sudore, Mara A Schonberg, Susan D Block, James A Tulsky
During the last 6 months of life, 75% of older adults with preexisting serious illness, such as advanced heart failure, lung disease, and cancer, visit the emergency department (ED). ED visits often mark an inflection point in these patients' illness trajectories, signaling a more rapid rate of decline. Although most patients are there seeking care for acute issues, many of them have priorities other than to simply live as long as possible; yet without discussion of preferences for treatment, they are at risk of receiving care not aligned with their goals...
February 12, 2019: Annals of Emergency Medicine
https://read.qxmd.com/read/30768812/lexigene%C3%A2-an-online-medical-genetics-translation-tool-to-facilitate-communication
#4
Mireille Cloutier, Julie Hathaway, Rachel Vanneste, Priscila D Hodges, Guillaume Sillon
No abstract text is available yet for this article.
February 15, 2019: Journal of Genetic Counseling
https://read.qxmd.com/read/30768581/retained-foreign-objects-in-casts-in-children
#5
Gloria Hui Min Cheng, Claris Jia-Yi Shi, Beatrice Jia Ying Lee, Kevin Boon Leong Lim
Cast immobilization is a noninvasive and effective option in the treatment of fractures in children. However, its use can be associated with complications, such as pressure sores, skin infections, thermal injuries, and joint stiffness. In clinical practice, retained foreign objects in casts are not uncommon. This study aims to ascertain reasons for foreign objects being retained in casts and their effects on the skin. Eighteen children with retained foreign objects in their casts were identified and interviewed...
February 12, 2019: Journal of Pediatric Orthopedics. Part B
https://read.qxmd.com/read/30768469/what-are-we-really-talking-about-an-organizing-framework-for-types-of-consultation-and-their-implications-for-physician-communication
#6
Andrew J Hale, Jason A Freed, W Kemper Alston, Daniel N Ricotta
Consultation amongst providers is a foundation of modern health care and one of the most frequent means of interdisciplinary communication. Accordingly, clear and efficient communication between providers and across medical specialties during consultation is essential to patient care and a collegial work environment. Traditionally, consultation requests are felt to require a clear question that falls within the purview of the consultant's expertise. However, this narrow constraint is often lacking in the real-world clinical environment, and may in fact be detrimental to physician communication and patient care...
February 12, 2019: Academic Medicine: Journal of the Association of American Medical Colleges
https://read.qxmd.com/read/30768466/challenges-associated-with-moving-the-united-states-medical-licensing-examination-usmle-step-1-to-after-the-core-clerkships-and-how-to-approach-them
#7
Arnyce Pock, Michelle Daniel, Sally A Santen, Aubrie Swan-Sein, Amy Fleming, Vicky Harnik
An increasing number of medical schools have moved away from traditional 2 + 2 curricular structures toward curricula that intentionally integrate basic, clinical, and health systems science, with the goal of graduating physicians who consistently apply their foundational knowledge to clinical practice to improve the care of patients and populations. These curricular reforms often include a shortened pre-clerkship phase with earlier introduction of learners into clinical environments. This has led schools to reconsider the optimal timing of United States Medical Licensing Examination Step 1 exam...
February 12, 2019: Academic Medicine: Journal of the Association of American Medical Colleges
https://read.qxmd.com/read/30768004/low-power-optical-beam-steering-by-microelectromechanical-waveguide-gratings
#8
Carlos Errando-Herranz, Nicolas Le Thomas, Kristinn B Gylfason
Optical beam steering is key for optical communications, laser mapping (lidar), and medical imaging. For these applications, integrated photonics is an enabling technology that can provide miniaturized, lighter, lower-cost, and more power-efficient systems. However, common integrated photonic devices are too power demanding. Here, we experimentally demonstrate, for the first time, to the best of our knowledge, beam steering by microelectromechanical (MEMS) actuation of a suspended silicon photonic waveguide grating...
February 15, 2019: Optics Letters
https://read.qxmd.com/read/30767937/anesthesia-exposure-in-children-practitioners-respond-to-the-2016-fda-drug-safety-communication
#9
Teeda Pinyavat, Neeta R Saraiya, Jerri Chen, Lynne R Ferrari, Dena Goffman, Thomas A Imahiyerobo, William Middlesworth, Joshua E Hyman, Grace Hyun, Constance S Houck
In December 2016, the US Food and Drug Administration (FDA) issued a drug safety warning stating that 11 commonly used anesthetic and sedative medications had potential neurotoxic effects when used in children under the age of 3 years and in pregnant women during the third trimester. A panel presentation at the sixth biennial Pediatric Anesthesia Neurodevelopmental Assessment (PANDA) symposium addressed the FDA announcement in a session entitled "Anesthesia Exposure in Children During Surgical and Non-Surgical Procedures: How Do We Respond to the 2016 FDA Drug Safety Communication?" Panelists included representatives from pediatric anesthesiology, obstetrics, pediatric surgery, and several pediatric surgical subspecialties...
January 2019: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/30767190/animated-stories-of-medical-error-as-a-means-of-teaching-undergraduates-patient-safety-an-evaluation-study
#10
Kerri Cooper, Emma Hatfield, James Yeomans
BACKGROUND: Storytelling is a powerful form of communication which can improve attention and lead to lasting behavioural changes. Addressing the need to incorporate patient safety teaching into undergraduate medical curricula, it was hypothesized that medical students could benefit from hearing clinician stories of medical error. The medium of animation was considered to be a potentially engaging means of presenting stories of error to a large audience. METHODS: Three animated videos were developed to accompany audio recordings of junior doctors describing their experiences of a serious incident or near-miss event...
February 14, 2019: Perspectives on Medical Education
https://read.qxmd.com/read/30766554/diagnostic-performance-of-several-biomarkers-for-identification-of-cases-of-non-communicable-diseases-among-central-africans
#11
Charles Bitamazire Businge, Benjamin Longo-Mbenza, Oladele Vincent Adeniyi, Moise Mvitu Muaka, Georges Mvumbi Lelo, Mireille Solange Nganga Nkanga, Jean-Marie Kavembe, Baudoin Buassa-Bu-Tsumbu, Jean-Rene' M'buyamba Kabangu, Daniel Ter Goon
Background: This study determined the diagnostic performance of new biomarkers for a composite diagnosis of non-communicable diseases (NCDs) among Central Africans. Methods: This case-control study was conducted at LOMO Medical Centre, Kinshasa, DR Congo (DRC) between January - December, 2008. The cases comprised 226 participants with concurrent presence of at least 2 or more of NCDs. Anthropometric parameters and blood pressure were measured while blood samples were assayed for biomarkers...
December 2018: African Health Sciences
https://read.qxmd.com/read/30765256/exploring-issues-relating-to-disability-cultural-competence-among-practicing-physicians
#12
Nicole Agaronnik, Eric G Campbell, Julie Ressalam, Lisa I Iezzoni
BACKGROUND: Many factors contribute to the well-recognized health care disparities experienced by persons with disability, including failure of physicians to understand the lives of individuals with disability. Disability cultural competence considers physicians' ability to meet the social, cultural, and linguistic needs of this population. OBJECTIVES: To assess physicians' understanding of disability cultural competence and attitudes towards patients with disability...
February 1, 2019: Disability and Health Journal
https://read.qxmd.com/read/30765101/diversity-improves-performance-and-outcomes
#13
L E Gomez, Patrick Bernet
BACKGROUND: Research on the effects of increasing workplace diversity has grown substantially. Unfortunately, little is focused on the healthcare industry, leaving organizations to make decisions based on conflicting findings regarding the association of diversity with quality and financial outcomes. To help improve the evidence-based research, this umbrella review summarizes diversity research specific to healthcare. We also look at studies focused on professional skills relevant to healthcare...
February 11, 2019: Journal of the National Medical Association
https://read.qxmd.com/read/30765074/multidisciplinary-team-training-simulation-in-interventional-radiology
#14
Kimberly Scherer, Ronald S Winokur
Efficient teamwork and communication is critical for the delivery of safe and high quality patient care. Studies have shown that medical errors can occur as a result of poor communication. Simulation scenarios can help improve communication and teamwork, therefore decreasing errors and improving team morale. Simulation is best employed through a multidisciplinary approach, including all members of the team involved in the patient's care. Team simulation can be difficult to plan and execute, therefore we will review the steps to planning an effective multidisciplinary team simulation, as well as the barriers to overcome when implementing these programs...
March 2019: Techniques in Vascular and Interventional Radiology
https://read.qxmd.com/read/30764836/-birds-of-the-same-feathers-fly-together-midwives-experiences-with-pregnant-women-and-fgm-c-complications-a-grounded-theory-study-in-liberia
#15
Christine K Tarr-Attia, Grace Hawa Boiwu, Guillermo Martínez-Pérez
BACKGROUND: In Liberia, approximately 70% of the women of the North-Central and North-Western regions could have undergone female genital mutilation/cutting (FGM/C) in their childhood during a traditional ceremony marking their entrance into Sande, a secret female society. Little is known about FGM/C from Liberian women's perspective. This study aimed to understand the health implications of FGM/C as perceived by qualified female midwives. METHODS: This qualitative study was conducted in 2017 in Monrovia, Liberia's capital...
February 14, 2019: Reproductive Health
https://read.qxmd.com/read/30763226/resident-run-urology-clinics-a-tool-for-use-in-competency-based-medical-education-for-teaching-and-assessing-transition-to-practice-skills
#16
Luke Witherspoon, Shreya Jalali, Matthew T Roberts
INTRODUCTION: In a competency-based approach to resident education, a component of training should focus on skills needed for the transition from residency to independent practice. The ability to run an outpatient clinic represents one such skill. Resident-run clinics (RRC) have been implemented in family medicine programs to allow residents to practice this skill, and have enhanced learning while providing excellent patient satisfaction. To date, there has been little experience with RRCs in surgical residency programs...
January 21, 2019: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://read.qxmd.com/read/30762721/society-for-neuroscience-in-anesthesiology-critical-care-snacc-neuroanesthesiology-education-milestones-for-resident-education
#17
Deepak Sharma, Letitia J Easdown, Arpad Zolyomi, Eugenia Ayrian, Peggy J Wheeler, Guy Edelman, Michael E Mahla
BACKGROUND: The Accreditation Council for Graduate Medical Education (ACGME) has introduced competency-based assessments (milestones) for resident education. However, the existing milestones for Anesthesiology are not specific to Neuroanesthesiology. The Society for Neuroscience in Anesthesiology & Critical Care (SNACC) commissioned a task force to adapt the ACGME anesthesiology milestones for use in Neuroanesthesiology training, and to provide recommendations for implementing milestones...
February 12, 2019: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/30762384/thanking-apologizing-bragging-and-blaming-responsibility-exchange-theory-and-the-currency-of-communication
#18
Shereen J Chaudhry, George Loewenstein
From the time we are children, we are taught to say "thank you" and "I'm sorry." These communications are central to many social interactions, and the failure to say them often leads to conflict in relationships. Research has documented that, alongside the impact they can have on relationships, apologies and thanks can also impact material outcomes as small as restaurant tips and as significant as settlements of medical malpractice lawsuits. But, it is trivial to utter the words; how can such "cheap talk" carry so much value? In this article, we propose a "responsibility exchange theory" that explains why these communications are not costless, and which draws connections between four forms of communication that have not previously been connected: thanking, apologizing, bragging, and blaming...
February 14, 2019: Psychological Review
https://read.qxmd.com/read/30761975/a-case-of-mistaken-diagnoses-diagnostic-and-management-challenges-in-a-case-of-adult-autism-spectrum-disorder
#19
L Alexander, N Farrelly
Autism spectrum disorder (ASD) is frequently identified in children but is often unrecognised in adults. ASD is characterised by difficulties in social interaction, communication and restricted interests, but other presentations are common, especially in adults. This report describes a 34-year-old man with a history of multiple psychiatric diagnoses including generalised anxiety disorder, major depressive disorder and panic disorder. He was diagnosed with ASD in his early 30s and engaged in a targeted treatment plan, including rationalisation of medications, supportive therapy and occupational therapy, which successfully facilitated discharge from mental health services...
February 14, 2019: Irish Journal of Psychological Medicine
https://read.qxmd.com/read/30761933/prevalence-of-chronic-hepatitis-c-virus-infection-among-childhood-cancer-survivors-in-stockholm-sweden
#20
Afrodite Psaros Einberg, Anna-Theresia Ekman, Stefan Söderhäll, Charlotta Millbourn, Karin Lindahl, Arja Harila-Saari, Björn Fischler
BACKGROUND: Childhood cancer survivors treated before 1992, when blood donor screening for hepatitis C virus (HCV) infection was introduced, are at risk of transfusion-transmitted HCV infection. A national HCV screening campaign targeting blood transfusion recipients was launched in Sweden in 2007-2010. The aims of this study were to, among adult childhood cancer survivors in Stockholm County, investigate the prevalence of HCV infection, the natural course of infection, treatment outcome and anti-HCV testing frequency before, during and after the screening campaign and finally to actively screen the untested ones...
February 14, 2019: Acta Oncologica
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