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Alina M Küper, Roswitha Merle
During the last years, the philosophy of relationship-centered care gained increasing attention in veterinary medicine. Relationship-centered care is based on a joint venture between pet owner and veterinarians and therefore offers the opportunity to satisfy the pet owners' need for participation in medical decision-making and to provide the best care for the patient. Although research on relationship-centered care in the veterinary consultation is still limited, the available findings suggest that the characteristics of relationship-centered care reflect the pet owners' expectations on satisfactory veterinary care...
2019: Frontiers in Veterinary Science
Carine J Marks, Gert J Muller, Dmitrij Sachno, Helmuth Reuter, Cherylynn A Wium, Catharina E Du Plessis, Daniel J Van Hoving
Introduction: South Africa has a wide distribution of scorpion species, yet limited data are available regarding the incidence and severity of scorpion envenomation. The aim of this study was to analyse South African epidemiological data of scorpion stings and envenomation as reported to the Tygerberg Poisons Information Centre (TPIC). Methods: A retrospective analysis was conducted of scorpion-related telephonic consultations to the TPIC over a ten year period (1 January 2005 to 31 December 2014)...
March 2019: African Journal of Emergency Medicine Revue
Tessa Jansen, Robert A Verheij, Francois G Schellevis, Anton E Kunst
OBJECTIVES: Major long-term care (LTC) reforms in the Netherlands in 2015 may specifically have disadvantaged socioeconomically deprived groups to acquire LTC, possibly impacting the use of acute care. We aimed to demonstrate whether LTC reforms coincided with changes in the use of out-of-hours (OOH) primary care services (PCSs), and to compare changes between deprived versus affluent neighbourhoods. DESIGN: Ecological observational retrospective study using routinely recorded electronic health records data from 2013 to 2016 and population registry data...
March 13, 2019: BMJ Open
Vivienne J Zhu, Leslie A Lenert, Brian E Bunnell, Jihad S Obeid, Melanie Jefferson, Chanita A Hughes-Halbert
BACKGROUND: Social isolation is an important social determinant that impacts health outcomes and mortality among patients. The National Academy of Medicine recently recommended that social isolation be documented in electronic health records (EHR). However, social isolation usually is not recorded or obtained as coded data but rather collected from patient self-report or documented in clinical narratives. This study explores the feasibility and effectiveness of natural language processing (NLP) strategy for identifying patients who are socially isolated from clinical narratives...
March 14, 2019: BMC Medical Informatics and Decision Making
Kari White, Sarah E Baum, Kristine Hopkins, Joseph E Potter, Daniel Grossman
OBJECTIVE: To assess whether indicators of limited access to services explained changes in rates of second-trimester abortion after implementation of a restrictive abortion law in Texas. METHODS: We used cross-sectional vital statistics data on abortions performed in Texas before (November 1, 2011-October 31, 2012) and after (November 1, 2013-October 31, 2014) implementation of Texas' abortion law. We conducted monthly mystery client calls for information about abortion facility closures and appointment wait times to calculate distance from women's county of residence to the nearest open Texas facility, the number of open abortion facilities in women's region of residence (facility network size), and days until the next consultation visit...
March 11, 2019: Obstetrics and Gynecology
Kathryn M Glaser, Douglas C McDaniel, Suzanne M Hess, Tessa Faye Flores, Denise A Rokitka, Mary E Reid
BACKGROUND: This article describes the development of an integrative survivorship program at an urban National Cancer Institute-designated comprehensive cancer center with three closely linked components: a Survivorship Clinic with dedicated staff, a network of Support Services including Wellness, and an Integrative Medicine Program. DEVELOPMENT: We first defined the parameters of survivorship care and developed a patient-centric model that determined the optimal timeframes for transitioning these patients from the oncology clinic to a centralized survivorship clinic...
March 2019: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
Nadine Ijaz, Jennifer Rioux, Charles Elder, John Weeks
OBJECTIVES: This scoping review evaluates two decades of methodological advances made by "whole systems research" (WSR) pioneers in the fields of traditional, complementary, and integrative medicine (TCIM). Rooted in critiques of the classical randomized controlled trial (RCT)'s suitability for evaluating holistic, complex TCIM interventions, WSR centralizes the principle of "model validity," representing a "fit" between research design and therapeutic paradigm...
March 2019: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
Dugald Seely, Julie E Ennis, Ellen McDonell, Anna Fazekas, Linlu Zhao, Tim Asmis, Rebecca C Auer, Dean Fergusson, Salmaan Kanji, Donna E Maziak, Tim Ramsay, Paul Chamberland, Chris Spooner, Jennifer Threader, Andrew Seely
BACKGROUND: Use of complementary therapies is high among people with cancer despite research gaps. The Thoracic Peri-Operative Integrative Surgical Care Evaluation (POISE) Trial will evaluate the impact of an integrative care intervention delivered by naturopathic doctors (NDs) in conjunction with usual care for patients undergoing surgery for lung, gastric, and esophageal cancer. OBJECTIVES: To describe the multistep, multidisciplinary process of defining the integrative care intervention to be used in the Thoracic POISE trial using a principle-based approach that is pragmatic, holistic, safe, feasible, evidence driven, and consensus based...
March 2019: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
Silvia Caino, Rosario Ramos Mejia, Rodolfo Goyeneche, Darío Filippo, Victoria Allende, Claudia Casalis, Laura Collado, Martín D'Elía, Guillermo Fernández, Mónica Galeano, Juan C Hernández, Leopoldo Lonegro, Juliana Lostra, Javier Masquijo, Horacio Miscione, Alberto Navarro Fretes, Dalia Sepúlveda Arriagada, Eduardo Stéfano, Graciela Infesta, Virginia Fano
INTRODUCTION: Leg length discrepancy is when the length of one leg is different from the other, and is a common reason for consultation at the pediatrician's and pediatric orthopedist's office. The objective of this study was to develop recommendations for the follow-up, pre-surgical planning, and treatment of children with leg length discrepancy based on expert consensus. MATERIAL AND METHODS: The Delphi method was used. A coordinating group selected a panel of experts, designed and analyzed each of the rounds of consultations...
April 1, 2019: Archivos Argentinos de Pediatría
Janice Hegewald, Uta E Wegewitz, Ulrike Euler, Jaap L van Dijk, Jenny Adams, Alba Fishta, Philipp Heinrich, Andreas Seidler
BACKGROUND: People with coronary heart disease (CHD) often require prolonged absences from work to convalesce after acute disease events like myocardial infarctions (MI) or revascularisation procedures such as coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI). Reduced functional capacity and anxiety due to CHD may further delay or prevent return to work. OBJECTIVES: To assess the effects of person- and work-directed interventions aimed at enhancing return to work in patients with coronary heart disease compared to usual care or no intervention...
March 14, 2019: Cochrane Database of Systematic Reviews
S N Rich, E M Klann, C R Almond, E M Larkin, G Nicolette, J D Ball
Urinary tract infections (UTIs) are common among college-aged women and often recur. Some antibiotics recommended to treat UTIs trigger dysbiosis of intestinal and vaginal microbiomes - where uropathogens originate, though few studies have investigated associations between these therapies with recurrent infections. We retrospectively analysed the electronic medical records of 6651 college-aged women diagnosed with a UTI at a US university student health centre between 2006 and 2014. Women were followed for 6 months for incidence of a recurrent infection...
January 2019: Epidemiology and Infection
Sytske van Bruggen, Simone P Rauh, Marise J Kasteleyn, Tobias N Bonten, Niels H Chavannes, Mattijs E Numans
OBJECTIVE: Management of type 2 diabetes mellitus (T2DM) requires frequent monitoring of patients. Within a collective care group setting, doubts on the clinical effects of registration are a barrier for full adoption of T2DM registration in general practice. We explored whether full monitoring of biomedical and lifestyle-related target indicators within a care group approach is associated with lower HbA1c levels. DESIGN: Observational, real-life cohort study. SETTING: Primary care data registry from the Hadoks (EerstelijnsZorggroepHaaglanden) care group...
March 13, 2019: BMJ Open
Aaron Hogue, Sarah Dauber, Molly Bobek, Amanda Jensen-Doss, Craig E Henderson
BACKGROUND: This article describes a study protocol for testing the Measurement Training and Feedback System for Implementation (MTFS-I) and comparing two implementation strategies for MTFS-I delivery. MTFS-I is a web-based treatment quality improvement system designed to increase the delivery of evidence-based interventions for behavioral health problems in routine care settings. This version of MTFS-I focuses on family-based services (FBS) for adolescent substance use. FBS, comprising both family participation in treatment and family therapy technique use, have achieved the strongest evidence base for adolescent substance use and are a prime candidate for upgrading treatment quality in outpatient care...
March 11, 2019: Implementation Science: IS
Lilla Abafalvi, Melinda Pénzes, Róbert Urbán, Kristie L Foley, Réka Kaán, Barbara Kispélyi, Péter Hermann
BACKGROUND: Knowledge about the health effects of e-cigarette use (or vaping) among past and current combustible cigarette users is limited. Several studies have assessed vaping-related adverse events (AEs) and beneficial health effects, however, most studies focused on AEs in general and examined only a few physiological changes that vapers experience. This study aims to explore self-reported AEs and perceived health changes due to e-cigarette use among Hungarian adult e-cigarette-only users (former smokers who switched completely to e-cigarette use) and dual users (smokers who use e-cigarettes and combustible tobacco cigarettes concomitantly)...
March 13, 2019: BMC Public Health
E A Stewart, M P Diamond, A R W Williams, B R Carr, E R Myers, R A Feldman, W Elger, C Mattia-Goldberg, B M Schwefel, K Chwalisz
STUDY QUESTION: Can asoprisnil, a selective progesterone receptor modulator, provide clinically meaningful improvements in heavy menstrual bleeding (HMB) associated with uterine fibroids with an acceptable safety profile? SUMMARY ANSWER: Uninterrupted treatment with asoprisnil for 12 months effectively controlled HMB and reduced fibroid and uterine volume with few adverse events. WHAT IS KNOWN ALREADY: In a 3-month study, asoprisnil (5, 10 and 25 mg) suppressed uterine bleeding, reduced fibroid and uterine volume, and improved hematological parameters in a dose-dependent manner...
March 13, 2019: Human Reproduction
Yani Hamdani, Tamara Yee, Michelle Oake, Amy C McPherson
BACKGROUND: Research to date with children and youth with intellectual and developmental disabilities (IDD) has previously focused upon specific aspects of health (e.g., physical activity, nutrition). A broader focus on 'wellness' takes a positive approach to health by addressing how individuals can lead meaningful lives by focusing on their unique strengths and resources across multiple wellness dimensions, rather than focusing on deficits. OBJECTIVE: This study, conducted in partnership with Special Olympics (SO), aimed to understand the state of perceived wellness and wellness-promoting behaviours of children and youth with IDD from multi-stakeholder perspectives (i...
February 1, 2019: Disability and Health Journal
Anna Ernst
Participation processes can improve environmental decision-making. However, proving the impact of participation processes - i.e. decision-making involving diverse actors from civil society, business, state, and administration - is challenging. This paper therefore examines participation processes by applying proxy measures that are assumed to strongly correlate with improved environmental decision-making. Such indicators include the perception of the process as being fair and legitimate, the final outcomes being considered effective and efficient, satisfaction with one's own engagement and the development of trust, and conflict resolution...
March 9, 2019: Journal of Environmental Management
Khalid Talal Aldamiri, Faisal Ahmed Alhusain, Amal Almoamary, Khalid Alshehri, Nawfal Al Jerian
It has been postulated that everyone has an affinity for one of two cognitive approaches: experiential (intuitive) or rational (conscious). The aim of this study was to analyze the thinking processes of Saudi emergency physicians at nine hospitals in Riyadh. This was a cross-sectional study, which was undertaken in Riyadh using a psychometric tool called the Rational-Experiential Inventory-40. The survey, sent by e-mail to 202 emergency physicians, had a 53% response rate. Most respondents were male (86%). The total surveyed participants included consultants (36%), associate consultants (19%), registrars, fellow or staff physicians (7%), and residents (38%)...
December 2018: Journal of Epidemiology and Global Health
Jon Adams, Erica McIntyre, Jane Frawley, Romy Lauche, Alex Broom, David Sibbritt
AIM: To describe the health care behaviours of Australian women (45 years and over) diagnosed with a chronic illness. METHODS: This is a cross-sectional sub-study of the 45 and Up Study-the largest study of healthy ageing conducted in the Southern Hemisphere-including 1,932 Australian women (45 years and older) with a self-reported diagnosis of either depression, asthma, diabetes, osteoarthritis, or osteoporosis. Questionnaires were posted to eligible participants between September and December 2016 and included self-reported use of formal and informal health services and health care behaviours, and health practitioner recommendations and monitoring of informal care...
March 12, 2019: International Journal of Clinical Practice
Fiona M Walter, Clarissa Penfold, Alexis Joannides, Smiji Saji, Margaret Johnson, Colin Watts, Andrew Brodbelt, Michael D Jenkinson, Stephen J Price, Willie Hamilton, Suzanne E Scott
BACKGROUND: Brain tumours are uncommon, and have extremely poor outcomes. Patients and GPs may find it difficult to recognise early symptoms because they are often non-specific and more likely due to other conditions. AIM: To explore patients' experiences of symptom appraisal, help seeking, and routes to diagnosis. DESIGN AND SETTING: Qualitative study set in the East and North West of England. METHOD: In-depth interviews with adult patients recently diagnosed with a primary brain tumour and their family members were analysed thematically, using the Model of Pathways to Treatment as a conceptual framework...
March 11, 2019: British Journal of General Practice: the Journal of the Royal College of General Practitioners
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