keyword
https://read.qxmd.com/read/38650177/clinical-physicists-perceptions-of-weekly-chart-checks-and-the-potential-role-for-automated-image-review-assessed-by-structured-interviews
#21
JOURNAL ARTICLE
Rachel Petragallo, Dishane C Luximon, Jack Neylon, Naomi S Bardach, Timothy Ritter, James M Lamb
BACKGROUND: This study utilizes interviews of clinical medical physicists to investigate self-reported shortcomings of the current weekly chart check workflow and opportunities for improvement. METHODS: Nineteen medical physicists were recruited for a 30-minute semi-structured interview, with a particular focus placed on image review and the use of automated tools for image review in weekly checks. Survey-type questions were used to gather quantitative information about chart check practices and importance placed on reducing chart check workloads versus increasing chart check effectiveness...
April 22, 2024: Journal of Applied Clinical Medical Physics
https://read.qxmd.com/read/38649948/point-of-care-ultrasound-pocus-pediatric-resident-training-course-a-cross-sectional-survey
#22
JOURNAL ARTICLE
Manuela Lo Bianco, Santiago Presti, Maria Carla Finocchiaro, Gian Luca Trobia, Tiziana Virginia Sciacca, Maria Elena Cucuzza, Elia Caudullo, Giacomo Calcara, Martino Ruggieri, Vita Antonella Di Stefano
BACKGROUND: Point-of-care ultrasound (POCUS) is becoming increasingly crucial in the Pediatric Emergency Department for objective patient examination. However, despite its growing interest and wide-ranging applications, POCUS remains relatively unexplored in general pediatric training and education. Many physicians still find it challenging to comprehend and implement. METHODS: A theoretical-practical POCUS course for pediatric residents was conducted at the University of Catania, Italy...
April 23, 2024: Italian Journal of Pediatrics
https://read.qxmd.com/read/38648973/sociodemographic-factors-linked-to-food-allergy-diagnosis-among-high-risk-children-with-atopic-dermatitis
#23
JOURNAL ARTICLE
Ellen Daily Stephen, Sven Wang, Manali Shah, Anandu Dileep, Shannon Manz, Niki Mirhosseini, Mahboobeh Mahdavinia
BACKGROUND: Atopic dermatitis (AD) is a known risk factor for the development of food allergy. Prior work has suggested disparities in diagnosis/management of food allergy in urban populations. OBJECTIVE: We aimed to determine whether socioeconomic conditions, as measured by the Area Deprivation Index (ADI) and insurance status, or racial/ethnic self-identity were associated with risk of food allergy diagnosis (DFA), evaluation by an allergist, or objective food allergy testing among high-risk children with atopic dermatitis...
April 20, 2024: Annals of Allergy, Asthma & Immunology
https://read.qxmd.com/read/38648617/teaching-future-physician-assistants-to-provide-adept-care-to-disabled-patients-a-novel-application-of-disability-curriculum
#24
JOURNAL ARTICLE
Lydia Smeltz, Larissa Whitney, Tonya King, Nora Newcomb, Ami L DeWaters
INTRODUCTION: Physician assistant (PA) students will be certain to provide care to patients with disabilities in their future careers. However, there is a dearth of literature on disability-related education in PA training. This curriculum sought to fill this need. The specific aims of this study were to (1) evaluate the implementation of a 3-part disability-focused education curriculum in PA education, (2) assess changes in PA students' self-perceived confidence and attitudes toward patients with disabilities, and (3) assess students' attitudes toward ADEPT-CARE...
April 19, 2024: Journal of Physician Assistant Education
https://read.qxmd.com/read/38644420/differences-in-discharge-letter-content-oncologists-vs-home-care-physicians-needs
#25
JOURNAL ARTICLE
Nozomi Okamura, Emi Kubo, Ayaka Ishida, Sakiho Noda, Mariko Harada, Keisuke Ishizuka, Yujiro Inoue, Kazuhiro Kosugi, Tomofumi Miura
PURPOSE: To compare the details, oncologists include in discharge letters with what home care physicians need. Although discharge letters are important to share patients' information for home palliative care, few studies have compared the details, especially patients' emotions, regarding what oncologists include in discharge letters and home care physicians' needs. METHODS: This cross-sectional study was conducted by sending anonymous, self-administered questionnaires to 500 certified oncologists (OCs) and 500 directors of home care supporting clinics (HCs) in Japan between March and May 2023...
April 22, 2024: Supportive Care in Cancer
https://read.qxmd.com/read/38643433/cellular-host-response-sepsis-test-for-risk-stratification-of-patients-in-the-emergency-department-a-pooled-analysis
#26
JOURNAL ARTICLE
Hollis R O'Neal, Roya Sheybani, Chadd K Kraus, Wesley H Self, Ajay M Shah, Christopher B Thomas, Henry T K Tse, Robert Scoggins
OBJECTIVES: Sepsis is one of the most common, costly, and misdiagnosed conditions in U.S. emergency departments (EDs). ED providers often treat on nonspecific signs, subjective suspicion, or presumption of infection, resulting in over- and undertreatment. An increased understanding of host response has opened a new direction for sepsis diagnostics. The IntelliSep test is a U.S. Food and Drug Administration-cleared cellular host response diagnostic that could help distinguish sepsis in ED settings...
April 21, 2024: Academic Emergency Medicine
https://read.qxmd.com/read/38643047/frontline-providers-and-patients-perspectives-on-improving-diagnostic-safety-in-the-emergency-department-a-qualitative-study
#27
JOURNAL ARTICLE
Courtney W Mangus, Tyler G James, Sarah J Parker, Elizabeth Duffy, P Paul Chandanabhumma, Caitlin M Cassady, Fernanda Bellolio, Kalyan S Pasupathy, Milisa Manojlovich, Hardeep Singh, Prashant Mahajan
BACKGROUND: Few studies have described the insights of frontline health care providers and patients on how the diagnostic process can be improved in the emergency department (ED), a setting at high risk for diagnostic errors. The authors aimed to identify the perspectives of providers and patients on the diagnostic process and identify potential interventions to improve diagnostic safety. METHODS: Semistructured interviews were conducted with 10 ED physicians, 15 ED nurses, and 9 patients/caregivers at two separate health systems...
March 12, 2024: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/38642346/stress-beliefs-moderate-the-impact-of-covid-19-related-work-stress-on-depressive-anxiety-and-distress-symptoms-in-health-care-workers
#28
JOURNAL ARTICLE
Johannes A C Laferton, Saskia Schiller, Daniela Conrad, Dorothea Fischer, Frank Zimmermann-Viehoff
Health care workers are at increased risk for mental health issues due to high psychological and physical job demands. According to a recent study, stress beliefs (i.e., believing stress to be detrimental to one's health) might influence physicians' mental health in response to a naturalistic stressor (COVID-19 hospital working conditions). Due to a small sample size and high alpha error inflation, the suggested association needs to be interpreted with caution. The current study aims to replicate those findings in a larger sample...
April 20, 2024: Stress and Health: Journal of the International Society for the Investigation of Stress
https://read.qxmd.com/read/38640575/credentialing-and-training-advanced-practice-providers-for-advanced-tertiary-care-pediatric-otolaryngology-a-curriculum-for-hospital-and-ambulatory-practice
#29
JOURNAL ARTICLE
Rachel L Schappacher, Abhita Reddy, Kalie Erwin, Laura H Swibel Rosenthal
OBJECTIVES: Inclusion of advanced practice providers (APPs) in hospital-based pediatric otolaryngology has been growing rapidly, aligning with a 70% increase in physician assistants in all surgical subspecialties in recent years. A post-graduate training program is developed to reflect these growing and changing responsibilities. METHODS: Curriculum development took place at one institution over eight years for 16 APPs following a standard Six Step Approach to medical curriculum: 1) Problem Identification and General Needs Assessment, 2) Targeted Needs Assessment, 3) Goals & Objectives, 4) Education Strategies, 5) Implementation, and 6) Evaluation and Feedback...
April 3, 2024: International Journal of Pediatric Otorhinolaryngology
https://read.qxmd.com/read/38637020/facing-the-digital-frontier-exploring-user-acceptance-of-electronic-health-records-in-an-urban-rural-and-remote-setting-in-the-philippines
#30
JOURNAL ARTICLE
Regine Ynez H De Mesa, Cara Lois T Galingana, Carol Stephanie C Tan-Lim, Mark Anthony U Javelosa, Janelle Micaela S Panganiban, Noleen Marie C Fabian, Ysabela Calderon, Mia P Rey, Nannette Bernal-Sundiang, Josephine T Sanchez, Leonila F Dans, Ray U Casile, Antonio L Dans
OBJECTIVES: A thorough understanding of user needs and behavioural intent-to-use underpins the development of a responsive health information system. This study aimed to examine health workers' intent-to-use an electronic health record (EHR) system in an urban, rural and remote setting in the Philippines. METHODS: Following the Unified Theory of Acceptance and Use of Technology framework, user acceptance and the factors influencing intent-to-use the EHR were examined through a self-administered questionnaire...
April 18, 2024: BMJ Open Quality
https://read.qxmd.com/read/38626995/factors-that-influence-scope-of-practice-decisions-of-early-career-family-physicians-focus-group-study-in-canada
#31
JOURNAL ARTICLE
Monica Aggarwal, Kristina Kokorelias, Reham Abdelhalim
OBJECTIVE: To explore perceptions of early-career family physicians on the personal, educational, organizational, community, and system factors that had influenced their scope-of-practice decisions and to compare the similarities and differences among these factors across all 13 Canadian jurisdictions. DESIGN: Qualitative descriptive study. SETTING: Canada. PARTICIPANTS: Fifty-nine early-career family physicians who were 2 to 5 years into independent practice...
April 2024: Canadian Family Physician Médecin de Famille Canadien
https://read.qxmd.com/read/38626672/public-trust-in-general-practitioners-and-its-association-with-primary-care-contracts-a-cross-sectional-study-of-community-residents-in-china
#32
JOURNAL ARTICLE
Jun Ye, Jing Feng, Xinyan Li, Ge Qu, Zihui Lei, Heng Jiang, Yuchao Sun, Ruofan Zhang, Aoqi Shen, Zhengyi Wan, Yong Gan, Chaojie Liu
OBJECTIVES: This study aimed to assess the level of public trust in general practitioners (GPs) and its association with primary care contract services (PCCS) in China. STUDY DESIGN: Cross-sectional study. METHODS: Between September and December 2021, 4158 residents across eastern, central, and western China completed a structured self-administered questionnaire. Trust was assessed using the Chinese version of Wake Forest Physician Trust Scale...
April 15, 2024: Public Health
https://read.qxmd.com/read/38625512/acute-treatment-patterns-migraine-burden-and-healthcare-resource-use-in-people-with-migraine-results-from-the-overcome-eu-observational-study
#33
JOURNAL ARTICLE
Stefan Evers, Grazia Dell'Agnello, Diego Novick, H Saygin Gonderten, Tommaso Panni, Julio Pascual
INTRODUCTION: The ObserVational survey of the Epidemiology, tReatment and Care Of MigrainE (OVERCOME) European Union (EU) is part of an overarching population-based study program that also includes the United States and Japan. Here, we report data on the migraine/severe headache burden and the use of acute medication and healthcare resources in Spain and Germany. METHODS: OVERCOME (EU) was an online, non-interventional, cross-sectional survey conducted in adults in Spain and Germany between October 2020 and February 2021...
April 16, 2024: Pain and Therapy
https://read.qxmd.com/read/38623130/clinicians-attitudes-toward-electronic-health-records-in-saudi-arabia
#34
JOURNAL ARTICLE
Tourkiah Alessa
AIM:  This study explored physicians' and nurses' attitudes toward an electronic health record (EHR) system and examined the features and factors that clinicians associated with the implementation of EHR systems. METHODS:  A self-administered anonymous questionnaire with high reliability and validity was adopted from existing research to gather clinicians' attitudes toward the EHR system implemented at King Khalid University Hospital, one of the biggest hospitals in Riyadh, Saudi Arabia...
March 2024: Curēus
https://read.qxmd.com/read/38622620/implementing-spiritual-care-education-into-the-teaching-of-palliative-medicine-an-outcome-evaluation
#35
JOURNAL ARTICLE
Yann-Nicolas Batzler, Nicola Stricker, Simone Bakus, Manuela Schallenburger, Jacqueline Schwartz, Martin Neukirchen
BACKGROUND: The concept of "total pain" plays an important role in palliative care; it means that pain is not solely experienced on a physical level, but also within a psychological, social and spiritual dimension. Understanding what spirituality entails, however, is a challenge for health care professionals, as is screening for the spiritual needs of patients. OBJECTIVE: This is a novel, interprofessional approach in teaching undergraduate medical students about spiritual care in the format of a seminar...
April 15, 2024: BMC Medical Education
https://read.qxmd.com/read/38621190/very-long-term-functional-outcomes-and-dependency-in-children-with-anti-nmda-receptor-encephalitis
#36
JOURNAL ARTICLE
Li-Wen Chen, Gemma Olivé-Cirera, Elianet G Fonseca, Mateus Mistieri Simabukuro, Takahiro Iizuka, Thais Armangue, Josep Dalmau
OBJECTIVES: To assess the daily function of children with anti-N-methyl-d-aspartate receptor encephalitis (NMDARe) after a minimal follow-up of 5 years. METHODS: Patients 18 years and younger by the time of disease onset, whose serum and CSF were studied in our center between 2013 and 2017, were included in the study. Patients' daily life function was assessed by their physicians using a 15-domain question format (Liverpool Outcome Score). RESULTS: Of 76 patients, 8 (11%) died and 68 were followed for a mean of 7...
May 2024: Neurology® Neuroimmunology & Neuroinflammation
https://read.qxmd.com/read/38619569/prospective-multicenter-evaluation-of-adherence-to-the-dutch-guideline-for-children-aged-0-16%C3%A2-years-with-fever-without-a-source-febrile-illness-in-children-finch-study
#37
JOURNAL ARTICLE
Maya W Keuning, Nikki N Klarenbeek, Hidde J Bout, Amber Broer, Melvin Draaijer, Jeroen Hol, Nina Hollander, Marieke Merelle, Nassar-Sheikh Nassar-Sheikh Rashid, Charlotte Nusman, Emma Oostenbroek, Milan L Ridderikhof, Manouck Roelofs, Ellen van Rossem, Sophie R D van der Schoor, Sarah M Schouten, Pieter Taselaar, Koen Vasse, Anne-Marie van Wermeskerken, Julia M J van der Zande, Roy Zuurbier, Merijn W Bijlsma, Dasja Pajkrt, Frans B Plötz
UNLABELLED: Evaluation of guidelines in actual practice is a crucial step in guideline improvement. A retrospective evaluation of the Dutch guideline for children with fever without an apparent source (FWS) showed 50% adherence in young infants. We prospectively evaluated adherence to the Dutch guideline and its impact on management in current practice. Prospective observational multicenter cross-sectional study, including children 3 days to 16 years old presented for FWS at one of seven emergency departments in participating secondary and tertiary care hospitals in the Netherlands...
April 15, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38619275/pediatric-anesthesiology-in-brazil-chile-and-mexico
#38
REVIEW
Vinícius Caldeira Quintão, Mario Concha, Lina Andrea Sarmiento Argüello, Silvana Cavallieri, Luis I Cortinez, Gabriel Soares de Sousa, Marcella Marino Malavazzi Clemente, Ricardo Vieira Carlos, Juan Manuel Rodríguez, Karla Gutiérrez, Denis H Jablonka, Annery G García-Marcinkiewicz
BACKGROUND: Latin America comprises an extensive and diverse territory composed of 33 countries in the Caribbean, Central, and South America where Romance languages-languages derived from Latin are predominantly spoken. Economic disparities exist, with inequitable access to pediatric surgical care. The Latin American Surgical Outcomes Study in Pediatrics (LASOS-Peds), a multi-national collaboration, will determine safety of pediatric anesthesia and perioperative care. OBJECTIVE: Below, we provide a descriptive initiative to share how pediatric anesthesia in Brazil, Chile, and Mexico operate...
April 15, 2024: Paediatric Anaesthesia
https://read.qxmd.com/read/38618399/self-perceived-nutritional-competency-of-primary-healthcare-physicians-in-qassim-saudi-arabia
#39
JOURNAL ARTICLE
Abdulrhman Aloud, Chandra Sekhar
INTRODUCTION: Overnutrition plays a vital role in the development of a spectrum of non-communicable diseases. Diet-related disorders have a huge impact on personal health as well as the country's economy for the management of such disorders. The study aims to assess the primary healthcare physicians' nutrition competency, which will be beneficial for evaluating the current situation and future strategies, training, nutrition care, and disease prevention. METHODOLOGY: Among 147 primary healthcare physicians by simple random sampling from four cities and two rural areas of Qassim, Saudi Arabia, from December 2022 to December 2023 using a validated (NUTCOMP) tool...
March 2024: Curēus
https://read.qxmd.com/read/38616372/awareness-and-self-reported-knowledge-and-training-on-nutrition-in-older-people-among-primary-care-practitioners
#40
JOURNAL ARTICLE
L Rodríguez-Mañas, J M Moreno-Villares, J Álvarez Hernández, A A Romero Secín, M L López Díaz-Ufano, F Suárez González, A Costa-Grille, J López-Miranda, J M Fernández-Garcia
OBJECTIVES: To assess the awareness and training of primary care physicians on nutrition in older patients. DESIGN: Observational, real-world data survey. SETTING: Primary Care. PARTICIPANTS: One hundred sixty-two physicians, generalists and specialists, working in primary care. MEASUREMENTS: Participants received an online questionnaire with 18 questions concerning the importance of nutrition, degree of knowledge, needs, and training in nutrition...
2024: Journal of Frailty & Aging
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