55,009 results match your criteria Clinician News[Journal]


Composer-Visual Cohort Analysis of Patient Outcomes.

Appl Clin Inform 2019 Mar 24;10(2):278-285. Epub 2019 Apr 24.

Scientific Computing and Imaging Institute, University of Utah, Salt Lake City, Utah, United States.

Objective:  Visual cohort analysis utilizing electronic health record data has become an important tool in clinical assessment of patient outcomes. In this article, we introduce Composer, a visual analysis tool for orthopedic surgeons to compare changes in physical functions of a patient cohort following various spinal procedures. The goal of our project is to help researchers analyze outcomes of procedures and facilitate informed decision-making about treatment options between patient and clinician. Read More

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http://dx.doi.org/10.1055/s-0039-1687862DOI Listing

Service and Learning at a Residential Parenting Program for Incarcerated Mothers: Speech-Language Pathology Student Outcomes and Maternal Perspectives.

Lang Speech Hear Serv Sch 2019 Apr;50(2):308-323

Department of Speech & Hearing Sciences, University of Washington, Seattle.

Purpose This article reports preliminary outcomes from a service-learning (SL) experience for graduate students in the Speech-Language Pathology program with incarcerated mothers who reside with their infants at a residential parenting program. We present an ecological model to serve as a framework for interpreting the impact of the experience on student learning and maternal perceptions. Method Graduate speech-language pathology students (total n = 30) participated in an SL project, called the Partnership for Healthy Parenting. Read More

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http://dx.doi.org/10.1044/2018_LSHSS-CCJS-18-0030DOI Listing

Efficacy of Integrated Exposure Therapy vs Integrated Coping Skills Therapy for Comorbid Posttraumatic Stress Disorder and Alcohol Use Disorder: A Randomized Clinical Trial.

JAMA Psychiatry 2019 Apr 24. Epub 2019 Apr 24.

VA San Diego Healthcare System, San Diego, California.

Importance: Co-occurrence of posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD) is common and associated with psychiatric and functional problems. Understanding whether exposure therapy is tolerable and efficacious for treating PTSD and AUD is critical to ensure that best practice treatments are available.

Objective: To compare the efficacy of integrated (ie, targeting both PTSD and alcohol use) prolonged exposure (I-PE) therapy with present-centered integrated coping skills (I-CS) therapy, a more commonly available treatment, in reducing PTSD symptoms and alcohol use. Read More

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http://dx.doi.org/10.1001/jamapsychiatry.2019.0638DOI Listing

Review article: A primer for clinical researchers in the emergency department: Part VIII. Implementation science: An introduction.

Emerg Med Australas 2019 Apr 24. Epub 2019 Apr 24.

Nursing Research Institute, St Vincent's Health Australia and Australian Catholic University, Sydney, New South Wales, Australia.

New research findings may not lead to change in practice, or a change at the front line may be delayed by years. A number of terms have been used to describe efforts and strategies to speed a change in evidence-based practice, such as: implementation science, knowledge translation, research translation and others. In contrast to traditional clinical research, implementation science generally aims to understand and change health professional behaviour to promote evidence uptake as opposed to attempting to change patient behaviour. Read More

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http://dx.doi.org/10.1111/1742-6723.13296DOI Listing

Addressing the rising rates of gonorrhea and drug-resistant gonorrhea: There is no time like the present.

Can Commun Dis Rep 2019 Feb 7;45(2-3):54-62. Epub 2019 Feb 7.

Bacterial Pathogens Division, National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, MB.

Increasing rates of gonococcal (GC) infection and antimicrobial resistant (AMR) GC, are a serious public health concern for Canada and around the world. Previously recommended treatments are ineffective against many of the gonorrhea strains circulating today. The current recommendation for combination therapy is now being threatened by globally emerging and increasingly resistant strains. Read More

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https://www.canada.ca/content/dam/phac-aspc/documents/servic
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http://dx.doi.org/10.14745/ccdr.v45i23a02DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6461120PMC
February 2019
1 Read

The Role of Follow-up Evaluation in the Diagnostic Algorithm of Idiopathic Interstitial Pneumonia: A Retrospective Study.

Sci Rep 2019 Apr 23;9(1):6452. Epub 2019 Apr 23.

Department of Medicine, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Institute of Respiratory Health, State Key Laboratory of Respiratory Disease, Guangzhou, China.

We aimed to evaluate the alteration of diagnosis of individual expert and multidisciplinary discussion (MDD) team in the longitudinal diagnostic assessment of idiopathic interstitial pneumonia (IIP). The retrospective analysis included 56 patients diagnosed as IIP by The First Affiliated Hospital of Guangzhou Medical University with follow-up visits during Jan 1 to Aug 31 2014. Each expert was provided information in a sequential manner and was asked to assign an individual diagnosis and an MDD diagnosis after group discussion. Read More

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http://dx.doi.org/10.1038/s41598-019-42813-7DOI Listing

Predictive value of HPV testing in self-collected and clinician-collected samples compared with cytology in detecting high-grade cervical lesions.

Cancer Epidemiol Biomarkers Prev 2019 Apr 23. Epub 2019 Apr 23.

Department of Oncology, McGill University.

Background: Self-sampling has become an attractive proposition now that HPV primary testing is being incorporated into cervical cancer screening programs worldwide. We compared predictive values of HPV testing based on self- and physician- collected samples, and cytology, in detecting high-grade cervical intraepithelial neoplasia (CIN).

Methods: The Cervical And Self-Sample In Screening (CASSIS) study enrolled 1217 women aged 16-70 years prior to scheduled colposcopies. Read More

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http://dx.doi.org/10.1158/1055-9965.EPI-18-1338DOI Listing

Factors associated with low adherence to cervical cancer follow-up retest among HPV+/ cytology negative women: a study in programmatic context in a low-income population in Argentina.

BMC Cancer 2019 Apr 23;19(1):367. Epub 2019 Apr 23.

Centro de Estudios de Estado y Sociedad/Consejo Nacional de Investigaciones Científicas y Técnicas, Sánchez de Bustamante 27, Buenos Aires, Argentina.

Background: Cervical Cancer is still a major public health challenge in low and middle-income countries. HPV testing has been an innovative approach, which was introduced in Argentina for women aged 30+ through the Jujuy Demonstration Project (JDP) carried out between 2012 and 2014. After a positive HPV-test, cytology is used as triage method. Read More

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http://dx.doi.org/10.1186/s12885-019-5583-7DOI Listing

Managing Ethical Dilemmas in End-Stage Neurodegenerative Diseases.

Geriatrics (Basel) 2017 Jan 20;2(1). Epub 2017 Jan 20.

Department of Geriatric Medicine, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433, Singapore.

Neurodegenerative diseases are chronic, progressive and incurable illnesses that ultimately lead to death. The patient deteriorates inexorably towards the terminal phase of the disease when he becomes mentally and physically incapacitated. This article discusses the many ethical and moral dilemmas faced by the clinician and family members as they care for patients with neurodegenerative illnesses approaching the end of life. Read More

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http://dx.doi.org/10.3390/geriatrics2010008DOI Listing
January 2017

Understanding the Heterogeneity of Labor and Delivery Units: Using Design Thinking Methodology to Assess Environmental Factors that Contribute to Safety in Childbirth.

Am J Perinatol 2019 Apr 23. Epub 2019 Apr 23.

Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University, Palo Alto, California.

Objective:  There is limited research exploring the relationship between design and patient safety outcomes, especially in maternal and neonatal care. We employed design thinking methodology to understand how the design of labor and delivery units impacts safety and identified spaces and systems where improvements are needed.

Study Design:  Site visits were conducted at 10 labor and delivery units in California. Read More

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http://dx.doi.org/10.1055/s-0039-1685494DOI Listing

Sexually transmitted infections among HIV-infected and HIV-uninfected women in the Tapajós region, Amazon, Brazil: Self-collected vs. clinician-collected samples.

PLoS One 2019 23;14(4):e0215001. Epub 2019 Apr 23.

Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America.

The anogenital prevalence of sexually transmitted infections (STIs) and the use of cervico-vaginal self-collected vs. clinician-collected samples were evaluated for the diagnosis of human immunodeficiency virus (HIV)-infected and HIV-uninfected women in the Tapajós region, Amazon, Brazil. We recruited 153 women for a cross-sectional study (112 HIV-uninfected and 41 HIV-infected) who sought health services. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0215001PLOS

A Clinical Care Monitoring and Data Collection Tool (H3 Tracker) to Assess Uptake and Engagement in Mental Health Care Services in a Community-Based Pediatric Integrated Care Model: Longitudinal Cohort Study.

JMIR Ment Health 2019 Apr 23;6(4):e12358. Epub 2019 Apr 23.

Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, University of California - Los Angeles, Los Angeles, CA, United States.

Background: National recommendations for pediatric integrated care models include improved capacity for care coordination and communication across primary care and specialty mental health providers using technology, yet few practical, short-term solutions are available for low-resource, community-based pediatric integrated care clinics.

Objective: The goal of the paper is to describe the development and features of a Web-based tool designed for program evaluation and clinician monitoring of embedded pediatric mental health care using a community-partnered approach. In addition, a longitudinal study design was used to assess the implementation of the tool in program evaluation, including clinical monitoring and data collection. Read More

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http://dx.doi.org/10.2196/12358DOI Listing

Time for Reform in Transplant Program Specific Reporting - AST/ASTS Transplant Metrics Taskforce.

Am J Transplant 2019 Apr 23. Epub 2019 Apr 23.

Division of Transplantation, University of Minnesota, Minneapolis, Minnesota.

In accordance with the National Organ Transplant Act and HHS's Final Rule, the Scientific Registry of Transplant Recipients (SRTR) publicly releases biannual program-specific reports which include analyses of transplant centers' risk-adjusted wait-list mortality, organ acceptance ratios, transplant rates, and graft and patient survival. Since the inception of these center metrics, one-year post-transplant graft and patient survival have improved, and center variation has decreased, casting uncertainty on their clinical relevance. The SRTR has recently modified center evaluations by ranking centers into 5 tiers rather than 3-tiers in an attempt to discriminate between programs performing within a tight range, further exacerbating this uncertainty. Read More

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http://dx.doi.org/10.1111/ajt.15394DOI Listing

Refinement of the Child Amblyopia Treatment Questionnaire (CAT-QoL) using Rasch analysis.

Authors:
Jill Carlton

Strabismus 2019 Apr 23:1-12. Epub 2019 Apr 23.

a School of Health and Related Research, HEDS, ScHARR , University of Sheffield , Sheffield.

Aims or Purpose: The Child Amblyopia Treatment Questionnaire (CAT-QoL) was developed using a "bottom-up" methodological approach. Interviews with children with amblyopia identified items (questions) and response levels to be tested in a draft questionnaire consisting of 11 items (sad, feeling on face, hurt, doing schoolwork, cross, how other children treat you, doing things, worried, upset with family, playing with friends, happy). This study describes the refinement of the descriptive system for the CAT-QoL instrument using the application of Rasch analysis. Read More

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http://dx.doi.org/10.1080/09273972.2019.1601743DOI Listing

Lateral neck cyst as initial presentation of thyroid malignancy.

Acta Chir Belg 2019 Apr 23:1-9. Epub 2019 Apr 23.

b Department of General and Endocrine Surgery , OLV Clinic Aalst , Aalst , Belgium.

Introduction: A mass in the lateral aspect of the neck may cause a diagnostic dilemma for the clinician. Cystic lateral neck masses in young adults are most often benign as the most frequent cause is a branchial cleft cyst. However this may be a pitfall as such a cystic mass can be a first presentation of occult malignancy. Read More

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From disability to human flourishing: how fourth wave psychotherapies can help to reimagine rehabilitation and medicine as a whole.

Disabil Rehabil 2019 Apr 23:1-7. Epub 2019 Apr 23.

c Department of Psychiatry, Brigham And Women's Hospital , Harvard Medical School , Boston , MA , USA.

Aim: With disabled patients, clinicians are often mechanistically oriented, limiting goals to bodily improvements of perceived deficits back to species-typical functioning. Psychological goals, when present at all, are often pessimistically narrow, or phenomenologically shallow. Recent research on fourth wave psychotherapies helps broaden clinical concepts of healing and treatment beyond mere deficit remediation, and helps match clinical goals with the richness of human flourishing and the layered complexity of the patient's evolving experience of meaning. Read More

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http://dx.doi.org/10.1080/09638288.2019.1602674DOI Listing

Exploring patient perspectives of prediabetes and diabetes severity: a qualitative study.

Psychol Health 2019 Apr 23:1-14. Epub 2019 Apr 23.

e Family Medicine , Uniformed Services University of the Health Sciences , Bethesda , MD , USA.

Objective: This qualitative study sought to identify and describe patients' variant perceptions of disease severity after receiving a type 2 diabetes (T2DM) or prediabetes (preDM) diagnosis.

Design: Researchers interviewed 29 patients from two US medical centers to ascertain perceptions of severity. We used the constant comparative method from a grounded theory approach to identify themes from patients' perspectives that inform their disease severity. Read More

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https://www.tandfonline.com/doi/full/10.1080/08870446.2019.1
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http://dx.doi.org/10.1080/08870446.2019.1604955DOI Listing
April 2019
1 Read

High-Frequency Activity During Stereotyped Low-Frequency Events Might Help to Identify the Seizure Onset Zone.

Epilepsy Curr 2019 Mar-Apr;19(2):1535759719842236

Stereotyped high-frequency oscillations discriminate seizure onset zones and critical functional cortex in focal epilepsy. Liu S, Gurses C, Sha Z, Quach MM, Sencer A, Bebek N, et al. Brain. Read More

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http://dx.doi.org/10.1177/1535759719842236DOI Listing

Setting Expectations, Following Orders, Safety, and Standardization: Clinicians' Strategies to Guide Difficult Conversations About Opioid Prescribing.

J Gen Intern Med 2019 Apr 22. Epub 2019 Apr 22.

Center to Improve Veteran Involvement in Care (CIVIC), VA Portland Health Care System, Portland, OR, 97239, USA.

Background: Evidence has continued to accumulate regarding the potential risks of treating chronic pain with long-term opioid therapy (LTOT). Clinical practice guidelines now encourage clinicians to implement practices designed to reduce opioid-related risks. Yet how clinicians implement these guidelines within the context of the patient encounter has received little attention. Read More

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http://dx.doi.org/10.1007/s11606-019-04983-yDOI Listing

Research imperative.

Authors:
Howard Trachtman

Contemp Clin Trials Commun 2019 Jun 24;14:100350. Epub 2019 Mar 24.

Department of Pediatrics, Division of Nephrology, NYU, Langone Health, New York, NY, 10016, USA.

There is a note of caution expressed when clinical care providers enroll their own patients into investigational trials, a concern expressed in the called dual-role consent. There is concern that this circumstance may create a conflict of interest for the physician-investigator, lead to loss of patient voluntarism, and promote the therapeutic misconceptions. In this opinion paper, I review the circumstances surrounding participation in clinical research and the conduct of standard patient care. Read More

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http://dx.doi.org/10.1016/j.conctc.2019.100350DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6461583PMC

Oral and Psychological Alterations in Haemophiliac Patients.

Biomedicines 2019 Apr 20;7(2). Epub 2019 Apr 20.

Department of Biomedical and Dental Sciences and Morphological and Functional Imaging, Messina University, 98100 Messina, Italy.

Haemophiliacs are hereditary coagulopathies whose basic anomaly consists of the quantitative or qualitative alteration of one or more plasma proteins in the coagulation system. The objective of this review is to analyse all risk factors, predispositions and alterations to the oral-maxillofacial district in patients with haemophilia. The broader assessment also includes the psychological aspects that could affect the treatment and maintenance of oral conditions. Read More

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http://dx.doi.org/10.3390/biomedicines7020033DOI Listing

Introduction to Curriculum Development and Medical Education Scholarship for Resident Trainees: A Webinar Series.

MedEdPORTAL 2016 Sep 16;12:10454. Epub 2016 Sep 16.

Associate Professor, Section of Emergency Medicine in the Department of Medicine, University of Chicago.

Introduction: A common career aspiration among residents is to become a clinician-educator, though standard postgraduate training may not prepare trainees for the academic and scholarly requirements of this career. To address this need, we designed and implemented an asynchronous, interactive webinar series detailing a systematic approach to medical education research and scholarship. The series was piloted as part of a new track at the University of Chicago for residents interested in additional training and completing an educational learning project in medical education. Read More

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http://dx.doi.org/10.15766/mep_2374-8265.10454DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6464455PMC
September 2016

Teaching Medical Students How to Ask Patients Questions About Identity, Intersectionality, and Resilience.

MedEdPORTAL 2016 Jun 24;12:10422. Epub 2016 Jun 24.

Associate Professor, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School.

Introduction: Medical education addressing people with sexual and gender minority (SGM) identities often focuses on sexual risk, is delivered in silos, and overlooks intersecting identities. SGM individuals-particularly those with coexisting stigmatized identities-experience a disproportionate burden of discrimination, which increases vulnerability to adverse health outcomes, especially when maladaptive coping behaviors are used to manage stress. Adaptive coping and resilience can develop in the context of identity affirmation and social support, for which sensitive clinician-patient interactions provide a crucial foundation. Read More

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https://www.mededportal.org/publication/10422
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http://dx.doi.org/10.15766/mep_2374-8265.10422DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6464431PMC
June 2016
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Teaching Internal Medicine Residents to Perform Breast and Pelvic Exams: A Simulation Curriculum Module.

MedEdPORTAL 2016 Jun 24;12:10420. Epub 2016 Jun 24.

Resident Physician of Internal Medicine, Lenox Hill Hospital.

Introduction: Internal medicine (IM) residents must be capable of performing ambulatory procedures required of a competent internist regardless of their career plans. Unfortunately, many IM residents may feel uncomfortable in the ambulatory setting and with ambulatory procedures as the bulk of residency training focuses on inpatient experiences.

Methods: The session described here is a 1. Read More

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http://dx.doi.org/10.15766/mep_2374-8265.10420DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6464411PMC

A Learning Loop Model of Collaborative Decision Making in Chronic Illness.

Acad Pediatr 2019 Apr 19. Epub 2019 Apr 19.

Center for Community Health Integration, Department of Family Medicine & Community Health, Department of Population & Quantitative Health Sciences, Department of Sociology, Case Western Reserve University, Cleveland, Ohio 44106. Electronic address:

Shared decision-making is a core attribute of quality healthcare that has proved challenging to implement and assess in pediatric practice. Current models of shared decision-making are limited, including their capacity: to incorporate multiple stakeholders; to integrate downstream effects of subacute or minor decisions; and to account for the context(s) in which such decisions are being made and enacted. Based on a review of literature from organizational psychology, cognitive sciences, business, and medicine, we propose an iterative decision-making model of care planning, and identify targets at several levels of influence warranting measurement in future studies. Read More

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http://dx.doi.org/10.1016/j.acap.2019.04.006DOI Listing

Dust or disease? Perceptions of influenza in rural Southern Malawi.

PLoS One 2019 22;14(4):e0208155. Epub 2019 Apr 22.

Malawi Liverpool Welcome Trust Clinical Research Programme, Chichiri, Blantyre 3, Malawi.

Influenza virus infections cause between 291 243 and 645 832 deaths annually, with the highest burden in low-income settings. Research in high-income countries has examined public understanding of influenza, but there is little information on views and behaviours about influenza in low-income countries. We explored communities' ideas about the severity, causes, prevention and treatment of influenza in Chikwawa district, Malawi. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0208155PLOS

Clinician Perspectives on Electronic Health Records, Communication, and Patient Safety Across Diverse Medical Oncology Practices.

J Oncol Pract 2019 Apr 22:JOP1800507. Epub 2019 Apr 22.

3 University of Michigan School of Nursing, Ann Arbor, MI.

Purpose: We know little about how increased technological sophistication of clinical practices affects safety of chemotherapy delivery in the outpatient setting. This study investigated to what degree electronic health records (EHRs), satisfaction with technology, and quality of clinician-to-clinician communication enable a safety culture.

Methods: We measured actions consistent with a safety culture, satisfaction with practice technology, and quality of clinician communication using validated instruments among 297 oncology nurses and prescribers in a statewide collaborative. Read More

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https://ascopubs.org/doi/10.1200/JOP.18.00507
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http://dx.doi.org/10.1200/JOP.18.00507DOI Listing
April 2019
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Prehospital assessment of suspected stroke and TIA: an observational study.

Acta Neurol Scand 2019 Apr 22. Epub 2019 Apr 22.

Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.

Background: Symptoms related to stroke diverge and may mimic many other conditions.

Aims: To evaluate clinical findings among patients with a clinical suspicion of stroke in a prehospital setting and find independent predictors of a final diagnosis of stroke or transient ischemic attack (TIA) METHODS: An observational multi-centre study including nine emergency hospitals in western Sweden. All patients transported to hospital by ambulance and in whom a suspicion of stroke was raised by the EMS clinician before hospital admission during a four-month period were included. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/ane.13107
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http://dx.doi.org/10.1111/ane.13107DOI Listing
April 2019
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RAMUS FRAME IMPLANT REVISTED.

J Oral Implantol 2019 Apr 22. Epub 2019 Apr 22.

1 JOI reviewer JOI.

The ramus frame implant for dental rehabilitation of the atrophic mandible has a history of over 50 years. It is still indicated for an appropriate treatment in some patients. It provides immediate support for a removable complete denture and avoids invasive augmentation procedures and associated morbidities. Read More

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http://dx.doi.org/10.1563/aaid-joi-D-18-00310DOI Listing

Reducing alcohol use in mandated college students: A comparison of a Brief Motivational Intervention (BMI) and the Expectancy Challenge Alcohol Literacy Curriculum (ECALC).

Exp Clin Psychopharmacol 2019 Apr 22. Epub 2019 Apr 22.

Department of Psychology.

In this randomized trial, 121 mandated college students (33% female, 74% Caucasian, M age = 19.42 years) received either a Brief Motivational Intervention (BMI) with personalized normative feedback (PNF) or the Expectancy Challenge Alcohol Literacy Curriculum (ECALC) to compare effectiveness in reducing alcohol use and associated harms. All participants received either BMI content (n = 63) or ECALC (n = 58). Read More

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http://doi.apa.org/getdoi.cfm?doi=10.1037/pha0000290
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http://dx.doi.org/10.1037/pha0000290DOI Listing
April 2019
2 Reads

Estimating outcome probabilities from early symptom changes in cognitive therapy for recurrent depression.

J Consult Clin Psychol 2019 Apr 22. Epub 2019 Apr 22.

Department of Psychiatry, The University of Texas Southwestern Medical Center.

Objective: Acute-phase cognitive therapy (CT) is an efficacious treatment for major depressive disorder (MDD) producing benefits comparable to pharmacotherapy, but not all patients respond or remit. The purpose of the current analyses was to estimate CT patients' probability of nonresponse and remission from symptom improvement early in treatment.

Method: Data from 2 clinical trials of acute-phase CT for recurrent depression were pooled for analysis (N = 679). Read More

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http://dx.doi.org/10.1037/ccp0000409DOI Listing

"How Is My Child's Asthma?" Digital Phenotype and Actionable Insights for Pediatric Asthma.

JMIR Pediatr Parent 2018 Jul-Dec;1(2). Epub 2018 Nov 30.

Department of Computer Sciene, Ohio Center of Excellence in Knowledge-enabled Computing (Kno.e.sis), Wright State University, Dayton, OH, United States.

Background: In the traditional asthma management protocol, a child meets with a clinician infrequently, once in 3 to 6 months, and is assessed using the Asthma Control Test questionnaire. This information is inadequate for timely determination of asthma control, compliance, precise diagnosis of the cause, and assessing the effectiveness of the treatment plan. The continuous monitoring and improved tracking of the child's symptoms, activities, sleep, and treatment adherence can allow precise determination of asthma triggers and a reliable assessment of medication compliance and effectiveness. Read More

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http://dx.doi.org/10.2196/11988DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6469868PMC
November 2018

Early Recognition of Acute Pneumonitis in Amiodarone Treatment.

Heart Views 2018 Jul-Sep;19(3):109-113

Department of Pulmonology, Alexis Multispeciality Hospital, Nagpur, Maharashtra, India.

Pulmonary complications of long-term amiodarone use are well known. However, acute pneumonitis causing respiratory distress with short-term administration of amiodarone although rare is associated with high mortality. Early diagnosis and treatment with glucocorticoids significantly decrease associated mortality and morbidity. Read More

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http://dx.doi.org/10.4103/HEARTVIEWS.HEARTVIEWS_22_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6448471PMC

Unilateral Thalamic Infarct: A Rare Presentation of Deep Cerebral Venous Thrombosis.

Ann Indian Acad Neurol 2019 Apr-Jun;22(2):221-224

Department of Imaging and Interventional Radiology, Kerala Institute of Medical Sciences, Thiruvananthapuram, Kerala, India.

Deep cerebral venous thrombosis (DCVT) remains a very rare entity among the spectrum of cerebral venous thrombosis (CVT). Due to the bilateral draining territories, DCVT nearly invariably causes bilateral infarction with predictably dismal prognosis. However, rare instances of DCVT with unilateral infarction having favorable prognosis have been described, but pose a wide range of differentials to the clinician and require careful interpretation of clinical and radiological features for accurate diagnosis. Read More

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http://dx.doi.org/10.4103/aian.AIAN_488_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6472245PMC
April 2019
1 Read
0.514 Impact Factor

How are clinician-educators evaluated for educational excellence? A survey of promotion and tenure committee members in the United States.

Med Teach 2019 Apr 21:1-7. Epub 2019 Apr 21.

d Department of Pediatrics , Renaissance School of Medicine at Stony Brook University , New York , NY , USA.

Background: In recent years, educational leaders have proposed domains of educational excellence and corresponding metrics to objectively measure contributions of clinician-educators for promotion and tenure (P&T). The purpose of this study was to explore whether P&T committees in United States (US) have incorporated these recommendations into practice.

Method: The authors conducted a survey of P&T leaders across institutions in US. Read More

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https://www.tandfonline.com/doi/full/10.1080/0142159X.2019.1
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http://dx.doi.org/10.1080/0142159X.2019.1596237DOI Listing
April 2019
1 Read

Ernest W. Johnson, M.D. - Apodictally Speaking, a Phys-ee-at'-trist for All Seasons.

PM R 2019 Apr 21. Epub 2019 Apr 21.

Department of Rehabilitation Medicine, Sidney Kimmel Medical College at Thomas Jefferson University.

Like tennis, the game he loved, Ernest W. Johnson (Figure 1) played life itself with verve and boundless energy. He aggressively met every challenge at work or play with a whirlwind ability to multi-task fueled by a brilliant intellect. Read More

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http://dx.doi.org/10.1002/pmrj.12170DOI Listing
April 2019
1 Read

Speech-based markers for posttraumatic stress disorder in US veterans.

Depress Anxiety 2019 Apr 22. Epub 2019 Apr 22.

Stanford Research Institute International, Menlo Park, California.

Background: The diagnosis of posttraumatic stress disorder (PTSD) is usually based on clinical interviews or self-report measures. Both approaches are subject to under- and over-reporting of symptoms. An objective test is lacking. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/da.22890
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http://dx.doi.org/10.1002/da.22890DOI Listing
April 2019
1 Read

Prosthetic rehabilitation of a patient with X-linked hypophosphatemia using dental implants: a case report and review of the literature.

Int J Implant Dent 2019 Apr 22;5(1):15. Epub 2019 Apr 22.

School of Medical Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Oxford Road, Manchester, M13 9PL, UK.

Background: X-linked hypophosphatemia is associated with a range of dental problems, many of which may result in early loss of the dentition. Most patients, but especially young adults, are likely to desire fixed prosthodontic replacements, and dental implants may be the preferred solution in many cases. The use of dental implants to rehabilitate this patient group has not been widely studied with the literature limited to a small number of case reports with limited follow-up. Read More

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http://dx.doi.org/10.1186/s40729-019-0169-3DOI Listing

Telemedicine-delivered treatment interventions for substance use disorders: A systematic review.

J Subst Abuse Treat 2019 Mar 21;101:38-49. Epub 2019 Mar 21.

University of California, San Diego, School of Medicine, Department of Family Medicine and Public Health, 9500 Gilman Drive #0725, La Jolla, CA 92093-0725, United States of America.

With increased negative impacts from opioid and other substance use disorders in the US, it is important for treatments to not only be effective, but also accessible to patients. Treatment delivery via telemedicine, specifically, the use of videoconferencing, which allows real time communication between a patient and a clinician at a distant site, has been shown to be an effective approach for increasing reach and access to treatments for mental health disorders and other chronic illnesses. This systematic review identified and summarized studies examining the effectiveness of telemedicine interventions to deliver treatment for patients with substance use disorders. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07405472183042
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http://dx.doi.org/10.1016/j.jsat.2019.03.007DOI Listing
March 2019
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The FOOTPATH study: protocol for a multicentre, participant- and assessor-blind, parallel group randomised clinical trial of foot orthoses for patellofemoral osteoarthritis.

BMJ Open 2019 Apr 20;9(4):e025315. Epub 2019 Apr 20.

La Trobe Sport and Exercise Medicine Research Centre, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.

Introduction: Patellofemoral (PF) osteoarthritis (OA) is a common and burdensome subgroup of knee OA, with very little evidence for effective treatments. Prefabricated foot orthoses are an affordable and accessible intervention that have been shown to reduce PF pain in younger adults. Similarities between PF pain and PFOA, as well as our pilot work, suggest that foot orthoses may also be an effective intervention for PFOA. Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2018-02531
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http://dx.doi.org/10.1136/bmjopen-2018-025315DOI Listing
April 2019
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Comparative evaluation of the efficacy of using monocular, binocular and panoramic night vision goggles in successful venous access in darkness.

J R Army Med Corps 2019 Apr 20. Epub 2019 Apr 20.

Emergency Department, Health Sciences University, Gulhane Research and Training Hospital, Ankara, Turkey.

Introduction: The use of night vision goggles (NVGs) by medical staff operating in active combat areas may present a tactical advantage in maintaining unit concealment. This study seeks to assess the degree to which NVG use improves speed and ease of intravenous access in comparison to no NVG use, and which NVG system (monocular, binocular or panoramic) provides the best conditions for the clinician.

Methods: Cannulation was carried out using both eyes open (BEO) and one eye open (OEO) in well-lit conditions to establish a baseline measurement. Read More

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http://jramc.bmj.com/lookup/doi/10.1136/jramc-2019-001173
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http://dx.doi.org/10.1136/jramc-2019-001173DOI Listing
April 2019
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Clinical activity at the UK military level 2 hospital in Bentiu, South Sudan during Op TRENTON from June to September 2017.

J R Army Med Corps 2019 Apr 20. Epub 2019 Apr 20.

Academic Department of Military Medicine, Royal Centre for Defence Medicine, Birmingham, UK.

Introduction: Diseases and non-battle injuries (DNBIs) are common on UK military deployments, but the collection and analysis of clinically useful data on these remain a challenge. Standard medical returns do not provide adequate clinical information, and clinician-led approaches have been laudable, but not integrated nor standardised nor used long-term. Op TRENTON is a novel UK military humanitarian operation in support of the United Nations Mission in South Sudan, which included the deployment of UK military level 1 and level 2 medical treatment facilities at Bentiu to provide healthcare for UK and United Nations (UN) personnel. Read More

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http://dx.doi.org/10.1136/jramc-2018-001154DOI Listing

Assessing the utility of ultrasound in the role 2 hospital setting.

J R Army Med Corps 2019 Apr 20. Epub 2019 Apr 20.

Radiology Department, 306 Hospital Support Regiment, York, UK.

Introduction: The usefulness of departmental diagnostic ultrasound in the role 2 setting has not been previously evaluated. This is because role 2 hospital manning does not traditionally include a diagnostic radiologist. This study aims to evaluate the usefulness of this added capability in the deployed role 2 hospital setting. Read More

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http://dx.doi.org/10.1136/jramc-2019-001208DOI Listing

Family-clinician communication in the ICU and its relationship to psychological distress of family members: A cross-sectional study.

Int J Nurs Stud 2019 Apr 5;95:34-39. Epub 2019 Apr 5.

School of Nursing, University of North Carolina at Chapel Hill, United States.

Background: Effective communication between family and clinicians has been identified as one of the most important factors in end-of-life care. Family members' perception of communication quality with clinicians may be associated with their psychological symptoms.

Objectives: To examine the association between family-clinician (physicians or nurses) communication quality and symptoms of anxiety, depression, and stress among family members of chronically critically ill patients in intensive care units (ICUs). Read More

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http://dx.doi.org/10.1016/j.ijnurstu.2019.03.020DOI Listing

Capnography: A support tool for the detection of return of spontaneous circulation in out-of-hospital cardiac arrest.

Resuscitation 2019 Apr 18. Epub 2019 Apr 18.

Department of Emergency Medicine, University of Texas SouthWestern Medical Center (UTSW), Dallas, United States.

Background: Automated detection of return of spontaneous circulation (ROSC) is still an unsolved problem during cardiac arrest. Current guidelines recommend the use of capnography, but most automatic methods are based on the analysis of the ECG and thoracic impedance (TI) signals. This study analysed the added value of EtCO for discriminating pulsed (PR) and pulseless (PEA) rhythms and its potential to detect ROSC. Read More

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http://dx.doi.org/10.1016/j.resuscitation.2019.03.048DOI Listing

Acoustic Voice Quality Index and Acoustic Breathiness Index: Analysis With Different Speech Material in the Brazilian Portuguese.

J Voice 2019 Apr 17. Epub 2019 Apr 17.

Department of Communication Disorders, UNIFESP - Universidade Federal de São Paulo, São Paulo, Brazil; CEV, Centro de Estudos da Voz, São Paulo, Brazil.

Objective: To analyze the Acoustic Voice Quality Index (AVQI) and the Acoustic Breathiness Index (ABI) concurrent validity and diagnostic accuracy with different speech materials.

Methods: Voices of 53 subjects (40 dysphonic; 13 vocally health) were recorded: vowel /a/ + counting numbers 1-20 (42 syllables) + reading text (138 syllables). Numbers and text were edited in order to achieve 3 seconds of voiced segments, such as the vowel /a/ (average of 18. Read More

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http://dx.doi.org/10.1016/j.jvoice.2019.03.015DOI Listing

Research evidence supports cancer policymaking but is insufficient for change: Findings of key informant interviews from five countries.

Health Policy 2019 Apr 13. Epub 2019 Apr 13.

Centre for Behavioural Research in Cancer, Cancer Council Victoria, 615 St Kilda Rd, Melbourne, 3004, Australia; School of Psychology, Deakin University, 221 Burwood Hwy, Burwood, 3125, Australia.

Evidence-based policymaking values the use of research in the process of developing, implementing and evaluating policy. However, there is limited research attempting to understand how cancer policymaking occurs and the role of evidence in this process. Our study aimed to provide a deeper understanding of levers and challenges to the development and implementation of large-scale, health service policies or programs in cancer care. Read More

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http://dx.doi.org/10.1016/j.healthpol.2019.04.003DOI Listing

Can patient-reported outcomes be used instead of clinician-reported outcomes and photographs as primary endpoints of late normal tissue effects in breast radiotherapy trials? Results from the IMPORT LOW trial.

Radiother Oncol 2019 May 28;134:220-230. Epub 2019 Feb 28.

Royal Marsden NHS Foundation Trust and Institute of Cancer Research, Radiotherapy and Imaging, United Kingdom. Electronic address:

Background: In an era of low local relapse rates after adjuvant breast radiotherapy, risks of late normal-tissue effects (NTE) need to be balanced against risk of relapse. NTE are assessed using patient-reported outcome measures (PROMs), clinician-reported outcomes (CRO) and photographs. This analysis investigates whether PROMs can be used as primary NTE endpoints in breast radiotherapy trials. Read More

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http://dx.doi.org/10.1016/j.radonc.2019.01.036DOI Listing

Which clinical and radiological characteristics can predict clinically significant prostate cancer in PI-RADS 3 lesions? A retrospective study in a high-volume academic center.

Eur J Radiol 2019 May 25;114:92-98. Epub 2019 Feb 25.

Department of Radiology, Ghent University Hospital, Corneel Heymanslaan 10, 9000, Ghent, Belgium. Electronic address:

Objective: To investigate which clinical and radiological characteristics can predict clinically significant prostate cancer (csPCa) in PI-RADS 3 lesions. To investigate which clinical and radiological characteristics influence the clinician to biopsy a PI-RADS 3 lesion.

Materials And Methods: mpMRI PI-RADS 3 lesions scored by 1 out of 3 highly specialized radiologists in a single high-volume center during the period March 2015 to August 2017 were investigated. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0720048X193008
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http://dx.doi.org/10.1016/j.ejrad.2019.02.031DOI Listing
May 2019
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Management of carbapenem resistant Enterobacteriaceae infections.

Clin Microbiol Infect 2019 Apr 17. Epub 2019 Apr 17.

Internal Medicine, University of Campania 'L. Vanvitelli' & Unit of Infectious and Transplant Medicine, AORN Ospedali dei Colli-Monaldi Hospital, Naples, Italy.

Background: Carbapenem resistance is defined as in vitro nonsusceptibility to any carbapenem and/or documented production of a carbapenemase. This feature has rapidly spread worldwide among clinical isolates of Enterobacteriaceae, mostly Klebsiella spp, and is associated with diverse molecular mechanisms. Carbapenem resistance is often associated with resistance to all traditional beta-lactams and other classes of antibiotics, denoting a typical example of extensively drug-resistant phenotype. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1198743X193018
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http://dx.doi.org/10.1016/j.cmi.2019.04.013DOI Listing
April 2019
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