122,182 results match your criteria communications patients


Human oral mucosa cell atlas reveals a stromal-neutrophil axis regulating tissue immunity.

Cell 2021 Jun 9. Epub 2021 Jun 9.

Oral Immunity and Inflammation Section, National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, MD 20892, USA. Electronic address:

The oral mucosa remains an understudied barrier tissue. This is a site of rich exposure to antigens and commensals, and a tissue susceptible to one of the most prevalent human inflammatory diseases, periodontitis. To aid in understanding tissue-specific pathophysiology, we compile a single-cell transcriptome atlas of human oral mucosa in healthy individuals and patients with periodontitis. Read More

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Exceeding the maximum recommended dose of onabotulinumtoxinA in urologic patients.

Can J Urol 2021 Jun;28(3):10725-10728

Department of Urology, University of Kansas, Kansas City, Kansas, USA.

Introduction: Although onabotulinumtoxinA (BTX) is commonly utilized by multiple specialists, it is unclear how often or reasons why patients receive more than the recommended maximum dose. The goal of this study was to determine if excess BTX use occurs in urologic practice.

Materials And Methods: This retrospective cohort identified patients who underwent intravesical BTX between 01/2013-12/2017 at an academic hospital. Read More

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A proposal for a novel approach to reduce burdens of care for people with dementia: A hypothesis.

Alzheimers Dement 2021 Jun 15. Epub 2021 Jun 15.

Department of Psychiatry and Health Behavior, Medical College of Georgia, Augusta University, Augusta, Georgia, USA.

Cognitive impairment of dementia patients affects their ability to communicate and cooperate with care. Dementia patients need a specialized communication to increase their cooperation during daily care and a scale to measure cooperation with care. To improve communication, we created and applied a digital communication platform (DCP) in an observational study. Read More

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Does Shared Decision-Making for Prostate Cancer Screening Among African American Men Happen? It Depends on Who You Ask.

J Racial Ethn Health Disparities 2021 Jun 15. Epub 2021 Jun 15.

Department of Biobehavioral Nursing and Health Informatics, University of Washington, 1959 NE Pacific Street, WA, 98195, Seattle, USA.

Background: Shared decision-making (SDM) is recommended for prostate cancer screening, but little is known about how this process is perceived by patients and providers. SDM is especially important for African American men, who are at high risk for the disease.

Objective: To evaluate agreement in SDM ratings among patients, providers, and objective observers. Read More

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Phenotypic spectrum and mechanism analysis of Schaff Yang syndrome: A case report on new mutation of MAGEL2 gene.

Medicine (Baltimore) 2021 Jun;100(24):e26309

Department of Endocrinology, Shandong Provincial Hospital affiliated to Shandong First Medical University.

Rationale: The Schaaf-Yang syndrome (SYS) is an autosomal dominant multi-system genetic disease caused by melanoma antigen L2 (MAGEL2) gene mutations imprinted by mothers and expressed by fathers on the 15q11-15q13 chromosomes in the critical region of Prader-Willi. MAGEL2 is a single exon gene and one of the protein-coding genes of the Prader-Willi domain. MAGEL2 is a matrilineal imprinted gene (i. Read More

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Undergraduate medical education amid COVID-19: a qualitative analysis of enablers and barriers to acquiring competencies in distant learning using focus groups.

Med Educ Online 2021 Dec;26(1):1940765

Department of General Paediatrics, Neonatology, and Paediatric Cardiology, Düsseldorf University Department (UKD), Heinrich-Heine-University, Düsseldorf, Germany.

Due to comprehensive social distancing measures related to the COVID-19 pandemic, medical faculties worldwide have made a virtue of necessity in resorting to online teaching. Medical faculties grapple with how to convey clinical competencies to students in this context. There is a need for research not only to map but also to explain the effect of these secondary measures on students' learning and mental wellbeing. Read More

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December 2021

Protect the nurse, protect the practice: Effective communication is the foundation for keeping nurses safe.

Authors:
Rhonda Collins

Healthc Manage Forum 2021 Jun 15:8404704211022144. Epub 2021 Jun 15.

Chief Nursing Officer, Vocera, San Jose, CA, USA.

Every year around Nurses Week, Dr. Rhonda Collins, DNP, RN, FAAN, Chief Nursing Officer for Vocera Communications, publishes a report examining important issues that impact the nursing profession worldwide. Her 2021 CNO report examines how the COVID-19 pandemic put a spotlight on the realities of the nursing profession and how the lack of resources, infrastructure, and policies impact nurses' work and lives. Read More

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Pediatric oncology clinician communication about sexual health with adolescents and young adults: A report from the children's oncology group.

Cancer Med 2021 Jun 15. Epub 2021 Jun 15.

Cancer and Blood Disease Institute, Children's Hospital Los Angeles, USC Norris Comprehensive Cancer Center, Los Angeles, CA, USA.

Background: Sexual health (SH) is an important concern for adolescents and young adults (AYAs). This study determined current SH communication practices, barriers, and additional resources needed among pediatric oncology clinicians who treat AYAs.

Methods: A cross-sectional survey was developed by the Children's Oncology Group (COG) AYA Committee and sent to pediatric oncologists (n = 1,987; 85. Read More

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Cardioprotective effects of melatonin against myocardial ischaemia/reperfusion injury: Activation of AMPK/Nrf2 pathway.

J Cell Mol Med 2021 Jun 14. Epub 2021 Jun 14.

Department of Cardiovascular Surgery, General Hospital of Northern Theater Command, Shenyang, China.

Although reperfusion is the most effective therapy for patients with acute myocardial infarction, reperfusion injury limits the therapeutic effects of early reperfusion. Oxidative stress plays a crucial role in myocardial ischaemia/reperfusion (I/R) injury. Melatonin, a circulating hormone, is well-known as an antioxidant in cardiovascular diseases. Read More

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Report of two cases of endobronchial tumour mass resection in children.

Can J Anaesth 2021 Jun 14. Epub 2021 Jun 14.

Department of Pediatric Anesthesia, Montreal Children's Hospital, 1001 Blvd Decarie, Montreal, QC, H4A 3J1, Canada.

Purpose: Anesthesia for endotracheal tumour mass resection in pediatric patients is a rare, complex, and high-risk procedure. The purpose of this case report is to emphasize the importance of multidisciplinary team collaboration and close communication during the perioperative management of shared airway surgery.

Clinical Features: A six-year-old boy with no previous history of comorbidity and a 13-yr-old boy with a six-month history of upper respiratory tract infection, refractory asthma, chronic wheeze, and exercise-related dyspnea presented for acute endobronchial tumour mass resection. Read More

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Performance-Based Assessment in Child and Adolescent Psychiatry Residency Training.

Acad Psychiatry 2021 Jun 14. Epub 2021 Jun 14.

Dokuz Eylul University, Izmir, Turkey.

Objective: This study aimed to examine the application of the Objective Structured Clinical Examination (OSCE) to the assessment of competency among child and adolescent psychiatry (CAP) residents and to analyze the feedback from the residents and the examiners.

Methods: The OSCE was administered to 53 CAP residents based on three seniority levels over a 14-year period. The results of 147 OSCEs applied to residents and the feedback received were evaluated. Read More

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Does wearing personal protective equipment affect the performance and decision of physicians? A cross-sectional study during the COVID-19 pandemic.

Ann Med Surg (Lond) 2021 Jul 10;67:102488. Epub 2021 Jun 10.

Department of Obstetrics and Gynaecology, Faculty of Medicine, Alexandria University, Egypt.

Background: The use of personal protective equipment (PPE) decreased the probability of viral transmission during the COVID-19 pandemic. However, some drawbacks have been observed with its extensive use, such as headaches, anxiety, and stress among physicians, which could affect decision-making processes, the performance of physicians, and consequently patients' safety. Few articles have studied the impact of PPE on physicians from different specialties. Read More

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Association between aphasia severity and brain network alterations after stroke assessed using the electroencephalographic phase synchrony index.

Sci Rep 2021 Jun 14;11(1):12469. Epub 2021 Jun 14.

Neurorehabilitation Research Institute, Morinomiya Hospital, Osaka, 536-0025, Japan.

Electroencephalographic synchrony can help assess brain network status; however, its usefulness has not yet been fully proven. We developed a clinically feasible method that combines the phase synchrony index (PSI) with resting-state 19-channel electroencephalography (EEG) to evaluate post-stroke motor impairment. In this study, we investigated whether our method could be applied to aphasia, a common post-stroke cognitive impairment. Read More

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Expert Consensus Statement on the Perioperative Management of Adult Patients Undergoing Head and Neck Surgery and Free Tissue Reconstruction From the Society for Head and Neck Anesthesia.

Anesth Analg 2021 Jul;133(1):274-283

Departments of General Anesthesiology and Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio.

The perioperative care of adult patients undergoing free tissue transfer during head and neck surgical (microvascular) reconstruction is inconsistent across practitioners and institutions. The executive board of the Society for Head and Neck Anesthesia (SHANA) nominated specialized anesthesiologists and head and neck surgeons to an expert group, to develop expert consensus statements. The group conducted an extensive review of the literature to identify evidence and gaps and to prioritize quality improvement opportunities. Read More

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Twelve-week project to improve medication reconciliation at hospitals in Wellington, New Zealand.

BMJ Open Qual 2021 06;10(2)

Professional Lead for Pharmacy, Capital and Coast District Health Board, Wellington, New Zealand.

Inaccurate prescribing of medications on admission to hospital exposes patients to significant risk, both during the admission and at discharge. Initial data at Capital and Coast District Health Board (CCDHB, Wellington, New Zealand) showed that 0% of medication reconciliations initiated by pharmacy were completed correctly. A widespread lack of awareness of existing processes and communication differences between doctors and pharmacists were identified as root causes of the problem. Read More

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Hospital initiation of benzodiazepines and Z-drugs in older adults and discontinuation in primary care.

Res Social Adm Pharm 2021 Jun 5. Epub 2021 Jun 5.

HRB Centre for Primary Care Research, Department of General Practice, Royal College of Surgeons in Ireland, Dublin, Ireland; School of Pharmacy and Biomolecular Sciences, Royal College of Surgeons in Ireland, Dublin, Ireland. Electronic address:

Objective: To examine factors associated with continuation of hospital-initiated benzodiazepine receptor agonists (BZRAs) among adults aged ≥65 years, specifically instructions on hospital discharge summaries.

Methods: This retrospective cohort study involved anonymised electronic record data on prescribing and hospitalisations for 38,229 patients aged ≥65 from forty-four GP practices in Ireland 2011-2016. BZRA initiations were identified among patients with no BZRA prescription in the previous 12 months. Read More

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VidaTalk™ patient communication application "opened up" communication between nonvocal ICU patients and their family.

Intensive Crit Care Nurs 2021 Jun 12:103075. Epub 2021 Jun 12.

College of Nursing, The Ohio State University, Newton Hall #352, 1585 Neil Ave., Columbus, OH 43210, USA. Electronic address:

Objectives: To explore family members' perceptions of an electronic communication application, VidaTalk™, their communication experience, and emotional reactions to communication with mechanically ventilated patients in the intensive care units.

Research Methodology/design: Qualitative phase of a mixed-methods study nested within a randomised controlled trial. Family members in the intervention group received the VidaTalk™ app as a communication aid during their intensive care stay. Read More

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"We have no magic bullet": Diagnostic ideals in veterans' mild traumatic brain injury evaluations.

Authors:
Anna Zogas

Patient Educ Couns 2021 Jun 5. Epub 2021 Jun 5.

Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, MA, USA. Electronic address:

Objective: To understand military veterans' and healthcare providers' experiences identifying veterans' personal histories of combat-related mild traumatic brain injury (mTBI) months or years after the injury.

Methods: Patients and clinical staff of a Veterans Health Administration (VA) Polytrauma/TBI clinic participated in a seven-month ethnographic study, which combined direct observation and interviews with veterans (n = 12) and VA clinicians (n = 11). Data were analyzed thematically. Read More

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[Current challenges in cancer care in Brussels-capital region: A qualitative study].

Bull Cancer 2021 Jun 11. Epub 2021 Jun 11.

Centre de recherche Politiques et systèmes de santé, École de Santé Publique, Université libre de Bruxelles (ULB), route de Lennik 808, 1070 Bruxelles, Belgique.

Cancer is a disease with multidimensional consequences accompanied by new challenges in order to guarantee optimal care involving physical, psychological and social consequences of the disease and his treatments. The objective of this study is to identify the main challenges encountered by different stakeholders around cancer, including patients, in Brussels. This qualitative study was carried out with various stakeholders in the field of oncology. Read More

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Evaluation of clustering and topic modeling methods over health-related tweets and emails.

Artif Intell Med 2021 Jul 7;117:102096. Epub 2021 May 7.

Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL, USA.

Background: Internet provides different tools for communicating with patients, such as social media (e.g., Twitter) and email platforms. Read More

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Concerns from Community Mental Health Center (CMHC) Patients Regarding Drug-Induced Movement Disorders: Impact on Functioning and Treatment Beliefs.

CNS Spectr 2021 Apr;26(2):152

Neurocrine Biosciences, Inc., San Diego, CA, USA.

Objective: Drug-induced movement disorders (DIMDs) may occur in patients treated with antipsychotics. The CommonGround Program supports the recovery and healing of psychiatric outpatients through tools which facilitate better patient-doctor communication regarding psychiatric symptoms, DIMDs, and the effectiveness of treatment.

Methods: Patients responses to CommonGround's web-based waiting-room questionnaire were analyzed in patients who responded yes to having concerns about developing DIMDs (MD-YES) and those who responded no to this question (MD-NO). Read More

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Complex conversations in a healthcare setting: experiences from an interprofessional workshop on clinician-patient communication skills.

BMC Med Educ 2021 Jun 14;21(1):343. Epub 2021 Jun 14.

Monash University, Level 1 Learning and Teaching Building, 19 Ancora Imparo Way, Clayton, Victoria, Australia.

Background: Communication is pivotal to the effective care and treatment of patients in our health care systems. Despite this understanding, clinicians are not sufficiently educated to confidently conduct complex discussions with patients. Communication skills workshops have been shown to be an effective educational format to improve clinician skills. Read More

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Good working relationships: how healthcare system proximity influences trust between healthcare workers.

J Interprof Care 2021 Jun 14:1-9. Epub 2021 Jun 14.

Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

Trust between healthcare workers is a fundamental component of effective, interprofessional collaboration and teamwork. However, little is known about how this trust is built, particularly when healthcare workers are distributed (i.e. Read More

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Psychometric properties for the Norwegian translations of two revised APHAB-subscales and an adapted IOI-HA (IOI-CI) in patients with cochlear implants.

Int J Audiol 2021 Jun 15:1-8. Epub 2021 Jun 15.

Department of Otolaryngology/Head and Neck Surgery, Haukeland University Hospital, Bergen, Norway.

Objective: The objective was to examine the psychometric properties of two questionnaires in Norwegian for the self-assessment of satisfaction following cochlear implantation.

Design: The International Outcome Inventory for Hearing Aids adapted for cochlear implants (IOI-CI) and two revised subscales from the Norwegian translation of the Abbreviated Profile of Hearing Aid Benefit (APHAB) were applied. Internal consistency was tested using Cronbach's . Read More

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Budget impact of tepotinib in the treatment of adult patients with metastatic non-small cell lung cancer harboring ex14 skipping alterations in the United States.

J Med Econ 2021 Jun 15. Epub 2021 Jun 15.

EMD Serono, Rockland, MA, USA.

Aims: To estimate the budget impact of adding tepotinib to United States (US) health plans for treating adult patients with metastatic non-small cell lung cancer (mNSCLC) harboring mesenchymal-epithelial transition exon 14 (ex14) skipping alterations.

Methods: The base-case analysis was conducted from the perspective of a hypothetical Medicare plan of 1 million members. Scenarios were analysed for other US health plans. Read More

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Management of Chronic Rhinosinusitis Prior to Otolaryngology Referral: An Opportunity for Quality Improvement.

Otolaryngol Head Neck Surg 2021 Jun 15:1945998211017486. Epub 2021 Jun 15.

Surgery Center for Outcomes Research, Duke University, Durham, North Carolina, USA.

Objective: The management of chronic rhinosinusitis (CRS) by a nonotolaryngologist prior to otolaryngology referral is an important component of the patient care pathway. The purpose of this study is to characterize CRS management during this period and to identify areas of quality improvement.

Study Design: Retrospective review of a national claims database. Read More

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No stone left unturned and nothing left behind - A pictorial guide for retained surgical items.

Clin Imaging 2021 Jun 10;79:235-243. Epub 2021 Jun 10.

Penn State Health Milton S Hershey Medical Center, Department of Radiology, 500 University Drive, Hershey, PA 17033, United States of America.

Retained surgical instruments (RSI) remain an unsolved problem with serious implications for patients and healthcare providers. Although radiographs are commonly obtained whenever a surgical count is incorrect or incomplete, they have a very low prevalence of positive findings. With the majority of these studies being negative, it is difficult for radiologists and trainees to develop expertise in the detection of RSI, and comfort with reporting and documenting their findings. Read More

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Breast reconstruction and radiation therapy: An Italian expert Delphi consensus statements and critical review.

Cancer Treat Rev 2021 May 27;99:102236. Epub 2021 May 27.

Group for Reconstructive and Therapeutic Advancements (G.RE.T.A.), Milan, Naples, Catania, Italy.

Breast conserving surgery (BCS) plus radiation therapy (RT) or mastectomy have shown comparable oncological outcomes in early-stage breast cancer and are considered standard of care treatments. Postmastectomy radiation therapy (PMRT) targeted to both the chest wall and regional lymph nodes is recommended in high-risk patients. Oncoplastic breast conserving surgery (OBCS) represents a significant recent improvement in breast surgery. Read More

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Disclosing bad news of cancer diagnosis: Patients' preference for communication.

J Pak Med Assoc 2021 Apr;71(4):1239-1242

Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.

The majority of relatives of cancer patients in Pakistan request their clinicians to adopt a "do not tell approach" while counselling the patients regarding their disease. The current study aimed to assess patients' understanding of their disease and how they would prefer the physicians to deliver news about cancer diagnosis and its management plan. This was a cross-sectional study in which both patients and their immediate relatives were interviewed. Read More

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Navigating the Cancer Screening Decision for Patients with Dementia.

Curr Oncol Rep 2021 Jun 14;23(8):90. Epub 2021 Jun 14.

Icahn School of Medicine at Mount Sinai Hospital, One Gustave Levy L. Place, Box 1070, New York, NY, 10029, USA.

Purpose Of Review: The risks of developing cancer and dementia both increase with age, giving rise to the complex question of whether continued cancer screening for older dementia patients is appropriate. This paper offers a practice-based clinical approach to determine an answer to this challenging question.

Recent Findings: There is no consensus on the prevalence of cancer and dementia as co-diagnoses. Read More

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