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Video consultations during the coronavirus disease 2019 pandemic are associated with high satisfaction for both doctors and patients.

JGH Open 2021 May 3;5(5):542-548. Epub 2021 May 3.

Department of Gastroenterology and Hepatology, Austin Health Heidelberg Victoria Australia.

Background And Aim: Telehealth has become the standard of care during the COVID-19 outbreak. This study aimed to assess doctor and patient satisfaction of endoscopy-related telehealth clinics with video consultations.

Methods: A prospective observational study of patients consecutively booked to attend two endoscopy-related telehealth clinics at an ambulatory tertiary care setting was conducted from July to October 2020. Read More

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Changing me to we: Developing teambuilding in radiation therapy.

J Med Imaging Radiat Sci 2021 May 14. Epub 2021 May 14.

Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario, Canada; Department of Radiation Oncology, Faculty of Medicine, University of Toronto, Ontario, Canada.

Background: There has been a causal link identified within the literature between poor team function and errors, patient outcomes, staff satisfaction and performance. Lacking is supporting evidence on teambuilding and its impact on overall team performance and team dynamics. Within radiation therapy, there is difficulty in understanding the inner workings of team dynamics due to the unique complex nature of teams and with very little evidence on the impact of team building specific to radiation therapy. Read More

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Comparison of transversus abdominis plane catheters with thoracic epidurals for cost and length of stay in open colorectal surgeries: a cohort study.

BMC Anesthesiol 2021 May 6;21(1):137. Epub 2021 May 6.

Department of Anesthesiology, Albany Medical Center, 43 New Scotland Avenue, Albany, NY, USA.

Background: Thoracic epidural analgesia has long been a common method of postoperative analgesia for major open abdominal surgeries and is frequently used within enhanced recovery after surgery programs. An alternative postoperative analgesia method is the single shot transversus abdominis plane block, which has shown promising outcomes with respect to total length of stay, cost, pain scores, and decreased opioid usage. However, far less is known regarding continuous transversus abdominis plane analgesia using catheters. Read More

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The impact of coronavirus disease 2019 on surveillance colonoscopies in South Australia.

JGH Open 2021 Apr 9;5(4):486-492. Epub 2021 Mar 9.

Cancer Research, Flinders Health and Medical Research, Flinders University Bedford Park South Australia Australia.

Background And Aim: The coronavirus disease 2019 (COVID-19) global pandemic has affected elective procedures, including colonoscopy, worldwide. Delayed colorectal cancer surveillance may increase cancer risk. This study aimed to determine the impact of COVID-19 on the proportion of surveillance colonoscopies booked and completed and the extent to which that surveillance was delayed. Read More

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The impact of a virtual cardiology outpatient clinic in the COVID-19 era.

Ir J Med Sci 2021 Apr 14. Epub 2021 Apr 14.

Department of Cardiology, Tallaght University Hospital, Dublin, Ireland.

Background: Restrictions as a result of the COVID-19 pandemic have demanded an innovative approach to provide appropriate patient review. We have been running virtual cardiology clinics as per Health Service Executive guidance.

Aims: Our study aims to determine how virtual clinics change practice vs traditional clinics. Read More

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Televascular consultation is one answer to rural vascular surgery shortage.

J Telemed Telecare 2021 Apr 12:1357633X211003456. Epub 2021 Apr 12.

Division of Vascular Surgery, University of Minnesota Medical Center, USA.

Telemedicine provides an opportunity for virtual consultation between physicians and patients in remote locations. We sought to evaluate whether telemedicine consultation for vascular surgery can replace direct visits for patients in remote areas. Patients undergoing telemedicine consultation from 2014-2019 at the Veterans Affairs Medical Center (VAMC) with a large rural catchment area, were reviewed. Read More

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Dental students' experience of conscious sedation: A qualitative review of student reflections.

Eur J Dent Educ 2021 Apr 10. Epub 2021 Apr 10.

Community Dental Service, Ysbyty Ystrad Fawr, Ystrad Mynach, UK.

Introduction: The UK General Dental Council (GDC) requires dental graduates to competently identify, manage and refer patients with dental pain and anxiety. This study aimed to explore sedation training experience quantitatively and qualitatively through individual reflective logs.

Materials & Methods: A single-centred mixed-methods evaluation of teaching, within a UK university conscious sedation department. Read More

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Does postal consent for flexible cystoscopy work?

Ir J Med Sci 2021 Apr 5. Epub 2021 Apr 5.

Department of Urology, James Connolly Memorial Hospital, Dublin, Ireland.

Background: Informed consent is an integral part of the process prior to any surgical procedure [1]. Flexible cystoscopy is a common day case urological procedure and it is the gold standard investigation for visible haematuria [2].

Aim: To assess if postal consent is a suitable form of gaining informed consent for flexible cystoscopy. Read More

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General Practice in the Time of COVID-19: A Mixed-Methods Service Evaluation of a Primary Care COVID-19 Service.

Int J Environ Res Public Health 2021 03 12;18(6). Epub 2021 Mar 12.

Primary Care and Population Health Department University College, London NW3 2QG, UK.

Primary care coronavirus disease 2019 (COVID-19) clinics were rapidly introduced across the UK to review potentially infectious patients. Evaluation of these services is needed to guide future implementation. This mixed-methods study evaluates patient demographics, clinical presentation, co-morbidities, service usage, and outcomes for the Islington COVID-19 service (London, UK) and from April to May 2020 and thematically analyses survey responses from 29 service clinicians and 41 GP referrers on their service experience. Read More

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Early retention among pregnant women on 'Option B + ' in urban and rural Zimbabwe.

AIDS Res Ther 2021 04 1;18(1):10. Epub 2021 Apr 1.

National AIDS Council, Harare, Zimbabwe.

Background: In 2013, the World Health Organisation (WHO) recommended Option B+ as a strategy to prevent mother-to-child transmission (PMTCT) of HIV. In option B+ , lifelong antiretroviral therapy (ART) is offered to all HIV positive pregnant and breastfeeding women to reduce MTCT rate to less than or equal to 5%. Its success depends on retaining women on ART during pregnancy, delivery and breast-feeding period. Read More

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Teleclinics in rheumatology introduced during the first lockdown phase of the COVID-19 pandemic of 2020.

Future Healthc J 2021 Mar;8(1):e27-e31

Royal Berkshire Hospital, Reading, UK.

The COVID-19 pandemic has led to a crisis in the provision of usual services, including face-to-face (FTF) outpatient clinics. The need for change came abruptly in late March 2020 as routine clinics were cancelled. We accelerated the delivery of our teleclinics (telephone and video) in rheumatology, which we had started doing prior to the pandemic. Read More

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Outcomes of pregnancy-related referrals from rural health facilities to two central hospitals in Harare, Zimbabwe: a prospective descriptive study.

BMC Health Serv Res 2021 Mar 25;21(1):276. Epub 2021 Mar 25.

Clinical Research Centre, Africa University, 132 H. Chitepo Street, Mutare, Zimbabwe.

Background: Between the years 2000 and 2017, the global maternal mortality rate dropped by 38% however, 94% of maternal deaths still emanated from low-to middle-income countries. Rural women are at a significantly higher risk of dying from pregnancy when compared to their urban counterparts. Early detection of complications and prompt referral to higher levels of care can reduce the associated maternal and perinatal mortality. Read More

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Influence of organization and demographic characteristics of primary care practices on continuity of care: analysis of a retrospective cohort from 287 primary care practices covering about 6 million people in Catalonia.

BMC Fam Pract 2021 Mar 25;22(1):56. Epub 2021 Mar 25.

Sistemes d'Informació dels Serveis d'Atenció Primària (SISAP), Institut Català de la Salut (ICS), Gran Via de Les Corts Catalanes, 587, 08007, Barcelona, Spain.

Background: There is evidence that an ongoing patient-physician relationship is associated with improved health outcomes and more efficient health systems. The main objective of this study is to describe the continuity of care in primary healthcare in Catalonia (Spain) and to analyze whether the organization of primary care practices (PCP) or their patients' sociodemographic characteristics play a role in its continuity of care.

Methods: Four indices were used to measure continuity of care: Usual Provider Index (UPC), Modified Modified Continuity Index (MMCI), Continuity of Care Index (COC), and Sequential Continuity Index (SECON). Read More

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Correlates of patients' satisfaction with antenatal care services in a tertiary hospital in Abakaliki, Ebonyi State, Nigeria.

Pan Afr Med J 2020 15;37:342. Epub 2020 Dec 15.

Department of Surgery, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.

Introduction: antenatal care is a specialized pattern of care organized for pregnant women to improve their chances of a safe delivery. Assessment of patients' perception of healthcare services is one of the ways of measuring the quality of healthcare as satisfied patients are likely to come back for the services they need and to recommend the services to others.

Methods: this is a cross-sectional study. Read More

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The use of mobile application in primary health care in Saudi Arabia: A cross-sectional study.

J Family Med Prim Care 2020 Dec 31;9(12):6068-6072. Epub 2020 Dec 31.

King Abdulaziz Medical City, Riyadh, Saudi Arabia.

Background: Technology implantation, for example, smartphone application, in primary health care (PHC) is an approach to enhance healthcare services via availability and convenient access. This study described the factors contributing for not booking an appointment using the mobile application, and why patients visit PHC physicians.

Method: This is a cross-sectional study that included 477 participants who visited the PHC physicians. Read More

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December 2020

Illness Anxiety Disorder: A Case Report and Brief Review of the Literature.

Cureus 2021 Jan 25;13(1):e12897. Epub 2021 Jan 25.

Critical Care Medicine, Boston Children's Hospital, Boston, USA.

Illness anxiety disorder (IAD) is defined in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-V) as the preoccupation with having or acquiring a serious illness, in the absence of somatic symptoms (or, if present, symptoms that are only mild in severity). Patients with IAD experience persistent anxiety or fear of having or acquiring a serious illness, which adversely affects their daily life. They remain unsatisfied with their physician's reassurances to the contrary, mainly because their distress is created by the anxiety of the meaning, significance, and cause of the complaints and not necessarily due to the physical presentations. Read More

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January 2021

A Cross-Sectional Study of Barriers in Prevention of Anemia in Pregnancy.

Cureus 2021 Jan 20;13(1):e12802. Epub 2021 Jan 20.

Department of Physiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, IND.

Introduction Anemia in pregnancy is a significant health challenge in India and other developing countries. Various health programs aiming anemia prevention are existing in India for many decades. Despite that, anemia affects more than half of pregnant women. Read More

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January 2021

Knowledge and attitude of pregnant women towards preeclampsia and its associated factors in South Gondar Zone, Northwest Ethiopia: a multi-center facility-based cross-sectional study.

BMC Pregnancy Childbirth 2021 Feb 23;21(1):160. Epub 2021 Feb 23.

Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

Background: Preeclampsia has the greatest impact on maternal mortality which complicates nearly a tenth of pregnancies worldwide. It is one of the top five maternal mortality causes and responsible for 16 % of direct maternal death in Ethiopia. Little is known about the level of knowledge and attitude towards preeclampsia in Ethiopia. Read More

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February 2021

Development of an online research platform for use in a large-scale multicentre study.

BJS Open 2021 01;5(1)

Breast Surgical Unit, Royal Marsden Hospital, Sutton, UK.

Background: Participation in research can be beneficial for patients and healthcare providers, but may prove demanding at patient, clinician and organizational levels. Patient representatives are supportive of online research to overcome these challenges. The aim of this pilot study was to develop an online recruitment platform and test its feasibility and acceptability while evaluating the accuracy of participant-reported data. Read More

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January 2021

The impact of surgical cancellations on children, families, and the health system in an Australian paediatric tertiary referral hospital.

Paediatr Anaesth 2021 May 28;31(5):578-586. Epub 2021 Feb 28.

Department of Anaesthesia and Pain Management, Perth Children's Hospital, Perth, WA, Australia.

Background: Reasons for elective surgery cancelations and their impact vary from one institution to another. Cancelations have emotional and financial implications for patients and their families. Our service has a particularly broad and geographically diverse patient population; hence, we sought to examine these impacts in our service. Read More

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Peripheral nerve block anaesthesia and postoperative pain in acute ankle fracture surgery: the AnAnkle randomised trial.

Br J Anaesth 2021 04 2;126(4):881-888. Epub 2021 Feb 2.

Department of Anaesthesiology, Herlev and Gentofte University Hospital, Gentofte, Denmark.

Background: Peripheral nerve blocks (PNBs) are increasingly popular in acute ankle fracture surgery but rebound pain may outweigh the benefits. The AnAnkle Trial was designed to assess the postoperative pain profile of PNB anaesthesia compared with spinal anaesthesia (SA).

Methods: The AnAnkle Trial was a randomised, two-centre, blinded outcome analysis trial. Read More

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A cluster randomised trial of a Needs Assessment Tool for adult Cancer patients and their carers (NAT-C) in primary care: A feasibility study.

PLoS One 2021 28;16(1):e0245647. Epub 2021 Jan 28.

Wolfson Palliative Care Research Centre, University of Hull, Hull, United Kingdom.

Background: People with cancer often have unidentified symptoms and social care needs. The Needs Assessment Tool-Cancer (NAT-C) is a validated, structured method of assessing patient/carer concerns and prompting action, to address unmet need.

Aims: Assess feasibility and acceptability of a definitive two-armed cluster randomised trial of NAT-C in primary care by evaluating: recruitment of GP practices, patients and carers; most effective approach of ensuring NAT-C appointments, acceptability of study measures and follow-up. Read More

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The Value of Navigators in Breast Cancer Management in a South African Hospital.

World J Surg 2021 May 18;45(5):1316-1322. Epub 2021 Jan 18.

Department of Oncology, Grey's Hospital, Pietermaritzburg, KZN, South Africa.

Background: Specialist breast cancer nurses (BCNs) have improved the psychological care and follow-up rates of breast cancer (BC) patients. This study sought to determine if breast cancer research workers (BCRWs) as de facto BCNs impacted patients' adherence to treatment by comparing groups with and without these patient navigators; hence assessing our need for BCNs.

Methods: Two groups BC patients booked for primary chemotherapy compared. Read More

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Case report of mesenteric strangulation secondary to longstanding ventriculoperitoneal shunt catheter.

Childs Nerv Syst 2021 Jan 2. Epub 2021 Jan 2.

Department of Surgery, Division of Pediatric Surgery, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.

Background: Ventriculoperitoneal (VP) shunts are the most common treatment for hydrocephalus in both pediatric and adult patients. Complications resulting from the abdominal portion of shunts include tube disconnection, obstruction of the shunt tip, catheter migration, infection, abdominal pseudocysts, and bowel perforation. However, other less common complications can occur. Read More

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January 2021

Day-only elective cholecystectomy: early experience and barriers to implementation in Australia.

ANZ J Surg 2021 04 28;91(4):590-596. Epub 2020 Dec 28.

Department of Upper Gastrointestinal Tract Surgery, Westmead Hospital, Sydney, New South Wales, Australia.

Background: Day-only laparoscopic cholecystectomy (DOLC) has been shown to be safe and feasible yet has not been widely implemented in Australia. This study explores the introduction of routine DOLC to Westmead Hospital, and highlights the barriers to its implementation.

Methods: Routine day-only cholecystectomy protocol was introduced at Westmead Hospital in 2014. Read More

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Implementation of photographic triage in a paediatric dental, orthodontic, and maxillofacial department during COVID-19.

Int J Paediatr Dent 2020 Dec 28. Epub 2020 Dec 28.

Alder Hey Children's Hospital, Liverpool, UK.

Background: During the COVID-19 pandemic, limitations were placed on face-to-face encounters in dentistry and oral and maxillofacial surgery (OMFS) in order to promote physical distancing and reduce viral propagation. To facilitate continued assessment of dental, orthodontic, and maxillofacial emergencies, a photographic triage system was initiated at Alder Hey Children's Hospital (AHCH). We will discuss the benefits this system offers at a patient, clinician, departmental, and NHS service level. Read More

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December 2020

Parents Need More Support: A Qualitative Study of the Experiences of Australian Parents Who Are Waiting for Surgical Intervention for Their Children With Otitis Media.

J Patient Exp 2020 Oct 22;7(5):717-725. Epub 2019 Oct 22.

Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, South Australia, Australia.

Objective: To explore the experiences, expectations, and motivations of parents/caregivers of children with otitis media who were booked to undergo tympanostomy tube insertion.

Method: A cross-sectional cohort study was conducted using semistructured interviews with 39 parents. Interviews were conducted via telephone and analyzed for key themes. Read More

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October 2020

Barriers to colonoscopy in remote northern Canada: an analysis of cancellations.

Int J Circumpolar Health 2020 12;79(1):1816678

Office of Research Services, MacEwan University , Edmonton, AB, Canada.

Colonoscopy is a critical diagnostic and therapeutic procedure that is challenging to access in northern Canada. In part, this is due to frequent cancellations. We sought to understand the trends and reasons for colonoscopy cancellations in the Northwest Territories (NWT). Read More

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December 2020

Travel-associated cases of Legionnaires' disease in the United States, 2015-2016.

Travel Med Infect Dis 2021 Mar-Apr;40:101943. Epub 2020 Dec 3.

Division of Bacterial Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.

Background: Recent travel is associated with ~20% of reported Legionnaires' disease (LD) cases worldwide.

Methods: We analyzed LD cases reported to the Centers for Disease Control and Prevention (CDC) during 2015-2016. Travel-associated cases met case criteria for confirmed LD in someone who spent ≥1 night away from home during the 10 days before symptom onset. Read More

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December 2020

How to provide preoperative care to patients.

Nurs Stand 2020 Dec 30;35(12):72-76. Epub 2020 Nov 30.

education, Glasgow Caledonian University, Glasgow, Scotland.

Preoperative care refers to the physical and psychosocial care that prepares a patient to undergo surgery safely. The preoperative period begins when the patient is booked for surgery and ends with their transfer to the theatre or surgical suite. As well as the preoperative care that takes place in hospital, various preoperative tests and clinical assessments can be undertaken during a preoperative outpatient appointment, one week or more before surgery takes place. Read More

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December 2020