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Thinking outside the black box: The importance of context in understanding the impact of a preoperative education nursing intervention among Chinese cardiac patients
Conclusion: In health care systems where service users are given relatively little information, interventions designed to inform patients about their treatment are likely to have a much greater impact on their psychological health.Practice implications: Providers of services for patients undergoing cardiac surgery in China should be encouraged to incorporate information giving into routine practice, tailored according to individual need.
Source: Patient Education and Counseling - March 24, 2014 Category: Global & Universal Authors: Ping Guo, Linda East, Antony Arthur Tags: Patient Education Source Type: research

3 Management of a major medical incident - a multi national challenge
Major Medical Incidents on deployed operations are increasingly likely with the utilisation of small DHC facilities with limited clinical personnel and resources. In June 2021 a Suicide Vehicle Borne IED was detonated against a DEU callsign resulting in 13 casualties. A multinational response working from the DEU Role 1+ facility was undertaken and personnel from the DEU, UK and SWE formed ‘Flash’ teams and utilised senior clinical SMEs to deliver care to all 13 patients, 9 directly from the incident and 4 after initial treatment at FRA and CHN facilities. 6 surgical cases were performed over 15 hours along wit...
Source: Journal of the Royal Army Medical Corps - May 22, 2023 Category: General Medicine Authors: Lt Col Jon Walker Tags: Abstracts from the Mali Medical Conference Source Type: research

LGBTQIA+ Patient Care
Where are we and where are we going? The LGBTQIA+ community has doubled since it was first measured in 2012, according to a 2022 Gallup poll—it now includes 7.1% of Americans.1 As the community expands, so has acceptance and legal protection against discrimination.  The LGBTQIA+ acronym stands for lesbian, gay, bisexual, transgender, queer/questioning, intersex, asexual, and the plus sign represents all members not otherwise included.2 The evolution of the acronym itself from LGB to LGBT to LGBTQ to LGBTQIA+ is an example of the inclusiveness and diverse spectrum of sexual orientations and gender identities found within...
Source: The Hospitalist - June 1, 2022 Category: Hospital Management Authors: Ronda Whitaker Tags: Advocacy Clinical Guidelines Diversity in Medicine LGBTQIA Source Type: research

Needs assessment of general practitioners in Pakistan: A descriptive cross-sectional survey
CONCLUSION: Most GPs have no structured training and encounter gaps in knowledge and skills in clinical practice. Flexible, hybrid, and competency-based continuing medical education programs can be used to update knowledge and skills.PMID:36994035 | PMC:PMC10041007 | DOI:10.4103/jfmpc.jfmpc_1167_22
Source: Primary Care - March 30, 2023 Category: Primary Care Authors: Hamida Farazdaq Jaleed A Gilani Asra Qureshi Unab I Khan Source Type: research

Executive Function Moderates Functional Outcomes of Engagement Strategies During Rehabilitation in Older Adults
Conclusions For older adults undergoing rehabilitation, greater functional improvement with the motivational techniques of Enhanced Medical Rehabilitation was contingent on patients having intact executive function. Given that executive function impairments are common in rehabilitation populations, new strategies are needed to improve treatment outcomes in physical/occupational therapy. To Claim CME Credits Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME Objectives Upon completion of this article, the reader should be able to (1) Discuss the role of b...
Source: American Journal of Physical Medicine and Rehabilitation - June 25, 2021 Category: Rehabilitation Tags: CME Article . 2021 Series . Number 7 Source Type: research

Can Early Rehabilitation on the General Ward After an Intensive Care Unit Stay Reduce Hospital Length of Stay in Survivors of Critical Illness?: A Randomized Controlled Trial.
CONCLUSIONS: An early rehabilitation program in survivors of critical illness led to an earlier discharge from the hospital, improved functional recovery, and was also cost-effective and safe. TO CLAIM CME CREDITS: Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME OBJECTIVES: Upon completion of this article, the reader should be able to (1) delineate the benefits of early rehabilitation on a general medicine ward after an intensive care unit stay, (2) recognize the safety of appropriately implemented early rehabilitation, and (3) incorporate early rehabilitation on ...
Source: Physica Medica - February 7, 2017 Category: Physics Authors: Gruther W, Pieber K, Steiner I, Hein C, Hiesmayr JM, Paternostro-Sluga T Tags: Am J Phys Med Rehabil Source Type: research

Can Early Rehabilitation on the General Ward After an Intensive Care Unit Stay Reduce Hospital Length of Stay in Survivors of Critical Illness?: A Randomized Controlled Trial
Conclusions: An early rehabilitation program in survivors of critical illness led to an earlier discharge from the hospital, improved functional recovery, and was also cost-effective and safe. To Claim CME Credits: Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME Objectives: Upon completion of this article, the reader should be able to (1) delineate the benefits of early rehabilitation on a general medicine ward after an intensive care unit stay, (2) recognize the safety of appropriately implemented early rehabilitation, and (3) incorporate early rehabilitation on th...
Source: American Journal of Physical Medicine and Rehabilitation - August 18, 2017 Category: Rehabilitation Tags: Original Research Articles CME Article . 2017 Series . Number 11 Source Type: research

Attitudes of Radiation Oncologists Toward Palliative and Supportive Care in the United States: Report on National Membership Survey by the American Society for Radiation Oncology (ASTRO)
Conclusion Radiation oncologists are more confident in their ability to assess and manage pain than in their ability to manage depression, anxiety, anorexia, and fatigue. There is a need for increasing continuing medical educational efforts in PSC for practicing radiation oncologists, and strengthening PSC training in residency programs.
Source: Practical Radiation Oncology - September 6, 2016 Category: Cancer & Oncology Source Type: research

Risk Management: Prescribing Controlled Substances: Managing the Risks
Conclusion Using the three Cs of risk management strategies—collecting information, communicating, and carefully documenting—when prescribing controlled substances supports quality patient care and can decrease the risk of improper prescribing allegations. Appendix 1. Prescribing Controlled Substances: Informed Consent Some, but not all states have promulgated various requirements and recommendations for components of an informed consent discussion when prescribing controlled substances.  The following is a compilation of current individual state requirements and recommendations for informed consent.  Prescribers sho...
Source: Innovations in Clinical Neuroscience - April 1, 2018 Category: Neuroscience Authors: ICNS Online Editor Tags: Current Issue Risk Management Source Type: research

Impact of a Pelvic Floor Training Program Among Women with Multiple Sclerosis: A Controlled Clinical Trial
Conclusions: The results reinforce the benefit of exercises for strengthening the musculature of the pelvic floor in women with overactive bladder in MS and demonstrate a potential of the action when associated with electrotherapy. To Claim CME Credits: Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME Objectives: Upon completion of this article, the reader should be able to: (1) Identify common dysfunctions of the lower urinary tract in women with multiple sclerosis; (2) Discuss the relationship between quality-of-life, level of anxiety and depression, degree of perine...
Source: American Journal of Physical Medicine and Rehabilitation - December 23, 2015 Category: Rehabilitation Tags: Original Research Articles: CME Article . 2016 Series . Number 1 Source Type: research

How Do Recurrent and First-Ever Strokes Differ in Rehabilitation Outcomes?
Conclusions: Recurrent stroke patients made less functional gains compared to first-ever stroke patients. However, improvements were still significant and these patients should be offered comprehensive inpatient rehabilitation to optimize outcomes. To Claim CME Credits: Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME Objectives: Upon completion of this article, the learner will be able to: (1) Describe unique demographics, and characteristics of recurrent stroke patients admitted for inpatient rehabilitation; (2) Differentiate functional outcomes between first-ever ...
Source: American Journal of Physical Medicine and Rehabilitation - September 20, 2016 Category: Rehabilitation Tags: Original Research Articles CME Article . 2016 Series . Number 10 Source Type: research

Reciprocal Causation Between Functional Independence and Mental Health 1 and 2 Years After Traumatic Brain Injury: A Cross-Lagged Panel Structural Equation Model
Conclusions: This combination of results suggests that functional independence is only slightly more causal than mental health in the relationship between mental health and functional independence over the first 2 years post-TBI, and that instead, reciprocal causality is a more likely scenario. To Claim CME Credits: Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME Objectives: Upon completion of this article, the reader should be able to: (1) understand the nature of the relationship between mental health problems and functional independence after traumatic brain inju...
Source: American Journal of Physical Medicine and Rehabilitation - May 19, 2017 Category: Rehabilitation Tags: Original Research Articles CME Article . 2017 Series . Number 8 Source Type: research

Factors Associated With Symptomatic Rotator Cuff Tears: The Rotator Cuff Outcomes Workgroup Cohort Study
Conclusions In a cohort of patients with shoulder pain, we identified older age, involvement of the dominant shoulder, and a higher body mass index to be independently associated with rotator cuff tear. The mechanism of how these factors possibly lead to rotator cuff tears needs further research. To Claim CME Credits Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME Objectives Upon completion of this article, the reader should be able to: (1) Identify factors associated with an increased risk of developing rotator cuff tears in adults; (2) Describe the ...
Source: American Journal of Physical Medicine and Rehabilitation - March 20, 2021 Category: Rehabilitation Tags: CME Article . 2021 Series . Number 4 Source Type: research

Relationships Between Functionality, Depression, and Anxiety With Community Integration and Quality of Life in Chronic Traumatic Spinal Cord Injury
Conclusions The Functional Independence Measure transfers and self-care were strongly associated with the Community Integration Questionnaire home integration (in participants with tetraplegia). Anhedonia was strongly related to all four World Health Organization Quality of Life–BREF Scale dimensions, being the Hospital Anxiety and Depression Scale–depression the most relevant predictor of D1 and D2. To Claim CME Credits Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME Objectives Upon completion of this article, the reader should be able to (1) Det...
Source: American Journal of Physical Medicine and Rehabilitation - August 26, 2021 Category: Rehabilitation Tags: CME Article . 2021 Series . Number 9 Source Type: research

Suicide deaths among medical students, residents and physicians in India spanning a decade (2010-2019): An exploratory study using on line news portals and Google database
CONCLUSION: Academic stress among medical students and residents, and marital discord in physicians emerged as the key reasons for suicide. However, this preventable domain should be further explored through focused research. This is the first of its kind study from India which attempted to explore this vital yet neglected public health issue using the most feasible and practical method of online news content-based analysis.PMID:33904322 | DOI:10.1177/00207640211011365
Source: The International Journal of Social Psychiatry - April 27, 2021 Category: Psychiatry Authors: Savita Chahal Anuradha Nadda Nikhil Govil Nishu Gupta Diviyanshu Nadda Kapil Goel Priyamadhaba Behra Source Type: research