Filtered By:
Specialty: General Medicine
Education: Learning

This page shows you your search results in order of relevance. This is page number 5.

Order by Relevance | Date

Total 112 results found since Jan 2013.

Perspective of synaptic protection after post-infarction treatment with statins
Stroke is the second most common cause of death in people over 45 years of age in Colombia and is the leading cause of permanent disability worldwide. Cerebral ischemia is a stroke characterized by decreased blood flow due to the occlusion of one or more cerebral arteries, which can cause memory problems and hemiplegia or paralysis, among other impairments. The literature contains hundreds of therapies (invasive and noninvasive) that exhibit a neuroprotective effect when evaluated in animal models. However, in clinical trials, most of these drugs do not reproduce the previously demonstrated neuroprotective property, and s...
Source: BioMed Central - April 13, 2015 Category: Journals (General) Authors: Johanna Gutiérrez-VargasAngel Cespedes-RubioGloria Cardona-Gómez Source Type: research

Functional rehabilitation of upper limb apraxia in poststroke patients: study protocol for a randomized controlled trial
This study will use a two-arm, assessor-blinded, parallel, randomized controlled trial design, involving 40 patients who present a left- or right-sided unilateral vascular lesion poststroke and a clinical diagnosis of upper limb apraxia. Participants will be randomized to either a combined functional rehabilitation or a traditional health education group. The experimental group will receive an 8-week combined functional program at home, including physical and occupational therapy focused on restorative and compensatory techniques for upper limb apraxia, 3 days per week in 30-min intervention periods. The control group will...
Source: Trials - November 5, 2015 Category: Journals (General) Authors: Jose Pérez-MármolMª García-RíosFrancisco Barrero-HernandezGuadalupe Molina-TorresTed BrownMaría Aguilar-Ferrándiz Source Type: research

Every Little Anniversary
One of the things they tell you after they’ve informed you that you have cancer or that you’ve had a stroke—after they tell you about the resections and the radiation—after they tell you about the aspirin and the clopidogrel—after you’re stable medically but still more than a little unstable emotionally—is to look for a support group. I had the kind of cancer that you learn about in medical school and then never see. I was decades younger than most of my physicians’ patients with stroke. The local support groups didn’t seem to fit me. I looked online at first, but then—even though I found a few people w...
Source: JAMA - December 1, 2015 Category: Journals (General) Source Type: research

Patient, Doctor, and the Data: Emergence of the Third Player
Amith Vikramr The conventional model of medicine had only two players. The doctor alone had access to all medical information and his encounter with the patient was the only way to obtain health-related information. The dawn of the information age led to a change in the dynamics in this relationship. A consumerist model of healthcare has emerged where doctors partner with patients in managing the patient’s illness. The advances in systems biology, big data and consumer health care electronics will add patient data as a new element to the patient-physician interface. In the next decade, individual patients will generate ...
Source: Society for Participatory Medicine - December 6, 2016 Category: Journals (General) Authors: Nanette Mattox Tags: Newsletter e-patient movement empowered patient Moral Injury participatory medicine Patient Participation Source Type: news

Using electronic health records to develop and validate a machine-learning tool to predict type 2 diabetes outcomes: a study protocol
Introduction Type 2 diabetes mellitus (T2DM) is a major cause of blindness, kidney failure, myocardial infarction, stroke and lower limb amputation. We are still unable, however, to accurately predict or identify which patients are at a higher risk of deterioration. Most risk stratification tools do not account for novel factors such as sociodemographic determinants, self-management ability or access to healthcare. Additionally, most tools are based in clinical trials, with limited external generalisability. Objective The aim of this work is to design and validate a machine learning-based tool to identify patients with T2...
Source: BMJ Open - July 30, 2021 Category: General Medicine Authors: Neves, A. L., Pereira Rodrigues, P., Mulla, A., Glampson, B., Willis, T., Darzi, A., Mayer, E. Tags: Open access, Health informatics Source Type: research

Educational games for health professionals.
CONCLUSIONS: The findings of this systematic review neither confirm nor refute the utility of games as a teaching strategy for health professionals. There is a need for additional high-quality research to explore the impact of educational games on patient and performance outcomes. PMID: 23440807 [PubMed - in process]
Source: Cochrane Database of Systematic Reviews - March 2, 2013 Category: Journals (General) Authors: Akl EA, Sackett KM, Erdley WS, Mustafa RA, Fiander M, Gabriel C, Schünemann H Tags: Cochrane Database Syst Rev Source Type: research

Understanding MRI: basic MR physics for physicians
This article, written for the general hospital physician, describes the basic physics of MRI taking into account the machinery, contrast weighting, spin- and gradient-echo techniques and pertinent safety issues. Examples provided are primarily referenced to neuroradiology reflecting the subspecialty for which MR currently has the greatest clinical application.
Source: Postgraduate Medical Journal - March 12, 2013 Category: Journals (General) Authors: Currie, S., Hoggard, N., Craven, I. J., Hadjivassiliou, M., Wilkinson, I. D. Tags: Editor's choice Reviews Source Type: research

Towards a programme theory for fidelity in the evaluation of complex interventions
ConclusionsThese findings characterize the real‐world nature of fidelity within intervention research, and specifically the negotiated nature of implementation within clinical settings, including individual patients' needs. This research adds to the evidence base because current frameworks for fidelity neglect the importance of learning over time of individuals and across the time span of a trial.
Source: Journal of Evaluation in Clinical Practice - May 19, 2014 Category: Journals (General) Authors: Patricia Masterson‐Algar, Christopher R. Burton, Jo Rycroft‐Malone, Catherine M. Sackley, Marion F. Walker Tags: Original Article Source Type: research

Variations and inter-relationship in outcome from emergency admissions in England: a retrospective analysis of Hospital Episode Statistics from 2005-2010
This study quantifies the scale of variation in three outcomes for a contemporary cohort of patients undergoing emergency medical and surgical admissions. The way in which the outcomes of different diagnoses relate to each other is investigated. Methods: A retrospective study using the English Hospital Episode Statistics 2005-2010 with one-year follow-up for all patients with one of 20 of the commonest and highest-risk emergency medical or surgical conditions. The primary outcome was in-hospital all-cause risk-standardised mortality rate (in-RSMR). Secondary outcomes were 1-year all-cause risk-standardised mortality rate (...
Source: BMC Health Services Research - June 19, 2014 Category: Journals (General) Authors: Peter HoltSidhartha SinhaBaris OzdemirAlan KarthikesalingamJan PolonieckiMatt Thompson Source Type: research

Atrial fibrillation: A moving target.
Abstract Present atrial fibrillation research focuses on three different fields of interest: Basic research to gain a better understanding of the mechanisms leading to atrial fibrillation, epidemiological studies to learn about the time course, the risk factors and the complications of atrial fibrillation, and clinical trials to further improve existing treatment strategies and develop new ones. The focus of this manuscript was the mechanisms, the epidemiology, the diagnosis and the treatment of the arrhythmia per se. Therefore, the field of prevention of stroke and systemic embolism is mostly excluded for the pur...
Source: Swiss Medical Weekly - December 30, 2014 Category: Journals (General) Authors: Eckstein J, Conen D, Kuehne M Tags: Swiss Med Wkly Source Type: research

COGNITIVE-HD study: protocol of an observational study of neurocognitive functioning and association with clinical outcomes in adults with end-stage kidney disease treated with haemodialysis
Introduction The prevalence of cognitive impairment may be increased in adults with end-stage kidney disease compared with the general population. However, the specific patterns of cognitive impairment and association of cognitive dysfunction with activities of daily living and clinical outcomes (including withdrawal from treatment) among haemodialysis patients remain incompletely understood. The COGNITIVE impairment in adults with end-stage kidney disease treated with HemoDialysis (COGNITIVE-HD) study aims to characterise the age-adjusted and education-adjusted patterns of cognitive impairment (using comprehensive testing...
Source: BMJ Open - December 9, 2015 Category: Journals (General) Authors: Palmer, S. C., Ruospo, M., Barulli, M. R., Iurillo, A., Saglimbene, V., Natale, P., Gargano, L., Murgo, A. M., Loy, C., van Zwieten, A., Wong, G., Tortelli, R., Craig, J. C., Johnson, D. W., Tonelli, M., Hegbrant, J., Wollheim, C., Logroscino, G., Strippo Tags: Open access, Epidemiology, Neurology Protocol Source Type: research

Self-management support interventions for persons with chronic disease: an evidence-based analysis.
CONCLUSIONS: The Stanford CDSMP led to statistically significant, albeit clinically minimal, short-term improvements across a number of health status measures (including some measures of health-related quality of life), healthy behaviours, and self-efficacy compared to usual care. However, there was no evidence to suggest that the CDSMP improved health care utilization. More research is needed to explore longer-term outcomes, the impact of self-management on clinical outcomes, and to better identify responders and non-responders. PLAIN LANGUAGE SUMMARY: Self-management support interventions are becoming more common as ...
Source: Ontario Health Technology Assessment Series - December 20, 2015 Category: Journals (General) Tags: Ont Health Technol Assess Ser Source Type: research

How to prevent diabetes from sneaking up on your patients
An AMA Viewpoints post by AMA Board Chair Stephen R. Permut, MD A major health threat has been silently taking hold of 86 million Americans, with 90 percent of them unaware of it. A new public health campaign is about to change that—and you’re the key to helping these patients take their health back. A campaign to prevent type 2 diabetes If you’re not already talking to your patients about prediabetes and the risks associated with it, it’s time to start. People with prediabetes—more than 1 in 3 adults—are at higher risk of developing serious health problems such as type 2 diabetes, heart disease and s...
Source: AMA Wire - January 21, 2016 Category: Journals (General) Authors: Amy Farouk Source Type: news

Top 9 takeaways from heart health tweet chat
How can physicians partner with their patients to ensure a healthy heart environment? The AMA hosted a vibrant tweet chat on World Heart Day Tuesday to explore answers to this question. Primary care physician Michael Rakotz, MD, sat down with leading cardiologist Clyde Yancy, MD, as his guest. Dr. Yancy is past president of the American Heart Association (AHA) and current chief of the Division of Medicine-Cardiology and Magerstadt Professor at Northwestern University’s Feinberg School of Medicine. And Dr. Rakotz is director of chronic disease prevention with the AMA’s Improving Health Outcomes initiative. The two d...
Source: AMA Wire - September 30, 2015 Category: Journals (General) Authors: amamod Source Type: news