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Oncolog, Volume 59, Number 09, September 2014, Stephanie Deming, Bryan Tutt, Joe Munch, Jill Deisigne

OncoLog MD Anderson's Report to Physicians (All issues)

• Biomarker-Driven Clinical Trials may Improve Personalized Treatment for Patients With Lung Cancer: Innovative clinical trials that assign patients to treatment arms based on tumor biomarkers could lead to increase treatment options for patients with lung cancer
• New Antibody-Chemotherapy Combinations Show Promise Against Acute Lymphoblastic Leukemia: Two investigational agents-inotuzumab and ofatumumab-shows promise when combined with cytotoxic chemotherapy drugs for the treatment of acute lymphoblastic leukemia (ALL) in adults
• Deep Inspiration Breath Hold Protects Against Radiation-Induced Cardiotoxicity in Patients With Left-Sided Breast cancers: Patients with lest-sided breast cancers have an increased risk of heart damage from adjuvant radiation therapy given after lumpectomy …

Emerging Issues In The Collaborative Roles Of The Librarian And The Medical Personnel Towards The Provision Of Healthy Information For Hospital Patients In Nigeria, Anthony C. Izuchukwu

Library Philosophy and Practice (e-journal)

Abstract

Every field of study needs the other to survive and fully realize her set objectives and goals. This obviously is the brain behind the synergy of the librarian and the medical personnel. In this backdrop, the researchers identified the need for the collaborative roles of the librarian and the medical personnel towards the provision of healthy information for patients in Nigerian hospitals. For the librarian, the hospital patient is categorized under the disadvantaged groups owing to the critical nature of their information needs. And for the medical personnel, nothing can be more engaging than saving lives. The hospital patient …

Pharmacists' And Patients' Perceptions Of Role Of Pharmacist In Discharge Process, Ravi Teja Vempati

All Theses

The objective of this study was to identify the perceptions of both patients and pharmacists about the pharmacist's role in the hospital discharge process. In order to do this, observations were conducted with the patients and interviews were conducted with both patients and pharmacists. During the interviews, both the patients and pharmacists were asked about the pharmacist's role in the hospital discharge process. The interviews were qualitatively analyzed using the in vivo technique. Four high-level themes emerged from this study: Current role of a pharmacist in the hospital, Ideal role of a pharmacist in the discharge process, Pharmacists' perceptions of …

Physicians, Patients, And Facebook: Could You? Would You? Should You?, Joy Peluchette, Katherine Karl, Alberto Coustasse

Alberto Coustasse, DrPH, MD, MBA, MPH

This paper investigates the opinions of physicians and patients regarding the use of Facebook to communicate with one another about health-related issues. We analyzed 290 comments posted on online discussion boards and found that most (51.7%) were opposed to physicians being Facebook “friends” with patients and many (42%) were opposed to physicians having any kind of Facebook presence. The primary reasons for this opposition were concerns about privacy and the need to maintain professional boundaries in the physician-patient relationship. Others expressed concerns about HIPAA violations. Some believed it was acceptable for physicians to use Facebook as long as they were …

Transitioning Adolescents With Type I Diabetes To Adult Care, Kathyann Kenny Marsh Phd

Dissertations

Background: Care transitions, defined as hospital discharge or movement from one healthcare setting to another, are currently a major concern for healthcare providers and policy makers alike. These care transitions are occurring in the context of increasingly fragmented care and have been known to result in hospital readmissions, adverse events, and medication errors. The adolescents' transition between pediatric and the adult care system is not only fragmented but occurs at a time when they are most vulnerable and ill equipped for change. Objectives: The purpose of this research was to conduct a feasibility study to examine if the use of …

Long-Term Financial Burden Of Breast Cancer: Experiences Of A Diverse Cohort Of Survivors Identified Through Population-Based Registries, Reshma Jagsi, John A.E. Pottow, Kent A. Griffith, Cathy Bradley, Ann S. Hamilton, John Graff Rutgers University, Steven J. Katz, Sarah T. Hawley

Articles

Purpose: To evaluate the financial experiences of a racially and ethnically diverse cohort of long-term breast cancer survivors (17% African American, 40% Latina) identified through population-based registries. Methods: Longitudinal study of women diagnosed with nonmetastatic breast cancer in 2005 to 2007 and reported to the SEER registries of metropolitan Los Angeles and Detroit. We surveyed 3,133 women approximately 9 months after diagnosis and 4 years later. Multivariable models evaluated correlates of self-reported decline in financial status attributed to breast cancer and of experiencing at least one type of privation (economically motivated treatment nonadherence and broader hardships related to medical expenses). …

Nutrition Status Of Primary Care Patients With Depression And Anxiety, Adrienne K. Forsyth, Peter G. Williams, Frank P. Deane

Peter Williams

The objective of this study was to evaluate the nutrition status of people referred to a nutrition and physical activity program for the management of mental health in a general practice.

The Inclusion Of Pregnant Women In Clinical Research, Barbara A. Noah

Faculty Scholarship

In the past three decades, there has been unprecedented growth in medical research utilizing human subjects, with much promise for new treatments that extend life, improve quality of life, and prevent disease and disability. Safe prescribing of drug therapies requires that researchers design clinical trials to test products for the benefit of all persons who are likely to utilize them, not just a limited population. For this reason, it is essential that clinical trials include women, pregnant women, children, and racial minorities, as appropriate, because these populations sometimes exhibit different patterns of response or adverse reactions.

Despite some significant progress …

Diagnosis Of Copd In The Context Of Multi-Morbidity: Primary Care Patients' Perspectives, Sameera Ansari, Hassan Hosseinzadeh, Sarah Dennis, Nicholas Arnold Zwar

Faculty of Social Sciences - Papers (Archive)

Presentation made at the PHAA 43rd Annual Conference, 15-17 September 2014, Perth, Australia.

Prescription Medicines: Decision-Making Preferences Of Patients Who Receive Different Levels Of Public Subsidy, Jane Robertson, Evan Doran, David A. Henry, Glenn P. Salkeld

Faculty of Social Sciences - Papers (Archive)

Objective  To compare the relative importance of medicine attributes and decision-making preferences of patients with higher or lower levels of insurance coverage in a publicly funded health care system. Design and setting  Cross-sectional telephone survey of randomly selected regular medicine users aged ≥18 years in the Hunter Valley, NSW, Australia. Main variables studied  Questions about 27 medicine attributes and active involvement in decisions to start a new medicine. Results  After adjustment, there were few differences between the 408 concession card holders (high insurance) and 410 general beneficiaries (low insurance) in their assessment of the importance of medicine attributes. For both …

Efficacy Of Nutrition As Medication In Malnourished Hospitalised Patients Is Strongly Influenced By Environmental Factors, Kelly Lambert, Jan Potter, Maureen Lonergan, Linda Tapsell, Karen Charlton

Faculty of Social Sciences - Papers (Archive)

Aim To evaluate the use of Nutrition as Medication (NAM) as a dietary intervention strategy in a sample of malnourished renal and geriatric hospital inpatients. Methods In the study period of 1 July to 30 August 2009, patients admitted to the acute renal or geriatric wards of a large general hospital and assessed as malnourished or at risk of malnutrition and suitable to commence NAM were eligible for inclusion in this pilot clinical cohort study. Medication charts of the study patients were audited and opportunistic observations of patients receiving NAM were conducted. Comparisons of receival and refusal rates of NAM …

18f-Fmiso Pet/Ct Visualization Of Tumor Hypoxia In Patients With Chordoma Of The Mobile And Sacrococcygeal Spine, Matthew D. Cheney, Yen-Lin Chen, Ruth Lim, Barbara K. Winrich, Anca L. Grosu, Alexei V. Trofimov, Nicolas Depauw, Helen A. Shih, Joseph H. Schwab, Francis J. Hornicek, Thomas F. Delaney

Faculty of Engineering and Information Sciences - Papers: Part A

Abstract presented at the American Society for Radiation Oncology 56th Annual Meeting, ASTRO's 56th Annual Meeting, San Francisco, United States, 14–17 September 2014

Preliminary Development And Validation Of A New End-Of-Life Patient-Reported Outcome Measure Assessing The Ability Of Patients To Finalise Their Affairs At The End Of Life, N Mccaffrey, Pawel Skuza, Katrina Breaden, Simon Eckermann, Janet Hardy, Sheila Oaten, Michael Briffa, David Currow

Sydney Business School - Papers

Introduction: The ability of patients to finalise their affairs at the end of life is an often neglected aspect of quality of life (QOL) measurement in palliative care effectiveness research despite compelling evidence of the high value patients place on this domain.

Objective: This paper describes the preliminary development and evaluation of a new, single-item, end-of-life patient-reported outcome measure (EOLPRO) designed to capture changes in the ability of patients to finalise their affairs at the end of life.

Methods: Cognitive interviews with purposively sampled Australian palliative care patients (N=9) were analysed thematically to explore content validity. Simultaneously, secondary analysis of …

Impact Of Copd Diagnosis In The Face Of Multi-Morbidity: Primary Care Patients' Perspectives, Sameera Ansari, Hassan Hosseinzadeh, Sarah Dennis, Nicholas Arnold Zwar

Faculty of Social Sciences - Papers (Archive)

Poster presented at the 2014 Primary Health Care Research Conference, 23-25 July 2014, Canberra, Australia

Nudging The Fda, W. Nicholson Price Ii, I. Glenn Cohen

Law Faculty Scholarship

[Excerpt] "The FDA’s regulation of drugs is frequently the subject of policy debate, with arguments falling into two camps. On the one hand, a libertarian view of patients and the health care system holds high the value of consumer choice. Patients should get all the information and the drugs they want; the FDA should do what it can to enforce some basic standards but should otherwise get out of the way. On the other hand, a paternalist view values the FDA’s role as an expert agency standing between patients and a set of potentially dangerous drugs and potentially unscrupulous or …

Reverse Payment Agreements: Why A “Quick Look” Properly Protects Patents And Patients, Natalie Stoltz

Saint Louis University Law Journal

No abstract provided.

Patients' Perspectives On The Impact Of A New Copd Diagnosis In The Face Of Multimorbidity: A Qualitative Study, Sameera Ansari, Hassan Hosseinzadeh, Sarah Dennis, Nicholas Arnold Zwar

Faculty of Social Sciences - Papers (Archive)

Background: Chronic obstructive pulmonary disease (COPD), a major cause of morbidity and mortality worldwide, often occurs in the presence of comorbidities, which may influence experience and management of the disease. No prior research seems to have gained perspectives of newly diagnosed primary care COPD patients in the context of multimorbidity. Aims: This qualitative study aimed to explore the impact of a new diagnosis of COPD in the context of multimorbidity and also sought to gain a better understanding of how patients react to the diagnosis and incorporate it into their lives. Methods: Participants were identified from a cohort of primary …

The Experience Of Melanoma Follow-Up Care: An Online Survey Of Patients In Australia, Janine Mitchell, Peta Callaghan, Jacqueline M. Street, Susan Neuhaus, Taryn Bessen

Faculty of Social Sciences - Papers (Archive)

Investigating patients' reports on the quality and consistency of melanoma follow-up care in Australia would assist in evaluating if this care is effective and meeting patients' needs. The objective of this study was to obtain and explore the patients' account of the technical and interpersonal aspects of melanoma follow-up care received. An online survey was conducted to acquire details of patients' experience. Participants were patients treated in Australia for primary melanoma. Qualitative and quantitative data about patient perceptions of the nature and quality of their follow-up care were collected, including provision of melanoma specific information, psychosocial support, and imaging tests …

Understanding The Medication Experiences Of Thai Patients Attending A Medication Therapy Management Clinic, Phantipa Sakthong, Win Winit-Watjana, Rungpetch Sakulbumrungsil

The Thai Journal of Pharmaceutical Sciences

The study aimed to explore Thai patients' medication experiences in five domains, i.e., attitudes, understanding, expectations and wants, concerns, and convenience of medicine use. This cross-sectional descriptive study was carried out using a qualitativ...

Advance Directives Educational Program For Nurses, Rose R. Pappas

Theses and Graduate Projects

Advance directives (AD) are legal documents outlining a patient's preferences for treatment at the end of life. AD allow people to communicate their end-of-life (EOL) decisions about medical care to family, friends, and health care professionals in the event that they are unable to make those decisions themselves. Many nurses observe patients and their families waiting until the patient is at the end of their life before they initiate an AD. With the current rate of aging baby boomers in the United States, AD would appear to be a phenomeron that should be encouraged. Assisting patients with completion of AD …

De Concentv Amisso Qvaerendo: An Investigation Into The Relative Benefits Of Three Different Types Of Ambient Music On The Observed Agitated Behaviour And Quality Of Life Of Dementia Sufferers In Residential Aged Care Facilities, Peter Wilkinson

Theses: Doctorates and Masters

There is an increasing body of research evidence to support the use of music as a therapeutic modality in reducing the agitated behaviour frequently associated with late-stage dementia. Although much of this evidence suggests that music interventions are most effective when they are “individualized”, this type of intervention is often difficult to implement in large, busy, aged care facilities where residents may be located together in communal areas during the day. The challenge therefore is to try and identify a particular musical genre which, when played as “ambient” or “background” music, demonstrates a consistent capacity to reduce agitated behaviour in …

A Pilot Study On Nurse-Led Rounds: Preliminary Data On Patient Contact Time, Soo-Hoon Lee, Alice Lee, Siang-Ngim Lim, Mei-Jiao Koh, Benjamin Tan, Phillip H. Phan, Reshma A. Merchant, Aisha Lateef, Dale A. Fisher

Management Faculty Publications

IMPORTANCE OF THE STUDY. Ward rounding has been a historical clinical method of inter-professional collaboration to support inpatient care through the sharing of mental models by exchanging information and discussing plans of care, treatment goals, and discharge plans for the patient. The extant literature reports that rounds are frequently led by doctors with infrequent nurse-physician collaboration and patients’ interactions with doctors during ward rounds tend to be brief.

OBJECTIVE. To explore the effects of nurse-led morning ward rounds on patient contact time.

DESIGN. An ethnographic prospective observational study comparing nurse-led and physician-led rounds. SETTING. A General Medicine ward at the …