scholarly journals The Effect of a Simple Phone Call Intervention on FIT-Positive Individuals: An Exploratory Study

2020 ◽  
Author(s):  
Gretel Jianlin Wong ◽  
Jerrald Lau ◽  
Ker-Kan Tan
Keyword(s):  
Patient Outcomes ◽  
University Hospital ◽  
Phone Call ◽  
Telephone Intervention ◽  
Preliminary Screening ◽  
National University ◽  
Study Team ◽  
Immunochemical Test ◽  
Improve Patient

Purpose: Colorectal cancer (CRC) screening has been shown to improve patient outcomes. A widely utilised preliminary screening tool is the Faecal Immunochemical Test (FIT). However, follow-up rates after a positive FIT result remain suboptimal. Methods: In order to improve the compliance of FIT-positive individuals to follow-up consultation and to elucidate barriers to action, a simple 5- to 10-minute telephone intervention with a structured script based on the Protection Motivation Theory (PMT) was conducted. Results: Ninety-two FIT-positive individuals who had previously rejected follow-up consultation in the National University Hospital, Singapore were interviewed by the study team. Individuals reported barriers to action such as the denial of a positive FIT result (41.8%) and a lack of knowledge (34.5%). More than 20% of the participants who had yet to schedule follow-up consultation changed their minds after the intervention. Conclusion: The results suggest that a simple, structured telephone call can potentially encourage more FIT-positive individuals to pursue follow-up investigation.

scholarly journals A Minimally-Invasive, Simple, Rapid, and Effective Surgical Technique for the Treatment of Ingrown Toenails: A Reminder of the Original Winograd Procedure

2021 ◽  
Vol 18 (1) ◽  
pp. 278
Author(s):  
Jahyung Kim ◽  
Sanghyeon Lee ◽  
Jeong Seok Lee ◽  
Sung Hun Won ◽  
Dong Il Chun ◽  
...  
Keyword(s):  
Patient Outcomes ◽  
Simple Procedure ◽  
Wedge Resection ◽  
Operation Time ◽  
University Hospital ◽  
Wound Infections ◽  
Germinal Matrix ◽  
One Year ◽  
Ingrown Toenails

(1) Background: Ingrown toenail is a common disorder of the toe that induces severe toe pain and limits daily activities. The Winograd method, the most widely used operative modality for ingrown toenails, has been modified over years to include wedge resection of the nail fold and complete ablation of the germinal matrix. We evaluated the outcomes of original Winograd procedure without wedge resection with electrocautery-aided matrixectomy. (2) Methods: We retrospectively analyzed the outcomes of patients who underwent surgery for ingrown toenails at a university hospital for two years from November 2015 to October 2017. Surgery was performed in 76 feet with a mean operation time of 9.34 min. (3) Results: The minimal interval from surgery to return to regular activities was 13.26 (range 7 to 22) days. Recurrence and postoperative wound infections were found in 3 (3.95%) and 2 (2.63%) patients, respectively. Evaluation of patient satisfaction at one-year follow-up showed that 40 (52.63%) patients were very satisfied, 33 (43.42%) were satisfied, 3 (3.95%) were dissatisfied, and none of them were very dissatisfied. The average follow-up duration was 14.66 (range 12 to 25) months. (4) Conclusions: Therefore, it is believed that this less-invasive and simple procedure could be easily performed by clinicians, with satisfactory patient outcomes.

Comparative analysis of an innovative app versus conventional techniques to improve patient compliance after minor oral surgical procedures (Preprint)

2021 ◽  
Author(s):  
Deborah Sybil ◽  
Meenakshi Krishna ◽  
Priyanshu Kumar Shrivastava ◽  
Shradha Singh ◽  
Imran Khan
Keyword(s):  
Tooth Extraction ◽  
Compliance Rate ◽  
Phone Call ◽  
Oral Surgical Procedures ◽  
Operative Care ◽  
The Difference ◽  
Complications Rate ◽  
Study Participants ◽  
Improve Patient

BACKGROUND Certain factors such as compliance, comprehension, retention of instructions, and other unaccounted elements impact the objectives of post-operative care. It is imperative that patients follow the instructions and prescribed regimen diligently for a smooth and placid healing. Keeping the same principles in view, ExoDont was designed by our team, an android-based mHealth app which ensures a smooth post-operative period for the patients after a dental extraction. Besides providing post-operative instructions at defined intervals, the app also sends out drug reminders as an added advantage over other available conventional modes. OBJECTIVE To compare the compliance rate of individuals with respect to the prescribed regimen, postoperative instructions, and additionally, assess any significant changes in post-operative complications rate under the three categories namely Verbal, Verbal plus Written, and ExoDont group. METHODS The patients after tooth extraction were randomly assigned to the aforementioned groups and a one week follow-up through a phone call was planned to obtain the responses from study participants. The result obtained from the three groups was then statistically analyzed. RESULTS The compliance rate in patients for post-operative instructions and prescribed drug adherence was statistically significant in the group using ExoDont app than in Verbal or Verbal plus Written group. However, the difference in the incidence of postoperative complication rate was not significant among the three groups. CONCLUSIONS As evident from the result, it is anticipated that the ExoDont app will be revolutionary in not only circumventing the unaccounted possibilities of missing the prescribed dose and post-operative instructions but also ensure a smooth post-operative phase and easy recovery for the patients.

scholarly journals Endosonographic Findings and the Natural Course of Chronic Gastric Anisakiasis: A Single-Center Experience

2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
Eun Young Park ◽  
Dong Hoon Baek ◽  
Gwang Ha Kim ◽  
Bong Eun Lee ◽  
So-Jeong Lee ◽  
...  
Keyword(s):  
Muscularis Propria ◽  
University Hospital ◽  
Eosinophil Infiltration ◽  
Tubular Structures ◽  
High Power Field ◽  
Mesenchymal Tumors ◽  
Single Center Experience ◽  
National University ◽  
Raw Fish

Background. Chronic gastric anisakiasis is a rare, usually asymptomatic, and difficult to diagnose infection incidentally discovered during endoscopy, resembling a subepithelial tumor (SET). Because its endoscopic ultrasonography (EUS) findings are not established, it is occasionally misdiagnosed as gastrointestinal mesenchymal tumors and removed by endoscopic or surgical resection. We aimed to assess the characteristic EUS findings of chronic gastric anisakiasis and the clinical course during follow-up. Methods. The database of all patients who underwent EUS at Pusan National University Hospital (Busan, Korea) between January 2011 and December 2016 was retrospectively analyzed. A total of 28 SET cases with EUS features suggesting chronic gastric anisakiasis were included in the study. The EUS, histopathologic, and follow-up endoscopic features were analyzed. Results. On EUS, the lesions were mainly located in the submucosal and/or propria muscle layers. Twenty-seven lesions (27/28, 96%) showed hypoechoic echogenicity, and 22 lesions (22/28, 79%) were heterogeneous. Hyperechoic tubular structures suggesting denaturalized Anisakidae larvae were seen in 22 lesions (22/28, 79%). Endoscopic biopsies revealed significant eosinophil infiltration (≥30 per high-power field) in 12 lesions (12/21, 57%). During the median follow-up period of 9 months (range, 1–55 months), SETs decreased or subsided in 26 lesions (26/28, 93%) with no change in the size of the two lesions (2/28, 7%). Conclusions. Chronic gastric anisakiasis, although rare, should be included in the differential diagnoses for gastric SETs, especially in regions where raw fish is widely consumed. EUS findings suggesting chronic gastric anisakiasis are heterogeneously hypoechoic lesions with hyperechoic tubular structures, mainly in the submucosal and/or muscularis propria layers. Because chronic gastric anisakiasis decreases or subsides in most cases, follow-up endoscopy 6–12 months later is recommended.

Identifying risk in the use of tumor markers to improve patient safety

2016 ◽  
Vol 54 (12) ◽  
Author(s):  
Elvira Eva Moreno-Campoy ◽  
Francisco J. Mérida-De la Torre ◽  
Francisco Martos-Crespo ◽  
Mario Plebani
Keyword(s):  
Patient Safety ◽  
Tumor Markers ◽  
Improve Patient Safety ◽  
Statistical Significance ◽  
University Hospital ◽  
Neoplastic Diseases ◽  
Inappropriate Use ◽  
Normal Law ◽  
Improve Patient

AbstractBackground:Tumor markers (TM) are a routine test that are not always used well, and can lead to unnecessary additional tests, which are not without risks for the patients. So, to implement appropriate strategies to improve the adequate use of TM and, therefore, improve patient safety, is required to analyze the use of TM, identifying risks and establishing if there are differences in their use as a function of their utility.Methods:The study was a descriptive, longitudinal, retrospective and systematic study in the area covered by the University Hospital of Padua. In the follow-up 2-year study, 23,059 analytical requests of TM, corresponding to 14,728 patients, were analyzed. For the level of statistical significance it applies an approximation of the normal law (Z statistic) and χResults:Only 9196 requests (39.88%) out of a total of 23,059 on 5080 patients with neoplastic diseases have been classified as adecuate according to current guidelines. The number of requests per patient was variable (1.57±1.35). In patients with neoplastic diseases this increased to 1.80±1.68. The mean of number of TM per request was 2.4±1.73. The analysis showed an association between the number of requests and the type of marker used.Conclusions:The use of TM is variable, mainly of the follow-up markers, when they are used as screening. This inappropriate use, minimizes their utility favoring erroneous interpretations and increases the risk of damage to the patient. So it is essential to implement safe practices in the use of TM.

scholarly journals Prognostic Factors for Radiographic Progression in Patients with Seronegative Rheumatoid Arthritis

2021 ◽  
Vol 11 (3) ◽  
pp. 184
Author(s):  
Eun-Jung Park ◽  
WooSeong Jeong ◽  
Jinseok Kim
Keyword(s):  
Rheumatoid Arthritis ◽  
Prognostic Factors ◽  
Radiographic Progression ◽  
Linear Regression Analysis ◽  
University Hospital ◽  
Symptom Duration ◽  
Radiographic Damage ◽  
National University ◽  
Yearly Change

(1) Background: It has long been suggested that seronegative rheumatoid arthritis (RA) represents a clinical entity quite distinct from that of seropositive. However, analytical studies of seronegative RA dedicated to clinical outcomes regarding radiographic progression and related risk factors are scarce. The aim of this study is to evaluate radiographic outcome and prognostic factors for radiographic progression in patients with seronegative rheumatoid arthritis. (2) Methods: Subjects included RA patients reported as seronegative for both rheumatoid factor and anti-citrullinated protein antibody, who were treated at Jeju National University Hospital in South Korea between 2003 and 2016, including follow-up of at least 2 years. All patients fulfilled 1987 ACA or 2010 ACR/EULAR RA criteria. Radiographic progression was measured by yearly change in the Sharp van der Heijde (SvdH) score during follow-up periods. Medical records, laboratory and radiographic data were retrospectively analyzed, and linear regression analysis was performed to evaluate prognostic factors for radiographic progression in patients with seronegative rheumatoid arthritis. (3) Results: In total, 116 patients with seronegative RA were observed and 43 (37.1%) patients demonstrated radiographic damage during follow-up period. Mean age at diagnosis was 48 years and 86 (74.1%) patients were female. Symptom duration at diagnosis was 1.3 years and mean follow-up duration was 5.2 years. Patients with radiographic damage at diagnosis were 14 (12.1%) and mean SvdH score was 6.8 at diagnosis. Radiographic damage and SvdH at diagnosis significantly correlated with radiographic progression in patients with seronegative RA after adjusting age, sex, symptom duration, number of active synovitis, and CRP at diagnosis (β-coefficient 6.5 ± 1.84; p = 0.001 and β-coefficient 0.12 ± 0.02; p < 0.001, respectively). (4) Conclusions: This study determined that radiographic damage and SvdH at diagnosis were predictive factors in progression of radiographic damage in patients with seronegative rheumatoid arthritis. A large comparative study dedicated to this issue in seronegative RA is required.

scholarly journals Gastric epithelial dysplasia: Characteristics and long-term follow-up results after endoscopic resection according to morphological categorization.

2015 ◽  
Vol 33 (3_suppl) ◽  
pp. 190-190
Author(s):  
Bong Eun Lee ◽  
Gwang Ha Kim ◽  
Dong Hoon Baek
Keyword(s):  
Endoscopic Resection ◽  
Epithelial Dysplasia ◽  
University Hospital ◽  
Clinicopathologic Characteristics ◽  
Morphologic Characteristics ◽  
Study Results ◽  
National University ◽  
Long Term Follow Up

190 Background: Gastric epithelial dysplasia (GED) can be morphologically categorized into adenomatous and foveolar types. To date, there have been few studies on the clinical characteristics of GEDs according to the morphologic types. Therefore, we here aimed to elucidate the clinicopathologic characteristics of patients with GED and the long-term follow-up results after endoscopic resection according to the morphologic characteristics of GEDs. Methods: A total of 357 patients who underwent endoscopic resection for GEDs at Pusan National University Hospital between January 2008 and December 2009 were included in the study. Results: Patients with GED were divided into 3 groups: adenomatous (n = 167, 46.8%), foveolar (n = 103, 28.9%), and hybrid (n = 87, 24.3%) types. Compared to the adenomatous type, foveolar type lesions were more frequently located in the antrum/pylorus, flat/depressed lesions, and normal/reddish in color; and showed more frequent high-grade dysplasia. During the follow–up period (median, 37.3 months), the overall incidence of synchronous and metachronous lesions was 20.8% and 20.1%, respectively; of these, the incidence of synchronous and metachronous gastric cancer was 8.7% and 5.4%, respectively. There were no significant differences in the incidence of synchronous and metachronous lesions according to morphologic types. Conclusions: GEDs appear to have different clinicopathologic characteristics according to morphologic types. Irrespective of the morphology, synchronous and metachronous gastric cancers are commonly found after endoscopic resection of GEDs. Therefore, close follow-up surveillance after endoscopic resection of GEDs should be performed for all patients.

Abstract WP329: Video Conferencing is the Preferred Method for Follow-up Communication for Post-hospital Stroke Patients

Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Fred Cohen ◽  
Jackie McCarthy ◽  
Michelle Gribko ◽  
Jeffrey M Katz ◽  
Paul Wright
Keyword(s):  
Patient Satisfaction ◽  
Visual Information ◽  
Medication Compliance ◽  
Video Conferencing ◽  
Treatment Compliance ◽  
Improve Patient Care ◽  
Phone Call ◽  
Stroke Patients ◽  
Improve Patient

Introduction: Close communication with a stroke patient after discharge from a comprehensive stroke center has been shown to be crucial for medication compliance, follow up care and improving patient satisfaction. We aimed to improve post-hospitalization compliance and patient satisfaction by assessing if a video call as a routine follow-up communication modality would be the preferred method of communication. Methods: Admitted stroke patients were asked for their preference in post-hospitalization communications with their attending physician. Results: A total of 52 stroke patients were interviewed, 30 (57.7%) requested a video call, 22 (42.3%) requested a phone call. 100% (14/14) ages 55 and younger requested a video call. 70.3% (19/27) of patients 65 years old and younger requested a video call. Conclusion: There is evidently a strong demand for video conferencing as a method of follow-up communication among the post hospitalized stroke population. Although age appears to influence the demand, the majority of patients expressed greater enthusiasm with the concept of video conferencing. Follow-up video communication could improve patient medication, treatment compliance, risk factor reduction and ultimately improve patient care and satisfaction. Video calls will also provide additional visual information that a routine phone call would miss, potentially reducing readmissions. Therefore, with advancing technology and the strong desire for video conferencing, one should begin to think of ways to provide this service.

75 Community Dnacpr Forms: Opening A Can of Worms

2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i12-i42
Author(s):  
J Odone ◽  
R Schiff
Keyword(s):  
Pilot Study ◽  
Phone Call ◽  
Post Intervention ◽  
Patient Understanding ◽  
Cardio Pulmonary Resuscitation ◽  
Pdsa Cycle ◽  
National Guidance ◽  
The Impact ◽  
Improve Patient

Abstract Background There is no national guidance for the transfer of Do Not Attempt Cardio-Pulmonary Resuscitation (DNACPR) decisions between care settings. This issue has been highlighted within our Integrated Care Trust. We reviewed our local process, to improve the transfer of DNACPR decisions between care settings. Method A third PDSA cycle was completed to evaluate intervention. Intervention Frequently asked questions were added to the reverse side of the DNACPR form to improve patient understanding. All patients discharged home were given this updated form during a pilot study. The impact of the intervention was analysed with a follow-up phone call (n = 30) and discussed at a staff focus group. Results No improvement in patient understanding was shown post-intervention, however the intervention was overwhelmingly supported by staff. 60% of patients reported receiving a DNACPR form on discharge and 12% recalled being informed that they would be discharged home with a form. Conclusion Further work is required on the DNACPR pathway across primary and secondary care. The next cycle will involve ensuring that the community form is highlighted in hospital discussions regarding DNACPR decisions.

Improving liaison neurology services

2020 ◽  
Vol 20 (6) ◽  
pp. 494-498
Author(s):  
Geraint N Fuller
Keyword(s):  
Patient Outcomes ◽  
Neurological Disease ◽  
Electronic Systems ◽  
Medical Unit ◽  
Inpatient Ward ◽  
Acute Medical Unit ◽  
Improve Patient ◽  
The Way

Liaison neurology (consulting with inpatient ward referrals) is the main way that most patients admitted with neurological disease will access neurology services. Most liaison neurology services are responsive, seeing referrals on request, but they also can be proactive, with a regular neurology presence in the acute medical unit. Fewer than half of hospitals in England have electronic systems, yet these can facilitate the process—allowing electronic responses to advise on investigations before seeing the patient, and arranging follow-up after—as well as prioritising referrals and documenting the process. In this time of COVID-19, there are additional benefits in providing prompt remote advice. Improving the way liaison neurology is delivered can improve patient outcomes and save money by shortening admissions. This hidden work of the neurologists needs to be recorded and recognised.

Pathway to Dry Skin Prevention and Treatment

2012 ◽  
Vol 16 (1) ◽  
pp. 23-31 ◽  
Author(s):  
Lyn Guenther ◽  
Chuck W. Lynde ◽  
Anneke Andriessen ◽  
Benjamin Barankin ◽  
Eric Goldstein ◽  
...  
Keyword(s):  
Patient Outcomes ◽  
Clinical Pathway ◽  
Clinical Pathways ◽  
Therapeutic Area ◽  
Dry Skin ◽  
Treatment Practice ◽  
Modified Delphi ◽  
Prevention And Treatment ◽  
Improve Patient

Background: This article presents an evidence-supported clinical pathway for dry skin prevention and treatment. Objective: The development of the pathway involved the following: a literature review was conducted and demonstrated that literature on dry skin is scarce. To compensate for the gap in the available literature, a modified Delphi method was used to collect information on prevention and treatment practice through a panel, which included 10 selected dermatologists who currently provide medical care for dermatology patients in Ontario. An advisor experienced in this therapeutic area guided the process, including a central meeting. Panel members completed a questionnaire regarding their individual practice in caring for these patients and responded to questions on assessment of dry skin etiology, frequency of skin care visits for consultation and follow-up, assessment, and referral to other specialties. The panel members reviewed a summary of all responses and reached a consensus. The result was presented as a clinical pathway. Conclusion: The panel concluded that our current awareness of dry skin and therefore prevention and effective treatment is limited; that identifying dry skin and its clinical issues requires tools such as clinical pathways, which may improve patient outcomes; and that additional research on dry skin etiology, prevention, and treatment is necessary.

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