Dalhousie Medical Journal最新文献_第5页

Using Person-Centred Technology to Survey Older Adults at Northwood 使用以人为本的技术在诺斯伍德调查老年人

Dalhousie Medical Journal Pub Date : 2020-07-19 DOI: 10.15273/dmj.vol46no2.10145

C. Long, Faisal S. Jarrar

引用次数: 0

Patients' perspectives on methods of assessing pain 患者对疼痛评估方法的看法

Dalhousie Medical Journal Pub Date : 2020-07-19 DOI: 10.15273/dmj.vol46no2.10144

A. Verge, K. Mukhida

{"title":"Patients' perspectives on methods of assessing pain","authors":"A. Verge, K. Mukhida","doi":"10.15273/dmj.vol46no2.10144","DOIUrl":"https://doi.org/10.15273/dmj.vol46no2.10144","url":null,"abstract":"Pain questionnaires often serve as an assessment tool for initial consultations in chronic pain clinics. The Pain Management Unit (PMU) is a tertiary care centre in Halifax, Nova Scotia. A number of clinicians in the PMU have noted that some patients express that questionnaires are time consuming to complete and believe they are not used in a manner that is helpful to their health care. The effectiveness of questionnaire-based pain evaluation is an area of active research. Text-heavy questionnaires have been criticized for their reliance on literacy and for the format’s inability to facilitate patient self-expression. Other methods of assessing pain have been suggested, including those that use pictograms, photographs and technology. This study was designed to gauge patients’ opinions on the current pain assessment method used in the PMU. In addition, it aimed to evaluate if incorporating art and technology appealed to current patients. The ultimate goal of this study was to evaluate if improvements could be made to patients’ pain assessment experience. Thirty patients were interviewed following their initial consultation appointments at the PMU. Interviews were transcribed verbatim and analyzed using NVivo Software to look for themes expressed by research participants. The study yielded a total of 20 different themes, such as repetition within the questionnaires, and the patient’s desire to incorporate different technologies such as an iPad or computer. Recommendations are proposed based on these themes to help guide the creation or modification of pain assessment tools.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121262268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

The impact of preoperative anemia on red blood cell transfusion in primary and revision hip arthroplasty: A retrospective analysis 术前贫血对初次和翻修髋关节置换术中红细胞输注的影响:回顾性分析

Dalhousie Medical Journal Pub Date : 2020-07-19 DOI: 10.15273/dmj.vol46no2.10143

Oliver Poole, André Bernard, B. Kent, P. Brousseau

{"title":"The impact of preoperative anemia on red blood cell transfusion in primary and revision hip arthroplasty: A retrospective analysis","authors":"Oliver Poole, André Bernard, B. Kent, P. Brousseau","doi":"10.15273/dmj.vol46no2.10143","DOIUrl":"https://doi.org/10.15273/dmj.vol46no2.10143","url":null,"abstract":"Rationale: Lower extremity joint arthroplasty can lead to significant blood loss, and the need for blood transfusion. The use of blood products is associated with a variety of adverse outcomes including infection, circulatory overload, and transfusion reaction. Objectives: The objective of this quality improvement study is to identify the prevalence of preoperative anemia at our institution, and elucidate its impact on perioperative transfusion in elective patients undergoing primary or revision hip arthroplasty. Methods: Data for this study was collected from four databases at our institution. Elective patients undergoing primary or revision hip arthroplasty were selected. Transfusion was defined as the receipt of a red blood cell transfusion on the surgical day through to postoperative day five. The primary outcome was the effect of preoperative anemia on transfusion rates. Results: The overall transfusion rate was 7.6%. Transfusion rates for primary and revision arthroplasty were 5.8% and 18.7% respectively. Patients with a preoperative hemoglobin between 100 and 120 g/L were 4.5 times more likely to be transfused than those with a hemoglobin between 121 and 140 g/L, and 15.4 times more likely than those greater than 140 g/L. Preoperative anemia was common, with 11.5% of all patients having a preoperative hemoglobin of 120 g/L or less. Conclusion: Preoperative anemia was common and was significantly associated with higher transfusion rates. These findings reinforce the need to optimize hip arthroplasty patients prior to surgery, where possible. As a quality control study, these findings may help direct policy regarding the deferral of elective hip arthroplasty patients who are anemic preoperatively.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"10 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116781199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dr. Charles Miller Fisher: Important contributions to ophthalmology 查尔斯·米勒·费雪博士:对眼科的重要贡献

Dalhousie Medical Journal Pub Date : 2020-07-19 DOI: 10.15273/dmj.vol46no2.10147

Ashley Whelan, A. Hussain

引用次数: 0

Liability issues for the use of artificial intelligence in health care in Canada: AI and medical decision-making 加拿大在医疗保健中使用人工智能的责任问题:人工智能和医疗决策

Dalhousie Medical Journal Pub Date : 2020-07-19 DOI: 10.15273/dmj.vol46no2.10140

Mélanie Bourassa Forcier, L. Khoury, Nathalie Vézina

引用次数: 1

Prehospital times in primary percutaneous coronary intervention: The new frontier for improvement 初次经皮冠状动脉介入治疗院前时间:改进的新前沿

Dalhousie Medical Journal Pub Date : 2020-07-19 DOI: 10.15273/dmj.vol46no2.10142

J. Kiberd, G. Kephart, I. Bata, A. Quraishi

{"title":"Prehospital times in primary percutaneous coronary intervention: The new frontier for improvement","authors":"J. Kiberd, G. Kephart, I. Bata, A. Quraishi","doi":"10.15273/dmj.vol46no2.10142","DOIUrl":"https://doi.org/10.15273/dmj.vol46no2.10142","url":null,"abstract":"Background: Primary percutaneous coronary intervention (PPCI) remains the treatment of choice for patients presenting with ST-elevation myocardial infarction (STEMI). With STEMI, total ischemic time is an important predictor of myocardial injury and other short and long-term adverse events including mortality. Several studies have examined ‘Door to Balloon’ times, but few studies have examined pre-hospital and in hospital component times as individual pieces that make up total ischemic time. Methods: Total ischemic and component times for patients who received PPCI from 2012- 2015 in the Queen Elizabeth-II Halifax Infirmary were described. Median total ischemic times and component times were calculated and compared. Regression modeling was performed to identify which component times and component variables explained the most variation in total ischemic times. Results: 551 patients who had successful PPCI and complete component times were identified. Most were male (76%) with a median age of 59.2 years (IQR: 52.7-68.0 years). The longest component time was ‘Symptom Onset to First Medical Contact’ (Median: 61 min, IQR: 32-138 min). ‘Symptom Onset to First Medical Contact’ was found to account for most of the variation seen in total ischemic time (R2= 61%). Conclusions: We determined that most time in the component of receiving PPCI lies in the pre-hospital setting and that component variables including EHS use and pre-activation of the cardiac catheter lab reduce total ischemic time. More research needs to be devoted to reducing patient delay, as there appears to be little room for improvement in hospital component times.","PeriodicalId":293977,"journal":{"name":"Dalhousie Medical Journal","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129920378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Longitudinal rotating pathology elective: Reflections on a pilot project in pathology at Dalhousie 纵向旋转病理学选修:反思在达尔豪斯病理学试点项目

Dalhousie Medical Journal Pub Date : 2020-07-19 DOI: 10.15273/dmj.vol46no2.10148

Aleksandra K. Kajetanowicz, P. Holland, Carley Bekkers, Deji Ologbenla, A. Stueck, T. Arnason

引用次数: 0

Editor's Message 编辑的信息

Dalhousie Medical Journal Pub Date : 2020-07-19 DOI: 10.15273/dmj.vol46no2.10136

Danica Vidovic

引用次数: 0

Working with interpreters: An important skill for medical students 与口译员合作:医学生的一项重要技能

Dalhousie Medical Journal Pub Date : 2020-07-19 DOI: 10.15273/dmj.vol46no2.10138

Sonja Macdonald, K. Blake

引用次数: 0

Where no child knocks in vain: A History of the Izaak Walton Killam Hospital for Children 没有孩子徒然敲门:伊扎克·沃尔顿·基拉姆儿童医院的历史

Dalhousie Medical Journal Pub Date : 2020-07-19 DOI: 10.15273/dmj.vol46no2.10146

Michael Wong

引用次数: 0