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Laparoscopic Revisional Surgical procedure After Been unsuccessful Heller Myotomy with regard to Esophageal Achalasia: Long-Term Result with a Solitary Tertiary Middle.
CASE We present a case report of an 18-year-old woman who presented to a general surgeon with a several month history of intermittent right upper quadrant pain, strongly suggestive of symptomatic cholelithiasis and underwent a laparoscopic cholecystectomy. She was eventually found to have an osteoid osteoma (OO) of the right eighth rib. She was treated with radiofrequency ablation with complete resolution of symptoms 1 month after treatment. CONCLUSIONS In cases where a patient's age and risk factors would make the diagnosis of cholelithiasis less likely, OO should be added to the differential diagnosis of symptomatic right upper quadrant pain.BACKGROUND Medication errors are pervasive. Electronic prescriptions (e-prescriptions) convey secure and computer-readable prescriptions from clinics to outpatient pharmacies for dispensing. Once received, pharmacy staff perform a transcription task to select the medications needed to process e-prescriptions within their dispensing software. Later, pharmacists manually double-check medications selected to fulfill e-prescriptions before dispensing to the patient. Although pharmacist double-checks are mostly effective for catching medication selection mistakes, the cognitive process of medication selection in the computer is still prone to error because of heavy workload, inattention, and fatigue. Leveraging health information technology to identify and recover from medication selection errors can improve patient safety. OBJECTIVE This study aimed to determine the performance of an automated double-check of pharmacy prescription records to identify potential medication selection errors made in outpatient pharmacted within pharmacy dispensing software to fulfill e-prescriptions. ©Corey A Lester, Liyun Tu, Yuting Ding, Allen J Flynn. Originally published in JMIR Medical Informatics (http//medinform.jmir.org), 11.03.2020.BACKGROUND An increasing shortage of skilled personnel, including medical personnel, has been reported in many postindustrial economies. Persisting and growing trends in absenteeism and incapacity to work due to mental disorders are concerning and have increased political, economic, and scientific interest in better understanding and management of determinants related to the work environment and health. OBJECTIVE This study protocol describes an integrated approach of social research methods to explore determinants of work-related stress in general practice teams as an example for micro, small, and medium-sized enterprises (SMEs). METHODS The methods applied will allow an in-depth exploration of work practices and experiences relating to psychological well-being in general practice teams. An ethnographic approach will be used to develop an in-depth understanding of the drivers of work-related stress in general practice teams. We will combine participating observation and individual interviews with five to seven general practitioners (GPs), and five to seven focus group discussions with the nonphysician staff (3-4 participants per group) in approximately four GP group practices and one single practice in Germany. Data collection and analysis will follow a grounded theory approach. β-Sitosterol cell line RESULTS The Ethics Committee of the Medical Faculty, University Hospital of Tuebingen, Germany, has approved this study (reference number 640/2017BO2). Recruitment has commenced with study completion anticipated in mid-2020. CONCLUSIONS The data from this project will be used in follow-up projects to develop and test an intervention to reduce and prevent work-related stress in GP practices and other SMEs. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/15809. ©Esther Rind, Sigrid Emerich, Christine Preiser, Elena Tsarouha, Monika A Rieger, IMPROVEjob-Consortium. Originally published in JMIR Research Protocols (http//www.researchprotocols.org), 11.02.2020.BACKGROUND Social media posts about diabetes could reveal patients' knowledge, attitudes, and beliefs as well as approaches for better targeting of public health messages and care management. OBJECTIVE This study aimed to characterize the language of Twitter users' posts regarding diabetes and describe the correlation of themes with the county-level prevalence of diabetes. METHODS A retrospective study of diabetes-related tweets identified from a random sample of approximately 37 billion tweets from the United States from 2009 to 2015 was conducted. We extracted diabetes-specific tweets and used machine learning to identify statistically significant topics of related terms. Topics were combined into themes and compared with the prevalence of diabetes by US counties and further compared with geography (US Census Divisions). Pearson correlation coefficients are reported for each topic and relationship with prevalence. RESULTS A total of 239,989 tweets from 121,494 unique users included the term diabetes. The th Ungar, Alison M Buttenheim, Frances K Barg, Nandita Mitra, Raina M Merchant. Originally published in JMIR Diabetes (http//diabetes.jmir.org), 26.01.2020.BACKGROUND In the United States, among those living with mental illness, 81% of African American (AA) young adults do not seek treatment compared with 66% of their white counterparts. Although the literature has identified unique culturally related factors that impact help seeking among AAs, limited information exists regarding the development and evaluation of interventions that incorporate these unique factors. OBJECTIVE This study aims to describe a study protocol designed to develop a culturally relevant, theory-based, psychoeducational intervention for AA young adults; to determine if exposure to the intervention impacts AA young adults' willingness to seek help; and to determine whether cultural factors and stigma add to the prediction of willingness to seek help. METHODS The Theory of Planned Behavior (TPB) and Barrera and Castro's framework for cultural adaptation of interventions were used as guiding frameworks. In stage 1 (information gathering), a literature review and three focus groups were conduvention is useful for improving help seeking among young AAs. It will also inform future research and intervention development involving the TPB and willingness to seek help by identifying the important factors related to willingness to seek help. Advancing this field of research may facilitate improvements in help-seeking behavior among AA young people and reduce the associated mental health disparities that apparently manifest early on. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/16267. ©Benita A Bamgbade, Jamie C Barner, Kentya H Ford, Carolyn M Brown, William B Lawson, Kimberly Burdine. Originally published in JMIR Research Protocols (http//www.researchprotocols.org), 02.02.2020.
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