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Hospital Practice (Minneapolis)

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https://www.readbyqxmd.com/read/29883230/updates-in-venous-thromboembolism-management-evidence-published-in-2017
#1
Matthew A Bartlett, Dennis M Bierle, Rayya A Saadiq, Karen F Mauck, Paul R Daniels
Venous thromboembolism (VTE) management is rapidly evolving and staying up-to-date is challenging. We identified the most practice-informing articles published in 2017 relevant to the non-specialist provider managing VTE. We performed a systematic search of the literature (Appendix A), limiting the search to a publication date of 2017. Two reviewers screened the 2735 resulting abstracts to identify high-quality, clinically relevant publications related to VTE management. One hundred and six full-text articles were considered for inclusion...
June 8, 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29848097/diagnostic-lipid-changes-in-patients-with-visceral-leishmaniasis
#2
Vasilis Tsimihodimos, Anastazia Kei, Fotini Apostolou, Moses Elisaf
Background Visceral leishmaniasis (VL) has been associated with increased triglyceride (TG) levels and decreased high-density lipoprotein cholesterol (HDL-C) concentration. The aim of the study was to evaluate whether there is a diagnostic cut-off point in these lipid profile changes. Materials and methods We included 100 patients with febrile infections. Analytically, 22 patients with VL, 18 patients with leptospirosis, 20 patients with Brucella melitensis and 40 age- and sex-matched patients with fever and proven bacteremia (endocarditis, pyelonephritis)...
May 31, 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29848117/admission-serum-phosphate-levels-predict-hospital-mortality
#3
Wisit Cheungpasitporn, Charat Thongprayoon, Michael A Mao, Wonngarm Kittanamongkolchai, Ankit Sakhuja, Stephen B Erickson
BACKGROUND: The aim of this study was to assess the relationship between admission serum phosphate levels and in-hospital mortality in all hospitalized patients. METHODS: All adult hospitalized patients who had admission serum phosphate available between years 2009 and 2013 were enrolled. Admission serum phosphate was categorized based on its distribution into six groups (<2.5, 2.5-3.0, 3.1-3.6, 3.7-4.2, 4.3-4.8 and ≥4.9 mg/dL). The odds ratio (OR) of in-hospital mortality by admission serum phosphate, using the phosphate category of 3...
May 30, 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29757037/the-clinical-implications-of-tests-confirming-copd-in-subjects-hospitalized-with-exacerbations
#4
Chan Yeu Pu, Nancy Quesada, Richard Nunez Lopez, Karmapath Aryal, Aiman Tulaimat
BACKGROUND: The diagnosis of COPD in patients hospitalized for AECOPD can be confirmed by spirometry showing obstruction or radiographs showing emphysema. The evidence for COPD is sometimes absent or contradicts this diagnosis. The inaccurate attribution of the exacerbation to COPD can lead to suboptimal care and worse outcome. OBJECTIVES: We determined if the presence of tests that confirm the diagnosis of COPD has any implications on the course of the hospitalization and readmission rate...
May 14, 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29757036/determinants-of-antibiotics-prescribing-among-doctors-in-a-nigerian-urban-tertiary-hospital
#5
Olayinka O Ogunleye, Joseph O Fadare, Adesola F Yinka-Ogunleye, Bene D Anand Paramadhas, Brian Godman
BACKGROUND AND OBJECTIVE: The problem of antimicrobial resistance (AMR) has assumed pandemic dimensions especially among low and middle-income countries such as Nigeria. Irrational use of currently available antimicrobial agents is a major contributory factor. There remains a paucity of documented information on the determinants of antibiotics prescribing among physicians in Nigeria to guide future strategies to reduce AMR. This study therefore aimed to investigate the patterns and determinants of antibiotics prescription among doctors in a tertiary hospital in Nigeria as the first step to improve future antibiotic use in hospitals...
May 14, 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29730955/erratum
#6
(no author information available yet)
No abstract text is available yet for this article.
May 7, 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29652559/point-prevalence-survey-of-antibiotic-use-and-resistance-at-a-referral-hospital-in-kenya-findings-and-implications
#7
Caleb Okoth, Sylvia Opanga, Faith Okalebo, Margaret Oluka, Amanj Baker Kurdi, Brian Godman
BACKGROUND AND AIMS: A substantial amount of antibiotic use in hospitals may be inappropriate, potentially leading to the development and spread of antibiotic resistance, adverse effects, mortality and increased hospital costs. The objective was to assess current patterns of antibiotic use in a leading referral hospital in Western Kenya. This would lead to the identification of opportunities for quality improvement in this hospital and others across Kenya. METHODOLOGY: A point prevalence survey was carried out with data abstracted principally from patient medical records supplemented by interviews from physicians when needed...
April 27, 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29688150/awareness-of-acute-kidney-injury-risk-factors-and-perspectives-on-its-practice-guidelines
#8
Numan Alabdan, Abdelhameed H Elfadol, Rami Bustami, Yousef A Al-Rajhi, Abdulla A Al-Sayyari
OBJECTIVES: Identifying and assessing risk factors for acute kidney injury (AKI) are crucial for its early detection and possible intervention to prevent AKI and associated adverse outcomes. This study aimed to investigate AKI risk factor awareness and risk assessment by healthcare professionals and to evaluate perspectives on the Kidney Disease Improving Global Outcomes AKI guidelines. METHODS: This cross-sectional survey-based study was conducted among healthcare professionals (physicians and pharmacists) at XXX from December 2016 to February 2017...
April 24, 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29648482/acute-chest-syndrome-in-sickle-cell-disease
#9
Sajid Farooq, Mohannad Abu Omar, Gary A Salzman
Acute chest syndrome (ACS) is a leading complication of sickle cell disease (SCD) with significant morbidity and mortality. ACS is the most common cause of death and the second most common cause of hospitalization in patients with SCD. Delineating the specific cause of ACS is often difficult, and multiple risk factors that precipitate ACS frequently coexist. The prominent risk factors include infection, hypoxia, bronchial hyperresponsiveness, the SCD genotype, and opioid use. The key to the successful treatment of ACS is early recognition and initiation of treatment without delay...
April 23, 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29619837/creating-and-evaluating-an-opportunity-for-medication-reconciliation-in-the-adult-population-of-south-africa-to-improve-patient-care
#10
Pranusha Naicker, Natalie Schellack, Brian Godman, Elmien Bronkhorst
OBJECTIVE: Adverse drug events (ADEs) are a major cause of morbidity and mortality, with more than 50% of ADEs being preventable. Adverse Drug Reactions (ADRs) are typically the result of an incomplete medication history, prescribing or dispensing error, as well as over- or under-use of prescribed pharmacotherapy. Medication reconciliation is the process of creating the most accurate list of medications a patient is taking and subsequently comparing the list against the different transitions of care...
April 16, 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29521136/prophylactic-antibiotics-to-prevent-surgical-site-infections-in-botswana-findings-and-implications
#11
Julius C Mwita, Sajini Souda, Mgaywa G M D Magafu, Amos Massele, Brian Godman, Michael Mwandri
OBJECTIVES: Antibiotic prophylaxis in surgery is known to reduce the rate of surgical site infections (SSI) as well as shorten hospital stay. However, there is currently a scarcity of data on antibiotic prophylaxis and SSIs among African countries including Botswana. Consequently, this study aimed to address this. METHODS: A prospective study involving 400 patients was carried out at a leading tertiary hospital in Botswana from 2014-2015. Patients' demographic information, type of surgery performed and peri-operative use of antibiotics were documented...
March 23, 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29490522/interventional-therapies-for-relief-of-obstruction-in-hypertrophic-cardiomyopathy-discussion-and-proposed-clinical-algorithm
#12
REVIEW
Srihari S Naidu, Jason Jacobson, Sei Iwai, Tanya Dutta, Wilbert S Aronow, Angelica Poniros, Ramin Malekan, David Spielvogel, Julio A Panza
Hypertrophic cardiomyopathy (HCM), a disease formerly thought rare in clinical practice, is now believed to affect as many as 1 in 300 individuals, regardless of race or gender. Rising awareness, coupled with advanced imaging and the development of dedicated HCM centers of excellence, has led to more patients coming to clinical presentation. While some are diagnosed at a young age, others are diagnosed in middle age or well into advanced age. Unfortunately, many such patients have progressed clinically to overt heart failure, or have some combination of advanced symptoms including dyspnea, angina, pre-syncope or syncope, palpitations, and edema...
April 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29478348/cardiovascular-benefits-and-risks-of-testosterone-replacement-therapy-in-older-men-with-low-testosterone
#13
REVIEW
Steven G Chrysant, George S Chrysant
Many studies have shown that low testosterone (T) levels have been associated with increased risk for cardiovascular (CV) events, type 2 diabetes mellitus (T2DM), and strokes. In contrast, many other studies have demonstrated that normal T levels or the normalization of low T levels with testosterone replacement therapy (TRT) is associated with decreased incidence of CV events, T2DM, and strokes, besides improving sexual function and the quality of life. However, recent studies have indicated that TRT could lead to increased incidence of CV events and strokes...
April 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29431543/high-flow-nasal-oxygen-therapy-utilization-7-year-experience-at-a-community-teaching-hospital
#14
Mihaela S Stefan, Patrick Eckert, Bogdan Tiru, Jennifer Friderici, Peter K Lindenauer, Jay S Steingrub
OBJECTIVE: To examine the use of high flow nasal cannula oxygen therapy (HFNC) between 2008 and 2014 in patients 18 years or older at a community teaching hospital. METHODS: Yearly utilization rates of HFNC, noninvasive ventilation (NIV) and invasive mechanical ventilation (IMV) were calculated among admissions with a set of cardiopulmonary diagnoses (heart failure, COPD, asthma or pneumonia). RESULTS: Among the 41,711 admissions with at least one of the above cardiopulmonary condition, HFNC was utilized in 1,128 or 27...
April 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29426263/drug-promotional-activities-in-nigeria-impact-on-the-prescribing-patterns-and-practices-of-medical-practitioners-and-the-implications
#15
Joseph O Fadare, Kazeem A Oshikoya, Olayinka O Ogunleye, Olufemi O Desalu, Alessandra Ferrario, Okezie O Enwere, Adekunle Adeoti, Taofiki A Sunmonu, Amos Massele, Amanj Baker, Brian Godman
OBJECTIVE: Pharmaceutical companies spend significant amount of resources on promotion influencing the prescribing behavior of physicians. Drug promotion can negatively impact on rational prescribing, which may adversely affect the quality of patient care. However, little is known about these activities in Nigeria as the most populous country in Africa. We therefore aimed to explore the nature of encounters between Nigerian physicians and pharmaceutical sales representatives (PSRs), and how these encounters influence prescribing habits...
April 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29400119/morbidity-mortality-and-management-of-methicillin-resistant-s-aureus-bacteremia-in-the-usa-update-on-antibacterial-choices-and-understanding
#16
REVIEW
Jessica K Ortwine, Kavita Bhavan
Methicillin-resistant Staphylococcus aureus (MRSA) bacteremia is associated with significant healthcare costs, morbidity, and mortality in the United States. Complications of MRSA bacteremia include infective endocarditis, osteomyelitis, and sepsis, all of which are difficult to treat. Time to effective therapy and antibacterial choice greatly affect patient outcomes. Vancomycin and daptomycin remain first-line therapies; however, reports of vancomycin-associated treatment failure and reduced daptomycin susceptibility highlight the need to define alternative strategies for MRSA bacteremia treatment...
April 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29322848/inpatient-satisfaction-at-different-public-sector-hospitals-of-a-metropolitan-city-in-pakistan-a-comparative-cross-sectional-study
#17
COMPARATIVE STUDY
Mehwish Hussain, Rehana Rehman, Zia Ikramuddin, Nava Asad, Ayesha Farooq
OBJECTIVE: To observe inpatient satisfaction at different public sector hospitals of Karachi, Pakistan. METHODS: A cross sectional study was carried out during 2010-2012 in four major public sector hospitals of Karachi. A total of 710 patients completed the study. Responses were gathered in a self-structured questionnaire that comprised of four dimensions of satisfaction with doctor, staff, administration and treatment. Average Score of each dimension was taken and compared using one way analysis of variance...
April 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29320310/comparison-of-current-recruitment-process-for-specialty-or-residency-training-in-uk-and-usa
#18
Ali Sibtain Farooq Sheikh, Mona Adel Mohamed
No abstract text is available yet for this article.
April 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29519170/dress-syndrome-a-detailed-insight
#19
Sapan Kumar Behera, Saibal Das, Alphienes Stanley Xavier, Sandhiya Selvarajan
Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a serious and potentially fatal adverse effect to therapeutic medications. The incidence of this condition varies among different ethnicities because of the difference in the genetic makeup. Though fever, rash and eosinophilia are essential features for the diagnosis of this syndrome, these vary from patient to patient along with the involvement of various organs such as liver, kidney, lungs, pancreas, etc. Some of the atypical features are dysphagia, agranulocytosis, and chylous ascites...
March 15, 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/29519183/intracranial-hemorrhage-in-the-setting-of-posterior-reversible-encephalopathy-syndrome-two-case-reports-and-a-review
#20
Manveer Garcha, Keithan Sivakumar, Mohammed El-Hunjul, Shweta Varade, Hussam A Yacoub
Posterior reversible encephalopathy syndrome (PRES) is clinically characterized by seizures, changes in vision, altered mental status, and headache, with associated radiologic changes on brain imaging. Intraparenchymal hemorrhage is a rare complication of PRES and an atypical initial presentation of this condition. In this report, we discuss two patients who presented with multifocal cerebral hemorrhages that were later attributed to PRES. We further expand on the pathophysiology, management, and prognosis on patients with hemorrhagic PRES...
March 14, 2018: Hospital Practice (Minneapolis)
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