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Steven M Brunelli, David B Van Wyck, Levi Njord, Robert J Ziebol, Laurie E Lynch, Douglas P Killion
Central venous catheters (CVCs) contribute disproportionately to bloodstream infection (BSI) and, by extension, to infection-related hospitalization, mortality, and health care costs in patients undergoing dialysis. Recent product advancements may reduce BSIs, but a sufficiently powered comparative-effectiveness study is needed to facilitate evidence-based patient care decisions. In a 13-month, prospective, cluster-randomized, open-label trial, we compared BSI rates in facilities using ClearGuard HD antimicrobial barrier caps (ClearGuard group) with those in facilities using Tego hemodialysis connectors plus Curos disinfecting caps (Tego+Curos group)...
April 2018: Journal of the American Society of Nephrology: JASN
Cécyl G Claudel, Waqas Ahmed, Vibeke S Elbrønd, Adrian P Harrison, Else Marie Bartels
This study aimed at looking at the frequency (T-score) and the amplitude (S-score) of fiber use during contraction of a forearm muscle, m. palmaris longus, as measured by acoustic myography (AMG). An additional aim was to relate the T- and S-scores to the recorded force obtained from a hand dynamometer. The hypothesis being that temporal and spatial summation of muscle fiber contraction in a given muscle during a given movement, can together describe a given obtained force. Force measurements were carried out on 12 healthy human subjects aged 19-68 years (6 men & 6 women), while their m...
January 2018: Physiological Reports
Matthew R Moore, Mary L Jameson, Beulah H Garner, Cédric Audibert, Andrew B T Smith, Matthias Seidel
The pelidnotine scarabs (Scarabaeidae: Rutelinae: Rutelini) are a speciose, paraphyletic assemblage of beetles that includes spectacular metallic species ("jewel scarabs") as well as species that are ecologically important as herbivores, pollinators, and bioindicators. These beetles suffer from a complicated nomenclatural history, due primarily to 20(th) century taxonomic and nomenclatural errors. We review the taxonomic history of the pelidnotine scarabs, present a provisional key to genera with overviews of all genera, and synthesize a catalog of all taxa with synonyms, distributional data, type specimen information, and 107 images of exemplar species...
2017: ZooKeys
Nadia Bou-Chacra, Katherine Jasmine Curo Melo, Ivan Andrés Cordova Morales, Erika S Stippler, Filippos Kesisoglou, Mehran Yazdanian, Raimar Löbenberg
The introduction of the biopharmaceutics drug classification system (Biopharmaceutics Classification System (BCS)), in 1995, provided a simple way to describe the biopharmaceutics behavior of a drug. Solubility and permeability are among the major parameters, which determine the fraction dose absorbed of a drug substance and consequently its chances to be bioavailable. The purpose of this review is to summarize the evolution of the media used for determining solubility and dissolution and how this can be used in modern drug development...
July 2017: AAPS Journal
Valentina Filippini, Estefanía Micó, Eduardo Galante
A checklist and identification key for the species of the tribe Anomalini in Costa Rica are presented. The Anomalini species are important economically, as they have larvae that are or can become agricultural pests, as well as ecologically, having potential as bioindicators. In spite of their importance and richness, identification tools for the group in the Neotropics remain scarce. The Costa Rican fauna comprises six genera (Anomala, Anomalorhina, Callistethus, Epectinaspis, Moroniella, and Strigoderma) and a total of 120 species...
2016: ZooKeys
Andrew B T Smith
Five new species of Trigonopeltastes Burmeister and Schaum, 1840 are described: Trigonopeltastes arborfloricola sp. n. from Nicaragua, Trigonopeltastes formidulosus sp. n. from Costa Rica, Trigonopeltastes henryi sp. n. from Costa Rica, Trigonopeltastes mombachoensis sp. n. from Nicaragua, and Trigonopeltastes warneri sp. n. from Belize and Guatemala. An updated key to species of Trigonopeltastes is presented. Trigonopeltastes nigrinus Bates, 1889 and Trigonopeltastes carus Bates, 1889 are placed in synonymy with Trigonopeltastes geometricus Schaum, 1841, syn...
2016: ZooKeys
Corinne Cameron-Watson
This article discusses the effect on compliance and incidence of vascular access device (VAD)-related bacteraemia following the introduction of a passive disinfection device (Curos®) for 6 months in four areas at one hospital trust. The hospital's infection prevention and control team replaced the 'active' disinfection using a disinfection wipe with 'scrub the hub'. Disinfection wipes used for needle-free devices were removed from all four trial areas and Curos was incorporated into the aseptic non-touch technique (ANTT(®)) protocols for the trial wards...
April 28, 2016: British Journal of Nursing: BJN
Ander Regueiro, Julia Bosch, Victoria Martín-Yuste, Alba Rosas, Maria Teresa Faixedas, Joan Antoni Gómez-Hospital, Jaume Figueras, Antoni Curós, Angel Cequier, Javier Goicolea, Antonio Fernández-Ortiz, Carlos Macaya, Ricard Tresserras, Laura Pellisé, Manel Sabaté
OBJECTIVES: To evaluate the cost-effectiveness of the ST-segment elevation myocardial infarction (STEMI) network of Catalonia (Codi Infart). DESIGN: Cost-utility analysis. SETTING: The analysis was from the Catalonian Autonomous Community in Spain, with a population of about 7.5 million people. PARTICIPANTS: Patients with STEMI treated within the autonomous community of Catalonia (Spain) included in the IAM CAT II-IV and Codi Infart registries...
December 9, 2015: BMJ Open
Xavier Carrillo, Eduard Fernandez-Nofrerias, Oriol Rodriguez-Leor, Teresa Oliveras, Jordi Serra, Josepa Mauri, Antoni Curos, Ferran Rueda, Cosme García-García, Ricard Tresserras, Alba Rosas, Maria Teresa Faixedas, Antoni Bayes-Genis
AIMS: The preferred reperfusion strategy for early ST elevation myocardial infarction (STEMI, defined as time from symptoms onset ≤120 min) in non-capable percutaneous coronary intervention (PCI) centres remains controversial. We sought to compare mortality of in situ fibrinolysis vs. PCI transfer in a real-life consecutive cohort of early STEMI. METHODS AND RESULTS: Prospective multicentre STEMI registry (Catalonia 'Codi IAM' network) of all-comers in a non-capable PCI centre with symptom onset to first medical contact (FMC) <120 min...
April 1, 2016: European Heart Journal
Albert Ariza-Solé, Cinta Llibre, Marcos Ñato, Eva Bernal, Antoni Curós, Àngel Cequier
No abstract text is available yet for this article.
December 2015: Revista Española de Cardiología
John Kralewski, Bryan Dowd, Ann Curoe, Megan Savage, Junliang Tong
OBJECTIVES: The employment of more nurse practitioners (NPs) is one of the most promising ways to expand the capacity of medical group practices. The objective of this study was to determine the association of NPs with patient-level cost and quality of care. STUDY DESIGN: Eighty-five primary care medical group practices were matched with 315,000 Medicare patients. Per beneficiary per year total costs and quality of care were calculated from Medicare claims data...
June 1, 2015: American Journal of Managed Care
Teresa Giralt, Xavier Carrillo, Oriol Rodriguez-Leor, Eduard Fernandez-Nofrerias, Ferran Rueda, Jordi Serra-Flores, Josep Maria Viguer, Josepa Mauri, Antoni Curos, Antoni Bayes-Genis
AIMS: Initial thrombolysis in myocardial infarction (TIMI) flow and mortality are related in ST-elevation myocardial infarction (STEMI) patients treated with primary angioplasty (PPCI). It is unclear whether early adjunctive treatment with unfractionated heparin (UFH) is beneficial for coronary patency. We investigated the effect of UFH administered before transfer versus in the catheterization laboratory (CathLab) on initial patency of the infarct related artery (IRA) in transferred STEMI patients treated with PPCI...
November 1, 2015: International Journal of Cardiology
Ann Curoe, John Kralewski, Megan Savage, Beth Lindholm
IMPORTANCE: The annual number of patient visits to emergency departments (EDs) continues to increase. Patients seen in the ED for nonemergent conditions potentially increase the cost of health care and lead to overcrowding in EDs. OBJECTIVE: To gain insights into the factors leading to nonemergent use of hospital EDs. DESIGN, SETTING, AND PARTICIPANTS: During a 24-hour period, we interviewed 67 patients in an urban ED. A total of 232 patients were seen in the ED and the hospital provided all claims data...
April 2015: Journal of Primary Care & Community Health
Andrés Ramírez-Ponce, Daniel Curoe
Two new species of the genera Epectinaspis Blanchard and Strigoderma Burmeister from Central America, E. costaricensis new species and S. ngabe new species, are described and illustrated. For each species and their closest congeners, their diagnostic characters are discussed and the taxonomic keys for their determination are modified.
2014: Zootaxa
Pablo Loma-Osorio, Jaime Aboal, Maria Sanz, Ángel Caballero, Montserrat Vila, Victoria Lorente, José Carlos Sánchez-Salado, Alessandro Sionis, Antoni Curós, Rosa-Maria Lidón
INTRODUCTION AND OBJECTIVES: Survivors of out-of-hospital cardiac arrest constitute an increasing patient population in cardiac intensive care units. Our aim was to characterize these patients and determine their vital and functional prognosis in accordance with the latest evidence. METHODS: A multicenter, prospective register was constructed with information from patients admitted to 5 cardiac intensive care units from January 2010 through January 2012 with a diagnosis of resuscitated out-of-hospital cardiac arrest...
August 2013: Revista Española de Cardiología
Antoni Carol, Mariana Bernet, Antoni Curós, Oriol Rodríguez-Leor, Jordi Serra, Eduard Fernández-Nofrerías, Josepa Mauri, Antoni Bayes-Genís
INTRODUCTION: Autopsy studies show that dynamic coronary thrombosis leads to infarction. We studied intracoronary thrombus age in ST-segment elevation myocardial infarction (STEMI) and its relationship with clinical presentation and epicardial reperfusion grade. METHODS AND RESULTS: Intracoronary thrombectomy was performed in 131 STEMI patients within 24 h after symptom onset, and material sufficient for pathological analysis was retrieved from 81 patients. Thrombus age was classified as fresh (<1day), lytic (1 to 5 days), or organized (>5days)...
May 2014: Cardiovascular Pathology: the Official Journal of the Society for Cardiovascular Pathology
Albert Ariza-Solé, Francesc Formiga, Maria T Vidán, Héctor Bueno, Antoni Curós, Jaime Aboal, Cinta Llibre, Ferran Rueda, Eva Bernal, Angel Cequier
The IFFANIAM study (Impact of frailty and functional status in elderly patients with ST segment elevation myocardial infarction undergoing primary angioplasty) is an observational multicenter registry to assess the impact of frailty and functional status on outcomes of elderly patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary angioplasty. STEMI patients age 75 years or older undergoing primary angioplasty will be extensively studied during admission in 4 tertiary care Hospitals in Spain, assessing their baseline functional status (Barthel index, Lawton-Brody index), frailty (Fried criteria, FRAIL scale [fatigue, resistance, ambulation, illnesses, and loss of weight]), comorbidities (Charlson index), nutritional status (Mini Nutritional Assessment-Short Form), and quality of life (Seattle Angina Questionnaire)...
October 2013: Clinical Cardiology
Oriol Rodríguez-Leor, Eduard Fernández-Nofrerías, Fina Mauri, Neus Salvatella, Xavier Carrillo, Antoni Curós, Jordi Serra, Vicente Valle, Antoni Bayes-Genis
INTRODUCTION AND OBJECTIVES: In primary angioplasty, the interval between first medical contact (FMC) and reperfusion should be less than 120 minutes. The time to reperfusion varies depending on where FMC is established. Recent studies suggest longer times in patients presenting in off-hours. The objective is to evaluate the time intervals between the onset of symptoms and reperfusion according to where the FMC occurs and time of day of patient presentation. METHODS: Prospective observational study of acute myocardial infarction patients treated with primary angioplasty (February 2007 to May 2009)...
June 2011: Revista Española de Cardiología
Xavier Carrillo, Antoni Curós, Robert Muga, Jordi Serra, Arantza Sanvisens, Antoni Bayes-Genis
AIMS: The use of cocaine as a recreational drug has increased in recent years. The aims of this study were to analyse the prevalence and in-hospital evolution of acute coronary syndrome (ACS) associated with cocaine consumption (ACS-ACC). METHODS AND RESULTS: Prospective analysis of ACS patients admitted to a coronary care unit from January 2001 to December 2008. During the study period, 2752 patients were admitted for ACS, and among these 479 were ≤50 years of age...
May 2011: European Heart Journal
Patty Curoe Telgener, Serena Lowe
As reimbursement continues to decline for diabetes management technologies and practice overhead continues to rise, it is becoming increasingly important to understand the current reimbursement environment for new technological innovations in diabetes care. The current environment demands a strong partnership among providers, key stakeholder groups, and industry to advocate for favorable coding, coverage, and payment of these new advancements, in order to improve accessibility to the patient. This article describes trends in the current reimbursement environment for continuous glucose monitoring and provides recommendations on how to maneuver through the intricacies of coding and coverage related to this emerging category of glucose monitoring...
July 2008: Journal of Diabetes Science and Technology
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