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https://www.readbyqxmd.com/read/27921214/external-validity-of-the-chiari-severity-index-and-outcomes-among-pediatric-chiari-i-patients-treated-with-intra-or-extra-dural-decompression
#1
Jared M Pisapia, Maxwell B Merkow, Danielle Brewington, Rosemary E Henn, Leslie N Sutton, Phillip B Storm, Gregory G Heuer
INTRODUCTION: Chiari malformation type-1 (CM-1) may be treated by intradural (ID) or extradural (ED) posterior fossa decompression, although the optimal approach is debated. The Chiari Severity Index (CSI) is a pre-operative metric to predict patient-defined improvement after CM-1 surgery. In this study, we evaluate the results of ID versus ED decompression and assess the external validity of the CSI. METHODS: We performed a retrospective cohort study of pediatric CM-1 patients undergoing decompression at a single academic children's hospital...
December 5, 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/27917092/colorectal-cancer-screening-navigation-for-the-underserved-experience-of-an-urban-program
#2
Alicia Lamanna, Heather Sheaffer, Carmen Guerra, Michael Kochman
Colorectal cancer is the third leading cause of cancer deaths in the United States. Although colorectal cancer screenings are effective and recommended by all clinical practice guidelines, only 65.7% of adults ages 50 to 75 years are screened. Colorectal cancer screening is disproportionately underutilized in inner city populations. In 2011, the University of Pennsylvania Health System created a navigation program to specifically address poor colorectal cancer screening rates and increase access to colorectal cancer screening colonoscopies for patients in the underserved areas of West, South, and Southwest Philadelphia...
September 2016: Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/27902574/analysis-of-hospital-readmission-patterns-in-medicare-fee-for-service-and-medicare-advantage-beneficiaries
#3
Joobong June Park Oh
PURPOSE OF STUDY: The study was conducted to examine the hospital readmission patterns of two groups of Medicare beneficiaries-those covered by traditional Medicare (Medicare fee-for-service [FFS]) and those enrolled in a Medicare risk plan (Medicare Advantage [MA])-and to determine the characteristics that significantly increase the likelihood of multiple hospital readmissions. PRIMARY PRACTICE SETTING: The study setting is the Hospital of the University of Pennsylvania (HUP) located in Philadelphia, PA...
January 2017: Professional Case Management
https://www.readbyqxmd.com/read/27834243/beyond-books-public-libraries-as-partners-for-population-health
#4
Anna U Morgan, Roxanne Dupuis, Bernadette D'Alonzo, Andria Johnson, Amy Graves, Kiahana L Brooks, Autumn McClintock, Heather Klusaritz, Hillary Bogner, Judith A Long, David Grande, Carolyn C Cannuscio
Public libraries are not usually included in discussions about improving population health. They are, however, well positioned to be partners in building a culture of health through programming that addresses the social determinants of health. The Healthy Library Initiative, a partnership between the University of Pennsylvania and the Free Library of Philadelphia (the public library system that serves the city), has undertaken such efforts in Philadelphia. In this article we report findings from an assessment of how ten highly subscribed programs address the social determinants of health, as well as results of interviews with community residents and library staff...
November 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27692076/totally-endoscopic-robotic-mitral-valve-surgery
#5
James R McCarthy, T Sloane Guy
Mitral valve dysfunction can seriously impair patients' lives and may require valve repair or replacement. Surgery can be performed using techniques including sternotomy; right thoracotomy with or without robot assistance; and the totally endoscopic robotic technique, which requires percutaneous techniques, femoral cannulation, and endovascular aortic cross-clamping. The totally endoscopic robotic technique has been facilitated by minimally invasive surgical techniques, the evolution of endoscopic techniques, and the development of surgical robots...
October 2016: AORN Journal
https://www.readbyqxmd.com/read/27623276/anterior-leaflet-augmentation-with-cormatrix-porcine-extracellular-matrix-in-twenty-five-patients-unexpected-patch-failures-and-histologic-analysis
#6
Thomas M Kelley, Mohammed Kashem, He Wang, James McCarthy, Nels D Carroll, G William Moser, T Sloane Guy
BACKGROUND: This study reported on the treatment of Carpentier type IIIa and type IIIb mitral regurgitation (MR) with a large patch anterior mitral valve leaflet augmentation technique using CorMatrix (CorMatrix Cardiovascular Inc, Alpharetta, GA) extracellular matrix (ECM). METHODS: A single-site chart review was conducted on patients who underwent anterior leaflet augmentation performed with the Da Vinci surgical robot (Intuitive Surgical, Sunnyvale, CA) or through a median sternotomy...
September 9, 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27617191/support-or-competition-how-online-social-networks-increase-physical-activity-a-randomized-controlled-trial
#7
Jingwen Zhang, Devon Brackbill, Sijia Yang, Joshua Becker, Natalie Herbert, Damon Centola
To identify what features of online social networks can increase physical activity, we conducted a 4-arm randomized controlled trial in 2014 in Philadelphia, PA. Students (n = 790, mean age = 25.2) at an university were randomly assigned to one of four conditions composed of either supportive or competitive relationships and either with individual or team incentives for attending exercise classes. The social comparison condition placed participants into 6-person competitive networks with individual incentives...
December 2016: Preventive Medicine Reports
https://www.readbyqxmd.com/read/27581701/culture-and-ptsd-trauma-in-global-and-historical-perspectiveedited-by-devon-e-hinton-and-byron-j-good-philadelphia-university-of-pennsylvania-press-2015-440-pp-75-00-hardcover
#8
https://www.readbyqxmd.com/read/27564653/abstracts-from-the-6-th-international-hypothermia-and-temperature-management-symposium-september-12-14-2016-philadelphia-pennsylvania-hosted-by-thomas-jefferson-university
#9
(no author information available yet)
No abstract text is available yet for this article.
August 2016: Therapeutic Hypothermia and Temperature Management
https://www.readbyqxmd.com/read/27537508/a-prospective-randomized-study-of-the-efficacy-of-turning-point-an-inpatient-violence-intervention-program
#10
Catherine Loveland-Jones, Lucas Ferrer, Scott Charles, Frederick Ramsey, Andrea van Zandt, Jill Volgraf, Thomas Santora, Abhijit Pathak, Jay Dujon, Lars Sjoholm, Joseph Rappold, Amy Goldberg
BACKGROUND: From 2002 to 2011, there were more than 17,000 shootings in Philadelphia. "Turning Point," Temple University Hospital's inpatient violence intervention program, takes advantage of the teachable moment that occurs after violent injury. In addition to receiving traditional social work services, Turning Point patients watch their trauma bay resuscitation video and a movie about violence, meet with a gunshot wound survivor and an outpatient case manager, and also undergo psychiatric assessment...
November 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27527237/reduced-fov-diffusion-tensor-mr-imaging-and-fiber-tractography-of-pediatric-cervical-spinal-cord-injury
#11
M Alizadeh, A Intintolo, D M Middleton, C J Conklin, S H Faro, M J Mulcahey, F B Mohamed
STUDY DESIGN: Quantitative study. OBJECTIVES: To evaluate the effectiveness of pediatric spinal cord diffusion tensor tractography (DTT) generated from reduced field of view diffusion tensor imaging (DTI) data and investigate whether there are differences in these values between typically developing (TD) subjects and patients with spinal cord injury (SCI). SETTING: Temple University Hospital and Shriners Hospitals for Children-Philadelphia, USA...
August 16, 2016: Spinal Cord
https://www.readbyqxmd.com/read/27506636/clinical-pathological-features-and-treatment-modalities-associated-with-recurrence-in-dcis-and-micro-invasive-carcinoma-who-to-treat-more-and-who-to-treat-less
#12
Angela Toss, Juan Palazzo, Adam Berger, Frances Guiles, Jocelyn Andrel Sendecki, Nicole Simone, Rani Anne, Tiffany Avery, Rebecca Jaslow, Melissa Lazar, Theodore Tsangaris, Massimo Cristofanilli
The primary aim in the management of DCIS is the prevention of recurrence and contralateral tumor. Risk factors for DCIS recurrence and appropriate treatments are still widely debated. Adjuvant therapies after surgical resection reduce recurrences and contralateral disease, but these treatments have significant financial costs, side effects and there is a group of low-risk patients who would not gain additional benefit. The aim of our analysis was to identify clinical-pathological features and treatment modalities associated with recurrence in DCIS and microinvasive carcinoma...
October 2016: Breast: Official Journal of the European Society of Mastology
https://www.readbyqxmd.com/read/27480936/outcomes-of-evaluation-and-testing-of-660-individuals-with-hearing-loss-in-a-pediatric-genetics-of-hearing-loss-clinic
#13
Devanshi Mehta, Sarah E Noon, Emily Schwartz, Alisha Wilkens, Emma C Bedoukian, Irene Scarano, E Bryan Crenshaw, Ian D Krantz
Hearing loss is a relatively common condition in children, occurring in approximately 2 out of every 1,000 births with approximately 50% of reported diagnoses having a primary genetic etiology. Given the prevalence and genetic component of hearing loss, coupled with a trend toward early diagnosis with the institution of universal newborn hearing screening, The Genetics of Hearing Loss Clinic was established at The Children's Hospital of Philadelphia to manage the diagnosis, testing, and genetic counseling for individuals and families...
October 2016: American Journal of Medical Genetics. Part A
https://www.readbyqxmd.com/read/27464313/psychotherapies-for-panic-disorder-a-tale-of-two-sites
#14
Barbara Milrod, Dianne L Chambless, Robert Gallop, Fredric N Busch, Michael Schwalberg, Kevin S McCarthy, Charles Gross, Brian A Sharpless, Andrew C Leon, Jacques P Barber
OBJECTIVE: To compare cognitive-behavioral therapy (CBT), panic-focused psychodynamic psychotherapy (PFPP), and applied relaxation training (ART) for primary DSM-IV panic disorder with and without agoraphobia in a 2-site randomized controlled trial. METHOD: 201 patients were stratified for site and DSM-IV agoraphobia and depression and were randomized to CBT, PFPP, or ART (19-24 sessions) over 12 weeks in a 2:2:1 ratio at Weill Cornell Medical College (New York, New York) and University of Pennsylvania ("Penn"; Philadelphia, Pennsylvania)...
July 2016: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/27334946/health-care-setting-and-severity-symptom-burden-and-complications-in-patients-with-philadelphia-negative-myeloproliferative-neoplasms-mpn-a-comparison-between-university-hospitals-community-hospitals-and-office-based-physicians
#15
A Kaifie, S Isfort, N Gattermann, W Hollburg, M Klausmann, D Wolf, C Maintz, M Hänel, E Goekkurt, J R Göthert, U Platzbecker, T Geer, S Parmentier, E Jost, H Serve, G Ehninger, W E Berdel, T H Brümmendorf, Steffen Koschmieder
Philadelphia-negative myeloproliferative neoplasms (MPN) comprise a heterogeneous group of chronic hematological malignancies with significant variations in clinical characteristics. Due to the long survival and the feasibility of oral or subcutaneous therapy, these patients are frequently treated outside of larger academic centers. This analysis was performed to elucidate differences in MPN patients in three different health care settings: university hospitals (UH), community hospitals (CH), and office-based physicians (OBP)...
September 2016: Annals of Hematology
https://www.readbyqxmd.com/read/27282529/the-death-of-burghardt-du-bois-1899-implications-for-today
#16
Robert J Karp, Bobby Gearing
ACKNOWLEDGEMENTS: Laura Dattner, John Krai and Linda Oppenheim provided assistance in obtaining archival material and manuscript review. Edwin Rosenthal's decedents, Robert, Eleanore Jane and Edwin Rosenthal II, provided information about their distinguished grandfather's life and commitments. Linda Oppenheim, Michael Angelo, Jessica Lydon, and Sofie Serada, archivists at Princeton University, Thomas Jefferson University, Temple University, and the College of Physicians of Philadelphia provided access to material on Edwin Rosenthal and medical care in Philadelphia at the turn of the 20th century...
February 2015: Journal of the National Medical Association
https://www.readbyqxmd.com/read/27231801/low-cost-generic-program-use-by-medicare-beneficiaries-implications-for-medication-exposure-misclassification-in-administrative-claims-data
#17
Nathan J Pauly, Jeffery C Talbert, Joshua Brown
BACKGROUND: Administrative claims data are used for a wide variety of research and quality assurance purposes; however, they are prone to medication exposure misclassification if medications are purchased without using an insurance benefit. Low-cost generic drug programs (LCGPs) offered at major chain pharmacies are a relatively new and sparsely investigated source of exposure misclassification. LCGP medications are often purchased out of pocket; thus, a pharmacy claim may never be submitted, and the exposure may go unobserved in claims data...
June 2016: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/27221912/diagnosis-and-monitoring-of-chronic-myeloid-leukemia-chiang-mai-university-experience
#18
Adisak Tantiworawit, Supanat Kongjarern, Ekarat Rattarittamrong, Suree Lekawanvijit, Kanokkan Bumroongkit, Nonglak Boonma, Thanawat Rattanathammethee, Sasinee Hantrakool, Chatree Chai-Adisaksopha, Lalita Norasetthada
BACKGROUND: A diagnosis of chronic myeloid leukemia (CML) is made on discovery of the presence of a Philadelphia (Ph) chromosome. The success of the treatment of this form of leukemia with tyrosine kinase inhibitor (TKI) is monitored by reduction of the Ph chromosome. OBJECTIVE: To compare the role of conventional cytogenetic (CC) methods with a real time quantitative polymerase chain reaction (RQ-PCR) and fluorescence in situ hybridization (FISH) for diagnosis and treatment monitoring of CML patients...
2016: Asian Pacific Journal of Cancer Prevention: APJCP
https://www.readbyqxmd.com/read/27210877/-clinical-observation-of-chromosomal-abnormalities-in-ph-negative-cells-of-chronic-myeloid-leukemia-patients-treated-with-tyrosine-kinase-inhibitors
#19
J Wang, Yanli Zhang, J Zhou, Y L Zu, Z Li, Y P Song
OBJECTIVE: To observe the clinical features, characteristics and outcomes of chromosomal abnormalities in Philadelphia negative cells (Ph(-)CA) of chronic myeloid leukemia (CML) patients treated with tyrosine kinase inhibitor (TKI), and provide the evidence for clinical treatment. METHODS: We collected and analyzed the clinical and laboratory data of 8 CML patients treated in the affiliated Tumor Hospital of Zhengzhou University from September 2011 to July 2015 and Ph(-)CA occurred after TKI therapy...
May 14, 2016: Zhonghua Xue Ye Xue za Zhi, Zhonghua Xueyexue Zazhi
https://www.readbyqxmd.com/read/27132351/benjamin-rush-edinburgh-medicine-and-the-rise-of-physician-autobiography
#20
Catherine Jones
This chapter explores the place of Scottish medicine in the autobiographical writing of the Philadelphia physician and signer of the American Declaration of Independence, Benjamin Rush, who studied at the University of Edinburgh from 1766 to 1768. It focuses on Rush's 'Scottish journal' (his account of his period of study in Edinburgh), his protracted feud from 1797 over his treatment of yellow fever with the English journalist, politician and agriculturalist William Cobbett, and his account in 'Travels through Life' of that feud and of the influence of Cullen on his medical theory and practice...
2014: Clio Medica: Acta Academiae Internationalis Historiae Medicinae
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