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Allysha C Maragh-Bass, Maya Torain, Rachel Adler, Anju Ranjit, Eric Schneider, Ryan Shields, Lisa M Kodadek, Claire Snyder, Danielle German, Susan Peterson, Jeremiah Schuur, Brandyn Lau, Adil H Haider
OBJECTIVE: The National Academy of Medicine and Joint Commission recommend routine documentation of sexual orientation (SO) and gender identity (GI) in healthcare to address LGBT health disparities. We explored transgender patient-reported views on the importance of SO/GI collection, their willingness to disclose, and their perceived facilitators of SO/GI collection in primary care and Emergency Department (ED) settings. METHODS: We recruited a national sample of self-identified transgender patients...
February 24, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Victoria Goode, Elayne Phillips, Pamela DeGuzman, Ivora Hinton, Virginia Rovnyak, Kenneth Scully, Elizabeth Merwin
Patient safety and the delivery of quality care are major concerns for healthcare in the United States. Special populations (eg, obese patients) need study in order to support patient safety, quantify risks, advance education for healthcare-workers, and establish healthcare policy. Obesity is a complex chronic disease and is considered the second leading cause of preventable death in the United States with approximately 300,000 deaths per year. Obesity is recognized by the Agency for Healthcare Research and Quality (AHRQ) as a comorbid condition...
December 2016: AANA Journal
Oscar Contreras Ortiz, Diaa Ee Rizk, Gabriele Falconi, Lucas Schreiner, Viridiana Gorbea Chávez
AIM: For four decades, the training for fellows in Urogynecology has been defined by taking into account the proposals of the relevant international societies. Primary health care providers and general OB/GYN practitioners could not find validated guidelines for the integration of knowledge in pelvic floor dysfunctions. The FIGO Working Group (FWG) in Pelvic Floor Medicine and Reconstructive Surgery has looked for the consensus of international opinion leaders in order to develop a set of minimal requirements of knowledge and skills in this area...
February 2017: Neurourology and Urodynamics
Francesco Ria, Joshua Mark Wilson, Yakun Zhang, Ehsan Samei
PURPOSE: Modern CT systems adjust x-ray flux accommodating for patient size to achieve certain image noise values. The effectiveness of this adaptation is an important aspect of CT performance and should ideally be characterized in the context of real patient cases. The objective of this study was to characterize CT performance with a new metric that includes image noise and radiation dose across a clinical patient population. MATERIALS AND METHODS: The study included 1526 examinations performed by three CT scanners (one GE Healthcare Discovery CT750HD, one GE Healthcare Lightspeed VCT, and one Siemens SOMATOM definition Flash) used for two routine clinical protocols (abdominopelvic with contrast and chest without contrast)...
February 24, 2017: Medical Physics
Eric J Keller, Megan Crowley-Matoka, Jeremy D Collins, Howard B Chrisman, Magdy P Milad, Robert L Vogelzang
PURPOSE: In response to limited physician adoption of various healthcare initiatives, we sought to propose and assess a novel approach to policy development where one first characterizes diverse physician groups' common interests, using a medical student and constructivist grounded theory. METHODS: In 6 months, a medical student completed 36 semi-structured interviews with interventional radiologists, gynecologists, and vascular surgeons that were systematically analyzed according to constructivist grounded theory to identifying common themes...
2017: PloS One
Dong Wook Shin, Young Il Kim, Seung Joon Kim, Jung Soo Kim, SeMin Chong, Young Sik Park, Sang-Yun Song, Jin Han Lee, Hee Kyung Ahn, Eun Young Kim, Sei Hoon Yang, Myoung Kyu Lee, Deog Gon Cho, Tae Won Jang, Ji Woong Son, Jeong-Seon Ryu, Moon-June Cho
OBJECTIVES: Despite a sharp increase in e-cigarette use, there is debate about whether e-cigarettes are a viable alternative for harm reduction, and the forms that regulation should take. Healthcare providers can be effective in offering guidance to patients and their families and shaping regulatory policy. We described lung cancer specialists' attitudes toward e-cigarettes and its regulation. METHODS: We undertook a nationwide survey of pulmonologists, thoracic surgeons, medical and radiological oncologists who are members of Korean Association for Lung Cancer...
2017: PloS One
Lucila Okuyama Fukasawa, Maria Gisele Gonçalves, Fábio Takenori Higa, Euclides Ayres Castilho, Ana Belén Ibarz-Pavón, Claudio Tavares Sacchi
BACKGROUND: The lack of information regarding the burden of acute bacterial meningitis in Latin America leads to a reduction in the estimated incidence rates of the disease, and impairs public health decisions on the use and follow-up of preventive interventions, particularly, the evaluation of existing vaccination policies. The use of the real-time PCR in diagnostic routine procedures has resulted in a substantial increase in confirmed bacterial meningitis cases. However, in resource-poor countries, these assays are only available in reference laboratories...
2017: PloS One
Sarah M Dry, Sarah B Garrett, Barbara A Koenig, Arleen F Brown, Michael M Burgess, Jen R Hult, Holly Longstaff, Elizabeth S Wilcox, Sigrid Karina Madrigal Contreras, Arturo Martinez, Elizabeth A Boyd, Daniel Dohan
United States-based biorepositories are on the cusp of substantial change in regulatory oversight at the same time that they are increasingly including samples and data from large populations, e.g. all patients in healthcare system. It is appropriate to engage stakeholders from these populations in new governance arrangements. We sought to describe community recommendations for biorepository governance and oversight using deliberative community engagement (DCE), a qualitative research method designed to elicit lay perspectives on complex technical issues...
2017: PloS One
Florian Frank, Gregor Broessner
PURPOSE OF REVIEW: Therapeutic hypothermia (i.e. induced body core temperature ≈ 33-35°C) in neurological patients with cerebrovascular disease and traumatic brain injury is a controversially discussed issue in the literature. In this review, we have included the most recently published research covering the use of therapeutic hypothermia and targeted temperature management in neurologic diseases and translated the results into a clinical decision support for the professional healthcare community...
February 23, 2017: Current Opinion in Critical Care
Kimberley J Haines, Phillipa Kelly, Peter Fitzgerald, Elizabeth H Skinner, Theodore J Iwashyna
OBJECTIVE: There is growing interest in patient and family participation in critical care-not just as part of the bedside, but as part of educational and management organization and infrastructure. This offers tremendous opportunities for change but carries risk to patients, families, and the institution. The objective is to provide a concise definitive review of patient and family organizational participation in critical care as a high-risk population and other vulnerable groups. A pragmatic, codesigned model for critical care is offered as a suggested approach for clinicians, researchers, and policy-makers...
February 23, 2017: Critical Care Medicine
Donna S Watson, Cynthia F Corbett, Gail Oneal, Kenn B Daratha
OBJECTIVE: The purpose of this study was to assess whether bundled team training interventions for surgeons and office staff could effectively improve the accuracy of surgery scheduling, minimizing scheduling factors that may contribute to occurrence of wrong site surgery. METHODS: This quasiexperimental observational study used an interrupted time series design to explore surgery scheduling errors (SSEs) and implemented bundled team training interventions intended to reduce SSEs at a Pacific Northwest Regional Surgery Scheduling Department...
February 24, 2017: Journal of Patient Safety
Hala Bawadi, Muayyad M Ahmad
PURPOSE: To explore the experience of childbirth and becoming a new mother for Arab migrant women in the United Kingdom. STUDY DESIGN & METHODS: Hermeneutic phenomenology design was used to investigate the childbirth and early mothering experience of migrant Arab Muslim women from several countries to United Kingdom. Purposive sampling was chosen. Data collection was conducted through in-depth interviews. RESULTS: The emerging theme "displacement and reformation of the self" includes four subthemes from analyses of participants' interviews...
March 2017: MCN. the American Journal of Maternal Child Nursing
Deborah A Raines
BACKGROUND: Simulation has become accepted as a method to increase confidence among healthcare professionals. We felt simulation might have similar benefits for parents of babies about to be discharged from the neonatal intensive care unit. PURPOSE: We developed the Neonatal Home Environment Learning Program to promote parental confidence in anticipation of their infant's discharge from the neonatal intensive care unit. METHODS: This evaluation study was conducted with 15 mother/father dyads...
March 2017: MCN. the American Journal of Maternal Child Nursing
Thomas Chi, Manint Usawachintachit, John Mongan, Maureen P Kohi, Andrew Taylor, Priyanka Jha, Helena C Chang, Marshall Stoller, Ruth Goldstein, Stefanie Weinstein
Purpose To demonstrate the feasibility of contrast material-enhanced ulrasonographic (US) nephrostograms to assess ureteral patency after percutaneous nephrolithotomy (PCNL) in this proof-of-concept study. Materials and Methods For this HIPAA-compliant, institutional review board-approved prospective blinded pilot study, patients undergoing PCNL provided consent to undergo contrast-enhanced US and fluoroscopic nephrostograms on postoperative day 1. For contrast-enhanced US, 1.5 mL of Optison (GE Healthcare, Oslo, Norway) microbubble contrast agent solution (perflutren protein-type A microspheres) was injected via the nephrostomy tube...
October 19, 2016: Radiology
John F Brundage, Valerie F Williams, Shauna Stahlman, Mark G McNellis
During the 15-year surveillance period, there were 2,233 incident diagnoses of malignant melanoma among members of the active component of the U.S. military (unadjusted incidence rate 1.08 cases per 10,000 person-years [p-yrs]). Unadjusted incidence rates were highest in the fi xed-wing pilot/ crew group (2.45 per 10,000 p-yrs); lowest in the infantry, special operations, combat engineer group (0.77 per 10,000 p-yrs); and intermediate among healthcare providers (1.33 per 10,000 p-yrs) and all others (1.07 per 10,000 p-yrs)...
February 2017: MSMR
Marilyn Karam, Christine Holland, Zi Yang, Kiela Samuels, Georgiana Sanders
BACKGROUND: Our previous pilot study conducted at the University of Michigan Health Services showed that fewer than 25% of the non-university allergen immunotherapy (AIT) prescribers adhered to AIT labeling guidelines which impacted both patients and healthcare personnel involved in AIT administration. OBJECTIVES: We expand our study to characterize AIT labeling compliance and impact of practice variability at the "Big 10" University Health Services, and investigate prescribers motives for nonadherence to practice parameter guidelines...
March 1, 2017: Allergy and Asthma Proceedings:
(no author information available yet)
OBJECTIVES: This study aimed to map the selected indicators of health literacy in the senior population via a qualitative survey that focused specifically on its relationship with autonomy in the context of health literacy among seniors. METHODS: A qualitative survey focused on the selected indicators of health literacy of seniors living in the South Bohemian Region of the Czech Republic (R1-19). The snowball sampling method was intentionally selected. Completed interviews were transcribed and data was reduced, analyzed, and categorized...
December 24, 2016: Neuro Endocrinology Letters
(no author information available yet)
OBJECTIVES: The goal of this study was to assess specific features of risk management from the point of view of nurses in leadership positions in inpatient units in Czech hospitals. METHODS: The study was performed using a quantitative research strategy, i.e., a questionnaire. The data sample was analyzed using SPSS v. 23.0. Pearson's chi-square and analysis of adjusted residues were used for identifying the existence associations of nominal and/or ordinal quantities...
December 24, 2016: Neuro Endocrinology Letters
(no author information available yet)
In this study, the question of health literacy in adult patient population in the Czech Republic is explored in the context of healthcare, particularly in the South Bohemian Region. The study is based on the analysis of qualitative data which were collected during the first half of 2016. The study included 34 adult participants at the age range between 18 and 64 years. The study is focused on the involvement of adult patients in the process of decision making concerning the healthcare provided. The views of this sort of problems were recorded by the technique of semi-structured dialogues...
December 24, 2016: Neuro Endocrinology Letters
Kye-Ha Kim, Roxie L Foster, Jeong-Hwan Park
PURPOSE: To demonstrate the psychometric properties of the Emotional Reactions Instrument-English (ERI-E) between hospitalized African American and Caucasian children aged 7-12 years. DESIGN AND METHOD: A methodological study was conducted to examine validity and reliability of the ERI-E with 230 hospitalized African American and Caucasian children. Data were collected with sociodemographic and clinical forms, and using the ERI-E, and the Facial Affective Scale (FAS)...
February 24, 2017: Journal for Specialists in Pediatric Nursing: JSPN
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