keyword
https://read.qxmd.com/read/38581578/level-one-trauma-center-proliferation-may-worsen-patient-outcomes
#21
JOURNAL ARTICLE
Michael Zhou, Taylor W Norton, Kelsey Rupp, Rebecca J Paxton, Michele S Wang, Nisha S Rehman, Jack He
BACKGROUND: From 2013 to 2020, Arizona state trauma system expanded from seven to thirteen level 1 trauma centers (L1TCs). This study utilized the state trauma registry to analyze the effect of L1TC proliferation on patient outcomes. METHODS: Adult patients age≥15 in the state trauma registry from 2007-2020 were queried for demographic, injury, and outcome variables. These variables were compared across the 2 time periods: 2007-2012 as pre-proliferation (PRE) and 2013-2020 as post-proliferation (POST)...
April 6, 2024: American Surgeon
https://read.qxmd.com/read/38575447/opportunity-for-reduction-of-intensive-care-unit-resource-utilization-in-pediatric-blunt-liver-and-spleen-injuries-a-national-trauma-data-bank-analysis
#22
JOURNAL ARTICLE
Theodore Wang, Paul Truche, Rachel Sachs, Arunachalam Thenappan, Yi-Horng Lee, Sathyaprasad C Burjonrappa
INTRODUCTION: Guidelines for blunt liver and spleen injury (BLSI) by the Arizona-Texas-Oklahoma-Memphis-Arkansas Consortium (ATOMAC) emphasize hemodynamic stability over injury grade when considering non-operative management (NOM). In this study, we examined rates of intensive care unit (ICU) admission for children with isolated low-risk BLSI among US hospitals. METHODS: The National Trauma Data Bank (NTDB) was queried for patients ages 1-15 admitted between 2017 and 2019 with BLSI...
March 16, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38566975/virome-release-of-an-invasive-exotic-plant-species-in-southern-france
#23
JOURNAL ARTICLE
Oumaima Moubset, Denis Filloux, Hugo Fontes, Charlotte Julian, Emmanuel Fernandez, Serge Galzi, Laurence Blondin, Sélim Ben Chehida, Jean-Michel Lett, François Mesléard, Simona Kraberger, Joy M Custer, Andrew Salywon, Elizabeth Makings, Armelle Marais, Frédéric Chiroleu, Pierre Lefeuvre, Darren P Martin, Thierry Candresse, Arvind Varsani, Virginie Ravigné, Philippe Roumagnac
The increase in human-mediated introduction of plant species to new regions has resulted in a rise of invasive exotic plant species (IEPS) that has had significant effects on biodiversity and ecosystem processes. One commonly accepted mechanism of invasions is that proposed by the enemy release hypothesis (ERH), which states that IEPS free from their native herbivores and natural enemies in new environments can outcompete indigenous species and become invasive. We here propose the virome release hypothesis (VRH) as a virus-centered variant of the conventional ERH that is only focused on enemies...
2024: Virus Evolution
https://read.qxmd.com/read/38562876/pan-enterovirus-characterization-reveals-cryptic-circulation-of-clinically-relevant-subtypes-in-arizona-wastewater
#24
Daryn E Erickson, Kyle M Simmons, Zachary A Barrand, Chase L Ridenour, Paige B Hawkinson, Lacey Lemke, Shayne P Sellner, Breezy N Brock, Alexis N Rivas, Krystal Sheridan, Darrin Lemmer, Hayley D Yaglom, W Tanner Porter, Monique Belanger, Rachel M Torrey, Aidan James R Stills, Kiley McCormack, Matt Black, Wydale Holmes, Drew Rostain, Jeremy Mikus, Kimberly Sotelo, Emmen Haq, Reshma Neupane, Joli Weiss, Jasmine Johnson, Clancey Collins, Sarah Avalle, Chelsi White, Brandon J Howard, Sara A Maltinsky, Ryann N Whealy, Nathaniel B Gordon, Jason W Sahl, Talima Pearson, Viacheslav Y Fofanov, Tara Furstenau, Elizabeth M Driebe, J Gregory Caporaso, Jarrett Barber, Joel Terriquez, David M Engelthaler, Crystal M Hepp
BACKGROUND: Most seasonally circulating enteroviruses result in asymptomatic or mildly symptomatic infections. In rare cases, however, infection with some subtypes can result in paralysis or death. Of the 300 subtypes known, only poliovirus is reportable, limiting our understanding of the distribution of other enteroviruses that can cause clinical disease. OBJECTIVE: The overarching objectives of this study were to: 1) describe the distribution of enteroviruses in Arizona during the late summer and fall of 2022, the time of year when they are thought to be most abundant, and 2) demonstrate the utility of viral pan-assay approaches for semi-agnostic discovery that can be followed up by more targeted assays and phylogenomics...
March 20, 2024: medRxiv
https://read.qxmd.com/read/38557671/a-novel-electronic-record-system-for-documentation-and-efficient-workflow-for-community-health-workers-development-and-usability-study
#25
JOURNAL ARTICLE
Harshdeep Acharya, Kevin J Sykes, Ton Mirás Neira, Angela Scott, Christina M Pacheco, Matthew Sanner, Elizabeth Ablah, Kevin Oyowe, Edward F Ellerbeck, K Allen Greiner, Erin A Corriveau, Sarah Finocchario-Kessler
BACKGROUND: The COVID-19 pandemic added to the decades of evidence that public health institutions are routinely stretched beyond their capacity. Community health workers (CHWs) can be a crucial extension of public health resources to address health inequities, but systems to document CHW efforts are often fragmented and prone to unneeded redundancy, errors, and inefficiency. OBJECTIVE: We sought to develop a more efficient data collection system for recording the wide range of community-based efforts performed by CHWs...
April 1, 2024: JMIR Formative Research
https://read.qxmd.com/read/38557657/electrocardiography-based-artificial-intelligence-algorithms-aid-in-prediction-of-long-term-mortality-after-kidney-transplantation
#26
JOURNAL ARTICLE
Niv Pencovich, Byron H Smith, Zachi I Attia, Francisco Lopez Jimenez, Andrew J Bentall, Carrie A Schinstock, Hasan A Khamash, Caroline C Jadlowiec, Tambi Jarmi, Shennen A Mao, Walter D Park, Tayyab S Diwan, Paul A Friedman, Mark D Stegall
BACKGROUND: Predicting long-term mortality postkidney transplantation (KT) using baseline clinical data presents significant challenges. This study aims to evaluate the predictive power of artificial intelligence (AI)-enabled analysis of preoperative electrocardiograms (ECGs) in forecasting long-term mortality following KT. METHODS: We analyzed preoperative ECGs from KT recipients at three Mayo Clinic sites (Minnesota, Florida, and Arizona) between January 1, 2006, and July 30, 2021...
April 1, 2024: Transplantation
https://read.qxmd.com/read/38557242/first-report-of-neodeightonia-phoenicum-causing-black-scorch-and-rot-disease-on-date-palms-in-arizona
#27
JOURNAL ARTICLE
Jiahuai Hu, Glenn Wright
Phoenix dactylifera L. is an economically and aesthetically important tree in the southwestern US. Approximately 4900 ha of dates are commercially grown for its edible fruit in the US, including about 1600 ha in the Yuma area and the Hyder Valley of Arizona (USDA, 2023). In October 2022, a severe rot was observed on three date palms in the Phoenix Metropolitan area. Early symptoms were brown spots that turned to a black scorch appearance extending along the leaf base and rachis, leading to the lower fronds' wilting, drying, and folding...
April 1, 2024: Plant Disease
https://read.qxmd.com/read/38556937/evaluation-of-sexual-function-according-to-gender-and-sexual-orientation-during-the-covid-19-pandemic-in-turkey-a-national-online-survey-study
#28
JOURNAL ARTICLE
Ardıl Bayram Şahin, Emiralp Büyüktopcu, Raşit Tükel
OBJECTIVE: Coronavirus Diseases-19 (COVID-19) pandemic that has caused the death of thousands of people affected negatively not only people's physical wellbeing but also their mental health. The aim of this study was to evaluate the sexual function, depression, anxiety and stress, and fear of COVID-19 of individuals according to gender and sexual orientation during the COVID-19 pandemic. METHOD: The questionnaire form included sociodemographic data form, the Arizona Sexual Experiences Scale (ASEX), the Depression, Anxiety and Stress Scale-Short Form (DASS-21), and the Fear of COVID-19 Scale (FCV-19S)...
2024: Türk Psikiyatri Dergisi, Turkish Journal of Psychiatry
https://read.qxmd.com/read/38553503/orbital-reef-and-commercial-low-earth-orbit-destinations-upcoming-space-research-opportunities
#29
REVIEW
Luis Zea, Liz Warren, Tara Ruttley, Todd Mosher, Laura Kelsey, Erika Wagner
As the International Space Station comes to the end of a transformative era of in-space research, NASA's Commercial Low Earth Orbit (LEO) Destinations (CLD) Program aims to catalyze a new generation of platforms with co-investment from the private sector, preventing a potential gap in research performed in LEO, while building a robust LEO economy. In this paper, we provide insight into the CLD Program focusing on Orbital Reef, describing its operational and technical characteristics as well as new opportunities it may enable...
March 29, 2024: NPJ Microgravity
https://read.qxmd.com/read/38533713/opioid-stewardship-program-implementation-in-rural-and-critical-access-hospitals-in-arizona
#30
JOURNAL ARTICLE
Benjamin R Brady, Bianca SantaMaria, Kathryn Tucker Ortiz Y Pino, Bridget S Murphy
OBJECTIVE: The objective of this study is to examine rural hospitals' status in implementing opioid stewardship program (OSP) elements and assess differences in implementation in emergency department (ED) and acute inpatient departments. DESIGN: Health administrator survey to identify the number and type of OSP elements that each hospital has implemented. SETTING: Arizona critical access hospitals (CAHs). PARTICIPANTS: ED and acute inpatient department heads at 17 Arizona CAHs (total of 34 assessments)...
2024: Journal of Opioid Management
https://read.qxmd.com/read/38527213/modified-upside-down-technique-with-gore-tapered-iliac-limbs-for-isolated-iliac-artery-aneurysms
#31
JOURNAL ARTICLE
Federico Francisco Pennetta, Francesco De Santis, Massimiliano Millarelli, Nicolò Diotallevi, Roberto Chiappa
PURPOSE: To describe the off-label use of tapered iliac limbs for the treatment of isolated iliac aneurysms with proximal landing zone significantly larger than distal landing zone. TECHNIQUE: Inversion of a Gore Excluder tapered leg (W. L. Gore & Associates Inc, Flagstaff, Arizona) with a modified upside-down technique is described. The endoprosthesis, with the olive at the tip of the releasing system previously cut, is inserted in a tip-to-tip fashion into a 15 Fr introducer sheath...
March 25, 2024: Vascular
https://read.qxmd.com/read/38525734/a-large-language-model-based-generative-natural-language-processing-framework-fine-tuned-on-clinical-notes-accurately-extracts-headache-frequency-from-electronic-health-records
#32
JOURNAL ARTICLE
Chia-Chun Chiang, Man Luo, Gina Dumkrieger, Shubham Trivedi, Yi-Chieh Chen, Chieh-Ju Chao, Todd J Schwedt, Abeed Sarker, Imon Banerjee
OBJECTIVE: To develop a natural language processing (NLP) algorithm that can accurately extract headache frequency from free-text clinical notes. BACKGROUND: Headache frequency, defined as the number of days with any headache in a month (or 4 weeks), remains a key parameter in the evaluation of treatment response to migraine preventive medications. However, due to the variations and inconsistencies in documentation by clinicians, significant challenges exist to accurately extract headache frequency from the electronic health record (EHR) by traditional NLP algorithms...
March 25, 2024: Headache
https://read.qxmd.com/read/38525331/early-national-trends-in-non-abortion-reproductive-care-access-after-roe
#33
JOURNAL ARTICLE
Junying Zhao, Aaron Zahn, Samuel C Pang, Tony S Quang, Janis Campbell, Perry N Halkitis
BACKGROUND: Roe was overturned in 2022. No peer-reviewed evidence exists for the indirect spillover effects of overturning Roe on non-abortion reproductive care access for diverse patient populations. METHODS: National data were from 2013-2023 HHS Title X Directory, 2013-2020 CDC Artificial Reproductive Technologies (ART) Surveillance and 2021-2023 manual collection, and Guttmacher Institute. Outcome measures included numbers of ART clinics and Title X entities...
2024: Frontiers in Public Health
https://read.qxmd.com/read/38518144/impact-of-eras-on-hysteromyomectomy-a-study-on-anxiety-depression-and-ovarian-function
#34
JOURNAL ARTICLE
Xiuyun Yu, Chenchen Wang, Liangmei Wang, Yuan Pang, Yin Zhang, Liping Qian, Hui Chen
OBJECTIVE: To analyze the application of the Enhanced Recovery After Surgery (ERAS) nursing mode in patients undergoing radical cystectomy with urinary diversion. METHODS: A retrospective analysis was conducted on clinical data of 72 patients with bladder cancer who underwent "robot-assisted laparoscopic radical cystectomy + urinary diversion" in Nanjing University Medical College Affiliated Gulou Hospital between January 2021 and January 2023. All patients met the complete inclusion criteria...
March 22, 2024: Alternative Therapies in Health and Medicine
https://read.qxmd.com/read/38517199/polyploid-goldback-and-silverback-ferns-pentagramma-occupy-a-wider-colder-and-wetter-bioclimatic-niche-than-diploid-counterparts
#35
JOURNAL ARTICLE
Keir M Wefferling, Mariana Castro, Sílvia Castro, Helen Holmlund, João Loureiro, Carl J Rothfels, Eric Schuettpelz
PREMISE: The western North American fern genus Pentagramma (Pteridaceae) is characterized by complex patterns of ploidy variation, an understanding of which is critical to comprehending both the evolutionary processes within the genus and its current diversity. METHODS: We undertook a cytogeographic study across the range of the genus, using a combination of chromosome counts and flow cytometry to infer ploidy level. Bioclimatic variables and elevation were used to compare niches...
March 22, 2024: American Journal of Botany
https://read.qxmd.com/read/38516678/client-perspectives-on-primary-care-integration-in-a-rural-serving-behavioral-health-center
#36
JOURNAL ARTICLE
Jeffersson Santos, Amanda Acevedo-Morales, Lillian Jones, Tara Bautista, Carolyn Camplain, Chesleigh N Keene, Julie Baldwin
PURPOSE: Advancing behavioral health and primary care integration is a priority for helping clients overcome the complex health challenges impacting healthcare deserts like those in Arizona, United States of America (USA). This study aimed to explore the perspectives of people with a substance use disorder (SUD) on accessing integrated primary care (IPC) services in a rural-serving behavioral healthcare organization in Arizona. DESIGN/METHODOLOGY/APPROACH: Clients from a behavioral health facility in Arizona (n = 10) diagnosed with SUDs who also accessed IPC participated in a 45-min semi-structured interview...
February 2024: Journal of Integrated Care
https://read.qxmd.com/read/38515639/outcomes-of-cochlear-implantation-in-age-subgroups-of-veterans-over-50-years-old
#37
JOURNAL ARTICLE
Gabrielle T Petito, Siddhant H Tripathi, Reena Dhanda Patil
OBJECTIVE: This study aimed to determine whether there was a difference in postoperative Arizona Biomedical (AzBio) speech recognition scores in 2 differently aged subgroups of veterans 50 years and older after cochlear implantation (CI). STUDY DESIGN: Retrospective chart review. SETTING: Tertiary referral center. PATIENTS: Seventy-one patients aged 50 to 74 years (younger cohort) were compared with 56 patients aged 75 years and older (older cohort) at the time of CI...
September 2023: Otol Neurotol Open
https://read.qxmd.com/read/38515638/building-resilience-to-extreme-weather-events-in-phoenix-considering-contaminated-sites-and-disadvantaged-communities
#38
JOURNAL ARTICLE
Paramita Sinha, Meridith Fry, Susan Julius, Robert Truesdale, James Cajka, Michele Eddy, Prakash Doraiswamy, Rosanne Albright, Julie Riemenschneider, Matthew Potzler, Brian Lim, Jennifer Richkus, Maggie O'Neal
The interplay of contaminated sites, climate change, and disadvantaged communities are a growing concern worldwide. Worsening extreme events may result in accidental contaminant releases from sites and waste facilities that may impact nearby communities. If such communities are already suffering from environmental, economic, health, or social burdens, they may face disproportionate impacts. Equitable resilience planning to address effects of extreme events requires information on where the impacts may be, when they may occur, and who might be impacted...
February 6, 2024: Climate Risk Management
https://read.qxmd.com/read/38515629/outpatient-medical-management-of-later-second-trimester-abortion-18-23-6-weeks-with-procedural-evacuation-backup-a-large-case-series
#39
JOURNAL ARTICLE
Sruthi Chandrasekaran, Samantha Ruggiero, Gabrielle Goodrick
OBJECTIVE: Document the clinical outcomes of an outpatient medical management with procedural evacuation backup procedure for abortions between 18 weeks zero days to 23 weeks six days gestation. STUDY DESIGN: We conducted a retrospective medical records review of adult patients who received mifepristone and repeated misoprostol for second trimester abortion with procedural evacuation backup at an Arizona clinic between October 2017 and November 2021. We extracted patient demographics; pregnancy and medical history; and preoperative, intraoperative, and postoperative data...
2024: Contraception: X
https://read.qxmd.com/read/38510694/psychological-reactance-misinformation-and-distrust-a-mixed-methods-analysis-of-covid-19-vaccine-uptake
#40
JOURNAL ARTICLE
Lily Huang, Todd R Huschka, Amelia K Barwise, Jay-Sheree P Allen, Wendy Wolfersteig, Kathryn Hamm, Lilliana D Cardenas, Sean M Phelan, Megan A Allyse
BACKGROUND: Assessing perceptions of the COVID-19 vaccines is essential for understanding vaccine hesitancy and for improving uptake during public health emergencies. In the complicated landscape of COVID-19 vaccine mandates and rampant misinformation, many individuals faced challenges during vaccination decision-making. The purpose of our mixed methods study is to elucidate factors affecting vaccine decision-making and to highlight the discourse surrounding the COVID-19 vaccines in diverse and underserved communities...
2024: Journal of Clinical and Translational Science
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