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https://www.readbyqxmd.com/read/30094830/higher-quality-lower-cost-with-an-innovative-geriatrics-consultation-service
#1
Juliana M Bernstein, Peter Graven, Kathleen Drago, Konrad Dobbertin, Elizabeth Eckstrom
OBJECTIVES: To design a value-driven, interprofessional inpatient geriatric consultation program coordinated with systems-level changes and studied outcomes and costs. DESIGN: Propensity-matched case-control study of older adults hospitalized at an academic medical center (AMC) who did or did not receive geriatric consultation. SETTING: Single tertiary-care AMC in Portland, Oregon. PARTICIPANTS: Adults aged 70 and older who received an inpatient geriatric consultation (n=464) and propensity-matched controls admitted before development of the consultation program (n=2,381)...
August 10, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/30093455/race-ethnicity-and-end-of-life-care-in-dialysis-patients-in-the-united-states
#2
Robert N Foley, Donal J Sexton, Paul Drawz, Areef Ishani, Scott Reule
BACKGROUND: End-of-life care is a prominent consideration in patients on maintenance dialysis, especially when death appears imminent and quality of life is poor. To date, examination of race- and ethnicity-associated disparities in end-of-life care for patients with ESRD has largely been restricted to comparisons of white and black patients. METHODS: We performed a retrospective national study using United States Renal Data System files to determine whether end-of-life care in United States patients on dialysis is subject to racial or ethnic disparity...
August 9, 2018: Journal of the American Society of Nephrology: JASN
https://www.readbyqxmd.com/read/30074953/building-meaningful-patient-engagement-in-research-case-study-from-advance-clinical-data-research-network
#3
Nathaniel T Warren, James A Gaudino, Sonja Likumahuwa-Ackman, Kristin Dickerson, Lynn Robbins, Kathy Norman, John Lind, Sele D'Amato, Perry Foley, Rachel Gold, Vance Bauer, Scott A Fields, Deborah J Cohen, Khaya D Clark, Jennifer E DeVoe
BACKGROUND: Strategies to engage patients to improve and enhance research and clinical care are increasingly being implemented in the United States, yet little is known about best practices for or the impacts of meaningful patient engagement. OBJECTIVE: We describe and reflect on our patient stakeholder groups, engagement framework, experiences, and lessons learned in engaging patients in research, from generating proposal ideas to disseminating findings. SETTING: The ADVANCE (Accelerating Data Value Across a National Community Health Center Network) clinical data research network is the nation's largest clinical dataset on the safety net, with outpatient clinical data from 122 health systems (1109 clinics) in 23 states...
August 2, 2018: Medical Care
https://www.readbyqxmd.com/read/30072587/home-and-car-based-rules-in-foster-care-settings-to-reduce-exposure-to-secondhand-smoke-before-and-after-romanian-national-clean-air-legislation
#4
Kristie Foley, Lorand Ferencz, Cristian Meghea, Zoltan Abram, Melinda Pénzes, Andrea Fogarasi-Grenczer, Peter Balazs, Lorand Schmidt
Background : To evaluate changes in smoke free rules in the foster care system after the implementation of the Romanian national clean air law. Methods : A repeated cross-sectional, self-administered questionnaire among foster care employees ( n = 599) was conducted in 58 foster care homes during 2014 ( n = 295) and 51 homes during 2016 ( n = 304). We estimated the absolute difference in the proportion of employees who stated that smoke free rules existed before and after national clean air legislation. Results : There was an absolute increase in 4 of 5 smoke free measures after the law: bans on non-cigarette tobacco products ( n = 169 to 206, +10...
August 2, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/30056827/social-equity-and-primary-healthcare-financing-lessons-from-new-zealand
#5
Jonathan Foley
This paper reviews the effect of a primary care financing scheme introduced in New Zealand as a component of the New Zealand Primary Health Care Strategy, a comprehensive reform of the way that primary healthcare was governed, financed and delivered. The population-based funding formulae incorporated an area-based measure of social deprivation and ethnicity in an explicit attempt to improve access to care for certain population groups and fund social interventions aimed at addressing conditions that lead to improved health outcomes...
July 30, 2018: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/30044388/far-reaching-dispersal-of-borrelia-burgdorferi-sensu-lato-infected-blacklegged-ticks-by-migratory-songbirds-in-canada
#6
John D Scott, Kerry L Clark, Janet E Foley, Bradley C Bierman, Lance A Durden
Lyme disease has been documented in northern areas of Canada, but the source of the etiological bacterium, Borrelia burgdorferi sensu lato (Bbsl) has been in doubt. We collected 87 ticks from 44 songbirds during 2017, and 24 (39%) of 62 nymphs of the blacklegged tick, Ixodes scapularis , were positive for Bbsl. We provide the first report of Bbsl-infected, songbird-transported I. scapularis in Cape Breton, Nova Scotia; Newfoundland and Labrador; north-central Manitoba, and Alberta. Notably, we report the northernmost account of Bbsl-infected ticks parasitizing a bird in Canada...
July 25, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/30021503/canadian-stroke-best-practice-recommendations-for-acute-stroke-management-prehospital-emergency-department-and-acute-inpatient-stroke-care-6th-edition-update-2018
#7
J M Boulanger, M P Lindsay, G Gubitz, E E Smith, G Stotts, N Foley, S Bhogal, K Boyle, L Braun, T Goddard, Mks Heran, N Kanya-Forster, E Lang, P Lavoie, M McClelland, C O'Kelly, P Pageau, J Pettersen, H Purvis, M Shamy, D Tampieri, B vanAdel, R Verbeek, D Blacquiere, L Casaubon, D Ferguson, Y Hegedus, G J Jacquin, M Kelly, N Kamal, B Linkewich, C Lum, B Mann, G Milot, N Newcommon, P Poirier, W Simpkin, E Snieder, A Trivedi, R Whelan, M Eustace, E Smitko, K Butcher
The 2018 update of the Canadian Stroke Best Practice Recommendations for Acute Stroke Management, 6th edition, is a comprehensive summary of current evidence-based recommendations, appropriate for use by healthcare providers and system planners caring for persons with very recent symptoms of acute stroke or transient ischemic attack. The recommendations are intended for use by a interdisciplinary team of clinicians across a wide range of settings and highlight key elements involved in prehospital and Emergency Department care, acute treatments for ischemic stroke, and acute inpatient care...
January 1, 2018: International Journal of Stroke: Official Journal of the International Stroke Society
https://www.readbyqxmd.com/read/30021491/canadian-stroke-best-practice-consensus-statement-acute-stroke-management-during-pregnancy
#8
Noor Niyar N Ladhani, Richard H Swartz, Norine Foley, Kara Nerenberg, Eric E Smith, Gord Gubitz, Dariush Dowlatshahi, Jayson Potts, Joel G Ray, Jon Barrett, Cheryl Bushnell, Simerpreet Bal, Wee-Shian Chan, Radha Chari, Meryem El Amrani, Shital Gandhi, Michael D Hill, Andra James, Thomas Jeerakathil, Albert Jin, Adam Kirton, Sylvain Lanthier, Andrea Lausman, Lisa Rae Leffert, Jennifer Mandzia, Bijoy Menon, Aleksandra Pikula, Alexandre Poppe, Gustavo Saposnik, Mukul Sharma, Sanjit Bhogal, Elisabeth Smitko, M Patrice Lindsay
The Canadian Stroke Best Practice Consensus Statement Acute Stroke Management during Pregnancy is the second of a two-part series devoted to stroke in pregnancy. The first part focused on the unique aspects of secondary stroke prevention in a woman with a prior history of stroke who is, or is planning to become, pregnant. This document focuses on the management of a woman who experiences an acute stroke during pregnancy. This consensus statement was developed in recognition of the need for a specifically tailored approach to the management of this group of patients in the absence of any broad-based, stroke-specific guidelines or consensus statements, which do not exist currently...
January 1, 2018: International Journal of Stroke: Official Journal of the International Stroke Society
https://www.readbyqxmd.com/read/30001704/web-based-intervention-to-improve-quality-of-life-in-late-stage-bipolar-disorder-orbit-randomised-controlled-trial-protocol
#9
Kathryn Fletcher, Fiona Foley, Neil Thomas, Erin Michalak, Lesley Berk, Michael Berk, Steve Bowe, Sue Cotton, Lidia Engel, Sheri L Johnson, Steven Jones, Michael Kyrios, Sara Lapsley, Cathrine Mihalopoulos, Tania Perich, Greg Murray
BACKGROUND: The primary objective of this randomised controlled trial (RCT) is to establish the effectiveness of a novel online quality of life (QoL) intervention tailored for people with late stage (≥ 10 episodes) bipolar disorder (BD) compared with psychoeducation. Relative to early stage individuals, this late stage group may not benefit as much from existing psychosocial treatments. The intervention is a guided self-help, mindfulness based intervention (MBI) developed in consultation with consumers, designed specifically for web-based delivery, with email coaching support...
July 13, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29997465/microbiological-analysis-of-urine-cultures-in-women-after-pelvic-reconstructive-surgery
#10
Melissa L Dawson, Meagan S Cramer, Dana R Thompson, Babak Vakili
Background/Aims: The rate of urinary tract infection (UTI) after pelvic reconstructive surgery ranges from 9 to 48% and the most common uropathogen is Escherichia coli ( E. coli ). The aim of the study is to identify the predominant uro-pathogen from urine cultures in women undergoing pelvic reconstructive surgery. Methods: A retrospective review was conducted on women who underwent pelvic reconstructive surgery at a tertiary care center from July 2013 to June 2015...
June 2018: Current Urology
https://www.readbyqxmd.com/read/29971436/a-multicenter-study-of-patient-reported-infectious-and-noninfectious-complications-associated-with-indwelling-urethral-catheters
#11
Sanjay Saint, Barbara W Trautner, Karen E Fowler, John Colozzi, David Ratz, Erica Lescinskas, John M Hollingsworth, Sarah L Krein
Importance: Indwelling urethral catheters (ie, Foley catheters) are important in caring for certain hospitalized patients but can also cause complications in patients. Objective: To determine the incidence of infectious and noninfectious patient-reported complications associated with the indwelling urethral catheter. Design, Setting, and Participants: A prospective cohort study of consecutive patients with placement of a new indwelling urethral catheter while hospitalized at 1 of 4 US hospitals in 2 states...
July 2, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/29971141/standardised-neuropsychological-assessment-for-the-selection-of-patients-undergoing-dbs-for-parkinson-s-disease
#12
Jennifer A Foley, Tom Foltynie, Patricia Limousin, Lisa Cipolotti
DBS is an increasingly offered advanced treatment for Parkinson's disease (PD). Neuropsychological assessment is considered to be an important part of the screening for selection of candidates for this treatment. However, no standardised screening procedure currently exists. In this study, we examined the use of our standardised neuropsychological assessment for the evaluation of surgical candidates and to identify risk factors for subsequent decline in cognition and mood. A total of 40 patients were assessed before and after DBS...
2018: Parkinson's Disease
https://www.readbyqxmd.com/read/29935143/a-randomized-controlled-trial-comparing-efficacy-of-early-video-capsule-endoscopy-with-standard-of-care-in-the-approach-to-non-hematemesis-gastrointestinal-bleeding-with-videos
#13
Neil B Marya, Salmaan Jawaid, Anne Foley, Samuel Han, Krunal Patel, Louise Maranda, Daniel Kaufman, Kanishka Bhattacharya, Christopher Marshall, Joseph Tennyson, David R Cave
OBJECTIVE: Patients presenting with non-hematemesis GI bleeding represent a diagnostic challenge for physicians. We performed a randomized controlled trial to assess the benefits of deployment of a video capsule soon after admission in the management of patients presenting with melena, hematochezia, or severe anemia compared with standard of care management. DESIGN: Patients admitted with non-hematemesis GI bleeding were randomized and placed into one of 2 study groups...
June 20, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29900592/general-practitioners-knowledge-attitudes-and-experiences-of-managing-behavioural-and-psychological-symptoms-of-dementia-a-mixed-methods-systematic-review
#14
REVIEW
Aisling A Jennings, Tony Foley, Kieran A Walsh, Alice Coffey, John P Browne, Colin P Bradley
OBJECTIVES: To synthesise the existing published literature on general practitioners (GP)'s knowledge, attitudes, and experiences of managing behavioural and psychological symptoms of dementia (BPSD) with a view to informing future interventions. METHODS: We conducted a systematic review and synthesis of quantitative and qualitative studies that explored GPs' experiences of managing BPSD (PROSPERO protocol registration CRD42017054916). Seven electronic databases were searched from inception to October 2017...
June 13, 2018: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29895997/intrauterine-inflated-foley-s-catheter-balloon-in-the-management-of-abnormally-invasive-placenta-previa-a-case-control-study
#15
Mahmoud Thabet, Mohamed Sayed Abdelhafez, Emad Ahmed Fyala
Objective: To describe the use of intrauterine inflated Foley's catheter balloon for control of postpartum hemorrhage (PPH) during cesarean section (CS) in cases of abnormally invasive placenta previa aiming to preserve the uterus. Methods: Retrospective case-control study of the data of women who underwent elective CS on abnormally adherent placenta previa was carried out. Women in whom inflated Foley's catheter balloon was used for control of PPH during CS ( n  = 40) were compared with a control group of women who underwent elective CS by the same technique but without use of intrauterine catheter balloon ( n  = 38)...
June 2018: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/29880177/mechanical-induction-of-labor-and-ecbolic-less-vaginal-birth-after-cesarean-section-a-cohort-study
#16
Hytham Atia, Mohamed Ellaithy, Ahmed Altraigey, Mohamed Kolkailah, Amal Alserehi, Shabana Ashfaq
OBJECTIVE: During delivery counseling, some women with previous uncomplicated cesarean section (CS) wish mechanical induction of labor (IOL) but they are not accepting the added risk of using ecbolics to induce and/or augment labor. The objective of the study was to assess the safety and efficacy of the isolated use of transcervical Foley's catheter balloon as a mean of mechanical cervical ripening (CR)/IOL and successful ecbolic-less vaginal birth after cesarean section (VBAC). MATERIALS AND METHODS: A cohort study was conducted in two tertiary care maternity hospitals between October 2013 and July 2016 and recruited women with singleton pregnancy and cephalic presentation who had previous one uncomplicated CS and were scheduled for mechanical CR/IOL at term for routine obstetric indications...
June 2018: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29858196/nurse-project-consultant-critical-care-nurses-move-beyond-the-bedside-to-affect-quality-and-safety
#17
Lynn G Mackinson, Juliann Corey, Veronica Kelly, Kristin P O'Reilly, Jennifer P Stevens, Susan Desanto-Madeya, Donna Williams, Sharon C O'Donoghue, Jane Foley
A nurse project consultant role empowered 3 critical care nurses to expand their scope of practice beyond the bedside and engage within complex health care delivery systems to reduce harms in the intensive care unit. As members of an interdisciplinary team, the nurse project consultants contributed their clinical expertise and systems knowledge to develop innovations that optimize care provided in the intensive care unit. This article discusses the formal development of and institutional support for the nurse project consultant role...
June 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29799898/-origin-of-commonly-used-eponyms-in-the-intensive-care-unit-daily-job
#18
Alejandro Donoso F, Daniela Arriagada S, Megan Neumann B
Eponyms reflect the history of medicine, diseases, and doctors in their time. Their use is controversial, presenting supporters and detractors. However, the use of eponyms persist in the modern medical language in the Intensive Care Units and includes some frequently used ones such as Foley, Seldinger, Down, Macintosh, Magill, Ringer, Yankauer, Doppler, and French. The objective of this review is to promote biographical knowledge and the historical period in which its medical use took place, in order to deepen aspects of medicine history...
April 2018: Revista Chilena de Pediatría
https://www.readbyqxmd.com/read/29799144/the-ability-of-prior-urinary-cultures-results-to-predict-future-culture-results-in-neurogenic-bladder-patients
#19
Roderick Clark, Blayne Welk
AIMS: To determine if previous urinary cultures can predict the organism and susceptibility of subsequent urinary cultures in patients with neurogenic bladder dysfunction. METHODS: We retrospectively identified a sample of neurogenic bladder patients from a tertiary care urology clinic (July 2015-July 2016). We reviewed the patient chart, and then used the electronic laboratory record to identify all urine cultures done in the 2 years prior. We identified sequential culture pairs and determined the concordance of the initial culture organism to the subsequent one and similarly the concordance of the initial culture's antibiotic resistance status to the subsequent culture's one...
May 25, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29743230/proactive-strategies-to-address-health-equity-and-disparities-recommendations-from-a-bi-national-symposium
#20
Jeannie Haggerty, Marshall H Chin, Alan Katz, Kue Young, Jonathan Foley, Antoine Groulx, Eliseo J Pérez-Stable, Jeff Turnbull, Jennifer E DeVoe, Uche Uchendo
INTRODUCTION: Health inequities persist in Canada and the United States. Both countries show differential health status and health care quality by social characteristics, making zip or postal code a greater predictor of health than genetics. Many social determinants of health overlap in the same individuals or communities, exacerbating their vulnerability. Many of the contributing factors and problems are structural and evade simple solutions. METHODS: In March 2017 a binational Canada-US symposium was held in Washington DC involving 150 primary care thought leaders, including clinicians, researchers, patients, and policy makers to address transformation in integrated primary care...
May 2018: Journal of the American Board of Family Medicine: JABFM
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