keyword
https://read.qxmd.com/read/36976587/cultural-humility-curriculum-to-address-healthcare-disparities-for-emergency-medicine-residents
#21
JOURNAL ARTICLE
Ryan E Tsuchida, Jessica Doan, Eve D Losman, Adrianne N Haggins, Robert D Huang, Daniel J Hekman, Marcia A Perry
INTRODUCTION: Emergency medicine (EM) residency programs have variable approaches to educating residents on recognizing and managing healthcare disparities. We hypothesized that our curriculum with resident-presented lectures would increase residents' sense of cultural humility and ability to identify vulnerable populations. METHODS: At a single-site, four-year EM residency program with 16 residents per year, we designed a curriculum intervention from 2019-2021 where all second-year residents selected one healthcare disparity topic and gave a 15-minute presentation overviewing the disparity, describing local resources, and facilitating a group discussion...
March 6, 2023: Western Journal of Emergency Medicine
https://read.qxmd.com/read/36930254/contemporary-patterns-of-local-ablative-therapies-for-prostate-cancer-at-united-states-cancer-centers-results-from-a-national-registry
#22
JOURNAL ARTICLE
Mara Koelker, Muhieddine Labban, Nicola Frego, Christian P Meyer, Georg Salomon, Stuart R Lipsitz, John Withington, Caroline M Moore, Clare M Tempany, Kemal Tuncali, Arvin George, Adam S Kibel, Quoc-Dien Trinh, Alexander P Cole
PURPOSE: To describe the national-level patterns of care for local ablative therapy among men with PCa and identify patient- and hospital-level factors associated with the receipt of these techniques. METHODS: We retrospectively interrogated the National Cancer Database (NCDB) for men with clinically localized PCa between 2010 and 2017. The main outcome was receipt of local tumor ablation with either cryo- or laser-ablation, and "other method of local tumor destruction including high-intensity focused ultrasound (HIFU)"...
March 17, 2023: World Journal of Urology
https://read.qxmd.com/read/36851289/trends-in-hospitalization-and-mortality-for-influenza-and-other-respiratory-viruses-during-the-covid-19-pandemic-in-the-united-states
#23
JOURNAL ARTICLE
Adeel Nasrullah, Karthik Gangu, Ishan Garg, Anam Javed, Hina Shuja, Prabal Chourasia, Rahul Shekhar, Abu Baker Sheikh
Seasonal epidemics of respiratory viruses, respiratory syncytial virus (RSV), influenza viruses, parainfluenza viruses (PIVs), and human metapneumovirus (MPV) are associated with a significant healthcare burden secondary to hundreds of thousands of hospitalizations every year in the United States (US) alone. Preventive measures implemented to reduce the spread of SARS-CoV-2 (COVID-19 infection), including facemasks, hand hygiene, stay-at-home orders, and closure of schools and local/national borders may have impacted the transmission of these respiratory viruses...
February 10, 2023: Vaccines
https://read.qxmd.com/read/36804875/national-trends-in-orthognathic-surgery-a-multi-institutional-analysis-of-6640-patients
#24
JOURNAL ARTICLE
Christopher L Kalmar, Sara Chaker, Matthew E Pontell, Nicholas R O'Sick, Michael S Golinko
BACKGROUND: LeFort I osteotomy (LF1) and bilateral sagittal split osteotomy (BSSO) have unique operative challenges and inherent anatomic considerations that predispose to certain adverse outcomes, yet their respective complication profiles continue to be debated given conflicting results from single-center investigations. The purpose of this study is to perform a multi-institutional analysis of complications, socioeconomic trends, and financial charges associated with orthognathic surgery...
February 20, 2023: Journal of Craniofacial Surgery
https://read.qxmd.com/read/36644071/raising-capacity-to-address-mental-health-concerns-in-costa-rica
#25
JOURNAL ARTICLE
Thomas A O'Mara, Kurt Angstman, Douglas B Spicer, Enid Campos, Natalie C Erbs, Joseph W Furst, Mark D Williams
Background A family medicine team based out of Mayo Clinic, Rochester assembled in 2019 to provide home visits and direct care to underserved populations of patients in La Cruz, Costa Rica. In addition to the provision of direct patient care, our team was interested in conducting a community needs-based assessment to identify an area for provider education efforts and the local providers on a chronic health issue using local feedback and physician data. Suicide awareness and prevention were identified as a priority based on rising suicide rates as well as limited psychiatry services in the area, with some major providences having ~0...
December 2022: Curēus
https://read.qxmd.com/read/36479248/distinct-clinical-pattern-of-colorectal-cancer-patients-with-pole-mutations-a-retrospective-study-on-real-world-data
#26
JOURNAL ARTICLE
Miao Jiang, Yongliang Jia, Jinming Han, Jianxiang Shi, Chang Su, Rui Zhang, Menglu Xing, Shuiling Jin, Hong Zong
Objective: Studies have demonstrated an association between somatic POLE exonuclease domain mutations (EDMs) and the prognosis of colorectal cancer (CRC). However, the prognostic value of POLE non-EDMs remains unclear. This retrospective study aimed to explore the possible relationships between POLE mutation subtypes and CRC prognosis. Methods: The 272 CRC patients from the First Affiliated Hospital of Zhengzhou University (ZZ cohort) and 499 CRC patients from The Cancer Genome Atlas database (TCGA cohort) were retrospectively collected...
2022: Frontiers in Genetics
https://read.qxmd.com/read/36407135/a-new-normal-trends-of-upper-extremity-orthopaedic-injuries-nationwide-during-the-covid-19-pandemic
#27
JOURNAL ARTICLE
Alexis B Sandler, Michael D Baird, Steven S Kurapaty, John P Scanaliato, John C Dunn, Nata Parnes
Background The widespread societal effects of the COVID-19 pandemic connote public health and epidemiological changes for orthopedic injuries. The epidemiology of upper extremity injuries and the effects of the pandemic on these nationwide trends is poorly defined. Methods This cross-sectional, descriptive epidemiological study compares epidemiological trends among upper extremity (UE) orthopedic injuries presenting to emergency departments (EDs) prior to and during the COVID-19 pandemic. Upper extremity fracture and dislocation data was sourced from the National Electronic Injury Surveillance System (NEISS) database in years prior to (2015-2019) and during the pandemic (2020-2021)...
October 2022: Curēus
https://read.qxmd.com/read/36383381/evaluation-of-a-national-quality-improvement-collaborative-for-improving-cancer-screening
#28
JOURNAL ARTICLE
Rachel Hae-Soo Joung, Timothy W Mullett, Scott H Kurtzman, Sarah Shafir, James B Harris, Katharine A Yao, Karl Y Bilimoria, William G Cance, Heidi Nelson
IMPORTANCE: Cancer screening deficits during the first year of the COVID-19 pandemic were found to persist into 2021. Cancer-related deaths over the next decade are projected to increase if these deficits are not addressed. OBJECTIVE: To assess whether participation in a nationwide quality improvement (QI) collaborative, Return-to-Screening, was associated with restoration of cancer screening. DESIGN, SETTING, AND PARTICIPANTS: Accredited cancer programs electively enrolled in this QI study...
November 1, 2022: JAMA Network Open
https://read.qxmd.com/read/36168154/-the-future-of-hospitals-in-israel-planning-considerations-and-the-standpoints-of-managers
#29
JOURNAL ARTICLE
Orna Tal, Royi Barnea, Dan Oppenheim
INTRODUCTION: Planning the future national hospitalization system requires consideration of demographic trends, innovative treatments and policy approaches. The existing situation alone does not allow proper planning in extremely dynamic systems that operate within the framework of scarce resources. OBJECTIVES: To identify managers' attitudes regarding hospital planning, deployment and managerial mechanisms in comparison with evidence in the literature. METHODS: A survey among hospital managers following a focused conference...
September 2022: Harefuah
https://read.qxmd.com/read/36011031/current-trends-in-inpatient-care-and-in-hospital-mortality-of-cholangiocarcinoma-in-germany-a-systematic-analysis-between-2010-and-2019
#30
JOURNAL ARTICLE
Christoph Roderburg, Tobias Essing, Linde Kehmann, Sarah Krieg, Simon Labuhn, Jennis Kandler, Tom Luedde, Sven H Loosen
Background: Cholangiocarcinoma (CCA) is a rare malignant disease of the biliary tract with an increasing incidence and a high mortality worldwide. Systematic data on epidemiological trends, treatment strategies, and in-hospital mortality of CCA in Germany are largely missing. However, the evaluation and careful interpretation of these data could help to further improve the treatment strategies and outcome of CCA patients in the future. Methods: Standardized hospital discharge data from the German Federal Statistical Office were used to evaluate epidemiological and clinical trends as well as the in-hospital mortality of CCA in Germany between 2010 and 2019...
August 21, 2022: Cancers
https://read.qxmd.com/read/35988828/air-temperature-and-incidence-of-extended-spectrum-beta-lactamase-esbl-producing-enterobacteriaceae
#31
JOURNAL ARTICLE
Lukas Bock, Lisandra Aguilar-Bultet, Adrian Egli, Manuel Battegay, Andreas Kronenberg, Roland Vogt, Carole Kaufmann, Sarah Tschudin-Sutter
BACKGROUND: Higher outdoor temperature may be related to an increase in antibiotic resistant bacteria. We investigated the association between local outdoor air temperature and the incidence of extended-spectrum betalactamase (ESBL)-producing Enterobacteriaceae (ESBL-PE) correcting for known drivers of antibiotic resistance. METHODS: We performed a time-series regression study using prospectively collected weekly surveillance data on all ESBL-PE isolated from in- and outpatients of the University Hospital Basel, a tertiary care center in Switzerland, between 01/2008-12/2017...
August 18, 2022: Environmental Research
https://read.qxmd.com/read/35961090/static-dynamic-coordinated-transformer-for-tumor-longitudinal-growth-prediction
#32
JOURNAL ARTICLE
Hexi Wang, Ning Xiao, Jina Zhang, Wanting Yang, Yulan Ma, Yao Suo, Juanjuan Zhao, Yan Qiang, Jianhong Lian, Qianqian Yang
Accurate prediction of the tumor's future imaging features can provide its complete growth evolution and more detailed clinical parameters. The existing longitudinal models tend to lose detailed growth information and make it difficult to model the complete tumor development process. In this paper, we propose the Static-Dynamic coordinated Transformer for Tumor Longitudinal Growth Prediction (SDC-Transformer). To extract the static high-level features of tumors in each period, and to further explore the dynamic growth associations and expansion trend of tumors between different periods...
September 2022: Computers in Biology and Medicine
https://read.qxmd.com/read/35897298/spatial-syndromic-surveillance-and-covid-19-in-the-u-s-local-cluster-mapping-for-pandemic-preparedness
#33
JOURNAL ARTICLE
Andrew J Curtis, Jayakrishnan Ajayakumar, Jacqueline Curtis, Sam Brown
Maps have become the de facto primary mode of visualizing the COVID-19 pandemic, from identifying local disease and vaccination patterns to understanding global trends. In addition to their widespread utilization for public communication, there have been a variety of advances in spatial methods created for localized operational needs. While broader dissemination of this more granular work is not commonplace due to the protections under Health Insurance Portability and Accountability Act (HIPAA), its role has been foundational to pandemic response for health systems, hospitals, and government agencies...
July 22, 2022: International Journal of Environmental Research and Public Health
https://read.qxmd.com/read/35859938/spatial-temporal-pattern-of-malaria-in-burkina-faso-from-2013-to-2020
#34
JOURNAL ARTICLE
Ibrahim Sangaré, Cheick Ahmed Ouattara, Dieudonné Diloma Soma, Daouda Soma, Benoit Sessinou Assogba, Moussa Namountougou, Gautier Tougri, Leon Blaise Savadogo
Despite the implementation of different strategies to fight against malaria in Burkina Faso since 2005, it remains today the leading cause of hospitalization and death. Adapting interventions to the spatial and temporal distribution of malaria could help to reduce this burden. This study aims to determine the structure and stability of malaria hotspots in Burkina Faso, with the objective of adapting interventions at small geographical scales. Data on malaria cases from 2013 to 2020 were acquired at municipalities level...
August 2022: Parasite Epidemiology and Control
https://read.qxmd.com/read/35794094/local-trends-in-total-joint-arthroplasty-and-orthopaedic-surgeon-distribution-in-the-united-states
#35
JOURNAL ARTICLE
Christopher M Scanlon, Brian A Perez, Austin Yu, Matthew Sloan, Amanda Milena Alvarez, Matthew L Webb, Neil P Sheth
INTRODUCTION: Total joint arthroplasty (TJA) volume and the number of orthopaedic surgeons in the United States have increased in recent years, but local growth variation has not been studied. This study assesses recent changes in state-level distribution of orthopaedic surgeons in the United States and corresponding local trends in TJA volume. METHODS: Data from the National Inpatient Sample database (2000 to 2014) were reviewed. Urban versus rural setting and teaching versus nonteaching hospitals were identified among TJA procedures for comparison...
July 1, 2022: Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews
https://read.qxmd.com/read/35581648/forecasting-daily-emergency-department-arrivals-using-high-dimensional-multivariate-data-a-feature-selection-approach
#36
JOURNAL ARTICLE
Jalmari Tuominen, Francesco Lomio, Niku Oksala, Ari Palomäki, Jaakko Peltonen, Heikki Huttunen, Antti Roine
BACKGROUND AND OBJECTIVE: Emergency Department (ED) overcrowding is a chronic international issue that is associated with adverse treatment outcomes. Accurate forecasts of future service demand would enable intelligent resource allocation that could alleviate the problem. There has been continued academic interest in ED forecasting but the number of used explanatory variables has been low, limited mainly to calendar and weather variables. In this study we investigate whether predictive accuracy of next day arrivals could be enhanced using high number of potentially relevant explanatory variables and document two feature selection processes that aim to identify which subset of variables is associated with number of next day arrivals...
May 17, 2022: BMC Medical Informatics and Decision Making
https://read.qxmd.com/read/35565218/recent-trends-and-in-hospital-mortality-of-transarterial-chemoembolization-tace-in-germany-a-systematic-analysis-of-hospital-discharge-data-between-2010-and-2019
#37
JOURNAL ARTICLE
Sarah Krieg, Tobias Essing, Andreas Krieg, Christoph Roderburg, Tom Luedde, Sven H Loosen
(1) Background: Transarterial chemoembolization (TACE) is a minimally invasive procedure, characterized by the selective occlusion of tumor-feeding hepatic arteries, via injection of an embolizing agent and an anticancer drug. It represents a standard of care for intermediate-stage hepatocellular carcinoma (HCC), and it is also increasingly performed in cholangiocarcinoma (CCA), as well as in liver metastases. Apart from the original method, based on intra-arterial infusion of a liquid drug followed by embolization, newer particle-based TACE procedures have been introduced recently...
April 22, 2022: Cancers
https://read.qxmd.com/read/35472751/sars-cov-2-cycle-threshold-ct-values-predict-future-covid-19-cases
#38
JOURNAL ARTICLE
Matthew C Phillips, David Quintero, Noah Wald-Dickler, Paul Holtom, Susan M Butler-Wu
AIM: Anticipating local surges in COVID-19 cases has predominantly been based on observation of increasing cases. We sought to determine if temporal trends in SARS-CoV-2 Cycle threshold (Ct) values from clinical testing were predictive of future cases. METHODS: Data were collected from a large, safety-net hospital in Los Angeles, California. Ct values for all SARS-CoV-2 detections by the GeneXpert system (Cepheid) between October 2020 to March 2021 were analyzed...
April 8, 2022: Journal of Clinical Virology
https://read.qxmd.com/read/35420843/mapping-community-a-scoping-review-of-clubhouse-members-social-networks-and-their-impact-on-recovery-in-mental-illness
#39
JOURNAL ARTICLE
Monet S Meyer, Joy Agner, Adriana Botero, Tiffany Cha
OBJECTIVE: Social support is an important component of recovery-based interventions for individuals living with severe mental illness (IWSMI). Clubhouses are local community centers that facilitate the development of meaningful relationships among IWSMI through an empowering structure and engagement with the work-ordered day. This review synthesizes research on social networks in Clubhouses to provide insights on the role of supportive relationships in mental illness recovery, including the size and features of social networks of Clubhouse members, methodological trends and gaps, and the associations between social networks and demographic variables, recovery, health, and perceived social support...
April 14, 2022: Psychiatric Rehabilitation Journal
https://read.qxmd.com/read/35385103/national-trends-in-prescription-drug-expenditures-and-projections-for-2022
#40
JOURNAL ARTICLE
Eric M Tichy, James M Hoffman, Katie J Suda, Matthew H Rim, Mina Tadrous, Sandra Cuellar, John S Clark, Jennifer Ward, Glen T Schumock
DISCLAIMER: In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. PURPOSE: To report historical patterns of pharmaceutical expenditures, to identify factors that may influence future spending, and to predict growth in drug spending in 2022 in the United States, with a focus on the nonfederal hospital and clinic sectors...
April 6, 2022: American Journal of Health-system Pharmacy: AJHP
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