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Quality measure

Hannah M Carl, Gurjot Walia, Ricardo Bello, Emily Clarke-Pearson, Aladdin H Hassanein, Brian Cho, Rachel Pedreira, Justin M Sacks
Background Although conservative management of lymphedema remains the first-line approach, surgery is effective in select patients. The purpose of this study was to review the literature and develop a treatment algorithm based on the highest quality lymphedema research. Methods A systematic literature review was performed to examine the surgical treatments for lymphedema. Studies were categorized into five groups describing excision, liposuction, lymphovenous anastomosis (LVA), vascularized lymph node transfer (VLNT), and combined/multiple approaches...
February 24, 2017: Journal of Reconstructive Microsurgery
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
Tom Lung, Kirsten Howard, Christopher Etherton-Beer, Moira Sim, Gill Lewin, Glenn Arendts
BACKGROUND: Accurately assessing changes in the quality of life of older people living permanently in nursing homes is important. The multi-attribute utility instrument most commonly used and recommended to assess health-related quality of life in the nursing home population is the three-level EuroQol EQ-5D-3L. To date, there have been no studies using the Health Utilities Index Mark III (HUI3). The purpose of this study was to compare the level of agreement and sensitivity to change of the EQ-5D-3L and HUI3 in a nursing home population...
2017: PloS One
Enhad A Chowdhury, Max J Western, Thomas E Nightingale, Oliver J Peacock, Dylan Thompson
Wearable physical activity monitors are growing in popularity and provide the opportunity for large numbers of the public to self-monitor physical activity behaviours. The latest generation of these devices feature multiple sensors, ostensibly similar or even superior to advanced research instruments. However, little is known about the accuracy of their energy expenditure estimates. Here, we assessed their performance against criterion measurements in both controlled laboratory conditions (simulated activities of daily living and structured exercise) and over a 24 hour period in free-living conditions...
2017: PloS One
Ping Soon Shu, Yoke Mun Chan, Soo Lee Huang
This cross-sectional study was designed to determine factors contributing to glyceamic control in order to provide better understanding of diabetes management among Type 2 Diabetes patients. A pre-tested structured questionnaire was used to obtain information on socio-demographic and medical history. As a proxy measure for glycaemic control, glycosylated haemoglobin (HbA1c) was obtained as secondary data from the medical reports. Perceived self-care barrier on diabetes management, diet knowledge and skills, and diet quality were assessed using pretested instruments...
2017: PloS One
Anne C O'Neill, Blake Murphy, Shaghayegh Bagher, Saad Al Qahtani, Stefan O P Hofer, Toni Zhong
BACKGROUND: Complications following immediate breast reconstruction can have significant consequences for the delivery of postoperative chemotherapy and radiation therapy. Identifying patients at higher risk of complications would ensure that immediate breast reconstruction does not compromise oncologic treatment. The American College of Surgeons National Surgical Quality Improvement Program Surgical Risk Calculator is an online tool in the public domain that offers individualized preoperative risk prediction for a wide range of surgical procedures, including alloplastic breast reconstruction...
March 2017: Plastic and Reconstructive Surgery
Ellen T Kurtzman, Burt S Barnow
BACKGROUND: Under the Affordable Care Act, the number and capacity of community health centers (HCs) is growing. Although the majority of HC care is provided by primary care physicians (PCMDs), a growing proportion is delivered by nurse practitioners (NPs) and physician assistants (PAs); yet, little is known about how these clinicians' care compares in this setting. OBJECTIVES: To compare the quality of care and practice patterns of NPs, PAs, and PCMDs in HCs. RESEARCH DESIGN: Using 5 years of data (2006-2010) from the HC subsample of the National Ambulatory Medical Care Survey and multivariate regression analysis, we estimated the impact of receiving NP-delivered or PA-delivered care versus PCMD-delivered care...
February 23, 2017: Medical Care
Barbara Ohlenforst, Adriana A Zekveld, Elise P Jansma, Yang Wang, Graham Naylor, Artur Lorens, Thomas Lunner, Sophia E Kramer
OBJECTIVES: To undertake a systematic review of available evidence on the effect of hearing impairment and hearing aid amplification on listening effort. Two research questions were addressed: Q1) does hearing impairment affect listening effort? and Q2) can hearing aid amplification affect listening effort during speech comprehension? DESIGN: English language articles were identified through systematic searches in PubMed, EMBASE, Cinahl, the Cochrane Library, and PsycINFO from inception to August 2014...
February 23, 2017: Ear and Hearing
Hao Jiang, Ioannis G Economou, Athanassios Z Panagiotopoulos
Molecular simulation techniques using classical force-fields occupy the space between ab initio quantum mechanical methods and phenomenological correlations. In particular, Monte Carlo and molecular dynamics algorithms can be used to provide quantitative predictions of thermodynamic and transport properties of fluids relevant for geologic carbon sequestration at conditions for which experimental data are uncertain or not available. These methods can cover time and length scales far exceeding those of quantum chemical methods, while maintaining transferability and predictive power lacking from phenomenological correlations...
February 24, 2017: Accounts of Chemical Research
M Soharab, Indranil Bhaumik, R Bhatt, A Saxena, A K Karnal, P K Gupta
Single crystals of YVO<sub>4</sub> with different doping concentrations of Yb (1.5, 3.0, 8.0, and 15.0 at. %) and with good crystalline quality (FWHM ∼43-55 arc sec of rocking curve) were grown by the optical floating zone technique. Refractive index measurements were carried out at four wavelengths as a function of temperature. The measurements show that as the doping concentration of Yb is increased, the refractive index varies marginally for n<sub>e</sub> whereas there is a significant change in the value of n<sub>o</sub>...
February 20, 2017: Applied Optics
I H Yusuf, J K Barnes, T H M Fung, J S Elston, C K Patel
PurposeThe purpose of the study was to audit the use of non-contact ultra-widefield retinal imaging in infants with suspected abusive head trauma (AHT) using the Optos P200MA Scanning Laser Ophthalmoscope.Patients and methodsA retrospective, observational case series. Ten eyes of five consecutive infants (aged 1-15 months) with suspected (or in 1 case, known) AHT referred for an ophthalmological opinion were included. Each infant underwent non-contact ultra-widefield retinal imaging using the Optos P200MA scanning laser ophthalmoscope...
February 24, 2017: Eye
New Fei Ho, Zhengjun Li, Fang Ji, Mingyuan Wang, Carissa N Kuswanto, Min Yi Sum, Han Ying Tng, Yih Yian Sitoh, Kang Sim, Juan Zhou
BACKGROUND: Hemispheric lateralization of the brain occurs during development and underpins specialized functions. It is posited that aberrant neurodevelopment leads to abnormal brain lateralization in individuals with psychotic illnesses. Here, we sought to examine whether white matter hemispheric lateralization is abnormal in individuals with the psychotic spectrum disorders of schizophrenia and bipolar disorder. METHODS: We examined the white matter microstructure lateralization in patients with schizophrenia, bipolar disorder with psychotic features and healthy controls by measuring the laterality indices of fractional anisotropy (FA) and mean diffusivity (MD)...
January 31, 2017: Journal of Psychiatry & Neuroscience: JPN
Kimberly M Ramonell, Shuyang Fang, Sebastian D Perez, Jahnavi K Srinivasan, Patrick S Sullivan, John R Galloway, Charles A Staley, Edward Lin, Jyotirmay Sharma, John F Sweeney, Virginia O Shaffer
Postoperative acute renal failure is a major cause of morbidity and mortality in colon and rectal surgery. Our objective was to identify preoperative risk factors that predispose patients to postoperative renal failure and renal insufficiency, and subsequently develop a risk calculator. Using the National Surgical Quality Improvement Program Participant Use Files database, all patients who underwent colorectal surgery in 2009 were selected (n = 21,720). We identified renal complications during the 30-day period after surgery...
December 1, 2016: American Surgeon
Nanna Juel-Berg, Peter Darling, Julie Bolvig, Majken H Foss-Skiftesvik, Susanne Halken, Lone Winther, Kirsten Skamstrup Hansen, Nikolaj Askjaer, Steffen Heegaard, Anders R Madsen, Morten S Opstrup
BACKGROUND: Intranasal corticosteroids (INS) (corticosteroid nasal sprays) and oral antihistamines (OA) are two of the most common treatments for patients with allergic rhinitis (AR). To our knowledge, there are no systematic reviews on this topic including trials published after 2007. OBJECTIVE: To compare INS with nonsedating OAs as treatments for AR. METHODS: The systematic review and meta-analysis were based on the Grades of Recommendation, Assessment, Development, and Evaluation principles and the Patient, Intervention, Comparison, and Outcome approach...
January 9, 2017: American Journal of Rhinology & Allergy
Michel R M San Giorgi, Olivier S D de Groot, Frederik G Dikkers
OBJECTIVE: Recurrent respiratory papillomatosis (RRP) is a rare disease for which a limited number of information sources for patients exist. The role of the Internet in the patient-physician relationship is increasing. More and more patients search for online health information, which should be of good quality and easy readable. The study aim was to investigate the quality and readability of English online health information about RRP. STUDY DESIGN: Quality and readability assessment of online information...
February 24, 2017: Laryngoscope
Douglas P Sladen, René H Gifford, David Haynes, David Kelsall, Aaron Benson, Kristen Lewis, Teresa Zwolan, Qian-Jie Fu, Bruce Gantz, Jan Gilden, Brian Westerberg, Cindy Gustin, Lori O'Neil, Colin L Driscoll
OBJECTIVE: To evaluate the use of monosyllabic word recognition versus sentence recognition to determine candidacy and long-term benefit for cochlear implantation. STUDY DESIGN: Prospective multi-center single-subject design. METHODS: A total of 21 adults aged 18 years and older with bilateral moderate to profound sensorineural hearing loss and low monosyllabic word scores received unilateral cochlear implantation. The consonant-nucleus-consonant (CNC) word test was the central measure of pre- and postoperative performance...
February 24, 2017: Laryngoscope
Aleta M Baldwin, Brian Dodge, Vanessa Schick, Stephanie A Sanders, J Dennis Fortenberry
PURPOSE: Structural discrimination is associated with negative health outcomes among sexual minority populations. Recent changes to state-level and national legislation provide both the opportunity and the need to further explore the impact of legislation on the health indicators of sexual minorities. Using an ecosocial theory lens, the present research addresses the relationship between structural support or discrimination and satisfaction with one's health care provider among sexual minority women...
February 20, 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
C Larijani, A K Pearce, P H Regan, B C Russell, S M Jerome, M T Crespo, P de Felice, G Lutter, F Maringer, M Mazánová
Reliable measurement of Naturally Occurring Radioactive Materials is of significance in order to comply with environmental regulations and for radiological protection purposes. This paper discusses the standardisation of three reference materials, namely sand, tuff and TiO2 to serve as quality control materials for traceability, method validation and instrument calibration. The sample preparation, material characterization via γ, α and Inductively Coupled Plasma Mass Spectrometry (ICP-MS) and the assignment of values for both the 4n (Thorium) and 4n+2 (Uranium) decay series are described...
February 8, 2017: Applied Radiation and Isotopes
Hillary J Mull, Peter E Rivard, Aaron Legler, Steven D Pizer, Mary T Hawn, Kamal M F Itani, Amy K Rosen
BACKGROUND: Adverse event (AE) rates in outpatient surgery are inconsistently reported, partly because of the lack of a standard definition of outpatient surgery. We compared the types and rates of surgical procedures defined by two national healthcare agencies: Health Care Cost Institute (HCCI) and the Healthcare Cost and Utilization Project (HCUP) and considered implications for quality measurement. METHODS: We used HCCI and HCUP definitions to identify FY2012-14 VA outpatient surgeries...
February 14, 2017: American Journal of Surgery
Georg Apfaltrer, Dieter H Szolar, Eric Wurzinger, Richard A P Takx, John W Nance, Anja Dutschke, Sebastian Tschauner, Christian Loewe, Helmut Ringl, Erich Sorantin, Paul Apfaltrer
The aim of this study was to assess the image quality (IQ) and radiation dose of third-generation dual-source computed tomography (CT) coronary angiography (cCTA) in comparison with 64-slice single-source CT. This retrospective study included 140 patients (73 men, mean age 62 ± 11 years) with low-to-intermediate probability of coronary artery disease who underwent either third-generation dual-source cCTA using prospectively electrocardiography-triggered high-pitch spiral acquisition (n = 70) (group 1) or retrospective electrocardiography-gated cCTA on a 64-slice CT system (n = 70) (group 2)...
January 25, 2017: American Journal of Cardiology
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