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https://www.readbyqxmd.com/read/27932029/implementing-a-resident-acute-care-surgery-service-improving-resident-education-and-patient-care
#1
Olga Kantor, Andrew B Schneider, Marko Rojnica, Andrew J Benjamin, Nancy Schindler, Mitchell C Posner, Jeffrey B Matthews, Kevin K Roggin
BACKGROUND: To simulate the duties and responsibilities of an attending surgeon and allow senior residents more intraoperative and perioperative autonomy, our program created a new resident acute care surgery consult service. METHODS: We structured resident acute care surgery as a new admitting and inpatient consult service managed by chief and senior residents with attending supervision. When appropriate, the chief resident served as a teaching assistant in the operation...
December 5, 2016: Surgery
https://www.readbyqxmd.com/read/27932016/to-dance-or-not-to-dance-a-comparison-of-balance-physical-fitness-and-quality-of-life-in-older-irish-set-dancers-and-age-matched-controls
#2
J Shanahan, L Coman, F Ryan, J Saunders, K O'Sullivan, O Ni Bhriain, A M Clifford
OBJECTIVE: The objective of this study is to determine if older adults regularly participating in Irish set dancing have superior balance, physical fitness and quality of life compared to age-matched controls. STUDY DESIGN: This study used a community-based, observational cross-sectional design. METHODS: Regular set dancers (n = 39) and age-matched controls (n = 33) were recruited. Participants were assessed using the physical activity scale for the elderly (physical activity levels), mini-BESTest (balance) and senior fitness test (battery of functional fitness tests)...
December 2016: Public Health
https://www.readbyqxmd.com/read/27931736/migraine-headache-trigger-site-prevalence-analysis-of-2590-sites-in-1010-patients
#3
Nazilla S Seyed Forootan, Michelle Lee, Bahman Guyuron
BACKGROUND: Surgical deactivation of migraine trigger sites offers an alternate treatment option for patients with recalcitrant headaches who are unresponsive to medical therapies or for those who are unable to take medications. The aim of this article is to provide a comprehensive review and a prevalence analysis of 2590 migraine surgery trigger sites in 1010 patients over a 14-year study period. METHODS: This is a retrospective review of migraine patients who underwent surgical decompression of peripheral nerves...
November 16, 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/27931197/reaching-the-elderly-understanding-of-health-and-preventive-experiences-for-a-tailored-approach-results-of-a-qualitative-study
#4
Christiane Patzelt, Susanne Heim, Bernhilde Deitermann, Gudrun Theile, Christian Krauth, Eva Hummers-Pradier, Ulla Walter
BACKGROUND: Often preventive measures are not accessed by the people who were intended to be reached. Programs for older adults may target men and women, older adults, advanced old age groups and/or chronically ill patients with specific indications. The defined target groups rarely participate in the conception of programs or in the design of information materials, although this would increase accessibility and participation. In the German "Reaching the Elderly" study (2008-2011), an approach to motivating older adults to participate in a preventive home visit (PHV) program was modified with the participatory involvement of the target groups...
December 8, 2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27930485/results-from-the-bipartisan-policy-center-s-ceo-council-physical-activity-challenge-to-american-business
#5
Jeff Berko, Ron Z Goetzel, Enid Chung Roemer, Karen Kent, Janet Marchibroda
OBJECTIVE: The aim of this study was to describe findings from a survey of employees at 10 businesses participating in the "Building Better Health: Physical Activity Challenge," an effort led by the Bipartisan Policy Center's CEO Council on Health and Innovation. METHODS: Employers provided employees with pedometers as part of an 8-week Physical Activity Challenge (Challenge). Employees were then asked to complete a survey about their awareness of, participation in, and satisfaction with the Challenge...
December 2016: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/27930394/the-changing-face-of-epidemiology-gender-disparities-in-citations
#6
Enrique F Schisterman, Chandra W Swanson, Ya-Ling Lu, Sunni L Mumford
BACKGROUND: Female biomedical scientists tend to publish fewer articles as last author than their male colleagues and accrue fewer citations per publication. We seek to understand whether epidemiology follows this pattern. METHODS: We gathered aggregate information on the current gender distribution of epidemiology departments (n=29 of 71 surveyed), societies (n=4 of 8), and journal editorial boards (n=6 of 6) using two online surveys and publicly available online information...
December 1, 2016: Epidemiology
https://www.readbyqxmd.com/read/27928743/age-effects-in-mortality-risk-valuation
#7
Raul Brey, Jose Luis Pinto-Prades
We provide more evidence on the functional relationship between willingness-to-pay for risk reductions and age (the senior discount). We overcome many of the limitations of previous literature that has dealt with this issue, namely, the influence of the assumptions used in statistical models on the final results. Given our large sample size (n = 6024) we can use models that are very demanding on data. We use parametric (linear, quadratic, dummies), semi-nonparametric, and non-parametric models. We also compare the marginal and the total approach and show that they provide similar results...
December 7, 2016: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/27928671/effective-stepwise-training-and-procedure-standardization-for-young-surgeons-to-perform-laparoscopic-left-hepatectomy
#8
Shinichiro Yamada, Mitsuo Shimada, Satoru Imura, Yuji Morine, Tetsuya Ikemoto, Yu Saito, Chie Takasu, Masato Yoshikawa, Hiroki Teraoku, Toshiaki Yoshimoto, Atsushi Takata
BACKGROUND: Laparoscopic hepatectomy remains one of the most difficult procedures for young surgeons to perform. We recently developed a new training method and standardization procedure for teaching young surgeons to perform laparoscopic left hepatectomy (Lap-LHx). The aim of this study was to assess the effectiveness of our method. METHODS: In 2004, we standardized a laparoscopic procedure for Lap-LHx, using a laparoscopy-assisted method as a stepping stone. The laparoscopic training method comprised the following three steps: (1) training in fundamental procedures using a dry box and checking by mentors; (2) detailed preoperative simulation using Vincent three-dimensional software for each patient; and (3) self-assessment including understanding of relevant anatomy and completion grade for each procedure using a check sheet and feedback by both mentors and a professor...
December 7, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27928206/doping-attitudes-and-covariates-of-potential-doping-behaviour-in-high-level-team-sport-athletes-gender-specific-analysis
#9
Damir Sekulic, Enver Tahiraj, Milan Zvan, Natasa Zenic, Ognjen Uljevic, Blaz Lesnik
Team sports are rarely studied with regard to doping behaviour and doping-related factors regardless of their global popularity. This study aimed to investigate doping factors and covariates of potential doping behaviour in high-level team-sport athletes. The subjects were 457 high-performing, national- and international-level athletes (21.9 ± 3.4 years of age; 179 females) involved in volleyball (n = 77), soccer (n = 163), basketball (n = 114) and handball (n = 103). Previously validated self-administered questionnaires aimed at evidencing sport factors, doping-related factors, knowledge on sport nutrition and doping, and attitudes to performance enhancement were used...
December 2016: Journal of Sports Science & Medicine
https://www.readbyqxmd.com/read/27927937/brain-activation-in-high-functioning-older-adults-and-falls-prospective-cohort-study
#10
Joe Verghese, Cuiling Wang, Emmeline Ayers, Meltem Izzetoglu, Roee Holtzer
OBJECTIVE: To determine whether brain activity over the prefrontal cortex measured in real time during walking predicts falls in high-functioning older adults. METHOD: We examined166 older persons (mean age 75 years, 51% women) enrolled in a prospective aging study. High-functioning status defined as the absence of dementia or disability with normal gait diagnosed by study clinicians. The magnitude of task-related changes in oxygenated hemoglobin levels over the prefrontal cortex was measured with functional near-infrared spectroscopy during motor (walking at normal pace) and cognitive (reciting alternate letters of the alphabet) single tasks and a dual-task condition (walking while reciting alternate letters of the alphabet)...
December 7, 2016: Neurology
https://www.readbyqxmd.com/read/27927729/offsetting-the-effects-of-medical-expenses-on-older-adults-household-food-budgets-an-analysis-of-the-standard-medical-expense-deduction
#11
Grace Bagwell Adams, Jung Sun Lee, Vibha Bhargava, David A Super
The Supplemental Nutrition Assistance Program (SNAP) provides critical nutrition assistance to over 40 million Americans each month. Low-income older adults (60 and older) and disabled participants experience additional budgetary constraints because of high out-of-pocket medical expenses. In recent years, some states have adopted a "Standard Medical Expense Deduction" (SMED) for senior and disabled beneficiaries, making it easier to report medical expenses in the SNAP application process. We conduct a descriptive national analysis that shows increases in benefit levels and reporting of medical expenses for states that have implemented SMED...
December 7, 2016: Gerontologist
https://www.readbyqxmd.com/read/27927547/prevalence-of-scoliosis-and-thoracolumbar-kyphosis-in-patients-with-achondroplasia
#12
Bilal I Khan, Mary T Yost, Haleh Badkoobehi, Michael C Ain
STUDY DESIGN: Retrospective chart review, case series. OBJECTIVES: To determine the prevalence of scoliosis and kyphosis in patients with achondroplasia. SUMMARY OF BACKGROUND DATA: There is little published research on the prevalence of scoliosis and thoracolumbar kyphosis in patients with achondroplasia. METHODS: The authors retrospectively reviewed charts of 459 patients with achondroplasia who were seen by the senior author, an orthopedic surgeon, from 1999 through 2013, at a tertiary referral center...
March 2016: Spine Deformity
https://www.readbyqxmd.com/read/27927488/the-accuracy-of-interpretation-of-emergency-abdominal-ct-in-adult-patients-who-present-with-non-traumatic-abdominal-pain-results-of-a-uk-national-audit
#13
D C Howlett, K Drinkwater, C Frost, A Higginson, C Ball, G Maskell
AIM: To evaluate major/minor discrepancy rates for provisional (initial) and addendum (supplementary senior review) emergency computed tomography (CT) reports in patients presenting with non-traumatic abdominal pain. MATERIALS AND METHODS: Ethical approval for this type of study is not required in the UK. All radiology departments with an approved lead for audit registered with the Royal College of Radiologists were invited to participate in this retrospective audit...
November 7, 2016: Clinical Radiology
https://www.readbyqxmd.com/read/27926620/tapping-magnet%C3%A2-s-culture-of-innovation-to-improve-the-patient-experience
#14
Jennifer Rainer
As incentives grow for healthcare organizations to improve the patient experience, an increasing number choose to add consumers directly into their leadership structures. In this final installment about the value of patient and family advisory councils, the senior director of quality at a large, Magnet®-recognized Texas hospital explains how tapping into a well-established Magnet culture helped the organization adopt innovative approaches that produced positive change. Based on an interview with the author, she notes that seeing basic issues through patients' eyes challenged long-held beliefs and led to improvements in a wide variety of areas...
January 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27925859/home-and-community-based-service-and-other-senior-service-use-prevalence-and-characteristics-in-a-national-sample
#15
Amanda Sonnega, Kristen Robinson, Helen Levy
We report on the use of home- and community-based services and other senior services and factors affecting utilization of both among Americans over age 60 in the Health and Retirement Study. Those using home- and community-based services were more likely than to be older, single, Black, lower income, receiving Medicaid, and in worse health. Past use of less traditional senior services, such as exercise classes and help with tax preparation, were found to are associated with current use of home- and community-based services...
December 7, 2016: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/27925530/student-life-how-to-write-a-perfect-essay
#16
Kathy Oxtoby
The starting point of any assignment is to understand the question asked of you, says University of Central Lancashire senior lecturer in pre-registration adult nursing Stephen Gowland-Mahon.
December 7, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27925422/preventing-hospital-acquired-venous-thromboembolism-improving-patient-safety-with-interdisciplinary-teamwork-quality-improvement-analytics-and-data-transparency
#17
REVIEW
Anneliese M Schleyer, Ellen Robinson, Roxana Dumitru, Mark Taylor, Kimberly Hayes, Ronald Pergamit, Daphne M Beingessner, Mark C Zaros, Joseph Cuschieri
BACKGROUND: Hospital-acquired venous thromboembolism (HA-VTE) is a potentially preventable cause of morbidity and mortality. Despite high rates of venous thromboembolism (VTE) prophylaxis in accordance with an institutional guideline, VTE remains the most common hospital-acquired condition in our institution. OBJECTIVE: To improve the safety of all hospitalized patients, examine current VTE prevention practices, identify opportunities for improvement, and decrease rates of HA-VTE...
December 2016: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/27925146/assessment-of-diagnostics-tools-for-sarcopenia-severity-using-the-item-response-theory-irt
#18
M Steffl, M Musalek, V Kramperova, M Petr, E Kohlikova, I Holmerova, L Volicer
OBJECTIVE: To use the item response theory (IRT) methods to examine the degree to which the four selected tools reflect sarcopenia and to arrange them according to their ability to estimate sarcopenia severity. DESIGN: A cross-sectional study aimed at verifying the possibilities of using diagnostic tools for sarcopenia. SETTING AND PARTICIPANTS: The study included residents living in an assisted living unit at the Senior Centre in Blansko (South Moravia, Czech Republic) (n=77)...
2016: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/27923616/examining-the-weight-trajectory-of-college-students
#19
Lizzy Pope, Danielle Hansen, Jean Harvey
OBJECTIVE: To examine the weight trajectory of students over 4 years of college. METHODS: Anthropometric assessments were completed at the beginning and end of students' freshman year and the end of senior year to calculate body mass index. Questionnaires assessing weight-related behaviors were completed in senior year. RESULTS: Of the original 117 students, 86 remained in the study for 4 years. Body mass index was significantly higher at the end of senior year (mean, 24...
December 3, 2016: Journal of Nutrition Education and Behavior
https://www.readbyqxmd.com/read/27923596/revision-hip-arthroplasty-using-a-modular-cementless-femoral-stem-intermediate-term-follow-up
#20
Sureshan Sivananthan, Chin-Tat Lim, Rapeepat Narkbunnam, Alex Sox-Harris, James I Huddleston, Stuart B Goodman
BACKGROUND: Modular femoral stem provides flexibility in femoral reconstruction, ensuring improved "fit and fill". However, there are risks of junction failure and corrosion, as well as cost concerns in the use of modular femoral stems. METHODS: We reviewed prospectively-gathered clinical and radiographic data on revision total hip arthroplasties (THAs) performed from 2001-2007 using modular, cementless femoral component performed by the 2 senior authors. Patients with a minimum follow-up of 7 years were included in this study...
November 2, 2016: Journal of Arthroplasty
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