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JOURNAL ARTICLE
Tomás Villén, Yale Tung, Rafael Llamas, Fernando Neria, César Carballo, José Luis Vázquez, Diana Monge
OBJECTIVE: To determine the effectiveness of a double-check protocol using Point-of-Care Ultrasound in the management of patients diagnosed with Acute Heart Failure in an Emergency Department. METHOD: Prospective analytical cross-sectional observational study with patients diagnosed with Acute Heart Failure by the outgoing medical team, who undergo multi-organ ultrasound evaluation including cardiac, pulmonary, and inferior vena cava ultrasound. RESULTS: 96 patients were included...
April 17, 2024: The ultrasound journal
#2
JOURNAL ARTICLE
Afik Tibi, Ziyad Khamaysi, Emily Avitan-Hersh
BACKGROUND: Group A Streptococcus (GAS) causes a wide spectrum of acute infections and immune-related diseases, most of which include a dermatological presentation. However, dermatological findings have a wide range of other possible etiologies. The diagnosis of GAS-related disease requires an indication of preceding GAS infection by direct culture or by measuring antistreptolysin O (ASLO) titer. OBJECTIVES: To explore the correlation between ASLO positivity and dermatological diseases...
April 2024: Israel Medical Association Journal: IMAJ
#3
JOURNAL ARTICLE
Lila M Pereira, Jaya L Mallela, Allison J Carroll, Jason J Washburn, William N Robiner
It is well established that the integration of behavioral healthcare into the medical home model improves patient outcomes, reduces costs, and increases resident learning. As academic health centers increasingly integrate behavioral healthcare, targeted training for interprofessional collaboration around behavioral healthcare is needed. Simulation educational approaches potentially can provide this training. Health service psychologists are well-poised to support this because of their specialized training in integrated healthcare...
April 14, 2024: Journal of Clinical Psychology in Medical Settings
#4
JOURNAL ARTICLE
Christian D Pulcini, Xianqun Luan, Elizabeth S Brooks, Annique Hogan, Tina Penrose, Chen C Kenyon, David M Rubin
Improving the overall care of children with medical complexity (CMC) is often beset by challenges in proactively identifying the population most in need of clinical management and quality improvement. The objective of the current study was to create a system to better capture longitudinal risk for sustained and elevated utilization across time using real-time electronic health record (EHR) data. A new Pediatric Population Management Classification (PPMC), drawn from visit diagnoses and continuity problem lists within the EHR of a tristate health system, was compared with an existing complex chronic conditions (CCC) system for agreement (with weighted κ) on identifying CCMC, as well as persistence of elevated charges and utilization from 2016 to 2019...
April 13, 2024: Population Health Management
#5
JOURNAL ARTICLE
Ruixue Deng, Xueli Ren, Dongjie Liu, Zongyuan Lu, Pu Liu
Salvia miltiorrhiza seeds (SMS) are the main by-product of the production processing of Radix Salviae Miltiorrhizae . The main purposes of this work are to analyse the nutritional components in SMS, to explore the antioxidant activity of the chemical components in SMS and to evaluate the possibility of SMS as a raw material for functional foods. The contents of crude fibre, total protein, carbohydrates, total phenolics and flavonoids in SMS and the composition and relative content of fatty acids in SMS oil were determined...
March 27, 2024: Molecules: a Journal of Synthetic Chemistry and Natural Product Chemistry
#6
JOURNAL ARTICLE
Jao-Yue J Carminati, Kristian Holth, Jennie L Ponsford, Kate Rachel Gould
Background Challenging behaviours are often a significant difficulty faced following acquired brain injury (ABI), for which PBS+PLUS (a Positive Behaviour Support framework) is an effective intervention. Clinicians report experiencing a range of barriers to supporting behaviour change for individuals with ABI and require tailored resources to support the implementation of PBS+PLUS. This study aimed to describe the process of co-designing a PBS+PLUS intervention guidebook and podcast series together with individuals with ABI, close-others, and clinicians, and qualitatively examine co-design experiences...
April 2024: Brain Impairment: a Multidisciplinary Journal of the Australian Society for the Study of Brain Impairment
#7
JOURNAL ARTICLE
Stéphanie Pascual, Brooklyn Noble, Nusreen Ahmad-Saeed, Catherine Aldridge, Simone Ambretti, Sharon Amit, Rachel Annett, Shaan Ashk O'Shea, Anna Maria Barbui, Gavin Barlow, Lucinda Barrett, Mario Berth, Alessandro Bondi, Nicola Boran, Sara E Boyd, Catarina Chaves, Martin Clauss, Peter Davies, Ileana T Dianzo-Delgado, Jaime Esteban, Stefan Fuchs, Lennart Friis-Hansen, Daniel Goldenberger, Andrej Golle, Juha O Groonroos, Ines Hoffmann, Tomer Hoffmann, Harriet Hughes, Marina Ivanova, Peter Jezek, Gwennan Jones, Zeynep Ceren Karahan, Cornelia Lass-Flörl, Frédéric Laurent, Laura Leach, Matilde Lee Horsbøll Pedersen, Caroline Loiez, Maureen Lynch, Robert J Maloney, Martin Marsh, Olivia Milburn, Shanine Mitchell, Luke S P Moore, Lynn Moffat, Marianna Murdjeva, Michael E Murphy, Deepa Nayar, Giacomo Nigrisoli, Fionnuala O'Sullivan, Büşra Öz, Teresa Peach, Christina Petridou, Mojgan Prinz, Mitja Rak, Niamh Reidy, Gian Maria Rossolini, Anne-Laure Roux, Patricia Ruiz-Garbajosa, Kordo Saeed, Llanos Salar-Vidal, Carlos Salas Venero, Mathyruban Selvaratnam, Eric Senneville, Peter Starzengruber, Ben Talbot, Vanessa Taylor, Rihard Trebše, Deborah Wearmouth, Birgit Willinger, Marjan Wouthuyzen-Bakker, Brianne Couturier, Florence Allantaz
Introduction : The BIOFIRE Joint Infection (JI) Panel is a diagnostic tool that uses multiplex-PCR testing to detect microorganisms in synovial fluid specimens from patients suspected of having septic arthritis (SA) on native joints or prosthetic joint infections (PJIs). Methods : A study was conducted across 34 clinical sites in 19 European and Middle Eastern countries from March 2021 to June 2022 to assess the effectiveness of the BIOFIRE JI Panel. Results : A total of 1527 samples were collected from patients suspected of SA or PJI, with an overall agreement of 88...
2024: Journal of Bone and Joint Infection
#8
JOURNAL ARTICLE
Meena S Ramchandani, Karin M Bauer, Julia S Freimund, Christine M Johnston, David H Spach
BACKGROUND: Podcasts are a valuable educational tool that are convenient and provide on-demand learning. We launched the National Sexually Transmitted Disease Curriculum (NSTDC) Podcast in 2020 to educate healthcare professionals on sexually transmitted infections (STIs) with an emphasis on content from peer-reviewed literature relevant to clinical practice. METHODS: We describe the reach and usage data for 31 podcast episodes produced during the first 29 months...
April 10, 2024: Sexually Transmitted Diseases
#9
JOURNAL ARTICLE
Debra E Bessen, Bernard W Beall, Andrew Hayes, Weihua Huang, Jeanne M DiChiara, Srinivasan Velusamy, Hervé Tettelin, Keith A Jolley, John T Fallon, Sopio Chochua, Mosaed S A Alobaidallah, Charlie Higgs, Timothy C Barnett, John T Steemson, Thomas Proft, Mark R Davies
Among genes present in all group A streptococci (GAS), those encoding M-fibril and T-pilus proteins display the highest levels of sequence diversity, giving rise to the two primary serological typing schemes historically used to define strain. A new genotyping scheme for the pilin adhesin and backbone genes is developed and, when combined with emm typing, provides an account of the global GAS strain population. Cluster analysis based on nucleotide sequence similarity assigns most T-serotypes to discrete pilin backbone sequence clusters, yet the established T-types correspond to only half the clusters...
April 9, 2024: MBio
#10
JOURNAL ARTICLE
Christine A March, Amy R Byerly, Linda Siminerio, Elizabeth Miller, Scott Rothenberger, Ingrid Libman
IMPORTANCE: Youths with type 2 diabetes are at higher risk for complications compared with peers with type 1 diabetes, though few studies have evaluated differences in access to specialty care. OBJECTIVE: To compare claims with diabetes specialists for youths with type 1 vs type 2 diabetes and the association between specialist claims with multidisciplinary and acute care utilization. DESIGN, SETTING, AND PARTICIPANTS: This cross-sectional study used Optum Clinformatics Data Mart commercial claims...
April 1, 2024: JAMA Network Open
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JOURNAL ARTICLE
Michelle Garlin-Politis, Swikrity Upadhyay Baskota, Sarah Picon, Nikosa Collins, Renu Kaur Virk, Adela Cimic, Elham Yousefi, Abel Gonzalez
INTRODUCTION: Insulinoma-associated protein 1 (INSM1) is an immunohistochemical marker commonly used to confirm cytomorphological concordant neuroendocrine tumors/carcinomas (NETs/NECs), demonstrating high utility in small samples. Previous reports have suggested comparable INSM1 staining in CytoLyt-fixed cell blocks and formalin-fixed surgical pathology specimens. This study aimed to assess INSM1 immunoreactivity using both fixation methods and investigate potential factors contributing to its variable expression...
February 13, 2024: Journal of the American Society of Cytopathology
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JOURNAL ARTICLE
Yohann Bohbot, Théo Pezel, Ahmet Demirkıran, Emmanuel Androulakis, Golnaz Houshmand, Liliana Szabo, Robert Manka, Simona B Botezatu, José F Rodríguez-Palomares, Tor Biering-Sørensen, Tomaz Podlesnikar, Marc R Dweck
AIMS: To assess the current role of cardiac imaging in the diagnosis, management, and follow-up of patients with acute myocarditis (AM) through an European Association of Cardiovascular Imaging survey. METHODS AND RESULTS: A total of 412 volunteers from 74 countries responded to the survey. Most participants worked in tertiary centres(56%). All participants had access to echocardiography, while 79% and 75% had access to cardiac computed tomography (CCTA) and cardiac magnetic resonance (CMR), respectively...
April 3, 2024: European Heart Journal Cardiovascular Imaging
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JOURNAL ARTICLE
Chunjiao Liu, Peng Wu
Solar powered water evaporation is a green and environmentally friendly water treatment technology, which is a hot research topic for water purification at present. Advanced structural design and hydrophilic photothermal materials have achieved efficient solar evaporation of pure water, but the long-term stability of high salinity desalination has become a problem that cannot be ignored in practical applications. In order to solve this problem, a hydrophobic honeycomb structure MXene/AuNFs composite membrane was proposed in this paper, which used the three-dimensional highly porous microstructure of MXene and multibranched structure of gold nanoflowers particles to improve the light absorption and photothermal conversion efficiency of MXene/AuNFs...
March 26, 2024: RSC Advances
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JOURNAL ARTICLE
Elizabeth Miles, Melissa McKnight, Claire C Schmitz, Chelsea R McElroy, Jana L Wardian, Valerie Shostrom, Preethi Polavarapu
BACKGROUND: Insulin, a high-risk medication, is prone to prescribing errors. Patients with diabetes experience higher hospitalization rates and extended hospital stays. Prescription errors, such as missing orders, inappropriate insulin type, missing instructions, and lack of appropriate intensification of insulin regimens are common issues. This project explored the use of system-based interventions and educational tools to minimize errors and improve the quality of insulin discharge regimens...
March 28, 2024: Journal of Diabetes Science and Technology
#15
JOURNAL ARTICLE
Jin Lan, Yan Wang, Rui Zhang, Jiacheng Li, Tianle Yu, Luyao Yin, Tingting Shao, Hongtao Lu, Chao Wang, Li Xue
BACKGROUND: Heart failure with preserved ejection fraction (HFpEF) is a highly prevalent progressive disease accompanied by poor quality of life, high utilization of medical resources, morbidity, and mortality. However, the role of left ventricular (LV) systolic dysfunction has yet to be well elaborated despite the preservation of the LV ejection fraction. This study aimed to explore the diagnostic value of speckle-tracking stratified strain combined with myocardial work (MW) measurement in evaluating LV systolic dysfunction in patients with HFpEF...
March 15, 2024: Quantitative Imaging in Medicine and Surgery
#16
JOURNAL ARTICLE
Milan Lopuhaä-Zwakenberg, Jasper Goseling
We consider privacy mechanisms for releasing data X=(S,U), where S is sensitive and U is non-sensitive. We introduce the robust local differential privacy (RLDP) framework, which provides strong privacy guarantees, while preserving utility. This is achieved by providing robust privacy: our mechanisms do not only provide privacy with respect to a publicly available estimate of the unknown true distribution, but also with respect to similar distributions. Such robustness mitigates the potential privacy leaks that might arise from the difference between the true distribution and the estimated one...
March 6, 2024: Entropy
#17
JOURNAL ARTICLE
Ally Memedovich, Benedicta Asante, Maha Khan, Nkiruka Eze, Brian R Holroyd, Eddy Lang, Sherri Kashuba, Fiona Clement
BACKGROUND: The high utilization of acute care services, particularly emergency departments (ED), continues to be a significant concern for healthcare providers. Numerous approaches have been studied to meet the care needs of patients who frequently seek care in the ED; however, there is no comprehensive review of the current literature base. As such, a current understanding of the interventions initiated within the ED to address the needs of frequent users is required. This mapping review had three objectives: identify the characteristics associated with the need to frequently seek care in the ED; identify interventions implemented to address the needs of this population; and identify gaps in the current evidence base...
March 27, 2024: BMC Emergency Medicine
#18
JOURNAL ARTICLE
Kathlene Camp, Sara Murphy, Brandon Pate
PURPOSE: The purpose of this study is to detail the implementation of fall prevention initiatives through emergency medical services (EMS) and associated outcomes. METHODS: Paramedics with MedStar Mobile Healthcare utilized the Stopping Elderly Accidents, Deaths, and Injuries (STEADI) fall prevention model to screen and direct intervention through 9-1-1 emergency response, High Utilization Group (HUG), and 30-day Hospital Readmission Avoidance (HRA) programs. Outcomes from 9-1-1 calls measured the number of older adults screened for falls and identified risk factors...
2024: Clinical Interventions in Aging
#19
JOURNAL ARTICLE
Małgorzata Gołuch, Agnieszka Pytlewska, Jędrzej Sarnecki, Paulina Chodnicka, Anna Śliwińska, Łukasz Obrycki, Elżbieta Jurkiewicz
BACKGROUND: Urinary system anomalies, both congenital and acquired, constitute a relatively common clinical problem in children. The main role of diagnostic imaging is to determine early diagnosis and support therapeutic decisions to prevent the development of chronic renal disease. The aim of this study was to evaluate the utility of magnetic resonance urography (MRU) in assessment of urinary system in children, by comparing differential renal function calculated using MRU with dynamic renal scintigraphy (DRS)...
March 25, 2024: BMC Pediatrics
#20
JOURNAL ARTICLE
Khaled El Emam, Lucy Mosquera, Xi Fang, Alaa El-Hussuna
Synthetic data generation is being increasingly used as a privacy preserving approach for sharing health data. In addition to protecting privacy, it is important to ensure that generated data has high utility. A common way to assess utility is the ability of synthetic data to replicate results from the real data. Replicability has been defined using two criteria: (a) replicate the results of the analyses on real data, and (b) ensure valid population inferences from the synthetic data. A simulation study using three heterogeneous real-world datasets evaluated the replicability of logistic regression workloads...
March 24, 2024: Scientific Reports
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