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https://www.readbyqxmd.com/read/29335831/quality-of-inter-hospital-transportation-in-431-transport-survivor-patients-suffering-from-acute-respiratory-distress-syndrome-referred-to-specialist-centers
#1
Sebastian Blecha, Frank Dodoo-Schittko, Susanne Brandstetter, Magdalena Brandl, Michael Dittmar, Bernhard M Graf, Christian Karagiannidis, Christian Apfelbacher, Thomas Bein
BACKGROUND: The acute respiratory distress syndrome (ARDS) is a life-threatening condition. In special situations, these critically ill patients must be transferred to specialized centers for escalating treatment. The aim of this study was to evaluate the quality of inter-hospital transport (IHT) of ARDS patients. METHODS: We evaluated medical and organizational aspects of structural and procedural quality relating to IHT of patients with ARDS in a prospective nationwide ARDS study...
January 15, 2018: Annals of Intensive Care
https://www.readbyqxmd.com/read/29330753/transfer-of-critically-ill-adults-assessing-the-need-for-training
#2
Ruth-Aoibheann O'Leary, Brian Marsh, Paul O'Connor
BACKGROUND: Transfer of critically ill patients within the hospital is commonly associated with adverse incidents, but, despite this, no standardised training exists on how to carry out this task. Very little information is published in the literature on the learning needs of staff undertaking these transfers, and this limits our ability to provide a focused and appropriate educational intervention. AIMS: This study aimed to explore the organisational, environmental and individual issues that increase risk to patients during intrahospital transport (IHT) and to explore the potential educational solutions to these issues as articulated by these practitioners...
January 12, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29290493/interhospital-vascular-surgery-transfers-to-a-tertiary-care-hospital
#3
Sheena K Harris, Dale G Wilson, Enjae Jung, Amir-Farzin Azarbal, Gregory J Landry, Timothy K Liem, Gregory L Moneta, Erica L Mitchell
OBJECTIVE: Interhospital transfers (IHTs) to tertiary care centers are linked to lower operative mortality in vascular surgery patients. However, IHT incurs great health care costs, and some transfers may be unnecessary or futile. In this study, we characterize the patterns of IHT at a tertiary care center to examine appropriateness of transfer for vascular surgery care. METHODS: A retrospective review was performed of all IHT requests made to our institution from July 2014 to October 2015...
December 28, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29275414/a-prospective-audit-of-intermittent-anti-androgen-verses-pituitary-blockade-suggests-a-bipolar-androgen-type-strategy-may-be-safe-in-untreated-prostate-cancer
#4
Timothy Oliver, Peter Wilson, Wendy Ansell, Tim Philp, Frank Chinegwundoh, Jonathan Shamash, Greg Shaw, Amar Ahmad
OBJECTIVE: A locally advanced Gleason 4 + 4 prostate cancer patient who was on self-medication with intermittent anti-androgen monotherapy (iAAm) over 14 years suggested that raised testosterone was not dangerous and this suggestion needed investigating. PATIENTS: Others who were on AA continuously were recruited to ongoing audit of intermittent hormone therapy (IHT) and iAAm outcomes were compared with intermittent LHRH therapy (iLHRH or iMAB). RESULTS: Between 1994 and 2007, 111 patients sought IHT because of side effects of treatment...
December 22, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/29235458/the-ideal-harvest-time-for-seeds-of-hybrid-maize-zea-mays-l-xy335-and-zd958-produced-in-multiple-environments
#5
Riliang Gu, Li Li, Xiaolin Liang, Yanbo Wang, Tinglu Fan, Ying Wang, Jianhua Wang
To identify the ideal harvest time (IHT) for the seed production of XY335 and ZD958, six seed-related traits were evaluated in seeds harvested at 11 harvest stages in 8 environments. Standard germination (SG), accelerated aging germination (AAG) and cold test germination (CTG) were vigor traits; hundred-seed weight (HSW) and seed moisture content (SMC) were physiological traits; and ≥10 °C accumulated temperature from pollination to harvest (AT10ph) was an ecological trait. All the traits were significantly affected by harvest stage...
December 13, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29193654/technology-experience-of-solid-organ-transplant-patients-and-their-overall-willingness-to-use-interactive-health-technology
#6
Jasper M M Vanhoof, Bert Vandenberghe, David Geerts, Pieter Philippaerts, Patrick De Mazière, Annette DeVito Dabbs, Sabina De Geest, Fabienne Dobbels
BACKGROUND: The use of interactive health technology (IHT) is a promising pathway to tackle self-management problems experienced by many chronically ill patients, including solid organ transplant (Tx) patients. Yet, to ensure that the IHT is accepted and used, a human-centered design process is needed, actively involving end users in all steps of the development process. A first critical, predevelopment step involves understanding end users' characteristics. This study therefore aims to (a) select an IHT platform to deliver a self-management support intervention most closely related to Tx patients' current use of information and communication technologies (ICTs), (b) understand Tx patients' overall willingness to use IHT for self-management support, and investigate associations with relevant technology acceptance variables, and (c) explore Tx patients' views on potential IHT features...
November 28, 2017: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/29182157/preparation-of-well-distributed-titania-nanopillar-arrays-on-ti6al4v-surface-by-induction-heating-for-enhancing-osteogenic-differentiation-of-stem-cells
#7
Ning-Bo Li, Sheng-Jun Sun, Han-Ying Bai, Gui-Yong Xiao, Wen-Hua Xu, Jun-Han Zhao, Xin Chen, Yupeng Lu, Yi-Lin Zhang
Great efforts have been recently devoted to prepare nanoscale surfaces on titanium-based implants and achieve clinically fast osteoinduction and osseointegration relayed on the unique characteristics of nanostructure. In this work, we used the induction heating treatment (IHT) as rapid oxidation method to fabricate a porous nanoscale oxide layer on Ti6Al4V surface for better medical application. Well-distributed vertical nanopillars were yielded by IHT for 20-35 s on the alloy surface. The compositions of oxides contained rutile/anatase TiO2 and a small amount of Al2O3 between TiO2 grain boundaries (GBs)...
November 28, 2017: Nanotechnology
https://www.readbyqxmd.com/read/29176495/soft-factors-smooth-transport-the-role-of-safety-climate-and-team-processes-in-reducing-adverse-events-during-intrahospital-transport-in-intensive-care
#8
Markus Latzke, Michael Schiffinger, Dominik Zellhofer, Johannes Steyrer
BACKGROUND: Intrahospital patient transports (IHTs) in intensive care involve an appreciable risk of adverse events (AEs). Research on determinants of AE occurrence during IHT has hitherto focused on patient, transport, and intensive care unit (ICU) characteristics. By contrast, the role of "soft" factors, although arguably relevant for IHTs and a topic of interest in general health care settings, has not yet been explored. PURPOSE: The study aims at examining the effect of safety climate and team processes on the occurrence of AE during IHT and whether team processes mediate the effect of safety climate...
November 15, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/29143956/-intensive-home-treatment-a-first-observational-evaluation
#9
R A Gotink, G Bergsma, M T Hoogwegt, C L Mulder, A R Van Gool
Yulius intensive home treatment (iht) offers six weeks of home-care to psychiatric patients in crisis who would normally be hospitalised.<br/> AIM: To study patient characteristics and the content and outcomes of iht.<br/> METHOD: We followed the handling of 75 consecutive applications for iht. Details were recorded before and after admission to the treatment.<br/> RESULTS: Fifteen patients were referred in order to shorten the period of hospitalisation, and 60 were referred in order to prevent hospitalisation; 59 of the 75 persons admitted for the treatment received iht, and 41 patients finished the six-week module and provided follow-up data...
2017: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/29101141/incidence-of-patient-safety-events-and-process-related-human-failures-during-intra-hospital-transportation-of-patients-retrospective-exploration-from-the-institutional-incident-reporting-system
#10
Shu-Hui Yang, Jih-Shuin Jerng, Li-Chin Chen, Yu-Tsu Li, Hsiao-Fang Huang, Chao-Ling Wu, Jing-Yuan Chan, Szu-Fen Huang, Huey-Wen Liang, Jui-Sheng Sun
BACKGROUND: Intra-hospital transportation (IHT) might compromise patient safety because of different care settings and higher demand on the human operation. Reports regarding the incidence of IHT-related patient safety events and human failures remain limited. OBJECTIVE: To perform a retrospective analysis of IHT-related events, human failures and unsafe acts. SETTING: A hospital-wide process for the IHT and database from the incident reporting system in a medical centre in Taiwan...
November 3, 2017: BMJ Open
https://www.readbyqxmd.com/read/29078872/emergency-general-surgery-transfers-in-the-united-states-a-10-year-analysis
#11
Caroline E Reinke, Michael Thomason, Lauren Paton, Lynn Schiffern, Nigel Rozario, Brent D Matthews
BACKGROUND: Emergency general surgery (EGS) admissions account for more than three million hospitalizations in the US annually; and interhospital transfers (IHTs) are costly. We aimed to better understand the population of transferred EGS patients and their subsequent care in a nationally representative sample. METHODS: Using the 2002-2011 Nationwide Inpatient Sample, we identified patients aged ≥18 years with an EGS noncardiovascular principal diagnosis who were transferred from another hospital with urgent or emergent admission status...
November 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28875524/iterative-hard-thresholding-for-model-selection-in-genome-wide-association-studies
#12
Kevin L Keys, Gary K Chen, Kenneth Lange
A genome-wide association study (GWAS) correlates marker and trait variation in a study sample. Each subject is genotyped at a multitude of SNPs (single nucleotide polymorphisms) spanning the genome. Here, we assume that subjects are randomly collected unrelateds and that trait values are normally distributed or can be transformed to normality. Over the past decade, geneticists have been remarkably successful in applying GWAS analysis to hundreds of traits. The massive amount of data produced in these studies present unique computational challenges...
December 2017: Genetic Epidemiology
https://www.readbyqxmd.com/read/28846046/the-use-of-simulated-altitude-techniques-for-beneficial-cardiovascular-health-outcomes-in-nonathletic-sedentary-and-clinical-populations-a-literature-review
#13
Catherine A Lizamore, Michael J Hamlin
Lizamore, Catherine A., and Michael J. Hamlin. The use of simulated altitude techniques for beneficial cardiovascular health outcomes in nonathletic, sedentary, and clinical populations: A literature review. High Alt Med Biol 00:000-000, 2017. BACKGROUND: The reportedly beneficial improvements in an athlete's physical performance following altitude training may have merit for individuals struggling to meet physical activity guidelines. AIM: To review the effectiveness of simulated altitude training methodologies at improving cardiovascular health in sedentary and clinical cohorts...
August 28, 2017: High Altitude Medicine & Biology
https://www.readbyqxmd.com/read/28763443/intermittent-hypoxic-training-improves-anaerobic-performance-in-competitive-swimmers-when-implemented-into-a-direct-competition-mesocycle
#14
RANDOMIZED CONTROLLED TRIAL
Miłosz Czuba, Robert Wilk, Jakub Karpiński, Małgorzata Chalimoniuk, Adam Zajac, Józef Langfort
The main objective of this research was to evaluate the efficacy of intermittent hypoxic training (IHT) on anaerobic and aerobic capacity and swimming performance in well-trained swimmers. Sixteen male swimmers were randomly divided into a hypoxia (H) group (n = 8), which trained in a normobaric hypoxia environment, and a control (C) group (n = 8), which exercised under normoxic conditions. However, one participant left the study without explanation. During the experiment group H trained on land twice per week in simulated hypoxia (FiO2 = 15...
2017: PloS One
https://www.readbyqxmd.com/read/28758418/intermittent-hypoxia-training-in-prediabetes-patients-beneficial-effects-on-glucose-homeostasis-hypoxia-tolerance-and-gene-expression
#15
Tetiana V Serebrovska, Alla G Portnychenko, Tetiana I Drevytska, Vladimir I Portnichenko, Lei Xi, Egor Egorov, Anna V Gavalko, Svitlana Naskalova, Valentina Chizhova, Valeriy B Shatylo
The present study aimed at examining beneficial effects of intermittent hypoxia training (IHT) under prediabetic conditions. We investigate the effects of three-week IHT on blood glucose level, tolerance to acute hypoxia, and leukocyte mRNA expression of hypoxia inducible factor 1α (HIF-1α) and its target genes, i.e. insulin receptor, facilitated glucose transporter-solute carrier family-2, and potassium voltage-gated channel subfamily J. Seven healthy and 11 prediabetic men and women (44-70 years of age) were examined before, next day and one month after three-week IHT (3 sessions per week, each session consisting 4 cycles of 5-min 12% O2 and 5-min room air breathing)...
September 2017: Experimental Biology and Medicine
https://www.readbyqxmd.com/read/28753458/alteration-of-rhythmic-unimanual-tapping-and-anti-phase-bimanual-coordination-in-alzheimer-s-disease-a-sign-of-inter-hemispheric-disconnection
#16
Elodie Martin, Mélody Blais, Jean-Michel Albaret, Jérémie Pariente, Jessica Tallet
Little attention is paid to motor control in Alzheimer's disease (AD) although it is a relevant sign of central nervous system integrity and functioning. In particular, unimanual and bimanual tapping is a relevant paradigm because it requires intra- and inter-hemispheric transfer (IHT). Previous results indicate that both unimanual and anti-phase tapping requires more IHT than in-phase tapping, especially produced without external stimulation. The aim of the present study was to test the production of unimanual, bimanual in-phase and anti-phase tapping with a synchronization-continuation paradigm with and without visual stimulation in AD patients (N=9) and control participants (N=12)...
July 25, 2017: Human Movement Science
https://www.readbyqxmd.com/read/28709034/a-bioactive-coating-with-submicron-sized-titania-crystallites-fabricated-by-induction-heating-of-titanium-after-tensile-deformations
#17
Ning-Bo Li, Wen-Hua Xu, Gui-Yong Xiao, Jun-Han Zhao, Yu-Peng Lu
Thermal oxidation technology was widely investigated as one of effective surface modification method for improving the bioactivity and biocompatibility of titanium and its alloys. In this work, the induction heat oxidization method, a fast, efficient, economical and environmental protective technology, was applied to prepare the submicron-morphological oxide coating with variable rutile TiO2 equiaxed crystallites on the surface of pure Ti substrates after cold-drawing with 10-20% deformations. The results showed the plastic-deformed Ti cylinders recrystallized during induction heating treatment (IHT) for 10-20s which resulted in evolution of microstructures as well as slight improvement of microhardness...
July 8, 2017: Journal of the Mechanical Behavior of Biomedical Materials
https://www.readbyqxmd.com/read/28641914/interactive-home-telehealth-and-burns-a-pilot-study
#18
Sean Hickey, Jason Gomez, Benjamin Meller, Jeffery C Schneider, Meredith Cheney, Shamim Nejad, John Schulz, Jeremy Goverman
OBJECTIVE: The objective of this study is to review our experience incorporating Interactive Home Telehealth (IHT) visits into follow-up burn care. METHODS: A retrospective review of all burn patients participating in IHT encounters over the course of 15 months was performed. Connections were established through secure video conferencing and call-routing software. Patients connected with a personal computer or tablet and providers connected with a desktop computer with a high-definition web camera...
June 19, 2017: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/28575566/-adaptation-to-intermittent-hypoxia-hyperoxia-improves-cognitive-performance-and-exercise-tolerance-in-elderly
#19
U Bayer, O S Glazachev, R Likar, M Burtscher, W Kofler, G Pinter, H Stettner, S Demschar, B Trummer, S Neuwersch
For improvements in exercise tolerance and cognitive function in geriatric patients Multimodal training programs (MTP) are used as combination of physiotherapy, occupational therapy and cardiovascular training. Intermittent Hypoxic-Hyperoxic Training (IHHT), a modified type of intermittent hypoxic training (IHT) is proposed to be included in MTP to elicit more pronounced beneficial effects in exercise tolerance and cognitive functions of geriatric patients likely by an additional pathway than a single MTP. Thirty four patients of the Geriatric Day Clinic aged between 64 and 92 years participated in the placebo controlled clinical trial...
2017: Advances in Gerontology, Uspekhi Gerontologii
https://www.readbyqxmd.com/read/28574533/rates-predictors-and-variability-of-interhospital-transfers-a-national-evaluation
#20
Stephanie K Mueller, Jie Zheng, E John Orav, Jeffrey L Schnipper
IMPORTANCE: Interhospital transfer (IHT) remains a largely unstudied process of care. OBJECTIVE: To determine the nationwide frequency of, patient and hospital-level predictors of, and hospital variability in IHT. DESIGN: Cross-sectional study. SETTING: Centers for Medicare and Medicaid 2013 100% Master Beneficiary Summary and Inpatient claims files merged with 2013 American Hospital Association data. PATIENTS: Beneficiaries ≥65 years and older enrolled in Medicare A and B, with an acute care hospitalization claim in 2013...
June 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
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