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https://www.readbyqxmd.com/read/29428413/treating-neonatal-abstinence-syndrome-in-a-rural-hospital-lessons-learned
#1
Anne Gadomski, Moira Riley, Katherine Ramiza, Lauren Onofrey, Ruth Zinkievich, Nicole Krupa, Melissa Scribani
OBJECTIVE: Our level I nursery and pediatric unit in a rural hospital adopted a family-centered, symptom-based oral morphine weaning protocol for Neonatal Abstinence Syndrome (NAS) in 2009. Length of stay (LOS), treatment duration (TD) and hospital charges for infants treated for NAS were then compared to published data in neonatal intensive care units (NICUs) nationwide. METHODS: The electronic medical records (EMRs) of infants born 1/1/11 to 4/1/17 whose discharge diagnosis included an ICD9 or ICD10 code for NAS or prenatal drug exposure were paired with maternal EMR and reviewed...
February 8, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29424961/global-trends-in-mortality-from-malignant-mesothelioma-analysis-of-who-mortality-database-1994-2013
#2
Omar Abdel-Rahman
BACKGROUND: Malignant mesothelioma is an aggressive malignancy that is predisposed to through asbestos exposure. Little is known about the extent to which asbestos use ban has affected global trends in malignant mesothelioma. The current study investigated recent global mortality trends of malignant mesothelioma. METHODS: Data were collected from International Agency for Research on Cancer/World Health Organization mortality database to examine age-standardized, gender-specific mortality rates for malignant mesothelioma (ICD10-C45)...
February 9, 2018: Clinical Respiratory Journal
https://www.readbyqxmd.com/read/29381720/the-impact-of-typhoon-haiyan-on-admissions-in-two-hospitals-in-eastern-visayas-philippines
#3
Joris Adriaan Frank van Loenhout, Julita Gil Cuesta, Jason Echavez Abello, Juan Mari Isiderio, Maria Lourdes de Lara-Banquesio, Debarati Guha-Sapir
OBJECTIVES: We investigated the short-term impact of Typhoon Haiyan, one of the strongest typhoons ever to make landfall, on the pattern of admissions in two hospitals in Eastern Visayas, the Philippines. METHODS: This study took place at Eastern Visayas Regional Medical Center (EVRMC) in Tacloban, and Ormoc District Hospital (ODH) in Ormoc. We determined whether there were differences in the pattern of admissions between the week before and the three weeks after Haiyan by using information on sex, age, diagnosis, ward and outcome at discharge from patient records...
2018: PloS One
https://www.readbyqxmd.com/read/29334809/accidental-pharmacological-poisonings-in-young-children-population-based-study-in-three-settings
#4
Jane C Bell, Jason P Bentley, Catriona Downie, Rose Cairns, Nicholas A Buckley, Annette Katelaris, Sallie-Anne Pearson, Natasha Nassar
INTRODUCTION: Pharmacological poisonings in young children are avoidable. Previous studies report calls to poisons centres, presentations to emergency departments (ED) or hospital admissions. There are limited data assessing concurrent management of poisonings across all three settings. We aimed to describe accidental pharmacological poisonings in young children across our Poisons Information Centre (PIC), EDs and hospitals. METHODS: A population-based study in New South Wales, Australia, of PIC calls, ED presentations and hospital admissions for accidental pharmacological poisoning in children aged <5 years, 2007-2013...
January 15, 2018: Clinical Toxicology
https://www.readbyqxmd.com/read/29316689/annual-direct-medical-costs-of-diabetic-foot-disease-in-brazil-a-cost-of-illness-study
#5
Cristiana M Toscano, Tatiana H Sugita, Michelle Q M Rosa, Hermelinda C Pedrosa, Roger Dos S Rosa, Luciana R Bahia
The aim of this study was to estimate the annual costs for the treatment of diabetic foot disease (DFD) in Brazil. We conducted a cost-of-illness study of DFD in 2014, while considering the Brazilian Public Healthcare System (SUS) perspective. Direct medical costs of outpatient management and inpatient care were considered. For outpatient costs, a panel of experts was convened from which utilization of healthcare services for the management of DFD was obtained. When considering the range of syndromes included in the DFD spectrum, we developed four well-defined hypothetical DFD cases: (1) peripheral neuropathy without ulcer, (2) non-infected foot ulcer, (3) infected foot ulcer, and (4) clinical management of amputated patients...
January 8, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29316588/-regional-aspects-in-treatment-of-patients-with-acute-myocardial-infarction-in-the-north-east-of-germany
#6
Annett Salzwedel, Heinz Völler, Robert Reibis, Klaus Bonaventura, Steffen Behrens, Rona Reibis
BACKGROUND:  In recent decades, guideline-based therapy of myocardial infarction has led to a considerable reduction in myocardial infarction mortality. However, there are relevant differences in acute care and the extent of infarction mortality. The objective of this survey was to analyze the current care situation of patients with acute myocardial infarction in the region of northeast Germany (Berlin, Brandenburg and Mecklenburg-Vorpommern). METHODS:  Based on pseudonymized data from a statutory health insurance of 1 387 084 persons, a total of 6733 patients with inpatient admission at MI were filtered using the ICD10 code I21 and I22 for 2012...
January 9, 2018: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/29314698/s2k-leitlinie-kutane-lymphome-update-2016-teil-2-therapie-und-nachsorge-icd10-c82-c86
#7
Edgar Dippel, Chalid Assaf, Jürgen C Becker, Michael von Bergwelt-Baildon, Marc Beyer, Antonio Cozzio, Hans Theodor Eich, Markus Follmann, Stephan Grabbe, Uwe Hillen, Wolfram Klapper, Claus-Detlev Klemke, Cristina Lamos, Carmen Loquai, Frank Meiß, Dominik Mestel, Dorothee Nashan, Jan P Nicolay, Ilske Oschlies, Max Schlaak, Christoph Stoll, Tibor Vag, Michael Weichenthal, Marion Wobser, Rudolf Stadler
No abstract text is available yet for this article.
January 2018: Journal der Deutschen Dermatologischen Gesellschaft, Journal of the German Society of Dermatology: JDDG
https://www.readbyqxmd.com/read/29280595/s2k-guidelines-cutaneous-lymphomas-update-2016-part-2-treatment-and-follow-up-icd10-c82-c86
#8
Edgar Dippel, Chalid Assaf, Jürgen C Becker, Michael von Bergwelt-Baildon, Marc Beyer, Antonio Cozzio, Hans Theodor Eich, Markus Follmann, Stephan Grabbe, Uwe Hillen, Wolfram Klapper, Claus-Detlev Klemke, Cristina Lamos, Carmen Loquai, Frank Meiß, Dominik Mestel, Dorothee Nashan, Jan P Nicolay, Ilske Oschlies, Max Schlaak, Christoph Stoll, Tibor Vag, Michael Weichenthal, Marion Wobser, Rudolf Stadler
No abstract text is available yet for this article.
December 27, 2017: Journal der Deutschen Dermatologischen Gesellschaft, Journal of the German Society of Dermatology: JDDG
https://www.readbyqxmd.com/read/29228489/s2k-leitlinie-kutane-lymphome-update-2016-teil-1-klassifikation-und-diagnostik-icd10-c82-c86
#9
Edgar Dippel, Chalid Assaf, Jürgen C Becker, Michael von Bergwelt-Baildon, Marc Beyer, Antonio Cozzio, Hans Theodor Eich, Markus Follmann, Stephan Grabbe, Uwe Hillen, Wolfram Klapper, Claus-Detlev Klemke, Cristina Lamos, Carmen Loquai, Frank Meiß, Dominik Mestel, Dorothee Nashan, Jan P Nicolay, Ilske Oschlies, Max Schlaak, Christoph Stoll, Tibor Vag, Michael Weichenthal, Marion Wobser, Rudolf Stadler
No abstract text is available yet for this article.
December 2017: Journal der Deutschen Dermatologischen Gesellschaft, Journal of the German Society of Dermatology: JDDG
https://www.readbyqxmd.com/read/29193659/s2k-guidelines-cutaneous-lymphomas-update-2016-part-1-classification-and-diagnosis-icd10-c82-c86
#10
Edgar Dippel, Chalid Assaf, Jürgen C Becker, Michael von Bergwelt-Baildon, Marc Beyer, Antonio Cozzio, Hans Theodor Eich, Markus Follmann, Stephan Grabbe, Uwe Hillen, Wolfram Klapper, Claus-Detlev Klemke, Cristina Lamos, Carmen Loquai, Frank Meiß, Dominik Mestel, Dorothee Nashan, Jan P Nicolay, Ilske Oschlies, Max Schlaak, Christoph Stoll, Tibor Vag, Michael Weichenthal, Marion Wobser, Rudolf Stadler
No abstract text is available yet for this article.
December 2017: Journal der Deutschen Dermatologischen Gesellschaft, Journal of the German Society of Dermatology: JDDG
https://www.readbyqxmd.com/read/29175276/avatar-therapy-for-auditory-verbal-hallucinations-in-people-with-psychosis-a-single-blind-randomised-controlled-trial
#11
Tom Kj Craig, Mar Rus-Calafell, Thomas Ward, Julian P Leff, Mark Huckvale, Elizabeth Howarth, Richard Emsley, Philippa A Garety
BACKGROUND: A quarter of people with psychotic conditions experience persistent auditory verbal hallucinations, despite treatment. AVATAR therapy (invented by Julian Leff in 2008) is a new approach in which people who hear voices have a dialogue with a digital representation (avatar) of their presumed persecutor, voiced by the therapist so that the avatar responds by becoming less hostile and concedes power over the course of therapy. We aimed to investigate the effect of AVATAR therapy on auditory verbal hallucinations, compared with a supportive counselling control condition...
January 2018: Lancet Psychiatry
https://www.readbyqxmd.com/read/29170734/the-prevalence-and-distribution-of-spina-bifida-in-a-single-major-referral-center-in-malaysia
#12
Adibah Sahmat, Renuka Gunasekaran, Siti W Mohd-Zin, Lohis Balachandran, Meow-Keong Thong, Julia P Engkasan, Dharmendra Ganesan, Zaliha Omar, Abu Bakar Azizi, Azlina Ahmad-Annuar, Noraishah M Abdul-Aziz
Background: The aim of this study is to review the medical history of patients with spina bifida, encompassing both aperta and occulta types born between the years 2003 until 2016, spanning a 13-year time period. We assessed each patient and maternal parent information, details of the defects, and conditions associated with the primary defect. We also include information on patients' ambulation and education level (where available). Methods: Data from the Department of Patient Information University of Malaya Medical Centre (UMMC), Malaysia was captured from spina bifida patients (ICD10: Q05 spina bifida)...
2017: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/29166958/insights-into-the-factors-associated-with-achieving-the-preference-of-home-death-in-terminal-cancer-a-national-population-based-study
#13
Finian Bannon, Victoria Cairnduff, Deirdre Fitzpatrick, Janine Blaney, Barbara Gomes, Anna Gavin, Conan Donnelly
OBJECTIVES: Most terminally ill cancer patients prefer to die at home, yet only a minority are able to achieve this. Our aim was to investigate the factors associated with cancer patients achieving their preference to die at home. METHODS: This study took the form of a mortality followback, population-based, observational survey of the relatives of deceased cancer patients in Northern Ireland. Individuals who registered the death of a friend or relative (aged ≥ 18 years) between 1 December 2011 and 31 May 2012, where the primary cause of death was cancer (ICD10: C00-D48), who were invited to take part...
November 23, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/29138740/pediatric-pulmonary-hemorrhage-vs-extrapulmonary-bleeding-in-the-differential-diagnosis-of-hemoptysis
#14
Michael Vaiman, Baruch Klin, Noa Rosenfeld, Ibrahim Abu-Kishk
Introduction: Hemoptysis is an important symptom which causes a major concern, and warrants immediate diagnostic attention. The authors compared a group of patients with pediatric pulmonary hemorrhage with pediatric patients diagnosed with extrapulmonary bleeding focusing on differences in etiology, outcome and differential diagnosis of hemoptysis. Methods: We performed the retrospective analysis of medical charts of 134 pediatric patients admitted to the Emergency Department because of pulmonary and extrapulmonary hemorrhage and were diagnosed with suspected hemoptysis or developed hemoptysis (ICD10-CM code R04...
2017: Central Asian Journal of Global Health
https://www.readbyqxmd.com/read/29133323/characteristics-and-healthcare-utilisation-patterns-of-high-cost-beneficiaries-in-the-netherlands-a-cross-sectional-claims-database-study
#15
Joost Johan Godert Wammes, Marit Tanke, Wilma Jonkers, Gert P Westert, Philip Van der Wees, Patrick Pt Jeurissen
OBJECTIVE: To determine medical needs, demographic characteristics and healthcare utilisation patterns of the top 1% and top 2%-5% high-cost beneficiaries in the Netherlands. DESIGN: Cross-sectional study using 1 year claims data. We broke down high-cost beneficiaries by demographics, the most cost-incurring condition per beneficiary and expensive treatment use. SETTING: Dutch curative health system, a health system with universal coverage...
November 12, 2017: BMJ Open
https://www.readbyqxmd.com/read/29025123/comparative-epidemiology-of-clostridium-difficile-infection-england-and-the-usa
#16
Alice King, Benjamin H Mullish, Horace R T Williams, Paul Aylin
Objective: To examine whether there is an epidemiological difference between Clostridium difficile infection (CDI) inpatient populations in England and the United States. Design: A cross-sectional study. Setting: National administrative inpatient discharge data from England (Hospital Episode Statistics) and the USA (National Inpatient Sample) in 2012. Participants: De-identifiable non-obstetric inpatient discharges from the national datasets were used to estimate national CDI incidence in the United States and England using ICD9-CM(008...
September 11, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29020302/cerebrovascular-diseases-in-poland-inconsistent-seasonal-patterns-of-hospitalisation-and-mortality
#17
Anna Poznanska, Bogdan Wojtyniak, Kamil Chwojnicki, Katarzyna Lewtak, Barbara Rubikowska, Wojciech Seroka
Background: A seasonal variation in the incidence of cerebrovascular diseases still remains inconsistently evidenced. Herein, we analyse the monthly patterns of two health phenomena: hospital admissions and deaths due to these diseases. Methods: We identified 69 511 cases of hospital admissions and 14 956 deaths due to cerebrovascular diseases (ICD10: I60-I69 and G45) among the inhabitants of five Polish voivodeship capitals in 2004-13. The method of time series analysis (exponential smoothing with linear trend and monthly additive seasonality) was applied to calculate the monthly specific seasonal indices...
September 13, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/28893475/impact-of-five-years-of-rotavirus-vaccination-in-finland-and-the-associated-cost-savings-in-secondary-healthcare
#18
Tuija Leino, Ulrike Baum, Peter Scott, Jukka Ollgren, Heini Salo
INTRODUCTION: This study aimed to estimate the impact of the national rotavirus (RV) vaccination programme, starting 2009, on the total hospital-treated acute gastroenteritis (AGE) and severe RV disease burden in Finland during the first five years of the programme. This study also evaluated the costs saved in secondary healthcare by the RV vaccination programme. METHODS: The RV related outcome definitions were based on ICD10 diagnostic codes recorded in the Care Register for Health Care...
September 8, 2017: Vaccine
https://www.readbyqxmd.com/read/28844750/integrating-cancer-diagnosis-terminologies-based-on-logical-definitions-of-snomed-ct-concepts
#19
Jean Noël Nikiema, Vianney Jouhet, Fleur Mougin
In oncology, the reuse of data is confronted with the heterogeneity of terminologies. It is necessary to semantically integrate these distinct terminologies. The semantic integration by using a third terminology as a support is a conventional approach for the integration of two terminologies that are not very structured. The aim of our study was to use SNOMED CT for integrating ICD-10 and ICD-O3. We used two complementary resources, mapping tables provided by SNOMED CT and the NCI Metathesaurus, in order to find mappings between ICD-10 or ICD-O3 concepts and SNOMED CT concepts...
October 2017: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/28802614/uncommon-combinations-of-icd10-pcs-or-icd-9-cm-operative-procedure-codes-account-for-most-inpatient-surgery-at-half-of-texas-hospitals
#20
Liam O'Neill, Franklin Dexter, Sae-Hwan Park, Richard H Epstein
STUDY OBJECTIVE: Recently, there has been interest in activity-based cost accounting for inpatient surgical procedures to facilitate "value based" analyses. Research 10-20years ago, performed using data from 3 large teaching hospitals, found that activity-based cost accounting was practical and useful for modeling surgeons and subspecialties, but inaccurate for individual procedures. We hypothesized that these older results would apply to hundreds of hospitals, currently evaluable using administrative databases...
September 2017: Journal of Clinical Anesthesia
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