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https://www.readbyqxmd.com/read/28079728/surveying-resident-and-faculty-physician-knowledge-attitudes-and-experiences-in-response-to-public-lead-contamination
#1
D Kay Taylor, Brenda Lovegrove Lepisto, Nicolas Lecea, Ranine Ghamrawi, Ghassan Bachuwa, Jenny LaChance, Mona Hanna-Attisha
Environmental health crises can appear anywhere and without warning. After research revealed a significant incidence of elevated pediatric blood lead levels following a water source change, Genesee County declared a public health emergency in Flint, Michigan. Hospital patients and family members began approaching Hurley Medical Center's physicians with questions regarding the health implications of the lead contamination. Many of the physicians voiced concerns about responding appropriately to patient needs and increasing demands for information...
January 10, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28074756/risk-factors-and-effects-of-care-management-on-hospital-readmissions-among-high-users-at-an-academic-medical-center
#2
Quang H Pham, Sara X Li, Brent C Williams
Few studies have examined predictors of hospital readmission among high-using patients enrolled in a behaviorally oriented intensive care management program. The purpose of this case control study was to describe risk factors and the effectiveness of a complex care management program for hospital readmission among vulnerable patients at a large academic medical center. One hundred sixty-three patients enrolled in the University of Michigan Complex Care Management Program (UM CCMP) were hospitalized between January 2014 and March 2015...
September 1, 2016: Care Management Journals: Journal of Case Management ; the Journal of Long Term Home Health Care
https://www.readbyqxmd.com/read/28074637/moderately-elevated-blood-pressure-during-pregnancy-and-odds-of-hypertension-later-in-life-the-pouchmoms-longitudinal-study
#3
Galit Levi Dunietz, Kelly L Strutz, Claudia Holzman, Yan Tian, David Todem, Bertha L Bullen, Janet M Catov
OBJECTIVE: Hypertensive disorders in pregnancy signal an increased risk of cardiovascular disease for women. However, future hypertension risk among pregnant women with moderately elevated blood pressure (BP) is unknown. We examined associations among moderately elevated BP or hypertensive disorders during pregnancy and later prehypertension or hypertension. DESIGN: Longitudinal cohort study. SETTING: Five communities in Michigan, USA. SAMPLE: Data are from pregnant women enrolled in the Pregnancy Outcomes and Community Health Study...
January 11, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28073615/randomized-trial-of-a-question-prompt-list-to-increase-patient-active-participation-during-interactions-with-black-patients-and-their-oncologists
#4
Susan Eggly, Lauren M Hamel, Tanina S Foster, Terrance L Albrecht, Robert Chapman, Felicity W K Harper, Hayley Thompson, Jennifer J Griggs, Richard Gonzalez, Lisa Berry-Bobovski, Rifky Tkatch, Michael Simon, Anthony Shields, Shirish Gadgeel, Randa Loutfi, Haythem Ali, Ira Wollner, Louis A Penner
OBJECTIVE: Communication during racially-discordant interactions is often of poor quality and may contribute to racial treatment disparities. We evaluated an intervention designed to increase patient active participation and other communication-related outcomes during interactions between Black patients and non-Black oncologists. METHODS: Participants were 18 non-Black medical oncologists and 114 Black patients at two cancer hospitals in Detroit, Michigan, USA. Before a clinic visit to discuss treatment, patients were randomly assigned to usual care or to one of two question prompt list (QPL) formats: booklet (QPL-Only), or booklet and communication coach (QPL-plus-Coach)...
December 27, 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/28073389/the-distribution-of-echinostome-parasites-in-ponds-and-implications-for-larval-anuran-survival
#5
John A Marino, Manja P Holland, Earl E Werner
Parasites can influence host population dynamics, community composition and evolution. Prediction of these effects, however, requires an understanding of the influence of ecological context on parasite distributions and the consequences of infection for host fitness. We address these issues with an amphibian - trematode (Digenea: Echinostomatidae) host-parasite system. We initially performed a field survey of trematode infection in first (snail) and second (larval green frog, Rana clamitans) intermediate hosts over 5 years across a landscape of 23 ponds in southeastern Michigan...
January 11, 2017: Parasitology
https://www.readbyqxmd.com/read/28072613/pediatric-lead-exposure-and-the-water-crisis-in-flint-michigan
#6
Rachel D DeWitt
Changing the source of the water supply to save money had the unintended consequence of exposing residents of Flint, Mich., to elevated lead levels in their drinking water. A study done at Flint's Hurley Children's Hospital demonstrated that the incidence of elevated blood lead levels of children living in the affected area nearly doubled after the change in the water source. This article reviews the recommendations for lead screening and for reporting, following, and treating children with blood lead levels greater than 5 mcg/dL...
January 9, 2017: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/28070838/late-toxicity-evolving-radiotherapy-techniques-and-quality-of-life-in-nasopharyngeal-carcinoma
#7
Luciana Lastrucci, Silvia Bertocci, Vittorio Bini, Simona Borghesi, Roberta De Majo, Andrea Rampini, Paola Pernici, Pietro Giovanni Gennari
PURPOSE: To analyze quality of life (QoL) and functional state (FS) by patient-reported outcome (PRO) questionnaires (FACT-G, FACT-NP, PSS-HN, XeQOLS, and EQ-5D-3L) in long-term survivors nasopharyngeal carcinoma (NPC) treated with conventional radiotherapy (RT) and intensity modulated radiotherapy (IMRT). METHODS: 25 patients answered to five questionnaires about QoL and FS. All patients were assessed also for late toxicity. RESULTS: Functional Assessment of Cancer Therapy-General (FACT-G) and Performance Status Scale Head and Neck (PSS-HN) scores were significantly elevated (better QoL) in age <50 years (p = 0...
January 9, 2017: La Radiologia Medica
https://www.readbyqxmd.com/read/28068184/antimicrobial-susceptibilities-of-flavobacterium-psychrophilum-isolates-from-the-great-lakes-basin-michigan
#8
Danielle Van Vliet, Thomas P Loch, Peter Smith, Mohamed Faisal
Flavobacterium psychrophilum is a serious pathogen of salmonids worldwide, a matter that is compounded by the lack of effective vaccine preparations. As a result, biosecurity measures and antimicrobial agents remain the only available methods to control diseases caused by F. psychrophilum. It is feared that antimicrobial use may have led to the development of F. psychrophilum strains with reduced susceptibility. Therefore, the primary objective of this study was to determine the antimicrobial susceptibility profiles of 50 F...
January 9, 2017: Microbial Drug Resistance: MDR: Mechanisms, Epidemiology, and Disease
https://www.readbyqxmd.com/read/28067030/personal-protective-equipment-use-and-hazardous-drug-spills-among-ambulatory-oncology-nurses
#9
Bei He, Kari Mendelsohn-Victor, Marjorie McCullagh, Christopher Friese
Purpose/Objectives: To examine patterns and organizational correlates of personal protective equipment (PPE) use and hazardous drug spills. Design: Cross-sectional mailed survey. Setting: Ambulatory practices in California, Georgia, and Michigan. Sample: 252 Oncology Nursing Society members who administer hazardous drugs. Methods: Bivariate and multivariable regression analyses. Main Research Variables: Outcomes were PPE use and hazardous drug spills...
6, 2017: Oncology Nursing Forum
https://www.readbyqxmd.com/read/28058090/drinking-water-and-the-developing-brain
#10
Ellen K Silbergeld
While the problem of unsafe tap water in Flint, Michigan fueled outrage and better awareness in regard to the hazards of lead in tap water, the problem has existed in city after city for years in the US and in other countries. Our author, a winner of the MacArthur Foundation "genius" grant for her work in identifying preventable causes of human disease related to environmental exposures, points out that problems extend well beyond lead. Many potentially harmful contaminants have yet to be evaluated, much less regulated...
July 2016: Cerebrum: the Dana Forum on Brain Science
https://www.readbyqxmd.com/read/28056561/survey-of-abdominal-access-and-associated-morbidity-for-robot-assisted-radical-prostatectomy-rarp-does-palmer-s-point-warrant-further-awareness-and-study
#11
William K Johnston Iii, Susan Linsell, David Christopher Miller, Khurshid R Ghani
INTRODUCTION: Laparoscopic access for RARP is often initiated in the peri-umbilical location. Palmer's Point, located in the left upper quadrant, has been reported as an alternative access site for pelvic laparoscopy to reduce morbidity, but not widely reported among urologists. To better understand surgeons' preferences for access and its associated morbidity during RARP, we surveyed surgeons from two urological organizations. METHODS: An anonymous online questionnaire that assessed training, experience, and preferences for RARP was emailed in December 2014 to members of the Endourology Society (ES) and the Michigan Urological Society Improvement Collaborative (MUSIC) ...
January 5, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28052153/discontinuation-of-warfarin-therapy-for-patients-with-atrial-fibrillation-the-michigan-anticoagulation-quality-improvement-initiative-experience
#12
Geoffrey D Barnes, Scott Kaatz, Alexis Lopez, Xiaokui Gu, Jay Kozlowski, Gregory D Krol, James B Froehlich
No abstract text is available yet for this article.
January 4, 2017: JAMA Cardiology
https://www.readbyqxmd.com/read/28052061/integrated-genomic-characterization-of-oesophageal-carcinoma
#13
(no author information available yet)
Oesophageal cancers are prominent worldwide; however, there are few targeted therapies and survival rates for these cancers remain dismal. Here we performed a comprehensive molecular analysis of 164 carcinomas of the oesophagus derived from Western and Eastern populations. Beyond known histopathological and epidemiologic distinctions, molecular features differentiated oesophageal squamous cell carcinomas from oesophageal adenocarcinomas. Oesophageal squamous cell carcinomas resembled squamous carcinomas of other organs more than they did oesophageal adenocarcinomas...
January 4, 2017: Nature
https://www.readbyqxmd.com/read/28051917/economic-effects-of-medicaid-expansion-in-michigan
#14
John Z Ayanian, Gabriel M Ehrlich, Donald R Grimes, Helen Levy
Under the Affordable Care Act, 31 U.S. states have opted to expand Medicaid coverage to nonelderly adults with annual incomes up to 138% of the federal poverty level (approximately $16,400 for a single adult in 2016). The federal government currently pays the full cost of Medicaid expansion in..
January 4, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28050788/laparoscopic-sleeve-gastrectomy-preoperative-weight-loss-and-other-factors-as-predictors-of-postoperative-success
#15
Maggie Steinbeisser, Jessica McCracken, Bilal Kharbutli
BACKGROUND: Correlation between weight loss before bariatric surgery and postoperative success has been discussed and investigated. It also has been a requirement for some surgeons and insurance companies. OBJECTIVE: The aim of this study is to address whether weight loss before sleeve gastrectomy is a predictor of postoperative success in terms of excess body weight lost (EBWL). SETTING: Study was performed at a community teaching hospital in Michigan...
January 3, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28049677/dental-students-alumni-and-dentists-perspectives-on-leadership-impact-of-the-scholars-program-in-dental-leadership
#16
Audrey L Niemchick, Jessica Delgado, Russell S Taichman, Marita R Inglehart
In 2006, the Scholars Program in Dental Leadership (SPDL) was created at the University of Michigan School of Dentistry with the aim of preparing dental students to take on leadership roles in their profession and communities. The aims of this quantitative study were to investigate how SPDL alumni and current participants evaluated this program; to assess whether SPDL alumni evaluated their leadership-related educational experiences, leadership perceptions, and attitudes towards leadership activities in dentistry more positively than did non-SPDL dental students and general dentists; and to explore if leadership-related educational/clinical experiences were correlated with these constructs...
January 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28045810/the-protruding-premaxilla-is-our-current-approach-the-right-answer
#17
Katelyn G Bennett, Heather M Hendricks, Todd E Thurston, Steven J Kasten, Christian J Vercler, Steven R Buchman
BACKGROUND: In bilateral cleft patients, surgeons usually attempt to move the premaxillary segment posteriorly. These patients almost always develop maxillary hypoplasia, rendering our current algorithms questionable. The authors sought to determine if the lateral segments are in an appropriate position to serve as a target for movement of the premaxilla. METHODS: Bilateral cleft lip and palate patients treated at the University of Michigan from 1997 to 2015 were reviewed...
December 30, 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28041592/visual-impairment-at-baseline-is-associated-with-future-poor-physical-functioning-among-middle-aged-women-the-study-of-women-s-health-across-the-nation-michigan-site
#18
Navasuja Chandrasekaran, Sioban Harlow, Sayoko Moroi, David Musch, Qing Peng, Carrie Karvonen-Gutierrez
OBJECTIVES: Emerging evidence suggests that the prevalence rates of poor functioning and of disability are increasing among middle-aged individuals. Visual impairment is associated with poor functioning among older adults but little is known about the impact of vision on functioning during midlife. The objective of this study was to assess the impact of visual impairment on future physical functioning among middle-aged women. STUDY DESIGN: In this longitudinal study, the sample consisted of 483 women aged 42 to 56 years, from the Michigan site of the Study of Women's Health Across the Nation...
February 2017: Maturitas
https://www.readbyqxmd.com/read/28033067/school-nurses-and-rn-to-bsn-nursing-students
#19
Beverly W Dabney, Mary Linton, Jamie Koonmen
Many nursing schools and public schools are facing various challenges including a lack of resources. Schools of nursing strive to provide meaningful clinical experiences despite the challenge of a limited supply of quality placements. Similarly, public schools are expected to provide more nursing services at a time when many school nurses already are overloaded. For example, new state legislation placed additional responsibilities (regarding epinephrine auto-injectors and cardiac emergency response plans) on school nurses in Michigan...
January 2017: NASN School Nurse
https://www.readbyqxmd.com/read/28029286/survivability-of-mycobacterium-bovis-on-salt-and-salt-mineral-blocks-fed-to-cattle
#20
John B Kaneene, Joseph A Hattey, Carole A Bolin, James Averill, RoseAnn Miller
OBJECTIVE To determine the survivability of Mycobacterium bovis on salt and salt-mineral blocks in typical weather conditions in Michigan over two 12-day periods at the height of summer and winter. SAMPLE 4 salt (NaCl) and 4 salt-mineral blocks inoculated with pure cultures of a strain of M bovis currently circulating in Michigan livestock and wildlife. PROCEDURES In the summer and again in the winter, inoculated blocks were placed in secured outdoor facilities where equal numbers of each block type (2/type/season) were exposed to shade or sunlight...
January 2017: American Journal of Veterinary Research
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