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https://www.readbyqxmd.com/read/29043580/a-comprehensive-assessment-of-accurate-lymph-node-staging-and-preoperative-detection-in-resected-pancreatic-cancer
#1
Toshiro Masuda, Amanda M Dann, Irmina A Elliott, Hideo Baba, Stephen Kim, Alireza Sedarat, V Raman Muthusamy, Mark D Girgis, O Joe Hines, Howard A Reber, Timothy R Donahue
BACKGROUND: The current (seventh edition) American Joint Commission on Cancer (AJCC) Staging System for pancreatic ductal adenocarcinoma (PDAC) dichotomizes pathologic lymph node (LN) involvement into absence (pN0) or presence (pN1) of disease. The recently announced eighth edition also includes stratification on the number of positive nodes. Furthermore, LNs detected on preoperative imaging (CT, MRI, or endoscopic ultrasound-EUS) are considered to be pathologically involved in other gastrointestinal cancers...
October 17, 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29029846/identification-of-novel-risk-loci-for-restless-legs-syndrome-in-genome-wide-association-studies-in-individuals-of-european-ancestry-a-meta-analysis
#2
Barbara Schormair, Chen Zhao, Steven Bell, Erik Tilch, Aaro V Salminen, Benno Pütz, Yves Dauvilliers, Ambra Stefani, Birgit Högl, Werner Poewe, David Kemlink, Karel Sonka, Cornelius G Bachmann, Walter Paulus, Claudia Trenkwalder, Wolfgang H Oertel, Magdolna Hornyak, Maris Teder-Laving, Andres Metspalu, Georgios M Hadjigeorgiou, Olli Polo, Ingo Fietze, Owen A Ross, Zbigniew Wszolek, Adam S Butterworth, Nicole Soranzo, Willem H Ouwehand, David J Roberts, John Danesh, Richard P Allen, Christopher J Earley, William G Ondo, Lan Xiong, Jacques Montplaisir, Ziv Gan-Or, Markus Perola, Pavel Vodicka, Christian Dina, Andre Franke, Lukas Tittmann, Alexandre F R Stewart, Svati H Shah, Christian Gieger, Annette Peters, Guy A Rouleau, Klaus Berger, Konrad Oexle, Emanuele Di Angelantonio, David A Hinds, Bertram Müller-Myhsok, Juliane Winkelmann
BACKGROUND: Restless legs syndrome is a prevalent chronic neurological disorder with potentially severe mental and physical health consequences. Clearer understanding of the underlying pathophysiology is needed to improve treatment options. We did a meta-analysis of genome-wide association studies (GWASs) to identify potential molecular targets. METHODS: In the discovery stage, we combined three GWAS datasets (EU-RLS GENE, INTERVAL, and 23andMe) with diagnosis data collected from 2003 to 2017, in face-to-face interviews or via questionnaires, and involving 15 126 cases and 95 725 controls of European ancestry...
November 2017: Lancet Neurology
https://www.readbyqxmd.com/read/29028232/towards-an-overarching-european-health-information-system
#3
Marieke Verschuuren, Annemiek van Bolhuis, Nicole Rosenkötter, Mariken Tijhuis, Hans van Oers
A European health information system (HIS) supports mutual learning between member states through international comparisons. In addition, it informs international policy agendas. Collaboration between the major stakeholders, most importantly the World Health Organization Regional Office for Europe (WHO-Euro), the European Commission and OECD, is important for member states, as this will contribute to better and more efficiently produced health intelligence. This paper focuses on this 'supra-international' collaboration...
October 1, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/29025104/implementation-of-a-brief-abuse-and-basic-needs-tool-impact-on-utilization-of-social-services-in-ambulatory-medical-clinics
#4
Jay Michael Sherman, Kari Sand-Jecklin, Jessica Walters, Courtney Fox Dunithan, Teassa Eddy, Cynthia Harper
Domestic violence (DV) screening has become increasingly common in recent years; however, many organizations still do not practice universal screening, and there is considerable debate concerning the best screening tool for detecting DV. The current research suggests that a brief tool would be ideal and that existing brief tools are comparable to more extensive instruments. Per Joint Commission standards, the ambulatory clinics at West Virginia University Hospitals instituted the use of the Functional Health Screening (FHS), a three-item tool that screens for unexplained weight changes, DV, and basic needs deficits...
September 7, 2017: Health & Social Work
https://www.readbyqxmd.com/read/28988740/health-care-usage-and-suicide-risk-screening-within-1%C3%A2-year-of-suicide-death
#5
Amy R Stuck, Michael P Wilson, Christen E Chalmers, Jonathan Lucas, Andrew Sarkin, Kyle Choi, Kimberly Center
BACKGROUND: Research indicates patients often seek medical care within 1 year of suicide. Health care encounters are a crucial opportunity for health professionals to identify patients at highest risk and provide preventative services. OBJECTIVE: Study aims were to determine the characteristics of persons seeking health care within 12 months of suicide death and evaluate suicide risk screening (SRS) frequency in the emergency department (ED) vs. clinic settings...
October 5, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28961616/founding-of-the-association-of-physician-assistant-programs-and-the-organization-s-central-role-in-the-development-of-the-physician-assistant-profession
#6
Alfred M Sadler, Thomas E Piemme
The Physician Assistant Education Association (PAEA) (formerly Association of Physician Assistant Programs [APAP]) was founded in 1972 by early PA program leaders to encourage collaboration and discussion among program leaders and faculty on a wide range of issues of mutual concern. This article addresses the founding of the organization, which continues to represent PA programs today. It addresses the important accomplishments of APAP during the 1972-1974 period and describes in detail the essential contributions of APAP and its leaders in developing the PA profession...
October 2017: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/28959503/stroke-quality-measures-in-mexican-americans-and-non-hispanic-whites
#7
Darin B Zahuranec, Lynda D Lisabeth, Jonggyu Baek, Eric E Adelman, Nelda M Garcia, Erin C Case, Morgan S Campbell, Lewis B Morgenstern
Mexican Americans (MAs) have been shown to have worse outcomes after stroke than non-Hispanic Whites (NHWs), but it is unknown if ethnic differences in stroke quality of care may contribute to these worse outcomes. We investigated ethnic differences in the quality of inpatient stroke care between MAs and NHWs within the population-based prospective Brain Attack Surveillance in Corpus Christi (BASIC) Project (February 2009- June 2012). Quality measures for inpatient stroke care, based on the 2008 Joint Commission Primary Stroke Center definitions were assessed from the medical record by a trained abstractor...
2017: Journal of Health Disparities Research and Practice
https://www.readbyqxmd.com/read/28952351/icrp-fukushima-dialogue-seminars-joint-learning-at-many-levels
#8
A Liland
The Norwegian Radiation Protection Authority and representatives from the CERAD Centre of Excellence participated at the majority of the International Commission on Radiological Protection dialogue seminars in Fukushima between 2011 and 2015. The open and sharing structure of the seminars contributed to an unprecedented understanding of the challenges faced by the general public affected by radioactive contamination due to an accident at a nuclear power plant. Most importantly by presentations from people in Fukushima, but also by presentations from lay people in Norway and Belarus who shared their experiences from the Chernobyl accident at several seminars...
December 2016: Annals of the ICRP
https://www.readbyqxmd.com/read/28939068/appraisal-of-the-ajcc-8th-edition-pathologic-staging-modifications-for-hpv-positive-oropharyngeal-cancer-a-study-of-the-national-cancer-data-base
#9
Kevin Y Zhan, Antoine Eskander, Stephen Y Kang, Matthew O Old, Enver Ozer, Amit A Agrawal, Ricardo L Carrau, James W Rocco, Theodoros N Teknos
BACKGROUND: The American Joint Commission on Cancer (AJCC) recently created new staging for human papillomavirus associated oropharyngeal cancer (HPV+ OPSCC) for its 8th edition. These proposals have not yet been validated in a national registry. METHODS: Review of National Cancer Database (NCDB) for surgically-treated HPV+ OPSCC for years 2010-2014 to validate the new staging system using the Kaplan Meier method to explore survival outcomes. RESULTS: 3745 cases were analyzed...
October 2017: Oral Oncology
https://www.readbyqxmd.com/read/28931151/global-trends-in-center-accreditation-by-the-joint-commission-international-growing-patient-implications-for-international-medical-and-surgical-care
#10
Ambar Mehta, Seth D Goldstein, Martin A Makary
Millions of patients travel internationally for medical and surgical care. We found that the annual number of centers accredited by the Joint Commission International increased from one center in 1999 to 132 centers in 2016; there are currently 939 accredited centers across 66 countries. Public health and medicolegal implications related to medical travel deserve attention.
September 1, 2017: Journal of Travel Medicine
https://www.readbyqxmd.com/read/28925248/joint-commission-now-offering-comprehensive-cardiac-center-certification
#11
Carlos A Pellegrini
Comprehensive Cardiac Center Certification is designed for hospitals with robust cardiac care facilities, with the aim of helping institutions to establish the structures, processes, and culture necessary to achieve sustained levels of effective clinical performance and patient outcomes across cardiac specialties and the continuum of care.
February 2017: Bulletin of the American College of Surgeons
https://www.readbyqxmd.com/read/28920664/the-joint-commission-clarifies-stance-on-secure-text-messaging-of-patient-care-orders
#12
Carlos A Pellegrini
No abstract text is available yet for this article.
March 2017: Bulletin of the American College of Surgeons
https://www.readbyqxmd.com/read/28915473/endocrine-disrupting-compounds-in-streams-in-israel-and-the-palestinian-west-bank-implications-for-transboundary-basin-management
#13
Pniela Dotan, Maayan Yeshayahu, Wa'd Odeh, Nina Gordon-Kirsch, Ludmila Groisman, Nader Al-Khateeb, Alfred Abed Rabbo, Alon Tal, Shai Arnon
Endocrine disrupting compounds (EDCs) frequently enter surface waters via discharges from wastewater treatment plants (WWTPs), as well as from industrial and agricultural activities, creating environmental and health concerns. In this study, selected EDCs were measured in water and sediments along two transboundary streams flowing from the Palestinian Authority (PA) into Israel (the Zomar-Alexander and Hebron-Beer Sheva Streams). We assessed how the complicated conflict situation between Israel and the PA and the absence of a coordinated strategy and joint stream management commission influence effective EDC control...
December 15, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/28915078/pediatric-specific-end-of-life-care-quality-measures-an-unmet-need-of-a-vulnerable-population
#14
Emily E Johnston, Abby R Rosenberg, Arif H Kamal
We must ensure that the 20,000 US children (age 0 to 19 years) who die as a result of serious illness annually receive high-quality end-of-life care. Ensuring high-quality end-of-life care requires recognition that pediatric end-of-life care is conceptually and operationally different than that for adults. For example, in-hospital adult death is considered an outcome to be avoided, whereas many pediatric families may prefer hospital death. Because pediatric deaths are comparatively rare, not all centers offer pediatric-focused palliative care and hospice services...
October 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28913982/validation-of-the-american-joint-commission-on-cancer-8th-edition-changes-for-patients-with-stage-iii-gastric-cancer-survival-analysis-of-a-large-series-from-a-specialized-eastern-center
#15
Jun Lu, Chao-Hui Zheng, Long-Long Cao, Shao-Wei Ling, Ping Li, Jian-Wei Xie, Jia-Bin Wang, Jian-Xian Lin, Qi-Yue Chen, Mi Lin, Ru-Hong Tu, Chang-Ming Huang
The 8th edition of the TNM was released in 2016 and included major revisions, especially for stage III. We aimed to compare the prognostic value of the 7th and 8th editions of the AJCC TNM classification for stage III gastric cancer. Clinical data from 1557 patients operated on for stage III gastric cancer according to the 7th edition between 2007 and 2014 were analyzed and compared using the 7th and 8th TNM classifications. A proposed staging system was established, and the three systems were compared in terms of prognostic performance...
October 2017: Cancer Medicine
https://www.readbyqxmd.com/read/28885796/joint-commission-releases-data-on-challenging-requirements-for-obs-practices
#16
Carlos A Pellegrini
No abstract text is available yet for this article.
July 2017: Bulletin of the American College of Surgeons
https://www.readbyqxmd.com/read/28881219/-it-is-not-a-quick-fix-structural-and-contextual-issues-that-affect-implementation-of-integrated-health-and-well-being-services-a-qualitative-study-from-north-east-england
#17
M Cheetham, S Visram, R Rushmer, G Greig, E Gibson, B Khazaeli, A Wiseman
OBJECTIVE: The objective of this article is to examine the factors affecting the design, commissioning and delivery of integrated health and well-being services (IHWSs), which seek to address multiple health-related behaviours, improve well-being and tackle health inequalities using holistic approaches. STUDY DESIGN: Qualitative studies embedded within iterative process evaluations. METHODS: Semi-structured interviews conducted with 16 key informants as part of two separate evaluations of IHWSs in North East England, supplemented by informal observations of service delivery...
September 4, 2017: Public Health
https://www.readbyqxmd.com/read/28875059/comparison-of-three-internship-training-sites-for-an-undergraduate-health-information-management-program-in-saudi-arabia
#18
Sulaiman Bah, Turki Alanzi
OBJECTIVES: While internship training is well established for medical records and for healthcare quality improvement, it is not quite so for training related to IT/health informatics. A comparison was made on the hospital-based IT/health informatics internship training received by students completing their training at the Imam AbdulRahman Bin Faisal University (IAU) in the Eastern province of Saudi Arabia. METHODS: The three hospitals studied all have the Joint Commission International accreditation and advanced Electronic Health Record (EHR) systems...
July 2017: Healthcare Informatics Research
https://www.readbyqxmd.com/read/28867599/the-postoperative-venous-thromboembolism-trevo-study-risk-and-case-mortality-by-surgical-specialty
#19
Cristina Amaral, Luís Guimarães Pereira, Ana Moreto, Ana Carolina Sá, Ana Azevedo
INTRODUCTION AND OBJECTIVES: Venous thromboembolism, risk of which is increased in surgical patients, is a preventable cause of morbidity and death. The primary objective of this study was to estimate the incidence of symptomatic postoperative venous thromboembolism in adults at a tertiary university hospital, overall and by surgical specialty. The secondary objective was to analyze severity of and mortality from thromboembolic events. METHODS: We performed a retrospective study to identify cases of in-hospital postoperative venous thromboembolism, encoded by the International Classification of Diseases, Ninth Revision, according to the Joint Commission International criteria...
August 31, 2017: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://www.readbyqxmd.com/read/28855780/the-2017-international-joint-working-group-white-paper-by-indusem-the-emergency-medicine-association-and-the-academic-college-of-emergency-experts-on-establishing-standardized-regulations-operational-mechanisms-and-accreditation-pathways-for-education-and-care
#20
Veronica Sikka, V Gautam, Sagar Galwankar, Randeep Guleria, Stanislaw P Stawicki, Lorenzo Paladino, Vivek Chauhan, Geetha Menon, Vijay Shah, R P Srivastava, B K Rana, Bipin Batra, O P Kalra, P Aggarwal, Sanjeev Bhoi, S Vimal Krishnan
The government of India has done remarkable work on commissioning a government funded prehospital emergency ambulance service in India. This has both public health implications and an economic impact on the nation. With the establishment of these services, there is an acute need for standardization of education and quality assurance regarding prehospital care provided. The International Joint Working Group has been actively involved in designing guidelines and establishing a comprehensive framework for ensuring high-quality education and clinical standards of care for prehospital services in India...
July 2017: Journal of Emergencies, Trauma, and Shock
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