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https://www.readbyqxmd.com/read/29785406/fluid-extravasation-in-shoulder-arthroscopic-surgery-a-systematic-review
#1
REVIEW
Muzammil Memon, Jeffrey Kay, Arian Gholami, Nicole Simunovic, Olufemi R Ayeni
Background: Arthroscopic surgery of the shoulder joint has become increasingly more common given its advantages over open surgery; however, one rare but potentially life-threatening complication is fluid extravasation into the surrounding tissues, causing edema, respiratory compromise, abnormal results on laboratory blood tests, and possibly death. Currently, no systematic review exists that summarizes the existing clinical research on this topic. Purpose: To perform a systematic review on fluid extravasation as a complication of shoulder arthroscopic surgery, specifically assessing clinical presentation, risk factors, management, and outcomes...
May 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29779718/the-impact-of-three-discharge-coding-methods-on-the-accuracy-of-diagnostic-coding-and-hospital-reimbursement-for-inpatient-medical-care
#2
Rosy Tsopra, Daniel Peckham, Paul Beirne, Kirsty Rodger, Matthew Callister, Helen White, Jean-Philippe Jais, Dipansu Ghosh, Paul Whitaker, Ian J Clifton, Jeremy C Wyatt
BACKGROUND: Coding of diagnoses is important for patient care, hospital management and research. However coding accuracy is often poor and may reflect methods of coding. This study investigates the impact of three alternative coding methods on the inaccuracy of diagnosis codes and hospital reimbursement. METHODS: Comparisons of coding inaccuracy were made between a list of coded diagnoses obtained by a coder using (i)the discharge summary alone, (ii)case notes and discharge summary, and (iii)discharge summary with the addition of medical input...
July 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29772292/does-the-cost-of-a-meal-influence-the-portion-size-effect
#3
Faris M Zuraikat, Liane S Roe, Alissa D Smethers, Levi W Reihart, Barbara J Rolls
Serving larger portions leads to increased intake, but little is known about how the cost of a meal affects this response. Therefore, we tested whether the amount of money paid for a meal influenced the portion size effect at a lunch served in a controlled restaurant-style setting. In a crossover design, 79 adults (55 women; 24 men) came to the lab once a week for 4 weeks to eat a main dish of pasta with side dishes. Across weeks, the meal was varied in two factors: portion size of the main dish (400 g or 600 g) and cost of the meal (US$8 or $16)...
May 14, 2018: Appetite
https://www.readbyqxmd.com/read/29763871/simulating-climate-change-and-socio-economic-change-impacts-on-flows-and-water-quality-in-the-mahanadi-river-system-india
#4
Li Jin, Paul G Whitehead, Harvey Rodda, Ian Macadam, Sananda Sarkar
Delta systems formed by the deposition of sediments at the mouths of large catchments are vulnerable to sea level rise and other climate change impacts. Deltas often have some of the highest population densities in the world and the Mahanadi Delta in India is one of these, with a population of 39 million. The Mahanadi River is a major river in East Central India and flows through Chattisgarh and Orissa states before discharging into the Bay of Bengal. This study uses an Integrated Catchment Model (INCA) to simulate flow dynamics and water quality (nitrogen and phosphorus) and to analyze the impacts of climate change and socio-economic drivers in the Mahanadi River system...
May 12, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29746522/changes-in-quality-of-life-and-health-status-in-patients-with-extracorporeal-life-support-a-prospective-longitudinal-study
#5
Kang-Hua Chen, Yu-Ting Chen, Shu-Ling Yeh, Li-Chueh Weng, Feng-Chun Tsai
BACKGROUND: Extracorporeal life support (ECLS) provides emergency pulmonary and cardiac assistance for patients in respiratory or cardiac failure. Most studies evaluate the success of ECLS based on patients' survival rate. However, the trajectory of health status and quality of life (QOL) should also be important considerations. The study's aim was to explore changes in health status and QOL in adult patients weaned from ECLS who survived to hospital discharge over a one-year period. STUDY DESIGN: A prospective longitudinal study was conducted from April 2012 to September 2014...
2018: PloS One
https://www.readbyqxmd.com/read/29735392/postnatal-gestational-diabetes-mellitus-follow-up-perspectives-of-australian-hospital-clinicians-and-general-practitioners
#6
Catherine Kilgour, Fiona Elizabeth Bogossian, Leonie Callaway, Cindy Gallois
PROBLEM: The reasons for low postnatal screening rates for women with gestational diabetes mellitus are not well understood. Multiple care providers, settings and changes to diagnostic criteria, may contribute to confusion over postnatal care. Quality of communication between clinicians may be an important influence for the completion of postnatal gestational diabetes mellitus follow-up. AIM: Describe and analyse communication processes between hospital clinicians (midwives, medical, allied staff) and general practitioners who provide postnatal gestational diabetes mellitus care...
May 4, 2018: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/29731633/impact-of-time-of-initiation-of-once-monthly-paliperidone-palmitate-in-hospitalized-asian-patients-with-acute-exacerbation-of-schizophrenia-a-post-hoc-analysis-from-the-prevail-study
#7
Huafang Li, Yan Li, Yu Feng, Jianmin Zhuo, Ibrahim Turkoz, Maju Mathews, Wilson Tan
Purpose: To evaluate the differences in efficacy and safety outcomes in acute exacerbating schizophrenia patients between 2 subgroups (≤1 week and >1 week), differing in time interval from hospitalization to time of initiation of once-monthly paliperidone palmitate. Patients and methods: PREVAIL was a multicenter, single-arm, open-label, prospective Phase IV study in hospitalized Asian patients (either sex, aged 18-65 years) diagnosed with schizophrenia ( Diagnostic and Statistical Manual of Mental Disorders , Fourth Edition)...
2018: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/29726421/facilitating-the-information-exchange-using-a-modular-electronic-discharge-summary
#8
Kerstin Denecke, Pascal A Dittli, Niveadha Kanagarasa, Stephan Nüssli
BACKGROUND: Discharge summaries are a standard communication tool delivering important clinical information from inpatient to ambulatory care. To ensure a high quality, correctness and completeness, the generation process is time consuming. It requires also contributions of multiple persons. This is problematic since the primary care provider needs the information from the discharge summary for continuing the intended treatment. To address this challenge, we developed a concept for exchanging a modular electronic discharge summary...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29718828/lateralized-periodic-discharges-a-literature-review
#9
Lu Lin, Frank W Drislane
The purpose of this article is to provide a comprehensive review of the literature about a particular EEG pattern, lateralized periodic discharges (LPDs), or periodic lateralized epileptiform discharges (PLEDs). The review will discuss the history and terminology of LPDs and provide a detailed summary of the etiologies, pathophysiology, clinical symptoms, and imaging studies related to LPDs. Current controversies about the association of LPDs with seizures and their management will be reviewed. Finally, some unanswered questions and suggestions for future research on LPDs will be discussed...
May 2018: Journal of Clinical Neurophysiology: Official Publication of the American Electroencephalographic Society
https://www.readbyqxmd.com/read/29717984/effect-of-tranexamic-acid-on-intra-and-postoperative-haemorrhage-in-dogs-with-surgically-treated-hemoperitoneum
#10
N Sigrist, L Olgiati, R S Jud Schefer
Tranexamic acid (TXA) is an antifibrinolytic drug that is used for uncontrolled bleeding of various origin. This retrospective study investigated the effect of tranexamic acid administration on bleeding tendency in dogs with surgically managed hemoperitoneum. Thirty dogs were treated with (TXA group) and 25 dogs without (CTR group) tranexamic acid prior to surgery. Various parameters (decrease in haematocrit, number of transfusions, shock index and changes in abdominal fluid accumulation) were used for characterization of bleeding tendency and compared between groups...
May 2018: Schweizer Archiv Für Tierheilkunde
https://www.readbyqxmd.com/read/29716805/predictors-of-clinical-outcomes-among-patients-with-brain-abscess-in-thailand
#11
Thanyalak Amornpojnimman, Pat Korathanakhun
Although brain abscess is a fatal neurological infection, the studies in Thailand are quite limited and outdate. This study aims to identify predictors of mortality among patients with brain abscess in Thailand. Patients with a diagnosis of brain abscess admitted to Songklanagarind Hospital, a referral tertiary care hospital in southern Thailand, between 2002 and 2017 were enrolled into this retrospective case control study. Demographic data, neurological status, clinical presentations, predisposing factors, microbiological profiles, neuroimaging findings, treatments, and outcomes were collected from electronic medical records...
April 28, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29715503/repeated-toluene-exposure-increases-the-excitability-of-layer-5-pyramidal-neurons-in-the-prefrontal-cortex-of-adolescent-rats
#12
Monserrat Armenta-Resendiz, Silvia L Cruz, Emilio J Galván
Despite serious health effects, volatile industrial products containing toluene are deliberately inhaled for their psychoactive actions, mainly among adolescents and young adults. Chronic toluene inhalation induces multiple alterations at the cellular and behavioral level; however, modifications of neuronal networks associated with the reward system after repeated toluene exposure are not thoroughly characterized. Here we used whole-cell recordings to determine the effects of repeated exposure to toluene (1000, 4000 or 8000 ppm for 30 min, twice a day, for ten days) on the neurophysiological properties of prelimbic layer 5 pyramidal neurons of the medial prefrontal cortex (mPFC) in adolescent male Wistar rats...
April 28, 2018: Neurotoxicology and Teratology
https://www.readbyqxmd.com/read/29713202/derivation-and-validation-of-a-multivariable-model-to-predict-when-primary-care-physicians-prescribe-antidepressants-for-indications-other-than-depression
#13
Jenna Wong, Michal Abrahamowicz, David L Buckeridge, Robyn Tamblyn
Objective: Physicians commonly prescribe antidepressants for indications other than depression that are not evidence-based and need further evaluation. However, lack of routinely documented treatment indications for medications in administrative and medical databases creates a major barrier to evaluating antidepressant use for indications besides depression. Thus, the aim of this study was to derive a model to predict when primary care physicians prescribe antidepressants for indications other than depression and to identify important determinants of this prescribing practice...
2018: Clinical Epidemiology
https://www.readbyqxmd.com/read/29709751/safety-of-running-two-rooms-a-systematic-review-and-meta-analysis-of-overlapping-neurosurgical-procedures
#14
D Mitchell Self, Adeel Ilyas, William R Stetler
OBJECTIVE: Overlapping surgery, a long-standing practice within academic neurosurgery centers nationwide, has recently come under scrutiny from the government and media as potentially harmful to patients. Therefore, the objective of this systematic review and meta-analysis is to determine the safety of overlapping neurosurgical procedures. METHODS: The authors performed a systematic review and meta-analysis in accordance with PRISMA guidelines. A review of PubMed and Medline databases was undertaken with the search phrase "overlapping surgery AND neurosurgery AND outcomes...
April 27, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29703336/disease-burden-complication-rates-and-health-care-costs-of-heparin-induced-thrombocytopenia-in-the-usa-a-population-based-study
#15
Binod Dhakal, Lisa Baumann Kreuziger, Lisa Rein, Ariel Kleman, Raphael Fraser, Richard H Aster, Parameswaran Hari, Anand Padmanabhan
BACKGROUND: Heparin-induced thrombocytopenia can be a life-threatening and limb-threatening complication of heparin therapy. Incidence and complication rates of this condition have been extrapolated from studies with modest sample sizes, and despite the availability of therapeutic interventions the outcomes of heparin-induced thrombocytopenia are not well understood. We aimed to estimate disease burden, complication rates, and costs of heparin-induced thrombocytopenia in the USA. METHODS: In this population-based study we analysed data from 2009 to 2013 from the Nationwide (National) Inpatient Sample (NIS), a large, all-payer inpatient health-care database in the USA...
May 2018: Lancet Haematology
https://www.readbyqxmd.com/read/29676488/a-falls-case-summary-application-of-the-public-health-nursing-intervention-wheel
#16
Patricia Leahy-Warren, Mary Rose Day, Lloyd Philpott, Kari Glavin, Edith Roth Gjevjon, Anne Kjersti Myhrene Steffenak, Live S Nordhagen, Hilde Egge, Elizabeth Healy, Helen Mulcahy
BACKGROUND: The Public Health Intervention Wheel (PHIW) is a population-based practice model that encompasses three levels of practice (community, systems, and individual/family) and 17 public health interventions. Each intervention and practice level contributes to improving population health. Public health nurses (PHNs) provide care at the three levels of practice. Prevention of falls is a public health issue and the majority of falls happen at home. Therefore, prevention and management of falls in the community could benefit from a public health systems approach by PHNs underpinned by the PHIW...
April 20, 2018: Public Health Nursing
https://www.readbyqxmd.com/read/29668920/impact-of-the-implementation-of-electronic-health-records-on-the-quality-of-discharge-summaries-and-on-the-coding-of-hospitalization-episodes
#17
José L Bernal, Sebastián DelBusto, María I García-Mañoso, Emilia de Castro Monteiro, Ángel Moreno, Carolina Varela-Rodríguez, Pedro M Ruiz-Lopez
Objective: To determine whether the implementation and use of the electronic health records (EHR) modifies the quality, readability and/or the length of the discharge summaries (DS) and the average number of coded diagnosis and procedures per hospitalization episode. Design: A pre-post-intervention descriptive study conducted between 2010 and 2014. Setting: The 'Hospital Universitario 12 de Octubre' (H12O) of Madrid (Spain). A tertiary University Hospital of up to 1200 beds...
April 13, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29663553/rapid-evidence-assessment-of-approaches-to-community-neurological-nursing-care-for-people-with-neurological-conditions-post-discharge-from-acute-care-hospital
#18
REVIEW
Judith Dianne Pugh, Kathleen McCoy, Anne M Williams, Brenda Bentley, Leanne Monterosso
Neurological conditions represent leading causes of non-fatal burden of disease that will consume a large proportion of projected healthcare expenditure. Inconsistent access to integrated healthcare and other services for people with long-term neurological conditions stresses acute care services. The purpose of this rapid evidence assessment, conducted February-June 2016, was to review the evidence supporting community neurological nursing approaches for patients with neurological conditions post-discharge from acute care hospitals...
April 16, 2018: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29660985/facile-on-site-aqueous-pollutant-monitoring-using-a-flexible-ultra-light-and-robust-sers-substrate-interface-self-assembly-of-au-ag-nanocubes-on-polyvinyl-chloride-template
#19
Lu-Bin Zhong, Qing Liu, Peng Wu, Qi-Feng Niu, Huan Zhang, Yu-Ming Zheng
Aquatic ecosystem and human health have been seriously threatened by illegal discharge of wastewater, while simple and effective monitoring methods are still sparse. Here, we propose a facile method for on-site pollutant monitoring by surface enhanced Raman spectroscopy (SERS) with a novel substrate. This substrate is fabricated by interface self-assembly of Au@Ag nanocubes (NCs) on a simultaneously formed polyvinyl chloride (PVC) template, followed by coating a thin Au film. The Au@Ag@Au-NCs/PVC film is flexible, ultra-light and robust, which could float on water surface and firmly contact with water even under harsh environmental conditions...
April 16, 2018: Environmental Science & Technology
https://www.readbyqxmd.com/read/29620136/traumatic-brain-injury-patient-experience-and-satisfaction-with-discharge-from-trauma-hospital
#20
Cathrine Buaas Tverdal, Emilie Isager Howe, Cecilie Røe, Eirik Helseth, Juan Lu, Olli Tenovuo, Nada Andelic
OBJECTIVES: To describe the discharge process for patients with traumatic brain injury from a trauma hospital, and patient experience and satisfaction with care transition. Furthermore, to evaluate associations between discharge process and patient satisfaction and quality of care transition. DESIGN: Prospective-retrospective observational study. SUBJECTS/PATIENTS: Seventy-four patients admitted to ward or intensive care unit at a trauma referral hospital within 24 h of traumatic brain injury...
April 5, 2018: Journal of Rehabilitation Medicine
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