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https://www.readbyqxmd.com/read/29657859/a-survey-of-practices-for-the-use-of-electronic-health-records-to-support-research-recruitment
#1
Jihad S Obeid, Laura M Beskow, Marie Rape, Ramkiran Gouripeddi, R Anthony Black, James J Cimino, Peter J Embi, Chunhua Weng, Rebecca Marnocha, John B Buse
Electronic health records (EHRs) provide great promise for identifying cohorts and enhancing research recruitment. Such approaches are sorely needed, but there are few descriptions in the literature of prevailing practices to guide their use. A multidisciplinary workgroup was formed to examine current practices in the use of EHRs in recruitment and to propose future directions. The group surveyed consortium members regarding current practices. Over 98% of the Clinical and Translational Science Award Consortium responded to the survey...
August 2017: Journal of Clinical and Translational Science
https://www.readbyqxmd.com/read/29656624/health-care-burden-of-spinal-diseases-in-the-republic-of-korea-analysis-of-a-nationwide-database-from-2012-through-2016
#2
Chang-Hyun Lee, Chun Kee Chung, Chi Heon Kim, Ji-Woong Kwon
OBJECTIVE: This study aimed to determine the incidence and analyze trends related to spinal diseases based on a national database in the Republic of Korea (ROK) and to elucidate the healthcare burden that will serve as a useful resource for researchers, clinicians, and patients. METHODS: This study was a retrospective analysis of data obtained from Healthcare Bigdata Hub, the Korean Statistical Information Service, and Open Data Portal from 2012 through 2016. The main disease codes for spinal diseases (M40-M54) were used for identification of these conditions...
March 2018: Neurospine
https://www.readbyqxmd.com/read/29625803/using-patient-portals-to-increase-engagement-in-patients-with-cancer
#3
REVIEW
Elizabeth S Rodriguez
OBJECTIVES: To review patient portals which serve as a tool for patient engagement by increasing access to electronic health care information and expanding ways to communicate with health care providers. DATA SOURCES: Reviews of the literature and first-hand experience. CONCLUSION: Meaningful Use requirements propelled the design and development of patient portals in recent years. Patient engagement in oncology can improve quality of life and outcomes...
April 3, 2018: Seminars in Oncology Nursing
https://www.readbyqxmd.com/read/29624860/hepatic-encephalopathy-diagnosis-and-management
#4
Piero Amodio
Hepatic encephalopathy (HE) is a peculiar kind of brain dysfunction caused by liver insufficiency and/or portal-systemic shunting. It is related to gut-derived substances. It is a relevant cause of morbidity and hospitalisation for patients with cirrhosis. The prognosis of HE is important in terms of survival and re-hospitalisation. It is related to impaired quality of life, falls and poor driving, presents a relevant burden for caregivers and health services, and may negatively impacts on patient's job and income...
April 6, 2018: Liver International: Official Journal of the International Association for the Study of the Liver
https://www.readbyqxmd.com/read/29619421/influence-of-spontaneous-splenorenal-shunts-on-clinical-outcomes-in-decompensated-cirrhosis-and-after-liver-transplantation
#5
Karen Saks, Kyle K Jensen, Joel McLouth, Justine Hum, Joseph Ahn, Atif Zaman, Michael F Chang, Alice Fung, Barry Schlansky
Cirrhosis and portal hypertension can lead to the formation of a spontaneous splenorenal shunt (SSRS) that may divert portal blood flow to the systemic circulation and reduce hepatic perfusion. Our aims were to evaluate SSRSs as an independent prognostic marker for mortality in patients with decompensated cirrhosis and the influence of SSRSs on liver transplantation (LT) outcomes. We retrospectively analyzed adult patients with decompensated cirrhosis undergoing LT evaluation from January 2001 to February 2016 at a large U...
April 2018: Hepatology communications
https://www.readbyqxmd.com/read/29602432/health-literacy-and-patient-web-portals
#6
REVIEW
Steven S Coughlin, Jessica L Stewart, Lufei Young, Vahé Heboyan, Gianluca De Leo
OBJECTIVES: There is limited evidence about the association between health literacy and use of patient web portals in patients with chronic illnesses. The objective of this review was to learn more about health literacy and use of patient web portals. METHODS: Bibliographic searches were conducted in PubMed and CINAHL using relevant MeSH search terms and Boolean algebra commands. RESULTS: Qualitative studies and studies with a cross-sectional, cohort, or pre-/post-test design have shown that persons with limited health literacy are less likely to use patient web portals, although there is inconsistency in the association across studies...
May 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29600351/a-digital-language-divide-the-relationship-between-internet-medication-refills-and-medication-adherence-among-limited-english-proficient-lep-patients
#7
Alejandra Casillas, Gerardo Moreno, Jonathan Grotts, Chi-Hong Tseng, Leo S Morales
BACKGROUND: Use of an Internet portal to refill medicines positively affects medication adherence among English-speakers. No prior studies, however, have specifically examined the relationship between Internet refills and medication adherence among patients who are limited English proficient (LEP). OBJECTIVES: (1) Examine the relationship between Internet medication refill system use and medication adherence among linguistically diverse patients with chronic conditions and (2) compare this relationship between LEP and English-proficient (EP) patients...
March 29, 2018: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/29581201/voices-from-low-income-and-middle-income-countries-a-systematic-review-protocol-of-primary-healthcare-interventions-within-public-health-systems-addressing-intimate-partner-violence-against-women
#8
Marcos Claudio Signorelli, Stav Hillel, Daniel Canavese de Oliveira, Beatriz Paulina Ayala Quintanilla, Kelsey Hegarty, Angela Taft
INTRODUCTION: Intimate partner violence (IPV) considerably harms the health, safety and well-being of women. In response, public health systems around the globe have been gradually implementing strategies. In particular, low-income and middle-income countries (LMIC) have been developing innovative interventions in primary healthcare (PHC) addressing the problem. This paper describes a protocol for a systematic review of studies addressing the impacts and outcomes of PHC centre interventions addressing IPV against women from LMIC...
March 25, 2018: BMJ Open
https://www.readbyqxmd.com/read/29581090/implications-of-patient-portal-transparency-in-oncology-qualitative-interview-study-on-the-experiences-of-patients-oncologists-and-medical-informaticists
#9
Jordan M Alpert, Bonny B Morris, Maria D Thomson, Khalid Matin, Richard F Brown
BACKGROUND: Providing patients with unrestricted access to their electronic medical records through patient portals has impacted patient-provider communication and patients' personal health knowledge. However, little is known about how patient portals are used in oncology. OBJECTIVE: The aim of this study was to understand attitudes of the portal's adoption for oncology and to identify the advantages and disadvantages of using the portal to communicate and view medical information...
March 26, 2018: JMIR Cancer
https://www.readbyqxmd.com/read/29574461/police-recorded-crime-and-disparities-in-obesity-and-blood-pressure-status-in-chicago
#10
Elizabeth L Tung, Kristen E Wroblewski, Kelly Boyd, Jennifer A Makelarski, Monica E Peek, Stacy Tessler Lindau
BACKGROUND: The purpose of this study was to examine associations between several types of police-recorded crime (violent, nonviolent, and homicide) and cardiometabolic health (obesity and elevated blood pressure [BP]), and to determine if associations were modified by age and sex. METHODS AND RESULTS: We analyzed cross-sectional data (N=14 799 patients) from 3 primary care clinics at an academic medical center in Chicago, IL. Patient-level health data were obtained from the electronic health record (June 1, 2014-May 31, 2015), including body mass index and BP, and linked to the City of Chicago Police Data Portal...
March 24, 2018: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29567372/a-six-microrna-signature-predicts-survival-of-patients-with-uterine-corpus-endometrial-carcinoma
#11
Yue Wang, Mu Xu, Qing Yang
Uterine corpus endometrial carcinoma (UCEC) is one of the most common female gynecological malignant tumors that threaten women health seriously. MicroRNAs (miRNAs) has been proved to play critical roles in tumor pathogenesis and malignant progression. In this study, we aimed to explore a novel signature of microRNA expression for predicting the overall survival (OS) of patients with UCEC. The genome-wide miRNA expression profiles and relevant clinical characteristics of 348 patients with UCEC were downloaded from the Cancer Genome Atlas (TCGA) data portal and analyzed comprehensively...
February 21, 2018: Current Problems in Cancer
https://www.readbyqxmd.com/read/29564325/prospects-for-the-use-of-social-media-marketing-instruments-in-health-promotion-by-polish-marshal-offices
#12
Magdalena Syrkiewicz-S Witała, Piotr Romaniuk, Agnieszka Strzelecka, Katarzyna Lar, Tomasz Holecki
Purpose: To investigate whether the Polish Marshal Offices use instruments for social media marketing activities in the field of health promotion. Methodology: 14 Polish Marshal Offices participated. The Computer-Assisted Web Interview and Computer-Assisted Telephone Interview were used along with a proprietary questionnaire. Standard statistical methods were employed. Findings: The number of people using the Internet and social media in Poland is steadily growing...
2018: Frontiers in Public Health
https://www.readbyqxmd.com/read/29563077/novel-interventions-and-assessments-using-patient-portals-in-adolescent-research-confidential-survey-study
#13
Lindsay A Thompson, Rebeccah Mercado, Thomas Martinko, Ratna Acharya
BACKGROUND: While adolescents can receive confidential health care without parental or guardian notification, they are rarely asked about their experiences and opinions regarding their care because participation in research often requires parental consent. Anonymous research with adolescents via confidential patient portals may ameliorate this research gap. OBJECTIVE: Because use of a confidential online adolescent patient portal is high at our academic institution, we hypothesized that adolescents would also respond to survey-based research via the portal, especially if asked anonymously and without parental consent...
March 21, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29562769/patient-adoption-and-utilization-of-a-web-based-and-mobile-based-portal-for-collecting-outcomes-after-elective-orthopedic-surgery
#14
Kerri Bell, Eugene Warnick, Kristen Nicholson, Sarah Ulcoq, Seong Jin Kim, Gregory D Schroeder, Alexander Vaccaro
Health care increasingly collects patient-reported outcomes (PROs) via web-based platforms. The purpose of this study was to evaluate how patient age influences portal engagement. Patients undergoing elective surgery at a single multispecialty orthopedic practice from September 2014 to February 2017 had access to an online portal to complete PROs, message the clinic, and view physical therapy instructions. A mobile app was optionally available. Age, sex, log-in frequency, PRO completion rates, and number of messages sent were reviewed retrospectively...
March 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29555677/development-homeostasis-and-functions-of-intestinal-intraepithelial-lymphocytes
#15
REVIEW
Luc Van Kaer, Danyvid Olivares-Villagómez
The intestine is continuously exposed to commensal microorganisms, food, and environmental agents and also serves as a major portal of entry for many pathogens. A critical defense mechanism against microbial invasion in the intestine is the single layer of epithelial cells that separates the gut lumen from the underlying tissues. The barrier function of the intestinal epithelium is supported by cells and soluble factors of the intestinal immune system. Chief among them are intestinal intraepithelial lymphocytes (iIELs), which are embedded in the intestinal epithelium and represent one of the single largest populations of lymphocytes in the body...
April 1, 2018: Journal of Immunology: Official Journal of the American Association of Immunologists
https://www.readbyqxmd.com/read/29555257/biomedical-waste-management-in-ayurveda-hospitals-current-practices-future-prospectives
#16
REVIEW
Renju Rajan, Delvin T Robin, Vandanarani M
Biomedical waste management is an integral part of traditional and contemporary system of health care. The paper focuses on the identification and classification of biomedical wastes in Ayurvedic hospitals, current practices of its management in Ayurveda hospitals and its future prospective. Databases like PubMed (1975-2017 Feb), Scopus (1960-2017), AYUSH Portal, DOAJ, DHARA and Google scholar were searched. We used the medical subject headings 'biomedical waste' and 'health care waste' for identification and classification...
March 16, 2018: Journal of Ayurveda and Integrative Medicine
https://www.readbyqxmd.com/read/29543897/cost-effectiveness-analysis-of-elbasvir-grazoprevir-regimen-for-treating-hepatitis-c-virus-genotype-1-infection-in-stage-4-5-chronic-kidney-disease-patients-in-france
#17
Franck Maunoury, Aurore Clément, Chizoba Nwankwo, Laurie Levy-Bachelot, Armand Abergel, Vincent Di Martino, Eric Thervet, Isabelle Durand-Zaleski
OBJECTIVE: To assess the cost-effectiveness of the elbasvir/grazoprevir (EBR/GZR) regimen in patients with genotype 1 chronic hepatitis C virus (HCV) infection with severe and end-stage renal disease compared to no treatment. DESIGN: This study uses a health economic model to estimate the cost-effectiveness of treating previously untreated and treatment experienced chronic hepatitis C patients who have severe and end stage renal disease with the elbasvir-grazoprevir regimen versus no treatment in the French context...
2018: PloS One
https://www.readbyqxmd.com/read/29541550/the-electronic-health-literacy-and-utilization-of-technology-for-health-in-a-remote-hawaiian-community-lana-i
#18
Nash Ak Witten, Joseph Humphry
The Lana'i Community Health Center (LCHC) like other health care organizations, is striving to implement technology-enabled care (TEC) in the clinical setting. TEC includes such technological innovations as patient portals, mobile phone applications, wearable health sensors, and telehealth. This study examines the utilization of communication technology by members of the Lana'i community and LCHC staff and board members in the home and in their daily lives and evaluates the community's electronic health literacy...
March 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/29539648/focus-section-health-it-usability-applying-a-task-technology-fit-model-to-adapt-an-electronic-patient-portal-for-patient-work
#19
Sana B Ali, Juana Romero, Kevin Morrison, Baria Hafeez, Jessica S Ancker
OBJECTIVES:  Although electronic patient portals are offered by most health care organizations, poor usability and poor fit to patient needs may pose barriers to adoption. We collaborated with an academic hospital to conduct iterative user evaluation of a newly deployed portal designed to deliver inpatient data upon hospital discharge. METHODS:  Three evaluators applied heuristic usability evaluation and conducted 23 individual user testing sessions with patients with chronic disease or managing the care of family members with chronic disease...
January 2018: Applied Clinical Informatics
https://www.readbyqxmd.com/read/29537064/preconception-risk-assessment-for-thalassaemia-sickle-cell-disease-cystic-fibrosis-and-tay-sachs-disease
#20
REVIEW
Norita Hussein, Stephen F Weng, Joe Kai, Jos Kleijnen, Nadeem Qureshi
BACKGROUND: Globally, about five per cent of children are born with congenital or genetic disorders. The most common autosomal recessive conditions are thalassaemia, sickle cell disease, cystic fibrosis and Tay-Sachs disease, with higher carrier rates in specific patient populations. Identifying and counselling couples at genetic risk of the conditions before pregnancy enables them to make fully informed reproductive decisions, with some of these choices not being available if genetic counselling is only offered in an antenatal setting...
March 14, 2018: Cochrane Database of Systematic Reviews
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