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https://www.readbyqxmd.com/read/29036464/the-mimic-code-repository-enabling-reproducibility-in-critical-care-research
#1
Alistair E W Johnson, David J Stone, Leo A Celi, Tom J Pollard
Objective: Lack of reproducibility in medical studies is a barrier to the generation of a robust knowledge base to support clinical decision-making. In this paper we outline the Medical Information Mart for Intensive Care (MIMIC) Code Repository, a centralized code base for generating reproducible studies on an openly available critical care dataset. Materials and Methods: Code is provided to load the data into a relational structure, create extractions of the data, and reproduce entire analysis plans including research studies...
September 27, 2017: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29030263/the-role-of-endemic-plants-in-mauritian-folkloric-medicine-therapeutic-efficacy-or-placebo-effect
#2
REVIEW
Nawraj Rummun, Vidushi S Neergheen-Bhujun, Kersley B Pynee, Cláudia Baider, Theeshan Bahorun
ETHNOPHARMACOLOGICAL RELEVANCE: The Mauritian endemic flora has been recorded to be used as medicinal for nearly 300 years. Despite acceptance of these endemic plants among the local population, proper documentation of their therapeutic uses is scarce. This review aims at summarizing documented traditional uses of Mauritian endemic plants with existing scientific data of their alleged bioactivities, showing there is a need for more stringent evidence-based validations for clinical efficacy...
October 10, 2017: Journal of Ethnopharmacology
https://www.readbyqxmd.com/read/29029689/implementation-of-a-cloud-based-electronic-medical-record-exchange-system-in-compliance-with-the-integrating-healthcare-enterprise-s-cross-enterprise-document-sharing-integration-profile
#3
Chien Hua Wu, Ruey Kei Chiu, Hong Mo Yeh, Da Wei Wang
In 2011, the Ministry of Health and Welfare of Taiwan established the National Electronic Medical Record Exchange Center (EEC) to permit the sharing of medical resources among hospitals. This system can presently exchange electronic medical records (EMRs) among hospitals, in the form of medical imaging reports, laboratory test reports, discharge summaries, outpatient records, and outpatient medication records. Hospitals can send or retrieve EMRs over the virtual private network by connecting to the EEC through a gateway...
November 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29029685/using-structured-and-unstructured-data-to-identify-patients-need-for-services-that-address-the-social-determinants-of-health
#4
Joshua R Vest, Shaun J Grannis, Dawn P Haut, Paul K Halverson, Nir Menachemi
INTRODUCTION: Increasingly, health care providers are adopting population health management approaches that address the social determinants of health (SDH). However, effectively identifying patients needing services that address a SDH in primary care settings is challenging. The purpose of the current study is to explore how various data sources can identify adult primary care patients that are in need of services that address SDH. METHODS: A cross-sectional study described patients in need of SDH services offered by a safety-net hospital's federally qualified health center clinics...
November 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29028812/occurrence-of-the-middle-east-respiratory-syndrome-coronavirus-mers-cov-across-the-gulf-corporation-council-countries-four-years-update
#5
Mahmoud Aly, Mohamed Elrobh, Maha Alzayer, Sameera Aljuhani, Hanan Balkhy
The emergence of the Middle East Respiratory Syndrome Coronavirus (MERS-CoV) infections has become a global issue of dire concerns. MERS-CoV infections have been identified in many countries all over the world whereas high level occurrences have been documented in the Middle East and Korea. MERS-CoV is mainly spreading across the geographical region of the Middle East, especially in the Arabian Peninsula, while some imported sporadic cases were reported from the Europe, North America, Africa, and lately Asia...
2017: PloS One
https://www.readbyqxmd.com/read/29026452/leveraging-public-health-s-participation-in-a-health-information-exchange-to-improve-communicable-disease-reporting
#6
Ian Painter, Debra Revere, P Joseph Gibson, Janet Baseman
BACKGROUND: Infectious diseases can appear and spread rapidly. Timely information about disease patterns and trends allows public health agencies to quickly investigate and efficiently contain those diseases. But disease case reporting to public health has traditionally been paper-based, resulting in somewhat slow, burdensome processes. Fortunately, the expanding use of electronic health records and health information exchanges has created opportunities for more rapid, complete, and easily managed case reporting and investigation...
2017: Online Journal of Public Health Informatics
https://www.readbyqxmd.com/read/29026356/comparison-of-in-hospital-maternal-mortality-between-hospital-systems-in-queensland-australia-and-louisiana-united-states
#7
James J Morong, Jane K Martin, Robert S Ware, Paul B Colditz, Alfred G Robichaux
BACKGROUND: It is well documented that the American maternal mortality ratio has increased during the years 2000-2015. The Australian maternal mortality ratio, in contrast, has decreased during the same time period, a trend common among most Western countries. METHODS: This study was a retrospective cohort study of cases of in-hospital maternal deaths in the Ochsner Health System (Louisiana, United States) and the Queensland Health System (Australia) from 1995 to 2013...
2017: Ochsner Journal
https://www.readbyqxmd.com/read/29025144/synthea-an-approach-method-and-software-mechanism-for-generating-synthetic-patients-and-the-synthetic-electronic-health-care-record
#8
Jason Walonoski, Mark Kramer, Joseph Nichols, Andre Quina, Chris Moesel, Dylan Hall, Carlton Duffett, Kudakwashe Dube, Thomas Gallagher, Scott McLachlan
Objective: Our objective is to create a source of synthetic electronic health records that is readily available; suited to industrial, innovation, research, and educational uses; and free of legal, privacy, security, and intellectual property restrictions. Materials and Methods: We developed Synthea, an open-source software package that simulates the lifespans of synthetic patients, modeling the 10 most frequent reasons for primary care encounters and the 10 chronic conditions with the highest morbidity in the United States...
August 30, 2017: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29024540/infections-resistance-patterns-and-antibiotic-use-in-patients-at-a-regional-cancer-centre
#9
Nivanka De Silva, Justin Jackson, Christopher Steer
AIMS: To document patient characteristics, infection types, patterns of antibiotic resistance and outcomes in all patients with cancer requiring inpatient management for suspected infection at a regional Australian cancer centre. METHODS: We studied patients ≥ 18 years of age who were admitted under the oncology unit at Albury Wodonga Health during a 12-month period and who had a microbiological test performed for suspected infection during their admission...
October 11, 2017: Internal Medicine Journal
https://www.readbyqxmd.com/read/29023337/recommendations-for-a-clinical-decision-support-system-for-work-related-asthma-in-primary-care-settings
#10
Philip Harber, Carrie A Redlich, Stella Hines, Margaret Filios, Eileen Storey
OBJECTIVE: Describe a recommended clinical decision support approach for work-related asthma for incorporation in electronic health records for primary care health care providers. METHODS: Subject matter experts convened by the American Thoracic Society reviewed available guidelines and published literature to develop specific recommendations. RESULTS: It is important to recognize possible work-related asthma among persons with new-onset or worsening asthma...
October 11, 2017: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/29020324/mumps-outbreak-in-a-highly-vaccinated-university-affiliated-setting-before-and-after-a-measles-mumps-rubella-mmr-vaccination-campaign-iowa-july-2015-may-2016
#11
Minesh Shah, Patricia Quinlisk, Andrew Weigel, Jacob Riley, Lisa James, James Patterson, Carole Hickman, Paul A Rota, Rebekah Schicker, Nakia Clemmons, Nicholas Kalas, Cristina Cardemil
Background: In response to a mumps outbreak at the University of Iowa and surrounding community, university, state, and local health officials implemented a vaccination campaign targeting students <25 years of age with an additional dose of measles-mumps-rubella (MMR) vaccine. Over 4,700 vaccine campaign doses were administered; 97% were documented third doses. We describe the epidemiology of the outbreak before and after the campaign, focusing on cases in university students. Methods: Mumps cases were identified from reportable disease databases and university health system records...
August 16, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29018531/magnetic-resonance-imaging-to-detect-local-tissue-reactions-after-vaccination-in-sheep-in-vivo
#12
Maren Bernau, Prisca Valerie Kremer-Rücker, Lena Sophie Kreuzer, Sebastian Schwanitz, Klaus Cussler, Andreas Hoffmann, Armin Manfred Scholz
OBJECTIVES: Vaccination is one of the most effective methods to keep up the health status in humans and in livestock. Therefore, farm animals are vaccinated several times during their lifetime. Although vaccines are being checked regarding their local reactogenicity, side effects occur frequently-especially in the case of the application of adjuvanted products. Many reports exist about local reactions in sheep. The present study aimed at testing MRI as a method to document injection site reactions three-dimensionally...
2017: Veterinary Record Open
https://www.readbyqxmd.com/read/29016971/efficiency-and-safety-of-speech-recognition-for-documentation-in-the-electronic-health-record
#13
Tobias Hodgson, Farah Magrabi, Enrico Coiera
Objective: To compare the efficiency and safety of using speech recognition (SR) assisted clinical documentation within an electronic health record (EHR) system with use of keyboard and mouse (KBM). Methods: Thirty-five emergency department clinicians undertook randomly allocated clinical documentation tasks using KBM or SR on a commercial EHR system. Tasks were simple or complex, and with or without interruption. Outcome measures included task completion times and observed errors...
November 1, 2017: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29016969/implementation-of-a-scalable-web-based-automated-clinical-decision-support-risk-prediction-tool-for-chronic-kidney-disease-using-c-cda-and-application-programming-interfaces
#14
Lipika Samal, John D D'Amore, David W Bates, Adam Wright
Background and Objective: Clinical decision support tools for risk prediction are readily available, but typically require workflow interruptions and manual data entry so are rarely used. Due to new data interoperability standards for electronic health records (EHRs), other options are available. As a clinical case study, we sought to build a scalable, web-based system that would automate calculation of kidney failure risk and display clinical decision support to users in primary care practices...
November 1, 2017: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29016151/associations-between-immigrant-status-and-pharmacological-treatments-for-diabetes-in-u-s-adults
#15
Loretta Hsueh, Elizabeth A Vrany, Jay S Patel, Nicole A Hollingshead, Adam T Hirsh, Mary de Groot, Jesse C Stewart
OBJECTIVES: Although treatment disparities in diabetes have been documented along racial/ethnic lines, it is unclear if immigrant groups in the United States experience similar treatment disparities. Our objective was to determine whether immigrant status is associated with differences in pharmacological treatment of diabetes in a nationally representative sample of adults with diabetes. We were specifically interested in differences in treatment with oral hypoglycemic agents (OHA) and insulin...
October 9, 2017: Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association
https://www.readbyqxmd.com/read/28994358/a-qualitative-study-conducted-in-the-usa-exploring-latino-fathers-beliefs-attitudes-and-practices-related-to-their-young-children-s-eating-physical-activity-and-sedentary-behaviours
#16
Ana Cristina Lindsay, Sherrie F Wallington, Mario A Muñoz, Mary L Greaney
OBJECTIVE: Increasing evidence documents fathers' influential role in their children's eating, physical activity (PA) and sedentary behaviours (SB). We aimed to expand limited existing research examining fathers' influence in these areas by exploring Latino fathers' beliefs, attitudes and practices related to eating, PA and SB of their young children. DESIGN: Seven focus group discussions were conducted in Spanish with Latino fathers (n 28) of children aged 2-8 years...
October 10, 2017: Public Health Nutrition
https://www.readbyqxmd.com/read/28993650/development-of-a-machine-learning-algorithm-to-classify-drugs-of-unknown-fetal-effect
#17
Mary Regina Boland, Fernanda Polubriaginof, Nicholas P Tatonetti
Many drugs commonly prescribed during pregnancy lack a fetal safety recommendation - called FDA 'category C' drugs. This study aims to classify these drugs into harmful and safe categories using knowledge gained from chemoinformatics (i.e., pharmacological similarity with drugs of known fetal effect) and empirical data (i.e., derived from Electronic Health Records). Our fetal loss cohort contains 14,922 affected and 33,043 unaffected pregnancies and our congenital anomalies cohort contains 5,658 affected and 31,240 unaffected infants...
October 9, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28990824/where-are-they-now
#18
Yossi Levi-Belz, Orit Krispin, Giora Galilee, Ehud Bodner, Alan Apter
BACKGROUND: While a history of suicide attempts has been identified as the most powerful risk factor among adults, it is not clear if this is also true for the adolescent population. Our aim was to examine the differences between attempters and nonattempters in the years following a documented suicide attempt and to investigate the adolescents' prognosis in terms of suicidal behavior and adjustment. METHOD: Military records at induction and during active military service were used to compare 105 adolescent suicide attempters with 105 matched controls...
October 6, 2017: Crisis
https://www.readbyqxmd.com/read/28989508/the-utility-of-electronic-health-record-based-hygiene-notes-for-chlorhexidine-bathing-practice-evaluation
#19
Valeriya Kettelhut, Trevor Van Schooneveld, James McClay, Ann Fruhling, Kathryn Dempsey
BACKGROUND: Unreliable compliance with infection prevention procedures necessitates an analysis of contributing factors. METHODS: A retrospective study explored utility of 3236 nursing hygiene notes in the electronic healthcare record system (EHR). This 2012-2013 study identified defects in the chlorhexidine (CHG) bathing practice for a hospital unit. RESULTS: The overall compliance with CHG bathing was 22.99%. Patients with length of stay less than 3 days, in most cases, did not have documentation for CHG bathing...
March 2017: Journal of Infection Prevention
https://www.readbyqxmd.com/read/28989127/relationship-of-body-mass-index-with-diet-physical-activities-and-lifestyles-of-dental-students
#20
Syed R Habib, Sakhar Alghofaily, Hussam Alshamrani, Abdullah Alhammad, Kamran Habib Awan
INTRODUCTION: The objective of the study was to investigate the prevalence of overweight issues and obesity by recording the body mass index (BMI) and explore the dietary habits, physical activities (PAs), and lifestyles of male students at the College of Dentistry, King Saud University. MATERIALS AND METHODS: A custom-designed self-administrative form and questionnaire were used in this study for data collection. The first part of the form was used to record the participants' height and weight for the BMI...
October 1, 2017: Journal of Contemporary Dental Practice
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