keyword
https://read.qxmd.com/read/38493016/assessing-and-improving-the-effectiveness-of-online-patient-education-materials-on-essential-vocal-tremor-a-comprehensive-evaluation
#21
JOURNAL ARTICLE
Bethany Ho, Ellen M Hong, Brian E Benson
INTRODUCTION: Health literacy, a strong indicator of health outcomes, is an important aspect of good patient care. With an increasing reliance on the Internet for health information, online patient materials should be easily understood by the average reader. The American Medical Association (AMA) and National Institutes of Health (NIH) recommend that patient education materials be written at a sixth-grade level. Creating effective digital information requires careful consideration of not only word choice, but also many other factors including actionability, comprehensiveness, evidence, and visual organization...
March 15, 2024: Journal of Voice
https://read.qxmd.com/read/38492991/online-learning-to-improve-nurses-knowledge-attitudes-and-self-efficacy-about-managing-postoperative-pain-in-older-adults
#22
JOURNAL ARTICLE
Phichpraorn Youngcharoen, Chayada Piyakhachornrot
BACKGROUND: Older adults undergoing total knee arthroplasty may develop chronic pain without effective postoperative pain management. Increasing nurses' knowledge, changing their attitudes, and developing their pain management self-efficacy could improve the effectiveness of pain management. AIM: To determine the effectiveness of an online learning program to help registered nurses to manage postoperative pain in older adults undergoing total knee arthroplasty. DESIGN: A quasi-experimental pre-test-post-test design with intervention and control groups...
March 15, 2024: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
https://read.qxmd.com/read/38492945/healthcare-utilization-and-left-ventricular-ejection-fraction-distribution-in-methamphetamine-use-associated-heart-failure-hospitalizations
#23
JOURNAL ARTICLE
Veena Manja, Alexander Tarlochan Singh Sandhu, Steven Asch, Susan Frayne, Mark McGovern, Cheng Chen, Paul Heidenreich
BACKGROUND: Although methamphetamine use associated heart failure (MU-HF) is increasing, data on its clinical course are limited due to a preponderance of single center studies and significant heterogeneity in the definition of MU-HF in the published literature. Our objective was to evaluate left ventricular ejection fraction (LVEF) distribution, methamphetamine use treatment engagement and postdischarge healthcare utilization among Veterans with heart failure hospitalization in the department of Veterans Affairs (VA) medical centers for MU-HF versus HF not associated with methamphetamine use (other-HF)...
April 2024: American Heart Journal
https://read.qxmd.com/read/38492914/providing-adolescents-with-access-to-online-patient-portals-interviews-with-parent-adolescent-dyads
#24
JOURNAL ARTICLE
Bryan A Sisk, Alison L Antes, Christine Bereitschaft, Fabienne Bourgeois, James M DuBois
OBJECTIVE: To identify perceived benefits, problems, facilitators, and barriers to adolescent online patient portal use STUDY DESIGN: Qualitative, semi-structured interviews with dyads of parents and adolescents with or without chronic illness. The study team purposively sampled for racial and ethnic minorities and fathers. Three team members then performed thematic analysis of the transcripts, with subsequent dyadic analysis of themes represented by related parents and adolescents. RESULTS: We performed 102 interviews with 51 dyads of parents and adolescents (26 with chronic illness, 25 without chronic illness)...
March 14, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38492818/determinants-of-radiological-patterns-and-severity-in-immunocompromised-adults-with-metapneumovirus-infection
#25
JOURNAL ARTICLE
A Al-Hamoud, N Pansu, A-L Brun, N Etienne, E Farfour, V Avettand-Fenoel, C Rouzaud, A Roux, F Suarez, H Salvator, A Serris, E Catherinot, O Lortholary
BACKGROUND: Human Metapneumovirus (HMPV) belongs to the Pneumoviridae family and is responsible for respiratory infections. Mild infections are well-recognized in children, while its precise impact in various categories of immunocompromised adults has not been well addressed. RESEARCH QUESTION: We retrospectively studied HMPV infections in immunocompromised adults followed in two large French university medical centers. STUDY DESIGN AND METHODS: We identified immunocompromised adults with positive HMPV Polymerase Chain Reaction (PCR) for 36 months and reviewed their medical charts...
March 14, 2024: Respiratory Medicine
https://read.qxmd.com/read/38492774/effectiveness-of-different-tools-for-malnutrition-in-the-assessment-of-patients-with-cirrhosis
#26
JOURNAL ARTICLE
Gokulapriya Ramachandran, Biju Pottakkat, Pazhanivel Mohan, Sharbari Basu
AIM: We aimed to evaluate the prevalence of malnutrition using traditional measures of nutritional assessments like body mass index (BMI), mid-arm circumference (MAC), triceps skin fold thickness (TSF), mid-arm muscle circumference (MAMC), hand grip strength (HGS) and subjective global assessments (SGA) among cirrhotic patients referred for liver transplantation (LT). METHODS: The study was conducted among 215 cirrhotic patients referred for LT at a tertiary care hospital...
March 14, 2024: American Journal of the Medical Sciences
https://read.qxmd.com/read/38492771/racial-differences-in-palliative-care-use-in-heart-failure-decedents
#27
JOURNAL ARTICLE
Sarah H Cross, Neal W Dickert, Alanna A Morris, Jabeen Taj, Modele O Ogunniyi, Dio Kavalieratos
BACKGROUND: Minoritized individuals experience greater heart failure (HF) incidence and mortality, yet racial disparities in palliative care (PC) in HF are unknown. METHODS: This retrospective study used electronic medical records to identify adults who were hospitalized at an academic health system and died from HF between 2012-2018. Using multivariable logistic regression, we examined associations between decedent characteristics and PC consultations (PCC). RESULTS: Of 1,987 decedents, 45...
March 14, 2024: Journal of Cardiac Failure
https://read.qxmd.com/read/38492741/-neurodevelopment-and-neuroprotection-in-young-children
#28
JOURNAL ARTICLE
Stéphane Marret, Alexandra Chadie, Jean-Baptiste Muller, Clément Chollat
In France, the most pessimistic estimates put the prevalence of neurodevelopmental disorders (NDD) at 15% of births. The two largest populations of newborns at highest risk of NDD are premature babies and babies born into siblings with one or more infants who already have an autism spectrum disorder or another NDD. The high prevalence of these disorders justifies a health promotion policy, centred on the child and his or her family. Prevention is based on the early identification of high-risk factors, by informing families and training pregnancy and early childhood professionals, and implementing perinatal prevention protocols for high-risk newborns (antenatal corticosteroid therapy and magnesium sulfate for women at risk of preterm delivery before 32 weeks, developmental care, therapeutic hypothermia for full-term infants with early neonatal encephalopathy presumed to be anoxic)...
March 14, 2024: Gynecologie, Obstetrique, Fertilite & Senologie
https://read.qxmd.com/read/38492740/self-identified-prescriber-tendencies-in-sodium-glucose-cotransporter-2-inhibitor-outpatient-prescribing
#29
JOURNAL ARTICLE
Kristen Thompson, Brandi L Bowers, Ashley M Evans
BACKGROUND: Despite expanded indications and demonstrated cardiovascular and renal benefits, prescribing rates of SGLT-2 inhibitors are low. OBJECTIVES: The study aimed to identify factors impacting prescriber decision-making when prescribing SGLT-2 inhibitors in the outpatient setting and identify differences across specialties in self-identified prescribing patterns. METHODS: An anonymous survey was administered electronically to prescribers in relevant specialties at a large community health system...
March 14, 2024: Journal of the American Pharmacists Association: JAPhA
https://read.qxmd.com/read/38492724/work-environment-differences-between-outpatient-and-inpatient-surgery-a-pilot-study-on-the-vascular-surgeons-perceptions
#30
JOURNAL ARTICLE
Laurence Destrieux, Youssra Yemmas, Sydney Williams, Nolwenn Le Meur
BACKGROUND: In France, outpatient endovascular surgical procedures have been slowly implemented in hospitals since 2015. Their development has been heterogeneous across France and is not yet the standard of care despite their benefits concerning patients' outcomes and healthcare professionals' satisfaction. However, since the COVID-19 pandemic, the demand for patient beds has been increasing, while human resources have been decreasing. This encouraged the surgery service reorganization and accelerated the shift from inpatient to outpatient surgery...
March 14, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38492657/clinical-characteristics-risk-factors-and-outcomes-of-posterior-circulation-stroke-a-retrospective-study-between-younger-and-older-adults-in-saudi-arabia
#31
JOURNAL ARTICLE
Mohammed Aldriweesh, Abdulaziz Aldbas, Osama Khojah, Faisal Yanbawi, Edi Shafaay, Ghadeer Aljahdali, Mohammed Alshalhoub, Mohammed Khalid Bukhari, Yousef Qari, Manar Almuntashri, Aljoharah Alshaikh, Naser Alotaibi, Makki Almuntashri, Ali Al Khathaami, Seraj Makkawi, Saeed Al Ghamdi
INTRODUCTION: Posterior circulation stroke (PCS) may be less prevalent than its anterior counterpart but contributes to substantial morbidity and mortality. The aim was to characterize PCS's demographics, clinical presentation, management, and outcomes between younger and older adults in Saudi Arabia. METHODS: This retrospective cohort study was conducted at two tertiary medical centers in Saudi Arabia between March 2016 and December 2020. All patients who presented with symptoms of posterior circulation stroke and had positive brain imaging were included...
March 14, 2024: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://read.qxmd.com/read/38492632/pediatric-utilization-of-emergency-medical-services-from-outpatient-offices-and-urgent-care-centers
#32
JOURNAL ARTICLE
Jennifer K Saper, Michelle L Macy, Christian Martin-Gill, Sriram Ramgopal
OBJECTIVE: National efforts have highlighted the need for pediatric emergency readiness across all settings where children receive care. Outpatient offices and urgent care centers are frequent starting points for acutely injured and ill children, emphasizing the need to maintain pediatric readiness in this setting. We aimed to characterize emergency medical services (EMS) utilization from outpatient offices and urgent care centers to better understand pediatric readiness needs. METHODS: We performed a retrospective cross-sectional analysis of EMS encounters using the National Emergency Medical Services Information System, a nationally representative EMS registry (2019-2022)...
March 14, 2024: Academic Pediatrics
https://read.qxmd.com/read/38492626/prospective-randomized-double-blind-study-to-evaluate-the-superiority-of-vasopressin-versus-norepinephrine-in-the-management-of-the-patient-at-renal-risk-undergoing-cardiac-surgery-with-cardiopulmonary-bypass-novacc-trial
#33
JOURNAL ARTICLE
Pierre-Grégoire Guinot, Olivier Desebbe, Guillaume Besch, Philippe Guerci, Philippe Gaudard, Diane Lena, Paul Michel Mertes, Osama Abou-Arab, Belaid Bouhemad
BACKGROUND: Cardiac surgery-associated acute kidney injury (CS-AKI) affects up to 30% of patients, increasing morbidity and healthcare costs. This condition results from complex factors like ischemia-reperfusion injury and renal hemodynamic changes, often exacerbated by surgical procedures. Norepinephrine, commonly used in cardiac surgeries, may heighten the risk of CS-AKI. In contrast, vasopressin, a non-catecholaminergic agent, shows potential in preserving renal function by favorably affecting renal hemodynamic...
March 14, 2024: American Heart Journal
https://read.qxmd.com/read/38492578/effects-of-rare-kidney-diseases-on-kidney-failure-a-longitudinal-analysis-of-the-uk-national-registry-of-rare-kidney-diseases-radar-cohort
#34
JOURNAL ARTICLE
Katie Wong, David Pitcher, Fiona Braddon, Lewis Downward, Retha Steenkamp, Nicholas Annear, Jonathan Barratt, Coralie Bingham, Constantina Chrysochou, Richard J Coward, David Game, Sian Griffin, Matt Hall, Sally Johnson, Durga Kanigicherla, Fiona Karet Frankl, David Kavanagh, Larissa Kerecuk, Eamonn R Maher, Shabbir Moochhala, Jenny Pinney, John A Sayer, Roslyn Simms, Smeeta Sinha, Shalabh Srivastava, Frederick W K Tam, Andrew Neil Turner, Stephen B Walsh, Aoife Waters, Patricia Wilson, Edwin Wong, Christopher Mark Taylor, Dorothea Nitsch, Moin Saleem, Detlef Bockenhauer, Kate Bramham, Daniel P Gale
BACKGROUND: Individuals with rare kidney diseases account for 5-10% of people with chronic kidney disease, but constitute more than 25% of patients receiving kidney replacement therapy. The National Registry of Rare Kidney Diseases (RaDaR) gathers longitudinal data from patients with these conditions, which we used to study disease progression and outcomes of death and kidney failure. METHODS: People aged 0-96 years living with 28 types of rare kidney diseases were recruited from 108 UK renal care facilities...
March 13, 2024: Lancet
https://read.qxmd.com/read/38492566/-the-significance-of-chronic-fatigue-in-the-post-covid-consultation-and-its-consequences-for-outpatient-rehabilitation-in-the-context-of-statutory-accident-insurance
#35
JOURNAL ARTICLE
Stefan Dalichau, Henrike Kordy, Janna Klüver, Wibke Brinkmeier, Nadine Rathmann, Lacy Yorke, Jesko Kleefmann, Torsten Möller
OBJECTIVE: The post-COVID consultation (PCC) is offered as part of a comprehensive range of treatment services provided by the statutory accident insurance for post-COVID patients to determine individual recommendations for further care. The aim of the study was to record the main symptoms and the associated restrictions on social and occupational participation in order to derive consequences for outpatient rehabilitation. METHOD: In addition to a medical examination and a psychological consil, numerous assessments were carried out to evaluate the biopsychosocial state of health...
March 16, 2024: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://read.qxmd.com/read/38492432/radical-hospitality-innovative-programming-to-build-community-and-meet-the-needs-of-people-who-use-drugs-at-a-government-sanctioned-overdose-prevention-site-in-san-francisco-california
#36
JOURNAL ARTICLE
Lynn D Wenger, Terry Morris, Kelly R Knight, Cariné E Megerian, Peter J Davidson, Leslie W Suen, Veronica Majano, Barrot H Lambdin, Alex H Kral
BACKGROUND: The Tenderloin Center (TLC), a multi-service center where people could receive or be connected to basic needs, behavioral health care, housing, and medical services, was open in San Francisco for 46 weeks in 2022. Within a week of operation, services expanded to include an overdose prevention site (OPS), also known as safe consumption site. OPSs have operated internationally for over three decades, but government-sanctioned OPSs have only recently been implemented in the United States...
March 15, 2024: International Journal on Drug Policy
https://read.qxmd.com/read/38492414/relationships-between-preterm-medical-factors-and-feeding-behaviors-at-term-equivalent-age
#37
JOURNAL ARTICLE
Carolyn Ibrahim, Molly Grabill, Joan Smith, Roberta Pineda
AIM: To identify relationships between early medical factors and preterm infant feeding behaviors at term-equivalent age. METHODS: Forty-three very preterm infants born ≤32 weeks gestation had standardized feeding assessments using the Neonatal Eating Outcome Assessment at term-equivalent age (36-42 weeks postmenstrual age). Medical factors were collected and analyses were run to determine if associations between different medical factors and feeding performance exist...
February 28, 2024: Early Human Development
https://read.qxmd.com/read/38492409/ophthalmic-care-may-not-align-with-patient-need-an-analysis-on-state-wide-patient-needs-and-provider-density-between-2008-and-2022
#38
JOURNAL ARTICLE
Aidan Gilson, Qingyu Chen, Ron A Adelman
PURPOSE: This study aims to assess the extent to which the demand for ophthalmologic care among patients at the state level is reflected in Google Trends data, serving as an indicator of patient desire in ophthalmology. METHODS: For each state, patient interest in ophthalmologic care was estimated using the Google Trends resource measuring web search and YouTube search rates for multiple ophthalmologic terms. We compared the change in search for ophthalmologic terms over time and used ordinary least squares regression to evaluate whether search interest for ophthalmologic terms was able to predict the rate of practicing ophthalmologists in each state...
March 11, 2024: International Journal of Medical Informatics
https://read.qxmd.com/read/38492407/cybersecurity-and-critical-care-staff-a-mixed-methods-study
#39
JOURNAL ARTICLE
Kevin Hore, Mong Hoi Tan, Anne Kehoe, Aidan Beegan, Sabina Mason, Nader Al Mane, Deirdre Hughes, Caroline Kelly, John Wells, Claire Magner
INTRODUCTION: Cyberattacks on healthcare organisations are becoming increasingly common and represent a growing threat to patient safety. The majority of breaches in cybersecurity have been attributed to human error. Intensive care departments are particularly vulnerable to cyberattacks. The aim of this study was to investigate cybersecurity awareness, knowledge and behaviours among critical care staff. METHODS: This was a multi-site cross-sectional survey study administered to critical care staff...
March 13, 2024: International Journal of Medical Informatics
https://read.qxmd.com/read/38492319/what-is-the-importance-of-family-planning-in-multiple-sclerosis-a-study-in-the-brazilian-population
#40
JOURNAL ARTICLE
Elisa Matias Vieira de Melo, Maria Fernanda Mendes, Guilherme Sciascia do Olival
INTRODUCTION: Multiple Sclerosis is a disease of young females at a reproductive age. OBJECTIVE: discuss family planning in the context of providing care for women with MS. METHOD: patients with Multiple Sclerosis, female, aged between 18 and 45 years, from 01/Nov/2021 to 16/Jan/2022 participated, all of whom answered a questionnaire made available on the Google forms platform. RESULTS: A total of 233 responses were validated...
March 5, 2024: Multiple Sclerosis and related Disorders
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