keyword
https://read.qxmd.com/read/38537225/a-randomized-noninferiority-trial-to-compare-enteral-to-parenteral-phosphate-replacement-on-biochemistry-waste-and-environmental-impact-and-healthcare-cost-in-critically-ill-patients-with-mild-to-moderate-hypophosphatemia
#1
JOURNAL ARTICLE
Chinh D Nguyen, Haustine P Panganiban, Timothy Fazio, Amalia Karahalios, Melissa Akravs, Christopher M MacIsaac, Thomas Rechnitzer, Lucy Arno, An Tran-Duy, Scott McAlister, Yasmine Ali Abdelhamid, Adam M Deane
OBJECTIVES: Hypophosphatemia occurs frequently. Enteral, rather than IV, phosphate replacement may reduce fluid replacement, cost, and waste. DESIGN: Prospective, randomized, parallel group, noninferiority clinical trial. SETTING: Single center, 42-bed state trauma, medical and surgical ICUs, from April 20, 2022, to July 1, 2022. PATIENTS: Patients with serum phosphate concentration between 0.3 and 0.75 mmol/L. INTERVENTIONS: We randomized patients to either enteral or IV phosphate replacement using electronic medical record-embedded program...
March 25, 2024: Critical Care Medicine
https://read.qxmd.com/read/38537222/comprehension-and-usefulness-of-spanish-language-health-information-about-depression-treatment
#2
JOURNAL ARTICLE
Beatriz Manzor-Mitrzyk, Ana I Lopez-Medina, Karen B Farris
US Latine adults who prefer the Spanish language for healthcare encounter communication have high risk of health disparitiesm in part from low organizational health literacy, mental health stigma and discrimination. Latine organizational health literacy includes the provision of culturally responsive, language concordant health information, which supports good comprehension and could mitigate some health disparities. We conducted a pilot study to assess commonly provided patient health information handouts about depression treatment and antidepressant consumer medication information sheets...
March 27, 2024: Health Education Research
https://read.qxmd.com/read/38536971/quality-of-life-of-women-who-underwent-breast-cancer-treatment-relative-to-sociodemographic-behavioral-and-clinical-factors
#3
JOURNAL ARTICLE
Angélica Atala Lombelo Campos, Maria Teresa Bustamante-Teixeira, Rafaela Russi Ervilha, Vivian Assis Fayer, Jane Rocha Duarte Cintra, Renata Mendes de Freitas, Daniela Pereira de Almeida, Maximiliano Ribeiro Guerra
OBJECTIVE: Patients with cancer often undergo multiple extended treatments that decrease their quality of life. However, the quality of life of women with breast cancer after they undergo treatment remains underexplored in Brazil. Therefore, this study determined sociodemographic, behavioral, and clinical factors related to the post-treatment quality of life of women with breast cancer. METHODS: This cross-sectional study involved 101 women diagnosed with breast cancer between 2014 and 2016 and treated at a Brazilian Oncology Reference Service...
2024: Einstein
https://read.qxmd.com/read/38536864/sex-related-differences-in-pre-dialysis-trajectories-and-dialysis-initiation-a-french-nationwide-retrospective-study
#4
JOURNAL ARTICLE
Maxime Raffray, Louise Bourasseau, Cécile Vigneau, Cécile Couchoud, Clémence Béchade, François Glowacki, Sahar Bayat
BACKGROUND: In the last two decades, sex and gender differences have been documented in chronic kidney disease (CKD) management, including access to renal replacement therapy and its outcomes. The objectives of this study were to 1) compare the pre-dialysis healthcare utilization in men and women, and 2) examine the sex-specific factors associated with emergency dialysis start. METHODS: Adult patients with CKD who started dialysis in France in 2015 were extracted from the Renal Epidemiology and Information Network registry...
2024: PloS One
https://read.qxmd.com/read/38536860/cost-effectiveness-of-a-pediatric-operating-room-installation-in-sub-saharan-africa
#5
JOURNAL ARTICLE
Ava Yap, Salamatu I Halid, Nancy Ukwu, Ruth Laverde, Paul Park, Greg Klazura, Emma Bryce, Maija Cheung, Elliot Marseille, Doruk Ozgediz, Emmanuel A Ameh
The unmet need for pediatric surgery imposes enormous health and economic consequences globally, predominantly shouldered by Sub-Saharan Africa (SSA) where children comprise almost half of the population. Lack of knowledge about the economic impact of improving pediatric surgical infrastructure in SSA inhibits the informed allocation of limited resources towards the most cost-effective interventions to bolster global surgery for children. We assessed the cost-effectiveness of installing and running two dedicated pediatric operating rooms (ORs) in a hospital in Nigeria with a pre-existing pediatric surgical service by constructing a decision tree model of pediatric surgical delivery at this facility over a year, comparing scenarios before and after the installation of the ORs, which were funded philanthropically...
2024: PLOS Glob Public Health
https://read.qxmd.com/read/38536787/multiple-cardiovascular-risk-factor-care-in-55-low-and-middle-income-countries-a-cross-sectional-analysis-of-nationally-representative-individual-level-data-from-280-783-adults
#6
JOURNAL ARTICLE
Alpha Oumar Diallo, Maja E Marcus, David Flood, Michaela Theilmann, Nicholas E Rahim, Alan Kinlaw, Nora Franceschini, Til Stürmer, Dessie V Tien, Mohsen Abbasi-Kangevari, Kokou Agoudavi, Glennis Andall-Brereton, Krishna Aryal, Silver Bahendeka, Brice Bicaba, Pascal Bovet, Maria Dorobantu, Farshad Farzadfar, Seyyed-Hadi Ghamari, Gladwell Gathecha, David Guwatudde, Mongal Gurung, Corine Houehanou, Dismand Houinato, Nahla Hwalla, Jutta Jorgensen, Gibson Kagaruki, Khem Karki, Joao Martins, Mary Mayige, Roy Wong McClure, Sahar Saeedi Moghaddam, Omar Mwalim, Kibachio Joseph Mwangi, Bolormaa Norov, Sarah Quesnel-Crooks, Abla Sibai, Lela Sturua, Lindiwe Tsabedze, Chea Wesseh, Pascal Geldsetzer, Rifat Atun, Sebastian Vollmer, Till Bärnighausen, Justine Davies, Mohammed K Ali, Jacqueline A Seiglie, Emily W Gower, Jennifer Manne-Goehler
The prevalence of multiple age-related cardiovascular disease (CVD) risk factors is high among individuals living in low- and middle-income countries. We described receipt of healthcare services for and management of hypertension and diabetes among individuals living with these conditions using individual-level data from 55 nationally representative population-based surveys (2009-2019) with measured blood pressure (BP) and diabetes biomarker. We restricted our analysis to non-pregnant individuals aged 40-69 years and defined three mutually exclusive groups (i...
2024: PLOS Glob Public Health
https://read.qxmd.com/read/38536470/a-multicentre-survey-on-the-perception-of-palliative-care-among-health-professionals-working-in-haematology
#7
JOURNAL ARTICLE
Sara Di Lorenzo, Lisa Mozzi, Flavia Salmaso, Claudia Silvagni, Silvia Soffientini, Vanessa Valenti, Vittorina Zagonel
PURPOSE: Patients with haematologic malignancies have less access to palliative care and are referred later than patients with solid tumours. We developed a survey to investigate this phenomenon, with the intention of analysing palliative care perceptions among health professionals who treat haematology patients and identifying barriers and facilitators to referrals to palliative care services. METHODS: This was a multicentre exploratory descriptive web-based survey...
March 27, 2024: Supportive Care in Cancer
https://read.qxmd.com/read/38536419/failure-to-reduce-benzodiazepine-prescriptions-through-the-implementation-of-a-psychological-intervention-for-insomnia-in-an-italian-mental-health-service
#8
JOURNAL ARTICLE
Barbara D'Avanzo, Alberto Parabiaghi, Alessia A Galbussera, Mauro Tettamanti, Igor Monti, Luana Di Gregorio, Francesco Zambello, Marco Maria Goglio, Elisabetta Recla, Wilma Angela Di Napoli, Angelo Barbato
PURPOSE: Despite the evidence of higher effectiveness of psychological interventions for insomnia compared to pharmacological ones, drug prescriptions for insomnia remain frequent. This study has assessed patterns of prescriptions of BZDs for insomnia before and after the delivery of a training in psychological interventions to professionals working in the services of a Department of Mental Health in northern Italy. METHODS: The intervention consisted in two training sessions about psychological interventions for insomnia delivered to professionals of the participating services...
March 27, 2024: European Journal of Clinical Pharmacology
https://read.qxmd.com/read/38536140/primary-care-access-for-all-a-roadmap-for-addressing-the-primary-care-crisis-in-rhode-island
#9
JOURNAL ARTICLE
Jeffrey Borkan, Denise Coppa, Patricia Flanagan, Debra Hurwitz, Andrew Saal, Yolanda Bowes, Elena Nicolella, Peter Hollmann
BACKGROUND: Primary care in Rhode Island is in crisis. The dearth of primary care providers is already affecting access to services and the situation is likely to worsen unless major steps are taken. There are inadequate numbers of trainees in primary care medical residencies, nurse practitioner (NP) and physician assistant (PA) training programs who plan to practice primary care in our state. The Care Transformation Collaborative of RI (CTC-RI) has assembled a broadly representative task force of physicians, NPs, PAs, and others to build a strong and robust primary care delivery system across the state that recruits, trains, retains, and sustains primary care providers...
April 1, 2024: Rhode Island Medical Journal
https://read.qxmd.com/read/38536103/hospital-inpatient-nutrition-service-errors-and-patient-safety-interventions-a-scoping-review
#10
JOURNAL ARTICLE
Davis Austria, Chelsea McConnell, Charlene Pope
OBJECTIVES: Food service errors are prevalent in healthcare hospital inpatient settings. Like medication administration errors, these mistakes can result in disastrous consequences. This scoping review aimed to identify the evidence describing hospitals' nutrition department service errors and subsequent patient safety interventions. METHODS: The review was conducted on four electronic databases, OVID MedlinePlus, PubMed, Scopus, and CINAHL, to search for articles reporting hospital food-related errors...
March 28, 2024: Journal of Patient Safety
https://read.qxmd.com/read/38536065/observational-study-of-travel-distance-between-participants-in-u-s-telemedicine-sessions-with-estimates-of-emissions-savings
#11
JOURNAL ARTICLE
Mollie Cummins, Sukrut Shishupal, Bob Wong, Neng Wan, Jace D Johnny, Amy Mhatre-Owens, Ramkiran Gouripeddi, Julia Ivanova, Triton Ong, Hiral Soni, Janelle Barrera, Hattie Wilczewski, Brandon M Welch, Brian E Bunnell
BACKGROUND: Digital health and telemedicine are potentially important strategies to decrease healthcare's environmental impact and contribution to climate change by reducing transportation-related air pollution and greenhouse gas emissions. However, we currently lack robust national estimates of emissions savings attributable to telemedicine. OBJECTIVE: This study aimed to (1) determine the travel distance between participants in U.S. telemedicine sessions, and (2) estimate the net reduction in carbon dioxide (CO2) emissions attributable to telemedicine in the United States, based on national, observational data describing the geographical characteristics of telemedicine session participants...
January 26, 2024: Journal of Medical Internet Research
https://read.qxmd.com/read/38535881/vaccine-hesitancy-knowledge-and-covid-19-vaccination-in-a-sample-of-italian-and-albanian-healthcare-students-attending-an-university-in-albania
#12
JOURNAL ARTICLE
Ersilia Buonomo, Fabian Cenko, Gaia Piunno, Daniele Di Giovanni, Enkeleda Gjini, Bora Kërpi, Mariachiara Carestia, Stefania Moramarco, Cristiana Ferrari, Luca Coppeta
BACKGROUND: Vaccine hesitancy (VH) has increased over the past decade with large geographical variations between countries, posing a threat to global public health. This phenomenon is growing in the general population as well as among healthcare workers (HCWs), who are the most reliable source of vaccine-related information for patients. Special attention must therefore be paid to medical students, who are the future HCWs. METHODS: We conducted a cross-sectional study (November 2022-January 2023) on all the Albanian and Italian students attending medical science courses at the Catholic University "Our Lady of Good Counsel" (Tirane, Albania) to investigate VH and the factors contributing to it (using the Vaccination Attitude Examination Scale-VAX), including COVID-19 vaccination...
February 29, 2024: Tropical Medicine and Infectious Disease
https://read.qxmd.com/read/38534966/impact-of-covid-19-pandemic-on-cardiovascular-healthcare-in-croatia-a-comprehensive-nationwide-survey
#13
JOURNAL ARTICLE
Josip Lukenda, Josip Andelo Borovac
The impact of the COVID-19 pandemic on cardiovascular healthcare in Croatia remains largely unexplored. This study aimed to compare the utilization and provision of cardiovascular services during the pre-pandemic (2017-2019) and pandemic (2020-2021) periods, leveraging nationwide data from the Croatian Health Insurance Fund, which covers 95% of all insurance claims in the country. Our findings reveal that while the use of coronary angiographies decreased during the pandemic, there was a notable increase in the utilization of advanced heart failure treatment modalities and percutaneous coronary interventions, particularly in the context of acute myocardial infarction...
February 22, 2024: Diseases (Basel)
https://read.qxmd.com/read/38534902/an-analytic-hierarchy-process-contingency-analysis-of-factors-affecting-the-emigration-decision-of-medical-doctors-in-turkey
#14
JOURNAL ARTICLE
Cigdem Kadaifci, Y Ilker Topcu, Enrique Mu
While the importance of explicitly identifying and considering contingent factors such as decision content and context is widely accepted as a way to ensure the validity of the decision analysis for the specific task at hand, few studies include this. This research uses a contingency theoretical approach to study factors affecting the emigration decision of medical doctors (MDs) for the specific case of Turkey. The motivation for conducting this study arises from the observation that the growing trend in emigration among MDs from Turkey is having a significant impact on the country's healthcare system...
March 7, 2024: European journal of investigation in health, psychology and education
https://read.qxmd.com/read/38534697/post-covid-19-pandemic-rebound-of-macrolide-resistant-mycoplasma-pneumoniae-infection-a-descriptive-study
#15
JOURNAL ARTICLE
Fan-Fan Xing, Kelvin Hei-Yeung Chiu, Chao-Wen Deng, Hai-Yan Ye, Lin-Lin Sun, Yong-Xian Su, Hui-Jun Cai, Simon Kam-Fai Lo, Lei Rong, Jian-Liang Chen, Vincent Chi-Chung Cheng, David Christopher Lung, Siddharth Sridhar, Jasper Fuk-Woo Chan, Ivan Fan-Ngai Hung, Kwok-Yung Yuen
The rebound characteristics of respiratory infections after lifting pandemic control measures were uncertain. From January to November 2023, patients presenting at a teaching hospital were tested for common respiratory viruses and Mycoplasma pneumoniae using a combination of antigen, nucleic acid amplification, and targeted next-generation sequencing (tNGS) tests. The number and rate of positive tests per month, clinical and microbiological characteristics were analyzed. A rapid rebound of SARS-CoV-2 was followed by a slower rebound of M...
March 15, 2024: Antibiotics
https://read.qxmd.com/read/38534006/the-urgent-need-for-an-evidence-based-digital-mental-health-practice-model-of-care-for-youth
#16
JOURNAL ARTICLE
Brad Ridout, Rowena Forsyth, Krestina L Amon, Pablo Navarro, Andrew J Campbell
No abstract text is available yet for this article.
March 22, 2024: JMIR Mental Health
https://read.qxmd.com/read/38533991/from-plaster-casts-to-picket-lines-public-support-for-industrial-action-in-the-national-health-service-in-england
#17
JOURNAL ARTICLE
Martin Ejnar Hansen, Steven David Pickering
This paper explores public sentiment towards strike action among healthcare workers, as a result of their perceived inadequate pay. By analysing survey data collected in England between 2022 and 2023, the study focuses on NHS nurses and junior doctors, due to their critical role in delivering essential public services. Results indicate higher public support for strikes by nurses and junior doctors compared to other professions such as postal workers, teachers, rail workers, airport workers, civil servants and university lecturers...
March 27, 2024: Nursing Inquiry
https://read.qxmd.com/read/38533904/enhancing-routine-immunization-efforts-for-older-adults-and-frail-individuals-good-practices-during-the-sars-cov-2-pandemic-in-italy
#18
JOURNAL ARTICLE
Andrea Poscia, Giulia Paolorossi, Agnese Collamati, Claudio Costantino, Daniel Fiacchini, Claudio Angelini, Roberto Bernabei, Daniela Cimini, Giancarlo Icardi, Andrea Siddu, Andrea Silenzi, Antonietta Spadea, Davide Liborio Vetrano
Infectious diseases pose a significant burden on the general population, particularly older adults who are more susceptible to severe complications. Immunization plays a crucial role in preventing infections and securing a healthier aging, but actual vaccination rates among older adults and frail individuals (OAFs) remains far from recommended targets. This study aims to collect and share good practices implemented in several Italian local health districts during the SARS-CoV-2 pandemic to ease routine immunization for OAFs...
December 31, 2024: Human Vaccines & Immunotherapeutics
https://read.qxmd.com/read/38533858/-not-available
#19
JOURNAL ARTICLE
Iben Rix, Ida Marie Heerfordt, Allan Cramer, Henrik Horwitz, Rasmus Huan Olsen
Modern healthcare requires clinicians to navigate through complex drug treatments. This review offers an overview of sources of drug information which can be used for general medication prescription and for challenging patient populations. Key considerations for pregnant or breastfeeding patients, those with renal impairment, and those with liver dysfunction are discussed. We also touch on adverse drug reactions and drug interactions. Finally, information about services from independent regional drug information centers, that can be used by clinicians, are provided...
March 25, 2024: Ugeskrift for Laeger
https://read.qxmd.com/read/38533699/business-continuity-plan-in-the-management-and-operations-of-hospitals-first-experience-to-certify-the-pdta-processes-with-the-requirements-defined-by-iso-22301-2019-in-emergency-medical-services
#20
JOURNAL ARTICLE
Lucio Dell'Atti, Roberto Papa, Leonardo Incicchitti, Maria Katia Zanni, Andrea Zampa, Michele Caporossi
BACKGROUND: A business continuity plan (BCP) facilitates the performance of primary functions during emergencies or other situations that can disrupt normal operations. If risk management is done analytically, a business impact analysis (BIA), according to ISO 22301 certification, makes it possible to define the best strategy for supporting the company's assets and image, optimizing the operational efficiency of service recovery and redesigning spaces for health. Since 2015, our healthcare company has embarked on a certification process for all sectors and activities through the implementation and development of diagnostic and therapeutic paths for operational diagnos-tic-therapeutic-assistance pathways (PDTAs)...
2024: Journal of Emergency Management: JEM
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