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https://www.readbyqxmd.com/read/29677062/opioid-oversupply-after-joint-and-spine-surgery-a-prospective-cohort-study
#1
Mark C Bicket, Elizabeth White, Peter J Pronovost, Christopher L Wu, Myron Yaster, G Caleb Alexander
BACKGROUND: Many patients receive prescription opioids at hospital discharge after surgery, yet little is known regarding how often these opioids go unused. We estimated the prevalence of unused opioids, use of nonopioid analgesics, and storage and disposal practices after same-day and inpatient surgery. METHODS: In this prospective cohort study at a large, inner-city tertiary care hospital, we recruited individuals ≥18 years of age undergoing elective same-day or inpatient joint and spine surgery from August to November 2016...
April 17, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29676215/being-and-becoming-a-helper-illness-disclosure-and-identity-transformations-among-indigenous-people-living-with-hiv-or-aids-in-saskatoon-saskatchewan
#2
Andrew R Hatala, Kelley Bird-Naytowhow, Tamara Pearl, Jen Peterson, Sugandhi Del Canto, Eddie Rooke, Stryker Calvez, Ryan Meili, Michael Schwandt, Jason Mercredi, Patti Tait
Saskatoon has nearly half of the diagnoses of HIV in Saskatchewan, Canada, with an incidence rate among Indigenous populations within inner-city contexts that is 3 times higher than national rates. Previous research does not adequately explore the relations between HIV vulnerabilities within these contexts and the experiences of illness disclosure that are informed by identity transformations, experiences of stigma, and social support. From an intersectionality framework and a constructivist grounded theory approach, this research involved in-depth, semistructured interviews with 21 Indigenous people living with HIV and/or AIDS in Saskatoon, both male and female...
April 1, 2018: Qualitative Health Research
https://www.readbyqxmd.com/read/29657955/challenges-across-the-hiv-care-continuum-for-patients-with-hiv-1-tb-co-infection-in-atlanta-ga
#3
Marcos C Schechter, Destani Bizune, Michelle Kagei, David P Holland, Carlos Del Rio, Aliya Yamin, Omar Mohamed, Alawode Oladele, Yun F Wang, Paulina A Rebolledo, Susan M Ray, Russell R Kempker
Background: Antiretroviral therapy (ART) for persons with HIV infection prevents tuberculosis (TB) disease. Additionally, sequential ART after initiation of TB treatment improves outcomes. We examined ART use, retention in care, and viral suppression (VS) before, during, and 3 years following TB treatment for an inner-city cohort in the United States. Methods: Retrospective cohort study among persons treated for culture-confirmed TB between 2008 and 2015 at an inner-city hospital...
April 2018: Open Forum Infectious Diseases
https://www.readbyqxmd.com/read/29655364/incidence-and-characteristics-of-low-speed-vehicle-run-over-events-in-rural-and-remote-children-aged-0-14-years-in-queensland-an-11-year-1999-2009-retrospective-analysis
#4
Bronwyn R Griffin, Roy M Kimble, Kerrianne Watt, Linda Shields
INTRODUCTION: The main objective of this study is to describe incidence rates of low-speed vehicle run-over (LSVRO) events among children aged 0-14 years residing in Queensland from 1999 to 2009. A second objective was to describe the associated patterns of injury, with respect to gender, age group, severity, characteristics (host, vehicle and environment), and trends over time in relation to geographical remoteness. Final results are hoped to inform prevention policies. METHODS: In this statewide, retrospective, population-based study, data were collected on LSVRO events that occurred among children aged 0-14 years in Queensland from 1999 to 2009 from all relevant data sources across the continuum of care, and manually linked to obtain the most comprehensive estimate possible of the magnitude and nature of LSVRO events to date...
April 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29617073/changes-observed-in-prostate-biopsy-practices-in-an-inner-city-hospital-with-a-high-risk-patient-population-following-the-2012-uspstf-psa-screening-recommendations
#5
Andrew W Tam, Johnathan Khusid, Igor Inoyatov, Adan Z Becerra, Jonathan Davila, Jyoti D Chouhan, Jeffrey P Weiss, Llewellyn M Hyacinthe, Brian K McNeil, Andrew G Winer
INTRODUCTION: We compared characteristics of patients undergoing prostate biopsy in a high-risk inner city population before and after the 2012 USPSTF recommendation against PSA based prostate cancer screening to determine its effect on prostate biopsy practices. MATERIALS AND METHODS: This was a retrospective study including patients who received biopsies after an abnormal PSA measurement from October 2008-December 2015. Patients with previously diagnosed prostate cancer were excluded...
March 15, 2018: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/29609202/wait-times-are-not-the-problem-detailed-analysis-of-unsolicited-patient-complaints-from-a-metropolitan-australian-emergency-department
#6
Petra Lawrence, Rajeev Jarugula, Sarah Hazelwood, Gavin Fincher, Karen Hay
OBJECTIVE: To describe characteristics of ED admissions that resulted in unsolicited complaints and compare with overall ED admissions. The site utilised is an inner city tertiary hospital, with 630 beds, with approximately 82 600 annual presentations, where 32.5% were children. METHODS: Complaints between the dates of 27 November 2012 and 10 March 2016 were reviewed. Performance indicators and the distribution of presentations by diagnostic code were reviewed. RESULTS: A total of 572 different complaint reasons were found and grouped into 12 categories...
April 2, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29607004/a-prospective-year-long-follow-up-of-lurasidone-use-in-clinical-practice-factors-predicting-treatment-persistence
#7
Ian J Osborne, Shubhra Mace, David Taylor
Background: Our aim was to follow up patients prescribed lurasidone over 1 year to determine factors predicting treatment persistence. Methods: We used noninterventional, observational, prospective follow up of patients consecutively prescribed lurasidone in a large inner-city NHS mental health trust. We also performed retrospective analysis of outcomes from patient case notes. Results: Data were available for 69 patients consecutively prescribed lurasidone, of whom three (4%) were lost to follow up...
April 2018: Therapeutic Advances in Psychopharmacology
https://www.readbyqxmd.com/read/29597055/hepatitis-e-virus-in-feral-rabbits-along-a-rural-urban-transect-in-central-germany
#8
René Ryll, Martin Eiden, Elisa Heuser, Markus Weinhardt, Madlen Ziege, Dirk Höper, Martin H Groschup, Gerald Heckel, Reimar Johne, Rainer G Ulrich
Rabbit associated genotype 3 hepatitis E virus (HEV) strains were detected in feral, pet and farm rabbits in different parts of the world since 2009 and recently also in human patients. Here we report a serological and molecular survey on 72 feral rabbits, collected along a rural-urban transect in and next to Frankfurt am Main, Central Germany. ELISA investigations revealed in 25 of 72 (34.7%) animals HEV-specific antibodies. HEV derived RNA was detected in 18 of 72 (25%) animals by reverse transcription-polymerase chain reaction assay...
March 26, 2018: Infection, Genetics and Evolution
https://www.readbyqxmd.com/read/29582041/psychostimulant-related-health-service-demand-in-an-inner-city-hospital-2012-2015
#9
Alon Faingold, Kirsten Morley, Bethany White, Emily Walker, Paul Haber
OBJECTIVE: To analyse routinely collected data from a hospital database of drug health consultation-liaison (CL) assessments. We aimed to investigate changes in psychostimulant-related health service demand in an inner-city hospital to inform the development of locally appropriate models of care. METHODS: We used de-identified drug health CL service data from 2012 to 2015. Psychostimulant-related consultations and admissions were compared with opioid-related consultations and admissions over time, by sex and by ward type (medical units, mental health units or emergency department)...
March 15, 2018: Public Health Research & Practice
https://www.readbyqxmd.com/read/29560591/particulate-and-gaseous-pollutants-in-a-petrochemical-industrialized-valley-city-western-china-during-2013-2016
#10
Xi Zhou, Tingjun Zhang, Zhongqin Li, Yan Tao, Feiteng Wang, Xin Zhang, Chunhai Xu, Shan Ma, Ju Huang
Airborne pollutant characteristics, potential sources, and variation trends of cause are investigated based on the hourly air concentrations of gaseous pollutants and particulate matter from 2013 to 2016 in Lanzhou. The mean concentration of SO2 , NO2 , CO, 8-hO3 , PM2.5 , and PM10 was 25.2 ± 16.0 μg m-3 , 46.5 ± 21.1 μg m-3 , 1.3 ± 0.7 mg m-3 , 77.8 ± 45.5 μg m-3 , 58.7 ± 32.9 μg m-3 , and 131.1 ± 86.2 μg m-3 , respectively. The concentrations of SO2 , PM10 , and PM2...
March 20, 2018: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/29550175/factors-that-influence-breastfeeding-initiation-among-african-american-women
#11
Tyonne D Hinson, Asheley Cockrell Skinner, Kristen Hassmiller Lich, Diane L Spatz
OBJECTIVE: To examine cultural and socioenvironmental factors that affect breastfeeding initiation among African American women. DESIGN: Qualitative descriptive design and conventional content analysis. SETTING: A large, inner-city, primary care center affiliated with a 500-bed children's hospital within a large, Northeastern U.S. city. PARTICIPANTS: Participants were 34 U.S.-born African American mothers of healthy term infants 0 to 3 months of age...
March 15, 2018: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/29549205/diagnostic-accuracy-of-the-ottawa-3dy-and-short-blessed-test-to-detect-cognitive-dysfunction-in-geriatric-patients-presenting-to-the-emergency-department
#12
David Barbic, Brian Kim, Qadeem Salehmohamed, Kate Kemplin, Christopher R Carpenter, Skye Pamela Barbic
OBJECTIVES: Cognitive dysfunction (CD) is a common finding in geriatric patients presenting to the emergency department (ED). Our primary objective was to determine the diagnostic accuracy of the Ottawa 3DY (O3DY) and Short Blessed Test (SBT) as screening tools for the detection of CD in the ED. Our secondary objective was to estimate the inter-rater reliability of these instruments. METHODS: We conducted a prospective cross-sectional comparative study at an inner-city academic medical centre (annual ED visit census 86 000)...
March 16, 2018: BMJ Open
https://www.readbyqxmd.com/read/29546249/use-of-a-single-independent-irb-case-study-of-an-nih-funded-consortium
#13
Brandy Stoffel, Christine Sorkness, Carol Pech
In 2014, the Request for Applications from the National Institutes of Health (NIH) for continued funding of a multi-site clinical and mechanistic research network, Inner City Asthma Consortium (ICAC), called for "efficient IRB review and approval for multi-center studies" and "IRB approval within 30 days from submission". These requirements were precursors to the NIH policy of single IRB review for multi-site studies. Here we share our challenges, implementation processes, results, and recommendations, using a single, independent IRB...
December 2017: Contemporary Clinical Trials Communications
https://www.readbyqxmd.com/read/29540280/improving-care-of-inner-city-children-with-poorly-controlled-asthma-what-mothers-want-you-to-know
#14
Melissa H Bellin, Angelica Newsome, Cassie Lewis-Land, Joan Kub, Shawna S Mudd, Rachel Margolis, Arlene M Butz
INTRODUCTION: Low-income caregiver perspectives on asthma management are understudied but may illuminate strategies to improve care delivery and child outcomes. METHOD: Purposive sampling methods were used to recruit 15 caregivers of children with frequent asthma emergency department visits. Interviews explored how poverty and stress affect asthma management. Grounded theory coding techniques were used to analyze the data. RESULTS: Participants were the biological mother (100%) and were poor (75% had mean annual income ≤ $30,000)...
March 12, 2018: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/29521781/a-descriptive-analysis-of-etoh-intoxication-in-our-latino-trauma-patients-an-indication-for-a-preventive-program
#15
Anthony Kopatsis, Christine Wagner, Helen Costello, Nicholas Morin, Katherine Elizabeth Kopatsis, Mario Gomez
We sought to determine patterns of injury in our Latino trauma community targeting alcohol (EtOH) intoxication as an influential variable. With the information gained in our culturally specific and culturally sensitive trauma community, we can use the information to fine-tune our trauma preventive medicine programs. Trauma injuries are the third largest contributor to racial disparities in the United States. Alcohol is involved in approximately half of all trauma admissions to trauma centers around the country...
March 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/29519635/alcohol-and-injury-among-attendees-at-a-busy-inner-city-new-zealand-emergency-department
#16
Bridget Kool, Sarah Buller, Ron Kuriyan, Charlotte M Jones-Todd, David Newcombe, Peter Jones
INTRODUCTION: We present a study that provides a contemporary view of alcohol-related injury prevalence amongst patients presenting to a New Zealand (NZ) emergency department (ED). METHODS: Adult injury patients presenting to Auckland City Hospital ED within 6 h of injury were invited to participate during three recruitment periods (2015-2016). An interviewer-administered questionnaire obtained information on demographic, injury, general health, and lifestyle factors...
February 27, 2018: Injury
https://www.readbyqxmd.com/read/29518428/the-classroom-microbiome-and-asthma-morbidity-in-children-attending-three-inner-city-schools
#17
Peggy S Lai, Raivo Kolde, Eric A Franzosa, Jonathan M Gaffin, Sachin N Baxi, William J Sheehan, Diane R Gold, Dirk Gevers, Ramnik J Xavier, Wanda Phipatanakul
The classroom microbiome is different from the home microbiome. Higher classroom microbial diversity is associated with increased asthma symptoms. In this pilot study, a school-level integrated pest management intervention changed the classroom microbiome.
March 5, 2018: Journal of Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/29518416/allergen-induced-activation-of-nk-cells-represents-an-early-life-immune-response-in-development-of-allergic-asthma
#18
Matthew C Altman, Elizabeth Whalen, Alkis Togias, George T O'Connor, Leonard B Bacharier, Gordon R Bloomberg, Meyer Kattan, Robert A Wood, Scott Presnell, Petra LeBeau, Katy Jaffee, Cynthia M Visness, William W Busse, James E Gern
BACKGROUND: Childhood asthma in inner city populations is a major public health burden and understanding early life immune mechanisms that promote asthma onset is key to disease prevention. Children who develop asthma demonstrate a high prevalence of aeroallergen sensitization and T helper 2 (Th2)-type inflammation, however the early life immune events that lead to Th2 skewing and disease development are unknown. OBJECTIVE: We sought to use RNA sequencing of peripheral blood mononuclear cells (PBMCs) collected at age 2 to determine networks of immune responses that occur in children who develop allergy and asthma...
March 5, 2018: Journal of Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/29510837/comparison-of-self-administered-post-traumatic-stress-disorder-tool-vs-researcher-administered-tool-in-the-emergency-department
#19
La Vonne A Downey, Leslie S Zun, Paul Dismukes, Amanda Hong
BACKGROUND: Recent studies have shown that there is a high rate of post traumatic stress disorder in the inner city. OBJECTIVE: The purpose of this study was to determine whether patients in the Emergency Department would use a post traumatic stress disorder (PTSD) assessment. Additionally, did the type of administration of the PTSD tool impact the usage of PTSD services? METHODS: The sample population was taken from patients, 12 years or older, who presented with a non psychiatric illness...
February 2018: Journal of the National Medical Association
https://www.readbyqxmd.com/read/29497336/increased-proportions-of-hiv-infected-women-met-cervical-cancer-screening-guideline-in-2016
#20
Debbie Y Mohammed, Prerak Shukla, Yuriy Babayants, Raymund Sison, Jihad Slim
Background: HIV-infected women are five times more likely to develop invasive cervical cancer. Routine screening can detect early signs of cancer and provide an opportunity for treatment. However, suboptimal screening rates are reported in this population. This retrospective study examined the rates of cervical cancer screening in HIV-positive women, conducted according to the current guidelines, from 2014 to 2016 in an inner-city clinic. Materials and methods: We implemented focused scheduling for eligible women by a designated medical assistant...
2018: International Journal of Women's Health
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