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Medical record reporting system

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https://www.readbyqxmd.com/read/29220427/steroid-but-not-biological-therapy-elevates-the-risk-of-venous-thromboembolic-events-in-inflammatory-bowel-disease-a-meta-analysis
#1
Patricia Sarlos, Kata Szemes, Peter Hegyi, Andras Garami, Imre Szabo, Anita Illes, Margit Solymar, Erika Petervari, Aron Vincze, Gabriella Par, Judit Bajor, Jozsef Czimmer, Orsolya Huszar, Peter Varju, Nelli Farkas
Background and aim: Inflammatory bowel disease [IBD] is associated with 1.5- to 3-fold increased risk of venous thromboembolic events [VTE]. The aim of this study was to determine the risk of VTE in IBD as a complication of systemic corticosteroids and anti-tumor necrosis factor alpha [TNFα] therapies. Methods: A systematic review and meta-analysis was conducted, which conforms to the Preferred Reporting Items for Systematic Reviews and Meta-analyses [PRISMA] statement...
December 6, 2017: Journal of Crohn's & Colitis
https://www.readbyqxmd.com/read/29219190/phenomenology-genetics-and-cns-network-abnormalities-in-laryngeal-dystonia-a-30-year-experience
#2
Andrew Blitzer, Mitchell F Brin, Kristina Simonyan, Laurie J Ozelius, Steven J Frucht
OBJECTIVE: Laryngeal dystonia (LD) is a functionally specific disorder of the afferent-efferent motor coordination system producing action-induced muscle contraction with a varied phenomenology. This report of long-term studies aims to review and better define the phenomenology and central nervous system abnormalities of this disorder and improve diagnosis and treatment. METHODS: Our studies categorized over 1,400 patients diagnosed with LD over the past 33 years, including demographic and medical history records and their phenomenological presentations...
December 8, 2017: Laryngoscope
https://www.readbyqxmd.com/read/29219080/health-practitioners-emotional-reactions-to-caring-for-hospitalized-children-in-lom%C3%A3-togo-a-qualitative-study
#3
Bassantéa Lodegaèna Kpassagou, Kokou Messanh Agbémélé Soedje
BACKGROUND: Health practitioners frequently encounter dying, death and suffering. While providing health care can be stressful, the literature on how different health practitioners cope with the emotional challenges associated with their work is sparse. Further, much of this literature is based on studies conducted in high-income countries. In this study, we explored emotional distress and associated coping strategies among health practitioners working in a pediatric oncology department in a large teaching hospital in Lomé, Togo...
December 4, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29218405/multimodal-treatments-combined-with-gamma-knife-surgery-for-primary-atypical-teratoid-rhabdoid-tumor-of-the-central-nervous-system-a-single-institute-experience-of-18-patients
#4
Yan-Ming Ren, Xia Wu, Chao You, Yue-Kang Zhang, Qiang Li, Yan Ju
OBJECTIVES: Atypical teratoid/rhabdoid tumor (AT/RT) is a rare, highly malignant tumor of the central nervous system with poor prognosis. Nowadays, multimodal management, including surgery, chemotherapy (CMT), and radiation therapy (RT), is advocated. However, AT/RT treatment with gamma knife surgery (GKS) was rarely reported. The aim of this study was to assess the efficacy and safety of GKS for the treatment of AT/RT. PATIENTS AND METHODS: Medical records of AT/RT patients who underwent surgery from 2007 to 2014 at the West China Hospital were retrospectively reviewed and statistically analyzed...
December 7, 2017: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/29217020/cataract-surgery-outcomes-and-complications-in-retinal-dystrophy-patients
#5
Emma C Davies, Roberto Pineda
OBJECTIVE: To investigate intraoperative complications, postoperative findings, and visual acuity outcomes in patients with retinal dystrophy after cataract surgery. DESIGN: Retrospective chart review at an academic tertiary referral centre. PARTICIPANTS: Thirty eyes from 18 patients with retinitis pigmentosa and other retinal dystrophies (Usher syndrome, Refsum disease, and Leber congenital amaurosis) who underwent cataract surgery were identified by searching the electronic medical record system from January 2010 to September 2015 for all patients treated by a single physician with billing codes for retinal dystrophy and cataract surgery...
December 2017: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
https://www.readbyqxmd.com/read/29215901/introduction-of-the-dsm-5-levels-of-personality-functioning-questionnaire
#6
Steven K Huprich, Sharon M Nelson, Kevin B Meehan, Caleb J Siefert, Gregory Haggerty, James Sexton, V Barry Dauphin, Matthew Macaluso, Jennifer Jackson, Rosey Zackula, Lyle Baade
With the introduction in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) of a hybrid system of personality disorder assessment, the ability to assess patients' traits, as well as their level of personality functioning, has become increasingly important. To assess this criterion, the DSM-5 Levels of Personality Functioning Questionnaire (DLOPFQ) was developed. The DLOPFQ assesses individuals' self-impairments and other impairments in several domains (self-direction, identity, empathy, and intimacy) and across 2 contexts (work/school and relationships)...
December 7, 2017: Personality Disorders
https://www.readbyqxmd.com/read/29214814/barriers-to-engagement-in-a-workplace-weight-management-program-a-qualitative-study
#7
Shayna M Clancy, Marissa Stroo, Ashley Schoenfisch, Thushani Dabrera, Truls Østbye
PURPOSE: To investigate (1) why some participants in a workplace weight management program were more engaged in the program, (2) specific barriers and facilitators for engagement and weight loss, and (3) suggest how workplaces may better engage employees in these programs to improve their effectiveness. DESIGN: Qualitative study (8 focus groups). SETTING: A large academic university and medical system. PARTICIPANTS: Twenty-six (5%) of the 550 employees who participated in a weight management program as part of the Steps to Health study...
January 1, 2017: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/29204811/impact-of-a-patient-facing-enhanced-genomic-results-report-to-improve-understanding-engagement-and-communication
#8
Janet L Williams, Alanna Kulchak Rahm, Doris T Zallen, Heather Stuckey, Kara Fultz, Audrey L Fan, Michele Bonhag, Lynn Feldman, Michael M Segal, Marc S Williams
"The objective of this study was to" test the effectiveness of an enhanced genomic report on patient-centered outcome domains including communication, engagement and satisfaction. "Study design utilized" a prospective, randomized, mixed-methods desctiptive study of a whole genome sequencing results report, GenomeCOMPASS™, that was accessed by providers through the electronic health record and by patients through the associated patient portal. "The study was set in" an integrated healthcare delivery system in central Pennsylvania...
December 4, 2017: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/29204198/profile-and-outcome-of-pediatric-brain-tumors-experience-from-a-tertiary-care-pediatric-oncology-unit-in-south-india
#9
Supriya Gujjar Suresh, Arathi Srinivasan, Julius Xavier Scott, Santosh Mohan Rao, Balasubramaniam Chidambaram, Sanjay Chandrasekar
Context: Tumors of the central nervous system (CNS) constitute the second most common pediatric cancers. Unlike leukemia, management of CNS tumors requires a good multidisciplinary team. Higher rates of treatment abandonment are documented in view of complexity of the treatment with long duration, involving neurosurgery, radiation, chemotherapy, and high cost of treatment. Morbidity associated with CNS tumors may be significant in terms of physical deficits as well as neuropsychological and neuroendocrine sequelae...
July 2017: Journal of Pediatric Neurosciences
https://www.readbyqxmd.com/read/29199710/incidence-and-characteristics-of-epidermal-growth-factor-receptor-egfr-mutation-in-non-small-cell-lung-cancer-adenocarcinoma-histology-a-report-of-106-patients-from-kolkata
#10
K Chatterjee, A Ray, B Chattopadhyay
CONTEXT: Regional epidemiological data regarding the epidermal growth factor receptor (EGFR) mutation status in non-small-cell lung cancers (NSCLC) is an unmet need from the eastern part of India. AIMS: To report the incidence of EGFR mutation and its correlation with the phenotypical characteristics, in NSCLC patients from Kolkata. SUBJECTS AND METHODS: NSCLC patients, with adenocarcinoma histology, whose tissues had been tested for EGFR mutational status between March 2014 and February 2017, were considered for this study...
January 2017: Indian Journal of Cancer
https://www.readbyqxmd.com/read/29195849/cementless-posteriorly-stabilized-total-knee-arthroplasty-seven-year-minimum-follow-up-report
#11
Steven F Harwin, Jay M Levin, Anton Khlopas, Prem N Ramkumar, Nicolas S Piuzzi, Martin Roche, Michael A Mont
BACKGROUND: The purpose of this study is to evaluate (1) implant survivorship; (2) patient outcomes; (3) complications; and to (4) perform a radiographic analysis of cementless posteriorly stabilized total knee arthroplasty (TKA) patients at a minimum of 7-year follow-up. METHODS: Our original cohort was composed of 114 consecutive cementless posteriorly stabilized total knee arthroplasties (110 patients) performed by a single surgeon between 2008 and 2010. Since our original report, 4 (1 bilateral) patients died and 2 were lost to follow-up...
November 16, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29195778/epidemiology-and-risk-factors-for-clostridium-difficile-associated-diarrhea-in-adult-inpatients-in-a-university-hospital-in-china
#12
Chenjie Tang, Yang Li, Chengcheng Liu, Pengfei Sun, Xu Huang, Wenying Xia, Huimin Qian, Lunbiao Cui, Genyan Liu
BACKGROUND: Clostridium difficile-associated diarrhea (CDAD) is an important disease with rising incidence and mortality in western countries. However, studies about CDAD in China are limited. The aims of this study are to investigate the epidemiology and risk factors of CDAD in a university hospital located in Eastern China. METHODS: Diarrhea samples of all adult inpatients were collected for C difficile culture prospectively from August 2013-April 2014. Suspected colonies were identified by biochemical identification cards...
November 28, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29195706/longitudinal-study-of-user-experiences-of-a-cpoe-system-in-a-pediatric-hospital
#13
Melissa T Baysari, Rae-Anne Hardie, Rebecca Lake, Lauren Richardson, Cheryl McCullagh, Alan Gardo, Johanna Westbrook
OBJECTIVE: To explore the views of nurses and doctors during the early stages of implementation of a computerized provider order entry (CPOE) system in a pediatric hospital and to examine changes in perceptions and reported behaviors as use of the CPOE system became routine. METHODS: Semi-structured interviews were undertaken at four time points following CPOE implementation: during week one, week three, week six and then six months following implementation. In total, 122 users were interviewed...
January 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29195030/accuracy-of-birth-certificate-head-circumference-measurements-massachusetts-2012-2013
#14
Nicholas J Somerville, Xiaoli Chen, Dominique Heinke, Sarah L Stone, Cathleen Higgins, Susan E Manning, Sharon Pagnano, Mahsa M Yazdy, Marlene Anderka
BACKGROUND: Zika virus has recently emerged as a novel cause of microcephaly. CDC has asked states to rapidly ascertain and report cases of Zika-linked birth defects, including microcephaly. Massachusetts added head circumference to its birth certificate (BC) in 2011. The accuracy of head circumference measurements from state vital records data has not been reported. METHODS: We sought to assess the accuracy of Massachusetts BC head circumference measurements by comparing them to measurements for 2,217 infants born during 2012-2013 captured in the Massachusetts Birth Defects Monitoring Program (BDMP) data system...
December 1, 2017: Birth Defects Research
https://www.readbyqxmd.com/read/29192303/association-between-ophthalmologist-age-and-unsolicited-patient-complaints
#15
Cherie A Fathy, James W Pichert, Henry Domenico, Sahar Kohanim, Paul Sternberg, William O Cooper
Importance: Understanding the distribution of patient complaints by physician age may provide insight into common patient concerns characteristic of early, middle, and late stages of careers in ophthalmology. Most previous studies of patient dissatisfaction have not addressed the association with physician age or controlled for other characteristics (eg, practice setting, subspecialty) that may contribute to the likelihood of patient complaints, unsafe care, and lawsuits. Objective: To assess the association between ophthalmologist age and the likelihood of generating unsolicited patient complaints (UPCs) among a cohort of ophthalmologists...
November 30, 2017: JAMA Ophthalmology
https://www.readbyqxmd.com/read/29190401/addressing-food-insecurity-in-family-medicine-and-medical-education
#16
Sunny Smith, David Malinak, Jinnie Chang, Amanda Schultz, Kristin Brownell
BACKGROUND AND OBJECTIVES: Food insecurity is associated with poor health outcomes, yet is not routinely addressed in health care. This study was conducted to determine if education regarding food insecurity as a health issue could modify knowledge, attitudes, and clinical behavior. METHODS: Educational sessions on food insecurity and its impact on health were conducted in 2015 at three different family medicine residency programs and one medical school. A pre/post survey was given immediately before and after this session...
November 2017: Family Medicine
https://www.readbyqxmd.com/read/29189766/health-challenges-in-refugee-reception-dateline-europe-2016
#17
Brad K Blitz, Alessio d'Angelo, Eleonore Kofman, Nicola Montagna
The arrival of more than one million migrants, many of them refugees, has proved a major test for the European Union. Although international relief and monitoring agencies have been critical of makeshift camps in Calais and Eidomeni where infectious disease and overcrowding present major health risks, few have examined the nature of the official reception system and its impact on health delivery. Drawing upon research findings from an Economic and Social Research Council (ESRC) funded project, this article considers the physical and mental health of asylum-seekers in transit and analyses how the closure of borders has engendered health risks for populations in recognised reception centres in Sicily and in Greece...
November 30, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29187343/an-ehealth-application-of-self-reported-sports-related-injuries-and-illnesses-in-paralympic-sport-pilot-feasibility-and-usability-study
#18
Kristina Fagher, Jenny Jacobsson, Örjan Dahlström, Toomas Timpka, Jan Lexell
BACKGROUND: Sport participation is associated with a risk of sports-related injuries and illnesses, and Paralympic athletes' additional medical issues can be a challenge to health care providers and medical staff. However, few prospective studies have assessed sports-related injuries and illnesses in Paralympic sport (SRIIPS) over time. Advances in mobile phone technology and networking systems offer novel opportunities to develop innovative eHealth applications for collection of athletes' self-reports...
November 29, 2017: JMIR Human Factors
https://www.readbyqxmd.com/read/29187081/medical-directors-perspectives-on-strengthening-hospital-quality-and-safety
#19
Rachel Canaway, Marie Bismark, David Dunt, Margaret Kelaher
Purpose The purpose of this paper is to understand the concerns and factors that impact on hospital quality and safety, particularly related to use of performance data, within a setting of devolved governance. Design/methodology/approach This qualitative study used thematic analysis of interviews with public hospital medical directors. For additional context, findings were framed by themes from a review of hospital safety and quality in the same jurisdiction. Findings Varying approaches and levels of complexity were described about what and how performance data are reviewed, prioritised, and quality improvements implemented...
October 9, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29183678/-description-of-contributing-factors-in-adverse-events-related-to-patient-safety-and-their-preventability
#20
María Mercedes Guerra-García, Beatriz Campos-Rivas, Alexandra Sanmarful-Schwarz, Alicia Vírseda-Sacristán, M Aránzazu Dorrego-López, Ángeles Charle-Crespo
OBJECTIVE: To assess the extent of healthcare related adverse events (AEs), their effect on patients, and their seriousness. To analyse the factors leading to the development of AEs, their relationship with the damage caused, and their degree of preventability. DESIGN: Retrospective descriptive study. LOCATION: Porriño, Pontevedra, Spain, Primary Care Service, from January-2014 to April-2016. PARTICIPANTS AND/OR CONTEXT: Reported AEs were entered into the Patient Safety Reporting and Learning System (SiNASP)...
November 25, 2017: Atencion Primaria
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