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Emily J Cherlin, Amanda L Brewster, Leslie A Curry, Maureen E Canavan, Rosemary Hurzeler, Elizabeth H Bradley
BACKGROUND: Despite evidence that enrollment with hospice services has the potential to reduce hospital readmission rates, previous research has not examined exactly how hospitals may promote the appropriate use of hospice and palliative care for their discharged patients. Therefore, we sought to explore the strategies used by hospitals to increase the use of hospice and palliative care for patients at risk of readmission. METHODS: We conducted a secondary analysis of qualitative data from a study of hospitals that were participating in the State Action on Avoidable Readmissions (STAAR) initiative, a quality improvement collaborative...
July 21, 2016: American Journal of Hospice & Palliative Care
Shi-Yi Wang, Melissa D Aldridge, Cary P Gross, Maureen Canavan, Emily Cherlin, Rosemary Johnson-Hurzeler, Elizabeth Bradley
OBJECTIVES: Despite increased hospice use over the last decade, end-of-life care intensity continues to increase. To understand this puzzle, we sought to examine regional variation in intensive end-of-life care and determine its associations with hospice use patterns. METHODS: Using Medicare claims for decedents aged 66 years and above in 2011, we assessed end-of-life care intensity in the last 6 months of life across hospital referral regions (HRRs) as measured by proportion of decedents per HRR experiencing hospitalization, emergency department use, intensive care unit (ICU) admission, and number of days spent in hospital (hospital-days) and ICU (ICU-days)...
July 2016: Medical Care
Daniel Bäumer, Otto Zuhr, Markus Hürzeler
Anterior teeth are often affected by accidental dental trauma and may eventually be lost. When the neighboring teeth are unharmed, implant-supported crowns are often the preferred treatment choice. When not only the teeth but also the supporting hard and soft tissue has been lost, surgical reconstruction may be needed. However, in combined horizontal and vertical class III defects, the available augmentation techniques are often not predictable. In this case report, two neighboring mandibular central incisors were replaced by two implants after soft and hard tissue augmentation with the cortical bone plate method...
2016: International Journal of Esthetic Dentistry
Shi-Yi Wang, Melissa D Aldridge, Cary P Gross, Maureen Canavan, Emily Cherlin, Rosemary Johnson-Hurzeler, Elizabeth Bradley
OBJECTIVES: To characterize the number and types of care transitions in the last 6 months of life of individuals who used hospice and to examine factors associated with having multiple transitions in care. DESIGN: Retrospective cohort study. SETTING: One hundred percent fee-for-service Medicare decedent claims data. PARTICIPANTS: Medicare beneficiaries aged 66 and older who died between July 1, 2011, and December 31, 2011, and were enrolled in hospice at some time during the last 6 months of life...
February 2016: Journal of the American Geriatrics Society
Angela R Ghesquiere, Melissa D Aldridge, Rosemary Johnson-Hürzeler, Daniel Kaplan, Martha L Bruce, Elizabeth Bradley
OBJECTIVES: To describe the prevalence of screening for complicated grief (CG) and depression in hospice and access to bereavement therapy and to examine whether screening and access to therapy varied according to hospice organizational characteristics or staff training and involvement. DESIGN: Cross-sectional national survey conducted from 2008 to 2009. SETTING: United States. PARTICIPANTS: Hospices (N = 591). MEASUREMENTS: Whether hospices screened for depression or CG at the time of death or provided access to bereavement therapy (individual or group)...
October 2015: Journal of the American Geriatrics Society
Christoph H F Hämmerle, Luca Cordaro, Nele van Assche, Goran I Benic, Michael Bornstein, Felix Gamper, Klaus Gotfredsen, David Harris, Marc Hürzeler, Reinhilde Jacobs, Theodoros Kapos, Ralf J Kohal, Sebastian B M Patzelt, Irena Sailer, Ali Tahmaseb, Marjolein Vercruyssen, Daniel Wismeijer
OBJECTIVE: The task of this working group was to assess the existing knowledge in computer-assisted implant planning and placement, fabrication of reconstructions applying computers compared to traditional fabrication, and assessments of treatment outcomes using novel imaging techniques. MATERIAL AND METHODS: Three reviews were available for assessing the current literature and provided the basis for the discussions and the consensus report. One review dealt with the use of computers to plan implant therapy and to place implants in partially and fully edentulous patients...
September 2015: Clinical Oral Implants Research
Shi-Yi Wang, Melissa D Aldridge, Cary P Gross, Maureen Canavan, Emily Cherlin, Rosemary Johnson-Hurzeler, Elizabeth Bradley
BACKGROUND: Little is known about state-level variation in patterns of hospice use, an important indicator of quality of care at the end of life. Findings may identify states where targeted efforts for improving end-of-life care may be warranted. OBJECTIVE: Our aim was to characterize the state-level variation in patterns of hospice use among decedents and to examine state, county, and individual factors associated with these patterns. METHODS: We conducted a retrospective analysis of Medicare fee-for-service decedents...
September 2015: Journal of Palliative Medicine
Nicolas Brugger, Kerstin Wustmann, Michael Hürzeler, Andreas Wahl, Stefano F de Marchi, Hélène Steck, Fabian Zürcher, Christian Seiler
The aim of our study was to evaluate 3-dimensional (3D) color Doppler proximal isovelocity surface area (PISA) as a tool for quantitative assessment of mitral regurgitation (MR) against in vitro and in vivo reference methods. A customized 3D PISA software was validated in vitro against a flowmeter MR phantom. Sixty consecutive patients, with ≥mild MR of any cause, were recruited and the regurgitant volume (RVol) was measured by 2D PISA, 3D peak PISA, and 3D integrated PISA, using transthoracic (TTE) and transesophageal echocardiography (TEE)...
April 15, 2015: American Journal of Cardiology
Stefan Fickl, Moritz Kebschull, José Luis Calvo-Guirado, Markus Hürzeler, Otto Zuhr
BACKGROUND: The influence of the implant micro and macrostructure on peri-implantitis is not fully understood. PURPOSE: To determine the effect of ligature-induced peri-implantitis on three commercially available implant types. MATERIALS AND METHODS: Five beagle dogs were used. Two months following tooth extraction, three different implant types (BIOMET 3i T3, BIOMET 3i, Palm Beach Gardens, FL, USA; Straumann Bone Level, Straumann GmbH, Basel, Switzerland; Nobel Replace Tapered, Nobel Biocare, Gothenburg, Sweden) were placed in a randomized fashion in each hemi-mandible...
October 2015: Clinical Implant Dentistry and related Research
Aleksandra S Dain, Elizabeth H Bradley, Rosemary Hurzeler, Melissa D Aldridge
CONTEXT: Complementary and alternative medicine (CAM) provides clinical benefits to hospice patients, including decreased pain and improved quality of life. Yet little is known about the extent to which U.S. hospices employ CAM therapists. OBJECTIVES: To report the most recent national data regarding the inclusion of art, massage, and music therapists on hospice interdisciplinary teams and how CAM therapist staffing varies by hospice characteristics. METHODS: A national cross-sectional survey of a random sample of hospices (n = 591; 84% response rate) from September 2008 to November 2009...
June 2015: Journal of Pain and Symptom Management
Stephan F Rebele, Otto Zuhr, David Schneider, Ronny E Jung, Markus B Hürzeler
AIM: The aim of this randomized clinical trial (RCT) was to compare the clinical performance of the tunnel technique with subepithelial connective tissue graft (TUN) versus a coronally advanced flap with enamel matrix derivative (CAF) in the treatment of gingival recession defects. The use of innovative 3D digital measuring methods allowed to study healing dynamics at connective tissue (CT)-grafted sites and to evaluate the influence of the thickness of the root covering soft tissues on the outcome of surgical root coverage...
June 2014: Journal of Clinical Periodontology
Otto Zuhr, Daniel Bäumer, Markus Hürzeler
Soft tissue replacement grafts have become a substantial element to increase tissue volume in plastic periodontal and implant surgery. Autogenous subepithelial connective tissue grafts are increasingly applied in aesthetic indications like soft tissue thickening, recession treatment, ridge preservation, soft tissue ridge augmentation and papilla re-construction. For the clinical performance of connective tissue graft harvesting and transplantation, a fundamental understanding of the anatomy at the donor sites and a sound knowledge of tissue integration and re-vascularization processes are required...
April 2014: Journal of Clinical Periodontology
Melissa D Aldridge, Mark Schlesinger, Colleen L Barry, R Sean Morrison, Ruth McCorkle, Rosemary Hürzeler, Elizabeth H Bradley
IMPORTANCE The impact of the substantial growth in for-profit hospices in the United States on quality and hospice access has been intensely debated, yet little is known about how for-profit and nonprofit hospices differ in activities beyond service delivery. OBJECTIVE To determine the association between hospice ownership and (1) provision of community benefits, (2) setting and timing of the hospice population served, and (3) community outreach. DESIGN, SETTING, AND PARTICIPANTS Cross-sectional survey (the National Hospice Survey), conducted from September 2008 through November 2009, of a national random sample of 591 Medicare-certified hospices operating throughout the United States...
April 2014: JAMA Internal Medicine
Stefan Fickl, Ulf Nannmark, Ulrich Schlagenhauf, Markus B Hürzeler, Moritz Kebschull
OBJECTIVES: To describe histometrical outcomes (tissue thickness, tissue height) of a porcine dermal matrix (PDX) and subepithelial connective tissue (CTG) in the treatment of dehiscence-type defects. MATERIAL AND METHODS: In five beagle dogs buccal dehiscence defects were created on both upper canines. The defects were covered in a split-mouth design either with a porcine dermal matrix or subepithelial connective tissue. After 4 months histometrical outcomes were evaluated using a nonparametric Brunner-Langer model...
July 2015: Clinical Oral Implants Research
Otto Zuhr, Stephan F Rebele, David Schneider, Rony E Jung, Markus B Hürzeler
AIM: The aim of this randomized clinical trial (RCT) was to introduce 3D digital measuring methods for evaluating the outcomes after surgical root coverage (RC) and to assess the clinical performance of the tunnel technique with subepithelial connective tissue graft (TUN) versus the coronally advanced flap (CAF) with enamel matrix derivative in the treatment of shallow localized gingival recession defects. MATERIAL AND METHODS: Twenty-four patients contributed a total of 47 Miller class I or II recessions for scientific evaluation...
June 2014: Journal of Clinical Periodontology
Daniel Bäumer, Otto Zuhr, Stephan Rebele, David Schneider, Peter Schupbach, Markus Hürzeler
BACKGROUND: The "socket-shield technique" has shown its potential in preserving buccal tissues. However, front teeth often have to be extracted due to vertical fractures in buccolingual direction. It has not yet been investigated if the socket-shield technique can only be used with intact roots or also works with a modified shield design referring to vertical fracture lines. PURPOSE: The aim of this study was to assess histologically, clinically, and volumetrically the effect of separating the remaining buccal root segment in two pieces before immediate implant placement...
February 2015: Clinical Implant Dentistry and related Research
Stephan F Rebele, Otto Zuhr, Markus B Hürzeler
Immediate implant placement at multirooted molar sites involves a series of site-specific anatomical challenges, including implant bed preparation in the presence of interradicular bone septa. The aim of this article is to present and discuss a novel approach that gives improved guidance during implant bed preparation for immediate implants at multirooted extraction sites in both the mandible and maxilla. Following decoronation of the concerned teeth, osteotomies were performed directly through the teeth's initially retained root complexes...
January 2013: International Journal of Periodontics & Restorative Dentistry
Stefan Fickl, Moritz Kebschull, Peter Schupbach, Otto Zuhr, Ulrich Schlagenhauf, Markus B Hürzeler
OBJECTIVES: the aim of this study was to histologically assess whether elevation of partial-thickness flaps results in reduced bone alterations, as compared with full-thickness flap preparations. MATERIAL AND METHODS: in five beagle dogs, both mandibular second premolars (split-mouth design) were subjected to one of the following treatments: Tx1: elevation of a partial-thickness flap over the mesial root of P(2) and performing a notch at the height of the bone. Tx2: elevation of a full-thickness flap over the mesial root of P(2) and performing a notch at the height of the bone...
February 2011: Journal of Clinical Periodontology
Ronald E Jung, Markus B Hürzeler, Daniel S Thoma, Ameen Khraisat, Christoph H F Hämmerle
AIM: to evaluate the local tolerance and efficiency of two experimental collagen matrices to increase the width of keratinized tissue. METHODS: in 12 pigs, two apically positioned flaps were prepared on both sides of the mandible. The denuded defect areas were randomly covered with one of two experimental porcine-derived collagen matrices (M1; M2). The other defect area was left untreated (control). At 1 and 6 months, clinical measurements for the width and thickness of the keratinized tissue were recorded...
February 2011: Journal of Clinical Periodontology
Markus B Hürzeler, Otto Zuhr, Peter Schupbach, Stephan F Rebele, Notis Emmanouilidis, Stefan Fickl
AIM: Clinical studies have suggested that retaining roots of hopeless teeth may avoid tissue alterations after tooth extraction. Therefore, the objective of this proof-of-principle experiment was to histologically assess a partial root retention (socket-shield technique) in combination with immediate implant placement. MATERIAL AND METHODS: In one beagle dog, the third and fourth mandibular pre-molar were hemisected and the buccal fragment of the distal root was retained approximately 1 mm coronal to the buccal bone plate...
September 2010: Journal of Clinical Periodontology
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