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https://www.readbyqxmd.com/read/29781880/willingness-to-donate-organs-among-people-living-with-hiv
#1
Anh Q Nguyen, Saad K Anjum, Samantha E Halpern, Komal Kumar, Sarah E Van Pilsum Rasmussen, Brianna Doby, Ashton A Shaffer, Allan B Massie, Aaron A R Tobian, Dorry L Segev, Jeremy Sugarman, Christine M Durand
BACKGROUND: With passage of the HIV Organ Policy Equity (HOPE) Act, people living with HIV (PLWH) can donate organs to PLWH awaiting transplant. Understanding knowledge and attitudes regarding organ donation among PLWH in the US is critical to implementing the HOPE Act. METHODS: PLWH were surveyed regarding their knowledge, attitudes, and beliefs about organ donation and transplantation at an urban academic HIV clinic in Baltimore, MD between 08/2016-10/2016. Responses were compared using Fisher's exact and chi-squared tests...
May 16, 2018: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/29771753/anatomic-variations-of-the-infraorbital-foramen-in-caucasian-versus-african-american-skulls
#2
Kevin R Zhang, Alexander D Blandford, Catherine J Hwang, Julian D Perry
PURPOSE: The infraorbital foramen (IOF) represents a highly conserved structure but demonstrates morphologic variability. The purpose of this study is to describe the IOF location, size, and supernumerary foramina in an African American population and compare it with a Caucasian population. METHODS: Sixty African American and 60 Caucasian skulls from the Hamann-Todd collection of the Cleveland Museum of Natural History were studied. The primary outcome was the number of accessory IOF and measurements of the location, size, shape, and direction of each foramen...
May 2, 2018: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29757686/predictors-of-unemployment-after-breast-cancer-surgery-a-systematic-review-and-meta-analysis-of-observational-studies
#3
Li Wang, Brian Y Hong, Sean A Kennedy, Yaping Chang, Chris J Hong, Samantha Craigie, Henry Y Kwon, Beatriz Romerosa, Rachel J Couban, Susan Reid, James S Khan, Michael McGillion, Victoria Blinder, Jason W Busse
Purpose Breast cancer surgery is associated with unemployment. Identifying high-risk patients could help inform strategies to promote return to work. We systematically reviewed observational studies to explore factors associated with unemployment after breast cancer surgery. Methods We searched MEDLINE, EMBASE, CINAHL, and PsycINFO to identify studies that explored risk factors for unemployment after breast cancer surgery. When possible, we pooled estimates of association for all independent variables reported by more than one study...
May 14, 2018: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/29746541/demonstration-of-an-algorithm-to-overcome-health-system-related-barriers-to-timely-diagnosis-of-breast-diseases-in-rural-zambia
#4
Leeya F Pinder, Jean-Baptiste Nzayisenga, Aaron Shibemba, Victor Kusweje, Hector Chiboola, Mary Amuyunzu-Nyamongo, Sharon Kapambwe, Catherine Mwaba, Pavlo Lermontov, Chibamba Mumba, Ronda Henry-Tillman, Groesbeck P Parham
BACKGROUND: Long delays to diagnosis is a major cause of late presentation of breast diseases in sub-Saharan Africa. AIMS: We designed and implemented a single-visit breast care algorithm that overcomes health system-related barriers to timely diagnosis of breast diseases. METHODS: A multidisciplinary team of Zambian healthcare experts trained a team of mid- and high-level Zambian healthcare practitioners how to evaluate women for breast diseases, and train trainers to do likewise...
2018: PloS One
https://www.readbyqxmd.com/read/29744950/the-idemcare-study-improving-dementia-care-in-black-african-and-caribbean-groups-a-feasibility-cluster-randomised-controlled-trial
#5
REVIEW
Moïse Roche, Naaheed Mukadam, Simon Adelman, Gill Livingston
OBJECTIVE: We evaluated the feasibility and acceptability of a tailored evidence-based intervention, consisting of a leaflet and a letter, to encourage timely help-seeking for dementia in Black elders. METHODS: Participating GP surgeries were randomised to send either the intervention or a control leaflet about ageing well to Black patients aged ≥50 years old without known dementia. We interviewed patients 2 weeks later about the intervention's acceptability using closed and open-ended questions, and they completed a Theory-of-Planned-behaviour questionnaire about what they would do if they developed memory problems, which they also completed 4 months later...
May 9, 2018: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29742613/perceptual-and-structural-facilitators-and-barriers-to-becoming-a-surgeon-a-qualitative-study-of-african-american-and-latino-surgeons
#6
Jesus G Ulloa, Omar Viramontes, Gery Ryan, Kenneth Wells, Melinda Maggard-Gibbons, Gerardo Moreno
PURPOSE: As racial and ethnic heterogeneity in the U.S. population increases, it is important that the health care workforce, including surgery, mirror that diversity. Structural and perceptual barriers may contribute to an underrepresentation of African-American and Latino surgeons. Understanding these barriers may translate into interventions, and in turn, improved diversification of the U.S. surgery workforce. METHOD: In 2016, the authors conducted in-depth semistructured interviews to explore structural and perceptual barriers African-American and Latino surgeons face...
May 8, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29733899/cataract-development-associated-with-long-term-glucocorticoid-therapy-in-duchenne-muscular-dystrophy-patients
#7
Melissa L Rice, Brenda Wong, Paul S Horn, Michael B Yang
PURPOSE: To evaluate the development of cataracts or ocular hypertension in patients with Duchenne muscular dystrophy (DMD) on long-term GC treatment. METHODS: The medical records of DMD patients evaluated from 2010 to 2015 at a single center were reviewed retrospectively. The main outcome measures were prevalence of cataracts and ocular hypertension, age of first detection of cataract, time from initial steroid use to first detection of cataract, and relative risk of cataract development for deflazacort versus prednisone treatment...
May 4, 2018: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/29726039/relationship-between-intraoperative-serum-lactate-and-hemoglobin-levels-on-postoperative-renal-function-in-patients-undergoing-elective-cardiac-surgery
#8
Steven C Mitchell, Anirudh Vinnakota, Salil V Deo, Alan H Markowitz, Basar Sareyyupoglu, Yakov Elgudin, Benjamin Medalion, Adam Tzagournis, Joseph Sabik, Soon J Park
BACKGROUND AND AIM: We examined the relationship between serum lactate and hemoglobin levels on renal function and postoperative outcome in low-risk elective coronary artery bypass graft (CABG) patients. METHODS: Intraoperative hemoglobin and lactate levels were measured in elective isolated CABG patients. Patients with renal dysfunction (baseline creatinine>2 mg/dL) were excluded. Multivariate logistic regression was used to determine associations between lactate, hemoglobin, and acute kidney injury (AKI)...
May 3, 2018: Journal of Cardiac Surgery
https://www.readbyqxmd.com/read/29704059/contemporary-rates-of-adherence-to-international-guidelines-for-pelvic-lymph-node-dissection-in-radical-cystectomy-a-population-based-study
#9
Emanuele Zaffuto, Marco Bandini, Stéphanie Gazdovich, Anne-Sophie Valiquette, Sami-Ramzi Leyh-Bannurah, Zhe Tian, Paolo Dell'Oglio, Markus Graefen, Marco Moschini, Andrea Necchi, Shahrokh F Shariat, Alberto Briganti, Francesco Montorsi, Pierre I Karakiewicz
OBJECTIVE: To examine the rates of adherence to guidelines for pelvic lymph node dissection (PLND) in patients treated with radical cystectomy (RC) and to identify predictors of omitting PLND. MATERIALS AND METHODS: We relied on 66,208 patients treated with RC between 2004 and 2013 within the National Inpatients Sample (NIS) database. We examined the rates of PLND according to year of surgery, patient and hospital characteristics. Univariate and multivariate logistic regression analyses assessed the probability of PLND use, after adjusting for year of surgery, age, gender, race, comorbidities, hospital location, teaching status and hospital surgical volume...
April 27, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29701564/influence-of-racial-disparities-on-patient-reported-satisfaction-and-short-and-long-term-perception-of-health-status-after-elective-lumbar-spine-surgery
#10
Aladine A Elsamadicy, Hanna Kemeny, Owoicho Adogwa, Eric W Sankey, C Rory Goodwin, Chester K Yarbrough, Shivanand P Lad, Isaac O Karikari, Oren N Gottfried
OBJECTIVE In spine surgery, racial disparities have been shown to impact various aspects of surgical care. Previous studies have associated racial disparities with inferior surgical outcomes, including increased complication and 30-day readmission rates after spine surgery. Recently, patient-reported outcomes (PROs) and satisfaction measures have been proxies for overall quality of care and hospital reimbursements. However, the influence that racial disparities have on short- and long-term PROs and patient satisfaction after spine surgery is relatively unknown...
April 27, 2018: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/29691260/ceftolozane-tazobactam-for-the-treatment-of-multidrug-resistant-pseudomonas-aeruginosa-pneumonia-in-a-patient-receiving-intermittent-hemodialysis
#11
Mohammed A Alessa, Thamer A Almangour, Abdulaziz Alhossan, Musaed A Alkholief, Mohammed Alhokail, Deanne E Tabb
PURPOSE: The safety and effectiveness of ceftolozane-tazobactam for the treatment of multidrug-resistant (MDR) Pseudomonas aeruginosa pneumonia in a patient receiving intermittent hemodialysis are reported. CASE REPORT: A 79-year-old African-American man arrived at an emergency trauma center from a nursing home via ambulance with shortness of breath and potential nasogastric tube misplacement. His medical history included end-stage renal disease (ESRD) for which he was receiving intermittent hemodialysis 3 times per week, hypertension, sacral ulcer, coronary artery bypass graft surgery, and P...
May 1, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29679201/utilization-of-the-21-gene-recurrence-score-in-a-diverse-breast-cancer-patient-population-development-of-a-clinicopathologic-model-to-predict-high-risk-scores-and-response-to-neoadjuvant-chemotherapy
#12
Ko Un Park, Yalei Chen, Dhananjay Chitale, Sarah Choi, Haythem Ali, S David Nathanson, Jessica Bensenhaver, Erica Proctor, Lindsay Petersen, Randa Loutfi, Alyson Simonds, Marcia Kuklinski, Thomas Doyle, Vrushali Dabak, Kim Cole, Melissa Davis, Lisa Newman
INTRODUCTION: The 21-gene expression profile [Oncotype DX Recurrence Score (RS)] stratifies benefit from adjuvant chemotherapy in hormone receptor (HR)-positive, HER2/neu-negative, node-negative breast cancer. It is not routinely applied to predict neoadjuvant chemotherapy (NACT) response; data in diverse patient populations also are limited. We developed a statistical model based on standard clinicopathologic features to identify high-risk cases (RS > 30) and then evaluated ability of predicted high RS to predict for NACT downstaging...
April 20, 2018: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/29649033/predictors-of-admission-after-the-implementation-of-an-enhanced-recovery-after-surgery-pathway-for-minimally-invasive-gynecologic-surgery
#13
Dayley S Keil, Lauren D Schiff, Erin T Carey, Janelle K Moulder, Amy M Goetzinger, Seema M Patidar, Lyla M Hance, Lavinia M Kolarczyk, Robert S Isaak, Paula D Strassle, Jay W Schoenherr
BACKGROUND: Enhanced recovery after surgery (ERAS) pathways in gynecologic surgery have been shown to decrease length of stay with no impact on readmission, but no study has assessed predictors of admission in this population. The purpose of this study was to identify predictors of admission after laparoscopic hysterectomy (LH) and robotic-assisted hysterectomy (RAH) performed under an ERAS pathway. METHODS: This is a prospective observational study of women undergoing LH/RAH for benign indications within an ERAS pathway...
April 11, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29643962/ethnicity-related-differences-in-inguinal-canal-dimensions-between-african-and-caucasian-populations-and-their-potential-impact-on-the-mesh-size-for-open-and-laparoscopic-groin-hernia-repair-in-low-resource-countries-in-africa
#14
Kryspin Mitura, Sławomir Kozieł, Michał Pasierbek
Introduction: Access to surgery in Africa is significantly limited. Treatment outcomes in Africa differ significantly compared to those achieved in Europe or the US. Therefore, to popularise tension-free repair, it is essential to determine the economically justified mesh size for the African population. Aim: To conduct anthropometric evaluation of the inguinal canal in African and European patients to determine its potential consequences for the mesh size for open and laparoscopic hernia repair...
March 2018: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/29626303/axillary-surgery-for-early-stage-node-positive-mastectomy-patients-and-the-use-of-postmastectomy-chest-wall-radiation-therapy
#15
Sara Gaines, Nicholas Suss, Ermilo Barrera, Catherine Pesce, Kristine Kuchta, D J Winchester, Katharine Yao
BACKGROUND: We examined axillary surgery in mastectomy patients with tumor-positive nodes and how the type of axillary surgery impacted use of postmastectomy chest wall radiation therapy (PMRT). METHODS: Using the National Cancer Data Base, we selected patients with AJCC cT1/T2c N0 breast cancer with one to three tumor-positive lymph nodes treated between 2013 and 2014. Type of axillary surgery was analyzed using the FORDS scope of regional lymph node surgery variable...
April 6, 2018: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/29622497/ebola-virus-persistence-in-ocular-tissues-and-fluids-evict-study-reverse-transcription-polymerase-chain-reaction-and-cataract-surgery-outcomes-of-ebola-survivors-in-sierra-leone
#16
Jessica G Shantha, John G Mattia, Augustine Goba, Kayla G Barnes, Faiqa K Ebrahim, Colleen S Kraft, Brent R Hayek, Jessica N Hartnett, Jeffrey G Shaffer, John S Schieffelin, John D Sandi, Mambu Momoh, Simbirie Jalloh, Donald S Grant, Kerry Dierberg, Joyce Chang, Sharmistha Mishra, Adrienne K Chan, Rob Fowler, Tim O'Dempsey, Erick Kaluma, Taylor Hendricks, Roger Reiners, Melanie Reiners, Lowell A Gess, Kwame ONeill, Sarian Kamara, Alie Wurie, Mohamed Mansaray, Nisha R Acharya, William J Liu, Sina Bavari, Gustavo Palacios, Moges Teshome, Ian Crozier, Paul E Farmer, Timothy M Uyeki, Daniel G Bausch, Robert F Garry, Matthew J Vandy, Steven Yeh
BACKGROUND: Ebola virus disease (EVD) survivors are at risk for uveitis during convalescence. Vision loss has been observed following uveitis due to cataracts. Since Ebola virus (EBOV) may persist in the ocular fluid of EVD survivors for an unknown duration, there are questions about the safety and feasibility of vision restorative cataract surgery in EVD survivors. METHODS: We conducted a cross-sectional study of EVD survivors anticipating cataract surgery and patients with active uveitis to evaluate EBOV RNA persistence in ocular fluid, as well as vision outcomes post cataract surgery...
March 23, 2018: EBioMedicine
https://www.readbyqxmd.com/read/29621999/histo-epidemiological-profile-of-breast-cancers-among-women-in-the-central-african-republic-about-174-cases
#17
Augustin Balekouzou, Ping Yin, Cavin Epi Bekolo, Christian Maucler Pamatika, Marceline Djeintote, Sylvain Wilfrid Nambei, Bertrand Ba-Mpoutou, Dieubeni Rawago Mandjiza, Chang Shu, Minghui Yin, Tingting Qing, Boniface Koffi
BACKGROUND: Breast cancer (BC) is the most common cancer in women worldwide and leading cause of cancer deaths indeveloping countries. There is very limited data on BC in the Central African Republic. The purpose of this study was to describe the epidemiological and histopathological characteristics of BC in Bangui. METHODS: This retrospective study reviewed cancer data registries and medical records from the Pathology Unit of the National Laboratory in Bangui and the General Surgery and Gyneacology service from 2003 to 2015...
April 5, 2018: BMC Cancer
https://www.readbyqxmd.com/read/29610011/the-oxford-medial-unicompartmental-knee-arthroplasty-the-south-african-experience
#18
Stefano Campi, Hemant G Pandit, Christiaan R Oosthuizen
BACKGROUND: The Oxford unicompartmental knee arthroplasty (OUKA) is a successful treatment for endstage, symptomatic anteromedial osteoarthritis. This study reports the results of a cohort of consecutive cemented and cementless medial OUKAs from an independent center and aims to answer the following questions: what is the survival of OUKA in the hands of a nondesigner surgeon? Are there any differences in the survival of cementless and cemented OUKA? Are the failure modes any different with the cementless and cemented OUKA? METHODS: One thousand one hundred twenty consecutive OUKAs were implanted in a single center for the recommended indications...
February 2, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29608394/surrogate-decision-makers-perspectives-on-family-members-prognosis-after-intracerebral-hemorrhage
#19
Darin B Zahuranec, Renee R Anspach, Meghan E Roney, Andrea Fuhrel-Forbis, Daniel M Connochie, Emily P Chen, Bradford B Thompson, Panayiotis N Varelas, Lewis B Morgenstern, Angela Fagerlin
BACKGROUND: Surrogate communication with providers about prognosis in the setting of acute critical illness can impact both patient treatment decisions and surrogate outcomes. OBJECTIVES: To examine surrogate decision maker perspectives on provider prognostic communication after intracerebral hemorrhage (ICH). DESIGN: Semistructured interviews were conducted and analyzed qualitatively for key themes. SETTING/SUBJECTS: Surrogate decision makers for individuals admitted with ICH were enrolled from five acute care hospitals...
April 2, 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29594911/analyzing-the-impact-of-compliance-with-national-guidelines-for-pancreatic-cancer-care-using-the-national-cancer-database
#20
Kathryn Jaap, Marcus Fluck, Marie Hunsinger, Jeffrey Wild, Tania Arora, Mohsen Shabahang, Joseph Blansfield
IMPORTANCE: Management of pancreatic cancer is complex, requiring coordination of multiple providers. National Comprehensive Cancer Network guidelines, developed for standardization and quality improvement, recommend a multimodal approach. OBJECTIVE: This study analyzed national rates of compliance with National Comprehensive Cancer Network recommendations, assessed factors affecting compliance, and evaluated whether compliance with evidence-based guidelines improved overall survival...
March 28, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
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