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Michael Bobian, Aron Kandinov, Nour El-Kashlan, Peter F Svider, Adam J Folbe, Ross Mayerhoff, Jean Anderson Eloy, S Naweed Raza
OBJECTIVES/HYPOTHESIS: Despite the increasing role of mobile applications (apps) in patient education, there has been little inquiry evaluating the quality of these resources. Because poor health literacy has been associated with inferior health outcomes, evaluating the quality of patient education materials takes on great importance. Our objective was to employ validated readability tools for the evaluation of gastroesophageal reflux (GERD) mobile apps. METHODS: GERD-specific apps found in the Apple App Store (Apple Inc...
October 18, 2016: Laryngoscope
Houmehr Hojjat, Peter F Svider, Pedram Davoodian, Robert S Hong, Adam J Folbe, Jean Anderson Eloy, Mahdi A Shkoukani
OBJECTIVES/HYPOTHESIS: Our objective was to perform an economic analysis evaluating whether ordering a magnetic resonance imaging (MRI) is a cost-effective practice in the workup of undifferentiated asymmetric sensorineural hearing loss (ASNHL). Use of T1 gadolinium-weighted MR (GdT1W) and T2 weighted MR without contrast (T2MR) was each examined. METHODS: The incremental cost-effectiveness ratio (ICER) of MR imaging among ASNHL patients was evaluated using a decision tree...
September 30, 2016: Laryngoscope
Milap Raikundalia, Peter F Svider, Curtis Hanba, Adam J Folbe, Mahdi A Shkoukani, Soly Baredes, Jean Anderson Eloy
OBJECTIVES/HYPOTHESIS: Our objectives included using a nationally representative resource to evaluate charges, demographics, and complication rates among diabetics undergoing surgical repair of facial fractures. METHODS: We evaluated the Nationwide Inpatient Sample, a database encompassing nearly 8 million hospitalizations, for patients with a diagnosis of a facial fracture who underwent surgical intervention during their hospitalization. Patients were organized by whether they had a diagnosis of diabetes mellitus (DM)...
September 23, 2016: Laryngoscope
Curtis Hanba, Peter F Svider, Mahdi A Shkoukani, Anthony Sheyn, Jeffrey T Jacob, Jean Anderson Eloy, Adam J Folbe
BACKGROUND: Although there has been extensive study evaluating adult pituitary surgery, there has been scant analysis among children. Our objective was to evaluate a population-based resource to characterize nationwide trends in surgical approach, hospital stay, and complications among children undergoing pituitary surgery. METHODS: The Kids' Inpatient-Database (KID) files (2009/2012) were evaluated for pituitary gland excisions. Procedure, patient demographics, length of inpatient stay, inpatient costs, hospital setting, and surgical complications were analyzed...
September 14, 2016: International Forum of Allergy & Rhinology
Michael R Bobian, Curtis J Hanba, Peter F Svider, Houmehr Hojjat, Adam J Folbe, Jean Anderson Eloy, Mahdi A Shkoukani
PURPOSE: Soccer participation continues to increase among all ages in the US. Our objective was to analyze trends in soccer-related facial injury epidemiology, demographics, and mechanisms of injury. MATERIALS AND METHODS: The National Electronic Injury Surveillance System was evaluated for soccer-related facial injuries from 2010 through 2014. Results for product code "soccer" were filtered for injures to the face. Number of injuries was extrapolated, and data were analyzed for age, sex, specific injury diagnoses, locations, and mechanisms...
September 12, 2016: Annals of Otology, Rhinology, and Laryngology
Houmehr Hojjat, Peter F Svider, Adam J Folbe, Syed N Raza, Michael A Carron, Mahdi A Shkoukani, Albert L Merati, Ross M Mayerhoff
OBJECTIVES/HYPOTHESIS: To evaluate the cost-effectiveness of routine computed tomography (CT) in individuals with unilateral vocal fold paralysis (UVFP) STUDY DESIGN: Health Economics Decision Tree Analysis METHODS: A decision tree was constructed to determine the incremental cost-effectiveness ratio (ICER) of CT imaging in UVFP patients. Univariate sensitivity analysis was utilized to calculate what the probability of having an etiology of the paralysis discovered would have to be to make CT with contrast more cost-effective than no imaging...
September 7, 2016: Laryngoscope
Joseph M Lewis, Jonathan Folb, Sanjay Kalra, S Bertel Squire, Miriam Taegtmeyer, Nick J Beeching
BACKGROUND: Brucella spp. prosthetic joint infections are infrequently reported in the literature, particularly in returning travellers, and optimal treatment is unknown. METHOD: We describe a prosthetic joint infection (PJI) caused by Brucella melitensis in a traveller returning to the UK from Thailand, which we believe to be the first detailed report of brucellosis in a traveller returning from this area. The 24 cases of Brucella-related PJI reported in the literature are summarised...
August 31, 2016: Travel Medicine and Infectious Disease
Michael R Bobian, Noor Shah, Peter F Svider, Robert S Hong, Mahdi A Shkoukani, Adam J Folbe, Jean Anderson Eloy
OBJECTIVES/HYPOTHESIS: To evaluate whether formalized research training is associated with higher researcher productivity, academic rank, and acquisition of National Institutes of Health (NIH) grants within academic otolaryngology departments. METHODS: Each of the 100 civilian otolaryngology program's departmental websites were analyzed to obtain a comprehensive list of faculty members credentials and characteristics, including academic rank, completion of a clinical fellowship, completion of a formal research fellowship, and attainment of a doctorate in philosophy (PhD) degree...
August 31, 2016: Laryngoscope
Curtis Hanba, Peter F Svider, Frank S Chen, Michael A Carron, Adam J Folbe, Jean Anderson Eloy, Giancarlo F Zuliani
Importance: There are well-described racial, sex, and age differences related to osteoporosis and hip and/or extremity fractures. Nonetheless, there has been virtually no inquiry evaluating whether these findings carry over to facial fracture. Objective: To characterize the incidence of facial fractures by patient demographics and injury mechanism, focusing on whether differences are noted with race, sex, and advancing age. Main Outcomes and Measures: Retrospective analysis of the National Electronic Injury Surveillance System (NEISS) was performed in October and November 2015, specifically evaluating adult emergency department (ED) visits from 2012 to 2014 related to facial trauma...
July 14, 2016: JAMA Facial Plastic Surgery
Curtis Hanba, Amar Gupta, Peter F Svider, Adam J Folbe, Jean Anderson Eloy, Giancarlo F Zuliani, Michael A Carron
OBJECTIVES/HYPOTHESIS: As our population ages, injuries attributable to falls continue to increase, impacting healthcare delivery. Evaluation of craniofacial trauma with focus on elderly patients remains an underappreciated concern. Our objectives were to evaluate injury trends associated with elderly bathroom falls, as this information may be useful for counseling and preventive purposes. STUDY DESIGN: Database review. METHODS: The National Electronic Injury Surveillance System was evaluated for craniofacial trauma among patients 60 years and older presenting to the emergency department (ED) (2010-2014)...
July 14, 2016: Laryngoscope
Peter F Svider, Michael Bobian, Houmehr Hojjat, Anthony Sheyn, Giancarlo Zuliani, Jean Anderson Eloy, Adam J Folbe
BACKGROUND: Winter activities offer children and adolescents an outdoor recreational opportunity during the coldest months. Our objectives were to estimate the national incidence of facial injury associated with recreational winter activities. Furthermore, we analyze demographic trends and clinical characteristics of patients presenting to emergency departments (EDs). METHODS: The National Electronic Injury Surveillance System (NEISS), a population-based resource, was evaluated for ED visits from 2010 to 2014 for children injured from "active" winter -undertakings (snowboarding, skiing, ice skating) and sledding/tubing...
August 2016: International Journal of Pediatric Otorhinolaryngology
Adam J Folbe, Peter F Svider, Jean Anderson Eloy
Comprehension of the complex anatomic variants comprising the frontal sinus outflow tract is essential for successful surgical intervention. Deviation from sound technique increases the potential for a variety of deleterious sequelae, including recurrent disease as well as catastrophic intracranial and orbital injury. Furthermore, incomplete removal of elements occluding the frontal recess can result in severe stenosis that can increase the difficulty of further interventions. This review covers anatomic considerations that should be kept in mind when performing frontal sinus surgery...
August 2016: Otolaryngologic Clinics of North America
Houmehr Hojjat, Peter F Svider, Ho-Sheng Lin, Adam J Folbe, Mahdi A Shkoukani, Jean Anderson Eloy, Giancarlo Zuliani
OBJECTIVES/HYPOTHESIS: To estimate the incidence of patients presenting to emergency departments (EDs) for facial trauma sustained from participation in combat sports and evaluate injury patterns and patient demographics. METHODS: The National Electronic Injury Surveillance System (NEISS) was evaluated for facial injuries from wrestling, boxing, and martial arts leading to ED visits from 2008 to 2013. Relevant entries were examined for injury mechanism, location, type, as well as other patient characteristics...
August 2016: Annals of Otology, Rhinology, and Laryngology
John Joseph, Peter F Svider, Kevin Shaigany, Jean Anderson Eloy, Paulette G McDonald, Adam J Folbe, Robert S Hong
PURPOSE: The purpose of this study was to analyze and compare the readability of patient education materials (PEMs) from leading manufacturers of behind-the-ear style hearing aids and popular hearing aid information Web sites to determine if they meet guidelines recommended by public health agencies. RESEARCH DESIGN: Analysis of hearing aid PEMs. METHODS: Printed user guides from six of the leading manufacturers of BTE hearing aids and 15 of the most popular hearing aid-information Web sites were accessed online and analyzed for readability using the Gunning-Fog Index, New Fog Count, Raygor Estimate Graph, Simple Measure of Gobbledygook, and Flesch Reading Ease score...
April 2016: Journal of the American Academy of Audiology
Peter F Svider, Michael Bobian, Ho-Sheng Lin, Michael Setzen, Soly Baredes, Jean Anderson Eloy, Adam J Folbe
OBJECTIVES/HYPOTHESIS: In response to concerns regarding physician-industry relationships, the Physician Sunshine Act of 2010 was passed in an effort to increase transparency and accountability. Our objective was to determine whether there is an association between industry support and scholarly impact among academic otolaryngologists. METHODS: Faculty listings, academic rank, and fellowship training of academic otolaryngologists were accessed from departmental websites...
April 26, 2016: Laryngoscope
Lara Fairall, Eric Bateman, Ruth Cornick, Gill Faris, Venessa Timmerman, Naomi Folb, Max Bachmann, Merrick Zwarenstein, Richard Smith
One of the biggest problems in global health is the lack of well trained and supported health workers in less developed settings. In many rural areas there are no physicians, and it is important to find ways to support and empower nurses and other health workers. The Knowledge Translation Unit of the University of Cape Town Lung Institute has spent 14 years developing a series of innovative packages to support and empower nurses and other health workers. PACK (Practical Approach to Care Kit) Adult comprises policy-based and evidence-informed guidelines; onsite, team and case-based training; non-physician prescribing; and a cascade system of scaling up...
October 2015: BMJ Innovations
Peter F Svider, Michael Chen, Daniela Burchhardt, Priyanka S O'Brien, Mahdi A Shkoukani, Giancarlo F Zuliani, Adam J Folbe
OBJECTIVES: Although prevention of head injuries through helmet use is widespread, there has been a paucity of inquiry and publicity regarding the potential for facial injury stemming from cycling. Our objectives included estimating the incidence of emergency department (ED) visits for bicycle-related facial trauma among the pediatric population and detailing injury patterns. STUDY DESIGN AND SETTING: Analysis of a nationwide database. METHODS: The National Electronic Injury Surveillance System, offered by the Consumer Product Safety Commission, was accessed for ED visits related to bicycle-related facial trauma among individuals 21 years old and younger...
February 2016: Otolaryngology—Head and Neck Surgery
Naomi Folb, Crick Lund, Lara R Fairall, Venessa Timmerman, Naomi S Levitt, Krisela Steyn, Max O Bachmann
BACKGROUND: Socioeconomic predictors and consequences of depression and its treatment were investigated in 4393 adults with specified non-communicable diseases attending 38 public sector primary care clinics in the Eden and Overberg districts of the Western Cape, South Africa. METHODS: Participants were interviewed at baseline in 2011 and 14 months later, as part of a randomised controlled trial of a guideline-based intervention to improve diagnosis and management of chronic diseases...
November 30, 2015: BMC Public Health
Karen Hacker, Maria Anies, Barbara L Folb, Leah Zallman
With the unprecedented international migration seen in recent years, policies that limit health care access have become prevalent. Barriers to health care for undocumented immigrants go beyond policy and range from financial limitations, to discrimination and fear of deportation. This paper is aimed at reviewing the literature on barriers to health care for undocumented immigrants and identifying strategies that have or could be used to address these barriers. To address study questions, we conducted a literature review of published articles from the last 10 years in PubMed using three main concepts: immigrants, undocumented, and access to health care...
2015: Risk Management and Healthcare Policy
Kevin Shaigany, Anish Abrol, Peter F Svider, Jean Anderson Eloy, Michael A Carron, Ho-Sheng Lin, Adam J Folbe
OBJECTIVES/HYPOTHESIS: The use of recreational motorized vehicles (RMVs), including all-terrain vehicles (ATVs), snowmobiles, and go-carts, has increased in recent decades. Because RMVs are lightly regulated, there are numerous safety concerns. This analysis examines a nationally representative resource to estimate the incidence of craniofacial trauma secondary to RMV accidents, evaluating injury and demographic patterns. METHODS: The Consumer Product Safety Commission's National Electronic Injury Surveillance System was examined for facial trauma resulting in emergency department (ED) visits stemming from the use of ATVs, motorbikes/scooters, snowmobiles, and utility vehicles...
January 2016: Laryngoscope
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