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Kevin Real, Shoshana H Bardach, David R Bardach
Increasingly, health communication scholars are attending to how hospital built environments shape communication, patient care processes, and patient outcomes. This multimethod study was conducted on two floors of a newly designed urban hospital. Nine focus groups interviews were conducted with 35 health care professionals from 10 provider groups. Seven of the groups were homogeneous by profession or level: nursing (three groups), nurse managers (two groups), and one group each of nurse care technicians ("techs") and physicians...
November 30, 2016: Health Communication
Niamh M Long, Andrew J Plodkowski, Rachel Schor-Bardach, Alexander I Geyer, Junting Zheng, Chaya S Moskowitz, Michelle S Ginsberg
OBJECTIVE: The aims of this study were to describe the computed tomographic features of organizing pneumonia (OP) in an oncologic patient population and to also identify features associated with lung cancer and patients undergoing hematopoietic stem cell transplant (HSCT). METHODS: In retrospective computed tomographies from 151 patients with pathologically confirmed OP between January 2009 and September 2014, number of lesions, location, size, margin type, and consistency, as well as volume of lymphadenopathy and the presence and size of pleural effusions, were recorded...
October 20, 2016: Journal of Computer Assisted Tomography
Brunilda Casetta, Alejandro J Videla, Ariel Bardach, Paola Morello, Natalie Soto, Kelly Lee, Paul Anthony Camacho, Rocío Victoria Hermoza Moquillaza, Agustín Ciapponi
INTRODUCTION: Previous evidence linked low socioeconomic status with higher smoking prevalence. Our objective was to assess the strength of this association in the world population, updating a previous work. METHODS: Systematic review and meta-analysis of observational studies. Subgroup analyses included continents, WHO regions, country mortality levels, gender, age, risk of bias and study publication date. Independent reviewers selected studies, assessed potential bias and extracted data...
September 27, 2016: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
Agustín Ciapponi, Andrea Alcaraz, María Calderón, María Gabriela Matta, Martin Chaparro, Natalie Soto, Ariel Bardach
INTRODUCTION AND OBJECTIVES: Heart failure is a major public health concern. The aim of this review was to estimate the burden of heart failure in Latin America. METHODS: Systematic review and meta-analysis following a search in MEDLINE, EMBASE, LILACS, and CENTRAL for articles published between January 1994 and June 2014, with no language restrictions. We included experimental and observational studies with at least 50 participants aged ≥ 18 years. RESULTS: In total, 143 of the 4792 references retrieved were included in the study...
August 20, 2016: Revista Española de Cardiología
Sarah D Tarrant, Shoshana H Bardach, Kendra Bates, Heather Nichols, Jacqueline Towner, Clay Tamatha, Allison Caban-Holt, Linda J Van-Eldik, Richard R Murphy, Reisa Sperling, Gregory A Jicha
Effective and practical recruitment strategies are needed to ensure successful recruitment into the Alzheimer disease clinical trials. To facilitate successful recruitment for the NIH-sponsored A4 (Anti-Amyloid treatment in Asymptomatic Alzheimer's disease, NCT02008357) trial for the secondary prevention of Alzheimer disease, we developed a small-group community information session to attract and recruit potential research participants. After a successful media campaign, 213 participants were screened through telephone for eligibility, identifying 127 potential participants...
May 20, 2016: Alzheimer Disease and Associated Disorders
Adam J Schoenfeld, Jason M Davies, Ben J Marafino, Mitzi Dean, Colette DeJong, Naomi S Bardach, Dhruv S Kazi, W John Boscardin, Grace A Lin, Reena Duseja, Y John Mei, Ateev Mehrotra, R Adams Dudley
IMPORTANCE: Commercial virtual visits are an increasingly popular model of health care for the management of common acute illnesses. In commercial virtual visits, patients access a website to be connected synchronously-via videoconference, telephone, or webchat-to a physician with whom they have no prior relationship. To date, whether the care delivered through those websites is similar or quality varies among the sites has not been assessed. OBJECTIVE: To assess the variation in the quality of urgent health care among virtual visit companies...
May 1, 2016: JAMA Internal Medicine
J Erdenetsogt, G N Ayanga, D Tserendulam, R Bayasgalan
INTRODUCTION: The three common complications after cleft palate repair are velopharyngeal incompetence, delayed maxillary growth, and fistula formation. Fistula formation rates are reported 0-76% in the literature. Wider palatal defects are more challenging to avoid excess tension, and recent reports suggest defects >15 mm have a significantly higher risk of fistula formation. By localization, the fistulas are divided into seven groups with Pittsburgh fistula classification system (PFCS)...
July 2015: Annals of Maxillofacial Surgery
Andrés Pichon-Riviere, Andrea Alcaraz, Joaquín Caporale, Ariel Bardach, Lucila Rey-Ares, Karen Klein, María Calderón, Federico Augustovski, Silvio Tatti
OBJECTIVE: To assess the cost-effectiveness of the quadrivalent vaccine against human papillomavirus (HPV) in Argentina from the health system perspective. MATERIALS AND METHODS: A dynamic transmission model was used to estimate the impact of the vaccine on the incidence of cervical cancer, warts, and other HPV related diseases; in quality adjusted life years (QALYs); and in healthcare costs. RESULTS: Vaccination could reduce the risk of cervical cancer by 60% and by 67% the risk of genital warts...
November 2015: Salud Pública de México
Naomi S Bardach, Audrey Lyndon, Renée Asteria-Peñaloza, L Elizabeth Goldman, Grace A Lin, R Adams Dudley
OBJECTIVE: Patient-centred care has become a priority in many countries. It is unknown whether current tools capture aspects of care patients and their surrogates consider important. We investigated whether online narrative reviews from patients and surrogates reflect domains in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) and we described additional potential domains. DESIGN: We used thematic analysis to assess online narrative reviews for reference to HCAHPS domains and salient non-HCAHPS domains and compared results by reviewer type (patient vs surrogate)...
December 15, 2015: BMJ Quality & Safety
A Ciapponi, A Bardach, M Calderón, A Alcaraz, M G Matta, M Chaparro, N Soto
No abstract text is available yet for this article.
November 2015: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Ariel Esteban Bardach, Agustin Ciapponi, Natalie Soto, Martin R Chaparro, Maria Calderon, Agustina Briatore, Norma Cadoppi, Roberto Tassara, Marta I Litter
Four million people in Argentina are exposed to arsenic contamination from drinking waters of several center-northern provinces. A systematic review to examine the geographical distribution of arsenic-related diseases in Argentina was conducted, searching electronic databases and gray literature up to November 2013. Key informants were also contacted. Of the 430 references identified, 47 (mostly cross-sectional and ecological designs) referred to arsenic concentration in water and its relationship with the incidence and mortality of cancer, dermatological diseases and genetic disorders...
December 15, 2015: Science of the Total Environment
Márcia Teixeira Pinto, Andres Pichon-Riviere, Ariel Bardach
Advances in tobacco control in Brazil can be reflected in the decrease in prevalence over the past two decades. Death statistics and the occurrence of events and direct costs attributable to tobacco-related diseases have not been frequently estimated in the country. The goal of this article is to estimate the burden of smoking in 2011 regarding mortality, morbidity and medical care costs of the main tobacco-related diseases. A probabilistic microsimulation health economic model was built. The model incorporates the natural history, costs and quality of life of all the tobacco-related adult-specific diseases...
June 2015: Cadernos de Saúde Pública
Shoshana H Bardach, Nancy E Schoenberg, Britteny M Howell
Dietary intake and physical activity are lifestyle behaviors that are learned, developed, and practiced throughout an individual's lifetime. These lifestyle behaviors have a profound role on health and quality of life--with late-life changes still resulting in notable improvements. Despite well documented benefits of behavior change, such changes are extremely challenging. The purpose of this study is to better understand from the perspective of older adults themselves, the factors that may influence their likelihood of making lifestyle changes...
February 2016: Journal of Community Health
Grace A Lin, Naomi S Bardach
No abstract text is available yet for this article.
December 2014: Joint Commission Journal on Quality and Patient Safety
Reena Duseja, Naomi S Bardach, Grace A Lin, Jinoos Yazdany, Mitzi L Dean, Theodore H Clay, W John Boscardin, R Adams Dudley
BACKGROUND: Return visits to the emergency department (ED) or hospital after an index ED visit strain the health system, but information about rates and determinants of revisits is limited. OBJECTIVE: To describe revisit rates, variation in revisit rates by diagnosis and state, and associated costs. DESIGN: Observational study using the Healthcare Cost and Utilization Project databases. SETTING: 6 U.S. states. PATIENTS: Adults with ED visits between 2006 and 2010...
June 2, 2015: Annals of Internal Medicine
Shoshana H Bardach, Edward J Dunn, J Christopher Stein
Discussions regarding patient preferences for resuscitation are often delayed and preferences may be neglected, leading to the receipt of unwanted medical care. To better understand barriers to the expression and realization of patients' end of life wishes, a preventive ethics team in one Veterans Affairs Medical Center conducted a survey of physicians, nurses, social workers, and respiratory therapists. Surveys were analyzed through qualitative analysis, using sorting methodologies to identify themes. Analysis revealed barriers to patient wishes being identified and followed, including discomfort conducting end-of-life discussions, difficulty locating patients' preferences in medical records, challenges with expiring do not resuscitate (DNR) orders, and confusion over terminology...
May 8, 2015: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
Naomi S Bardach, Judith H Hibbard, Felix Greaves, R Adams Dudley
BACKGROUND: In the context of the Affordable Care Act, there is extensive emphasis on making provider quality transparent and publicly available. Online public reports of quality exist, but little is known about how visitors find reports or about their purpose in visiting. OBJECTIVE: To address this gap, we gathered website analytics data from a national group of online public reports of hospital or physician quality and surveyed real-time visitors to those websites...
2015: Journal of Medical Internet Research
Catherine L Chen, Grace A Lin, Naomi S Bardach, Theodore H Clay, W John Boscardin, Adrian W Gelb, Mervyn Maze, Michael A Gropper, R Adams Dudley
BACKGROUND: Routine preoperative testing is not recommended for patients undergoing cataract surgery, because testing neither decreases adverse events nor improves outcomes. We sought to assess adherence to this guideline, estimate expenditures from potentially unnecessary testing, and identify patient and health care system characteristics associated with potentially unnecessary testing. METHODS: Using an observational cohort of Medicare beneficiaries undergoing cataract surgery in 2011, we determined the prevalence and cost of preoperative testing in the month before surgery...
April 16, 2015: New England Journal of Medicine
Shoshana H Bardach, Nancy E Schoenberg, Britteny M Howell
Despite the known benefits of engaging in healthy diet and physical activity across the life span, suboptimal diet and physical inactivity are pervasive among older adults. While health care providers can promote patients' engagement in health behaviors, patient recall of recommendations tends to be imperfect. This study sought to better understand older adults' recall of dietary and physical activity discussions in primary care. One hundred and fifteen adults aged 65 and older were interviewed immediately following a routine primary care visit on whether and what they recalled discussing pertaining to diet and physical activity...
March 9, 2015: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
Viviana Brito, Andrea Alcaraz, Federico Augustovski, Andrés Pichón-Riviere, Sebastián García-Martí, Ariel Bardach, Agustín Ciapponi, Analía Lopez, Daniel Comandé
Among the new cardiovascular event (CVE) risk biomarkers, C-reactive protein detected using high sensitive techniques (hs-CRP) has been one of the most commonly evaluated. In this review, the available evidence on the usefulness of hs-CRP was explored as an independent risk event factor in subjects with no cardiovascular history and as prognosis in case of chronic or acute cardiovascular condition. An overview (revision of revisions) was carried out searching in the main bibliographic databases and in other general Internet search engines...
April 2015: Archivos de Cardiología de México
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