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Concurrent coding

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https://www.readbyqxmd.com/read/29792995/lumbar-discectomy-is-associated-with-higher-rates-of-lumbar-fusion
#1
Hector Castillo, Ravi Chintapalli, Harout Boyajian, Sebastian A Cruz, Vince K Morgan, Lewis L Shi, Michael J Lee
BACKGROUND CONTEXT: Lumbar disc herniation affects over three million people in the United States every year, and the rate of operation continually increases, particularly in patients 60 years or older.1,2 Surgical discectomy is a common treatment for lumbar disc herniation.1,3 One concern for this method is the risk of undergoing additional surgeries. 2,5,7 There are very limited population-level studies that examine the rate of lumbar fusion following lumbar discectomy. Additionally, there is no study that examines the risk of undergoing lumbar fusion in patients who have undergone lumbar discectomies compared to the risk of lumbar fusion in the general population with no previous lumbar discectomy...
May 21, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29779674/forecasting-respiratory-infectious-outbreaks-using-ed-based-syndromic-surveillance-for-febrile-ed-visits-in-a-metropolitan-city
#2
Tae Han Kim, Ki Jeong Hong, Sang Do Shin, Gwan Jin Park, Sungwan Kim, Nhayoung Hong
BACKGROUND: Monitoring and detecting sudden outbreaks of respiratory infectious disease is important. Emergency Department (ED)-based syndromic surveillance systems have been introduced for early detection of infectious outbreaks. The aim of this study was to develop and validate a forecasting model of respiratory infectious disease outbreaks based on a nationwide ED syndromic surveillance using daily number of emergency department visits with fever. METHODS: We measured the number of daily ED visits with body temperature ≥ 38...
May 10, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29777437/the-impact-of-anatomical-and-spatial-distance-between-responses-on-response-conflict
#3
Peter Wühr, Herbert Heuer
Different features of objects can be associated with different responses, so that their concurrent presence results in conflict. The Simon effect is a prominent example of this type of response conflict. In two experiments, we ask whether it is modulated by the anatomical or spatial relation between responses. Predictions were derived from an extended variant of the leaky, competing accumulator (LCA) model proposed by Usher and McClelland (Psychological Review, 108, 550-592, 2001). The relation between responses was represented by the lateral-inhibition parameter of the model...
May 17, 2018: Memory & Cognition
https://www.readbyqxmd.com/read/29772425/an-innovative-expression-model-of-human-health-risk-based-on-the-quantitative-analysis-of-soil-metals-sources-contribution-in-different-spatial-scales
#4
Yimei Zhang, Shuai Li, Fei Wang, Zhuang Chen, Jie Chen, Liqun Wang
Toxicity of heavy metals from industrialization poses critical concern, and analysis of sources associated with potential human health risks is of unique significance. Assessing human health risk of pollution sources (factored health risk) concurrently in the whole and the sub region can provide more instructive information to protect specific potential victims. In this research, we establish a new expression model of human health risk based on quantitative analysis of sources contribution in different spatial scales...
April 30, 2018: Chemosphere
https://www.readbyqxmd.com/read/29760848/code-help-can-this-unique-state-regulatory-intervention-improve-emergency-department-crowding
#5
Sean S Michael, John P Broach, Kevin A Kotkowski, D Eric Brush, Gregory A Volturo, Martin A Reznek
Introduction: Emergency department (ED) crowding adversely affects multiple facets of high-quality care. The Commonwealth of Massachusetts mandates specific, hospital action plans to reduce ED boarding via a mechanism termed "Code Help." Because implementation appears inconsistent even when hospital conditions should have triggered its activation, we hypothesized that compliance with the Code Help policy would be associated with reduction in ED boarding time and total ED length of stay (LOS) for admitted patients, compared to patients seen when the Code Help policy was not followed...
May 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29751228/prenatal-nicotine-exposure-alters-postsynaptic-ampa-receptors-and-glutamate-neurotransmission-within-the-laterodorsal-tegmentum-ldt-of-juvenile-mice
#6
Filip S Polli, Kristi A Kohlmeier
Despite dissemination of information regarding the harm on fetal development of smoking while pregnant, the number of pregnancies associated with nicotine exposure appears to have stagnated. Presence of nicotine during neural formulation is associated with a higher susceptibility of drug dependence, suggesting an altered development of neurons in circuits involved in saliency and motivation. The laterodorsal tegmental nucleus (LDT) plays a role in coding stimuli valence via afferents to mesolimbic nuclei. Accordingly, alterations in development of neural mechanisms in the LDT could be involved in vulnerability to drug dependency...
April 25, 2018: Neuropharmacology
https://www.readbyqxmd.com/read/29735302/a-physician-led-initiative-to-improve-clinical-documentation-results-in-improved-health-care-documentation-case-mix-index-and-increased-contribution-margin
#7
Francesco A Aiello, Dejah R Judelson, Jonathan M Durgin, Danielle R Doucet, Jessica P Simons, Dawn M Durocher, Julie M Flahive, Andres Schanzer
INTRODUCTION: Clinical documentation is the key determinant of inpatient acuity of illness and payer reimbursement. Every inpatient hospitalization is placed into a diagnosis related group with a relative value based on documented procedures, conditions, comorbidities and complications. The Case Mix Index (CMI) is an average of these diagnosis related groups and directly impacts physician profiling, medical center profiling, reimbursement, and quality reporting. We hypothesize that a focused, physician-led initiative to improve clinical documentation of vascular surgery inpatients results in increased CMI and contribution margin...
May 4, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29734256/assessing-information-needs-regarding-metabolic-syndrome-among-gynecological-cancer-survivors-a-concurrent-mixed-method
#8
Insil Jang, Ji-Su Kim, Minhae Kim, Eunkyung Lee
BACKGROUND: Cancer survivors have an increased risk of non-cancer-related deaths, particularly metabolic syndrome (MetS). OBJECTIVE: We aimed to assess knowledge deficits regarding metabolism-related diseases among gynecological cancer survivors and the preferred source of health information. METHODS: Using a mixed methods approach, 70 participants responded to a structured modified version of the MetS questionnaire. We conducted 28 semistructured interviews of gynecological cancer survivors with MetS...
April 27, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29732173/alterations-in-sperm-dna-methylation-non-coding-rna-expression-and-histone-retention-mediate-vinclozolin-induced-epigenetic-transgenerational-inheritance-of-disease
#9
Millissia Ben Maamar, Ingrid Sadler-Riggleman, Daniel Beck, Margaux McBirney, Eric Nilsson, Rachel Klukovich, Yeming Xie, Chong Tang, Wei Yan, Michael K Skinner
Epigenetic transgenerational inheritance of disease and phenotypic variation can be induced by several toxicants, such as vinclozolin. This phenomenon can involve DNA methylation, non-coding RNA (ncRNA) and histone retention, and/or modification in the germline (e.g. sperm). These different epigenetic marks are called epimutations and can transmit in part the transgenerational phenotypes. This study was designed to investigate the vinclozolin-induced concurrent alterations of a number of different epigenetic factors, including DNA methylation, ncRNA, and histone retention in rat sperm...
April 2018: Environmental Epigenetics
https://www.readbyqxmd.com/read/29723900/severe-maternal-morbidity-and-hospital-cost-among-hospitalized-deliveries-in-the-united-states
#10
Han-Yang Chen, Suneet P Chauhan, Sean C Blackwell
OBJECTIVE:  The objective of this study was to estimate the contemporary national rate of severe maternal morbidity (SMM) and its associated hospital cost during delivery hospitalization. STUDY DESIGN:  We conducted a retrospective study identifying all delivery hospitalizations in the United States between 2011 and 2012. We used data from the National (Nationwide) Inpatient sample of the Healthcare Cost and Utilization Project. The delivery hospitalizations with SMM were identified by having at least one of the 25 previously established list of diagnosis and procedure codes...
May 3, 2018: American Journal of Perinatology
https://www.readbyqxmd.com/read/29720691/the-behavioral-and-neural-binding-phenomena-during-visuomotor-integration-of-angry-facial-expressions
#11
Sélim Yahia Coll, Leonardo Ceravolo, Sascha Frühholz, Didier Grandjean
Different parts of our brain code the perceptual features and actions related to an object, causing a binding problem, in which the brain has to integrate information related to an event without any interference regarding the features and actions involved in other concurrently processed events. Using a paradigm similar to Hommel, who revealed perception-action bindings, we showed that emotion could bind with motor actions when relevant, and in specific conditions, irrelevant for the task. By adapting our protocol to a functional Magnetic Resonance Imaging paradigm we investigated, in the present study, the neural bases of the emotion-action binding with task-relevant angry faces...
May 2, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29719003/widespread-mosquito-net-fishing-in-the-barotse-floodplain-evidence-from-qualitative-interviews
#12
David A Larsen, Rick Welsh, Angela Mulenga, Robert Reid
BACKGROUND: The insecticide-treated mosquito net (ITN) is a crucial component of malaria control programs, and has prevented many malaria cases and deaths due to scale up. ITNs also serve effectively as fishing nets and various sources have reported use of ITNs for fishing. This article examines how widespread the practice of mosquito net fishing with ITNs is. METHODS: We conducted in-depth interviews with fishery personnel and traditional leadership from the Barotse Royal Establishment in Western Province, Zambia, to better understand the presence or absence of the use of ITNs as fishing nets...
2018: PloS One
https://www.readbyqxmd.com/read/29717658/concurrent-inguinal-hernia-repair-in-patients-undergoing-minimally-invasive-radical-prostatectomy-a-national-surgical-quality-improvement-program-study
#13
Leilei Xia, Benjamin L Taylor, Neal Patel, Raju R Chelluri, Jay D Raman, Douglas Scherr, Thomas J Guzzo
OBJECTIVE: To compare perioperative 30-day outcomes between minimally-invasive radical prostatectomy (MIRP) with and without concurrent inguinal hernia repair (IHR) using a national database. METHODS: The National Surgical Quality Improvement Program database was queried for MIRP from 2012-2015. Concurrent IHR was identified using relevant Current Procedural Terminology codes. Primary outcomes were overall complications, reoperations, unplanned readmissions, and mortality within 30 days of MIRP...
May 2, 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29699522/psychometric-properties-and-measurement-invariance-of-the-beck-hopelessness-scale-bhs-results-from-a-german-representative-population-sample
#14
Sören Kliem, Anna Lohmann, Thomas Mößle, Elmar Brähler
BACKGROUND: The Beck Hopelessness Scale (BHS) has been the most frequently used instrument for the measurement of hopelessness in the past 40 years. Only recently has it officially been translated into German. The psychometric properties and factor structure of the BHS have been cause for intensive debate in the past. METHODS: Based on a representative sample of the German population (N = 2450) item analysis including item sensitivity, item-total correlation and item difficulty was performed...
April 25, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29697301/outcomes-of-early-carotid-stenting-and-angioplasty-in-large-vessel-anterior-circulation-strokes-treated-with-mechanical-thrombectomy-and-intravenous-thrombolytics
#15
T Mehta, N Desai, K Mehta, R Parikh, S Male, M Hussain, M Ollenschleger, G Spiegel, A Grande, M Ezzeddine, B Jagadeesan, R Tummala, L McCullough
Introduction Proximal cervical internal carotid artery stenosis greater than 50% merits revascularization to mitigate the risk of stroke recurrence among large-vessel anterior circulation strokes undergoing mechanical thrombectomy. Carotid artery stenting necessitates the use of antiplatelets, and there is a theoretical increased risk of hemorrhagic transformation given that such patients may already have received intravenous thrombolytics and have a significant infarct burden. We investigate the outcomes of large-vessel anterior circulation stroke patients treated with intravenous thrombolytics receiving same-day carotid stenting or selective angioplasty compared to no carotid intervention...
January 1, 2018: Interventional Neuroradiology
https://www.readbyqxmd.com/read/29692440/a-characterization-of-student-reflections-in-an-introductory-pharmacy-practice-experience-discussion-course
#16
Melissa M Dinkins, Wesley R Haltom
Objective. To characterize weekly student reflections in an introductory pharmacy practice experience (IPPE) discussion course meeting concurrently with IPPE rotations in institutional pharmacy. Methods. A qualitative analysis was conducted to identify themes within weekly reflective statements submitted by second year pharmacy students (P2) enrolled in an IPPE rotation and concurrent discussion course. Weekly reflections from the 2015-2016 offering of the course were reviewed by investigators to identify common themes via an iterative process...
April 2018: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/29671191/rheumatoid-arthritis-is-associated-with-increased-in-hospital-mortality-in-asthma-exacerbations-a-nationwide-study
#17
Yiming Luo, Xiaowen Fan, Changchuan Jiang, Ana Belen Arevalo Molina, Maria Salgado, Jiehui Xu
The relationship between RA and asthma has been yielding conflicting results, with most recent studies showing a possible positive association. The study aims at the outcomes of adult patients hospitalized for asthma exacerbation in those with and without RA. We used data from the National Inpatient Sample (NIS) for the period of 2012-2014. ICD 9 code was used to identify the diagnosis. Our primary outcome was in-hospital mortality. Our secondary outcome was total asthma exacerbation hospitalizations, length of stay, and total hospital charges...
April 19, 2018: Clinical Rheumatology
https://www.readbyqxmd.com/read/29668693/if-you-come-from-a-well-known-organisation-i-will-trust-you-exploring-and-understanding-the-community-s-attitudes-towards-healthcare-research-in-cambodia
#18
Sreymom Pol, Shivani Fox-Lewis, Leakhena Neou, Michael Parker, Patricia Kingori, Claudia Turner
OBJECTIVE: To explore Cambodian community members' understanding of and attitudes towards healthcare research. DESIGN: This qualitative study generated data from semi-structured interviews and focus group discussions. This study was conducted at a non-governmental paediatric hospital and in nearby villages in Siem Reap province, Cambodia. A total of ten semi-structured interviews and four focus group discussions were conducted, involving 27 participants. Iterative data collection and analysis were performed concurrently...
2018: PloS One
https://www.readbyqxmd.com/read/29661183/linguistic-validation-validity-and-reliability-of-the-british-english-versions-of-the-disabilities-of-the-arm-shoulder-and-hand-dash-questionnaire-and-quickdash-in-people-with-rheumatoid-arthritis
#19
Alison Hammond, Yeliz Prior, Sarah Tyson
BACKGROUND: Although the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire is widely used in the UK, no British English version is available. The aim of this study was to linguistically validate the DASH into British English and then test the reliability and validity of the British English DASH, (including the Work and Sport/Music DASH) and QuickDASH, in people with rheumatoid arthritis (RA). METHODS: The DASH was forward translated, reviewed by an expert panel and cognitive debriefing interviews undertaken with 31 people with RA...
April 16, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29661043/risks-and-consequences-of-travel-burden-on-prophylactic-granulocyte-colony-stimulating-factor-administration-and-incidence-of-febrile-neutropenia-in-an-aged-medicare-population
#20
J Mark Stephens, Mark Bensink, Charles Bowers, Christopher S Hollenbeak
OBJECTIVE: Granulocyte colony-stimulating factors (G-CSFs) decrease the incidence of febrile neutropenia (FN) in patients receiving myelosuppressive chemotherapy. This study examines the impact patient travel burden has on administration of prophylactic G-CSFs and the subsequent impact on FN incidence. METHODS: Medicare claims data were used to identify a cohort of beneficiaries age 65+ with non-myeloid cancers at high risk for FN between January 2012 and December 2014...
May 10, 2018: Current Medical Research and Opinion
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