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https://www.readbyqxmd.com/read/27449634/validation-of-the-hospital-score-for-30-day-all-cause-readmissions-of-patients-discharged-to-skilled-nursing-facilities
#1
Luke D Kim, Lei Kou, Barbara J Messinger-Rapport, Michael B Rothberg
OBJECTIVES: To validate the HOSPITAL score for predicting 30-day all-cause readmission rates in a cohort of medical patients discharged to skilled nursing facilities (SNFs). DESIGN: Retrospective cohort. SETTING: Cleveland Clinic Main Campus. PARTICIPANTS: Cleveland Clinic Main Campus medicine services patients who were admitted between January 1, 2011, and December 31, 2012, and subsequently discharged to 110 SNFs within a 25-mile radius of the hospital...
September 1, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27250980/the-2010-2015-prevalence-of-eosinophilic-esophagitis-in-the-usa-a-population-based-study
#2
Emad Mansoor, Gregory S Cooper
BACKGROUND AND AIMS: Eosinophilic esophagitis (EoE) is a chronic inflammatory disorder with increasing prevalence. However, epidemiologic data have mostly been acquired from small studies. We sought to describe the epidemiology of EoE in the USA, utilizing a large database. METHODS: We queried a commercial database (Explorys Inc, Cleveland, OH, USA), an aggregate of electronic health record data from 26 major integrated US healthcare systems from 1999 to July 2015...
October 2016: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/27169124/insights-into-an-award-winning-summer-internship-program-the-first-six-years
#3
REVIEW
Anthony Kashou, Damayanthi Durairajanayagam, Ashok Agarwal
Since its inception in 2008, the American Center for Reproductive Medicine's summer internship program in reproductive research and writing has trained 114 students from 23 states within the United States and 10 countries worldwide. Its fundamental goal is to inspire pre-medical and medical students to embrace a career as a physician-scientist. During this intensive course, established scientists and clinicians train interns in the essential principles and fundamental concepts of bench research and scientific writing...
April 2016: World Journal of Men's Health
https://www.readbyqxmd.com/read/27069100/underrecognition-of-malnutrition-in-advanced-cancer-the-role-of-the-dietitian-and-clinical-practice-variations
#4
Aynur Aktas, Declan Walsh, Marianne Galang, Niamh O'Donoghue, Lisa Rybicki, Barbara Hullihen, Ellen Schleckman
INTRODUCTION: Malnutrition (MN) often goes unrecognized due to ineffective screening techniques. Published standards for multidisciplinary care exist but no consensus on best nutritional assessment for hospitalized patients. Malnutrition is common in cancer and adversely affects clinical outcomes. The Cleveland Clinic Nutrition Therapy Department used in-house criteria to classify MN in hospitalized patients. This study aimed to evaluate the registered dietitian (RD)'s role, the use of these criteria in the acute care palliative medicine unit (ACPMU), and investigate MN prevalence and severity among admitted patients with cancer...
April 10, 2016: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/26889651/international-consensus-statement-on-allergy-and-rhinology-rhinosinusitis
#5
Richard R Orlandi, Todd T Kingdom, Peter H Hwang, Timothy L Smith, Jeremiah A Alt, Fuad M Baroody, Pete S Batra, Manuel Bernal-Sprekelsen, Neil Bhattacharyya, Rakesh K Chandra, Alexander Chiu, Martin J Citardi, Noam A Cohen, John DelGaudio, Martin Desrosiers, Hun-Jong Dhong, Richard Douglas, Berrylin Ferguson, Wytske J Fokkens, Christos Georgalas, Andrew Goldberg, Jan Gosepath, Daniel L Hamilos, Joseph K Han, Richard Harvey, Peter Hellings, Claire Hopkins, Roger Jankowski, Amin R Javer, Robert Kern, Stilianos Kountakis, Marek L Kowalski, Andrew Lane, Donald C Lanza, Richard Lebowitz, Heung-Man Lee, Sandra Y Lin, Valerie Lund, Amber Luong, Wolf Mann, Bradley F Marple, Kevin C McMains, Ralph Metson, Robert Naclerio, Jayakar V Nayak, Nobuyoshi Otori, James N Palmer, Sanjay R Parikh, Desiderio Passali, Anju Peters, Jay Piccirillo, David M Poetker, Alkis J Psaltis, Hassan H Ramadan, Vijay R Ramakrishnan, Herbert Riechelmann, Hwan-Jung Roh, Luke Rudmik, Raymond Sacks, Rodney J Schlosser, Brent A Senior, Raj Sindwani, James A Stankiewicz, Michael Stewart, Bruce K Tan, Elina Toskala, Richard Voegels, De Yun Wang, Erik K Weitzel, Sarah Wise, Bradford A Woodworth, Peter-John Wormald, Erin D Wright, Bing Zhou, David W Kennedy
BACKGROUND: The body of knowledge regarding rhinosinusitis(RS) continues to expand, with rapid growth in number of publications, yet substantial variability in the quality of those presentations. In an effort to both consolidate and critically appraise this information, rhinologic experts from around the world have produced the International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR:RS). METHODS: Evidence-based reviews with recommendations(EBRRs) were developed for scores of topics, using previously reported methodology...
February 2016: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/26859900/emotional-intelligence-one-component-in-the-heart-of-medicine
#6
Roberto Canales, Tracy Cleveland
The increasing need for health care providers has contributed to a rise in the number of physician assistant (PA) programs. Unfortunately simply increasing the number of graduates to meet this increased need is not good enough. Not only must PA programs and educators make sure that graduates have the necessary medical knowledge and clinical skills but that graduates also have the ability to understand and manage emotions and behaviors which result from working with others and taking care of patients. How an individual acts and reacts to situations is an aspect of psychology that is rooted in the study of emotion and behaviors which result from emotions...
December 2015: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/26673314/the-correspondence-and-collaboration-of-harvey-cushing-and-irvine-page-lessons-from-the-cleveland-clinic-archives
#7
REVIEW
Kalil G Abdullah, Daniel Lubelski, Frederick Lautzenheiser, Thomas E Mroz
Harvey Cushing is well-known as a pioneer of brain surgery and is considered the father of modern neurosurgery. However, Cushing's interests and contributions extend beyond neurosurgery. Through his determined interdisciplinary collaboration in medicine and biomedical research, Cushing was able to contribute to numerous fields including bacteriology, anesthesiology, and endocrinology. With regards to the latter, Cushing corresponds with Irvine Page, well-known for isolating serotonin, discovering the renin-angiotensin system, and postulating of the mosaic theory of hypertension...
2015: Surgical Neurology International
https://www.readbyqxmd.com/read/26040781/student-perceptions-of-an-interprofessional-educational-experience-the-importance-of-goal-articulation
#8
Jennifer M McBride, Richard L Drake
The education of future health care professionals must involve activities where interprofessional collaboration and the functioning of interdisciplinary teams are the goals and not the exceptions. This type of interprofessional education (IPE) will benefit students as they will be better able to communicate with and mobilize the skills of other health care workers, work toward common goals related to patient care, and develop a more cost-effective treatment strategy in the long term. Such an IPE program was initiated in the clinical anatomy course for physician assistant students from the University of Mount Union that was taught, in part, by medical students from the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University...
July 2015: Anatomical Sciences Education
https://www.readbyqxmd.com/read/26013993/effect-of-a-novel-interdisciplinary-teaching-program-in-the-care-continuum-on-medical-student-knowledge-and-self-efficacy
#9
Amanda Lathia, Michael Rothberg, Mitchell Heflin, Kelly Nottingham, Barbara Messinger-Rapport
OBJECTIVES: Medical students report that they receive inadequate training in different levels of care, including care transitions to and from post-acute (PA) and long-term care (LTC). The authors implemented the Medical Students as Teachers in Extended Care (MedTEC) program as an educational innovation at the Cleveland Clinic to address training in the care-continuum, as well as the new medical student and physician competencies in PA/LTC. DESIGN: MedTEC is a 7-hour interactive program that supplements standard geriatric didactics during the medical student primary care rotation...
October 1, 2015: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/25990613/commentary-on-satisfaction-with-information-used-to-choose-prostate-cancer-treatment-gilbert-sm-sanda-mg-dunn-rl-greenfield-tk-hembroff-l-klein-e-saigal-cs-pisters-l-michalski-j-sandler-hm-litwin-ms-wei-jt-h-lee-moffitt-cancer-center-tampa-florida-department
#10
COMMENT
Hollenbeck Brent
PURPOSE: After being diagnosed with prostate cancer men must assimilate information regarding the cancer. Satisfaction with information reflects the evaluation of information sources used before treatment to select a therapy. We describe the use and helpfulness of several information sources available to prostate cancer survivors. We also identified factors associated with satisfaction with information. MATERIALS AND METHODS: A total of 1,204 men with newly diagnosed prostate cancer were enrolled in the prospective, multicenter Prostate Cancer Outcomes and Satisfaction with Therapy Quality Assessment study...
May 2016: Urologic Oncology
https://www.readbyqxmd.com/read/25985966/practical-guide-for-implementing-hybrid-pet-mr-clinical-service-lessons-learned-from-our-experience
#11
REVIEW
Nainesh Parikh, Kent P Friedman, Shetal N Shah, Hersh Chandarana
Positron emission tomography (PET) and magnetic resonance imaging, until recently, have been performed on separate PET and MR systems with varying temporal delay between the two acquisitions. The interpretation of these two separately acquired studies requires cognitive fusion by radiologists/nuclear medicine physicians or dedicated and challenging post-processing. Recent advances in hardware and software with introduction of hybrid PET/MR systems have made it possible to acquire the PET and MR images simultaneously or near simultaneously...
August 2015: Abdominal Imaging
https://www.readbyqxmd.com/read/25695581/surgeon-nurse-anesthetist-collaboration-advanced-surgery-between-1889-and-1950
#12
Bruce Evan Koch
To meet the need for qualified anesthetists, American surgeons recruited nurses to practice anesthesia during the Civil War and in the latter half of the 19th century. The success of this decision led them to collaborate with nurses more formally at the Mayo Clinic in Minnesota. During the 1890s, Alice Magaw refined the safe administration of ether. Florence Henderson continued her work improving the safety of ether administration during the first decade of the 20th century. Safe anesthesia enabled the Mayo surgeons to turn the St...
March 2015: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/25547168/global-medical-education-partnerships-to-expand-specialty-expertise-a-case-report-on-building-neurology-clinical-and-research-capacity
#13
Mark Kaddumukasa, Elly Katabira, Robert A Salata, Marco A Costa, Edward Ddumba, Anthony Furlan, Angelina Kakooza-Mwesige, Moses R Kamya, James Kayima, Chris T Longenecker, Harriet Mayanja-Kizza, Charles Mondo, Shirley Moore, Svetlana Pundik, Nelson Sewankambo, Daniel I Simon, Kathleen A Smyth, Martha Sajatovic
BACKGROUND: Neurological disorders are a common cause of morbidity and mortality in sub-Saharan African, but resources for their management are scarce. Collaborations between training institutions in developed and resource-limited countries can be a successful model for supporting specialty medical education and increasing clinical and research capacity. CASE REPORT: This report describes a US National Institutes of Health (NIH) funded Medical Education Partnership Initiative (MEPI) to enhance expertise in neurology, developed between Makerere University College of Health Sciences in Kampala, Uganda, and Case Western Reserve University School of Medicine in Cleveland, OH, USA...
2014: Human Resources for Health
https://www.readbyqxmd.com/read/25529950/-ligation-of-intersphincteric-fistula-tract-in-the-treatment-of-complicated-fistula-in-ano
#14
Hongjin Chen, Yunfei Gu, Guidong Sun, Zailong Zhou, Ping Zhu, Shuang Wu, Bolin Yang
OBJECTIVE: To evaluate the efficacy of ligation of intersphincteric fistula tract (LIFT) in the treatment of complex fistula-in-ano. METHODS: Clinical data of 24 patients with complex fistula-in-ano who treated with LIFT in the Affiliated Hospital of Nanjing University of Chinese Medicine from September 2009 to February 2012 were analyzed retrospectively. The operative efficacy and postoperative continence were evaluated. RESULTS: The prime success rate of fistula healing was 66...
December 2014: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/25431461/joint-uk-societies-2014-consensus-statement-on-renal-denervation-for-resistant-hypertension
#15
Melvin D Lobo, Mark A de Belder, Trevor Cleveland, David Collier, Indranil Dasgupta, John Deanfield, Vikas Kapil, Charles Knight, Matthew Matson, Jonathan Moss, Julian F R Paton, Neil Poulter, Iain Simpson, Bryan Williams, Mark J Caulfield
Resistant hypertension continues to pose a major challenge to clinicians worldwide and has serious implications for patients who are at increased risk of cardiovascular morbidity and mortality with this diagnosis. Pharmacological therapy for resistant hypertension follows guidelines-based regimens although there is surprisingly scant evidence for beneficial outcomes using additional drug treatment after three antihypertensives have failed to achieve target blood pressure. Recently there has been considerable interest in the use of endoluminal renal denervation as an interventional technique to achieve renal nerve ablation and lower blood pressure...
January 2015: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/25333009/the-cleveland-clinic-a-distinctive-model-of-american-medicine
#16
James K Stoller
The Cleveland Clinic is a large healthcare system based in Cleveland, Ohio (USA) with an extensive American (throughout Northeast Ohio; Weston, Florida; and Las Vegas, Nevada) and global presence (in Abu Dhabi, UAE; and with training alumni in >70 countries). Cleveland Clinic was founded in 1921 as a distinctive medical model with a tripartite mission of "better care of the sick, investigation of their problems, and more teaching of those who serve" which has been vibrantly maintained. Distinctive aspects of the Clinic include its being a closed staff, salaried, group practice which is physician-led and which features 1-year faculty appointments and a vigorous annual review process for all physicians and leaders...
April 2014: Annals of Translational Medicine
https://www.readbyqxmd.com/read/25162563/an-interview-with-mark-g-hans
#17
Mark G Hans, Matilde da Cunha Gonçalves Nojima
It is a great honor to conduct an interview with Professor Mark G. Hans, after following his outstanding work ahead of the Bolton-Brush Growth Study Center and the Department of Orthodontics at the prestigious Case Western Reserve School of Dental Medicine (CWRU) in Cleveland, Ohio. Born in Berea, Ohio, Professor Mark Hans attended Yale University in New Haven, CT, and earned his Bachelor of Science Degree in Chemistry. Upon graduation, Dr. Hans received his DDS and Masters Degree of Science in Dentistry with specialty certification in Orthodontics at Case Western Reserve University...
May 2014: Dental Press Journal of Orthodontics
https://www.readbyqxmd.com/read/25081959/computed-tomography-guided-percutaneous-biopsy-for-vertebral-osteomyelitis-a-department-s-experience
#18
Vasant Garg, Christos Kosmas, Peter C Young, Uday Kiran Togaru, Mark R Robbin
OBJECT: Vertebral osteomyelitis has been reported to occur in approximately 0.2-2 cases per 100,000 annually. Elevated laboratory values such as erythrocyte sedimentation rate and C-reactive protein suggest inflammatory etiologies. Different imaging modalities, from radiography and CT scanning to nuclear medicine imaging and contrastenhanced MRI, can be employed to evaluate for osteomyelitis. Although MRI has a strong sensitivity and specificity for vertebral osteomyelitis, obtaining histological and microbiological samples remains the gold standard in diagnosis...
August 2014: Neurosurgical Focus
https://www.readbyqxmd.com/read/25037264/association-of-research-self-efficacy-with-medical-student-career-interests-specialization-and-scholarship-a-case-study
#19
S Beth Bierer, Richard A Prayson, Elaine F Dannefer
This study used variables proposed in social cognitive career theory (SCCT) to focus the evaluation of a research curriculum at the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University (CCLCM). Eight cohorts of CCLCM medical students completed a web-based version of the six-scale Clinical Research Appraisal Inventory-Short Form (CRAI-SF) items at matriculation (n = 128) or graduation (n = 111) during 2009-2013. Parametric statistics were used to compare CRAI-SF scales to domains proposed in SCCT: trainees' characteristics (gender, training level, advanced degree), career interests, career intentions (medical specialty), and performance (peer-reviewed publications and required thesis topic)...
May 2015: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/24853198/connecting-the-dots-interprofessional-health-education-and-delivery-system-redesign-at-the-veterans-health-administration
#20
MULTICENTER STUDY
Stuart C Gilman, Dave A Chokshi, Judith L Bowen, Kathryn Wirtz Rugen, Malcolm Cox
Health systems around the United States are embracing new models of primary care using interprofessional team-based approaches in pursuit of better patient outcomes, higher levels of satisfaction among patients and providers, and improved overall value. Less often discussed are the implications of new models of care for health professions education, including education for physicians, nurse practitioners, physician assistants, and other professions engaged in primary care. Described here is the interaction between care transformation and redesign of health professions education at the largest integrated delivery system in the United States: the Veterans Health Administration (VA)...
August 2014: Academic Medicine: Journal of the Association of American Medical Colleges
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