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https://www.readbyqxmd.com/read/28811211/72h-returns-a-trigger-tool-for-diagnostic-error
#1
Emily Aaronson, Pierre Borczuk, Theodore Benzer, Elizabeth Mort, Elizabeth Temin
BACKGROUND: Patients who return to the Emergency Department (ED) within 72h of discharge are often used for ED Quality Assurance efforts, however little is known about the yield of this kind of review and the types of errors it identifies. Our objective was to identify the prevalence, types and severity of errors in these cases. METHODS: Retrospective review of patients who presented to an urban, university affiliated ED between 10/1/2012-9/30/2015 who returned within 72 h requiring hospital admission...
August 8, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28802985/clinical-analysis-of-48-h-emergency-department-visit-post-outpatient-extracorporeal-shock-wave-lithotripsy-for-urolithiasis
#2
Chin-Heng Lu, Junne-Yih Kuo, Tzu-Ping Lin, Yi-Hsiu Huang, Hsiao-Jen Chung, William J S Huang, Howard H H Wu, Yen-Hwa Chang, Alex T L Lin, Kuang-Kuo Chen
BACKGROUND: Patients suffering from renal or ureteral stones can undergo significant discomfort, even when timely diagnosed and treated. The aim of this study was to assess the risk factors and safety of outpatient Extracorporeal Shock Wave Lithotripsy (ESWL) in the management of patients with renal or ureteral stones. METHODS: In this study, our cohort consisted of 844 outpatients who underwent outpatient ESWL treated between February 2012 and November 2014 at Taipei Veterans General Hospital...
August 9, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/28799080/visual-acuity-and-corneal-higher-order-aberrations-after-ex-press-or-trabeculectomy-and-the-determination-of-associated-factors-that-influence-visual-function
#3
Nobuko Kobayashi, Kazuyuki Hirooka, Eri Nitta, Kaori Ukegawa, Akitaka Tsujikawa
PURPOSE: This study investigated postoperative visual acuity and corneal higher-order aberrations following EX-PRESS or trabeculectomy. METHODS: Out of 56 eyes of 56 patients analyzed, 30 eyes were treated using trabeculectomy, while 26 eyes were treated with EX-PRESS. Visual acuity and corneal higher-order aberrations were analyzed in both groups before and at 2 weeks, 1, 2, and 3 months after the surgeries. Risk factors that could potentially influence corneal higher-order aberrations were evaluated...
August 10, 2017: International Ophthalmology
https://www.readbyqxmd.com/read/28794620/spreading-improvements-for-advanced-copd-care-through-a-canadian-collaborative
#4
Graeme M Rocker, Claudia Amar, Wendy L Laframboise, Jane Burns, Jennifer Y Verma
BACKGROUND: A year-long pan-Canadian quality improvement collaborative (QIC) led by the Canadian Foundation for Healthcare Improvement (CFHI) supported the spread of the successful Halifax, Nova Scotia-based INSPIRED COPD Outreach Program™ to 19 teams in the 10 Canadian provinces. We describe QIC results, addressing two main questions: 1) Can the results of the Nova Scotia INSPIRED model be replicated elsewhere in Canada? 2) How did the teams implement and evaluate their versions of the INSPIRED program? METHODS: Collaborative faculty selected measures that were evidence-based, relatively simple to collect, and relevant to local context...
2017: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/28794618/accountability-a-missing-construct-in-models-of-adherence-behavior-and-in-clinical-practice
#5
REVIEW
Elias Oussedik, Capri G Foy, E J Masicampo, Lara K Kammrath, Robert E Anderson, Steven R Feldman
Piano lessons, weekly laboratory meetings, and visits to health care providers have in common an accountability that encourages people to follow a specified course of action. The accountability inherent in the social interaction between a patient and a health care provider affects patients' motivation to adhere to treatment. Nevertheless, accountability is a concept not found in adherence models, and is rarely employed in typical medical practice, where patients may be prescribed a treatment and not seen again until a return appointment 8-12 weeks later...
2017: Patient Preference and Adherence
https://www.readbyqxmd.com/read/28793952/maintaining-capacity-for-in-practice-teaching-and-supervision-of-students-and-general-practice-trainees-a-cross-sectional-study-of-early-career-general-practitioners
#6
Nigel Catzikiris, Amanda Tapley, Simon Morgan, Elizabeth G Holliday, Jean Ball, Kim Henderson, Taryn Elliott, Neil Spike, Cathy Regan, Parker Magin
Objectives Expanding learner cohorts of medical students and general practitioner (GP) vocational trainees and the impending retirement of the 'baby boomer' GP cohort threaten the teaching and supervisory capacity of the Australian GP workforce. Engaging newly qualified GPs is essential to sustaining this workforce training capacity. The aim of the present study was to establish the prevalence and associations of in-practice clinical teaching and supervision in early career GPs.Methods The present study was a cross-sectional questionnaire-based study of recent (within 5 years) alumni of three of Australia's 17 regional general practice training programs...
August 10, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28782193/resident-responses-to-after-hours-otolaryngology-patient-phone-calls-an-overlooked-aspect-of-residency-training
#7
Ashton E Lehmann, Elliott D Kozin, Rosh K V Sethi, Kevin Wong, Brian M Lin, Stacey T Gray, Michael J Cunningham
OBJECTIVES/HYPOTHESIS: Otolaryngology residents are often responsible for triaging after-hours patient calls. However, residents receive little training on this topic. Data are limited on the clinical content, reporting, and management of otolaryngology patient calls. This study aimed to characterize the patient concerns residents handle by phone and their subsequent management and reporting. STUDY DESIGN: Retrospective review. METHODS: Five hundred consecutive after-hours patient calls in a tertiary pediatric hospital were reviewed...
August 7, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28777264/feasibility-acceptability-and-adherence-with-short-term-hiv-pre-exposure-prophylaxis-in-female-sexual-partners-of-migrant-miners-in-mozambique
#8
Maria Lahuerta, Allison Zerbe, Rachel Baggaley, Joana Falcao, Laurence Ahoua, Pietro DiMattei, Fernando Morales, Isaias Ramiro, Wafaa M El-Sadr
BACKGROUND: Pre-exposure prophylaxis (PrEP) offers protection from HIV acquisition if taken as prescribed. We evaluated the feasibility, acceptability and adherence with short-term PrEP among female sexual partners of migrant miners in Mozambique. METHODS: HIV-negative female sexual partners of migrant miners were offered daily tenofovir/emtricitabine (TDF/FTC) for 6 weeks concurrent with miners' return home. Study visits occurred at baseline, Week 4, 6 and 8. Dried blood spots (DBS) were collected at Week 4 and 6...
August 1, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28771746/evaluation-of-enrollee-satisfaction-with-iowa-s-dental-wellness-plan-for-the-medicaid-expansion-population
#9
Julie C Reynolds, Susan C McKernan, Jennifer M C Sukalski, Peter C Damiano
BACKGROUND: Dental coverage for Iowa's Medicaid expansion population is provided through the Dental Wellness Plan (DWP), implemented in May 2014. The plan targets healthy behavior incentives via an earned benefits structure, whereby additional services are covered if enrollees return every 6-12 months for routine dental visits. This study examines enrollee satisfaction with the DWP. METHODS: We surveyed a random sample of DWP enrollees 1 year after program implementation about their experiences...
August 3, 2017: Journal of Public Health Dentistry
https://www.readbyqxmd.com/read/28770596/high-rates-of-viral-suppression-in-adults-and-children-with-high-cd4-counts-using-a-streamlined-art-delivery-model-in-the-search-trial-in-rural-uganda-and-kenya
#10
Dalsone Kwarisiima, Moses R Kamya, Asiphas Owaraganise, Florence Mwangwa, Dathan M Byonanebye, James Ayieko, Albert Plenty, Doug Black, Tamara D Clark, Bridget Nzarubara, Katherine Snyman, Lillian Brown, Elizabeth Bukusi, Craig R Cohen, Elvin H Geng, Edwin D Charlebois, Theodore D Ruel, Maya L Petersen, Diane Havlir, Vivek Jain
INTRODUCTION: The 2015 WHO recommendation of antiretroviral therapy (ART) for all HIV-positive persons calls for treatment initiation in millions of persons newly eligible with high CD4+ counts. Efficient and effective care models are urgently needed for this population. We evaluated clinical outcomes of asymptomatic HIV-positive adults and children starting ART with high CD4+ counts using a novel streamlined care model in rural Uganda and Kenya. METHODS: In the 16 intervention communities of the HIV test-and-treat Sustainable East Africa Research for Community Health Study (NCT01864603), all HIV-positive individuals irrespective of CD4 were offered ART (efavirenz [EFV]/tenofovir disoproxil fumarate + emtricitabine (FTC) or lamivudine (3TC)...
July 21, 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/28768622/preschool-children-who-are-frequent-attenders-in-emergency-departments-an-observational-study-of-associated-demographics-and-clinical-characteristics
#11
Mitch Blair, Alan J Poots, Valencia Lim, Stephen Hiles, Geva Greenfield, Caroline Crehan, Beverley Kugler, Charlotte Boreham
BACKGROUND: Unscheduled visits to emergency departments (ED) have increased in the UK in recent years. Children who are repeat attenders are relatively understudied. AIMS: To describe the sociodemographic and clinical characteristics of preschoolers who attend ED a large District General Hospital. METHOD/STUDY DESIGN: Observational study analysing routinely collected ED operational data. Children attending four or more visits per year were considered as 'frequent attenders'...
August 2, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28767615/imported-schistosomiasis-in-children-clinical-diagnostic-aspects-and-outcome-in-5-tertiary-hospitals-in-france
#12
Claire Leblanc, Luu-Ly Pham, Patricia Mariani, Luigi Titomanlio, Alaa El Ghoneimi, Luc Paris, Simon Escoda, Henri Lottmann, Julie Toubiana, André Paugam, Tim Ulinski, Olivier Bouchaud, Sophie Brun, Arezki Izri, Albert Faye, Loïc De Pontual
INTRODUCTION: Schistosomiasis affects more than 230 million people worldwide. Given the increase in international travel and/or immigration from endemic regions, the incidence of imported schistosomiasis in France may be rising. The objective of this study was to describe the epidemiologic, clinical, and paraclinical characteristics and disease outcome of imported schistosomiasis in children in the Paris region between 2010 and 2015. PATIENTS AND METHODS: All children diagnosed with schistosomiasis in five tertiary care centers in the Paris region were included in a retrospective study...
July 27, 2017: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/28767272/user-statistics-for-an-online-health-game-targeted-at-children
#13
Eva E Alblas, Frans Folkvord, Doeschka J Anschütz, Paul E Ketelaar, Isabela Granic, Fréderike Mensink, Moniek Buijzen, Jonathan P van 't Riet
OBJECTIVE: Given that many households in western countries nowadays have home access to the Internet, developing health-promoting online interventions has the potential to reach large audiences. Studies assessing usage data of online health interventions are important and relevant but, as of yet, scarce. The present study reviewed usage data from Monkey Do, an existing online health game developed specifically for children from 4 to 8 years old. In addition, the effect of advertising on usage was examined...
August 2, 2017: Games for Health
https://www.readbyqxmd.com/read/28766858/adolescent-presentations-to-an-adult-hospital-emergency-department
#14
Omar Noori, Shweta Batra, Amith Shetty, Katharine Steinbeck
OBJECTIVE: Age-related policies allow adolescents to access paediatric and adult EDs. Anecdotally, paediatric and adult EDs report challenges when caring for older and younger adolescents, respectively. Our aim was to describe the characteristics of an adolescent population attending an adult ED, co-located with a tertiary paediatric ED. METHODS: The Westmead Hospital ED database was accessed for 14.5-17.9 years old presentations between January 2010 and December 2012...
August 2, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28760573/work-productivity-loss-after-mild-traumatic-brain-injury
#15
Noah D Silverberg, William J Panenka, Grant L Iverson
OBJECTIVE: To examine the completeness of return to work (RTW) and the degree of productivity loss in individuals who do achieve a complete RTW after mild traumatic brain injury (MTBI). DESIGN: Multi-site prospective cohort. SETTING: Outpatient concussion clinics. PARTICIPANTS: Seventy-nine patients (M=41.5 years old, 55.7% female) who sustained an MTBI and were employed at the time of the injury. Participants were enrolled at their first clinic visit and assessed by telephone 6-8 months post-injury...
July 28, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28760109/bariatric-surgery-in-adolescents-is-routine-nutrient-supplementation-sufficient-to-avoid-anemia-following-bariatric-surgery
#16
Hanna R Goldberg, Vivian L Chin, Jeffrey L Zitsman, Chengchen Zhang, Kristen M Williams, Sharon Oberfield, Ilene Fennoy
BACKGROUND: Anemia following bariatric surgery is a known complication. To prevent nutrient deficiencies, adolescents require multivitamin/mineral supplementation following bariatric surgery. The purpose of this study was to investigate if routine multivitamin/mineral supplementation is sufficient to prevent anemia in adolescents undergoing bariatric surgery, particularly sleeve gastrectomy (SG), a procedure that may induce nutrient malabsorption. METHODS: We conducted a retrospective review of pediatric patients who underwent SG (34 patients) and laparoscopic adjustable gastric banding (LAGB) (141 patients) (January 2006 through December 2013)...
August 2017: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/28759262/a-double-blind-and-placebo-controlled-trial-of-aripiprazole-in-symptomatic-youths-at-genetic-high-risk-for-bipolar-disorder
#17
Robert L Findling, Eric A Youngstrom, Brieana M Rowles, Elizabeth Deyling, Jacqui Lingler, Robert J Stansbrey, Molly McVoy, Sarah Lytle, Joseph R Calabrese, Nora K McNamara
OBJECTIVE: To determine if acute treatment with aripiprazole (APZ) would be superior to treatment with placebo in reducing dysfunctional symptoms of elevated mood and/or irritability in symptomatic children and adolescents at familial high risk for bipolar disorder (BPD) whose mood episodes occur spontaneously. These are patients we have previously referred to as suffering from "cyclotaxia." METHODS: This was single-site, randomized, double-blind, placebo-controlled outpatient clinical trial in which youths aged 5-17 years who met diagnostic criteria for either cyclothymic disorder (CYC) or BPD not otherwise specified (BP-NOS) were randomly assigned to receive either APZ or placebo...
July 31, 2017: Journal of Child and Adolescent Psychopharmacology
https://www.readbyqxmd.com/read/28754110/predictors-of-health-care-drop-out-in-an-inception-cohort-of-patients-with-early-onset-rheumatoid-arthritis
#18
Irazú Contreras-Yáñez, Virginia Pascual-Ramos
BACKGROUND: RA patients who eventually dropped out of treatment and out of the health care system had potentially disastrous consequences for their health-related quality-of-life outcomes. Objectives of the study were to identify predictors of health care drop out (HDO) in an inception and ongoing cohort of patients with recent onset RA. METHODS: Charts from patients attending an early arthritis clinic from February 2004 to December 2015, and standardized follow-up evaluations were reviewed...
July 28, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28753052/physicians-and-pharmacists-information-provision-and-patients-psychological-distress
#19
Hiroko Takaki, Takeru Abe, Akihito Hagihara
Providing information related to medication has many benefits for patients. However, patients' conflicting perceptions about medical information provided by physicians and pharmacists may be associated with their psychological distress regarding treatment and medication. This study investigated associations between patients' perceptions of agreement between physicians and pharmacists about medical information and improvements in their psychological distress. It also clarified the specific relationships of their perceptions with psychological distress...
July 28, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/28751087/the-effect-of-medicaid-expansion-on-utilization-in-maryland-emergency-departments
#20
Eili Y Klein, Scott Levin, Matthew F Toerper, Michael D Makowsky, Tim Xu, Gai Cole, Gabor D Kelen
STUDY OBJECTIVE: A proposed benefit of expanding Medicaid eligibility under the Patient Protection and Affordable Care Act (ACA) was a reduction in emergency department (ED) utilization for primary care needs. Pre-ACA studies found that new Medicaid enrollees increased their ED utilization rates, but the effect on system-level ED visits was less clear. Our objective was to estimate the effect of Medicaid expansion on aggregate and individual-based ED utilization patterns within Maryland...
July 24, 2017: Annals of Emergency Medicine
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